曹女(二二)恶风背痛,身热咳呛,外感风邪,内有郁火。
柴胡(五分) 薄荷(五分) 杏仁(二钱) 前胡(一钱五分) 橘红(八分) 山栀(一钱五分)
丹皮(一钱五分) 甘草(四分)
唐(四八) 发热咳嗽多汗,脉弦细。经云∶形寒饮冷则伤肺。肺虚则脾气亦弱,诸症从
此而生。治当调摄营卫,若作外感而投表散,失其本矣。
党参(二钱) 黄 (二钱炒) 归身(一钱五分) 于术(一钱五分) 茯苓(一钱五分) 半
夏(一
钱五分) 橘红(一钱) 白芍(一钱五分) 苡仁(二钱炒) 苏子(一钱五分炒研) 炙草(三分
)老姜(二片) 大枣(三个)
又前方只服三剂,热止嗽减汗无,此培植中气,肺疾亦痊,所谓虚补其母之法。
万(三七) 脉软咳嗽,法当补土。
党参 于术 黄 归身 橘红 茯苓 扁豆 苡仁 炙草
四服如失。
屠妪(六三)咳呛半年,六脉微细,每至夜卧,犹苦气上逆,难以着枕。是虚火上炎,
都气汤加肉桂甜梨皮。
王(二十) 身热干咳,夜不思寐,自汗淋漓,两脉虚数无绪,一息八九至,当此病后,
脉唯细数,是假实。确系营卫大虚,守护失宜,浪用疏肺,能免重虚之戒乎?
党参(二钱) 生地(四钱) 归身(一钱五分) 萸肉(一钱五分) 黄 (二钱) 枣仁(一
钱五分) 茯神(一钱五分) 白芍(一钱五分) 炙草(四分) 龙眼肉(二钱)
淮麦(一钱五分)
两服汗止热退嗽减,加五味子十粒,麦冬二钱,去白芍、萸肉、小麦、龙眼,十服痊愈
。
张(三一)咳嗽夜热,至晓汗解,晚食作胀,脉来软大。此情怀抑郁,阳气下陷,补中
益气,四贴有效。惟咳嗽仍然,去升麻,加麦冬、五味而痊。
周(三七)卧着安然,坐起即欲呕吐,畏寒咳嗽,脉来弦细。按脉证确非中气不足,补
药壅滞,难以遽投,实缘外感肺郁有火,疏利清理,万全之策。
杏仁 通草 橘红 半夏 苏叶 茯苓 连翘 川斛 老姜皮
钟(四八) 老劳咳嗽多痰,不能倒卧,侧右尤觉气逆不安。此由水亏火升,胃虚不降,
投都
气丸加青铅,气急略减。自述气不上逆,可以伏枕安卧足矣,彻夜转侧,已经一月。人藉安
息以养营血,其病至此,实属难当。即思一方,以左司升,右司降,是属东方肝木,西方肺
金所主,气逆不降,责在肺不清肃,秋令不行。
苡仁(二钱) 茯神(二钱) 通草(六分) 橘皮(六分,秋石水炒) 粉草(二钱。以上五味
色白行降令,兼和肺气) 钩藤(三钱) 菊花炭(和肝阳缓气上逆。)
立方在命意好,不在药之轻重,一服即效。病者喜出过望,酬予重值古玩。因彼家贫不
受,回言尊恙非旦晚可愈,可售价病中调理。后因酒色不戒,仍归不起。
鲁(十七)发热咳嗽,舌苔干黄,脉来细数而动。此因外感风热,内受惊恐,痰气结于中
焦,治宜疏肌开郁。
杏仁 薄荷 连翘 橘红 川连 枳实 栝蒌皮 郁金
朱妪 内热烦渴,频喜凉饮,嗽咸痰。此肾水不足,虚火上泛,六味地黄汤,加麦冬、
五味子。
戴(二七) 肌热盗汗咳呛,加味泻白散。
桑皮 地骨皮 甘草 杏仁 前胡 连翘 橘红 通草
三服愈。
毛(五一) 咳嗽八阅月,从前吐红,近日吐痰,消瘦失音,夜热脉数,积劳成损。
炒熟地 党参 归身 半夏 怀山药 橘皮 茯神 苡仁 丹皮
六服,其病如失。
蒋氏(二五) 脉来细数,频年咳嗽,不时寒热。治宜补土以止嗽,养营以除热。六君子
加归、地、五味子、麦冬、苡仁,四服病减,再服十剂可愈。
倪氏(四六) 咳呛有年,每到春时发作,入夏渐愈。今已小暑,其病反增,内热口苦,
呕痰多汗,声喘背痛,两脉虚数微弦。此久嗽肺伤,必夺母气,治法宜补胃清金。
党参 白术 茯苓 半夏 橘红 杏仁 连翘 北沙参 炙草 茅草根
又四帖,病减其半。前方去连翘,再服四剂,照方制丸料,用茅根与大枣葱汤泛丸,可
冀来春不发。
曹姓女子(22岁),恶风、背痛,身体发热、咳嗽气逆,此为外感风邪,内有郁火。
柴胡(五分) 薄荷(五分) 杏仁(二钱) 前胡(一钱五分) 橘红(八分) 山栀(一钱五分)
丹皮(一钱五分) 甘草(四分)
唐姓患者(48岁),发热、咳嗽、多汗,脉象弦细。医经云:形体受寒、饮食生冷则损伤肺脏。肺气虚弱则脾气亦弱,各种症状由此产生。治疗应当调理营卫,如果当作外感病而使用发散解表的方法,就失去了根本。
党参(二钱) 黄芪(二钱炒) 当归身(一钱五分) 白术(一钱五分) 茯苓(一钱五分) 半
夏(一钱五分) 橘红(一钱) 白芍(一钱五分) 薏苡仁(二钱炒) 苏子(一钱五分炒研) 炙甘草(三分) 老姜(二片) 大枣(三个)
