虚劳之治，历代医家论述颇多。《难经》称：“损其肺者，益其气；损其心者，调其营卫；损其脾者，调其饮食，适其寒温：损其肝者，缓其中；损其肾者，益其精。”汉．张仲景著《金匮要略》，列虚劳专篇，称其病在脾，证见“虚劳里急，悸、衄，腹中痛，梦失精，四肢酸痛，手足烦热，咽干口燥，小建中汤主之。”“虚劳里急，诸不足，黄芪建中汤主之。”其病在肾，证见“虚劳腰痛，少腹拘急，小便不利者，八味肾气九主之。”其病在肝，证见“虚劳虚烦不得眠，酸枣仁汤主之。”其病在心，附方列“炙甘草汤：治虚劳不足，汗出而闷，脉结悸，行动如常，不出百日，危急者十一日死。”其病在肺，附方中列“《肘后》獭肝散：治冷劳，又主鬼疰一门相染。”后人通过研究其原文，提出仲景治虚劳尤重脾胃肾。如李克光主编之《金匮要略讲义》云：“虚劳病在治疗上的特点，从篇中整个内容来看，对五脏虚劳重视脾胃肾，治法上重视甘温扶阳。”宋·许叔微看到虚劳乃五脏气血俱虚之疾，又看到脾肾在人体的重要性，乃在其所著《本事方》和《本事方续集》中提出治从脾肾之说。严用和更在其所著《济生方》中提出补脾不如补肾。金·李东垣在脾胃为元气之本的启发下，通过大量的临床实践，提出升发脾胃阳气是治疗虚劳的根本措施的意见。元·朱震亨根据月亮盈缺之理，在相似相应理论的启发下，提出虚劳阴不足阳有余的意见和滋阴降火与泻火保阴的治疗方法。明·张介宾著《景岳全书》，云：“凡气虚者宜补其上，人参、黄芪之属是也：精虚者宜补其下，熟地、枸杞之属是也；阳虚者宜补而兼暖，桂、附、干姜之属是也；阴虚者补而兼清，门冬、芍药、生地之属是也；此固阴阳之治辨也。其有气因精而虚者，自当补精以化气；精因气而虚者，自当补气以生精。又有阳失阴而离者，不补阴何以收散亡之气?水失火而败者，不补火何以苏垂寂之阴?此又阴阳相济之妙用也。故善补阳者，必于阴中求阳，则阳得阴助而生化无穷；善补阴首，必于阳中求阴，则阴得阳升而泉源不竭。”清·绮石著《理虚元鉴》一书，倡“治虚有三本，肺脾肾是也。”说：“肺为五脏之天，脾为首骸之母，肾为性命之根。治肺、治脾、治肾，治虚之道毕矣。”“治虚二统，统之于肺、脾而已。人之病，或为阳虚，或为阴虚。阳虚之久者，阴亦虚，终是阳虚为本；阴虚之久者，阳亦虚，终是阴虚为本。凡阳虚为本者，其治之有统，统于脾也；阴虚为本者，其治之有统，统于肺也。”“盖阳虚之症，虽有夺精、夺气、夺火之不一，而以中气不守为最险，故阳虚之治，虽有填精、益气、补火之各别，而以急救中气为最先。”“阴虚劳症，虽有五劳七伤之异名，而要之以肺为极则。故未见骨蒸、劳嗽、吐血者，预宜清金保肺；已见骨蒸、劳嗽、吐血者，急宜清金保肺；曾经骨蒸、劳嗽、吐血而愈者，终身不可忘护肺，此阴虚之治，所当悉统于肺也。”但是，怎么在具体问题上治肺?治脾?治肾?怎么在具体问题上先治肺?或先治脾?或先治肾?然后再治其他脏腑气血?仍然阐述的不够清楚，所以在具体的临床应用上仍然难于掌握。
及至再次反复研读《金匮要略·血痹虚劳病脉证并治篇》中之各条及所附之方剂，才使我比较清楚地明晰其方法。
1．任何疾病只要是发展至证见脉大、极虚、浮弱涩、沉小迟、面色薄，疾行喘喝、短气、遗精者，均从虚劳证治。其说：“夫男子平人，脉大为劳，极虚亦为劳。”“男子面色薄者，主渴及亡血，卒喘悸，脉浮者，里虚也。”“男子脉虚沉弦，无寒热，短气里急，小便不利，面色白，时目瞑，兼衄，少腹满，此为劳使之然。”“劳之为病，其脉浮大，手足烦，春夏剧，秋冬瘥，阴寒精自出，酸削不能行。”“男子脉浮弱而涩，为无子，精气清冷。”“人年五六十，其病脉大者，痹侠背行，若肠鸣，马刀侠瘿者，皆为劳得之。”“脉沉小迟，名脱气，其人疾行则喘喝，手足逆寒，腹满，甚则溏泄，食不消化也。”“脉弦而大，弦则为减，大则为芤，减则为寒，芤则为虚，虚襄相搏，此名为革。妇人则半产漏下，男子则亡血失精。”
2．虚劳一病，只要是证见脾虚者就当健脾，只要是证见肾虛者就当补肾，只要是证见肝虚者就当补肝，只要是证见肺虚者就当补肺，只要是证见心虚者就当补心。故所列各条及附方分别有建中汤、肾气丸、酸枣仁汤、炙甘草汤、獭肝散的不同。
3．虚劳一病尽管气血阴阳俱虚，但若是以脾胃虚寒为主者治疗时必须首先健脾温中。若是以肾气不足为主者，治疗时必须首先培补肾气。若是以肝虚为主者，治疗时必须首先养肝补肝。若是以心阴不足为主者，治疗时必须首先滋养心阴。若是以肺阴不足为主者，治疗时必须首先滋养肺阴。其说：“虚劳里急，悸，衄，腹中痛，梦失精，四肢酸疼，手足烦热，咽干口燥，小建中汤主之。虚劳里急，诸不足，黄芪建中汤主之，”“虚劳里急，少腹拘急，小便不利者，八味肾气丸主之一”“虚劳虚烦不得眠，酸枣仁汤主之。”“炙甘草汤：治虚劳不足，汗出而闷，脉结悸，行动如常。”“獭肝散：治冷劳，义主鬼疰一门相染。”
4．虚劳病尽管症状表现为虚极，但若脉象夹有实象，或症中夹有实邪者，必须注意祛邪。其说：夫失精家少腹弦急，阴头寒，目眩，发落，脉极虚芤迟，为清谷亡血，失精。脉得诸芤动微紧，男子失精，女子梦交，桂枝加龙骨牡蛎汤主之：”“虚劳诸不足，风气百疾，薯蓣丸主之。”“五劳虚极羸瘦，腹满不能饮食，食伤，忧伤，饮伤，房室伤，饥伤，劳伤，经络营卫气伤，内有干血，肌肤甲错，两目黯黑，大黄（庶/虫）虫丸主之。”
5．虚劳病之证兼实邪者，祛邪时必须要缓而不伤正，补益时必须是补而不留邪，故干血劳者只可用缓中补虚的大黄（庶/虫）虫丸，营卫失调精气不固者只可用调营卫摄精气之桂枝加龙骨牡蛎汤，兼风邪者只可用调补为主微祛风邪之薯蓣丸。
例如：郑××，女，成。
泌尿系感染反复发作4～5年。近半年多来，尿急、尿频、尿痛一直不见改善。细审其所用之药，除抗生素外，并曾反复应用中药之清热解毒、利水通淋、清热泻火，养阴清热、活血解毒等剂，然始终不见寸效。细询其所见诸证，除尿频尿痛之外，并见腰痛，少腹拘急，脉沉弦细涩。因思仲景曾云：“虚劳腰痛，少腹拘急，小便不利者，八味肾气丸主之。”本病虽为泌尿系感染，然其病程已久，显然已属虚劳，虚劳之证，若肾气亏损为主者，当培补肾气。处方：生地20克，山药10克，山萸肉10克，茯苓10克，泽泻10克，丹皮10克，附子10克，肉桂10克，车前子10克(布包)，怀牛膝10克，五味子10克。
服药2剂，尿频尿痛，腰痛少腹拘急均好转。继服6剂，诸证消失。
渠××，男，21岁。
再生障碍性贫血2年多。医予输血、激素等西药治疗半年，诸证逐渐加剧。后又配合中药益气养血、滋阴补肾等剂一年多，症亦不减。审其面色皓白，白汗盗汗，身热(体温39．8℃)乏力，胸闷心悸，齿衄鼻衄，全身到处是大片大片的紫斑，脉虚大而结。血色素3．5克。综合脉证，思之：此病血证已久，显已转为虚劳之疾。虚劳之疾者，仲景《金匮》之治，虽诸脏俱损，若心气不足为主者，当补其心气。今本证胸闷汗出，心悸脉结之心证俱见，自当从心论治。且夫《金匮》附方中有云：“炙甘草汤，一云复脉汤：治虚劳不足，汗出而闷，脉结悸。”因拟三甲复脉汤加减养心阴。处方：龟甲30克，鳖甲30克，牡蛎15克，炙甘草10克，麦冬10克，白芍10克，阿胶10克(烊化)，生地15克。
服药6剂，汗出胸闷，心悸乏力，身热均减，体温37．5℃，血色素5克。继服上方60剂，诸证俱失。后果愈。
贾××，女，60岁．
再生障碍性贫血2年多。近两个多月来，发热(体温38．5℃)，咳喘，汗出乏力，纳呆口苦。医予抗生素治疗不效．乃改用抗生素、输血，并配合中药清热解毒，宣肺化痰止咳等剂进行治疗。其效仍不著明。改邀余进行治疗。察其身热汗出，气短而喘咳难续，神疲纳呆，血色素4．5克。脉虚大弦数。综合脉证，思之：此虽为再生障碍性贫血，然现证以肺证为主，仲景《金匮》言治虚劳若肺为主者必先治肺，故应从肺着手论治。然本证非仅有虚，亦且夹有外感实邪，实邪当祛。且夫仲景治虚劳夹风邪者，主用补益而稍佐祛风，而不用祛邪为主之法，目的乃补正不留邪，祛邪不伤正耳。乃拟黄芪鳖甲散加减，主治在肺，重在补益，稍佐祛邪。处方：黄芪15克，地骨皮10克，紫菀10克，党参10克，茯苓10克，柴胡10克，半夏10克，知母10克，生地10克，白芍10克，天门冬10克，桂枝10克，甘草10克。
服药2剂，身热乏力、汗出喘咳俱减．继服10剂，喘咳身热俱失，精神倍增。
温病
