胆囊切除术后1年多来，经常感到疲乏无力，食欲不振，近8个多月来，疲乏无力更加严重，且日渐感到烦渴多饮，心烦失眠，腰腿酸困。经过某院检查，诊为糖尿病。医先予西药治疗3个多月，症状不见改善，继又配合中药养阴生津之剂，除胃脘痞满不适加重外，其他症状不见改善。细审其证，除烦渴多饮，心烦失眠，腰腿酸困，胃脘痞满外，并见经常疲乏思睡而又难于入睡，舌苔白，脉濡缓。综合脉证，思之：消渴之证，自多阴虚津亏，然本证治之何故不效也?《四言举要》云：“脉乃血脉，气血之先，血之隧道，气息应焉。”何不求之于脉。今脉见濡缓。濡缓之脉者痰湿郁滞也，细数之脉者阴虚火旺也，滑数之脉者痰热或胃中实热也。濡缓之脉合之于疲乏酸困，脘痞之证，乃痰湿郁滞之象也，痰湿岂可再予养阴生津以助痰湿，误也。法宜补气养阴，理气化痰。处方：黄芪15克，当归6克，人参10克，麦冬10克，五味子10克，竹茹10克，枳实10克，半夏10克，陈皮10克，茯苓10克，菖蒲10克，远志10克，生地10克。
服药7剂，烦渴喜饮，心烦失眠，疲乏酸困之状俱减；继服上药14剂，诸证大部消失，尿糖由(++++)转为(一)，血糖正常。继服上药2个月，愈。
3．胶于阴虚津亏之见，固执滋阴生津之治，不求脉证，但求病名，因循不治
范××，男，58岁。
烦渴多饮，多食多尿1年多。医诊糖尿病。先予西药治疗4个多月不效，继又配合中药养阴生津之剂，非但诸证不减，尿糖一直持续在(++++)，而且近两个多月来，发现尿蛋白(++)，时有红、白细胞，颗粒管型。医欲加入激素治疗，又恐使糖尿病更加严重，乃要求患者但用中药治疗。细审其证见除烦渴多饮，多食多尿之外，并见疲乏无力，腰背酸困，心烦失眠，舌苔白而稍腻，脉濡缓而尺脉反弦。综合脉证。思之：濡缓之脉见于久病者为气阴俱虚，痰湿不化也，尺脉弦者肾阳不足也。治宜补气养阴，理气化痰，佐以温肾。处方：黄芪15克，当归6克，麦冬10克，党参10克，五味子10克，竹茹10克，枳实10克，半夏10克，陈皮10克，茯苓10克，甘草6克，菖蒲10克，远志10克，生地10克；同时配服：肾康灵，一次4粒，一日3次。
服药7剂，诸证大减；继服25剂，诸证消失，尿常规(一)．后果愈。
某医云：糖尿病本为难治之病，治之尚难取效，而又合并糖尿病性肾病则更难取效，今本例未用任何西药，而其效却如此之显著，其故何也?答曰：不管是糖尿病，还是糖尿病性肾病都是比较难治的疾病，这在西医、中医恐怕都是如此。至于为什么不合并西药有效，我认为原因有三：一辨证准确，论治有方。二没有中、西药的相互拮抗。三没有中药之间的相互拮抗。
4．胶于消渴阴虚之见，固执养阴之治，膈间支饮，津不敷布，久治不效
国××，男，57岁。
口渴多饮多食，日渐消瘦7年多。医诊糖尿病。先用西药治疗半年，症状明显好转，尿糖亦由(++++)降至(+)，但出院之后不久，症复如前，尿糖亦很快由(+)增至(++++)，配合中药养阴生津之剂治之，开始时症状有所改善，但2个月后，症状又复如初。其后遍请名医，前后6年余，症状一直不见缓解。最近1年多来，非但糖尿病不见改善，而且视力逐渐下降，并曾突然失明两次，经眼科检查，诊断为早期白内障、眼底出血。近5个月来，又逐渐发现两腿麻木疼痛，行动不便。经神经科检查诊断为末梢神经炎。为此不得不再住院1年余，但至今诸证不但未见改善，反而日渐严重。最近1个多月以来，两下肢几乎不能活动，且发现纳呆食减，恶心呕吐，经过检查诊断为糖尿病酮中毒。基于住院治疗越来越重，一怒之下，停止服用任何药物，其后又在家属的劝说下，邀请中医治疗。细审其证见口渴喜饮，饮水稍多即吐，脘痞纳呆，下肢麻痛瘫痪，视物模糊，舌苔黄白，脉弦紧而数。综合脉证，思之：口渴喜饮，饮多则吐，水逆证也。脉弦紧者寒也，结也，数者，热也。紧数相搏，寒饮停聚凝结化热也。证脉相参，为寒饮结滞，郁而化热，津液不得敷布也。治宜苦辛并用，化饮散结。处方：防己10克，桂枝10克，人参10克，生石膏15克，茯苓10克，牡蛎6克。
服药3剂，诸证稍减。此时某医及家属云：中药力缓，中药只能改善症状，不能解决根本问题，如果不用西药将会不堪设想。但患者不听劝告，仍只服中药。继服上药20剂，两下肢疼痛麻木瘫痪竟消失，且恶心呕吐亦解。加元参10克，服药2月，药进60剂，诸证消失，唯因白内障视力仍较差。
5．仅执症辨，不审脉色，不管寒热，但施冰雪，郁其阳气，津不敷布
张××，男，29岁。
口渴多饮，疲乏无力，日渐消瘦1年多。医诊糖尿病。先以西药治疗半年多无效，后又配合中药养阴生津、人参白虎等不但症状不减，反而日渐感到胃脘痞满。细审其证，除口渴喜饮，消食易饥，胃脘痞满外，并见消瘦乏力，皮肤干燥，面色微赤，舌苔白，脉弦紧。综合脉证，思之：脉弦紧者，寒也，结也，饮也。合之于症，乃寒饮结于中焦膈间，郁久化热也。治宜苦辛通降，斡旋气机，化饮生津也。处方：防己10克，桂枝10克，人参10克，生石膏12克，茯苓10克，芒硝3克。
服药12剂，口渴多饮大减，精神倍增，体重亦增9千克，尿糖由(++++)降至(±)。
某医云：患者本未叙述有大便秘结，而先生却加芒硝者何也?答曰：芒硝非仅能软坚通便，亦且能软坚散结祛痰，此仲景之法也。《金匮要略》之于“实者三日复发，复与不愈者，宜木防己汤去石膏加茯苓芒硝汤主之”的用芒硝于治痰饮病，就在于此也。
6．胶于养阴，助其痰饮，郁其肝脾，升降失序，病证因剧
高××，男，25岁。
患糖尿病2年多。医先予西药治疗不效，继又配合中药养阴生津之剂而加剧。近2个多月以来，突然发现频繁呕吐，心烦心悸。医诊糖尿病，糖尿病酮症酸中毒。住院治疗2个多月诸证不减。细审其证，除频频恶心呕吐外，并见头晕头痛，心烦心悸，胃脘满痛，拒按，舌苔黄白而腻，脉弦紧而数。综合脉证，思之：脉弦紧者，肝也，寒也；紧数相兼者，寒实相结也。胃脘胀痛拒按者，实也。合之于症，乃肝胃不和，寒实结滞，郁而化热也。法宜疏肝和胃，消积导滞。处方：柴胡10克，半夏10克，人参10克，黄芩10克，干姜4克，甘草6克，大枣4个，苍术15克，厚朴10克，陈皮10克，肉桂6克，大黄3克。
