生地 阿胶 麻仁 炒麦冬 生白芍 茯神
洪
劳心营耗，风火交炽，饮啖酒肉，湿热内壅，络虚脉实，肉肿如痹。当此小满，阳气大
泄，一阴未复，致内风挟阳上巅，耳目孔窍不清，舌苔黄浓，并不大渴，虽与客热不同，但
口中酸浊吐痰，酒客不喜甘药，议进滋肾丸。
王
风温上肿，气窒不饥，仍从上治。
活水芦根 兜铃 白蔻仁 杏仁 大豆黄卷 生苡仁 干蟾丸五丸
李
温湿热蒸伤脾胃，身热泄泻。
黄芩 生白芍 滑石 猪苓
俞
秽浊缠染，口鼻吸受时序雨潮之湿，亦属不正异气。此芳香开气，淡渗利湿，一定成法
白蔻仁 藿香根 嫩竹叶 杏仁 大豆黄卷 浓朴 滑石
廖
脉细，自痢泻血，汗出淋漓，昏倦如寐，舌紫绛，不嗜汤饮，两月来，悠悠头痛，乃久
积劳伤，入夏季发泄，阳气冒巅之征。内伤误认外感，频投苦辛消导，大劫津液，少阴根底
欲撤，阳从汗泄，阴从下泄，都属阴阳枢纽失交之象，此皆见病治病，贻害不浅。读长沙圣
训，脉细欲寐，列于少阴篇中，是摄固补法，庶可冀其散而复聚。若东垣 术诸方，乃中焦
脾胃之治，与下焦少阴无预也。
人参 禹粮石 赤石脂 五味子 木瓜 炙草
此仲景桃花汤法，原治少阴下痢。但考诸本草，石脂余粮乃手足阳明固涩之品，非少阴
本脏
关，
薛
（奶奶）疝瘕痛在少腹左旁，病伤厥阴络脉，宗仲景法。
当归（三钱） 生精雄羊肉切片漂去血水 生姜（一钱） 炒黑小茴香（一钱）
徐
目黄脘闷，汗多呕吐，湿胜，症属脾疟。
浓朴 炒半夏 草果 藿香根 白蔻仁
袁
头旋目暗心悸，不渴不饥，勉强进食，二便自通，不致胀阻，病经卧床一月。东垣云∶
久病不知饥饱，不见皮枯毛瘁，乃痰饮为患。当阳气上升时令，恐延痰厥。
炒焦熟半夏 枳实 高粱米 茯苓 姜汁
华
戊申三月廿一日起恙，至四月初一日诊脉虚促，舌微肿，心悸，神恍惚，遂肌麻痹遗泄
昼夜卧不成寐，腰以下痿软，不胜坐立。此属阴液素亏，值春夏之交，阳气发泄，阴乏恋
加以步趋嗔怒。都令五志中阳大动，诚如内经烦劳则张，精绝，辟积于夏，令人煎厥薄
谓。盖张指阳气之弛张，精绝谓真阴之内夺，木失水涵，肝风大动，皆为厥之因也。法
浓固阴，甘缓和阳，内风熄，可冀悸定安寐。倘执方书不寐投以温胆汤，或畏虚乱补，
明阴阳脏腑之先后矣。
人参（一钱半） 茯神（三钱） 真阿胶（二钱） 麦冬（一钱） 生牡蛎（三钱） 龙
骨（三钱） 生
又
己酉岁正月初九日诊，梦寐欲遗，丸方∶
人参（二两） 熟地（四两） 河车胶（一具） 五味（一两半） 复盆子（一两半） 菟
丝子（一两半
周
病小愈，即食腥滞粘腻之物，胃阳尚弱，秽浊痞结，中焦不运，阳气不行，大便七八日
不更衣，舌自涎涌，鼻觉气秽，清浊混乱。所服之药半系辛寒，不究阳伤，致缠绵逾月。先
用来复丹，每服一百粒，姜汤送下。
汪
日前议味淡轻扬，少佐微辛，正合经言肺欲辛之旨；然发表之，辛则升；开泄之，辛则
降。夫肺主一身之气，清空之体义不受浊。前云秽瘴上入，肺位最高，受戕最先，因失治而
漫延中下。内经色诊谓从上病者治其上，斯源清流洁矣。
水芦根 白通草 山茵陈 生苡仁 浙茯苓 桑皮 研入白蔻仁末 卧时服威喜丸二钱
又
湿阻经络为痛，初在虚里穴，渐延肋背附骨，日来背部发现湿症，微微红色，此湿邪由
气及于血分。丸药攻滞，仅走肠中，未能引经宣通。所用气分肺药，咳喘浊痰已缓。今经络
久痛，当以三因痹症参看。
制蒺藜 通草 木防己 炒焦半夏 生苡仁 浙茯苓 炒熟石膏
陈
大雨潮湿，下痢都是阴寒。服黄连阳伤 胀。继虽用温，又是守中。今二便不爽，胀必
兼痛。腑为阳，阳宜通，通则浊阴不聚，痛胀自减。
大针砂丸每服一钱二分
金
（娘娘）少腹酸郁不和，据述因寒湿而起。缘产后精采不复，冲任已空，跷维不摄，经
言阳
清
人参 紫石英 炒归身 鹿角霜 炒杞子 茯苓 接服斑龙丸加参。
舒
口鼻触入臭秽浊气，蒙闭心胞，遂心胸痛呕瘀血，且欲昏闭，即方书中恶之症。苏合香
丸，能辟秽恶之邪。若误认阴症，擅投桂附，则抱薪救火矣。
苏合香丸二丸
张
（小姐）时时惊恐，不食不便，状如神附，头面肌浮，舌强唇肿，寤不能寐，夜多妄言，
经
吴
厥阴头痛，舌干消渴，心下烦痛，无寐多躁，少腹胀满，小溲滴沥，时时痉搐，最怕厥
竭。
阿胶 鲜生地 鸡子黄 小黑 豆皮 煎半盏送滋肾丸二钱。
顾
幼稚哮喘，由外来风寒，必从肺治，因过食甘腻，必兼理胃，久发不已，病气蔓延，不
独在肺胃间矣。故因劳致发，遇冷而发，乃卫阳已虚，烦动火升面赤，皆肾阴内怯，虽非色
欲之损，然因病致虚也。须知病是有余，体属不足，不可徒用攻痰逐气，取快一时。当未发
之时，病机潜伏，只宜培土以运痰，土旺则肺气充，壮水纳气以益肾，子气充长，母气自强
，此为子母相生之治，守之日久，发作自缓。况宿病无急攻之法，或寓攻于补，或攻补互施
。然寒暄饮食调摄，于此症尤当加慎。
早上服补纳肾气方∶
姜汁制熟地 生白芍 怀山药 丹皮 云苓 紫衣胡桃肉 咸秋石 泽泻 蜜丸桐子大
午后服健中运湿方∶
人参 熟半夏 新会皮 茯苓 枳实 地栗粉 金石斛 汤法丸
王
湿郁热蒸，必阳气鼓运，湿邪乃解，是寒战后身痛已缓，盖湿从战而气舒，战后阳气通
和，为身热汗出耳。但脉濡神倦，余邪未尽，正气已虚，有转疟之象。用大半夏汤，通补阳
明。
人参 半夏 茯苓 姜汁
苏
早食暮吐，大便不爽，病在中下，初因劳伤，胃痛痰瘀，有形之阻。
桃仁 半夏 韭汁 枳实
姚
老年伏气温邪，五十日不解，脘痞不饥，心中胁内独热，药下咽则呕，痰多呃逆，舌焦
微渴，四末微冷。此胃伤已极，久乏谷气，致津液不复，气机郁闷。用药须忌苦燥辛温妨胃。
先议芳香轻清，兼以谷气开醒上中。
香梗露 香橼露 玫瑰露 银花露 米浆
刘
瘕聚攻触中脘，心痛映背，呕吐涎沫。凡久病病必在络，络空必成胀满。已经旦食苟安
暮食痛呕，其胃中清阳久失旋运之司，饮食尚助呕胀，焉能承受汤药，病退无期，颇为棘
阅古方书，于久病有形，通剂是议。先拟通阳，改投小丸。
一味阿魏丸朱砂为衣，服五分。
张
形寒手足痛，肌肉渐肿，劳力行走，阳气受伤，客邪内侵，营卫失和。仿局方痹在四肢
汗出阳虚者，与黄 五物汤。
黄 桂枝 茯苓 炙草 当归 煨姜 南枣
胡
胸臆不爽，食入内胀，粪后便血，病已二年。诊脉左小涩，右微弦，食减形瘦，是内伤
悒郁。初病在气，久延血络。而瘀腐色鲜，血液皆下，从怒劳血郁治。
桃仁 杏仁 柏子仁 归尾 紫菀 冬葵子
费
脐下有形攻触，气上则呕吐，降下则失气胀消，腹中必有浊滞阻塞。椒附难投，仅能开
无形阴浊。老年阳衰，不可遽投攻下。用半硫丸一钱，俾腑阳流通，滞浊自去。
丁
脉右弦，脘痛映背，得呕痛发，气鸣痛缓。乃胃气少降，寒暄七情皆令痛发，病属肝胃
议河间金铃子散。
金铃子 延胡 炒半夏 姜汁 茯苓 橘红
杜
酒客胃中酿热，嗔怒亦令肝阳犯胃，今纳谷脘中微痛，乃阳逆失降。酒家忌用甘腻，辛
苦清降，平肝和胃治之。
川连 吴萸 半夏 姜汁 茯苓 橘红 竹沥
王
清明谷雨，气候已暖，所感温邪，从口鼻吸受，自上及中为三焦病；羌防乃散足太阳风
寒表邪。温病篇云∶误用辛温表散，即为重劫津液。今头身痛，咽痛，心胸烦闷，视其舌，
心灰黄，边紫绛，渴饮不能下咽，斑疹隐隐，津涸，呼吸渐闭，所谓一逆尚引日再逆促命期
矣。重症之尤，勿与目下时行客邪同视。
玄参 连翘 银花 白金汁（冲） 大豆黄卷 飞滑石 象贝 川通草
钱
肝藏魂，因怒则诸阳皆动，所见病情，皆属阳动化风而为厥，故凡属厥症，都隶厥阴。
考内经治肝之法，不外辛以理用，酸以治体，甘以缓急。今肝阴素亏之体，骤加暴怒，病已
浃旬，液涸阳亢，急急镇固收摄，犹虑弗及。阅所服诸方，仅以泄肝为用，平肝为事，肤浅
庸劣，一至于此。不知补法，都以子母相生同治，盖壮水则木得滋荣，阴充则风阳自熄，医
不师古，尚敢称虚道实耶。
生地 阿胶 麦冬 人参 金箔 生鸡子黄
谢
疟热伤阴，心腹中热，浮阳升降，鼻衄汗出，遗精便难。此因疟加病，久卧气机呆钝，
食入难消。然调脾胃之药，皆气胜助燥，施于液亏体质，于理有悖。
焦谷芽 生地炭 炒知母 制首乌 鳖甲 白芍
服二剂后接服后方∶
谷露 人参 麦冬 鲜生地 北五味
汪
久遗溲溺，淋沥三年，下焦常冷，脊膂腰髀疼楚如坠。此肾脏虚寒，但填精固涩多进不
应，是督任三脉失司，粘腻涩药，未能走入奇经，仿孙真人九法中采用。
鹿茸 补骨脂 家韭子 蛇床子 生菟丝子 复盆子 金樱子 琐阳 生杜仲 炙草
茯苓
蒋
