陡 王（妇） 肝气作痛，脉弦，经闭，咳痰带红，损怯已成，非轻藐之症（六月初九日）
紫菀（钱半） 广橘红（钱半） 左金丸（八分） 白石英（三钱） 光杏仁（三钱） 川贝（三
钱
）降香（七分） 绿萼梅（钱半） 生牡蛎（四钱） 茜草（钱半） 泽兰（钱半） 藕节（三个）
四帖。
介按∶左升属肝，右降属肺，兹以胃惫而肝阳横逆无制，肺失下降之权，以致咳血经闭
，此方是泄肝降气，和血通络之意。
安昌庞 肝阳烁肺，咳痰带红，脉弦数，舌色透明，便血，防损。（二月初十日。）
霜桑叶（三钱） 光杏仁（三钱） 焦山栀（三钱） 粉丹皮（二钱） 炒驴胶（钱半） 生石决
明（六钱） 川贝（钱半） 生米仁（四钱） 山茶花（钱半） 银花炭（二钱） 橘络（钱半）
清煎四帖。
又 痰红较差，脉弦劲，呛咳不已，咽痛已减。宜清肺化痰。（二月二十日。）
生地（四钱） 生石决明（六钱） 川石斛（三钱） 炒驴胶（钱半） 杏仁（三钱） 川贝（二
钱） 生白芍（钱半） 鸡子黄（一枚） 元参（二钱） 侧柏炭（三钱） 女贞子（三钱）
清煎五帖。
又 咳嗽仍属带红，脉劲数，肝阳上升。宜清降为主。（三月初七日。）
生地（四钱） 桑叶（三钱） 侧柏炭（三钱） 小苏草（二钱） 光杏仁（三钱） 生石决明（
六钱）
天冬（二钱） 茜根（三钱） 元参（三钱） 焦山栀（三钱） 橘红（钱半） 茅根（一两，煎汤）
五帖。
介按∶《内经》云∶阳络伤则血外溢，阴络伤则血内溢。谅以怒劳动肝，暗耗营阴，肺
与大
肠均受其戕，而逼血妄行，久延愈剧。前后三方，佥以柔肝肃肺，清热育阴，深合病机，故
多奏效。
安昌胡 咳血气促，脉弦数，舌微黄，寒热交作，此木火刑肺。宜清少阳为主。
霜桑叶（三钱） 杜栝蒌皮（钱半） 小蓟草（三钱） 淮牛膝（三钱） 生石决明（六钱） 川
贝（二钱） 淡竹叶（钱半） 白薇（三钱） 焦栀子（三钱） 茜草根（二钱） 橘络（钱半）
清煎三帖。
又 血已除，咳嗽气促不已，脉数，舌黄，肝火犹炽。宜清降为妥（十二月初二日。）
紫菀（钱半） 桑叶（三钱） 白前（钱半） 女贞子（三钱） 天冬（二钱） 生石决明（六钱）
川贝（二钱） 谷芽（四钱） 遍金钗（三钱） 光杏仁（三钱） 淡秋石（八分）
清煎四帖。
介按∶阳明脉络日衰则发冷，阴亏而阳不潜藏则发热，总之，肝阳横逆而血上溢，故初
方以柔肝肃肺，降气凉血而获效。次方于清降之中，参用养胃，立法秩序井然。
张 俞 咳血未除，脉数，右关弦，胸闷，舌微黄。宜清降消痰。
杜栝蒌皮（钱半） 淡竹叶（钱半） 焦栀子（三钱） 赤芍（钱半） 京川贝（二钱） 广橘络
（钱半） 光杏仁（三钱） 参三七（一钱） 小蓟草（三钱） 白前（钱半） 紫菀（钱半）
清煎四帖。
介按∶胃热冲肺，逼血上溢，诚以胃脘当心，是肝经交络所过之处。兹因肝胃郁热冲肺
，而觉脘闷，治以清肺和络，凉血消瘀，用药颇为稳妥。
安昌徐 遭忿动肝，气冲咳血，脉弦细，舌微黄。姑宜清降消痰。（三月初七日。）
苏子（钱半） 焦山栀（三钱） 茜根（三钱） 紫菀（钱半） 川贝（二钱） 橘络（钱半） 光
杏仁（三钱） 天冬（二钱） 降香（七分） 白薇（二钱） 小蓟草（三钱）
清煎五帖。
介按∶嗔怒动及肝阳，血随气逆，此方宗缪仲醇气为血帅之意，确是对症良剂。
安昌王 阴虚内热，便结，脉细数，精关不固，咳痰带红。宜存阴为主（六月念七日）
遍金钗（三钱） 焦栀子（三钱） 光杏仁（三钱） 茜根（钱半） 川贝（二钱） 侧柏炭（三
钱）
炒知母（钱半） 小蓟草（三钱） 生地（四钱） 柏子仁（三钱） 广橘络（钱半） 鲜荷叶（一角）
四帖。
介按∶夏月藏阴，冬月藏阳，兹际夏令，适逢液亏之体，而阳不潜伏，升则血溢，降则
遗精。此方滋阴清热，和血肃肺，治法极佳。
安昌黄 肝阳烁肺，咳嗽带红，脉弦，迎风头疼，舌心光，耳鸣作痛。宜清少阳为主。
冬桑叶（三钱） 甘菊（二钱） 光杏仁（三钱） 焦栀子（三钱） 石决明（六钱） 川贝（二
钱）
侧柏炭（三钱） 苦丁茶（钱半） 炒驴胶（钱半） 丹皮（三钱） 钗斛（三钱） 淡竹叶（钱半）
清煎五帖。
介按∶阴液未能上承，厥阳燔燎不已，冲肺则咳嗽带红，挟胆热而上蒙清窍，则头疼耳
鸣。此方养胃肃肺，兼清肝胆之热，确是治病必求于本之义。
安昌徐 痰血已除，脉虚数，咳嗽不已，气逆。宜清降为主。（四月初七日。）
霜桑叶（三钱） 广橘络（钱半） 淡竹叶（钱半） 栝蒌皮（钱半） 光杏仁（三钱） 焦栀子
（三钱） 生石膏（六钱） 象贝（三钱） 马兜铃（一钱） 白前（钱半） 前胡（钱半）
清煎三帖。
介按∶此是痰血已除。肺胃余热未清之证，故治以降气清胃为主。
Dou Wang (female) Pain caused by Liver Qi stagnation, wiry pulse, amenorrhea, coughing up phlegm with blood streaks, consumptive weakness has already formed; this is not a trivial condition. (June 9th)
