陆童 痧后失音，咽喉内关白腐，气喘鼻煽，喉有痰声，苔黄脉数。痧火蕴蒸肺胃，肺津不布，凝滞成痰，
痰热留恋肺胃，肺叶已损，气机不能接续，咽喉为肺胃之门户，肺胃有热，所以内关白腐，音声不扬，会厌肉
脱，症势危笃。勉拟清温解毒，而化痰热，勒临崖之马，挽既倒之澜，不过聊尽人工而已。
金银花（三钱） 京玄参（三钱） 象贝母（三钱） 活芦根（去节，一尺） 连翘壳（三钱） 薄荷叶（八八）
天花粉（三钱） 淡竹油（冲，一两） 甘中黄（八分） 京赤芍（二钱） 冬桑叶（三钱） 大麦冬（二钱）
孙童 痧后肺胃阴伤，伏邪留恋，身热不退，咳嗽
咽痛，口渴欲饮，舌质绛苔黄，脉象滑数。伏热蕴蒸肺胃，津液灼而为痰，肺失清肃，胃失降和，咽喉为肺胃之
门户，肺胃有热，所以咽痛。今拟竹叶石膏汤加味，清阳明，解蕴热，助以生津化痰之品。
鲜竹叶（三十张） 京玄参（三钱） 桑叶皮（各三钱） 粉丹皮（二钱） 熟石膏（打，四钱） 生甘草（八分）
甜杏仁（三钱） 金银花（三钱） 鲜石斛（三钱） 天花粉（二钱） 川象贝（各三钱） 通草（八分）
活芦根（去节，一尺） 枇杷叶露（后入，四两）
钱左 痧后复感外邪，痰滞内阻，水湿不化，太阴阳明为病，遍体浮肿，气逆难于平卧，寒热甚壮，大便溏
泄，泛恶不能饮食，苔腻脉数。此氤氲之外邪，与粘腻之痰滞，交阻肺胃，肺气不能下降，脾弱不能运化，水湿
易聚，灌浸腠理，泛滥横溢，无所不到，三焦决渎无权，症势危险。姑宜疏邪分消，而化痰滞，未识有效否。
淡豆豉（三钱） 川桂枝（五分） 鲜竹茹（二钱） 枳实（一钱同炒） 大腹皮（二钱） 连皮苓（四钱）
象贝母（三钱） 淡姜皮（八分） 焦楂炭（三钱） 猪苓（三钱） 泽泻（三钱） 仙半夏（二钱） 酒炒黄芩（
一钱五分）
陆姓男童，出痧后出现失音症状，咽喉内部及关窍处有白色腐物，伴有气喘、鼻翼扇动，喉间有痰鸣声，舌苔黄，脉象数。这是痧毒火热蕴结蒸腾于肺胃，导致肺津无法布散，凝聚停滞而成痰；痰热留恋于肺胃之间，致使肺叶受损，气机不能接续。咽喉是肺胃的门户，肺胃有热，所以咽喉内部及关窍出现白腐，声音不扬，会厌肌肉脱落，病情危重紧迫。勉强拟定清热温病解毒之法，兼以化痰热，意在勒住临崖之马，挽回既倒之澜，但这不过是尽力而为罢了。
金银花（三钱） 京玄参（三钱） 象贝母（三钱） 活芦根（去节，一尺） 连翘壳（三钱） 薄荷叶（八八）
天花粉（三钱） 淡竹油（冲服，一两） 甘中黄（八分） 京赤芍（二钱） 冬桑叶（三钱） 大麦冬（二钱）
孙姓男童，出痧后肺胃阴液受伤，伏邪留恋体内，身体发热不退，咳嗽，咽痛，口渴想喝水，舌质绛红，舌苔黄，脉象滑数。伏热蕴结蒸腾于肺胃，灼烧津液而成痰，肺失去清肃功能，胃失去降和之气。咽喉是肺胃的门户，肺胃有热，所以咽痛。现在拟定竹叶石膏汤加味，清泄阳明经热，解除蕴结之热，辅以生津化痰的药物。
鲜竹叶（三十张） 京玄参（三钱） 桑叶皮（各三钱） 粉丹皮（二钱） 熟石膏（打碎，四钱） 生甘草（八分）
甜杏仁（三钱） 金银花（三钱） 鲜石斛（三钱） 天花粉（二钱） 川象贝（各三钱） 通草（八分）
活芦根（去节，一尺） 枇杷叶露（后下，四两）
钱姓患者左侧（或指代某位患者），出痧后又感受外邪，痰滞内阻，水湿不能运化，太阴脾经与阳明胃经发病，全身浮肿，气逆难以平卧，寒热非常剧烈，大便溏泄，泛恶呕吐不能进食，舌苔腻，脉象数。这是氤氲弥漫的外邪，与粘腻的痰滞相互交阻于肺胃，肺气不能下降，脾气虚弱不能运化，水湿容易聚集，灌浸腠理，泛滥横溢，无处不到，三焦决渎功能失职，病情危险。暂宜疏解邪气并分消走泄，兼以化痰滞，不知是否有效。
淡豆豉（三钱） 川桂枝（五分） 鲜竹茹（二钱） 枳实（一钱同炒） 大腹皮（二钱） 连皮苓（四钱）
象贝母（三钱） 淡姜皮（八分） 焦楂炭（三钱） 猪苓（三钱） 泽泻（三钱） 仙半夏（二钱） 酒炒黄芩（一钱五分）
Lu, a male child. After the eruption of sha (scarlet fever-like rash), he developed aphonia (loss of voice). There were white putrid lesions inside the throat and at the glottis, accompanied by panting, nasal flaring, phlegm rales in the larynx, yellow tongue coating, and rapid pulse. The sha-heat toxin was accumulating and steaming in the Lung and Stomach, preventing the distribution of Lung fluids, which condensed into stagnation and formed phlegm. Phlegm-heat lingered in the Lung and Stomach, damaging the lung tissue, and causing the qi mechanism to fail to connect continuously. The throat is the gateway of the Lung and Stomach; due to heat in the Lung and Stomach, white putrid lesions appeared inside the throat and at the glottis, the voice was hoarse, and the epiglottis flesh detached. The condition was critical. I tentatively prescribed clearing heat, treating warm diseases, detoxifying, and resolving phlegm-heat, aiming to rein in the horse at the cliff's edge and turn back the already overturned wave, though this is merely doing one's utmost human effort.
