本 头眩口苦，胆气泄也。胁痛入脘，肝气逆也。便不通爽，腑气结也。清胆热，降肝逆，以和腑气。
用嫩桑叶、粉丹皮、生枣仁以泻少阳，枳壳、金橘皮、降香末以治厥阴，苏梗、郁李仁、谷芽以和阳明，白芍、
木瓜缓中泻木为统治。服效。
张氏 气攻胸脘胀痛，身热口干便秘，寸脉浮长，关小数，此肺脾郁久化热，致津液不行，故便燥而
艰也。用苦降法，枇杷叶、郁金汁、枳壳、杏仁、百合、麦冬、蒌霜、郁李仁、生蜜冲入。数服而平。
陈氏 气阻胸膈引背，食入胀痛，脐上瘕聚有形，脉来虚缓，胃逆不降少纳，五旬余得此，惧延中膈。
宜缓攻，姑与辛通。制半夏、杏仁、陈皮、草蔻（煨研）、枳壳、砂仁壳、淡姜渣、延胡（酒炒），韭白
捣汁冲。四服而病若失。
龚氏 食入脘胀，微渴，便苦燥，腑气阻，津液不行。胃病治肝，误用牡蛎、赭石敛镇，兼乌药、香
附辛温，痞聚更增，下壅益甚，脉沉而 。药忌温涩劫液阻隧，主辛滑通润，于腑病为宜。当归、杏仁、郁李
仁、蒌仁（俱研）、橘白、苏梗、枳壳、淡苁蓉，韭白汁冲。数服愈。
本 久嗽气促，中夜必起坐，是亥子阳升，丹田不纳。今长夏每食必脐下气冲，涌吐无余。更由劳动阴火，
扰胃劫痰，直上冲咽。先予降逆，苏子、橘红、枳壳、栝蒌、杏仁、降香、贝母，一啜吐止。议镇冲脉，青铅、
坎、牛膝、山药、五味、熟地炭、茯神。三服气定嗽减。
张 运息强通督任，致动冲气，从阴股内廉入阴囊，抵关元，直上挟脐，升至中脘，气即停泊，偏绕右膈，
冲咽欲呃。此震伤冲任经气，由丹田交会，入脘作呃。《灵枢》亦谓冲任并起胞中，为经络之海，其浮而外者，
循腹右上行，会于咽喉也。此气升逆，神不自持，恍惚无寐，自汗神烦，身左虚堕，良由精血失涵，任乏担承，
冲惯升逆，不呕不胀，无关脏腑，一切补脏通腑，奚由入络，拟镇养奇经。诊脉左右动数，仍防喘热耳。牛膝、
萸肉（俱酒炒炭）、当归须（酒拌，各一钱）、熟地炭、龟甲心（炙）、杞子（焙。各二钱）、茯神、降香末
（各三钱）、桂心（三分，隔水煨冲）。
Translation:
Patient surnamed Ben presented with dizziness and bitter taste in the mouth, indicating the leakage of Gallbladder Qi. Hypochondriac pain extending to the epigastrium indicates the rebellion of Liver Qi. Unsmooth bowel movements indicate the stagnation of Fu-organ Qi. The treatment principle is to clear Gallbladder heat, descend Liver rebellion, and harmonize Fu-organ Qi.
Prescription uses young Mulberry Leaf (Sang Ye), Powdered Moutan Cortex (Mu Dan Pi), and Raw Ziziphus Seed (Suan Zao Ren) to drain Shaoyang; Zhi Ke (Aurantium Fructus), Golden Orange Peel (Jin Ju Pi), and Powdered Aquilaria Wood (Xiang Qian/Jiang Xiang) to treat Jueyin; Perilla Stem (Su Geng), Prunus Semen (Yu Li Ren), and Sprouted Grain (Gu Ya) to harmonize Yangming; White Peony Root (Bai Shao) and Chinese Quince (Mu Gua) to soothe the middle and drain Wood, serving as a comprehensive treatment strategy. Efficacy was observed after administration.
Patient surnamed Zhang presented with Qi attacking the chest and epigastrium causing distension and pain, fever, dry mouth, and constipation. The Cun pulse was floating and long, while the Guan pulse was fine and rapid. This indicates that Lung and Spleen Qi had been stagnant for a long time and transformed into heat, leading to impaired fluid circulation, resulting in dry and difficult defecation. A bitter-descending method was used: Loquat Leaf (Pi Pa Ye), Curcuma Juice (Yu Jin Zhi), Zhi Ke (Aurantium Fructus), Apricot Seed (Xing Ren), Lily Bulb (Bai He), Ophiopogon Tuber (Mai Dong), Trichosanthes Peel (Lou Shuang), Prunus Semen (Yu Li Ren), mixed with raw honey for administration. The condition subsided after several doses.
