潘（左） 咳嗽鼻衄，腰酸肢重。肝肾空虚，恐延衰症。
丹皮炭 杜仲 当归 生地炭 炙黑丝瓜络 川断肉 白芍 川贝母 牛膝炭 海蛤粉 白茅花 炒麦冬
二诊 补肾清金，衄血未来，咳减纳加。的是水亏而虚火上炎，载血逆行也。乘此善调，以图恢复为要。
生熟地（三钱） 杜仲（三钱） 炒麦冬（三钱） 川贝母（二钱） 杭白芍（一钱五分） 生山药（三钱）
茯神（三钱） 牛膝炭（三钱） 龟甲心（五钱先煎） 代赭石（四钱）
王（左） 涎涕带血，血从呼出。风邪湿热上蒸。
玉泉散（三钱） 马兜铃（二钱） 广郁金（一钱五分） 桑叶（一钱） 薄荷（五分） 苍耳子（一钱）
象贝母（二钱） 白桔梗（八分） 枇杷叶（去毛四片）
李（左） 鼻衄盈碗而来。脉形弦大。此肝火积于内，风热袭于外，以致阳络损破，不能扃固。还恐有复涌之势。
丹皮（一钱五分） 青黛（五分） 煨石膏（八钱） 黑山栀（三钱） 赤芍（一钱五分） 麦冬（三钱）
鲜石斛（八钱） 白茅花（一两） 鲜藕（三两）
李（左） 鼻衄如注。脉象弦大。肺胃风热内迫。恐致厥脱。
犀角尖（五分） 细生地（三钱） 炒丹皮（一钱五分） 生赤芍（一钱五分） 绿豆衣（五钱） 麦冬（三钱）
黑山栀（三钱） 大黄（二钱酒蒸） 藕汁（一杯） 元参肉（三钱） 白茅花（一两五钱）
吴（右） 向有鼻衄，势不甚盛。兹以不禁辛辣，以至三次衄血，皆有盈盂之多。阳络损伤也。
侧柏炭（三钱） 丹皮炭（一钱五分） 鲜竹茹（一钱五分） 当归炭（一钱五分） 白茅花（一钱） 细生地
（四钱） 白茯苓（三钱） 大麦冬（三钱） 藕汁（半杯） 鲜荷叶络（三钱）
Pan (Left) Coughing accompanied by epistaxis, soreness and weakness of the lower back, and heaviness of the limbs. Deficiency of the Liver and Kidney; fear that it may progress to a chronic wasting syndrome (Shuai Zheng).
Tan Pi Tan (Carbonized Cortex Moutan), Du Zhong (Cortex Eucommiae), Dang Gui (Radix Angelicae Sinensis), Sheng Di Tan (Carbonized Radix Rehmanniae), Zhi Hei Si Gua Luo (Charred Black Luffa Fruit Fiber), Chuan Duan Rou (Medulla Acanthopanacis Senticosi), Bai Shao (Radix Paeoniae Alba), Chuan Bei Mu (Bulbus Fritillariae Cirrhosae), Niu Xi Tan (Carbonized Radix Achyranthis Bidentatae), Hai Ge Fen (Concha Meretricis et Cyclinae), Bai Mao Hua (Flos Imperatae), Chao Mai Dong (Stir-fried Rhizoma Ophiopogonis).
Second visit: Employed tonifying the Kidney and clearing the Lung. Epistaxis has not recurred, cough has decreased, and appetite has improved. This is indeed due to deficiency of Water failing to control Fire, causing deficient Fire to flare upward and carrying blood in reverse flow. Seize this favorable opportunity to regulate and treat, aiming for recovery as the priority.
Sheng Di Huang (Raw Radix Rehmanniae, 3 qian) and Shu Di Huang (Prepared Radix Rehmanniae, 3 qian), Du Zhong (Cortex Eucommiae, 3 qian), Chao Mai Dong (Stir-fried Rhizoma Ophiopogonis, 3 qian), Chuan Bei Mu (Bulbus Fritillariae Cirrhosae, 2 qian), Hang Bai Shao (Radix Paeoniae Alba from Hangzhou, 1.5 qian), Sheng Shan Yao (Raw Rhizoma Dioscoreae Oppositae, 3 qian), Fu Shen (Poria with Hostwood, 3 qian), Niu Xi Tan (Carbonized Radix Achyranthis Bidentatae, 3 qian), Gui Jia Xin (Heart of Testudinis Carapax et Plastrum, 5 qian, decocted first), Dai Zhe Shi (Limonitum, 4 qian).
