猪肤汤，上中下三焦俱治。白蜜润肺，兼滋大肠，白粉补中以养脾胃，猪肤清腻以填少
阴，既不滞脾，又能补益，不使龙雷上炽，何等稳妥(立方稳妥，病至如此，惟求用药无碍
而已)。
张(葑门，三十九岁) 过劳熬液，阳升咳血，痰多夜热，非因外感。尺脉中动左数，肝
肾内虚，失收肃之象。（咳血而收肃肺气，今人必出养阴矣。)
北沙参 玉竹 麦冬(炒) 扁豆 甘草(炙) 蔗汁
治节之权，若能收肃于上，纵有龙雷相火，亦宁静帖伏。如秋月气收，雷电即下伏而不
升发。病因先劳熬液，液为血之先锋，液枯则继之以血溢。惟肺气肃上，则水藏有母，尺脉
可宁矣。
钱(嘉善，三十三岁) 肺痿失音，形肉枯瘪，气损甘药调和，不宜辛散滋寒矣。
白芨 米仁 黄 茯苓
元气虽归根于肾，亦藉后天水谷之精营运，以使真气维续，生生不已，以供日用，相继
于不息之途。下则吸归于肾，上则充护于肺。中宫脾胃之司，其权最重。若气分既损，则肾
乏统摄之根，肺失坚刚之体，萎靡不振，乏精化气。甘药调和，尚恐不及，何堪辛散滋寒。
气本无形，全赖有形之精血以化。古称精生于谷，中宫纳食生精，化气之本也。
李(海州) 望七力量不比壮盛，凡男子下焦先虚，其跌仆致伤，从外而伤，筋纵骨短，
不能再伸，外踝留着瘀凝形色，须至夏月，令疡医磁针砭刺可愈。
还少丹老年下元先虚，头转脚重，总为阳不下趋，浊阴上升清道也。故稍或不慎，最易
跌仆致伤。还少丹温补下元之品多，最宜常服不辍，自然轻健。
男子年将五十，仰事俯育正繁，且练达人情，洞明世事，神明内烦，些微精血，只供操
劳而已。生气日浅，下元安得不虚，所以头重脚轻，最易颠仆耳。
王(唯亭，十八岁) 读书身静心劳，夜坐浮阳易升，少年人虽未完姻，然偶起情欲之念
，人皆有诸。致阴中龙雷挟木中相火，震动而沸，失血咳嗽，乃脏阴不宁，暂缓书卷，早眠
晏起，百日中勿加杂念，扰乱神志，可以全愈。服草木图愈，非要领也。
少年生阳勃勃，动跃莫遏。凡浊阳下注，干变为离，洞开灵府，天机颖悟，盖惟虚故灵
耳。然不知禁惧，虚捐夭枉者比比(此案笔致飘逸体察工细先生甚忠恕也)
蒋(枫镇，十九岁) 血止心脘热燥。(血后余波。)当养胃阴(妥帖)
生白扁豆 大北沙参 骨皮 玉竹 桑叶 甘草 青甘蔗汁
从来养阴者，但知养肾肝之阴。不知胃气弱者，下元未受其益，中宫先受其滞，曷若先
养胃阴，津液旁敷而不滞也。
高(江宁，二十一岁) 食已少顷，酸水涌呕(虚中挟火，)但饥时不食，仍不安适。久病
致
胃虚，阳不营运，浊阴乃聚。春季以开导气分辛温不效，思虚中挟滞，泄浊温通，必佐养正
。苟不明避忌，食物焉能取效。
川连 吴萸 茯苓 淡熟川附 淡干姜 熟半夏 人参
泄浊温通而不佐养正，则力量单薄，虽临时通利，不久又复阴凝，惟养正则浊阴永不聚
矣。
王(四十七岁) 痰饮乃阴浊化有形之物，阻阳气不入于阴，阳跷穴空，夜不熟寐，灵枢
经用半夏秫米汤，谓通阳交阴，痰饮不聚也。天王补心一派寒凉阴药，与浊阴树帜，中年必
不受护阳为要。(精实。)仲景云∶凡痰饮当以温药和之。(指明确凿。)
小半夏汤加秫米。
阳气入于阴跷穴即不空矣。今被有形阴浊阻逆，阳不内交，苟非驱化痰饮，扩清道路，
安得通阳交阴耶?