Patient surnamed Chen presented with Qi obstruction in the chest and diaphragm radiating to the back, distension and pain after eating, and a palpable mass above the umbilicus. The pulse was deficient and slow. Stomach Qi rebelled and failed to descend, leading to poor appetite. Being over fifty years old, he feared progression to dysphagia (Ge Jie). Slow purgation was indicated, initially using acrid-unblocking methods. Prepared Pinellia Tuber (Zhi Ban Xia), Apricot Seed (Xing Ren), Tangerine Peel (Chen Pi), Roasted and Ground Cardamom Seed (Cao Kou), Zhi Ke (Aurantium Fructus), Sandarac Shell (Sha Ren Ke), Weak Ginger Residue (Dan Jiang Zha), and Corydalis Rhizome (Yan Hu Suo, wine-fried), administered with juice pressed from Leek Whites (Jiu Bai). After four doses, the illness disappeared as if lost.
Patient surnamed Gong presented with epigastric distension after eating, slight thirst, painful dry stools, obstruction of Fu-organ Qi, and failure of fluids to circulate. The stomach disease was treated by addressing the liver, but incorrectly using Oyster Shell (Mu Li) and Magnetite (He Shi) for astringency and sedation, combined with Litsea Fruit (Wu Yao) and Cyperus Rhizome (Xiang Fu) which are acrid and warm. This exacerbated the痞聚 (masses/stagnation) and lower congestion. The pulse was deep and choppy. Medications contraindicated include warming, astringent agents that deplete fluids and block collaterals. The main principle should be acrid, slippery, unblocking, and moistening, which is suitable for Fu-organ diseases. Prescription: Angelica Sinensis Root (Dang Gui), Apricot Seed (Xing Ren), Prunus Semen (Yu Li Ren), Trichosanthes Seed (Lou Ren, all ground), Tangerine Pith (Ju Bai), Perilla Stem (Su Geng), Zhi Ke (Aurantium Fructus), Cistanche Stem (Rou Cong Rong), administered with Leek White juice. Cured after several doses.
Patient surnamed Ben presented with chronic cough and shortness of breath, waking up to sit up at midnight. This occurs during Hai and Zi hours when Yang Qi rises, but the Dantian fails to grasp it. In late summer, every meal triggered Qi rushing from below the umbilicus, leading to violent vomiting until empty. Additionally, labor-induced Yin fire disturbed the stomach and depleted phlegm, rushing directly up to the throat. Initially, descending rebellion was attempted with Perilla Seed (Su Zi), Red Tangerine Peel (Ju Hong), Zhi Ke (Aurantium Fructus), Trichosanthes Fruit (Gua Lou), Apricot Seed (Xing Ren), Aquilaria Wood (Jiang Xiang), and Fritillaria Bulb (Bei Mu). One sip stopped the vomiting. Next, suppressing the Chong Mai (Penetrating Vessel) was proposed using Lead (Qing Qian), Placenta (Kan Qi), Achyranthes Root (Niu Xi), Dioscorea Tuber (Shan Yao), Schisandra Berry (Wu Wei Zi), Charred Rehmannia Root (Shu Di Tan), and Poria (Fu Shen). After three doses, Qi stabilized and cough decreased.
Patient surnamed Zhang forced the opening of the Du Mai (Governor Vessel) and Ren Mai (Conception Vessel) through strong breathing, disturbing the Chong Qi. The Qi entered the scrotum from the medial aspect of the thigh, reached the Guanyuan point, rose straight up along the umbilicus to the Zhongwan point, where it stopped, then deviated around the right diaphragm, rushing to the throat causing hiccups. This resulted from emotional shock damaging the Jing-Qi of the Chong and Ren vessels, originating from the Dantian intersection, entering the epigastrium to cause hiccups. The *Ling Shu* states that the Chong and Ren vessels originate in the Baozhong (uterus/lower abdomen) and serve as the Sea of Meridians. Their superficial branches ascend on the right side of the abdomen and meet at the throat. This rebellious Qi caused loss of mental control,恍惚 (trance-like state), insomnia, spontaneous sweating, and mental restlessness. The left side of the body felt weak and sinking. This was primarily due to the loss of nourishment by Essence and Blood, lack of support by the Ren Mai, and habitual rebellion of the Chong Mai. There was no vomiting or distension, unrelated to Zang-Fu organs. Conventional tonification of Zang and unblocking of Fu methods could not reach the collaterals. Therefore, suppressing and nourishing the Extraordinary Vessels was planned. Pulse diagnosis showed rapid and moving pulses on both sides; asthma and heat were still guarded against. Prescription: Achyranthes Root (Niu Xi), Cornus Fruit (Yu Rou, both wine-fried and charred), Angelica Sinensis Root Tip (Dang Gui Xu, wine-mixed, 1 qian each), Charred Rehmannia Root (Shu Di Tan), Tortoise Plastron Heart (Gui Jia Xin, roasted), Goji Berry (Qi Zi, baked, 2 qian each), Poria (Fu Shen), Aquilaria Wood Powder (Jiang Xiang Mo, 3 qian each), Cinnamon Bark Heart (Gui Xin, 0.3 fen, simmered separately and taken with liquid).