1．方男。自患伤寒重病后，时心动悸，短气难以平卧，舌红，脉细数。曾经西医透视诊为心脏扩大。高丽参15克，熟地30克，山萸肉15克，上安桂3克，蛤蚧尾1对，白术15克，五味子6克，仙鹤草30克，煅牡蛎30克，大寸冬15克，杭白芍15克。共研细末，炼蜜为丸梧子大，早晚各服9克。
【按］重病之后，一方面气血受损，血不营心，以致心悸怔仲；一方面肾阴亏耗，以致虚火上炎而舌红，脉细数；肾不纳气而短气难以平卧。人参、蛤蚧同用名参蛤散，对于肾不纳气之气喘有显著疗效；配合地、萸。牡、味等大滋肾阴，摄纳肾气；参、麦、味三药为生脉散，可以益心营，补气阴，稍用肉桂以引火归源，并可温中使诸药滋而不腻。
2．金男。以失音为主症，其来也渐，午后发热，咽干舌红，脉细数。大有损症之嫌，与寻常因感冒所致者大不相同。京玄参12克，麦冬9克，炙鳖甲18克，青蒿9克，阿胶珠15克，地骨皮12克，桑白皮9克，干地黄15克，猪肤正方（去毛、肉，煮汤代水）。【按］午后发热是阴虚火旺；咽干舌红乃津亏无以上承。如此则其失音之为损症甚明。方用生地、元参、麦冬、阿胶、猪肤增液润燥；肺为娇脏，最畏火灼，故再以鳖甲、桑皮、地骨泻火清肺。
3．狄女。头昏，心动悸，食少，夜难酣寐，其虚也益甚，治在心脾。生黄芪6克，潞党参9克，生白术9克，白归身9克，抱茯神匚克，炒枣仁9克，远志肉6克，龙眼肉9克，广木香2．4克，炙甘草2．4克。【按】此案系心血不足。归脾汤既可补血安神，又可益脾气而资化源，为心脾同病调治之良方。
4．黄男。头眩由来已久，目光少神。此肝肾不足之象。杭白芍9克，潼沙苑9克，甘杞子9克，料豆衣12克，山萸肉9克，炒枣仁9克，冬青子9克，桑椹子12克，黑芝麻9克。二诊：药后头眩不再作，目视模糊。肾寄窍于目，明目药其实皆柔润之补肾药。干地黄18克，潼沙苑9克，菟丝饼9克，杭白芍9克，甘杞子9克，五味子4．5克，冬青子9克，冬桑叶4．5克，青箱子9克，黑大豆18克，黑芝麻9克。
【按】肝虽开窍于目，而肾藏精，五脏六腑之精气皆上注于目，故谓"肾寄窍于目"。此病人头眩，目光少神，视物模糊，为肝肾精气不足之征，故用药侧重柔润肝肾之阴。
5．韩男。精神不振，工作不能支持，夜寐多梦，经常便秘；行动时偶然两足抽搐，有欲跌之意；与人谈话时，偶有一二分钟语无伦次；写文章时忽然思路中断，但笔不肯休，不自主继续书写，故一文之中，如出两手。其病在肝肾不足。生黄芪12克，枸杞子9克，党参6克，潼沙苑9克，当归9克，白芍9克，米仁18克，河车大造丸9克（分2次吞）。二诊：每日有大便，但不畅，食欲亦不振。当归9克，白芍9克，制首乌18克，火麻仁9克，枣仁9克，柏子仁12克，木瓜9克，嫩桑枝12克。另：二冬膏、桑椹膏、黄芪膏各18克，混合，早晚各服1食匙，开水冲aB。
【按］脑为髓海，肾藏精、生髓而通于脑，肾不足则髓海亦不足；肝藏血、主筋，肝血虚则筋失荣养。所以此证出现的短暂意识障碍和两足抽搐等，责之于肝肾不足，治疗从补益肝肾人手。
6．孙女。面色萎黄，爪甲淡白，此气虚血不足，连夜发热，予补中益气汤加味。党参9克，黄芪15克，白术9克，全当归9克，柴胡4．5克，升麻3克，陈皮3克，粉甘草3克，春砂仁2．4克（后下），带叶佩兰9克，肉桂末1．0克（分3次吞）。二诊：投补中益气，身热退。气虚，一时难复。苔腻，口淡。此方催进食欲。佩兰梗9克，春砂仁2．4克（后下），薤白头6克，宣木瓜9克，生鸡金9克，佛手片4．5克，陈皮4．5克，炒麦芽9克，六神曲9克，山楂肉12克。
三诊：大便不约，急则自遗，脾阳虚也。予附子理中。制附块4．5克，土炒党参9克，炒白术9克，炮姜炭4．5克，清炙草3克，北细辛2．4克，五味4．5克，炙紫菀9克，炙远志4．5克。四诊：便溏自遗者已能约，咳剧，痰粘腻不爽。白苏子12克，旋覆花9克（包），炙紫菀9克，陈皮4．5克，北细辛2．4克，五味子4．5克，炙款冬9克，白果10枚（去壳），炙远志4．5克，杭白芍9克，清炙甘草3克。
【按】此为劳倦发热，东垣《内外伤辨惑论》言之甚详。用补中益气甘温除热，药症相符，一服而效。三诊大便不约，为脾阳虚，附子理中正为合拍。脾阳虚则运化失职，液聚力痰，而为咳嗽。四诊则急则治标，用消痰降气之品。善后可用香砂六君之类。
7．戴男。头昏目糊，经常失眠，易举阳；常梦遗，短则1天1次，长则三四月丨次；舌红，脉弦细。作阴虚论治。冬青子18克，潼蒺藜18克，旱莲草12克，料豆衣18克，五味子4．5克，秫米12克，炒枣仁12克。另：大补阴丸45克，每次6克，早夜各服1次。
二诊：自诉药后症状减轻十之七八，劳动后有发热感，疲惫无力，遗泄又见，多行则气喘。当兼补气阴。潞党参9克，寸冬12克，五味子4．5克，料豆衣18克，枣仁18克，甘草3克，大补阴丸24克。三诊：睡眠尚可，唯梦多，举阳症状减半，遗泄约20天1次，近日稍活动则有热上升。生熟地各15克，石斛9克，菟丝子12克，金樱子18克，覆盆子12克，麦冬9克。
【按】阴亏火旺导致失眠、遗精；经常遗精则阴精愈伤，而虚火愈炽。立方用丹溪大补阴丸（生地、知、柏、龟板、猪脊髓）、二至丸滋阴降火；沙苑、五味收敛肾气；枣仁、秫米安神宁心。二诊见劳动后发热，为气阴两虚，阴不敛阳，增用生脉散以补气阴。三诊滋润肝肾，兼用收敛以涩精。
8陈女。感冒之脉多浮紧，今虽数而细软：细是物质之缺乏，软是功能之减退。阴分、血分物质也；气分，精神功能也。此种体质用药太轻，反不能奏效。轻可去实，不可一例而论也。川桂枝2．4克（后下），刺蒺藜9克，防风6克，醋柴胡4．5克，秦艽9克，粉甘草2．4克，川芎3．6克，香白芷6克，神曲9克，佩兰梗6克，苏子9克（包）。
二诊：古人所谓虚热，臆测之或是副交感神经抑制，而交感神经兴奋。盖虚热其热多不甚高，而时有寒意，而两脉细数也。虚热用补药，即使抑制者复其常态而已。绿升麻2．4克，当归9克，黄芪9克，柴胡4．5克，生白术9克，川桂枝3克（后下），党参9克，陈皮6克，炙甘草3克，云苓12克，生姜3片。
【按】先生对虚热的病机作了中西医学理论的疏证与沟通。这种虚热，相似于功能性低热，长期不愈，常用甘温除热或养阴清热法。本案即取补中益气汤出入，以甘温除热。
9．某男。舌光红，古人以为阴伤。阴之涵义，指人身一切物质而言，养阴药即补充其物质。复入温药者，兴奋肠胃之功能也。熟地18克，旱莲草12克，白芍9克，女贞子9克，制首乌15克，炒扁豆衣9克，炮姜炭3克，淮牛膝12克，益智仁9克，肉豆蔻9克，炙甘草3克。
10．李男。其主症面色不华而黄，蹬下则头为之晕，舌、脉皆不足。熟地15克，山药12克，云苓9克，山萸肉9克，苡仁12克，料豆衣12克，潼沙苑9克，桑麻丸9克（包），旱莲草9克。
11．程男。微似寒热，多作于黄昏时，自汗、盗汗而冷。阳不外卫，阴不内守。炮附块9克，山萸肉9克，淮牛膝9克，杭白芍9克，潞党参9克，熟地黄24克，五味子4．5克，龙眼肉9克。
12．徐男。病后，舌光红少苔，温度偏低。此阴阳并虚之疾，久延便是虚劳。当归9克，白芍6克，附块9克，山药12克，升麻4．5克，党参9克，萸肉9克，云苓9克，陈皮6克，熟地12克。
