僧（五二） 近日风温上受。寸口脉独大。肺受热灼。声出不扬。先与辛凉清上。当薄味调
养旬日。（风温伤肺）
牛蒡子 薄荷 象贝母 杏仁 冬桑叶 大沙参 南花粉 黑山栀皮
杨 脉左实大。头目如蒙。清窍不爽。此风温仍在上焦。拟升降法。
干荷叶 薄荷 象贝 连翘 钩藤 生石膏末
某 风温从上而入。风属阳。温化热。上焦近肺。肺气不得舒转。周行气阻。致身痛。脘闷。不饥。宜
微苦以清降。微辛以宣通。医谓六经。辄投羌防。泄阳气。劫胃汁。温邪忌汗。何遽忘之。
杏仁 香豉 郁金 山栀 栝蒌皮 蜜炒橘红
叶 风温入肺。肺气不通。热渐内郁。如舌苔。头胀咳嗽。发疹。心中懊 。脘中痞满。犹是气不舒
展。邪欲结痹。宿有痰饮。不欲饮水。议栀豉合凉膈方法。
出栀皮 豆豉 杏仁 黄芩 栝蒌皮 枳实汁
郭 风温入肺。气不肯降。形寒内热。胸痞。皆 郁之象。辛凉佐以微苦。手太阴主治。
黑山栀 香豉 杏仁 桑叶 栝蒌皮 郁金
秦（六三） 体质血虚。风温上受。滋清不应。气分燥也。议清其上。（风温化燥热）
石膏 生甘草 薄荷 桑叶 杏仁 连翘
又 照前方去连翘薄荷加陈蒌皮郁金栀皮
某 风火上郁。耳后结核。目眶痛。（少阳风火）
薄荷 牛蒡子 前胡 象贝 连翘 黑栀皮 赤芍 生甘草
某 风温热伏。更劫其阴。日轻夜重。烦扰不宁。（风温伤阴）
生地 阿胶 麦冬 白芍 炙草 蔗浆
马（三五） 风温热灼之后。津液未复。阳明脉络不旺。骨酸背楚。治以和补。
生黄 鲜生地 北沙参 玉竹 麦冬 归身 蜜丸
某 阴虚风湿。气从左升。桂枝汤加花粉杏仁。
风为天之阳气。温乃化热之邪。两阳熏灼。先伤上焦。种种变幻情状。不外手三阴为病薮。
头胀汗出。身热咳嗽。必然并见。当与辛凉轻剂。清解为先。大忌辛温消散。劫烁清津。太阴
无肃化之权。救逆则有蔗汁庐根玉竹门冬之类也。苦寒沉降。损伤胃口。阳明顿失循序
之司。救逆则有复脉建中之类。大凡此症。骤变则为痉厥。缓变则为虚劳。则主治之方。总
以甘药为要。或兼寒或兼温。在人通变可也。（邵新甫）
僧人（五十二岁）：近日感受风温邪气，病位在上焦。寸口脉象独大。肺受热邪灼伤，声音出不响亮。先用辛凉药物清解上焦热邪。应当用清淡饮食调养十天。（风温损伤肺脏）
牛蒡子、薄荷、象贝母、杏仁、冬桑叶、大沙参、南花粉、黑山栀皮
杨姓患者：脉象左侧实大。头部和眼睛感觉像被蒙住一样。清窍不通畅。这是风温邪气仍在上焦。拟定升降气机的治法。
干荷叶、薄荷、象贝、连翘、钩藤、生石膏末
某患者：风温邪气从上而入。风属阳邪，温邪易化热。病位在上焦，靠近肺脏，肺气不能舒展运转，周身气机阻滞，导致身体疼痛、胃脘部闷胀、没有食欲。适宜用微苦的药物以清热降逆，微辛的药物以宣通肺气。医生却说是六经辨证，就投用羌活、防风等药，耗泄阳气，劫夺胃中津液。温邪禁忌发汗，为何这么快就忘记了？
杏仁、香豉、郁金、山栀、栝蒌皮、蜜炒橘红
叶姓患者：风温邪气入肺，肺气不通畅，热邪逐渐内郁。出现舌苔变化、头胀、咳嗽、发疹、心中烦闷懊恼、胃脘部痞满等症状。这仍然是气机不舒展，邪气欲结聚成痹证。患者素来有痰饮，不想喝水。议定使用栀子豉汤合凉膈散的方义。
去壳栀子皮、豆豉、杏仁、黄芩、栝蒌皮、枳实汁
郭姓患者：风温邪气入肺，气机不肯下降，形体怕冷而内部发热，胸脘痞闷，都是气机郁滞的表现。用辛凉药物佐以微苦之品，主治手太阴肺经。
黑山栀、香豉、杏仁、桑叶、栝蒌皮、郁金
秦姓患者（六十三岁）：体质血虚，风温邪气从上受入。滋阴清热的方法无效，是因为气分干燥。议定清解上焦。（风温化为燥热）
石膏、生甘草、薄荷、桑叶、杏仁、连翘
某患者：风火邪气郁结于上，耳后出现结核肿块，眼眶疼痛。（少阳风火）
薄荷、牛蒡子、前胡、象贝、连翘、黑栀皮、赤芍、生甘草
某患者：风温热邪潜伏体内，进一步劫伤阴液，症状白天轻晚上重，烦躁不安，心神不宁。（风温损伤阴液）
生地、阿胶、麦冬、白芍、炙草、蔗浆
马姓患者（三十五岁）：风温热邪灼伤之后，津液尚未恢复，阳明脉络不旺盛，骨骼酸痛，背部楚痛。治疗采用调和补益的方法。
生黄芪、鲜生地、北沙参、玉竹、麦冬、当归身、蜜丸
风是天的阳气，温是化热的邪气。两阳熏灼，首先损伤上焦。种种变幻的情状，不外乎是手三阴经成为病变的根源。
头胀、出汗、身热、咳嗽，必然同时出现。应当给予辛凉轻剂，以清解为先。最忌用辛温发散药物，劫烁清津。如果太阴肺失去肃降化的功能，救逆则需用蔗汁、芦根、玉竹、门冬之类。苦寒沉降的药物会损伤胃口，使阳明失去循序渐进的司职功能，救逆则需用复脉汤、建中汤之类。大凡这种病症，急骤变化则为痉厥，缓慢变化则为虚劳。所以主治的方剂，总以甘药为关键。或者兼寒或者兼温，在于医者灵活变通即可。（邵新甫评注）
Monk (52 years old): Recently contracted Wind-Warmth (Fengwen, wind-heat pathogen) affecting the upper jiao. The Cun position of the pulse is exclusively large. The Lung is scorched by Heat, resulting in a hoarse voice. Initially administer acrid-cool herbs to clear the upper jiao. Regulate and nourish with a light diet for ten days. (Wind-Warmth injuring the Lung)
