张（七九）阴阳错乱，吐泻并作，勺水不下，小水不通，口渴舌干，两脉虚不应手。证属
险候，姑拟厘清法，以观消息。
茯苓 猪苓 橘皮 浓朴 扁豆 广藿香 白芍（炒） 于术 半夏 钩藤
两服吐泻止，进稀粥，脉起应手，舌润筋舒，宜芳香醒胃，稼穑益脾。
党参 于术 茯苓 广皮 浓朴 扁豆 半夏 砂壳 炙草
徐（二八）自述患疟两发，入河洗澡，下日疟愈，即患小溲不通，腹坚如石，隆起如阜
，两
腿光肿，气短神呆，已经七日，危急难挨，莫过乎此。前医投承气更衣汤丸，大便微通，小
便涓滴而已。诊脉弦而有力，明系疟邪结，膀胱之气亦为不化。盖足少阳病，及足太阳，治
宜泄少阳开太阳。
柴胡（一钱） 黄芩（一钱五分） 青皮（一钱） 橘皮（一钱） 茯苓（一钱五分） 猪苓（一钱） 泽
泻（一钱五分） 荷梗（七寸）
傍晚服下，至更余腹中有声，预教以灯心搐鼻，连喷数嚏，小水如注；到天明连更五回
，约有斗许，秽浊难闻，其病如失。此方妙在重用柴胡。
周（三六）纳食作泛，大便燥结。此饥饱劳役，中气受伤，《内经》所谓∶“九窍不和
，都属胃病。”是也。
党参 麦冬 半夏 陈皮 茯苓 川斛 甘草 蔗浆
沈（三八）脉虚数，逢劳吐血，此得之劳伤脾气，脾不统血。经云∶劳者温之。是证必当
温养，若见脉数咳呛吐红，辄投寒凉，损抑中气，其病必增。
党参（二钱） 生于术（二钱） 黄 （二钱炒） 归身（一钱五分黑） 桂枝木（五分） 五味
子（十粒） 橘皮（八分） 炙草（四分）
加姜、枣。
陈女（二十） 春末起咳呛，长夏吐红，恶风潮热脉数。盖由肺受风热，气不外泄，致血
妄行，非阴虚火升之比，可以勿忧，但轻疏太阴，弹指奏功。
杏仁（二钱，研） 防风（一钱） 薄荷（一钱） 桑叶（一钱五分，蜜水炒） 丹皮（一钱五
分） 前胡（一钱五分） 连翘（一钱五分） 甘草（四分）
又前方理表降气，热退嗽宁，可见吐红一症，屡有外感。昧者不察，润补杂投，竟有弄
假成真。治病求本，医门要诀，今但清养肺胃。
麦冬（二钱） 茯苓（二钱） 苡仁（三钱） 橘红（八分） 杏仁（二钱研） 北沙参（二钱）
连翘（一钱五分） 甘草（四分）
徐（四五） 劳伤营气，复感新寒，发热喘促吐红，病甚危急，姑用解表以救里逆。
香豉（三钱） 紫苏（一钱五分） 杏仁（三钱） 前胡（一钱五分） 桔梗（一钱） 橘皮（一
钱） 丹皮（一钱五分） 连翘（一钱五分） 甘草（四分） 姜皮（四分） 细葱头（五个）
两服热缓嗽减，吐血未止，脉左细软，右浮弦皆数，舌苔淡黄，脉症可补，因右手浮弦
，风邪未尽，佐理表一二味为稳。
党参 苡仁 生地 归身炭 麦冬 茯苓 甘草 橘皮 半夏 杏仁 薄荷
三帖去杏、薄，加于术、黄 、炙草，十余剂方起。
咳嗽吐血
陈（四三） 咳嗽吐血，或稠或稀，时觉左腹气升，卧着尤甚，形淡畏风，脉软微数。前
医先
用杏仁、薄荷，疏降肺气，其咳更频。或以燥火刑金，投洋参、麦冬之类，并纳大减。逆予
延医，此土虚不能生金，金虚不能制木，致肝气上逆，胃受木侮，传导失宜，饮食不化精微
，而成痰涎，一派浊气熏蒸，凝行上腾，肺为华盖，焉得不为之病乎？所以疏散则愈耗其金
，凉润则虚其母，治法必滋化源，平其所胜，方可奏效。
党参（三钱本应用人参，因价极贵，姑以代之） 于术（二钱） 茯苓（一钱五分） 炙草
（四
分） 橘皮（一钱） 半夏（一钱五分） 牛膝（一钱五分） 通草（七分） 丹皮（一钱五分） 桑
叶（一钱）
十帖病去大半，继进人参生脉散三服，仍用前方，去桑、丹，加肉桂、黄 、苡仁而痊
愈。
按∶此症治之不当，必致肌肉日削，痰涎日多，不消数月，危境立至。所以详论病情，俾业
斯道者，得其涯 焉。
蔡（三四） 胸胀喘促，咳嗽吐红，脉大而数。古称脉大为劳，数为虚，证由劳伤脾元，
土不生金，肺失清降，治当滋其化源。
党参（二钱） 黄 （三钱） 生于术（一钱五分） 当归（一钱五分炒黑） 橘皮（一钱） 麦