13．马女。下肢皮肤有麻木感，此神经失其营养，而脉沉弱，体虚已久。附子9克，金毛脊9克，秦艽6克，杜仲9克，杜赤豆12克，当归9克，黑大豆12克，桑寄生12克，萸肉9克。
14．陈女。午后先寒后热，既热，必待天明乃罢，此内伤之热也，故其脉细而数。脉象与热型，皆为病原物之刺激，强壮剂意在使病原物自动灭亡。
当归9克，脱力草15克，秦艽9克，黑大豆12克，升麻3克，醋炒柴胡4．5克，白芍9克，炙鳖甲24克，生姜3片，大枣7枚，炙甘草3克。【按］脱力草，即仙鹤草。
15．叶女。严重贫血，古人有补血先补气之法。党参12克，杞子12克，云苓12克，熟地15克，黄芪18克，白术9克，当归15克，红枣7枚。
16．李男。舌前光红而滑，且颤动不已。清代医家有气阴两伤之说。阴指营养而言，气指细胞之活力而言。鲜生地18克，冬青子9克，北沙参9克，淮牛膝9克，白薇9克，麦门冬9克，杭白芍9克，王竹9克，桑白皮12克，粉甘草4．5克。
17．胡男。掌心热，古人属之五心烦热之一，多见于神经之衰弱者、肺结核患者。今脉搏增加，往日曾经咯血，损之端倪也。营养、休息十分重要。生熟地各15克，撞沙苑9克，十大功劳12克，冬青子9克，玄武板9克，淮牛膝9克，左牡蛎30克（先煎），旱莲草12克。
18．李男。面色爪甲皆现高度贫血，无怪其热缠绵3个月之久。黄芪9克，枸杞子9克，杭白芍6克，仙鹤草12克，当归9克，淮山药9克，黑豆衣12克，粉甘草3克，生姜3片，大枣7枚。
19．刘男。热起于日前时者，原因大别有三：①时病阳明症，实证也；②贫血，古人所谓阴虚之热；③假使未热而先有寒意，此潮热之初步。今两颧不时发赤，两脉细数，损症也。淮山药9克，银柴胡6克，嫩白薇9克，全当归9克（去油），剪芡实9克，黑大豆12克，秦艽9克，白芍6克，抱木神12克，香茶芽9克，仙半夏12克，北秫米12克（包）。
20．陶女。舌中剥而扩大，此营养缺乏之象，古人称为阴虚。大便难，液少也。制首乌9克，狗杞子9克，肥知母9克，料豆衣12克，杭白芍9克，麦冬9克，干地黄12克，潼沙苑9克，桑椹子12克，麦芽9克。
21．王男。无热，脉不数，而自觉胸中灼热，舌少苦而质红。此阴分不足之象。鲜生地12克，料豆衣12克，肥知母9克，冬青子9克，潼沙苑9克，天花粉9克，杭白芍9克，冬瓜子匚克，绿豆衣12克，白茅根1扎。另：景岳左归饮、首乌延寿丹各9克，吞服。
22．陈女。舌中光剥，阴伤也。二便皆难，职斯之故。桑椹子12克，枣仁9克，山萸肉9克，杭芍9克，油当归6克，黑芝麻12克，干地黄12克，天麻3克，料豆衣12克．潼白蒺藜各9克，二至丸12克。
23．周女。经已净，头眩，胸中烦热，大便难。凡此皆阴虚火旺之象。鲜生地18克，冬青子9克，料豆衣12克，知母9克，旱莲草9克，麦冬9克，玉竹9克，牛膝9克，粉甘草2．4克。
24．潘男。形瘦，体弱可知；人寐惊惕不宁，背脊作酸。此二者皆是营养缺乏，其中尤以维生素A与钙为最甚。全当归9克，枸杞子9克，杜仲9克，酸枣仁9克，金毛脊9克，鹿角霜12克，夜交藤12克，龙眼肉9克。另：多眼猪脊髓、猪肝。
25．翁男。仲景以男子脉大为劳，纯由经验而来。能知脉大为虚，已属不易。《金匮》治男子虚劳，多用薯蓣丸。此丸内有大豆黄卷，与现代之治疗着合符节。今宗其旨。淮山药9克，大豆卷18克，淮牛膝12克，潞党参9克，生黄芪9克，山萸肉9克，当归9克，黑大豆12克，杞子9克，生米仁24克，生白术9克，云苓12克。
26．陆男。两颊散布红蓝成片，时轻时剧，剧则面部烘热，顷见舌前剥，常衄血。古人称为阴不足，而湿火上冲。小生地12克，旱莲草9克，小蓟12克，冬青子9克，粉丹皮9克，忍冬藤9克，豨莶草9克，蒲公英9克，淮牛膝9克，绵茵陈9克。
27．邵男。正当壮年，而恶寒特甚，虽拥絮亦不觉暖。此当补命门真火。炮附块9克，萸肉9克，巴戟9克，补骨脂9克，鹿角霜9克，当归9克，肉豆寇4．5克，生姜2片，大枣7枚，炙甘草4．5克。【按］真火不足，不能温煦，故恶寒特甚；此等患者，必须峻补命火，徒团表阳不能为功。得效后，可用右归丸合血肉有情之品调理。
28．欧阳女。平时体力衰弱，近来下午发头痛，腰脊酸痛，午夜则涔涔自汗，寐不安宁，多梦魇。诊其脉浮而无力，苔白而润。予桂枝加龙骨牡蛎汤。川枝枝4．5克，杭白芍9克，清炙草4．5克，青龙齿9克，煅牡蛎24克，朱茯神9克，炙远志4．5克，柏子仁9克，炒枣仁15克，珍珠母15克（打光煎）。【按］桂枝场于外感可"解表和营卫"，于内伤"可化气调阴阳"。此人平素体弱，发热、自汗，为营卫不调；夜寐多梦，为心神不安。故用桂枝加龙骨牡蛎汤，加宁心安神之药。
1．方姓男子。在患过严重的伤寒病后，时常感到心慌心悸，气短严重到难以平躺睡觉，舌头颜色红，脉搏细而快。曾经经西医透视检查诊断为心脏扩大。处方：高丽参15克，熟地黄30克，山茱萸肉15克，上安桂（肉桂）3克，蛤蚧尾1对，白术15克，五味子6克，仙鹤草30克，煅牡蛎30克，大寸冬（麦冬）15克，杭白芍15克。以上药材共研成细末，用炼蜜制成梧桐子大小的药丸，早晚各服用9克。
【按语】重病之后，一方面气血受到损伤，血液不能滋养心脏，导致心悸怔忡；另一方面肾阴亏损消耗，导致虚火上炎而出现舌红、脉细数；肾不纳气则出现气短且难以平卧。人参和蛤蚧合用名为参蛤散，对于肾不纳气引起的喘息有显著疗效；配合地黄、山茱萸、牡蛎、五味子等大滋补肾阴，摄纳肾气；人参、麦冬、五味子三味药组成生脉散，可以补益心营，补气养阴，稍加肉桂以引火归源，并可温中焦使诸药滋补而不腻滞。
2．金姓男子。主要症状是失音（声音嘶哑或说不出话），发病逐渐加重，午后发热，咽喉干燥，舌头红，脉搏细而快。大有虚损病症的嫌疑，与寻常因感冒引起的大不相同。处方：京玄参12克，麦冬9克，炙鳖甲18克，青蒿9克，阿胶珠15克，地骨皮12克，桑白皮9克，干地黄15克，猪肤正方（去毛、肉，煮汤代水）。【按语】午后发热是阴虚火旺的表现；咽喉干燥、舌头红乃是津液亏虚无法上承滋润所致。如此看来，其失音属于虚损病症非常明显。方中使用生地、元参、麦冬、阿胶、猪肤来增液润燥；肺为娇脏，最畏惧火热灼伤，故再使用鳖甲、桑皮、地骨皮泻火清肺。
3．狄姓女子。头晕，心慌心悸，食欲少，夜间难以安稳入睡，其虚损程度日益加重，治疗重点在心脾。处方：生黄芪6克，潞党参9克，生白术9克，白归身（当归）9克，抱茯神（茯苓）克（原文缺数字，推测为9克左右），炒枣仁9克，远志肉6克，龙眼肉9克，广木香2.4克，炙甘草2.4克。【按语】此案属于心血不足。归脾汤既能补血安神，又能补益脾气以资助化源，是治疗心脾同病的良方。
4．黄姓男子。头晕由来已久，目光缺乏神采。这是肝肾不足的征象。处方：杭白芍9克，潼沙苑9克，甘杞子（枸杞子）9克，料豆衣12克，山茱萸肉9克，炒枣仁9克，冬青子9克，桑椹子12克，黑芝麻9克。二诊：服药后头晕不再发作，但视力模糊。肾开窍于目，明目的药物其实都是柔润的补肾药。处方：干地黄18克，潼沙苑9克，菟丝饼（菟丝子）9克，杭白芍9克，甘杞子9克，五味子4.5克，冬青子9克，冬桑叶4.5克，青箱子（青葙子）9克，黑大豆18克，黑芝麻9克。
