华(左) 遍体面目俱黄,中脘痞满。湿热蕴遏。恐其由标及本。
西茵陈 制川朴 赤白苓 泽泻 青蒿 山栀 广橘皮 制半夏 木猪苓 上湘军(二钱好酒浸透后下)
二诊 脘痞稍减,黄瘅略退。药既应手,守前法再望转机。
茵陈(二钱) 冬术(炒炭二钱) 泽泻(二钱) 砂仁(七分) 黑山栀(二钱) 上湘军(二钱)
橘皮(一钱) 猪苓(一钱五分) 川朴(一钱) 官桂(五分) 制半夏(一钱五分) 焦麦芽(三钱)
三诊 面目色黄稍退,而热退不清。还是湿热壅遏熏蒸之所致也。再淡以渗之,苦以泄之。
官桂(五分后入) 豆豉(三钱) 黑山栀(三钱) 制半夏(一钱五分) 猪苓(二钱) 郁金(一钱五
分) 茵陈(三钱) 冬术炭(二钱) 赤白苓(各二钱) 杏仁(二钱) 泽泻(一钱五分)
四诊 黄瘅已退。然形色瘦夺,脾土无不虚之理。当为兼顾。
野于术(二钱炒) 广皮(一钱) 猪苓(二钱) 云苓(四钱) 茵陈(二钱) 泽泻(二钱)
焦麦仁(四钱) 官桂(五分后入) 制半夏(一钱五分) 枳实(一钱) 竹茹(一钱)
五诊 黄瘅大势虽退,而湿热未能尽澈,小溲未清,足跗带肿。还是湿热坠下,再培土而分利湿邪。
于术(一钱五分) 大腹皮(二钱) 川通草(一钱) 茯苓(三钱) 炒冬瓜皮(一两) 泽泻(一钱五分)
木猪苓(二钱) 焦苍术(一钱) 生熟米仁(各三钱) 茵陈(一钱五分)
六诊 诸病向安,惟气色尚滞。宜鼓舞脾土,土旺自能胜湿也。
人参须(五分) 茵陈(二钱) 云茯苓(四钱) 猪苓(一钱五分) 制半夏(一钱五分) 野于术(二钱)
炮姜(三分) 焦苍术(一钱) 泽泻(一钱五分) 广皮(一钱)
七诊 补气运脾渗湿,证情又见起色。再为扩充。
人参须(五分) 苍术(一钱) 于术(二钱) 茵陈(二钱) 猪苓(一钱五分) 云茯苓(三钱)
炒冬瓜皮(五钱) 炮姜炭(四分) 泽泻(一钱五分) 生熟薏仁(各三钱) 谷芽(三钱)
蒋(左) 四肢面目俱黄。脉形糊滑。此湿热蕴遏,为五瘅中之谷瘅。
官桂 赤白苓 黑山栀 泽泻 绵茵陈 瞿麦 上湘军 白术炭 猪苓
二诊 黄瘅大退,前法以清其渊薮。
官桂 黑山栀 焦麦芽 范志曲 陈皮 川朴 猪茯苓 泽泻 茵陈
左 湿热蕴遏为黄瘅。
制半夏(一钱五分) 炒青蒿(三钱) 茵陈(三钱) 川朴(一钱) 上湘军(三钱) 赤白苓
(各二钱) 黑山栀(三钱) 广皮(一钱) 猪苓(二钱) 焦麦芽(三钱) 泽泻(一钱五分)
二诊 黄瘅大退。再淡以渗湿,苦以泄热。
黑山栀 赤白苓 猪苓 川朴 大腹皮 泽泻
枳壳 制半夏 麦芽 广皮 上湘军 茵陈
三诊 营卫不通,忽生寒热,欲和阴阳,当调营卫,欲调营卫,当祛其所以阻我营卫者。
制半夏 范志曲 赤猪苓 郁金 焦麦芽 上广皮 绵茵陈 建泽泻 官桂(五分)
四诊 黄瘅大退,湿热未清。
川朴 郁金 赤猪苓 半夏曲 橘红 泽泻
茵陈 官桂 整砂仁 大腹皮 焦麦芽
赵(右) 痧疹之后,风恋未澈,挟湿内郁,脾运失司,以致面目肢体俱黄,黄瘅之证不能欲速图功。
茵陈 黑山栀 泽泻 神曲 大腹皮 青蒿
官桂 赤白苓 川朴 广皮 焦麦芽
金(左) 腹满气滞,小溲浑黄。湿郁三焦。拟调气理湿。
制川朴(一钱) 陈皮(一钱) 杏仁(三钱) 范志曲(二钱) 泽泻(一钱五分) 大腹皮(二钱)
茵陈(二钱) 通草(一钱) 焦麦芽(三钱) 鲜佛手(一钱)
