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Jingui Yaolue · Essentials from the Golden Cabinet
19. Instep Reversal, Swollen Fingers and Arms, Cramps, Yinhu-Shan and Roundworms · Pulses, Signs and Treatment
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The Master says: Fujue illness permits going forward but not backward. Needle into the calf two cun. This is Greater Yang channel injury.
A patient with the supplied constantly/by-the-hand phrase, swollen, moving fingers and arms and bodily twitching is governed by Lilu Gancao Tang.
Cramping makes arms and feet straight, pulse traveling up and down slightly wiry. Cramping entering abdomen is governed by Jishibai San.
Jishibai San Formula
White chicken-dropping material, quantity not supplied.
Powder this ingredient, mix a fangcunbi with 6 he water and take warm.
Yinhu-shan qi, unequal in size on one side and moving up and down at times, is governed by Zhizhu San.
Zhizhu San Formula: spiders 14, roasted until scorched; Guizhi half a liang.
Powder the two. Mix one eighth of a spoonful with a drink, twice daily. Honey pills are also allowed by the source.
Question: How does pulse distinguish abdominal pain with worms?
The Master replies: Abdominal pain should have a deep pulse. If wiry, or instead surging and large, roundworms are present.
Roundworm illness causes saliva, Heart pain and intermittent attacks not stopped by toxic medicines. Gancao Fen Mi Tang governs.
Formula: Gancao 2 liang; fen powder 1 liang by weight, identity unspecified; honey 4 liang.
With 3 sheng water first boil Gancao to obtain 2 sheng and strain. Add powder and honey, stir together, boil like thin gruel and take 1 sheng warm. Upon recovery stop.
Roundworm reversal should cause vomiting worms. A patient quiet then intermittently vexed has cold in viscera. Worms enter the diaphragm above and cause vexation that soon stops. Food brings vomiting and renewed vexation because worms smell food and emerge; the person should vomit worms spontaneously.
Roundworm reversal is governed by Wumei Wan.
Wumei Wan Formula
Wumei 300 fruits; Xixin 6 liang; Ganjiang 10 liang; Huanglian 1 jin; Danggui 4 liang; Fuzi 6 liang, heat-processed; Chuanjiao 4 liang, moisture driven off; Guizhi 6 liang; Renshen and Huangbo 6 liang each.
Pound and sieve the ten separately, then combine. Soak Wumei overnight in bitter wine, remove pits and steam beneath 5 sheng rice. When rice is cooked, mash the plums, combine with medicines, put into a mortar and pound with honey five thousand times. Make wutong-seed-sized pills. Before food take ten with a drink, three doses, gradually increasing to twenty. Prohibit raw, cold, spoiled, foul-smelling and similar foods.
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