叔 深秋吸受秽邪，呕吐不已。先服藿香正气散，入口即吐，身热足厥，面黑眶陷，或进导痰温胃饮，
呕恶不纳。诊之脉虚少神，予谓此中宫虚极也。速用潞参、山药、茯苓、炙草、白术、橘白、苏子、莲子、红
枣、煨姜、粳米煎。稍稍与服，竟不吐，思食粥矣。后加减数味，调理而康。
李妪 由腰痛续得寒热呕吐，汗出畏冷，寸关脉伏，两尺动数。思高年水谷不入，呕多胃气先伤，况寸
关脉不见，阳气已虚，足必时厥，宜其汗出而畏冷也。自述胫寒至膝，乃用煨姜汁热服，呕定。即与粥汤，右
脉略起，因与吴茱萸汤，脉症悉平。
族某 胸痛食减吐酸，由肝逆浊泛。用吴茱萸、浓朴、枳壳、青皮、半夏、茯苓为末。空心日再服，
金橘皮泡汤下。效。
夏氏 两寸洪大，两关弦滑，呕逆耳鸣，口干头晕，白带连绵，症属肝胃不和。吴萸（黄连汁炒）。生
白芍、山栀、半夏（青盐炒）、茯苓、苏子、枳壳、蒌霜。三服症平。
李 脉洪大搏指，口干频咳，食后吐水，头目震弦而心悸。此劳
力伤阳，阳化内风，上冒清道，风翔则水涌，胃虚则木乘，故呕眩不已，其水停膈间，心必悸，津不上潮，
口必干，气不下降，便乃秘。治先和阳降逆，山栀、甘菊（炒）、冬桑叶、茯苓、杏仁、苏子（俱炒研）、
牡蛎（ ）、海浮石、淡竹茹、前胡。三服症平，脉较敛，其神倦者，火风逆势已折也。减甘菊、桑叶，
加白芍、茯神、栝蒌、半夏、潞参，和肝胃以清涤痰火，遂愈。
族女 情志怫悒，头眩颊赤，夏初食入即吐，脉虚小，经期错乱。由肝胆火风侮胃，不及传变，倾翻甚速，
且胃虚作呃，木气乘土，久则冲脉失涵，络伤内溢，以冲为血海，隶在阳明也。先宜苦以降逆，山栀、羚羊角、
竹茹、旋复花、半夏曲、柿霜。三四服眩吐止。去羚羊角、半夏曲，加阿胶（另化冲）、丹皮、白芍、茯苓、
甘草，调养肝胃而经期顺。
【案例一】
一位叔辈患者，深秋时节吸入秽浊邪气，导致呕吐不止。起初服用藿香正气散（Huo Xiang Zheng Qi San, Patchouli and Magnolia Decoction），但药液入口即吐；随后出现身体发热、双脚厥冷、面色发黑、眼眶凹陷等症状。之后又尝试服用导痰温胃饮（Dao Tan Wen Wei Yin, Phlegm-Draining and Stomach-Warming Decoction），依然呕吐恶心，无法进食。诊察发现其脉象虚弱且缺乏神气，我认为这是中焦脾胃极度虚弱的表现。于是迅速使用潞党参（Codonopsis Radix）、山药（Dioscoreae Rhizoma）、茯苓（Poria）、炙甘草（Glycyrrhizae Radix et Rhizoma Preparatum with Honey）、白术（Atractylodis Macrocephalae Rhizoma）、橘白（Citri Reticulatae Pericarpium Album）、苏子（Perillae Fructus）、莲子（Nelumbinis Semen）、红枣（Ziziphi Jujubae Fructus）、煨姜（Zingiberis Rhizoma Preparatum）和粳米（Oryza Sativa Germen）煎煮汤剂。让患者少量多次服用，竟然不再呕吐，并开始想吃粥了。后续根据病情加减了几味药，经过调理后康复。
【案例二】
一位李姓老妇人，因腰痛继而出现寒热往来、呕吐，伴有出汗、怕冷症状。诊得寸口和关部脉象伏匿不见，两尺部脉动数。考虑到她年事已高，水谷不能入腹，呕吐过多导致胃气先伤，加之寸关脉象消失，说明阳气已经虚弱，双脚必然时常厥冷，这也解释了为何她会出汗且怕冷。她自述小腿寒冷直至膝盖。于是用煨姜汁加热后送服药物，呕吐得以平息。随即给予米汤，右脉略微回升，因此给予吴茱萸汤（Wu Zhu Yu Tang, Evodia Decoction），脉象和症状全部平复。
【案例三】
同族某位患者，胸痛、食欲减退、吐酸水，这是由于肝气逆乱、浊阴上泛所致。使用吴茱萸（Evodiae Fructus）、厚朴（Magnoliae Officinalis Cortex）、枳壳（Aurantii Fructus）、青皮（Citri Reticulatae Pericarpium）、半夏（Pinelliae Rhizoma）、茯苓（Poria）研成粉末。空腹时每日服用两次，用金橘皮泡的水送服。疗效显著。
【案例四】
夏氏患者，两手寸部脉象洪大，两手关部脉象弦滑，出现呕逆、耳鸣、口干、头晕，白带连绵不断，病症属于肝胃不和。处方：吴茱萸（用黄连汁炒制）、生白芍（Paeoniae Radix Alba）、山栀（Gardeniae Fructus）、半夏（用青盐炒制）、茯苓（Poria）、苏子（Perillae Fructus）、枳壳（Aurantii Fructus）、瓜蒌霜（Benincasae Exocarpium）。服用三剂后症状平复。
【案例五】
