9月1日复诊。体温37．2℃(肛表)，大便解二次，已为粪质，色黄而溏薄，未见脓血状物。据其母所诉，患儿热 退之后已不再发惊，能安静熟睡，稍进乳食。此时虽然发热已退，腹泻已止，但见面色转淡，嗜卧无神，指纹色淡仅隐隐可见，口唇回润，干渴之状已不见，舌苔薄白转润。此系病邪已退，中焦脾胃虚弱，须当调补中气，健运脾胃以善其后，拟归芍理中汤加味治之。
潞党参10克 炮姜6克 肉桂5克 当归6克 杭芍5克
白术6克 砂仁3克 公丁7粒 甘草3克
上方连服三剂，9月4日诊视，患儿于服药后第二、三两日，均未解大便，一切情况尚好，今日则大便二次，色黄微溏，体温已平，精神转佳，乳食如常。9月1日和5日曾各取大便标本做病菌培养，均未检出痢疾杆菌，遂调理数日，痊愈出院。
小儿湿热痢(三阳合病下痢)
李××，女孩，一岁半，1964年4月8日来诊(中医学院附属医院门诊号136651)。患儿患麻疹免后，大便下利红白已十余日，发热39．8℃，寒热交作，面赤气促，多啼哭，夜不入睡，口渴而喜饮。每日大便泻十七、八次，量不多，色绿而赤白粘液间杂，欲便时啼闹不休(腹中痛)，哭甚方解，解便不畅(里急后重，滞下不爽)，小便短赤，脉细数，指纹青紫而浮，苔白腻，曾服止痢西药数日未见愈。此 乃三阳合病下痢之证，拟方。
桂枝15克 葛根10克 柴胡6克 黄芩3克 黄连3克 榔
片3克 杭芍1 0克 小枣5枚 生姜2片 甘草7克
昨日一剂连续煎服六次，得微汗。今日已热退身凉，大便三次，色黄半干，稍带粘液，赤色已不见，小便转清，口已不渴，能食软饭。脉转缓，指纹青紫已退，色淡而细，苔薄白质红润。此痢证已止，尚须调理，以桂枝汤加味一剂而收功。
苏条参6克 杭芍6克 法夏6克 砂仁3克 桂枝1 o克
小枣5枚生姜2 片 甘草5克秋 燥
尚×之女，年十四岁。1924年8月感秋令燥邪，身热头疼，咽干而痛，食物不下，喜饮清凉。脉息弦数，舌尖红，苔白而燥。此为外邪与阳明燥气相合遂成是状。方用麻黄、杏仁、甘草、石膏汤加味洽之，一剂而愈。
麻黄10克 杏仁10克 生石膏12克(碎，布包) 桔梗10克
连翘6克寸冬10克燥 咳
吴××，男，二十四岁，昆明医学院学生。1963年10月 感秋令燥邪而病咳嗽，咳声频频，干咳声响无痰无涕．靥干，舌苔薄白少津，脉浮濡，服西药止咳剂未效。此为阴虚肺燥之证，宜养阴润肺止咳，拟二冬二母汤加味，一剂尽，津液回生，咳声立止。
麦冬15克 天冬12克 川贝母10克 知母10克 百合12克
黄芩10克 生杭芍12克 百部10克 桑皮12克 玄参10克
五味子3克 甘草6克寒 疟
阎×之妻，患疟证二十余日，每日午后发作，先寒而后热，寒甚则颤栗鼓颌，热退则汗出如洗，发作之时头痛如劈，饮食不进，呕吐酸苦涎沫，大便溏泻，两胁撑胀而痛、惟喜滚饮。脉细迟无力。舌苔白滑，质含青色，曾服消食清热平肝等十余剂未效。此乃阳气内虚，阳不胜阴，肝邪夹寒水之气上逆，午后之时，阴盛阳虚，真阳被阴邪格拒，浮越于外，遂成是状。拟四逆汤加味治之。
天雄片60克 干姜30克 公丁5克 上肉桂10克(研末，泡水
兑入) 法夏12克 茯苓30克甘草6克并嘱先吞乌梅丸二粒，是晚服药一剂，次晨又一剂，午后遂不复作。后照原方加砂仁10克，两剂而愈。
后遂不复作。后照原方加砂仁10克，两剂而愈。 阴证误下救逆案
昔诊一男，约廿余岁，系一孀妇之独子，体质素弱。始因腹痛便秘而发热，医者诊为瘀热内滞，误以桃仁承气汤下之，便未通而病情反重，出现发狂奔走，言语错乱。延余诊视，脉沉迟无力，舌红津枯但不渴，微喜热饮而不多，气息喘促而短，有欲脱之势。据此断为阴证误下，逼阳暴脱之证，遂拟大剂圈阳饮(即四逆汤加肉桂)与服。
附片130克干姜50克 上肉桂13克(研末，泡水兑入)甘草10克
服后，当天夜晚则鼻孔流血，大便亦下黑血。次日复诊则见脉微神衰，嗜卧懒言，神识已转清。其所以鼻衄及下黑血者，非服温热药所致，实由于桃仁承气汤误下后，致血脱成瘀，今得上方温运气血，既己离经败坏之血，不能再行归经，遂上行而下注。嘱照原方再服一剂。服后，衄血便血均未再出，口微燥，此系阳气已回，营阴尚虚，继以四逆汤加人参连进四剂而愈。方中加人参者，取其益气生津养阴以配阳也。
伤寒病少阴寒化证曾××，男，十七岁，住昆明市环城东路。始因饮食后 受寒起病，发热，恶寒，头体痛，延某中医诊视，以清凉解表药二剂无效，当即送入本市西山脚下高蛲某医院住院治疗。住院已十九日，施以针药，发热虽退，然病势则日益沉重，延请数医会诊，一致诊断为“肠伤寒”且有肠出血或肠穿孔之虑，决定施用输血方法挽救。输血后病势未减，愈见危笃，竟宣告无救，遂于1943年10月25日延余诊视。余到达该医院，已是晚间九时，询知患者病已十九日，身已不发热，但腹中鼓胀，小腹疼痛，不时呻吟，小便短赤，大便有七、八日不通，饮食不进，日夜眼不交睫，卧床身不能转侧，但见护士随时以矿泉水与饮之。舌苔白滑而厚腻，不渴饮，脉搏弦紧，重按则无力而空。诊毕，当即告以病势十分危重，系伤寒坏病，病邪深入少阴之脏寒证，阳气内虚，阴寒太盛，寒水阴气内结如冰霜，腹内阴霾四布，发热虽退但里寒已极。二便不通，乃系阴寒凝结，真阳大虚，无力运行，非热结之证可比也。一线生阳有将脱之势，病势垂危，颇为费治。惟有扶阳抑阴温化之法，使在上之寒水邪阴，由口中吐出，中下之寒水邪阴，由二便排泄使除，阳回阴退，方可转危为安。就以仲景通脉四逆汤加吴萸、上桂治之。并告知病家，倘若服药后发生呕吐涎痰或大便泻下切勿惊疑，为病除之兆，一线生机，可望挽回。
白附片160克 干姜30克 上肉桂16克(研末，泡水兑入) 茯
苓26克 吴萸6克 甘草6克。
10月26日再诊。昨服上方后，旋即呕吐涎水碗许，系病除之兆。脉搏弦紧已退而转和缓，大便溏泻一次，小便解三 次，惟小腹尚痛，时作时缓。缘病程日久，阳神太亏，里寒太重，虽已见效，然病重药轻，力不胜病，犹兵不胜敌，犹幸气不喘，痰不鸣，手足温暖，脉和缓较有神，继以大剂扶阳温化，务使阳回阴退，渐可转危为安。
白附片260克 干姜60克 吴萸20克 上肉桂16克(研末，泡水
兑入) 公丁香6克茯苓30克 西砂仁6克
10月27日三诊。昨日清晨服药后，又呕吐涎水约两碗，下午服药后又吐一次，大便泻利数次，均属“冰霜化行”，病毒邪阴由上下窍道溃退。舌苔仍厚腻，舌质红活，面唇色泽亦转红润，体温如常，脉搏和缓较有神根，腹胀微痛，鼓胀已减去十之六、七。大关已过，然病久阳神太亏，邪阴尚未除净，仍以大剂扶阳辅正主之。
白附片300克 干姜60克 上肉桂16克(研末，泡水兑入) 甜
