Liver constraint with ascending wind /fire (YTS)

Original Case by: Ye Tian-Shi (叶天士)

[Patient] Zhu (32) [suffered from] depression, weeping, and grief that caused an internal stirring of Liver yang. The yang qi transformed into fire wind. The [disease] had form and had sound, which [could be heard] passing through the diaphragm and gushing to the throat. There was a feeling of cold, but this was not true cold. The Inner Classic says that an excess of any of the five emotions leads to fire. [This condition] however, had not arisen from [an invasion] of external six qi.

Medicinals such as huang qin (Scutellariae Radix) and huang lian (Coptidis Rhizoma) are unable to subdue the problem. To stabilize [the situation] one must use a soft and moderate [approach] by means of moistening. This conforms with [the idea that] the Liver is an unyielding viscera and to help it one should use a softening method, while also using a harmonizing method. (Liver constraint wind fire ascending)

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Constraint (ascendant yang) (YTS)

Original Case by: Ye Tian-Shi (叶天士)

[Patient] Wu, age 41, [after] undergoing excessive agitation, had Liver and Gallbladder ascendant yang. The Stomach qi was getting worse and worse. The pulse should be pulsing on the left. The treatment was through [addressing] the constrained heat.

mu dan pi (Moutan Cortex)
hei shan zhi zi (black gardenia)
bo he geng (Menthae haplocalycis Stem)
gou teng (Uncariae Ramulus cum Uncis)
chen pi (Citri reticulatae Pericarpium)
bai shao (Paeoniae Radix alba)
fu ling (Poria)
shen qu (medicated leaven)

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Misdiagnosed – Painful Obstruction #4

Qì and Blood Depletion – Liver and Kidney insufficiency mistaken for wind-cold-damp painful obstruction.

Misuse of the Fire Spirit Current.

[Patient] Xu was a 59 year old woman who is chronically exposed to water- damp while working. After many years she developed joint-bone limp aching pain that sometimes was mild and sometimes was serious. After retirement it progressively worsened year after year. She sought out many treatments from the hospital, but with no results. Someone recommended her an empirical formula of chuan cao wu (Aconiti et Aconiti Kusnezoffii Radix Lateralis) 50g, zhi fu zi (Aconiti Radix Lateralis Praeparata) 50g, gui zhi (Cinnamomi Ramulus 30g, qiang huo Notopterygii Rhizoma seu Radix) 30g, chuan xiong (Chuanxiong Rhizoma) 30g, ma huang (Ephedrae Herba) 15g, xi xin (Asari Herba) 15g, gan song (Nardostachydis Radix seu Rhizoma) 30g, tao ren (Persicae Semen) 15g, hong hua (Carthami Flos) 15g, chi shao (Paeoniae Radix rubra) 15g, ru xiang (Olibanum) 15g, mo yao (Myrrha) 15g, and qian nian jian (Homalomenae Rhizoma) 30g.

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Build up of blood with mania (YTS)

Original Case by: Ye Tian-Shi (叶天士)

[Patient] Wu [suffered from] a warm disease for 70 days. The right pulse was long and left was deep. The tongue was limp with [a desire] to drink cold beverages. There was heart irritability-heat. The spirit qi was sometimes clear yet sometimes deranged. On the third day of menstrual bleeding the disease started. Hot qi settled internally in the blood, overwhelming the emptiness leading to inward fall. This disease should be considered stasis heat in the interior. However it had already become dangerous, and [must be approached] from a condition of buildup of blood with mania.

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Cough and wheezing (ma huang tang)

Case by: Jiang Chun-Hua (姜春华)

[Patient] Hu, a 46 year old female, had [suffered from] cough and wheezing for seven years. She recently contracted a wind-cold invasion which manifested as a blockage and stifling sensation in the chest, hindered breathing, cough and wheezing with profuse phlegm, and water sounds in the throat. The tongue coat was white and the pulse was floating. Two packets of a modified ma huang tang (Ephedra Decotion) prescription was given:

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