Inheriting the fire of Qi Huang, a public account with substance and warmth.1. Introduction: The Essentials of the Golden Chamber consists of 25 chapters, with the last three being miscellaneous treatment methods and dietary prohibitions. It contains 205 prescriptions and 155 medicinal substances. Academic achievements: ① The first to establish a treatment system for miscellaneous diseases based on the disease itself, integrating disease and syndrome, and differentiating treatment based on syndrome. ② Created rigorously formulated, precisely dosed, and reliably effective classical prescriptions.
2. Discussion on the diseases of the organs and meridians: (1) Question: Why does the superior physician treat diseases before they occur? The master said: To treat diseases before they occur, one must recognize the disease of the liver and know that it transmits to the spleen. One should first strengthen the spleen; if the spleen is not affected by evil, then it should not be supplemented. The intermediate physician does not understand this transmission; upon seeing liver disease, they only treat the liver. For liver disease, sour herbs are used to supplement, bitter herbs are used to assist, and sweet herbs are used to harmonize. Sour enters the liver, bitter enters the heart, and sweet enters the spleen. The spleen can harm the kidneys; if kidney qi is weak, water does not flow; if water does not flow, heart fire becomes excessive; if heart fire is excessive, it harms the lungs; if the lungs are harmed, metal qi does not flow; if metal qi does not flow, liver qi becomes excessive. Therefore, by strengthening the spleen, the liver can heal itself. This is the key to treating the liver by supplementing the spleen. If the liver is deficient, this method is used; if it is excessive, it is not used. The classics say: “Deficient and deficient, excessive and excessive, supplement the insufficient, and reduce the excessive,” which is its meaning. The same applies to other organs.(2) Humans are endowed with the five constants and grow according to the wind and qi. Although the wind and qi can give life to all things, they can also harm all things, just as water can float a boat or capsize it. If the five organs are in harmony, the person is peaceful and healthy; if external evil winds invade, many people suffer. There are three main causes of diseases: one is that the meridians are invaded by evil, entering the organs, causing internal issues; two is that the limbs and nine orifices are blocked, causing external skin issues; three is injuries from rooms, sharp objects, or insects. By understanding this, all diseases can be resolved.(2) If a person can cultivate caution and not allow evil winds to disturb the meridians, and if the meridians are not transmitted to the organs, then treatment can be initiated. If the limbs feel heavy and stagnant, one should practice guiding exercises, breathing techniques, acupuncture, and topical applications, ensuring that the nine orifices are not blocked; furthermore, one should avoid violating the laws of nature and causing harm from animals; in rooms, one should not allow exhaustion; when eating, one should moderate the temperature and flavors, ensuring the body does not weaken, as diseases will have no way to enter the pores. The pores are where the three jiaos connect with the original qi, and the principles are the patterns of the skin and organs.(14) Question: When a disease is urgent, what does it mean to treat the interior and the exterior? The master said: For diseases, if one is treated and continues to have diarrhea without stopping, and the body is in pain, one should urgently treat the interior; if the body is in pain and the bowel movements self-regulate, one should urgently treat the exterior.(15) For chronic diseases, if an acute disease occurs, one should first treat the acute disease and then the chronic disease.(17) For all diseases in the organs, one should attack them according to their manifestations, such as for thirst, one should use Zhu Ling Tang (Polyporus Decoction). The rest should be treated similarly.2. Treatment of spasms, dampness, and heat diseases: (1) Spasm diseases: 1. Soft spasm: Guo Lou Gui Zhi Tang (Trichosanthes and Cinnamon Decoction) for Tai Yang disease, with symptoms of strong body, pulse is deep and slow, this is a spasm, Guo Lou Gui Zhi Tang is the main treatment. 2. Hard spasm: Ge Gen Tang (Kudzu Decoction) for Tai Yang disease, with no sweat and reduced urination, qi rushing to the chest, unable to speak, wanting to have a hard spasm, Ge Gen Tang is the main treatment. 3. Yang Ming heat causing spasm: Da Cheng Qi Tang (Major Order the Qi Decoction) for spasm disease, with fullness in the chest, unable to speak, cannot lie down, legs cramping, must grind teeth, can use Da Cheng Qi Tang.(2) Damp diseases: Treatment: induce sweating (mild sweating); promote urination. 1. Cold damp on the surface: Ma Huang Jia Zhu Tang (Ephedra and Atractylodes Decoction) for dampness causing body pain, can use Ma Huang Jia Zhu Tang to induce sweating, but be careful not to attack with fire. 2. Wind damp on the surface: Ma Huang Xing Ren Yi Yi Ren Tang (Ephedra, Apricot Kernel, Job’s Tears, and Licorice Decoction) for the patient with body pain, fever, and severe symptoms in the afternoon, known as wind damp. This disease is caused by sweating in the wind or prolonged exposure to cold. Can use Ma Huang Xing Ren Yi Yi Ren Tang (the mechanism is that wind damp combines and wants to transform into heat). 3. Wind damp with qi deficiency: Fang Ji Huang Qi Tang (Sichuan Teasel Root and Astragalus Decoction) for wind damp, pulse is floating, body heavy, sweating and afraid of wind, Fang Ji Huang Qi Tang is the main treatment. 4. Wind damp with yang deficiency: ① Exterior yang deficiency: Gui Zhi Fu Zi Tang (Cinnamon and Aconite Decoction), Bai Zhu Fu Zi Tang (Atractylodes and Aconite Decoction) for cold damage for eight or nine days, wind damp colliding, body pain and discomfort, cannot turn over, no vomiting or thirst, pulse is floating, weak, and rough, Gui Zhi Fu Zi Tang is the main treatment; if the stool is hard and urination is self-regulating, remove Gui and use Bai Zhu Tang as the main treatment. ② Exterior and interior yang deficiency: Gan Cao Fu Zi Tang (Licorice and Aconite Decoction) for wind damp colliding, joint pain and discomfort, pulling pain unable to stretch, close to it causes severe pain, sweating and shortness of breath, urination is not smooth, afraid of wind and unwilling to remove clothing, or slight swelling of the body, Gan Cao Fu Zi Tang is the main treatment.(3) Heat disease: 1. Heat injury to fluids and qi: Bai Hu Jia Ren Shen Tang (White Tiger Decoction with Ginseng) for heat in the Tai Yang, sweating and feeling cold, body heat and thirst, Bai Hu Jia Ren Shen Tang is the main treatment. 