典藏书目

Patient Pang: Dysentery has not yet resolved; the pulse is wiry and rapid, qi mechanism is disharmonious, tongue coating is thick yellow and slippery, with tidal fever. Tentatively suitable to clear summerheat and harmonize the middle jiao. (August 14th, Lunar Calendar: Year of Wushen, 3rd day of the 3rd month.)

Prescription: Jiaoliuqu (Scorched Medicated Leaven) (4 qian), Qinghaozi (Artemisiae Annuae Fructus) (1.5 qian), Dafupi (Arecae Pericarpium) (3 qian), Huoxianggeng (Agastaches Rhizoma et Radix) (2 qian), Liuyisan (Six-to-One Powder) (3 qian), Biandouyi (Dolichoris Semen Testa) (3 qian), Shengtoucao (Perillae Folium) (2 qian), Tongcao (Tetrapanacis Medulla) (1.5 qian), Chuanpu (Magnoliae Officinalis Cortex) (1 qian), Chao Maiya (Fomentari Fructus Germinatus) (3 qian), Xian Banxia (Pinelliae Rhizoma Praeparatum) (1.5 qian).
Decoct in water, three doses.

Commentary by Shao Jie: Summerheat-damp dysentery arises from damp-heat stagnating in the intestines and stomach, often presenting with afternoon tidal fever. Treatment with clearing summerheat and leaching out dampness is most appropriate.

Patient Ma: Chronic intestinal wind disease, pulse is wiry, tongue coating is slippery, dizziness accompanied by pain. Suitable to treat with Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction). (February 12th.)

Prescription: Chao Chuanlian (Stir-fried Coptidis Rhizoma) (8 fen), Chao Baishao (Stir-fried Paeoniae Radix Alba) (1.5 qian), Baitouweng (Pulsatillae Radix) (1.5 qian), Bei Qinpi (Fraxini Cortex) (1.5 qian), Chi Fuling (Poria with Red Hostwood) (4 qian), Zhiqiao (Aurantii Fructus) (1.5 qian), Qingmuxiang (Illicijii Fructus Aromaticus) (8 fen), Caojueming (Semen Cassiae, i.e., Qiangxiangzi) (3 qian), Chao Lujiao (Stir-fried Asini Corii Colla) (1.5 qian), Jingjie Tan (Carbized Schizonepetae Spica) (1.5 qian), Tongcai (Tetrapanacis Medulla) (1.5 qian, as guide herb), Heluye (Nelumbinis Folium) one corner.
One dose.

Commentary by Shao Jie: What ancient texts refer to as "intestinal wind with blood discharge" corresponds to what is now called red dysentery. Here, heat enters the Jueyin meridian causing dysentery, and Liver Yang floats upward causing dizziness. Treatment employs a combination of Huanglian Ejiao Tang and Baitouweng Tang to clear Liver heat and nourish Yin.

Certain patient: Resting dysentery, pulse is wiry and soggy, dorsum of foot is swollen, epigastric stuffiness. This indicates damp-heat accumulation and storage; suitable to harmonize the middle and clear/drain damp-heat. (March 17th.)

Prescription: Qinjiao (Gentianae Radix) (1.5 qian), Huogeng (Zingiberis Rhizoma Recens) (2 qian), Chao Zhiqiao (Stir-fried Aurantii Fructus) (1.5 qian), Zhuling (Polyporus) (1.5 qian), Nongpu (Magnoliae Officinalis Cortex) (1 qian), Yuanshishi (Raw Talcum) (4 qian), Qingmuxiang (Illicijii Fructus Aromaticus) (7 fen), Zexie (Alismatis Rhizoma) (3 qian), Dafupi (Arecae Pericarpium) (3 qian), Dongguapi (Benincasae Exocarpium) (3 qian), Xinhuiqi (Citri Reticulatae Pericarpium) (1.5 qian).
Decoct in water, three doses.

Follow-up: Resting dysentery, defecation is unsatisfactory, pulse is choppy and stagnant, stomach qi is dull/stagnant, damp-heat still remains, tongue coating is slightly white. Suitable to harmonize the middle and clear/drain damp-heat. (March 20th.)

Prescription: Huogeng (Zingiberis Rhizoma Recens) (2 qian), Zuojin Wan (Left Metal Pill) (8 fen), Chuanlianzi (Toosendan Fructus) (3 qian), Dafupi (Arecae Pericarpium) (3 qian), Shishi (Talcum) (4 qian), Chao Zhiqiao (Stir-fried Aurantii Fructus) (1.5 qian), Chi Ling (Poria with Red Hostwood) (3 qian), Shilianzi (Nelumbinis Nuciferae Semen) (3 qian), Nongpu (Magnoliae Officinalis Cortex) (1 qian), Guangmuxiang (Aucklandiae Radix) (7 fen), Xinhuiqi (Citri Reticulatae Pericarpium) (1.5 qian).
Decoct in water, three doses.

Commentary by Shao Jie: Resting dysentery often results from patients overindulging in greasy foods, or from physicians administering yin-nourishing herbs too early, causing damp-heat to linger and remain stagnant. In this case, long-standing damp-heat accumulation has damaged the Middle Qi of the Spleen. Once Middle Qi is injured, the Spleen cannot transport fluids for the Stomach; fluid stagnation prevents downward moistening of the Large Intestine, hence the unsatisfactory defecation. The initial prescription was modified from Huopo Weiling Tang (Agastache and Magnolia Bark and Poria Decoction); the second visit incorporated methods to soothe the Liver and harmonize the Stomach. Subsequently, Qi-tonifying herbs should be included to achieve rapid and effective results (like a drumstick striking a drum).