钦局票 痿 成瘫,治之非易。
丹溪虎潜丸(每服三钱青盐汤送下)
风寒袭肺∶杏苏散主之
杏仁 桔梗 法半夏 生姜 紫苏梗(或用叶用子皆可) 枳壳(麸炒或用蜜炙) 赤苓 红枣
前胡 陈皮 炙甘草
陈(七月) 感受暑风,扰于肺胃,咳嗽潮热,脘闷口渴,脉象数,治宜清解。
老苏梗 薄橘红 竹茹 冬瓜子 薄荷梗 白杏仁 通草 焦麦芽 连翘 象贝 益元散 青荷梗
王 湿郁气滞,肝肺不和,咳呛气逆,宜用清泄。
米仁 旋复花 路路通 丝瓜络 冬瓜仁 生蛤壳 赤苓 车前草 白杏仁 炒白蒺 通草
兼肺热合泻白散。
如面黄加茵陈。
如胀加莱菔子。
徐 秋燥风温,治宜清肃。
元参 橘红 丹皮 竹茹 萝卜汁 薄荷 炒牛蒡 象贝 通草 连翘 栝蒌皮 纯嫩钩 赤苓
此方余在蒋永生家得来,不知是何人手
笔,因屡试有验故录之。
生米仁 全栝蒌 竹沥(一两) 淡姜汁(三滴和冲) 冬瓜仁 海石粉 黑山栀 芦根
白杏仁 青黛 炒兜铃
如痰火阻肺络,声嗄者亦效。
傅左 寒水侮脾,土无堤防,水气泛滥,始起咳嗽,继则遍体浮肿,腹胀气逆,脉象沉
细,治宜温中利水,症虞喘促之变,附方请正。
生米仁(三钱) 姜半夏(二钱) 生姜皮(六分) 白杏仁(二钱) 熟附块(六分) 广皮(
一钱) 椒目(一钱) 炒苏子(一钱五分) 带皮苓(四钱) 杭白芍(一钱五分) 冬瓜子皮(各三钱)
(此方系余诊因有验故附此)
傅左次诊,肿已渐消,惟脚肿未已,脉弦滑而缓,照前方去苏子加米泔制茅术汉防己旋复花。
湿疥疮悬拟方,余拟疥疮有湿燥之分,属湿者应用此加减。
草 广皮 黑山栀 绵茵陈 带皮苓 蒺藜 忍冬藤
有热疼痛,加连翘、大腹绒、晚蚕沙、黄芩。
钦天监太医院开具的处方:痿证(肢体软弱无力、肌肉萎缩的病证)发展成瘫痪,治疗起来并不容易。
丹溪虎潜丸(每次服用三钱,用青盐汤送服)
风寒侵袭肺脏:以杏苏散为主方。
杏仁 桔梗 法半夏 生姜 紫苏梗(或者用叶或用子都可以) 枳壳(麸炒或用蜜炙) 赤茯苓 红枣
前胡 陈皮 炙甘草
陈氏患者(七月发病):感受暑风和风邪,扰乱肺胃,出现咳嗽、潮热,脘腹闷胀、口渴,脉象数,治疗应当清解。
老苏梗 薄橘红 竹茹 冬瓜子 薄荷梗 白杏仁 通草 焦麦芽 连翘 象贝母 益元散 青荷梗
王氏患者:湿邪郁滞导致气机不畅,肝肺不和,出现咳嗽气喘、气逆上冲,宜用清泄之法。
薏苡仁 旋复花 路路通 丝瓜络 冬瓜仁 生蛤壳 赤茯苓 车前草 白杏仁 炒白蒺藜 通草
兼有肺热时合用泻白散。
如果面色发黄加茵陈。
如果腹胀加莱菔子。
徐氏患者:秋燥与风温夹杂,治疗宜清肃肺气。
玄参 橘红 丹皮 竹茹 萝卜汁 薄荷 炒牛蒡子 象贝母 通草 连翘 栝蒌皮 纯嫩钩藤 赤茯苓
此方是我在蒋永生家得来的,不知是何人手笔,因为屡次试用有效所以记录下来。
生薏苡仁 全栝蒌 竹沥(一两) 淡姜汁(三滴调和冲服) 冬瓜仁 海浮石粉 黑山栀 芦根
白杏仁 青黛 炒紫菀
如果是痰火阻塞肺络,声音嘶哑的情况也有效。
傅左:寒水反侮脾土,脾土失去堤防作用,水气泛滥,起初咳嗽,随后全身浮肿,腹胀气逆,脉象沉细,治疗宜温中利水,担心症状演变为喘促,附上方剂请指正。
生薏苡仁(三钱) 姜半夏(二钱) 生姜皮(六分) 白杏仁(二钱) 熟附块(六分) 广陈皮(一钱) 椒目(一钱) 炒苏子(一钱五分) 带皮茯苓(四钱) 杭白芍(一钱五分) 冬瓜子皮(各三钱)
(此方是我诊治时因有效而附在此处)
傅左第二次就诊,肿胀已逐渐消退,只有脚肿未消,脉象弦滑而缓,照前方去掉苏子,加入米泔水制的苍术、汉防己、旋复花。
针对湿性疥疮拟定的方剂,我认为疥疮有湿性和燥性之分,属于湿性的应用此方加减。
草果 广陈皮 黑山栀 绵茵陈 带皮茯苓 蒺藜 忍冬藤
如果有热痛,加连翘、大腹绒、晚蚕沙、黄芩。
Prescription from the Imperial Medical Bureau: Wei syndrome (a disease characterized by flaccidity and muscle atrophy) progressing to paralysis is not easy to treat.