【按语】肝虽然开窍于目，但肾藏精，五脏六腑的精气都上注于目，所以说“肾寄窍于目”。此病人头晕，目光缺乏神采，视物模糊，是肝肾精气不足的征象，所以用药侧重柔润滋补肝肾之阴。
5．韩姓男子。精神不振，工作无法支撑，夜间睡眠多梦，经常便秘；行动时偶尔双脚抽搐，有要跌倒的感觉；与人谈话时，偶尔有一两分钟言语无条理；写文章时忽然思路中断，但笔不肯停，不自主地继续书写，因此一篇文章中，好像出自两只手。其病在于肝肾不足。处方：生黄芪12克，枸杞子9克，党参6克，潼沙苑9克，当归9克，白芍9克，米仁（薏苡仁）18克，河车大造丸9克（分2次吞服）。二诊：每日有大便，但不通畅，食欲也不振作。处方：当归9克，白芍9克，制首乌18克，火麻仁9克，枣仁9克，柏子仁12克，木瓜9克，嫩桑枝12克。另：二冬膏、桑椹膏、黄芪膏各18克，混合，早晚各服1汤匙，开水冲服。
【按语】脑为髓海，肾藏精、生髓而通于脑，肾不足则髓海亦不足；肝藏血、主筋，肝血虚则筋失荣养。所以此证出现的短暂意识障碍和双脚抽搐等，归责于肝肾不足，治疗从补益肝肾入手。
6．孙女（患者自称或指某女性患者，此处依原文译为孙女，实指一位女性患者）。面色萎黄，指甲淡白，这是气虚血不足，连夜发热，给予补中益气汤加味。处方：党参9克，黄芪15克，白术9克，全当归9克，柴胡4.5克，升麻3克，陈皮3克，粉甘草3克，春砂仁2.4克（后下），带叶佩兰9克，肉桂末1.0克（分3次吞服）。二诊：服用补中益气汤后，身热退去。气虚一时难以恢复。苔腻，口淡。此方用于催进食欲。处方：佩兰梗9克，春砂仁2.4克（后下），薤白头6克，宣木瓜9克，生鸡金（鸡内金）9克，佛手片4.5克，陈皮4.5克，炒麦芽9克，六神曲9克，山楂肉12克。
三诊：大便不能控制，急则自行遗出，这是脾阳虚。给予附子理中汤。处方：制附块4.5克，土炒党参9克，炒白术9克，炮姜炭4.5克，清炙草3克，北细辛2.4克，五味子4.5克，炙紫菀9克，炙远志4.5克。四诊：便溏自遗的情况已能控制，咳嗽剧烈，痰粘腻不爽利。处方：白苏子12克，旋覆花9克（包煎），炙紫菀9克，陈皮4.5克，北细辛2.4克，五味子4.5克，炙款冬9克，白果10枚（去壳），炙远志4.5克，杭白芍9克，清炙甘草3克。
【按语】此为劳倦发热，李东垣《内外伤辨惑论》论述得很详细。使用补中益气汤甘温除热，药症相符，一服药就见效。三诊大便不能控制，是脾阳虚，附子理中汤正为合适。脾阳虚则运化失职，聚液生痰，从而引起咳嗽。四诊则急则治标，使用消痰降气的药物。善后调理可用香砂六君子汤之类。
7．戴姓男子。头晕眼花，经常失眠，容易勃起；经常梦遗，短则1天1次，长则三四月1次；舌头红，脉弦细。作为阴虚论治。处方：冬青子18克，潼蒺藜18克，旱莲草12克，料豆衣18克，五味子4.5克，秫米12克，炒枣仁12克。另：大补阴丸45克，每次6克，早晚各服1次。
二诊：自述服药后症状减轻十之七八，劳动后有发热感，疲惫无力，遗泄又见，多行走则气喘。应当兼补气阴。处方：潞党参9克，寸冬（麦冬）12克，五味子4.5克，料豆衣18克，枣仁18克，甘草3克，大补阴丸24克。三诊：睡眠尚可，唯多梦，勃起症状减半，遗泄约20天1次，近日稍活动则有热气上升。处方：生熟地各15克，石斛9克，菟丝子12克，金樱子18克，覆盆子12克，麦冬9克。
【按语】阴亏火旺导致失眠、遗精；经常遗精则阴精愈伤，而虚火愈炽。立方使用丹溪大补阴丸（生地、知母、黄柏、龟板、猪脊髓）、二至丸滋阴降火；沙苑子、五味子收敛肾气；枣仁、秫米安神宁心。二诊见劳动后发热，为气阴两虚，阴不敛阳，增用生脉散以补气阴。三诊滋润肝肾，兼用收敛以固涩精液。
8．陈姓女子。感冒的脉象多浮紧，如今虽数而细软：细是物质之缺乏，软是功能之减退。阴分、血分属物质；气分属精神功能。此种体质用药太轻，反而不能奏效。轻可去实，不可一概而论。处方：川桂枝2.4克（后下），刺蒺藜9克，防风6克，醋柴胡4.5克，秦艽9克，粉甘草2.4克，川芎3.6克，香白芷6克，神曲9克，佩兰梗6克，苏子9克（包煎）。
二诊：古人所谓的虚热，臆测或许是由于副交感神经抑制，而交感神经兴奋。大概虚热的热度多不甚高，而时有寒意，且两脉细数。虚热用补药，即使抑制者恢复常态而已。处方：绿升麻2.4克，当归9克，黄芪9克，柴胡4.5克，生白术9克，川桂枝3克（后下），党参9克，陈皮6克，炙甘草3克，云苓（茯苓）12克，生姜3片。
【按语】先生对虚热的病机作了中西医学理论的疏证与沟通。这种虚热，相似于功能性低热，长期不愈，常用甘温除热或养阴清热法。本案即取补中益气汤加减，以甘温除热。
9．某姓男子。舌面光红，古人认为这是阴伤。阴的含义，指人身一切物质而言，养阴药即补充其物质。再加入温药，是为了兴奋肠胃的功能。处方：熟地黄18克，旱莲草12克，白芍9克，女贞子9克，制首乌15克，炒扁豆衣9克，炮姜炭3克，淮牛膝12克，益智仁9克，肉豆蔻9克，炙甘草3克。
10．李姓男子。其主要症状面色不华而黄，蹲下起立则头晕，舌、脉皆显不足。处方：熟地黄15克，山药12克，云苓（茯苓）9克，山茱萸肉9克，苡仁（薏苡仁）12克，料豆衣12克，潼沙苑9克，桑麻丸9克（包煎），旱莲草9克。
11．程姓男子。轻微似寒似热，多在黄昏时发作，自汗、盗汗且冷汗。阳气不能外卫，阴气不能内守。处方：炮附块9克，山茱萸肉9克，淮牛膝9克，杭白芍9克，潞党参9克，熟地黄24克，五味子4.5克，龙眼肉9克。
12．徐姓男子。病后，舌光红少苔，体温偏低。这是阴阳并虚的疾病，久延便是虚劳。处方：当归9克，白芍6克，附块9克，山药12克，升麻4.5克，党参9克，萸肉9克，云苓（茯苓）9克，陈皮6克，熟地黄12克。
13．马姓女子。下肢皮肤有麻木感，这是神经失去营养，而脉沉弱，体虚已久。处方：附子9克，金毛脊（狗脊）9克，秦艽6克，杜仲9克，杜赤豆12克，当归9克，黑大豆12克，桑寄生12克，萸肉9克。
14．陈姓女子。午后先冷后热，既热，必须等到天亮才停止，这是内伤之热，所以脉细而数。脉象与热型，皆为病原物之刺激，强壮剂意在使病原物自动灭亡。处方：当归9克，脱力草（仙鹤草）15克，秦艽9克，黑大豆12克，升麻3克，醋炒柴胡4.5克，白芍9克，炙鳖甲24克，生姜3片，大枣7枚，炙甘草3克。【按语】脱力草，即仙鹤草。
15．叶姓女子。严重贫血，古人有补血先补气的方法。处方：党参12克，杞子12克，云苓（茯苓）12克，熟地黄15克，黄芪18克，白术9克，当归15克，红枣7枚。
16．李姓男子。舌前部光红而滑，且颤动不已。清代医家有气阴两伤之说。阴指营养而言，气指细胞之活力而言。处方：鲜生地18克，冬青子9克，北沙参9克，淮牛膝9克，白薇9克，麦门冬9克，杭白芍9克，王竹（玉竹）9克，桑白皮12克，粉甘草4.5克。
17．胡姓男子。掌心热，古人将其归为五心烦热之一，多见于神经衰弱者、肺结核患者。如今脉搏增加，往日曾经咯血，是虚损的端倪。营养、休息十分重要。处方：生熟地各15克，撞沙苑（潼沙苑）9克，十大功劳12克，冬青子9克，玄武板（龟板）9克，淮牛膝9克，左牡蛎30克（先煎），旱莲草12克。
