罗氏论虚劳之证，都因邪伏、血郁而得，不独阴亏一端也。至晚寒热时减时增，其为阳
陷入阴可知。滋肾生肝，最为合法，略加损益，不必更张可也。
熟地 白芍 丹皮 茯苓 怀药 柴胡 鳖甲 炙草
真阳气弱，不荣于筋则阴缩，不固于里则精出，不卫于表则汗泄，三者每相因而见。其
病在三阴之枢，非后世方法可治。古方八味丸，专服、久服，当有验也。
眩晕，呕恶，胸满，小便短而数，口中干。水亏于下，风动于上，饮积于中，病非一端
。
羚羊角 钩藤 半夏 小生地 天麻 竹茹 广皮 茯苓
肝阳化风，逆行脾胃之分，液聚成痰，流走肝胆之络，左体麻痹、心膈痞闷所由来也。
而风
、火性皆上行，故上有火升、气逆、鼻衄等症，此得之饥饱劳郁，积久而成，非一朝一夕之
故矣。治法清肝之火，健脾之气，亦非旦夕可图也。
羚羊角 橘红 白术 枳实 天麻 半夏 茯苓 甘草 麦冬
肺阴不足，肺热有余，咳则涕出，肌体恶风，是热从窍泄，而气不外护也。他脏虽有病
，宜先治肺。
阿胶 杏仁 贝母 北参 兜铃 茯苓 炙草 糯米
干呛无痰，是肝气冲肺，非肺本病。仍宜治肝，兼滋肝气可也。
川连 白芍 乌梅 甘草 当归 牡蛎 茯苓
络脉空隙，气必游行作痛。最虑春末夏初，地中阳气上升，血从气溢。趁此绸缪，当填
精益
髓。盖阴虚咳嗽，是他脏累及于肺，若治以清凉，不但病不能去，而胃伤食减，立成虚损，
难为力矣。
海参 熟地 金樱膏 麋角胶 湘莲肉 北味 萸肉 怀药 茯神 芡实
即将二膏捣丸。
阴不足而阳有余，肝善逆而肺多郁。脉数，气喘，咳逆见血，胁痛。治宜滋降，更宜静
养。不尔，恐其血逆不已也。
小生地 荆炭 白芍 童便 郁金 小蓟 藕汁
离经之血未净而郁于内，寒热之邪交煽而乱其气，是以腹满，呕泄，寒热，口燥。治当
平其乱气，导其积血。元气虽虚，未可骤补也。
丹皮 楂炭 泽兰 赤芍 郁金 丹参 牛膝 小蓟
凡有瘀血之人，其阴已伤，其气必逆。兹以血紫黑无多，而胸中满闷，瘀犹未净也；而
舌绛
无苔，则阴之亏也；呕吐不已，则气之逆也。且头重、足冷，有下虚上脱之虚；恶寒、谵语
，为阳弱气馁之征。此症补之不投，攻之不可，殊属棘手！
人参 茯苓 山漆 吴萸 乌梅 牡蛎 川连 郁金
少阴为阴之枢，内司启闭，虚则失其常矣。宜以法壮其枢，或通或塞，皆非其治。
熟地 杞子 菟丝 茯苓 丹皮 萸肉 怀药 沙苑
中气虚寒，得冷即泻，而又火升、齿衄等症，古人所谓胸中聚集之残火，腹内积久之沉
寒。此当温补中气，俾土浓则火自敛。
人参 茯苓 白术 炙草 干姜 益智仁
肺实于上、肾虚于下、脾困于中之候也。然而实不可攻，姑治其虚；中不可燥，姑温其
下。且肾为胃关，而火为土母，或有小补，未可知也。
金匮肾气丸
汗出偏沮，脉来不柔，时自歇止，肝阳有余，而胃阴不足，于是稠痰浊火，扰动于中，
壅滞于外。目前虽尚安和，然古人治未病不治已病，知者见微知着，自当加意调摄为佳。
人参 川斛 南枣 半夏 茯苓 炙草 麦冬 丹皮 小麦
表虚易感风邪，里虚易作泻，上虚则眩，下虚则梦泄。宜玉屏风散。
黄 防风 白术 茯苓 牡蛎 炙草
脐中时有湿液腥臭，按脉素大，此少阴有湿热也。六味能除肾间湿热，宜加减治之。
六味去山药，加川柏 萆 车前 女贞
下体失血之余，阴气必伤，邪乃乘虚直入阴中，挟身中之虚阳而上逆，头热、肢冷、咳
呛、
气冲，至夜尤甚，皆其验也。此症邪少虚多，下虚上实，不与大概时病同法。此愚一偏之见
也，未识高明以为然否？
生地 白芍 茯苓 麦冬 炙草 元参
疟发而血上下溢，得之中虚，而邪复扰之也。血去既多，疟邪尚炽，中原之扰犹未已也
。谁
能必其血之不复来耶？谨按古法中虚血脱之症，从无独任血药之理。而疟病经久，亦必先固
中气。兹拟理中一法，止血在是，止疟亦在是，惟高明裁之！
人参 于术 炮姜 炙草
心者藏之脏，心太劳则神散而心虚，心虚则肾气乘之，故恐，经所谓厥气上则恐也。是
