葛(鱼巷口) 疟痢交作,此由邪陷少阳阳明,失于提解所致,脉象弦数,治宜疏解。
细柴胡 香连丸 车前草 鲜苏叶 查楂 葛根 制川朴 青蒿子 赤苓 淡条芩
新会皮 炒银花 半夏曲
卓顺兄(长桥头,七月) 暑湿侵脾,下痢红积,更衣腹痛后重,乍寒乍热,脉弦滑数,宜清解阳明。
煨葛根 煨木香 青蒿子 木猪苓 炒条芩 枳壳 炒丹皮 青荷梗 炒川连 楂炭 银花或用白槿花
或用白头翁汤。
或用淡芩元明粉约三五分拌之。
叶左(五十岁,七月二十五日) 暑湿侵脾下痢,赤白相杂,昼夜无度,更衣腹痛后重,
脉小弦数,治宜泄木和肝。
生白术 东白芍 半夏曲 炒丹皮 青荷蒂 炒枳实 煨木香 楂炭 赤白苓 炒
条芩 新会皮 青蒿子 白槿花
幼群兄(七月) 吸烟之体,胃气与荣气并虚,夏秋暑湿蕴留阳明,太阴脾经失运化之
权,加以食滞壅遏。腑气转化败浊,下痢灰色,更衣里急后重,昼夜登圊数十次之多。古谓痢
积称滞下是也,前医谓其烟体,进药一味辛燥而气火之势益剧,是以里急更甚,今诊脉象左右三部弦数,兼见
舌苔光红根后黄腻,以脉参症,正虚邪实难治奚疑,拙拟宣气导滞利湿清热,一则附方可否,请高明酌政。
生米仁 广木香 紫浓朴 泽泻 焦锅巴(五钱,连蒂青荷叶包) 佩兰叶 炒枳壳 半夏
曲车前草 金斛 大腹绒 赤白苓 架楠香(二分,挫末再研极细分冲)
葛(鱼巷口)疟疾与痢疾交替发作,这是由于邪气陷入少阳经和阳明经,未能及时通过升提和解的方法治疗所致,脉象表现为弦而数,治疗应当采用疏风解表、透邪外出的方法。
细柴胡 香连丸 车前草 鲜苏叶 山楂 葛根 制厚朴 青蒿子 赤茯苓 淡黄芩
新会陈皮 炒金银花 半夏曲
卓顺兄(长桥头,七月)暑湿之邪侵犯脾脏,导致下痢伴有红色积滞,排便时腹痛且有肛门坠胀感,忽冷忽热,脉象弦滑而数,适宜清解阳明经的热邪。
煨葛根 煨木香 青蒿子 木猪苓 炒黄芩 枳壳 炒牡丹皮 青荷梗 炒黄连 山楂炭 金银花或用白槿花
或者使用白头翁汤。
或者用淡黄芩配元明粉约三五分拌服。
叶左(五十岁,七月二十五日)暑湿侵犯脾脏导致下痢,红白脓血混杂,昼夜无度,排便时腹痛且有肛门坠胀感,脉象小弦而数,治疗应当泄肝木之气以调和肝脏。
生白术 东白芍 半夏曲 炒牡丹皮 青荷蒂 炒枳实 煨木香 山楂炭 赤茯苓与白茯苓 炒黄芩 新会陈皮 青蒿子 白槿花
幼群兄(七月)长期吸烟之人,胃气与营气同时虚弱,夏秋季节暑湿蕴结于阳明经,太阴脾经失去运化水谷的职权,再加上食物停滞壅塞阻碍。腑气转化失败产生败浊之物,下痢呈灰色,排便时里急后重,昼夜上厕所多达数十次。古人称这种痢疾为“滞下”,之前的医生认为他是吸烟体质,进药一味辛燥,导致气火之势更加剧烈,因此里急后重症状更严重。如今诊察脉象左右三部均弦数,兼见舌苔光红,根部黄腻,以脉象参合症状,正气虚弱邪气实盛,难以治疗,毫无疑问。我拙拟宣通气机、导滞利湿、清热之法,一则附上方剂可否,请高明之士斟酌指正。
生薏苡仁 广木香 紫浓朴 泽泻 焦锅巴(五钱,用带蒂青荷叶包裹) 佩兰叶 炒枳壳 半夏曲 车前草 金斛 大腹绒 赤茯苓与白茯苓 架楠香(二分,捣碎研成极细粉末冲服)
Ge (Yuxiangkou) Malaria and dysentery occur alternately; this is caused by pathogenic factors sinking into the Shaoyang and Yangming meridians, failing to be resolved through lifting and harmonizing methods. The pulse is wiry and rapid; treatment should focus on dispersing and resolving.
