渔庄沈（妇） 肝风烁肺，呛咳久累不已，右脉寸关虚细，左弦，舌心红，癸水始淡继紫
。姑宜柔肝以清肺为主。（十月十三号九月初四日。）
冬桑叶（三钱） 南沙参（三钱） 乌贼骨（钱半） 生白芍（钱半） 炒驴胶（钱半） 川贝（
二钱）
粉丹皮（三钱） 淡秋石（八分） 生石决明（六钱） 紫菀（钱半） 甜杏仁（三钱） （引）枇杷
叶（五片，去毛）
五帖。
介按∶肝阳上逆，乘肺而咳，肺津胃液，均受灼烁，以致癸水转紫。故治以清肝熄风，
养胃滋液。
华川赵（妇） 癸水先后不一，脉左涩右弦，舌心光，头晕音哑，此肝风烁肺。宜阿胶鸡
子黄汤治之。（十一月一日。）
炒驴胶（钱半） 霜桑叶（三钱） 丹参（三钱） 黄草石斛（三钱） 鸡子黄（一枚） 生石决
明（六钱） 茯神（四钱） 粉丹皮（二钱） 豆皮（三钱） 小胡麻（三钱） 甘菊（钱半）
清煎四帖。
介按∶肾液虚而未能上承于心，肝阴亏而厥阳化风烁肺，以致音哑头晕。治以阿胶鸡子
黄汤，参用柔肝养液之品，真是的对之良方。
安昌庞（妇） 冲任内怯，带下癸涩，腰酸腹痛，脉涩细，右细数，肝风浮越，头疼牙痛
。姑宜柔肝熄风为主。（六月初三日。）
煨天麻（八分） 生牡蛎（四钱） 钗斛（三钱） 西洋参（一钱） 粉丹皮（三钱）
豆皮（三钱） 小胡麻（三钱） 炒杜仲（三钱） 甘菊（二钱） 钩藤（三钱） 桑寄生（三钱）
清煎五帖。
又 带下未除，腹中疼痛，脉涩数，头疼牙痛悉瘥。宜柔肝、调经、涩下。（六月十四
日。）
桑寄生（三钱） 炒杜仲（三钱） 丹皮（三钱） 制香附（钱半） 小胡麻（三钱） 远志肉（
八分） 炒白芍（钱半） 覆盆子（三钱） 元胡（钱半） 钩藤（三钱） 钗斛（三钱）
清煎五帖。
介按∶素禀阴亏，冲任皆损，是以腰痛连腹，经愆带下，内风浮越，直上巅顶，则头晕
牙痛。治以柔肝熄风，滋液补肾，而头疼牙痛悉瘥。次因腹中尚疼，故用理气活血之品。
某 肝风内震，心惕，头晕，肢战，脉弦右虚，癸来夹杂腰疼。姑宜柔肝熄风，仍镇摄
心神。
桑寄生（三钱） 西琥珀（八分） 龙齿（三钱） 甘菊（二钱） 炒驴胶（钱半） 茯神（三钱）
炒
远志（八分） 杜仲（二钱） 小胡麻（三钱） 钩藤（三钱） 豆皮（三钱） （引）灯心（七支）
五帖。
介按∶肾难生液，是以心惕而癸来腰疼，肝不养筋，内风浮动，是以头晕肢战。今以柔
肝熄风以缓晕，镇摄心神兼补肾，洵属对症疗法。
安昌余 大便稍润，舌根微黄，脉濡，头角筋惕作痛，此由内风浮越。姑宜清肝、熄风
、渗利。（九月二十四日）
桑叶（三钱） 黄草石斛（三钱） 蕤仁（钱半） 苦丁茶（钱半） 甘菊（二钱） 生石决明（
六钱） 茯苓（四钱） 通草（钱半） 钩藤（三钱） 刺蒺藜。（三钱） 淡竹叶（钱半）
清煎三帖。
介按∶胃虚挟湿，肝阳化风不熄，直上巅顶，而头角作痛。故治以清肝渗湿之剂。
【案例一】
渔庄沈姓妇人：肝风灼伤肺阴，导致呛咳日久不止。右脉寸、关部虚细，左脉弦，舌中心红，月经色初淡后紫。暂宜以柔肝清肺为主治法。（十月十三日，即农历九月初四。）
处方：冬桑叶三钱，南沙参三钱，乌贼骨一钱半，生白芍一钱半，炒驴皮胶一钱半，川贝母二钱，粉牡丹皮三钱，淡秋石八分，生石决明六钱，紫菀一钱半，甜杏仁三钱。引药：枇杷叶五片（去毛）。
共五剂。
邵介按语：肝阳上逆，乘袭肺脏而致咳嗽，肺津与胃液均受灼伤，致使经血由淡转紫。故治疗采用清肝熄风、养胃滋液之法。
