当归(四钱) 炒白芍(三钱) 生牡蛎(五钱) 泽泻(三钱) 阳春砂(八分,同煎) 炙鳖
甲(
五钱) 旋复花(三钱,包煎) 片子姜黄(三钱) 半夏曲(三钱) 陈皮(八分) 青葱管(两支
)
寒热十三日,胸胃塞痛,脉弦细,当用逍遥散。
软柴胡(一钱半) 薄荷(一钱半) 当归(三钱) 川楝子(三钱) 酒元胡(一钱半) 炒白
芍(二钱) 川郁金(一钱半) 半夏曲(二钱) 陈皮(八分) 生香附(一钱半) 荷叶(一角)
二月上旬身热,今已凉,咳嗽多痰,冷汗,舌黄口燥,大便溏,气急,诊脉弦数,当属
风温,久则化火之候。
根生地(六钱) 麦冬(三钱) 栝蒌皮(三钱) 生苡仁(五钱) 枳壳(一钱半) 冬桑叶(
一钱半) 象贝(三钱) 生甘草(一钱半) 橘红(八分) 桔梗(三钱) 焦山栀(三钱) 竹肉(一丸
鼻红止,尚耳响,稍有咳嗽头痛,当再治肺阴。
苏薄荷叶(一钱半) 冬桑叶(一钱半) 麦冬(三钱) 生甘草(一钱半) 象贝母(三钱)
根生地(六钱) 桔梗(二钱) 陈皮(八分) 焦栀子(三钱) 炒刺蒺藜(三钱) 荷叶(一角)
喉痒燥则呕,间有稀水,味不酸,头筋胀痛,腹胀,脉右手调,左手有数意,舌黄,大
抵湿热为病。
滑石(三钱) 半夏曲(三钱) 陈皮(八分) 茯苓(四钱) 生苡仁(五钱) 连翘(三钱)
焦山栀(三钱) 通草(一钱) 阳春砂(八分,冲) 淡豆豉(三钱) 丝瓜叶(二片) 竹叶(二十片)
风邪解后,尚有余热,诊脉稍弦滞,舌黄,干咳作空呕,出汗。拟用甘寒以解余邪。
北沙参(六钱) 麦冬(三钱) 根生地(六钱) 生甘草(一钱半) 桔梗(一钱半) 象贝(
三钱) 地骨皮(三钱) 橘红(八分) 生谷芽(四钱) 元参(三钱) 竹肉(一丸)
湿疟用温燥脾经已效,第疟症虽口渴,亦当用温,况舌黄而滑,脉未滑利,据理仍当温
燥中焦,兼以通阳。
东洋参(一钱半) 焦冬术(三钱) 当归(三钱) 陈皮(八分) 浓朴(一钱) 矾半夏(三
钱) 桂枝(一钱) 炮姜炭(一钱) 炒谷芽(五钱) 阳春砂(同煎,八分) 广木香(八分) 生姜(
二片) 红枣(五枚)
舌白体肥,胃不甚开,大便易溏,或时作嘈,诊脉短涩。在抵脾胃多湿痰,拟祛痰益脾
焦冬术(三钱) 茯苓(三钱) 制半夏(三钱) 陈皮(八分) 生益智仁(一钱半) 炒谷芽
(五钱) 炒苡仁(六钱) 广木香(一钱) 焦栀子(三钱) 连翘(三钱) 干荷叶(一角)
今日诊两手,皆较前大而有力,右滑利,惟左手尚涩,左手属血,涩属血虚,再拟肝肾
血分叶。
大生地(八钱) 当归(三钱) 甘杞子(三钱) 炒枣仁(三钱) 茯神(三钱) 炒杜仲(三
钱) 川续断(三钱) 制狗脊(三钱) 怀山药(五钱) 茯苓(三钱) 陈皮(一钱半)
伤风日久,痰粘喉中有声,脉弦,当用甘寒法。
杏仁(三钱) 马兜铃(三钱) 象贝(三钱) 桔梗(二钱) 生甘草(一钱半) 麦冬(三钱)
陈皮(八分) 冬桑叶(一钱半) 连翘(三钱) 根生地(六钱) 竹叶(三十片)
妇女以肝脏为先天,肝血若足,自无胎产之病,或易于小产者,非气不能包,即属肝虚
,致胎元不稳,此症小产后,右手已起,左手稍小,惟似有微数意,可知是肝虚生热之体,
再拟柔益肝脏。
炒白芍(三钱) 大生地(六钱) 归身(三钱) 甘杞子炭(三钱) 真驴胶(三钱,烊冲)
川续断(三钱) 怀山药(四钱) 新会皮(八分) 建石斛(三钱) 荷叶(一角)
暑邪二十二日,舌上已有雪花,六脉弦大,是属病久阴亏,断无下攻之理,乃以制军伤
其脾
分,据书速须救阴,今且呃逆,是肝气亦起,病属棘手之至。姑拟救法,合否乞高明裁之。
生地炭(六钱) 炒白芍(三钱) 生苡仁(五钱) 清炙甘草(三钱) 炒麦冬(一钱半) 炒
怀药
(五钱) 阳春砂(八分,同煎) 陈皮(八分) 地骨皮(四钱) 旋复花(三钱,包煎) 此复脉
加减是救法。
诊脉惟右关已起,各脉欠有精长之象,大抵病后不复元,虽冬令脉宜静小,第总由血不
应脉,再拟两益肝脾。
人参(八分) 茯苓(三钱) 炒枣仁(三钱) 生地炭(六钱) 当归(三钱) 陈皮(八分)
广木
香(一钱) 清炙甘草(一钱半) 远志炭(八分) 焦冬术(三钱) 桂圆肉(十四颗) 生姜(二
片) 红枣(七枚)
表寒已解,咳嗽愈多,痰不易出,当用甘寒。
杏仁(三钱) 麦冬(三钱) 生甘草(一钱半) 象贝(三钱) 桔梗(二钱) 羚羊角(一钱