病已三载，仍然能寝能食，谅非脏腑虚损。自述冷气或聚胸臆，或贯胁肋，水饮下咽，
有声，气得下降，宛若病去。此必支脉结饮，久久阻遏气隧流行，决非重坠攻逐以及温
补腻浊可治。盖脉络为病，非辛香何以开郁，议宣通气血方法。
降香 枇杷叶 郁金 橘红 苏子 桔梗 苡仁 桑叶 淡姜渣
金
动气兼有遗精已是下焦阴阳虚损。况久病欲进温养，必须通摄，桂附气雄而刚，非下损
药也。
淡苁蓉 补骨脂 胡桃肉 生菟丝子 复盆子 家韭子 舶茴香 茯苓
安
脉小数色苍，心痛引背，胁肋皆胀，早上牙宣龈血，夜寐常有遗泄。此形质本属木火，
加以性情动躁，风火内燃，营阴受劫，故痛能进食。历来医药治痛，每用辛温香窜，破泄真
气。不知热胜液伤，适令助其躁热，是经年未能痊期。议以柔剂，熄其风，缓其急，与体质
病情，必有合 之机。
细生地 阿胶 牡蛎 玄参 丹参 白芍 小麦 南枣
季
秋疟愈未撤消，冬季连次感触温邪，老年平素有痰嗽本恙，温风烁肺气，劫胃汁，致痰
多咳甚欲呕，脉数，倏热，右胁常痛，火色升于右颊。由胃津渐伤，肺不主降，而升腾莫制
。古称肺乃柔金，胃为阳土，已经百日缠绵，开提半属苦辛，辛泄肺气，苦再伤胃，致不思
纳食。议甘药濡胃润肺，胃汁自充，肺气自降，土旺生金，古贤定法。
玉竹 麦冬 花粉 甜杏仁 橘红 蔗浆
秦
老年肿胀，四肢俱冷，皆阳气衰惫，浊阴僭踞。盖脾阳主运，肾阳司纳，今食入愈胀，
二便不爽，中下之阳消乏，岂可小视此病。
炮黑附子 淡干姜 生白术 生浓朴 茯苓 泽泻
尤
由肝气升举犯胃，胃逆不降，幽门不通，旁趋为胀，数月久延，气分已入血分。
桃仁 郁李仁 降香 归须 川楝 山栀
严\x
两寸脉独搏，不饥不食，上焦气分之阻；时当仲夏，必有湿热客气内伏。
半夏曲 栝蒌皮 滑石 黄芩 通草 杏仁
【背景信息】
书名：种福堂公选良方 作者：叶桂原著、华岫云编 朝代：清 章节：续医案(3/3) 类别：方剂
【待处理原文】
生地（Rehmanniae Radix） 阿胶（Asini Corii Colla） 麻仁（Cannabis Semen） 炒麦冬（Fried Ophiopogonis Tuber） 生白芍（Raw Paeoniae Radix Alba） 茯神（Poria with Hostwood）
洪
劳心过度导致营阴耗损，风火邪气交相炽盛，加之饮食酒肉，致使湿热内蕴壅滞。络脉空虚而脉象实大，肌肉肿胀如同痹证。正值小满节气，阳气大量泄越，一阴之气尚未恢复，导致内风挟带阳气上冲头顶，耳目及孔窍感觉不清爽，舌苔黄厚浓腻，但并不感到大渴。虽然这与外感客热不同，但口中酸浊并吐痰，且嗜酒之人不喜欢甘味药物，故建议服用滋肾丸（Zishen Wan, Nourishing Kidney Pill）。
王
风温之邪上攻导致肿胀，气机窒塞而不思饮食，仍应从上部治疗。
活水芦根（Fresh Reed Rhizome） 兜铃（Halesia Fruit） 白蔻仁（White Cardamom Seed） 杏仁（Apricot Kernel） 大豆黄卷（Sojae Semen Praeparatum） 生苡仁（Raw Coix Seed） 干蟾丸（Dried Toad Pill）五丸
李
温热湿邪蒸腾损伤脾胃，出现身体发热和泄泻。
黄芩（Scutellaria Root） 生白芍（Raw Paeoniae Radix Alba） 滑石（Talcum） 猪苓（Polyporus）
俞
秽浊之气缠染，口鼻吸入时序雨潮带来的湿气，这也属于不正的异气。此法采用芳香之气开通气机，淡渗之品利湿，是固定的成法。
白蔻仁（White Cardamom Seed） 藿香根（Agastache Root） 嫩竹叶（Young Bamboo Leaf） 杏仁（Apricot Kernel） 大豆黄卷（Sojae Semen Praeparatum） 浓朴（Magnolia Bark） 滑石（Talcum）
廖
脉象细弱，自行痢疾便血，汗出淋漓，昏沉疲倦如同睡眠，舌质紫绛，不喜欢喝汤水。两个月来，头痛悠悠不绝，这是长期积劳内伤，进入夏季后发泄，阳气冒犯头顶的迹象。将内伤病误认为外感病，频繁投用苦辛消导药，严重劫夺津液，少阴根本动摇欲撤，阳气随汗外泄，阴液随下利流失，这都是阴阳枢纽失于交济的现象。这些都是见病治病，贻害不浅。研读长沙圣训（指张仲景《伤寒论》），脉细欲寐，列在少阴篇中，这是摄固补益的方法，或许可以期望正气散而复聚。如果像李东垣那样的术类方剂，乃是治疗中焦脾胃的，与下焦少阴无关。
人参（Ginseng Root） 禹粮石（Illite Clay） 赤石脂（Red Halloysite） 五味子（Schisandra Fruit） 木瓜（Chaenomelis Fruit） 炙甘草（Honey-fried Licorice Root）
此乃张仲景桃花汤（Taohua Tang, Peach Blossom Decoction）之法，原本治疗少阴下痢。但考证诸本草，石脂余粮（禹余粮和赤石脂）乃是手足阳明经固涩的药物，并非少阴本脏的药物。
关
薛
（奶奶）疝瘕疼痛位于少腹左侧，病情损伤了厥阴络脉，遵循张仲景的法度。
当归（Angelica Sinensis Root, three qian） 生精雄羊肉切片漂去血水（Fresh Lean Mutton Slices Washed to Remove Blood Water） 生姜（Fresh Ginger, one qian） 炒黑小茴香（Charred Fennel Seed, one qian）
徐
眼睛发黄，胃脘闷胀，汗多呕吐，湿邪偏胜，症状属于脾疟（Spleen Malaria）。
浓朴（Magnolia Bark） 炒半夏（Fried Pinellia Tuber） 草果（Black Cardamom Fruit） 藿香根（Agastache Root） 白蔻仁（White Cardamom Seed）
袁
头晕眼花心悸，不渴不饥，勉强进食，二便自通，不至于胀阻，生病卧床一个月。李东垣说：久病不知道饥饱，不见皮肤干枯毛发憔悴，这是痰饮为患。当阳气上升的时令，恐怕延宕成痰厥（Phlegm-Jue）。
炒焦熟半夏（Charred Pinellia Tuber） 枳实（Immature Bitter Orange） 高粱米（Sorghum Grain） 茯苓（Poria） 姜汁（Ginger Juice）
华
戊申年三月二十一日发病，至四月初一日诊脉虚促，舌微肿，心悸，神志恍惚，随即肌肤麻痹遗精，昼夜卧不成寐，腰部以下痿软，不能胜任坐立。这属于阴液素来亏虚，正值春夏之交，阳气发泄，阴液缺乏留恋（制约阳气），加上步趋嗔怒。都令五志中的阳气大动，诚如《内经》所说“烦劳则张，精绝，辟积于夏，令人煎厥薄”。所谓“张”指阳气的弛张，“精绝”谓真阴的内夺，木失水涵，肝风大动，都是导致厥证的原因。治法应当浓固阴液，甘缓和阳，内风熄止，可期望心悸定、安寐。如果执着于方书，对不寐投以温胆汤（Wendan Tang, Gallbladder-Warming Decoction），或者畏惧虚证乱补，就不明白阴阳脏腑的先后顺序了。
人参（Ginseng Root, one and a half qian） 茯神（Poria with Hostwood, three qian） 真阿胶（True Donkey-hide Glue, two qian） 麦冬（Ophiopogon Tuber, one qian） 生牡蛎（Raw Oyster Shell, three qian） 龙骨（Dragon Bone, three qian） 生...（原文此处似有缺漏或排版错误，结合上下文推测可能为生地黄或其他滋阴药，但依原文仅译可见部分）
又
己酉年正月初九日诊，梦寐欲遗，丸方：
人参（Ginseng Root, two liang） 熟地（Prepared Rehmannia Root, four liang） 河车胶（Placenta Gelatin, one piece） 五味（Schisandra Fruit, one and a half liang） 复盆子（Raspberry Fruit, one and a half liang） 菟丝子（Dodder Seed, one and a half liang）
