某（初平诊） 春分节后肝木犯中乘脾则泻，犯胃则呕，病起夜半，肢厥脉伏，喘汗发
斑，慎防闭脱之变，勉拟附子理中为法或可挽回万一，另请高明酌政。
高丽别直参玫瑰花（五朵炖冲） 左牡蛎 熟附（五分同煮去附入煎） 宣木瓜 生仙居术 淡
干姜 新会皮 清炙甘草 东白芍 左金丸（三分拌入） 煎朱茯神
复诊昨拟进人参附子回阳法今吐泻已止，知饥能纳，微有呕恶眩晕，正气虽得克复，
而肝胃气尚未和也，脉形缓弱右寸两关重按见弦，治拟两和厥阴阳明法，还须节食避风，勿使反复，附方候政。
高丽别直参 东白芍左金丸（三分拌炒） 纯钩 泽泻 米炒大麦冬 广皮 石决明
生熟谷芽（另煎代水） 原株金斛 半夏曲 朱茯神
龚左（十九岁，九月四日） 伏暑内发，新凉外束，加以食滞壅遏，腑气升降不和，吐泻
交作，脘闷口渴，甚且厥逆不省人事，支厥脉伏，喘汗不止，舌苔白腻，以脉参症，慎防厥脱
之虞，勉拟参附桂枝甘草龙骨牡蛎出入为法，然恐鞭长莫及矣，附方请高明酌夺。
台参须 龙骨 东白芍 左金丸（二分同拌） 天生术（五分） 左牡蛎 熟附片（五分煮去附入
煎） 嫩桂枝（五分） 炙草 朱茯神 戈制半夏（五分） 来复丹（五分） 新会皮
【初平诊】春分节气过后，肝木之气过旺侵犯中焦，乘袭脾脏则导致腹泻，侵犯胃腑则引发呕吐。病症始于半夜，出现四肢厥冷、脉搏隐伏难寻，伴有气喘、出汗及皮肤发斑的症状，需谨防病情恶化导致邪气内闭或正气外脱的危变。勉强拟定以附子理中汤为治疗法则，或许能挽回万分之一的生机，另请医术高明者斟酌指正。
处方：高丽别直参（用玫瑰花五朵炖煮后冲服）、左牡蛎、熟附子（与其余药物同煮五分，去附子渣后取药液煎煮）、宣木瓜、生仙术、淡干姜、新会陈皮、清炙甘草、东白芍、左金丸（三分拌入药中）、朱砂拌茯神。
【复诊】昨日拟定的用人参、附子回阳救逆的方法已见效，今日呕吐和腹泻已经停止，患者知道饥饿并能进食，仅有轻微的恶心和眩晕感。虽然正气得以恢复，但肝气和胃气尚未调和。脉象表现为缓而弱，右寸部和两关部重按时可见弦脉。治疗拟定采用调和厥阴经和阳明经的方法，还需注意节制饮食、避免受风，以防病情反复。附上方剂供高明者斟酌指正。
处方：高丽别直参、东白芍、左金丸（三分拌炒）、纯钩藤、泽泻、米炒麦冬、广陈皮、石决明、生谷芽和熟谷芽（另煎代水使用）、原株金钗石斛、半夏曲、朱砂拌茯神。
【龚左，十九岁，九月四日】伏暑在内发作，新凉之邪在外束缚，加之食积停滞壅塞，导致腑气升降功能失调，出现上吐下泻交替发作，脘腹闷胀、口渴，甚至出现四肢厥冷、不省人事，肢体厥冷、脉搏隐伏，气喘出汗不止，舌苔白腻。结合脉象参看症状，需谨防厥证和脱证的危险。勉强拟定以人参、附子、桂枝、甘草、龙骨、牡蛎等药物加减组成的方剂为治疗法则，然而恐怕力量难以达到病所。附上方剂请高明者斟酌决定。
处方：台党参须、龙骨、东白芍、左金丸（二分同拌）、天生术（五分）、左牡蛎、熟附片（五分煮后去附子渣入煎）、嫩桂枝（五分）、炙甘草、朱砂拌茯神、戈制半夏（五分）、来复丹（五分）、新会陈皮。
[Initial Diagnosis by Chu Ping] After the Spring Equinox, the Liver Wood Qi becomes excessive and invades the Middle Jiao. If it overacts on the Spleen, diarrhea occurs; if it invades the Stomach, vomiting ensues. The illness began at midnight, presenting with cold limbs (Zhi Jue), hidden pulse (Mai Fu), panting, sweating, and macules (Ban). One must be cautious of critical changes such as closure (Bi) or collapse (Tuo). I tentatively propose a method based on Fuzi Lizhong Tang (Aconite Decoction for Regulating the Middle), which might salvage one in ten thousand cases. Please consult another expert for further advice.
