某 内风。乃身中阳气之动变。甘酸之属宜之。（肝阴虚）
生地 阿胶 牡蛎 炙草 萸肉炭
王 阳挟内风上巅。目昏耳鸣不寐。肝经主病。
熟地炙 炙龟甲 萸肉 五味 磁石 茯苓 旱莲草 女贞子
曹（三二）辛寒清上。头目已清。则知火风由脏阴而起。刚药必不见效。缓肝之急以熄风。滋肾之液
以驱热。治法大旨如此。
生地 阿胶 天冬 元参 川斛 小黑豆皮
陈（四五）操持烦劳。五志阳气。挟内风上扰清空。头眩耳鸣。目珠痛。但身中阳化内风。非发散可解。
非沉寒可清。与六气火风迥异。用辛甘化风方法。乃是补肝用意。
枸杞子 桂圆肉 归身 炙草 甘菊炭 女贞子
陆（四二）肝风阳气。乘阳明之虚上冒。牙肉肿痛。议和阳熄风。
生地 阿胶 牡蛎 天冬 茯神 川斛 旱莲草 女贞子
凌 交节病变。总是虚症。目泛舌强。脊背不舒。溲淋便涩。皆肾液不营。肝风乃张。当宗河间浊
药轻服。名曰饮子。
熟地（五钱） 咸苁蓉（八钱） 炒杞子（三钱） 麦冬（二钱） 云苓（一钱半） 川石斛（三钱）
生沙苑（一钱） 石菖蒲（一钱） 远志肉（四分） 饮子煎法。
胡 缓肝润血熄风。
制首乌 杞子 归身 冬桑叶 三角胡麻 柏子仁 茯神 天冬 黑 豆皮 蜜丸。
某 高年水亏。肝阳升逆无制。两胁 如热。则火升面赤。遇烦劳为甚。宜养肝阴和阳为法。
九蒸何首乌（四两） 九蒸冬桑叶（三两） 徽州黑芝麻（三两） 小黑 豆皮（三两） 巨胜子（二两即胡
麻） 浸淡天冬（去心一两）
真北沙参（二两） 柏子仁（一两半去油） 云茯神（二两） 女贞实（二两）
上为末。青果汁法丸。早服三钱。开水送。
张（氏）肝阳虚风上巅。头目不清。阳明脉空。腰膝酸 。议养血熄风。
菊花炭 熟首乌 牛膝炭 枸杞子炭 黑 豆 茯神
沈 冲气左升。当镇肝摄肾。（肝肾阴虚）
地黄 阿胶 萸肉 淡菜 茯苓
丁（四三）因萦思扰动五志之阳。阳化内风。变幻不已。夫阳动莫制。皆脏阴少藏。自觉上实下虚。法
当介以潜之。酸以收之。味浓以填之。偏寒偏热。乌能治情志中病。
熟地 萸肉 五味 磁石 茯神 青盐 鳖甲胶 龟版胶 即溶胶为丸。
朱（妪）心中热辣。寤烦不肯寐。皆春令地气主升。肝阳随以上扰。老年五液交枯。最有痫痉之虑。
生地 阿胶 生白芍 天冬 茯神 小黑 豆皮
程（氏）伏暑深秋而发。病从里出。始如疟状。热气逼迫营分。经事不当期而来。舌光如镜。面黯青
晦。而胸痞隐痛。正气大虚。热气内闭。况乎周身皆痛。卫阳失和极矣。先拟育阴驱热。肝风不
旋。不致痉厥。五日中不兴风波。可望向安。
生地 阿胶 天冬 麦冬 麻仁 生牡蛎
金（女）温邪深入营络。热止。膝骨痛甚。盖血液伤极。内风欲沸。所谓剧则螈 。痉厥至矣。总是消
导苦寒。冀其热止。独不虑胃汁竭。肝风动乎。拟柔药缓络热熄风。
复脉汤去参姜麻仁 生鳖甲汤煎药。
王（氏）痛从腿肢筋骨。上及腰腹。贯于心胸。若平日经来带下。其症亦至。此素禀阴亏。冲任奇脉
空旷。凡春交。地中阳气升举。虚人气动随升。络血失养。诸气横逆。面赤如赭。饥不欲食。耳失
聪。寤不成寐。阳浮。脉络交空显然。先和阳治络。
细生地 生白芍 生鳖甲 生龟甲 生虎骨 糯稻根
煎药送滋肾丸（一钱半）
又 前用滋肾丸。痛缓。面浮跗肿。血气俱乏。内风泛越。经言风胜则动。湿胜则肿。阴虚多热之
质。议先用虎潜丸。每服四钱。四服。
某（五三）下元水亏。风木内震。肝肾虚。多惊恐。非实热痰火可攻劫者。
生地 清阿胶 天冬 杞子 菊花炭 女贞实
胡 久病耳聋。微呛喉中不甚清爽。是阴不上承。阳挟内风。得以上侮清空诸窍。大凡肝肾宜
润宜凉。龙相宁。则水源生矣。
人参（一钱秋石一分化水拌烘干同煎） 鲜生地（三钱） 阿胶（一钱） 淡菜（三钱） 白芍（一钱） 茯神
（一钱半）
又 阴虚液耗。风动阳升。虽诸恙皆减。两旬外大便不通。断勿欲速。惟静药补润为宜。照前方
去白芍。加柏子仁。
又 大便两次颇逸。全赖静药益阴之力。第纳食未旺。议与胃药。
人参 茯神 炒麦冬 炙甘草 生谷芽 南枣
又 缓肝益胃。
人参 茯神 生谷芽 炙甘草 木瓜 南枣
周 怒动肝风。筋胀胁板。喉痹。
阿胶 天冬 柏子仁 牡蛎 小麦
吴 脉弦小数。形体日瘦。口舌糜碎。肩背掣痛。肢节麻木。肤腠瘙痒。目眩晕耳鸣。已有数年。此
属操持积劳。阳升。内风旋动。烁筋损液。古谓壮火食气。皆阳气之化。先拟清血分中热。继当
养血熄其内风。安静勿劳。不致痿厥。（阳升血热）
生地 元参 天冬 丹参 犀角 羚羊角 连翘 竹叶心
（丸方） 何首乌 生白芍 黑芝麻 冬桑叶 天冬 女贞子
茯神 青盐
某（妪）脉右虚左数。营液内耗。肝阳内风震动。心悸眩晕少寐。（心营热）
生地 阿胶 麦冬 白芍 小麦 茯神 炙草
吉（三五）心悸荡漾。头中鸣。七八年中频发不止。起居饮食如常。此肝胆内风自动。宜镇静之品。佐以辛泄之味。
如枕中丹。（风阳扰神）
王（氏）惊悸。微肿。内风动也。
人参 龙骨 茯神 五味 煨姜 南枣
曹 肝胆阳气。挟内风上腾不熄。心中热。惊怖多恐。进和阳镇摄方法。
龟甲 龙骨 牡蛎 茯神 石菖蒲 远志
又 神识略安。夜不得寐。胸脐闲时时闪烁欲动。乃内风不熄也。进补心法。
生地 丹参 元参 茯神 枣仁 远志 菖蒲 天冬 麦冬 桔梗 朱砂
王（氏）神呆不语。心热烦躁。因惊而后。经水即下。肉腠刺痛。时微痞。头即摇。肝风内动。变痉厥之
象（血去阳升）
小川连 黄芩 阿胶 牡蛎 秦皮
陈（妪）虚风麻痹。清窍阻塞。（风阳阻窍）
天麻 钩藤 白蒺藜 甘菊 连翘 桑枝
包（妪）右太阳痛甚。牙关紧闭。环口牵动。咽喉如有物阻。乃阳升化风。肝病上犯阳络。大便欲闭。
议用龙荟丸。每服二钱。
又 肝风阻窍。脉象模糊。有外脱之危。今牙关紧。咽痹不纳汤水。虽有方药。难以通关。 当刮
指甲末。略以温汤调灌。倘得关开。再议他法。另以苏合香擦牙。
郑（三九）脉右弦。头胀耳鸣火升。此肝阳上郁。清窍失司。
细生地 夏枯草 石决明 川斛 茯神 桑叶
陈 夏季阳气暴升。烦劳扰动。致内风上阻清窍。口 舌强。呵欠。机窍阻痹不灵。脉数。舌胎。忌
投温散。乃司气所致。非表邪为病也。（络热窍痹）
犀角 羚羊角 郁金 菖蒲 胆星 钩藤 连翘 橘红 竹沥 姜汁
又 清络得效。火风无疑。忌投刚燥。
犀角 羚羊 郁金 菖蒲 连翘 生地 元参 广皮 竹沥 姜汁
