凌(十四)风温上受。咳嗽恶心。鼻塞脉大。
象贝母(一钱五分) 泡白杏仁(三钱) 栝蒌皮(一钱五分) 牛蒡子(炒研,一钱五分) 橘红(一钱) 黑
山栀(一钱五分) 霜桑叶(一钱) 桔梗(一钱)
陆(廿八)咳嗽痰多。初愈复发。
霜桑叶(一钱) 杏仁(三钱) 桔梗(一钱五分) 象贝(二钱) 橘红(一钱) 连翘(一钱五分) 马兜
铃(七分)
吴(八岁)咳嗽呕逆。中焦已痞。肺气以下行为顺。
鲜枇杷叶(三钱) 郁金(一钱) 冬瓜子(三钱) 杏仁(三钱) 栝蒌皮(一钱五分) 桔梗(一钱) 川贝
母(去心研,二钱) 橘红(一钱)
徐(十二)咳嗽呛血。腹中鸣响。咳早甚。则知胃阴虚。所服驱风降痰。徒伤其阳耳。
白扁豆(三钱) 玉竹(二钱) 白粳米(三钱) 炒麦冬(二钱) 北沙参(三钱) 南枣(三钱) 川斛(三
钱) 生甘草(三分)
冯(四八)咳嗽哮喘。宜当温散。
制麻黄(五分) 橘红(一钱) 茯苓(三钱) 川桂枝(八分) 炙草(四分) 生姜(一钱) 杏仁(三钱)
沈妇(廿一)寒热头痛。咳嗽。卧不着枕。呕逆。此属胃咳之状。当先制肝。
旋复花(绢包一钱) 制半夏(一钱五分) 代赭石(三钱) 川贝(去心研,二钱) 郁金(一钱) 茯苓(三
钱) 栝蒌皮(一钱五分) 泡白杏仁(三钱)
钟(二十)脉虚细。晨咳。咳动即身热。拘束自汗。腹中微痛。望色 白。病几一月不痊。昨进辛寒不应。谅非邪
着于里。是营卫二气交怯。宗经旨虚则补母之义。黄 建中汤去饴、姜。加牡蛎、五味、茯神。
嫩黄 (三钱) 桂枝(八分) 南枣(三钱) 五味子(一钱) 炙草(五分) 茯神(二钱) 左牡蛎(三钱)
大白芍(一钱五分)
陈(四六)咳逆无痰已久。经阻。少腹有形瘕聚。
杜苏子(炒研一钱) 草郁金(一钱) 炒楂炭(一钱五分) 栝蒌皮(一钱五分) 炒桃仁(去尖一钱)
归须(一钱五分) 黑山栀(一钱五分) 粉丹皮(一钱五分) 加降香末(三分)
戴(二岁)面白无神。咳嗽。肺胃阴衰。
真川贝(去心研,一钱五分) 南沙参(一钱五分) 叭哒杏仁(研,三钱) 梨汁制陈皮(一钱) 茯神(二钱)
川斛(一钱五分)
凌(十四岁):风温之邪从上受袭。出现咳嗽、恶心症状,鼻塞,脉象宏大。
处方:象贝母(一钱五分),泡制的白杏仁(三钱),栝蒌皮(一钱五分),牛蒡子(炒后研碎,一钱五分),橘红(一钱),黑山栀(一钱五分),霜桑叶(一钱),桔梗(一钱)。
陆(廿八岁):咳嗽痰多。病初愈后又复发。
处方:霜桑叶(一钱),杏仁(三钱),桔梗(一钱五分),象贝(二钱),橘红(一钱),连翘(一钱五分),马兜铃(七分)。
吴(八岁):咳嗽伴有呕吐逆气。中焦气机已经痞塞不通。肺气的生理特性是以下行为顺。
处方:鲜枇杷叶(三钱),郁金(一钱),冬瓜子(三钱),杏仁(三钱),栝蒌皮(一钱五分),桔梗(一钱),川贝母(去心后研碎,二钱),橘红(一钱)。
徐(十二岁):咳嗽剧烈导致咳血。腹中肠鸣作响。早晨咳嗽尤为严重。由此可知是胃阴不足。之前服用的驱风降痰药物,徒然损伤了阳气。
处方:白扁豆(三钱),玉竹(二钱),白粳米(三钱),炒麦冬(二钱),北沙参(三钱),南枣(三钱),川斛(三钱),生甘草(三分)。
冯(四十八岁):咳嗽伴有哮喘。适宜采用温散的方法治疗。
处方:制麻黄(五分),橘红(一钱),茯苓(三钱),川桂枝(八分),炙甘草(四分),生姜(一钱),杏仁(三钱)。
沈夫人(二十一岁):寒热交替,头痛,咳嗽。睡觉时不能平卧,需垫高枕头,伴有呕吐逆气。这属于胃咳的症状表现。应当先制约肝木。
处方:旋复花(用绢布包裹,一钱),制半夏(一钱五分),代赭石(三钱),川贝母(去心后研碎,二钱),郁金(一钱),茯苓(三钱),栝蒌皮(一钱五分),泡制的白杏仁(三钱)。
钟(二十岁):脉象虚细。早晨咳嗽。咳嗽一动即引发身体发热,肢体拘紧不适且自汗出,腹部轻微疼痛。面色苍白。患病近一个月未痊愈。昨天服用辛寒药物治疗无效。推测并非邪气结聚于里,而是营卫二气交相怯弱。遵循《内经》“虚则补其母”的原则。使用黄芪建中汤去掉饴糖和生姜,加入牡蛎、五味子、茯神。
处方:嫩黄芪(三钱),桂枝(八分),南枣(三钱),五味子(一钱),炙甘草(五分),茯神(二钱),左牡蛎(三钱),大白芍(一钱五分)。
陈(四十六岁):咳逆无痰已久。月经停止。少腹有形的瘕聚包块。
