享和宽政之间，有以医鸣于京雒者二人∶其一为和田东郭，其二为荻野台洲。台洲加贺
人，
学医于越前奥村良筑，后游于崎阳，受 兰术于译官某氏。业成，悬壶于京师，最以治瘟疫
着
。当时四方之婴沉 痼疾者，不踵乎和田氏之门，则凑于荻野氏之堂。是以二氏治术超越于
时辈，独得精诣。悉出于实验，为临证处方之助，岂为不可哉？余乃就其门生所笔获野家口
诀者，编纂以作医话。如其识见，则有台洲园业书数种，宜就看而已。
温疫小便闭，烦躁或昏冒者不治。若阴证小便闭，少腹凝结，按之不痛者，或小便数急
淋沥
者，俱与加减真武汤，后兼用辰砂六一散，小便得节度则治。(按∶加真武汤说见《温疫余
编》。)
温疫阴证虽不大便十日以上，不燥结者，不可妄与大黄。
温疫舌心干燥者，胸中有热也。舌本干燥者，下焦津液枯竭也。舌上白胎如着糊者，少
阴虚火炎蒸也。白胎如鹅口疮者亦然。
温疫舌两端有白胎，中央胎已脱者，及舌上润滑如朱者，是邪热陷于少阴也。可直与生
地黄，若用附子，则倍加甘草。
温疫热将解，小便频数者，热从小便去也。又有移热于膀胱而频通者，但热将解者，其
色以渐清也。
温疫小血疲劳甚者，宜参附养荣汤。
疫后健忘者，宜安神益志汤。
一老人患直中温疫，头痛如割，烦躁，须臾不能卧，手足微冷，脉沉而数疾，与冷香饮
子三帖，头痛半减。仍服前方，四五日全愈。
直中温疫头痛如裂者，肾厥之邪直逼于太阳经，故项背亦强也。一男子患此证无热，头
痛如
裂，一老医认为阳证，与大承气汤无效，更与柴胡清燥汤，遂不起，岂不浩欢哉。(按∶台
洲潜心于吴氏，于达原逐邪之剂，莫所不试。而阴疫治法，亦发吴氏未言之秘，可谓吴氏之
忠臣氏。)
膈噎者，以蓄血、痰饮、脾肾虚三者为因。因于痰者，饮食专噎于咽喉也，附子理中汤
、旋
复代赭石汤、二陈汤类加松寄生用之，且灸身柱为佳。因于蓄血者，饮食专噎于胸中，且以
右肋骨下有块为标的也，以温脾汤送下乌神散，或二方更服亦可。因于脾肾之虚者，饮食下
胸中，必觉摩痛，或食一纳口则吐白沫数口也，先灸气海。次与松寄生油，又宜服炙猪肉煮
汁，若得食其肉者益妙，此证最属不治。妇人之膈多属蓄血，亦不可不知焉。
鼓胀自心下渐及于大腹者，实也，宜生姜泻心汤、大半夏汤。自中焦膨胀者，宜温胃汤
类。
自下焦胀起者，宜壮原汤加木鳖子。此病以手鼓腹如鼓者，虚也，属不治。是为虚实之辨矣
。血蛊者，自少腹胀起者也，先与生姜泻心汤，则其块徐徐消，然非长服无效。盖有血块必
停水凝结，其块益为大，故先利其水而后治血分，则其效捷矣，或副用鳖甲丸亦一策。
香港脚一证，以槟榔为套药，大概宜槟苏散加木瓜。冲心者，以童便服槟榔末，或紫雪五
分，以童便灌下。此证多属不治。
热毒香港脚者，以或有腹热，或其人自烦热，或灸之不堪热，为其征。凡灸之不堪其热者
，多
为冲心候。若脉数者，益危，不可忽诸。若脉缓者，无冲心之患。干香港脚证灸之不甚痛者，
无害，虽脉数亦可灸。
每年夏秋之际，患香港脚者，宜肾气丸料风引汤(恐谓《外台》唐风引汤，非《金匮》方
也。)类其人寒时预服肾气丸料，则至翌年不再发。
香港脚麻痹及于口唇者，其毒深也。积年患之者，固无论矣。
香港脚烦躁者，宜粒甲丸。
风湿香港脚者，以疼痛为辨。疼痛者，必不冲心。若将冲心者，宜唐侍中一方。但痛轻者
，宜六物附子汤。
云州侯(松江城主)患香港脚肿满，侍医与以鲤鱼汤，虽小便颇利。其痛不可堪。因请诊为
风毒
香港脚，服杜仲汤痛顿减，而小便日短少，其色渐赤浊。众以拟议仍连进前方，其病遂愈。
凡水肿与鲤鱼汤者，以腹大满为主，若不腹满者无效，小林大陵(京师医师)鲤鱼汤合苏
子降
气汤亦效。(鲤鱼治水病颇效。然脾胃不和，便滑呕恶者，不可食。按∶范汪方有醋煮法，
则为较和醋食当佳。)
凡治水肿导水茯苓汤，以心下悸为主。若心下专有水气者，宜实脾饮，其他木防己汤、
六物附子汤类，可随证而选用。
水肿证有小便虽不多通。肿气减者，盖水之所凑气亦凑。气一散，水亦减也。若内陷者
，其
气不振，故水不能流以陷于里也。欲振其气者，宜真武汤、壮原汤类。其人自阴茎阴囊肿者
，亦虚肿也，宜肾气丸。
妊娠水肿随胎气长而甚者，胎压水道也，分娩则愈。
子痫者，与芍药甘草汤加干姜，副用童便可也。盖产前子痫与产后痉无异，故又宜甘草
干姜
汤。《妇人良方》交加散，亦治柔痉。产后之痉病与豆淋酒者，以酒气缓筋脉也。此等法不
可拘产后可，亦治杂病之痉矣。
痛风以发表为先，务宜越婢加术附子汤，最后与下剂为佳，宜神 丸。此证不泄下水毒
，则无全效。(痛风热甚者，与禹功散无效，不如神 之捷。)
呕吐证与诸止呕药不应者，官参一味，五分浓煎。(以水二合煮取八勺。)去滓，伏龙肝
末少许，取其澄汁服之。
吐唾不止，用安蛔药无效者，属《素问》所谓肾液宜肾气丸。又有属胃上寒饮者，仲景
曰∶喜唾久不了了者，理中丸主之是也。
胸痛证有痰饮，有蓄血。痰痛多在左，血痛多在右。属痰者清湿化痰汤、枳实薤白桂枝
汤
、控涎丹类选用之。属蓄血者，宜与大柴胡汤、龙胆汤、乌神散等。若妄投破血剂则吐血，
不可不知。
真心痛者，饮麻油为佳。凡病属心脏者多不治。
霍乱多系于胃中停滞，故盛暑时减饮食则无其患。小儿中暑霍乱，尤自饮食发。馒头类
不可
食，乳哺者患之少，其因饮食可知矣。热甚危急者，宜与竹叶石膏汤、白虎汤。干霍乱者，
宜大承气汤，不可妄与瓜蒂散，调理当用附子理中加桂、补中益气加附子类。
疟疾用达原饮加柴胡，其他九味清脾饮类，伍草果者最可也。阴疟别无治，方用达原
饮类，迨病发于昼间宜截之。
左乳上痛而咳者，肺痈也，初起者宜四味薏苡仁汤、甘草干姜汤类。其人无故脐中腐烂
出水者，属脾胃湿热，与平胃散加大黄，以赤乌散或奇良末贴脐中为佳。
眩晕有二道∶因水饮昏倒者，宜苓桂术甘汤、奔气汤加茯苓类，盖奔气汤加茯苓主降下
，更加附子推下之力反优，因气虚眩冒者，宜补中益气汤加附子。
心下有留饮痞硬者，生姜泻心汤主之。不痞硬者，宜茯苓饮、五苓散类。若留饮腹中有
动气
，或肾虚其气上冲者，宜桂枝、龙骨、甘草、牡蛎加茯苓汤。癫痫者，亦用此方。别有口诀
赘焉。
血淋者，宜龙胆泻肝汤、八正散类。脓淋宜萆 汤。石淋宜透泉散，又以琥珀油涂导尿
管插
入之于茎中，则石从坠。冷淋者宜生附散，小便已恶寒者，此方最效，鸡卵制芎黄散，亦治
此证。
大便闭用鸡卵制芎黄散奇效。其方鸡子去白止黄，以芎黄散和其中炼，将包湿纸埋之于
热灰中，以灰冷为度取出，去壳研末，白汤送下。
其人当右肋下有块者，必吐血。妇人经水不利而吐血者，属逆经，其血必黑，宜大柴胡
汤，
三黄泻心汤类。自肝藏发者属蓄血，其血亦黑，并用前方。自肺藏发者鲜血也，其血虽一滴
难治，先与加味百合地黄汤、犀角地黄汤类为是。酒客吐血，属胃中蓄血，宜三黄泻心汤。
