王（左） 阴虚夹痰，胆胃失降，肝阳暗动。每至将寐，辄作惊惕。拟介类以镇肝潜阳。
炙龟板（五钱） 磁石（三钱） 茯神（三钱） 酒炒杭白芍（一钱五分） 生牡蛎（四钱）
龙齿（三钱） 黑豆衣（三钱） 薄橘红（一钱） 金器（一件悬煎）
某 上年眩晕心跳，甚至心气昏糊，经壮水涵木而化肝热，诸恙较前大退。惟心悸仍未霍全，时觉胆
怯。肝胆皆木也，肝木上升，胆木下降，是为和平。惟肝升太过，则胆降不及，胆木漂拔，自然气馁，胆病、实
肝病也。经云、虚则补其母。木之母，水也。所以降胆必先熄肝，熄肝必先滋肾。
炙龟板（十二两） 炒枣仁（三两） 朱茯神（三两） 丹皮（二两） 石决明（五两） 女贞子（酒蒸三两）
潼沙苑（酒炒三两） 白归身（酒炒二两） 炒萸肉（一两五钱） 炙鳖甲（十两） 生山药（三两） 柏子霜
（三两） 奎党参（五两） 远志肉（六钱） 大生地（六两） 熟地（二两） 磁石（四两） 肥玉竹（三
两） 杭白芍（酒炒三两） 生于术（一两五钱木香二钱煎汁收入） 辰天冬（二两） 辰麦冬（三两） 杜仲（三两）
西洋参（一两） 生甘草（七钱） 干橘叶（一两） 龙眼肉（三两）
以清阿胶四两酒化收膏，每晨服一调羹，开水冲化。
杨（媪） 心悸跳荡，时为不寐，偏左头痛，腰股作酸。脉弦尺涩。阳升不熄。拟熄肝宁神。
朱茯神（三钱） 龙齿（三钱） 酒炒杭白芍（一钱五分） 黑豆衣（三钱） 炒枣仁（二钱）
夜交藤（三钱） 柏子霜（三钱） 滁菊花（三钱） 天王补心丹（三钱先服另五钱包煎）
经（左） 精水不足，肝肠上升，头晕有时恶心，寐中往往惊跳。宜育阴熄肝。
大生地（四钱） 酒炒杭白芍（一钱五分） 钩钩（三钱） 滁菊花（一钱五分） 朱茯神（三钱）
黑豆衣（三钱） 生牡蛎（五钱） 白蒺藜（三钱） 丹皮（二钱） 金器（一件悬煎）
二诊 育阴熄肝，阳升不熄，头疼耳痛震鸣，寐中惊跳，溲后辄带精浊。肾阴不足。欲制其阳，当育其阴。
大生地（四钱） 生牡蛎（五钱） 粉丹皮（二钱） 黑豆衣（三钱） 生龟板（四钱） 生白芍（一钱
五分） 生山药（三钱） 女贞子（酒蒸三钱） 潼沙苑（盐水炒三钱） 茯神（三钱） 莲须（一钱）
三诊 素体湿盛，阴腻之药，不能任受。头痛耳鸣，寐中惊跳。既不能壮水和阳，宜清泄甲木。
桑叶（一钱） 滁菊花（二钱） 白蒺藜（盐水炒三钱） 女贞子（三钱酒蒸） 制半夏（一
钱五分） 丹皮（二钱）
橘白（一钱） 白茯苓（三钱） 黑豆衣（三钱） 石决明（四钱） 谷芽（檀香汁炒二钱）
严（右） 风阳不平，心悸多恐，乙木过升，甲木不降也。
阿胶珠（二钱） 辰麦冬（三钱） 炒枣仁（二钱） 酒炒杭白芍（一钱五分） 女贞子（三钱酒蒸）
钩钩（三钱） 辰茯神（三钱） 黑豆衣（三钱） 柏子霜（三钱）
居（左） 惊动胆木，神情扰乱，幸而循止。脉形左大。肝火尚未平靖。重以镇之，清以泄之。
桑叶 山栀 炒枣仁 白芍 白蒺藜 龙齿
丹皮 钩钩 朱茯神 石决明 金器 天王补心丹
（原注）病由半夜睡中，经人唤醒变惊而起。
某 胸中如阻，时或恐怖。此痰阻胃中。
温胆汤加炒栝蒌白蒺藜蛤壳石决明姜汁竹沥。不愈加濂珠辰砂血珀三味，研末调服。
某 每至睡醒，辄作惊跳，甚则神情迷钝，良久方清。风痰交炽也。
导痰汤去甘草，加竹茹茯神白蒺藜僵蚕明天麻蛤粉。
某 脉症相安，然阳气仍复上升，皆由木失滋涵。再滋肾养肝，宁神熄木。
阿胶（二钱） 夜交藤（四钱） 黑豆衣（三钱） 炒枣仁（二钱） 龙齿（三钱） 酒炒女贞子（三钱）
酒炒杭白芍（一钱五分） 滁菊花（一钱五分） 海蛤粉（三钱） 淮小麦（五钱） 糯稻根（五钱）
天王补心丹（三钱晨服四钱包煎）
二诊 寐得稍安，饮食如常。育阴熄肝，再望应手。
阿胶珠（三钱） 朱茯神（三钱） 夜交藤（三钱） 酒炒杭白芍（一钱五分） 酒炒女贞子（三钱）
炒枣仁（二钱） 青龙齿（三钱） 柏子霜（三钱） 淮小麦（五钱） 金器（一件）
三诊 腰为肾府，腿股为奇脉所辖，腰股作酸，肾虚已着。厥阴之脉上额交巅，肝用在左而主血，偏左
头痛，血虚木旺，亦属显然。心悸跳荡，时为不寐，水亏风阳撼扰，所谓曲直动摇，风之象也。滋肾水以熄风，治之定
理。
生熟地 粉归身 滁菊花 肥玉竹 奎党参 酒炒杭白芍 潼沙苑（盐水炒） 泽泻 柏子霜 辰
