农人某患伤寒，数日寒热交作，自汗如雨，就予延医。脉虚神倦，视其舌苔白滑，分开
两歧
，宛如刀划，考己任编中有阴证误服凉药，舌见人字纹之语。阅前方果然，予辞不治。渠恳
拯救，先与六味回阳饮服之有效，继进左右二归饮数剂，舌苔渐退，诸恙续痊。
李某患伤寒，畏寒发热，下体如冰，脉息沉细，饮沸汤犹不知热，阴寒脉证悉具，药当
从温
无疑。然视其舌色如朱，方书云∶舌见纯红，热蓄里，与证不符，因其病初起，凭脉用药，
先与小剂理中汤探之，无碍，随用重剂六味回阳饮，数服病痊，舌色亦退。为详其故，殆
所谓肾水凌心，逼其心阳外越者欤。
郑妇年近三旬，质亏多郁，证患头痛，上及巅顶，下连齿颊，医称太阳风邪，药用羌防
芎芷，
痛剧而厥，呕吐不食，经脉动惕。予曰∶此肝风也。经云∶诸风掉眩，皆属于肝。下虚上实
为厥巅疾。究由水虚不能涵木，怒木生风，勃勃欲动，误投温散，益助其威，鼓舞鸱张，渐
变痉厥，诚可虑耳。方用地黄汤加菊花、钩藤、白芍、甘草，数服稍应。思阳但上冒，阴不
下吸，熄风务用咸寒，潜阳必须介类。方加阿胶、鸡子黄、牡蛎、龟板，取用磁石为引，使
其吸引肝肾之气归原，服之病释。
汪某中年质薄，且多斫丧，头痛时作时止，夏间诊脉弦急而枯。嘱以脉象欠佳，速宜静
养，
多服补药，切勿因循。病者以疾虽时发，然寝食如常，犹不为意。逮冬至前二日，忽目花面
赤，昏晕不支，延予至，势已败坏，且无力服参，因辞不治。逾日而逝。是病虽败于冬，而
真脏脉早见于夏，乃枝叶未害，本实先拨故也。
农人某患伤寒，数日寒热交作，自汗如雨，就予延医。脉虚神倦，视其舌苔白滑，分开两歧，宛如刀划，考己任编中有阴证误服凉药，舌见人字纹之语。阅前方果然，予辞不治。渠恳拯救，先与六味回阳饮服之有效，继进左右二归饮数剂，舌苔渐退，诸恙续痊。
李某患伤寒，畏寒发热，下体如冰，脉息沉细，饮沸汤犹不知热，阴寒脉证悉具，药当从温无疑。然视其舌色如朱，方书云∶舌见纯红，热蓄里，与证不符，因其病初起，凭脉用药，先与小剂理中汤探之，无碍，随用重剂六味回阳饮，数服病痊，舌色亦退。为详其故，殆所谓肾水凌心，逼其心阳外越者欤。
郑妇年近三旬，质亏多郁，证患头痛，上及巅顶，下连齿颊，医称太阳风邪，药用羌防芎芷，痛剧而厥，呕吐不食，经脉动惕。予曰∶此肝风也。经云∶诸风掉眩，皆属于肝。下虚上实为厥巅疾。究由水虚不能涵木，怒木生风，勃勃欲动，误投温散，益助其威，鼓舞鸱张，渐变痉厥，诚可虑耳。方用地黄汤加菊花、钩藤、白芍、甘草，数服稍应。思阳但上冒，阴不下吸，熄风务用咸寒，潜阳必须介类。方加阿胶、鸡子黄、牡蛎、龟板，取用磁石为引，使其吸引肝肾之气归原，服之病释。
汪某中年质薄，且多斫丧，头痛时作时止，夏间诊脉弦急而枯。嘱以脉象欠佳，速宜静养，多服补药，切勿因循。病者以疾虽时发，然寝食如常，犹不为意。逮冬至前二日，忽目花面赤，昏晕不支，延予至，势已败坏，且无力服参，因辞不治。逾日而逝。是病虽败于冬，而真脏脉早见于夏，乃枝叶未害，本实先拨故也。
A farmer suffered from Shanghan (Cold Damage), experiencing alternating chills and fever for several days, with spontaneous sweating profuse as rain. He sought my medical attention. His pulse was deficient, and his spirit was fatigued. Upon examining his tongue coating, it was white and slippery, split into two parts like a knife cut. Recalling the text in *Ji Ren Bian* which states that in Yin syndromes caused by mistakenly taking cooling medicines, a "Ren" character pattern appears on the tongue, I reviewed his previous prescriptions and confirmed this. I declined to treat him initially. He pleaded for rescue, so I first administered Liuwei Huiyang Yin (Six-Ingredient Decoction to Restore Yang) with effective results. Subsequently, he took Zuoyou Ergui Yin (Left and Right Two-Gui Decoctions) for several doses; the tongue coating gradually receded, and all ailments continued to recover.
