翟立之素善饮,遍身疙瘩,搔起白屑,上体为甚,面目 肿成疮,结痂承浆,眼赤出泪,左关脉
洪数有力。或作疠风治之,脓溃淋漓。此肝火湿毒,以四物汤加干姜、连翘、山栀、柴胡,一剂诸症
悉退,四剂全退。两睛各显青白翳一片,亦属肝火,再剂翳去,乃用六味丸而愈。
一儒者身发疙瘩,时起赤晕,憎寒发热。服疠风之药,眉落筋挛,后疙瘩渐溃,日晡热甚,肝脉
弦洪,余脉数而无力,此肝经血虚风热也。先以小柴胡合四物汤加丹皮、酒炒黑栀,再与加味逍遥散
加参、术、钩藤,服两月,疮悉愈而眉渐生。后因怒复作,用小柴胡汤加芎、归、钩藤、木贼而愈。
后劳役发热,误用寒剂,不时身痒,日晡赤晕,早与补中益气汤加五味、麦冬、山药,午后与加减八
味丸,寻愈。后食炙爆等物,仍发疙瘩,小便白浊,关脉滑大有力,用补中益气汤加山栀,诸症悉退。
一男子秋间发疙瘩,两月余渐高,有赤晕,月余出黑血,此风热血虚所致。先用九味羌活汤,风
热将愈,再用补中益气汤而愈。后不慎房欲,复作盗汗,晡热,口干,唾痰,体倦懒言,用补中益气
汤,加减八味丸顿愈。
一妇人遍身疙瘩,瘙痒,敷追毒之药,成疮出水,寒热胁痛,小便不利,月经不调。服祛风之药
剂,形体消瘦,饮食少思,此肝火血燥生风也。前药益伤肝血,先用归脾汤二十余剂,又用加味逍遥
散二十余剂,诸症渐愈。乃用六味地黄丸调理而瘥。此等症候,服风药而死者多矣。
一男子不时患疙瘩,搔痒成疮,脓水淋漓,恶寒发热,先用羌活当归散而痒止,又用易老祛风丸
而不发。后饮烧酒,起赤晕,二便不通,口舌生疮,热渴不安,用防风通圣散,二便遍利。但口干体
倦,饮食不入,用七味白术散去木香,四剂而愈。
一男子遍身患疙瘩作痒,劳而益甚,用参、 、归、术为君,佐以柴胡、炒芩、桔梗、川芎、炙
草而痊。更用补中益气汤之剂,后不再发。
一男子患疙瘩,痒,发热,形气虚弱,口鼻气热,且喜饮冷,属外邪也。以消风散二剂,外邪悉
解。但倦怠少食,更以参、 、陈皮、炙草、五味而健。又以补中益气汤去柴胡、升麻,加茯苓、白
芍乃痊。
一男子患疙瘩,多在臀脚,劳役则痒甚,小便色黄,服败毒散、芩、连之剂,患处痒痛,夜不能
寐。此脾气下陷,用补中益气汤加五味、麦冬、炒黑黄柏,治之而痊。凡病日间如故,日晡倦怠,遇
劳愈加,晨起如故,皆元气虚也,宜用前药补而治之。
一男子患疙瘩,色黯作痒,出黑血,日晡至夜益甚,其腿日肿夜消。以为气血虚而有热,朝用补
中益气汤,夕用加味逍遥散而愈。
一儒者应试后,遍身瘙痒,后成疙瘩。此劳伤元气,阴火内炽,秋寒收敛腠理,郁热内作,补中
益气汤加茯苓、川芎、白芷而愈。后复劳,仍作,惑于人言,服祛风败毒药,如大风之状。又发热作
渴,倦怠懒食,用补中益气汤倍参、 、归、术、半夏、茯苓、五味、麦冬而愈。
一妇人遍身患疙瘩,发热作痒,内服败毒祛风,外搽攻毒追蚀,各溃成疮,脓水津淫,形气消瘦,
饮食日减,恶寒发热,作渴饮冷,脉浮数,按之则涩,此元气复伤也。先用七味白术散数剂,其渴渐
止,饮食稍加。乃用八珍汤加柴胡、丹皮,脓水渐干。又用六君、芎、归、丹皮、山栀,疮渐收敛。
仍用八珍、山栀、丹皮而愈。
一妇人因怒,寒热,发赤晕。服祛风之剂,发疙瘩。或砭出血,患处 肿,发热头痛。内服外敷,
俱系风药,脓水淋漓。服花蛇酒之类,前症益甚,更加晡热,烦渴不寐,脉洪大,按之如无。此血脱
烦躁,先用补血当归汤,稍缓。用四君、当归数剂,得睡。但倦怠,头晕,少食,用补中益气汤加蔓
荆子稍可。又用八珍汤加用芎、芍,倍用参、术,三十余剂而能步履,又复月余而痊。
一妇人性急善怒,月经不调,内热口苦,患疙瘩作痒。服败毒之药,脓水淋漓,热渴头眩,日晡
益甚。用加味逍遥散渐愈。后因大怒,月经如涌,眼出泪,用四物汤加山栀、柴胡、连、芩,数剂而
愈。年余,左足、
臂、腕起白点渐大,搔起白屑,内热盗汗,月经两月余一至。每怒,或恶寒头痛,或不食作呕,或胸
乳作胀,或腹内作痛,或小便见血,或小水不利,或白带注下,此皆肝木制伏脾土,元气虚而变症也。