【案例二】
华川赵姓妇人：月经周期先后不定，左脉涩，右脉弦，舌中心光剥无苔，头晕且声音嘶哑，此为肝风灼伤肺阴。适宜用阿胶鸡子黄汤治疗。（十一月一日。）
处方：炒驴皮胶一钱半，霜桑叶三钱，丹参三钱，黄草石斛三钱，鸡蛋黄一枚，生石决明六钱，茯神四钱，粉牡丹皮二钱，豆皮三钱，小胡麻三钱，甘菊花一钱半。
清水煎服，共四剂。
邵介按语：肾液亏虚不能上承于心，肝阴不足导致厥阳化风灼伤肺脏，致使声音嘶哑、头晕。治疗使用阿胶鸡子黄汤，配合柔肝养液的药物，确是对症的良方。
【案例三】
安昌庞姓妇人：冲任二脉内里虚弱，带下病且月经不畅，腰酸腹痛，脉象涩细，右脉细数，肝风浮越，出现头痛、牙痛。暂宜以柔肝熄风为主治法。（六月初三日。）
处方：煨天麻八分，生牡蛎四钱，钗石斛三钱，西洋参一钱，粉牡丹皮三钱，豆皮三钱，小胡麻三钱，炒杜仲三钱，甘菊花二钱，钩藤三钱，桑寄生三钱。
清水煎服，共五剂。
复诊：带下未除，腹部疼痛，脉象涩数，头痛牙痛均已痊愈。适宜柔肝、调经、固涩止带。（六月十四日。）
处方：桑寄生三钱，炒杜仲三钱，牡丹皮三钱，制香附一钱半，小胡麻三钱，远志肉八分，炒白芍一钱半，覆盆子三钱，延胡索一钱半，钩藤三钱，钗石斛三钱。
清水煎服，共五剂。
邵介按语：素体阴亏，冲任二脉受损，因此腰痛连及腹部，月经失调伴带下，内风浮越直冲头顶，则出现头晕、牙痛。治疗以柔肝熄风、滋液补肾为主，头痛牙痛随即痊愈。后因腹部仍痛，故改用理气活血的药物。
【案例四】
某患者：肝风内动震颤，心中惊惕，头晕，四肢颤抖，右脉弦而虚，月经来潮时夹杂腰痛。暂宜柔肝熄风，同时镇摄心神。
处方：桑寄生三钱，西琥珀八分，龙齿三钱，甘菊花二钱，炒驴皮胶一钱半，茯神三钱，炒远志八分，杜仲二钱，小胡麻三钱，钩藤三钱，豆皮三钱。引药：灯心草七支。
共五剂。
邵介按语：肾难生液，因此心中惊惕且月经来时腰痛；肝不养筋，内风浮动，因此头晕、四肢颤抖。现以柔肝熄风缓解眩晕，镇摄心神兼补肾，确属对症疗法。
【案例五】
安昌余姓患者：大便稍润，舌根微黄，脉濡缓，头角处筋脉跳动作痛，此由内风浮越所致。暂宜清肝、熄风、渗湿利水。（九月二十四日。）
处方：桑叶三钱，黄草石斛三钱，蕤仁一钱半，苦丁茶一钱半，甘菊花二钱，生石决明六钱，茯苓四钱，通草一钱半，钩藤三钱，刺蒺藜三钱，淡竹叶一钱半。
清水煎服，共三剂。
[Case 1]
Shen, a woman from Yuzhuang: Liver wind scorches the Lung Yin, resulting in persistent choking cough. The right pulse at Cun and Guan positions is deficient and fine; the left pulse is wiry. The center of the tongue is red. Menstrual blood was initially pale and turned purple. The primary treatment should be softening the Liver to clear the Lung. (October 13th, corresponding to the 4th day of the 9th lunar month.)
