上方连服八剂，患者食思倍增，面色润泽，精神恢复。继后以四逆当归补血汤及黄芪桂枝五物汤数剂调理善后，住院一月痊愈出院。其后于1964年相遇，询及十余年来，身体健康。
乳 痈(一)
(乳腺炎)尹××，女，二十五岁，昆明人。1969年春季，产后六日，因右侧乳房患“急性乳腺炎”赴某医院就诊，经用青霉素等针药治疗，病情不减，又改延中医外科诊治，认为系热毒所致，当即投以清热解毒之剂，外敷清热消肿软膏。连用五剂，诊治十余日，寒热不退，右侧乳房红肿疼痛反而日渐增剧，遂延余诊视。证见患者发热而恶寒，清晨体温37．4℃，午后则升高至39℃左右。头疼，全身酸痛，右侧乳房红肿灼热而硬，乳汁不通，痛彻腋下，呻吟不止。日不思饮食，夜不能入眠，精神疲惫，欲寐无神。脉沉细而紧，舌质淡而含青，苔白厚腻。此系产后气血俱虚，感受风寒外邪，致使经脉受阻，气血凝滞。后又误服清热苦寒之剂，伤正而益邪，遂致乳痈加剧。法当扶正驱邪，温经散寒，活络通乳。方用麻黄附子细辛汤加味。
附片30克麻黄9克细辛5克桂枝15克 川芎9克 通
草6克 王不留行9克 炙香附9克 生姜15克 甘草6克
次日复诊。昨日连服上方二次，温覆而卧，数刻后则遍身絷絷汗出，入夜能安静熟寐，今晨已热退身凉，顿觉全身舒缓，头身疼痛已愈，右侧乳房红肿热痛减去其半，稍进稀粥与牛奶，痛苦呻吟之状已减，脉已不紧，沉细和缓。舌质青色已退而转淡红，苔薄白，根部尚腻。此乃证虽见效，然余邪未尽，气血未充，继以扶阳温化之法治之，方用茯苓桂枝汤加味。
茯苓15克 桂枝15克 川芎9克 通草6克 细辛3克 炙
香附9克 苡仁15克 附片45克 生姜15克
连服二剂，右侧乳房红肿硬结全部消散，乳汁已通，眠食转佳。唯气血尚虚，以黄芪建中汤调理善后，连服四剂，诸证获愈。半月后，乳汁渐多，又能照常哺乳。
乳 痈(二)
(乳腺炎)
谢××，女，二十四岁，江苏人，住昆明市光华街。产后六、七日，因夜间起坐哺乳而受寒，次日即感不适，恶寒、发热、头身疼痛，左乳房局部硬结，肿胀疼痛。患者当即赴省级某医院诊治，服银翘散、荆防败毒散等方加减数剂，发热已退，仍有恶寒，左乳房硬结红肿不散，反见增大，疼痛加剧。一周后，创口溃破，流出少许黄色脓液及清淡血水，经西医外科引流消炎治疗，半月后破口逐渐闭合。
但乳房肿块未消散，仍红肿疼痛，乳汁不通，眠食不佳。每日午后低热，僳懔恶寒，历时一月未愈。1963年某日延余诊视，病如前述，但见患者面色觥白，精神疲惫，脉沉细而弱，舌质含青色，苔白厚腻。此乃寒邪失于宣散，郁闭阻滞经脉血络，迁延未愈，血气耗伤，正气内虚，无力抗邪外出。
局辞虽成破口而脓根未除尽，创口虽敛而痈穗未能全部消除，此即所谓养痈而遗患也。法当温通里阳，排脓消肿，散结通乳。方用白通汤加味。
附片150克 干姜15克川芎10克当归15克桔梗10克皂刺9克
赤芍10克 通草6克 细辛5克 白术12克 葱白3茎
服二剂后，恶寒、低热已解，体温退至正常，左乳房红肿硬结渐消。惟乳头右下方复觉灼热、刺痛，局部发红，稍见突起。此系得阳药温运，气血渐复，血脉疏通，正气抗邪，已有托脓外除之势。脉沉细而较前和缓有力，舌质青色已退，舌心尚有腻苔。继以上方加香附9克，连服二剂。腐败之血肉，已化脓成熟，局部皮肤透亮发红。服三剂后，脓包自行溃破，流出黄色脓液半盅多，疼痛顿减，红肿消退。再以温经扶阳调补气血之四逆当归补血汤加白术、杭芍、桂枝、川芎等连进四剂，脓尽肿消，创口愈合，病告痊瘳。
虚 火 牙 痛
孙××，男，三十八岁，某厂干部。始因受寒感冒，服银翘散一剂，夜晚旋即牙痛发作，痛引头额，持续不休，终夜眼不交睫，其势难忍。次日，牙龈亦肿痛，齿根浮动，龈满齿长，不能咬合。冷、热水饮入口，浸及齿冠，其痛尤剧。
近日水米不进，时时呻吟。察其脉，虚数无力，舌尖色红，舌苔薄白而润，根部稍黄。右下牙龈赤肿，未见龋洞。此系表寒而误服清凉之剂，寒邪不散，凝滞经络，里阳受伤，相火不潜，虚火上浮所致。治宜宣散经络凝寒，引火归源，纳阳归肾。方用潜阳封髓丹加味。
附片45克 炙龟板9克 肉桂9克(研末，泡水兑入) 砂仁9克
细辛5克 黄柏9克 白芷9克 露蜂房6克 生姜12克
甘草9克
上方煎服一次，牙痛减轻，夜已能寐。继服二次则疼痛渐止。二剂尽，牙龈肿胀及疼痛全然消散而愈。
牙龈 出 血
王××，男，年三十二岁，患龈缝出血已久，牙床破烂，龈肉萎缩，齿摇松动，且痛而痒，屡服滋阴降火之品罔效。余诊之，脉息沉弱无力，舌质淡，苔白滑，不思水饮。
此系脾肾气虚，无力统摄血液以归其经。齿为骨之余，属肾，肾气虚则齿枯而动摇。脾主肌肉，开窍于口，脾气虚而不能生养肌肉，则龈肉破烂而萎缩。气者，阳也。血者、阴也。
阳气虚则阴不能潜藏而上浮，阴血失守而妄行予血脉之外。
法当扶阳以镇阴，固气以摄血，俾阴阳调和则血自归经而不外溢矣。拟方潜阳封髓丹加黑姜、肉桂治之。
附片60克西砂仁20克(研)炮黑姜26克上肉桂10克(研末，
泡水兑入) 焦黄柏6克 炙甘草10克 龟板13克(酥，打碎)
服一剂稍效，三剂血全止，四剂后痛痒若失。连服十剂，牙肉已长丰满、诸证全瘳。
按：附子、肉桂温朴下焦命门真火，扶少火而生气，砂仁纳气归肾，龟板、黄柏敛阴以潜阳，黑姜、炙草温中益脾，伏火互根，并能引血归经，故此方能治之而愈。余遇此等病症，屡治屡效，如见脉数饮冷，阴虚有热者，又须禁服也。
衄 血(一)
李××，十四岁，素患鼻衄，无他痛苦，故未用药石调理之。某日，感客邪，身热恶寒，头疼体痛，喜冷饮，脉浮而细数，主以麻杏石甘汤一剂霍然。异日外出，适值阴雨天寒，又复感冒而病，发热恶寒，头昏疼，肢体酸痛，不渴饮，脉反沉细而弱，主以麻黄细辛附子汤加桂尖、生姜一剂。服后汗出热退。次晨忽又鼻衄不止，用物塞鼻孔则血由口中溢出，似有不可止之状。头晕，腹痛，面色淡而无华，形弱神疲，复诊其脉迟缓而弱。此乃气血素亏，阴阳不相为守也。血虚散漫妄行，气虚则无力统摄血液，易致离经外溢。
表邪虽解、气血尚虚，主以四逆当归补血汤。
附片50克 炮黑姜15克 砂仁6克 大枣3枚(烧黑存性)
一剂衄血立止，再剂霍然。是夜因大便用力，起身时忽而气喘咬牙，昏厥欲绝，唇青，面色灰白，脉细迟无力，扶之使卧，稍定，乃以四逆汤加上肉桂治之，连进四剂而痊。
衄 血(二)
秦××，男，六旬有四，广西人，住上海新闸路。秦素多痰湿，患痰饮咳嗽多年。昨日因咳嗽气急上气，忽而鼻衄不止，用物堵塞鼻孔则血由口中吐出。经注射止血针药，血未能止住。曾昏厥一次，喂服白兰地酒少许始回苏。1933年7月11日延余诊视，患者面色惨淡，鼻衄不止，口角亦见血迹，冷汗淋漓，沉迷无神，气息低弱而呈奄奄一息之状。脉来芤虚欲散，重按无根，二、三至则一止，已现代象。掰开口视其舌，质淡夹青而少血色。此证良由气虚不摄血，阳虚不守阴，以致阴血散漫归于经。复因咳嗽气动，挣破血络而成衄。察其脉证，病势颇危，有阳气欲随阴血外脱之势，急宜扶阳收纳，如得血汗均止，始有生机。以参附汤加味急救。
高丽参10克附片30克炮黑姜6克 甘草3克 大枣2枚
(烧黑存性)
服一剂则效，衄血减，神气转佳。再剂则血汗均已得止。次日又照服一剂，13日复诊，神识已清醒，不再衄血。
唇舌已转红，脉缓弱较有神，但五、六至，间仍有止歇，依原方增量加口芪扶阳固气。
高丽参10克 附片60克 炮黑姜15克 口芪24克 甘草10克
大枣2枚(烧黑存性)