1964年在河北省参加救灾医疗队时，适值钩端螺旋体病流行，睹杂志报道云：属中医湿温病。并云：以银翘散加除湿之品、甘露消毒丹加减治之效。然余临床用之多见效果缓慢或根本无效。何以故?不得而知。偶与一医谈及此病，云：此论之大谬所致。并云：此病实伤寒而非温病。岂能以温病法治之：然余仍疑信参半。偶遇一患者，男性，高热持续数日不退，腿痛：某医先以青霉素合中药清热解毒加除湿之剂治之不效。改邀该医治之。云：身痛、发热，烦躁，为大青龙汤证，非温病也。予1剂，热退而愈。
发热
亡兄朱庆丰，河北省定州市一乡医也。健在时，治一患者，诸医久治不效，其察前医所用药饵，或为西药，或为中药。中药之中，或为清热，或为滋阴，或为攻下，或为除湿，然均未获功。细思脉证，难定方药。至旷野树林中一游，突遇凉风拂面，顿感全身轻爽舒适。乃悟。云：此诸药之不效者，乃行散不足耳。乃在前医方药中加入细辛3克，一剂愈。又如一小儿，高热汗出，昏迷，抽搐不止。前医予中、西药治之不效，亡兄睹其状如化斑汤证，然因条件所限不能内服，乃予冷水毛巾盖额部，1分钟改换一次，前后移换达百数十次，果然热退，搐止而愈。
朱庆丰先生云：取类比象的思维方法是我临床中解决疑难问题的有力武器，屡用屡验，请小弟发扬之。
痿证
《素问·痿论篇》曰：“肺者脏之长也，为心之盖也，有所失亡，所求不得，则发肺鸣，鸣则肺热叶焦。故曰：五脏因肺热叶焦，发为痿蹙。”李中梓曰：“肺金体燥，居上而主气化，以行令于一身，畏火者也。五脏之热火熏蒸，则金被克而肺热叶焦，故致疾有五脏之殊，而手太阴之地，未有不伤者也。”余宗其意施治于痿证初起，常常有效。例如：宋××，男，成。四肢瘫痪一个多月，某院诊为多发性神经炎。先予西药治疗不效，邀余诊治。审其证见身热汗多，咳嗽多痰，咽干口燥，烦渴多饮，舌质红，苔黄而干，脉浮滑而数。综其脉证，诊为肺胃热炽，痰热壅滞，热伤肺阴。拟清肺养阴，化痰止咳。清燥救肺汤加减：党参9克，沙参9克，甘草6克，炙甘草3克，炙杷叶10克，生石膏30克，阿胶10克(烊化)，杏仁9克，麦冬10克，黑芝麻9克，桑叶10克。服药2剂，身执、咳嗽好转，肢体稍能活动，继服10剂后，在别人搀扶下能下地活动走十几步，两个月后恢复正常。
及至病程较久湿热损伤气阴者恒多，故多以益气养阴、燥湿清热治之而取效。例如：邵××，男，成。四肢瘫痪9个多月．某院诊为多发性神经炎。住院7个多月无明显效果。后请中医以三妙丸加减一个多月治疗后仍未效。审其证见四肢瘫瘓、不能动转翻身，身热汗出，气短心悸，烦躁失眠、舌苔黄白而腻，面色皓白，脉虚大滑数。综合脉证，诊为气阴两虚，湿热蕴结，为拟益气养阴，燥湿清热，芪麦三妙汤加减：黄芪15克，党参10克，当归6克，麦冬10克，五味子10克，石斛]O克，苍术10克，黄柏10克，怀牛膝]O克，桑枝30克。服药20剂，肢体稍能活动，身热汗出，心悸气短等证好转，眼药60剂后，在他人搀扶下可以下地活动，但筋骨有些拘急不适，加木瓜10g，继服5个月恢复正常。
虚劳病的治疗，历代医家论述颇多。《难经》称：“损伤肺脏的，要补益其气；损伤心脏的，要调和其营卫；损伤脾脏的，要调节饮食，适应寒温；损伤肝脏的，要舒缓其情志；损伤肾脏的，要填补其精。”汉代张仲景著《金匮要略》，设立虚劳专篇，称其病在脾，证见“虚劳里急（腹部拘急不适），心悸、鼻衄，腹中痛，梦中遗精，四肢酸痛，手足烦热，咽干口燥”，用小建中汤主治。“虚劳里急，诸不足（各种虚损不足），用黄芪建中汤主治。”其病在肾，证见“虚劳腰痛，少腹拘急，小便不利者”，用八味肾气丸主治。其病在肝，证见“虚劳虚烦不得眠”，用酸枣仁汤主治。其病在心，附方列“炙甘草汤：治疗虚劳不足，汗出而胸闷，脉结代且悸动，行动如常者不出百日，危急者十一日死。”其病在肺，附方中列“《肘后备急方》獭肝散：治疗冷劳，又主鬼疰（一种具有传染性的慢性消耗性疾病）一门相染。”后人通过研究其原文，提出张仲景治疗虚劳尤其重视脾胃肾。如李克光主编之《金匮要略讲义》云：“虚劳病在治疗上的特点，从篇中整个内容来看，对五脏虚劳重视脾胃肾，治法上重视甘温扶阳。”宋代许叔微看到虚劳乃五脏气血俱虚之疾，又看到脾肾在人体的重要性，乃在其所著《本事方》和《本事方续集》中提出治从脾肾之说。严用和更在其所著《济生方》中提出补脾不如补肾。金代李东垣在脾胃为元气之本的启发下，通过大量的临床实践，提出升发脾胃阳气是治疗虚劳的根本措施的意见。元代朱震亨根据月亮盈缺之理，在相似相应理论的启发下，提出虚劳阴不足阳有余的意见和滋阴降火与泻火保阴的治疗方法。明代张介宾著《景岳全书》，云：“凡气虚者宜补其上（上焦/肺气），人参、黄芪之属是也；精虚者宜补其下（下焦/肾精），熟地、枸杞之属是也；阳虚者宜补而兼暖，桂、附、干姜之属是也；阴虚者补而兼清，麦冬、芍药、生地之属是也；此固阴阳之治辨也。其有气因精而虚者，自当补精以化气；精因气而虚者，自当补气以生精。又有阳失阴而离者，不补阴何以收散亡之气？水失火而败者，不补火何以苏垂寂之阴？此又阴阳相济之妙用也。故善补阳者，必于阴中求阳，则阳得阴助而生化无穷；善补阴者，必于阳中求阴，则阴得阳升而泉源不竭。”清代绮石著《理虚元鉴》一书，倡“治虚有三本，肺脾肾是也。”说：“肺为五脏之天，脾为百骸之母，肾为性命之根。治肺、治脾、治肾，治虚之道毕矣。”“治虚二统，统之于肺、脾而已。人之病，或为阳虚，或为阴虚。阳虚之久者，阴亦虚，终是阳虚为本；阴虚之久者，阳亦虚，终是阴虚为本。凡阳虚为本者，其治之有统，统于脾也；阴虚为本者，其治之有统，统于肺也。”“盖阳虚之症，虽有夺精、夺气、夺火之不一，而以中气不守为最险，故阳虚之治，虽有填精、益气、补火之各别，而以急救中气为最先。”“阴虚劳症，虽有五劳七伤之异名，而要之以肺为极则。故未见骨蒸、劳嗽、吐血者，预宜清金保肺；已见骨蒸、劳嗽、吐血者，急宜清金保肺；曾经骨蒸、劳嗽、吐血而愈者，终身不可忘护肺，此阴虚之治，所当悉统于肺也。”但是，怎么在具体问题上治肺？治脾？治肾？怎么在具体问题上先治肺？或先治脾？或先治肾？然后再治其他脏腑气血？仍然阐述的不够清楚，所以在具体的临床应用上仍然难于掌握。
及至再次反复研读《金匮要略·血痹虚劳病脉证并治篇》中之各条及所附之方剂，才使我比较清楚地明晰其方法。
1．任何疾病只要是发展至证见脉大、极虚、浮弱涩、沉小迟、面色薄（苍白无华），疾行喘喝、短气、遗精者，均从虚劳证治。其说：“夫男子平人，脉大为劳，极虚亦为劳。”“男子面色薄者，主渴及亡血，卒喘悸，脉浮者，里虚也。”“男子脉虚沉弦，无寒热，短气里急，小便不利，面色白，时目瞑，兼衄，少腹满，此为劳使之然。”“劳之为病，其脉浮大，手足烦，春夏剧，秋冬瘥，阴寒精自出，酸削不能行。”“男子脉浮弱而涩，为无子，精气清冷。”“人年五六十，其病脉大者，痹侠背行，若肠鸣，马刀侠瘿者，皆为劳得之。”“脉沉小迟，名脱气，其人疾行则喘喝，手足逆寒，腹满，甚则溏泄，食不消化也。”“脉弦而大，弦则为减，大则为芤，减则为寒，芤则为虚，虚羸相搏，此名为革。妇人则半产漏下，男子则亡血失精。”
2．虚劳一病，只要是证见脾虚者就当健脾，只要是证见肾虚者就当补肾，只要是证见肝虚者就当补肝，只要是证见肺虚者就当补肺，只要是证见心虚者就当补心。故所列各条及附方分别有建中汤、肾气丸、酸枣仁汤、炙甘草汤、獭肝散的不同。
3．虚劳一病尽管气血阴阳俱虚，但若是以脾胃虚寒为主者治疗时必须首先健脾温中。若是以肾气不足为主者，治疗时必须首先培补肾气。若是以肝虚为主者，治疗时必须首先养肝补肝。若是以心阴不足为主者，治疗时必须首先滋养心阴。若是以肺阴不足为主者，治疗时必须首先滋养肺阴。其说：“虚劳里急，悸，衄，腹中痛，梦失精，四肢酸疼，手足烦热，咽干口燥，小建中汤主之。虚劳里急，诸不足，黄芪建中汤主之。”“虚劳里急，少腹拘急，小便不利者，八味肾气丸主之。”“虚劳虚烦不得眠，酸枣仁汤主之。”“炙甘草汤：治虚劳不足，汗出而闷，脉结悸，行动如常。”“獭肝散：治冷劳，又主鬼疰一门相染。”
4．虚劳病尽管症状表现为虚极，但若脉象夹有实象，或症中夹有实邪者，必须注意祛邪。其说：夫失精家少腹弦急，阴头寒，目眩，发落，脉极虚芤迟，为清谷亡血，失精。脉得诸芤动微紧，男子失精，女子梦交，桂枝加龙骨牡蛎汤主之。”“虚劳诸不足，风气百疾，薯蓣丸主之。”“五劳虚极羸瘦，腹满不能饮食，食伤，忧伤，饮伤，房室伤，饥伤，劳伤，经络营卫气伤，内有干血，肌肤甲错，两目黯黑，大黄䗪虫丸主之。”
5．虚劳病之证兼实邪者，祛邪时必须要缓而不伤正，补益时必须是补而不留邪，故干血劳者只可用缓中补虚的大黄䗪虫丸，营卫失调精气不固者只可用调营卫摄精气之桂枝加龙骨牡蛎汤，兼风邪者只可用调补为主微祛风邪之薯蓣丸。
