复骂詈。复以归芍六君子汤。调补数日而痊。
王姓老妇。年约六旬。偶病感冒。医者以发散药与之。次日遂发狂奔走。欲脱去上下衣服。
欲卧冷地。其子惶骇。延予诊之。予视其面色黄淡。手足俱冷。脉息沉弱。是阳虚欲脱也。
急以四逆汤加党参、熟地、肉桂。两剂而安。嗣以人参养荣汤。调补数日乃瘥。
壬子正月。利记糖栈骆达三君。患感冒病。头痛恶寒。饮食无味。脉息小滑。予用葱豉汤加
荆芥、紫苏、半夏、橘皮等。讵此药服后。忽喘息不能卧。头脑中觉热气上升。小腹左偏
作
衰。寒气逼龙雷之火上越也。其喘息
不能卧者。肺肾两虚不能纳气也。其腹痛呕吐痰水者。寒气内扰气血不能通调也。其畏寒手指
作冷者。虚寒病之本相也。乃与理中汤合六君子汤。加肉桂、白芍、五味子。服后喘吐俱平。腹
痛
服后诸症悉退。病家自以为病愈。遂不服药。越数日。复恶寒头痛手冷。时或手足发热。
精神疲倦。不思饮食。舌苔少而色白。小便黄。脉仍沉小。乃以理中汤。合小建中汤去饴糖。
加半夏。服后诸症少退。但时觉虚火上升。则头痛大作。手足亦觉发热。而其身则殊不热。
遂师李东垣法。用潞党参、白术各二钱。肉桂五分。升麻、茈胡、川芎各一钱。炙甘草八分
。茯苓三钱。半夏一钱五分。加生姜、红枣同煎。覆杯而头痛止。手足亦不发热。接服一剂
而安。凡老年之病属虚者多。非偏于阳虚。即偏于阴虚。而亦有阴阳两虚者。医家于此。尤
宜加意焉。
卢谷山年近六旬。患泄泻。由夏炳如先生介绍邀诊。脉息小弱。两手俱冷。精神疲倦。此脾
胃气虚。阳气衰弱之病。乃用理中汤加山药、木香。接服两剂。精神较好。能进饮食。原方
加肉桂四分。枸杞子二钱。又服二剂。手稍转温。泄泻已止。但头眩殊甚。原方去姜、桂。
加熟地。接服三日。头眩较减。而手仍冷。复于原方中加鹿角胶、黄 。服两剂后。精神殊
觉爽健。惟手终不暖。盖高年真火已衰。非旦夕所能奏功。乃嘱购鹿茸半具。研末。每日服
五厘。用高鹿参三钱煎汤和服。卢君遂托友在泸购办参茸。如法服之。半月后返闽。今年春
间。卢君复来镇江。言鹿茸甚有效。现下精神甚好。而手亦转温。今担任赖大有皮丝烟号经
理云云。大凡积虚之病。皆须悠久成功。而尤必藉血肉有情之品。始易奏效。鹿性纯阳。能
补人身阳气。茸生于首。兼能补脑。故有此特效也。
乙巳二月。季姓妇。咳喘倚息不得卧。恶寒发热。头疼身痛。胸闷不舒。心痛彻背。脉沉而
滑。舌苔白腻。此风寒痰饮内外搏结。肺气不得下降而成肺胀也。乃用小青龙汤合栝蒌薤白
汤。麻黄、细辛、各四分。干姜、五味子各五分。栝蒌、薤白各三钱。甘草五分。余药各一
钱五分。服后得汗。而寒热喘息俱平。惟身痛咳嗽未已。易方。以桂枝汤和营卫。加干姜、
五味子各五分。细辛三分以治咳。一剂效。因贫不复延诊。遂渐愈。
吴某年十五岁。咳嗽音嗄。自春徂秋。迄未能愈。咳而无痰。饮食能进。不热不渴。脉如平
人。与三拗汤加干姜、五味子、半夏。服三剂后。咳减声音如常。每次麻黄只用三分。至第
四剂则减至二分。后以六君子汤调补三日而瘳。
刘某病延两月。咳嗽吐痰甚臭。身热口渴。手足心热。舌红无苔。右脉滑数。此肺脏伏热势
将成痈也。与黄芩、贝母、玉竹、蒌仁、桑叶、知母、枇杷叶等作煎剂。加梨汁和服。一剂热轻嗽减。三剂全愈。
