或问∶耳后一寸三分生疽，古云不治之证。今有一人，年二十四岁，耳后结块如拳，
肉色不变，亦不甚痛，七日不食何如？曰∶此名耳后毒，非瘿也，隔蒜灸之；活命饮加柴
胡、桔梗、升麻，八阵散下之愈。 张通府，耳后发际，患肿一块无头，肉色不变，按之
微痛，彼谓痰结，脉软而时见数。经曰∶脉数不时见，疮也，非痰也。仲景云∶微弱之
脉，主血气俱虚，形精不足。又曰∶沉迟软弱，皆宜托里，遂用参、 、归、术、川芎、
炙甘草以托里，少加金银花、白芷、桔梗以消毒，彼谓不然。内饮降火消痰，外贴凉药，
觉寒彻脑，患处大热，头愈重，食愈少，复请治，以四君子加藿香、炮干姜数剂，食渐
进，脓成刺之，更以十全大补汤去桂，灸以豆豉饼，又月余而愈。 罗宗伯，耳后发际
患毒 痛，脉数，以小柴胡加桔梗、牛蒡子、金银花，四剂而愈。 一人耳后患毒，脉证
俱实，宜用内疏黄连汤，彼此严冬不服寒剂，竟至不起。 一人耳后寸余发一毒，名曰锐
疽。 痛寒热，烦躁喜冷，此胆经蕴热而然。先用神仙活命饮一剂，势减二三，时值仲冬，
彼惑于用寒远寒之禁。自用十宣、托里之药，势渐炽，耳内脓溃，喉肿闭，药不能下而殁。
〔薛〕 耳疮属手少阳三焦经，或足厥阴肝经，血虚风热，或肝经燥火风热，或肾经
虚火等因。若发热 痛，属少阳、厥阴风热，用柴胡栀子散。若内热痒痛，属前二经血虚，
用当归川芎散。若寒热作痛，属肝经风热，用小柴胡汤加山栀、川芎。若内热口干，属肾
经虚火，用加味地黄丸，如不应，用加减八味丸，余当随证治之。 文选姚海山，耳根
赤肿，寒热作痛，此属三焦风热也，但中气素虚，以补中益气加山栀、炒黄芩、牛蒡子
治之而愈。 一儒者，因怒，耳内作痛出水，或用祛风之剂，筋挛作痛，肢体如束，此肝
火伤血也，用六味丸料数服而愈。 举人毛石峰子，年二十，耳内出水或作痛，年余矣。
脉洪数，左尺益甚，此属肝、肾二经虚热也，用加减八味丸料，一剂而愈。 一男子每入
房，耳内或作痒或出水，常以银簪探入，甚喜阴凉，此属肾经虚热也，用加减八味丸而
愈。 一妇人，因怒发热，每经行即两耳出脓，两太阳作痛，以手按之痛稍止，怒则胸
胁、乳房胀痛，或寒热往来，或小便频数，或小腹胀闷，此皆属肝火血虚也，先用栀子清
肝散二剂，又用加味逍遥散数剂，诸证悉退，又以补中益气加五味而全愈。 一妇人经行
后，因怒气劳役，发热寒热，耳内作痛，余以经行为血虚，用八珍汤加柴胡，怒气为肝
火，用加味逍遥散；劳役为气伤，用补中益气汤加山栀而愈。 一妇人，耳内作痛或肿
，寒热发热，面色素青黄，经行则变赤，余以为怒气伤肝，郁结伤脾，用加味归脾汤、加
味逍遥散而愈。 一妇人耳内肿痛，寒热口苦，耳内出水， 连颈项，饮食少思，此肝
火甚而伤脾也，用小柴胡汤加山栀，牡丹皮稍愈。用加味逍遥散，及八珍汤加柴胡、山
栀、丹皮，调补肝脾而全愈。 一孀妇，或耳内外作痛，或项侧结核，内热晡热，月经
不调，唾痰少食，胸膈不利，余以为郁怒伤肝脾，朝用归脾汤以解脾郁，生脾气；夕用
加味逍遥散以清肝火，生肝血而愈。 太卿魏庄渠，癸卯仲冬，耳内作痛，左尺洪大而
涩。余曰∶此肾水枯竭，不能生肝木，当滋化源，彼不信。仍杂用直补之剂，余谓其婿
陆时若曰∶庄渠不能生肾水，来春必不能起。
至明年季春十八日，复请治，昏愦不语，颐耳之分，已有脓矣，且卵缩便数，方信余言，
求治。辞不克，用六味丸料一盅，阴茎舒出，小便十减六七，神思顿醒。余曰∶若砭脓出，