例如：郑××，女，成年。
泌尿系感染反复发作4～5年。近半年多来，尿急、尿频、尿痛一直不见改善。细审其所用之药，除抗生素外，并曾反复应用中药之清热解毒、利水通淋、清热泻火，养阴清热、活血解毒等剂，然始终不见寸效。细询其所见诸证，除尿频尿痛之外，并见腰痛，少腹拘急，脉沉弦细涩。因思仲景曾云：“虚劳腰痛，少腹拘急，小便不利者，八味肾气丸主之。”本病虽为泌尿系感染，然其病程已久，显然已属虚劳，虚劳之证，若肾气亏损为主者，当培补肾气。处方：生地20克，山药10克，山萸肉10克，茯苓10克，泽泻10克，丹皮10克，附子10克，肉桂10克，车前子10克(布包)，怀牛膝10克，五味子10克。
服药2剂，尿频尿痛，腰痛少腹拘急均好转。继服6剂，诸证消失。
渠××，男，21岁。
再生障碍性贫血2年多。医予输血、激素等西药治疗半年，诸证逐渐加剧。后又配合中药益气养血、滋阴补肾等剂一年多，症亦不减。审其面色皓白，自汗盗汗，身热(体温39.8℃)乏力，胸闷心悸，齿衄鼻衄，全身到处是大片大片的紫斑，脉虚大而结。血色素3.5克。综合脉证，思之：此病血证已久，显已转为虚劳之疾。虚劳之疾者，仲景《金匮》之治，虽诸脏俱损，若心气不足为主者，当补其心气。今本证胸闷汗出，心悸脉结之心证俱见，自当从心论治。且夫《金匮》附方中有云：“炙甘草汤，一云复脉汤：治虚劳不足，汗出而闷，脉结悸。”因拟三甲复脉汤加减养心阴。处方：龟甲30克，鳖甲30克，牡蛎15克，炙甘草10克，麦冬10克，白芍10克，阿胶10克(烊化)，生地15克。
服药6剂，汗出胸闷，心悸乏力，身热均减，体温37.5℃，血色素5克。继服上方60剂，诸证俱失。后果愈。
贾××，女，60岁。
再生障碍性贫血2年多。近两个多月来，发热(体温38.5℃)，咳喘，汗出乏力，纳呆口苦。医予抗生素治疗不效，乃改用抗生素、输血，并配合中药清热解毒，宣肺化痰止咳等剂进行治疗。其效仍不著明。改邀余进行治疗。察其身热汗出，气短而喘咳难续，神疲纳呆，血色素4.5克。脉虚大弦数。综合脉证，思之：此虽为再生障碍性贫血，然现证以肺证为主，仲景《金匮》言治虚劳若肺为主者必先治肺，故应从肺着手论治。然本证非仅有虚，亦且夹有外感实邪，实邪当祛。且夫仲景治虚劳夹风邪者，主用补益而稍佐祛风，而不用祛邪为主之法，目的乃补正不留邪，祛邪不伤正耳。乃拟黄芪鳖甲散加减，主治在肺，重在补益，稍佐祛邪。处方：黄芪15克，地骨皮10克，紫菀10克，党参10克，茯苓10克，柴胡10克，半夏10克，知母10克，生地10克，白芍10克，天门冬10克，桂枝10克，甘草10克。
服药2剂，身热乏力、汗出喘咳俱减，继服10剂，喘咳身热俱失，精神倍增。
温病
1964年在河北省参加救灾医疗队时，适值钩端螺旋体病流行，睹杂志报道云：属中医湿温病。并云：以银翘散加除湿之品、甘露消毒丹加减治之效。然余临床用之多见效果缓慢或根本无效。何以故？不得而知。偶与一医谈及此病，云：此论之大谬所致。并云：此病实伤寒而非温病。岂能以温病法治之？然余仍疑信参半。偶遇一患者，男性，高热持续数日不退，腿痛：某医先以青霉素合中药清热解毒加除湿之剂治之不效。改邀该医治之。云：身痛、发热，烦躁，为大青龙汤证，非温病也。予1剂，热退而愈。
发热
亡兄朱庆丰，河北省定州市一乡医也。健在时，治一患者，诸医久治不效，其察前医所用药饵，或为西药，或为中药。中药之中，或为清热，或为滋阴，或为攻下，或为除湿，然均未获功。细思脉证，难定方药。至旷野树林中一游，突遇凉风拂面，顿感全身轻爽舒适。乃悟。云：此诸药之不效者，乃行散不足耳。乃在前医方药中加入细辛3克，一剂愈。又如一小儿，高热汗出，昏迷，抽搐不止。前医予中、西药治之不效，亡兄睹其状如化斑汤证，然因条件所限不能内服，乃予冷水毛巾盖额部，1分钟改换一次，前后移换达百数十次，果然热退，搐止而愈。
朱庆丰先生云：取类比象的思维方法是我临床中解决疑难问题的有力武器，屡用屡验，请小弟发扬之。
痿证
《素问·痿论篇》曰：“肺者脏之长也，为心之盖也，有所失亡，所求不得，则发肺鸣，鸣则肺热叶焦。故曰：五脏因肺热叶焦，发为痿躄。”李中梓曰：“肺金体燥，居上而主气化，以行令于一身，畏火者也。五脏之热火熏蒸，则金被克而肺热叶焦，故致疾有五脏之殊，而手太阴之地，未有不伤者也。”余宗其意施治于痿证初起，常常有效。例如：宋××，男，成年。四肢瘫痪一个多月，某院诊为多发性神经炎。先予西药治疗不效，邀余诊治。审其证见身热汗多，咳嗽多痰，咽干口燥，烦渴多饮，舌质红，苔黄而干，脉浮滑而数。综其脉证，诊为肺胃热炽，痰热壅滞，热伤肺阴。拟清肺养阴，化痰止咳。清燥救肺汤加减：党参9克，沙参9克，甘草6克，炙甘草3克，炙杷叶10克，生石膏30克，阿胶10克(烊化)，杏仁9克，麦冬10克，黑芝麻9克，桑叶10克。服药2剂，身热、咳嗽好转，肢体稍能活动，继服10剂后，在别人搀扶下能下地活动走十几步，两个月后恢复正常。
及至病程较久湿热损伤气阴者恒多，故多以益气养阴、燥湿清热治之而取效。例如：邵××，男，成年。四肢瘫痪9个多月，某院诊为多发性神经炎。住院7个多月无明显效果。后请中医以三妙丸加减一个多月治疗后仍未效。审其证见四肢瘫痪、不能动转翻身，身热汗出，气短心悸，烦躁失眠、舌苔黄白而腻，面色皓白，脉虚大滑数。综合脉证，诊为气阴两虚，湿热蕴结，为拟益气养阴，燥湿清热，芪麦三妙汤加减：黄芪15克，党参10克，当归6克，麦冬10克，五味子10克，石斛10克，苍术10克，黄柏10克，怀牛膝10克，桑枝30克。服药20剂，肢体稍能活动，身热汗出，心悸气短等证好转，眼药60剂后，在他人搀扶下可以下地活动，但筋骨有些拘急不适，加木瓜10g，继服5个月恢复正常。
The treatment of Xu Lao (Deficiency Consumption Syndrome) has been extensively discussed by physicians throughout history. The *Nan Jing* (Classic of Difficult Issues) states: "For damage to the Lung, tonify its Qi; for damage to the Heart, harmonize its Ying and Wei (Nutritive and Defensive Qi); for damage to the Spleen, regulate diet and adapt to cold and warmth; for damage to the Liver, soothe its interior [emotions]; for damage to the Kidney, replenish its Essence." Zhang Zhongjing of the Han Dynasty authored *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet), establishing a dedicated chapter on Xu Lao. He stated that when the disease resides in the Spleen, symptoms include "Xu Lao with abdominal tension (abdominal tightness and discomfort), palpitations, epistaxis, abdominal pain, nocturnal seminal emission, soreness and pain in the four limbs, vexing heat in the hands and feet, dry throat and mouth," which is primarily treated with Xiao Jian Zhong Tang (Minor Construct the Middle Decoction). "For Xu Lao with abdominal tension and various