费（菱湖，三月） 因惊外触，激动肝阳，木火生痰，痰火二者阻蔽肝胆胞络之间，清明
之气为邪浊所蒙，心绪纷纭，识神时清时糊，俗为吓痴之候，治宜清心涤痰，安魂益志法。
紫丹参（猪心血拌炒） 丹皮 苍龙齿 陈胆星 真西琥珀 元参 石决明（真川连三分拌打）
元武版 鲜竹沥鲜菖蒲（一钱五分，同捣） 川郁金 净枣仁 朱茯神 远志肉 卷心竹叶
汪左（十一月） 天时温燥，阳明受之，酿痰化火，上扰肺胃，加以肝阳浮越，不潜阳气，
皆并于上，夜无眠，歌哭声怒，袭成癫狂之候，经谓∶重阳则狂是也，治宜清心豁痰，平肝宣窍为法。
犀角盘 九孔石决明 真川连（三分，同拌生打） 陈胆星 鲜橄榄（明矾五分同拌） 丹皮
鲜生地汁 抱木茯神（辰砂拌透） 竹沥鲜菖蒲（一钱五分，捣汁和冲） 生铁落（四两，煎汤代水）
苍龙齿 川郁金。
王左（二月） 酒客多痰，无非湿热，蒸窨而致痰病，延久每多袭成痫厥之虞，盖痰以阳
明为窟宅，加以肝胆阳升，痰郁为病，其变百出，诚如王隐君所云，今诊脉象禀质六阴，重
按弦滑，舌边微绛，中后黄腻，拟以黄连温胆汤，大意未知妥否。
元参 化陈皮 全栝蒌 鲜石菖蒲 真川连 宋半夏 海石粉 川郁金 炒枳实
朱茯神 焦山栀 鲜竹茹
又舌绛脉滑数，陡然神识不清，妄言妄动，心无主张，目赤颧红，不饥不便，此痰火风
也。昨拟黄连温胆法未能获效，此证治法总不离乎清火豁痰熄风安神之剂，仍仿昨法，略大
其制，以折其标，未识当否，附方候政。
元参 化陈皮 海石粉 陈胆星 礞石 滚痰丸 真川连 仙半夏 石决明（青黛五分拌
打） 川郁金（明矾五分拌打） 枳实汁 全栝蒌 黑栀（辰砂一分拌打） 竹沥 鲜石菖蒲（二钱，捣汁和冲）
费某（菱湖，三月）因受惊吓且外感邪气，导致肝阳被激动，木火相生而生痰，痰与火二者阻滞遮蔽在肝胆包络之间，清明之气被邪浊所蒙蔽，心绪纷乱，神识时而清醒时而糊涂，俗称“吓痴”之症，治疗宜采用清心涤痰、安魂益志的方法。
紫丹参（用猪心血拌炒）、牡丹皮、苍龙齿、陈胆星、真西琥珀、玄参、石决明（真川黄连三分拌打）、元武版、鲜竹沥、鲜石菖蒲（一钱五分，同捣）、川郁金、净酸枣仁、朱茯神、远志肉、卷心竹叶。
汪左（十一月）天时温燥，阳明经受邪，酿生痰浊并化为火热，上扰肺胃，加之肝阳浮越，阳气不能潜藏，皆并于上部，夜间无法入睡，唱歌哭泣发怒，演变成癫狂之症，经书说：“重阳则狂”正是此意，治疗宜采用清心豁痰、平肝宣窍的方法。
犀角盘、九孔石决明、真川黄连（三分，同拌生打）、陈胆星、鲜橄榄（明矾五分同拌）、牡丹皮、鲜生地汁、抱木茯神（辰砂拌透）、竹沥鲜石菖蒲（一钱五分，捣汁和冲）、生铁落（四两，煎汤代水）、苍龙齿、川郁金。
王左（二月）饮酒之人多痰，无非是湿热蒸蕴所致，久延往往多有引发痫厥的担忧，大概痰以阳明为巢穴，加上肝胆阳气上升，痰郁致病，变化百出，诚如王隐君所说，如今诊脉象禀质六阴，重按弦滑，舌边微绛，中后部黄腻，拟定使用黄连温胆汤，大意不知是否妥当。
玄参、化橘红、全瓜蒌、鲜石菖蒲、真川黄连、宋半夏、海浮石粉、川郁金、炒枳实、朱茯神、焦山栀、鲜竹茹。
又见舌绛脉滑数，突然神识不清，胡言乱语妄动，心中无主见，眼睛红赤颧骨发红，不饥饿不便秘，这是痰火风邪。昨日拟定的黄连温胆法未能获效，此证治法总不离乎清火豁痰熄风安神的方剂，仍仿照昨日之法，略微加大剂量，以折服其标证，不知是否恰当，附上方子候指正。
玄参、化橘红、海浮石粉、陈胆星、礞石、滚痰丸、真川黄连、仙半夏、石决明（青黛五分拌打）、川郁金（明矾五分拌打）、枳实汁、全瓜蒌、黑栀子（辰砂一分拌打）、竹沥、鲜石菖蒲（二钱，捣汁和冲）。
Fei (Linghu, March) Due to fright and external pathogenic invasion, Liver Yang was agitated. Wood and Fire generated Phlegm. The combination of Phlegm and Fire obstructed and blocked the pericardium collaterals of the Liver and Gallbladder. The clear Qi was obscured by turbid pathogens. Mental agitation ensued, with consciousness alternating between clarity and confusion. This is colloquially known as "fright-induced dementia" (Xia Chi). Treatment should employ methods to Clear the Heart and wash away Phlegm, and to Pacify the Soul and Benefit Willpower.
