典藏书目

Cao Zifan: The six pulses are soggy and fine, yet vague and unclear. The tongue coating is thin and white, slightly yellow in the center, and quite sticky. Slight movement easily induces sweating. If it were truly Yang deficiency, how could one handle complex affairs without fear? Could it be that the Wei (Defensive) Yang protecting the exterior and the Yunyong (Functional) Yang operating internally are two different things? There is no such principle. The reason for this is that sweat is the fluid of the Heart; fluids are precious and should be stored. Currently, there is an excess of dampness in the body, compounded by a habit of drinking alcohol. Alcohol's nature is ascending and generating heat, leading to steaming and steaming of damp-heat in the Stomach, forcing fluids to leak out externally. Excessive sweating here does not actually fall into the category of spontaneous sweating or night sweating. If one uses methods to protect Yang and consolidate the exterior with Qi-tonifying herbs, dampness cannot be discharged. If one uses methods to astringe Yin and strengthen Water to benefit the Kidney, dampness will stagnate and fail to move. Both approaches are sufficient to cause other complications. The method for treating sweating is solely to dispel heat so as not to allow steaming, while simultaneously guiding damp-heat downward, allowing the damp-heat accumulated in the Stomach to seep out through the Bladder. In this way, without specifically stopping sweat, the sweating will cease on its own.

Prescription: Digutpi (CorTEX CRYPTOSTEGIAE, 3 qian, mixed with decoction of Guizhi 0.3 qian), Huashi (TALCI, 4 qian), Fuling (Poria, 4 qian), Zexie (Rhizoma ALISMATIS, 1.5 qian), Zhuling (Polyporus, 2 qian), Pipaye (Folium ERIobotRYAE, 4 slices, de-hairy), Fuxiaomai (Fructus TRITICI VULGARIS, 1 liang, decocted to replace water).

Liang (Left): After continuously taking Huangqi Jianzhong Tang (Astragalus Decoction to Establish the Middle), both cough and night sweating decreased. However, phlegm remains sticky and difficult to expectorate. When half-hungry, the cough worsens significantly. The body feels aversion to cold, and the pulse is fine and weak. This indicates Yin injury affecting Yang. Use sweet-warm medicines to tonify the Middle.

Prescription: Zhi Mianhuang (Prepared Radix ASTRAGALI, 3 qian), Sheng Gancao (Raw Radix GLYCYRRHIZAE, 0.7 qian), Tian Xingren (Sweet Semen PRUNUS ARMENIACAE, 3 qian), Fuling (Poria, 3 qian), Juhong (Pericarpium CITRI RETICULATAE RUBRUM, 1 qian), Kui Dangshen (Radix CODONOPSIS, 3 qian), Huaixiaomai (Fructus TRITICI VULGARIS, 5 qian), Hutaorou (Semen JUGLANDIS, 1 piece), Nanzao (Fructus JUJUBAE, 4 pieces).

Second Visit: After hematemesis, Yin injury affected Yang. Although night sweating stopped, the body still feels aversion to cold, there is a sensation of obstruction in the throat, a desire to choke-cough, and poor gastric appetite. After administering Jianzhong Tang, the Middle Qi remained uninvigorated, and the pulse was fine and weak. This is due to simultaneous deficiency of Yin and Yang. The Shaoyin meridian passes through the throat, and the root of Middle Qi lies in the Kidney. Therefore, Kidney Yin deficiency causes discomfort in the throat, and lack of Stomach Qi fails to invigorate. Decoctions and pills are administered together, treating the upper and lower separately.

Prescription: Zhi Mianhuang (Prepared Radix ASTRAGALI, 3 qian), Zhei Heicao (Prepared Black Radix GLYCYRRHIZAE, 0.4 qian), Tiansizi (Semen CUSCUTAE, stir-fried in salt water, 3 qian), Huainiuxi (Radix ACHYRANTHIS BIDENTATAE, stir-fried in salt water, 3 qian), Kui Dangshen (Radix CODONOPSIS, 3 qian), Bai Fuling (Poria, 3 qian), Chao Yurou (Stir-fried Fructus CORNI, 2 qian), Duqi Wan (Duqi Pill, 4 qian, taken in two doses).

Third Visit: Long-standing deficiency has not recovered. Cough worsens when slightly hungry, and Stomach Qi cannot be invigorated. Plan to use Maidong Tang (Ophiopogon Decoction) to nourish Lung and Stomach, while still using pills to enter the lower jiao to secure Kidney Yin.

