曹
(四六)述去冬因恼怒时食浓味,遂致不饥,嗳气脘痹,食物不下。视舌上布苔如粉,
不渴
浓朴 草果仁 姜汁 荜茇 生益智仁 广皮白
又
前因阳结浊聚,舌苔白浓,不渴饮,用芳香辛温得效。近日食物不慎,水谷气凝,清阳
再窒为呕,舌苔犹未净,便下白腻如冻,腑阳亦衰。
公丁香柄 荜茇 茯苓 生益智仁 浓朴 生干姜
胡
(二六)疾走作劳,身前胁腹闪气上下串痛。交正月,寒战气冲,呼吸皆阻,腹胀,脐
上横
塞,
人参 茯苓 公丁香柄 川椒 乌梅肉 炒黄干姜
潘
(四二)中年脉垂入尺泽,按之缓濡,腰椎酸痛,形体即欲伛偻,旬余大便必下血,此
少壮
高
(七一)老年逆气右升,脘阻妨食,涎沫上涌,此属反胃。夫阳气结闭,为无形之伤,
前药
人参 生淡干姜 炒黑附子 猪胆汁
沈
(十七)兀坐目注针黹,少阳气火上升,阳明气血因热怫逆,遂有结瘿瘰 之累。前医
不明
干;
生鳖甲 牡丹皮 川贝母 香附 谷芽 夏枯草花
杨
(二七)食入即饥,心空易惊,经水或歇或至,病起产后,逾年不复,自述多食生冷。
据理
人参 茯神 炙草 黄精 龙骨 金箔
顾
腹痛,气上下行动即缓,从腑阳治。
人参 生谷芽 茯苓 煨姜 新会皮 砂仁壳
李
(三八)哮喘久发,小溲频利,此肾虚气不收纳,痰饮从气而上。初病本属外邪,然数
年混
用开
小青龙汤去麻辛
唐
(三五)病是劳伤阳气,阳衰不主流行,清浊升降不得自如,是为虚痞之结。内经谓劳
者温
苓桂术甘汤
贾
(二一)痰血频发七八次,形寒妨食,无治痰嗽之理,急扶后天生气,望其知味进谷。
戊己汤
钱
(十八)冲年阴精走泄,阳无根据倚,血随气升,色紫成块,此血出于肝络,法当镇补。
人参 炒黑枣仁 炒白芍 炙草 青花龙骨 金箔
姚
(二一)述四月患蛾喉痹,必系温热犯上,温不尽解,留邪化热,肺津劫烁,喉燥痒呛,
防
绿豆壳 麦冬 生甘草 连翘 南花粉 金银花 蔗浆半杯
又
浮热上炎,精走泄于下,致阴液阳精不肯上供。望色萎瘦,纳食不旺,摄阴恐妨胃口。
况初夏曾患喉症,大暑热泄,阴难生复。先议水陆二仙丹,摄固精关。
人参 秋石 芡实 金樱子膏丸
顾
(四三)操持无有不动心神,心阳上引,相火交升,燔灼营液,舌为心苗,遂起痱瘰。
病由
然必
天王补心丹
李
(四三)长夏时令温热,内阻气分,宗内经湿淫于内,治以淡渗,佐以苦温。
飞滑石 川通草 淡竹叶 杏仁 浓朴
茹
(三五)向来无病,因服地黄丸,反左胁腰中脐旁,气攻作痛,间有遗精,目暗虚花,
或起
肾
当归 小茴 补骨脂 胡桃肉 茯苓 穿山甲 炒黄柏 青盐
林
(十八)色苍形瘦,禀质阴虚火亢,津液不充,喜冷冻饮料。夏季热蒸,须培生气、顺天时
以调
麦冬 知母 川贝 地骨皮 丹皮 绿豆皮
项
(二八)心热巅空,交寅卯带下,向来阴不足,少阳阳动,中虚食减,静养至秋凉,可
望阴
人参 柏子仁 丹参 天冬 茯苓 建莲 龙骨 白薇
曹
(十四)笑则痫厥病发,昼少夜多。思二月起病,春木正旺,内应厥阴肝脏木火,乃阳
极之
醒
芦荟 青黛 龙胆草 川楝子 黑山栀 白芍 青皮 归尾 猪胆汁
又
前方用纯苦直清肝胆,初服即泻,病久阴分已虚,议理阴和阳,入酸以约束之。
生鸡子黄 阿胶 川连 黄柏 生白芍 米醋
徐
(二六)胃减,痰血频发,上年误服玄参山栀,致便溏泻,此受苦滑寒凉之累。
人参建中汤
邹
(五三)酒客食管窄隘,向有脘痛,今多食即反胃,气阻日久,必致瘀凝。食物宜淡薄,
以
桃仁 蒲黄 降香末 苏梗 香附 橘红
程
(六三)形瘦肌削,禀质偏热,夏秋病甚,是阴亏不耐暑热发泄之气耳。霜降收肃令行,
浮
可
人参 萸肉 川石斛 磁石 淡秋石 胡桃肉 女贞子 旱莲草
和
痰血,上午偏多,气分热炽。
金石斛 川贝母 桑叶 南花粉 大沙参 知母
单
(七岁)为母丧悲泣,淹淹不食,面黄唇淡,情志不适,生阳郁窒。内经谓思为心疾,
郁必
人参 茯苓 炙甘草 淮小麦 益智仁 石菖蒲
于
驰骑习武,百脉震动,动则络逆为痛,血沸退场门。纳食起居,无异平日,非虚损也。凡
气为血帅,气顺血自循经,不必因血用沉降重药。
枇杷叶 炒苏子 生苡仁 金石斛 炒桃仁 降香末
王
(四六)望五年岁,真阳已衰。纳食逾二三日,反胃涌吐,仍有不化之形,痰涎浊水俱
出,
人参 半夏 茯苓 泡淡吴萸 生淡干姜 夜另服半硫丸一钱五分
蒋
(三五)晨泻数年,跗肿足冷。长夏土旺初交,知饥痞闷妨食。述两三次半产不育,下
焦
耳
人参 茯苓 益智仁 砂仁壳 炒扁豆 木瓜
又
连年半产不育,瘕泄,足跗浮肿。前用养胃和肝,非治本病,因暑湿伤而设。议固下焦
之阴,益中宫之阳。
人参 禹粮石 紫石英 五味子 菟丝饼 砂仁 用蒸饼为丸
邢
暴怒伤肝,白带下注,继而间血。人身冲任督带诸脉,皆丽身半已下。医用上中二焦疲
药,焉能图幸。自言月事来而漏带息,初起必少腹腰痛,此内热是血络阴液损伤耳。性嗜酒
酒力先入肝胆,急当禁止。议固脉以摄下。
炒枸杞 炒黑当归 白薇 桑螵蛸壳 青花龙骨 生紫石英 煎药送震灵丹
陆
(二一)腰冷,膝骨酸软,淋浊,溺后茎中空痛。少年未婚,此是勉强劳伤精关。且卧
床必
菟丝子 复盆子 芡实 沙苑 家韭子 补骨脂 舶茴香 金樱子 线鱼胶丸
王
(二六)过用心思,营气日漓,心悸眩晕,遗精,腰膝下部畏冷,阴阳造偏,心肾交损,
议
桑螵蛸 人参 茯神 青花龙骨 金箔 锁阳 蜜丸
颜
病已半年,夜寐易醒,汗泄,自觉元海震动,腹鸣晨泻。年岁望六,不仅经营烦劳伤阳
肾真亦渐散越,仍议固下法。
人参 赤石脂 禹余粮 五味子 泡淡干姜
徐
(三九)月事将至,尻骨脊椎酸痛,此督脉循行之位,况经水之下,必由冲脉,产育频
多,
鹿茸 人参 归身 炒黑小茴 茯苓 川斛
唐
(二一)经来一日,偶食冷物,经水即止,遂痞闷不食,乳旁坚肿痛胀,此是肝气郁结。
盖
青橘叶 香附汁 漏芦 蒲公英 浓朴 杏仁
徐
(二八)产后未经旬,长途驱驰以劳形神,归值母丧,悲哀哭泣,伤及情志。述肉 易
惊恐
熟地炭 萸肉 龙骨 茯神 淮小麦 南枣肉
何
(三十)述无病时形瘦,病发时形充。古称入水之物,无物不长。阴寒袭入右肢,肉
筋惕
川乌(一两炮黑) 全蝎(一两炙焦) 蜂房(五钱炙焦) 自然铜(五钱 ) 麝香
(五分) 炒热
汪
肺热膈消,热灼迅速如火,脏真之阴日削。先议清肺,以平气火,法当苦降以轻,咸补
以重,继此再商滋养血液。
枯黄芩(煎汤) 溶入阿胶(二钱)
孙
(三三)行走闪锉左腿肢,筋弛无力,乱药杂投,五六年不愈,延及精血内损,不司束
筋充
虎潜去锁阳,加苁蓉,精羊肉胶丸。
施
(二六)阴寒已入阴股,道路深远,汤药过胃,其力已薄,邪锢仍在,议用许学士法。
蠲痛丹每服一钱二分
赵
纳食不充肌肤,阳伤背痛,阴囊冰冷,经营作劳,劳则气乏,经言劳者温之,甘温益气
以养之。
归 建中汤
陈
(五五)操劳动怒,耳鸣巅胀,晕眩肢麻,内起火风,皆厥阳之化。中年以后,男子下
元先
