曹(三十一岁) 肾虚(笔力清老)水液变痰，下部溃疡成漏，血后嗽呛不止，精血内夺，
龙雷闪烁，阴损及阳，症非渺小，庸医见痰血及嗽，辄投凉剂，不知肾藏生气宜温，若胃倒
便泻，坐视凶危矣。(肾脏生气春升温暖之气也
，温则生，寒则生机绝矣。)
人参 胡桃肉 五味子 茯神 鲜河车胶 湖莲子 芡实
治肾病有时用知、柏、龟、地，亦以其相火过热，除其热气，使之温和也，并非寒冷遏
绝生气也，亦犹温胆汤之义。知此一层，便知用寒凉之妙，岂易言哉。
沈(二十五岁) 年十三时，自食鹿角胶吐血，继用龟板胶而愈，缘稚少阳体，升补督脉
已
非，述有遗泄，虑血再发，肌肉消瘦，阴虚偏热，既虑夙恙，当戒奔驰用力。静处身心自宁
，无发病之累(奔驰用力太过，浮阳最易泄越，阴火即随上溢，载血涌逆。惟静处林泉天真
宁谧，斯为上药。)
六味去丹泽，加水陆二仙、覆盆、湖莲、龟腹版心。
杨(二十二岁) 阴损体质，学艺倾银，火燃外烁内，液枯不能复，日饮上池无用。
糯稻根须 天冬 熟地 五味子
莫(无锡，四十六岁) 易怒，气火逆行，脘中微窒(有痰滞，)气阻妨食，先开上痹，瘦
人脉数弦，勿投香燥(气火逆行，痰必上涌，故药兼治痰也。)
枇杷叶 降香末 黑栀皮 土蒌皮 杜苏子 新会皮(去白)
管(四十三岁) 食减内瘦，食已不运，诊关前沈濡小涩，尺中虚芤，脾阳宜动，肾阳宜
藏，见此脉症，未老早衰。内损以调偏，莫言攻邪。(脾阳宜动，肾阳宜藏，其治法动脾阳
即所以藏肾阳也。)
人参 茯苓 荜茇 葫芦巴 生益智 生姜
脾阳肾阳，宜动宜静，各有所主。此二语医理中玄妙，该括无数妙义，后学牢牢记着。
知但动脾阳，即所以藏肾阳，而藏肾阳益所以动脾阳也。
倪(枫桥，二十三岁) 劳伤营卫，不任烦冗，元气不足，兼后天生真不旺。古人必以甘
温气味。从中调之(心营肺卫治法用药益见心为阳中之太阳也。)
建中法加人参、桂心、当归。
心营肺卫，实则兼统于心。以心为阳中之太阳，营卫惟太阳主之，建中加参、桂、当归
，建心主之宫城也。
邵(枫桥，七十七岁) 高年四末肉肿骨大，乃气血已衰，不能涵注，内风暗起，谓风淫
末疾(禀经酌雅)。
桑寄生 枸杞子 虎掌骨 沙苑
照常熬膏，不用蜜收。
徐(二十三岁) 内损血后，痰嗽渐渐声哑，乃精血先伤，阴中龙火闪烁，迭经再发，损
必
难复，填实下元，虑其不及。庸医见血滋降，见嗽清肺消痰，不知肾液被阴火 炼化痰，频
发必凶。(每见血后继必痰嗽，都因见血先投凉滋，遏抑火气所致，)保养可久，服景岳一气
丹。(肾主五液，主充养肌肉、灌输百脉，阴火日夜煎熬，悉化枯痰矣。)
徐(十七岁) 虚质，肝络受寒为疝。议温养入营中和血治疝。
炒橘核 桂心 粗桂枝 归身 茯苓 冬葵子 小茴香
王(陆家 ，三十六岁) 纯阳气分药见效，则知病患酒肉冷物乱食，湿内聚伤阳。若不
慎口必危。
生白术 炒黑生附子 茯苓 泽泻
徐(二十六岁) 少年读书久坐，心阳亢坠，皆令肾伤。医药乱治，胃伤虚里，胀闷吐水
，而滑精未已，乃无形交损(妙香散。)
人参 抱木茯神 远志 茯苓 益智仁 砂仁壳 青花龙骨 炙草
汪(二十九岁) 厥起五年，脉形细促，乃肾肝精血内怯。冬藏失降，脏阴不摄，致厥阳
内
风飞翔，冒昧精神，病在至阴(精神出色入理深谈。)热气集于身半以上，皆是下元根蒂之浅
(隧道阴阳交纽，内景如绘。)欲图其愈，必静居林壑，屏绝世务一年，寒暑隧道，阴阳交纽
，不致离绝(此方乃补剂中之最灵动、最精深入微者。盖隧道阴阳交纽主一身督任，而言惟
督任为阴阳脉之二海，天关地轴交纽，此身命根二海一空，即有渐致离绝之势，五脏失其根
蒂，补剂讲究及此方为透入重关，非通套治病)