又 脉数面赤。肝风尚动。宜和阳熄风。
鲜生地 元参 羚羊角 连翘 菖蒲根 鲜银花 麦冬
汪 如寐舌喑。面赤亮。汗出。未病前一日。顿食面颇多。病来仓猝。乃少阴肾脏阴阳不续。厥阴
肝风突起。以致精神冒昧。今七八日来。声音不出。乃机窍不灵。治法以固护正气为主。宣利
上焦痰热佐之。若地冬养阴。阴未骤生。徒使壅滞在脘。急则治标。古有诸矣。挨过十四十五
日。冀有转机。（痰热阻窍）
人参 半夏 茯苓 石菖蒲 竹沥 姜汁
江 左胁中动跃未平。犹是肝风未熄。胃津内乏。无以拥护。此清养阳明最要。盖胃属腑。腑强
不受木火来侵。病当自减。与客邪速攻。纯虚重补迥异。（肝胃阴虚） 酸枣仁汤去川芎加人参。
又 诸恙向安。惟左胁中动跃多年。时有气升欲噫之状。肝阴不足。阳震不息。一时不能遽已。
今谷食初加。乙癸同治姑缓。
人参 茯神 知母 炙草 朱砂染麦冬 调入金箔
又 鲜生地 麦冬（朱砂拌） 竹叶心 知母 冲冷参汤
席（五七）脉来弦动而虚。望六年岁。阳明脉衰。厥阴内风暗旋不熄。遂致胃脉不主束筋骨。以利机
关。肝阳直上巅顶。汗从阳气泄越。春月病发。劳力病甚。此气愈伤。阳愈动矣。法当甘温益气。
攻病驱风。皆劫气伤阳。是为戒律（胃虚表疏）
人参 黄 当归 炙草 冬桑叶 麦冬 地骨皮 花粉
孙（氏）胃虚。肝风内震。呕痰咳逆。头痛眩晕。肢麻。汗出寒热。（胃虚痰滞） 二陈汤加天麻钩藤。
沈（五六）色苍形瘦。木火体质。身心过动。皆主火化。夫吐痰冲气。乃肝胆相火犯胃过膈纳食自少。
阳明已虚。解郁和中。两调肝胃。节劳戒怒。使内风勿动为上。（滋肝和胃）
枸杞子 酸枣仁 炒柏子仁 金石斛 半夏曲 橘红 茯苓 黄菊花膏丸
梁 木火体质。复加郁勃。肝阴愈耗。厥阳升腾。头晕目眩心悸。养肝熄风。一定至理。近日知饥
少纳。漾漾欲呕。胃逆不降故也。先当泄木安胃为主。（泄肝安胃）
桑叶（一钱） 钩藤（三钱） 远志（三分） 石菖蒲（三分） 半夏曲（一钱） 广皮白（一钱半）
金斛（一钱半） 茯苓（三钱）
又 左脉弦。气撑至咽。心中愦愦。不知何由。乃阴耗阳亢之象。议养肝之体。清肝之用。
九孔石决明（一具） 钩藤（一两） 橘红（一钱） 抱木茯神（三钱） 鲜生地（三钱）
羚羊角（八分） 桑叶（一钱半） 黄甘菊（一钱）
沈 年岁壮盛。脘有气瘕。嗳噫震动。气降乃平。流痰未愈。睾丸肿硬。今入夜将寐。少腹气冲至
心。竟夕但寤不寐。头眩目花。耳内风雷。四肢麻痹。肌腠如刺如虫行。此属操持怒劳。内损乎
肝。致少阳上聚为瘕。厥阴下结为疝。冲脉不静。脉中气逆混扰。气燥热化。风阳交动。营液日
耗。变乱种种。总是肝风之害。非攻消温补能治。惟以静养。勿加怒劳。半年可望有成。（怒劳伤肝结疝瘕）
阿胶 细生地 天冬 茯神 陈小麦 南枣肉
王（五十）惊恐恼怒动肝。内风阳气沸腾。脘痹咽阻。筋惕肌麻。皆风木过动。致阳明日衰。先以镇阳
熄风法。（惊怒动肝）
阿胶 细生地 生牡蛎 川斛 小麦 茯神
曹（氏）离愁菀结。都系情志中自病。恰逢冬温。阳气不潜。初交春令。阳已勃然。变化内风。游行扰
络。阳但上冒。阴不下吸。清窍为蒙。状如中厥。舌喑不言。刘河间谓将息失宜。火盛水衰。风自
内起。其实阴虚阳亢为病也。既不按法论病设治。至惊蛰雷鸣。身即汗泄。春分气暖。而昼夜
寤不肯寐。甚至焦烦。迥异于平时。何一非阳气独激使然耶。夫肝风内扰。阳明最当其冲犯。
病中暴食。以内风消烁。求助于食。今胃脉不复。气愈不振。不司束筋骨以利机关。致鼻准光
亮。肌肉浮肿。考古人虚风。首推候氏黑散。务以填实肠胃空隙。庶几内风可息。奈何医者。
不曰清火豁痰。即曰腻补。或杂风药。内因之恙。岂有形质可攻。偏寒偏热。皆非至理。（风阳扰胃）
生牡蛎 生白芍 炒生地 菊花炭 炙甘草 南枣肉
大凡攻病驱邪。药以偏胜。如内经咸胜苦。苦胜辛之类。藉其克制。以图功耳。今则情志内
因致病。系乎阴阳脏腑不和。理偏就和。宜崇生气。如天地间四时阴阳迭运。万物自有生
长之妙。案中曰阳冒不潜。法当和阳以就阴。牡蛎体沉味咸。佐以白芍之酸。水生木也。地
黄微苦。菊微辛。从火炒变为苦味。木生火也。益以甘草大枣之甘。充养阳明。火生土也。
药虽平衍无奇。实参轩岐底蕴。世皆忽略不究。但执某药治何病者多矣。
经云。东方生风。风生木。木生酸。酸生肝。故肝为风木之脏。因有相火内寄。体阴用阳。其性
刚。主动主升。全赖肾水以涵之。血液以濡之。肺金清肃下降之令以平之。中宫敦阜之土
气以培之。则刚劲之质。得为柔和之体。遂其条达畅茂之性。何病之有。倘精液有亏。肝阴
不足。血燥生热。热则风阳上升。窍络阻塞。头目不清。眩晕跌仆。甚则螈 痉厥矣。先生治
法。所谓缓肝之急以熄风。滋肾之液以驱热。如虎潜。侯氏黑散。地黄饮子。滋肾丸。复脉等
方加减。是介以潜之。酸以收之。浓味以填之。或用清上实下之法。若思虑烦劳。身心过动。
风阳内扰。则营热心悸。惊怖不寐。胁中动跃。治以酸枣仁汤。补心丹。枕中丹加减。清营中
之热。佐以敛摄神志。若因动怒郁勃。痰火风交炽。则有二陈龙荟。风木过动。必犯中宫。则
呕吐不食。法用泄肝安胃。或填补阳明。其他如辛甘化风。甘酸化阴。清金平木。种种治法。
未能备叙。然肝风一症。患者甚多。因古人从未以此为病名。故医家每每忽略。余不辞杜
撰之咎。特为拈出。另立一门。以便后学考核云（华岫云）
徐评 肝风即中风一类。南方最多。却不必另立一门。
某患者，内风。这是体内阳气发生变动所致。适宜使用甘味和酸味的药物。（肝阴虚）
生地 阿胶 牡蛎 炙甘草 山茱萸炭
王某，阳气挟带内风上扰至头顶。出现视力模糊、耳鸣、失眠。这是肝经的主病。
熟地黄（炙） 炙龟甲 山茱萸 五味子 磁石 茯苓 旱莲草 女贞子
曹某（32岁），用辛寒之药清泄上部热邪后，头目已清爽。由此可知，火风是由脏阴不足引起的，刚燥的药物必然无效。治疗的大旨在于舒缓肝之急以熄风，滋补肾之液以驱热。
生地 阿胶 天冬 玄参 川石斛 小黑豆皮
陈某（45岁），操劳烦神，五志之阳气挟带内风上扰清空部位。出现头晕目眩、耳鸣、眼球疼痛。但体内的阳化生为内风，并非发散法可以解除，也不是沉寒之药可以清泻的。这与六气中的火风截然不同。采用“辛甘化风”的方法，其实是补肝的用意。