病始因
心而及肾，继因肾而心益困矣。经云∶心欲软，肾欲坚。心软则善下，故软之必咸；肾坚则
不浮，坚之者必以苦。又云∶高者抑之，散者收之。治心肾神志不收者，法必本乎此。以心
为血脏，肾为精脏；欲神之守，必养其血，欲志之坚，必益其精。则甘润生阴、质量味浓之
品，又足为收神志之地也。
人参 川连 怀药 天冬 熟地 茯神 五味 牡蛎 萸肉 柏仁 桂心
骤惊恐惧，手足逆冷，少腹气冲即厥，阳缩，汗出。下元素亏，收摄失 司，宜乎助阳
以补纳；第消渴、心悸、忽然腹中空洞，此风消肝厥，非桂、附刚剂所宜。
炒黑杞子 舶茴香 当归 桂木 紫石英 白龙骨 细辛
肝阴素亏，风温扰之，发为痉病，神昏， 齿，螈 不定。法当滋养肝阴，以荣筋脉；
清涤痰热，以安神明者也。若能应手，尚可无虑。
羚羊角 茯神 钩藤 川贝 真阿胶 鲜菖蒲 鲜竹沥
风热上甚，头痛不已，如鸟巢高巅，宜射而去之。
制军 犀角 川芎 细茶
此肾厥心痛，背胀映及腰中。议用许学士香茸丸。
鹿茸 杞子 沙苑 大茴香 麝香
欠咳胁痛，不能左侧。病在肝，逆在肺，得之情志，难以骤驱。治法不当求肺，而当求
肝。
阿胶 白芍 茯苓 丹皮 茜草 炙草 鲍鱼汤代水
肝脏失调，侵脾则痛，侮肺则干咳。病从内生，非外感客邪之比，是宜内和脏气，不当
外夺卫气者也。但脉弱而数，形瘁色槁，上热下寒，根本已漓，恐难全愈，奈何？
当归建中汤
风气乘虚入于肾络，腰中痛，引背胁。宜寄生汤，补虚通络祛风。
生地 当归 黑豆 独活 怀药 杜仲 白蒺 炙草 桑寄生
肺之络会于耳中。肺受风火，久而不清，窍与络俱为之闭，所以鼻塞不闻香臭，耳聋、耳鸣
不闻音声也。兹当清通肺气。
苍耳 薄荷 桔梗 连翘 辛夷 黄芩 山栀 杏仁 甘草 木通
风热久蓄脑髓，发为鼻渊，五年不愈。此壅疾也，则宜通，不通则不治。
犀角 苍耳 黄芩 杏仁 川芎 郁金
寒热后，邪走手少阴之脉，猝然不语，肩臂牵引不舒。宜以辛通之。
菖蒲 远志 甘草 木通 当归 丹皮 丹参 茯伸
脾虚生湿，气为之滞，血为之不守。此与血热经多者不同。
焦术 泽泻 白芍 陈皮 炙草 茯苓 川芎 牛角 灰
胎前病子肿，产后四日即大泄，泄已一笑而厥，不省人事，及厥回神清，而右胁前后痛
至今三月余矣。形瘦，脉虚，食少，腹都满，足渐肿，小便不利。此脾病传心，心不受邪，
即传之肝，肝受病而更传之脾也。此五脏相贼，与六腑食气水血成胀者不同，所发补攻递进
，而绝无一效也。姑拟泄肝和脾法治之。
台术 木瓜 广皮 椒目 茯苓 白芍
罗氏论述虚劳这一病证，认为都是由于邪气潜伏、血液郁滞而导致的，并不仅仅是因为阴液亏损这一方面。到了晚上出现寒热交替，且时轻时重，这说明阳气陷入阴分是显而易见的。采用滋补肾水以生肝木的方法，最为合乎法度，只需略微加以增减调整，不需要大幅更改方剂即可。
真阳之气虚弱，不能濡养筋脉就会导致阴器收缩，不能在体内固摄就会导致精液外泄，不能在体表卫护就会导致汗出，这三种情况往往相互关联同时出现。这种病位于三阴经的枢纽部位，不是后世一般的治疗方法所能治疗的。古方八味丸（金匮肾气丸），专门服用、长期服用，应当会有疗效。
眩晕，恶心呕吐，胸中胀满，小便短少且频数，口中干燥。这是下焦肾水亏虚，上焦风邪内动，中焦痰饮积聚，病情并非单一因素所致。
肝阳化生内风，逆乱侵犯脾胃的分野，津液凝聚成痰，流窜走注于肝胆的络脉，这就是左侧身体麻痹、心膈部痞塞闷痛的原因所在。而且风、火的性质都趋向于上行，所以上部会出现火升、气逆、鼻出血等症状，这些症状是由于饥饱失常、劳累和情志抑郁，积久才形成的，不是一朝一夕的缘故。治疗方法需要清泻肝火，健脾益气，也不是短期内可以见效的。
肺阴不足，肺中有余热，咳嗽时伴有鼻涕流出，肌肤怕风，这是因为热邪从孔窍泄出，而肺气不能在外护卫肌表。其他脏腑虽然有病，应当先治疗肺脏。