用补中益气汤加炒黑山栀,及加味归脾汤,服半年而愈。后每怒恼,患赤晕,或以风疾治之。发疙瘩,
又服遇仙丹。赤肿作痒,出脓水,外敷追蚀之药。寒热作渴,又服胡麻、草乌之药。遍身瘙痒,眉毛
脱落,脓水淋漓,咳嗽发热,月经两月一行,用四君、当归、丹皮月余。热渴稍止,饮食少进,又服
月余,咳嗽少可。却用八珍汤加丹皮,二十余剂,患处渐干,经水如期。复因伤食,作泻不食,用六
君子汤,饮食渐进。又因怒,发热作渴,患处作痛,经行不止,用加味逍遥散渐可。仍用四君子汤而
全愈。
一女子二十岁,月经先期或过期。或怒,则身发赤晕,或患疙瘩,六七日方退。服祛风药,瘙痒
作渴,搔破成疮,脓水浸淫。曰∶此肝火生风,再服是药,必致筋挛。不悟,后两手拘挛,始信。先
用地黄丸,四物汤月余,热渴顿减。乃佐以加味逍遥散,又月余,患处脓少。又用四君子、山栀、丹
皮,二十余剂,指能伸屈。因怒,发热,经水不止,睡中筋脉抽动不安,以加味逍遥散加钩藤治之而
痊。仍用四物、山栀、钩藤、丹皮而疮结靥。乃去钩藤调理,元气复而疮靥干。
一女子常患瘾疹作痒,因怒发热,变为疙瘩,肿甚,用栀子清肝散治之而愈。后又怒,患痕起赤
晕,游走不定,自砭出紫血。甚痒彻骨,其热如炙,如大麻风,欲用风药,治之不效。乃以当归补血
汤四剂,其热悉止。又用圣愈汤,加味逍遥散而痊。
一妇人身发疙瘩,或如丹毒,痒痛不常,搔碎成疮,脓水淋漓,发热渴烦,头目眩,日晡益甚。
此血虚内热之症,以当归饮加柴胡、山栀,治之而愈。
一妇人患前症,肢体疼痛,头目不清,自汗盗汗,月水不调,肚腹作痛,食少倦怠。先用人参荆
芥散,后用逍遥散,治之而痊。
一妇人因忿怒,身发疙瘩,憎寒发热。此肝火,用小柴胡汤加山栀、黄连,治之而愈。后口苦胁
痛,小便
淋漓,复用前药,遂全愈。
一妇人患前症,发热,夜间谵语。此血分有热,以小柴胡汤加生地,治之而安。后用四物汤加柴
胡、山栀、丹皮而热退,又用逍遥散全愈。
一女子常患疙瘩,时或作痒,服消风之类,搔破成疮,其痒不止,延及头面。先用羌活当归散,
其痒顿止。用加味逍遥散,其热顿痊。又用当归饮,而疮亦愈。用八珍、柴胡、山栀,而不再作。
翟立之平时喜欢饮酒,全身长出疙瘩,一抓就起白屑,上半身症状更重,面目肿胀并溃烂成疮,结痂覆盖在承浆穴处,眼睛发红流泪,左关脉洪大、数且有力。有人将其当作疠风(麻风病)治疗,导致脓液流出淋漓不尽。这是肝火与湿毒所致,用四物汤加入干姜、连翘、山栀、柴胡,服用一剂后所有症状全部消退,服用四剂后完全痊愈。但两眼各出现一片青白色的翳膜,这也属于肝火引起,再服用两剂药后翳膜去除,最后用六味丸调理而痊愈。
一位读书人身上发出疙瘩,时常出现红色晕圈,怕冷发热。服用治疗疠风的药物后,眉毛脱落、筋脉拘挛,后来疙瘩逐渐溃烂,傍晚时分发热严重,肝脉弦而洪大,其余脉象数而无力,这是肝经血虚兼有风热。先用小柴胡汤合四物汤,加入丹皮、酒炒黑山栀,再给予加味逍遥散,加入人参、白术、钩藤,服用两个月,疮疡全部愈合,眉毛也逐渐生长。后来因为发怒病情复发,用小柴胡汤加入川芎、当归、钩藤、木贼而痊愈。之后因劳累过度导致发热,误用了寒凉药物,身体不时瘙痒,傍晚出现红晕,早晨服用补中益气汤加入五味子、麦冬、山药,午后服用加减八味丸,不久痊愈。后来吃了烤炸等食物,疙瘩再次发作,小便浑浊,关脉滑大有力,用补中益气汤加入山栀,所有症状全部消退。
一名男子在秋季患上疙瘩,两个多月后逐渐隆起,有红色晕圈,一个月后流出黑血,这是风热血虚所致。先用九味羌活汤,待风热将愈时,再用补中益气汤而痊愈。后来不慎房事,又出现盗汗、傍晚发热、口干、吐痰、身体疲倦懒言的症状,用补中益气汤和加减八味丸迅速痊愈。
一名妇女全身长满疙瘩,瘙痒,敷上追毒的药物后,变成疮疡出水,伴有寒热、胁痛、小便不利、月经不调。服用祛风药剂后,形体消瘦,饮食减少不想吃,这是肝火血燥生风所致。前面的药物进一步损伤了肝血,先用归脾汤二十多剂,又用加味逍遥散二十多剂,所有症状逐渐好转。然后用六味地黄丸调理而康复。这类病症,服用风药致死的很多。
