高右（八月十五日） 体禀阴虚，水不涵木，肝胆气火偏旺，木火凌金，肺失清肃，时在
燥金司气，加以秋燥，风邪乘虚袭入，风燥相搏，金受火刑，咳嗽见红，咯痰色青，胸胁引
痛，乍寒乍热，内热为甚，今但燥咳烘热汗溢，明是阴虚阳浮之征，脉濡小数右寸关独大于
诸部，舌苔光红中后微有黄胎。以脉参证恐其阳络血溢，现近霜降节候，慎防加剧，谨拟喻
氏清燥救肺出入为法，冀其退机，附方请政。
西洋参 杷叶 炙甘草 冰糖水炒石膏 玫瑰花 连心麦冬 真川贝 陈阿胶 鸭血炒丝瓜络
北杏仁 火麻仁 东白芍 经霜桑叶
笑山兄（十一月） 冬温燥邪自肺胃扰动肝阳，痰饮加以食滞，壅遏腑气，升降不和，始
起寒热如潮，头胀眩晕，骨络烦疼，口干呕恶，继则身热无休，咳唾浊痰，神疲嗜卧，气逆脘
闷，时有谵语。良由痰热自肺胃垫于心主宫城，心经受其客热，清明主气为邪浊所蒙也。
按脉弦滑数兼见左小弦数，舌胎黄糙，上 滞腻浊痰非白屑也，现届冬至大节，平素操劳，
心营自虚，以脉参症如能痰气顺利，邪热减退，即是转机，否则慎防喘脱之虞，姑拟清心
涤痰平肝降气，一则附方请政。
西洋参 炒牛蒡 竹沥菖蒲汁和匀同冲 羚角片 川郁金 炒白蒺藜 连翘 旋复花 牛黄清心丸
按此方本有杏仁川贝丹皮青黛石决明霍斛丝通草以其繁杂，故不录也。
高右（八月十五日就诊）：体质禀赋阴虚，肾水不能滋养肝木，导致肝胆气火偏旺；木火之气上犯肺金，致使肺脏失去清肃下降的功能。此时正值燥金当令，又加之秋燥盛行，风邪乘虚侵袭人体，风与燥邪相互搏结，肺金受火热刑克，出现咳嗽并痰中带血，咯出的痰色青，胸胁部牵引作痛，忽冷忽热，体内热势甚重。目前仅表现为干燥性咳嗽、烘热感及汗出淋漓，这显然是阴虚而阳气浮越的征象。脉象濡软且细数，右手寸部和关部脉搏比其余部位更为盛大；舌苔光亮发红，中后部微有黄苔。结合脉象与证候分析，担心阳络受损导致出血加剧。现接近霜降节气，需谨防病情恶化。谨以喻嘉言氏的清燥救肺汤为基础进行加减化裁，希望病情得以缓解。附上方剂，请指正。
西洋参 枇杷叶 炙甘草 冰糖水炒石膏 玫瑰花 连心麦冬 真川贝母 陈阿胶 鸭血炒丝瓜络 北杏仁 火麻仁 东白芍 经霜桑叶
笑山兄（十一月就诊）：冬季温燥之邪从肺胃扰动肝阳，兼有痰饮和食积停滞，壅塞腑气，导致气机升降失调。起初寒热往来如潮汐般起伏，头部胀痛眩晕，骨骼经络烦扰疼痛，口干恶心呕吐；随后身体发热不止，咳嗽吐出浑浊痰液，精神疲倦嗜睡，气逆胃脘闷胀，时有胡言乱语。这是因为痰热自肺胃上垫于心包（心主宫城），心经受外来热邪干扰，清明的主气被邪浊蒙蔽所致。诊察脉象弦滑数，同时左脉小弦数；舌苔黄糙，上部覆盖着滞腻的浊痰而非白屑。现值冬至大节，患者平素操劳过度，心营自然虚弱。结合脉象与症状，若能痰气顺畅、邪热减退，即为转机；否则需谨防喘促脱证的危险。暂拟清心涤痰、平肝降气之法，附上方剂，请指正。
西洋参 炒牛蒡子 竹沥与菖蒲汁混合均匀同冲服 羚羊角片 川郁金 炒白蒺藜 连翘 旋复花 牛黄清心丸
按：此方原本包含杏仁、川贝母、丹皮、青黛、石决明、霍山石斛、通草等药，因药物繁杂，故未全部列出。
Gao You (Diagnosed on August 15th): The constitution is Yin-deficient, with Kidney Water failing to nourish Liver Wood, leading to hyperactive Qi and Fire in the Liver and Gallbladder. Wood and Fire invade Metal (Lung), causing the Lung to lose its clear descending function. At this time, Dryness Metal governs the qi, compounded by Autumn Dryness, allowing Wind Pathogen to invade due to deficiency. Wind and Dryness contend with each other, Metal suffers from Fire punishment, resulting in cough with blood-streaked sputum, green-colored phlegm, pulling pain in the chest and hypochondrium, alternating chills and fever, and severe internal heat. Currently, there is only dry cough, flushing heat, and profuse sweating, which are clearly signs of Yin deficiency and floating Yang. The pulse is soggy and fine-rapid; the Right Cun and Guan positions are larger than other positions. The tongue coating is glossy red, with a slight yellow coating at the middle and posterior parts. Considering the pulse and symptoms, there is fear of bleeding from the Yang collaterals. As it approaches the Frost Descent solar term, one must be cautious of aggravation. Respectfully adopting Yu Jia Yan's Qing Zao Jiu Fei Tang as a basis for modification, hoping for symptom relief. Attached is the prescription for correction.