鲍姓子三岁。发热数日。咳吐臭痰。大便完谷不化。扪其额热烁手。舌干苔少。口渴脉数。
乃肺脏受热也。拟方用黄芩、马兜铃、地骨皮、知母、贝母、栝蒌、苡仁、桑叶、甘草、枇
杷叶。一剂知。二剂已。
孙姓妇年四十余。素有肺病。咳嗽痰中带血。头晕心悸。彻夜不寐。精神疲惫。心内觉热。
饮食不多。脉息细弱。此平日劳神太过。血液衰耗。肺病日久。将成肺痨也。拟方用百合、
枣仁、茯神、柏子仁各三钱。沙参、麦冬、地黄各二钱。阿胶一钱五分。服后血止能寐。但
汗多气喘。原方去百合。加黄 五分。枸杞子二钱。浮麦三钱。胡桃肉三钱。接服两剂。汗
收喘定。但尚有咳嗽而已。原方去黄 。加地骨皮、贝母、枇杷叶。服三剂后。咳大减。精
神亦健。能乘舆出门。遂改用集灵膏。令其常服而痊。
刘锡九君咳嗽多日。音嗄。起居如常。体胖。脉息缓滑。舌有腻苔。盖痰饮病也。与二陈汤
加白芥子六分。白术二钱。苡仁三钱。三服而瘳。
周珊甫君夫人。年逾五旬。素患肺病。咳嗽哮喘。痰声如拽锯。呼吸几不能通。予视其体胖
神强。两手脉滑有神。盖富裕之家。奉养太过。肥甘油腻。蕴酿成痰。致肺气管枝发炎也。
拟方用杏仁泥、白前、桔梗各一钱五分。薄荷五分。橘红八分。贝母、苡仁各三钱。茯苓二
钱。甘草五分。枇杷叶一片。作煎剂。一服呼吸大畅。哮喘亦定。接服三剂全愈。
孙姓女。甫周岁。咳嗽多日。初延西医某治之无大效。后延中医某治之亦无效。因来求诊。
予见其精神疲惫。面色淡白。舌红无苔。满舌俱破。有汗不热。乃虚症也。用生脉散加百合
、元参、扁豆等作煎剂。初次仅用沙参。接服两剂。咳嗽大减。神气亦佳。惟夜间汗多。原
方加黄 一钱。浮小麦三钱。改用党参。又两剂。咳嗽亦减。舌破亦愈。其舌上亦并未用吹
药也。
龙耀南君夫人。咳嗽多日。时发寒热。舌光无苔。脉息濡缓。与生脉散加青蒿、黄
芩、苡仁、百合、贝母、枇杷叶。接服两剂。寒热退。咳嗽亦减。惟目光不足。视物昏花。
原方去青蒿、黄芩、苡仁。加干地黄、女贞子。三剂而痊。
又出现辱骂叫喊的症状。随后使用归芍六君子汤（当归、白芍、人参、白术、茯苓、甘草、陈皮、半夏组成的方剂，具有养血健脾功效），调理补益数日后痊愈。
王某的老妇人，年龄约六十岁。偶然患上感冒。医生给予发散解表药物治疗。第二天便出现发狂奔走的行为，想要脱去上下衣服，想要躺在冷地上。她的儿子感到惊恐害怕，邀请我诊治。我看她面色黄而淡白，手足都冰冷，脉搏沉弱。这是阳气虚弱即将外脱的证候。紧急使用四逆汤（附子、干姜、甘草组成的回阳救逆方剂）加入党参、熟地黄、肉桂。服用两剂后病情安定。之后用人参养荣汤（人参、黄芪、白术、茯苓、甘草、当归、白芍、熟地、远志、五味子、陈皮、生姜、大枣组成的益气补血方剂）调理补益数天才康复。