干咳无痰，这是肝气冲逆犯肺，并不是肺的本脏病变。仍然适宜治疗肝脏，兼以滋养肝气即可。
络脉之间有空隙，气机必然游行其中而产生疼痛。最担心的是春末夏初时节，地中的阳气上升，血液随着气机溢出。趁此时机未雨绸缪，应当填补精髓。大抵阴虚咳嗽，是他脏累及于肺，如果采用清凉药物治疗，不但病不能去除，反而损伤胃气导致食欲减退，立刻形成虚损之证，就难以救治了。
海参 熟地黄 金樱膏 鹿角胶 湘莲子肉 北五味子 山茱萸 山药 茯神 芡实
即将上述两种膏剂捣合制成丸药。
阴液不足而阳气有余，肝气善于逆乱而肺气多郁结。脉象数急，气喘，咳嗽逆气并见血，胁肋疼痛。治疗适宜滋阴降火，更宜静养。如果不这样，恐怕会导致出血不止。
离经之血没有排净而郁结在体内，寒热之邪交相煽动扰乱气机，所以出现腹部胀满，呕吐腹泻，寒热往来，口燥。治疗应当平复紊乱的气机，引导积存的瘀血排出。元气虽然虚弱，但不可急于进补。
凡是患有瘀血的人，他的阴液已经受伤，气机必然逆乱。现在因为血色紫黑且量少，而胸中满闷，说明瘀血尚未排净；舌质绛红而无苔，说明阴液亏损；呕吐不止，说明气机逆乱。并且头部沉重、足部寒冷，有下虚上脱的虚象；怕冷、说胡话，是阳气虚弱、气馁的表现。这个病症，补益则不对症，攻伐则不可行，确实棘手！
人参 茯苓 漆茎（或指代某药，原文“山漆”通常指土三七或漆树相关，此处保留原名） 吴茱萸 乌梅 牡蛎 黄连 郁金
少阴经是阴气的枢纽，内部主管开闭功能，虚弱就会失去常态。适宜用方法壮其枢机，或者通利或者固涩，都不是正确的治法。
熟地黄 枸杞子 菟丝子 茯苓 牡丹皮 山茱萸 山药 沙苑蒺藜
中气虚寒，遇到寒冷就腹泻，而又出现火气上炎、齿龈出血等症状，这就是古人所说的胸中聚集的残存之火，腹内积久的沉寒。这应当温补中气，使脾土厚实则火气自然收敛。
这是肺气实于上、肾虚于下、脾困于中的证候。然而实证不可攻伐，姑且治疗其虚证；中焦不可燥烈，姑且温补其下焦。况且肾为胃之关，火为土之母，或许能有小小的补益效果，也未可知。
出汗偏侧不均（偏沮），脉象来去不柔和，时常出现间歇停顿，这是肝阳有余，而胃阴不足，于是稠痰浊火，扰动于中，壅滞于外。目前虽然尚且安和，但古人主张治未病而不治已病，明智之人见微知著，自然应当加意调养摄生为佳。
表虚容易感受风邪，里虚容易发生腹泻，上虚则头晕目眩，下虚则梦遗滑精。适宜使用玉屏风散。
肚脐中时常有湿液且腥臭，按摸脉象素来宏大，这是少阴经有湿热。六味地黄丸能清除肾间的湿热，适宜加减后治疗。
下肢失血之后，阴气必然受伤，邪气乘虚直入阴分，挟带体内的虚阳而上逆，头部发热、四肢冰冷、咳嗽呛逆、气机上冲，到了夜晚尤其严重，这些都是验证。这个病症邪气少而正气虚多，下虚上实，不与一般的时令疾病用同样的方法治疗。这是我个人的片面见解，不知高明之士是否以为然？
疟疾发作而血液上下溢出，这是由于中气虚弱，而邪气又反复干扰所致。血液流失已经很多，疟邪依然炽盛，中原部位的扰乱还没有停止。谁能保证血液不再流失呢？谨按照古法，中虚血脱的病症，从来没有单独任用止血药物的道理。而疟病经久不愈，也必先固护中气。现在拟定理中汤一法，止血在此，止疟也在此，惟请高明裁夺！
心是藏神的脏器，心过度劳损则神气涣散而心虚，心虚则肾气乘袭，所以产生恐惧感，医经所谓厥气上逆则恐。这个病开始因心而波及肾，接着因肾而心更加困顿。医经说：心欲软，肾欲坚。心软则善于下行，所以软化它必须用咸味；肾坚则不浮越，坚固它必须用苦味。又说：高者抑之，散者收之。治疗心肾神志不收敛的病症，法则必定基于此。因为心是血之脏，肾是精之脏；想要神气守舍，必须滋养血液；想要意志坚定，必须补益精髓。那么甘润生津、质量味浓的药物，又足以作为收敛神志的基础。
人参 黄连 山药 天冬 熟地黄 茯神 五味子 牡蛎 山茱萸 柏子仁 桂心