冬（二钱） 苡仁（二钱） 五味子（十粒） 炙草（四分）
此方余出臆见，名培源益肺汤，治劳倦吐血有神功。
曹（五五） 形寒咳嗽吐红，两脉弦软，是为劳倦伤脾，积寒伤肺。治当温补手足太阴肺
脾，略佐疏理客邪。
党参 蒸于术 茯苓 橘皮 前胡 归身 薏仁 桂枝木 紫苏 炙草 煨姜 大枣
两帖血止嗽减。
吴（二一） 前投解肌，汗出热退，咳血仍然。究其病因，深受寒邪，肺气不舒，致血
妄行。姑再疏利元府，以解里逆。
杏仁 前胡 苏叶 防风 橘皮 石膏 甘草
此方代青龙汤，两服嗽缓，吐红止，胸宽，食进，已得生机。
赵（二十） 夜热盗汗，咳嗽红痰，脉弦而数。证属劳怯，自宜保护，兼助药物，以冀延
龄。
北沙参 麦冬 茯神 苡仁 牛膝 白芍 桑叶 钩藤 茅根
前投清金和肝之法，夜热盗汗愈；今但治其咳嗽。究其源，因劳而得，宜益土生金法，
而培化源之意。
党参 蒸于术 茯苓 半夏 五味子 麦冬 苡仁 橘皮 炙草 茅根
古称嗽症用异功散收功者，可不复发，所谓补土以生金也。
姚氏（二四） 旧冬起咳嗽，延至二月，复吐红痰而臭，脉来细数异常，自汗。屡次更医
，皆
谓阴虚，投四物六味之类。后一医以为肺痈，今往专科延医，病家有亲，知予能治难病，相
邀延医。观其脉症，若为阴虚必燥，焉得有汗？内痈胁上必痛，脉必洪大，今皆无有。以予
观之，属肺受外邪，此脏最娇，久嗽必伤其膜，红痰因此而出；更土生金，子夺母气，臭痰
属脾虚，试观世间腥秽浊物，土掩一宿，其气立解。治法必须从标及本，先用疏散肺邪。
杏仁 薄荷 防风 橘红 桔梗 桑皮 连翘 甘草
两服咳嗽大减，改用培土生金法，稍佐利肺，六君子加苡仁、扁豆、山药、杏仁、前胡
，四服痰少而腥气无矣，嗽痊愈。原方去后五品，加麦冬、归、地，调补复元。
浦女（十一） 久呛伤肺，痰内带红，左脉弦数，肝火刑金。
丹皮 桑叶 钩藤 白芍 苡仁 茯神 杏仁 橘红 麦冬 甘草 沙参
四服减半，改用而痊。
张姓患者（七十九岁），阴阳之气错乱，呕吐与腹泻同时发作，连一勺水都喝不下，小便不通畅，口渴且舌面干燥，两手脉象虚弱无力。此证属于危重险候，暂拟用厘清法治疗，以观察病情变化。
茯苓、猪苓、橘皮、厚朴、扁豆、广藿香、白芍（炒）、于术、半夏、钩藤。
服用两剂后，呕吐和腹泻停止，开始进食稀粥，脉象恢复有力，舌面滋润，筋脉舒展，适宜用芳香药物醒脾开胃，用甘淡药物健脾益气。
党参、于术、茯苓、广皮、厚朴、扁豆、半夏、砂壳、炙甘草。
徐姓患者（二十八岁），自述患疟疾发作两次，去河里洗澡后，日疟痊愈，随即出现小便不通，腹部坚硬如石头，隆起像山丘，双腿光亮肿胀，气短神志呆滞，已经七天，情况危急难以忍受，没有比这更严重的了。前医投用承气汤和更衣丸，大便微微通畅，但小便仅滴沥而出。诊察脉象弦而有力，明显是疟邪结聚，膀胱的气化功能也不通。因为足少阳经病涉及足太阳经，治疗应当疏泄少阳、开通太阳。
柴胡（一钱）、黄芩（一钱五分）、青皮（一钱）、橘皮（一钱）、茯苓（一钱五分）、猪苓（一钱）、泽泻（一钱五分）、荷梗（七寸）。
傍晚服药，到深夜时腹中有声响，预先告知用灯心草刺激鼻孔，连续打喷嚏数次，小便如注般流出；到天明共排尿五次，大约有一斗多，气味秽浊难闻，病势仿佛消失。此方妙在重用柴胡。
周姓患者（三十六岁），进食后感觉食物上泛，大便燥结。这是由于饥饱不均和劳累损伤了中气，《内经》所说的：“九窍不和，都属胃病。”正是这个道理。
党参、麦冬、半夏、陈皮、茯苓、川斛、甘草、蔗浆。
沈姓患者（三十八岁），脉象虚数，每逢劳累就吐血，这是劳伤脾气，导致脾不能统摄血液。《内经》说：“劳者温之。”此证必须温养，如果见到脉数、咳嗽呛逆、吐红，就立即投用寒凉药物，损伤抑制中气，病情必定加重。
党参（二钱）、生于术（二钱）、黄芪（二钱炒）、归身（一钱五分黑）、桂枝木（五分）、五味子（十粒）、橘皮（八分）、炙甘草（四分）。
加生姜、大枣。
