朱（左） 吐泻交作。中州阻窒，恐至内闭。
川朴（一钱） 槟榔（一钱） 制半夏（二钱） 青陈皮（各一钱） 鲜佛手（一钱五分） 川雅连（吴萸汤拌炒
三分） 木香（五分） 范志曲（二钱） 赤白苓（各二钱） 淡干姜（六分） 广藿香（三钱） 枳实（磨冲五分）
鲜生姜（二钱） 伏龙肝（一两煎汤代水） 玉枢丹（一锭用佛手藿香汤旋磨旋冲旋饮）
童 吐泻交作，心胸窒蔽。气湿交阻，清浊不司升降，恐其内闭。
制半夏 新会皮 炒竹茹 赤白苓 嫩苏梗 川朴 大腹皮 陈香薷 鲜佛手 煨木香 伏龙肝 玉枢丹
陈（左） 痛泻之后，继以呕吐，中州不舒。脉形沉细。此寒湿内阻。
川朴 枳实 大腹皮 广皮 南楂炭 制半夏 蔻仁 赤白苓 鲜佛手
郁（左） 带病入闱，病邪未澈，昨复啖饭二次，复食冷柿三枚，寒食交阻，胸中阳气逆乱，阴阳之气，一时
挥霍变乱。泄泻稀水，继而复吐。阳气闭郁，肢厥脉伏，汗出不温，目陷音低。频渴欲饮，中脘不通，胸中大
痛。中阳毫无旋转之权，有内闭外脱之虞。拟黄连汤以通胃中阴阳，参以芳化而开闭郁。
台参须（一钱） 甘草（四分） 淡干姜（七分） 枳实（一钱） 制半夏（二钱） 川雅连（七分）
川桂枝（七分） 焦楂炭（三钱） 车前子（三钱） 橘皮（一钱） 辟瘟丹（七分）
二诊 用仲景黄连汤以和胃中阴阳，参以芳化而开气机，六脉俱起，肢厥转温，胸痛亦止，泄泻亦减。
病虽转机，而湿热何能遽楚，以致湿化为热，劫烁阴津。舌苔干黄，毫无津液。频渴欲饮，时带呃忒，小溲
全无，神识迷沉。极为危险。勉拟辛咸寒合方，参以芳开。
生石膏（一两） 滑石（四钱） 官桂（六分） 茯苓（三钱） 寒水石（三钱） 猪苓（二钱）
于术（一钱五分） 泽泻（一钱五分） 鲜荷梗（一尺） 紫雪丹（六分）
姚（左） 外寒束缚里热，致寒热互阻，三焦清浊相干。吐泻交作，中脘不通。宜苦辛以开三焦。但霍乱时
症，未可与寻常并论。
制半夏（二钱） 川朴（一钱） 淡吴萸（三分） 川雅连（五分） 云茯苓（三钱） 晚蚕砂（三钱）
藿香（三钱） 炒竹茹（一钱五分） 白蔻仁（五分） 广皮（一钱） 香薷（一钱） 太乙丹（五分）
题臣 饮食内停，寒热杂感，致清浊相干，三焦闭塞。始则上吐下泻，今则欲吐不出，欲泻不爽，腹笥板
滞，按之满痛噫出卵臭，脉伏肢厥，螺瘪目陷清浊溷淆，湿食停阻，吐泻虽得稍停，而浊积更加闭塞，气
道不宣，阳不敷布。危险已极，勉与显卿仁兄先生同议苦辛开通，降泄浊积。即请高明商进。
川雅连（姜汁炒七分） 上川朴（一钱） 枳实（一钱五分） 木香（五分） 橘皮（一钱） 淡吴萸（七分）
姜半夏（二钱） 白蔻仁（五分） 大腹皮（二钱） 范志曲（二钱） 备急丸（三分佛手汤送下）
朱（左侧脉象）：呕吐与腹泻同时发作。中焦脾胃气机阻滞闭塞，担心会导致邪气内闭。
处方：厚朴一钱、槟榔一钱、制半夏二钱、青皮和陈皮各一钱、鲜佛手一钱五分、川雅连用吴茱萸汤拌炒三分、木香五分、范志曲二钱、赤茯苓和白茯苓各二钱、淡干姜六分、广藿香三钱、枳实磨汁冲服五分、鲜生姜二钱、伏龙肝一两煎汤代水、玉枢丹一锭用佛手和藿香汤现磨现冲现饮。
