刘氏 阴疟延久暂愈,临蓐后将息失宜,肤粟骨战,寒热沉绵,阴阳二维不司统束护卫。用理阳摄阴法∶
鹿角霜、补骨脂、当归(各一钱)、潞参、杞子、远志(各二钱)、茯神(三钱)、生白术(八分)、炙草
(六分)、小麦(半合)、红枣(五枚)。十服诸症渐减。但右脉沉小,左寸虚。原方去鹿角、杞子、骨脂,
加补心脾之药,用山药、枣仁、莲子、白芍(俱炒)。数服饮食进,寒热除。继由变生反目,气逆咳嗽,失
音面晦,是脏真日漓,神采内夺也,切忌清肺理嗽。速用五味、山药、茯神、潞参、杞子、核桃肉、诃子皮、
莲、枣。数十服嗽止音复,后加调补获痊。
印氏 脉细涩,营卫素亏,秋冬背寒胫冷,经事愆期,从未孕育,乃冲、任、督经虚,宿恙延为劳
怯重症。近日咳嗽,唾痰多,在夜半及清晨为剧。想脾聚宿痰,寤时为呼吸引动,因呛咳不已,先服平嗽煎剂,再
订膏方,专理奇脉。川贝、甜杏仁、蒌皮(俱炒研)、茯苓、前胡、橘红、白术、炙草、潞参、桑皮(蜜炙)、
姜枣煎。三服嗽定,去蒌皮、前胡,加莲子、山药、五味、杞子(俱炒),再服数剂。俟嗽愈,服膏方∶
骨脂、杞子、沙苑、归身、杜仲、菟丝饼、核桃肉、芡实(炒)、牛膝(酒蒸)、首乌(制)、茯神、玉
竹同熬,用鹿角胶加倍收胶。日服五钱,宿恙渐瘳。
刘氏:阴疟(一种以寒战为主、发作时间不定的疟疾)迁延日久,虽暂时痊愈,但在分娩后调养失当,出现皮肤起粟粒状鸡皮疙瘩、骨骼颤抖,寒热症状缠绵难愈,导致阴阳二气虚弱,无法统摄和护卫机体。采用温阳摄阴的治法:鹿角霜、补骨脂、当归(各一钱)、潞党参、枸杞子、远志(各二钱)、茯神(三钱)、生白术(八分)、炙甘草(六分)、小麦(半合)、红枣(五枚)。服用十剂后,各种症状逐渐减轻。但诊得右脉沉而细小,左寸脉虚。在原方基础上去掉鹿角霜、枸杞子、补骨脂,加入补益心脾的药物,使用山药、酸枣仁、莲子、白芍(均炒制)。服用数剂后,饮食增加,寒热症状消除。随后病情变化出现反目(眼球上翻或直视)、气逆咳嗽、失音面色晦暗,这是脏腑真气日渐耗损、精神神采被内夺的表现,切忌使用清肺止咳的方法。迅速使用五味子、山药、茯神、潞党参、枸杞子、核桃肉、诃子皮、莲子、红枣。服用数十剂后咳嗽停止,声音恢复,后来通过调理补益获得痊愈。
印氏:脉象细涩,营卫之气素来亏虚,秋冬季节背部发冷、小腿寒冷,月经延期,从未怀孕,这是冲脉、任脉、督脉空虚,旧病拖延发展为劳怯重症。近日咳嗽,吐痰多,在半夜及清晨时加重。推测是脾脏积聚了宿痰,清醒时因呼吸运动触动痰液,因而呛咳不止。先服用平嗽煎剂,再制定膏方,专门调理奇经八脉。川贝母、甜杏仁、瓜蒌皮(均炒研)、茯苓、前胡、橘红、白术、炙甘草、潞党参、桑白皮(蜜炙)、生姜、大枣煎服。服用三剂后咳嗽平息,去掉瓜蒌皮、前胡,加入莲子、山药、五味子、枸杞子(均炒制),再服用数剂。待咳嗽痊愈后,服用膏方:补骨脂、枸杞子、沙苑子、当归身、杜仲、菟丝饼、核桃肉、芡实(炒)、牛膝(酒蒸)、何首乌(制)、茯神、玉竹共同熬制,用加倍量的鹿角胶收膏。每日服用五钱,旧病逐渐好转。
Liu: Yin malaria (a type of malaria characterized by chills and irregular onset) had persisted for a long time and temporarily healed, but after childbirth, improper recuperation led to skin pruritus with gooseflesh, bone tremors, and lingering alternating chills and fever. The deficiency of both Yin and Yang resulted in the failure of these two Qi to govern and protect the body. Treatment employed the method of warming Yang and securing Yin: Lu Jiao Shuang (Deer Horn Frost), Buguzhi (Fructus Psoraleae), Danggui (Radix Angelicae Sinensis) (each 1 qian); Lushen (Radix Codonopsis Pilosae), Gouqi (Fructus Lycii Chinensis), Yuanzhi (Radix Polygalae Tenuifoliae) (each 2 qian); Fushen (Poria with Hostwood) (3 qian); Sheng Baizhu (Rhizoma Atractylodis Macrocephalae, raw) (8 fen); Zhi Cao (Radix Glycyrrhizae uralensis, honey-fried) (6 fen); Xiaomai (Frumentum Tritici Vulgaris) (0.5 he); Hongzao (Fructus Jujubae) (5 pieces). After ten doses, various symptoms gradually subsided. However, the right pulse was deep and small, and the left Cun position was deficient. Lu Jiao, Gouqi, and Buguzhi were removed from the original prescription, and herbs tonifying the Heart and Spleen were added: Shanyao (Rhizoma Dioscoreae Oppositae), Zaoren (Semen Ziziphi Spinosae), Lianzi (Semen Nelumbinis), Baishao (Radix Paeoniae Alba) (all stir-fried). After several doses, appetite improved, and