一名男子不时患疙瘩,搔痒成疮,脓水淋漓,恶寒发热,先用羌活当归散止住瘙痒,又用易老祛风丸防止复发。后来喝了烧酒,出现红晕,大小便不通,口舌生疮,热渴不安,用防风通圣散,大小便随即通畅。只是口干身体疲倦,饮食不进,用七味白术散去木香,服用四剂而痊愈。
一名男子全身患疙瘩作痒,劳累后加重,用人参、黄芪、当归、白术为君药,佐以柴胡、炒黄芩、桔梗、川芎、炙甘草而痊愈。更用补中益气汤的方剂,后来不再复发。
一名男子患疙瘩,瘙痒,发热,形体气息虚弱,口鼻出气热,并且喜欢喝冷水,属于外邪侵袭。用消风散二剂,外邪全部解除。只是倦怠少食,再加人参、黄芪、陈皮、炙甘草、五味子来健脾。又以补中益气汤去掉柴胡、升麻,加入茯苓、白芍而痊愈。
一名男子患疙瘩,多在臀部和小腿,劳累则瘙痒加剧,小便颜色黄,服用败毒散、黄芩黄连之剂,患处痒痛,夜间不能入睡。这是脾气下陷,用补中益气汤加入五味子、麦冬、炒黑黄柏,治疗而痊愈。凡是疾病白天如常,傍晚倦怠,遇到劳累更加严重,早晨起来如常,都是元气虚损,应该用前面的药物补益治疗。
一名男子患疙瘩,颜色暗紫作痒,流出黑血,从傍晚到夜里更加严重,他的腿白天肿胀晚上消退。认为是气血虚而有热,早上服用补中益气汤,晚上服用加味逍遥散而痊愈。
一位读书人考试后,全身瘙痒,后来形成疙瘩。这是劳伤元气,阴火内炽,秋天寒气收敛腠理,郁热在内发作,用补中益气汤加入茯苓、川芎、白芷而痊愈。后来再次劳累,病情复发,听信他人之言,服用祛风败毒药,症状像大风病一样。又发热口渴,倦怠懒食,用补中益气汤加倍人参、黄芪、当归、白术,加上半夏、茯苓、五味子、麦冬而痊愈。
一名妇女全身患疙瘩,发热作痒,内服败毒祛风药,外搽攻毒追蚀药,各自溃烂成疮,脓水津液浸淫,形体气息消瘦,饮食日渐减少,恶寒发热,口渴想喝冷水,脉浮数,按之则涩,这是元气再次受伤。先用七味白术散几剂,口渴逐渐停止,饮食稍加。然后用八珍汤加入柴胡、丹皮,脓水逐渐干燥。又用六君子汤、川芎、当归、丹皮、山栀,疮疡逐渐收敛。仍然用八珍汤、山栀、丹皮而痊愈。
一名妇女因为发怒,出现寒热,发出红晕。服用祛风药剂,引发疙瘩。或者砭刺出血,患处肿胀,发热头痛。内服外敷,都使用风药,脓水淋漓。服用花蛇酒之类的药物,前症更加严重,加上傍晚发热,烦躁口渴不眠,脉洪大,按之如无。这是血脱烦躁,先用补血当归汤,稍微缓解。用四君子汤、当归几剂,得以睡眠。只是倦怠,头晕,少食,用补中益气汤加入蔓荆子稍微好转。又用八珍汤加入川芎、白芍,倍用人参、白术,三十多剂后能行走,又过一个多月而痊愈。
一名妇人性急爱发怒,月经不调,内热口苦,患疙瘩作痒。服用败毒药物,脓水淋漓,热渴头眩,傍晚更加严重。用加味逍遥散逐渐好转。后来因为大怒,月经如涌,眼睛流泪,用四物汤加入山栀、柴胡、黄连、黄芩,几剂而痊愈。一年多后,左脚、手臂、手腕出现白点逐渐变大,搔起白屑,内热盗汗,月经两个多月来一次。每次发怒,或恶寒头痛,或不进食作呕,或胸乳作胀,或腹内作痛,或小便见血,或小水不利,或白带注下,这都是肝木克制脾土,元气虚而变生的症状。用补中益气汤加入炒黑山栀,以及加味归脾汤,服用半年而痊愈。后来每次发怒,患赤晕,或以风疾治疗。发疙瘩,又服用遇仙丹。赤肿作痒,出脓水,外敷追蚀药物。寒热作渴,又服用胡麻、草乌药物。遍身瘙痒,眉毛脱落,脓水淋漓,咳嗽发热,月经两个月一行,用四君子汤、当归、丹皮月余。热渴稍止,饮食少进,又服药月余,咳嗽稍好。却用八珍汤加丹皮,二十多剂,患处逐渐干燥,月经如期。又因伤食,腹泻不食,用六君子汤,饮食渐进。又因发怒,发热作渴,患处作痛,经行不止,用加味逍遥散逐渐好转。仍用四君子汤而全愈。
一名女子二十岁,月经先期或过期。一发怒,则身上发出红晕,或患疙瘩,六七天才退。服用祛风药,瘙痒作渴,搔破成疮,脓水浸淫。医生说:这是肝火生风,再服这种药,必定导致筋脉拘挛。她不醒悟,后来两手拘挛,才相信。先用地黄丸、四物汤月余,热渴顿减。然后佐以加味逍遥散,又月余,患处脓少。又用四君子汤、山栀、丹皮,二十多剂,手指能伸屈。因为发怒,发热,经水不止,睡中筋脉抽动不安,以加味逍遥散加钩藤治疗而痊愈。仍然用四物汤、山栀、钩藤、丹皮而疮结痂。然后去掉钩藤调理,元气恢复而疮痂干燥。
