此患者，亦采用柴胡、川穹、通调左侧肝经以助左侧正运机能；用党参、甘草、大枣等甘味益气药以补充右侧脾经有助右侧的正运机能；用黄芩、半下、生姜之苦辛味以平息胆经逆上犯胃经之邪；以鲜车前草清利小便。经服药四剂诸症消退而又增口渴，故减去黄芩、半下之苦燥药及川穹，改换麦冬、苡仁、沙参等药，以沙参代党参补脾肺益肺阴，以麦冬、苡仁代半下、黄芩而降逆益生津。这虽然调换成为运化生津的药物性质，但对于左、右侧脏腑阴阳之和解法的调治功能、依然未变改“小柴胡汤”方的运用机理。
得见前人论“小柴胡汤”义：言以“柴胡”为君药以疏少阳胆经之邪。按这种论点与我的治疗观点相矛盾。根据现代医学解剖认识：胆管的开口在于胃下十二指肠处，正常人的胆汁输出十二指肠后，即会下行于小肠与大肠之间以帮助消化(因胆汁味苦而苦主下降原故、所以正常人不会有口苦)、如果因外感其病邪传到足少阳胆经时，可能产生心烦、呕吐、日苦等症，认为乃胆汁逆行于胃而上冲所致。
根据两“人迎”的脉象，是寸部胜于尺部，由此证明胆经反运行有上盛之势，但与胆经相配合运动的肝经，却易导致反运，因而在正运行时受限，故左寸口的动脉正运时不能达到“寸部位”。因此，认为小柴胡汤中的“柴胡”、为疏通肝经之药。因为其胆经脉已有上盛之势，如果用柴胡再去升举胆经、岂不是升上加升盛上更盛吗？故认为黄芩、半夏、生姜等药人胃腑降逆止吐、而胆逆上冲之势即随之下降而平息。因此，贫道认为：
“小柴胡汤方”乃是调治左、右升阴降阳的和解表里之方，实为治疗病邪传到半表半里之间，而正气又虚的圣法。以上分析，是笔者个人对“小柴胡汤”的运用及认识，是否正确、有待科学研究证实。
(二)例二
蔡XX，女，44岁，于1996年4月16日诊。
病者患流行性感冒、经用西药医治10天未愈。继后则出现头昏目眩、心慌短气、多汗、欲吐不能吐、不思饮食、精神疲乏、小便短少色黄、舌质红赤无苔等症。
脉候：诊得左人迎动脉现沉象；右人迎动脉现浮象；左脉口关、寸二部的动脉浮散而尺部的脉波比寸、关部窄小；右脉口的寸部少脉而关、尺二部脉沉。脉搏微数、均显二倍的脉波。并呈现有“促代”脉象，或是十几动一促代、或二十几动一促代。细察“促代”的原因、而每次都是当左寸口动脉在反运动时产生促代；当右寸口动脉在正运动时而产生促代。结合症、脉诊断为左侧面肝肾阳虚不能摄阳所导致上盛下虚、使肝风内动上升而生浮火于心，故友寸口动脉在反运之时、其反运的能量不足所产生“促代”脉象，所以病证表现。头昏目眩、心慌多汗。再由于右侧的脾土衰无能化生肺金即形成中虚不能续接肺气、故右脉口在正运之时其正运的能量不足所产生“促代”脉象，所以出现短气呼吸难续、不思饮食、欲吐难吐及精神疲乏等症状。处方：白芍20克，生地24克，山萸肉15克，茯神15克，石决明30克，沙参25克，白术17克，山药15克，知母15克，炒桅子12克，甘草9克。每日煎一剂，服三次。经服用上方五剂病愈。
体会：此患者、为左侧面正运太过；右侧面正运不及所形成的疾病。凡是出现代脉、促脉、结脉等歇止脉象，多因于精、神、气、血亏损运行失常态，故动脉当至不至而间歇。此病例：根据她左、右侧的脉象差异立法、调治左右两侧的气血运动使之运行平和。
方解：用生地、白芍、山萸肉以滋养收敛左侧的肝、肾之阴，佐以获神、安镇心神，石决明、潜左侧浮阳，使左侧面增加反运下达的机能运转。用山药、白术、沙参等补中益气药品，补充右侧脾土以生肺金之气、即能补助右侧正运上升的机能运行。用知母止汗，栀子清理浮阳，甘草调和诸药。此方调治的药物功能：是反运行左侧而正运行右侧，共服用五剂、患者的症、脉均转化正常而全愈。
(三)例三
张XX。男。6岁。江陵人。于1986年3月15日就诊。
症状：家长叙述患儿近三月以来常发低烧，体温在38℃左右之间。伴有口渴喜饮，时而汗出，大便干、小便黄量少。患病期间常注射“青霉素纳”，体温只能下降一会、继续又发低烧而长久不愈。
脉候：左、右寸口与左、右人迎的脉象、均呈现浮缓略数；望诊：鼻干无阻塞、不流清涕；触诊：腿凉足心热，后颈下背部有汗。综合以上各症状诊断为：不属于外邪感染所引起的发热，而属下焦阴虚发热。由于阴虚内热生则虚火上浮、故脉浮数汗出，阴虚则缺乏津液、故口渴小便少。经云：“血少则便难”故阴血亏虚则大便干。按各种症状全属阴液亏虚所致。从钱氏“育阴退热”经验，用“六味地黄汤壮水以制阳光”。
处方：生地16克，山萸肉10克，怀山药10克，伏苓8克，丹皮8克，泽泻6克。用药五剂，两天服一剂，一日服三次。服完药后，患儿的祖父告知：“经服三剂药热退；五剂药服完诸症悉除而愈”。
体会：小儿持久发热、应辨别外感发热或阴虚发热。感染外邪发热、脉象本浮，但易发高烧，并伴有头痛、身痛、鼻塞、或流清涕，或咽喉疼痛及咳嗽等症，邪甚者、可导致昏迷惊厥。但小儿阴虚发热、脉象亦浮，只发低烧，常伴有自汗盗汗、舌干口渴、虚火上炎、小便黄少等阳虚内热的现象。由于阳虚发热或外感发热其动脉皆能显出浮象，故不论诊得浮脉、沉脉皆要结合患儿的症状而作出诊断，因外邪深入亦现沉脉、但伴有表证。如属下焦阴虚发热为虚火上越，虚火上越阳胜者、不能用苦寒药泻阳，宜用补阴药以制阳，使虚浮之火下降而归藏于肾才能达到水、火相济阴平阳秘而愈。
(四)例四
彭XX。男。69岁。住武当山紫霄村。于1996年2月6日就诊。
症状：患者近半月以来胃脘常有微痛兼胀满，食后痛增。触诊：按压上、中脘部痛增。三至四天排一次大使，便体干燥。舌苔黄燥，口干喜凉饮。
脉候诊得左、右寸口脉现沉象，尺部的脉搏比寸部力强，但右尺部要比左尺部的脉胜。诊察左、右人迎动脉浮、沉两候皆大而有力，均显有三倍宽度的脉波。证属胃肠燥实证。
处方：枳实12克，厚朴18克，蒌仁13克，麻仁12克，薤白10克，滑石18克。
三天后走访：患者经服上方二剂，胃脘部疼痛胀满减退，二日行一次大便已不干燥。复察左、右的阴、阳动脉都有缓解。
1996年2月18日复诊：患者服药病退数日、未继续服药治疗，2月18日又复发胃脘胀满兼有腹疼，按压中脘痛增牵连脐下两旁，已五天未有大便时而出现阵发性发热心烦，舌见灰黄干燥。