龟腹板心 活灵磁石 山萸肉 细川石斛 辰砂 川牛膝 人中白 黄柏
凡介虫三百六十，龟为之长。色黑为北方坎卦，水阴能潜矫阳，味咸纯阴，直入任脉阴
海。磁石质重，入肾制肝阳上冒。以辰砂镇心神，交其水火。萸肉酸以入肝敛肝，牛膝佐入
下焦，人中白咸，黄柏苦以入阴，咸苦制上浮，川斛清阴火，坚筋骨，此方大旨。
扁鹊见虢太子尸厥之病，曰∶上有绝阳之络，下有破阴之纽。可见人身自有命蒂，根本
交结，纽住阴阳，昼夜营运，循环无端，则五脏六腑，为生人根本。而脏腑之外，更有为脏
腑根蒂者，此先天干南坤北，后天南离北坎，皆于此为造化枢纽。品汇根柢，治病及此，何
等深细微奥。
昔年潘凤 治何虎占痰病，诊曰阴虚，疏方大半宗此旨，果效。
章 形壮脉弦，肢麻，胸背气不和，头巅忽然刺痛，是情志内郁，气热烦蒸，肝胆木火
变风，烁筋袭巅。若暴怒劳烦，有跌蹼痱中之累。(识得透此症必热蒸化痰，不但木火上沸
矣。)
人参 茯苓 真半曲 木瓜 刺蒺藜 新会皮
已参用二陈矣。盖形壮者，脉弦主痰饮也。
顾 劳伤形气寒，脉小失血，乱药伤胃，食减，必用人参益胃，凉药治嗽必死(人参当
归建中法去姜。)
人参 炙草 南枣 饴糖 当归 白芍 桂枝
徐 内损肝肾，久嗽失血，近日畏寒，吐血盈碗，冬不藏纳，阴伤及阳，法当贞元煎温
养。
人参 熟地 桂心 茯苓 五味 白芍 童便(半杯)
钮(湖州，二十八岁) 五六年胃痛，发必呕吐不便(妙方药。)
桃仁(炒) 麻仁 墨汁 延胡 归须 南楂(炒)
加韭汁十五匙。
是系厥阴结闭冲逆，以通幽法疏泄厥阴，遂其性而病自已，决不可投香燥也。
孙(二十二岁) 胸中乃清阳游行之所，少年气弱，操持经营皆扰动神机，病名胸痹。仲
景轻剂通上焦之阳。
薤白 桂枝 半夏 生姜 茯苓 白酒
申(余杭，二十六岁) 劳病水枯肾竭不治。
曹某（三十一岁）：肾气亏虚，水液代谢失常转化为痰饮，下部出现溃疡并形成瘘管，失血后咳嗽呛逆不止。精血严重耗损，导致相火妄动（龙雷之火），阴液亏损波及阳气，病情并非轻微。庸医见到痰中带血及咳嗽症状，就随意投用寒凉药物，却不知道肾脏所藏的生气需要温煦才能维持，如果导致胃气上逆、大便泄泻，就会坐视危重局面发生。（肾脏的生气是指春季升发、温暖的气机，气温则生机旺盛，寒冷则生机断绝。）
治疗肾病有时使用知母、黄柏、龟板、地黄，也是因为它们相火过旺，清除其热气，使之恢复温和，并非用寒冷药物遏绝生气，这也如同温胆汤的道理。明白这一层，就知道使用寒凉药物的奥妙，这岂是轻易能言说的。
沈某（二十五岁）：十三岁时，因食用鹿角胶而吐血，随后服用龟板胶而痊愈。这是因为年少时阳气升发之体，督脉升补已非正道，叙述中有遗精滑泄病史，担心血液再次发作，肌肉消瘦，属于阴虚偏热体质。既担忧旧病复发，应当戒除奔波劳累。静处身心自然安宁，无发病之累赘（奔波用力太过，浮阳最容易外泄越脱，阴火随即向上溢出，载血涌逆。只有在林泉间静处，保持天真宁谧的状态，才是最好的药物。）
六味地黄丸去掉丹皮、泽泻，加入水陆二仙丹、覆盆子、湖莲子、龟腹版心。
杨某（二十二岁）：阴液亏损体质，因学艺耗尽资财，火热燃烧于外并灼伤内部，津液枯竭无法恢复，每日饮用井水（上池之水）也无用处。
莫某（无锡，四十六岁）：容易发怒，气火逆行，胃脘部轻微窒闷（有痰滞阻），气机阻滞妨碍进食，先开通上焦痹阻。瘦人脉象数且弦，不要投用香燥药物（气火逆行，痰必上涌，所以药物兼治痰证。）
管某（四十三岁）：食欲减退，身体消瘦，进食后不能运化。诊察寸关部脉沉濡小涩，尺中脉虚芤，脾阳宜动，肾阳宜藏，见此脉症，未老先衰。内伤疾病以调理偏颇为主，不要谈论攻邪。（脾阳宜动，肾阳宜藏，其治法在于动脾阳即所以藏肾阳。）
