章男 十一个月 六月十三日 泄久伤脾，恐成柔痉，俗所谓慢脾风，议疏补中焦。
茯苓块（三钱） 浓朴（一钱） 煨肉果（一钱） 苡仁（三钱，炒） 扁豆（二钱，炒） 莲子
（三钱，连皮去心） 广皮炭（八分） 芡实（钱半，连皮） 木香（五分）
十四日 仍用通补而进之。
人参（五分） 浓朴（八分） 煨肉果（一钱） 茯苓块（二钱） 广皮炭（八分） 木香（七分）
苡
仁（二钱，炒） 藿梗（八分） 焦神曲（八分） 白扁豆（三钱，炒） 半夏（二钱） 小茴香（一
钱）
十六日 疏补中焦，业已见效，仍不能外此法。
人参（五分） 浓朴（八分） 半夏（二钱） 木香（八分） 茯苓（三钱） 煨肉果（钱半） 苡
仁（三钱，炒） 扁豆（三钱，炒） 藿梗（八分） 广皮炭（八分） 焦于术（一钱）
十七日 神气声音稍健，皮热亦觉平和，大有起色，但积虚旦晚可充。
人参（五钱） 莲子（二钱） 肉果霜（钱半） 茯苓（三钱） 半夏（二钱） 木香（八分） 白
扁豆（二钱，炒） 广皮（钱半） 山药（钱半）
十八日 舌有黄苔，小便色黄，微有积，皆脾虚不运之故，且暂停参药，加宣络法。
茯苓（三钱） 浓朴（一钱） 煨肉果（一钱） 半夏（二钱，炒） 鸡内金（一钱） 白蔻仁（
二钱） 莲子（二钱，去心） 木香（七分） 生苡仁（三钱） 生于术（一钱） 广皮炭（八分）
十九日 大便有不化形，思乳食，为血肉有情，应于疏补之中，加消血肉积者。
鸡内金（一钱，炒） 楂炭（一钱） 广皮炭（一钱） 茯苓块（三钱） 煨肉果（一钱） 范曲
炭（八分） 木香（七分） 川朴（钱半） 白蔻仁（三分） 生苡仁（三钱）
二十日 脾虚火衰，则食物有不化之形，肝肾与冲脉伏寒，怒甚则疝痛。
小茴香（二钱） 生苡米（三钱） 木香（一钱） 黑楂炭（钱半） 煨肉果（钱半） 制茅术（
一钱） 茯苓（一钱） 广皮炭（八分） 白蔻仁（五分） 青皮（六分） 乌药（八分）
二十二日 补下通中。
小茴香（钱半，炒黑） 生苡仁（钱半） 人参（三分） 楂炭（八分） 煨肉果（一钱） 茯苓
（三钱） 制茅术（八分） 白蔻仁（五分） 木香（六分）
张男 八个月 泄泻四五日，暑邪深入下焦，头热如火，手冷如冰，谓之暑厥。羸瘦难
堪，脉迟紧，未必得愈，姑立方以救之。先与紫雪丹五分，三次服。
猪苓（二钱） 制苍术（一钱） 泽泻（一钱） 茯苓（二钱） 桂枝木（一钱） 广皮炭（七分）
白扁豆（一钱） 木香（七分）
略有转机，然终可畏也。
猪苓（二钱） 白扁豆（钱半，炒） 泽泻（钱半） 半夏（钱半） 生苡仁（三钱） 广木香（
八分） 茅术炭（一钱） 浓朴（六分）
广皮炭（五分）
孟 十五岁 八月初八日 伏暑泄泻，加以停食，欲泻腹痛，泻后痛减，防成滞下，与
五苓散加消食，脉细弦而缓。
桂枝（三钱） 云苓皮（五钱） 楂炭（二钱） 苍术炭（三钱） 神曲（四钱，炒） 小枳实（
二钱） 猪苓（三钱） 广皮炭（四钱） 川椒炭（二钱） 泽泻（三钱）
一月后复诊，病已大愈，善后方与调和脾胃。
Zhang, male infant, 11 months old. June 13th: Prolonged diarrhea has injured the Spleen Qi; there is fear of it developing into Rou Jing (Soft Spasm, a type of spasm caused by fluid depletion and malnourishment of sinews), commonly known as Man Pi Feng (Slow Spleen Wind). The proposed treatment is to soothe and tonify the Middle Jiao (Middle Burner).
Poria Block (San Qian) Magnolia Bark (Yi Qian) Baked Myristica Seed (Yi Qian) Coix Seed (San Qian, stir-fried) White Hyacinth Bean (Er Qian, stir-fried) Lotus Seed (San Qian, with skin, heart removed) Charred Tangerine Peel (Ba Fen) Euryale Seed (Qian Ban, with skin) Aucklandia Root (Wu Fen)
June 14th: Continue with the method of unblocking and tonifying while advancing the treatment.
Ginseng Root (Wu Fen) Magnolia Bark (Ba Fen) Baked Myristica Seed (Yi Qian) Poria Block (Er Qian) Charred Tangerine Peel (Ba Fen) Aucklandia Root (Qi Fen) Coix Seed (Er Qian, stir-fried) Agastache Stem (Ba Fen) Scorched Medicated Leaven (Ba Fen) White Hyacinth Bean (San Qian, stir-fried) Pinellia Tuber (Er Qian) Small Fennel Fruit (Yi Qian)
June 16th: Soothing and tonifying the Middle Jiao has already shown efficacy; this method should still not be departed from.