熟地 玄武版 灵磁石 五味子 山萸肉 炒杞子 天冬 牛膝 青盐
程
(二八) 梅逾期,病由情志郁伤。庸医不究病因,朝暮更方,病延日久。内经谓二阳
之
载,
考
人参 白芍 川楝子 生淡干姜 川连 乌梅 粗桂枝炒焦归身
董
(二四)风温湿上受,痹阻气分,上则咳呛不得卧息,下则溺少便溏。夫肺主一身之气
化,
飞滑石 茯苓皮 白蔻仁 竹叶 浓朴 杏仁 芦根
陈
(四二)烦劳,气火多升少降,喉中梗阻,痰出噫气。凡酒肉皆助热,痰凝气分,上焦
痹塞
枇杷叶 栝蒌皮 降香末 杜苏子 黑栀皮 苡仁
宋
(二四)精壮年岁,面色萎浮,气冲逆,必心悸眩晕,问足跗易冷,间有遗泄,此皆烦
劳办
浓以
熟地(四两) 萸肉(二两) 琐阳(二两炙) 茯神(四两) 五味(一两半) 龟
甲心(二两) 秋
丸
夏
(三十)阴筋曰宗筋,肝主之,冷则筋缩,热则弛长。少壮茎痿,起于长夏,天气已热,
地
此
阳
而烁筋致痿矣。法当苦以坚阴,燥以胜湿,介以潜阳,湿去热清,自有愈期。
生虎骨 熟地 苍术 黄柏 茯苓 龟板 石决明 天冬
钟
(四五)未及五旬,肉消食减,此未老已衰,身动喘急,足跗至晚必肿,皆是肾真不司
收摄
坎气 人乳粉 五味子 胡桃肉
蜜丸,人参汤送下。
王
(三三)烦劳曲运神思,形与神交伤,阳气旋动,络血何以宁静。甘以缓热,补以益虚,
必
人参 柏子霜 炒枸杞 焦归身 桂圆肉 炙甘草 龙骨 茯神 金箔
单
因闪挫胁痛,久则呛血,络血气热内迫,新血瘀逆。
鲜生地 藕节 生桃仁 新绛
宋
暑热入营,舌绛烦渴,形脉皆不足,怕邪陷神昏。
犀角尖 南花粉 连翘心 益元散 淡竹叶 细叶菖蒲汁
程
(二五)男子思念未遂,阴火内燔,五液日夺,孤阳升腾,熏蒸上窍,已失交泰之义,
此非
解,
药饵
细生地 清阿胶 猪脊筋 天冬 川石斛
姜
(二四)久患胸右有形,形瘦,畏风怕冷,卧则咳呛痰沫。凡治痰饮,须辨饮食,食少
已极
苓桂术甘汤
徐
狐疝气坠。
鹿茸 大茴 当归 沙苑 干苁蓉 生姜 肉桂 羊肉丸
徐
(十七)经水未来,春末夏初痰血,形瘦耳鸣,食过如饥,饥不纳食,肝阴不生,热自
内灼
细生地 天冬 柏子仁 丹参 泽兰 知母
曹
辛温芳香,开气舒郁,呕出血饼,呕吐顿减。盖气阻血凝,堵塞脘中升降之路而痛。自
服药以来,微微欲饮,而大便结燥,知不专于辛温矣。
青葱 桃仁 归尾 麻仁 郁李仁 冬葵子
又
瘀尽,嗳气间呕,此陈腐未扫,乃无形之聚,用辛芳凉滑治之。
鲜省头草(五钱)滚水泡汤和入竹沥(五钱)
分作三次服
孙
(二八)绕腰近脐,久痛若空,秋深届冬,四肢不暖,此由幼年精未充旺早泄,既损难
复,
鹿茸 淡苁蓉 巴戟 当归 茯苓 虎膝骨 牛膝 大茴 羊肉胶丸
吴
(二四)精浊已久,行步无力,食冷口吐酸水,阳气微弱,治在脾肾。
益智仁 家韭子 复盆子 葫芦巴 远志 小茴 菟丝子 金樱膏丸
王
(四五)阳结于上,阴泄于下,晨泄多因肾虚,阴伤及阳,胃口自惫,舌畏辛辣,不受
桂附
人参 禹余粮 赤石脂 五味子 砂仁末
周
(三七)精遗越日,阴火忽冲,神乱肉 筋惕,此阴不恋阳,以补虚镇摄收敛。幸年壮
胃口
熟地 萸肉 五味 龙骨 湖莲 茯神 远志
邵
(六八)望七男子,下元必虚,操持萦思,阳坠入阴,精腐即化紫黑之色,宿者出窍,
新复
宜清
细生地 清阿胶 黑 豆皮 赤芍 丹皮 童便一杯冲入
周
(五十)阳维脉循行外踝,遇劳形办事,环跳跗骨酸麻而痛。丹溪云∶麻为气虚。盖年
力已
布涵
生精羊肉 虎胫骨 肉苁蓉 枸杞子 沙苑 巴戟肉 牛膝 当归 川石斛
翁
(四四)少腹有形,左胁 胀,内发必肌肉麻木,呕吐痰沫不爽,此属肝厥,由乎怀抱
抑郁
淡吴萸 川楝子 生香附 南山查 青橘叶 牡蛎
何
(二二)壮年脉芤少神,色痿肉瘦,食进不充形骸,不耐烦劳,乃内损也。节欲养精,
安神
河车 人参 熟地 五味 山药 茯神 莲肉 芡实
宋
(六十)吸受暑热异气,入表中之里,为淋痛溺赤,形肥,素有痰湿,议通太阳。
桂枝 木猪苓 茯苓 萆 海金沙 寒水石
郑
(五九)夏至阴生,忽然口 颊斜,耳窍无闻,此非外来之邪,皆由男子望六,下元已
空,
真阳
熟地 磁石 龟板 丹皮 五味 天冬 枸杞 苁蓉 菊花炭 川斛
方
(七七)高年宿疝不愈,入夏阴囊足跗胀大,乃阴脏之真渐竭,腑中阳气不行,一派浊
阴迷
白通汤去葱白
周
(五一)正视一物见二,睨视则否。凡积劳气泄阳伤,当夏热气再大泄,虽曰肝窍开目,
实
桂圆肉 枸杞子 炙黑甘草 五味子 山萸肉 菊花炭
俞
曹(四十六岁)叙述去年冬天因恼怒且进食油腻厚味,导致食欲不振、嗳气、胃脘部痞闷堵塞,食物难以下咽。诊察见舌面上布满如粉状的苔垢,口不渴。
方药:厚朴、草果仁、姜汁、荜茇、生益智仁、广陈皮白。
又诊:此前因阳气郁结、浊邪聚集,舌苔白厚,口不渴饮,使用芳香辛温之法取得疗效。近日饮食不慎,水谷之气凝滞,清阳再次被窒塞而致呕吐,舌苔仍未退净,大便排出白色腻状物如冻胶样,腑中阳气亦衰败。
方药:公丁香柄、荜茇、茯苓、生益智仁、厚朴、生干姜。
胡(二十六岁)疾走劳累后,身前胁腹部位闪气上下窜痛。进入正月,出现寒战、气冲感,呼吸受阻,腹胀,脐上横塞不通。
方药:人参、茯苓、公丁香柄、川椒、乌梅肉、炒黄干姜。
潘(四十二岁)中年脉象沉细入尺泽穴处,按之缓濡,腰椎酸痛,身体形态即将佝偻弯曲,十余天后大便必然下血,此属少壮时期……(原文此处似有脱漏或简略,意指少年时根基未固或类似含义,结合下文“少壮”二字推测)。
高(七十一岁)老年逆气向右上升,胃脘阻滞妨碍进食,涎沫上涌,这属于反胃证。这是由于阳气结闭,造成无形的损伤,前药……(原文此处似有脱漏,意指前药效果不佳或需调整)。
方药:人参、生淡干姜、炒黑附子、猪胆汁。
沈(十七岁)静坐时目光专注刺绣针线活,导致少阳气火上升,阳明经气血因热郁逆,从而产生瘿瘤、瘰疬的病患。前医……(原文此处似有脱漏,意指前医不明病因或治法不当)。
方药:生鳖甲、牡丹皮、川贝母、香附、谷芽、夏枯草花。
杨(二十七岁)食入即觉饥饿,心中空虚易受惊,月经或停或来,病起于产后,超过一年未恢复,自述多吃生冷食物。据理分析……(原文此处似有脱漏,意指根据理论推导病机)。
方药:人参、茯神、炙甘草、黄精、龙骨、金箔。
顾(患者未标年龄)腹痛,气机上下运行则疼痛缓解,从腑阳角度治疗。
方药:人参、生谷芽、茯苓、煨姜、新会陈皮、砂仁壳。
李(三十八岁)哮喘久发,小便频利,这是肾虚气不收纳,痰饮随气上逆。初起病本属外邪,然而数年混用开……(原文此处似有脱漏,意指误用发散或攻伐药物)。
方药:小青龙汤去麻黄、细辛。
唐(三十五岁)病是劳伤阳气,阳衰不能正常流行,清浊升降不得自如,这是虚痞的结聚。《内经》说劳者温之……
方药:苓桂术甘汤。
贾(二十一岁)痰血频发七八次,形寒妨碍进食,没有治疗痰嗽的道理,急当扶助后天脾胃生气,希望其能知味进谷。