章(右) 谷多气少,面色浮黄,肢倦体乏。脉涩,舌淡。产后劳伤,血虚营滞不和也。
炒白术 制半夏 秦艽 泽泻 晚蚕砂 猪苓 云茯苓 焦麦芽 白蒺藜 禹余粮丸(二钱)
许(左) 脘腹痛胀已定,而面目身体俱黄。气滞营郁,恐变胀满。
广皮 桃仁 延胡索 广郁金 制半夏 生薏仁
归尾 猩绛 焦枳实 旋复花 青葱管
右 久病经滞,气血不行,面目俱黄。与寻常湿热有间也。
归尾 桃仁 泽泻 猩绛 赤猪苓 旋复花 青葱管
吴 黄瘅大势虽退,气仍未开,缠绵两月,兹则便泄不爽。良以湿困已久,脾阳损伤。拟培土温脾分化。
于术 生熟薏仁 干姜 陈皮 范志曲 茯苓 绵茵陈 砂仁 泽泻
二诊 气分稍开,时仍便泄。的是湿热困乏,脾阳因而损伤。药向效边求。
西茵陈(二钱) 茯苓(三钱) 上广皮(一钱) 泽泻(一钱五分) 生熟薏仁(各二钱) 炒干姜(四分)
猪苓(二钱) 煨木香(三分) 理中丸(一钱五分开水先服)
左 劳倦内伤,面色无华,胸中吊痛,肢困力乏,胃钝纳减。当以胃为主治。
白术 赤白苓 郁金 木香 生熟谷芽 广皮
生薏仁 藿香 蔻仁 白檀香 三丰伐木丸
杭(左) 面黄力乏,便泄溲黄。湿热在下,正与经旨谷多气少之文符合。
台术 猪云苓 泽泻 生薏仁 焦麦芽 茵陈 范志曲 广皮 酒炒桑枝 砂仁
华(左)全身及面目均发黄,胃脘部痞塞胀满。这是湿热内蕴郁遏所致。担心病邪由标及本。
西茵陈 制川朴 赤白茯苓 泽泻 青蒿 山栀 广橘皮 制半夏 木猪苓 上湘军(二钱,好酒浸透后下)
二诊 胃脘痞塞稍减,黄疸略退。药物既然有效,守前法再望转机。
茵陈(二钱) 冬术(炒炭二钱) 泽泻(二钱) 砂仁(七分) 黑山栀(二钱) 上湘军(二钱)
橘皮(一钱) 猪苓(一钱五分) 川朴(一钱) 官桂(五分) 制半夏(一钱五分) 焦麦芽(三钱)
三诊 面目黄色稍退,但热势退而不净。仍是湿热壅遏熏蒸所致。再用淡味药渗利,苦味药泄热。
官桂(五分,后入) 豆豉(三钱) 黑山栀(三钱) 制半夏(一钱五分) 猪苓(二钱) 郁金(一钱五分) 茵陈(三钱) 冬术炭(二钱) 赤白茯苓(各二钱) 杏仁(二钱) 泽泻(一钱五分)
四诊 黄疸已退。然而形体消瘦憔悴,脾土没有不虚的道理。应当兼顾调理。
野于术(二钱炒) 广皮(一钱) 猪苓(二钱) 云茯苓(四钱) 茵陈(二钱) 泽泻(二钱)
焦麦仁(四钱) 官桂(五分,后入) 制半夏(一钱五分) 枳实(一钱) 竹茹(一钱)
五诊 黄疸大势虽退,但湿热未能尽除,小便未清,足背微肿。仍是湿热下注,再培补脾土而分利湿邪。
于术(一钱五分) 大腹皮(二钱) 川通草(一钱) 茯苓(三钱) 炒冬瓜皮(一两) 泽泻(一钱五分)
木猪苓(二钱) 焦苍术(一钱) 生熟米仁(各三钱) 茵陈(一钱五分)
六诊 诸病向安,惟气色尚滞。宜鼓舞脾土,脾土旺盛自能胜湿。
人参须(五分) 茵陈(二钱) 云茯苓(四钱) 猪苓(一钱五分) 制半夏(一钱五分) 野于术(二钱)
炮姜(三分) 焦苍术(一钱) 泽泻(一钱五分) 广皮(一钱)
七诊 补气运脾渗湿,证情又见起色。再为扩充方义。
人参须(五分) 苍术(一钱) 于术(二钱) 茵陈(二钱) 猪苓(一钱五分) 云茯苓(三钱)
炒冬瓜皮(五钱) 炮姜炭(四分) 泽泻(一钱五分) 生熟薏仁(各三钱) 谷芽(三钱)
蒋(左)四肢及面目均发黄。脉象糊滑。此乃湿热蕴遏,属于五疸中的谷疸。