连服二付，饮食、精神均有恢复，面唇舌色已红润、脉缓和有神，惟尚有咳嗽，痰中夹少许黑血，此乃离经之瘀血随痰咯出之故。原方去参、芪加入法夏10克、茯苓15克、砂仁3克，三剂而痊。此后多年，未见再衄。
目 赤 肿 痛
张××，男，五十岁。始因风寒外感，发热，恶寒，头身疼痛，全身不适。次日，双目发赤，红肿疼痛，畏光而多眵。察其脉，沉细而紧，舌质淡，苔薄白而润。此乃风寒袭表，经脉血络受阻，凝滞不通所致。治以温经解表，发寒通络。方用加味麻黄附子细辛汤。
附片30克 麻黄6克 细辛5克 桂枝9克 防风9克 橘
络5克 沙菀蒺藜9克 甘草6克 生姜3片
煎服一次，温覆而卧，得微汗出。一剂尽，则表证已解，目赤肿痛均已消退。惟阳神尚虚，头昏肢软，双目略感发胀。继以益气通络明目之剂治之。
口芪24克 细辛3克 橘络3克 沙菀蒺藜6克 蝉退5克
藁本9克 女贞子9克 益智仁9克茺蔚子6克干姜9克
甘草6克
服上方二剂而痊。
小儿目赤肿痛
1923年腊月，朱××之次子，诞生十余日，忽目赤而肿，乳后即吐，大便色绿，夜啼不休。舌白，指纹含青。因儿母素体虚寒，小儿先天禀赋不足，脾阳虚弱，健运失司，无以制水，里寒夹肝气横逆而侮脾，元阳不潜，附肝而上，冲及于目，此虚阳浮越所致。法宜回阳收纳为要，拟附子甘草汤加生姜治之。
附片10克 甘草3克 生姜2小片
服一剂，啼声止，二剂则目肿渐消，大便转黄，如此四剂痊愈。
按：世习一见目病赤肿，功辄言火，其实不尽如此。眼科病证，名目繁多，括其要，总不离乎外感、内伤两法以判之。
不论内外感伤，若见目赤肿痛，雾障羞明，其证各有虚实寒热之不同，必须按六经、八纲之理明辨施治，不可固守一法以邀幸中。余非专于目疾者，然其治法要领，经旨互通矣。
阴疽核肿
朱××之母，四十九岁，住昆明市珠玑街三四二号。1952年8月，右颈脖处起核如鸡蛋大。肿硬疼痛，肤色如常，咽口津则痛彻耳咽，饮食难下，神惫无力，曾到某医院诊视，诊断为炎症化脓，需要开刀排脓，否则听其自然出头而已。
渠因惧怕开刀痛楚，来舍就诊于余，脉舌均为阳虚阴寒之象，断为阴疽结核之证，以温化疏通之剂。
附片100克干姜3 0克 细辛6克 败酱50克 苡仁50克 通
草6克桔梗10克甲珠10克延胡12克炙香附12克甘草12克三剂后，核肿消散。
丹痧证并多发性脓疽
代××，云南省宣威县人，住昆明市珠玑街。有独生子名延龄，年三岁，于1937年3月出丹痧，初起发热、咳嗽，目赤多泪，咽痛不思饮食，面赤而颈项隐隐现点疹，细密而皮肤泛红，色象不鲜，视其胸背亦然。气吸迫促，沉迷无神，脉浮紧，指纹色赤偏黯，苔薄白，稍糙，拟桂葛汤稍加薄荷、防风_剂以托表透疹。
葛根12g 桂枝12克 防风6克 薄荷3克 生姜10克 小
枣5枚甘草6克
服后疹又渐出，但色象仍不鲜。此因素禀体弱，正气较虚，外托无力。继以桂甘姜枣麻辛附子汤扶阳透表主之。
附片30克 桂枝12克 麻茸5克 北辛3克 小枣6枚 生
姜10克 甘草6克
服一剂后疹即透出。再剂则遍身疹出稠密成片，色转红活，白苔已不现，舌色红而娇艳，此为疹毒外出之象，继以桂枝加附子汤加黄芪治之，服后疹出渐灰，脉静身凉而愈。
疹退后周身脱皮如膜片，肢干脱皮有如蛇蜕之状。
其后不几日，忽于耳下肿硬起核，继之两腋下亦肿硬如卵，其后于两胯缝处又硬结成包块，渐次大如碗许，皮色不红，按之皆作痛。身不发热，咳嗽而痰多，舌苔白滑而不渴饮，此为阴疽而非热毒痈疮可比，故不可施以清热苦寒败毒之剂，宜以扶阳温化，待脓成之后，再行排脓生肌可望而愈。病家此时延请西医开刀，流出者仅为清淡脓血水，肿痛稍减，伤口未敛之时，坐骨下软肉处又忽出现肿硬包块，形如覆碗，其状如前，于胭弯处又生肿块。患儿形神日趋瘦弱，面色黄黯，唇舌淡，苔仍白滑。因肿块反复而起，又经多处开刀放脓，体质虚弱已极，断为难洽之证。复易数医，皆因病势较重，且系独子，均未拟方而去。后又再延余往诊视之。证如前述，乃正气不充，无力生肌托毒。盖脓为血肉败坏而成，久发不愈，气血耗伤，施以开刀除脓，其法虽是可行，然只治其标，未达其本，惟有扶阳辅正，正气内充，脓疽方能根除，余仍坚持温热大剂，方以四逆汤加味治之：
附片60克 炮姜12克 口芪15克 败酱15克 苡仁15克 甘
草10克 桔梗10克
连服三剂，肿硬处逐渐转红成脓，表面皮色透亮，外以西医之法轻施刀术，脓熟皮破，涌溢而出，为带血粘稠之脓液，昧极腥臭。继服四逆汤，芪附汤及阳和汤等温固之剂数十余剂，始得生肌敛口，脓疽亦不再复作。
四 逆 汤
附片60克 干姜10克 炙甘草10克
芪 附汤
口芪30克 附片60克
阳 和 汤
上方连续服用八剂后，患者的食欲明显增加，面色变得润泽，精神恢复。随后又服用了四逆当归补血汤和黄芪桂枝五物汤数剂进行调理善后，住院一个月后痊愈出院。后来在1964年再次相遇，询问得知十余年来身体健康。
乳痈（一）
（乳腺炎）尹××，女性，二十五岁，昆明人。1969年春季，产后第六天，因右侧乳房患“急性乳腺炎”去某医院就诊，经过使用青霉素等针药治疗，病情没有减轻，又改请中医外科诊治，认为是热毒所致，立即给予清热解毒的药剂，外敷清热消肿软膏。连续使用五剂，诊治十余日，寒热不退，右侧乳房红肿疼痛反而日渐加剧，于是延请我诊治。证候表现为患者发热而恶寒，清晨体温37.4℃，午后则升高至39℃左右。头疼，全身酸痛，右侧乳房红肿灼热而硬，乳汁不通，痛彻腋下，呻吟不止。白天不想饮食，晚上不能入睡，精神疲惫，想睡却无神。脉象沉细而紧，舌质淡而含青色，苔白厚腻。这是产后气血俱虚，感受风寒外邪，致使经脉受阻，气血凝滞。后来又误服清热苦寒之剂，损伤正气而助长邪气，遂导致乳痈加剧。治法应当扶正驱邪，温经散寒，活络通乳。方用麻黄附子细辛汤加味。
附片30克 麻黄9克 细辛5克 桂枝15克 川芎9克 通草6克 王不留行9克 炙香附9克 生姜15克 甘草6克
次日复诊。昨天连续服用上方两次，温覆而卧，片刻后则遍身微微汗出，入夜能安静熟睡，今晨已热退身凉，顿觉全身舒缓，头身疼痛已愈，右侧乳房红肿热痛减去一半，稍进稀粥与牛奶，痛苦呻吟之状已减，脉已不紧，沉细和缓。舌质青色已退而转淡红，苔薄白，根部尚腻。此乃证虽见效，然余邪未尽，气血未充，继以扶阳温化之法治之，方用茯苓桂枝汤加味。
茯苓15克 桂枝15克 川芎9克 通草6克 细辛3克 炙香附9克 苡仁15克 附片45克 生姜15克
连服二剂，右侧乳房红肿硬结全部消散，乳汁已通，眠食转佳。唯气血尚虚，以黄芪建中汤调理善后，连服四剂，诸证获愈。半月后，乳汁渐多，又能照常哺乳。
乳痈（二）
（乳腺炎）
谢××，女性，二十四岁，江苏人，住昆明市光华街。产后六、七天，因夜间起坐哺乳而受寒，次日即感不适，恶寒、发热、头身疼痛，左乳房局部硬结，肿胀疼痛。患者当即赴省级某医院诊治，服银翘散、荆防败毒散等方加减数剂，发热已退，仍有恶寒，左乳房硬结红肿不散，反见增大，疼痛加剧。一周后，创口溃破，流出少许黄色脓液及清淡血水，经西医外科引流消炎治疗，半月后破口逐渐闭合。
但乳房肿块未消散，仍红肿疼痛，乳汁不通，眠食不佳。每日午后低热，凛凛恶寒，历时一月未愈。1963年某日延请我诊治，病如前述，但见患者面色苍白，精神疲惫，脉沉细而弱，舌质含青色，苔白厚腻。此乃寒邪失于宣散，郁闭阻滞经脉血络，迁延未愈，血气耗伤，正气内虚，无力抗邪外出。
疮疡虽成破口而脓根未除尽，创口虽敛而痈毒未能全部消除，此即所谓养痈而遗患也。治法当温通里阳，排脓消肿，散结通乳。方用白通汤加味。
