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Jingui Yaolue · Essentials from the Golden Cabinet
6. Blood Impediment and Deficiency-Depletion · Pulses, Signs and Treatment
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Question: How is blood impediment acquired?
The Master replies: Honored, comfortable persons have weak bones and abundant flesh. Heavy fatigue causes sweating; while lying down they move irregularly and a slight wind strikes them. Thus they acquire it. The cunkou pulse is faint and rough, small and tight at guan. Needling should draw yang qi so the pulse harmonizes, tightness leaves and recovery follows.
Blood impediment with yin and yang both faint, faint cunkou and guan, small tightness at chi, and external numbness like wind impediment is governed by Huangqi Guizhi Wuwu Tang.
Huangqi Guizhi Wuwu Tang Formula
Huangqi 3 liang; Shaoyao 3 liang; Guizhi 3 liang; Shengjiang 6 liang; Dazao 12 fruits.
Boil the five ingredients in 6 sheng water to obtain 2 sheng. Take 7 he warm three times daily. One formula includes Renshen.
In an otherwise ordinary man, a large pulse means depletion; an extremely deficient pulse also means depletion.
A man with a pale, thin facial color is prone to thirst and blood loss. Sudden panting and palpitations with a floating pulse mean interior deficiency.
A man's deficient, deep, wiry pulse, no cold or heat, short qi, internal urgency, difficult urination, white face, occasional closing of eyes, nosebleed and lower-abdominal fullness are caused by depletion.
Depletion has a floating, large pulse and vexed hands and feet. It worsens in spring and summer, improves in autumn and winter. The yin region is cold, essence discharges spontaneously, and aching debility prevents walking.
A man's floating, weak, rough pulse means no sons: essence qi is clear and cold. A variant uses another cold graph.
A person losing essence has a tense lower abdomen, cold genital tip, dizziness—a variant says socket pain—hair loss and an extremely deficient, hollow, slow pulse, with undigested-grain diarrhea, blood loss and essence loss. Hollow, stirring, faint and tight pulse qualities mean essence loss in men, dream intercourse in women. Guizhi Jia Longgu Muli Tang governs.
Guizhi Jia Longgu Muli Tang Formula
Lesser Collection says for weakness, floating heat and sweat, remove Gui and add Baiwei and Fuzi 3 fen each, hence named Erjia Longgu Tang.
Guizhi, Shaoyao and Shengjiang 3 liang each; Gancao 2 liang; Dazao 12 fruits; Longgu and Muli 3 liang each.
Boil the seven ingredients in 7 sheng water to obtain 3 sheng, divided into three warm doses.
Tianxiong San Formula
Tianxiong 3 liang, heat-processed; Baizhu 8 liang; Guizhi 6 liang; Longgu 3 liang.
Pound the four to powder. Take half a qianbi with wine three times daily. If no effect is perceived, gradually increase, according to the historical recipe.
An otherwise ordinary man with a deficient, weak, fine, faint pulse is prone to night sweats.
In a person fifty or sixty, illness with a large pulse, impediment running along both sides of the back, bowel rumbling or saber-like swellings beside the neck is acquired through depletion.
A deep, small, slow pulse is named qi desertion. Fast walking brings panting cries, hands and feet are reversely cold, abdomen full. Severe cases have sloppy diarrhea and food not digested.
Wiry and large pulse: wiry means reduction, large hollowness; reduction cold, hollowness deficiency. Deficiency and cold contending are named the leather pulse. Women miscarry and bleed downward; men lose blood and essence.
Deficiency-depletion with internal urgency, palpitations, nosebleed, abdominal pain, dream loss of essence, aching limbs, vexing heat in hands and feet, dry throat and mouth is governed by Xiao Jianzhong Tang.
Xiao Jianzhong Tang Formula
Guizhi 3 liang, bark removed; Gancao 3 liang, roasted; Dazao 12 fruits; Shaoyao 6 liang; Shengjiang 3 liang; Jiaoyi 1 sheng.
Boil the six ingredients in 7 sheng water to obtain 3 sheng. Strain, add Jiaoyi and return to low heat until dissolved. Take 1 sheng warm three times daily. Persons prone to vomiting must not use Jianzhong Tang because of its sweetness, says the note.
