马（六六）温邪自里而出。两脉洪大。烦渴便溏。脘闷食少。舌苔中绛边白。是肺大肠表里见症相应。姑拟清里。
少佐以泄邪。
桑叶（一钱） 杏仁（三钱） 连翘（二钱） 羚羊角（一钱） 桔梗（一钱） 川通草（一钱） 薄荷（一钱） 竹
心（廿根）
赵（六八）温邪逆传膻中。心阳受蒙不宣。为呕逆。为神昏。为烦渴。脉数舌绛。高年五液皆涸。最有窍闭厥脱之
虞。拟清营络热邪。
犀角（一钱） 元参（一钱五分） 郁金（一钱） 鲜生地（五钱） 丹皮（一钱） 连翘心（二钱） 石菖蒲根
（六分） 竹叶心（一钱五分） 至宝丹
虞（三○）寒热交作。头痛口渴。夫寒伤营。风伤卫。表里邪踞两日。时发腹痛。膝痛。脉浮自汗。此皆冬令寒暖
不匀。感冒时邪。至春阳气发泄。伏邪内动。治与疟病两岐。
苏梗（一钱） 淡黄芩（一钱） 桔梗（一钱） 淡豆豉（一钱五分） 杏仁（三钱） 黑山栀（一钱五分） 浓
朴（一钱）
陆（八岁）温邪内郁。寒热如疟。不与少阳同例。
淡豆豉（一钱五分） 杏仁（三钱） 桔梗（一钱） 浓朴（一钱）
淡黄芩（一钱） 连翘（一钱五分） 黑山栀（一钱五分）
陈（廿七）拟清暑法。
香薷 杏仁 滑石 淡黄芩 制半夏 栝蒌皮 浓朴
顾（廿五）暑温伏邪。头痛脘闷。身热吐蛔。
香薷（八分） 制半夏（一钱五分） 枳实（一钱） 淡黄芩（一钱） 杏仁（三钱） 小川连（六分） 浓朴（一
钱五分）
苏（廿六）暑湿未清。舌白脘闷。脉象濡弱。口渴便溏。据述始由奔走气乱。肺气 郁。有升无降。继则漫布三焦。
所以身热。不为汗衰。服苦寒辛寒方。法属无益。想三焦为气之父。是气之郁。暑湿交阻。所藉在上。清阳舒展。湿邪
自能趋下。温去自然热清耳。
大豆卷（三钱） 郁金（一钱） 苡仁（二钱） 飞滑石（三钱） 杏仁（三钱） 川通草（一钱） 木防己（一
钱五分）
徐（八岁）泄泻日旺。陷腹痛。此属冒暑。
藿香叶（一钱） 制半夏（一钱五分） 南楂炭（一钱五分） 飞滑石（三钱） 陈皮（一钱） 赤苓（三钱） 炒
浓朴（一钱）
陆（六四）服清暑方。头重舌黄如昔。躯痛咳痰皆缓。而大便不解。渴思冷冻饮料。不饥痞闷。嗳气频频。明是暑挟湿
邪踞上焦气分。致气为所阻之象。但高年辛寒苦寒。恐妨胃口。多所误用。因拟辛温。宣达通阳。
香薷（八分） 制半夏（一钱五分） 连翘（一钱五分） 白蔻仁（七分）
广皮（一钱） 淡竹叶（一钱） 郁金（一钱）
岑（四二）壮热微寒。舌绛渴饮。脉右寸关空大。左细小。议景岳玉女煎。去牛膝、麦冬。加丹皮、竹叶、川贝。
原熟地（四钱） 生石膏（四钱） 嫩竹叶（一钱五分） 川贝（去心研，一钱五分） 知母（一钱） 生甘草（三
分） 粉丹皮（一钱五分） 此方不应
又 舌绛口渴。已刻寒栗而后身热。询手肢麻木。足少阴、厥阴二脏。真阴殆尽。阳不肯潜伏。频渴究不能救其焚
燎。经旨所谓入肝则麻痹。入肾为消渴。肝肾之邪。邪深逍遥。辛寒。辛凉。苦泄。俱未能入于至阴之地。仿古浊药轻
投。不致因循贻变。
浓熟地（四钱） 上清阿胶（另烊冲，二钱） 炙甘草（四分） 拣麦冬（一钱五分） 大麻仁（一钱五分） 淡
天冬（一钱五分） 洋参（八分）
董 右脉短数。左脉细数。寤而少寐。身凉而有寒热。时作气喘。脘闷舌白。此属热邪内陷。大为重候。姑拟清泄
少阴之里。与解少阳之表合方。候高明正。
霜桑叶 鲜生地 黑山栀 香犀角 嫩元参 川贝 连翘心 粉丹皮 加茅根
又 昨进清提方法。脉数已缓。气急已退。得汗安寐。邪解之象。内陷无从再虑。前方可以渐愈。
香犀角（六分） 草郁金（一钱） 川贝（去心研，一钱五分） 鲜生地（五钱） 连翘心（一钱五分）
黑山栀（一钱五分） 霜桑叶（一钱） 粉丹皮（一钱五分） 加茅根（五钱） 荷叶（一角）
又 脘痹噫嗳稍舒。拟疏肝泄肺。以理余邪。
紫菀（一钱） 泡白杏仁（二钱） 草郁金（一钱） 炒香淡豉（一钱五分） 栝蒌皮（一钱五分） 黑山栀（一
钱五分） 羚羊角（一钱） 桔梗（八分）
Ma (66 years old): Warm pathogenic factors emerge from the interior. Both pulses are surging and large (Hong Da). There is irritability, thirst, and loose stools. The epigastrium feels stifled with poor appetite. The tongue coating is crimson in the center and white at the edges. This corresponds to simultaneous manifestation of exterior and interior syndromes of the Lung and Large Intestine. Tentatively prescribe clearing the interior heat, with a slight addition of herbs to vent the pathogen.
Sang Ye (Folium Mori, 1 qian) Xing Ren (Semen Armeniacae Amarum, 3 qian) Lian Qiao (Fructus Forsythiae, 2 qian) Ling Yang Jiao (Cornu Saigae Tataricae, 1 qian) Jie Geng (Radix Platycodonis, 1 qian) Chuan Tong Cao (Medulla Tetrapanacis, 1 qian) Bo He (Herba Menthae, 1 qian) Zhu Xin (Caulis Bambusae in Taeniam, 20 pieces)
