伊芳氏 三十岁 甲子十月二十七日 脉弦急，胁胀攻心痛，痛极欲呕，甫十五日而经水
暴至
甚多，几不能起，不欲食，少腹坠胀而痛。此怒郁伤肝，暴注血海，肝厥犯胃也，议胞宫阳
明同治法。盖《金匮》谓胞宫累及阳明，治在胞宫；阳明累及胞宫，治在阳明。兹因肝病下
注胞宫，横穿土位，两伤者两救之。仍以厥阴为主，虽变《金匮》之法，而实法《金匮》之
法者也。
制香附（三钱） 乌药（二钱） 半夏（五钱） 艾炭（三钱） 郁金（二钱） 黄芩炭（一钱）
小茴炭（二钱） 血余炭（三钱） 青皮（八分） 五灵脂（钱半）
五杯水，煎两杯，分二次服。二帖大效。
二十九日 《金匮》谓胞宫累及阳明，则治在胞宫；阳明累及胞宫，则治在阳明。兹肝
厥既克阳明，又累胞宫，必以厥阴为主，而阳明胞宫两护之。
制香附（三钱） 淡吴萸（二钱） 半夏（五钱） 萆 （二钱） 川楝子（三钱） 艾炭（钱半）
小茴香（三钱，炒黑） 乌药（二钱） 黑栀子（三钱） 桂枝（三钱） 杜仲炭（二钱）
水五杯，煎取两杯，分二次服。
伊芳氏 二十一岁 十一月二十九日 脉双弦而细，肝厥犯胃，以开朗心地要紧，无使久
而成患也。
半夏（六钱） 青皮（钱半） 生姜（三大片） 广皮（钱半） 淡吴萸（二钱） 乌药（二钱）
川椒（二钱，炒黑） 郁金（二钱） 川楝子皮（二钱） 降香末（三钱）
水五杯，煮取两杯，二次服。三帖。
王氏 二十六岁 肝厥犯胃，浊阴上攻，万不能出通阳泄浊法外，但分轻重耳。前三方
之所以不大效者，病重药轻故也，兹重用之。
十一月初四日 川椒炭（五钱） 良姜（五钱） 小枳实（三钱） 川朴（三钱） 半夏（五钱）
乌药（三钱） 淡吴萸（五钱） 云连（一钱） 两头尖（三钱，圆者不用） 降香末（三钱）
甘澜水八碗，煮取三碗，分六次。二帖。
初六日 重刚劫浊阴，业已见效，当小其制。
川椒炭（三钱） 良姜（三钱） 乌药（二钱） 半夏（三钱） 小枳实（三钱） 青皮（二钱）
广皮（钱半） 浓朴（二钱）
甘澜水八碗，煮取二碗，分二次服。二帖。
车 脉沉弦而紧，呕而不渴，肢逆且麻，浊阴上攻厥阴，克阳明所致，急宜温之。
乌药（三钱） 半夏（五钱） 淡吴萸（五钱） 川椒炭（三钱） 川朴（三钱） 干姜（三钱）
荜茇（二钱） 小枳实（三钱） 青皮（二钱）
头煎二杯，二煎一杯，分三次服。
伊芳氏，三十岁。甲子年十月二十七日就诊。脉象弦而急迫，胁肋胀满并牵引心痛，疼痛剧烈以致想呕吐，月经刚过十五天便突然大量出血，几乎无法起身，食欲不振，小腹部坠胀且疼痛。这是因愤怒导致肝气郁结受伤，血液暴注于血海（指子宫及冲任二脉），肝气上逆侵犯胃腑所致。建议采用胞宫与阳明经同治的方法。因为《金匮要略》中说：若胞宫的病变累及阳明经，治疗重点在胞宫；若阳明经的病变累及胞宫，治疗重点在阳明经。此次是因为肝病向下波及胞宫，横向穿过脾胃（土位）区域，两处都受损，所以两处都要救治。仍以调理厥阴肝经为主，虽然变通了《金匮要略》中的治法，但实质上遵循的是《金匮要略》的原则。
处方：制香附三钱、乌药二钱、半夏五钱、艾炭三钱、郁金二钱、黄芩炭一钱、小茴炭二钱、血余炭三钱、青皮八分、五灵脂一钱半。
用水五杯，煎煮至两杯，分两次服用。服两剂后效果显著。
十月二十九日。《金匮要略》说：胞宫累及阳明，则治在胞宫；阳明累及胞宫，则治在阳明。此次肝气上逆既克制了阳明胃，又累及胞宫，必须以厥阴肝经为主，同时兼顾保护阳明胃和胞宫。
处方：制香附三钱、淡吴茱萸二钱、半夏五钱、萆薢二钱、川楝子三钱、艾炭一钱半、小茴香三钱（炒黑）、乌药二钱、黑栀子三钱、桂枝三钱、杜仲炭二钱。
用水五杯，煎煮至两杯，分两次服用。
伊芳氏，二十一岁。十一月二十九日就诊。脉象双侧弦细，属肝气上逆侵犯胃腑，关键在于保持心情开朗，以免日久酿成大病。
处方：半夏六钱、青皮一钱半、生姜三大片、广陈皮一钱半、淡吴茱萸二钱、乌药二钱、川椒二钱（炒黑）、郁金二钱、川楝子皮二钱、降香末三钱。
用水五杯，煮取两杯，分两次服用。共三剂。
王氏，二十六岁。肝气上逆侵犯胃腑，浊阴之气向上攻冲，万不能脱离通阳泄浊的治疗法则，只是根据病情轻重调整用药而已。前三方之所以效果不大，是因为病重药轻，现在加重药量。
十一月初四日。处方：川椒炭五钱、高良姜五钱、小枳实三钱、厚朴三钱、半夏五钱、乌药三钱、淡吴茱萸五钱、黄连一钱、两头尖三钱（圆形者不用）、降香末三钱。
用甘澜水八碗，煮取三碗，分六次服用。共两剂。
十一月初六日。重用刚猛之药劫除浊阴，已经见效，应当减小药量。
处方：川椒炭三钱、高良姜三钱、乌药二钱、半夏三钱、小枳实三钱、青皮二钱、广陈皮一钱半、厚朴二钱。
用甘澜水八碗，煮取两碗，分两次服用。共两剂。
车姓患者。脉象沉弦而紧，呕吐但不口渴，四肢逆冷且麻木，这是浊阴之气上攻厥阴肝经，克制阳明胃腑所致，急需温补。
处方：乌药三钱、半夏五钱、淡吴茱萸五钱、川椒炭三钱、厚朴三钱、干姜三钱、荜茇二钱、小枳实三钱、青皮二钱。
头煎取两杯，二煎取一杯，分三次服用。
