冯(三一) 舌白头胀。身痛肢疼。胸闷不食。溺阻。当开气分除湿。(湿阻上焦肺不肃降)
飞滑石 杏仁 白蔻仁 大竹叶 炒半夏 白通草
王(二十) 酒肉之湿助热。内蒸酿痰。阻塞气分。不饥不食。便溺不爽。亦三焦病。先论上焦。
莫如治肺。
以肺主一身之气化也。
杏仁 栝蒌皮 白蔻仁 飞滑石 半夏 浓朴
吴(五五) 酒客湿胜。变痰化火。性不喜甜。热聚胃口犯肺。气逆吐食。上中湿热。主以淡渗。佐以苦温。
大杏仁 金石斛 飞滑石 紫浓朴 活水芦根
孔 心中热。不饥不寐。目黄自利。湿热内伏。
淡黄芩 连翘 炒杏仁 白通草 滑石 野赤豆皮
某(二九) 湿温阻于肺卫。咽痛。足跗痹痛。当清上焦。湿走气自和。(湿温阻肺)
飞滑石 竹叶心 连翘 桔梗 射干 芦根
周 病起旬日。犹然头胀。渐至耳聋。正如内经病能篇所云。因于湿。首如裹。此呃忒鼻衄。皆邪
混气之象。况舌色带白。咽喉欲闭。邪阻上窍空虚之所。谅非苦寒直入胃中可以治病。病名
湿温。不能自解。即有昏痉之变。医莫泛称时气而已。
连翘 牛蒡子 银花 马勃 射干 金汁
李(三二) 时令湿热之气。触自口鼻。由募原以走中道。遂致清肃不行。不饥不食。但温乃化热之渐。
致机窍不为灵动。与形质滞浊有别。此清热开郁。必佐芳香以逐秽为法。(湿热秽气阻窍)
栝蒌皮 桔梗 黑山栀 香豉 枳壳 郁金 降香末
某 吸受秽邪。募原先病。呕逆。邪气分布。营卫皆受。遂热蒸头胀。身痛经旬。神识昏迷。小水不
通。上中下三焦交病。舌白。渴不多饮。是气分窒塞。当以芳香通神。淡渗宣窍。俾秽湿浊气。由
此可以分消。
苡仁 茯苓皮 猪苓 大腹皮 通草 淡竹叶
牛黄丸二丸。
吴 湿邪中伤之后。脾胃不醒。不饥口渴。议清养胃津为稳。(湿热伤胃津)
鲜省头草 知母 川斛 苡仁 炒麦冬
张(妪) 体壮有湿。近长夏阴雨潮湿。着于经络。身痛。自利发热。仲景云。湿家大忌发散。汗之则变
痉厥。脉来小弱而缓。湿邪凝遏阳气。病名湿温。湿中热气。横冲心胞络。以致神昏。四肢不暖。
亦手厥阴见症。非与伤寒同法也。(湿温邪入心胞)
犀角 连翘心 元参 石菖蒲 金银花 野赤豆皮
煎送至宝丹。
蔡 阳虚挟湿。邪热内陷。所以神识如蒙。议用泻心法。(湿热内陷)
人参 生干姜 黄芩 川连 枳实 生白芍
张(六一) 此湿蕴气中。足太阴之气。不为鼓动营运。试以痞结胸满。仲景列于太阴篇中。概可推求
其理矣。(湿郁脾阳)
半夏(醋炒) 茯苓 川连 浓朴 通草汤煎。
周 湿伤脾阳。腹膨。小溲不利。
茅术 浓朴 茯苓 泽泻 猪苓 秦皮
又 五苓散。
又 二术膏。
范 四肢乍冷。自利未已。目黄稍退。而神倦不语。湿邪内伏。足太阴之气不运。经言脾窍在舌。
邪滞窍必少灵。以致语言欲謇。必当分利。佐辛香以默运坤阳。是太阴里症之法。
生于术(三钱) 浓朴(五分) 茯苓(三钱) 草果仁(七分) 木瓜(五分) 泽泻(五分)
又 身体稍稍转动。语謇神呆。犹是气机未为灵转。色脉非是有余。而湿为阴邪。不徒偏寒偏
热已也。
生于术 茯苓 苡仁 郁金 炒远志 石菖蒲汁
又 脾胃不醒。皆从前湿蒸之累。气升咳痰。参药缓进。
炒黄川贝 茯苓 苡仁 郁金 地骨皮 淡竹叶
又 湿滞于中。气蒸于上。失降不得寐。口数白疳。仍不渴饮。开上郁。佐中运。利肠间。亦是宣通
三焦也。
生于术(五钱) 苡仁(三钱) 寒水石(一钱半) 桔梗(七分) 猪苓(一钱) 泽泻(一钱)
广皮白(一钱半)
曹(三十) 肠胃属腑。湿久生热。气阻不爽。仍以通为法。(湿阻中焦阳气)
生于术 川黄连 浓朴 淡生姜渣 广皮白 酒煨大黄
水法丸。服三钱。
李(四五) 脉小涩。痰多上涌。食入脘阻。大便不爽。上秋至今夏不愈。自述饥饱失和。曾病黄胆。以湿
伤气痹主治。
大杏仁 苡仁 半夏 姜汁 茯苓 橘红 郁金 香豉
俞(五五) 酒湿郁伤。脘中食阻而痛。治以辛苦寒。
小川连 半夏 姜汁 枳实 茯苓 香豉
某(五九) 舌白目黄。口渴溺赤。脉象呆钝。此属湿郁。
绵茵陈(三钱) 生白术(一钱) 寒水石(三钱) 飞滑石(三钱) 桂枝木(一钱) 茯苓皮
(三钱) 木猪苓(三钱) 泽泻(一钱)
李 酒客中虚。粤地潮湿。长夏涉水。外受之湿下起。水谷不运。中焦之湿内聚。治法不以宣通
经腑。致湿阻气分。郁而为热。自脾胃不主运通。水湿横渍于脉腠之间。二便不爽。湿热浊气。
交扭混乱。前辈治中满。必曰分消。此分字。明明谓分解之义。但乱药既多。不能去病。就是脾
胃受伤于药。蔓延腿肢。肿极且痛。病深路远。药必从喉入胃。然后四布。病所未得药益。清阳
先已受伤。此汤药难以进商也。议用丹溪小温中丸三钱。专以疏利肠中。取其不致流散诸
经。亦一理也。小温中丸八服。
某(三六) 阳微体质。湿痰内聚。便溏脘闷。肌麻舌干。清理湿邪。气机升降自安。
金石斛 茯苓 半夏 广皮白 钩藤 白蒺藜
张 脉右缓。湿着阻气。
浓朴 广皮 煨草果 炒楂肉 藿香梗 炒神曲
某(二二) 不耐烦劳是本虚。脘闷便泄属湿邪。先治湿。后治本。
藿香梗 广皮 茯苓 大腹皮 浓朴 谷芽
陆 湿滞如痞。
山茵陈 草果仁 茯苓皮 大腹皮绒 浓朴 广皮 猪苓 泽泻
汪(三三) 舌黄脘闷。秽湿内着。气机不宣。如久酿蒸。必化热气。即有身热之累。
杏仁 藿香 茯苓皮 滑石 浓朴 广皮白
某 阅病源。皆湿热内停之象。当去湿清热为主。至于药酒。蕴湿助热。尤当永戒。
生白术 赤小豆皮 绵茵陈 黄柏 茯苓 泽泻
某 脉濡。头胀。胸身重着而痛。寒热微呕。此湿阻气分。
浓朴 杏仁 白蔻仁 木通 茯苓皮 大腹皮 滑石 竹叶
某 长夏外受暑湿。与水谷之气相并。上焦不行。下脘不通。气阻。热从湿下蒸逼。不饥不食。目
黄舌白。气分之结。
浓朴 杏仁 广皮 茯苓 半夏 姜汁
某 脉缓。身痛。汗出热解。继而复热。此水谷之气不运。湿复阻气。郁而成病。仍议宣通气分。热
自湿中而来。徒进清热不应。
黄芩 滑石 茯苓皮 大腹皮 白蔻仁 通草 猪苓
方(四四) 形质颓然。脉迟小涩。不食不寐。腹痛。大便窒痹。平昔嗜酒。少谷中虚。湿结阳伤。
寒湿浊阴鸠聚为痛。
炒黑生附子 炒黑川椒 生淡干姜 葱白 调入猪胆汁(一枚)
王(二五) 冷湿损阳。经络拘束。形寒酒客少谷。劳力所致。
桂枝 淡干姜 熟附子 生白术
莫(五十) 今年夏四月。寒热不饥。是时令潮 气蒸。内应脾胃。夫湿属阴晦。必伤阳气。吞酸形寒。乏
阳营运。议鼓运转旋脾胃一法。苓姜术桂汤。
