堂妹适邻村许姓，夏日浴罢，忽头晕仆地，家人扶起，旋即发热，夜间热盛。烦渴呕吐
，谵
妄不安，手指掣动，医药无效。予诊脉息弦数，视舌尖绛苔黄，谓其翁曰∶病由暑风相搏，
邪热燔炽，亟宜清解，以杜痉厥之患。方用川连、香薷、甘草、半夏、茯苓、钩藤、防风、
青蒿、羚羊角、荷叶、扁荚叶。服药两剂，热缓神清，呕渴亦止。方内除川连、香薷、钩藤
、防风、半夏，加沙参麦冬石斛稻露，又服两日，证减七八，再除青蒿、羚羊角、荷叶、扁
荚叶，加玉竹、生扁豆、女贞子、当归、白芍，调养而愈。
炳兄女在室，年已及笄，性躁多郁，初春曾患吐血，夏间陡然发厥，厥回呕吐不止，汗
冷肢
麻，言微气短，胸膈胀闷，脉息细涩，状似虚象。医投补剂益剧。予诊之曰∶此郁病也。经
云∶大怒则形气绝，而血菀于上，使人薄厥。又云∶血之与气，并走于上，乃为大厥。议与
越鞠丸加郁金、枳壳、茯苓、陈皮、半夏。兄曰∶女病卧床数日，粒米不入，脉细言微，恐
其虚脱。奈何?予曰∶根据吾用药则生，否则难救。盖此脉乃郁而不流，非真细弱，欲言而讷
，乃气机阻闭故也。观其以手频捶胸臆，全属中焦郁而不舒。且叫喊声彻户外，岂脱证所有
耶。请速备药，吾守此，勿迟疑也。取药煎服。少顷，膈间漉漉有声，嗳气数口，胸次略宽
，再服呕止，寝食俱安。转用八味逍遥散，除白术加香附、郁金、陈皮，病愈血证亦泯。
堂妹嫁到邻村许家，夏天洗完澡后，突然头晕倒地，家人扶起后，随即发热，夜间热势加重。出现心烦口渴、呕吐、胡言乱语、烦躁不安、手指抽搐等症状，用药无效。我诊察其脉象弦而数，观察舌尖红绛、舌苔黄，对其公公说：此病由暑邪与风邪相搏结，邪热炽盛，急需清热解表，以防止发生痉厥（痉挛抽搐或昏厥）的祸患。方剂选用黄连、香薷、甘草、半夏、茯苓、钩藤、防风、青蒿、羚羊角、荷叶、扁豆叶。服用两剂药后，热势减退，神志清醒，呕吐和口渴也停止了。在原方中除去黄连、香薷、钩藤、防风、半夏，加入沙参、麦冬、石斛、稻米露，又服用两天，症状减轻七八成。再除去青蒿、羚羊角、荷叶、扁豆叶，加入玉竹、生扁豆、女贞子、当归、白芍，经过调养而痊愈。
炳兄的女儿尚未出嫁，年纪刚满十五岁，性格急躁多郁，初春曾患吐血症，夏天突然发生昏厥，苏醒后呕吐不止，冷汗出、四肢麻木，说话声音微弱、气短，胸膈部胀闷，脉象细涩，症状看似虚证。医生投用补益药剂反而病情加剧。我诊察后说：这是郁病。《内经》说：大怒导致形体之气断绝，血液郁积于上部，使人发生薄厥（因怒致气血上逆之厥）。又说：血与气并走于上部，就会发生大厥。建议给予越鞠丸加郁金、枳壳、茯苓、陈皮、半夏。她哥哥说：女儿卧床数日，一粒米都吃不下，脉象细弱、声音微弱，恐怕是虚脱了。怎么办？我说：按照我的用药方法就能活，否则难以救治。因为这种脉象是气机郁滞而不流通，并非真正的细弱无力；想说话却口齿不清，是因为气机阻滞闭塞的缘故。看她频繁用手捶打胸部，完全属于中焦气机郁滞而不舒展。而且叫声穿透户外，哪里像是虚脱证所应有的表现呢？请迅速备药，我守在这里，不要迟疑。取药煎服。不久，胸膈间发出漉漉的水声，打了几个嗝，胸部稍微宽畅，再服药后呕吐停止，睡眠和饮食都恢复正常。转而使用八味逍遥散，去掉白术，加入香附、郁金、陈皮，病愈，出血症状也消失了。
The author's cousin married into the Xu family in a neighboring village. After bathing in summer, she suddenly felt dizzy and collapsed. When her family helped her up, she immediately developed fever, which intensified at night. She experienced irritability, thirst, vomiting, delirium, restlessness, and twitching of the fingers; medical treatment was ineffective. Upon examination, her pulse was wiry and rapid, her tongue tip was crimson with a yellow coating. I told her father-in-law: "This illness is caused by the interaction of Summerheat (Shu) and Wind pathogens, with fierce pathogenic heat. It is urgent to clear heat and resolve the exterior to prevent complications such as spasms or syncope (Jing Jue). The prescription used Coptis Rhizoma (Chuanlian), Moslae Herba (Xiangru), Glycyrrhizae Radix et Rhizoma (Gancao), Pinelliae Tuber (Banxia), Poria (Fuling), Uncaria Ramulus cum Uncis (Gouteng), Saposhnikoviae Radix (Fangfeng), Artemisiae Annuae Herba (Qinghao), Cornu Saigae Tataricae (Lingyangjiao), Nelumbinis Folium (Heye), and Dolichoris Lablabis Folium (Bianjianye). After two doses, the fever subsided, consciousness cleared, and vomiting and thirst ceased. From the formula, Coptis Rhizoma, Moslae Herba, Uncaria Ramulus cum Uncis, Saposhnikoviae Radix, and Pinelliae Tuber were removed; Adenophorae Radix (Shashen), Ophiopogonis Tuber (Maidong), Dendrobii Caulis (Shihu), and Rice Dew (Daolu) were added. After another two days, symptoms decreased by 70-80%. Then, Artemisiae Annuae Herba, Cornu Saigae Tataricae, Nelumbinis Folium, and Dolichoris Lablabis Folium were removed; Polygonati Odorati Rhizoma (Yuzhu), Dolichos Lablabis Semen (Sheng Bian Dou), Ligustri Lucidi Fructus (Nvzhenzi), Angelicae Sinensis Radix (Danggui), and Paeoniae Radix Alba (Baishao) were added. She recovered after recuperation.
