九德侄，耳鸣，气筑筑然闭而不通，鼻塞不利，口不知味，痰多而膈热不清，脉左浮而
弦大，
右滑大，俱数。《内经》云∶头痛耳鸣，九窍不利，肠胃之所生也。此由胃中痰火上壅，热
极生风，乃以蔓荆子、升麻、木通、赤茯苓、桑白皮、麦门冬、生地黄、前胡、甘菊花、赤
芍药、甘草、石膏，生姜三片，枣子一枚，水煎饮之四帖，左弦虽减半，而症尚如前。再用
甘
菊花、橘红、半夏曲、茯苓、甘草、知母、白芍药、酒芩、麻黄、石膏、桑白皮、桔梗加姜
枣，又四帖而诸症悉平。后以六君子加酒连、柴胡、川芎、白芍、麦门冬、升麻两帖，饮食
亦甘味矣。
陈觉宇丈，常山县人也。年四十有三，体肥患痰火，十年多矣。每月必一发，或劳心过
度则
二发，吐痰身热，吼喘，饮食不进，不能倒头而睡，合目则乱语，面赤头痛，遍身痰气走动
，牵扯作痛，必俟吐出痰后则耳始不鸣，目始不泪。素服风痰药南星、半夏之类不效，后服
参也仅止四五个月。诊其脉两寸洪滑，两尺沉微，殆上盛下虚之候，法当清上补下。以橘
红、贝母、茯苓、甘草、桔梗、杏仁、前胡、钩藤、天麻、酒芩、枳壳水煎服之，夜进七制
化痰丸，再以八味丸加人参、麦门冬、五味子、空心服之，半年而瘳。
九德的侄子，出现耳鸣症状，气机在体内冲撞阻塞而不通畅，鼻塞不畅，口中味觉迟钝，痰多且胸膈间有热感不清爽。脉象左侧浮取弦大，右侧滑大，均呈数象。《内经》说：“头痛、耳鸣，九窍不利，是肠胃功能失调所致。”此病由胃中痰火上壅，热极生风引起。于是使用蔓荆子、升麻、木通、赤茯苓、桑白皮、麦门冬、生地黄、前胡、甘菊花、赤芍药、甘草，加生姜三片、大枣一枚，水煎服，连服四帖后，左侧脉象虽减半，但症状仍如先前。再次使用甘菊花、橘红、半夏曲、茯苓、甘草、知母、白芍药、酒黄芩、麻黄、石膏、桑白皮、桔梗，加姜枣，又服四帖，所有症状完全平息。随后使用六君子汤加酒黄连、柴胡、川芎、白芍、麦门冬、升麻，服两帖，饮食也恢复了甘甜滋味。
陈觉宇先生，是常山县人。年龄四十三岁，身体肥胖，患有痰火症，已有十年之久。每月必发作一次，若劳心过度则发作两次，吐痰、身热、吼喘，饮食不进，不能仰卧入睡，闭眼则胡言乱语，面赤头痛，全身痰气游走，牵扯作痛，必须等到吐出痰后，耳朵才不鸣响，眼睛才不再流泪。平时服用南星、半夏等祛风痰药物无效，后来服用人参仅能维持四五个月。诊察其脉象，两寸洪滑，两尺沉微，大概是上盛下虚的证候，治法应当清上焦之火并补下焦之虚。使用橘红、贝母、茯苓、甘草、桔梗、杏仁、前胡、钩藤、天麻、酒黄芩、枳壳，水煎服；夜间服用七制化痰丸；再服用八味丸加人参、麦门冬、五味子，空腹服用，半年后痊愈。
The nephew of Jiu De suffered from tinnitus (tinnitus), with a sensation of Qi rushing and blocking without free flow, nasal congestion and discomfort, loss of taste in the mouth, excessive phlegm, and a feeling of heat and turbidity in the chest and diaphragm. The pulse was floating and wiry-large on the left, slippery-large on the right, and rapid in both positions. The *Neijing* states: "Headache, tinnitus, and dysfunction of the nine orifices are generated by the stomach and intestines." This condition arises from the upward obstruction of Phlegm-Fire in the stomach, where extreme heat generates wind. Therefore, Jing Miao Zi (Vitex Fruit), Sheng Ma (Cimicifugae Rhizoma), Mu Tong (Akebiae Caulis), Chi Fu Ling (Poria with Red Core), Sang Bai Pi (Mori Cortex), Mai Men Dong (Ophiopogonis Radix), Sheng Di Huang (Rehmanniae Radix), Qian Hu (Peucedani Radix), Gan Ju Hua (Chrysanthemi Flos), Chi Shao Yao (Paeoniae Radix Rubra), Gan Cao (Glycyrrhizae Radix et Rhizoma) were prescribed, along with three slices of Sheng Jiang (Zingiberis Rhizoma Recens) and one Zao Ren (Jujubae Fructus), decocted in water and taken orally for four doses. Although the wiry quality of the left pulse decreased by half, the symptoms remained as before. Subsequently, Gan Ju Hua, Ju Hong (Citri Reticulatae Pericarpium Rubrum), Ban Xia Qu (Pinelliae Fermentatum), Fu Ling (Poria), Gan Cao, Zhi Mu (Anemarrhenae Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), Jiu Huang Qin (Scutellariae Radix prepared with wine), Ma Huang (Ephedrae Herba), Shi Gao (Gypsum Fibrosum), Sang Bai Pi, Jie Geng (Platycodonis Radix) were added to Sheng Jiang and Zao Ren, and taken for another four doses, after which all symptoms subsided completely. Later, Liu Jun Zi Tang (Six Gentlemen Decoction) was modified with Jiu Lian Lian (Coptidis Rhizoma prepared with wine), Chai Hu (Bupleuri Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Shao Yao, Mai Men Dong, and Sheng Ma, taken for two doses, restoring the ability to enjoy sweet tastes in food.
Mr. Chen Jueyu, a native of Changshan County, aged forty-three, was obese and had suffered from Phlegm-Fire syndrome for over ten years. It occurred once every month, or twice if mental exertion was excessive. Symptoms included expectoration of phlegm, fever, roaring asthma, anorexia, inability to lie flat to sleep, and delirious speech when closing the eyes. He presented with a red face, headache, wandering Phlegm-Qi throughout the body causing pulling pain, and only after expectorating phlegm would his tinnitus cease and tearing stop. Previously, he took wind-phlegm resolving herbs such as Nan Xing (Arisaematis Rhizoma Preparatum) and Ban Xia (Pinelliae Rhizoma) without effect. Later, taking Ren Shen (Ginseng Radix et Rhizoma) only provided relief for four to five months. His pulse was flooding and slippery at both Cun (inch) positions, and deep and faint at both Chi (cubit) positions, indicating a pattern of Excess above and Deficiency below. The treatment principle should be to clear the upper and tonify the lower. Ju Hong, Bei Mu (Fritillariae Bulbus), Fu Ling, Gan Cao, Jie Geng, Xing Ren (Armeniacae Semen Amarum), Qian Hu, Gou Teng (Uncariae Ramulus cum Uncis), Tian Ma (Gastrodiae Rhizoma), Jiu Huang Qin, Zhi Ke (Aurantii Fructus Immaturus) were decocted in water and taken orally. At night, Qi Zhi Hua Tan Wan (Seven-Processed Phlegm-Resolving Pill) was administered. Additionally, Ba Wei Wan (Eight-Ingredient Pill with Rehmannia) was modified with Ren Shen, Mai Men Dong, and Wu Wei Zi (Schisandrae Chinensis Fructus), taken on an empty stomach. After half a year, he recovered.