席(东山,五十岁) 血痹气滞,腹中不和,而大便燥结不润(血痹之故。)夏季以柔药辛
润,交霜降土旺,连次腹痛,目 变黄,此非黄胆,湿热瘀留阻壅乃尔。
炒桃仁 郁李仁 茺蔚子 冬葵子 菠菜干
血蓄久必涩,故行瘀兼以滑可去涩,药味总不妄投。
血主流行,痹则血结而气滞,不甚血虚,当用宣通法,药品精细。
刘(淮安,二十六岁) 有物有形之滞,从胃入肠,当心胸之下,皆阳气游行之所,因初
起停食几年,疑惑其实,阳不旋转,而致结痹。
薤白白酒汤病属无形之气,不关有形之滞,故用通阳法。
江(通州,四十四岁) 痰饮哮喘,遇寒劳怒即发。
小青龙去麻黄。
哮喘先开太阳。
陈(黎里,四十四岁) 形色脉象,确是阳虚。酒食聚湿,湿注肠痔下血。湿为阴浊,先
伤脾阳,阳微气衰,麻木起于夜半亥子,乃一日气血交代,良由阳微少续。有中年中痱之疾
。
人参 生于术 炮姜 炙草 炒黑附子
阳主跷疾,阳衰则躯壳重滞,阳微则生气少续,附子理中以温中下。总为健阳计耳。
张(嘉兴,十八岁) 阴火从晡暮而升,寐中呻吟,是浮阳不易归窟,形瘦食少,盗汗,
摄固为是。
六味加人中白、阿胶。
凡小儿夜寐,神魂不宁,多哭淋漓,时起躁扰者,的系阴虚体质,先天禀薄,非遭痘殇
,即至长育二十左右,必成痨瘵,此屡试屡验者。
寐则阳气潜藏,魂气归于肝矣,肝阴不充,神魂少恋,故寐中呻吟。治以养阴降火为
宜。
李(娄门,六十七岁) 左右为阴阳之道路,而暮年频又操持经营,且不获利,心境失畅
,则行动之气血,拘束不和,为痛甚于夜者,阳气衰微,入夜阴病加也。养营法,操持经营
而不获利,则心营拂郁而失养,以养营法和畅气血,俾肝木欣欣向荣,无拘束不和之患矣。
此无形之邪,仅免脱营失精耳。
张(海盐,六十三岁) 据述秋季外邪变疟,延几月始愈。夫秋疟是夏令暑湿热内伏,新
凉外触,引动伏邪而发,俗医但知柴葛解肌小柴胡等汤。不知暑湿在气分,因药动血,血伤
挛脾,筋热则弛,筋寒则纵,乃致有年痿痹难效之 。
当归 寄生 虎骨 杞子 沙苑 抚芎
病在气分,妄动血分,每成筋痿拘挛,骨节疼痛,痿痹不舒,久恙,业医者,可不慎欤?
孙(南仓桥,二十四岁) 精损于下,阴中龙雷燃烁莫制,失血后肛疡脓漏,即阴火下坠
致。行走喘促,涎沫盈碗上涌,肾不摄纳真气,五液化沫涌逆,无消痰治嗽之理。扶胃口摄
肾真,此时之要务。
人参 坎气 胡黄连 紫石英 茯苓 五味子 芡实 山药
火性本上炎,而阴火有孔即注,亦能下坠。恒见足心沸热,喜践冷处,亦阴火下坠之症
也,老气无敌。
吴(关上) 气泄用阳药固气,庸医治嗽滋阴,引入劳病一途。
黄 建中加人参
久嗽则肺气缘咳而升泄。肺主华盖,一身治节出焉。泄则中气少续,用阳药固气,是为
知要。
王(同里,二十七岁) 向成婚太早,精未充先泄。上年起于泄泻(少阴不固)继加痰嗽(
五
液变痰)食纳较多,形肌日瘦(阴火内灼)深秋喉痛,是肾精内乏(循少阴脉上烈。)当冬令潜
降,阴中龙雷闪烁(逆天度矣。)无收藏职司,谷雨万花开遍(阳气大升大泄,)此病必加反复
。
秋石拌人参 紫衣胡桃肉 茯神 紫石英 女贞子 北五味子
病情一路述来,分五层次第,着实说来,无捕风捉影之谈。
沈(三十四岁) 六腑阳气不行,浊凝便艰,浊结则痛,半硫丸热药中最滑,入肠泄浊,
阴沉滞胃,阳当未醒复,薄味相宜。
炒生川附 生淡干姜
葱白汁泛丸。
惟半硫丸最滑,故入肠速而不留恋于胃,胃阳尚未醒复。
陆(宝山,十八岁) 春正气候,寒威未去,吸受寒气,先伤胸膈胃脘之阳,食已嗳噫酸
浊陈腐之气,乃清阳不至,旋转运用。忌进腥粘,始用蔬食,病去胃口不得乱药。
荜茇 生益智仁 生姜 砂仁壳 土瓜 蒌皮
上焦主清,主阳,惟虚灵无浊味熏染,则上焦得通,津液得下,胃气因和也。
唐(江宁,二十九岁) 病患述上年夏五月住直隶白沟河,北省不比南地,雨湿热蒸,夜
坐
寒侵,即寒热亦是轻邪,医用滚痰丸下夺,表邪结闭,肺痿音哑,喉痛咽物艰难,仿徐之才
轻可去实,有气无味之药。(气走阳,味走阴,轻扬肃上,取气轻力薄者。)
射干 甘草 大力 滑石块 麻黄苗 蝉蜕 杏仁
张(无锡,二十二岁) 嗽血秋季再发,夜热汗出,全是阴虚。大忌肺药。理嗽绝欲百日
,助其收藏,胃口颇好。肾肝阴药必佐摄纳。
熟地 炒山药 芡实 五味 湖莲 茯神
陆(西淮,六十一岁) 人到花甲,下元先亏,嗜酒湿聚便滑,视面色雄伟,精采外露,
加劳怒,内风突来,有痱中之象。(精采外露,下元愈亏,内风一动,无根蒂以立基地矣,
故痱中也。)
七宝美髯丹加三角胡麻。
陈(东仓,三十三岁) 脉小缓涩,自胃脘胀至少腹,大便已溏,泄肝苦辛,小效不愈。