方药:戊己汤。
钱(十八岁)正值青春年少,阴精走泄,阳气无根依附,血随气升,血色紫暗成块,此血出于肝络,治法应当镇补。
方药:人参、炒黑枣仁、炒白芍、炙甘草、青花龙骨、金箔。
姚(二十一岁)叙述四月患蛾喉痹(扁桃体炎及咽喉肿痛),必定是温热之邪犯上,温邪未尽解,留邪化热,肺津被劫烁,喉燥痒呛,防……(原文此处似有脱漏,意指防止病情加重或传变)。
方药:绿豆壳、麦冬、生甘草、连翘、南花粉、金银花、蔗浆半杯。
又诊:浮热上炎,精气走泄于下,导致阴液阳精不肯上供。望面色萎黄消瘦,纳食不旺盛,摄纳阴液恐怕妨碍胃口。况且初夏曾患喉症,大暑天热泄泻,阴液难以生复。先议用水陆二仙丹,摄固精关。
方药:人参、秋石、芡实、金樱子膏丸。
顾(四十三岁)操持劳作没有不动心神,心阳上引,相火交升,燔灼营液,舌为心之苗窍,于是发生痱瘰(皮肤赘生物或淋巴结肿大等)。病由……(原文此处似有脱漏,意指病机根源)。
然必……(原文此处似有脱漏,意指治疗原则)。
方药:天王补心丹。
李(四十三岁)长夏时令温热,内阻气分,遵循《内经》湿淫于内,治以淡渗,佐以苦温。
方药:飞滑石、川通草、淡竹叶、杏仁、厚朴。
茹(三十五岁)向来无病,因服用地黄丸,反而左胁腰中脐旁,气攻作痛,间有遗精,目暗虚花,或起……(原文此处似有脱漏,意指症状发作)。
肾……(原文此处似有脱漏,意指病位在肾)。
方药:当归、小茴香、补骨脂、胡桃肉、茯苓、穿山甲、炒黄柏、青盐。
林(十八岁)面色苍老形体瘦弱,禀质阴虚火亢,津液不充,喜冷冻饮料。夏季热蒸,须培生气、顺天时以调……(原文此处似有脱漏,意指调理阴阳)。
方药:麦冬、知母、川贝母、地骨皮、丹皮、绿豆皮。
项(二十八岁)心热巅顶空虚,交寅卯时带下,向来阴不足,少阳阳动,中虚食减,静养至秋凉,可望阴……(原文此处似有脱漏,意指阴复)。
方药:人参、柏子仁、丹参、天冬、茯苓、建莲、龙骨、白薇。
曹(十四岁)笑则痫厥病发,昼少夜多。思二月起病,春木正旺,内应厥阴肝脏木火,乃阳极之……(原文此处似有脱漏,意指阳极生风或类似病机)。
醒……(原文此处似有脱漏,意指苏醒或治疗目的)。
方药:芦荟、青黛、龙胆草、川楝子、黑山栀、白芍、青皮、归尾、猪胆汁。
又诊:前方用纯苦直清肝胆,初服即泻,病久阴分已虚,议理阴和阳,入酸以约束之。
方药:生鸡子黄、阿胶、川黄连、黄柏、生白芍、米醋。
徐(二十六岁)胃气减退,痰血频发,上年误服玄参山栀,致便溏泻,此受苦滑寒凉之累。
方药:人参建中汤。
邹(五十三岁)酒客食管窄隘,向有脘痛,今多食即反胃,气阻日久,必致瘀凝。食物宜淡薄,以……(原文此处似有脱漏,意指养胃或化瘀)。
方药:桃仁、蒲黄、降香末、苏梗、香附、橘红。
程(六十三岁)形瘦肌削,禀质偏热,夏秋病甚,是阴亏不耐暑热发泄之气耳。霜降收肃令行,浮……(原文此处似有脱漏,意指浮热收敛)。
可……(原文此处似有脱漏,意指可治或好转)。
方药:人参、萸肉、川石斛、磁石、淡秋石、胡桃肉、女贞子、旱莲草。
和(患者未标年龄)痰血,上午偏多,气分热炽。
方药:金石斛、川贝母、桑叶、南花粉、大沙参、知母。
单(七岁)为母丧悲泣,淹淹不食,面黄唇淡,情志不适,生阳郁窒。《内经》谓思为心疾,郁必……(原文此处似有脱漏,意指郁结化火或伤脾)。
方药:人参、茯苓、炙甘草、淮小麦、益智仁、石菖蒲。
于(患者未标年龄)驰骑习武,百脉震动,动则络逆为痛,血沸退场门(指肛门出血或类似症状)。纳食起居,无异平日,非虚损也。凡气为血帅,气顺血自循经,不必因血用沉降重药。
方药:枇杷叶、炒苏子、生苡仁、金石斛、炒桃仁、降香末。
王(四十六岁)望五年岁(指五岁左右患儿),真阳已衰。纳食逾二三日,反胃涌吐,仍有不化之形,痰涎浊水俱出,……
方药:人参、半夏、茯苓、泡淡吴茱萸、生淡干姜、夜另服半硫丸一钱五分。
蒋(三十五岁)晨泻数年,跗肿足冷。长夏土旺初交,知饥痞闷妨食。述两三次半产不育,下焦……(原文此处似有脱漏,意指下焦虚寒)。
耳……(原文此处似有脱漏,意指语气词或病机描述)。
方药:人参、茯苓、益智仁、砂仁壳、炒扁豆、木瓜。
又诊:连年半产不育,瘕泄,足跗浮肿。前用养胃和肝,非治本病,因暑湿伤而设。议固下焦之阴,益中宫之阳。
方药:人参、禹粮石、紫石英、五味子、菟丝饼、砂仁、用蒸饼为丸。
邢(患者未标年龄)暴怒伤肝,白带下注,继而间血。人身冲任督带诸脉,皆丽身半已下。医用上中二焦疲药(指耗散之药),焉能图幸。自言月事来而漏带息,初起必少腹腰痛,此内热是血络阴液损伤耳。性嗜酒,酒力先入肝胆,急当禁止。议固脉以摄下。
方药:炒枸杞、炒黑当归、白薇、桑螵蛸壳、青花龙骨、生紫石英、煎药送震灵丹。
陆(二十一岁)腰冷,膝骨酸软,淋浊,溺后茎中空痛。少年未婚,此是勉强劳伤精关。且卧床必……(原文此处似有脱漏,意指必须节制或治疗)。
方药:菟丝子、复盆子、芡实、沙苑子、家韭子、补骨脂、舶茴香、金樱子、线鱼胶丸。
王(二十六岁)过用心思,营气日漓,心悸眩晕,遗精,腰膝下部畏冷,阴阳造偏,心肾交损,议……(原文此处似有脱漏,意指议定治法)。
方药:桑螵蛸、人参、茯神、青花龙骨、金箔、锁阳、蜜丸。
颜(患者未标年龄)病已半年,夜寐易醒,汗泄,自觉元海震动,腹鸣晨泻。年岁望六,不仅经营烦劳伤阳,肾真亦渐散越,仍议固下法。
方药:人参、赤石脂、禹余粮、五味子、泡淡干姜。
徐(三十九岁)月事将至,尻骨脊椎酸痛,此督脉循行之位,况经水之下,必由冲脉,产育频多,……
方药:鹿茸、人参、归身、炒黑小茴香、茯苓、川石斛。
唐(二十一岁)经来一日,偶食冷物,经水即止,遂痞闷不食,乳旁坚肿痛胀,此是肝气郁结。盖……(原文此处似有脱漏,意指病机解释)。
方药:青橘叶、香附汁、漏芦、蒲公英、厚朴、杏仁。
徐(二十八岁)产后未经旬,长途驱驰以劳形神,归值母丧,悲哀哭泣,伤及情志。述肉……(原文此处似有脱漏,意指肌肉跳动或类似症状)易惊恐。
方药:熟地炭、萸肉、龙骨、茯神、淮小麦、南枣肉。
何(三十岁)叙述无病时形瘦,病发时形充。古称入水之物,无物不长。阴寒袭入右肢,肉筋惕……(原文此处似有脱漏,意指肌肉跳动)。
方药:川乌(一两炮黑)、全蝎(一两炙焦)、蜂房(五钱炙焦)、自然铜(五钱)、麝香(五分)、炒热。
汪(患者未标年龄)肺热膈消,热灼迅速如火,脏真之阴日削。先议清肺,以平气火,法当苦降以轻,咸补以重,继此再商滋养血液。
方药:枯黄芩(煎汤)、溶入阿胶(二钱)。
孙(三十三岁)行走闪挫左腿肢,筋弛无力,乱药杂投,五六年不愈,延及精血内损,不司束筋充……(原文此处似有脱漏,意指充实筋骨)。
方药:虎潜去锁阳,加苁蓉,精羊肉胶丸。
施(二十六岁)阴寒已入阴股,道路深远,汤药过胃,其力已薄,邪锢仍在,议用许学士法。
方药:蠲痛丹每服一钱二分。
赵(患者未标年龄)纳食不充肌肤,阳伤背痛,阴囊冰冷,经营作劳,劳则气乏,经言劳者温之,甘温益气以养之。