服药2剂，呕吐大减，脘痞而痛减轻，饮食增加；继服6剂，呕吐消失，它症亦减七八，酮尿消失。
动眼、滑车及外展神经疾病
单凭推理，不审脉证，虚实不分，延误病期
由××，男，35岁。
三个月前，因打架斗殴被木棍击伤前额及两侧眼眶而血流如注，经过外科处理后很快获得痊愈，但却发现两侧眼珠不能活动，视物模糊，复视。经过眼科，神经科多次会诊，确诊为动眼、滑车及外展神经疾病。先予西药治疗1个多月不见好转，继又配合针灸、中药滋肾养肝之剂2个月仍不见改善。审其两眼球不能活动，瞳孔散大，左上眼睑下垂不能睁开，右眼睑稍有下垂，视物模糊，复视，舌苔白，脉右弦大，左弦缓而涩。综合脉证，思之：病发于外伤之后，外伤者必兼瘀血；脉右弦大，左弦缓，右大于左脉者，气虚也。脉证相合，乃气血俱虚，血络瘀滞也。治宜拟补气养血，活血通络。处方：黄芪40克，赤芍10克，川芎10克，当归10克，桃仁10克，红花10克，地龙10克，茺蔚子6克。
服药6剂，视物较前明显清晰，复视明显改善；继服20剂，诸证消失，愈。
某医云：前用滋肾养肝而不效，后用益气活血而珠动，其故何也?答曰：不审脉证，不因证施治，而但凭想象处方之故也。
三叉神经痛
1．胶于病名，粗施药物，见痛止痛，不审脉证，虚从实治，延误病证
郭××，男，49岁。
左侧上下牙痛阵发性加剧20多年。医诊三叉神经痛。始以拔牙法治疗，至其左上下门齿、犬齿、臼齿全部拔掉后仍疼痛，后又改用西药内服，封闭与中药，针灸配合，疼痛亦不见减。细审其证，除左侧上下牙龈，面颊，太阳穴部阵发性剧烈疼痛之外，并见心烦不安，口干口渴，纳呆食减，舌苔薄白，脉虚大而弦。综合脉证，思之：脉虚大而弦者，气阴两虚清阳失升，浊阴失降耳。治宜拟补气养阴，升清降浊。处方：人参10克，甘草6克，黄芪15克，当归6克，麦冬10克，五味子10克，青皮10克，陈皮10克，神曲10克，黄柏10克，葛根15克，苍术15克，白术10克，升麻10克，泽泻10克。
某医云：既然其表现为牙痛，何不用清胃散，泻黄散、甘露饮加减予之?患者听后云：均已用之，然其不效耳。医又云：上方乃东垣清暑益气汤，清暑益气汤乃东垣为暑病所设之方，今用于治疗三叉神经痛，吾未闻之也。答曰：清暑益气汤原方虽非为治三叉神经痛而设，然其方既具补益气阴，又具升清降浊，故用之于本例三叉神经痛的患者。
服药3剂，疼痛大减；继服20剂，疼痛全失，后果愈。
2．不察时令，不问病因，不察脉证，但凭习惯，徒施药饵。
苏××，男．29岁。
左上下牙痛2个多月。医诊三叉神经痛。始以西药治之疼痛稍减，但2周后疼痛又剧。再邀某医以中药滋阴泻火、清胃泻火之中药配合治之，前后服药近40余剂，但其效果仍不显著。细审其证，除上下牙痛阵发性加剧外，并且全身拘急不适，舌苔薄白，脉浮紧。再询其发病之因是适值寒冬北风甚大之日，在汽车上装卸货物汗出之后不久即发生此病。综合脉证，思之：病发于风寒感受之后，脉又见浮紧，浮紧之脉者，风寒外客之脉也。治宜疏风散寒。处方：蝉蜕10克，僵蚕10克，川芎10克，荆芥10克，防风10克，细辛3克，白芷10克，薄荷6克，甘草6克，羌活10克。
某医云：上下牙均疼痛诸医均云宜用甘露饮、清胃散之类治之，而先生却不用，其故何也?答曰：科学上何谓真理?我同意一个观点，即实践中证明是正确的，就是真理。本证既然事实证明服上药不解决问题，那么就证明其是不正确的，因此必须改用它方治疗。本证发于感受风寒之后，脉又见浮紧，自当用疏风散寒之药治之。
服药1剂，疼痛大减；继服4剂，诸证全失，愈。
3．不审脉证，不知变化，胶于验方，固执密方，因循守旧，病情不减
丁××，男，55岁。
左上牙、眼眶、太阳穴部阵发性灼痛剧烈8年多。医诊三叉神经痛。始用西药治疗疼痛稍减，但继续应用时则无明显效果。又邀中医以滋阴泻火、清胃、泻火、疏风散寒、活血逐瘀、密验方蜈蚣、全蝎、蜂房，以及治疗牙痛的中成药等，除偶有微效外，大多无明显效果。最近3年多，疼痛日渐加重，尤其是近3个多月以来，洗脸、刷牙、吃饭、饮水、剃须、打呵欠、说话、微风吹面都会引起剧烈疼痛，若一触碰面部，讲课则更是剧烈疼痛难于忍耐。细审其证，除上述者外，并时见心烦不安，失眠，舌苔薄白，脉弦紧而数。综合脉证，思之：脉弦者，肝脉也；紧脉者，寒也；紧数相兼者，寒痰凝结也。合之与证，乃痰郁气结，肝木失达也。治宜拟疏肝理气，化痰散结。处方：柴胡10克，半夏10克，黄芩10克，人参10克，生姜3片，大枣5个，甘草6克，桂枝10克，熟军3克，龙骨15克，牡蛎15克，茯苓15克。
服药6剂，疼痛大减，但在讲课开始的时候仍疼痛；继服18剂，疼痛不再改善，且感全身拘急疼痛不适。再审其脉仍弦紧。脉证合参，思之：此恐大寒入络也。拟乌头桂枝汤以除表里之寒。处方：川乌12克，桂枝10克，白芍10克，生姜3片，大枣7枚，炙草10克，细辛3克。
服药3剂，疼痛几近消失。嘱其内服羊角糖衣片以善后。
4．不审病因，但知止痛，或以寒治寒，或以热治热，终非其治，延误岁月
朱××，女，58岁。
右上下牙龈、眼眶、太阳穴部疼痛15年。医诊三叉神经痛。先用西药内服、封闭有减轻疼痛之效，但不能解决根本问题，后又配合中药活血止痛、虫类止痛、泻火止痛、以及外用止痛，然均无明显效果。近2年来，几乎无时无刻不痛，若一说话、刷牙、洗脸则痛不可忍。近1个月来，不但疼痛难忍，而且经常感到心烦心悸，头晕失眠，易惊易恐，时见逆气上冲，冲则汗出心悸加重，两手麻胀，纳呆口苦。细审其证，除上述者外，并见舌苔黄白，脉弦紧而涩。综合脉证，思之：弦紧之脉者，肝郁寒滞也；涩者，滞也。合之于症，乃肝郁气结，寒痰结滞不化也。治宜疏肝解郁，化痰散结。处方：柴胡10克，半夏10克，黄芩10克，党参10克，生姜10克，大枣5个，桂枝10克，茯苓10克，熟军3克，龙骨15克，牡蛎15克。