诊察左、右寸口与人迎的动脉、亦类似上次的阴、阳差异现状，但脉波的博力较以前更甚。脉、症显象俱实，确诊手、足阳明经胃、肠道为实邪结聚，采用“大承气汤”治疗。
处方：制大黄15克，枳实14克，厚朴25克，芒硝10克。水煎服。一剂药服完，排泻了三次大便。患者的症状消除。复察患者寸口、人迎的四处动脉，已转变为阴、阳平衡，随访二月病未再发。
体会：“大承气易”主治阳明腑实证，非症、脉俱实。不可轻投。仲景医圣云：“欲行大承气，先与小承气，若腹中转矢气者，有燥屎也，可以大承气攻之。”按此病例：先投润燥通调法虽然在当时生效病证减轻，但数日以后其燥实病证比以前更甚，故采用“大承气场”以攻除实邪。方中的厚朴、枳实以消除胃肠道的痞满；大黄以清除胃肠道的结聚；芒硝以理胃肠道的燥坚。四药共同起着通泻胃肠道的积聚闭塞使燥热去津液得以保全。
前贤谓：“通可去滞，泻可去闭，使塞者利、闭者通而正气得舒，故日承气”。治疗疾病，应着重于求本。五脏为本，六腑为标。故调治疾病的方药，应以本为主、以标为次。有时标、本兼治，有时专于调本，有时专于治标，各适其所宜。所谓：“缓者治其本，急者治其标”。
此病例由于胃肠道充实阻闭、而使周身的阴、阳气机运行失调。经日：“胃为五脏六腑之海”，说明是人体的生化之源。故当消除胃肠道的闭塞症状，以利周身十二经脉的正、负运行机能。
按“大承气汤”乃主治阳明经胃肠道的治标之方，是强有下降通泻功能的药方，此患者经服此方使胃肠道通利病愈。但值得注意的是：患者未经服药之前、左、右寸口的两尺部是沉而有力脉象。经服药以后、其右、右两寸口之尺部的沉而有力脉象、已转变成寸、关、尺三部脉波平等。由此可以证明，使阳面下降的药物、能够升举阴面；使阴面下降的药物、能够升举阳面。具有提升左侧之阴面的药物，即有降右侧的阴经之功；具有提升右侧之阴面的药物，就有降左侧的阴经之力。故贫道认为：左、右、阴、阳经脉的运动确是相互转化联系的。
(五)例五
饶××，男，49岁，系湖北省咸宁地委会成员。因前额两旁“太阳穴和头维穴”处患头痛已十年有余。长年以来通过中、西医采用各种方法治疗未愈。经人介绍干1994年4月27日前来武当山道教诊所治疗。
症状：患者每月皆发头痛数次，如饮酒或厚味饮食时更易导致头痛。日常痰多，头脑昏闷不清。发病期更甚，并伴有后项牵制不灵活。舌大苔微黄滑腻，舌边有齿痕。
脉候：左寸口的关、尺脉紧寸部涩象，右寸口的关尺二部脉象比“左寸口”的关、尺脉缓和，其右寸部衰微少脉。左、右人迎动脉，皆是寸部脉大于尺部脉。
综合脉候分析：左侧面肝木生心火的阴经之气及血脉、为寒气滞导致郁塞不畅；右侧面脾土却化生肺气不足。
由于左、右两侧之三阴经气在正运动时不足受限，在反运动时却通畅无阻，故而导致足三阳经的反运动上溢过甚、产生痰火而引起两侧头痛与后项不灵。
病者由远道而来治病，又没有时间停留，暂时处方用“中药”七剂归家服药。并嘱咐患者将原处方带回，如服药后有效、当继续服药。处方：川芎15克、柴胡15克、党参18克、白术9克、桔梗10克、防风7克、茯苓24克、陈皮10克、制南星10克、前胡15克、法半夏13克、枳壳9克、黄芩15克、生姜15克用温开水泡汁、服药时冲入药内同服。每一剂药分三次服完，每日早、晚服药。
方解：用川芎、柴胡为君药疏理左侧的阴经，而使左侧阴经的正运之力能伸能达。用党参、白术、桔梗为臣药以补助右侧的阴经，以促进右侧阴经之正运行的能量充足。用“二陈汤”及南星、前胡、枳壳以化久年的结痰；兼黄芩一味苦寒药以清降阳经上盛之热为反佐，并可协助化痰降逆而使“足三阳经”正运之机能下达。用防风、川芎以至病所为使以治头痛。
1995年10月份，饶同志介绍一位患“慢性结肠炎”的患者前来我处治病，并随带来了一封感谢信说：经过服用上方二十余剂，其头痛病愈。至今一年半时间未再复发。
贫道认为：利用“十二经脉”的道理治病处方，就需要遵循左、右、阴、阳四方脉象的盛、衰调剂，使低者能以举之、高者能以抑之，从而促进左右阴阳达到平衡，故在处方用意上必须有调正整体的用药组方，才易于获得良效。
(六)例六
付XX，女，42岁，北闸公社五星大队，干1968年12月19日初诊。
其家属叙述病因：患者由于孩儿丧亡而常持悲哀，在悲伤过度之时，由幻觉发现床上有“蚂蚁”游走成群。继后发现有一个“女鬼”日夜都跟随着她。另外症状：有精神不振，食量减少，小便颇多。经多方医治无效后，又认为是鬼妖作怪缠身，多次请巫医送鬼驱邪、亦不能消除患者的幻觉现象。
经人介绍清我治疗，见病人的体质发达，面色沉滞有恐惧感，形体畏寒悚然，舌质淡苔白滑。问诊时答言较少。
脉候：诊得右侧面寸口的寸部与人迎的“寸部”皆衰微少脉、而关、尺两部的动脉沉小而迟，但阴、阳两处的尺部脉波宽于关寸，可证右侧面阴动脉、皆上升不足。左寸口动脉、在正运时寸部涩而少脉；反运时尺部位沉迟脉象明显。左人迎动脉、在正运时尺部少脉；反运时寸部位浮迟脉明显。唯有左人迎“寸部”呈显二倍宽度的脉波。
分析脉、症病因：患者由于悲伤太过致肺气受伤，经言：“悲伤肺”，故肺气损伤则气衰，肺主皮毛、故导致外表皮毛的“外卫之气”不充。据右人迎的寸部也少脉、可证阳经主表的“足太阳经气”之外卫亦衰。肺金位于西方、应在右侧，故病人肺气损伤则右侧的阴、阳脉象皆趋向衰弱。按左侧面寸口的“寸部”在正运时涩而少脉，乃是气虚血滞而血液不能流畅所致，但左侧面之阴、阳动脉的运动状况、主要表现在“正运衰于反运”。综合左右阴阳的脉象，其四处的寸部动脉显象、就有“三处”衰弱不足、而只有左人迎“寸部”一处不弱，按阴、阳寸部之脉主上、主表，即确诊上升的能量不足、故外表的阳气多虚，特别是右侧面的阳气更虚。经言：“脱阳者见鬼，脱阴者目盲”。据此诊断病者的幻觉幻见、实乃阴气盛阳气衰所致。治宜充实表阳之气并调正左、右、阴、阳的机能运动。