附片150克 干姜15克 川芎10克 当归15克 桔梗10克 皂刺9克 赤芍10克 通草6克 细辛5克 白术12克 葱白3茎
服二剂后，恶寒、低热已解，体温退至正常，左乳房红肿硬结渐消。惟乳头右下方复觉灼热、刺痛，局部发红，稍见突起。此系得阳药温运，气血渐复，血脉疏通，正气抗邪，已有托脓外除之势。脉沉细而较前和缓有力，舌质青色已退，舌心尚有腻苔。继以上方加香附9克，连服二剂。腐败之血肉，已化脓成熟，局部皮肤透亮发红。服三剂后，脓包自行溃破，流出黄色脓液半盅多，疼痛顿减，红肿消退。再以温经扶阳调补气血之四逆当归补血汤加白术、杭芍、桂枝、川芎等连进四剂，脓尽肿消，创口愈合，病告痊愈。
虚火牙痛
孙××，男性，三十八岁，某厂干部。始因受寒感冒，服银翘散一剂，夜晚旋即牙痛发作，痛引头额，持续不休，终夜眼不交睫，其势难忍。次日，牙龈亦肿痛，齿根浮动，龈满齿长，不能咬合。冷、热水饮入口，浸及齿冠，其痛尤剧。
近日水米不进，时时呻吟。察其脉，虚数无力，舌尖色红，舌苔薄白而润，根部稍黄。右下牙龈赤肿，未见龋洞。此系表寒而误服清凉之剂，寒邪不散，凝滞经络，里阳受伤，相火不潜，虚火上浮所致。治宜宣散经络凝寒，引火归源，纳阳归肾。方用潜阳封髓丹加味。
附片45克 炙龟板9克 肉桂9克（研末，泡水兑入） 砂仁9克 细辛5克 黄柏9克 白芷9克 露蜂房6克 生姜12克 甘草9克
上方煎服一次，牙痛减轻，夜已能寐。继服二次则疼痛渐止。二剂尽，牙龈肿胀及疼痛全然消散而愈。
牙龈出血
王××，男性，年三十二岁，患龈缝出血已久，牙床破烂，龈肉萎缩，齿摇松动，且痛而痒，屡服滋阴降火之品罔效。我诊之，脉息沉弱无力，舌质淡，苔白滑，不思水饮。
此系脾肾气虚，无力统摄血液以归其经。齿为骨之余，属肾，肾气虚则齿枯而动摇。脾主肌肉，开窍于口，脾气虚而不能生养肌肉，则龈肉破烂而萎缩。气者，阳也。血者，阴也。
阳气虚则阴不能潜藏而上浮，阴血失守而妄行于血脉之外。
治法当扶阳以镇阴，固气以摄血，俾阴阳调和则血自归经而不外溢矣。拟方潜阳封髓丹加黑姜、肉桂治之。
附片60克 西砂仁20克（研） 炮黑姜26克 上肉桂10克（研末，泡水兑入） 焦黄柏6克 炙甘草10克 龟板13克（酥，打碎）
服一剂稍效，三剂血全止，四剂后痛痒若失。连服十剂，牙肉已长丰满、诸证全愈。
按：附子、肉桂温补下焦命门真火，扶助少火而生气，砂仁纳气归肾，龟板、黄柏敛阴以潜阳，黑姜、炙草温中益脾，伏火互根，并能引血归经，故此方能治之而愈。我遇到此类病症，屡治屡效，如见脉数饮冷，阴虚有热者，又须禁服也。
衄血（一）
李××，十四岁，素患鼻衄，无他痛苦，故未用药石调理之。某日，感客邪，身热恶寒，头疼体痛，喜冷饮，脉浮而细数，主以麻杏石甘汤一剂霍然。异日外出，适值阴雨天寒，又复感冒而病，发热恶寒，头昏疼，肢体酸痛，不渴饮，脉反沉细而弱，主以麻黄细辛附子汤加桂尖、生姜一剂。服后汗出热退。次晨忽又鼻衄不止，用物塞鼻孔则血由口中溢出，似有不可止之状。头晕，腹痛，面色淡而无华，形弱神疲，复诊其脉迟缓而弱。此乃气血素亏，阴阳不相为守也。血虚散漫妄行，气虚则无力统摄血液，易致离经外溢。
表邪虽解、气血尚虚，主以四逆当归补血汤。
附片50克 炮黑姜15克 砂仁6克 大枣3枚（烧黑存性）
一剂衄血立止，再剂霍然。是夜因大便用力，起身时忽而气喘咬牙，昏厥欲绝，唇青，面色灰白，脉细迟无力，扶之使卧，稍定，乃以四逆汤加上肉桂治之，连进四剂而痊。
衄血（二）
秦××，男性，六旬有四，广西人，住上海新闸路。秦素多痰湿，患痰饮咳嗽多年。昨日因咳嗽气急上气，忽而鼻衄不止，用物堵塞鼻孔则血由口中吐出。经注射止血针药，血未能止住。曾昏厥一次，喂服白兰地酒少许始回苏。1933年7月11日延请我诊治，患者面色惨淡，鼻衄不止，口角亦见血迹，冷汗淋漓，沉迷无神，气息低弱而呈奄奄一息之状。脉来芤虚欲散，重按无根，二、三至则一止，已现代象。掰开口视其舌，质淡夹青而少血色。此证良由气虚不摄血，阳虚不守阴，以致阴血散漫归于经。复因咳嗽气动，挣破血络而成衄。察其脉证，病势颇危，有阳气欲随阴血外脱之势，急宜扶阳收纳，如得血汗均止，始有生机。以参附汤加味急救。
高丽参10克 附片30克 炮黑姜6克 甘草3克 大枣2枚（烧黑存性）
服一剂则效，衄血减，神气转佳。再剂则血汗均已得止。次日又照服一剂，13日复诊，神识已清醒，不再衄血。
唇舌已转红，脉缓弱较有神，但五、六至，间仍有止歇，依原方增量加口芪扶阳固气。
高丽参10克 附片60克 炮黑姜15克 口芪24克 甘草10克 大枣2枚（烧黑存性）
连服二付，饮食、精神均有恢复，面唇舌色已红润、脉缓和有神，惟尚有咳嗽，痰中夹少许黑血，此乃离经之瘀血随痰咯出之故。原方去参、芪加入法夏10克、茯苓15克、砂仁3克，三剂而痊。此后多年，未见再衄。
目赤肿痛
张××，男性，五十岁。始因风寒外感，发热，恶寒，头身疼痛，全身不适。次日，双目发赤，红肿疼痛，畏光而多眵。察其脉，沉细而紧，舌质淡，苔薄白而润。此乃风寒袭表，经脉血络受阻，凝滞不通所致。治以温经解表，发寒通络。方用加味麻黄附子细辛汤。
附片30克 麻黄6克 细辛5克 桂枝9克 防风9克 橘络5克 沙苑蒺藜9克 甘草6克 生姜3片
煎服一次，温覆而卧，得微汗出。一剂尽，则表证已解，目赤肿痛均已消退。惟阳神尚虚，头昏肢软，双目略感发胀。继以益气通络明目之剂治之。
口芪24克 细辛3克 橘络3克 沙苑蒺藜6克 蝉退5克 藁本9克 女贞子9克 益智仁9克 茺蔚子6克 干姜9克 甘草6克
服上方二剂而痊。
小儿目赤肿痛
1923年腊月，朱××之次子，诞生十余日，忽目赤而肿，乳后即吐，大便色绿，夜啼不休。舌白，指纹含青。因儿母素体虚寒，小儿先天禀赋不足，脾阳虚弱，健运失司，无以制水，里寒夹肝气横逆而侮脾，元阳不潜，附肝而上，冲及于目，此虚阳浮越所致。法宜回阳收纳为要，拟附子甘草汤加生姜治之。
附片10克 甘草3克 生姜2小片
服一剂，啼声止，二剂则目肿渐消，大便转黄，如此四剂痊愈。
按：世习一见目病赤肿，功辄言火，其实不尽如此。眼科病证，名目繁多，括其要，总不离乎外感、内伤两法以判之。
不论内外感伤，若见目赤肿痛，雾障羞明，其证各有虚实寒热之不同，必须按六经、八纲之理明辨施治，不可固守一法以邀幸中。余非专于目疾者，然其治法要领，经旨互通矣。
阴疽核肿
朱××之母，四十九岁，住昆明市珠玑街三四二号。1952年8月，右颈脖处起核如鸡蛋大。肿硬疼痛，肤色如常，咽口津则痛彻耳咽，饮食难下，神惫无力，曾到某医院诊视，诊断为炎症化脓，需要开刀排脓，否则听其自然出头而已。
渠因惧怕开刀痛楚，来舍就诊于余，脉舌均为阳虚阴寒之象，断为阴疽结核之证，以温化疏通之剂。
附片100克 干姜30克 细辛6克 败酱50克 苡仁50克 通草6克 桔梗10克 甲珠10克 延胡12克 炙香附12克 甘草12克 三剂后，核肿消散。
丹痧证并多发性脓疽
代××，云南省宣威县人，住昆明市珠玑街。有独生子名延龄，年三岁，于1937年3月出丹痧，初起发热、咳嗽，目赤多泪，咽痛不思饮食，面赤而颈项隐隐现点疹，细密而皮肤泛红，色象不鲜，视其胸背亦然。气吸迫促，沉迷无神，脉浮紧，指纹色赤偏黯，苔薄白，稍糙，拟桂葛汤稍加薄荷、防风一剂以托表透疹。
葛根12g 桂枝12克 防风6克 薄荷3克 生姜10克 小枣5枚 甘草6克
