高(四四) 咽阻。吞酸痞胀。食入呕吐。此肝阳犯胃。用苦辛泄降。(肝犯胃)
吴萸 川连 川楝子 杏仁 茯苓 半夏 浓朴
钱(三七) 脉细。右坚大。向有气冲。长夏土旺。呕吐不纳食。头胀脘痹。无非厥阳上冒。议用苦辛降逆。
酸苦泄热。不加嗔怒。胃和可愈。
川连 半夏 姜汁 川楝子皮 乌梅 广皮白
金(四三) 脉细小而弦。风木乘土。当春势张。食入不变。呕吐。得小便通少缓。治以通阳。
炮附子 人参 半夏 吴萸 淡姜 茯苓
又 脉右弦涩。阳微阴凝。食入则吐。胃痛胀甚。半月前用药得效后。反大便欲解不通。腑阳不
利。浊乃上攻。先用玉壶丹七分。四服。
蒋(三二) 脉沉。食入呕吐。忌冷滞食物。
吴萸 半夏 姜汁 茯苓 公丁香柄 广皮白
顾 脉濡弱。左胁下久有聚气。纳食酿积于胃脘之中。两三日呕噫吞酸。积物上涌吐出。此皆
怫怒动肝。肝木犯胃。胃中阳伤。不能传及小肠。遂变化失司。每七八日。始一更衣。为胃气不
主下行故也。法当温胃阳。制肝逆。宿病纠缠。恐多反复。
淡附子 淡干姜 姜汁 生白芍 淡吴萸 白粳米
朱 胃中不和。食入呕吐。怒动而病。必先制肝。温胆合左金为宜。去甘草茯苓加姜汁。
某 气自左升。腹中膨满。呕吐涎沫黄水。暴咳不已。是肝气逆乘。过胃犯肺。当制肝和胃。安
蛔丸
某 呕黑绿苦水。显属下焦浊邪犯胃。
人参 川椒 乌梅 茯苓 紫石英 桑螵蛸
沈 食过超时。漾漾涌涎欲吐。诊脉濡涩。以胃虚肝乘。宗仲景旋复代赭法。
旋复花 代赭石 人参 半夏 茯苓 广皮
王(四五) 肝病犯胃呕逆。口吐清涎。头晕。乳房痛。肢麻痹。
人参(二两) 茯苓(二两) 桂枝木(七钱生) 川楝子(一两蒸) 川连(盐水炒七钱) 乌梅(一两半)
当归(一两半) 生白芍(一两半)
某 冷湿伤胃。肝木上侮。冲气欲呕。腹痛。
淡吴萸 浓朴 草蔻 藿香梗 木瓜 茯苓
毛(妪) 因惊。肝气上犯。冲逆。呕吐涎。阳升至巅为头痛。脉右弱左弦。当从厥阴阳明治。
人参 川连 茯苓 川楝 川椒 乌梅 干姜 生白芍
某 脉弦虚。食已漾漾欲吐。咽阻。中痞有痰。
人参 吴萸 茯苓 半夏 广皮 姜汁
陆 鼻明。汤水下咽呕吐。右脉小欲歇。明是劳伤。肝乘胃反。小半夏汤加檀香泥炒白粳米。
颜(氏) 干呕胁痛。因恼怒而病。是厥阴侵侮阳明。脉虚不食。当与通补。大半夏汤加姜汁桂枝
南枣。
某 肥腻滞胃。肝木始得再乘土位。致气逆上壅呕出。久病至节反剧。最属不宜。总是调摄未
尽善奈何。暂与降逆平肝安胃一法。
降香 苏子 旋复花 茯苓 半夏 广皮 韭汁
范 胁痛入脘。呕吐黄浊水液。因惊动肝。肝风振起犯胃。平昔液衰。难用刚燥。议养胃汁。以熄
风方。
人参 炒半夏 炒麦冬 茯神 广皮白 炒香白粳米
又 六味去萸换芍加麦冬阿胶秋石。
唐(氏) 动气肝逆。痰性凝寒滞胃。卒然大痛呕涎。乃逆滞上攻也。治肝厥以通例。
炒黑川椒 乌梅肉 生干姜 川桂枝木 人参 白芍
某 积劳伤阳。先已脘痛引背。昨频吐微眩。脉弱汗出。胃中已虚。肝木来乘。防有呃忒吐蛔。仿
仲景食入则呕者。吴茱萸汤主之。
吴萸 半夏 茯苓 姜汁 粳米
王(二四) 早上水饮米粥。至晚吐出不化。知浊阴酉戌升逆。瘕形痛而渐大。丸药吐出不化。胃阳
乏极矣。两进平肝理气不效。法当辛热开浊。
吴萸 熟附子 良姜 川楝子 茯苓 草果
某 肝风犯胃。呕逆眩晕。苦降酸泄和阳。佐微辛以通胃。
川连 黄芩 乌梅 白芍 半夏 姜汁
李 厥吐。腹痛气冲。安胃丸。
王 胃虚少谷。肝来乘克。呕吐不能受纳。盖脏厥象也。
人参 川连 附子 黄芩 干姜 枳实
张(氏) 勉强攻胎。气血受伤。而为寒热。经脉乏气。而为身痛。乃奇经冲任受病。而阳维脉不用事
也。内经以阳维为病苦寒热。维者。一身之刚维也。既非外感。羌苏柴葛三阳互发。世无是病。
又芩栀枳朴之属。辛散继以苦寒。未能中病。胃日屡伤。致汤饮皆哕出无余。大便不通。已经
半月。其吐出形色青绿涎沫。显然肝风大动。将胃口翻空。而肠中污水。得风翔如浪决。东西
荡漾矣。熄风镇胃。固是定理。但危笃若此。不易图也。
淮小麦(百粒) 火麻仁(一钱) 阿胶(二钱) 生地(二钱) 秋石拌人参(一钱) 南枣肉(一钱)
陈(氏) 未病先有耳鸣眩晕。恰值二之气交。是冬藏根蒂未固。春升之气泄越。无以制伏。更属产
后精气未复。又自乳耗血。血去液亏。真阴日损。阳气不交于阴。变化内风。上巅犯窍。冲逆肆
横。胃掀吐食。攻肠为泻。袭走脉络。肌肉皆肿。譬如诸门户尽撤。遂致暴风飘漾之状。医者辛
散苦降重坠。不但病未曾理。致阳更泄。阴愈涸。烦则震动即厥。由二气不能自主之义。阅王
先生安胃一法。最为卓识。所参拙见。按以两脉。右手涩弱。虚象昭然。左脉空大。按之不实。亦
非肝气肝火有余。皆因气味过辛散越。致二气造偏。兹以病因大旨。兼以经义酌方。
人参 茯苓 半夏 白芍 煨姜 炒粳米
周 痛从少腹上冲。为呕为胀。是厥阴秽浊致患。(厥阴浊逆)
韭白根 淡吴萸 小茴香 桂枝木 两头尖 茯苓
又 炒橘核 炙山甲末 韭白 归尾 川楝子 延胡索 小茴香
徐(四六) 气冲偏左。厥逆欲呕。呕尽方适。伏饮在于肝络。辛以通之。
吴萸(泡淡八分) 半夏(三钱) 茯苓块(三钱) 淡干姜(一钱) 代赭石(三钱) 旋复花(二钱)
某 脉搏肢冷。呕逆。下痢白积。生冷水寒郁生阳。气上塞心大痛。乃厥阴浊邪上攻。
吴萸 丁香 藿香 川楝子 木香 广皮 茯苓
褚(二二) 清涎上涌。食物吐出。乃饥饱伤及胃中之阳。禁鲜荤冷滑。经年可安。
(胃阳虚浊阴上逆)
半夏 浓朴 生益智 姜汁 生白术 茯苓
宋(三四) 阳微不运。水谷悍气聚湿。致食入即呕。周身牵掣不和。乃阳明之脉。不用事也。久延恐致
肿胀。苓姜术桂汤加浓朴椒目。
陆(十七) 食已即吐。病在胃也。用辛以通阳。苦以清降。
半夏 川连 浓朴 茯苓 姜汁
曹(四七) 早食颇受。晚食必胃痛呕吐。阳气日微。浊阴聚则有形。夜痛至晓。阴邪用事乃剧。
半夏 姜汁 淡干姜 秦椒 浓朴 茯苓
王 诊脉右濡左弦。舌白不饥。瘀血上吐下泻。胃阳大伤。药饵下咽则涌。前医用大半夏汤不
应。询知所吐皆系酸水痰沫。议以理阳方法。
人参 茯苓 川椒 干姜
潘(十八) 食后吐出水液。及不化米粒。二便自通。并不渴饮。五年不愈。宜理胃阳。用仲景法。
熟附子 半夏 姜汁 白粳米
又 泄浊阴。劫水饮。以安胃阳。服四日腹胀吐水已减。知阳腑之阳。非通不阖。再宗仲景法。