突然受惊恐惧，手足逆冷，少腹有气上冲即导致昏厥，阴器收缩，汗出。下元元素亏虚，收摄功能失职，适宜助阳以纳气归元；但是如果有消渴、心悸、忽然腹部空洞感，这是风消肝厥，不适合使用桂枝、附子这类刚猛的药物。
肝阴素来亏虚，风温邪气干扰，发为痉病，神志昏迷，磨牙，抽搐不定。治法应当滋养肝阴，以荣养筋脉；清涤痰热，以安定神明。如果能够应手见效，还可以不必担忧。
风热上扰严重，头痛不已，如同鸟巢在高处，适宜射而去之（比喻清热祛风）。
打哈欠、咳嗽、胁肋疼痛，不能向左侧卧。病位在肝，逆气在肺，得自情志因素，难以迅速驱除。治法不应当求之于肺，而应当求之于肝。
肝脏功能失调，侵犯脾脏则疼痛，侮害肺脏则干咳。病从内生，不同于外感客邪，适宜调和内脏气机，不应当向外掠夺卫气。但是脉象弱而数，形体憔悴面色枯槁，上热下寒，根本已经枯竭，恐怕难以完全痊愈，怎么办呢？
风气乘虚侵入肾络，腰部疼痛，牵引背部和胁肋。适宜使用寄生汤，补虚通络祛风。
生地黄 当归 黑豆 独活 山药 杜仲 白蒺藜 炙甘草 桑寄生
肺的络脉交会于耳中。肺受到风火侵袭，久而不清，窍道与络脉都被闭塞，所以鼻塞闻不到香臭，耳聋、耳鸣听不到声音。此刻应当清通肺气。
苍耳子 薄荷 桔梗 连翘 辛夷 黄芩 山栀 杏仁 甘草 木通
风热久蓄于脑髓，发为鼻渊（鼻窦炎），五年不愈。这是壅滞之疾，则适宜通利，不通利则无法治愈。
寒热病后，邪气走入手少阴心经的脉络，突然不能说话，肩臂牵引不适。适宜用辛味药物通利。
脾虚生湿，气机为之阻滞，血液为之不能固守。这与血热月经量多者不同。
产前病见子肿（妊娠水肿），产后四天即发生严重腹泻，腹泻后大笑一次随即昏厥，不省人事，等到厥回神清后，右胁前后疼痛至今三个月多了。形体消瘦，脉象虚弱，食量减少，腹部全部胀满，双脚逐渐肿胀，小便不利。这是脾病传变至心，心不受邪，即传变至肝，肝受病后又传变回脾。这是五脏相互克贼，与六腑因食、气、水、血而成胀病的情况不同，所采用的补法和攻法交替进行，却绝无一效。姑且拟定泄肝和脾的方法来治疗。
Luo's discussion on the syndrome of deficiency consumptive disease (Xu Lao) posits that it arises primarily from latent pathogenic factors and blood stasis, rather than solely from Yin deficiency. The occurrence of alternating chills and fever in the evening, varying in intensity, indicates that Yang Qi has sunk into the Yin aspect. Nourishing Kidney Water to generate Liver Wood is the most appropriate method; slight adjustments may be made without fundamentally altering the prescription.
Shu Di Huang (Prepared Rehmannia Root), Bai Shao (White Peony Root), Dan Pi (Moutan Cortex), Fu Ling (Poria), Huai Yao (Chinese Yam), Chai Hu (Bupleurum Root), Bie Jia (Turtle Shell), Zhi Cao (Honey-fried Licorice Root).
