叔 深秋吸受秽邪，呕吐不已。先服藿香正气散，入口即吐，身热足厥，面黑眶陷，或进导痰温胃饮，
呕恶不纳。诊之脉虚少神，予谓此中宫虚极也。速用潞参、山药、茯苓、炙草、白术、橘白、苏子、莲子、红
枣、煨姜、粳米煎。稍稍与服，竟不吐，思食粥矣。后加减数味，调理而康。
李妪 由腰痛续得寒热呕吐，汗出畏冷，寸关脉伏，两尺动数。思高年水谷不入，呕多胃气先伤，况寸
关脉不见，阳气已虚，足必时厥，宜其汗出而畏冷也。自述胫寒至膝，乃用煨姜汁热服，呕定。即与粥汤，右
脉略起，因与吴茱萸汤，脉症悉平。
族某 胸痛食减吐酸，由肝逆浊泛。用吴茱萸、浓朴、枳壳、青皮、半夏、茯苓为末。空心日再服，
金橘皮泡汤下。效。
夏氏 两寸洪大，两关弦滑，呕逆耳鸣，口干头晕，白带连绵，症属肝胃不和。吴萸（黄连汁炒）。生
白芍、山栀、半夏（青盐炒）、茯苓、苏子、枳壳、蒌霜。三服症平。
李 脉洪大搏指，口干频咳，食后吐水，头目震弦而心悸。此劳
力伤阳，阳化内风，上冒清道，风翔则水涌，胃虚则木乘，故呕眩不已，其水停膈间，心必悸，津不上潮，
口必干，气不下降，便乃秘。治先和阳降逆，山栀、甘菊（炒）、冬桑叶、茯苓、杏仁、苏子（俱炒研）、
牡蛎（ ）、海浮石、淡竹茹、前胡。三服症平，脉较敛，其神倦者，火风逆势已折也。减甘菊、桑叶，
加白芍、茯神、栝蒌、半夏、潞参，和肝胃以清涤痰火，遂愈。
族女 情志怫悒，头眩颊赤，夏初食入即吐，脉虚小，经期错乱。由肝胆火风侮胃，不及传变，倾翻甚速，
且胃虚作呃，木气乘土，久则冲脉失涵，络伤内溢，以冲为血海，隶在阳明也。先宜苦以降逆，山栀、羚羊角、
竹茹、旋复花、半夏曲、柿霜。三四服眩吐止。去羚羊角、半夏曲，加阿胶（另化冲）、丹皮、白芍、茯苓、
甘草，调养肝胃而经期顺。
[Case 1]
An uncle-type patient, having inhaled turbid pathogenic factors in late autumn, suffered from incessant vomiting. Initially, Huo Xiang Zheng Qi San (Patchouli and Magnolia Decoction) was administered, but the medicine was vomited immediately upon ingestion. Subsequently, fever, coldness of the feet, dark complexion, and sunken eye sockets appeared. Later, Dao Tan Wen Wei Yin (Phlegm-Draining and Stomach-Warming Decoction) was tried, yet nausea and vomiting persisted, preventing food intake. The pulse was found to be weak and lacking spirit. It was concluded that this indicated extreme deficiency of the Middle Jiao (Spleen and Stomach). A decoction was rapidly prepared using Codonopsis Radix (Luparen), Dioscoreae Rhizoma (Shanyao), Poria (Fuling), Glycyrrhizae Radix et Rhizoma Preparatum with Honey (Zhigancao), Atractylodis Macrocephalae Rhizoma (Baizhu), Citri Reticulatae Pericarpium Album (Jubai), Perillae Fructus (Suzi), Nelumbinis Semen (Lianzi), Ziziphi Jujubae Fructus (Hongzao), Zingiberis Rhizoma Preparatum (Weijiang), and Oryza Sativa Germen (Jingmi). The patient was given small amounts frequently. Remarkably, vomiting ceased, and the desire for porridge emerged. After adjusting a few herbs in subsequent prescriptions, the patient recovered through regulation.
[Case 2]
An elderly woman surnamed Li developed alternating chills and fever followed by vomiting due to lower back pain. She exhibited sweating and aversion to cold. The pulses at the Cun (inch) and Guan (bar) positions were hidden/faint, while the Chi (cubit) positions were rapid and active. Considering her advanced age, inability to retain food and fluids, excessive vomiting damaging stomach qi first, and the absence of Cun and Guan pulses indicating deficient yang, it was deduced that her feet would likely be cold at times, explaining the sweating and aversion to cold. She reported coldness extending from her calves to her knees. Therefore, Zingiberis Rhizoma Preparatum juice was administered hot, which stopped the vomiting. Immediately after, rice soup was given, causing the right pulse to slightly rise. Consequently, Wu Zhu Yu Tang (Evodia Decoction) was prescribed, resulting in the normalization of both pulse and symptoms.