American Ginseng, Loquat Leaf, Honey-fried Licorice Root, Gypsum fried with rock sugar water, Rose Flower, Ophiopogon with heart, Real Chuan Bei Mu, Aged Donkey-hide Gelatin, Silk Gourd Lattice stir-fried with duck blood, Northern Apricot Kernel, Hemp Seed, East White Peony Root, Mulberry Leaf after frost.
Brother Xiaoshan (Diagnosed in November): Winter Warm-Dry pathogen disturbs Liver Yang from the Lung and Stomach. Phlegm-Fluid retention combined with food stagnation obstructs the Fu organ qi, disrupting ascending and descending movements. Initially, there were tidal chills and fever, head distension and dizziness, bone and channel vexing pain, dry mouth, nausea, and vomiting. Subsequently, continuous body heat, coughing up turbid phlegm, mental fatigue and somnolence, rebellious Qi with epigastric fullness, and occasional delirium occurred. This is because Phlegm-Heat rises from the Lung and Stomach to the Pericardium (the Palace City of the Heart), where the Heart Meridian is affected by exogenous heat, and the clear ruling Qi is obscured by turbid pathogens. Palpating the pulse reveals wiry, slippery, and rapid qualities, with the Left side being small, wiry, and rapid. The tongue coating is yellow and rough, with sticky, turbid phlegm covering the upper part rather than white flakes. Now at the Winter Solstice major solar term, and given the patient's usual overwork, the Heart Nutrient Qi is naturally deficient. Combining pulse and symptoms, if Phlegm-Qi flows smoothly and exogenous heat decreases, it indicates a turning point; otherwise, one must beware of the danger of panting and collapse. Tentatively prescribing methods to Clear the Heart, wash away Phlegm, calm the Liver, and descend Qi. Attached is the prescription for correction.
American Ginseng, Stir-fried Burdock Fruit, Bamboo Sap mixed evenly with Calamus Juice taken together, Antelope Horn Slices, Sichuan Curcuma, Stir-fried Tribulus Fruit, Forsythia, Inula Flower, Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill).
Note: This prescription originally included Apricot Kernel, Chuan Bei Mu, Moutan Cortex, Indigo Naturalis, Shell of Argopecten Irradiatus, Huo Shan Shi Hu, Tong Cao, etc., but they are not listed here due to complexity.