熟地30克 白芥子3克(炒、研) 鹿角胶10克(烊化、分次兑服)姜炭10克 麻黄6克 肉桂6克(研末，泡水兑入) 甘草6克痄 腮(急性腮腺炎)
李×，男孩，五岁。1964年2月患腮腺炎，已四五日．发热恶寒，两腮于耳下赤肿疼痛。其母用臭灵丹叶捣烂外敷，另服六神丸，效果不明显，反觉服六神丸后腹中冷痛不适，延余诊视。初诊，患儿寒热未退，两腮仍肿痛，腹内亦痛，不思饮食，精神疲惫，脉弦细，舌苔薄白，根部稍显黄腻。此乃风寒外袭，邪遏太阳少阳两经，经气受阻，脉络不通所致，亦属太少二阳合病之证。拟用桂枝、柴胡合方加味治之。
柴胡6克黄芩6克 明党参9克 桂枝9克 杭芍6克
法夏6克 生姜3片 大枣3枚 板蓝根9克 甘草6克
服一剂，发热退，恶寒减轻，两腮肿痛消退大半，腹痛亦止，已思饮食。脉细缓，舌根部黄腻苔已退。继上方去黄芩加甲珠6克、败酱草6克，连服二剂而愈。
风湿关节痹痛田××妻，年三十余，某年9月，患风湿痹证，右手关 节疼痛发麻，自觉骨问灼热，但又见寒生畏。病已十余日，曾服四逆汤加白术、秦归等剂，未效，疼痛忽轻忽重，固着肩肘，痛甚不休。余审其病情，查其方药，此乃风寒湿邪杂合而至，阻遏经脉，阳不足以运行通利关节，不通则痛。虽应用姜附之辛温以化散寒湿，然杂以归术之壅补滋腻，犹如闭门捉寇，遂使邪气难化。因照前方去归、术加入桂枝、细辛、茯苓治之，一剂显效，二剂霍然。
附片60克干姜15克桂枝24克细辛5克 茯苓24克 甘
草10克下肢瘀血阳滞疼痛(慢性血栓性静脉炎)
杨××，男，三十二岁，昆明人，省建筑工程局工作。
1959年10月以来，双下肢小腿部血管胀痛，皮色发青，双足冰冷，终日不能回温，稍多行走，则足软无力，胀痛难忍，步履惟艰。昆明某医院诊断为“慢性血栓性静脉炎”，疗效不显。该院医生建议手术治疗，病者不愿接受，因而改服中药。余视之，认为此系阳气内虚，寒湿凝滞下焦，阳不足以温煦筋脉，遂致寒凝血瘀，血脉不通而作痛。察其脉沉迟而瀒，舌质含青，杂有瘀斑瘀点，主以温肾助阳，行瘀通络之法。方用。
附片80克 干姜30克 桂枝50克 北细辛10克 伸筋草10克
桃仁10克(捣) 红花8克 甘草8克
初服则胀痛更甚，再服觉痛麻兼作，疑之，遂来复诊。
余告之此乃阳药温化运行，行瘀通脉之效果，再服无妨。照原方去桃仁加羌活9克，吴芷9克，连服二剂则疼痛渐除，双足回温。三诊，在原方基础上加减散寒除湿活络之剂调治之，数剂而愈。
湿 疹
李××，女，二十五岁，广东人，大学教师，住昆明市。身体健康，向少生病，t965年4月，赴滇南某化肥厂出差，当地气候炎热，暑湿氤氲。某日下班出厂，迎面微风吹拂而来，顿觉面部烘热，身发寒噤。次日颜面皮肤细密丘疹遍起，皮肤掀红，绷紧灼热，奇痒难忍。工厂医务所诊断为“过敏性湿疹”，给服盐酸苯海拉明及静脉注射葡萄糖酸钙等治疗，面部痒疹未退，于两肘弯处又复发生，稍轻拭则有清淡黄水渗出，夜间作痒尤甚，眠食不安。5月1日回昆明，来舍就诊于余。脉浮缓、舌淡苔薄白，此气血不调，营卫失谐，受暑湿之气熏腾，复为风邪所感，发为湿疹。法当调和营卫、疏风除湿固表主之，方用桂枝汤玉屏风散合方加昧。
口芪30克 防风15克 白术20克 桂枝20克 杭芍10克 蝉
蜕5克 红毛五加10克 刺蒺藜10克广蛇床10克生姜3片大枣3枚甘草10克不日返回该厂，照方煎服二剂而愈，此后未再复发。
脱 发
李××，女，二十四岁，未婚，云南大学学生。1963年以来发现头发成丛脱落，脱后不见再长，发脱之处圆如钱状，大小不等，约两月余，头发全部脱去，头顶光秃，毫毛不留。患者为此惊忧不已，寝食不安，日问则心绪不宁，难于静心学习，夜卧又梦境飘扬，不能安卧熟寐。遍求医药施治，历经数月，未获效验。于1964年3月由亲友介绍，来余舍求诊，见患者头部用纱巾缠裹。询其病状，则羞涩含泪欲泣。脉象沉细而弱，舌质淡，苔薄白润。 《内经》云： “肾者……精之处也，其华在发。”肾受五脏六腑之精而藏之，发为血之余。精与血互为资生，精足则血充，血充则毛发润泽。故毛发滋荣于血，生长则根源于肾。此证脱发并非疥癣所致，乃精血不足也，当以补肾荣血之法为治。方用：
附片6O克 炙首乌15克 当归15克 熟地15克 肉桂12克
炒枣仁15克 千张纸9克 益智仁9克(炒) 鹿角胶9克
(烊化，分次兑入) 甘草6克
连服八剂后，头部即开始生长银白色短绒毛发，眠食均见好转。继上方加补骨脂12克、菟丝子9克，药炉不辍，连服十 五剂。一月后，头发已长至一寸多，色泽渐深。照原方，去千张纸加肉苁蓉12克，又服二十余剂，头发渐长，其色渐转黝黑，半年后黑发满头，未见再有脱落。
服使君子仨呃逆治验
张××，四川人，住昆明市，有子十岁，常患蛔虫腹痛，面黄肌瘦，纳呆食少，夜卧常齘齿流涎。渠在药店购得使君子二市两与子服食，意欲驱杀蛔虫，然不知该服何许剂量，随其子剥去外壳而食之。因使君子仁，其味香甜，小儿子一日内服食达一市两之多，遂发呃逆不止，连声频频而作，心泛欲呕而不思饮食，无法止住，来舍向余求教。余思及早年从师习业，曾闻师言，服使君子仁致呃逆作呕者，其壳可解。余当即介绍此法以试之。渠返家后，照法用使君子外壳一市两煎汤与其予服，连服数次，次日则呃逆顿除。
按：使君子仁甘温入脾胃，常用以驱除蛔虫，多食则易敛眩晕呃逆作呕，脾胃虚弱者尤甚，然使君子壳又可解之。
此系民问单方效验，若遇此者，不妨以试。
麻疹过表变证补救
郑××之女，三岁，住四川会理县鹿厂观音桥。患儿于1913年3月出疹，经某医诊治，服发表药三剂后，麻疹隐隐欲出未出，发热嗜卧无神，两腮下忽而肿硬。延余诊视，认为服表药过多，有伤气血，疹毒不得发越，遂凝结于腮下作肿。即以当归补血汤合升麻葛根汤稍加薄荷服之。
北口芪24克 当归24克 升麻5克 杭白芍10克 葛根6克
薄荷3克甘草3克
次日复诊，其疹已透出，色转红润，腮肿全消。照原方再服一付后，全身疹已出齐，脉静身凉。继服黄芪建中汤二剂调补而愈。
按：此女体质较单弱，虽服表散之药较多，但幸未服寒凉之剂，故用大补气血，稍佐升提之品，亦收显效。倘再误施表凉，则后患不堪设想。此后余诊治麻疹一症，均未敢过于表散，亦未敢骤施苦寒清凉与攻下之剂，而切实掌握辨证论治之精神，无不立见奇效。
