虚，不治头目之晕。盖气血足则阴阳和，阴阳和则邪火散，又何虑晕眩之杀人哉。多服数剂，受益无
穷，不可见一二剂不能收功，便弃之而不用也。
呕吐之症，一时而来，亦小症也。然而倾胃而出，必伤胃气，胃气一伤，多致不救。其症有火
有寒，火吐宜清火而不可降火，寒吐宜祛寒而不可降寒。盖降火则火引入脾而流入于大肠，必变为
便血之症；降寒则寒引入肾而流入于膀胱，必变为遗溺之症矣。我今酌定二方。一治火吐，名清火止吐
汤。茯苓一两，人参二钱，砂仁三粒，黄连三钱，水煎服。此方解火退热则呕吐自止，妙在茯苓分
消火势，引火缓行于下，而非峻祛于下也；尤妙人参以扶胃气，则胃土自能克水，不必止吐，吐自定
也；况又有砂仁之止呕乎，所以一剂而吐，止耳。一治寒吐，名散寒止呕汤。白术二两，人参五钱，附
子一钱，干姜一钱，丁香三分，水煎服。此方散寒而仍用补脾健土之药。则寒不能上越。而亦不
敢下行，势不得不从脐，中而外遁也。一剂亦即奏功如响。
泻症，乃水泻也。寒泻宜治，火泻难医、往往有一日一夜泻至数百遍者，倾肠而出，完谷不化，
粪门肿痛，泻下如火之热，此亦百千人一病也。然无方救之，必致立亡。我今酌定二方，名截泻
汤。薏仁二两，车前子一两，人参三钱，白芍二两，黄连三钱，茯苓五钱，甘草二钱，山药一两，肉
桂三分，水煎服。一剂而泻减半，再剂而泻止。神方也。愈后用六君子汤调治。此等症因火盛之极，挟
水谷之味，一直下行，不及传导，所以完谷而出也。若认作脾气之虚，以止塞之，则火益旺而势益
急，我乘其势而利导之，则水气分消，火势自散，所以奏功能神。
喘症与短气不同，喘乃外感，短气乃内伤也。短气之症，状似乎喘而非喘也。喘必抬肩，喉中作水
鸡之声；短气则不然，喘不抬肩，喉中微微有息耳。若短气之症，乃火虚也，作实喘治之立死矣。盖短
气乃肾气虚耗，气冲于上焦，壅塞
于肺经，症似有余而实不尽。方用归气定喘汤。人参二两，牛膝三钱，麦冬一两，熟地二两，山茱萸
五钱，北五味一钱。枸杞子二钱，胡桃一个，破故纸一钱，水煎服。一剂而气少平，二剂而喘可定，三
剂而气自平矣。此方妙在用人参之多，下达气原，以挽回于无何有之乡。其余纯是补肾补肺之妙
品，子母相生，水气自旺，水旺则火自安于故宅，而不上冲于咽门。此治短气之法，实有异于治外感之
喘症也。
喘症不同，有虚喘，有实喘。实喘看其症若重而实轻。用黄芩二钱，麦冬三钱，甘草五分，柴胡一
钱，苏叶一钱，山豆根一钱，半夏一钱，乌药一钱，水煎服。一剂喘止，不必再服也。然实症之喘，气
大急，喉必作声，肩必抬起，非若虚喘，气少急而喉无声，肩不抬也。虚喘乃肾气大虚，脾气又复
将绝，故奔冲而上，欲绝尚未绝也。方用救绝止喘汤∶人参一两，山茱萸三钱，熟地一两，牛膝一钱，
麦冬五钱，五味子一钱，白芥子三钱，水煎服。一剂轻，二剂喘止，十剂全愈。此病实死症也，幸几微
之气，流连于上下之间，若用凉药以平火，是速其亡也；然用桂、附以补火，亦速其亡。盖气将绝
之时，宜缓续而不宜骤续，譬如炉中火绝，止存星星之火，宜用薪炭引之，若遽投之以硫黄之类，反灭
其火矣。更以寒温之物动之，鲜有生气矣。方中妙在一派补肾补肺之药，与人参同用，则直入于至阴
之中，而生其气，肾气生而脾气亦生，自能接续于无何有之乡。况人参又上生肺，以助肾之母。子母相
生，更能救绝也。
消渴之症，虽分上中下，而肾虚以致渴，则无不同也。故治消渴之法，以治肾为主，不必问其上中
下之消也。吾有一方最奇，名合治汤。熟地三两，山茱萸二两，麦冬二两，车前子五钱，元参一两，
水煎服。日日饮之，三消自愈。此
方补肾而加清火之味，似乎有肾火者宜之，不知消症非火不成也，我补水而少去火，以分消水湿之
气，则火从膀胱而出，而真气仍存，所以消症易平也，又何必加桂、附之多事哉。惟久消之后，下体
寒冷之甚者，本方加肉桂二钱，亦附应异常。倘不遵吾分两，妄意增减，亦速之死而已，安望其有生
哉。消渴之症虽有上中下之分，其实皆肾水之不足也。倘用泻火止渴之药，愈消其阴，必至更助其
火，有渴甚而死者矣。治法必须补肾中之水，水足而火自消。然而此火非实火也，实火可以寒消，虚火
必须火引，又须补肾中之火，火温于命门，下热而上热顿除矣。方用引火升阴汤。元参二两，肉桂
二钱，山茱萸四钱；熟地一两，麦冬一两，北五味子二钱，巴戟天五钱，水煎服。此方火补肾中之
水，兼温命门之火，引火归原而水气自消，正不必止渴而渴自除，不必治消而消自愈也。
梦遗之症，久则玉关不闭；精尽而亡矣。世人往往用涩精之药，所以不救。倘于未曾太甚之时，大用
