龙脑香 苏合香 藿香 檀香 乳香 芒硝 童便
煎药亦宜冷服。
中恶 脑中 痛,属胃气虚,恶气客之所致。
忌同绞肠痧。
宜辟恶气,通畅胃气,辛散。
龙脑香 檀香 麝香(孕妇忌用) 牛黄 乳香 苏合香 沉水香 丹砂 雄黄 鬼臼 藿香
白豆蔻 石菖蒲 橘皮 木香 远志 干姜 桂
反胃 属气虚,中酒属胃弱。
忌破气,升,苦寒,甘,燥热,诸药录后。
宜补气,降气,和胃,清热,酸敛以制肝。
枇杷叶 人参 苏子 橘皮 木瓜 麦门冬 芦根汁 竹茹 石斛 梅酱 蔗浆 白茯苓 白芍药
若因虚寒而得者,加生姜、术、白豆蔻。
大肠虚(四证)
忌破气,下,燥热,诸药录后。
宜补气,润燥,甘温。
人参 黄 麦冬 五味 白芍 炙草
虚热便闭不通 属血虚,津液不足。
忌破气,下,燥热,苦温,损津液。
郁李仁(损津液)
宜生津液,润燥,凉血,益血。
生地黄 五味 麦冬 天冬 芝麻 麻仁 肉苁蓉 生蜜 当归 芦荟 炙草
虚热滑泄不禁 属气虚。
忌破气,下,湿润,苦寒。
宜补气,升,甘温,酸敛。
人参 黄 白术 炙甘草 吴茱萸 肉豆蔻 莲肉 升麻 木瓜 补骨脂 五味子 赤石脂
肠鸣脱肛 属气虚,兼有湿热。
忌同大肠虚。
宜补气,升提,除湿热。
人参 黄 炙草 白术 莲肉 白扁豆 升麻 干葛 柴胡 黄柏 防风 白芍药 黄连 黄芩
樗根白皮
外用五倍子敷之。
膀胱虚(三证)
忌破气,燥,利小便。
宜补气,酸敛。
人参 五味子 山茱萸 益智子 金樱子
小便不禁 属气血虚。
忌降下,湿润,燥热。
宜同膀胱虚,加牡蛎 龙骨 鹿茸 桑螵蛸 鸡
频数不能少忍,加 麦门冬 五味子 山茱萸 天门冬 黄柏 柏子仁 鳖甲 牛膝 甘枸杞子
遗尿 属本经气虚,见小肠虚条内。因膀胱虚,亦能致遗尿,故复列此。
忌宜俱见小肠虚。
膀胱虚
忌宜俱同疝。
三焦虚(二证)
忌破气,降,复忌升发,苦寒。
宜补中益气,佐以辛温。
人参 黄 白术 益智子 沉香 五味子
短气腹寒 属中气虚。
忌宜俱同三焦。
心实 即实火实热。(五证)
忌补敛,升,热,温燥。
宜降火清热,苦寒以折之,辛寒以散之,甘寒以缓之,咸寒以润之。
黄连 犀角 石膏 丹砂 牡丹皮 生甘草 滑石 竹叶 麦冬 童便
便结燥,加芒硝、大黄,发狂亦如之。
谵语 属心家邪热。舌破,属心火。烦躁,属心家邪热,及心火内炎。(烦属心,躁属肾。)自笑,
属心家有热邪。发狂,属心家有邪热甚。
以上忌宜俱同心实。
肝实(五证)
忌补气,升,酸敛,辛热,辛温,燥,诸药录后。
宜清热降气,苦寒,辛寒,甘寒,酸寒。
橘皮 青皮 苏子 黄连 龙胆草 生甘草 黄芩 柴胡 竹叶 黄黛 赤芍药
善怒 怒则气上逆,甚则呕血及飧泄。
忌补,升,热燥,闭气,诸药录后。
宜降气,清热,甘寒,酸寒,咸寒,佐以辛散。
苏子 郁金 青黛 麦冬 赤芍 生甘草 橘皮 蒲黄 当归 砂仁 香附 生地黄 童便
善叹息 忽忽不乐,胁痛呕血,属肝气逆,肝火盛,肝血虚。
忌宜俱同善怒。
发搐 属肝家邪热,热则生风,风主掉眩故也。
忌同善怒。
宜清热,降气,利小便,缓中。
黄连 芍药 丹砂 童便 生地黄 羚羊角 苏子 麦冬 竹叶 茯苓 生甘草 甘菊花 木通
目赤肿痛 属血热。
忌同肝实善怒。
宜凉血清热,甘寒,苦寒,酸寒。
生地黄 赤芍药 谷精草 蜜蒙花 龙胆草 甘草 甘菊 荆芥 黄柏 大黄 连翘 黄连 玄参
山栀 竹叶 空青 曾青 木通 童便 芒硝 蕤核
急者宜以三棱针刺破眼眶肿处,捋出热血立解,迟则血贯瞳人目损矣。
脾实 即湿热邪胜。(六证)
忌湿润,收涩,滞腻,热,咸,甘,诸药录后。
宜除湿清热,利小便,辛散,风燥,苦寒。
术 山栀 猪苓 泽泻 滑石 车前 茯苓 防风 干葛 黄连 枳实 白豆蔻
虫胀 繇于脾家,湿热积滞或内伤,瘀血停积而成。
忌破气,甘温,燥热。
宜除湿,清热,利小便,消积。
车前子 木通 防己 猪苓 泽泻 茯苓 鸟喙鱼 葶苈 山楂 红曲 三棱 蓬术 桑白皮
易饥 属脾家邪火。
忌升,辛温,大热,香燥。
沉香 麝香 龙脑 豆蔻 藿香 缩砂密(以上香燥)
宜清火除热,生津液,益脾阴,甘寒,苦寒,酸寒。
黄连 青黛 连翘 山栀 麦门冬 酸枣仁 芍药 石膏 竹叶 石斛
中消 口糜,口唇生疮,属脾家热。
忌温燥,热。
宜甘寒,酸寒,苦寒,辛寒。
麦门冬 甘草 乌梅 黄连 黄柏 生
地黄 白芍药 玄参 连翘 干葛 石膏 龙胆草 栝蒌根 大青 竹叶
湿热腹痛 按之愈甚。
忌闷气,酸敛。温热,燥。
宜利小便,兼升提,苦寒。
滑石 木通 黄连 黄芩 升麻 柴胡 葛根 防风 车前子
不愈加熟大黄,即土郁则夺之义也。
肺热(八证)
忌敛涩,补气,升,燥热,酸,咸。
宜降气,润,甘寒,苦寒,佐以辛散。
枇杷叶 苏子 桑白皮 贝母 杏仁 白前 天门冬 前胡 车前子 知母 桑黄 石膏 栝蒌根
黄芩
喘急 属肺有实热,及肺气上逆。
忌同肺实。
宜亦同,加 桔梗 甘草 栝蒌仁 玄参 青黛
声重 气壅痰稠,属肺热。
忌宜俱同肺热。
喉癣 肺胀 肺痈 属肺热。
忌同肺实。
宜清热,消痰,降火,解毒散结,甘寒,苦寒,辛寒。
桑白皮 桑黄 黄芩 栝蒌根 贝母 薏苡仁 虎耳草 蕺米 连翘 鼠粘子 甘草 败酱草
吐脓血血痰,咳嗽嗽血 属肝家火实热甚,此正邪气胜则实之谓。
忌同肺实。
宜清热降气,凉血,豁痰。
枇杷叶 桑白皮 童便 苏子 剪草 蒲黄 麦门冬 天门冬 百部 桑黄 百合 甘草
生地黄 薏苡仁 贝母 白芨 桔梗 紫菀 白芍药 款冬花
上消 属肺家实火,及上焦热。
忌同肺实。
宜降气,清热,补肺,生津,甘寒,苦寒,酸寒,辛寒。
苏子 桔梗 百部 百合 麦门冬 枇杷叶 黄芩 沙参 黄连 葛根 桑白皮 天门冬 知母
玄参 石膏 甘草 栝蒌根 五味子 芦根 冬瓜 人乳 白芍药 竹叶
肾无实,故无泻法。
命门实(二证)
忌补气,温,热。
宜苦寒,甘寒,咸寒。
天门冬 麦门冬 黄柏 知母 玄参 木通 牡丹皮 车前子 泽泻
强阳不倒 属命门火实,孤阳无阴所致,此证多不治。
忌同命门实。
宜亦同,加五味、童便、生地黄。
水窍涩痛 属命门实火。
忌同命门实。
宜清热,利窍,甘寒,苦寒,咸寒,佐以淡渗。
车前子 黄柏 知母 黄芩 牛膝 生地黄 天门冬 甘草 童便 茯苓 木通 麦门冬
小肠实(一证)
忌敛涩,补气。
宜通利,淡渗,苦寒,甘寒,咸寒。
车前子 茯苓 木通 黄柏 知母 生甘草 麦门冬 黄芩 黄连 牛膝 童溺 生地黄
小水不利及赤 或涩痛尿血。
忌宜俱同小肠实。
胆实(二证)
忌汗,吐,下。
宜和解,辛寒,甘寒,苦寒,辛温。
柴胡 黄芩 半夏 生姜 甘草 龙胆草 橘皮
口苦耳聋胁痛 往来寒热。
忌同胆实。
宜用仲景小柴胡汤,随所见兼证加减。
鼻渊 属胆移热于脑。
忌辛温,燥热。
宜清热,补脑,甘寒,甘平,佐以辛寒。
天门冬 沙参 薄荷 柴胡 辛夷 沙苑蒺藜 甘菊花 石枣 黄芩 玄参 知母 生地黄
胃实(六证)
忌升,补敛,辛温,燥热,湿润。