Babaozi (Fructus Armeniacae Amarum), Bohe (Menthae Haplocalycis Herba), Xiangbeimu (Fritillariae Thunbergii Bulbus), Xingren (Armeniacae Semen), Dong Sangye (Mori Folium), Dashashen (Glehniae Radix), Nan Huafen (Trichosanthis Radix), Hei Shanzhipi (Gardeniae Pericarpium).
Mr. Yang: The left pulse is solid and large. The head and eyes feel as if covered or obscured. The clear orifices are not unobstructed. This indicates Wind-Warmth remains in the upper jiao. Propose a method to regulate ascending and descending qi.
Gan Heye (Nelumbinis Folium), Bohe (Menthae Haplocalycis Herba), Xiangbei (Fritillariae Thunbergii Bulbus), Lianqiao (Forsythiae Fructum), Gouteng (Uncariae Ramulus cum Uncis), Sheng Shigaomo (Gypsum Fibrosum).
Certain patient: Wind-Warmth enters from above. Wind belongs to Yang; Warmth transforms into Heat. The location is near the Lung in the upper jiao. Lung Qi cannot circulate freely, causing obstruction in the circulation of Qi throughout the body, leading to body pain, epigastric fullness, and lack of appetite. It is appropriate to use slightly bitter herbs to clear and descend, and slightly acrid herbs to diffuse and unblock. The physician attributed this to the Six Channels and administered Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix), which deplete Yang Qi and seize Stomach fluids. Warm pathogens contraindicate sweating; why was this forgotten so quickly?
Xingren (Armeniacae Semen), Xiangchi (Sojae Preparata), Yujin (Curcumae Radix), Shanzhi (Gardeniae Fructus), Gualoupi (Trichosanthis Pericarpium), Mi Chao Juhong (Citri Reticulatae Pericarpium).
Mr. Ye: Wind-Warmth entered the Lung. Lung Qi is not unobstructed, and Heat gradually stagnates internally. Symptoms include tongue coating changes, head distension, cough, skin eruption, mental restlessness (Ao Nu), and epigastric痞满 (fullness). This is still due to Qi failing to expand smoothly, with pathogens attempting to bind and obstruct. The patient has chronic Phlegm-Fluids and does not desire water. Propose using the formula principle of Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) combined with Liangge San (Cooling the Diaphragm Powder).