枸杞子 桂圆肉 当归身 炙甘草 甘菊花炭 女贞子
陆某（42岁），肝风阳气，乘袭阳明胃经之虚而上冒。出现牙龈肿痛。议定调和阳气以熄风。
生地 阿胶 牡蛎 天冬 茯神 川石斛 旱莲草 女贞子
凌某，每逢节气交替发病，总是虚证。出现视物昏花、舌体僵硬、脊背不适、小便淋沥、大便涩滞。这都是肾液不能濡养所致，肝风因此张狂。应当遵循刘河间“浊药轻服”的原则，名为饮子。
熟地（五钱） 咸苁蓉（八钱） 炒枸杞子（三钱） 麦冬（二钱） 云苓（一钱半） 川石斛（三钱） 生沙苑蒺藜（一钱） 石菖蒲（一钱） 远志肉（四分） 饮子煎法。
胡某，舒缓肝急，润血熄风。
制何首乌 枸杞子 当归身 冬桑叶 三角胡麻 柏子仁 茯神 天冬 黑豆皮 蜜丸。
某患者，高龄者水亏，肝阳升逆无制。两胁感觉发热，则火气上升面部发红。遇烦劳则加重。适宜养肝阴、和阳气的治法。
九蒸何首乌（四两） 九蒸冬桑叶（三两） 徽州黑芝麻（三两） 小黑豆皮（三两） 巨胜子（二两，即胡麻） 浸淡天冬（去心一两） 真北沙参（二两） 柏子仁（一两半，去油） 云茯神（二两） 女贞实（二两）
以上研为末，用青果汁泛丸。早晨服用三钱，开水送服。
张某（氏），肝阳虚导致内风上扰至头顶。头目不清爽，阳明脉空虚，腰膝酸软。议定养血熄风。
菊花炭 熟何首乌 牛膝炭 枸杞子炭 黑豆 茯神
沈某，冲脉之气向左上升，应当镇摄肝阳、固摄肾精。（肝肾阴虚）
地黄 阿胶 山茱萸 淡菜 茯苓
丁某（43岁），因思虑扰动五志之阳气，阳动化为内风，变幻不已。阳气妄动无法制约，都是因为脏阴少藏。自觉上实下虚。治法当用介类药以潜降，酸味药以收敛，浓味药以填补。偏寒或偏热的药物，怎能治疗情志引起的疾病呢？
熟地 山茱萸 五味子 磁石 茯神 青盐 鳖甲胶 龟版胶（即溶胶为丸）。
朱某（老妇），心中热辣，醒后烦躁不肯入睡。这都是春令地气主升，肝阳随之上扰所致。老年人口舌津液枯竭交并，最担心出现痫症和痉厥。
生地 阿胶 生白芍 天冬 茯神 小黑豆皮
程某（氏），伏暑在深秋发作。病从里出，起初像疟疾状。热气逼迫营分，月经不按周期而来。舌光如镜，面色黯青晦暗，胸痞隐痛。正气大虚，热气内闭。况且周身皆痛，卫阳失和到了极点。先拟育阴驱热之法。若肝风不旋动，就不会导致痉厥。五日中若无风波兴起，可望向安。
生地 阿胶 天冬 麦冬 麻仁 生牡蛎
金某（女），温邪深入营络，热势已止，但膝骨疼痛剧烈。这是因为血液损伤极重，内风欲沸。所谓病情剧烈则出现抽搐。痉厥就要到了。总是因为误用消导苦寒之药，希望热止，却不顾虑胃汁枯竭、肝风发动吗？拟用柔药缓络热、熄风。
复脉汤去人参、生姜、麻仁，用生鳖甲汤煎药。
王某（氏），疼痛从腿肢筋骨，上及腰腹，贯穿于心胸。如果平日经期来潮或带下病时，症状也会到达。这是素禀阴亏，冲任奇脉空旷。凡是春季交接之时，地中阳气升举，虚人气动随升，络血失养，诸气横逆，面赤如赭石色，饥饿但不想进食，耳失聪，醒后不成寐。阳浮，脉络交空显然。先调和阳气、治疗络脉。
细生地 生白芍 生鳖甲 生龟甲 生虎骨 糯稻根
煎药送服滋肾丸（一钱半）。
又诊，前用滋肾丸，疼痛缓解，但面部浮肿、足背肿胀。血气俱乏，内风泛越。经言风胜则动，湿胜则肿。阴虚多热的体质，议定先用虎潜丸。每服四钱，连服四次。
某患者（53岁），下元水亏，风木在内震动。肝肾虚，多惊恐。这不是实热痰火可以用攻劫法治疗的。
生地 清阿胶 天冬 枸杞子 菊花炭 女贞实
胡某，久病耳聋，微呛喉中不甚清爽。这是阴不上承，阳挟带内风，得以上侮清空诸窍。大凡肝肾宜润宜凉，龙雷之火与相火安宁，则水源生矣。
人参（一钱，秋石一分化水拌烘干同煎） 鲜生地（三钱） 阿胶（一钱） 淡菜（三钱） 白芍（一钱） 茯神（一钱半）
又诊，阴虚液耗，风动阳升，虽然诸恙皆减，但二十天后大便不通。断勿欲速，惟静药补润为宜。照前方去白芍，加柏子仁。
又诊，大便两次颇通畅，全赖静药益阴之力。只是纳食未旺，议与养胃药。
人参 茯神 炒麦冬 炙甘草 生谷芽 南枣
又诊，舒缓肝急，益胃。
人参 茯神 生谷芽 炙甘草 木瓜 南枣
周某，怒动肝风。筋胀胁板，喉痹。
阿胶 天冬 柏子仁 牡蛎 小麦
吴某，脉弦小数，形体日渐消瘦，口舌糜烂破碎，肩背掣痛，肢节麻木，肤腠瘙痒，目眩晕耳鸣。已有数年。这属于操持积劳，阳升，内风旋动，烁筋损液。古谓壮火食气，都是阳气之化。先拟清血分中热，继当养血熄其内风。安静勿劳，不致痿厥。（阳升血热）
生地 玄参 天冬 丹参 犀角 羚羊角 连翘 竹叶心
（丸方） 何首乌 生白芍 黑芝麻 冬桑叶 天冬 女贞子 茯神 青盐
某患者（老妇），脉右虚左数，营液内耗，肝阳内风震动。心悸眩晕少寐。（心营热）
生地 阿胶 麦冬 白芍 小麦 茯神 炙甘草
吉某（35岁），心悸荡漾，头中鸣响，七八年中频发不止。起居饮食如常。这是肝胆内风自动。宜用镇静之品，佐以辛泄之味。如枕中丹。（风阳扰神）
王某（氏），惊悸，微肿。是内风动也。
人参 龙骨 茯神 五味子 煨姜 南枣
曹某，肝胆阳气，挟带内风上腾不熄。心中热，惊怖多恐。进和阳镇摄方法。
龟甲 龙骨 牡蛎 茯神 石菖蒲 远志
又诊，神识略安，夜不得寐，胸脐间时时闪烁欲动，乃内风不熄也。进补心法。
生地 丹参 玄参 茯神 枣仁 远志 菖蒲 天冬 麦冬 桔梗 朱砂
王某（氏），神呆不语，心热烦躁，因惊吓而后，经水即下，肉腠刺痛，时微痞，头即摇。肝风内动，变痉厥之象（血去阳升）。
小川连 黄芩 阿胶 牡蛎 秦皮
陈某（老妇），虚风麻痹，清窍阻塞。（风阳阻窍）
天麻 钩藤 白蒺藜 甘菊 连翘 桑枝
包某（老妇），右太阳穴痛甚，牙关紧闭，环口牵动，咽喉如有物阻。乃阳升化风，肝病上犯阳络，大便欲闭。议用龙荟丸。每服二钱。
又诊，肝风阻窍，脉象模糊，有外脱之危。今牙关紧，咽痹不纳汤水。虽有方药，难以通关。当刮指甲末，略以温汤调灌。倘得关开，再议他法。另以苏合香擦牙。
郑某（39岁），脉右弦，头胀耳鸣火升。此肝阳上郁，清窍失司。
细生地 夏枯草 石决明 川石斛 茯神 桑叶
陈某，夏季阳气暴升，烦劳扰动，致内风上阻清窍。口舌强，呵欠，机窍阻痹不灵，脉数，舌苔。忌投温散。乃司气所致，非表邪为病也。（络热窍痹）
犀角 羚羊角 郁金 菖蒲 胆星 钩藤 连翘 橘红 竹沥 姜汁
