正弱邪重。勿忽调理。
广藿香 浓朴 广皮 连皮苓 神曲 青皮 麦芽 大腹皮
疟久阳微失护。寒热不已。法宜温阴中之阳。
鹿茸 附子 当归 人参 茯苓 生姜
气热咳嗽痰血。
阴亏气燥音嘶。
玉竹 桑叶 南沙参 川贝 花粉 北梨汁
梦泄咳嗽。此少阴不纳也。
熟地 川斛 天门冬 茯神 麦芽 北沙参
阳气式微。行动气逆。
附子 北五味 胡桃仁 茯苓 沉香汁 紫石英
脉弦。胸胁痹痛引背。曾吐瘀食下拒纳。此属血格。
红花 桃仁 旋复花 橘红 生葱管 柏子仁
脉涩。失血咳嗽。妨食盗汗。渐延劳怯之途。勿忽视之。须静养为妙。
渐延干血。急急护阴。
熟地 天冬 川石斛 阿胶 茯神 鸡子黄
暑风上受。首先犯肺。执蕴不解。逆传心包。肝阳化风。盘旋舞动。神昏谵语。脉虚。急宜
辛凉。开热疏痰。俾神魂复摄，斯无变幻。为今治法，须治上焦。苦降消克。是有形有质。
非其治矣。
犀角尖（二钱） 鲜生地（一两） 甘草（五钱） 廉珠末（三分研细冲入） 焦丹皮（二钱） 连
轺（一钱五分） 赤芍（二钱） 卷心竹叶（二钱） 白灯心（五分）
煎成化服牛黄丸二分冰糖四两乌梅一钱煎汤代药
病久阴阳两伤。神迷微笑。厥逆便泄。正虚大着。若治病攻邪。头绪纷纭。何以顾其根本。
莫如养正。以冀寇解。
人参（一钱五分） 青花龙骨（五钱） 白芍药（三钱） 南枣（去核三枚） 淘净淮麦（一合） 炙
黑草（一钱）
补正厥泄并止。邪少虚多彰明矣。清火消痰理气辛开下乘方法。片瓣不得入口矣。急宜扶助
肝阴。俾得阴阳交恋。不致离二。则厥逆自止。然非可旦夕图功。希其不增别症。便是验处
细北沙参（一两） 青花龙骨（八钱） 南枣（四枚） 白芍（五钱） 炙黑甘草（一钱五分） 上清
阿胶（二钱） 淮麦（一两）
粘痰咳呕外出。邪有外达之机。神识颇清。正有渐复之势矣。但筋惕脉虚。元气实馁。扶过
秋分大节。得不变幻。方可。
大淮生地汁（五钱煎三十沸） 龙骨（五钱） 白芍（三钱） 天冬（一钱） 鲜白花百合汁（五钱
煎三十沸） 人参（一钱） 淮麦（五钱） 南枣（二枚） 上清阿胶（一钱五分） 炙黑甘草（一
将前四诊合参。颇有功成之望。然日就坦途乃佳。
人参（一钱包举大气） 天冬（一钱清滋金水） 炙黑草（五分调和解毒） 麦冬（一钱五分滋金
土） 川斛（三钱养胃口生真） 生地汁（一两捣同煎培益先天阴气）
鲜白花百合汁煎汤代水（清金降火生津化热）
夫用药如用兵。须投之必胜。非徒纪律已也。况强敌在前。未可轻战。戢民固守。则是可为
今观此症本质素亏。时邪暑湿热三气交蒸互郁。上犯清灵。都城震惊。匪朝伊芳夕矣。藏精
真气神衰惫困穷。阳津阴液。久为大伤。治惟保其胃口生真培元固本。犹恐不及。何暇再顾
其标之痰热耶。仍主前法。
人参（一钱） 阿胶（一钱五分米粉炒） 豆皮（三钱） 茯神去木（二钱） 天冬（炒松一钱）
麦冬（炒松一钱） 大生地（一两炒黑） 甜北沙参（四钱）
百合煎汤代水
神气渐复。生机 然。但受伤已久。未易收功。缓以图之。静以待之。
人参（一钱） 熟地炭（四钱） 炒松麦冬（一钱五分） 阿胶（一钱五分） 生地炭（四钱） 炒松
天冬（一钱五分）
百合汤代水
痰中微带红色。此交节气代更。浮游之虚火上升。无足怪也。治宜清上益下。
人参（一钱） 霍石斛（三钱） 生牡蛎（四钱） 绿豆壳（三钱） 麦冬（一钱五分） 白粳米（三
钱） 白芍药（三钱） 清阿胶（一钱五分） 茯神（三钱）
百合汤代水
膀胱主肾。睡熟小便自遗。足征神气衰微所致。于此可见消痰理嗽辛燥和阳。均非善治。拟
润补法中佐以交通心肾。使水升火降。向导复职。方为中的。若仅从事于脾胃。与经旨本末
有乖矣。用是力辟通套。迸弃习俗弊窦。谨按内经撰方。
人参（一钱） 阿胶（二钱） 桂元肉（三钱） 炒黑远志（甘草汤泡去心七分） 茯神（三钱） 枣