方药:归、建中汤。
陈(五十五岁)操劳动怒,耳鸣巅胀,晕眩肢麻,内起火风,皆厥阳之化。中年以后,男子下元先……(原文此处似有脱漏,意指下元先亏)。
方药:熟地、玄武版(龟板)、灵磁石、五味子、山萸肉、炒杞子、天冬、牛膝、青盐。
程(二十八岁)梅逾期(指月经过期),病由情志郁伤。庸医不究病因,朝暮更方,病延日久。《内经》谓二阳之……(原文此处似有脱漏,意指病机)。
载……(原文此处似有脱漏,意指记载或论述)。
考……(原文此处似有脱漏,意指考证或考虑)。
方药:人参、白芍、川楝子、生淡干姜、川黄连、乌梅、粗桂枝炒焦归身。
董(二十四岁)风温湿上受,痹阻气分,上则咳呛不得卧息,下则溺少便溏。夫肺主一身之气化,……
方药:飞滑石、茯苓皮、白蔻仁、竹叶、厚朴、杏仁、芦根。
陈(四十二岁)烦劳,气火多升少降,喉中梗阻,痰出噫气。凡酒肉皆助热,痰凝气分,上焦痹塞。
方药:枇杷叶、栝蒌皮、降香末、杜苏子、黑栀皮、苡仁。
宋(二十四岁)精壮年岁,面色萎浮,气冲逆,必心悸眩晕,问足跗易冷,间有遗泄,此皆烦劳办……(原文此处似有脱漏,意指办理或操作过度)。
浓以……(原文此处似有脱漏,意指浓补或滋阴)。
方药:熟地(四两)、萸肉(二两)、琐阳(二两炙)、茯神(四两)、五味(一两半)、龟甲心(二两)、秋……(原文此处似有脱漏,意指秋石或其他药材)。
丸(制法)
夏(三十岁)阴筋曰宗筋,肝主之,冷则筋缩,热则弛长。少壮茎痿,起于长夏,天气已热,地……(原文此处似有脱漏,意指地热)。
此……(原文此处似有脱漏,意指此病机)。
阳……(原文此处似有脱漏,意指阳气或湿热)。
而烁筋致痿矣。法当苦以坚阴,燥以胜湿,介以潜阳,湿去热清,自有愈期。
方药:生虎骨、熟地、苍术、黄柏、茯苓、龟板、石决明、天冬。
钟(四十五岁)未及五旬,肉消食减,此未老已衰,身动喘急,足跗至晚必肿,皆是肾真不司收摄。
方药:坎气、人乳粉、五味子、胡桃肉、蜜丸,人参汤送下。
王(三十三岁)烦劳曲运神思,形与神交伤,阳气旋动,络血何以宁静。甘以缓热,补以益虚,必……(原文此处似有脱漏,意指必须调养)。
方药:人参、柏子霜、炒枸杞、焦归身、桂圆肉、炙甘草、龙骨、茯神、金箔。
单(患者未标年龄)因闪挫胁痛,久则呛血,络血气热内迫,新血瘀逆。
方药:鲜生地、藕节、生桃仁、新绛。
宋(患者未标年龄)暑热入营,舌绛烦渴,形脉皆不足,怕邪陷神昏。
方药:犀角尖、南花粉、连翘心、益元散、淡竹叶、细叶菖蒲汁。
程(二十五岁)男子思念未遂,阴火内燔,五液日夺,孤阳升腾,熏蒸上窍,已失交泰之义,此非……(原文此处似有脱漏,意指非单纯实证)。
解……(原文此处似有脱漏,意指解决或理解)。
药饵……(原文此处似有脱漏,意指药物治疗)。
方药:细生地、清阿胶、猪脊筋、天冬、川石斛。
姜(二十四岁)久患胸右有形,形瘦,畏风怕冷,卧则咳呛痰沫。凡治痰饮,须辨饮食,食少已极。
方药:苓桂术甘汤。
徐(患者未标年龄)狐疝气坠。
方药:鹿茸、大茴香、当归、沙苑子、干苁蓉、生姜、肉桂、羊肉丸。
徐(十七岁)经水未来,春末夏初痰血,形瘦耳鸣,食过如饥,饥不纳食,肝阴不生,热自内灼。
方药:细生地、天冬、柏子仁、丹参、泽兰、知母。
曹(患者未标年龄)辛温芳香,开气舒郁,呕出血饼,呕吐顿减。盖气阻血凝,堵塞脘中升降之路而痛。自服药以来,微微欲饮,而大便结燥,知不专于辛温矣。
方药:青葱、桃仁、归尾、麻仁、郁李仁、冬葵子。
又诊:瘀尽,嗳气间呕,此陈腐未扫,乃无形之聚,用辛芳凉滑治之。
方药:鲜省头草(五钱)滚水泡汤和入竹沥(五钱),分作三次服。
孙(二十八岁)绕腰近脐,久痛若空,秋深届冬,四肢不暖,此由幼年精未充旺早泄,既损难复,……
方药:鹿茸、淡苁蓉、巴戟天、当归、茯苓、虎膝骨、牛膝、大茴香、羊肉胶丸。
吴(二十四岁)精浊已久,行步无力,食冷口吐酸水,阳气微弱,治在脾肾。
方药:益智仁、家韭子、复盆子、葫芦巴、远志、小茴香、菟丝子、金樱膏丸。
王(四十五岁)阳结于上,阴泄于下,晨泄多因肾虚,阴伤及阳,胃口自惫,舌畏辛辣,不受桂附。
方药:人参、禹余粮、赤石脂、五味子、砂仁末。
周(三十七岁)精遗越日,阴火忽冲,神乱肉筋惕,此阴不恋阳,以补虚镇摄收敛。幸年壮胃口。
方药:熟地、萸肉、五味子、龙骨、湖莲、茯神、远志。
邵(六十八岁)望七男子,下元必虚,操持萦思,阳坠入阴,精腐即化紫黑之色,宿者出窍,新复……(原文此处似有脱漏,意指新血生成)。
宜清……(原文此处似有脱漏,意指宜清热或滋阴)。
方药:细生地、清阿胶、黑豆皮、赤芍、丹皮、童便一杯冲入。
周(五十岁)阳维脉循行外踝,遇劳形办事,环跳跗骨酸麻而痛。丹溪云∶麻为气虚。盖年力已……(原文此处似有脱漏,意指年力衰退)。
布涵……(原文此处似有脱漏,意指补益涵养)。
方药:生精羊肉、虎胫骨、肉苁蓉、枸杞子、沙苑子、巴戟肉、牛膝、当归、川石斛。
翁(四十四岁)少腹有形,左胁胀,内发必肌肉麻木,呕吐痰沫不爽,此属肝厥,由乎怀抱抑郁。
方药:淡吴茱萸、川楝子、生香附、南山查、青橘叶、牡蛎。
何(二十二岁)壮年脉芤少神,色痿肉瘦,食进不充形骸,不耐烦劳,乃内损也。节欲养精,安神。
方药:河车、人参、熟地、五味子、山药、茯神、莲肉、芡实。
宋(六十岁)吸受暑热异气,入表中之里,为淋痛溺赤,形肥,素有痰湿,议通太阳。
方药:桂枝、木猪苓、茯苓、萆薢、海金沙、寒水石。
郑(五十九岁)夏至阴生,忽然口颊斜,耳窍无闻,此非外来之邪,皆由男子望六,下元已空,真阳……(原文此处似有脱漏,意指真阳不足)。
方药:熟地、磁石、龟板、丹皮、五味子、天冬、枸杞、苁蓉、菊花炭、川石斛。
方(七十七岁)高年宿疝不愈,入夏阴囊足跗胀大,乃阴脏之真渐竭,腑中阳气不行,一派浊阴迷……(原文此处似有脱漏,意指迷雾蒙蔽)。
方药:白通汤去葱白。
周(五十一岁)正视一物见二,睨视则否。凡积劳气泄阳伤,当夏热气再大泄,虽曰肝窍开目,实……(原文此处似有脱漏,意指实则关乎肝肾)。
方药:桂圆肉、枸杞子、炙黑甘草、五味子、山萸肉、菊花炭。
俞(患者未标年龄)……(原文此处仅有姓氏,无内容)
Cao (46 years old) recounted that last winter, due to anger and consuming rich, greasy foods, he suffered from loss of appetite, belching, epigastric fullness and obstruction, and difficulty swallowing food. Examination revealed a tongue coated with a powdery layer, and no thirst.