壬子年正月。利记糖栈的骆达三先生，患感冒病。头痛，怕冷，饮食没有味道，脉搏小且滑。我使用葱豉汤（葱白、豆豉组成的辛温解表轻剂）加入荆芥、紫苏、半夏、橘皮等药物。没想到此药服下后，忽然喘息不能平卧，头脑中感觉热气上升，小腹左侧偏侧疼痛，寒气逼迫龙雷之火（指肾中相火）上越。他喘息不能平卧，是因为肺肾两虚，不能纳气。他腹痛呕吐痰水，是因为寒气内扰，气血不能通调。他怕冷手指作冷，是虚寒病的本象。于是给予理中汤（人参、干姜、白术、甘草组成的温中散寒方剂）合用六君子汤，加入肉桂、白芍、五味子。服用后喘息和呕吐都平息了，腹痛也停止了。服药后各种症状全部消退，病人家属自以为病好了，于是不再服药。过了几天，又出现怕冷、头痛、手冷，有时手脚发热，精神疲倦，不想吃东西，舌苔少而色白，小便黄，脉仍然沉小。于是用理中汤，合用小建中汤（桂枝、芍药、甘草、生姜、大枣、饴糖组成的温中补虚方剂）去掉饴糖，加入半夏。服用后各种症状稍微减退，但时常觉得虚火上升，这时头痛剧烈发作，手脚也觉得发热，但身体并不热。于是效法李东垣的方法，使用潞党参、白术各二钱，肉桂五分，升麻、柴胡、川芎各一钱，炙甘草八分，茯苓三钱，半夏一钱五分，加入生姜、红枣共同煎煮。喝完一杯药汤头痛就止住了，手脚也不再发热。接着服用一剂后病情安定。凡是老年人的病属于虚证的很多，不是偏于阳虚，就是偏于阴虚，也有阴阳两虚的。医生对此，尤其应该多加注意。
卢谷山年龄近六十岁，患泄泻。由夏炳如先生介绍邀请诊治。脉搏小弱，两手都冷，精神疲倦。这是脾胃气虚，阳气衰弱的病。于是使用理中汤加入山药、木香。接连服用两剂，精神较好，能进食饮食。原方加入肉桂四分，枸杞子二钱，又服用两剂，手稍微转温，泄泻已经停止。但是头晕非常严重。原方去掉生姜、肉桂，加入熟地黄。接连服用三天，头晕减轻，但手仍然冷。又在原方中加入鹿角胶、黄芪。服用两剂后，精神觉得特别爽健，只是手始终不暖。大概因为高龄真火已经衰弱，不是早晚就能见效的。于是嘱咐购买鹿茸半具，研成粉末，每天服用五厘，用高丽参三钱煎汤调和服用。卢君于是托朋友在泸州购买人参和鹿茸。按照方法服用。半个月后返回福建。今年春天，卢君再次来到镇江，说鹿茸很有效，现在精神很好，而且手也转温了。如今担任赖大有皮丝烟号经理等等。大凡积虚的病，都需要长久才能成功，而且必须借助血肉有情之品（指动物性药材，如鹿茸、阿胶等，认为其补益力强），才容易奏效。鹿性纯阳，能补人身阳气。鹿茸生于头部，兼能补脑，所以有此特效。
乙巳年二月。季姓妇人，咳嗽气喘，倚靠呼吸不能平卧，怕冷发热，头疼身痛，胸闷不舒服，心痛放射到背部，脉沉而滑，舌苔白腻。这是风寒痰饮内外搏结，肺气不得下降而成肺胀（类似肺气肿或慢性支气管炎急性发作）。于是使用小青龙汤（麻黄、芍药、细辛、干姜、甘草、桂枝、五味子、半夏组成的解表化饮方剂）合用栝蒌薤白汤（瓜蒌、薤白、白酒组成的通阳散结方剂）。麻黄、细辛各四分，干姜、五味子各五分，瓜蒌、薤白各三钱，甘草五分，其余药物各一钱五分。服用后出汗，而寒热喘息都平息了。只有身痛咳嗽没有停止。更换方剂，以桂枝汤（桂枝、芍药、甘草、生姜、大枣组成的调和营卫方剂）调和营卫，加入干姜、五味子各五分，细辛三分来治疗咳嗽。一剂见效，因为贫穷不再请医诊治，于是逐渐痊愈。
吴某十五岁，咳嗽声音嘶哑，从春天到秋天，一直未能痊愈。咳嗽但没有痰，饮食能进，不热不渴，脉象像正常人一样。给予三拗汤（麻黄、杏仁、甘草组成的宣肺止咳方剂）加入干姜、五味子、半夏。服用三剂后，咳嗽减少，声音恢复正常。每次麻黄只用三分，到第四剂则减至二分。后来用六君子汤调理补益三天而痊愈。
