脉细。形神疲倦。显是命门真火式微。为之瘅胀肿满。王宇泰谓益火之源。以消阴翳。正此候也。
午后用运理中阳法
人参 茯苓 附子 于术 干姜 益智
脉象平和。热退头晕。宜调肝胃。
青蒿梗 丹皮 知母 半夏曲 橘红 茯苓
身热头痛。身疼无汗。脉弦。
小柴胡汤去人参
久泄腹满。下焦怯冷。经数载余。述起产后。此伤在冲任矣。用药自以温纳。惟恐病深难复。
鹿茸 淡附子 人参 赤石脂 川椒 胡芦巴 炮姜 补骨脂 桂心 茯苓片 肉蔻 菟丝子
烦劳伤营。心悸脘痛。
人参 当归 桂心 煨姜 茯神 白芍 炙草 南枣
咳嗽痰血气腥。邪陷于肺络。
努力伤络失血。
丹皮 生地 桃仁 牛膝 皮 茜草
咽痛舌辣。晡热。无一非阴枯阳炽也。
生地 阿胶 左牡蛎 天冬 茯神 鸡子黄
三疟。色黄。脉弦偏右。
草果仁 生姜 知母 乌梅
寒热咳嗽。
桂枝汤加花粉
此肝火上冒耳。当养阴泄阳为主。
羚羊角 桑叶 细生地 石决明 丹皮 浙菊炭
和营宣气。
柏子仁 归身 香附子 山栀 枣仁 广橘红 抚芎 陈神曲 麦芽 丹参
嗽而呕恶。肺胃不降耳。
枇杷叶 橘红 茯苓 旋复花 杏仁 竹茹
脉右数。
羚羊角 川贝 绿豆皮 石决明 天花粉 桑叶 生甘草 细生地
脉弦数。少腹气冲。映背交痛。此高年阴血槁枯。少阴肾气不摄。势欲为奔豚。法宜温养下焦。
茯苓 紫石英 小茴香 杞子 川楝子 柏子仁
风侵作咳身热。
杏仁 橘红 桑皮 苏梗 通草 桔梗
脉弦。不饥少纳。湿痰阴于中焦耳。
半夏 干姜 橘红 茯苓 枳实皮 浓朴
营枯气阻胃痛。
当归 新绛 柏子仁 延胡 桃仁 桂圆肉
阴亏阳动失血。
细生地 大淡菜 茯神 豆皮 天门冬 藕汁
热伤气。作之咳。
桑叶 川贝母 青蒿 南参 天花粉 骨皮
劳损嗽甚。气急。
脉象细弱,形体与精神疲倦乏力。这显然是命门真火衰微的表现,从而导致痰饮停聚、腹胀肿胀。王宇泰曾说“益火之源,以消阴翳”,正是针对这种证候的治疗原则。
午后采用运理中焦阳气的方法:
人参、茯苓、附子、于术(白术)、干姜、益智仁。
脉象变得平和,发热消退,头晕减轻,适宜调理肝胃。
青蒿梗、牡丹皮、知母、半夏曲、橘红、茯苓。
长期腹泻伴腹部胀满,下焦怯冷,病程已持续数年,叙述起病于产后。此损伤在于冲任二脉。用药自当以温补纳气为主,只是恐怕病深难愈。
鹿茸、淡附子、人参、赤石脂、川椒、胡芦巴、炮姜、补骨脂、桂心、茯苓片、肉豆蔻、菟丝子。
烦劳损伤营血,导致心悸、脘腹疼痛。
人参、当归、桂心、煨姜、茯神、白芍、炙甘草、南枣。
用力过度损伤脉络导致失血。
牡丹皮、生地黄、桃仁、牛膝、[原文缺药名]、茜草。
咽喉疼痛,舌面辛辣感,傍晚发热,这些无一不是阴液枯竭、阳气炽盛的表现。
生地黄、阿胶、左牡蛎、天冬、茯神、鸡子黄。
这是肝火上炎所致。应当以滋养阴液、泄降阳气为主。
羚羊角、桑叶、细生地黄、石决明、牡丹皮、浙菊炭。
调和营卫,宣畅气机。
柏子仁、当归身、香附子、山栀、酸枣仁、广橘红、抚芎(川芎)、陈神曲、麦芽、丹参。
咳嗽并伴有呕吐恶心,这是肺胃之气不降所致。
枇杷叶、橘红、茯苓、旋复花、杏仁、竹茹。
脉象右侧数急。
羚羊角、川贝母、绿豆皮、石决明、天花粉、桑叶、生甘草、细生地黄。
脉象弦数,少腹有气上冲,牵引背部交替疼痛。这是高龄患者阴血干枯,少阴肾气不能固摄,势必要形成奔豚病。治法宜温养下焦。
茯苓、紫石英、小茴香、枸杞子、川楝子、柏子仁。
风邪侵袭引发咳嗽,身体发热。
杏仁、橘红、桑白皮、苏梗、通草、桔梗。
脉象弦,不想进食,食欲减退,这是湿痰阻滞中焦所致。
半夏、干姜、橘红、茯苓、枳实皮、厚朴。
营血枯槁,气机阻滞导致胃痛。
当归、新绛、柏子仁、延胡索、桃仁、桂圆肉。
阴液亏损,阳气妄动导致失血。
细生地黄、大淡菜、茯神、豆皮(大豆黄卷或相关皮类,此处依原文保留)、天门冬、藕汁。
Cough and rebellious Qi are severe after midnight. Profuse sweating, fine pulse.