宜下,如邪未结,宜清热发散,苦寒,辛寒,甘寒。
大黄 枳实 知母 石膏 葛根 竹叶 大青 小青 青黛 麦冬 甘草
谵语发狂 发斑,弃衣而走,登高而歌,属胃家邪热实。
忌同胃实。
宜亦同。
如大便结者,加芒硝亟下之。发斑者,加鼠粘子、玄参、栝蒌根,多用石膏为君,便结亦加大
黄下之。
嘈杂吞酸 口臭口淡,数欲饮食,属胃火。
忌同胃实。
宜清热降火,苦寒,甘寒,辛寒。
黄连 青黛 连翘 麦冬 石斛 芦根汁 竹叶 石膏
呕吐 属胃火者,必面赤,小便短赤,或涩,大便多燥,口苦或干渴。
忌同胃实。
宜亦同,加 枇杷叶 竹茹 木瓜 芦根 橘皮 通草 茯苓
大肠实(四证)
忌补敛,燥热。
宜润下,苦寒,辛寒。
麻仁 桃仁 黄连 黄芩 槐花 生地黄 大黄 石膏 知母 枳壳
便硬闭
忌同大肠实。
宜亦同,加 芒硝 猪胆 槟榔 郁李仁 石蜜
脏毒肠风下血 属大肠湿热。
忌下,燥热。
宜清热,凉血,兼升,甘寒,苦寒。
槐花 地榆 黄连 黄芩 生地黄 白芍药 荆芥 防风 甘草 红曲 侧柏叶 白头翁 蒲黄 鸡子
葛根
肠痈 属大肠实火。
忌同肠风下血。
宜下,苦寒,解寒。
大黄 白芷 白芨 白蔹 白药子 忍冬藤 连翘 甘草 黄连 黄 生地黄 天明精 明矾 黄蜡
生蜜(以上三味作丸)
膀胱实(一证)
忌燥热,收涩。
宜润,淡渗。
知母 黄柏 木通 瞿麦 车前子 滑石 茯苓 猪苓 泽泻
癃闭 属膀胱实热。
忌破气,发散,燥热,如属水液不足,兼忌利小便。
宜同膀胱实,佐以升提,升麻,柴胡。
三焦实(三证)
忌补敛,升,燥热。
宜降,清热,调气,甘寒,苦寒,咸寒。
苏子 麦冬 知母 黄柏 玄参 山栀 黄芩 黄连 童便
喉痹 即缠喉风,属少阳相火,少阴君火并炽,经曰∶“一阴一阳结为喉痹。”一阴
者。少阴君火也。一阳者,少阳相火也。忌同三焦实。
宜辛散,佐以苦寒,咸寒,急则有针、吹、吐三法。
鼠粘子 射干 黄连 黄柏 山豆根 麦门冬 生犀角 知母 玄参 童便 山茨菇 苦桔梗
续随子 苏子 贝母 甘草
急治用胆矾、朴硝、牛黄,为末和匀,吹
入喉中。又法用明矾三钱,巴豆七粒去壳,同矾 ,矾枯去巴豆,即取矾为细末,吹入喉
中,流出热涎即宽。
头面赤热 属上焦火升。
忌同三焦实。
宜降,清热,甘缓,佐以酸敛。
苏子 天冬 麦冬 玄参 薄荷 枇杷叶 梨 柿 蔗 童便 五味 栝蒌根 芍药
赤白游风 属血热,热则生风,故善游走,俗名火丹。小儿多患此,大人亦时有之。
忌同三焦实。
宜清热,凉血,兼行血,辛寒,甘寒,苦寒,咸寒。
黄连 黄柏 蒲黄 生地黄 生甘草 牡丹皮 连翘 玄参 牛膝 红蓝花 鼠粘子 赤芍药
蓝汁 苎根 童便 牡丹皮
宜兼外治,砭出热血,及用漆姑草,慎火草,捣烂敷之,即易愈。
诸疟 热多。
忌辛热。
宜清热。
贝母 石膏 橘红 干葛 滑石 麦门冬 竹叶 牛膝 知母 黄芩 柴胡 何首乌 茯苓 乌梅
牡蛎 鳖甲
寒多。
忌苦寒。
宜辛温。
桂枝 姜皮 白术 苍术 草豆蔻 人参 黄 当归 半夏 炙草 白豆蔻 橘红
汗多。
忌散。
宜补敛。
人参 白术 黄 秋冬加桂枝
无汗。
忌补敛。
宜疏散。
干葛 柴胡 石膏 羌活 姜皮 人参 苍术
疟母
忌纯补。
宜补中行滞。
鳖甲 射干 牡蛎 三棱 桂 缩砂密 橘皮 青皮 人参
诸痢
忌破,闭气,收涩,燥,温热,咸寒,滑腻。
宜清热消积,开胃气,升,利小便。
黄连 黄芩 白芍 红曲 山楂 广橘红 升麻 葛根 滑石 莲肉 甘草 白扁豆 乌梅
如胃弱加人参三四钱,莲子四十粒,橘红二钱,升麻二钱。如腹痛,以黄连四钱
,白芍三钱,炙草一钱五分,黄柏一钱,升麻七分煎服。如里急,同上药加当归
二钱。如后重甚,加槟榔一钱五分,枳壳一钱五分,木香汁七匙。如口渴去木香倍滑石。
如小便赤涩短少,或不利亦倍之。赤多倍乌梅、山楂、红曲,白多加吴茱萸七分。恶心欲呕,即噤
口痢,多用人参、莲肉、扁豆、白芍,以绿色升麻七分佐之。久痢不止,加肉豆蔻一钱,人参三钱,
砂仁一钱五分,白茯苓二钱。
泄泻
忌湿润,破气,下,苦寒,滑利。
宜安胃(补脾),升,利小便。
人参 茯苓 莲肉 白术 升麻 车前子 橘红 藿香 木瓜 干葛 炙草 白莱菔 扁豆
虚寒者,加肉豆、茯苓、补骨脂、吴茱萸。虚热者,去白术加川黄连,倍芍药、莲肉。
暑湿为病,则小水短赤或口渴,倍用姜黄连为君,佐以干葛、升麻。繇于感风寒者,二术、吴茱萸、
砂仁、陈皮、干姜、紫苏主之。若繇饮食停滞者,兼消导,山楂、麦芽、
神曲、陈皮,肉豆蔻。
诸疸
龙脑香、苏合香、藿香、檀香、乳香、芒硝、童便(儿童尿液)
煎煮药物时,也适宜冷服。
中恶(因感受秽浊之气而突然发病),脑部疼痛,属于胃气虚弱,被恶邪侵袭所致。
禁忌与绞肠痧相同。
适宜辟除恶气,通畅胃气,使用辛散的药物。
可用药物:龙脑香、檀香、麝香(孕妇忌用)、牛黄、乳香、苏合香、沉水香、丹砂、雄黄、鬼臼、藿香、白豆蔻、石菖蒲、橘皮、木香、远志、干姜、桂枝。
反胃,属于气虚;饮酒过度导致的反胃,属于胃弱。
禁忌破气、升提、苦寒、甘味、燥热等药物,具体记录在后面。
适宜补气、降气、和胃、清热,以及酸敛以制约肝气。
可用药物:枇杷叶、人参、苏子、橘皮、木瓜、麦门冬、芦根汁、竹茹、石斛、梅酱、蔗浆、白茯苓、白芍药。
如果是因虚寒引起的,加入生姜、白术、白豆蔻。
大肠虚(四种证候)
禁忌破气、泻下、燥热等药物,具体记录在后面。
适宜补气、润燥,使用甘温的药物。
可用药物:人参、黄芪、麦冬、五味子、白芍、炙甘草。
虚热导致的大便秘结不通,属于血虚,津液不足。
禁忌破气、泻下、燥热、苦温以及损伤津液的药物。
郁李仁(会损伤津液,故忌用)。
适宜生津液、润燥、凉血、益血。
可用药物:生地黄、五味子、麦冬、天冬、芝麻、麻仁、肉苁蓉、生蜜、当归、芦荟、炙甘草。
虚热导致的滑泄不禁,属于气虚。
禁忌破气、泻下、湿润、苦寒的药物。
适宜补气、升提、甘温、酸敛。
可用药物:人参、黄芪、白术、炙甘草、吴茱萸、肉豆蔻、莲肉、升麻、木瓜、补骨脂、五味子、赤石脂。
肠鸣、脱肛,属于气虚,兼有湿热。
禁忌同大肠虚。
适宜补气、升提、除湿热。
可用药物:人参、黄芪、炙甘草、白术、莲肉、白扁豆、升麻、干葛、柴胡、黄柏、防风、白芍药、黄连、黄芩、樗根白皮。
外用五倍子敷贴患处。
膀胱虚(三种证候)
禁忌破气、燥性、利小便的药物。
适宜补气、酸敛。
可用药物:人参、五味子、山茱萸、益智子、金樱子。
小便不禁,属于气血虚。
禁忌降下、湿润、燥热的药物。
适宜同膀胱虚的治法,加牡蛎、龙骨、鹿茸、桑螵蛸、鸡内金。
尿频且不能忍耐,加麦门冬、五味子、山茱萸、天门冬、黄柏、柏子仁、鳖甲、牛膝、甘枸杞子。
遗尿,属于本经气虚,详见小肠虚条目。因膀胱虚也能导致遗尿,所以再次列出。
禁忌和适宜均见小肠虚条目。
膀胱虚的禁忌和适宜均同疝气。
三焦虚(两种证候)
禁忌破气、降气,又忌升发,忌苦寒。
适宜补中益气,佐以辛温。
可用药物:人参、黄芪、白术、益智子、沉香、五味子。