马槟榔6克(去壳，捣) 吴萸6克 台乌4克 西砂仁6克
茯苓30克
10月28日四诊，服药后昨日夜共排泄大便十六次，每次多少不一，今晨又大便二次，均为夹水分之稀薄粪便，始而色乌如酱，今晨渐转黄色，此系胃中生阳渐复之兆。体温37℃，脉搏每分钟80次。今日解小便六次，色淡黄而清，但于每次小便时，均觉茎中刺痛，良由病毒下泄刺激作痛，非热盛之证可比也 昨夜见渴喜热饮者，缘腹中阴霾四布，水邪滔天，今得离照当空，阴霾四散，寒水化行，惟以阳神太虚，无力化气生津，滋润缺乏，故喜热饮灌溉滋养百骸，非热甚灼阴之渴饮也。偶尔喜食冷物者，厥阴之气不相顺接，阴阳不和也。矢气连连，府道已通浊气下降也。病状虽已大减，险象已脱，惟肝肾之阴气尚术肃清，元阳正气尚未全复，故左腹留有痞块作痛。最可欣慰者，今晨已略进食物，显见胃气转和，生阳来复，可期痊愈矣。大病初退，贵宜调护谨慎，勿使过食伤胃，过劳伤神，避受风寒为要。仍以扶阳辅正主之。
白附片300克 干姜50克 茯苓30克 苡仁16克 上肉桂18克
(研末，泡水兑入) 波蔻仁3克(捣) 西砂仁6克(捣) 甘
草10克 白胡椒2.6克(捣)
另合服乌梅丸二枚。
10月29日五诊。脉已和缓，每分钟72次，体温摄氏37．6℃，大便六次。小便已较清长而淡黄，茎中微觉刺痛，腹中痞块已全消，面色渐转红润，鼻准亦现光泽，舌苔已退去十之六、七，胃口已开，食量较增，腹痛已愈，此时则见遍体盛；白（疒咅）。大病已退，元阳渐复，可逐步转入善后调养，病退药减，仍以扶阳辅正主之。并嘱其忌服生冷水果、酸寒食物、嫩鸡蛋、甜酒及一切粘腻之品，慎风寒，节饮食为调护之责，则可望期而日复健康矣。
白附片160克 干姜30克 茯苓16克 上肉桂10克(研末，泡水
兑入) 波蔻仁5克(捣) 苡仁16克 甘草6克 元肉5克
大枣3枚
10月30日六诊。今晨体温正常，脉搏和缓，舌根仍白腻，大便二次，稀溏量少，小便淡黄清长，腹中微党（月真）胀不舒，食量日增，考虑其脾胃尚虚，消化力弱，每餐均与定量粥食。因大病初愈，余寒邪阴尚未肃清，元阳正气亦未全复，仍坚守扶阳辅正之大法，数剂即克，决无生变之虑。拟方之后，书引四言一首以为志。
阴云四合日光微，转眼真龙便欲飞，
辛甘化阳离火现，何愁大地不春归。
白附片300克 干姜50克 甘草10克 上肉桂16克(研末，泡水
兑入) 吴萸6克 波蔻仁6克(捣) 茯苓30克 白胡椒
3克(捣)
10月31日七诊。今晨体温、脉搏均正常，便泻已止，此乃腹中病毒陈莝已排泄殆净，小便亦清长，腹中胀痛已全消，食量较佳，惟舌根尚白腻，寒温余邪尚未全清，元阳正气尚待继续温扶。拟方：
白附片300克 干姜30克 甘草10克 上肉桂10克(研末，泡水兑
入) 西砂仁10克(捣) 苡仁1 0克
11月1日八诊。舌腻苔已退，稍有薄白苔，脉搏、体温正常，小便清长，腹部宽舒，无他痛楚，食量日佳，每餐节制仅食至六、七分，以免过食有伤脾胃，睡眠转隹，惟阳神初复，尚不能同守而多梦，正气未充，起坐感到头昏足软无力。仍以扶阳辅正，使真阳旺盛，邪阴消尽为度。温扶真阳绝不会伤其真阴，真阳回复反而有助于滋生真阴也。此即“阳生阴长”， “天一生水”的道理。阴阳调平则诸证可愈。
白附片300克 干姜36克 甘草10克 西砂仁10克 朱衣茯
神30克 炙远志10克 上肉桂10克(研末，泡水兑入)
11月2日九诊。脉搏、体温如常，舌根微薄白，舌质红活，睡眠。饮食增进，胃气大开，但仍须节制饮食至七、八分为度。今晨起坐头已不昏，足尚软，仍以扶阳辅正。
白附片160克 干姜30克 上肉桂10克(研末，泡水兑入) 小
茴3克(微炒) 茯苓16克
11月3日十诊。水气化行，腹中汩汨作鸣，眠食均佳，行动时两足尚感无力，足征阳神未充，仍守前法。
白附片160克 干姜30克 甘草10克 上肉桂10克(研末，泡水
兑入) 西砂仁6克 白胡椒3克(捣)
11月4日十一诊。病已痊愈，精神饮食均佳，形神尚弱，拟四逆汤加味一剂，继以黄芪建中汤、桂附理中汤及归脾养心汤等善后调理十余日，精神渐复，出院回家休养。此后健康、体质恢复如常。
伤寒病少阴阴极似阳证(一)
杨××，男，三十一岁，云南省姚安县人。1923年3月，已病廿日。始因微感风寒，身热头痛，连进某医方药十余剂，每剂皆以苦寒凉下并重加犀角、羚羊角、黄连等，愈进愈剧，犹不自反，殆至危在旦夕，始延余诊视。斯时病者目赤，唇肿而焦，赤足露身，烦躁不眠，神昏澹语，身热似火，渴喜滚烫水饮，小便短赤，大便已数日不解，食物不进，脉浮虚欲散，此乃风寒误治之变证。缘由误服苦寒凉下 太过，已将真阳逼越于外而成阴极似阳之症，外虽现一派热象，是为假热，而内则寒冷已极，是为真寒。如确系阳症，内热熏蒸，应见大渴饮冷，岂有尚喜滚饮乎？况脉来虚浮欲散，是为元阳有将脱之兆，昔寒凉下，不可再服，惟有大剂回阳收纳，或可挽回生机。病象如此，甚为危笃。急拟白通汤加上肉桂一剂治之。
附片60克 干姜26克 上肉桂10克(研末，泡水兑入) 葱白
4茎
拟方之后，病家云及是晚因无人主持，未敢煎服。次晨，又急来延诊，余仍执前方不变，并告以先用上肉桂泡水试服，若能耐受，则照方煎服，舍此别无良法。病家乃以上肉桂水与服之。服后旋即呕吐涎痰碗许，人事稍清，自云内心爽快，遂进上方。服一剂后，病情较减，即现出恶寒肢冷之象。午后再诊，身热约退一二，已不作烦躁谵语之状，且得熟寐片刻，乃以四逆汤加上肉桂主之。
9月1日复诊。体温37.2℃（肛表），大便解了两次，已经成形，颜色黄而稀薄，没有看到脓血样的东西。据患儿母亲诉说，孩子热退之后不再惊厥，能安静熟睡，稍微吃点乳食。此时虽然发热已退，腹泻已止，但见面色转淡，嗜睡无神，指纹颜色淡仅隐隐可见，口唇回润，干渴的症状已不见，舌苔薄白转润。这是病邪已退，中焦脾胃虚弱，应当调补中气，健运脾胃以善后，拟定归芍理中汤加味治疗。
潞党参10克 炮姜6克 肉桂5克 当归6克 杭芍5克
白术6克 砂仁3克 公丁7粒 甘草3克
上方连服三剂，9月4日诊视，患儿于服药后第二、三两日，均未解大便，一切情况尚好，今日则大便二次，色黄微溏，体温已平，精神转佳，乳食如常。9月1日和5日曾各取大便标本做病菌培养，均未检出痢疾杆菌，遂调理数日，痊愈出院。
小儿湿热痢（三阳合病下痢）
李××，女孩，一岁半，1964年4月8日来诊（中医学院附属医院门诊号136651）。患儿患麻疹后，大便下利红白已十余日，发热39.8℃，寒热交作，面赤气促，多啼哭，夜不入睡，口渴而喜饮。每日大便泻十七、八次，量不多，色绿而赤白粘液间杂，欲便时啼闹不休（腹中痛），哭甚方解，解便不畅（里急后重，滞下不爽），小便短赤，脉细数，指纹青紫而浮，苔白腻，曾服止痢西药数日未见愈。此乃三阳合病下痢之证，拟方。