庶延数日，为立嗣之计，否则脓从耳出，死立待矣。或谓不砭可生者，余因辞归。翌日
果耳内出脓，至二十一日己未，火日而卒。宪副姜时川，癸卯冬，右手寸口浮数而有痰，
口内若有疮然。余曰∶此胃火传于肺也，当薄滋味，慎起居，以御之。甲辰秋，尺脉洪
数而无力。余曰∶此肺金不能生肾水，无根之火上炎也，宜静调养滋化源以治之。彼云∶
今喉耳不时燥痛，肢体不时发热，果是无根之火殒无疑矣。后会刘古峡云∶姜公之病已
如尊料，遂拉同往视，喉果肿溃，脉愈洪大，又误以为疮毒而投苦寒之剂，卒于仲春二十
八日。乃药之促其亡也，否则尚能延至仲夏。
当归川芎散 治手足少阳经，血虚疮证或风热，耳内痒痛生疮出水，或头目不清，寒
热少食，或妇女经水不调，胸膈不利，胁腹痞痛。
当归 川芎 柴胡 白术 芍药（各一钱） 山栀（炒，一钱二分） 牡丹皮 茯苓（各八分）
蔓荆子 甘草（各五分）
上水煎服。
若肝气不平寒热，加地骨皮。肝气实，加柴胡、黄芩。气血虚，加参、 、归、地。脾
虚饮食少思，加苓、术。脾虚胸膈不利，加参、 。痰滞胸膈，加术、半。肝气不顺，胸
膈不利，或小腹痞满，或时攻痛，加青皮。肝血不足，胸膈不利，或小腹满痛，加熟地黄。
肝血虚寒，小腹时痛，加肉桂。日晡发热，加归地。
栀子清肝散（一名，柴胡栀子散。） 治三焦及足少阳经风热，耳内作痒生疮，或出水疼痛，
或胸乳间作痛，或寒热往来。
柴胡 栀子（炒） 牡丹皮（各一钱） 茯苓 川芎 芍药 当归 牛蒡子（炒，各七分） 甘草
（五分）
上水煎服。若太阳头痛，加羌活。
加味地黄丸 治肝肾阴虚疮证，或耳内痒痛出水，或眼昏痰气喘嗽，或作渴发热，小
便赤涩等证。
干山药 山茱萸 牡丹皮 泽泻 白茯苓 熟地黄 柴胡 五味子（各另为末，等分）
上将二地黄掐碎，酒拌湿杵膏，入前末和匀，加炼蜜为丸，桐子大。每服百丸，空
心白汤送下。不应，用加减八味丸。
有人问：耳后一寸三分处生疽，古人说是无法治愈的病证。现在有一人，二十四岁，耳后结块如拳头大小，皮肤颜色不变，疼痛也不剧烈，七天没有进食，情况如何？回答说：这名叫耳后毒，不是瘿病，用隔蒜灸法治疗；服用活命饮加柴胡、桔梗、升麻，再配合八阵散内服即可痊愈。
张通府，在耳后发际处，患上一块无脓头的肿物，皮肤颜色不变，按压时有轻微疼痛，他认为这是痰结所致，脉象软弱且偶尔出现数脉。经书说：脉数而不定时出现，是疮疡之象，并非痰证。仲景说：微弱之脉，主气血俱虚，形体和精神不足。又说：沉迟软弱之脉，都适宜使用托里法治疗。于是用人参、[此处原文缺字，通常指黄芪或类似补气药]、当归、白术、川芎、炙甘草来托补正气，少加金银花、白芷、桔梗来解毒消肿，但他认为不对。他内服降火消痰的药物，外贴凉性药物，感觉寒气透入脑部，患处却大热，头更沉重，饮食更少，再次请医治疗。我用四君子汤加藿香、炮干姜，服用几剂后，饮食逐渐增加，脓液形成后刺破排脓，再用十全大补汤去掉桂枝，用豆豉饼灸疗，又过了一个多月才痊愈。
罗宗伯，耳后发际处患毒且疼痛，脉数，用小柴胡汤加桔梗、牛蒡子、金银花，服用四剂而愈。
一人耳后患毒，脉象和症状都属实证，适宜用内疏黄连汤，但正值严冬，他不肯服用寒凉药剂，最终导致死亡。
一人在耳后寸余处生一毒，名叫锐疽。疼痛伴恶寒发热，烦躁喜冷，这是胆经蕴热所致。先用神仙活命饮一剂，病情减轻二三成，当时正值仲冬，他被“用寒远寒”的禁忌所迷惑。自行服用十宣散、托里散等药，病情逐渐加重，耳内脓液溃破，咽喉肿胀闭塞，药物无法下咽而死。