18．李姓男子。面色爪甲皆现高度贫血，难怪其热缠绵3个月之久。处方：黄芪9克，枸杞子9克，杭白芍6克，仙鹤草12克，当归9克，淮山药9克，黑豆衣12克，粉甘草3克，生姜3片，大枣7枚。
19．刘姓男子。热起于日前时者，原因大别有三：①时病阳明症，实证也；②贫血，古人所谓阴虚之热；③假使未热而先有寒意，此潮热之初步。如今两颧不时发赤，两脉细数，是虚损病症。处方：淮山药9克，银柴胡6克，嫩白薇9克，全当归9克（去油），剪芡实9克，黑大豆12克，秦艽9克，白芍6克，抱木神（茯神）12克，香茶芽9克，仙半夏12克，北秫米12克（包煎）。
20．陶姓女子。舌中剥落而扩大，这是营养缺乏之象，古人称为阴虚。大便难，是津液少也。处方：制首乌9克，狗杞子（枸杞子）9克，肥知母9克，料豆衣12克，杭白芍9克，麦冬9克，干地黄12克，潼沙苑9克，桑椹子12克，麦芽9克。
21．王姓男子。无热，脉不数，而自觉胸中灼热，舌少苔而质红。这是阴分不足之象。处方：鲜生地12克，料豆衣12克，肥知母9克，冬青子9克，潼沙苑9克，天花粉9克，杭白芍9克，冬瓜子（原文缺数字，推测为9克）克，绿豆衣12克，白茅根1扎。另：景岳左归饮、首乌延寿丹各9克，吞服。
22．陈姓女子。舌中光剥，是阴伤。二便皆难，职斯之故。处方：桑椹子12克，枣仁9克，山茱萸肉9克，杭芍9克，油当归6克，黑芝麻12克，干地黄12克，天麻3克，料豆衣12克，潼白蒺藜各9克，二至丸12克。
23．周姓女子。月经已净，头晕，胸中烦热，大便难。凡此皆阴虚火旺之象。处方：鲜生地18克，冬青子9克，料豆衣12克，知母9克，旱莲草9克，麦冬9克，玉竹9克，牛膝9克，粉甘草2.4克。
24．潘姓男子。形体瘦，身体弱可知；入寐惊惕不宁，背脊作酸。此二者皆是营养缺乏，其中尤以维生素A与钙为最甚。处方：全当归9克，枸杞子9克，杜仲9克，酸枣仁9克，金毛脊（狗脊）9克，鹿角霜12克，夜交藤12克，龙眼肉9克。另：多眼猪脊髓、猪肝。
25．翁姓男子。张仲景以男子脉大为劳，纯由经验而来。能知脉大为虚，已属不易。《金匮》治男子虚劳，多用薯蓣丸。此丸内有大豆黄卷，与现代之治疗着合符节。今宗其旨。处方：淮山药9克，大豆卷18克，淮牛膝12克，潞党参9克，生黄芪9克，山茱萸肉9克，当归9克，黑大豆12克，杞子9克，生米仁（薏苡仁）24克，生白术9克，云苓（茯苓）12克。
26．陆姓男子。两颊散布红蓝成片，时轻时剧，剧则面部烘热，顷见舌前剥，常衄血。古人称为阴不足，而湿火上冲。处方：小生地12克，旱莲草9克，小蓟12克，冬青子9克，粉丹皮9克，忍冬藤9克，豨莶草9克，蒲公英9克，淮牛膝9克，绵茵陈9克。
27．邵姓男子。正当壮年，而恶寒特甚，虽拥絮亦不觉暖。这应当补命门真火。处方：炮附块9克，萸肉9克，巴戟9克，补骨脂9克，鹿角霜9克，当归9克，肉豆寇4.5克，生姜2片，大枣7枚，炙甘草4.5克。【按语】真火不足，不能温煦，故恶寒特甚；此类患者，必须峻补命火，徒固表阳不能为功。得效后，可用右归丸合血肉有情之品调理。
28．欧阳姓女子。平时体力衰弱，近来下午发头痛，腰脊酸痛，午夜则涔涔自汗，寐不安宁，多梦魇。诊其脉浮而无力，苔白而润。给予桂枝加龙骨牡蛎汤。处方：川枝枝（桂枝）4.5克，杭白芍9克，清炙草4.5克，青龙齿9克，煅牡蛎24克，朱茯神9克，炙远志4.5克，柏子仁9克，炒枣仁15克，珍珠母15克（打光煎）。【按语】桂枝汤于外感可“解表和营卫”，于内伤“可化气调阴阳”。此人平素体弱，发热、自汗，为营卫不调；夜寐多梦，为心神不安。故用桂枝加龙骨牡蛎汤，加宁心安神之药。
1. Male, surnamed Fang. After suffering from a severe case of Shanghan (Cold Damage disease), he frequently experiences palpitations and shortness of breath so severe that he cannot lie flat to sleep. His tongue is red, and his pulse is fine and rapid. Western medical fluoroscopy previously diagnosed cardiomegaly. Prescription: Korean Ginseng 15g, Prepared Rehmannia Root 30g, Cornus Officinalis Fruit 15g, Cinnamon Twig (An Gui) 3g, Gecko Tail 1 pair, Atractylodes Macrocephala Rhizome 15g, Schisandra Berry 6g, Agrimony Herb 30g, Calcined Oyster Shell 30g, Ophiopogon Tuber 15g, White Peony Root 15g. All ingredients are ground into a fine powder, mixed with refined honey to form pills the size of a walnut seed. Take 9g morning and evening.
[Commentary] After a severe illness, on one hand, Qi and Blood are damaged, and Blood fails to nourish the Heart, leading to palpitations and fright; on the other hand, Kidney Yin is depleted, causing deficient fire to flare upward, resulting in a red tongue and fine-rapid pulse; the Kidney fails to grasp Qi, leading to shortness of breath and inability to lie flat. The combination of Ginseng and Gecko is known as Shen Ge San (Ginseng and Gecko Powder), which has significant efficacy for asthma caused by the Kidney's failure to grasp Qi; combined with Rehmannia, Cornus, Oyster Shell, and Schisandra to greatly nourish Kidney Yin and grasp Kidney Qi; Ginseng, Ophiopogon, and Schisandra form Sheng Mai San (Generate the Pulse Powder), which can tonify the Heart Ying (Nutrient Level), benefit Qi and Yin; a small amount of Cinnamon Twig is used to guide fire back to its source and warm the Middle Jiao, preventing the cloying nature of the tonic herbs.