这位患者同样采用柴胡、川芎来疏通并调理左侧肝经，以辅助左侧的正向运行机能；使用党参、甘草、大枣等甘味益气药物来补充右侧脾经，以协助右侧的正向运行机能；使用黄芩、半夏、生姜的苦辛味道来平息胆经逆上侵犯胃经的邪气；用鲜车前草清热利湿通小便。服药四剂后诸症消退但出现口渴，因此减去黄芩、半夏的苦燥药及川芎，改换麦冬、薏苡仁、沙参等药物，用沙参代替党参以补益脾肺之阴，用麦冬、薏苡仁代替半夏、黄芩以降逆并滋生津液。这虽然将药物性质调整为运化生津，但对于左、右两侧脏腑阴阳和解法的调治功能，依然未改变“小柴胡汤”方的运用机理。
读到前人论述“小柴胡汤”的含义：说以“柴胡”为君药以疏解少阳胆经的邪气。按照这种论点与我的治疗观点相矛盾。根据现代医学解剖认识：胆管的开口位于胃下方的十二指肠处，正常人的胆汁排入十二指肠后，即会下行于小肠与大肠之间以帮助消化（因为胆汁味苦而苦主下降的缘故，所以正常人不会有口苦）；如果因外感病邪传到足少阳胆经时，可能产生心烦、呕吐、口苦等症状，认为乃是胆汁逆行于胃而上冲所致。
根据左右“人迎穴”处的脉象，是寸部脉胜于尺部脉，由此证明胆经反方向运行有上盛的趋势，但与胆经相配合运动的肝经，却容易导致反方向运行受限，因而在正向运行时受到限制，故左侧寸口动脉在正向运行时不能达到“寸部位置”。因此，认为小柴胡汤中的“柴胡”，是疏通肝经的药物。因为其胆经脉已有上盛之势，如果用柴胡再去升举胆经，岂不是升上加升，使上盛更盛吗？故认为黄芩、半夏、生姜等药入胃腑降逆止吐，而胆经逆上冲之势即随之下降而平息。因此，贫道认为：
“小柴胡汤方”乃是调治左、右升阴降阳的和解表里之方，实为治疗病邪传到半表半里之间，而正气又虚的圣法。以上分析，是笔者个人对“小柴胡汤”的运用及认识，是否正确，有待科学研究证实。
(二) 病例二
蔡XX，女，44岁，于1996年4月16日就诊。
患者患流行性感冒，经用西药医治10天未愈。随后则出现头昏目眩、心慌短气、多汗、想吐却吐不出来、不思饮食、精神疲乏、小便短少色黄、舌质红赤无苔等症状。
脉候：诊得左侧人迎动脉呈现沉象；右侧人迎动脉呈现浮象；左侧脉口关、寸二部的动脉浮散而尺部的脉波比寸、关部窄小；右侧脉口的寸部脉少而关、尺二部脉沉。脉搏微数，均显现两倍的脉波。并呈现有“促代”脉象，或是十几动出现一次促代，或二十几动出现一次促代。细察“促代”的原因，每次都是当左侧寸口动脉在反方向运动时产生促代；当右侧寸口动脉在正向运动时产生促代。结合症状、脉象诊断为左侧面肝肾阳虚不能摄纳阳气所导致上盛下虚，使肝风内动上升而生浮火于心，故左侧寸口动脉在反方向运行时，其反方向的能量不足所产生的“促代”脉象，从而表现出头昏目眩、心慌多汗的病证。再由于右侧的脾土衰弱无能化生肺金，即形成中焦虚弱不能接续肺气，故右侧脉口在正向运行时其正向的能量不足所产生的“促代”脉象，所以出现短气呼吸难续、不思饮食、想吐难吐及精神疲乏等症状。处方：白芍20克，生地24克，山萸肉15克，茯神15克，石决明30克，沙参25克，白术17克，山药15克，知母15克，炒栀子12克，甘草9克。每日煎一剂，分三次服用。经服用上方五剂病愈。
体会：此患者，是由于左侧面正向运行太过；右侧面正向运行不及所形成的疾病。凡是出现代脉、促脉、结脉等歇止脉象，多因精、神、气、血亏损运行失常态，故动脉当至不至而出现间歇。此病例：根据她左、右侧的脉象差异立法，调治左右两侧的气血运动使之运行平和。
方解：用地黄、白芍、山萸肉以滋养收敛左侧的肝、肾之阴，佐以茯神安镇心神，石决明清潜左侧浮阳，使左侧面增加反方向运行下达的机能运转。用山药、白术、沙参等补中益气药品，补充右侧脾土以生肺金之气，即能补助右侧正向运行上升的机能运行。用知母止汗，栀子清理浮阳，甘草调和诸药。此方调治的药物功能：是反方向运行左侧而正向运行右侧，共服用五剂，患者的症状、脉象均转化正常而痊愈。
(三) 病例三
张XX，男，6岁，江陵人。于1986年3月15日就诊。
症状：家长叙述患儿近三月以来常发低烧，体温在38℃左右之间。伴有口渴喜饮，时而汗出，大便干、小便黄量少。患病期间常注射“青霉素钠”，体温只能下降一会，继续又发低烧而长久不愈。
脉候：左、右寸口与左、右人迎的脉象，均呈现浮缓略数；望诊：鼻干无阻塞、不流清涕；触诊：腿凉足心热，后颈下背部有汗。综合以上各症状诊断为：不属于外邪感染所引起的发热，而属下焦阴虚发热。由于阴虚内热生则虚火上浮，故脉浮数汗出，阴虚则缺乏津液，故口渴小便少。《内经》云：“血少则便难”，故阴血亏虚则大便干。按各种症状全属阴液亏虚所致。从钱氏“育阴退热”经验，用“六味地黄汤壮水以制阳光”。
处方：生地16克，山萸肉10克，怀山药10克，茯苓8克，丹皮8克，泽泻6克。用药五剂，两天服一剂，一日服三次。服完药后，患儿的祖父告知：“经服三剂药热退；五剂药服完诸症悉除而愈”。
体会：小儿持久发热，应辨别外感发热或阴虚发热。感染外邪发热，脉象本浮，但易发高烧，并伴有头痛、身痛、鼻塞、或流清涕，或咽喉疼痛及咳嗽等症，邪甚者，可导致昏迷惊厥。但小儿阴虚发热，脉象亦浮，只发低烧，常伴有自汗盗汗、舌干口渴、虚火上炎、小便黄少等阳虚内热的现象。由于阳虚发热或外感发热其动脉皆能显出浮象，故不论诊得浮脉、沉脉皆要结合患儿的症状而作出诊断，因外邪深入亦现沉脉，但伴有表证。如属下焦阴虚发热为虚火上越，虚火上越阳胜者，不能用苦寒药泻阳，宜用补阴药以制阳，使虚浮之火下降而归藏于肾才能达到水、火相济阴平阳秘而愈。
(四) 病例四
彭XX，男，69岁，住武当山紫霄村。于1996年2月6日就诊。
症状：患者近半月以来胃脘常有微痛兼胀满，食后痛增。触诊：按压上、中脘部痛增。三至四天排一次大便，便体干燥。舌苔黄燥，口干喜凉饮。
脉候：诊得左、右寸口脉呈现沉象，尺部的脉搏比寸部力强，但右尺部要比左尺部的脉胜。诊察左、右人迎动脉浮、沉两候皆大而有力，均显现有三倍宽度的脉波。证属胃肠燥实证。
处方：枳实12克，厚朴18克，瓜蒌仁13克，麻仁12克，薤白10克，滑石18克。
三天后走访：患者经服上方二剂，胃脘部疼痛胀满减退，二日行一次大便已不干燥。复察左、右的阴、阳动脉都有缓解。