服药4剂，诸证好转，疼痛减；继服25剂，疼痛消失，愈。
胆囊切除术后1年多来，经常感到疲乏无力，食欲不振，近8个多月来，疲乏无力更加严重，且日渐感到烦渴多饮，心烦失眠，腰腿酸困。经过某院检查，诊为糖尿病（Diabetes Mellitus）。医先予西药治疗3个多月，症状不见改善，继又配合中药养阴生津之剂，除胃脘痞满不适加重外，其他症状不见改善。细审其证，除烦渴多饮，心烦失眠，腰腿酸困，胃脘痞满外，并见经常疲乏思睡而又难于入睡，舌苔白，脉濡缓。综合脉证，思之：消渴之证，自多阴虚津亏，然本证治之何故不效也?《四言举要》云：“脉乃血脉，气血之先，血之隧道，气息应焉。”何不求之于脉。今脉见濡缓。濡缓之脉者痰湿郁滞也，细数之脉者阴虚火旺也，滑数之脉者痰热或胃中实热也。濡缓之脉合之于疲乏酸困，脘痞之证，乃痰湿郁滞之象也，痰湿岂可再予养阴生津以助痰湿，误也。法宜补气养阴，理气化痰。处方：黄芪15克，当归6克，人参10克，麦冬10克，五味子10克，竹茹10克，枳实10克，半夏10克，陈皮10克，茯苓10克，菖蒲10克，远志10克，生地10克。
服药7剂，烦渴喜饮，心烦失眠，疲乏酸困之状俱减；继服上药14剂，诸证大部消失，尿糖由(++++)转为(一)，血糖正常。继服上药2个月，愈。
3．胶于阴虚津亏之见，固执滋阴生津之治，不求脉证，但求病名，因循不治
范××，男，58岁。
烦渴多饮，多食多尿1年多。医诊糖尿病。先予西药治疗4个多月不效，继又配合中药养阴生津之剂，非但诸证不减，尿糖一直持续在(++++)，而且近两个多月来，发现尿蛋白(++)，时有红、白细胞，颗粒管型。医欲加入激素治疗，又恐使糖尿病更加严重，乃要求患者但用中药治疗。细审其证见除烦渴多饮，多食多尿之外，并见疲乏无力，腰背酸困，心烦失眠，舌苔白而稍腻，脉濡缓而尺脉反弦。综合脉证。思之：濡缓之脉见于久病者为气阴俱虚，痰湿不化也，尺脉弦者肾阳不足也。治宜补气养阴，理气化痰，佐以温肾。处方：黄芪15克，当归6克，麦冬10克，党参10克，五味子10克，竹茹10克，枳实10克，半夏10克，陈皮10克，茯苓10克，甘草6克，菖蒲10克，远志10克，生地10克；同时配服：肾康灵，一次4粒，一日3次。
服药7剂，诸证大减；继服25剂，诸证消失，尿常规(一)．后果愈。
某医云：糖尿病本为难治之病，治之尚难取效，而又合并糖尿病性肾病则更难取效，今本例未用任何西药，而其效却如此之显著，其故何也?答曰：不管是糖尿病，还是糖尿病性肾病都是比较难治的疾病，这在西医、中医恐怕都是如此。至于为什么不合并西药有效，我认为原因有三：一辨证准确，论治有方。二没有中、西药的相互拮抗。三没有中药之间的相互拮抗。
4．胶于消渴阴虚之见，固执养阴之治，膈间支饮，津不敷布，久治不效
国××，男，57岁。
口渴多饮多食，日渐消瘦7年多。医诊糖尿病。先用西药治疗半年，症状明显好转，尿糖亦由(++++)降至(+)，但出院之后不久，症复如前，尿糖亦很快由(+)增至(++++)，配合中药养阴生津之剂治之，开始时症状有所改善，但2个月后，症状又复如初。其后遍请名医，前后6年余，症状一直不见缓解。最近1年多来，非但糖尿病不见改善，而且视力逐渐下降，并曾突然失明两次，经眼科检查，诊断为早期白内障、眼底出血。近5个月来，又逐渐发现两腿麻木疼痛，行动不便。经神经科检查诊断为末梢神经炎。为此不得不再住院1年余，但至今诸证不但未见改善，反而日渐严重。最近1个多月以来，两下肢几乎不能活动，且发现纳呆食减，恶心呕吐，经过检查诊断为糖尿病酮中毒。基于住院治疗越来越重，一怒之下，停止服用任何药物，其后又在家属的劝说下，邀请中医治疗。细审其证见口渴喜饮，饮水稍多即吐，脘痞纳呆，下肢麻痛瘫痪，视物模糊，舌苔黄白，脉弦紧而数。综合脉证，思之：口渴喜饮，饮多则吐，水逆证也。脉弦紧者寒也，结也，数者，热也。紧数相搏，寒饮停聚凝结化热也。证脉相参，为寒饮结滞，郁而化热，津液不得敷布也。治宜苦辛并用，化饮散结。处方：防己10克，桂枝10克，人参10克，生石膏15克，茯苓10克，牡蛎6克。
服药3剂，诸证稍减。此时某医及家属云：中药力缓，中药只能改善症状，不能解决根本问题，如果不用西药将会不堪设想。但患者不听劝告，仍只服中药。继服上药20剂，两下肢疼痛麻木瘫痪竟消失，且恶心呕吐亦解。加元参10克，服药2月，药进60剂，诸证消失，唯因白内障视力仍较差。
5．仅执症辨，不审脉色，不管寒热，但施冰雪，郁其阳气，津不敷布
张××，男，29岁。
口渴多饮，疲乏无力，日渐消瘦1年多。医诊糖尿病。先以西药治疗半年多无效，后又配合中药养阴生津、人参白虎等不但症状不减，反而日渐感到胃脘痞满。细审其证，除口渴喜饮，消食易饥，胃脘痞满外，并见消瘦乏力，皮肤干燥，面色微赤，舌苔白，脉弦紧。综合脉证，思之：脉弦紧者，寒也，结也，饮也。合之于症，乃寒饮结于中焦膈间，郁久化热也。治宜苦辛通降，斡旋气机，化饮生津也。处方：防己10克，桂枝10克，人参10克，生石膏12克，茯苓10克，芒硝3克。
服药12剂，口渴多饮大减，精神倍增，体重亦增9千克，尿糖由(++++)降至(±)。
某医云：患者本未叙述有大便秘结，而先生却加芒硝者何也?答曰：芒硝非仅能软坚通便，亦且能软坚散结祛痰，此仲景之法也。《金匮要略》之于“实者三日复发，复与不愈者，宜木防己汤去石膏加茯苓芒硝汤主之”的用芒硝于治痰饮病，就在于此也。