心实,即实火实热。(五种证候)
禁忌补益收敛、升提、热性、温燥的药物。
适宜降火清热,用苦寒以折其势,辛寒以散其邪,甘寒以缓其急,咸寒以润其燥。
可用药物:黄连、犀角、石膏、丹砂、牡丹皮、生甘草、滑石、竹叶、麦冬、童便。
大便结燥者,加芒硝、大黄;发狂者亦如此处理。
谵语(胡言乱语),属于心家邪热。舌破,属于心火。烦躁,属于心家邪热及心火内炎。(烦属心,躁属肾。)自笑,属于心家有热邪。发狂,属于心家有邪热甚重。
以上禁忌和适宜均同于心实。
肝实(五种证候)
禁忌补气、升提、酸敛、辛热、辛温、燥性药物,具体记录在后面。
适宜清热降气,使用苦寒、辛寒、甘寒、酸寒的药物。
可用药物:橘皮、青皮、苏子、黄连、龙胆草、生甘草、黄芩、柴胡、竹叶、黄黛、赤芍药。
善怒(容易发怒),怒则气上逆,严重则呕血及飧泄(完谷不化的腹泻)。
禁忌补益、升提、热燥、闭气药物,具体记录在后面。
适宜降气、清热,使用甘寒、酸寒、咸寒,佐以辛散。
可用药物:苏子、郁金、青黛、麦冬、赤芍、生甘草、橘皮、蒲黄、当归、砂仁、香附、生地黄、童便。
善叹息(喜欢叹气),神情恍惚不乐,胁痛呕血,属于肝气逆、肝火盛、肝血虚。
禁忌和适宜均同善怒。
发搐(抽搐),属于肝家邪热,热极生风,风主掉眩(动摇眩晕)。
禁忌同善怒。
适宜清热、降气、利小便、缓中。
可用药物:黄连、芍药、丹砂、童便、生地黄、羚羊角、苏子、麦冬、竹叶、茯苓、生甘草、甘菊花、木通。
目赤肿痛,属于血热。
禁忌同肝实善怒。
适宜凉血清热,使用甘寒、苦寒、酸寒。
可用药物:生地黄、赤芍药、谷精草、蜜蒙花、龙胆草、甘草、甘菊、荆芥、黄柏、大黄、连翘、黄连、玄参、山栀、竹叶、空青、曾青、木通、童便、芒硝、蕤核。
急症宜用三棱针刺破眼眶肿处,挤出热血即可立解,迟则血贯瞳人导致目损。
脾实,即湿热邪胜。(六种证候)
禁忌湿润、收涩、滞腻、热、咸、甘味药物,具体记录在后面。
适宜除湿清热、利小便、辛散、风燥、苦寒。
可用药物:白术、山栀、猪苓、泽泻、滑石、车前子、茯苓、防风、干葛、黄连、枳实、白豆蔻。
虫胀(腹胀如虫咬或寄生虫引起的肿胀),由于脾家湿热积滞或内伤、瘀血停积而成。
禁忌破气、甘温、燥热。
适宜除湿、清热、利小便、消积。
可用药物:车前子、木通、防己、猪苓、泽泻、茯苓、鸟喙鱼、葶苈、山楂、红曲、三棱、蓬术、桑白皮。
易饥(容易饥饿),属于脾家邪火。
禁忌升提、辛温、大热、香燥。
沉香、麝香、龙脑、豆蔻、藿香、缩砂密(以上均为香燥之品,故忌用)。
适宜清火除热、生津液、益脾阴,使用甘寒、苦寒、酸寒。
可用药物:黄连、青黛、连翘、山栀、麦门冬、酸枣仁、芍药、石膏、竹叶、石斛。
中消(多食易饥),口糜,口唇生疮,属于脾家热。
禁忌温燥、热性药物。
适宜甘寒、酸寒、苦寒、辛寒。
可用药物:麦门冬、甘草、乌梅、黄连、黄柏、生地黄、白芍药、玄参、连翘、干葛、石膏、龙胆草、栝蒌根、大青、竹叶。
湿热腹痛,按压后疼痛加剧。
禁忌闷气、酸敛、温热、燥性药物。
适宜利小便,兼升提,使用苦寒。
可用药物:滑石、木通、黄连、黄芩、升麻、柴胡、葛根、防风、车前子。
若不加重,即遵循“土郁则夺”的意义(通过泻下祛除脾胃郁滞)。
肺热(八种证候)
禁忌敛涩、补气、升提、燥热、酸、咸味药物。
适宜降气、润燥,使用甘寒、苦寒,佐以辛散。
可用药物:枇杷叶、苏子、桑白皮、贝母、杏仁、白前、天门冬、前胡、车前子、知母、桑黄、石膏、栝蒌根、黄芩。
喘急,属于肺有实热,及肺气上逆。
禁忌同肺实。
适宜也相同,加桔梗、甘草、栝蒌仁、玄参、青黛。
声重(声音沉重浑浊),气壅痰稠,属于肺热。
禁忌和适宜均同肺热。
喉癣、肺胀、肺痈,属于肺热。
禁忌同肺实。
适宜清热、消痰、降火、解毒散结,使用甘寒、苦寒、辛寒。
可用药物:桑白皮、桑黄、黄芩、栝蒌根、贝母、薏苡仁、虎耳草、蕺米(鱼腥草籽)、连翘、鼠粘子(牛蒡子)、甘草、败酱草。
吐脓血血痰,咳嗽嗽血,属于肝家火实热甚,这是正邪气胜则实的说法。
禁忌同肺实。
适宜清热降气、凉血、豁痰。
可用药物:枇杷叶、桑白皮、童便、苏子、剪草、蒲黄、麦门冬、天门冬、百部、桑黄、百合、甘草、生地黄、薏苡仁、贝母、白芨、桔梗、紫菀、白芍药、款冬花。
上消,属于肺家实火,及上焦热。
禁忌同肺实。
适宜降气、清热、补肺、生津,使用甘寒、苦寒、酸寒、辛寒。
可用药物:苏子、桔梗、百部、百合、麦门冬、枇杷叶、黄芩、沙参、黄连、葛根、桑白皮、天门冬、知母、玄参、石膏、甘草、栝蒌根、五味子、芦根、冬瓜、人乳、白芍药、竹叶。
肾无实证,所以没有泻法。
命门实(两种证候)
禁忌补气、温性、热性药物。
适宜苦寒、甘寒、咸寒。
可用药物:天门冬、麦门冬、黄柏、知母、玄参、木通、牡丹皮、车前子、泽泻。
强阳不倒,属于命门火实,孤阳无阴所致,此证大多难治。
禁忌同命门实。
适宜也相同,加五味子、童便、生地黄。
水窍涩痛(尿道涩痛),属于命门实火。
禁忌同命门实。
适宜清热、利窍,使用甘寒、苦寒、咸寒,佐以淡渗。
可用药物:车前子、黄柏、知母、黄芩、牛膝、生地黄、天门冬、甘草、童便、茯苓、木通、麦门冬。
小肠实(一种证候)
禁忌敛涩、补气。
适宜通利、淡渗、苦寒、甘寒、咸寒。
可用药物:车前子、茯苓、木通、黄柏、知母、生甘草、麦门冬、黄芩、黄连、牛膝、童溺、生地黄。
小水不利及赤(小便不畅且色红),或涩痛尿血。
禁忌和适宜均同小肠实。
胆实(两种证候)
禁忌汗法、吐法、下法。
适宜和解,使用辛寒、甘寒、苦寒、辛温。
可用药物:柴胡、黄芩、半夏、生姜、甘草、龙胆草、橘皮。
口苦耳聋胁痛,往来寒热。
禁忌同胆实。
适宜使用仲景小柴胡汤,根据所见兼证加减。
鼻渊(鼻流浊涕),属于胆移热于脑。
禁忌辛温、燥热。
适宜清热、补脑,使用甘寒、甘平,佐以辛寒。
可用药物:天门冬、沙参、薄荷、柴胡、辛夷、沙苑蒺藜、甘菊花、石枣、黄芩、玄参、知母、生地黄。
胃实(六种证候)
禁忌升提、补敛、辛温、燥热、湿润。
适宜泻下,如果邪气未结聚,适宜清热发散,使用苦寒、辛寒、甘寒。
可用药物:大黄、枳实、知母、石膏、葛根、竹叶、大青、小青、青黛、麦冬、甘草。
谵语发狂,发斑,弃衣而走,登高而歌,属于胃家邪热实。
禁忌同胃实。
适宜也相同。
如果大便结者,加芒硝紧急泻下。发斑者,加鼠粘子、玄参、栝蒌根,多用石膏为君药,大便结者加大黄泻下。
嘈杂吞酸,口臭口淡,数欲饮食,属于胃火。
禁忌同胃实。
适宜清热降火,使用苦寒、甘寒、辛寒。
可用药物:黄连、青黛、连翘、麦冬、石斛、芦根汁、竹叶、石膏。
呕吐,属于胃火者,必面赤,小便短赤,或涩,大便多燥,口苦或干渴。
禁忌同胃实。
适宜也相同,加枇杷叶、竹茹、木瓜、芦根、橘皮、通草、茯苓。
大肠实(四种证候)
禁忌补敛、燥热。
适宜润下,使用苦寒、辛寒。
可用药物:麻仁、桃仁、黄连、黄芩、槐花、生地黄、大黄、石膏、知母、枳壳。
便硬闭结
禁忌同大肠实。
适宜也相同,加芒硝、猪胆、槟榔、郁李仁、石蜜。