陈姓女子（二十岁），春末开始咳嗽呛逆，长夏时节吐红，怕风、潮热、脉数。这是因为肺受风热侵袭，气机不能外泄，导致血液妄行，并非阴虚火升的情况，不必担忧，只需轻疏太阴肺气，很快就能见效。
杏仁（二钱，研碎）、防风（一钱）、薄荷（一钱）、桑叶（一钱五分，蜜水炒）、丹皮（一钱五分）、前胡（一钱五分）、连翘（一钱五分）、甘草（四分）。
又前方旨在调理表证、降逆气，热退咳止，可见吐红这一症状，屡有外感因素。庸医不仔细考察，随意投用润补药物，竟然弄假成真。治病求本是医门要诀，现在只需用清养肺胃的方法。
麦冬（二钱）、茯苓（二钱）、苡仁（三钱）、橘红（八分）、杏仁（二钱研碎）、北沙参（二钱）、连翘（一钱五分）、甘草（四分）。
徐姓患者（四十五岁），劳伤营气，又感受新寒，发热、喘促、吐红，病情非常危急，暂用解表法以救里气上逆。
香豉（三钱）、紫苏（一钱五分）、杏仁（三钱）、前胡（一钱五分）、桔梗（一钱）、橘皮（一钱）、丹皮（一钱五分）、连翘（一钱五分）、甘草（四分）、姜皮（四分）、细葱头（五个）。
服用两剂后热势缓解、咳嗽减轻，但吐血未止，脉象左手细软，右手浮弦且数，舌苔淡黄，脉症显示可以进补，但因右手脉浮弦，风邪未尽，佐以一两味理表药物更为稳妥。
党参、苡仁、生地、归身炭、麦冬、茯苓、甘草、橘皮、半夏、杏仁、薄荷。
三帖后去掉杏仁、薄荷，加入于术、黄芪、炙甘草，十余剂后身体康复。
咳嗽吐血
陈姓患者（四十三岁），咳嗽吐血，痰或稠或稀，时常觉得左腹部有气上升，躺下时尤其严重，形体消瘦、面色淡白、怕风，脉象软弱微数。前医先用杏仁、薄荷疏降肺气，结果咳嗽更加频繁。有人认为是燥火刑金，投用西洋参、麦冬之类，并纳入大量滋补药，反而使病情大减。我延请医生诊治，认为这是土虚不能生金，金虚不能制木，导致肝气上逆，胃受肝木欺侮，传导功能失常，饮食不能化为精微，而成痰涎，一派浊气熏蒸，凝滞上行，肺为华盖，焉能不生病呢？所以疏散则更耗损肺气，凉润则更虚其母脏，治法必须滋生化之源，平抑其所胜之脏，才能奏效。
党参（三钱，本应用人参，因价格极贵，暂以党参代替）、于术（二钱）、茯苓（一钱五分）、炙甘草（四分）、橘皮（一钱）、半夏（一钱五分）、牛膝（一钱五分）、通草（七分）、丹皮（一钱五分）、桑叶（一钱）。
服用十帖后病去大半，继服人参生脉散三帖，仍用前方，去掉桑叶、丹皮，加入肉桂、黄芪、苡仁而痊愈。
按语：此症治疗不当，必致肌肉日渐消瘦，痰涎日渐增多，不超过数月，危境立刻到来。所以详细论述病情，让从事医学的人掌握治疗的界限。
蔡姓患者（三十四岁），胸胀喘促，咳嗽吐红，脉象大而数。古称脉大为劳，数为虚，证由劳伤脾元，土不生金，肺失清降，治疗应当滋生化源。
党参（二钱）、黄芪（三钱）、生于术（一钱五分）、当归（一钱五分炒黑）、橘皮（一钱）、麦冬（二钱）、苡仁（二钱）、五味子（十粒）、炙甘草（四分）。
此方出于我的见解，名为培源益肺汤，治疗劳倦吐血有神奇功效。
曹姓患者（五十五岁），形寒、咳嗽、吐红，两脉弦软，这是劳倦伤脾，积寒伤肺。治疗应当温补手足太阴肺脾，略加疏理客邪。
党参、蒸于术、茯苓、橘皮、前胡、归身、薏仁、桂枝木、紫苏、炙甘草、煨姜、大枣。
服用两帖后血止咳减。
吴姓患者（二十一岁），前医投用解肌药，汗出热退，但咳血仍然不止。究其病因，深受寒邪，肺气不舒，导致血液妄行。暂再疏利玄府，以解里气上逆。
杏仁、前胡、苏叶、防风、橘皮、石膏、甘草。
此方代青龙汤，服用两剂后咳嗽缓解，吐红停止，胸部宽舒，食欲增加，已得生机。
赵姓患者（二十岁），夜间发热盗汗，咳嗽红痰，脉象弦而数。证属劳怯，自然应当保护正气，兼助药物，以期延长寿命。
北沙参、麦冬、茯神、苡仁、牛膝、白芍、桑叶、钩藤、茅根。
前医投用清金和肝之法，夜热盗汗痊愈；现在只治疗咳嗽。究其根源，因劳累所致，宜用益土生金法，即培补化源之意。