2. Heat dampness: Yi Wu Guo Ti Tang (One Item Melon Stem Decoction) for heat in the Tai Yang, body heat and heavy pain, pulse is weak, this is due to the cold water causing injury, Yi Wu Guo Ti Tang is the main treatment.3. Treatment of lily disease, fox phobia, yin and yang toxic diseases: (1) Lily disease mechanism: Heart and lung yin deficiency with internal heat. 1. Main prescription for lily disease: Bai He Di Huang Tang (Lily and Rehmannia Decoction) for lily disease, not treated with vomiting, diarrhea, or sweating, the disease appears as before, Bai He Di Huang Tang is the main treatment. 2. Mistaken sweating for lily disease: Bai He Zhi Mu Tang (Lily and Anemarrhena Decoction) for lily disease after sweating, Bai He Zhi Mu Tang is the main treatment. 3. Mistaken diarrhea for lily disease: Hua Shi Dai Zhe Tang (Talcum and Hematite Decoction) for lily disease after diarrhea, Hua Shi Dai Zhe Tang is the main treatment. 4. Mistaken vomiting for lily disease: Bai He Ji Zi Tang (Lily and Egg Decoction) for lily disease after vomiting, use the latter prescription as the main treatment.(2) Fox phobia main symptoms: Red eyes and erosion of the front and back yin. Internal treatment: 1. Gan Cao Xie Xin Tang (Licorice and Heart-Draining Decoction) for fox phobia, resembling a cold disease, wanting to sleep quietly, unable to close eyes, restless when lying down, erosion in the throat is phobia, erosion in the yin is fox, unwilling to eat, disgusted by food odors, face sometimes red, sometimes black, sometimes white. Touching the upper part causes shouting, Gan Cao Xie Xin Tang is the main treatment (Licorice, Huang Qin, Ren Shen, Gan Jiang, Huang Lian, Da Zao, Ban Xia; clears heat, removes dampness, supports the righteous, and detoxifies). 2. Chi Dou Dang Gui San (Red Bean and Angelica Powder) for external treatment: Ku Shen Tang (Sophora Root Decoction), Xiong Huang (Realgar). 4. Treatment of malaria disease: (1) Malaria mother: Refers to malaria that has been prolonged and recurrent, with the righteous qi gradually declining, malaria evil relying on phlegm, forming a mass in the side, and creating a disease. Bie Jia Jian Wan (Soft-Shelled Turtle Shell Pill) for malaria, if it occurs once a month, it should be cured in fifteen days; if not, it should be resolved by the end of the month; if it does not resolve, what should be done? The master said: This is a mass called malaria mother, treat it urgently, and it is advisable to use Bie Jia Jian Wan (function: dissolve masses, remove stasis, support the righteous, and expel evil). 2. Warm malaria: Mechanism: Internal heat is excessive, exterior cold evil. Symptoms: No cold but heat, fever mostly with little cold. Bai Hu Jia Gui Zhi Tang (White Tiger Decoction with Cinnamon) for warm malaria, pulse is flat, no cold but heat, joint pain, occasional vomiting, Bai Hu Jia Gui Zhi Tang is the main treatment. 3. Female malaria: (more cold than heat) Shu Qi San (Sichuan Pepper Powder) for malaria with more cold, called female malaria, Shu Qi San is the main treatment.5. Treatment of stroke and joint diseases: (1) Stroke disease causes and mechanisms: Qi and blood deficiency, organ deficiency, external evil inducing joint diseases. Main symptoms: Joint changes, swelling, severe pain. Causes: ① Liver and kidney deficiency, water dampness invading. ② Yin blood deficiency, externally receiving wind evil. ③ Qi deficiency from drinking alcohol, sweating in the wind. ④ Stomach has heat, externally feeling wind damp. ⑤ Overeating sour and salty foods, internally injuring the liver and kidneys. 1. Wind damp joint disease (heat type): Gui Zhi Shao Yao Zhi Mu Tang (Cinnamon, Peony, and Anemarrhena Decoction) for joint pain, body weakness, feet swollen like falling off, head dizzy, shortness of breath, wanting to vomit, Gui Zhi Shao Yao Zhi Mu Tang is the main treatment. 2. Cold damp joint disease (cold type): Wu Tou Tang (Aconite Decoction) for joint disease that cannot bend or stretch, with pain, Wu Tou Tang is the main treatment.6. Treatment of blood bi and deficiency diseases: (1) Blood bi disease main symptoms: Localized skin numbness without pain, severe cases accompanied by soreness. Severe cases: Huang Qi Gui Zhi Wu Wu Tang (Astragalus and Cinnamon Five Ingredients Decoction) for blood bi with both yin and yang weak, pulse at the inch is weak, and the pulse at the cubit is tight, external symptoms of body numbness, resembling wind bi, Huang Qi Gui Zhi Wu Wu Tang is the main treatment (Astragalus, Cinnamon, Peony, Ginger, and Jujube; used to treat qi deficiency and blood stasis, skin numbness). (2) Deficiency disease: 1. Deficiency labor with loss of essence: Gui Zhi Jia Long Gu Mu Li Tang (Cinnamon Decoction with Dragon Bone and Oyster Shell) for loss of essence, with lower abdomen tightness, cold in the yin area, dizziness, pulse is weak, and pulse is extremely weak and slow, indicating loss of essence, blood loss, and loss of essence. If the pulse is slightly moving and tight, for men with loss of essence, women with dreams of intercourse, Gui Zhi Jia Long Gu Mu Li Tang is the main treatment (Yin and Yang imbalance, the formula harmonizes Yin and Yang). 2. Deficiency labor with abdominal pain: Xiao Jian Zhong Tang (Minor Construct the Middle Decoction), Huang Qi Jian Zhong Tang (Astragalus Construct the Middle Decoction) for deficiency labor with urgency, palpitations, nosebleeds, abdominal pain, dreams of loss of essence, limbs sore, hands and feet hot, throat dry, mouth dry, Xiao Jian Zhong Tang is the main treatment. Deficiency labor with urgency, all insufficiencies, Huang Qi Jian Zhong Tang is the main treatment (Xiao Jian Zhong Tang is used to treat deficiency labor with spleen deficiency and weak nutrients, abdominal pain, with increased Peony Decoction and honey. Huang Qi Jian Zhong Tang is Xiao Jian Zhong Tang plus Astragalus, treating spleen qi deficiency). 3. Deficiency labor with low back pain: Shen Qi Wan (Kidney Qi Pill) for deficiency labor with low back pain, lower abdomen tightness, and difficulty urinating, Ba Wei Shen Qi Wan is the main treatment. 4. Deficiency labor with wind: Shu Yu Wan (Dioscorea Pill) for deficiency labor with various insufficiencies, wind qi causing various diseases, Shu Yu Wan is the main treatment. 5. Deficiency labor with restlessness and insomnia: Suan Zao Ren Tang (Sour Jujube Decoction) for deficiency labor with restlessness and inability to sleep, Suan Zao Ren Tang is the main treatment. 6. Deficiency labor with dry blood: Da Huang Zhe Chong Wan (Rhubarb and Insect Pill) for five labor deficiency, extreme emaciation, abdominal fullness unable to eat, food injury, worry injury, drink injury, room injury, hunger injury, labor injury, meridian nutrient qi injury, with dry blood inside, skin dark on both sides. Gradually supplementing deficiency, Da Huang Zhe Chong Wan is the main treatment.7. Treatment of lung atrophy, lung abscess, cough, and shortness of breath: (1) Lung atrophy (excessive phlegm and shortness of breath). Lung qi deficiency and cold: Gan Cao Gan Jiang Tang (Licorice and Dried Ginger Decoction) for lung atrophy with expectoration of phlegm and no cough, the person is not thirsty, must urinate frequently, this is due to the deficiency above not controlling below. This is cold in the lungs, must be dizzy, excessive phlegm, Gan Cao Gan Jiang Tang is used to warm it. (2) Lung abscess: 1. Evil and qi obstruction: Ting Li Da Zao Xie Fei Tang (Lung-Draining Decoction with Ting Li and Jujube) for lung abscess, unable to lie down, Ting Li Da Zao Xie Fei Tang is the main treatment. 