暑病槁热下利,昏狂谵语,至旬日而陡然口喑目闭,手足颤掉,是邪热内陷心胞,肝阴
告绝矣。危险何辞。原翁芳香开络,亦背城借一计,佐以清滋熄风,以冀弋获。
鲜莲子 羚羊角 川贝 麦冬 钩藤 稻叶
化至宝丹一粒。
病情如昨,势不可援,勉拟以冀万一。
淡芩 黑山栀 甘草 元明粉 连翘 薄荷 大黄
今日病情更幻,用药更难,议从手经开达。
枇杷叶 杏仁 荷梗 青蒿梗 桑白皮 桔梗 佛手 连翘 川贝 郁金
前病,暑去湿存,今又湿复招暑,烦热一候,神烦寐少,脉数右大,舌红口干,阳明不
和,湿转化热矣。
大竹叶 法半夏 甘草 麦冬 生石膏 粳米
仿仲圣复病法。
淡豆豉 黑山栀 枳实
更衣后,势犹不退,表未解也。舌红苔黄,小溲短赤,里热亦不清泄。议从三焦分泄。
大竹叶 豆卷 杏仁 连翘 大麦芽 桑皮 赤苓 滑石
气痹化热,机窍不宣,专开上焦,使其气化热泄。
黄芩 山栀 桔梗 枇杷叶 紫菀 淡豆豉 枳壳
议旋降辛开,宣气热以通络。
旋复花 黑山栀 枇杷叶 青葱 钩藤 新绛 生麦芽 紫香附
寒热咳嗽,外感新凉,经水适至,止而复来,邪热内伤营分,虽有肝气内着为痛,仍宜
宣手太阴,使痹郁得开为要。
淡芩 黑山栀 枇杷叶 青葱 枳壳 炒豆豉 杏仁 新绛
脉弦带数,偶吸暑浊,致身热不解,而宿病肝气随发,腹中块垒,痛剧,呛咳心嘈,皆
属木火升扰。姑以宣降开达,佐以轻苦和阳。
枇杷叶 黑山栀 金石斛 桑叶 杏仁 炒豆豉 生麦芽 半曲
暑病导致体内高热并伴有腹泻,出现神志昏迷、胡言乱语,经过十天左右突然失音、双目紧闭,手足颤抖动摇,这是邪热内陷心包,肝阴即将枯竭的表现。病情极其危险,无需多言。原翁采用芳香开窍通络的方法,这也是背水一战的策略,辅以清热滋润、平息肝风之法,以期望获得疗效。
鲜莲子 羚羊角 川贝母 麦冬 钩藤 稻叶
化服至宝丹一粒。
病情与昨日相同,势态难以挽回,勉强拟定方药以冀望万一之效。
黄芩 黑山栀 甘草 元明粉 连翘 薄荷 大黄
今日病情更加变幻莫测,用药更为困难,议定从手经(手太阴肺经等)入手以开通达泄。
枇杷叶 杏仁 荷梗 青蒿梗 桑白皮 桔梗 佛手 连翘 川贝母 郁金
之前的病症,暑气已去而湿气留存;如今又是湿气重新招致暑邪,烦热持续一周,神志烦躁、睡眠减少,脉象数且右侧大,舌红口干,阳明经不和,湿气转化为热邪了。
淡竹叶 法半夏 甘草 麦冬 生石膏 粳米
排便后,病势仍未减退,表证未解。舌红苔黄,小便短赤,里热也未得到清泄。议定从三焦分消泄热。
淡竹叶 豆卷 杏仁 连翘 大麦芽 桑白皮 赤茯苓 滑石
气机痹阻化为热邪,机窍不通畅,专门开通上焦,使其气化通畅、热邪外泄。
黄芩 山栀 桔梗 枇杷叶 紫菀 淡豆豉 枳壳
议定用旋覆花降逆,辛味药开散,宣通气热以疏通经络。
旋复花 黑山栀 枇杷叶 青葱 钩藤 新绛 生麦芽 紫香附
寒热咳嗽,因外感新凉所致,月经适逢来潮,停止后又再次出血,邪热内伤营分,虽然肝气内结导致疼痛,仍宜宣通手太阴肺经,使痹郁得以开通为关键。
黄芩 黑山栀 枇杷叶 青葱 枳壳 炒豆豉 杏仁 新绛
脉象弦中带数,偶然吸入暑浊之气,导致身热不退,而宿疾肝气随之发作,腹中有痞块垒起,疼痛剧烈,呛咳、心中嘈杂,都属于木火升腾扰乱所致。暂且用宣降开达之法,辅以轻苦之品调和阳气。
枇杷叶 黑山栀 金石斛 桑叶 杏仁 炒豆豉 生麦芽 半曲
In summerheat disease, internal blazing heat accompanied by diarrhea, delirium, and incoherent speech, suddenly progressing after ten days to aphonia, closed eyes, and tremulous limbs, indicates that pathogenic heat has sunk into the Pericardium (Pericardium), and Liver Yin is on the verge of exhaustion. The danger is extreme. Yuan Weng employed aromatic orifices-opening and collaterals-unblocking methods, which is a desperate measure, assisted by clearing heat, nourishing yin, and extinguishing wind, hoping for some success.
Fresh Lotus Seed (Nelumbinis Semen) Antelope Horn (Saiga Tataricae Cornu) Fritillaria Bulb (Fritillariae Cirrhosae Bulbus) Ophiopogon Root (Ophiopogonis Radix) Uncaria Ramulus with Hook (Uncariae Ramulus Cum Uncis) Rice Leaf (Oryzae Sativae Folium)
One pill of Zhibao Dan (Treasure-Containing Pill) dissolved and taken.
The condition remains as yesterday, the situation is beyond help; tentatively prescribing in hopes of a remote chance.
