一剂见效，二剂后喘、咳约去十之六、七，三剂则照原方去杭芍，服后痰喘咳嗽若失，略进饮食。第三日以四逆汤 加茯苓、上肉桂、砂仁、口芪。
附片100克干姜50克 茯苓50克 砂仁10克 上肉桂10克(研
末，泡水兑入) 北芪60克
上方服一剂后，是晚便意迫肛，解出干结黑色粪便半痰盂许，腹中顿觉舒缓。然因年老气虚，解便时用力过盛，旋即昏晕不省人事。急诊之，气短欲绝，脉沉迟无力，但见白苔已退，唇舌已转红润，此乃气虚下陷之故。当即以煎好之汤药喂服。俄顷，人事已省，脉转有神。原方连服三剂，食增神健，咳喘不作，二便通达。
哮 喘
郑××，女，二十五岁，已婚，云南省人。患慢性哮喘病已十四年之久，现身孕四月余，住昆明军区××医院，于1959年10月9日邀余会诊。询其病史，始因年幼体弱，感风寒而起病，药、食调理不当，风寒内伏，夹湿痰上逆于肺，经常喘咳，值天寒时令尤甚，迄今病已多年，转成慢性哮喘。证见咳嗽短气而喘，痰多色白，咽喉不利，时发喘息哮鸣。面色淡而少华，目眶、口唇含青乌色。胸中闷胀、少气懒言，咳声低弱，咳时则由胸部牵引小腹作痛。食少不思饮，溺短不清，夜间喘咳尤甚，难于平卧入寐。舌苔白滑厚腻，舌质含青色，脉现弦滑，沉取则弱而无力，此系风寒伏于肺胃，久咳肺肾气虚，阳不足以运行，寒湿痰饮阻遏而成是证。法当开提肺寒，补肾纳气，温化痰湿治之，方用小青龙汤加附片。
附片100克 杭芍10克 麻黄10克 北细辛6克 干姜30克
桂枝20克 五昧子5克 半夏10克 甘草10克
服上方二剂后，咳吐大量清稀白痰，胸闷、气短及喘咳均已较减，能入睡四、五小时，食思见增，唇舌转红，仍微带青色，厚腻自苔退去其半。上方虽见效，然阳气未充，寒湿痰饮尚未肃清，继以温化开提之剂治之。方用四逆、二陈合方加麻、辛、桂。
附片2003~ 干姜40克 茯苓30克 法夏15克 广陈皮10克
北细辛8克 麻茸10克(蜜炙) 上肉桂10克(研末，泡水兑入)
甘草10克
服上方后喘咳皆有减少。治法不变，仍用此方，随证加减药味及分量，共服二十余剂后，哮喘咳嗽日渐平息。再服十余剂，病遂痊愈，身孕无恙，至足月顺产一子，娩后母子均健康。
按：昔有谓妇人身孕，乌、附、半夏皆所禁用，其实不然。盖乌，附、半夏，生者具有毒性，固不能服，只要炮制煎煮得法，去除毒性，因病施用，孕妇服之亦无妨碍。妇人怀孕，身为疾病所缠，易伤胎气而不固。因证立方用药，务使邪去而正安，此实为安胎、固胎之要叉。 《内经》云：“妇人重身，毒之何如……有故无殒，亦无殒也。”此乃有是病而用是药，所谓有病则病当之，故孕妇无殒，胎亦无殒也。余临证数十年，思循经旨，多有所验，深感得益不少。 虚 劳 咳 嗽
张××，年二十五岁，四川人，1923年患虚劳咳嗽，病经数月。始因盗汗，遗精，食少难寐，求医无效。近则午后恶寒，发热如潮。面颊及口唇色赤如艳，自汗、盗汗，夜间尤甚。痰嗽不爽，咳声嘶嗄，咯血盈碗。耳鸣，眼花，头常昏晕，气短而喘，精神疲惫，不能入寐。脉来虚数无力，舌根白腻。查其所服之方，均以阴虚有热为治，不外清金润肺止咳，滋阴降火平肝，凉血止血退骨蒸劳热等百十余剂。又服西药多种，沉疴未起，病势反见日趋沉重。盖此病良由素禀不足，肾气太亏，真阳内虚不能镇纳阴邪，阴寒水湿挟痰浊上逆于肺，阻遏肺肾升降气机，表阳失固，营阴不敛，则汗易外泄，已虚之阳无力统摄血液，则散漫游溢脉外而咯血，阴阳相执，虚阳被阴寒格拒于外，发为潮热，此午后阴气较盛故虚热愈见浮矣。虽发热而有恶寒相伴，脉见数，然其体状虚软无力，全属一派阳虚阴寒之象，非阴虚火旺之肺燥咯血可比也。往日所治，违其证，南辕而北辙，徒劳无功。如是之证，唯有依照《内经》甘温除热之旨，方可挽回生机。
方用甘草干姜汤加附子。
炙甘草24克 炮黑姜15克 附片45克 大枣3枚(烧黑存性)
服一剂，咯血止。再剂则喘咳稍平，精神较增，再拟四逆汤加味治之。
附片60克 干姜、炮黑姜各15克 西砂仁15克 炙甘草15克
大枣4枚(烧黑存性)
服后痰多而兼杂黑血，此乃得阳药温化运行，既已离经之血，当随痰浊而排除。遂连进四剂，潮热退其半，血痰已不见，各节证情均有所减，泻下黑酱稀粪，为浊阴下降。脉转缓，稍有力，饮食略增。病情已大有转机，照前方去大枣加倍分量，加茯苓30克，白术18克，连进五剂，颊唇赤色已退，喘定八、九，潮热微作，竟得熟寐，咳痰有减，咳声较洪，此肺气之通达也。再进数剂则潮热已不作，食思倍增，咳痰更减，唯其周身骤然浮肿，面足尤甚。病家因见肿象，不知为阴邪始退、元气来复之兆，突生疑惧。改延他医诊视，断言“误服附子中毒”所致，主以绿豆、贝母、寸冬、熟地、洋参、枇杷叶、当归、泽泻、苏子、腹毛、枳壳、炙草。殊料服后是晚喘咳顿作，气滞痰涌，身热再燃。于是惊惶失措，又复促余前往诊视。始知病家苦于不识医理，朝夕更医，几使前功尽弃。余仍以诚言相告，力主大剂辛温，逆流挽舟，以回颓绝。方用：
附片200克 干姜60克 北细辛6克 麻茸4克 上肉桂12克
(研末，泡水兑入) 茯苓60克 甘草24克
服后出微汗，身热始退。连进三剂后，小便畅通，浮肿尽消。遂照原方去麻茸加砂仁15克。五剂后，咳痰减去七、八。饮食、精神转增。去细辛加口芪、白术各30克，再进十剂，诸证悉除。唯元气未充，以黄芪建中汤加味调理善后，二十余剂则体健康复。 口芪1OO克 桂尖24克 杭芍24克 附片150克党参20克 白术20克西砂仁15克大枣4枚生姜30克饴糖30克(烊化兑入)童 子痨
张××之子，云南省永仁县人，年八岁，禀赋不足，形体赢弱，平素多病，时有腹痛，多痰慢咳而少食。此先天不足，脾虚不运，阴寒挟水湿内渍。1922年6月某日，受寒而起病，脉来浮滑，兼有紧象，指纹色淡而青，舌苔白滑，质含青色。涕清，咳嗽而加痰涌。发热、恶寒，头昏痛，喜热饮。缘由风寒表邪，引动内停之寒湿水饮，肺气不利，清肃不降，脾不健运，水湿不化，阻遏太阳经气出入之机，拟小青龙汤加附子助阳解表化饮除痰。
附片30克桂尖10克麻茸3克 北细辛3克 杭芍6克
五味子2克 小枣7枚 生姜10克
服后得微汗，身热始退，表邪已解，但咳嗽痰多而清稀。此乃寒痰未净，脾肺之气尚虚，守原方去杭芍、麻茸加茯苓10克、白术12克连进二剂，饮食已如常。惟仍涕清痰多，面浮，午后尚有潮热，自汗，腹中时而隐隐作痛。此表邪虽解，寒痰内饮尚重，今得辛温之荆以运行，逐动内饮欲溃，务期祛尽停饮寒痰，沉痼始除。殊料张君对余信任不专，另延中医数人诊视，有云“误服附子，中毒难解”。有云“系湿热阻遏中焦”，处方均以清热利湿。数剂后，不但原病不减， 反见沉重，涕清如水，午后潮热更甚，汗出淋漓，咳痰气息短弱而兼喘促，食物不进，形体枯瘦，四肢厥冷，已奄奄一息。又改延某西医诊治，断言“误服姜附，已将肺液烧干”，(试问；涕为肺之液，如果肺液已经烧干，焉能涕清如水?)竟主服“保肺药水”，并云有起死回生之效。服后顷刻，遂现风状，双目上视，唇缩而青，肢厥抽掣，汗出欲绝，已命在旦夕。张君惊惶不已，又急促余诊视之，并具述误治经过，余不忍坐视待毙，尽力挽回颓绝，主以大剂加味四逆汤治之。
附片100克 干姜40克 砂仁10克 上肉桂10克(研末，泡水兑
入) 甘草10克
上方连服二次，风状减，已不抽掣。次日复诊，诸证亦有减轻。再服二剂，突见周身浮肿，咳嗽多痰，但潮热已退，厥逆回温，能稍进饮食。乃告之此系阴寒水湿之邪被阳药温运化散，元气回复之征。现仍阳弱气虚，须待温扶。照原方加口芪、白术、茯苓连进数十余剂始奏全功。此证即所谓“童子痨”也，前后施治，经余拟方，共服附片约十余市斤，并无中毒反应，亦未见将阴液烧干，且患儿病愈之后，身体健康，体质丰盛胜于病前，多年无恙。