2. Blood corruption and pus: Jie Geng Tang (Platycodon Decoction) for cough and fullness in the chest, shaking cold pulse. Dry throat, not thirsty, occasionally expectorating foul-smelling phlegm, after a long time expectorating pus like rice porridge, this is lung abscess, Jie Geng Tang is the main treatment. Cough and shortness of breath: 1. Cold drink obstructing the lungs (asthma): She Gan Ma Huang Tang (Belamcanda and Ephedra Decoction) for cough and shortness of breath, with a sound like a water chicken in the throat, She Gan Ma Huang Tang is the main treatment. 2. Phlegm obstruction in the lungs: Zao Jiao Wan (Soapberry Pill) for cough and reverse shortness of breath, occasionally expectorating phlegm, but unable to sleep, Zao Jiao Wan is the main treatment. 3. Heat drink obstructing the lungs: Yue Bi Jia Ban Xia Tang (Yue Bi Decoction with Pinellia) for cough and shortness of breath, this is lung distension, the person is wheezing, eyes like falling out, pulse is floating and large, Yue Bi Jia Ban Xia Tang is the main treatment. 4. Cold drink with heat: Hou Po Ma Huang Tang (Magnolia Bark and Ephedra Decoction), Ze Qi Tang (Alisma Decoction), Xiao Qing Long Jia Shi Gao Tang (Minor Blue Dragon Decoction with Gypsum) for cough and pulse is floating, Hou Po Ma Huang Tang is the main treatment. If the pulse is deep, Ze Qi Tang is the main treatment. Lung distension, cough and shortness of breath, restlessness and wheezing, pulse is floating, there is water under the heart, Xiao Qing Long Jia Shi Gao Tang is the main treatment. 5. Lung and stomach yin deficiency with qi counterflow: Mai Men Dong Tang (Ophiopogon Decoction) for severe counterflow shortness of breath, throat not smooth, stopping counterflow and lowering qi, Mai Men Dong Tang is the main treatment.9. Treatment of chest bi, heart pain, and shortness of breath: (1) Typical symptoms (wheezing, coughing, expectoration, chest and back pain, shortness of breath): Guo Lou Xie Bai Bai Jiu Tang (Trichosanthes, Garlic, and White Wine Decoction) for chest bi disease, wheezing, coughing, expectoration, chest and back pain, shortness of breath, pulse at the inch is deep and slow, pulse at the guan is small and tight, Guo Lou Xie Bai Bai Jiu Tang is the main treatment. 2. Phlegm and drink obstruction: Guo Lou Xie Bai Ban Xia Tang (Trichosanthes, Garlic, and Pinellia Decoction) for chest bi unable to lie down, heart pain penetrating the back, Guo Lou Xie Bai Ban Xia Tang is the main treatment. 3. Partial deficiency and partial excess: Zhi Shi Xie Bai Gui Zhi Tang (Bitter Orange, Garlic, and Cinnamon Decoction), Ren Shen Tang (Ginseng Decoction) for chest bi with fullness in the heart, gas stagnation in the chest, chest fullness, and reverse qi in the side, Zhi Shi Xie Bai Gui Zhi Tang is the main treatment; Ren Shen Tang is also the main treatment. 4. Drink obstructing qi stagnation: Fu Ling Xing Ren Gan Cao Tang (Poria, Apricot Kernel, and Licorice Decoction), Ju Zhi Zhi Tang (Tangerine Peel and Bitter Orange Decoction) for chest bi, chest qi obstruction, shortness of breath, Fu Ling Xing Ren Gan Cao Tang is the main treatment; Ju Zhi Zhi Tang is the main treatment. 5. Chest bi acute symptoms: Yi Yi Ren Fu Zi San (Job’s Tears and Aconite Powder) for chest bi with slow and acute symptoms, Yi Yi Ren Fu Zi San is the main treatment. Heart pain treatment: 1. Cold drink qi counterflow: Gui Zhi Sheng Jiang Zhi Shi Tang (Cinnamon, Fresh Ginger, and Bitter Orange Decoction) for fullness in the heart, various counterflow heart pain, Gui Zhi Sheng Jiang Zhi Shi Tang is the main treatment. 2. Yin cold knot: Wu Tou Chi Shi Zhi Wan (Aconite and Red Stone Pill) for heart pain penetrating the back, back pain penetrating the heart, Wu Tou Chi Shi Zhi Wan is the main treatment.10. Treatment of abdominal fullness, cold hernia, and food retention: (1) Interior excess with exterior cold: Hou Po Qi Wu Tang (Magnolia Bark and Seven Ingredients Decoction) for abdominal fullness, fever for ten days, pulse is floating and rapid, diet remains the same, Hou Po Qi Wu Tang is the main treatment. 2. Interior excess with Shao Yang: Da Chai Hu Tang (Major Bupleurum Decoction) for fullness and pain in the heart, this is excess, should be purged, Da Chai Hu Tang is the main treatment. 3. Interior excess with heavy accumulation: Hou Po San Wu Tang (Magnolia Bark and Three Ingredients Decoction) for pain and closure, Hou Po San Wu Tang is the main treatment. 4. Interior excess with heavy accumulation: Da Cheng Qi Tang (Major Order the Qi Decoction) for abdominal fullness not reducing, reducing insufficiently, should be purged, Da Cheng Qi Tang is the main treatment. 5. Deficiency cold drink counterflow: Fu Zi Jing Mi Tang (Aconite and Glutinous Rice Decoction), Chi Wan Fang (Red Pill) for abdominal cold qi, thunder-like cutting pain, chest and side fullness, vomiting, Fu Zi Jing Mi Tang is the main treatment. Cold qi counterflow, Chi Wan is the main treatment. 6. Spleen and stomach deficiency cold: Da Jian Zhong Tang (Major Construct the Middle Decoction) for severe cold pain in the heart and chest, unable to eat, abdominal pain, rising to the skin, showing head and feet, pain above and below, Da Jian Zhong Tang is the main treatment. 7. Cold excess internal knot: Da Huang Fu Zi Tang (Rhubarb and Aconite Decoction) for pain under the side, fever, pulse is tight and string-like, this is cold, should be treated with warming medicine, Da Huang Fu Zi Tang is the main treatment.8. Treatment of five organ wind cold accumulation diseases: (1) Liver accumulation: Xuan Fu Hua Tang (Inula Decoction) for liver accumulation, the person often wants to step on the chest, before suffering, only wanting to drink hot, Xuan Fu Hua Tang is the main treatment. (2) Kidney accumulation: Gan Cao Gan Jiang Fu Ling Bai Zhu Tang (Licorice, Dried Ginger, Poria, and Atractylodes Decoction) for kidney accumulation disease, the person feels heavy, cold in the waist, like sitting in water, the shape is like water, does not feel thirsty, urination is self-regulating, diet remains the same, the disease belongs to the lower jiao, body labor sweating, clothing is cold and damp, obtained for a long time, cold pain below the waist. Abdominal heaviness like carrying five thousand coins, Gan Cao Gan Jiang Fu Ling Bai Zhu Tang is the main treatment.12. Treatment of phlegm, drink, and cough diseases: (1) Treatment principle: For phlegm and drink diseases, one should use warming medicine to harmonize. Four types of drinks: If the person is usually strong and now thin, water runs in the intestines, making a dripping sound, this is phlegm drink; if after drinking, water flows under the side, coughing and expectoration cause pain, this is suspended drink; if water flows and returns to the four limbs, should sweat but does not sweat, body feels heavy, this is overflow drink; if coughing reverses and leans, shortness of breath unable to lie down, the shape is like swelling, this is support drink. Treatment principle: For phlegm and drink diseases, one should use warming medicine to harmonize. 