（附肝火出血，胃火作呕。）
张地官坠马伤腿，服草乌药，致衄血咳嗽，臂痛目黄，口渴齿痛，小便短少，此因燥剂伤肺与大
肠而致。用生地黄、黄芩、连、知、柏、山栀、山药、甘草，以润肺燥而生肾水，小便顿长，诸症并
止。以山药、五味、
麦冬、参、 、芎、归、知、柏、黄芩、炙草，以滋阴血，养元气，而疮敛。
俞进士折腿，骨已接，三月尚发热，出血不止，正体医治不应，左关脉洪数，此肝火炽甚，血得
热而妄行也。遂投小柴胡汤加山栀、白芍、生地、防风，血止热退。又用八珍、五味、麦冬治之，疮
口即愈。
田宗伯侄，仲秋，因怒跌仆，遍身作痛，发热衄血，肝脉弦洪。曰∶久衄脉弦洪，乃肝火盛而制
金也。至春，则肝木茂盛而自焚，或戕贼脾土，非易治之症，当滋肾水以生肝木，益脾土以生肺金。
乃杂用泻肝火等剂，殁于仲春之月。
一妇人因怒仆地，伤面出血，痰盛昏愦，牙关紧急。曰∶此怒动肝火，气逆拂郁，神明昏冒而卒
倒也。两手脉洪而无伦次，以小柴胡汤加黄连、山栀、芎、归、桂、橘红、茯苓、姜汁而苏。
一膏粱之人，跌腿青肿作痛，服辛热之剂，反发热作喘，患处益痛，口干唇揭。此膏粱之人，内
多积热，更服辛热之剂，益其胃火而使然也。频饮童便，以清胃散加山栀、黄芩、甘草，治之顿止。
患处以葱熨之，肿即消散。
(Attached: Bleeding caused by Liver Fire, Vomiting caused by Stomach Fire.)
Official Zhang fell from a horse and injured his leg. After taking *Cao Wu* (Aconitum kusnezoffii Rhizome), he developed epistaxis (nosebleed) and cough, arm pain, yellow eyes, thirst, toothache, and scanty urine. This was due to the injury of the Lung and Large Intestine by dry/hot herbs. He was treated with *Sheng Di Huang* (Rehmanniae Radix), *Huang Qin* (Scutellariae Radix), *Lian Qiao* (Forsythiae Fructus - *Note: Context implies Lian Suo or similar, but standard text often lists Huang Lian here, assuming Huang Lian based on common pairing with Zhi/Bai*), *Zhi Mu* (Anemarrhenae Rhizoma), *Huang Bo* (Phellodendri Cortex), *Shan Zhi* (Gardeniae Fructus), *Shan Yao* (Dioscoreae Rhizoma), and *Gan Cao* (Glycyrrhizae Radix et Rhizoma) to moisten Lung dryness and generate Kidney Water. His urination immediately increased, and all symptoms ceased. Subsequently, he was treated with *Shan Yao*, *Wu Wei Zi* (Schisandrae Fructus), *Mai Dong* (Ophiopogonis Radix), *Ren Shen* (Ginseng Radix), [missing character in original], *Xiong* (Chuanxiong Rhizome), *Dang Gui* (Angelicae Sinensis Radix), *Zhi Mu*, *Huang Bo*, *Huang Qin*, and *Zhi Gan Cao* (Prepared Glycyrrhizae Radix et Rhizoma) to nourish Yin-blood and support Yuan Qi, leading to wound healing.
Academician Yu broke his leg. Although the bone was set, he continued to have fever and uncontrollable bleeding three months later. Treatment by a specialist in orthopedics failed. The pulse at the left Guan position was surging and rapid, indicating excessive Liver Fire causing blood to move recklessly due to heat. He was administered *Xiao Chai Hu Tang* (Minor Bupleurum Decoction) added with *Shan Zhi*, *Bai Shao* (Paeoniae Radix Alba), *Sheng Di Huang*, and *Fang Feng* (Saposhnikoviae Radix). The bleeding stopped and fever subsided. He was then treated with *Ba Zhen Tang* (Eight Treasure Decoction), *Wu Wei Zi*, and *Mai Dong*, resulting in the healing of the wound.
The nephew of Grand Secretary Tian, in mid-autumn, fell due to anger, suffering from body-wide pain, fever, and epistaxis. The Liver pulse was wiry and surging. It was stated: "Long-term epistaxis with a wiry and surging pulse indicates excessive Liver Fire restraining Metal (Lung). By spring, when Liver Wood is flourishing, it may self-consume or damage Spleen Earth; this is not an easy-to-treat condition. One should nourish Kidney Water to generate Liver Wood and tonify Spleen Earth to generate Lung Metal." However, various agents for purging Liver Fire were mixed and used, and he died in early spring.
A woman fell to the ground in anger, injuring her face and bleeding. She had abundant phlegm, coma, and trismus (lockjaw). It was stated: "This is anger stirring up Liver Fire, with rebellious Qi and depression, causing the Spirit to be obscured and sudden collapse." Both hands showed surging pulses without order. She regained consciousness after being treated with *Xiao Chai Hu Tang* added with *Huang Lian* (Coptidis Rhizoma), *Shan Zhi*, *Xiong*, *Dang Gui*, *Gui Zhi* (Cinnamomi Ramulus), *Ju Hong* (Citri Reticulatae Pericarpium Rubrum), *Fu Ling* (Poria), and *Jiang Zhi* (Zingiberis Rhizoma Recens Juice).
A person accustomed to rich food suffered from bruising, swelling, and pain in the leg after a fall. After taking acrid-hot herbs, he instead developed fever and wheezing, with increased pain at the lesion site, dry mouth, and peeling lips. This occurred because persons accustomed to rich food have internal accumulated heat; taking acrid-hot herbs further exacerbated Stomach Fire. Frequent drinking of *Tong Bian* (Child's Urine) and treatment with *Qing Wei San* (Clear the Stomach Powder) added with *Shan Zhi*, *Huang Qin*, and *Gan Cao* stopped the symptoms immediately. The affected area was moxibusted/warmed with scallions (*Cong Bai*), and the swelling dissipated.