半,先煎) 陈皮(八分) 冬桑叶(一钱半) 枳壳(一钱半) 栀子(三钱) 竹叶(三十片)
疟愈后仍自间日之寒热分明,而自汗甚轻,胃开不甚旺,舌净稍黄,口微渴,腹中知嘈
,是元虚邪轻之候,想体肥固多湿痰,而久疟阴虚。拟温经法以截。
制首乌(六钱) 炙鳖甲(四钱) 炮姜炭(八分) 制半夏曲(三钱) 当归(三钱) 炒谷芽
(四
钱) 新会皮(八分) 青蒿梗(一钱半) 茯神(三钱) 焦丹参(三钱) 生姜(二片) 红枣(七
枚)
怕冷去,咳嗽亦瘥,痰有,舌净,惟胃不开,诊脉弦小,当用甘寒法。
苦杏仁(三钱) 麦冬(三钱) 根生地(五钱) 炒白芍(二钱) 冬桑叶(一钱半) 象贝(
三钱) 桔梗(二钱) 生谷芽(四钱) 新会皮(八分) 川石斛(三钱) 干荷叶(一角)
身已凉,而右胁尚痛,咳嗽痰红,今日当治肺阴。
根生地(六钱) 元参(五钱) 麦冬(三钱) 山茶花(三钱) 象贝(三钱) 炒丹皮(三钱)
冬
桑叶(一钱半) 羚羊角(二钱,先煎) 桔梗(二钱) 侧柏叶(三钱) 陈皮(八分) 竹叶(四
十片)
诊右手调,左手浮大,关尺虚,解大便时心腹痛,大便难,少寐,气急,是属肝热,当
用更衣丸法。
丹参(四钱) 当归(三钱) 柏子仁(四钱) 芦荟(三钱) 漂辰砂(八分,冲) 生地(五
钱) 丹皮(三钱) 栀子(三钱) 生白芍(三钱) 灯心(三十寸)
上焦肺胀,用药已效,再以上焦法,第患经一年,为最难愈之事,必忌口为要。
栝蒌皮(八钱) 枳壳(三钱) 桔梗(三钱) 象贝(三钱) 冬桑叶(一钱半) 生苡仁(六
钱)
茯苓皮(五钱) 羚羊角(三钱,先煎) 淡黄芩(三钱) 焦栀子(三钱) 陈皮(一钱半) 竹叶
(四十片)
头胀,背间怕冷,腰肋咳时作痛,胸膈塞闷作呕,诊脉浮微,右手中部稍数而涩,舌净
,当属肺邪。
苏薄荷叶(五钱半) 白蔻仁(一分,研冲) 冬桑叶(一钱半) 象贝(三钱) 杏仁(三钱)
桔梗(二钱) 枳壳(一钱半) 栝蒌皮(三钱) 连翘(三钱) 陈皮(八分) 竹叶(二十四片)
纯热,出汗口渴,舌黄燥,腰痛足重头眩,诊左手净虚小数,右手浮部亦然,中沉两候
滞大,当属瘅疟,是暑湿热痰之在肺者,白虎汤。
生石膏(八钱) 知母(三钱) 生甘草(八分) 生苡仁(八钱) 矾半夏(三钱) 陈皮(八
分)
茯苓(三钱) 六一散(三钱) 连翘(三钱) 苦杏仁(三钱) 桂枝(八分) 白粳米(三钱)
用白虎汤瘅疟已减,舌黄退而未净,头眩腰足重滞皆去,脉服虚小皆去,而尚数,中沉
之滞大已除,大便溏,小溲长,口渴去而燥,再拟凉肺通溲法。
根生地(五钱) 连翘(三钱) 生苡仁(八钱) 茯苓(三钱) 六一散(三钱) 焦栀子(三
钱) 通草(一钱半) 陈皮(八分) 象贝(三钱) 羚角(一钱半,先煎) 竹叶(三十片)
中年每患齿痛,是欲脱之象,总由肝血之虚,虚则生风,耳下筋痛,是肝风也。兹疟止
已久,胃口亦好,味苦舌黄,且素属多湿多痰之体,拟凉血息风,兼以消痰。
生地(六钱) 当归(三钱) 炒刺蒺藜(三钱) 冬桑叶(一钱) 生牡蛎(六钱) 炒丹皮
(三钱) 矾半夏(二钱) 陈皮(八分) 炒白芍(三钱) 川石斛(三钱) 荷叶(一角)
当归(四钱) 炒白芍(三钱) 生牡蛎(五钱) 泽泻(三钱) 阳春砂(八分,同煎) 炙鳖甲(五钱) 旋复花(三钱,包煎) 片子姜黄(三钱) 半夏曲(三钱) 陈皮(八分) 青葱管(两支)
寒热往来持续十三日,胸部和胃部堵塞疼痛,脉象弦细,应当使用逍遥散(疏肝健脾、养血调经的方剂)。
软柴胡(一钱半) 薄荷(一钱半) 当归(三钱) 川楝子(三钱) 酒元胡(一钱半) 炒白芍(二钱) 川郁金(一钱半) 半夏曲(二钱) 陈皮(八分) 生香附(一钱半) 荷叶(一角)
二月上旬身体发热,如今已经退凉,咳嗽且痰多,出冷汗,舌苔黄,口燥,大便稀溏,气促,诊察脉象弦数,应当属于风温(感受风热病邪所致的急性外感热病),日久则化为火邪的征候。
根生地(六钱) 麦冬(三钱) 栝蒌皮(三钱) 生苡仁(五钱) 枳壳(一钱半) 冬桑叶(一钱半) 象贝(三钱) 生甘草(一钱半) 橘红(八分) 桔梗(三钱) 焦山栀(三钱) 竹肉(一丸)
鼻出血停止后,仍然耳鸣响动,稍有咳嗽头痛,应当再治疗肺阴不足。
