脉弦腹痛。便泄不爽。此下焦阳微。阴浊僭逆使然。
胡芦巴 萆 桂心 巴戟天 青皮 茯苓
脉歇。阳伤阴干。便泄腹膨。宜节食物。
食饮下咽。必咳逆。方爽能纳。属噎格之渐。
枇杷叶 苏子 蒌仁霜 旋复花 茯苓 广橘红
食下拒纳。左脉弦数。此属噎格。
旋复花 半夏 姜汁 代赭石 茯苓 川连
温邪郁于肺卫。咳嗽音嘶。脉微。
脉弦而涩。肝阴颇亏。中气亦弱。肝胃同治。
何首乌 茯神 制白蒺藜 桑椹子 川石斛 杞子 浙江黄菊 建莲肉
左脉数。
熟地 川石斛 茯神 麦冬 旱莲草 女贞
腹鸣。渐有胀满之势。小溲不利。
熟地 茯苓 桂心 山药 牡蛎 泽泻 牛膝 丹皮
三疟。食下少运头胀。
归身 白芍 陈皮 茯苓 大枣 焦术 炙草 柴胡 生姜
脉微不耐按。真元已惫。何暇理邪。症危不易图治。
木郁泄之。
此劳伤营卫。寒热时作。心悸胸痛。怕其失血。
小建中汤加芍加牡蛎
温邪咳嗽。
薄荷 连轺 黑栀 花粉 桔梗 生草
酒客挟湿发热。疹未宣达。湿温内郁。蒸黄脘痹。法宜和之。
茵陈 广白 连皮 豆卷 桔梗 生草
久利盗汗。恶心形凛。肌发红点如瘾虚中挟邪耳。
谷芽 木瓜 半夏曲 茯苓 广皮 荷叶蒂
动怒阳升血发。
生地 山漆汁 川石斛 茯神 豆皮 花蕊石
脉弦滑。痰饮内阻。左肢麻木。疟后致此。由伏湿未净。升降之机失司。是以酿为浊邪耳。
生于术 半夏 橘红 白蒺藜 枳实 茯苓
肺脾气失肃降之司。食下呕逆。吐出瘀浊。气宣血自和。
枇杷叶 苏子 紫菀须 降香汁 枳壳 白桔梗
喜饮热酒。胃络积热血瘀。中脘痹痛。谷食渐减。脉来弦涩。年已望五。最虑营枯气结。他
日有关格之患。
脉象弦,腹部疼痛。大便泄泻且排出不畅。这是下焦阳气微弱,阴寒浊气僭越逆行所导致的。
胡芦巴、萆薢、桂心、巴戟天、青皮、茯苓
脉象有歇止(间歇)。阳气受损,阴液干枯。大便泄泻,腹部膨隆。应当节制饮食。
食物和饮水咽下后,必然引发咳嗽气逆。只有咳嗽气逆之后才能顺利进食。这属于噎膈病(吞咽困难)的初期征兆。
枇杷叶、苏子、瓜蒌仁霜、旋覆花、茯苓、广橘红
进食后被拒绝接纳(呕吐拒食),左脉弦而数。这属于噎膈病。
旋覆花、半夏、姜汁、代赭石、茯苓、川黄连
脉象弦而涩。肝阴严重亏损,中气也虚弱。治疗需肝胃同治。
何首乌、茯神、制白蒺藜、桑椹子、川石斛、枸杞子、浙江黄菊、建莲肉
腹中鸣响。逐渐有胀满的趋势。小便不利。
熟地黄、茯苓、桂心、山药、牡蛎、泽泻、牛膝、牡丹皮
三疟(三日一发或反复发作的疟疾)。进食后运化迟缓,头部胀闷。
当归身、白芍、陈皮、茯苓、大枣、炒白术、炙甘草、柴胡、生姜
脉象微弱,不耐重按。真元之气已经疲惫。哪里还有余力去处理邪气?病情危重,难以图谋治疗。
对于木气郁结,应当采用疏泄的方法。
这是由于劳损伤及营卫,寒热症状时而发作。伴有心悸、胸痛。担心会出现失血的情况。
小建中汤加芍药、加牡蛎
温邪引起的咳嗽。
薄荷、连翘根(连轺)、黑栀子、天花粉、桔梗、生甘草
嗜酒之人兼夹湿邪发热,疹子尚未透发。湿温内郁,熏蒸导致脘部痞闷痹痛。治法适宜调和。
茵陈、广陈皮、连皮茯苓、大豆卷、桔梗、生甘草
长期腹泻伴有盗汗,恶心,身体战栗怕冷。肌肤发红点如同瘾疹,这是虚中夹杂邪气。
谷芽、木瓜、半夏曲、茯苓、广陈皮、荷叶蒂
动怒导致阳气上升,血液妄行外溢。
生地黄、山漆汁、川石斛、茯神、豆豉皮、花蕊石
脉象弦滑。痰饮内阻。左侧肢体麻木。这是疟疾之后导致的。由于伏留的湿气未净,升降机能失调,因此酿成浊邪。
苍术、半夏、橘红、白蒺藜、枳实、茯苓
肺脾之气失去肃降的功能。进食后呕吐气逆,吐出瘀浊之物。气机宣通,血液自然调和。
枇杷叶、苏子、紫菀须、降香汁、枳壳、白桔梗
喜欢饮用热酒,导致胃络积热、血瘀。中脘部位痹痛。谷物食物摄入逐渐减少。脉象来势弦涩。年龄已近五十岁。最担忧的是营血枯竭、气机结滞。日后有关格病(上下不通之重症)的隐患。
Pulse is wiry, with abdominal pain. Stool is loose and difficult to pass smoothly. This is caused by deficient Yang in the Lower Jiao (Lower Burner), leading to the counterflow of Yin turbidity.
