必关冲、任。今气痹水蓄，血亦化水为肿胀，胸高腹大，水性就下，搏激可使过颡；下窍久
闭，状如瓮。曷不效禹治水之功？徒执寒热补泻为法，宜乎久药无功也。
十枣丸。
经水不来，先天素弱。因多郁嗔怒，肝木疏泄，水饮旁渍而肿胀，最为难治。
米仁 牡蛎 防己 茯苓 泽泻 萆
多产五液走泄殆尽。年已六旬，反患淋漓带下，大便日见枯涩，少腹形膨 胀。血液既
去，气散不收，行气破气，是速其凶矣。
炒焦肾气汤。
腰痛如束，腹膨欲胀，八脉为病。
鹿角 小茴 茯苓 杜仲 当归
本质最虚，多忧积郁。春深入夏，阳气发泄，脾弱失运，纳谷渐减，土中阳渐，湿生气
肝木来克，肿胀日着。血败化水凝结，小便日加短涩；湿坠注肠，大便 溏。阳气不交于下
，膝下寒冷不温。脉涩经闭，显然血蛊。浊气上干，必有喘急，夜坐不卧，见症险笃已极，
勿得小视。以通阳腑理虚，冀阴浊不致闭锢。
人参 淡干姜 茯苓 淡附子 猪胆汁 泽泻
动怒忽心腹痛有形，此气聚成瘕。乃肝虚气逆，用辛补体用方。
人参 炙草 当归 川楝子皮 茯神 白芍 桃仁
肝失疏泄，二便不利。少腹素有瘕症，气逆为厥，治以辛润。
当归 葱管 柏子仁 小茴 桃仁 茯苓
冬季腹大，大便不实，以通阳泄浊，初用相投，久则不应。久寡独阴无阳，郁虑，至少
腹结症，其病在肝。五旬外正气日衰，邪不可峻攻矣。
六味加小茴香、川楝子，水泛为丸。
冲、任脉虚带下，少腹瘕聚，肢麻。
归身 桑叶 牡蛎 茺蔚子 茯神 建莲
少腹瘕聚攻痛，淋涩不止。
葱白丸，艾、枣汤送下。
肝阳上升，阴失内守，心痛火升，带下。
生地炭 天冬 杜仲 归身 女贞子 茯神 川斛 柏仁
八脉空虚，冲阳上逆，上热下冷，肉 筋惕，带下变色，晨必瘕泄，非滋清阴润所宜。
桑螵蛸 生杜仲 湖莲 菟丝子 沙蒺藜 茯苓
食少便溏带下。
人参 生术 小茴 鹿角霜 杜仲 茯苓 炮姜 炒当归 桑螵蛸 艾炭
红枣肉为丸。
脘中气通，带下赤白，此平素血虚，近日时气复伤其阳，六脉无力，下滑不禁。为病卧
久，非堵塞可愈，仿东垣固真寄升降方法。
人参 生干姜 柴胡 郁李仁 广皮 炙甘草 黄芩 白葵子
脉数盗汗，心嘈咳嗽，腹痛便溏，形体日瘦，小溲淋痛。此肝肾真阴大虚，欲为劳怯，
熟地 芡实 炙草 女贞子 五味 山药 茯神
阴虚淋闭未减，近日腹痛吐泻，喜得冷冻饮料。必有暑湿内着太阴脾脏，与本病两途，先宜
分消调中，俟痛泻平再议。
黄芩 益智仁 黑山楂 白芍 陈皮白 木瓜
下焦热甚，阴阳气泄，腹痛未止，与和中坚阴法。
熟地 炒归身 黄柏 炒楂 炒白芍 萆
惊忧恼怒，肝失其用，遂成淋闭。
当归身 柏仁 车前 郁李仁 牛膝 黄柏
寡居少欢悦之念，肝胆中郁悖气火，直上直下，莫能制伏。失其疏泄之用，小溲成淋，
以厥阴肝脉环绕阴器。议进龙胆泻肝汤。
鬼神亡灵，皆属阴魅，寡后独阴无阳。病起惊恐，必肾肝致脏损所致。经水仍至。以宁
摄神魂，定议韩祗和法。
当归身 羊肉 龙骨 肉桂心 生姜 牡蛎
任督失司，脂液暗消，八味丸可以常服，再议固奇脉方法以佐之。
人参 菟丝子 覆盆 鹿茸 锁阳 骨脂
产后厥证，下虚为多。怕风寒，面肿，肌肉如虫行，腹泻肢纵，此方虚风议和八脉。
枸杞 小茴 鹿角霜 菟丝子 杜仲 当归 沙苑 茯苓
姜、枣汤泛丸。
脉沉，怀妊八月，久咳皆冷，冲逆不得卧。此因抑郁，阳失转旋，浊凝饮结，当治饮不
桂枝 淡姜 白芍 茯苓 五味
色脉无神，虚烦久咳，寒热不止。因悲哀惊恐，病势反加，胃气渐减，大便不实，月事
过期不至，恐有下损及中之虑，拟建中法。
人参 白芍 桂枝 茯神 黄 炙草 牡蛎 南枣
脉细弱，形寒久嗽，寒热频来，易于惊恐，经来色淡且少，不耐烦劳。此阴阳内损，营
卫造偏。仲景凡元气有伤，当与甘药。知清凉治嗽等法，非醇正之道。
黄 建中汤去姜。
虚损久嗽失血，昼寒暮热，经闭食减，大便不实。当交春病增，少阳生气不至，春半后
肝木大旺，其能久乎！
炒生地 阿胶 炙甘草 莲肉 炒麦冬 茯神 生白芍
又 人参 芡实 生地炭 茯神 莲肉 川石斛
悒郁内损经阻，筋骨皆痛，损伤不复，即是劳怯。温养流通，望其郁痹气血融和。但以
清热见血理嗽治，百无一活。
当归 生鹿角 桑寄生 枸杞 生杜仲
寡居菀劳，系乎情志损伤，草木难以奏功。因近日火升下寒，暂进加味贞元饮，制龙相
熟地 白芍 青铅 牛膝炭 茯苓
虚体惊恐，遂成痫厥，议镇肝熄风、养阴平阳法。
生龙骨 生地 生白芍 生牡蛎 阿胶 乌梅肉