刘某病延两个月，咳嗽吐痰非常臭，身热口渴，手足心热，舌红无苔，右脉滑数。这是肺脏伏热，势将形成肺痈（肺部化脓性感染）。给予黄芩、贝母、玉竹、瓜蒌仁、桑叶、知母、枇杷叶等做成煎剂，加入梨汁调和服用。一剂后热轻咳减，三剂后全愈。
鲍姓孩子三岁，发热数日，咳吐臭痰，大便完谷不化（粪便中有未消化的食物），摸他的额头热得烫手，舌干苔少，口渴脉数。这是肺脏受热。拟定方子用黄芩、马兜铃、地骨皮、知母、贝母、瓜蒌、薏苡仁、桑叶、甘草、枇杷叶。一剂见效，二剂痊愈。
孙姓妇人四十多岁，素有肺病，咳嗽痰中带血，头晕心悸，彻夜不寐，精神疲惫，心里觉得热，饮食不多，脉搏细弱。这是平日劳神太过，血液衰耗，肺病日久，将形成肺痨（肺结核）。拟定方子用百合、枣仁、茯神、柏子仁各三钱，沙参、麦冬、地黄各二钱，阿胶一钱五分。服用后血止能睡，但是汗多气喘。原方去掉百合，加入黄芪五分，枸杞子二钱，浮小麦三钱，胡桃肉三钱。接连服用两剂，汗收喘定，但还有咳嗽而已。原方去掉黄芪，加入地骨皮、贝母、枇杷叶。服用三剂后，咳嗽大减，精神也健壮，能乘坐车出门。于是改用集灵膏（一种滋补膏方），让她常服而痊愈。
刘锡九先生咳嗽多天，声音嘶哑，起居如常，体胖，脉搏缓滑，舌有腻苔。这是痰饮病。给予二陈汤（半夏、陈皮、茯苓、甘草组成的燥湿化痰方剂）加入白芥子六分，白术二钱，薏苡仁三钱。三服而痊愈。
周珊甫先生的夫人，年龄超过五十岁，素患肺病，咳嗽哮喘，痰声像拉锯一样，呼吸几乎不能通畅。我看她体胖神强，两手脉滑有神。大概是富裕之家，奉养太过，肥甘油腻，蕴酿成痰，导致肺气管枝发炎。拟定方子用杏仁泥、白前、桔梗各一钱五分，薄荷五分，橘红八分，贝母、薏苡仁各三钱，茯苓二钱，甘草五分，枇杷叶一片，做成煎剂。一服呼吸大畅，哮喘也定了。接连服用三剂全愈。
孙姓女孩，刚满周岁，咳嗽多天。起初请西医某医治之没有大效，后来请中医某医治之也无效。因此来求诊。我看她精神疲惫，面色淡白，舌红无苔，满舌都破了，有汗不热，这是虚症。用生脉散（人参、麦冬、五味子组成的益气养阴方剂）加入百合、玄参、扁豆等做成煎剂。初次仅用沙参，接连服用两剂，咳嗽大减，神气也好。只是夜间汗多，原方加入黄芪一钱，浮小麦三钱，改用党参。又两剂，咳嗽也减，舌破也愈。她的舌头上也没有用吹药（外用撒粉药物）。
龙耀南先生的夫人，咳嗽多天，时而发寒热，舌光无苔，脉搏濡缓。给予生脉散加入青蒿、黄芩、薏苡仁、百合、贝母、枇杷叶。接连服用两剂，寒热退，咳嗽也减。只是目光不足，视物昏花。原方去掉青蒿、黄芩、薏苡仁，加入干地黄、女贞子。三剂而痊愈。
Also exhibited cursing and shouting. Subsequently, Guizhi Liu Junzi Tang (Cinnamon Twig Six Gentlemen Decoction, a formula with blood-nourishing and spleen-strengthening effects) was used for conditioning and tonification for several days until recovery.