Ms. Yi, aged 30. On the 27th day of the 10th month in the Jiazi year, the pulse was wiry and urgent (Xian Ji). There was distension in the hypochondrium radiating to the heart region with pain, so severe as to induce nausea/vomiting. Menstruation had suddenly started profusely just fifteen days prior, leaving her nearly bedridden. She had no desire to eat, and experienced a bearing-down sensation, distension, and pain in the lower abdomen. This is due to anger causing liver Qi stagnation and injury, with sudden flooding into the Blood Sea (Chong and Ren vessels), and Liver Qi rebellion invading the Stomach. It is proposed to treat both the Uterus (Bao Gong) and the Yangming channel simultaneously. As stated in *Jingui Yaolue*, if the Uterus affects Yangming, treatment focuses on the Uterus; if Yangming affects the Uterus, treatment focuses on Yangming. Here, because Liver disease has descended to affect the Uterus and horizontally penetrated the Earth element (Spleen/Stomach), both areas are injured and must be rescued. The primary focus remains on the Jueyin (Liver) channel. Although this varies from the method in *Jingui Yaolue*, it essentially follows its principles.
Prescription: Prepared Cyperi Rhizoma (Xiangfu) 3 qian, Linderae Radix (Wuyao) 2 qian, Pinelliae Tuber (Banxia) 5 qian, Artemisiae Folium Carbonis (Aitan) 3 qian, Curcumae Aromatae Rhizoma (Yujin) 2 qian, Scutellariae Radix Carbonis (Huangqin Tan) 1 qian, Foeniculi Fructus Carbonis (Xiaohui Tan) 2 qian, Hominis Crinis Carbonis (Xuyu Tan) 3 qan, Aurantii Fructus Immaturus (Qingpi) 8 fen, Trogopterori Faex (Wulingzhi) 1.5 qian.
Decoct five cups of water to two cups, divide into two doses. After two prescriptions, significant effect was observed.
On the 29th day: *Jingui Yaolue* states that if the Uterus affects Yangming, treat the Uterus; if Yangming affects the Uterus, treat Yangming. Here, Liver Qi rebellion has not only overcome Yangming but also affected the Uterus. Therefore, the primary focus must be Jueyin, while protecting both Yangming and the Uterus.