1. Drink stopping in the heart and intestines: ① Spleen and stomach yang deficiency drink stopping: Fu Ling Gui Zhi Bai Zhu Gan Cao Tang (Poria, Cinnamon, Atractylodes, and Licorice Decoction) for phlegm and drink in the heart, chest and side fullness, dizziness, Fu Ling Gui Zhi Bai Zhu Gan Cao Tang is the main treatment. ② Water drink rising and causing dizziness: Ze Xie Tang (Alisma Decoction) for phlegm and drink in the heart, the person suffers from dizziness, Ze Xie Tang is the main treatment. ③ Stopping drink rising and causing vomiting: Xiao Ban Xia Tang (Minor Pinellia Decoction) for support drink unable to rest, Ting Li Da Zao Xie Fei Tang is the main treatment. The formula is for lung abscess with vomiting, thirst is for wanting to resolve, now not thirsty, heart under has support drink, Xiao Ban Xia Tang is the main treatment. ④ Lower jiao drink counterflow causing palpitations and dizziness: Wu Ling San (Five Poria Powder) for thin people with palpitations below the navel, expectorating phlegm and foam, this is water, Wu Ling San is the main treatment. ⑤ Intestinal drink forming a solid: Ji Jiao Li Huang Wan (Ginger and Licorice Pill) for abdominal fullness, dry mouth and tongue, this is water gas in the intestines, Ji Jiao Li Huang Wan is the main treatment. ⑥ Retained drink evil wanting to be expelled: Gan Sui Ban Xia Tang (Gansui and Pinellia Decoction) for the patient with pulse hidden, the person wants to self-regulate, but the regulation is fast, even if regulated, the heart under continues to be hard and full, this is retained drink wanting to be expelled, Gan Sui Ban Xia Tang is the main treatment. 2. Drink flowing under the side: Shi Zao Tang (Ten Jujube Decoction) for suspended drink, Shi Zao Tang is the main treatment. 3. Overflow drink in the four limbs: Da Qing Long Tang (Major Blue Dragon Decoction), Xiao Qing Long Tang (Minor Blue Dragon Decoction) for overflow drink, should induce sweating, Da Qing Long Tang is the main treatment; Xiao Qing Long Tang is also the main treatment. 4. Drink in the chest and diaphragm: ① Support drink causing wheezing and fullness: Mu Fang Ji Tang (Morus Decoction), Mu Fang Ji Qu Shi Gao Jia Fu Ling Mang Xiao Tang (Morus Decoction with Gypsum and Poria) for drink in the diaphragm, the person wheezing and fullness, heart under fullness, face color dark, pulse is deep and tight, obtained for several days, if treated with vomiting and purging does not improve, Mu Fang Ji Tang is the main treatment. If deficient, it will improve; if solid, it will recur in three days, and if not improved, it is advisable to use Mu Fang Ji Tang with gypsum and add Poria and Mang Xiao as the main treatment. ② Support drink in the chest with abdominal fullness: Hou Po Da Huang Tang (Magnolia Bark and Rhubarb Decoction) for support drink in the chest, Hou Po Da Huang Tang is the main treatment. ③ Support drink obstructing the lungs unable to rest: Ting Li Da Zao Xie Fei Tang for support drink unable to rest, Ting Li Da Zao Xie Fei Tang is the main treatment. ④ Stopping drink in the diaphragm causing vomiting and fullness: Xiao Ban Xia Jia Fu Ling Tang (Minor Pinellia Decoction with Poria) for thirst followed by vomiting, this is water stopping in the heart, this belongs to drink family, Xiao Ban Xia Jia Fu Ling Tang is the main treatment. ⑤ Support drink with external cold causing cough and reverse: Xiao Qing Long Tang.13. Treatment of diabetes, difficulty urinating, and dysuria: (1) Diabetes: 1. Excessive heat injuring qi and fluids: Bai Hu Jia Ren Shen Tang (White Tiger Decoction with Ginseng) for thirst wanting to drink water, dry mouth and tongue, Bai Hu Jia Ren Shen Tang is the main treatment. 2. Kidney qi deficiency: Shen Qi Wan (Kidney Qi Pill) for men with diabetes, urinating excessively, drinking one dou, urinating one dou, Shen Qi Wan is the main treatment. Difficulty urinating, dysuria: 1. Bladder qi transformation not functioning: Wu Ling San (Five Poria Powder) for floating pulse, difficulty urinating, slight heat and thirst, should promote urination and induce sweating, Wu Ling San is the main treatment. Thirst wanting to drink water, if water enters then vomits, this is called water counterflow, Wu Ling San is the main treatment. 2. Upper dryness and lower cold water stopping: Guo Lou Qu Mai Wan (Trichosanthes and Plantago Seed Pill) for difficulty urinating, if there is water gas, the person seems thirsty, Guo Lou Qu Mai Wan is the main treatment. 3. Water heat mutual binding injuring yin: Zhu Ling Tang (Polyporus Decoction) for floating pulse, fever, thirst wanting to drink water, difficulty urinating, Zhu Ling Tang is the main treatment.14. Treatment of water qi diseases: (1) Treatment methods: ① Promote urination (below the waist), induce sweating (above the waist) ② Attack water and expel water. Wind water: 1. Wind water with exterior deficiency: Fang Ji Huang Qi Tang (Sichuan Teasel Root and Astragalus Decoction) for wind water, pulse is floating, body heavy, sweating and afraid of wind, Fang Ji Huang Qi Tang is the main treatment. If there is abdominal pain, add Shao Yao. 2. Wind water with heat: Yue Bi Tang (Yue Bi Decoction) for wind water with evil wind, the whole body is swollen, pulse is floating and not thirsty, continues to sweat, no great heat, Yue Bi Tang is the main treatment. Skin water: 1. Skin water with heat: Yue Bi Jia Zhu Tang (Yue Bi Decoction with Atractylodes) for internal water, the whole body and face are yellow and swollen, pulse is deep, difficulty urinating, hence causing the disease water. If urination is self-regulating, this is loss of fluids, hence causing thirst, Yue Bi Jia Zhu Tang is the main treatment. 2. Skin water with exterior excess: Gan Cao Ma Huang Tang (Licorice and Ephedra Decoction) for internal water, Yue Bi Jia Zhu Tang is the main treatment, Gan Cao Ma Huang Tang is also the main treatment. 3. Skin water with qi deficiency and yang obstruction: Fang Ji Fu Ling Tang (Sichuan Teasel Root and Poria Decoction) for skin water as a disease, with swelling in the limbs, water qi in the skin, limbs moving slightly, Fang Ji Fu Ling Tang is the main treatment. 4. Skin water with damp heat internally obstructing: Pu Hui San (Pueraria Powder) for skin water.1. Treatment of jaundice diseases: (1) Mechanism: Spleen color must be yellow, stasis heat to circulate. 1. Grain jaundice: Yin Chen Hao Tang (Artemisia Capillaris Decoction) for grain jaundice, with cold and heat not eating, eating causes dizziness, discomfort in the chest, and prolonged yellowing, Yin Chen Hao Tang is the main treatment. 2. Alcohol jaundice: Zhi Zi Da Huang Tang (Gardenia and Rhubarb Decoction) for alcohol jaundice, with discomfort in the heart or heat pain, Zhi Zi Da Huang Tang is the main treatment. 