肾 水肿(慢性肾炎并腹水)沈××，男，三十岁，浙江人，云南省下关市某机关干 部。患“慢性肾炎”已一年余，当地诊治无效。后因发生腹水肿胀，体虚弱极而转送昆明某医院治疗，住院一周多，其效不显，于1958年12月12日邀余前往会诊。患者面部浮肿，目下浮起如卧蚕，面色苍白晦滞，口唇青乌，欲寐无神，神情倦怠已极，腹内水鼓作胀，其状如匏，下肢浮肿，胫跗以下，按之则凹陷而不易复起，身重卧床，难于转侧。问其所苦，但闻语声低弱，言及腹中撑胀，腰背酸胀痛楚不止，小腹亦坠胀作痛，口淡不思食，不渴饮，小便短少。察其舌脉，舌虽润而色淡夹青，苔滑而灰黑，脉象沉迟无力。此系脾肾阳虚，水寒土湿，寒水泛滥所致，法当扶阳温寒化气利水主之，方用四逆五苓散加减。
附片100克 干姜40克 花椒7克(炒去汗) 猪苓15克 茯
苓30克 条桂15克
服四剂，小便遽转清长畅利，面足浮肿消退，腹水消去十之六、七，体重减轻21市斤，腰背痛已大为减轻，仍有酸胀。稍能食，精神较增。舌苔灰黑已退，呈现白滑苔。脉转和缓，体尚弱。仍以扶阳温化主之。
附片10O克 干姜50克 吴萸10克 桂枝30克 苡仁10克 猪
苓10克 茯苓30克
连服四剂，腹水消去十之七、八，面色亦转好，精神、饮食较增，舌质青色已退，淡红而润，苔薄白滑，脉和缓有神根。大病悉退，阳神尚虚，余邪未净，唯有增强心肾之阳，不变温化之法，始能效奏全功，照上方加减治之。
附片150克干姜50克 上肉桂10克(研末，泡水兑入) 砂仁10克黑丑20克 茯苓50克 公丁10克服四剂后，寒水邪阴消除殆尽，善后调理一周，病愈出院。
石 淋(肾结石虚寒证型)
黄××，男，四十四岁，湖北人，昆明海口×厂军事代表。
患者以腰痛数年而住入昆明军区某医院治疗，经x线摄片检查，发现右肾肾盂有十粒结石影象，小如花椒，大至蚕豆，诊断为“肾结石”，因身体虚弱不能耐受外科手术，遂于1958年11月出院延余诊治。言及患腰痛已久，时有所发，痛如绞作，延及腰腹，下引宗筋，痛甚则神怯而畏寒肢冷。
小腹胀痛，小便短涩。饮食欠佳，精神缺乏。舌苔白滑而厚腻，脉沉迟无力。此因肾脏寒极，寒湿不化，内结成石，以温肾扶阳温化之法主之，投以四逆汤加昧。
附片60克 杜仲10克 桂枝30克 干姜40克 茯苓30克 上
肉桂10克(研末，泡水兑入) 北细辛6克 甘草6克
服药十一剂后，相继经尿道排出结石四粒，其中曾有一粒较大者，排出时嵌于尿道口，尿线中断，其痛非常，经该厂医生用镊子夹出，宛如细包谷粒大小，至使尿道口略为出血。经x线复查，尚余下六粒结石，但影象均较前为小，原大如蚕豆者已不复见。此乃温化之剂所致也。唯因肾寒日久， 腰尚冷痛，结石未全化解排尽，其法不变，继以扶阳温化主之。
附片100克干姜50克 狗脊10克北细辛6克苡仁30克桂
枝30克 上肉桂10克(研末，泡水兑入) 甘草10克
因服药有效，信心不移，连服不断则病情大减，食增神健，体质大为好转，于1959年1月开始恢复工作，前后相继数十余剂，腰痛已不复作，于1959年3月前来复诊，带来x线复查照片，十粒结石已消去九粒，仅剩下一粒，影象亦较前缩小。再以上方加减，不离强心温肾，调补气血之原则。数月后，最后一粒结石亦随尿排出，自此恢复健康，照常工作。
厥阴病缩睾证
马××，男，二十七岁，门诊号9546。患者右侧睾丸肿痛二月余，治疗后肿痛逐渐消退。某日夜间，右侧睾丸突然收引回缩至少腹。少腹拘挛疼痛不已，牵引腰部，痛不能伸，痛剧之时，连及脐腹，直至四肢挛急难以屈伸。颜面发青，冷汗淋漓。其亲友略知医理，认为此证系肾精亏损所致，拟滋阴补肾之剂，服后未见缓解，遂送中医学院附设门诊部就诊。刻诊患者面色发青，腹痛呻吟，愁容不展，两目无神，白睛发蓝，唇、舌、指甲均含青色。舌苔白腻，手足冰冷，脉来沉细弦紧。已两日水米不进。此系肝肾阳虚，厥阴阴寒太盛，阳不足以温熙筋脉。《内经》云“肝是厥阴之脉……循股阴，入毛中，过阴器，抵小腹……。”经脉失养，故拘挛收引，致 使睾丸回缩而痛，即所谓“寒则收引”之意。法当温扶肝肾之阳，温经散寒，经脉之挛急自能舒缓。方用当归四逆汤加味。
当归15克 桂枝12克 杭芍9克 细辛6克 通草6克 大
枣5枚干姜12克吴萸6克 川椒5克(炒黄) 乌梅4枚
附片60克
一剂药见效，服用两剂后，气喘、咳嗽症状大约减轻了十分之六到七；服用三剂后，按照原方去掉杭白芍，服药后痰喘咳嗽完全消失，开始稍微进食。第三天使用四逆汤加茯苓、上肉桂、砂仁、北黄芪。
附片100克 干姜50克 茯苓50克 砂仁10克 上肉桂10克（研成末，泡水兑入） 北黄芪60克
上方服用一剂后，当晚有强烈的便意，排出半痰盂左右的干结黑色粪便，腹部顿时感到舒缓。然而因为年老气虚，排便时用力过猛，随即昏晕不省人事。紧急救治时，气息短促欲绝，脉象沉迟无力，但见白苔已退，唇舌转为红润，这是气虚下陷的缘故。当即喂服煎好的汤药。不久，神志清醒，脉象转为有神。原方连续服用三剂，食欲增加，精神健旺，咳喘不再发作，大小便通畅。
哮喘
郑××，女性，二十五岁，已婚，云南省人。患有慢性哮喘病已有十四年之久，现怀孕四月余，住在昆明军区××医院，于1959年10月9日邀请我会诊。询问病史，起初因年幼体弱，感受风寒而起病，药物和饮食调理不当，导致风寒内伏，夹带湿痰上逆于肺，经常气喘咳嗽，遇到天寒时令尤其严重，至今多年，转成慢性哮喘。证候表现为咳嗽短气而喘，痰多色白，咽喉不利，时常发生喘息哮鸣。面色淡而无华，眼眶、口唇呈现青乌色。胸中闷胀、少气懒言，咳声低弱，咳嗽时由胸部牵引小腹作痛。食少不想喝水，小便短少不清，夜间喘咳尤其严重，难以平卧入睡。舌苔白滑厚腻，舌质含青色，脉象弦滑，重按则弱而无力，这是风寒潜伏于肺胃，久咳导致肺肾气虚，阳气不足以运行，寒湿痰饮阻遏而形成的证候。治法应当开提肺寒，补肾纳气，温化痰湿，方用小青龙汤加附片。
附片100克 杭白芍10克 麻黄10克 北细辛6克 干姜30克
桂枝20克 五味子5克 半夏10克 甘草10克
服用上方两剂后，咳吐大量清稀白痰，胸闷、气短及喘咳均已减轻，能入睡四五个小时，食欲增加，唇舌转红，仍微带青色，厚腻的舌苔退去一半。上方虽然见效，但阳气未充，寒湿痰饮尚未肃清，继续以温化开提的药剂治疗。方用四逆汤、二陈汤合方加麻黄、细辛、桂枝。
附片200克 干姜40克 茯苓30克 法半夏15克 广陈皮10克
北细辛8克 麻黄茸10克（蜜炙） 上肉桂10克（研末，泡水兑入）
甘草10克
服用上方后喘咳皆有减少。治法不变，仍用此方，随证加减药味及分量，共服用二十余剂后，哮喘咳嗽日渐平息。再服用十余剂，病遂痊愈，身孕无恙，至足月顺产一子，娩后母子均健康。
按语：过去有人说妇女怀孕，乌头、附子、半夏都是禁用的，其实并非如此。乌头、附子、半夏，生者具有毒性，确实不能服用，只要炮制煎煮得法，去除毒性，因病施用，孕妇服用也没有妨碍。妇人怀孕，身体被疾病缠绕，容易伤胎气而不固。根据证候立方用药，务必使邪气去除而正气安宁，这实在是安胎、固胎的关键。《内经》说：“妇人重身，毒之何如……有故无殒，亦无殒也。”这就是说有是病而用是药，所谓有病则病当之，所以孕妇无损伤，胎儿也无损伤。我临证数十年，思考遵循经旨，多有验证，深感得益不少。
虚劳咳嗽