官桂 赤白茯苓 黑山栀 泽泻 绵茵陈 瞿麦 上湘军 白术炭 猪苓
二诊 黄疸大退,前方以清除其根源。
官桂 黑山栀 焦麦芽 范志曲 陈皮 川朴 猪茯苓 泽泻 茵陈
左案:湿热蕴遏导致黄瘅。
制半夏(一钱五分) 炒青蒿(三钱) 茵陈(三钱) 川朴(一钱) 上湘军(三钱) 赤白茯苓(各二钱) 黑山栀(三钱) 广皮(一钱) 猪苓(二钱) 焦麦芽(三钱) 泽泻(一钱五分)
二诊 黄疸大退。再用淡味药渗湿,苦味药泄热。
黑山栀 赤白茯苓 猪苓 川朴 大腹皮 泽泻
枳壳 制半夏 麦芽 广皮 上湘军 茵陈
三诊 营卫不通,忽生寒热,欲调和阴阳,当调营卫;欲调营卫,当祛除阻碍营卫的因素。
制半夏 范志曲 赤猪苓 郁金 焦麦芽 上广皮 绵茵陈 建泽泻 官桂(五分)
四诊 黄疸大退,湿热未清。
川朴 郁金 赤猪苓 半夏曲 橘红 泽泻
茵陈 官桂 整砂仁 大腹皮 焦麦芽
赵(右)痧疹之后,风邪留恋未净,挟湿内郁,脾运失司,以致面目肢体俱黄,黄瘅之证不能欲速图功。
茵陈 黑山栀 泽泻 神曲 大腹皮 青蒿
官桂 赤白茯苓 川朴 广皮 焦麦芽
金(左)腹部胀满气滞,小便浑浊发黄。湿郁三焦。拟调气理湿。
制川朴(一钱) 陈皮(一钱) 杏仁(三钱) 范志曲(二钱) 泽泻(一钱五分) 大腹皮(二钱)
茵陈(二钱) 通草(一钱) 焦麦芽(三钱) 鲜佛手(一钱)
章(右)谷多气少,面色浮黄,肢倦体乏。脉涩,舌淡。产后劳伤,血虚营滞不和也。
炒白术 制半夏 秦艽 泽泻 晚蚕砂 猪苓 云茯苓 焦麦芽 白蒺藜 禹余粮丸(二钱)
许(左)脘腹痛胀已定,而面目身体俱黄。气滞营郁,恐变胀满。
广皮 桃仁 延胡索 广郁金 制半夏 生薏仁
归尾 猩绛 焦枳实 旋复花 青葱管
右案:久病经滞,气血不行,面目俱黄。与寻常湿热有区别。
归尾 桃仁 泽泻 猩绛 赤猪苓 旋复花 青葱管
吴:黄疸大势虽退,气仍未开,缠绵两月,兹则便泄不爽。良以湿困已久,脾阳损伤。拟培土温脾分化。
于术 生熟薏仁 干姜 陈皮 范志曲 茯苓 绵茵陈 砂仁 泽泻
二诊 气分稍开,时仍便泄。的是湿热困乏,脾阳因而损伤。药向效边求。
西茵陈(二钱) 茯苓(三钱) 上广皮(一钱) 泽泻(一钱五分) 生熟薏仁(各二钱) 炒干姜(四分)
猪苓(二钱) 煨木香(三分) 理中丸(一钱五分开水先服)
左案:劳倦内伤,面色无华,胸中吊痛,肢困力乏,胃钝纳减。当以胃为主治。
白术 赤白茯苓 郁金 木香 生熟谷芽 广皮
生薏仁 藿香 蔻仁 白檀香 三丰伐木丸
杭(左)面黄力乏,便泄溲黄。湿热在下,正与经旨谷多气少之文符合。
台术 猪云苓 泽泻 生薏仁 焦麦芽 茵陈 范志曲 广皮 酒炒桑枝 砂仁
Hua (Left) The entire body and face are yellow, with fullness and obstruction in the epigastrium. This is due to damp-heat accumulating and stagnating internally. There is concern that the disease may progress from the branch to the root.