仁（一钱五分炒） 炙黑草（七分）
清补肺胃两阴
北沙参（一两） 朱砂拌麦冬（二钱） 去木茯神（三钱） 豆皮（三钱） 盐水煮石决（五分）
霍山石斛（三钱）
百合汤代水
病势大减。舍本理末可矣。盖脾为生痰之所。肺为贮痰之具。治以清肃上焦。佐以疏通中气
鲜桑叶（二钱） 北沙参（五钱） 米仁（四钱） 茯神（三钱） 橘白（一钱） 甜杏仁（去皮三钱）
冬瓜子（去壳三钱） 去壳生谷芽（五钱）
正气虚弱而邪气强盛。不可忽视调理。
广藿香、厚朴、陈皮（连皮）、茯苓（连皮）、神曲、青皮、麦芽、大腹皮。
疟疾日久，阳气微弱失去护卫。寒热症状持续不止。治法应当温补阴中之阳。
鹿茸、附子、当归、人参、茯苓、生姜。
气分有热，咳嗽伴有痰中带血。
阴液亏损，气机燥涩导致声音嘶哑。
玉竹、桑叶、南沙参、川贝母、天花粉、北梨汁。
梦遗滑精并伴有咳嗽。这是少阴肾气不摄纳的表现。
熟地黄、川石斛、天门冬、茯神、麦芽、北沙参。
阳气衰微。行动时气机上逆。
附子、北五味子、胡桃仁、茯苓、沉香汁、紫石英。
脉象弦。胸胁部痹痛牵引至背部。曾经呕吐出瘀滞的食物，现在拒绝进食。这属于血瘀格拒证。
红花、桃仁、旋覆花、橘红、生葱管、柏子仁。
脉象涩。失血并伴有咳嗽。妨碍进食且有盗汗。逐渐延宕成劳损虚怯之症。不可轻视。必须静养才好。
逐渐演变为干血劳。急需保护阴液。
熟地黄、天冬、川石斛、阿胶、茯神、鸡蛋黄。
暑风从上部受邪。首先侵犯肺脏。邪气郁结不解，逆传心包。肝阳化生内风，盘旋舞动。出现神志昏迷、胡言乱语。脉象虚弱。急需使用辛凉之法。开通热邪，疏利痰浊。使得神魂得以恢复收敛，这样就不会发生变幻莫测的病情。目前的治法，必须治疗上焦。苦降消导克伐的方法，是针对有形实邪的。不是这种治法。
犀角尖（二钱）、鲜生地（一两）、甘草（五钱）、珍珠末（三分研细冲服）、焦丹皮（二钱）、连翘心（一钱五分）、赤芍（二钱）、卷心竹叶（二钱）、白灯心草（五分）。
煎好后化服牛黄丸二分，冰糖四两，乌梅一钱，煎汤代替药物。
病程长久，阴阳两伤。神志迷蒙且面带微笑。四肢厥冷，大便泄泻。正气极度虚弱。如果此时治病攻邪，头绪纷繁复杂。如何能顾护根本？
不如扶助正气，以期望病邪解除。
人参（一钱五分）、青花龙骨（五钱）、白芍药（三钱）、南枣（去核三枚）、淘净淮小麦（一合）、炙黑甘草（一钱）。
补益正气后，厥逆和泄泻同时停止。邪气减少、正气虚弱的情况已经明显了。清热化痰理气、辛开下乘的方法，一点也不能入口了。急需扶助肝阴。使得阴阳相互交恋。不至于分离决绝。那么厥逆自然停止。然而这不是朝夕之间可以见效的。希望不再增加其他病症，就是验证之处。
细北沙参（一两）、青花龙骨（八钱）、南枣（四枚）、白芍（五钱）、炙黑甘草（一钱五分）、上清阿胶（二钱）、淮小麦（一两）。
粘稠的痰液咳呕而出。邪气有了外达的契机。神识颇为清醒。正气有逐渐恢复的趋势了。但是筋脉跳动、脉象虚弱。元气确实亏馁。如果能扶持过秋分这个大节气。能够不发生病情变幻。才可以。
大淮生地汁（五钱，煎煮三十沸）、龙骨（五钱）、白芍（三钱）、天冬（一钱）、鲜白花百合汁（五钱，煎煮三十沸）、人参（一钱）、淮小麦（五钱）、南枣（二枚）、上清阿胶（一钱五分）、炙黑甘草（一钱）。
将前四次诊察综合参考。颇有成功的希望。然而每天趋向平坦大道才是好的。
人参（一钱，托举大气）、天冬（一钱，清滋金水）、炙黑甘草（五分，调和解毒）、麦冬（一钱五分，滋养金土）、川石斛（三钱，养胃口生真）、生地汁（一两，捣碎同煎培益先天阴气）。
鲜白花百合汁煎汤代替水（清金降火生津化热）。
用药如同用兵。必须投药必胜。不仅仅是纪律严明而已。况且强敌在前。不可以轻易交战。收敛民心固守阵地。这才是可以做到的。