脏毒肠风下血,属于大肠湿热。
禁忌泻下、燥热。
适宜清热、凉血,兼升提,使用甘寒、苦寒。
可用药物:槐花、地榆、黄连、黄芩、生地黄、白芍药、荆芥、防风、甘草、红曲、侧柏叶、白头翁、蒲黄、鸡子、葛根。
肠痈,属于大肠实火。
禁忌同肠风下血。
适宜泻下,苦寒,解寒(此处原文可能有误,通常指清热解毒或活血排脓,依文意保留)。
可用药物:大黄、白芷、白芨、白蔹、白药子、忍冬藤、连翘、甘草、黄连、黄芪、生地黄、天明精、明矾、黄蜡、生蜜(以上三味作丸)。
膀胱实(一种证候)
禁忌燥热、收涩。
适宜润燥、淡渗。
可用药物:知母、黄柏、木通、瞿麦、车前子、滑石、茯苓、猪苓、泽泻。
癃闭(小便不通),属于膀胱实热。
禁忌破气、发散、燥热,如果属于水液不足,兼忌利小便。
适宜同膀胱实,佐以升提,用升麻、柴胡。
三焦实(三种证候)
禁忌补敛、升提、燥热。
适宜降气、清热、调气,使用甘寒、苦寒、咸寒。
可用药物:苏子、麦冬、知母、黄柏、玄参、山栀、黄芩、黄连、童便。
喉痹,即缠喉风,属于少阳相火,少阴君火并炽,经曰:“一阴一阳结为喉痹。”一阴者,少阴君火也。一阳者,少阳相火也。禁忌同三焦实。
适宜辛散,佐以苦寒、咸寒,急症则有针、吹、吐三法。
可用药物:鼠粘子、射干、黄连、黄柏、山豆根、麦门冬、生犀角、知母、玄参、童便、山茨菇、苦桔梗、续随子、苏子、贝母、甘草。
急治用胆矾、朴硝、牛黄,研末和匀,吹入喉中。又法用明矾三钱,巴豆七粒去壳,同矾煅烧,矾枯去巴豆,即取矾为细末,吹入喉中,流出热涎即宽。
头面赤热,属于上焦火升。
禁忌同三焦实。
适宜降气、清热、甘缓,佐以酸敛。
可用药物:苏子、天冬、麦冬、玄参、薄荷、枇杷叶、梨、柿、蔗、童便、五味子、栝蒌根、芍药。
赤白游风,属于血热,热则生风,故善游走,俗名火丹。小儿多患此,大人亦时有之。
禁忌同三焦实。
适宜清热、凉血,兼行血,使用辛寒、甘寒、苦寒、咸寒。
可用药物:黄连、黄柏、蒲黄、生地黄、生甘草、牡丹皮、连翘、玄参、牛膝、红蓝花、鼠粘子、赤芍药、蓝汁、苎根、童便、牡丹皮。
适宜兼外治,砭出热血,及用漆姑草、慎火草,捣烂敷之,即易愈。
诸疟,热多。
禁忌辛热。
适宜清热。
可用药物:贝母、石膏、橘红、干葛、滑石、麦门冬、竹叶、牛膝、知母、黄芩、柴胡、何首乌、茯苓、乌梅、牡蛎、鳖甲。
寒多。
禁忌苦寒。
适宜辛温。
可用药物:桂枝、姜皮、白术、苍术、草豆蔻、人参、黄芪、当归、半夏、炙甘草、白豆蔻、橘红。
汗多。
禁忌发散。
适宜补敛。
可用药物:人参、白术、黄芪,秋冬加桂枝。
无汗。
禁忌补敛。
适宜疏散。
可用药物:干葛、柴胡、石膏、羌活、姜皮、人参、苍术。
疟母
禁忌纯补。
适宜补中行滞。
可用药物:鳖甲、射干、牡蛎、三棱、桂枝、缩砂密、橘皮、青皮、人参。
诸痢
禁忌破气、闭气、收涩、燥、温热、咸寒、滑腻。
适宜清热消积、开胃气、升提、利小便。
可用药物:黄连、黄芩、白芍、红曲、山楂、广橘红、升麻、葛根、滑石、莲肉、甘草、白扁豆、乌梅。
如果胃弱,加人参三四钱,莲子四十粒,橘红二钱,升麻二钱。如果腹痛,以黄连四钱、白芍三钱、炙草一钱五分、黄柏一钱、升麻七分煎服。如果里急后重,同上药加当归二钱。如果后重甚,加槟榔一钱五分、枳壳一钱五分、木香汁七匙。如果口渴,去木香倍滑石。如果小便赤涩短少,或不利,亦倍之。赤多倍乌梅、山楂、红曲,白多加吴茱萸七分。恶心欲呕,即噤口痢,多用人参、莲肉、扁豆、白芍,以绿色升麻七分佐之。久痢不止,加肉豆蔻一钱、人参三钱、砂仁一钱五分、白茯苓二钱。
泄泻
禁忌湿润、破气、泻下、苦寒、滑利。
适宜安胃(补脾)、升提、利小便。
可用药物:人参、茯苓、莲肉、白术、升麻、车前子、橘红、藿香、木瓜、干葛、炙甘草、白莱菔、扁豆。
虚寒者,加肉豆蔻、茯苓、补骨脂、吴茱萸。虚热者,去白术加川黄连,倍芍药、莲肉。
暑湿为病,则小水短赤或口渴,倍用姜黄连为君,佐以干葛、升麻。由于感风寒者,二术、吴茱萸、砂仁、陈皮、干姜、紫苏主之。若由于饮食停滞者,兼消导,山楂、麦芽、神曲、陈皮、肉豆蔻。
Borneol (Longnao Xiang), Styrax (Suhe Xiang), Agastache (Huoxiang), Sandalwood (Tanxiang), Frankincense (Ruxiang), Mirabilite (Mangxiao), Child's urine (Tongbian)
Decocting herbs is also suitable for cold administration.
Zhong'e (Sudden illness due to foul qi), brain pain, belongs to deficiency of stomach qi, caused by invasion of evil qi.
Contraindicated same as Jiaochangsha (Intestinal colic).
Suitable to dispel evil qi, unblock stomach qi, use acrid dispersants.
Herbs: Borneol, Sandalwood, Musk (contraindicated in pregnancy), Calculus Bovis (Niuhuang), Frankincense, Styrax, Aquilaria (Chenshuixiang), Cinnabar (Dansha), Realgar (Xionghuang), Aconitum heterophyllum (Guijiu), Agastache, Cardamom (Baidoukou), Acorus tatarinowii (Shichangpu), Tangerine peel (Jupi), Costus root (Muxiang), Polygala (Yuanzhi), Dried ginger (Ganjiang), Cinnamon twig (Gui).
Fanwei (Regurgitation), belongs to qi deficiency; Fanwei due to alcohol belongs to weak stomach.
Contraindicate breaking qi, ascending, bitter-cold, sweet, dry-hot, other herbs recorded later.
Suitable to tonify qi, descend qi, harmonize stomach, clear heat, sour-astringent to control liver.