少壮形色已衰,法当理阳宣通,虑其肿浮腹大。
人参 木瓜 广皮 炮姜 益智 茯苓
沈(湖州) 农人单腹胀,乃劳力肌饱失时所致,最难见效。
【患者席某,东山人,五十岁】患有血痹(血液运行不畅导致的痹阻)和气滞,腹部不适,大便干燥结硬且不润泽。这是血痹所致。夏季使用柔润辛散的药物治疗。到了霜降时节,正值脾土当令,接连出现腹痛,眼睛变黄。这并非黄疸病,而是湿热瘀血留滞、阻塞壅塞所致。
处方:炒桃仁、郁李仁、茺蔚子、冬葵子、菠菜干。
血液蓄积日久必然涩滞,所以行瘀的同时兼用滑利之法以去除涩滞,用药总不妄加投予。
血液本主流行,痹阻则血结而气滞。患者血虚不甚,应当采用宣通法,药品选用精细。
【患者刘某,淮安人,二十六岁】有形的食积停滞,从胃进入肠道,停留在心胸之下。这些都是阳气游行的部位。因为起初停食几年,被误认为实证,导致阳气不能旋转流通,从而引起结痹。
薤白白酒汤治疗的是无形的气机阻滞,不涉及有形的食积,所以采用通阳法。
【患者江某,通州人,四十四岁】患有痰饮哮喘,遇到寒冷、劳累或愤怒就会发作。
处方:小青龙汤去掉麻黄。
治疗哮喘先要开启太阳经气。
【患者陈某,黎里人,四十四岁】观察其神色形态和脉象,确属阳虚。酒食聚生湿气,湿邪下注导致肠痔出血。湿为阴浊之邪,首先损伤脾阳。阳气微弱、气衰,麻木感在半夜亥时、子时出现,这是一日之中气血交接之时,确实是由于阳气微弱,接续无力。有中年患中风痱疾的风险。
处方:人参、白术、炮姜、炙甘草、炒黑附子。
阳气主管跷脉疾病,阳气衰弱则身体沉重滞涩,阳气微弱则生机接续不足。附子理中汤用于温补中下焦。总体都是为了健旺阳气打算。
【患者张某,嘉兴人,十八岁】阴火在傍晚时分升起,睡眠中呻吟,这是浮阳不易归藏于肾窟,形体消瘦,饮食减少,盗汗,应当采取摄固的方法。
处方:六味地黄丸加入人中白、阿胶。
凡是小儿夜间睡眠,神魂不宁,多哭淋漓,时常起立躁扰的,确实是阴虚体质,先天禀赋薄弱,不是遭遇痘疹夭折,就是长到二十岁左右,必定成为劳瘵(肺结核类消耗性疾病),这是屡试屡验的。
睡眠时阳气潜藏,魂气归于肝脏。肝阴不充盈,神魂留恋不足,所以在睡眠中呻吟。治疗应以养阴降火为宜。
【患者李某,娄门人,六十七岁】左右是阴阳运行的道路,而晚年频繁操持经营,且未能获利,心境失畅,导致行动的气血拘束不和,疼痛在夜间加重,这是因为阳气衰微,入夜后阴病加剧。采用养营法。操持经营而不获利,则心营拂郁而失去滋养,用养营法调和畅达气血,使肝木欣欣向荣,没有拘束不和的隐患。这是无形的邪气,仅免于脱营失精罢了。
【患者张某,海盐人,六十三岁】据叙述秋季外邪变为疟疾,拖延几个月才痊愈。秋疟是夏令暑湿热内伏,新凉外触,引动伏邪而发。俗医只知道柴葛解肌汤、小柴胡汤等。不知道暑湿在气分,因药物扰动血分,血伤筋挛脾,筋热则弛缓,筋寒则纵缓,从而导致多年痿痹难以见效。
处方:当归、桑寄生、虎骨、枸杞子、沙苑子、抚芎。
病在气分,妄动血分,每成筋痿拘挛,骨节疼痛,痿痹不舒。久病,医者能不谨慎吗?
【患者孙某,南仓桥人,二十四岁】精气在下部亏损,阴中的龙雷之火燃烧灼烧无法控制,失血后肛周溃疡脓液漏出,即是阴火下坠所致。行走喘促,涎沫盈碗上涌,肾不摄纳真气,五液化为沫涌逆,没有消痰治嗽的道理。扶助胃口、摄纳肾真是此时的要务。
处方:人参、坎气(脐带)、胡黄连、紫石英、茯苓、五味子、芡实、山药。
火性本向上炎,但阴火有孔道即注入,也能下坠。常见足心沸热,喜欢踩冷处,也是阴火下坠的症状,老弱之气无敌。
【患者吴某,关上】气泄使用阳药固气,庸医治咳嗽滋阴,引入劳病一途。
处方:黄芪、建中汤加入人参。
久咳则肺气随着咳嗽而升泄。肺主华盖,一身治节由此而出。泄则中气接续不足,用阳药固气,这才是知道要领。
【患者王某,同里人,二十七岁】向来结婚太早,精气未充先泄。上年开始于泄泻(少阴不固),继加痰嗽(五液变痰),饮食较多,形体肌肉日渐消瘦(阴火内灼),深秋喉痛,是肾精内乏(循少阴脉上烈)。当冬令潜降,阴中龙雷闪烁(逆天度矣)。无收藏职司,谷雨万花开遍(阳气大升大泄),此病必加反复。
处方:秋石拌人参、紫衣胡桃肉、茯神、紫石英、女贞子、北五味子。
病情一路述来,分五个层次第,着实说来,没有捕风捉影之谈。
【患者沈某,三十四岁】六腑阳气不行,浊凝便艰,浊结则痛。半硫丸是热药中最滑利的,入肠泄浊。阴沉滞胃,阳气尚未醒复,宜薄味饮食。
处方:炒生川附子、生淡干姜。
葱白汁泛丸。
只有半硫丸最滑利,所以入肠迅速而不留恋于胃,胃阳尚未醒复。