如今看这个病症本质素来亏虚。时令邪气暑湿热三气交蒸互郁。向上侵犯清灵之地。都城（指心或头部）震惊。不久就要危殆了。藏精的真气神衰惫困穷。阳津阴液。长久以来被严重损伤。治疗只有保住胃口、生发真气、培元固本。还担心来不及。哪里还有闲暇再顾及它的标症痰热呢。仍然主张前面的方法。
人参（一钱）、阿胶（一钱五分，米粉炒）、豆皮（三钱）、茯神去木心（二钱）、天冬（炒松一钱）、麦冬（炒松一钱）、大生地（一两，炒黑）、甜北沙参（四钱）。
百合煎汤代替水。
神气逐渐恢复。生机...（原文此处可能有缺字，意为生机显现）。但是受伤已久。不容易收功。缓慢地谋划它。安静地等待它。
人参（一钱）、熟地炭（四钱）、炒松麦冬（一钱五分）、阿胶（一钱五分）、生地炭（四钱）、炒松天冬（一钱五分）。
百合汤代替水。
痰中微微带有红色。这是因为交接节气更替。浮游的虚火上升。没有什么可奇怪的。治法应当清上益下。
人参（一钱）、霍石斛（三钱）、生牡蛎（四钱）、绿豆壳（三钱）、麦冬（一钱五分）、白粳米（三钱）、白芍药（三钱）、清阿胶（一钱五分）、茯神（三钱）。
百合汤代替水。
膀胱主司肾脏功能。睡熟时小便自行遗出。足以证明是神气衰微所致。从这里可以看出，消痰理嗽、辛燥和阳的方法，都不是善治。拟用润补法中佐以交通心肾。使水升火降。向导职能恢复。这才是击中要害。如果仅仅从事于脾胃。与经旨的本末关系就有违背了。因此极力破除通套。摒弃习俗弊病。谨按《内经》撰写方剂。
人参（一钱）、阿胶（二钱）、桂圆肉（三钱）、炒黑远志（甘草汤泡去心七分）、茯神（三钱）、枣仁（一钱五分，炒）、炙黑甘草（七分）。
清补肺胃两阴。
北沙参（一两）、朱砂拌麦冬（二钱）、去木茯神（三钱）、豆皮（三钱）、盐水煮石决明（五分）、霍山石斛（三钱）。
百合汤代替水。
病势大大减轻。可以舍本治末了。因为脾是生痰的地方。肺是贮痰的器具。治疗以清肃上焦为主。佐以疏通中气。
鲜桑叶（二钱）、北沙参（五钱）、米仁（四钱）、茯神（三钱）、橘白（一钱）、甜杏仁（去皮三钱）、冬瓜子（去壳三钱）、去壳生谷芽（五钱）。
Zheng (Righteous Qi) is weak and Xie (Evil Pathogen) is heavy. Do not neglect regulation and treatment.
Patchouli Herb, Magnolia Bark, Tangerine Peel, Poria with Skin, Medicated Leaven, Green Tangerine Peel, Malt, Greater Burdock Fruit Peel.
Malaria has lasted for a long time, Yang Qi is weak and lacks protection. Chills and fever persist. The method should be to warm the Yang within Yin.
Deer Antler, Aconite Root, Angelica Sinensis, Ginseng, Poria, Fresh Ginger.
Qi heat causes coughing with blood in sputum.
Yin deficiency and Qi dryness lead to hoarseness.
Polygonatum Rhizome, Mulberry Leaf, Southern Schisandra Fruit, Fritillaria Bulb, Trichosanthes Root, Northern Pear Juice.