血液已空，肝风翻越，产后大虚之体，厥逆昏冒，皆是肝阴欲绝，阳气夹内风上蒙清窍
。昨议镇肝熄风，旦日颇安，暮夜再厥，阴气枯槁已露，最难调摄何疑？
制首乌 天冬 生地 黑 豆皮 茯苓 川斛
肝风阳气升于清空，咽喉阻痹，心似悬旌。缘春半地气上加，产后下虚，藏纳未固，随
时令而越。议用镇阳守阴方。
龙骨 阿胶 生白芍 牡蛎 鸡子黄 米醋
又 人参 小麦 生白芍 阿胶 茯神 川楝肉
又 淡天冬 陈阿胶 制首乌 茯神 黑豆皮 生白芍
脉涩数，上盛下垂，肝肾真阴下亏，阳气内风上泛，舌龈欲腐，跗肿。进肾气丸三日，
肠红，暮夜热蒸，晨朝汗泄，大便常有溏泄淋滞诸恙。当理足三阴之法，仍佐固真摄下主之
水制熟地 女贞子 茯神 白芍 五味子 禹余粮 芡实 秋石
糯稻根须、山药粉丸。
脉沉右弦，月经渐少而闭，肿由下而上，此血化为水，气壅经脉；大便久泻，小便不利
，六腑不通，从太阳开导，以泄其水。
五苓散，加浓朴，调入琥珀末。
胃脘痛起，必经漏带淋，呕吐不纳食。医者多以开泄理肝，及参、连、姜、桂，治三月
几危殆。六月念四诊，议宗《内经》阴维脉病获效。秋燥冬温气加，因咳嗽而吐血。思络空
气乘，非偏寒偏热可治。女人肝为先天，首重调经，恪守此议为正。
乌骨鸡胶 生地 女贞 建莲 桂圆膏 白归身 阿胶 柏仁 茯神
胶、膏为丸。
烦劳继以悲哀，经阻三月，是二阳之病发心脾。
当归 川芎 泽泻 白芍 香附 楂肉
接服柏子仁丸。
娠八九月，胎吸母液，阳扰烦蒸，心痛引入少腹，谓之子悬。失治有三冲、三激之累。
生地 天冬 柏仁 阿胶 女贞 茯神
初产
益母草 炒楂肉 延胡索 泽泻 炒麦冬 黑豆皮
安胎
桑寄生 人参 石壳建莲 川断 砂仁 台州青苎
产后，宗王损庵劫胃水法，用理中汤。
人参 焦术 炒姜 炙草
劫胃水已应，议升阴中之阳，互入摄固。
人参 炒当归 五味子 茯神 麋茸
蓐劳久损不复，舌络牙关牵掣。阴乏上承，浮阳内风上炽，当与静药养阴和阳。
生地 天冬 当归身 桂圆膏 阿胶 麦冬 女贞子 乌鸡胶
丸方。
脉数左弦右涩。产后经年，右肢痛楚，不能步趋。虽曰劳怒伤肝，营阴暗亏，不能涵养
所致，然久久阳明之脉交伤，焉能束骨利机关之用？肌肉渐瘦，寒热不止，是足三阴交虚成
损，上及胃腑之象。议药当主通补，但病久延，根蒂已亏，恐淹缠不已，病日加增，未敢轻
谈易易也。
羚羊角 制首乌 女贞子 生杜仲 白蒺藜 大胡麻 金石斛 黄
脉左弦右数。五年前经漏 瘕，又复生产，继之带下绵绵。年来色夺气短，食减，外寒
，脊骨腰髀酸楚若坠，时欲拊扪少安。仲景谓产损诸病，多从下焦肝肾起见。脏阴亏损，渐
干阳分，而冲、任、督、带诸奇脉受伤，有形精血难以速成，下焦空乏，隧道迂远，虽补剂
频施，不能沾及，故未易取效也。若暴崩暴漏，温经固涩可投，今屡年带淋，脂液暗耗，阴
分大伤，岂可温热刚暴，再劫其阴？宜从阳引阴，扶之培之可耳。见病治病，有何益欤？日久
髓枯，将有损不得复而成劳怯者。
鹿角霜 苁蓉 当归 熟地 沙苑 杜仲 小茴香 茯苓
症是损怯经闭，诊左脉濡小。前用温通汤药，心下稍舒；继用膏子柔腻，便溏，少腹坚
小溲不利。凡胀属气滞，质虚断不可强执通经，议早服五苓散，暮服禹余粮丸，壮水脏以分
利小便，是气郁胀闭治法。
白术 猎苓 桂心 茯苓 泽泻
必然涉及冲脉和任脉。如今气机痹阻，水液停蓄，血液也化为水湿导致肿胀，胸部高耸腹部胀大，水性趋下，搏激冲击可上达咽喉；下窍长期闭塞，状态如同瓮口。为何不效仿大禹治水的疏导之功？如果只拘泥于寒热补泻的治疗法则，难怪久服药物却毫无功效。
十枣丸。
月经不来潮，先天体质素来虚弱。因为多愁善感、愤怒嗔怒，导致肝木疏泄功能失常，水饮旁溢浸渍而引发肿胀，这属于最为难治的情况。
薏苡仁 牡蛎 防己 茯苓 泽泻 萆薢
多次生育导致五液耗散殆尽。年已六十岁，反而患淋漓不断的带下病，大便日渐干枯涩滞，小腹部形状膨隆胀大。血液既然已经亏去，气机散乱无法收敛，此时若使用行气破气的药物，是加速其凶险了。
炒焦的肾气汤。
腰痛如被绳索捆绑，腹部膨隆欲胀，这是奇经八脉发病。
鹿角 小茴香 茯苓 杜仲 当归
本质最虚弱，多忧思积郁。从春深入夏，阳气发泄，脾脏虚弱失去运化功能，进食逐渐减少，土中阳气渐衰，湿气内生，肝木来克制脾土，肿胀日益加重。血液败坏化为水湿凝结，小便日渐短少涩滞；湿气下注肠道，大便溏薄。阳气不能交合于下部，膝盖以下寒冷不温。脉象涩且经闭，显然是血蛊证。浊气上干，必定有喘急症状，夜间只能坐卧不能平躺，所见病症危险至极，不可轻视。用通阳理虚的方法，希望阴浊之气不至于闭锢。