若不止者，属脾血，宜理中汤。盖下血久则脾衰失裹血之职，自然止也。独步散能治吐血下
血，衄而属鲜血者无效。下血者，宜食海鱼，不可食河鱼。(按∶独步散，干柿一味为霜服
。)
痢疾初起，以发表为紧要。若将噤口痢者，早可大下之，宜大柴胡加芒硝汤。禁口药汁
难下
者，咽以生萝卜汁，则得能下也。冷痢者，多属泻心汤，补中加大黄汤证，而附子之所治，
亦往往有之。
咳嗽属阴者难治。横卧则发咳，仰卧则不咳者，水饮所为也，宜神 丸。子嗽者，因胎
气生长，水停心下而为咳也，宜当归芍药散。
泄泻无异证者，宜胃苓汤、补中汤类，又有养胃汤、藿香正气散、真武汤所宜。若食即
更衣
者，属脾虚也。轻者，宜补中汤。重者宜补中益气汤。久泻者，可理中焦，宜附子理中汤加
赤石脂，或阿芙蓉丸。泄泻证多因不能泌别水谷，故宜分利水与糟粕。论云∶下利不止，当
利其小便是也。利小便宜春泽汤加附子。属中焦者，宜补中汤，或生姜泻心汤。泄泻愈后，
脉迟细而弱，至夜半或黎明而泻者，此命门真阳不足也，宜七成汤，或参苓白术散主之。又
有属实者，宜大黄丸类。
嘈杂者，水气挟火也，宜三黄泻心汤、生姜泻心汤，但心下不痞者无效。(按∶心下不
痞而
嘈杂者，宜旋复花汤，又吴茱萸一味煎服可也。《古今医统》云∶嘈杂之为证也，倏尔腹中
如火发，腔内空空若无一物，似辣非辣，似饥非饥，似痛不痛，而有懊 不自宁之状，得食
暂止者是也。可谓说尽嘈证矣。)
黄胖或以为感粪土气，亦非无理，何则？此病中人以上患之者绝无，中人以下往往患之
也，
宜皂矾丸。又男子脱血后，或女子薄血作此状者，宜四味补血汤，非皂矾之所治也。(按∶
因食粪发黄者，《本草图经》秦艽条引《崔元亮集验方》云∶夜食误餐鼠黄亦作黄。识病捷
法云∶鼠盗饮食五谷遗粪在内，人不拣择误食，则生黄胆是也。)
风毒肿多壮年者，老人甚少。两脚虽红肿不能自溃，先可发散，宜一剂散，后可下之，
宜禹功散。治法大抵同于痛风。
病患有呼吸乍失调度。乍复者，不出五六日死。经曰∶呼气出于肺，吸气入于肝肾。其
失调度者，呼气不能归肾，上越于肝也。
心中时烦唇红，发作有时，时呕恶，闻食臭颧骨红者，属蛔虫，理中安蛔汤加甘草、附
子。
反胃者断谷食，但饮白米饮与理中，大半温脾诸汤为佳。又有因水气发此证者，必心下
悸，
宜生姜泻心汤。(按∶此证亦减饮。余闻台洲有减饮论未见，盖减饮事详见东坡集，与孙运
司书，可参考焉。)
穿踝疽不辨足内外肿痛者，宜杜仲汤加蝮蛇。病重者，副用禹功散。
解颅渐长大者，头骨开压额前肉也，当施绷带。初起者，宜六味丸加鹿茸，此方能治解
颅五迟二证。盖本诸薛己之说。
蓐劳初起，宜当归建中汤。(按《千金》内补建中汤主治可考。)
妇人肩背强急者，以坐药导带下则愈。若心下痞者，宜生姜泻心。(按∶妇人肩背强急
者，多系 癖之所为，延年半夏汤最效。)
喘息急者，半夏为末和生姜汁加曲服之甚效。
津液虚燥不大便而窘迫者，下焦气脱也，当升提其气，宜补中益气汤。若不窘迫者，宜
六成汤。盖以补中益气汤无腹力，六成汤有腹力为辨。若六成汤证而无力者，宜加鹿茸。
竹叶除胸中烦热，竹茹主豁痰，所治各异。胸中烦闷者，栀子之所主。自心下及胸中者
，黄连之所主，亦各有专长。
小儿夜啼，宜安虫散。(按∶安虫散治虫动心痛，又小儿夜啼神效。胡粉炒黄，槟榔、
川楝
子去实，鹤虱各三钱，白粉一钱五分，铁器内火熬，砧杵，共五味为末。每服一字，大者半
钱，温米饮服。)
酒 鼻严禁酒。时时以三棱针刺去血，可与辛荑清肺饮。
脑漏者，脑中酿热以出瘀涕也，古人以为脑移肺热误矣。其初流黄汁，后变白浊，甚者
溢于
咽，且鼻中点滴连绵不止，其状虽似清涕，以纸拭之，干则发黄色也，宜脑漏一方，又似此
证而鼻塞者，息肉也。其初生鼻中，渐逼鼻口，其色初白，次变桃花色，又一等甚者，色如
李实熟，此证虽相似，以鼻塞与不塞为辨。鼻息治方见于方铃，又以瓜蒂末贴纸张捻条插入
息肉上，则黄汁出而愈。
丹后宫津侯(松平伯蓍守。)平素无他病，鼻常流清涕不止，余以为肺寒所为，以大枣煎
汁服皂荚丸，灸大椎第一间身柱，七日而愈。
症疮属表证，宜发表，杨梅一剂散加反鼻主之。其初与遗粮五宝丹等者，甚非也。
疳疮世贴膏亦非良策，但傅奇良末佳。(按∶杨梅一剂散方见于外科大成。)
疳疮发阴茎表者，为太阳经证，杨梅一剂散主之。发横面者为少阳经证，恶候也。
茎头上直筋不破溃为要，若破溃则其毒忽上于咽喉及鼻梁也，烛泪疳亦宜一剂散，兼用
结毒紫金丹。
妇人妊娠十指麻木者，系血热所为，此证夏月尤多。轻者不及药，分娩则愈，重者与柴
苓四物汤。
妇人多属带下毒者，不可不谛。
奔豚气属虚，支饮属实，其证相似，而其治迥异，可不精诊哉。
水势盛于外者，卫气之衰也，宜黄 汤。
梅核气与半夏浓朴汤为法。然浓朴无真品，姑与生姜泻心汤可也。
杜仲汤能治脚挛急在右者，而不能治在左者也。
诊病患宜察眼中之了不了，与音声之爽不爽，此二者清亮则不死。
在享和与宽政年间，京都有一位以医术闻名的两位医生：一位是和田东郭，另一位是荻野台洲。台洲是加贺人，向越前的奥村良筑学习医学，后来游历崎阳（长崎），从某位翻译官那里学习兰学（西方医学）。学业完成后，他在京城开设医馆行医，尤其以治疗瘟疫著称。当时四方患有顽固疾病的婴儿，不是去和田氏的门下，就是聚集到荻野氏的厅堂。因此，这两位医生的医术超越了同时代的人，独得精妙造诣。他们的经验都出自实践，作为临床处方的辅助，难道不可以吗？我便根据他们门生记录的荻野家口诀，编纂成这部医话。至于他们的见识，已有台洲撰写的多种书籍，适宜直接阅读即可。
温疫（温热性质的疫病）出现小便闭塞、烦躁或神志昏蒙的，属于不治之症。如果是阴证（寒性证候）导致的小便闭塞，少腹凝结，按压不痛的，或者小便频数急迫、淋漓不尽的，都给予加减真武汤（温阳利水方剂），之后兼用辰砂六一散（清热利湿安神方剂），如果小便恢复节制则病可治。（按：关于加真武汤的说法见《温疫余编》。）
温疫阴证虽然十天以上不大便，但大便不燥结的，不可随意使用大黄。
温疫患者舌中心干燥的，说明胸中有热。舌根部干燥的，说明下焦津液枯竭。舌上有白色苔垢像涂了浆糊一样的，是少阴虚火炎蒸所致。白苔像鹅口疮一样的情况也是如此。
温疫患者舌头两端有白苔，中央苔已脱落的，以及舌面润滑如朱砂色的，这是邪热陷入少阴经的表现。可以直接给予生地黄，如果使用附子，则要加倍甘草。
温疫热势将要解除时，小便频数的，说明热邪从小便排出。又有热邪移于膀胱而频繁排尿的，如果是热势将解的情况，尿液颜色会逐渐变清。
温疫患者小血（此处疑为“小儿”或特定指代，结合语境推测为体质虚弱者，暂译作“气血虚弱者”）疲劳严重的，宜用参附养荣汤。
