朱 形寒暮热。咳嗽震动。头中脘中胁骨皆痛。先经嗽红。体气先虚。此时序冷热不匀。夹带寒
邪致病。脉得寸口独大。当清解上焦。大忌温散之剂。（寒邪）
桑叶 苏梗 杏仁 象贝 玉竹 大沙参
某 风温上受。吐血。（风温）
桑叶 薄荷 杏仁 连翘 石膏 生甘草
徐 阴虚风温气逆嗽血。
生扁豆 玉竹 白沙参 茯苓 桑叶 郁金
顾（四十）寸口脉。搏指而劲。痰血能食。初因风温咳嗽。震动络血。以清心营肺卫之热。
小生地 黑山栀 地骨皮 天花粉 丹参 连翘 竹叶心
汪 右脉大。咽喉痒呛。头中微胀。此冬温内侵。阳气不伏。络热血得外溢。当调其复邪。（冬温）
桑叶 山栀皮 连翘 白沙参 象贝 牛蒡子
某 脉小而劲。少年体丰。真气易泄。经月咳呛。自非外感。因冬温失藏。咳频震络。痰带血出。
当薄味以和上焦。气热得清。病患可却。
桑叶 山栀 杏仁 郁金 象贝 花粉 糯米汤代水
王（三五）脉右大。温邪震络。咳痰带血。（温热）
桑皮 杏仁 山栀皮 花粉 大沙参 石膏
高 温邪上郁清空。目赤头胀。咳呛见血。此属客病。不必为内损法。
连翘 黑山栀 草决明 桑叶 薄荷梗 荷叶边
苦丁茶 花粉 药用急火煎。
唐（二七）血后。喉燥痒欲呛。脉左搏坚。
玉竹 南花粉 大沙参 川斛 桑叶 糯米饮煎。
高（二一）脉小涩。欲凉饮。热阻。气升血冒。仍议治上。
嫩竹叶 飞滑石 山栀皮 郁金汁 杏仁汁 新荷叶汁
某 春温嗽痰。固属时邪。然气质有浓薄。不可概以辛散。且正在知识发动之年。阴分自不足。
以至咳呛失血。当以甘寒润降。以肃肺金。
鲜枇杷叶 甜杏仁 南沙参 川贝 甜水梨 甘蔗浆
郭 热伤元气。血后咳逆。舌赤。脉寸大。（热）
鲜生地 麦冬 玉竹 地骨皮 川斛 竹叶心
又 心眩。不饥。热灼气升。
鲜生地 玄参 丹参 郁金汁 银花 竹叶心 绿豆皮
某 脉涩。咳嗽痰血。不时寒热。此邪阻肺卫所致。（寒热郁伤肺）苇茎汤加杏仁通草。
孙（二六）用力。气逆血乱。咳出腥痰浊血。用千金苇茎汤。
某 邪郁热壅。咳吐脓血。音哑。 麻杏甘膏汤加桔梗苡仁桃仁紫菀。
倪（二七）肛疡溃脓虽愈。阴气已经走泄。当阳气弛张发泄。今加嗽血痰多。胃纳减于平昔。脉数促。
喘逆脘闷。姑清肃上焦气分。（上焦气分蓄热）
苏子 杏仁 香豉 黑栀皮 郁金 蒌皮 降香 桔梗
汪（七十）天明至午。嗽甚痰血。春暖阳浮。是肾虚不藏。闻咳音重浊不爽。先议轻清。治气分之热。
桑叶 南花粉 黑栀皮 桔梗 甘草 橘红
某 脉搏数。舌心灰。咳痰有血。频呕络伤。致血随热气上出。仍理气分。
桑叶 花粉 苡仁 川贝 黄芩 茯苓
方 夏热泄气。胃弱冲逆。失血。（暑热）
扁豆 茯苓 参三七 茜草
施 脉小数。舌绛。喉中痒。咳呛血。因暑热旬日。热入营络。震动而溢。凡肺病为手太阴经。逆传
必及膻中。仍以手厥阴治。
竹叶心 生地 银花 连翘心 玄参 赤豆皮
高 脉数。汗出身热。吐血五日。胸脘不舒。舌色白。此阴虚本质。暑热内侵营络。渐有时疟之状。
小溲茎中微痛。宣通腑经为宜。
鲜生地 连翘 郁金汁 滑石 竹叶 甘草梢
又 气阻不饥。
黑栀皮 香豉 蒌皮 郁金 杏仁 橘红
王（氏）入夏呛血。乃气泄阳升。幸喜经水仍来。大体犹可无妨。近日头胀。脘中闷。上午烦倦。是秋
暑上受。防发寒热。
竹叶 飞滑石 杏仁 连翘 黄芩 荷叶汁
江 积瘀在络。动络血逆。今年六月初。时令暴热。热气吸入。首先犯肺。气热血涌。强降其血。血
药皆属呆滞。而清空热气。仍蒙闭于头髓空灵之所。诸窍痹塞。鼻窒 肉。出纳之气。都从口
出。显然肺气郁蒸。致脑髓热蒸。脂液自下。古称烁物消物莫如火。但清寒直泄中下。清空
之病仍然。议以气分轻扬。无取外散。专事内通。医工遇此法则。每每忽而失察。（暑热郁肺阻窍）
连翘 牛蒡子 通草 桑叶 鲜荷叶汁 青菊花叶
临服。入生石膏末。煎一沸。
某（二三）以毒药熏疮。火气逼射肺金。遂令咳呛痰血。咽干胸闷。诊脉尺浮下焦阴气不藏。最虑病
延及下。即有虚损之患。姑以轻药。暂清上焦。以解火气。（火气逼肺）
杏仁（三钱） 绿豆皮（三钱） 冬瓜子（三钱） 苡仁（三钱） 川贝（一钱半） 兜铃（七分）
赵（三三）咳逆自左而上。血亦随之。先以少阳胆络治。（木火升逆扰动阳络）
生地 丹皮 泽兰 茯苓 降香末 荷叶汁
张（三六）耳目昏蒙。甚于午前。此属少阳郁勃之升。呕恶痰血。多是络热。治以开泄。莫投滋腻。
桑叶 丹皮 黑栀 连翘 菊叶 蒌皮 川贝 橘红
董（十七）色苍能食。脘有积气。两年秋冬。曾有呛血。此非虚损。由乎体禀木火。嗔怒拂逆。肝胆相火
扰动阳络故也。
金斛 山栀 郁金 丹参 川贝 苏子 钩藤 茯苓
又 接用清气热。安血络方。
生地 麦冬 玄参 知母 花粉 百部 桔梗 川贝 蜜丸
严（四二）脉数涩小结。痰血经年屡发。仍能纳食应酬。此非精血损怯。由乎五志过动。相火内寄肝
胆。操持郁勃。皆令动灼。致络血上渗混痰火。必静养数月方安。否则木火劫烁。胃伤减食。病由是日加矣。
丹皮 薄荷梗 菊花叶 黑栀 淡黄芩 生白芍 郁金 川贝
颜 入夏阳升。疾走惊惶。更令诸气益升。饮酒多食樱桃。皆辛热甘辣。络中血沸上出。议消酒毒和阳。
生地 阿胶 麦冬 嘉定花粉 川斛 小黑 豆皮
沈 脉左坚上透。是肝肾病。血色紫。乃既离络中之色。非久瘀也。劳役暑蒸。内阴不生有诸仿
琼玉意。仍是阴柔之通剂。（阴虚）
鲜生地 人参 茯苓 琥珀末
张 血止。脉左大。
天冬 生地 人参 茯神 炙草 生白芍 女贞 旱莲
顾（二八）脉左坚。阴伤失血。致咳。 复脉去参桂姜加白芍。
凡咳血之脉。右坚者。治在气分。系震动胃络所致。宜薄味调养胃阴。如生扁豆茯神北沙
参苡仁等类。左坚者乃肝肾阴伤所致。宜地黄阿胶枸杞五味等类。脉弦胁痛者。宜苏子
桃仁降香郁金等类。成盆盈碗者。葛可久花蕊石散。仲景大黄黄连泻心汤一症而条分
缕晰。从此再加分别。则临症有据矣。
赵（四一）虚不肯复谓之损。纳食不充肌肤。卧眠不能着左。遇节令痰必带血。脉左细。右劲数。是从
肝肾精血之伤。延及气分。倘能节劳安逸。仅堪带病永年。损症五六年。无攻病之理。脏属阴。议平补足三阴法。
人参 山药 熟地 天冬 五味 女贞
张（四十）失血五六年。脉虚气喘。不运不饥。治在中下二焦。望其安谷精生。勿许攻病为上。
人参 炙草 白芍 茯神 炒熟地 五味
某（二七）劳力血复来。冲气咳逆。当用摄纳为要。
熟地（四钱） 参三七（一钱） 大淡菜（一两） 牛膝炭（一钱半） 川斛（三钱） 茯神（三钱）
某（四一）脉弦。胁痛已缓。血仍来。
大淡菜（一两） 参三七（一钱） 牛膝炭（一钱半） 茯苓（二钱） 川斛（三钱） 小黑 豆皮（三钱）
某（四七）失血后。咳嗽。咽痛音哑 少阴已亏耗。药不易治。