1996年2月18日复诊：患者服药病退数日，未继续服药治疗，2月18日又复发胃脘胀满兼有腹疼，按压中脘痛增牵连脐下两旁，已五天未有大便时而出现阵发性发热心烦，舌见灰黄干燥。
诊察左、右寸口与人迎的动脉，亦类似上次的阴、阳差异现状，但脉波的搏力较以前更甚。脉、症显象俱实，确诊手、足阳明经胃、肠道为实邪结聚，采用“大承气汤”治疗。
处方：制大黄15克，枳实14克，厚朴25克，芒硝10克。水煎服。一剂药服完，排泻了三次大便。患者的症状消除。复察患者寸口、人迎的四处动脉，已转变为阴、阳平衡，随访二月病未再发。
体会：“大承气汤”主治阳明腑实证，非症、脉俱实，不可轻投。仲景医圣云：“欲行大承气，先与小承气，若腹中转矢气者，有燥屎也，可以大承气攻之。”按此病例：先投润燥通调法虽然在当时生效病证减轻，但数日以后其燥实病证比以前更甚，故采用“大承气汤”以攻除实邪。方中的厚朴、枳实以消除胃肠道的痞满；大黄以清除胃肠道的结聚；芒硝以理胃肠道的燥坚。四药共同起着通泻胃肠道的积聚闭塞使燥热去津液得以保全。
前贤谓：“通可去滞，泻可去闭，使塞者利、闭者通而正气得舒，故曰承气”。治疗疾病，应着重于求本。五脏为本，六腑为标。故调治疾病的方药，应以本为主、以标为次。有时标、本兼治，有时专于调本，有时专于治标，各适其所宜。所谓：“缓者治其本，急者治其标”。
此病例由于胃肠道充实阻闭，而使周身的阴、阳气机运行失调。经云：“胃为五脏六腑之海”，说明是人体的生化之源。故当消除胃肠道的闭塞症状，以利周身十二经脉的正、负运行机能。
按“大承气汤”乃主治阳明经胃肠道的治标之方，是强有下降通泻功能的药方，此患者经服此方使胃肠道通利病愈。但值得注意的是：患者未经服药之前，左、右寸口的两尺部是沉而有力脉象。经服药以后，其左、右两寸口之尺部的沉而有力脉象，已转变成寸、关、尺三部脉波平等。由此可以证明，使阳面下降的药物，能够升举阴面；使阴面下降的药物，能够升举阳面。具有提升左侧之阴面的药物，即有降右侧的阴经之功；具有提升右侧之阴面的药物，就有降左侧的阴经之力。故贫道认为：左、右、阴、阳经脉的运动确是相互转化联系的。
(五) 病例五
饶××，男，49岁，系湖北省咸宁地委会成员。因前额两旁“太阳穴和头维穴”处患头痛已十年有余。长年以来通过中、西医采用各种方法治疗未愈。经人介绍于1994年4月27日前来武当山道教诊所治疗。
症状：患者每月皆发头痛数次，如饮酒或厚味饮食时更易导致头痛。日常痰多，头脑昏闷不清。发病期更甚，并伴有后项牵制不灵活。舌大苔微黄滑腻，舌边有齿痕。
脉候：左寸口的关、尺脉紧寸部涩象，右寸口的关尺二部脉象比“左寸口”的关、尺脉缓和，其右寸部衰微少脉。左、右人迎动脉，皆是寸部脉大于尺部脉。
综合脉候分析：左侧面肝木生心火的阴经之气及血脉，为寒气滞导致郁塞不畅；右侧面脾土却化生肺气不足。
由于左、右两侧之三阴经气在正向运行时不足受限，在反方向运行时却通畅无阻，故而导致足三阳经的反方向运行上溢过甚，产生痰火而引起两侧头痛与后项不灵。
病者由远道而来治病，又没有时间停留，暂时处方用“中药”七剂归家服药。并嘱咐患者将原处方带回，如服药后有效，当继续服药。处方：川芎15克、柴胡15克、党参18克、白术9克、桔梗10克、防风7克、茯苓24克、陈皮10克、制南星10克、前胡15克、法半夏13克、枳壳9克、黄芩15克、生姜15克用温开水泡汁、服药时冲入药内同服。每一剂药分三次服完，每日早、晚服药。
方解：用川芎、柴胡为君药疏理左侧的阴经，而使左侧阴经的正向运行之力能伸能达。用党参、白术、桔梗为臣药以补助右侧的阴经，以促进右侧阴经之正向运行的能量充足。用“二陈汤”及南星、前胡、枳壳以化久年的结痰；兼黄芩一味苦寒药以清降阳经上盛之热为反佐，并可协助化痰降逆而使“足三阳经”正向运行的机能下达。用防风、川芎以至病所为使以治头痛。
1995年10月份，饶同志介绍一位患“慢性结肠炎”的患者前来我处治病，并随带来了一封感谢信说：经过服用上方二十余剂，其头痛病愈。至今一年半时间未再复发。
贫道认为：利用“十二经脉”的道理治病处方，就需要遵循左、右、阴、阳四方脉象的盛、衰调剂，使低者能以举之、高者能以抑之，从而促进左右阴阳达到平衡，故在处方用意上必须有调正整体的用药组方，才易于获得良效。
(六) 病例六
付XX，女，42岁，北闸公社五星大队，于1968年12月19日初诊。
其家属叙述病因：患者由于孩儿丧亡而常持悲哀，在悲伤过度之时，由幻觉发现床上有“蚂蚁”游走成群。继后发现有一个“女鬼”日夜都跟随着她。另外症状：有精神不振，食量减少，小便颇多。经多方医治无效后，又认为是鬼妖作怪缠身，多次请巫医送鬼驱邪，亦不能消除患者的幻觉现象。
经人介绍请我治疗，见病人的体质发达，面色沉滞有恐惧感，形体畏寒悚然，舌质淡苔白滑。问诊时答言较少。
脉候：诊得右侧面寸口的寸部与人迎的“寸部”皆衰微少脉，而关、尺两部的动脉沉小而迟，但阴、阳两处的尺部脉波宽于关寸，可证右侧面阴动脉，皆上升不足。左寸口动脉，在正向运行时寸部涩而少脉；反方向运行时尺部位沉迟脉象明显。左人迎动脉，在正向运行时尺部少脉；反方向运行时寸部位浮迟脉明显。唯有左人迎“寸部”呈显二倍宽度的脉波。
分析脉、症病因：患者由于悲伤太过致肺气受伤，经言：“悲伤肺”，故肺气损伤则气衰，肺主皮毛，故导致外表皮毛的“外卫之气”不充。据右人迎的寸部也少脉，可证阳经主表的“足太阳经气”之外卫亦衰。肺金位于西方，应在右侧，故病人肺气损伤则右侧的阴、阳脉象皆趋向衰弱。按左侧面寸口的“寸部”在正向运行时涩而少脉，乃是气虚血滞而血液不能流畅所致，但左侧面之阴、阳动脉的运动状况，主要表现在“正向运行衰于反方向运行”。综合左右阴阳的脉象，其四处的寸部动脉显象，就有“三处”衰弱不足，而只有左人迎“寸部”一处不弱，按阴、阳寸部之脉主上、主表，即确诊上升的能量不足，故外表的阳气多虚，特别是右侧面的阳气更虚。经言：“脱阳者见鬼，脱阴者目盲”。据此诊断病者的幻觉幻见，实乃阴气盛阳气衰所致。治宜充实表阳之气并调正左、右、阴、阳的机能运动。
