金松根据（看菜园为业，年五十六岁，八月） 伏暑内闭治之非易。（先以乌梅擦牙，待牙
关一开即进至宝丹一颗，菖蒲汤下）
羚角片 川郁金 竹沥 鲜石菖根和冲 益元散 连翘 丹皮 石决明 车前草
牛蒡 纯嫩钩 陈胆星 小至宝丹一颗
又次日灌药后而内闭即开，神色时有不清，仍宗前法，照原方去至宝丹竹沥，加牛黄清心丸竹茹。
钱（十一岁） 烦出于心，躁出于肾，热邪深入营分，津液被夺，壮热口渴，烦躁不安，惟
恐热邪从营分逆于心主，宫城激动肝风，致有痉厥之变，脉弦滑数，治宜清解为法，冀其转机，附方候正。
元参 薄荷 纯钩 鲜竹沥 石菖汁（同冲） 牛黄清心丸 连翘 川郁金 石决明
车前草 羚角片 丹皮 京胆星 紫雪丹
喻（年十五岁，七月十日） 病经旬余，热伤营阴，暑湿热邪，深入厥阴，内热烦渴，体力
疲惫，眩晕昏黑，四支厥逆，时有潮热，肌腠曾有白 ，未得宣达，风动痉厥，慎防厥脱之变，
脉弦滑数，按之均少神韵。治宜清心涤痰兼平肝宣窍，附方请正。
台参须玫瑰花三朵同炖冲 纯嫩钩 青蒿子 竹沥 牛黄清心丸 真滁菊 石决明
真川连三分拌 川郁金 胆星 丹皮 朱茯神 薄荷
益元散（方中有胆星牛黄川连可勿用也）
又次日厥逆已平，喘汗已止，而肺津胃液已被热邪劫耗，潮热未退，大便挟热旁流，左胁痞痛拒按，神疲
支倦，不饥不纳，脉虚数近弦，苔黄糙。治宜滋清以撤余邪，还须节食避风，勿使反复，另纸录方请正。
台参须玫瑰花三朵同炖冲 东白芍 青蒿子 车前草 小青皮 连心麦冬 左牡蛎
丹皮 生谷芽 金扁石斛 淡鳖甲 纯嫩钩 朱茯神。如舌胎黄糙，遗邪尚未清净，参
麦滞腻用宜斟量，见症不饥不纳，腻补更宜加意审辨为重。
按∶上方及此方即复脉之变方也。
金姓患者（以看管菜园为职业，五十六岁，八月发病）
伏暑内闭证的治疗并非易事。（先用乌梅擦拭牙齿，待牙关开启后立即服用一颗至宝丹，用菖蒲汤送服）
羚角片、川郁金、竹沥、鲜石菖根汁（混合冲服）、益元散、连翘、丹皮、石决明、车前草、牛蒡子、纯嫩钩藤、陈胆星、小至宝丹一颗。
次日灌药后，内闭症状随即解除，但神色偶尔不清，仍遵循前法，照原方去掉至宝丹和竹沥，加入牛黄清心丸和竹茹。
钱姓患者（十一岁）
烦出自于心，躁出于于肾，热邪深入营分，津液被劫夺，出现高热口渴、烦躁不安的症状，唯恐热邪从营分逆传于心主，扰动宫城引发肝风，导致痉厥的变化，脉象弦滑数，治疗宜采用清解之法，希望病情出现转机，附上方剂请指正。
元参、薄荷、纯钩藤、鲜竹沥、石菖汁（同冲服）、牛黄清心丸、连翘、川郁金、石决明、车前草、羚角片、丹皮、京胆星、紫雪丹。
喻姓患者（十五岁，七月十日发病）
病程已逾旬余，热邪损伤营阴，暑湿热邪深入厥阴经，出现内热烦渴、体力疲惫、眩晕昏黑、四肢厥逆、时有潮热、肌腠曾有白㾦但未得宣达、风动痉厥等症状，需谨防厥脱的变化，脉象弦滑数，按之均缺乏神韵。治疗宜清心涤痰兼平肝宣窍，附上方剂请指正。
台参须与玫瑰花三朵同炖冲服、纯嫩钩藤、青蒿子、竹沥、牛黄清心丸、真滁菊、石决明、真川黄连三分拌入、川郁金、胆星、丹皮、朱茯神、薄荷。
益元散（方中已有胆星、牛黄、川连，可不用此药）。
次日四肢厥逆已平，喘汗已止，但肺津胃液已被热邪劫耗，潮热未退，大便挟热旁流，左胁痞痛拒按，神疲肢倦，不饥不纳，脉虚数近弦，苔黄糙。治疗宜滋清以撤除余邪，还需节食避风，勿使反复，另纸录下方剂请指正。
台参须与玫瑰花三朵同炖冲服、东白芍、青蒿子、车前草、小青皮、连心麦冬、左牡蛎、丹皮、生谷芽、金扁石斛、淡鳖甲、纯嫩钩藤、朱茯神。如果舌苔黄糙，说明遗邪尚未清净，参麦类滞腻药物用量宜斟酌；见到症见不饥不纳，更应仔细审辨是否适宜使用腻补之品。
按语：上方及此方即为复脉汤的变方。
Patient Jin (Occupation: vegetable garden keeper, age 56, onset in August)
The treatment of Summerheat-Turbidity Internal Closure (Fushu Neibi) is not easy. (First, rub the teeth with a sour plum [Wumei], and once the jaw opens, immediately administer one pill of Zhibao Dan [Precious Treasure Pill], taken down with Shichangpu Decoction.)