麻疹治验二则
其一。
李××之长子九岁，次子七岁，住云南省禄丰县南城外，于1922年3月同患麻疹。初起发热二日，涕清咳嗽，耳指冷，目微赤，多泪，面上隐隐现红疹，以桂枝汤加葛根、防风、薄荷、升麻，两子同服。
桂枝15克 杭芍15克 葛根12克 防风13克 薄荷6克 甘
草6克 升麻6克 生姜24克 大枣4枚
服一剂麻疹渐出而红润，继则去葛根、升麻，加广皮、法夏、细辛，仍同服。服后，疹即透达渐灰，脉静身凉。再服黄芪建中汤一剂，即告痊愈。
黄芪30克 桂枝15克 杭芍15克 甘草6克 生姜30克 大
枣5枚 饴糖30克
(本案两孩病状相同，故二人同服一剂，所用药量稍重，若分服则当减轻使用。)
其二：
陈××之子，二岁，住云南省禄丰县南城外。患儿于1922年3月出麻疹，已发热四日，头面隐隐现红疹，色淡红不鲜，兼见昏迷咳嗽，大便泄泻。因其体弱未敢过于表凉，乃与麻辛附子汤加二陈汤及生姜以温经解表，辅正除邪而止咳泻。
附片24克 麻黄5克 细辛3克 广皮6克 法夏6克 甘
草3克生姜10克
服后，疹渐出，色已较红润，但仍发迷无神，继以自通汤一剂。
附片30克 干姜13克 葱白4茎
服后疹即出透，身热渐退，仍见咳嗽。再照上方去葱白加细辛3克、法夏6克、化红6克、甘草6克。服后，麻疹渐灰，脉静身凉，神识清爽，顺利痊愈。
按：以上惠儿三人，均出麻疹，未经误治，服药后，遂顺利痊愈。倘恣意寒凉或任施表散，焉得不变症而促其夭折乎!病后体弱出麻疹变证严重
甘××之女，两岁余，姚安人，住昆明市。患儿于1924年3月出麻疹，延余诊治。其症发热，涕清咳嗽，目赤多泪；耳指冷，面部隐隐已现红点。因上年冬季曾患慢脾风症，经余治疗，体质尚未复元，故未敢用发表寒凉之剂，乃主以桂枝汤加附子、细辛。
桂枝6克 杭芍6克 甘草3克 生姜10克 大枣2枚 附
片15克细辛3克
服一剂，麻疹渐出，二剂透齐，三剂渐灰。但微见烦躁，因当时余经验不足，竟疑为服温热药后之燥象，即用上方减去辛、附，倍芍药加当归以补阴血，加麦冬而清烦热。
桂枝6克 杭芍12克 甘草3克 生姜10克 大枣2枚 当
归10克 麦冬10克
次日复诊。服上方后患儿脉反紧急，发热烦乱，喘挣痰鸣，鼻翼掮动，唇色青乌，舌苔白滑，指纹青黑出二关，有欲作惊风之状。此种病情，已有阴盛逼阳于外之势，当即以扶阳抑阴之四逆汤加肉桂、茯苓治之。
附片24克 干姜10克 甘草5克 上肉桂6克(研末，泡水兑
入) 茯苓12克 公丁1．5克
服后，旋即风动，延余再诊。见其手足抽掣．角弓反张，喘挣痰鸣，鼻掮不乳，以药饮之，则涌吐涎沫，泄泻绿 粪。此种症状，颇属危笃。但诊其脉象，已较前和缓，身热约退十分之二、三。此是药与病相争之兆，亦即“若药不瞑眩，厥疾弗瘳”之瞑眩现象，告其希勿疑惧。当即照原方增量主之。
附片50克 干姜15克 甘草6克 上肉桂6克(研末，泡水兑入)
茯苓12克 公丁1．5克
嘱病家连夜煎服。次日复诊，见其脉静身凉，已能吮乳，惟尚咳嗽略挣，大便尚泻而色渐转黄，面唇指纹青乌之色已退。照原方再服一剂，泄泻止，喘挣平。复以上方加口芪12克、砂仁6克，去公丁、茯苓，连服五剂，遂得痊愈。
按：此等病症，若认为阳毒热重，以清热解毒之品投之，势必变症危笃，此时虽有识者用温热药以补救之，但如剂量过轻，或配伍不当，亦难生效。故应辨别阴阳，分析虚实寒热，随症施冶，则可免误治也。
麻疹误服表凉药转阴证
甘××之子，三岁，姚安人，住昆明市土主庙街巷内。
患儿于1924年3月出麻疹，延余诊治。据其父云，初时发热咳嗽，请某医诊治，服升提表散而佐清凉之药二剂后，麻疹隐隐现点，色象不鲜，发热已五六日，尚未出透。余诊视之，见其昏迷无神(少阴证但欲寐之病情)。发热已五、六日，麻疹尚未出透，若再迁延，势必转危，即以白通汤一剂。
熟地黄30克，白芥子3克（炒后研碎），鹿角胶10克（烊化后分次冲服），姜炭10克，麻黄6克，肉桂6克（研成粉末，泡水后兑入药汁中），甘草6克。
痄腮（急性腮腺炎）
患者李×，男孩，五岁。1964年2月患腮腺炎，病程已四五日。症状为发热、恶寒，双侧耳下腮部红肿疼痛。其母亲用臭灵丹叶捣烂外敷，并内服六神丸，但效果不明显，反而感觉服用六神丸后腹部冷痛不适，于是前来求诊。初诊时，患儿寒热症状未退，两腮依然肿痛，腹部亦痛，不思饮食，精神疲惫，脉象弦细，舌苔薄白，舌根部稍显黄腻。此证乃风寒之邪外袭，邪气遏制太阳经和少阳经，导致经气受阻，脉络不通所致，属于“太少二阳合病”的证候。拟采用桂枝汤与柴胡剂合方加味治疗。
处方：柴胡6克，黄芩6克，明党参9克，桂枝9克，杭白芍6克，法半夏6克，生姜3片，大枣3枚，板蓝根9克，甘草6克。
服用一剂后，发热消退，恶寒减轻，两腮肿痛消退大半，腹痛停止，开始有食欲。脉象转为细缓，舌根部黄腻苔已退去。继守上方，去掉黄芩，加入穿山甲珠6克、败酱草6克，连续服用两剂而痊愈。
风湿关节痹痛
患者田××之妻，三十多岁。某年9月，患风湿痹证，右手关节能疼痛且发麻，自觉骨间灼热，但又见畏寒怕冷。病程已十余日，曾服用四逆汤加白术、当归等方剂，未见疗效，疼痛忽轻忽重，固定于肩肘部位，疼痛剧烈不止。我审视其病情，检查其所用方药，认为这是风寒湿邪混杂而至，阻遏经脉，阳气不足以运行以通利关节，“不通则痛”。虽然应用了干姜、附子等辛温药物以化散寒湿，然而杂用了当归、白术等壅补滋腻之品，犹如“闭门捉寇”，致使邪气难以化解。因此依照前方，去掉当归、白术，加入桂枝、细辛、茯苓进行治疗，服用一剂即显效，两剂后霍然痊愈。
处方：附片60克，干姜15克，桂枝24克，细辛5克，茯苓24克，甘草10克。
下肢瘀血阳滞疼痛（慢性血栓性静脉炎）
患者杨××，男，三十二岁，昆明人，在省建筑工程局工作。
自1959年10月以来，双下肢小腿部血管胀痛，皮肤颜色发青，双足冰冷，终日不能回暖，稍微多行走，则足软无力，胀痛难忍，步履艰难。昆明某医院诊断为“慢性血栓性静脉炎”，疗效不显著。该院医生建议手术治疗，患者不愿接受，因而改服中药。我诊治后，认为此系阳气内虚，寒湿凝滞于下焦，阳气不足以温煦筋脉，遂致寒凝血瘀，血脉不通而作痛。观察其脉象沉迟而涩，舌质含青色，夹杂有瘀斑瘀点，故主以温肾助阳、行瘀通络之法。方用：