Prescription: Magnoliae Officinalis Cortex (Houpo), Tsaoko Cardamom Seed (Caoguo Ren), Ginger Juice, Long Pepper Fruit (Bibo), Raw Alpinia Oxyphylla Fruit (Sheng Yizhi Ren), White Part of Tangerine Peel (Guangpi Bai).
Re-examination: Previously, due to Yang Qi stagnation and turbid pathogen accumulation, with a thick white tongue coating and no desire for drinks, aromatic and acrid-warm methods were effective. Recently, due to dietary indiscretion, the Qi of water and grain has condensed, causing clear Yang to be obstructed again, leading to vomiting. The tongue coating has not yet cleared, and stool is passed as a white, greasy, jelly-like substance; the Fu organ Yang is also declining.
Prescription: Clove Bud Stalk (Gong Dingxiang Bing), Long Pepper Fruit (Bibo), Poria (Fuling), Raw Alpinia Oxyphylla Fruit (Sheng Yizhi Ren), Magnoliae Officinalis Cortex (Houpo), Raw Dried Ginger (Sheng Ganjiang).
Hu (26 years old) experienced sudden Qi moving up and down in pain in the front body, hypochondrium, and abdomen after running fast and exerting himself. Entering the first lunar month, he had chills, sensation of Qi rushing, obstructed breathing, abdominal distension, and horizontal blockage above the navel.
Prescription: Ginseng Radix (Renshen), Poria (Fuling), Clove Bud Stalk (Gong Dingxiang Bing), Sichuan Pepper (Chuanjiao), Meat of Chinese Plum Fruit (Wumei Rou), Stir-fried Yellow Dried Ginger (Chao Huang Ganjiang).
Pan (42 years old) In middle age, the pulse sinks into the Chize area, feeling slow and soggy upon pressure. There is soreness and pain in the lumbar spine, and the body shape is about to become stooped. Every ten days or so, there is blood in the stool. This relates to... [Text implies issues from youth/prime].
Gao (71 years old) In old age, rebellious Qi rises to the right, causing epigastric obstruction that hinders eating, with saliva and foam surging upwards. This belongs to Fanwei (Regurgitation/Vomiting). It is due to Yang Qi knotting and closing, causing invisible injury. Previous medicines... [Text implies adjustment needed].
Prescription: Ginseng Radix (Renshen), Raw Light Dried Ginger (Sheng Dan Ganjiang), Stir-fried Black Aconite Root (Chao Hei Fuzi), Pig Bile (Zhu Danzhi).
Shen (17 years old) Sitting quietly and focusing eyes on embroidery work caused Shaoyang Fire-Heat to rise, and Qi-Blood of the Yangming channel became stagnant and rebellious due to heat, leading to goiter and scrofula. Previous doctors... [Text implies misunderstanding].
Prescription: Raw Turtle Carapace (Sheng Biejia), Moutan Cortex (Mudanpi), Fritillaria Bulb (Chuan Beimu), Cyperi Rhizoma (Xiangfu), Grain Sprout (Guya), Prunella Spike (Xiakucao Hua).
Yang (27 years old) Eating leads immediately to hunger, heart feels empty and easily startled. Menstruation is irregular. The illness started postpartum and lasted over a year without recovery. Self-reported excessive consumption of cold and raw foods. According to theory... [Text implies analysis].
Prescription: Ginseng Radix (Renshen), Poria with Hostwood (Fushen), Honey-fried Licorice Root (Zhicao), Polygonatum Rhizome (Huangjing), Dragon Bone (Longgu), Gold Leaf (Jinbo).
Gu (Age unspecified) Abdominal pain relieves when Qi moves up and down. Treat from the perspective of Fu organ Yang.
Prescription: Ginseng Radix (Renshen), Raw Grain Sprout (Sheng Guya), Poria (Fuling), Baked Ginger (Weijiang), Xinhui Tangerine Peel (Xinhui Pi), Sand Cardamom Shell (Sharen Qiao).
Li (38 years old) Asthma has persisted for a long time, with frequent urination. This is Kidney deficiency failing to grasp Qi, with phlegm-fluids rising with the Qi. Initially, it was an external pathogen, but for several years, mixed use of opening... [Text implies misuse of dispersing agents].
Prescription: Xiao Qinglong Tang minus Ephedra Herb (Mahuang) and Asarum Root (Xixin).
Tang (35 years old) The illness is damage to Yang Qi from overwork. Yang decline fails to circulate normally, clear and turbid ascending/descending are not free, resulting in virtual痞 (Pi syndrome/fullness). The Inner Canon states "Work should be warmed"...
Prescription: Ling Gui Zhu Gan Tang.
Jia (21 years old) Phlegm-blood occurs frequently 7-8 times. Cold sensation hinders eating. There is no rationale for treating phlegm-cough. Urgently support the Post-Heaven Spleen Qi to hope for appetite and food intake.
Prescription: Wu Ji Tang.
Qian (18 years old) In youth, Yin Essence leaked out, Yang has no foundation. Blood follows Qi upward, turning purple and forming clots. This blood comes from Liver collaterals. Method should be sedating and tonifying.
Prescription: Ginseng Radix (Renshen), Stir-fried Black Jujube Seed (Chao Hei Zaoren), Stir-fried White Peony Root (Chao Baishao), Honey-fried Licorice Root (Zhicao), Blue Flower Dragon Bone (Qinghua Longgu), Gold Leaf (Jinbo).
Yao (21 years old) Recalled suffering from throat bi (swollen tonsils/throat) in April, definitely due to warm-heat pathogens attacking upwards. Warmth not fully resolved, lingering pathogen transforms into heat, robbing Lung fluids. Throat dry, itchy, coughing. Prevention... [Text implies preventing progression].
Prescription: Mung Bean Shell (Lvdou Ke), Ophiopogon Tuber (Maidong), Raw Licorice Root (Sheng Gancao), Forsythia Fruit (Lianqiao), South Pollen (Nanhua Fen), Honeysuckle Flower (Jinyinhua), Sugarcane Syrup (Zheshuang Banbei).
Re-examination: Floating heat flares upward, essence leaks downward, causing Yin fluids and Yang essence unwilling to supply upwards. Complexion is sallow and thin, poor appetite. Nourishing Yin might hinder stomach appetite. Moreover, summer-heat throat disease occurred early summer, followed by diarrhea in great heat, making Yin regeneration difficult. First discuss Shuilu Erxian Dan to secure the essence gate.
Prescription: Ginseng Radix (Renshen), Autumn Stone (Qiushi), Euryale Seed (Qianshi), Cherokee Rose Fruit Paste Pill (Jinyingzi Gao Wan).
Gu (43 years old) Constant mental labor disturbs the Heart Spirit. Heart Yang pulls upward, Ministerial Fire rises together, burning Ying fluids. Tongue is the sprout of the Heart, thus feiluo (skin lesions/nodules) arise. Disease originates from... [Text implies root cause].
However, must... [Text implies principle].
Prescription: Tianwang Buxin Dan.
Li (43 years old) During late summer, warm-heat seasonality obstructs Qi level. Following the Inner Canon: "Dampness invading internally, treat with bland leaching, assist with bitter-warm."
Prescription: Calcined Talcum (Fei Huashi), Sichuan Tetrapanax Pith (Chuan Tongcao), Light Bamboo Leaf (Dan Zhuye), Apricot Seed (Xingren), Magnoliae Officinalis Cortex (Houpo).
Ru (35 years old) Usually healthy, but after taking Rehmannia Pills, instead felt Qi attacking and painful in left hypochondrium, waist, and beside navel. Intermittent nocturnal emission, dim vision with floaters, or onset of... [Text implies symptoms].
Kidney... [Text implies location].