3. Female labor jaundice: Xiao Shi Fan Shi San (Niter and Alum Powder) for yellowing occurring in the afternoon, with cold and heat, this is caused by female labor. Urgency in the bladder, fullness in the lower abdomen, yellowing all over, black on the forehead, heat below the feet, causing black jaundice. If the abdomen is swollen like water, the stool must be black, sometimes loose, this is the disease of female labor, not water, abdominal fullness is difficult to treat, Xiao Shi Fan Shi San is the main treatment. 4. Jaundice with Shao Yang syndrome: Chai Hu Tang (Bupleurum Decoction) for all yellows, abdominal pain and vomiting, Chai Hu Tang is the main treatment.5. Mistaken treatment of jaundice causing hiccups: Xiao Ban Xia Tang (Minor Pinellia Decoction).16. Treatment of fright, vomiting, nosebleeds, and blood in the chest: (1) Stasis blood: The patient has fullness in the chest, lips are withered, tongue is blue, mouth is dry, only wanting to rinse water, not wanting to swallow, no cold or heat, pulse is weak and large, coming late, abdomen is not full, the person says they are full, indicating stasis blood. Vomiting blood and blood in the stool treatment: 1. Deficiency cold vomiting blood: Bai Ye Tang (Cypress Leaf Decoction) for vomiting blood that does not stop, Bai Ye Tang is the main treatment. 2. Excessive heat vomiting blood: Xie Xin Tang (Draining the Heart Decoction) for insufficient heart qi, vomiting blood, and nosebleeds, Xie Xin Tang is the main treatment.3. Deficiency cold blood in stool: Huang Tu Tang (Yellow Earth Decoction) (distant blood) for blood in the stool, first stool then blood, this is distant blood, Huang Tu Tang is the main treatment.4. Damp heat blood in stool: Chi Xiao Dou Dang Gui San (Red Bean and Angelica Powder) (near blood) for blood in the stool, first blood then stool, this is near blood, Chi Xiao Dou Dang Gui San is the main treatment.17. Treatment of vomiting, hiccups, and diarrhea: (1) Treatment prohibition: ① For vomiting, if there is pus, it cannot be treated, the pus will resolve itself. ② If the patient wants to vomit, it cannot be purged. 1. Deficiency cold vomiting: ① Liver and stomach deficiency cold: Zhu Yu Tang (Evodia Decoction) for vomiting and fullness in the chest, Zhu Yu Tang is the main treatment. Dry vomiting, expectorating phlegm, headache, Zhu Yu Tang is the main treatment. ② Yin excess counteracting yang: Si Ni Tang (Four Reversal Decoction) for vomiting and weak pulse, urination returning to benefit, slight heat in the body, seeing faintness, difficult to treat, Si Ni Tang is the main treatment. ③ Deficiency cold stomach counterflow: Da Ban Xia Tang (Major Pinellia Decoction) for stomach counterflow vomiting, Da Ban Xia Tang is the main treatment.2. Excess heat vomiting: ① Intestinal and stomach excess heat: Da Huang Gan Cao Tang (Major Rhubarb and Licorice Decoction) for vomiting immediately after eating, Da Huang Gan Cao Tang is the main treatment. ② Heat stagnating Shao Yang: Xiao Chai Hu Tang (Minor Bupleurum Decoction) for vomiting and fever, Xiao Chai Hu Tang is the main treatment. ③ Intestinal heat disturbing the stomach: Huang Qin Jia Ban Xia Sheng Jiang Tang (Huang Qin Decoction with Pinellia and Fresh Ginger) for dry vomiting and diarrhea, Huang Qin Jia Ban Xia Sheng Jiang Tang is the main treatment. 3. Mixed cold and heat: Ban Xia Xie Xin Tang (Pinellia Draining the Heart Decoction) for vomiting and intestinal sounds, fullness in the heart, Ban Xia Xie Xin Tang is the main treatment (Ban Xia, Huang Qin, Huang Lian, Ren Shen, Gan Jiang, Licorice, Ban Xia).4. Cold drink vomiting: ① Basic formula: Xiao Ban Xia Tang (Minor Pinellia Decoction) for all vomiting, grains cannot go down, Xiao Ban Xia Tang is the main treatment (Ban Xia, Fresh Ginger). ② Yang deficiency stopping drink: Ban Xia Gan Jiang San (Pinellia and Dried Ginger Powder) for dry vomiting, counterflow, expectorating phlegm, Ban Xia Gan Jiang San is the main treatment. ③ Drink blocking the chest and stomach: Sheng Jiang Ban Xia Tang (Fresh Ginger and Pinellia Decoction) for the patient feeling like they are wheezing but not wheezing, feeling like they are vomiting but not vomiting, feeling like they are hiccuping but not hiccuping, thoroughly in the heart, feeling helpless, Sheng Jiang Ban Xia Tang is the main treatment. ④ Spleen deficiency stopping drink: Fu Ling Ze Xie Tang (Poria and Alisma Decoction) for stomach counterflow, vomiting and thirst, wanting to drink water, Fu Ling Ze Xie Tang is the main treatment.Hiccups treatment principle: Hiccups and abdominal fullness, observe the front and back, knowing which part is not smooth, if smooth then it will improve: 1. Stomach cold qi counterflow: Ju Pi Tang (Tangerine Peel Decoction) for dry vomiting, hiccups, if hands and feet are cold, Ju Pi Tang is the main treatment. 2. Stomach deficiency with heat: Ju Pi Zhu Ru Tang (Tangerine Peel and Bamboo Shavings Decoction) for hiccups and counterflow, Ju Pi Zhu Ru Tang is the main treatment.Diarrhea treatment: 1. Deficiency cold diarrhea with pus and blood: Tao Hua Tang (Peach Blossom Decoction) for diarrhea with pus and blood, Tao Hua Tang is the main treatment. 2. Excess heat diarrhea: Bai Chao Shi Re Tang (White Headed Weng Decoction) for severe heat diarrhea, Bai Chao Shi Re Tang is the main treatment. 3. Diarrhea after deficiency and restlessness: Zhi Zi Guo Tang (Gardenia and Mung Bean Decoction) for diarrhea after, more restlessness, pressing the heart under moist, this is deficiency and restlessness, Zhi Zi Guo Tang is the main treatment.18. Treatment of sores, abscesses, and intestinal abscesses: (1) Intestinal abscess forming pus treatment: Yi Yi Ren Fu Zi Bai Jiang Tang (Job’s Tears, Aconite, and Bitter Herb Decoction) for intestinal abscess, the body has a rough texture, abdominal skin is tight, pressing it feels soft, like a swelling, the abdomen has no accumulation, no heat, pulse is rapid, this is pus in the intestines, Yi Yi Ren Fu Zi Bai Jiang Tang is the main treatment. 2. Intestinal abscess with pus not formed treatment: Da Huang Mu Dan Tang (Major Rhubarb and Peony Decoction) for intestinal abscess, lower abdomen swollen and hard, pressing it hurts like a sting, urination is self-regulating, often fever, sweating, and returning to cold. If the pulse is slow and tight, pus is not formed, it can be purged, there must be blood. If the pulse is rapid, pus is formed, it cannot be purged. Da Huang Mu Dan Tang is the main treatment.20. Treatment of women’s pregnancy diseases: (1) Treatment of masses: Gui Zhi Fu Ling Wan (Cinnamon and Poria Pill) for women with masses, menstruation interrupted for less than three months, and experiencing continuous bleeding, fetal movement above the navel, this is a mass causing harm. If fetal movement occurs in the sixth month of pregnancy, the first three months of menstruation are timely, the fetus is fine. If there is bleeding, it is after three months of interruption. Therefore, if the bleeding does not stop, it is because the mass does not go away, it should be purged, Gui Zhi Fu Ling Wan is the main treatment (Cinnamon, Poria, Peony, Shao Yao, Tao Ren, refined honey). Abdominal pain: 1. Yang deficiency with excessive cold: Fu Zi Tang (Aconite Decoction). 