本 谋虑不遂，胆郁生火。春季目眶红晕，惊悸，口渴溺黄，见闻错妄，脉洪疾。用龙胆泻肝汤去芩、柴、
通、泽，加丹皮、白芍、赤苓、生枣仁。二服已定，再用平调之剂而安。
刘 年高胸闷，气从下焦逆上，饥不思食，此必郁怒致病。
右关脉浮长过本位，两尺搏大，显然气逆不降，少阳司令得此，有膈噎吐沫之忧。郁金、栝蒌皮、前胡、枳壳、
苏子、青皮、降香末、郁李仁。数服效。
眭氏 食后脘痞呕酸，口燥鼻衄，经四月乃行。沉绵十载，由气分延及血分，乃肝郁不舒，致浊升血逆，
有终身绝孕之累。生香附、吴萸（黄连汁炒）、黑山栀、茯苓、苏子、郁金、泽兰。数服痞呕渐减，去香附、
吴萸，加丹皮、白芍、当归、延胡（俱酒炒）、椒目。数服经行。再加金橘皮、木香汁，加减前药为丸。渐平。
王氏 病久怀抱悒郁，脉细涩少神，左尤甚。呕酸食胀，胃阳不舒，左耳项痛连发际。虚阳上攻，胆
气横溢，木郁土衰，必至便秘经阻。用吴萸汤去姜、枣，加制半夏、橘白、茯苓、枳壳、甘菊、钩藤、嫩桑叶，
三服甚适。去吴萸，加谷芽、益智、当归，又数服，诸症渐除。
谢氏 右腋气瘤碗大，经先期，至则浑身牵痛，结 十载，从未孕育。头晕带下，食后吐酸，脉沉弦。
症由郁久伤肝，肝经气逆，致生风火，动血震络，腑气失降，呕眩浊逆，营卫失调，脉隧阻痹。治用两通厥阴、
阳明法。黄连、山栀（俱姜汁炒）、香附（童便制）、枳壳、郁金、茯苓、当归、贝母、橘络、丝瓜络，数
服症减。改用加味逍遥散去柴胡、白术，加贝母、郁金汁，合胶艾汤。数服而经渐调。
邹氏 因丧女哀悒，渐次胁痞，食入胀加，痰浊不降，呕苦便溏，脉虚迟。此悲愁郁损生阳，致气窒浊
壅，治在泄肝温胃。仿吴茉萸汤，吴萸、干姜（各五分）、制半夏、茯苓（各二钱）、枳壳、砂仁壳、橘白、
乌药（各八分）。三服呕止胀宽食进。改用通腑利湿。大腹皮（洗净，二钱）、浓朴（五分）、半夏曲（八分）、
椒目（十五粒）、茯苓（二钱）、砂仁壳（八分）、煨姜（钱半）。数服而安。
林某：思虑未能如愿，导致胆气郁结而生火。春季出现眼眶周围红晕、惊悸、口渴、小便黄赤、神志错乱（听到或看到的事物与事实不符），脉象洪大且急促。使用龙胆泻肝汤（清泻肝胆实火的方剂），去掉黄芩、柴胡、木通、泽泻，加入牡丹皮、白芍、赤茯苓、生酸枣仁。服用两剂后病情稳定，再使用调和平衡的药剂而痊愈。
刘某：年事已高，感到胸闷，气机从下焦逆冲向上，饥饿但不想进食，这必定是由郁怒致病所致。右关脉（对应脾胃）浮长超过正常位置，两尺脉（对应肾）搏动有力且大，显然是气机逆乱不能下降。少阳相火当令之时出现这种脉象，有发展为膈噎（吞咽困难）和吐沫的忧虑。处方：郁金、瓜蒌皮、前胡、枳壳、苏子、青皮、降香末、郁李仁。服用数剂后见效。
眭氏：饭后胃脘部痞塞不适，呕吐酸水，口燥，鼻出血，月经四个月才来一次。缠绵病榻十年，病邪由气分蔓延至血分，这是肝气郁结不舒展，导致浊气上升、血液上逆，有终身无法受孕的隐患。处方：生香附、吴茱萸（用黄连汁炒制）、黑山栀、茯苓、苏子、郁金、泽兰。服用数剂后，痞塞和呕吐逐渐减轻，去掉香附、吴茱萸，加入牡丹皮、白芍、当归、延胡索（均用酒炒制）、椒目。服用数剂后月经来潮。再加陈皮、木香汁，将上述药物加减制成丸药。病情逐渐平稳。
王氏：患病日久，怀抱忧郁，脉象细涩且缺乏神气，左侧尤为明显。呕吐酸水，饮食胀满，胃阳不得舒展，左耳及项部疼痛牵连至发际。虚阳上攻，胆气横溢，肝木郁结导致脾土衰弱，必然导致便秘和月经阻滞。使用吴茱萸汤（温中补虚、降逆止呕的方剂），去掉生姜、大枣，加入制半夏、橘白、茯苓、枳壳、甘菊、钩藤、嫩桑叶，服用三剂后感觉非常舒适。去掉吴茱萸，加入谷芽、益智仁、当归，又服用数剂，各种症状逐渐消除。
谢氏：右侧腋下有一个碗大的气瘤，月经提前，发作时全身牵拉疼痛，结聚十年，从未怀孕。头晕，带下量多，饭后呕吐酸水，脉象沉弦。病症由于长期郁结损伤肝脏，肝经气机逆乱，导致产生风火，扰动血液震动脉络，腑气失去下降功能，呕吐眩晕、浊气上逆，营卫失调，脉道阻塞痹痛。治疗采用同时疏通厥阴经和阳明经的方法。处方：黄连、山栀（均用姜汁炒制）、香附（用童子便制过）、枳壳、郁金、茯苓、当归、贝母、橘络、丝瓜络，服用数剂后症状减轻。改用加味逍遥散（疏肝解郁、养血调经的方剂），去掉柴胡、白术，加入贝母、郁金汁，合用胶艾汤（养血止血、调经安胎的方剂）。服用数剂后月经逐渐调理正常。
邹氏：因为丧女之哀悲痛郁，逐渐出现胁肋部痞塞，进食后胀满加重，痰浊不能下降，呕吐苦水，大便溏薄，脉象虚弱迟缓。这是悲伤愁郁损伤阳气，导致气机窒塞、浊气壅滞，治疗在于泄肝火、温胃阳。仿照吴茱萸汤，使用吴茱萸、干姜（各五分）、制半夏、茯苓（各二钱）、枳壳、砂仁壳、橘白、乌药（各八分）。服用三剂后呕吐停止，胀满缓解，食欲增加。改用通腑利湿法。处方：大腹皮（洗净，二钱）、厚朴（五分）、半夏曲（八分）、椒目（十五粒）、茯苓（二钱）、砂仁壳（八分）、煨姜（一钱半）。服用数剂后安稳。
Lin: Due to unfulfilled deliberations, the Gallbladder Qi stagnated and generated fire. In spring, redness and swelling appeared around the eye sockets, accompanied by palpitations, thirst, yellow urine, and delirious perceptions (hallucinations or misperceptions of sights and sounds). The pulse was surging and rapid. Longdan Xiegan Tang (Gentian Liver-Draining