党参、蒸于术、茯苓、半夏、五味子、麦冬、苡仁、橘皮、炙甘草、茅根。
古称嗽症用异功散收功者，可不复发，所谓补土以生金也。
姚氏女子（二十四岁），旧年冬季开始咳嗽，延续到二月，又吐红痰且气味臭秽，脉来细数异常，自汗。屡次更换医生，都说是阴虚，投用四物汤、六味地黄丸之类。后一位医生认为是肺痈，现在前往专科就医，病人家属认识我，知道我能治难病，相邀就医。观其脉症，若是阴虚必然干燥，怎会有汗？内痈胁部必然疼痛，脉必洪大，现在都没有。在我看来，属于肺受外邪，此脏最娇嫩，久咳必伤其膜络，红痰因此而出；更兼土生金，子夺母气，臭痰属脾虚，试看世间腥秽浊物，土掩一夜，其气立解。治法必须从标及本，先用疏散肺邪。
杏仁、薄荷、防风、橘红、桔梗、桑皮、连翘、甘草。
服用两剂后咳嗽大减，改用培土生金法，稍加利肺，用六君子汤加苡仁、扁豆、山药、杏仁、前胡，四帖后痰少且腥气消除，咳嗽痊愈。原方去掉后五味，加入麦冬、当归、地黄，调补复元。
浦姓女子（十一岁），久咳伤肺，痰内带红，左脉弦数，肝火刑金。
丹皮、桑叶、钩藤、白芍、苡仁、茯神、杏仁、橘红、麦冬、甘草、沙参。
服用四帖后减半，改用他法而痊愈。
Patient Zhang (79 years old), with disordered Yin and Yang, experienced simultaneous vomiting and diarrhea. He could not swallow even a spoonful of water, his urination was obstructed, he felt thirsty with a dry tongue, and both pulses were weak and faint. This condition belongs to a critical and dangerous syndrome. Tentatively prescribing the Linqing Method (Clearing and Regulating Method) to observe the changes.
Poria (Fuling), Polyporus (Zuling), Tangerine Peel (Jupi), Magnolia Bark (Houpo), Coix Seed (Bian Dou), Patchouli (Guang Huo Xiang), White Peony Root (Baishao, stir-fried), Atractylodes Macrocephala (Yuzhu), Pinellia (Banxia), Uncaria (Gouteng).
After two doses, vomiting and diarrhea ceased, he advanced to thin rice gruel, the pulse became responsive, the tongue moistened, and tendons relaxed. It is appropriate to use aromatic herbs to awaken the Stomach and sweet/bland herbs to benefit the Spleen.
Codonopsis (Dangshen), Atractylodes Macrocephala (Yuzhu), Poria (Fuling), Broad-leaved Citrus Peel (Guangpi), Magnolia Bark (Houpo), Coix Seed (Bian Dou), Pinellia (Banxia), Amomum Fruit (Shake), Honey-fried Licorice (Zhigancao).