Herbs: Loquat leaf (Pipaye), Ginseng (Renshen), Perilla seed (Suzi), Tangerine peel, Quince (Mugua), Ophiopogon (Maimendong), Reed rhizome juice (Lugen zhi), Bamboo shavings (Zhuru), Dendrobium (Shihu), Plum sauce, Sugarcane juice, Poria (Baifuling), White peony root (Baishao).
If obtained due to deficiency-cold, add Fresh ginger (Shengjiang), Atractylodes (Zhu), Cardamom.
Large intestine deficiency (four syndromes)
Contraindicate breaking qi, purging, dry-hot, other herbs recorded later.
Suitable to tonify qi, moisten dryness, sweet-warm.
Herbs: Ginseng, Astragalus (Huang), Ophiopogon, Schisandra (Wuweizi), White peony, Honey-fried licorice (Zhigancao).
Deficiency-heat causing constipation and blockage, belongs to blood deficiency, insufficient body fluids.
Contraindicate breaking qi, purging, dry-hot, bitter-warm, damaging body fluids.
Prunus japonica (Yuliren) (damages body fluids, contraindicated).
Suitable to generate body fluids, moisten dryness, cool blood, benefit blood.
Herbs: Rehmannia (Shengdihuang), Schisandra, Ophiopogon, Asparagus (Tiandong), Sesame, Hemp seed (Maren), Cistanche (Roucongrong), Raw honey, Angelica sinensis (Danggui), Aloe (Luhui), Honey-fried licorice.
Deficiency-heat causing slippery diarrhea and incontinence, belongs to qi deficiency.
Contraindicate breaking qi, purging, moistening, bitter-cold.
Suitable to tonify qi, ascend, sweet-warm, sour-astringent.
Herbs: Ginseng, Astragalus, Atractylodes macrocephala (Baizhu), Honey-fried licorice, Evodia (Wuzhuyu), Myristica (Roudoukou), Lotus seed (Lianrou), Cimicifuga (Shengma), Quince, Psoralea (Buguzhi), Schisandra, Red halloysite (Chishizhi).
Borborygmus and rectal prolapse, belongs to qi deficiency, combined with damp-heat.
Contraindicated same as large intestine deficiency.
Suitable to tonify qi, lift, remove damp-heat.
Herbs: Ginseng, Astragalus, Honey-fried licorice, Atractylodes macrocephala, Lotus seed, White hyacinth bean (Baibiandou), Cimicifuga, Kudzu root (Gange), Bupleurum (Chaihu), Phellodendron (Huangbai), Saposhnikovia (Fangfeng), White peony root, Coptis (Huanglian), Scutellaria (Huangqin), Bark of Chinese Toona (Chugenbaipi).
Externally apply Myrobalan (Wubeizi) powder.
Bladder deficiency (three syndromes)
Contraindicate breaking qi, drying, promoting urination.
Suitable to tonify qi, sour-astringent.
Herbs: Ginseng, Schisandra, Cornus (Shanzhuyu), Alpinia oxyphylla (Yizhiren), Rosa laevigata (Jinyingzi).
Urinary incontinence, belongs to qi and blood deficiency.
Contraindicate descending, moistening, dry-hot.
Suitable same as bladder deficiency, add Oyster shell (Muli), Dragon bone (Longgu), Deer antler (Lurong), Mantis egg case (Sangpiaoxiao), Chicken gizzard lining (Jineijin).
Frequent urination unable to endure, add Ophiopogon, Schisandra, Cornus, Asparagus, Phellodendron, Biota seed (Baiziren), Turtle shell (Biejia), Achyranthes (Niuqi), Goji berry (Gouqizi).