又前方只服三剂,热止、咳减、汗无,这是培植中气,肺疾也随之痊愈,这就是“虚补其母”的方法。
万姓患者(37岁),脉象软弱、咳嗽,治法应当补益脾土。
党参 白术 黄芪 当归身 橘红 茯苓 扁豆 薏苡仁 炙甘草
服用四剂后,病如失。
屠姓老妇(63岁),咳嗽气逆半年,六脉微细,每到夜间卧床时,仍苦于气机上逆,难以枕卧。这是虚火上炎,用都气汤加肉桂、甜梨皮。
王姓男子(20岁),身体发热、干咳,夜间不能入睡,自汗淋漓,两脉虚数无序,一息八九至,在此病后,脉唯细数,这是假实证。确系营卫大虚,守护失宜,滥用疏肺之法,能避免重虚的戒律吗?
党参(二钱) 生地(四钱) 当归身(一钱五分) 山茱萸(一钱五分) 黄芪(二钱) 酸枣仁(一钱五分) 茯神(一钱五分) 白芍(一钱五分) 炙甘草(四分) 龙眼肉(二钱)
淮小麦(一钱五分)
服用两剂后,汗止、热退、咳减,加五味子十粒,麦冬二钱,去白芍、山茱萸、小麦、龙眼,服用十剂痊愈。
张姓男子(31岁),咳嗽伴夜间发热,至早晨汗出而解,晚餐后腹胀,脉来软弱而大。此因情怀抑郁,阳气下陷,用补中益气汤,四帖有效。惟咳嗽仍然,去升麻,加麦冬、五味子而痊愈。
周姓男子(37岁),躺卧时安然,坐起即欲呕吐,畏寒咳嗽,脉来弦细。按脉证确实不是中气不足,补药壅滞,难以立即投用,实因外感肺郁有火,疏利清理,是万全之策。
杏仁 通草 橘红 半夏 苏叶 茯苓 连翘 川石斛 老姜皮
钟姓男子(48岁),久劳咳嗽多痰,不能仰卧,右侧卧更觉气逆不安。这是由于肾水亏虚、火气上升,胃虚不降,投予都气丸加青铅,气急略减。自述气不上逆,可以伏枕安卧足矣,彻夜转侧,已经一个月。人藉安息以养营血,其病至此,实属难当。即思一方,以左司升,右司降,是属东方肝木,西方肺金所主,气逆不降,责在肺不清肃,秋令不行。
薏苡仁(二钱) 茯神(二钱) 通草(六分) 橘皮(六分,秋石水炒) 粉甘草(二钱。以上五味色白行降令,兼和肺气) 钩藤(三钱) 菊花炭(和肝阳缓气上逆。)
立方在于立意好,不在于药的轻重,一服即效。病者喜出望外,酬予重金古玩。因彼家贫不受,回言尊恙非旦晚可愈,可售价病中调理。后因酒色不戒,仍归不起。
鲁姓男子(17岁),发热咳嗽,舌苔干黄,脉来细数而动。此因外感风热,内受惊恐,痰气结于中焦,治宜疏肌开郁。
杏仁 薄荷 连翘 橘红 黄连 枳实 栝蒌皮 郁金
朱姓老妇,内热烦渴,频喜凉饮,嗽咸痰。这是肾水不足,虚火上泛,用六味地黄汤,加麦冬、五味子。
戴姓男子(27岁),肌热盗汗咳呛,用加味泻白散。
桑白皮 地骨皮 甘草 杏仁 前胡 连翘 橘红 通草
服用三剂痊愈。
毛姓男子(51岁),咳嗽八个月,从前吐红,近日吐痰,消瘦失音,夜热脉数,积劳成损。
炒熟地黄 党参 当归身 半夏 怀山药 橘皮 茯神 薏苡仁 丹皮
服用六剂,其病如失。
蒋氏女子(25岁),脉来细数,频年咳嗽,不时寒热。治宜补土以止嗽,养营以除热。六君子汤加当归、地黄、五味子、麦冬、薏苡仁,四服病减,再服十剂可愈。
倪氏女子(46岁),咳呛有年,每到春时发作,入夏渐愈。今已小暑,其病反增,内热口苦,呕痰多汗,声喘背痛,两脉虚数微弦。此久嗽肺伤,必夺母气,治法宜补胃清金。
党参 白术 茯苓 半夏 橘红 杏仁 连翘 北沙参 炙甘草 茅草根
Ms. Cao (22 years old), aversion to wind, back pain, fever, cough with qi rebellion, this is external contraction of wind-pathogen, internal stagnant fire.
Chai Hu (Bupleuri Radix) (5 fen) Bo He (Menthae Haplocalycis Herba) (5 fen) Xing Ren (Armeniacae Semen Amarum) (2 qian) Qian Hu (Peucedani Radix) (1.5 qian) Ju Hong (Citri Reticulatae Pericarpium Rubrum) (8 fen) Shan Zhi (Gardeniae Fructus) (1.5 qian)
Dan Pi (Moutan Cortex) (1.5 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma) (4 fen)