处方：附片80克，干姜30克，桂枝50克，北细辛10克，伸筋草10克，桃仁10克（捣碎），红花8克，甘草8克。
初服时胀痛更甚，再服时感觉疼痛与麻木并作，心中疑虑，于是复诊。
我告知他，这是阳药温化运行、行瘀通脉的效果，继续服用无妨。照原方去掉桃仁，加入羌活9克、吴茱萸9克，连续服用两剂，则疼痛逐渐消除，双足回暖。三诊时，在原方基础上加减散寒除湿活络之剂进行调理，数剂后痊愈。
湿疹
患者李××，女，二十五岁，广东人，大学教师，居住在昆明市。身体健康，向来很少生病。1965年4月，赴滇南某化肥厂出差，当地气候炎热，暑湿之气氤氲弥漫。某日下班出厂，迎面微风吹拂而来，顿觉面部烘热，身体发冷颤抖。次日颜面皮肤细密丘疹遍起，皮肤掀红，绷紧灼热，奇痒难忍。工厂医务所诊断为“过敏性湿疹”，给予口服盐酸苯海拉明及静脉注射葡萄糖酸钙等治疗，面部痒疹未退，在两肘弯处又复发，稍轻拭则有清淡黄水渗出，夜间瘙痒尤其严重，睡眠和饮食不安。5月1日回到昆明，来我家就诊。脉象浮缓，舌淡苔薄白，此为气血不调，营卫失谐，受暑湿之气熏蒸，又为风邪所感，发为湿疹。治法当调和营卫、疏风除湿、固表为主，方用桂枝汤与玉屏风散合方加味。
处方：黄芪30克，防风15克，白术20克，桂枝20克，杭白芍10克，蝉蜕5克，红毛五加10克，刺蒺藜10克，广蛇床10克，生姜3片，大枣3枚，甘草10克。
不久返回该厂，照方煎服两剂而痊愈，此后未再复发。
脱发
患者李××，女，二十四岁，未婚，云南大学学生。自1963年以来发现头发成丛脱落，脱后不见再长，脱发之处圆如铜钱状，大小不等，约两月余，头发全部脱去，头顶光秃，毫毛不留。患者为此惊忧不已，寝食不安，日间心绪不宁，难于静心学习，夜卧梦境飘扬，不能安卧熟睡。遍求医药施治，历经数月，未获效验。于1964年3月由亲友介绍，来我家求诊，见患者头部用纱巾缠裹。询问其病状，则羞涩含泪欲泣。脉象沉细而弱，舌质淡，苔薄白润。《内经》云：“肾者……精之处也，其华在发。”肾受五脏六腑之精而藏之，发为血之余。精与血互为资生，精足则血充，血充则毛发润泽。故毛发滋荣于血，生长则根源于肾。此证脱发并非疥癣所致，乃精血不足也，当以补肾荣血之法为治。方用：
处方：附片60克，炙首乌15克，当归15克，熟地黄15克，肉桂12克，炒枣仁15克，千张纸9克，益智仁9克（炒），鹿角胶9克（烊化，分次兑入），甘草6克。
连续服用八剂后，头部即开始生长银白色短绒毛发，睡眠和饮食均见好转。继守上方加入补骨脂12克、菟丝子9克，药炉不停，连续服用十五剂。一月后，头发已长至一寸多，色泽渐深。照原方，去掉千张纸，加入肉苁蓉12克，又服用二十余剂，头发渐长，其色渐转黝黑，半年后黑发满头，未见再有脱落。
服使君子致呃逆治验
患者张××，四川人，居住在昆明市，有一个十岁的儿子，常患蛔虫腹痛，面色萎黄，肌肉消瘦，食欲不振，夜卧时常磨牙流涎。他在药店购得使君子二市两给儿子服用，意图驱杀蛔虫，但不知该服何种剂量，便随其子剥去外壳直接食用。因使君子仁味道香甜，小儿子一日之内服食达一市两之多，遂引发呃逆不止，连声频频发作，心中泛恶欲呕而不思饮食，无法止住，来我家向我请教。我回想早年从师习业时，曾听老师说过，服用使君子仁导致呃逆作呕者，用使君子壳可以解之。我当即介绍此法以尝试。他回家后，照法用使君子外壳一市两煎汤给儿子服用，连续服用数次，次日则呃逆顿除。
按语：使君子仁甘温，入脾胃经，常用以驱除蛔虫，多食则易引起眩晕、呃逆、作呕，脾胃虚弱者尤为明显，然而使君子壳又可解其副作用。
此系民间单方效验，若遇此情况，不妨以此尝试。
麻疹过表变证补救
患者郑××之女，三岁，居住在四川会理县鹿厂观音桥。患儿于1913年3月出麻疹，经某医诊治，服用发表药三剂后，麻疹隐隐欲出而未出，发热嗜卧无神，两腮下忽然肿硬。延请我诊治，认为服用发表药过多，损伤了气血，疹毒不得发散透越，遂凝结于腮下作肿。即以当归补血汤合升麻葛根汤稍加薄荷服用。
处方：北黄芪24克，当归24克，升麻5克，杭白芍10克，葛根6克，薄荷3克，甘草3克。
次日复诊，其疹已透出，颜色转红润，腮肿全消。照原方再服一付后，全身疹已出齐，脉静身凉。继服黄芪建中汤二剂调补而痊愈。
按语：此女体质较单薄，虽服用较多表散之药，但幸未服用寒凉之剂，故用大补气血，稍佐升提之品，亦收显效。倘若再误施表凉，则后患不堪设想。此后我诊治麻疹一症，均未敢过于表散，亦未敢骤施苦寒清凉与攻下之剂，而切实掌握辨证论治之精神，无不立见奇效。
麻疹治验二则
其一。
患者李××之长子九岁，次子七岁，居住在云南省禄丰县南城外，于1922年3月同患麻疹。初起发热二日，涕清咳嗽，耳指冷，目微赤，多泪，面上隐隐现红疹，以桂枝汤加葛根、防风、薄荷、升麻，两子同服。
处方：桂枝15克，杭白芍15克，葛根12克，防风13克，薄荷6克，甘草6克，升麻6克，生姜24克，大枣4枚。
服用一剂后麻疹渐出而红润，继则去掉葛根、升麻，加入广陈皮、法半夏、细辛，仍同服。服后，疹即透达渐灰，脉静身凉。再服黄芪建中汤一剂，即告痊愈。
处方：黄芪30克，桂枝15克，杭白芍15克，甘草6克，生姜30克，大枣5枚，饴糖30克。
（本案两孩病状相同，故二人同服一剂，所用药量稍重，若分服则当减轻使用。）
其二：
患者陈××之子，二岁，居住在云南省禄丰县南城外。患儿于1922年3月出麻疹，已发热四日，头面隐隐现红疹，色淡红不鲜，兼见昏迷咳嗽，大便泄泻。因其体弱未敢过于表凉，乃与麻辛附子汤加二陈汤及生姜以温经解表，辅正除邪而止咳泻。
处方：附片24克，麻黄5克，细辛3克，广陈皮6克，法半夏6克，甘草3克，生姜10克。
服后，疹渐出，色已较红润，但仍发迷无神，继以自通汤一剂。
处方：附片30克，干姜13克，葱白4茎。
服后疹即出透，身热渐退，仍见咳嗽。再照上方去掉葱白，加入细辛3克、法半夏6克、化红6克、甘草6克。服后，麻疹渐灰，脉静身凉，神识清爽，顺利痊愈。