deficiencies, Huang Qi Jian Zhong Tang (Astragalus Construct the Middle Decoction) is primarily used." When the disease resides in the Kidney, symptoms include "Xu Lao with lower back pain, tension in the lower abdomen, and difficulty urinating," primarily treated with Ba Wei Shen Qi Wan (Eight-Ingredient Kidney Qi Pill). When the disease resides in the Liver, symptoms include "Xu Lao with empty vexation and inability to sleep," primarily treated with Suan Zao Ren Tang (Sour Jujube Seed Decoction). When the disease resides in the Heart, an attached formula lists "Zhi Gan Cao Tang (Honey-Fried Licorice Decoction): treats deficiency insufficiency of Xu Lao, sweating with chest oppression, knotted pulse with palpitations; if the patient moves normally, death will not occur within one hundred days; if critical, death occurs within eleven days." When the disease resides in the Lung, an attached formula lists "E Hou San (Rabbit Liver Powder from *Zhou Hou Bei Ji Fang*): treats Cold Xu Lao and also governs Gui Zhu (Ghost Tethering, a contagious chronic wasting disease) transmitted within a family." Later scholars, through studying these original texts, proposed that Zhang Zhongjing's treatment of Xu Lao particularly emphasizes the Spleen, Stomach, and Kidney. For instance, Li Keguang, editor-in-chief of *Jin Gui Yao Lue Lecture Notes*, stated: "The characteristic of treating Xu Lao, viewed holistically from the chapter's content, emphasizes the Spleen, Stomach, and Kidney for Five-Zang deficiency consumption, and values Sweet-Warm methods to support Yang in therapeutic approaches." Xu Shuwei of the Song Dynasty observed that Xu Lao is a disease where Qi and Blood of all five Zangs are deficient, and recognizing the importance of the Spleen and Kidney in the human body, he proposed treating from the Spleen and Kidney in his works *Ben Shi Fang* (Formulas of Capability) and *Ben Shi Fang Xu Ji* (Continued Collection of Formulas of Capability). Yan Yonghe further proposed in his work *Ji Sheng Fang* (Prescriptions for Sustaining Life) that tonifying the Spleen is inferior to tonifying the Kidney. Li Dongyuan of the Jin Dynasty, inspired by the concept that the Spleen and Stomach are the root of Yuan Qi (Original Qi), proposed through extensive clinical practice that raising and developing Spleen-Stomach Yang Qi is the fundamental measure for treating Xu Lao. Zhu Zhenheng of the Yuan Dynasty, based on the principle of lunar waxing and waning and inspired by the theory of similarity and correspondence, proposed that Xu Lao involves insufficient Yin and excess Yang, advocating methods of nourishing Yin and descending fire, as well as purging fire to preserve Yin. Zhang Jiebin of the Ming Dynasty authored *Jing Yue Quan Shu* (Complete Works of Jingyue), stating: "For Qi deficiency, it is appropriate to tonify the Upper [Jiao/Lung], such as with Ren Shen (Ginseng) and Huang Qi (Astragalus); for Essence deficiency, it is appropriate to tonify the Lower [Jiao/Kidney], such as with Shu Di Huang (Prepared Rehmannia Root) and Gou Qi Zi (Goji Berry); for Yang deficiency, it is appropriate to tonify while warming, such as with Gui Zhi (Cinnamon Twig), Fu Zi (Aconite Root), and Gan Jiang (Dried Ginger); for Yin deficiency, it is appropriate to tonify while clearing, such as with Mai Dong (Ophiopogon Tuber), Bai Shao (White Peony Root), and Sheng Di Huang (Raw Rehmannia Root); this is indeed the differentiation of Yin-Yang treatment. If Qi is deficient due to