虞左 肝为将军之官，其性阴，其体阳，其发病也速。操劳过度，肝阳内动，化风上扰，痰热随之，清窍被
蒙，神明不能自主，陡然神糊不语，牙关紧闭，四肢抽搐，脉沉似伏，良由血亏不能养肝，肝热生风，肝主筋，
肝风入筋，所以四肢抽搐，痰气闭塞，脉道亦为之不利也。此为痉厥重症，肝属刚脏，非柔不克。当拟柔肝熄
风，清神涤痰。
生白芍（二钱） 朱茯神（三钱） 鲜竹茹（二钱） 嫩钩钩
（后下，三钱） 羚羊片（煎冲，八分） 水炙远志（一钱） 天竺黄（一钱五分） 川贝母（三钱）
煨天麻（八分） 石菖蒲（八分） 淡竹油（一两） 生姜汁（同冲，二滴）
赵左 风阳上扰，巅顶为病，痰湿内阻，胃失降和，所以耳鸣失聪，两目红赤，视物模糊者，风阳之为患也；
所以头眩泛恶者，胃气不降，而浊阴上僭也。舌质红苔黄，脉弦数。阴亏于下，阳浮于上，危象显然。治宜熄
风清肝，而化痰浊。
薄荷叶（八分） 石决（四钱） 净蕤仁（二钱） 仙半夏（一钱五分） 冬桑叶（三钱） 炒竹茹（一钱五分）
甘菊花（三钱） 夏枯花（一钱五分） 嫩钩钩（后下，三钱）
丁左 劳心过度，心肾不足，肝阳易升，肝气易动，气郁于中，则胸膺牵痛，阳升于上，则头眩眼花，心肾不
交，则夜不安寐。肾主骨，肝主筋，肝肾血虚，失于营养，则遍体 楚。宜调益心肾，柔肝潜阳法。
生白芍（二钱） 朱茯神（三钱） 石决（四钱） 熟女贞（二钱） 金铃子（二钱） 玫瑰水炒竹茹（一钱）
马料豆（三钱） 紫贝齿（三钱） 桑椹子（二钱） 甘杞子（二钱） 夜交藤（四钱） 滁菊花（一钱五分）
潼白蒺藜（各一钱） 左金丸（包，七分）
孙右 盛怒后忽然心胸大痛，喜笑不休，脉沉伏，肢冷。久郁伤肝，肝病善怒，怒则气上，所以心胸大痛；
气郁化大，扰于膻中，所以喜笑不休；气机窒塞，所以肢冷脉伏。种种见证，皆由肝病为患。木郁则达之，宜疏
肝解郁，而理气机，若误为寒厥则殆矣。
银花炭（三钱） 金铃子（二钱） 制香附（一钱五分） 川贝母（三钱） 薄荷叶（八分） 青陈皮（各一钱）
上沉香（四分） 大白芍（二钱） 广郁金（一钱五分） 白蒺藜（一钱五分） 金器（入煎，一具） 苏合香丸（去
壳研细末化服，一粒）
沈左 胁乃肝之分野，肝气挟痰瘀入络，气机不得流通，胁痛偏左，呼吸尤甚。肺司百脉之气，宜宣肺
气以疏肝，化痰瘀而通络。
广郁金（一钱五分） 当归须（二钱） 延胡索（一钱） 广木香（八分） 旋复花（包，一钱五分）
真新绛（八分） 橘红络（各一钱） 丝瓜络（二钱） 炒竹茹（一钱五分） 青葱管（一钱五分） 鲜枇杷叶
（去毛、包，四张）
虞先生左侧：肝被称为“将军之官”，其本性属阴，其体用属阳，发病迅速。因操劳过度，导致肝阳在内妄动，化生风邪上扰，痰热随之而来，蒙蔽清窍（指头部清明之处），神明不能自主控制，突然神志昏糊、不能言语，牙关紧闭，四肢抽搐，脉象沉细似伏。这主要是由于血虚不能滋养肝脏，肝热生风；肝主筋，肝风侵入筋脉，所以四肢抽搐；痰气闭塞，脉道也不通畅。这是痉厥的重症。肝属于刚脏，非柔和之法不能克制。应当拟定柔肝熄风、清神涤痰的方药。
生白芍（二钱） 朱茯神（三钱） 鲜竹茹（二钱） 嫩钩藤（后下，三钱） 羚羊角片（煎煮后冲服，八分） 水炙远志（一钱） 天竺黄（一钱五分） 川贝母（三钱） 煨天麻（八分） 石菖蒲（八分） 淡竹油（一两） 生姜汁（同冲，两滴）
赵先生左侧：风阳上扰，病在巅顶（头顶），痰湿内阻，胃失和降，所以耳鸣失聪、两目红赤、视物模糊，这是风阳为患所致；头眩恶心，是胃气不降，浊阴之气上逆所致。舌质红苔黄，脉弦数。下部阴亏，上部阳浮，危重征象明显。治疗宜熄风清肝，化痰浊。
薄荷叶（八分） 石决明（四钱） 净蕤仁（二钱） 仙半夏（一钱五分） 冬桑叶（三钱） 炒竹茹（一钱五分） 甘菊花（三钱） 夏枯花（一钱五分） 嫩钩藤（后下，三钱）
丁先生左侧：劳心过度，导致心肾不足，肝阳易升，肝气易动。气郁于中焦，则胸膺部牵拉疼痛；阳升于上，则头眩眼花；心肾不交，则夜间睡眠不安。肾主骨，肝主筋，肝肾血虚，失去营养滋润，则全身酸痛不适。宜采用调益心肾、柔肝潜阳的方法。
生白芍（二钱） 朱茯神（三钱） 石决明（四钱） 熟女贞子（二钱） 金铃子（二钱） 玫瑰水炒竹茹（一钱） 马料豆（三钱） 紫贝齿（三钱） 桑椹子（二钱） 甘杞子（二钱） 夜交藤（四钱） 滁菊花（一钱五分） 潼白蒺藜（各一钱） 左金丸（包煎，七分）
孙女士右侧：盛怒之后忽然心胸剧烈疼痛，喜笑不休，脉沉伏，四肢冰冷。长期情志抑郁伤肝，肝病容易发怒，怒则气机上逆，所以心胸剧痛；气郁化火，扰乱膻中（心包所在处），所以喜笑不休；气机窒塞，所以四肢冷、脉伏。种种见证，皆由肝病引起。木郁结则需疏达，宜疏肝解郁，调理气机，如果误认为是寒厥就危险了。
银花炭（三钱） 金铃子（二钱） 制香附（一钱五分） 川贝母（三钱） 薄荷叶（八分） 青皮陈皮（各一钱） 上沉香（四分） 大白芍（二钱） 广郁金（一钱五分） 白蒺藜（一钱五分） 金器（入煎，一件） 苏合香丸（去壳研细末化服，一粒）
沈先生左侧：胁肋是肝的分野，肝气挟带痰瘀进入络脉，气机不得流通，所以胁痛偏左，呼吸时尤其严重。肺主管百脉之气，宜宣通肺气以疏肝，化痰瘀而通络。
广郁金（一钱五分） 当归须（二钱） 延胡索（一钱） 广木香（八分） 旋复花（包煎，一钱五分） 真新绛（八分） 橘红络（各一钱） 丝瓜络（二钱） 炒竹茹（一钱五分） 青葱管（一钱五分） 鲜枇杷叶（去毛、包煎，四张）