陈(同里，五十三岁) 瘦人多燥，瘅疟，热气由四末乘至中焦，胃中津液，为热劫铄干
枯，不饥不饱，五味不美，是胃阴伤也。(切当。)
麦冬汁 人参 知母 生甘草
胃阴充溢精气，上升于喉舌，津液滋味和，食味甘美，胃阴亏者，阳明必热，但觉喉间
干涩，舌中味苦，精气不荣于口，舌即不知味而不觉鲜美矣。
毛(四十岁) 气塞填胸阻喉，不饥不饱，病起嗔怒，寅卯病来，临晚病减。凡气与火，
必由少阳木性而升，故上午为剧。
栝蒌皮 薄荷梗 神曲 黑栀皮 新会红 青蒿梗
一日亦备四时之气，上午主升，犹春气也。中午主泄，犹夏令也。下午主收，犹秋降也
。夜深主藏，犹冬伏也。治病体察至此，可云知几矣。(知几用凉药必兼疏散，否则遏郁而
火愈不散。)
何(淮安，十九岁) 性情固执，灵慧气钝，大凡心藏神，肾藏精，少年先病精神不易生
旺有诸。宜用六味加远志、菖蒲，开导心窍肾精，两相交合(聪敏智能本心肾窍通，锢闭则
开通之，使之交合，真化工矣。)
人当十五六岁，即愚顽薄劣者，到此时聪明渐启，知识渐开，读书便有领悟，世事略
知二三。盖因浊火已泄，干变为离也。
细极入微，惟虚故灵。
王(用直，五十岁) 肺痿声哑，胃减食少不安，难治之症。
猪肤汤，能够同时治疗上、中、下三焦的病证。白蜜滋润肺脏，兼能滋养大肠；白粉（米粉）补益中焦以养护脾胃；猪肤清除腻滞并填补少阴经气，既不会阻滞脾运，又能起到补益作用，防止龙雷之火（相火）上炎炽盛，处方十分稳妥。（方剂制定稳妥，病情发展到这种程度，只求用药不产生妨碍即可。）
张姓患者（葑门人，三十九岁），因过度劳累耗伤津液，导致阳气上亢而咳血，痰多且夜间发热，并非由外感引起。尺脉中部跳动，左脉数，提示肝肾内虚，失去了收敛肃降的征象。（咳血应当收敛肃降肺气，如今的人必定主张养阴。）
北沙参、玉竹、麦冬（炒）、扁豆、甘草（炙）、蔗汁。
治节之权（肺主气、司呼吸及调节水道的功能），如果能在上焦实现收敛肃降，即使有龙雷相火，也能使其宁静潜伏。就像秋天的气候收敛，雷电就会下降潜伏而不升发。病因在于先前的劳累耗伤了津液，津液是血液的先导，津液枯竭则继之以血液溢出。只有肺气肃降于上，则肾水（水藏）得到母气的滋养，尺脉才能安宁。
钱姓患者（嘉善人，三十三岁），患有肺痿导致失音，形体肌肉枯瘪，气分受损。甘味药物可以调和，不宜使用辛散或滋寒的药物。
白芨、薏苡仁、黄耆、茯苓。
元气虽然归根于肾，但也依赖后天水谷精微的运行营运，以使真气维持延续，生生不息，以供日常使用，在不息的过程中相继不断。向下则吸入归于肾，向上则充养护卫于肺。中宫脾胃的主宰，其权力最为重要。如果气分已经受损，则肾缺乏统摄的根本，肺失去坚刚的体质，萎靡不振，缺乏精气化生之气。用甘药调和，尚且担心不够，怎能承受辛散和滋寒药物的伤害？
气本来无形，完全依赖有形的精血来化生。古人称精生于谷，中宫受纳饮食生成精微，这是化生气的基础。
李姓患者（海州人），年过七十，体力不如壮年。凡是男子，下焦往往先虚。此次因跌仆导致损伤，是从外部受伤，筋脉松弛骨骼短缩，不能再伸展，外踝处留有瘀血凝滞的形色，必须等到夏季，让外科医生用磁针砭刺疗法才能痊愈。
还少丹适用于老年人下元先虚，出现头重脚轻的症状，总归是阳气不能下行，浊阴上升占据清窍所致。所以稍微不慎，最容易跌仆受伤。还少丹中含有较多温补下元的药物，最适合长期服用不间断，自然身体轻便健壮。
男子年龄接近五十，正值上奉父母、下育子女事务繁忙之时，且通达人情，洞察世事，内心神明烦扰，少量的精血，只供操劳消耗而已。生气日渐浅薄，下元怎么能不虚，所以头重脚轻，最容易跌倒。
王姓患者（唯亭人，十八岁），读书时身体静坐但心神劳损，夜间静坐时浮阳容易上升。少年人虽然尚未结婚，但偶尔兴起情欲念头，是人人都有的。导致阴中的龙雷之火挟带肝木中的相火，震动沸腾，造成失血咳嗽，这是脏阴不宁。暂缓读书，早睡晚起，百日内不要添加杂念，扰乱神志，可以痊愈。服用草木药物图谋治愈，不是关键要领。
少年人生机勃勃，冲动跳跃无法遏制。凡是浊阳下注，干扰变为离卦（心火），洞开灵府，天机颖悟，大概是因为空虚所以灵敏。然而不知道禁忌畏惧，因虚损而夭折的人比比皆是。（此案笔致飘逸，体察工细，先生非常忠厚宽恕。）
蒋姓患者（枫镇人，十九岁），血止后心脘部位热燥。（出血后的余波。）应当养胃阴（妥当贴切）。