真武汤加人参。
范 脉虚无神。闻谷干呕。汗出振寒。此胃阳大虚。不必因寒热而攻邪。
人参 茯苓 炒半夏 姜汁 乌梅 陈皮
又 脉微细小。胃阳大衰。以理中兼摄其下。
人参 淡熟附子 茯苓 炒白粳米 炒黄淡干姜
又 人参 茯苓 干姜 煨益智仁 广皮 生白芍
金 参药不受。皆浊阴在上。阻塞气机。几无法矣。勉与白通汤加人尿猪胆汁。急进以通阳泄浊。
附子 生淡姜 葱白(五寸) 人尿 猪胆汁
沈(二九) 吹笛震动元海病。治宜填实下焦。但呛食吐出。又便溏不实。中无砥柱。阴药下未受益。中
再受伤矣。仿补益中宫。仍佐镇逆一法。
人参 焦术 炒焦半夏 茯苓 旋复花 代赭石
吴 寒热邪气扰中。胃阳大伤。酸浊上涌吐出。脘痛如刺。无非阳衰。阴浊上僭。致胃气不得下
行。高年下元衰惫。必得釜底暖蒸。中宫得以流通。拟用仲景附子泻心汤。通阳之中。原可泄
热开导。煎药按法用之。
人参(一钱半) 熟附子(一钱半) 淡干姜(一钱) 三味另煎汁 川连(六分) 炒半夏(一钱半)
枳实(一钱) 茯苓(三钱)
后四味。用水一盏。滚水一杯。煎三十沸。和入前三味药汁。服。
江 脉弦迟。汤水不下膈。呕吐涎沫。此阳结。饮邪阻气。议以辛热通阳。反佐苦寒利膈。用泻心
法。
人参 附子 干姜 先煎一杯。入姜汁四分。
川连 黄芩 半夏 枳实 滚水煎。和入前药服。
孙(十四) 食物随入即吐。并不渴饮。当年以苦辛得效。三载不发。今心下常痛如辣。大便六七日始
通。议通膈上。用生姜泻心汤。
生姜汁(四分调) 川连(六分炒) 黄芩(二钱泡十次) 熟半夏(三钱炒) 枳实(一钱)
人参(五分同煎)
又 问或不吐食物。腹中腰膂似乎气坠。自长夏起。心痛头重。至今未减。思夏热必兼湿。在里
水谷之湿。与外来之热。相洽结聚饮邪矣。当缓攻之。议用控涎丹五分。间日一用。
某(五二) 诊脉左弦右弱。食粥脘中有声。气冲涌吐。此肝木乘胃。生阳已薄。皆情怀不适所致。大
半夏汤。
某 中焦火衰。食下不运。作酸呕出。(中阳虚)
炒黄干姜(一钱) 川椒(炒三分) 半夏(一钱炒) 茯苓块(三钱) 炒饴糖(四钱)
黄(氏)灵枢经云。中气不足。溲便为变。是崩淋泄泻。皆脾胃欲败之现症。今汤水下咽。少顷倾囊
涌出。岂非胃阳无有。失司纳物乎。奈何业医者。中怀疑惑。但图疲药。待其自安。怕遭毁谤
耳。此症一投柔药。浊升填塞。必致胀满。仲景于阳明满实。致慎攻下者。恐以太阴之胀误
治耳。今舌微红微渴。皆是津液不肯升扬。脾弱不主散精四布。世岂有面色如白纸。尚不以
阳气为首重也耶。
人参 熟于术 炙甘草 炮姜 茯神 南枣
张 呕吐胀闷。虚中气滞。
人参 茯苓 砂仁
某(氏) 脉微肢冷。呕吐清水。食不下化。带下脊髀酸 。阳气素虚。产后奇脉不固。急扶
其阳。用附子理中汤。
附子 人参 生白术 炮姜 炙草
又 暖胃阳以劫水湿。带下自缓。照前方加胡芦巴。
又 脉象稍和。已得理中之效。议用养营法。
养营去远志黄 五味 即作丸方。
蔡(妪) 凡论病。先论体质形色脉象。以病乃外加于身也。夫肌肉柔白属气虚。外似丰溢。里真大
怯。盖阳虚之体。为多湿多痰。肌疏汗淋。唇舌俱白。干呕胸痞。烦渴引饮。由乎脾胃之阳伤
触。邪得僭踞于中。留蓄不解。正衰邪炽。试以脉之短涩无神主义之。阳衰邪伏显然。况寒凉不
能攻热。清邪便是伤及胃阳之药。今杳不纳谷。大便渐稀。若不急和胃气。无成法可遵。所
谓肥人之病。虑虚其阳。参拟一方。仍候明眼采择。(胃阳虚邪伏不食)
人参 半夏 生于术 枳实 茯苓 生姜
吴(三六) 壮年形伟。脉小濡。恶闻秽气。食入呕哕。缘阳气微弱。浊阴类聚。口鼻受污浊异气。先入募
原。募原是胃络分布。上逆而为呕吐。此病理标者。用芳香辟秽。扶正气治本。以温上通阳。(阳虚
吸受秽浊气)
藿香 草果 公丁香 茯苓 浓朴 砂仁壳 广皮 荜茇
又 人参 茯苓 生益智 胡芦巴 煨木香 煨姜
孙 寒郁化热。营卫气窒。遂发疮痍。食入即吐。胃中热灼。当忌进腥油。先用加味温胆汤。(呕伤胃中邪热劫津)
鲜竹茹(一钱半) 半夏(一钱半) 金石斛(三钱) 茯苓(一钱半) 广皮白(一钱半)
枳实(一钱) 姜汁(一匙调)
吴 两番探吐。脘痛立止。气固宣畅。胃津未能无损。风木来乘。外冷里热。诊脉右大。并不搏指。
当少少进谷以养胃。多噫多下泄气。调和中焦为宜。
炒竹茹 半夏 川斛 橘红 黑山栀 香豉
曹(四三) 少腹属肝。肝厥必犯阳明胃腑。故作痛呕。二年来病患已不知因何起病。医徒见病图治。
想肝肾必自内伤为病。久则奇经诸脉交伤。经谓冲脉动。而诸脉交动也。议温通柔润剂。从
下焦虚损主治。(肝肾虚冲脉气上逆)
淡苁蓉干(一钱半) 茯苓(三钱) 当归(二钱) 杞子(二钱) 炒沙苑(一钱半) 肉桂心(五分)
后加鹿角霜。
何 寒热呕吐。胸中格拒。喜暖饮怕凉。平昔胃阳最虚。热邪内结。体虚邪实。最防痉厥。(热邪内结)
人参 黄芩 炒半夏 姜汁 川连 枳实
某 舌赤。浊呕。不寐不饥。阳邪上扰。治以苦辛。进泻心法。
淡黄芩 川连 炒半夏 枳实 姜汁
某 郁热阻饮痹呕。有年最虑噎膈。
半夏 金斛 姜汁 茯苓 杏仁 广皮白
毛(氏) 旧有胃痛脘痹呕吐之病。秋前举发。已得小安。近痛呕复来。身体 热。宿病未罢。而暑热
秽气上窍侵入。三焦混淆。恐内闭变现痉厥。(暑秽内结)
川连 淡黄芩 半夏 姜汁 黑山栀 枳实汁
高(四十四岁)咽喉阻塞感。吞酸、胸脘痞闷胀满。进食后呕吐。这是肝阳侵犯胃腑。采用苦辛泄降法治疗。(肝气犯胃)
吴茱萸 黄连 川楝子 杏仁 茯苓 半夏 厚朴
钱(三十七岁)脉象细弱。右侧脉坚大。以往有气逆上冲的症状。正值长夏季节土气旺盛,出现呕吐、不能纳食。头部胀痛、胃脘痹阻。这都是厥阴之阳上冒所致。建议用苦辛降逆法。
酸苦泄热。避免发怒。胃气和顺即可痊愈。
黄连 半夏 姜汁 川楝子皮 乌梅 陈皮白
金(四十三岁)脉象细小而弦。风木乘克脾土。正当春季风气张盛之时。食物入胃不消化。呕吐。小便通畅后症状稍缓。治以通阳法。
炮附子 人参 半夏 吴茱萸 淡干姜 茯苓
复诊:脉象右侧弦涩。阳气微弱,阴寒凝滞。进食则吐。胃痛胀满严重。半月前用药有效后,反而大便想解却解不通。腑中阳气不利。浊气于是上攻。先用玉壶丹七分,服四次。
蒋(三十二岁)脉象沉。进食后呕吐。忌食生冷黏滞食物。
吴茱萸 半夏 姜汁 茯苓 公丁香柄 陈皮白