〔薛己按〕耳疮属于手少阳三焦经，或足厥阴肝经，多因血虚风热，或肝经燥火风热，或肾经虚火等原因引起。若发热疼痛，属于少阳、厥阴风热，用柴胡栀子散。若内热痒痛，属于上述两经血虚，用当归川芎散。若寒热作痛，属于肝经风热，用小柴胡汤加山栀、川芎。若内热口干，属于肾经虚火，用加味地黄丸，如果无效，用加减八味丸，其余情况应当随证治疗。
文选姚海山，耳根赤肿，寒热作痛，这属于三焦风热，但他中气素来虚弱，我用补中益气汤加山栀、炒黄芩、牛蒡子治疗而痊愈。
一位儒者，因为愤怒，耳内作痛并出水，有人用祛风药剂，导致筋脉拘挛作痛，肢体像被捆绑一样，这是肝火伤血所致，用六味丸料数服而愈。
举人毛石峰之子，二十岁，耳内出水或作痛，已有一年多。脉象洪数，左尺部尤其明显，这属于肝、肾二经虚热，用加减八味丸料，一剂而愈。
一男子每次行房后，耳内或作痒或出水，常以银簪探入耳内，很喜欢阴凉环境，这属于肾经虚热，用加减八味丸而愈。
一妇人，因为愤怒发热，每次月经来潮时双耳出脓，两侧太阳穴作痛，用手按压疼痛稍止，愤怒时胸胁、乳房胀痛，有时寒热往来，有时小便频数，或小腹胀闷，这些都属于肝火血虚，先用栀子清肝散二剂，又用加味逍遥散数剂，各种症状全部消退，再用补中益气汤加五味子完全痊愈。
一妇人在月经结束后，因为怒气劳累，发热寒热，耳内作痛，我认为月经期导致血虚，用八珍汤加柴胡；怒气导致肝火，用加味逍遥散；劳累导致气伤，用补中益气汤加山栀而愈。
一妇人，耳内作痛或肿胀，寒热发热，面色原本青黄，月经来时变为红色，我认为这是怒气伤肝，郁结伤脾，用加味归脾汤、加味逍遥散而愈。
一妇人耳内肿痛，寒热口苦，耳内出水，牵连颈项，饮食减少思虑，这是肝火甚而伤脾，用小柴胡汤加山栀，牡丹皮稍见好转。后用加味逍遥散，及八珍汤加柴胡、山栀、丹皮，调补肝脾而完全痊愈。
一寡妇，有时耳内外作痛，有时项侧有结核，内热午后发热，月经不调，唾痰少食，胸膈不利，我认为这是郁怒伤肝脾，早晨服用归脾汤以解脾郁，生发脾气；晚上服用加味逍遥散以清肝火，生发肝血而痊愈。
太卿魏庄渠，癸卯年仲冬，耳内作痛，左尺脉洪大而涩。我说：这是肾水枯竭，不能生养肝木，应当滋生化源，他不相信。仍然杂用直接补益的药剂，我对他的女婿陆时若说：庄渠不能生养肾水，明年春天必定起不来。
到了第二年季春十八日，再次请我治疗，神志昏愦不语，颐部和耳部分界处已有脓液，并且睾丸收缩、小便频数，这才相信我的话，求治。我推辞不掉，用六味丸料一盅，阴茎舒展，小便次数减少十分之六七，神思顿时清醒。我说：如果用砭针刺破排脓，或许能延长几天寿命，以便为家族立嗣做打算，否则脓从耳出，死亡就在眼前了。有人说不用砭刺也可以生还，我便辞别回家。第二天果然耳内出脓，到二十一日己未日，在火日那天去世。
宪副姜时川，癸卯年冬天，右手寸口脉浮数且有痰，口中好像有疮一样。我说：这是胃火传于肺，应当清淡饮食，谨慎起居，以抵御病邪。甲辰年秋天，尺脉洪数而无力。我说：这是肺金不能生养肾水，无根之火上炎，应当静养调理，滋生化源来治疗。他说：现在喉咙耳朵不时干燥疼痛，肢体不时发热，果然是无根之火，死无疑了。后来会见刘古峡说：姜公的病已经像我所预料的那样了，于是拉着我同去诊视，喉咙果然肿胀溃烂，脉象更加洪大，又被误认为是疮毒而投用苦寒药剂，最终在仲春二十八日去世。这是药物促使他死亡，否则还能延续到仲夏。
