大腹皮（二钱） 川朴（一钱） 郁金（一钱五分） 赤猪苓（各二钱） 泽兰（二钱） 制半夏（二钱）
橘红（一钱） 延胡（一钱五分） 光杏仁（三钱） 桔梗（一钱） 炒枳壳（一钱） 羌活（一钱）
竹茹（一钱） 玉枢丹（四分佛手汤先化服）
二诊 热势起伏不减，胸闷恶心，每至热起，辄觉头昏晕冒，汗不获畅。脉滞数不扬，舌苔淡黄，而中带
干毛。无形之暑，有形之湿，交蒸不化，心胸遂成氤氲之乡。更以经来涩少，血因热滞，深虑内窜昏厥。
炒香豉 广郁金 广杏仁 五灵脂（酒炒） 桔梗 上广皮
制半夏 延胡 竹二青（盐水炒） 丝瓜络 荷叶边 西血珀（四分） 上西黄（三厘二味研细先调服）
三诊 今日热起，大为减轻，恶心亦得较定，昏晕烦渴，与昨迥殊。足见伏气与湿交蒸，心胸即如云雾
矣。但脉仍糊数。邪势尚甚，还恐起伏生波也。
连翘 乌药 光杏仁 赤苓神 淡子芩 南楂炭 天水散 延 泽兰 制半夏 郁金 竹叶心
四诊 热势虽未大起，而犹恋恋未退，胸闷恶心，脐上作痛，经事已净，较诸寻常尚觉涩少。脉左关弦
大。良以暑湿交蒸于气分，肝胃之气，亦由此失和。再参调气。
半夏 香附 广皮 郁金 枳壳 泽泻 赤苓 杏仁 竹茹 佛手 左金丸（佛手汤先服）
张 热势起伏，起则烦扰不宁，语言错杂，胸闷频渴欲饮，汗多不解。舌红苔白，脉濡。此暑从内发，暑为
天之热气，所以一经熏灼，即乱神明。经水适来，深恐热入血室，而致昏厥。
光杏仁 益元散 郁金 煨石膏 桔梗 炒竹茹 川桂枝 通草 制半夏 泽兰 元胡索 鲜佛手
Da Fu Pi (Arecae Pericarpium) (2 qian), Chuan Po (Magnoliae Officinalis Cortex) (1 qian), Yu Jin (Curcumae Radix) (1.5 qian), Chi Zhu Ling (Polypori Umbellati cum Poria Cocos et Ligni Aquilariae) (each 2 qian), Ze Lan (Lycopus Lucidus Herba) (2 qian), Zhi Ban Xia (Pinelliae Rhizoma Praeparatum) (2 qian), Ju Hong (Citri Reticulatae Pericarpium Rubrum) (1 qian), Yan Hu (Corydalis Rhizoma) (1.5 qian), Guang Xing Ren (Armeniacae Semen Amarum) (3 qian), Jie Geng (Platycodonis Radix) (1 qian), Chao Zhi Qiao (Aurantii Fructus Immaturus Stir-fried) (1 qian), Qiang Huo (Notopterygii Rhizoma et Radix) (1 qian), Zhu Ru (Bambusae Caulis in Taeniam Preparatus) (1 qian), Yu Shu Dan (Jade Pivot Pill) (4 fen, dissolve first in Fo Shou Tang [Finger Citron Decoction] before taking).
Second visit: The feverish condition fluctuates without reduction; chest tightness and nausea are present. Whenever the fever rises, dizziness and vertigo are felt, and sweating is not smooth. The pulse is stagnant, rapid, and not vigorous; the tongue coating is pale yellow with dry hairs in the center. Formless summerheat and tangible dampness steam each other without transforming, causing the chest and heart region to become turbid and muggy. Furthermore, due to the menstrual flow being scanty and sluggish, blood is stagnated by heat; there is deep concern that pathogenic heat may penetrate inward leading to syncope.
