例如：张××，女，12岁。手足乱动，行路不稳，挤眉弄眼5个多月。某医院诊为舞蹈病。经中医平肝熄风，养血化痰及西药、针灸等治疗未效。诊时除不断的作各种不自主的动作外，神志基本正常，喜叹气，舌苔白，脉弦细。综合脉证，诊为邪人少阳，痰热内郁，风邪引动之疾。乃拟柴胡加龙骨牡蛎汤加减：柴胡3克，桂枝、白芍、黄芩、半夏、党参、茯苓、生龙骨、生牡蛎、甘草各6克，生姜2片，大枣2枚。3剂减，30剂竟豁然而愈。
又如索××，女，55岁。两个多月前，突然发现左半身拘急不适，次日即不由自主的乱动，挤眉弄眼。某医院诊断为脑动脉硬化引起的舞蹈病。先用西药治疗不效，继用平肝熄风，益气活血之剂亦无功。邀余诊视，审其神志清醒，左上、下肢持续乱动，挤眉弄眼，活动不便，头痛头晕，心烦易怒，失眠心悸，耳鸣耳聋，口苦口干，舌苔黄白，脉弦。乃拟柴胡加龙骨牡蛎汤：柴胡、半夏、黄芩、党参、桂枝、茯苓各9克，酒军4克，甘草6克，生姜3片，生龙骨、生牡蛎各15克，大枣5枚。连进7剂诸证均减，14剂后手足乱动消失，30剂后一切活动均恢复正常。
在祖国医学的发展过程中，有所谓经方派否定时方派和时方派否定经方派的情况，其中尤以时方派否定经方派者为多，他们的论点是后人比前人进步。我认为科学的发展不能单纯靠画框框来规定，而只有靠反复实践来考验。经方、时方奋发展了一个侧面，不能简单的说其正确与否。
臌胀
肝硬化腹水，相当于中医的臌胀。中医文献对臌胀早有记载，《灵枢．水胀篇》说：“臌胀……腹胀身皆大，大与腹胀等也，色苍黄，腹筋起，此其候也。”《千金方》说：“蛊胀，但腹满不肿。”《景岳全书》说：“单腹胀者，名为臌胀，以外虽坚满而中空无物，其象如鼓，亦名鼓胀……且肢体无恙，惟在腹，故又名为单腹胀。”中药治疗肝硬化腹水，一般认为是比较有效的，其中第一次出现腹水，按之不紧不硬的效果最佳。例如腹胀腹水，舌苔薄白，脉弦缓者，用五皮五苓合方或茯苓导水汤；舌苔微黄，口干，脉滑者，用大橘皮汤；指趾厥冷，舌苔薄白，脉沉细者，用实脾饮；腹皮紧张而按之硬者，用十枣丸；黄疸，五心烦热，舌红苔黄，脉滑数者，用蟾蜍一具去肠杂，砂仁9克置其中，焙干为末冲服等，均有一定效果。但是第二次，第三次出现的腹水，治疗时就困难得多。在第二、三次腹水中，一类表现为舌质不红，舌苔薄白，脉象弦缓，肝功能又多在正常范围；一类表现为肝功严重损害，黄疸，面色青黑晦暗，时或齿衄，斑疹，舌质红，苔薄黄，脉虚大滑数。前一类健脾温肾利水常可获效，后一类则甚难奏效，因为此类虚实并见，寒热胶结，益阴则助湿，燥湿则伤阴，温阳则生热，清热则伤阳，补益则壅邪，祛邪则伤正，所以治疗之时，不是腹水不能消，就是消退后出现肝昏迷。
1976年笔者就学于中国中医研究院方药中教授，恰遇其用苍牛防己汤治一肝硬化腹水患者甚效，察其方既有苍术、白术的健脾燥湿利水，防己的苦寒通络利水，又有川牛膝、怀牛膝的补肝肾活血通络行水，此活血利水而稍佐补益，利湿热而不伤阴液。余复验之于临床，对肝肾俱虚，湿热夹有瘀血者往往有效。但是本方仍属利多于补，活血大于补肝之品，故阴虚脉细数或气血两虚，脉见虚大者，又难巩固疗效，故治疗时又必须佐以补益。
例如：陈××，男，50岁。两年前肝硬化腹水治愈后，肝功一直不正常，近因过度劳累又发生第二次腹水，腹胀而坚硬，下肢浮肿，面色青黑晦暗，巩膜发黄，疲乏无力，尿黄赤，舌质红，苔薄白，脉弦大滑数。先用西药治疗无效，继而配合中药健脾利水，攻逐水饮等亦无功。邀余诊视。云：此肝肾俱虚，湿热内郁，血瘀气滞之证，宜苍牛防己汤：苍术30克、防己60克、白术30克、川牛膝30克、怀牛膝30克。并配合小量氢氯噻嗪(双氢克尿塞)、氯化钾，1剂后竟腹泻数次，尿量增加，4剂后，腹水明显减少，饮食增加，面色亦较前鲜明，可是再继续应用该药则腹水并不下降，乃配合何首乌30克，黄精30克，淫羊藿30克，秦艽4克，茵陈15克，与此方交替应用。一月后腹水果然消退。
又如：耿××，女，30岁。心源性肝硬化腹水两年，腹胀大而硬，咳喘气短，口唇、面颊、手指均青紫而暗，指厥，舌苔白，质紫暗，脉虚大数促。先用西药治疗虽有好转，但腹水腹胀不见改善，后又配合实脾饮，真武汤，五皮五苓合方亦无效。再进1剂则无寸效。思之，本虚标实，应补正祛邪兼施：党参10克，黄芪30克，丹参30克，鸡血藤30克，当归10克，黄精10克，生地10克，青皮10克，陈皮10克，苍术15克，白术15克，三棱10克，莪术10克，薄荷3克，莱菔子10克，砂仁10克。药进一剂腹胀即减，继进4剂尿量增多，20剂后腹水全部消失，乃以上方一周2剂连续服用一年，精神、食欲近似常人。
黑痣
曾治患者张××，女，成．一年前左太阳穴附近发现一绿豆大黑痣，不痛不痒，半年后迅速长至红枣大，急去某院诊治，印象为黑色素瘤。因患者拒绝病理切片未确诊。又去北京某医院检查，仍然认为是黑色素瘤，但因患者拒绝病检而不能确诊。求治于余。细察色脉，神乏而色郁，时时叹气，胸胁苦满，心烦易怒，舌苔薄白，脉沉缓而尺稍大。脉证合参，诊为肝肾不足为本，气滞血瘀为标，乃拟何首乌、胡麻仁、白蒺藜、丝瓜络、赤芍、橘叶、丹参等药加减为方半年多，突然完全脱落而愈。急告于余，云：如吾爱人不动手术，用中药治疗，亦可能得救。(按：其爱人因黑色素瘤转移而去世。)
溃疡恶疮
明矾亦名白矾。《本经》云：“治恶疮”，《纲目》云：“解毒……蚀恶肉，生好肉，治痈疽疔肿，恶疮。”《逢源》云：“遍身生疮如蛇头，服此而愈。”蜂房亦名蜂窝。善于“解毒疗疮”，治“痈疽恶疮，发背，瘰疬。”《别录》云：“治恶疽附骨疽。”《逢源》云：“疮疡齿痛……皆取其以毒攻毒。”《求真》云：“为清热软坚散结要药，是以惊痫蛊毒，痈疽瘰疬……风毒等症，得此则除。”蜂蜜为蜜蜂采无毒之花酝酿而成。《求真》云：“本花木之精英……生则性凉清发，熟则性温补中，为至纯至粹之味……凡肌肉疮疡……形色枯槁，无不借其润色以投。”《纲目》云：“甘而和平，故能解毒，柔而润津，故能润燥，缓可去急，故能止心腹肌肉疮疡之痛。”家父健在时，曾传一方：蜂房1个，将明矾粉适量放孔中至满，然后在铁锅中烤干，研末，蜂蜜适量调膏涂治恶疮甚效。余于1978年3月10日，治一患者，邢××，男，77岁。右睑下枣核大溃疡8个多月，边缘微肿，皮色不变，麻木不痛，经中西药久治不效，山西省肿瘤医院病检诊断为鳞状上皮癌。因患者拒绝手术，改用上方治疗3个多月，溃疡明显缩小变浅，但却干僵不适，乃改用蜂蜜、云南白药调涂治疗3个月而愈。追访10年仍健在无恙。
奔豚
奔豚证，在我国早期的医学著作中就有较详细的记载。《难经》说：“肾之积，名曰奔豚。发于少腹，上至心下若豚状，或上或下无时，久不已，令人喘逆少气骨痿。”张仲景说：“奔豚病从少腹起，上冲咽喉，发作欲死，复还止，皆从惊恐得之。”《诸病源候论》说：“起于惊恐忧思所生”，“其气乘人，若心中踊踊，如车所惊，如人所恐，不藏不定，饮食辄呕，气满胸中，狂痴不定，妄言妄见……心中闷乱，不欲闻人声，休作有时，乍瘥乍急，呼吸短气，手足厥逆，内烦结痛，温温欲吐……诊其脉来触祝触祝者。”尤在泾在阐述奔豚病的同时，不但强调了病在肾，而且特别说明“奔豚惊怖，皆自肝病”，“以肝肾同处下焦，而其气并善上逆也。”另外张仲景还提出了一些相应的方剂。他说：“奔豚气上冲胸，腹痛，往来寒热，奔豚汤主之。”“发汗后，烧针令其汗，针处被寒，核起而赤者，必发奔豚，气从少腹上冲心者，灸其核上各一壮，与桂枝加桂汤。”“发汗后，其人脐下悸者，欲作奔豚，茯苓桂枝甘草大枣汤主之。”“伤寒，若吐若下后，心下逆满，气上冲胸，起则头眩，脉沉紧，发汗则动经，身为振振摇者，茯苓桂枝白术甘草汤主之。”“太阳病发汗，汗出不解，其人仍发热，心下悸，头眩，身睏动，振振欲擗地者，真武汤主之。”余宗其意，试用于某些循环系统、神经系统、内分泌系统疾病，常常获效。