An elderly woman surnamed Wang, approximately sixty years old, accidentally contracted a common cold. The physician administered dispersing and releasing exterior medications. The next day, she began to run wildly in a frenzied state, attempting to remove her upper and lower garments and lie on cold ground. Her son, alarmed and terrified, invited me to consult. I observed her complexion was yellowish and pale, her hands and feet were cold, and her pulse was deep and weak. This indicated Yang deficiency with impending collapse. Urgently, Sini Tang (Four Reversal Decoction, a formula for rescuing devastated Yang) was prescribed with added Codonopsis Radix (Dangshen), Rehmanniae Radix Preparata (Shudi), and Cinnamomi Cortex (Rougui). After two doses, the condition stabilized. Thereafter, Renshen Yangrong Tang (Ginseng Nourishing Harmony Decoction, a Qi-boosting and blood-nourishing formula) was used for conditioning and tonification for several days before full recovery.
In the first month of the Renzi year, Mr. Luo Dasan from Liji Sugar Warehouse suffered from a cold. Symptoms included headache, aversion to cold, loss of taste, and a small, slippery pulse. I prescribed Congchi Tang (Scallion and Fermented Soybean Decoction, a mild acrid-warm exterior-releasing formula) with added Schizonepetae Spica (Jingjie), Perillae Folium (Zisu), Pinelliae Rhizoma (Banxia), and Citri Reticulatae Pericarpium (Chenpi). Unexpectedly, after taking this medication, he suddenly developed dyspnea unable to lie flat, felt heat rising in his head, and experienced pain in the left side of his lower abdomen due to Cold forcing the Dragon Fire (Ministerial Fire of the Kidney) to ascend upward. His inability to lie flat with dyspnea resulted from Lung and Kidney deficiency failing to grasp Qi. His abdominal pain and vomiting of phlegm-water were caused by internal disturbance of Cold disrupting the free flow of Qi and Blood. His aversion to cold and cold fingers represented the fundamental presentation of deficiency-cold. Therefore, Lizhong Tang (Regulate the Middle Decoction, a formula for warming the middle and dispelling cold) combined with Liujunzi Tang (Six Gentlemen Decoction) was prescribed, with added Cinnamomi Cortex (Rougui), Paeoniae Radix Alba (Baishao), and Schisandrae Fructus (Wuweizi). After administration, both dyspnea and vomiting subsided, and abdominal pain ceased. All symptoms receded after medication. The family believed he had recovered and stopped taking medicine. Several days later, he again presented with aversion to cold, headache, and cold hands, sometimes with hot hands and feet, mental fatigue, anorexia, scanty white tongue coating, yellow urine, and a still deep, small pulse. Thus, Lizhong Tang was combined with Xiaojianzhong Tang (Minor Construct the Middle Decoction, a formula for warming the middle and tonifying deficiency) with Yitang removed, and Banxia added. After administration, symptoms slightly receded, but he frequently felt deficient fire ascending, causing severe headaches and hot sensations in the hands and feet, although his body temperature was not elevated. Following the method of Li Dongyuan, I used Codonopsis Radix (Ludangshen) and Atractoditis Macrocephalae Rhizoma (Baizhu) each 2 qian, Cinnamomi Cortex (Rougui) 0.5 qian, Cimicifugae Rhizoma (Shengma), Bupleuri Radix (Chaihu), and Chuanxiong Rhizoma (Chuanxiong) each 1 qian, Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao) 0.8 fen, Poria (Fuling) 3 qian, Pinelliae Rhizoma (Banxia) 1.5 qian, decocted together with Zingiberis Rhizoma Recens (Shengjiang) and Jujubae Fructus (Hongzao). Upon finishing one cup, the headache ceased, and the hands and feet no longer felt hot. After continuing with one more dose, the condition stabilized. Most illnesses in the elderly are deficiency-type: either biased toward Yang deficiency or Yin deficiency, or both. Physicians should pay special attention to this.