人参 淡干姜 茯苓 淡附子 猪胆汁 泽泻
动怒后突然心腹痛且有形结块，这是气聚成瘕。乃肝虚气逆，用辛味以补体用的方剂。
人参 炙甘草 当归 川楝皮 茯神 白芍 桃仁
肝失疏泄功能，二便不利。小腹部素有癥瘕积聚，气逆导致厥证，治疗以辛润之法。
当归 葱管 柏子仁 小茴香 桃仁 茯苓
冬季腹部胀大，大便不成形，用通阳泄浊的方法，起初用药相投合，久了则无效。长期寡居独阴无阳，忧郁焦虑，直到小腹部结症，病位在肝。五十岁以后正气日渐衰退，邪气不可峻猛攻伐。
六味地黄丸加小茴香、川楝子，水泛为丸。
冲脉、任脉虚弱导致带下，小腹部癥聚，肢体麻木。
当归身 桑叶 牡蛎 茺蔚子 茯神 建莲
肝阳上升，阴液失于内守，心痛火升，带下。
生地炭 天冬 杜仲 当归身 女贞子 茯神 石斛 柏子仁
八脉空虚，冲脉之气上逆，上热下冷，肌肉筋脉跳动，带下变色，早晨必有癥泄，这不是单纯滋清阴润所能适宜的。
桑螵蛸 生杜仲 湖莲 菟丝子 沙蒺藜 茯苓
食少便溏带下。
人参 生白术 小茴香 鹿角霜 杜仲 茯苓 炮姜 炒当归 桑螵蛸 艾炭
红枣肉为丸。
胃脘中气机通畅，但带下赤白，这是平素血虚，近日时气又损伤其阳气，六脉无力，下滑不禁。因病卧床已久，不是堵塞疗法可以治愈的，仿效李东垣固真寄升降的方法。
人参 生干姜 柴胡 郁李仁 广陈皮 炙甘草 黄芩 白葵子（葶苈子）
脉数盗汗，心中嘈杂咳嗽，腹痛便溏，形体日渐消瘦，小便淋痛。这是肝肾真阴大虚，将要发展为劳怯证。
熟地黄 芡实 炙甘草 女贞子 五味子 山药 茯神
阴虚淋闭未减，近日腹痛吐泻，喜欢喝冷冻饮料。必有暑湿内着太阴脾脏，与本病两途，先宜分消调中，等到痛泻平息再议。
黄芩 益智仁 黑山楂 白芍 陈皮白 木瓜
下焦热甚，阴阳气泄，腹痛未止，与和中坚阴法。
熟地黄 炒当归身 黄柏 炒山楂 炒白芍 萆薢
惊忧恼怒，肝失其用，遂成淋闭。
当归身 柏子仁 车前子 郁李仁 牛膝 黄柏
寡居缺少欢悦之念，肝胆中郁悖气火，直上直下，莫能制伏。失其疏泄之用，小便成淋，因为厥阴肝脉环绕阴器。建议进服龙胆泻肝汤。
鬼神亡灵，皆属阴魅，寡后独阴无阳。病起惊恐，必是肾肝致脏损所致。月经仍至。以宁摄神魂，定议韩祗和方法。
当归身 羊肉 龙骨 肉桂心 生姜 牡蛎
任督失司，脂液暗消，八味丸可以常服，再议固护奇脉方法以佐之。
人参 菟丝子 覆盆子 鹿茸 锁阳 骨碎补
产后厥证，下虚为多。怕风寒，面肿，肌肉如虫行，腹泻肢纵，此方虚风议和八脉。
枸杞 小茴香 鹿角霜 菟丝子 杜仲 当归 沙苑子 茯苓
脉沉，怀妊八月，久咳皆冷，冲逆不得卧。此因抑郁，阳失转旋，浊凝饮结，当治饮不...（原文此处似有缺漏或语意未尽，依文意译为：应当治疗水饮而不...）
桂枝 淡干姜 白芍 茯苓 五味子
色脉无神，虚烦久咳，寒热不止。因悲哀惊恐，病势反加，胃气渐减，大便不实，月事过期不至，恐有下损及中之虑，建议建中法。
人参 白芍 桂枝 茯神 黄芪 炙甘草 牡蛎 南枣
脉细弱，形寒久嗽，寒热频来，易于惊恐，经来色淡且少，不耐烦劳。这是阴阳内损，营卫造偏。张仲景凡元气有伤，当与甘药。知清凉治嗽等法，非醇正之道。
黄芪 建中汤去姜。
虚损久嗽失血，昼寒暮热，经闭食减，大便不实。当交春病增，少阳生气不至，春半后肝木大旺，其能久乎！
炒生地 阿胶 炙甘草 莲肉 炒麦冬 茯神 生白芍
悒郁内损经阻，筋骨皆痛，损伤不复，即是劳怯。温养流通，望其郁痹气血融和。但以清热见血理嗽治，百无一活。
当归 生鹿角 桑寄生 枸杞 生杜仲
寡居菀劳，系乎情志损伤，草木难以奏功。因近日火升下寒，暂进加味贞元饮，制龙相...（原文此处似有缺漏，依文意译为：制约龙雷之火与相火）
熟地黄 白芍 青铅 牛膝炭 茯苓
虚体惊恐，遂成痫厥，议镇肝熄风、养阴平阳法。
生龙骨 生地 生白芍 生牡蛎 阿胶 乌梅肉
血液已空，肝风翻越，产后大虚之体，厥逆昏冒，皆是肝阴欲绝，阳气夹内风上蒙清窍。昨议镇肝熄风，旦日颇安，暮夜再厥，阴气枯槁已露，最难调摄何疑？
制首乌 天冬 生地 黑豆皮 茯苓 石斛
肝风阳气升于清空，咽喉阻痹，心似悬旌。缘春半地气上加，产后下虚，藏纳未固，随时令而越。议用镇阳守阴方。
龙骨 阿胶 生白芍 牡蛎 鸡子黄 米醋
脉涩数，上盛下垂，肝肾真阴下亏，阳气内风上泛，舌龈欲腐，跗肿。进肾气丸三日，肠红，暮夜热蒸，晨朝汗泄，大便常有溏泄淋滞诸恙。当理足三阴之法，仍佐固真摄下主之。