When True Yang Qi is weak, it fails to nourish the sinews, leading to retraction of the genitalia; it fails to secure the interior, leading to seminal emission; and it fails to defend the exterior, leading to spontaneous sweating. These three manifestations often occur together. This pathology lies at the pivot of the Three Yin meridians and cannot be treated with the methods of later generations. Taking the ancient formula Ba Wei Wan (Eight-Ingredient Pill / Jin Gui Shen Qi Wan) exclusively and for a prolonged period should yield results.
Vertigo, nausea and vomiting, chest fullness, short and frequent urination, dry mouth. This presents as Kidney Water deficiency below, internal Wind stirring above, and Phlegm-fluid accumulation in the middle. The pathology is multifactorial.
Ling Yang Jiao (Antelope Horn), Gou Teng (Uncaria Ramulus cum Uncis), Ban Xia (Pinellia Rhizoma), Xiao Sheng Di (Young Rehmannia Root), Tian Ma (Gastrodia Rhizome), Zhu Ru (Bamboo Shavings), Guang Pi (Aurantii Pericarpium), Fu Ling (Poria).
Liver Yang transforming into internal Wind reverses and invades the domains of the Spleen and Stomach. Body fluids condense into Phlegm, which flows through the collaterals of the Liver and Gallbladder. This explains the left-sided body numbness and stifling oppression in the heart and diaphragm. Since both Wind and Fire have an upward nature, symptoms such as rising fire, rebellious Qi, and epistaxis appear in the upper body. These conditions result from long-term irregular diet, overwork, and emotional depression, not occurring overnight. The treatment requires clearing Liver Fire and strengthening Spleen Qi, which cannot be achieved quickly.
Ling Yang Jiao (Antelope Horn), Ju Hong (Tangerine Red Peel), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhi Shi (Immature Bitter Orange), Tian Ma (Gastrodia Rhizome), Ban Xia (Pinellia Rhizoma), Fu Ling (Poria), Gan Cao (Licorice Root), Mai Dong (Ophiopogon Tuber).
Insufficiency of Lung Yin and excess of Lung Heat cause cough with nasal discharge. The body fears wind because heat escapes through orifices while Lung Qi fails to protect the exterior. Although other organs may be diseased, priority should be given to treating the Lungs.
E Jiao (Donkey-hide Gelatin), Xing Ren (Apricot Seed), Bei Mu (Fritillaria Bulbus), Bei Shen (North Codonopsis Root), Dou Ling (Stemona Root), Fu Ling (Poria), Zhi Cao (Honey-fried Licorice Root), Nuomi (Glutinous Rice).
Dry cough without phlegm indicates Liver Qi rebelling against the Lung, not a primary Lung disease. Treatment should focus on the Liver, combined with nourishing Liver Qi.
Chuan Lian (Coptis Rhizoma), Bai Shao (White Peony Root), Wu Mei (Mume Fruit), Gan Cao (Licorice Root), Dang Gui (Angelica Sinensis Radix), Mu Li (Ostrea Concha), Fu Ling (Poria).
When there are gaps in the collaterals, Qi must circulate freely, causing pain. One must fear that during late spring and early summer, when Yang Qi rises from the earth, Blood will overflow following Qi. Seizing this opportunity to prepare, one should tonify Essence and marrow. Generally, Yin-deficiency cough involves other organs affecting the Lungs. If treated with cooling agents, not only will the disease persist, but the Stomach will be damaged, appetite will decrease, and deficiency consumptive disease will develop rapidly, becoming difficult to treat.
Hai Shen (Sea Cucumber), Shu Di (Prepared Rehmannia Root), Jin Ying Gao (Golden Berry Paste), Lu Jiao Jiao (Deer Antler Glue), Xiang Lian Rou (Lotus Seed Meat), Bei Wei (Schisandra Berry), Yu Rou (Cornus Fruit), Huai Yao (Chinese Yam), Fu Shen (Poria with Hostwood), Qian Shi (Euryale Seed).
These two pastes should be processed into pills.
Yin insufficiency with Yang excess; Liver tends to rebellion, Lung tends to stagnation. Pulse is rapid, with panting, rebellious cough with hemoptysis, and hypochondriac pain. Treatment should favor nourishing and descending, along with quiet rest. Otherwise, continuous bleeding may ensue.
Xiao Sheng Di (Young Rehmannia Root), Jing Tan (Charred Schizonepeta Spike), Bai Shao (White Peony Root), Tong Bian (Human Urine), Yu Jin (Curcuma Tuber), Xiao Ji (Cirsii Herba), Ou Zhi (Lotus Rhizome Juice).
