豆皮（三钱） 丹参（一钱） 麦冬（一钱半） 川斛（一钱半） 藕汁（一小杯）
陈 胃虚。客气上逆为呃噫。痰带血星。咽中微痛。姑拟镇摄法。（胃虚气逆）
人参 熟地炭 五味 茯神 青铅
又 照前方去青铅加麦冬川斛远志炭。
孙（三五）脉小弦。血去食减。服地黄柔腻。反觉呆滞。且不喜肥甘。议两和肝胃。（肝胃不和）
苏子 茯苓 金石斛 降香 钩藤 黑山栀
蔡（三九）新沐热蒸气泄。络血上溢退场门。平昔痰多。又不渴饮。而大便颇艰。此胃气不得下行为顺
之旨。兼以劳烦嗔怒。治在肝胃。
金石斛 紫降香 炒桃仁 橘红 苡仁 茯苓
万 脉数左坚。当夏四月。阳气方张。陡然嗔怒。肝阳勃升。络血上涌。虽得血止。而咳逆欲呕。眠
卧不得欹左。此肝阳左升太过。木失水涵。阴亏则生热。是皆本体阴阳迭偏。非客邪实火可
清可降之比。最宜恬澹无为。安静幽闲。经年不反。可望转偏就和。但图药治。胃减损怯矣。经
云胃咳之状。咳逆而呕。木犯胃土贯膈。即至冲咽入肺。肺衰木反刑金。从内经甘缓以制其急。
米炒麦冬 糯稻根须 女贞子 茯神 生甘草 南枣肉
又 乙癸同治。益胃养阴。
人参（秋石汤洗烘干为末） 生地 熟地 天冬 麦冬
以人参末收实。
某 血去胃伤。当从中治。况五年前劳怒而得病。肝木无不克土。医者温补竞进。气壅为胀。至
夜咽干无寐。食物不思。杳不知味。为呕为咳。全是胃阳升逆。经云。胃不和。则卧不安。而阳不
潜降。似属浊气胶痰有形之物。阻挠升降而然。古人有二虚一实。当先治实。以开一面之文。
余从胃病为主。制肝救中。理气清膈。乃不足中有余圆通之治。此机勿得乱治。
人参 枳实 半夏 杏仁 甘草 竹茹 生姜 大枣
李 暴怒。肝阳大升。胃络血涌甚多。已失气下行为顺之旨。仲淳吐血三要云。降气不必降火。
目今不饥不纳。寒腻之药所致。
炒苏子 降香汁 山栀 炒山楂 郁金 茯苓 川斛 丹参
某 左脉细坚搏指。肝阳逆。失血。汗。
熟地 五味 炙草 牛膝 白芍 桂心 童便（冲）
李（氏）脉细小如无。素多郁怒。经来即病。冬月胃痛。随有咯血不止。寒战面赤。惊惕头摇。显是肝阳变风。络
血沸起。四肢逆冷。真 衰微。内经有肝病暴变之文。势岂轻渺。议用景岳镇阴煎法。制其阳逆。仍是就下之义。
熟地炭 牛膝炭 肉桂 茯神 生白芍 童便
又 经来血止。肝病何疑。
炒楂肉 当归 炒延胡 泽兰 桃仁 茯苓
沈（氏）血后久咳。脘痛食减。经闭便溏。拟进疏泄肝气。（肝气）
苏子 炒丹皮 桃仁 郁金 钩藤 白芍
蔡（三七）水寒外加。惊恐内迫。阴疟三年。继患嗽血。迄今七年。未有愈期。询及血来紫块。仍能知味
安谷。参其疟伤惊伤。必是肝络凝瘀。得怒劳必发。勿与酒色伤损。乱投滋阴腻浊之药。恐胃
气日减。致病渐剧。（血络痹阻）
桃仁（三钱） 鳖甲（三钱） 川桂枝（七分） 归须（一钱） 大黄（五分） 茺蔚子（二钱）
柴（二五）劳伤。寒暖不匀。胁痛嗽血。食物不减。宜降气和络。
苏子 茯苓 降香 橘红 桔梗 苡仁 韭白汁
陆 交春分前五日。肝木升旺之候。涎血大吐。胸脘不爽。此久郁气火灼热。神志失守。遂多惊
恐。络中之血。随火升气逆而上。当先降其气。不宜寒苦碍阻。
苏子 降香 丹参 楂肉 桃仁 郁金 茯苓 黑栀皮
吴 脉涩。能食咳血。
降香 桃仁 郁金 苏子 炒山楂 苡仁
韭白汁（冲入）
姚（四五）此劳伤身动失血。胁有瘕聚。因咳甚而血来。先宜降气。
苏子 苡仁 茯苓 黑山栀 丹皮 降香 荆芥炭 牛膝炭 藕汁
吴（三四）形畏冷。寒热。左胁有宿痞。失血咳嗽。曾骤劳力。经年 羸。药不易效。
旋复花 新绛 归须 炒桃仁 柏子仁 茯神
何（三七）左乳傍胁中。常似针刺。汗出。心嘈能食。此少阳络脉。阳气燔灼。都因谋虑致伤。将有络血
上涌之事。议清络宣通。勿令瘀着。
生地 丹皮 泽兰叶 桃仁 郁金 琥珀末
又 服通络方。瘀血得下。新血亦伤。嘈杂善饥。阳亢燔灼。营阴不得涵护也。仍以和阳熄风方法。
阿胶 鸡子黄 生地 麦冬 生甘草 生白芍
王（二十）吐血后。不饥。胸背痛。
苏子 桔梗 郁金 蒌皮 山栀皮 降香
罗（十八）因左脉坚搏。两投柔剂和阳益阴。血未得止。而右胸似痞。左胁中刺痛。此少阳络脉经由
之所。夫胆为清净之腑。阴柔滋养。未能宣通络中。是痛咳未罢。议以辛润宣畅通剂。
桃仁 丹皮 归须 柏子仁 泽兰 降香末
又 照前方去降香末泽兰加黑山栀皮。
又 辛润。痛嗽皆减。略进苦降。胁右皆痛。不但络空。气分亦馁。古人以身半以上为阳。原无取乎沉苦。
桃仁 柏子仁 鲜生地 玄参 鲜银花
程（四一）脉左弦。右小濡。据病原起于忧郁。郁勃久而化热。蒸迫络脉。血为上溢。凝结成块者。离络
留而为瘀也。血后纳食如昔。是腑络所贮颇富。况腑以通为用。血逆气亦上并。漉漉有声。皆
气火旋动。非有形质之物。凡血病五脏六腑皆有。是症当清阳明之络为要。至于病发。当治
其因。又不必拘执其常也。
枇杷叶 苡仁 茯苓 苏子 桑叶 丹皮 炒桃仁 降香末
某（二八）努力咳血。胸背悉痛。当用仲淳法。
苏子 降香汁 炒丹皮 苡仁 冬瓜仁 炒桃仁 牛膝 川贝母
某 冬令过温。人身之气不得潜藏。阴弱之质。血随气逆。诊得阳明脉动。吐出瘀黑。络中离位
之血尚有。未可以止涩为事。
生地 丹参 丹皮 降香 桃仁 牛膝 韭汁 童便（冲）
某 肝逆失血。
苏子 郁金 降香汁 炒丹皮 钩藤 赤芍 丹参 茯苓 白糯米汤煎。
侯（十九）胃脘当心。肝经交络所过。上布于肺。咳嗽胃旁作酸。腹 胀。络气逆也。当虑失血。脉数能
食。宜和络气。
生地 桃仁 桑叶 丹皮 麦冬 茯神
陈（二七）吐血八日。脘闷胁痛。肢冷。络伤气窒。先与降气和血。（血络痹胸胁痛）
苏子 郁金 杏仁 茯苓 桃仁 降香
