疝后肢冷汗泄。浊阴上干。阳乃伤矣。是以妨食脘闷。大便不行。从火虚治。
脉数不宁。
归身 人参 炙草 木瓜 白芍 茯苓 广皮 半曲
嗽咳胸引痹痛。小溲频数。肺阴渐涸矣。
麦冬 甘草 地骨皮 北参 玉竹 川贝母 白元米煎汤代水
午后背凛头晕。余邪未尽。
钩藤 金石斛 茯苓 桑叶 广皮白 半曲
弦劲脉长。心悸嘈杂。此肝阳化风。冲激阳明所致。良由少阴不充。无以涵木耳。
熟地 茯神 柏子仁 川斛 牡蛎 淡天冬
中脘有形如梗。摩之 有声。据述不时举发。此属肝积耳。
浓朴 姜渣 白蒺藜 肉桂 茯苓 广皮白
下利红积。腹膨。
焦术 广皮 炮姜 茯苓 木瓜 益智
湿痰上阻。咳逆不得卧。痰降嗽始却。
杏仁 旋复花 白茯苓 姜汁 半夏 蒌瓜霜 白芥子 竹沥
知饥不纳。宜摄胃气。
大麦仁 茯苓 广皮 金石斛 半曲 木瓜
热郁于肺。
薄荷 花粉 杏仁 桔梗 连轺 甘草
且疏肝气之郁。
香附汁 川楝子 桃仁 大麦芽 柏子仁 橘红
左脉弦。
何首乌 茯神 巨胜子 豆皮 枸杞子 桑叶 菊花炭 酸枣仁
饮冷伤阳。下体怯冷。气逆嗽血。法宜温纳。
湿神阻于上焦。不饥少纳。
杏仁 苏梗 枳壳 浓朴 橘红 半夏
风热作咳。
杏仁 桑皮 芦根 橘红 桔梗 通草
阴伤。气阻脘闷。嗽逆气急。
熟地 茯神 丹皮 牛膝炭 川斛 牡蛎 泽泻 豆皮
伏热作咳。
桑叶 川贝母 杏仁 南参 天花粉 梨汁
身热。头痛渴饮。脉浮弦。
芦根 连轺 杏仁 桑皮 花粉 通草
发热。舌黄脘闷。
淡豆豉 黑山栀 枳壳 土蒌皮 扁杏仁 桔梗
先却风疹之邪。
薄荷 连轺 生草 射干 大力 桔梗 花粉 赤芍
伏暑。发热脘痞。
藿香 半夏 广皮白 杏仁 浓朴 莱菔汁
劳伤伏邪。发热身痛。
当归 炙草 广皮 青蒿 白芍 茯苓 半曲 黄芩
中阳困顿。湿饮内阻。脘痛飧泄咳嗽。法宜温阳。
疝气发作后出现四肢发冷、冷汗淋漓、腹泻。这是浊阴之气上逆干扰，导致阳气受损。因此出现妨碍进食、胃脘部闷胀、大便不通的症状。治疗应从火（命门）虚的角度进行调理。
脉象数动且心神不宁。
处方：当归身、人参、炙甘草、木瓜、白芍、茯苓、广陈皮、神曲（半量）。
咳嗽气喘，胸部牵引性痹痛，小便频数。这是肺阴逐渐枯竭的表现。
处方：麦冬、甘草、地骨皮、北沙参、玉竹、川贝母，用白元米煎汤代替水煎药。
午后背部感到寒冷，伴有头晕。这是余邪尚未清除干净。
处方：钩藤、金石斛、茯苓、广陈皮白、神曲（半量）。
脉象弦劲且长，心悸，胃中嘈杂不适。这是肝阳化生内风，冲激阳明经所致。根本原因在于少阴肾精不足，无法涵养肝木。
处方：熟地黄、茯神、柏子仁、川石斛、牡蛎、淡天冬。
中脘部位有有形之积块，像梗塞一样，按摩时有声音。据患者描述，不时发作。这属于肝积。
处方：厚朴、姜渣、白蒺藜、肉桂、茯苓、广陈皮白。
下利红色脓血便，腹部膨隆。
处方：焦白术、广陈皮、炮姜、茯苓、木瓜、益智仁。
湿痰阻滞于上焦，导致咳逆不能平卧。只有痰液下降，咳嗽才能停止。
处方：杏仁、旋覆花、白茯苓、姜汁、半夏、瓜蒌霜、白芥子、竹沥。
知道饥饿但无法进食，应当收敛固摄胃气。
处方：大麦仁、茯苓、广陈皮、金石斛、神曲（半量）、木瓜。
热邪郁结在肺部。
处方：薄荷、花粉、杏仁、桔梗、连翘心、甘草。
并且疏解肝气的郁结。
处方：香附汁、川楝子、桃仁、大麦芽、柏子仁、橘红。
左脉弦。
处方：何首乌、茯神、巨胜子（黑芝麻）、豆皮（大豆黄卷或赤小豆皮，此处依叶氏习惯多指大豆类制品或特定皮壳，暂译豆皮）、枸杞子、桑叶、菊花炭、酸枣仁。
饮用冷饮损伤阳气，下肢怯冷，气逆导致咳血。治法宜温补纳气。
湿神（湿邪与神机受阻，此处疑为“湿阻”或特定病机表述，结合下文“不饥少纳”，理解为湿邪阻滞气机）阻滞于上焦，导致没有饥饿感，食欲减退。
处方：杏仁、苏梗、枳壳、厚朴、橘红、半夏。
风热引起的咳嗽。
处方：杏仁、桑白皮、芦根、橘红、桔梗、通草。
阴液受伤，气机阻滞导致胃脘闷胀，咳嗽气逆，呼吸急促。
处方：熟地黄、茯神、丹皮、牛膝炭、川石斛、牡蛎、泽泻、豆皮。
伏热引起的咳嗽。
处方：桑叶、川贝母、杏仁、南参、天花粉、梨汁。
身体发热，头痛，口渴想喝水，脉象浮弦。
处方：芦根、连翘心、杏仁、桑白皮、花粉、通草。
发热，舌苔黄，胃脘部闷胀。
处方：淡豆豉、黑山栀、枳壳、土瓜蒌皮、扁杏仁、桔梗。
先祛除风疹的邪气。
处方：薄荷、连翘心、生甘草、射干、牛蒡子、桔梗、花粉、赤芍。
伏暑，发热，胃脘痞满。
处方：藿香、半夏、广陈皮白、杏仁、厚朴、莱菔汁。
After the onset of hernia, there is coldness in the four limbs, profuse cold sweating, and diarrhea. This is due to turbid yin qi ascending and interfering, causing damage to yang qi. Consequently, there is an inability to eat, fullness and oppression in the epigastrium, and constipation. Treatment should address the deficiency of fire (Mingmen).
The pulse is rapid and restless.
Prescription: Danggui Shen (Radix Angelicae Sinensis), Renshen (Radix Ginseng), Zhi Cao (Prepared Licorice Root), Mugua (Fructus Chaenomelis), Baishao (Radix Paeoniae Alba), Fuling (Poria), Guangpi (Exocarpium Citri Reticulatae), Banqu (Medicated Leaven, half dose).