糯稻根须（一两） 生扁豆（五钱） 麦冬（三钱） 川斛（一钱半） 北沙参（一钱半） 茯神（一钱半）
早服都气丸淡盐汤下。
某（三四）脉虚数。失血。心悸头眩。
大淡菜（五钱） 牛膝炭（一钱半） 白扁豆（一两） 白茯苓（三钱） 藕节（三枚洗） 糯稻根须（五钱）
某（四九）血来稍缓。犹能撑持步履。乃禀赋强健者。且能纳谷。阳明未败可验。而脉象细涩。阴伤奚
疑。
北沙参（一钱半） 扁豆（一两） 参三七（一钱半） 炒麦冬（一钱） 茯神（三钱） 川斛（三钱）
施（二二）呛血数发。是阳气过动。诊脉已非实热。夏至一阴来复。预宜静养迎其生气。秋分后再议。
生脉六味去丹泽加阿胶秋石蜜丸。
张 脉右弦数。左细涩。阴损。失血后久咳。食减便溏。
熟地炭 茯神 建莲 五味 芡实 炒山药
某（四三）失音咽痛。继而嗽血。脉来涩数。已成劳怯。幸赖能食胃强。勿见咳治咳。庶几带病延年。
细生地（三钱） 玄参心（一钱） 麦冬（一钱半） 细川斛（三钱） 鲜莲子肉（一两） 糯稻根须（五钱）
沙（三六）阴虚。血后痰嗽。必胃强加谷者。阴药可以效灵。形羸食少。滋腻久用。必更反胃。静养望其渐复。
熟地炭 萸肉 五味 川斛 茯神 芡实 建莲 山药
马（五六） 脉左坚右弱。木火易燃。营液久耗。中年春季失血嗽痰。由情志郁勃致伤。抑且少食 羸。
古语谓瘦人之病。虑虚其阴。
生地 阿胶 北沙参 麦冬 茯神 川斛
某（女）脉左数。侧眠嗽血。
生地 阿胶 麦冬 淡菜 生白芍 炙草
金（氏）脉细。左小促。干咳有血。寒热身痛。经水先期。渐渐色淡且少。此脏阴伤及腑阳。奇脉无
气。内损成劳。药难骤效。
生地 阿胶 牡蛎 炙草 麦冬 南枣
卢（氏）沉着浓浓。肝肾之血。
熟地炭 炒杞子 炒归身 牛膝炭 茯神 青铅 砂仁末
又 照前方去牛膝青铅加桂圆肉天冬。
缪（二八）劳伤。血后咳。夜热食少。清骨散加生地。
耿（三七）久损。交节血溢。青铅六味去萸。加炒牛膝川斛。冲热童便服。
某 脉细弦数。阴分不足。痰中带红。肠风。春温之后。再劫津液。以致上下失血。风淫于内。宜咸寒。
生地炭 阿胶 龟胶 玄参 白芍 女贞 茯苓 豆皮
陶（二二）下虚。阳动失血。（阴虚阳升）六味去丹泽加阿胶淡菜。
陈 日来寒暄不匀。烦劳阳升。咳呛。震动络血上沸。诊脉左数。五心热。知饥纳谷。议育阴和阳方法。
生地 清阿胶 天冬 麦冬 茯神 川斛 炒牛膝 青铅 童便
陈（五一）形瘦。脉促数。吸气如喘。痰气自下上升。此属肾虚气不收摄。失血后有此。乃劳怯难愈大
症。用贞元饮。
邹（二一）内伤惊恐。肝肾脏阴日损。阳浮。引阴血以冒上窍。二气不交。日加寒热。骨热咽干不寐。阴
分虚。其热甚于夜。阿胶鸡子黄汤。
沈 劳动阳升。血自左溢。
阿胶 参三七 甜北沙参 茯神 生白扁豆 炒麦冬
江（二二） 少壮情志未坚。阴火易动。遗精淋沥有诸。肾水既失其固。春木地气上升。遂痰中带血。入
夏暨秋。胃纳不减。后天生旺颇好。不致劳怯之忧。但酒色无病宜节。有病宜绝。经年之内屏绝。必得却病。
熟地（水制） 萸肉 山药 茯神 湖莲 远志 五味 黄柏 芡实
金樱膏丸。
陆（十六）知识太早。真阴未充。龙火易动。阴精自泄。痰吐带血。津液被烁。幸胃纳安谷。保养少动宜
静。固阴和阳可痊。
熟地（水制） 萸肉 山药 茯苓 芡实 远志 五味 牡蛎 白莲须 蜜丸。
徐（四二）心肾精血不安。火风阳气炽。失血眩晕。心悸溺精。若过用心作劳。不能复元矣。
熟地 萸肉 山药 茯神 芡实 远志 建莲 五味 海参胶
彭（十七）阴虚有遗。痰嗽有血。诵读久坐阳升。
桑叶 生扁豆 北沙参 麦冬 霍山石斛 生甘草 苡仁 茯苓
吴（二八）失血在五年前。咳频呕哕。气自上冲逆。乃下元精血之虚。非外邪寒热之咳。痰出腥气。亦
从下出。节欲勿劳力。胃壮可免劳怯。都气丸。
周（二七）左脉弦数。失血后。咳嗽音嘶少寐。阴亏。阳升不潜之候。当滋养为主。
生地炭（三钱） 生牡蛎（五钱） 阿胶（一钱半） 麦冬（一钱半） 茯神（三钱） 川斛（三钱）
周（三四）屡屡失血。饮食如故。形瘦面赤。禀质木火。阴不配阳。据说服桂枝治外感。即得此恙。凡辛
温气味宜戒可以无妨。六味加阿胶龟甲天冬麦冬。
孙（二三）形瘦脉数。寸口搏指。浮阳易动上冒。都属阴精不旺。幸胃纳尚佳。数发不致困顿。然须戒
酒淡欲。怡情静养。水足火不妄动。络血自必宁静矣。六味加龟甲秋石。
赵（二八）屡遭客热伤阴。逢夏气泄吐血。下午火升咳嗽。液亏。阴火自灼。胃口尚健。安闲绝欲可安。
熟地 萸肉 龟甲 淡菜胶 五味 山药 茯苓 建莲 蜜丸
某 内经分上下失血。为阴络阳络。是腑络取胃。脏络论脾。今饮食甚少。柔腻姑缓。上下交病。
治在中焦。其午火升烦嗽。亦因血去阴伤。以胃药从中镇补。使生气自充也。
人参 茯苓 白术 炙草 扁豆 白芍 山药
又 因触胁气闪。络血复上。过戌亥时自缓。早上诊脉。细促无神。左目珠痛。假寐喉息有音。足
胫冰冷。皆血冒不已。孤阳上升。从肝肾引阳下纳法。
人参 熟地炭 炒杞子 茯神 淡菜 炒牛膝（四服）
朱某：身体怕冷，傍晚发热。咳嗽时震动疼痛，头部、胃脘部及胁肋骨骼均痛。此前已有咳血史，体质原本虚弱。此时季节冷热不均，夹杂寒邪致病。脉象寸口独大。应当清解上焦热邪。绝对禁忌使用温散类药物。（寒邪）
桑叶、苏梗、杏仁、象贝母、玉竹、北沙参
某人：风温之邪从上部受侵，导致吐血。（风温）
桑叶、薄荷、杏仁、连翘、石膏、生甘草
徐某：阴虚兼风温，气逆致咳血。
生扁豆、玉竹、南沙参、茯苓、桑叶、郁金
顾某（四十岁）：寸口脉搏动有力而强劲。有痰血但能进食。起初因风温咳嗽，震动络脉血液。以清心营和肺卫之热为主。
小生地、黑山栀、地骨皮、天花粉、丹参、连翘、竹叶心
汪某：右脉大。咽喉痒呛。头部微胀。这是冬温之邪内侵，阳气不能潜藏。络脉受热，血液外溢。应当调理复感之邪。（冬温）
桑叶、山栀皮、连翘、南沙参、象贝母、牛蒡子
某人：脉小而劲。少年时期身体丰满。真气容易耗泄。每月都有咳呛。并非外感所致。因冬季温邪失于闭藏，咳嗽频繁震动络脉，痰中带血。应当饮食清淡以调和上焦。气热得清，病患可愈。
桑叶、山栀、杏仁、郁金、象贝母、花粉、用糯米汤代水煎药
王某（三十五岁）：右脉大。温邪震动络脉，咳痰带血。（温热）
桑白皮、杏仁、山栀皮、花粉、北沙参、石膏
高某：温邪上郁于清空之位，目赤头胀。咳呛见血。这属于客病（外感），不必按内伤虚损的方法治疗。
连翘、黑山栀、草决明、桑叶、薄荷梗、荷叶边、苦丁茶、花粉。药用急火煎煮。
唐某（二十七岁）：出血后，喉燥痒欲呛咳。左脉搏指坚硬。
玉竹、南花粉、北沙参、川石斛、桑叶、糯米饮煎服。
高某（二十一岁）：脉小涩。想喝凉饮。热邪阻滞，气机上逆，血随气升。仍议治上焦。