顾 脉象濡弱。左胁下长期有聚积之气。饮食酿积于胃脘之中。两三天后呕逆、打嗝、吞酸。积滞之物上涌吐出。这都是因愤怒触动肝气。肝木犯胃。胃中阳气受损。不能传导至小肠。导致变化失司。每七八天。才排便一次。是因为胃气不主下行所致。治法应当温补胃阳。制约肝气上逆。宿疾纠缠。恐怕多有反复。
淡附子 淡干姜 姜汁 生白芍 淡吴茱萸 白粳米
朱 胃中不和。进食后呕吐。因愤怒引发疾病。必须先制约肝气。温胆汤合左金丸为宜。去掉甘草、茯苓,加入姜汁。
某 气自左侧上升。腹部膨满。呕吐涎沫和黄水。剧烈咳嗽不止。这是肝气逆乱乘袭。经过胃侵犯肺。当制肝和胃。安蛔丸
某 呕吐黑绿色苦水。明显属于下焦浊邪侵犯胃腑。
人参 川椒 乌梅 茯苓 紫石英 桑螵蛸
沈 进食超过时间。泛泛欲吐涎沫。诊脉濡涩。因为胃虚肝乘。遵循仲景旋覆代赭汤法。
旋覆花 代赭石 人参 半夏 茯苓 陈皮
王(四十五岁)肝病犯胃引起呕逆。口吐清稀涎沫。头晕。乳房痛。肢体麻木。
人参(二两) 茯苓(二两) 桂枝木(七钱生) 川楝子(一两蒸) 黄连(盐水炒七钱) 乌梅(一两半)
当归(一两半) 生白芍(一两半)
某 冷湿损伤胃腑。肝木上侮。冲气欲呕。腹痛。
淡吴茱萸 厚朴 草豆蔻 藿香梗 木瓜 茯苓
毛(老妇)因受惊。肝气上犯。冲逆。呕吐涎沫。阳气升至头顶为头痛。脉象右弱左弦。当从厥阴阳明同治。
人参 黄连 茯苓 川楝 川椒 乌梅 干姜 生白芍
某 脉弦虚。进食后泛泛欲吐。咽喉阻塞。中脘痞闷有痰。
人参 吴茱萸 茯苓 半夏 陈皮 姜汁
陆 鼻窍灵敏。汤水下咽即呕吐。右脉小似将停歇。明显是劳伤。肝乘胃反。小半夏汤加檀香泥炒白粳米。
颜(氏)干呕胁痛。因恼怒致病。这是厥阴侵侮阳明。脉虚不食。当给予通补法。大半夏汤加姜汁桂枝南枣。
某 肥腻阻滞胃腑。肝木始得再乘脾土。导致气逆上壅呕吐而出。久病在节气交替时反而加剧。最属不宜。总是调养未尽善奈何。暂用降逆平肝安胃一法。
降香 苏子 旋覆花 茯苓 半夏 陈皮 韭菜汁
范 胁痛传入胃脘。呕吐黄浊水液。因惊动肝。肝风振起犯胃。平素津液亏损。难用刚燥药物。建议养胃汁。以熄风方。
人参 炒半夏 炒麦冬 茯神 陈皮白 炒香白粳米
唐(氏)动气肝逆。痰性凝寒阻滞胃腑。突然剧痛呕吐涎沫。乃逆滞上攻也。治肝厥按通例处理。
炒黑川椒 乌梅肉 生干姜 川桂枝木 人参 白芍
某 积劳伤阳。先前已有胃痛牵引背部。昨日频繁呕吐微眩。脉弱汗出。胃中已虚。肝木来乘。防有呃逆吐蛔。仿照仲景“食入则呕者”的论述。吴茱萸汤主治。
吴茱萸 半夏 茯苓 姜汁 粳米
王(二十四岁)早上饮水米粥。到晚上吐出不消化物。知是浊阴在酉戌时升逆。瘕块疼痛且逐渐增大。丸药吐出不消化。胃阳乏极矣。两次进平肝理气药无效。治法当用辛热开浊。
吴茱萸 熟附子 良姜 川楝子 茯苓 草果
某 肝风犯胃。呕逆眩晕。苦降酸泄和阳。佐微辛以通胃。
黄连 黄芩 乌梅 白芍 半夏 姜汁
王 胃虚少谷。肝来乘克。呕吐不能受纳。盖脏厥象也。
人参 黄连 附子 黄芩 干姜 枳实
张(氏)勉强攻胎。气血受伤。而为寒热。经脉乏气。而为身痛。乃奇经冲任受病。而阳维脉不用事也。内经以阳维为病苦寒热。维者。一身之刚维也。既非外感。羌苏柴葛三阳互发。世无是病。又芩栀枳朴之属。辛散继以苦寒。未能中病。胃日屡伤。致汤饮皆哕出无余。大便不通。已经半月。其吐出形色青绿涎沫。显然肝风大动。将胃口翻空。而肠中污水。得风翔如浪决。东西荡漾矣。熄风镇胃。固是定理。但危笃若此。不易图也。
淮小麦(百粒) 火麻仁(一钱) 阿胶(二钱) 生地(二钱) 秋石拌人参(一钱) 南枣肉(一钱)
陈(氏)未病先有耳鸣眩晕。恰值二之气交。是冬藏根蒂未固。春升之气泄越。无以制伏。更属产后精气未复。又自乳耗血。血去液亏。真阴日损。阳气不交于阴。变化内风。上巅犯窍。冲逆肆横。胃掀吐食。攻肠为泻。袭走脉络。肌肉皆肿。譬如诸门户尽撤。遂致暴风飘漾之状。医者辛散苦降重坠。不但病未曾理。致阳更泄。阴愈涸。烦则震动即厥。由二气不能自主之义。阅王先生安胃一法。最为卓识。所参拙见。按以两脉。右手涩弱。虚象昭然。左脉空大。按之不实。亦非肝气肝火有余。皆因气味过辛散越。致二气造偏。兹以病因大旨。兼以经义酌方。
人参 茯苓 半夏 白芍 煨姜 炒粳米
周 痛从少腹上冲。为呕为胀。是厥阴秽浊致患。(厥阴浊逆)
韭白根 淡吴茱萸 小茴香 桂枝木 两头尖 茯苓
徐(四十六岁)气冲偏左。厥逆欲呕。呕尽方适。伏饮在于肝络。辛以通之。
吴茱萸(泡淡八分) 半夏(三钱) 茯苓块(三钱) 淡干姜(一钱) 代赭石(三钱) 旋复花(二钱)
某 脉搏肢冷。呕逆。下痢白积。生冷水寒郁生阳。气上塞心大痛。乃厥阴浊邪上攻。
吴茱萸 丁香 藿香 川楝子 木香 陈皮 茯苓
褚(二十二岁)清涎上涌。食物吐出。乃饥饱伤及胃中之阳。禁鲜荤冷滑。经年可安。
(胃阳虚浊阴上逆)
半夏 厚朴 生益智 姜汁 生白术 茯苓
宋(三十四岁)阳微不运。水谷悍气聚湿。致食入即呕。周身牵掣不和。乃阳明之脉。不用事也。久延恐致肿胀。苓姜术桂汤加厚朴椒目。
陆(十七岁)食已即吐。病在胃也。用辛以通阳。苦以清降。
半夏 黄连 厚朴 茯苓 姜汁
曹(四十七岁)早食颇受。晚食必胃痛呕吐。阳气日微。浊阴聚则有形。夜痛至晓。阴邪用事乃剧。
半夏 姜汁 淡干姜 秦椒 厚朴 茯苓
王 诊脉右濡左弦。舌白不饥。瘀血上吐下泻。胃阳大伤。药饵下咽则涌。前医用大半夏汤不应。询知所吐皆系酸水痰沫。议以理阳方法。
人参 茯苓 川椒 干姜
潘(十八岁)食后吐出水液。及不化米粒。二便自通。并不渴饮。五年不愈。宜理胃阳。用仲景法。
熟附子 半夏 姜汁 白粳米
复诊:泄浊阴。劫水饮。以安胃阳。服四日腹胀吐水已减。知阳腑之阳。非通不阖。再宗仲景法。
真武汤加人参。
范 脉虚无神。闻谷干呕。汗出振寒。此胃阳大虚。不必因寒热而攻邪。
人参 茯苓 炒半夏 姜汁 乌梅 陈皮
复诊:脉微细小。胃阳大衰。以理中兼摄其下。
人参 淡熟附子 茯苓 炒白粳米 炒黄淡干姜
金 参药不受。皆浊阴在上。阻塞气机。几无法矣。勉与白通汤加人尿猪胆汁。急进以通阳泄浊。
附子 生淡姜 葱白(五寸) 人尿 猪胆汁
沈(二十九岁)吹笛震动元海病。治宜填实下焦。但呛食吐出。又便溏不实。中无砥柱。阴药下未受益。中再受伤矣。仿补益中宫。仍佐镇逆一法。