Lingjiao Pian (Antelope Horn Slice), Chuan Yujin (Curcuma Aromatica Rhizome), Zhuli (Bamboo Sap), Xian Shichanggen Hechong (Fresh Acorus Tatarinowii Root Juice, mixed and taken orally), Yi Yuan San (Benefit the Origin Powder), Lianqiao (Forsythia Fruit), Danpi (Moutan Cortex), Shijueming (Haliotidis Shell), Cheqiancao (Plantago Herb), Niubangzi (Arctii Fructus), Chun Nen Gouteng (Uncaria Rhynchophylla Tender Branch), Chen Danning (Arisaema Cum Bile Old Preparation), Xiaozhibao Dan One Pill (Small Precious Treasure Pill).
On the following day, after administering the medicine, the internal closure was immediately resolved, but the mental state was occasionally unclear. The previous method was still followed; the original prescription was used minus Zhibao Dan and Zhuli, plus Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill) and Zhuru (Bamboo Sap).
Patient Qian (Age 11)
Vexation originates from the Heart, restlessness originates from the Kidney. The pathogenic heat has deeply entered the Ying (Nutrient) Level, and body fluids have been depleted. Symptoms include high fever, thirst, and restlessness. There is fear that the pathogenic heat may reverse from the Ying Level to the Heart Master, agitating the Palace City and stirring up Liver Wind, leading to convulsions and syncope. The pulse is wiry, slippery, and rapid. The treatment should employ clearing and resolving methods, hoping for a turning point in the condition. Attached is the formula for correction.
Xuanshen (Scrophulariae Radix), Bohe (Menthae Haplocalycis Herba), Chun Gouteng (Uncaria Rhynchophylla Tender Branch), Xian Zhuli (Fresh Bamboo Sap), Shichangzhi Tongchong (Acori Tatarinowii Rhizoma Juice, mixed and taken orally), Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill), Lianqiao (Forsythiae Fructum), Chuan Yujin (Curcumae Rhizoma), Shijueming (Haliotidis Shell), Cheqiancao (Plantaginis Herba), Lingjiao Pian (Saigae Tataricae Cornu), Danpi (Moutan Cortex), Jing Danning (Arisaema Cum Bile), Zixue Dan (Purple Snow Pill).
Patient Yu (Age 15, onset on July 10th)
The disease has lasted for more than ten days. Heat has injured the Ying Yin. Summerheat-Damp-Heat pathogens have deeply entered the Jueyin Channel. Symptoms include internal heat, vexation, thirst, physical fatigue, dizziness, darkness of vision, coldness of the four limbs, occasional tidal fever, white papules (Baipi) on the skin that were not successfully vented, wind-stirring convulsions, and caution is needed against collapse. The pulse is wiry, slippery, and rapid, lacking spirit upon palpation. The treatment should clear the Heart, wash away phlegm, calm the Liver, and open orifices. Attached is the formula for correction.
Taishenxu with three Rose Flowers stewed together and taken orally (Tai Shen Xu Meihua Tongdun Chong), Chun Nen Gouteng (Uncaria Rhynchophylla Tender Branch), Qinghaozi (Artemisiae Annuae Herba), Zhuli (Bamboo Sap), Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill), Zhen Chuju (Chrysanthemi Flos), Shijueming (Haliotidis Shell), Zhen Chuanlian Banban (Coptidis Rhizoma, mixed with 3 fen), Chuan Yujin (Curcumae Rhizoma), Danning (Arisaema Cum Bile), Danpi (Moutan Cortex), Zhu Fushen (Poria Cocos with Sclerotium dyed red), Bohe (Menthae Haplocalycis Herba).
Yi Yuan San (Note: Since the formula already contains Danning, Niuhuang, and Chuanlian, this powder is not needed).
On the following day, coldness of the limbs had subsided, and wheezing and sweating had stopped. However, Lung fluids and Stomach yin had been consumed by heat. Tidal fever persisted, stool flowed freely with heat, left hypochondriac fullness and pain with tenderness, mental fatigue, limb weakness, lack of appetite and intake. The pulse was deficient, rapid, approaching wiry, and the coating was yellow and rough. The treatment should nourish and clear to eliminate residual pathogens. Dietary control and avoidance of wind are necessary to prevent recurrence. Another formula is recorded separately for correction.
Tai Shen Xu with three Rose Flowers stewed together and taken orally (Tai Shen Xu Meihua Tongdun Chong), Dong Baishao (Paeoniae Radix Alba), Qinghaozi (Artemisiae Annuae Herba), Cheqiancao (Plantaginis Herba), Xiao Qingpi (Citri Reticulatae Pericarpium Viride), Lianxin Maidong (Ophiopogonis Radix with heart), Zuo Muli (Ostreae Concha), Danpi (Moutan Cortex), Sheng Guya (Hordei Fructus Germinatus), Jin Bian Shihu (Dendrobii Nobile Caulis), Dan Biejia (Trionycis Carapax), Chun Nen Gouteng (Uncaria Rhynchophylla Tender Branch), Zhu Fushen (Poria Cocos with Sclerotium dyed red). If the tongue coating is yellow and rough, indicating residual pathogens are not yet cleared, the use of cloying and greasy tonics like Renshen and Maidong should be weighed carefully. Regarding symptoms of lack of appetite and intake, extra care must be taken to discern whether greasy tonification is appropriate.
Commentary: The above formulas and this formula are variations of Fumai Tang (Restore the Pulse Decoction).