Patient Tang (48 years old), fever, cough, profuse sweating, pulse wiry and fine. The medical classics state: "Cold damaging the form and cold drinks injuring the interior harm the Lung." When Lung Qi is deficient, Spleen Qi also becomes weak, and various symptoms arise from this. Treatment should regulate Ying and Wei (Nutritive and Defensive Qi). If treated as an external contraction and administered dispersing and releasing exterior methods, the root cause would be missed.
Dang Shen (Codonopsis Radix) (2 qian) Huang Qi (Astragali Radix) (2 qian, stir-fried) Dang Gui Shen (Angelicae Sinensis Radix, the body) (1.5 qian) Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1.5 qian) Fu Ling (Poria) (1.5 qian) Ban Xia (Pinelliae Rhizoma Preparatum) (1.5 qian)
Ju Hong (Citri Reticulatae Pericarpium Rubrum) (1 qian) Bai Shao (Paeoniae Radix Alba) (1.5 qian) Yi Yi Ren (Coicis Semen) (2 qian, stir-fried) Su Zi (Perillae Fructus) (1.5 qian, stir-fried and ground) Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (3 fen) Lao Jiang (Zingiberis Rhizoma Recens) (2 slices) Da Zao (Jujubae Fructus) (3 pieces)
After taking the previous prescription for only three doses, the fever stopped, cough decreased, and sweating ceased. This is cultivating the Middle Qi, and the Lung disease also recovered. This is the method of "tonifying the mother for deficiency."
Patient Wan (37 years old), soft pulse, cough, the method should tonify Earth (Spleen/Stomach).
Dang Shen (Codonopsis Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Huang Qi (Astragali Radix) Dang Gui Shen (Angelicae Sinensis Radix, the body) Ju Hong (Citri Reticulatae Pericarpium Rubrum) Fu Ling (Poria) Bian Dou (Dolichoris Lablab Semen Album) Yi Yi Ren (Coicis Semen) Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma)
After four doses, the illness disappeared as if lost.