人参 焦术 炒焦半夏 茯苓 旋复花 代赭石
吴 寒热邪气扰中。胃阳大伤。酸浊上涌吐出。脘痛如刺。无非阳衰。阴浊上僭。致胃气不得下行。高年下元衰惫。必得釜底暖蒸。中宫得以流通。拟用仲景附子泻心汤。通阳之中。原可泄热开导。煎药按法用之。
人参(一钱半) 熟附子(一钱半) 淡干姜(一钱) 三味另煎汁 黄连(六分) 炒半夏(一钱半)
枳实(一钱) 茯苓(三钱)
后四味。用水一盏。滚水一杯。煎三十沸。和入前三味药汁。服。
江 脉弦迟。汤水不下膈。呕吐涎沫。此阳结。饮邪阻气。议以辛热通阳。反佐苦寒利膈。用泻心法。
人参 附子 干姜 先煎一杯。入姜汁四分。
黄连 黄芩 半夏 枳实 滚水煎。和入前药服。
孙(十四岁)食物随入即吐。并不渴饮。当年以苦辛得效。三载不发。今心下常痛如辣。大便六七日始通。议通膈上。用生姜泻心汤。
生姜汁(四分调) 黄连(六分炒) 黄芩(二钱泡十次) 熟半夏(三钱炒) 枳实(一钱)
人参(五分同煎)
复诊:问或不吐食物。腹中腰膂似乎气坠。自长夏起。心痛头重。至今未减。思夏热必兼湿。在里水谷之湿。与外来之热。相洽结聚饮邪矣。当缓攻之。议用控涎丹五分。间日一用。
某(五十二岁)诊脉左弦右弱。食粥脘中有声。气冲涌吐。此肝木乘胃。生阳已薄。皆情怀不适所致。大半夏汤。
某 中焦火衰。食下不运。作酸呕出。(中阳虚)
炒黄干姜(一钱) 川椒(炒三分) 半夏(一钱炒) 茯苓块(三钱) 炒饴糖(四钱)
黄(氏)灵枢经云。中气不足。溲便为变。是崩淋泄泻。皆脾胃欲败之现症。今汤水下咽。少顷倾囊涌出。岂非胃阳无有。失司纳物乎。奈何业医者。中怀疑惑。但图疲药。待其自安。怕遭毁谤耳。此症一投柔药。浊升填塞。必致胀满。仲景于阳明满实。致慎攻下者。恐以太阴之胀误治耳。今舌微红微渴。皆是津液不肯升扬。脾弱不主散精四布。世岂有面色如白纸。尚不以阳气为首重也耶。
人参 熟于术 炙甘草 炮姜 茯神 南枣
某(氏) 脉微肢冷。呕吐清水。食不下化。带下脊髀酸 。阳气素虚。产后奇脉不固。急扶其阳。用附子理中汤。
附子 人参 生白术 炮姜 炙草
复诊:脉象稍和。已得理中之效。议用养营法。
养营去远志黄 五味 即作丸方。
蔡(老妇) 凡论病。先论体质形色脉象。以病乃外加于身也。夫肌肉柔白属气虚。外似丰溢。里真大怯。盖阳虚之体。为多湿多痰。肌疏汗淋。唇舌俱白。干呕胸痞。烦渴引饮。由乎脾胃之阳伤触。邪得僭踞于中。留蓄不解。正衰邪炽。试以脉之短涩无神主义之。阳衰邪伏显然。况寒凉不能攻热。清邪便是伤及胃阳之药。今杳不纳谷。大便渐稀。若不急和胃气。无成法可遵。所谓肥人之病。虑虚其阳。参拟一方。仍候明眼采择。(胃阳虚邪伏不食)
人参 半夏 生于术 枳实 茯苓 生姜
吴(三十六岁) 壮年形伟。脉小濡。恶闻秽气。食入呕哕。缘阳气微弱。浊阴类聚。口鼻受污浊异气。先入募原。募原是胃络分布。上逆而为呕吐。此病理标者。用芳香辟秽。扶正气治本。以温上通阳。(阳虚吸受秽浊气)
藿香 草果 公丁香 茯苓 厚朴 砂仁壳 广皮 荜茇
孙 寒郁化热。营卫气窒。遂发疮痍。食入即吐。胃中热灼。当忌进腥油。先用加味温胆汤。(呕伤胃中邪热劫津)
鲜竹茹(一钱半) 半夏(一钱半) 金石斛(三钱) 茯苓(一钱半) 广皮白(一钱半)
枳实(一钱) 姜汁(一匙调)
吴 两番探吐。脘痛立止。气固宣畅。胃津未能无损。风木来乘。外冷里热。诊脉右大。并不搏指。当少少进谷以养胃。多噫多下泄气。调和中焦为宜。
炒竹茹 半夏 川斛 橘红 黑山栀 香豉
曹(四十三岁) 少腹属肝。肝厥必犯阳明胃腑。故作痛呕。二年来病患已不知因何起病。医徒见病图治。想肝肾必自内伤为病。久则奇经诸脉交伤。经谓冲脉动。而诸脉交动也。议温通柔润剂。从下焦虚损主治。(肝肾虚冲脉气上逆)
淡苁蓉干(一钱半) 茯苓(三钱) 当归(二钱) 杞子(二钱) 炒沙苑(一钱半) 肉桂心(五分)
后加鹿角霜。
何 寒热呕吐。胸中格拒。喜暖饮怕凉。平昔胃阳最虚。热邪内结。体虚邪实。最防痉厥。(热邪内结)
人参 黄芩 炒半夏 姜汁 黄连 枳实
某 舌赤。浊呕。不寐不饥。阳邪上扰。治以苦辛。进泻心法。
淡黄芩 黄连 炒半夏 枳实 姜汁
某 郁热阻饮痹呕。有年最虑噎膈。
半夏 金斛 姜汁 茯苓 杏仁 广皮白
毛(氏) 旧有胃痛脘痹呕吐之病。秋前举发。已得小安。近痛呕复来。身体 热。宿病未罢。而暑热秽气上窍侵入。三焦混淆。恐内闭变现痉厥。(暑秽内结)
黄连 淡黄芩 半夏 姜汁 黑山栀 枳实汁
Gao (44) Throat obstruction. Acid regurgitation, epigastric fullness and distension. Vomiting after eating. This is Liver Yang invading the Stomach. Use Bitter-Spicy Draining and Descending method. (Liver invading Stomach)
Evodiae Fructus (Wuzhuyu), Coptidis Rhizoma (Chuanlian), Toosendan Fructus (Chuanlianzi), Armeniacae Semen (Xingren), Poria (Fuling), Pinelliae Rhizoma (Banxia), Magnoliae Officinalis Cortex (Houpo)
Qian (37) Pulse fine. Right side firm and large. Previously had Qi rushing upward. During late summer when Earth Qi is prosperous, vomiting occurs and food cannot be retained. Head distension and pain, epigastric bi-syndrome. All are due to Jueyin Yang rising upward. Propose using Bitter-Spicy Descending and Counterflow method.