当归川芎散 治疗手足少阳经，血虚疮证或风热，耳内痒痛生疮出水，或头目不清，寒热少食，或妇女经水不调，胸膈不利，胁腹痞痛。
药材：当归、川芎、柴胡、白术、芍药（各一钱）、山栀（炒，一钱二分）、牡丹皮、茯苓（各八分）、蔓荆子、甘草（各五分）。
用法：以上用水煎服。
加减：若肝气不平伴有寒热，加地骨皮。肝气实，加柴胡、黄芩。气血虚，加人参、[缺字]、当归、地黄。脾虚饮食少思，加茯苓、白术。脾虚胸膈不利，加人参、[缺字]。痰滞胸膈，加白术、半夏。肝气不顺，胸膈不利，或小腹痞满，或时常攻痛，加青皮。肝血不足，胸膈不利，或小腹满痛，加熟地黄。肝血虚寒，小腹时常疼痛，加肉桂。日晡时发热，加当归、地黄。
栀子清肝散（一名柴胡栀子散。） 治疗三焦及足少阳经风热，耳内作痒生疮，或出水疼痛，或胸乳间作痛，或寒热往来。
药材：柴胡、栀子（炒）、牡丹皮（各一钱）、茯苓、川芎、芍药、当归、牛蒡子（炒，各七分）、甘草（五分）。
用法：以上用水煎服。若太阳头痛，加羌活。
加味地黄丸 治疗肝肾阴虚疮证，或耳内痒痛出水，或眼昏痰气喘嗽，或作渴发热，小便赤涩等证。
药材：干山药、山茱萸、牡丹皮、泽泻、白茯苓、熟地黄、柴胡、五味子（各另为末，等分）。
用法：将两种地黄掐碎，酒拌湿捣成膏，加入前面的药末和匀，加炼蜜制成丸，如梧桐子大。每服一百丸，空腹用白开水送下。如果无效，用加减八味丸。
A question was asked: "A carbuncle (ju, a type of deep-seated suppurative infection) appearing one inch and three fen behind the ear is considered by ancient texts as an incurable condition. Now there is a patient, twenty-four years old, with a lump behind the ear the size of a fist, unchanged skin color, not very painful, and has not eaten for seven days. What is the prognosis?" The answer was: "This is named 'toxic swelling behind the ear', not a goiter (ying). It should be treated with garlic-separated moxibustion; administer Huoming Yin (Life-Preserving Decoction) added with Chaihu (Bupleuri Radix), Jiegeng (Platycodonis Radix), and Shengma (Cimicifugae Rhizoma), and take Bazhen San (Eight-Array Powder) orally to achieve recovery."