2. Male, surnamed Jin. The main symptom is aphonia (loss of voice), which developed gradually. He has afternoon fever, dry throat, red tongue, and fine-rapid pulse. There is strong suspicion of a consumptive disease (Sunken Disease), which is very different from ordinary cases caused by colds. Prescription: Scrophularia Root 12g, Ophiopogon Tuber 9g, Prepared Turtle Shell 18g, Artemisia Annua Herb 9g, Donkey-hide Gelatin Beads 15g, Bark of Groundcherry Root 12g, Mulberry Root Bark 9g, Dry Rehmannia Root 15g, Pig Skin Square (remove hair and meat, boil soup to replace water). [Commentary] Afternoon fever indicates Yin deficiency with fire hyperactivity; dry throat and red tongue indicate fluid depletion failing to ascend and moisten. Thus, it is clear that his aphonia belongs to a consumptive disease. The formula uses Rehmannia, Scrophularia, Ophiopogon, Donkey-hide Gelatin, and Pig Skin to increase fluids and moisten dryness; the Lung is a delicate organ most afraid of fire scorching, so Turtle Shell, Mulberry Root Bark, and Groundcherry Bark are added to purge fire and clear the Lung.
3. Female, surnamed Di. Symptoms include dizziness, palpitations, poor appetite, and difficulty sleeping soundly at night; her deficiency is increasingly severe. Treatment focuses on the Heart and Spleen. Prescription: Raw Astragalus Root 6g, Luodong Codonopsis Root 9g, Raw Atractylodes Macrocephala Rhizome 9g, Angelica Sinensis Root 9g, Poria Mushroom 9g (inferred from context), Fried Sour Jujube Seed 9g, Polygala Root 6g, Longan Aril 9g, Aucklandia Root 2.4g, Honey-fried Licorice Root 2.4g. [Commentary] This case belongs to Heart Blood deficiency. Gui Pi Tang (Restore the Spleen Decoction) can both tonify Blood and calm the Spirit, and also benefit Spleen Qi to aid the source of transformation, making it an excellent formula for treating simultaneous Heart and Spleen diseases.
4. Male, surnamed Huang. Dizziness has persisted for a long time, and his gaze lacks spirit. This is a sign of Liver and Kidney insufficiency. Prescription: White Peony Root 9g, Cuscuta Seed 9g, Lycium Fruit 9g, Vigna Umbellata Seed Coat 12g, Cornus Officinalis Fruit 9g, Fried Sour Jujube Seed 9g, Ilex Aquifolium Fruit 9g, Mulberry Fruit 12g, Black Sesame Seed 9g. Second Visit: After taking medicine, dizziness no longer occurs, but vision is blurred. The Kidney opens into the eyes; eye-brightening herbs are essentially soft-moistening Kidney-tonifying herbs. Prescription: Dry Rehmannia Root 18g, Cuscuta Seed 9g, Cuscuta Seed Cake 9g, White Peony Root 9g, Lycium Fruit 9g, Schisandra Berry 4.5g, Ilex Aquifolium Fruit 9g, Winter Mulberry Leaf 4.5g, Celosia Seed 9g, Black Soybean 18g, Black Sesame Seed 9g.
