IIntroduction:In 2018, the TCM Book Club completed a year-long study of the “Shang Han Lun” with bi-weekly readings. This year, we officially begin the “Jin Kui” readings, also bi-weekly, to study the “Jin Kui Yao Lue” together.
Chapter Three: The Treatment of Yin-Yang Toxic Conditions in the Case of Lily Disease
“Ling Lan: Learning TCM by Listening” Recitation by Bai Yun Chu Xiu
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Main Text:
It is said: In cases of Lily disease, all the meridians are affected, leading to the illness. The patient desires to eat but cannot, is often silent, wishes to lie down but cannot, wants to walk but cannot. Sometimes they can enjoy food, while at other times they cannot tolerate the smell of food. They may feel cold without being cold, or hot without being hot, have a bitter mouth, and red urine. No medicine can treat them; if they take medicine, they will vomit and have diarrhea. If they appear as if possessed, their body is like harmony, and their pulse is weak and rapid.
If they have a headache during urination, it will take sixty days to recover; if there is no headache during urination, it will take forty days; if they urinate quickly but feel dizzy, it will take twenty days to recover. The symptoms may appear before the illness, or after four to five days, or after twenty days or a month, depending on the symptoms for treatment.
For Lily disease, after sweating, the Bai He Zhi Mu Tang (Lily and Anemarrhena Decoction) is the main treatment.
Bai He Zhi Mu Tang Recipe:
Seven pieces of Bai He (Lily) (broken) and three taels of Zhi Mu (Anemarrhena) (sliced)
First, wash the Bai He with water and soak overnight. When the white foam appears, discard the water. Then, use two sheng of spring water to decoct until one sheng is obtained, and strain; separately decoct the Zhi Mu with two sheng of spring water until one sheng is obtained, and strain. Finally, combine and decoct again to obtain one sheng and five go, and take it warm.
For Lily disease, after purging, the Hua Shi Dai Zhe Tang (Talcs and Daizhe Decoction) is the main treatment.
Hua Shi Dai Zhe Tang Recipe:
Seven pieces of Bai He (Lily) (broken), three taels of Hua Shi (Talcs) (crushed, wrapped in cloth), and one piece of Dai Zhe Shi (Daizhe stone) the size of a bullet (crushed, wrapped in cloth)
First, wash the Bai He with water and soak overnight. When the white foam appears, discard the water. Then, use two sheng of spring water to decoct until one sheng is obtained, and strain; separately decoct the Hua Shi and Dai Zhe with two sheng of spring water until one sheng is obtained, and strain. Finally, combine and decoct again to obtain one sheng and five go, and take it warm.
For Lily disease, after vomiting, the Bai He Ji Zi Tang (Lily and Egg Yolk Decoction) is the main treatment.
Bai He Ji Zi Tang Recipe:
Seven pieces of Bai He (Lily) (broken) and one egg yolk
First, wash the Bai He with water and soak overnight. When the white foam appears, discard the water. Then, use two sheng of spring water to decoct until one sheng is obtained, and strain; add the egg yolk, stir well, and decoct for five minutes, then take it warm.
For Lily disease that has not undergone vomiting, purging, or sweating, and the condition appears as it did initially, the Bai He Di Huang Tang (Lily and Rehmannia Decoction) is the main treatment.
Bai He Di Huang Tang Recipe:
Seven pieces of Bai He (Lily) (broken) and one sheng of fresh Di Huang (Rehmannia) juice
Wash the Bai He with water and soak overnight. When the white foam appears, discard the water. Then, use two sheng of spring water to decoct until one sheng is obtained, and strain; add the Di Huang juice, decoct to obtain one sheng and five go, and take it warm. If the condition is moderate, do not take more. The stool should be like lacquer.
If Lily disease persists for a month without relief and turns into thirst, the Bai He Xi Fang (Lily Wash Decoction) is the main treatment.
Bai He Xi Fang Recipe:
One sheng of Bai He and ten dou of water, soak overnight to wash the body. After washing, eat cooked cakes without salt or fermented soybeans.
If Lily disease causes thirst without relief, the Gua Lou Mu Li San (Trichosanthes and Oyster Powder) is the main treatment.
Gua Lou Mu Li San Recipe:
Equal parts of Gua Lou root and Mu Li (Oyster) (prepared)
Grind into a fine powder, take one teaspoon, three times a day.
If Lily disease turns into fever, the Bai He Hua Shi San (Lily and Talc Powder) is the main treatment.