Scutellaria Root (Scutellariae Radix) Gardenia Fruit (Gardeniae Fructus) Licorice Root (Glycyrrhizae Radix et Rhizoma) Mirabilite (Natrii Sulfas) Forsythia Fruit (Forsythiae Fructus) Mint Herb (Menthae Haplocalycis Herba) Rhubarb Root and Rhizome (Rhei Radix et Rhizoma)
Today's condition is even more unpredictable, making medication difficult. It is proposed to open and unblock from the Hand meridians.
Loquat Leaf (Eriobotryae Folium) Apricot Seed (Armeniacae Semens Amarum) Lotus Stem Peduncle (Nelumbinis Nodus Petiolus) Artemisia Annua Stem (Artemisiae Annuae Caulis) Mulberry Root Bark (Mori Cortex) Platycodon Root (Platycodi Radix) Bergamot Fruit (Citri Reticulatae Pericarpium) Forsythia Fruit (Forsythiae Fructus) Fritillaria Bulb (Fritillariae Cirrhosae Bulbus) Curcuma Tuber (Curcumae Longae Radix)
Previously, summerheat had passed but dampness remained; now dampness has again attracted summerheat. For one week, there has been vexation and heat, mental restlessness, and little sleep. The pulse is rapid and larger on the right side; the tongue is red with dry mouth. Yangming is disharmonious, and dampness has transformed into heat.
Light Bamboo Leaf (Bambusae Folium) Processed Pinellia Tuber (Pinelliae Rhizoma Preparatum) Licorice Root (Glycyrrhizae Radix et Rhizoma) Ophiopogon Root (Ophiopogonis Radix) Raw Gypsum (Gypsi Fibrosi Rubrum) Coix Seed (Coicis Semen) [Note: Text says 'Jingmi' usually Rice, but context suggests Bai Hu Tang variation, often uses Coix or Rice. Text says 'Jingmi' which is Glacii Semen or Rice? Actually 'Jingmi' usually refers to Rice in this context or sometimes interpreted as specific grain. Let's stick to literal or standard. In Bai Hu Tang it is Mi (Rice). Here it is likely Rice.] -> Correcting based on text '粳米': Japonica Rice (Oryzae Sativae Germen)
Imitating Zhang Zhongjing's method for treating relapsing diseases.
Light Soybean Seed (Sojae Semen Preparatum) Gardenia Fruit (Gardeniae Fructus) Immature Bitter Orange (Aurantii Fructus Immaturus)
After defecation, the condition still does not recede; the exterior is not resolved. The tongue is red with yellow coating, urine is short and dark red; interior heat is also not cleared. It is proposed to drain separately from the Triple Burner.
Light Bamboo Leaf (Bambusae Folium) Vigna Bean Sprout (Vigna Radiatae Germinatus) Apricot Seed (Armeniacae Semens Amarum) Forsythia Fruit (Forsythiae Fructus) Barley Malt (Hordei Fructus Germinatus) Mulberry Root Bark (Mori Cortex) Red Poria (Poria cum Ligno Rubra) Talcum (Talcum)
Qi obstruction transforming into heat, with blocked sensory orifices. Specifically opening the Upper Jiao to allow Qi transformation and heat discharge.
Scutellaria Root (Scutellariae Radix) Gardenia Fruit (Gardeniae Fructus) Platycodon Root (Platycodi Radix) Loquat Leaf (Eriobotryae Folium) Aster Root (Asteris Radix) Light Soybean Seed (Sojae Semen Preparatum) Immature Bitter Orange (Aurantii Fructus Immaturus)
It is proposed to use Inula Flower to descend and acrid herbs to open, disseminating Qi-heat to unblock the collaterals.
Inula Flower (Inulae Flos) Gardenia Fruit (Gardeniae Fructus) Loquat Leaf (Eriobotryae Folium) Green Onion Stem (Allii Fistulosi Caulis) Uncaria Ramulus with Hook (Uncariae Ramulus Cum Uncis) Xinjiang (New Crimson Fabric/Dyed Silk) Fresh Barley Malt (Hordei Fructus Germinatus) Cyperus Rhizome (Cyperi Rhizoma)
Chills, fever, and cough due to new external cold contraction. Menstruation arrived just then, stopped, and then returned. Pathogenic heat injured the Ying (Nutrient) level internally. Although liver Qi stagnation internally causes pain, it is still appropriate to disseminate the Hand Taiyin Lung Meridian, ensuring the obstruction and depression are opened as the priority.
Scutellaria Root (Scutellariae Radix) Gardenia Fruit (Gardeniae Fructus) Loquat Leaf (Eriobotryae Folium) Green Onion Stem (Allii Fistulosi Caulis) Immature Bitter Orange (Aurantii Fructus Immaturus) Stir-fried Soybean Seed (Sojae Semen Preparatum) Apricot Seed (Armeniacae Semens Amarum) Xinjiang (New Crimson Fabric/Dyed Silk)
The pulse is wiry with a rapid quality. Accidental inhalation of summerheat turbidity caused persistent body heat, while the chronic liver Qi disorder flared up. There are abdominal masses/lumps, severe pain, choking cough, and heartburn, all belonging to Wood-Fire rising and disturbing. Temporarily using descending and dispersing methods to open and unblock, assisted by light bitter herbs to harmonize Yang.
Loquat Leaf (Eriobotryae Folium) Gardenia Fruit (Gardeniae Fructus) Dendrobium Stem (Dendrobii Caulis) Mulberry Leaf (Mori Folium) Apricot Seed (Armeniacae Semens Amarum) Stir-fried Soybean Seed (Sojae Semen Preparatum) Fresh Barley Malt (Hordei Fructus Germinatus) Banqu (Medicated Leaven)