例如：赵××，男，成。阵发性心动过速15年，先用西药及中药养心安神，活血通阳无效。细审其证，心悸，阵阵发作，腰酸腰痛，舌苔薄白而质淡，脉沉细弦而尺大涩。综其脉证，诊为肾气不足，心阳虚衰，水气上冲之奔豚证，乃拟补肾温阳利水之十味地黄汤加减：生地9克，山药9克，五味子9克，茯苓9克，泽泻9克，丹皮9克，麦冬9克，白芍9克，附子9克，肉桂9克。连服4剂，4日内仅发作一次，又进30剂心悸消失。
卫××，男，50岁。冠心病，频发性室性期前收缩两年。前医以炙甘草汤、生脉散、养心汤、补心丹及血府逐瘀汤等治之不效。察其证见胃脘部悸动，阵阵发作，逆气上冲，冲至胸则胸满气短，心悸惊恐，甚至晕厥，有几次在骑自行车时突然发作而摔倒在地，经抢救才清醒，并经常头晕失眠，胸满心烦，口苦咽干，舌苔薄白，脉弦滑。综合脉证，诊为肝郁气结，心阳不振，痰湿不化之证。为拟柴胡加龙骨牡蛎合苓桂术甘汤加减：柴胡6克，黄芩9克，白术9克，党参9克，半夏9克，生姜9克，茯苓15克，桂枝15克，龙骨15克，牡蛎15克，川军3克，大枣5枚。药进10剂阵发性逆气上冲、心悸等证未见发作，乃继服上方。服至50剂时又突然发作一次，但非常轻微，继续服药30剂，乃停止用药，追访一年多一直未发。
朱××，女，成。子宮功能性出血、梅尼埃病、风湿性心脏病、二尖辦狭窄与闭锁不全，完全性左束枝传导阻滞20多年，慢性胃炎30多年，缺铁性贫血5年，脾大待诊8年。长期以来，经常头晕头痛，失眠健忘，胃脘疼痛，身痛腰痛，心悸气短，疲乏无力，浮肿尿少，纳呆食减，行动困难，稍受精神刺激或劳累吋，即感到腹部悸动，逆气上冲，冲至胸即心悸汗出，面色苍白，肢厥脉微，血压下降而突然晕厥，近半年来尤为严重，每次发作都需抢救才能脱险。曾在北京、太原等医院长期住院治疗无效。邀治于余。察其面色皓白无华，消瘦神疲，翻身动作均感困难，手心热而肢冷，舌质淡苔薄白，脉沉细弦时见结象。综合脉证，诊为阴阳气血俱虚，中气虚衰，肾水上泛之奔豚证，为拟十四味建中汤温脾肾降冲逆，益气养血，双补脾肾：黄芪15克，当归9克，川芎9克，生地9克，炙甘草9克，半夏10克，麦冬10克，附子10克，肉桂10克，淡大云15克，生姜3片，大枣5枚。连进7剂诸证稍减，又进30剂，逆气上冲消失，胃脘疼痛好转，并能下床活动。嗣后，以上方配合定坤丹治疗一年，除月经仍未正常外，其余诸症全部消失。
张××，女，成。半年多来阵发性心悸，发时自感逆气上冲，发热，头晕汗出。某院诊为植物神经失调，嗜铬细胞瘤待诊。中西药治之不效。邀余诊视。审其发时心悸心烦，头晕汗出，血压190／120mmHg，寒热阵作，背困，舌苔白，脉弦滑而数。云：此肝郁气滞，痰热扰心之奔豚证。治宜疏肝理气，化痰泻火。奔豚汤加减：川芎1O克，当归10克，黄芩10克，白芍10克，葛根15克，半夏10克，桑皮15克，甘草6克。荮进2剂诸证好转，连进80多剂诸证消失。
奔豚证是一个非常多见的疾病，它既有寒又有热，既有虚也有实，因此治疗时必须认真进行鉴别。
斑
结节性红斑与中医的湿毒流注甚相类似。近来常以清热利湿，化瘀散结法取效，余亦常用此法而收功。例如：张××，女，成。两下肢膝、踝关节附近结节性红斑4年，医者曾以激素治疗半年而消退，停药后又复发如初，近来红斑增多，疼痛，发热，浮肿。转请余治。查其舌红苔黄白腻，脉弦滑数，诊为湿热郁阻经络，以上中下痛风方治之：黄柏1O克，苍术10克，南星10克，桂枝10克，防己15克，威灵仙10克，桃仁10克，红花10克，龙胆草10克，羌活6克，白芷10克，川芎10克，神曲10克。服药4剂疼痛好转，红斑消退，继服20剂红斑消失。
例如：张××，女性，12岁。手足不自主乱动，行走不稳，挤眉弄眼已5个多月。某医院诊断为舞蹈病。经过中医平肝熄风、养血化痰以及西药、针灸等治疗，均未见效。就诊时，除了不断出现各种不自主动作外，神志基本正常，喜欢叹气，舌苔白，脉象弦细。综合脉象和症状，诊断为邪气侵入少阳经，痰热内郁，风邪引动所致的疾病。于是拟定柴胡加龙骨牡蛎汤加减：柴胡3克，桂枝、白芍、黄芩、半夏、党参、茯苓、生龙骨、生牡蛎、甘草各6克，生姜2片，大枣2枚。服用3剂后症状减轻，服用30剂后竟然完全痊愈。
又如索××，女性，55岁。两个多月前，突然感到左半身拘急不适，次日即不由自主地乱动，挤眉弄眼。某医院诊断为由脑动脉硬化引起的舞蹈病。先用西药治疗无效，继用平肝熄风、益气活血的方剂也毫无功效。邀请我诊治，审视其神志清醒，左上、下肢持续乱动，挤眉弄眼，活动不便，头痛头晕，心烦易怒，失眠心悸，耳鸣耳聋，口苦口干，舌苔黄白，脉象弦。于是拟定柴胡加龙骨牡蛎汤：柴胡、半夏、黄芩、党参、桂枝、茯苓各9克，酒军4克，甘草6克，生姜3片，生龙骨、生牡蛎各15克，大枣5枚。连续服用7剂后诸证均减轻，14剂后手足乱动消失，30剂后一切活动均恢复正常。
在祖国医学的发展过程中，有所谓经方派否定时方派，和时方派否定经方派的情况，其中尤以时方派否定经方派者为多，他们的论点是后人比前人进步。我认为科学的发展不能单纯靠画框框来规定，而只有靠反复实践来考验。经方、时方各自发展了一个侧面，不能简单地说是正确还是错误。
臌胀
肝硬化腹水，相当于中医的臌胀。中医文献对臌胀早有记载，《灵枢·水胀篇》说：“臌胀……腹部胀大身体也都大，大小与腹胀相等，面色苍黄，腹壁青筋暴露，这是它的征候。”《千金方》说：“蛊胀，只是腹部胀满而不肿胀。”《景岳全书》说：“单腹胀者，名为臌胀，因为外表虽然坚满但中空无物，形状像鼓，也叫鼓胀……而且肢体无恙，只在腹部，所以又名为单腹胀。”中药治疗肝硬化腹水，一般认为是比较有效的，其中第一次出现腹水，按之不紧不硬的效果最佳。例如腹胀腹水，舌苔薄白，脉象弦缓者，用五皮五苓合方或茯苓导水汤；舌苔微黄，口干，脉滑者，用大橘皮汤；指趾厥冷，舌苔薄白，脉沉细者，用实脾饮；腹皮紧张而按之硬者，用十枣丸；黄疸，五心烦热，舌红苔黄，脉滑数者，用蟾蜍一具去肠杂，砂仁9克置其中，焙干为末冲服等，均有一定效果。但是第二次，第三次出现的腹水，治疗时就困难得多。在第二、三次腹水中，一类表现为舌质不红，舌苔薄白，脉象弦缓，肝功能又多在正常范围；一类表现为肝功严重损害，黄疸，面色青黑晦暗，时或齿衄，斑疹，舌质红，苔薄黄，脉虚大滑数。前一类健脾温肾利水常可获效，后一类则甚难奏效，因为此类虚实并见，寒热胶结，益阴则助湿，燥湿则伤阴，温阳则生热，清热则伤阳，补益则壅邪，祛邪则伤正，所以治疗之时，不是腹水不能消，就是消退后出现肝昏迷。
1976年笔者就学于中国中医研究院方药中教授，恰遇其用苍牛防己汤治一肝硬化腹水患者甚效，察其方既有苍术、白术的健脾燥湿利水，防己的苦寒通络利水，又有川牛膝、怀牛膝的补肝肾活血通络行水，此活血利水而稍佐补益，利湿热而不伤阴液。余复验之于临床，对肝肾俱虚，湿热夹有瘀血者往往有效。但是本方仍属利多于补，活血大于补肝之品，故阴虚脉细数或气血两虚，脉见虚大者，又难巩固疗效，故治疗时又必须佐以补益。
例如：陈××，男性，50岁。两年前肝硬化腹水治愈后，肝功能一直不正常，近因过度劳累又发生第二次腹水，腹胀而坚硬，下肢浮肿，面色青黑晦暗，巩膜发黄，疲乏无力，尿黄赤，舌质红，苔薄白，脉弦大滑数。先用西药治疗无效，继而配合中药健脾利水，攻逐水饮等亦无功。邀请我诊治。云：此肝肾俱虚，湿热内郁，血瘀气滞之证，宜苍牛防己汤：苍术30克、防己60克、白术30克、川牛膝30克、怀牛膝30克。并配合小量氢氯噻嗪(双氢克尿塞)、氯化钾，1剂后竟腹泻数次，尿量增加，4剂后，腹水明显减少，饮食增加，面色亦较前鲜明，可是再继续应用该药则腹水并不下降，乃配合何首乌30克，黄精30克，淫羊藿30克，秦艽4克，茵陈15克，与此方交替应用。一月后腹水果然消退。