The daughter of my brother Bingbing, who was unmarried and had just reached the age of fifteen (Ji Ji), had an irritable and depressed temperament. In early spring, she suffered from hematemesis. In summer, she suddenly fainted. After regaining consciousness, she vomited incessantly, had cold sweats and numbness in the limbs, spoke weakly with shortness of breath, and felt distension and oppression in the chest and diaphragm. Her pulse was fine and choppy, and her condition appeared deficient. The physician administered tonifying agents, which exacerbated the condition. I examined her and said: "This is a Qi Stagnation disease." The Classic says: "Great anger causes the form and Qi to sever, and blood stagnates above, causing Bo Jue (syncope due to Qi and Blood rushing upward)." It also says: "When Blood and Qi rush together to the upper part, it results in Da Jue (severe syncope)." I proposed treating her with Yueju Pill (Cross-Tie Pill) augmented with Curcuma Aromatica Rhizome (Yujin), Aurantii Fructus (Zhike), Poria, Citri Reticulatae Pericarpium (Chenpi), and Pinelliae Tuber. Her brother said: "My daughter has been bedridden for several days, unable to eat a single grain of rice. Her pulse is fine and her voice is weak; I fear she is suffering from deficiency collapse (Xu Tuo). What should we do?" I replied: "If you follow my medication, she will live; otherwise, rescue will be difficult. This pulse indicates Qi stagnation and lack of flow, not true deficiency and weakness. Her hesitation in speech is due to the obstruction of Qi mechanism. Observing her frequently pounding her chest, it is entirely due to middle Jiao Qi stagnation and discomfort. Moreover, her shouting penetrates outside; how could this be a sign of collapse? Please prepare the medicine quickly. I will stay here; do not hesitate." The medicine was taken and decocted. Shortly after, gurgling sounds were heard in the diaphragm, followed by several belches, and the chest felt slightly relieved. After the next dose, vomiting stopped, and sleep and appetite returned to normal. The treatment was then switched to Bawei Xiaoyao San (Eight-Ingredient Powder for Soothing the Liver), removing Atractylodis Macrocephalae Rhizoma (Baizhu) and adding Cyperi Rhizoma (Xiangfu), Curcuma Aromatica Rhizome, and Citri Reticulatae Pericarpium. The illness was cured, and the bleeding disorder also disappeared.