张××，年龄二十五岁，四川人，1923年患虚劳咳嗽，病情持续数月。起初因盗汗、遗精、食少难寐，求医无效。近来午后恶寒，发热如潮。面颊及口唇色赤如艳，自汗、盗汗，夜间尤其严重。痰嗽不爽，咳声嘶哑，咯血盈碗。耳鸣，眼花，头常昏晕，气短而喘，精神疲惫，不能入睡。脉来虚数无力，舌根白腻。查其所服的方子，都是以阴虚有热为治，不外乎清金润肺止咳，滋阴降火平肝，凉血止血退骨蒸劳热等一百多剂。又服用多种西药，沉疴未起，病势反而日趋沉重。大概这个病原本就是素禀不足，肾气太亏，真阳内虚不能镇纳阴邪，阴寒水湿挟痰浊上逆于肺，阻遏肺肾升降气机，表阳失固，营阴不敛，则汗易外泄，已虚之阳无力统摄血液，则散漫游溢脉外而咯血，阴阳相执，虚阳被阴寒格拒于外，发为潮热，这是因为午后阴气较盛，所以虚热愈见浮越。虽然发热而有恶寒相伴，脉见数，但其体质虚软无力，全属一派阳虚阴寒之象，不是阴虚火旺之肺燥咯血可比的。往日所治，违背了证候，南辕北辙，徒劳无功。像这样的证候，唯有依照《内经》甘温除热的旨意，方可挽回生机。
方用甘草干姜汤加附子。
炙甘草24克 炮黑姜15克 附片45克 大枣3枚（烧黑存性）
服用一剂，咯血止住。再服两剂则喘咳稍平，精神较增，再拟定四逆汤加味治疗。
附片60克 干姜、炮黑姜各15克 西砂仁15克 炙甘草15克
大枣4枚（烧黑存性）
服用后痰多且夹杂黑血，这是得到阳药温化运行，已经离经之血，当随痰浊而排除。于是连进四剂，潮热退去一半，血痰已不见，各节证情均有所减轻，泻下黑酱稀粪，为浊阴下降。脉转缓，稍有力，饮食略增。病情已大有转机，照前方去掉大枣加倍分量，加茯苓30克，白术18克，连进五剂，颊唇赤色已退，喘定八九，潮热微作，竟得熟睡，咳痰有减，咳声较洪，这是肺气通达的表现。再进数剂则潮热已不作，食欲倍增，咳痰更减，唯独周身骤然浮肿，面部足部尤其严重。病家因为见到肿象，不知道这是阴邪始退、元气来复的征兆，突生疑惧。改延请其他医生诊视，断言“误服附子中毒”所致，主以绿豆、贝母、寸冬、熟地、洋参、枇杷叶、当归、泽泻、苏子、腹毛、枳壳、炙草。没想到服用后当晚喘咳顿作，气滞痰涌，身热再燃。于是惊惶失措，又再次催促我前往诊视。始知病家苦于不识医理，朝夕更换医生，几乎使前功尽弃。我仍以诚言相告，力主大剂辛温，逆流挽舟，以回颓绝。方用：
附片200克 干姜60克 北细辛6克 麻黄茸4克 上肉桂12克
（研末，泡水兑入） 茯苓60克 甘草24克
服用后出微汗，身热始退。连进三剂后，小便畅通，浮肿尽消。遂照原方去掉麻黄茸加砂仁15克。五剂后，咳痰减去七八。饮食、精神转增。去掉细辛加北黄芪、白术各30克，再进十剂，诸证悉除。唯独元气未充，以黄芪建中汤加味调理善后，二十余剂则体健康复。
北黄芪100克 桂尖24克 杭白芍24克 附片150克 党参20克 白术20克 西砂仁15克 大枣4枚 生姜30克 饴糖30克（烊化兑入）
童子痨
张××之子，云南省永仁县人，八岁，禀赋不足，形体羸弱，平素多病，时有腹痛，多痰慢咳而少食。这是先天不足，脾虚不运，阴寒挟水湿内渍。1922年6月某日，受寒而起病，脉来浮滑，兼有紧象，指纹色淡而青，舌苔白滑，质含青色。鼻涕清稀，咳嗽而加痰涌。发热、恶寒，头昏痛，喜热饮。缘由风寒表邪，引动内停之寒湿水饮，肺气不利，清肃不降，脾不健运，水湿不化，阻遏太阳经气出入之机，拟小青龙汤加附子助阳解表化饮除痰。
附片30克 桂尖10克 麻黄茸3克 北细辛3克 杭白芍6克
五味子2克 小枣7枚 生姜10克
服用后得微汗，身热始退，表邪已解，但咳嗽痰多而清稀。这是寒痰未净，脾肺之气尚虚，守原方去掉杭白芍、麻黄茸加茯苓10克、白术12克连进二剂，饮食已如常。唯独仍鼻涕清痰多，面浮，午后尚有潮热，自汗，腹中时而隐隐作痛。这是表邪虽解，寒痰内饮尚重，今得辛温之药以运行，逐动内饮欲溃，务期祛尽停饮寒痰，沉痼始除。没想到张君对我信任不专，另延请中医数人诊视，有人说“误服附子，中毒难解”。有人说“系湿热阻遏中焦”，处方均以清热利湿。数剂后，不但原病不减，反见沉重，鼻涕清如水，午后潮热更甚，汗出淋漓，咳痰气息短弱而兼喘促，食物不进，形体枯瘦，四肢厥冷，已奄奄一息。又改延请某西医诊治，断言“误服姜附，已将肺液烧干”，（试问：涕为肺之液，如果肺液已经烧干，焉能鼻涕清如水？）竟主张服用“保肺药水”，并说有起死回生之效。服用后顷刻，遂现风状，双目上视，唇缩而青，肢厥抽掣，汗出欲绝，已命在旦夕。张君惊惶不已，又急促我诊视之，并具述误治经过，我不忍坐视待毙，尽力挽回颓绝，主张以大剂加味四逆汤治疗。
附片100克 干姜40克 砂仁10克 上肉桂10克（研末，泡水兑入） 甘草10克
上方连服二次，风状减，已不抽掣。次日复诊，诸证亦有减轻。再服二剂，突见周身浮肿，咳嗽多痰，但潮热已退，厥逆回温，能稍进饮食。乃告知他这是阴寒水湿之邪被阳药温运化散，元气回复的征象。现在仍阳弱气虚，须待温扶。照原方加北黄芪、白术、茯苓连进数十余剂始奏全功。此证即所谓“童子痨”也，前后施治，经我拟方，共服用附片约十余市斤，并无中毒反应，亦未见将阴液烧干，且患儿病愈之后，身体健康，体质丰盛胜于病前，多年无恙。
肾水肿（慢性肾炎并腹水）
沈××，男性，三十岁，浙江人，云南省下关市某机关干部。患“慢性肾炎”已一年余，当地诊治无效。后因发生腹水肿胀，体虚弱极而转送昆明某医院治疗，住院一周多，其效不显，于1958年12月12日邀请我前往会诊。患者面部浮肿，目下浮起如卧蚕，面色苍白晦滞，口唇青乌，欲寐无神，神情倦怠已极，腹内水鼓作胀，其状如匏，下肢浮肿，胫跗以下，按之则凹陷而不易复起，身重卧床，难于转侧。问其所苦，但闻语声低弱，言及腹中撑胀，腰背酸胀痛楚不止，小腹亦坠胀作痛，口淡不思食，不渴饮，小便短少。察其舌脉，舌虽润而色淡夹青，苔滑而灰黑，脉象沉迟无力。这是脾肾阳虚，水寒土湿，寒水泛滥所致，治法应当扶阳温寒化气利水为主，方用四逆五苓散加减。
附片100克 干姜40克 花椒7克（炒去汗） 猪苓15克 茯苓30克 条桂15克
服用四剂，小便遽转清长畅利，面足浮肿消退，腹水消去十分之六、七，体重减轻21市斤，腰背痛已大为减轻，仍有酸胀。稍能食，精神较增。舌苔灰黑已退，呈现白滑苔。脉转和缓，体尚弱。仍以扶阳温化为主。
附片100克 干姜50克 吴茱萸10克 桂枝30克 薏苡仁10克 猪苓10克 茯苓30克
连服四剂，腹水消去十分之七、八，面色亦转好，精神、饮食较增，舌质青色已退，淡红而润，苔薄白滑，脉和缓有神根。大病悉退，阳神尚虚，余邪未净，唯有增强心肾之阳，不变温化之法，始能效奏全功，照上方加减治疗。
附片150克 干姜50克 上肉桂10克（研末，泡水兑入） 砂仁10克 黑丑20克 茯苓50克 公丁香10克
服用四剂后，寒水邪阴消除殆尽，善后调理一周，病愈出院。
石淋（肾结石虚寒证型）
黄××，男性，四十四岁，湖北人，昆明海口×厂军事代表。
患者以腰痛数年而住入昆明军区某医院治疗，经X线摄片检查，发现右肾肾盂有十粒结石影像，小如花椒，大至蚕豆，诊断为“肾结石”，因身体虚弱不能耐受外科手术，遂于1958年11月出院延请我诊治。言及患腰痛已久，时有所发，痛如绞作，延及腰腹，下引宗筋，痛甚则神怯而畏寒肢冷。
小腹胀痛，小便短涩。饮食欠佳，精神缺乏。舌苔白滑而厚腻，脉沉迟无力。这是因为肾脏寒极，寒湿不化，内结成石，以温肾扶阳温化之法为主，投以四逆汤加味。
附片60克 杜仲10克 桂枝30克 干姜40克 茯苓30克 上肉桂10克（研末，泡水兑入） 北细辛6克 甘草6克
