夏(五四)阳明脉衰。肩胛痛。
生黄 (三钱) 生于术(一钱) 茯苓(三钱) 当归(一钱五分) 木防己(一钱五分) 萆 (一钱) 防
风根(六分) 桂枝(五分)
严(六○)背痛脊痛。此属督脉虚。
毛鹿角(三钱) 补骨脂(一钱) 茯苓(二钱) 当归(一钱五分) 淡苁蓉(二钱) 杞子(一钱五分) 生
白芍(一钱五分) 沙蒺藜(二钱) 青盐(调入三分)
张(四八)臂痛难于屈伸。即属风、寒、湿、三气居多。
生黄 (三钱) 生于术(二钱) 海桐皮(一钱) 当归(一钱五分)
木防己(一钱五分) 片姜黄(一钱) 防风根(六分) 加酒炒桑枝(一两)
苏(三五)左肢节痛。麻木夜甚。
粗桂枝(八分) 木防己(一钱五分) 海桐皮(一钱) 晚蚕砂(二钱) 仙灵脾(一钱五分) 片姜黄(一钱)
川萆 (二钱) 苡仁(一钱)
章(五四)五旬余年。阳气馁乏。交寒露节。为暴寒郁折生阳。所以暑年腰痛。每至深秋屡发。此属劳伤挟湿所致。
劳最能损阳气。经言。劳者温之。
川桂枝(八分) 浓杜仲(二钱) 茯苓(一钱) 晚蚕砂(二钱) 淮牛膝(二钱) 萆 苡仁(一钱)
胡(四六)两尺脉独小。腰溶溶而痛。形寒。面乏华泽。腰者肾之府。此属少阴久虚之象。理宜温养。
鹿角霜(三钱) 淡苁蓉(二钱) 茯苓(三钱) 当归(一钱五分) 补骨脂(二钱) 紫衣胡桃肉(五钱) 炒
白芍(一钱五分) 炒小茴(四分)
夏某(54岁),阳明经气衰退。肩胛部疼痛。
生黄芪(三钱) 炒白术(一钱) 茯苓(三钱) 当归(一钱五分) 木防己(一钱五分) 萆薢(一钱) 防风根(六分) 桂枝(五分)
严某(60岁),背部及脊柱疼痛。这属于督脉虚弱。
鹿角毛(三钱) 补骨脂(一钱) 茯苓(二钱) 当归(一钱五分) 肉苁蓉(二钱) 枸杞子(一钱五分) 生白芍(一钱五分) 沙苑蒺藜(二钱) 青盐(调入三分,冲服)
张某(48岁),手臂疼痛,难以屈伸。这多由风、寒、湿三种邪气所致。
生黄芪(三钱) 炒白术(二钱) 海桐皮(一钱) 当归(一钱五分)
木防己(一钱五分) 片姜黄(一钱) 防风根(六分) 加酒炒桑枝(一两)
苏某(35岁),左侧肢体关节疼痛。夜间麻木加重。
粗桂枝(八分) 木防己(一钱五分) 海桐皮(一钱) 晚蚕砂(二钱) 淫羊藿(一钱五分) 片姜黄(一钱)
川萆薢(二钱) 薏苡仁(一钱)
章某(54岁),年过五十。阳气衰弱不足。遇到寒露节气时,因暴寒郁折损伤生发之阳。所以在暑热季节腰痛,每到深秋屡次发作。这属于劳伤夹杂湿气所致。
劳累最能损耗阳气。《内经》说:劳损者应当用温法治疗。
川桂枝(八分) 浓杜仲(二钱) 茯苓(一钱) 晚蚕砂(二钱) 怀牛膝(二钱) 萆薢薏苡仁(一钱,此处原文排版似将两药并列或指代不清,依常理推测为萆薢与薏苡仁,但原文仅写“萆 苡仁”,故译为萆薢、薏苡仁)
胡某(46岁),两侧尺脉独小。腰部酸痛无力而痛。怕冷。面色缺乏光泽。腰是肾的府邸。这属于少阴肾久虚的表现。理应温养。
鹿角霜(三钱) 肉苁蓉(二钱) 茯苓(三钱) 当归(一钱五分) 补骨脂(二钱) 紫衣胡桃肉(五钱) 炒白芍(一钱五分) 炒小茴香(四分)
Mr. Xia (54 years old), decline of Yangming channel qi. Pain in the scapular region.