6．胶于养阴，助其痰饮，郁其肝脾，升降失序，病证因剧
高××，男，25岁。
患糖尿病2年多。医先予西药治疗不效，继又配合中药养阴生津之剂而加剧。近2个多月以来，突然发现频繁呕吐，心烦心悸。医诊糖尿病，糖尿病酮症酸中毒。住院治疗2个多月诸证不减。细审其证，除频频恶心呕吐外，并见头晕头痛，心烦心悸，胃脘满痛，拒按，舌苔黄白而腻，脉弦紧而数。综合脉证，思之：脉弦紧者，肝也，寒也；紧数相兼者，寒实相结也。胃脘胀痛拒按者，实也。合之于症，乃肝胃不和，寒实结滞，郁而化热也。法宜疏肝和胃，消积导滞。处方：柴胡10克，半夏10克，人参10克，黄芩10克，干姜4克，甘草6克，大枣4个，苍术15克，厚朴10克，陈皮10克，肉桂6克，大黄3克。
服药2剂，呕吐大减，脘痞而痛减轻，饮食增加；继服6剂，呕吐消失，它症亦减七八，酮尿消失。
动眼、滑车及外展神经疾病
单凭推理，不审脉证，虚实不分，延误病期
由××，男，35岁。
三个月前，因打架斗殴被木棍击伤前额及两侧眼眶而血流如注，经过外科处理后很快获得痊愈，但却发现两侧眼珠不能活动，视物模糊，复视。经过眼科，神经科多次会诊，确诊为动眼、滑车及外展神经疾病。先予西药治疗1个多月不见好转，继又配合针灸、中药滋肾养肝之剂2个月仍不见改善。审其两眼球不能活动，瞳孔散大，左上眼睑下垂不能睁开，右眼睑稍有下垂，视物模糊，复视，舌苔白，脉右弦大，左弦缓而涩。综合脉证，思之：病发于外伤之后，外伤者必兼瘀血；脉右弦大，左弦缓，右大于左脉者，气虚也。脉证相合，乃气血俱虚，血络瘀滞也。治宜拟补气养血，活血通络。处方：黄芪40克，赤芍10克，川芎10克，当归10克，桃仁10克，红花10克，地龙10克，茺蔚子6克。
服药6剂，视物较前明显清晰，复视明显改善；继服20剂，诸证消失，愈。
某医云：前用滋肾养肝而不效，后用益气活血而珠动，其故何也?答曰：不审脉证，不因证施治，而但凭想象处方之故也。
三叉神经痛
1．胶于病名，粗施药物，见痛止痛，不审脉证，虚从实治，延误病证
郭××，男，49岁。
左侧上下牙痛阵发性加剧20多年。医诊三叉神经痛。始以拔牙法治疗，至其左上下门齿、犬齿、臼齿全部拔掉后仍疼痛，后又改用西药内服，封闭与中药，针灸配合，疼痛亦不见减。细审其证，除左侧上下牙龈，面颊，太阳穴部阵发性剧烈疼痛之外，并见心烦不安，口干口渴，纳呆食减，舌苔薄白，脉虚大而弦。综合脉证，思之：脉虚大而弦者，气阴两虚清阳失升，浊阴失降耳。治宜拟补气养阴，升清降浊。处方：人参10克，甘草6克，黄芪15克，当归6克，麦冬10克，五味子10克，青皮10克，陈皮10克，神曲10克，黄柏10克，葛根15克，苍术15克，白术10克，升麻10克，泽泻10克。
某医云：既然其表现为牙痛，何不用清胃散，泻黄散、甘露饮加减予之?患者听后云：均已用之，然其不效耳。医又云：上方乃东垣清暑益气汤，清暑益气汤乃东垣为暑病所设之方，今用于治疗三叉神经痛，吾未闻之也。答曰：清暑益气汤原方虽非为治三叉神经痛而设，然其方既具补益气阴，又具升清降浊，故用之于本例三叉神经痛的患者。
服药3剂，疼痛大减；继服20剂，疼痛全失，后果愈。
2．不察时令，不问病因，不察脉证，但凭习惯，徒施药饵。
苏××，男．29岁。
左上下牙痛2个多月。医诊三叉神经痛。始以西药治之疼痛稍减，但2周后疼痛又剧。再邀某医以中药滋阴泻火、清胃泻火之中药配合治之，前后服药近40余剂，但其效果仍不显著。细审其证，除上下牙痛阵发性加剧外，并且全身拘急不适，舌苔薄白，脉浮紧。再询其发病之因是适值寒冬北风甚大之日，在汽车上装卸货物汗出之后不久即发生此病。综合脉证，思之：病发于风寒感受之后，脉又见浮紧，浮紧之脉者，风寒外客之脉也。治宜疏风散寒。处方：蝉蜕10克，僵蚕10克，川芎10克，荆芥10克，防风10克，细辛3克，白芷10克，薄荷6克，甘草6克，羌活10克。
某医云：上下牙均疼痛诸医均云宜用甘露饮、清胃散之类治之，而先生却不用，其故何也?答曰：科学上何谓真理?我同意一个观点，即实践中证明是正确的，就是真理。本证既然事实证明服上药不解决问题，那么就证明其是不正确的，因此必须改用它方治疗。本证发于感受风寒之后，脉又见浮紧，自当用疏风散寒之药治之。
服药1剂，疼痛大减；继服4剂，诸证全失，愈。
3．不审脉证，不知变化，胶于验方，固执密方，因循守旧，病情不减
丁××，男，55岁。
左上牙、眼眶、太阳穴部阵发性灼痛剧烈8年多。医诊三叉神经痛。始用西药治疗疼痛稍减，但继续应用时则无明显效果。又邀中医以滋阴泻火、清胃、泻火、疏风散寒、活血逐瘀、密验方蜈蚣、全蝎、蜂房，以及治疗牙痛的中成药等，除偶有微效外，大多无明显效果。最近3年多，疼痛日渐加重，尤其是近3个多月以来，洗脸、刷牙、吃饭、饮水、剃须、打呵欠、说话、微风吹面都会引起剧烈疼痛，若一触碰面部，讲课则更是剧烈疼痛难于忍耐。细审其证，除上述者外，并时见心烦不安，失眠，舌苔薄白，脉弦紧而数。综合脉证，思之：脉弦者，肝脉也；紧脉者，寒也；紧数相兼者，寒痰凝结也。合之与证，乃痰郁气结，肝木失达也。治宜拟疏肝理气，化痰散结。处方：柴胡10克，半夏10克，黄芩10克，人参10克，生姜3片，大枣5个，甘草6克，桂枝10克，熟军3克，龙骨15克，牡蛎15克，茯苓15克。
服药6剂，疼痛大减，但在讲课开始的时候仍疼痛；继服18剂，疼痛不再改善，且感全身拘急疼痛不适。再审其脉仍弦紧。脉证合参，思之：此恐大寒入络也。拟乌头桂枝汤以除表里之寒。处方：川乌12克，桂枝10克，白芍10克，生姜3片，大枣7枚，炙草10克，细辛3克。
服药3剂，疼痛几近消失。嘱其内服羊角糖衣片以善后。
4．不审病因，但知止痛，或以寒治寒，或以热治热，终非其治，延误岁月