Nocturnal emission and coughing. This is Shaoyin (Lesser Yin) failing to grasp Qi.
Prepared Rehmannia Root, Sichuan Dendrobium Stem, Asparagus Fern Stem, Poria Spirit, Malt, Northern Glehnia Root.
Yang Qi is declining. Movement leads to rebellious Qi.
Aconite Root, Northern Schisandra Fruit, Walnut Kernel, Poria, Ambergris Juice, Purple Quartz.
Pulse is wiry. Bi pain in the chest and hypochondrium radiates to the back. Previously vomited stagnant food, now refuses to eat. This belongs to Blood Stasis Obstruction syndrome.
Safflower, Peach Kernel, Inula Flower, Tangerine Peel, Raw Scallion Tube, Biota Seed.
Pulse is choppy. Hemorrhage with coughing. Impedes eating and night sweats. Gradually extending into the path of consumptive weakness. Do not ignore it. Quiet rest is essential.
Gradually evolving into Dry Blood consumption. Urgently protect Yin.
Prepared Rehmannia Root, Asparagus Fern Stem, Sichuan Dendrobium Stem, Donkey-hide Gelatin, Poria Spirit, Egg Yolk.
Summer Wind attacks from above. First invading the Lung. Stagnation persists unresolved, reversely transmitting to the Pericardium. Liver Yang transforms into Wind, swirling and dancing. Divine consciousness is confused with delirious speech. Pulse is deficient. Urgently use Acrid-Cool methods. Open heat and disperse phlegm. So that the Spirit may resume its control, thus avoiding unpredictable changes. For current treatment, one must treat the Upper Jiao. Bitter descending and reducing methods are for tangible pathogens. That is not the correct treatment here.
Rhinoceros Horn Tip (2 qian), Fresh Rehmannia Root (1 liang), Licorice Root (5 qian), Pearl Powder (3 fen, finely ground and taken with decoction), Scorched Moutan Cortex (2 qian), Forsythia Heart (1.5 qian), Red Peony Root (2 qian), Bamboo Leaf Heart (2 qian), White Rush Pith (0.5 qian).
After decoction, dissolve and take 2 fen of Cow Bezoar Pill, 4 liang of Rock Sugar, 1 qian of Dark Plum, decocted as medicine substitute.
The disease has lasted long, injuring both Yin and Yang. Divine consciousness is confused with a faint smile. Cold extremities and diarrhea. Righteous Qi deficiency is severe. If treating the disease by attacking the pathogen, matters will be complicated. How can one care for the root?
It is better to nourish Righteous Qi, hoping for the resolution of the pathogen.
Ginseng (1.5 qian), Blue-flower Dragon Bone (5 qian), White Peony Root (3 qian), Southern Jujube (pitted, 3 pieces), Washed Huai Wheat (1 he), Roasted Black Licorice Root (1 qian).
Nourishing Righteous Qi stops both cold extremities and diarrhea. It is evident that the pathogen is less and deficiency is more. Methods of clearing fire, eliminating phlegm, regulating Qi, acrid opening, and descending are no longer suitable for intake. Urgently assist Liver Yin. So that Yin and Yang may interlock. Preventing separation. Then cold extremities will stop naturally. However, this cannot be achieved overnight. Hoping for no new symptoms to arise is the verification.
Fine Northern Glehnia Root (1 liang), Blue-flower Dragon Bone (8 qian), Southern Jujube (4 pieces), White Peony (5 qian), Roasted Black Licorice Root (1.5 qian), Top-grade Clear Donkey-hide Gelatin (2 qian), Huai Wheat (1 liang).
Sticky sputum is coughed and vomited out. The pathogen has an opportunity to exit externally. Divine consciousness is quite clear. Righteous Qi shows signs of gradual recovery. But tendon twitching and deficient pulse indicate that Yuan Qi is truly depleted. If supported through the Autumn Equinox major solar term. Without unpredictable changes occurring. Then it can be considered successful.
Large Huai Shengdi Juice (5 qian, boiled for 30 boils), Dragon Bone (5 qian), White Peony (3 qian), Asparagus Fern Stem (1 qian), Fresh White Lily Juice (5 qian, boiled for 30 boils), Ginseng (1 qian), Huai Wheat (5 qian), Southern Jujube (2 pieces), Top-grade Clear Donkey-hide Gelatin (1.5 qian), Roasted Black Licorice Root (1 qian).
Synthesizing the previous four diagnoses, there is hope for success. However, progressing steadily day by day is ideal.