李某，脉象洪大搏指，口干频繁咳嗽，饭后吐清水，头部感觉震动眩晕且心悸。这是因为劳累损伤阳气，阳气化生内风，向上冲犯清窍；风动则水涌，胃虚则肝木乘袭，所以呕吐眩晕不止。由于水饮停滞在膈间，心必悸动；津液不能上潮，故口必干；气不下降，大便因而秘结。治疗先以调和阳气、降逆为主，处方：山栀（Gardeniae Fructus）、甘菊（Chrysanthemi Flos，炒制）、冬桑叶（Mori Folium）、茯苓（Poria）、杏仁（Armeniacae Semium Amarum）、苏子（Perillae Fructus，均炒研）、牡蛎（Ostreae Concha）、海浮石（Spongia）、淡竹茹（Bambusae Caulis in Taeniam）、前胡（Peucedani Radix）。服用三剂后症状平复，脉象较为收敛，精神疲倦是因为火风逆势已被遏制。减去甘菊、桑叶，加入白芍（Paeoniae Radix Alba）、茯神（Poria cum Radice）、栝蒌（Trichosanthis Fructus）、半夏（Pinelliae Rhizoma）、潞党参（Codonopsis Radix），以调和肝胃、清涤痰火，最终痊愈。
【案例六】
同族女子，情志抑郁，头晕、脸颊发红，夏初时节食入即吐，脉象虚小，月经周期紊乱。这是由于肝胆火风侵犯胃部，病势来不及传变，倾覆速度极快，且因胃虚而打嗝，木气乘袭土气，日久则冲脉失去涵养，络脉受损内溢出血，因为冲脉为血海，隶属于阳明经。先用苦味药物以降逆，处方：山栀（Gardeniae Fructus）、羚羊角（Saigae Tataricae Cornu）、竹茹（Bambusae Caulis in Taeniam）、旋复花（Inulae Flos）、半夏曲（Pinelliae Rhizoma Preparate）、柿霜（Diospyros Fructus Crusta）。服用三四剂后眩晕和呕吐停止。去掉羚羊角、半夏曲，加入阿胶（Asini Corii Colla，另炖融化冲服）、丹皮（Moutan Cortex）、白芍（Paeoniae Radix Alba）、茯苓（Poria）、甘草（Glycyrrhizae Radix et Rhizoma），调养肝胃，月经随之恢复正常。
[Case 1]
An uncle-type patient, having inhaled turbid pathogenic factors in late autumn, suffered from incessant vomiting. Initially, Huo Xiang Zheng Qi San (Patchouli and Magnolia Decoction) was administered, but the medicine was vomited immediately upon ingestion. Subsequently, fever, coldness of the feet, dark complexion, and sunken eye sockets appeared. Later, Dao Tan Wen Wei Yin (Phlegm-Draining and Stomach-Warming Decoction) was tried, yet nausea and vomiting persisted, preventing food intake. The pulse was found to be weak and lacking spirit. It was concluded that this indicated extreme deficiency of the Middle Jiao (Spleen and Stomach). A decoction was rapidly prepared using Codonopsis Radix (Luparen), Dioscoreae Rhizoma (Shanyao), Poria (Fuling), Glycyrrhizae Radix et Rhizoma Preparatum with Honey (Zhigancao), Atractylodis Macrocephalae Rhizoma (Baizhu), Citri Reticulatae Pericarpium Album (Jubai), Perillae Fructus (Suzi), Nelumbinis Semen (Lianzi), Ziziphi Jujubae Fructus (Hongzao), Zingiberis Rhizoma Preparatum (Weijiang), and Oryza Sativa Germen (Jingmi). The patient was given small amounts frequently. Remarkably, vomiting ceased, and the desire for porridge emerged. After adjusting a few herbs in subsequent prescriptions, the patient recovered through regulation.