脾阳与肾阳，宜动宜静，各有主宰。这两句话是医理中的玄妙之处，概括了无数妙义，后学者要牢牢记着。知道只要动脾阳，就是藏肾阳的方法，而藏肾阳又有助于动脾阳。
倪某（枫桥，二十三岁）：劳损伤及营卫，不胜烦冗事务，元气不足，兼之后天真元不旺。古人必定用甘温气味，从中调治（心营肺卫的治法用药，更见心为阳中之太阳。）
心营肺卫，实则兼统于心。因为心为阳中之太阳，营卫由太阳主司，建中汤加人参、桂枝、当归，是为了建立心主的宫城。
邵某（枫桥，七十七岁）：高龄者四肢末端肌肉肿胀骨骼粗大，这是气血已经衰败，不能涵注滋养，内风暗起，称为风淫末疾（禀经酌雅）。
照常熬膏，不用蜂蜜收炼。
徐某（二十三岁）：内伤失血后，痰嗽逐渐声音嘶哑，这是精血先伤，阴中龙火闪烁，屡次再发，损伤难以恢复，填补下元，担心力量不及。庸医见出血用滋阴降火药，见咳嗽用清肺消痰药，不知道肾液被阴火煎熬化为痰饮，频发必然凶险。（每见血后继发痰嗽，都因见血先投凉滋药物，遏抑火气所致，）保养可持久，服用景岳一气丹。（肾主五液，主充养肌肉、灌输百脉，阴火日夜煎熬，全化为枯痰矣。）
徐某（十七岁）：虚质体质，肝络受寒形成疝气。议定用温养入营、中和血分的方法治疗疝气。
王某（陆家，三十六岁）：纯用阳气分药物见效，可知病患因酒肉冷物乱食，湿气内聚损伤阳气。如果不慎口腹之欲，必然危险。
徐某（二十六岁）：少年读书久坐，心阳亢盛下坠，皆令肾受伤。医药乱治，胃伤虚里，胀闷吐水，而滑精未止，乃无形交损（妙香散。）
人参 抱木茯神 远志 茯苓 益智仁 砂仁壳 青花龙骨 炙甘草
汪某（二十九岁）：厥证起病五年，脉形细促，这是肾肝精血内怯。冬藏失降，脏阴不摄，导致厥阳内风飞翔，冒昧精神，病在至阴（精神出色入理深谈。）热气集于身半以上，皆是下元根蒂浅薄（隧道阴阳交纽，内景如绘。）欲图痊愈，必须静居山林，屏绝世务一年，寒暑隧道，阴阳交纽，不致离绝（此方乃补剂中最灵动、最精深入微者。盖隧道阴阳交纽主一身督任，而言惟督任为阴阳脉之二海，天关地轴交纽，此身命根二海一空，即有渐致离绝之势，五脏失其根蒂，补剂讲究及此方为透入重关，非通套治病）
龟腹板心 活灵磁石 山萸肉 细川石斛 辰砂 川牛膝 人中白 黄柏
凡介虫三百六十，龟为之长。色黑为北方坎卦，水阴能潜矫阳，味咸纯阴，直入任脉阴海。磁石质重，入肾制肝阳上冒。以辰砂镇心神，交其水火。萸肉酸以入肝敛肝，牛膝佐入下焦，人中白咸，黄柏苦以入阴，咸苦制上浮，川斛清阴火，坚筋骨，此方大旨。
扁鹊见虢太子尸厥之病，曰：“上有绝阳之络，下有破阴之纽。”可见人身自有命蒂，根本交结，纽住阴阳，昼夜营运，循环无端，则五脏六腑，为生人根本。而脏腑之外，更有为脏腑根蒂者，此先天干南坤北，后天南离北坎，皆于此为造化枢纽。品汇根柢，治病及此，何等深细微奥。
章某 形体壮实脉弦，肢体麻木，胸背气不和，头巅忽然刺痛，这是情志内郁，气热烦蒸，肝胆木火变风，烁筋袭巅。若暴怒劳烦，有跌蹼痱中之累。（识得透此症必热蒸化痰，不但木火上沸矣。）
顾某 劳伤形气寒，脉小失血，乱药伤胃，食减，必用人参益胃，凉药治嗽必死（人参当归建中法去姜。）
徐某 内损肝肾，久嗽失血，近日畏寒，吐血盈碗，冬不藏纳，阴伤及阳，法当贞元煎温养。
钮某（湖州，二十八岁）：五六年胃痛，发作必呕吐不便（妙方药。）
加韭汁十五匙。
这是厥阴结闭冲逆，以通幽法疏泄厥阴，遂其性而病自已，决不可投用香燥药物。
孙某（二十二岁）：胸中乃清阳游行之所，少年气弱，操持经营皆扰动神机，病名胸痹。仲景轻剂通上焦之阳。
申某（余杭，二十六岁）：劳病水枯肾竭不治。
