白马山李 温热寒热，脉弦寸口芤，呛咳咽痛，舌白尖赤。症属阴虚，宜防喉燥。
元参（三钱） 橘红（一钱） 金果榄（钱半） 桑叶（三钱） 象贝（三钱） 焦山栀（三钱）
光杏
仁（三钱） 射干（钱半） 马勃（钱半） 白前（钱半） 胖大海（三钱） （引）枇杷叶（五片，去
毛）
三帖。
又 咽痛稍瘥，脉弦右寸大，舌黄红，呛咳，寒热不清，宜防喉燥（二月十二日。）
元参（三钱） 薄荷（钱半） 金果榄（钱半） 桔梗（二钱） 象贝（三钱） 橘红（钱半） 粉
丹
皮（二钱） 甘草（八分） 马勃（钱半） 炒知母（钱半） 山茶花（钱半） （引）枇杷叶（五片）
三帖。
又 咳逆稍减，自利未除，脉濡数，舌滑根焦，尚润形光，最怕变幻。（四月二十一号甲
辰初五日。）
桔梗（钱半） 银花（钱半） 广郁金（三钱） 淡竹叶（钱半） 连翘（三钱） 大豆卷（三钱）
橘红（一钱） 蔻仁（七分，冲） 光杏仁（三钱） 赤苓（四钱） 通草（钱半）
清煎二帖。
介按∶张仲景云∶少阴病，下利咽痛，胸满心烦者，猪肤汤主之。今此案，是属伏气自
少阴
而内发之咽痛，虽不用猪肤汤，而初方以宣散温邪，清火解毒，得以咽痛少瘥，次方则从甘
桔汤加味，以清少阴内发之热，而咳逆稍减。三方因其自利，兼用辛淡渗湿，俾湿走脾健，
自能告痊。
[Background Information]
Book: Shao Lansun's Medical Cases Author: Shao Lansun Dynasty: Qing Chapter: Throat Category: Medical Discussion
[Original Text to Process]
Patient Li from Baima Mountain presented with alternating chills and fever characteristic of warm-heat pathogens, a wiry pulse with a cun position that was hollow (Kou), accompanied by hacking cough, sore throat, white tongue coating with a red tip. The syndrome belongs to Yin deficiency; prevention of dry throat is advisable.
Xuan Shen (Scrophulariae Radix) (3 qian) Ju Hong (Citri Reticulatae Pericarpium Rubrum) (1 qian) Jin Guo Lan (Tetrastigma Hemsleyanum) (1.5 qian) Sang Ye (Mori Folium) (3 qian) Xiang Bei Mu (Fritillariae Thunbergii Bulbus) (3 qian) Jiao Shan Zhi (Cardamomae Fructus Carbonized) (3 qian)
Guang Xing Ren (Armeniacae Semen) (3 qian) She Gan (Belamcandae Rhizoma) (1.5 qian) Ma Bo (Pleurotus Ostreatus) (1.5 qian) Bai Qian (Cynanchi Stauntonii Rhizoma et Radix) (1.5 qian) Pang Da Hai (Sterculiae Lychnophorae Semen) (3 qian) [Guiding Herb] Pi Pa Ye (Eriobotryae Folium) (5 leaves, de-hairing)
Three doses.
Second visit: Sore throat slightly improved, pulse wiry with right cun position enlarged, tongue yellow-red, hacking cough persists, chills and fever not cleared, still need to prevent dry throat. (February 12th.)
Xuan Shen (Scrophulariae Radix) (3 qian) Bo He (Menthae Haplocalycis Herba) (1.5 qian) Jin Guo Lan (Tetrastigma Hemsleyanum) (1.5 qian) Jie Geng (Platycodonis Radix) (2 qian) Xiang Bei Mu (Fritillariae Thunbergii Bulbus) (3 qian) Ju Hong (Citri Reticulatae Pericarpium Rubrum) (1.5 qian) Fen Dan Pi (Moutan Cortex) (2 qian) Gan Cao (Glycyrrhizae Radix et Rhizoma) (8 fen) Ma Bo (Pleurotus Ostreatus) (1.5 qian) Chao Zhi Mu (Anemarrhenae Rhizoma Stir-fried) (1.5 qian) Shan Cha Hua (Camelliae Japonicae Flos) (1.5 qian) [Guiding Herb] Pi Pa Ye (Eriobotryae Folium) (5 leaves)
Three doses.
Third visit: Cough and qi rebellion slightly reduced, spontaneous diarrhea not yet removed, pulse soggy and rapid, tongue coating slippery with scorched root, surface still moist and shiny, most afraid of transformation. (April 21st, Jia Chen year, first month, fifth day.)
Jie Geng (Platycodonis Radix) (1.5 qian) Yin Hua (Lonicerae Japonicae Flos) (1.5 qian) Guang Yu Jin (Curcumae Radix) (3 qian) Dan Zhu Ye (Lophatheri Herba) (1.5 qian) Lian Qiao (Forsythiae Fructus) (3 qian) Da Dou Juan (Sojae Semen Praeparatum) (3 qian)
Ju Hong (Citri Reticulatae Pericarpium Rubrum) (1 qian) Kou Ren (Amomi Fructus) (7 fen, taken with decoction) Guang Xing Ren (Armeniacae Semen) (3 qian) Chi Ling (Poria cum Rhizomo Polypori et Ligni) (4 qian) Tong Cao (Tetrapanacis Medulla) (1.5 qian)
Decocted in clear water, two doses.
Commentary by Jie: Zhang Zhongjing stated: In Shaoyin disease, if there is diarrhea, sore throat, chest fullness, and irritability, Zhu Fu Tang (Pig Skin Decoction) should be used. This case belongs to latent pathogen originating from Shaoyin and erupting internally causing sore throat. Although Zhu Fu Tang was not used, the first prescription dispersed warm-heat pathogens and cleared fire and detoxified, resulting in slight improvement of sore throat; the second prescription modified from Gan Jie Tang (Licorice and Platycodon Decoction) cleared internal heat of Shaoyin, leading to slight reduction of cough and qi rebellion; the third prescription addressed spontaneous diarrhea using acrid and bland diuretics, allowing dampness to drain and spleen qi to strengthen, thus naturally achieving recovery.