*Radix Asteris Tatarici* (1.5 qian) *Pericarpium Citri Reticulatae Viride* (1.5 qian) *Zuojin Wan* (8 fen) *Quartzum Album* (3 qian) *Semen Armeniacae Amarum* (3 qian) *Rhizoma Belamcandae* (3 qian) *Lignum Dalbergiae Odoriferae* (0.7 fen) *Flos Prunus Mume* (1.5 qian) *Concha Ostreae* (4 qian) *Radix Rubia Cordifoliae* (1.5 qian) *Herba Lycopi* (1.5 qian) *Node of Lotus Rhizome* (3 pieces)
Four doses.
Shao Jie notes: Ascension on the left belongs to the Liver, descent on the right belongs to the Lung. Here, due to stomach fatigue, Liver Yang rebels uncontrollably, and the Lung loses its descending function, resulting in hemoptysis and amenorrhea. This prescription intends to drain the Liver, descend Qi, harmonize Blood, and unblock collaterals.
Anchang Pang Gan Yang scorching the Lung, coughing up phlegm with blood, wiry-rapid pulse, transparent tongue color, hematochezia, fear of developing into consumption. (February 10th.)
*Folium Mori Bombycis* (3 qian) *Semen Armeniacae Amarum* (3 qian) *Fructus Gardeniae Jasminoidis Carbonized* (3 qian) *Cortex Moutan Radicis* (2 qian) *Colla Corii Asini Fritta* (1.5 qian) *Concha Arionis* (6 qian) *Rhizoma Belamcandae* (1.5 qian) *Semen Coicis* (4 qian) *Flos Camelliae Japonicae* (1.5 qian) *Flos Lonicerae Japonicae Carbonized* (2 qian) *Retinervium Pericarpii Citri Reticulatae* (1.5 qian)
Decocted in clear water, four doses.
Re-examination: Hemoptysis has improved slightly, wiry-tense pulse, incessant choking cough, sore throat has decreased. Should clear the Lung and resolve phlegm. (February 20th.)
*Radix Rehmanniae Preparata* (4 qian) *Concha Arionis* (6 qian) *Rhizoma Dendrobii* (3 qian) *Colla Corii Asini Fritta* (1.5 qian) *Semen Armeniacae Amarum* (3 qian) *Rhizoma Belamcandae* (2 qian) *Radix Paeoniae Alba* (1.5 qian) *Ovum Galli* (1 yolk) *Radix Scrophulariae* (2 qian) *Cacumen Platycladi Carbonized* (3 qian) *Fructus Ligustri Lucidi* (3 qian)
Decocted in clear water, five doses.