又如：耿××，女性，30岁。心源性肝硬化腹水两年，腹胀大而硬，咳喘气短，口唇、面颊、手指均青紫而暗，指厥，舌苔白，质紫暗，脉虚大数促。先用西药治疗虽有好转，但腹水腹胀不见改善，后又配合实脾饮，真武汤，五皮五苓合方亦无效。再进1剂则无寸效。思之，本虚标实，应补正祛邪兼施：党参10克，黄芪30克，丹参30克，鸡血藤30克，当归10克，黄精10克，生地10克，青皮10克，陈皮10克，苍术15克，白术15克，三棱10克，莪术10克，薄荷3克，莱菔子10克，砂仁10克。药进一剂腹胀即减，继进4剂尿量增多，20剂后腹水全部消失，乃以上方一周2剂连续服用一年，精神、食欲近似常人。
黑痣
曾治患者张××，女性，成年。一年前左太阳穴附近发现一绿豆大黑痣，不痛不痒，半年后迅速长至红枣大，急去某院诊治，印象为黑色素瘤。因患者拒绝病理切片未确诊。又去北京某医院检查，仍然认为是黑色素瘤，但因患者拒绝病检而不能确诊。求治于余。细察色脉，神乏而色郁，时时叹气，胸胁苦满，心烦易怒，舌苔薄白，脉沉缓而尺稍大。脉证合参，诊为肝肾不足为本，气滞血瘀为标，乃拟何首乌、胡麻仁、白蒺藜、丝瓜络、赤芍、橘叶、丹参等药加减为方半年多，突然完全脱落而愈。急告于余，云：如吾爱人不动手术，用中药治疗，亦可能得救。(按：其爱人因黑色素瘤转移而去世。)
溃疡恶疮
明矾亦名白矾。《本经》云：“治恶疮”，《纲目》云：“解毒……蚀恶肉，生好肉，治痈疽疔肿，恶疮。”《逢源》云：“遍身生疮如蛇头，服此而愈。”蜂房亦名蜂窝。善于“解毒疗疮”，治“痈疽恶疮，发背，瘰疬。”《别录》云：“治恶疽附骨疽。”《逢源》云：“疮疡齿痛……皆取其以毒攻毒。”《求真》云：“为清热软坚散结要药，是以惊痫蛊毒，痈疽瘰疬……风毒等症，得此则除。”蜂蜜为蜜蜂采无毒之花酝酿而成。《求真》云：“本花木之精英……生则性凉清发，熟则性温补中，为至纯至粹之味……凡肌肉疮疡……形色枯槁，无不借其润色以投。”《纲目》云：“甘而和平，故能解毒，柔而润津，故能润燥，缓可去急，故能止心腹肌肉疮疡之痛。”家父健在时，曾传一方：蜂房1个，将明矾粉适量放孔中至满，然后在铁锅中烤干，研末，蜂蜜适量调膏涂治恶疮甚效。余于1978年3月10日，治一患者，邢××，男性，77岁。右睑下枣核大溃疡8个多月，边缘微肿，皮色不变，麻木不痛，经中西药久治不效，山西省肿瘤医院病检诊断为鳞状上皮癌。因患者拒绝手术，改用上方治疗3个多月，溃疡明显缩小变浅，但却干僵不适，乃改用蜂蜜、云南白药调涂治疗3个月而愈。追访10年仍健在无恙。
奔豚
奔豚证，在我国早期的医学著作中就有较详细的记载。《难经》说：“肾之积，名曰奔豚。发于少腹，上至心下若豚状，或上或下无时，久不已，令人喘逆少气骨痿。”张仲景说：“奔豚病从少腹起，上冲咽喉，发作欲死，复还止，皆从惊恐得之。”《诸病源候论》说：“起于惊恐忧思所生”，“其气乘人，若心中踊踊，如车所惊，如人所恐，不藏不定，饮食辄呕，气满胸中，狂痴不定，妄言妄见……心中闷乱，不欲闻人声，休作有时，乍瘥乍急，呼吸短气，手足厥逆，内烦结痛，温温欲吐……诊其脉来触祝触祝者。”尤在泾在阐述奔豚病的同时，不但强调了病在肾，而且特别说明“奔豚惊怖，皆自肝病”，“以肝肾同处下焦，而其气并善上逆也。”另外张仲景还提出了一些相应的方剂。他说：“奔豚气上冲胸，腹痛，往来寒热，奔豚汤主之。”“发汗后，烧针令其汗，针处被寒，核起而赤者，必发奔豚，气从少腹上冲心者，灸其核上各一壮，与桂枝加桂汤。”“发汗后，其人脐下悸者，欲作奔豚，茯苓桂枝甘草大枣汤主之。”“伤寒，若吐若下后，心下逆满，气上冲胸，起则头眩，脉沉紧，发汗则动经，身为振振摇者，茯苓桂枝白术甘草汤主之。”“太阳病发汗，汗出不解，其人仍发热，心下悸，头眩，身睏动，振振欲擗地者，真武汤主之。”余宗其意，试用于某些循环系统、神经系统、内分泌系统疾病，常常获效。
例如：赵××，男性，成年。阵发性心动过速15年，先用西药及中药养心安神，活血通阳无效。细审其证，心悸，阵阵发作，腰酸腰痛，舌苔薄白而质淡，脉沉细弦而尺大涩。综其脉证，诊为肾气不足，心阳虚衰，水气上冲之奔豚证，乃拟补肾温阳利水之十味地黄汤加减：生地9克，山药9克，五味子9克，茯苓9克，泽泻9克，丹皮9克，麦冬9克，白芍9克，附子9克，肉桂9克。连服4剂，4日内仅发作一次，又进30剂心悸消失。
卫××，男性，50岁。冠心病，频发性室性期前收缩两年。前医以炙甘草汤、生脉散、养心汤、补心丹及血府逐瘀汤等治之不效。察其证见胃脘部悸动，阵阵发作，逆气上冲，冲至胸则胸满气短，心悸惊恐，甚至晕厥，有几次在骑自行车时突然发作而摔倒在地，经抢救才清醒，并经常头晕失眠，胸满心烦，口苦咽干，舌苔薄白，脉弦滑。综合脉证，诊为肝郁气结，心阳不振，痰湿不化之证。为拟柴胡加龙骨牡蛎合苓桂术甘汤加减：柴胡6克，黄芩9克，白术9克，党参9克，半夏9克，生姜9克，茯苓15克，桂枝15克，龙骨15克，牡蛎15克，川军3克，大枣5枚。药进10剂阵发性逆气上冲、心悸等证未见发作，乃继服上方。服至50剂时又突然发作一次，但非常轻微，继续服药30剂，乃停止用药，追访一年多一直未发。
朱××，女性，成年。子宮功能性出血、梅尼埃病、风湿性心脏病、二尖辦狭窄与闭锁不全，完全性左束枝传导阻滞20多年，慢性胃炎30多年，缺铁性贫血5年，脾大待诊8年。长期以来，经常头晕头痛，失眠健忘，胃脘疼痛，身痛腰痛，心悸气短，疲乏无力，浮肿尿少，纳呆食减，行动困难，稍受精神刺激或劳累吋，即感到腹部悸动，逆气上冲，冲至胸即心悸汗出，面色苍白，肢厥脉微，血压下降而突然晕厥，近半年来尤为严重，每次发作都需抢救才能脱险。曾在北京、太原等医院长期住院治疗无效。邀治于余。察其面色皓白无华，消瘦神疲，翻身动作均感困难，手心热而肢冷，舌质淡苔薄白，脉沉细弦时见结象。综合脉证，诊为阴阳气血俱虚，中气虚衰，肾水上泛之奔豚证，为拟十四味建中汤温脾肾降冲逆，益气养血，双补脾肾：黄芪15克，当归9克，川芎9克，生地9克，炙甘草9克，半夏10克，麦冬10克，附子10克，肉桂10克，淡大云15克，生姜3片，大枣5枚。连进7剂诸证稍减，又进30剂，逆气上冲消失，胃脘疼痛好转，并能下床活动。嗣后，以上方配合定坤丹治疗一年，除月经仍未正常外，其余诸症全部消失。
张××，女性，成年。半年多来阵发性心悸，发时自感逆气上冲，发热，头晕汗出。某院诊为植物神经失调，嗜铬细胞瘤待诊。中西药治之不效。邀余诊视。审其发时心悸心烦，头晕汗出，血压190／120mmHg，寒热阵作，背困，舌苔白，脉弦滑而数。云：此肝郁气滞，痰热扰心之奔豚证。治宜疏肝理气，化痰泻火。奔豚汤加减：川芎1O克，当归10克，黄芩10克，白芍10克，葛根15克，半夏10克，桑皮15克，甘草6克。荮进2剂诸证好转，连进80多剂诸证消失。
奔豚证是一个非常多见的疾病，它既有寒又有热，既有虚也有实，因此治疗时必须认真进行鉴别。
斑
结节性红斑与中医的湿毒流注甚相类似。近来常以清热利湿，化瘀散结法取效，余亦常用此法而收功。例如：张××，女性，成年。两下肢膝、踝关节附近结节性红斑4年，医者曾以激素治疗半年而消退，停药后又复发如初，近来红斑增多，疼痛，发热，浮肿。转请余治。查其舌红苔黄白腻，脉弦滑数，诊为湿热郁阻经络，以上中下痛风方治之：黄柏1O克，苍术10克，南星10克，桂枝10克，防己15克，威灵仙10克，桃仁10克，红花10克，龙胆草10克，羌活6克，白芷10克，川芎10克，神曲10克。服药4剂疼痛好转，红斑消退，继服20剂红斑消失。