某(十六) 地中湿气。自足先肿。湿属阴邪。阳不易复。畏寒。筋骨犹牵强无力。以金匮苓姜术桂汤。
陈(五一) 浊凝。气结有形。酒肉挟湿。
荜茇 生香附汁 木香 草果 茯苓 广皮白
江 脉缓。脐上痛。腹微膨。便稀。溺短不爽。此乃湿郁脾胃之阳。致气滞里急。宗古人导湿分消。
用桂苓散方。
生茅术 官桂 茯苓 浓朴 广皮白 飞滑石 猪苓 泽泻 炒楂肉
林(五二) 中年清阳日薄。忽然脘中痞闷。乃清阳不自转旋。酒肉湿浊之气。得以凝聚矣。过饮溏泻。
湿伤脾胃。胃阳微。仲景法。以轻剂宣通其阳。若投破气开降。最伤阳气。有格拒之害。苓桂术甘汤。
严(三一) 胸满不饥。是阳不营运。嗜酒必挟湿凝阻其气。久则三焦皆闭。用半硫丸。二便已通。议治
上焦之阳,苓桂术甘汤。
王(六二) 病患述病中浓味无忌。肠胃滞虽下。而留湿未解。湿重浊。令气下坠于肛。肛坠痛不已。胃
不喜食。阳明失阖。舌上有白腐形色。议劫肠胃之湿。
生茅术 人参 浓朴 广皮 炮姜灰 生炒黑附子
胡(二十) 受湿患疮。久疮阳乏气泄。半年淹淹无力。食少。嗳噫难化。此脾胃病。法以运中阳为要。
茯苓 桂枝 生于术 炙草 苡仁 生姜
汪 夏令脾胃司气。兼以久雨泛潮。地中湿气上干。食味重浊少运。所谓湿胜成五泄也。古云
寒伤形。热伤气。芒种夏至。天渐热。宜益气分以充脾胃。此夏三月。必有康健之理。补中益
气汤。
某(五十) 秽湿邪吸受。由募原分布三焦。升降失司。脘腹胀闷。大便不爽。当用正气散法。(湿邪弥漫三焦)
藿香梗 浓朴 杏仁 广皮白 茯苓皮 神曲 麦芽 绵茵陈
蔡 仲景云。小便不利者。为无血也。小便利者。血症谛也。此症是暑湿气蒸。三焦弥漫。以致神
昏。乃诸窍阻塞之兆。至小腹硬满。大便不下。全是湿郁气结。彼夯医犹然以滋味呆钝滞药。
与气分结邪相反极矣。议用甘露饮法。
猪苓 浙茯苓 寒水石 晚蚕砂 皂荚子(去皮)
某(十四) 脘闷。便溏。身痛。脉象模糊。此属湿蕴三焦。
浓朴 广皮 藿香梗 茯苓皮 大豆黄卷 木防己 川通草 苡仁
牛 向年积聚。误服燥热诸药。频与清夺推陈致新乃安。身处江南湿热之乡。饮啖仍用山右
浓重之味。留热由肠升膈。三焦不消。议攻无形之热。清心凉膈去芒硝加菖蒲。
韩(三一) 冷酒水湿伤中。上呕食。下泄脂液。阳气伤极。再加浮肿作胀则危。(酒湿伤阳郁生胃痈)
人参 茯苓 熟附子 生于术 生白芍 生姜
又 酒湿类聚。例以分利。诊脉微。阳气已败。湿壅生热至胃痈脓。清热则阳亡即死。术苓运中
祛湿。佐附迅走气分。亦治湿一法。
茯苓 熟附子 生白术 左牡蛎 泽泻 车前子
庞(四四) 湿久脾阳消乏。中年未育子。肾真亦惫。仿安肾丸法。(阳衰湿伤脾肾)
鹿茸 胡芦巴 附子 韭子 赤石脂 补骨脂 真茅术 茯苓 菟丝子 大茴香
张(五四) 阳伤痿弱。有湿麻痹。痔血。
生白术 附子 干姜 茯苓
某(三八) 舌白身痛。足跗浮肿。从太溪穴水流如注。此湿邪伏于足少阴。当用温蒸阳气为主。
鹿茸 淡附子 草果 菟丝子 茯苓
杨 厥阴为病。必错杂不一。疟痢之后。肝脏必虚。发症左胁有痞。腹中块 外坚。胁下每常汨
汨有声。恶虚就实。常有寒热。胃中不知饥。而又嘈杂吞酸。脉长而数。显然厥阴阳明湿热下
渗前阴。阳缩而为湿热症也。议用升发阳明胃气。渗泄厥阴湿热。其症自愈。(肝胃湿热)
苍术 半夏 茯苓 橘红 通草 当归 柏子仁 沙蒺藜 川楝子 茴香 即丸方。
浦(氏) 胸膈迷漫。胃痛呕食。肢节屈曲处冷痛。经落后。来时周身腰脊不舒。脉弦沉。痛即便溏。此
湿郁阻闭。气血不行。用药先须断酒。(湿郁肢节冷痛)
生茅术 炮黑川乌 姜汁 白芥子 浓朴 广皮 荜茇 茯苓
徐 温疟初愈。骤进浊腻食物。湿聚热蒸。蕴于经络。寒战热炽。骨骱烦疼。舌起灰滞之形。面目
痿黄色。显然湿热为痹。仲景谓湿家忌投发汗者。恐阳伤变病。盖湿邪重着。汗之不却。是苦
味辛通为要耳。(湿热入经络为痹)
防己 杏仁 滑石 醋炒半夏 连翘 山栀 苡仁 野赤豆皮
某(四七) 风暑湿浑杂。气不主宣。咳嗽头胀。不饥。右肢若废。法当通阳驱邪。
杏仁(三钱) 苡仁(三钱) 桂枝(五分) 生姜(七分) 浓朴(一钱) 半夏(一钱半)
汉防己(一钱半) 白蒺藜(二钱)
某 汗多身痛。自利。小溲全无。胸腹白疹。此风湿伤于气分。医用血分凉药。希冀热缓。殊不知
湿郁在脉为痛。湿家本有汗不解。(湿郁经脉痛)
苡仁 竹叶 白蔻仁 滑石 茯苓 川通草
湿为重浊有质之邪。若从外而受者。皆由地中之气升腾。从内而生者。皆由脾阳之不运。
虽云雾露雨湿。上先受之。地中潮湿。下先受之。然雾露雨湿。亦必由地气上升而致。若地
气不升。则天气不降。皆成燥症矣。何湿之有。其伤人也。或从上。或从下或遍体皆受。此论
外感之湿邪。着于肌躯者也。此虽未必即入于脏腑。治法原宜于表散。但不可大汗耳。更
当察其兼症。若兼风者。微微散之。兼寒者佐以温药。兼热者佐以清药。此言外受之湿也。
然水流湿。火就燥。有同气相感之理。如其人饮食不节。脾家有湿。脾主肌肉四肢。则外感
肌躯之湿。亦渐次入于脏腑矣。亦有外不受湿。而但湿从内生者。必其人膏粱酒醴过度。
或嗜饮茶汤太多。或食生冷瓜果及甜腻之物。治法总宜辨其体质阴阳。斯可以知寒热
虚实之治。若其人色苍赤而瘦。肌肉坚结者。其体属阳。此外感湿邪。必易于化热。若内生
冯(31岁):舌苔白,头面肿胀。身体疼痛,四肢酸痛。胸闷,不想进食。小便不通畅。应当宣通气分以祛除湿邪。(湿邪阻滞上焦,导致肺失肃降)
飞滑石 杏仁 白蔻仁 大竹叶 炒半夏 白通草
王(20岁):饮酒吃肉产生的湿邪助长热势。湿热内蒸酿生痰浊。阻塞气机。没有饥饿感,不想进食。大小便不畅快。这也是三焦病变。先论述上焦病证。
莫如治肺。
因为肺主一身之气的化生运行。
杏仁 栝蒌皮 白蔻仁 飞滑石 半夏 浓朴
吴(55岁):常饮酒者湿邪偏盛。湿邪转化为痰并化火。患者不喜欢甜食。热邪聚集在胃口并侵犯肺部。气机上逆,呕吐食物。上中二焦湿热。治疗以淡味渗利为主。佐以苦温之法。
大杏仁 金石斛 飞滑石 紫浓朴 活水芦根
孔:心中发热。没有饥饿感,无法入睡。眼睛发黄,大便自利(腹泻)。湿热内伏。
淡黄芩 连翘 炒杏仁 白通草 滑石 野赤豆皮
某(29岁):湿温之邪阻滞于肺卫。咽喉疼痛。足背痹痛。应当清解上焦。湿邪去则气机自然调和。(湿温阻滞肺脏)
飞滑石 竹叶心 连翘 桔梗 射干 芦根
