陈右 阴虚痰热结于脉络，项左痰核破溃，近及结喉， 骨肿痛，四肢酸楚，阴血亏耗，营卫不能流通。拟
养阴清络法。
羚羊尖（八分） 小生地（四钱） 炙鳖甲（三钱） 全当归（二钱） 粉丹皮（二钱） 京玄参（二钱）
京赤芍（二钱） 天花粉（三钱） 川黄柏（一钱） 丝瓜络（二钱） 大贝母（三钱） 竹二青（二钱）
外用海浮散、太乙膏。
黄右 少阳相火，挟痰上升，颈左痰核，肿突坚硬，劳则作痛，并起水泡，防其破溃。拟养阴清肝。
羚羊尖（八分） 粉丹皮（二钱） 京赤芍（二钱） 全当归（二钱） 京玄参（二钱） 大贝母（三钱）
炙僵蚕（三钱） 夏枯草（二钱） 广橘红（八分） 海蛤粉（四钱） 淡海藻（二钱） 连翘壳（三钱）
海蜇皮（漂淡，二两） 大荸荠（洗打、两味煎汤代水，二两）
费右 盘颈痰毒半月，势将成脓。
熟牛蒡（二钱） 大贝母（三钱） 炙僵蚕（三钱） 粉丹皮（二钱） 京赤芍（二钱） 酒炒黄芩（二钱）
陈广皮（一钱） 粉甘草
六分） 夏枯草（二钱） 竹二青（二钱） 小金丹（陈酒化服，一粒）
外用金箍散，金黄散，葱汁，白蜜调，炖温敷。
鲍左 锁喉痰毒，漫肿疼痛，根盘 红，风温痰热，蕴结上焦。拟辛凉清解。
荆芥穗（一钱） 青防风（一钱） 薄荷叶（八分） 炒牛蒡（二钱） 生草节（八分） 苦桔梗（一钱）
轻马勃（八分） 大贝母（三钱） 炙僵蚕（三钱） 金银花（三钱） 连翘壳（三钱） 海蛤粉（四钱） 六
神丸（吞服，十粒）
二诊 清解后，证象较松，药既合病，仍宗原法进步。
薄荷叶（八分） 生草节（八分） 大贝母（三钱） 熟牛蒡（二钱） 苦桔梗（一钱） 炙僵蚕（二钱）
青防风（一钱） 轻马勃（八分） 京赤芍（二钱） 金银花（三钱） 海蛤粉（三钱） 山慈菇片（八分）
六神丸（吞服，十粒）
周左 痰毒漫肿作痛，酿脓之兆。宜与和托，以冀一溃，症自安矣。
薄菏叶（八分） 熟牛蒡（二钱） 京赤芍（二钱） 生草节（六分） 苦桔梗（一钱） 轻马勃（八分）
大贝母（三钱） 炙僵蚕（三钱） 山慈菇片（八分） 炙甲片（一钱五分） 皂角针（一钱五分） 丝瓜络（二钱）
Patient Chen, Right side. Yin deficiency with phlegm-heat binding in the collaterals; a phlegma nodule (Phlegma Nodule) on the left neck has ulcerated, extending to the larynx (Larynx), accompanied by bone swelling and pain, and soreness/heaviness in the four limbs. Due to the depletion of yin-blood, Ying (Nutritive Qi) and Wei (Defensive Qi) fail to circulate smoothly. The proposed treatment is to nourish yin and clear the collaterals.
Prescription: Antelope Horn Tip (Lingyang Jiao, 8 fen), Little Rehmannia Root (Xiao Shengdi, 4 qian), Prepared Turtle Shell (Zhi Biejia, 3 qian), Whole Angelica Sinensis (Quan Danggui, 2 qian), Powdered Moutan Cortex (Fen Danpi, 2 qian), Jing Scrophularia Root (Jing Xuanshen, 2 qian), Jing Red Peony Root (Jing Chishao, 2 qian), Trichosanthes Root (Tianhuafen, 3 qian), Sichuan Phellodendron Bark (Chuan Huangbai, 1 qian), Luffa Vine Network (Sigualuo, 2 qian), Large Fritillaria Bulb (Da Beimu, 3 qian), Bamboo Sap (Zhu Erqing, 2 qian).
External application: Haifu San (Sea Floating Powder), Taiyi Gao (Taiyi Plaster).
Patient Huang, Right side. Shaoyang Ministerial Fire, carrying phlegm upward; a phlegma nodule on the left neck is swollen, protruding, and hard. Pain worsens with exertion, and blisters have appeared; prevention of ulceration is advised. The proposed treatment is to nourish yin and clear the liver.