翁（二二）问诵读静坐。痰血夏发。入冬不已。胸胁痛引背部。脉小微涩。非欲伤阴火。夫痛为络脉失
和。络中气逆血上。宗仲淳气为血帅。
苏子 苡仁 茯苓 山楂 桑叶 丹皮 降香末 老韭白
江 诊脉数。涕有血。嗽痰。冷热外因动肺。缘素患肝痹。左胁不耐卧着。恐阳升血溢。微用苦辛
泄降。不宜通剂。
黑山栀 桑叶 花粉 知母 栝蒌皮 降香
沈 左胁岑胀。攻触作楚。咳痰带血。无非络中不得宁静。姑进降气通络方。
降香汁 苏子 苡仁 茯苓 橘红 钩藤 白蒺 韭白汁
又 脉右长。呛血。仍宜降气。
苏子 苡仁 茯苓 山栀 丹皮 钩藤 郁金
金（二九）饥饱劳力。气逆血瘀。胸痛频吐。此液耗阳升。上逆不已。血无止期。先宜降气通调。莫与腻塞。
苏子 降香 桃仁 丹参 韭白汁 山栀 茯苓
某（四一）脉弦。失血。胁痛气逆。
枇杷叶（三钱） 冬瓜子（三钱） 苏子（一钱） 苡仁（三钱） 炒丹皮（一钱） 桃仁（三钱） 降香汁（八
分） 牛膝炭（一钱半）
方（四二）忧思怫郁。五志气火内燔。加以烟辛泄肺。酒热戕胃。精华营液。为热蒸化败浊。经云。阳络
伤则血外溢。盖胃络受伤。阳明气血颇富。犹勉强延磨岁月。至于阳明脉络日衰。斯背先
发冷。右胁酸疼。而咳吐不已。胃土愈惫。肝木益横。厥阳愈逆。秽浊气味。无有非自下泛上。大
凡左升属肝。右降属肺。由中焦胃土既困。致有升无降。壅阻交迫。何以着左卧眠。遏其升逆
之威。且烦蒸热灼。并无口渴饮水之状。病情全在血络。清热滋阴之治。力量不能入络。兹定
清养胃阴为主。另进通络之义。肝胆厥阳少和。冀其涎少胁通。积久沉 。调之非易。
桑叶 丹皮 苡仁 苏子 钩藤 郁金 降香 桃仁
又 桑叶 枇杷叶 苡仁 大沙参 苏子 茯苓 郁金 降香
又 早服琼玉膏。
胡（六七）有年冬藏失司。似乎外感热炽。辛散苦寒。是有余实症治法。自春入夏。大气开泄。日见恹
恹衰倦。呼吸喉息有声。胁肋窒板欲痛。咯呛紫血。络脉不和。议以辛补通调。不致寒凝燥结。
冀免关格上下交阻之累。
柏子仁 细生地 当归须 桃仁 降香 茯神
石（三四）先有骨痛鼓栗。每至旬日。必吐血碗许。自冬入夏皆然。近仅可仰卧。着右则咳逆不已。据
说因怒劳致病。都是阳气过动。而消渴舌翳。仍纳谷如昔。姑以两和厥阴阳明之阳。非徒泛泛见血见嗽为治。（怒劳血痹）
石膏 熟地 麦冬 知母 牛膝
又 石膏 生地 知母 丹皮 大黄 桃仁 牛膝
蒋（六二）宿伤。怒劳动肝。血溢紫块。先以降气导血。
苏子 降香末 桃仁 黑山栀 金斛 制大黄
又 天地杞圆加枣仁茯神。
某 形盛脉弦。目 黄。咳痰粘浊。呕血。此胃有湿热胶痰。因怒劳动肝。故左胁中痛。血逆而上。
非虚损也。当薄味静调。戒嗔怒。百日可却。
苏子 降香 广皮白 生姜 桃仁 郁金 金斛 六服后。接服海粉丸半斤。
某 向有背痛。尚在劳力。气逆咳血。乃劳伤病也。（劳力伤）归建中去姜加茯苓。
某（二八）努力伤络。失血面黄。口中味甜。脘中烦闷冲气。病在肝胃。勿以失血。治以滋腻。
旋复花 代赭石 半夏 淡干姜 块茯苓 南枣肉
吕（二九）脉数上出。右胁上疼。则痰血上溢。必因嗔怒努力劳烦。致络中气阻所致。宜安闲静摄。戒
怒慎劳。一岁之中。不致举发。可云病去。
降香末（八分冲） 炒焦桃仁（三钱） 丹皮（一钱） 野郁金（一钱） 茯苓（三钱） 黑山栀（一钱） 丹参
（一钱） 橘红（一钱）
吴（氏）气塞失血。咳嗽心热。至暮寒热。不思纳谷。此悒郁内损。二阳病发心脾。若不情怀开爽。服
药无益。（郁）
阿胶 麦冬 茯神 白芍 北沙参 女贞子
李（氏）情志久郁。气逆痰喘。入夏咳血。都因五志阳升。况脘有聚气。二年寡居。隐曲不伸。论理治
在肝脾。然非药饵奏功。
降香末 枇杷叶 苏子 郁金 栝蒌皮 黑栀皮 茯苓 苡仁
吴（氏）郁损。咳血频发。当交节气逆。呕吐肢冷厥逆。所现俱是虚劳末路。岂是佳景。勉拟方。
生白芍 乌梅 炙草 炒麦冬 茯神 橘红
张（氏）失血。口碎舌泡。乃情怀郁勃内因。营卫不和。寒热再炽。病郁延久为劳。所喜经水尚至。议
手厥阴血分主治。
犀角 金银花 鲜生地 玄参 连翘心 郁金
失血一症。名目不一。兹就上行而吐者言之。三因之来路宜详也。若夫外因起见。阳邪为
多。盖犯是症者。阴分先虚。易受天之风热燥火也。至阴邪为患。不过其中之一二耳。其治
法总以手三阴为要领。究其病在心营肺卫如何。若夫内因起见。不出乎嗔怒郁勃之激
伤肝脏。劳形苦志而耗损心脾。及恣情纵欲以贼肾脏之真阴真阳也。又当以足三阴为
要领。再审其乘侮制化如何。若夫不内不外因者。为饮食之偏好。努力及坠堕之伤。治
分脏腑经络之异。要知外因而起者。必有感候为先。里因而起者。必有内症可据。此三因
根蒂用药。切勿混乱。大凡理肺卫者。用甘凉肃降。如沙参麦冬桑叶花粉玉竹川斛等类。
治心营者。以轻清滋养。如生地玄参丹参连翘竹叶骨皮等类。以此两法为宗。随其时令
而加减。若风淫津涸。加以甘寒。如芦根蔗汁薄荷羚羊之品。若温淫火壮。参入苦寒。如山
栀黄芩杏仁石膏之品。若暑逼气分。佐滑石鲜荷之开解。在营与银花犀角之清芳。秋令
选纯甘以清燥。冬时益清补以助藏。凡此为外因之大略。所云阴邪为患者。难以并言也。
旧有麻黄人参芍药汤。先生有桂枝加减法。至于内因伤损。其法更繁。若嗔怒而动及肝
阳。血随气逆者。用缪氏气为血帅法。如苏子郁金桑叶丹皮降香川贝之类也。若郁勃日
久而伤及肝阴。木火内燃阳络者。用柔肝育阴法。如阿胶鸡黄生地麦冬白芍甘草之类
也。若劳烦不息。而偏损心脾。气不摄血者。用甘温培固法。如保元汤归脾汤之类也。若纵
欲而竭其肾真。或阳亢阴胜。或阴伤阳越者。有从阴从阳法。如青铅六味。肉桂七味。并加
童便之类也。若精竭海空。气泛血涌者。先生用急固真元。大补精血法。如人参枸杞五味