Zhao (68 years old): Warm pathogenic factors transmit reversely to the Danzhong region. Heart Yang is obscured and cannot circulate freely. Symptoms include vomiting and hiccuping, coma, irritability, and thirst. The pulse is rapid, and the tongue is crimson. In an elderly patient, the fluids of the five zang organs are all depleted. There is great danger of orifice closure (obstruction of consciousness) and collapse of jue (yang collapse). Prescribe clearing heat from the Ying (Nutrient) level and collaterals.
Xi Jiao (Cornu Rhinocerotis, 1 qian) Yuan Shen (Radix Scrophulariae, 1.5 qian) Yu Jin (Rhizoma Curcumae, 1 qian) Xian Sheng Di Huang (Radix Rehmanniae Recens, 5 qian) Dan Pi (Cortex Moutan, 1 qian) Lian Qiao Xin (Stamen Nelumbinis, 2 qian) Shi Chang Pu (Rhizoma Acori Tatarinowii, 6 fen) Zhu Ye Xin (Lamina Folii Nymphaeae, 1.5 qian) Zhi Bao Dan (Treasure Pill)
Yu (30 years old): Alternating chills and fever. Headache and thirst. Cold damages Ying (Nutrient), Wind damages Wei (Defensive). Exterior and interior pathogens have remained for two days. Occasional abdominal pain and knee pain occur. The pulse is floating with spontaneous sweating. This is due to uneven cold and warm weather in winter, contracting seasonal pathogens. In spring, when Yang Qi erupts, latent pathogens move internally. Treatment differs from malaria.
Su Geng (Caulium Perillae, 1 qian) Dan Huang Qin (Radix Scutellariae, 1 qian) Jie Geng (Radix Platycodonis, 1 qian) Dan Dou Chi (Semen Sojae Praeparatum, 1.5 qian) Xing Ren (Semen Armeniacae Amarum, 3 qian) Hei Shan Zhi (Fructus Gardeniae, 1.5 qian) Nong Po (Cortex Magnoliae Officinalis, 1 qian)
Lu (8 years old): Warm pathogenic factors are internally constrained. Chills and fever resemble malaria. This is not the same pattern as Shaoyang syndrome.
Dan Dou Chi (Semen Sojae Praeparatum, 1.5 qian) Xing Ren (Semen Armeniacae Amarum, 3 qian) Jie Geng (Radix Platycodonis, 1 qian) Nong Po (Cortex Magnoliae Officinalis, 1 qian)
Dan Huang Qin (Radix Scutellariae, 1 qian) Lian Qiao (Fructus Forsythiae, 1.5 qian) Hei Shan Zhi (Fructus Gardeniae, 1.5 qian)
Chen (27 years old): Prescribe a method for clearing summerheat.