苏薄荷叶(一钱半) 冬桑叶(一钱半) 麦冬(三钱) 生甘草(一钱半) 象贝母(三钱) 根生地(六钱) 桔梗(二钱) 陈皮(八分) 焦栀子(三钱) 炒刺蒺藜(三钱) 荷叶(一角)
咽喉发痒干燥导致呕吐,间或有稀水吐出,味道不酸,头部筋脉胀痛,腹部胀满,脉象右手调和,左手有数急之意,舌苔黄,大抵是湿热致病。
滑石(三钱) 半夏曲(三钱) 陈皮(八分) 茯苓(四钱) 生苡仁(五钱) 连翘(三钱) 焦山栀(三钱) 通草(一钱) 阳春砂(八分,冲服) 淡豆豉(三钱) 丝瓜叶(二片) 竹叶(二十片)
风邪解除后,尚有余热,诊察脉象稍显弦滞,舌苔黄,干咳并伴有空呕,出汗。拟用甘寒之法以解除余邪。
北沙参(六钱) 麦冬(三钱) 根生地(六钱) 生甘草(一钱半) 桔梗(一钱半) 象贝(三钱) 地骨皮(三钱) 橘红(八分) 生谷芽(四钱) 元参(三钱) 竹肉(一丸)
湿疟(由湿邪引起的疟疾)使用温燥脾经的药物已经见效,只是疟疾症状虽然口渴,也应当用温法,何况舌苔黄而滑润,脉象尚未滑利,据理仍当温燥中焦,兼以通阳。
东洋参(一钱半) 焦冬术(三钱) 当归(三钱) 陈皮(八分) 浓朴(一钱) 矾半夏(三钱) 桂枝(一钱) 炮姜炭(一钱) 炒谷芽(五钱) 阳春砂(同煎,八分) 广木香(八分) 生姜(二片) 红枣(五枚)
舌苔白,舌体肥嫩,胃纳不开,大便容易稀溏,有时出现嘈杂感,诊察脉象短涩。大抵是脾胃多有湿痰,拟祛痰益脾。
焦冬术(三钱) 茯苓(三钱) 制半夏(三钱) 陈皮(八分) 生益智仁(一钱半) 炒谷芽(五钱) 炒苡仁(六钱) 广木香(一钱) 焦栀子(三钱) 连翘(三钱) 干荷叶(一角)
今日诊察两手脉象,都比之前大而有力,右脉滑利,只有左脉尚涩,左手脉属血分,涩脉属血虚,再拟定调理肝肾血分的方药。
大生地(八钱) 当归(三钱) 甘杞子(三钱) 炒枣仁(三钱) 茯神(三钱) 炒杜仲(三钱) 川续断(三钱) 制狗脊(三钱) 怀山药(五钱) 茯苓(三钱) 陈皮(一钱半)
杏仁(三钱) 马兜铃(三钱) 象贝(三钱) 桔梗(二钱) 生甘草(一钱半) 麦冬(三钱) 陈皮(八分) 冬桑叶(一钱半) 连翘(三钱) 根生地(六钱) 竹叶(三十片)
妇女以肝脏为先天之本,肝血如果充足,自然没有胎产方面的疾病,或者容易发生小产的,要么是因为气不能固摄胞胎,要么就是属于肝虚,导致胎元不稳。此症在小产后,右手脉已起,左手脉稍小,惟似有微数之意,可知是肝虚生热的体质,再拟定柔养补益肝脏的方法。
炒白芍(三钱) 大生地(六钱) 归身(三钱) 甘杞子炭(三钱) 真驴胶(三钱,烊化冲服) 川续断(三钱) 怀山药(四钱) 新会皮(八分) 建石斛(三钱) 荷叶(一角)
暑邪致病二十二天,舌上已有雪花状裂纹,六脉弦大,这是病久阴液亏损,绝对没有使用攻下法的道理,乃是以大黄等药物损伤了脾气,据医书所述必须速救阴液,如今且见呃逆,说明肝气亦动,病情属于极其棘手。姑且拟定急救之法,是否妥当乞请高明裁夺。
生地炭(六钱) 炒白芍(三钱) 生苡仁(五钱) 清炙甘草(三钱) 炒麦冬(一钱半) 炒怀药(五钱) 阳春砂(八分,同煎) 陈皮(八分) 地骨皮(四钱) 旋复花(三钱,包煎) 此方是复脉汤加减,属于急救之法。
诊察脉象只有右关脉已起,各脉缺乏精长之象,大抵是病后未能恢复元气,虽然冬季脉象宜静小,但总归是由血不充脉所致,再拟定两补肝脾的方法。
人参(八分) 茯苓(三钱) 炒枣仁(三钱) 生地炭(六钱) 当归(三钱) 陈皮(八分) 广木香(一钱) 清炙甘草(一钱半) 远志炭(八分) 焦冬术(三钱) 桂圆肉(十四颗) 生姜(二片) 红枣(七枚)
杏仁(三钱) 麦冬(三钱) 生甘草(一钱半) 象贝(三钱) 桔梗(二钱) 羚羊角(一钱半,先煎) 陈皮(八分) 冬桑叶(一钱半) 枳壳(一钱半) 栀子(三钱) 竹叶(三十片)
疟疾痊愈后,仍然间隔一日发作一次,寒热分明,但自汗很轻微,胃纳开而不甚旺盛,舌净稍黄,口微渴,腹中知嘈杂感,这是元气虚弱、邪气轻浅的征候,想患者体型肥胖固多湿痰,而久患疟疾导致阴虚。拟用温经法以截断疟疾。
制首乌(六钱) 炙鳖甲(四钱) 炮姜炭(八分) 制半夏曲(三钱) 当归(三钱) 炒谷芽(四钱) 新会皮(八分) 青蒿梗(一钱半) 茯神(三钱) 焦丹参(三钱) 生姜(二片) 红枣(七枚)
怕冷症状去除,咳嗽也减轻,有痰,舌苔干净,惟独胃纳不开,诊察脉象弦小,应当使用甘寒法。