熟地河车紫石英之类也。凡此为内因之大略。至于不内不外因。亦非一种。如案中所谓
烟辛泄肺。酒热戕胃之类。皆能助火动血。有治上治中之法。如苇茎汤。甘露饮。茅根藕汁
等剂。在人认定而用之可也。坠堕之伤。由血瘀而泛。大抵先宜导下。后宜通补。若努力为
豆皮（三钱） 丹参（一钱） 麦冬（一钱半） 川石斛（一钱半） 藕汁（一小杯）
姓陈的患者。胃气虚弱。外来邪气上逆导致呃逆嗳气。痰中带有血丝。咽喉轻微疼痛。暂时采用镇摄法治疗。（胃虚气逆）
人参 熟地黄炭 五味子 茯神 青铅
再次就诊。按照前方去掉青铅，加入麦冬、川石斛、远志炭。
姓孙的患者（三十五岁）。脉象小且弦。失血后食欲减退。服用地黄等柔润滋腻的药物后，反而觉得呆滞不适。并且不喜欢肥甘厚味。建议调和肝胃。（肝胃不和）
紫苏子 茯苓 金石斛 降香 钩藤 黑山栀
姓蔡的患者（三十九岁）。刚洗完热水澡，热气蒸腾导致泄泻。络脉中的血液上溢，从肛门排出。平时痰多，且不口渴饮水，但大便相当干结。这是违背了胃气应当下行以维持顺调的原则。加上劳累烦扰和愤怒，治疗重点在肝胃。
金石斛 紫降香 炒桃仁 橘红 薏苡仁 茯苓
姓万的患者。脉数，左侧脉坚搏。正值夏季四月，阳气正盛。突然发怒，肝阳勃然上升，络脉中的血液上涌。虽然血止住了，但咳嗽气逆想要呕吐，睡觉时不敢向左侧卧。这是肝阳左侧上升太过，木气失去肾水的涵养。阴液亏损则产生内热，这些都是本体阴阳偏颇失调，不是外感客邪实火可以简单清热降火所能比拟的。最适宜心境恬淡无为，保持安静幽闲。如果一年不复发，有望逐渐恢复平衡。如果只图靠药物治疗，会进一步损伤胃气。《内经》说：胃咳的症状，是咳嗽气逆并伴有呕吐。肝木侵犯胃土，贯穿膈肌，甚至冲入咽喉波及肺脏。肺气衰弱，木气反而克制金气。根据《内经》“急者缓之”的原则，用甘缓的药物来制约其急迫。
米炒麦冬 糯稻根须 女贞子 茯神 生甘草 南枣肉
再次就诊。乙癸同源同治，补益胃气，滋养阴液。
人参（用秋石汤清洗烘干研末） 生地黄 熟地黄 天冬 麦冬
用人参末收束药力。
某患者。失血损伤胃气，应当从中焦脾胃论治。况且五年前因劳累愤怒而患病，肝木必然克制脾土。医生们竞相使用温补药物，导致气机壅滞形成胀满。到了夜晚咽喉干燥无法入睡，不想吃东西，完全尝不出味道。出现呕吐和咳嗽，全是胃阳升发上逆所致。《内经》说：胃不和则卧不安。而且阳气不能潜藏下降，似乎属于浊气胶结的痰等有形之物，阻碍了气机的升降。古人有“二虚一实，当先治实”的说法，以打开治疗的局面。我从胃病为主，制约肝气，救助中焦，理气清膈，这是不足之中兼有余邪的圆通治法。此时切勿乱治。
人参 枳实 半夏 杏仁 甘草 竹茹 生姜 大枣
姓李的患者。暴怒导致肝阳大升，胃络血液涌出很多。已经违背了气以下行为顺的原则。缪仲淳《吐血三要》说：降气不必降火。目前不饥饿也不进食，是寒凉腻滞药物导致的。
炒苏子 降香汁 山栀 炒山楂 郁金 茯苓 川石斛 丹参
某患者。左脉细弱坚搏指下。肝阳上逆，失血，出汗。
熟地黄 五味子 炙甘草 牛膝 白芍 桂心 童便（冲服）
姓李的患者（妻子）。脉象细小几乎摸不到。平素多郁怒，月经期间发病。冬季胃痛，随后咯血不止，寒战面赤，惊悸头摇。明显是肝阳化风，络脉血液沸腾上涌。四肢逆冷，真阳衰微。《内经》有关于肝病急剧变化的记载，病情岂能轻视？建议采用张景岳的镇阴煎法，制约其阳气的上逆，仍是引血下行的意义。
熟地黄炭 牛膝炭 肉桂 茯神 生白芍 童便
再次就诊。月经来潮后血止，肝病无疑。
炒山楂肉 当归 炒延胡索 泽兰 桃仁 茯苓
姓沈的患者（妻子）。失血后长期咳嗽，胃脘疼痛，食欲减退，闭经，大便溏薄。拟疏泄肝气。（肝气郁滞）
紫苏子 炒牡丹皮 桃仁 郁金 钩藤 白芍
姓蔡的患者（三十七岁）。外受水寒之气，内受惊恐逼迫，患阴疟三年，继而又患咳血，至今七年，没有痊愈的期限。询问得知血色紫暗成块，仍能知味安谷。参究其疟疾和惊恐所伤，必定是肝络凝滞瘀血，遇到愤怒和劳累就会发作。不要当作酒色损伤来处理，胡乱投用滋阴腻浊的药物，恐怕胃气日渐减少，导致疾病逐渐加重。（血络痹阻）
桃仁（三钱） 鳖甲（三钱） 川桂枝（七分） 归须（一钱） 大黄（五分） 茺蔚子（二钱）
姓柴的患者（二十五岁）。劳伤，寒暖不均，胁痛咳血，食物不减。宜降气和络。
紫苏子 茯苓 降香 橘红 桔梗 薏苡仁 韭白汁
姓陆的患者。交春分前五日，是肝木升发旺盛的时候。大量吐涎血，胸脘不适。这是久郁的气火灼热，神志失守，于是多惊恐。络脉中的血液，随着火势上升和气机逆乱而上行。应当先降其气，不宜用寒苦药物碍阻气机。
紫苏子 降香 丹参 山楂肉 桃仁 郁金 茯苓 黑山栀皮
姓吴的患者。脉涩，能进食但咳血。
降香 桃仁 郁金 紫苏子 炒山楂 薏苡仁
韭白汁（冲入）
姓姚的患者（四十五岁）。这是劳伤身体活动导致的失血，胁下有瘕聚，因为咳嗽剧烈而出血。先宜降气。
紫苏子 薏苡仁 茯苓 黑山栀 牡丹皮 降香 荆芥炭 牛膝炭 藕汁
姓吴的患者（三十四岁）。形体怕冷，寒热往来，左胁有宿积痞块，失血咳嗽。曾骤然用力劳作，常年消瘦羸弱，药物不易见效。
旋覆花 新绛 归须 炒桃仁 柏子仁 茯神
姓何的患者（三十七岁）。左乳旁胁中，常感觉像针刺一样疼痛，出汗，心中嘈杂但能进食。这是少阳络脉，阳气燔灼燃烧，都因为谋虑过度导致损伤，将有络脉血液上涌的事情发生。建议清络宣通，不要让瘀血留着。
生地黄 牡丹皮 泽兰叶 桃仁 郁金 琥珀末
再次就诊。服用通络方后，瘀血得以下行，新血也受伤。嘈杂善饥，阳气亢盛燔灼，营阴不能涵护。仍以和阳熄风的方法治疗。