Wang (Left) Saliva and nasal discharge mixed with blood, bleeding occurring upon exhalation. Pathogenic Wind and Damp-Heat steaming upward.
Yu Quan San (Jade Spring Powder, 3 qian), Ma Dou Ling (Fructus Aristolochiae, 2 qian), Guang Yu Jin (Radix Curcumae, 1.5 qian), Sang Ye (Folium Mori, 1 qian), Bo He (Herba Menthae, 0.5 qian), Cang Er Zi (Fructus Xanthii, 1 qian), Xiang Bei Mu (Bulbus Fritillariae Thunbergii, 2 qian), Bai Jie Geng (Radix Platycodonis, 0.8 fen), Pi Pa Ye (Folium Eriobotryae, 4 slices, hairs removed).
Li (Left) Epistaxis filling a bowl. Pulse is wiry and large. Liver Fire accumulating internally, Wind-Heat attacking externally, resulting in damage and rupture of Yang Collaterals, unable to close and secure. Fear of recurrence with sudden gushing.
Dan Pi (Cortex Moutan, 1.5 qian), Qing Dai (Indigo Naturalis, 0.5 fen), Wei Shi Gao (Calcined Gypsum Fibrosum, 8 qian), Hei Shan Zhi (Black Gardenia Fructus, 3 qian), Chi Shao (Radix Paeoniae Rubra, 1.5 qian), Mai Dong (Rhizoma Ophiopogonis, 3 qian), Xian Shi Hu (Fresh Rhizoma Dendrobii, 8 qian), Bai Mao Hua (Flos Imperatae, 1 liang), Xian Ou (Fresh Rhizoma Nelumbinis, 3 liang).
Li (Left) Epistaxis pouring like a stream. Pulse is wiry and large. Wind-Heat of the Lung and Stomach pressing inwardly. Fear of leading to Jue Tuo (collapse).
Xi Jiao Jian (Tip of Rhinoceros Horn, 0.5 fen), Xi Sheng Di (Fine Raw Radix Rehmanniae, 3 qian), Chao Dan Pi (Stir-fried Cortex Moutan, 1.5 qian), Sheng Chi Shao (Raw Radix Paeoniae Rubra, 1.5 qian), Lv Dou Yi (Testa Phaseoli Sojae, 5 qian), Mai Dong (Rhizoma Ophiopogonis, 3 qian), Hei Shan Zhi (Black Gardenia Fructus, 3 qian), Da Huang (Radix et Rhizoma Rhei, 2 qian, steamed with wine), Ou Zhi (Juice of Fresh Rhizoma Nelumbinis, 1 cup), Yuan Shen Rou (Meat of Radix Scrophulariae, 3 qian), Bai Mao Hua (Flos Imperatae, 1.5 liang).
Wu (Right) History of epistaxis, previously not severe. This time, due to inability to abstain from spicy food, three episodes of epistaxis occurred, each filling a basin. Damage to Yang Collaterals.
Ce Bai Tan (Carbonized Folium Platycladi), Tan Pi Tan (Carbonized Cortex Moutan, 1.5 qian), Xian Zhu Ru (Fresh Bamboo Shavings, 1.5 qian), Dang Gui Tan (Carbonized Radix Angelicae Sinensis, 1.5 qian), Bai Mao Hua (Flos Imperatae, 1 qian), Xi Sheng Di (Fine Raw Radix Rehmanniae, 4 qian), Bai Fu Ling (White Poria, 3 qian), Da Mai Dong (Large Rhizoma Ophiopogonis, 3 qian), Ou Zhi (Juice of Fresh Rhizoma Nelumbinis, half cup), Xian He Ye Luo (Fresh Lotus Leaf Veins, 3 qian).