【患者陆某,宝山人,十八岁】春正月气候,寒威未去,吸受寒气,先伤胸膈胃脘之阳,食已嗳噫酸浊陈腐之气,乃清阳不至,旋转运用。忌进腥粘,始用蔬食,病去胃口不得乱药。
处方:荜茇、生益智仁、生姜、砂仁壳、土瓜、蒌皮。
上焦主清,主阳,惟虚灵无浊味熏染,则上焦得通,津液得下,胃气因和也。
【患者唐某,江宁人,二十九岁】病患叙述上年夏五月住直隶白沟河,北省不比南地,雨湿热蒸,夜坐寒侵,即寒热亦是轻邪,医用滚痰丸下夺,表邪结闭,肺痿音哑,喉痛咽物艰难,仿徐之才轻可去实,有气无味之药。(气走阳,味走阴,轻扬肃上,取气轻力薄者。)
处方:射干、甘草、大力子、滑石块、麻黄苗、蝉蜕、杏仁。
【患者张某,无锡人,二十二岁】嗽血秋季再发,夜热汗出,全是阴虚。大忌肺药。理嗽绝欲百日,助其收藏,胃口颇好。肾肝阴药必佐摄纳。
处方:熟地黄、炒山药、芡实、五味子、湖莲、茯神。
【患者陆某,西淮人,六十一岁】人到花甲,下元先亏,嗜酒湿聚便滑,视面色雄伟,精采外露,加劳怒,内风突来,有痱中之象。(精采外露,下元愈亏,内风一动,无根蒂以立基地矣,故痱中也。)
处方:七宝美髯丹加三角胡麻。
【患者陈某,东仓人,三十三岁】脉小缓涩,自胃脘胀至少腹,大便已溏,泄肝苦辛,小效不愈。
少壮形色已衰,法当理阳宣通,虑其肿浮腹大。
处方:人参、木瓜、广皮、炮姜、益智、茯苓。
【患者沈某,湖州人】农人单腹胀,乃劳力肌饱失时所致,最难见效。
[Patient Xi, male, 50 years old, from Dongshan] Suffers from Blood Bi (bi-syndrome caused by blood stasis) and Qi stagnation, with abdominal discomfort and dry, hard, unmoistened stool. This is due to Blood Bi. In summer, soft and moistening acrid drugs were used. Upon arrival at Frost Descent, when Earth is prosperous, repeated episodes of abdominal pain occurred, and the eyes turned yellow. This is not Jaundice, but rather damp-heat and blood stasis lingering and obstructing.
Prescription: Fried Peach Kernel, Prunus mume seed (Yuli Ren), Chrysanthemum coronarium seed (Chongwei Zi), Malva verticillata seed (Dong Kui Zi), Dried Spinach.
Blood accumulation over time inevitably becomes astringent/stagnant; thus, moving blood stasis is combined with slippery methods to remove astringency. Medications are never randomly administered.
Blood naturally flows; when bi occurs, blood knots and Qi stagnates. Since blood deficiency is not severe, the method of promoting circulation should be used, with refined medication selection.
[Patient Liu, male, 26 years old, from Huai'an] There is tangible food stagnation entering from the stomach to the intestines, lodged below the heart and chest. These are areas where Yang Qi circulates. Because food stagnation persisted for several years initially, it was mistaken for an excess condition, causing Yang Qi to fail to rotate, leading to knotting Bi.