Sour-Bitter Draining Heat. Avoid anger. If Stomach Qi harmonizes, it can heal.
Coptidis Rhizoma (Chuanlian), Pinelliae Rhizoma (Banxia), Ginger Juice, Toosendan Pericarpium (Chuanlianzi Pi), Mume Fructus (Wumei), Citri Reticulatae Pericarpium Album (Guangpi Bai)
Jin (43) Pulse fine-small and wiry. Wind-Wood overacting on Earth. When Spring energy expands. Food enters but does not change. Vomiting. Relieved slightly when urination flows freely. Treat by unblocking Yang.
Prepared Aconiti Lateralis Radix (Paofuzi), Ginseng Radix (Renshen), Pinelliae Rhizoma (Banxia), Evodiae Fructus (Wuzhuyu), Dried Ginger (Danjiang), Poria (Fuling)
Again: Right pulse wiry and choppy. Yang is weak, Yin is coagulated. Vomiting upon eating. Severe stomach pain and distension. After taking medicine half a month ago with effect, instead stool wants to pass but cannot. Fu-Yang is not smooth. Turbid Qi attacks upward. First use Yuhu Dan 7 fen, four doses.
Jiang (32) Pulse deep. Vomiting after eating. Avoid cold and sticky foods.
Evodiae Fructus (Wuzhuyu), Pinelliae Rhizoma (Banxia), Ginger Juice, Poria (Fuling), Symplocapi Caulis (Gongdingxiang Bing), Citri Reticulatae Pericarpium Album (Guangpi Bai)
Gu Pulse soft and weak. Long-standing accumulated Qi under the left hypochondrium. Food ferments and accumulates in the epigastrium. Two or three days later, belching, acid regurgitation. Accumulated matter surges up and is vomited. All these are due to frustration moving Liver Qi. Liver Wood invades Stomach. Stomach Yang is injured. Cannot transmit to Small Intestine. Thus transformation and transportation lose control. Every seven or eight days, only then defecates once. Because Stomach Qi does not govern descending. Method should warm Stomach Yang, restrain Liver counterflow. Chronic illness entangled, fear many recurrences.
Light Aconiti Lateralis Radix (Danfuzi), Light Dried Ginger (Danjiang), Ginger Juice, Raw White Peony Root (Shengbaishao), Light Evodiae Fructus (Danwuzhuyu), White Rice (Baijingmi)
Zhu Stomach not harmonious. Vomiting after eating. Disease moved by anger. Must first restrain Liver. Wendan Tang combined with Zuojin Wan is suitable. Remove Licorice and Poria, add Ginger Juice.
Certain case Qi rises from the left. Abdomen bloated. Vomiting saliva and yellow water. Violent coughing without end. This is Liver Qi counterattacking. Passing through Stomach to invade Lung. Should restrain Liver and harmonize Stomach. Anqi Wan
Certain case Vomiting black-green bitter water. Obviously Lower Jiao turbid pathogen invading Stomach.
Ginseng Radix (Renshen), Zanthoxyli Fructus (Chuanjiao), Mume Fructus (Wumei), Poria (Fuling), Pyritum (Zhi Shiyin), Sangbiao Xiong
Shen After eating for too long, waves of saliva surge wanting to vomit. Diagnose pulse soft and choppy. Due to Stomach deficiency and Liver overaction. Follow Zhongjing's Xuansu Daizhe method.
Inulae Flos (Xuanfuhua), Haematitum (Daizheshi), Ginseng Radix (Renshen), Pinelliae Rhizoma (Banxia), Poria (Fuling), Citri Reticulatae Pericarpium (Guangpi)
Wang (45) Liver disease invading Stomach causes vomiting and counterflow. Mouth spits clear saliva. Dizziness. Breast pain. Limb numbness.
Ginseng Radix (2 liang), Poria (2 liang), Cinnamomi Ramulus (Guizhimu, 7 qian raw), Toosendan Fructus (1 liang steamed), Coptidis Rhizoma (7 qian salt-water fried), Mume Fructus (1.5 liang)
Angelicae Sinensis Radix (1.5 liang), Raw White Peony Root (1.5 liang)
Certain case Cold-damp injures Stomach. Liver Wood insults upward. Chong Qi wants to vomit. Abdominal pain.
Light Evodiae Fructus (Danwuzhuyu), Magnoliae Officinalis Cortex (Houpo), Cardamomi Fructus (Caokou), Agastaches Herba (Huoxiang Geng), Papaveris Fructus (Mugua), Poria (Fuling)
Mao (Elderly woman) Due to fright, Liver Qi attacks upward. Counterflow. Vomiting saliva. Yang rises to the vertex causing headache. Pulse right weak, left wiry. Should treat Jueyin and Yangming together.
Ginseng Radix (Renshen), Coptidis Rhizoma (Chuanlian), Poria (Fuling), Toosendan Fructus (Chuanlian), Zanthoxyli Fructus (Chuanjiao), Mume Fructus (Wumei), Dried Ginger (Ganjiang), Raw White Peony Root (Shengbaishao)
Certain case Pulse wiry and deficient. After eating, waves of wanting to vomit. Throat obstruction. Epigastric fullness with phlegm.
Ginseng Radix (Renshen), Evodiae Fructus (Wuzhuyu), Poria (Fuling), Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Guangpi), Ginger Juice
Lu Nose sensitive. Decoction swallowed then vomited. Right pulse small as if stopping. Clearly labor injury. Liver overacts on Stomach reversal. Xiaobanxia Tang plus Sandalwood mud-fried White Rice.
Yan (Lady) Dry retching, hypochondriac pain. Disease due to anger. This is Jueyin insulting Yangming. Pulse deficient, no appetite. Should give Tongbu (Unblocking and Tonifying). Banxia Datang plus Ginger Juice, Cinnamon Twig, Southern Jujube.
Certain case Fatty/greasy stagnates Stomach. Liver Wood gets chance to overact on Earth again. Causes Qi counterflow and upper congestion leading to vomiting. Chronic illness worsens at solar terms. Most inappropriate. Always regulation not perfect, what to do? Temporarily use Descending Counterflow, Calming Liver, Harmonizing Stomach method.