For example: Zhang XX, female, 12 years old. Involuntary movements of the hands and feet, unsteady gait, grimacing for over 5 months. Diagnosed with chorea at a certain hospital. Treatment with Chinese medicine to calm the liver and extinguish wind (Ping Gan Xi Feng), nourish blood and resolve phlegm (Yang Xue Hua Tan), as well as Western medicine and acupuncture, was ineffective. At the time of consultation, besides continuous involuntary movements, consciousness was basically normal, sighing was frequent, tongue coating was white, and pulse was wiry and fine (Xian Xi). Synthesizing the pulse and symptoms, it was diagnosed as a disease caused by pathogenic factors invading the Shaoyang channel (Shao Yang Jing), internal stagnation of phlegm-heat (Tan Re Nei Yu), and wind pathogen stirring internally. Therefore, Chai Hu Jia Long Gu Mu Li Tang (Bupleurum Decoction with Dragon Bone and Oyster Shell) was prescribed with modifications: Chai Hu (Bupleuri Radix) 3g, Gui Zhi (Cinnamomi Ramulus) 6g, Bai Shao (Paeoniae Radix Alba) 6g, Huang Qin (Scutellariae Radix) 6g, Ban Xia (Pinelliae Rhizoma) 6g, Dang Shen (Codonopsis Radix) 6g, Fu Ling (Poria) 6g, Sheng Long Gu (Fossilia Ossis Mastodi) 6g, Sheng Mu Li (Concha Ostreae) 6g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g, Sheng Jiang (Zingiberis Rhizoma Recens) 2 slices, Da Zao (Jujubae Fructus) 2 pieces. After 3 doses, symptoms decreased; after 30 doses, complete recovery was achieved.
Another case: Suo XX, female, 55 years old. Over two months ago, sudden stiffness and discomfort in the left half of the body appeared, followed by involuntary movements and grimacing the next day. Diagnosed with chorea caused by cerebral arteriosclerosis at a certain hospital. Initial treatment with Western medicine was ineffective, and subsequent treatment with formulas to calm the liver, extinguish wind, tonify qi, and invigorate blood also yielded no results. Upon consultation, the patient was conscious, with continuous involuntary movements of the left upper and lower limbs, grimacing, difficulty in movement, headache, dizziness, irritability, insomnia, palpitations, tinnitus, deafness, bitter taste in the mouth, dry mouth, yellowish-white tongue coating, and wiry pulse. Therefore, Chai Hu Jia Long Gu Mu Li Tang (Bupleurum Decoction with Dragon Bone and Oyster Shell) was prescribed: Chai Hu (Bupleuri Radix) 9g, Ban Xia (Pinelliae Rhizoma) 9g, Huang Qin (Scutellariae Radix) 9g, Dang Shen (Codonopsis Radix) 9g, Gui Zhi (Cinnamomi Ramulus) 9g, Fu Ling (Poria) 9g, Jiu Jun (Rhei Radix et Rhizoma processed with wine) 4g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, Sheng Long Gu (Fossilia Ossis Mastodi) 15g, Sheng Mu Li (Concha Ostreae) 15g, Da Zao (Jujubae Fructus) 5 pieces. After 7 consecutive doses, all symptoms decreased; after 14 doses, involuntary movements disappeared; after 30 doses, all activities returned to normal.
In the development of traditional Chinese medicine, there have been instances where the Jing Fang (Classical Formula) school denied the Shi Fang (Contemporary Formula) school, and vice versa, with the latter being more common. Their argument is that later generations are more advanced than earlier ones. I believe that scientific development cannot be defined merely by rigid frameworks but must be tested through repeated practice. Both Jing Fang and Shi Fang represent different aspects of development; it is simplistic to label one as correct and the other as incorrect.