Zhang Tongfu had a swollen lump without a head at the hairline behind the ear, with unchanged skin color and slight pain upon pressure. He believed it was phlegm accumulation. His pulse was soft and occasionally rapid. The Classics state: "A rapid pulse that appears intermittently indicates sores/abscesses, not phlegm." Zhang Zhongjing stated: "A faint and weak pulse indicates deficiency of both qi and blood, and insufficiency of form and spirit." He also said: "Deep, slow, soft, and weak pulses all indicate the suitability of interior-supporting methods." Therefore, I used Renshen (Ginseng Radix et Rhizoma), [missing character, likely Huangqi], Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Zhi Gancao (Prepared Licorice Root) to support the interior, adding small amounts of Jinyinhua (Lonicerae Japonicae Flos), Baizhi (Angelicae Dahuricae Radix), and Jiegeng to resolve toxicity. He disagreed. He internally took fire-draining and phlegm-resolving medicines and externally applied cooling agents. He felt cold penetrating his brain, while the affected area became very hot, his head felt heavier, and his food intake decreased further. Upon reconsultation, I used Sijunzi Tang (Four Gentlemen Decoction) added with Huoxiang (Pogostemonis Herba) and Pao Ganjiang (Prepared Zingiberis Rhizoma). After several doses, his appetite gradually improved. Once pus formed, it was lanced. Subsequently, Shiquan Dabu Tang (Perfect Tonifying Decoction) minus Guizhi (Cinnamomi Ramulus) was administered, along with moxibustion using Douchi Bing (Fermented Soybean Cake). He recovered after more than a month.
Luo Zongbo suffered from toxic swelling and pain at the hairline behind the ear with a rapid pulse. Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Jiegeng, Niubangzi (Arctii Fructus), and Jinyinhua was prescribed. He recovered after four doses.
Another patient had toxic swelling behind the ear with both pulse and symptoms indicating excess patterns. Neishu Huanglian Tang (Internal Draining Coptis Decoction) was indicated. However, during severe winter, he refused to take cold-natured herbs and ultimately died.
Another patient developed a toxic swelling slightly over one cun behind the ear, named Rui Ju (Sharp Carbuncle). He experienced pain, aversion to cold, fever, irritability, and a preference for cold. This was due to heat accumulation in the Gallbladder Meridian. First, Shenxian Huoming Yin (Immortal Life-Preserving Decoction) was given for one dose, reducing the severity by two or three parts. At that time, it was mid-winter. Confused by the prohibition against using cold herbs in cold seasons ("avoid cold when using cold"), he self-administered Shixuan San (Ten-Vitality Powder) and Tuoli medicines. The condition worsened, pus broke out inside the ear, and the throat swelled shut, preventing medication intake, leading to death.
[Xue Ji's Commentary] Ear sores belong to the Hand-Shaoyang Sanjiao Meridian or Foot-Jueyin Liver Meridian. Causes include blood deficiency with wind-heat, dry fire and wind-heat in the Liver Meridian, or deficient fire in the Kidney Meridian. If accompanied by fever and pain, it belongs to Shaoyang and Jueyin wind-heat; use Chaihu Zhizi San (Bupleurum and Gardenia Powder). If accompanied by internal heat, itching, and pain, it belongs to blood deficiency in the aforementioned meridians; use Danggui Chuanxiong San (Angelica and Ligusticum Powder). If accompanied by chills and fever with pain, it belongs to Liver Meridian wind-heat; use Xiao Chaihu Tang added with Zhizi (Gardeniae Fructus) and Chuanxiong. If accompanied by internal heat and dry mouth, it belongs to Kidney Meridian deficient fire; use Jiawei Dihuang Wan (Modified Rehmannia Pill). If ineffective, use Jiawei Bawei Wan (Modified Eight-Ingredient Pill). Other cases should be treated according to syndrome differentiation.