桂枝15克 葛根10克 柴胡6克 黄芩3克 黄连3克 榔片3克 杭芍10克 小枣5枚 生姜2片 甘草7克
昨日一剂连续煎服六次，得微汗。今日已热退身凉，大便三次，色黄半干，稍带粘液，赤色已不见，小便转清，口已不渴，能食软饭。脉转缓，指纹青紫已退，色淡而细，苔薄白质红润。此痢证已止，尚须调理，以桂枝汤加味一剂而收功。
苏条参6克 杭芍6克 法夏6克 砂仁3克 桂枝10克 小枣5枚 生姜2片 甘草5克
秋燥
尚×之女，年十四岁。1924年8月感秋令燥邪，身热头疼，咽干而痛，食物不下，喜饮清凉。脉息弦数，舌尖红，苔白而燥。此为外邪与阳明燥气相合遂成是状。方用麻黄、杏仁、甘草、石膏汤加味治之，一剂而愈。
麻黄10克 杏仁10克 生石膏12克（碎，布包） 桔梗10克 连翘6克 寸冬10克
燥咳
吴××，男，二十四岁，昆明医学院学生。1963年10月感秋令燥邪而病咳嗽，咳声频频，干咳声响无痰无涕，靥干，舌苔薄白少津，脉浮濡，服西药止咳剂未效。此为阴虚肺燥之证，宜养阴润肺止咳，拟二冬二母汤加味，一剂尽，津液回生，咳声立止。
麦冬15克 天冬12克 川贝母10克 知母10克 百合12克 黄芩10克 生杭芍12克 百部10克 桑皮12克 玄参10克 五味子3克 甘草6克
寒疟
阎×之妻，患疟证二十余日，每日午后发作，先寒而后热，寒甚则颤栗鼓颌，热退则汗出如洗，发作之时头痛如劈，饮食不进，呕吐酸苦涎沫，大便溏泻，两胁撑胀而痛、惟喜滚饮。脉细迟无力。舌苔白滑，质含青色，曾服消食清热平肝等十余剂未效。此乃阳气内虚，阳不胜阴，肝邪夹寒水之气上逆，午后之时，阴盛阳虚，真阳被阴邪格拒，浮越于外，遂成是状。拟四逆汤加味治之。
天雄片60克 干姜30克 公丁5克 上肉桂10克（研末，泡水兑入） 法夏12克 茯苓30克 甘草6克 并嘱先吞乌梅丸二粒，是晚服药一剂，次晨又一剂，午后遂不复作。后照原方加砂仁10克，两剂而愈。
阴证误下救逆案
昔诊一男，约廿余岁，系一孀妇之独子，体质素弱。始因腹痛便秘而发热，医者诊为瘀热内滞，误以桃仁承气汤下之，便未通而病情反重，出现发狂奔走，言语错乱。延余诊视，脉沉迟无力，舌红津枯但不渴，微喜热饮而不多，气息喘促而短，有欲脱之势。据此断为阴证误下，逼阳暴脱之证，遂拟大剂回阳饮（即四逆汤加肉桂）与服。
附片130克 干姜50克 上肉桂13克（研末，泡水兑入） 甘草10克
服后，当天夜晚则鼻孔流血，大便亦下黑血。次日复诊则见脉微神衰，嗜卧懒言，神识已转清。其所以鼻衄及下黑血者，非服温热药所致，实由于桃仁承气汤误下后，致血脱成瘀，今得上方温运气血，既己离经败坏之血，不能再行归经，遂上行而下注。嘱照原方再服一剂。服后，衄血便血均未再出，口微燥，此系阳气已回，营阴尚虚，继以四逆汤加人参连进四剂而愈。方中加人参者，取其益气生津养阴以配阳也。
伤寒病少阴寒化证
曾××，男，十七岁，住昆明市环城东路。始因饮食后受寒起病，发热，恶寒，头体痛，延某中医诊视，以清凉解表药二剂无效，当即送入本市西山脚下高蛲某医院住院治疗。住院已十九日，施以针药，发热虽退，然病势则日益沉重，延请数医会诊，一致诊断为“肠伤寒”且有肠出血或肠穿孔之虑，决定施用输血方法挽救。输血后病势未减，愈见危笃，竟宣告无救，遂于1943年10月25日延余诊视。余到达该医院，已是晚间九时，询知患者病已十九日，身已不发热，但腹中鼓胀，小腹疼痛，不时呻吟，小便短赤，大便有七、八日不通，饮食不进，日夜眼不交睫，卧床身不能转侧，但见护士随时以矿泉水与饮之。舌苔白滑而厚腻，不渴饮，脉搏弦紧，重按则无力而空。诊毕，当即告以病势十分危重，系伤寒坏病，病邪深入少阴之脏寒证，阳气内虚，阴寒太盛，寒水阴气内结如冰霜，腹内阴霾四布，发热虽退但里寒已极。二便不通，乃系阴寒凝结，真阳大虚，无力运行，非热结之证可比也。一线生阳有将脱之势，病势垂危，颇为费治。惟有扶阳抑阴温化之法，使在上之寒水邪阴，由口中吐出，中下之寒水邪阴，由二便排泄使除，阳回阴退，方可转危为安。就以仲景通脉四逆汤加吴萸、上桂治之。并告知病家，倘若服药后发生呕吐涎痰或大便泻下切勿惊疑，为病除之兆，一线生机，可望挽回。
白附片160克 干姜30克 上肉桂16克（研末，泡水兑入） 茯苓26克 吴萸6克 甘草6克。
10月26日再诊。昨服上方后，旋即呕吐涎水碗许，系病除之兆。脉搏弦紧已退而转和缓，大便溏泻一次，小便解三次，惟小腹尚痛，时作时缓。缘病程日久，阳神太亏，里寒太重，虽已见效，然病重药轻，力不胜病，犹兵不胜敌，犹幸气不喘，痰不鸣，手足温暖，脉和缓较有神，继以大剂扶阳温化，务使阳回阴退，渐可转危为安。
白附片260克 干姜60克 吴萸20克 上肉桂16克（研末，泡水兑入） 公丁香6克 茯苓30克 西砂仁6克
10月27日三诊。昨日清晨服药后，又呕吐涎水约两碗，下午服药后又吐一次，大便泻利数次，均属“冰霜化行”，病毒邪阴由上下窍道溃退。舌苔仍厚腻，舌质红活，面唇色泽亦转红润，体温如常，脉搏和缓较有神根，腹胀微痛，鼓胀已减去十之六、七。大关已过，然病久阳神太亏，邪阴尚未除净，仍以大剂扶阳辅正主之。
白附片300克 干姜60克 上肉桂16克（研末，泡水兑入） 甜马槟榔6克（去壳，捣） 吴萸6克 台乌4克 西砂仁6克 茯苓30克
10月28日四诊，服药后昨日夜共排泄大便十六次，每次多少不一，今晨又大便二次，均为夹水分之稀薄粪便，始而色乌如酱，今晨渐转黄色，此系胃中生阳渐复之兆。体温37℃，脉搏每分钟80次。今日解小便六次，色淡黄而清，但于每次小便时，均觉茎中刺痛，良由病毒下泄刺激作痛，非热盛之证可比也 昨夜见渴喜热饮者，缘腹中阴霾四布，水邪滔天，今得离照当空，阴霾四散，寒水化行，惟以阳神太虚，无力化气生津，滋润缺乏，故喜热饮灌溉滋养百骸，非热甚灼阴之渴饮也。偶尔喜食冷物者，厥阴之气不相顺接，阴阳不和也。矢气连连，府道已通浊气下降也。病状虽已大减，险象已脱，惟肝肾之阴气尚未肃清，元阳正气尚未全复，故左腹留有痞块作痛。最可欣慰者，今晨已略进食物，显见胃气转和，生阳来复，可期痊愈矣。大病初退，贵宜调护谨慎，勿使过食伤胃，过劳伤神，避受风寒为要。仍以扶阳辅正主之。
白附片300克 干姜50克 茯苓30克 苡仁16克 上肉桂18克（研末，泡水兑入） 波蔻仁3克（捣） 西砂仁6克（捣） 甘草10克 白胡椒2.6克（捣）