Re-examination: Cough still presents with blood, tense-rapid pulse, Liver Yang ascending. Should prioritize clearing and descending. (March 7th.)
*Radix Rehmanniae Preparata* (4 qian) *Folium Mori Bombycis* (3 qian) *Cacumen Platycladi Carbonized* (3 qian) *Herba Siegesbeckiae Orientalis* (2 qian) *Semen Armeniacae Amarum* (3 qian) *Concha Arionis* (6 qian)
*Radix Asparagi* (2 qian) *Radix Rubia Cordifoliae* (3 qian) *Radix Scrophulariae* (3 qian) *Fructus Gardeniae Jasminoidis Carbonized* (3 qian) *Pericarpium Citri Reticulatae Viride* (1.5 qian) *Radix Imperatae* (1 liang, decocted for water)
Five doses.
Shao Jie notes: The *Neijing* states: Injury to Yang collaterals causes external bleeding; injury to Yin collaterals causes internal bleeding. It is presumed that anger and overwork damage the Liver, secretly consuming Ying Yin. Both the Lung and Large Intestine are harmed, forcing Blood to flow recklessly; the longer it drags on, the more severe it becomes. The previous three prescriptions all employ softening the Liver and purifying the Lung, clearing heat and nourishing Yin, deeply aligning with the pathogenesis, thus achieving efficacy.
Anchang Hu Hemoptysis with shortness of breath, wiry-rapid pulse, slightly yellow tongue, alternating chills and fever, this is Wood Fire punishing the Lung. Should prioritize clearing Shaoyang.
*Folium Mori Bombycis* (3 qian) *Exocarpium Benincasae* (1.5 qian) *Herba Siegesbeckiae Orientalis* (3 qian) *Radix Achyranthis Bidentatae* (3 qian) *Concha Arionis* (6 qian) *Rhizoma Belamcandae* (2 qian) *Folium Phyllostachidis Discretae* (1.5 qian) *Radix Blepharispes* (3 qian) *Fructus Gardeniae Jasminoidis Carbonized* (3 qian) *Radix Rubia Cordifoliae* (2 qian) *Retinervium Pericarpii Citri Reticulatae* (1.5 qian)
Decocted in clear water, three doses.
Re-examination: Bleeding has ceased, but cough and shortness of breath persist, rapid pulse, yellow tongue, Liver Fire still blazing. Clearing and descending is appropriate. (December 2nd.)
*Radix Asteris Tatarici* (1.5 qian) *Folium Mori Bombycis* (3 qian) *Caulis Petasitae* (1.5 qian) *Fructus Ligustri Lucidi* (3 qian) *Radix Asparagi* (2 qian) *Concha Arionis* (6 qian)
*Rhizoma Belamcandae* (2 qian) *Semen Oriza Sativae Germinatum* (4 qian) *Dendrobii Caulis* (3 qian) *Semen Armeniacae Amarum* (3 qian) *Lapis Aquae Dulcis* (0.8 fen)
Decocted in clear water, four doses.
Shao Jie notes: Decline of Yangming collaterals leads to cold; Yin deficiency with unconcealed Yang leads to fever. In summary, Liver Yang rebels causing Blood to overflow upwards. Thus, the first prescription achieved efficacy by softening the Liver, purifying the Lung, descending Qi, and cooling Blood. The second prescription, while clearing and descending, incorporated stomach-nourishing methods, establishing an orderly legislative sequence.
Zhang Yu Hemoptysis persists, rapid pulse, wiry pulse at Right Guan, chest tightness, slightly yellow tongue. Should clear, descend, and resolve phlegm.
*Exocarpium Benincasae* (1.5 qian) *Folium Phyllostachidis Discretae* (1.5 qian) *Fructus Gardeniae Jasminoidis Carbonized* (3 qian) *Radix Paeoniae Rubra* (1.5 qian) *Rhizoma Belamcandae* (2 qian) *Retinervium Pericarpii Citri Reticulatae* (1.5 qian) *Semen Armeniacae Amarum* (3 qian) *Radix Notoginseng* (1 qian) *Herba Siegesbeckiae Orientalis* (3 qian) *Caulis Petasitae* (1.5 qian) *Radix Asteris Tatarici* (1.5 qian)
Decocted in clear water, four doses.
Shao Jie notes: Stomach Heat rushing to the Lung forces Blood to overflow upwards. Indeed, the epigastrium corresponds to the heart area, which is where Liver collaterals intersect and pass. Now, due to stagnant Heat in the Liver and Stomach rushing to the Lung, epigastric fullness is felt. Treatment employs clearing the Lung, harmonizing collaterals, cooling Blood, and resolving stasis; the medication is quite prudent.