又诊，清络得效，火风无疑。忌投刚燥。
犀角 羚羊 郁金 菖蒲 连翘 生地 玄参 广皮 竹沥 姜汁
又诊，脉数面赤，肝风尚动，宜和阳熄风。
鲜生地 玄参 羚羊角 连翘 菖蒲根 鲜银花 麦冬
汪某，如寐舌喑，面赤亮，汗出。未病前一日，顿食面颇多。病来仓猝，乃少阴肾脏阴阳不续，厥阴肝风突起，以致精神冒昧。今七八日来，声音不出，乃机窍不灵。治法以固护正气为主，宣利上焦痰热佐之。若用地冬养阴，阴未骤生，徒使壅滞在脘。急则治标，古有诸矣。挨过十四十五日，冀有转机。（痰热阻窍）
人参 半夏 茯苓 石菖蒲 竹沥 姜汁
江某，左胁中动跃未平，犹是肝风未熄。胃津内乏，无以拥护。此清养阳明最要。盖胃属腑，腑强不受木火来侵，病当自减。与客邪速攻、纯虚重补迥异。（肝胃阴虚） 酸枣仁汤去川芎加人参。
又诊，诸恙向安，惟左胁中动跃多年，时有气升欲噫之状。肝阴不足，阳震不息，一时不能遽已。今谷食初加，乙癸同治姑缓。
人参 茯神 知母 炙甘草 朱砂染麦冬 调入金箔
席某（57岁），脉来弦动而虚，望六年岁，阳明脉衰，厥阴内风暗旋不熄。遂致胃脉不主束筋骨，以利机关。肝阳直上巅顶，汗从阳气泄越。春月病发，劳力病甚，此气愈伤，阳愈动矣。法当甘温益气，攻病驱风，皆劫气伤阳，是为戒律（胃虚表疏）。
人参 黄芪 当归 炙甘草 冬桑叶 麦冬 地骨皮 花粉
孙某（氏），胃虚，肝风内震，呕痰咳逆，头痛眩晕，肢麻，汗出寒热。（胃虚痰滞） 二陈汤加天麻钩藤。
沈某（56岁），色苍形瘦，木火体质，身心过动，皆主火化。夫吐痰冲气，乃肝胆相火犯胃过膈，纳食自少。阳明已虚，解郁和中，两调肝胃，节劳戒怒，使内风勿动为上。（滋肝和胃）
枸杞子 酸枣仁 炒柏子仁 金石斛 半夏曲 橘红 茯苓 黄菊花膏丸
梁某，木火体质，复加郁勃，肝阴愈耗，厥阳升腾，头晕目眩心悸。养肝熄风，一定至理。近日知饥少纳，漾漾欲呕，胃逆不降故也。先当泄木安胃为主。（泄肝安胃）
桑叶（一钱） 钩藤（三钱） 远志（三分） 石菖蒲（三分） 半夏曲（一钱） 广皮白（一钱半） 金斛（一钱半） 茯苓（三钱）
又诊，左脉弦，气撑至咽，心中愦愦，不知何由，乃阴耗阳亢之象。议养肝之体，清肝之用。
九孔石决明（一具） 钩藤（一两） 橘红（一钱） 抱木茯神（三钱） 鲜生地（三钱） 羚羊角（八分） 桑叶（一钱半） 黄甘菊（一钱）
沈某，年岁壮盛，脘有气瘕，嗳噫震动，气降乃平。流痰未愈，睾丸肿硬。今入夜将寐，少腹气冲至心，竟夕但寤不寐，头眩目花，耳内风雷，四肢麻痹，肌腠如刺如虫行。此属操持怒劳，内损乎肝，致少阳上聚为瘕，厥阴下结为疝，冲脉不静，脉中气逆混扰，气燥热化，风阳交动，营液日耗，变乱种种，总是肝风之害。非攻消温补能治，惟以静养，勿加怒劳，半年可望有成。（怒劳伤肝结疝瘕）
阿胶 细生地 天冬 茯神 陈小麦 南枣肉
王某（五十岁），惊恐恼怒动肝，内风阳气沸腾，脘痹咽阻，筋惕肌麻，皆风木过动，致阳明日衰。先以镇阳熄风法。（惊怒动肝）
阿胶 细生地 生牡蛎 川斛 小麦 茯神
曹某（氏），离愁菀结，都系情志中自病。恰逢冬温，阳气不潜。初交春令，阳已勃然，变化内风，游行扰络，阳但上冒，阴不下吸，清窍为蒙，状如中厥，舌喑不言。刘河间谓将息失宜，火盛水衰，风自内起。其实阴虚阳亢为病也。既不按法论病设治，至惊蛰雷鸣，身即汗泄。春分气暖，而昼夜寤不肯寐，甚至焦烦，迥异于平时，何一非阳气独激使然耶。夫肝风内扰，阳明最当其冲犯。病中暴食，以内风消烁，求助于食。今胃脉不复，气愈不振，不司束筋骨以利机关，致鼻准光亮，肌肉浮肿。考古人虚风，首推候氏黑散，务以填实肠胃空隙，庶几内风可息。奈何医者，不曰清火豁痰，即曰腻补，或杂风药。内因之恙，岂有形质可攻？偏寒偏热，皆非至理。（风阳扰胃）
生牡蛎 生白芍 炒生地 菊花炭 炙甘草 南枣肉
大凡攻病驱邪，药以偏胜，如内经咸胜苦，苦胜辛之类，藉其克制，以图功耳。今则情志内因致病，系乎阴阳脏腑不和，理偏就和，宜崇生气。如天地间四时阴阳迭运，万物自有生长之妙。案中曰阳冒不潜，法当和阳以就阴。牡蛎体沉味咸，佐以白芍之酸，水生木也。地黄微苦，菊微辛，从火炒变为苦味，木生火也。益以甘草大枣之甘，充养阳明，火生土也。药虽平衍无奇，实参轩岐底蕴。世皆忽略不究，但执某药治何病者多矣。
经云：东方生风，风生木，木生酸，酸生肝。故肝为风木之脏，因有相火内寄，体阴用阳，其性刚，主动主升。全赖肾水以涵之，血液以濡之，肺金清肃下降之令以平之，中宫敦阜之土气以培之，则刚劲之质，得为柔和之体，遂其条达畅茂之性，何病之有。倘精液有亏，肝阴不足，血燥生热，热则风阳上升，窍络阻塞，头目不清，眩晕跌仆，甚则抽搐痉厥矣。先生治法，所谓缓肝之急以熄风，滋肾之液以驱热。如虎潜、侯氏黑散、地黄饮子、滋肾丸、复脉等方加减，是介以潜之，酸以收之，浓味以填之。或用清上实下之法。若思虑烦劳，身心过动，风阳内扰，则营热心悸，惊怖不寐，胁中动跃，治以酸枣仁汤、补心丹、枕中丹加减，清营中之热，佐以敛摄神志。若因动怒郁勃，痰火风交炽，则有二陈龙荟。风木过动，必犯中宫，则呕吐不食，法用泄肝安胃，或填补阳明。其他如辛甘化风，甘酸化阴，清金平木，种种治法，未能备叙。然肝风一症，患者甚多，因古人从未以此为病名，故医家每每忽略。余不辞杜撰之咎，特为拈出，另立一门，以便后学考核云（华岫云）。
Certain patient, internal wind. This is caused by the movement and transformation of yang qi within the body. Sweet and sour substances are suitable. (Liver Yin Deficiency)
Shengdi Huang (Rehmanniae Radix Preparata), Ejiao (Asini Corii Colla), Muli (Ostreae Concha), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Yurou Tan (Carbonized Corni Fructus).