另合服乌梅丸二枚。
10月29日五诊。脉已和缓，每分钟72次，体温摄氏37.6℃，大便六次。小便已较清长而淡黄，茎中微觉刺痛，腹中痞块已全消，面色渐转红润，鼻准亦现光泽，舌苔已退去十之六、七，胃口已开，食量较增，腹痛已愈，此时则见遍体盛疹（疒咅）。大病已退，元阳渐复，可逐步转入善后调养，病退药减，仍以扶阳辅正主之。并嘱其忌服生冷水果、酸寒食物、嫩鸡蛋、甜酒及一切粘腻之品，慎风寒，节饮食为调护之责，则可望期而日复健康矣。
白附片160克 干姜30克 茯苓16克 上肉桂10克（研末，泡水兑入） 波蔻仁5克（捣） 苡仁16克 甘草6克 元肉5克 大枣3枚
10月30日六诊。今晨体温正常，脉搏和缓，舌根仍白腻，大便二次，稀溏量少，小便淡黄清长，腹中微觉胀满不舒，食量日增，考虑其脾胃尚虚，消化力弱，每餐均与定量粥食。因大病初愈，余寒邪阴尚未肃清，元阳正气亦未全复，仍坚守扶阳辅正之大法，数剂即克，决无生变之虑。拟方之后，书引四言一首以为志。
阴云四合日光微，转眼真龙便欲飞，
辛甘化阳离火现，何愁大地不春归。
白附片300克 干姜50克 甘草10克 上肉桂16克（研末，泡水兑入） 吴萸6克 波蔻仁6克（捣） 茯苓30克 白胡椒3克（捣）
10月31日七诊。今晨体温、脉搏均正常，便泻已止，此乃腹中病毒陈莝已排泄殆净，小便亦清长，腹中胀痛已全消，食量较佳，惟舌根尚白腻，寒温余邪尚未全清，元阳正气尚待继续温扶。拟方：
白附片300克 干姜30克 甘草10克 上肉桂10克（研末，泡水兑入） 西砂仁10克（捣） 苡仁10克
11月1日八诊。舌腻苔已退，稍有薄白苔，脉搏、体温正常，小便清长，腹部宽舒，无他痛楚，食量日佳，每餐节制仅食至六、七分，以免过食有伤脾胃，睡眠转隹，惟阳神初复，尚不能同守而多梦，正气未充，起坐感到头昏足软无力。仍以扶阳辅正，使真阳旺盛，邪阴消尽为度。温扶真阳绝不会伤其真阴，真阳回复反而有助于滋生真阴也。此即“阳生阴长”， “天一生水”的道理。阴阳调平则诸证可愈。
白附片300克 干姜36克 甘草10克 西砂仁10克 朱衣茯神30克 炙远志10克 上肉桂10克（研末，泡水兑入）
11月2日九诊。脉搏、体温如常，舌根微薄白，舌质红活，睡眠、饮食增进，胃气大开，但仍须节制饮食至七、八分为度。今晨起坐头已不昏，足尚软，仍以扶阳辅正。
白附片160克 干姜30克 上肉桂10克（研末，泡水兑入） 小茴3克（微炒） 茯苓16克
11月3日十诊。水气化行，腹中汩汨作鸣，眠食均佳，行动时两足尚感无力，足征阳神未充，仍守前法。
白附片160克 干姜30克 甘草10克 上肉桂10克（研末，泡水兑入） 西砂仁6克 白胡椒3克（捣）
11月4日十一诊。病已痊愈，精神饮食均佳，形神尚弱，拟四逆汤加味一剂，继以黄芪建中汤、桂附理中汤及归脾养心汤等善后调理十余日，精神渐复，出院回家休养。此后健康、体质恢复如常。
伤寒病少阴阴极似阳证（一）
杨××，男，三十一岁，云南省姚安县人。1923年3月，已病廿日。始因微感风寒，身热头痛，连进某医方药十余剂，每剂皆以苦寒凉下并重加犀角、羚羊角、黄连等，愈进愈剧，犹不自反，殆至危在旦夕，始延余诊视。斯时病者目赤，唇肿而焦，赤足露身，烦躁不眠，神昏澹语，身热似火，渴喜滚烫水饮，小便短赤，大便已数日不解，食物不进，脉浮虚欲散，此乃风寒误治之变证。缘由误服苦寒凉下太过，已将真阳逼越于外而成阴极似阳之症，外虽现一派热象，是为假热，而内则寒冷已极，是为真寒。如确系阳症，内热熏蒸，应见大渴饮冷，岂有尚喜滚饮乎？况脉来虚浮欲散，是为元阳有将脱之兆，昔寒凉下，不可再服，惟有大剂回阳收纳，或可挽回生机。病象如此，甚为危笃。急拟白通汤加上肉桂一剂治之。
附片60克 干姜26克 上肉桂10克（研末，泡水兑入） 葱白4茎
拟方之后，病家云及是晚因无人主持，未敢煎服。次晨，又急来延诊，余仍执前方不变，并告以先用上肉桂泡水试服，若能耐受，则照方煎服，舍此别无良法。病家乃以上肉桂水与服之。服后旋即呕吐涎痰碗许，人事稍清，自云内心爽快，遂进上方。服一剂后，病情较减，即现出恶寒肢冷之象。午后再诊，身热约退一二，已不作烦躁谵语之状，且得熟寐片刻，乃以四逆汤加上肉桂主之。
Re-examination on September 1. Body temperature 37.2°C (rectal thermometer). Two bowel movements occurred, formed but yellow and loose; no pus or blood was observed. According to the mother, after the fever subsided, the child no longer experienced convulsions, slept peacefully, and could take in some milk and food. Although the fever had subsided and diarrhea stopped, the complexion became pale, lethargy and lack of spirit were evident, the fingerprint color was faint and barely visible, lips regained moisture, thirst disappeared, and the tongue coating turned thin, white, and moist. This indicates that the pathogenic factor has receded, but the Middle Jiao Spleen and Stomach are weak. It is necessary to regulate and tonify the Middle Qi, strengthen and transport the Spleen and Stomach to conclude treatment. The Gui Zhi Tang (Cinnamon Twig Decoction) combined with Dang Gui (Angelica Sinensis), Bai Shao (White Peony Root), and Li Zhong Wan (Regulate the Middle Pill) modified was prescribed.