嫩竹叶、飞滑石、山栀皮、郁金汁、杏仁汁、新荷叶汁
某人：春季温邪致咳痰。固然属于时令邪气。但人的体质有浓薄之分，不可一概用辛散之法。且正值青春期知识发动之年，阴分自然不足。以致咳呛失血。应当用甘寒润降之法，以肃清肺金。
鲜枇杷叶、甜杏仁、南沙参、川贝母、甜水梨、甘蔗浆
郭某：热邪损伤元气。出血后咳逆。舌红。脉寸口大。（热）
鲜生地、麦冬、玉竹、地骨皮、川石斛、竹叶心
又诊：心中眩晕。不思饮食。热邪灼烧，气机上逆。
鲜生地、玄参、丹参、郁金汁、金银花、竹叶心、绿豆皮
某人：脉涩。咳嗽痰血。不时出现寒热。这是邪气阻滞肺卫所致。（寒热郁伤肺）苇茎汤加杏仁、通草。
孙某（二十六岁）：用力过度，气逆血乱，咳出腥臭的浊血。用千金苇茎汤。
某人：邪气郁结，热邪壅盛，咳吐脓血。声音嘶哑。麻杏甘膏汤加桔梗、薏苡仁、桃仁、紫菀。
倪某（二十七岁）：肛瘘溃烂流脓虽已痊愈，但阴气已经走泄。当阳气弛张发泄之时，现在加上咳血痰多，胃口比平时减退。脉数促。喘逆胃脘闷。姑且清肃上焦气分之热。（上焦气分蓄热）
苏子、杏仁、香豉、黑栀皮、郁金、瓜蒌皮、降香、桔梗
汪某（七十岁）：从天明到中午，咳嗽严重伴痰血。春暖时节阳气浮越，是肾虚不能固藏。听到咳嗽声音重浊不爽。先议轻清之法，治气分之热。
桑叶、南花粉、黑栀皮、桔梗、甘草、橘红
某人：脉搏数。舌中心灰。咳痰有血。频繁呕吐络脉受伤，致使血随热气上出。仍理气分。
桑叶、花粉、薏苡仁、川贝母、黄芩、茯苓
方某：夏季热邪泄气，胃弱冲逆，失血。（暑热）
扁豆、茯苓、参三七、茜草
施某：脉小数。舌绛。喉中痒。咳呛血。因暑热旬日，热入营络，震动而溢出。凡肺病属手太阴经，逆传必及膻中。仍以手厥阴心包经论治。
竹叶心、生地、银花、连翘心、玄参、赤豆皮
高某：脉数。汗出身热。吐血五日。胸脘不舒。舌色白。这是阴虚本质，暑热内侵营络，渐有时疟的症状。小便茎中微痛。宣通腑经为宜。
鲜生地、连翘、郁金汁、滑石、竹叶、甘草梢
王某（氏）：入夏呛血，乃气泄阳升。幸好月经仍来。大体犹可无妨。近日头胀，胃脘中闷。上午烦倦。这是秋暑从上受侵，防发寒热。
竹叶、飞滑石、杏仁、连翘、黄芩、荷叶汁
江某：积瘀在络，动络血逆。今年六月初，时令暴热，热气吸入，首先犯肺。气热血涌，强行降其血。血药皆属呆滞，而清空热气，仍蒙闭于头髓空灵之所。诸窍痹塞，鼻塞肉腐。出纳之气，都从口出。显然肺气郁蒸，致脑髓热蒸，脂液自下。古称烁物消物莫如火。但清寒直泄中下，清空之病仍然。议以气分轻扬，无取外散。专事内通。医工遇此法则，每每忽而失察。（暑热郁肺阻窍）
连翘、牛蒡子、通草、桑叶、鲜荷叶汁、青菊花叶
临服时，加入生石膏末，煎一沸。
某人（二十三岁）：以毒药熏疮，火气逼射肺金。遂令咳呛痰血。咽干胸闷。诊脉尺浮，下焦阴气不藏。最虑病延及下。即有虚损之患。姑以轻药，暂清上焦。以解火气。（火气逼肺）
杏仁（三钱）、绿豆皮（三钱）、冬瓜子（三钱）、薏苡仁（三钱）、川贝母（一钱半）、兜铃（七分）
赵某（三十三岁）：咳逆自左而上。血亦随之。先以少阳胆络治。（木火升逆扰动阳络）
生地、丹皮、泽兰、茯苓、降香末、荷叶汁
张某（三十六岁）：耳目昏蒙，甚于午前。此属少阳郁勃之升。呕恶痰血，多是络热。治以开泄，莫投滋腻。
桑叶、丹皮、黑栀、连翘、菊叶、瓜蒌皮、川贝母、橘红
董某（十七岁）：面色苍黑能食。胃脘有积气。两年秋冬，曾有呛血。此非虚损。由乎体禀木火，嗔怒拂逆，肝胆相火扰动阳络故也。
金斛、山栀、郁金、丹参、川贝母、苏子、钩藤、茯苓
又诊：接用清气热、安血络方。
生地、麦冬、玄参、知母、花粉、百部、桔梗、川贝母、蜜丸
严某（四十二岁）：脉数涩小结。痰血经年屡发。仍能纳食应酬。此非精血损怯。由乎五志过动，相火内寄肝胆，操持郁勃，皆令动灼。致络血上渗混痰火。必静养数月方安。否则木火劫烁，胃伤减食，病由是日加矣。
丹皮、薄荷梗、菊花叶、黑栀、淡黄芩、生白芍、郁金、川贝母
颜某：入夏阳升。疾走惊惶，更令诸气益升。饮酒多食樱桃，皆辛热甘辣。络中血沸上出。议消酒毒和阳。
生地、阿胶、麦冬、嘉定花粉、川石斛、小黑豆皮
沈某：脉左坚上透，是肝肾病。血色紫，乃既离络中之色，非久瘀也。劳役暑蒸，内阴不生。有仿琼玉之意。仍是阴柔之通剂。（阴虚）
鲜生地、人参、茯苓、琥珀末
张某：血止。脉左大。
天冬、生地、人参、茯神、炙甘草、生白芍、女贞子、旱莲草
顾某（二十八岁）：脉左坚。阴伤失血，致咳。复脉去参桂姜加白芍。
凡咳血之脉，右坚者，治在气分，系震动胃络所致。宜薄味调养胃阴，如生扁豆、茯神、北沙参、薏苡仁等类。左坚者乃肝肾阴伤所致，宜地黄、阿胶、枸杞、五味子等类。脉弦胁痛者，宜苏子、桃仁、降香、郁金等类。成盆盈碗者，葛可久花蕊石散。仲景大黄黄连泻心汤。一症而条分缕晰，从此再加分别，则临症有据矣。
赵某（四十一岁）：虚不肯复谓之损。纳食不充肌肤。卧眠不能着左。遇节令痰必带血。脉左细。右劲数。是从肝肾精血之伤，延及气分。倘能节劳安逸，仅堪带病永年。损症五六年，无攻病之理。脏属阴。议平补足三阴法。
人参、山药、熟地、天冬、五味子、女贞子
张某（四十岁）：失血五六年。脉虚气喘。不运不饥。治在中下二焦。望其安谷精生。勿许攻病为上。
人参、炙甘草、白芍、茯神、炒熟地、五味子
某人（二十七岁）：劳力血复来。冲气咳逆。当用摄纳为要。
熟地（四钱）、参三七（一钱）、大淡菜（一两）、牛膝炭（一钱半）、川石斛（三钱）、茯神（三钱）
某人（四十一岁）：脉弦。胁痛已缓。血仍来。
大淡菜（一两）、参三七（一钱）、牛膝炭（一钱半）、茯苓（二钱）、川石斛（三钱）、小黑豆皮（三钱）
某人（四十七岁）：失血后。咳嗽。咽痛音哑。少阴已亏耗。药不易治。
糯稻根须（一两）、生扁豆（五钱）、麦冬（三钱）、川石斛（一钱半）、北沙参（一钱半）、茯神（一钱半）
早服都气丸淡盐汤下。
某人（三十四岁）：脉虚数。失血。心悸头眩。
大淡菜（五钱）、牛膝炭（一钱半）、白扁豆（一两）、白茯苓（三钱）、藕节（三枚洗）、糯稻根须（五钱）
某人（四十九岁）：血来稍缓。犹能撑持步履。乃禀赋强健者。且能纳谷。阳明未败可验。而脉象细涩。阴伤奚疑。
北沙参（一钱半）、扁豆（一两）、参三七（一钱半）、炒麦冬（一钱）、茯神（三钱）、川石斛（三钱）
施某（二十二岁）：呛血数发。是阳气过动。诊脉已非实热。夏至一阴来复。预宜静养迎其生气。秋分后再议。
生脉六味去丹泽加阿胶秋石蜜丸。
张某：脉右弦数。左细涩。阴损。失血后久咳。食减便溏。
熟地炭、茯神、建莲、五味子、芡实、炒山药