Prescription: Angelica Sinensis Root (Danggui), Small Fennel (Xiaohui), Psoralea Fruit (Buguzhi), Walnut Meat (Hutaorou), Poria (Fuling), Pangolin Scales (Chuanshanjia), Stir-fried Yellow Phellodendron Bark (Chao Huangbai), Green Salt (Qingyan).
Lin (18 years old) Dark complexion, thin body, constitution is Yin deficiency with hyperactive fire, fluids insufficient, preferring frozen drinks. In summer heat steaming, must cultivate generating Qi, follow heaven's timing to regulate... [Text implies regulation].
Prescription: Ophiopogon Tuber (Maidong), Anemarrhena Rhizome (Zhimu), Fritillaria Bulb (Chuanbei), Ground Tree Bark (Digupi), Moutan Cortex (Danpi), Mung Bean Skin (Lvdou Pi).
Xiang (28 years old) Heart heat, vertex emptiness. During Yin-Mao hours, leukorrhea occurs. Usually Yin insufficient, Shaoyang Yang moves, Middle Jiao deficiency reduces food intake. Quiet rest until autumn coolness may hope for Yin... [Text implies restoration].
Prescription: Ginseng Radix (Renshen), Biota Seed (Baizi Ren), Salvia Root (Danshen), Asparagus Tuber (Tiantong), Poria (Fuling), Jian Lotus Seed (Jianlian), Dragon Bone (Longgu), White Anemone Root (Baiwei).
Cao (14 years old) Laughter triggers epilepsy/fainting attacks, fewer by day, more by night. Illness started in February, Spring Wood is prosperous, internally corresponding to Jueyin Liver Wood-Fire, which is extreme Yang... [Text implies mechanism].
Wake... [Text implies outcome].
Prescription: Aloe (Luhui), Indigo Naturalis (Qingdai), Gentian Root (Longdancao), Chinaberry Seed (Chuanlianzi), Black Gardenia Fruit (Heishanzhi), White Peony Root (Baishao), Green Tangerine Peel (Qingpi), Angelica Sinensis Tail (Guiwei), Pig Bile (Zhu Danzhi).
Re-examination: Former prescription used pure bitter to directly clear Liver-Gallbladder. Initial dose caused diarrhea. Long-standing illness means Yin division is deficient. Discuss nourishing Yin and harmonizing Yang, adding sour to constrain.
Prescription: Raw Chicken Egg Yolk (Sheng Jizihuang), Donkey-hide Gelatin (Ejiao), Coptis Rhizome (Chuanlian), Phellodendron Bark (Huangbai), Raw White Peony Root (Sheng Baishao), Rice Vinegar (Mi Cu).
Xu (26 years old) Stomach Qi declines, phlegm-blood occurs frequently. Last year, mistaken use of Scrophularia Root (Xuanshen) and Gardenia Fruit (Shanzhi) caused loose stools and diarrhea. This is suffering from slippery cold-cool damage.
Prescription: Renshen Jianzhong Tang.
Zou (53 years old) Wine drinkers have narrow esophagus, previously had epigastric pain. Now, overeating causes regurgitation. Qi obstruction for a long time leads to blood stasis coagulation. Food should be light, to... [Text implies benefit].
Prescription: Peach Kernel (Taoren), Lychnis Powder (Puhuang), Costus Root Powder (Jiangxiang Mo), Perilla Stem (Sugeng), Cyperi Rhizoma (Xiangfu), Tangerine Peel (Juhong).
Cheng (63 years old) Thin body, wasted muscles, constitution leans hot. Worsens in summer-autumn, indicating Yin deficiency cannot endure summer-heat dissipating Qi. Frost Descent brings collecting/suppressing command, floating... [Text implies heat].
Can... [Text implies improvement].
Prescription: Ginseng Radix (Renshen), Cornus Fruit (Yurou), Sichuan Dendrobium Stem (Chuan Shihu), Magnetite (Cishi), Light Autumn Stone (Dan Qiushi), Walnut Meat (Hutaorou), Ligustrum Fruit (Nvzhenzi), Eclipta Herba (Hanliancao).
He (Age unspecified) Phlegm-blood, more in morning, Qi level heat blazing.
Prescription: Gold Stone Dendrobium (Jinshihu), Fritillaria Bulb (Chuanbeimu), Mulberry Leaf (Sangye), South Pollen (Nanhua Fen), Large Polymnia Root (Dashashen), Anemarrhena Rhizome (Zhimu).
Dan (7 years old) Mourning mother's death with weeping, lethargic refusal to eat, yellow face, pale lips, emotional discomfort, generating Yang is depressed and obstructed. Inner Canon says "Thinking is Heart disease," depression must... [Text implies consequence].
Prescription: Ginseng Radix (Renshen), Poria (Fuling), Honey-fried Licorice Root (Zhigancao), Wheat (Huaimaixiao), Alpinia Oxyphylla Fruit (Yizhiren), Acorus Rhizome (Shichangpu).
Yu (Age unspecified) Riding and martial arts practice, hundred vessels vibrate. Movement causes collateral rebellion and pain, blood boils and exits anus. Eating and living are same as usual, not deficiency damage. Generally, Qi is commander of Blood. If Qi is smooth, Blood follows channels. No need to use heavy sinking drugs for blood.
Prescription: Loquat Leaf (Pipaye), Stir-fried Perilla Seed (Chao Suzi), Raw Coix Seed (Sheng Yiren), Gold Stone Dendrobium (Jinshihu), Stir-fried Peach Kernel (Chao Taoren), Costus Root Powder (Jiangxiang Mo).
Wang (46 years old) Looking at a five-year-old child, True Yang is already declined. After eating for 2-3 days, regurgitation and vomiting occur, with undigested forms remaining. Phlegm-saliva and turbid water all come out...
Prescription: Ginseng Radix (Renshen), Pinellia Tuber (Banxia), Poria (Fuling), Soaked Light Evodia Fruit (Pao Dan Wuyu), Raw Light Dried Ginger (Sheng Dan Ganjiang), Night separately take Banshu Wan 1.5 qian.
Jiang (35 years old) Morning diarrhea for years, ankle swelling, cold feet. Early late summer, Earth prosperity begins, knows hunger but fullness/hindrance hinders eating. Recalls two-three semi-abortions without childbirth, Lower Jiao... [Text implies condition].
Ear... [Text implies particle].
Prescription: Ginseng Radix (Renshen), Poria (Fuling), Alpinia Oxyphylla Fruit (Yizhiren), Sand Cardamom Shell (Sharen Qiao), Stir-fried Broad Bean (Chao BianDou), Papaya (Mugua).
Re-examination: Consecutive years of semi-abortion and infertility, mass-diarrhea, ankle swelling. Formerly used Stomach-nourishing and Liver-harmonizing, not treating root disease, set for summer-dampness injury. Discuss securing Lower Jiao Yin, benefiting Middle Palace Yang.
Prescription: Ginseng Radix (Renshen), Yu Liang Shi (Yuliangshi), Purple Quartz (Zishi), Schisandra Berry (Wuweizi), Dodder Seed Cake (Tusibing), Sand Cardamom (Sharen), made into pills with steamed bun dough.
Xing (Age unspecified) Violent anger damages Liver, leukorrhea flows down, followed by intermittent bleeding. All pulses of Chong, Ren, Du, Dai in body hang below half. Doctors use Upper/Middle Jiao dissipating drugs, how can they expect luck? Says menstruation stops leakage/leukorrhea. Onset must have lower abdominal/lumbar pain. This internal heat is blood collateral Yin fluid damage. Loves alcohol, alcohol power enters Liver/Gallbladder first, urgently prohibit. Discuss securing pulses to capture below.
Prescription: Stir-fried Goji Berry (Chao Gouqi), Stir-fried Black Angelica Root (Chao Hei Danggui), White Anemone Root (Baiwei), Mantis Egg Case (Sangpiaoxiao Ke), Blue Flower Dragon Bone (Qinghua Longgu), Raw Purple Quartz (Sheng Zishi), decoction sends Zhenling Dan.
Lu (21 years old) Cold waist, soft sore knees, stranguria/turbid urine, hollow pain in penis after urination. Youth unmarried, this is forced labor damaging essence gate. And bed rest must... [Text implies requirement].
Prescription: Dodder Seed (Tusizi), Raspberry (Fupenzi), Euryale Seed (Qianshi), Astragalus Complanatus Seed (Shayuan), Leek Seed (Jiajiuzi), Psoralea Fruit (Buguzhi),舶 Fennel (Bo Huixiang), Cherokee Rose Fruit (Jinyingzi), Line Fish Glue Pill (Xianyujiao Wan).
Wang (26 years old) Overusing mind, Ying Qi daily thins. Palpitations, dizziness, nocturnal emission, cold fear in lower waist/knees. Yin/Yang imbalance, Heart/Kinter mutual damage, discuss... [Text implies method].