Xiyinchen (Artemisiae Scopariae Herba), Zhichuanpuhuo (Cortex Magnoliae Officinalis Preparata), Chibailing (Poria Cocos et Albus Poria Cocos), Zexie (Rhizoma Alismatis), Qinghao (Herba Artemisiae Annuae), Shanzhi (Fructus Gardeniae Jasminoidis), Guangjupi (Pericarpium Citri Reticulatae), Zhibanxia (Rhizoma Pinelliae Preparata), Muzhuling (Poria Cocos cum Ligno), Shangxiangjun (Radix Rheomi, 2 qian, soaked in good wine and added later).
Second visit: Epigastric fullness has slightly decreased, and jaundice has slightly receded. Since the medication is effective, continue with the previous method to hope for a turning point.
Yinchen (Artemisiae Scopariae Herba, 2 qian), Dongshu (Rhizoma Atractylodis Macrocephalae, stir-fried to charcoal, 2 qian), Zexie (Rhizoma Alismatis, 2 qian), Sharen (Fructus Amomi Rotundus, 7 fen), Heishanzhi (Fructus Gardeniae Jasminoidis, charred, 2 qian), Shangxiangjun (Radix Rheomi, 2 qian).
Jupi (Pericarpium Citri Reticulatae, 1 qian), Zhuling (Poria Cocos, 1.5 qian), Chuanpuhuo (Cortex Magnoliae Officinalis, 1 qian), Guangui (Ramulus Cinnamomi Cassiae, 0.5 qian), Zhibanxia (Rhizoma Pinelliae Preparata, 1.5 qian), Jiaomaiya (Fritillariae Bulbus stir-fried malt, 3 qian).
Third visit: The yellow color of the face and eyes has slightly faded, but the heat has not completely subsided. This is still caused by damp-heat congesting and steaming internally. Use bland herbs to leach out dampness and bitter herbs to drain heat.