Lu Gushan, nearly sixty years old, suffered from diarrhea. Introduced by Mr. Xia Bingru, he invited me to consult. His pulse was small and weak, both hands were cold, and he appeared mentally fatigued. This was a disease of Spleen and Stomach Qi deficiency with declining Yang. I prescribed Lizhong Tang (Regulate the Middle Decoction) with added Dioscoreae Rhizoma (Shanyao) and Aucklandiae Radix (Muxiang). After two consecutive doses, his spirit improved, and he could eat. In the original prescription, Cinnamomi Cortex (Rougui) 0.4 qian and Lycii Fructus (Gouqizi) 2 qian were added. After another two doses, his hands became slightly warm, and diarrhea stopped. However, he suffered severely from dizziness. Ginger and Cinnamomi Cortex were removed from the original prescription, and Rehmanniae Radix Preparata (Shudi) was added. After three consecutive doses, dizziness decreased, but his hands remained cold. Deer Antler Glue (Lujiaojiao) and Astragali Membranacei Radix (Huangqi) were then added to the original prescription. After two doses, he felt remarkably vigorous, though his hands remained unwarmed. This is because the True Fire of advanced age has declined; results cannot be expected overnight. I advised purchasing half a piece of Deer Antler Lu Rong, grinding it into powder, and taking 5 li daily, mixed with a decoction of Korean Ginseng (Gaolishen) 3 qian. Mr. Lu entrusted friends in Luzhou to purchase Ginseng and Deer Antler. He took them according to the method. Half a month later, he returned to Fujian. This spring, Mr. Lu came to Zhenjiang again, stating that Deer Antler was very effective; his spirit was now good, and his hands had turned warm. He is now managing the Lai Dayou Leather Silk Tobacco Shop. Generally, chronic deficiency diseases require long-term treatment to succeed and especially benefit from "blood-and-flesh有情" substances (animal-derived tonics like Deer Antler and Euphorbiae Pekinensis Radix/Ajiao, considered potent tonics). Deer nature is purely Yang, capable of supplementing human Yang Qi. Deer antler grows on the head, also benefiting the brain, hence its special efficacy.
In the second month of the Yisi year, Mrs. Ji suffered from cough and asthma, leaning to breathe, unable to lie flat, aversion to cold, fever, headache, body pain, chest tightness and discomfort, heart pain radiating to the back, deep and slippery pulse, and white greasy tongue coating. This was external Wind-Cold and internal Phlegm-Fluid clashing, causing Lung Qi to fail to descend, resulting in Lung Distension (similar to emphysema or acute exacerbation of chronic bronchitis). I prescribed Xiao Qinglong Tang (Minor Blue Dragon Decoction, a formula for releasing the exterior and resolving fluid retention) combined with Gualou Xiebai Tang (Trichosanthes and Macrostemon Decoction, a formula for unblocking Yang and dissipating nodulation). Ephedrae Herba (Mahuang) and Asari Radix et Rhizoma (Xixin) each 0.4 qian, Zingiberis Rhizoma (Ganjiang) and Schisandrae Fructus (Wuweizi) each 0.5 qian, Trichosanthis Fructus (Gualou) and Allii Macrostemonis Bulbus (Xiebai) each 3 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 0.5 qian, and other herbs each 1.5 qian. After administration, sweating occurred, and chills, fever, and dyspnea subsided. Only body pain and cough persisted. The formula was changed to Guizhi Tang (Cinnamon Twig Decoction, a formula for harmonizing Ying and Wei) to harmonize Ying and Wei, with added Zingiberis Rhizoma (Ganjiang) and Schisandrae Fructus (Wuweizi) each 0.5 qian, and Asari Radix et Rhizoma (Xixin) 0.3 qian to treat cough. One dose showed effect. Due to poverty, further consultation was not sought, and the condition gradually resolved.