This patient was also treated with Chaihu (Bupleuri Radix) and Chuanxiong (Ligustici Chuanxiong Rhizoma) to unblock and regulate the left-sided Liver Meridian of Foot-Jueyin, thereby assisting the normal forward movement function on the left side; Dangshen (Codonopsis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), and Dazao (Ziziphi Jujubae Fructus), which are sweet-flavored Qi-tonifying herbs, were used to supplement the right-sided Spleen Meridian of Foot-Taiyin, aiding the normal forward movement function on the right side; Huangqin (Scutellariae Radix), Banxia (Pinelliae Rhizoma), and Shengjiang (Zingiberis Rhizoma Recens), possessing bitter and acrid flavors, were employed to quell the pathogenic factor of the Gallbladder Meridian of Foot-Shaoyang reversing upwards and invading the Stomach Meridian of Foot-Yangming; fresh Cheqiancao (Plantaginis Herba) was used to clear heat and promote urination. After taking four doses, all symptoms subsided but thirst increased; therefore, the bitter-dry herbs Huangqin and Banxia, along with Chuanxiong, were removed and replaced with Maidong (Ophiopogonis Radix), Yiren (Coicis Semen), and Shashen (Glehniae Radix). Shashen replaced Dangshen to tonify the Yin of the Spleen and Lung; Maidong and Yiren replaced Banxia and Huangqin to direct rebellious Qi downward and generate body fluids. Although the nature of the medication was adjusted to transform and generate fluids, the therapeutic function of harmonizing Yin and Yang between the left and right organs remained unchanged, preserving the underlying mechanism of Xiao Chai Hu Tang (Minor Bupleurum Decoction).
Regarding previous discussions on the meaning of Xiao Chai Hu Tang: it is stated that Chaihu serves as the sovereign drug to dissipate pathogenic factors from the Shaoyang Gallbladder Meridian. This viewpoint contradicts my own treatment perspective. According to modern anatomical understanding: the opening of the bile duct is located at the duodenum below the stomach. In healthy individuals, after bile enters the duodenum, it flows down between the small and large intestines to aid digestion (since bile is bitter and bitterness tends to descend, healthy people do not experience a bitter taste in the mouth); however, when external pathogenic factors transmit to the Foot-Shaoyang Gallbladder Meridian, symptoms such as irritability, vomiting, and bitter taste may arise, attributed to bile refluxing into the stomach and rushing upward.