Xie Bai Bai Jiu Tang treats formless Qi obstruction, not tangible food stagnation; therefore, the method of unblocking Yang is employed.
[Patient Jiang, male, 44 years old, from Tongzhou] Suffers from Phlegm-Fluid Asthma, triggered by cold, fatigue, or anger.
Prescription: Xiao Qing Long Tang (Minor Blue Dragon Decoction) without Ephedrae Herba (Mahuang).
Treating asthma begins with opening the Taiyang channel.
[Patient Chen, male, 44 years old, from Lili] Observation of complexion, form, and pulse confirms Yang deficiency. Wine and food gather dampness; dampness descends to the intestines and hemorrhoids causing bleeding. Dampness is Yin turbidity, first damaging Spleen Yang. When Yang is weak and Qi declines, numbness appears at midnight (Hai and Zi hours), which is the time of Qi and Blood transition. This is indeed due to weak Yang failing to sustain itself. There is a risk of Zhong Fei (stroke/apoplexy) in middle age.
Prescription: Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Prepared Zingiberis Rhizoma (Pao Jiang), Prepared Licorice Root (Zhi Cao), Stir-fried Black Prepared Aconiti Lateralis Radix (Chao Hei Fuzi).
Yang governs Qiao vessel diseases; Yang decline causes heavy and sluggish body; Yang weakness leads to insufficient vital energy continuation. Fuzi Lizhong Tang warms the Middle and Lower Jiao. The overall aim is to strengthen Yang.
[Patient Zhang, male, 18 years old, from Jiaxing] Yin Fire rises in the late afternoon; groaning during sleep indicates floating Yang cannot return to its repository. Emaciation, poor appetite, and night sweats require consolidation methods.
Prescription: Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) added with Nanzhongbai (Calcined Shell of White Stork Nest) and E-Jiao (Donkey-hide Gelatin).