Mr. Yu (Left side): The Liver is referred to as the "General Officer." Its nature is Yin, its substance/function is Yang, and its onset of disease is rapid. Due to excessive mental labor, Liver Yang moves internally, transforming into Wind that disturbs upward, accompanied by Phlegm-Heat. This clouds the Clear Orifices (the orifices of the head responsible for clarity), causing the Spirit (Shen) to lose autonomous control. Suddenly, there is clouded consciousness and muteness, lockjaw, and convulsions of the four limbs. The pulse is deep and seemingly hidden. This is primarily due to Blood deficiency failing to nourish the Liver; Liver Heat generates Wind. Since the Liver governs the sinews, when Liver Wind enters the sinews, convulsions occur. Phlegm-Qi obstruction also renders the pulse vessels unfavorable. This is a severe case of Spasm and Convulsion (Jing Jue). The Liver belongs to the category of "Hard Organs" (Gang Zang); only softening methods can subdue it. The proposed treatment is to Soften the Liver, Extinguish Wind, Clear the Spirit, and Eliminate Phlegm.
Raw White Peony Root (Bai Shao, 2 qian) with Cinnabar (Zhu Fu Shen, 3 qian) Fresh Bamboo Sap (Xian Zhu Ru, 2 qian) Uncaria Rhynchophylla (Gou Teng, added later, 3 qain) Antelope Horn (Ling Yang Pian, decocted separately and mixed in, 8 fen) Polygala Root (Yuan Zhi, water-fried, 1 qian) Hygrophylla Seed (Tian Zhu Huang, 1.5 qian) Fritillaria Bulb (Chuan Bei Mu, 3 qian) Gastrodia Tuber (Tian Ma, baked, 0.8 fen) Acorus Rhizome (Shi Chang Pu, 0.8 fen) Light Bamboo Oil (Dan Zhu You, 1 liang) Ginger Juice (Sheng Jiang Zhi, mixed together, 2 drops)
Mr. Zhao (Left side): Wind-Yang disturbs upward, affecting the vertex (Dian Ding). Internal obstruction by Phlegm-Dampness causes the Stomach to lose its harmonious descending function. Thus, tinnitus, hearing loss, red eyes, and blurred vision are caused by the pathology of Wind-Yang. Dizziness and nausea result from Stomach Qi failing to descend and Turbid Yin rising counterflowingly. The tongue body is red with a yellow coating, and the pulse is wiry and rapid. Yin is deficient below, while Yang floats above; the critical signs are obvious. Treatment should focus on Extinguishing Wind, Clearing the Liver, and Transforming Phlegm-Turbidity.