童：呕吐与腹泻同时发作，心胸部位窒闷遮蔽。气滞与湿邪相互阻滞，清阳不升、浊阴不降，担心会出现内闭证候。
处方：制半夏、新会皮（陈皮）、炒竹茹、赤茯苓和白茯苓、嫩苏梗、厚朴、大腹皮、陈香薷、鲜佛手、煨木香、伏龙肝、玉枢丹。
陈（左侧脉象）：腹痛泄泻之后，继而又出现呕吐，中焦脾胃不适。脉象沉细。这是寒湿之邪内阻所致。
处方：厚朴、枳实、大腹皮、广皮（陈皮）、南楂炭、制半夏、蔻仁、赤茯苓和白茯苓、鲜佛手。
郁（左侧脉象）：带病进入考场，病邪未除尽，昨天又吃了两次饭，并吃了三个冷柿子，寒邪与食积相互阻滞，导致胸中阳气逆乱，阴阳之气一时之间挥霍变乱。先出现稀水样泄泻，随后又发生呕吐。阳气被闭郁，四肢厥冷，脉搏伏匿不出，出汗后身体不温，眼窝凹陷，声音低微。频繁口渴想喝水，中脘部不通畅，胸部剧烈疼痛。中焦阳气完全失去旋转运化的功能，有内闭外脱的危险。拟用黄连汤来调和胃中的阴阳，配合芳香化湿之法以开通闭郁。
处方：台参须一钱、甘草四分、淡干姜七分、枳实一钱、制半夏二钱、川雅连七分、川桂枝七分、焦山楂炭三钱、车前子三钱、橘皮一钱、辟瘟丹七分。
二诊：使用张仲景的黄连汤来调和胃中阴阳，配合芳香化湿以开通气机，六脉均起，四肢厥冷转为温暖，胸痛也停止，泄泻也减轻。
病情虽有转机，但湿热之邪怎能迅速清除？以致湿气化为热邪，劫灼消耗阴津。舌苔干黄，毫无津液。频繁口渴想喝水，时常伴有呃逆，小便完全无，神识昏迷沉重。情况极为危险。勉强拟定辛咸寒合方，配合芳香开窍之法。
处方：生石膏一两、滑石四钱、官桂六分、茯苓三钱、寒水石三钱、猪苓二钱、于术（白术）一钱五分、泽泻一钱五分、鲜荷梗一尺、紫雪丹六分。
姚（左侧脉象）：外感寒邪束缚肌表，里有蕴热，导致寒热相互阻滞，三焦清浊之气相干扰。呕吐与腹泻同时发作，中脘部不通畅。适宜用苦辛之法以开通三焦。但是霍乱这种时令病症，不能与寻常疾病并列讨论。
处方：制半夏二钱、厚朴一钱、淡吴茱萸三分、川雅连五分、云茯苓三钱、晚蚕砂三钱、藿香三钱、炒竹茹一钱五分、白蔻仁五分、广皮一钱、香薷一钱、太乙丹五分。
题臣：饮食停滞体内，寒热杂感，导致清浊之气相干扰，三焦闭塞。起初是上吐下泻，现在是欲吐吐不出，欲拉拉不畅，腹部板滞坚硬，按压时感到胀满疼痛，打嗝有腐败卵臭味，脉象伏匿，四肢厥冷，手指螺瘪，眼窝凹陷，清浊混淆。湿邪与食积停聚阻滞，虽然呕吐泄泻暂时稍停，但浊积更加闭塞，气道不宣通，阳气无法敷布全身。情况极其危险，勉强与显卿仁兄先生共同商议，采用苦辛开通、降泄浊积之法。即请高明人士商榷进药。
处方：川雅连用姜汁炒七分、上川朴一钱、枳实一钱五分、木香五分、橘皮一钱、淡吴茱萸七分、姜半夏二钱、白蔻仁五分、大腹皮二钱、范志曲二钱、备急丸三分用佛手汤送下。
Zhu (Left pulse): Vomiting and diarrhea occurring simultaneously. Obstruction and blockage in the Middle Jiao (Middle Burner), fear of internal closure.