服药十一剂后，相继经尿道排出结石四粒，其中曾有一粒较大者，排出时嵌于尿道口，尿线中断，其痛非常，经该厂医生用镊子夹出，宛如细包谷粒大小，致使尿道口略为出血。经X线复查，尚余下六粒结石，但影像均较前为小，原大如蚕豆者已不复见。这是温化之剂所致也。唯因肾寒日久，腰尚冷痛，结石未全化解排尽，其法不变，继以扶阳温化为主。
附片100克 干姜50克 狗脊10克 北细辛6克 薏苡仁30克 桂枝30克 上肉桂10克（研末，泡水兑入） 甘草10克
因服药有效，信心不移，连服不断则病情大减，食增神健，体质大为好转，于1959年1月开始恢复工作，前后相继数十余剂，腰痛已不复作，于1959年3月前来复诊，带来X线复查照片，十粒结石已消去九粒，仅剩下一粒，影像亦较前缩小。再以上方加减，不离强心温肾，调补气血之原则。数月后，最后一粒结石亦随尿排出，自此恢复健康，照常工作。
厥阴病缩睾证
马××，男性，二十七岁，门诊号9546。患者右侧睾丸肿痛二月余，治疗后肿痛逐渐消退。某日夜间，右侧睾丸突然收引回缩至少腹。少腹拘挛疼痛不已，牵引腰部，痛不能伸，痛剧之时，连及脐腹，直至四肢挛急难以屈伸。颜面发青，冷汗淋漓。其亲友略知医理，认为此证系肾精亏损所致，拟滋阴补肾之剂，服用后未见缓解，遂送中医学院附设门诊部就诊。刻诊患者面色发青，腹痛呻吟，愁容不展，两目无神，白睛发蓝，唇、舌、指甲均含青色。舌苔白腻，手足冰冷，脉来沉细弦紧。已两日水米不进。这是肝肾阳虚，厥阴阴寒太盛，阳气不足以温煦筋脉。《内经》说“肝是厥阴之脉……循股阴，入毛中，过阴器，抵小腹……。”经脉失养，故拘挛收引，致使睾丸回缩而痛，即所谓“寒则收引”之意。治法应当温扶肝肾之阳，温经散寒，经脉之挛急自能舒缓。方用当归四逆汤加味。
当归15克 桂枝12克 杭白芍9克 细辛6克 通草6克 大枣5枚 干姜12克 吴茱萸6克 川椒5克（炒黄） 乌梅4枚
附片60克
One dose produced a visible effect; after two doses, wheezing and coughing decreased by about 60-70%; after three doses, following the original prescription with Hangshao (Paeoniae Radix Alba) removed, phlegm-wheezing and coughing disappeared completely, and the patient began to take in some food. On the third day, Sini Tang (Four Reversal Decoction) was used with added Fuling (Poria), Shangrougui (Cortex Cinnamomi Cassiae), Sharen (Amomi Fructus), and Kouqi (Astragali Radix).
Fuzi (Aconiti Lateralis Radix Praeparata) 100g, Ganjiang (Zingiberis Rhizoma) 50g, Fuling (Poria) 50g, Sharen (Amomi Fructus) 10g, Shangrougui (Cortex Cinnamomi Cassiae) 10g (ground into powder, mixed with water and added to the decoction), Beiqi (Astragali Radix) 60g.
After taking one dose of the above prescription, there was an urgent need to defecate that night, and half a bedpan of dry, black stool was passed; the abdomen felt instantly relieved. However, due to old age and Qi deficiency, excessive straining during defecation caused immediate fainting and loss of consciousness. Emergency treatment revealed shortness of breath nearing cessation, a deep, slow, and weak pulse, but the white tongue coating had receded, and the lips and tongue had turned red. This was due to sinking of Qi deficiency. The prepared herbal decoction was immediately administered orally. Shortly after, consciousness was restored, and the pulse became vigorous. The original prescription was taken for three consecutive doses; appetite increased, spirit became robust, wheezing and coughing ceased, and both urination and defecation were unobstructed.
Wheezing and Asthma
Zheng XX, female, 25 years old, married, from Yunnan Province. She suffered from chronic asthma for fourteen years and was over four months pregnant at the time. She was admitted to a hospital under the Kunming Military Region and invited me for consultation on October 9, 1959. Inquiry into her medical history revealed that the illness began in childhood due to weakness and exposure to wind-cold. Improper medication and dietary management led to internal retention of wind-cold, combined with damp-phlegm counterflowing upward to the Lung. She frequently experienced wheezing and coughing, which worsened significantly during cold seasons. Over many years, this developed into chronic asthma. Symptoms included coughing with shortness of breath