天津张××，年二十六岁，得肺病咳嗽吐血。
病因 经商劳心，又兼新婚，失于调摄，遂患劳嗽。继延推拿者为
推拿两日，咳嗽分毫未减，转添吐血之证。
证候 连声咳嗽不已，即继以吐血。或痰中带血，或纯血无痰，或有咳嗽兼喘。夜不能卧，心
中发热，懒食，大便干燥，小便赤涩。脉搏五至强，其左部弦而无力，右部浮取似有力，
而尺部重按豁然。
处方 生怀山药（一两） 大潞参（三钱） 生赭石（六钱轧细） 生怀地黄（六钱）
玄参（六钱） 天冬（五钱） 净萸肉（五钱） 生杭芍（四钱） 射干（二钱） 甘草（二钱）
广三七（二钱轧细）
药共十一味，将前十味煎汤一大盅，送服三七末一半，至煎渣重服时，再送服其余一半。
复诊 此药服两剂后，血已不吐，又服两剂，咳嗽亦大见愈，大小便已顺利，脉已有根，不若
从前之浮弦。遂即原方略为加减，俾再服之。
处方 生怀山药（一两） 大潞参（三钱） 生赭石（六钱轧细） 生怀地黄（六钱）
大甘枸杞（六钱） 甘草（二钱） 净萸肉（五钱） 沙参（五钱）
生杭芍（二钱） 射干（二钱） 广三七（钱半轧细）
药共十一味，将前十味煎汤一大盅，送服三七末一半，至煎渣重服时，再送其余一半。
效果 将药连服五剂，诸病皆愈，脉已复常，而尺部重按仍欠实。遂于方中加熟怀地黄五钱，
俾再服数剂以善其后。
Patient Zhang XX from Tianjin, aged twenty-six, suffered from lung disease manifesting as cough and hemoptysis.
Etiology Due to mental exertion in business and lack of proper regulation following a recent marriage, he developed consumptive cough (Lao Sou). Subsequently, two days of massage therapy were administered; however, the cough remained unchanged, and hemoptysis was added to the symptoms.
Clinical Manifestations Continuous, unremitting severe cough followed immediately by hemoptysis. Sometimes blood was mixed with sputum, sometimes pure blood without sputum, and sometimes cough accompanied by wheezing. Inability to lie down at night, sensation of heat in the heart region, poor appetite, dry stool, and scanty, dark, and painful urination. The pulse rate was slightly faster than five beats per breath cycle. The left radial pulse was wiry and weak; the right radial pulse seemed forceful on light palpation but felt hollow upon heavy pressure at the Chi position.
Prescription Raw Huai Yam (Sheng Huai Shan Yao) 1 liang, Large Lu Shen (Da Lu Shen) 3 qian, Raw Hematite (Sheng Zhe Shi) 6 qian, finely ground, Raw Huai Rehmannia Root (Sheng Huai Di Huang) 6 qian, Scrophularia Root (Xuan Shen) 6 qian, Asparagus Tuber (Tian Dong) 5 qian, Clean Cornus Fruit (Jing Yu Rou) 5 qian, Raw Hang Peony Root (Sheng Hang Shao) 4 qian, Belamcanda Rhizome (She Gan) 2 qian, Licorice Root (Gan Cao) 2 qian, Guang Sanqi 2 qian, finely ground.
The prescription consists of eleven ingredients. Decoct the first ten ingredients to make one large cup of decoction, taken with half of the Sanqi powder. When the dregs are decocted for the second dose, take the remaining half of the Sanqi powder.
Follow-up Visit After taking two doses of this prescription, hemoptysis ceased. After two more doses, the cough improved significantly, bowel and bladder movements became smooth, and the pulse gained root, no longer floating and wiry as before. Therefore, slight modifications were made to the original formula for continued use.
Prescription Raw Huai Yam (Sheng Huai Shan Yao) 1 liang, Large Lu Shen (Da Lu Shen) 3 qian, Raw Hematite (Sheng Zhe Shi) 6 qian, finely ground, Raw Huai Rehmannia Root (Sheng Huai Di Huang) 6 qian, Large Sweet Goji Berry (Da Gan Gou Qi) 6 qian, Licorice Root (Gan Cao) 2 qian, Clean Cornus Fruit (Jing Yu Rou) 5 qian, Glehnia Root (Sha Shen) 5 qian, Raw Hang Peony Root (Sheng Hang Shao) 2 qian, Belamcanda Rhizome (She Gan) 2 qian, Guang Sanqi 1.5 qian, finely ground.
The prescription consists of eleven ingredients. Decoct the first ten ingredients to make one large cup of decoction, taken with half of the Sanqi powder. When the dregs are decocted for the second dose, take the remaining half.
Outcome After continuous administration of five doses, all ailments resolved, and the pulse returned to normal, although heavy pressure at the Chi position still lacked solidity. Therefore, Cooked Huai Rehmannia Root (Shu Huai Di Huang) 5 qian was added to the formula, and several more doses were prescribed for consolidation and aftercare.