Aquilariae Lignum Resinatum (Xiang), Perillae Fructus (Suzi), Inulae Flos (Xuanfuhua), Poria (Fuling), Pinelliae Rhizoma (Banxia), Citri Reticulatae Pericarpium (Guangpi), Leek Juice
Fan Hypochondriac pain entering epigastrium. Vomiting yellow turbid fluid. Due to fright moving Liver. Liver Wind rises attacking Stomach. Usually fluid deficient. Hard to use Acrid-Dry drugs. Propose nourishing Stomach juice to extinguish Wind formula.
Ginseng Radix (Renshen), Stir-fried Pinelliae Rhizoma (Chao Banxia), Stir-fried Ophiopogonis Tuber (Chao Maidong), Poria cocos with Hostwood (Fushen), Citri Reticulatae Pericarpium Album (Guangpi Bai), Stir-fried Fragrant White Rice (Chao Xiang Baijingmi)
Again: Liuwei Dihuang Wan remove Cornus, replace with White Peony, add Ophiopogonis Tuber, Donkey-hide Gelatin, Autumn Stone.
Tang (Lady) Moving Qi Liver counterflow. Phlegm nature coagulated-cold stagnating Stomach. Suddenly severe pain vomiting saliva. It is counter-stagnation attacking upward. Treat Liver Jue according to general example.
Stir-fried Black Zanthoxyli Fructus (Chaohei Chuanjiao), Mume Flesh (Wumei Rou), Raw Dried Ginger (Shenganjiang), Cinnamomi Ramulus (Chuigui Zhi Mu), Ginseng Radix (Renshen), White Peony Root (Baishao)
Certain case Accumulated labor injures Yang. Previously epigastric pain radiating to back. Yesterday frequent vomiting slight dizziness. Pulse weak sweating. Stomach already deficient. Liver Wood comes to overact. Fear hiccups and vomiting roundworms. Imitate Zhongjing "vomiting upon eating". Wuzhuyu Tang governs.
Evodiae Fructus (Wuzhuyu), Pinelliae Rhizoma (Banxia), Poria (Fuling), Ginger Juice, Rice (Jingmi)
Wang (24) Morning drink water and rice porridge. By evening vomit undigested. Know Turbid Yin rises counterflow at You-Xu hours. Mass painful and gradually enlarges. Pill vomit undigested. Stomach Yang extremely exhausted. Twice entered Pinggan Liqi ineffective. Method should use Acrid-Hot to open Turbid.
Evodiae Fructus (Wuzhuyu), Prepared Aconiti Radix (Shufuzi), Alpiniae Officinarum Rhizome (Liangjiang), Toosendan Fructus (Chuanlianzi), Poria (Fuling), Tsaoko Fructus (Caoguo)
Certain case Liver Wind invades Stomach. Vomiting counterflow dizziness. Bitter descending, Sour draining harmonizes Yang. Assist with mild Acrid to unblock Stomach.
Coptidis Rhizoma (Chuanlian), Scutellariae Radix (Huangqin), Mume Fructus (Wumei), White Peony Root (Baishao), Pinelliae Rhizoma (Banxia), Ginger Juice
Li Jue vomiting. Abdominal pain Qi rushing. Angwei Wan.
Wang Stomach deficient lacking grain. Liver comes to overact and overcome. Vomiting cannot receive. Cover Zang Jue image.
Ginseng Radix (Renshen), Coptidis Rhizoma (Chuanlian), Aconiti Radix (Fuzi), Scutellariae Radix (Huangqin), Dried Ginger (Ganjiang), Immature Tangerine Peel (Zhishi)
Zhang (Lady) Forced abortion. Qi and Blood injured. Becoming alternating chills and fever. Meridians lack Qi. Becoming body pain. It is Qijing Chong and Ren diseased. And Yangwei Meridian not functioning. Neijing says Yangwei disease suffers chills and fever. Wei means rigid support of whole body. Since not external contraction. Qiang, Su, Chai, Ge San Yang mutual attack. World has no such disease. Again Qin, Zhi, Zhi, Po type. Acrid dispersing followed by Bitter-Cold. Failed to hit disease. Stomach daily repeatedly injured. Causing decoctions/drinks all regurgitated empty. Stool not passing. Already half month. Its vomit color green-blue saliva. Obviously Liver Wind greatly moving. Turning Stomach mouth inside out. And intestinal dirty water, getting wind soaring like wave breaking. East west swirling. Extinguish Wind calm Stomach. Indeed fixed principle. But critical so. Not easy to plan.
Triticum aestivum (Huaimaixiao, 100 grains), Cannabis Seed (Huomaren, 1 qian), Asini Corii Colla (Ejiao, 2 qian), Rehmanniae Radix (Shengdi, 2 qian), Autumn Stone mixed Ginseng (Qiushi Ban Renshen, 1 qian), Southern Jujube Flesh (Nanzao Rou, 1 qian)
Chen (Lady) Before disease onset had tinnitus and dizziness. Just met second Qi intersection. Winter storage root not solid. Spring ascending Qi leaks out. Nothing to restrain. More belongs to postpartum Essence-Qi not recovered. Also breastfeeding consumes Blood. Blood loss fluid deficient. True Yin daily damaged. Yang does not intersect with Yin. Changes internal Wind. Ascends to vertex invades orifices. Counterflow rampant. Stomach overturns vomiting food. Attacks intestine causing diarrhea. Attacks meridians. Muscles all swollen. Like all doors removed. Thus causing violent wind floating state. Doctors Acrid dispersing Bitter descending heavy sinking. Not only disease not managed. Causing Yang more leaking. Yin more dried. Irritable then shaking then Jue. Due to two Qi unable to self-govern. Read Mr. Wang's Anwei method. Most outstanding insight. Referencing my humble view. According to two pulses. Right hand choppy weak. Deficient image obvious. Left pulse empty-large. Press not solid. Also not Liver Qi Liver Fire excess. All because aroma too Acrid dispersing out. Causing two Qi creating bias. Now based on cause gist. Combined with Jing meaning斟酌 prescription.
Ginseng Radix (Renshen), Poria (Fuling), Pinelliae Rhizoma (Banxia), White Peony Root (Baishao), Roasted Ginger (Weijiang), Stir-fried Rice (Chao Jingmi)
Zhou Pain rushes from lower abdomen. Becomes vomiting becomes distension. This is Jueyin filth causing illness. (Jueyin Turbid Counterflow)
Leek White Root (Jiubai Gen), Light Evodiae Fructus (Danwuzhuyu), Fennel Fruit (Xiaohuixiang), Cinnamomi Ramulus (Guizhimu), Acanthopanacis Senticosi Radix (Liangtoujian), Poria (Fuling)
Again: Stir-fried Tangerine Seed (Chao Juhe), Calcined Pangolin Scales Powder (Zhi Shanji Mo), Leek White (Jiubai), Angelicae Sinensis Radix Tail (Guiwei), Toosendan Fructus (Chuanlianzi), Cyperi Rhizoma (Yanhusuo), Fennel Fruit (Xiaohuixiang)
Xu (46) Qi rushes to left. Jue Ni wants to vomit. Only comfortable after vomiting. Hidden fluid in Liver collateral. Acrid to unblock it.
Evodiae Fructus (Soaked light 8 fen), Pinelliae Rhizoma (3 qian), Poria Block (3 qian), Light Dried Ginger (1 qian), Haematitum (3 qian), Inulae Flos (2 qian)
Certain case Pulse beats limb cold. Vomiting counterflow. Dysentery white accumulation. Raw cold water cold depression generates Yang. Qi blocks chest great pain. It is Jueyin turbid pathogen attacking upward.
Evodiae Fructus (Wuzhuyu), Clove Flower Bud (Dingxiang), Agastaches Herba (Huoxiang), Toosendan Fructus (Chuanlianzi), Costi Rhizome (Muxiang), Citri Reticulatae Pericarpium (Guangpi), Poria (Fuling)
Chu (22) Clear saliva surges upward. Food vomited. Due to hunger/fullness injuring Stomach Yang. Prohibit fresh meat cold slippery. One year can be safe.