Prescription: Taishenxu (Ginseng Radicula, 1 qian), Qingyan Banxia (Pinelliae Rhizoma processed with green salt, 1 qian), Haigefen (Concha MERETRICIS, 3 qian), Cheqianzi (Semen PLANTAGINIS, stir-fried in salt water, 2 qian), Da Maidong (Radix OPHIOPOGONIS, 3 qian), Sheng Shu Cao (Raw and Prepared Radix GLYCYRRHIZAE, 0.2 qian each), Bai Fuling (Poria, 3 qian), Niuxi (Radix ACHYRANTHIS BIDENTATAE, stir-fried in salt water, 3 qian), Zuogui Wan (Zuogui Pill, 3 qian, taken first).

Fourth Visit: Pulse is fine, weak, and lacking spirit. Cough remains severe, phlegm is abundant, white, and greasy. Digestion after eating is sluggish. Yin injury affects Yang; Lung, Spleen, and Kidney are all damaged. Continue to secure the lower jiao.

Prescription: Guizhi (Ramulus CINNAMOMI, 0.4 qian), Bajirou (Cortex MORINDAE OFFICINALIS, 3 qian), Cheqianzi (Semen PLANTAGINIS, 2 qian), Wuweizi (Fructus SCHISANDRAE, 0.3 qian), Zuogui Wan (Zuogui Pill, 3 qian, taken first), Fuling (Poria, 3 qian), Niuxi (Radix ACHYRANTHIS BIDENTATAE, 3 qian), Tiansizi (Semen CUSCUTAE, 3 qian), Zhi Cao (Prepared Radix GLYCYRRHIZAE, 0.4 qian, taken separately).

Zhang: Previously had Liver Qi stagnation, with frequent abdominal distension. During the spring season when Yang ascends, choking coughs arose again, with sticky and thick phlegm. Cold sweat drips during sleep. The pulse is rapid, fine, and wiry. Qi from the Liver store rebels against the Taiyin Lung. The Lung is the upper source of water; fearing the water source loses transformation, entering the door of consumption.

Prescription: Ejiao (Colla CORII ASINI), Dong Baishao (Radix PAEONIAE ALBAE from East), Muli (Concha OSTREAE), Yuzhu (Rhizoma POLYGONATI ODORATI), Sheng Cao (Raw Radix GLYCYRRHIZAE), Geda San (Geda Powder), Chuan Beimu (Bulbus FREESIAE), Bitaogan (Ramulus PERSICAE VIRIDIS), Huaixiaomai (Fructus TRITICI VULGARIS), Nanzao (Fructus JUJUBAE), Pipaye (Folium ERIobotRYAE).

Second Visit: Nourishing Liver and protecting Lung, consolidating exterior and harmonizing Yang, cough reduced and spaced out, night sweating greatly retreated. Indeed, this is the aftermath of Liver Wood conflict, where Wood strikes Metal, and Yang fails to secure and hold. Expand the effective prescription.

Prescription: Fei Yuzhu (Plump Rhizoma POLYGONATI ODORATI), Chuan Beimu (Bulbus FREESIAE), Sheng Baishao (Raw Radix PAEONIAE ALBAE), Qingge San (Qingge Powder), Sheng Gancao (Raw Radix GLYCYRRHIZAE), Ejiao (Colla CORII ASINI), Shengdi (Radix REHMANNIAE), Muli (Concha OSTREAE), Nanzao (Fructus JUJUBAE), Huaixiaomai (Fructus TRITICI VULGARIS), Zhi Pipaye (Prepared Folium ERIobotRYAE).

Third Visit: Cough and night sweating both reduced, but pulse remains fine and rapid. Yin deficiency has not recovered. Adjust the effective prescription further, expecting it to work.

Prescription: Da Shengdi (Large Raw Radix REHMANNIAE), Hang Baishao (Hangzhou Radix PAEONIAE ALBAE), Geda San (Geda Powder), Fei Yuzhu (Plump Rhizoma POLYGONATI ODORATI), Muli (Concha OSTREAE), Ejiaozhu (Ejiao Pearl), Chuan Beimu (Bulbus FREESIAE), Da Maidong (Radix OPHIOPOGONIS), Huaixiaomai (Fructus TRITICI VULGARIS), Nanzao (Fructus JUJUBAE), Pipaye (Folium ERIobotRYAE, honey-fried).

Right side patient: After subduing Yang and calming the spirit, thunderous heat and night sweating still do not retreat. Fingers are swollen, mouth is dry with desire to drink. Just before menstruation, breasts are painful. Pulse is rapid and wiry. Yang Qi is not gathered. Again, nourish Yin, drain fire, and consolidate the exterior.