周:发病已十天。仍然头胀。逐渐发展到耳聋。正如《内经·病能篇》所说:“因于湿,首如裹。”这呃逆、鼻衄,都是邪气混扰气机的现象。况且舌色带白,咽喉感觉闭塞。这是邪气阻滞在上窍空虚之处。想来不是苦寒直入胃中可以治疗的病。病名湿温。不能自行解除。即使出现昏厥痉挛的变证,医生不要泛泛地称为时气病而已。
连翘 牛蒡子 银花 马勃 射干 金汁
李(32岁):时令湿热之气,从口鼻侵入。由募原走向中道。导致清肃之气不行。没有饥饿感,不想进食。但温热乃是化热的开始。致使机体窍络不灵动。这与形质上的滞浊不同。此法清热开郁,必须佐用芳香药物以驱除秽浊为法则。(湿热秽气阻滞窍络)
栝蒌皮 桔梗 黑山栀 香豉 枳壳 郁金 降香末
某:吸入秽浊邪气。募原首先受病。呕吐逆气。邪气分布全身。营卫都受到侵害。于是热蒸头胀。身体疼痛持续十天。神识昏迷。小便不通。上中下三焦同时患病。舌苔白。口渴但不想多喝水。这是气分窒塞。应当用芳香药物通神。淡渗药物宣通窍络。使秽湿浊气由此可以分消。
苡仁 茯苓皮 猪苓 大腹皮 通草 淡竹叶
牛黄丸两丸。
吴:湿邪中伤之后。脾胃功能不醒。没有饥饿感且口渴。建议清养胃津比较稳妥。(湿热损伤胃津)
鲜省头草 知母 川斛 苡仁 炒麦冬
张(老年妇女):体质壮实但有湿邪。正值长夏阴雨潮湿季节。湿气着于经络。身体疼痛。自利发热。仲景说:患湿病的人最忌发散。发汗则会变成痉厥。脉象小弱而缓。湿邪凝滞遏制阳气。病名湿温。湿中夹热。横冲心包络。以致神志昏迷。四肢不暖。也是手厥阴经的症状。不与伤寒同法治疗。(湿温邪气进入心包)
犀角 连翘心 元参 石菖蒲 金银花 野赤豆皮
煎汤送服至宝丹。
蔡:阳虚兼夹湿邪。邪热内陷。所以神识像被蒙蔽一样。建议用泻心法。(湿热内陷)
人参 生干姜 黄芩 川连 枳实 生白芍
张(61岁):这是湿蕴结在气中。足太阴脾经之气。不能鼓动营运。试看痞结胸满。仲景将其列在太阴篇中。大概可以推求其道理了。(湿郁脾阳)
半夏(醋炒) 茯苓 川连 浓朴 通草汤煎。
周:湿邪损伤脾阳。腹部膨隆。小便不利。
茅术 浓朴 茯苓 泽泻 猪苓 秦皮
又方:五苓散。
又方:二术膏。
范:四肢突然发冷。腹泻未止。眼睛黄色稍退。但精神疲倦不说话。湿邪内伏。足太阴脾经之气不运。经言脾窍在舌。邪气滞留窍必少灵。以致语言欲结巴。必须分利湿邪。佐用辛香药物以默默运转坤阳。这是太阴里症的治疗方法。
生于术(三钱) 浓朴(五分) 茯苓(三钱) 草果仁(七分) 木瓜(五分) 泽泻(五分)
又:身体稍稍转动。语言结巴,神情呆滞。还是气机没有灵动运转。面色脉象并非有余之证。而湿为阴邪。不仅仅偏寒或偏热而已。
生于术 茯苓 苡仁 郁金 炒远志 石菖蒲汁
又:脾胃不醒。都是从前湿邪蒸腾的累及。气升咳痰。参药缓慢进用。
炒黄川贝 茯苓 苡仁 郁金 地骨皮 淡竹叶
又:湿滞于中。气蒸于上。失降导致失眠。口中多次出现白疳。仍然不渴饮。开上焦之郁。佐中焦运化。利肠间。也是宣通三焦的方法。
生于术(五钱) 苡仁(三钱) 寒水石(一钱半) 桔梗(七分) 猪苓(一钱) 泽泻(一钱)
广皮白(一钱半)
曹(30岁):肠胃属腑。湿久生热。气阻不畅。仍以通利为法。(湿阻中焦阳气)
生于术 川黄连 浓朴 淡生姜渣 广皮白 酒煨大黄
水法丸。服三钱。
李(45岁):脉小涩。痰多上涌。食入胃脘受阻。大便不爽。从秋天到今年夏天未愈。自述饥饱失和。曾患黄疸。以湿伤气痹主治。
大杏仁 苡仁 半夏 姜汁 茯苓 橘红 郁金 香豉
俞(55岁):酒湿郁伤。胃脘中食物阻滞而痛。治疗以辛苦寒之法。
小川连 半夏 姜汁 枳实 茯苓 香豉
某(59岁):舌苔白,眼睛黄。口渴,尿赤。脉象呆钝。这属于湿郁。
绵茵陈(三钱) 生白术(一钱) 寒水石(三钱) 飞滑石(三钱) 桂枝木(一钱) 茯苓皮(三钱) 木猪苓(三钱) 泽泻(一钱)
李:常饮酒者中气虚弱。广东地区潮湿。长夏涉水。外受的湿邪从下部起。水谷不运。中焦的湿邪内聚。治疗方法如果不以宣通经腑。导致湿阻气分。郁而为热。自脾胃不主运通。水湿横渍于脉腠之间。二便不爽。湿热浊气。交扭混乱。前辈治疗中满。必定说分消。这个“分”字。明明是指分解的意思。但乱用药太多。不能去病。就是脾胃受伤于药。蔓延腿肢。肿极且痛。病深路远。药必从喉入胃。然后四布。病所未得到药的益处。清阳先已受伤。这种汤药难以商量。建议用丹溪小温中丸三钱。专门疏利肠中。取其不致流散诸经。也是一种理法。小温中丸八服。
某(36岁):阳微体质。湿痰内聚。便溏脘闷。肌肤麻木,舌头干燥。清理湿邪。气机升降自然安和。
金石斛 茯苓 半夏 广皮白 钩藤 白蒺藜
张:脉右缓。湿邪着滞阻碍气机。
浓朴 广皮 煨草果 炒楂肉 藿香梗 炒神曲
某(22岁):不耐烦劳是本虚。脘闷便泄属湿邪。先治湿。后治本。
藿香梗 广皮 茯苓 大腹皮 浓朴 谷芽
陆:湿滞像痞证。
山茵陈 草果仁 茯苓皮 大腹皮绒 浓朴 广皮 猪苓 泽泻
汪(33岁):舌苔黄,胃脘闷。秽湿内着。气机不宣。像久酿蒸腾。必然化为热气。即使有身热的累及。
杏仁 藿香 茯苓皮 滑石 浓朴 广皮白
某:阅读病源。都是湿热内停的现象。当以去湿清热为主。至于药酒。蕴湿助热。尤其应当永远戒除。
生白术 赤小豆皮 绵茵陈 黄柏 茯苓 泽泻
某:脉濡。头胀。胸身重着而痛。恶寒发热,轻微呕吐。这是湿阻气分。
浓朴 杏仁 白蔻仁 木通 茯苓皮 大腹皮 滑石 竹叶
某:长夏外受暑湿。与水谷之气相并。上焦不行。下脘不通。气阻。热从湿下蒸逼。没有饥饿感,不想进食。眼睛黄,舌苔白。气分之结。
浓朴 杏仁 广皮 茯苓 半夏 姜汁
某:脉缓。身体疼痛。出汗后热解。继而复热。这是水谷之气不运。湿复阻气。郁而成病。仍议宣通气分。热从湿中而来。徒进清热不应。
黄芩 滑石 茯苓皮 大腹皮 白蔻仁 通草 猪苓
方(44岁):形体颓然。脉迟小涩。不吃不睡。腹痛。大便窒痹。平昔嗜酒。五谷中气虚。湿结阳伤。寒湿浊阴鸠聚为痛。
炒黑生附子 炒黑川椒 生淡干姜 葱白 调入猪胆汁(一枚)
王(25岁):冷湿损伤阳气。经络拘束。形体寒冷,酒客少谷。劳力所致。
桂枝 淡干姜 熟附子 生白术
莫(50岁):今年夏四月。寒热不饥。是时令潮气蒸腾。内应脾胃。夫湿属阴晦。必然损伤阳气。吞酸形寒。乏阳营运。建议鼓运转旋脾胃一法。苓姜术桂汤。