周
病情稍愈，就吃腥膻粘滞油腻之物，胃阳尚弱，秽浊痞结，中焦不运化，阳气不行，大便七八天不大便，舌面自涌涎水，鼻子闻到气味秽浊，清浊混乱。所服用的药物半系辛寒，不究阳气受伤，导致缠绵超过一个月。先用来说复丹（Laifu Dan, Restoring Pill），每次服用一百粒，姜汤送下。
汪
日前讨论味道淡而轻扬，少佐微辛，正符合经文“肺欲辛”的宗旨；然而发表时，辛则升；开泄时，辛则降。肺主一身之气，清空之体义不受浊。前文说秽瘴上入，肺位最高，受戕最先，因失治而漫延中下。《内经》色诊谓从上病者治其上，这样源清流洁了。
水芦根（Water Reed Rhizome） 白通草（White Tetrapanax Stem） 山茵陈（Mountain Artemisia Capillaris） 生苡仁（Raw Coix Seed） 浙茯苓（Zhejiang Poria） 桑皮（Mulberry Root Bark） 研入白蔻仁末（Mixed with Powder of White Cardamom Seed） 卧时服威喜丸（Weixi Wan, Weiyi Pill）二钱
又
湿阻经络导致疼痛，初在虚里穴（Xuli Acupoint, located at the apex of the heart），渐延肋背附骨，日来背部发现湿症，微微红色，这是湿邪由气分波及血分。丸药攻滞，仅走肠中，未能引经宣通。所用气分肺药，咳喘浊痰已缓。今经络久痛，应当参考三因痹症（Bi Syndrome from Three Causes）来看。
制蒺藜（Processed Tribulus Fruit） 通草（Tetrapanax Stem） 木防己（Stephania Root） 炒焦半夏（Charred Pinellia Tuber） 生苡仁（Raw Coix Seed） 浙茯苓（Zhejiang Poria） 炒熟石膏（Calcined Gypsum）
陈
大雨潮湿，下痢都是阴寒。服用黄连导致阳气受伤腹胀。继虽用温药，又是守中（固守中焦）。如今二便不爽，胀必兼痛。腑为阳，阳宜通，通则浊阴不聚，痛胀自减。
大针砂丸（Da Zhensha Wan, Large Magnetite Pill）每服一钱二分
金
（娘娘）少腹酸郁不和，据述因寒湿而起。缘产后精采不复，冲任已空，跷维不摄，经言阳...（原文此处似有缺漏）
清
人参（Ginseng Root） 紫石英（Fluorite） 炒归身（Fried Angelica Sinensis Root Body） 鹿角霜（Deer Antler Glue Residue） 炒杞子（Fried Goji Berry） 茯苓（Poria） 接服斑龙丸（Banlong Wan, Spotted Dragon Pill）加参。
舒
口鼻触入臭秽浊气，蒙闭心胞，遂心胸痛呕瘀血，且欲昏闭，即方书中恶之症。苏合香丸（Suhexiang Wan, Styrax Pill），能辟秽恶之邪。若误认阴症，擅投桂附（Cinnamon and Aconite），则抱薪救火矣。
苏合香丸（Suhexiang Wan, Styrax Pill）二丸
张
（小姐）时时惊恐，不食不便，状如神附，头面肌浮，舌强唇肿，寤不能寐，夜多妄言，经...（原文此处似有缺漏）
吴
厥阴头痛，舌干消渴，心下烦痛，无寐多躁，少腹胀满，小溲滴沥，时时痉搐，最怕厥竭（Jue Exhaustion）。
阿胶（Donkey-hide Glue） 鲜生地（Fresh Rehmannia Root） 鸡子黄（Egg Yolk） 小黑豆皮（Black Soybean Skin） 煎半盏送滋肾丸（Zishen Wan, Nourishing Kidney Pill）二钱。
顾
幼稚哮喘，由外来风寒，必从肺治，因过食甘腻，必兼理胃，久发不已，病气蔓延，不独在肺胃间矣。故因劳致发，遇冷而发，乃卫阳已虚，烦动火升面赤，皆肾阴内怯，虽非色欲之损，然因病致虚也。须知病是有余，体属不足，不可徒用攻痰逐气，取快一时。当未发之时，病机潜伏，只宜培土以运痰，土旺则肺气充，壮水纳气以益肾，子气充长，母气自强，此为子母相生之治，守之日久，发作自缓。况宿病无急攻之法，或寓攻于补，或攻补互施。然寒暄饮食调摄，于此症尤当加慎。
早上服补纳肾气方（Morning Formula for Supplementing and Grasping Kidney Qi）：
姜汁制熟地（Ginger-juice Processed Prepared Rehmannia） 生白芍（Raw Paeoniae Radix Alba） 怀山药（Huai Yam） 丹皮（Moutan Cortex） 云苓（Yunnan Poria） 紫衣胡桃肉（Purple-skinned Walnut Meat） 咸秋石（Salted Human Urine Crystals） 泽泻（Alisma Rhizome） 蜜丸桐子大（Honey Pills sized like Tung Seeds）
午后服健中运湿方（Afternoon Formula for Strengthening Middle and Moving Dampness）：
人参（Ginseng Root） 熟半夏（Prepared Pinellia Tuber） 新会皮（Xinhui Tangerine Peel） 茯苓（Poria） 枳实（Immature Bitter Orange） 地栗粉（Water Chestnut Powder） 金石斛（Golden Dendrobium） 汤法丸（Decoction Method Pills）
王
湿郁热蒸，必阳气鼓运，湿邪乃解，是寒战后身痛已缓，盖湿从战而气舒，战后阳气通和，为身热汗出耳。但脉濡神倦，余邪未尽，正气已虚，有转疟之象。用大半夏汤（Dabanshang Tang, Major Pinellia Decoction），通补阳明。
人参（Ginseng Root） 半夏（Pinellia Tuber） 茯苓（Poria） 姜汁（Ginger Juice）
苏
早食暮吐，大便不爽，病在中下，初因劳伤，胃痛痰瘀，有形之阻。
桃仁（Peach Kernel） 半夏（Pinellia Tuber） 韭汁（Leek Juice） 枳实（Immature Bitter Orange）
姚
老年伏气温邪，五十日不解，脘痞不饥，心中胁内独热，药下咽则呕，痰多呃逆，舌焦微渴，四末微冷。此胃伤已极，久乏谷气，致津液不复，气机郁闷。用药须忌苦燥辛温妨胃。
先议芳香轻清，兼以谷气开醒上中。
香梗露（Perfumed Rice Stem Distillate） 香橼露（Citron Distillate） 玫瑰露（Rose Distillate） 银花露（Honeysuckle Distillate） 米浆（Rice Milk）
刘
瘕聚攻触中脘，心痛映背，呕吐涎沫。凡久病病必在络，络空必成胀满。已经旦食苟安暮食痛呕，其胃中清阳久失旋运之司，饮食尚助呕胀，焉能承受汤药，病退无期，颇为棘手。
阅古方书，于久病有形，通剂是议。先拟通阳，改投小丸。
一味阿魏丸（Asafoetida Pill）朱砂为衣，服五分。
张
形寒手足痛，肌肉渐肿，劳力行走，阳气受伤，客邪内侵，营卫失和。仿局方痹在四肢汗出阳虚者，与黄芪五物汤（Huangqi Wuwu Tang, Astragalus Five Substance Decoction）。
黄芪（Astragalus Root） 桂枝（Cinnamon Twig） 茯苓（Poria） 炙甘草（Honey-fried Licorice Root） 当归（Angelica Sinensis Root） 煨姜（Baked Ginger） 南枣（Southern Jujube）
胡
胸臆不爽，食入内胀，粪后便血，病已二年。诊脉左小涩，右微弦，食减形瘦，是内伤悒郁。初病在气，久延血络。而瘀腐色鲜，血液皆下，从怒劳血郁治。
