典藏书目

Startling is caused by external stimuli, while fear arises from within. The *Neijing* (Inner Canon) states that startling inevitably injures the Liver, and fear injures the Kidney. Zhu Danxi argued that ascending Qi mostly originates from the Liver; if Jue-Yang (Jue-Yang, rebellious Yang) rises violently and uncontrollably, Qi becomes obstructed in the upper body, Yin fails to ascend, resulting in a failure of Heaven and Earth to interact harmoniously, leading to palpitations and obstruction. Regarding restless dreams and tendon contraction, this occurs because Essence and Qi fail to protect the Spirit, leaving the Spirit without support. Medication should be used to calm timidity and tonify deficiency, gradually guiding the interaction and combination of Yin and Yang. This constitutes the competent duty of a physician.

Pain initially occurs at the tailbone (Weilu) and sacrum, followed by dribbling and retention of urine, accompanied by blood stasis. The region of the Du Mai (Governing Vessel) belongs to the meridians and collaterals of the Taiyang (Greater Yang). With Qi sinking and frequent urination attempts but only scanty drops, using diuretic and heat-clearing methods exacerbates the pain. Ancient sages often employed softening agents combined with warm herbs to raise the Qi of the Ren Mai (Conception Vessel) and Du Mai. Treating according to the meridian principles ensures no error.
Lu Rong (Deer Antler), Dang Gui Tou (Radix Angelicae Sinensis, head part), Dan Cong Rong (Cistanche Deserticola), Ba Ji Tian (Morinda Officinalis), Gou Qi Zi (Lycium Fruit), Sha Ji Li (Tribulus Terrestris).

Distension below the epigastrium extending to the lower abdomen was unresponsive to soothing the Liver and harmonizing the Stomach; adding acrid-aromatic herbs for deficient Kidney Qi also failed. However, food intake remains normal, and bowel/bladder movements are clear. Since the pathology is not due to tangible stagnation, it naturally belongs to mild Yang deficiency and Qi knotting. It is proposed to use moistening agents to unblock Yang.
A Wei (Ferula Assa-foetida), She Xiang (Musk).
To be taken as pills.

Less than one hundred days postpartum, during hot weather with sweating and Qi leakage, further aggravated by bathing and steaming which aids Yang development, Yang floats and ascends on the left, while Yin is too weak to control it. Consequently, there is throat itching, coughing, and counterflow Qi, involving pain in the left hypochondrium, Qijie (acupoint ST25 or general pathway along the stomach meridian), and back. Generally, postpartum Liver Blood is insufficient, and Kidney fluids are lacking; all the extraordinary vessels are weak. Yin deficiency with blazing Yang means Blood cannot nourish the tendons and vessels. The method should employ flavors that are rich and substances that are still, flowing to protect the Zhi-Yin (Supreme Yin/Kidney) organ, while simultaneously warming and nourishing the extraordinary vessels.

E Jiao (Donkey-Hide Gelatin), Sheng Di Huang (Rehmannia Root), Ji Zi Huang (Egg Yolk), Bai Shao (White Peony Root), Dou Pi (Pericarpium Sojae Preparatum/Douchi skin), Shi Jue Ming (Argopecten Irradiatus Shell).

Second consultation: Examining the Foot-Jueyin Liver Meridian, it passes through the Stomach, pierces the diaphragm, and ascends along the throat. Because Liver Yin is insufficient to store Yang Qi, Yang has ascent but no descent. Every evening and night, coughing becomes severe, resembling hiccups. Xu and Hai hours (7 PM - 11 PM) are when Liver Yin is vigorous. Liver Yang disturbs the Stomach, causing Yangming Meridian Qi to decline, limbs to feel fatigued, complexion to appear green and dull. Yang transforms into internal wind, stirring and pulsating, causing floating and asymmetric swelling of the muscles. The Heart lacks fluid nourishment, feeling like discomfort rather than true discomfort, like pain rather than true pain. Heat brews phlegm-saliva, which is spat out and then re-aggregates. I do not treat the cough primarily; instead, I urgently seek to flow-nourish Supreme Yin to make it quiet, restraining the internal drumming of Wind-Yang. At night, Stomach-regulating medicines are used to assist.

Taken at noon:
Ji Zi Huang (Egg Yolk), Bai Shao (White Peony Root), Gou Qi Zi (Lycium Fruit), E Jiao (Donkey-Hide Gelatin), Gan Cao (Licorice Root), Zhi Gan Cao (Honey-fried Licorice Root).

Taken at dusk:
Ren Shen (Ginseng Root), Nan Zao (Chinese Date), Qiu Shi (Sea Salt Crystals).

According to the account, there has been long-standing stomach pain. In the past, vomiting roundworms occurred due to pain, and Zisheng Wan was taken, balancing elimination and tonification. Later, Bawei Wan was used, but its warm-moistening nature did not suit the condition. Based on pulse and symptoms, previously attacks would resolve spontaneously. Now, the disease has lasted a month; although pain has ceased, food cannot be retained. The mouth tastes sour and turbid. After a brief nap, sudden irritability, fever, and profuse sweating on the head occur, yet there is no thirst or desire to drink. All Liver diseases inevitably invade the Stomach Fu. Moreover, drugs that attack and cleanse cold and heat must first enter the Stomach to distribute; if medication distribution is incorrect, the pathology further injures Stomach Qi. The Stomach governs the nine orifices; once clear and turbid are chaotic in the middle, how can downward movement be smooth? Upper and lower Qi do not communicate, resembling Guange (Guange, difficulty in swallowing and vomiting/urinating). However, Guange is characterized by Yin exhaustion and Yang knotting, which even sages consider difficult. Here, the Stomach is injured and exhausted, and Clear Yang fails to rotate and transport. This is a different deviation. One need not administer heat-inducing drugs just because cold-inducing ones failed. The injury lies in the formless realm; one must strive for the diffusion and unblocking of Clear Qi. This is the proper therapeutic procedure. Banxia Houpo Tang (Major Pinellia Decoction) from *Jingui Yaolue*.