Cough and asthma with bi-pain radiating from the chest, frequent urination. This indicates that lung yin is gradually drying up.
Prescription: Maidong (Radix Ophiopogonis), Gancao (Radix Glycyrrhizae), Digupi (Cortex Lycii), Beishen (Radix Panacis Quinquefolii / North American Ginseng), Yuzhu (Rhizoma Polygonati Odorati), Chuanbeimu (Bulbus Fritillariae Cirrhosae), decocted with water made from Bai Yuanmi (White Glutinous Rice).
Chills on the back and dizziness in the afternoon. This indicates that residual pathogenic factors have not yet been cleared.
Prescription: Gouteng (Ramulus Uncariae cum Uncis), Jin Shihu (Stemma Dendrobii), Fuling (Poria), Guangpi Bai (Albedo Exocarpium Citri Reticulatae), Banqu (Medicated Leaven, half dose).
The pulse is wiry, forceful, and long; palpitations and gastric discomfort (zaoci) occur. This is caused by liver yang transforming into wind, rushing and striking the Yangming channel. The root cause lies in the insufficiency of Shaoyin (Kidney), failing to nourish the liver wood.
Prescription: Shudi (Prepared Radix Rehmanniae), Fushen (Poria with Hostwood), Baiziren (Semen Platycladi), Chuanhu (Stemma Dendrobii), Muli (Concha Ostreae), Dan Tiandong (Herba Asparagi).
A tangible mass like a blockage exists in the Zhongwan area, making sounds upon massage. According to the patient's description, it occurs intermittently. This belongs to Liver accumulation (Ji).
Prescription: Houpo (Cortex Magnoliae Officinalis), Jiangzha (Ginger residue), Baijili (Semen Tribuli), Rougui (Cortex Cinnamomi), Fuling (Poria), Guangpi Bai (Albedo Exocarpium Citri Reticulatae).
Dysentery with red blood, abdominal distension.
Prescription: Jiaozhu (Fried Atractylodes Macrocephala Rhizome), Guangpi (Exocarpium Citri Reticulatae), Paojiang (Prepared Ginger), Fuling (Poria), Mugua (Fructus Chaenomelis), Yizhi (Fructus Alpiniae Oxyphyllae).
Wet-phlegm obstructing the upper jiao, causing cough and inability to lie flat. Only when the phlegm descends will the cough cease.
Prescription: Xingren (Semen Pruni Armeniacae), Xuanfuhua (Capitulum Inulae), Bai Fuling (Poria), Jiangzhi (Ginger Juice), Banxia (Rhizoma Pinelliae), Louguashuang (Powder of Fruit Trichosanthis), Baijiezi (Semen Sinapis Albae), Zhuli (Bamboo Sap).
Feeling hungry but unable to ingest food; one should gather and secure stomach qi.
