金 六十八岁 癸酉三月二十日 旧有痰饮，或发呕吐，仍系痰饮见证，医者不识，乃
用苦寒坚阴，无怪乎无可存之物矣。议食入则吐，是无火例。
淡吴萸（五钱） 生苡仁（六钱） 干姜（五钱） 姜汁（每次冲三匙） 半夏（八钱） 广皮（
三钱）
五水杯，煮取二杯，分二次服，渣再煮一杯，服一帖。
二十三日 前方业已见效，但脉迟紧，与通养胃阳。
淡吴萸（三钱） 生姜（五片） 苡仁（三钱） 人参（钱半） 茯苓（二钱） 半夏（三钱）
不拘帖。
恒氏 二十七岁 初因大惊，肝气厥逆，呕吐频仍。复因误补，大呕不止，呕急避人以
剪刀
自刎。渐即米粒不下，体瘦如柴，奄奄一息。仍不时干呕，四肢如冰，脉弦如丝而劲，与乌
梅丸法。
川椒炭（四钱） 黄芩炭（一钱） 姜汁（三匙，冲） 半夏（四钱） 雅连（二钱，姜汁炒）
乌梅肉（五钱） 辽参（三钱） 吴萸（三钱） 云苓块（五钱）
服二帖而进米饮，四帖而食粥，七帖全愈，后以两和肝胃到底而大安。
周 六十五岁 甲子十月二十五日 老年阳微浊聚，以致胸痹反胃，三焦之阳齐闭，难
望有成，议先通胸上清阳。
栝蒌（二钱） 薤白（三钱） 半夏（五钱） 白蜜（半酒杯） 桂枝尖（五钱） 小枳实（八分）
川朴（一钱） 茯苓（二钱） 姜汁（三小匙）
水八杯，煮取三杯，分三次服。
三十日 老年阳微浊聚，反胃胸痹，用开清阳法，业已见效，但呕痰仍多，议食入则吐
为无火例，用茱萸汤合大半夏汤。
淡吴萸（八钱，自泡） 洋参（三钱，姜汁炒） 生白蜜（一酒杯） 半夏（一两二钱） 生姜
（二两）
水八杯，煮取三杯，分三次服，渣再煮半碗服。
初三日 即于前方内加∶
茯苓块（五钱）
初十日 即于前方去吴萸，加∶
薤白（三钱）
金某，六十八岁。癸酉年三月二十日就诊。患者素有痰饮病，时常发作呕吐，此次仍表现为痰饮病的证候。但医生未能识别，反而使用苦寒药物来“坚阴”（此处指误用苦寒药试图滋阴或固涩），难怪体内阳气受损，无物可存了。根据“食入则吐”的症状，判断属于“无火”（脾胃虚寒，命门火衰）的证型。
处方：淡吴茱萸（五钱）、生薏苡仁（六钱）、干姜（五钱）、姜汁（每次冲服三匙）、半夏（八钱）、广陈皮（三钱）。
用水五杯，煎煮至两杯，分两次服用；药渣再加水煎煮一杯，一并服完一剂。
三月二十三日。前方已经见效，但脉象迟而紧，继续采用温通养胃阳的方法治疗。
处方：淡吴茱萸（三钱）、生姜（五片）、薏苡仁（三钱）、人参（一两半）、茯苓（二钱）、半夏（三钱）。不拘泥于固定剂数，随症加减。
恒氏，二十七岁。起初因受到大惊刺激，导致肝气厥逆，频繁呕吐。后来又因误用补益药物，导致剧烈呕吐不止，甚至因呕吐急迫难忍，拿剪刀自刎。逐渐发展到连米粒都咽不下，身体瘦弱如柴，气息奄奄一息。但仍不时出现干呕，四肢冰冷，脉象弦细如丝且强劲有力。采用乌梅丸的法度进行治疗。
处方：川椒炭（四钱）、黄芩炭（一钱）、姜汁（三匙，冲服）、半夏（四钱）、雅连（二钱，姜汁炒制）、乌梅肉（五钱）、辽参（三钱）、吴茱萸（三钱）、云茯苓块（五钱）。
服用两帖后开始能进米汤，四帖后能吃粥，七帖后完全痊愈。后来以调和肝胃的方法巩固疗效，最终大安。
周某，六十五岁。甲子年十月二十五日就诊。老年人阳气微弱，浊阴聚集，导致胸痹和反胃，三焦阳气全部闭塞，难以期望有良好疗效，议定先通利胸中的清阳之气。
处方：瓜蒌（二钱）、薤白（三钱）、半夏（五钱）、白蜜（半酒杯）、桂枝尖（五钱）、小枳实（八分）、厚朴（一钱）、茯苓（二钱）、姜汁（三小匙）。
用水八杯，煎煮至三杯，分三次服用。
十月三十日。老年人阳气微弱、浊阴聚集导致的反胃和胸痹，使用开宣清阳的方法，已经见效，但呕吐痰涎仍然很多。根据“食入则吐”属于“无火”的证型，采用茱萸汤合大半夏汤治疗。
处方：淡吴茱萸（八钱，自行浸泡）、西洋参（三钱，姜汁炒制）、生白蜜（一酒杯）、半夏（一两二钱）、生姜（二两）。
用水八杯，煎煮至三杯，分三次服用；药渣再加水煎煮半碗服用。
十一月初三日。即在前方基础上加入：
茯苓块（五钱）。
十一月初十日。即在前方中去掉吴茱萸，加入：
薤白（三钱）。
Jin, male, 68 years old. On the 20th day of the 3rd month in the Guiyou year. The patient had a chronic history of Phlegm-Fluid Retention (Tan Yin), with occasional episodes of vomiting. This episode still manifested as signs and symptoms of Phlegm-Fluid Retention. However, the attending physician failed to recognize this and instead used Bitter-Cold herbs to "firm the Yin" (a misapplication where bitter-cold properties damage Yang rather than nourish Yin). No wonder there was nothing left to sustain the body. Based on the symptom of "vomiting immediately after eating," it is determined to be a case of "Lack of Fire" (deficiency of Spleen-Stomach Yang and Mingmen Fire).