[Commentary] Although the Liver opens into the eyes, the Kidney stores Essence, and the essence of all Zang-Fu organs ascends to the eyes, hence it is said "the Kidney寄 (resides/opens) into the eyes." This patient's dizziness, lack of spirit in the eyes, and blurred vision are signs of insufficient Liver and Kidney essence and Qi, so medication focuses on softening and moistening Liver and Kidney Yin.
5. Male, surnamed Han. Lack of spirit, unable to sustain work, frequent dreams during sleep, chronic constipation; occasionally experiences leg cramps while walking, feeling like falling; occasionally loses coherence in speech for 1-2 minutes when talking; suddenly loses train of thought when writing but continues writing involuntarily, making it seem as if two hands wrote the article. The disease lies in Liver and Kidney insufficiency. Prescription: Raw Astragalus Root 12g, Lycium Fruit 9g, Codonopsis Root 6g, Cuscuta Seed 9g, Angelica Sinensis Root 9g, White Peony Root 9g, Coix Seed 18g, Hetuo Da Zao Wan (Heche Pill) 9g (swallowed in 2 doses). Second Visit: Has bowel movements daily but not smooth, appetite is poor. Prescription: Angelica Sinensis Root 9g, White Peony Root 9g, Prepared Fleeceflower Root 18g, Hemp Seed 9g, Sour Jujube Seed 9g, Biota Seed 12g, Quince Fruit 9g, Tender Mulberry Branch 12g. Additionally: Er Dong Gao (Two Winters Paste), Mulberry Paste, Astragalus Paste, each 18g, mixed, take 1 tablespoon morning and evening with boiling water.
[Commentary] The Brain is the Sea of Marrow; the Kidney stores Essence, generates Marrow, and connects to the Brain. Kidney insufficiency leads to an empty Sea of Marrow; the Liver stores Blood and governs the Tendons. Liver Blood deficiency leads to tendons losing nourishment. Therefore, the transient consciousness disorders and leg cramps appearing in this condition are attributed to Liver and Kidney insufficiency, and treatment begins with tonifying Liver and Kidney.
6. Female patient (referred to as Granddaughter). Sallow complexion, pale nails, indicating Qi deficiency and Blood insufficiency, with continuous night fever. Prescribed Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with modifications. Prescription: Codonopsis Root 9g, Astragalus Root 15g, Atractylodes Macrocephala Rhizome 9g, Whole Angelica Sinensis Root 9g, Bupleurum Root 4.5g, Cimicifuga Rhizome 3g, Tangerine Peel 3g, Licorice Root 3g, Amomum Fruit 2.4g (added later), Eupatorium Leaf 9g, Cinnamon Bark Powder 1.0g (swallowed in 3 doses). Second Visit: After taking Bu Zhong Yi Qi Tang, body heat subsided. Qi deficiency is difficult to recover from quickly. Coating is greasy, mouth tastes bland. This prescription stimulates appetite. Prescription: Eupatorium Stem 9g, Amomum Fruit 2.4g (added later), Shallot Bulb 6g, Quince Fruit 9g, Chicken Gizzard Lining 9g, Finger Citron Slice 4.5g, Tangerine Peel 4.5g, Fried Barley Sprout 9g, Medicated Leaven 9g, Hawthorn Flesh 12g.
Third Visit: Inability to control bowels, involuntary defecation when urgent, indicating Spleen Yang deficiency. Prescribed Fu Zi Li Zhong Wan (Aconite Pill to Regulate the Middle). Prescription: Processed Aconite Chunk 4.5g, Earth-fried Codonopsis Root 9g, Fried Atractylodes Macrocephala Rhizome 9g, Charred Ginger 4.5g, Clear Honey-fried Licorice Root 3g, Asarum Root 2.4g, Schisandra Berry 4.5g, Honey-fried Aster Flower 9g, Honey-fried Polygala Root 4.5g. Fourth Visit: Loose stools and involuntary defecation are now controlled, but cough is severe with sticky phlegm. Prescription: Perilla Seed 12g, Inula Flower 9g (wrapped), Honey-fried Aster Flower 9g, Tangerine Peel 4.5g, Asarum Root 2.4g, Schisandra Berry 4.5g, Honey-fried Farfera Flower 9g, White Walnut Kernel 10 pieces (shelled), Honey-fried Polygala Root 4.5g, White Peony Root 9g, Clear Honey-fried Licorice Root 3g.
[Commentary] This is fatigue-induced fever, discussed in detail by Li Dongyuan in *Nei Wai Shang Bian Huo Lun* (Differentiation of Internal and External Injury). Using Bu Zhong Yi Qi Tang to remove fever with sweet-warm herbs matched the symptoms and produced immediate effect. The third visit's inability to control bowels was due to Spleen Yang deficiency, making Fu Zi Li Zhong Wan appropriate. Spleen Yang deficiency leads to failed transportation and transformation, accumulating fluids into phlegm, causing cough. The fourth visit treats the acute symptoms first using phlegm-resolving and Qi-descending herbs. For follow-up care, Xiang Sha Liu Jun Zi Tang (Aucklandia and Amomum Six Gentlemen Decoction) could be used.
7. Male, surnamed Dai. Dizziness, blurred vision, chronic insomnia, frequent erections; frequent nocturnal emissions, ranging from once a day to once every three to four months; red tongue, wiry-fine pulse. Treated as Yin deficiency. Prescription: Ilex Aquifolium Fruit 18g, Tribulus Fruit 18g, Eclipta Herb 12g, Vigna Umbellata Seed Coat 18g, Schisandra Berry 4.5g, Millet 12g, Fried Sour Jujube Seed 12g. Additionally: Da Bu Yin Wan (Great Supplement Yin Pill) 45g, 6g per dose, taken morning and evening.
Second Visit: Reports symptoms reduced by 70-80%, but feels feverish after labor, exhausted and weak, nocturnal emissions recur, and panting occurs after excessive walking. Should simultaneously tonify Qi and Yin. Prescription: Luodong Codonopsis Root 9g, Ophiopogon Tuber 12g, Schisandra Berry 4.5g, Vigna Umbellata Seed Coat 18g, Sour Jujube Seed 18g, Licorice Root 3g, Da Bu Yin Wan 24g. Third Visit: Sleep is acceptable, only many dreams, erection symptoms halved, nocturnal emissions about once every 20 days, recently feels heat rising with slight activity. Prescription: Raw and Prepared Rehmannia Roots 15g each, Dendrobium Stem 9g, Cuscuta Seed 12g, Cherokee Rose Fruit 18g, Raspberry 12g, Ophiopogon Tuber 9g.
[Commentary] Yin deficiency with fire hyperactivity causes insomnia and nocturnal emission; frequent emissions further injure Yin essence, intensifying deficient fire. The formula uses Danxi's Da Bu Yin Wan (Rehmannia, Anemarrhena, Phellodendron, Tortoise Shell, Pig Spinal Cord) and Er Zhi Wan (Two Solstices Pill) to nourish Yin and descend fire; Cuscuta and Schisandra to converge Kidney Qi; Sour Jujube Seed and Millet to calm the Spirit and soothe the Heart. The second visit shows fever after labor, indicating Qi and Yin dual deficiency with Yin failing to contain Yang, adding Sheng Mai San to tonify Qi and Yin. The third visit moistens Liver and Kidney, combining convergence to secure essence.