Prescription: Da Mairen (Semen Hordei), Fuling (Poria), Guangpi (Exocarpium Citri Reticulatae), Jin Shihu (Stemma Dendrobii), Banqu (Medicated Leaven, half dose), Mugua (Fructus Chaenomelis).
Heat stagnating in the lungs.
Prescription: Bohe (Herba Menthae), Huafen (Radix Trichosanthis), Xingren (Semen Pruni Armeniacae), Jiegeng (Radix Platycodonis), Lianyao (Flos Forsythiae / Heart of Forsythia), Gancao (Radix Glycyrrhizae).
Furthermore, soothe the depression of liver qi.
Prescription: Xiangfu Zhi (Juice of Cyperi Rhizoma), Chuanlianzi (Fructus Toosendan), Taoren (Semen Persicae), Dayamai (Fructus Hordei Germinatus), Baiziren (Semen Platycladi), Juhong (Pericarpium Citri Reticulatae Rubrum).
Left pulse is wiry.
Prescription: Heshouwu (Radix Polygoni Multiflori), Fushen (Poria with Hostwood), Jushengzi (Sesamum Indicum Seed), Doupi (Bean Skin), Gouqizi (Fructus Lycii), Sangye (Folium Mori), Juhua Tan (Charred Chrysanthemi Flos), Suanzaoren (Semen Ziziphi Spinosae).
Drinking cold fluids damages yang, leading to coldness in the lower body, qi rebellion causing hemoptysis. The method should be warming and grasping.
Dampness obstructing the upper jiao, resulting in lack of appetite and poor intake.
Prescription: Xingren (Semen Pruni Armeniacae), Sugeng (Herba Perillae), Zhike (Fructus Aurantii), Houpo (Cortex Magnoliae Officinalis), Juhong (Pericarpium Citri Reticulatae Rubrum), Banxia (Rhizoma Pinelliae).
Cough caused by wind-heat.
Prescription: Xingren (Semen Pruni Armeniacae), Sangpi (Cortex Mori Radicis), Lugeng (Rhizoma Phragmitis), Juhong (Pericarpium Citri Reticulatae Rubrum), Jiegeng (Radix Platycodonis), Tongcao (Medulla Tetrapanacis).
Yin injury, qi obstruction causing epigastric fullness, cough with qi rebellion and rapid breathing.
Prescription: Shudi (Prepared Radix Rehmanniae), Fushen (Poria with Hostwood), Danpi (Cortex Moutan), Niuxi Tan (Charred Radix Achyranthis Bidentatae), Chuanhu (Stemma Dendrobii), Muli (Concha Ostreae), Zexie (Rhizoma Alismatis), Doupi (Bean Skin).
Cough caused by latent heat.
Prescription: Sangye (Folium Mori), Chuanbeimu (Bulbus Fritillariae Cirrhosae), Xingren (Semen Pruni Armeniacae), Nan Shen (Radix Panacis Japonici / South Asian Ginseng), Tianhuafen (Radix Trichosanthis), Lizhi (Pear Juice).
Body heat, headache, thirst for drinking, floating and wiry pulse.
Prescription: Lugeng (Rhizoma Phragmitis), Lianyao (Flos Forsythiae / Heart of Forsythia), Xingren (Semen Pruni Armeniacae), Sangpi (Cortex Mori Radicis), Huafen (Radix Trichosanthis), Tongcao (Medulla Tetrapanacis).
Fever, yellow tongue coating, epigastric oppression.
Prescription: Danshichu (Faber Sojae Preparata), Heishanzhi (Fructus Gardeniae Praeparatus), Zhike (Fructus Aurantii), Tu Loupi (Pericarpium Trichosanthis), Bian Xingren (Semen Pruni Armeniacae), Jiegeng (Radix Platycodonis).
First, dispel the pathogenic factors of wind-rash.
Prescription: Bohe (Herba Menthae), Lianyao (Flos Forsythiae / Heart of Forsythia), Shengcao (Raw Radix Glycyrrhizae), Shegan (Radix Belamcandae), Dali (Fructus Arctii), Jiegeng (Radix Platycodonis), Huafen (Radix Trichosanthis), Chishao (Radix Paeoniae Rubra).
Latent summerheat, fever, epigastric stuffiness.
Prescription: Huoxiang (Herba Agastaches), Banxia (Rhizoma Pinelliae), Guangpi Bai (Albedo Exocarpium Citri Reticulatae), Xingren (Semen Pruni Armeniacae), Houpo (Cortex Magnoliae Officinalis), Laifu Zhi (Radish Juice).
Labor injury with latent pathogens, fever and body pain.
Prescription: Danggui (Radix Angelicae Sinensis), Zhi Cao (Prepared Licorice Root), Guangpi (Exocarpium Citri Reticulatae), Qinghao (Herba Artemisiae Annuae), Baishao (Radix Paeoniae Alba), Fuling (Poria), Banqu (Medicated Leaven, half dose), Huangqin (Radix Scutellariae).
Middle yang is trapped and exhausted, damp-fluids obstruct internally, causing epigastric pain, undigested stool diarrhea, and cough. The method should be warming yang.