补精补气之药，何至于此。我有奇方传世。芡实一两，山药一两，莲子五钱，茯神二钱，炒枣仁三钱，人
参一钱，水煎服。此方名保精汤。先将汤饮之。后加白糖五钱，拌匀，连渣同服。每日如此，不须十
日，即止梦不遗矣。方中药味平平，淡而不厌，收功独神者，盖芡实、山药固精添髓，莲子清心止梦，
茯神、枣仁安魂利水，得人参以运用于无为，不必止梦而梦自无，不必止精而精自断也，又何至于玉关不
闭，至于夭亡哉。
痿症不起床席，已成废人者，内火炽盛，以熬干肾水也。苟不补肾，惟图降火，亦无生机。虽治痿独
取阳明，是胃火不可不降，而肾水尤不可不补也。我今传一奇方，补水于火中，降火于水内，合胃与肾
而两治之，自然骨髓增添，燔热
尽散，不治痿而痿自愈。方名降补丹。熟地一两，元参一两。麦冬一两，甘菊花五钱，生地五钱，
人参三钱，沙参五钱，地骨皮五钱，车前子二钱，水煎服。此方补中有降，降中有补，所以为妙。胃
火不生，自不耗肾中之阴；肾水既足，自能制胃中之热。两相济而两相成，起痿之方，孰有过于此者
乎。
凡人有两足无力，不能起立，而口又健饭，如少忍饥饿，即头面皆热，有咳嗽不已者；此亦痿
症。乃阳明胃火，上冲于肺金，而肺金为火所逼，不能传清肃之气于下焦，而肾水烁干，骨中髓少，故
不能起立，而胃火又焚烧，故能食善饥，久则水尽髓干而死矣，可不急泻其胃中之火哉。然而泻火不
补水，则胃火无所制，未易息也。方用起痿至神汤∶熟地一两，山药一两，元参一两，甘菊花一两，人
参五钱，白芥子三钱，当归五钱，白芍五钱，神曲二钱，水煎服。一剂火减二剂火退，十剂而痿有
起色，三十剂可全愈也。此方奇在甘菊花为君，泻阳明之火，而又不损胃气，其余不过补肾水，生肝
血，健脾气，消痰涎而已。盖治痿以阳明为主，泻阳明然后佐之诸药，自易成功耳。
痹症虽因风寒湿三者之来，亦因身中元气之虚，邪始得乘虚而入。倘惟攻三者之邪，而不补正
气，则痹病难痊，必有死亡之祸矣。我今传一方，于补正之中，佐之祛风、祛湿，祛寒之品，则痹症
易愈也。方名散痹汤。人参三钱、白术五钱，茯苓一两，柴胡一钱，附子一钱，半夏一钱、陈皮五
分，水煎服。此方健脾利湿，温经散风，正气不亏而邪气自散，二剂而痹症如失。
阴蛾之症，乃肾水亏乏，火不能藏于下，乃飞越于上，而喉中关狭，火不得直泄，乃结成蛾，
似蛾而非蛾也。早晨痛轻，下午痛重，至黄昏而痛更甚，得热则快，得凉则加，其症之重者，滴水不
能下喉。若作外感阳症治之，用山豆根、芩、连、栀子之类，则痛益甚而关不开，有不尽命而死者矣。
我今传一方，单补阴虚，用引火归源之法，而痛顿失也。方名化蛾丹。熟地一两，山茱萸一两，附
子一钱，车前子三钱，麦冬一两，北五味二钱，水煎服。此方大补肾之水，不治蛾之痛。壮水则火
息，引火则痛消，故一剂即可收功，奇绝之法也。
水臌，满身皆水，按之如泥者是。若不急治水，留于四肢而不得从膀胱出，则变为死症而不可治
矣。方用决流汤∶牵牛二钱，甘遂二钱，肉桂三分，车前子一两，水煎服。一剂而水流斗余，二剂即
全愈，断不可与三剂也，与三剂，反杀之矣。盖牵牛、甘遂，最善利水，又加之车前、肉桂，引
水以入膀胱，但利水而不走气，不使牵牛、甘遂之过猛，利水并走气也，但此二味，毕竟性猛，多服
伤人元气，故二剂逐水之后，断宜屏绝，须改用五苓散，调理二剂，又用六君子汤以补脾可也。更须忌
食盐，犯则不救。
气臌，乃气虚作肿，似水臌而非水臌也。其症一如水臌之状，但按之皮肉不如泥耳。必先从脚
面肿起，后渐渐肿至上身，于是头面皆肿者有之。此等气臌，必须健脾行气，加利水之药，则可救也。倘
亦以水臌法治之。是速之死也。我今传一奇方，名消气散。白术一两，薏仁一两，茯苓一两，人
参一钱，甘草一分，枳壳五分，山药五钱，肉桂一分，车前子一钱，萝卜子一钱，神曲一钱，水煎
服。日日一剂，初服觉有微碍，久则日觉有效，十剂便觉气渐舒，二十剂而全消，
三十剂而全愈。此方健脾，而仍是利水之品，故不伤气，奏功虽缓，而起死实妙也。然亦必禁食盐。三
月后可渐渐少用矣，即秋石亦木可用，必须三月后用之。
虫臌，惟小腹作痛，而四肢浮胀，不十分之甚，而色红而带点，如虫蚀之象，眼下无卧蚕微肿之
形，此是虫臌也，必须杀虫可救。然过于峻逐，未免转伤元气，转利转虚，亦非生之之道。方用消虫神
奇丹∶雷丸三钱，当归一两，鳖甲一两，醋炙，地栗粉一两，鲜者取汁一茶瓯，神曲三钱，茯苓
三钱，车前子五钱，白矾三钱，水煎服。一剂即下虫无数，二剂虫尽出无留矣。虫去而臌胀有消，不必