一位老人患直中温疫（病邪直中脏腑经络），头痛如刀割，烦躁，片刻不能躺卧，手脚微冷，脉象沉而数疾，给予冷香饮子三帖，头痛减半。继续服用前方，四五天后完全痊愈。
直中温疫头痛如裂的，是肾厥之邪直逼太阳经，所以项背也僵硬。一名男子患此证无发热，头痛如裂，一位老医生认为是阳证，给予大承气汤无效，又给予柴胡清燥汤，最终病情恶化死亡，这难道不令人悲痛吗？（按：台洲潜心研究吴又可的学说，对于达原饮等逐邪药剂，没有不尝试的。而对于阴疫的治疗方法，也发掘了吴又可未曾言说的秘密，可以说是吴又可的忠实继承者。）
膈噎（吞咽困难），由蓄血、痰饮、脾肾虚三种原因引起。因痰引起的，饮食专门哽噎在咽喉，可用附子理中汤、旋复代赭石汤、二陈汤类加上松寄生使用，并且艾灸身柱穴为佳。因蓄血引起的，饮食专门哽噎在胸中，且以右肋骨下有肿块为标志，用温脾汤送服乌神散，或者两方交替服用也可以。因脾肾虚弱引起的，饮食下到胸中，必定感觉磨痛，或者吃一口就吐出几口白沫，先灸气海穴。接着服用松寄生油，又适宜服用炙猪肉煮汁，如果能吃到猪肉更好，此证大多属于难治。妇女的膈证多属于蓄血，也不可不知道。
鼓胀（腹部胀大如鼓）从心下逐渐波及到大腹的，属实证，宜用生姜泻心汤、大半夏汤。从中焦膨胀起来的，宜用温胃汤类。从下焦胀起起来的，宜用壮原汤加木鳖子。此病用手敲击腹部像敲鼓一样声音响亮的，属虚证，属于难治。这就是虚实辨别的方法。血蛊（瘀血积聚形成的肿块），是从少腹胀起，先给予生姜泻心汤，肿块会慢慢消退，然而长期服用才有效。大概因为有血块必然停聚水液凝结，肿块更加变大，所以先利水然后治疗血分，效果就会迅速，或者辅以鳖甲丸也是一种策略。
香港脚（脚气病）这一证候，以槟榔为关键药物，大体宜用槟苏散加木瓜。冲心的（脚气上冲心脏），用童便送服槟榔末，或者紫雪五分，用童便灌下。此证大多属于难治。
热毒香港脚（热性脚气），表现为或有腹热，或病人自感烦热，或艾灸时不耐受热，作为其征象。凡是艾灸时不耐受热的，多为冲心的征兆。如果脉象数的，更加危险，不可忽视。如果脉象缓的，没有冲心的祸患。干香港脚（干脚气，无明显水肿）证艾灸时不太痛的，无害，即使脉数也可以艾灸。
每年夏秋之际，患香港脚的，宜用肾气丸料风引汤（恐怕是指《外台秘要》中的唐风引汤，而非《金匮要略》的方子）之类。人在寒冷时预先服用肾气丸料，则到第二年不再发作。
香港脚麻痹波及到口唇的，说明毒性深重。长年患此病的，自然不用说。
风湿香港脚，以疼痛作为辨别依据。疼痛的，必定不会冲心。如果将要冲心的，宜用唐代侍中的一方。但疼痛轻微的，宜用六物附子汤。
云州侯（松江城主）患香港脚肿满，侍医给予鲤鱼汤，虽然小便颇通利，但其痛难以忍受。于是请我诊治，诊断为风毒香港脚，服用杜仲汤后疼痛顿时减轻，但小便日渐短少，颜色逐渐赤浊。众人商议仍连续进服前方，病情于是痊愈。
凡是用鲤鱼汤治疗水肿的，以腹部大满为主症，如果不腹部胀满则无效，小林大陵（京师医师）用鲤鱼汤合苏子降气汤也有效。（鲤鱼治水病颇为有效。然而脾胃不和，大便滑泄呕吐恶心的，不可食用。按：范汪方有醋煮法，那么调和醋食用应当更好。）
凡治疗水肿用导水茯苓汤，以心下悸动为主症。如果心下专门有水气的，宜用实脾饮，其他如木防己汤、六物附子汤类，可根据证候选用。
水肿证有小便虽然不多通利，但肿气减弱的，大概是因为水聚集的地方气也聚集。气一散，水也就减少。如果内陷的，其气不振奋，所以水不能流动而陷入体内。想要振奋其气的，宜用真武汤、壮原汤类。其人阴茎阴囊肿胀的，也是虚肿，宜用肾气丸。
妊娠水肿随胎气增长而加重的，是胎压水道所致，分娩后则愈。
子痫（妊娠癫痫），给予芍药甘草汤加干姜，辅以童便可也。大概产前子痫与产后痉病无异，所以又适宜用甘草干姜汤。《妇人良方》中的交加散，也治疗柔痉。产后痉病给予豆淋酒，是因为酒气能舒缓筋脉。这些方法不拘泥于产后，也能治疗杂病中的痉病。
痛风以发表为先，务必宜用越婢加术附子汤，最后给予下剂为佳，宜用神祐丸。此证如果不泄下水毒，就没有全效。（痛风热势严重的，给予禹功散无效，不如神祐丸快捷。）
呕吐证给予各种止呕药无效的，单用人参一味，五分浓煎。（用水二合煮取八勺。）去渣，加入少许伏龙肝末，取其澄清汁液服用。
吐唾不止，用安蛔药无效的，属于《素问》所说的肾液不足，宜用肾气丸。又有属于胃上寒饮的，仲景说：“喜欢吐唾沫久久不能好的，理中丸主治。”
胸痛证有痰饮，有蓄血。痰痛多在左侧，血痛多在右侧。属于痰的，选用清湿化痰汤、枳实薤白桂枝汤、控涎丹类。属于蓄血的，宜给予大柴胡汤、龙胆汤、乌神散等。如果妄投破血剂则会吐血，不可不知道。
真心痛（剧烈的心前区疼痛），饮用麻油为佳。凡是病属于心脏的多属难治。
霍乱多系于胃中停滞，所以在盛暑时节减少饮食就不会有此祸患。小儿中暑霍乱，尤其从饮食引发。馒头类不可食，哺乳的患儿患病较少，其原因从饮食可知。热势严重危急的，宜给予竹叶石膏汤、白虎汤。干霍乱（欲吐不得吐，欲泻不得泻），宜用大承气汤，不可妄用瓜蒂散，调理当用附子理中汤加桂枝、补中益气汤加附子类。
疟疾用达原饮加柴胡，其他九味清脾饮类，配合草果的最为可取。阴疟别无他法，方用达原饮类，等到病发于白天宜截断治疗。
左乳上痛且咳嗽的，是肺痈，初起时宜用四味薏苡仁汤、甘草干姜汤类。其人无故脐中腐烂出水的，属于脾胃湿热，给予平胃散加大黄，用赤乌散或奇良末贴敷脐中为佳。
眩晕有两种途径：因水饮昏倒的，宜用苓桂术甘汤、奔豚汤加茯苓类，大概奔豚汤加茯苓主降下，再加附子推下的力量反而更优；因气虚眩冒的，宜用补中益气汤加附子。
心下有留饮痞硬的，生姜泻心汤主治。不痞硬的，宜用茯苓饮、五苓散类。如果留饮腹中有动气，或肾虚其气上冲的，宜用桂枝、龙骨、甘草、牡蛎加茯苓汤。癫痫患者，也使用此方。另有口诀补充。
血淋（尿血伴疼痛），宜用龙胆泻肝汤、八正散类。脓淋宜用萆薢分清饮。石淋宜用透泉散，又以琥珀油涂抹导管插入尿道中，则结石坠落排出。冷淋者宜用生附散，小便完后恶寒的，此方最效，鸡卵制芎黄散，也治疗此证。
大便闭塞用鸡卵制芎黄散有奇效。其方是将鸡蛋去掉蛋白只留蛋黄，将芎黄散混合其中炼制，外包湿纸埋于热灰中，以灰冷为度取出，去壳研末，白开水送下。
其人当右肋下有块的，必定吐血。妇人月经不通而吐血的，属于逆经，其血必黑，宜用大柴胡汤、三黄泻心汤类。从肝脏发出的属于蓄血，其血也是黑色，并用前方。从肺部发出的则是鲜血，其血虽一滴也难治，先给予加味百合地黄汤、犀角地黄汤类为宜。酒客吐血，属于胃中蓄血，宜用三黄泻心汤。如果不止血，属于脾血，宜用理中汤。大概下血久了则脾衰失去统摄血液的职责，自然会停止。独步散能治疗吐血下血，衄血（鼻出血）属于鲜血的无效。下血者，宜食海鱼，不可食河鱼。（按：独步散，干柿一味研为霜服用。）