一名女子常患瘾疹作痒,因为发怒发热,变为疙瘩,肿得很厉害,用栀子清肝散治疗而痊愈。后来又发怒,患痕起红晕,游走不定,自己砭刺流出紫血。甚痒彻骨,其热如烧烤,像大麻风,想用风药治疗,治之不效。于是用当归补血汤四剂,其热全部停止。又用圣愈汤、加味逍遥散而痊愈。
一名妇女身上发疙瘩,有的像丹毒,痒痛无常,搔碎成疮,脓水淋漓,发热渴烦,头目眩晕,傍晚更加严重。这是血虚内热的症状,用当归饮子加入柴胡、山栀,治疗而痊愈。
一名妇女患前症,肢体疼痛,头目不清,自汗盗汗,月水不调,肚腹作痛,食少倦怠。先用人参荆芥散,后用逍遥散,治疗而痊愈。
一名妇女因为忿怒,身上发疙瘩,憎寒发热。这是肝火,用小柴胡汤加入山栀、黄连,治疗而痊愈。后来口苦胁痛,小便淋漓,复用前药,遂全愈。
一名妇女患前症,发热,夜间谵语。这是血分有热,用小柴胡汤加入生地,治疗而安。后用四物汤加柴胡、山栀、丹皮而热退,又用逍遥散全愈。
一名女子常患疙瘩,时而作痒,服用消风散之类,搔破成疮,其痒不止,延及头面。先用羌活当归散,其痒顿止。用加味逍遥散,其热顿痊。又用当归饮子,而疮亦愈。用八珍汤、柴胡、山栀,而不再发作。
Zhai Lizhi was accustomed to drinking alcohol. He developed nodules all over his body; scratching them produced white scales, with symptoms being more severe on the upper body. His face and eyes were swollen and ulcerated, with scabs forming at Chengjiang (CV24). His eyes were red and tearing, and the pulse at the left Guan position was surging, rapid, and forceful. Some treated it as Leprosy (Lifeng), resulting in profuse discharge of pus. This was caused by Liver Fire and Damp-Toxin. A single dose of Siwu Tang (Four Substance Decoction) added with Ganjiang (Dried Ginger), Lianqiao (Forsythia Fruit), Shanzhi (Gardeniae Fructus), and Chaihu (Bupleuri Radix) resolved all symptoms completely after four doses. However, a patch of cyan-white nebula appeared in each eye, which also belonged to Liver Fire. After two more doses, the nebula disappeared, and he was cured using Liuwei Wan (Six-Ingredient Rehmannia Pill).