Prescription: Mantis Egg Case (Sangpiaoxiao), Ginseng Radix (Renshen), Poria with Hostwood (Fushen), Blue Flower Dragon Bone (Qinghua Longgu), Gold Leaf (Jinbo), Cynomorium (Suoyang), honey pills.
Yan (Age unspecified) Illness half a year, easy waking at night, sweating, feels Yuan Sea vibrating, abdominal rumbling morning diarrhea. Approaching sixty, not only business fatigue damages Yang, Kidney True also gradually scatters, still discuss securing below method.
Prescription: Ginseng Radix (Renshen), Red Kaolin (Chishizhi), Halloysitum Rubrum (Yuyuliang), Schisandra Berry (Wuweizi), Soaked Light Dried Ginger (Paodan Ganjiang).
Xu (39 years old) Menstruation approaching, coccyx/spine sore pain, this is Du pulse pathway. Moreover, menstrual blood goes through Chong pulse. Frequent childbirth...
Prescription: Deer Antler Velvet (Lurong), Ginseng Radix (Renshen), Angelica Body (Guishen), Stir-fried Black Small Fennel (Chao Hei Xiaohui), Poria (Fuling), Sichuan Dendrobium (Chuanhu).
Tang (21 years old) Menstruation one day, accidentally ate cold food, flow stopped, then fullness/hindrance no eating, hardness/swelling/pain near breast. This is Liver Qi stagnation. Cover... [Text implies explanation].
Prescription: Green Orange Leaf (Qingjuye), Cyperi Juice (Xiangfu Zhi), Leadwort Root (Loulu), Dandelion (Pugongying), Magnoliae Officinalis Cortex (Houpo), Apricot Seed (Xingren).
Xu (28 years old) Postpartum less than ten days, long-distance travel exhausted form/spirit. Returned during mother's mourning, grief/crying damaged emotions. Recalls muscle... [Text implies twitching] easily frightened.
Prescription: Charred Rehmannia Root (Shuditan), Cornus Fruit (Yurou), Dragon Bone (Longgu), Poria with Hostwood (Fushen), Wheat (Huaimaixiao), Southern Jujube Meat (Nanzao Rou).
He (30 years old) Recalls usually thin, illness makes full. Ancient say water creatures grow long. Yin-cold invades right limb, muscle/tendon twitching... [Text implies symptom].
Prescription: Aconite Root (Chuanwu - 1 liang roasted black), Whole Scorpion (Quanxie - 1 liang roasted scorched), Beehive (Fengfang - 5 qian roasted scorched), Natural Pyrite (Zirantong - 5 qian), Musk (Shexiang - 5 fen), stir-fry hot.
Wang (Age unspecified) Lung heat, diaphragm consumption, heat burns rapidly like fire, Zang True Yin daily decreases. First discuss clearing Lung, to calm Qi-fire. Method should be bitter descending lightly, salty tonifying heavily. Next discuss nourishing blood.
Prescription: Withered Scutellaria Root (Ku Huangqin - decoct soup), dissolve Donkey-hide Gelatin (Ejiao - 2 qian).
Sun (33 years old) Walking sprained left leg, tendons relaxed weak. Random meds thrown, 5-6 years not cured, extending to essence/blood internal damage, unable to bind tendons fill... [Text implies structure].
Prescription: Huyang Pian minus Suoyang, add Cynomorium, fine mutton glue pill.
Shi (26 years old) Yin-cold entered inner thigh, road deep. Decoction passes stomach, power is thin, pathogen stuck still. Discuss using Scholar Xu's method.
Prescription: Juantong Dan, each dose 1.2 qian.
Zhao (Age unspecified) Food intake does not fill flesh, Yang damaged back pain, scrotum ice cold. Business/work labor, labor makes Qi乏. Canon says "Labor warms," sweet-warm tonifies Qi to nourish.
Prescription: Angelica (Gui), Jianzhong Tang.
Chen (55 years old) Labor/violent anger, tinnitus vertex distension, dizziness limb numbness. Internal generates fire-wind, all transformation of Jue Yang. Middle age onwards, men's Lower Origin first... [Text implies decline].
Prescription: Rehmannia Root (Shudi), Black Tortoise Plate (Xuanwuban), Spirit Magnetite (Ling Cishi), Schisandra Berry (Wuweizi), Mountain Dogwood Flesh (Shanyurou), Stir-fried Goji (Chao Qizi), Asparagus Tuber (Tiandong), Achyranthes Root (Niuxi), Green Salt (Qingyan).
Cheng (28 years old) Plum overdue (menstruation delayed), illness from emotion depression. Quack doctors don't investigate cause, change prescriptions morning/evening, illness prolongs. Inner Canon says Two Yang's... [Text implies pathology].
Record... [Text implies text].
Examine... [Text implies consideration].
Prescription: Ginseng Radix (Renshen), White Peony Root (Baishao), Chinaberry Seed (Chuanlianzi), Raw Light Dried Ginger (Sheng Dan Ganjiang), Coptis Rhizome (Chuanlian), Chinese Plum Fruit (Wumei), Rough Cinnamon Twig stir-fried charred Angelica Tail (Cu Guizhi Chao Jiao Guishen).
Dong (24 years old) Wind-warm-damp upper received, bi obstructs Qi level. Upward cough/wheeze cannot lie down, downward urine scarce loose stool. Lung governs whole body Qi transformation...
Prescription: Calcined Talcum (Fei Huashi), Poria Peel (Fuling Pi), White Cardamom Seed (Baikou Ren), Bamboo Leaf (Zhuye), Magnoliae Officinalis Cortex (Houpo), Apricot Seed (Xingren), Reed Rhizome (Lugen).
Chen (42 years old) Fatigue, Qi-fire rises more descends less, throat obstruction, phlegm out belching. Alcohol/meat aid heat, phlegm condenses Qi level, Upper Jiao bi blocked.
Prescription: Loquat Leaf (Pipaye), Trichosanthes Peel (Gualou Pi), Costus Root Powder (Jiangxiang Mo),杜 Perilla Seed (Du Suzi), Black Gardenia Peel (Heizhipi), Coix Seed (Yiren).
Song (24 years old) Prime age, sallow swollen complexion, Qi rushes/rebels, must palpitations dizziness. Asked ankles easily cold, intermittent emission. All from fatigue ban... [Text implies action].
Thick with... [Text implies method].
Prescription: Rehmannia Root (Shudi - 4 liang), Cornus Fruit (Yurou - 2 liang), Cynomorium (Suoyang - 2 liang roasted), Poria with Hostwood (Fushen - 4 liang), Schisandra (Wuwu - 1.5 liang), Turtle Carapace Heart (Guijiaxin - 2 liang), Autumn... [Text implies ingredient].
Pill (Method)
Xia (30 years old) Yin tendon called Zongjin, Liver governs it. Cold contracts, heat relaxes/lengthens. Young prime stem flaccidity starts in late summer. Heaven heat already hot, Earth... [Text implies heat].
This... [Text implies nature].
Yang... [Text implies factor].
And scorches tendons causing flaccidity. Method should be bitter to firm Yin, dry to overcome damp, shell to subdue Yang. Damp gone heat clear, naturally has healing time.
Prescription: Raw Tiger Bone (Sheng Hugutou), Rehmannia Root (Shudi), Atractylodes Rhizome (Cangzhu), Phellodendron Bark (Huangbai), Poria (Fuling), Turtle Carapace (Guiban), Hemizygia Shell (Shijueming), Asparagus Tuber (Tiandong).
Zhong (45 years old) Under fifty, flesh wastes food reduces. Not old but declined. Body moves panting urgent, ankles swell by evening. All Kidney True fails to collect/grasp.
Prescription: Kan Qi (Kanzi), Human Milk Powder (Renru Fen), Schisandra Berry (Wuweizi), Walnut Meat (Hutaorou), honey pill, Ginseng Soup sends down.
Wang (33 years old) Fatigue bends mind, form/spirit mutually damaged. Yang Qi rotates, how can collateral blood be quiet? Sweet to缓 heat, tonify to benefit deficiency, must... [Text implies necessity].
Prescription: Ginseng Radix (Renshen), Biota Frost (Baizishuang), Stir-fried Goji (Chao Gouqi), Scorched Angelica Tail (Jiao Guishen), Longan Meat (Guiyuanrou), Honey-fried Licorice (Zhigancao), Dragon Bone (Longgu), Poria with Hostwood (Fushen), Gold Leaf (Jinbo).
Dan (Age unspecified) Due to sprain hypochondriac pain, long time coughs blood. Collateral blood Qi heat internal forces, new blood stasis rebels.
Prescription: Fresh Rehmannia Root (Xian Shengdi), Lotus Node (Oujie), Raw Peach Kernel (Sheng Taoren), Xin Jiang (Xinjia).