Based on the pulse conditions at the Renying (ST9) points on both sides, the Cun (inch) position pulse is stronger than the Chi (cubit) position pulse, proving that the reverse movement of the Gallbladder Meridian has an excess trend upwards. However, the Liver Meridian, which moves in coordination with the Gallbladder Meridian, tends to be restricted in its reverse movement, thus limiting its normal forward movement. Consequently, the arterial pulse at the left Cun Kou (Cunkou) cannot reach the "Cun position" during normal forward movement. Therefore, it is considered that Chaihu in Xiao Chai Hu Tang is a herb for unblocking the Liver Meridian. Since the Gallbladder Meridian already exhibits an upward excess trend, using Chaihu to further lift the Gallbladder Meridian would only increase the excess upwards. Thus, it is believed that Huangqin, Banxia, and Shengjiang enter the Stomach Fu-organ to direct rebellious Qi downward and stop vomiting, causing the upward rushing force of the Gallbladder Meridian to subside. Therefore, this Daoist priest considers:
Xiao Chai Hu Tang is a formula for harmonizing the exterior and interior, regulating the ascending of Yin and descending of Yang on the left and right sides. It is truly a supreme method for treating pathogens transmitted to the half-exterior half-interior level while the righteous Qi is deficient. The above analysis represents my personal application and understanding of Xiao Chai Hu Tang; whether correct remains to be verified by scientific research.
(II) Case Two
Cai XX, female, 44 years old, consulted on April 16, 1996.
The patient suffered from influenza, which did not resolve after ten days of Western medicine treatment. Subsequently, she developed dizziness, palpitations, shortness of breath, excessive sweating, nausea without ability to vomit, loss of appetite, mental fatigue, scanty yellow urine, and a red tongue coatingless.
Pulse diagnosis: The arterial pulse at the left Renying point appeared deep (Chen); the right Renying point appeared superficial (Fu); the pulses at the Guan and Cun positions of the left Cun Kou were floating and scattered, while the Chi position pulse wave was narrower than the Cun and Guan positions; the Cun position of the right Cun Kou had few pulses, while the Guan and Chi positions were deep. The pulse rate was slightly rapid, showing pulse waves twice the normal width. A "Cu Dai" (rapid and intermittent) pulse pattern was observed, occurring every ten-plus beats or twenty-plus beats. Upon detailed examination of the cause of the "Cu Dai" pulse, it occurred whenever the left Cun Kou artery was in reverse motion, and also whenever the right Cun Kou artery was in normal forward motion. Combining symptoms and pulse diagnosis, it was determined that deficiency of Yang in the Liver and Kidney on the left side failed to secure Yang, leading to upper excess and lower deficiency, stirring internal Liver Wind which rose to generate floating fire affecting the Heart. Thus, the insufficient energy of reverse motion at the left Cun Kou produced the "Cu Dai" pulse, manifesting as dizziness, palpitations, and sweating. Furthermore, due to the weakness of the Spleen Earth on the right failing to generate Lung Metal, resulting in middle deficiency unable to sustain Lung Qi, the insufficient energy of forward motion at the right Cun Kou produced the "Cu Dai" pulse, manifesting as shortness of breath, difficulty continuing respiration, loss of appetite, inability to vomit despite nausea, and mental fatigue. Prescription: Baishao (Paeoniae Radix Alba) 20g, Shengdi (Rehmanniae Radix) 24g, Shanzhuyu (Corni Fructus) 15g, Fushen (Poria with Hostwood) 15g, Shijueming (Concha Haliotidis) 30g, Shashen (Glehniae Radix) 25g, Baizhu (Atractylodis Macrocephalae Rhizoma) 17g, Shanyao (Dioscoreae Rhizoma) 15g, Zhimu (Anemarrhenae Rhizoma) 15g, Chao Zhizi (Gardeniae Fructus, stir-fried) 12g, Gancao (Glycyrrhizae Radix et Rhizoma) 9g. One dose decocted daily, taken three times. After five doses, the illness was cured.
Reflection: This patient's condition resulted from excessive forward movement on the left side and insufficient forward movement on the right side. Intermittent pulse patterns such as Dai (intermittent), Cu (rapid intermittent), and Jie (slow intermittent) often arise from deficiencies of Essence, Spirit, Qi, and Blood, causing irregular movement where the arterial pulse fails to arrive on time, resulting in pauses. In this case, based on the differences in left and right pulses, the treatment regulated the Qi and Blood movement on both sides to achieve harmony.
Formula Analysis: Shengdi, Baishao, and Shanzhuyu nourish and astringe the Yin of the Liver and Kidney on the left; Fushen calms and anchors the Heart Spirit; Shijueming subdues floating Yang on the left, enhancing the function of reverse movement descending on the left side. Shanyao, Baizhu, and Shashen tonify the Middle and boost Qi, supplementing Spleen Earth on the right to generate Lung Metal Qi, thereby aiding the forward movement ascending function on the right. Zhimu stops sweating; Zhizi clears floating Yang; Gancao harmonizes the various herbs. The therapeutic function of this formula is to induce reverse movement on the left and forward movement on the right. After five doses, the patient's symptoms and pulse normalized, and she recovered.
(III) Case Three
Zhang XX, male, 6 years old, from Jiangling. Consulted on March 15, 1986.
Symptoms: Parents reported the child had frequent low-grade fevers for nearly three months, with temperatures around 38°C. Accompanied by thirst with desire to drink, occasional sweating, dry stool, and scanty yellow urine. During the illness, Penicillin Sodium injections were administered frequently; temperature would drop temporarily but low-grade fever would recur, persisting for a long time.
Pulse diagnosis: Pulses at the left and right Cun Kou and left and right Renying points all appeared floating, moderate, and slightly rapid. Inspection: Dry nose without obstruction, no clear runny nose. Palpation: Cool legs, hot soles, sweat on the lower back of the neck. Synthesizing these symptoms, the diagnosis was: Fever not caused by external pathogenic infection, but due to Yin deficiency heat in the Lower Jiao. Due to Yin deficiency generating internal heat, deficient fire floats upward, hence the floating, rapid pulse and sweating; Yin deficiency leads to lack of body fluids, hence thirst and scanty urine. The Classics state: "When blood is deficient, bowel movements are difficult"; thus, deficiency of Yin and Blood causes dry stool. All symptoms are attributed to deficiency of Yin fluids. Drawing from Qian's experience of "nourishing Yin to reduce fever," Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) was used to "strengthen water to control sunlight."
Prescription: Shengdi (Rehmanniae Radix) 16g, Shanzhuyu (Corni Fructus) 10g, Huaishanyao (Dioscoreae Rhizoma) 10g, Fuling (Poria) 8g, Danpi (Moutan Cortex) 8g, Zexie (Alismatis Rhizoma) 6g. Five doses prescribed, one dose every two days, taken three times daily. After finishing the medication, the child's grandfather reported: "Fever subsided after three doses; all symptoms disappeared after completing five doses, and the child recovered."