苦杏仁(三钱) 麦冬(三钱) 根生地(五钱) 炒白芍(二钱) 冬桑叶(一钱半) 象贝(三钱) 桔梗(二钱) 生谷芽(四钱) 新会皮(八分) 川石斛(三钱) 干荷叶(一角)
身体已经退凉,而右胁部仍然疼痛,咳嗽带血色痰,今日应当治疗肺阴。
根生地(六钱) 元参(五钱) 麦冬(三钱) 山茶花(三钱) 象贝(三钱) 炒丹皮(三钱) 冬桑叶(一钱半) 羚羊角(二钱,先煎) 桔梗(二钱) 侧柏叶(三钱) 陈皮(八分) 竹叶(四十片)
诊察右手脉调和,左手脉浮大,关尺部虚,解大便时心腹痛,大便困难,睡眠少,气促,这是属于肝热,应当使用更衣丸(清热通便的方剂)的法度。
丹参(四钱) 当归(三钱) 柏子仁(四钱) 芦荟(三钱) 漂辰砂(八分,冲服) 生地(五钱) 丹皮(三钱) 栀子(三钱) 生白芍(三钱) 灯心(三十寸)
上焦肺胀,用药已经见效,再用治上焦的方法,只是患病经过一年,是最难治愈的事情,必须忌口才是关键。
栝蒌皮(八钱) 枳壳(三钱) 桔梗(三钱) 象贝(三钱) 冬桑叶(一钱半) 生苡仁(六钱) 茯苓皮(五钱) 羚羊角(三钱,先煎) 淡黄芩(三钱) 焦栀子(三钱) 陈皮(一钱半) 竹叶(四十片)
头部胀闷,背部怕冷,腰肋部咳嗽时作痛,胸膈堵塞闷闷欲呕,诊察脉象浮微,右手中部稍数而涩,舌苔干净,应当属于肺邪致病。
苏薄荷叶(五钱半) 白蔻仁(一分,研末冲服) 冬桑叶(一钱半) 象贝(三钱) 杏仁(三钱) 桔梗(二钱) 枳壳(一钱半) 栝蒌皮(三钱) 连翘(三钱) 陈皮(八分) 竹叶(二十四片)
纯热证,出汗口渴,舌苔黄燥,腰痛足重头眩,诊察左手脉净虚小数,右手浮部亦然,中沉两部候滞大,应当属于瘅疟(热疟),是暑湿热痰在肺的表现,用白虎汤(清热生津的方剂)。
生石膏(八钱) 知母(三钱) 生甘草(八分) 生苡仁(八钱) 矾半夏(三钱) 陈皮(八分) 茯苓(三钱) 六一散(三钱) 连翘(三钱) 苦杏仁(三钱) 桂枝(八分) 白粳米(三钱)
使用白虎汤治疗瘅疟后症状已减轻,舌苔黄退而未净,头眩、腰足重滞皆去,脉象服后虚小皆去,而尚数,中沉之滞大已除,大便稀溏,小便长,口渴去而觉燥,再拟定凉肺通利小便的方法。
根生地(五钱) 连翘(三钱) 生苡仁(八钱) 茯苓(三钱) 六一散(三钱) 焦栀子(三钱) 通草(一钱半) 陈皮(八分) 象贝(三钱) 羚角(一钱半,先煎) 竹叶(三十片)
中年时常患齿痛,这是肾气欲脱的征象,总由肝血之虚,虚则生风,耳下筋脉疼痛,这是肝风。兹疟疾停止已久,胃口也好,味苦舌黄,且素来属于多湿多痰的体质,拟凉血息风,兼以消痰。
生地(六钱) 当归(三钱) 炒刺蒺藜(三钱) 冬桑叶(一钱) 生牡蛎(六钱) 炒丹皮(三钱) 矾半夏(二钱) 陈皮(八分) 炒白芍(三钱) 川石斛(三钱) 荷叶(一角)
Angelicae Sinensis Radix (4 qian), Stir-fried White Peony Root (3 qian), Raw Oyster Shell (5 qian), Alisma Rhizome (3 qian), Amomum Fruit (8 fen, decocted together), Prepared Turtle Carapace (5 qian), Inula Flower (3 qian, wrapped for decoction), Turmeric Tuber slice (3 qian), Pinellia Paste (3 qian), Tangerine Peel (8 fen), Green Onion Tube (2 stalks).
Chills and fever have persisted for thirteen days, with chest and stomach stuffiness and pain. The pulse is wiry and fine; Xiaoyao San (Free and Easy Wanderer Powder) should be used.