[Case 2]
An elderly woman surnamed Li developed alternating chills and fever followed by vomiting due to lower back pain. She exhibited sweating and aversion to cold. The pulses at the Cun (inch) and Guan (bar) positions were hidden/faint, while the Chi (cubit) positions were rapid and active. Considering her advanced age, inability to retain food and fluids, excessive vomiting damaging stomach qi first, and the absence of Cun and Guan pulses indicating deficient yang, it was deduced that her feet would likely be cold at times, explaining the sweating and aversion to cold. She reported coldness extending from her calves to her knees. Therefore, Zingiberis Rhizoma Preparatum juice was administered hot, which stopped the vomiting. Immediately after, rice soup was given, causing the right pulse to slightly rise. Consequently, Wu Zhu Yu Tang (Evodia Decoction) was prescribed, resulting in the normalization of both pulse and symptoms.
[Case 3]
A male relative presented with chest pain, reduced appetite, and regurgitation of acid, caused by rebellious Liver qi and flooding of turbid yin. A powder was made from Evodiae Fructus (Wuzhuyu), Magnoliae Officinalis Cortex (Houpo), Aurantii Fructus (Zhiqiao), Citri Reticulatae Pericarpium (Qingpi), Pinelliae Rhizoma (Banxia), and Poria (Fuling). This was taken twice daily on an empty stomach, washed down with water infused with Citrus reticulata peel (Jinju pi). The treatment was effective.
[Case 4]
Patient Xia presented with surging pulses at both Cun positions and wiry-slippery pulses at both Guan positions. Symptoms included rebellious vomiting, tinnitus, dry mouth, dizziness, and continuous leukorrhea. The pattern was identified as Disharmony between Liver and Stomach. The prescription consisted of Evodiae Fructus (stir-fried with Coptidis Rhizoma juice), raw Paeoniae Radix Alba (Baishao), Gardeniae Fructus (Shanzhi), Pinelliae Rhizoma (stir-fried with green salt), Poria (Fuling), Perillae Fructus (Suzi), Aurantii Fructus (Zhiqiao), and Benincasae Exocarpium (Gualu shuang). After three doses, symptoms subsided.
[Case 5]
Patient Li presented with a surging pulse that beat against the finger, dry mouth, frequent coughing, vomiting of clear fluid after meals, head tremors/dizziness, and palpitations. This was attributed to labor injuring yang; yang transformation generated internal wind, which rushed upward to cloud the clear orifices. Wind movement caused water surging; stomach deficiency allowed Liver wood to overact, leading to incessant vomiting and dizziness. Water retention in the diaphragm caused palpitations; lack of fluid ascent caused dry mouth; failure of qi to descend led to constipation. Treatment initially focused on harmonizing yang and descending rebellion. The formula included Gardeniae Fructus (Shanzhi), Chrysanthemi Flos (Ganju, stir-fried), Mori Folium (Dongsangye), Poria (Fuling), Armeniacae Semium Amarum (Xingren), Perillae Fructus (Suzi, all stir-fried and ground), Ostreae Concha (Muli), Spongia (Haifushi), Bambusae Caulis in Taeniam (Danzhuru), and Peucedani Radix (Qianhu). After three doses, symptoms resolved, and the pulse became more contained. The fatigue indicated that the fire-wind rebellious trend had been checked. Ganju and Dongsangye were removed, and Paeoniae Radix Alba (Baishao), Poria cum Radice (Fushen), Trichosanthis Fructus (Gualou), Pinelliae Rhizoma (Banxia), and Codonopsis Radix (Luparen) were added to harmonize Liver and Stomach and clear phlegm-fire. The patient subsequently recovered.
[Case 6]
A female relative presented with emotional depression, dizziness, flushed cheeks, immediate vomiting after eating in early summer, a weak-small pulse, and irregular menstruation. The cause was Liver-Gallbladder fire and wind invading the Stomach. The pathology progressed rapidly without transmission to other stages. Due to stomach deficiency, hiccups occurred; Wood qi overacted on Earth. Over time, the Chong Mai (Penetrating Vessel) lost nourishment, collateral vessels were damaged, and bleeding occurred internally. Since the Chong Mai is the Sea of Blood and belongs to the Yangming channel, bitter herbs were first used to descend rebellion. The formula included Gardeniae Fructus (Shanzhi), Saigae Tataricae Cornu (Lingyangjiao), Bambusae Caulis in Taeniam (Zhuru), Inulae Flos (Xuanfuhua), Pinelliae Rhizoma Preparate (Banxia qu), and Diospyros Fructus Crusta (Shishuang). After three to four doses, dizziness and vomiting stopped. Saigae Tataricae Cornu and Pinelliae Rhizoma Preparate were removed, and Asini Corii Colla (Ejiao, melted separately and mixed in), Moutan Cortex (Danpi), Paeoniae Radix Alba (Baishao), Poria (Fuling), and Glycyrrhizae Radix et Rhizoma (Gancao) were added to nourish and regulate the Liver and Stomach, restoring regular menstruation.