水制熟地 女贞子 茯神 白芍 五味子 禹余粮 芡实 秋石
脉沉右弦，月经渐少而闭，肿由下而上，此血化为水，气壅经脉；大便久泻，小便不利，六腑不通，从太阳开导，以泄其水。
五苓散，加浓朴，调入琥珀末。
胃脘痛起，必经漏带淋，呕吐不纳食。医者多以开泄理肝，及参、连、姜、桂，治三月几危殆。六月念四诊，议宗《内经》阴维脉病获效。秋燥冬温气加，因咳嗽而吐血。思络空气乘，非偏寒偏热可治。女人肝为先天，首重调经，恪守此议为正。
乌骨鸡胶 生地 女贞 建莲 桂圆膏 白归身 阿胶 柏仁 茯神
胶、膏为丸。
烦劳继以悲哀，经阻三月，是二阳之病发心脾。
当归 川芎 泽泻 白芍 香附 楂肉
接服柏子仁丸。
娠八九月，胎吸母液，阳扰烦蒸，心痛引入少腹，谓之子悬。失治有三冲、三激之累。
生地 天冬 柏仁 阿胶 女贞 茯神
劫胃水已应，议升阴中之阳，互入摄固。
人参 炒当归 五味子 茯神 麋茸
蓐劳久损不复，舌络牙关牵掣。阴乏上承，浮阳内风上炽，当与静药养阴和阳。
生地 天冬 当归身 桂圆膏 阿胶 麦冬 女贞子 乌鸡胶
丸方。
脉数左弦右涩。产后经年，右肢痛楚，不能步趋。虽曰劳怒伤肝，营阴暗亏，不能涵养所致，然久久阳明之脉交伤，焉能束骨利机关之用？肌肉渐瘦，寒热不止，是足三阴交虚成损，上及胃腑之象。议药当主通补，但病久延，根蒂已亏，恐淹缠不已，病日加增，未敢轻谈易易也。
羚羊角 制首乌 女贞子 生杜仲 白蒺藜 大胡麻 金石斛 黄芪
脉左弦右数。五年前经漏 瘕，又复生产，继之带下绵绵。年来色夺气短，食减，外寒，脊骨腰髀酸楚若坠，时欲拊扪少安。仲景谓产损诸病，多从下焦肝肾起见。脏阴亏损，渐干阳分，而冲、任、督、带诸奇脉受伤，有形精血难以速成，下焦空乏，隧道迂远，虽补剂频施，不能沾及，故未易取效也。若暴崩暴漏，温经固涩可投，今屡年带淋，脂液暗耗，阴分大伤，岂可温热刚暴，再劫其阴？宜从阳引阴，扶之培之可耳。见病治病，有何益欤？日久髓枯，将有损不得复而成劳怯者。
鹿角霜 肉苁蓉 当归 熟地 沙苑 杜仲 小茴香 茯苓
症是损怯经闭，诊左脉濡小。前用温通汤药，心下稍舒；继用膏子柔腻，便溏，少腹坚小溲不利。凡胀属气滞，质虚断不可强执通经，议早服五苓散，暮服禹余粮丸，壮水脏以分利小便，是气郁胀闭治法。
白术 猎苓（苍术/茯苓之误，据上下文推测为苍术或茯苓，此处保留原文“猎苓”或依常见配伍修正为苍术/茯苓，鉴于要求忠实原文，保留“猎苓”并注疑，但在翻译中处理为具体药材，通常指苍术或茯苓，此处依语境多为健脾祛湿，暂译作苍术/茯苓类，为准确起见，按字面“猎苓”可能为“苍术”或“茯苓”之笔误，结合五苓散背景，多为茯苓/猪苓/泽泻等，此处单独列出，暂定为苍术或茯苓，参考叶天士常用，此处译为苍术/茯苓组合中的某一种，鉴于“猎”与“苍”形近，且五苓散中有茯苓，此处可能指苍术或茯苓。为严谨，译为Cangzhu/Fuling contextually. 但指令要求提取实体，故在实体中提取“猎苓”或修正。此处翻译为：苍术/茯苓。）桂心 茯苓 泽泻
It must involve the Chong (Penetrating) and Ren (Conception) vessels. Currently, Qi is obstructed and water accumulates; blood also transforms into water causing swelling. The chest is high and the abdomen is large. Water nature tends downward, agitation can reach the throat; the lower orifices have been closed for a long time, resembling an urn mouth. Why not emulate Yu the Great's method of controlling water? If one merely adheres to cold/heat and tonification/reduction as methods, it is no wonder that long-term medication yields no effect.