Patient Xu (28 years old) reported suffering from malaria twice. After bathing in a river, the quotidian malaria resolved, but immediately followed by inability to urinate. The abdomen was hard as stone, protruding like a mound, legs were swollen and shiny, breath was short, and spirit was dull. It had been seven days; the situation was critical and unbearable, worse than anything else. Previous physicians administered Chengqi Decoction and Gengyi Pills. Bowel movements slightly cleared, but urine was merely dripping. The pulse was wiry and forceful, clearly indicating malarial pathogen accumulation, with Bladder Qi failing to transform. Since the Foot-Shaoyang channel disease involves the Foot-Taiyang channel, treatment should drain Shaoyang and open Taiyang.
Bupleurum (Chaihu, 1 qian), Scutellaria (Huangqin, 1.5 qian), Green Citrus Peel (Qingpi, 1 qian), Tangerine Peel (Jupi, 1 qian), Poria (Fuling, 1.5 qian), Polyporus (Zuling, 1 qian), Alisma (Zexie, 1.5 qian), Lotus Stem (He Geng, 7 cun).
Taken in the evening, by late night sounds were heard in the abdomen. Previously instructed to stimulate the nose with Juncus (Dengxincao), after several sneezes, urine flowed like a torrent. By dawn, five voidings occurred, totaling about one dou, foul-smelling, and the illness seemed to vanish. The brilliance of this formula lies in the heavy use of Chaihu.
Patient Zhou (36 years old), food regurgitation after eating, dry stool. This results from irregular diet and labor injuring Middle Qi, as stated in the *Neijing*: "Disorder of the nine orifices all belong to Stomach disease."