某人（四十三岁）：失音咽痛。继而嗽血。脉来涩数。已成劳怯。幸赖能食胃强。勿见咳治咳。庶几带病延年。
细生地（三钱）、玄参心（一钱）、麦冬（一钱半）、细川石斛（三钱）、鲜莲子肉（一两）、糯稻根须（五钱）
沙某（三十六岁）：阴虚。血后痰嗽。必胃强加谷者。阴药可以效灵。形羸食少。滋腻久用。必更反胃。静养望其渐复。
熟地炭、萸肉、五味子、川石斛、茯神、芡实、建莲、山药
马某（五十六岁）：脉左坚右弱。木火易燃。营液久耗。中年春季失血嗽痰。由情志郁勃致伤。抑且少食羸。古语谓瘦人之病。虑虚其阴。
生地、阿胶、北沙参、麦冬、茯神、川石斛
某人（女）：脉左数。侧眠嗽血。
生地、阿胶、麦冬、淡菜、生白芍、炙甘草
金某（氏）：脉细。左小促。干咳有血。寒热身痛。经水先期。渐渐色淡且少。此脏阴伤及腑阳。奇脉无气。内损成劳。药难骤效。
生地、阿胶、牡蛎、炙甘草、麦冬、南枣
卢某（氏）：沉着浓浓。肝肾之血。
熟地炭、炒杞子、炒归身、牛膝炭、茯神、青铅、砂仁末
耿某（三十七岁）：久损。交节血溢。青铅六味去萸。加炒牛膝川石斛。冲热童便服。
某人：脉细弦数。阴分不足。痰中带红。肠风。春温之后。再劫津液。以致上下失血。风淫于内。宜咸寒。
生地炭、阿胶、龟胶、玄参、白芍、女贞子、茯苓、豆皮
陶某（二十二岁）：下虚。阳动失血。（阴虚阳升）六味去丹泽加阿胶淡菜。
陈某：日来寒暄不匀。烦劳阳升。咳呛。震动络血上沸。诊脉左数。五心热。知饥纳谷。议育阴和阳方法。
生地、清阿胶、天冬、麦冬、茯神、川石斛、炒牛膝、青铅、童便
陈某（五十一岁）：形瘦。脉促数。吸气如喘。痰气自下上升。此属肾虚气不收摄。失血后有此。乃劳怯难愈大症。用贞元饮。
邹某（二十一岁）：内伤惊恐。肝肾脏阴日损。阳浮。引阴血以冒上窍。二气不交。日加寒热。骨热咽干不寐。阴分虚。其热甚于夜。阿胶鸡子黄汤。
沈某：劳动阳升。血自左溢。
阿胶、参三七、甜北沙参、茯神、生白扁豆、炒麦冬
江某（二十二岁）：少壮情志未坚。阴火易动。遗精淋沥有诸。肾水既失其固。春木地气上升。遂痰中带血。入夏暨秋。胃纳不减。后天生旺颇好。不致劳怯之忧。但酒色无病宜节。有病宜绝。经年之内屏绝。必得却病。
熟地（水制）、萸肉、山药、茯神、湖莲、远志、五味子、黄柏、芡实
金樱膏丸。
陆某（十六岁）：知识太早。真阴未充。龙火易动。阴精自泄。痰吐带血。津液被烁。幸胃纳安谷。保养少动宜静。固阴和阳可痊。
熟地（水制）、萸肉、山药、茯苓、芡实、远志、五味子、牡蛎、白莲须、蜜丸。
徐某（四十二岁）：心肾精血不安。火风阳气炽。失血眩晕。心悸溺精。若过用心作劳。不能复元矣。
熟地、萸肉、山药、茯神、芡实、远志、建莲、五味子、海参胶
彭某（十七岁）：阴虚有遗。痰嗽有血。诵读久坐阳升。
桑叶、生扁豆、北沙参、麦冬、霍山石斛、生甘草、薏苡仁、茯苓
吴某（二十八岁）：失血在五年前。咳频呕哕。气自上冲逆。乃下元精血之虚。非外邪寒热之咳。痰出腥气。亦从下出。节欲勿劳力。胃壮可免劳怯。都气丸。
周某（二十七岁）：左脉弦数。失血后。咳嗽音嘶少寐。阴亏。阳升不潜之候。当滋养为主。
生地炭（三钱）、生牡蛎（五钱）、阿胶（一钱半）、麦冬（一钱半）、茯神（三钱）、川石斛（三钱）
周某（三十四岁）：屡屡失血。饮食如故。形瘦面赤。禀质木火。阴不配阳。据说服桂枝治外感。即得此恙。凡辛温气味宜戒可以无妨。六味加阿胶龟甲天冬麦冬。
孙某（二十三岁）：形瘦脉数。寸口搏指。浮阳易动上冒。都属阴精不旺。幸胃纳尚佳。数发不致困顿。然须戒酒淡欲。怡情静养。水足火不妄动。络血自必宁静矣。六味加龟甲秋石。
赵某（二十八岁）：屡遭客热伤阴。逢夏气泄吐血。下午火升咳嗽。液亏。阴火自灼。胃口尚健。安闲绝欲可安。
熟地、萸肉、龟甲、淡菜胶、五味子、山药、茯苓、建莲、蜜丸
某人：内经分上下失血。为阴络阳络。是腑络取胃。脏络论脾。今饮食甚少。柔腻姑缓。上下交病。治在中焦。其午火升烦嗽。亦因血去阴伤。以胃药从中镇补。使生气自充也。
人参、茯苓、白术、炙甘草、扁豆、白芍、山药
又诊：因触胁气闪。络血复上。过戌亥时自缓。早上诊脉。细促无神。左目珠痛。假寐喉息有音。足胫冰冷。皆血冒不已。孤阳上升。从肝肾引阳下纳法。
人参、熟地炭、炒杞子、茯神、淡菜、炒牛膝（四服）
Zhu: Chills and evening fever. Coughing causes shaking pain; the head, epigastrium, and costal bones all hurt. Previously experienced hemoptysis; constitution was originally deficient. At this time, seasonal cold and heat are uneven, mixed with pathogenic cold causing disease. The pulse at the cunkou (radial artery at the wrist) is exclusively large. Should clear and resolve upper jiao heat. Strictly prohibit warm-dispersing agents. (Pathogenic Cold)
Sangye (Folium Mori), Sugeng (Caulis Perillae), Xingren (Semen Armeniacae Amarum), Xiangbei (Bulbus Fritillariae Thunbergii), Yuzhu (Rhizoma Polygonati Odorati), Dashashen (Radix Panacis Quinquefolii)
Someone: Wind-warmth received from above, leading to hematemesis/hemoptysis. (Wind-Warmth)
Sangye (Folium Mori), Bohe (Herba Menthae), Xingren (Semen Armeniacae Amarum), Lianqiao (Fructus Forsythiae), Shigao (Gypsum Fibrosum), Sheng Gancao (Radix Glycyrrhizae Preparata)
Xu: Yin deficiency with wind-warmth, rebellious qi causing cough and blood.