and wheezing, profuse white sputum, throat discomfort, and intermittent asthmatic wheezing. Her complexion was pale and lusterless, with bluish-black discoloration around the eye orbits and lips. She complained of chest oppression, shortness of breath, reluctance to speak, weak cough sounds, and abdominal pain radiating from the chest during coughing. She had poor appetite, no desire for water, short and turbid urine, and severe nighttime wheezing and coughing that prevented lying flat or sleeping. The tongue coating was white, slippery, thick, and greasy; the tongue body had a bluish tint. The pulse was wiry and slippery, becoming weak and forceless upon deep pressure. This syndrome resulted from wind-cold latent in the Lung and Stomach, prolonged coughing causing Qi deficiency in the Lung and Kidney, insufficient Yang to facilitate circulation, and obstruction by cold-dampness and phlegm-fluids. The treatment principle should be to open and lift Lung cold, tonify the Kidney to grasp Qi, and warm-transform damp-phlegm. The formula used was Xiaoqinglong Tang (Minor Green Dragon Decoction) with added Fuzi (Aconiti Lateralis Radix Praeparata).
Fuzi (Aconiti Lateralis Radix Praeparata) 100g, Hangshao (Paeoniae Radix Alba) 10g, Mahuang (Ephedrae Herba) 10g, Beixixin (Asari Radix et Rhizoma) 6g, Ganjiang (Zingiberis Rhizoma) 30g, Guizhi (Ramulus Cinnamomi) 20g, Wuweizi (Schisandrae Chinensis Fructus) 5g, Banxia (Pinelliae Rhizoma) 10g, Gancao (Glycyrrhizae Radix et Rhizoma) 10g.
After two doses of the above prescription, large amounts of clear, thin, white sputum were expectorated; chest oppression, shortness of breath, and wheezing/coughing were significantly reduced; sleep duration improved to four or five hours; appetite increased; lips and tongue turned red but retained a slight bluish tint; and the thick, greasy tongue coating receded by half. Although effective, Yang Qi was not yet sufficient, and cold-dampness/phlegm-fluids were not fully cleared. Treatment continued with warming and transforming agents. The formula used was a combination of Sini Tang (Four Reversal Decoction) and Erchen Tang (Two Aged Substances Decoction) with added Mahuang (Ephedrae Herba), Xixin (Asari Radix et Rhizoma), and Guizhi (Ramulus Cinnamomi).
Fuzi (Aconiti Lateralis Radix Praeparata) 200g, Ganjiang (Zingiberis Rhizoma) 40g, Fuling (Poria) 30g, Faxia (Pinelliae Rhizoma Preparatum) 15g, Guangchenpi (Citri Reticulatae Pericarpium) 10g, Beixixin (Asari Radix et Rhizoma) 8g, Mahuangrong (Ephedrae Herba apicalis) 10g (honey-fried), Shangrougui (Cortex Cinnamomi Cassiae) 10g (ground into powder, mixed with water and added to the decoction), Gancao (Glycyrrhizae Radix et Rhizoma) 10g.
After taking the above prescription, wheezing and coughing decreased further. The treatment principle remained unchanged, using this formula with modifications based on symptoms. After more than twenty doses, asthma and cough gradually subsided. After another ten-plus doses, the illness was cured, the pregnancy remained safe, and she delivered a healthy baby full-term. Both mother and child were healthy postpartum.