麦冬 生于术 生甘草 黑豆衣 西洋参 朱茯神 川石斛 炒枣仁 龙齿
夜交藤 浓杜仲 甘杞子 生山药 磁石 粉丹皮
石决明 酒炒女贞子 菟丝子（盐水炒） 清阿胶（四两） 龟板胶（三两） 鹿角胶（一两）
以三胶溶化收膏，每晨服七八钱，开水化服。
Wang (Left) Yin deficiency with phlegm accumulation, Gallbladder and Stomach Qi failing to descend, Liver Yang moving secretly. Whenever sleep is imminent, palpitations and startle occur. Medicated shell substances are prescribed to settle the Liver and subdue Yang.
Zhi Guiban (Roasted Tortoise Shell, 5 qian) Cishi (Magnetite, 3 qian) Fushen (Poria with Hostwood, 3 qian) Jiuchao Hangbaishao (Hang White Peony Root stir-fried with wine, 1.5 qian) Sheng Muli (Raw Oyster Shell, 4 qian)
Longchi (Dragon Teeth, 3 qian) Heidouyi (Black Soybean Coat, 3 qian) Bo Juhong (Thin Tangerine Red Peel, 1 qian) Jinqi (Gold Artifact, one piece, suspended for decoction)
Certain patient Last year suffered from vertigo and palpitations, even to the point of mental confusion due to Heart Qi. After nourishing Water to nurture Wood (nourishing Kidney Yin to support Liver), Liver Heat was resolved, and various symptoms significantly subsided. However, palpitations have not completely ceased, and timidity is occasionally felt. The Liver and Gallbladder both belong to Wood in the Five Elements; Liver Wood ascends, while Gallbladder Wood descends, constituting a state of harmony. If Liver ascent is excessive, Gallbladder descent is insufficient, causing Gallbladder Wood to float and become uprooted, naturally leading to Qi deficiency. This constitutes disease of the Gallbladder and Liver. The Classics state: "For deficiency, tonify its mother." The mother of Wood is Water (Kidney). Therefore, to lower Gallbladder Qi, one must first extinguish Liver Yang; to extinguish Liver Yang, one must first nourish Kidney Yin.