Enuresis, belongs to deficiency of the meridian qi, see Small intestine deficiency section. Since bladder deficiency can also cause enuresis, it is listed again here.
Contraindications and indications are all seen in Small intestine deficiency.
Bladder deficiency contraindications and indications are all same as Hernia.
Sanjiao deficiency (two syndromes)
Contraindicate breaking qi, descending, again contraindicate ascending/dispersing, bitter-cold.
Suitable to tonify middle and benefit qi, assisted by acrid-warm.
Herbs: Ginseng, Astragalus, Atractylodes macrocephala, Alpinia oxyphylla, Aquilaria (Chenxiang), Schisandra.
Shortness of breath and abdominal cold, belongs to middle qi deficiency.
Contraindications and indications are all same as Sanjiao deficiency.
Heart excess, i.e., excess fire and excess heat. (five syndromes)
Contraindicate tonifying/astringing, ascending, hot, warm-drying.
Suitable to descend fire and clear heat, bitter-cold to break it, acrid-cold to disperse it, sweet-cold to relieve it, salty-cold to moisten it.
Herbs: Coptis (Huanglian), Rhinoceros horn (Xijiao - note: substitute with Buffalo horn in practice), Gypsum (Shigao), Cinnabar, Moutan bark (Mudanpi), Raw licorice (Shenggancao), Talc (Huashi), Bamboo leaf (Zhuye), Ophiopogon, Child's urine.
For hard stool, add Mirabilite, Rhubarb (Dahuang); for mania, treat similarly.
Delirium, belongs to pathogenic heat in the heart. Tongue ulceration, belongs to heart fire. Irritability/restlessness, belongs to pathogenic heat in the heart and internal flaming of heart fire. (Irritability belongs to heart, restlessness belongs to kidney.) Spontaneous laughter, belongs to heat pathogen in the heart. Mania, belongs to severe pathogenic heat in the heart.
Contraindications and indications above are all same as Heart excess.
Liver excess (five syndromes)
Contraindicate tonifying qi, ascending, sour-astringent, acrid-hot, acrid-warm, drying, other herbs recorded later.
Suitable to clear heat and descend qi, bitter-cold, acrid-cold, sweet-cold, sour-cold.
Herbs: Tangerine peel, Green tangerine peel (Qingpi), Perilla seed, Coptis, Gentian (Longdancao), Raw licorice, Scutellaria, Bupleurum, Bamboo leaf, Indigo naturalis (Qingdai), Red peony root (Chishaoyao).
Irritability/Anger, anger causes qi to rebel upward, severe cases vomiting blood and undigested food diarrhea.
Contraindicate tonifying, ascending, hot-drying, closing qi, other herbs recorded later.
Suitable to descend qi, clear heat, sweet-cold, sour-cold, salty-cold, assisted by acrid-dispersing.
Herbs: Perilla seed, Curcuma aromatica (Yujin), Indigo naturalis, Ophiopogon, Red peony root, Raw licorice, Tangerine peel, Safflower pollen (Puhuang), Angelica sinensis, Amomum (Sharen), Cyperus (Xiangfu), Rehmannia, Child's urine.
Sighing, feeling depressed, hypochondriac pain and vomiting blood, belongs to rebellious liver qi, flourishing liver fire, deficient liver blood.
Contraindications and indications are all same as Irritability/Anger.
Convulsions, belongs to pathogenic heat in the liver, heat generates wind, wind governs tremors and vertigo.
Contraindicated same as Irritability/Anger.
Suitable to clear heat, descend qi, promote urination, moderate the center.
Herbs: Coptis, Peony, Cinnabar, Child's urine, Rehmannia, Antelope horn (Lingyangjiao), Perilla seed, Ophiopogon, Bamboo leaf, Poria, Raw licorice, Chrysanthemum (Juhua), Akebia (Mutong).
Red, swollen, painful eyes, belongs to blood heat.
Contraindicated same as Liver excess/Irritability/Anger.
Suitable to cool blood and clear heat, sweet-cold, bitter-cold, sour-cold.
Herbs: Rehmannia, Red peony root, Eyebright (Gujingcao), Flowering cherry fruit (Mimenghua), Gentian, Licorice, Chrysanthemum, Schizonepeta (Jingjie), Phellodendron, Rhubarb, Forsythia (Lianqiao), Coptis, Scrophularia (Xuanshen), Gardenia (Shanzhi), Bamboo leaf, Azurite (Kongqing), Malachite (Zengqing), Akebia, Child's urine, Mirabilite, Prunus mume kernel (Ruhei).
In acute cases, puncture the swollen area of the eye socket with a three-edged needle, squeeze out hot blood for immediate relief; otherwise, blood will penetrate the pupil and damage the eye.
Spleen excess, i.e., damp-heat pathogen prevailing. (six syndromes)
Contraindicate moistening, astringing, cloying/greasy, hot, salty, sweet, other herbs recorded later.
Suitable to remove dampness and clear heat, promote urination, acrid-dispersing, wind-drying, bitter-cold.
Herbs: Atractylodes, Gardenia, Polyporus (Zhuling), Alisma (Zexie), Talc, Plantago (Cheqian), Poria, Saposhnikovia, Kudzu root, Coptis, Immature bitter orange (Zhishi), Cardamom.
Abdominal distension due to parasites, originates from spleen, caused by accumulation of damp-heat or internal injury, stagnant blood.
Contraindicate breaking qi, sweet-warm, dry-hot.
Suitable to remove dampness, clear heat, promote urination, eliminate accumulation.
Herbs: Plantago seed, Akebia, Stephania (Fangji), Polyporus, Alisma, Poria, Bird beak fish (Wiaohui - likely a typo for specific herb or animal product, kept as is), Lepidium (Tingli), Hawthorn (Shanzha), Red yeast rice (Hongqu), Bupleurum root (Sanleng), Curcuma zedoaria (Pengzhu), Mulberry root bark (Sangbaipi).
Easy hunger, belongs to pathogenic fire in the spleen.
Contraindicate ascending, acrid-warm, great heat, aromatic-drying.
Aquilaria, Musk, Borneol, Cardamom, Agastache, Amomum (above are aromatic-drying, contraindicated).
Suitable to clear fire and remove heat, generate body fluids, benefit spleen yin, sweet-cold, bitter-cold, sour-cold.
Herbs: Coptis, Indigo naturalis, Forsythia, Gardenia, Ophiopogon, Sour jujube seed (Suanzaoren), Peony, Gypsum, Bamboo leaf, Dendrobium.
Middle Xiao (Polyphagia), mouth ulcers, sores on lips, belongs to spleen heat.
Contraindicate warm-drying, hot.
Suitable sweet-cold, sour-cold, bitter-cold, acrid-cold.
Herbs: Ophiopogon, Licorice, Dark plum (Wumei), Coptis, Phellodendron, Rehmannia, White peony root, Scrophularia, Forsythia, Kudzu root, Gypsum, Gentian, Trichosanthes root (Gualougen), Isatis root (Daqing), Bamboo leaf.
Damp-heat abdominal pain, worse upon pressure.
Contraindicate stifling qi, sour-astringent, warm-hot, drying.
Suitable to promote urination, combined with lifting, bitter-cold.
Herbs: Talc, Akebia, Coptis, Scutellaria, Cimicifuga, Bupleurum, Kudzu root, Saposhnikovia, Plantago seed.
If not adding more, it follows the meaning of "earth stagnation requires plundering" (purging to remove spleen stagnation).
Lung heat (eight syndromes)
Contraindicate astringing/stopping, tonifying qi, ascending, dry-hot, sour, salty.
Suitable to descend qi, moisten, sweet-cold, bitter-cold, assisted by acrid-dispersing.
