朱左（年五十余，菱湖） 吸烟之体，脾肺自虚，中焦留伏痰饮，加以肝气扰动，痰阻肺
气，咳逆痰稠，潮热腹胀，纠缠不已，脉右滑左
小数而弦，治宜调理。
东洋参 麸枳壳 赤苓 戈半夏（五分） 生于术 真紫沉水香（三分，刮片另炖分冲） 新会
皮旋复花 炒白蒺 玫瑰花 紫石英 东白芍 姜汁炒竹茹
刘（太和坊，正月） 《巢氏病源》云∶胁痛左属蓄血，右属痰饮，见症右胁引痛，气逆痰
稠，明是痰阻其气络，不主宣使然，脉右弦左小弦数，治宜泄木和中。
旋复花 全栝栝蒌 宋半夏 赤苓 新绛 川郁金 炒白蒺 玫瑰花 青葱管 新会
橘络 丝瓜络 姜汁纱竹茹
某，悬饮内在胁间，按之漉漉有声，宜三子养亲汤。
沈右（年二十五岁，二月） 感受风温，扰于阳明，头胀身热，脘闷咯痰，血自鼻孔中流
出，《伤寒论》所谓红汗而解也，脉弦数而浮，治宜清解。
元参 黑山栀 丹皮 鲜竹茹 银花露 薄荷尖 橘红 象贝 方通草 连翘 川郁金 怀牛膝 白茅根
暑风鼻红宜从此方，多捣荷叶汁生地汁茅根汁为妙。
沈（二月） 《内经》谓春善病鼽衄，良由气火偏旺，风热外袭，风火相煽，阳络多伤使
然也。治宜黑参犀角汤法。
元参 东白芍 焦山栀 荆芥炭 犀角盘 丹皮 连翘 白茅根 生地 怀牛膝 净银花 薄荷梗 鲜竹叶。
朱某，男，五十余岁，菱湖人。有吸烟习惯，体质表现为脾肺两虚，中焦（脾胃所在区域）留有潜伏的痰饮病邪。加之肝气扰动，导致痰浊阻滞肺气，出现咳嗽气逆、痰液稠厚、午后潮热、腹部胀满等症状，病情缠绵难愈。诊其脉象，右手脉滑，左手脉细数且带弦象。治疗宜采用调理之法。
处方：东洋参、麸炒枳壳、赤茯苓、戈半夏（五分）、生白术、真紫沉水香（三分，刮成薄片另炖后兑入药汁服用）、新会皮、旋覆花、炒白蒺藜、玫瑰花、紫石英、东白芍、姜汁炒竹茹。
刘某，太和坊人，正月就诊。《巢氏病源》记载：胁痛左侧多属瘀血蓄积，右侧多属痰饮停留。患者症状为右胁牵引作痛，气逆上冲，痰液稠厚，这显然是痰浊阻滞了气机经络，导致宣发肃降功能失常所致。诊其脉象，右脉弦，左脉小弦而数。治疗宜采用疏泄肝木、调和中之法。
处方：旋覆花、全瓜蒌、宋半夏、赤茯苓、新绛、川郁金、炒白蒺藜、玫瑰花、青葱管、新会橘络、丝瓜络、姜汁纱竹茹。
某人，患有悬饮，病位在胁肋之间，按压时听到漉漉的水声，适宜使用三子养亲汤。
沈某，女，二十五岁，二月就诊。感受风温之邪，邪气扰于阳明经，出现头部胀痛、身体发热、胃脘部闷塞、咯吐痰涎，血液从鼻孔流出。这是《伤寒论》中所说的“红汗”而病解的现象。诊其脉象，脉弦数且浮。治疗宜采用清热解表之法。
处方：玄参、黑山栀、牡丹皮、鲜竹茹、银花露、薄荷尖、橘红、象贝母、通草、连翘、川郁金、怀牛膝、白茅根。
暑天风热导致的鼻出血宜参照此方，若能多捣取荷叶汁、生地汁、白茅根汁配合服用更为巧妙。
沈某，二月就诊。《内经》指出春季容易发生鼻渊和鼻衄，这主要是由于气火偏旺，加上风热外邪侵袭，风与火相互煽动，损伤阳络所致。治疗宜采用黑参犀角汤的法度。
处方：玄参、东白芍、焦山栀、荆芥炭、犀角盘、牡丹皮、连翘、白茅根、生地、怀牛膝、净银花、薄荷梗、鲜竹叶。
Zhu, male, over fifty years old, from Linghu. A smoker with constitutive deficiency of the Spleen and Lung, latent phlegm-fluid retention in the Middle Jiao (the area of the spleen and stomach). Compounded by Liver Qi disturbance, phlegm obstructs Lung Qi, resulting in coughing with counterflow Qi, thick sputum, tidal fever, abdominal distension, and a lingering course. The pulse is slippery on the right, and fine-rapid-wiry on the left. Treatment should focus on regulation.