痢疾初起，以发表为紧要。如果将要发展为噤口痢（痢疾重症，不能进食）的，早可大下之，宜用大柴胡加芒硝汤。禁口药汁难以下咽的，咽下生萝卜汁，则能喝下。冷痢者，多属于泻心汤证，补中加大黄汤证，而附子所治疗的，也往往有之。
咳嗽属于阴证的难治。横卧则发咳，仰卧则不咳的，是水饮所致，宜用神祐丸。子嗽（妊娠咳嗽），因胎气生长，水停心下而为咳，宜用当归芍药散。
泄泻无异证的，宜用胃苓汤、补中汤类，又有养胃汤、藿香正气散、真武汤所适宜。如果吃了就上厕所的，属于脾虚。轻者，宜用补中汤。重者宜用补中益气汤。久泻者，可调理中焦，宜用附子理中汤加赤石脂，或阿芙蓉丸。泄泻证多因不能泌别水谷，所以宜分利水与糟粕。论说：“下利不止，当利其小便。”利小便宜用春泽汤加附子。属于中焦的，宜用补中汤，或生姜泻心汤。泄泻痊愈后，脉迟细而弱，到半夜或黎明时腹泻的，这是命门真阳不足，宜用七成汤，或参苓白术散主治。又有属于实证的，宜用大黄丸类。
嘈杂（胃中不适，似饥非饥，似痛非痛），是水气挟火，宜用三黄泻心汤、生姜泻心汤，但心下不痞的无效。（按：心下不痞而嘈杂的，宜用旋复花汤，又吴茱萸一味煎服也可。《古今医统》说：嘈杂这种证候，忽然腹中如火发，腔内空空若无一物，似辣非辣，似饥非饥，似痛不痛，而有懊恼不自宁的状态，得食暂时停止的就是。可以说把嘈证说尽了。）
黄胖（面色萎黄浮肿），有人以为是感染粪土气，也不是没有道理，为什么呢？此病中等以上阶层的人患的绝无，中等以下阶层的人往往患的，宜用皂矾丸。又有男子脱血后，或女子血少出现此状的，宜用四味补血汤，不是皂矾所能治疗的。（按：因食粪发黄者，《本草图经》秦艽条引用《崔元亮集验方》说：夜间误食鼠粪也会发黄。识病捷法说：老鼠盗食五谷遗粪在内，人不拣择误食，则生黄疸是也。）
风毒肿多见于壮年人，老年人很少。两脚虽然红肿但不能自行溃破，先可发散，宜用一剂散，后可攻下，宜用禹功散。治疗方法大体同于痛风。
病患者呼吸乍失调度，时而恢复的，不出五六日死。经说：呼气出于肺，吸气入于肝肾。其失调度的，呼气不能归肾，上越于肝。
心中时常烦躁，嘴唇红，发作有时，时常呕吐恶心，闻到食物气味颧骨红的，属于蛔虫，理中安蛔汤加甘草、附子。
反胃（食入即吐）断绝谷物食物，只饮白米饮与理中汤、大半温脾诸汤为佳。又有因水气引发此证的，必定心下悸动，宜用生姜泻心汤。（按：此证也减少饮水。我听说台洲有减饮论未见，大概减饮事详见东坡集，与孙运司书，可参考。）
穿踝疽不辨别足内外肿痛的，宜用杜仲汤加蝮蛇。病重的，辅以禹功散。
解颅（囟门迟闭，头缝开解）逐渐长大的，是头骨开压额前肉，应当施绷带。初起的，宜用六味丸加鹿茸，此方能治疗解颅五迟二证。大概本于薛己的说法。
蓐劳（产后虚损），初起时，宜用当归建中汤。（按：《千金方》内补建中汤主治可考。）
妇人肩背强急的，以坐药导带下则愈。如果心下痞的，宜用生姜泻心。（按：妇人肩背强急的，多系癖积所为，延年半夏汤最效。）
津液虚燥不大便而窘迫的，是下焦气脱，当升提其气，宜用补中益气汤。如果不窘迫的，宜用六成汤。大概以补中益气汤无腹力，六成汤有腹力为辨别。如果六成汤证而无力者，宜加鹿茸。
竹叶除胸中烦热，竹茹主豁痰，所治各异。胸中烦闷的，栀子所主治。从心下及胸中的，黄连所主治，也各有专长。
小儿夜啼，宜用安虫散。（按：安虫散治虫动心痛，又小儿夜啼神效。胡粉炒黄，槟榔、川楝子去核，鹤虱各三钱，白粉一钱五分，铁器内火熬，砧杵，共五味为末。每服一字，大的半钱，温米饮服。）
脑漏（鼻渊），脑中酿热以出瘀涕，古人以为脑移肺热是错误的。其初流黄汁，后变白浊，严重的溢于咽，且鼻中点滴连绵不止，其状虽似清涕，以纸拭之，干则发黄色，宜用脑漏一方，又类似此证而鼻塞的，是息肉。其初生鼻中，渐逼鼻口，其色初白，次变桃花色，又一等严重的，色如李实熟，此证虽相似，以鼻塞与不塞为辨别。鼻息治方见于方铃，又以瓜蒂末贴纸张捻条插入息肉上，则黄汁出而愈。
丹后宫津侯（松平伯蓍守）平素无其他病，鼻常流清涕不止，我认为这是肺寒所致，以大枣煎汁服皂荚丸，灸大椎第一间、身柱穴，七日而愈。
症疮（梅毒早期症状？）属于表证，宜发表，杨梅一剂散加反鼻主治。其初给予遗粮五宝丹等，非常错误。
疳疮世贴膏也不是好策略，只是傅奇良末佳。（按：杨梅一剂散方见于外科大成。）
疳疮发于阴茎表面的，为太阳经证，杨梅一剂散主治。发于横面的为少阳经证，是恶候。
茎头上直筋不破溃为要，如果破溃则其毒忽上于咽喉及鼻梁，烛泪疳也宜一剂散，兼用结毒紫金丹。
妇人妊娠十指麻木的，系血热所致，此证夏月尤多。轻的不及药，分娩则愈，重的给予柴苓四物汤。
妇人多属于带下毒，不可不仔细辨别。
梅核气以半夏厚朴汤为法。然而厚朴无真品，姑且给予生姜泻心汤也可。
诊察病患宜观察眼中之了不了，与音声之爽不爽，这两者清亮则不死。
Between the Kaei and Kansei eras, there were two physicians who gained fame in Kyoto: one was Wada Tōkaku, and the other was Ogino Taishū. Taishū was from Kaga, studied medicine under Okamura Ryochiku of Echizen, and later traveled to Sakai (Sakiyo), where he learned Western medicine (Rangaku) from a certain interpreter. Upon completing his studies, he opened a clinic in the capital, becoming most renowned for treating epidemic febrile diseases (On'eki). At that time, infants from all over the country suffering from chronic stubborn diseases either went to the door of Mr. Wada or gathered at the hall of Mr. Ogino. Thus, the therapeutic skills of these two men surpassed their contemporaries, achieving unique refinement. All their experiences stemmed from practice, serving as assistance for clinical prescription; is this not commendable? I compiled this medical dialogue based on the "Ogino Family Secret Formulas" recorded by their students. As for their insights, there are several books written by Taishū, which are suitable for direct reading.