Guangui (Ramulus Cinnamomi Cassiae, 0.5 qian, added later), Douchi (Semen Sojae Preparatum, 3 qian), Heishanzhi (Fructus Gardeniae Jasminoidis, charred, 3 qian), Zhibanxia (Rhizoma Pinelliae Preparata, 1.5 qian), Zhuling (Poria Cocos, 2 qian), Yujin (Radix Curcumae Longae, 1.5 qian), Yinchen (Artemisiae Scopariae Herba, 3 qian), Dongshu tan (Rhizoma Atractylodis Macrocephalae charcoal, 2 qian), Chibailing (Poria Cocos et Albus Poria Cocos, 2 qian each), Xingren (Semen Armeniacae Amarum, 2 qian), Zexie (Rhizoma Alismatis, 1.5 qian).
Fourth visit: Jaundice has receded. However, the complexion is emaciated and depleted; there is no doubt that the Spleen Earth is deficient. Consideration should be given to addressing this simultaneously.
Ye Yushu (Rhizoma Atractylodis Macrocephalae, stir-fried, 2 qian), Guangpi (Pericarpium Citri Reticulatae, 1 qian), Zhuling (Poria Cocos, 2 qian), Yunling (Poria Cocos, 4 qian), Yinchen (Artemisiae Scopariae Herba, 2 qian), Zexie (Rhizoma Alismatis, 2 qian).
Jiaomairen (Semen Hordei stir-fried, 4 qian), Guangui (Ramulus Cinnamomi Cassiae, 0.5 qian, added later), Zhibanxia (Rhizoma Pinelliae Preparata, 1.5 qian), Zhishi (Fructus Aurantii Immaturus, 1 qian), Zhuru (Caulis Bambusae in Taeniam, 1 qian).
Fifth visit: Although the major trend of jaundice has receded, damp-heat has not been completely cleared. Urine is not clear, and the dorsum of the feet shows slight swelling. This is still damp-heat sinking downward. Further tonify the Earth (Spleen) to separate and drain the damp pathogen.
Yushu (Rhizoma Atractylodis Macrocephalae, 1.5 qian), Dafupi (Pericarpium Arecae, 2 qian), Chuantongcao (Medulla Tetrapanacis, 1 qian), Fuling (Poria Cocos, 3 qian), Chao dongguapi (Exocarpium Citri Grandis stir-fried, 1 liang), Zexie (Rhizoma Alismatis, 1.5 qian).
Muzhuling (Poria Cocos cum Ligno, 2 qian), Jiao Cangzhu (Rhizoma Atractylodis Lanceae stir-fried, 1 qian), Shengshu Yiren (Semen Coicis raw and stir-fried, 3 qian each), Yinchen (Artemisiae Scopariae Herba, 1.5 qian).
Sixth visit: All diseases are tending towards peace, but the qi and complexion remain stagnant. It is appropriate to encourage the Spleen Earth; when the Earth is prosperous, it can naturally overcome dampness.
Renshenxu (Radix Ginseng Ramulus, 0.5 qian), Yinchen (Artemisiae Scopariae Herba, 2 qian), Yunling (Poria Cocos, 4 qian), Zhuling (Poria Cocos, 1.5 qian), Zhibanxia (Rhizoma Pinelliae Preparata, 1.5 qian), Ye Yushu (Rhizoma Atractylodis Macrocephalae, 2 qian).
Paojiang (Radix Zingiberis Preparata, 0.3 qian), Jiao Cangzhu (Rhizoma Atractylodis Lanceae stir-fried, 1 qian), Zexie (Rhizoma Alismatis, 1.5 qian), Guangpi (Pericarpium Citri Reticulatae, 1 qian).
Seventh visit: Tonifying qi, moving the spleen, and leaching out dampness have shown improvement in the condition. Expand upon this further.
Renshenxu (Radix Ginseng Ramulus, 0.5 qian), Cangzhu (Rhizoma Atractylodis Lanceae, 1 qian), Yushu (Rhizoma Atractylodis Macrocephalae, 2 qian), Yinchen (Artemisiae Scopariae Herba, 2 qian), Zhuling (Poria Cocos, 1.5 qian), Yunling (Poria Cocos, 3 qian).