生白扁豆、大北沙参、地骨皮、玉竹、桑叶、甘草、青甘蔗汁。
历来养阴的人，只知道滋养肾肝之阴。不知道胃气虚弱的人，下元未受其益处，中焦先受其滞塞，何不先养胃阴，使津液旁敷而不滞涩呢？
高姓患者（江宁人，二十一岁），进食后不久，酸水涌出呕吐（虚证中夹杂火热），但饥饿时不想吃东西，仍然感到不安适。久病导致胃虚，阳气不能营运，浊阴于是聚集。春季用开导气分的辛温药物无效，考虑是虚中夹杂停滞，泄除浊阴并温通，必须佐以扶正。如果不明白避忌，食物怎么能见效？
黄连、吴茱萸、茯苓、淡附子、淡干姜、熟半夏、人参。
泄浊温通而不佐以扶正，则力量单薄，虽然暂时通利，不久又会再次阴凝，只有扶正则浊阴永不聚集。
王姓患者（四十七岁），痰饮是阴浊化生的有形之物，阻碍阳气进入阴分，阳跷穴空虚，夜间睡眠不深。《灵枢经》使用半夏秫米汤，说是通阳交阴，痰饮就不会聚集。天王补心丹一派寒凉阴药，与浊阴树立旗帜，中年人必须重视保护阳气为要。（精髓充实。）张仲景说：凡是痰饮应当用温药调和。（指明确凿。）
小半夏汤加秫米。
阳气进入阴跷穴就不空虚了。现在被有形的阴浊阻逆，阳气不能内交，如果不驱化痰饮，扩清道路，怎么能通阳交阴呢？
陈姓患者（同里人，五十三岁），瘦人多燥，患瘅疟，热气从四肢末端乘袭至中焦，胃中津液被热邪劫夺烧干枯涸，不饥不饱，觉得五味都不美味，这是胃阴受伤。（切合恰当。）
麦冬汁、人参、知母、生甘草。
胃阴充溢精气，上升于喉舌，津液滋味和谐，食物显得甘美；胃阴亏损者，阳明经必然热盛，只觉得喉间干涩，舌中味苦，精气不能荣润于口，舌头就不知道味道且不觉得鲜美了。
毛姓患者（四十岁），气塞填塞胸喉，不饥不饱，病起因于嗔怒，寅卯时（凌晨3-7点）病势加重，傍晚病势减轻。凡气与火，必由少阳木性而升发，所以上午病情剧烈。
栝蒌皮、薄荷梗、神曲、黑栀子皮、新会红（陈皮）、青蒿梗。
一天也具备四时的气机，上午主升，如同春气；中午主泄，如同夏令；下午主收，如同秋降；夜深主藏，如同冬伏。治病体察到这种程度，可以说懂得细微征兆了。（懂得细微征兆使用凉药必须兼有疏散，否则遏郁而火更加不散。）
何姓患者（淮安人，十九岁），性情固执，灵慧之气迟钝，大凡心脏藏神，肾脏藏精，少年时期先病精神不易生旺是有这种情况的。宜用六味地黄丸加远志、石菖蒲，开导心窍肾精，使两者相交合（聪明智能本于心肾窍通，锢闭则开通它，使之交合，真是神奇的造化啊。）
人在十五六岁时，即使是愚顽劣等的人，到了这个时候聪明逐渐开启，知识逐渐打开，读书便有领悟，世事略知一二。大概因为浊火已泄，干扰变为离卦。
细致入微，只有空虚所以灵敏。
Zhu Fu Tang (Pig Skin Decoction) treats the Upper, Middle, and Lower Jiao (San Jiao / Triple Burner). Bai Mi (White Honey) moistens the Lung and simultaneously nourishes the Large Intestine; Bai Fen (Rice Flour) tonifies the Middle Jiao to nourish the Spleen and Stomach; Zhu Fu (Pig Skin) clears greasiness and fills the Shaoyin (Lesser Yin) channel. It neither stagnates the Spleen nor fails to provide tonification, preventing the Dragon and Thunder fire (Ministerial Fire) from blazing upward. How secure and appropriate this prescription is. (The prescription formulation is secure; when the disease has progressed to such a stage, one only seeks medication that causes no harm.)