用三剂也。盖雷丸最善逐虫去秽，而鳖甲、地栗更善化虫于乌有。然虫之生，必有毒结于肠胃之
间，故又用白矾以消之。诚虑过于峻逐，又佐之当归以生血，新血生而旧瘀去，更佐之茯苓、车
前，分利其水气，则虫从大便而出，而毒从小便而行，自然病去如扫矣。但此药服二剂后，必须
服四君、六君汤去甘草，而善为之调理也。
血臌之症，其由来渐矣。或跌闪而血瘀不散，或忧郁而结血不行，或风邪而血蓄不发、遂至因循
时日，留在腹中，致成血臌。饮食入胃，不变精血，反去助邪，久则胀，胀则成臌矣。倘以治水法逐
之，而症犯非水，徒伤元气；倘以治与法始之，而症犯非气。徒增饱满，是愈治愈胀矣。我有奇
方，妙于逐瘀，名消瘀荡秽汤。水蛭三钱，必须炒黑可用，大约一两炒黑，取末用三钱，当归二两，雷
丸三钱，红花三钱，枳实三钱，白芍三钱，牛膝三钱，桃仁四十粒，去皮尖捣
碎，水煎服。一服即下血斗余。再服即血尽而愈。盖血臌之症，惟腹胀如鼓，而四肢手足并无胀
意，故血去而病即安也。服此方一剂之后，切勿再与二剂，当改用四物汤调理，于补血内加白术、茯
苓，人参，补气而利水。自然全愈。否则血臌虽痊。恐成干枯之症。
身体虚弱导致的头晕，不能只治疗头目的眩晕。因为气血充足则阴阳调和，阴阳调和则邪火消散，又何必担心眩晕会致人死亡呢？多服用几剂药，受益无穷，不要因为一两剂药没有立刻见效，就放弃不用。
呕吐的症状，虽然是一时发作，看似小病。然而如果呕吐剧烈导致胃气受损，胃气一旦受伤，往往难以救治。呕吐有因火和因寒两种情况，火性呕吐应当清火而不能单纯降火，寒性呕吐应当祛寒而不能单纯降寒。因为如果强行降火，火邪会被引入脾脏并流入大肠，必然转变为便血的症状；如果强行降寒，寒邪会被引入肾脏并流入膀胱，必然转变为遗尿的症状。我现在斟酌拟定两个方子。一个治疗火吐，名叫清火止吐汤。茯苓一两，人参二钱，砂仁三粒，黄连三钱，水煎服。这个方子通过解火退热使呕吐自然停止，妙处在于茯苓分消火势，引导火邪缓慢下行，而不是猛烈地向下驱逐；尤其妙在用人参扶持胃气，那么胃土自然能克制水湿，不必刻意止吐，呕吐自会平息；况且又有砂仁来止呕，所以一剂药后呕吐就能停止。另一个治疗寒吐，名叫散寒止呕汤。白术二两，人参五钱，附子一钱，干姜一钱，丁香三分，水煎服。这个方子在散寒的同时使用补脾健土的药材，这样寒气就不能向上冲越，也不敢向下流注，势必要从脐中向外逃避。一剂药也能迅速见效。
泄泻症状，指的是水样腹泻。寒性泄泻容易治疗，火性泄泻难医，往往有人一天一夜腹泻数百次，肠道倾空而出，完谷不化，肛门肿痛，泻下物如火般灼热，这也是千百人中才有一例的病。然而如果没有方子救治，必定导致立即死亡。我现在斟酌拟定两个方子，名叫截泻汤。薏苡仁二两，车前子一两，人参三钱，白芍二两，黄连三钱，茯苓五钱，甘草二钱，山药一两，肉桂三分，水煎服。一剂药后腹泻减半，再服一剂腹泻停止。这是神效的方子。痊愈后用六君子汤调理。这类病症是因为火盛到了极点，挟带水谷之气，一直下行，来不及传导，所以完谷排出。如果误认为是脾气虚弱而用固涩的方法，那么火会更旺，病情更急，我顺着病势而利导它，那么水气得以分消，火势自然消散，所以奏效神奇。
喘症与短气不同，喘症属于外感，短气属于内伤。短气的症状，样子似乎像喘但不是喘。喘症一定抬肩，喉中有像水鸡叫的声音；短气则不然，喘症不抬肩，喉中只有轻微的呼吸声。如果是短气症状，属于火虚（此处原文语境似指肾气虚或气虚，结合下文“肾气虚耗”理解），如果当作实喘来治，病人会立即死亡。因为短气是肾气虚耗，气冲于上焦，壅塞于肺经，症状看似有余实则不足。方子用归气定喘汤。人参二两，牛膝三钱，麦冬一两，熟地黄二两，山茱萸五钱，北五味子一钱，枸杞子二钱，胡桃一个，破故纸（补骨脂）一钱，水煎服。一剂药后气息稍平，二剂药后喘可安定，三剂药后气息自然平稳。这个方子的妙处在于大量使用人参，下达气之根本，以挽回元气于虚无之境。其余全是补肾补肺的妙品，子母相生，水气自然旺盛，水旺则火自然安守于原位，而不向上冲至咽喉。这是治疗短气的方法，确实不同于治疗外感引起的喘症。
