本 头眩口苦，胆气泄也。胁痛入脘，肝气逆也。便不通爽，腑气结也。清胆热，降肝逆，以和腑气。
用嫩桑叶、粉丹皮、生枣仁以泻少阳，枳壳、金橘皮、降香末以治厥阴，苏梗、郁李仁、谷芽以和阳明，白芍、
木瓜缓中泻木为统治。服效。
张氏 气攻胸脘胀痛，身热口干便秘，寸脉浮长，关小数，此肺脾郁久化热，致津液不行，故便燥而
艰也。用苦降法，枇杷叶、郁金汁、枳壳、杏仁、百合、麦冬、蒌霜、郁李仁、生蜜冲入。数服而平。
陈氏 气阻胸膈引背，食入胀痛，脐上瘕聚有形，脉来虚缓，胃逆不降少纳，五旬余得此，惧延中膈。
宜缓攻，姑与辛通。制半夏、杏仁、陈皮、草蔻（煨研）、枳壳、砂仁壳、淡姜渣、延胡（酒炒），韭白
捣汁冲。四服而病若失。
龚氏 食入脘胀，微渴，便苦燥，腑气阻，津液不行。胃病治肝，误用牡蛎、赭石敛镇，兼乌药、香
附辛温，痞聚更增，下壅益甚，脉沉而 。药忌温涩劫液阻隧，主辛滑通润，于腑病为宜。当归、杏仁、郁李
仁、蒌仁（俱研）、橘白、苏梗、枳壳、淡苁蓉，韭白汁冲。数服愈。
本 久嗽气促，中夜必起坐，是亥子阳升，丹田不纳。今长夏每食必脐下气冲，涌吐无余。更由劳动阴火，
扰胃劫痰，直上冲咽。先予降逆，苏子、橘红、枳壳、栝蒌、杏仁、降香、贝母，一啜吐止。议镇冲脉，青铅、
坎、牛膝、山药、五味、熟地炭、茯神。三服气定嗽减。
张 运息强通督任，致动冲气，从阴股内廉入阴囊，抵关元，直上挟脐，升至中脘，气即停泊，偏绕右膈，
冲咽欲呃。此震伤冲任经气，由丹田交会，入脘作呃。《灵枢》亦谓冲任并起胞中，为经络之海，其浮而外者，
循腹右上行，会于咽喉也。此气升逆，神不自持，恍惚无寐，自汗神烦，身左虚堕，良由精血失涵，任乏担承，
冲惯升逆，不呕不胀，无关脏腑，一切补脏通腑，奚由入络，拟镇养奇经。诊脉左右动数，仍防喘热耳。牛膝、
萸肉（俱酒炒炭）、当归须（酒拌，各一钱）、熟地炭、龟甲心（炙）、杞子（焙。各二钱）、茯神、降香末
（各三钱）、桂心（三分，隔水煨冲）。
本姓患者，出现头晕目眩、口苦的症状，这是胆气外泄所致。胁肋疼痛并延伸至胃脘部，是肝气上逆所致。大便不通畅，是腑气郁结所致。治疗应清泻胆热，平降肝逆，以调和腑气。
处方使用嫩桑叶、粉丹皮、生酸枣仁来清泻少阳经邪热；枳壳、金橘皮、降香末来调理厥阴经气机；苏梗、郁李仁、谷芽来调和阳明经气；白芍、木瓜来舒缓中焦、清泻肝木之气，作为整体治疗的法则。服药后见效。
张姓患者，气机攻冲导致胸脘部胀痛，身体发热、口干、便秘，寸脉浮长，关脉细数。这是肺脾之气郁滞日久化热，导致津液运行不畅，所以大便干燥且排便困难。采用苦降法治疗，使用枇杷叶、郁金汁、枳壳、杏仁、百合、麦冬、瓜蒌霜、郁李仁，加入生蜂蜜冲服。服用数次后病情平息。
陈姓患者，气机阻滞于胸膈并牵引背部，进食后感到胀痛，脐上方有积聚成形的包块，脉象虚缓，胃气上逆不降，食欲减退。年过五十患此病，担心发展为噎膈（食管梗阻类疾病）。适宜缓慢攻逐，暂用辛味通散之法。使用制半夏、杏仁、陈皮、草豆蔻（煨熟研碎）、枳壳、砂仁壳、淡姜渣、延胡索（酒炒），用韭菜白捣汁冲服。服用四次后，病痛消失。
龚姓患者，进食后胃脘胀满，轻微口渴，大便痛苦地干燥，腑气受阻，津液不行。胃病却治肝，误用了牡蛎、代赭石等收敛镇降之品，又兼用乌药、香附等辛温药物，导致痞满积聚更加严重，下部壅塞更为厉害，脉象沉而涩。用药禁忌温燥、收涩以免劫夺津液、阻塞经络，主治原则应为辛滑通润，这对腑病适宜。使用当归、杏仁、郁李仁、瓜蒌仁（均研碎）、橘白、苏梗、枳壳、淡苁蓉，用韭白汁冲服。服用数次后痊愈。
本姓患者，久咳导致气短急促，半夜必定起身坐起，这是因为亥时、子时阳气升发，但丹田不能纳气。如今在长夏季节，每次进食必感到脐下气机上冲，呕吐剧烈直至吐尽。再加上劳累引发阴火，扰动胃气并劫夺痰液，直冲咽喉。先给予降逆止呕之法，使用苏子、橘红、枳壳、瓜蒌、杏仁、降香、贝母，喝一口后呕吐停止。接着议定镇压冲脉之气，使用青铅、坎炁、牛膝、山药、五味子、熟地黄炭、茯神。服用三次后气机安定，咳嗽减轻。
张姓患者，因用力呼吸强行疏通督脉和任脉，导致冲动之气发动，从大腿内侧进入阴囊，抵达关元穴，直上挟持肚脐，升至中脘穴，气机随即停驻，偏绕右侧膈肌，冲击咽喉想要打嗝。这是震怒损伤了冲脉和任脉的经气，由丹田交会处进入胃脘引发呃逆。《灵枢》也记载冲脉和任脉都起于胞中，为经络之海，其浮行于体表的分支，沿腹部右上行，会合于咽喉。这种气机上逆，导致神志不能自主，恍惚失眠，自汗且心神烦躁，身体左侧感觉虚弱下坠，这主要是由于精血失去涵养，任脉缺乏承担能力，冲脉习惯性地升发上逆。虽然没有呕吐和胀满，与脏腑无直接关系，但一切补益脏腑、通畅腑气的常规方法，无法通过络脉发挥作用，拟采用镇压滋养奇经的方法。诊察脉象左右皆动数，仍需防范气喘和发热。使用牛膝、山茱萸（均酒炒炭）、当归须（酒拌，各一钱）、熟地黄炭、龟甲心（炙）、枸杞子（焙干，各二钱）、茯神、降香末（各三钱）、桂心（三分，隔水煨后冲服）。
Translation:
Patient surnamed Ben presented with dizziness and bitter taste in the mouth, indicating the leakage of Gallbladder Qi. Hypochondriac pain extending to the epigastrium indicates the rebellion of Liver Qi. Unsmooth bowel movements indicate the stagnation of Fu-organ Qi. The treatment principle is to clear Gallbladder heat, descend Liver rebellion, and harmonize Fu-organ Qi.