Wenxuan Yao Haishan had red swelling at the root of the ear with chills, fever, and pain, belonging to Sanjiao wind-heat. However, his middle qi was inherently deficient. I treated him with Butong Yiqi Tang (Supplementing Middle and Augmenting Qi Decoction) added with Zhizi, Chao Huangqin (Fried Scutellariae Radix), and Niubangzi, resulting in recovery.
A scholar suffered from ear pain and discharge due to anger. Someone used wind-dispelling agents, causing tendon spasms and pain, making limbs feel bound. This was liver fire injuring blood. Sixwei Wan (Six-Ingredient Pill with Rehmannia) material was taken for several doses, leading to recovery.
The son of Juren Mao Shifeng, aged twenty, had ear discharge or pain for over a year. The pulse was surging and rapid, especially at the left Chi position. This belonged to deficient heat in the Liver and Kidney meridians. Jiawei Bawei Wan material was prescribed, resulting in recovery after one dose.
A man experienced ear itching or discharge after intercourse, often probing with a silver needle, and preferred cool environments. This belonged to Kidney Meridian deficient heat. Jiawei Bawei Wan led to recovery.
A woman, triggered by anger and fever, had pus discharge from both ears during menstruation, pain in both temporal regions (relieved by pressure), distending pain in chest/hypochondrium/breasts upon anger, alternating chills and fever, frequent urination, or lower abdominal fullness. These all belonged to liver fire and blood deficiency. First, Zhizi Qinggan San (Gardenia Clearing Liver Powder) was given for two doses, followed by Jiawei Xiaoyao San (Modified Free Wanderer Powder) for several doses. All symptoms subsided. Finally, Butong Yiqi Tang added with Wuweizi (Schisandrae Fructus) ensured complete recovery.
After menstruation, a woman suffered from fever, chills, and ear pain due to anger and fatigue. Menstruation causes blood deficiency, so Bazhen Tang (Eight-Treasure Decoction) added with Chaihu was used. Anger causes liver fire, so Jiawei Xiaoyao San was used. Fatigue injures qi, so Butong Yiqi Tang added with Zhizi was used, leading to recovery.
A woman had ear pain or swelling, fever, and chills. Her complexion was originally greenish-yellow but turned red during menstruation. This was attributed to anger injuring the Liver and stagnation injuring the Spleen. Jiawei Guipi Tang (Modified Heart-Spleen Tonic Decoction) and Jiawei Xiaoyao San were used, resulting in recovery.
A woman had ear swelling and pain, chills, fever, bitter taste, ear discharge radiating to the neck, and poor appetite. This was severe liver fire injuring the Spleen. Xiao Chaihu Tang added with Zhizi and Mudanpi (Moutan Cortex) showed slight improvement. Then, Jiawei Xiaoyao San, followed by Bazhen Tang added with Chaihu, Zhizi, and Danpi, regulated and tonified the Liver and Spleen, leading to complete recovery.
A widow had intermittent ear pain (inside/outside) or cervical lymph node swelling, internal heat, afternoon fever, irregular menstruation, scanty saliva, poor appetite, and chest diaphragm discomfort. This was depression and anger injuring the Liver and Spleen. Morning administration of Guipi Tang resolved Spleen stagnation and generated Spleen qi; evening administration of Jiawei Xiaoyao San cleared Liver fire and generated Liver blood, leading to recovery.
Taiqing Wei Zhuangqu had ear pain in mid-winter of Gui-Mao year. The left Chi pulse was surging, large, and choppy. I stated: "Kidney water is exhausted, unable to nourish Liver wood. The source of transformation must be nourished." He did not believe this and continued using direct tonics. I told his son-in-law Lu Shiruo: "If Zhuangqu cannot generate Kidney water, he will not recover next spring."
