Tai Yang – Gui Zhi Tang (DGR)

Case by: Ding Gan-Ren (1865-1926)

Mr. Bai presented with a pathogen in the tai yang that had not yet resolved. There was a loss of normal order of the nutritive and protective aspects. There was physical cold, fear of cold, cough, stifling sensation in the chest, full body aching pain, reduced food intake, and a greasy tongue coat. It was proper to use a Cinnamon Twig Decoction (guì zhï täng) method.

  • Cinnamomi Ramulus (guì zhï)8 fen
  • Fritillariae thunbergii Bulbus (zhè bèi mû)3 qian
  • Pinelliae Rhizoma preparatum (zhì bàn xià)2 qian
  • dry-fried Setariae (Oryzae)Fructus germinatus (gû yá)4 qian
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Distension (FSF #6)

Case by: Fei Sheng-Fu(费绳甫）

The wife of minister Jin Junhui from Anhui [suffered] from severe distension of the chest and abdomen, which caused painful knotting and lumps. The legs and feet were distended and swollen, there was internal heat with dryness of the mouth, and she was mentally tired and lacked strength. The momentum of this disorder was towards the development of drum-like abdominal distension and previous treatment had been unsuccessful. I examined her pulse, which was deep, thin and slippery. Both qi and yin fluids were deficient. Liver yang ascended carrying damp-heat [with it] to obstruct the qi dynamic and scorch the yin fluids so that their irrigating [function] had been lost. The necessary treatment [strategy] is to build up and nourish qi and yin fluids, combined with clearing the Liver and transforming dampness. Such a strategy is bound to yield results.

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Constraint (Liver) YTS

Original Case by: Ye Tian-Shi (叶天士)

There was gastric cavity pain that had already ceased. Currently there was a sour taste in the mouth.  Actually this is Liver constraint.

Gold Dendrobium (jïn shí hú)
Black gardenia (hëi shän zhï zî)
Moutan Cortex(mû dän pí)
Pinelliae massa fermentata (bàn xià qü)
Citri reticulatae Exocarpium rubrum (jú hóng)
Eriobotryae Folium (pí pa yè)

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Cough and panting (FSF)

Case by Fei Sheng-Fu (费绳甫）

The wife of Mr. Zhu Zhushi from Zhejiang was ill with cough and panting so that it was difficult for her to lie down at night. Her heart was irritable and vexed, she had a stifling sensation in the upper abdomen, and the mouth was greasy with little intake of either food or drink. The face was puffy and the legs swollen, and at night she could not sleep. The momentum [of this disorders] was extremely serious. When I examined her the pulse came overflowing, big, wiry and rapid.

[Diagnosis & Pathodynamic]: Both qi and yin fluids were deficient so that Liver yang ascended excessively. This combined with habitually steaming phlegm dampness blocking Lungs and Stomach so that clarifying and directing downward had no force.

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Constraint – Ascending Liver wind (YTS)

Original Case by: Ye Tian-Shi (叶天士)

At the onset of the illness there was left-sided numbness and tingling, the tongue was stiff, the sinews were hoisted (tight?) and back of the head was painful. There was also phlegm obstruction in the throat. This is Liver wind ascending and guiding. This certainly is caused from constraint and clumping of the emotions.

Saigae tataricae Cornu (líng yáng jiâo)
Forsythiae Semen (lián qiáo xïn)
Fresh Rehmanniae Radix (xiān shëng dì huáng)
Scrophulariae Radix (xuán shën)
Acori tatarinowii Rhizoma (shí chäng pû))
Curcumae Radix juice ( (yù jïn zhī)

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