Mr. Wu, aged fifteen, suffered from cough and hoarseness from spring to autumn without cure. He coughed without phlegm, could eat, had no fever or thirst, and his pulse resembled that of a healthy person. San'ao Tang (Three Unobstructed Decoction, a formula for diffusing Lung Qi and stopping cough) was given with added Zingiberis Rhizoma (Ganjiang), Schisandrae Fructus (Wuweizi), and Pinelliae Rhizoma (Banxia). After three doses, cough decreased, and voice normalized. Each time, only 0.3 qian of Ephedrae Herba (Mahuang) was used, reduced to 0.2 qian by the fourth dose. Later, Liujunzi Tang (Six Gentlemen Decoction) was used for conditioning and tonification for three days until recovery.
Mr. Liu suffered from illness for two months, with cough producing foul-smelling sputum, fever, thirst, hot palms and soles, red tongue with no coating, and slippery-rapid right pulse. This indicated latent heat in the Lung, likely developing into Lung Abscess (pulmonary suppurative infection). Huangqin (Scutellariae Radix), Fritillariae Thunbergii Bulbus (Beimu), Polygonati Odorati Rhizoma (Yuzhu), Trichosanthis Semen (Guaren), Mori Folium (Sangye), Anemarrhenae Rhizoma (Zhimu), and Loquat Leaf (Pipaye) were decocted, mixed with Pear Juice (Lizhi) and taken. After one dose, fever lightened and cough decreased; after three doses, full recovery.
The Bao child, three years old, had fever for several days, coughed foul-smelling sputum, passed undigested food in stool, forehead was hot to touch, tongue was dry with scant coating, thirsty, and pulse rapid. This indicated Heat in the Lung. The proposed formula used Huangqin (Scutellariae Radix), Aristolochiae Fructus (Madouling), Corni Cortex (Digupi), Anemarrhenae Rhizoma (Zhimu), Fritillariae Thunbergii Bulbus (Beimu), Trichosanthis Fructus (Gualou), Coicis Semen (Yiren), Mori Folium (Sangye), Glycyrrhizae Radix et Rhizoma (Gancao), and Loquat Leaf (Pipaye). Effect seen after one dose, cured after two.
Mrs. Sun, over forty years old, had chronic lung disease, cough with blood-tinged sputum, dizziness, palpitations, insomnia all night, mental fatigue, internal heat sensation, poor appetite, and fine-weak pulse. This resulted from excessive mental labor depleting Blood, and chronic lung disease progressing to Consumption (tuberculosis). The proposed formula used Lilii Bulbus (Baihe), Ziziphi Spinosae Semen (Zaoren), Poria (Fushen), and Biota Seed (Baiziren) each 3 qian, Glehniae Radix (Shashen), Ophiopogonis Tuber (Maidong), and Rehmanniae Radix (Dihuang) each 2 qian, and Donkey-Hide Gelatin (Ejiao) 1.5 qian. After administration, bleeding stopped, and sleep resumed, but with profuse sweating and wheezing. Lilii Bulbus (Baihe) was removed from the original formula, adding Astragali Membranacei Radix (Huangqi) 0.5 qian, Lycii Fructus (Gouqizi) 2 qian, Triticum Levis Fructus (Fumai) 3 qian, and Juglans Regalis Semen (Hutaorou) 3 qian. After two consecutive doses, sweating stopped, wheezing settled, but cough remained. Astragali Membranacei Radix (Huangqi) was removed, adding Corni Cortex (Digupi), Fritillariae Thunbergii Bulbus (Beimu), and Loquat Leaf (Pipaye). After three doses, cough greatly decreased, spirit strengthened, and she could go out by cart. Finally, Jiling Gao (Collecting Spirit Paste, a nourishing paste) was prescribed for regular use until recovery.