Fine pulse, physical and mental fatigue, clearly indicating the decline of the True Fire of the Gate of Vitality (Mingmen). Consequently, distension and swelling due to heat manifest. Wang Yutai stated, "Benefit the source of fire to eliminate yin shadows," which precisely applies to this syndrome.
In the afternoon, employ the method of moving and regulating Middle Jiao Yang:
Ren Shen (Ginseng Radix), Fu Ling (Poria), Fu Zi (Aconiti Lateralis Radix Praeparata), Bai Zhu (Atractylodis Rhizoma), Gan Jiang (Zingiberis Rhizoma), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus).
Pulse is peaceful, fever subsided, dizziness relieved; suitable to regulate Liver and Stomach.
Qing Hao Geng (Artemisiae Annuae Caulis), Dan Pi (Moutan Cortex), Zhi Mu (Anemarrhenae Rhizoma), Ban Xia Qu (Pinelliae Fermentatum), Ju Hong (Citri Reticulatae Pericarpium), Fu Ling (Poria).
Body fever, headache, body ache with no sweat, wiry pulse.
Xiao Chai Hu Tang (Minor Bupleurum Decoction) without Ren Shen (Ginseng Radix).
Chronic diarrhea, abdominal fullness, cold sensation in the Lower Jiao, lasting for several years, originating postpartum. This injury lies in the Chong and Ren vessels. Medication should naturally focus on warming and astringing, though deep disease may be difficult to recover.
Lu Rong (Cervi Cornu Degelatinatum), Dan Fu Zi (Aconiti Lateralis Radix Praeparata), Ren Shen (Ginseng Radix), Chi Shi Zhi (Halloysit Rubra), Chuan Jiao (Zanthoxyli Pericarpium), Hu Lu Ba (Trigonellae Semen), Pao Jiang (Zingiberis Rhizoma Preparatum), Bu Gu Zhi (Psoraleae Fructus), Gui Xin (Cinnamomi Cortex), Fu Ling Pian (Poria), Rou Kou (Myristicae Semen), Tu Si Zi (Cuscutae Semen).
Excessive labor damages Ying Blood, palpitations, epigastric pain.
Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Gui Xin (Cinnamomi Cortex), Wei Jiang (Zingiberis Rhizoma Preparatum), Fu Shen (Poria cum Radice), Bai Shao (Paeoniae Radix Alba), Zhi Cao (Glycyrrhizae Radix et Rhizoma Preparatum), Nan Zao (Jujubae Fructus).
Cough with bloody sputum, foul smell, pathogenic factors have陷 (fallen into) the Lung collaterals.
Straining injures collaterals causing blood loss.
Dan Pi (Moutan Cortex), Sheng Di (Rehmanniae Radix), Tao Ren (Persicae Semen), Niu Xi (Achyranthis Bidentatae Radix), [Missing Herb], Qian Cao (Rubiae Radix et Rhizoma).
Sore throat, spicy sensation on tongue, afternoon fever; none other than Yin exhaustion and Yang blazing.
Sheng Di (Rehmanniae Radix), E Jiao (Colla Corii Asini), Zuo Mu Li (Ostreae Concha), Tian Dong (Asparagi Radix), Fu Shen (Poria cum Radice), Ji Zi Huang (Galli Ovum).
San Nue (Tertian Malaria), yellow complexion, wiry pulse biased to the right.