Sheng Bian Dou (Semen Dolichoris Lablabis), Yuzhu (Rhizoma Polygonati Odorati), Baishashen (Radix Panacis Japonensis), Fuling (Poria), Sangye (Folium Mori), Yujin (Radix Curcumae Longae)
Gu (40 years old): Cunkou pulse beats firmly and is strong. Phlegm-blood present, able to eat. Initially due to wind-warmth cough, shaking collateral blood. Clear heart nutrient and lung defense heat.
Xiaoshengdi (Radix Rehmanniae Preparata), Heishanzhi (Fructus Gardeniae), Digupi (Cortex Lycii), Tianhuafen (Radix Trichosanthis), Danshen (Radix Salviae Miltiorrhizae), Lianqiao (Fructus Forsythiae), Zhuyexin (Folium Bambusae in Taeniis)
Wang: Right pulse large. Throat itchy and choking. Head slightly distended. This is winter-warmth invading internally, yang qi not submerging. Collateral heat, blood overflowing externally. Should regulate the returning pathogen. (Winter-Warmth)
Sangye (Folium Mori), Shanzhipi (Pericarpium Gardeniae), Lianqiao (Fructus Forsythiae), Baishashen (Radix Panacis Japonensis), Xiangbei (Bulbus Fritillariae Thunbergii), Niubangzi (Semen Arctii)
Someone: Pulse small and strong. Youthful body plump. True qi easily leaks. Monthly coughing/choking. Not external contraction. Due to winter-warmth failing to store, frequent cough shaking collaterals, phlegm with blood. Should use light flavors to harmonize upper jiao. When qi-heat clears, illness can recede.
Sangye (Folium Mori), Shanzhi (Fructus Gardeniae), Xingren (Semen Armeniacae Amarum), Yujin (Radix Curcumae Longae), Xiangbei (Bulbus Fritillariae Thunbergii), Huafen (Radix Trichosanthis), decocted with Nuomi Tang (Rice Decoction) as water substitute.
Wang (35 years old): Right pulse large. Warm pathogen shaking collaterals, coughing phlegm with blood. (Warm-Thermal Pathogen)
Sangpi (Cortex Mori Radicis), Xingren (Semen Armeniacae Amarum), Shanzhipi (Pericarpium Gardeniae), Huafen (Radix Trichosanthis), Dashashen (Radix Panacis Quinquefolii), Shigao (Gypsum Fibrosum)
Gao: Warm pathogen stagnating upward in the clear void. Red eyes, head distension. Coughing and seeing blood. This belongs to exogenous disease, no need for internal damage methods.
Lianqiao (Fructus Forsythiae), Heishanzhi (Fructus Gardeniae), Caojueming (Semen Cassiae), Sangye (Folium Mori), Bohe geng (Caulis Menthae), Heyebian (Margin Folii Nelumbinis), Kudingcha (Folium Ilicis Kudingchae), Huafen (Radix Trichosanthis). Decoct with rapid fire.
Tang (27 years old): After bleeding, throat dry and itchy, wanting to choke. Left pulse beats hard.
Yuzhu (Rhizoma Polygonati Odorati), Nan Huafen (Radix Trichosanthis), Dashashen (Radix Panacis Quinquefolii), Chuanhu (Rhizoma Dendrobii), Sangye (Folium Mori), decocted with Nuomi Yin (Rice Drink).
Gao (21 years old): Pulse small and choppy. Wants cool drinks. Heat obstruction, qi rising, blood rushing. Still discuss treating the upper.
Nen Zhuye (Young Leaf of Bambusa), Fei Huashi (Talcum), Shanzhipi (Pericarpium Gardeniae), Yujin zhi (Juice of Curcuma Longae), Xingren zhi (Juice of Apricot Seed), Xin Heye zhi (Fresh Juice of Lotus Leaf).
Someone: Spring warmth coughing phlegm. Indeed seasonal pathogen. But temperament has thickness/thinness, cannot generally use acrid dispersal. Moreover,正处于 knowledge awakening age, yin portion naturally insufficient. Leading to coughing choking and blood loss. Should use sweet-cold moistening descending to肃 (purify) Lung Metal.
Xian Pipaye (Fresh Leaf of Loquat), Tian Xingren (Sweet Apricot Seed), Nanshashen (Radix Panacis Japonensis), Chuanbei (Bulbus Fritillariae Cirrhosae), Tianshui Li (Sweet Pear), Ganshe Jiang (Sugarcane Juice).
Guo: Heat injuring yuan qi. After blood loss, coughing/reversal. Tongue red. Pulse cunkou large. (Heat)
Xian Shengdi (Fresh Radix Rehmanniae), Maidong (Radix Ophiopogonis), Yuzhu (Rhizoma Polygonati Odorati), Digupi (Cortex Lycii), Chuanhu (Rhizoma Dendrobii), Zhuyexin (Folium Bambusae in Taeniis)
Again: Heart dizziness. No hunger. Heat burning, qi rising.
Xian Shengdi (Fresh Radix Rehmanniae), Xuanshen (Radix Scrophulariae), Danshen (Radix Salviae Miltiorrhizae), Yujin zhi (Juice of Curcuma Longae), Yinhua (Flos Lonicerae), Zhuyexin (Folium Bambusae in Taeniis), Ludoupi (Testa Phaseoli Sojae)
Someone: Pulse choppy. Coughing phlegm-blood. Intermittent chills and fever. This is pathogen obstructing lung defense. (Chills/Fever郁 injuring Lung) Weijing Tang add Xingren, Tongcao.
Sun (26 years old): Exertion, qi reversal, blood chaos. Coughing out foul-smelling turbid blood. Use Qianjin Weijing Tang.
Someone: Pathogen stagnant, heat congested. Coughing vomiting pus-blood. Hoarse voice. Maxing Gan Shi Tang add Jiegeng, Yiren, Taoren, Ziwan.
Ni (27 years old): Anal ulcer suppurating though healed, yin qi already leaked. When yang qi relaxes and emits. Now adding coughing blood, much phlegm. Stomach intake less than usual. Pulse rapid and hurried. Panting/reversal, epigastric stuffiness. Temporarily clear and purify upper jiao qi portion. (Upper Jiao Qi Portion Accumulated Heat)
Suzi (Fructus Perillae), Xingren (Semen Armeniacae Amarum), Xiangchi (Semen Sinapis Albae Fermentatum), Heizhipi (Pericarpium Gardeniae), Yujin (Radix Curcumae Longae), Loupi (Pericarpium Trichosanthis), Jiangxiang (Lignum Dalbergiae Odoriferae), Jiegeng (Radix Platycodonis)
Wang (70 years old): Dawn to noon, severe coughing with phlegm-blood. Spring warmth yang floating, kidney yin not storing. Hearing cough sound heavy/turbid/unsmooth. First discuss light/clear, treat qi portion heat.
Sangye (Folium Mori), Nan Huafen (Radix Trichosanthis), Heizhipi (Pericarpium Gardeniae), Jiegeng (Radix Platycodonis), Gancao (Radix Glycyrrhizae), Juhong (Pericarpium Citri Reticulatae)
Someone: Pulse beats rapid. Tongue center gray. Coughing phlegm with blood. Frequent vomiting, collateral injury, causing blood to exit upward with hot qi. Still manage qi portion.
Sangye (Folium Mori), Huafen (Radix Trichosanthis), Yiren (Semen Coicis), Chuanbei (Bulbus Fritillariae Cirrhosae), Huangqin (Radix Scutellariae), Fuling (Poria)
Fang: Summer heat leaking qi, stomach weak, counterflow. Blood loss. (Summer-Heat)
Biandou (Semen Dolichoris Lablabis), Fuling (Poria), Shen Sanqi (Radix Notoginseng), Qiancao (Radix Rubiae Cordifoliae)
Shi: Pulse small/rapid. Tongue crimson. Throat itchy. Coughing choking blood. Due to summer heat ten days, heat entering Ying/Collaterals, shaking and overflowing. Lung disease is Hand Taiyin meridian, reverse transmission must reach Danzhong. Still treat Hand Jueyin.