Bai He Hua Shi San Recipe:
One tael of Bai He (roasted) and three taels of Hua Shi
Grind into a powder, take one teaspoon, three times a day. If there is slight diarrhea, stop taking; if there is heat, remove it.
If Lily disease is seen in the Yin, use Yang methods to rescue it; if seen in the Yang, use Yin methods to rescue it. If Yang attacks Yin, it will cause sweating, which is a reversal; if Yin attacks Yang, it will cause purging, which is also a reversal.
The disease of Huohuo resembles Shang Han (Cold Damage), with a silent desire to sleep, unable to close the eyes, restless in lying down and getting up, gnawing in the throat as Huohuo, gnawing in the Yin as Hu, unwilling to eat, and averse to the smell of food. Their face may appear red, black, or white. If it gnaws in the upper part, it causes a hoarse voice; the Gan Cao Xie Xin Tang (Licorice and Heart-Draining Decoction) is the main treatment.
Gan Cao Xie Xin Tang Recipe:
Four taels of Gan Cao (Licorice), three taels each of Huang Qin (Scutellaria), Ren Shen (Ginseng), and Gan Jiang (Dried Ginger), one tael of Huang Lian (Coptis), twelve pieces of Da Zao (Jujube), and half a sheng of Ban Xia (Pinellia)
Combine the seven ingredients with ten dou of water, boil to obtain six sheng, strain, and decoct again. Take one sheng warm, three times a day.
If it gnaws in the lower part, causing dryness in the throat, the Ku Shen Tang (Sophora Decoction) is used for washing.
One sheng of Ku Shen (Sophora) is boiled with ten dou of water to obtain seven sheng, strain, and wash, three times a day.
If it gnaws at the anus, use Xiong Huang (Realgar) for fumigation.
Xiong Huang Fumigation Recipe:
Realgar
Grind into powder, mix with two pieces of tile, burn, and fumigate towards the anus.
If the patient has a rapid pulse, no heat, slight restlessness, and a silent desire to lie down, sweating, and has had it for three to four days, with red eyes like a dove’s; after seven to eight days, the eyes become black at the corners. If they can eat, the pus has formed, the Chi Dou Dang Gui San (Red Bean and Angelica Powder) is the main treatment.
Chi Dou Dang Gui San Recipe:
Three sheng of Chi Xiao Dou (Red Bean) (soaked until sprouted, dried) and three taels of Dang Gui (Angelica)
Crush into a powder, take one teaspoon with gruel, three times a day.
The disease of Yang Toxicity presents with a red, mottled face like brocade, sore throat, and spitting pus and blood. It can be treated in five days, but not after seven days; the Sheng Ma Bie Jia Tang (Cimicifuga and Soft-Shelled Turtle Decoction) is the main treatment.
The disease of Yin Toxicity presents with a blue face, body aches as if beaten, and sore throat. It can be treated in five days, but not after seven days; the Sheng Ma Bie Jia Tang removes Xiong Huang and Shu Jiao (Zanthoxylum).
Sheng Ma Bie Jia Tang Recipe:
Two taels of Sheng Ma (Cimicifuga), one tael of Dang Gui (Angelica), one tael of Shu Jiao (Zanthoxylum) (stir-fried to remove sweat), two taels of Gan Cao (Licorice), one piece of Bie Jia (Soft-Shelled Turtle) the size of a finger (roasted), and half a tael of Xiong Huang (Realgar) (ground)
Combine the six ingredients with four sheng of water, boil to obtain one sheng, and take it all at once. The elderly and children can take it again to induce sweating.
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Click the link below to view the original text interpretation
The Treatment of Yin-Yang Toxic Conditions in the Case of Lily Disease Chapter Three
Jin Kui Recitation 32 | Lily Disease
Jin Kui Recitation 33 | Lily Disease after Sweating, Vomiting, and Purging
Jin Kui Recitation 34 | Lily Disease without Relief
Jin Kui Recitation 35 | General Principles of Treatment for Lily Disease
Jin Kui Recitation 36 | The Disease of Huohuo
Jin Kui Recitation 37 | Gnawing in the Lower Part and Anus
Jin Kui Recitation 38 | Chi Xiao Dou and Dang Gui Powder
Jin Kui Recitation 39 | Yin and Yang Toxicity
Learning “Jin Kui” we recommend Ling Lan Song Bai Shan: Direct Clinical Teaching of “Jin Kui”Click here for details25 original texts interpreted sentence by sentence40 diseases analyzed one by one200 formulas applied one by oneStep-by-step interpretation of pulse patterns by Zhang ZhongjingFrom thinking to clinical practice, grounded and step by step
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