Cao Guo Ren (Tsao-ko Fructus), Sheng Jiang (Zingiberis Rhizoma Recens), Zhi Mu (Anemarrhenae Rhizoma), Wu Mei (Mume Fructus).
Alternating chills and fever, cough.
Gui Zhi Tang (Cinnamon Twig Decoction) plus Hua Fen (Tetrastigmatis Caulis).
This is Liver Fire rising upward. The main treatment should be nourishing Yin and draining Yang.
Ling Yang Jiao (Capricornis Cornu), Sang Ye (Mori Folium), Xi Sheng Di (Rehmanniae Radix Preparata), Shi Jue Ming (Haliotidis Concha), Dan Pi (Moutan Cortex), Zhe Ju Tan (Chrysanthemi Flos Carbonized).
Harmonize Ying, diffuse Qi.
Bai Zi Ren (Biotae Semen), Gui Shen (Angelicae Sinensis Radix), Xiang Fu (Cyperi Rhizoma), Shan Zhi (Gardeniae Fructus), Zao Ren (Ziziphi Spinosae Semen), Guang Ju Hong (Citri Reticulatae Pericarpium), Fu Xiong (Ligusticum Chuanxiong Rhizoma), Chen Shen Qu (Massa Medicata Fermentata Preparata), Mai Ya (Hordei Fructus Germinatus), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma).
Cough with vomiting and nausea, due to failure of Lung and Stomach Qi to descend.
Pi Pa Ye (Loquat Leaf), Ju Hong (Citri Reticulatae Pericarpium), Fu Ling (Poria), Xuan Fu Hua (Inulae Flos), Xing Ren (Armeniacae Semen Amarum), Zhu Ru (Bambusae Caulis in Taenia).
Pulse rapid on the right side.
Ling Yang Jiao (Capricornis Cornu), Chuan Bei (Fritillariae Cirrhosae Bulbus), Lv Dou Pi (Phaseoli Semen Cuticle), Shi Jue Ming (Haliotidis Concha), Tian Hua Fen (Trichosanthis Radix), Sang Ye (Mori Folium), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma), Xi Sheng Di (Rehmanniae Radix Preparata).
Wiry and rapid pulse, Qi rushing in the lower abdomen, radiating back pain. In an elderly person, this indicates dried-up Yin and Blood, inability of Shaoyin Kidney Qi to secure, trending towards Ben Tun (Rushing Pig) syndrome. The method should suitably warm and nourish the Lower Jiao.
Fu Ling (Poria), Zi Shi Ying (Fluoritum), Xiao Hui Xiang (Foeniculi Fructus), Qi Zi (Lycii Fructus), Chuan Lian Zi (Toosendan Fructus), Bai Zi Ren (Biotae Semen).
Wind invasion causes cough and body fever.
Xing Ren (Armeniacae Semen Amarum), Ju Hong (Citri Reticulatae Pericarpium), Sang Pi (Mori Cortex), Su Geng (Perillae Caulis), Tong Cao (Tetrapanacis Medulla), Jie Geng (Platycodonis Radix).
Wiry pulse, lack of appetite, damp-phlegm obstructing the Middle Jiao.
Ban Xia (Pinelliae Rhizoma), Gan Jiang (Zingiberis Rhizoma), Ju Hong (Citri Reticulatae Pericarpium), Fu Ling (Poria), Zhi Shi Pi (Aurantii Fructus Pericarpium), Nong Po (Magnoliae Officinalis Cortex).
Ying blood dryness, Qi obstruction causing stomach pain.
Dang Gui (Angelicae Sinensis Radix), Xin Jiang (Saflor Carthami Flos preparatus with red dye), Bai Zi Ren (Biotae Semen), Yan Hu (Corydalis Rhizoma), Tao Ren (Persicae Semen), Gui Yuan Rou (Longan Arillus).
Yin deficiency, Yang hyperactivity causing blood loss.
Xi Sheng Di (Rehmanniae Radix Preparata), Da Dan Cai (Musculus Edulis), Fu Shen (Poria cum Radice), Dou Pi (Sojae Semen Album Cuticle), Tian Men Dong (Asparagi Radix), Ou Zhi (Nymphaeae Rhizoma Sucus).
Heat damages Qi, inducing cough.
Sang Ye (Mori Folium), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), Qing Hao (Artemisiae Annuae Herba), Nan Shen (Ginseng Radix), Tian Hua Fen (Trichosanthis Radix), Gu Pi (Phellodendri Cortex).
Consumption causing severe cough, shortness of breath.