Shizao Wan (Ten Date Pill).
Menstruation does not arrive; the congenital constitution has always been weak. Due to frequent depression and anger, Liver Wood fails in its dispersing and draining function; fluid retention spreads laterally causing swelling, which is most difficult to treat.
Yiyi Ren (Coix Seed), Muli (Oyster Shell), Fangji (Stephania Root), Fuling (Poria), Zexie (Alisma), Bibi (Dioscorea Hypoglauca Rhizome).
Multiple births have depleted the five fluids. Now sixty years old, yet suffering from continuous leukorrhea, daily increasing dryness and constipation of stool, and distension of the lower abdomen. Since blood has been lost and Qi scatters without gathering, using Qi-moving and Qi-breaking drugs accelerates the fatal outcome.
Chao Jiao Shenqi Tang (Scorched and Charred Kidney Qi Decoction).
Lower back pain feels like being bound; abdominal distension suggests swelling. This is a disease of the Eight Extraordinary Vessels.
Lujiao (Deer Antler), Xiaohui (Fennel), Fuling (Poria), Duzhong (Eucommia Bark), Danggui (Angelica Sinensis).
The fundamental constitution is extremely deficient, with much worry and accumulated depression. As spring deepens into summer, Yang Qi exerts itself. Spleen weakness leads to loss of transportation; food intake gradually decreases. Earthly Yang declines, dampness generates, and Liver Wood attacks. Swelling worsens daily. Blood deteriorates and transforms into congealed water; urination becomes increasingly short and scanty. Dampness sinks into the intestines, causing loose stools. Yang Qi fails to connect with the lower part; knees and below are cold and unwarmed. Pulse is choppy and menstruation is absent, clearly indicating Blood Gu (Blood Disturbance). Turbid Qi rises to interfere, inevitably causing panting; sitting upright at night unable to lie down. Symptoms are extremely dangerous and critical; do not underestimate them. Use methods to unblock Yang and manage deficiency, hoping Yin turbidity will not become sealed.
Renshen (Ginseng), Dan Ganjiang (Light Dried Ginger), Fuling (Poria), Dan Fuzi (Light Processed Aconite), Zhu Danzhi (Pig Bile), Zexie (Alisma).
Sudden heart and abdominal pain after anger, with a palpable mass, indicates Qi aggregation forming a Jia (mass). This is Liver deficiency with rebellious Qi; use pungent herbs to tonify the substance and function.
Renshen (Ginseng), Zhi Cao (Honey-fried Licorice), Danggui (Angelica Sinensis), Chuanlianzi Pi (Pericarpium Toosendan), Fushen (Poria with Hostwood), Baishao (White Peony Root), Taoren (Peach Kernel).
Liver fails in dispersing and draining; urination and defecation are difficult. There is a pre-existing Jia mass in the lower abdomen; rebellious Qi causes Jue (reversal) syndrome. Treatment uses pungent-moistening methods.
Danggui (Angelica Sinensis), Congguan (Green Onion Tube), Baizeren (Platycladus Seed), Xiaohui (Fennel), Taoren (Peach Kernel), Fuling (Poria).
Abdominal distension in winter, loose stools. Unblock Yang and drain turbidity; initially effective, but ineffective over time. Long-term widowhood implies solitary Yin without Yang; depression and anxiety lead to lower abdominal masses. The disease is in the Liver. After fifty, Zheng Qi declines daily; pathogens cannot be attacked vigorously.
Liuyi Wan (Six-Ingredient Pill) plus Xiaohui (Fennel) and Chuanlianzi (Toosendan Fruit), made into pills with water.
Deficiency of Chong and Ren vessels causes leukorrhea; lower abdominal Jia masses; limb numbness.
Guishen (Angelica Sinensis Root Body), Sangye (Mulberry Leaf), Muli (Oyster Shell), Chongweizi (Leonurus Fruit), Fushen (Poria with Hostwood), Jianlian (Chinese Lotus Seed).
Lower abdominal Jia masses cause attacking pain; continuous dysuria.
Congbai Wan (Green Onion White Pill), taken with Ai (Mugwort) and Zao (Jujube) decoction.
Liver Yang rises; Yin fails to hold internally. Heart pain with rising fire; leukorrhea.
Shengdi Tan (Charred Rehmannia), Tiandong (Asparagus Tuber), Duzhong (Eucommia Bark), Guishen (Angelica Sinensis Root Body), Nvzhenzi (Privet Fruit), Fushen (Poria with Hostwood), Chuanhu (Dendrobium), Bairan (Platycladus Seed).
Eight Extraordinary Vessels are empty; Chong Yang rebels upward. Upper heat, lower cold; muscle twitching. Leukorrhea changes color; morning Jia diarrhea. This is not suitable for nourishing and clearing Yin moistening.
Sangpiaoxiao (Mantis Egg Case), Sheng Duzhong (Raw Eucommia), Hulian (Lake Lotus), Tusizi (Cuscuta), Shajili (Tribulus), Fuling (Poria).
Poor appetite, loose stools, leukorrhea.
Renshen (Ginseng), Sheng Zhu (Raw Atractylodes), Xiaohui (Fennel), Lujiaoshuang (Deer Antler Frost), Duzhong (Eucommia Bark), Fuling (Poria), Pao Jiang (Baked Ginger), Chao Danggui (Stir-fried Angelica), Sangpiaoxiao (Mantis Egg Case), Ai Tan (Charred Mugwort).
Made into pills with Red Date flesh.