[Case 3]
A male relative presented with chest pain, reduced appetite, and regurgitation of acid, caused by rebellious Liver qi and flooding of turbid yin. A powder was made from Evodiae Fructus (Wuzhuyu), Magnoliae Officinalis Cortex (Houpo), Aurantii Fructus (Zhiqiao), Citri Reticulatae Pericarpium (Qingpi), Pinelliae Rhizoma (Banxia), and Poria (Fuling). This was taken twice daily on an empty stomach, washed down with water infused with Citrus reticulata peel (Jinju pi). The treatment was effective.
[Case 4]
Patient Xia presented with surging pulses at both Cun positions and wiry-slippery pulses at both Guan positions. Symptoms included rebellious vomiting, tinnitus, dry mouth, dizziness, and continuous leukorrhea. The pattern was identified as Disharmony between Liver and Stomach. The prescription consisted of Evodiae Fructus (stir-fried with Coptidis Rhizoma juice), raw Paeoniae Radix Alba (Baishao), Gardeniae Fructus (Shanzhi), Pinelliae Rhizoma (stir-fried with green salt), Poria (Fuling), Perillae Fructus (Suzi), Aurantii Fructus (Zhiqiao), and Benincasae Exocarpium (Gualu shuang). After three doses, symptoms subsided.
[Case 5]
Patient Li presented with a surging pulse that beat against the finger, dry mouth, frequent coughing, vomiting of clear fluid after meals, head tremors/dizziness, and palpitations. This was attributed to labor injuring yang; yang transformation generated internal wind, which rushed upward to cloud the clear orifices. Wind movement caused water surging; stomach deficiency allowed Liver wood to overact, leading to incessant vomiting and dizziness. Water retention in the diaphragm caused palpitations; lack of fluid ascent caused dry mouth; failure of qi to descend led to constipation. Treatment initially focused on harmonizing yang and descending rebellion. The formula included Gardeniae Fructus (Shanzhi), Chrysanthemi Flos (Ganju, stir-fried), Mori Folium (Dongsangye), Poria (Fuling), Armeniacae Semium Amarum (Xingren), Perillae Fructus (Suzi, all stir-fried and ground), Ostreae Concha (Muli), Spongia (Haifushi), Bambusae Caulis in Taeniam (Danzhuru), and Peucedani Radix (Qianhu). After three doses, symptoms resolved, and the pulse became more contained. The fatigue indicated that the fire-wind rebellious trend had been checked. Ganju and Dongsangye were removed, and Paeoniae Radix Alba (Baishao), Poria cum Radice (Fushen), Trichosanthis Fructus (Gualou), Pinelliae Rhizoma (Banxia), and Codonopsis Radix (Luparen) were added to harmonize Liver and Stomach and clear phlegm-fire. The patient subsequently recovered.
[Case 6]
A female relative presented with emotional depression, dizziness, flushed cheeks, immediate vomiting after eating in early summer, a weak-small pulse, and irregular menstruation. The cause was Liver-Gallbladder fire and wind invading the Stomach. The pathology progressed rapidly without transmission to other stages. Due to stomach deficiency, hiccups occurred; Wood qi overacted on Earth. Over time, the Chong Mai (Penetrating Vessel) lost nourishment, collateral vessels were damaged, and bleeding occurred internally. Since the Chong Mai is the Sea of Blood and belongs to the Yangming channel, bitter herbs were first used to descend rebellion. The formula included Gardeniae Fructus (Shanzhi), Saigae Tataricae Cornu (Lingyangjiao), Bambusae Caulis in Taeniam (Zhuru), Inulae Flos (Xuanfuhua), Pinelliae Rhizoma Preparate (Banxia qu), and Diospyros Fructus Crusta (Shishuang). After three to four doses, dizziness and vomiting stopped. Saigae Tataricae Cornu and Pinelliae Rhizoma Preparate were removed, and Asini Corii Colla (Ejiao, melted separately and mixed in), Moutan Cortex (Danpi), Paeoniae Radix Alba (Baishao), Poria (Fuling), and Glycyrrhizae Radix et Rhizoma (Gancao) were added to nourish and regulate the Liver and Stomach, restoring regular menstruation.