桃仁（Peach Kernel） 杏仁（Apricot Kernel） 柏子仁（Biota Seed） 归尾（Angelica Sinensis Root Tail） 紫菀（Aster Root） 冬葵子 (Okra Seed)
费
脐下有形攻触，气上则呕吐，降下则失气胀消，腹中必有浊滞阻塞。椒附难投，仅能开无形阴浊。老年阳衰，不可遽投攻下。用半硫丸（Banshu Wan, Half-Sulfur Pill）一钱，俾腑阳流通，滞浊自去。
丁
脉右弦，脘痛映背，得呕痛发，气鸣痛缓。乃胃气少降，寒暄七情皆令痛发，病属肝胃。
议河间金铃子散（Hejian Jinlingzi San, Hejian Melia Fruit Powder）。
金铃子（Melia Fruit） 延胡（Corydalis Rhizome） 炒半夏（Fried Pinellia Tuber） 姜汁（Ginger Juice） 茯苓（Poria） 橘红（Tangerine Peel Red Layer）
杜
酒客胃中酿热，嗔怒亦令肝阳犯胃，今纳谷脘中微痛，乃阳逆失降。酒家忌用甘腻，辛苦清降，平肝和胃治之。
川连（Sichuan Coptis Rhizome） 吴萸（Evodia Fruit） 半夏（Pinellia Tuber） 姜汁（Ginger Juice） 茯苓（Poria） 橘红（Tangerine Peel Red Layer） 竹沥（Bamboo Sap）
王
清明谷雨，气候已暖，所感温邪，从口鼻吸受，自上及中为三焦病；羌防乃散足太阳风寒表邪。温病篇云：误用辛温表散，即为重劫津液。今头身痛，咽痛，心胸烦闷，视其舌，心灰黄，边紫绛，渴饮不能下咽，斑疹隐隐，津涸，呼吸渐闭，所谓一逆尚引日再逆促命期矣。重症之尤，勿与目下时行客邪同视。
玄参（Scrophularia Root） 连翘（Forsythia Fruit） 银花（Honeysuckle Flower） 白金汁（White Platinum Juice, mixed in） 大豆黄卷（Sojae Semen Praeparatum） 飞滑石（Fly Talcum） 象贝（Fritillaria Thunbergii Bulb） 川通草（Sichuan Tetrapanax Stem）
钱
肝藏魂，因怒则诸阳皆动，所见病情，皆属阳动化风而为厥，故凡属厥症，都隶厥阴。考内经治肝之法，不外辛以理用，酸以治体，甘以缓急。今肝阴素亏之体，骤加暴怒，病已浃旬，液涸阳亢，急急镇固收摄，犹虑弗及。阅所服诸方，仅以泄肝为用，平肝为事，肤浅庸劣，一至于此。不知补法，都以子母相生同治，盖壮水则木得滋荣，阴充则风阳自熄，医不师古，尚敢称虚道实耶。
生地（Rehmannia Root） 阿胶（Donkey-hide Glue） 麦冬（Ophiopogon Tuber） 人参（Ginseng Root） 金箔（Gold Foil） 生鸡子黄（Raw Egg Yolk）
谢
疟热伤阴，心腹中热，浮阳升降，鼻衄汗出，遗精便难。此因疟加病，久卧气机呆钝，食入难消。然调脾胃之药，皆气胜助燥，施于液亏体质，于理有悖。
焦谷芽（Burnt Rice Sprout） 生地炭（Charred Rehmannia Root） 炒知母（Fried Anemarrhena Rhizome） 制首乌（Processed Polygonum Multiflorum Root） 鳖甲（Softshell Turtle Shell） 白芍（White Peony Root）
服二剂后接服后方（After taking two doses, continue with the following formula）：
谷露（Grain Distillate） 人参（Ginseng Root） 麦冬（Ophiopogon Tuber） 鲜生地（Fresh Rehmannia Root） 北五味（Northern Schisandra Fruit）
汪
久遗溲溺，淋沥三年，下焦常冷，脊膂腰髀疼楚如坠。此肾脏虚寒，但填精固涩多进不应，是督任三脉失司，粘腻涩药，未能走入奇经，仿孙真人九法中采用。
鹿茸（Deer Antler Velvet） 补骨脂（Psoralea Fruit） 家韭子（Domestic Leek Seed） 蛇床子（Cnidium Fruit） 生菟丝子（Raw Dodder Seed） 复盆子（Raspberry Fruit） 金樱子（Cherokee Rose Hip） 琐阳（Cynomorium Stem） 生杜仲（Raw Eucommia Bark） 炙甘草（Honey-fried Licorice Root） 茯苓（Poria）
蒋
病已三载，仍然能寝能食，谅非脏腑虚损。自述冷气或聚胸臆，或贯胁肋，水饮下咽，有声，气得下降，宛若病去。此必支脉结饮，久久阻遏气隧流行，决非重坠攻逐以及温补腻浊可治。盖脉络为病，非辛香何以开郁，议宣通气血方法。
降香（Aquilaria Wood） 枇杷叶（Loquat Leaf） 郁金（Curcuma Root Tuber） 橘红（Tangerine Peel Red Layer） 苏子（Perilla Fruit） 桔梗（Platycodon Root） 苡仁（Coix Seed） 桑叶（Mulberry Leaf） 淡姜渣（Weak Ginger Residue）
金
动气兼有遗精已是下焦阴阳虚损。况久病欲进温养，必须通摄，桂附气雄而刚，非下损药也。
淡苁蓉（Light Cistanche Stem） 补骨脂（Psoralea Fruit） 胡桃肉（Walnut Meat） 生菟丝子（Raw Dodder Seed） 复盆子（Raspberry Fruit） 家韭子（Domestic Leek Seed） 舶茴香（Imported Fennel Seed） 茯苓（Poria）
安
脉小数色苍，心痛引背，胁肋皆胀，早上牙宣龈血，夜寐常有遗泄。此形质本属木火，加以性情动躁，风火内燃，营阴受劫，故痛能进食。历来医药治痛，每用辛温香窜，破泄真气。不知热胜液伤，适令助其躁热，是经年未能痊期。议以柔剂，熄其风，缓其急，与体质病情，必有合 之机。
细生地（Fine Rehmannia Root） 阿胶（Donkey-hide Glue） 牡蛎（Oyster Shell） 玄参（Scrophularia Root） 丹参（Salvia Root） 白芍（White Peony Root） 小麦（Common Wheat） 南枣（Southern Jujube）
季
秋疟愈未撤消，冬季连次感触温邪，老年平素有痰嗽本恙，温风烁肺气，劫胃汁，致痰多咳甚欲呕，脉数，倏热，右胁常痛，火色升于右颊。由胃津渐伤，肺不主降，而升腾莫制。古称肺乃柔金，胃为阳土，已经百日缠绵，开提半属苦辛，辛泄肺气，苦再伤胃，致不思纳食。议甘药濡胃润肺，胃汁自充，肺气自降，土旺生金，古贤定法。
玉竹（Polygonatum Odoratum Rhizome） 麦冬（Ophiopogon Tuber） 花粉（Trichosanthes Root） 甜杏仁（Sweet Apricot Kernel） 橘红（Tangerine Peel Red Layer） 蔗浆（Sugar Cane Juice）
秦
老年肿胀，四肢俱冷，皆阳气衰惫，浊阴僭踞。盖脾阳主运，肾阳司纳，今食入愈胀，二便不爽，中下之阳消乏，岂可小视此病。
炮黑附子（Roasted Black Aconite Child Root） 淡干姜（Mild Dried Ginger） 生白术（Raw Atractylodes Macrocephala Rhizome） 生浓朴（Raw Magnolia Bark） 茯苓（Poria） 泽泻（Alisma Rhizome）
尤
由肝气升举犯胃，胃逆不降，幽门不通，旁趋为胀，数月久延，气分已入血分。
桃仁（Peach Kernel） 郁李仁（Bush Cherry Kernel） 降香（Aquilaria Wood） 归须（Angelica Sinensis Root Threads） 川楝（Sichuan Melia Fruit） 山栀（Gardenia Fruit）
