钱(三岁)喘急脉细。戴眼。已现脱象。无方。
倪(一岁)襁褓寒热旬余。肢肿腹胀。便溏。近加喘急。戴眼。是厥脱根萌。此属太阳已绝。辰戌日期小心。无方。
苏(三一)中 螈 。口噤不语。法所不治。勉拟黄土汤。
掘地尺余深。取新汲水。搅浊澄清。频饮。
洪(三四)阴寒格阳。脉独疾而散。心胸热炽。面赤尤甚于两颧。烦渴干呕。胸闷。但欲寤。危期至速。勉拟热因
热用之方。俾乃导火归原。庶有生机之望。
上肉桂(五分) 泡淡川附子(一钱) 茯苓(一钱五分) 淡干姜(八分)
熟半夏(一钱五分) 炙草(四分) 生白芍(一钱五分)
邵(五八)昨脱癃闭。势甚窘迫。欲解不通。脉如雀啄。想前阴利水。厥阴主之。少阴主二便。此属肝肾气逆。已
萌阴脱之象。三日内必有手足厥阴目盲等。疑不治之症。无方。
邹(七一)邪陷已久。脘痹不纳谷。心胸热炽。两眼怕亮喜暗。自觉红光耀目。脉按之细而兼沉。总是邪陷。锢蔽
日深。清邪疏邪之法。均已无效。症属棘手。勉拟热因热用之方。补里托邪。俾乃导火归原。庶有百中一幸之望。
人参(五分) 制半夏(一钱五分) 炙草(五分) 炮熟川附子(五分)
去皮上桂(五分) 淡干姜(五分) 茯苓(三钱)
又
人参(五分) 制半夏(一钱五分) 去白广皮(一钱) 炮熟川附子(五分)
去皮上桂(五分) 淡干姜(五分) 茯苓(三钱)
沈(廿六)新产十朝。昨进育阴潜阳。腰痛带淋稍减。两颧赤色更甚。干呕不除。竟夜少寐。右尺不起。脉形独疾
而散。而非数也。譬诸灯火。焚膏殆尽。往往有扑灭之虞。治此症甚难。勉拟导火归原一法。候诸高明正。
人参(另煎冲,五分) 制淡川附子(五分) 炙草(五分) 原熟地(四钱) 炮姜(四分) 茯苓(三钱) 去
皮上桂(三分)
钱某(三岁),气喘急促,脉象细弱。两眼上视不能转动(戴眼)。已经呈现出元气脱失的征象。无方可用。
倪某(一岁),在襁褓之中寒热交替持续了十几天。四肢肿胀,腹部胀满,大便稀溏。近来加重出现气喘急促、两眼上视。这是厥证与脱证的根源萌芽。这属于太阳经气已绝的表现,在辰日或戌日需小心谨慎。无方可用。
苏某(三十一岁),身体抽搐,牙关紧闭,不能言语。按常规治法属于难治之症。勉强拟定黄土汤。
挖掘地面一尺多深,取用新汲取的井水,搅拌使浑浊沉淀后澄清,频繁饮用。
洪某(三十四岁),阴寒内盛格拒阳气于外。脉象唯独疾速而散乱。心胸部位火热炽盛,面色发红,尤其以两颧为甚。烦躁口渴,干呕,胸闷。只想睡觉(嗜睡)。危重时期到来得非常快。勉强拟定“热因热用”的方剂。希望能引导火气回归本源,或许还有一线生机。
上肉桂(五分) 泡淡川附子(一钱) 茯苓(一钱五分) 淡干姜(八分)
熟半夏(一钱五分) 炙甘草(四分) 生白芍(一钱五分)
邵某(五十八岁),昨日发生癃闭(小便不通),形势非常窘迫紧迫。想要解小便却通不下来。脉象如雀啄米般急促无序。想前阴利水功能由厥阴肝经主司。少阴肾经主管二便。这属于肝肾之气上逆,已经萌发了阴液脱失的征象。三天内必然会出现手足厥冷、目盲等症状。怀疑是难以治愈的疾病。无方可用。
邹某(七十一岁),邪气陷入体内已久。胃脘部痹阻,不能进食。心胸部位火热炽盛,两眼怕光亮喜欢暗处。自觉眼前有红光闪耀。脉象按下去细弱且兼有沉象。总是因为邪气陷入,锢蔽日益加深。清热祛邪和疏泄邪气的方法,都已经无效。病症属于棘手难治。勉强拟定“热因热用”的方剂。补益里虚以托举邪气外出。希望能引导火气回归本源,或许有一百次中侥幸成功一次的希望。
人参(五分) 制半夏(一钱五分) 炙甘草(五分) 炮熟川附子(五分)
去皮上肉桂(五分) 淡干姜(五分) 茯苓(三钱)
又方:
人参(五分) 制半夏(一钱五分) 去白广陈皮(一钱) 炮熟川附子(五分)
去皮上肉桂(五分) 淡干姜(五分) 茯苓(三钱)
沈某(二十六岁),新近分娩十天。昨天服用育阴潜阳的药物后,腰痛和带下淋沥症状稍减。但两颧红色更加严重。干呕未除。整夜睡眠很少。右尺脉不起,脉形唯独疾速而散乱,而不是单纯的数脉。好比灯火,油膏几乎烧尽,往往有熄灭的危险。治疗这个病症很难。勉强拟定导火归原的方法,等候各位高明人士指正。
人参(另煎冲服,五分) 制淡川附子(五分) 炙甘草(五分) 原熟地黄(四钱) 炮姜(四分) 茯苓(三钱) 去皮上肉桂(三分)
Qian (3 years old): Panting and rapid breathing with a fine pulse. Eyes fixed upward (Daiyan). Signs of collapse have already appeared. No prescription available.