By the 18th day of late spring the following year, he was consulted again. He was confused and mute. Pus had formed at the junction of the jaw and ear. His testicles were retracted, and he had frequent urination. Only then did he believe me and seek treatment. Reluctantly, I prescribed one cup of Sixwei Wan material. His penis extended, urine frequency decreased by six or seven tenths, and his mental clarity suddenly returned. I said: "If the pus is pricked out, life might be extended for a few days, allowing time to arrange for an heir. Otherwise, if pus discharges from the ear, death is imminent." Some suggested survival without pricking. I declined and returned home. The next day, pus indeed discharged from the ear. On the 21st day (Ji-Wei), on a Fire day, he died.
Xiangfu Jiang Shichuan, in winter of Gui-Mao year, had a floating and rapid right Cun pulse with phlegm, and oral lesions resembling sores. I stated: "Stomach fire transmitting to the Lung. Dietary restrictions and careful living are needed to prevent progression." In autumn of Jia-Chen year, the Chi pulse was surging, rapid, and forceless. I stated: "Lung metal fails to generate Kidney water. Rootless fire flares upward. Quiet rest and nourishment of the transformation source are required." He replied: "Now my throat and ears are frequently dry and painful, and limbs frequently feel hot. Indeed, rootless fire leads inevitably to death." Later, Liu Guxia informed me that Jiang's condition matched my prediction. We visited together. The throat was indeed swollen and ulcerated, and the pulse was even more surging and large. Mistakenly diagnosed as toxic sores, bitter-cold herbs were administered. He died on the 28th day of mid-spring. The medicine hastened his death; otherwise, he might have survived until mid-summer.
Danggui Chuanxiong San treats Hand and Foot Shaoyang meridian conditions, blood-deficient sores or wind-heat, ear itching/pain/sores/discharge, unclear head/eyes, chills/fever/poor appetite, women's irregular menstruation, chest/diaphragm discomfort, and hypochondriac/abdominal fullness/pain.
Ingredients: Danggui, Chuanxiong, Chaihu, Baizhu, Shaoyao (each 1 qian), Zhizi (fried, 1.2 qian), Mudanpi, Fuling (each 0.8 qian), Manjingzi, Gancao (each 0.5 qian).
Preparation: Decoct in water and take orally.
Modifications: For Liver qi imbalance with chills/fever, add Digupi. For excess Liver qi, add Chaihu, Huangqin. For qi/blood deficiency, add Renshen, [missing], Danggui, Dihuang. For Spleen deficiency with poor appetite, add Fuling, Baizhu. For Spleen deficiency with chest discomfort, add Renshen, [missing]. For phlegm stagnation in chest, add Baizhu, Banxia. For unsmooth Liver qi with chest discomfort, lower abdominal fullness, or attacking pain, add Qingpi. For insufficient Liver blood with chest discomfort or lower abdominal fullness/pain, add Shudihuang. For Liver blood deficiency-cold with occasional lower abdominal pain, add Rougui. For afternoon fever, add Danggui, Dihuang.
Zhizi Qinggan San (also known as Chaihu Zhizi San) treats Sanjiao and Foot-Shaoyang meridian wind-heat, ear itching/sores/discharge/pain, chest/breast pain, or alternating chills and fever.
Ingredients: Chaihu, Zhizi (fried), Mudanpi (each 1 qian), Fuling, Chuanxiong, Shaoyao, Danggui, Niubangzi (fried, each 0.7 qian), Gancao (0.5 qian).
Preparation: Decoct in water and take orally. For Taiyang headache, add Qianghuo.
Jiawei Dihuang Wan treats Liver-Kidney yin deficiency sores, ear itching/pain/discharge, blurred vision, phlegm, asthma/cough, thirst/fever, and red/scanty urination.
Ingredients: Dry Shanyao, Shanzhuyu, Mudanpi, Zexie, Bai Fuling, Shudihuang, Chaihu, Wuweizi (each ground separately, equal parts).
Preparation: Crush the two types of Dihuang, moisten with wine, pound into paste, mix with the powders, add refined honey to make pills the size of paulownia seeds. Take 100 pills per dose with plain warm water on an empty stomach. If ineffective, use Jiawei Bawei Wan.