Zidan Shen (Salviae Miltiorrhizae Radix et Rhizoma, stir-fried with pig heart blood), Mudan Pi (Moutan Cortex), Canglong Chi (Cranii Draconis), Chendan Xing (Arisaema cum Bile, aged), Zhenxi Hupo (Succinum), Yuan Shen (Scrophulariae Radix), Shijueming (Concha Meretricis, processed with 3 fen of Zhenchuan Lian), Yuanwu Ban (Testudinis Carapax et Plastrum), Xianzhuli (Bambusae Caulis in Taeniam, fresh juice), Xianchangpu (Acori Tatarinowii Rhizoma, fresh, 1 qian 5 fen, pounded together), Chuanyu Jin (Curcumae Radix), Jing Zaoren (Ziziphi Spinosomi Semen, purified), Zhu Fushen (Poria with Hostwood dyed with Cinnabar), Yuanzhi Rou (Polygalae Radix flesh), Juanxin Zhuye (Bambusae Folium, rolled heart).
Wang Zuo (November) The weather was warm and dry. The Yangming channel was affected, leading to the formation of Phlegm which transformed into Fire. These ascended to disturb the Lung and Stomach. Additionally, Liver Yang floated upward, failing to submerge, causing all energies to converge on the upper body. There was insomnia at night, accompanied by singing, crying, and anger, evolving into mania. The Classics state: "Double Yang leads to Mania" (Chong Yang Ze Kuang). Treatment should employ methods to Clear the Heart and expel Phlegm, and to Level the Liver and open orifices.
Xijiao Pan (Rhinocerotis Cornu, sliced), Jiukong Shijueming (Concha Meretricis, nine-hole variety), Zhenchuan Lian (Coptidis Rhizoma, 3 fen, mixed and raw-pounded), Chendan Xing (Arisaema cum Bile, aged), Xianglan (Olea europaea var. europaea fruit, fresh, mixed with 5 fen Mingfan), Mudan Pi (Moutan Cortex), Xianshengdi Zhi (Rehmanniae Radix, fresh juice), Baomu Fushen (Poria with Hostwood, thoroughly mixed with Chen Sha), Zhuli Xianchangpu (Bambusae Caulis in Taeniam and Acori Tatarinowii Rhizoma, fresh, 1 qian 5 fen, pounded for juice and mixed), Shengtieluo (Ferrum), Canglong Chi (Cranii Draconis), Chuanyu Jin (Curcumae Radix).
Wang Zuo (February) Individuals who consume alcohol often have excessive Phlegm, caused by damp-heat steaming and fermenting. Prolonged illness often risks developing epilepsy and convulsions. Generally, Phlegm resides in the Yangming. Combined with ascending Liver-Gallbladder Yang, Phlegm stagnation causes disease with myriad variations. As Wang Yinjun stated... Current pulse diagnosis reveals a constitution of Six Yin pulses; deep pressure yields wiry and slippery qualities. The tongue edges are slightly crimson, while the center and rear are yellow and greasy. It is proposed to use Huanglian Wendan Tang (Coptis Decoction to Warm the Gallbladder). Whether this general approach is appropriate remains uncertain.
Yuan Shen (Scrophulariae Radix), Huachenpi (Exocarpium Citri Grandis, processed), Quan Gualou (Trichosanthis Fructus, whole), Xianshichangpu (Acori Tatarinowii Rhizoma, fresh), Zhenchuan Lian (Coptidis Rhizoma), Song Banxia (Pinelliae Rhizoma, Song dynasty style), Haishi Fen (Ardisiae Granulum, powder), Chuanyu Jin (Curcumae Radix), Chao Zhishi (Aurantii Fructus Immaturus, stir-fried), Zhu Fushen (Poria with Hostwood dyed with Cinnabar), Jiao Shanzhi (Gardeniae Fructus, charred), Xianzhuru (Bambusae Caulis in Taeniam, fresh juice).
Subsequently, the tongue is crimson, and the pulse is slippery and rapid. Suddenly, consciousness becomes unclear, with delirious speech and erratic movements, lacking mental direction. The eyes are red, and the malar region is flushed. There is no appetite, and bowel movements are absent. This indicates Phlegm-Fire-Wind pathology. The previously prescribed Huanglian Wendan method failed to achieve efficacy. The treatment principle for this condition must revolve around agents that Clear Fire, Expel Phlegm, Extinguish Wind, and Pacify the Spirit. We still follow yesterday's method but slightly increase the dosage to subdue the branch symptoms. Whether this is correct is submitted for your correction. Attached is the formula.
Yuan Shen (Scrophulariae Radix), Huachenpi (Exocarpium Citri Grandis, processed), Haishi Fen (Ardisiae Granulum, powder), Chendan Xing (Arisaema cum Bile, aged), Mengshi (Flammantis Lapis), Wantan Wan (Rolling Phlegm Pill), Zhenchuan Lian (Coptidis Rhizoma), Xianbanxia (Pinelliae Rhizoma, fresh/processed), Shijueming (Concha Meretricis, mixed with 5 fen Qingdai), Chuanyu Jin (Curcumae Radix, mixed with 5 fen Mingfan), Zhishi Zhi (Aurantii Fructus Immaturus, juice), Quan Gualou (Trichosanthis Fructus, whole), Heizhi (Gardeniae Fructus, blackened, mixed with 1 fen Chen Sha), Zhuli (Bambusae Caulis in Taeniam, juice), Xianshichangpu (Acori Tatarinowii Rhizoma, fresh, 2 qian, pounded for juice and mixed).