In epidemic febrile disease (On'eki), if there is urinary retention accompanied by irritability or mental confusion, it is incurable. If urinary retention is due to Yin syndrome (cold pattern), with condensation in the lower abdomen and no pain upon pressure, or if there is frequent, urgent, and dribbling urination, administer Modified Zhenwu Decoction (Zhenwu Tang), followed by the concurrent use of Cinnabar Liuyi Powder (Chensha Liuyi San). If urination returns to normal rhythm, the disease can be treated. (Note: The discussion on adding Zhenwu Tang can be found in *Wenyi Yu Bian*.)
In epidemic febrile disease (On'eki) Yin syndrome, even if there is no bowel movement for more than ten days, if the stool is not dry and hard, do not recklessly administer Rhubarb (Dahuang).
If the center of the tongue is dry in epidemic febrile disease (On'eki), it indicates heat in the chest. If the root of the tongue is dry, it indicates exhaustion of fluids in the Lower Jiao. If there is a white coating on the tongue like paste, it is due to deficiency fire flaming upward from Shaoyin. The same applies if the white coating resembles thrush.
If there is a white coating on both ends of the tongue but the central coating has peeled off in epidemic febrile disease (On'eki), or if the tongue surface is moist and red like cinnabar, this indicates pathogenic heat sinking into the Shaoyin meridian. Administer Rehmannia Root (Sheng Dihuang) directly. If Aconite Root (Fuzi) is used, double the amount of Licorice Root (Gancao).
When the heat of epidemic febrile disease (On'eki) is about to resolve, frequent urination indicates that heat is exiting through the urine. There is also a case where heat shifts to the Bladder causing frequent voiding; if the heat is resolving, the urine color will gradually clear.
For patients with epidemic febrile disease (On'eki) who are severely fatigued and deficient in Qi and Blood, Shenfu Yangrong Decoction (Shenfu Yangrong Tang) is appropriate.
For amnesia following an epidemic, Anshen Yizhi Decoction (Anshen Yizhi Tang) is appropriate.
An elderly man suffered from direct invasion by epidemic febrile disease (Zhizhong Wenyi), with headache like a knife cut, irritability, inability to lie down for even a moment, slightly cold hands and feet, and a deep, rapid, and hurried pulse. He was given Cold Fragrance Drink (Lengxiang Yinzi) for three doses, reducing the headache by half. Continuing the previous formula, he fully recovered after four or five days.