Elderly Ms. Tu (63 years old), cough with qi rebellion for half a year, six pulses faint and fine, every time lying down at night, still suffering from qi rebelling upward, difficult to rest on the pillow. This is deficiency fire flaming upward, using Du Qi Tang (All-Encompassing Pill) added with Rou Gui (Cinnamomi Cortex) and Tian Li Pi (Sweet Pear Peel).
Mr. Wang (20 years old), body heat, dry cough, inability to sleep at night, spontaneous sweating dripping, both pulses deficient and rapid without order, eight or nine breaths per respiration. After this illness, the pulse is only fine and rapid, this is false excess. It is indeed severe deficiency of Ying and Wei (Nutritive and Defensive Qi), improper protection, abusing lung-dispersing methods, can one avoid the warning of severe deficiency?
Dang Shen (Codonopsis Radix) (2 qian) Sheng Di (Rehmanniae Radix) (4 qian) Dang Gui Shen (Angelicae Sinensis Radix, the body) (1.5 qian) Yu Rou (Corni Fructus) (1.5 qian) Huang Qi (Astragali Radix) (2 qian) Zao Ren (Ziziphi Spinosae Semen) (1.5 qian) Fu Shen (Poria cum Radice) (1.5 qian) Bai Shao (Paeoniae Radix Alba) (1.5 qian) Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (4 fen) Long Yan Rou (Longan Arillus) (2 qian)
Huai Mai (Tritici Levis Fructus) (1.5 qian)
After two doses, sweating stopped, heat retreated, cough decreased. Added Wu Wei Zi (Schisandrae Chinensis Fructus) ten grains, Mai Dong (Ophiopogonis Radix) 2 qian, removed Bai Shao, Yu Rou, Xiao Mai, Long Yan Rou. After ten doses, fully recovered.
Mr. Zhang (31 years old), cough with night fever, resolving with sweat by dawn, abdominal distension after evening meal, pulse soft and large. This is due to depressed emotions, sinking of Yang Qi, using Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction), four doses effective. Only cough remains, remove Sheng Ma (Cimicifugae Rhizoma), add Mai Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Chinensis Fructus) and recovered.
Mr. Zhou (37 years old), comfortable when lying down, nausea upon sitting up, aversion to cold, cough, pulse wiry and fine. According to pulse and symptoms, it is indeed not insufficient Middle Qi, tonifying medicines are cloying and obstructing, difficult to administer immediately. It is actually due to external contraction, Lung stagnation with fire, dispersing, promoting flow, and clearing is the perfect strategy.
Xing Ren (Armeniacae Semen Amarum) Tong Cao (Tetrapanacis Medulla) Ju Hong (Citri Reticulatae Pericarpium Rubrum) Ban Xia (Pinelliae Rhizoma Preparatum) Su Ye (Perillae Folium) Fu Ling (Poria) Lian Qiao (Forsythiae Fructus) Chuan Hu (Dendrobii Caulis) Lao Jiang Pi (Zingiberis Rhizoma Recens Pericarpium)
Mr. Zhong (48 years old), chronic labor-induced cough with much phlegm, unable to lie supine, right lateral position feels even more qi rebelling and uneasy. This is due to Kidney Water deficiency, Fire rising, Stomach deficiency failing to descend, administering Du Qi Wan (All-Encompassing Pill) added with Qing Qian (Lead Plumbum), shortness of breath slightly reduced. Self-reported that qi does not rebel upward, can rest on pillow comfortably enough, turning over all night has lasted one month. Humans rely on rest to nourish Ying Blood, reaching this state of illness is truly hard to bear. Thought of a prescription, left governs ascending, right governs descending, belonging to Liver Wood of the East and Lung Metal of the West. Qi rebelling and failing to descend, blame lies in Lung failing to clear and descend, Autumn function not performing.
Yi Yi Ren (Coicis Semen) (2 qian) Fu Shen (Poria cum Radice) (2 qian) Tong Cao (Tetrapanacis Medulla) (6 fen) Ju Pi (Citri Reticulatae Pericarpium) (6 fen, stir-fried with Qiushi water) Fen Cao (Glycyrrhizae Radix et Rhizoma) (2 qian. The above five herbs are white in color, promote descending function, and harmonize Lung Qi) Gou Teng (Uncariae Ramulus cum Uncis) (3 qian) Ju Hua Tan (Chrysanthemi Flos Charred) (Harmonizes Liver Yang, slows qi rebellion.)