严\x
两寸脉独搏，不饥不食，上焦气分之阻；时当仲夏，必有湿热客气内伏。
半夏曲（Pinellia Fermented Curd） 栝蒌皮（Trichosanthes Peel） 滑石（Talcum） 黄芩（Scutellaria Root） 通草（Tetrapanax Stem） 杏仁（Apricot Kernel）
[Background Information]
Book: Zhongfutang Gongxuan Liangfang (Selected Good Prescriptions from Zhongfu Hall)
Author: Ye Gui (Original), Hua Xiuyun (Editor)
Dynasty: Qing
Chapter: Continuation of Medical Cases (3/3)
Category: Formulas
[Original Text Processing]
**Hong**
Excessive mental labor consumes Ying Yin (Nutritive Yin). Wind and Fire pathogens intertwine and blaze fiercely. Dietary intake of alcohol and meat causes Damp-Heat to accumulate internally. The collaterals are deficient while the pulse is excess. Muscles swell resembling Bi Syndrome (Obstruction Syndrome). At this time of Xiaoman (Grain Full), Yang Qi is largely vented, and the first Yin has not yet recovered. This leads to Internal Wind carrying Yang Qi upward to the vertex, causing the ears, eyes, orifices, and sense organs to feel unclear. The tongue coating is thick and yellow, but there is no intense thirst. Although this differs from external Guest Heat, the mouth feels sour and turbid with phlegm expectoration. Since wine drinkers dislike sweet medicines, it is proposed to administer Zishen Wan (Nourishing Kidney Pill).
**Wang**
Wind-Warmth attacks upward causing swelling; Qi obstruction leads to lack of appetite. Treatment should still focus on the Upper Jiao (Upper Burner).
Fresh Reed Rhizome (Lugen), Halesia Fruit (Dangling), White Cardamom Seed (Baikouren), Apricot Kernel (Xingren), Sojae Semen Praeparatum (Dahuangjuan), Raw Coix Seed (Shenyiren), Dried Toad Pill (Ganchan Wan) - 5 pills.
**Li**
Warm-Damp steaming injures the Spleen and Stomach, resulting in fever and diarrhea.
Scutellaria Root (Huangqin), Raw Paeoniae Radix Alba (Baishao), Talcum (Huashi), Polyporus (Zhuling).
**Yu**
Turbid miasma infects; the nose and mouth inhale the dampness brought by seasonal rain and tide, which also belongs to abnormal Qi. This method employs aromatic herbs to open Qi mechanism and bland-leaching herbs to promote diuresis, which is a established standard practice.
White Cardamom Seed (Baikouren), Agastache Root (Huoxianggen), Young Bamboo Leaf (Nanzhuye), Apricot Kernel (Xingren), Sojae Semen Praeparatum (Dahuangjuan), Magnolia Bark (Houpo), Talcum (Huashi).
**Liao**
The pulse is fine. Spontaneous dysentery with blood, profuse sweating, lethargy resembling sleep, purple-crimson tongue, aversion to drinking soup. For two months, headache has been lingering. This is a sign of long-term accumulation of labor injury, venting in summer, with Yang Qi invading the vertex. Mistaking internal injury for external contraction, frequently administering bitter-acrid digestive agents severely depletes body fluids. The root of Shaoyin (Lesser Yin) is about to collapse. Yang escapes through sweat, Yin escapes through downward discharge. These are all signs of failure in the pivot of Yin and Yang to interact. Treating only symptoms causes deep harm. Studying the teachings of Changsha (Zhang Zhongjing), "fine pulse and desire to sleep" is listed in the Shaoyin chapter. This indicates a method of consolidation and tonification, hoping that scattered Qi may gather again. If formulas like those of Dongyuan (Li Dongyuan) using Atractylodes are used, they treat the Middle Jiao (Middle Burner) Spleen and Stomach, having nothing to do with the Lower Jiao Shaoyin.