服后疹又渐出，但色象仍不鲜。此因素禀体弱，正气较虚，外托无力。继以桂甘姜枣麻辛附子汤扶阳透表主之。
附片30克 桂枝12克 麻茸5克 北辛3克 小枣6枚 生姜10克 甘草6克
服一剂后疹即透出。再剂则遍身疹出稠密成片，色转红活，白苔已不现，舌色红而娇艳，此为疹毒外出之象，继以桂枝加附子汤加黄芪治之，服后疹出渐灰，脉静身凉而愈。
疹退后周身脱皮如膜片，肢干脱皮有如蛇蜕之状。
其后不几日，忽于耳下肿硬起核，继之两腋下亦肿硬如卵，其后于两胯缝处又硬结成包块，渐次大如碗许，皮色不红，按之皆作痛。身不发热，咳嗽而痰多，舌苔白滑而不渴饮，此为阴疽而非热毒痈疮可比，故不可施以清热苦寒败毒之剂，宜以扶阳温化，待脓成之后，再行排脓生肌可望而愈。病家此时延请西医开刀，流出者仅为清淡脓血水，肿痛稍减，伤口未敛之时，坐骨下软肉处又忽出现肿硬包块，形如覆碗，其状如前，于胭弯处又生肿块。患儿形神日趋瘦弱，面色黄黯，唇舌淡，苔仍白滑。因肿块反复而起，又经多处开刀放脓，体质虚弱已极，断为难洽之证。复易数医，皆因病势较重，且系独子，均未拟方而去。后又再延余往诊视之。证如前述，乃正气不充，无力生肌托毒。盖脓为血肉败坏而成，久发不愈，气血耗伤，施以开刀除脓，其法虽是可行，然只治其标，未达其本，惟有扶阳辅正，正气内充，脓疽方能根除，余仍坚持温热大剂，方以四逆汤加味治之：
附片60克 炮姜12克 口芪15克 败酱15克 苡仁15克 甘草10克 桔梗10克
连服三剂，肿硬处逐渐转红成脓，表面皮色透亮，外以西医之法轻施刀术，脓熟皮破，涌溢而出，为带血粘稠之脓液，昧极腥臭。继服四逆汤，芪附汤及阳和汤等温固之剂数十余剂，始得生肌敛口，脓疽亦不再复作。
After taking the above prescription for eight doses consecutively, the patient's appetite increased significantly, complexion became lustrous, and spirit recovered. Subsequently, several doses of Sini Danggui Buxue Decoction (Cinnamon Twig, Aconite Root, and Astragalus Root Decoction) and Huangqi Guizhi Wuwu Tang (Astragalus and Cinnamon Twig Five-Substance Decoction) were administered for conditioning and follow-up care. The patient was discharged as cured after one month of hospitalization. Upon meeting again in 1964, it was learned that the patient had been in good health for over ten years.
Breast Abscess (Case 1)
(Breast Mastitis) Yin XX, female, 25 years old, from Kunming. In the spring of 1969, six days postpartum, she visited a certain hospital due to "acute mastitis" in the right breast. After treatment with penicillin and other injections, the condition did not improve. She then sought treatment from a TCM surgeon, who diagnosed it as caused by heat-toxin and immediately prescribed heat-clearing and detoxifying agents, along with an external application of heat-clearing and swelling-reducing ointment. After five doses and more than ten days of treatment, chills and fever persisted, and the redness, swelling, and pain in the right breast worsened daily. She then consulted me. The symptoms presented included fever with aversion to cold, morning body temperature of 37.4°C rising to around 39°C in the afternoon. Headache, generalized body ache, redness, swelling, burning sensation, and hardness of the right breast, blocked lactation, pain radiating to the axilla, and incessant groaning. Loss of appetite during the day and inability to sleep at night, mental fatigue, drowsiness without spirit. The pulse was deep, fine, and tight; the tongue body was pale with a bluish tint, and the coating was white, thick, and greasy. This case was attributed to deficiency of both Qi and Blood postpartum, combined with contraction of wind-cold pathogenic factors, leading to obstruction of the meridians and stagnation of Qi and Blood. Furthermore, the mistaken use of bitter-cold heat-clearing agents damaged the healthy Qi and exacerbated the pathogen, thereby aggravating the breast abscess. The treatment principle should be to support the healthy Qi and expel pathogens, warm the meridians and dispel cold, unblock collaterals, and promote lactation. The formula used was Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite Root, and Asarum Decoction) with modifications.
