肺痈一年，咳吐脓血，发热脉数，势入损门，当养阴清痰热。
南洋参 杏仁 苡米 橘红 象贝 鲜百部 蛤粉 麦冬 丹皮 花粉 蒌仁 梨片
肺痈咳吐脓血之后，而夜分呛咳不止，入暮作寒，肢冷体痛，肺胃荣卫皆虚，肝阳不降。
宜养肺胃，兼以柔肝。
当归 炙甘草 首乌 淮牛膝 北沙参 杏仁 橘红 蛤粉 茯苓 紫菀 淮山药 榧子
风阳外受，肺胃之痰热内蕴，咳嗽发热，胸胁作痛，防成肺痈，急当清降。
薄荷 杏仁 桑皮 通草 茯苓 橘红 枳壳 川贝 苏根 蒌仁 枇杷叶 茅根
痰气蕴结肝肺，咳嗽发热，痰腥，胁痛，防成肺痈，当以清降。
南沙参 杏仁 百部 蛤粉 川贝 丹皮 橘红 通草 蒌皮 枇杷叶 竹茹
悲哀伤中，气凝血结，脐上脘下结硬作痛，已成漫心痰。寒热泻黄，脉弦，夹有暑邪，
殊非小恙。姑拟宣畅气血，散结化痰之治。
柴胡 葛根 薄荷 郁金 赤芍 川贝 枳壳 赤芍 青皮 通草 制半夏 荷叶 佛手
劳倦致伤，加复忧思，郁结颈左右，发为马刀。坚肿如石，痛掣头脑，脉细软，气血两
亏，生气日残，极难调治。姑拟养荣扶土，以化坚结。
川芎 当归 白芍 熟地 白术 党参 炙甘草 茯苓 陈皮 大贝 香附 肉桂 煨姜 红枣
复诊，原方加牡蛎。
血虚肝火，夹痰凝结，颈右发为马刀结核，坚肿，硬如石，发热，脉细。症势极重，宜和
荣化痰，缓缓取效。
当归 淮药 党参 香附 北沙参 大贝 石斛 茯苓 佩兰 制半夏 广皮 红枣
脉弦右滑左关且劲，荣阴不足，厥阴气火内动，夹痰上升，凝结少阳之分。颈右发为马
刀结核，坚肿，治调不易，拟养荣清肝化坚。
川芎 当归 白芍 生地 制半夏 僵蚕 广皮 香附 大贝 北沙参 石牡蛎 橘叶
复诊加山茨菇。
木郁较舒，马刀结硬稍松软，宗前法治。
川芎 当归 白芍 生地 人参须 陈皮 香附 大贝 牡蛎 山茨菇 半夏 远志 橘叶
郁怒伤肝，思虑伤脾，痰气郁结，颈右马刀 ，坚肿，头半掣痛，症势非轻。宜养荣清肝
化痰，更宜屏去尘情，勿怒勿劳为要。
当归 香附 茯苓 川芎 白蒺藜 白芍 半夏 大贝 牡蛎 杭菊 姜蚕 陈皮
马刀 为疡科，要连投解郁清肝，头痛已平，目能启视，似有转机。但午后微恶寒热，痰
坚肿如故，木郁不达，宜逍遥散合化坚汤主之。
当归 白芍 半夏 香附 白蒺藜 柴胡 陈皮 大贝 牡蛎 橘叶
肝气夹痰，凝结左腋，挟瘿马刀，胀及乳房， 热作痛，防其破溃，溃则难愈，宜清肝化痰。
栝蒌 大贝 清半夏 泽兰 赤芍 僵蚕 夏枯草 当归 香附 连翘
复诊加海藻、青皮、橘叶。
少阳相火夹痰上升，颈右马刀肿硬，误施针砭， 肿益甚，掣痛不休，血出头晕。症属不治，勉立一方。
鲜生地 元参 黑栀 大贝 赤芍 羚羊角 麦冬 丹皮 连翘 知母 侧柏叶 黄芩
Pulmonary abscess (Fei Yong) has persisted for one year, with coughing up of pus and blood, fever, and rapid pulse. The condition is progressing towards consumptive disease (Sun Men), requiring nourishment of Yin and clearing of phlegm-heat.
Glehniae Radix (Nanyangshen), Armeniacae Semen Amarum (Xingren), Coicis Semen (Yimi), Citri Reticulatae Pericarpium Rubrum (Juhong), Fritillariae Thunbergii Bulbus (Xiangbei), fresh Stemona Radix (Xian Baibu), Margarita Concha (Gafen), Ophiopogonis Radix (Maidong), Moutan Cortex (Danpi), Trichosanthis Radix (Huafen), Trichosanthis Fructus (Louren), Pear slices.
After the pulmonary abscess presents with coughing up of pus and blood, there is incessant choking cough at night, chills in the evening, cold limbs, and body pain. This indicates deficiency of Ying and Wei Qi in the Lung and Stomach, and failure of Liver Yang to descend.
Treatment should nourish the Lung and Stomach, while simultaneously softening the Liver.