Ginseng Root (Renshen), Illite Clay (Yuliangshi), Red Halloysite (Chishizhi), Schisandra Fruit (Wuweizi), Chaenomelis Fruit (Mu Gua), Honey-fried Licorice Root (Zhigancao).
This follows Zhang Zhongjing's Taohua Tang (Peach Blossom Decoction), originally for Shaoyin dysentery. However, consulting materia medica, Chishizhi and Yuliangshi are astringents for the Hand and Foot Yangming meridians, not for the Shaoyin organ itself.
**Guan**
**Xue**
(Hainai) Hernia and mass pain on the left side of the lower abdomen. The disease injures the Jueyin (Greater Yin) collateral vessels. Following Zhang Zhongjing's method.
Angelica Sinensis Root (Danggui, 3 qian), Fresh Lean Mutton Slices washed to remove blood water, Fresh Ginger (Shengjiang, 1 qian), Charred Fennel Seed (Xiaohuixiang, 1 qian).
**Xu**
Yellow eyes, epigastric stuffiness, excessive sweating, vomiting. Dampness prevails. The syndrome belongs to Pi Malaria (Spleen Malaria).
Magnolia Bark (Houpo), Fried Pinellia Tuber (Banxia), Black Cardamom Fruit (Caoguo), Agastache Root (Huoxianggen), White Cardamom Seed (Baikouren).
**Yuan**
Dizziness, dim vision, palpitations, no thirst, no hunger. Forced eating, bowel movements and urination pass naturally, without bloating or obstruction. Bedridden for one month. Li Dongyuan said: Long-term illness without awareness of hunger or fullness, without dry skin or brittle hair, is caused by Phlegm-Fluid retention. During the season when Yang Qi rises, one must fear progression to Tan Jue (Phlegm-Jue).
Charred Pinellia Tuber (Banxia), Immature Bitter Orange (Zhishi), Sorghum Grain (Gaoliangmi), Poria (Fuling), Ginger Juice (Jiangzhi).
**Hua**
On March 21st of the Wushen year, illness began. By April 1st, the pulse was deficient and intermittent, tongue slightly swollen, palpitations, spirit confused. Subsequently, muscle paralysis and nocturnal emission occurred. Day and night unable to sleep, lower body flaccid, unable to sit or stand. This belongs to chronic deficiency of Yin Fluids. At the transition of Spring and Summer, Yang Qi vents, but Yin lacks the ability to retain it. Added to this is walking and anger. All cause the Yang within the Five Emotions to move greatly. As stated in the Neijing: "Vexatious labor causes expansion, essence exhaustion, accumulating in summer, causing Jian Jue (Boiling Jue)." 'Expansion' refers to the laxity of Yang Qi; 'Essence Exhaustion' refers to the internal depletion of True Yin. Wood loses water nourishment, Liver Wind moves greatly. All are causes of Jue. The method should be to strongly consolidate Yin, use sweet to harmonize and soften Yang. Once Internal Wind extinguishes, hope for palpitations to settle and sleep to return. If sticking to formularies and prescribing Wendan Tang (Gallbladder-Warming Decoction) for insomnia, or blindly tonifying due to fear of deficiency, one fails to understand the priority of Yin/Yang and Zang-Fu.
Ginseng Root (Renshen, 1.5 qian), Poria with Hostwood (Fushen, 3 qian), True Donkey-hide Glue (Ejiao, 2 qian), Ophiopogon Tuber (Maidong, 1 qian), Raw Oyster Shell (Muli, 3 qian), Dragon Bone (Longgu, 3 qian), Raw... [Text incomplete].
Again
On Jan 9th of the Jiyou year, diagnosed. Dreams of emission. Pill formula:
Ginseng Root (Renshen, 2 liang), Prepared Rehmannia Root (Shudi, 4 liang), Placenta Gelatin (Hechejiao, 1 piece), Schisandra Fruit (Wuweizi, 1.5 liang), Raspberry Fruit (Fupenzi, 1.5 liang), Dodder Seed (Tusizi, 1.5 liang).
**Zhou**
Condition slightly improved, then ate greasy/sticky foods. Stomach Yang is still weak. Turbid miasma stagnates, Middle Jiao fails to transport, Yang Qi does not move. Bowel movement delayed for 7-8 days. Tongue oozes saliva, nose detects foul odor. Clear and turbid are mixed. Medicines taken were partly acrid-cold, ignoring Yang injury, leading to lingering over a month. First use Laifu Dan (Restoring Pill), 100 pills each time, sent down with Ginger Soup.
**Wang**
Previously discussed light/bland taste with slight acridity, conforming to the classic principle "Lung desires acrid." However, for releasing the exterior, acrid ascends; for opening/discharging, acrid descends. Lung governs Qi of the whole body, a clear/cavity organ that cannot accept turbidity. Previously stated that turbid miasma enters upward; Lung position is highest, injured first, spreading to Middle/Lower due to mismanagement. Neijing color diagnosis says: treat upper diseases from above, so source clear, stream clean.
Water Reed Rhizome (Shulugen), White Tetrapanax Stem (Baitongcao), Mountain Artemisia Capillaris (Shanyinchen), Raw Coix Seed (Shenyiren), Zhejiang Poria (Zhefuling), Mulberry Root Bark (Sangpi), mixed with powder of White Cardamom Seed (Baikouren). Take Weixi Wan (Weiyi Pill) 2 qian before bed.
Again
Dampness obstructing collaterals causes pain. Initially at Xuli acupoint, gradually extending to ribs/back attaching to bone. Recently back shows damp rash, slightly red. This is Dampness moving from Qi level to Blood level. Pill drugs attacking stagnation only go through intestines, failing to guide meridians and unblock. Qi-level Lung herbs have relieved cough/wheeze and turbid phlegm. Now with long-term collateral pain, refer to Bi Syndrome from Three Causes.
Processed Tribulus Fruit (Jili), Tetrapanax Stem (Tongcao), Stephania Root (Mufangji), Charred Pinellia Tuber (Banxia), Raw Coix Seed (Shenyiren), Zhejiang Poria (Zhefuling), Calcined Gypsum (Shigao).
**Chen**
Heavy rain and dampness, dysentery is all Yin-Cold. Taking Huanglian injures Yang causing bloating. Subsequent warming medicines were too static/middle-focused. Now urination/bowel movement are unsatisfactory, bloating accompanied by pain. Fu organs are Yang, Yang should be unblocking. Unblocking prevents turbid Yin from gathering, pain/bloating reduce spontaneously.
Da Zhensha Wan (Large Magnetite Pill), 1.2 qian per dose.
**Jin**
(Niangniang) Soreness/oppression in lower abdomen, attributed to Cold-Damp. Postpartum essence not recovered, Chong and Ren meridians empty, Qiao and Wei meridians fail to control. Classic says Yang... [Text incomplete].
**Qing**
Ginseng Root (Renshen), Fluorite (Zishiqing), Fried Angelica Sinensis Root Body (Guishen), Deer Antler Glue Residue (Lujiaoshuang), Fried Goji Berry (Qizi), Poria (Fuling). Follow with Banlong Wan (Spotted Dragon Pill) plus Ginseng.
**Shu**
Nose/mouth exposed to foul turbid air, confusing Heart Protector (Xinbao), causing chest/heart pain, vomiting blood clots, desire for fainting/closure. This is the "Evil" syndrome in formularies. Suhexiang Wan (Styrax Pill) can repel foul evil pathogens. If mistaken for Yin syndrome and擅自 administered Guifu (Cinnamon/Aconite), it is like adding firewood to save a fire.
Suhexiang Wan (Styrax Pill), 2 pills.
**Zhang**
(Xiaojie) Frequent fright, no eating/bowel movement, appearance as if possessed, facial/muscle edema, stiff tongue/swollen lips, awake unable to sleep, night delirium. Jing... [Text incomplete].
**Wu**
Jueyin headache, dry tongue/thirst, epigastric vexation/pain, insomnia/restlessness, lower abdominal fullness, dribbling urine, frequent spasms. Most feared is Jue Exhaustion.