Distension Abdomen (Gu Zhang)
Liver cirrhosis with ascites corresponds to Distension Abdomen (Gu Zhang) in traditional Chinese medicine. Traditional Chinese medical literature has early records of Gu Zhang. *Ling Shu: Shui Zhang Pian* states: "Gu Zhang... abdominal distension with general body enlargement, equal in size to the abdominal distension, sallow complexion, and prominent abdominal veins are its signs." *Qian Jin Fang* states: "Gu Zhang involves only abdominal fullness without swelling." *Jing Yue Quan Shu* states: "Single abdominal distension is named Gu Zhang; although the exterior appears firm and full, it is hollow inside, resembling a drum, hence also called Drum Distension... Moreover, the limbs are unaffected, and the issue lies solely in the abdomen, so it is also called Single Abdominal Distension." The use of Chinese herbs to treat liver cirrhosis with ascites is generally considered effective, with the best results occurring when ascites appears for the first time and feels neither tight nor hard upon pressure. For instance, if there is abdominal distension and ascites, thin white tongue coating, and string-taut slow pulse, Wu Pi Wu Ling He Fang (Combined Five Barks and Five Ling Decoction) or Fu Ling Dao Shui Tang (Poria Decoction to Guide Out Water) can be used; if the tongue coating is slightly yellow, with dry mouth and slippery pulse, Da Ju Pi Tang (Large Citrus Peel Decoction) can be used; if fingers and toes are cold, tongue coating is thin white, and pulse is deep and fine, Shi Pi Yin (Solidify the Spleen Decoction) can be used; if the abdominal skin is tense and hard upon pressure, Shi Zao Wan (Ten Date Pill) can be used; if there is jaundice, five-palm heat, red tongue with yellow coating, and slippery rapid pulse, a toad (without entrails) with 9g of Sha Ren (Amomi Fructus Rotundus) placed inside, dried and powdered for oral administration, can be used, all showing certain effects. However, second or third occurrences of ascites are much more difficult to treat. In second or third episodes, one type presents with non-red tongue body, thin white coating, string-taut slow pulse, and often normal liver function; another type presents with severe liver damage, jaundice, dark bluish-black complexion, occasional epistaxis and macules, red tongue with thin yellow coating, and deficient-large slippery rapid pulse. The former type often responds well to strengthening the spleen, warming the kidney, and promoting urination; the latter type is very difficult to treat effectively because it involves both deficiency and excess, and intertwined cold and heat. Nourishing yin aids dampness, drying dampness injures yin, warming yang generates heat, clearing heat injures yang, tonifying obstructs pathogenic factors, and eliminating pathogenic factors injures healthy qi. Therefore, during treatment, either the ascites cannot be resolved, or hepatic coma may occur after resolution.