朱××，女，58岁。
右上下牙龈、眼眶、太阳穴部疼痛15年。医诊三叉神经痛。先用西药内服、封闭有减轻疼痛之效，但不能解决根本问题，后又配合中药活血止痛、虫类止痛、泻火止痛、以及外用止痛，然均无明显效果。近2年来，几乎无时无刻不痛，若一说话、刷牙、洗脸则痛不可忍。近1个月来，不但疼痛难忍，而且经常感到心烦心悸，头晕失眠，易惊易恐，时见逆气上冲，冲则汗出心悸加重，两手麻胀，纳呆口苦。细审其证，除上述者外，并见舌苔黄白，脉弦紧而涩。综合脉证，思之：弦紧之脉者，肝郁寒滞也；涩者，滞也。合之于症，乃肝郁气结，寒痰结滞不化也。治宜疏肝解郁，化痰散结。处方：柴胡10克，半夏10克，黄芩10克，党参10克，生姜10克，大枣5个，桂枝10克，茯苓10克，熟军3克，龙骨15克，牡蛎15克。
服药4剂，诸证好转，疼痛减；继服25剂，疼痛消失，愈。
Over a year after cholecystectomy, the patient frequently felt fatigue and weakness, with poor appetite. For the past 8+ months, fatigue and weakness worsened, accompanied by increasing irritability, excessive thirst and drinking, restlessness, insomnia, and soreness/heaviness in the lower back and legs. Examination at a certain hospital diagnosed Diabetes Mellitus (Tang Niao Bing). Western medicine treatment was administered for over 3 months without symptom improvement. Subsequently, Chinese herbal medicine for nourishing Yin and generating fluids was added; however, besides worsening epigastric fullness and discomfort, other symptoms did not improve. Careful examination of the syndrome revealed, in addition to excessive thirst and drinking, restlessness, insomnia, lower back/leg soreness, and epigastric fullness, frequent fatigue with drowsiness yet difficulty falling asleep, a white tongue coating, and a soggy-slow pulse (Ru Huan Mai). Synthesizing pulse and symptoms: The syndrome of Xiao Ke (Wasting-Thirst) is mostly due to Yin deficiency and fluid depletion. Why did this treatment fail? *Si Yan Ju Yao* states: "The pulse is the blood vessel, the precursor of Qi and Blood, the tunnel of Blood, responding to breath." Why not seek the answer in the pulse? The current pulse is soggy-slow. A soggy-slow pulse indicates stagnation of Phlegm-Dampness; a fine-rapid pulse indicates Yin deficiency with Fire hyperactivity; a slippery-rapid pulse indicates Phlegm-Heat or Excess Heat in the Stomach. The soggy-slow pulse combined with fatigue/soreness and epigastric fullness indicates stagnation of Phlegm-Dampness. How can one continue to use herbs that nourish Yin and generate fluids, thereby aiding Phlegm-Dampness? This is an error. The method should be tonifying Qi and nourishing Yin, regulating Qi and resolving Phlegm. Prescription: Huangqi 15g, Danggui 6g, Renshen 10g, Maimen 10g, Wuweizi 10g, Zhuru 10g, Zhishi 10g, Banxia 10g, Chenpi 10g, Fuling 10g, Changpu 10g, Yuanzhi 10g, Shengdi 10g.