Ginseng (1 qian, lifts Grand Qi), Asparagus Fern Stem (1 qian, clears and nourishes Metal and Water), Roasted Black Licorice Root (0.5 fen, harmonizes and detoxifies), Ophiopogon Tuber (1.5 qian, nourishes Metal and Earth), Sichuan Dendrobium Stem (3 qian, nourishes stomach mouth and generates True Qi), Shengdi Juice (1 liang, crushed and decocted together to cultivate innate Yin Qi).
Fresh White Lily Juice decocted as water substitute (clears Metal, descends fire, generates fluids, resolves heat).
Using medicine is like using troops. One must ensure victory upon deployment. It is not just about discipline. Moreover, strong enemies are ahead. One cannot engage lightly. Restrain the people and defend firmly. This is what can be done.
Observing this case, the constitution is inherently deficient. Seasonal pathogens Summer Heat, Dampness, and Heat interact and stagnate. Attacking upwards the clear and spiritual regions. The capital (Heart/Head) is shocked. Danger looms soon. The essence-storing True Qi is exhausted and weary. Yang fluids and Yin liquids have been severely damaged for a long time. Treatment must only preserve the stomach's appetite, generate True Qi, cultivate the origin, and consolidate the root. Even then, fearing it may not be enough. How can one spare attention for the branch symptoms of Phlegm-Heat? Still adhering to the previous method.
Ginseng (1 qian), Donkey-hide Gelatin (1.5 qian, fried with rice flour), Bean Skin (3 qian), Poria without wood core (2 qian), Asparagus Fern Stem (roasted loose, 1 qian), Ophiopogon Tuber (roasted loose, 1 qian), Large Shengdi (1 liang, roasted black), Sweet Northern Glehnia Root (4 qian).
Lily decocted as water substitute.
Divine energy gradually recovers. Vitality... (text missing/implied: emerges). But injured for a long time, difficult to conclude quickly. Plan slowly. Wait quietly.
Ginseng (1 qian), Prepared Rehmannia Charcoal (4 qian), Roasted Loose Ophiopogon Tuber (1.5 qian), Donkey-hide Gelatin (1.5 qian), Shengdi Charcoal (4 qian), Roasted Loose Asparagus Fern Stem (1.5 qian).
Lily soup as water substitute.
Sputum slightly tinged with red. This is due to the change of solar terms. Floating empty fire rises. Nothing strange. Treatment should clear the upper and benefit the lower.
Ginseng (1 qian), Huo Dendrobium (3 qian), Raw Oyster Shell (4 qian), Mung Bean Husk (3 qian), Ophiopogon Tuber (1.5 qian), White Japonica Rice (3 qian), White Peony Root (3 qian), Clear Donkey-hide Gelatin (1.5 qian), Poria Spirit (3 qian).
Lily soup as water substitute.
The Bladder governs the Kidney. Urinary incontinence during sleep. Sufficient evidence that this is caused by divine energy decline. From this, we see that eliminating phlegm, regulating cough, acrid-warming, and harmonizing Yang are not good treatments. Proposing moistening tonification assisted by communicating Heart and Kidney. Making Water ascend and Fire descend. Restoring the guiding function. This hits the target. If focusing only on Spleen and Stomach. It contradicts the principles of the Classics. Therefore, vigorously breaking away from routine. Discarding customary faults. Carefully composing formulas according to the Neijing.
Ginseng (1 qian), Donkey-hide Gelatin (2 qian), Longan Aril (3 qian), Roasted Black Polygala Root (soaked in Licorice decoction, heart removed, 0.7 fen), Poria Spirit (3 qian), Ziziphus Seed (1.5 qian, roasted), Roasted Black Licorice Root (0.7 fen).
Clear and tonify Lung and Stomach Yin.
Northern Glehnia Root (1 liang), Cinnabar-coated Ophiopogon Tuber (2 qian), Poria without wood core (3 qian), Bean Skin (3 qian), Salt-water boiled Halitite (0.5 fen), Huoshan Dendrobium (3 qian).
Lily soup as water substitute.
Disease trend greatly reduced. One can abandon the root and treat the branch. Because the Spleen is the source of phlegm production. The Lung is the container of phlegm storage. Treatment focuses on clearing and purifying the Upper Jiao. Assisted by unblocking Middle Qi.
Fresh Mulberry Leaf (2 qian), Northern Glehnia Root (5 qian), Coix Seed (4 qian), Poria Spirit (3 qian), Tangerine Albedo (1 qian), Sweet Apricot Kernel (peeled, 3 qian), Winter Melon Seed (shelled, 3 qian), Shelled Raw Barnyard Grass Sprout (5 qian).