In 1976, I studied under Professor Fang Yaozhong of the China Academy of Chinese Medical Sciences. I happened to observe his highly effective use of Cang Niu Fang Ji Tang (Atractylodes, Cyathula, and Stephania Decoction) to treat a patient with liver cirrhosis and ascites. This formula contains Cang Zhu (Atractylodis Rhizoma) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) to strengthen the spleen, dry dampness, and promote urination; Fang Ji (Stephaniae Tetrandrae Radix) to clear heat, unblock collaterals, and promote urination; Chuan Niu Xi (Cyathulae Radix) and Huai Niu Xi (Achyranthis Bidentatae Radix) to tonify liver and kidney, invigorate blood, unblock collaterals, and move water. This method invigorates blood and promotes urination while slightly assisting tonification, draining damp-heat without injuring yin fluids. I subsequently verified this clinically, finding it often effective for cases of simultaneous liver-kidney deficiency with damp-heat and blood stasis. However, since this formula still leans more towards draining than tonifying, and invigorating blood more than tonifying the liver, it is difficult to consolidate therapeutic effects in cases of yin deficiency with fine-rapid pulse or qi-blood deficiency with deficient-large pulse. Therefore, tonifying agents must be added during treatment.
For example: Chen XX, male, 50 years old. Two years ago, liver cirrhosis with ascites was cured, but liver function remained abnormal. Recently, due to overwork, a second episode of ascites occurred, characterized by hard abdominal distension, lower limb edema, dark bluish-black complexion, scleral icterus, fatigue, yellow-red urine, red tongue body, thin white coating, and large-slippery-rapid wiry pulse. Initial Western medicine treatment was ineffective, and subsequent combination with Chinese medicine to strengthen the spleen, promote urination, and attack water retention also failed. Upon consultation, it was diagnosed as liver-kidney deficiency with internal stagnation of damp-heat and blood stasis with qi stagnation. Cang Niu Fang Ji Tang was prescribed: Cang Zhu (Atractylodis Rhizoma) 30g, Fang Ji (Stephaniae Tetrandrae Radix) 60g, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 30g, Chuan Niu Xi (Cyathulae Radix) 30g, Huai Niu Xi (Achyranthis Bidentatae Radix) 30g. Combined with small amounts of Hydrochlorothiazide (Dihydrochlorothiazide) and Potassium Chloride. After 1 dose, several diarrheal episodes occurred, and urine volume increased. After 4 doses, ascites significantly decreased, appetite improved, and complexion became brighter. However, continued use did not further reduce ascites. Therefore, He Shou Wu (Polygoni Multiflori Radix) 30g, Huang Jing (Polygonati Rhizoma) 30g, Yin Yang Huo (Epimedii Folium) 30g, Qin Jiao (Gentianae Macrophyllae Radix) 4g, and Yin Chen (Artemisiae Scopariae Herba) 15g were added, alternating with the original formula. Ascites subsided after one month.
Another case: Geng XX, female, 30 years old. Cardiac cirrhosis with ascites for two years, characterized by large and hard abdominal distension, coughing, wheezing, shortness of breath, cyanotic and dark lips, cheeks, and fingers, cold fingers, white tongue coating, purple-dark tongue body, and deficient-large rapid hurried pulse. Initial Western medicine treatment showed some improvement, but ascites and abdominal distension did not improve. Subsequent combination with Shi Pi Yin (Solidify the Spleen Decoction), Zhen Wu Tang (True Warrior Decoction), and Wu Pi Wu Ling He Fang (Combined Five Barks and Five Ling Decoction) was ineffective. An additional dose yielded no effect. Considering this as root deficiency with branch excess, tonifying healthy qi and eliminating pathogenic factors should be combined: Dang Shen (Codonopsis Radix) 10g, Huang Qi (Astragali Radix) 30g, Dan Shen (Salviae Miltiorrhizae Radix) 30g, Ji Xue Teng (Spatholobi Caulis) 30g, Dang Gui (Angelicae Sinensis Radix) 10g, Huang Jing (Polygonati Rhizoma) 10g, Sheng Di Huang (Rehmanniae Radix) 10g, Qing Pi (Citri Reticulatae Pericarpium Viride) 10g, Chen Pi (Citri Reticulatae Pericarpium) 10g, Cang Zhu (Atractylodis Rhizoma) 15g, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 15g, San Leng (Sparganii Rhizoma) 10g, E Zhu (Curcumae Rhizoma) 10g, Bo He (Menthae Haplocalycis Herba) 3g, Lai Fu Zi (Radish Seed) 10g, Sha Ren (Amomi Fructus Rotundus) 10g. After 1 dose, abdominal distension decreased; after 4 doses, urine volume increased; after 20 doses, ascites completely disappeared. The above formula was taken twice a week for one year continuously, resulting in精神和 appetite approximating normal levels.
Black Nevus
I once treated a patient, Zhang XX, female, adult. One year ago, a mung-bean-sized black nevus was found near the left temple, painless and itchless. Half a year later, it rapidly grew to the size of a red date. Urgent diagnosis at a certain hospital suggested melanoma. Due to the patient's refusal of biopsy, confirmation was not obtained. Another check-up at a Beijing hospital also suspected melanoma, but again, confirmation was impossible due to refusal of biopsy. Seeking my treatment, careful observation of complexion and pulse revealed mental fatigue, depressed complexion, frequent sighing, chest and hypochondriac fullness and distress, irritability, thin white tongue coating, and deep-slow pulse with slightly larger chi position. Synthesizing pulse and symptoms, it was diagnosed as liver-kidney insufficiency as the root, and qi stagnation with blood stasis as the branch. A formula modified from He Shou Wu (Polygoni Multiflori Radix), Hu Ma Ren (Semen Sesami Nigrum), Bai Ji Li (Tribuli Fructus), Si Gua Luo (Luffae Fructus Retinervus), Chi Shao (Paeoniae Radix Rubra), Ju Ye (Citri Reticulatae Folium), and Dan Shen (Salviae Miltiorrhizae Radix) was prescribed. After more than half a year, the nevus suddenly fell off completely, leading to cure. She urgently informed me, saying: If my husband had not undergone surgery and used Chinese medicine treatment, he might have been saved. (Note: Her husband died due to metastatic melanoma.)