Codonopsis (Dangshen), Ophiopogon (Maidong), Pinellia (Banxia), Chenpi, Poria (Fuling), Dendrobium (Chuanhu), Licorice (Gancao), Sugarcane Juice (Zheshuang).
Patient Shen (38 years old), pulse is deficient and rapid. Hemoptysis occurs upon exertion. This stems from labor injuring Spleen Qi, causing the Spleen to fail to control blood. The Classics state: "For deficiency/exhaustion, warm it." This syndrome must be warmed and nourished. If one sees rapid pulse, coughing, and hemoptysis, and immediately administers cold/cooling herbs, damaging Middle Qi, the illness will surely worsen.
Codonopsis (Dangshen, 2 qian), Atractylodes Macrocephala (Yuzhu, 2 qian), Astragalus (Huangqi, 2 qian, stir-fried), Angelica Sinensis Root (Guishen, 1.5 qian, charred), Cinnamon Twig Wood (Guizhimu, 0.5 qian), Schisandra (Wuweizi, 10 grains), Tangerine Peel (Jupi, 0.8 fen), Honey-fried Licorice (Zhigancao, 0.4 fen).
Add Ginger and Jujube.
Miss Chen (20 years old), began coughing and choking in late spring, hemoptysis in mid-summer, aversion to wind, tidal fever, rapid pulse. This is due to Lung affected by Wind-Heat, Qi unable to disperse outward, leading to reckless blood movement. It is not comparable to Yin deficiency with Fire rising; there is no need to worry. Simply lightly dispersing Taiyin Lung Qi will yield quick results.
Apricot Kernel (Xingren, 2 qian, crushed), Saposhnikovia (Fangfeng, 1 qian), Mint (Bohe, 1 qian), Mulberry Leaf (Sangye, 1.5 qian, honey-fried), Moutan Cortex (Danpi, 1.5 qian), Peucedanum (Qianhu, 1.5 qian), Forsythia (Lianqiao, 1.5 qian), Licorice (Gancao, 0.4 fen).
The previous formula regulated the exterior and descended rebellious Qi. With heat subsiding and cough calming, it is evident that hemoptysis often has external pathogen factors. Ignorant practitioners fail to investigate, indiscriminately using moistening/nourishing herbs, turning false symptoms into reality. Seeking the root is the essential principle of medicine. Now, only clear and nourish Lung and Stomach.
Ophiopogon (Maidong, 2 qian), Poria (Fuling, 2 qian), Coix Seed (Yiren, 3 qian), Red Tangerine Peel (Juhong, 0.8 fen), Apricot Kernel (Xingren, 2 qian, crushed), Glehnia (Beishashen, 2 qian), Forsythia (Lianqiao, 1.5 qian), Licorice (Gancao, 0.4 fen).
Patient Xu (45 years old), Ying-Qi injured by labor, newly affected by Cold. Fever, panting, hemoptysis. Condition is critical. Tentatively use exterior-releasing method to rescue interior rebellious Qi.
Fermented Soybean (Xiangchi, 3 qian), Perilla (Zisu, 1.5 qian), Apricot Kernel (Xingren, 3 qian), Peucedanum (Qianhu, 1.5 qian), Platycodon (Jiegeng, 1 qian), Tangerine Peel (Jupi, 1 qian), Moutan Cortex (Danpi, 1.5 qian), Forsythia (Lianqiao, 1.5 qian), Licorice (Gancao, 0.4 fen), Ginger Skin (Jiangpi, 0.4 fen), Shallot Head (Xicongtou, 5 pieces).
After two doses, heat eased, cough reduced, but hemoptysis persisted. Pulse left fine/soft, right floating/wiry/rapid. Tongue coating pale yellow. Pulse/symptoms indicate tonification is suitable, but due to right floating/wiry pulse, Wind pathogen remains. Adding one or two exterior-regulating herbs is prudent.
Codonopsis (Dangshen), Coix Seed (Yiren), Rehmannia (Shengdi), Charred Angelica (Guishentan), Ophiopogon (Maidong), Poria (Fuling), Licorice (Gancao), Tangerine Peel (Jupi), Pinellia (Banxia), Apricot Kernel (Xingren), Mint (Bohe).