Prescription: *Dong Sang Ye* (Folium Mori, 3 qian), *Nan Sha Shen* (Radix Adenophorae, 3 qian), *Wu Zei Gu* (Endoconcha Sepiae, 1.5 qian), *Sheng Bai Shao* (Radix Paeoniae Alba, 1.5 qian), *Chao Lv Jiao* (Colla Corii Asini, 1.5 qian), *Chuan Bei* (Bulbus Fritillariae Cirrhosae, 2 qian), *Fen Dan Pi* (Cortex Moutan, 3 qian), *Dan Qiu Shi* (Lapis Aquae Dulcis, 8 fen), *Sheng Shi Jue Ming* (Concha Arcae, 6 qian), *Zi Wan* (Herba Asteris Tatarici, 1.5 qian), *Tian Xing Ren* (Semen Armeniacae Amarum, 3 qian). Guide herb: *Pi Pa Ye* (Folium Eriobotryae, 5 leaves, de-hairy).
Five doses.
Commentary by Shao Jie: Liver Yang rebels upward, attacking the Lung causing cough. Both Lung fluids and Stomach fluids are scorched, causing menstrual blood to change from pale to purple. Therefore, the treatment employs clearing the Liver, extinguishing wind, nourishing the Stomach, and generating fluids.
[Case 2]
Zhao, a woman from Huachuan: Menstrual cycle is irregular. The left pulse is choppy, the right pulse is wiry. The center of the tongue is peeled (bare). Symptoms include dizziness and hoarseness. This is Liver wind scorching the Lung. It is suitable to treat with Ejiao Jizihuang Tang (Donkey-hide Gelatin and Egg Yolk Decoction). (November 1st.)
Prescription: *Chao Lv Jiao* (Colla Corii Asini, 1.5 qian), *Shuang Sang Ye* (Folium Mori, 3 qian), *Dan Shen* (Radix Salviae Miltiorrhizae, 3 qian), *Huang Cao Shi Hu* (Herba Dendrobii Nobiles, 3 qian), *Ji Zi Huang* (Ovi Oolumen, 1 unit), *Sheng Shi Jue Ming* (Concha Arcae, 6 qian), *Fu Shen* (Sclerotium Poriae Cum Radice, 4 qian), *Fen Dan Pi* (Cortex Moutan, 2 qian), *Dou Pi* (Cortex Sojae Preparatus, 3 qian), *Xiao Hu Ma* (Sesamum Indicum, 3 qian), *Gan Ju* (Flos Chrysanthemi, 1.5 qian).
Decocted in clear water for four doses.
Commentary by Shao Jie: Kidney fluids are deficient and fail to ascend to the Heart. Liver Yin is depleted, leading to Jue Yang transforming into wind which scorches the Lung, causing hoarseness and dizziness. Treatment uses Ejiao Jizihuang Tang (Donkey-hide Gelatin and Egg Yolk Decoction) combined with herbs that soften the Liver and nourish fluids. This is indeed an effective prescription for this condition.
[Case 3]
Pang, a woman from Anchang: Deficiency in the Chong and Ren vessels. Leukorrhea and scanty menstruation. Soreness and pain in the lower back and abdomen. Pulse is choppy and fine; the right pulse is fine and rapid. Liver wind floats outward. Headache and toothache occur. The primary treatment should be softening the Liver and extinguishing wind. (June 3rd.)
Prescription: *Wei Tian Ma* (Rhizoma Gastrodiae, 8 fen), *Sheng Mu Li* (Concha Ostreae, 4 qian), *Cha Shi Hu* (Herba Dendrobii, 3 qian), *Xi Yang Shen* (Radix Ginseng Americanae, 1 qian), *Fen Dan Pi* (Cortex Moutan, 3 qian), *Dou Pi* (Cortex Sojae Preparatus, 3 qian), *Xiao Hu Ma* (Sesamum Indicum, 3 qian), *Chao Du Zhong* (Cortex Eucommiae, 3 qian), *Gan Ju* (Flos Chrysanthemi, 2 qian), *Gou Teng* (Caulis Uncariae cum Uncis, 3 qian), *Sang Ji Sheng* (Ramulus Taxilli, 3 qian).
Decocted in clear water for five doses.
Re-consultation: Leukorrhea persists, abdominal pain continues. Pulse is choppy and rapid. Headache and toothache have completely resolved. Treatment should soften the Liver, regulate menstruation, and astringe leukorrhea. (June 14th.)