Li suffered from Shanghan (Cold Damage), with aversion to cold and fever, lower body feeling like ice, pulse deep and fine. Even drinking boiling water, he felt no heat. All signs and symptoms of Yin-cold were present; the medication should undoubtedly be warming. However, observing his tongue color was vermilion red, and medical texts state: "When the tongue is purely red, heat accumulates in the interior." This contradicted the syndrome. Since the disease had just begun, I relied on the pulse to prescribe medication. First, I gave a small dose of Lizhong Tang (Regulate the Middle Decoction) as a probe; there was no adverse reaction. Then, I used a heavy dose of Liuwei Huiyang Yin (Six-Ingredient Decoction to Restore Yang). After several doses, the illness recovered, and the tongue color also faded. To explain the reason, it was likely what is referred to as Kidney Water overwhelming Heart Fire, forcing Heart Yang to escape outward.
Mrs. Zheng, nearly thirty years old, had a constitutionally deficient quality and much emotional stagnation. Her symptom was headache, extending up to the vertex and down to the teeth and cheeks. The physician diagnosed it as Taiyang Wind Evil and prescribed Qianghuo, Fangfeng, Xiongqiong, and Baizhi. The pain became severe leading to Jue (syncope/cold extremities), vomiting, inability to eat, and tremors in the meridians. I said: "This is Liver Wind." The Classics state: "All wind movements, trembling, and dizziness belong to the Liver." Lower deficiency and upper excess lead to Jue and head diseases. Ultimately, it was due to Water deficiency failing to nourish Wood, causing angry Wood to generate Wind, vigorously moving. Mistakenly administering warm dispersing herbs further aided its power, encouraging its expansion, gradually transforming into Jingjue (spasm and syncope), truly worrying. The formula used Dihuang Tang (Rehmannia Decoction) plus Juhua (Chrysanthemum), Gouteng (Uncaria), Baishao (White Peony Root), and Gancao (Licorice). After several doses, there was slight response. Considering Yang merely floats upward while Yin fails to absorb downward, extinguishing wind requires salty-cold substances, and subduing Yang must use shell/turtle substances. The formula added Ejiao (Donkey-hide Gelatin), Jizihuang (Chicken Egg Yolk), Muli (Oyster Shell), and Guiban (Tortoise Plastron), using Cishi (Magnetite) as a guide to attract Qi of Liver and Kidney back to their origin. After taking it, the illness resolved.
Wang, middle-aged, had a thin constitution and frequent depletion. His headache came and went intermittently. In summer, his pulse was string-taut, rapid, and withered. I advised that the pulse image was poor and he should rest quietly immediately, take more tonifying medicines, and not delay. The patient thought that although the illness occurred occasionally, his sleep and appetite were normal, so he did not pay attention. Before the Winter Solstice, suddenly his eyes blurred, face turned red, and he fainted and could not support himself. I was summoned, but the condition was already deteriorated, and he lacked strength to take Ginseng, so I declined to treat him. He passed away the next day. Although this illness deteriorated in winter, the Zhenzang Mai (True Organ Pulse) appeared early in summer; it was because the branches were not yet harmed, but the root was already pulled out.