潘 溽暑蒸湿,水谷聚湿,致胸脘烦闷,呃逆吐哕,口甜燥,手心热,头汗,舌白不饥,便溏溺少。由
湿邪弥漫膈间,郁蒸成热,所服汤饮,尽变浊瘀上泛,脉息三五不调。治宜辛以通壅,苦以降逆。佩兰、香薷、
白豆蔻、公丁香、柿蒂、郁金、半夏曲、枳壳、杏仁(俱炒)。按∶口甜经名“脾瘅”,用兰草除陈,遵经立
治。一服脾瘅已除,诸症俱减,改用清轻淡渗。淡竹茹、通草、
滑石、石斛、蒌霜、象贝、赤苓、藿梗、灯心。二服呕止呃稀,乃胃虚客气上逆。用一味大麦仁汤,脘舒呃止,
汗彻知饥思食。治用调补胃阴。太子参、麦冬、沙参、扁豆(炒)、茯神、枣仁、薏仁、小麦、南枣,数服
进食如常。
潘 六旬以上,感冒春温,治者用伤寒法,杂进桂枝、柴、葛,兼旬不解,延至湿热酿痰,舌腻口甜,溺
少赤痛,不思伤寒递传足经,温邪专伤手经,桂柴等温升,已属误治。更医见其里迫欲下,竟用桂心、焦术,
尤为可骇,无怪唇干舌灰矣。夫病者自言,不恶寒而但热,身重难移,则春温化湿了然,况脉来气口濡大,湿
甚生热,脉候可按,更兼口味作甜,经名脾瘅,粘痰稠腻,气窒不利,皆湿热混处上中焦显象。其欲泻者,亦
湿邪下注,得小水分利,自不至下迫耳。治法透热泄湿,数剂可安。香豉、杏仁、贝母(各二钱)、佩兰、前胡、
栀皮、竹茹(各钱半)、赤苓(三钱)、滑石(五分)、蔗汁(半杯)、灯心(一钱)。一服微汗,烦热退,
下迫除,去香豉、佩兰,加通草、栝蒌、沙参(各一钱)。日再服,痰较滑利,舌灰渐脱,可知温邪本湿热内
搏,用辛凉透热,甘淡驱湿,口甜身重俱除,惟小溲混浊,犹是湿邪未净,此轻清泄热渗湿,为一定治法。
花粉、鲜生地、麦冬(各二钱)、赤苓、薏仁(各三钱)、栀皮、川贝、木通(各八分)、灯心(五分)、
加鲜芦根。日再服,溺清,粥饮渐加,转侧如常矣。继进调补胃阴法∶玉竹、钗斛、潞参(各二钱)、
麦冬(一钱)、薏仁(生二钱、熟二钱)、小麦、湘莲(各三钱)、甜杏仁(钱半)、蔗汁冲服。此甘
润以养胃阴,兼用火肉汁吹去油面饮之,待肠腑一充,大便得解,则脘腑爽矣。
侄 据述去秋濒海潮溢,淹没民居,凡受水湿者,足跗肿溃。今懋迁其地,更冒时邪,身痛头晕呕哕,
乃湿阻气分。治者误汗劫液,继用消导,遂致热渴脘闷,呃逆自利,不思湿家忌汗,消导更劫胃津,再用丁香、
参、甘以止呃,温补焉能利湿。夫时邪本湿土郁蒸所发,感受不时,热腾湿滞,先宜疏解,再行渗利,俾气机
升降如常。豆豉、枳壳、栀皮、蒌皮、半夏(制)、藿梗、通草、茯苓、猪苓、荷叶煎汤。一服诸症俱减,时有
呕渴,乃中焦水谷之气不运。用半夏、橘白、茯苓、杏仁、薏米、花粉、砂仁,再服得安。
族某 客路感邪,风热上壅,呕渴头重痛,脉浮濡,此热蒸湿伏也。治先宣解表分,则风热不与湿搏。
用薄荷、牛蒡、桔梗、山栀、甘菊、桑叶、赤苓、姜皮,汗解身凉。因食荸荠,重发热下利烦闷,乃温邪未尽,
生冷引动湿浊。用胃苓汤去二术,加枳壳、灯心,芦根。煎服愈。
侄 头蒙如裹,胸闷便艰,腑气失降,以湿郁论治。通草、白蔻壳、枳壳、蒌霜、川芎、山栀、杏仁、
半夏、淡竹叶、冬桑叶。三服愈。
侄 络热蒸痰,腮紧口甜,脉沉濡,左寸差大,此风热郁于胆络,兼脾有湿痰壅热而为脾瘅也。钩藤、
丝瓜络、桔梗、连翘、象贝、薄荷、佩兰、橘红、郁金。三服而愈。
族弟 嗜酒蕴湿,又醉渴饮冷,寒热挟旬,口干舌腻,呕恶胸闷,跗冷便泻,脉濡数,湿甚于热,医
混称温疟。屡用芩、膏、生地,湿愈搏结。宜轻透湿于热外,毋令互相煽炽,病可立除。通草、枳壳、半夏、
赤苓、车前、石斛、薏仁、麦冬、灯心、花粉、芦根。日再服,汗彻热退,泻止足和。但微嗽。去枳壳、车
前、芦根,加杏仁、象贝,更适。粥饮既进,脾阳未醒,间或腹痛。用广皮、砂仁、茯苓、薏仁、半夏曲、
生白术、枳 子。又数剂全愈。
潘姓患者:正值暑湿蒸腾之时,加之饮食水谷聚生湿气,导致胸脘部烦闷不适,出现呃逆、呕吐及干呕症状,口中有甜味且干燥,手心发热,头部出汗,舌苔白腻而无食欲,大便稀溏,小便量少。这是由于湿邪弥漫于膈膜之间,郁结蒸腾化为热邪,所服用的汤药和饮品,全部变为浊瘀之邪上泛,脉象三五不调。治疗应当用辛味药物以通利壅滞,用苦味药物以降逆气。处方使用佩兰、香薷、白豆蔻、公丁香、柿蒂、郁金、半夏曲、枳壳、杏仁(均炒制)。按语:口中发甜在经书中称为“脾瘅”,应使用兰草清除陈腐之气,遵循经典确立治法。服用一剂后,脾瘅已除,其他症状均减轻,改用清淡轻扬、淡渗利湿的药物。处方使用淡竹茹、通草、滑石、石斛、瓜蒌霜、象贝母、赤茯苓、藿香梗、灯心草。服用两剂后,呕吐停止,呃逆减少,这是胃气虚弱,客气上逆所致。使用一味大麦仁汤,胃脘舒适,呃逆停止,大汗出后知道饥饿并想进食。治疗转为调理补益胃阴。处方使用太子参、麦冬、沙参、扁豆(炒)、茯神、酸枣仁、薏苡仁、小麦、南枣,服用数剂后进食恢复正常。