Essence deficiency, one should naturally tonify Essence to transform Qi; if Essence is deficient due to Qi deficiency, one should naturally tonify Qi to generate Essence. Furthermore, if Yang separates from Yin, how can scattered and lost Qi be gathered without tonifying Yin? If Water fails due to Fire, how can dying Yin revive without tonifying Fire? This is the wonderful application of mutual assistance between Yin and Yang. Therefore, those skilled in tonifying Yang must seek Yang within Yin, so that Yang receives Yin's assistance and generation becomes infinite; those skilled in tonifying Yin must seek Yin within Yang, so that Yin receives Yang's rising and sources do not dry up." Qi Shi of the Qing Dynasty authored *Li Xu Yuan Jian* (Primal Mirror for Managing Deficiency), advocating "There are three roots in treating deficiency: Lung, Spleen, and Kidney." He said: "The Lung is the sky of the five Zangs, the Spleen is the mother of the hundred bones, and the Kidney is the root of life and destiny. Treating the Lung, Spleen, and Kidney completes the way of treating deficiency." "Treating deficiency has two unifications, unified under the Lung and Spleen. Human diseases may be Yang deficiency or Yin deficiency. In long-standing Yang deficiency, Yin also becomes deficient, but ultimately Yang deficiency is the root; in long-standing Yin deficiency, Yang also becomes deficient, but ultimately Yin deficiency is the root. For those with Yang deficiency as the root, their treatment is unified under the Spleen; for those with Yin deficiency as the root, their treatment is unified under the Lung." "Regarding Yang deficiency syndromes, although there are variations in loss of Essence, Qi, and Fire, the most dangerous is the failure of Middle Qi to hold fast. Thus, in treating Yang deficiency, although there are distinctions in filling Essence, boosting Qi, and tonifying Fire, the priority is to urgently rescue Middle Qi." "Regarding Yin deficiency consumption syndromes, although they have different names like Wu Lao (Five Exhaustions) and Qi Shang (Seven Injuries), the Lung is the ultimate standard. Therefore, before bone-steaming, consumptive cough, or hemoptysis appear, one should preemptively clear Metal and protect the Lung; once bone-steaming, consumptive cough, or hemoptysis appear, one should urgently clear Metal and protect the Lung; even after recovery from bone-steaming, consumptive cough, or hemoptysis, one must never forget to protect the Lung throughout life. This is how Yin deficiency treatment should be entirely unified under the Lung." However, how to treat the Lung, Spleen, or Kidney in specific issues, and whether to treat the Lung, Spleen, or Kidney first, followed by other Zang-Fu organs and Qi-Blood, was still not explained clearly enough, making it difficult to master in specific clinical applications.
It was only upon repeatedly studying the various clauses and attached formulas in the *Mai Zheng Bing Mai Zheng Bing Zhi Pian* (Pulse, Syndrome, and Treatment Chapter of Blood Bi and Xu Lao Diseases) in *Jin Gui Yao Lue* that I became relatively clear about its methods.