Cao (31 years old): Kidney Qi deficiency, water metabolism disorder transforming into phlegm-fluids, lower body ulceration forming a fistula. After blood loss, coughing and choking persist incessantly. Essence and blood are severely depleted, causing ministerial fire to flare up (Dragon and Thunder Fire). Yin damage extends to Yang; the condition is not minor. Quack doctors, seeing phlegm-blood and cough, indiscriminately administer cooling agents, unaware that the vital Qi stored in the Kidneys requires warmth to be maintained. If this leads to stomach Qi rebellion and diarrhea, one would sit idly by while facing a critical situation. (The vital Qi of the Kidneys refers to the spring-like ascending and warming Qi. Warmth generates life; coldness extinguishes it.)
Ren Shen (Ginseng Radix), Hu Tao Rou (Walnut Kernel), Wu Wei Zi (Schisandrae Fructus), Fu Shen (Poria with Hostwood), Xian He Che Jiao (Fresh Placenta Gel), Hu Lian Zi (Lake Lotus Seed), Qian Shi (Euryales Semen).
In treating Kidney diseases, Zhi Mu (Anemarrhenae Rhizoma), Huang Bai (Phellodendri Cortex), Gui Ban (Testudinis Carapax et Plastrum), and Di Huang (Rehmanniae Radix) are sometimes used because their ministerial fire is excessive; clearing the heat restores mildness, rather than using cold to suppress the vital Qi. This is also consistent with the principle of Wen Dan Tang (Warming Gallbladder Decoction). Understanding this layer reveals the subtlety of using cooling agents, which is not easily explained.
