素有喘症，形气怯弱，咽痛不肿，时咳，此新感风温在肺，气不下肃，尚宜清降。
桑叶 白沙参 块茯苓 杏仁 川贝母 南枣肉
禀质既薄，咳红，极易伤阴，不可理肺，缘水出高源，肺主气母，借以生津补液，周环
生地 清阿胶 枸杞子 料豆皮 麦冬 百合
昨所同议之方，以两关按之，脉弦，特借仲景旋复代赭法，同四磨饮投之。旋复有转旋
，代赭为镇坠之品，咸寒可降，酸可入肝。四磨则渐摩运化，使手太阴得行清肃之令，足厥
阴无克侮之暴。今诊得两关弦象已减，面浮少退，是药已应，而暴渴欲饮，则仍然如故。是
则阳明之腑，中垢不去，煎熬津液，下流一日不通，上流一日上泛，虽有补虚之策，孰敢泛
投?且其虚脉虚象，显然彰着，势不容缓。前既借仲景之法，以退两关之弦，此独不可借仲
景急去宿垢以存津液。然未可以子和霸法投之，拟以缓法，推陈致新，仍候昨日两道长印可
旋复花 代赭石 人参
煎送沉香化气丸二钱五分。
女贞子 广皮 干桑叶 熟地 旱莲草 白芍 黑芝麻 枸杞子 鲜菊花 归身 黑
豆玉竹 南烛叶 白茯神 沙蒺藜 炙草
上前十四味各四两，后二味各二两，天泉水。桑枝火熬成膏，收入真阿胶三两，炼净白
蜜三两，瓷缸贮好，每日卯时挑服五六钱，开水送下。
此方为林下服食之大药，肝气不和之妙品。贞、莲二味，法二至以暗转阴阳，佐以桑、
调风气应候，播植生机，助以杞、菊，为升降之春秋，亦承流以宣化。归、芍辛酸，一通一
泄，使无壅滞之情。地黄、蒺藜，一填一养，不致肌虚之困， 豆滋水息肝，南烛培元益气
，茯神、玉竹为营卫报使，橘红、甘草为喉舌真司，阿胶济水造成，激浊扬清之凛冽，蜂蜜
百花酿就和风甘雨之仁慈。服之不特调元却老，且以见天地之生生有如是也。
患者素来患有喘症，体质虚弱，气息怯弱，咽喉疼痛但无红肿，时常咳嗽。这是新近感受风温之邪侵袭肺脏，肺气不能正常肃降，治疗仍宜采用清肺降气的方法。
患者禀赋薄弱，出现咳嗽咯血，极易损伤阴液，不可单纯调理肺气。因为肾为水之上源，肺为气之主且为水之母（金生水），通过滋养肺肾可以生津补液，使津液周流全身。
昨天共同商议的方剂，诊察两手关部脉象弦紧，特意借用张仲景的旋复代赭汤法，配合四磨饮服用。旋复花具有旋转气机之功，代赭石属于镇坠类药物，味咸性寒可降逆，味酸可入肝经。四磨饮则能逐渐磨动运化气机，使手太阴肺经得以行使清肃的职能，足厥阴肝经没有克制侮犯的暴烈之气。如今诊察发现两关部的弦象已经减轻，面部浮肿稍退，说明药物已经见效；但是突发口渴想喝水的症状，仍然和以前一样。这是因为阳明胃腑之中，宿垢未去，煎熬津液，下焦一日不通畅，上焦津液一日就上泛。虽然有补虚的策略，谁敢随意投用补药？况且其虚脉虚象，明显显著，形势不容迟缓。之前既然借用了张仲景的方法来消退两关部的弦象，这里难道不可以借用张仲景急去宿垢以保存津液的方法吗？然而不能用刘完素（号河间，此处“子和”指张从正，字子和，主张攻邪）那种霸道峻猛的方法投药，拟采用缓和的方法，推陈致新，仍然等候昨日两位道长审阅认可。
女贞子、广陈皮、干桑叶、熟地黄、旱莲草、白芍、黑芝麻、枸杞子、鲜菊花、当归身、黑豆、玉竹、南烛叶、白茯神、沙蒺藜、炙甘草。
前十四味药材各四两，后两味药材各二两，用天泉水煎煮。用桑枝火熬成膏状，加入真阿胶三两，炼净的白蜜三两，贮存在瓷缸中密封好。每天早晨卯时挑取五六钱，用开水送服。
这个方子是隐居山林者服食的大药，也是调理肝气不和的妙品。女贞子、旱莲草两味药，遵循二至丸的法度来暗中转化阴阳；佐以桑叶、陈皮等调和风气以适应时令，播植生机；辅以枸杞、菊花，作为升降变化的春秋（比喻调节平衡）；也顺应自然规律以宣发教化。当归、白芍味辛酸，一通一泄，使气机没有壅滞的情态。地黄、沙蒺藜，一填补一滋养，不致使肌肤虚弱困顿；黑豆滋水以平息肝风，南烛叶培补元气益气；茯神、玉竹作为营卫之气的报使（向导/使者）；橘红、甘草作为喉舌的真司（主管）；阿胶济助肾水造成（生成），具有激浊扬清的凛冽之气；蜂蜜由百花酿成，具备和风甘雨的仁慈之德。服用此方不仅能调补元气、抵御衰老，而且可以看到天地生生不息的道理就是这样啊。
The patient has a history of asthma, with a weak constitution and deficient qi. There is sore throat without swelling and occasional coughing. This indicates a recent contraction of Wind-Warmth pathogen affecting the Lung, where Lung Qi fails to descend properly; treatment should still focus on clearing heat and descending Qi.