A scholar developed nodules on his body, accompanied by intermittent red halos, aversion to cold, and fever. After taking medicines for Leprosy, his eyebrows fell out and tendons became contracted. Later, the nodules gradually ulcerated, with high fever occurring in the late afternoon. The Liver pulse was wiry and surging, while other pulses were rapid but deficient. This indicated Blood Deficiency and Wind-Heat in the Liver Meridian. Initially, Xiaochaihu Tang (Minor Bupleurum Decoction) was combined with Siwu Tang (Four Substance Decoction), adding Danpi (Moutan Cortex) and Jiuchao Hei Zhi (Wine-fried and Charred Gardeniae Fructus). Subsequently, Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) was administered with Renshen (Ginseng Root), Baizhu (Atractylodis Macrocephalae Rhizoma), and Gouteng (Uncariae Ramulus cum Uncis). After two months of treatment, the sores healed completely, and his eyebrows gradually regrew. The condition recurred due to anger, and he was cured using Xiaochaihu Tang (Minor Bupleurum Decoction) added with Xiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Gouteng (Uncariae Ramulus cum Uncis), and Muzei (Equiseti Herba). Later, fatigue-induced fever occurred, and mistakenly using cold-natured medicines caused intermittent itching and evening red halos. In the morning, Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) was given with Wuweizi (Schisandrae Chinensis Fructus), Maidong (Ophiopogonis Radix), and Shanyao (Dioscoreae Rhizoma); in the afternoon, Jiaban Bawei Wan (Modified Eight-Ingredient Pill) was used, leading to recovery. After consuming roasted or fried foods, the nodules reappeared with turbid urine, and the Guan pulse was slippery, large, and forceful. Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) added with Shanzhi (Gardeniae Fructus) resolved all symptoms.
