王氏 五十六岁 癸亥三月初八日 初起喉痹，为快利药所伤，致成肺痈。胸中痛，口
中燥
，喉痹仍未痊，不食不寐。痰气腥臭。已有成脓之象。脉短而数，寒热，且移热于大肠而泄
泻，难愈之证。勉与急急开提肺气，议千金苇茎汤，与甘桔合法。
桔梗（二两） 甘草（一两） 桃仁（五钱） 冬瓜仁（五钱） 苡仁（一两） 鲜苇根（四两）
水八碗，煮三碗，二煎再煎一碗，分四次服。
堂伯兄 饮火酒，坐热炕，昼夜不寐，喜出汗。误服枇杷叶麻黄等利肺药，致伤津液，
遂成肺痈，臭不可当，日吐脓二升许。用千金苇茎汤，合甘桔汤。
芦根（八两） 苡仁（二两） 桃仁（两半） 冬瓜仁（两半） 桔梗（三两） 生甘草（一两）
煎成两大菜碗，昼夜服过碗半，脓去十之七八，尽剂脓去八九，又服半剂，毫无臭气，
调理脾胃收功。
朱咏齐 五十余岁 以己卯年二月初受风，与桂枝汤一帖，风解，胆怯不敢去浓衣，
因而汗
多。初四五日又受风温，口渴思凉，脉洪数。先与辛凉轻剂不解，脉又大，汗更多，口更渴
，身更热。因与辛寒重剂石膏等一帖，身凉渴止脉静，仍胆怯不去浓衣。初十日当大差坐夜
起五更，衣更浓，途间不敢去皮衣，以致重亡津液而成肺痈，与苇茎汤二三两一帖。服至五
七日不应，脓成臭极，加苦苈葶子五钱，脓始退，未能十分净尽。后十日又发，脓又成，吐
如绿豆汁浓臭，每吐一碗余。又于前方加葶苈三钱，服二帖方平复，以补胃逐痰饮收功。再
其人色白体肥，夙有痰饮，未病之年前秋冬两季，以在上书房行走，早起恐寒，误服俗传药
酒方，本不嗜酒，每早强饮数小杯，次年患此恙之由也。
王氏，五十六岁。癸亥年三月初八日就诊。起初患喉痹（咽喉肿痛闭塞之病），因服用通利泻下的药物而受损，导致形成肺痈（肺部发生痈脓的病证）。胸部疼痛，口中干燥，喉痹仍未痊愈，不能进食也无法入睡。痰液气息腥臭，已有化脓的迹象。脉象短促且数，伴有寒热往来，并且热邪移注于大肠导致泄泻，属于难以治愈的证候。勉强采用紧急提升肺气的方法，拟定使用千金苇茎汤，并与甘桔汤合并使用。
桔梗（二两） 甘草（一两） 桃仁（五钱） 冬瓜仁（五钱） 薏苡仁（一两） 鲜苇根（四两）
用水八碗，煮取三碗，第二次煎煮再取一碗药汁，分四次服用。
堂伯兄，饮用火酒（烈性白酒），坐在热炕上，昼夜无法入睡，喜欢出汗。误服枇杷叶、麻黄等宣利肺气的药物，导致津液受伤，于是形成肺痈，气味恶臭难忍，每天呕吐脓液约两升。使用千金苇茎汤，合用甘桔汤。
芦根（八两） 薏苡仁（二两） 桃仁（一两半） 冬瓜仁（一两半） 桔梗（三两） 生甘草（一两）
煎成两大菜碗的药汁，昼夜服用超过一碗半后，脓液排出十分之七八；全部服完后，脓液排出十分之八九；又服用半剂，完全没有了臭味，最后通过调理脾胃以收功。
朱咏齐，五十多岁。在己卯年二月初感受风邪，给予桂枝汤一帖，风邪解除，但胆怯不敢脱去厚衣服，因而汗出过多。初四五日再次感受风温，口渴想喝凉水，脉象洪大且数。先给予辛凉轻剂治疗但未见效，脉象更大，汗更多，口更渴，身体更热。因此给予辛寒重剂如石膏等一帖，身体变凉，口渴停止，脉象平静，但仍胆怯不敢脱去厚衣服。初十日病情应当好转，夜间起床至五更天时，穿的衣服更厚，途中不敢脱下皮衣，以致严重耗伤津液而形成肺痈，给予苇茎汤二三两为一帖。服用至五七日未见效果，脓已成且气味极臭，加入苦葶苈子五钱，脓液才开始消退，但未能完全排尽。十日后又复发，脓液又生成，呕吐物像绿豆汁一样浓稠且恶臭，每次呕吐一碗多。又在前方中加入葶苈子三钱，服用两帖后才平复，最后以补益胃气、驱逐痰饮来收功。另外，此人肤色白、体型肥胖，素来有痰饮宿疾。在未发病的前一年秋冬两季，因为在上书房任职，早起怕冷，误服民间流传的药酒方，本来不嗜酒，却每天早晨强行饮用几小杯，这是次年患此病的缘由。
Wang, aged fifty-six. On the eighth day of the third month in the Guihai year, he initially suffered from Hou Bi (sore throat with swelling and obstruction). Injury caused by purgative medicines led to the formation of Fei Yong (lung abscess). He experienced chest pain, dryness in the mouth, and the sore throat had not yet healed; he was unable to eat or sleep. The sputum had a fishy and foul odor, indicating that pus had already formed. The pulse was short and rapid, accompanied by alternating chills and fever. Heat transferred to the Large Intestine causing diarrhea, making it a difficult-to-cure syndrome. Reluctantly, an urgent method to lift Lung Qi was adopted. It was proposed to use Qianjin Weijing Tang (Decoction for the Thousand Gold Standard) combined with Ganjie Tang (Licorice and Platycodon Decoction).