喘症也有不同，有虚喘，有实喘。实喘看症状似乎严重但实际较轻。用黄芩二钱，麦冬三钱，甘草五分，柴胡一钱，苏叶一钱，山豆根一钱，半夏一钱，乌药一钱，水煎服。一剂药后喘止，不需要再服。然而实症的喘，气息非常急促，喉咙一定有声音，肩膀一定会抬起，不像虚喘，气息稍急且喉咙无声，肩膀不抬。虚喘是肾气大虚，脾气又将断绝，所以气奔冲而上，欲绝尚未绝。方子用救绝止喘汤：人参一两，山茱萸三钱，熟地黄一两，牛膝一钱，麦冬五钱，五味子一钱，白芥子三钱，水煎服。一剂药后减轻，二剂药后喘止，十剂药后全愈。这病实际上是死症，幸好微弱的元气流连于上下之间，如果用凉药来平火，是加速其死亡；如果用桂枝、附子来补火，也是加速其死亡。因为气将绝的时候，应该缓慢接续而不宜骤然接续，譬如炉中火灭，只存星星之火，应用薪炭引燃，如果突然投入硫磺之类，反而熄灭了火。再用寒温之物扰动，很少有生机了。方中妙在一派补肾补肺的药，与人参同用，则直入于至阴之中，而生发元气，肾气生发而脾气也生发，自然能接续于虚无之境。况且人参又能上生肺气，以助肾之母（金生水）。子母相生，更能挽救垂危。
消渴症，虽然分为上、中、下三消，但肾虚导致口渴，道理是没有不同的。所以治疗消渴的方法，以治肾为主，不必问它是上、中、下哪一消。我有一个最奇妙的方子，名叫合治汤。熟地黄三两，山茱萸二两，麦冬二两，车前子五钱，玄参一两，水煎服。每天饮用，三消自愈。这个方子补肾加上清火的药物，似乎适合有肾火的人，不知道消渴症非火不成病，我补水而稍微去火，以分消水湿之气，那么火从膀胱排出，而真气仍存，所以消渴症容易平息，又何必多加桂枝、附子等多余的药物呢。只有在久病消渴之后，下体寒冷严重的，本方加肉桂二钱，也有异常的效果。如果不遵守我的剂量，随意增减，也是加速死亡罢了，哪里指望能有生机呢。消渴症虽然有上中下的区分，其实都是肾水不足。如果使用泻火止渴的药，更加消耗阴液，必定会助长火势，有因口渴严重而死亡的。治疗方法必须补肾中的水，水足则火自消。然而这种火不是实火，实火可以用寒凉消除，虚火必须用火引导，又须补肾中的火，火温暖于命门，下热和上热顿时消除。方子用引火升阴汤。玄参二两，肉桂二钱，山茱萸四钱，熟地黄一两，麦冬一两，北五味子二钱，巴戟天五钱，水煎服。这个方子补肾中之水，兼温命门之火，引火归原而水气自消，正不必止渴而渴自除，不必治消而消自愈。
梦遗的症状，久了则玉关（精关）不闭；精尽则亡。世人往往用涩精的药物，所以无法救治。如果在病情尚未太严重时，大用补精补气的药物，何至于此。我有奇方传世。芡实一两，山药一两，莲子五钱，茯神二钱，炒酸枣仁三钱，人参一钱，水煎服。这个方子名叫保精汤。先喝汤，然后加白糖五钱，拌匀，连同药渣一起服用。每天如此，不超过十日，就能停止梦遗。方中药味平平，淡而不腻，收效独显神奇的原因，在于芡实、山药固精添髓，莲子清心止梦，茯神、枣仁安魂利水，得人参运用其中，不必止梦而梦自无，不必止精而精自断，又何至于精关不闭，导致夭折呢。
痿症不能起床，已成废人，是因为内火炽盛，熬干了肾水。如果不补肾，只图降火，也没有生机。虽然治疗痿症独取阳明，是胃火不可不降，但肾水尤其不可不补。我现在传一个奇方，在水中补水，在水内降火，合胃与肾两治，自然骨髓增添，燔热尽散，不治痿而痿自愈。方名降补丹。熟地黄一两，玄参一两，麦冬一两，甘菊花五钱，生地黄五钱，人参三钱，沙参五钱，地骨皮五钱，车前子二钱，水煎服。这个方子补中有降，降中有补，所以奇妙。胃火不生，自然不耗肾中之阴；肾水既足，自然能制约胃中之热。两者相辅相成，起痿的方子，谁能超过这个呢。
凡是人有两脚无力，不能站立，而且胃口好如常人，如果稍微忍受饥饿，就头面发热，有咳嗽不止的；这也是痿症。这是阳明胃火，上冲于肺金，而肺金被火逼迫，不能传递清肃之气于下焦，而肾水被烧干，骨中髓少，所以不能站立，而胃火又焚烧，所以能吃善饥，久了则水尽髓干而死，可不急于泻胃中之火吗。然而泻火不补水，则胃火无所制约，不容易平息。方子用起痿至神汤：熟地黄一两，山药一两，玄参一两，甘菊花一两，人参五钱，白芥子三钱，当归五钱，白芍五钱，神曲二钱，水煎服。一剂药火减，二剂药火退，十剂药后痿症有起色，三十剂药可全愈。这个方子奇妙在甘菊花为君药，泻阳明之火，而不损伤胃气，其余不过是补肾水，生肝血，健脾气，消痰涎而已。大概治疗痿症以阳明为主，泻阳明然后辅助以诸药，自然容易成功。
痹症虽然因为风寒湿三者侵袭，也是因为体内元气虚弱，邪气才得以乘虚而入。如果只攻伐三者的邪气，而不补正气，则痹病难愈，必有死亡之祸。我现在传一方，在补正气的同时，佐以祛风、祛湿、祛寒的药物，则痹症容易痊愈。方名散痹汤。人参三钱，白术五钱，茯苓一两，柴胡一钱，附子一钱，半夏一钱，陈皮五分，水煎服。这个方子健脾利湿，温经散风，正气不亏而邪气自散，二剂药后痹症消失。
