曹(西山) 炎日远行，热入络动血，入冬间发，乃身心不安逸，阳亢阴虚。
方 面肿气喘，呛不止，音渐哑，周身之气降，全在乎肺。酒客久蓄之湿，湿中生热，
气必熏蒸及上，肺热为肿为喘，声音闭塞矣。按《内经》云∶湿淫于内，治以淡渗，佐以苦
温。渗则湿从下走，酒客恶甘宜苦，温以通湿，湿是阴邪耳(湿不下行，聚于中宫，化热上
蒸，熏灼肺气上逆，气机失降，见症如是。)
活水芦根 米仁 浓朴 滑石块 浙茯苓 杏仁
六味药俱降下渗湿之品。
邹(四十六岁) 辛能入肾，肾恶燥。凡辛能入血，则补辛以气走，通泄则燥伤肾阴。方
中仙灵脾泄湿，半夏远志辛燥，由阳直泄气至下，人参、五味生津，亦为邪药之锋甚所劫，
何愦愦乃尔(此案未详病形脉症，但究误治药味，想是阴虚症耳。)
人参 茯神 天冬 熟地 五味 柏子霜
猪肾捣丸。
项(二十七岁) 失血如饥腹痛，是烦劳致伤，见血投凉，希图降止。乃胃伤减食，其病
日凶。(烦劳者，必伤脾胃之阳，绝不用腻药。)
熟地炭 湖莲肉 山药 茯神 芡实 炙草
张(蠡墅，四十七岁) 两月昼热夜凉，咳嗽喘急，是中年劳碌伤气，忌酒发汗甘温益气
。
人参 炙甘草 薏苡仁 白芨
蜜水炙黄
方(三十六岁) 脉细小垂尺，身动喘急，壮年形色若巅老，此情欲下损，精血内枯，气
撒不收。(气撒不收，四个字说得极精透。)夫有形精血，药不能生，精夺奇脉已空，俗医蛮
补，何尝填精能入奇经。
人参 胡桃肉 茯苓 补骨脂
曹某（西山）在烈日下长途跋涉，热邪侵入络脉扰动血液，到了冬天发作，导致身心不安适，呈现阳气亢盛、阴液亏虚的状态。
面部肿胀且气喘，呛咳不止，声音逐渐嘶哑，全身之气的下降功能完全依赖于肺。长期饮酒者体内蓄积的湿邪，湿中生热，热气必然熏蒸向上，导致肺热引发肿胀和气喘，声音闭塞不通。根据《内经》所说：湿邪内盛，用淡味渗利之法治疗，辅以苦温之品。渗利则湿邪从下焦排出，饮酒之人厌恶甘甜而适宜苦味，温性可以通利湿邪，因为湿属于阴邪。（若湿邪不向下运行，积聚在中焦，化为热邪上蒸，熏灼肺气致其上逆，气机失去下降功能，出现上述症状。）
处方：活水芦根、薏苡仁、厚朴、滑石块、浙茯苓、杏仁。
这六味药都是具有降气下行、渗利湿邪作用的药物。
邹某（四十六岁）辛味能入肾，但肾恶燥。凡是辛味能入血分，若补益辛味以气行散，通泄太过则会损伤肾阴。方中仙灵脾用于泄湿，半夏和远志辛燥，由阳分直接泄气至下焦，人参和五味子生津，但也受到邪药猛烈攻伐的影响，为何如此昏聩糊涂？（此案例未详细记载病情、脉象和症状，只是探究误治的药物，推测是阴虚证罢了。）
处方：人参、茯神、天冬、熟地黄、五味子、柏子霜。
用猪肾捣烂制成丸药。
项某（二十七岁）失血后像饥饿一样腹痛，这是烦劳过度导致损伤，见到出血就投用凉血止血药，企图让血降止。结果导致胃气受伤、食欲减退，病情日益凶险。（烦劳必定损伤脾胃之阳，绝对不能用滋腻的药物。）
处方：熟地黄炭、湖莲肉、山药、茯神、芡实、炙甘草。
张某（蠡墅，四十七岁）两个月来白天发热夜间凉爽，咳嗽气喘急促，这是中年劳累伤及气分，忌讳使用酒、发汗药以及甘温益气之品。
处方：人参、炙甘草、薏苡仁、白芨。
用蜜水炙黄（注：此处原文可能有脱漏或特指炮制方法，依字面译为蜜水炙黄）。
方某（三十六岁）脉象细小且沉取无力，身体躁动、气喘急促，壮年人面色形态却像老人一样衰老，这是情欲过度导致下元亏损，精血在内枯竭，气散不收。（“气散不收”这四个字说得极其精辟透彻。）那有形的精血，药物难以再生，精血大夺之后奇经八脉已空，庸医蛮补，哪里能通过蛮补使精气进入奇经？
处方：人参、胡桃肉、茯苓、补骨脂。
Cao (from Xishan) traveled long distances under the scorching sun, causing heat to enter the collaterals and disturb the blood. It manifested in winter, resulting in physical and mental restlessness, with hyperactive Yang and deficient Yin.