Donkey-hide Glue (Ejiao), Fresh Rehmannia Root (Shengdihuang), Egg Yolk (Jizihuang), Black Soybean Skin (Xiaoheidoupi). Decoct half cup, send down Zishen Wan (Nourishing Kidney Pill) 2 qian.
**Gu**
Childhood asthma, from external Wind-Cold, must treat Lung. Due to overeating sweet/greasy, must also regulate Stomach. Long-term recurrence, pathogen spreads, not just in Lung/Stomach. Caused by labor, triggered by cold, Wei Yang is deficient. Vexation/fire rising/red face, all due to Kidney Yin weakness. Though not sexual depletion, illness causes deficiency. Note: Pathogen is Excess, Constitution is Deficiency. Do not merely attack phlegm/Qi for temporary relief. When not attacking, pathogen lies latent. Only cultivate Earth to transform phlegm; Earth strong then Lung Qi fills. Strengthen Water to grasp Qi to benefit Kidney. Son Qi grows, Mother Qi strengthens. This is Son-Mother generation treatment. Persist long-term, attacks slow. Chronic diseases have no urgent attack methods. Either embed attack in tonification, or alternate attack/tonification. Diet/lifestyle care is especially crucial.
Morning Formula (Tonify/Grasp Kidney Qi):
Ginger-juice Processed Prepared Rehmannia (Shudihuang), Raw Paeoniae Radix Alba (Baishao), Huai Yam (Shanyao), Moutan Cortex (Danpi), Yunnan Poria (Yunling), Purple-skinned Walnut Meat (Hetaorou), Salted Human Urine Crystals (Qiushi), Alisma Rhizome (Zexie). Honey pills size of Tung Seeds.
Afternoon Formula (Strengthen Middle/Move Dampness):
Ginseng Root (Renshen), Prepared Pinellia Tuber (Banxia), Xinhui Tangerine Peel (Xinhui Chenpi), Poria (Fuling), Immature Bitter Orange (Zhishi), Water Chestnut Powder (Dilifen), Golden Dendrobium (Shihu). Decoction method pills.
**Wang**
Dampness stagnant, Heat steaming. Must have Yang Qi鼓运 (driving/transporting) for Dampness to resolve. Chills followed by body pain relief implies Dampness released via shivering, Qi舒展 (relaxed), post-shiver Yang Qi harmonious, causing fever/sweat. But pulse is soggy, spirit tired, residual pathogen not gone, Zheng Qi (Righteous Qi) deficient, turning into Malaria-like image. Use Dabanshang Tang (Major Pinellia Decoction) to unblock/tonify Yangming.
Ginseng Root (Renshen), Pinellia Tuber (Banxia), Poria (Fuling), Ginger Juice (Jiangzhi).
**Su**
Eat morning, vomit evening. Bowel movement unsatisfactory. Disease in Middle/Lower. Initially due to labor injury, stomach pain/phlegm-blood stasis, tangible obstruction.
Peach Kernel (Taoren), Pinellia Tuber (Banxia), Leek Juice (Jiu zhi), Immature Bitter Orange (Zhishi).
**Yao**
Elderly with latent Warm pathogen, unresolved for 50 days. Epigastric stuffiness/no hunger, heat isolated in chest/hypochondrium. Swallowing medicine causes vomiting, much phlegm/hiccups, scorched tongue/slight thirst, extremities slightly cold. Stomach severely injured, long lack of grain Qi, fluids not restored, Qi mechanism depressed. Medicine must avoid bitter-dry/acrid-warm damaging Stomach.
First discuss aromatic/light-clear, combined with grain Qi to awaken Upper/Middle.
Perfumed Rice Stem Distillate (Xianggenglu), Citron Distillate (Xiangyuanlu), Rose Distillate (Meiguilu), Honeysuckle Distillate (Yinhalu), Rice Milk (Mijiang).
**Liu**
Mass attacking Zhongwan, heart pain reflecting to back, vomiting saliva/froth. Long-term illness must be in collaterals. Collateral emptiness leads to fullness. Morning food brings temporary peace, evening food causes pain/vomiting. Stomach Clear Yang has long lost rotation function. Food aids vomiting/bloating, how can it bear decoctions? Disease retreat has no date, quite tricky.
Reviewing ancient formularies, for long-term tangible illness, unblocking agents are discussed. First plan to unblock Yang, change to small pills.
One-ingredient Asafoetida Pill (Ewei Wan) coated with Cinnabar, take 0.5 qian.
**Zhang**
Cold form, hand/foot pain, muscles gradually swelling. Labor/walking injures Yang, external pathogen invades, Ying/Wei disharmony. Imitating Ju Fang (Formulary Bureau) for Bi in limbs with sweating/Yang deficiency, give Huangqi Wuwu Tang (Astragalus Five Substance Decoction).
Astragalus Root (Huangqi), Cinnamon Twig (Guizhi), Poria (Fuling), Honey-fried Licorice Root (Zhigancao), Angelica Sinensis Root (Danggui), Baked Ginger (Weijiang), Southern Jujube (Nanzao).
**Hu**
Chest discomfort, eating causes internal bloating, blood in stool after defecation, illness for 2 years. Pulse left small/astringent, right slightly wiry. Reduced eating/emaciation, internal injury/depression. Initial disease in Qi, prolonged to Blood collaterals. Fresh blood/clots descend. Treat from Anger/Labor/Blood Stagnation.
Peach Kernel (Taoren), Apricot Kernel (Xingren), Biota Seed (Baiziren), Angelica Sinensis Root Tail (Guiwei), Aster Root (Ziwan), Okra Seed (Dongkuizi).
**Fei**
Tangible mass below navel attacking. Qi rising causes vomiting, Qi descending releases gas/bloating reduces. Abdomen must have turbid stagnation obstruction. Pepper/Aconite difficult to administer, only able to open formless Yin turbidity. Elderly Yang decline, cannot abruptly use purgatives. Use Banshu Wan (Half-Sulfur Pill) 1 qian, allowing Fu Yang to flow, stagnation/turbidity self-remove.
**Ding**
Pulse right wiry. Epigastric pain reflecting to back. Vomiting triggers pain, Qi rumbling relieves pain. Stomach Qi fails to descend slightly. Cold/Warmth/Seven Emotions all trigger pain. Disease belongs to Liver/Stomach.
Propose Hejian Jinlingzi San (Hejian Melia Fruit Powder).
Melia Fruit (Jinlingzi), Corydalis Rhizome (Yanhu), Fried Pinellia Tuber (Banxia), Ginger Juice (Jiangzhi), Poria (Fuling), Tangerine Peel Red Layer (Juhong).
**Du**
Wine drinker, Stomach brews Heat. Anger causes Liver Yang to invade Stomach. Now eating causes slight epigastric pain, Yang rebels/fails to descend. Wine drinkers avoid sweet/greasy. Bitter/Acid/Clear/Descend, calm Liver/harmonize Stomach.
Sichuan Coptis Rhizome (Chuanlian), Evodia Fruit (Wuzhuyu), Pinellia Tuber (Banxia), Ginger Juice (Jiangzhi), Poria (Fuling), Tangerine Peel Red Layer (Juhong), Bamboo Sap (Zhuli).
**Wang**
Qingming/Guyu, climate warm. Contracted Warm pathogen, inhaled via nose/mouth. From top to middle is Sanjiao disease. Qiangfang (Notopterygium/Saposhnikovia) disperses Foot Taiyang Wind-Cold exterior pathogen. Warm Disease chapter says: Misusing acrid-warm exterior release severely depletes fluids. Now head/body pain, throat pain, chest vexation. Tongue center grey-yellow, edges purple-crimson. Thirst/drinking unable to swallow. Macules/rash hidden. Fluids exhausted, breathing closing. "One error delays days, second error hastens death." Severe case, do not view same as current seasonal guest pathogen.