Prescription: Dan Wu Zhu Yu (Evodiae Fructus, lightly processed) (5 qian), Sheng Yi Yi Ren (Coicis Semen, raw) (6 qian), Gan Jiang (Zingiberis Rhizoma, dried) (5 qian), Jiang Zhi (Zingiberis Rhizoma juice, added to each dose) (3 spoons), Ban Xia (Pinelliae Rhizoma) (8 qian), Guang Pi (Citri Reticulatae Pericarpium) (3 qian).
Decoct 5 cups of water to obtain 2 cups. Take half in the morning and half in the evening. Decoct the dregs again with water to obtain 1 cup, and consume the entire first dose's liquid.
On the 23rd day. The previous prescription has already shown efficacy. However, the pulse is slow and tight. Continue with methods to unblock and warm the Stomach Yang.
Prescription: Dan Wu Zhu Yu (Evodiae Fructus, lightly processed) (3 qian), Sheng Jiang (Zingiberis Rhizoma, fresh) (5 slices), Yi Yi Ren (Coicis Semen) (3 qian), Ren Shen (Ginseng Radix et Rhizoma) (1.5 liang), Fu Ling (Poria) (2 qian), Ban Xia (Pinelliae Rhizoma) (3 qian). Do not restrict the number of doses; adjust according to symptoms.
Heng, female, 27 years old. Initially, due to severe fright, Liver Qi rebelled upward, causing frequent vomiting. Subsequently, due to incorrect use of tonifying herbs, severe continuous vomiting occurred, so intense that she attempted suicide by cutting her throat with scissors due to unbearable distress. Gradually, she could not swallow even rice grains. Her body became emaciated like firewood, and her breath was faint and weak. Nevertheless, she still experienced intermittent dry heaves. Her four limbs were ice-cold, and her pulse was wiry, fine as a thread, yet forceful. Treatment followed the method of Wu Mei Wan.
Prescription: Chuan Jiao Tan (Sichuan Pepper Charcoal) (4 qian), Huang Qin Tan (Scutellariae Radix Charcoal) (1 qian), Jiang Zhi (Zingiberis Rhizoma juice, added to dose) (3 spoons), Ban Xia (Pinelliae Rhizoma) (4 qian), Ya Lian (Coptidis Rhizoma, stir-fried with ginger juice) (2 qian), Wu Mei Rou (Mume Fructus pulp) (5 qian), Liao Shen (Ginseng Radix et Rhizoma from Liaoning) (3 qian), Wu Zhu Yu (Evodiae Fructus) (3 qian), Yun Ling Kuai (Poria chunks) (5 qian).
After taking two doses, she could consume rice soup. After four doses, she could eat congee. After seven doses, she was completely cured. Later, treatment focused on harmonizing the Liver and Stomach until full recovery and peace were achieved.
Zhou, male, 65 years old. On the 25th day of the 10th month in the Jiazi year. In elderly patients, slight Yang deficiency leads to the accumulation of turbid Yin, resulting in Chest Bi (obstruction in the chest) and Fan Wei (regurgitation/vomiting). The Yang of the Triple Burner is completely blocked. Prognosis is poor, but we propose first to unblock the clear Yang in the upper chest.
Prescription: Gua Lou (Trichosanthis Fructus) (2 qian), Xie Bai (Allii Macrostemonis Bulbus) (3 qian), Ban Xia (Pinelliae Rhizoma) (5 qian), Bai Mi (Apis Mellifera honey) (half wine cup), Gui Zhi Jian (Cinnamomi Ramulus tip) (5 qian), Xiao Zhi Shi (Aurantii Fructus Immaturus, small size) (8 fen), Chuan Po (Magnoliae Officinalis Cortex) (1 qian), Fu Ling (Poria) (2 qian), Jiang Zhi (Zingiberis Rhizoma juice) (3 small spoons).
Decoct 8 cups of water to obtain 3 cups. Take one-third three times a day.
On the 30th day. For the elderly patient with Yang deficiency and turbid Yin accumulation causing Fan Wei and Chest Bi, the method of opening and clearing Yang has already shown efficacy. However, vomiting of phlegm remains heavy. According to the principle that "vomiting after eating indicates Lack of Fire," treat with Zhu Yu Tang combined with Da Ban Xia Tang.
Prescription: Dan Wu Zhu Yu (Evodiae Fructus, lightly processed, soaked separately) (8 qian), Yang Shen (Panax quinquefolius Radix, stir-fried with ginger juice) (3 qian), Sheng Bai Mi (Raw Apis Mellifera honey) (one wine cup), Ban Xia (Pinelliae Rhizoma) (1 liang 2 qian), Sheng Jiang (Zingiberis Rhizoma, fresh) (2 liang).
Decoct 8 cups of water to obtain 3 cups. Take one-third three times a day. Decoct the dregs again with water to obtain half a bowl, and consume it.
On the 3rd day of the next month. Add to the previous prescription:
Fu Ling Kuai (Poria chunks) (5 qian).
On the 10th day of the next month. Remove Wu Zhu Yu from the previous prescription and add:
Xie Bai (Allii Macrostemonis Bulbus) (3 qian).