*Huluba* (Halenia elliptica), *Bixie* (Dioscorea septemloba), *Guixin* (Cinnamon Twig), *Bajitian* (Morinda officinalis), *Qingpi* (Aged Tangerine Peel), *Fuling* (Poria)
The pulse exhibits intermittent pauses. Yang is damaged, and Yin fluids are dried up. There is loose stool and abdominal distension. One should regulate diet and food intake.
After swallowing food, coughing and rebellious Qi inevitably occur; only then can food be accepted. This belongs to the early stage of *Yege* (Dysphagia/Regurgitation).
*Pipaye* (Loquat Leaf), *Suzi* (Perilla Seed), *Louren Shuang* (Frost of Trichosanthes Seed), *Xuanfuhua* (Inula Flower), *Fuling* (Poria), *Guangjuhong* (Tangerine Peel)
Food is rejected after ingestion. The left pulse is wiry and rapid. This belongs to *Yege* (Dysphagia/Regurgitation).
*Xuanfuhua* (Inula Flower), *Banxia* (Pinellia Tuber), *Jiangzhi* (Ginger Juice), *Daizheshi* (Ochre), *Fuling* (Poria), *Chuanlian* (Coptis Rhizome)
Warm pathogenic factors are constrained in the Lung and Wei (Defensive) levels. There is coughing, hoarseness, and a faint pulse.
The pulse is wiry and choppy. Liver Yin is significantly deficient, and Middle Qi is also weak. Treatment should address both the Liver and Stomach simultaneously.
*Heshouwu* (Polygonum Multiflorum Root), *Fushen* (Poria with Hostwood), *Zhibaijili* (Prepared Tribulus Fruit), *Sangshenzi* (Mulberry Fruit), *Chuan Shihu* (Dendrobium Stem), *Qizi* (Goji Berry), *Zhejiang Huangju* (Chrysanthemum from Zhejiang), *Jianliarou* (Lotus Seed Flesh)
The left pulse is rapid.
*Shudi* (Rehmannia Root Prepared with Wine), *Chuan Shihu* (Dendrobium Stem), *Fushen* (Poria with Hostwood), *Maidong* (Ophiopogon Tuber), *Hanliancao* (Eclipta Herb), *Nvzhen* (Ligustrum Fruit)
Abdominal borborygmus is present, gradually progressing toward distension. Urination is difficult.