Patient Zhang (Fengmen, 39 years old): Overwork has boiled away fluids, causing Yang to ascend and leading to hemoptysis (coughing up blood), profuse phlegm, and night fever. This is not due to external contraction. The Chi pulse (Kidney pulse) beats in the middle, and the Left pulse is rapid, indicating internal deficiency of the Liver and Kidney, with a loss of the image of gathering and descending. (In cases of hemoptysis, one should gather and descend Lung Qi; nowadays people invariably advocate nourishing Yin.)
Bei Sha Shen (Glehniae Radix), Yu Zhu (Polygonati Odorati Rhizoma), Mai Dong (Ophiopogonis Radix, stir-fried), Bian Dou (Dolichos Lablab Seed), Gan Cao (Licorice Root, honey-fried), Zhe Zhi (Sugarcane Juice).
The authority of Zhi Jie (Regulation, referring to the Lung's function of governing Qi and regulating water passages), if it can gather and descend in the Upper Jiao, even if there is Dragon and Thunder Ministerial Fire, it will become tranquil and subdued. Like the autumn climate which gathers, lightning and thunder then subside and do not ascend. The etiology lies in prior overwork boiling away fluids; fluids are the vanguard of blood. When fluids are depleted, blood extravasation follows. Only when Lung Qi descends in the Upper Jiao will the Water Storehouse (Kidney) receive nourishment from its Mother, and the Chi pulse will calm.
Patient Qian (Jiashan, 33 years old): Fei Wei (Lung Atrophy) with loss of voice, emaciated flesh and body, Qi damage. Sweet herbs harmonize; acrid-dispersing or cooling-cold herbs are inappropriate.
Bai Ji (Bletillae Rhizoma), Yi Yi Ren (Coicis Semen), Huang Qi (Astragali Radix), Fu Ling (Poria).
Although Yuan Qi (Original Qi) roots in the Kidney, it also relies on the postnatal essence of water and grain for operation and transport, so that True Qi is sustained, generating life endlessly, to supply daily use, continuing in an unceasing path. Downward, it absorbs into the Kidney; upward, it fills and protects the Lung. The governance of the Central Palace (Spleen and Stomach) holds the most weight. If the Qi aspect is damaged, the Kidney lacks the root of control, and the Lung loses its firm and rigid structure, becoming listless and lacking essence to transform into Qi. Harmonizing with sweet herbs is still feared to be insufficient; how can it bear the harm of acrid-dispersing and cooling-cold herbs?
Qi is originally formless, relying entirely on substantial essence and blood for transformation. Ancients stated that essence is born from grain; the Central Palace receiving food generates essence, which is the root of transforming Qi.
Patient Li (Haizhou): Approaching seventy, strength does not compare to youth. In men, the Lower Jiao is often deficient first. This injury resulted from a fall, originating externally; tendons are lax and bones short, unable to extend again. Ecchymosis and stasis remain at the lateral malleolus. One must wait until summer, allowing a surgeon to use magnetic needles and bian stone therapy for cure.
Huan Shao Dan (Return to Youth Pill) is suitable for elderly patients with primary deficiency of the Lower Yuan (Lower Origin). Head turning and foot heaviness are generally due to Yang failing to descend and turbid Yin ascending to clear pathways. Thus, slight carelessness easily leads to falls and injuries. Huan Shao Dan contains many ingredients for warming and tonifying the Lower Yuan, making it most suitable for continuous long-term use, naturally resulting in lightness and health.
Men approaching fifty face繁 duties of supporting elders and raising children, and being experienced in human affairs and worldly matters, their inner spirit becomes troubled. A small amount of essence and blood is only sufficient for labor. Sheng Qi (Vital Qi) grows shallower day by day; how can the Lower Yuan not be deficient? Hence, heavy head and light feet make one prone to falling.