Prescription: Sheng Yuzhu (Wild Atractylodes Macrocephala Rhizome), Baiziren (Semen PLATYCLADI), Muli (Concha OSTREAE), Mahuanggen (Radix EPHEDRAE, 0.4 qian), Fa Banxia (Processed Pinelliae Rhizoma), Zhi Wuwei (Prepared Fructus SCHISANDRAE), Chao Zaoren (Stir-fried Semen ZIZIPHI SPINOSAE), Beishashen (Radix GLEHNIAE), Fuxiaomai (Fructus TRITICI VULGARIS, 1 liang, decocted to replace water), Danggui Liu Huang Wan (Danggui Liuhuang Pill).

Chen (Left): After latent summer-heat, damp pathogen lingers for a long time, steaming the Yangming channel, causing continuous sweating and frequent seminal emission. This also belongs to damp disturbing the essence palace.

Prescription: Digutpi (CorTEX CRYPTOSTEGIAE, 3 qian, mixed with decoction of Guizhi 0.3 qian), Chi Fuling (Red Poria), Sheng Yiren (Raw Semen COICIS), Jian Zexie (Rhizoma ALISMATIS from Jian), Huashi Kuai (Talci lump), Chenxiang Qu (Agarwood Fermented Mass), Mu Zhuling (Wood Polyporus), Dan Huangqin (Scutellariae Radix), Chuan Bixie (Rhizoma DIOSCOREAE HYSTRIX), Zhi Banxia (Processed Pinelliae Rhizoma), Chuan Tongcao (Medulla CLAYSAE), Shang Guangpi (Top Tangerine Peel), Huaixiaomai (Fructus TRITICI VULGARIS, 1.5 liang, decocted to replace water).

Second Visit: Sweat discharge has decreased, but seminal emission still occurs occasionally. Damp-heat steams upward and disturbs downward.

Prescription: Digutpi (CorTEX CRYPTOSTEGIAE, 3 qian, stir-fried with Guizhi), Zhuling (Polyporus, 2 qian), Sheng Yiren (Raw Semen COICIS, 4 qian), Zexie (Rhizoma ALISMATIS, 1.5 qian, stir-fried in salt water), Chuan Bixie (Rhizoma DIOSCOREAE HYSTRIX, 2 qian), Huangbai (Cortex PHELLODENDRI, stir-fried in salt water, 1 qian), Sharen (Fructus AMOMI, 0.7 qian), Guangpi (Tangerine Peel, 1 qian), Da Dancai (Edible Mussel, 2 pieces), Fuxiaomai (Fructus TRITICI VULGARIS, 1 liang).

Wu (Left): Spontaneous sweating after illness, pulling and sticky sensation in the throat. Sometimes fire rises from below, causing skin to feel burning hot. Pulse is rapid, soft, and slippery. This is Jiamu (Gallbladder) and Wutu (Stomach) failing to descend, while Yimu (Liver) alone ascends. Fear that damage will be long-lasting and not recover.

Prescription: Zhi Banxia (Processed Pinelliae Rhizoma, 1.5 qian), Yun Fuling (Cloud Poria, 4 qian), Haigefen (Concha MERETRICIS, wrapped, 3 qian), Digutpi (CorTEX CRYPTOSTEGIAE, mixed with decoction of Guizhi 0.4 qian), Fu Zexie (Fu Zexie, 1.5 qian), Guangpi (Tangerine Peel, 1 qian), Gualoupi (Pericarpium TRICHosanthis, 3 qian), Pipaye (Folium ERIobotRYAE, de-hairy, 2 slices), Xian Zhuru (Fresh Bamboo Shavings, 1.5 qian, stir-fried with ginger juice), Huaixiaomai (Fructus TRITICI VULGARIS, 1 liang, decocted to replace water).

Certain patient (Left): Mouth feels sticky, tongue coating is turbid and white, center is peeled. Middle Qi is insufficient. From food and drink, less transforms into Jin (fluids), more transforms into Shi (dampness). What exists internally manifests externally. Dampness steaming becomes sweat, which is different from cases where Yang deficiency causes insecure exterior.

Prescription: Renshenxu (Ginseng Radicula, 0.4 qian), Zhi Banxia (Processed Pinelliae Rhizoma, 1.5 qian), Zhishi (Fructus AURANTII IMMATURUS, 1.5 qian), Jupi (Pericarpium CITRI RETICULATAE, 1 qian), Fuling (Poria, 3 qian), Guang Huoxiang (Herba AGASTACHIS, 2 qian), Ye Yuzhu (Wild Rhizoma ATRACTYLODIS MACROCEPHALAE, 1.5 qian), Zexie (Rhizoma ALISMATIS, 1.5 qian), Baikouren (Semen AMOMI KRVAE, added later, 0.7 qian), Chuan Guizhi (Ramulus CINNAMOMI, 0.4 qian), Digutpi (CorTEX CRYPTOSTEGIAE, 2 qian, stir-fried with Guizhi).