A man developed nodules in autumn, which gradually elevated over two months with red halos, and black blood discharged after another month. This was caused by Wind-Heat and Blood Deficiency. Jiwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction) was used first; once the Wind-Heat subsided, Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) was used to cure him. Due to sexual indiscretion, night sweats, evening fever, dry mouth, expectoration, fatigue, and reluctance to speak occurred. Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) and Jiaban Bawei Wan (Modified Eight-Ingredient Pill) brought about a rapid cure.
A woman had nodules all over her body with itching. Applying toxic-drawing ointments caused ulcers with weeping, accompanied by chills, fever, hypochondriac pain, dysuria, and irregular menstruation. Taking wind-dispelling agents led to emaciation and poor appetite. This was Liver Fire causing Blood Dryness generating Wind. Previous medicines further damaged Liver Blood. Guipi Tang (Restore the Spleen Decoction) was administered for over twenty doses, followed by Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) for another twenty doses, gradually resolving symptoms. Finally, Liuhuang Dihuang Wan (Six-Ingredient Rehmannia Pill) was used for regulation and recovery. Many such cases have resulted in death due to the use of wind-dispelling medicines.
A man suffered from intermittent nodules that itched into ulcers with profuse pus. Chills and fever were present. Qianghuo Danggui San (Notopterygium and Angelica Powder) stopped the itching, and Yi Lao Qufeng Wan (Master Yi’s Wind-Dispelling Pill) prevented recurrence. After drinking distilled spirits, red halos appeared, along with urinary and fecal retention, mouth and tongue sores, heat, thirst, and restlessness. Fangfeng Tongsheng San (Saposhnikovia Unblocking the Interior and Exterior Powder) restored normal bowel and bladder function. However, due to dry mouth, fatigue, and anorexia, Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder) without Muxiang (Aucklandiae Radix) was used for four doses, curing him.
A man had widespread nodular itching, worsening with exertion. Ren Shen (Ginseng Root), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma) were used as sovereign herbs, assisted by Chaihu (Bupleuri Radix), Chao Qin (Fried Scutellariae Radix), Jiegeng (Platycodonis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Zhigancao (Prepared Licorice Root), leading to recovery. Subsequent use of Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) prevented recurrence.
A man suffered from nodules, itching, and fever, with weak constitution and qi. His breath from the mouth and nose was hot, and he preferred cold drinks, indicating External Pathogens. Xiaofeng San (Wind-Dispersing Powder) for two doses resolved the external pathogens. For subsequent fatigue and poor appetite, Ren Shen (Ginseng Root), Huangqi (Astragali Radix), Chenpi (Citri Reticulatae Pericarpium), Zhigancao (Prepared Licorice Root), and Wuweizi (Schisandrae Chinensis Fructus) strengthened the Spleen. Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) without Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma), plus Fuling (Poria) and Baishao (Paeoniae Radix Alba), cured him.
A man had nodules mostly on the buttocks and legs, with severe itching upon exertion and yellow urine. Taking Baidu San (Defeat Toxin Powder) and Scutellaria/Coptis formulas caused local pain and insomnia. This was Spleen Qi Sinking. Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) added with Wuweizi (Schisandrae Chinensis Fructus), Maidong (Ophiopogonis Radix), and Chaohei Huangbai (Charred Phellodendri Cortex) cured him. Generally, diseases that are normal during the day but fatigued in the late afternoon, worsened by labor, and normal in the morning, indicate Yuan Qi (Primal Qi) Deficiency, requiring tonification with the aforementioned formula.
A man had dark-colored, itchy nodules discharging black blood, worsening from late afternoon to night, with legs swelling by day and subsiding by night. This was attributed to Qi and Blood Deficiency with Heat. Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) was taken in the morning, and Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) in the evening, leading to recovery.