潘姓患者:年过六旬,感染春季温邪,医生采用治疗伤寒的方法,混杂使用桂枝、柴胡、葛根,经过二十多天病情未解,拖延至湿热酿生痰浊,舌苔厚腻,口中有甜味,小便量少且色赤疼痛。不知道伤寒病是依次传变足经,而温邪专门损伤手经,桂枝、柴胡等药物性温升散,已经属于误治。另一位医生见其里有急迫感想要泻下,竟然使用肉桂心、焦白术,更是令人惊骇,难怪会出现嘴唇干燥、舌苔灰黑。病人自述,不恶寒只发热,身体沉重难以移动,那么春温化湿的情况就显而易见了,况且脉象气口处濡大,湿甚生热,脉候可以按触,再加上口味发甜,经书称为脾瘅,粘痰稠腻,气机窒塞不利,都是湿热混杂处于上中焦的显象。病人想要泻下,也是湿邪下注的表现,只要用小分利的方法,自然不至于有下迫之感。治疗方法为透泄热邪、渗利湿邪,数剂即可安宁。处方使用香豉、杏仁、贝母(各二钱)、佩兰、前胡、栀子皮、竹茹(各钱半)、赤茯苓(三钱)、滑石(五分)、蔗汁(半杯)、灯心草(一钱)。服用一剂后微汗出,烦热退去,下迫感消除,去掉香豉、佩兰,加入通草、瓜蒌、沙参(各一钱)。每日再服一次,痰液较之前滑利,舌苔灰色逐渐消退,可知温邪本是湿热内搏结,使用辛凉透热,甘淡驱湿,口甜身重均消除,只有小便混浊,还是湿邪未净,这种轻清泄热渗湿的方法是固定的治法。处方使用花粉、鲜生地、麦冬(各二钱)、赤茯苓、薏苡仁(各三钱)、栀子皮、川贝母、木通(各八分)、灯心草(五分),加入鲜芦根。每日再服一次,小便清亮,粥饮逐渐增加,转侧活动如常了。接着进调补胃阴的方法:玉竹、钗石斛、潞党参(各二钱)、麦冬(一钱)、薏苡仁(生二钱、熟二钱)、小麦、湘莲(各三钱)、甜杏仁(钱半),用蔗汁冲服。这是用甘润之法滋养胃阴,兼用火肉汁吹去油面饮用,待肠腑充实,大便得解,则胃脘脏腑清爽了。
侄子:据叙述去年秋天临近海边潮水溢出,淹没民居,凡是受到水湿侵袭的人,足背肿胀溃烂。如今到那里经商贸易,又冒犯时令邪气,身体疼痛、头晕、呕吐干呕,这是湿邪阻滞气分。医生误用发汗法劫夺津液,继而又用消导法,导致热渴、胃脘闷胀,呃逆、自发性腹泻,不知道患湿病的人忌用发汗,消导法更会劫夺胃津,再用丁香、人参、甘草来止呃逆,温补怎么能利湿呢?当时邪气本是湿土郁结蒸腾所发,感受时机不同,热盛湿滞,先宜疏解,然后再行渗利,使气机升降恢复正常。处方使用豆豉、枳壳、栀子皮、瓜蒌皮、半夏(制)、藿香梗、通草、茯苓、猪苓,荷叶煎汤。服用一剂后诸症均减轻,偶尔有呕吐口渴,这是中焦水谷之气不运化。使用半夏、橘白、茯苓、杏仁、薏米、花粉、砂仁,再服用得以安宁。
同族某人:旅途之中感受邪气,风热上壅,出现呕吐、口渴、头重痛,脉象浮濡,这是热蒸湿伏的表现。治疗先宣散解除表分邪气,则风热不与湿邪搏结。处方使用薄荷、牛蒡子、桔梗、山栀、甘菊、桑叶、赤茯苓、姜皮,汗出病解身体凉爽。因为吃了荸荠,再次发热、下利、烦闷,这是温邪未尽,生冷食物引动湿浊。使用胃苓汤去掉苍术、白术,加入枳壳、灯心草、芦根。煎服痊愈。
侄子:头脑昏蒙如被包裹,胸闷,大便艰难,腑气失于下降,按照湿郁论治。处方使用通草、白蔻壳、枳壳、瓜蒌霜、川芎、山栀、杏仁、半夏、淡竹叶、冬桑叶。服用三剂痊愈。
侄子:络脉热邪蒸腾痰浊,腮部紧绷,口中有甜味,脉象沉濡,左寸脉稍大,这是风热郁结于胆络,兼有脾脏有湿痰壅热而成为脾瘅。处方使用钩藤、丝瓜络、桔梗、连翘、象贝母、薄荷、佩兰、橘红、郁金。服用三剂痊愈。
同族弟弟:嗜好饮酒蕴积湿气,又在醉酒口渴时饮冷,寒热夹杂持续十天,口干舌苔腻,呕吐恶心,胸闷,脚冷,腹泻,脉象濡数,湿重于热,医生混淆称为温疟。屡次使用黄芩、石膏、生地,湿邪更加搏结。应当轻透湿邪于热邪之外,不要让它们互相煽动炽盛,病可立即消除。处方使用通草、枳壳、半夏、赤茯苓、车前子、石斛、薏苡仁、麦冬、灯心草、花粉、芦根。每日再服一次,大汗出热退,腹泻停止双脚暖和。但仍有轻微咳嗽。去掉枳壳、车前子、芦根,加入杏仁、象贝母,更为合适。粥饮既已进服,脾阳未醒,偶尔腹痛。使用广陈皮、砂仁、茯苓、薏苡仁、半夏曲、生白术、枳实。又服用数剂完全痊愈。
Patient Pan: During the period when summer heat and dampness were steaming, combined with the accumulation of dampness from food and drink, he suffered from irritability and fullness in the chest and epigastrium, hiccups, vomiting, and dry heaving. He had a sweet taste in the mouth accompanied by dryness, heat in the palms, sweating on the head, a white tongue coating, lack of appetite, loose stools, and scanty urine. This was caused by damp-evil diffusing between the diaphragm, stagnating and steaming into heat. The decoctions and drinks taken were all transformed into turbid stasis floating upward, resulting in an irregular pulse (pulse irregularity). The treatment should employ acrid substances to unblock congestion and bitter substances to direct rebellious Qi downward. The prescription used Peilan (Eupatorium fortunei), Xiangru (Elsholtzia splendens), Baidoukou (Amomi Fructus Rotundus), Gongdingxiang (Caryophylli Flos), Shidi (Kaki Calyx), Yujin (Curcumae Radix), Banxiaqu (Pinelliae Fermentum), Zhike (Aurantii Fructus), and Xingren (Armeniacae Semen Amarum) (all stir-fried). Note: A sweet taste in the mouth is named "Pi Dan" (Spleen Heat/Dampness) in classics; one should use Lancao (Herba Eupatorii) to remove stale accumulation, following the classics for treatment. After one dose, Pi Dan was eliminated, and other symptoms decreased. The formula was changed to light, clear, and bland-leaching herbs: Danzhuru (Bambusae Caulis in Taeniam), Tongcao (Tetrapanacis Medulla), Huashi (Talcum), Shihu (Dendrobii Caulis), Lou Shuang (Trichosanthis Pericarpium), Xiangbei (Fritillariae Thunbergii Bulbus), Chifuling (Poria cum Ligno Rubra), Huogeng (Agastachis Rhizoma), and Dengxincao (Junci Medulla). After two doses, vomiting stopped and hiccups became infrequent, indicating stomach deficiency with rebellious Qi ascending. A single-herb decoction of Damairen (Hordei Fructus Germinatus) was used; the epigastrium felt comfortable, hiccups ceased, profuse sweating occurred, and hunger and desire for food returned. Treatment shifted to regulating and tonifying Stomach Yin. The prescription included Taizishen (Codonopsis Radix), Maidong (Ophiopogonis Radix), Shashen (Glehniae Radix), Bidou (Dolichoris Semen) (stir-fried), Fushen (Poria cum Pinio), Zaoren (Ziziphi Spinosae Semen), Yiren (Coicis Semen), Xiaomai (Tritici Fructus), and Nanzao (Jujubae Fructus). After several doses, eating returned to normal.
Patient Pan: Over sixty years old, he contracted Spring Warmth (Chun Wen). The treating physician used methods for Cold Damage (Shang Han), mixing Guizhi (Cinnamomi Ramulus), Chaihu (Bupleuri Radix), and Gegen (Puerariae Radix). After more than ten days (two decades of days), the condition did not resolve, progressing to damp-heat brewing phlegm, with a greasy tongue coating, sweet taste in the mouth, and scanty, red, painful urination. The physician failed to recognize that Cold Damage transmits sequentially through the Foot meridians, whereas Warm pathogens specifically injure the Hand meridians. Guizhi and Chaihu are warm and ascending, constituting erroneous treatment. Another physician, seeing internal urgency suggesting purgation, used Rouguixin (Cinnamomi Cortex) and Jiaozhuzhu (Atractylodis Macrocephalae Rhizoma carbonized), which was even more alarming, explaining