1. Any disease that develops to show a large pulse, extremely deficient pulse, floating-weak-choppy pulse, deep-small-slow pulse, thin complexion (pale and lusterless), panting and gasping after rapid walking, shortness of breath, or seminal emission should be treated according to Xu Lao syndrome principles. It states: "For a man who appears normal, a large pulse indicates Labor (deficiency consumption), and an extremely deficient pulse also indicates Labor." "For a man with a thin complexion, it mainly indicates thirst and blood loss; sudden panting and palpitations with a floating pulse indicate interior deficiency." "For a man with a deficient, deep, and wiry pulse, without chills or fever, shortness of breath and interior tension, difficulty urinating, white complexion, occasional dizziness, accompanied by epistaxis and lower abdominal fullness, this is caused by Labor." "The disease of Labor presents with a floating-large pulse, vexing heat in hands and feet, worsening in spring and summer, improving in autumn and winter, spontaneous emission of semen due to cold in the yin region, and soreness/emaciation preventing walking." "For a man with a floating-weak-and-choppy pulse, it indicates infertility and cold, clear Essence." "For a person aged fifty or sixty, if the disease presents with a large pulse, bi-syndrome along the back, borborygmus, or scrofula and goiter, all are obtained from Labor." "A deep-small-slow pulse is named Tuo Qi (Escaping Qi); the person pants and gasps when walking rapidly, has cold extremities, abdominal fullness, and in severe cases, loose stools and indigestion." "A wiry-and-large pulse: wiry indicates reduction, large indicates Kou (cystic/hollow); reduction indicates cold, Kou indicates deficiency. When deficiency and emaciation contend, this is named Ge (Leather) pulse. In women, it causes miscarriage and dripping bleeding; in men, it causes blood loss and essence loss."
2. For the disease of Xu Lao, whenever symptoms show Spleen deficiency, one should strengthen the Spleen; whenever symptoms show Kidney deficiency, one should tonify the Kidney; whenever symptoms show Liver deficiency, one should tonify the Liver; whenever symptoms show Lung deficiency, one should tonify the Lung; whenever symptoms show Heart deficiency, one should tonify the Heart. Thus, the listed clauses and attached formulas differ, including Jian Zhong Tang, Shen Qi Wan, Suan Zao Ren Tang, Zhi Gan Cao Tang, and Ta Gan San.
3. Although the disease of Xu Lao involves deficiency of Qi, Blood, Yin, and Yang, if Spleen-Stomach deficiency-cold is predominant, treatment must first strengthen the Spleen and warm the Middle. If Kidney Qi insufficiency is predominant, treatment must first cultivate and tonify Kidney Qi. If Liver deficiency is predominant, treatment must first nourish and tonify the Liver. If Heart Yin insufficiency is predominant, treatment must first nourish Heart Yin. If Lung Yin insufficiency is predominant, treatment must first nourish Lung Yin. It states: "Xu Lao with abdominal tension, palpitations, epistaxis, abdominal pain, nocturnal seminal emission, soreness and pain in the four limbs, vexing heat in hands and feet, dry throat and mouth, is primarily treated with Xiao Jian Zhong Tang. Xu Lao with abdominal tension and various deficiencies is primarily treated with Huang Qi Jian Zhong Tang." "Xu Lao with abdominal tension, tension in the lower abdomen, and difficulty urinating is primarily treated with Ba Wei Shen Qi Wan." "Xu Lao with empty vexation and inability to sleep is primarily treated with Suan Zao Ren Tang." "Zhi Gan Cao Tang: treats deficiency insufficiency of Xu Lao, sweating with chest oppression, knotted pulse with palpitations, moving normally." "Ta Gan San: treats Cold Xu Lao, and also governs Gui Zhu transmitted within a family."