*Shudi* (Rehmannia Root Prepared with Wine), *Fuling* (Poria), *Guixin* (Cinnamon Twig), *Shanyao* (Dioscorea Rhizome), *Muli* (Oyster Shell), *Zexie* (Alisma Rhizome), *Niuxi* (Achyranthes Root), *Danpi* (Moutan Bark)
Suffering from *San Nue* (Tertian Malaria). After eating, digestion is sluggish, accompanied by head distension.
*Guishen* (Angelica Sinensis Root), *Baishao* (White Peony Root), *Chenpi* (Aged Tangerine Peel), *Fuling* (Poria), *Dazao* (Jujube Fruit), *Jiaozhu* (Stir-fried Atractylodes Macrocephala Rhizome), *Zhigancao* (Honey-fried Licorice Root), *Chaihu* (Bupleurum Root), *Shengjiang* (Fresh Ginger)
The pulse is faint and cannot withstand pressure. The True Yuan (Original Qi) is exhausted. How can one attend to the pathogenic factors? The condition is critical and difficult to treat.
For Wood Qi constraint, employ the method of draining/dispersing.
This is due to labor injury damaging Ying (Nutritive) and Wei (Defensive) Qi, with alternating chills and fever, palpitations, and chest pain. There is fear of hemorrhage.
*Xiao Jianzhong Tang* (Minor Construct the Middle Decoction) added with *Shaoyao* (Peony Root) and *Muli* (Oyster Shell)
Cough caused by warm pathogenic factors.
*Bohen* (Mint), *Lianyao* (Forsythia Root), *Heizhi* (Black Gardenia Fruit), *Huafen* (Trichosanthes Root), *Jiegeng* (Platycodon Root), *Shengcao* (Raw Licorice Root)
A wine drinker suffers from dampness-complicated heat fever. The rash has not yet erupted. Damp-warmth is internally constrained, steaming and causing epigastric obstruction and bi-syndrome. The appropriate method is harmonization.
*Yinchen* (Artemisia Capillaris Herb), *Guangbai* (Broad-leaved White Tangerine Peel), *Lipi* (Poria with Skin), *Doujuan* (Soybean Sprouts), *Jiegeng* (Platycodon Root), *Shengcao* (Raw Licorice Root)
Chronic dysentery with night sweats, nausea, and body tremors/chills. Red spots on the skin resembling urticaria indicate deficiency complicated by pathogenic factors.
*Guya* (Sprouted Grain), *Mu Gua* (Chaenomeles Fruit), *Banxia Qu* (Pinellia Fermented Paste), *Fuling* (Poria), *Guangpi* (Tangerine Peel), *Heyetai* (Lotus Leaf Stalk)
Anger causes Yang to ascend and blood to erupt.
*Shengdi* (Rehmannia Root Raw), *Shanqi Zhi* (Panax Notoginseng Juice), *Chuan Shihu* (Dendrobium Stem), *Fushen* (Poria with Hostwood), *Dopi* (Fermented Soybean Skin), *Huaruishi* (Rhodochrosite)
The pulse is wiry and slippery. Phlegm-fluids obstruct internally, causing numbness in the left limbs. This resulted post-malaria, due to residual latent dampness failing to clear, disrupting the mechanism of ascending and descending, thereby brewing turbid pathogens.
*Sheng Zhuyu* (Atractylodes Macrocephala Rhizome), *Banxia* (Pinellia Tuber), *Juhong* (Tangerine Peel), *Baijili* (Tribulus Fruit), *Zhishi* (Immature Bitter Orange), *Fuling* (Poria)
The Lung and Spleen have lost their function of descending and purifying. Vomiting and rebellious Qi occur after eating, expelling stasis and turbidity. Once Qi circulates freely, Blood naturally harmonizes.
*Pipaye* (Loquat Leaf), *Suzi* (Perilla Seed), *Ziwan Xu* (Aster Rootlet), *Jiangxiang Zhi* (Dalbergia Odorifera Sap), *Zhiqiao* (Immature Bitter Orange Fruit), *Baijie* (Platycodon Root)
Preference for drinking hot wine leads to accumulated heat and blood stasis in the Stomach collaterals. Bi-pain in the epigastrium occurs, and food intake gradually decreases. The patient is nearly fifty years old. The greatest concern is withered Ying (Nutritive) blood and knotted Qi, leading to *Guan Ge* (Obstruction and Regurgitation) in the future.