Bupleuri Radix (1.5 qian), Mentha Haplocalyx (1.5 qian), Angelicae Sinensis Radix (3 qian), Toosendan Fruit (3 qian), Vinegar-processed Corydalis Rhizome (1.5 qian), Stir-fried White Peony Root (2 qian), Curcuma Aromatica Rhizome (1.5 qian), Pinellia Paste (2 qian), Tangerine Peel (8 fen), Live Cyperi Rhizome (1.5 qian), Lotus Leaf (1 corner).
In early February, the body was feverish, but now has cooled. There is coughing with profuse phlegm, cold sweat, yellow tongue coating, dry mouth, loose stools, and shortness of breath. The pulse is wiry and rapid; this belongs to Wind-Warmth (Wind-Heat pathogenic factor), which will transform into fire if prolonged.
Raw Rehmanniae Radix Preparata (6 qian), Ophiopogonis Radix (3 qian), Trichosanthis Pericarpium (3 qian), Coix Seed (5 qian), Aurantii Fructus Immaturus (1.5 qian), Mori Folium (1.5 qian), Fritillariae Thunbergii Bulbus (3 qian), Raw Glycyrrhizae Radix et Rhizoma (1.5 qian), Exocarpium Citri Reticulatae Pericarpium Rubrum (8 fen), Platycodonis Radix (3 qian), Scorched Gardeniae Fructus (3 qian), Bamboo Concretion (1 pill).
After epistaxis stopped, tinnitus persists, with slight cough and headache. The Lung Yin should be treated again.
Mentha Haplocalyx (1.5 qian), Mori Folium (1.5 qian), Ophiopogonis Radix (3 qian), Raw Glycyrrhizae Radix et Rhizoma (1.5 qian), Fritillariae Thunbergii Bulbus (3 qian), Raw Rehmanniae Radix Preparata (6 qian), Platycodonis Radix (2 qian), Tangerine Peel (8 fen), Scorched Gardeniae Fructus (3 qian), Stir-fried Tribulus Fruit (3 qian), Lotus Leaf (1 corner).
Itchy and dry throat leading to vomiting, occasionally with thin fluid that is not sour. Head meridians are distended and painful, abdomen is full. The right hand pulse is harmonious, while the left hand pulse has a rapid tendency. The tongue coating is yellow. Generally, this is a disease caused by Damp-Heat.