8. Female, surnamed Chen. Pulse of a cold is usually floating-tight; now it is rapid but fine and soft: fine indicates material deficiency, soft indicates functional decline. Yin and Blood levels refer to materials; Qi level refers to spiritual function. Medication for this constitution is too light and thus ineffective. Light herbs can dispel excess, but this cannot be applied uniformly. Prescription: Cassia Twig 2.4g (added later), Tribulus Fruit 9g, Saposhnikovia Root 6g, Vinegar-processed Bupleurum Root 4.5g, Gentian Macrophylla Root 9g, Licorice Root 2.4g, Ligusticum Rhizome 3.6g, Angelica Dahurica Root 6g, Medicated Leaven 9g, Eupatorium Stem 6g, Perilla Seed 9g (wrapped).
Second Visit: Ancient texts' concept of deficient heat may hypothetically correspond to parasympathetic nerve inhibition and sympathetic nerve excitation. Deficient heat is usually not high-grade, accompanied by occasional chills and fine-rapid pulses. Using tonic herbs for deficient heat merely restores normal function even if inhibited. Prescription: Cimicifuga Rhizome 2.4g, Angelica Sinensis Root 9g, Astragalus Root 9g, Bupleurum Root 4.5g, Raw Atractylodes Macrocephala Rhizome 9g, Cassia Twig 3g (added later), Codonopsis Root 9g, Tangerine Peel 6g, Honey-fried Licorice Root 3g, Poria Mushroom 12g, Fresh Ginger 3 slices.
[Commentary] The master elucidated and bridged the pathogenesis of deficient heat using both Traditional Chinese Medicine and Western medical theories. This type of deficient heat resembles functional low-grade fever; if persistent, Sweet-Warm Fever-Removing or Nourishing-Yin Clearing-Heat methods are commonly used. This case modifies Bu Zhong Yi Qi Tang to remove fever with sweet-warm herbs.
9. Male patient. Tongue is glossy and red; ancients considered this Yin injury. The meaning of Yin refers to all substances in the human body; Yin-nourishing herbs replenish these substances. Adding warming herbs excites gastrointestinal function. Prescription: Prepared Rehmannia Root 18g, Eclipta Herb 12g, White Peony Root 9g, Privet Fruit 9g, Prepared Fleeceflower Root 15g, Fried Cowpea Seed Coat 9g, Charred Ginger 3g, Achyranthes Root 12g, Alpinia Oxyphylla Fruit 9g, Nutmeg Seed 9g, Honey-fried Licorice Root 3g.
10. Male, surnamed Li. Main symptoms: sallow and yellowish complexion, dizziness upon squatting and standing, tongue and pulse both indicate insufficiency. Prescription: Prepared Rehmannia Root 15g, Chinese Yam 12g, Poria Mushroom 9g, Cornus Officinalis Fruit 9g, Coix Seed 12g, Vigna Umbellata Seed Coat 12g, Cuscuta Seed 9g, Sang Ma Wan (Mulberry and Sesame Pill) 9g (wrapped), Eclipta Herb 9g.
11. Male, surnamed Cheng. Mild alternating chills and fever, mostly occurring at dusk, spontaneous sweating and night sweats that are cold. Yang fails to guard externally, Yin fails to guard internally. Prescription: Processed Aconite Chunk 9g, Cornus Officinalis Fruit 9g, Achyranthes Root 9g, White Peony Root 9g, Luodong Codonopsis Root 9g, Prepared Rehmannia Root 24g, Schisandra Berry 4.5g, Longan Aril 9g.
12. Male, surnamed Xu. Post-illness, tongue is glossy red with little coating, body temperature is low. This is a disease of dual Yin and Yang deficiency, prolonged which becomes Xu Lao (Consumptive Disease). Prescription: Angelica Sinensis Root 9g, White Peony Root 6g, Aconite Chunk 9g, Chinese Yam 12g, Cimicifuga Rhizome 4.5g, Codonopsis Root 9g, Cornus Fruit 9g, Poria Mushroom 9g, Tangerine Peel 6g, Prepared Rehmannia Root 12g.
13. Female, surnamed Ma. Numbness in lower limb skin, indicating nerves losing nutrition, pulse is deep and weak, long-standing physical weakness. Prescription: Aconite 9g, Dogwood Ridge (Dogwood Spine) 9g, Gentian Macrophylla Root 6g, Eucommia Bark 9g, Red Adzuki Bean 12g, Angelica Sinensis Root 9g, Black Soybean 12g, Taxillus Branch 12g, Cornus Fruit 9g.
14. Female, surnamed Chen. Chills followed by fever in the afternoon; once febrile, it persists until dawn. This is internal injury heat, hence the pulse is fine and rapid. Pulse characteristics and fever patterns are stimuli from pathogens; tonics aim to make pathogens self-destruct. Prescription: Angelica Sinensis Root 9g, Tuoli Cao (Agrimony Herb) 15g, Gentian Macrophylla Root 9g, Black Soybean 12g, Cimicifuga Rhizome 3g, Vinegar-fried Bupleurum Root 4.5g, White Peony Root 9g, Prepared Turtle Shell 24g, Fresh Ginger 3 slices, Jujube 7 pieces, Honey-fried Licorice Root 3g. [Commentary] Tuoli Cao is Agrimony Herb.
15. Female, surnamed Ye. Severe anemia; ancients had the method of tonifying Qi before tonifying Blood. Prescription: Codonopsis Root 12g, Lycium Fruit 12g, Poria Mushroom 12g, Prepared Rehmannia Root 15g, Astragalus Root 18g, Atractylodes Macrocephala Rhizome 9g, Angelica Sinensis Root 15g, Red Jujube 7 pieces.
16. Male, surnamed Li. Anterior tongue is glossy red and slippery, trembling incessantly. Qing dynasty physicians proposed the concept of dual Qi and Yin injury. Yin refers to nutrition; Qi refers to cellular vitality. Prescription: Fresh Rehmannia Root 18g, Ilex Aquifolium Fruit 9g, Glehnia Root 9g, Achyranthes Root 9g, White Anemone Root 9g, Ophiopogon Tuber 9g, White Peony Root 9g, Polygonatum Odoratum Rhizome 9g, Mulberry Root Bark 12g, Licorice Root 4.5g.
17. Male, surnamed Hu. Heat in palms, classified by ancients as one of the Five Center Heat sensations, common in neurasthenia and pulmonary tuberculosis patients. Now pulse rate increases, history of hemoptysis, indicating early signs of consumption. Nutrition and rest are crucial. Prescription: Raw and Prepared Rehmannia Roots 15g each, Cuscuta Seed 9g, Mahonia Herb 12g, Ilex Aquifolium Fruit 9g, Tortoise Plastron 9g, Achyranthes Root 9g, Left Oyster Shell 30g (decocted first), Eclipta Herb 12g.