处方:杜苏子(炒后研碎,一钱),草郁金(一钱),炒山楂炭(一钱五分),栝蒌皮(一钱五分),炒桃仁(去尖,一钱),当归须(一钱五分),黑山栀(一钱五分),粉丹皮(一钱五分),加降香末(三分)。
戴(两岁):面色苍白无神。咳嗽。肺胃阴液衰败。
处方:真川贝母(去心后研碎,一钱五分),南沙参(一钱五分),叭哒杏仁(研碎,三钱),梨汁炮制的陈皮(一钱),茯神(二钱),川斛(一钱五分)。
Ling (14 years old): Wind-warmth pathogen invaded from above. Symptoms include cough, nausea, nasal congestion, and a large pulse.
Prescription: Fritillariae Thunbergii Bulbus (Xiangbeimu, 1.5 qian), soaked Bai Xingren (3 qian), Trichosanthis Pericarpium (Gualoupi, 1.5 qian), Arctii Fructus (Niubangzi, stir-fried and crushed, 1.5 qian), Citri Reticulatae Pericarpium (Juhong, 1 qian), Gardeniae Fructus (Heishanzhi, 1.5 qian), Morus Folium (Shuang Sangye, 1 qian), Platycodonis Radix (Jiegeng, 1 qian).
Lu (28 years old): Cough with profuse phlegm. Recurrence after initial recovery.
Prescription: Morus Folium (Shuang Sangye, 1 qian), Armeniacae Semen (Xingren, 3 qian), Platycodonis Radix (Jiegeng, 1.5 qian), Fritillariae Thunbergii Bulbus (Xiangbei, 2 qian), Citri Reticulatae Pericarpium (Juhong, 1 qian), Forsythiae Fructus (Lianqiao, 1.5 qian), Aristolochiae Fructus (Madouling, 0.7 qian).
Wu (8 years old): Cough accompanied by vomiting and rebellious qi. The Middle Jiao is already obstructed. The physiological nature of Lung Qi is to descend smoothly.
Prescription: Fresh Loquat Leaf (Xian Pipaye, 3 qian), Curcumae Radix (Yujin, 1 qian), Benincasae Semen (Dongguazi, 3 qian), Armeniacae Semen (Xingren, 3 qian), Trichosanthis Pericarpium (Gualoupi, 1.5 qian), Platycodonis Radix (Jiegeng, 1 qian), Fritillariae Cirrhosae Bulbus (Chuanbeimu, dehearted and crushed, 2 qian), Citri Reticulatae Pericarpium (Juhong, 1 qian).
Xu (12 years old): Violent cough causing hemoptysis. Borborygmus in the abdomen. Morning cough is severe. This indicates Stomach Yin deficiency. Previous prescriptions for expelling wind and reducing phlegm merely damaged Yang Qi.