Prescription: Prepared Cyperi Rhizoma (Xiangfu) 3 qian, Evodiae Fructus (Dan Wuzhu Yu) 2 qian, Pinelliae Tuber (Banxia) 5 qian, Dioscoreae Hypoglaucae Rhizoma (Bixie) 2 qian, Toosendan Fructus (Chuanlianzi) 3 qian, Artemisiae Folium Carbonis (Aitan) 1.5 qian, Foeniculi Fructus (Xiaohuixiang) 3 qian (stir-fried black), Linderae Radix (Wuyao) 2 qian, Gardeniae Fructus Carbonis (Hei Zhizi) 3 qian, Cinnamomi Ramulus (Guizhi) 3 qian, Eucommiae Cortex Carbonis (Duzhong Tan) 2 qian.
Decoct five cups of water to two cups, divide into two doses.
Ms. Yi, aged 21. On the 29th day of the 11th month, the pulse was bilateral wiry and fine (Shuang Xian Er Xi), indicating Liver Qi rebellion invading the Stomach. The key is to keep the mind open and cheerful to prevent long-term complications.
Prescription: Pinelliae Tuber (Banxia) 6 qian, Aurantii Fructus Immaturus (Qingpi) 1.5 qian, Zingiberis Rhizoma Recens (Shengjiang) 3 large slices, Citri Reticulatae Pericarpium (Guangpi) 1.5 qian, Evodiae Fructus (Dan Wuzhu Yu) 2 qian, Linderae Radix (Wuyao) 2 qian, Zanthoxyli Fructus (Chuanjiao) 2 qian (stir-fried black), Curcumae Aromatae Rhizoma (Yujin) 2 qian, Toosendan Cortex (Chuanlianzi Pi) 2 qian, Aquilariae Lignum Resinatum (Jiangxiang Mo) 3 qian.
Decoct five cups of water to two cups, divide into two doses. Total three prescriptions.
Ms. Wang, aged 26. Liver Qi rebellion invading the Stomach, with turbid Yin attacking upwards. Treatment cannot deviate from the method of unblocking Yang and draining turbidity, only adjusting for severity. The reason the previous three prescriptions were not very effective is that the disease was heavy and the medication light; now the dosage is increased.
On the 4th day of the 11th lunar month: Zanthoxyli Fructus Carbonis (Chuanjiao Tan) 5 qian, Alpiniae Officinarum Rhizoma (Liangjiang) 5 qian, Armeniacae Fructus (Xiao Zhishi) 3 qian, Magnoliae Officinalis Cortex (Chuanpu) 3 qian, Pinelliae Tuber (Banxia) 5 qian, Linderae Radix (Wuyao) 3 qian, Evodiae Fructus (Dan Wuzhu Yu) 5 qian, Coptidis Rhizoma (Yunlian) 1 qian, Acronychiae Pedunculatae Radix (Liangerjian) 3 qian (round ones not used), Aquilariae Lignum Resinatum (Jiangxiang Mo) 3 qian.
Decoct eight bowls of Ganyang Water (Ganlan Shui) to three bowls, divide into six doses. Two prescriptions.
On the 6th day: Having used heavy, rigid agents to eliminate turbid Yin with some effect, the dosage should be reduced.
Prescription: Zanthoxyli Fructus Carbonis (Chuanjiao Tan) 3 qian, Alpiniae Officinarum Rhizoma (Liangjiang) 3 qian, Linderae Radix (Wuyao) 2 qian, Pinelliae Tuber (Banxia) 3 qian, Armeniacae Fructus (Xiao Zhishi) 3 qian, Aurantii Fructus Immaturus (Qingpi) 2 qian, Citri Reticulatae Pericarpium (Guangpi) 1.5 qian, Magnoliae Officinalis Cortex (Nongpu) 2 qian.
Decoct eight bowls of Ganyang Water to two cups, divide into two doses. Two prescriptions.
Patient surnamed Che. Pulse is deep, wiry, and tight (Chen Xian Er Jin). Vomiting without thirst, cold limbs and numbness. This is caused by turbid Yin attacking the Jueyin channel and overcoming Yangming. Urgent warming is required.
Prescription: Linderae Radix (Wuyao) 3 qian, Pinelliae Tuber (Banxia) 5 qian, Evodiae Fructus (Dan Wuzhu Yu) 5 qian, Zanthoxyli Fructus Carbonis (Chuanjiao Tan) 3 qian, Magnoliae Officinalis Cortex (Chuanpu) 3 qian, Zingiberis Rhizoma (Ganjiang) 3 qian, Piperis Longi Fructus (Bibo) 2 qian, Armeniacae Fructus (Xiao Zhishi) 3 qian, Aurantii Fructus Immaturus (Qingpi) 2 qian.
First decoction yields two cups, second yields one cup, divide into three doses.