Lu Dang Shen (Codonopsis Pilosula) 10g, Pao Jiang (Prepared Ginger) 6g, Rou Gui (Cinnamon Bark) 5g, Dang Gui (Angelica Sinensis) 6g, Hang Shao (White Peony Root) 5g.
Bai Zhu (Atractylodes Macrocephala) 6g, Sha Ren (Amomum Villosum) 3g, Gong Ding (Clove) 7 pieces, Gan Cao (Licorice Root) 3g.
After taking the above prescription for three doses, re-examination on September 4 showed that the child had no bowel movements on the second and third days of medication, with overall condition good. On this day, two bowel movements occurred, yellow and slightly loose. Body temperature normalized, spirit improved, and milk/food intake returned to normal. Stool cultures taken on September 1 and 5 did not detect dysentery bacilli. After a few days of regulation, the child recovered and was discharged.
Pediatric Damp-Heat Dysentery (Dysentery due to Combined Pathogen Invasion of Three Yang Channels)
Li XX, female, 1.5 years old. Consulted on April 8, 1964 (Outpatient No. 136651, Affiliated Hospital of College of Traditional Chinese Medicine). After contracting measles, the child suffered from bloody and white stools for over ten days, fever of 39.8°C, alternating chills and heat, red face, rapid breathing, frequent crying, insomnia at night, thirst with desire to drink. Bowel movements occurred 17-18 times daily, small volume, greenish with mixed red-white mucus. Crying incessantly when needing to defecate (abdominal pain), only stopping after intense crying; difficult defecation (tenesmus, unsatisfactory evacuation). Urine was short and red. Pulse was fine and rapid; fingerprint was cyan-purple and floating; tongue coating was white and greasy. Western anti-dysentery drugs taken for several days without effect. This is dysentery due to combined pathogen invasion of the Three Yang channels. Prescription:
Gui Zhi (Cinnamon Twig) 15g, Ge Gen (Pueraria Lobata) 10g, Chai Hu (Bupleurum Root) 6g, Huang Qin (Scutellaria Baicalensis) 3g, Huang Lian (Coptis Chinensis) 3g, Lang Pian (Areca Seed Slice) 3g, Hang Shao (White Peony Root) 10g, Xiao Zao (Jujube) 5 pieces, Sheng Jiang (Fresh Ginger) 2 slices, Gan Cao (Licorice Root) 7g.
One dose decocted and taken continuously six times yesterday, resulting in slight sweating. Today, fever subsided, body cool. Three bowel movements, yellow and semi-formed, slightly mucous; redness gone. Urine cleared, thirst resolved, able to eat soft rice. Pulse slowed; fingerprint cyan-purple receded, becoming pale and fine; tongue coating thin white, substance red and moist. The dysentery has stopped, requiring further regulation. One dose of Gui Zhi Tang (Cinnamon Twig Decoction) modified concluded the treatment.