Prescription: Dolichos Lablab Seed (Bai Biandou, 3 qian), Polygonati Odorati Rhizoma (Yuzhu, 2 qian), Oryza Sativa (Bai Jingmi, 3 qian), Stir-fried Ophiopogonis Radix (Chao Maidong, 2 qian), Glehniae Radix (Beishashen, 3 qian), Jujubae Fructus (Nanzao, 3 qian), Dendrobii Caulis (Chuanhu, 3 qian), Raw Glycyrrhizae Radix et Rhizoma (Sheng Gancao, 0.3 qian).
Feng (48 years old): Cough accompanied by asthma. Treatment should employ warming and dispersing methods.
Prescription: Processed Ephedrae Herba (Zhi Mahuang, 0.5 qian), Citri Reticulatae Pericarpium (Juhong, 1 qian), Poria (Fuling, 3 qian), Cinnamomi Ramulus (Chuan Guizhi, 0.8 qian), Honey-fried Glycyrrhizae Radix et Rhizoma (Zhi Cao, 0.4 qian), Zingiberis Rhizoma Recens (Shengjiang, 1 qian), Armeniacae Semen (Xingren, 3 qian).
Mrs. Shen (21 years old): Alternating chills and fever, headache, cough. Inability to lie flat without a pillow, accompanied by vomiting and rebellious qi. This presents as Stomach Cough. Treatment should first subdue Liver Wood.
Prescription: Inulae Flos (Xuanfuhua, wrapped in silk, 1 qian), Processed Pinelliae Tuber (Zhi Banxia, 1.5 qian), Haematitum (Daizheshi, 3 qian), Fritillariae Cirrhosae Bulbus (Chuanbei, dehearted and crushed, 2 qian), Curcumae Radix (Yujin, 1 qian), Poria (Fuling, 3 qian), Trichosanthis Pericarpium (Gualoupi, 1.5 qian), soaked Bai Xingren (3 qian).
Zhong (20 years old): Pulse is deficient and fine. Morning cough. Movement during cough triggers body heat, limb stiffness, and spontaneous sweating. Mild abdominal pain. Complexion is pale. The illness has persisted for nearly a month without cure. Yesterday, acrid-cold herbs were ineffective. It is presumed that pathogens are not lodged in the interior, but rather Ying and Wei Qi are mutually weak. Following the Classic’s principle of "tonifying the mother when deficient," Huangjianzhong Tang was modified by removing Yitang (Maltose) and Shengjiang (Fresh Ginger), adding Muli (Oyster Shell), Wuweizi (Schisandra), and Fushen (Poria with Hostwood).
Prescription: Tender Astragali Radix (Nen Huangqi, 3 qian), Cinnamomi Ramulus (Guizhi, 0.8 qian), Jujubae Fructus (Nanzao, 3 qian), Schisandrae Fructus (Wuweizi, 1 qian), Honey-fried Glycyrrhizae Radix et Rhizoma (Zhi Cao, 0.5 qian), Poria with Hostwood (Fushen, 2 qian), Left-side Ostreae Concha (Zuo Muli, 3 qian), White Peony Root (Da Baishao, 1.5 qian).
Chen (46 years old): Rebellious cough without phlegm for a long time. Menstruation is obstructed. A palpable mass (Jia Ju) exists in the lower abdomen.
Prescription: Perilla Fructus (Dusu Zi, stir-fried and crushed, 1 qian), Curcuma Wenyujin Rhizome (Cao Yujin, 1 qian), Stir-fried Crataegi Fructus Charred (Chao Zhata, 1.5 qian), Trichosanthis Pericarpium (Gualoupi, 1.5 qian), Stir-fried Persicae Semen (Chao Taoren, depointed, 1 qian), Angelica Sinensis Radix (Guixu, 1.5 qian), Gardeniae Fructus (Heishanzhi, 1.5 qian), Moutan Cortex (Fendanpi, 1.5 qian), plus Powder of Dalbergiae Odoriferae Lignum (Jiangxiang Mo, 0.3 qian).
Dai (2 years old): Pale complexion lacking spirit. Cough. Decline of Lung and Stomach Yin.
Prescription: Authentic Fritillariae Cirrhosae Bulbus (Zhen Chuanbei, dehearted and crushed, 1.5 qian), Glehniae Radix (Nanshashen, 1.5 qian), Badam (Bada Xingren, crushed, 3 qian), Chenpi processed with Pear Juice (Lizhi Zhichenpi, 1 qian), Poria with Hostwood (Fushen, 2 qian), Dendrobii Caulis (Chuanhu, 1.5 qian).