Children who cry excessively, restlessly wake up, and have restless spirits during sleep typically have Yin deficiency constitutions with weak congenital endowment. Without succumbing to smallpox/variolous diseases early, they will likely develop Lao Zhai (consumptive disease like tuberculosis) around age twenty. This has been repeatedly verified.
During sleep, Yang Qi hides, and Hun Spirit returns to the Liver. If Liver Yin is insufficient, Hun Spirit lacks attachment, causing groaning during sleep. Treatment should focus on nourishing Yin and descending Fire.
[Patient Li, male, 67 years old, from Loumen] Left and right are pathways of Yin and Yang. In old age, frequent mental exertion without profit leads to frustration, causing constrained and disharmonious Qi and Blood in movement. Pain worsens at night due to declining Yang and worsening Yin pathology at night. The Ying-nourishing method is used. Mental exertion without profit causes Heart Ying depression and lack of nourishment. Using Ying-nourishing methods harmonizes Qi and Blood, allowing Liver Wood to flourish without constraint. This is a formless pathogen, avoiding only Tuo Ying Shi Jing (loss of Ying and Essence).
[Patient Zhang, male, 63 years old, from Haiyan] Autumn malaria resulted from external pathogens transforming after months. Autumn malaria arises from Summer Heat-Damp-Heat lurking internally during summer, triggered by new coolness externally. Quack doctors only know Chai Ge Jie Ji Tang or Xiao Chai Hu Tang. They do not know that if Damp-Heat is in the Qi level, disturbing medications affect the Blood level, injuring Blood and spasming tendons/spleen. Hot tendons relax, cold tendons slacken, leading to chronic Wei Bi (flaccidity and bi-syndrome) difficult to treat.
Prescription: Angelicae Sinensis Radix (Danggui), Taxillus Chinensis Herba (Jisheng), Panther Bone (Hugu), Lycii Fructus (Gouqi), Astragali Complanati Semen (Shayuan), Ligusticum Chuanxiong Rhizoma (Fuxiong).
Pathology in the Qi level, wrongly affecting the Blood level, often results in tendon flaccidity and spasms, joint pain, and uncomfortable Wei Bi. For chronic illness, must physicians not be cautious?
[Patient Sun, male, 24 years old, from Nancangqiao] Essence damaged below, Dragon-Lei Fire within Yin burns uncontrollably. After blood loss, anal ulceration with pus leakage is caused by Yin Fire sinking. Panting while walking and overflowing saliva indicate Kidney failing to grasp True Qi; Five Fluids transform into foam surging upward. There is no logic in treating cough with phlegm-resolving herbs. Supporting Stomach Qi and grasping Kidney True Qi is the priority.
Prescription: Ginseng Radix et Rhizoma (Renshen), Umbilicus (Kanzi), Coptidis Rhizoma (Huanglian), Fluorite (Zishiying), Poria (Fuling), Schisandrae Fructus (Wuweizi), Euryales Semen (Qianshi), Dioscoreae Rhizoma (Shanyao).
Fire nature ascends, but Yin Fire sinks through openings. Boiling heat in soles preferring cold places is also Yin Fire sinking. Old Qi is invincible.
[Patient Wu, from Guanshang] Qi leakage requires Yang drugs to consolidate Qi. Quacks treat cough with Yin-nourishing drugs, leading to consumptive disease.
Prescription: Astragali Radix (Huangqi), Jianzhong Tang added with Ginseng Radix et Rhizoma (Renshen).
Long-term cough causes Lung Qi to rise and leak with each cough. Lung is the Canopy, governing regulation throughout the body. Leakage means insufficient Middle Qi; using Yang drugs to consolidate Qi is knowing the key point.
[Patient Wang, male, 27 years old, from Tongli] Married too early, essence leaked before filling. Last year began with diarrhea (Shaoyin insecurity), followed by phlegm-cough (Five Fluids turning to Phlegm), increased appetite but emaciation (internal burning of Yin Fire), autumn sore throat (Kidney Essence deficiency ascending along Shaoyin channel). Winter hiding fails, Dragon-Lei Fire flickers (against natural laws). No storage function, spring blooms (Yang Qi rising and leaking excessively); this illness will relapse.
Prescription: Ashes of Human Urine (Qiushi) mixed with Ginseng Radix et Rhizoma (Renshen), Walnut Seed (Hetaoren), Poria Cum Pinellia (Fushen), Fluorite (Zishiying), Ligustrum Lucidum Fructus (Nvzhenzi), Schisandrae Fructus (Beiwuweizi).