阴蛾症，是肾水亏乏，火不能藏于下，乃飞越于上，而喉中关隘狭窄，火不得直接宣泄，乃结成蛾状，似蛾而非蛾。早晨痛轻，下午痛重，到黄昏时疼痛更甚，得热则舒服，得凉则加重，重症者滴水不能下咽。如果当作外感阳症治疗，用山豆根、黄芩、黄连、栀子之类的药物，则疼痛更甚且关隘不开，有不致死也会痛苦不堪。我现在传一方，单补阴虚，用引火归源的方法，疼痛顿时消失。方名化蛾丹。熟地黄一两，山茱萸一两，附子一钱，车前子三钱，麦冬一两，北五味子二钱，水煎服。这个方子大补肾之水，不治蛾之痛。壮水则火息，引火则痛消，所以一剂即可收功，是奇绝的方法。
水臌症，满身皆水肿，按之如泥的是。如果不急治水，留于四肢而不能从膀胱排出，则变为死症不可治。方用决流汤：牵牛子二钱，甘遂二钱，肉桂三分，车前子一两，水煎服。一剂药水流出一斗多，二剂药即全愈，绝对不可给第三剂，给第三剂反而杀死了病人。因为牵牛、甘遂，最善于利水，再加上车前、肉桂，引导水进入膀胱，只是利水而不耗气，不让牵牛、甘遂过于猛烈，利水并走气。但这二味药毕竟性猛，多服伤人元气，所以二剂逐水之后，绝对应停用，须改用五苓散，调理二剂，又用六君子汤补脾即可。还必须忌食盐，犯了则无法救治。
气臌症，是气虚作肿，似水臌而非水臌。症状一如水臌的样子，但按之皮肉不如泥那样凹陷。必须先从脚面肿起，后渐渐肿至上身，于是头面都肿的情况也有。这类气臌，必须健脾行气，加利水的药，则可以救治。如果也用治水的法治它，是加速其死亡。我现在传一奇方，名消气散。白术一两，薏苡仁一两，茯苓一两，人参一钱，甘草一分，枳壳五分，山药五钱，肉桂一分，车前子一钱，萝卜子（莱菔子）一钱，神曲一钱，水煎服。每日一剂，初服觉得有点阻碍，久了则每天觉得有效，十剂就觉得气渐舒，二十剂而全消，三十剂而全愈。这个方子健脾，而仍是利水的药物，所以不伤气，奏效虽缓，但起死回生确实奇妙。但也必须禁食盐。三个月后可渐渐少用盐，即秋石也不可用，必须三个月后才可用。
虫臌症，唯小腹作痛，而四肢浮胀，不是很严重，而肤色红而带点，如虫蚀之象，眼下无卧蚕微肿的形状，这是虫臌，必须杀虫可救。然而过于峻猛逐虫，未免转而损伤元气，越利越虚，也不是生存之道。方用消虫神奇丹：雷丸三钱，当归一两，鳖甲一两（醋炙），地栗粉（荸荠粉）一两（鲜者取汁一茶瓯），神曲三钱，茯苓三钱，车前子五钱，白矾三钱，水煎服。一剂药即下无数虫，二剂药虫尽出无残留。虫去而臌胀消退，不需要用三剂。因为雷丸最善于逐虫去秽，而鳖甲、地栗更善于化虫于无形。然而虫的生，必有毒结于肠胃之间，所以又用白矾以消解毒毒。诚恐过于峻猛逐虫，又佐以当归以生血，新血生而旧瘀去，更佐以茯苓、车前，分利其水气，则虫从大便而出，而毒从小便而行，自然病去如扫。但这种药服二剂后，必须服四君子汤、六君子汤去掉甘草，而妥善调理。
血臌症，由来已久。或因跌闪而血瘀不散，或因忧郁而结血不行，或因风邪而血蓄不发，遂至拖延时日，留在腹中，致成血臌。饮食入胃，不变精血，反去助邪，久了则胀，胀则成臌。如果用水法逐之，而症犯非水，徒伤元气；如果用气法始之，而症犯非气，徒增饱满，是越治越胀。我有奇方，妙于逐瘀，名消瘀荡秽汤。水蛭三钱（必须炒黑可用，大约一两炒黑，取末用三钱），当归二两，雷丸三钱，红花三钱，枳实三钱，白芍三钱，牛膝三钱，桃仁四十粒（去皮尖捣碎），水煎服。一服即下血斗余。再服即血尽而愈。盖血臌症，惟腹胀如鼓，而四肢手足并无胀意，故血去而病即安。服此方一剂之后，切勿再给第二剂，当改用四物汤调理，于补血内加白术、茯苓、人参，补气而利水。自然全愈。否则血臌虽痊，恐成干枯之症。
Dizziness caused by deficiency should not be treated merely by addressing the dizziness of the head and eyes. When Qi and Blood are sufficient, Yin and Yang harmonize; when Yin and Yang harmonize, pathogenic fire dissipates. Why then worry about dizziness causing death? Taking several doses will yield boundless benefits. Do not abandon the prescription because it does not show immediate results after one or two doses.