Danxi Hujian Wan (Tiger's Hidden Pill of Danxi; take three qian each time, delivered with a solution of green salt)
Wind-cold invading the Lung: Xing Su San (Apricot Kernel and Perilla Decoction) is the primary formula.
Xingren (Apricot Seed), Jiegeng (Platycodon Root), Fa Banxia (Processed Pinellia Tuber), Shengjiang (Fresh Ginger), Zisugeng (Perilla Stem) [or leaves or seeds may be used], Zhike (Bitter Orange Fruit, stir-fried with bran or honey-processed), Chiling (Red Poria), Hongzao (Jujube), Qianhu (Peucedanum Root), Chenpi (Aged Tangerine Peel), Zhi Gancao (Honey-fried Licorice Root).
Wind-warmth invading the Lung: Refer to the Autumn-Dryness prescription by Physician Xu, see later.
Patient Chen (onset in July): Contracted summer-heat and wind, disturbing the Lung and Stomach, presenting with cough, tidal fever, epigastric fullness, and thirst. The pulse is rapid. Treatment should employ clearing and resolving methods.
Lao Sugen (Old Perilla Stem), Bo Juhong (Thin Tangerine Red Peel), Zhuru (Bamboo Shavings), Dongguazi (Winter Melon Seeds), Bohegeng (Mint Stem), Baixingren (White Apricot Seed), Tongcao (Tetrapanax Pith), Jiao Maiya (Scorched Malt), Lianqiao (Forsythia Fruit), Xiangbei (Fritillaria Thunbergii Bulb), Yiyuan San (Benefit Origin Powder), Qing Hegeng (Green Lotus Stem).
Patient Wang: Dampness stagnation causing Qi constraint, disharmony between Liver and Lung, presenting with coughing, wheezing, and rebellious Qi. Clearing and draining methods are appropriate.
Yiren (Coix Seed), Xuanfuhua (Inula Flower), Lulutong (Liquidambar Fruit), Sigualuo (Luffa Sponge Fiber), Dongguaren (Winter Melon Seed), Sheng Geke (Raw Clam Shell), Chiling (Red Poria), Cheqiancao (Plantago Herb), Baixingren (White Apricot Seed), Chao Baiji (Stir-fried Tribulus Fruit), Tongcao (Tetrapanax Pith).