Su Tiao Shen (Codonopsis Pilosula) 6g, Hang Shao (White Peony Root) 6g, Fa Xia (Pinellia Ternata Processed) 6g, Sha Ren (Amomum Villosum) 3g, Gui Zhi (Cinnamon Twig) 10g, Xiao Zao (Jujube) 5 pieces, Sheng Jiang (Fresh Ginger) 2 slices, Gan Cao (Licorice Root) 5g.
Autumn Dryness
Shang XX’s daughter, 14 years old. Contracted autumn dryness pathogen in August 1924. Fever, headache, dry and painful throat, inability to eat, preference for cool drinks. Pulse string-like and rapid; tongue tip red; tongue coating white and dry. This resulted from external pathogens combining with Yangming dryness qi. Ma Huang Tang (Ephedra Decoction) combined with Xing Ren (Apricot Seed), Gan Cao (Licorice Root), Shi Gao (Gypsum) modified cured it in one dose.
Ma Huang (Ephedra Herba) 10g, Xing Ren (Armeniacae Semen Amarum) 10g, Sheng Shi Gao (Raw Gypsum Fibrosum) 12g (crushed, wrapped in cloth), Jie Geng (Platycodon Root) 10g, Lian Qiao (Forsythiae Fructus) 6g, Cun Dong (Ophiopogon Japonicus) 10g.
Dry Cough
Wu XX, male, 24 years old, student at Kunming Medical College. Contracted autumn dryness pathogen in October 1963, suffering from frequent coughing, dry cough with sound but no phlegm or nasal discharge, dry cheeks. Tongue coating thin white with little fluid; pulse floating and soft. Western antitussives ineffective. This is Yin deficiency with Lung dryness. Nourishing Yin, moistening the Lung, and stopping cough was indicated. Er Dong Er Mu Tang (Two Winter and Two Mother Decoction) modified cured it in one dose, restoring fluids and stopping the cough immediately.
Mai Dong (Ophiopogonis Radix) 15g, Tian Dong (Asparagi Radix) 12g, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) 10g, Zhi Mu (Anemarrhenae Rhizoma) 10g, Bai He (Lilii Bulbus) 12g, Huang Qin (Scutellariae Radix) 10g, Sheng Hang Shao (Raw White Peony Root) 12g, Bai Bu (Stemonae Radix) 10g, Sang Bai Pi (Mori Cortex) 12g, Xuan Shen (Scrophulariae Radix) 10g, Wu Wei Zi (Schisandrae Fructus) 3g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g.
Cold Malaria
Yan XX’s wife, suffered from malaria for over twenty days. Attacks every afternoon, starting with chills then heat. Severe chills caused trembling and jaw clattering; sweating profusely after heat subsided. Severe splitting headache during attacks, inability to eat, vomiting sour/bitter saliva, loose stools, distending pain in both hypochondria, preferring hot drinks. Pulse fine, slow, and powerless. Tongue coating white and slippery, substance containing blue hue. Over ten doses of digestion-promoting, heat-clearing, and liver-calming herbs failed. This is internal Yang deficiency, Yang unable to overcome Yin. Liver pathogen combined with cold-water qi rising counterflow. In the afternoon, Yin is abundant and Yang deficient; True Yang is rejected by Yin pathogens and floats outward. Si Ni Tang (Frigid Extremities Decoction) modified was prescribed.
Tian Xiong Pian (Aconiti Lateralis Radix Praeparata) 60g, Gan Jiang (Zingiberis Rhizoma) 30g, Gong Ding (Caryophylli Flos) 5g, Shang Rou Gui (Cinnamomi Cortex) 10g (powdered, soaked in water and added), Fa Xia (Pinelliae Rhizoma Preparatum) 12g, Fu Ling (Poria) 30g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g. Also instructed to swallow two pills of Wu Mei Wan (Mume Pill) first. Took one dose that evening, another the next morning; attacks ceased in the afternoon. Later, adding Sha Ren (Amomi Fructus) 10g to the original formula, cured in two doses.
Case of Saving Reversal from Incorrect Purging in Yin Syndrome
Previously treated a male, approx. 20+ years old, only son of a widow, constitutionally weak. Initially presented with abdominal pain, constipation, and fever. A physician diagnosed stagnant stasis-heat and incorrectly used Tao Ren Cheng Qi Tang (Persicae Semen and Magnolia Bark Decoction) to purge. Bowels remained unopened, condition worsened, leading to manic running, wandering, and confused speech. I examined him: pulse deep, slow, and powerless; tongue red, fluids exhausted but no thirst, slight preference for hot drinks in small amounts, panting and short breath, signs of collapse. Diagnosed as Yin syndrome incorrectly purged, forcing Yang to sudden collapse. Prescribed large dose of Hui Yang Yin (Return Yang Drink, i.e., Si Ni Tang plus Rou Gui).
Fu Pian (Aconiti Lateralis Radix Praeparata) 130g, Gan Jiang (Zingiberis Rhizoma) 50g, Shang Rou Gui (Cinnamomi Cortex) 13g (powdered, soaked in water and added), Gan Cao (Glycyrrhizae Radix et Rhizoma) 10g.
That night, epistaxis and black stool occurred. Next day re-examination: pulse faint, spirit depleted, lethargic, reluctant to speak, consciousness cleared. The epistaxis and black stool were not caused by warm herbs, but by blood loss and stasis formation from the incorrect purging of Tao Ren Cheng Qi Tang. The warm herbs moved Qi and Blood; already detached and damaged blood could not return to vessels, so it flowed upward and downward. Instructed to take one more dose of the original formula. Afterward, bleeding stopped, mouth slightly dry. Yang had returned, Ying-Yin still deficient. Continued with Si Ni Tang (Frigid Extremities Decoction) plus Ren Shen (Ginseng Radix) for four doses, curing the case. Ren Shen was added to benefit Qi, generate fluids, nourish Yin, and coordinate with Yang.
