陶（廿四）阳升衄血。拟凉解肺胃法。
犀角 连翘 元参 细生地 炒牛膝 黑山栀 丹皮 炒黑侧柏叶
曹（廿八）鼻衄已止。面白无神。脉细音嘶。血脱恐气无所归。安得不以阳气为首务耶。
炙黑黄 炒焦白芍 炒牛膝 洋参 炙草 炒山药 茯神
周（八岁）痘后衄血。肺胃余火尚炽。
地骨皮 犀角 丹皮 川贝 生地炭 连翘 银花
戴（三三）议育阴。清气热。
熟地炭 拣麦冬 淡菜 清阿胶 淡天冬 女贞子 云茯神（二钱） 龟腹版（五钱）
戴 瘀咯初净。肺胃阴液未充。值天时燥气加临。阳易旋动。清窍不司其肃。衄血乃因复发。脉右寸关搏而疾大。
是阳明燥气鼓舞之征。议滋清益阴肃上。候裁。
原生地（四钱） 拣麦冬（一钱五分） 淮牛膝（炭） 龟腹版（酒炙，五钱） 陈阿胶（二钱） 连翘 豆皮
（一钱五分） 真川贝（去心研，二钱） 炒黑侧柏叶（一钱五分）
又 脉左和静。右动搏已减。衄血渐止。口干。望色紫滞已退。凡动皆火易就燥。议益阴潜阳。佐清阳明燥热。
原熟地（四钱） 龟腹版（五钱） 拣麦冬（一钱五分） 陈阿胶（另烊冲，二钱） 淮牛膝（一钱五分） 真川
贝（二钱） 霍石斛（一钱五分）
又
原熟地（四钱） 龟腹版（五钱） 拣麦冬（一钱五分） 阿胶（另烊冲，二钱） 淡天冬（一钱五分） 真川
贝（二钱） 川斛（一钱五分） 制洋参（一钱五分）
又
原熟地（一钱） 真川贝（二钱） 川斛（一钱五分） 陈阿胶（二钱） 建莲（二钱） 茯神（二钱） 拣麦冬
（一钱五分） 西党参（一钱五分） 九孔石决明（ 研三钱）
陶某（二十四岁）阳气上亢导致鼻出血。拟定清解肺胃热邪的治法。
犀角 连翘 玄参 细生地 炒牛膝 黑山栀 丹皮 炒黑侧柏叶
曹某（二十八岁）鼻出血已经停止。面色苍白无神。脉象细弱，声音嘶哑。血脱之后恐怕气无所依附归藏。怎么能不以固护阳气为当务之急呢？
炙黑黄芪 炒焦白芍 炒牛膝 西洋参 炙甘草 炒山药 茯神
周某（八岁）出痘疹后出现鼻出血。肺胃中的余热仍然炽盛。
地骨皮 犀角 丹皮 川贝母 生地炭 连翘 金银花
戴某（三十三岁）商议采用滋养阴液、清除气分热邪的方法。
熟地炭 拣选麦冬 淡菜 清阿胶 淡天冬 女贞子 云茯神（二钱） 龟腹版（五钱）
戴某 瘀血咯吐刚刚干净。肺胃阴液尚未充盈。正值天时燥气侵袭。阳气容易再次浮动。清窍不能行使肃降功能。鼻出血因此复发。脉象右寸关部搏动有力且疾速洪大。
这是阳明燥气鼓动激发的征象。商议采用滋润清热、益阴肃肺的方法。听候裁夺。
原生地（四钱） 拣选麦冬（一钱五分） 淮牛膝（炭） 龟腹版（酒炙，五钱） 陈阿胶（二钱） 连翘 豆皮（一钱五分） 真川贝母（去心研碎，二钱） 炒黑侧柏叶（一钱五分）
又诊 脉象左手平和安静，右手搏动有力已减轻。鼻出血逐渐停止。口干。观察面色紫滞之象已退去。凡是阳气妄动皆易化火并趋向于燥。商议采用益阴潜阳的方法。佐以清解阳明燥热。
原方熟地（四钱） 龟腹版（五钱） 拣选麦冬（一钱五分） 陈阿胶（另烊冲服，二钱） 淮牛膝（一钱五分） 真川贝母（二钱） 霍石斛（一钱五分）
又诊
原方熟地（四钱） 龟腹版（五钱） 拣选麦冬（一钱五分） 阿胶（另烊冲服，二钱） 淡天冬（一钱五分） 真川贝母（二钱） 川斛（一钱五分） 制洋参（一钱五分）
又诊
原方熟地（一钱） 真川贝母（二钱） 川斛（一钱五分） 陈阿胶（二钱） 建莲（二钱） 茯神（二钱） 拣选麦冬（一钱五分） 西党参（一钱五分） 九孔石决明（研碎三钱）
Tao (24 years old) experienced epistaxis due to the ascending of Yang Qi. A method for cooling and resolving Lung and Stomach heat was proposed.
