鲜荷梗（一尺） 水炒川连（四分） 鲜藿香佩兰（各二钱） 生熟谷芽（各三钱）
四诊 胸痞十去七八，腑气已通，浊气已得下降。惟纳谷衰少，小溲短赤混浊，临晚微有潮热，脉象右濡
滑而数，左弦细带数，苔薄腻微黄。肾阴亏于未病之先，湿热逗留募原，三焦宣化失司，脾胃营运无权。叶香
岩先生云∶湿热为粘腻熏蒸之邪，最难骤化，所以缠绵若此也。再拟宣气通胃，苦降渗湿。
清水豆卷（六钱） 赤茯苓（三钱） 银柴胡（一钱） 鲜枇杷叶（四片） 鲜荷梗（一尺） 黑山栀
（一钱五分） 炒枳实（八分） 块滑石（三钱） 仙半夏（二钱） 川贝母（二钱） 通草（八分） 谷麦
芽（各三钱） 川黄连（三分） 鲜藿香佩兰（各二钱） 栝蒌皮（三钱） 荸荠梗（一钱五分）
五诊 门人余继鸿接续代诊。小溲浑赤渐淡，胃气来复，渐渐知饥。头眩神疲，因昨晚饥而未食，以致
虚阳上扰也。脘痞已除，午后仍见欠舒，良由湿热之
邪，旺于午后，乘势而上蒸也。脾胃虽则渐运，而三焦之间，湿热逗留，一时未能清彻。口涎甚多，此脾虚不
能摄涎也。今拟仍宗原法中加和胃运脾之品。
清水豆卷（六钱） 赤茯苓（三钱） 块滑石（三钱） 鲜枇杷叶（去毛，四片） 鲜荷梗（一尺）
黑山栀（一钱五分） 生于术（八分） 通草（八分） 仙半夏（一钱五分） 谷麦芽（各三钱） 炒枳实（八分）
鲜藿香佩兰（各二钱） 杭菊花（一钱五分） 栝蒌皮（三钱） 川贝母（二钱） 橘白络（各一钱） 荸荠梗
（一钱五分）
六诊 饮食渐增，口亦知味，脾胃运化之权，有恢复之机，小溲赤色已淡，较昨略长，湿热有下行之势，俱
属佳征。神疲乏力，目视作胀，且畏灯亮，此正虚浮阳上扰也。口涎渐少，脾气已能摄涎。舌苔薄腻，而黄色
已化，脉象右寸关颇和，左关无力，两尺细软，邪少正虚。再拟温胆汤，加扶脾宣气，而化湿热之品，标本同
治。
清水豆卷（六钱） 赤茯苓（三钱） 川贝母（二钱） 鲜枇杷叶（四片） 鲜荷梗（一尺） 生于术（一钱五分）
橘白络（各八分） 谷麦芽（各三钱） 杭菊花（一钱五分） 广郁金（一钱） 生苡仁（三钱） 炒竹茹（一钱五分）
仙半夏（一钱五分） 鲜藿香佩兰（各二钱） 通草（八分） 建兰叶（三片）
此方本用枳实、栝蒌皮二味，因大便又行兼溏，故去之。
七诊 腹胀已舒，饮食亦香，小溲渐清，仅带淡黄色，昨解大便一次颇畅，作老黄色，久留之湿热滞浊，从
二便下走也。今早欲大便未得，略见有血，良由湿热蕴于大肠血分，乘势外达，可无妨碍。脾胃运化有权，正
气日渐恢复，当慎起居，谨饮食，不可稍有疏忽，恐其横生枝节也。再与扶脾宣化，而畅胃气。
生于术（一钱） 朱茯苓（三钱） 通草（八分） 鲜荷梗（一尺） 鲜藕节（三枚） 清水豆卷（四钱）
橘白络（各一钱） 川贝母（二钱） 仙半夏（一钱五分） 生苡仁（三钱） 谷麦芽（各三钱） 京赤芍（一钱五分）
炒竹茹（一钱五分） 杭菊花（一钱五分） 建兰叶（三片） 荸荠梗（一钱五分）
八诊 脾胃为资生之本，饮食乃气血之源，正因病而虚，病去则正自复。今病邪已去，饮食日见增加，小
溲渐清，略带淡黄，三焦蕴留之湿热，从二便下达，脾胃资生有权，正气日振矣。舌根腻，未能尽化，脉象颇和，
惟尺部细小。再与扶脾和胃，而化余湿。
生于术（一钱） 朱茯苓（三钱） 谷麦芽（各三钱） 鲜荷梗（一尺） 鲜建兰叶（二片） 清水豆卷（四钱）
橘白络（各一钱） 豆衣（一钱五分） 仙半夏（一钱五分） 生苡仁（三钱） 炒
杭菊（一钱五分） 炒竹茹（一钱五分） 鲜藿香佩兰（各二钱） 通草（八分）
九诊 脉象渐渐和缓，脏腑气血，日见充旺，病后调养，饮食为先，药物次之。书云∶胃以纳谷为宝。又
云∶无毒治病，十去其八，毋使过之，伤其正也。补养身体，最冲和者，莫如饮食。今病邪尽去，正宜饮食缓
缓调理，虽有余下微邪，正足则自去，不必虑也。再与调养脾胃，而化余邪。
生于术（一钱五分） 橘白络（各一钱） 谷麦芽（各三钱） 鲜荷梗（一尺） 清水豆卷（四钱）
生苡仁（三钱） 佩兰梗（一钱五分） 建兰叶（二片） 朱茯神（二钱） 生淮药（二钱） 豆衣（一钱五分）
炒杭菊（一钱五分） 鲜佛手（一钱） 通草（八分）
十诊 病邪尽去，饮食颇旺，脉象和缓有神，正气日见充旺。小便虽长，色带黄，苔薄腻，余湿未尽。四
日未更衣，因饮食多流汁之故，非燥结可比，不足虑也。当此夏令，还宜慎起居，节饮食，精心调养月余，可以复
元。再拟健运脾胃，而化余湿。
生于术（一钱五分） 栝蒌皮（三钱） 川贝母（三钱） 鲜佩兰
三钱） 清水豆卷（四钱） 朱茯神（三钱） 生苡仁（三钱） 通草（一钱） 鲜荷梗（一尺） 橘白络（各一钱）
生熟谷芽（各三钱）
Fresh Lotus Stem (Yi Chi) Water-fried Coptis Rhizome (Si Fen) Fresh Agastache and Patchouli (Each Er Qian) Raw and Cooked Coix Seed Sprouts (Each San Qian)