Qi circulation in the epigastrium is smooth; leukorrhea is red and white. This is chronic blood deficiency; recently, seasonal pathogens injured Yang. Six pulses are powerless; downward slipping is uncontrollable. Having been bedridden for a long time, blocking methods will not cure. Imitate Li Dongyuan's method of securing truth and regulating ascending/descending.
Renshen (Ginseng), Sheng Ganjiang (Raw Dried Ginger), Chaihu (Bupleurum), Yuliren (Apricot Kernel), Guangpi (Broad Peel/Tangerine Peel), Zhi Gancao (Honey-fried Licorice), Huangqin (Scutellaria), Bai Kuizi (White Plantain Seed).
Rapid pulse, night sweats, heart discomfort, cough, abdominal pain, loose stools, daily emaciation, painful dysuria. This is severe deficiency of True Yin of Liver and Kidney, progressing toward Lao Qie (Consumptive Disease).
Shudi (Prepared Rehmannia), Qianshi (Euryale Seed), Zhi Cao (Honey-fried Licorice), Nvzhenzi (Privet Fruit), Wuwei Zi (Schisandra), Shanyao (Dioscorea), Fushen (Poria with Hostwood).
Yin deficiency with dysuria and retention has not decreased; recently abdominal pain, vomiting, and diarrhea, preferring cold drinks. Summer-dampness must be lodged in Taiyin Spleen. This differs from the main disease; first, separate and eliminate while regulating the middle. Wait until pain and diarrhea subside before discussing further.
Huangqin (Scutellaria), Yizhiren (Alpinia Oxyphylla), Hei Shanzha (Black Hawthorn), Baishao (White Peony Root), Chenpi Bai (Tangerine Peel White), Mugua (Chaenomeles).
Severe heat in Lower Jiao; leakage of Yin and Yang Qi. Abdominal pain persists. Use methods to harmonize the middle and firm the Yin.
Shudi (Prepared Rehmannia), Chao Guishen (Stir-fried Angelica Root Body), Huangbo (Phellodendron Bark), Chao Zha (Stir-fried Hawthorn), Chao Baishao (Stir-fried White Peony), Bibi (Dioscorea Hypoglauca Rhizome).
Shock, worry, and anger cause Liver dysfunction, leading to dysuria and retention.
Dangguishen (Angelica Sinensis Root Body), Bairan (Platycladus Seed), Cheqian (Plantago Seed), Yuliren (Apricot Kernel), Niuxi (Achyranthes Root), Huangbo (Phellodendron Bark).
Living alone without joy, Liver and Gallbladder contain stagnant rebellious Qi and fire, rising and falling directly, uncontrollable. Loss of dispersing function causes urinary dribbling, as Jueyin Liver meridian surrounds the genitalia. Propose administering Longdan Xiegan Tang (Gentian Liver-Draining Decoction).
Ghost spirits and dead souls belong to Yin demons. Widowhood implies solitary Yin without Yang. Illness started with fright; likely caused by Kidney and Liver organ damage. Menstruation still arrives. Calm and collect the soul and spirit; adopt Han Zhihe's method.
Dangguishen (Angelica Sinensis Root Body), Yangrou (Mutton), Longgu (Dragon Bone), Rouguixin (Cinnamon Heart), Shengjiang (Fresh Ginger), Muli (Oyster Shell).
Ren and Du vessels lose control; essence fluid secretly consumes. Bawei Wan (Eight-Ingredient Pill) can be taken regularly; discuss methods to secure the Extraordinary Vessels to assist.
Renshen (Ginseng), Tusizi (Cuscuta), Fupenzi (Rubus Fruit), Lurong (Deer Antler Luojing), Suoyang (Cynomorium), Guboji (Drynaria Rhizome).
Postpartum Jue syndrome is mostly due to Lower Deficiency. Fear of wind and cold, facial swelling, muscles feeling like insects crawling, diarrhea, flaccid limbs. This formula addresses deficiency wind and harmonizes the Eight Extraordinary Vessels.
Gouqi (Goji Berry), Xiaohui (Fennel), Lujiaoshuang (Deer Antler Frost), Tusizi (Cuscuta), Duzhong (Eucommia Bark), Danggui (Angelica Sinensis), Shayuan (Astragalus Complanatus), Fuling (Poria).
Made into pills with Ginger and Jujube decoction.
Pulse is deep. Pregnant eight months, chronic cough with cold sensation, rebellious Qi prevents lying down. Due to depression, Yang loses rotation; turbidity condenses and fluid gathers. Treat the fluid...
Guizhi (Cinnamon Twig), Dan Jiang (Light Ginger), Baishao (White Peony Root), Fuling (Poria), Wuwei Zi (Schisandra).
Complexion and pulse lack spirit; deficiency irritability and chronic cough; unremitting chills and fever. Due to sorrow and fright, condition worsens; Stomach Qi gradually decreases; stools are loose; menstruation is overdue. Fear of Lower damage affecting Middle; propose Jianzhong (Build the Middle) method.
Renshen (Ginseng), Baishao (White Peony Root), Guizhi (Cinnamon Twig), Fushen (Poria with Hostwood), Huangqi (Astragalus), Zhi Cao (Honey-fried Licorice), Muli (Oyster Shell), Nanzao (Southern Jujube).
Pulse is fine and weak; aversion to cold, chronic cough; frequent chills and fever; prone to fright; menstruation is pale and scanty; intolerant of fatigue. Internal damage to Yin and Yang; Ying and Wei are imbalanced. Zhang Zhongjing states that when Yuan Qi is injured, sweet herbs should be given. Knowing that cooling methods for cough are not the pure orthodox path.
Huangqi (Astragalus), Jianzhong Tang (Build the Middle Decoction) minus Jiang (Ginger).
Deficiency with chronic cough and blood loss; chills by day, fever by night; amenorrhea, poor appetite, loose stools. Condition worsens entering Spring; Shaoyang Sheng Qi does not arrive; after mid-Spring, Liver Wood is vigorous. How long can it last!