Prepared Aconite Root (Fupian) 30g, Ephedra Stem (Mahuang) 9g, Asarum (Xixin) 5g, Cinnamon Twig (Guizhi) 15g, Szechuan Lovage Rhizome (Chuanxiong) 9g, Vervain Herb (Tongcao) 6g, Immortelle Flower (Wangbuliuxing) 9g, Honey-fried Cyperus Rhizome (Zhixiangfu) 9g, Fresh Ginger (Shengjiang) 15g, Licorice Root (Gancao) 6g.
Follow-up visit the next day. After taking the above prescription twice yesterday, covered warmly and lying down, slight sweating occurred all over the body after a short while. She slept soundly at night. By this morning, fever subsided, body temperature normalized, and she felt whole-body relief. Head and body pains had resolved. Redness, swelling, heat, and pain in the right breast reduced by half. She could consume some thin porridge and milk. The state of painful groaning had decreased. The pulse was no longer tight but deep, fine, and gentle. The bluish tint on the tongue body had faded to pale red; the coating was thin and white, though still slightly greasy at the root. Although the condition showed improvement, residual pathogens remained, and Qi and Blood were not yet replenished. The treatment continued with supporting Yang and warming transformation. The formula used was Fuling Guizhi Tang (Poria and Cinnamon Twig Decoction) with modifications.
Poria (Fuling) 15g, Cinnamon Twig (Guizhi) 15g, Szechuan Lovage Rhizome (Chuanxiong) 9g, Vervain Herb (Tongcao) 6g, Asarum (Xixin) 3g, Honey-fried Cyperus Rhizome (Zhixiangfu) 9g, Coix Seed (Yiren) 15g, Prepared Aconite Root (Fupian) 45g, Fresh Ginger (Shengjiang) 15g.
After two doses, the redness, swelling, and induration of the right breast completely dissipated, lactation resumed, and sleep and appetite improved. However, Qi and Blood were still deficient. Huangqi Jianzhong Tang (Astragalus and Middle-Warming Decoction) was used for follow-up conditioning. After four doses, all symptoms resolved. Half a month later, milk production gradually increased, allowing normal breastfeeding.
Breast Abscess (Case 2)
(Breast Mastitis)
Xie XX, female, 24 years old, from Jiangsu, residing at Guanghua Street, Kunming. Six or seven days postpartum, she caught a chill while sitting up to breastfeed at night. The next day, she felt unwell with chills, fever, headache, body pain, local induration, swelling, and pain in the left breast. She immediately went to a provincial hospital where she took modified Yinqiao San (Honeysuckle and Forsythia Powder) and Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction) for several doses. Fever subsided, but chills persisted. The induration and redness/swelling in the left breast did not dissipate but enlarged, and pain intensified. One week later, the wound ulcerated, discharging a small amount of yellow pus and clear bloody fluid. Western surgical drainage and anti-inflammatory treatment were applied, and the wound gradually closed after half a month.