Patient Wang, yang qi carries internal wind upward to the vertex. Symptoms include blurred vision, tinnitus, and insomnia. This is a disease of the Liver meridian.
Shu Di Huang (Prepared Rehmanniae Radix), Zhi Gui Jia (Prepared Testudinis Carapax et Plastrum), Yurou (Corni Fructus), Wu Wei Zi (Schisandrae Chinensis Fructus), Ci Shi (Magnetitum), Fu Ling (Poria), Hanlian Cao (Ecliptae Herba), Nvzhen Zi (Ligustri Lucidi Fructus).
Patient Cao (32 years old), after using acrid-cold herbs to clear the upper jiao, the head and eyes became clear. It can be known that fire-wind arises from deficient zang yin; rigid/dry drugs will certainly not be effective. The general principle of treatment is to soothe the liver's urgency to extinguish wind, and nourish kidney fluids to drive out heat.
Shengdi Huang (Rehmanniae Radix Preparata), Ejiao (Asini Corii Colla), Tian Dong (Asparagi Radix), Yuan Shen (Scrophulariae Radix), Chuan Hu (Dendrobii Caulis), Xiao Hei Dou Pi (Skin of Black Soybean).
Patient Chen (45 years old), due to mental exertion and worry, the yang qi of the five emotions carries internal wind upward to disturb the clear orifices. Symptoms include dizziness, tinnitus, and eye pain. However, internal wind generated by the transformation of yang in the body cannot be resolved by dispersing methods, nor cleared by heavy cold drugs. It is completely different from the fire-wind of the six climatic factors. Using the method of "acrid-sweet transforming into wind" is actually intended to tonify the liver.
Gouqi Zi (Lycii Fructus), Guiyuan Rou (Longan Aril), Guishen (Angelicae Sinensis Radix), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Ganju Tan (Carbonized Chrysanthemi Flos), Nvzhen Zi (Ligustri Lucidi Fructus).
Patient Lu (42 years old), liver wind and yang qi take advantage of the deficiency of the Yangming stomach to ascend and overwhelm. Symptoms include swollen and painful gums. Proposed treatment: harmonize yang and extinguish wind.
Shengdi Huang (Rehmanniae Radix Preparata), Ejiao (Asini Corii Colla), Muli (Ostreae Concha), Tian Dong (Asparagi Radix), Fushen (Poria with Hostwood), Chuan Hu (Dendrobii Caulis), Hanlian Cao (Ecliptae Herba), Nvzhen Zi (Ligustri Lucidi Fructus).
Patient Ling, pathological changes at solar term transitions are always deficiency syndromes. Symptoms include visual disturbances, stiff tongue, back discomfort, dysuria, and constipation. All are due to kidney fluids failing to nourish, causing liver wind to flare up. One should follow Liu Hejian's principle of "heavy drugs taken lightly," named as a decoction (Yinzi).
Shu Di Huang (Prepared Rehmanniae Radix, 5 qian), Xian Rong Rong (Cynomorii Fructus, 8 qian), Chao Qi Zi (Fried Lycii Fructus, 3 qian), Mai Dong (Ophiopogonis Radix, 2 qian), Yun Ling (Poria, 1.5 qian), Chuan Shi Hu (Dendrobii Caulis, 3 qian), Sheng Sha Yuan (Astragali Complanati Semen, 1 qian), Shi Chang Pu (Acori Tatarinowii Rhizoma, 1 qian), Yuanzhi Rou (Polygalae Radix, 0.4 fen). Decoction method for Yinzi.
Patient Hu, soothe liver urgency, moisten blood, and extinguish wind.
Zhi Shou Wu (Prepared Polygoni Multiflori Caulis), Qi Zi (Lycii Fructus), Guishen (Angelicae Sinensis Radix), Dong Sang Ye (Mulci Folium), Sanjiao Huma (Sesami Semen Nigrum), Baizi Ren (Platycladi Semen), Fushen (Poria with Hostwood), Tian Dong (Asparagi Radix), Hei Dou Pi (Skin of Black Soybean). Honey pills.
Certain patient, advanced age with water deficiency, liver yang ascends and rebels without restraint. Heat sensation in both hypochondria leads to rising fire and facial redness. Worsened by mental exertion. Method: nourish liver yin and harmonize yang.
Jiu Zheng He Shou Wu (Nine-steamed Polygoni Multiflori Caulis, 4 liang), Jiu Zheng Dong Sang Ye (Nine-steamed Mulci Folium, 3 liang), Hui Zhou Hei Ma Zi (Huizhou Black Sesame Seed, 3 liang), Xiao Hei Dou Pi (Skin of Black Soybean, 3 liang), Ju Sheng Zi (Sesami Semen Nigrum, 2 liang), Jin Dan Tian Dong (Steeped Ophiopogonis Radix, peeled heart, 1 liang), Zhen Bei Sha Shen (True Glehniae Radix, 2 liang), Baizi Ren (Platycladi Semen, 1.5 liang, oil removed), Yun Fushen (Poria with Hostwood, 2 liang), Nvzhen Shi (Ligustri Lucidi Fructus, 2 liang).
Grind into powder, make pills with green plant juice. Take 3 qian in the morning, wash down with boiled water.
Zhang (wife), liver yang deficiency causes internal wind to ascend to the vertex. Head and eyes are unclear, Yangming pulse is empty, waist and knees are sore. Proposed treatment: nourish blood and extinguish wind.
Juhua Tan (Carbonized Chrysanthemi Flos), Shu Shou Wu (Prepared Polygoni Multiflori Caulis), Niuxi Tan (Carbonized Achyranthis Bidentatae Radix), Gouqi Zi Tan (Carbonized Lycii Fructus), Hei Dou (Black Soybean), Fushen (Poria with Hostwood).
Patient Shen, Chong vessel qi rises to the left, should suppress liver yang and secure kidney essence. (Liver-Kidney Yin Deficiency)
Di Huang (Rehmanniae Radix), Ejiao (Asini Corii Colla), Yurou (Corni Fructus), Dan Cai (Mytili Corpus), Fu Ling (Poria).
Patient Ding (43 years old), due to lingering thoughts disturbing the yang of the five emotions, yang transforms into internal wind, changing endlessly. Unrestrained yang movement is due to insufficient storage of zang yin. Self-perception of excess above and deficiency below. Treatment method: use shell/turtle类药物 to submerge, sour substances to collect, and rich flavors to fill. Drugs that are purely cold or hot cannot treat diseases arising from emotions.
Shu Di Huang (Prepared Rehmanniae Radix), Yurou (Corni Fructus), Wu Wei Zi (Schisandrae Chinensis Fructus), Ci Shi (Magnetitum), Fushen (Poria with Hostwood), Qing Yan (Halitum), Biejia Jiao (Trionycis Carapax Colla), Guiban Jiao (Testudinis Carapax et Plastrum Colla). Dissolve gelatin to make pills.
Patient Zhu (elderly woman), burning sensation in the heart, restlessness upon waking preventing sleep. This is because spring earth qi governs ascent, and liver yang follows upward disturbance. In old age, the five fluids are exhausted, raising concern for epilepsy and spasms.
Shengdi Huang (Rehmanniae Radix Preparata), Ejiao (Asini Corii Colla), Sheng Bai Shao (Raw Paeoniae Radix Alba), Tian Dong (Asparagi Radix), Fushen (Poria with Hostwood), Xiao Hei Dou Pi (Skin of Black Soybean).