Anchang Xu Anger stirred Liver Yang, Qi rushing causing hemoptysis, wiry-thin pulse, slightly yellow tongue. Temporarily prioritize clearing, descending, and resolving phlegm. (March 7th.)
*Fructus Viticis* (1.5 qian) *Fructus Gardeniae Jasminoidis Carbonized* (3 qian) *Radix Rubia Cordifoliae* (3 qian) *Radix Asteris Tatarici* (1.5 qian) *Rhizoma Belamcandae* (2 qian) *Retinervium Pericarpii Citri Reticulatae* (1.5 qian) *Semen Armeniacae Amarum* (3 qian) *Radix Asparagi* (2 qian) *Lignum Dalbergiae Odoriferae* (0.7 fen) *Radix Blepharispes* (2 qian) *Herba Siegesbeckiae Orientalis* (3 qian)
Decocted in clear water, five doses.
Shao Jie notes: Wrath moves Liver Yang, Blood follows Qi in rebellion. This prescription follows Miu Zhongchun’s principle that "Qi is the commander of Blood," and is indeed a good remedy for the syndrome.
Anchang Wang Yin deficiency with internal heat, constipation, thin-rapid pulse, insecure essence gate, coughing up phlegm with blood. Should prioritize preserving Yin. (June 27th)
*Dendrobii Caulis* (3 qian) *Fructus Gardeniae Jasminoidis Carbonized* (3 qian) *Semen Armeniacae Amarum* (3 qian) *Radix Rubia Cordifoliae* (1.5 qian) *Rhizoma Belamcandae* (2 qian) *Cacumen Platycladi Carbonized* (3 qian)
*Cortex Anthemidis Indici Fritta* (1.5 qian) *Herba Siegesbeckiae Orientalis* (3 qian) *Radix Rehmanniae Preparata* (4 qian) *Semen Platycladi* (3 qian) *Retinervium Pericarpii Citri Reticulatae* (1.5 qian) *Folium Nelumbinis Nove* (1 corner)
Four doses.
Shao Jie notes: Summer stores Yin, Winter stores Yang. At this time in summer, encountering a body deficient in fluids, Yang does not subside; ascending causes blood overflow, descending causes spermatorrhea. This prescription nourishes Yin, clears heat, harmonizes Blood, and purifies the Lung; the treatment method is excellent.
Anchang Huang Gan Yang scorching the Lung, coughing with blood, wiry pulse, headache when facing wind, smooth center of tongue, tinnitus with pain. Should prioritize clearing Shaoyang.
*Folium Mori Bombycis* (3 qian) *Flos Chrysanthemi Morifolii* (2 qian) *Semen Armeniacae Amarum* (3 qian) *Fructus Gardeniae Jasminoidis Carbonized* (3 qian) *Concha Arionis* (6 qian) *Rhizoma Belamcandae* (2 qian)
*Cacumen Platycladi Carbonized* (3 qian) *Folium Loureiri* (1.5 qian) *Colla Corii Asini Fritta* (1.5 qian) *Cortex Moutan Radicis* (3 qian) *Dendrobii Caulis* (3 qian) *Folium Phyllostachidis Discretae* (1.5 qian)
Decocted in clear water, five doses.
Shao Jie notes: Yin fluids fail to ascend, Jue Yang burns incessantly. Rushing to the Lung causes coughing with blood; carrying Gallbladder Heat upward clouding the clear orifices causes headache and tinnitus. This prescription nourishes the Stomach, purifies the Lung, and simultaneously clears Liver and Gallbladder Heat, truly embodying the principle that treating disease must seek the root.
Anchang Xu Phlegm-blood has been removed, deficient-rapid pulse, incessant cough, rebellious Qi. Should prioritize clearing and descending. (April 7th.)
*Folium Mori Bombycis* (3 qian) *Retinervium Pericarpii Citri Reticulatae* (1.5 qian) *Folium Phyllostachidis Discretae* (1.5 qian) *Exocarpium Benincasae* (1.5 qian) *Semen Armeniacae Amarum* (3 qian) *Fructus Gardeniae Jasminoidis Carbonized* (3 qian) *Gypsum Fibrosum* (6 qian) *Rhizoma Belamcandae* (3 qian) *Radix Aristolochiae* (1 qian) *Caulis Petasitae* (1.5 qian) *Radix Peucedani* (1.5 qian)
Decocted in clear water, three doses.
Shao Jie notes: This is a case where phlegm-blood has been removed, but residual Heat in the Lung and Stomach remains unclarified. Therefore, treatment prioritizes descending Qi and clearing the Stomach.