Zhuyexin (Folium Bambusae in Taeniis), Shengdi (Radix Rehmanniae Preparata), Yinhua (Flos Lonicerae), Lianqiaoxin (Coris Flos Forsythiae), Xuanshen (Radix Scrophulariae), Chidoupi (Testa Phaseoli Adzuki)
Gao: Pulse rapid. Sweating, body heat. Hematemesis five days. Chest/epigastrium uncomfortable. Tongue color white. This is yin deficiency essence, summer heat invading Ying/Collaterals internally, gradually showing symptoms of intermittent malaria. Small urine glans slightly painful. Unblocking fu meridians is suitable.
Xian Shengdi (Fresh Radix Rehmanniae), Lianqiao (Fructus Forsythiae), Yujin zhi (Juice of Curcuma Longae), Huashi (Talcum), Zhuye (Folium Bambusae), Gancao shao (Apex Radix Glycyrrhizae)
Again: Qi obstruction, no hunger.
Heizhipi (Pericarpium Gardeniae), Xiangchi (Semen Sinapis Albae Fermentatum), Loupi (Pericarpium Trichosanthis), Yujin (Radix Curcumae Longae), Xingren (Semen Armeniacae Amarum), Juhong (Pericarpium Citri Reticulatae)
Wang (Lady): Entering summer choking blood, is qi leaking, yang rising. Fortunately menstruation still comes. Generally still acceptable. Recently head distension, epigastric stuffiness. Morning fatigue. This is autumn-summer heat received from above, prevent developing chills/fever.
Zhuye (Folium Bambusae), Fei Huashi (Talcum), Xingren (Semen Armeniacae Amarum), Lianqiao (Fructus Forsythiae), Huangqin (Radix Scutellariae), Heye zhi (Juice of Lotus Leaf)
Jiang: Accumulated stasis in collaterals, moving collaterals blood rebellion. Early June this year, seasonal violent heat, hot qi inhaled, first offending Lung. Qi hot, blood surging. Strongly lowering blood. Blood medicines are all dull/stagnant, while clear void hot qi still covers the empty spirit of brain marrow. Orifices blocked. Nasal obstruction/flesh decay. In/out breath all from mouth. Obviously Lung qi stagnant steaming, causing brain marrow hot steaming, fat liquid descending. Ancient said melting/consuming things none like fire. But clearing cold directly draining middle/lower, clear void disease remains. Discuss using qi portion light/yang, no need external dispersal. Focus on internal unblocking. Doctors encountering this method often overlook. (Summer-Heat郁 Lung blocking orifices)
Lianqiao (Fructus Forsythiae), Niubangzi (Semen Arctii), Tongcao (Medulla Tetrapanacis), Sangye (Folium Mori), Xian Heye zhi (Fresh Juice of Lotus Leaf), Qing Juhua Ye (Leaf of Chrysanthemi Indici)
Before taking, add Sheng Shigao powder, boil once.
Someone (23 years old): Using toxic drugs fumigating sores, fire qi forcing/shooting Lung Metal. Thus causing coughing choking phlegm-blood. Dry throat, chest stuffiness. Diagnosing pulse chi floating, lower jiao yin qi not storing. Most fear disease extending downward. Having deficiency damage risk. Temporarily use light medicine, temporarily clear upper jiao. To resolve fire qi. (Fire qi forcing Lung)
Xingren (3 qian), Ludoupi (3 qian), Donggua zi (3 qian), Yiren (3 qian), Chuanbei (1.5 qian), Dailing (0.7 fen)
Zhao (33 years old): Coughing/reversal starts left and goes up. Blood follows. First treat Shaoyang Gallbladder collateral. (Wood-Fire rising reversing disturbing Yang collateral)
Shengdi (Radix Rehmanniae Preparata), Danpi (Cortex Moutan), Zelan (Herba Leonuri), Fuling (Poria), Jiangxiang mo (Powder of Dalbergia Odorifera), Heye zhi (Juice of Lotus Leaf)
Zhang (36 years old): Eyes/ears dim/heavy, worse before noon. This belongs to Shaoyang stagnant/rising. Vomiting evil, phlegm-blood, mostly collateral heat. Treat by opening/dredging, do not give cloying/nourishing.
Sangye (Folium Mori), Danpi (Cortex Moutan), Heizhi (Fructus Gardeniae), Lianqiao (Fructus Forsythiae), Juye (Folium Chrysanthemi), Loupi (Pericarpium Trichosanthis), Chuanbei (Bulbus Fritillariae Cirrhosae), Juhong (Pericarpium Citri Reticulatae)
Dong (17 years old): Complexion dark, able to eat. Epigastrium has accumulated qi. Two autumns/winters, had choking blood. This is not deficiency damage. Due to constitution Wood-Fire, anger/frustration, Liver/Gallbladder ministerial fire disturbing Yang collateral.
Jinhu (Rhizoma Dendrobii), Shanzhi (Fructus Gardeniae), Yujin (Radix Curcumae Longae), Danshen (Radix Salviae Miltiorrhizae), Chuanbei (Bulbus Fritillariae Cirrhosae), Suzi (Fructus Perillae), Gouteng (Ramulus Uncariae cum Uncis), Fuling (Poria)
Again: Continue using clearing qi-heat, calming blood collateral formula.
Shengdi (Radix Rehmanniae Preparata), Maidong (Radix Ophiopogonis), Xuanshen (Radix Scrophulariae), Zhimu (Rhizoma Anemarrhenae), Huafen (Radix Trichosanthis), Baibu (Radix Stemona), Jiegeng (Radix Platycodonis), Chuanbei (Bulbus Fritillariae Cirrhosae), honey pills.
Yan (42 years old): Pulse rapid/choppy/small/knotted. Phlegm-blood recurring yearly. Still able to eat/socialize. This is not essence/blood deficiency weakness. Due to five emotions overacting, ministerial fire residing in Liver/Gallbladder, managing/stress stagnant/rising, all causing movement/burning. Causing collateral blood seeping upward mixing phlegm-fire. Must rest quietly for months to be safe. Otherwise Wood-Fire roasting, stomach injured reducing food, disease increases daily.
Danpi (Cortex Moutan), Bohe geng (Caulis Menthae), Juhua ye (Folium Chrysanthemi), Heizhi (Fructus Gardeniae), Dan Huangqin (Radix Scutellariae), Sheng Baishao (Radix Paeoniae Albae), Yujin (Radix Curcumae Longae), Chuanbei (Bulbus Fritillariae Cirrhosae)
Yan: Entering summer yang rising. Running fast, frightened, further making all qi rise more. Drinking wine, eating many cherries, all acrid-hot/sweet-spicy. Collateral blood boiling exiting upward. Discuss eliminating wine toxin and harmonizing yang.
Shengdi (Radix Rehmanniae Preparata), Ejiao (Colla Corii Asini), Maidong (Radix Ophiopogonis), Jiading Huafen (Radix Trichosanthis), Chuanhu (Rhizoma Dendrobii), Xiaoheidou pi (Testa Phaseoli Sojae)
Shen: Pulse left firm penetrating upward, is Liver/Kidney disease. Blood color purple, is color leaving collaterals, not long-standing stasis. Labor/summer steaming, internal yin not generating. Imitating Qiongyu intent. Still yin-soft unblocking agent. (Yin Deficiency)
Xian Shengdi (Fresh Radix Rehmanniae), Renshen (Radix Ginseng), Fuling (Poria), Hupo mo (Powder of Amber)
Zhang: Blood stopped. Pulse left large.
Tiandong (Radix Asparagi), Shengdi (Radix Rehmanniae Preparata), Renshen (Radix Ginseng), Fushen (Poria cum Radix), Zhicao (Radix Glycyrrhizae Preparata), Sheng Baishao (Radix Paeoniae Albae), Nvzhen (Fructus Ligustri Lucidi), Hanlian (Herba Ecliptae)
Gu (28 years old): Pulse left firm. Yin injured blood loss, causing cough. Fumai remove Renshen/Guizi/Jiang add Baishao.
