苏(廿八)胃痛呕逆。此属肝木侮土。进河间方。
金铃子(二钱) 郁金(一钱) 小茴香(一钱五分) 炒延胡(一钱)
制香附(一钱五分) 南楂炭(一钱五分) 青皮(一钱)
诸(四八)嗔怒动肝木。犯胃。为痛。为呕。为消渴。肢冷。脉沉微。是木不条达。制肝木。理能取胜。
延胡(一钱) 制香附(一钱五分) 归须(一钱) 川楝子(二钱) 郁金(一钱) 青木香(八分) 桂枝(八
分) 炒橘红(七分)
陈(廿三)营虚胃痛。议辛甘理阳。
甜桂枝(八分) 炙草(五分) 煨姜(五分) 归须(一钱五分) 南枣(三钱) 茯苓(三钱) 生白芍(一
钱五分)
曹(三六)左胁痛。咳痰。邪入于络。
粗桂枝(八分) 归须(一钱) 郁金(一钱) 炒桃仁(去尖研,一钱) 黑山栀(一钱五分) 降香(末,五
分) 炒白芥子(五个)
赵(廿八)嗔怒动肝。左胁连少腹痛。
川楝子(二钱) 制半夏(一钱五分) 归须(一钱) 炒延胡(一钱) 郁金(一钱) 炒桃仁(一钱) 青皮
(一钱) 炒小茴(五分)
夏(四五)寒热胁痛。拟从少阳通络。
青蒿梗(一钱) 制半夏(一钱五分) 归须(一钱) 郁金(一钱) 炒白芥子(一钱五分) 丹皮(一钱五分)
霜桑叶(一钱)
吴(三六)形寒胁痛。半月不衰。面白足冷。此属操劳损阳。谋虑伤肝之征。是非轻象。辛香刚燥。决不可进。
旋复花(一钱) 柏子仁(二钱) 新绛(一钱) 归肉(一钱五分)
红花(五分) 青葱管(五分) 桃仁(一钱)
又 胁痛病自肝起。渐归及左。饮食少进。多梦纷纭。肝胃同病。勉拟甘缓和阳。
人参(一钱) 炙草(五分) 枣仁(炒焦研,二钱) 当归(一钱五分) 龙骨(三钱) 茯神(一钱) 柏子
仁(二钱) 金箔(三片)
苏(二十八岁):胃痛伴呕吐逆气。此证属于肝木克制脾土。采用河间方的治法。
金铃子(二钱) 郁金(一钱) 小茴香(一钱五分) 炒延胡索(一钱)
制香附(一钱五分) 南楂炭(山楂炭,一钱五分) 青皮(一钱)
诸(四十八岁):愤怒触动肝木。肝气犯胃,导致疼痛、呕吐、消渴症。四肢发冷,脉象沉微。这是肝气不条达的表现。通过制约肝木,调理气机,能够取得疗效。
延胡索(一钱) 制香附(一钱五分) 归须(当归须,一钱) 川楝子(二钱) 郁金(一钱) 青木香(八分) 桂枝(八分) 炒橘红(七分)
陈(二十三岁):营血虚弱导致的胃痛。建议采用辛甘化阳的方法调理阳气。
甜桂枝(八分) 炙甘草(五分) 煨生姜(五分) 归须(当归须,一钱五分) 南枣(三钱) 茯苓(三钱) 生白芍(一钱五分)
曹(三十六岁):左侧胁部疼痛,咳嗽有痰。病邪侵入络脉。
粗桂枝(八分) 归须(当归须,一钱) 郁金(一钱) 炒桃仁(去尖研碎,一钱) 黑山栀(栀子,一钱五分) 降香(末,五分) 炒白芥子(五个)
赵(二十八岁):愤怒触动肝气。左侧胁部疼痛牵连少腹部。
川楝子(二钱) 制半夏(一钱五分) 归须(当归须,一钱) 炒延胡索(一钱) 郁金(一钱) 炒桃仁(一钱) 青皮(一钱) 炒小茴香(五分)
夏(四十五岁):寒热交替且胁痛。打算从少阳经疏通络脉入手治疗。
青蒿梗(一钱) 制半夏(一钱五分) 归须(当归须,一钱) 郁金(一钱) 炒白芥子(一钱五分) 丹皮(牡丹皮,一钱五分) 霜桑叶(一钱)
吴(三十六岁):受寒后胁痛,半个月未愈。面色苍白,足部冰冷。这属于操劳损伤阳气、谋虑过度伤肝的征象。这不是轻浅的病证。辛香刚燥的药物绝对不可使用。
旋复花(一钱) 柏子仁(二钱) 新绛(茜草染的丝织品,一钱) 归肉(当归身,一钱五分)
红花(五分) 青葱管(五分) 桃仁(一钱)
又案:胁痛病起于肝,逐渐波及左侧。饮食减少,多梦纷乱。肝胃同病。勉强拟定甘缓以调和阳气的方法。
人参(一钱) 炙甘草(五分) 枣仁(酸枣仁,炒焦研碎,二钱) 当归(一钱五分) 龙骨(三钱) 茯神(一钱) 柏子仁(二钱) 金箔(三片)
Su (28 years old): Epigastric pain accompanied by vomiting and regurgitation. This condition belongs to Liver Wood insulting Spleen Earth. Treatment follows the formula of He Jian.