Shen (25 years old): At age thirteen, he vomited blood after consuming Lu Jiao Jiao (Deer Antler Glue), and was cured later by using Gui Ban Jiao (Tortoise Shell Glue). This is because in youth, the ascending Yang constitution makes tonifying the Du Mai (Governing Vessel) inappropriate. He reports history of seminal emission and fears blood recurrence. Muscle wasting indicates Yin deficiency with偏 (partial) heat. To prevent relapse, one must avoid overexertion. Physical stillness brings mental peace, preventing disease accumulation. (Overexertion causes floating Yang to leak and escape; Yin fire rises accordingly, carrying blood upward in rebellion. Only by staying quietly in nature, maintaining innocence and tranquility, can one find the best medicine.)
Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) minus Dan Pi (Moutan Cortex) and Ze Xie (Alismatis Rhizoma), plus Shui Lu Er Xian San (Water and Land Two Immortals Powder), Fu Pen Zi (Rubiae Fructus), Hu Lian Zi (Lotus Seed), and Gui Fu Ban Xin (Tortoise Plastrum Heart).
Yang (22 years old): Yin-deficient constitution. Financial exhaustion from studying art causes fire to burn externally and scorch internally. Body fluids are depleted and cannot recover. Drinking well water daily is useless.
Nuo Dao Gen Xu (Glutinous Rice Root Hairs), Tian Dong (Asparagi Radix), Shu Di Huang (Prepared Rehmanniae Radix), Wu Wei Zi (Schisandrae Fructus).
Mo (Wuxi, 46 years old): Prone to anger, Qi and fire move in reverse. Epigastric slight obstruction (due to phlegm stagnation); Qi blockage hinders eating. First, open upper Jiao obstruction. Thin patients with rapid and wiry pulses should not receive aromatic-dry herbs. (When Qi and fire reverse, phlegm surges upward; thus, herbs must treat phlegm concurrently.)
Pi Pa Ye (Loquat Leaf), Jiang Xiang Mo (Aquilaria Wood Powder), Hei Zhi Pi (Black Gardenia Peel), Tu Lou Pi (Trichosanthis Pericarpium), Du Su Zi (Perilla Seed), Xin Hui Pi (Citrus Reticulata Peel, white part removed).
Guan (43 years old): Reduced appetite, emaciation, indigestion after eating. Pulse at Cun/Guan positions is deep, soggy, small, and choppy; Chi position is deficient and hollow. Spleen Yang should move; Kidney Yang should store. These pulse and symptom patterns indicate premature aging. Internal injury treatment focuses on regulating imbalance, not attacking pathogens. (Moving Spleen Yang is how one stores Kidney Yang.)
Ren Shen (Ginseng Radix), Fu Ling (Poria), Bi Bo (Long Pepper Fruit), Hu Lu Ba (Trigonellae Semen), Sheng Yi Zhi (Raw Alpiniae Officinarum Rhizome), Sheng Jiang (Zingiberis Rhizoma Recens).
Spleen Yang and Kidney Yang have respective preferences for movement and stillness. These two phrases contain profound medical principles encompassing countless subtle meanings; students must memorize them firmly. Knowing that moving Spleen Yang stores Kidney Yang, and storing Kidney Yang aids moving Spleen Yang, is key.
Ni (Fengqiao, 23 years old): Labor injury damages Ying and Wei. Cannot tolerate繁琐 (complexity/busyness). Yuan Qi is insufficient, and acquired true Yuan is weak. Ancients used sweet-warm flavors to regulate from the middle. (Treating Heart Ying and Lung Wei reveals that the Heart is the Supreme Yang within Yang.)
Jian Zhong Fa (Establish Middle Method) adds Ren Shen (Ginseng Radix), Gui Xin (Cinnamomi Ramulus), Dang Gui (Angelicae Sinensis Radix).
Heart Ying and Lung Wei are actually governed by the Heart. As the Supreme Yang, the Heart governs Ying and Wei. Jian Zhong decoction with Ginseng, Cinnamon Twig, and Angelica builds the palace city of the Heart Master.
Shao (Fengqiao, 77 years old): Elderly person with swollen flesh and enlarged bones in extremities. Qi and Blood are exhausted, unable to nourish. Internal wind arises secretly, termed "Wind invading extremities."
Sang Ji Sheng (Taxilli Herba), Gou Qi Zi (Lycii Fructus), Hu Zhang Gu (Panther Bone - *Note: Modern ethical substitution often applies, but text says Tiger Palm Bone*), Sha Yuan Ji Li (Astragali Complanati Semen).