阿胶 鸡蛋黄 生地黄 麦冬 生甘草 生白芍
姓王的患者（二十岁）。吐血后，不饥饿，胸背痛。
紫苏子 桔梗 郁金 瓜蒌皮 山栀皮 降香
姓罗的患者（十八岁）。因为左脉坚搏，两次投用柔剂和阳益阴的药物，血未得止，而右胸感觉似痞塞，左胁中刺痛。这是少阳络脉经过的地方。胆为清净之腑，阴柔滋养，未能宣通络中气血，所以痛咳未罢。建议用辛润宣畅通剂。
桃仁 牡丹皮 归须 柏子仁 泽兰 降香末
再次就诊。照前方去掉降香末、泽兰，加入黑山栀皮。
再次就诊。辛润之法，痛咳皆减。略微进用苦降药物，胁部右侧都痛。不但络脉空虚，气分也虚弱。古人认为身半以上为阳，原本不取用沉苦药物。
桃仁 柏子仁 鲜生地 玄参 鲜银花
姓程的患者（四十一岁）。脉左弦，右小濡。据病因起于忧郁，郁结久而化热，蒸迫络脉，血液上溢。凝结成块的，是离开络脉停留而成的瘀血。失血后纳食如昔，说明腑络所贮存的精气颇丰富。况且腑以通为用，血逆气也上并，漉漉有声，都是气火旋动，并非有形质的东西。凡是血病，五脏六腑皆有，此症当清阳明之络为要。至于病发，当治其因，又不必拘执常规。
枇杷叶 薏苡仁 茯苓 紫苏子 桑叶 牡丹皮 炒桃仁 降香末
某患者（二十八岁）。努力劳作后咳血，胸背全部疼痛。应当用缪仲淳的方法。
紫苏子 降香汁 炒牡丹皮 薏苡仁 冬瓜仁 炒桃仁 牛膝 川贝母
某患者。冬季过温，人身之气不得潜藏。阴弱体质，血随气逆，诊得阳明脉动，吐出瘀黑之色。络中离位之血还有残留，不可以用止涩药处理。
生地黄 丹参 牡丹皮 降香 桃仁 牛膝 韭汁 童便（冲服）
某患者。肝气上逆失血。
紫苏子 郁金 降香汁 炒牡丹皮 钩藤 赤芍 丹参 茯苓 白糯米汤煎。
姓侯的患者（十九岁）。胃脘当心处，是肝经交络经过的地方，上布于肺。咳嗽时胃旁作酸，腹部胀满。这是络气上逆。应当担心失血。脉数能食，宜调和络气。
生地黄 桃仁 桑叶 牡丹皮 麦冬 茯神
姓陈的患者（二十七岁）。吐血八日，胃脘闷胁痛，肢冷。络伤气窒。先给予降气和血。（血络痹阻胸胁痛）
紫苏子 郁金 杏仁 茯苓 桃仁 降香
姓翁的患者（二十二岁）。问诵读静坐，痰血夏季发作，入冬不停。胸胁痛牵引背部，脉小微涩。并非欲伤阴火。夫痛为络脉失和，络中气逆血上。遵循缪仲淳“气为血帅”的理论。
紫苏子 薏苡仁 茯苓 山楂 桑叶 牡丹皮 降香末 老韭白
姓江的患者。诊脉数，鼻涕带血，嗽痰。冷热外因动肺，缘于素患肝痹，左胁不耐卧着。恐阳气上升血液溢出。微用苦辛泄降，不宜用通剂。
黑山栀 桑叶 花粉 知母 栝蒌皮 降香
姓沈的患者。左胁岑胀，攻触作楚，咳痰带血。无非络中不得宁静。暂进降气通络方。
降香汁 紫苏子 薏苡仁 茯苓 橘红 钩藤 白蒺藜 韭白汁
再次就诊。脉右长，呛血。仍宜降气。
紫苏子 薏苡仁 茯苓 山栀 牡丹皮 钩藤 郁金
姓金的患者（二十九岁）。饥饱劳力，气逆血瘀，胸痛频吐。这是津液耗损阳气上升，上逆不已，血无止期。先宜降气通调，不要用腻塞药物。
紫苏子 降香 桃仁 丹参 韭白汁 山栀 茯苓
某患者（四十一岁）。脉弦，失血，胁痛气逆。
枇杷叶（三钱） 冬瓜子（三钱） 紫苏子（一钱） 薏苡仁（三钱） 炒牡丹皮（一钱） 桃仁（三钱） 降香汁（八分） 牛膝炭（一钱半）
姓方的患者（四十二岁）。忧思怫郁，五志气火内燔，加以烟辛泄肺，酒热戕胃。精华营液，被热蒸化为败浊。《内经》说：阳络伤则血外溢。盖胃络受伤，阳明气血颇富，尚勉强延磨岁月。至于阳明脉络日衰，于是背部先发冷，右胁酸疼，而咳吐不已。胃土愈惫，肝木益横，厥阳愈逆，秽浊气味，无有非自下泛上。大凡左升属肝，右降属肺，由中焦胃土既困，致有升无降，壅阻交迫，何以着左卧眠，遏其升逆之威。且烦蒸热灼，并无口渴饮水之状。病情全在血络，清热滋阴之治，力量不能入络。兹定清养胃阴为主，另进通络之义。肝胆厥阳少和，冀其涎少胁通，积久沉疴，调之非易。
桑叶 牡丹皮 薏苡仁 紫苏子 钩藤 郁金 降香 桃仁
再次就诊。桑叶 枇杷叶 薏苡仁 大沙参 紫苏子 茯苓 郁金 降香
再次就诊。早服琼玉膏。
姓胡的患者（六十七岁）。年老冬藏失司，似乎外感热炽。辛散苦寒，是有余实症治法。自春入夏，大气开泄，日见恹恹衰倦，呼吸喉息有声，胁肋窒板欲痛，咯呛紫血，络脉不和。议以辛补通调，不致寒凝燥结。冀免关格上下交阻之累。
柏子仁 细生地 当归须 桃仁 降香 茯神
姓石的患者（三十四岁）。先有骨痛鼓栗，每至旬日，必吐血碗许。自冬入夏皆然。近仅可仰卧，着右则咳逆不已。据说因怒劳致病，都是阳气过动，而消渴舌翳，仍纳谷如昔。姑以两和厥阴阳明之阳，非徒泛泛见血见嗽为治。（怒劳血痹）
石膏 熟地 麦冬 知母 牛膝
再次就诊。石膏 生地 知母 丹皮 大黄 桃仁 牛膝
姓蒋的患者（六十二岁）。宿伤，怒劳动肝，血溢紫块。先以降气导血。
紫苏子 降香末 桃仁 黑山栀 金斛 制大黄
再次就诊。天地杞圆加枣仁茯神。
某患者。形盛脉弦，目黄，咳痰粘浊，呕血。此胃有湿热胶痰，因怒劳动肝，故左胁中痛，血逆而上。非虚损也。当薄味静调，戒嗔怒，百日可却。
紫苏子 降香 广皮白 生姜 桃仁 郁金 金斛 六服后。接服海粉丸半斤。
某患者。向有背痛。尚在劳力。气逆咳血。乃劳伤病也。（劳力伤）归建中去姜加茯苓。
某患者（二十八岁）。努力伤络，失血面黄。口中味甜，脘中烦闷冲气。病在肝胃。勿以失血，治以滋腻。
旋复花 代赭石 半夏 淡干姜 块茯苓 南枣肉
姓吕的患者（二十九岁）。脉数上出，右胁上疼，则痰血上溢。必因嗔怒努力劳烦，致络中气阻所致。宜安闲静摄，戒怒慎劳。一岁之中，不致举发，可云病去。
