曹(西山) 炎日远行，热入络动血，入冬间发，乃身心不安逸，阳亢阴虚。
方 面肿气喘，呛不止，音渐哑，周身之气降，全在乎肺。酒客久蓄之湿，湿中生热，
气必熏蒸及上，肺热为肿为喘，声音闭塞矣。按《内经》云∶湿淫于内，治以淡渗，佐以苦
温。渗则湿从下走，酒客恶甘宜苦，温以通湿，湿是阴邪耳(湿不下行，聚于中宫，化热上
蒸，熏灼肺气上逆，气机失降，见症如是。)
活水芦根 米仁 浓朴 滑石块 浙茯苓 杏仁
六味药俱降下渗湿之品。
邹(四十六岁) 辛能入肾，肾恶燥。凡辛能入血，则补辛以气走，通泄则燥伤肾阴。方
中仙灵脾泄湿，半夏远志辛燥，由阳直泄气至下，人参、五味生津，亦为邪药之锋甚所劫，
何愦愦乃尔(此案未详病形脉症，但究误治药味，想是阴虚症耳。)
人参 茯神 天冬 熟地 五味 柏子霜
猪肾捣丸。
项(二十七岁) 失血如饥腹痛，是烦劳致伤，见血投凉，希图降止。乃胃伤减食，其病
日凶。(烦劳者，必伤脾胃之阳，绝不用腻药。)
熟地炭 湖莲肉 山药 茯神 芡实 炙草
张(蠡墅，四十七岁) 两月昼热夜凉，咳嗽喘急，是中年劳碌伤气，忌酒发汗甘温益气
。
人参 炙甘草 薏苡仁 白芨
蜜水炙黄
方(三十六岁) 脉细小垂尺，身动喘急，壮年形色若巅老，此情欲下损，精血内枯，气
撒不收。(气撒不收，四个字说得极精透。)夫有形精血，药不能生，精夺奇脉已空，俗医蛮
补，何尝填精能入奇经。
人参 胡桃肉 茯苓 补骨脂
Cao (from Xishan) traveled long distances under the scorching sun, causing heat to enter the collaterals and disturb the blood. It manifested in winter, resulting in physical and mental restlessness, with hyperactive Yang and deficient Yin.
Facial swelling accompanied by asthma, incessant choking cough, and gradually hoarse voice; the descent of Qi throughout the body relies entirely on the Lung. In chronic drinkers, dampness accumulates for a long time, generating heat within the dampness. The heat inevitably steams upward, causing Lung heat to lead to swelling and asthma, resulting in blocked voice. According to *Neijing*: "When dampness overflows internally, treat it with bland and leaching agents, assisted by bitter-warm herbs." Leaching causes dampness to flow downward; drinkers dislike sweet flavors and should prefer bitter ones; warmth promotes the circulation of dampness, as dampness is a Yin pathogen. (If dampness does not descend but gathers in the middle Jiao, transforming into heat that steams upward, scorching Lung Qi and causing rebellion, with loss of Qi descent, such symptoms appear.)
Prescription: Fresh Reed Rhizome (*Imperatae Rhizoma*), Coix Seed (*Coicis Semen*), Magnolia Bark (*Magnoliae Officinalis Cortex*), Talcum (*Talcum*), Zhejiang Poria (*Poria Cocos* with Chuanbei), Apricot Kernel (*Armeniacae Semen Amarum*).
All six herbs are substances that direct Qi downward and leach out dampness.
Zou (46 years old): Pungent flavor enters the Kidney, but the Kidney dislikes dryness. Whenever pungent flavor enters the Blood level, if pungent tonics are used to move Qi, excessive draining and purging will damage Kidney Yin. In the prescription, Epimedium (*Epimedii Folium*) drains dampness, Pinellia (*Pinelliae Rhizoma*) and Polygala (*Polygalae Radix*) are pungent and drying. From the Yang level, they directly drain Qi downward. Ginseng (*Ginseng Radix*) and Schisandra (*Schisandrae Fructus*) generate fluids, yet they are also overwhelmed by the fierce attack of pathogenic drugs. Why is one so confused? (This case lacks detailed description of disease presentation, pulse, and symptoms; it merely investigates the wrongly prescribed drugs, suggesting it was likely a Yin deficiency syndrome.)
Prescription: Ginseng (*Ginseng Radix*), Poria with Hostwood (*Poria Cocos with Hostwood*), Asparagus Tuber (*Asparagi Radix*), Prepared Rehmannia Root (*Rehmanniae Radix Praeparata*), Schisandra (*Schisandrae Fructus*), Biota Seed (*Biotae Semen*).
Pounded with pig kidney to make pills.
Xiang (27 years old): Hemorrhage followed by abdominal pain resembling hunger pangs indicates injury caused by overexertion. Upon seeing bleeding, cool-natured hemostatic drugs were administered in hopes of stopping the blood. This injured the Stomach, reduced appetite, and made the condition increasingly severe. (Overexertion must damage the Yang of the Spleen and Stomach; greasy/cloying medicines must absolutely be avoided.)
Prescription: Charred Prepared Rehmannia Root (*Rehmanniae Radix Praeparata Carbonisata*), Lotus Seed Meat (*Nelumbinis Semen*), Chinese Yam (*Dioscoreae Rhizoma*), Poria with Hostwood (*Poria Cocos with Hostwood*), Euryale Seed (*Euryales Semen*), Honey-fried Licorice (*Glycyrrhizae Radix et Rhizoma Praeparata cum Melle*).
Zhang (Lishu, 47 years old): For two months, there has been fever during the day and coolness at night, with coughing, asthma, and urgency. This is Qi injury due to mid-life laboriousness. One must avoid alcohol, diaphoretic methods, and sweet-warm Qi-tonifying strategies.
Prescription: Ginseng (*Ginseng Radix*), Honey-fried Licorice (*Glycyrrhizae Radix et Rhizoma Praeparata cum Melle*), Coix Seed (*Coicis Semen*), Bletilla Tuber (*Bletillae Rhizoma*).
Stir-fried with honey water [Yellow/Golden herb implied or specific processing method].
Fang (36 years old): Pulse is fine, small, and weak at the cunchi position (root). Body moves restlessly with asthma and urgency. A young adult appears physically aged like an elder. This is lower-jiao depletion due to excessive sexual desire, with Essence and Blood internally exhausted, and Qi scattering without retention. ("Qi scattering without retention" is expressed with extreme precision.) Formative Essence and Blood cannot be regenerated by medicine alone. When Essence is severely depleted, the奇经 (Extraordinary Vessels) are already empty. Quack doctors use brute tonification; how can such brute tonification allow Essence to enter the Extraordinary Vessels?
Prescription: Ginseng (*Ginseng Radix*), Walnut Meat (*Juglandis Semen*), Poria (*Poria Cocos*), Psoralea Fruit (*Psoraleae Fructus*).