After taking 7 doses, excessive thirst/desire to drink, restlessness, insomnia, and fatigue/soreness all decreased. After continuing for another 14 doses, most symptoms disappeared largely; urine sugar changed from (++++) to (-), and blood glucose normalized. Continuing the above prescription for 2 months resulted in recovery.
3. Clinging to the view of Yin deficiency and fluid depletion, stubbornly adhering to treatments that nourish Yin and generate fluids, ignoring pulse and syndrome, seeking only the disease name, leading to stagnation and lack of treatment.
Fan XX, Male, 58 years old.
Excessive thirst and drinking, polyphagia, and polyuria for over 1 year. Diagnosed with Diabetes Mellitus. Western medicine treatment for over 4 months was ineffective. Subsequently, Chinese herbal medicine for nourishing Yin and generating fluids was added; not only did symptoms not decrease, but urine sugar remained continuously at (+++). Moreover, in the last 2+ months, urine protein (++) was found, with occasional red and white blood cells and granular casts. The physician wanted to add hormone therapy but feared worsening the diabetes, so he requested the patient use only Chinese medicine. Careful examination revealed, besides excessive thirst/drinking and polyphagia/polyuria, fatigue/weakness, soreness/heaviness in the lower back, restlessness, insomnia, a white and slightly greasy tongue coating, and a soggy-slow pulse with a wiry Chi (Cun Kou position) pulse. Synthesizing pulse and symptoms: A soggy-slow pulse in chronic illness indicates simultaneous Qi and Yin deficiency with failure to transform Phlegm-Dampness; a wiry Chi pulse indicates Kidney Yang insufficiency. Treatment should tonify Qi and nourish Yin, regulate Qi and resolve Phlegm, assisted by warming the Kidney. Prescription: Huangqi 15g, Danggui 6g, Maimen 10g, Dangshen 10g, Wuweizi 10g, Zhuru 10g, Zhishi 10g, Banxia 10g, Chenpi 10g, Fuling 10g, Gancao 6g, Changpu 10g, Yuanzhi 10g, Shengdi 10g; concurrently administer Shenkangling, 4 pills each time, 3 times daily.
After 7 doses, major symptoms decreased significantly. After continuing for 25 doses, all symptoms disappeared; urine routine test became (-). Recovery followed.
A certain physician said: Diabetes is inherently difficult to treat, with limited efficacy; combining it with Diabetic Nephropathy makes it even harder. In this case, no Western medicine was used, yet the effect was so significant. Why? Answer: Whether Diabetes or Diabetic Nephropathy, both are difficult diseases, likely true in both Western and Traditional Chinese Medicine. Regarding why it was effective without combining Western medicine, I believe there are three reasons: 1. Accurate pattern differentiation and appropriate treatment formulas. 2. No mutual antagonism between Chinese and Western medicines. 3. No mutual antagonism among Chinese herbs.
4. Clinging to the view of Xiao Ke Yin deficiency, stubbornly adhering to Yin-nourishing treatments, subpleural fluid retention (Zhi Yin in the diaphragm area), failure of fluids to distribute, long-term treatment ineffective.
Guo XX, Male, 57 years old.
Thirst, excessive drinking and eating, progressive emaciation for over 7 years. Diagnosed with Diabetes Mellitus. Western medicine treatment for half a year improved symptoms significantly, and urine sugar dropped from (++++) to (+). However, shortly after discharge, symptoms returned to previous levels, and urine sugar quickly increased from (+) to (+++). Chinese herbal medicine for nourishing Yin and generating fluids was added; initially symptoms improved, but after 2 months, they reverted to original state. Afterwards, famous doctors were consulted for over 6 years, but symptoms never relieved. In the last 1+ year, not only did Diabetes not improve, but vision gradually declined, with two episodes of sudden blindness. Ophthalmological examination diagnosed early cataracts and fundus hemorrhage. In the last 5 months, numbness and pain in both legs developed, causing mobility issues. Neurological examination diagnosed peripheral neuritis. Consequently, hospitalized again for over 1 year, but symptoms not only failed to improve but worsened. In the last 1+ month, lower limbs were almost immobile, accompanied by poor appetite, reduced food intake, nausea, and vomiting. Examination diagnosed Diabetic Ketoacidosis. Due to worsening condition despite hospitalization, out of anger, the patient stopped all medications. Later, persuaded by family, TCM treatment was invited. Careful examination revealed desire to drink, vomiting immediately after drinking slightly more, epigastric fullness with poor appetite, numbness/pain/paralysis in lower limbs, blurred vision, yellow-white tongue coating, and wiry-tight-rapid pulse. Synthesizing pulse and symptoms: Thirst with desire to drink, vomiting after drinking too much, constitutes Water Reversal Syndrome (Shui Ni Zheng). Wiry-tight pulse indicates Cold and knotting; rapid indicates Heat. Tight and rapid fighting together indicates Cold-Fluid retention condensing and transforming into Heat. Correlating syndrome and pulse: Cold-Fluid knotting/stagnation, constrained transforming into Heat, preventing fluid distribution. Treatment should combine bitter and acrid methods, resolve Fluids and dissipate knots. Prescription: Fangji 10g, Guizhi 10g, Renshen 10g, Sheng Shigao 15g, Fuling 10g, Muli 6g.
After 3 doses, symptoms slightly decreased. At this time, the physician and family said: Chinese medicine acts slowly, can only improve symptoms, not solve root problems; without Western medicine, it would be unimaginable. But the patient did not listen, continuing only Chinese medicine. After continuing 20 doses, lower limb pain/numbness/paralysis completely disappeared, and nausea/vomiting resolved. Add Yuanshen 10g, take for 2 months, total 60 doses, all symptoms disappeared, except vision still poor due to cataracts.
5. Only relying on symptoms for differentiation, not examining pulse/color, disregarding Cold/Heat, applying only "ice and snow" [cold/nourishing Yin], suppressing Yang Qi, failure of fluids to distribute.
Zhang XX, Male, 29 years old.