Cheng (wife), latent summer-heat manifests in late autumn. Disease originates from the interior, initially resembling malaria. Heat forces the Ying level, menstruation comes irregularly. Tongue is smooth like a mirror, complexion is dark and dull, chest fullness with hidden pain. Righteous qi is greatly deficient, heat is closed internally. Moreover, whole-body pain indicates extreme disharmony of Wei yang. First propose nourishing yin to drive out heat. If liver wind does not swirl, spasms and convulsions will not occur. If no turmoil arises within five days, recovery is expected.
Shengdi Huang (Rehmanniae Radix Preparata), Ejiao (Asini Corii Colla), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Ma Ren (Semen Cannabis), Sheng Muli (Raw Ostreae Concha).
Jin (female), warm pathogen penetrates deeply into Ying collaterals. Heat stops, but knee bone pain is severe. This is because blood is extremely damaged, and internal wind is about to boil. As stated, severe cases lead to twitching. Spasms and convulsions are imminent. Always due to misusing draining and bitter-cold drugs hoping to stop heat, without worrying about exhaustion of stomach juices and activation of liver wind. Propose soft drugs to slow collateral heat and extinguish wind.
Mai Mai Tang (Decoction for Recovering Pulse) minus Ginseng, Ginger, Hemp Seed, decocted with Raw Trionyx Soup.
Wang (wife), pain starts from leg limbs and sinews/bones, ascending to waist and abdomen, penetrating to heart and chest. If symptoms also appear during menstruation or leukorrhea, this is due to innate yin deficiency and emptiness of the Chong and Ren extraordinary vessels. Whenever spring arrives, earth yang qi ascends, deficient qi moves and ascends with it, collateral blood loses nourishment, all qi rebels horizontally, face turns red like ochre, hunger but no desire to eat, deafness, insomnia upon waking. Yang floats, collaterals are clearly empty. First harmonize yang and treat collaterals.
Xi Sheng Di Huang (Fine Raw Rehmanniae Radix), Sheng Bai Shao (Raw Paeoniae Radix Alba), Sheng Biejia (Raw Trionycis Carapax), Sheng Guiban (Raw Testudinis Carapax et Plastrum), Sheng Hu Gu (Raw Tiger Bone), Nuodao Gen (Radix Imperatae).
Decoct medicine and send down Zishen Wan (1.5 qian).
Second visit: Previous use of Zishen Wan relieved pain, but face and dorsum of feet are swollen. Blood and qi are both deficient, internal wind is rampant. The Classic states: wind excess causes movement, dampness excess causes swelling. Yin-deficient constitutions tend toward heat. Propose first using Huqian Wan. Take 4 qian per dose, four doses.
Certain patient (53 years old), lower yuan water deficiency, wind-wood shakes internally. Liver and Kidney deficiency, prone to fright and fear. Not a case where excess heat, phlegm, and fire can be attacked with purgatives.
Sheng Di Huang (Rehmanniae Radix Preparata), Qing Ejiao (Clear Donkey-hide Gelatin), Tian Dong (Asparagi Radix), Qi Zi (Lycii Fructus), Juhua Tan (Carbonized Chrysanthemi Flos), Nvzhen Shi (Ligustri Lucidi Fructus).
Hu, chronic deafness, slight choking in throat feeling unrefreshing. This is yin failing to ascend, yang carrying internal wind to insult the clear orifices above. Generally, Liver and Kidney should be moistened and cooled. When Dragon Fire and Ministerial Fire are calm, the water source is generated.
Ren Shen (Ginseng Radix et Rhizoma, 1 qian mixed with Qiu Shi processed in water and dried for decoction), Xian Sheng Di Huang (Fresh Raw Rehmanniae Radix, 3 qian), Ejiao (Asini Corii Colla, 1 qian), Dan Cai (Mytili Corpus, 3 qian), Bai Shao (Paeoniae Radix Alba, 1 qian), Fushen (Poria with Hostwood, 1.5 qian).
Second visit: Yin deficiency and fluid consumption, wind moves and yang rises. Although all ailments have decreased, constipation persists after twenty days. Do not seek quick results. Only quiet, tonifying, and moistening drugs are suitable. Follow previous prescription, remove Bai Shao, add Baizi Ren.
Third visit: Bowel movements twice, quite comfortable, relying entirely on the yin-nourishing power of quiet drugs. However, appetite is not strong. Propose stomach-tonifying drugs.
Ren Shen (Ginseng Radix et Rhizoma), Fushen (Poria with Hostwood), Chao Mai Dong (Fried Ophiopogonis Radix), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Sheng Gu Ya (Raw Sprouted Grain), Nan Zao (Chinese Jujube).
Fourth visit: Soothe liver and benefit stomach.
Ren Shen (Ginseng Radix et Rhizoma), Fushen (Poria with Hostwood), Sheng Gu Ya (Raw Sprouted Grain), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Mu Gua (Chaenomeles Fructus), Nan Zao (Chinese Jujube).
Zhou, anger activates liver wind. Sinew distension, flank stiffness, throat obstruction.
Ejiao (Asini Corii Colla), Tian Dong (Asparagi Radix), Baizi Ren (Platycladi Semen), Muli (Ostreae Concha), Xiao Mai (Tritici Fructus).
Wu, pulse is wiry and slightly rapid, body becomes thinner daily, mouth and tongue ulcerate, shoulder and back contractive pain, limb numbness, skin itching, dizziness, tinnitus. Present for several years. This belongs to chronic mental exertion, yang rising, internal wind swirling, damaging sinews and fluids. Ancient texts say vigorous fire consumes qi, all are transformations of yang. First propose clearing heat in the blood level, subsequently nourish blood to extinguish internal wind. Remain quiet and avoid labor to prevent flaccidity and convulsions. (Yang Rising, Blood Heat)
Sheng Di Huang (Rehmanniae Radix Preparata), Yuan Shen (Scrophulariae Radix), Tian Dong (Asparagi Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Xi Jiao (Rhinocerotis Cornu), Ling Yang Jiao (Caprae Subulatus Cornu), Lian Qiao (Forsythiae Fructus), Zhu Ye Xin (Bamboo Leaf Heart).
(Pill Formula) He Shou Wu (Polygoni Multiflori Caulis), Sheng Bai Shao (Raw Paeoniae Radix Alba), Hei Ma Zi (Black Sesame Seed), Dong Sang Ye (Mulci Folium), Tian Dong (Asparagi Radix), Nvzhen Zi (Ligustri Lucidi Fructus), Fushen (Poria with Hostwood), Qing Yan (Halitum).
Certain patient (elderly woman), right pulse deficient, left pulse rapid, Ying fluids consumed internally, liver yang and internal wind shake. Palpitations, dizziness, scant sleep. (Heart Ying Heat)
Sheng Di Huang (Rehmanniae Radix Preparata), Ejiao (Asini Corii Colla), Mai Dong (Ophiopogonis Radix), Bai Shao (Paeoniae Radix Alba), Xiao Mai (Tritici Fructus), Fushen (Poria with Hostwood), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma).
Ji (35 years old), palpitations with swaying sensation, ringing in head, frequent attacks for 7-8 years. Daily life and diet are normal. This is spontaneous internal wind of Liver and Gallbladder. Suitable for calming agents, assisted by acrid-draining flavors. Such as Zhenzhong Dan. (Wind-Yang Disturbing Spirit)
Wang (wife), palpitations from fright, slight swelling. Internal wind is moving.
Ren Shen (Ginseng Radix et Rhizoma), Long Gu (Fossilia Ossis Mastodi), Fushen (Poria with Hostwood), Wu Wei Zi (Schisandrae Chinensis Fructus), Wei Jiang (Roasted Ginger), Nan Zao (Chinese Jujube).
Cao, Liver and Gallbladder yang qi, carrying internal wind upward without ceasing. Heat in heart, fright and terror. Advance harmonizing yang and suppressing methods.
Guijia (Testudinis Carapax et Plastrum), Long Gu (Fossilia Ossis Mastodi), Muli (Ostreae Concha), Fushen (Poria with Hostwood), Shi Chang Pu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix).
Second visit: Consciousness slightly calmed, insomnia at night, flickering sensations in chest and umbilicus, indicating internal wind has not ceased. Advance Heart-tonifying method.