降香末（八分冲） 炒焦桃仁（三钱） 丹皮（一钱） 野郁金（一钱） 茯苓（三钱） 黑山栀（一钱） 丹参（一钱） 橘红（一钱）
姓吴的患者（妻子）。气塞失血，咳嗽心热，至暮寒热，不思纳谷。此悒郁内损，二阳病发心脾。若不情怀开爽，服药无益。（郁）
阿胶 麦冬 茯神 白芍 北沙参 女贞子
姓李的患者（妻子）。情志久郁，气逆痰喘，入夏咳血。都因五志阳升。况脘有聚气，二年寡居，隐曲不伸。论理治在肝脾。然非药饵奏功。
降香末 枇杷叶 紫苏子 郁金 栝蒌皮 黑栀皮 茯苓 薏苡仁
姓吴的患者（妻子）。郁损，咳血频发。当交节气逆，呕吐肢冷厥逆。所现俱是虚劳末路。岂是佳景。勉拟方。
生白芍 乌梅 炙草 炒麦冬 茯神 橘红
姓张的患者（妻子）。失血，口碎舌泡。乃情怀郁勃内因。营卫不和，寒热再炽。病郁延久为劳。所喜经水尚至。议手厥阴血分主治。
犀角 金银花 鲜生地 玄参 连翘心 郁金
失血一症，名目不一。兹就上行而吐者言之。三因之来路宜详也。若夫外因起见，阳邪为多。盖犯是症者，阴分先虚，易受天之风热燥火也。至阴邪为患，不过其中之一二耳。其治法总以手三阴为要领。究其病在心营肺卫如何。若夫内因起见，不出乎嗔怒郁勃之激伤肝脏，劳形苦志而耗损心脾。及恣情纵欲以贼肾脏之真阴真阳也。又当以足三阴为要领。再审其乘侮制化如何。若夫不内不外因者，为饮食之偏好，努力及坠堕之伤。治分脏腑经络之异。要知外因而起者，必有感候为先。里因而起者，必有内症可据。此三因根蒂用药，切勿混乱。大凡理肺卫者，用甘凉肃降。如沙参麦冬桑叶花粉玉竹川斛等类。治心营者，以轻清滋养。如生地玄参丹参连翘竹叶骨皮等类。以此两法为宗，随其时令而加减。若风淫津涸，加以甘寒。如芦根蔗汁薄荷羚羊之品。若温淫火壮，参入苦寒。如山栀黄芩杏仁石膏之品。若暑逼气分，佐滑石鲜荷之开解。在营与银花犀角之清芳。秋令选纯甘以清燥。冬时益清补以助藏。凡此为外因之大略。所云阴邪为患者，难以并言也。旧有麻黄人参芍药汤，先生有桂枝加减法。至于内因伤损，其法更繁。若嗔怒而动及肝阳，血随气逆者，用缪氏气为血帅法。如苏子郁金桑叶丹皮降香川贝之类也。若郁勃日久而伤及肝阴，木火内燃阳络者，用柔肝育阴法。如阿胶鸡黄生地麦冬白芍甘草之类也。若劳烦不息，而偏损心脾，气不摄血者，用甘温培固法。如保元汤归脾汤之类也。若纵欲而竭其肾真，或阳亢阴胜，或阴伤阳越者，有从阴从阳法。如青铅六味，肉桂七味。并加童便之类也。若精竭海空，气泛血涌者，先生用急固真元，大补精血法。如人参枸杞五味熟地河车紫石英之类也。凡此为内因之大略。至于不内不外因，亦非一种。如案中所谓烟辛泄肺，酒热戕胃之类。皆能助火动血。有治上治中之法。如苇茎汤，甘露饮，茅根藕汁等剂。在人认定而用之可也。坠堕之伤，由血瘀而泛。大抵先宜导下，后宜通补。若努力为
Doupi (3 qian) Danshen (1 qian) Maidong (1.5 qian) Chuanhu (1.5 qian) Oujiang (1 small cup)
Patient Chen: Stomach deficiency. External pathogenic qi reverses upward causing hiccup and belching. Phlegm carries blood spots. Slight pain in the throat. Tentatively apply the method of calming and anchoring. (Stomach deficiency with qi rebellion)
Renshen Shudihuang Tan Wuweizi Fushen Qingqian
Follow-up: Remove Qingqian from the previous prescription, add Maidong, Chuanhu, and Yuanzhi Tan.
Patient Sun (age 35): Pulse is small and wiry. After blood loss, appetite decreases. Taking Rehmanniae Radix Preparata (Shudihuang), which is soft and cloying, causes a feeling of stagnation. Furthermore, he dislikes rich and sweet foods. Propose harmonizing Liver and Stomach. (Liver-Stomach disharmony)
Suzi Fuling Jinshihu Jiangxiang Gouteng Heishanzhi
Patient Cai (age 39): After a new hot bath, steam causes diarrhea. Collateral blood overflows upward and exits via the anus. Usually has much phlegm, does not desire to drink water, yet stool is quite difficult. This violates the principle that Stomach Qi should descend smoothly. Combined with fatigue, worry, anger, treatment focuses on Liver and Stomach.