Ginseng Root (Wu Fen) Magnolia Bark (Ba Fen) Pinellia Tuber (Er Qian) Aucklandia Root (Ba Fen) Poria (San Qian) Baked Myristica Seed (Qian Ban) Coix Seed (San Qian, stir-fried) White Hyacinth Bean (San Qian, stir-fried) Agastache Stem (Ba Fen) Charred Tangerine Peel (Ba Fen) Scorched Atractylodes Macrocephala Rhizome (Yi Qian)
June 17th: The spirit, breath, and voice are slightly stronger; the skin heat feels more moderate. There is significant improvement, but the deficiency caused by accumulation can be replenished soon.
Ginseng Root (Wu Qian) Lotus Seed (Er Qian) Myristica Frost (Qian Ban) Poria (San Qian) Pinellia Tuber (Er Qian) Aucklandia Root (Ba Fen) White Hyacinth Bean (Er Qian, stir-fried) Tangerine Peel (Qian Ban) Chinese Yam (Qian Ban)
June 18th: There is yellow coating on the tongue, and urine is yellow. There is slight accumulation, all due to Spleen deficiency failing to transport. Temporarily suspend Ginseng preparations and add methods to promote collateral circulation.
Poria (San Qian) Magnolia Bark (Yi Qian) Baked Myristica Seed (Yi Qian) Pinellia Tuber (Er Qian, stir-fried) Chicken Gizzard Lining (Yi Qian) White Cardamom Seed (Er Qian) Lotus Seed (Er Qian, heart removed) Aucklandia Root (Qi Fen) Raw Coix Seed (San Qian) Raw Atractylodes Macrocephala Rhizome (Yi Qian) Charred Tangerine Peel (Ba Fen)
June 19th: Undigested food shapes in stool indicate desire for milk/food. Since these are "blood and flesh sentient substances" (nutritive foods), one should add herbs that digest meat/animal-based accumulations within the framework of soothing and tonifying.
Chicken Gizzard Lining (Yi Qian, stir-fried) Charred Hawthorn Fruit (Yi Qian) Charred Tangerine Peel (Yi Qian) Poria Block (San Qian) Baked Myristica Seed (Yi Qian) Charred Medicated Leaven (Ba Fen) Aucklandia Root (Qi Fen) Sichuan Magnolia Bark (Qian Ban) White Cardamom Seed (San Fen) Raw Coix Seed (San Qian)
June 20th: Spleen deficiency and fire decline lead to undigested food forms. Latent cold in the Liver, Kidney, and Chong Mai (Penetrating Vessel) causes hernia pain when anger is severe.
Small Fennel Fruit (Er Qian) Raw Coix Seed (San Qian) Aucklandia Root (Yi Qian) Black Charred Hawthorn Fruit (Qian Ban) Baked Myristica Seed (Qian Ban) Processed Atractylodes Rhizome (Yi Qian) Poria (Yi Qian) Charred Tangerine Peel (Ba Fen) White Cardamom Seed (Wu Fen) Green Tangerine Peel (Liu Fen) Lindera Root (Ba Fen)
June 22nd: Tonify the Lower Jiao and unblock the Middle Jiao.
Small Fennel Fruit (Qian Ban, stir-fried black) Raw Coix Seed (Qian Ban) Ginseng Root (San Fen) Charred Hawthorn Fruit (Ba Fen) Baked Myristica Seed (Yi Qian) Poria (San Qian) Processed Atractylodes Rhizome (Ba Fen) White Cardamom Seed (Wu Fen) Aucklandia Root (Liu Fen)
Zhang, male infant, 8 months old. Diarrhea for four to five days. Summer-heat pathogen has penetrated deeply into the Lower Jiao. Head is hot as fire, hands and feet are cold as ice. This is called Shu Jue (Summer-Heat Collapse/Jue Syndrome). The body is emaciated and unbearable. Pulse is slow and tight. Recovery is uncertain. Prescribe a formula to save the condition. First administer Zi Xue Dan (Purple Snow Pill) 5 fen, taken in three doses.
Polyporus (Er Qian) Processed Atractylodes Lancea Rhizome (Yi Qian) Alisma Rhizome (Yi Qian) Poria (Er Qian) Cinnamon Twig Wood (Yi Qian) Charred Tangerine Peel (Qi Fen) White Hyacinth Bean (Yi Qian) Aucklandia Root (Qi Fen)
There is slight turning point, but the outcome remains fearful.
Polyporus (Er Qian) White Hyacinth Bean (Qian Ban, stir-fried) Alisma Rhizome (Qian Ban) Pinellia Tuber (Qian Ban) Raw Coix Seed (San Qian) Guangmu Xiang (Aucklandia Root) (Ba Fen) Charred Atractylodes Rhizome (Yi Qian) Magnolia Bark (Liu Fen) Charred Tangerine Peel (Wu Fen)
Meng, 15 years old. August 8th: Latent summer-heat causing diarrhea, compounded by food stagnation. Abdominal pain before defecation, pain relieved after defecation. Prevent progression to Zhixia (Dysentery). Prescribe Wu Ling San (Five-Ingredient Powder with Poria) plus food-resolving herbs. Pulse is fine, wiry, and slow.
Cinnamon Twig (San Qian) Cloud Poria Skin (Wu Qian) Charred Hawthorn Fruit (Er Qian) Charred Atractylodes Lancea Rhizome (San Qian) Medicated Leaven (Si Qian, stir-fried) Small Immature Bitter Orange (Er Qian) Polyporus (San Qian) Charred Tangerine Peel (Si Qian) Charred Sichuan Pepper (Er Qian) Alisma Rhizome (San Qian)
One month later, follow-up visit: The illness has greatly improved. For convalescence, prescribe formulas to harmonize the Spleen and Stomach.