Sheng Di Huang (Rehmanniae Radix Preparata), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Yuan Shen (Scrophulariae Radix), Fushen (Poria with Hostwood), Zaoren (Ziziphi Spinosae Semen), Yuanzhi (Polygalae Radix), Changpu (Acori Tatarinowii Rhizoma), Tian Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Jie Geng (Platycodonis Radix), Zhu Sha (Cinnabaris).
Wang (wife), dumbfounded and silent, heart heat and irritability, following fright, menstruation flows immediately, stinging pain in flesh and skin, occasional mild fullness, head shaking. Liver wind moves internally, changing into signs of spasms and convulsions (Blood loss leading to Yang rising).
Xiao Chuan Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), Ejiao (Asini Corii Colla), Muli (Ostreae Concha), Qin Pi (Fraxini Cortex).
Chen (elderly woman), deficiency wind causes paralysis, clear orifices blocked. (Wind-Yang Obstructing Orifices)
Tian Ma (Gastrodiae Rhizoma), Gouteng (Uncariae Ramulus cum Uncis), Bai Jili (Tribuli Fructus), Gan Ju (Chrysanthemi Indici Flos), Lian Qiao (Forsythiae Fructus), Sang Zhi (Mori Ramulus).
Bao (elderly woman), severe pain in right Taiyang region, jaw locked, mouth corners pulled, throat feels obstructed. Yang rises transforming into wind, Liver disease attacks Yang collaterals upwards, stool tends to close. Propose using Longhui Wan. Take 2 qian per dose.
Second visit: Liver wind obstructs orifices, pulse is indistinct, danger of exterior collapse. Jaw is tight now, throat obstructed unable to accept soup/water. Although there are prescriptions, difficult to open the passage. Scrape nail ends, mix with warm water and administer. If passage opens, discuss other methods. Also rub teeth with Suhe Xiang (Styrax).
Zheng (39 years old), right pulse wiry, head distension, tinnitus, rising fire. This is Liver Yang stagnating upward, clear orifices losing control.
Xi Sheng Di Huang (Fine Raw Rehmanniae Radix), Xia Ku Cao (Prunellae Spicae), Shi Jue Ming (Haliotidis Concha), Chuan Hu (Dendrobii Caulis), Fushen (Poria with Hostwood), Sang Ye (Mulci Folium).
Chen, summer yang qi rises violently, disturbed by mental exertion, causing internal wind to block clear orifices upwards. Stiff tongue, yawning, orifice mechanisms obstructed and unresponsive, rapid pulse, coated tongue. Avoid warming and dispersing. Caused by governing qi, not exterior pathogenic factors. (Collateral Heat, Orifice Obstruction)
Xi Jiao (Rhinocerotis Cornu), Ling Yang Jiao (Caprae Subulatus Cornu), Yu Jin (Curcumae Radix), Chang Pu (Acori Tatarinowii Rhizoma), Dan Xing (Arisaematis Cum Bile), Gouteng (Uncariae Ramulus cum Uncis), Lian Qiao (Forsythiae Fructus), Ju Hong (Citri Reticulatae Pericarpium), Zhu Li (Bambusae Sap), Jiang Zhi (Zingiberis Recens Juice).
Second visit: Clearing collaterals was effective, fire-wind is certain. Avoid rigid and dry drugs.
Xi Jiao (Rhinocerotis Cornu), Ling Yang (Caprae Subulatus Cornu), Yu Jin (Curcumae Radix), Chang Pu (Acori Tatarinowii Rhizoma), Lian Qiao (Forsythiae Fructus), Sheng Di Huang (Rehmanniae Radix Preparata), Yuan Shen (Scrophulariae Radix), Guang Pi (Citri Reticulatae Pericarpium), Zhu Li (Bambusae Sap), Jiang Zhi (Zingiberis Recens Juice).
Third visit: Rapid pulse, red face, liver wind still moving. Harmonize yang and extinguish wind.
Xian Sheng Di Huang (Fresh Raw Rehmanniae Radix), Yuan Shen (Scrophulariae Radix), Ling Yang Jiao (Caprae Subulatus Cornu), Lian Qiao (Forsythiae Fructus), Chang Pu Gen (Acori Tatarinowii Rhizoma), Xian Yin Hua (Fresh Lonicerae Japonicae Flos), Mai Dong (Ophiopogonis Radix).
Wang, speech impediment upon waking, bright red face, sweating. One day before illness, ate much noodles suddenly. Illness came abruptly, Shaoyin Kidney yin and yang failed to continue, Jueyin Liver wind rose suddenly, causing mental confusion. For 7-8 days, voice is absent, mechanism is unresponsive. Treatment focuses on protecting righteous qi, assisting with promoting upper jiao phlegm-heat. If using Di Huang and Dong Hai to nourish yin, yin will not generate suddenly, only causing stagnation in epigastrium. Treat the acute aspect first, as ancient texts state. Endure until 14th-15th day, hope for turning point. (Phlegm-Heat Obstructing Orifices)
Ren Shen (Ginseng Radix et Rhizoma), Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria), Shi Chang Pu (Acori Tatarinowii Rhizoma), Zhu Li (Bambusae Sap), Jiang Zhi (Zingiberis Recens Juice).
Jiang, jumping sensation in left hypochondrium has not settled, still liver wind not extinguished. Stomach fluids are deficient internally, unable to support. Clearing and nourishing Yangming is most important. Stomach belongs to Fu organs; if Fu is strong, it resists Wood-Fire invasion, illness will self-reduce. This is distinct from attacking external pathogens quickly or tonifying pure deficiency heavily. (Liver-Stomach Yin Deficiency) Suanzaoren Tang minus Chuanxiong, add Ginseng.
Second visit: All ailments improving, only jumping sensation in left hypochondrium for years, occasionally feeling qi rising wanting to belch. Liver yin insufficient, yang shakes incessantly, cannot stop immediately. Now grain intake just increased, treating Liver and Kidney together can be delayed.
Ren Shen (Ginseng Radix et Rhizoma), Fushen (Poria with Hostwood), Zhimu (Anemarrhenae Rhizoma), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Zhusha Ran Mai Dong (Ophiopogonis Radix stained with Cinnabar), mixed with Gold Leaf.
Third visit: Xian Sheng Di Huang (Fresh Raw Rehmanniae Radix), Mai Dong (Ophiopogonis Radix, mixed with Cinnabar), Zhu Ye Xin (Bamboo Leaf Heart), Zhimu (Anemarrhenae Rhizoma), mixed with cold Ginseng Soup.
Xi (57 years old), pulse wiry, moving, and deficient. Looking at age 60, Yangming pulse declines, Jueyin internal wind spins secretly without ceasing. Thus Stomach pulse fails to bind sinews and bones to facilitate joints. Liver yang goes straight to vertex, sweat escapes via yang qi. Illness erupts in spring, worsened by physical labor, qi is further injured, yang moves more. Method: sweet-warm to tonify qi. Attacking illness and driving wind both deplete qi and injure yang, this is a taboo. (Stomach Deficiency, Exterior Loose)
Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Dong Sang Ye (Mulci Folium), Mai Dong (Ophiopogonis Radix), Di Gu Pi (Lycii Cortex), Hua Fen (Puerariae Radix).
Sun (wife), Stomach deficiency, liver wind shakes internally, vomiting phlegm, coughing rebellion, headache, dizziness, limb numbness, sweating, alternating chills and fever. (Stomach Deficiency, Phlegm Stagnation) Erchen Tang plus Tian Ma and Gouteng.
Shen (56 years old), dark complexion, thin body, Wood-Fire constitution, excessive physical and mental activity all transform into fire. Vomiting phlegm and rushing qi is Liver-Gallbladder ministerial fire invading Stomach crossing diaphragm, food intake naturally decreases. Yangming is already deficient. Resolve depression and harmonize middle, regulate Liver and Stomach, moderate labor and guard against anger, keeping internal wind from moving is best. (Nourish Liver, Harmonize Stomach)
Gouqi Zi (Lycii Fructus), Suan Zao Ren (Ziziphi Spinosae Semen), Chao Baizi Ren (Fried Platycladi Semen), Jin Shi Hu (Dendrobii Caulis), Banxia Qu (Pinelliae Fermentatum), Ju Hong (Citri Reticulatae Pericarpium), Fu Ling (Poria), Huang Ju Hua Gao Wan (Yellow Chrysanthemum Paste Pill).