The formulation lies in good intent, not in the heaviness or lightness of herbs. One dose was effective. The patient was overjoyed, offered heavy payment for antiques. Because his family was poor, he refused, replied that your illness cannot be cured overnight, could sell valuables for conditioning during illness. Later, because he did not abstain from alcohol and sex, he still died.
Mr. Lu (17 years old), fever, cough, tongue coating dry and yellow, pulse fine, rapid, and moving. This is due to external contraction of Wind-Heat, internal fright, Phlegm-Qi knotting in the Middle Jiao, treatment should release the muscle layer and open depression.
Xing Ren (Armeniacae Semen Amarum) Bo He (Menthae Haplocalycis Herba) Lian Qiao (Forsythiae Fructus) Ju Hong (Citri Reticulatae Pericarpium Rubrum) Chuan Lian (Coptidis Rhizoma) Zhi Shi (Aurantii Fructus Immaturus) Gua Lou Pi (Trichosanthis Pericarpium) Yu Jin (Curcumae Radix)
Elderly Ms. Zhu, internal heat, vexation, thirst, frequent desire for cold drinks, coughing salty phlegm. This is Kidney Water insufficiency, deficiency fire floating upward, Liu Wei Di Huang Tang (Six-Ingredient Pill with Rehmannia), added with Mai Dong (Ophiopogonis Radix), Wu Wei Zi (Schisandrae Chinensis Fructus).
Mr. Dai (27 years old), muscle heat, night sweats, cough with qi rebellion, Jia Wei Xie Bai San (Modified Draining White Powder).
Sang Pi (Mori Cortex) Di Gu Pi (Lycii Cortex) Gan Cao (Glycyrrhizae Radix et Rhizoma) Xing Ren (Armeniacae Semen Amarum) Qian Hu (Peucedani Radix) Lian Qiao (Forsythiae Fructus) Ju Hong (Citri Reticulatae Pericarpium Rubrum) Tong Cao (Tetrapanacis Medulla)
Three doses cured.
Mr. Mao (51 years old), cough for eight months, previously hemoptysis, recently expectorating phlegm, emaciation, loss of voice, night fever, rapid pulse, accumulated labor leading to consumptive disease.
Chao Shu Di (Prepared Rehmanniae Radix) Dang Shen (Codonopsis Radix) Dang Gui Shen (Angelicae Sinensis Radix, the body) Ban Xia (Pinelliae Rhizoma Preparatum) Huai Shan Yao (Dioscoreae Rhizoma) Ju Pi (Citri Reticulatae Pericarpium) Fu Shen (Poria cum Radice) Yi Yi Ren (Coicis Semen) Dan Pi (Moutan Cortex)
Six doses, the illness disappeared as if lost.
Ms. Jiang (25 years old), pulse fine and rapid, yearly cough, intermittent chills and fever. Treatment should tonify Earth to stop cough, nourish Ying to remove heat. Liu Jun Zi Tang (Six-Gentlemen Decoction) added with Dang Gui (Angelicae Sinensis Radix), Di Huang (Rehmanniae Radix), Wu Wei Zi (Schisandrae Chinensis Fructus), Mai Dong (Ophiopogonis Radix), Yi Yi Ren (Coicis Semen). Four doses reduced illness, another ten doses can cure.
Ms. Ni (46 years old), cough with qi rebellion for years, recurring every spring, gradually improving in summer. Now it is Minor Heat, illness increased instead, internal heat, bitter taste in mouth, vomiting phlegm, profuse sweating, wheezing, back pain, both pulses deficient, rapid, slightly wiry. This is long-term cough damaging Lung, must steal Qi from the Mother, treatment method should tonify Stomach and clear Metal.
Dang Shen (Codonopsis Radix) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Fu Ling (Poria) Ban Xia (Pinelliae Rhizoma Preparatum) Ju Hong (Citri Reticulatae Pericarpium Rubrum) Xing Ren (Armeniacae Semen Amarum) Lian Qiao (Forsythiae Fructus) Bei Sha Shen (Glehniae Radix) Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) Mao Gen Cao (Imperatae Rhizoma)
Another four doses, illness reduced by half. Previous prescription remove Lian Qiao, take another four doses, make pills according to prescription, use Mao Gen (Imperatae Rhizoma) with Da Zao (Jujubae Fructus) and Cong Bai (Allii Macrostemonis Bulbus) decoction to coat pills, can hope for no recurrence next spring.