侄妇程氏，下午喉痛，近来痰多晕厥，一日二三发，头痛面赤，素未生育。左脉弦大，右寸
关滑大有力。以荆芥、薄荷、甘草、桔梗、玄参、僵蚕、柴胡、枳壳、竹茹、贝母，水煎饮
之，连进二帖，其夜得睡。惟背胀、怔仲、痰犹不清、面多热，用黄芩、枳壳、甘草、桑
白皮、地骨皮、天花粉、玄参、前胡、半夏曲、橘红、山栀仁，调养而平。
汪 兄，时疫热病，被发汗过度，热留胸中，烦躁不止，呕恶不安，汗竟不敛，口且渴
。脉
之，独两关洪大。此阳明之热尚在，当以白虎生脉汤为主，石膏五钱，知母三钱，人参、白
芍药、甘草、石斛各一钱，麦门冬二钱，五味子十五粒。急煎饮之而热退。继以益元丸服之
，而吐亦安。
何明吾，时疫食复，大便不通，呕恶内热，昏愦不省人事，或作梦语，循衣摸床，此热在
心包
络经。以竹茹、麦冬、知母、山栀各一钱，陈皮、半夏曲、酸枣仁、枳实各八分，甘草三分
服之。至夜半，人事稍清，余热未散，用石膏三钱，知母二钱，竹茹、麦冬、生酸枣仁各一
钱，天花粉、陈皮各七分，枳实、麦芽、半夏曲各六分，水煎饮之。下午，大便行而热退，
诸症悉愈。
族侄元素，春温头痛发热，左脉弦大，右洪大，以小柴胡合白虎汤二帖而愈。乃为食复
发斑
，色紫，神昏，人事不省，身重不能转动。即水、火皆不自知，合目鼾睡，形如醉人。面赤
发热，舌苔外黄内黑，皆有芒刺。三日后，予至脉之，六部俱浮洪以三黄石膏汤加枳实、鳖
甲进之，稍得微汗，大便始有真粪。次日才开目言语，乃进粥一盏，改以小柴胡汤加山栀、
枳实、鳖甲、白芍药调理而愈。
The wife of my nephew, Lady Cheng, experienced throat pain in the afternoon. Recently, she had excessive phlegm and syncope (fainting), occurring two to three times a day, accompanied by headache and facial redness. She had never given birth. The left pulse was wiry and large; the right Cun and Guan positions were slippery, large, and forceful. A decoction of Jingjie (Schizonepetae Herba), Bohe (Menthae Haplocalycis Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Xuanshen (Scrophulariae Radix), Jiangcan (Bombyx Batryticatus), Chaihu (Bupleuri Radix), Zhike (Aurantii Fructus Immaturus), Zhuru (Bambusae Caulis in Taeniam), and Beimu (Fritillariae Thunbergii Bulbus) was prepared with water for drinking. After taking two doses consecutively, she slept that night. However, she still had back distension, palpitations (Zhenzhong), unclear phlegm, and facial heat. A formula of Huangqin (Scutellariae Radix), Zhike, Gancao, Sangbaipi (Morus Cortex), Digupi (Lycii Cortex), Tianhuafen (Trichosanthis Radix), Xuanshen, Qianhu (Peucedani Radix), Banxiaqu (Pinelliae Fermentatum), Juhong (Citri Reticulatae Pericarpium Rubrum), and Shanzhiren (Gardeniae Semen) was used for conditioning, leading to stability.
Brother Wang, the elder brother of Mr. Wang, suffered from an epidemic febrile disease. Due to excessive sweating therapy, heat remained in the chest, causing incessant irritability, nausea, vomiting, and discomfort. Sweating did not cease, and he felt thirsty. Upon palpation, only the two Guan pulses were surging and large. This indicated that Yangming heat persisted. The primary treatment should be Baihu Shengmai Tang (White Tiger Decoction plus Pulse-Generating Powder). Ingredients: Shigao (Gypsum Fibrosum) 5 qian, Zhimu (Anemarrhenae Rhizoma) 3 qian, Renshen (Ginseng Radix et Rhizoma), Baishao Yao (Paeoniae Radix Alba), Gancao, and Shihu (Dendrobii Caulis) each 1 qian, Maimendong (Ophiopogonis Radix) 2 qian, and Wuweizi (Schisandrae Chinensis Fructus) 15 grains. It was rapidly decocted and drunk, after which the fever subsided. Subsequently, Yi Yuan Wan (Benefit Prime Pill) was administered, and the vomiting ceased.
He Mingwu suffered from an epidemic disease relapsed due to dietary indiscretion. He had constipation, nausea, vomiting, internal heat, confusion, loss of consciousness, occasional muttering in sleep, and picking at clothes and bedrails. This indicated heat in the Xinbao Luo Jing (Pericardium Collateral Meridian). A prescription of Zhuru, Maidong (Ophiopogonis Radix), Zhimu, and Shanzhi (Gardeniae Fructus) each 1 qian, Chenpi (Citri Reticulatae Pericarpium), Banxiaqu, Suanzaoren (Ziziphi Spinosae Semen), and Zhishi (Aurantii Fructus Immaturus) each 8 fen, and Gancao 3 fen was administered. By midnight, his mental state cleared slightly, but residual heat remained. A second prescription of Shigao 3 qian, Zhimu 2 qian, Zhuru, Maidong, and raw Suanzaoren each 1 qian, Tianhuafen and Chenpi each 7 fen, Zhishi, Maiya (Hordei Fructus Germinatus), and Banxiaqu each 6 fen was decocted in water and taken. In the afternoon, bowel movements occurred, fever subsided, and all symptoms resolved.
My clan nephew, Sun Yuansu, suffered from Spring-Warmth disease with headache and fever. The left pulse was wiry and large, and the right pulse was surging and large. He recovered after taking two doses of Xiao Chaihu Tang combined with Baihu Tang. Later, due to dietary relapse, macules (banzhen) appeared. They were purple in color, accompanied by coma, loss of consciousness, heavy body unable to move, unawareness of water and fire, closed eyes with snoring sleep, resembling a drunken person. The face was red and hot; the tongue coating was yellow on the outside and black inside, with prickles. Three days later, upon palpation, all six pulse positions were floating and surging. Sanhuang Shigao Tang (Three-Yellow Gypsum Decoction) with added Zhishi and Biejia (Trionycis Carapax) was administered. Slight sweating ensued, and true stool was passed. The next day, he could open his eyes and speak. A bowl of porridge was given, followed by conditioning with Xiao Chaihu Tang added with Shanzhi, Zhishi, Biejia, and Baishao Yao, leading to recovery.