2. Liver and spleen disharmony: Dang Gui Shao Yao San (Angelica and Peony Powder) for women during pregnancy, abdominal pain, Dang Gui Shao Yao San is the main treatment (Dang Gui, Shao Yao, Chuan Xiong, Fu Ling, Ze Xie, Bai Zhu). 3. Obstruction of the womb: For pregnant women with bleeding accompanied by abdominal pain, Xiong Gui Jiao Ai Tang (Angelica and Moxibustion Decoction) is the main treatment. 4. Morning sickness: Light cases: Gui Zhi Tang (Cinnamon Decoction); severe cases: Gan Jiang Ren Shen Ban Xia Wan (Dried Ginger, Ginseng, and Pinellia Pill). For pregnancy vomiting that does not stop, Gan Jiang Ren Shen Ban Xia Wan is the main treatment (Dried Ginger, Ginseng, Pinellia, and fresh ginger juice). 5. Unstable fetal movement: 1. Blood deficiency with damp heat: Dang Gui San (Angelica Powder) for women during pregnancy, should regularly take Dang Gui San. 2. Spleen deficiency with cold damp: Bai Zhu San (Atractylodes Powder) for nourishing the fetus during pregnancy, Bai Zhu San is the main treatment.21. Treatment of women’s postpartum diseases: (1) Three postpartum diseases: spasms, depression, and difficult bowel movements. Postpartum abdominal pain: 1. Blood deficiency with internal cold: Dang Gui Sheng Jiang Yang Rou Tang (Angelica, Ginger, and Lamb Decoction) for postpartum abdominal pain, Dang Gui Sheng Jiang Yang Rou Tang is the main treatment; also treats abdominal cold hernia, deficiency labor insufficiency. 2. Qi and blood stagnation: Zhi Shi Shao Yao San (Bitter Orange and Peony Powder) for postpartum abdominal pain, fullness and inability to lie down, Zhi Shi Shao Yao San is the main treatment. 3. Dry blood internal knot: Xie Yu Xue Tang (Expel Stasis Blood Decoction) for postpartum abdominal pain, the master said: For postpartum women with abdominal pain, it should be treated with Zhi Shi Shao Yao San, if it does not improve, this is due to dry blood stuck below the navel, it should be treated with Xie Yu Xue Tang; it also treats menstrual flow not being smooth. 4. Stasis obstruction internal knot: Da Cheng Qi Tang (Major Order the Qi Decoction) for patients who can eat, if fever occurs after seven or eight days, this is due to stomach excess, Da Cheng Qi Tang is the main treatment. 5. Deficiency heat with restlessness and vomiting: Zhu Pi Da Wan (Bamboo Skin Pill) for women with deficiency in milk, restlessness and vomiting, Zhu Pi Da Wan is the main treatment (fresh bamboo skin, gypsum, cinnamon, licorice, white peony, jujube). 22. Treatment of women’s miscellaneous diseases: (1) Mei He Qi: Ban Xia Hou Po Tang (Pinellia and Magnolia Decoction) for women with a sensation of something stuck in the throat, Ban Xia Hou Po Tang is the main treatment. (2) Organ dryness: Gan Mai Da Zao Tang (Sweet Wheat and Jujube Decoction) for women with organ dryness, liking sadness and wanting to cry, resembling something made by spirits, often yawning, Gan Mai Da Zao Tang is the main treatment. (3) Menorrhagia: Deficiency cold with heat: Wen Jing Tang (Warming the Meridians Decoction) for women aged fifty, with continuous bleeding for several days, evening fever, urgency in the lower abdomen, fullness, palms hot, lips and mouth dry, why? The master said: This disease belongs to the discharge. Why? Because there has been a half-birth, stasis blood remains in the lower abdomen. How do you know? The symptoms of dry lips and mouth indicate this. It should be treated with Wen Jing Tang (Wu Mei, Dang Gui, Chuan Xiong, Shao Yao, Ren Shen, Gui Zhi, E Jiao, Mu Dan Pi, Sheng Jiang, Gan Cao, Ban Xia, Mai Men Dong). 4. Menstrual flow not being smooth: 1. Stasis heat internally binding: Di Dang Tang (Resist the Heat Decoction) for women with menstrual flow not being smooth, Di Dang Tang is the main treatment. 2. Water heat mutual binding: Da Huang Gan Sui Tang (Major Rhubarb and Gansui Decoction) for women with fullness in the lower abdomen like a dun shape, slight difficulty urinating and not thirsty, after giving birth, this is due to water and blood binding in the blood chamber, Da Huang Gan Sui Tang is the main treatment. Abdominal pain: Liver and spleen disharmony: Dang Gui Shao Yao San (Angelica and Peony Powder) for women with various abdominal diseases, Dang Gui Shao Yao San is the main treatment.Glossary: 1. Strengthening the spleen: refers to tonifying the spleen. 2. Blood division: before menstruation, after the menstrual flow. 3. Turbid saliva and phlegm: turbid saliva refers to thick phlegm, and saliva refers to thin phlegm. 4. Thoroughly in the heart, feeling helpless: Thorough means to connect, also means to communicate. In the heart, it refers to the chest. It mainly refers to the patient feeling extremely troubled in the chest, with a sense of helplessness. 5. Qi reverse in the side: refers to qi reverse in the side. 6. Thunder-like cutting pain: Thunder-like describes the sound of intestinal rumbling; cutting pain refers to severe abdominal pain. 7. Afternoon time: refers to the time between 3-5 PM. Afternoon time refers to around evening. 8. Water division: first water disease, then menstrual flow interruption. 9. Clear diarrhea: refers to diarrhea, with clear and thin stools, undigested grains. 10. Malaria mother: refers to malaria that has been prolonged and recurrent, with righteous qi gradually declining, malaria evil relying on phlegm, forming a mass in the side, creating a disease.Short answer questions: 1. Why is it emphasized to treat wind damp on the surface with mild sweating? Answer: Because wind is a yang evil, easy to disperse on the surface; damp is a yin evil, its nature is moist and stagnant, difficult to remove quickly. Mild sweating can allow yang qi to flow between the muscles and joints, gradually evaporating, ensuring the smooth flow of nutrients and defenses, thus relieving wind damp, hence mild sweating is advisable.2. What reactions may occur after taking Ji Jiao Li Huang Wan? How to handle it? Answer: After taking Ji Jiao Li Huang Wan, if there is saliva in the mouth, it indicates that the internal knot of drink evil has been removed, and the saliva rises, which is a sign of disease resolution. If after taking the medicine there is thirst, it indicates that drink is obstructing heat binding, one should add Mang Xiao to soften the knot and assist Da Huang in clearing the drink heat.3. What is the main mechanism of chest bi and heart pain? Answer: “Yang is weak and yin is tight,” upper jiao yang deficiency, yin evil is excessive, chest yang is obstructed, fundamentally deficient and manifesting as excess.4. Briefly describe the function of Yue Bi Tang and the mechanism, clinical manifestations of the diseases it treats. Answer: Yue Bi Tang induces sweating and promotes water, also clears stagnant heat, treating wind water with heat symptoms, presenting as whole body swelling, especially in the head and face, thirst, and continuous sweating, pulse is floating, etc.5. Compare the mechanisms, clinical manifestations, treatment methods, and medications of Fu Zi Jing Mi