Headache like splitting in direct invasion by epidemic febrile disease (Zhizhong Wenyi) occurs because the pathogen of Kidney Jue directly attacks the Taiyang meridian, causing stiffness in the neck and back. A man suffered from this condition without fever, with headache like splitting. An old physician diagnosed it as a Yang syndrome and administered Da Chengqi Decoction (Da Chengqi Tang) without effect. Subsequently, Chaihu Qingzao Decoction (Chaihu Qingzao Tang) was given, leading to his death. Is this not tragic? (Note: Taishū deeply studied Wu Youke's theories and tested various formulas for expelling pathogens like Dayuan Yin. His methods for treating Yin epidemics also revealed secrets not mentioned by Wu, making him a loyal follower of Wu's school.)
Ge Ye (dysphagia/choking sensation) is caused by blood stasis, phlegm-fluid retention, or Spleen-Kidney deficiency. If caused by phlegm, food specifically chokes in the throat; use Fuzi Lizhong Decoction (Fuzi Lizhong Tang), Xuanfudaihzeshi Decoction (Xuanfu Daizheshi Tang), Erchen Decoction (Erchen Tang) added with Songjisheng (Viscum album), and moxibustion on Shenzhu (GV12) is excellent. If caused by blood stasis, food specifically chokes in the chest, marked by a mass under the right ribs; administer Wentai Decoction (Wentai Tang) to wash down Wushen San (Wushen San), or alternate the two formulas. If caused by Spleen-Kidney deficiency, food descending into the chest causes grinding pain, or eating one bite results in spitting out white foam; first moxa Qihai (CV6). Then administer Songjisheng oil, and it is advisable to take boiled juice of roasted pork; consuming the meat itself is even better. This condition is mostly incurable. Women's Ge Ye often belongs to blood stasis, which must be known.
Gu Zhang (tympanites/bloating) spreading gradually from the epigastrium to the great abdomen is excess; use Shengjiang Xiexin Decoction (Shengjiang Xiexin Tang) or Banxia Houpo Decoction (Banxia Houpo Tang - *Note: Text says Banbanxia Tang, likely Banxia Houpo or similar*). Bloating originating from the Middle Jiao should use Wenyang Decoction (Wenwei Tang) types. Bloating rising from the Lower Jiao should use Zhuangyuan Decoction (Zhuangyuan Tang) added with Mubiezi (Momordica seed). If tapping the abdomen produces a drum-like sound, it is deficiency and incurable. This distinguishes excess from deficiency. Xue Gu (blood gu/abdominal mass) rises from the lower abdomen; first administer Shengjiang Xiexin Decoction (Shengjiang Xiexin Tang), then the mass slowly dissipates, but long-term administration is required. Generally, blood stasis stops water accumulation, causing the mass to enlarge; thus, draining water first and then treating the blood level yields quick results. Alternatively, Biejia Wan (Biejia Pill) can be used as an adjunct.
Hongxiangjiao (Beriberi/Foot Qi) uses Areca Seed (Binglang) as a key herb; generally, Bing Su San (Bingsu San) added with Mugua (Chaenomeles) is suitable. For "rushing to the heart" (Hongxiangjiao Chongxin), administer Binglang powder with child's urine, or Zixue (Purple Snow) 5 fen,灌ed down with child's urine. This condition is mostly incurable.
Hot toxin Hongxiangjiao is indicated by abdominal heat, patient's self-sensation of irritability and heat, or intolerance to heat during moxibustion. Intolerance to heat during moxibustion often signals impending "rushing to the heart." If the pulse is rapid, it is critical and cannot be ignored. If the pulse is slow, there is no risk of rushing to the heart. In dry Hongxiangjiao, if moxibustion is not very painful, it is harmless; even with a rapid pulse, moxibustion is permissible.
During summer and autumn, those suffering from Hongxiangjiao should use Shengqi Wan material Fengyin Tang (likely referring to *Tang Fengyin Tang* from *Waitai Miyao*, not the *Jinkui Yaolue* formula). Taking Shengqi Wan material beforehand during cold periods prevents recurrence the following year.
If Hongxiangjiao numbness spreads to the lips, the toxicity is deep. Those suffering for years need not mention it.
For Hongxiangjiao with irritability, Biejia Wan (Biejia Pill) is appropriate.
For wind-damp Hongxiangjiao, pain is the distinguishing factor. Painful cases will not rush to the heart. If impending rush to the heart, use a formula from a Tang Dynasty Attending Physician. For mild pain, Liuwu Fuzi Decoction (Liuwu Fuzi Tang) is suitable.
The Prince of Yunzhou (Lord of Matsuyama Castle) suffered from Hongxiangjiao swelling and fullness. His attending physician gave him Carp Soup (Likou Tang); although urination improved significantly, the pain was unbearable. I diagnosed it as Wind-Toxin Hongxiangjiao. After taking Duzhong Decoction (Duzhong Tang), the pain decreased instantly, but urination became scantier daily, turning reddish and turbid. The众 (colleagues) advised continuing the previous formula, and the disease eventually healed.
Carp Soup (Likou Tang) for edema is indicated primarily when there is abdominal fullness; it is ineffective without abdominal fullness. Kobayashi Oryu (a physician in Kyoto) found Likou Tang combined with Suzi Jiangqi Decoction (Suzi Jiangqi Tang) also effective. (Carp soup is quite effective for water diseases. However, it should not be eaten by those with Spleen-Stomach disharmony, loose stools, vomiting, or nausea. Note: Fan Wang's formula includes a vinegar-boiling method; mixing with vinegar for consumption would be better.)
For treating edema using Dao Shui Fuling Tang (Dao Shui Fuling Decoction), palpitation below the heart is the main indication. If there is specifically fluid retention below the heart, Shipin Yin (Shipin Yin) is suitable. Other options include Mufangji Tang (Mufangji Decoction) or Liuwu Fuzi Tang (Liuwu Fuzi Decoction), selected according to the syndrome.
In edema cases, if urination is not very frequent but the swelling qi decreases, it is because where water gathers, Qi also gathers. When Qi disperses, water also diminishes. If sinking inward, Qi fails to rise, so water cannot flow and sinks internally. To raise Qi, use Zhenwu Tang (Zhenwu Decoction) or Zhuangyuan Tang (Zhuangyuan Decoction). Swelling of the penis and scrotum is also deficiency edema; use Shengqi Wan (Shengqi Pill).
Edema during pregnancy that worsens as fetal Qi grows is due to the fetus pressing on the water passages; it resolves after delivery.
Zi Xian (eclampsia/pregnancy convulsion) is treated with Shaoyao Gancao Decoction (Shaoyao Gancao Tang) added with Ganjiang (Dried Ginger), and child's urine as an adjunct. Prenatal Zi Xian is no different from postpartum Jing (spasm); thus, Gancao Ganjiang Tang (Gancao Ganjiang Decoction) is also suitable. Jiaojia San (Jiaojia Powder) from *Funren Liangfang* also treats Rou Jing (soft spasm). Postpartum Jing treated with Doulin Jiu (Bean-soaked Wine) works because wine Qi relaxes the sinews. These methods are not limited to postpartum conditions but can treat spasm in miscellaneous diseases.