Prescription: Antelope Horn Tip (Lingyang Jiao, 8 fen), Powdered Moutan Cortex (Fen Danpi, 2 qian), Jing Red Peony Root (Jing Chishao, 2 qian), Whole Angelica Sinensis (Quan Danggui, 2 qian), Jing Scrophularia Root (Jing Xuanshen, 2 qian), Large Fritillaria Bulb (Da Beimu, 3 qian), Prepared Silkworm (Zhi Jiangcan, 3 qian), Prunella Spike (Xiakucao, 2 qian), Broad Tangerina Peel (Guang Juhong, 8 fen), Clam Shell Powder (Haige Fen, 4 qian), Light Seaweed (Dan Zaocai, 2 qian), Forsythia Fruit Shell (Lianqiao Qiao, 3 qian), Jellyfish Skin (Hai Zhe Pi, rinsed to remove salt, 2 liang), Large Water Chestnut (Da Biqi, washed and crushed, these two ingredients decocted as water substitute, 2 liang).
Patient Fei, Right side. Neck coiling phlegma-toxin for half a month, condition approaching suppuration (formation of pus).
Prescription: Prepared Arnebia/Buddleja Seed (Shu Niubang, 2 qian), Large Fritillaria Bulb (Da Beimu, 3 qian), Prepared Silkworm (Zhi Jiangcan, 3 qian), Powdered Moutan Cortex (Fen Danpi, 2 qian), Jing Red Peony Root (Jing Chishao, 2 qian), Wine-fried Scutellaria Root (Jiu Chao Huangqin, 2 qian), Aged Tangerina Peel (Chen Guangpi, 1 qian), Powdered Licorice Root (Fen Gancao, 6 fen), Prunella Spike (Xiakucao, 2 qian), Bamboo Sap (Zhu Erqing, 2 qian), Xiao Jin Dan (Little Golden Pill, dissolved in aged yellow wine and taken orally, 1 pill).
External application: Jin Gu San (Golden Hoop Powder), Jin Huang San (Golden Yellow Powder), mixed with green onion juice and white honey, warmed in a steamer, and applied externally.
Patient Bao, Left side. Lock-throat phlegma-toxin, diffuse swelling and pain, redness at the root base. Wind-warmth phlegm-heat accumulating in the Upper Jiao (Upper Burner). The proposed treatment is acrid-cool clearing and resolving.
Prescription: Schizonepeta Spike (Jingjie Sui), Green Saposhnikovia Root (Qing Fangfeng, 1 qian), Mint Leaf (Bohe Ye, 8 fen), Fried Arnebia/Buddleja Seed (Chao Niubang, 2 qian), Raw Licorice Node (Sheng Caojie, 8 fen), Bitter Platycodon Root (Ku Jiegeng, 1 qian), Light Polyporus Mushroom (Qing Mabo, 8 fen), Large Fritillaria Bulb (Da Beimu, 3 qian), Prepared Silkworm (Zhi Jiangcan, 3 qian), Honeysuckle Flower (Jinyinhua, 3 qian), Forsythia Fruit Shell (Lianqiao Qiao, 3 qian), Clam Shell Powder (Haige Fen, 4 qian), Liu Shen Wan (Six Gods Pill, swallowed, 10 pills).
Second Visit: After clearing and resolving, the symptoms appear looser/more relaxed. Since the medication matches the disease pattern, continue with the original method to advance the treatment.
Prescription: Mint Leaf (Bohe Ye, 8 fen), Raw Licorice Node (Sheng Caojie, 8 fen), Large Fritillaria Bulb (Da Beimu, 3 qian), Prepared Arnebia/Buddleja Seed (Shu Niubang, 2 qian), Bitter Platycodon Root (Ku Jiegeng, 1 qian), Prepared Silkworm (Zhi Jiangcan, 2 qian), Green Saposhnikovia Root (Qing Fangfeng, 1 qian), Light Polyporus Mushroom (Qing Mabo, 8 fen), Jing Red Peony Root (Jing Chishao, 2 qian), Honeysuckle Flower (Jinyinhua, 3 qian), Clam Shell Powder (Haige Fen, 3 qian), Smilax Glabra Rhizome Slice (Shancigu Pian, 8 fen), Liu Shen Wan (Six Gods Pill, swallowed, 10 pills).
Patient Zhou, Left side. Phlegma-toxin with diffuse swelling and pain, signs of impending suppuration. It is appropriate to use harmonizing and supporting methods (He Tuo), hoping that upon rupture/drainage, the condition will settle naturally.
Prescription: Mint Leaf (Bohe Ye, 8 fen), Prepared Arnebia/Buddleja Seed (Shu Niubang, 2 qian), Jing Red Peony Root (Jing Chishao, 2 qian), Raw Licorice Node (Sheng Caojie, 6 fen), Bitter Platycodon Root (Ku Jiegeng, 1 qian), Light Polyporus Mushroom (Qing Mabo, 8 fen), Large Fritillaria Bulb (Da Beimu, 3 qian), Prepared Silkworm (Zhi Jiangcan, 3 qian), Smilax Glabra Rhizome Slice (Shancigu Pian, 8 fen), Prepared Tortoise/Turtle Shell Plate (Zhi Jiapian, 1.5 qian), Gleditsia Sinensis Thorn (Zaojiaozhen, 1.5 qian), Luffa Vine Network (Sigualuo, 2 qian).