倪右 脉象左弦涩，右濡滑，舌边红，中薄腻，见证胸闷气升，嗳气泛恶，食入作哽，痰多咳嗽，十余日
未更衣，月事八旬未止，良由营血亏虚，肝气上逆，犯胃克脾，湿痰逗留中焦，肺胃肃降失司，恙缠匝月，岂能再使
蔓延。急拟平肝通胃，顺气化痰，以观动静。
代赭石（ ，三钱） 左金丸（包，七分） 栝蒌皮（二钱） 薤白头（酒炒，一钱） 云茯苓（三钱）
水炙远志（一钱） 川象贝（各二钱） 旋复花（包，一钱五分） 银柴胡（八分） 炒黑荆芥（八分） 姜竹
茹（一钱五分） 仙半夏（二钱） 佛手露（冲服，一钱） 炒谷麦芽（各三钱）
王左 湿温伏邪，内陷少阴，引动冲气上击，犯胃冲肺，肃降之令无权，气喘呃逆，身热不扬，舌苔薄腻，
脉象左关弦小而促，右濡细，趺阳虚弦而数，太溪似有似无，郑声神糊，时明时昧，正虚邪陷，神不守舍，显然
可见矣。厥脱之变，指顾间事。勉拟摄纳冲气，和胃安神，以为无法之法，或有效验，亦未可知。
灵磁石（ ，四钱） 朱茯神（三钱） 仙半夏（二钱） 柿蒂（五枚） 左牡蛎（四钱） 炙远志（一钱）
炒竹茹（一钱五分） 刀豆壳（三钱） 花龙骨（三钱） 陈广皮（一钱） 吉林参（另煎汁冲服，一钱五分）
黑锡丹（吞服，八分）
余左 高年营液本亏，肝气易于上逆，胃失降和，昨日食后，呃逆频频，超时而止，脉弦小而滑，舌光无
苔。治肝宜柔，治胃宜通。姑以养阴柔肝为主，和胃顺气佐之。
吉林参须（一钱） 云茯苓（三钱） 刀豆壳（三钱） 生白芍（一钱五分） 代赭石（ ，二钱）
合欢花（一钱五分） 仙半夏（一钱五分） 陈广皮（一钱） 旋复花（包，一钱五分） 柿蒂（五枚） 潼
白蒺藜（各一钱五分） 清炙枇杷叶（去毛、包，二钱）
倪先生，脉象左侧弦涩，右侧濡滑，舌边红，舌中苔薄腻。表现为胸闷、气机上逆、嗳气泛恶，进食时感觉哽噎，痰多咳嗽，十余日未解大便，月经持续八十天未止。这主要是由于营血亏虚，肝气上逆，侵犯胃腑并克制脾土，导致湿痰滞留于中焦，肺和胃的肃降功能失常。病症缠绵一个月，岂能再任其蔓延？急拟平抑肝气、通降胃气，顺气化痰，以观察病情变化。
代赭石（三钱） 左金丸（包煎，七分） 瓜蒌皮（二钱） 薤白头（酒炒，一钱） 云茯苓（三钱）
水炙远志（一钱） 川象贝母（各二钱） 旋复花（包煎，一钱五分） 银柴胡（八分） 炒黑荆芥（八分） 姜竹茹（一钱五分） 仙半夏（二钱） 佛手露（冲服，一钱） 炒谷芽、麦芽（各三钱）
王先生，湿温伏邪内陷少阴经，引动冲气上击，侵犯胃腑并冲击肺脏，肃降之令无权，出现气喘、呃逆，身热不显扬，舌苔薄腻。脉象左侧关部弦小而促，右侧濡细，趺阳脉虚弦而数，太溪脉似有似无，言语错乱（郑声），神志模糊，时而清醒时而昏昧，正气虚弱而邪气内陷，神不守舍，显然可见。厥脱之变，就在顷刻之间。勉强拟定摄纳冲气，和胃安神，作为无法中的办法，或许有效，也未可知。
灵磁石（四钱） 朱茯神（三钱） 仙半夏（二钱） 柿蒂（五枚） 左牡蛎（四钱） 炙远志（一钱）
炒竹茹（一钱五分） 刀豆壳（三钱） 花龙骨（三钱） 陈广皮（一钱） 吉林参（另煎汁冲服，一钱五分）
黑锡丹（吞服，八分）
余先生，年高者营液本已亏损，肝气易于上逆，胃失和降。昨日进食后，呃逆频频发作，持续一段时间后停止。脉象弦小而滑，舌光无苔。治疗肝脏宜用柔法，治疗胃腑宜用通法。暂以养阴柔肝为主，配合和胃顺气为辅。
吉林参须（一钱） 云茯苓（三钱） 刀豆壳（三钱） 生白芍（一钱五分） 代赭石（二钱）
合欢花（一钱五分） 仙半夏（一钱五分） 陈广皮（一钱） 旋复花（包煎，一钱五分） 柿蒂（五枚） 潼蒺藜、白蒺藜（各一钱五分） 清炙枇杷叶（去毛、包煎，二钱）
Mr. Ni, the pulse is wiry and choppy on the left, and soggy and slippery on the right; the tongue edges are red, with a thin greasy coating in the center. The manifestations include chest tightness, rising of qi, belching with nausea, a feeling of obstruction when swallowing food, copious phlegm and cough, no bowel movement for more than ten days, and menstruation persisting for eighty days without cessation. This is primarily due to deficiency of Ying blood (nutritive blood), rebellious Liver Qi invading the Stomach and overacting on the Spleen, causing damp-phlegm to linger in the Middle Jiao, and loss of the descending function of the Lung and Stomach. With the illness lingering for a month, how can we allow it to spread further? Urgently prescribe to soothe the Liver and unblock the Stomach, regulate Qi and transform phlegm, to observe the dynamics.