Reflection: Persistent fever in children should be differentiated between external contraction fever and Yin deficiency fever. External contraction fever typically presents with a floating pulse, high fever, headache, body ache, nasal congestion, clear rhinorrhea, sore throat, or cough; severe cases may lead to coma and convulsions. However, pediatric Yin deficiency fever also presents with a floating pulse but only low-grade fever, often accompanied by spontaneous and night sweats, dry tongue with thirst, floating deficient fire, and scanty yellow urine. Since both Yang deficiency fever and external contraction fever can present with a floating pulse, whether the pulse is floating or deep, diagnosis must combine the child's symptoms, as deep pathogens may also present a deep pulse but accompanied by exterior signs. If it is Lower Jiao Yin deficiency fever with floating deficient fire, bitter-cold herbs should not be used to drain Yang; instead, Yin-nourishing herbs should be used to control Yang, allowing the floating fire to descend and return to the Kidney, achieving balance of Water and Fire, Yin and Yang, leading to recovery.
(IV) Case Four
Peng XX, male, 69 years old, residing in Zixiao Village, Wudang Mountain. Consulted on February 6, 1996.
Symptoms: For the past half-month, the patient experienced mild epigastric pain with fullness, worsening after eating. Palpation: Pain increased upon pressing the upper and middle abdomen. Bowel movements occurred every three to four days, with dry stools. Tongue coating was yellow and dry; mouth was dry with desire for cool drinks.
Pulse diagnosis: Pulses at the left and right Cun Kou appeared deep. The Chi position pulse was stronger than the Cun position, but the right Chi position was stronger than the left Chi position. Both floating and deep palpations of the left and right Renying arteries were large and forceful, showing pulse waves three times the normal width. The syndrome belongs to Excess-Dryness of the Stomach and Intestines.
Prescription: Zhishi (Aurantii Fructus Immaturus) 12g, Houpo (Magnoliae Officinalis Cortex) 18g, Gualouren (Trichosanthis Semen) 13g, Maren (Cannabis Semen) 12g, Xiebai (Allii Macrostemonis Bulbus) 10g, Huashi (Talcum) 18g.
Visit after three days: After taking two doses of the above prescription, epigastric pain and fullness decreased; bowel movements occurred once every two days and were no longer dry. Re-examination showed relief in both Yin and Yang arteries on the left and right.
Follow-up on February 18, 1996: The patient's illness receded for several days after medication, but treatment was not continued. On February 18, epigastric fullness recurred with abdominal pain; pain intensified upon pressing the Zhongwan point, radiating to both sides below the navel. No bowel movement for five days, accompanied by paroxysmal fever and irritability. Tongue showed gray-yellow dry coating.
Palpation of the left and right Cun Kou and Renying arteries showed similar Yin-Yang disparity as before, but the pulse wave force was more intense than previously. Both pulse and symptoms indicated excess. Diagnosis confirmed accumulation of Excess Pathogen in the Hand and Foot Yangming Stomach and Intestine Meridians. Da Cheng Qi Tang (Major Order the Qi Decoction) was adopted for treatment.
Prescription: Zhi Dahuang (Rhei Radix et Rhizoma, processed) 15g, Zhishi (Aurantii Fructus Immaturus) 14g, Houpo (Magnoliae Officinalis Cortex) 25g, Mangxiao (Natrii Sulfas) 10g. Decocted in water. After one dose, three bowel movements occurred. Patient's symptoms resolved. Re-examination of the four arterial sites at Cun Kou and Renying showed transformation into Yin-Yang balance. Follow-up for two months revealed no recurrence.
Reflection: Da Cheng Qi Tang treats Yangming Fu-organ Excess Syndrome; it should not be lightly administered unless both symptoms and pulse indicate excess. Sage Zhang Zhongjing said: "To use Da Cheng Qi Tang, first give Xiao Cheng Qi Tang. If intestinal gas passes, there is dry feces, then Da Cheng Qi Tang can be used to attack." In this case: Initially, a moistening and unblocking method was effective and symptoms alleviated, but after several days, the dry-excess condition worsened. Therefore, Da Cheng Qi Tang was used to attack the excess pathogen. Houpo and Zhishi eliminate bloating and fullness in the gastrointestinal tract; Dahuang clears accumulations; Mangxiao resolves dryness and hardness. These four herbs jointly promote the purgation of gastrointestinal stagnation and blockage, eliminating dry-heat while preserving body fluids.
Ancients stated: "Unblocking removes stagnation, purging removes closure, making blocked passages patent and closed ones open, allowing Righteous Qi to relax, hence named 'Cheng Qi' (Ordering the Qi)." Treating disease should focus on addressing the root. Zang-organs are the root; Fu-organs are the branch. Therefore, formulas for regulating disease should prioritize the root and secondary the branch. Sometimes both root and branch are treated simultaneously; sometimes only the root is regulated; sometimes only the branch is treated, each according to appropriateness. As stated: "In slow cases, treat the root; in urgent cases, treat the branch."
This case involved gastrointestinal fullness and blockage disrupting the movement of Yin and Yang Qi throughout the body. The Classics state: "The Stomach is the sea of the Five Zang and Six Fu organs," indicating it is the source of biochemical production in the human body. Therefore, eliminating gastrointestinal blockage is necessary to facilitate the positive and negative movement functions of the twelve meridians throughout the body.
Da Cheng Qi Tang is a branch-treating formula for Yangming Meridian gastrointestinal disorders, possessing strong descending and purgative functions. This patient recovered after taking this formula, which promoted gastrointestinal patency. However, it is noteworthy: Before medication, the Chi positions of the left and right Cun Kou were deep and forceful. After medication, the deep and forceful Chi positions of the left and right Cun Kou transformed into equal pulse waves across the Cun, Guan, and Chi positions. This proves that drugs causing descent of the Yang aspect can elevate the Yin aspect; drugs causing descent of the Yin aspect can elevate the Yang aspect. Drugs that elevate the Yin aspect on the left have the merit of descending the Yin Meridian on the right; drugs that elevate the Yin aspect on the right have the power of descending the Yin Meridian on the left. Therefore, this Daoist priest believes: The movement of left-right and Yin-Yang meridians is indeed mutually transformative and connected.
(V) Case Five
Rao ××, male, 49 years old, member of the Xianning Prefecture Committee, Hubei Province. Suffered from headaches at the "Taiyang and Touwei points" on both sides of the forehead for over ten years. Despite various Chinese and Western medical treatments over the years, he remained uncured. Introduced by others, he came to the Wudang Mountain Taoist Clinic for treatment on April 27, 1994.
Symptoms: The patient experienced headaches several times a month, exacerbated by alcohol consumption or rich food intake. Daily phlegm production was high, and the head felt heavy and unclear. During attacks, symptoms worsened, accompanied by stiffness and inflexibility in the posterior neck. Tongue was large with a slightly yellow, slippery, and greasy coating; teeth marks were visible on the edges.