Vomiting is a sudden onset condition, seemingly minor. However, violent vomiting damages Stomach Qi. Once Stomach Qi is damaged, recovery is often impossible. Vomiting can be due to Fire or Cold. For Fire-induced vomiting, one should clear Fire but not merely force it downward; forcing Fire downward draws it into the Spleen and Large Intestine, inevitably leading to hematochezia (blood in stool). For Cold-induced vomiting, one should dispel Cold but not merely force it downward; forcing Cold downward draws it into the Kidney and Bladder, inevitably leading to enuresis (involuntary urination). I have formulated two prescriptions. The first treats Fire-induced vomiting, named Qinghuo Zhiyu Tang (Clear Fire Stop Vomiting Decoction): Poria 1 liang, Ginseng 2 qian, Amomum fruit 3 grains, Coptis Rhizome 3 qian, decocted in water. This prescription stops vomiting by clearing Fire and reducing heat. Its brilliance lies in Poria dispersing the Fire trend and gently guiding it downward, rather than violently purging it. Even more brilliantly, Ginseng supports Stomach Qi, allowing the Earth element to control Water naturally, so vomiting stops without direct intervention. Additionally, Amomum fruit stops vomiting, ensuring cessation after one dose. The second treats Cold-induced vomiting, named Sanhan Zhiou Tang (Dispel Cold Stop Vomiting Decoction): Atractylodes Macrocephala Rhizome 2 liang, Ginseng 5 qian, Aconite Lateralis Radix Praeparata 1 qian, Dried Ginger 1 qian, Clove 3 fen, decocted in water. This prescription dispels Cold while using herbs that tonify the Spleen and strengthen Earth. Thus, Cold cannot rise upward nor descend downward, but must escape outward from the umbilical region. It also acts swiftly after one dose.
Diarrhea refers here to watery diarrhea. Cold-type diarrhea is treatable, but Fire-type diarrhea is difficult to cure. Patients may defecate hundreds of times a day, emptying the intestines, passing undigested food, with swollen and painful anus, and hot-to-the-touch stools. This is rare but fatal without treatment. I have formulated two prescriptions named Jiexie Tang (Stop Diarrhea Decoction): Coix Seed 2 liang, Plantago Seed 1 liang, Ginseng 3 qian, White Peony Root 2 liang, Coptis Rhizome 3 qian, Poria 5 qian, Licorice Root 2 qian, Chinese Yam 1 liang, Cinnamon Bark 3 fen, decocted in water. One dose halves the diarrhea; a second dose stops it. This is a miraculous formula. After recovery, use Liujunzi Tang (Six Gentlemen Decoction) for regulation. These cases arise from extreme Fire carrying food and fluids downward too quickly for digestion. Mistaking this for Spleen Qi deficiency and using astringents will worsen the Fire and urgency. By following the momentum and promoting drainage, Water and Fire are dispersed, hence the miraculous effect.
Wheezing (Chuan) differs from shortness of breath (Duanqi). Wheezing is due to external contraction; shortness of breath is due to internal injury. Shortness of breath resembles wheezing but is distinct. True wheezing involves shoulder lifting and a sound like a frog in the throat. Shortness of breath lacks these signs; breathing is merely slightly labored without shoulder lifting or loud sounds. If shortness of breath is treated as excess wheezing, the patient will die instantly. Shortness of breath is caused by Kidney Qi exhaustion, where Qi rushes to the Upper Jiao and obstructs the Lung Meridian. It appears excessive but is actually deficient. Use Guiqi Dingchuan Tang (Return Qi Calm Wheezing Decoction): Ginseng 2 liang, Achyranthes Bidentata Root 3 qian, Ophiopogon Tuber 1 liang, Prepared Rehmannia Root 2 liang, Cornus Fruit 5 qian, Schisandra Berry 1 qian, Goji Berry 2 qian, Walnut Kernel 1 piece, Psoralea Fruit 1 qian, decocted in water. One dose calms the Qi slightly; two doses stabilize wheezing; three doses restore normal breathing. The brilliance lies in the large dose of Ginseng reaching the root of Qi to rescue vitality from nothingness. The other herbs tonify Kidney and Lung. Mother and Child generate each other (Metal generates Water), strengthening Water Qi. Strong Water keeps Fire in its home, preventing it from rushing to the throat. This method for shortness of breath is fundamentally different from treating external wheezing.
Wheezing varies into deficiency and excess types. Excess wheezing looks severe but is lighter in reality. Use Scutellaria Root 2 qian, Ophiopogon Tuber 3 qian, Licorice Root 5 fen, Bupleurum Root 1 qian, Perilla Leaf 1 qian, Kudzu Root (Shandougeng/Sophora flavescens root context implies clearing heat/toxin) 1 qian, Pinellia Tuber 1 qian, Lindera Root 1 qian, decocted in water. One dose stops wheezing; no further doses needed. Excess wheezing features rapid breathing, loud throat sounds, and raised shoulders. Deficiency wheezing has slight urgency, no throat sounds, and no shoulder lifting. Deficiency wheezing stems from severe Kidney Qi deficiency and impending Spleen Qi failure, causing Qi to rush upward. Use Jiu jue Zhi chuan Tang (Save Extinction Stop Wheezing Decoction): Ginseng 1 liang, Cornus Fruit 3 qian, Prepared Rehmannia Root 1 liang, Achyranthes Bidentata Root 1 qian, Ophiopogon Tuber 5 qian, Schisandra Berry 1 qian, White Mustard Seed 3 qian, decocted in water. One dose brings relief; two stop wheezing; ten cure completely. This is a critical condition. Since faint Qi lingers between upper and lower, cooling herbs to suppress Fire accelerate death. Similarly, warming herbs like Cinnamon Twig and Aconite Accelerate death. When Qi is near extinction, it must be restored slowly, not abruptly. Like embers in a stove, adding kindling helps; adding sulfur extinguishes them. Using cold/warm stimulants kills vitality. The formula’s brilliance is combining Kidney/Lung tonics with Ginseng to enter the deepest Yin, generating Qi. As Kidney Qi rises, Spleen Qi follows, reconnecting vitality. Ginseng also nourishes Lung Metal to support Kidney Water (Mother-Child relationship), saving the critical state.