Jinshihu Zi Jiangxiang Chao Taoren Juhong Yiren Fuling
Patient Wan: Pulse is rapid, left side is firm. In summer, fourth month, Yang Qi is flourishing. Sudden anger causes Liver Yang to surge violently, collateral blood rushes upward. Although bleeding stopped, there is coughing, counterflow Qi, desire to vomit, and inability to sleep leaning on the left side. This is Liver Yang rising too excessively on the left, Wood failing to be nourished by Water. Yin deficiency generates heat. These are all deviations of original Yin and Yang, not comparable to external pathogenic excess fire that can simply be cleared or descended. It is most suitable to be tranquil and non-action-oriented, maintaining quietness and leisure. If it does not recur for a year, hope exists for gradual return to balance. Relying solely on herbal treatment will further damage Stomach Qi. The Classic says: The manifestation of Stomach Cough is coughing with counterflow Qi and vomiting. Wood invades Stomach Earth, piercing through the diaphragm, reaching the throat and lung. Lung Qi declines, Wood counteracts Metal. Following the Inner Classic's "Gan Huan" (Sweet and Slow) method to restrain urgency...
Mi Chao Maidong Nuodaogenxu Nvzhenzi Fusheng Gancao Nanzaorou
Follow-up: Yi Gui Tong Zhi (Treating Yi and Gui together - Liver and Kidney), benefiting Stomach Qi and nourishing Yin.
Renshen (washed with Qiushi Tang, dried, powdered) Shengdi Huang Shu Di Huang Tiandong Maidong
Use Renshen powder to consolidate.
Certain Patient: Blood loss damages Stomach Qi, should be treated from the middle. Moreover, five years ago illness arose from labor and anger; Liver Wood inevitably overacts on Earth. Physicians aggressively used warm tonification, causing Qi stagnation and distension. At night, throat is dry, unable to sleep, no desire for food, tasteless. Vomiting and coughing occur; this is entirely Stomach Yang rising and reversing. The Classic says: When Stomach is not harmonious, sleep is disturbed. Yang fails to submerge and descend, seemingly due to turbid Qi and congealed phlegm (有形之物) obstructing ascent and descent. Ancients said: "Two deficiencies and one excess, treat the excess first" to open a way forward. I focus on Stomach disease, restrain Liver, rescue the Middle, regulate Qi, clear the膈. This is a flexible treatment for deficiency with excess. Do not treat randomly at this stage.
Renshen Zhishi Banxia Xingren Gancao Zhuru Shengjiang Dazao
Patient Li: Violent anger causes Liver Yang to rise greatly, Stomach collateral blood surges heavily. Already violated the principle of Qi descending as smooth. Zhongchun's Three Essentials for Hematemesis say: Descend Qi, do not necessarily descend Fire. Currently, no hunger, no intake, caused by cold and greasy medicines.
Chao Suzi Jiangxiang Zhi Chao Shanzhi Yujin Fuling Chuanhu Danshen
Certain Patient: Left pulse is fine, firm, and beats against the finger. Liver Yang rebels, blood loss, sweating.
Shudi Wuweizhi Zhigancao Niuxi Baishao Guixin Tongbian (mixed in)
Patient Li (wife): Pulse is fine and small, almost imperceptible. Usually prone to depression and anger. Illness started during menstruation. Winter stomach pain, followed by continuous hemoptysis, chills, red face, palpitations, head shaking. Clearly Liver Yang transforming into Wind, collateral blood boiling up. Four limbs are cold, True Yang is declining. The Inner Classic mentions sudden changes in Liver disease; how can the condition be slight? Propose using Jingyue's Zhenyin Jian method to restrain Yang rebellion, still following the meaning of directing downward.
Shudihuang Tan Niuxi Tan Rougui Fusheng Baishao Tongbian
Follow-up: Menstruation came, blood stopped, Liver disease is certain.
Chao Zharou Danggui Chao Yanhu Zelan Taoren Fuling
Patient Shen (wife): Long-term cough after blood loss, epigastric pain, decreased appetite, amenorrhea, loose stools. Propose dispersing and draining Liver Qi. (Liver Qi stagnation)
Suzi Chao Danpi Taoren Yujin Gouteng Baishao
Patient Cai (age 37): External cold water, internal fear and shock. Yin malaria for three years, followed by hemoptysis, now seven years, no end in sight. Inquiry reveals blood comes as purple clots, still able to taste food and eat peacefully. Investigating malaria and shock injuries, it must be Liver collateral stasis. Triggered by anger and labor. Do not treat as alcohol/sex damage, blindly administering yin-nourishing greasy medicines, fearing Stomach Qi will decrease daily, worsening the disease. (Blood collateral obstruction)
Taoren (3 qian) Biejia (3 qian) Chuan Guizhi (7 fen) Guixu (1 qian) Dahuang (5 fen) Chongweizi (2 qian)
Patient Chai (age 25): Labor injury, uneven cold and warmth. Hypochondriac pain, hemoptysis, food intake unchanged. Should descend Qi and unblock collaterals.
Suzi Fuling Jiangxiang Juhong Jiegeng Yiren Jiubai Zhi
Patient Lu: Five days before Spring Equinox, time when Liver Wood rises vigorously. Massive vomiting of saliva and blood, chest and epigastrium uncomfortable. This is long-standing depression of Qi and Fire scorching heat, Spirit-Mind losing its residence, leading to much fear and panic. Blood in collaterals follows Fire rising and Qi reversing upward. Should first descend Qi, not use cold/bitter drugs to obstruct.
Suzi Jiangxiang Danshen Zharou Taoren Yujin Fuling Hei Zhipi
Patient Wu: Pulse is choppy. Can eat but has hemoptysis.
Jiangxiang Taoren Yujin Suzi Chao Shanzhi Yiren
Jiubai Zhi (mixed in)
Patient Yao (age 45): This is labor injury causing movement and blood loss. Mass in hypochondrium. Bleeding occurs due to severe coughing. First should descend Qi.
Suzi Yiren Fuling Hei Shanzhi Danpi Jiangxiang Jingjie Tan Niuxi Tan Oujiang
Patient Wu (age 34): Form fears cold, alternating chills and fever. Old mass in left hypochondrium. Blood loss and cough. Recently exerted force suddenly. Year-round emaciation, medicine not effective.
Xuanfuhua Xinjiang Guixu Chao Taoren Baiziren Fushen
Patient He (age 37): Beside left breast in hypochondrium, often feels like needle pricking. Sweating. Heart discomfort but can eat. This is Shaoyang collateral, Yang Qi burning. All due to excessive planning/worry causing injury, about to have collateral blood rushing up. Propose clearing collaterals and promoting circulation, do not let stasis remain.
Shengdi Huang Danpi Zelan Ye Taoren Yujin Hupo Mo
Follow-up: After taking collateral-unblocking formula, stasis blood went down, new blood also injured. Heart discomfort and good appetite, Yang hyperactivity burning, Ying Yin cannot protect. Still use method of harmonizing Yang and extinguishing Wind.
Ejiao Jizihuang Shengdi Huang Maidong Sheng Gancao Sheng Baishao
Patient Wang (age 20): After hematemesis, no hunger, chest and back pain.
