沈氏（三十六） 春升阳气，为寒邪所郁，而为 腮，畏寒发热，口臭耳聋，外宜辛散
，内清伏火。
防风 薄荷 细苏梗 石膏 连翘 荆芥 蝉衣
孙氏（五十） 倏然头眩，汗泄神昏，耳聋舌麻气促。此由肝肾不足，风火上腾，痰因气
聚，
三者使然，物之迅速，莫甚于风火。此是内生，非由外致，防、薄能驱外束理，此种须遵丹
溪和阳熄风，兼清痰气。
丹皮 桑叶 白芍 菊花 钩藤 橘皮 半夏 姜汁 竹沥
一服效。
戴（三二）宿有头痛，每发于寅卯时，遇午即缓，此少阳病也。
柴胡 丹皮 桑皮 白芍 甘菊 钩藤 香附 甘草
孙（二二）阳明经火郁牙痛。
葛根 石膏 升麻 橘皮 小生地 薄荷
曹（五九） 时届严寒，封藏不固，两耳鸣胀，切脉洪实，理宜介类潜阳。
龟板（三钱） 牡蛎（二钱） 贡干（二钱） 枸杞（二钱） 萸肉（一钱五分） 白芍（一钱）
川柏（一钱） 知母（一钱） 桂心（四分）
沈（三七） 肝肾之火，上冲清道，左耳胀痛。
羚羊角 夏枯草 丹皮 黑栀 知母 川柏 香附 通草 葱管
两服出脓而愈。
朱（十四） 脉浮畏风，身热咽痛，肺邪欲泄，势将发疹。
杏仁（三钱） 薄荷（一钱五分） 防风（一钱五分） 粘子（二钱） 橘红（一钱） 桔梗（一
钱） 元参（一钱五分）
连翘（一钱五分） 蝉衣（七分） 甘草（四分） 西河柳（二钱）
一服肌痒见点，再剂而愈。乃翁见惠盆梅，作七绝一首谢之∶珍重堂前短一梅，含苞看
起到齐开，旁人问我从何日，道是山翁当杏栽。
某 风寒犯肺，咽喉肿痛，当辛散。
苏叶 杏仁 粘子 橘红 薄荷 桔梗 蝉衣 甘草 姜皮 葱头
愈后旬余，咽喉复痛，起于夜分，忽然如鲠，左边起泡如茧，此阴火上冲，当清解。前
恶寒脉浮，今不恶寒脉细，以此分温清两法。昧者不察，混施方药，贻误非细。
元参 连翘 马勃 薄荷 桔梗 甘草
自（三七） 咽痛起于暮夜，而多痰涎，属冬藏不密，浮火上升。治法须苦味潜阳，苦辛
散火，以甘和之，一服而愈。
元参（二钱，能清阴火） 连翘（一钱五分。能清浮火）川斛（三钱，清胃火消痰涎） 杏仁（
三钱
，辛散苦降） 橘红（五分，辛利上焦之气） 桔梗（一钱，开肺气散郁火） 薄荷（一钱，清利
咽喉） 甘草（三分，甘以和之）
陶（二四） 伏热在内，时交冬至，阳气内动，相因为病，咽喉燥痛，痰涎缠绕，渴饮冷
水，
咳嗽痰血，入暮寒热，舌白如垩，脉来细数。此实火症，非大寒之剂不能疗。莫谓寒冬，怕
用寒剂，舍时从症，古贤有之。
石膏（八钱） 川连（一钱） 丹皮（一钱五分） 生地（三分） 麦冬（二钱） 杏仁（三钱）
薄荷（一钱五分） 橘红（一钱） 连翘（一钱五分） 甘草（四分）
服下即吐痰涎碗许，诸病减半，再剂而愈。
沈氏（三十六岁）春季阳气升发，被寒邪郁遏，导致腮部肿胀，伴有畏寒发热、口臭耳聋。治疗上外部宜用辛散之法，内部清泄伏火。
防风 薄荷 细苏梗 石膏 连翘 荆芥 蝉衣
孙氏（五十岁）突然头晕目眩，出汗且神志昏蒙，耳聋舌麻气促。这是由于肝肾不足，风火上腾，痰随气聚，三者共同作用所致。事物的迅速变化，没有比风火更快的了。这是内生之病，并非由外感引起，防风、薄荷只能驱除外束之邪，这种情况必须遵循丹溪先生“和阳熄风”的原则，兼以清化痰气。
丹皮 桑叶 白芍 菊花 钩藤 橘皮 半夏 姜汁 竹沥
服用一剂见效。