Shaoyin Cold Transformation Syndrome of Cold Damage Disease
Zeng XX, male, 17 years old, living on Huancheng East Road, Kunming. Illness started after eating and catching cold: fever, aversion to cold, head and body pain. A TCM physician gave two doses of cooling exterior-resolving herbs with no effect. Admitted to a hospital at the foot of Xishan Mountain. After 19 days of acupuncture and medicine, fever subsided but condition worsened. Multiple physicians diagnosed "Typhoid Fever" with risk of intestinal hemorrhage or perforation, deciding on blood transfusion. Condition did not improve post-transfusion, became critical, declared hopeless. Consulted me on Oct 25, 1943. Arrived at 9 PM. Patient ill for 19 days, no fever now, but abdominal distension, lower abdominal pain, occasional moaning, short red urine, no bowel movement for 7-8 days, no food intake, sleepless day and night, bedridden unable to turn. Nurses fed mineral water. Tongue coating white, slippery, thick, greasy; no thirst. Pulse string-tight, powerless and empty on deep pressure. Advised family: critical condition, complicated disease of Cold Damage, pathogen deeply entered Shaoyin organ-cold syndrome. Internal Yang deficient, Yin-cold excessive. Cold-water Yin qi condensed like ice/frost inside abdomen. Though fever subsided, interior cold is extreme. Inability to pass urine/stool is due to Yin-cold condensation and severe True Yang deficiency, unable to move; not comparable to heat accumulation. A thread of life Yang is about to collapse. Critical. Only method: Support Yang, suppress Yin, warm transformation. Expel upper cold-water pathogenic Yin via vomiting, middle/lower via urination/defecation. When Yang returns and Yin retreats, danger turns to safety. Used Zhong Jing's Tong Mai Si Ni Tang (Pulse-Reviving Frigid Extremities Decoction) plus Yu Zhu (Evodiae Fructus) and Shang Gui (Cinnamon Bark). Warned family: vomiting saliva/phlegm or diarrhea after medication is sign of disease expelling, hope for recovery.
Bai Fu Pian (Aconiti Lateralis Radix Praeparata) 160g, Gan Jiang (Zingiberis Rhizoma) 30g, Shang Rou Gui (Cinnamomi Cortex) 16g (powdered, soaked in water and added), Fu Ling (Poria) 26g, Yu Zhu (Evodiae Fructus) 6g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g.
Re-examination Oct 26. Vomited about a bowl of saliva immediately after taking herb, sign of disease expelling. Pulse string-tight receded, became harmonious. Loose stool once, urinated three times. Lower abdominal pain persists, intermittent. Long course, severe Yang depletion, heavy interior cold. Effective but disease heavy, medicine light, strength insufficient. Fortunately, no panting, no rattling phlegm, hands/feet warm, pulse harmonious with spirit. Continue large dose supporting Yang and warming transformation to ensure Yang returns and Yin retreats, turning danger to safety.
Bai Fu Pian (Aconiti Lateralis Radix Praeparata) 260g, Gan Jiang (Zingiberis Rhizoma) 60g, Yu Zhu (Evodiae Fructus) 20g, Shang Rou Gui (Cinnamomi Cortex) 16g (powdered, soaked in water and added), Gong Ding (Caryophylli Flos) 6g, Fu Ling (Poria) 30g, Xi Sha Ren (Amomi Fructus) 6g.
Third visit Oct 27. Vomited ~2 bowls of saliva early morning, once again in afternoon. Diarrhea several times. All "ice/frost melting," pathogenic Yin retreating through upper/lower orifices. Tongue coating still thick/greasy, substance red/vibrant. Face/lips red/rosy. Temperature normal. Pulse harmonious, rooted, spirited. Abdominal distension/pain mild, distension reduced 60-70%. Major hurdle passed. Long illness, severe Yang depletion, pathogenic Yin not fully cleared. Continue large dose supporting Yang and assisting healthy Qi.
Bai Fu Pian (Aconiti Lateralis Radix Praeparata) 300g, Gan Jiang (Zingiberis Rhizoma) 60g, Shang Rou Gui (Cinnamomi Cortex) 16g (powdered, soaked in water and added), Tian Ma Bing Lang (Arecae Semen Cum Mesocarpo) 6g (shelled, pounded), Yu Zhu (Evodiae Fructus) 6g, Tai Wu (Cyperi Rhizoma) 4g, Xi Sha Ren (Amomi Fructus) 6g, Fu Ling (Poria) 30g.
Fourth visit Oct 28. Excreted stool 16 times last night, varying amounts. Two times this morning, watery/thin feces. Initially dark like sauce, now gradually yellow. Sign of Stomach generating Yang recovering. Temp 37°C, pulse 80/min. Urinated 6 times today, pale yellow/clear. Stinging pain in urethra during each void, due to pathogenic toxin excretion irritation, not heat excess. Thirst for hot drinks last night due to widespread interior Yin-cold/water evil. Now sun shines bright, Yin-cold scatters, cold water transforms. Yang spirit too deficient to transform Qi/generate fluids, hence preference for hot drinks to nourish. Occasional craving for cold items due to Jueyin Qi not connecting smoothly, Yin/Yang disharmony. Frequent flatulence, Fu pathways open, turbid Qi descending. Symptoms greatly reduced, danger passed. Liver/Kidney Yin not yet cleared, Yuan Yang not fully restored, hence left abdominal mass/pain. Gladly, ate slightly this morning, Stomach Qi harmonizing, generating Yang returning, cure expected. Post-major illness, care is crucial: avoid overeating harming Stomach, overworking harming Spirit, prevent wind-cold. Still support Yang and assist healthy Qi.
Bai Fu Pian (Aconiti Lateralis Radix Praeparata) 300g, Gan Jiang (Zingiberis Rhizoma) 50g, Fu Ling (Poria) 30g, Yi Yi Ren (Coicis Semen) 16g, Shang Rou Gui (Cinnamomi Cortex) 18g (powdered, soaked in water and added), Bo Kou Ren (Cardamomi Fructus Rotundus) 3g (pounded), Xi Sha Ren (Amomi Fructus) 6g (pounded), Gan Cao (Glycyrrhizae Radix et Rhizoma) 10g, Bai Hu Jiao (Piperis Longi Fructus) 2.6g (pounded).
Also take two Wu Mei Wan (Mume Pills).
Fifth visit Oct 29. Pulse harmonious, 72/min. Temp 37.6°C. Six bowel movements. Urine clearer/longer, pale yellow. Mild urethral stinging. Abdominal mass gone. Complexion reddening, nose shiny. Tongue coating receded 60-70%. Appetite open, food intake increased, abdominal pain healed. Now full-body rash (Hong Dan). Major illness retreated, Yuan Yang recovering. Gradually shift to post-illness regulation. Reduce medicine as illness retreats, still support Yang/assist healthy Qi. Advise avoiding raw/cold fruits, sour/cold foods, tender eggs, sweet wine, sticky foods. Guard against wind-cold, regulate diet. Health can be restored.
Bai Fu Pian (Aconiti Lateralis Radix Praeparata) 160g, Gan Jiang (Zingiberis Rhizoma) 30g, Fu Ling (Poria) 16g, Shang Rou Gui (Cinnamomi Cortex) 10g (powdered, soaked in water and added), Bo Kou Ren (Cardamomi Fructus Rotundus) 5g (pounded), Yi Yi Ren (Coicis Semen) 16g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g, Yuan Rou (Longan Arillus) 5g, Da Zao (Jujubae Fructus) 3 pieces.
Sixth visit Oct 30. Temp normal, pulse harmonious. Tongue root still white/greasy. Two bowel movements, scant loose stool. Urine pale yellow/clear. Mild abdominal distension/discomfort. Food intake increasing. Consider Spleen/Stomach still weak, digestion poor, giving measured porridge. Post-major illness, residual cold/Yin not cleared, Yuan Yang not fully restored. Stick to supporting Yang/assisting healthy Qi principle. Few doses will cure, no fear of change. Wrote a four-line poem:
Dark clouds gather, sunlight dims;
In a blink, the true dragon flies.