Suzi Jiegeng Yujin Loupi Zhipi Jiangxiang
Patient Luo (age 18): Due to left pulse being firm and beating, twice administered soft/harmonizing methods to benefit Yang and nourish Yin, blood did not stop, right chest feels like fullness, left hypochondrium stabbing pain. This is where Shaoyang collaterals pass. Gallbladder is a pure and clear organ, Yin-soft nourishment cannot promote circulation in collaterals, so pain and cough persist. Propose pungent-moistening unblocking patent medicine.
Taoren Danpi Guixu Baiziren Zelan Jiangxiang Mo
Follow-up: From previous formula remove Jiangxiang Mo, Zelan, add Hei Zhipi.
Follow-up: Pungent-moistening, pain and cough both reduced. Slightly added bitter-descending, right hypochondrium hurts. Not only collaterals empty, Qi aspect is also weak. Ancients said upper half of body is Yang, originally no need for heavy bitter drugs.
Taoren Baiziren Xian Shengdi Xuan Shen Xian Yinhua
Patient Cheng (age 41): Pulse left wiry, right small and soggy. According to origin, illness started from depression. Depression accumulated long turning to heat, steaming and forcing collaterals, blood overflows upward. Clots formed are stasis staying after leaving collaterals. After blood loss, appetite is same as before, showing Fu-collaterals stored plenty. Moreover, Fu organs function by patency. Blood rebellion Qi also goes up, gurgling sound, all Qi-Fire rotating, not tangible substance. Blood diseases exist in all Zang-Fu, this symptom should clear Yangming collaterals as key. When illness starts, treat the cause, do not stick to routine.
Pipaye Yiren Fuling Suzi Sangye Danpi Chao Taoren Jiangxiang Mo
Certain Patient (age 28): Straining causes hemoptysis, whole chest and back hurt. Should use Zhongchun's method.
Suzi Jiangxiang Zhi Danpi Yiren Dongguaren Chao Taoren Niuxi Chuan Beimu
Certain Patient: Winter overly warm, body Qi cannot submerge. Yin-deficient constitution, blood follows Qi rebellion. Palpated Yangming pulse moving, vomited black stasis. Blood out of position in collaterals remains, cannot just use astringents.
Shengdi Huang Danshen Danpi Jiangxiang Taoren Niuxiu Jiuzhi Tongbian (mixed in)
Certain Patient: Liver rebellion blood loss.
Suzi Yujin Jiangxiang Zhi Danpi Gouteng Chi Shao Danshen Fuling Decoct with Bai Nuomi Tang.
Patient Hou (age 19): Epigastrium center, where Liver meridian crosses, spreads to Lung. Coughing makes stomach side sour, abdominal distension. Collateral Qi rebels. Should fear blood loss. Pulse rapid, can eat, should harmonize collateral Qi.
Shengdi Huang Taoren Sangye Danpi Maidong Fushen
Patient Chen (age 27): Hematemesis eight days, epigastric stuffiness, hypochondriac pain, cold limbs. Collateral injured Qi blocked. First give descending Qi and harmonizing Blood. (Blood collateral obstruction chest/hypochondriac pain)
Suzi Yujin Xingren Fuling Taoren Jiangxiang
Patient Weng (age 22): Asked about reading and sitting quietly, phlegm-blood erupts in summer, continues in winter. Chest/hypochondriac pain radiates to back. Pulse micro/small/choppy. Not desiring to injure Yin-Fire. Pain is collateral disharmony, Qi in collaterals rebels, blood goes up. Follow Zhongchun: Qi is commander of Blood.
Suzi Yiren Fuling Shanzhi Sangye Danpi Jiangxiang Mo Lao Jiubai
Patient Jiang: Palpate pulse rapid, snot has blood, cough phlegm. Cold/heat external factors move Lung. Because usually suffers Liver Bi, left hypochondrium cannot bear lying down. Fear Yang rising blood overflow. Slightly use bitter/pungent draining/descending, not patent medicine.
Hei Shanzhi Sangye Huafen Zhimu Gualou Pi Jiangxiang
Patient Shen: Left hypochondrium swollen/tight, pressing hurts, cough phlegm with blood. Merely collaterals not peaceful. Tentatively advance descending Qi unblocking collateral formula.
Jiangxiang Zhi Suzi Yiren Fuling Juhong Gouteng Baiji Li Jiubai Zhi
Follow-up: Right pulse long, choking blood. Still should descend Qi.
Suzi Yiren Fuling Shanzhi Danpi Gouteng Yujin
Patient Jin (age 29): Hunger/fullness/labor, Qi rebellion blood stasis. Chest pain frequent vomiting. This fluid consumption Yang rising, upward reversal unceasing, blood has no stopping date. First should descend Qi and regulate, do not use cloying/blocking meds.
Suzi Jiangxiang Taoren Danshen Jiubai Zhi Shanzhi Fuling
Certain Patient (age 41): Pulse wiry, blood loss, hypochondriac pain Qi rebellion.
Pipaye (3 qian) Dongguazi (3 qian) Suzi (1 qian) Yiren (3 qian) Chao Danpi (1 qian) Taoren (3 qian) Jiangxiang Zhi (8 fen) Niuxi Tan (1.5 qian)
Patient Fang (age 42): Worry/thoughts depressed, Five Emotions Qi-Fire internally burning. Plus tobacco pungent leaking Lung, wine heat damaging Stomach. Essence/Nutrient fluids turned to foul turbidity by heat steaming. Classic says: Yang collateral injured then blood overflows externally. Stomach collateral injured, Yangming Qi/Blood plentiful, still barely lasts years. Until Yangming collaterals decline day by day, then back first feels cold, right hypochondrium sore/pain, coughing/vomiting unceasing. Stomach Earth more exhausted, Liver Wood more rampant, Jue-Yang more rebellious, foul odor, none not floating up from below. Generally left ascending belongs to Liver, right descending belongs to Lung. Since Middle Jiao Stomach Earth is trapped, resulting in ascending without descending, blocking and pressing, how can lie on left side to sleep, suppress ascending/rebellent might? Also vexing steaming heat scorching, no thirst drinking water sign. Condition entirely in blood collaterals, clearing heat/nourishing Yin treatment power cannot enter collaterals. Now determine clearing/nourishing Stomach Yin as main, additionally advance unblocking collateral meaning. Liver/Gallbladder Jue-Yang slightly harmonized, hope saliva less, hypochondrium unblocked, accumulated deep sickness, regulating not easy.
Sangye Danpi Yiren Suzi Gouteng Yujin Jiangxiang Taoren
Follow-up: Sangye Pipaye Yiren Dashashen Suzi Fuling Yujin Jiangxiang
Follow-up: Take Qiongyu Gao early morning.
Patient Hu (age 67): Elderly, winter storage failed, seems external heat blazing. Pungent dispersing/bitter cold, is excess-solid treatment method. From spring to summer, Great Qi opens/releases, day by day listless/fatigued, breathing throat sounds, hypochondrium stiff/board wanting pain, coughing/spitting purple blood, collaterals not harmonious. Propose pungent-tonifying unblocking/regulating, not causing cold coagulation/dryness. Hope avoid Guan-Ge upper/lower mutual obstruction burden.