If accompanied by Lung heat, combine with Xiebai San (Drain White Powder).
If the complexion is yellowish, add Yinchen (Artemisia Capillaris Herb).
If abdominal distension occurs, add Laifuzi (Radish Seed).
Patient Xu: Autumn dryness combined with wind-warmth; treatment should focus on clearing and purifying the Lung.
Yuanshen (Scrophularia Root), Juhong (Tangerine Red Peel), Danpi (Moutan Cortex), Zhuru (Bamboo Shavings), Luobozhi (Radish Juice), Bohe (Mint Leaf), Chao Niubang (Stir-fried Arctium Fruit), Xiangbei (Fritillaria Thunbergii Bulb), Tongcao (Tetrapanax Pith), Lianqiao (Forsythia Fruit), Gualoupi (Trichosanthes Peel), Chun Nenggou (Pure Tender Uncaria Vine), Chiling (Red Poria).
I obtained this prescription from Mr. Jiang Yongsheng; I do not know its author, but since it has proven effective repeatedly, I record it here.
Sheng Yiren (Raw Coix Seed), Quan Gualou (Whole Trichosanthes Fruit), Zhuli (Bamboo Sap, 1 liang), Dan Jiangzhi (Light Ginger Juice, 3 drops mixed and taken), Dongguaren (Winter Melon Seed), Haishi Fen (Floating Lithothamnium Powder), Hei Shanzhi (Black Gardenia Fruit), Lugen (Reed Rhizome), Baixingren (White Apricot Seed), Qingdai (Indigo Naturalis), Chao Douling (Stir-fried Pulsatilla Root).
This is also effective for hoarseness caused by phlegm-fire obstructing the Lung collaterals.
Fu Zuo: Cold water insulting the Spleen Earth, causing the Earth to lose its embankment function, leading to flooding of Water Qi. Initially presenting with cough, followed by generalized edema, abdominal distension, and rebellious Qi. The pulse is deep and fine. Treatment should warm the Middle and promote urination. There is concern that symptoms may evolve into panting. Attached is a formula for your correction.
Sheng Yiren (Raw Coix Seed, 3 qian), Jiang Banxia (Ginger-processed Pinellia Tuber, 2 qian), Shengjiang Pi (Fresh Ginger Peel, 6 fen), Baixingren (White Apricot Seed, 2 qian), Shu Fu Kuai (Prepared Aconite Chunk, 6 fen), Guang Pi (Broad-leaved Citrus Peel, 1 qian), Jiaomu (Zanthoxylum Seed, 1 qian), Chao Suzi (Stir-fried Perilla Seed, 1.5 qian), Daipi Ling (Poria with Skin, 4 qian), Hang Baishao (Hangzhou White Peony Root, 1.5 qian), Donggu Zi Pi (Winter Melon Seed and Peel, 3 qian each).
(This formula was attached because it proved effective during my diagnosis.)
Second consultation for Fu Zuo: Edema has gradually subsided, except for swelling in the feet. The pulse is wiry, slippery, and slow. Follow the previous formula, remove Suzi, and add Mi Jiang Zhi Maoyu (Coptis Rhizome processed with rice water), Han Fangji (Han Fangjia Root), and Xuanfuhua (Inula Flower).
Prescription proposed for damp-type tinea corporis (wet sores): I propose that tinea corporis can be classified into damp and dry types. For damp types, use this formula with modifications.
Caoguo (Black Cardamom), Guang Pi (Broad-leaved Citrus Peel), Hei Shanzhi (Black Gardenia Fruit), Mian Yinchen (Downy Wormwood Herb), Daipi Ling (Poria with Skin), Jili (Tribulus Fruit), Rendongteng (Honeysuckle Stem).
If there is heat and pain, add Lianqiao (Forsythia Fruit), Dafurong (Areca Peel), Wancansha (Silkworm Frass), and Huangqin (Scutellaria Root).