Note: It is traditionally said that Utou (Aconiti Radix), Fuzi (Aconiti Lateralis Radix Praeparata), and Banxia (Pinelliae Rhizoma) are contraindicated during pregnancy. This is not entirely accurate. Raw forms of these herbs are toxic and indeed unsafe. However, if processed and decocted properly to remove toxicity, they can be used according to the specific condition without harming the pregnant woman. Pregnancy makes the body vulnerable, and disease can easily damage fetal Qi. Prescribing formulas and herbs based on the syndrome ensures the elimination of pathogenic factors while preserving righteous Qi, which is essential for securing the fetus. The *Neijing* states: "In pregnant women, how should toxic substances be used... If there is a cause [pathogen], there will be no destruction [of the mother or fetus]." This means that when a disease exists, the corresponding medicine is used; the disease bears the impact of the medicine, so neither the mother nor the fetus is harmed. In my decades of clinical practice, adhering to these classical principles has yielded many verified results, providing significant benefit.
Deficiency Consumption and Coughing
Zhang XX, male, 25 years old, from Sichuan Province. He suffered from deficiency consumption and coughing in 1923, lasting several months. Initially presenting with night sweats, spermatorrhea, poor appetite, and insomnia, he sought medical help without success. Recently, he experienced aversion to cold in the afternoon followed by tidal fever. His cheeks and lips were bright red, accompanied by spontaneous and night sweats, worse at night. He had difficult expectoration, hoarse cough, and hemoptysis filling a bowl. He suffered from tinnitus, blurred vision, frequent dizziness, shortness of breath with wheezing, mental fatigue, and inability to sleep. The pulse was deficient, rapid, and forceless; the root of the tongue had a white, greasy coating. Reviewing his previous prescriptions, they all treated Yin deficiency with heat, employing methods such as clearing the Metal and moistening the Lung to stop cough, nourishing Yin and descending fire to calm the Liver, cooling blood and stopping bleeding to eliminate bone-steaming consumption fever, among others, totaling over a hundred doses. He also took various Western medicines, but his chronic illness persisted and worsened. This illness likely originated from congenital insufficiency and severe Kidney Qi depletion. Internal deficiency of True Yang failed to anchor and subdue Yin pathogens. Yin-cold and damp-water, carrying turbid phlegm, counterflowed upward to the Lung, obstructing the ascending and descending mechanisms of Lung and Kidney Qi. Exterior Yang lost its security, and Ying-Yin failed to consolidate, leading to easy sweating. The already deficient Yang lacked strength to control blood, causing it to scatter and overflow outside the vessels, resulting in hemoptysis. Yin and Yang struggled against each other; deficient Yang was rejected by Yin-cold to the exterior, causing tidal fever. Since Yin Qi is stronger in the afternoon, the deficient heat appeared even more floating. Although fever was accompanied by aversion to cold and a rapid pulse, the physical constitution was weak and soft, indicating a complete picture of Yang deficiency and Yin-cold, unlike lung dryness and hemoptysis caused by Yin deficiency with hyperactive fire. Previous treatments contradicted the syndrome, going in the wrong direction, yielding no results. For such a syndrome, only by following the *Neijing*'s principle of using sweet-warm herbs to reduce fever could vitality be restored.
The formula used was Gancao Ganjiang Tang (Licorice and Dried Ginger Decoction) with added Fuzi (Aconiti Lateralis Radix Praeparata).
Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) 24g, Pao Heijiang (Charred Black Ginger) 15g, Fuzi (Aconiti Lateralis Radix Praeparata) 45g, Dazao (Jujubae Fructus) 3 pieces (charred black but retaining nature).
After one dose, hemoptysis stopped. After two more doses, wheezing and coughing slightly stabilized, and spirit improved. A modified Sini Tang (Four Reversal Decoction) was then prescribed.
Fuzi (Aconiti Lateralis Radix Praeparata) 60g, Ganjiang (Zingiberis Rhizoma) and Pao Heijiang (Charred Black Ginger) 15g each, Xi Sharen (Amomi Fructus) 15g, Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) 15g, Dazao (Jujubae Fructus) 4 pieces (charred black but retaining nature).
After taking the medicine, profuse sputum mixed with black blood was expelled. This indicated that the Yang-warming herbs facilitated circulation, and blood that had left the vessels was being eliminated with the turbid phlegm. Four consecutive doses were administered; tidal fever receded by half, bloody sputum disappeared, and all symptoms improved. Black, jam-like loose stools were passed, indicating the descent of turbid Yin. The pulse became slower and slightly stronger; appetite slightly increased. The condition showed significant improvement. Following the previous formula, Dazao (Jujubae Fructus) was removed, dosages were doubled, and Fuling (Poria) 30g and Baizhu (Atractylodis Macrocephalae Rhizoma) 18g were added. After five doses, the redness of cheeks and lips receded, wheezing stabilized by 80-90%, mild tidal fever occurred, and sound sleep was achieved. Cough and sputum decreased, and cough sounds became louder, indicating the free flow of Lung Qi. After several more doses, tidal fever ceased, appetite doubled, and cough/sputum further reduced. Suddenly, generalized edema appeared, especially on the face and feet. The family, seeing the swelling, did not recognize it as a sign of Yin-pathogen retreat and Yuan-Qi recovery, and became fearful. They consulted other doctors who diagnosed "poisoning from mistaken use of Fuzi (Aconiti Lateralis Radix Praeparata)" and prescribed Moutun Dou (Phaseoli Semen), Chuanbeimu (Fritillariae Cirrhosae Bulbus), Mudong (Ophiopogonis Radix), Shudi (Rehmanniae Radix Preparata), Yangshen (Panacis Quinquefolii Radix), Pipaye (Loquat Leaf), Danggui (Angelicae Sinensis Radix), Zexie (Alismatis Rhizoma), Su Zi (Perillae Fructus), Fumao (Corn Silk), Zhike (Aurantii Fructus Immaturus), and Zhi Cao (Honey-fried Licorice). Unexpectedly, that night, wheezing and coughing suddenly returned, Qi stagnation and phlegm surging occurred, and fever reignited. Panicked, they urged my return. I learned the family's ignorance of medical principles and constant doctor changes nearly ruined previous efforts. I advised them firmly, advocating large doses of acrid-warm herbs to reverse the critical situation. The formula used was:
Fuzi (Aconiti Lateralis Radix Praeparata) 200g, Ganjiang (Zingiberis Rhizoma) 60g, Beixixin (Asari Radix et Rhizoma) 6g, Mahuangrong (Ephedrae Herba apicalis) 4g, Shangrougui (Cortex Cinnamomi Cassiae) 12g (ground into powder, mixed with water and added to the decoction), Fuling (Poria) 60g, Gancao (Glycyrrhizae Radix et Rhizoma) 24g.
After taking the medicine, slight sweating occurred, and fever subsided. After three consecutive doses, urination became smooth, and edema completely resolved. The original formula was adjusted by removing Mahuangrong (Ephedrae Herba apicalis) and adding Sharen (Amomi Fructus) 15g. After five doses, cough and sputum reduced by 70-80%. Diet and spirit improved. Xixin (Asari Radix et Rhizoma) was removed, and Kouqi (Astragali Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) 30g each were added. After ten more doses, all symptoms disappeared. Only Yuan-Qi was still insufficient, so Huangqi Jianzhong Tang (Astragalus Middle-Supplementing Decoction) with modifications was used for convalescence. After twenty-plus doses, health was fully restored.