(Stomach Yang deficiency Turbid Yin counterflow)
Pinelliae Rhizoma (Banxia), Magnoliae Officinalis Cortex (Houpo), Alpiniae Oxyphyllae Fructus (Sheng Yizhi), Ginger Juice, Atractylodis Macrocephalae Rhizoma (Sheng Baizhu), Poria (Fuling)
Song (34) Yang weak not transporting. Water-grain fierce Qi gathers dampness. Causes vomiting immediately after eating. Whole body pulling discomfort. It is Yangming Meridian. Not functioning. Long delay fear swelling. Lingjiangshu Gui Tang plus Houpo Zhuomu.
Lu (17) Vomiting immediately after eating. Disease in Stomach. Use Acrid to unblock Yang. Bitter to clear descend.
Pinelliae Rhizoma (Banxia), Coptidis Rhizoma (Chuanlian), Magnoliae Officinalis Cortex (Houpo), Poria (Fuling), Ginger Juice
Cao (47) Early food well received. Late food must stomach pain vomiting. Yang daily weak. Turbid Yin gathers becoming有形. Night pain until dawn. Yin evil acting then severe.
Pinelliae Rhizoma (Banxia), Ginger Juice, Light Dried Ginger (Danjiang), Sichuan Pepper (Qinjiao), Magnoliae Officinalis Cortex (Houpo), Poria (Fuling)
Wang Diagnose pulse right soft left wiry. Tongue white no hunger. Stasis blood upper vomit lower diarrhea. Stomach Yang greatly injured. Medicine swallowing then surging. Former doctor used Banxia Datang not responding. Asked know vomit all sour water phlegm foam. Discuss Liyang method.
Ginseng Radix (Renshen), Poria (Fuling), Zanthoxyli Fructus (Chuanjiao), Dried Ginger (Ganjiang)
Pan (18) After eating vomit fluid. And undigested rice grains. Urine/feces self-pass. Not thirsty drinking. Five years not healing. Should regulate Stomach Yang. Use Zhongjing method.
Prepared Aconiti Radix (Shufuzi), Pinelliae Rhizoma (Banxia), Ginger Juice, White Rice (Baijingmi)
Again: Drain Turbid Yin. Rob Fluid. To calm Stomach Yang. Take four days abdominal distension vomiting water reduced. Know Yang Fu Yang. Not unblocked not closed. Again follow Zhongjing method.
Zhenwu Tang add Ginseng.
Fan Pulse empty no spirit. Hearing grain dry retch. Sweating shivering cold. This Stomach Yang greatly deficient. No need due to chills/fever attack pathogen.
Ginseng Radix (Renshen), Poria (Fuling), Stir-fried Pinelliae Rhizoma (Chao Banxia), Ginger Juice, Mume Fructus (Wumei), Tangerine Peel (Chenpi)
Again: Pulse micro fine-small. Stomach Yang greatly declined. With Lizhong simultaneously grasp its lower.
Ginseng Radix (Renshen), Light Prepared Aconiti Radix (Dan Shufuzi), Poria (Fuling), Stir-fried White Rice (Chao Baijingmi), Stir-fried Yellow Light Dried Ginger (Chao Huang Dan Jiang)
Again: Ginseng Radix (Renshen), Poria (Fuling), Dried Ginger (Ganjiang), Roasted Alpiniae Oxyphyllae Fructus (Wei Yizhiren), Citri Reticulatae Pericarpium (Guangpi), Raw White Peony Root (Sheng Baishao)
Jin Ginseng medicine not accepted. All Turbid Yin above. Blocking Qi mechanism. Almost no method. Forcibly give Baitong Tang add Human Urine Pig Bile. Urgently advance to unblock Yang drain Turbid.
Aconiti Radix (Fuzi), Raw Light Ginger (Sheng Danjiang), Scallion White (5 cun), Human Urine, Pig Bile
Shen (29) Playing flute vibrates Yuanhai disease. Treatment should fill-solid Lower Jiao. But choking food vomited. Also loose stool not solid. Middle no pillar. Yin medicine down not benefited. Middle again injured. Imitate tonify Middle Palace. Still assist ZhenNi one method.
Ginseng Radix (Renshen), Scorched Atractylodis Rhizome (Jiaozhu), Stir-fried Charred Pinelliae Rhizoma (Chaojiao Banxia), Poria (Fuling), Inulae Flos (Xuanfuhua), Haematitum (Daizheshi)
Wu Cold-Heat pathogen disturbs middle. Stomach Yang greatly injured. Sour-Turbid surges upward vomited. Epigastric pain like stabbing. All is Yang decline. Yin-Turbid usurping upward. Causing Stomach Qi cannot descend. Elderly Lower Yuan衰弱. Must get pot bottom warm steaming. Middle Palace able to circulate. Propose using Zhongjing Fuzi Xiexin Tang. Unblocking Yang within. Originally can drain heat guide. Decoct medicine follow method use.
Ginseng Radix (1.5 qian), Prepared Aconiti Radix (1.5 qian), Light Dried Ginger (1 qian) Three separately decoct juice. Coptidis Rhizoma (6 fen), Stir-fried Pinelliae Rhizoma (1.5 qian)
Immature Tangerine Peel (1 qian), Poria (3 qian)
Last four. Use water one cup. Rolling water one cup. Boil thirty boils. Mix into first three medicine juices. Take.
Jiang Pulse wiry-chilly. Soup/water not pass diaphragm. Vomiting saliva. This Yang knot. Fluid pathogen blocks Qi. Discuss Acrid-Hot unblock Yang. Reverse assist Bitter-Cold benefit diaphragm. Use Xiexin method.
Ginseng Radix, Aconiti Radix, Dried Ginger. First decoct one cup. Add Ginger Juice 4 fen.
Coptidis Rhizoma, Scutellariae Radix, Pinelliae Rhizoma, Immature Tangerine Peel. Rolling water decoct. Mix into previous medicine take.
Sun (14) Food follows entry immediately vomit. Not thirsty drinking. That year with Bitter-Acrid got effect. Three years no recurrence. Now epigastric always pain like spicy. Stool six-seven days then pass. Discuss unblock diaphragm above. Use Shengjiang Xiexin Tang.
Fresh Ginger Juice (4 fen mix), Coptidis Rhizoma (6 fen stir-fried), Scutellariae Radix (2 qian soak ten times), Prepared Pinelliae Rhizoma (3 qian stir-fried), Immature Tangerine Peel (1 qian)
Ginseng Radix (5 fen same decoct)
Again: Ask or not vomit food. Abdomen waist/back seems Qi falling. From late summer start. Heart pain head heavy. Until now not reduced. Think Summer heat must combine dampness. Inside water-grain dampness. With external coming heat. Intersect gather fluid pathogen. Should slow attack. Discuss use Kongxian Dan 5 fen. Alternate day one use.
Certain (52) Diagnose pulse left wiry right weak. Eat porridge epigastric sound. Qi rush surge vomit. This Liver Wood overacts Stomach. Sheng Yang already thin. All emotion dissatisfaction caused. Banxia Datang.
Certain Middle Jiao fire declines. Food down not transport. Become sour vomit. (Middle Yang deficiency)
Stir-fried Yellow Dried Ginger (1 qian), Zanthoxyli Fructus (Stir-fried 3 fen), Pinelliae Rhizoma (1 qian stir-fried), Poria Block (3 qian), Stir-fried Malt Sugar (4 qian)
Huang (Lady) Lingjing says. Middle Qi insufficient. Urine/stool changes. This bleeding dysuria diarrhea. All Spleen-Stomach about to fail present symptoms. Now soup water swallow. Shortly bag surges out. Isn't Stomach Yang none. Lose control receiving object? Why medical practitioners. Middle doubt confuse. Only seek fatigue medicine. Wait self peace. Fear suffer slander ear. This symptom one throw soft medicine. Turbid rise fill block. Must cause distension. Zhongjing on Yangming full-solid. Cause caution attack-down. Fear Taiyin distension mis-treat ear. Now tongue slightly red slightly thirsty. All are Jin Ye unwilling rise. Spleen weak not govern scatter essence spread four directions. World how have face color like white paper. Still not take Yang Qi as first important also?