For gout (Tongfeng), releasing the exterior is the priority; Yuebi Jiashu Fuzi Decoction (Yuebi Jiashu Fuzi Tang) is essential. Finally, administering a purgative is best, such as Shenyou Wan (Shenyou Pill). Without draining water toxins, there is no complete cure. (For severe heat gout, Yugong San is ineffective; Shenyou Wan is faster.)
For vomiting unresponsive to various anti-emetics, use Ginseng (Renshen) alone, 5 fen, decocted strongly. (Boil 2 li of water to obtain 8 shao.) Strain, add a little Fulonggan (Dragon's House Earth) powder, and take the clarified liquid.
For incessant salivation unresponsive to anthelmintics, it belongs to Kidney Fluid deficiency described in *Suwen*; use Shengqi Wan (Shengqi Pill). Another cause is cold fluid in the Stomach upper jiao; Zhongjing said, "Those who frequently spit saliva for a long time are treated with Lizhong Wan (Lizhong Pill)."
Chest pain syndromes involve phlegm-fluid or blood stasis. Phlegm pain is mostly on the left; blood pain is mostly on the right. For phlegm, select Qing Shi Hua Tan Tang (Qingshi Huatan Decoction), Zhishi Xiebai Guizhi Tang (Zhishi Xiebai Guizhi Decoction), or Kongyan Dan (Kongyan Pill). For blood stasis, use Dachaihu Tang (Dachaihu Decoction), Longdan Tang (Longdan Decoction), or Wushen San (Wushen San). Recklessly administering blood-breaking agents causes hematemesis; this must be known.
For Zhen Xin Tong (true heart pain), drinking sesame oil is best. Diseases involving the Heart are mostly incurable.
Huo Luan (cholera/vomiting and diarrhea) is mostly due to stagnation in the Stomach; thus, reducing diet during midsummer prevents it. Pediatric summer-heat Huo Luan especially arises from diet. Steamed buns should not be eaten; breastfed infants suffer less, indicating the dietary cause. For severe and critical heat, use Zhuye Shigao Tang (Zhuye Shigao Decoction) or Baihu Tang (Baihu Decoction). For Gan Huo Luan (dry cholera), use Dachengqi Tang (Dachengqi Decoction); do not recklessly use Guiti San (Guiti Powder). Regulation should use Fuzi Lizhong Tang added with Guizhi (Cinnamon Twig) or Buzhong Yiqi Tang added with Fuzi.
For malaria, use Dayuan Yin (Dayuan Decoction) added with Chaihu (Bupleurum); other formulas like Jiwei Qingpi Yin (Jiwei Qingpi Yin) combined with Caoguo (Black Cardamom) are best. For Yin malaria, there is no other treatment; use Dayuan Yin types. When the attack occurs during the day, it should be intercepted.
Pain above the left breast with cough indicates Fei Yong (lung abscess); early stage uses Siwei Yiyiren Tang (Siwei Yiyiren Decoction) or Gancao Ganjiang Tang (Gancao Ganjiang Decoction). Spontaneous ulceration and oozing from the umbilicus indicates Spleen-Stomach damp-heat; use Pingwei San (Pingwei Powder) added with Dahuang (Rhubarb), applying Chiwu San (Chiwu San) or Qiliang Mo (Qiliang Powder) to the umbilicus.
Vertigo has two pathways: fainting due to fluid retention uses Linggui Zhugan Tang (Linggui Zhugan Decoction) or Benqi Tang (Benqi Decoction) added with Fuling (Poria); Benqi Tang added with Fuling directs downward, and adding Fuzi enhances this downward force. Vertigo due to Qi deficiency uses Buzhong Yiqi Tang (Buzhong Yiqi Decoction) added with Fuzi.
Epigastric fullness and hardness due to retained fluid is treated by Shengjiang Xiexin Tang (Shengjiang Xiexin Decoction). If not full/hard, use Fuling Yin (Fuling Drink) or Wuling San (Wuling Powder). If retained fluid causes moving Qi in the abdomen, or Kidney deficiency causes Qi rushing upward, use Guizhi, Longgu, Gancao, Muli added with Fuling Tang. Epilepsy also uses this formula. There is an additional secret formula.
Blood Lin (painful urinary dysfunction with blood) uses Longdan Xiegan Tang (Longdan Xiegan Decoction) or Bazheng San (Bazheng Powder). Purulent Lin uses Bibi Tang (Bibi Decoction). Stone Lin uses Touquan San (Touquan Powder); apply Hupo You (Amber Oil) to a catheter inserted into the urethra to facilitate stone expulsion. Cold Lin uses Shengfu San (Shengfu Powder); for chills after urination, this formula is most effective. Jidan Zhi Xionghuang San (Egg-Yolk Processed Xionghuang Powder) also treats this condition.
Constipation is effectively treated by Jidan Zhi Xionghuang San. The formula: remove egg white, keep yolk, mix with Xionghuang San, refine, wrap in wet paper, bury in hot ash until cool, remove shell, grind to powder, and take with warm water.
A mass under the right ribcage indicates impending hematemesis. For women with irregular menstruation and hematemesis, it is Ni Jing (retrograde menstruation); the blood is black, treated with Dachaihu Tang (Dachaihu Decoction) or Sanhuang Xiexin Tang (Sanhuang Xiexin Decoction). Bleeding from the Liver belongs to blood stasis (black blood), treated with the previous formulas. Bleeding from the Lung is fresh blood; even a drop is difficult to treat; first use Jiawei Baihe Dihuang Tang (Modified Baihe Dihuang Decoction) or Xijiao Dihuang Tang (Xijiao Dihuang Decoction). Hematemesis in drinkers belongs to Stomach blood stasis; use Sanhuang Xiexin Tang. If bleeding does not stop, it belongs to Spleen blood; use Lizhong Tang. Prolonged lower bleeding leads to Spleen failure to control blood, stopping naturally. Dubu San (Dubu Powder) treats hematemesis and lower bleeding but is ineffective for fresh blood epistaxis. For lower bleeding, eat sea fish, not river fish. (Note: Dubu San consists solely of dried persimmon powder.)
Early dysentery prioritizes releasing the exterior. If approaching Jin Kou Li (anorexic dysentery), early purgation is needed; use Dachaihu Jia Mangxiao Tang (Dachaihu with Mangxiao Decoction). If oral medication is difficult to swallow, instill raw radish juice to enable ingestion. Cold dysentery often belongs to Xiexin Tang patterns, Buzhong Jia Dahuang Tang patterns, or treatments with Fuzi.
Yin-type cough is difficult to treat. Coughing when lying horizontally but not when supine indicates fluid retention; use Shenyou Wan. Zi Sou (pregnancy cough) is due to fetal Qi growth causing fluid retention below the heart; use Danggui Shaoyao San (Danggui Shaoyao Powder).
Diarrhea without specific differentiation uses Weiling Tang (Weiling Decoction) or Buzhong Tang (Buzhong Decoction); others include Yangwei Tang (Yangwei Decoction), Huoxiang Zhengqi San (Huoxiang Zhengqi Powder), or Zhenwu Tang. Immediate defecation after eating indicates Spleen deficiency. Mild cases use Buzhong Tang; severe cases use Buzhong Yiqi Tang. Chronic diarrhea requires regulating the Middle Jiao; use Fuzi Lizhong Tang added with Chishizhi (Red Halloysite) or Afuyuan Wan (Afuyuan Pill). Diarrhea often results from failure to separate clear and turbid; thus, promoting urination to separate water and waste is appropriate. The text states: "For persistent diarrhea, promote urination." Promoting urination uses Chunze Tang added with Fuzi. Middle Jiao cases use Buzhong Tang or Shengjiang Xiexin Tang. After diarrhea resolves, if the pulse is slow, fine, and weak, with diarrhea at midnight or dawn, it indicates Mingmen True Yang deficiency; use Chengqi Tang or Shenling Baizhu San. Excess cases use Dahuang Wan (Dahuang Pill).