Xiang Ru (Herba Elsholtziae) Xing Ren (Semen Armeniacae Amarum) Hua Shi (Talcum) Dan Huang Qin (Radix Scutellariae) Zhi Ban Xia (Rhizoma Pinelliae Preparatum) Gua Lou Pi (Pericarpium Trichosanthis) Nong Po (Cortex Magnoliae Officinalis)
Gu (25 years old): Summer-heat latent pathogenic factor. Headache and epigastric stifling. Fever and vomiting of roundworms.
Xiang Ru (Herba Elsholtziae, 8 fen) Zhi Ban Xia (Rhizoma Pinelliae Preparatum, 1.5 qian) Zhi Shi (Fructus Aurantii Immaturus, 1 qian) Dan Huang Qin (Radix Scutellariae, 1 qian) Xing Ren (Semen Armeniacae Amarum, 3 qian) Xiao Chuan Lian (Radix Coptidis, 6 fen) Nong Po (Cortex Magnoliae Officinalis, 1.5 qian)
Su (26 years old): Summer-heat and dampness are not yet cleared. White tongue coating and epigastric stifling. Pulse is soggy and weak. Thirst and loose stools. It is stated that initially, running caused chaotic Qi movement, leading to Lung Qi stagnation with ascending but no descending. Subsequently, it spread throughout the San Jiao (Triple Burner). Hence, fever does not subside with sweating. Taking bitter-cold and acrid-cold formulas is ineffective. The San Jiao is the father of Qi; Qi stagnation, combined with summer-heat and dampness obstruction, relies on the clearing Yang above expanding. Dampness will naturally descend, and once warmth is removed, heat clears naturally.
Da Dou Juan (Semen Sojae Preparatum, 3 qian) Yu Jin (Rhizoma Curcumae, 1 qian) Yi Ren (Semen Coicis, 2 qian) Fei Hua Shi (Talcum, 3 qian) Xing Ren (Semen Armeniacae Amarum, 3 qian) Chuan Tong Cao (Medulla Tetrapanacis, 1 qian) Mu Fang Ji (Radix Stephaniae Tetrandrae, 1.5 qian)
Xu (8 years old): Diarrhea is worsening daily, sinking into abdominal pain. This belongs to contracting summer-heat.
Huo Xiang Ye (Folium Pogostemonis, 1 qian) Zhi Ban Xia (Rhizoma Pinelliae Preparatum, 1.5 qian) Nan Zha Tan (Carbo Southern Hawthorn Fruit, 1.5 qian) Fei Hua Shi (Talcum, 3 qian) Chen Pi (Pericarpium Citri Reticulatae, 1 qian) Chi Ling (Poria cum Radix Pini, 3 qian) Chao Nong Po (Cortex Magnoliae Officinalis, 1 qian)
Lu (64 years old): After taking a summer-clearing formula, heavy head and yellow tongue coating persist. Body pain and cough with phlegm have eased, but stool remains unpassed. Craving cold drinks, no hunger, stifling sensation, frequent belching. Clearly, summer-heat夹杂着 dampness occupies the Qi level of the Upper Jiao, obstructing Qi flow. However, for the elderly, acrid-cold and bitter-cold may hinder the stomach appetite. Previous misuse was common. Therefore, prescribe acrid-warm methods to diffuse, reach out, and unblock Yang.
Xiang Ru (Herba Elsholtziae, 8 fen) Zhi Ban Xia (Rhizoma Pinelliae Preparatum, 1.5 qian) Lian Qiao (Fructus Forsythiae, 1.5 qian) Bai Kou Ren (Semen Amomi Rotundus, 7 fen)
Guang Pi (Pericarpium Citri Reticulatae, 1 qian) Dan Zhu Ye (Lamina Folii Nymphaeae, 1 qian) Yu Jin (Rhizoma Curcumae, 1 qian)
Cen (42 years old): High fever with slight chills. Crimson tongue, thirsty for drinking. Right Cun and Guan pulses are empty and large; Left pulse is fine and small. Propose Jingyue's Yü Nv Jian (Jade Maiden Decoction). Remove Niu Xi (Radix Achyranthis Bidentatae) and Mai Dong (Radix Ophiopogonis). Add Dan Pi (Cortex Moutan), Zhu Ye (Lamina Folii Nymphaeae), and Chuan Bei (Bulbus Fritillariae Cirrhosae).