However, the breast lump did not dissipate; it remained red, swollen, and painful, with blocked lactation and poor sleep/appetite. Low-grade fever occurred daily in the afternoon, accompanied by shivering chills. The condition lasted a month without resolution. On a certain day in 1963, she consulted me. The symptoms were as described previously, but the patient appeared pale, mentally fatigued, with a deep, fine, and weak pulse. The tongue body had a bluish tint, and the coating was white, thick, and greasy. This was due to cold pathogens failing to be dispersed, becoming depressed and blocking the meridians and blood collaterals. The prolonged course consumed Qi and Blood, leaving internal deficiency of healthy Qi, which lacked the strength to resist and expel pathogens.
Although the ulcer formed and opened, the root of the pus was not fully removed. Although the wound closed, the carbuncle toxin was not entirely eliminated. This is what is meant by "nourishing the carbuncle and leaving trouble behind." The treatment principle should be to warm and unblock interior Yang, drain pus, reduce swelling, dissipate nodules, and promote lactation. The formula used was Baitong Tang (White Tongue-Decoction) with modifications.
Prepared Aconite Root (Fupian) 150g, Dried Ginger (Ganjiang) 15g, Szechuan Lovage Rhizome (Chuanxiong) 10g, Angelica Sinensis Root (Danggui) 15g, Platycodon Root (Jiegeng) 10g, Honeysuckle Thorn (Zaoci) 9g, Red Peony Root (Chishao) 10g, Vervain Herb (Tongcao) 6g, Asarum (Xixin) 5g, Atractylodes Macrocephala Rhizome (Baizhu) 12g, Scallion White (Congbai) 3 stalks.
After two doses, chills and low-grade fever resolved, body temperature returned to normal, and redness, swelling, and induration in the left breast gradually subsided. However, burning and stabbing pain reappeared below the right nipple, with local redness and slight protrusion. This indicated that Yang-warming herbs were promoting circulation, Qi and Blood were recovering, blood vessels were unblocking, and healthy Qi was resisting pathogens, showing a trend of pushing pus outwards. The pulse was deep, fine, and more gentle and forceful than before. The bluish tint on the tongue receded, but greasy coating remained in the center. The previous formula was continued with added Honey-fried Cyperus Rhizome (Zhixiangfu) 9g, taken for two doses. The necrotic flesh had matured into pus, and the local skin became translucent and red. After three doses, the abscess spontaneously ruptured, discharging more than half a cup of yellow pus. Pain instantly decreased, and redness/swelling subsided. Then, Sini Danggui Buxue Tang (Cinnamon Twig, Aconite Root, and Astragalus Root Decoction) modified with Atractylodes Macrocephala Rhizome (Baizhu), Hang Shao (White Peony Root), Cinnamon Twig (Guizhi), and Szechuan Lovage Rhizome (Chuanxiong) was administered for four doses. Pus cleared, swelling disappeared, the wound healed, and the disease was cured.
Deficient Fire Toothache
Sun XX, male, 38 years old, cadre at a factory. Initially suffering from a cold due to chill exposure, he took one dose of Yinqiao San (Honeysuckle and Forsythia Powder). That night, toothache suddenly erupted, radiating to the forehead, continuous and unbearable, keeping him awake all night. The next day, gums also swelled and hurt, teeth felt loose, gums appeared full making teeth look long, preventing biting. Cold and hot drinks entering the mouth and touching the crowns intensified the pain.
Recently, he could not eat or drink, groaning frequently. His pulse was deficient, rapid, and forceless. The tip of the tongue was red, coating thin, white, and moist, slightly yellow at the root. The lower right gum was red and swollen, with no caries observed. This was caused by exterior cold mistakenly treated with cooling agents. Cold pathogens did not disperse but stagnated in the collaterals, damaging interior Yang. Ministerial fire failed to submerge, causing deficient fire to float upward. Treatment should focus on dispersing cold stagnation in collaterals, guiding fire back to its source, and anchoring Yang in the Kidney. The formula used was Qianyang Fengsui Dan (Hidden Yang and Sealing Marrow Pill) with modifications.
Prepared Aconite Root (Fupian) 45g, Honey-fried Turtle Shell (Zhiguiban) 9g, Cinnamon Bark (Rougui) 9g (powdered, mixed with water), Amomum Fruit (Sharen) 9g, Asarum (Xixin) 5g, Phellodendron Bark (Huangbai) 9g, Angelica Dahurica Root (Baizhi) 9g, Hornet Nest (Lufengfang) 6g, Fresh Ginger (Shengjiang) 12g, Licorice Root (Gancao) 9g.
After one decoction and intake, toothache lessened, and he could sleep at night. After two more doses, pain gradually ceased. After finishing two doses, gum swelling and pain completely resolved.
Gum Bleeding
Wang XX, male, 32 years old, suffered from long-term bleeding between gums, broken dental beds, atrophied gingiva, loose teeth, accompanied by pain and itching. Repeated use of Yin-nourishing and fire-descending agents was ineffective. My diagnosis revealed a deep, weak, forceless pulse; pale tongue body; slippery white coating; and lack of desire for water.
This was due to deficiency of Spleen and Kidney Qi, lacking the strength to control blood within the vessels. Teeth are the surplus of bone, governed by the Kidney; Kidney Qi deficiency leads to dry, loose teeth. The Spleen governs muscles and opens into the mouth; Spleen Qi deficiency fails to nourish muscles, leading to broken and atrophied gingiva. Qi is Yang; Blood is Yin.
When Yang Qi is deficient, Yin cannot submerge and floats upward. When Yin Blood loses its hold, it wanders outside the blood vessels.
The treatment principle should be to support Yang to suppress Yin, consolidate Qi to grasp Blood, so that when Yin and Yang harmonize, blood returns to the vessels without overflowing. The proposed formula was Qianyang Fengsui Dan (Hidden Yang and Sealing Marrow Pill) with Black Ginger (Heijiang) and Cinnamon Bark (Rougui).
Prepared Aconite Root (Fupian) 60g, West Amomum Fruit (Xisharen) 20g (powdered), Roasted Black Ginger (Pao Heijiang) 26g, Top Cinnamon Bark (Shang Rougui) 10g (powdered, mixed with water), Charred Phellodendron Bark (Jiao Huangbai) 6g, Honey-fried Licorice Root (Zhigancao) 10g, Turtle Shell (Guiban) 13g (roasted until crisp, crushed).
One dose yielded slight effect; three doses stopped bleeding completely; after four doses, pain and itching vanished. After ten consecutive doses, gingival tissue grew plump, and all symptoms resolved.
Note: Aconite and Cinnamon Bark warm the True Fire of the Mingmen (Gate of Life) in the Lower Jiao, supporting the Minor Fire to generate Qi. Amomum anchors Qi into the Kidney. Turtle Shell and Phellodendron gather Yin to submerge Yang. Black Ginger and Honey-fried Licorice warm the middle and benefit the Spleen. Hidden Fire and Root interact, guiding blood back to the vessels. Thus, this formula cures the disease. I have encountered such cases repeatedly with success. However, if the pulse is rapid with desire for cold drinks, indicating Yin deficiency with heat, this formula must be contraindicated.