Jinyinhua (Honeysuckle Flower) (3 qian) Jing Xuanshen (Scrophulariae Radix) (3 qian) Xiang Beimu (Fritillariae Thunbergii Bulbus) (3 qian) Huo Lugen (Phragmitis Rhizoma) (remove joints, 1 chi) Liaoqiao Qiao ( Forsythiae Fructum) (3 qian) Bohe Ye (Menthae Haplocalycis Folium) (8 ba)
Tianhuafen (Trichosanthis Radix) (3 qian) Dan Zhuyou (Bambusae Caulis in Taenia Succus) (take with medicine, 1 liang) Ganzhonghuang (Cathari Cubica) (8 fen) Jing Chishao (Paeoniae Radix Rubra) (2 qian) Dong Sangye (Mori Folium) (3 qian) Da Maidong (Ophiopogonis Radix) (2 qian)
Sun, a male child. After the eruption of sha, there was injury to Yin fluids in the Lung and Stomach, with latent pathogenic factors lingering. Body heat did not subside, accompanied by cough, sore throat, thirst with desire to drink, crimson tongue body, yellow tongue coating, and slippery-rapid pulse. Latent heat accumulated and steamed in the Lung and Stomach, scorching body fluids into phlegm. The Lung lost its clear-descending function, and the Stomach lost its harmonious descending function. The throat is the gateway of the Lung and Stomach; due to heat in the Lung and Stomach, there was sore throat. Now, I prescribe Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) with modifications, to clear the Yangming channel, resolve accumulated heat, and assist with substances that generate fluids and resolve phlegm.
Xian Zhuye (Fresh Bamboo Leaves) (30 sheets) Jing Xuanshen (Scrophulariae Radix) (3 qian) Sang Ye Pi (Mori Cortex) (each 3 qian) Fen Danpi (Moutan Cortex) (2 qian) Shu Shigao (Gypsum Fibrosum, calcined) (crushed, 4 qian) Sheng Gancao (Glycyrrhizae Radix et Rhizoma) (8 fen) Tian Xingren (Pruni Semen) (3 qian) Jinyinhua (Lonicerae Japonicae Flos) (3 qian) Xian Shihu (Dendrobii Caulis) (3 qian) Tianhuafen (Trichosanthis Radix) (2 qian) Chuan Xiangbei (Fritillariae Cirrhosae Bulbus and Fritillariae Thunbergii Bulbus) (each 3 qian) Tongcao (Tetrapanacis Medulla) (8 fen)
Huo Lugen (Phragmitis Rhizoma) (remove joints, 1 chi) Pipa Ye Lu (Loquat Leaf Infusion) (add later, 4 liang)
Qian Zuo (Patient named Qian or referring to left side/patient). After the eruption of sha, an external pathogen was contracted again. Phlegm stagnation obstructed internally, and water-dampness failed to transform. The Taiyin Spleen and Yangming Stomach were affected. There was generalized edema, rebellious qi making it difficult to lie flat, severe chills and high fever, loose stools, nausea/vomiting preventing food intake, greasy tongue coating, and rapid pulse. This is ethereal external pathogen interacting with sticky phlegm stagnation, blocking the Lung and Stomach. Lung qi cannot descend, Spleen weakness fails to transport and transform, allowing water-dampness to easily gather. It irrigates the interstices, overflows and spreads everywhere without restriction. The Sanjiao lacks authority in draining and conducting water. The condition is dangerous. Tentatively, I will disperse pathogens and separate/drain them, while resolving phlegm stagnation. It remains to be seen if it will be effective.
Dan Douchi (Sojae Semens Preparatum) (3 qian) Chuan Guizhi (Cinnamomi Ramulus) (5 fen) Xian Zhuru (Bambusae Caulis in Taenia) (2 qian) Zhishi (Aurantii Fructus Immaturus) (1 qian, stir-fried together) Dafupi (Arecae Pericarpium) (2 qian) Lianpi Ling (Poria Cocos with Bark) (4 qian)
Xiang Beimu (Fritillariae Thunbergii Bulbus) (3 qian) Dan Jiangpi (Zingiberis Rhizoma Recens Cortex) (8 fen) Jiao Zhaka Tan (Crataegi Fructus Carbonized) (3 qian) Zhuling (Polyporus) (3 qian) Zexie (Alismatis Rhizoma) (3 qian) Xian Banxia (Pinelliae Rhizoma) (2 qian) Jiu Chao Huangqin (Scutellariae Radix, wine-fried) (1.5 qian)