Talcum (3 qian), Pinellia Paste (3 qian), Tangerine Peel (8 fen), Poria (4 qian), Coix Seed (5 qian), Forsythiae Fructum (3 qian), Scorched Gardeniae Fructus (3 qian), Tectona Grandis Stem (1 qian), Amomum Fruit (8 fen, taken with liquid), Fermented Soybean (3 qian), Luffa Leaf (2 pieces), Bamboo Leaf (20 pieces).
After the Wind pathogen is resolved, residual heat remains. The pulse is slightly wiry and stagnant, the tongue coating is yellow, there is dry cough with empty retching, and sweating. Sweet-Cold method is proposed to resolve residual pathogens.
Glehniae Radix (6 qian), Ophiopogonis Radix (3 qian), Raw Rehmanniae Radix Preparata (6 qian), Raw Glycyrrhizae Radix et Rhizoma (1.5 qian), Platycodonis Radix (1.5 qian), Fritillariae Thunbergii Bulbus (3 qian), Lycii Cortex (3 qian), Exocarpium Citri Reticulatae Pericarpium Rubrum (8 fen), Raw Hordeolum Germinatum (4 qian), Scrophulariae Radix (3 qian), Bamboo Concretion (1 pill).
Damp Malaria has responded well to warming and drying Spleen meridian treatments. Although malaria symptoms include thirst, warming methods should still be used, especially since the tongue coating is yellow and slippery, and the pulse is not yet slippery and smooth. According to principle, the Middle Jiao should still be warmed and dried, combined with unblocking Yang.
Japanese Ginseng Radix (1.5 qian), Scorched Atractylodis Macrocephalae Rhizoma (3 qian), Angelicae Sinensis Radix (3 qian), Tangerine Peel (8 fen), Magnoliae Officinalis Cortex (1 qian), Alum-processed Pinellia Rhizome (3 qian), Cinnamon Twig (1 qian), Roasted Ginger Charcoal (1 qian), Stir-fried Hordeolum Germinatum (5 qian), Amomum Fruit (decocted together, 8 fen), Costi Rhizome (8 fen), Fresh Ginger (2 slices), Red Date (5 pieces).
The tongue coating is white, the tongue body is fat, the Stomach appetite is not open, stools are easily loose, and sometimes there is a burning sensation in the stomach. The pulse is short and choppy. Generally, this indicates much Damp-Phlegm in the Spleen and Stomach. Phlegm-resolving and Spleen-benefiting methods are proposed.
Scorched Atractylodis Macrocephalae Rhizoma (3 qian), Poria (3 qian), Processed Pinellia Rhizome (3 qian), Tangerine Peel (8 fen), Raw Alpinia Oxyphylla Fruit (1.5 qian), Stir-fried Hordeolum Germinatum (5 qian), Stir-fried Coix Seed (6 qian), Costi Rhizome (1 qian), Scorched Gardeniae Fructus (3 qian), Forsythiae Fructum (3 qian), Dry Lotus Leaf (1 corner).
Today, both hands' pulses are larger and stronger than before. The right pulse is slippery and smooth, but the left pulse is still choppy. The left hand corresponds to Blood; a choppy pulse indicates Blood deficiency. Another prescription targeting the Liver and Kidney Blood levels is proposed.
Large Raw Rehmanniae Radix Preparata (8 qian), Angelicae Sinensis Radix (3 qian), Lycii Fructus (3 qian), Stir-fried Ziziphi Spinosae Semen (3 qian), Poria with Hostwood (3 qian), Stir-fried Eucommiae Cortex (3 qian), Teasel Root (3 qian), Processed Cibotium Rhizome (3 qian), Huai Yam (5 qian), Poria (3 qian), Tangerine Peel (1.5 qian).
Having caught a cold for a long time, with sticky phlegm making sounds in the throat and a wiry pulse, the Sweet-Cold method should be used.
Apricot Kernel (3 qian), Aristolochiae Fructus (3 qian), Fritillariae Thunbergii Bulbus (3 qian), Platycodonis Radix (2 qian), Raw Glycyrrhizae Radix et Rhizoma (1.5 qian), Ophiopogonis Radix (3 qian), Tangerine Peel (8 fen), Mori Folium (1.5 qian), Forsythiae Fructum (3 qian), Raw Rehmanniae Radix Preparata (6 qian), Bamboo Leaf (30 pieces).
For women, the Liver is the foundation of the congenital constitution. If Liver Blood is sufficient, there will naturally be no pregnancy or childbirth diseases. Those prone to miscarriage either lack Qi to secure the fetus or belong to Liver deficiency, causing unstable fetal origin. After this case of miscarriage, the right hand pulse has risen, while the left is slightly small, with a slight rapid tendency. This indicates a constitution of Liver deficiency generating heat. A method to soften and benefit the Liver is proposed.
Stir-fried White Peony Root (3 qian), Large Raw Rehmanniae Radix Preparata (6 qian), Angelicae Sinensis Radix (Root portion) (3 qian), Charred Lycii Fructus (3 qian), True Donkey-hide Gelatin (3 qian, melted and taken with liquid), Teasel Root (3 qian), Huai Yam (4 qian), Xinhui Tangerine Peel (8 fen), Jian Shihu (3 qian), Lotus Leaf (1 corner).