Epistaxis (Case 1)
Li XX, 14 years old, had a history of epistaxis without other distress, so no medication was used for conditioning. One day, exposed to exogenous pathogens, he experienced fever, chills, headache, body pain, and desire for cold drinks. Pulse was floating, fine, and rapid. He was given one dose of Maxing Shigan Tang (Ephedra, Apricot Seed, Gypsum, and Licorice Decoction) and recovered abruptly. Another day, going out in rainy, cold weather, he caught another cold with fever, chills, dizziness, headache, limb soreness, no thirst, but a deep, fine, and weak pulse. He was given Mahuang Xixin Fuzi Tang (Ephedra, Asarum, and Aconite Root Decoction) plus Guijian (Cinnamon Tip) and Fresh Ginger for one dose. Sweating occurred, and fever subsided. The next morning, sudden persistent epistaxis occurred. Blocking the nostrils caused blood to overflow from the mouth, appearing unstoppable. Dizziness, abdominal pain, pale and lusterless complexion, physical weakness, and mental fatigue. Follow-up pulse was slow, weak, and delayed. This was due to chronic deficiency of Qi and Blood, with Yin and Yang failing to guard each other. Blood deficiency leads to reckless wandering; Qi deficiency lacks strength to control blood, easily causing extravasation.
Although exterior pathogens were resolved, Qi and Blood remained deficient. The main formula was Sini Danggui Buxue Tang (Cinnamon Twig, Aconite Root, and Astragalus Root Decoction).
Prepared Aconite Root (Fupian) 50g, Roasted Black Ginger (Pao Heijiang) 15g, Amomum Fruit (Sharen) 6g, Jujube (Dazao) 3 pieces (charred black retaining nature).
One dose stopped epistaxis immediately; two doses led to abrupt recovery. That night, straining during defecation, he suddenly gasped, ground his teeth, fainted nearly to death, lips turned blue, complexion grey-white, pulse fine, slow, and forceless. Supported to lie down, he stabilized slightly. Then, Sini Tang (Four Reversal Decoction) plus Top Cinnamon Bark was administered for four doses, resulting in cure.
Epistaxis (Case 2)
Qin XX, male, 64 years old, from Guangxi, residing on Xinzhazhou Road, Shanghai. Qin had a constitution prone to phlegm-dampness and suffered from phlegm-fluid retention cough for many years. Yesterday, due to coughing with急促 breathing, sudden persistent epistaxis occurred. Blocking nostrils caused blood to be vomited from the mouth. Injection of hemostatic drugs failed to stop bleeding. He fainted once, reviving only after being fed a small amount of brandy. On July 11, 1933, he consulted me. Patient appeared pallid, persistent epistaxis, blood traces at mouth corners, profuse cold sweat, lethargic without spirit, weak breath resembling imminent death. Pulse was hollow, deficient, seemingly scattering, rootless upon heavy pressure, stopping every two or three beats, presenting a Mai Xiang (Death Pulse) image. Opening the mouth to inspect the tongue, the body was pale with bluish tint and little blood color. This condition was largely due to Qi deficiency failing to control blood, and Yang deficiency failing to secure Yin, causing Yin Blood to scatter outside the vessels. Compounded by coughing and Qi movement tearing blood collaterals, epistaxis resulted. Observing pulse and symptoms, the condition was critical, with Yang Qi threatening to escape with Yin Blood. Urgent treatment required supporting Yang and gathering/anchoring. Only if bleeding and sweating stopped would there be hope for life. Shenfu Tang (Ginseng and Aconite Root Decoction) with modifications was used for emergency rescue.
Korean Ginseng (Gaolishen) 10g, Prepared Aconite Root (Fupian) 30g, Roasted Black Ginger (Pao Heijiang) 6g, Licorice Root (Gancao) 3g, Jujube (Dazao) 2 pieces (charred black retaining nature).
One dose showed effect: epistaxis reduced, spirit improved. Two doses stopped both bleeding and sweating. The next day, another dose was taken. Follow-up on the 13th: consciousness cleared, no more epistaxis. Lips and tongue turned red. Pulse was slow, weak, but more spirited, though stopping intermittently every five or six beats. Following the original formula, dosage increased, adding Kouqi (Astragalus) to support Yang and consolidate Qi.
Korean Ginseng (Gaolishen) 10g, Prepared Aconite Root (Fupian) 60g, Roasted Black Ginger (Pao Heijiang) 15g, Kouqi (Astragalus) 24g, Licorice Root (Gancao) 10g, Jujube (Dazao) 2 pieces (charred black retaining nature).
Two doses taken consecutively: diet and spirit recovered, face/lips/tongue红润, pulse slow and harmonious with spirit. Still had cough, sputum containing small amounts of black blood, due to extravasated stasis being expectorated with phlegm. Original formula removed Ginseng and Astragalus, added Pinellia Tuber (Faxia) 10g, Poria (Fuling) 15g, Amomum Fruit (Sharen) 3g. Three doses led to cure. No recurrence of epistaxis for many years thereafter.
Red, Swollen, and Painful Eyes
Zhang XX, male, 50 years old. Initially due to wind-cold exterior contraction, experienced fever, chills, headache, body pain, and general discomfort. The next day, eyes turned red, swollen, painful, photophobic, with excessive discharge. Pulse was deep, fine, and tight; tongue body pale, coating thin, white, and moist. This was caused by wind-cold attacking the exterior, obstructing meridians and blood collaterals, leading to stagnation and blockage. Treatment focused on warming meridians, releasing exterior, dispelling cold, and unblocking collaterals. Formula: Modified Mahuang Fuzi Xixin Tang (Ephedra, Prepared Aconite Root, and Asarum Decoction).
Prepared Aconite Root (Fupian) 30g, Ephedra Stem (Mahuang) 6g, Asarum (Xixin) 5g, Cinnamon Twig (Guizhi) 9g, Saposhnikovia Root (Fangfeng) 9g, Tangerine Network (Jueluo) 5g, Tribulus Fruit (Shayuanjili) 9g, Licorice Root (Gancao) 6g, Fresh Ginger (Shengjiang) 3 slices.
Decocted and taken once, covered warmly and lying down, slight sweating occurred. After one dose, exterior syndrome resolved, eye redness, swelling, and pain subsided. However, Yang Spirit was still deficient, with dizziness, soft limbs, and slight distension in eyes. Continued with Qi-tonifying, collateral-unblocking, and vision-improving agents.
Kouqi (Astragalus) 24g, Asarum (Xixin) 3g, Tangerine Network (Jueluo) 3g, Tribulus Fruit (Shayuanjili) 6g, Cicada Slough (Chantui) 5g, Ligusticum Wallichii Rhizome (Gaoben) 9g, Privet Fruit (Nvzhenzi) 9g, Alpinia Oxyphylla Fruit (Yizhiren) 9g, Leonurus Fruit (Chongweizi) 6g, Dried Ginger (Ganjiang) 9g, Licorice Root (Gancao) 6g.
Two doses led to cure.