Mr. Liu Xijiu suffered from cough for many days, hoarseness, normal daily activities, obesity, slow-slippery pulse, and greasy tongue coating. This was Phlegm-Fluid disease. Erchen Tang (Two Aged Decoction, a formula for drying dampness and resolving phlegm) was given with added White Mustard Seed (Baijiezi) 0.6 fen, Atractoditis Macrocephalae Rhizoma (Baizhu) 2 qian, and Coicis Semen (Yiren) 3 qian. Cured after three doses.
Mrs. Zhou Shanfu, over fifty years old, had chronic lung disease, cough and asthma, rattling phlegm sound like sawing, and almost obstructed breathing. I observed she was obese with strong spirit, and her pulses were slippery and spirited. Likely due to affluent upbringing, excessive rich and sweet foods fermented into Phlegm, causing inflammation of the lung airways. The proposed formula used Almond Kernel (Xingrenni), Cynanchum Paniculatum Root (Baiqian), and Platycodonis Radix (Jiegeng) each 1.5 qian, Menthae Haplocalycis Herba (Bohe) 0.5 qian, Citri Reticulatae Pericarpium (Juhong) 0.8 fen, Fritillariae Thunbergii Bulbus (Beimu) and Coicis Semen (Yiren) each 3 qian, Poria (Fuling) 2 qian, Glycyrrhizae Radix et Rhizoma (Gancao) 0.5 qian, and Loquat Leaf (Pipaye) one piece, decocted. After one dose, breathing greatly smoothed, and asthma settled. After three consecutive doses, full recovery.
Miss Sun, just one year old, had cough for many days. Initially treated by a Western doctor with little effect, then by a Chinese doctor with no effect, she came for consultation. I saw mental fatigue, pale complexion, red tongue with no coating, ulcerated tongue surface, sweating without fever. This was a deficiency syndrome. Shengmai San (Generate the Pulse Powder) with added Lilii Bulbus (Baihe), Scrophulariae Radix (Yuann Shen), and Dolichos Lablab Semen (Biandou) was decocted. Initially, only Glehniae Radix (Shashen) was used. After two consecutive doses, cough greatly decreased, and spirit improved. However, night sweats persisted. Astragali Membranacei Radix (Huangqi) 1 qian and Triticum Levis Fructus (Fuxiaomai) 3 qian were added to the original formula, and Codonopsis Radix (Dangshen) replaced the previous herb. After another two doses, cough decreased, and tongue ulcers healed. No topical powders were applied to her tongue.
Mrs. Long Yaonan suffered from cough for many days, intermittent chills and fever, smooth tongue with no coating, and soggy-slow pulse. Shengmai San (Generate the Pulse Powder) with added Artemisiae Annuae Herba (Qinghao), Scutellariae Radix (Huangqin), Coicis Semen (Yiren), Lilii Bulbus (Baihe), Fritillariae Thunbergii Bulbus (Beimu), and Loquat Leaf (Pipaye) was prescribed. After two consecutive doses, chills and fever receded, and cough decreased. However, vision was poor and blurry. Artemisiae Annuae Herba (Qinghao), Scutellariae Radix (Huangqin), and Coicis Semen (Yiren) were removed, adding Rehmanniae Radix Preparata (Di Huang) and Ligustri Lucidi Fructus (Nvzhenzi). Cured after three doses.