Unresolved blood outside the vessels stagnates internally, while cold-heat pathogens interact chaotically, disrupting Qi. Thus, abdominal fullness, vomiting and diarrhea, alternating chills and fever, and dry mouth occur. Treatment should calm chaotic Qi and guide out accumulated blood. Although Yuan Qi is deficient, sudden tonification is inappropriate.
Dan Pi (Moutan Cortex), Zha Tan (Charred Hawthorn Fruit), Ze Lan (Lygodii Herba), Chi Shao (Red Peony Root), Yu Jin (Curcuma Tuber), Dan Shen (Salvia Miltiorrhiza Radix), Niu Xi (Achyranthes Root), Xiao Ji (Cirsii Herba).
In cases of blood stasis, Yin is already injured, and Qi inevitably rebels. Here, the blood is dark purple and scanty, yet there is chest fullness, indicating residual stasis; the tongue is crimson without coating, indicating Yin deficiency; persistent vomiting indicates Qi rebellion. Additionally, heavy head and cold feet suggest lower deficiency with upper collapse; aversion to cold and delirium indicate weak Yang and depleted Qi. This condition is stubborn: tonification is unsuitable, and purgation is contraindicated.
Ren Shen (Ginseng Radix), Fu Ling (Poria), Shan Qi (Eucommia Bark - *Note: Text says "Shan Qi", likely referring to a specific herb or typo for Shan Yao/Zhu, kept as literal*), Wu Zhu Yu (Evodia Fruit), Wu Mei (Mume Fruit), Mu Li (Ostrea Concha), Chuan Lian (Coptis Rhizoma), Yu Jin (Curcuma Tuber).
Shaoyin is the pivot of Yin, governing opening and closing internally. Deficiency leads to loss of normal function. One should strengthen the pivot using appropriate methods; neither pure unblocking nor pure securing is correct.
Shu Di (Prepared Rehmannia Root), Qi Zi (Goji Berry), Tu Si (Dodder Seed), Fu Ling (Poria), Dan Pi (Moutan Cortex), Yu Rou (Cornus Fruit), Huai Yao (Chinese Yam), Sha Yuan (Astragali Complanati Semen).
Middle Qi deficiency and cold lead to diarrhea upon exposure to cold, accompanied by rising fire and gingival bleeding. This corresponds to the ancients' description of residual fire gathered in the chest and deep cold accumulated in the abdomen. Treatment should warm and tonify Middle Qi so that when Earth is thick, Fire naturally收敛 (converges/retains).
Ren Shen (Ginseng Radix), Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Zhi Cao (Honey-fried Licorice Root), Gan Jiang (Dried Ginger), Yi Zhi Ren (Alpinia Oxyphylla Fruit).
This is a presentation of Lung Excess above, Kidney Deficiency below, and Spleen distress in the middle. However, excess should not be attacked; instead, address the deficiency temporarily. The middle should not be dried; instead, warm the lower temporarily. Since the Kidney is the gate of the Stomach, and Fire is the mother of Earth, slight improvement may be possible.
Jin Gui Shen Qi Wan (Kidney Qi Pill from the Golden Cabinet).
Sweating occurs asymmetrically (pian ju); the pulse is not supple and occasionally skips beats. This indicates Liver Yang excess and Stomach Yin insufficiency, leading to thick phlegm and turbid fire disturbing the interior and obstructing the exterior. Although currently stable, the ancients advocated treating disease before it arises. Wise individuals perceive the significant from the subtle and should prioritize regulation and preservation.
Ren Shen (Ginseng Radix), Chuan Hu (Dendrobium Stem), Nan Zao (Southern Jujube), Ban Xia (Pinellia Rhizoma), Fu Ling (Poria), Zhi Cao (Honey-fried Licorice Root), Mai Dong (Ophiopogon Tuber), Dan Pi (Moutan Cortex), Xiao Mai (Wheat Grain).
Exterior deficiency makes one susceptible to Wind pathogens; interior deficiency leads to diarrhea; upper deficiency causes vertigo; lower deficiency leads to nocturnal emissions. Yu Ping Feng San (Jade Windscreen Powder) is suitable.
Huang Qi (Astragalus Root), Fang Feng (Saposhnikovia Root), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Mu Li (Ostrea Concha), Zhi Cao (Honey-fried Licorice Root).
Moist fluid with a fishy odor at the umbilicus, with a generally large pulse, indicates Damp-Heat in the Shaoyin meridian. Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) can clear Damp-Heat from the Kidney region; it should be modified for treatment.
Modify Liu Wei Di Huang Wan: Remove Shan Yao (Chinese Yam), add Chuan Bai (Phellodendron Bark), Bi Xie (Dioscorea Hypoglauca Rhizome), Che Qian (Plantago Seed), Nu Zhen (Ligustrum Lucidum Fruit).