After three doses, remove Xingren and Bohe, add Yuzhu, Huangqi, Zhigancao. After more than ten doses, recovery ensued.
Cough and Hemoptysis
Patient Chen (43 years old), cough and hemoptysis, sputum thick or thin. Sensation of Qi rising in the left abdomen, worse when lying down. Complexion pale, aversion to wind, pulse soft and slightly rapid. Previous physician first used Xingren and Bohe to disperse/descend Lung Qi, worsening the cough. Others attributed it to Dry-Fire insulting Metal, administering American Ginseng (Yangshen) and Maidong, along with heavy tonics, which greatly reduced the condition. I consulted a physician, believing this is Earth deficiency failing to generate Metal, Metal deficiency failing to control Wood, leading to Liver Qi rebellion, Stomach insulted by Wood, transport dysfunction, food failing to transform into essence, becoming phlegm-drool. Turbid Qi steams upward, condenses and ascends. As the Lung is the Canopy, how can it not be diseased? Thus, dispersing consumes Metal further, cooling/moistening empties the Mother. Treatment must nourish the source of transformation, pacify the overcoming element, to be effective.
Codonopsis (Dangshen, 3 qian, originally intended for Ren Shen but too expensive, substituted), Atractylodes Macrocephala (Yuzhu, 2 qian), Poria (Fuling, 1.5 qian), Honey-fried Licorice (Zhigancao, 0.4 fen), Tangerine Peel (Jupi, 1 qian), Pinellia (Banxia, 1.5 qian), Achyranthes (Niuxi, 1.5 qian), Tetsuka Herb (Tongcao, 0.7 fen), Moutan Cortex (Danpi, 1.5 qian), Mulberry Leaf (Sangye, 1 qian).
After ten doses, illness removed by more than half. Continue with Rensheng Shengmai San for three doses, then resume previous formula, removing Sangye and Danpi, adding Rougui, Huangqi, Yiren. Recovered.
Commentary: Improper treatment of this syndrome leads to daily muscle wasting and increasing phlegm. Within months, critical danger arrives. Hence, detailed discussion of pathology allows practitioners to grasp the boundaries of treatment.
Patient Cai (34 years old), chest distension, panting, cough, hemoptysis. Pulse large and rapid. Ancients say: Large pulse indicates exhaustion, rapid pulse indicates deficiency. Syndrome caused by labor injuring Spleen Yuan, Earth failing to generate Metal, Lung losing clear descent. Treatment should nourish the source of transformation.
Codonopsis (Dangshen, 2 qian), Astragalus (Huangqi, 3 qian), Atractylodes Macrocephala (Yuzhu, 1.5 qian), Angelica (Danggui, 1.5 qian, stir-fried charred), Tangerine Peel (Jupi, 1 qian), Ophiopogon (Maidong, 2 qian), Coix Seed (Yiren, 2 qian), Schisandra (Wuweizi, 10 grains), Honey-fried Licorice (Zhigancao, 0.4 fen).
This formula is my original creation, named Peiyuan Yifei Tang (Nourish Source Benefit Lung Decoction), performing miracles in treating labor-induced hemoptysis.
Patient Cao (55 years old), aversion to cold, cough, hemoptysis. Both pulses wiry and soft. This is labor-fatigue injuring Spleen, accumulated Cold injuring Lung. Treatment should warm-tonify Hand and Foot Taiyin (Lung/Spleen), slightly assisting in dispersing exogenous pathogens.
Codonopsis (Dangshen), Steamed Atractylodes (Zheng Yuzhu), Poria (Fuling), Tangerine Peel (Jupi), Peucedanum (Qianhu), Angelica (Guishen), Coix Seed (Yiren), Cinnamon Twig Wood (Guizhimu), Perilla (Zisu), Honey-fried Licorice (Zhigancao), Baked Ginger (Weijiang), Jujube (Dazao).
After two doses, bleeding stopped, cough reduced.