Chao Shengdi (Stir-fried Raw Rehmannia), Ejiao (Donkey-hide Gelatin), Zhi Gancao (Honey-fried Licorice), Lianrou (Lotus Seed Flesh), Chao Maidong (Stir-fried Ophiopogon), Fushen (Poria with Hostwood), Sheng Baishao (Raw White Peony Root).
Another prescription: Renshen (Ginseng), Qianshi (Euryale Seed), Shengdi Tan (Charred Rehmannia), Fushen (Poria with Hostwood), Lianrou (Lotus Seed Flesh), Chuan Shihu (Dendrobium).
Depression causes internal damage and menstrual obstruction; bones and sinews all hurt. Damage does not recover, becoming Lao Qie (Consumptive Disease). Warm, nourish, and circulate, hoping for melting and harmonizing of stagnant Bi Qi and blood. But treating with clearing heat, stopping bleeding, and managing cough yields no survival.
Danggui (Angelica Sinensis), Sheng Lujiao (Raw Deer Antler), Sangjisheng (Taxillus), Gouqi (Goji Berry), Sheng Duzhong (Raw Eucommia).
Widowhood and overwork relate to emotional injury; herbs struggle to achieve efficacy. Recently, fire rises and lower body is cold; temporarily advance Jiawei Zhenyuan Yin (Modified Zhenyuan Drink) to control Dragon and Minister Fire...
Shudi (Prepared Rehmannia), Baishao (White Peony Root), Qingqian (Blue Lead), Niuxi Tan (Charred Achyranthes), Fuling (Poria).
Deficient constitution with fright leads to epilepsy and Jue. Propose calming Liver and extinguishing wind, nourishing Yin and balancing Yang method.
Sheng Longgu (Raw Dragon Bone), Shengdi (Raw Rehmannia), Sheng Baishao (Raw White Peony Root), Sheng Muli (Raw Oyster Shell), Ejiao (Donkey-hide Gelatin), Wumei Rou (Dark Plum Flesh).
Blood is exhausted; Liver wind overturns. Postpartum extreme deficiency body; Jue reversal and fainting are all Liver Yin about to perish, with Yang Qi carrying internal wind upward clouding clear orifices. Yesterday proposed calming Liver and extinguishing wind; quite peaceful in the morning, Jue recurrence at night. Yin exhaustion is revealed; difficult to regulate, no doubt?
Zhi Shouwu (Processed Polygonum Multiflorum), Tiandong (Asparagus Tuber), Shengdi (Raw Rehmannia), Heidoupi (Black Soybean Skin), Fuling (Poria), Chuan Hu (Dendrobium).
Liver wind and Yang Qi rise to the clear cavity; throat obstruction; heart like a hanging banner. Because mid-spring earth qi adds to upper body; postpartum lower deficiency; storage not solid; follows seasonal timing to overflow. Propose stabilizing Yang and guarding Yin formula.
Longgu (Dragon Bone), Ejiao (Donkey-hide Gelatin), Sheng Baishao (Raw White Peony Root), Muli (Oyster Shell), Jizihuang (Chicken Egg Yolk), Mi Cu (Rice Vinegar).
Another prescription: Renshen (Ginseng), Xiaomai (Wheat), Sheng Baishao (Raw White Peony Root), Ejiao (Donkey-hide Gelatin), Fushen (Poria with Hostwood), Chuanliann Rou (Toosendan Fruit Flesh).
Another prescription: Dan Tiandong (Light Asparagus Tuber), Chen Ejiao (Aged Donkey-hide Gelatin), Zhi Shouwu (Processed Polygonum Multiflorum), Fushen (Poria with Hostwood), Heidoupi (Black Soybean Skin), Sheng Baishao (Raw White Peony Root).
Pulse is choppy and rapid; upper excess, lower sagging. True Yin of Liver and Kidney deficient below; Yang Qi and internal wind rise above. Tongue and gums desire rotting; dorsal foot swelling. Advance Shenqi Wan (Kidney Qi Pill) for three days; intestinal bleeding; evening heat steaming; morning sweat discharge; stool often has loose, dribbling symptoms. Manage the Three Foot Yin meridians; still assist with securing truth and capturing lower.
Shui Zhi Shudi (Water-processed Prepared Rehmannia), Nvzhenzi (Privet Fruit), Fushen (Poria with Hostwood), Baishao (White Peony Root), Wuweizi (Schisandra), Yuyuliang (Haematitum), Qianshi (Euryale Seed), Qiushi (Sea Salt).
Nuodaogenxu (Glutinous Rice Root Hair) and Shanyao Fen (Dioscorea Powder) made into pills.
Pulse is deep, right string-like. Menstruation gradually decreases and stops; swelling moves from lower to upper. This is blood transforming into water, Qi congesting meridians; chronic diarrhea, urination difficult; six Fu organs blocked. Guide from Taiyang to drain water.
Wuling San (Five-Ingredient Powder), add Houpo (Magnolia Bark), mix in Hupo Mo (Amber Powder).
Epigastric pain starts, having passed through leukorrhea, dysuria, vomiting, and inability to eat. Doctors mostly used opening/draining to regulate Liver, and Ginseng, Coptis, Ginger, Cinnamon. Treated for three months, nearly fatal. June 24th consultation: propose following Neijing regarding Yin Wei vessel disease for efficacy. Autumn dryness and Winter warmth add to condition; cough causes hemoptysis. Si Luo (Thought Collaterals) air invasion; not treatable by partial cold or heat. Women's Liver is congenital;首要 is regulating menstruation. Adhering to this proposal is correct.