Ni (1 year old): Alternating chills and fever in infancy for over ten days. Swelling of limbs, abdominal distension, loose stools. Recently aggravated by panting and eyes fixed upward. This is the root germ of Jue (reversal) and Tuo (collapse) syndromes. This belongs to the exhaustion of the Taiyang channel. Caution is advised on Chen or Xu days. No prescription available.
Su (31 years old): Convulsions (Chou Yin), locked jaw, inability to speak. According to standard methods, this is untreatable. Tentatively prescribing Huangtu Tang (Yellow Earth Decoction).
Dig more than one chi deep into the ground, fetch newly drawn well water, stir until turbid and then clear, and drink frequently.
Hong (34 years old): Yin cold repelling Yang outward. The pulse is uniquely rapid and scattered. Intense heat in the chest and heart region, facial redness especially severe on the malar bones. Restlessness, thirst, dry retching, chest fullness. Desire to sleep only. The critical period arrives very quickly. Tentatively prescribing a formula based on "treating heat with heat" (Re Yin Re Yong). May it guide fire back to its origin, offering a slim hope of survival.
Shang Rougui (Cinnamon Twig, 5 fen), Paodan Chuan Fuzi (Prepared Aconite Root, 1 qian), Fuling (Poria, 1.5 qian), Dangan Jiang (Dried Ginger, 8 fen); Shu Banxia (Prepared Pinellia Rhizome, 1.5 qian), Zhigancao (Honey-fried Licorice Root, 4 fen), Sheng Baishao (Raw White Peony Root, 1.5 qian).
Shao (58 years old): Yesterday suffered from Longbi (difficulty in urination), with a very urgent and distressing condition. Desire to urinate but unable to pass. Pulse resembles bird pecking (Que Zhuo). The anterior orifice's function of promoting water metabolism is governed by the Jueyin liver. Shaoyin kidney governs both urine and stool. This belongs to rebellious Qi of Liver and Kidney, with signs of Yin collapse already emerging. Within three days, symptoms such as cold extremities and blindness will certainly appear. Suspected to be an incurable disease. No prescription available.
Zou (71 years old): Pathogenic factors have been trapped inside for a long time. Epigastric obstruction preventing food intake. Intense heat in the chest and heart region. Eyes sensitive to light, preferring darkness. Subjective sensation of red light dazzling the eyes. Pulse feels fine and deep upon pressure. This is always due to pathogenic invasion, becoming increasingly entrenched and obstructed. Methods of clearing and dispersing pathogens have all failed. The condition is tricky. Tentatively prescribing a formula based on "treating heat with heat" (Re Yin Re Yong). Tonifying the interior to expel pathogens, guiding fire back to its origin, hoping for a one-in-a-hundred chance of success.
Renshen (Ginseng Root, 5 fen), Zhi Banxia (Processed Pinellia Rhizome, 1.5 qian), Zhigancao (Honey-fried Licorice Root, 5 fen), Paoshu Chuan Fuzi (Roasted Prepared Aconite Root, 5 fen); Qupi Shanggui (Bark-free Cinnamon Bark, 5 fen), Dan Ganjiang (Mild Dried Ginger, 5 fen), Fuling (Poria, 3 qian).
Second prescription:
Renshen (Ginseng Root, 5 fen), Zhi Banxia (Processed Pinellia Rhizome, 1.5 qian), Qu Bai Guangpi (White-stripped Tangerine Peel, 1 qian), Paoshu Chuan Fuzi (Roasted Prepared Aconite Root, 5 fen); Qupi Shanggui (Bark-free Cinnamon Bark, 5 fen), Dan Ganjiang (Mild Dried Ginger, 5 fen), Fuling (Poria, 3 qian).
Shen (26 years old): Ten days postpartum. Yesterday administered formulas to nourish Yin and subdue Yang. Lower back pain and leukorrhea/dysuria slightly reduced. Redness on malar bones became more severe. Dry retching persists. Little sleep throughout the night. Right Chi pulse does not rise. Pulse form is uniquely rapid and scattered, rather than merely frequent. Like a lamp, when the oil is nearly exhausted, there is often danger of extinguishment. Treating this condition is very difficult. Tentatively adopting the method of guiding fire back to its origin, awaiting correction from experts.
Renshen (Decocted separately and added to the mixture, 5 fen), Zhi Dan Chuan Fuzi (Processed Mild Aconite Root, 5 fen), Zhigancao (Honey-fried Licorice Root, 5 fen), Yuan Shudi (Original Prepared Rehmannia Root, 4 qian), Paojiang (Roasted Ginger, 4 fen), Fuling (Poria, 3 qian), Qupi Shanggui (Bark-free Cinnamon Bark, 3 fen).