Prescription: Houpu (Magnolia Bark) 1 qian, Binglang (Areca Seed) 1 qian, Zhi Banxia (Prepared Pinellia Rhizome) 2 qian, Qingpi (Green Tangerine Peel) and Chenpi (Aged Tangerine Peel) 1 qian each, Xian Foshou (Fresh Bergamot Fruit) 1.5 qian, Chuan Yalian (Coptis Rhizome stir-fried with Evodia decoction) 0.3 qian, Muxiang (Aucklandia Root) 0.5 qian, Fan Zhiqu (Medicated Leaven) 2 qian, Chi Ling (Red Poria) and Bai Ling (White Poria) 2 qian each, Dan Jiangjiang (Light Dried Ginger) 0.6 fen, Guang Huoxiang (Patchouli Herb) 3 qian, Zhishi (Immature Bitter Orange) ground and taken as a suspension 0.5 qian, Xian Shengjiang (Fresh Ginger) 2 qian, Fulonggan (Dragon's Liver Earth) 1 liang decocted to replace water, Yushu Dan (Jade Pivot Pill) one tablet, ground and mixed with Foshou and Huoxiang decoction immediately before ingestion.
Tong: Vomiting and diarrhea occurring simultaneously, chest and heart feeling stifled and blocked. Qi stagnation and dampness obstructing each other, clear and turbid qi failing to ascend and descend respectively, fear of internal closure.
Prescription: Zhi Banxia (Prepared Pinellia Rhizome), Xinhui Pi (Xinhui Tangerine Peel), Chao Zhuru (Stir-fried Bamboo Shavings), Chi Ling (Red Poria) and Bai Ling (White Poria), Nen Sugen (Tender Perilla Stem), Houpu (Magnolia Bark), Dafupi (Betel Nut Rind), Chen Xiangru (Aged Mosla Herb), Xian Foshou (Fresh Bergamot Fruit), Wei Muxiang (Baked Aucklandia Root), Fulonggan (Dragon's Liver Earth), Yushu Dan (Jade Pivot Pill).
Chen (Left pulse): After painful diarrhea, vomiting followed, discomfort in the Middle Jiao (Middle Burner). Pulse is deep and fine. This is due to internal obstruction by cold-dampness.
Prescription: Houpu (Magnolia Bark), Zhishi (Immature Bitter Orange), Dafupi (Betel Nut Rind), Guangpi (Broad-leaved Mandarin Peel), Nanzha Tan (Charred Hawthorn Fruit), Zhi Banxia (Prepared Pinellia Rhizome), Kourén (Cardamom Seed), Chi Ling (Red Poria) and Bai Ling (White Poria), Xian Foshou (Fresh Bergamot Fruit).
Yu (Left pulse): Entered the examination hall while ill, pathogenic factors not fully cleared; yesterday ate rice twice more and consumed three cold persimmons. Cold and food retention obstructing each other, causing rebellion and chaos of Yang qi in the chest, leading to sudden disorder of Yin and Yang qi. Watery diarrhea occurred first, followed by vomiting. Yang qi is closed and depressed, limbs are cold (Jue), pulse is hidden (Fu), sweating does not warm the body, eyes are sunken, voice is low. Frequent thirst with desire to drink, epigastric region blocked, severe pain in the chest. Middle Yang has lost its power to rotate and transform, with risk of internal closure and external collapse. Prescribed Huanglian Tang (Coptis Decoction) to harmonize Yin and Yang in the Stomach, combined with aromatic transformation to open the depression.
Prescription: Taishen Xu (Ginseng Radicle Tassel) 1 qian, Gancao (Licorice Root) 0.4 qian, Dan Jiangjiang (Light Dried Ginger) 0.7 fen, Zhishi (Immature Bitter Orange) 1 qian, Zhi Banxia (Prepared Pinellia Rhizome) 2 qian, Chuan Yalian (Coptis Rhizome) 0.7 fen, Chuan Guizhi (Cinnamon Twig) 0.7 fen, Jiao Zhaka Tan (Charred Hawthorn Fruit) 3 qian, Cheqianzi (Plantago Seed) 3 qian, Ju Pi (Tangerine Peel) 1 qian, Biwen Dan (Plague-averting Pill) 0.7 fen.