Boil into paste as usual, do not use honey to consolidate.
Xu (23 years old): Internal injury after blood loss; phlegm-cough gradually causes hoarseness. Essence and blood are first damaged; Dragon Fire within Yin flares up. Repeated episodes make recovery difficult. Filling the Lower Yuan may lack potency. Quacks see blood and use yin-nourishing/descending herbs; see cough and use lung-clearing/phlegm-resolving herbs. They do not know kidney fluids are refined into phlegm by Yin fire. Frequent attacks will be fatal. (Every time blood loss is followed by phlegm-cough, it is caused by initially administering cooling-yin herbs that suppress fire.) Long-term maintenance involves taking Jing Yue Yi Qi Dan. (Kidneys govern five fluids, nourish muscles, and irrigate vessels. Yin fire day and night refines all into dry phlegm.)
Xu (17 years old): Deficient constitution. Cold invades Liver collaterals causing hernia. Propose warming, nourishing Ying, harmonizing, and blood-invigorating methods for hernia.
Chao Ju He (Stir-fried Tangerine Seed), Gui Xin (Cinnamon Heart), Cu Gui Zhi (Coarse Cinnamon Twig), Gui Shen (Angelicae Sinensis Radix Segment), Fu Ling (Poria), Dong Kui Zi (Abutilonis Semen), Xiao Hui Xiang (Foeniculi Fructus).
Wang (Lujia, 36 years old): Pure Yang-Qi category medicines were effective, indicating the patient's illness resulted from irregular consumption of alcohol, meat, and cold foods, leading to internal dampness accumulating and damaging Yang. Carelessness with diet will lead to danger.
Sheng Bai Zhu (Raw Atractylodis Macrocephalae Rhizoma), Chao Hei Sheng Fu Zi (Stir-fried Black Raw Aconite Lateralis Radix Preparata), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma).
Xu (26 years old): Youthful scholar sitting long hours; Heart Yang becomes hyperactive and sinks, injuring Kidneys. Chaotic medical treatment damages Stomach and Xu Li (Vital Region). Distension, fullness, vomiting water, and spermatorrhea persist. This is invisible mutual damage. (Miao Xiang San.)
Ren Shen (Ginseng Radix), Bao Mu Fu Shen (Poria wrapped in hostwood), Yuan Zhi (Polygalae Radix), Fu Ling (Poria), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Sha Ren Ke (Amomi Fructus Shell), Qing Hua Long Gu (Blue-flowered Fossilized Bones), Zhi Cao (Honey-fried Licorice Root).
Wang (29 years old): Jue syndrome for five years. Pulse is fine and hurried. Kidney and Liver essence/blood are internally deficient. Winter storage fails to descend; Zang Yin cannot hold. Jue Yang internal wind flies, clouding spirit. Disease is in Zhi Yin (Profound Yin). Heat gathers above the halfway point of the body, due to shallow roots of the Lower Yuan. To cure, one must live quietly in forests, cut off worldly affairs for a year. Cold/heat tunnels, Yin/Yang intersections must not separate. (This formula is the most agile and penetrating among tonics. The tunnel Yin-Yang intersection governs Du and Ren vessels. Du and Ren are the two seas of Yin-Yang meridians. Heaven-Earth axis intersection empties these life-seas, leading to separation. Five Zangs lose roots. Tonics must reach this depth, not just treat symptoms generally.)
Gui Fu Ban Xin (Tortoise Plastrum Heart), Huo Ling Ci Shi (Active Magnetitum), Shan Yu Rou (Corni Fructus), Xi Chuan Shi Hu (Dendrobii Nobile Caulis), Chen Sha (Cinnabaris), Chuan Niu Xi (Cyathulae Radix), Ren Zhong Bai (Urina Seca), Huang Bai (Phellodendri Cortex).
Among 360 shellfish, the turtle is chief. Black color corresponds to North Kan Trigram. Water-Yin subdues Yang. Salty taste is pure Yin, entering Ren Mai Yin Sea directly. Magnetite is heavy, enters Kidneys to control Liver Yang rising. Cinnabar calms Heart Spirit, balancing Water and Fire. Cornus fruit is sour, enters Liver to astringe Liver. Cyathula assists into Lower Jiao. Ren Zhong Bai is salty, Huang Bai is bitter, entering Yin. Salty/Bitter controls floating upward. Dendrobium clears Yin fire, strengthens bones/tendons. This is the main idea of the formula.