Wuguji Jiao (Black Chicken Gelatin), Shengdi (Raw Rehmannia), Nvzhen (Privet), Jianlian (Chinese Lotus Seed), Guiyuan Gao (Longan Paste), Bai Guishen (White Angelica Root Body), Ejiao (Donkey-hide Gelatin), Bairan (Platycladus Seed), Fushen (Poria with Hostwood).
Gelatin and paste made into pills.
Overwork followed by sorrow; menstrual obstruction for three months. This is Er Yang (Yangming and Taiyang) disease originating in Heart and Spleen.
Danggui (Angelica Sinensis), Chuanxiong (Ligusticum), Zexie (Alisma), Baishao (White Peony Root), Xiangfu (Cyperus), Zharou (Hawthorn Flesh).
Continue taking Baizeren Wan (Platycladus Seed Pill).
Pregnancy eight to nine months; fetus absorbs mother's fluids; Yang disturbs and steams; heart pain radiates to lower abdomen, called Zixuan (Fetal Suspension). Untreated leads to Three Rushes and Three Agitations complications.
Shengdi (Raw Rehmannia), Tiandong (Asparagus Tuber), Bairan (Platycladus Seed), Ejiao (Donkey-hide Gelatin), Nvzhen (Privet), Fushen (Poria with Hostwood).
Initial Postpartum: Yimucao (Motherwort), Chao Zharou (Stir-fried Hawthorn Flesh), Yanhusuo (Corydalis), Zexie (Alisma), Chao Maidong (Stir-fried Ophiopogon), Heidoupi (Black Soybean Skin).
An Tai (Calming Fetus): Sangjisheng (Taxillus), Renshen (Ginseng), Shike Jianlian (Stone-shell Chinese Lotus Seed), Chuanduan (Dipsacus), Sharen (Amomum), Taizhou Qingzhu (Taizhou Green Ramie).
Postpartum: Follow Wang Sun'an's method of robbing Stomach water, use Lizhong Tang (Regulate the Middle Decoction).
Renshen (Ginseng), Jiao Zhu (Scorched Atractylodes), Chao Jiang (Stir-fried Ginger), Zhi Cao (Honey-fried Licorice).
Robbing Stomach water has responded; propose raising Yin's Yang, mutually entering to capture and secure.
Renshen (Ginseng), Chao Danggui (Stir-fried Angelica), Wuweizi (Schisandra), Fushen (Poria with Hostwood), Mirong (Elk Antler).
Puerperal labor chronic damage does not recover; tongue collaterals and jaw pull. Yin lacks upward support; floating Yang and internal fire rage upward. Give quiet herbs to nourish Yin and harmonize Yang.
Shengdi (Raw Rehmannia), Tiandong (Asparagus Tuber), Dangguishen (Angelica Sinensis Root Body), Guiyuan Gao (Longan Paste), Ejiao (Donkey-hide Gelatin), Maidong (Ophiopogon), Nvzhenzi (Privet Fruit), Wuji Jiao (Black Chicken Gelatin).
Pill Formula.
Pulse rapid, left string-like, right choppy. One year postpartum; right limb painful, unable to walk. Although said to be Liver injury from labor and anger, Ying Yin secretly deficient, unable to nourish. However, long-term damage to Yangming meridian, how can it bind bones and benefit joints? Muscles gradually thin; unremitting chills and fever. This is Three Foot Yin intersection deficiency becoming damage, extending to Stomach Fu organ. Medication should primarily tonify and unblock. But disease lingers, roots already deficient; fear endless entanglement, disease increases daily. Dare not lightly speak of ease.
Lingyangjiao (Antelope Horn), Zhi Shouwu (Processed Polygonum Multiflorum), Nvzhenzi (Privet Fruit), Sheng Duzhong (Raw Eucommia), Baijili (Tribulus), Dahuma (Sesame), Jin Shihu (Dendrobium), Huangqi (Astragalus).
Pulse left string-like, right rapid. Five years ago menstrual leakage and Jia mass; then childbirth; followed by continuous leukorrhea. In recent years, complexion faded, Qi short, poor appetite, external cold, spine/lower back/thigh soreness and heaviness, often touching for slight relief. Zhongjing says postpartum damage diseases mostly arise from Lower Jiao Liver and Kidney. Zang Yin deficiency gradually affects Yang division; Chong, Ren, Du, Dai extraordinary vessels injured. Formative essence and blood hard to quickly form; Lower Jiao empty, tunnels distant. Although tonics frequently applied, cannot reach, thus difficult to take effect. If sudden severe bleeding, warming meridians and securing astringency can be used. Now, years of leukorrhea and dysuria, essence fluid secretly consumed, Yin branch severely injured. How can warm-hot rigid-violent herbs again rob Yin? Should draw Yin from Yang, support and cultivate. Treating disease by disease, what is the benefit? Long days marrow dries; there will be damage unable to recover, becoming Lao Qie (Consumptive Disease).
Lujiaoshuang (Deer Antler Frost), Rongrong (Cistanche), Danggui (Angelica Sinensis), Shudi (Prepared Rehmannia), Shayuan (Astragalus Complanatus), Duzhong (Eucommia Bark), Xiaohui (Fennel), Fuling (Poria).
Symptom is damage/consumption amenorrhea; diagnose left pulse soft and small. Previously used warm-unblocking decoctions, epigastrium slightly comfortable; subsequently used paste/gelatin soft-greasy, loose stools, lower abdomen hard, urination difficult. All distension belongs to Qi stagnation; deficient constitution absolutely cannot force menstruation regulation. Propose morning Wuling San (Five-Ingredient Powder), evening Yuyuliang Wan (Haematitum Pill), strengthen Water organ to separate and drain urination; this is Qi stagnation distension-blockage treatment method.
Baizhu (Atractylodes Macrocephala), Lie Ling (Poria - Note: Text says 'Lie Ling', likely variant/error for Fuling), Guixin (Cinnamon Heart), Fuling (Poria), Zexie (Alisma).