Tang and Da Jian Zhong Tang. Answer: Fu Zi Jing Mi Tang is biased towards spleen and stomach deficiency cold, with drink stopping and counterflow; symptoms include abdominal fullness, thunder-like cutting pain, chest and side fullness, vomiting, etc.; treatment method is to warm the middle, disperse cold, transform drink, and lower counterflow; using Fu Zi to disperse cold and stop pain, Ban Xia to lower counterflow and stop vomiting, and the glutinous rice and jujube to warm and tonify the spleen and stomach, with a slower effect. Da Jian Zhong Tang is characterized by spleen and stomach yang deficiency, with excessive yin cold; symptoms include severe cold pain in the heart and chest, inability to eat, abdominal pain, rising to the skin, showing head and feet, pain above and below, Da Jian Zhong Tang is the main treatment; treatment method is to greatly tonify the middle qi, warm the middle and disperse cold; using Gan Jiang to disperse cold and stop pain, Shu Jiao to lower counterflow and stop vomiting, Ren Shen and honey to warm and tonify the spleen and stomach, with a stronger effect.7. What is the function of Mu Fang Ji Tang and its composition? Briefly describe the main symptoms of its indications. Answer: Mu Fang Ji Tang promotes water and lowers counterflow, supports the righteous and tonifies deficiency; the composition includes Mu Fang Ji, gypsum, cinnamon, and ginseng; it is suitable for obstructed drink in the diaphragm with fullness; main symptoms include wheezing, fullness in the heart, dark complexion, tight pulse, and difficulty urinating.8. Briefly describe the mechanism and clinical manifestations of Yin Chen Wu Ling San. Answer: Yin Chen Wu Ling San is a type of jaundice with dampness heavier than heat, its symptoms include yellowing of the body, yellowing of the eyes, yellow urine, nausea, fatigue, heaviness in the body, decreased appetite, short and difficult urination, slight abdominal fullness, white greasy tongue coating, and slow pulse.9. Briefly describe the application of the three major treatment methods for water qi diseases. “If swelling is below the waist, promote urination” indicates that if swelling is severe below the waist, it indicates that water evil is mainly concentrated in the lower jiao, hence the main treatment should be to promote urination to expel water; “if swelling is above the waist, induce sweating to recover” indicates that if swelling is more severe above the waist, it indicates that water evil is mainly in the upper jiao, hence the main treatment should be to induce sweating; aside from the general treatment principles for water qi diseases, the text also proposes that water retention diseases can be “purged” (expel water), for patients with abdominal distension, difficulty urinating, and a deep pulse, if the righteous qi is not weakened, using diuretic medicine is ineffective, one can consider using purgative methods to treat.10. Discuss the composition, function, and indications of Da Huang Fu Zi Tang. Answer: This formula uses Da Huang to purge and promote bowel movements, Fu Zi to warm yang and disperse cold, and Xiao Xin to disperse cold and stop pain; the three medicines combined can warm and promote bowel movements to purge internal cold excess. It is suitable for cold excess accumulation, symptoms include pain under the side, abdominal constipation, or fear of cold, pale tongue, and tight pulse.11. Differentiate between Guo Lou Xie Bai Ban Xia Tang and Wu Tou Chi Shi Zhi Wan in terms of the mechanisms, disease names, main symptoms, and treatment methods. Answer: Guo Lou Xie Bai Ban Xia Tang’s mechanism is chest yang not vibrating, phlegm and turbidity obstructing; it is for chest bi disease, with lighter symptoms; main symptoms include chest bi unable to lie down, heart pain penetrating the back, pain occurring intermittently; treatment method is to open yang and relieve chest, transform phlegm and lower counterflow. Wu Tou Chi Shi Zhi Wan’s mechanism is yin cold solidifying, yang qi declining; it is for heart pain disease, with heavier symptoms; main symptoms include heart pain penetrating the back, back pain penetrating the heart, persistent pain; treatment method is to warm yang, disperse cold, stop pain, and rescue counterflow.12. Differentiate between Xiao Cheng Qi Tang, Hou Po San Wu Tang, and Hou Po Da Huang Tang. Answer: Xiao Cheng Qi Tang, Hou Po San Wu Tang, and Hou Po Da Huang Tang all consist of Da Huang, Hou Po, and Zhi Shi. Xiao Cheng Qi Tang focuses on Da Huang, treating Yang Ming abdominal excess, heat binding with dry stool not passing, “downward benefit” is small and foul, tidal heat and delirium, its function is to open the bowels and purge. Hou Po San Wu Tang focuses on Hou Po, treating qi stagnation with heat binding, with qi stagnation as the main cause of abdominal distension and pain, and dry stool, its function is to move qi, break qi, and guide the intestines. Hou Po Da Huang Tang focuses on Hou Po and Da Huang, treating phlegm and drink binding with abdominal fullness that resists pressing, constipation, and intermittent heart pain, its function is to guide the intestines and clear excess evil.13. Discuss the characteristics of Wu Tou Tang’s composition and preparation method. Answer: Wu Tou Tang includes Ma Huang, Shao Yao, Huang Qi, Gan Cao, Wu Tou, and honey. In the formula, Wu Tou warms the meridians, disperses cold, and stops dampness and pain; Ma Huang induces sweating and relieves bi, to expel cold damp; Shao Yao and Gan Cao soften the muscles, relieve pain; Huang Qi tonifies qi and solidifies the surface, assisting Ma Huang and Wu Tou in warming the meridians and dispersing pain, also controlling the excessive dispersing nature of Ma Huang, used together with dispersing cold and stopping dampness, honey is sweet and soft, stopping pain and calming the internal qi, reducing Wu Tou’s toxicity, softening the dryness of the medicines. The combined effect can resolve cold damp through mild sweating. Preparation method: “Use three sheng of water, boil to one sheng, remove the residue, add honey and boil again, take seven he.”14. Differentiate between Gui Zhi Shao Yao Zhi Mu Tang and Wu Tou Tang. Answer: Both formulas include Ma Huang, Shao Yao, and Gan Cao, but Gui Zhi Shao Yao Zhi Mu Tang also includes Gui Zhi, Sheng Jiang, Bai Zhu, Zhi Mu, Fang Feng, and Fu Zi, treating wind cold damp evil invading, obstructing the meridians and joints, gradually transforming into heat and injuring yin, with multiple joints burning pain or joint deformity and swelling, and red tongue, rapid pulse as diagnostic points, its function is to expel wind, eliminate dampness, warm the meridians, and nourish yin and clear heat. Wu Tou Tang also includes Huang Qi, Wu Tou, and honey, treating cold damp joint disease, with joint pain, worsening with cold, unable to bend or stretch, pale tongue, white greasy coating as diagnostic points.15. Discuss the composition, mechanism, main symptoms, and effects of Gan Cao Gan Jiang Tang. Answer: Composition: Roasted Licorice, Dried Ginger, with Licorice used in greater quantity