Bian Que saw the Crown Prince of Guo with corpse-Jue disease, saying: "Above are severed Yang collaterals; below are broken Yin knots." Thus, the human body has its own life-knot. Roots interlock, knotting Yin and Yang, operating day and night in endless cycles. Five Zangs and Six Fu are the root of life. Outside Zang/Fu, there are roots of Zang/Fu. Pre-heaven Heaven South Earth North, Post-heaven South Li North Kan, all revolve here as the pivot of creation. Understanding origins, treating to this level, is profoundly subtle.
In past years, Pan Feng treated He Huzhan's phlegm disease, diagnosed Yin deficiency, prescribed largely following this principle, and it was effective.
Zhang: Robust physique, wiry pulse, limb numbness, chest/back Qi disharmony, sudden stabbing pain at vertex. This is emotional depression, Qi heat steaming, Liver/Gallbladder Wood-Fire transforming into Wind, scorcing tendons attacking vertex. If violent anger or labor occurs, risk of falling paralysis or apoplexy. (Understanding this clearly reveals heat steams phlegm, not just Wood-Fire boiling.)
Ren Shen (Ginseng Radix), Fu Ling (Poria), Zhen Ban Qu (True Half-Koji), Mu Gua (Chaenomelis Fructus), Ci Ji Li (Tribuli Fructus), Xin Hui Pi (Citrus Reticulata Peel).
Er Chen Tang (Two-Cured Decoction) has already been used. Generally, robust patients with wiry pulses indicate phlegm-fluids.
Gu: Labor injury damages form/Qi/Cold. Fine pulse, blood loss. Chaotic drugs damage Stomach, reduced food intake. Must use Ren Shen to benefit Stomach. Cooling drugs for cough will cause death. (Ren Shen Dang Gui Jian Zhong Fa minus Ginger.)
Ren Shen (Ginseng Radix), Zhi Cao (Honey-fried Licorice Root), Nan Zao (Southern Jujube), Yi Tang (Maltose), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba), Gui Zhi (Cinnamomi Ramulus).
Xu: Internal injury Liver/Kidney, chronic cough with blood loss. Recent aversion to cold, vomiting bowl-full of blood. Winter storage fails, Yin damage extends to Yang. Method should be Zhen Yuan Jian (True Origin Decoction) for warming/nourishing.
Ren Shen (Ginseng Radix), Shu Di Huang (Prepared Rehmanniae Radix), Gui Xin (Cinnamon Heart), Fu Ling (Poria), Wu Wei Zi (Schisandrae Fructus), Bai Shao (Paeoniae Radix Alba), Tong Bian (Human Urine, half cup).
Niu (Huzhou, 28 years old): 5-6 years of stomach pain, attacks with vomiting and constipation. (Excellent prescription.)
Tao Ren (Stir-fried Peach Seed), Ma Ren (Hemp Seed), Mo Zhi (Ink Juice), Yan Hu (Corydalis Rhizome), Gui Xu (Angelicae Sinensis Radix Tip), Nan Zha (Stir-fried Hawthorn Fruit).
Add 15 spoons of Chive Juice.
This is Jue Yin closure with rebellious Qi. Use Tong You Fa (Open the Dark Method) to vent Jue Yin, following its nature so disease resolves itself. Do not use aromatic-dry herbs.
Sun (22 years old): Chest is where Clear Yang circulates. Youthful Qi is weak; management/stress disturbs Shen Ji (Divine Mechanism). Disease name: Xiong Bi (Chest Bi). Zhong Jing uses light agents to unblock Upper Jiao Yang.
Xie Bai (Macrostemonis Bulbus), Gui Zhi (Cinnamomi Ramulus), Ban Xia (Pinelliae Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens), Fu Ling (Poria), Bai Jiu (White Wine).
Shen (Yuhang, 26 years old): Lao Bing (Chronic Exhaustion Disease) with dried water and exhausted Kidneys is untreatable.