Fourth Visit: The chest oppression has subsided by seven or eight tenths, the fu-organ qi is now unobstructed, and turbid qi has descended. However, appetite remains poor, urine is scanty, red, dark, and turbid, with slight tidal fever in the evening. The pulse is soft, slippery, and rapid on the right, and wiry, fine, and slightly rapid on the left; the tongue coating is thin, greasy, and slightly yellow. Kidney yin was deficient prior to the onset of disease; damp-heat lingers in the Mu Yuan (semi-exterior semi-interior region), causing dysfunction of the San Jiao's diffusion and transformation, and weakness in the Spleen and Stomach's transportation and transformation. Mr. Ye Tianshi stated: "Damp-heat is a sticky, steaming pathogen, most difficult to resolve abruptly, hence the lingering nature of this condition." We again propose to diffuse qi and descend stomach qi, using bitter-cold methods to drain dampness.
Clear Water Soybean Sprout (Liu Qian) Red Poria (San Qian) Silver Bupleurum Root (Yi Qian) Fresh Loquat Leaf (Pian Si) Fresh Lotus Stem (Yi Chi) Black Gardenia Fruit (Yi Qian Wu Fen) Fried Immature Bitter Orange (Ba Fen) Block Talcum (San Qian) Fairy Pinellia (Er Qian) Sichuan Fritillaria Bulb (Er Qian) Tong Cao (Ba Fen) Barley and Oat Sprouts (Each San Qian) Coptis Rhizome (San Fen) Fresh Agastache and Patchouli (Each Er Qian) Trichosanthes Peel (San Qian) Water Chestnut Stem (Yi Qian Wu Fen)
Fifth Visit: Disciple Yu Jihong continued the consultation. Urine turbidity and redness have gradually faded, stomach qi is recovering, and hunger sensations are returning. Dizziness and mental fatigue occurred because he went hungry last night without eating, leading to floating yang disturbing upward. Epigastric fullness has been resolved, but slight discomfort persists in the afternoon, likely due to damp-heat pathogens flourishing in the afternoon and steaming upward. Although the Spleen and Stomach are gradually transporting, damp-heat still lingers in the San Jiao and cannot be cleared instantly. Excessive saliva indicates Spleen deficiency failing to control fluids. Now we adhere to the original method, adding herbs to harmonize the stomach and promote Spleen transport.