Chai Hu (Bupleuri Radix), Xianglian Wan (Coptis and Aucklandia Pill), Che Qian Cao (Plantaginis Herba), Xin Su Ye (Perillae Folium), Zha Zha (Crataegi Fructus), Ge Gen (Puerariae Lobatae Radix), Zhi Chuan Po (Mangani Cortex Preparatus), Qing Hao Zi (Artemisiae Annuae Semen), Chi Ling (Poria cum Ligno Rubrum), Dan Tiao Qin (Scutellariae Radix).
Xin Hui Pi (Citri Reticulatae Pericarpium), Chao Yin Hua (Flos Lonicerae Japonicae Preparatus), Ban Xia Qu (Pinelliae Fermentatum).
Zhuo Shun (Changqiaotou, July) Summer-heat and dampness invade the Spleen, causing dysentery with red accumulation. Defecation involves abdominal pain and tenesmus. There are alternating chills and fever. The pulse is wiry, slippery, and rapid. Treatment should clear and resolve Yangming heat.
Wei Ge Gen (Prepared Puerariae Lobatae Radix), Wei Mu Xiang (Aucklandiae Radix Prepared), Qing Hao Zi (Artemisiae Annuae Semen), Zhu Ling (Polyporus), Chao Tiao Qin (Scutellariae Radix Prepared), Zhi Ke (Aurantii Fructus), Chao Dan Pi (Moutan Cortex Preparatus), Qing He Geng (Nelumbinis Petiolus), Chao Chuan Lian (Coptidis Rhizoma Preparatus), Zha Tan (Crataegi Fructus Carbonized), Yin Hua (Lonicerae Flos) or Bai Jin Hua (Hibisci Mutabilis Flos).
Alternatively, use Baitouweng Tang (Peonia Decoction).
Alternatively, mix Dan Qin (Scutellariae Radix) and Yuan Ming Fen (Natrii Sulfas) about three to five fen for administration.
Ye Zuo (50 years old, July 25th) Summer-heat and dampness invade the Spleen causing dysentery, with red and white pus and blood mixed together, occurring incessantly day and night. Defecation involves abdominal pain and tenesmus. The pulse is small, wiry, and rapid. Treatment should drain Liver Wood and harmonize the Liver.
Sheng Bai Zhu (Atractylodis Macrocephalae Rhizoma Raw), Dong Bai Shao (Paeoniae Radix Alba), Ban Xia Qu (Pinelliae Fermentatum), Chao Dan Pi (Moutan Cortex Preparatus), Qing He Di (Nelumbinis Nymphaeae Calyx), Chao Zhi Shi (Aurantii Fructus Immaturus Preparatus), Wei Mu Xiang (Aucklandiae Radix Prepared), Zha Tan (Crataegi Fructus Carbonized), Chi Bai Ling (Poria cum Ligno Rubrum et Alba), Chao Tiao Qin (Scutellariae Radix Preparatus), Xin Hui Pi (Citri Reticulatae Pericarpium), Qing Hao Zi (Artemisiae Annuae Semen), Bai Jin Hua (Hibisci Mutabilis Flos).
You Qun (July) A person habituated to smoking has deficiency of both Stomach Qi and Ying (Nutritive) Qi. In summer and autumn, summer-heat and dampness accumulate in the Yangming meridian, while the Taiyin Spleen meridian loses its authority over transportation and transformation. Additionally, food stagnation obstructs the flow. The Fu organs fail to transform properly, producing turbid waste, resulting in gray dysentery. Defecation involves urgency and tenesmus, occurring dozens of times day and night. Ancient texts refer to such dysentery as "Zhixia" (Stagnant Downward Flow). Previous physicians, noting his smoking constitution, administered pungent and drying herbs, which exacerbated the fire and qi pathogen, making tenesmus worse. Current diagnosis shows wiry and rapid pulses in all three positions of both left and right hands, accompanied by a glossy red tongue coating with yellowish greasy coating at the root. Correlating pulse and symptoms, there is deficiency of healthy Qi and excess of pathogenic factors, making it difficult to treat without doubt. I humbly propose a method to promote Qi circulation, guide out stagnation, drain dampness, and clear heat. Attached is the prescription for your esteemed review and correction.
Sheng Yi Yi Ren (Coicis Semen Raw), Guang Mu Xiang (Aucklandiae Radix), Zi Nong Po (Magnoliae Officinalis Cortex), Ze Xie (Alismatis Rhizoma), Jiao Gu Ba (Carbonized Rice Husk, 5 qian, wrapped in Qing He Ye with pedicle), Pei Lan Ye (Eupatorii Herba), Chao Zhi Ke (Aurantii Fructus Preparatus), Ban Xia Qu (Pinelliae Fermentatum), Che Qian Cao (Plantaginis Herba), Jin Hu (Dendrobii Caulis), Da Fu Rong (Arecae Pericarpium), Chi Bai Ling (Poria cum Ligno Rubrum et Alba), Jia Nan Xiang (Aquilariae Lignum Resinosum, 2 fen, crushed and ground into fine powder for decoction).