Patient Wang (Weiting, 18 years old): Studying involves physical stillness but mental labor; floating Yang easily ascends during night sitting. Although youths are unmarried, occasional thoughts of desire arise in everyone. This causes the Dragon and Thunder within Yin to carry the Ministerial Fire of Wood, shaking and boiling, leading to blood loss and cough. This is disharmony of Zang Yin. Temporarily suspend reading, sleep early and rise late. Within a hundred days, avoid adding distracting thoughts to disturb the Spirit. Complete recovery is possible. Relying on herbal medicine to seek cure is not the key point.
Youthful Sheng Yang (Vital Yang) is vigorous, with movements unrestrained. Whenever turbid Yang sinks downward, interfering and transforming into Li (Fire/Heart), opening the spiritual mansion, natural intelligence arises, precisely because emptiness allows sensitivity. However, those who do not know restraint and fear, wasting themselves through deficiency and dying young, are common. (This case is written with elegance and detailed observation; the physician is very benevolent and forgiving.)
Patient Jiang (Fengzhen, 19 years old): Bleeding has stopped, but heat and dryness remain in the heart and epigastrium. (Residual waves after bleeding.) Nourishing Stomach Yin is appropriate.
Sheng Bai Bian Dou (Raw Dolichos Lablab Seed), Da Bei Sha Shen (Glehniae Radix), Gu Pi (Cortex Moutan/Distichi Cortex), Yu Zhu (Polygonati Odorati Rhizoma), Sang Ye (Mori Folium), Gan Cao (Licorice Root), Qing Zhe Gan Zhi (Green Sugarcane Juice).
Historically, those who nourish Yin only know to nourish Liver and Kidney Yin. They do not realize that for those with weak Stomach Qi, the Lower Yuan receives no benefit, and the Middle Palace suffers stagnation first. Why not first nourish Stomach Yin, allowing Jin Ye (Body Fluids) to spread laterally without stagnation?
Patient Gao (Jiangning, 21 years old): Shortly after eating, sour water surges and vomits. (Deficiency mixed with Fire.) But when hungry, appetite is absent, and discomfort remains. Chronic illness has caused Stomach deficiency; Yang fails to operate, so turbid Yin gathers. In spring, acrid-warm herbs to guide Qi were ineffective. Considering deficiency mixed with stagnation, clearing turbidity and warming/unblocking requires assisting Zheng Qi (Upright Qi). Without understanding taboos, how can food take effect?
Chuan Lian (Coptidis Rhizoma - Note: Text says Chuan Lian, usually Huang Lian Coptidis is used in Zuo Jin Wan context, assuming Huang Lian based on formula name implication or typo in source, but strictly translating text: Chuan Lian/Meliae Fructus? Context "Chuan Lian Wu Mei" suggests Zuo Jin Wan variant or similar. Text says "Chuan Lian", likely referring to Huang Lian/Coptidis in this specific clinical note context or a typo for Huang Lian. I will translate as Coptidis Rhizoma/Huang Lian based on standard pairing with Wu Zhu Yu, or literally Meliae if strict. Given "Chuan Lian" usually means Melia, but paired with Wu Zhu Yu for acid reflux implies Coptidis. I will use Coptidis Rhizoma (Huang Lian) as per WHO standard for this classic combination, noting the text says Chuan Lian which might be a shorthand or error for Huang Lian in some contexts, or specifically Meliae. However, "Chuan Lian Zi" is bitter cold. Let's stick to the literal "Chuan Lian" but interpret as the herb intended for clearing heat/fire in this context, likely Coptidis. Actually, "Chuan Lian" often refers to *Meliae Fructus*. But *Meliae* is not standard for acid reflux with *Wu Zhu Yu*. *Coptidis* is. I will translate as Coptidis Rhizoma (Huang Lian) assuming textual convention/error, or simply "Chuan Lian". To be safe and accurate to WHO terms for the *intended* therapy: Coptidis Rhizoma.) -> Correction: The text says "Chuan Lian". In some dialects or shorthand, it might refer to Huang Lian. However, strictly, Chuan Lian is Meliae. But Meliae + Wu Zhu Yu is not the standard Zuo Jin Wan. Zuo Jin Wan is Huang Lian + Wu Zhu Yu. I will translate as Coptidis Rhizoma (Huang Lian) with a note in mind, but outputting the translation: Coptidis Rhizoma.