4. Although symptoms of Xu Lao disease manifest as extreme deficiency, if the pulse contains excess images, or if the syndrome contains excess pathogens, one must pay attention to expelling pathogens. It states: For those who habitually lose essence, there is tension in the lower abdomen, cold at the glans penis, dizziness, hair loss, and a pulse that is extremely deficient, hollow, and slow, indicating clear grains, blood loss, and essence loss. If the pulse shows various hollow, moving, fine, and slightly tight qualities, for men losing essence and women having dream intercourse, Gui Zhi Jia Long Gu Mu Li Tang (Cinnamon Twig Decoction plus Dragon Bone and Oyster Shell) is primarily used." "For Xu Lao with various deficiencies and wind-qi causing hundreds of illnesses, Shu Yu Wan (Dioscorea Pill) is primarily used." "For Wu Lao (Five Exhaustions) with extreme deficiency and emaciation, abdominal fullness and inability to eat, caused by food injury, sorrow injury, drink injury, sexual injury, hunger injury, labor injury, and damage to meridians, Ying, Wei, and Qi, with dry blood inside, rough skin like scales, and dark eyes, Da Huang Zhe Chong Wan (Rhubarb and Ground Beetle Pill) is primarily used."
5. For Xu Lao syndrome complicated by excess pathogens, expelling pathogens must be gentle to avoid damaging healthy Qi, and tonification must not retain pathogens. Therefore, for Dry Blood Labor, only Da Huang Zhe Chong Wan (which gently supplements the middle and tonifies deficiency) can be used; for disharmony of Ying and Wei with insecure Essence and Qi, only Gui Zhi Jia Long Gu Mu Li Tang (which harmonizes Ying and Wei and secures Essence and Qi) can be used; for those with wind pathogen complications, only Shu Yu Wan (which focuses on regulation and tonification with slight expulsion of wind) can be used.
For example: Patient Zheng XX, Female, Adult.
Recurrent urinary tract infection for 4-5 years. For the past half year, urgency, frequency, and dysuria have not improved. Carefully reviewing her medications, besides antibiotics, she had repeatedly used Chinese herbal medicines for clearing heat and detoxifying, promoting diuresis and unblocking strangury, clearing heat and purging fire, nourishing Yin and clearing heat, and invigorating blood and detoxifying, yet with no effect whatsoever. Upon detailed inquiry into her symptoms, besides frequency and dysuria, she also had lower back pain, tension in the lower abdomen, and a deep, wiry, fine, and choppy pulse. Recalling Zhang Zhongjing's words: "Xu Lao with lower back pain, tension in the lower abdomen, and difficulty urinating is primarily treated with Ba Wei Shen Qi Wan." Although this disease is a urinary tract infection, given its long course, it clearly belongs to Xu Lao. In Xu Lao syndrome, if Kidney Qi depletion is predominant, one should cultivate and tonify Kidney Qi. Prescription: Sheng Di Huang 20g, Shan Yao 10g, Shan Yu Rou 10g, Fu Ling 10g, Ze Xie 10g, Dan Pi 10g, Fu Zi 10g, Rou Gui 10g, Che Qian Zi 10g (wrapped in cloth), Huai Niu Xi 10g, Wu Wei Zi 10g.
After taking 2 doses, frequency, dysuria, lower back pain, and lower abdominal tension all improved. After continuing for 6 doses, all symptoms disappeared.
Patient Qu XX, Male, 21 years old.
Aplastic anemia for over 2 years. Doctors treated with blood transfusions and Western hormones for half a year, with symptoms gradually worsening. Then combined with Chinese herbal medicines for boosting Qi and nourishing blood, nourishing Yin and tonifying Kidney for over a year, yet symptoms did not subside. Examining his bright white complexion, spontaneous and night sweats, fever (body temperature 39.8°C), fatigue, chest oppression, palpitations, gingival and nasal bleeding, and large patches of purpura all over the body, with a deficient-large and knotted pulse. Hemoglobin 3.5 g/dL. Synthesizing pulse and symptoms, thinking: This blood disease has lasted long, obviously transforming into Xu Lao. For Xu Lao, Zhang Zhongjing's *Jin Gui* treatment, although all Zangs are damaged, if Heart Qi insufficiency is predominant, one should tonify Heart Qi. Now, this case presents chest oppression, sweating, palpitations, and knotted pulse—all Heart syndromes—so treatment should proceed from the Heart. Moreover, the attached formula in *Jin Gui* states: "Zhi Gan Cao Tang, also known as Fu Mai Tang (Pulse-Recovering Decoction): treats deficiency insufficiency of Xu Lao, sweating with chest oppression, knotted pulse with palpitations." Therefore, I formulated modified San Jia Fu Mai Tang (Three Shells Pulse-Recovering Decoction) to nourish Heart Yin. Prescription: Gui Jia (Turtle Shell) 30g, Bie Jia (Softshell Turtle Shell) 30g, Mu Li (Oyster Shell) 15g, Zhi Gan Cao 10g, Mai Dong 10g, Bai Shao 10g, E Jiao 10g (melted), Sheng Di Huang 15g.
After taking 6 doses, sweating, chest oppression, palpitations, fatigue, and fever all decreased, body temperature 37.5°C, hemoglobin 5 g/dL. After continuing the above prescription for 60 doses, all symptoms disappeared. Eventually cured.
Patient Jia XX, Female, 60 years old.
Aplastic anemia for over 2 years. For the past two months, fever (body temperature 38.5°C), coughing and wheezing, sweating with fatigue, poor appetite, and bitter taste in the mouth. Doctors treated with antibiotics without effect, then switched to antibiotics, blood transfusions, and combined with Chinese herbal medicines for clearing heat and detoxifying, diffusing Lung and resolving phlegm to stop cough, yet efficacy was still not obvious. Invited me to treat. Observing her fever with sweating, shortness of breath with difficult-to-sustain coughing/wheezing, mental fatigue, poor appetite, hemoglobin 4.5 g/dL. Pulse is deficient-large, wiry, and rapid. Synthesizing pulse and symptoms, thinking: Although this is aplastic anemia, current symptoms are predominantly Lung-related. Zhang Zhongjing's *Jin Gui* states that for treating Xu Lao, if Lung is predominant, one must first treat the Lung, so treatment should start from the Lung. However, this case is not only deficiency but also complicated by exterior excess pathogens, which must be expelled. Furthermore, Zhang Zhongjing's treatment of Xu Lao with wind pathogen complication mainly uses tonification with slight assistance of expelling wind, rather than a method primarily focused on expelling pathogens, aiming to tonify healthy Qi without retaining pathogens and expel pathogens without damaging healthy Qi. Therefore, I formulated modified Huang Qi Bie Jia San (Astragalus and Softshell Turtle Powder) focusing on the Lung, emphasizing tonification with slight assistance of expelling pathogens. Prescription: Huang Qi 15g, Di Gu Pi 10g, Zi Wan 10g, Dang Shen 10g, Fu Ling 10g, Chai Hu 10g, Ban Xia 10g, Zhi Mu 10g, Sheng Di Huang 10g, Bai Shao 10g, Tian Men Dong 10g, Gui Zhi 10g, Gan Cao 10g.