A scholar developed generalized itching and nodules after examinations. This was due to Labor injuring Yuan Qi (Primal Qi), internal blazing of Yin Fire, and autumn cold constricting the pores, trapping internal heat. Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) added with Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Baizhi (Angelicae Dahuricae Radix) cured him. Upon relapse due to overwork, he listened to others and took wind-dispelling and toxin-defeating medicines, resembling Leprosy. Fever, thirst, fatigue, and anorexia ensued. Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) with doubled Renshen (Ginseng Root), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma), plus Banxia (Pinelliae Rhizoma), Fuling (Poria), Wuweizi (Schisandrae Chinensis Fructus), and Maidong (Ophiopogonis Radix), cured him.
A woman had widespread nodules with fever and itching. Internal use of toxin-defeating and wind-dispelling medicines, combined with external application of corrosive agents, caused ulcers with weeping pus, emaciation, reduced appetite, chills, fever, thirst for cold drinks, floating and rapid pulse that felt choppy upon pressure. This indicated repeated injury to Yuan Qi (Primal Qi). Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder) for several doses stopped the thirst and improved appetite. Bazhen Tang (Eight-Treasure Decoction) added with Chaihu (Bupleuri Radix) and Danpi (Moutan Cortex) dried the pus. Liujun Zi Tang (Six-Gentlemen Decoction) with Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Danpi (Moutan Cortex), and Shanzhi (Gardeniae Fructus) promoted wound contraction. Continued use of Bazhen Tang (Eight-Treasure Decoction), Shanzhi (Gardeniae Fructus), and Danpi (Moutan Cortex) completed the cure.
A woman developed chills, fever, and red halos due to anger. Wind-dispelling medicines induced nodules. Scarification released blood, causing local swelling, fever, and headache. Both internal and external treatments used wind-dispelling agents, resulting in weeping pus. Consumption of Huashe Jiu (Flower Snake Wine) worsened symptoms, adding evening fever, irritability, thirst, insomnia, and a surging pulse that felt empty upon pressure. This was Blood Loss causing Irritability. Bu Xue Danggui Tang (Tonify Blood Danggui Decoction) provided slight relief. Six Gentlemen Decoction with Danggui (Angelicae Sinensis Radix) for several doses enabled sleep. For fatigue, dizziness, and poor appetite, Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) added with Manjingzi (Vitexis Fructus) helped slightly. Bazhen Tang (Eight-Treasure Decoction) with Chuanxiong (Ligustici Chuanxiong Rhizoma) and Baishao (Paeoniae Radix Alba), with doubled Renshen (Ginseng Root) and Baizhu (Atractylodis Macrocephalae Rhizoma), for over thirty doses allowed walking. Full recovery occurred after another month.
A woman with a quick temper and frequent anger had irregular menstruation, internal heat, bitter taste, and itchy nodules. Toxin-defeating medicines caused weeping pus, heat, thirst, dizziness, and worsening in the late afternoon. Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) gradually improved the condition. Severe anger later caused flooding menstruation and tearing eyes. Siwu Tang (Four Substance Decoction) added with Shanzhi (Gardeniae Fructus), Chaihu (Bupleuri Radix), Huanglian (Coptidis Rhizoma), and Huangqin (Scutellariae Radix) cured her within a few doses. Over a year later, white spots enlarged on the left foot, arm, and wrist, with scratching producing white scales, internal heat, night sweats, and bi-monthly menstruation. Anger triggered various symptoms: chills/headache, anorexia/vomiting, chest/breast distension, abdominal pain, hematuria, dysuria, or leukorrhea. These were manifestations of Liver Wood overacting on Spleen Earth, with Yuan Qi (Primal Qi) Deficiency causing variable symptoms. Bushen Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) added with Chaohei Shanzhi (Charred Gardeniae Fructus) and Jia Wei Guipi Tang (Modified Restore the Spleen Decoction) for half a year cured her. Subsequent anger caused red halos; treating as wind disease and using Yuxian Dan (Immortal Immortality Pill) for nodules led to red swelling, itching, pus, and external corrosives. Chills, fever, thirst, and consumption of Huma (Sesame Seed) and Caowu (Aconiti Kusnezoffii Radix) worsened the condition. Generalized itching, eyebrow loss, weeping pus, cough, fever, and bi-monthly menses were treated with Liujun Zi Tang (Six-Gentlemen Decoction), Danggui (Angelicae Sinensis Radix), and Danpi (Moutan Cortex) for a month. Heat and thirst subsided slightly, appetite remained low. Another month of medication eased the cough. Bazhen Tang (Eight-Treasure Decoction) added with Danpi (Moutan Cortex) for over twenty doses dried the lesions and regularized menstruation. Food stagnation causing diarrhea and anorexia was treated with Liujun Zi Tang (Six-Gentlemen Decoction), gradually restoring diet. Anger-induced fever, thirst, lesion pain, and continuous menstruation were managed with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). Complete recovery was achieved with Liujun Zi Tang (Six-Gentlemen Decoction).