某(16岁):地中湿气。从脚先肿。湿属阴邪。阳气不易恢复。畏寒。筋骨犹牵强无力。用金匮苓姜术桂汤。
陈(51岁):浊凝。气结有形。酒肉挟湿。
荜茇 生香附汁 木香 草果 茯苓 广皮白
江:脉缓。脐上痛。腹微膨。便稀。尿短不爽。这是湿郁脾胃之阳。导致气滞里急。宗古人导湿分消。用桂苓散方。
生茅术 官桂 茯苓 浓朴 广皮白 飞滑石 猪苓 泽泻 炒楂肉
林(52岁):中年清阳日薄。忽然胃脘中痞闷。乃清阳不自转旋。酒肉湿浊之气。得以凝聚矣。过饮溏泻。湿伤脾胃。胃阳微。仲景法。以轻剂宣通其阳。若投破气开降。最伤阳气。有格拒之害。苓桂术甘汤。
严(31岁):胸满不饥。是阳不营运。嗜酒必挟湿凝阻其气。久则三焦皆闭。用半硫丸。二便已通。议治上焦之阳,苓桂术甘汤。
王(62岁):病患述病中浓味无忌。肠胃滞虽下。而留湿未解。湿重浊。令气下坠于肛。肛坠痛不已。胃不喜食。阳明失阖。舌上有白腐形色。议劫肠胃之湿。
生茅术 人参 浓朴 广皮 炮姜灰 生炒黑附子
胡(20岁):受湿患疮。久疮阳乏气泄。半年淹淹无力。食少。嗳噫难化。这是脾胃病。法以运中阳为要。
茯苓 桂枝 生于术 炙草 苡仁 生姜
汪:夏令脾胃司气。兼以久雨泛潮。地中湿气上干。食味重浊少运。所谓湿胜成五泄也。古云寒伤形。热伤气。芒种夏至。天渐热。宜益气分以充脾胃。此夏三月。必有康健之理。补中益气汤。
某(50岁):秽湿邪吸受。由募原分布三焦。升降失司。脘腹胀闷。大便不爽。当用正气散法。(湿邪弥漫三焦)
藿香梗 浓朴 杏仁 广皮白 茯苓皮 神曲 麦芽 绵茵陈
蔡:仲景云。小便不利者。为无血也。小便利者。血症谛也。此症是暑湿气蒸。三焦弥漫。以致神昏。乃诸窍阻塞之兆。至小腹硬满。大便不下。全是湿郁气结。彼夯医犹然以滋味呆钝滞药。与气分结邪相反极矣。议用甘露饮法。
猪苓 浙茯苓 寒水石 晚蚕砂 皂荚子(去皮)
某(14岁):脘闷。便溏。身痛。脉象模糊。这属于湿蕴三焦。
浓朴 广皮 藿香梗 茯苓皮 大豆黄卷 木防己 川通草 苡仁
牛:向年积聚。误服燥热诸药。频与清夺推陈致新乃安。身处江南湿热之乡。饮啖仍用山右浓重之味。留热由肠升膈。三焦不消。议攻无形之热。清心凉膈去芒硝加菖蒲。
韩(31岁):冷酒水湿伤中。上呕食。下泄脂液。阳气伤极。再加浮肿作胀则危。(酒湿伤阳郁生胃痈)
人参 茯苓 熟附子 生于术 生白芍 生姜
又:酒湿类聚。例以分利。诊脉微。阳气已败。湿壅生热至胃痈脓。清热则阳亡即死。术苓运中祛湿。佐附迅走气分。亦治湿一法。
茯苓 熟附子 生白术 左牡蛎 泽泻 车前子
庞(44岁):湿久脾阳消乏。中年未育子。肾真亦惫。仿安肾丸法。(阳衰湿伤脾肾)
鹿茸 胡芦巴 附子 韭子 赤石脂 补骨脂 真茅术 茯苓 菟丝子 大茴香
张(54岁):阳伤痿弱。有湿麻痹。痔血。
生白术 附子 干姜 茯苓
某(38岁):舌白身痛。足跗浮肿。从太溪穴水流如注。这是湿邪伏于足少阴。当用温蒸阳气为主。
鹿茸 淡附子 草果 菟丝子 茯苓
杨:厥阴为病。必错杂不一。疟痢之后。肝脏必虚。发症左胁有痞。腹中块 外坚。胁下每常汨汨有声。恶虚就实。常有寒热。胃中不知饥。而又嘈杂吞酸。脉长而数。显然厥阴阳明湿热下渗前阴。阳缩而为湿热症也。议用升发阳明胃气。渗泄厥阴湿热。其症自愈。(肝胃湿热)
苍术 半夏 茯苓 橘红 通草 当归 柏子仁 沙蒺藜 川楝子 茴香 即丸方。
浦(氏):胸膈迷漫。胃痛呕食。肢节屈曲处冷痛。经落后。来时周身腰脊不舒。脉弦沉。痛即便溏。这是湿郁阻闭。气血不行。用药先须断酒。(湿郁肢节冷痛)
生茅术 炮黑川乌 姜汁 白芥子 浓朴 广皮 荜茇 茯苓
徐:温疟初愈。骤进浊腻食物。湿聚热蒸。蕴于经络。寒战热炽。骨骱烦疼。舌起灰滞之形。面目痿黄色。显然湿热为痹。仲景谓湿家忌投发汗者。恐阳伤变病。盖湿邪重着。汗之不却。是苦味辛通为要耳。(湿热入经络为痹)
防己 杏仁 滑石 醋炒半夏 连翘 山栀 苡仁 野赤豆皮
某(47岁):风暑湿浑杂。气不主宣。咳嗽头胀。不饥。右肢若废。法当通阳驱邪。
杏仁(三钱) 苡仁(三钱) 桂枝(五分) 生姜(七分) 浓朴(一钱) 半夏(一钱半)
汉防己(一钱半) 白蒺藜(二钱)
某:汗多身痛。自利。小溲全无。胸腹白疹。这是风湿伤于气分。医用血分凉药。希冀热缓。殊不知湿郁在脉为痛。湿家本有汗不解。(湿郁经脉痛)
苡仁 竹叶 白蔻仁 滑石 茯苓 川通草
湿为重浊有质之邪。若从外而受者。皆由地中之气升腾。从内而生者。皆由脾阳之不运。
虽云雾露雨湿。上先受之。地中潮湿。下先受之。然雾露雨湿。亦必由地气上升而致。若地气不升。则天气不降。皆成燥症矣。何湿之有。其伤人也。或从上。或从下或遍体皆受。此论外感之湿邪。着于肌躯者也。此虽未必即入于脏腑。治法原宜于表散。但不可大汗耳。更当察其兼症。若兼风者。微微散之。兼寒者佐以温药。兼热者佐以清药。此言外受之湿也。
然水流湿。火就燥。有同气相感之理。如其人饮食不节。脾家有湿。脾主肌肉四肢。则外感肌躯之湿。亦渐次入于脏腑矣。亦有外不受湿。而但湿从内生者。必其人膏粱酒醴过度。或嗜饮茶汤太多。或食生冷瓜果及甜腻之物。治法总宜辨其体质阴阳。斯可以知寒热虚实之治。若其人色苍赤而瘦。肌肉坚结者。其体属阳。此外感湿邪。必易于化热。若内生
Feng (31 years old): Tongue coating is white, head and face are swollen. Body pain, limb soreness. Chest fullness, anorexia. Urinary obstruction. Qi mechanism should be opened to remove dampness. (Dampness obstructing the Upper Jiao, causing Lung's descending function to fail)
Fei Huashi (Flown Talcum), Xingren (Apricot Seed), Baikouren (White Cardamom Seed), Dayezhu (Large Bamboo Leaf), Chao Banxia (Stir-fried Pinellia), Baitongcao (White Akebia Stem).