Second Visit: Used Zhang Zhongjing's Huanglian Tang (Coptis Decoction) to harmonize Yin and Yang in the Stomach, combined with aromatic transformation to open Qi mechanism. All six pulses rose, limb coldness turned warm, chest pain stopped, diarrhea decreased.
Although the condition shows signs of improvement, how can damp-heat be quickly resolved? Thus, dampness transforms into heat, consuming and scorching Yin fluids. Tongue coating is dry and yellow, lacking fluids entirely. Frequent thirst with desire to drink, occasional hiccups, complete absence of urination, consciousness is confused and heavy. Extremely dangerous. Tentatively prescribed a combination of pungent, salty, and cold herbs, combined with aromatic opening.
Prescription: Sheng Shigao (Raw Gypsum Fibrosum) 1 liang, Huashi (Talcum) 4 qian, Guanzi Gui (Official Cinnamon Bark) 0.6 fen, Fuling (Poria) 3 qian, Hanshuishi (Calcitum) 3 qian, Zhuling (Polyporus) 2 qian, Yuzhu (Atractylodes Macrocephala Rhizome) 1.5 qian, Zexie (Alisma Rhizome) 1.5 qian, Xian Hegeng (Fresh Lotus Stem Midrib) 1 chi, Zixue Dan (Purple Snow Pill) 0.6 fen.
Yao (Left pulse): External cold binding the interior heat, causing mutual obstruction of cold and heat, disturbing the clear and turbid qi of the Sanjiao (Triple Burner). Vomiting and diarrhea occurring simultaneously, epigastric region blocked. Suitable to use bitter-pungent methods to open the Sanjiao (Triple Burner). However, Cholera-like illness (Huoluan) during this season cannot be discussed alongside ordinary diseases.
Prescription: Zhi Banxia (Prepared Pinellia Rhizome) 2 qian, Chuan Houpu (Magnolia Bark) 1 qian, Dan Wuyu (Evodia Fruit) 0.3 qian, Chuan Yalian (Coptis Rhizome) 0.5 qian, Yun Fuling (Poria) 3 qian, Wancansha (Silkworm Frass) 3 qian, Huoxiang (Patchouli Herb) 3 qian, Chao Zhuru (Stir-fried Bamboo Shavings) 1.5 qian, Baikourén (White Cardamom Seed) 0.5 fen, Guangpi (Broad-leaved Mandarin Peel) 1 qian, Xiangru (Mosla Herb) 1 qian, Taiyi Dan (Great One Pill) 0.5 fen.
Tichen: Food retention internally, mixed sensation of cold and heat, causing interference between clear and turbid qi, blockage of the Sanjiao (Triple Burner). Initially upper vomiting and lower diarrhea, now unable to vomit out, unable to defecate smoothly, abdomen feels board-like and stagnant, full and painful upon pressure, belching smells like rotting eggs, pulse is hidden, limbs are cold, finger whorls are contracted, eyes are sunken, clear and turbid are mixed. Dampness and food retention obstructing, although vomiting and diarrhea have slightly paused, turbid accumulation is even more blocked, Qi pathways are not unobstructed, Yang qi cannot distribute. Extremely dangerous. Tentatively discussed with Brother Xianqing using bitter-pungent methods to open and unblock, descending and draining turbid accumulation. Requesting high-level experts to discuss and prescribe.
Prescription: Chuan Yalian (Coptis Rhizome stir-fried with Ginger Juice) 0.7 fen, Shang Chuan Houpu (Top-grade Magnolia Bark) 1 qian, Zhishi (Immature Bitter Orange) 1.5 qian, Muxiang (Aucklandia Root) 0.5 qian, Ju Pi (Tangerine Peel) 1 qian, Dan Wuyu (Evodia Fruit) 0.7 fen, Jiang Banxia (Ginger-processed Pinellia Rhizome) 2 qian, Baikourén (White Cardamom Seed) 0.5 fen, Dafupi (Betel Nut Rind) 2 qian, Fan Zhiqu (Medicated Leaven) 2 qian, Beijji Wan (Emergency Rescue Pill) 3 fen taken with Foshou decoction.