Julingzi (Goldthread Fruit, 2 qian) Yujin (Turmeric Tuber, 1 qian) Xiaohuixiang (Fennel Fruit, 1.5 qian) Chao Yanhusuo (Stir-fried Corydalis Rhizome, 1 qian)
Zhi Xiangfu (Prepared Cyperus Rhizome, 1.5 qian) Nanzha Tan (Charred Hawthorn Fruit, 1.5 qian) Qingpi (Green Tangerine Peel, 1 qian)
Zhu (48 years old): Anger stirs up Liver Wood. Liver Qi invades the Stomach, causing pain, vomiting, and Xiao Ke (Wasting-Thirst syndrome). Cold limbs, pulse is deep and faint. This indicates Liver Qi failing to flow smoothly. By restraining Liver Wood and regulating Qi, success can be achieved.
Yanhusuo (Corydalis Rhizome, 1 qian) Zhi Xiangfu (Prepared Cyperus Rhizome, 1.5 qian) Guixu (Danggui Tendril, 1 qian) Chuanlianzi (Sichuan Chinaberry Fruit, 2 qian) Yujin (Turmeric Tuber, 1 qian) Qingmuxiang (Aucklandia Root, 0.8 qian) Guizhi (Cinnamon Twig, 0.8 qian) Chao Juhong (Stir-fried Tangerine Peel, 0.7 qian)
Chen (23 years old): Ying Deficiency (Nutritive Qi Deficiency) causing epigastric pain. Proposal: Use Acrid-Sweet method to regulate Yang.
Tian Guizhi (Sweet Cinnamon Twig, 0.8 fen) Zhi Cao (Honey-fried Licorice Root, 0.5 fen) Wei Jiang (Baked Ginger, 0.5 fen) Guixu (Danggui Tendril, 1.5 qian) Nanzao (Southern Jujube, 3 qian) Fuling (Poria, 3 qian) Sheng Baishao (Raw White Peony Root, 1.5 qian)
Cao (36 years old): Left hypochondriac pain, coughing with phlegm. Pathogenic factors have entered the collaterals.
Cu Guizhi (Rough Cinnamon Twig, 0.8 fen) Guixu (Danggui Tendril, 1 qian) Yujin (Turmeric Tuber, 1 qian) Chao Taoren (Stir-fried Peach Kernel, removed tips and ground, 1 qian) Hei Shanzhi (Black Gardenia Fruit, 1.5 qian) Jiangxiang (Aquilaria Lignum, powder, 0.5 fen) Chao Baijiezi (Stir-fried White Mustard Seed, 5 grains)
Zhao (28 years old): Anger stirs up Liver Qi. Left hypochondriac pain radiating to the Shaoyang abdomen.
Chuanlianzi (Sichuan Chinaberry Fruit, 2 qian) Zhi Banxia (Prepared Pinellia Tuber, 1.5 qian) Guixu (Danggui Tendril, 1 qian) Chao Yanhusuo (Stir-fried Corydalis Rhizome, 1 qian) Yujin (Turmeric Tuber, 1 qian) Chao Taoren (Stir-fried Peach Kernel, 1 qian) Qingpi (Green Tangerine Peel, 1 qian) Chao Xiaohui (Stir-fried Fennel, 0.5 qian)
Xia (45 years old): Alternating chills and fever with hypochondriac pain. Plan to treat from the Shaoyang channel to unblock collaterals.
Qinghao Geng (Artemisia Annua Stem, 1 qian) Zhi Banxia (Prepared Pinellia Tuber, 1.5 qian) Guixu (Danggui Tendril, 1 qian) Yujin (Turmeric Tuber, 1 qian) Chao Baijiezi (Stir-fried White Mustard Seed, 1.5 qian) Danpi (Moutan Bark, 1.5 qian) Shuang Sangye (Mulberry Leaf, 1 qian)
Wu (36 years old): Hypochondriac pain after exposure to cold, persisting for half a month without improvement. Pale complexion, cold feet. This belongs to the signs of Yang damage due to overwork and Liver injury due to excessive deliberation. This is not a mild condition. Acrid-aromatic and rigid-drying herbs must absolutely not be used.
Xuanfuhua (Inula Flower, 1 qian) Baiziren (Biota Seed, 2 qian) Xinjiang (New Crimson Silk/Castor Oil Plant Root, 1 qian) Rougui (Danggui Body, 1.5 qian)
Honghua (Safflower, 0.5 fen) Qingcong Guan (Green Onion Tube, 0.5 fen) Taoren (Peach Kernel, 1 qian)
Another case: Hypochondriac pain originates from the Liver, gradually affecting the left side. Food intake is reduced, dreams are numerous and chaotic. Liver and Stomach diseases coexist. Tentatively propose Sweet-Soothing method to harmonize Yang.
Renshen (Ginseng Root, 1 qian) Zhi Cao (Honey-fried Licorice Root, 0.5 fen) Zaoren (Zaosu Ren/Fried Sour Jujube Seed, fried until scorched and ground, 2 qian) Danggui (Angelica Sinensis Root, 1.5 qian) Longgu (Fossilized Bone/Mammoth Ivory, 3 qian) Fushen (Poria with Hostwood, 1 qian) Baiziren (Biota Seed, 2 qian) Jinbo (Gold Foil, 3 pieces)