Raw Astragali Radix (Huangqi, 3 qian) Stir-fried Atractylodis Macrocephalae Rhizoma (Baizhu, 1 qian) Poria (Fuling) Angelicae Sinensis Radix (Danggui, 1.5 qian) Stephaniae Tetrandrae Radix (Mufangji) Dioscoreae Hypoglaucae Rhizoma (Bixie, 1 qian) Saposhnikoviae Radix (Fangfenggen) Cinnamomi Ramulus (Guizhi, 0.5 qian)
Mr. Yan (60 years old), pain in the back and spine. This belongs to deficiency of the Du vessel (Governing Vessel).
Deer Antler Hair (Moluojiao) Psoraleae Fructus (Buguzhi, 1 qian) Poria (Fuling, 2 qian) Angelicae Sinensis Radix (Danggui, 1.5 qian) Cynomorii Herba (Rongshou, 2 qian) Lycii Fructus (Gouqi, 1.5 qian) Raw Paeoniae Radix Alba (Baishao, 1.5 qian) Semen Tamariccae Exocarpium (Shajili, 2 qian) Halitum (Qingyan, 0.3 qian, taken with water)
Mr. Zhang (48 years old), arm pain difficult to flex and extend. This is mostly due to the three pathogens: Wind, Cold, and Dampness.
Raw Astragali Radix (Huangqi, 3 qian) Stir-fried Atractylodis Macrocephalae Rhizoma (Baizhu, 2 qian) Cryptocaryae Cortex (Haitongpi, 1 qian) Angelicae Sinensis Radix (Danggui, 1.5 qian)
Stephaniae Tetrandrae Radix (Mufangji, 1.5 qian) Curcumae Longae Rhizoma (Pianjianghuang, 1 qian) Saposhnikoviae Radix (Fangfenggen, 0.6 qian) Add Mulberry Twig (Sangzhi) fried with wine (1 liang)
Mr. Su (35 years old), pain in the joints of the left limbs. Numbness worse at night.
Coarse Cinnamomi Ramulus (Guizhi, 0.8 fen) Stephaniae Tetrandrae Radix (Mufangji, 1.5 qian) Cryptocaryae Cortex (Haitongpi, 1 qian) Bombyx Batryticatus (Wancansha, 2 qian) Epimedii Herba (Xianlingpi, 1.5 qian) Curcumae Longae Rhizoma (Pianjianghuang, 1 qian)
Rhizoma Dioscoreae Hypoglaucae (Chuanbixie, 2 qian) Coicis Semen (Yiren, 1 qian)
Mr. Zhang (54 years old), over fifty years old. Yang qi is weak and insufficient. Upon encountering the Hanlu solar term, sudden cold obstructs and damages the generating Yang. Therefore, lower back pain occurs during the hot summer months and recurs frequently in late autumn. This is caused by labor injury complicated with dampness.
Labor can most easily damage Yang qi. The Classic says: For deficiency due to labor, use warming methods.
Cassia Twig (Guizhi, 0.8 fen) Eucommiae Cortex (Duzhong, 2 qian) Poria (Fuling, 1 qian) Bombyx Batryticatus (Wancansha, 2 qian) Achyranthis Bidentatae Radix (Niuxi, 2 qian) Rhizoma Dioscoreae Hypoglaucae et Coicis Semen (Bixie Yiren, 1 qian)
Mr. Hu (46 years old), both Chik (Kidney) pulses are uniquely small. Soreness and pain in the waist. Aversion to cold. Complexion lacks luster. The waist is the mansion of the Kidney. This presents as a long-standing deficiency of Shaoyin (Kidney). It should be treated with warming and nourishing methods.
Deer Antler Frost (Lujiaoshuang, 3 qian) Cynomorii Herba (Rongshou, 2 qian) Poria (Fuling, 3 qian) Angelicae Sinensis Radix (Danggui, 1.5 qian) Psoraleae Fructus (Buguzhi, 2 qian) Juglans Mollis Seed (Hetaoren, 5 qian) Stir-fried Paeoniae Radix Alba (Baishao, 1.5 qian) Stir-fried Foeniculum Fructum (Xiaohui, 0.4 fen)