the dry lips and grey tongue coating. The patient stated he had no aversion to cold but only fever, and his body was heavy and difficult to move; thus, Spring Warmth transforming into dampness was evident. Furthermore, the pulse at the Qi Kou (Radial Artery) was Ru (Soft) and Da (Large); excessive dampness generating heat, palpable pulse conditions, along with a sweet taste (Pi Dan), sticky and thick phlegm, and qi obstruction, were all manifestations of damp-heat mixed in the Upper and Middle Jiao. The desire to purge was due to dampness sinking downward; mild diuresis would prevent this urgency. The treatment method was to vent heat and leach out dampness; several doses could bring peace. The prescription used Xiangu (Sojaes Semen Praeparatum), Xingren (Armeniacae Semen Amarum), Beimu (Fritillariae Bulbus) (each 2 qian), Peilan (Eupatorium fortunei), Qianhu (Peucedani Radix), Zhipi (Gardeniae Pericarpium), Zhuru (Bambusae Caulis in Taeniam) (each 1.5 qian), Chifuling (Poria cum Ligno Rubra) (3 qian), Huashi (Talcum) (0.5 qian), Zhezhijue (Saccharum Juice) (half cup), and Dengxincao (Junci Medulla) (1 qian). After one dose, slight sweating occurred, irritability and heat receded, and the sense of urgency disappeared. Xiangu and Peilan were removed, and Tongcao (Tetrapanacis Medulla), Gualou (Trichosanthis Fructus), and Shashen (Glehniae Radix) (each 1 qian) were added. Taken twice daily, phlegm became smoother, and the grey tongue coating gradually shed. This indicated that the Warm pathogen was originally internal conflict of damp-heat. Using Acrid-Cool to vent heat and Sweet-Bland to drive out dampness eliminated the sweet taste and heaviness. Only cloudy urine remained, indicating dampness was not fully cleared. This light-clearing heat and leaching-dampness method is fixed. The prescription used Huafen (Trichosanthis Radix), Xianshengdi (Rehmanniae Radix Fresh), Maidong (Ophiopogonis Radix) (each 2 qian), Chifuling (Poria cum Ligno Rubra), Yiren (Coicis Semen) (each 3 qian), Zhipi (Gardeniae Pericarpium), Chuanbei (Fritillariae Cirrhosae Bulbus), Mutong (Akebiae Caulis) (each 0.8 fen), Dengxincao (Junci Medulla) (0.5 fen), plus Xianlugen (Phragmitis Rhizoma Fresh). Taken twice daily, urine cleared, porridge and drinks increased, and movement returned to normal. Subsequently, the method of