陈(三十)脉细面白。小溲不通。此属中气不足所致。经旨谓膀胱者。州都之官。津液藏焉。气化则能出矣。倘投
泄肺以展气化。是实邪治法。决不效验。
生黄 (三钱) 炒焦半夏(一钱五分) 茯苓(三钱) 白术(二钱)
广皮白(一钱) 炙草(五分) 高丽参(一钱)
周(十八)冲年遗溺。知识太早。肾脏不司藏聚。非关足太阳腑经。当从心肾议治。亦肾与膀胱表里相应之征也。
熟地(四钱) 覆盆子(一钱) 芡实(一钱) 桑螵蛸(二钱) 龙骨(生打三钱)
建莲(三钱) 远志(八分) 五味子(一钱) 茯神(二钱)
范(三二)脉细。形寒自汗。此属卫阳式微。
人参(一钱) 制淡附子(一钱) 炙草(五分) 熟于术(二钱) 煨姜(八分) 南枣(三钱) 茯苓(三钱)
龙(三十)卫疏汗泄。
生黄 (三钱) 煨姜(一钱) 南枣(三钱) 熟白术(二钱) 炙草(五分) 茯神(二钱) 防风(六分)
归(三六)夜寐汗泄甚多。寐醒遍身如浴。此属盗汗。是阴液所化。肾衰不能内营使然。议镇阳以理虚。
生左牡蛎(三钱) 龙骨(三钱) 茯神(二钱) 五味子(一钱五分) 麦冬(三钱) 南枣(三钱) 防党参
(一钱)
潘(四三)汗泄脉大。劳伤营卫所致。
嫩黄 (三钱) 白芍(一钱五分) 煨姜(一钱) 当归(一钱二分) 炙草(五分) 南枣(三钱) 桂枝木
(四分)
陈姓患者,三十岁。脉象细弱,面色苍白。小便不通畅。这是由于中气不足所导致的。医经指出,膀胱是州都之官(指膀胱为水液汇聚之处),津液储藏其中,依靠气化作用才能排出体外。如果采用宣泄肺气的方法来舒展气化功能,这是针对实邪的治疗方法,绝不会见效。
生黄芪(三钱) 炒焦半夏(一钱五分) 茯苓(三钱) 白术(二钱)
广陈皮(一钱) 炙甘草(五分) 高丽参(一钱)
周某,十八岁。正值青春年少却出现遗尿。因过早接触性知识,导致肾脏不能正常固摄藏精,这与足太阳膀胱腑经无关,应当从心肾两方面来议治。这也是肾与膀胱表里相应关系失调的表现。
熟地黄(四钱) 覆盆子(一钱) 芡实(一钱) 桑螵蛸(二钱) 龙骨(生打三钱)
建莲子(三钱) 远志(八分) 五味子(一钱) 茯神(二钱)
范某,三十二岁。脉象细弱,形体畏寒,自汗出。这属于卫阳衰弱。
人参(一钱) 制淡附子(一钱) 炙甘草(五分) 熟于术(二钱) 煨姜(八分) 南枣(三钱) 茯苓(三钱)
龙姓患者,三十岁。卫气疏泄,导致汗出。
生黄芪(三钱) 煨姜(一钱) 南枣(三钱) 熟白术(二钱) 炙甘草(五分) 茯神(二钱) 防风(六分)
归姓患者,三十六岁。夜间睡眠时汗出甚多,醒来后全身如洗澡般湿透。这属于盗汗,是由阴液转化而来,是因为肾衰不能内营所致。建议采用镇潜阳气的方法来调理虚损。
生左牡蛎(三钱) 龙骨(三钱) 茯神(二钱) 五味子(一钱五分) 麦冬(三钱) 南枣(三钱) 防党参(一钱)
潘姓患者,四十三岁。汗出且脉象大,这是劳倦损伤营卫所致。
Patient Chen, aged thirty. The pulse is fine and the complexion is pale. Urination is obstructed. This belongs to insufficiency of Middle Qi (vital energy of the spleen and stomach). The classic texts state that the Bladder (Zang-Fu organ) is the official of the metropolitan area, where body fluids are stored; it can discharge only through Qi transformation. If one were to use methods to drain Lung Qi to expand Qi transformation, this would be a treatment method for excess pathogens, which would certainly not be effective.