按语：以上患儿三人，均出麻疹，未经误治，服药后，遂顺利痊愈。倘若恣意寒凉或任施表散，焉得不变症而促其夭折乎！
病后体弱出麻疹变证严重
患者甘××之女，两岁余，姚安人，居住在昆明市。患儿于1924年3月出麻疹，延请我诊治。其症发热，涕清咳嗽，目赤多泪；耳指冷，面部隐隐已现红点。因上年冬季曾患慢脾风症，经我治疗，体质尚未复元，故未敢用发表寒凉之剂，乃主以桂枝汤加附子、细辛。
处方：桂枝6克，杭白芍6克，甘草3克，生姜10克，大枣2枚，附片15克，细辛3克。
服用一剂，麻疹渐出，二剂透齐，三剂渐灰。但微见烦躁，因当时我经验不足，竟疑为服用温热药后之燥象，即用上方减去辛、附，倍芍药加当归以补阴血，加麦冬而清烦热。
处方：桂枝6克，杭白芍12克，甘草3克，生姜10克，大枣2枚，当归10克，麦冬10克。
次日复诊。服用上方后患儿脉反紧急，发热烦乱，喘挣痰鸣，鼻翼煽动，唇色青乌，舌苔白滑，指纹青黑出二关，有欲作惊风之状。此种病情，已有阴盛逼阳于外之势，当即以扶阳抑阴之四逆汤加肉桂、茯苓治之。
处方：附片24克，干姜10克，甘草5克，上肉桂6克（研末，泡水兑入），茯苓12克，公丁香1.5克。
服后，旋即风动，延请我再诊。见其手足抽掣，角弓反张，喘挣痰鸣，鼻翼煽动不乳，以药饮之，则涌吐涎沫，泄泻绿粪。此种症状，颇属危笃。但诊其脉象，已较前和缓，身热约退十分之二、三。此是药与病相争之兆，亦即“若药不瞑眩，厥疾弗瘳”之瞑眩现象，告知家属希勿疑惧。当即照原方增量主之。
处方：附片50克，干姜15克，甘草6克，上肉桂6克（研末，泡水兑入），茯苓12克，公丁香1.5克。
嘱病家连夜煎服。次日复诊，见其脉静身凉，已能吮乳，惟尚咳嗽略挣，大便尚泻而色渐转黄，面唇指纹青乌之色已退。照原方再服一剂，泄泻止，喘挣平。复以上方加黄芪12克、砂仁6克，去掉公丁香、茯苓，连服五剂，遂得痊愈。
按语：此等病症，若认为阳毒热重，以清热解毒之品投之，势必变症危笃，此时虽有识者用温热药以补救之，但如剂量过轻，或配伍不当，亦难生效。故应辨别阴阳，分析虚实寒热，随症施治，则可免误治也。
麻疹误服表凉药转阴证
患者甘××之子，三岁，姚安人，居住在昆明市土主庙街巷内。
患儿于1924年3月出麻疹，延请我诊治。据其父云，初时发热咳嗽，请某医诊治，服用升提表散而佐清凉之药二剂后，麻疹隐隐现点，色象不鲜，发热已五六日，尚未出透。我诊视之，见其昏迷无神（少阴证但欲寐之病情）。发热已五、六日，麻疹尚未出透，若再迁延，势必转危，即以白通汤一剂。
Rehmanniae Radix Preparata 30g, Braseae Semen (Stir-fried and Ground) 3g, Cornu Cervi Gelatinum 10g (Melted and taken in divided doses), Carbonis Zingiberis Rhizoma 10g, Ephedrae Herba 6g, Cinnamomi Ramulus 6g (Ground into powder, soaked in water and added to the decoction), Glycyrrhizae Radix et Rhizoma 6g.
Mumps (Acute Parotitis)
Patient Li X, male, five years old. In February 1964, he contracted parotitis, which had persisted for four or five days. Symptoms included fever, aversion to cold, and redness, swelling, and pain in both cheeks below the ears. His mother applied crushed leaves of *Ageratum conyzoides* externally and administered *Liushen Wan* internally, but with no obvious effect. He felt abdominal cold pain and discomfort after taking *Liushen Wan*, so he came for consultation. On initial examination, the child's chills and fever had not subsided, his cheeks remained swollen and painful, his abdomen was painful, he had no appetite, and he appeared spiritually exhausted. The pulse was wiry and fine, the tongue coating thin and white, with a slightly yellowish and greasy coating at the root. This condition is caused by an external invasion of wind-cold pathogenic factors, which obstruct the Taiyang and Shaoyang meridians, blocking the flow of meridian qi and collaterals. It belongs to the syndrome of simultaneous involvement of the Taiyang and Shaoyang meridians ("Tai-Shao Two-Yang Combined Disease"). The treatment plan was to use a combined formula of Guizhi Tang (Cinnamon Twig Decoction) and Chaihu-based formulas with modifications.