Wang (20 years old): Dampness from alcohol and meat aids heat. Internal steaming brews phlegm. Obstructing Qi mechanism. No hunger, anorexia. Urination and defecation are not smooth. This is also a disease of the Three Jiao. First discuss the Upper Jiao.
Mo Ru treats the Lung.
Because the Lung governs the Qi transformation of the whole body.
Xingren (Apricot Seed), Gualoupi (Trichosanthes Peel), Baikouren (White Cardamom Seed), Fei Huashi (Flown Talcum), Banxia (Pinellia), Nongpo (Magnolia Bark).
Wu (55 years old): Alcohol drinkers have excess dampness. Transforming into phlegm and fire. The patient dislikes sweet food. Heat gathers in the stomach and invades the Lung. Qi rebellion causes vomiting of food. Upper and Middle Jiao damp-heat. Main treatment with light seeping methods. Assisted by bitter-warm methods.
Da Xingren (Large Apricot Seed), Jinshihu (Dendrobium), Fei Huashi (Flown Talcum), Zi Nongpo (Purple Magnolia Bark), Huoshui Lugen (Living Reed Rhizome).
Kong: Heat in the heart. No hunger, insomnia. Yellow eyes, spontaneous diarrhea. Damp-heat internal stagnation.
Dan Huangqin (Light Scutellaria), Lianqiao (Forsythia), Chao Xingren (Stir-fried Apricot Seed), Baitongcao (White Akebia Stem), Huashi (Talcum), Ye Chidoupi (Wild Adzuki Bean Skin).
Mou (29 years old): Damp-warmth obstructs the Lung and Wei levels. Sore throat. Bi-pain in the dorsum of the foot. Should clear the Upper Jiao. When dampness goes, Qi naturally harmonizes. (Damp-warmth obstructing the Lung)
Fei Huashi (Flown Talcum), Zhuyexin (Bamboo Leaf Heart), Lianqiao (Forsythia), Jiegeng (Platycodon), Shegan (Belamcanda), Lugen (Reed Rhizome).
Zhou: Disease started ten days ago. Still head distension. Gradually leading to deafness. As stated in the *Neijing* Chapter on Disease Capabilities: "Due to dampness, the head feels wrapped." This hiccups and epistaxis are all signs of evil confusing Qi. Moreover, tongue color is white, throat feels closed. Evil obstructs the empty spaces of the upper orifices. It is likely not a disease treatable by bitter-cold directly entering the Stomach. The disease name is Damp-warmth. It cannot resolve itself. Even if there are changes of coma and convulsions, doctors should not broadly call it seasonal qi.
Lianqiao (Forsythia), Niubangzi (Arctium Seed), Yinhua (Honeysuckle), Mabo (Cephalanoplos), Shegan (Belamcanda), Jinzhi (Gold Juice).
Li (32 years old): Seasonal damp-heat qi touches from mouth and nose. From the Mu Yuan (Source) moves to the middle path. Thus clearing and descending do not function. No hunger, anorexia. But warmth is the gradual change to heat. Causing the mechanisms and orifices not to be agile. Different from physical turbidity. This method clears heat and opens depression, must assist with aromatic drugs to drive away filth as the principle. (Damp-heat filth qi obstructing orifices)
Gualoupi (Trichosanthes Peel), Jiegeng (Platycodon), Heishanzhi (Black Gardenia), Xiangchi (Fermented Soybean), Zhiqiao (Bitter Orange), Yujin (Curcuma), Jiangxiangmo (Aquilaria Powder).
Mou: Inhaling filth evil. Mu Yuan is diseased first. Vomiting and rebellion. Evil qi distributes. Ying and Wei are both affected. Thus heat steams head distension. Body pain for ten days. Consciousness coma. Small water (urine) does not pass. Upper, Middle, and Lower Jiao all diseased. Tongue white. Thirst but drinks little. This is Qi mechanism blockage. Should use aromatic drugs to open spirit. Light seeping drugs to open orifices. So that filth-damp-turbid qi can be separated and eliminated.
Yiren (Coix Seed), Fulingpi (Poria Peel), Zhuling (Polyporus), Dafupi (Areca Peel), Tongcao (Akebia), Dan Zhuye (Light Bamboo Leaf).
Niuhuang Wan (Calculus Bovis Pill) two pills.
Wu: After damp evil attacks. Spleen and Stomach do not wake up. No hunger, thirst. Propose clearing and nourishing Stomach Yin for stability. (Damp-heat injuring Stomach Yin)
Xian Shentoucao (Fresh Mint), Zhimu (Anemarrhena), Chuanhu (Dendrobium), Yiren (Coix Seed), Chao Maidong (Stir-fried Ophiopogon).
Zhang (Elderly woman): Body strong has dampness. Near Longxia (Long Summer) rainy season humid and wet. Settling on meridians. Body pain. Spontaneous diarrhea with fever. Zhongjing says: Wet patients strictly forbid dispersion. Sweating will change to spasms and convulsions. Pulse comes small, weak, and slow. Damp evil condenses and suppresses Yang Qi. Disease name Damp-warmth. Damp contains hot qi. Rushing horizontally to Pericardium Collateral. Thus causing coma. Four limbs not warm. Also Hand Jueyin symptoms. Not treated same as Cold Damage. (Damp-warmth evil enters Pericardium)
Xijiao (Rhinoceros Horn), Lianqiaoxin (Forsythia Heart), Yuanshen (Scrophularia), Shichangpu (Acorus), Jinyinhua (Honeysuckle), Ye Chidoupi (Wild Adzuki Bean Skin).
Decoct and send Zhibao Dan (Treasure Reaching Pill).
Cai: Yang deficiency mixed with dampness. Evil heat sinks internally. So consciousness is like being covered. Propose using Xi Xin Fa (Draining Heart Method). (Damp-heat sinking internally)
Renshen (Ginseng), Sheng Ganjiang (Raw Dried Ginger), Huangqin (Scutellaria), Chuanlian (Coptis), Zhishi (Immature Bitter Orange), Sheng Baishao (Raw White Peony).
Zhang (61 years old): This is damp蕴 (accumulating) in Qi. Foot Taiyin Qi does not鼓动 (stir) and operate. Try looking at Pi Jie (Pi knot) chest fullness. Zhongjing lists it in the Taiyin chapter. Generally can deduce its principle. (Damp depressing Spleen Yang)
Banxia (Vinegar stir-fried), Fuling (Poria), Chuanlian (Coptis), Nongpo (Magnolia Bark), Tongcao decoction.
Zhou: Damp injures Spleen Yang. Abdominal distension. Urination difficult.
