程（四月） 湿温邪扰于阳明，头痛晕眩，身热烦渴，筋骨酸楚，暮夜神昏谵语，大便挟
热溏泄，小便短赤，脉弦滑数，治宜清解。
羚角片 薄荷梗 丹皮 益元散 牛黄清心丸（一颗） 连翘 川郁金 象贝 银花露 牛
蒡鲜斛 竹茹 车前子
长兄（六月） 感受暑风，扰于肺胃，吐泻交作，脘闷烦渴，身热无休，肌肤已现风疹，未
得宣达，神烦不寐，全无汗出，脉弦滑数，胎黄糙。治宜辛凉宣解。
羚角片 嫩薄荷 青蒿子 鲜竹茹 万氏清心丸 连翘 川郁金 纯钩 车前草 牛蒡 鲜斛 象贝 银花露
姑奶奶 暑风秽湿互扰阳明，升降不和，寒热如潮，脘闷络酸，口干溺少，脉弦滑数，胎
黄腻。惟恐汗出不彻，转受白 之弊，治宜清解一法。
连翘 川斛 赤苓 川郁金 银花露 佩兰叶 青蒿子 益元散 纯钩 牛蒡 地骨皮 杏仁 竹茹
伏暑蒸化白 未得宣达，（照前方）或可加∶
羚角片 绿豆衣 车前草 象贝 通草；
头痛甚者中薄荷数分；
无汗加橘红、淡豆豉；
脘闷加川朴、广皮白。
沈老潮（三十二岁大胖子，七月十六日）暑湿热邪扰于阳明，体禀多湿多痰，痰热阻郁
气机，升降不宣，神烦脘闷，骨络烦疼，头眩支倦，红疹已透，未得宣达，脉弦数，右寸关兼浮滑，治宜清解。
局方紫雪丹 连翘 鲜扁斛 真川连 车前草 牛黄清心丸 牛蒡 丹皮 益元散 芦根 羚角片 佩兰
叶纯钩 鲜石菖蒲根（一钱五分，捣汁和冲） 鲜竹沥
按∶痧疹已透，尚未宣达，如无刺平塌者，俗为疹子透勿出，若冒风即隐，属内陷者危，俗为疹子回肚是也。
又按∶痧疹有刺者佳，无刺勿起者，危。
又十七日再诊原方一帖。
又十八十九日去紫雪丹加川郁金。
又二十日红疹已得透解，肺胃痰热未清，肝胃气滞不和，时有潮热，脘闷支倦，神疲嗜
卧，口苦溺赤，脉小弦数，胎黄腻，治宜清肃上中，佐以平肝。
元参 佩兰叶 杏仁 黑栀 车前草 连翘 鲜斛 真川贝 银花露 牛蒡 丹皮 全瓜姜 益元散
又二十二日，阳明遗湿未清，心脾尚有余热，肝胃不和，口干呕酸，头眩支倦，便解下矢
坚黑，小溲短赤而涩且痛，脉弦小数，胎光红，治宜清解为法。
元参 青蒿 生谷芽 宋半夏象贝同拌 车前草一两煎汤代水 连翘 鲜斛 新会
皮佩叶叶 童木通 益元散真西珀三分同灯心研同拌 丹皮 姜汁 焦栀
Cheng (April) Damp-heat warm pathogen disturbs the Yangming channel, presenting with headache, dizziness, feverish body sensation, irritability and thirst, soreness and pain in bones and sinews, mental confusion and delirium at night, loose stools mixed with heat, short and red urine, wiry-slippery-rapid pulse. Treatment should employ clearing and resolving methods.
Prescription: Cornu Bubali Slice (Lingjiao Pian), Stem of Mentha Haplocalyx (Bohe Geng), Cortex Moutan (Danpi), Yi Yuan San, Niuhuang Qingxin Wan (one pill), Fructus Forsythiae (Lianqiao), Rhizoma Curcumae Aromatae (Chuan Yujin), Bulbus Fritillariae Thunbergii (Xiangbei), Silver Flower Dew (Yinhua Lu), Fructus Arctii (Niubang), Fresh Dendrobii Caulis (Xian Hu), Caulis Bambusae in Taenia (Zhuru), Semen Plantaginis (Cheqianzi).
Eldest Brother (June) Contracted summer-wind pathogen, disturbing Lung and Stomach, alternating vomiting and diarrhea, epigastric fullness, irritability and thirst, continuous fever, wind rashes already appeared on skin but not yet vented and reached, mental irritability and insomnia, complete absence of sweating, wiry-slippery-rapid pulse, yellow and rough tongue coating. Treatment should employ acrid-cool venting and resolving methods.
Prescription: Cornu Bubali Slice (Lingjiao Pian), Tender Mentha Haplocalyx (Nen Bohe), Herba Artemisiae Annuae (Qinghaozi), Fresh Caulis Bambusae in Taenia (Xian Zhuru), Wanshi Qingxin Wan, Fructus Forsythiae (Lianqiao), Rhizoma Curcumae Aromatae (Chuan Yujin), Uncaria Cum Ramulis Uncis et Hookis (Chun Gou), Herba Plantaginis (Cheqiancao), Fructus Arctii (Niubang), Fresh Dendrobii Caulis (Xian Hu), Bulbus Fritillariae Thunbergii (Xiangbei), Silver Flower Dew (Yinhua Lu).
Grandma (Aunt) Summer-wind and turbid dampness mutually disturb Yangming, ascending and descending functions are disharmonious, chills and fever fluctuate like tides, epigastric fullness and meridian soreness, dry mouth and scanty urination, wiry-slippery-rapid pulse, yellow and greasy tongue coating. Fear that sweat is not thorough, leading to complications of Bai Mo (white miliary rash); treatment should employ clearing and resolving method.