Following lower body hemorrhage, Yin Qi is necessarily injured. Pathogens enter the Yin directly due to deficiency, carrying deficient Yang upward. Symptoms include head heat, limb cold, coughing, and Qi rushing, worsening at night. This case features less pathogen and more deficiency, lower deficiency with upper excess, differing from common seasonal diseases. This is my biased view; I ask if experts agree.
Sheng Di (Rehmannia Root), Bai Shao (White Peony Root), Fu Ling (Poria), Mai Dong (Ophiopogon Tuber), Zhi Cao (Honey-fried Licorice Root), Yuan Shen (Scrophularia Root).
Malaria with upper and lower bleeding results from Middle deficiency and pathogenic disturbance. After significant blood loss, malaria pathogens remain strong, and central disturbance continues. Who can guarantee blood will not return? Following ancient principles, for Middle deficiency with blood loss, relying solely on blood-astringing herbs is incorrect. For chronic malaria, securing Middle Qi is essential. I propose Li Zhong Tang (Regulate the Middle Decoction); it stops bleeding and malaria alike. Please advise.
Ren Shen (Ginseng Radix), Yu Zhu (Atractylodis Rhizoma), Pao Jiang (Roasted Ginger), Zhi Cao (Honey-fried Licorice Root).
The Heart houses the Spirit. Overlabor scatters Spirit and weakens the Heart; Heart weakness allows Kidney Qi to invade, causing fear. As the Classics state, "Rebellious Qi ascending causes fear." This disease began with the Heart affecting the Kidney, then the Kidney further troubling the Heart. The Classics say: "The Heart desires softness, the Kidney desires firmness." Softening the Heart requires salty flavors to facilitate descent; firming the Kidney requires bitter flavors to prevent floating. Also, "High things are suppressed, scattered things are collected." Treating unrestrained Heart-Kidney Spirit requires adhering to these principles. Since the Heart governs Blood and the Kidney governs Essence, preserving Spirit requires nourishing Blood, and stabilizing Will requires benefiting Essence. Therefore, sweet, moist, substantial, and rich-tasting substances serve as the foundation for collecting Spirit and Will.
Ren Shen (Ginseng Radix), Chuan Lian (Coptis Rhizoma), Huai Yao (Chinese Yam), Tian Dong (Asparagus Tuber), Shu Di (Prepared Rehmannia Root), Fu Shen (Poria with Hostwood), Wu Wei (Schisandra Berry), Mu Li (Ostrea Concha), Yu Rou (Cornus Fruit), Bai Ren (Biota Seed), Gui Xin (Cinnamon Twig Center).
Sudden fright and terror cause cold extremities, Qi rushing from the lower abdomen leading to syncope, retraction of the genitals, and sweating. Lower Yuan deficiency leads to loss of retention control, requiring Yang-tonifying and grasping methods. However, symptoms of thirst, palpitations, and sudden hollow feeling in the abdomen indicate Wind-Consumption and Liver Syncope, making harsh Yang-tonics like Gui Zhi (Cinnamon Twig) and Fu Zi (Aconite Root) inappropriate.
Chao Hei Qi Zi (Blackened Goji Berry), Bo Hui Xiang (Fennel Seed), Dang Gui (Angelica Sinensis Radix), Gui Mu (Cinnamon Wood), Zi Shi Ying (Purple Quartz), Bai Long Gu (Fossilized Bone), Xi Xin (Asarum Root).
Constitutional Liver Yin deficiency disturbed by Wind-Warmth leads to Spasm Disease, coma, teeth grinding, and intermittent convulsions. Treatment should nourish Liver Yin to benefit sinews and clear Phlegm-Heat to calm Spirit. If effective, worry is unnecessary.
Ling Yang Jiao (Antelope Horn), Fu Shen (Poria with Hostwood), Gou Teng (Uncaria Ramulus cum Uncis), Chuan Bei (Fritillaria Thunbergii Bulb), Zhen E Jiao (Authentic Donkey-hide Gelatin), Xian Chang Pu (Fresh Acorus Rhizome), Xian Zhu Li (Fresh Bamboo Sap).
Wind-Heat attacking severely causes persistent headache, like a nest high atop. It should be shot away (cleared).
Zhi Jun (Prepared Rhubarb), Xi Jiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*), Chuan Xiong (Ligusticum Rhizome), Xi Cha (Fine Tea).
This is Kidney-Jue Heart Pain, with back distension radiating to the waist. Prescribe Xu Xue Shi's Xiang Rong Wan (Musk and Velvet Deer Horn Pill).