Maozhu (Atractylodes), Nongpo (Magnolia Bark), Fuling (Poria), Zexie (Alisma), Zhuling (Polyporus), Qinpi (Fraxinus Bark).
Again: Wuling San (Five-Ingredient Powder with Poria).
Again: Ershu Gao (Two Atractylodes Paste).
Fan: Four limbs suddenly cold. Spontaneous diarrhea not yet stopped. Eye yellow slightly recedes. But spirit tired, not speaking. Damp evil internal stagnation. Foot Taiyin Qi not operating. Classics say Spleen orifice is in the tongue. Evil stagnating orifice must be less agile. Thus language wants to be stiff. Must separate and promote. Assist with pungent-aromatic to silently move Kun Yang. This is Taiyin interior syndrome method.
Sheng Yuzhu (Raw Atractylodes Macrocephala - 3 qian), Nongpo (Magnolia Bark - 5 fen), Fuling (Poria - 3 qian), Caoguoren (Grass Fruit Kernel - 7 fen), Mugua (Chaenomeles - 5 fen), Zexie (Alisma - 5 fen).
Again: Body slightly turns. Language stiff, spirit dull. Still Qi mechanism not agile turning. Color and pulse are not excess. And damp is Yin evil. Not only biased cold or biased heat already.
Sheng Yuzhu (Raw Atractylodes Macrocephala), Fuling (Poria), Yiren (Coix Seed), Yujin (Curcuma), Chao Yuanzhi (Stir-fried Polygala), Shichangpu juice.
Again: Spleen and Stomach not waking up. All due to previous damp steaming. Qi rising coughing phlegm. Renshen medicine slowly advance.
Chao Huang Chuanbei (Stir-fried Yellow Fritillary), Fuling (Poria), Yiren (Coix Seed), Yujin (Curcuma), Digupi (Ground Beech Bark), Dan Zhuye (Light Bamboo Leaf).
Again: Damp stagnates in middle. Qi steams above. Loss of descending cannot sleep. Mouth many white ulcers. Still no thirst drinking. Open upper depression. Assist middle transport. Benefit intestinal space. Also is opening and unblocking Three Jiao.
Sheng Yuzhu (Raw Atractylodes Macrocephala - 5 qian), Yiren (Coix Seed - 3 qian), Hanshuishi (Native Gypsum - 1.5 qian), Jiegeng (Platycodon - 7 fen), Zhuling (Polyporus - 1 qian), Zexie (Alisma - 1 qian).
Guangpi Bai (Tangerine Peel White - 1.5 qian).
Cao (30 years old): Intestines and Stomach belong to Fu organs. Damp long generates heat. Qi obstructs not smooth. Still take tong (unblocking) as method. (Damp obstructing Middle Jiao Yang Qi)
Sheng Yuzhu (Raw Atractylodes Macrocephala), Chuanhuilian (Sichuan Coptis), Nongpo (Magnolia Bark), Dan Shengjiangzha (Light Ginger Dregs), Guangpi Bai (Tangerine Peel White), Jiu Wei Dahuang (Wine-baked Rhubarb).
Water method pill. Take 3 qian.
Li (45 years old): Pulse small and choppy. Phlegm much surging up. Food entering epigastrium blocked. Stool not smooth. From autumn to this summer not cured. Self states hunger and satiety imbalanced. Once had jaundice. Treat with damp injuring Qi bi as main.
Da Xingren (Large Apricot Seed), Yiren (Coix Seed), Banxia (Pinellia), Jiangzhi (Ginger Juice), Fuling (Poria), Juhong (Citrus Peel Red), Yujin (Curcuma), Xiangchi (Fermented Soybean).
Yu (55 years old): Alcohol damp depressed injuring. Epigastrium food blocked and painful. Treat with bitter-pungent-cold.
Xiao Chuanlian (Small Sichuan Coptis), Banxia (Pinellia), Jiangzhi (Ginger Juice), Zhishi (Immature Bitter Orange), Fuling (Poria), Xiangchi (Fermented Soybean).
Mou (59 years old): Tongue white, eye yellow. Thirst, urine red. Pulse image dull. This belongs to damp depression.
Mian Yinchen (Downy Wormwood - 3 qian), Sheng Baizhu (Raw Atractylodes - 1 qian), Hanshuishi (Native Gypsum - 3 qian), Fei Huashi (Flown Talcum - 3 qian), Guizhimu (Cinnamon Twig Wood - 1 qian), Fulingpi (Poria Peel - 3 qian), Mu Zhuling (Wood Polyporus - 3 qian), Zexie (Alisma - 1 qian).
Li: Alcohol drinker Middle deficiency. Guangdong area humid. Long Summer wading water. External received damp starts from below. Water and grain not transported. Middle Jiao damp internal gathering. Treatment method not by xuan tong (dispersing and unblocking) meridians and Fu organs. Causing damp obstructing Qi mechanism. Depressed becoming heat. From Spleen and Stomach not governing transport. Water damp flooding between vessels and pores. Two passages not smooth. Damp-heat turbid qi. Twisting confused. Predecessors treating Zhongman (Middle Fullness) must say Fenxiao (Separate and Eliminate). This Fen character clearly means decompose meaning. But chaotic medicines too many. Cannot remove disease. Is Spleen and Stomach injured by medicine. Spreading to legs. Swelling extreme and painful. Disease deep road far. Medicine must enter throat to Stomach. Then spread four directions. Disease place not getting medicine benefit. Clear Yang already injured. This soup medicine hard to discuss. Propose using Danxi Xiaowenzhong Wan (Minor Warming Middle Pill) 3 qian. Specifically to shuli (dredge and benefit) intestines. Taking it not flowing scattering various meridians. Also one principle. Xiaowenzhong Wan eight doses.
Mou (36 years old): Yang micro constitution. Damp-phlegm internal gathering. Loose stool, epigastric stuffiness. Muscle numbness, tongue dry. Clearing processing damp evil. Qi mechanism ascending-descending naturally safe.
Jinshihu (Dendrobium), Fuling (Poria), Banxia (Pinellia), Guangpi Bai (Tangerine Peel White), Gouteng (Uncaria), Baijili (Japanese Tearweed).
Zhang: Pulse right slow. Damp sticking obstructing Qi.
Nongpo (Magnolia Bark), Guangpi (Tangerine Peel), Wei Caoguo (Roasted Grass Fruit), Chao Zharon (Stir-fried Hawthorn), Huoxiang geng (Agastache Stem), Chao Shenqu (Stir-fried Medicated Leaven).
Mou (22 years old): Impatient labor is Ben Xu (Root Deficiency). Epigastric stuffiness loose stool belongs to damp evil. First treat damp. Later treat root.
Huoxiang geng (Agastache Stem), Guangpi (Tangerine Peel), Fuling (Poria), Dafupi (Areca Peel), Nongpo (Magnolia Bark), Guya (Sprouted Grain).
Lu: Damp stagnation like Pi (Pi knot).
Shan Yinchen (Mountain Wormwood), Caoguoren (Grass Fruit Kernel), Fulingpi (Poria Peel), Dafupi rong (Areca Peel Floss), Nongpo (Magnolia Bark), Guangpi (Tangerine Peel), Zhuling (Polyporus), Zexie (Alisma).
Wang (33 years old): Tongue yellow, epigastric stuffiness. Filth-damp internal settling. Qi mechanism not announcing. Like long brewing steaming. Must transform heat qi. Even have body heat burden.
Xingren (Apricot Seed), Huoxiang (Agastache), Fulingpi (Poria Peel), Huashi (Talcum), Nongpo (Magnolia Bark), Guangpi Bai (Tangerine Peel White).
Mou: Reading Bingyuan (Disease Source). All are damp-heat internal stopping images. Should qu damp clear heat as main. As for medicinal wine. Yun damp aiding heat. Especially should forever abstain.
Sheng Baizhu (Raw Atractylodes), Chi Xiaodoupi (Red Adzuki Bean Skin), Mian Yinchen (Downy Wormwood), Huangbai (Phellodendron), Fuling (Poria), Zexie (Alisma).
Mou: Pulse ru (soft). Head distension. Chest body heavy and painful. Chills slight vomiting. This is damp obstructing Qi mechanism.