Mint Leaf (Bo He Ye, 0.8 fen) Abalone Shell (Shi Jue Ming, 4 qian) Prunus Armeniaca Kernel (Rui Ren, cleaned, 2 qian) Pinellia Tuber (Ban Xia, prepared, 1.5 qian) Mulberry Leaf (Sang Ye, winter-harvested, 3 qian) Fried Bamboo Sap (Zhu Ru, fried, 1.5 qian) Chrysanthemum Flower (Ju Hua, sweet, 3 qian) Prunella Spike (Xia Ku Cao, flower, 1.5 qian) Uncaria Rhynchophylla (Gou Teng, added later, 3 qian)
Mr. Ding (Left side): Excessive mental labor leads to Heart and Kidney insufficiency, making Liver Yang prone to rising and Liver Qi prone to moving. Qi stagnation in the middle jiao causes pulling pain in the chest and epigastrium; Yang rising upward causes dizziness and blurred vision; failure of communication between Heart and Kidney results in insomnia at night. The Kidneys govern bones, and the Liver governs sinews. Deficiency of Blood in the Liver and Kidneys, lacking nourishment, leads to generalized body soreness and discomfort. The method should be to Tonify and Harmonize Heart and Kidney, Soften the Liver, and Submerge Yang.
Raw White Peony Root (Bai Shao, 2 qian) with Cinnabar (Zhu Fu Shen, 3 qian) Abalone Shell (Shi Jue Ming, 4 qian) Prepared Ligustrum Fruit (Nu Zhen Zi, cooked, 2 qian) Melia Toosendan Fruit (Jin Ling Zi, 2 qian) Bamboo Sap (Zhu Ru, stir-fried with Rose Water, 1 qian) Phaseolus Angularis Bean (Ma Liao Dou, 3 qian) Unio Concha (Zi Bei Chi, 3 qian) Mulberry Fruit (Sang Shen Zi, 2 qian) Lycium Fruit (Qi Zi, sweet, 2 qian) Polygonum Multiflorum Vine (Ye Jiao Teng, 4 qian) Chrysanthemum Flower (Ju Hua, Chu variety, 1.5 qian) Tribulus Fructus (Bi Ji Li, Tong and Bai varieties, 1 qian each) Zuo Jin Pill (Zuo Jin Wan, wrapped, 0.7 qian)
Ms. Sun (Right side): After extreme anger, sudden severe pain in the heart and chest occurs, accompanied by incessant laughter, a hidden pulse, and cold limbs. Long-term emotional depression injures the Liver; Liver disease predisposes to anger. Anger causes Qi to rush upward, resulting in severe chest pain. Qi stagnation transforms into Fire, disturbing the Dan Zhong (Pericardium region), causing incessant laughter. Qi mechanism blockage leads to cold limbs and hidden pulse. All these manifestations stem from Liver pathology. When Wood (Liver) is depressed, it must be dispersed. The approach is to Soothe the Liver, Resolve Depression, and Regulate Qi Mechanism. Mistaking this for Cold Jue (Cold Collapse) would be dangerous.
Silver Flower Charcoal (Yin Hua Tan, 3 qian) Melia Toosendan Fruit (Jin Ling Zi, 2 qian) Prepared Cyperus Rhizome (Xiang Fu, processed, 1.5 qian) Fritillaria Bulb (Chuan Bei Mu, 3 qian) Mint Leaf (Bo He Ye, 0.8 fen) Green Tangerine Peel and Citrus Peel (Qing Pi and Chen Pi, 1 qian each) High-quality Agarwood (Shang Chen Xiang, 0.4 fen) Large White Peony Root (Bai Shao, 2 qian) Curcuma Root (Yu Jin, Guang variety, 1.5 qian) Tribulus Fructus (Bi Ji Li, white, 1.5 qian) Gold Artifact (Jin Qi, for decoction, one piece) Su He Xiang Pill (Su He Xiang Wan, shell removed, ground to fine powder, dissolved and taken, one pill)
Mr. Shen (Left side): The hypochondrium is the domain of the Liver. Liver Qi, carrying Phlegm and Blood Stasis, enters the collaterals, preventing the free flow of Qi mechanism. This causes pain in the left hypochondrium, exacerbated by respiration. The Lung governs the Qi of all vessels. Therefore, it is appropriate to Diffuse Lung Qi to Soothe the Liver, transform Phlegm-Stasis, and unblock the collaterals.
Curcuma Root (Yu Jin, Guang variety, 1.5 qian) Angelica Sinensis Rootlet (Dang Gui Xu, 2 qian) Corydalis Rhizome (Yan Hu Suo, 1 qian) Aucklandia Root (Mu Xiang, Guang variety, 0.8 fen) Inula Flower (Xuan Fu Hua, wrapped, 1.5 qian) True Xin Jiang (Zhen Xin Jiang, 0.8 fen) Tangerine Red and Network (Ju Hong Luo, 1 qian each) Loquat Branch Network (Si Gua Luo, 2 qian) Fried Bamboo Sap (Zhu Ru, fried, 1.5 qian) Green Onion Tube (Qing Cong Guan, 1.5 qian) Fresh Loquat Leaf (Pipa Ye, de-haired, wrapped, 4 leaves)