Pathogenic Heat from Summerheat has lasted twenty-two days. Snowflake-like cracks on the tongue and wiry-large pulses in all six positions indicate Yin deficiency due to prolonged illness. Purging methods are absolutely contraindicated. However, using Rhubarb damaged the Spleen Qi. According to texts, Yin must be rescued quickly. Now, hiccups appear, indicating Liver Qi movement as well. The condition is extremely difficult. A rescue method is tentatively proposed; please advise if appropriate.
Charred Raw Rehmanniae Radix (6 qian), Stir-fried White Peony Root (3 qian), Raw Coix Seed (5 qian), Clear Honey-fried Glycyrrhizae Radix et Rhizoma (3 qian), Stir-fried Ophiopogonis Radix (1.5 qian), Stir-fried Huai Yam (5 qian), Amomum Fruit (8 fen, decocted together), Tangerine Peel (8 fen), Lycii Cortex (4 qian), Inula Flower (3 qian, wrapped for decoction). This is a modification of Fumai Tang (Restore Pulse Decoction), serving as a rescue method.
Only the right Guan position pulse has risen; other pulses lack essence and length. Generally, post-illness recovery is incomplete. Although winter pulses should be quiet and small, it is ultimately due to Blood failing to fill the vessels. A method to simultaneously benefit Liver and Spleen is proposed.
Ginseng Radix (8 fen), Poria (3 qian), Stir-fried Ziziphi Spinosae Semen (3 qian), Charred Raw Rehmanniae Radix (6 qian), Angelicae Sinensis Radix (3 qian), Tangerine Peel (8 fen), Costi Rhizome (1 qian), Clear Honey-fried Glycyrrhizae Radix et Rhizoma (1.5 qian), Charred Polygalae Radix (8 fen), Scorched Atractylodis Macrocephalae Rhizoma (3 qian), Longan Aril (14 pieces), Fresh Ginger (2 slices), Red Date (7 pieces).
Exterior Cold has been resolved, but coughing has increased, and phlegm is hard to expectorate. The Sweet-Cold method should be used.
Apricot Kernel (3 qian), Ophiopogonis Radix (3 qian), Raw Glycyrrhizae Radix et Rhizoma (1.5 qian), Fritillariae Thunbergii Bulbus (3 qian), Platycodonis Radix (2 qian), Antelope Horn (1.5 qian, decocted first), Tangerine Peel (8 fen), Mori Folium (1.5 qian), Aurantii Fructus Immaturus (1.5 qian), Gardeniae Fructus (3 qian), Bamboo Leaf (30 pieces).
After malaria subsided, alternating chills and fever every other day remain distinct, with very mild spontaneous sweating. Stomach appetite is not very strong, tongue is clean but slightly yellow, mouth is slightly thirsty, and there is a sensation of hunger pangs in the abdomen. This indicates Yuan Qi deficiency with light pathogen. Given the patient's obesity implies much Damp-Phlegm, and prolonged malaria causes Yin deficiency, a Meridian-warming method is proposed to intercept the malaria.
Processed Polygoni Multiflori Caulis (6 qian), Prepared Turtle Carapace (4 qian), Roasted Ginger Charcoal (8 fen), Processed Pinellia Paste (3 qian), Angelicae Sinensis Radix (3 qian), Stir-fried Hordeolum Germinatum (4 qian), Xinhui Tangerine Peel (8 fen), Artemisiae Annuae Herba Stem (1.5 qian), Poria with Hostwood (3 qian), Scorched Salviae Miltiorrhizae Radix (3 qian), Fresh Ginger (2 slices), Red Date (7 pieces).
Chills have ceased, coughing has improved, phlegm is present, tongue coating is clean, but Stomach appetite is not open. The pulse is wiry and small. The Sweet-Cold method should be used.
Bitter Apricot Kernel (3 qian), Ophiopogonis Radix (3 qian), Raw Rehmanniae Radix Preparata (5 qian), Stir-fried White Peony Root (2 qian), Mori Folium (1.5 qian), Fritillariae Thunbergii Bulbus (3 qian), Platycodonis Radix (2 qian), Raw Hordeolum Germinatum (4 qian), Xinhui Tangerine Peel (8 fen), Chuan Shihu (3 qian), Dry Lotus Leaf (1 corner).
Body temperature has normalized, but right hypochondriac pain persists. Cough produces blood-streaked sputum. Today, Lung Yin should be treated.
Raw Rehmanniae Radix Preparata (6 qian), Scrophulariae Radix (5 qian), Ophiopogonis Radix (3 qian), Camellia Flower (3 qian), Fritillariae Thunbergii Bulbus (3 qian), Stir-fried Moutan Cortex (3 qian), Mori Folium (1.5 qian), Antelope Horn (2 qian, decocted first), Platycodonis Radix (2 qian), Platycladi Cacumen (3 qian), Tangerine Peel (8 fen), Bamboo Leaf (40 pieces).