Clear Water Soybean Sprout (Liu Qian) Red Poria (San Qian) Block Talcum (San Qian) Fresh Loquat Leaf (de-hairy, Pian Si) Fresh Lotus Stem (Yi Chi) Black Gardenia Fruit (Yi Qian Wu Fen) Raw Atractylodes Macrocephala Rhizome (Ba Fen) Tong Cao (Ba Fen) Fairy Pinellia (Yi Qian Wu Fen) Barley and Oat Sprouts (Each San Qian) Fried Immature Bitter Orange (Ba Fen) Fresh Agastache and Patchouli (Each Er Qian) Hangzhou Chrysanthemum Flower (Yi Qian Wu Fen) Trichosanthes Peel (San Qian) Sichuan Fritillaria Bulb (Er Qian) Tangerine White Rind and Fibers (Each Yi Qian) Water Chestnut Stem (Yi Qian Wu Fen)
Sixth Visit: Diet has gradually increased, taste sensation has returned, indicating the recovery of Spleen and Stomach transport functions. Urine color has lightened, volume is slightly longer than yesterday, showing damp-heat descending, all favorable signs. Mental fatigue and weakness, eye distension when viewing objects, and photophobia indicate deficiency of righteous qi with floating yang disturbing upward. Saliva has decreased, showing the Spleen can now control fluids. Tongue coating is thin and greasy, yellow color has transformed. Pulse at Right Cun and Guan is harmonious, Left Guan is weak, both Chi positions are fine and soft; pathogenic factors are few, while righteous qi is deficient. We again prescribe Wendan Decoction (Phlegm-Resolving Decoction), adding herbs to support the Spleen, diffuse qi, and transform damp-heat, treating both root and branch simultaneously.
Clear Water Soybean Sprout (Liu Qian) Red Poria (San Qian) Sichuan Fritillaria Bulb (Er Qian) Fresh Loquat Leaf (Pian Si) Fresh Lotus Stem (Yi Chi) Raw Atractylodes Macrocephala Rhizome (Yi Qian Wu Fen) Tangerine White Rind and Fibers (Each Ba Fen) Barley and Oat Sprouts (Each San Qian) Hangzhou Chrysanthemum Flower (Yi Qian Wu Fen) Curcuma Zedoina Rhizome (Yi Qian) Raw Coix Seed (San Qian) Fried Bamboo Shavings (Yi Qian Wu Fen) Fairy Pinellia (Yi Qian Wu Fen) Fresh Agastache and Patchouli (Each Er Qian) Tong Cao (Ba Fen) Jianlan Leaf (Pian San)
This formula originally used Immature Bitter Orange and Trichosanthes Peel, but they were removed because stool became loose.
Seventh Visit: Abdominal distension has eased, food tastes good, urine is gradually clear with only a pale yellow tint. Yesterday, one bowel movement was smooth and old-yellow colored, indicating long-standing damp-heat stagnation exiting via urination and defecation. This morning, an urge to defecate yielded no result, with slight blood observed, likely due to damp-heat accumulating in the Large Intestine blood level and reaching outward; this is not harmful. Spleen and Stomach transport function is restored, righteous qi recovers daily. One must be cautious with daily routine and diet to avoid complications. We again provide formulas to support the Spleen, diffuse transformation, and unblock Stomach qi.