than Dried Ginger. Mechanism: Constitutionally yang deficient, cold in the lungs, disease from cold transformation. Main symptoms: Lung atrophy with expectoration of phlegm, not coughing, not thirsty, frequent urination, this is due to deficiency above not controlling below. Its effect is to warm the lungs and restore qi.16. Differentiate between Yue Bi Jia Ban Xia Tang and Xiao Qing Long Jia Shi Gao Tang. Answer: Yue Bi Jia Ban Xia Tang is caused by external wind heat, its mechanism is drink heat mutual binding, heat is more than drink, symptoms manifest as the person wheezing, eyes like falling out, wheezing more than coughing; treatment principle is to diffuse the lungs, drain heat, lower counterflow; the composition includes Ma Huang, Shi Gao, Sheng Jiang, Da Zao, Gan Cao, and Ban Xia; the characteristic is the heavy use of Shi Gao and Ma Huang, with spicy and cool combinations, expelling water qi, clearing and draining internal heat, with Shi Gao being half a jin, focusing on spicy and cool. Xiao Qing Long Jia Shi Gao Tang is caused by external wind cold; its mechanism is external cold and internal drink, drink stagnation transforming into heat, drink is more than heat; symptoms include cough and shortness of breath, restlessness and wheezing, cough and wheezing are both severe; treatment principle is to resolve the exterior, transform drink, clear heat, and eliminate restlessness; the formula includes Ma Huang, Shao Yao, Gui Zhi, Xi Xin, Gan Cao, Gan Jiang, Wu Wei Zi, Ban Xia, Shi Gao; the characteristic is the use of Ma Huang, Gui Zhi, Gan Jiang, and Xi Xin to warm and disperse internal evils, with Shi Gao as a major component to clear evil heat.17. The meaning of treating phlegm and drink diseases with warming medicine. Answer: This clause points out the major treatment method for phlegm and drink diseases. Drink is a yin evil, most easily injuring yang. Drink is caused by water accumulation, encountering cold it coagulates, receiving warmth it moves. If yang qi can cloud, diffuse, and transform, drink evil can be expelled, hence “should use warming medicine to harmonize.” “Warming medicine” can invigorate yang qi, open pores, and promote the flow of water pathways; “harmonize” means that while warming should not be excessive, nor should it be solely focused on warming, but should harmonize and regulate with warming medicine.18. Differentiate between Zhu Ling Tang and Wu Ling San. Answer: Zhu Ling Tang and Wu Ling San both have symptoms of difficulty urinating, thirst wanting to drink water, floating pulse, and fever, but their mechanisms differ. Wu Ling San’s mechanism is that the exterior evil heat enters the interior, causing bladder qi transformation not functioning, leading to difficulty urinating, water stagnating and fluids not rising, and yin not being injured. Zhu Ling Tang’s mechanism is that the evil heat is in the interior, although the heat is not severe, it is mutually binding with water, and after a long time it does not disperse, and it injures yin. Therefore, in terms of treatment, Wu Ling San focuses on promoting yang, transforming qi, and moving water, using Gui Zhi to resolve the bladder qi, and also resolving the exterior; Zhu Ling Tang focuses on nourishing yin and clearing heat, hence using E Jiao and Hua Shi.19. Mechanism, symptoms, and characteristics of Fu Ling Ze Xie Tang. Answer: The mechanism is spleen deficiency not moving, with stomach having stagnant drink leading to vomiting. Characteristic symptoms: This syndrome has alternating vomiting and thirst, with the vomit being a mixture of water and food, not bitter as a characteristic. Treatment method is to tonify the spleen, promote water, transform drink, and stop vomiting. The formula includes Fu Ling and Ze Xie to lightly drain and promote drink; combined with Gui Zhi and Sheng Jiang to promote yang and transform drink, harmonizing the stomach and stopping vomiting; assisted by Bai Zhu and Gan Cao to tonify the spleen and harmonize.20. Differentiate between the four jaundice syndromes (Yin Chen Wu Ling San, Yin Chen Hao Tang, Zhi Zi Da Huang Tang, Da Huang Niao Shi Tang). Answer: Yin Chen Wu Ling San syndrome is characterized by dampness heavier than heat; main symptoms include bright yellow skin, difficulty urinating, poor appetite, white greasy tongue coating, floating and slow pulse, treatment method is to promote dampness and reduce jaundice. Yin Chen Hao Tang syndrome is characterized by dampness and heat being equally heavy; main symptoms include bright yellow skin, cold and heat not eating, dizziness upon eating, discomfort in the chest, difficulty urinating; treatment method is to clear and promote dampness and heat to reduce jaundice. Zhi Zi Da Huang Tang syndrome is characterized by heat heavier than dampness; main symptoms include bright yellow skin, discomfort in the heart, heat pain, yellow urine, dry stool; treatment method is to drain heat and remove restlessness. Da Huang Niao Shi Tang syndrome is characterized by excessive heat in the interior; symptoms include bright yellow skin, abdominal fullness, constipation, and difficulty urinating; treatment method is to open the bowels and drain heat.21. Differentiate between Dang Gui Shao Yao San and Dang Gui San. Answer: Dang Gui Shao Yao San is used to treat liver and spleen disharmony during pregnancy with abdominal pain. Dang Gui Shao Yao San nourishes blood and benefits qi, soothes the liver and strengthens the spleen, invigorates blood and promotes water, harmonizing the liver and spleen. The mechanism is related to liver and spleen disharmony, qi stagnation, and blood stasis with damp obstruction. Symptoms include abdominal tightness, continuous pain, facial swelling, limb swelling, diarrhea, and difficulty urinating. The formula emphasizes the use of Shao Yao to nourish blood and harmonize nutrients, softening the liver and relieving tightness, assisted by Dang Gui and Chuan Xiong to nourish blood and soothe qi; emphasizes the use of Ze Xie to drain dampness; Bai Zhu and Fu Ling to tonify qi and strengthen the spleen, controlling water. Dang Gui San is used to treat pregnancy blood heat with unstable fetal movement, clinically presenting with abdominal pain, unstable fetal movement, poor appetite, fatigue, thin body, dizziness, heat, pale tongue with yellow greasy coating, and slippery pulse; the formula includes Dang Gui, Shao Yao to nourish the liver and blood, and harmonize with Chuan Xiong to soothe qi and blood stagnation, Bai Zhu to strengthen the spleen and eliminate dampness, Huang Qin to stabilize yin and clear heat.22. Symptoms and formula of Xie Yu Xue Tang. Answer: The formula includes Da Huang, Tao Ren, and Zhe Chong. Refined honey is made into pills, taking one pill with wine. Symptoms include stabbing pain in the lower abdomen, fixed and immovable, or with lumps, resisting pressing, pain more than distension, purple or dark tongue with stasis spots and stasis marks, pulse is rough, etc.The content of this article is for reference only,not for professional doctors.Please do not attempt acupuncture or medication.