Wu Yu (Evodiae Fructus), Fu Ling (Poria), Dan Shu Chuan Fu (Prepared Aconiti Lateralis Radix, mild), Dan Gan Jiang (Dried Ginger, mild), Shu Ban Xia (Pinelliae Tuber, prepared), Ren Shen (Ginseng Radix).
Clearing turbidity and warming/unblocking without assisting Zheng Qi results in weak power. Although temporarily unblocked, Yin condensation returns soon. Only by assisting Zheng Qi will turbid Yin never gather.
Patient Wang (47 years old): Tan Yin (Phlegm-Retention) is a tangible object formed from Yin turbidity, blocking Yang from entering Yin. The Yang Qiao vessel is empty, causing deep sleeplessness at night. The *Ling Shu Jing* uses Ban Xia Shu Mi Tang, stating it connects Yang and Yin, preventing Phlegm-Retention accumulation. Tian Wang Bu Xin Dan consists of cold-cooling Yin herbs, aligning with Turbid Yin. For middle-aged people, protecting Yang is essential. (Essence is solid.) Zhang Zhongjing said: "All Phlegm-Retention should be harmonized with warm herbs." (Clearly pointed out.)
Xiao Ban Xia Tang added with Shu Mi (Sorghum).
When Yang Qi enters the Yin Qiao vessel, it is no longer empty. Now blocked by substantial Yin turbidity, Yang cannot internally connect. Unless Phlegm-Retention is driven out and the path cleared, how can Yang connect with Yin?
Patient Chen (Tongli, 53 years old): Thin people are often dry. Dan Nue (Malaria with high fever) heat travels from the four extremities to the Middle Jiao. Stomach Jin Ye (Fluids) are scorched and dried by heat. No hunger, no fullness, five flavors seem tasteless. This is Stomach Yin injury.
Mai Dong Zhi (Ophiopogonis Juice), Ren Shen (Ginseng Radix), Zhi Mu (Anemarrhenae Rhizoma), Sheng Gan Cao (Raw Licorice Root).
When Stomach Yin is abundant, Jing Qi rises to the throat and tongue, Jin Ye tastes harmonious, and food seems sweet. When Stomach Yin is deficient, the Yangming channel becomes hot. One feels dryness and astringency in the throat, bitterness in the tongue. Jing Qi does not nourish the mouth, so the tongue cannot perceive flavor or freshness.
Patient Mao (40 years old): Qi obstruction fills the chest and blocks the throat. No hunger, no fullness. The disease started from anger. Symptoms worsen at Yin-Mao hours (3-7 AM) and improve in the evening. Qi and Fire must ascend via the Shaoyang Wood nature, hence severe in the morning.
Gua Lou Pi (Benincasae Exocarpium), Bo He Geng (Menthae Herba Stem), Shen Qu (Massa Medicata Fermentata), Hei Zhi Pi (Gardeniae Pericarpium), Xin Hui Hong (Citri Reticulatae Pericarpium), Qing Hao Geng (Artemisiae Annuae Herba Stem).
One day prepares the Qi of the four seasons. Morning governs ascent, like Spring Qi. Noon governs discharge, like Summer. Afternoon governs gathering, like Autumn descent. Deep night governs storage, like Winter hiding. Observing treatment to this extent shows knowledge of subtle signs. (Knowing subtle signs, using cool herbs must include dispersing, otherwise suppression makes Fire harder to disperse.)
Patient He (Huai'an, 19 years old): Stubborn temperament, dull spiritual intelligence. Generally, the Heart stores Shen (Spirit), and the Kidney stores Jing (Essence). In youth, initial illness makes it hard for Spirit and Essence to flourish. Use Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) plus Yuan Zhi (Polygalae Radix) and Chang Pu (Acori Tatarinowii Rhizoma) to open the Heart orifice and Kidney Essence, allowing them to interact. (Intelligence originates from the openness of Heart and Kidney orifices; if blocked, open them to allow interaction, truly miraculous creation.)
At fifteen or sixteen, even foolish or inferior individuals begin to show gradual enlightenment and knowledge opening, gaining insight in study and knowing a little about worldly affairs. This is because Turbid Fire has been discharged, interfering and transforming into Li (Fire).
Detailed and subtle; only emptiness allows sensitivity.
Patient Wang (Yongzhi, 50 years old): Fei Wei (Lung Atrophy) with hoarse voice, reduced Stomach Qi, poor appetite, and unease. A difficult-to-treat condition.