Baiziren Xi Shengdi Danggui Xu Taoren Jiangxiang Fushen
Patient Shi (age 34): Previously bone pain/shivering, every ten days, must vomit blood bowl amount. From winter to summer always so. Recently only can lie supine, lying right causes cough/reversal unceasing. Said due to anger/labor causing illness, all Yang Qi over-moving, while Xiao-Khe tongue coating, still eats grain as usual. Tentatively harmonize Jue-Yang/Yangming Yang, not merely treating seeing blood/cough generally. (Anger/Labor blood Bi)
Shigao Shudi Maidong Zhimu Niuxi
Follow-up: Shigao Shengdi Zhimu Danpi Dahuang Taoren Niuxi
Patient Jiang (age 62): Old injury, anger/labor moves Liver, blood overflows purple clots. First descend Qi guide blood.
Suzi Jiangxiang Mo Taoren Hei Shanzhi Jinhu Zhi Dahuang
Follow-up: Tian Di Qi Yuan add Zaoren Fushen.
Certain Patient: Robust form wiry pulse, yellow eyes, cough phlegm sticky/turbid, hematemesis. This Stomach has damp-heat congealed phlegm, due to anger/labor moving Liver, thus left hypochondrium pain, blood rebels upward. Not deficiency consumptive. Should light flavor quiet regulation, forbid anger, hundred days can eliminate.
Suzi Jiangxiang Guangpi Bai Shengjiang Taoren Yujin Jinhu After six doses, continue Hai Fen Wan half jin.
Certain Patient: Previously back pain. Still laboring. Qi rebellion hemoptysis. Is labor injury disease. (Labor injury) Guijian Qu remove Ginger add Fuling.
Certain Patient (age 28): Straining injures collaterals, blood loss yellow face. Mouth sweet taste, epigastrium vexing fullness rushing Qi. Disease in Liver/Stomach. Do not because of blood loss, treat with cloying/nourishing.
Xuanfuhua Daizheshi Banxia Dan Ganjiang Kuai Fuling Nanzaorou
Patient Lv (age 29): Pulse rapid coming up, right hypochondrium upper pain, then phlegm-blood overflows. Must be due to anger/straining/labor causing collateral Qi blockage. Should be peaceful/quietly anchoring, forbid anger/caution labor. Within one year, not likely to erupt, can say disease gone.
Jiangxiang Mo (8 fen mixed) Chao Jiao Taoren (3 qian) Danpi (1 qian) Ye Yujin (1 qian) Fuling (3 qian) Hei Shanzhi (1 qian) Danshen (1 qian) Juhong (1 qian)
Patient Wu (wife): Qi blocked blood loss, cough heart heat, evening chills/fever, no desire to eat. This depression internal damage, Two Yang disease affects Heart/Spleen. If not mood open/refreshed, taking medicine useless. (Depression)
Ejiao Maidong Fushen Baishao Beishashen Nvzhenzi
Patient Li (wife): Emotion long depressed, Qi rebellion phlegm wheezing, summer hemoptysis. All due to Five Emotions Yang rising. Moreover epigastrium has gathered Qi, two years widowhood, hidden grievances not extended. Theoretically treat Liver/Spleen. However not medicine efficacy achieves success.
Jiangxiang Mo Pipaye Suzi Yujin Gualou Pi Hei Zhipi Fuling Yiren
Patient Wu (wife): Depression damage, hemoptysis frequent. When changing solar terms rebellion, vomiting limb cold jue-ni. Manifested all are consumptive late stage. How is good scene. Tentatively prescribe formula.
Sheng Baishao Wumei Zhigan Chao Maidong Fushen Juhong
Patient Zhang (wife): Blood loss, mouth cracks/tongue blisters. Is emotion depressed/internal cause. Ying/Wei not harmonious, chills/fever again blazing. Disease depression prolonged becomes consumptive. Pleasant menstrual flow still arrives. Propose Hand Jueyin Blood aspect main treatment.
Xijiao Jinyinhua Xian Shengdi Xuan Shen Lianqiao Xin Yujin
Hemoptysis symptom, names vary. Here speak of those going up and vomiting. Three Causes' origins should be detailed. If external cause arises, Yang pathogen is many. Those contracting this symptom, Yin division first deficient, easily receives Heaven's Wind-Heat-Dry-Fire. To Yin pathogen harm, only one or two thereof. Treatment method generally takes Hand Three Yin as key. Investigate disease in Heart Ying/Lung Wei how. If internal cause arises, not out of anger/depression stimulating injuring Liver, labor body hard mind consuming Heart/Spleen. And indulging desire destroying Kidney True Yin/True Yang. Also should take Foot Three Yin as key. Again examine their multiplying/rebelling controlling/transformation how. If neither internal nor external cause, is diet preference, straining and falling injuries. Treatment divides Zang-Fu/Collateral differences. Know external cause arising, must have sensation signs first. Internal cause arising, must have internal symptoms basis. These Three Causes root medication, strictly do not confuse. Generally regulating Lung/Wei, use Sweet-Cool肃降. Like Shashen Maidong Sangye Huafen Yuzhu Chuanhu etc categories. Treating Heart Ying, use Light-Clear nourishing. Like Shengdi Xuan Shen Danshen Lianqiao Zhuye Gutou etc categories. Take these two methods as ancestor, follow seasons adding/subtracting. If Wind excessive fluid dry, add Sweet-Cold. Like Lugeng Zheshui Bohe Lingyang items. If Warm excessive fire strong, mix in Bitter-Cold. Like Shanzhi Huangqin Xingren Shigao items. If Summer Heat forces Qi aspect, assist Huashi Xianhe opening/resolving. In Ying with Yinhua Xijiao clearing/fragrant. Autumn season select pure Sweet to clear dryness. Winter time increase Clear-Tonify to help storage. All this is external cause general outline. Said Yin pathogen harming, hard to speak together. Old has Mahuang Renshen Shaoyao Tang, Mr. has Guizhi modification method. As for internal cause damage, methods more complex. If anger moves Liver Yang, blood follows Qi rebellion, use Miao's Qi is Blood Commander method. Like Suzi Yujin Sangye Danpi Jiangxiang Chuan Bei etc. If depression long injuring Liver Yin, Wood/Fire internally burning Yang collateral, use Soft-Liver Nourish-Yin method. Like Ejiao Ji Huang Shengdi Maidong Baishao Gancao etc. If labor/worry ceaseless,偏损 Heart/Spleen, Qi not holding blood, use Sweet-Warm Tonify-Secure method. Like Baoyuan Tang Guipi Tang etc. If indulgence exhausts Kidney True, or Yang hyperactive Yin winning, or Yin injured Yang escaping, have follow Yin/Yang methods. Like Qingqian Liuwei, Rougui Qiwei. Plus Tongbian etc. If essence exhausted sea empty, Qi floats blood surges, Mr. uses Urgently Secure True Origin, Great Tonify Essence/Blood method. Like Renshen Gouqi Wuwei Shudi Heche Zishiyang etc. All this is internal cause general outline. As for neither internal nor external cause, also not one type. Like case said tobacco pungent leaks Lung, wine heat damages Stomach etc. All can aid fire move blood. Have treating Upper/Middle methods. Like Weijing Tang Ganlu Yin Maogen Oujiang etc formulas. Depends on person recognizing and using. Falling injuries, from blood stasis overflowing. Generally first should guide down, later should unblock/tonify. If straining is