Right hand pulse is harmonious; left hand pulse is floating and large, with deficiency at Guan and Chi positions. Heart and abdominal pain during defecation, difficult stool, insomnia, and shortness of breath indicate Liver Heat. The method of Gengyi Wan (Change Clothes Pill) should be used.
Salviae Miltiorrhizae Radix (4 qian), Angelicae Sinensis Radix (3 qian), Biota Seed (4 qian), Aloe (3 qian), Washed Cinnabar (8 fen, taken with liquid), Raw Rehmanniae Radix (5 qian), Moutan Cortex (3 qian), Gardeniae Fructus (3 qian), Raw White Peony Root (3 qian), Juncus Effusus (30 cun).
Upper Jiao Lung Distension has responded to medication. Continue with Upper Jiao methods. However, having suffered for one year makes this the most difficult to cure. Dietary restrictions are essential.
Trichosanthis Pericarpium (8 qian), Aurantii Fructus Immaturus (3 qian), Platycodonis Radix (3 qian), Fritillariae Thunbergii Bulbus (3 qian), Mori Folium (1.5 qian), Raw Coix Seed (6 qian), Poria Skin (5 qian), Antelope Horn (3 qian, decocted first), Light Scutellariae Radix (3 qian), Scorched Gardeniae Fructus (3 qian), Tangerine Peel (1.5 qian), Bamboo Leaf (40 pieces).
Head distension, back feeling cold, waist and rib pain during coughing, chest and diaphragm stuffiness with nausea. The pulse is floating and faint. The middle section of the right hand pulse is slightly rapid and choppy. Tongue coating is clean. This belongs to Lung pathogen.
Perilla Leaf (5.5 qian), White Cardamom Seed (1 fen, ground and taken with liquid), Mori Folium (1.5 qian), Fritillariae Thunbergii Bulbus (3 qian), Apricot Kernel (3 qian), Platycodonis Radix (2 qian), Aurantii Fructus Immaturus (1.5 qian), Trichosanthis Pericarpium (3 qian), Forsythiae Fructum (3 qian), Tangerine Peel (8 fen), Bamboo Leaf (24 pieces).
Pure Heat syndrome, sweating, thirst, yellow and dry tongue coating, lower back pain, heavy legs, dizziness. Left hand pulse is clean, deficient, small, and rapid. Right hand floating part is similar. Middle and deep positions are stagnant and large. This belongs to Dan Malaria (Hot Malaria), where Summerheat-Damp-Heat-Phlegm resides in the Lung. Baihu Tang (White Tiger Decoction) is indicated.
Raw Gypsum Fibrosum (8 qian), Anemarrhenae Rhizoma (3 qian), Raw Glycyrrhizae Radix et Rhizoma (8 fen), Raw Coix Seed (8 qian), Alum-processed Pinellia Rhizome (3 qian), Tangerine Peel (8 fen), Poria (3 qian), Liuyi San (Six-to-One Powder) (3 qian), Forsythiae Fructum (3 qian), Bitter Apricot Kernel (3 qian), Cinnamon Twig (8 fen), White Glutinous Rice (3 qian).
After using Baihu Tang for Dan Malaria, symptoms have decreased. Yellow tongue coating has receded but not cleared. Dizziness, heavy waist and feet have gone. Pulse has become deficient and small, though still rapid. Stagnation in middle and deep positions has been removed. Stools are loose, urine is long. Thirst is gone, replaced by dryness. A method to cool the Lung and promote urination is proposed.
Raw Rehmanniae Radix Preparata (5 qian), Forsythiae Fructum (3 qian), Raw Coix Seed (8 qian), Poria (3 qian), Liuyi San (Six-to-One Powder) (3 qian), Scorched Gardeniae Fructus (3 qian), Tectona Grandis Stem (1.5 qian), Tangerine Peel (8 fen), Fritillariae Thunbergii Bulbus (3 qian), Antelope Horn (1.5 qian, decocted first), Bamboo Leaf (30 pieces).
Middle-aged frequent toothache is a sign of impending collapse, generally due to Liver Blood deficiency. Deficiency generates Wind. Pain in the tendons below the ear is Liver Wind. Since malaria has stopped for a long time and appetite is good, with bitter taste and yellow tongue coating, and given the constitution is prone to Damp-Phlegm, a method to cool Blood and extinguish Wind, combined with resolving Phlegm, is proposed.
Raw Rehmanniae Radix (6 qian), Angelicae Sinensis Radix (3 qian), Stir-fried Tribulus Fruit (3 qian), Mori Folium (1 qian), Raw Oyster Shell (6 qian), Stir-fried Moutan Cortex (3 qian), Alum-processed Pinellia Rhizome (2 qian), Tangerine Peel (8 fen), Stir-fried White Peony Root (3 qian), Chuan Shihu (3 qian), Lotus Leaf (1 corner).