Heirloomed Proof and Treatment Essentials and Related Formulas

Author: Dai Yuanli
Editor-in-Chief: Rui Lixin
Publisher:
Publish Date: 1998-06-01
Features: Synopsis This book is divided into two parts: "Secretly Transmitted Treatise on Diagnosis and Treatment" and "Treatise on Diagnosis and Treatment with Formulas," both written by the Ming Dynasty physician Dai Yuanli. The former consists of twelve volumes, organized into twelve categories, listing various diseases and conditions, with detailed descriptions of etiology, pathogenesis, symptoms, treatment principles, methods, and case studies. The latter comprises four volumes, listing the formulas used for the aforementioned conditions. It includes 167 decoction formulas, 36 drink formulas, 104 powder formulas, and 135 pill, pellet, and ointment formulas. The two books are complementary, providing both evidence and formulas, making them practical for clinical use. This book is suitable for clinical practitioners of traditional Chinese medicine in various specialties, as well as those who are newly learning traditional Chinese medicine.
Excerpt:
In cases of stroke, if the patient is unconscious or has just regained consciousness, or if they are newly or chronically ill, and suddenly vomit dark red blood, it indicates a fatal condition. If the patient is comatose and unable to take medication, quickly administer raw Pinellia ternata powder and blow it into the nose. Alternatively, use fine Asarum and Saponaria powder, blow it into the throat, and induce sneezing to restore consciousness. This can help determine the severity of the illness and whether it is treatable. If the patient slightly regains consciousness, they should be given the Eight-Tonic Qi-Regulating Powder and additional wind-calm medications. If the condition persists, use the Xiao Xù Mìng Tonic to regulate qi, then decoct it and mix with one Suhexiang Pill. Alternatively, add a small amount of musk to the Five Accumulation Powder, or use Xingxiang Powder or Xingfeng Decoction with one qian of Muxiang. If these medications are ineffective and the patient produces excessive phlegm or the condition worsens, use Xingfu Decoction. Or, add three Scutellariae Radix to San Sheng Yin Decoction and take it with Chenxiang Decoction and Yangzheng Dan. Obese individuals are prone to stroke because their qi is excessive externally but deficient internally. The lung is the pathway for qi to enter and exit, and obese people often have constrained qi, leading to an overabundance of lung pathogens. Since lung metal controls liver, and the gallbladder is the fu organ of the liver, excessive phlegm and saliva accumulate. Therefore, the primary treatment is to regulate qi. After recovery, if qi is not fully regulated and phlegm is not entirely eliminated, use Laoxiang Zhengqi Powder or Xingxiang Powder for decoction. This medicine is not only effective for stroke but also for middle qi deficiency, sudden fright, and, especially in cases of vomiting and abdominal pain with phlegm. It can also be used for phlegm after recovery. If the patient is weak and has phlegm, avoid excessive tonification. For those with heat and dryness, use Si Junzi Decoction with Xingxiang Decoction, or Liu Junzi Decoction. If the patient has stroke with deviated mouth and eyes, first smoke with Saponaria fumarum to expel external pathogens, then smoke with Frankincense to regulate blood vessels. If the patient is irritable, add Gelenium to Xiao Xù Mìng Tonic. If the patient has heat and thirst, use Xiao Xù Mìng Tonic without Aconitum and add Bupleurum half qian. If the patient is confused and speaks incoherently, add Polygonum multiflorum and Polygala tenuifolia each half qian. If the patient cannot sleep, add roasted Ziziphus jujuba half qian. If the patient cannot speak, add a small amount of bamboo juice. If the patient is weak and lacks strength, replace Ephedra with Poria in the dosage. If the patient recovers but cannot speak or eat, with severe spasms when moving quickly and slow dragging when moving slowly, making it difficult to stand or sit for years, take Jixian Dan regularly. If the patient has stroke after eating or resting normally but loses voice and speech, it is called "deaf wind." Use Xiao Xù Mìng Tonic without Aconitum and add Acorus calamus one qian. For joint and bone pain, it is called "wind pain." If the pain moves unpredictably, it is called "wandering wind." Both conditions benefit from Wuyao Shunqi Powder and Fuhuan Tongqi Decoction, swallowing Jixian Dan or Qinglong Dan. If ineffective, use Da Fangfeng Decoction or Five Accumulation Powder with Frankincense powder. For thin calves and swollen knees, it is called "crane knee wind." Use Jixian Dan. After cold exposure, if the patient has cold limbs and inability to move, with clenched jaw, or after with cold limbs and convulsions, use Cogonum Decoction and Xingxiang Powder, each half sheet, for decoction. If the patient has sudden deviated mouth and eyes and stroke medications are ineffective, it may be due to bone deficiency with wind. Seek this condition rather than treating it as ordinary stroke. is indispensable and should be roasted and used. For severe joint and bone pain, worse at night, like being bitten by a tiger, it is called "White Tiger Joint Wind." Use Jixian Dan, Qinglong Dan, or Frankincense Dan. If the patient is suddenly affected while washing near windows, it is called "eave wind." Use Five Accumulation Powder with Saposhnikoviae Radix one qian. For with pain in fixed areas, red and swollen, or with fever, it may develop into wind poison. Use Bai Du Xie Du Decoction.