Prescription: Bupleuri Radix 6g, Scutellariae Radix 6g, Codonopsis Radix (Mingdangshen) 9g, Cinnamomi Ramulus 9g, Paeoniae Radix Alba 6g, Pinelliae Rhizoma Preparatum 6g, Fresh Ginger 3 slices, Jujubae Fructus 3 pieces, Isatidis Radix 9g, Glycyrrhizae Radix et Rhizoma 6g.
After one dose, the fever subsided, aversion to cold decreased, and the swelling and pain in the cheeks reduced significantly. Abdominal pain stopped, and appetite returned. The pulse became fine and slow, and the yellowish-greasy coating at the root of the tongue disappeared. Continuing with the above prescription, Scutellariae Radix was removed, and Manis Squama (Pangolin Scales) 6g and Patriniae Herba 6g were added. After two consecutive doses, the patient recovered.
Bi Syndrome due to Wind-Dampness in Joints
Patient Tian XX's wife, over thirty years old. In September of a certain year, she suffered from Bi Syndrome due to wind-dampness. There was pain and numbness in the joints of her right hand, with a sensation of burning heat between the bones, yet she also experienced chills and fear of cold. The illness had lasted for more than ten days. She had previously taken Sini Tang (Four Reversal Decoction) plus Atractylodis Rhizoma and Angelicae Sinensis Radix without effect. The pain fluctuated in intensity, fixed in the shoulders and elbows, and was severe and unceasing. I examined her condition and previous prescriptions, concluding that this was a combination of wind, cold, and dampness pathogens obstructing the meridians. Yang Qi was insufficient to circulate and unblock the joints, leading to pain due to obstruction ("Bu Tong Ze Tong" - lack of flow causes pain). Although pungent-warm herbs like dried ginger and prepared aconite were used to dissipate cold-dampness, the inclusion of cloying and tonifying herbs like Angelicae Sinensis Radix and Atractylodis Rhizoma acted like "closing the door to catch the thief," making it difficult to resolve the pathogens. Therefore, following the previous formula, Angelicae Sinensis Radix and Atractylodis Rhizoma were removed, and Cinnamomi Ramulus, Asari Radix et Rhizoma, and Poria 24g were added. One dose showed significant effect, and after two doses, she recovered completely.
Prescription: Prepared Aconiti Lateralis Radix (Fupian) 60g, Dried Ginger (Ganjiang) 15g, Cinnamomi Ramulus 24g, Asari Radix et Rhizoma 5g, Poria 24g, Glycyrrhizae Radix et Rhizoma 10g.