Ulcerous Malignant Sores
Ming Fan (Alumen) is also known as Bai Fan. *Ben Jing* states: "Treats malignant sores." *Gang Mu* states: "Resolves toxicity... erodes bad flesh, generates good flesh, treats carbuncles, furuncles, and malignant sores." *Feng Yuan* states: "Sores all over the body like snake heads heal upon taking this." Feng Fang (Vespa Nidus) is also known as Feng Wo. It is good at "resolving toxicity and healing sores," treating "carbuncles, malignant sores, back abscesses, and scrofula." *Bie Lu* states: "Treats malignant ulcers and osteomyelitis." *Feng Yuan* states: "Sores and toothaches... all utilize its ability to use toxicity to combat toxicity." *Qiu Zhen* states: "It is an essential herb for clearing heat, softening hardness, and dissipating nodules; thus, convulsions, epilepsy, gu poison, carbuncles, scrofula... and wind toxins are eliminated by it." Honey is brewed by bees from nectar of non-toxic flowers. *Qiu Zhen* states: "It is the essence of trees and flowers... raw form is cool and clears heat, cooked form is warm and tonifies the middle; it is a pure and refined taste... For muscle sores... withered appearance, none fails to benefit from its moisturizing properties." *Gang Mu* states: "Sweet and peaceful, thus it resolves toxicity; soft and moistening, thus it moistens dryness; gentle action relieves urgency, thus it stops pain from heart, abdomen, and muscle sores." When my father was alive, he passed down a prescription: 1 Vespa Nidus, fill holes appropriately with Alumen powder, bake dry in an iron pot, grind into powder, mix with appropriate amount of honey to make a paste for topical application on malignant sores, which is very effective. On March 10, 1978, I treated a patient, Xing XX, male, 77 years old. Eight sub-nuclear sized ulcers under the right eyelid for over 8 months, edges slightly swollen, skin color unchanged, numb and painless. Long-term treatment with Chinese and Western medicines was ineffective. Pathological examination at Shanxi Tumor Hospital diagnosed squamous cell carcinoma. Due to the patient's refusal of surgery, the above formula was used for over 3 months. Ulcers significantly shrank and shallowed but became stiff and uncomfortable. Then, honey and Yunnan Baiyao mixed for topical application were used for 3 months, leading to cure. Follow-up after 10 years showed he was still healthy.
Running Piglet Syndrome (Ben Tun)
Ben Tun syndrome is recorded in detail in early Chinese medical works. *Nan Jing* states: "The accumulation in the kidney is named Ben Tun. It arises in the lower abdomen, rises to below the heart resembling a pig, moving up and down at any time. If prolonged, it causes panting, shortness of breath, and bone weakness." Zhang Zhongjing states: "Ben Tun disease starts from the lower abdomen, rushes up to the throat, attacks causing a desire to die, then returns and stops; all arise from fright and fear." *Zhu Bing Yuan Hou Lun* states: "Arises from fright, worry, and thought," "Its qi assaults the person, feeling like jumping in the heart, startled by a cart, afraid like a person, unstable storage, vomiting after eating, fullness in the chest, madness and dementia, delusions... heart stuffiness and confusion, dislike hearing voices, intermittent attacks, sometimes better sometimes urgent, shortness of breath, cold hands and feet, internal vexation and knotted pain, nausea... Pulse comes touching and vibrating." You Zaijing, while explaining Ben Tun disease, not only emphasized the disease's location in the kidney but also specifically stated "Ben Tun panic and terror all originate from liver disease," "Since liver and kidney are both in the lower jiao, their qi tends to rebel upwards." Additionally, Zhang Zhongjing proposed corresponding formulas. He said: "Ben Tun qi rushes to the chest, abdominal pain, alternating chills and fever, Ben Tun Tang governs it." "After sweating, burning needles induced sweat, needle site exposed to cold, nodules rise and turn red, must develop Ben Tun; qi rushes from lower abdomen to heart, moxa each nodule once, give Gui Zhi Jia Gui Tang (Cinnamon Twig Decoction plus Cinnamon)." "After sweating, if palpitations below the umbilicus occur, intending to develop Ben Tun, Fu Ling Gui Zhi Gan Cao Da Zao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) governs it." "Cold damage, after vomiting or purging, fullness below the heart, qi rushes to chest, dizziness upon standing, deep-tight pulse, sweating moves meridians, body trembles, Fu Ling Gui Zhi Bai Zhu Gan Cao Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala, and Licorice Decoction) governs it." "Taiyang disease sweating, sweat does not resolve, person still has fever, palpitations below heart, dizziness, body trembling, desire to fall to ground, Zhen Wu Tang (True Warrior Decoction) governs it." I adopted his intent and applied it to certain circulatory, nervous, and endocrine system diseases, often achieving effectiveness.
For example: Zhao XX, male, adult. Paroxysmal tachycardia for 15 years. Initial Western medicine and Chinese medicine to nourish heart and calm spirit, invigorate blood and unblock yang were ineffective. Careful examination revealed palpitations, paroxysmal attacks, sore waist and back, thin white pale tongue coating, deep-fine-wiry pulse with large and choppy chi position. Synthesizing pulse and symptoms, it was diagnosed as Ben Tun syndrome due to kidney qi insufficiency, heart yang deficiency, and water qi rushing upward. A modified Shi Wei Di Huang Tang (Ten-Ingredient Rehmannia Decoction) to tonify kidney, warm yang, and promote urination was prescribed: Sheng Di Huang (Rehmanniae Radix) 9g, Shan Yao (Dioscoreae Rhizoma) 9g, Wu Wei Zi (Schisandrae Chinensis Fructus) 9g, Fu Ling (Poria) 9g, Ze Xie (Alismatis Rhizoma) 9g, Dan Pi (Moutan Cortex) 9g, Mai Dong (Ophiopogonis Radix) 9g, Bai Shao (Paeoniae Radix Alba) 9g, Fu Zi (Aconiti Lateralis Radix Praeparata) 9g, Rou Gui (Cinnamomi Cortex) 9g. After 4 consecutive doses, attacks occurred only once within 4 days; after another 30 doses, palpitations disappeared.