Herbs: Loquat leaf, Perilla seed, Mulberry root bark, Fritillaria (Beimu), Apricot seed (Xingren), Cynanchum (Baiqian), Asparagus, Peucedanum (Qianhu), Plantago seed, Anemarrhena (Zhimu), Mulberry fungus (Sanghuang), Gypsum, Trichosanthes root, Scutellaria.
Asthma/rapid breathing, belongs to excess heat in lung and rebellious lung qi.
Contraindicated same as Lung excess.
Suitable same, add Platycodon (Jiegeng), Licorice, Trichosanthes seed (Gualouren), Scrophularia, Indigo naturalis.
Heavy voice, qi congestion with thick phlegm, belongs to lung heat.
Contraindications and indications are all same as Lung heat.
Throat eczema, Lung distension, Lung abscess, belong to lung heat.
Contraindicated same as Lung excess.
Suitable to clear heat, resolve phlegm, descend fire, detoxify and dissipate nodules, sweet-cold, bitter-cold, acrid-cold.
Herbs: Mulberry root bark, Mulberry fungus, Scutellaria, Trichosanthes root, Fritillaria, Coix seed (Yiyiren), Barrenwort (Huercao), Houttuynia seed (Jimi), Forsythia, Burdock seed (Niuzi), Licorice, Patrinia (Baijiangcao).
Expectoration of pus, blood, and bloody sputum, coughing up blood, belongs to severe excess fire-heat in the liver, this is called "excess when righteous and pathogenic qi struggle".
Contraindicated same as Lung excess.
Suitable to clear heat and descend qi, cool blood, resolve phlegm.
Herbs: Loquat leaf, Mulberry root bark, Child's urine, Perilla seed, Cut grass (Jiancao), Safflower pollen, Ophiopogon, Asparagus, Stemona (Baibu), Mulberry fungus, Lily bulb (Baihe), Licorice, Rehmannia, Coix seed, Fritillaria, Bletilla (Baiji), Platycodon, Aster (Ziwan), White peony root, Winter bud (Kuandonghua).
Upper Xiao, belongs to excess fire in the lung and upper jiao heat.
Contraindicated same as Lung excess.
Suitable to descend qi, clear heat, tonify lung, generate fluids, sweet-cold, bitter-cold, sour-cold, acrid-cold.
Herbs: Perilla seed, Platycodon, Stemona, Lily bulb, Ophiopogon, Loquat leaf, Scutellaria, Glehnia (Shashen), Coptis, Kudzu root, Mulberry root bark, Asparagus, Anemarrhena, Scrophularia, Gypsum, Licorice, Trichosanthes root, Schisandra, Reed rhizome, Winter melon (Donggua), Human milk, White peony root, Bamboo leaf.
Kidney has no excess, thus no purging method.
Mingmen excess (two syndromes)
Contraindicate tonifying qi, warming, heating.
Suitable bitter-cold, sweet-cold, salty-cold.
Herbs: Asparagus, Ophiopogon, Phellodendron, Anemarrhena, Scrophularia, Akebia, Moutan bark, Plantago seed, Alisma.
Persistent erection without desire, belongs to Mingmen fire excess, solitary yang without yin, this syndrome is mostly untreatable.
Contraindicated same as Mingmen excess.
Suitable same, add Schisandra, Child's urine, Rehmannia.
Urethral涩pain, belongs to Mingmen excess fire.
Contraindicated same as Mingmen excess.
Suitable to clear heat, open orifices, sweet-cold, bitter-cold, salty-cold, assisted by light-draining.
Herbs: Plantago seed, Phellodendron, Anemarrhena, Scutellaria, Achyranthes, Rehmannia, Asparagus, Licorice, Child's urine, Poria, Akebia, Ophiopogon.
Small intestine excess (one syndrome)
Contraindicate astringing/stopping, tonifying qi.
Suitable unblocking/draining, light-draining, bitter-cold, sweet-cold, salty-cold.
Herbs: Plantago seed, Poria, Akebia, Phellodendron, Anemarrhena, Raw licorice, Ophiopogon, Scutellaria, Coptis, Achyranthes, Child's urine, Rehmannia.
Difficult urination and redness, or涩pain and hematuria.
Contraindications and indications are all same as Small intestine excess.
Gallbladder excess (two syndromes)
Contraindicate sweating, vomiting, purging.
Suitable harmonizing, acrid-cold, sweet-cold, bitter-cold, acrid-warm.
Herbs: Bupleurum, Scutellaria, Pinellia (Banxia), Fresh ginger, Licorice, Gentian, Tangerine peel.
Bitter taste, deafness, hypochondriac pain, alternating chills and fever.
Contraindicated same as Gallbladder excess.
Suitable use Zhang Zhongjing's Xiao Chai Hu Tang (Minor Bupleurum Decoction), modify according to accompanying syndromes.
Ozena (Nasal sinusitis), belongs to gallbladder transferring heat to the brain.
Contraindicate acrid-warm, dry-hot.
Suitable to clear heat, tonify brain, sweet-cold, sweet-neutral, assisted by acrid-cold.
Herbs: Asparagus, Glehnia, Mint (Bohe), Bupleurum, Magnolia flower (Xinyi), Astragalus complanatus (Shayuanjili), Chrysanthemum, Stone date (Shizao), Scutellaria, Scrophularia, Anemarrhena, Rehmannia.
Stomach excess (six syndromes)
Contraindicate ascending, tonifying/astringing, acrid-warm, dry-hot, moistening.
Suitable purging; if pathogen is not knotted, suitable to clear heat and disperse, bitter-cold, acrid-cold, sweet-cold.
Herbs: Rhubarb, Immature bitter orange, Anemarrhena, Gypsum, Kudzu root, Bamboo leaf, Isatis root (Daqing), Minor Isatis (Xiaoqing), Indigo naturalis, Ophiopogon, Licorice.
Delirium and mania, skin eruptions, discarding clothes and running, climbing high and singing, belongs to excess pathogenic heat in the stomach.
Contraindicated same as Stomach excess.
Suitable same.
If stool is knotted, add Mirabilite to urgently purge. For eruptions, add Burdock seed, Scrophularia, Trichosanthes root, use Gypsum as chief herb; if stool is knotted, also add Rhubarb to purge.
Gastric discomfort and acid regurgitation, bad breath or bland taste, frequent desire to eat, belongs to stomach fire.
Contraindicated same as Stomach excess.
Suitable to clear heat and descend fire, bitter-cold, sweet-cold, acrid-cold.
Herbs: Coptis, Indigo naturalis, Forsythia, Ophiopogon, Dendrobium, Reed rhizome juice, Bamboo leaf, Gypsum.
Vomiting, belonging to stomach fire, must have red face, short red urine, or涩, dry stool, bitter or dry mouth/thirst.
Contraindicated same as Stomach excess.
Suitable same, add Loquat leaf, Bamboo shavings, Quince, Reed rhizome, Tangerine peel, Tongcao, Poria.
Large intestine excess (four syndromes)
Contraindicate tonifying/astringing, dry-hot.
Suitable moistening purging, bitter-cold, acrid-cold.
Herbs: Hemp seed, Peach kernel, Coptis, Scutellaria, Sophora flower (Huaihua), Rehmannia, Rhubarb, Gypsum, Anemarrhena, Aurantium (Zhike).
Hard stool and constipation
Contraindicated same as Large intestine excess.
Suitable same, add Mirabilite, Pig bile, Areca nut (Binglang), Prunus japonica, Rock sugar (Shimi).
Visceral toxin and intestinal wind bleeding, belongs to large intestine damp-heat.
Contraindicate purging, dry-hot.
Suitable to clear heat, cool blood, combined with lifting, sweet-cold, bitter-cold.
Herbs: Sophora flower, Sanguisorba (Diyu), Coptis, Scutellaria, Rehmannia, White peony root, Schizonepeta, Saposhnikovia, Licorice, Red yeast rice, Platycladus seed (Cebaiye), Pulsatilla (Baitouweng), Safflower pollen, Egg (Jizi), Kudzu root.