Facial swelling accompanied by asthma, incessant choking cough, and gradually hoarse voice; the descent of Qi throughout the body relies entirely on the Lung. In chronic drinkers, dampness accumulates for a long time, generating heat within the dampness. The heat inevitably steams upward, causing Lung heat to lead to swelling and asthma, resulting in blocked voice. According to *Neijing*: "When dampness overflows internally, treat it with bland and leaching agents, assisted by bitter-warm herbs." Leaching causes dampness to flow downward; drinkers dislike sweet flavors and should prefer bitter ones; warmth promotes the circulation of dampness, as dampness is a Yin pathogen. (If dampness does not descend but gathers in the middle Jiao, transforming into heat that steams upward, scorching Lung Qi and causing rebellion, with loss of Qi descent, such symptoms appear.)
Prescription: Fresh Reed Rhizome (*Imperatae Rhizoma*), Coix Seed (*Coicis Semen*), Magnolia Bark (*Magnoliae Officinalis Cortex*), Talcum (*Talcum*), Zhejiang Poria (*Poria Cocos* with Chuanbei), Apricot Kernel (*Armeniacae Semen Amarum*).
All six herbs are substances that direct Qi downward and leach out dampness.
Zou (46 years old): Pungent flavor enters the Kidney, but the Kidney dislikes dryness. Whenever pungent flavor enters the Blood level, if pungent tonics are used to move Qi, excessive draining and purging will damage Kidney Yin. In the prescription, Epimedium (*Epimedii Folium*) drains dampness, Pinellia (*Pinelliae Rhizoma*) and Polygala (*Polygalae Radix*) are pungent and drying. From the Yang level, they directly drain Qi downward. Ginseng (*Ginseng Radix*) and Schisandra (*Schisandrae Fructus*) generate fluids, yet they are also overwhelmed by the fierce attack of pathogenic drugs. Why is one so confused? (This case lacks detailed description of disease presentation, pulse, and symptoms; it merely investigates the wrongly prescribed drugs, suggesting it was likely a Yin deficiency syndrome.)
Prescription: Ginseng (*Ginseng Radix*), Poria with Hostwood (*Poria Cocos with Hostwood*), Asparagus Tuber (*Asparagi Radix*), Prepared Rehmannia Root (*Rehmanniae Radix Praeparata*), Schisandra (*Schisandrae Fructus*), Biota Seed (*Biotae Semen*).
Pounded with pig kidney to make pills.
Xiang (27 years old): Hemorrhage followed by abdominal pain resembling hunger pangs indicates injury caused by overexertion. Upon seeing bleeding, cool-natured hemostatic drugs were administered in hopes of stopping the blood. This injured the Stomach, reduced appetite, and made the condition increasingly severe. (Overexertion must damage the Yang of the Spleen and Stomach; greasy/cloying medicines must absolutely be avoided.)
Prescription: Charred Prepared Rehmannia Root (*Rehmanniae Radix Praeparata Carbonisata*), Lotus Seed Meat (*Nelumbinis Semen*), Chinese Yam (*Dioscoreae Rhizoma*), Poria with Hostwood (*Poria Cocos with Hostwood*), Euryale Seed (*Euryales Semen*), Honey-fried Licorice (*Glycyrrhizae Radix et Rhizoma Praeparata cum Melle*).
Zhang (Lishu, 47 years old): For two months, there has been fever during the day and coolness at night, with coughing, asthma, and urgency. This is Qi injury due to mid-life laboriousness. One must avoid alcohol, diaphoretic methods, and sweet-warm Qi-tonifying strategies.
Prescription: Ginseng (*Ginseng Radix*), Honey-fried Licorice (*Glycyrrhizae Radix et Rhizoma Praeparata cum Melle*), Coix Seed (*Coicis Semen*), Bletilla Tuber (*Bletillae Rhizoma*).
Stir-fried with honey water [Yellow/Golden herb implied or specific processing method].
Fang (36 years old): Pulse is fine, small, and weak at the cunchi position (root). Body moves restlessly with asthma and urgency. A young adult appears physically aged like an elder. This is lower-jiao depletion due to excessive sexual desire, with Essence and Blood internally exhausted, and Qi scattering without retention. ("Qi scattering without retention" is expressed with extreme precision.) Formative Essence and Blood cannot be regenerated by medicine alone. When Essence is severely depleted, the奇经 (Extraordinary Vessels) are already empty. Quack doctors use brute tonification; how can such brute tonification allow Essence to enter the Extraordinary Vessels?
Prescription: Ginseng (*Ginseng Radix*), Walnut Meat (*Juglandis Semen*), Poria (*Poria Cocos*), Psoralea Fruit (*Psoraleae Fructus*).