Nongpo (Magnolia Bark), Xingren (Apricot Seed), Baikouren (White Cardamom Seed), Mutong (Akebia), Fulingpi (Poria Peel), Dafupi (Areca Peel), Huashi (Talcum), Zhuye (Bamboo Leaf).
Mou: Long Summer external receiving Shu Shi (Summer-Damp). With water-grain qi combining. Upper Jiao not going. Lower Wan (Stomach) not passing. Qi obstructed. Heat from damp below steaming forcing. No hunger, anorexia. Eye yellow tongue white. Qi mechanism knot.
Nongpo (Magnolia Bark), Xingren (Apricot Seed), Guangpi (Tangerine Peel), Fuling (Poria), Banxia (Pinellia), Jiangzhi (Ginger Juice).
Mou: Pulse slow. Body pain. Sweat out heat resolves. Then relapse heat. This is water-grain qi not operating. Damp again obstructing Qi. Depressed becoming disease. Still propose xuan tong (disperse and unblock) Qi mechanism. Heat from damp coming. Only advancing clearing heat not responding.
Huangqin (Scutellaria), Huashi (Talcum), Fulingpi (Poria Peel), Dafupi (Areca Peel), Baikouren (White Cardamom Seed), Tongcao (Akebia), Zhuling (Polyporus).
Fang (44 years old): Physical form颓ran (decadent). Pulse chi small choppy. No eating no sleeping. Abdominal pain. Stool obstruction. Usually likes alcohol. Grains Middle deficiency. Damp knot Yang injury. Cold-damp turbid Yin gathering for pain.
Chaohei Sheng Fuzi (Stir-fried Black Raw Aconite), Chaohei Chuanjiao (Stir-fried Black Sichuan Pepper), Sheng Dan Ganjiang (Raw Light Dried Ginger), Congbai (Green Onion White), mixed into Zhu Danshui (Pig Bile - one piece).
Wang (25 years old): Cold damp damages Yang. Meridians constriction. Form cold alcohol drinker few grains. Labor effort caused.
Guizhi (Cinnamon Twig), Dan Ganjiang (Light Dried Ginger), Shu Fuzi (Prepared Aconite), Sheng Baizhu (Raw Atractylodes).
Mo (50 years old): This year Summer April. Chills heat no hunger. Is seasonal tide qi steaming. Internally responding Spleen Stomach. Damp belongs to Yin obscure. Must damage Yang Qi. Acid swallowing form cold. Lack Yang operation. Propose drumming rotating Spleen Stomach one method. Ling Jiang Zhu Gui Tang (Poria, Ginger, Atractylodes, Cinnamon Decoction).
Mou (16 years old): Earth damp qi. From foot first swelling. Damp belongs to Yin evil. Yang not easily recovering. Fear cold. Bones sinews still pulling weak. Use Jingui Ling Jiang Zhu Gui Tang.
Chen (51 years old): Turbid condensing. Qi knot tangible. Alcohol meat carrying damp.
Bibo (Long Pepper), Sheng Xiangfuzhi (Raw Cyperus Juice), Muxiang (Costus), Caoguo (Grass Fruit), Fuling (Poria), Guangpi Bai (Tangerine Peel White).
Jiang: Pulse slow. Umbilicus above pain. Abdomen slight swelling. Stool thin. Urine short not smooth. This is damp depressing Spleen Stomach Yang. Causing Qi stagnation Li Ji (Interior Urgency). Follow ancients Dao Shi Fen Xiao (Guide Damp Separate Eliminate). Use Gui Ling San formula.
Sheng Maozhu (Raw Atractylodes Lancea), Guanzi Gui (Official Cinnamon), Fuling (Poria), Nongpo (Magnolia Bark), Guangpi Bai (Tangerine Peel White), Fei Huashi (Flown Talcum), Zhuling (Polyporus), Zexie (Alisma), Chao Zharon (Stir-fried Hawthorn).
Lin (52 years old): Middle age Clear Yang daily thin. Suddenly epigastrium Pi Man (Fullness). Is Clear Yang not self rotating. Alcohol meat damp-turbid qi. Able to condense. Over drinking loose diarrhea. Damp injuring Spleen Stomach. Stomach Yang micro. Zhongjing method. With light agent xuan tong (disperse unblock) its Yang. If throwing Po Qi Kai Jiang (Break Qi Open Descend). Most damages Yang Qi. Has Ge Ju (Refusal) harm. Ling Gui Zhu Gan Tang (Poria, Cinnamon, Atractylodes, Licorice Decoction).
Yan (31 years old): Chest full no hunger. Is Yang not operating. Likes alcohol must carry damp condensing blocking its Qi. Long then Three Jiao all close. Use Banshu Wan (Pinellia and Cinnabar Pill). Two passages already passed. Propose treating Upper Jiao Yang, Ling Gui Zhu Gan Tang.
Wang (62 years old): Patient describes disease among thick flavors no taboo. Intestines Stomach stagnation although down. But remaining damp not resolved. Damp heavy turbid. Causes Qi falling to anus. Anus falling pain not ending. Stomach not liking food. Yangming losing closure. Tongue has white rot shape/color. Propose Jie (Rob) Intestines Stomach damp.
Sheng Maozhu (Raw Atractylodes Lancea), Renshen (Ginseng), Nongpo (Magnolia Bark), Guangpi (Tangerine Peel), Pao Jiang Hui (Roasted Ginger Ash), Sheng Chaohei Fuzi (Raw Stir-fried Black Aconite).
Hu (20 years old): Receive damp suffering sores. Long sores Yang lack Qi leaking. Half year lingering powerless. Eating little. Belching hard to digest. This is Spleen Stomach disease. Method by Yun Zhong Yang (Transport Middle Yang) as key.
Fuling (Poria), Guizhi (Cinnamon Twig), Sheng Yuzhu (Raw Atractylodes Macrocephala), Zhi Cao (Honey-fried Licorice), Yiren (Coix Seed), Shengjiang (Fresh Ginger).
Wang: Summer season Spleen Stomach governs Qi. Plus long rain flooding tide. Earth damp qi upward interfering. Food taste heavy turbid little transport. So-called damp winning becomes Five Diarrheas. Ancients say Cold shapes injury. Heat Qi injury. Mangzhong Xiazhi (Grain in Ear, Summer Solstice). Sky gradually hot. Should Yi Qi Fen (Benefit Qi Mechanism) to fill Spleen Stomach. This Summer three months. Must have healthy principle. Buzhong Yiqi Tang (Tonify Middle and Benefit Qi Decoction).
Mou (50 years old): Filth-damp evil inhaling. From Mu Yuan distributing Three Jiao. Ascending-descending losing control. Epigastric abdominal distension. Stool not smooth. Should use Zhengqi San method. (Damp evil diffusing Three Jiao)
Huoxiang geng (Agastache Stem), Nongpo (Magnolia Bark), Xingren (Apricot Seed), Guangpi Bai (Tangerine Peel White), Fulingpi (Poria Peel), Shenqu (Medicated Leaven), Maiya (Malt), Mian Yinchen (Downy Wormwood).
Cai: Zhongjing says. Small water not benefiting. Is no blood. Small water benefiting. Blood disease truth. This symptom is Shu Shi qi steaming. Three Jiao diffusing. Thus causing coma. Is all orifices blocking omen. To lower abdomen hard full. Stool not down. All is damp depressed Qi knot. That dull doctor still with taste dull stagnant medicine. With Qi mechanism knotting evil opposite extremely. Propose using Ganlu Yin (Sweet Dew Drink) method.
Zhuling (Polyporus), Zhe Fuling (Zhejiang Poria), Hanshuishi (Native Gypsum), Wancansha (Silkworm Sand), Saojiazi (Soap Pod Seed - peeled).
Mou (14 years old): Epigastric stuffiness. Loose stool. Body pain. Pulse image vague. This belongs to damp蕴 Three Jiao.
Nongpo (Magnolia Bark), Guangpi (Tangerine Peel), Huoxiang geng (Agastache Stem), Fulingpi (Poria Peel), Dadou Huangjuan (Soybean Yellow Sprout), Mumufangji (Stephania), Chuan Tongcao (Sichuan Akebia), Yiren (Coix Seed).