Song (Age unspecified) Summer-heat enters Ying, tongue crimson烦 thirst, form/pulse insufficient. Fear pathogen traps spirit confusion.
Prescription: Rhino Horn Tip (Xijiao Jian), South Pollen (Nanhua Fen), Forsythia Heart (Lianqiao Xin), Yi Yuan San (Yiyuansan), Light Bamboo Leaf (Dan Zhuye), Fine Leaf Acorus Juice (Xiye Changpu Zhi).
Cheng (25 years old) Man thinks unfulfilled, Yin fire internal burns, five fluids daily stolen, lone Yang ascends, steams upper orifices, lost Jiao Tai meaning. This non... [Text implies exclusivity].
Resolve... [Text implies solution].
Medicine... [Text implies treatment].
Prescription: Fine Rehmannia Root (Xi Shengdi), Clear Donkey-hide Gelatin (Qing Ejiao), Pig Spine Tendon (Zhu Jijin), Asparagus Tuber (Tiandong), Sichuan Dendrobium (Chuan Shihu).
Jiang (24 years old) Long term chest right有形, thin, fears wind/cold. Lying down coughs phlegm-foam. Treating phlegm-fluid must distinguish diet, food intake extremely low.
Prescription: Ling Gui Zhu Gan Tang.
Xu (Age unspecified) Hu hernia Qi drops.
Prescription: Deer Antler Velvet (Lurong), Large Fennel (Da Hui), Angelica Root (Danggui), Astragalus Complanatus Seed (Shayuan), Dried Cynomorium (Gan Congrong), Ginger (Shengjiang), Cinnamon Bark (Rougui), Mutton Pill (Yangrou Wan).
Xu (17 years old) Menstruation not yet arrived, late spring early summer phlegm-blood, thin body tinnitus, eats past like hunger, hungry no intake. Liver Yin not generated, heat self internal burns.
Prescription: Fine Rehmannia Root (Xi Shengdi), Asparagus Tuber (Tiandong), Biota Seed (Baiziren), Salvia Root (Danshen),泽 Lan (Zelan), Anemarrhena Rhizome (Zhimu).
Cao (Age unspecified) Acrid-warm aromatic, opens Qi soothes depression, vomits blood cake, vomiting instantly reduces. Because Qi blocks blood stasis, blocks epigastric ascending/descending path causing pain. Since taking medicine, slightly desires drink, but stool dry. Knows not solely acrid-warm.
Prescription: Green Onion (Qingcong), Peach Kernel (Taoren), Angelica Tail (Guiwei), Hemp Seed (Maren), Apricot Seed (Yuliren), Okra Seed (Dongkui Zi).
Re-examination: Stasis gone, belching intermittent vomit. This stale rot not swept, is invisible accumulation. Use acrid-aromatic cool slippery treat.
Prescription: Fresh Shengtou Grass (5 qian) boil water soup mix in Bamboo Sap (5 qian), divide three times take.
Sun (28 years old) Around waist near navel, long pain if empty. Deep autumn to winter, four limbs not warm. This from youth essence not full vigorous early leak, once damaged hard recover...
Prescription: Deer Antler Velvet (Lurong), Light Cynomorium (Dan Congrong), Morinda Root (Ba Ji), Angelica Root (Danggui), Poria (Fuling), Tiger Knee Bone (Huxigu), Achyranthes Root (Niuxi), Large Fennel (Da Hui), Mutton Glue Pill (Yangrou Jiao Wan).
Wu (24 years old) Essence turbid long time, walking weak, eats cold mouth spits acid water. Yang Qi weak, treat in Spleen/Kidney.
Prescription: Alpinia Oxyphylla Fruit (Yizhiren), Leek Seed (Jiajiuzi), Raspberry (Fupenzi), Legume Seed (Huluba), Polygala Root (Yuanzhi), Small Fennel (Xiaohui), Dodder Seed (Tusizi), Cherokee Rose Fruit Paste Pill (Jinying Gao Wan).
Wang (45 years old) Yang knots upper, Yin leaks lower. Morning diarrhea mostly due to Kidney deficiency. Yin damage affects Yang, stomach appetite self tired. Tongue fears spicy, refuses Gui/Fu.
Prescription: Ginseng Radix (Renshen), Halloysitum Rubrum (Yuyuliang), Red Kaolin (Chishizhi), Schisandra Berry (Wuweizi), Sand Cardamom Powder (Sharen Mo).
Zhou (37 years old) Essence leak every other day, Yin fire suddenly rushes. Spirit chaotic muscle/tendon twitching. This Yin doesn't love Yang. Tonify deficiency sedate capture converge. Luckily young stomach appetite...
Prescription: Rehmannia Root (Shudi), Cornus Fruit (Yurou), Schisandra (Wuwu), Dragon Bone (Longgu), Lake Lotus (Hulian), Poria with Hostwood (Fushen), Polygala Root (Yuanzhi).
Shao (68 years old) Approaching seventy man, Lower Origin must deficient. Labor/worry, Yang falls into Yin. Essence corrupt turns purple-black color. Old exits orifice, new recover... [Text implies generation].
Should clear... [Text implies method].
Prescription: Fine Rehmannia Root (Xi Shengdi), Clear Donkey-hide Gelatin (Qing Ejiao), Black Soybean Skin (Heidou Pi), Red Peony Root (Chishao), Moutan Cortex (Danpi), Child Urine one cup冲 enter.
Zhou (50 years old) Yang Wei pulse runs outer ankle. Meet labor/form handling, Huantiao/ankle bone sore numb pain. Danxi says: Numb is Qi deficiency. Because age strength already... [Text implies decline].
Bu Han... [Text implies nourish].
Prescription: Raw Essence Mutton (Sheng Jing Yangrou), Tiger Tibia Bone (Hu Jinggu), Cynomorium (Rou Congrong), Goji Berry (Gouqizi), Astragalus Complanatus Seed (Shayuan), Morinda Root (Baji Rou), Achyranthes Root (Niuxi), Angelica Root (Danggui), Sichuan Dendrobium (Chuan Shihu).
Weng (44 years old) Lower abdomen有形, left hypochondrium distension. Internal onset must muscle numbness, vomit phlegm-foam unsatisfactory. This belongs to Liver Jue, due to bosom depression.
Prescription: Light Evodia Fruit (Dan Wuyu), Chinaberry Seed (Chuanlianzi), Raw Cyperi Rhizoma (Sheng Xiangfu), South Hawthorn (Nanshan Cha), Green Orange Leaf (Qingjuye), Oyster Shell (Muli).
He (22 years old) Prime age pulse Kou lacks spirit, sallow color thin flesh. Food intake doesn't fill body. Can't bear fatigue. This internal damage. Restrict desire nourish essence, calm spirit...
Prescription: Placenta (Heche), Ginseng Radix (Renshen), Rehmannia Root (Shudi), Schisandra (Wuwu), Yam (Shanyao), Poria with Hostwood (Fushen), Lotus Meat (Lianrou), Euryale Seed (Qianshi).
Song (60 years old) Inhales summer-heat strange Qi, enters surface-inside. Causes stranguria pain red urine. Fat body, usually has phlegm-damp. Discuss open Taiyang.
Prescription: Cinnamon Twig (Guizhi), Wood Polyporus (Mu Zhuling), Poria (Fuling), Dioscorea Hypoglauca Rhizome (Bixie), Semina Oroxyli (Haijinsha), Calcite (Hanshuishi).
Zheng (59 years old) Summer Solstice Yin born. Suddenly mouth cheek skew, ear hole no hearing. This not external pathogen. All because man approaches sixty, Lower Origin already empty, True Yang... [Text implies insufficiency].
Prescription: Rehmannia Root (Shudi), Magnetite (Cishi), Turtle Carapace (Guiban), Moutan Cortex (Danpi), Schisandra (Wuwu), Asparagus Tuber (Tiandong), Goji (Gouqi), Cynomorium (Congrong), Chrysanthemum Charcoal (Juhua Tan), Sichuan Dendrobium (Chuanhu).
Fang (77 years old) High age chronic hernia not cured. Entering summer scrotum/ankle swelling big. This Yin Zang True gradually exhausts, Fu middle Yang Qi not moves. A batch of turbid Yin confuses... [Text implies obscuring].
Prescription: Baitong Tang minus Scallion White (Congbai).
Zhou (51 years old) Look straight one object sees two, look sideways then no. All accumulated labor Qi leak Yang damage. When summer heat Qi again large leak. Although say Liver orifice opens eye, actually... [Text implies reality].
Prescription: Longan Meat (Guiyuanrou), Goji Berry (Gouqizi), Honey-fried Black Licorice (Zhhei Gancao), Schisandra (Wuweizi), Mountain Dogwood Flesh (Shanyurou), Chrysanthemum Charcoal (Juhua Tan).
Yu (Age unspecified)... [Text ends with surname only]