Generally coughing blood pulse, right firm, treat in qi portion, caused by shaking stomach collateral. Should light flavor nourish stomach yin, such as Sheng Biandou, Fushen, Beishashen, Yiren etc. Left firm is Liver/Kidney yin injury, should Dihuang, Ejiao, Gouqi, Wuweizi etc. Pulse wiry hypochondriac pain, should Suzi, Taoren, Jiangxiang, Yujin etc. Basin full bowl, Ge Kejiu Huarui Shi San. Zhang Zhongjing Dahuang Huanglian Xiexin Tang. One symptom detailed clearly, from here add distinction, then clinical basis.
Zhao (41 years old): Deficiency not recovering called Sun. Food intake not filling flesh. Sleeping cannot lie on left. Encountering solar terms phlegm must have blood. Pulse left thin. Right strong/rapid. From Liver/Kidney essence/blood injury extending to qi portion. If able to reduce labor/relax, only capable of carrying illness for years. Sun disease 5-6 years, no attacking disease principle. Zang belongs yin. Discuss balancing tonifying Three Yin.
Renshen (Radix Ginseng), Shanyao (Rhizoma Dioscoreae), Shudi (Radix Rehmanniae Preparata), Tiandong (Radix Asparagi), Wuwei (Fructus Schisandrae), Nvzhen (Fructus Ligustri Lucidi)
Zhang (40 years old): Blood loss 5-6 years. Pulse deficient panting. Not moving/not hungry. Treat Middle/Lower two jiao. Hope for grain digestion essence generation. Do not allow attacking disease is superior.
Renshen (Radix Ginseng), Zhicao (Radix Glycyrrhizae Preparata), Baishao (Radix Paeoniae Albae), Fushen (Poria cum Radix), Chao Shudi (Radix Rehmanniae Preparata), Wuwei (Fructus Schisandrae)
Someone (27 years old): Labor effort blood returns. Chong qi coughing/reversal. Should use grasping/absorbing as key.
Shudi (Radix Rehmanniae Preparata, 4 qian), Shen Sanqi (Radix Notoginseng, 1 qian), Da Dancai (Mussel, 1 liang), Niuxi Tan (Radix Achyranthis Bidentatae Charred, 1.5 qian), Chuanhu (Rhizoma Dendrobii, 3 qian), Fushen (Poria cum Radix, 3 qian)
Someone (41 years old): Pulse wiry. Hypochondriac pain eased. Blood still comes.
Da Dancai (Mussel, 1 liang), Shen Sanqi (Radix Notoginseng, 1 qian), Niuxi Tan (Radix Achyranthis Bidentatae Charred, 1.5 qian), Fuling (Poria, 2 qian), Chuanhu (Rhizoma Dendrobii, 3 qian), Xiaoheidou pi (Testa Phaseoli Sojae, 3 qian)
Someone (47 years old): After blood loss. Coughing. Sore throat hoarse voice. Shaoyin already depleted. Medicine difficult to treat.
Nuodao gen xu (Radix Oryzae Sativae Glumen), Sheng Biandou (Semen Dolichoris Lablabis, 5 qian), Maidong (Radix Ophiopogonis, 3 qian), Chuanhu (Rhizoma Dendrobii, 1.5 qian), Beishashen (Radix Panacis Japonensis, 1.5 qian), Fushen (Poria cum Radix, 1.5 qian)
Morning take Duqi Wan down with light salt soup.
Someone (34 years old): Pulse deficient rapid. Blood loss. Palpitations dizziness.
Da Dancai (Mussel, 5 qian), Niuxi Tan (Radix Achyranthis Bidentatae Charred, 1.5 qian), Bai Biandou (Semen Dolichoris Lablabis, 1 liang), Bai Fuling (Poria, 3 qian), Ou jie (Rhizoma Nelumbinis Rhizomatis, 3 pieces washed), Nuodao gen xu (Radix Oryzae Sativae Glumen, 5 qian)
Someone (49 years old): Blood coming slightly slow. Still able to support walking. Constitution strong. And able to eat. Yangming not failed can verify. But pulse image fine/choppy. Yin injury doubtless.
Beishashen (Radix Panacis Japonensis, 1.5 qian), Biandou (Semen Dolichoris Lablabis, 1 liang), Shen Sanqi (Radix Notoginseng, 1.5 qian), Chao Maidong (Radix Ophiopogonis, 1 qian), Fushen (Poria cum Radix, 3 qian), Chuanhu (Rhizoma Dendrobii, 3 qian)
Shi (22 years old): Choking blood several times. Is yang qi overacting. Diagnosing pulse no longer excess heat. Summer Solstice one yin returns. Prepare to rest quietly welcome its vital qi. Discuss after Autumn Equinox.
Sheng Mai Liuwei remove Danshen/Zemu add Ejiao/Qiu Shi honey pills.
Zhang: Pulse right wiry/rapid. Left fine/choppy. Yin damage. After blood loss long cough. Food reduced loose stool.
Shudi Tan (Radix Rehmanniae Preparata Charred), Fushen (Poria cum Radix), Jianlian (Semen Nelumbinis), Wuwei (Fructus Schisandrae), Qianshi (Semen Prinos Cornuti), Chao Shanyao (Rhizoma Dioscoreae)
Someone (43 years old): Loss of voice sore throat. Then coughing blood. Pulse coming fine/rapid. Already became consumption/weakness. Fortunately rely on eating strong stomach. Do not see cough treat cough. Hopefully carry illness prolong life.
Xi Shengdi (Radix Rehmanniae Preparata, 3 qian), Xuanshen xin (Scrophulariae Radix Cor, 1 qian), Maidong (Radix Ophiopogonis, 1.5 qian), Xi Chuanhu (Rhizoma Dendrobii, 3 qian), Xian Lianzi rou (Semen Nelumbinis, 1 liang), Nuodao gen xu (Radix Oryzae Sativae Glumen, 5 qian)
Sha (36 years old): Yin deficiency. After blood phlegm cough. Must stomach strong add grain. Yin medicine can be effective. Body emaciated food little. Cloying long use, must cause regurgitation. Rest quietly hope gradual recovery.
Shudi Tan (Radix Rehmanniae Preparata Charred), Yurou (Fructus Corni), Wuwei (Fructus Schisandrae), Chuanhu (Rhizoma Dendrobii), Fushen (Poria cum Radix), Qianshi (Semen Prinos Cornuti), Jianlian (Semen Nelumbinis), Shanyao (Rhizoma Dioscoreae)
Ma (56 years old): Pulse left firm right weak. Wood-fire easily ignites. Ying fluid long consumed. Middle-aged spring blood loss phlegm cough. By emotion stagnant/rising causing injury. Also little food emaciated. Ancient saying thin person's disease, worry emptying their yin.
Shengdi (Radix Rehmanniae Preparata), Ejiao (Colla Corii Asini), Beishashen (Radix Panacis Japonensis), Maidong (Radix Ophiopogonis), Fushen (Poria cum Radix), Chuanhu (Rhizoma Dendrobii)
Someone (Female): Pulse left rapid. Side sleeping coughing blood.
Shengdi (Radix Rehmanniae Preparata), Ejiao (Colla Corii Asini), Maidong (Radix Ophiopogonis), Dancai (Mussel), Sheng Baishao (Radix Paeoniae Albae), Zhicao (Radix Glycyrrhizae Preparata)
Jin (Lady): Pulse fine. Left small hurried. Dry cough with blood. Chills fever body pain. Menstruation early. Gradually color pale and little. This zang yin injuring fu yang. Extraordinary vessels no qi. Internal damage becoming consumption. Medicine difficult sudden effect.
Shengdi (Radix Rehmanniae Preparata), Ejiao (Colla Corii Asini), Muli (Concha Ostreae), Zhicao (Radix Glycyrrhizae Preparata), Maidong (Radix Ophiopogonis), Nanzao (Fructus Jujubae)
Lu (Lady): Calm deep thick. Liver/Kidney blood.
Shudi Tan (Radix Rehmanniae Preparata Charred), Chao Qizi (Semen Cuscutae), Chao Guishen (Radix Angelicae Sinensis), Niuxi Tan (Radix Achyranthis Bidentatae Charred), Fushen (Poria cum Radix), Qingqian (Plumbum Metallicum), Sharen mo (Fructus Amomi Rotundus Powder)
Again: Follow previous formula remove Niuxiqingqian add Guiyuanrou Tiandong.
Miao (28 years old): Labor injury. After blood cough. Night fever food little. Qinggu San add Shengdi.
Geng (37 years old): Long damage. Crossing solar term blood overflow. Qingqian Liuwei remove Yurou. Add Chao Niuxi Chuanhu. Mix with hot Tongbian (Child Urine) to take.