Zhi Guiban (Roasted Tortoise Shell, 12 liang) Chao Zaoren (Stir-fried Ziziphus Seed, 3 liang) Zhu Fushen (Cinnabar-coated Poria with Hostwood, 3 liang) Danpi (Moutan Cortex, 2 liang) Shijueming (Abalone Shell, 5 liang) Nvzhenzi (Ligustrum Lucidum Fruit, steamed with wine, 3 liang)
Tong Shayuan (Cuscutae Semen, stir-fried with wine, 3 liang) Baiguishen (Angelica Sinensis Root, stir-fried with wine, 2 liang) Chao Yurou (Stir-fried Cornus Officinalis Fruit, 1.5 liang) Zhi Biejia (Roasted Turtle Shell, 10 liang) Sheng Shanyao (Fresh Dioscorea Opposita Rhizome, 3 liang) Baizishuang (Biota Seed Frost, 3 liang)
Kui Dangshen (Codonopsis Pilosula, 5 liang) Yuanzhi Rou (Polygala Root Flesh, 6 qian) Da Shengdi (Large Rehmannia Glutinosa Root, 6 liang) Shudi (Prepared Rehmannia Root, 2 liang) Cishi (Magnetite, 4 liang) Fei Yuzhu (Large Polygonatum Odoratum Rhizome, 3 liang) Hang Baishao (Hang White Peony Root, stir-fried with wine, 3 liang) Sheng Zhuyu (Atractylodes Macrocephala Rhizome, 1.5 liang, incorporated with decoction of Muxiang 2 qian) Chentiantong (Asparagus Cochinchinensis Root, 2 liang) Chen Maidong (Ophiopogon Japonicus Tuber, 3 liang) Duzhong (Eucommia Bark, 3 liang)
Xiyangshen (American Ginseng, 1 liang) Sheng Gancao (Raw Licorice Root, 7 qian) Gan Jiuye (Dried Tangerine Leaf, 1 liang) Longyanrou (Longan Aril, 3 liang)
Use Qing Ejiao (Clear Donkey-hide Gelatin, 4 liang) dissolved in wine to make a paste. Take one spoonful every morning, dissolved in boiling water.
Yang (Elderly Woman) Palpitations with throbbing, occasional insomnia, left-sided headache, soreness in the waist and thighs. Pulse is wiry and choppy at the Chi position. Yang rises but fails to subside. Prescribe methods to extinguish Liver activity and calm the Spirit.
Zhu Fushen (Cinnabar-coated Poria with Hostwood, 3 qian) Longchi (Dragon Teeth, 3 qian) Jiuchao Hangbaishao (Hang White Peony Root stir-fried with wine, 1.5 qian) Heidouyi (Black Soybean Coat, 3 qian) Chao Zaoren (Stir-fried Ziziphus Seed, 2 qian)
Yejiaoteng (Caulis Polygoni Multiflori, 3 qian) Baizishuang (Biota Seed Frost, 3 qian) Chu Juhua (Chrysanthemum Morifolium Flower, 3 qian) Tianwang Buxin Wan (Emperor of Heaven's Tonifying the Heart Pill, 3 qian taken first; additional 5 qian wrapped for decoction)
Jing (Left) Essence and Yin fluids are insufficient, Liver and Intestine Qi ascend. Occasional dizziness with nausea, frequent startle during sleep. Nourish Yin and extinguish Liver activity.
Da Shengdi (Large Raw Rehmannia Root, 4 qian) Jiuchao Hangbaishao (Hang White Peony Root stir-fried with wine, 1.5 qian) Gougou (Uncaria Rhynchophylla Hook, 3 qian) Chu Juhua (Chrysanthemum Morifolium Flower, 1.5 qian) Zhu Fushen (Cinnabar-coated Poria with Hostwood, 3 qian)
Heidouyi (Black Soybean Coat, 3 qian) Sheng Muli (Raw Oyster Shell, 5 qian) Baijili (Tribulus Terrestris Fruit, 3 qian) Danpi (Moutan Cortex, 2 qian) Jinqi (Gold Artifact, one piece, suspended for decoction)
Second visit: After nourishing Yin and extinguishing Liver activity, rising Yang still fails to subside. Headache, ear pain, and tinnitus occur. Startle during sleep. Sperm turbidity appears after urination. Kidney Yin is deficient. To control Yang, one must nourish Yin.