Chao dongguapi (Exocarpium Citri Grandis stir-fried, 5 qian), Paojiangtan (Radix Zingiberis Preparata charcoal, 0.4 qian), Zexie (Rhizoma Alismatis, 1.5 qian), Shengshu Yiren (Semen Coicis raw and stir-fried, 3 qian each), Guya (Semen Hordei germinated, 3 qian).
Jiang (Left) The limbs and face are all yellow. The pulse is muddy and slippery. This is damp-heat accumulating and stagnating, classified as Grain Jaundice (Gu Dan) among the Five Jaundices.
Guangui (Ramulus Cinnamomi Cassiae), Chibailing (Poria Cocos et Albus Poria Cocos), Heishanzhi (Fructus Gardeniae Jasminoidis, charred), Zexie (Rhizoma Alismatis), Mianyinchen (Artemisiae Scopariae Herba), Qumai (Herba Dianthi), Shangxiangjun (Radix Rheomi), Baizhu tan (Rhizoma Atractylodis Macrocephalae charcoal), Zhuling (Poria Cocos).
Second visit: Jaundice has greatly receded. The previous method clears its source.
Guangui (Ramulus Cinnamomi Cassiae), Heishanzhi (Fructus Gardeniae Jasminoidis, charred), Jiaomaiya (Fritillariae Bulbus stir-fried malt), Fanzhiqu (Medicated Leaven Prepared), Chenpi (Pericarpium Citri Reticulatae), Chuanpuhuo (Cortex Magnoliae Officinalis), Zhufuling (Poria Cocos mixture), Zexie (Rhizoma Alismatis), Yinchen (Artemisiae Scopariae Herba).
Left Case: Damp-heat accumulating and stagnating causes Yellow Jaundice (Huang Dan).
Zhibanxia (Rhizoma Pinelliae Preparata, 1.5 qian), Chao Qinghao (Herba Artemisiae Annuae stir-fried, 3 qian), Yinchen (Artemisiae Scopariae Herba, 3 qian), Chuanpuhuo (Cortex Magnoliae Officinalis, 1 qian), Shangxiangjun (Radix Rheomi, 3 qian), Chibailing (Poria Cocos et Albus Poria Cocos, 2 qian each), Heishanzhi (Fructus Gardeniae Jasminoidis, charred, 3 qian), Guangpi (Pericarpium Citri Reticulatae, 1 qian), Zhuling (Poria Cocos, 2 qian), Jiaomaiya (Fritillariae Bulbus stir-fried malt, 3 qian), Zexie (Rhizoma Alismatis, 1.5 qian).
Second visit: Jaundice has greatly receded. Use bland herbs to leach dampness and bitter herbs to drain heat.
Heishanzhi (Fructus Gardeniae Jasminoidis, charred), Chibailing (Poria Cocos et Albus Poria Cocos), Zhuling (Poria Cocos), Chuanpuhuo (Cortex Magnoliae Officinalis), Dafupi (Pericarpium Arecae), Zexie (Rhizoma Alismatis).
Zhike (Fructus Aurantii), Zhibanxia (Rhizoma Pinelliae Preparata), Maiya (Semen Hordei), Guangpi (Pericarpium Citri Reticulatae), Shangxiangjun (Radix Rheomi), Yinchen (Artemisiae Scopariae Herba).
Third visit: Ying and Wei circulation is blocked, suddenly causing chills and fever. To harmonize Yin and Yang, one must regulate Ying and Wei; to regulate Ying and Wei, one must remove what obstructs them.
Zhibanxia (Rhizoma Pinelliae Preparata), Fanzhiqu (Medicated Leaven Prepared), Chi Zhuling (Poria Cocos mixture), Yujin (Radix Curcumae Longae), Jiaomaiya (Fritillariae Bulbus stir-fried malt), Shang Guangpi (Pericarpium Citri Reticulatae), Mianyinchen (Artemisiae Scopariae Herba), Jian Zexie (Rhizoma Alismatis), Guangui (Ramulus Cinnamomi Cassiae, 0.5 qian).