Prescription uses young Mulberry Leaf (Sang Ye), Powdered Moutan Cortex (Mu Dan Pi), and Raw Ziziphus Seed (Suan Zao Ren) to drain Shaoyang; Zhi Ke (Aurantium Fructus), Golden Orange Peel (Jin Ju Pi), and Powdered Aquilaria Wood (Xiang Qian/Jiang Xiang) to treat Jueyin; Perilla Stem (Su Geng), Prunus Semen (Yu Li Ren), and Sprouted Grain (Gu Ya) to harmonize Yangming; White Peony Root (Bai Shao) and Chinese Quince (Mu Gua) to soothe the middle and drain Wood, serving as a comprehensive treatment strategy. Efficacy was observed after administration.
Patient surnamed Zhang presented with Qi attacking the chest and epigastrium causing distension and pain, fever, dry mouth, and constipation. The Cun pulse was floating and long, while the Guan pulse was fine and rapid. This indicates that Lung and Spleen Qi had been stagnant for a long time and transformed into heat, leading to impaired fluid circulation, resulting in dry and difficult defecation. A bitter-descending method was used: Loquat Leaf (Pi Pa Ye), Curcuma Juice (Yu Jin Zhi), Zhi Ke (Aurantium Fructus), Apricot Seed (Xing Ren), Lily Bulb (Bai He), Ophiopogon Tuber (Mai Dong), Trichosanthes Peel (Lou Shuang), Prunus Semen (Yu Li Ren), mixed with raw honey for administration. The condition subsided after several doses.
Patient surnamed Chen presented with Qi obstruction in the chest and diaphragm radiating to the back, distension and pain after eating, and a palpable mass above the umbilicus. The pulse was deficient and slow. Stomach Qi rebelled and failed to descend, leading to poor appetite. Being over fifty years old, he feared progression to dysphagia (Ge Jie). Slow purgation was indicated, initially using acrid-unblocking methods. Prepared Pinellia Tuber (Zhi Ban Xia), Apricot Seed (Xing Ren), Tangerine Peel (Chen Pi), Roasted and Ground Cardamom Seed (Cao Kou), Zhi Ke (Aurantium Fructus), Sandarac Shell (Sha Ren Ke), Weak Ginger Residue (Dan Jiang Zha), and Corydalis Rhizome (Yan Hu Suo, wine-fried), administered with juice pressed from Leek Whites (Jiu Bai). After four doses, the illness disappeared as if lost.
