钱(四十) 幼年腹中起块,时常作痛。迩来频发,食入膨胀,吐出方松,究其病源,属
肝木乘土。通阳明,泄厥阴,遵叶氏成法。
川楝肉(一钱) 炒延胡(一钱) 橘白(一钱) 半夏(一钱五分) 枳实(七分) 生白芍(一
钱二分) 丹皮(一钱五分) 炙草(三分) 姜渣(二钱)
柴妪(五一) 两脉虚细,当脐作痛,连及胸胁,而兼身热足冷。此系元虚阳亏,当投温
补。
党参 于术 黄 归身 白芍 桂心 橘皮 香附 炙草 煨姜 大枣
四服热退神旺。
沈(三七) 寒湿内侵,腑气不行,腹痛下痢。
苏叶 羌活 茅术 楂肉 浓朴 橘白 一服而愈。
某 关部独涩,纳食不降,中阳欠运所致,作胸痹治。
薤白(一钱五分) 香附(一钱五分) 橘皮(一钱) 半夏(一钱五分) 茯苓(一钱五分)
栝蒌皮(一钱五分) 姜汁(一匙)
三服效。
本氏(三四) 肝阳上冒,口苦耳聋,滋肾生肝饮。
熟地(四钱) 萸肉(一钱五分) 山药(二钱) 茯苓(一钱五分) 丹皮(一钱五分) 麦冬
(二钱) 泽泻(一钱) 归身(一钱五分) 芍药(一钱五分)
钱某,四十岁。幼年时腹部出现肿块,时常疼痛。近来发作频繁,进食后腹部胀满,呕吐后才感到舒缓。究其病源,属于肝木乘克脾土(肝气过旺侵犯脾胃)。治疗遵循通降阳明胃气、疏泄厥阴肝经的方法,遵照叶天士的成法。
川楝肉(一钱) 炒延胡索(一钱) 橘白(一钱) 半夏(一钱五分) 枳实(七分) 生白芍(一钱二分) 丹皮(一钱五分) 炙甘草(三分) 姜渣(二钱)
柴姓老妇人,五十一岁。两手脉象虚细,肚脐周围疼痛,牵连至胸胁部,并伴有身体发热、脚冷的症状。这属于元气虚弱、阳气亏损,应当投用温补之法。
党参 于术(白术) 黄芪 当归身 白芍 桂心 陈皮 香附 炙甘草 煨生姜 大枣
服用四剂后热退,精神旺盛。
沈某,三十七岁。寒湿之邪内侵,腑气不通,导致腹痛且下痢。
苏叶 羌活 茅术(苍术) 山楂肉 厚朴 橘白
服用一剂即愈。
某人。关部脉象独显涩象,饮食难以下降,这是中焦阳气运化无力所致,按胸痹证治疗。
薤白(一钱五分) 香附(一钱五分) 陈皮(一钱) 半夏(一钱五分) 茯苓(一钱五分) 瓜蒌皮(一钱五分) 姜汁(一匙)
服用三剂见效。
本氏,三十四岁。肝阳上亢冒犯清窍,口苦耳聋,使用滋肾生肝饮。
熟地黄(四钱) 山茱萸肉(一钱五分) 山药(二钱) 茯苓(一钱五分) 丹皮(一钱五分) 麦冬(二钱) 泽泻(一钱) 当归身(一钱五分) 芍药(一钱五分)
Patient Qian, aged forty. Since childhood, he had masses arising in the abdomen with frequent pain. Recently, the attacks have become more frequent; abdominal distension occurs after eating, and relief is only achieved after vomiting. Investigating the root cause, this belongs to Liver Wood overacting on Spleen Earth (Liver Qi invading the Spleen and Stomach). The treatment follows the method of unblocking the Yangming [Stomach] and draining the Jueyin [Liver], adhering to the established methods of Ye Tianshi.
Chuanlian Rou (Fructus Toosendan, 1 qian) Chao Yanhu (Rhizoma Corydalis, fried, 1 qian) Jiubai (Pericarpium Citri Reticulatae Albedo, 1 qian) Banxia (Rhizoma Pinelliae, 1.5 qian) Zhishi (Fructus Aurantii Immaturus, 0.7 qian) Sheng Baishao (Radix Paeoniae Alba, raw, 1.2 qian) Danpi (Cortex Moutan, 1.5 qian) Zhi Cao (Radix Glycyrrhizae Preparata, 0.3 qian) Jiangzha (Residue of Ginger, 2 qian)
Aunt Chai, aged fifty-one. Both pulses are deficient and thin. Pain is centered around the umbilicus, radiating to the chest and hypochondrium, accompanied by fever in the body and coldness in the feet. This indicates deficiency of Yuan Qi (Original Qi) and decline of Yang Qi. The treatment should employ warming and tonifying methods.
Dangshen (Radix Codonopsis) Yuzhu (Rhizoma Atractylodis Macrocephalae, also known as Baizhu) Huangqi (Radix Astragali) Guishen (Radix Angelicae Sinensis Root portion) Baishao (Radix Paeoniae Alba) Guixin (Cortex Cinnamomi) Chenpi (Pericarpium Citri Reticulatae) Xiangfu (Rhizoma Cyperi) Zhi Cao (Radix Glycyrrhizae Preparata) Wei Jiang (Ginger, baked) Dazao (Fructus Jujubae)
After four doses, the fever subsided, and spirit became vigorous.
Patient Shen, aged thirty-seven. Cold-dampness invaded internally, causing stagnation of Fu organ Qi, resulting in abdominal pain and dysentery.
Suye (Folium Perillae) Qianghuo (Rhizoma et Radix Notopterygii) Maozhu (Rhizoma Atractylodis Lancea, also known as Cangzhu) Zharon (Fructus Crataegi) Houpo (Cortex Magnoliae Officinalis) Jiubai (Pericarpium Citri Reticulatae Albedo)
Cured after one dose.
Certain patient. The Guan position pulse alone is choppy. Food intake fails to descend. This is caused by insufficient transportation of Middle Jiao Yang Qi. It is treated as Chest Bi (Obstruction Syndrome).
Xiebai (Bulbus Allii Macrostemonis, 1.5 qian) Xiangfu (Rhizoma Cyperi, 1.5 qian) Chenpi (Pericarpium Citri Reticulatae, 1 qian) Banxia (Rhizoma Pinelliae, 1.5 qian) Fuling (Poria, 1.5 qian) Gualoupi (Pericarpium Trichosanthis, 1.5 qian) Jiangzhi (Jiangzhi, Ginger Juice, 1 spoon)
Effective after three doses.
Patient Ben, aged thirty-four. Liver Yang rises and harasses upwards, causing bitter taste in the mouth and deafness. Prescribed Zishen Shenggan Yin (Decoction for Nourishing Kidney and Generating Liver).
Shudi (Radix Rehmanniae Preparata, 4 qian) Yurou (Fructus Corni, 1.5 qian) Shanyao (Rhizoma Dioscoreae, 2 qian) Fuling (Poria, 1.5 qian) Danpi (Cortex Moutan, 1.5 qian) Maidong (Radix Ophiopogonis, 2 qian) Zexie (Rhizoma Alismatis, 1 qian) Guishen (Radix Angelicae Sinensis Root portion, 1.5 qian) Shaoyao (Radix Paeoniae, 1.5 qian)
Certain patient. Lower back soreness, chest fullness, abdominal distension after eating, shivering upon exposure to wind-cold, and a deficient-floating pulse. There is no doubt regarding the failure of Middle Jiao Yang Qi transportation. Prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Guizhi (Ramulus Cinnamomi) 6 fen. Effective after three prescriptions.