Fourth visit: Jaundice has greatly receded, but damp-heat is not yet cleared.
Chuanpuhuo (Cortex Magnoliae Officinalis), Yujin (Radix Curcumae Longae), Chi Zhuling (Poria Cocos mixture), Banxiaqu (Rhizoma Pinelliae Fermented), Juhong (Pericarpium Citri Reticulatae Pericarpium Rubrum), Zexie (Rhizoma Alismatis).
Yinchen (Artemisiae Scopariae Herba), Guangui (Ramulus Cinnamomi Cassiae), Zheng Sharen (Fructus Amomi Rotundus), Dafupi (Pericarpium Arecae), Jiaomaiya (Fritillariae Bulbus stir-fried malt).
Zhao (Right) After measles, wind pathogens linger unresolved, carrying dampness to stagnate internally. Spleen transportation fails, causing yellowing of the face, limbs, and body. Jaundice cannot be cured hastily.
Yinchen (Artemisiae Scopariae Herba), Heishanzhi (Fructus Gardeniae Jasminoidis, charred), Zexie (Rhizoma Alismatis), Shenqu (Massa Medicata Fermentata), Dafupi (Pericarpium Arecae), Qinghao (Herba Artemisiae Annuae).
Guangui (Ramulus Cinnamomi Cassiae), Chibailing (Poria Cocos et Albus Poria Cocos), Chuanpuhuo (Cortex Magnoliae Officinalis), Guangpi (Pericarpium Citri Reticulatae), Jiaomaiya (Fritillariae Bulbus stir-fried malt).
Jin (Left) Abdominal fullness and qi stagnation, urine turbid and yellow. Dampness stagnates in the San Jiao. Propose regulating qi and managing dampness.
Zhichuanpuhuo (Cortex Magnoliae Officinalis Preparata, 1 qian), Chenpi (Pericarpium Citri Reticulatae, 1 qian), Xingren (Semen Armeniacae Amarum, 3 qian), Fanzhiqu (Medicated Leaven Prepared, 2 qian), Zexie (Rhizoma Alismatis, 1.5 qian), Dafupi (Pericarpium Arecae, 2 qian).
Yinchen (Artemisiae Scopariae Herba, 2 qian), Tongcao (Medulla Tetrapanacis, 1 qian), Jiaomaiya (Fritillariae Bulbus stir-fried malt, 3 qian), Xian Foshou (Fructus Citri Sarcodactylis fresh, 1 qian).
Zhang (Right) Excessive grain intake leads to qi deficiency, floating yellow complexion, limb fatigue, and body weakness. Pulse is choppy, tongue is pale. Postpartum labor injury causes blood deficiency and Ying stagnation with disharmony.
Chao Baizhu (Rhizoma Atractylodis Macrocephalae stir-fried), Zhibanxia (Rhizoma Pinelliae Preparata), Qinjiao (Radix Gentianae Macrophyllae), Zexie (Rhizoma Alismatis), Wancansha (Spuma Bombycatus Serici), Zhuling (Poria Cocos), Yunling (Poria Cocos), Jiaomaiya (Fritillariae Bulbus stir-fried malt), Baijili (Semen Tribuli Terrestris), Yuyuliwan (Pilula Haematitatis, 2 qian).
Xu (Left) Epigastric and abdominal pain and distension have stabilized, but the face and body are yellow. Qi stagnation and Ying depression may transform into abdominal distension.
Guangpi (Pericarpium Citri Reticulatae), Tao Ren (Semen Persicae), Yanhusuo (Rhizoma Corydalis), Guang Yujin (Radix Curcumae Longae), Zhibanxia (Rhizoma Pinelliae Preparata), Sheng Yiren (Semen Coicis raw).