Zaot (epigastric discomfort) is Water Qi carrying Fire; use Sanhuang Xiexin Tang or Shengjiang Xiexin Tang, but ineffective if the epigastrium is not full/stuffy. (Note: For zaot without epigastric fullness, use Xuanfuhua Tang or decocted Wuzhuyu. *Gujin Yitong* describes zaot as sudden burning in the abdomen, emptiness, ambiguous sensations of hunger/pain/spiciness, with relief after eating.)
Huang Pang (yellow puffiness) is sometimes attributed to inhaling fecal dust, which is not unreasonable, as it affects lower classes more than higher ones; use Zaofan Wan (Alum Pill). For men after blood loss or women with thin blood presenting this way, use Siwei Buchu Tang (Four-Ingredient Blood-Nourishing Decoction), not Alum. (Note: Yellowing from ingesting feces is mentioned in *Bencao Tujing* citing Cui Yuanliang: accidental ingestion of rat feces causes jaundice.)
Fengdu Zhong (wind-toxin swelling) is common in young adults, rare in the elderly. Red, swollen legs that do not spontaneously ulcerate should first be released externally using Yiji San (Yiji Powder), followed by purgation with Yugong San (Yugong Powder). Treatment is similar to gout.
Patients with irregular breathing that intermittently recovers will die within five to six days. The Classics state: Exhalation comes from the Lung; inhalation enters the Liver and Kidneys. Irregular breathing means exhalation fails to return to the Kidneys and floats up to the Liver.
Intermittent irritability, red lips, periodic发作, occasional nausea, and malar flush upon smelling food indicate roundworms; treat with Lizhong Anhui Tang (Lizhong Anthelmintic Decoction) added with Gancao and Fuzi.
Fan Wei (regurgitation/vomiting undigested food) requires abstaining from solid food; only rice water and Lizhong Tang, Banban Wenpi Tang are suitable. If caused by Water Qi, accompanied by epigastric palpitation, use Shengjiang Xiexin Tang. (Note: This condition also involves reducing fluid intake. Taishū had a theory on reducing fluids, unseen here, detailed in Dongpo's writings.)
Chuanhu Ju (ankle carbuncle) without distinguishing medial/lateral swelling/pain uses Duzhong Tang added with Fushe (Viper). Severe cases use Yugong San as an adjunct.
Jielu (craniopharyngeal separation/open fontanelle) growing gradually requires bandaging. Early stages use Liuwei Wan (Six-Ingredient Pill) added with Lurong (Deer Antler); this formula treats Jielu and the five delays/two deficiencies. Based on Xue Ji's theory.
Rulao (postpartum consumptive disease) early stage uses Danggui Jianzhong Tang (Danggui Jianzhong Decoction). (Note: *Qianjin Fang*'s Neibu Jianzhong Tang indications are verifiable.)
Women with shoulder/back stiffness improve with vaginal suppositories/douches. If epigastric fullness exists, use Shengjiang Xiexin Tang. (Note: Shoulder/back stiffness in women is often due to Pi Ji masses; Yan Nian Banxia Tang is most effective.)
Acute wheezing is effectively treated by Banxia powder mixed with Shengjiang juice and Qu (yeast).
Deficiency of fluids causing constipation with urgency indicates Lower Jiao Qi collapse; raise Qi using Buzhong Yiqi Tang. Without urgency, use Liucheng Tang. The distinction is that Buzhong Yiqi Tang lacks "abdominal strength," while Liucheng Tang possesses it. If Liucheng Tang pattern presents with weakness, add Lurong.
Zhuye clears chest irritability; Zhuru resolves phlegm; they have different indications. Chest stuffiness is treated by Zhizi; epigastric-to-chest issues are treated by Huanglian; each has its specialty.
Infant night crying uses Anchong San (Anthelmintic Powder). (Note: Anchong San treats heart pain from worms and infant night crying effectively. Calcined lead oxide, Areca nut, Chinaberry seed, Pyrethrum flower, and white powder are processed and taken with warm rice drink.)
Jiu Zabi (rhinophyma/alcohol nose) strictly prohibits alcohol. Prick with a three-edged needle to bleed occasionally; give Xinyi Qingfei Yin (Xinyi Lung-Clearing Decoction).
Naolou (brain drip/rhinorrhea) is heat brewing in the brain causing purulent discharge; the ancient belief of brain heat transferring to the lungs is erroneous. Initially yellow fluid, later white turbidity, severe cases overflow into the throat, continuous dripping. Though resembling clear mucus, drying on paper reveals yellow color. Use Naolou formula. Nasal polyps resemble this but present with congestion. Polyps start white, turn peach-blossom colored, or plum-red in severe cases. Differentiate by congestion. Nasal polyp treatment involves inserting a strip of paper with Guiti powder onto the polyp to drain yellow fluid.
Prince Tsuna of Dengu Palace had constant clear nasal discharge without other illnesses. I diagnosed Lung Cold, treated with Jiegao Wan (Soap Pod Pill) taken with date decoction, and moxa on Dazhui (GV14) and Shenzhu (GV12); cured in seven days.
Syphilis sores belong to exterior patterns; release the exterior. Meiyang Yiji San (Meiyang One-Dose Powder) added with Fanbi is primary. Using Yi Liang Wubao Dan initially is incorrect.
Chan Chuang (chancre) pastes are not ideal; applying Qiliang Mo is better. (Note: Meiyang Yiji San is found in *Waike Dacheng*.)
Chan Chuang on the penile surface is a Taiyang meridian pattern; Meiyang Yiji San is primary. On the lateral aspect is a Shaoyang meridian pattern, a malignant sign.
Preserving the straight tendon on the glans without ulceration is crucial; ulceration allows toxin to ascend to the throat and nose bridge. Zhulei Chan also uses Yiji San, combined with Jiedu Zijin Dan.
Numbness of ten fingers during pregnancy is due to Blood Heat, common in summer. Mild cases resolve after delivery without medicine; severe cases use Chai Ling Siwu Tang.
Women's leukorrhea is often due to toxic dampness; careful diagnosis is essential.
Ben Tun Qi (running piglet Qi) is deficiency; Zhi Yin (branch fluid retention) is excess. Similar symptoms, but vastly different treatments; precise diagnosis is necessary.
Excessive external water indicates Wei Qi decline; use Huangqi Tang (Astragalus Decoction).
Mei He Qi (plum-pit Qi) follows Banxia Houpo Tang principles. However, since authentic Houpo is scarce, Shengjiang Xiexin Tang may be used provisionally.
Duzhong Tang treats leg cramps on the right but not the left.
Diagnosing patients requires observing clarity/confusion in the eyes and crispness/clumsiness in the voice; if both are clear, death is avoided.