Prescription: Dongyang Ginseng (Codonopsis Pilosula), Bran-fried Bitter Orange Peel (Fructus Aurantii Preparatus), Red Poria (Poria Cocos), Ge Banxia (Pinellia Ternata, 5 fen), Raw Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma), True Purple Agarwood (Aquilariae Lignum Resinatum, 3 fen, sliced and decocted separately, taken with the main decoction), Xinhui Tangerine Peel (Citri Reticulatae Pericarpium), Inula Flower (Inulae Flos), Stir-fried White Tribulus Fruit (Tribuli Fructus), Rose Flower (Rosae Rugosae Flos), Purple Quartz (Quartzum Rubrum), Dong White Peony Root (Paeoniae Radix Alba), Ginger-juice stir-fried Bamboo Shavings (Bambusae Caulis in Taenia).
Liu, from Taihe Fang, seen in January. *Chao Shi Bing Yuan* states: Hypochondriac pain on the left belongs to blood stasis; on the right, to phlegm-fluid. Symptoms include pain radiating from the right hypochondrium, counterflow Qi, and thick sputum. This clearly indicates phlegm obstructing the Qi collaterals, failing to allow free diffusion. The pulse is wiry on the right, and small-wiry-rapid on the left. Treatment should aim to drain Wood and harmonize the Center.
Prescription: Inula Flower (Inulae Flos), Whole Trichosanthes Fruit (Trichosanthis Fructus), Song Banxia (Pinellia Ternata), Red Poria (Poria Cocos), Xinjiang (Safflower-infused silk), Sichuan Curcuma Tuber (Curcumae Longae Rhizoma), Stir-fried White Tribulus Fruit (Tribuli Fructus), Rose Flower (Rosae Rugosae Flos), Green Onion Tube (Allii Fistulosi Caulis), Xinhui Tangerine Network (Citri Reticulatae Pericarpium Retinervium), Loquat Stem Network (Erythrinae Ramulus), Ginger-juice gauze Bamboo Shavings (Bambusae Caulis in Taenia).
Certain patient: Suffering from hanging fluid (Xuan Yin) located between the ribs, producing gurgling sounds upon palpation. Sanzi Yangqin Decoction (Three Seeds Decoction for Nourishing the Stomach) is appropriate.
Shen, female, twenty-five years old, seen in February. Contracted Wind-Warmth pathogen, disturbing the Yangming channel. Symptoms include head distension and pain, body heat, epigastric stuffiness, expectoration of phlegm, and bleeding from the nose. This is what *Shanghan Lun* refers to as "red sweat" leading to resolution. The pulse is wiry-rapid and floating. Treatment should employ clearing and resolving methods.
Prescription: Scrophularia Root (Scrophulariae Radix), Black Gardenia Fruit (Gardeniae Fructus), Moutan Bark (Moutan Cortex), Fresh Bamboo Shavings (Bambusae Caulis in Taenia), Honeysuckle Dew (Lonicerae Japonicae Inflorescens), Mint Tip (Menthae Haplocalycis Herba), Tangerine Peel (Citri Reticulatae Pericarpium), Fritillaria Bulb (Fritillariae Thunbergii Bulbus), Smooth Passiflora Stem (Passiflorae Caulis), Forsythia Fruit (Forsythiae Fructus), Sichuan Curcuma Tuber (Curcumae Longae Rhizoma), Huai Dioscorea Tuber (Dioscoreae Hypoglaucae Rhizoma), Imperata Rhizome (Imperatae Rhizoma).
For nasal bleeding due to summer-heat wind, this formula is suitable. It is advisable to crush and extract juices from lotus leaf, Rehmannia Root, and imperata rhizome to mix with it.
Shen, seen in February. *Neijing* states that in spring, bi-nasal obstruction and epistaxis are common, largely due to excessive Qi-fire, external invasion of wind-heat, wind and fire fanning each other, and injury to Yang collaterals. Treatment should follow the method of Heishen Xijiao Tang (Black Ginseng and Rhinoceros Horn Decoction).
Prescription: Scrophularia Root (Scrophulariae Radix), Dong White Peony Root (Paeoniae Radix Alba), Charred Gardenia Fruit (Gardeniae Fructus), Charred Schizonepeta Spike (Schizonepetae Spica), Rhinoceros Horn Plate (Rhinocerotis Cornu), Moutan Bark (Moutan Cortex), Forsythia Fruit (Forsythiae Fructus), Imperata Rhizome (Imperatae Rhizoma), Rehmannia Root (Rehmanniae Radix), Huai Dioscorea Tuber (Dioscoreae Hypoglaucae Rhizoma), Clean Honeysuckle Flower (Lonicerae Japonicae Flos), Mint Stem (Menthae Haplocalycis Herba), Fresh Bamboo Leaf (Bambusae Folium).