Decoction) was used, with Huangqin (Scutellariae Radix), Chaihu (Bupleuri Radix), Mutong (Akebiae Caulis), and Zexie (Alismatis Rhizoma) removed, and Mudanpi (Moutan Cortex), Baishao (Paeoniae Radix Alba), Chifuling (Poria cum Ligno Rubrum), and Sheng Zaoren (Ziziphi Spinosomi Semen Crude) added. After two doses, the condition stabilized; subsequently, a harmonizing formula was administered, leading to recovery.
Liu: Of advanced age, he experienced chest fullness, with Qi counterflowing upward from the Lower Jiao. He felt hungry but had no appetite. This was certainly caused by disease arising from depression and anger. The Right Guan pulse (corresponding to Spleen/Stomach) was floating and long, exceeding its normal position; both Chi pulses (corresponding to Kidney) were forceful and large, clearly indicating rebellious Qi failing to descend. With Shaoyang (Lesser Yang) governing the season, this presentation raised concern for Ge Ye (dysphagia/obstruction) and vomiting of saliva/phlegm. Formula: Yujin (Curcumae Radix), Gualou Pi (Trichosanthis Pericarpium), Qianhu (Peucedani Radix), Zhike (Aurantii Fructus Immaturus), Suzi (Perillae Fructus), Qingpi (Aurantii Fructus Immaturus Pericarpium), Jiangxiang Mo (Sappanwood Powder), Yuliren (Prunus Persica Seed). Several doses yielded efficacy.
Sui: Postprandial epigastric fullness and vomiting of sour fluid, dry mouth, epistaxis, and menstruation occurring only once every four months. The illness persisted for ten years, extending from the Qi level to the Blood level. This resulted from Liver Qi stagnation and failure to disperse, causing turbid Qi to ascend and Blood to rebel upwards, carrying the burden of lifelong infertility. Formula: Sheng Xiangfu (Cyperi Rhizoma), Wuyu (Evodiae Fructus, stir-fried with Coptidis decoction), Heishanzhi (Gardeniae Fructus Carbonized), Fuling (Poria), Suzi (Perillae Fructus), Yujin (Curcumae Radix), Zelan (Lycopus Herba). After several doses, fullness and vomiting gradually decreased. Xiangfu and Wuyu were removed, and Mudanpi (Moutan Cortex), Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Yanhusuo (Corydalis Rhizoma, all wine-fried), and Jiaomu (Zanthoxyli Semen) were added. After several doses, menstruation occurred. Then, Jujupi (Citri Reticulatae Pericarpium) and Muxiang juice were added, and the aforementioned herbs were modified into pills. The condition gradually stabilized.