Xiao Ke (Wasting-Thirst) is divided into Upper, Middle, and Lower, but Kidney deficiency causing thirst is universal. Treatment focuses on the Kidney, regardless of the type. My unique prescription, Hezhi Tang (Combined Treatment Decoction): Prepared Rehmannia Root 3 liang, Cornus Fruit 2 liang, Ophiopogon Tuber 2 liang, Plantago Seed 5 qian, Scrophularia Root 1 liang, decocted in water. Daily consumption cures all three types. This formula tonifies the Kidney and clears Fire. Although it seems suitable for Kidney Fire, Xiao Ke inherently involves Fire. By supplementing Water and slightly clearing Fire, dampness is dispersed, and Fire exits via the Bladder, preserving True Qi. Thus, thirst resolves easily. Adding Cinnamon Twig and Aconite is unnecessary. Only if chronic Xiao Ke presents with severe lower body coldness should Cinnamon Bark 2 qian be added. Deviating from dosages accelerates death. Ultimately, Xiao Ke is due to insufficient Kidney Water. Purging Fire consumes Yin and aids Fire, potentially causing death. Treatment must tonify Kidney Water; sufficient Water extinguishes Fire. This Fire is Deficient Fire, not Excess Fire. Excess Fire is cleared with cold; Deficient Fire requires guiding with warmth. Tonifying Kidney Fire warms the Gate of Vitality (Mingmen), eliminating upper and lower heat. Use Yinhuo Shengyin Tang (Guide Fire Ascend Yin Decoction): Scrophularia Root 2 liang, Cinnamon Bark 2 qian, Cornus Fruit 4 qian, Prepared Rehmannia Root 1 liang, Ophiopogon Tuber 1 liang, Schisandra Berry 2 qian, Morinda Root 5 qian, decocted in water. This tonifies Kidney Water and warms Mingmen Fire, guiding Fire back to its source. Water disperses naturally; thirst and wasting resolve without direct intervention.
Nocturnal emission over time leads to an open Jing Guan (Essence Gate) and death from essence depletion. People often use astringents, which fail. Early use of heavy essence and Qi tonics prevents this. My secret prescription: Euryale Seed 1 liang, Chinese Yam 1 liang, Lotus Seed 5 qian, Poria with Hostwood 2 qian, Fried Sour Jujube Seed 3 qian, Ginseng 1 qian, decocted in water. Named Baojing Tang (Protect Essence Decoction). Drink the decoction, then add Rock Sugar 5 qian, mix well, and consume with dregs. Daily use stops nocturnal emission within ten days. The herbs are mild and pleasant. Euryale and Yam secure essence and marrow; Lotus Seed clears Heart and stops dreams; Poria and Sour Jujube calm Soul and promote diuresis. Ginseng facilitates action effortlessly. Dreams cease naturally; essence is preserved. The Jing Guan closes, preventing premature death.
Wei Syndrome (Flaccidity) rendering one bedridden is caused by blazing Internal Fire boiling dry Kidney Water. Without tonifying the Kidney, merely clearing Fire offers no hope. Although Wei Syndrome treatment emphasizes the Yangming (Stomach) channel to reduce Stomach Fire, Kidney Water must also be replenished. My miracle formula, Jiangbu Dan (Descend and Tonify Pill/Decoction): Prepared Rehmannia Root 1 liang, Scrophularia Root 1 liang, Ophiopogon Tuber 1 liang, Chrysanthemum Flower 5 qian, Raw Rehmannia Root 5 qian, Ginseng 3 qian, Glehnia Root 5 qian, Dogwood Root Bark 5 qian, Plantago Seed 2 qian, decocted in water. This balances tonification and descent. Stomach Fire ceases, stopping Yin consumption; Kidney Water suffices, controlling Stomach Heat. Mutual support restores flaccidity.
Weak legs unable to stand, with good appetite, facial heat upon hunger, and persistent cough, indicate Wei Syndrome. Yangming Stomach Fire rushes to Lung Metal, obstructing clear descending Qi. Kidney Water is scorched, marrow depleted. Hunger increases Stomach Fire. Without urgent Stomach Fire clearance, Water exhaustion and marrow drying lead to death. Clearing Fire without tonifying Water fails to control Stomach Fire. Use Qiwu Zhishen Tang (Rise Flaccidity Supreme Divine Decoction): Prepared Rehmannia Root 1 liang, Chinese Yam 1 liang, Scrophularia Root 1 liang, Chrysanthemum Flower 1 liang, Ginseng 5 qian, White Mustard Seed 3 qian, Angelica Sinensis Root 5 qian, White Peony Root 5 qian, Medicated Leaven 2 qian, decocted in water. One dose reduces Fire; two retreats it; ten improve flaccidity; thirty cure. Chrysanthemum Flower is the sovereign herb, clearing Yangming Fire without damaging Stomach Qi. Others tonify Kidney Water, Liver Blood, Spleen Qi, and resolve phlegm. Treating Wei Syndrome prioritizes Yangming; clearing it allows auxiliary herbs to succeed.