18. Male, surnamed Li. Face and nails show severe anemia; no wonder the fever has lingered for 3 months. Prescription: Astragalus Root 9g, Lycium Fruit 9g, White Peony Root 6g, Agrimony Herb 12g, Angelica Sinensis Root 9g, Chinese Yam 9g, Black Soybean Coat 12g, Licorice Root 3g, Fresh Ginger 3 slices, Jujube 7 pieces.
19. Male, surnamed Liu. Causes of fever arising at specific times are broadly three: ① Seasonal disease Yangming syndrome, excess pattern; ② Anemia, what ancients called Yin-deficient heat; ③ If chills precede fever, this is the initial stage of tidal fever. Now malar flush appears intermittently, pulses are fine and rapid, indicating a consumptive disease. Prescription: Chinese Yam 9g, Silver Bupleurum Root 6g, Tender White Anemone Root 9g, Whole Angelica Sinensis Root 9g (oil removed), Euryale Seed 9g, Black Soybean 12g, Gentian Macrophylla Root 9g, White Peony Root 6g, Poria Mushroom 12g, Fragrant Tea Bud 9g, Prepared Pinellia Tuber 12g, Northern Millet 12g (wrapped).
20. Female, surnamed Tao. Central tongue peeling and expanding, indicating nutritional deficiency, termed Yin deficiency by ancients. Difficulty in defecation indicates fluid scarcity. Prescription: Prepared Fleeceflower Root 9g, Lycium Fruit 9g, Fat Anemarrhena Rhizome 9g, Vigna Umbellata Seed Coat 12g, White Peony Root 9g, Ophiopogon Tuber 9g, Dry Rehmannia Root 12g, Cuscuta Seed 9g, Mulberry Fruit 12g, Malt 9g.
21. Male, surnamed Wang. No fever, pulse not rapid, but subjective burning sensation in chest, tongue has little coating and is red. This is a sign of Yin level insufficiency. Prescription: Fresh Rehmannia Root 12g, Vigna Umbellata Seed Coat 12g, Fat Anemarrhena Rhizome 9g, Ilex Aquifolium Fruit 9g, Cuscuta Seed 9g, Trichosanthes Root 9g, White Peony Root 9g, Winter Melon Seed 9g, Mung Bean Coat 12g, Imperata Rhizome Bundle 1. Prescription additionally: Jingyue Zuo Gui Yin (Zuo Gui Decoction) and Shouwu Yanshou Dan (Shouwu Longevity Pill), each 9g, swallowed.
22. Female, surnamed Chen. Glossy peeled central tongue, indicating Yin injury. Difficulty in urination and defecation results from this. Prescription: Mulberry Fruit 12g, Sour Jujube Seed 9g, Cornus Officinalis Fruit 9g, White Peony Root 9g, Oil-soaked Angelica Sinensis Root 6g, Black Sesame Seed 12g, Dry Rehmannia Root 12g, Gastrodia Tuber 3g, Vigna Umbellata Seed Coat 12g, Tribulus Fruit 9g each, Er Zhi Wan (Two Solstices Pill) 12g.
23. Female, surnamed Zhou. Menstruation has ceased, dizziness, irritability and heat in chest, difficulty in defecation. All these are signs of Yin deficiency with fire hyperactivity. Prescription: Fresh Rehmannia Root 18g, Ilex Aquifolium Fruit 9g, Vigna Umbellata Seed Coat 12g, Anemarrhena Rhizome 9g, Eclipta Herb 9g, Ophiopogon Tuber 9g, Polygonatum Odoratum Rhizome 9g, Achyranthes Root 9g, Licorice Root 2.4g.
24. Male, surnamed Pan. Emaciated physique, indicating weakness; restless and startled upon falling asleep, soreness in the spine. Both indicate nutritional deficiency, especially Vitamin A and Calcium. Prescription: Whole Angelica Sinensis Root 9g, Lycium Fruit 9g, Eucommia Bark 9g, Acid Jujube Seed 9g, Dogwood Ridge 9g, Deer Horn Frost 12g, Night-Flowering Creeper Stem 12g, Longan Aril 9g. Additionally: Pork Spinal Cord and Pork Liver.
25. Male, surnamed Weng. Zhang Zhongjing stated that a large pulse in men indicates exhaustion, purely from experience. Knowing a large pulse indicates deficiency is already difficult. *Jin Gui Yao Lue* treats male Xu Lao mainly with Shuyu Wan. This pill contains Soybean Sprout, which aligns perfectly with modern treatments. Following its principle. Prescription: Chinese Yam 9g, Soybean Sprout 18g, Achyranthes Root 12g, Luodong Codonopsis Root 9g, Raw Astragalus Root 9g, Cornus Officinalis Fruit 9g, Angelica Sinensis Root 9g, Black Soybean 12g, Lycium Fruit 9g, Raw Coix Seed 24g, Raw Atractylodes Macrocephala Rhizome 9g, Poria Mushroom 12g.
26. Male, surnamed Lu. Red patches scattered on cheeks, fluctuating in severity; severe episodes bring facial flushing, recent anterior tongue peeling, frequent epistaxis. Ancients called this Yin insufficiency with damp-fire rushing upward. Prescription: Small Rehmannia Root 12g, Eclipta Herb 9g, Small Thistle Root 12g, Ilex Aquifolium Fruit 9g, Moutan Cortex 9g, Honeysuckle Stem 9g, Siegesbeckia Herb 9g, Dandelion 9g, Achyranthes Root 9g, Yinchen 9g.
27. Male, surnamed Shao. In the prime of life, yet extremely aversion to cold, feeling no warmth even under quilts. This requires tonifying the True Fire of the Mingmen (Gate of Life). Prescription: Processed Aconite Chunk 9g, Cornus Fruit 9g, Morinda Root 9g, Psoralea Fruit 9g, Deer Horn Frost 9g, Angelica Sinensis Root 9g, Nutmeg Seed 4.5g, Fresh Ginger 2 slices, Jujube 7 pieces, Honey-fried Licorice Root 4.5g. [Commentary] Insufficient True Fire fails to warm, causing extreme aversion to cold; such patients must vigorously tonify Mingmen Fire, merely consolidating exterior Yang is ineffective. After effect is achieved, You Gui Wan (Right Restoring Pill) combined with animal-derived tonics can be used for regulation.
28. Female, surnamed Ouyang. Normally physically weak, recently headaches in the afternoon, soreness in waist and spine, profuse spontaneous sweating at midnight, restless sleep, frequent nightmares. Pulse is floating and forceless, coating white and moist. Prescribed Guizhi Jia Longgu Muli Tang (Cinnamon Twig Decoction plus Dragon Bone and Oyster Shell). Prescription: Cassia Twig 4.5g, White Peony Root 9g, Clear Honey-fried Licorice Root 4.5g, Green Dragon Bone 9g, Calcined Oyster Shell 24g, Cinnabar-coated Poria Mushroom 9g, Honey-fried Polygala Root 4.5g, Biota Seed 9g, Fried Sour Jujube Seed 15g, Pearl Mother 15g (crushed and decocted). [Commentary] Guizhi Tang can "harmonize Ying and Wei" for external injuries, and "transform Qi and regulate Yin and Yang" for internal injuries. This person is constitutionally weak; fever and spontaneous sweating indicate disharmony of Ying and Wei; frequent dreams indicate unsettled Heart Spirit. Hence, Guizhi Jia Longgu Muli Tang is used, adding herbs to calm the Spirit and soothe the Heart.