Pediatric Red, Swollen, and Painful Eyes
In December 1923, Zhu XX's second son, born over ten days prior, suddenly developed red and swollen eyes, vomiting after breastfeeding, green stools, and incessant crying at night. Tongue white, fingerprint bluish. Since the mother had a constitution of deficiency-cold, the infant had insufficient congenital endowment, weak Spleen Yang, failure of transportation and transformation, inability to control water, interior cold combined with Liver Qi rebellion insulting the Spleen, Yuan Yang failing to submerge, attaching to Liver and ascending to impact the eyes. This was caused by floating deficient Yang. The treatment principle prioritized restoring Yang and gathering/anchoring. Proposed Fuzi Gancao Tang (Aconite Root and Licorice Root Decoction) with Fresh Ginger.
Prepared Aconite Root (Fupian) 10g, Licorice Root (Gancao) 3g, Fresh Ginger (Shengjiang) 2 small slices.
One dose stopped crying; two doses gradually reduced eye swelling, stool turned yellow. Four doses led to cure.
Note: Common practice sees eye redness and swelling and immediately attributes it to Fire, which is not entirely accurate. Ophthalmic diseases are numerous, but essentially can be judged by exterior contraction and interior injury methods. Regardless of exterior or interior causes, if redness, swelling, pain, visual obstruction, and photophobia are present, conditions vary in deficiency/excess and cold/heat. Treatment must be clearly differentiated according to Six Meridian and Eight Principle theories. One cannot rigidly adhere to a single method hoping for accidental success. I am not a specialist in eye diseases, but the essential principles of treatment are interconnected with classical teachings.
Yin Carbuncle and Nodule Swelling
Mother of Zhu XX, 49 years old, residing at No. 342 Zhuji Street, Kunming. In August 1952, a nodule the size of an egg appeared on the right neck. Swollen, hard, and painful, skin color normal. Swallowing saliva caused pain radiating to ear and throat, difficulty eating, mental fatigue, and weakness. Visited a certain hospital, diagnosed with inflammatory suppuration requiring surgical incision and drainage, otherwise waiting for natural rupture.
Fearful of surgical pain, she came to my clinic. Pulse and tongue indicated Yang deficiency and Yin cold. Diagnosed as Yin Carbuncle and Tubercle. Prescribed warming, transforming, and unblocking agents.
Prepared Aconite Root (Fupian) 100g, Dried Ginger (Ganjiang) 30g, Asarum (Xixin) 6g, Patrinia Root (Baijiang) 50g, Coix Seed (Yiren) 50g, Vervain Herb (Tongcao) 6g, Platycodon Root (Jiegeng) 10g, Pangolin Scale (Jiazhu) 10g, Corydalis Rhizome (Yanhu) 12g, Honey-fried Cyperus Rhizome (Zhixiangfu) 12g, Licorice Root (Gancao) 12g. After three doses, nodule swelling dissipated.
Dan Sha Syndrome with Multiple Pyoderma
Dai XX, from Xuanwei County, Yunnan Province, residing at Zhuji Street, Kunming. Had a only son named Yanling, aged three. In March 1937, developed Dan Sha (Scarlet Fever-like rash). Initially fever, cough, red eyes with tears, sore throat, loss of appetite, flushed face, and faint spots on neck/chest, dense with reddish skin, dull color, similar on chest/back. Rapid breathing, lethargic without spirit, floating-tight pulse, reddish-dark fingerprint, thin white slightly rough coating. Prescribed Guige Tang (Kudzu and Cinnamon Twig Decoction) with slight addition of Mint (Bohe) and Saposhnikovia Root (Fangfeng) for one dose to support exterior and vent rash.
Kudzu Root (Gegen) 12g, Cinnamon Twig (Guizhi) 12g, Saposhnikovia Root (Fangfeng) 6g, Mint (Bohe) 3g, Fresh Ginger (Shengjiang) 10g, Small Jujube (Xiaozao) 5 pieces, Licorice Root (Gancao) 6g.
After intake, rash emerged gradually but color remained dull. This was due to innate weak constitution, relatively deficient healthy Qi, and inability to push outward. Continued with Guigan Jiangzao Mading Fuzi Tang (Cinnamon, Licorice, Ginger, Jujube, Ephedra, Asarum, and Aconite Root Decoction) to support Yang and vent exterior.
Prepared Aconite Root (Fupian) 30g, Cinnamon Twig (Guizhi) 12g, Ephedra Root Hair (Maharong) 5g, Northern Asarum (Beixin) 3g, Small Jujube (Xiaozao) 6 pieces, Fresh Ginger (Shengjiang) 10g, Licorice Root (Gancao) 6g.
After one dose, rash emerged. Two doses later, dense patches of rash covered the body, color turned vibrant red, white coating disappeared, tongue red and delicate. This indicated rash toxin exiting outward. Continued with Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction plus Aconite Root) plus Astragalus. After intake, rash turned grey, pulse calmed, body cooled, and cured.
After rash subsided, peeling skin like membranes appeared all over, limbs peeled like snake slough.
Not long after, sudden hard swelling/nodules appeared under ears, followed by similar swelling in both armpits, then hard masses in groin creases, gradually growing bowl-sized, skin not red, painful on pressure. No fever, cough with profuse sputum, white slippery coating, no thirst. This was Yin Carbuncle, not comparable to heat-toxin sores. Heat-clearing bitter-cold detoxifying agents were contraindicated. Warming Yang and transforming was appropriate. Once pus matured, drainage and flesh-regeneration could lead to cure. Family invited Western doctors for surgery, draining only clear bloody pus-water, slightly reducing pain/swelling. Before wound closed, sudden hard mass appeared under buttocks, bowl-shaped, similar to before, and another mass in popliteal fossa. Child's physique and spirit deteriorated, yellowish-dull complexion, pale lips/tongue, white slippery coating. Due to recurrent masses and multiple surgeries/drainages, constitution extremely weak, deemed difficult to treat. Changed several doctors, all declined due to severe condition and only child status. Later consulted me again. Symptoms as described: healthy Qi insufficient, unable to generate flesh and push out toxin. Pus results from necrotic flesh/blood. Prolonged non-healing consumes Qi and Blood. Surgical drainage treats the branch, not the root. Only supporting Yang and assisting healthy Qi, filling interior Qi, can pyoderma be eradicated. Insisted on large doses of warm/hot formulas. Used Sini Tang (Four Reversal Decoction) with modifications:
Prepared Aconite Root (Fupian) 60g, Roasted Ginger (Paojiang) 12g, Kouqi (Astragalus) 15g, Patrinia Root (Baijiang) 15g, Coix Seed (Yiren) 15g, Licorice Root (Gancao) 10g, Platycodon Root (Jiegeng) 10g.
Three doses taken consecutively: swollen/hard areas gradually turned red and suppurated, surface skin translucent. Light surgical incision performed externally. Upon ripening, skin broke, gushing out bloody, viscous, foul-smelling pus. Continued with Sini Tang, Qifu Tang (Astragalus and Aconite Root Decoction), and Yanghe Tang (Brightening Society Decoction) and other warming/stabilizing agents for dozens of doses. Finally achieved flesh regeneration, wound closure, and no recurrence of pyoderma.
Sini Tang (Four Reversal Decoction)
Prepared Aconite Root (Fupian) 60g, Dried Ginger (Ganjiang) 10g, Honey-fried Licorice Root (Zhigancao) 10g.
Qifu Tang (Astragalus and Aconite Root Decoction)
Kouqi (Astragalus) 30g, Prepared Aconite Root (Fupian) 60g.
Yanghe Tang (Brightening Society Decoction)