Angelicae Sinensis Radix (Danggui), Glycyrrhizae Radix et Rhizoma Praeparatum (Zhigancao), Polygoni Multiflori Caulis (Shouwu), Achyranthis Bidentatae Radix (Huainiuxi), Glehniae Radix (Beishashen), Armeniacae Semen Amarum (Xingren), Citri Reticulatae Pericarpium Rubrum (Juhong), Margarita Concha (Gafen), Poria (Fuling), Asteris Tatarici Radix (Ziwan), Dioscoreae Hypoglaucae Rhizoma (Huaishanyao), Torreyae Semen (Feizi).
External contraction of wind and yang, combined with internal accumulation of phlegm-heat in the Lung and Stomach, causes cough, fever, and pain in the chest and hypochondrium. There is a risk of developing pulmonary abscess; urgent treatment requires clearing and descending.
Menthae Haplocalyx (Bohe), Armeniacae Semen Amarum (Xingren), Mori Cortex (Sangpi), Akebiae Caulis (Tongcao), Poria (Fuling), Citri Reticulatae Pericarpium Rubrum (Juhong), Aurantii Fructus Immaturus (Zhiqiao), Fritillariae Cirrhosae Bulbus (Chuanbei), Perillae Caulis (Sugen), Trichosanthis Fructus (Louren), Eriobotryae Folium (Pipaye), Imperatae Rhizoma (Maogen).
Accumulation of phlegm and qi in the Liver and Lung leads to cough, fever, fishy-smelling sputum, and hypochondriac pain, with a risk of pulmonary abscess. Treatment should focus on clearing and descending.
Glehniae Radix (Nanshashen), Armeniacae Semen Amarum (Xingren), Stemona Radix (Baibu), Margarita Concha (Gafen), Fritillariae Cirrhosae Bulbus (Chuanbei), Moutan Cortex (Danpi), Citri Reticulatae Pericarpium Rubrum (Juhong), Akebiae Caulis (Tongcao), Trichosanthis Pericarpium (Loupí), Eriobotryae Folium (Pipaye), Bambusae Medulla (Zhuru).
Sorrow damages the Middle Jiao, causing qi stagnation and blood coagulation. A hard, painful mass forms above the umbilicus and below the epigastrium, constituting "Manxin Tan" (a type of accumulation). With alternating chills and fever, yellow diarrhea, wiry pulse, and concurrent summerheat pathogen, this is no minor ailment. Tentatively prescribe methods to promote circulation of qi and blood, dissipate nodules, and resolve phlegm.
Bupleuri Radix (Chaihu), Puerariae Lobatae Radix (Gegen), Menthae Haplocalyx (Bohe), Curcumae Radix (Yujin), Paeoniae Radix Rubra (Chishao), Fritillariae Cirrhosae Bulbus (Chuanbei), Aurantii Fructus Immaturus (Zhiqiao), Chishao, Qingpi, Akebiae Caulis (Tongcao), Pinelliae Rhizoma Praeparatum (Zhibanxia), Nelumbinis Folium (Heye), Bergamot Fruit (Foshou).
Injury due to overexertion, compounded by worry and thought, leads to nodules on both sides of the neck, manifesting as "Madao" (scrofula). The masses are hard and swollen like stone, with pain radiating to the head. The pulse is fine and soft, indicating dual deficiency of qi and blood, with diminishing vital energy. It is extremely difficult to treat. Tentatively prescribe nourishing Ying and supporting Spleen Earth to transform hard accumulations.
Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Rehmanniae Radix Praeparata (Shudi), Atractylodis Macrocephalae Rhizoma (Baizhu), Codonopsis Radix (Dangshen), Glycyrrhizae Radix et Rhizoma Praeparatum (Zhigancao), Poria (Fuling), Citri Reticulatae Pericarpium (Chenpi), Fritillariae Thunbergii Bulbus (Dabei), Cyperi Rhizoma (Xiangfu), Cinnamomi Cortex (Rougui), Zingiberis Rhizoma Praeparatum (Weijiang), Jujubae Fructus (Hongzao).
Second visit: Add Ostrea Concha (Muli) to the original prescription.
Blood deficiency with Liver fire, combined with phlegm condensation, results in Madao tubercles on the right side of the neck. The swelling is hard like stone, accompanied by fever and a fine pulse. The condition is severe; harmonizing Ying and resolving phlegm is appropriate, expecting gradual effect.
Angelicae Sinensis Radix (Danggui), Dioscoreae Hypoglaucae Rhizoma (Huaiyao), Codonopsis Radix (Dangshen), Cyperi Rhizoma (Xiangfu), Glehniae Radix (Beishashen), Fritillariae Thunbergii Bulbus (Dabei), Dendrobii Caulis (Shihu), Poria (Fuling), Pogostemonis Herba (Peilan), Pinelliae Rhizoma Praeparatum (Zhibanxia), Citri Reticulatae Pericarpium (Guangpi), Jujubae Fructus (Hongzao).