Pulse diagnosis: At the left Cun Kou, the Guan and Chi pulses were tight, and the Cun pulse was choppy (Se). At the right Cun Kou, the Guan and Chi pulses were milder compared to the left Cun Kou's Guan and Chi, and the right Cun position was weak with few pulses. At the left and right Renying arteries, the Cun position pulse was larger than the Chi position pulse.
Comprehensive pulse analysis: On the left side, the Yin Meridian Qi and blood vessels generated by Liver Wood feeding Heart Fire were stagnant due to cold qi, leading to obstruction and poor flow; on the right side, Spleen Earth failed to adequately generate Lung Qi.
Due to insufficiency and restriction of the San Yin Meridian Qi during forward movement on both left and right sides, while reverse movement was unobstructed, this led to excessive overflow of reverse movement in the Foot-San Yang Meridians, generating Phlegm-Fire, causing bilateral headaches and posterior neck stiffness.
Since the patient traveled from afar for treatment and had no time to stay, a temporary prescription of seven doses of "Chinese Medicine" was given for home use. The patient was instructed to take the original prescription back and continue if effective. Prescription: Chuanxiong (Ligustici Chuanxiong Rhizoma) 15g, Chaihu (Bupleuri Radix) 15g, Dangshen (Codonopsis Radix) 18g, Baizhu (Atractylodis Macrocephalae Rhizoma) 9g, Jiegeng (Platycodonis Radix) 10g, Fangfeng (Saposhnikoviae Radix) 7g, Fuling (Poria) 24g, Chenpi (Citri Reticulatae Pericarpium) 10g, Zhi Nanting (Arisaematis Cum Bile Rhizoma) 10g, Qianhu (Peucedani Radix) 15g, Fa Banxia (Pinelliae Rhizoma Preparatum) 13g, Zhike (Aurantii Fructus) 9g, Huangqin (Scutellariae Radix) 15g, Shengjiang (Zingiberis Rhizoma Recens) 15g. Steeped in warm boiled water; the juice was mixed into the medicine during ingestion. Each dose was divided into three servings, taken morning and evening.
Formula Analysis: Chuanxiong and Chaihu serve as sovereign drugs to regulate the left-side Yin Meridians, enabling the strength of forward movement in the left Yin Meridians to extend and reach. Dangshen, Baizhu, and Jiegeng serve as minister drugs to assist the right-side Yin Meridians, promoting sufficient energy for forward movement in the right Yin Meridians. Er Chen Tang (Two-Aged Decoction) combined with Nanting, Qianhu, and Zhike transforms chronic phlegm accumulation; Huangqin, a bitter-cold herb, clears heat from excess Yang Meridians as a counter-agent, assisting in resolving phlegm and directing rebellious Qi downward, thereby facilitating the downward function of forward movement in the Foot-San Yang Meridians. Fangfeng and Chuanxiong act as guiding drugs to target the disease site to treat headaches.
In October 1995, Comrade Rao introduced a patient with "chronic colitis" to seek treatment here, bringing a thank-you letter stating: After taking over twenty doses of the above prescription, his headache was cured. There has been no recurrence for one and a half years.
This Daoist priest believes: Utilizing the principles of the "Twelve Meridians" for treatment and prescription requires adjusting based on the excess and deficiency of pulse images in the four directions of Left, Right, Yin, and Yang, lifting those that are low and suppressing those that are high, thereby promoting balance of left-right Yin and Yang. Therefore, the prescription intent must include a holistic regulatory formula to easily achieve good results.
(VI) Case Six
Fu XX, female, 42 years old, from Wuxing Brigade, Beizha Commune. First consulted on December 19, 1968.
Family history of etiology: The patient often held grief due to the death of her child. During periods of excessive sorrow, she hallucinated seeing groups of "ants" crawling on the bed. Subsequently, she hallucinated a "female ghost" following her day and night. Other symptoms included listlessness, reduced appetite, and polyuria. After multiple ineffective treatments, it was believed that ghosts and demons were haunting her; numerous requests for shamans to exorcise spirits failed to eliminate her hallucinations.
Introduced to me for treatment, the patient appeared physically robust, with a dull complexion and fearful expression, shivering with cold sensitivity, pale tongue with white slippery coating. She spoke little during questioning.
Pulse diagnosis: At the right side, both the Cun position of the Cun Kou and the "Cun position" of Renying were weak with few pulses, while the Guan and Chi arterial pulses were deep, small, and slow. However, the pulse waves at the Chi positions of both Yin and Yang aspects were wider than at Guan and Cun, proving that Yin arterial pulses on the right side all lacked upward sufficiency. At the left Cun Kou artery, during forward movement, the Cun position was choppy with few pulses; during reverse movement, the Chi position showed obvious deep-slow pulse characteristics. At the left Renying artery, during forward movement, the Chi position had few pulses; during reverse movement, the Cun position showed obvious floating-slow pulses. Only the "Cun position" of the left Renying displayed pulse waves with double the normal width.
Analysis of pulse and symptom etiology: The patient suffered lung Qi injury due to excessive sorrow. The Classics state: "Sorrow injures the Lung." Thus, lung Qi damage leads to Qi decline. The Lung governs skin and hair, leading to insufficient "Wei Qi" (Defensive Qi) on the exterior skin and hair. Based on the few pulses at the Cun position of the right Renying, it can be proven that the Wei Qi of the Foot-Taiyang Bladder Meridian, which governs the exterior via Yang Meridians, is also declining. Lung Metal is located in the West, corresponding to the right side; thus, lung Qi damage causes both Yin and Yang pulse images on the right side to tend toward decline. Regarding the "Cun position" of the left Cun Kou being choppy with few pulses during forward movement, this is caused by Qi deficiency and blood stasis preventing smooth blood flow. However, the movement status of Yin and Yang arteries on the left side mainly manifests as "forward movement declining relative to reverse movement." Synthesizing left-right Yin-Yang pulses, among the four Cun position arterial manifestations, three show weakness and insufficiency, while only the left Renying "Cun position" is not weak. Since Yin and Yang Cun position pulses govern the Upper and Exterior, it is confirmed that upward energy is insufficient, hence exterior Yang Qi is mostly deficient, especially on the right side. The Classics state: "Those who lose Yang see ghosts; those who lose Yin go blind." Based on this, the patient's hallucinations are actually caused by excess Yin and deficient Yang. Treatment should aim to replenish exterior Yang Qi and regulate the functional movement of Left, Right, Yin, and Yang.