Chao Xiang Chi (Stir-fried Fermented Soybean Mass), Guang Yu Jin (Curcumae Radix), Guang Xing Ren (Armeniacae Semen Amarum), Wu Ling Zhi (Trogopteri Dung) (stir-fried with wine), Jie Geng (Platocodonis Radix), Shang Guang Pi (Citri Reticulatae Pericarpium), Zhi Ban Xia (Pinelliae Rhizoma Praeparatum), Yan Hu (Corydalis Rhizoma), Zhu Er Qing (Bambusae Caulis in Taeniam prepared with salt water stir-frying), Si Gua Luo (Luffae Fructus Retinervia), He Ye Bian (Nelumbinis Folium Margin), Xi Xue Po (Succini Cor Cardiae) (4 fen), Shang Xi Huang (Moschi Aromatici Cubus) (0.32 fen, two herbs ground into fine powder, taken first mixed with liquid).
Third visit: Today, the onset of fever is significantly reduced, nausea has also stabilized, and dizziness, vertigo, irritability, and thirst are markedly different from yesterday. This demonstrates that latent qi steams together with dampness, making the chest and heart region like clouds and mist. However, the pulse remains muddy and rapid. The pathogenic factor's momentum is still strong; fluctuations and relapses are still feared.
Lian Qiao (Forsythiae Fructus), Wu Yao (Linderae Radix), Guang Xing Ren (Armeniacae Semen Amarum), Chi Ling Shen (Polypori Umbellati cum Poria Cocos et Ligni Aquilariae), Dan Zi Qin (Scutellariae Radix), Nan Zha Tan (Crataegi Fructus Carbonized), Tian Shui San (Heavenly Water Powder), Yan Hu Suo (Corydalis Rhizoma), Ze Lan (Lycopus Lucidus Herba), Zhi Ban Xia (Pinelliae Rhizoma Praeparatum), Yu Jin (Curcumae Radix), Zhu Ye Xin (Bambusae Folium).
Fourth visit: Although the feverish condition has not risen significantly, it lingers and has not receded. Chest tightness and nausea persist, pain occurs above the umbilicus. The menstruation has cleared, but compared to normal cycles, it is still scanty and sluggish. The left guan pulse is wiry and large. This is because summerheat and dampness steam each other in the qi level, causing the qi of the liver and stomach to lose harmony. Further measures to regulate qi should be considered.
Ban Xia (Pinelliae Rhizoma), Xiang Fu (Cyperi Rhizoma), Guang Pi (Citri Reticulatae Pericarpium), Yu Jin (Curcumae Radix), Zhi Qiao (Aurantii Fructus Immaturus), Ze Xie (Alismatis Rhizoma), Chi Ling (Polypori Umbellati cum Poria Cocos et Ligni Aquilariae), Xing Ren (Armeniacae Semen Amarum), Zhu Ru (Bambusae Caulis in Taeniam Preparatus), Fo Shou (Citri Sarcodactylis Fructus), Zuo Jin Wan (Left Metal Pill) (taken first with Fo Shou Tang [Finger Citron Decoction]).
Patient Zhang: The feverish condition fluctuates; upon rising, there is irritability and restlessness, confused speech, chest tightness, frequent thirst with desire to drink, and profuse sweating that does not resolve the condition. The tongue is red with a white coating, and the pulse is soft (ru). This is summerheat emanating from within. Summerheat is the hot qi of heaven; once it scorches, it immediately disorders the mind spirit. Since the menstrual flow has just arrived, there is deep concern that heat may enter the blood chamber (xue shi), leading to syncope.
Guang Xing Ren (Armeniacae Semen Amarum), Yi Yuan San (Benefit Origin Powder), Yu Jin (Curcumae Radix), Wei Shi Gao (Gypsum Fibrosum Calcined), Jie Geng (Platycodonis Radix), Chao Zhu Ru (Bambusae Caulis in Taeniam Preparatus stir-fried), Chuan Gui Zhi (Cinnamomi Ramulus), Tong Cao (Tetrapanacis Medulla), Zhi Ban Xia (Pinelliae Rhizoma Praeparatum), Ze Lan (Lycopus Lucidus Herba), Yuan Hu Suo (Corydalis Rhizoma), Xian Fo Shou (Fresh Citri Sarcodactylis Fructus).