Bi Syndrome (Painful Obstruction) arises from Wind, Cold, and Damp invading due to deficient Yuan Qi. Attacking pathogens without tonifying Zheng Qi makes Bi Syndrome incurable and fatal. My formula, Sanbi Tang (Dispel Bi Decoction): Ginseng 3 qian, Atractylodes Macrocephala Rhizome 5 qian, Poria 1 liang, Bupleurum Root 1 qian, Aconite Lateralis Radix Praeparata 1 qian, Pinellia Tuber 1 qian, Tangerine Peel 5 fen, decocted in water. This strengthens Spleen, drains Damp, warms meridians, and dispels Wind. With robust Zheng Qi, pathogens disperse. Bi Syndrome vanishes after two doses.
Yan E (Throat Swelling resembling moths) results from Kidney Water deficiency, causing Fire to fly upward. Narrow throat passages trap Fire, forming moth-like swellings. Pain is light in morning, heavy in afternoon/evening; relieved by heat, worsened by cold. Severe cases prevent swallowing. Treating as external Yang pattern with Sophora Root, Scutellaria, Coptis, or Gardenia worsens pain and obstruction. My formula, Hua’e Dan (Transform Moth Pill/Decoction): Prepared Rehmannia Root 1 liang, Cornus Fruit 1 liang, Aconite Lateralis Radix Praeparata 1 qian, Plantago Seed 3 qian, Ophiopogon Tuber 1 liang, Schisandra Berry 2 qian, decocted in water. This heavily tonifies Kidney Water. Strengthening Water extinguishes Fire; guiding Fire down eliminates pain. One dose works miraculously.
Shui Gu (Water Distension) involves whole-body edema feeling like mud. Untreated, fluid accumulates in limbs, becoming fatal. Use Jieliu Tang (Cut Flow Decoction): Morning Glory Seed 2 qian, Kansui Root 2 qian, Cinnamon Bark 3 fen, Plantago Seed 1 liang, decocted in water. One dose expels over a dou of fluid; two cure. Do not exceed two doses; a third is lethal. Kansui and Morning Glory strongly drain water; Plantago and Cinnamon guide it to the Bladder. They drain water without depleting Qi, moderating the harshness of the purgatives. After two doses, stop these harsh herbs. Switch to Wuling San (Five Ingredient Powder with Poria) for two doses, then Liujunzi Tang to tonify Spleen. Strictly avoid salt; violation is fatal.
Qi Gu (Qi Distension) is Qi-deficiency swelling, resembling water distension but firm to touch. Swelling starts at feet, moves up to face. Treat by strengthening Spleen, moving Qi, and draining water. Treating as water distension accelerates death. My formula, Xiaoqi San (Eliminate Qi Powder): Atractylodes Macrocephala Rhizome 1 liang, Coix Seed 1 liang, Poria 1 liang, Ginseng 1 qian, Licorice Root 1 fen, Bitter Orange 5 fen, Chinese Yam 5 qian, Cinnamon Bark 1 fen, Plantago Seed 1 qian, Radish Seed 1 qian, Medicated Leaven 1 qian, decocted in water. Daily dose. Initial slight discomfort gives way to daily improvement. Ten doses relieve Qi; twenty eliminate swelling; thirty cure. This strengthens Spleen and drains water without harming Qi. Slow but effective. Avoid salt for three months; even Ashi (Ash Salt) is forbidden until then.
Chong Gu (Insect Distension) features lower abdominal pain, mild limb edema, red skin with spots resembling insect bites, and no eye puffiness. Requires驱虫 (expelling insects). Harsh purgatives damage Yuan Qi. Use Xiaochong Shenqi Dan (Eliminate Insects Miraculous Pill/Decoction): Omphalia Fungus 3 qian, Angelica Sinensis Root 1 liang, Turtle Shell 1 liang (vinegar-fried), Water Chestnut Powder 1 liang (fresh juice 1 cup), Medicated Leaven 3 qian, Poria 3 qian, Plantago Seed 5 qian, Alum 3 qian, decocted in water. One dose expels countless insects; two ensure complete removal. Insects gone, distension subsides. Omphalia expels parasites; Turtle Shell and Water Chestnut dissolve them. Alum neutralizes intestinal toxins. Angelica generates blood to remove stasis. Poria and Plantago drain dampness. Parasites exit via stool; toxins via urine. After two doses, use Sijunzi or Liujunzi Tang (without Licorice) for regulation.
Xue Gu (Blood Distension) develops gradually from trauma, depression, or wind causing blood stasis in the abdomen. Food intake fuels pathogenic factors, causing distension. Treating as water or Qi distension harms Qi or increases fullness. My formula, Xiaoyu Danghui Tang (Eliminate Stasis Purge Filth Decoction): Leech 3 qian (stir-fried black, powder form), Angelica Sinensis Root 2 liang, Omphalia Fungus 3 qian, Safflower 3 qian, Immature Bitter Orange 3 qian, White Peony Root 3 qian, Achyranthes Bidentata Root 3 qian, Peach Kernel 40 pieces (skin/husk removed, crushed), decocted in water. First dose expels over a dou of blood; second cures. Blood Distension features drum-like abdominal distension without limb swelling. Removing blood cures the disease. Do not take a third dose. Switch to Siwu Tang (Four Substance Decoction) with Atractylodes, Poria, and Ginseng to tonify blood and Qi while draining water. Otherwise, residual dryness may persist.