Da Shengdi (Large Raw Rehmannia Root, 4 qian) Sheng Muli (Raw Oyster Shell, 5 qian) Fen Danpi (Powdered Moutan Cortex, 2 qian) Heidouyi (Black Soybean Coat, 3 qian) Sheng Guiban (Raw Tortoise Shell, 4 qian) Sheng Baishao (Raw White Peony Root, 1.5 qian) Sheng Shanyao (Fresh Dioscorea Opposita Rhizome, 3 qian) Nvzhenzi (Ligustrum Lucidum Fruit, steamed with wine, 3 qian) Tong Shayuan (Cuscutae Semen, stir-fried with salt water, 3 qian) Fushen (Poria with Hostwood, 3 qian) Lianxu (Lotus Stamen, 1 qian)
Third visit: Constitution is prone to dampness; greasy yin-nourishing medicines cannot be tolerated. Headache, tinnitus, startle during sleep. Since strengthening Water to harmonize Yang is not feasible, clear and drain Jia Wood (Gallbladder Fire).
Sangye (Mulberry Leaf, 1 qian) Chu Juhua (Chrysanthemum Morifolium Flower, 2 qian) Baijili (Tribulus Terrestris Fruit, stir-fried with salt water, 3 qian) Nvzhenzi (Ligustrum Lucidum Fruit, 3 qian, steamed with wine) Zhi Banxia (Prepared Pinellia Tuber, 1.5 qian) Danpi (Moutan Cortex, 2 qian)
Jubai (Tangerine White Pith, 1 qian) Bai Fuling (White Poria, 3 qian) Heidouyi (Black Soybean Coat, 3 qian) Shijueming (Abalone Shell, 4 qian) Guya (Sprouted Millet, stir-fried with Sandalwood Juice, 2 qian)
Yan (Right) Wind-Yang is unbalanced, palpitations with excessive fear. Yi Wood (Liver) ascends excessively, Jia Wood (Gallbladder) fails to descend.
Ejiaozhu (Donkey-hide Gelatin Beads, 2 qian) Chen Maidong (Ophiopogon Japonicus Tuber, 3 qian) Chao Zaoren (Stir-fried Ziziphus Seed, 2 qian) Jiuchao Hangbaishao (Hang White Peony Root stir-fried with wine, 1.5 qian) Nvzhenzi (Ligustrum Lucidum Fruit, 3 qian, steamed with wine)
Gougou (Uncaria Rhynchophylla Hook, 3 qian) Chen Fushen (Cinnabar-coated Poria with Hostwood, 3 qian) Heidouyi (Black Soybean Coat, 3 qian) Baizishuang (Biota Seed Frost, 3 qian)
Ju (Left) Startle disturbs Gallbladder Wood, causing mental agitation, fortunately subsiding on its own. Pulse shape is large on the Left. Liver Fire has not yet settled. Use heavy sedatives to suppress and clearing agents to drain.
Sangye (Mulberry Leaf) Shanzhi (Gardenia Fruit) Chao Zaoren (Stir-fried Ziziphus Seed) Baishao (White Peony Root) Baijili (Tribulus Terrestris Fruit) Longchi (Dragon Teeth)
Danpi (Moutan Cortex) Gougou (Uncaria Rhynchophylla Hook) Zhu Fushen (Cinnabar-coated Poria with Hostwood) Shijueming (Abalone Shell) Jinqi (Gold Artifact) Tianwang Buxin Wan (Emperor of Heaven's Tonifying the Heart Pill)
(Original Note: The illness arose from being startled awake from sleep at midnight.)
Certain patient Chest feels obstructed, occasional terror. This is Phlegm obstructing the Stomach.
Wendan Tang (Warm the Gallbladder Decoction) plus Chao Gualou (Stir-fried Trichosanthes Fruit), Baijili (Tribulus Terrestris Fruit), Geke (Clam Shell), Shijueming (Abalone Shell), Jiangzhi (Ginger Juice), Zhuli (Bamboo Sap). If no improvement, add Zhenzhu (Pearl), Chensha (Cinnabar), Xuepo (Blood Amber), three substances ground into powder and mixed for administration.
Certain patient Upon waking from sleep, startle occurs frequently; severely, mental dullness persists for a long time before clearing. Wind and Phlegm are blazing together.
Daotan Tang (Guide Out Phlegm Decoction) minus Gancao (Licorice Root), plus Zhuru (Bamboo Shavings), Fushen (Poria with Hostwood), Baijili (Tribulus Terrestris Fruit), Jiangcan (Silkworm), Ming Tianma (Gastrodia Elata Rhizome), Haifen (Clam Powder).
Certain patient Pulse and symptoms seem stable, yet Yang Qi continues to rise, all due to Wood lacking nourishment and hydration. Further nourish Kidney and nourish Liver, calm the Spirit and extinguish Wind.