Kouqi (Astragali Radix) 100g, Guijian (Cinnamon Twig tip) 24g, Hangshao (Paeoniae Radix Alba) 24g, Fuzi (Aconiti Lateralis Radix Praeparata) 150g, Dangshen (Codonopsis Radix) 20g, Baizhu (Atractylodis Macrocephalae Rhizoma) 20g, Xi Sharen (Amomi Fructus) 15g, Dazao (Jujubae Fructus) 4 pieces, Shengjiang (Zingiberis Rhizoma Recens) 30g, Yitang (Maltose) 30g (melted and added to the decoction).
Childhood Consumption Tuberculosis
Son of Zhang XX, male, 8 years old, from Yongren County, Yunnan Province. Congenital insufficiency, emaciated physique, prone to illness, occasional abdominal pain, profuse phlegm, slow cough, and poor appetite. This was congenital deficiency, Spleen deficiency failing to transport, with Yin-cold and damp-water infiltrating internally. On a certain day in June 1922, illness began after cold exposure. The pulse was floating and slippery, with a tight quality; the fingerprint was pale and blue; the tongue coating was white and slippery with a bluish tongue body. Clear nasal discharge, cough with phlegm surging, fever, aversion to cold, dizziness, headache, and preference for hot drinks. The cause was exterior wind-cold pathogen triggering internal retention of cold-dampness and fluid. Lung Qi was obstructed, clear-descending function failed, Spleen failed to transform, damp-water was not metabolized, and Taiyang meridian Qi movement was blocked. Xiaoqinglong Tang (Minor Green Dragon Decoction) with added Fuzi (Aconiti Lateralis Radix Praeparata) was planned to assist Yang, release the exterior, transform fluids, and eliminate phlegm.
Fuzi (Aconiti Lateralis Radix Praeparata) 30g, Guijian (Cinnamon Twig tip) 10g, Mahuangrong (Ephedrae Herba apicalis) 3g, Beixixin (Asari Radix et Rhizoma) 3g, Hangshao (Paeoniae Radix Alba) 6g, Wuweizi (Schisandrae Chinensis Fructus) 2g, Xiaozao (Jujubae Fructus) 7 pieces, Shengjiang (Zingiberis Rhizoma Recens) 10g.
After taking the medicine, slight sweating occurred, fever subsided, and exterior pathogens were resolved. However, coughing with profuse clear-thin sputum persisted. This indicated residual cold-phlegm and deficiency of Spleen and Lung Qi. Adhering to the original formula, Hangshao (Paeoniae Radix Alba) and Mahuangrong (Ephedrae Herba apicalis) were removed, and Fuling (Poria) 10g and Baizhu (Atractylodis Macrocephalae Rhizoma) 12g were added. After two doses, diet normalized. Still, clear nasal discharge, profuse sputum, facial edema, afternoon tidal fever, spontaneous sweating, and occasional dull abdominal pain persisted. Although exterior pathogens were resolved, internal cold-phlegm and fluid retention were heavy. The acrid-warm herbs facilitated circulation, stirring up internal fluid retention to be expelled. The goal was to completely eliminate stagnant fluid and cold-phlegm to cure the chronic condition. Unfortunately, Mr. Zhang lacked full trust in me and consulted other TCM doctors. One claimed "mistaken use of Fuzi (Aconiti Lateralis Radix Praeparata) caused untreatable poisoning." Another claimed "damp-heat obstructing the Middle Jiao," prescribing heat-clearing and damp-draining herbs. After several doses, not only did the original illness persist, but it worsened. Nasal discharge became watery, afternoon tidal fever intensified, sweating was profuse, coughing/sputum involved shortness of breath and wheezing, food intake ceased, body emaciated, limbs cold, and life seemed near extinction. A Western doctor was consulted, diagnosing "mistaken use of Ginger and Aconite burned up lung fluids" (Question: If nasal discharge is lung fluid, and it were burned up, how could nasal discharge remain watery?). He prescribed "Lung-Protecting Water Syrup," claiming curative effects. Immediately after ingestion, wind-stroke symptoms appeared: eyes rolling up, lips retracted and blue, limb coldness and convulsions, sweating nearing cessation, life hanging by a thread. Mr. Zhang panicked and urgently summoned me, recounting the mismanagement. Unwilling to watch him die, I strove to restore the critical condition, advocating large doses of modified Sini Tang (Four Reversal Decoction).
Fuzi (Aconiti Lateralis Radix Praeparata) 100g, Ganjiang (Zingiberis Rhizoma) 40g, Sharen (Amomi Fructus) 10g, Shangrougui (Cortex Cinnamomi Cassiae) 10g (ground into powder, mixed with water and added to the decoction), Gancao (Glycyrrhizae Radix et Rhizoma) 10g.
After two doses, wind-stroke symptoms decreased, and convulsions stopped. On the next day's follow-up, all symptoms improved. After two more doses, sudden generalized edema, coughing, and profuse sputum appeared, but tidal fever had receded, cold extremities warmed, and slight food intake resumed. I explained this was a sign of Yin-cold/damp-water pathogen being transformed and scattered by Yang-warming herbs, indicating Yuan-Qi recovery. Currently, Yang is weak and Qi is deficient, requiring continued warming support. Following the original formula, Kouqi (Astragali Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Fuling (Poria) were added. After dozens of doses, full efficacy was achieved. This case is known as "Childhood Consumption Tuberculosis." Throughout treatment, approximately ten jin (Chinese pounds) of Fuzi (Aconiti Lateralis Radix Praeparata) were consumed without poisoning reactions or evidence of burning Yin fluids. Post-recovery, the child's health and physique were richer than before, remaining well for years.
Kidney Edema (Chronic Nephritis with Ascites)
Shen XX, male, 30 years old, from Zhejiang Province, a cadre in an agency in Xiaguan City, Yunnan Province. Suffering from "chronic nephritis" for over a year, local treatment was ineffective. Due to abdominal edema and ascites, extreme physical weakness led to transfer to a hospital in Kunming. After over a week of hospitalization, efficacy was poor. Invited for consultation on December 12, 1958. Patient presented with facial edema, puffy lower eyelids like silkworms, pale and dull complexion, bluish-black lips, drowsiness without spirit, extreme fatigue, abdominal distension like a gourd, lower limb edema (pitting below the shins and ankles that did not easily rebound), heaviness in bed, difficulty turning. Inquiry revealed weak voice, complaints of abdominal bloating, continuous soreness/pain in waist and back, dragging pain in lower abdomen, bland taste, no appetite, no thirst, and scanty urine. Tongue examination: moist but pale with bluish tint, slippery gray-black coating. Pulse: deep, slow, and forceless. This syndrome resulted from Spleen and Kidney Yang deficiency, cold-water and damp-earth, causing flooding of cold-water. The treatment principle should be supporting Yang, warming cold, transforming Qi, and promoting diuresis. The formula used was Sini Wuling San (Four Reversal and Five-Ling Powder) with modifications.
Fuzi (Aconiti Lateralis Radix Praeparata) 100g, Ganjiang (Zingiberis Rhizoma) 40g, Huajiao (Zanthoxyli Pericarpium) 7g (stir-fried to remove oil), Zhuling (Polyporus) 15g, Fuling (Poria) 30g, Tiaogui (Cinnamon Twig) 15g.