Chuzhi Pi (Gardeniae Pericarpium), Douchi (Sojae Preparata), Xingren (Armeniacae Semen), Huangqin (Scutellariae Radix), Gualoupi (Trichosanthis Pericarpium), Zhishi Zhi (Aurantii Fructus Immaturus Juice).
Mr. Guo: Wind-Warmth entered the Lung. Qi refuses to descend. The body feels cold while internal heat exists, along with chest fullness. These are all signs of Qi stagnation. Use acrid-cool herbs assisted by slightly bitter ones, targeting the Hand-Taiyin Lung Meridian.
Hei Shanzhi (Gardeniae Fructus), Xiangchi (Sojae Preparata), Xingren (Armeniacae Semen), Sangye (Mori Folium), Gualoupi (Trichosanthis Pericarpium), Yujin (Curcumae Radix).
Mr. Qin (63 years old): Constitutionally deficient in Blood. Wind-Warmth was contracted from above. Nourishing and clearing methods were ineffective because the Qi level is dry. Propose clearing the upper jiao. (Wind-Warmth transforming into Dryness-Heat)
Shigao (Gypsum Fibrosum), Sheng Gancao (Glycyrrhizae Radix et Rhizoma), Bohe (Menthae Haplocalycis Herba), Sangye (Mori Folium), Xingren (Armeniacae Semen), Lianqiao (Forsythiae Fructum).
Second visit: Follow the previous prescription, remove Lianqiao (Forsythiae Fructum) and Bohe (Menthae Haplocalycis Herba); add Chen Loupi (Trichosanthis Pericarpium), Yujin (Curcumae Radix), and Zhipi (Gardeniae Pericarpium).
Certain patient: Wind-Fire pathogens stagnate upward, causing tubercles behind the ears and orbital pain. (Shaoyang Wind-Fire)
Bohe (Menthae Haplocalycis Herba), Niubangzi (Arctii Fructus), Qianhu (Peucedani Radix), Xiangbei (Fritillariae Thunbergii Bulbus), Lianqiao (Forsythiae Fructum), Hei Zhipi (Gardeniae Pericarpium), Chishao (Paeoniae Radix Rubra), Sheng Gancao (Glycyrrhizae Radix et Rhizoma).
Certain patient: Wind-Warmth-Heat lies latent, further seizing Yin. Symptoms are lighter during the day and heavier at night, with restlessness and agitation. (Wind-Warmth injuring Yin)
Shengdi (Rehmanniae Radix), Ejiao (Asini Corii Colla), Maidong (Ophiopogonis Radix), Baishao (Paeoniae Radix Alba), Zhicao (Glycyrrhizae Radix et Rhizoma preparata), Zhejiang (Saccharum Indicum).
Mr. Ma (35 years old): After being scorched by Wind-Warmth-Heat, body fluids have not yet recovered. the Maiyang (Yangming) meridians are weak. There is bone soreness and back discomfort. Treat with harmonizing and tonifying methods.
Sheng Huangqi (Astragali Radix), Xian Shengdi (Rehmanniae Radix recens), Beishashen (Glehniae Radix), Yuzhu (Polygonati Odorati Rhizoma), Maidong (Ophiopogonis Radix), Guishen (Angelicae Sinensis Radix), Honey pills.
Certain patient: Yin deficiency with Damp-Wind. Qi ascends from the left. Use Guizhi Tang (Cinnamon Twig Decoction) plus Huafen (Trichosanthis Radix) and Xingren (Armeniacae Semen).
Wind is the Yang Qi of Heaven; Warmth is the pathogen that transforms into Heat. The two Yangs scorch and burn, first injuring the Upper Jiao. All varying manifestations do not exceed the Hand-Taiyin (Lung), Hand-Shaoyin (Heart), and Hand-Jueyin (Pericardium) meridians as the source of disease.
Head distension, sweating, body heat, and cough must appear together. Administer a mild acrid-cool agent, prioritizing clearing and resolving. Strictly avoid acrid-warm dispersants that seize and consume clear fluids. If the Taiyin Lung loses its function of descent and transformation, rescue measures require Saccharum Indicum, Ludgen (Phragmitis Rhizoma), Yuzhu (Polygonati Odorati Rhizoma), and Maidong (Ophiopogonis Radix). Bitter-cold sinking agents damage the Stomach appetite, causing the Yangming to lose its orderly governance; rescue measures require Fumai Tang (Restore the Pulse Decoction) or Jianzhong Tang (Establish the Middle Decoction). Generally, this disease, if changing rapidly, becomes Spasm and Convulsion (Jingjue); if changing slowly, it becomes Deficiency Consumption (Xulao). Therefore, the governing formulas always prioritize Sweet Herbs. Whether combining Cold or Warmth depends on the practitioner's flexibility. (Commentary by Shao Xinpu)