Lu Rong (Velvet Deer Horn), Qi Zi (Goji Berry), Sha Yuan (Astragali Complanati Semen), Da Hui Xiang (Star Anise), She Xiang (Musk).
Yawning, coughing, and hypochondriac pain preventing lying on the left side. The disease is in the Liver, rebellion in the Lung, caused by emotional factors, difficult to dispel quickly. Treatment should target the Liver, not the Lung.
E Jiao (Donkey-hide Gelatin), Bai Shao (White Peony Root), Fu Ling (Poria), Dan Pi (Moutan Cortex), Qian Cao (Madder Root), Zhi Cao (Honey-fried Licorice Root), Bo Yu Tang (Soup of Sea Bass) as water base.
Liver dysfunction invading the Spleen causes pain; insulting the Lung causes dry cough. Internal origin differs from external pathogens. Harmonize internal organ Qi rather than depleting defensive Qi externally. However, with weak and rapid pulse, emaciated form, sallow complexion, upper heat and lower cold, and depleted root, complete recovery is doubtful.
Dang Gui Jian Zhong Tang (Angelica Build the Middle Decoction).
Wind-Qi invading Kidney collaterals due to deficiency causes lower back pain radiating to the back and flanks. Use Ji Sheng Tang (Parasite Decoction) to tonify deficiency, unblock collaterals, and expel Wind.
Sheng Di (Rehmannia Root), Dang Gui (Angelica Sinensis Radix), Hei Dou (Black Soybean), Du Huo (Angelica Pubescens Root), Huai Yao (Chinese Yam), Du Zhong (Eucommia Bark), Bai Ji Li (Tribulus Fruit), Zhi Cao (Honey-fried Licorice Root), Sang Ji Sheng (Taxillus Branch).
Lung collaterals connect to the ears. Wind-Fire invading the Lung, lingering unresolved, closes orifices and collaterals, causing nasal congestion, loss of smell, deafness, and tinnitus. Clear and unblock Lung Qi now.
Cang Er (Xanthium Fruit), Bo He (Mentha Herb), Jie Geng (Platycodon Root), Lian Qiao (Forsythia Fruit), Xin Yi (Magnolia Flower), Huang Qin (Scutellaria Root), Shan Zhi (Gardenia Fruit), Xing Ren (Apricot Seed), Gan Cao (Licorice Root), Mu Tong (Akebia Stem).
Wind-Heat accumulating in the brain marrow for years causes Bi Yuan (Nasal Sinusitis). This is a stagnant disease requiring unblocking; without unblocking, it cannot be cured.
Xi Jiao (Rhinoceros Horn - *Substitute*), Cang Er (Xanthium Fruit), Huang Qin (Scutellaria Root), Xing Ren (Apricot Seed), Chuan Xiong (Ligusticum Rhizome), Yu Jin (Curcuma Tuber).
After chills and fever, pathogens travel along the Hand-Shaoyin meridian, causing sudden aphasia and pulling discomfort in shoulders and arms. Use pungent agents to unblock.
Chang Pu (Acorus Rhizome), Yuan Zhi (Polygala Root), Gan Cao (Licorice Root), Mu Tong (Akebia Stem), Dang Gui (Angelica Sinensis Radix), Dan Pi (Moutan Cortex), Dan Shen (Salvia Miltiorrhiza Radix), Shen Jin (Lycopodium Club).
Spleen deficiency generates Dampness, stagnating Qi and failing to secure Blood. This differs from excessive menstruation due to Blood-Heat.
Jiao Zhu (Charred Atractylodes), Ze Xie (Alisma Rhizome), Bai Shao (White Peony Root), Chen Pi (Tangerine Peel), Zhi Cao (Honey-fried Licorice Root), Fu Ling (Poria), Chuan Xiong (Ligusticum Rhizome), Niu Jiao Hui (Buffalo Horn Ash).
During pregnancy, edema (Zi Zhong) occurred. Four days postpartum, severe diarrhea ensued, followed by laughter-induced syncope and unconsciousness. Upon recovery, right hypochondriac pain persisted for over three months. Emaciation, weak pulse, poor appetite, abdominal fullness, foot swelling, and dysuria indicate Spleen disease transmitting to Heart, then to Liver, and back to Spleen. This is mutual conquest among Five Zang organs, distinct from Six Fu organ distension caused by food, Qi, water, and blood. Sequential tonification and purgation have failed. Tentatively prescribe draining Liver and harmonizing Spleen methods.
Tai Zhu (Atractylodes Macrocephala), Mu Gua (Chaenomeles Fruit), Guang Pi (Tangerine Peel), Jiao Mu (Pepper Seeds), Fu Ling (Poria), Bai Shao (White Peony Root).