Niu: Past years accumulation. Mistakenly taking燥热 (Dry-Hot) various medicines. Frequently with Qing Duo Tui Chen Zhi Xin (Clear Drain Push Old Bring New) then safe. Living in Jiangnan damp-heat hometown. Drinking eating still use Shan You (Shanxi) heavy tastes. Remaining heat from intestine rising diaphragm. Three Jiao not digesting. Propose attacking formless heat. Qingxin Liangge (Clear Heart Cool Diaphragm) removing Mangxiao adding Changpu.
Han (31 years old): Cold wine water-damp injuring Middle. Above vomiting food. Below excreting fat liquid. Yang Qi injured extremely. Plus swelling making distension then critical. (Alcohol-damp injuring Yang郁 generating Stomach Abscess)
Renshen (Ginseng), Fuling (Poria), Shu Fuzi (Prepared Aconite), Sheng Yuzhu (Raw Atractylodes Macrocephala), Sheng Baishao (Raw White Peony), Shengjiang (Fresh Ginger).
Again: Alcohol-damp clustering. Example with Fen Li (Separate Promote). Diagnose pulse micro. Yang Qi already defeated. Damp congestion generating heat to Stomach Abscess pus. Clearing heat then Yang perishes immediately death. Shu Ling Yun Zhong Qu Shi (Atractylodes Poria Transport Middle Remove Damp). Assist Fu Xun zou Qi Fen (Aconite Rapidly Walk Qi Mechanism). Also treating damp one method.
Fuling (Poria), Shu Fuzi (Prepared Aconite), Sheng Baizhu (Raw Atractylodes), Zuo Muli (Left Oyster Shell), Zexie (Alisma), Cheqianzi (Plantago Seed).
Pang (44 years old): Damp long Spleen Yang consuming lack. Middle age not bearing son. Kidney Zhen also exhausted. Imitate Anshen Wan (Peace Kidney Pill) method. (Yang decline damp injuring Spleen Kidney)
Lurong (Deer Antler), Huluba (Trigonella), Fuzi (Aconite), Jiu Zi (Leek Seed), Chishizhi (Red Halloysite), Buguzhi (Psoralea), Zhen Maozhu (True Atractylodes Lancea), Fuling (Poria), Tusizi (Dodder Seed), Da Huixiang (Large Fennel).
Zhang (54 years old): Yang injured Wei Ruo (Weakness). Has damp Ma Bi (Numbness). Hemorrhoids blood.
Sheng Baizhu (Raw Atractylodes), Fuzi (Aconite), Ganjiang (Dried Ginger), Fuling (Poria).
Mou (38 years old): Tongue white body pain. Foot dorsum swelling. From Taixi point water flow like pouring. This damp evil hiding in Foot Shaoyin. Should use Wen Zheng Yang Qi (Warm Steaming Yang Qi) as main.
Lurong (Deer Antler), Dan Fuzi (Light Aconite), Caoguo (Grass Fruit), Tusizi (Dodder Seed), Fuling (Poria).
Yang: Jueyin disease. Must mixed not uniform. After malaria dysentery. Liver organ must deficient. Developing symptom Left Hypochondrium has Pi. Abdomen mass outside hard. Hypochondrium often gurgling sound. Dislikes Xu seeks Shi. Often chills heat. Stomach not knowing hunger. Yet burning acid swallowing. Pulse long and rapid. Obviously Jueyin Yangming damp-heat downward渗 (seeping) anterior Yin. Yang shrinking becoming damp-heat symptom. Propose using Sheng Fa Yangming Weiqi (Raise Yangming Stomach Qi). Shen Xie Jueyin Shire (Seep Drain Jueyin Damp-Heat). Its symptom self cures. (Liver Stomach Damp-Heat)
Cangzhu (Atractylodes), Banxia (Pinellia), Fuling (Poria), Juhong (Citrus Peel Red), Tongcao (Akebia), Danggui (Angelica), Baiziren (Biota Seed), Sha Jili (Tribulus), Chuanlianzi (Evodia), Huixiang (Fennel) i.e. Pill Formula.
Pu (Clan): Chest Diaphragm misty. Stomach pain vomiting food. Limb joints flexion place cold pain. Menstruation late. Coming time whole body waist spine uncomfortable. Pulse string deep. Pain then loose stool. This damp depressed obstructing closing. Qi Blood not moving. Using medicine first must cut alcohol. (Damp depressed limb joint cold pain)
Sheng Maozhu (Raw Atractylodes Lancea), Paohei Chuanwu (Roasted Black Sichuan Aconite), Jiangzhi (Ginger Juice), Baijiezi (White Mustard Seed), Nongpo (Magnolia Bark), Guangpi (Tangerine Peel), Bibo (Long Pepper), Fuling (Poria).
Xu: Wen Nue (Warm Malaria) just recovered. Suddenly advancing turbid greasy food. Damp gathering heat steaming. Accumulating in meridians. Chills heat blazing. Bone joints vexing pain. Tongue rising gray stagnant shape. Face eye萎黄 (withered yellow). Obviously damp-heat becoming Bi. Zhongjing says Wet patients forbid throwing sweating. Fear Yang injured changing disease. Because damp evil heavy sticking. Sweating not retreating. Is bitter taste pungent unblocking as key. (Damp-heat entering meridians becoming Bi)
Fangji (Stephania), Xingren (Apricot Seed), Huashi (Talcum), Cu Chao Banxia (Vinegar Stir-fried Pinellia), Lianqiao (Forsythia), Shanzhi (Gardenia), Yiren (Coix Seed), Ye Chidoupi (Wild Adzuki Bean Skin).
Mou (47 years old): Feng Shu Shi (Wind Summer-Damp) mixed. Qi not governing announcing. Coughing head distension. No hunger. Right limb like disabled. Method should Tong Yang Qu Xie (Unblock Yang Drive Evil).
Xingren (3 qian), Yiren (3 qian), Guizhi (5 fen), Shengjiang (7 fen), Nongpo (1 qian), Banxia (1.5 qian).
Han Fangji (1.5 qian), Baijili (2 qian).
Mou: Sweat much body pain. Spontaneous diarrhea. Small urine completely none. Chest abdomen white rash. This Wind-Damp injuring Qi mechanism. Doctor using Blood mechanism cooling medicine. Hoping heat slowing. Not knowing Damp depressed in vessel for pain. Wet patient originally has sweat not resolving. (Damp depressed vessel pain)
Yiren (Coix Seed), Zhuye (Bamboo Leaf), Baikouren (White Cardamom Seed), Huashi (Talcum), Fuling (Poring), Chuan Tongcao (Sichuan Akebia).
Damp is heavy turbid having substance evil. If from external receiving. All from Earth Qi ascending. From internal generating. All from Spleen Yang not operating.
Although cloud fog dew rain damp. Upper first receives. Earth humid. Lower first receives. But cloud fog dew rain. Also must from Earth Qi rising causing. If Earth Qi not rising. Then Heaven Qi not descending. All become Dry syndrome. What damp is there. Its injuring people. Or from above. Or from below or whole body all receive. This discusses external receiving damp evil. Sticking on muscle body. This although not necessarily immediately entering Zang Fu. Treatment method originally suitable for Biao San (Surface Dispersion). But cannot large sweat. More should observe its concurrent symptoms. If concurrent wind. Slightly disperse it. Concurrent cold assist with warm medicine. Concurrent heat assist with clearing medicine. This speaks external received damp.
However water flows to damp. Fire goes to dry. Has same Qi sensing principle. If person diet not regulated. Spleen home has damp. Spleen governs muscle four limbs. Then external receiving muscle body damp. Also gradually entering Zang Fu. Also have external not receiving damp. But only damp from internal generating. Must person rich food wine excessive. Or like drinking tea soup too much. Or eating raw cold melons fruits and sweet greasy things. Treatment method generally suitable distinguishing its constitution Yin Yang. Then can know cold-hot deficiency-excess treatment. If person color dark-red and thin. Muscle firm knotted. Its body belongs Yang. This external receiving damp evil. Must easy transforming heat. If internal generating