Someone: Pulse fine/wiry/rapid. Yin portion insufficient. Phlegm with red. Changfeng (Intestinal Wind). After Spring Warmth, again劫 (rob) Jin fluid. Leading to upper/lower blood loss. Wind rampant inside. Should salty-cold.
Shengdi Tan (Radix Rehmanniae Preparata Charred), Ejiao (Colla Corii Asini), Guijiao (Colla Testudinis), Xuanshen (Radix Scrophulariae), Baishao (Radix Paeoniae Albae), Nvzhen (Fructus Ligustri Lucidi), Fuling (Poria), Doupi (Testa Phaseoli Sojae)
Tao (22 years old): Lower deficient. Yang moving blood loss. (Yin Deficiency Yang Rising) Liuwei remove Danshen Zemu add Ejiao Dancai.
Chen: Days come cold/warm uneven. Vexatious labor yang rising. Coughing choking. Shaking collateral blood boiling upward. Diagnosing pulse left rapid. Five hearts hot. Know hunger eat grain. Discuss nurturing yin harmonizing yang method.
Shengdi (Radix Rehmanniae Preparata), Qing Ejiao (Colla Corii Asini), Tiandong (Radix Asparagi), Maidong (Radix Ophiopogonis), Fushen (Poria cum Radix), Chuanhu (Rhizoma Dendrobii), Chao Niuxi (Radix Achyranthis Bidentatae), Qingqian (Plumbum Metallicum), Tongbian (Child Urine)
Chen (51 years old): Body thin. Pulse hurried rapid. Inhaling like panting. Phlegm/qi self from below rising. This belongs to Kidney deficiency qi not receiving/grasping. After blood loss having this, is consumption/weakness difficult cure great disease. Use Zhenyuan Yin.
Zou (21 years old): Internal injury fright/fear. Liver/Kidney zang yin daily damaged. Yang floating. Drawing yin blood to cover upper orifices. Two qi not intersecting. Daily adding chills/fever. Bone heat throat dry insomnia. Yin portion deficient. Its heat worse at night. Ejiao Jizihuang Tang.
Shen: Labor yang rising. Blood self from left overflowing.
Ejiao (Colla Corii Asini), Shen Sanqi (Radix Notoginseng), Tian Beishashen (Radix Panacis Japonensis), Fushen (Poria cum Radix), Sheng Bai Biandou (Semen Dolichoris Lablabis), Chao Maidong (Radix Ophiopogonis)
Jiang (22 years old): Young strength emotion not firm. Yin fire easily moves. Spermatorrhea dripping has some. Kidney water losing its solidification. Spring wood earth qi rising. Thus phlegm with blood. Entering summer/autumn. Stomach intake not reducing. Post-heaven generating prosperous good. Not causing consumption worry. But wine/color without disease should restrain. With disease should cut off. Within a year cutting off. Must get rid of disease.
Shudi (Water processed), Yurou (Fructus Corni), Shanyao (Rhizoma Dioscoreae), Fushen (Poria cum Radix), Hulu Lian (Semen Nelumbinis), Yuanzhi (Radix Polygalae), Wuwei (Fructus Schisandrae), Huangbai (Cortex Phellodendri), Qianshi (Semen Prinos Cornuti)
Jinying Gao Wan.
Lu (16 years old): Knowledge too early. True yin not filled. Dragon fire easily moves. Yin essence self leaking. Phlegm spitting with blood. Jin fluid scorched. Fortunately stomach intake grain. Maintenance less move suit quiet. Solidify yin harmonize yang can cure.
Shudi (Water processed), Yurou (Fructus Corni), Shanyao (Rhizoma Dioscoreae), Fuling (Poria), Qianshi (Semen Prinos Cornuti), Yuanzhi (Radix Polygalae), Wuwei (Fructus Schisandrae), Muli (Concha Ostreae), Bailian xu (Stamen Nelumbinis), Honey pills.
Xu (42 years old): Heart/Kidney essence/blood uneasy. Fire/Wind yang qi blazing. Blood loss dizziness. Palpitations sperm urination. If over-using mind labor. Cannot recover origin.
Shudi (Radix Rehmanniae Preparata), Yurou (Fructus Corni), Shanyao (Rhizoma Dioscoreae), Fushen (Poria cum Radix), Qianshi (Semen Prinos Cornuti), Yuanzhi (Radix Polygalae), Jianlian (Semen Nelumbinis), Wuwei (Fructus Schisandrae), Haishen Jiao (Collum Holothuriae)
Peng (17 years old): Yin deficiency with emission. Phlegm cough with blood. Reading sitting long yang rising.
Sangye (Folium Mori), Sheng Biandou (Semen Dolichoris Lablabis), Beishashen (Radix Panacis Japonensis), Maidong (Radix Ophiopogonis), Huoshan Shihu (Rhizoma Dendrobii), Sheng Gancao (Radix Glycyrrhizae), Yiren (Semen Coicis), Fuling (Poria)
Wu (28 years old): Blood loss five years ago. Cough frequent vomiting hiccup. Qi self from above counterflow. Is lower origin essence/blood deficiency. Not external pathogen chills/fever cough. Phlegm out foul smell. Also from below out. Restrict desire no labor effort. Stomach strong can avoid consumption. Duqi Wan.
Zhou (27 years old): Left pulse wiry/rapid. After blood loss. Coughing voice hoarse little sleep. Yin deficient. Yang rising not submerging sign. Should nourish as main.
Shengdi Tan (Radix Rehmanniae Preparata Charred, 3 qian), Sheng Muli (Concha Ostreae, 5 qian), Ejiao (Colla Corii Asini, 1.5 qian), Maidong (Radix Ophiopogonis, 1.5 qian), Fushen (Poria cum Radix, 3 qian), Chuanhu (Rhizoma Dendrobii, 3 qian)
Zhou (34 years old): Repeatedly blood loss. Diet as usual. Body thin face red. Constitution Wood-Fire. Yin not matching Yang. According to taking Guizhi treating external contraction. Immediately got this illness. All acrid-warm smell should avoid can be no harm. Liuwei add Ejiao Guijia Tiandong Maidong.
Sun (23 years old): Body thin pulse rapid. Cunkou beats finger. Floating yang easily moves covering upward. All belong yin essence not flourishing. Fortunately stomach intake still good. Several times not causing exhaustion. But must abstain wine reduce desire. Joy emotion rest quietly. Water sufficient fire not moving randomly. Collateral blood self must calm. Liuwei add Guijia Qiushi.
Zhao (28 years old): Frequently suffering exogenous heat injuring yin. Meeting summer qi leaking hematemesis. Afternoon fire rising coughing. Fluid deficient. Yin fire self burning. Stomach appetite still healthy. Leisure absolute desire can be safe.
Shudi (Radix Rehmanniae Preparata), Yurou (Fructus Corni), Guijia (Carapax et Plastrum Testudinis), Dancai Jiao (Collum Mytili Edulis), Wuwei (Fructus Schisandrae), Shanyao (Rhizoma Dioscoreae), Fuling (Poria), Jianlian (Semen Nelumbinis), Honey pills.
Someone: Neijing divides upper/lower blood loss. As Yin/Yang collaterals. Fu collateral takes Stomach. Zang collateral discusses Spleen. Now diet very little. Soft/cloying temporarily slow. Upper/lower inter-disease. Treat Middle Jiao. Its noon fire rising vexing cough. Also because blood gone yin injured. Use stomach medicine from middle suppress/tonify. Make vital qi self fill.
Renshen (Radix Ginseng), Fuling (Poria), Baizhu (Rhizoma Atractylodis Macrocephalae), Zhicao (Radix Glycyrrhizae Preparata), Biandou (Semen Dolichoris Lablabis), Baishao (Radix Paeoniae Albae), Shanyao (Rhizoma Dioscoreae)
Again: Because touching hypochondriac qi flash. Collateral blood returns upward. Past Xu/Hai hours self easing. Morning diagnosing pulse. Fine/hurried no spirit. Left eyeball pain. Pretend sleep throat breath has sound. Leg calves ice cold. All blood covering not stopping. Lone yang rising. From Liver/Kidney drawing yang down grasping method.
Renshen (Radix Ginseng), Shudi Tan (Radix Rehmanniae Preparata Charred), Chao Qizi (Semen Cuscutae), Fushen (Poria cum Radix), Dancai (Mussel), Chao Niuxi (Radix Achyranthis Bidentatae, 4 doses)