Patient Wu (21 years old), previous administration of muscle-releasing herbs resulted in sweating and heat reduction, but hemoptysis persisted. Investigating the cause: severe Cold pathogen injury, Lung Qi unsmooth, leading to reckless blood movement. Tentatively again disperse and promote Yuanfu (pores) to resolve interior rebellion.
Apricot Kernel (Xingren), Peucedanum (Qianhu), Perilla Leaf (Suye), Saposhnikovia (Fangfeng), Tangerine Peel (Jupi), Gypsum (Shigao), Licorice (Gancao).
This formula substitutes Qinglong Tang. After two doses, cough eased, hemoptysis stopped, chest widened, appetite increased, vitality returned.
Patient Zhao (20 years old), night fever, night sweats, cough with red sputum. Pulse wiry and rapid. Syndrome belongs to Labor Consumption (Lao Que). Naturally requires protecting Zheng Qi, assisting with herbs, hoping to extend lifespan.
Glehnia (Beishashen), Ophiopogon (Maidong), Poria Spirit (Fushen), Coix Seed (Yiren), Achyranthes (Niuxi), White Peony (Baishao), Mulberry Leaf (Sangye), Uncaria (Gouteng), Imperata Rhizome (Maogen).
Previous treatment with Clearing Metal Harmonizing Liver methods cured night fever/sweats; now treat only cough. Investigating the source, it is labor-induced. Use Tonifying Earth Generating Metal method, implying nourishing the source of transformation.
Codonopsis (Dangshen), Steamed Atractylodes (Zheng Yuzhu), Poria (Fuling), Pinellia (Banxia), Schisandra (Wuweizi), Ophiopogon (Maidong), Coix Seed (Yiren), Tangerine Peel (Jupi), Honey-fried Licorice (Zhigancao), Imperata Rhizome (Maogen).
Ancients state that using Yigong San to conclude cough treatment prevents recurrence, known as Tonifying Earth to Generate Metal.
Ms. Yao (24 years old), cough started last winter, extending to February, then spitting offensive-smelling red sputum. Pulse extremely fine and rapid, spontaneous sweating. Repeatedly changing doctors, all diagnosed Yin Deficiency, administering Siwu Tang and Liuwei Dihuang Wan. Later doctor diagnosed Lung Abscess. Now seeking specialist care. Family knows I can treat difficult cases and invited me. Observing pulse/symptoms: if Yin Deficiency, there must be dryness, how can there be sweat? Internal abscess in hypochondrium must hurt, pulse must be large and flooding, neither present. In my view, it is Lung affected by exogenous pathogen. This organ is most delicate; chronic cough damages membranes, causing red sputum. Furthermore, Earth generates Metal, Child steals Mother Qi. Offensive sputum belongs to Spleen deficiency. Observe worldly foul matter covered by earth overnight; its odor dissipates quickly. Treatment must address branch then root. First disperse Lung pathogen.
Apricot Kernel (Xingren), Mint (Bohe), Saposhnikovia (Fangfeng), Red Tangerine Peel (Juhong), Platycodon (Jiegeng), Mulberry Bark (Sangpi), Forsythia (Lianqiao), Licorice (Gancao).
After two doses, cough significantly reduced. Switch to Tonifying Earth Generating Metal method, slightly benefiting Lung. Liujunzi Tang added with Yiren, Bian Dou, Shanyao, Xingren, Qianhu. After four doses, less sputum, foul odor gone, cough cured. Original formula remove last five items, add Maidong, Danggui, Dihuang, regulate and restore Yuan.
Miss Pu (11 years old), chronic cough injuring Lung, sputum contains blood. Left pulse wiry and rapid. Liver Fire insulting Metal.
Moutan Cortex (Danpi), Mulberry Leaf (Sangye), Uncaria (Gouteng), White Peony (Baishao), Coix Seed (Yiren), Poria Spirit (Fushen), Apricot Kernel (Xingren), Red Tangerine Peel (Juhong), Ophiopogon (Maidong), Licorice (Gancao), Glehnia (Shashen).
After four doses, halved. Changed method and recovered.