Prescription: *Sang Ji Sheng* (Ramulus Taxilli, 3 qian), *Chao Du Zhong* (Cortex Eucommiae, 3 qian), *Dan Pi* (Cortex Moutan, 3 qian), *Zhi Xiang Fu* (Rhizoma Cyperi Preparatus, 1.5 qian), *Xiao Hu Ma* (Sesamum Indicum, 3 qian), *Yuan Zhi Rou* (Radix Polygalae, 8 fen), *Chao Bai Shao* (Radix Paeoniae Alba, 1.5 qian), *Fu Pen Zi* (Fructus Rubi, 3 qian), *Yuan Hu* (Rhizoma Corydalis, 1.5 qian), *Gou Teng* (Caulis Uncariae cum Uncis, 3 qian), *Cha Shi Hu* (Herba Dendrobii, 3 qian).
Decocted in clear water for five doses.
Commentary by Shao Jie: Constitutionally Yin deficient, affecting both Chong and Ren vessels, leading to lower back pain radiating to the abdomen, menstrual irregularities with leukorrhea. Internal wind floats upward to the vertex, causing dizziness and toothache. Treatment focused on softening the Liver, extinguishing wind, nourishing fluids, and tonifying the Kidney, which resolved the headache and toothache. Subsequently, due to persistent abdominal pain, Qi-regulating and Blood-invigorating herbs were used.
[Case 4]
A certain patient: Internal Liver wind causes tremors. Palpitations (heart fright), dizziness, trembling limbs. Right pulse is wiry and deficient. Menstruation accompanied by lower back pain. Treatment should soften the Liver, extinguish wind, and settle the Spirit.
Prescription: *Sang Ji Sheng* (Ramulus Taxilli, 3 qian), *Xi Hu Po* (Electrum, 8 fen), *Long Chi* (Dens Mastodi et Ossi Femoris, 3 qian), *Gan Ju* (Flos Chrysanthemi, 2 qian), *Chao Lv Jiao* (Colla Corii Asini, 1.5 qian), *Fu Shen* (Sclerotium Poriae Cum Radice, 3 qian), *Chao Yuan Zhi* (Radix Polygalae, 8 fen), *Du Zhong* (Cortex Eucommiae, 2 qian), *Xiao Hu Ma* (Sesamum Indicum, 3 qian), *Gou Teng* (Caulis Uncariae cum Uncis, 3 qian), *Dou Pi* (Cortex Sojae Preparatus, 3 qian). Guide herb: *Deng Xin* (Medulla Junci, 7 strands).
Five doses.
Commentary by Shao Jie: The Kidney fails to generate fluids, causing heart fright and lower back pain during menstruation. The Liver fails to nourish the sinews, causing internal wind to float, leading to dizziness and limb tremors. Current treatment softens the Liver and extinguishes wind to relieve dizziness, while settling the Spirit and tonifying the Kidney. This is indeed a symptomatic therapy.
[Case 5]
Yu, from Anchang: Stool is slightly moist. Root of the tongue is slightly yellow. Pulse is soggy. Tendons at the temples twitch and cause pain. This is caused by floating internal wind. Treatment should clear the Liver, extinguish wind, and promote diuresis/dampness removal. (September 24th.)
Prescription: *Sang Ye* (Folium Mori, 3 qian), *Huang Cao Shi Hu* (Herba Dendrobii Nobiles, 3 qian), *Rui Ren* (Semen Pruni Armeniacae, 1.5 qian), *Ku Ding Cha* (Folium Ilicis Kudingcha, 1.5 qian), *Gan Ju* (Flos Chrysanthemi, 2 qian), *Sheng Shi Jue Ming* (Concha Arcae, 6 qian), *Fu Ling* (Poria, 4 qian), *Tong Cao* (Medulla Tetrapanacis, 1.5 qian), *Gou Teng* (Caulis Uncariae cum Uncis, 3 qian), *Ci Ji Li* (Fructus Tribuli, 3 qian), *Dan Zhu Ye* (Folium Lophatheri, 1.5 qian).
Decocted in clear water for three doses.
Commentary by Shao Jie: Stomach deficiency with dampness retention. Liver Yang transforms into wind which does not subside, rising directly to the vertex, causing pain at the temples. Therefore, treatment employs formulas that clear the Liver and drain dampness.