The pulse is wiry; the right side is slippery, and the left Guan position is forceful. This indicates deficiency of Ying Yin, internal movement of Qi and Fire in the Jueyin meridian, ascending phlegm condensing in the Shaoyang region. Madao tubercles appear on the right side of the neck, hard and swollen. Treatment and regulation are difficult; prescribe nourishing Ying, clearing Liver, and transforming hardness.
Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Rehmanniae Radix Recens (Shengdi), Pinelliae Rhizoma Praeparatum (Zhibanxia), Bombyx Batryticatus (Jiangcan), Citri Reticulatae Pericarpium (Guangpi), Cyperi Rhizoma (Xiangfu), Fritillariae Thunbergii Bulbus (Dabei), Glehniae Radix (Beishashen), Ostrea Concha (Shimuli - *Note: Text says Shi Muli, likely referring to Oyster shell or Abalone shell contextually, using standard Muli*), Citrus reticulata 'Chachi' Leaf (Juye).
Second visit: Add Cremanthodii Herba (Shancigu).
Liver Qi stagnation has slightly eased, and the Madao nodule has become slightly softer. Continue with previous treatment method.
Ligustici Chuanxiong Rhizoma (Chuanxiong), Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Rehmanniae Radix Recens (Shengdi), Ginseng Radicula (Renshenxu), Citri Reticulatae Pericarpium (Chenpi), Cyperi Rhizoma (Xiangfu), Fritillariae Thunbergii Bulbus (Dabei), Ostrea Concha (Muli), Cremanthodii Herba (Shancigu), Pinelliae Rhizoma (Banxia), Polygalae Radix (Yuanzhi), Citrus reticulata 'Chachi' Leaf (Juye).
Anger injures the Liver, excessive thinking injures the Spleen, leading to phlegm-qi stagnation. Madao appears on the right side of the neck, hard and swollen, with half-head radiating pain. The condition is serious. Nourish Ying, clear Liver, and resolve phlegm. Crucially, avoid worldly emotions, anger, and fatigue.
Angelicae Sinensis Radix (Danggui), Cyperi Rhizoma (Xiangfu), Poria (Fuling), Ligustici Chuanxiong Rhizoma (Chuanxiong), Tribuli Fructus (Bajili), Paeoniae Radix Alba (Baishao), Pinelliae Rhizoma (Banxia), Fritillariae Thunbergii Bulbus (Dabei), Ostrea Concha (Muli), Chrysanthemi Flos (Hangju), Jiangcan (*Refers to processed Tian Nan Xing or similar, kept as Jiangcan per text*), Citri Reticulatae Pericarpium (Chenpi).
Madao belongs to the Surgery department. Continuous administration of formulas to relieve depression and clear the Liver is essential. Headache has subsided, eyes can open and see, indicating potential improvement. However, slight chills and fever occur in the afternoon, and the phlegm nodule remains hard and swollen. Liver Qi stagnation is not fully resolved. Prescribe Xiaoyao San combined with Huajian Tang.
Angelicae Sinensis Radix (Danggui), Paeoniae Radix Alba (Baishao), Pinelliae Rhizoma (Banxia), Cyperi Rhizoma (Xiangfu), Tribuli Fructus (Bajili), Bupleuri Radix (Chaihu), Citri Reticulatae Pericarpium (Chenpi), Fritillariae Thunbergii Bulbus (Dabei), Ostrea Concha (Muli), Citrus reticulata 'Chachi' Leaf (Juye).
Liver Qi combined with phlegm condenses in the left axilla, accompanied by Yi and Madao. Swelling extends to the breast, with heat and pain, risking rupture which would be difficult to heal. Clear Liver and resolve phlegm.
Trichosanthis Fructus (Gualou), Fritillariae Thunbergii Bulbus (Dabei), Pinelliae Rhizoma Purificatum (Qingbanxia), Landelliae Radix (Zelan), Paeoniae Radix Rubra (Chishao), Bombyx Batryticatus (Jiangcan), Prunellae Spica (Xiakucao), Angelicae Sinensis Radix (Danggui), Cyperi Rhizoma (Xiangfu), Forsythiae Fructus (Lianqiao).
Second visit: Add Sargassum (Haizao), Qingpi, and Juye.
Shaoyang Ministerial Fire combined with ascending phlegm causes hard swelling of Madao on the right side of the neck. Mistaken application of acupuncture and cupping worsened the swelling, causing unceasing radiating pain and dizziness upon bleeding. The condition is considered untreatable; tentatively prescribe a formula.
Rehmanniae Radix Recens (Xianshengdi), Scrophulariae Radix (Yuanshen), Gardeniae Fructus Carbonized (Heizhi), Fritillariae Thunbergii Bulbus (Dabei), Paeoniae Radix Rubra (Chishao), Antelopis Cornu (Lingyangjiao), Ophiopogonis Radix (Maidong), Moutan Cortex (Danpi), Forsythiae Fructus (Lianqiao), Anemarrhenae Rhizoma (Zhimu), Platycladi Cacumen (Cebaiye), Scutellariae Radix (Huangqin)