After four doses, urination suddenly became clear, long, and smooth; facial and foot edema subsided; ascites reduced by 60-70%; weight decreased by 21 jin; waist/back pain greatly reduced, though soreness/distension remained. Appetite slightly improved, spirit increased. Gray-black tongue coating receded, revealing white slippery coating. Pulse became harmonious and slow, though body remained weak. Treatment continued with supporting Yang and warming transformation.
Fuzi (Aconiti Lateralis Radix Praeparata) 100g, Ganjiang (Zingiberis Rhizoma) 50g, Wuyu (Evodiae Fructus) 10g, Guizhi (Ramulus Cinnamomi) 30g, Yiren (Coicis Semen) 10g, Zhuling (Polyporus) 10g, Fuling (Poria) 30g.
After four consecutive doses, ascites reduced by 70-80%, complexion improved, spirit and diet increased, bluish tongue tint receded to pale red and moist, coating became thin white and slippery, pulse harmonious with spirit and root. Major illness receded, Yang spirit still deficient, residual pathogens not fully cleared. Only by strengthening Heart and Kidney Yang, maintaining the warming-transformation method, could full efficacy be achieved. Formula adjusted accordingly.
Fuzi (Aconiti Lateralis Radix Praeparata) 150g, Ganjiang (Zingiberis Rhizoma) 50g, Shangrougui (Cortex Cinnamomi Cassiae) 10g (ground into powder, mixed with water and added to the decoction), Sharen (Amomi Fructus) 10g, Heichou (Momordicae Semen) 20g, Fuling (Poria) 50g, Gongding (Syzygdii Flos) 10g.
After four doses, cold-water and Yin pathogens were almost entirely eliminated. After one week of convalescent care, the patient recovered and was discharged.
Damp-Turbidity Stone (Renal Calculi - Deficiency-Cold Pattern)
Huang XX, male, 44 years old, from Hubei Province, military representative at a factory in Haikou, Kunming. Hospitalized in a Kunming Military Region hospital for years of lower back pain. X-ray examination revealed ten stone shadows in the right renal pelvis, ranging from size of Sichuan pepper to broad bean. Diagnosed with "renal calculi." Due to physical weakness unable to tolerate surgery, he was discharged in November 1958 and sought my treatment. He reported long-standing lower back pain, occurring intermittently, cramping pain extending to waist and abdomen, radiating to the genitals. Severe pain caused fear, aversion to cold, and cold limbs. Lower abdominal distending pain, short and astringent urination. Poor diet, lack of spirit. Tongue coating white, slippery, and thick/greasy. Pulse deep, slow, and forceless. This was due to extreme cold in the Kidney, failure to transform cold-dampness, leading to internal formation of stones. The treatment principle was warming the Kidney, supporting Yang, and warming transformation. The formula used was Sini Tang (Four Reversal Decoction) with modifications.
Fuzi (Aconiti Lateralis Radix Praeparata) 60g, Duzhong (Eucommiae Cortex) 10g, Guizhi (Ramulus Cinnamomi) 30g, Ganjiang (Zingiberis Rhizoma) 40g, Fuling (Poria) 30g, Shangrougui (Cortex Cinnamomi Cassiae) 10g (ground into powder, mixed with water and added to the decoction), Beixixin (Asari Radix et Rhizoma) 6g, Gancao (Glycyrrhizae Radix et Rhizoma) 6g.
After eleven doses, four stones were sequentially passed through the urethra. One larger stone lodged at the urethral opening, interrupting urine stream and causing severe pain; it was extracted by the factory doctor with tweezers, resembling a small corn kernel, causing slight bleeding at the urethral opening. Follow-up X-ray showed six remaining stones, all smaller than before; the one previously the size of a broad bean was no longer visible. This was due to the warming-transforming agent. However, due to long-standing Kidney cold, lower back remained cold and painful, and stones were not fully dissolved/expelled. The method remained unchanged, continuing to support Yang and warm-transform.
Fuzi (Aconiti Lateralis Radix Praeparata) 100g, Ganjiang (Zingiberis Rhizoma) 50g, Gouji (Cibotii Rhizoma) 10g, Beixixin (Asari Radix et Rhizoma) 6g, Yiren (Coicis Semen) 30g, Guizhi (Ramulus Cinnamomi) 30g, Shangrougui (Cortex Cinnamomi Cassiae) 10g (ground into powder, mixed with water and added to the decoction), Gancao (Glycyrrhizae Radix et Rhizoma) 10g.
Due to effective medication and unwavering confidence, continuous intake significantly reduced the condition, increased appetite and spirit, and greatly improved physique. Work resumed in January 1959. After dozens of doses, lower back pain ceased. Follow-up in March 1959 brought X-ray photos showing nine of ten stones eliminated, with the last one significantly smaller. Adjustments to the formula continued, adhering to the principles of strengthening Heart, warming Kidney, and regulating/tonifying Qi and Blood. Months later, the final stone was passed with urine. Health was restored, and normal work resumed.
Jueyin Disease Testicular Retraction Syndrome
Ma XX, male, 27 years old, Outpatient No. 9546. Right testicular swelling and pain for over two months, gradually subsiding after treatment. One night, the right testicle suddenly retracted into the lower abdomen. Lower abdomen cramped and painful, radiating to the waist, inability to extend, severe pain radiating to umbilicus and abdomen, down to limbs causing spasms and inability to flex. Face turned blue, cold sweat profuse. Relatives with basic medical knowledge believed this was due to Kidney Essence depletion and prescribed Yin-nourishing/Kidney-tonifying herbs, which provided no relief. Sent to the outpatient department affiliated with the College of Traditional Chinese Medicine. Examination revealed blue complexion, abdominal pain groaning, sorrowful expression, spiritless eyes, blue sclera, bluish lips/tongue/nails. Tongue coating white and greasy, cold hands and feet, deep, fine, wiry, and tight pulse. No food or water for two days. This was Liver and Kidney Yang deficiency, excessive Yin-cold in Jueyin, insufficient Yang to warm tendons and vessels. The *Neijing* states: "The Liver is the Jueyin meridian... runs along the inner thigh, enters the pubic region, passes through the genitalia, reaches the lower abdomen..." Meridians lacking nourishment led to cramping and retraction, causing testicular retraction and pain, meaning "cold causes contraction." The treatment principle should be warming and supporting Liver and Kidney Yang, warming meridians and dispersing cold, allowing meridian spasms to relax. The formula used was Danggui Sini Tang (Angelica Decoction for Cold Extremities) with modifications.
Danggui (Angelicae Sinensis Radix) 15g, Guizhi (Ramulus Cinnamomi) 12g, Hangshao (Paeoniae Radix Alba) 9g, Xixin (Asari Radix et Rhizoma) 6g, Tongcao (Tetrapanacis Medulla) 6g, Dazao (Jujubae Fructus) 5 pieces, Ganjiang (Zingiberis Rhizoma) 12g, Wuyu (Evodiae Fructus) 6g, Chuanjiao (Zanthoxyli Pericarpium) 5g (stir-fried yellow), Wumei (Mume Fructus) 4 pieces.
Fuzi (Aconiti Lateralis Radix Praeparata) 60g.