chills and fever disappeared. Subsequently, the condition changed, presenting with upward deviation of the eyes (fanmu), rebellious Qi with coughing, aphonia, and dull complexion. This indicated the daily depletion of the Zhen Qi (True Qi) of the Zang-Fu organs and the internal loss of spiritual brilliance; clearing the Lung and regulating cough must be strictly avoided. Quickly administer Wuweizi (Fructus Schisandrae Chinensis), Shanyao, Fushen, Lushen, Gouqi, Hetaorou (Semen Juglandis), Hezipi (Pericarpium Terminaliae Chebulae), Lianzi, and Hongzao. After dozens of doses, cough ceased, and voice returned. Later, through regulatory and tonic treatment, full recovery was achieved.
Yin: The pulse was fine and choppy, indicating a chronic deficiency of Ying (Nutritive) and Wei (Defensive) Qi. In autumn and winter, the back felt cold and the calves were cold. Menstruation was delayed, and pregnancy had never occurred. This signifies deficiency of the Chong, Ren, and Du meridians, with an old ailment dragging on into a severe stage of Laoqie (Consumptive Disease). Recently, there has been coughing with copious sputum, worsening at midnight and early morning. It is presumed that Phlegm accumulated in the Spleen is stirred by respiration during wakefulness, causing incessant choking coughs. First, administer Ping Sou Decoction (Cough-Calming Decoction), then prescribe a medicinal paste specifically targeting the Extraordinary Vessels. Chuanbei (Bulbus Fritillariae Thunbergii), Tian Xingren (Semen Armeniacae Amarum, sweet), Loupi (Pericarpium Trichosanthis) (all stir-fried and ground), Fuling (Poria), Qianhu (Radix Peucedani), Juhong (Exocarpium Citri Reticulatae Rubrum), Baizhu (Rhizoma Atractylodis Macrocephalae), Zhi Cao (Radix Glycyrrhizae uralensis, honey-fried), Lushen, Sangpi (Cortex Mori, honey-fried), Jiang (Rhizoma Zingiberis Recens), and Zao (Fructus Jujubae) decocted together. After three doses, cough settled. Loupi and Qianhu were removed, and Lianzi, Shanyao, Wuweizi, and Gouqi (all stir-fried) were added. Several more doses were taken. Once the cough healed, the medicinal paste was administered: Buguzhi, Gouqi, Shayuan (Semen Astragali Complanati), Guishen (Radix Angelicae Sinensis, root portion), Duzhong (Cortex Eucommiae Ulmoidis), Tusibing (Semen Cuscutae, cake), Hetaorou, Qianshi (Semen Euryales), Niuxi (Radix Achyranthis Bidentatae, wine-steamed), Shouwu (Radix Polygoni Multiflori Preparata), Fushen, Yuzhu (Rhizoma Polygonati Odorati) boiled together, using double the amount of Lujiao Jiao (Colla Cornus Cervi) to set the gel. Taken five qian daily, the chronic ailment gradually improved.