Prescription: Fructus Forsithiae (Lianqiao), Fresh Dendrobii Caulis (Chuan Hu), Poria Cocos with Red Bark (Chi Ling), Rhizoma Curcumae Aromatae (Chuan Yujin), Silver Flower Dew (Yinhua Lu), Herba Menthae Haplocalycis (Peilan Ye), Herba Artemisiae Annuae (Qinghaozi), Yi Yuan San, Uncaria Cum Ramulis Uncis et Hookis (Chun Gou), Fructus Arctii (Niubang), Cortex Lycii (Digupi), Semen Armeniacae Amarum (Xingren), Caulis Bambusae in Taenia (Zhuru).
Latent summer-heat steams and transforms into Bai Mo, but fails to be vented and reached. (Refer to previous formula), or may add:
Cornu Bubali Slice (Lingjiao Pian), Seed Coat of Phaseoli Volubilis (Lv Dou Yi), Herba Plantaginis (Cheqiancao), Bulbus Fritillariae Thunbergii (Xiangbei), Herba Tectonae (Tongcao);
For severe headache, add Mentha Haplocalyx (Bohe) a few fen;
For absence of sweat, add Pericarpium Citri Reticulatae (Juhong), Semen Sojae Preparatum (Dandouchi);
For epigastric fullness, add Rhizoma Magnoliae Officinalis (Chuan Pu), Albedo Citri Reticulatae (Guang Pi Bai).
Shen Laochao (32 years old, obese male, July 16) Summer-heat-damp-heat pathogen disturbs Yangming, constitution is prone to dampness and phlegm, phlegm-heat obstructs and stagnates Qi mechanism, ascending and descending not unobstructed, mental irritability and epigastric fullness, bone and meridian irritability and pain, dizziness and limb fatigue, red rashes have emerged but not fully vented and reached, wiry-rapid pulse, right Cun and Guan positions additionally floating-slippery, treatment should employ clearing and resolving methods.
Prescription: Jufang Zixue Dan, Fructus Forsythiae (Lianqiao), Fresh Biflora Dendrobii Caulis (Xian Bian Hu), Real Coptidis Rhizome (Zhen Chuanlian), Herba Plantaginis (Cheqiancao), Niuhuang Qingxin Wan, Fructus Arctii (Niubang), Cortex Moutan (Danpi), Yi Yuan San, Radix Asparagi (Lugen), Cornu Bubali Slice (Lingjiao Pian), Herba Menthae Haplocalycis (Peilan Ye), Uncaria Cum Ramulis Uncis et Hookis (Chun Gou), Fresh Rhizoma Acori Tatarinowii (Xian Shichangpu Gen, 1 qian 5 fen, crushed for juice and mixed), Fresh Caulis Bambusae in Taenia Juice (Xian Zhuli).
Note: Sha zhen (scarlet-like rashes) have emerged but not fully vented and reached. If there is no flat depression, commonly called "rashes failing to emerge"; if they disappear upon exposure to wind, it belongs to internal collapse, which is critical, commonly called "rashes retreating to the abdomen".
Another Note: Sha zhen with papules/spines are auspicious; those without spines and not rising are critical.
On the 17th day, second consultation, one dose of original prescription.
On the 18th and 19th days, remove Zixue Dan, add Rhizoma Curcumae Aromatae (Chuan Yujin).
On the 20th day, red rashes have been vented and resolved, but Lung-Stomach phlegm-heat is not cleared, Liver-Stomach Qi stagnation and disharmony persist, periodic tidal fever occurs, epigastric fullness and limb fatigue, mental fatigue and desire to sleep, bitter taste in mouth and red urine, small wiry-rapid pulse, yellow greasy tongue coating. Treatment should clear and purify Upper and Middle Jiao, assisted by calming Liver.
Prescription: Radix Scrophulariae (Yuanshen), Herba Menthae Haplocalycis (Peilan Ye), Semen Armeniacae Amarum (Xingren), Black Gardenia Fruit (Hei Zhi), Herba Plantaginis (Cheqiancao), Fructus Forsythiae (Lianqiao), Fresh Dendrobii Caulis (Xian Hu), Real Fritillariae Bulbus (Zhen Chuanbei), Silver Flower Dew (Yinhua Lu), Fructus Arctii (Niubang), Cortex Moutan (Danpi), Whole Trichosanthes Fruit (Quanguagua), Yi Yuan San.
On the 22nd day, residual dampness in Yangming is not cleared, Heart-Spleen still has lingering heat, Liver-Stomach disharmony, dry mouth and sour vomiting, dizziness and limb fatigue, stool passes black hard feces, urine is short, red,涩 (astringent/stagnant) and painful, wiry-small-rapid pulse, smooth red tongue surface. Treatment should employ clearing and resolving as the method.
Prescription: Radix Scrophulariae (Yuanshen), Herba Artemisiae Annuae (Qinghao), Germinated Grain Sprout (Sheng Guya), Song Banxia mixed with Xiangbei, Herba Plantaginis (Cheqiancao, 1 liang decocted water substitute), Fructus Forsythiae (Lianqiao), Fresh Dendrobii Caulis (Xian Hu), Xin Hui Peel (Xinhuipi), Peilan Ye, Tong Mutong, Yi Yuan San mixed with 3 fen Zhen Xi Po ground together with Dengxin Cao, Cortex Moutan (Danpi), Ginger Juice (Jiangzhi), Scorched Gardenia Fruit (Jiao Zhi).