tonifying Stomach Yin was advanced: Yuzhu (Polygonati Rhizoma), Chihuhu (Dendrobii Caulis), Lushen (Codonopsis Radix) (each 2 qian), Maidong (Ophiopogonis Radix) (1 qian), Yiren (Coicis Semen) (raw 2 qian, cooked 2 qian), Xiaomai (Tritici Fructus), Xianglian (Nelumbinis Semen) (each 3 qian), Tianxingren (Armeniacae Semen Amarum) (1.5 qian), taken with Zhezhijue (Saccharum Juice). This uses Sweet-Moistening to nourish Stomach Yin, supplemented by drinking beef broth skimmed of oil. Once the intestines and bowels were filled and stool passed, the epigastric organs would feel refreshed.
Nephew: According to the account, last autumn near the sea, tidal surges flooded residences. Those exposed to water dampness suffered swollen and ulcerated feet. Now, while trading there, he was exposed to seasonal pathogens, suffering body pain, dizziness, vomiting, and dry heaving. This is dampness obstructing the Qi level. The physician erroneously used sweating to deplete fluids, followed by digestion-promoting methods, leading to heat-thirst, epigastric fullness, hiccups, and spontaneous diarrhea. One must not forget that patients with dampness contraindicate sweating; digestion-promoters further deplete Stomach fluids. Using Dingxiang (Caryophylli Flos), Renshen (Ginseng Radix), and Gancao (Glycyrrhizae Radix) to stop hiccups cannot promote dampness removal via warming-tonification. Seasonal pathogens arise from damp-earth stagnation and steaming; depending on the timing of contraction, heat rises and dampness stagnates. First, release and resolve; then leach and drain, restoring normal Qi mechanism ascent and descent. The prescription used Douchi (Sojaes Semen Praeparatum), Zhike (Aurantii Fructus), Zhipi (Gardeniae Pericarpium), Loupi (Trichosanthis Pericarpium), Banxia (Pinelliae Rhizoma processed), Huogeng (Agastachis Rhizoma), Tongcao (Tetrapanacis Medulla), Fuling (Poria), Zhuling (Polyporus), decocted with Heye (Nelumbinis Folium). After one dose, all symptoms decreased. Occasional vomiting and thirst indicated failure of Middle Jiao water-grain Qi transformation. Banxia (Pinelliae Rhizoma), Ju Bai (Citri Reticulatae Pericarpium), Fuling (Poria), Xingren (Armeniacae Semen Amarum), Yimi (Coicis Semen), Huafen (Trichosanthis Radix), Sharen (Amomi Fructus) were used; after another dose, he was at peace.