Thirst, excessive drinking, fatigue/weakness, progressive emaciation for over 1 year. Diagnosed with Diabetes Mellitus. Western medicine treatment for over half a year was ineffective. Subsequently, Chinese herbal medicine for nourishing Yin/generating fluids, Ren Shen Bai Hu Tang, etc., not only failed to reduce symptoms but caused increasing epigastric fullness. Careful examination revealed, besides thirst/desire to drink, easy hunger/consumption of food, and epigastric fullness, emaciation/fatigue, dry skin, slightly reddish complexion, white tongue coating, and wiry-tight pulse. Synthesizing pulse and symptoms: Wiry-tight pulse indicates Cold, knotting, and Fluid retention. Combined with symptoms, Cold-Fluid knots in the Middle Jiao/Diaphragm area, constrained for a long time transforming into Heat. Treatment should use bitter-acrid descending methods, pivot Qi mechanism, resolve Fluids and generate fluids. Prescription: Fangji 10g, Guizhi 10g, Renshen 10g, Sheng Shigao 12g, Fuling 10g, Mangxiao 3g.
After 12 doses, excessive thirst/drinking greatly reduced, spirit doubled, weight increased by 9 kg, urine sugar dropped from (++++) to (±).
A certain physician asked: The patient originally did not mention constipation, why did you add Mangxiao? Answer: Mangxiao not only softens hardness and promotes bowel movement, but also softens hardness, dissipates knots, and removes Phlegm. This is the method of Zhang Zhongjing. In *Jin Gui Yao Lue*, regarding "If excess recurs after 3 days and does not heal with previous treatment, use Mu Fang Ji Tang removing Shigao and adding Fuling and Mangxiao," the use of Mangxiao in treating Phlegm-Fluid diseases lies here.
6. Clinging to Yin-nourishing, assisting Phlegm-Fluid, constraining Liver/Spleen, disorder of ascending/descending, disease severity increases.
Gao XX, Male, 25 years old.
Suffering from Diabetes Mellitus for over 2 years. Western medicine treatment was ineffective initially; subsequently, Chinese herbal medicine for nourishing Yin/generating fluids exacerbated the condition. In the last 2+ months, sudden frequent vomiting, restlessness, and palpitations occurred. Diagnosed with Diabetes Mellitus and Diabetic Ketoacidosis. Hospitalized for over 2 months with no symptom reduction. Careful examination revealed, besides frequent nausea/vomiting, dizziness/headache, restlessness/palpitations, epigastric fullness/pain, tenderness upon pressure, yellow-white greasy tongue coating, and wiry-tight-rapid pulse. Synthesizing pulse and symptoms: Wiry-tight pulse relates to Liver and Cold; tight-rapid combination indicates Cold-Excess knotting. Epigastric distension/pain with tenderness indicates Excess. Combined with symptoms: Liver-Stomach disharmony, Cold-Excess knotting, constrained transforming into Heat. Method should soothe Liver and harmonize Stomach, eliminate accumulation and guide stagnation. Prescription: Chaihu 10g, Banxia 10g, Renshen 10g, Huangqin 10g, Ganjiang 4g, Gancao 6g, Dazao 4 pieces, Cangzhu 15g, Houpo 10g, Chenpi 10g, Rougui 6g, Dahuang 3g.
After 2 doses, vomiting greatly reduced, epigastric fullness/pain alleviated, diet increased. After continuing 6 doses, vomiting disappeared, other symptoms reduced by 70-80%, ketonuria disappeared.
Oculomotor, Trochlear, and Abducens Nerve Diseases
Relying solely on reasoning, not examining pulse/syndrome, failing to distinguish Deficiency/Excess, delaying disease stage.
You XX, Male, 35 years old.
Three months ago, forehead and bilateral orbital areas were struck by a wooden stick during a fight, causing profuse bleeding. After surgical treatment, healing was rapid, but inability to move eyeballs bilaterally, blurred vision, and diplopia were discovered. Multiple consultations in ophthalmology and neurology confirmed Oculomotor, Trochlear, and Abducens Nerve Diseases. Western medicine treatment for over 1 month showed no improvement. Subsequently, acupuncture and Chinese herbal medicine for nourishing Kidney and Liver for 2 months still showed no improvement. Examination revealed inability to move both eyeballs, dilated pupils, left upper eyelid ptosis unable to open, slight right upper eyelid ptosis, blurred vision, diplopia, white tongue coating, right wiry-large pulse, left wiry-soggy-choppy pulse. Synthesizing pulse and symptoms: Disease originated after trauma; trauma must involve Blood Stasis. Right wiry-large, left wiry-soggy, right larger than left indicates Qi Deficiency. Pulse and syndrome combined indicate simultaneous Qi and Blood Deficiency with Blood Collateral Stasis. Treatment should tonify Qi and nourish Blood, invigorate Blood and unblock collaterals. Prescription: Huangqi 40g, Chishao 10g, Chuanxiong 10g, Danggui 10g, Taoren 10g, Honghua 10g, Dilong 10g, Chongweizi 6g.
After 6 doses, vision significantly clearer, diplopia obviously improved. After continuing 20 doses, all symptoms disappeared, recovery achieved.
A certain physician asked: Previous nourishment of Kidney/Liver was ineffective, subsequent tonification of Qi and invigoration of Blood restored eye movement. Why? Answer: Failure to examine pulse/syndrome, failure to treat based on syndrome, prescribing based on imagination.
Trigeminal Neuralgia
1. Clinging to disease name, crude medication application, stopping pain only when pain is seen, not examining pulse/syndrome, treating Deficiency as Excess, delaying disease progression.
Guo XX, Male, 49 years old.
Paroxysmal exacerbation of pain in left upper and lower teeth for over 20 years. Diagnosed with Trigeminal Neuralgia. Initially treated with tooth extraction; after extracting all left incisors, canines, and molars, pain persisted. Then switched to oral Western medicine, blocks, Chinese medicine, and acupuncture, but pain did not decrease. Careful examination revealed, besides paroxysmal severe pain in left upper/lower gums, cheek, and temple, restlessness, dry mouth/thirst, poor appetite/reduced food intake, thin-white tongue coating, and large-wiry-deficient pulse. Synthesizing pulse and symptoms: Large-wiry-deficient pulse indicates simultaneous Qi and Yin Deficiency with failure of Clear Yang to ascend and Turbid Yin to descend. Treatment should tonify Qi and nourish Yin, ascend Clear and descend Turbid. Prescription: Renshen 10g, Gancao 6g, Huangqi 15g, Danggui 6g, Maimen 10g, Wuweizi 10g, Qingpi 10g, Chenpi 10g, Shenqu 10g, Huangbai 10g, Gegen 15g, Cangzhu 15g, Baizhu 10g, Shengma 10g, Zexie 10g.