Acrid-sweet transforms to Yang, Li Fire appears;
Why worry that earth won't see spring return?
Bai Fu Pian (Aconiti Lateralis Radix Praeparata) 300g, Gan Jiang (Zingiberis Rhizoma) 50g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 10g, Shang Rou Gui (Cinnamomi Cortex) 16g (powdered, soaked in water and added), Yu Zhu (Evodiae Fructus) 6g, Bo Kou Ren (Cardamomi Fructus Rotundus) 6g (pounded), Fu Ling (Poria) 30g, Bai Hu Jiao (Piperis Longi Fructus) 3g (pounded).
Seventh visit Oct 31. Temp/pulse normal. Diarrhea stopped. Pathogenic toxins/dregs fully expelled. Urine clear/long. Abdominal distension/pain gone. Good appetite. Tongue root still white/greasy. Residual cold/warm pathogens not fully cleared. Yuan Yang needs continued warming/support.
Bai Fu Pian (Aconiti Lateralis Radix Praeparata) 300g, Gan Jiang (Zingiberis Rhizoma) 30g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 10g, Shang Rou Gui (Cinnamomi Cortex) 10g (powdered, soaked in water and added), Xi Sha Ren (Amomi Fructus) 10g (pounded), Yi Yi Ren (Coicis Semen) 10g.
Eighth visit Nov 1. Greasy coating receded, slight thin white coating. Pulse/temp normal. Urine clear/long. Abdomen comfortable, no other pain. Appetite improving, eating 60-70% per meal to avoid harming Spleen/Stomach. Sleep better, but dreaming due to initial Yang recovery instability. Qi not full, dizziness/weak legs upon sitting/standing. Still support Yang/assist healthy Qi, making True Yang vigorous and pathogenic Yin extinct. Warming True Yang does not harm True Yin; True Yang return helps generate True Yin. This is "Yang generates Yin," "Heaven One generates Water." Balancing Yin/Yang cures all symptoms.
Bai Fu Pian (Aconiti Lateralis Radix Praeparata) 300g, Gan Jiang (Zingiberis Rhizoma) 36g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 10g, Xi Sha Ren (Amomi Fructus) 10g, Zhu Yi Fu Shen (Poria with Red-Dyed Heart) 30g, Zhi Yuan Zhi (Polygalae Radix Preparata) 10g, Shang Rou Gui (Cinnamomi Cortex) 10g (powdered, soaked in water and added).
Ninth visit Nov 2. Pulse/temp normal. Tongue root thin white, substance red/vibrant. Sleep/diet improving, Stomach Qi opening. Still limit diet to 70-80%. Dizziness gone upon rising, legs still soft. Support Yang/assist healthy Qi.
Bai Fu Pian (Aconiti Lateralis Radix Praeparata) 160g, Gan Jiang (Zingiberis Rhizoma) 30g, Shang Rou Gui (Cinnamomi Cortex) 10g (powdered, soaked in water and added), Xiao Hui (Foeniculi Fructus) 3g (lightly fried), Fu Ling (Poria) 16g.
Tenth visit Nov 3. Water/Qi transforming, gurgling in abdomen. Sleep/diet good. Legs weak when walking, indicating Yang spirit not full. Maintain previous method.
Bai Fu Pian (Aconiti Lateralis Radix Praeparata) 160g, Gan Jiang (Zingiberis Rhizoma) 30g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 10g, Shang Rou Gui (Cinnamomi Cortex) 10g (powdered, soaked in water and added), Xi Sha Ren (Amomi Fructus) 6g, Bai Hu Jiao (Piperis Longi Fructus) 3g (pounded).
Eleventh visit Nov 4. Illness cured. Spirit/diet good, form/spirit still weak. One dose of Si Ni Tang (Frigid Extremities Decoction) modified. Followed by Huang Qi Jian Zhong Tang (Astragalus Regulate the Middle Decoction), Gui Fu Li Zhong Tang (Cinnamon-Atractylodes Regulate Middle Pill), Gui Pi Yang Xin Tang (Restore Spleen Nourish Heart Decoction) etc. for over ten days post-illness regulation. Spirit gradually recovered. Discharged home to rest. Health/constitution returned to normal thereafter.
Shaoyin Extreme Yin Appearing Like Yang Syndrome (I)
Yang XX, male, 31 years old, from Yao'an County, Yunnan Province. Ill for 20 days in March 1923. Initially slight wind-cold, fever, headache. Given over ten doses by a physician, each heavily using bitter-cold purgatives plus Xi Jiao (Rhinoceros Horn), Ling Yang Jiao (Antelope Horn), Huang Lian (Coptidis Rhizoma), etc. Condition worsened with each dose. Physician did not reflect, nearly fatal before consulting me. At that time: red eyes, swollen/scorched lips, barefoot/exposed body, irritability, insomnia, confusion, delirium, body hot as fire, thirst preferring boiling hot water, short red urine, no bowel movement for days, no food intake. Pulse floating, deficient, about to scatter. This is a changed syndrome from incorrect treatment of wind-cold. Overuse of bitter-cold purgatives forced True Yang outward, creating Extreme Yin appearing like Yang. Exterior shows heat image (false heat), interior is extremely cold (true cold). If truly Yang syndrome with internal heat steaming, should have great thirst for cold drinks, not preference for boiling hot? Moreover, pulse floating/deficient/about to scatter indicates Yuan Yang about to collapse. Past cold/purgative use must stop. Only large dose returning Yang and gathering [Qi] might save life. Condition critical. Urgently prescribed Bai Tong Tang (White Onion Decoction) plus Shang Rou Gui (Cinnamon Bark) one dose.
Fu Pian (Aconiti Lateralis Radix Praeparata) 60g, Gan Jiang (Zingiberis Rhizoma) 26g, Shang Rou Gui (Cinnamomi Cortex) 10g (powdered, soaked in water and added), Cong Bai (Allii Fistulosi Bulbus) 4 stems.
After prescribing, family said no one was present that evening to supervise decoction, dared not take. Next morning, urgently consulted again. Insisted on same formula, advised trying Shang Rou Gui (Cinnamon Bark) soaked in water first. If tolerated, decoct and take whole formula. No other good method. Family gave cinnamon water. Immediately vomited ~bowl of saliva/phlegm, consciousness slightly cleared, felt internally refreshed, took main formula. After one dose, condition reduced, showing aversion to cold and cold limbs. Afternoon re-examination: fever subsided 1-2 degrees, no longer irritable/delirious, slept briefly. Prescribed Si Ni Tang (Frigid Extremities Decoction) plus Shang Rou Gui (Cinnamon Bark) as main treatment.