Lower Limb Pain due to Blood Stasis and Yang Stagnation (Chronic Thrombophlebitis)
Patient Yang XX, male, 32 years old, from Kunming, working at the Provincial Construction Engineering Bureau.
Since October 1959, he experienced distending pain in the blood vessels of both lower legs, cyanotic skin color, and icy cold feet that never warmed up throughout the day. Walking slightly more caused weakness in the feet, unbearable distending pain, and difficulty walking. A hospital in Kunming diagnosed "Chronic Thrombophlebitis" with poor efficacy. Surgical treatment was suggested, but the patient refused and switched to Traditional Chinese Medicine. My diagnosis indicated internal deficiency of Yang Qi, with cold-dampness stagnating in the Lower Jiao. Insufficient Yang Qi failed to warm the sinews and vessels, leading to cold coagulation and blood stasis, causing pain due to blocked blood vessels. The pulse was deep, slow, and choppy; the tongue body had a bluish hue with petechiae and ecchymoses. The primary treatment method was to warm the Kidney, assist Yang, invigorate blood, and unblock collaterals. Formula used:
Prescription: Prepared Aconiti Lateralis Radix (Fupian) 80g, Dried Ginger (Ganjiang) 30g, Cinnamomi Ramulus 50g, Northern Asari Radix et Rhizoma 10g, Lycopii Herba 10g, Persicae Semen 10g (Crushed), Carthami Flos 8g, Glycyrrhizae Radix et Rhizoma 8g.
Upon initial intake, the distending pain worsened. Upon the second dose, pain and numbness occurred simultaneously, causing doubt, so he returned for a follow-up.
I informed him that this was the effect of Yang-tonifying herbs warming and transforming, promoting blood circulation and unblocking vessels, and advised continuing the medication. Following the original formula, Persicae Semen was removed, and Notopterygii Rhizoma et Radix (Qianghuo) 9g and Evodiae Fructus (Wuzhuyu) 9g were added. After two doses, the pain gradually subsided, and the feet warmed up. At the third visit, the formula was modified to dispel cold, drain dampness, and unblock collaterals. After several doses, he recovered.
Eczema
Patient Li XX, female, 25 years old, from Guangdong, university teacher, residing in Kunming. She was generally healthy and rarely ill. In April 1965, she went on a business trip to a fertilizer plant in southern Yunnan, where the climate was hot and humid. One day after work, a gentle breeze blew against her face, causing a sudden feeling of facial heat and shivering. The next day, dense papules appeared all over her face, with red, tight, burning skin and unbearable itching. The factory clinic diagnosed "Allergic Eczema" and treated her with oral Diphenhydramine Hydrochloride and intravenous Calcium Gluconate. The facial rash did not subside, and new lesions appeared on the inner elbows, oozing clear yellow fluid when lightly wiped. Nighttime itching was severe, disturbing sleep and appetite. Returning to Kunming on May 1st, she consulted me. The pulse was floating and slow; the tongue was pale with a thin white coating. This was due to disharmony of Qi and Blood, failure of Ying and Wei harmonization, steaming by summerheat-dampness, and subsequent invasion of wind pathogen, resulting in eczema. The treatment principle was to harmonize Ying and Wei, disperse wind, drain dampness, and consolidate the exterior. The formula used was a combination of Guizhi Tang (Cinnamon Twig Decoction) and Yupingfeng San (Jade Windscreen Powder) with modifications.
Prescription: Astragali Radix (Huangqi) 30g, Saposhnikoviae Radix 15g, Atractylodis Macrocephalae Rhizoma 20g, Cinnamomi Ramulus 20g, Paeoniae Radix Alba 10g, Bombyx Batryticatus 5g, Acanthopanacis Senticulosi Radix 10g, Tribuli Fructus 10g, Cnidii Fructus 10g, Fresh Ginger 3 slices, Jujubae Fructus 3 pieces, Glycyrrhizae Radix et Rhizoma 10g.
Returning to the factory shortly after, she took two doses according to the prescription and recovered, with no recurrence thereafter.
Hair Loss
Patient Li XX, female, 24 years old, unmarried, student at Yunnan University. Since 1963, she noticed clumps of hair falling out, with no regrowth. The bald patches were round, coin-sized, varying in size. Over about two months, all her hair fell out, leaving her scalp bare and hairless. She was extremely anxious, disturbing her sleep and appetite. During the day, she was restless and unable to study calmly; at night, she had vivid dreams and could not sleep soundly. She sought medical help everywhere for months without success. Introduced by friends in March 1964, she came to my home for consultation, her head wrapped in a scarf. Asking about her condition, she shyly held back tears. The pulse was deep, fine, and weak; the tongue was pale with a thin, moist white coating. *Neijing* states: "The Kidney... is the residence of Essence, and its brilliance manifests in the hair." The Kidneys store the essence of the five Zang and six Fu organs. Hair is the surplus of Blood. Essence and Blood nourish each other; sufficient Essence leads to abundant Blood, and abundant Blood makes hair lustrous. Thus, hair thrives on Blood and grows from the root in the Kidney. This hair loss is not caused by ringworm or scabies, but by insufficiency of Essence and Blood. The treatment should focus on tonifying the Kidney and nourishing Blood. Formula used:
Prescription: Prepared Aconiti Lateralis Radix (Fupian) 60g, Prepared Polygoni Multiflori Caulis (Zhi Shouwu) 15g, Angelicae Sinensis Radix 15g, Rehmanniae Radix Preparata 15g, Cinnamomi Ramulus 12g, Stir-fried Ziziphi Spinosae Semen 15g, Qianzhangzhi 9g, Alpiniae Oxyphyllae Fructus 9g (Stir-fried), Cornu Cervi Gelatinum 9g (Melted and added in divided doses), Glycyrrhizae Radix et Rhizoma 6g.
After eight consecutive doses, silver-white short downy hair began to grow on her scalp, and her sleep and appetite improved. Continuing the above formula, Psoraleae Fructus 12g and Cuscutae Semen 9g were added. Without stopping the medicine, she took fifteen more doses. After one month, her hair grew to over one inch long, with darkening color. Following the original formula, Qianzhangzhi was removed, and Cynomorii Herba 12g was added. After another twenty-plus doses, her hair continued to grow, turning progressively black. Half a year later, she had a full head of black hair, with no further loss.