Prescription: Korean Ginseng (Gao Li Bie Zhi Shen) steamed with five rose petals and taken with the decoction; Left Oyster Shell (Zuo Mu Li); Prepared Aconite Root (Shu Fu Zi, boiled with other herbs for 5 minutes, remove residue, use liquid for decoction); Xuan Quince (Xuan Mu Gua); Raw Shanyang Atractylodes Rhizome (Sheng Xian Ju Zhu); Light Dried Ginger (Dan Gan Jiang); Xin Hui Tangerine Peel (Xin Hui Pi); Clear-Honey-Fried Licorice Root (Qing Zhi Gan Cao); East White Peony Root (Dong Bai Shao); Zuo Jin Pill (Zuo Jin Wan, mixed in, 3 fen); Foxglove Scutellaria Root with Cinnabar (Jian Zhu Fu Shen).
[Second Visit] Yesterday's prescription using Ginseng and Aconite to restore Yang was effective. Today, vomiting and diarrhea have ceased, the patient feels hungry and can eat, with only slight nausea and dizziness. Although the Righteous Qi (Zheng Qi) has been restored, the Qi of the Liver and Stomach is not yet harmonized. The pulse is slow and weak; upon heavy pressure at the Right Cun (Cun position on the right wrist) and both Guan (Guan position on both wrists), a wiry pulse (Xian Mai) is felt. The treatment proposes a method to harmonize the Jueyin and Yangming channels. Dietary control and avoidance of wind are necessary to prevent recurrence. Attached is the formula for expert review.
Prescription: Korean Ginseng; East White Peony Root; Zuo Jin Pill (mixed and stir-fried, 3 fen); Pure Uncaria Ramulus cum Uncis (Chun Gou); Alisma Rhizome (Ze Xie); Rice-Stir-Fried Ophiopogon Tuber (Mi Chao Da Mai Dong); Broad Tangerine Peel (Guang Pi); Concha Arcae (Shi Jue Ming); Raw and Cooked Barley Sprouts (Sheng Shu Gu Ya, decocted separately to replace water); Original Stem Dendrobium Nobile (Yuan Zhu Jin Hu); Massae Medicamentae Fermentatae Cum Herbis (Ban Xia Qu); Foxglove Scutellaria Root with Cinnabar (Zhu Fu Shen).
[Gong Zuo, 19 years old, September 4th] Hidden Summerheat erupts internally, while new Coolness binds externally. Additionally, food stagnation obstructs, causing dysfunction of the ascending and descending of Fu-organ Qi. This results in alternating vomiting and diarrhea, epigastric fullness, thirst, and even cold limbs leading to unconsciousness. There are cold limbs, hidden pulse, continuous panting and sweating, and a white greasy tongue coating. Correlating the pulse with symptoms, one must guard against the danger of Jue syndrome and Collapse. I tentatively propose a modified formula based on Renshen, Fuzi, Guizhi, Gancao, Longgu, and Muli. However, I fear my efforts may be insufficient. Attached is the formula for expert decision.
Prescription: Ta Party Ginseng Tendrils (Tai Shen Xu); Dragon Bone (Long Gu); East White Peony Root; Zuo Jin Pill (mixed, 2 fen); Tian Sheng Atractylodes Rhizome (5 fen); Left Oyster Shell; Prepared Aconite Slice (Shu Fu Pian, boiled for 5 minutes, remove residue, use liquid for decoction); Tender Cinnamon Twig (Nen Guizhi, 5 fen); Honey-Fried Licorice Root (Zhi Cao); Foxglove Scutellaria Root with Cinnabar; Ge-Processed Pinellia Rhizome (5 fen); Laifu Dan (5 fen); Xin Hui Tangerine Peel.