Patient surnamed Gong presented with epigastric distension after eating, slight thirst, painful dry stools, obstruction of Fu-organ Qi, and failure of fluids to circulate. The stomach disease was treated by addressing the liver, but incorrectly using Oyster Shell (Mu Li) and Magnetite (He Shi) for astringency and sedation, combined with Litsea Fruit (Wu Yao) and Cyperus Rhizome (Xiang Fu) which are acrid and warm. This exacerbated the痞聚 (masses/stagnation) and lower congestion. The pulse was deep and choppy. Medications contraindicated include warming, astringent agents that deplete fluids and block collaterals. The main principle should be acrid, slippery, unblocking, and moistening, which is suitable for Fu-organ diseases. Prescription: Angelica Sinensis Root (Dang Gui), Apricot Seed (Xing Ren), Prunus Semen (Yu Li Ren), Trichosanthes Seed (Lou Ren, all ground), Tangerine Pith (Ju Bai), Perilla Stem (Su Geng), Zhi Ke (Aurantium Fructus), Cistanche Stem (Rou Cong Rong), administered with Leek White juice. Cured after several doses.
Patient surnamed Ben presented with chronic cough and shortness of breath, waking up to sit up at midnight. This occurs during Hai and Zi hours when Yang Qi rises, but the Dantian fails to grasp it. In late summer, every meal triggered Qi rushing from below the umbilicus, leading to violent vomiting until empty. Additionally, labor-induced Yin fire disturbed the stomach and depleted phlegm, rushing directly up to the throat. Initially, descending rebellion was attempted with Perilla Seed (Su Zi), Red Tangerine Peel (Ju Hong), Zhi Ke (Aurantium Fructus), Trichosanthes Fruit (Gua Lou), Apricot Seed (Xing Ren), Aquilaria Wood (Jiang Xiang), and Fritillaria Bulb (Bei Mu). One sip stopped the vomiting. Next, suppressing the Chong Mai (Penetrating Vessel) was proposed using Lead (Qing Qian), Placenta (Kan Qi), Achyranthes Root (Niu Xi), Dioscorea Tuber (Shan Yao), Schisandra Berry (Wu Wei Zi), Charred Rehmannia Root (Shu Di Tan), and Poria (Fu Shen). After three doses, Qi stabilized and cough decreased.
Patient surnamed Zhang forced the opening of the Du Mai (Governor Vessel) and Ren Mai (Conception Vessel) through strong breathing, disturbing the Chong Qi. The Qi entered the scrotum from the medial aspect of the thigh, reached the Guanyuan point, rose straight up along the umbilicus to the Zhongwan point, where it stopped, then deviated around the right diaphragm, rushing to the throat causing hiccups. This resulted from emotional shock damaging the Jing-Qi of the Chong and Ren vessels, originating from the Dantian intersection, entering the epigastrium to cause hiccups. The *Ling Shu* states that the Chong and Ren vessels originate in the Baozhong (uterus/lower abdomen) and serve as the Sea of Meridians. Their superficial branches ascend on the right side of the abdomen and meet at the throat. This rebellious Qi caused loss of mental control,恍惚 (trance-like state), insomnia, spontaneous sweating, and mental restlessness. The left side of the body felt weak and sinking. This was primarily due to the loss of nourishment by Essence and Blood, lack of support by the Ren Mai, and habitual rebellion of the Chong Mai. There was no vomiting or distension, unrelated to Zang-Fu organs. Conventional tonification of Zang and unblocking of Fu methods could not reach the collaterals. Therefore, suppressing and nourishing the Extraordinary Vessels was planned. Pulse diagnosis showed rapid and moving pulses on both sides; asthma and heat were still guarded against. Prescription: Achyranthes Root (Niu Xi), Cornus Fruit (Yu Rou, both wine-fried and charred), Angelica Sinensis Root Tip (Dang Gui Xu, wine-mixed, 1 qian each), Charred Rehmannia Root (Shu Di Tan), Tortoise Plastron Heart (Gui Jia Xin, roasted), Goji Berry (Qi Zi, baked, 2 qian each), Poria (Fu Shen), Aquilaria Wood Powder (Jiang Xiang Mo, 3 qian each), Cinnamon Bark Heart (Gui Xin, 0.3 fen, simmered separately and taken with liquid).