Deficiency-depletion with internal urgency and every insufficiency is governed by Huangqi Jianzhong Tang. Add Huangqi 1.5 liang to Xiao Jianzhong Tang; otherwise follow the preceding method. For short qi and chest fullness add Shengjiang; abdominal fullness remove jujubes and add Fuling 1.5 liang. For deficient, damaged Lung with insufficiency, supplement qi by adding Banxia 3 liang. No amount of added Shengjiang is supplied.
Deficiency-depletion with lumbar pain, contracted lower abdomen and difficult urination is governed by Eight-Ingredient Shenqi Wan. The formula is said to appear under foot-qi.
Shenqi Wan Formula
Dry Dihuang 8 liang; Shanyao and Shanzhuyu 4 liang each; Zexie, Mudanpi and Fuling 3 liang each; Guizhi and heat-processed Fuzi 1 liang each.
Powder the eight. Mix with refined honey into wutong-seed-sized pills. Take fifteen with wine, increasing to twenty-five, twice daily.
Deficiency-depletion, every insufficiency and the hundred illnesses of wind qi are governed by Shuyu Wan.
Shuyu Wan Formula
Shuyu 30 fen; Danggui, Guizhi, Qu, dry Dihuang and Douhuangjuan 10 fen each; Gancao 28 fen; Renshen 7 fen; Xiongqiong, Shaoyao, Baizhu, Maimendong and Xingren 6 fen each; Chaihu, Jiegeng and Fuling 5 fen each; Ejiao 7 fen; Ganjiang 3 fen; Bailian 2 fen; Fangfeng 6 fen; Dazao 100 fruits made into paste.
Powder the twenty-one ingredients. Mix with refined honey into pellet-sized pills. Take one on an empty stomach with wine. One hundred pills form a preparation.
Deficiency-depletion with deficient vexation and inability to sleep is governed by Suanzaoren Tang.
Suanzaoren Tang Formula
Suanzaoren 2 sheng; Gancao 1 liang; Zhimu 2 liang; Fuling 2 liang; Xiongqiong 2 liang. Master Shen also has Shengjiang 2 liang.
For the five ingredients, begin boiling Suanzaoren in 8 sheng water; when 6 sheng remain, add the others and boil to obtain 3 sheng. Divide into three warm doses. The named five-ingredient count is retained alongside Shen's addition.
Extreme deficiency and wasting in Five Depletions, abdominal fullness and inability to eat or drink: injuries from food, worry, drink, sexual activity, hunger, labor, and damage to channels, networks, nutritive and defensive qi. Dry blood lies within, skin is scaled like armor, both eyes dark. Relax the center and supplement deficiency: Dahuang Zhechong Wan governs.
Dahuang Zhechong Wan Formula
Dahuang 10 fen, steamed; Huangqin 2 liang; Gancao 3 liang; Taoren 1 sheng; Xingren 1 sheng; Shaoyao 4 liang; dry Dihuang 10 liang; Ganqi 1 liang; Mengchong 1 sheng; Shuizhi 100 pieces; Qicao 1 sheng; Zhechong half a sheng.
Powder the twelve, mix with refined honey into small-bean-sized pills. Take five with wine or drink three times daily.
Note: The mixed fen, liang and sheng quantities follow this copy without correction.
Supplement · Formula 27
Supplement: Zhigancao Tang from Wings to Thousand Gold, also called Fumai Tang. It treats deficiency-depletion, insufficiency, sweating and oppression, knotted pulse and palpitations, despite normal movement. The course does not pass a hundred days; critical cases die in eleven, according to the source.
Gancao 4 liang, roasted; Guizhi and Shengjiang 3 liang each; Maimendong half a sheng; Maren half a sheng; Renshen and Ejiao 2 liang each; Dazao 30 fruits; fresh Dihuang 1 jin.
With wine 7 sheng and water 8 sheng first boil the eight ingredients other than Ejiao to obtain 3 sheng. Strain, add the glue and dissolve fully. Take 1 sheng warm three times daily.
Supplement · Formula 28
Supplement: Tagan San from Behind-the-Elbow, for cold depletion and also ghost-transmitted affliction spreading through a household.
One whole otter liver.
Roast dry and powder. Take a fangcunbi with water three times daily.
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