Scrophularia Root (Xuanshen), Forsythia Fruit (Lianqiao), Honeysuckle Flower (Yinhua), White Platinum Juice (Baijin zhi, mixed in), Sojae Semen Praeparatum (Dahuangjuan), Fly Talcum (Feihuashi), Fritillaria Thunbergii Bulb (Xiangbei), Sichuan Tetrapanax Stem (Chuantongcao).
**Qian**
Liver stores Hun (Ethereal Soul). Anger causes all Yang to move. Observed conditions belong to Yang moving transforming into Wind causing Jue. Thus all Jue syndromes belong to Jueyin. Examining Neijing Liver treatment methods: Acrid to regulate function, Sour to treat substance, Sweet to relieve urgency. Now Liver Yin chronically deficient, sudden violent anger. Illness for ten days, fluids exhausted, Yang hyperactive. Urgently sedate/consolidate/restrain, still worry insufficient. Reviewed prescribed formulas, only used draining/calming Liver. Superficial/inferior. Does not know tonification uses Son-Mother generation together. Strengthen Water then Wood flourishes, Yin fills then Wind/Yang extinguishes. Doctors not learning from ancients, dare call deficiency reality?
Rehmannia Root (Shengdi), Donkey-hide Glue (Ejiao), Ophiopogon Tuber (Maidong), Ginseng Root (Renshen), Gold Foil (Jinbo), Raw Egg Yolk (Sheng Jizihuang).
**Xie**
Malaria heat injures Yin. Heat in heart/abdomen. Floating Yang rises/falls. Epistaxis/sweating, seminal emission/hard stool. This is malaria complicating illness. Long bed rest makes Qi mechanism dull, food hard to digest. However, Spleen/Stomach regulating medicines are Qi-moving aiding dryness. Applied to fluid-deficient constitution, contrary to principle.
Burnt Rice Sprout (Jiaoguya), Charred Rehmannia Root (Shengditai), Fried Anemarrhena Rhizome (Zhimu), Processed Polygonum Multiflorum Root (Zhi Shouwu), Softshell Turtle Shell (Biejia), White Peony Root (Baishao).
After taking two doses, follow with posterior formula:
Grain Distillate (Gulu), Ginseng Root (Renshen), Ophiopogon Tuber (Maidong), Fresh Rehmannia Root (Shengdihuang), Northern Schisandra Fruit (Bei Wuwei).
**Wang**
Long-term involuntary urination/seminal emission, dribbling for 3 years. Lower Jiao often cold. Spine/lumbar/thigh pain/heaviness. Kidney organ deficiency-cold. But filling essence/astringing many advances ineffective. Du/Ren/Three Meridians fail to govern. Sticky/astringent medicines fail to enter extraordinary meridians. Imitate Sun Simiao's Nine Methods adoption.
Deer Antler Velvet (Lurong), Psoralea Fruit (Buguzhi), Domestic Leek Seed (Jiajiuzi), Cnidium Fruit (Chuangszi), Raw Dodder Seed (Sheng Tusizi), Raspberry Fruit (Fupenzi), Cherokee Rose Hip (Jinyingzi), Cynomorium Stem (Suoyang), Raw Eucommia Bark (Sheng Duzhong), Honey-fried Licorice Root (Zhigancao), Poria (Fuling).
**Jiang**
Illness for 3 years, still able to sleep/eat. Likely not Zang-Fu deficiency. Self-reports cold qi gathering in chest or piercing hypochondrium. Drinking water makes sound, Qi descending feels like illness gone. This must be branch vessel fluid retention, long blocking Qi tunnel flow. Definitely not heavy-sinking purging or warm-tonifying greasy-turbid treatable. Collateral disease, how else to open depression except acrid-aromatic? Discuss method to promote/unblock Qi/Blood.
Aquilaria Wood (Xiangjiu), Loquat Leaf (Pipaye), Curcuma Root Tuber (Yujin), Tangerine Peel Red Layer (Juhong), Perilla Fruit (Suzi), Platycodon Root (Jiegeng), Coix Seed (Yiren), Mulberry Leaf (Sangye), Weak Ginger Residue (Dan Jiangzha).
**Jin**
Moving Qi with seminal emission is already Lower Jiao Yin/Yang deficiency. Moreover, long-term illness wanting warm-nourishment must have unblocking/restraining. Guifu (Cinnamon/Aconite) Qi is heroic/rigid, not suitable for Lower damage medicines.
Light Cistanche Stem (Rongrongsu), Psoralea Fruit (Buguzhi), Walnut Meat (Hetaorou), Raw Dodder Seed (Sheng Tusizi), Raspberry Fruit (Fupenzi), Domestic Leek Seed (Jiajiuzi), Imported Fennel Seed (Bo Huixiang), Poria (Fuling).
**An**
Pulse small-rapid, complexion dark. Heart pain radiating to back, hypochondrium full. Morning gum bleeding, night sleep emissions. Constitution belongs to Wood-Fire. Added to temperament agitation, Wind/Fire internal burning, Ying Yin robbed. Thus pain allows eating. Historically medicine treating pain uses acrid-warm/aromatic-penetrating, breaking/leaking True Qi. Not knowing Heat wins/fluid injury assists agitation/heat. Year-long unable to cure. Propose soft agents, extinguish Wind, relieve urgency. Match constitution/condition, must have convergence opportunity.
Fine Rehmannia Root (Xi Shengdi), Donkey-hide Glue (Ejiao), Oyster Shell (Muli), Scrophularia Root (Xuanshen), Salvia Root (Danshen), White Peony Root (Baishao), Common Wheat (Xiaomai), Southern Jujube (Nanzao).
**Ji**
Autumn Malaria healed but not resolved. Winter repeatedly contracted Warm pathogen. Elderly usually has Phlegm-Cough baseline. Warm wind scorches Lung Qi, robs Stomach juice. Causes much phlegm/severe cough/vomiting urge. Pulse rapid, sudden heat, right hypochondrium often painful, Fire color rises on right cheek. Stomach fluid gradually injured, Lung fails to descend, ascending unrestrained. Ancient calls Lung Soft Metal, Stomach Yang Earth. Already 100 days lingering. Lifting/opening half belongs to bitter-acrid. Acrid leaks Lung Qi, Bitter injures Stomach again, causing loss of appetite. Propose sweet medicines moistening Stomach/Lung. Stomach juice self-fills, Lung Qi self-descends. Earth strong generates Metal. Ancient sages' fixed method.
Polygonatum Odoratum Rhizome (Yuzhu), Ophiopogon Tuber (Maidong), Trichosanthes Root (Huafen), Sweet Apricot Kernel (Tian Xingren), Tangerine Peel Red Layer (Juhong), Sugar Cane Juice (Zheshuang).
**Qin**
Elderly edema, four limbs cold. All Yang Qi decline/exhaustion, Turbid Yin usurps position. Spleen Yang governs transport, Kidney Yang governs grasping. Now eating increases bloating, urination/bowel unsatisfactory. Middle/Lower Yang consumption/lack. How can this disease be underestimated?
Roasted Black Aconite Child Root (Paofu Zi), Mild Dried Ginger (Ganjiang), Raw Atractylodes Macrocephala Rhizome (Baizhu), Raw Magnolia Bark (Houpo), Poria (Fuling), Alisma Rhizome (Zexie).
**You**
Liver Qi rising invades Stomach. Stomach rebels/fails to descend.幽门 (Pylorus) blocked, diverting sideways causes bloating. Months prolonged, Qi level entered Blood level.
Peach Kernel (Taoren), Bush Cherry Kernel (Yuliren), Aquilaria Wood (Xiangjiu), Angelica Sinensis Root Threads (Guixu), Sichuan Melia Fruit (Chuanlianzi), Gardenia Fruit (Shanzhi).
**Yan**
Both Cun pulses beat exclusively. No hunger/no eating. Upper Jiao Qi level obstruction. Time is Mid-Summer, must have Damp-Heat Guest Qi internal伏 (latent).
Pinellia Fermented Curd (Banxiaqu), Trichosanthes Peel (Gualoupi), Talcum (Huashi), Scutellaria Root (Huangqin), Tetrapanax Stem (Tongcao), Apricot Kernel (Xingren).