Wei XX, male, 50 years old. Coronary heart disease, frequent premature ventricular contractions for 2 years. Previous doctors used Zhi Gan Cao Tang (Honey-Fried Licorice Decoction), Sheng Mai San (Generate the Pulse Powder), Yang Xin Tang (Nourish Heart Decoction), Bu Xin Dan (Tonify Heart Pill), and Xue Fu Zhu Yu Tang (Drive Out Stasis in the Mansion of Blood Decoction) without effect. Examination revealed palpitations in the epigastric region, paroxysmal attacks, rebellious qi rushing upward, chest fullness and shortness of breath when reaching the chest, palpitations and fear, even syncope. Several times, sudden attacks while riding a bicycle led to falls, requiring rescue to regain consciousness. Frequent dizziness, insomnia, chest fullness, irritability, bitter taste, dry throat, thin white tongue coating, and wiry-slippery pulse. Synthesizing pulse and symptoms, it was diagnosed as liver qi stagnation and knotting, heart yang depression, and failure to transform phlegm-dampness. Modified Chai Hu Jia Long Gu Mu Li Tang (Bupleurum Decoction with Dragon Bone and Oyster Shell) combined with Ling Gui Zhu Gan Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala, and Licorice Decoction) was prescribed: Chai Hu (Bupleuri Radix) 6g, Huang Qin (Scutellariae Radix) 9g, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 9g, Dang Shen (Codonopsis Radix) 9g, Ban Xia (Pinelliae Rhizoma) 9g, Sheng Jiang (Zingiberis Rhizoma Recens) 9g, Fu Ling (Poria) 15g, Gui Zhi (Cinnamomi Ramulus) 15g, Long Gu (Fossilia Ossis Mastodi) 15g, Mu Li (Concha Ostreae) 15g, Chuan Jun (Rhei Radix et Rhizoma) 3g, Da Zao (Jujubae Fructus) 5 pieces. After 10 doses, paroxysmal rebellious qi rushing upward and palpitations did not recur, so the formula was continued. At 50 doses, a sudden attack occurred but was very mild. Continuing medication for 30 doses, treatment was stopped. Follow-up for over a year showed no recurrence.
Zhu XX, female, adult. Uterine functional bleeding, Meniere's disease, rheumatic heart disease, mitral stenosis and insufficiency, complete left bundle branch block for over 20 years, chronic gastritis for over 30 years, iron deficiency anemia for 5 years, splenomegaly awaiting diagnosis for 8 years. Long-term frequent dizziness, headache, insomnia, forgetfulness, epigastric pain, body and waist pain, palpitations, shortness of breath, fatigue, edema, oliguria, poor appetite, difficulty walking. Slight mental stimulation or fatigue causes abdominal palpitations, rebellious qi rushing upward, reaching the chest causing palpitations, sweating, pale complexion, cold limbs, faint pulse, blood pressure drop, and sudden syncope. Especially severe in the past six months, each attack required rescue. Long-term hospitalization in Beijing, Taiyuan, etc., was ineffective. Seeking my treatment, complexion was bright white without luster, emaciated and fatigued, difficulty turning over, hot palms but cold limbs, pale tongue with thin white coating, deep-fine-wiry pulse occasionally showing knotted image. Synthesizing pulse and symptoms, it was diagnosed as Ben Tun syndrome due to deficiency of yin, yang, qi, and blood, decline of middle qi, and kidney water flooding upward. Fourteen-Ingredient Jian Zhong Tang (Fourteen-Ingredient Build the Middle Decoction) was prescribed to warm spleen and kidney, descend rebellious qi, tonify qi and blood, and double-tonify spleen and kidney: Huang Qi (Astragali Radix) 15g, Dang Gui (Angelicae Sinensis Radix) 9g, Chuan Xiong (Chuanxiong Rhizoma) 9g, Sheng Di Huang (Rehmanniae Radix) 9g, Zhi Gan Cao (Honey-Fried Glycyrrhizae Radix et Rhizoma) 9g, Ban Xia (Pinelliae Rhizoma) 10g, Mai Dong (Ophiopogonis Radix) 10g, Fu Zi (Aconiti Lateralis Radix Praeparata) 10g, Rou Gui (Cinnamomi Cortex) 10g, Yan Rou Cong Rong (Cynomorii Herba) 15g, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, Da Zao (Jujubae Fructus) 5 pieces. After 7 consecutive doses, symptoms slightly decreased; after another 30 doses, rebellious qi rushing upward disappeared, epigastric pain improved, and bed mobility resumed. Subsequently, the above formula combined with Ding Kun Dan (Settling Female Pill) was used for one year. Except for irregular menstruation, all other symptoms disappeared.
Zhang XX, female, adult. Paroxysmal palpitations for over half a year, accompanied by sensation of rebellious qi rushing upward, fever, dizziness, and sweating upon onset. Diagnosed with autonomic dysfunction and pending pheochromocytoma at a certain hospital. Chinese and Western medicine treatments were ineffective. Upon consultation, onset featured palpitations, irritability, dizziness, sweating, blood pressure 190/120 mmHg, paroxysmal chills and fever, back heaviness, white tongue coating, and wiry-slippery-rapid pulse. It was diagnosed as Ben Tun syndrome due to liver qi stagnation and phlegm-heat disturbing the heart. Treatment should soothe liver, regulate qi, resolve phlegm, and drain fire. Modified Ben Tun Tang (Running Piglet Decoction): Chuan Xiong (Chuanxiong Rhizoma) 10g, Dang Gui (Angelicae Sinensis Radix) 10g, Huang Qin (Scutellariae Radix) 10g, Bai Shao (Paeoniae Radix Alba) 10g, Ge Gen (Puerariae Lobatae Radix) 15g, Ban Xia (Pinelliae Rhizoma) 10g, Sang Bai Pi (Mori Cortex) 15g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g. After 2 doses, symptoms improved; after over 80 doses, symptoms disappeared.
Ben Tun syndrome is a very common disease, involving both cold and heat, deficiency and excess. Therefore, careful differentiation is necessary during treatment.
Macules (Ban)
Nodular erythema is very similar to Damp-Toxin Flowing Accumulation (Shi Du Liu Zhu) in traditional Chinese medicine. Recently, I often achieve success using methods to clear heat, promote urination, resolve stasis, and dissipate nodules. For example: Zhang XX, female, adult. Nodular erythema near knees and ankles of both lower limbs for 4 years. Doctors treated with hormones for half a year, leading to resolution, but recurrence occurred upon stopping medication. Recently, erythema increased, with pain, fever, and edema. Seeking my treatment, tongue was red with yellow-white greasy coating, pulse was wiry-slippery-rapid. Diagnosed as damp-heat obstructing collaterals. Shang Zhong Xia Tong Feng Fang (Upper, Middle, Lower Gout Decoction) was prescribed: Huang Bo (Phellodendri Cortex) 10g, Cang Zhu (Atractylodis Rhizoma) 10g, Nan Xing (Arisaematis Cum Bile) 10g, Gui Zhi (Cinnamomi Ramulus) 10g, Fang Ji (Stephaniae Tetrandrae Radix) 15g, Wei Ling Xian (Syneilesidis Rhizoma) 10g, Tao Ren (Persicae Semen) 10g, Hong Hua (Carthami Flos) 10g, Long Dan Cao (Gentianae Radix) 10g, Qiang Huo (Notopterygii Rhizoma et Radix) 6g, Bai Zhi (Angelicae Dahuricae Radix) 10g, Chuan Xiong (Chuanxiong Rhizoma) 10g, Shen Qu (Massa Medicata Fermentata) 10g. After 4 doses, pain improved, erythema subsided; after continuing for 20 doses, erythema disappeared.