Ginseng Radix (Renshen), Prepared Atractylodis Macrocephalae Rhizome (Shu Baizhu), Roasted Licorice Root (Zhigancao), Roasted Ginger (Paojiang), Poria cocos with Hostwood (Fushen), Southern Jujube (Nanzao)
Zhang Vomiting distension stuffiness. Deficient middle Qi stagnation.
Ginseng Radix (Renshen), Poria (Fuling), Amomi Fructus (Sharen)
Certain (Lady) Pulse micro limb cold. Vomiting clear water. Food not digest. Leukorrhea spine/thigh sore. Yang Qi originally deficient. Postpartum Qijing not solid. Urgently support its Yang. Use Fuzi Lizhong Tang.
Aconiti Radix (Fuzi), Ginseng Radix (Renshen), Raw Atractylodis Macrocephalae Rhizome (Sheng Baizhu), Roasted Ginger (Paojiang), Roasted Licorice Root (Zhigancao)
Again: Warm Stomach Yang to rob water-dampness. Leukorrhea self slows. Follow former prescription add Psoraleae Fructus (Huluba).
Again: Pulse image slightly harmonious. Already got Lizhong effect. Discuss use Yangying method.
Yangying remove Polygali Radix (Yuanzhi Huang), Schisandrae Fructus (Wuweizi) Immediately make pill formula.
Cai (Elderly woman) All discuss disease. First discuss constitution shape pulse image. Because disease is external added to body. Muscle soft-white belong Qi deficiency. Exterior seem abundant. Interior truly greatly timid. Cover Yang deficiency body. Is much-damp much-phlegm. Muscle sparse sweat dripping. Lips/tongue all white. Dry retching chest stuffiness. Irritable thirst drawing drink. Due to Spleen-Stomach Yang injured touch. Pathogen get usurp occupy middle. Retain accumulate not resolve. Zheng decline pathogen vigorous. Try pulse short-choppy no spirit main meaning. Yang decline pathogen hidden obvious. Moreover cold-cool cannot attack heat. Clear pathogen is injuring Stomach Yang medicine. Now completely not receive grain. Stool gradually loose. If not urgent harmonize Stomach Qi. No established method follow. So-called fat person disease. Fear void its Yang. Reference draft one prescription. Still wait bright eye select. (Stomach Yang deficiency Pathogen hidden not eat)
Ginseng Radix (Renshen), Pinelliae Rhizoma (Banxia), Raw Atractylodis Macrocephalae Rhizome (Sheng Baizhu), Immature Tangerine Peel (Zhishi), Poria (Fuling), Fresh Ginger (Shengjiang)
Wu (36) Young adult form grand. Pulse small soft. Hate smell foul air. Food enter retch. Because Yang Qi weak. Turbid Yin gather. Mouth/nose receive dirty strange air. First enter Mu Yuan. Mu Yuan is Stomach collateral distribute. Upward counterflow become vomiting. This pathology mark. Use aromatic repel filth. Support Zheng Qi treat root. To warm upper unblock Yang. (Yang deficiency inhale turbid air)
Agastaches Herba (Huoxiang), Tsaoko Fructus (Caoguo), Clove Flower Bud (Gongdingxiang), Poria (Fuling), Magnoliae Officinalis Cortex (Houpo), Amomi Fructus Shell (Sharen Ke), Citri Reticulatae Pericarpium (Guangpi), Piperis Kadsurae Fructus (Bibo)
Again: Ginseng Radix (Renshen), Poria (Fuling), Raw Alpiniae Oxyphyllae Fructus (Sheng Yizhi), Psoraleae Fructus (Huluba), Roasted Costi Rhizome (Wei Muxiang), Roasted Ginger (Weijiang)
Sun Cold depression transform heat. Ying-Wei Qi blocked. Thus emit sores. Food enter immediately vomit. Stomach heat burning. Should prohibit enter fish-oil. First use Jiawei Wendan Tang. (Vomit injure Stomach pathogen heat rob Jin Ye)
Fresh Bamboo Shavings (1.5 qian), Pinelliae Rhizoma (1.5 qian), Dendrobii Nodule (Jinshihu, 3 qian), Poria (1.5 qian), Citri Reticulatae Pericarpium Album (1.5 qian)
Immature Tangerine Peel (1 qian), Ginger Juice (1 spoon mix)
Wu Twice probe vomit. Epigastric pain stop immediately. Qi solid smooth. Stomach Jin Ye not able no damage. Wind-Wood comes to overact. Exterior cold interior heat. Diagnose pulse right large. Not beat finger. Should little-little enter grain to nourish Stomach. Many belch many down release Qi. Harmonize Middle Jiao suitable.
Stir-fried Bamboo Shavings (Chao Zhuru), Pinelliae Rhizoma (Banxia), Dendrobii Stem (Chuanhu), Exocarpium Citri Grandis (Juhong), Black Gardenia Fruit (Heishanzhi), Fermented Soybean (Xiangchi)
Cao (43) Lower abdomen belongs Liver. Liver Jue must invade Yangming Stomach Fu. Thus make pain vomit. Two years patient already not know why start disease. Doctor only see disease plan treat. Think Liver-Kidney must self internal injury cause disease. Long time then Qijing various meridians cross injured. Jing says Chong Mai moves. Then various meridians cross move. Discuss Wen Tong Rou Run agent. From Lower Jiao deficiency govern treatment. (Liver-Kidney deficiency Chong Mai Qi counterflow)
Cistanche Stem (Dan Congrong Gan, 1.5 qian), Poria (3 qian), Angelicae Sinensis Radix (2 qian), Lycii Fructus (2 qian), Astragali Complanati Semen (Chao Shayuan, 1.5 qian), Cinnamomi Cortex (Rouguixin, 5 fen)
Later add Cervi Cornu Degelatinum (Lujiaoshuang).
He Cold-heat vomiting. Chest grid rejection. Like warm drink fear cool. Usually Stomach Yang most deficient. Heat pathogen internal knot. Body weak pathogen solid. Most prevent convulsion Jue. (Heat pathogen internal knot)
Ginseng Radix (Renshen), Scutellariae Radix (Huangqin), Stir-fried Pinelliae Rhizoma (Chao Banxia), Ginger Juice, Coptidis Rhizoma (Chuanlian), Immature Tangerine Peel (Zhishi)
Certain Tongue red. Turbid vomit. Insomnia no hunger. Yang pathogen disturb upward. Treat with Bitter-Acrid. Advance Xiexin method.
Light Scutellariae Radix (Dan Huangqin), Coptidis Rhizoma (Chuanlian), Stir-fried Pinelliae Rhizoma (Chao Banxia), Immature Tangerine Peel (Zhishi), Ginger Juice
Certain Depressed-heat block fluid bi vomit. Have years most fear dysphagia.
Pinelliae Rhizoma (Banxia), Dendrobii Nodule (Jinhu), Ginger Juice, Poria (Fuling), Armeniacae Semen (Xingren), Citri Reticulatae Pericarpium Album (Guangpi Bai)
Mao (Lady) Old have stomach pain epigastric bi vomiting disease. Autumn before outbreak. Already got small peace. Recently pain/vomit return. Body hot. Chronic illness not finished. And summer-heat filth air upper orifice invade. Sanjiao confused. Fear internal close manifest convulsion. (Summer-heat filth internal knot)
Coptidis Rhizoma (Chuanlian), Light Scutellariae Radix (Dan Huangqin), Pinelliae Rhizoma (Banxia), Ginger Juice, Black Gardenia Fruit (Heishanzhi), Immature Tangerine Peel Juice (Zhishi Zhi)