Clansman: Contracted pathogen on the road, Wind-Heat congested upwards, causing vomiting, thirst, heavy head pain, and a Fu-Ru (Floating-Soft) pulse. This is Heat steaming with Dampness lurking. Treatment first ventilated and resolved the Exterior, so Wind-Heat would not contend with Dampness. The prescription used Bohe (Menthae Haplocalycis Herba), Niubangzi (Arctii Fructus), Jiegeng (Platycodonis Radix), Shanzhi (Gardeniae Fructus), Ganju (Chrysanthemi Flos), Sangye (Mori Folium), Chifuling (Poria cum Ligno Rubra), Jiangpi (Zingiberis Cortex), resulting in sweating, resolution, and cool body. Due to eating water chestnuts (Biqie), fever, diarrhea, and irritability recurred. This was incomplete Warm pathogen triggered by raw/cold food moving damp-turbidity. Weiling Tang (Stomach Regulating Decoction) without Baizhu and Cangzhu, plus Zhike (Aurantii Fructus), Dengxincao (Junci Medulla), Lugen (Phragmitis Rhizoma) was decocted and taken to cure.
Nephew: Head felt wrapped, chest full, difficult bowel movements, Bowel Qi failed to descend. Treated as Dampness Stagnation. Tongcao (Tetrapanacis Medulla), Baikouqiao (Amomi Fructus Rotundus Shell), Zhike (Aurantii Fructus), Lou Shuang (Trichosanthis Pericarpium), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shanzhi (Gardeniae Fructus), Xingren (Armeniacae Semen Amarum), Banxia (Pinelliae Rhizoma), Danyezhu Ye (Lophatheri Folium), Dong Sang Ye (Mori Folium). Three doses cured.
Nephew: Collateral Heat steamed Phlegm, tight cheeks, sweet taste in mouth, Chen-Ru (Deep-Soft) pulse, Left Cun slightly larger. This is Wind-Heat stagnant in Gallbladder Collaterals, combined with Spleen having Damp-Phlegm congestion and Heat, becoming Pi Dan (Spleen Heat/Dampness). Gouteng (Uncariae Ramulus cum Uncis), Sigualuo (Luffae Fructus Retinervus), Jiegeng (Platycodonis Radix), Lianqiao (Forsythiae Fructus), Xiangbei (Fritillariae Thunbergii Bulbus), Bohe (Menthae Haplocalycis Herba), Peilan (Eupatorium fortunei), Juhong (Citri Reticulatae Pericarpium Rubrum), Yujin (Curcumae Radix). Three doses cured.
Younger Clansman Brother: Habit of drinking wine accumulated dampness; additionally, drinking cold liquids when thirsty after intoxication. Cold and Heat mixed for ten days, dry mouth, greasy tongue, vomiting, nausea, chest fullness, cold feet, diarrhea, Ru-Shu (Soft-Rapid) pulse. Dampness exceeded Heat. Physicians confusedly called it Wen Nue (Warm Malaria). Repeated use of Huangqin (Scutellariae Radix), Shigao (Gypsum Fibrosum), Shengdi (Rehmanniae Radix) made dampness more congealed. Lightly vent dampness outside heat, do not let them fan each other's intensity; the disease can be immediately removed. Tongcao (Tetrapanacis Medulla), Zhike (Aurantii Fructus), Banxia (Pinelliae Rhizoma), Chifuling (Poria cum Ligno Rubra), Cheqian (Plantaginis Semen), Shihu (Dendrobii Caulis), Yiren (Coicis Semen), Maidong (Ophiopogonis Radix), Dengxincao (Junci Medulla), Huafen (Trichosanthis Radix), Lugen (Phragmitis Rhizoma). Taken twice daily, profuse sweating, heat receded, diarrhea stopped, feet normalized. But slight cough remained. Removed Zhike, Cheqian, Lugen; added Xingren (Armeniacae Semen Amarum), Xiangbei (Fritillariae Thunbergii Bulbus), which was more suitable. After porridge and drinks entered, Spleen Yang had not awakened, occasional abdominal pain. Guangpi (Citri Reticulatae Pericarpium), Sharen (Amomi Fructus), Fuling (Poria), Yiren (Coicis Semen), Banxiaqu (Pinelliae Fermentum), Sheng Baizhu (Atractylodis Macrocephalae Rhizoma), Zhizi (Immature Ziziphus fruit or similar, likely Zhishi/Aurantii Fructus based on context of moving Qi, text says 'Zi', possibly Zhizi or Zhishi typo, interpreted as Qi-moving agent here). Several more doses completely cured.