Raw Atractylodes Macrocephala Rhizome (Yi Qian) Cinnabar-coated Poria (San Qian) Tong Cao (Ba Fen) Fresh Lotus Stem (Yi Chi) Fresh Lotus Node (Mei San) Clear Water Soybean Sprout (Si Qian) Tangerine White Rind and Fibers (Each Yi Qian) Sichuan Fritillaria Bulb (Er Qian) Fairy Pinellia (Yi Qian Wu Fen) Raw Coix Seed (San Qian) Barley and Oat Sprouts (Each San Qian) Jing Red Peony Root (Yi Qian Wu Fen) Fried Bamboo Shavings (Yi Qian Wu Fen) Hangzhou Chrysanthemum Flower (Yi Qian Wu Fen) Jianlan Leaf (Pian San) Water Chestnut Stem (Yi Qian Wu Fen)
Eighth Visit: The Spleen and Stomach are the root of nourishment; diet is the source of qi and blood. Illness causes deficiency; removing pathogens restores righteousness. Pathogens are gone, diet increases daily, urine clears with slight yellow tint, damp-heat in the San Jiao descends via excretions, Spleen and Stomach nourish effectively, and righteous qi strengthens. Tongue root coating remains greasy, not fully transformed. Pulse is harmonious except for fine/small Chi position. We again provide formulas to support the Spleen, harmonize the Stomach, and transform residual dampness.
Raw Atractylodes Macrocephala Rhizome (Yi Qian) Cinnabar-coated Poria (San Qian) Barley and Oat Sprouts (Each San Qian) Fresh Lotus Stem (Yi Chi) Fresh Jianlan Leaf (Pian Er) Clear Water Soybean Sprout (Si Qian) Tangerine White Rind and Fibers (Each Yi Qian) Bean Coat (Yi Qian Wu Fen) Fairy Pinellia (Yi Qian Wu Fen) Raw Coix Seed (San Qian) Fried Hangzhou Chrysanthemum Flower (Yi Qian Wu Fen) Fried Bamboo Shavings (Yi Qian Wu Fen) Fresh Agastache and Patchouli (Each Er Qian) Tong Cao (Ba Fen)
Ninth Visit: Pulse gradually becomes harmonious; zang-fu organs and qi-blood increase daily. Post-illness convalescence prioritizes diet over medicine. Classics state: "The Stomach treasures grain intake." Also: "Non-toxic treatments remove ten of eight pathogenic factors; do not overdo it to injure righteousness." Nourishing the body is best achieved through mild diet. With pathogens gone, slow dietary regulation is appropriate. Residual minor pathogens will dissipate as righteousness strengthens; no need to worry. We again provide formulas to regulate Spleen and Stomach and transform residual pathogens.
Raw Atractylodes Macrocephala Rhizome (Yi Qian Wu Fen) Tangerine White Rind and Fibers (Each Yi Qian) Barley and Oat Sprouts (Each San Qian) Fresh Lotus Stem (Yi Chi) Clear Water Soybean Sprout (Si Qian) Raw Coix Seed (San Qian) Patchouli Stem (Yi Qian Wu Fen) Jianlan Leaf (Pian Er) Cinnabar-coated Poria Spirit (Er Qian) Raw Chinese Yam (Er Qian) Bean Coat (Yi Qian Wu Fen) Fried Hangzhou Chrysanthemum Flower (Yi Qian Wu Fen) Fresh Finger Citron (Yi Qian) Tong Cao (Ba Fen)
Tenth Visit: Pathogens completely eliminated, appetite robust, pulse harmonious and spirited, righteous qi strengthening daily. Urine volume is high but color yellow, tongue coating thin and greasy, residual dampness not fully cleared. No bowel movement for four days due to liquid diet, not dryness constipation, so no concern. In summer, one should be cautious with routine and diet, carefully convalescing for a month to recover vitality. We again propose formulas to strengthen Spleen and Stomach transport and transform residual dampness.
Raw Atractylodes Macrocephala Rhizome (Yi Qian Wu Fen) Trichosanthes Peel (San Qian) Sichuan Fritillaria Bulb (San Qian) Fresh Patchouli (San Qian) Clear Water Soybean Sprout (Si Qian) Cinnabar-coated Poria Spirit (San Qian) Raw Coix Seed (San Qian) Tong Cao (Yi Qian) Fresh Lotus Stem (Yi Chi) Tangerine White Rind and Fibers (Each Yi Qian) Raw and Cooked Coix Seed Sprouts (Each San Qian)