Sheng Huangqi (Radix Astragali Preparata, 3 qian), Chao Jiao Banxia (Rhizoma Pinelliae Preparata, 1.5 qian), Fuling (Poria, 3 qian), Baizhu (Radix Atractylodis Macrocephalae, 2 qian);
Guangpi Bai (Pericarpium Citri Reticulatae, 1 qian), Zhi Cao (Radix Glycyrrhizae Preparata, 0.5 qian), Gaolishen (Ginseng Radix et Rhizoma, 1 qian).
Patient Zhou, aged eighteen. Suffering from enuresis during youth. Premature sexual knowledge has caused the Kidney to fail in its function of storing and consolidating. This is not related to the Foot-Taiyang Fu meridian. Treatment should be discussed from the perspective of Heart and Kidney. This is also a sign of the exterior-interior correspondence between the Kidney and the Bladder.
Shudi (Radix Rehmanniae Preparata, 4 qian), Fupenzi (Fructus Rubi, 1 qian), Qianshi (Semen Nelumbinis, 1 qian), Sangpiaoxiao (Endopterygium Tenebrionis, 2 qian), Longgu (Os Draconis, raw, pounded, 3 qian);
Jalian (Semen Nelumbinis, 3 qian), Yuanzhi (Radix Polygalae, 0.8 fen), Wuweizi (Fructus Schisandrae Chinensis, 1 qian), Fushen (Poria cum Radix Pini, 2 qian).
Patient Fan, aged thirty-two. The pulse is fine, the body feels cold, and there is spontaneous sweating. This belongs to decline of Wei Yang (Defensive Yang).
Renshen (Radix Ginseng, 1 qian), Zhi Dan Fuzi (Radix Aconiti Lateralis Preparata, 1 qian), Zhi Cao (Radix Glycyrrhizae Preparata, 0.5 qian), Shu Yuzhu (Rhizoma Atractylodis Macrocephalae Preparata, 2 qian), Wei Jiang (Zingiberis Rhizoma Preparata, 0.8 fen), Nanzao (Fructus Jujubae, 3 qian), Fuling (Poria, 3 qian).
Patient Long, aged thirty. Defensive Qi is loose, leading to sweating.
Sheng Huangqi (Radix Astragali Preparata, 3 qian), Wei Jiang (Zingiberis Rhizoma Preparata, 1 qian), Nanzao (Fructus Jujubae, 3 qian), Shu Baizhu (Radix Atractylodis Macrocephalae Preparata, 2 qian), Zhi Cao (Radix Glycyrrhizae Preparata, 0.5 qian), Fushen (Poria cum Radix Pini, 2 qian), Fangfeng (Radix Saposhnikoviae, 0.6 fen).
Patient Gui, aged thirty-six. Sweats profusely during sleep at night; upon waking, the whole body is as if bathed. This belongs to Night Sweats (Dao Han), which is transformed from Yin fluids. It is caused by Kidney deficiency failing to nourish internally. It is proposed to settle Yang to regulate deficiency.
Sheng Zuo Muli (Concha Ostreae, 3 qian), Longgu (Os Draconis, 3 qian), Fushen (Poria cum Radix Pini, 2 qian), Wuweizi (Fructus Schisandrae Chinensis, 1.5 qian), Maidong (Radix Ophiopogonis, 3 qian), Nanzao (Fructus Jujubae, 3 qian), Fang Dangshen (Radix Codonopsis, 1 qian).
Patient Pan, aged forty-three. Sweating with a large pulse. This is caused by labor injury damaging Ying and Wei (Nutritive and Defensive Qi).
Nen Huangqi (Radix Astragali Preparata, 3 qian), Baishao (Radix Paeoniae Alba, 1.5 qian), Wei Jiang (Zingiberis Rhizoma Preparata, 1 qian), Danggui (Radix Angelicae Sinensis, 1.2 qian), Zhi Cao (Radix Glycyrrhizae Preparata, 0.5 qian), Nanzao (Fructus Jujubae, 3 qian), Guizhi Mu (Ramulus Cinnamomi, 0.4 fen).