Jiegeng (Platycodon Root, 2 liang), Gancao (Licorice Root, 1 liang), Taoren (Peach Seed, 5 qian), Dongguaren (Winter Melon Seed, 5 qian), Yiren (Coix Seed, 1 liang), Xianweigen (Fresh Reed Rhizome, 4 liang).
Boil in eight bowls of water until three bowls remain. A second decoction yields one bowl. Divide into four doses for administration.
My cousin on the father's side drank strong liquor and sat on a heated kang bed, suffering from insomnia day and night and prone to sweating. Mistakenly taking Luoliye (Loquat Leaf) and Mahuang (Ephedra) etc., which promote lung function, damaged his body fluids, leading to Fei Yong (lung abscess). The odor was unbearable, and he vomited approximately two sheng of pus daily. Treated with Qianjin Weijing Tang (Decoction for the Thousand Gold Standard) combined with Ganjie Tang (Licorice and Platycodon Decoction).
Lugen (Reed Rhizome, 8 liang), Yiren (Coix Seed, 2 liang), Taoren (Peach Seed, 1.5 liang), Dongguaren (Winter Melon Seed, 1.5 liang), Jiegeng (Platycodon Root, 3 liang), Sheng Gancao (Raw Licorice Root, 1 liang).
Decocted into two large tea bowls. Consuming more than one and a half bowls over day and night resulted in the discharge of seventy to eighty percent of the pus. After finishing the entire dose, eighty to ninety percent of the pus was discharged. Taking another half dose eliminated all foul odor. The case was concluded by regulating the Spleen and Stomach.
Zhu Yongqi, over fifty years old. In early February of the Jimao year, he contracted Wind. One dose of Guizhi Tang (Cinnamon Twig Decoction) resolved the wind pathogen, but he became timid and afraid to remove thick clothing, resulting in excessive sweating. On the fourth or fifth day, he contracted Wind-Warmth again. He felt thirsty for cool liquids, and his pulse was surging and rapid. Initially treated with a mild acrid-cool formula without effect; the pulse became larger, sweating increased, thirst worsened, and body heat intensified. Therefore, a heavy acrid-cold formula containing Shigao (Gypsum Fibrosum) was given. His body cooled, thirst stopped, and the pulse calmed, yet he remained timid and kept thick clothes on. On the tenth day, when the condition should have improved significantly, upon waking at dawn (wugeng time), he wore even thicker clothes and dared not remove his fur coat during travel, leading to severe depletion of body fluids and the formation of Fei Yong (lung abscess). He was prescribed Weijing Tang (Reed Rhizome Decoction), two to three liang per dose. After five to seven days of administration, there was no response; pus had formed with extreme foulness. Wuli (Perilla Fruit) and Tinglizi (Descurainia Seed) were added, five qian each. Pus began to recede but did not completely clear. Ten days later, it relapsed; pus reformed, and he vomited fluid resembling mung bean soup, thick and foul, exceeding one bowl per episode. Tinglizi (Descurainia Seed) was added, three qian, to the previous formula. After two doses, he stabilized. The case was concluded by tonifying the Stomach and expelling phlegm-fluid retention. Furthermore, this person had white skin and a fat physique, with a history of phlegm-fluid retention. In the autumn and winter of the year prior to illness, while serving in the Imperial Study, fearing cold in the morning, he mistakenly consumed folk medicinal wine recipes. Although he did not normally drink alcohol, he forced himself to drink several small cups every morning. This was the cause of his illness the following year.