Dai Zhe Shi (Hematitum, three qian) Zuo Jin Wan (Left Metal Pill, wrapped and decocted, seven fen) Gua Lou Pi (Trichosanthis Pericarpium, two qian) Xie Bai Tou (Allii Macrostemonis Bulbus, stir-fried with wine, one qian) Yun Fu Ling (Poria, three qian)
Shui Zhi Yuan Zhi (Polygalae Radix, processed with water, one qian) Chuan Xiang Bei Mu (Fritillariae Thunbergii Bulbus, each two qian) Xuan Fu Hua (Inulae Flos, wrapped and decocted, one qian five fen) Yin Chai Hu (Stellariae Radix, eight fen) Chao Hei Jing Jie (Schizonepetae Herba, stir-fried black, eight fen) Jiang Zhu Ru (Bambusae Caulis in Taeniam, one qian five fen) Xian Ban Xia (Pinelliae Rhizoma, two qian) Fo Shou Lu (Citri Sarcodactylis Fructus Infusion, taken with liquid, one qian) Chao Gu Ya and Mai Ya (Setariae Fructus Germinatus and Hordei Fructus Germinatus, each three qian)
Mr. Wang, latent pathogenic factors of Damp-Warmth have sunk into the Shaoyin channel, stirring up the Chong vessel Qi to strike upward, invading the Stomach and impacting the Lung, rendering the descending command powerless. Manifestations include panting, hiccups, body heat that is not obvious, thin greasy tongue coating. The pulse is wiry, small, and rapid at the left Guan position; soggy and fine on the right; deficient, wiry, and rapid at the Duyang position; faintly present or absent at the Taixi position; speech is disjointed (Zhengsheng), consciousness is confused, alternating between clarity and obscurity. Deficiency of righteous Qi and sinking of pathogenic factors, with the Spirit failing to reside in its house, is clearly evident. The transformation of Jue (cold extremities) and Tuo (collapse) is imminent. Prescribe tentatively to grasp and subdue the Chong Qi, harmonize the Stomach and calm the Spirit, as a method of last resort; perhaps there will be efficacy, who knows.
Ling Ci Shi (Magnetitum, four qian) Zhu Fu Shen (Poria with Hostwood, three qian) Xian Ban Xia (Pinelliae Rhizoma, two qian) Shi Di (Diospyros Kaki Calyx, five pieces) Zuo Mu Li (Ostreae Concha, four qian) Zhi Yuan Zhi (Polygalae Radix, honey-fried, one qian)
Chao Zhu Ru (Bambusae Caulis in Taeniam, stir-fried, one qian five fen) Dao Dou Qiao (Canavaliae Semen Testa, three qian) Hua Long Gu (Dragons Os, three qian) Chen Guang Pi (Citri Reticulatae Pericarpium, one qian) Ji Lin Shen (Ginseng Radix et Rhizoma from Jilin, decocted separately and mixed, one qian five fen)
Hei Xi Dan (Black Tin Pill, swallowed, eight fen)
Mr. Yu, in advanced age, Ying fluids are originally deficient, making Liver Qi prone to rebellion, and the Stomach losing harmony and descent. Yesterday after eating, hiccups occurred frequently, stopping only after a long time. The pulse is wiry, small, and slippery; the tongue is bare without coating. Treating the Liver requires softening methods; treating the Stomach requires unblocking methods. Temporarily focus on nourishing Yin and softening the Liver, assisted by harmonizing the Stomach and regulating Qi.
Ji Lin Shen Xu (Ginseng Radix et Rhizoma tendril from Jilin, one qian) Yun Fu Ling (Poria, three qian) Dao Dou Qiao (Canavaliae Semen Testa, three qian) Sheng Bai Shao (Paeoniae Radix Alba, raw, one qian five fen) Dai Zhe Shi (Hematitum, two qian)
He Huan Hua (Albiziae Cortex Flos, one qian five fen) Xian Ban Xia (Pinelliae Rhizoma, one qian five fen) Chen Guang Pi (Citri Reticulatae Pericarpium, one qian) Xuan Fu Hua (Inulae Flos, wrapped and decocted, one qian five fen) Shi Di (Diospyros Kaki Calyx, five pieces) Tong Ji Li and Bai Ji Li (Tribuli Fructus and Tribuli Fructus albus, each one qian five fen) Qing Zhi Pi Pa Ye (Loquat Leaf, cleared, honey-fried, de-haired, wrapped and decocted, two qian)