Liang, Wood-Fire constitution, compounded by depression, Liver yin further depleted, Jueyang rises. Dizziness, vertigo, palpitations. Nourishing Liver and extinguishing wind is the absolute truth. Recently knows hunger but eats little, nausea, Stomach qi rebels downward. First focus on draining Wood and calming Stomach. (Drain Liver, Calm Stomach)
Sang Ye (Mulci Folium, 1 qian), Gouteng (Uncariae Ramulus cum Uncis, 3 qian), Yuanzhi (Polygalae Radix, 0.3 fen), Shi Chang Pu (Acori Tatarinowii Rhizoma, 0.3 fen), Banxia Qu (Pinelliae Fermentatum, 1 qian), Guang Pi Bai (Citri Reticulatae Pericarpium Album, 1.5 qian), Jin Hu (Dendrobii Caulis, 1.5 qian), Fu Ling (Poria, 3 qian).
Second visit: Left pulse wiry, qi pushes to throat, mind confused, don't know why. Sign of yin consumption and yang hyperactivity. Propose nourishing Liver substance, clearing Liver function.
Jiu Kong Shi Jue Ming (Nine-hole Abalone Shell, 1 piece), Gouteng (Uncariae Ramulus cum Uncis, 1 liang), Ju Hong (Citri Reticulatae Pericarpium, 1 qian), Bao Mu Fushen (Poria with Hostwood, 3 qian), Xian Sheng Di Huang (Fresh Raw Rehmanniae Radix, 3 qian), Ling Yang Jiao (Caprae Subulatus Cornu, 0.8 fen), Sang Ye (Mulci Folium, 1.5 qian), Huang Gan Ju (Yellow Sweet Chrysanthemum, 1 qian).
Shen, prime age, epigastric qi mass, belching with vibration, qi descending brings peace. Flowing phlegm not cured, testicles swollen and hard. Now entering night near sleep, qi rushes from lower abdomen to heart, awake all night, dizziness, blurry vision, wind-thunder in ears, limb numbness, skin prickling like insects crawling. This belongs to mental exertion and anger injuring Liver internally, causing Shaoyang to gather upwards as mass, Jueyin to knot downwards as hernia, Chong vessel restless, qi in pulse rebels and mixes, qi dries and transforms into heat, Wind-Yang interacts, Ying fluids consume daily, chaos ensues, all harm of Liver wind. Cannot be treated by attacking, dissipating, warming, or tonifying. Only quiet rest, avoiding anger and labor, half a year may see success. (Anger/Labor Injuring Liver, Knotting Hernia/Mass)
Ejiao (Asini Corii Colla), Xi Sheng Di Huang (Fine Raw Rehmanniae Radix), Tian Dong (Asparagi Radix), Fushen (Poria with Hostwood), Chen Xiao Mai (Old Tritici Fructus), Nan Zao Rou (Chinese Jujube Flesh).
Wang (50 years old), fright and anger move Liver, internal wind and yang qi boil, epigastric obstruction, throat blockage, muscle twitching and numbness, all due to Wood overacting, causing Yangming to decline daily. First use suppressing yang and extinguishing wind method. (Fright/Anger Moving Liver)
Ejiao (Asini Corii Colla), Xi Sheng Di Huang (Fine Raw Rehmanniae Radix), Sheng Muli (Raw Ostreae Concha), Chuan Hu (Dendrobii Caulis), Xiao Mai (Tritici Fructus), Fushen (Poria with Hostwood).
Cao (wife), sorrow and depression, all self-diseases from emotions. Coinciding with winter warmth, yang fails to submerge. Early spring, yang rises vigorously, transforming into internal wind, wandering and disturbing collaterals. Yang only overwhelms upward, yin fails to absorb downward, clear orifices are covered, resembling stroke, tongue stiff unable to speak. Liu Hejian said improper care, fire excess water deficiency, wind rises internally. Actually, yin deficiency and yang hyperactivity cause disease. Since not treating according to law, after Jingzhe thunder, body sweats. Chunfen warmth, day and night awake unable to sleep, even anxious, completely different from usual. Is this not all due to solitary excitation of yang? Liver wind disturbing internally, Yangming bears the brunt. During illness, binge eating, seeking help from food due to internal wind consuming. Now Stomach pulse does not recover, qi is weaker, fails to bind sinews/bones to facilitate joints, nose tip shines, muscles swell. Studying ancients' deficiency wind, first recommend Hou Shi Hei San, striving to fill intestinal gaps, so internal wind may cease. Why do doctors not clear fire and resolve phlegm, or use cloying tonics, or mix wind-drugs? Internal cause diseases, how can they be attacked by form/substance? Pure cold or pure hot are not ultimate principles. (Wind-Yang Disturbing Stomach)
Sheng Muli (Raw Ostreae Concha), Sheng Bai Shao (Raw Paeoniae Radix Alba), Chao Sheng Di Huang (Fried Raw Rehmanniae Radix), Juhua Tan (Carbonized Chrysanthemi Flos), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Nan Zao Rou (Chinese Jujube Flesh).
Generally, attacking illness and driving pathogens, drugs rely on bias/excess, such as Classic of Internal Difficulty stating salty overcomes bitter, bitter overcomes acrid, borrowing their mutual restriction to achieve merit. Now emotion/internal cause disease, relates to Yin-Yang and Zang-Fu disharmony, reason leans towards harmony, should promote vital energy. Like four seasons Yin-Yang rotation in heaven and earth, all things have growth wonder. Case says Yang overwhelms and does not submerge, method should harmonize Yang to join Yin. Muli is heavy and salty, assisted by Sour Bai Shao, Water generates Wood. Di Huang is slightly bitter, Ju is slightly acrid, transformed to bitter by fire frying, Wood generates Fire. Add sweet Gan Cao and Da Zao to nourish Yangming, Fire generates Earth. Drugs are plain and unremarkable, yet truly reference Xuanyuan-Qibo foundations. World ignores and does not investigate, mostly holding specific drugs for specific diseases.
Classic says: East generates wind, wind generates Wood, Wood generates sour, sour generates Liver. Thus Liver is Wind-Wood organ, harboring Ministerial Fire internally, substance is Yin, function is Yang, nature is rigid, active and ascending. Relies entirely on Kidney Water to contain it, Blood to moisten it, Lung Metal clear-descending command to level it, Central Earth abundant qi to cultivate it, then rigid quality becomes soft quality, fulfilling its free-flowing and flourishing nature, what disease would there be? If essence/fluids are deficient, Liver Yin insufficient, blood dry generating heat, heat causes Wind-Yang to rise, orifice/collateral obstruction, head/eyes unclear, dizziness/falling, even twitching/spasms/convulsions. Mr.'s treatment method, so-called soothing Liver urgency to extinguish wind, nourishing Kidney fluid to drive heat. Such as Huqian, Hou Shi Hei San, Dihuang Yinzi, Zishen Wan, Mai Mai Tang etc., modified, is using shell/turtle to submerge, sour to collect, rich flavor to fill. Or using clearing upper and solidifying lower method. If thinking/worry/labor, body/mind overactive, Wind-Yang disturbs internally, then Ying heat/palpitations, fright/terror/insomnia, hypochondriac jumping, treat with Suanzaoren Tang, Buxin Dan, Zhenzhong Dan modified, clearing Ying level heat, assisting in collecting spirit. If due to anger/depression, phlegm-fire-wind intertwine fiercely, then Erchen Longhui. Wind-Wood overacting must invade Middle Palace, then vomiting/no eating, method uses draining Liver calming Stomach, or filling Yangming. Others such as acrid-sweet transforming wind, sweet-sour generating yin, clearing Metal leveling Wood, various methods, cannot be fully narrated. However Liver Wind syndrome, patients are many, because ancients never used this as disease name, thus doctors often ignore. I do not fear criticism of fabrication, specially highlight it, establish a separate category, for later students to examine. (Hua Xiuyun)
Xu Comment: Liver Wind is a type of Stroke, most common in South, yet need not establish a separate category.