Guiwei (Radix Angelicae Sinensis Caulis), Xingjiang (Lac Draconis), Jiao Zhishi (Fructus Aurantii Immaturus stir-fried), Xuanfuhua (Capitium Inulae), Qingcongguan (Caulis Allii Fistulosi).
Right Case: Long-standing illness causes meridian stagnation, qi and blood do not flow, resulting in yellowing of the face and eyes. This differs from ordinary damp-heat.
Guiwei (Radix Angelicae Sinensis Caulis), Tao Ren (Semen Persicae), Zexie (Rhizoma Alismatis), Xingjiang (Lac Draconis), Chi Zhuling (Poria Cocos mixture), Xuanfuhua (Capitium Inulae), Qingcongguan (Caulis Allii Fistulosi).
Wu: Although the major trend of jaundice has receded, qi remains unopened. Lingering for two months, now with loose stools and incomplete evacuation. This is because dampness has trapped the body for a long time, damaging Spleen Yang. Propose tonifying Earth and warming Spleen to differentiate and drain.
Yushu (Rhizoma Atractylodis Macrocephalae), Shengshu Yiren (Semen Coicis raw and stir-fried), Ganjiang (Rhizoma Zingiberis Recens), Chenpi (Pericarpium Citri Reticulatae), Fanzhiqu (Medicated Leaven Prepared), Fuling (Poria Cocos), Mianyinchen (Artemisiae Scopariae Herba), Sharen (Fructus Amomi Rotundus), Zexie (Rhizoma Alismatis).
Second visit: Qi mechanism slightly opens, but loose stools persist. Indeed, damp-heat traps and weakens, damaging Spleen Yang. Seek efficacy from the medicine.
Xiyinchen (Artemisiae Scopariae Herba, 2 qian), Fuling (Poria Cocos, 3 qian), Shang Guangpi (Pericarpium Citri Reticulatae, 1 qian), Zexie (Rhizoma Alismatis, 1.5 qian), Shengshu Yiren (Semen Coicis raw and stir-fried, 2 qian each), Chao Ganjiang (Rhizoma Zingiberis Recens stir-fried, 0.4 qian).
Zhuling (Poria Cocos, 2 qian), Weimuxiang (Radix Aucklandiae prepared by baking, 0.3 qian), Lizhongwan (Pilula Lizhong, 1.5 qian, taken first with warm water).
Left Case: Internal injury from overwork, lusterless complexion, hanging pain in the chest, limb heaviness and weakness, dull stomach and reduced appetite. Treatment should focus on the Stomach.
Baizhu (Rhizoma Atractylodis Macrocephalae), Chibailing (Poria Cocos et Albus Poria Cocos), Yujin (Radix Curcumae Longae), Muxiang (Radix Aucklandiae), Shengshu Guya (Semen Hordei germinated raw and stir-fried), Guangpi (Pericarpium Citri Reticulatae).
Sheng Yiren (Semen Coicis raw), Huoxiang (Herba Agastaches Rugosae), Kourén (Fructus Cardamomi), Baitanxiang (Lignum Aquilariae Resinatum), Sanfeng Famuwán (Pilula Sanfeng Removing Wood).
Hang (Left) Yellow face and weakness, loose stools and yellow urine. Damp-heat is below, consistent with the classic text stating "excessive grain leads to qi deficiency."
Tai Zhu (Rhizoma Atractylodis Macrocephalae), Zhu Yunling (Poria Cocos mixture), Zexie (Rhizoma Alismatis), Sheng Yiren (Semen Coicis raw), Jiaomaiya (Fritillariae Bulbus stir-fried malt), Yinchen (Artemisiae Scopariae Herba), Fanzhiqu (Medicated Leaven Prepared), Guangpi (Pericarpium Citri Reticulatae), Jiuchao Sangzhi (Ramulus Mori Wine-stir-fried), Sharen (Fructus Amomi Rotundus).