戴某（三十二岁）素来有头痛病史，每次发作在寅时到卯时之间，到了午时即缓解，这是少阳病。
柴胡 丹皮 桑皮 白芍 甘菊 钩藤 香附 甘草
孙某（二十二岁）阳明经火郁导致的牙痛。
葛根 石膏 升麻 橘皮 小生地 薄荷
曹某（五十九岁）正值严寒时节，封藏功能不固，双耳鸣胀，切脉洪实，理应用介类药材潜降阳气。
龟板（三钱） 牡蛎（二钱） 贡干（二钱） 枸杞（二钱） 萸肉（一钱五分） 白芍（一钱） 川柏（一钱） 知母（一钱） 桂心（四分）
沈某（三十七岁）肝肾之火上冲至清窍，左耳胀痛。
羚羊角 夏枯草 丹皮 黑栀 知母 川柏 香附 通草 葱管
服用两剂后排出脓液而痊愈。
朱某（十四岁）脉浮畏风，身热咽痛，肺中邪气欲向外宣泄，势必将发疹。
杏仁（三钱） 薄荷（一钱五分） 防风（一钱五分） 粘子（二钱） 橘红（一钱） 桔梗（一钱） 元参（一钱五分） 连翘（一钱五分） 蝉衣（七分） 甘草（四分） 西河柳（二钱）
服用一剂后肌肤瘙痒并出现皮疹斑点，再服一剂而痊愈。其父亲赠送盆梅作为礼物，作者作七绝一首表示感谢：“珍重堂前短一梅，含苞看起到齐开，旁人问我从何日，道是山翁当杏栽。”
某人 风寒侵犯肺部，咽喉肿痛，应当使用辛散之法。
苏叶 杏仁 粘子 橘红 薄荷 桔梗 蝉衣 甘草 姜皮 葱头
痊愈十几天后，咽喉再次疼痛，起于夜间，突然感觉如鱼刺卡喉，左边起泡如茧，这是阴火上冲，应当清解。此前恶寒脉浮，现在不恶寒脉细，以此区分温法和清法两种治法。庸医不加考察，混用方药，贻误病情非浅。
元参 连翘 马勃 薄荷 桔梗 甘草
自某（三十七岁）咽痛起于暮夜，且多痰涎，属于冬季封藏不严密，浮火上升。治疗方法需用苦味潜阳，苦辛散火，以甘味调和，服用一剂而愈。
元参（二钱，能清阴火） 连翘（一钱五分，能清浮火） 川斛（三钱，清胃火消痰涎） 杏仁（三钱，辛散苦降） 橘红（五分，辛利上焦之气） 桔梗（一钱，开肺气散郁火） 薄荷（一钱，清利咽喉） 甘草（三分，甘以和之）
陶某（二十四岁）伏热在内，正值冬至，阳气内动，相互影响致病，咽喉干燥疼痛，痰涎缠绕，口渴想喝冷水，咳嗽痰中带血，入暮时有寒热交替，舌苔白如垩土，脉象细数。这是实火证，不用大寒的药剂不能治愈。不要说寒冬季节就害怕使用寒凉药剂，舍弃时令而从症状论治，古代贤人已有先例。
石膏（八钱） 川连（一钱） 丹皮（一钱五分） 生地（三分） 麦冬（二钱） 杏仁（三钱） 薄荷（一钱五分） 橘红（一钱） 连翘（一钱五分） 甘草（四分）
服药后立即吐出约一碗痰涎，各种病症减半，再服一剂而痊愈。
Shen (36 years old): In spring, yang qi ascends but is constrained by cold pathogenic factors, leading to swelling of the cheeks (mumps), accompanied by aversion to cold, fever, foul breath, and deafness. Externally, acrid dispersal should be used; internally, latent fire should be cleared.