Treatment of Hiccups Caused by Consuming Quinine Seeds (Shijunzi)
Patient Zhang XX, from Sichuan, residing in Kunming, has a ten-year-old son who often suffers from ascariasis abdominal pain, sallow complexion, emaciation, poor appetite, and teeth grinding with salivation during sleep. He purchased two taels of Quinine Seeds (Shijunzi) from a pharmacy for his son to expel roundworms but did not know the correct dosage. He peeled off the shells and let his son eat the kernels directly. Since the kernels are sweet and fragrant, the young boy consumed up to one tael in one day, triggering incessant hiccups, frequent retching, nausea, and loss of appetite. He came to consult me. Recalling my early training, I remembered my master saying that the shells of Quinine Seeds can cure hiccups and vomiting caused by consuming too many kernels. I introduced this method for trial. Upon returning home, he boiled one tael of Quinine Seed shells in water and gave it to his son. After several doses, the hiccups ceased the next day.
Note: Quinine Seed kernels are sweet and warm, entering the Spleen and Stomach meridians, commonly used to expel roundworms. Excessive consumption easily causes dizziness, hiccups, and vomiting, especially in those with Spleen-Stomach deficiency. However, the shells can counteract these side effects.
This is an effective folk remedy. If encountered, it may be tried.
Remedy for Complications of Measles Due to Excessive Exterior-Releasing Treatment
Patient Zheng XX's daughter, three years old, residing in Guanyin Bridge, Lu Chang, Huili County, Sichuan. The child developed measles in March 1913. After seeing a doctor and taking three doses of exterior-releasing herbs, the measles remained hidden, wanting to erupt but failing. She had fever, lethargy, listlessness, and sudden hardness and swelling under both cheeks. I consulted her case, believing that excessive use of exterior-releasing herbs damaged Qi and Blood, preventing the measles toxin from venting outward, causing it to condense under the cheeks. I prescribed Danggui Buxue Tang (Angelica Tonifies the Blood Decoction) combined with Shengma Gegen Tang (Kudzu Root and Cimicifuga Decoction) with a small amount of Menthae Haplocalycis Herba.
Prescription: Astragali Radix (Beihuangqi) 24g, Angelicae Sinensis Radix 24g, Cimicifugae Rhizoma 5g, Paeoniae Radix Alba 10g, Puerariae Lobatae Radix 6g, Menthae Haplocalycis Herba 3g, Glycyrrhizae Radix et Rhizoma 3g.
On the next day's follow-up, the rash had erupted, turned rosy, and the cheek swelling had completely resolved. After one more dose of the original formula, the rash covered the whole body, the pulse calmed, and the body temperature normalized. She then took Huangqi Jianzhong Tang (Astragalus Decoction to Build the Middle) for two doses to regulate and tonify, leading to recovery.
Note: This girl had a delicate constitution. Although she took many exterior-releasing herbs, fortunately, she did not take cold-cooling agents. Thus, using strong Qi and Blood tonification with slight lifting herbs yielded good results. Had cooling exterior-releasing herbs been mistakenly used, the consequences would have been dire. Since then, in treating measles, I have avoided excessive exterior release and sudden use of bitter-cold cooling or purgative agents, strictly adhering to pattern differentiation and treatment, achieving remarkable effects.
Two Cases of Measles Treatment
Case 1.
Eldest son (9 years old) and second son (7 years old) of Patient Li XX, residing outside the South Gate of Lufeng County, Yunnan Province, contracted measles together in March 1922. Initially, they had fever for two days, clear nasal discharge, cough, cold ears and fingers, slightly red eyes, tearing, and faint red rashes appearing on the face. They were given Guizhi Tang (Cinnamon Twig Decoction) plus Puerariae Lobatae Radix, Saposhnikoviae Radix, Menthae Haplocalycis Herba, and Cimicifugae Rhizoma, taken by both brothers.
Prescription: Cinnamomi Ramulus 15g, Paeoniae Radix Alba 15g, Puerariae Lobatae Radix 12g, Saposhnikoviae Radix 13g, Menthae Haplocalycis Herba 6g, Glycyrrhizae Radix et Rhizoma 6g, Cimicifugae Rhizoma 6g, Fresh Ginger 24g, Jujubae Fructus 4 pieces.
After one dose, the measles gradually erupted and turned rosy. Subsequently, Puerariae Lobatae Radix and Cimicifugae Rhizoma were removed, and Citri Reticulatae Pericarpium (Guangpi), Pinelliae Rhizoma Preparatum, and Asari Radix et Rhizoma were added. After ingestion, the rash fully emerged and faded, the pulse calmed, and the body temperature normalized. One dose of Huangqi Jianzhong Tang (Astragalus Decoction to Build the Middle) led to complete recovery.
Prescription: Astragali Radix (Huangqi) 30g, Cinnamomi Ramulus 15g, Paeoniae Radix Alba 15g, Glycyrrhizae Radix et Rhizoma 6g, Fresh Ginger 30g, Jujubae Fructus 5 pieces, Maltose (Yitang) 30g.
(Note: Since both children had identical symptoms, they shared one dose with slightly heavier dosages. If taken separately, the dosage should be reduced.)
Case 2:
Son of Patient Chen XX, two years old, residing outside the South Gate of Lufeng County, Yunnan Province. The child developed measles in March 1922, having had fever for four days. Faint red rashes appeared on the head and face, pale and dull, accompanied by coma-like state, cough, and diarrhea. Due to his weak constitution, I dared not use strong exterior-releasing or cooling methods. Instead, I prescribed Maxing Guanxi Tang (Ephedra, Mahtian, and Aconite Decoction) combined with Erchen Tang (Two-Cured Decoction) and Fresh Ginger to warm the meridians, release the exterior, support healthy Qi, eliminate pathogens, stop cough, and arrest diarrhea.
Prescription: Prepared Aconiti Lateralis Radix (Fupian) 24g, Ephedrae Herba 5g, Asari Radix et Rhizoma 3g, Citri Reticulatae Pericarpium 6g, Pinelliae Rhizoma Preparatum 6g, Glycyrrhizae Radix et Rhizoma 3g, Fresh Ginger 10g.