The case history is described in five layers, factually, without speculation.
[Patient Shen, male, 34 years old] Six Fu Organs' Yang Qi does not move; turbidity congeals causing difficult stool; turbidity knots causing pain. Ban Shu Wan is the slipperiest hot drug, entering intestines to drain turbidity. Yin-Chen stagnates in Stomach; Yang has not yet revived. Light flavors are suitable.
Prescription: Stir-fried Raw Prepared Aconiti Lateralis Radix (Chao Sheng Chuanfu), Raw Dried Ginger (Sheng Ganjiang).
Pill coated with Scallion Juice.
Ban Shu Wan is very slippery, acting quickly in intestines without lingering in Stomach; Stomach Yang has not yet revived.
[Patient Lu, male, 18 years old, from Baoshan] Early Spring climate, cold persists. Inhaling cold air first damages Yang of Chest/Diaphragm and Stomach Epigastrium. Belching sour, turbid, stale qi indicates Clear Yang not reaching, rotation failing. Avoid greasy/sticky foods; start with vegetables. Once illness passes, do not disrupt Stomach Qi with random drugs.
Prescription: Piperis Longi Fructus (Bibo), Raw Alpiniae Oxyphyllae Fructus (Sheng Yizhiren), Fresh Ginger (Shengjiang), Amomi Fructus Pericarpium (Sharen Qiao), Trichosanthes Root (Tugua), Trichosanthis Pericarpium (Loupi).
Upper Jiao governs clarity and Yang. Only if void and spiritual without turbid flavor contamination can Upper Jiao open, fluids descend, and Stomach Qi harmonize.
[Patient Tang, male, 29 years old, from Jiangning] Patient stayed in Baigou River, Zhili last May. North differs from South; rain, heat, dampness steaming, night sitting in cold invasion. Even chills/fever are mild pathogens. Doctor used Gun Tan Wan purgatively, trapping exterior pathogens. Lung萎 (Wei) causes hoarseness, sore throat, difficulty swallowing. Following Xu Zhicai's "Light can remove solidity," use drugs with Qi but no strong flavor (Qi moves Yang, Flavor moves Yin; light and ascending, taking light Qi and thin power).
Prescription: Belamcandae Rhizoma (Shegan), Glycyrrhizae Radix et Rhizoma (Gancao), Arctii Fructus (Dali), Talcum (Huashi), Ephedrae Herba (Mahuang Miao), Cicadae Periostracum (Chantui), Armeniacae Semen Amarum (Xingren).
[Patient Zhang, male, 22 years old, from Wuxi] Hemoptysis recurs in autumn, night fever and sweating, entirely Yin deficiency. Strictly avoid Lung drugs. Manage cough, abstain from sex for 100 days to aid storage; appetite is good. Kidney/Liver Yin drugs must assist grasping.
Prescription: Prepared Rehmanniae Radix (Shudi), Fried Dioscoreae Rhizoma (Shanyao), Euryales Semen (Qianshi), Schisandrae Fructus (Wuweizi), Nelumbinis Plumula (Hulian), Poria (Fushen).
[Patient Lu, male, 61 years old, from Xihuai] At sixty, Lower Yuan deficits first appear. Alcoholism gathers dampness causing loose stools. Complexion looks robust, Essence brilliance exposed. Adding fatigue/anger triggers internal Wind suddenly, resembling Fei Zhong (stroke). (Exposed Essence brilliance means Lower Yuan further depleted; once Internal Wind moves, there is no root to stand upon, hence Fei Zhong.)
Prescription: Qibao Meiran Dan added with Sesame (Sanjiao Huma).
[Patient Chen, male, 33 years old, from Dongcang] Pulse is small, slow, and choppy. Distension from epigastrium to lower abdomen, stool already loose. Draining Liver with bitter/acrid had slight effect but did not cure.
Young man's form/color declined; method should regulate Yang and promote circulation, fearing edema and abdominal distension.
Prescription: Ginseng Radix et Rhizoma (Renshen), Papaya (Mugua), Tangerine Peel (Guapi), Prepared Zingiberis Rhizoma (Pao Jiang), Alpiniae Oxyphyllae Fructus (Yizhi), Poria (Fuling).
[Patient Shen, from Huzhou] Farmer with isolated abdominal distension, caused by labor and muscle fullness out of time. Hardest to see results.