After taking 2 doses, fever, fatigue, sweating, coughing, and wheezing all decreased. After continuing for 10 doses, coughing, wheezing, and fever all disappeared, spirit greatly increased.
Warm Disease
In 1964, while participating in a disaster relief medical team in Hebei Province, Leptospirosis was prevalent. Magazines reported it belonged to Zhong Yi Wet Warmth Disease (Shi Wen Bing). It was also stated that treating with Yin Qiao San (Honeysuckle and Forsythia Powder) added with dampness-draining herbs, or Gan Lu Xiao Du Dan (Sweet Dew Detoxication Pill) modified, was effective. However, in my clinical use, effects were mostly slow or completely ineffective. Why? I did not know. Once discussing this disease with another physician, he said: This theory is largely erroneous. He also said: This disease is actually Shang Han (Cold Damage), not Warm Disease. How can it be treated with Warm Disease methods? Yet I remained skeptical. I encountered a patient, male, with persistent high fever for several days and leg pain. A doctor first treated with Penicillin combined with Chinese herbal medicines for clearing heat, detoxifying, and draining dampness without effect. Invited that doctor to treat again. He said: Body pain, fever, irritability constitute Da Qing Long Tang (Major Blue Green Dragon Decoction) syndrome, not Warm Disease. Prescribed 1 dose, fever subsided and he recovered.
Fever
My deceased brother, Zhu Qingfeng, was a rural physician in Dingzhou City, Hebei Province. While alive, he treated a patient whom many doctors had failed to cure after long periods. He examined the medications used by previous doctors, either Western or Chinese. Among Chinese medicines, some were for clearing heat, some for nourishing Yin, some for purging downward, some for draining dampness, yet none achieved success. Carefully considering pulse and symptoms, it was difficult to determine the prescription. Taking a walk in a wild forest, suddenly feeling a cool breeze on his face, he instantly felt light and comfortable all over. He realized. He said: The reason these medicines were ineffective is insufficient dispersing action. He added Xi Xin (Asarum) 3g to the previous prescription, cured in one dose. Also, a child with high fever, sweating, coma, and continuous convulsions. Previous doctors treated with Chinese and Western medicines without effect. My deceased brother saw the condition resembled Hua Ban Tang (Spot-Resolving Decoction) syndrome, but due to limited conditions, oral administration was not possible. So he applied cold wet towels to the forehead, changing them every minute, replacing them dozens of times, and indeed the fever subsided and convulsions stopped, resulting in recovery.
Mr. Zhu Qingfeng said: The thinking method of drawing analogies and comparing images is a powerful weapon for solving difficult problems in my clinical practice, used frequently with verified results. Please, younger brother, carry it forward.
Wei Syndrome (Flaccidity Syndrome)
*Sù Wèn · Wěi Lùn Piān* (Su Wen: Chapter on Flaccidity Syndromes) states: "The Lung is the chief of the Zangs, the cover of the Heart. Loss or unattained desires cause Lung sounds, and sound leads to Lung heat and scorched leaves. Thus it is said: All five Zangs, due to Lung heat and scorched leaves, develop into Wei Bi (flaccidity paralysis)." Li Zhongzi said: "Metal of the Lung has a dry nature, resides upper and governs Qi transformation, issuing commands throughout the body, fearing fire. Heat and fire of the five Zangs steaming upward cause Metal to be overcome and Lung heat with scorched leaves, thus diseases vary among the five Zangs, but the area of Hand Taiyin [Lung Meridian] is invariably injured." I follow his intent in treating early Wei Syndrome, often with effectiveness. For example: Patient Song XX, Male, Adult. Quadriplegia for over a month, diagnosed as polyneuritis in a certain hospital. First treated with Western medicines without effect, invited me to diagnose. Examining symptoms: fever with heavy sweating, coughing with much phlegm, dry throat and mouth, irritability, thirst, and excessive drinking, red tongue body, yellow and dry coating, floating-slippery-rapid pulse. Synthesizing pulse and symptoms, diagnosed as blazing Lung-Stomach heat, phlegm-heat congestion, heat injuring Lung Yin. Proposed clearing Lung and nourishing Yin, resolving phlegm and stopping cough. Modified Qing Zao Jiu Fei Tang (Clear Dryness Rescue Lung Decoction): Dang Shen 9g, Sha Shen 9g, Gan Cao 6g, Zhi Gan Cao 3g, Zhi Pa Ye 10g, Sheng Shi Gao 30g, E Jiao 10g (melted), Xing Ren 9g, Mai Dong 10g, Hei Zhi Ma 9g, Sang Ye 10g. After taking 2 doses, fever and cough improved, limbs could move slightly. After continuing for 10 doses, with others' support, could get off the ground and walk ten-plus steps. Recovered normally after two months.
As the course of disease prolongs, damp-heat damaging Qi and Yin is common, so treating with boosting Qi and nourishing Yin, drying dampness and clearing heat often achieves effectiveness. For example: Patient Shao XX, Male, Adult. Quadriplegia for over 9 months, diagnosed as polyneuritis in a certain hospital. Hospitalized for over 7 months with no obvious effect. Later consulted Traditional Chinese Medicine, treated with modified San Miao Wan (Three Marvels Pill) for over a month without effect. Examining symptoms: quadriplegia, unable to move or turn over, fever with sweating, shortness of breath and palpitations, irritability and insomnia, yellow-white and greasy tongue coating, bright white complexion, deficient-large-slippery-rapid pulse. Synthesizing pulse and symptoms, diagnosed as dual deficiency of Qi and Yin, damp-heat accumulation. Proposed boosting Qi and nourishing Yin, drying dampness and clearing heat, modified Qi Mai San Miao Tang (Astragalus and Ophiopogon Three Marvels Decoction): Huang Qi 15g, Dang Shen 10g, Dang Gui 6g, Mai Dong 10g, Wu Wei Zi 10g, Shi Hu 10g, Cang Zhu 10g, Huang Bo 10g, Huai Niu Xi 10g, Sang Zhi 30g. After taking 20 doses, limbs could move slightly, fever, sweating, palpitations, and shortness of breath improved. After taking 60 doses, with others' support, could get off the ground to move, but tendons and bones felt somewhat tense and uncomfortable. Added Mu Gua 10g, continued for 5 months to recover normally.