Sangye (Folium Mori), Shashen (Radix Glehniae), Fuling (Poria), Xingren (Semen Pruni Armeniacae), Chuanbeimu (Bulbus Fritillariae Cirrhosae), Nanzao Rou (Endocarpium Jujubae).
Given the patient's frail endowment, coughing with hemoptysis easily damages Yin. One should not merely regulate the Lung, because Kidney is the upper source of Water, and Lung is the Master of Qi and Mother of Metal (generating Water); nourishing them generates fluids and promotes circulation throughout the body.
Shengdihuang (Radix Rehmanniae Preparata), Qing Ejiao (Colla Corii Asini), Gouqizi (Fructus Lycii), Liaodoupi (Pericarpium Phaseoli Sojae Nigri), Maidong (Radix Ophiopogonis), Baihe (Bulbus Lilii).
Regarding the prescription discussed yesterday, palpation of the Guan positions on both wrists revealed a Wiry pulse. Therefore, we specifically borrowed Zhang Zhongjing’s method from Xuanshu Daizhe Tang, combined with Simo Yin. Xuanfuhua (Flos Inulae) rotates the Qi mechanism; Daizheshi (Hematitum) is a heavy-settling agent, salty and cold to descend, sour to enter the Liver channel. Simo Yin gradually grinds and transforms, allowing the Hand-Taiyin Lung Meridian to execute its clear and肃 (descending) function, preventing the Foot-Jueyin Liver Meridian from excessive overacting or insulting. Currently, the Wiry image at both Guan positions has decreased, and facial edema has slightly receded, indicating the medicine is effective. However, sudden thirst with desire to drink remains unchanged. This is because in the Yangming Fu organ (Stomach/Intestines), accumulated filth remains, boiling the fluids; if the lower flow does not unblock for a day, the upper flow will flood for a day. Although there are strategies for tonifying deficiency, who dares to indiscriminately administer tonics? Moreover, the deficiency pulse and signs are clearly manifest, and the situation allows no delay. Since we previously used Zhang Zhongjing’s method to reduce the Wiryness at the Guan positions, why could we not borrow Zhang Zhongjing’s method of urgently removing accumulated filth to preserve fluids? However, we cannot use the aggressive methods advocated by Zhang Hezi (Zhang Congzheng). We propose a gentle method to push out the old and bring forth the new, awaiting the approval of the two Daoist masters from yesterday.
Xuanfuhua (Flos Inulae), Daizheshi (Hematitum), Renshen (Radix Ginseng). Decoct and take with 2.5 qian of Chenxiang Huqi Wan.
Nvzhenzi (Fructus Ligustri Lucidi), Guangpi (Exocarpium Citri Reticulatae), Gan Sangye (Folium Mori), Shudihuang (Radix Rehmanniae Preparata), Hanliancao (Herba Eclipsae), Baishao (Radix Paeoniae Alba), Heihezhi (Semen Sesami Nigrum), Gouqizi (Fructus Lycii), Xian Juhua (Flos Chrysanthemi Indici), Guishen (Radix Angelicae Sinensis), Heidou (Semen Phaseoli Sojae Nigri), Yuzhu (Rhizoma Polygonati Odorati), Nanzhuye (Folium Myrsini), Baifushen (Poria cum Radix Pini), Shajili (Semen Tribuli), Zhigancao (Radix Glycyrrhizae Preparata).
The first fourteen herbs are each 4 liang, the last two are each 2 liang, decocted with Tianquan water (spring water). Boil down with Sangzhi (Ramulus Mori) fire until it becomes a paste, add Zhen Ejiao (Colla Corii Asini) 3 liang, and refined white honey 3 liang. Store in a porcelain jar. Take 5-6 qian daily at Mao hour (5:00-7:00 AM), taken down with boiled water.
This formula is a major tonic for those living in seclusion and an excellent product for harmonizing Liver Qi. Nvzhenzi and Hanliancao follow the principle of Erzhi Wan to secretly transform Yin and Yang; assisted by Sangye and Chenpi to harmonize wind and Qi according to seasons, planting vitality; aided by Gouqizi and Juhua as the spring and autumn of ascending and descending, also conveying fluid to promote transformation. Guishen and Baishao are pungent and sour, one unblocking and one draining, preventing stagnation. Dihuang and Shajili, one filling and one nourishing, preventing the distress of emaciated muscles; Heidou nourishes Water to pacify the Liver, Nanzhuye cultivates Yuan Qi and benefits Qi; Fushen and Yuzhu act as messengers for Ying and Wei; Juhong (Chenpi) and Zhigancao are the true managers of the throat and tongue; Ejiao aids Water creation, possessing the crisp clarity of stirring up turbidity and raising purity; Honey, brewed from hundreds of flowers, possesses the benevolence of gentle winds and sweet rains. Taking this not only regulates Yuan Qi and resists aging but also reveals that the generative power of Heaven and Earth is indeed like this.