Intestinal abscess, belongs to large intestine excess fire.
Contraindicated same as Intestinal wind bleeding.
Suitable purging, bitter-cold, resolving cold (likely typo for resolving toxicity/pus).
Herbs: Rhubarb, Angelica dahurica (Baizhi), Bletilla, Acanthopanax (Bailian), Baiyaosub, Honeysuckle vine (Renwendeng), Forsythia, Licorice, Coptis, Astragalus, Rehmannia, Tianmingjing, Alum (Mingfan), Beeswax (Huangla), Raw honey (above three made into pills).
Bladder excess (one syndrome)
Contraindicate dry-hot, astringing.
Suitable moistening, light-draining.
Herbs: Anemarrhena, Phellodendron, Akebia, Dianthus (Qumai), Plantago seed, Talc, Poria, Polyporus, Alisma.
Retention of urine, belongs to bladder excess heat.
Contraindicate breaking qi, dispersing, dry-hot; if due to insufficient body fluids, also contraindicate promoting urination.
Suitable same as Bladder excess, assisted by lifting, Cimicifuga, Bupleurum.
Sanjiao excess (three syndromes)
Contraindicate tonifying/astringing, ascending, dry-hot.
Suitable descending, clearing heat, regulating qi, sweet-cold, bitter-cold, salty-cold.
Herbs: Perilla seed, Ophiopogon, Anemarrhena, Phellodendron, Scrophularia, Gardenia, Scutellaria, Coptis, Child's urine.
Throat obstruction (Houbi), i.e., winding throat wind, belongs to flourishing Shaoyang ministerial fire and Shaoyin sovereign fire. The classic says: "One yin and one yang knotting causes throat obstruction." One yin is Shaoyin sovereign fire. One yang is Shaoyang ministerial fire. Contraindicated same as Sanjiao excess.
Suitable acrid-dispersing, assisted by bitter-cold, salty-cold; acute cases have three methods: acupuncture, blowing powder, vomiting.
Herbs: Burdock seed, Belamcanda (Shegan), Coptis, Phellodendron, Sophora root (Shandougen), Ophiopogon, Raw rhinoceros horn, Anemarrhena, Scrophularia, Child's urine, Smilax bulbil (Shancigu), Bitter platycodon (Kujiegeng), Euphorbia (Xuisui), Perilla seed, Fritillaria, Licorice.
Acute treatment: use Chalcanthite (Danfan), Glauber's salt (Puxiao), Calculus Bovis, grind to powder, mix well, blow into throat. Another method: use 3 qian Alum, 7去皮 Bay beans, calcine with alum until alum is dry, discard bay beans, take alum powder, blow into throat, hot saliva flows out and relief occurs.
Red and hot head and face, belongs to rising fire in upper jiao.
Contraindicated same as Sanjiao excess.
Suitable descending, clearing heat, sweet-moderating, assisted by sour-astringent.
Herbs: Perilla seed, Asparagus, Ophiopogon, Scrophularia, Mint, Loquat leaf, Pear, Persimmon, Sugarcane, Child's urine, Schisandra, Trichosanthes root, Peony.
Red and white wandering wind, belongs to blood heat, heat generates wind, hence prone to wandering, commonly known as Fire Dan. Children often suffer from this, adults occasionally do too.
Contraindicated same as Sanjiao excess.
Suitable to clear heat, cool blood, combined with moving blood, acrid-cold, sweet-cold, bitter-cold, salty-cold.
Herbs: Coptis, Phellodendron, Safflower pollen, Rehmannia, Raw licorice, Moutan bark, Forsythia, Scrophularia, Achyranthes, Safflower (Honglanhua), Burdock seed, Red peony root, Indigo juice, Ramie root (Zhugen), Child's urine, Moutan bark.
Suitable combined external treatment: scarification to release hot blood, and use Pillwort (Qigucao), Shenhuaocao, mash and apply, heals easily.
Various Malaria, more heat.
Contraindicate acrid-hot.
Suitable to clear heat.
Herbs: Fritillaria, Gypsum, Tangerine peel (Juhong), Kudzu root, Talc, Ophiopogon, Bamboo leaf, Achyranthes, Anemarrhena, Scutellaria, Bupleurum, Polygonum multiflorum (Heshouwu), Poria, Dark plum, Oyster shell, Turtle shell.
More cold.
Contraindicate bitter-cold.
Suitable acrid-warm.
Herbs: Cinnamon twig, Ginger peel, Atractylodes macrocephala, Atractylodes lancea (Cangzhu), Black cardamom (Caodoukou), Ginseng, Astragalus, Angelica sinensis, Pinellia, Honey-fried licorice, Cardamom, Tangerine peel.
Excessive sweating.
Contraindicate dispersing.
Suitable tonifying/astringing.
Herbs: Ginseng, Atractylodes macrocephala, Astragalus, add Cinnamon twig in autumn/winter.
No sweat.
Contraindicate tonifying/astringing.
Suitable dispersing.
Herbs: Kudzu root, Bupleurum, Gypsum, Notopterygium (Qianghuo), Ginger peel, Ginseng, Atractylodes lancea.
Malaria mass
Contraindicate pure tonification.
Suitable tonifying middle and moving stagnation.
Herbs: Turtle shell, Belamcanda, Oyster shell, Bupleurum root, Cinnamon twig, Amomum, Tangerine peel, Green tangerine peel, Ginseng.
Various Dysentery
Contraindicate breaking, closing qi, astringing, drying, warm-hot, salty-cold, slippery/greasy.
Suitable to clear heat and eliminate accumulation, open stomach qi, lift, promote urination.
Herbs: Coptis, Scutellaria, White peony, Red yeast rice, Hawthorn, Broad-leaved tangerine peel (Guangjuhong), Cimicifuga, Kudzu root, Talc, Lotus seed, Licorice, White hyacinth bean, Dark plum.
If stomach is weak, add 3-2 qian Ginseng, 40 Lotus seeds, 2 qian Tangerine peel, 2 qian Cimicifuga. If abdominal pain, decoct 4 qian Coptis, 3 qian White peony, 1.5 qian Honey-fried licorice, 1 qian Phellodendron, 0.7 qian Cimicifuga. If tenesmus, add above herbs plus 2 qian Angelica sinensis. If severe heaviness in anus, add 1.5 qian Areca nut, 1.5 qian Aurantium, 7 spoons Cyperus juice. If thirsty, remove Cyperus and double Talc. If urine is red,涩, short, or difficult, also double it. If red discharge is heavy, double Dark plum, Hawthorn, Red yeast rice; if white discharge is heavy, add 0.7 qian Evodia. If nausea/vomiting, i.e., Throat-lock dysentery, mostly use Ginseng, Lotus seed, Hyacinth bean, White peony, assisted by 0.7 qian Green Cimicifuga. For chronic dysentery not stopping, add 1 qian Myristica, 3 qian Ginseng, 1.5 qian Amomum, 2 qian Poria.
Diarrhea
Contraindicate moistening, breaking qi, purging, bitter-cold, slippery.
Suitable to calm stomach (tonify spleen), lift, promote urination.
Herbs: Ginseng, Poria, Lotus seed, Atractylodes macrocephala, Cimicifuga, Plantago seed, Tangerine peel, Agastache, Quince, Kudzu root, Honey-fried licorice, White radish (Bailai fu), Hyacinth bean.
For deficiency-cold, add Myristica, Poria, Psoralea, Evodia. For deficiency-heat, remove Atractylodes macrocephala, add Sichuan Coptis, double Peony and Lotus seed.
For summer-dampness disease, resulting in short red urine or thirst, double Ginger-Coptis as chief, assisted by Kudzu root, Cimicifuga. Due to wind-cold invasion, use two Atractodises, Evodia, Amomum, Chenpi, Dried ginger, Perilla. If due to food stagnation, combine with digestion-promoting, Hawthorn, Malt, Medicated leaven (Shenqu), Chenpi, Myristica.
Various Jaundice