Rhinoceros Horn (Xijiao), Forsythia Fruit (Lianqiao), Scrophularia Root (Yuanshen), Rehmannia Root prepared with wine (Xi Shengdi), Achyranthes Root stir-fried with bran (Chao Niuxi), Gardenia Fruit charred black (Hei Shanzhi), Moutan Bark (Danpi), Platycodon Leaf stir-fried and charred (Chao Hei Cebaiye).
Cao (28 years old) had his epistaxis stopped. His complexion was pale and lacked spirit. The pulse was fine, and his voice was hoarse. After blood loss, it is feared that Qi has nowhere to return to. How can preserving Yang Qi not be the primary task?
Astragalus Root stir-fried with honey and charred (Zhihei Huangqi), White Peony Root stir-fried and scorched (Chaojiao Baishao), Achyranthes Root stir-fried with bran (Chao Niuxi), American Ginseng (Yangshen), Licorice Root stir-fried with honey (Zhigancao), Yam Rhizome stir-fried (Chao Shanyao), Poria (Fushen).
Zhou (8 years old) suffered from epistaxis after smallpox. Residual fire in the Lung and Stomach remained blazing.
Bark of Ground Cherry Root (Digupi), Rhinoceros Horn (Xijiao), Moutan Bark (Danpi), Fritillaria Bulb (Chuanbei), Charred Rehmannia Root (Shengditàn), Forsythia Fruit (Lianqiao), Honeysuckle Flower (Yinhua).
Dai (33 years old) discussed nourishing Yin and clearing Qi-level heat.
Charred Prepared Rehmannia Root (Shuditan), Selected Ophiopogon Tuber (Jian Maidong), Dried Mussel (Danshai), Clear Donkey-hide Gelatin (Qing Ejiao), Light Asparagus Tuber (Dantian Dong), Privet Fruit (Nvzhenzi), Cloud Poria (Yun Fushen, 2 qian), Plastrum Testudinis (Gui Fu Ban, 5 qian).
Dai: Hemoptysis with blood stasis has just cleared. The Yin fluids of the Lung and Stomach are not yet sufficient. It coincides with the arrival of dryness in the weather. Yang Qi easily fluctuates again. The clear orifices fail to perform their descending function. Epistaxis recurs as a result. The pulse at the Right Cun and Guan positions is bounding, rapid, and large.
This is a sign of stimulation by Yangming dryness. A method of moistening, clearing, benefiting Yin, and肃 (descending/clearing) the Upper Jiao is proposed, pending review.
Raw Rehmannia Root (Yuanshengdi, 4 qian), Selected Ophiopogon Tuber (Jian Maidong, 1.5 qian), Achyranthes Root charred (Huai Niuxitan), Plastrum Testudinis stir-fried with wine (Guifuban Jiuzhi, 5 qian), Aged Donkey-hide Gelatin (Chen Ejiao, 2 qian), Forsythia Fruit (Lianqiao), Bean Peel (Doubi, 1.5 qian), True Fritillaria Bulb peeled and ground (Zhen Chuanbei Quxin Yan, 2 qian), Platycodon Leaf stir-fried and charred (Chaohei Cebaiye, 1.5 qian).
Second visit: The Left pulse is harmonious and quiet; the bounding force on the Right has decreased. Epistaxis gradually stops. Dry mouth. The purple stagnation in complexion has receded. All movements tend towards Fire which easily joins Dryness. A method of benefiting Yin and subduing Yang is proposed, assisted by clearing Yangming dryness-heat.
Original Prepared Rehmannia Root (Yuanshudi, 4 qian), Plastrum Testudinis (Guifuban, 5 qian), Selected Ophiopogon Tuber (Jian Maidong, 1.5 qian), Aged Donkey-hide Gelatin melted separately and mixed in (Chen Ejiao Lingyangchong, 2 qian), Achyranthes Root (Huai Niuxi, 1.5 qian), True Fritillaria Bulb (Zhen Chuanbei, 2 qian), Huo Starving Grass Stem (Huoshihu, 1.5 qian).
Third visit:
Original Prepared Rehmannia Root (Yuanshudi, 4 qian), Plastrum Testudinis (Guifuban, 5 qian), Selected Ophiopogon Tuber (Jian Maidong, 1.5 qian), Donkey-hide Gelatin melted separately and mixed in (Ejiao Lingyangchong, 2 qian), Light Asparagus Tuber (Dantian Dong, 1.5 qian), True Fritillaria Bulb (Zhen Chuanbei, 2 qian), Sichuan Starving Grass Stem (Chuanhu, 1.5 qian), Processed American Ginseng (Zhi Yangshen, 1.5 qian).
Fourth visit:
Original Prepared Rehmannia Root (Yuanshudi, 1 qian), True Fritillaria Bulb (Zhen Chuanbei, 2 qian), Sichuan Starving Grass Stem (Chuanhu, 1.5 qian), Aged Donkey-hide Gelatin (Chen Ejiao, 2 qian), Jian Lotus Seeds (Jianlian, 2 qian), Poria (Fushen, 2 qian), Selected Ophiopogon Tuber (Jian Maidong, 1.5 qian), Western Codonopsis Root (Xidangshen, 1.5 qian), Nine-hole Halimeda Shell ground (Jiu Kong Shijueming Yan, 3 qian).