Yuan Shu Di Huang (Radix Rehmanniae Preparata, 4 qian) Sheng Shi Gao (Gypsum Fibrosum, 4 qian) Nen Zhu Ye (Lamina Folii Nymphaeae, 1.5 qian) Chuan Bei (Bulbus Fritillariae Cirrhosae, 1.5 qian) Zhi Mu (Rhizoma Anemarrhenae, 1 qian) Sheng Gan Cao (Radix Glycyrrhizae, 3 fen) Fen Dan Pi (Cortex Moutan, 1.5 qian) This formula is inappropriate.
Second visit: Crimson tongue and thirst. Brief chills followed by fever. Hands and feet are numb. True Yin of the Foot-Shaoyin Kidney and Foot-Jueyin Liver is nearly exhausted. Yang refuses to hide. Frequent thirst cannot save the internal burning. As the classics say, "Entering Liver causes numbness; entering Kidney causes Xiao Ke (Wasting-Thirst)." Pathogens in Liver and Kidney are deep and free-roaming. Acrid-cold, acrid-cool, and bitter-draining methods cannot enter the realm of Supreme Yin. Following ancient methods, use heavy medicines lightly administered to avoid delay and complications.
Nong Shu Di Huang (Radix Rehmanniae Preparata, 4 qian) Shang Qing E Jiao (Colla Corii Asini, 2 qian) Zhi Gan Cao (Radix Glycyrrhizae Preparata, 4 fen) Jian Mai Dong (Radix Ophiopogonis, 1.5 qian) Da Ma Ren (Semen Cannabis, 1.5 qian) Dan Tian Dong (Radix Asparagi, 1.5 qian) Yang Shen (Radix Panacis Quinquefolii, 8 fen)
Dong: Right pulse is short and rapid; Left pulse is fine and rapid. Awake with little sleep. Body cool but with alternating chills and fever. Occasional asthma. Epigastric stifling and white tongue coating. This belongs to heat pathogen sinking inward. It is a severe condition. Tentatively prescribe clearing and draining the interior of Shaoyin (Kidney), combined with resolving the exterior of Shaoyang (Gallbladder). Await correction from experts.
Shuang Sang Ye (Folium Mori) Xian Sheng Di Huang (Radix Rehmanniae Recens) Hei Shan Zhi (Fructus Gardeniae) Xiang Xi Jiao (Cornu Rhinocerotis) Nen Yuan Shen (Radix Scrophulariae) Chuan Bei (Bulbus Fritillariae Cirrhosae) Lian Qiao Xin (Stamen Nelumbinis) Fen Dan Pi (Cortex Moutan) Add Mao Gen (Rhizoma Imperatae)
Second visit: Yesterday, after administering clearing and lifting methods, the rapid pulse has slowed, asthma has subsided. Sweating and peaceful sleep indicate pathogen resolution. No need to worry about further sinking. The previous formula can gradually heal.
Xiang Xi Jiao (Cornu Rhinocerotis, 6 fen) Cao Yu Jin (Rhizoma Curcumae, 1 qian) Chuan Bei (Bulbus Fritillariae Cirrhosae, 1.5 qian) Xian Sheng Di Huang (Radix Rehmanniae Recens, 5 qian) Lian Qiao Xin (Stamen Nelumbinis, 1.5 qian)
Hei Shan Zhi (Fructus Gardeniae, 1.5 qian) Shuang Sang Ye (Folium Mori, 1 qian) Fen Dan Pi (Cortex Moutan, 1.5 qian) Add Mao Gen (Rhizoma Imperatae, 5 qian) He Ye (Folium Nelumbinis, 1 piece)
Third visit: Epigastric obstruction and belching have slightly relieved. Prescribe soothing Liver and draining Lung to manage residual pathogens.
Zi Wan (Radix Asteris, 1 qian) Pao Bai Xing Ren (Semen Armeniacae Amarum, 2 qian) Cao Yu Jin (Rhizoma Curcumae, 1 qian) Chao Xiang Dan Chi (Semen Sojae Praeparatum, 1.5 qian) Gua Lou Pi (Pericarpium Trichosanthis, 1.5 qian) Hei Shan Zhi (Fructus Gardeniae, 1.5 qian) Ling Yang Jiao (Cornu Saigae Tataricae, 1 qian) Jie Geng (Radix Platycodonis, 8 fen)