A twenty-year-old woman had early or delayed menstruation. Anger caused red halos or nodules lasting six to seven days. Wind-dispelling medicines caused itching, thirst, ulcers, and weeping pus. It was stated: "This is Liver Fire generating Wind; continuing this medicine will cause tendon contraction." She did not heed this advice and later developed hand contractures. Dihuang Wan (Rehmannia Pill) and Siwu Tang (Four Substance Decoction) for a month significantly reduced heat and thirst. Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) was added for another month, reducing pus. Four Gentlemen Decoction with Shanzhi (Gardeniae Fructus) and Danpi (Moutan Cortex) for over twenty doses restored finger mobility. Anger-induced fever and continuous menstruation, with restless twitching during sleep, were treated with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) added with Gouteng (Uncariae Ramulus cum Uncis), leading to recovery. Siwu Tang (Four Substance Decoction), Shanzhi (Gardeniae Fructus), Gouteng (Uncariae Ramulus cum Uncis), and Danpi (Moutan Cortex) formed scabs. Removing Gouteng (Uncariae Ramulus cum Uncis) for regulation allowed Yuan Qi (Primal Qi) restoration and drying of scabs.
A woman often suffered from urticarial itching. Anger-induced fever transformed it into nodules with severe swelling. Zhizi Qinggan San (Gardenia Clearing Liver Powder) cured it. Later, anger caused moving red halos, self-scarification releasing purple blood, bone-deep itching, burning heat resembling Leprosy. Wind-dispelling medicines failed. Danggui Buxue Tang (Danggui Tonifying Blood Decoction) for four doses stopped the heat. Shengyu Tang (Holy Salvation Decoction) and Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) completed the cure.
A woman had nodules resembling Erysipelas, with variable itching and pain, ulcerating upon scratching with weeping pus, fever, thirst, irritability, dizziness, and worsening in the late afternoon. This was Blood Deficiency with Internal Heat. Danggui Yin (Danggui Drink) added with Chaihu (Bupleuri Radix) and Shanzhi (Gardeniae Fructus) cured her.
Another woman with similar symptoms had limb pain, unclear head/eyes, spontaneous and night sweats, irregular menstruation, abdominal pain, poor appetite, and fatigue. Ren Shen Jingjie San (Ginseng and Schizonepeta Powder) followed by Xiao Yao San (Free and Easy Wanderer Powder) cured her.
A woman developed nodules, chills, and fever due to indignation. This was Liver Fire. Xiaochaihu Tang (Minor Bupleurum Decoction) added with Shanzhi (Gardeniae Fructus) and Huanglian (Coptidis Rhizoma) cured her. Subsequent bitter taste, hypochondriac pain, and dysuria were fully resolved with the same formula.
A woman with similar symptoms had fever and nighttime delirium. This was Heat in the Blood Level. Xiaochaihu Tang (Minor Bupleurum Decoction) added with Shengdi (Rehmanniae Radix) stabilized her. Siwu Tang (Four Substance Decoction) added with Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), and Danpi (Moutan Cortex) reduced fever, and Xiao Yao San (Free and Easy Wanderer Powder) completed the cure.
A woman often had nodules with occasional itching. Xiaofeng San (Wind-Dispersing Powder) caused ulcers upon scratching, with persistent itching spreading to the head and face. Qianghuo Danggui San (Notopterygium and Angelica Powder) stopped the itching immediately. Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) cleared the heat. Danggui Yin (Danggui Drink) healed the sores. Bazhen Tang (Eight-Treasure Decoction) with Chaihu (Bupleuri Radix) and Shanzhi (Gardeniae Fructus) prevented recurrence.