Wang: Having suffered from illness for a long time with deep-seated depression, the pulse was fine, choppy, and lacking spirit, especially on the Left side. Symptoms included vomiting sour fluid, food distension, and discomfort of Stomach Yang. Pain in the left ear and neck extended to the hairline. Deficient Yang attacked upward, and Gallbladder Qi overflowed horizontally. Liver Wood stagnation led to Spleen Earth decline, inevitably resulting in constipation and menstrual obstruction. Wu Zhu Yu Tang (Evodia Decoction) was used, with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) removed, and Zhi Banxia (Pinelliae Rhizoma Preparatum), Ju Bai (Citri Reticulatae Pericarpium Album), Fuling (Poria), Zhike (Aurantii Fructus Immaturus), Ganju (Chrysanthemi Flos), Gouteng (Uncariae Ramulus Cum Uncis), and Nen Sangye (Mori Folium Tender) added. Three doses brought great comfort. Wu Zhu Yu was removed, and Guya (Setariae Fructus Germinatus), Yizhi Ren (Alpiniae Oxyphyllae Fructus), and Danggui (Angelicae Sinensis Radix) were added. After several more doses, various symptoms gradually disappeared.
Xie: A tumor the size of a bowl formed in the right axilla due to Qi stagnation. Menstruation occurred early; upon onset, whole-body pulling pain ensued. The condition persisted for ten years without conception. Symptoms included dizziness, leukorrhea, postprandial vomiting of sour fluid, and a sinking, wiry pulse. The pathology arose from prolonged depression injuring the Liver, causing Liver Meridian Qi rebellion, generating Wind-Fire, disturbing Blood, shaking collaterals, losing the descending function of Fu organs, presenting with vomiting, vertigo, turbid rebellion, disharmony of Ying and Wei, and obstruction/bi syndrome in the pulse channels. Treatment employed the method of simultaneously unblocking the Jueyin and Yangming meridians. Formula: Huanglian (Coptidis Rhizoma), Shanzhi (Gardeniae Fructus, both stir-fried with Ginger juice), Xiangfu (Cyperi Rhizoma, prepared with child's urine), Zhike (Aurantii Fructus Immaturus), Yujin (Curcumae Radix), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Beimu (Fritillariae Bulbus), Juluo (Citri Reticulatae Pericarpium Fibra), Sigualuo (Luffae Fructus Retinervus). Several doses reduced symptoms. Subsequently, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Plus Ingredients Powder) was used, with Chaihu (Bupleuri Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma) removed, and Beimu (Fritillariae Bulbus) plus Yujin juice added, combined with Jiao Ai Tang (Donkey-Hide Gelatin and Mugwort Decoction). After several doses, menstruation gradually regulated.
Zou: Following the grief and depression over the loss of her daughter, she gradually developed hypochondriac fullness. Distension worsened after eating, phlegm-turbidity failed to descend, she vomited bitter fluid, had loose stools, and presented with a deficient, slow pulse. This was sorrow and depression damaging Yang, causing Qi obstruction and turbid accumulation. Treatment focused on draining Liver heat and warming Stomach Yang. Modeled after Wu Zhu Yu Tang: Wuyu (Evodiae Fructus), Ganjiang (Zingiberis Rhizoma, each 0.5 qian), Zhi Banxia (Pinelliae Rhizoma Preparatum), Fuling (Poria, each 2 qian), Zhike (Aurantii Fructus Immaturus), Sharen Ke (Amomi Fructus Pericarpium), Ju Bai (Citri Reticulatae Pericarpium Album), Wuyao (Linderae Radix, each 0.8 fen). Three doses stopped vomiting, relieved distension, and improved appetite. The regimen changed to unblocking the Fu organs and promoting dampness drainage. Formula: Dafupi (Arecae Pericarpium, washed, 2 qian), Houpo (Magnoliae Officinalis Cortex, 0.5 fen), Banxia Qu (Pinelliae Fermentum, 0.8 fen), Jiaomu (Zanthoxyli Semen, 15 grains), Fuling (Poria, 2 qian), Sharen Ke (Amomi Fructus Pericarpium, 0.8 fen), Wei Jiang (Zingiberis Rhizoma Preparatum, 1.5 qian). Several doses brought stability.