Fangfeng (Saposhnikoviae Radix), Bohe (Menthae Haplocalycis Herba), Xisuheng (Perillae Caulis), Shigao (Gypsum Fibrosum), Lianqiao (Forsythiae Fructus), Jingjie (Schizonepetae Spica), Chanyi (Bombyx Batryticatus).
Sun (50 years old): Sudden dizziness, sweating with confusion, deafness, numbness of the tongue, and shortness of breath. This is caused by deficiency of liver and kidney, with wind-fire surging upward and phlegm accumulating due to qi stagnation. Among all things, none are as rapid as wind and fire. This is an endogenous disease, not caused by external pathogens. Fangfeng and Bohe can only dispel externally constrained pathogens; this condition must follow Danxi’s principle of harmonizing yin and extinguishing wind, combined with clearing phlegm and qi.
Danpi (Moutan Cortex), Sangye (Mori Folium), Baishao (Paeoniae Radix Alba), Juhua (Chrysanthemi Flos), Gouteng (Uncariae Ramulus cum Uncis), Juapi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Jiangzhi (Zingiberis Recens Juice), Zhuli (Bambusae Sap).
One dose showed efficacy.
Dai (32 years old): Has a history of headache, occurring between Yin and Mao hours (3-7 AM), easing at Wu hour (11 AM-1 PM). This is Shaoyang disease (disease of the Gallbladder and Small Intestine channels).
Chaihu (Bupleuri Radix), Danpi (Moutan Cortex), Sangpi (Mori Cortex), Baishao (Paeoniae Radix Alba), Ganju (Chrysanthemi Indici Flos), Gouteng (Uncariae Ramulus cum Uncis), Xiangfu (Cyperi Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Sun (22 years old): Toothache due to fire constraint in the Yangming channel.
Gegen (Puerariae Lobatae Radix), Shigao (Gypsum Fibrosum), Shengma (Cimicifugae Rhizoma), Juapi (Citri Reticulatae Pericarpium), Xiaoshengdi (Rehmanniae Radix Preparata), Bohe (Menthae Haplocalycis Herba).
Cao (59 years old): During severe cold, the storing function is insecure, causing tinnitus and distension in both ears. The pulse is large and solid. Treatment should employ shell-type herbs to subdue yang.
Guiban (Testudinis Carapax et Plastrum, 3 qian), Muli (Ostreae Concha, 2 qian), Gonggan (Ginseng Radix, 2 qian), Gouqi (Lycii Fructus, 2 qian), Yurou (Corni Fructus, 1.5 qian), Baishao (Paeoniae Radix Alba, 1 qian), Chuanbai (Phellodendri Chinensis Cortex, 1 qian), Zhimu (Anemarrhenae Rhizoma, 1 qian), Guixin (Cinnamomi Cortex, 4 fen).
Shen (37 years old): Fire from liver and kidney surges upward to the clear orifices, causing left ear pain and distension.
Lingyangjiao (Saigae Tataricae Cornu), Xiakucao (Prunellae Spica), Danpi (Moutan Cortex), Heizhi (Zizyphi Fructus Preparatus), Zhimu (Anemarrhenae Rhizoma), Chuanbai (Phellodendri Chinensis Cortex), Xiangfu (Cyperi Rhizoma), Tongcao (Tetrapanacis Medulla), Congguan (Allii Fistulosi Bulbus).
Two doses resulted in discharge of pus and recovery.
Zhu (14 years old): Floating pulse, aversion to wind, fever, sore throat. Lung pathogen desires to vent, likely to manifest as rash.