A certain physician asked: Since the manifestation is toothache, why not use modified Qing Wei San, Xie Huang San, or Gan Lu Yin? Patient replied: All have been used, but ineffective. Physician further said: The above formula is Dongyuan's Qing Shu Yi Qi Tang; this formula was designed by Dongyuan for Summerheat disease. I have never heard of using it for Trigeminal Neuralgia. Answer: Although the original Qing Shu Yi Qi Tang was not designed for Trigeminal Neuralgia, since it possesses functions of tonifying Qi/Yin and ascending Clear/descending Turbid, it is used for this patient with Trigeminal Neuralgia.
After 3 doses, pain greatly reduced. After continuing 20 doses, pain completely disappeared, recovery followed.
2. Not observing season/time, not asking etiology, not examining pulse/syndrome, relying only on habit, vainly administering drugs.
Su XX, Male, 29 years old.
Pain in left upper and lower teeth for over 2 months. Diagnosed with Trigeminal Neuralgia. Initially treated with Western medicine, pain slightly reduced, but intensified after 2 weeks. Another physician was invited to treat with Chinese herbs for nourishing Yin and purging fire, clearing Stomach and purging fire; nearly 40 doses taken, but effect still insignificant. Careful examination revealed, besides paroxysmal exacerbation of upper/lower toothache, whole-body stiffness/discomfort, thin-white tongue coating, and floating-tight pulse. Further inquiry revealed onset occurred shortly after sweating while loading/unloading cargo in a car on a cold winter day with strong north wind. Synthesizing pulse and symptoms: Disease originated after contraction of Wind-Cold; floating-tight pulse indicates external invasion of Wind-Cold. Treatment should disperse Wind and scatter Cold. Prescription: Chan Tui 10g, Jiang Can 10g, Chuanxiong 10g, Jingjie 10g, Fangfeng 10g, Xixin 3g, Baizhi 10g, Bohe 6g, Gancao 6g, Qianghuo 10g.
A certain physician asked: Physicians all say upper/lower toothache should be treated with Gan Lu Yin, Qing Wei San, etc., why do you not use them? Answer: What is truth in science? I agree with the view that what is proven correct in practice is truth. Since facts prove the previous medicine did not solve the problem, it proves it incorrect, thus requiring alternative formulas. This syndrome originated after contracting Wind-Cold, with floating-tight pulse, naturally requiring Wind-dispersing and Cold-scattering herbs.
After 1 dose, pain greatly reduced. After continuing 4 doses, all symptoms disappeared, recovery achieved.
3. Not examining pulse/syndrome, unaware of changes, clinging to empirical formulas, stubbornly adhering to secret recipes, conservative stagnation, condition not improving.
Ding XX, Male, 55 years old.
Paroxysmal burning pain in left upper tooth, orbit, and temple for over 8 years. Diagnosed with Trigeminal Neuralgia. Initially Western medicine slightly reduced pain, but continued use had no obvious effect. TCM was invited to treat with nourishing Yin/purging fire, clearing Stomach/purging fire, dispersing Wind/scattering Cold, invigorating Blood/removing Stasis, secret empirical formulas involving Wugong, Quanxie, Fengfang, and patent medicines for toothache; apart from occasional slight effect, mostly no obvious effect. In the last 3+ years, pain progressively worsened, especially in the last 3+ months, where washing face, brushing teeth, eating, drinking, shaving, yawning, speaking, and breeze blowing on face all triggered severe pain; touching the face or lecturing caused unbearable severe pain. Careful examination revealed, besides above, occasional restlessness, insomnia, thin-white tongue coating, and wiry-tight-rapid pulse. Synthesizing pulse and symptoms: Wiry pulse is Liver pulse; tight pulse is Cold; tight-rapid combination indicates Cold-Phlegm condensation. Combined with syndrome, Phlegm constraint and Qi knotting, Liver Wood failing to diffuse. Treatment should soothe Liver and regulate Qi, resolve Phlegm and dissipate knots. Prescription: Chaihu 10g, Banxia 10g, Huangqin 10g, Renshen 10g, Shengjiang 3 slices, Dazao 5 pieces, Gancao 6g, Guizhi 10g, Shu Jun 3g, Longgu 15g, Muli 15g, Fuling 15g.
After 6 doses, pain greatly reduced, but still painful at start of lectures. After continuing 18 doses, pain no longer improved, and whole-body stiffness/pain/discomfort felt. Re-examining pulse still wiry-tight. Pulse and syndrome combined: Fear of severe Cold entering collaterals. Prescribe Wutou Guizhi Tang to remove exterior-interior Cold. Prescription: Chuanwu 12g, Guizhi 10g, Baishao 10g, Shengjiang 3 slices, Dazao 7 pieces, Zhi Cao 10g, Xixin 3g.
After 3 doses, pain nearly disappeared. Instructed to take Horn Sugar-Coated Tablets for consolidation.
4. Not examining etiology, knowing only pain relief, or treating Cold with Cold, or treating Heat with Heat, ultimately not the correct treatment, delaying for years.
Zhu XX, Female, 58 years old.
Pain in right upper/lower gums, orbit, and temple for 15 years. Diagnosed with Trigeminal Neuralgia. Initially oral/blocked Western medicine reduced pain but could not solve root problem. Subsequently combined with Chinese herbs for invigorating Blood/stopping pain, insect-based stopping pain, purging fire/stopping pain, and topical pain relief, but none had obvious effect. In the last 2 years, pain was almost constant; speaking, brushing teeth, or washing face made pain unbearable. In the last 1 month, not only unbearable pain, but frequent restlessness/palpitations, dizziness/insomnia, easily startled/afraid, occasional counterflow Qi rushing up, with sweating and worsened palpitations upon rushing, numbness/swelling in hands, poor appetite/bitter taste. Careful examination revealed, besides above, yellow-white tongue coating, and wiry-tight-choppy pulse. Synthesizing pulse and symptoms: Wiry-tight pulse indicates Liver constraint and Cold stagnation; choppy indicates stagnation. Combined with symptoms, Liver constraint and Qi knotting, Cold-Phlegm knotting failing to transform. Treatment should soothe Liver and resolve constraint, resolve Phlegm and dissipate knots. Prescription: Chaihu 10g, Banxia 10g, Huangqin 10g, Dangshen 10g, Shengjiang 10g, Dazao 5 pieces, Guizhi 10g, Fuling 10g, Shu Jun 3g, Longgu 15g, Muli 15g.
After 4 doses, symptoms improved, pain reduced. After continuing 25 doses, pain disappeared, recovery achieved.