Ejiao (Donkey-hide Gelatin, 2 qian) Yejiaoteng (Caulis Polygoni Multiflori, 4 qian) Heidouyi (Black Soybean Coat, 3 qian) Chao Zaoren (Stir-fried Ziziphus Seed, 2 qian) Longchi (Dragon Teeth, 3 qian) Jiuchao Nvzhenzi (Ligustrum Lucidum Fruit stir-fried with wine, 3 qian)
Jiuchao Hangbaishao (Hang White Peony Root stir-fried with wine, 1.5 qian) Chu Juhua (Chrysanthemum Morifolium Flower, 1.5 qian) Haige Fen (Clam Powder, 3 qian) Huaixiaomai (Fleet Wheat Grain, 5 qian) Nuodaogen (Glutinous Rice Root, 5 qian)
Tianwang Buxin Wan (Emperor of Heaven's Tonifying the Heart Pill, 3 qian taken in morning; 4 qian wrapped for decoction)
Second visit: Sleep is slightly peaceful, diet is normal. Continue nourishing Yin and extinguishing Liver activity; hope for efficacy.
Ejiaozhu (Donkey-hide Gelatin Beads, 3 qian) Zhu Fushen (Cinnabar-coated Poria with Hostwood, 3 qian) Yejiaoteng (Caulis Polygoni Multiflori, 3 qian) Jiuchao Hangbaishao (Hang White Peony Root stir-fried with wine, 1.5 qian) Jiuchao Nvzhenzi (Ligustrum Lucidum Fruit stir-fried with wine, 3 qian)
Chao Zaoren (Stir-fried Ziziphus Seed, 2 qian) Qing Longchi (Green Dragon Teeth, 3 qian) Baizishuang (Biota Seed Frost, 3 qian) Huaixiaomai (Fleet Wheat Grain, 5 qian) Jinqi (Gold Artifact, one piece)
Third visit: The waist is the mansion of the Kidney; the thighs and legs are governed by the extraordinary vessels. Soreness in the waist and thighs indicates obvious Kidney deficiency. The Jueyin Liver Meridian ascends to the forehead and intersects at the vertex. The Liver functions on the left and governs Blood. Left-sided headache indicates Blood deficiency and hyperactive Wood, which is evident. Palpitations with throbbing, occasional insomnia, indicate Water deficiency causing Wind-Yang to shake and disturb. As stated, "bending and straightening, trembling," these are signs of Wind. Nourishing Kidney Water to extinguish Wind is the established principle of treatment.
Sheng Shudi (Raw and Prepared Rehmannia Roots) Fen Guishen (Powdered Angelica Sinensis Root) Chu Juhua (Chrysanthemum Morifolium Flower) Fei Yuzhu (Large Polygonatum Odoratum Rhizome) Kui Dangshen (Codonopsis Pilosula) Jiuchao Hangbaishao (Hang White Peony Root stir-fried with wine) Tong Shayuan (Cuscutae Semen, stir-fried with salt water) Zexie (Alisma Rhizome) Baizishuang (Biota Seed Frost) Chen Maidong (Ophiopogon Japonicus Tuber) Sheng Zhuyu (Atractylodes Macrocephala Rhizome) Sheng Gancao (Raw Licorice Root) Heidouyi (Black Soybean Coat) Xiyangshen (American Ginseng) Zhu Fushen (Cinnabar-coated Poria with Hostwood) Chuan Shihu (Dendrobium Officinale Stem) Chao Zaoren (Stir-fried Ziziphus Seed) Longchi (Dragon Teeth)
Yejiaoteng (Caulis Polygoni Multiflori) Nong Duzhong (Thick Eucommia Bark) Gan Qizi (Sweet Goji Berry) Sheng Shanyao (Fresh Dioscorea Opposita Rhizome) Cishi (Magnetite) Fen Danpi (Powdered Moutan Cortex)
Shijueming (Abalone Shell) Jiuchao Nvzhenzi (Ligustrum Lucidum Fruit stir-fried with wine) Tusizi (Cuscutae Semen, stir-fried with salt water) Qing Ejiao (Clear Donkey-hide Gelatin, 4 liang) Guiban Jiao (Tortoise Shell Gelatin, 3 liang) Lu Jiao Jiao (Deer Antler Gelatin, 1 liang)
Melt the three gelatins to form a paste. Take 7-8 qian every morning, dissolved in boiling water.