Xingren (Armeniacae Semen Amarum, 3 qian), Bohe (Menthae Haplocalycis Herba, 1.5 qian), Fangfeng (Saposhnikoviae Radix, 1.5 qian), Nianzi (Plantaginis Semen, 2 qian), Juhong (Citri Reticulatae Pericarpium Rubrum, 1 qian), Jiegeng (Platycodonis Radix, 1 qian), Yuanshen (Scrophulariae Radix, 1.5 qian), Lianqiao (Forsythiae Fructus, 1.5 qian), Chanyi (Bombyx Batryticatus, 0.7 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.4 fen), Xihe Liu (Salicis Tashiroanae Ramulus, 2 qian).
One dose caused skin itching and appearance of spots; two doses led to recovery. The father presented potted plum blossoms, and the author wrote a seven-character quatrain in thanks: "Cherish the short plum before the hall, watching buds open fully. When others ask where I got it, I say the mountain elder planted apricot."
A certain person: Wind-cold invading the lung, causing sore throat and swelling. Acrid dispersal is indicated.
Suye (Perillae Folium), Xingren (Armeniacae Semen Amarum), Nianzi (Plantaginis Semen), Juhong (Citri Reticulatae Pericarpium Rubrum), Bohe (Menthae Haplocalycis Herba), Jiegeng (Platycodonis Radix), Chanyi (Bombyx Batryticatus), Gancao (Glycyrrhizae Radix et Rhizoma), Jiangpi (Zingiberis Pericarpium), Congtou (Allii Cepae Bulbus).
After recovery for over ten days, the throat became painful again, starting at night, suddenly feeling like a fishbone stuck, with blisters forming on the left side like a cocoon. This is yin fire surging upward, requiring clearing and resolving. Previously, there was aversion to cold and floating pulse; now, no aversion to cold and fine pulse. Thus, warm and clearing methods are distinguished. Ignorant physicians fail to observe this, mixing prescriptions, causing significant delay.
Yuanshen (Scrophulariae Radix), Lianqiao (Forsythiae Fructus), Mabo (Acaciae Flos), Bohe (Menthae Haplocalycis Herba), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
Zi (37 years old): Sore throat starts at dusk/night, with excessive saliva/phlegm. This belongs to incomplete winter storage, with floating fire rising. Treatment requires bitter flavors to subdue yang, acrid-bitter to disperse fire, and sweet to harmonize. One dose cured it.
Yuanshen (Scrophulariae Radix, 2 qian, clears yin fire), Lianqiao (Forsythiae Fructus, 1.5 qian, clears floating fire), Chuanhu (Dendrobii Caulis, 3 qian, clears stomach fire and reduces phlegm), Xingren (Armeniacae Semen Amarum, 3 qian, acrid disperses, bitter descends), Juhong (Citri Reticulatae Pericarpium Rubrum, 0.5 fen, acrid benefits upper jiao qi), Jiegeng (Platycodonis Radix, 1 qian, opens lung qi and disperses constrained fire), Bohe (Menthae Haplocalycis Herba, 1 qian, clears and benefits throat), Gancao (Glycyrrhizae Radix et Rhizoma, 0.3 fen, sweet harmonizes).
Tao (24 years old): Latent heat inside, coinciding with Winter Solstice, internal movement of yang qi, mutually influencing to cause illness. Dry and painful throat, entangled phlegm, thirst for cold water, cough with blood-streaked sputum, alternating chills and fever at dusk, white tongue coating like chalk, fine and rapid pulse. This is excess fire syndrome, treatable only with major cold agents. Do not fear using cold agents in winter; abandoning season for symptoms has precedent among ancient sages.
Shigao (Gypsum Fibrosum, 8 qian), Chuanlian (Coptidis Rhizoma, 1 qian), Danpi (Moutan Cortex, 1.5 qian), Shengdi (Rehmanniae Radix Preparata, 0.3 qian), Maidong (Ophiopogonis Tuber, 2 qian), Xingren (Armeniacae Semen Amarum, 3 qian), Bohe (Menthae Haplocalycis Herba, 1.5 qian), Juhong (Citri Reticulatae Pericarpium Rubrum, 1 qian), Lianqiao (Forsythiae Fructus, 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.4 fen).
Immediately after taking the medicine, about a bowl of phlegm was vomited, halving all symptoms; two doses led to recovery.