After ingestion, the rash gradually emerged, becoming rosier, but the child remained lethargic and spiritless. Then, Zitong Tang (Self-Flowing Decoction) was given for one dose.
Prescription: Prepared Aconiti Lateralis Radix (Fupian) 30g, Dried Ginger (Ganjiang) 13g, Scallion White (Congbai) 4 stalks.
After ingestion, the rash fully erupted, body heat gradually subsided, but cough persisted. Following the above formula, Scallion White was removed, and Asari Radix et Rhizoma 3g, Pinelliae Rhizoma Preparatum 6g, Honghua (Carthami Flos) 6g, and Glycyrrhizae Radix et Rhizoma 6g were added. After ingestion, the measles faded, the pulse calmed, the body temperature normalized, mental clarity returned, and recovery was smooth.
Note: All three children mentioned above had measles, were not mistreated, and recovered smoothly after medication. Had they been subjected to indiscriminate cold-cooling or unrestricted exterior-releasing treatments, complications would have arisen, potentially leading to premature death!
Severe Complications of Measles in Post-Illness Weak Constitution
Daughter of Patient Gan XX, over two years old, from Yao'an, residing in Kunming. The child developed measles in March 1924. Symptoms included fever, clear nasal discharge, cough, red eyes with tearing, cold ears and fingers, and faint red spots on the face. Because she had suffered from Slow Pi Feng (Chronic Spleen Wind) in the winter of the previous year and her constitution had not yet recovered under my treatment, I dared not use exterior-releasing or cold-cooling agents. Instead, I primarily prescribed Guizhi Tang (Cinnamon Twig Decoction) plus Prepared Aconiti Lateralis Radix (Fupian) and Asari Radix et Rhizoma.
Prescription: Cinnamomi Ramulus 6g, Paeoniae Radix Alba 6g, Glycyrrhizae Radix et Rhizoma 3g, Fresh Ginger 10g, Jujubae Fructus 2 pieces, Prepared Aconiti Lateralis Radix (Fupian) 15g, Asari Radix et Rhizoma 3g.
After one dose, the measles gradually emerged; after two doses, they fully erupted; after three doses, they began to fade. However, there was slight irritability. Due to my lack of experience at the time, I suspected this was dryness from the warm herbs, so I removed Asari and Fupian from the formula, doubled the Paeoniae Radix Alba, added Angelicae Sinensis Radix to nourish Yin and Blood, and added Ophiopogonis Radix to clear irritability and heat.
Prescription: Cinnamomi Ramulus 6g, Paeoniae Radix Alba 12g, Glycyrrhizae Radix et Rhizoma 3g, Fresh Ginger 10g, Jujubae Fructus 2 pieces, Angelicae Sinensis Radix 10g, Ophiopogonis Radix 10g.
Next day's follow-up. After taking the above formula, the child's pulse became urgent, fever and irritability worsened, panting and wheezing with phlegm rattling, alar flaring, cyanotic lips, white slippery tongue coating, and blue-black finger veins extending past the second joint, indicating impending convulsions. This condition showed signs of Yin excess forcing Yang outward. I immediately prescribed Sini Tang (Four Reversal Decoction) plus Cinnamomi Cortex (Rougui) and Poria to support Yang and suppress Yin.
Prescription: Prepared Aconiti Lateralis Radix (Fupian) 24g, Dried Ginger (Ganjiang) 10g, Glycyrrhizae Radix et Rhizoma 5g, Upper Cinnamomi Cortex (Shang Rougui) 6g (Ground, soaked in water, and added), Poria 12g, Syzygii Arillatus (Gongding) 1.5g.
After ingestion, wind movements occurred, and I was called back for consultation. The child exhibited limb spasms, opisthotonos, panting with phlegm rattling, alar flaring, inability to suckle, vomiting saliva when medicated, and green diarrhea. These symptoms were critical. However, the pulse was more relaxed than before, and body heat had dropped by 20-30%. This was a sign of the medicine fighting the disease, known as the "Mingxuan" phenomenon ("If the medicine does not cause dizziness/nausea, the chronic disease will not heal"). I advised the family not to worry. I immediately increased the dosage of the original formula.
Prescription: Prepared Aconiti Lateralis Radix (Fupian) 50g, Dried Ginger (Ganjiang) 15g, Glycyrrhizae Radix et Rhizoma 6g, Upper Cinnamomi Cortex (Shang Rougui) 6g (Ground, soaked in water, and added), Poria 12g, Syzygii Arillatus (Gongding) 1.5g.
Instructed the family to brew and administer overnight. Next day's follow-up: Pulse calm, body cool, able to suckle, slight cough and panting persist, stool still loose but turning yellow, cyanotic color of face, lips, and finger veins receded. One more dose of the original formula stopped diarrhea and eased panting. Then, Astragali Radix (Huangqi) 12g and Amomi Fructus Rotundus (Sharen) 6g were added to the formula, while Syzygii Arillatus and Poria were removed. After five consecutive doses, full recovery was achieved.
Note: For such conditions, if one assumes severe Yang-toxin heat and administers clearing-heat detoxifying agents, it will inevitably lead to critical complications. Even if knowledgeable practitioners use warm-hot remedies to rectify the situation, if the dosage is too light or the compatibility improper, it will still fail. Therefore, one must distinguish Yin and Yang, analyze deficiency/excess and cold/heat, and treat according to patterns to avoid misdiagnosis and mistreatment.
Measles Turning to Yin Syndrome Due to Mistaken Use of Exterior-Releasing Cooling Agents
Son of Patient Gan XX, three years old, from Yao'an, residing in Tuzhumiao Street Alley, Kunming.
The child developed measles in March 1924. According to his father, initially he had fever and cough. A doctor was consulted, and after two doses of lifting/exterior-releasing herbs supplemented with cooling agents, the measles appeared as faint spots, dull in color. Fever had persisted for five or six days, and the rash had not fully erupted. Upon examination, I saw he was listless and spiritless (symptoms of Shaoyin syndrome: desire to sleep). With fever lasting five to six days and measles not yet fully erupted, delay would surely lead to danger. I immediately prescribed Bitong Tang (White Connecting Decoction) for one dose.