孙竹野浙归，途次受暑，又为酒面所伤，因而作吐，胸膈痞闷。时师以消导之剂，燥动
脾火
，口渴，嘈杂，躁乱不宁，目珠如金，一身尽黄，已成疸症。诊独右寸脉洪大有力，先以温
胆汤，倍加香薷、滑石、葛根解暑止□为君，黄连、麦门冬清热止渴为臣，使湿热散而黄自
瘳也。连与三帖，吐止食进，黄也定矣。再与五苓散加青蒿、葛根、滑石、黄连、枳实八剂
而黄释然。
程菊泉，暑月患喘嗽，咳咳连声，浓痰滚滚，行动则喘促不宁。夜分口渴，胸膈胀闷，
两寸
脉滑而数，两关弦。此肺有宿痰、胆有郁火。内经云∶火郁发之。又云∶风寒外来者可发。
用紫苏子、半夏曲、杏仁各一钱，石膏二钱，款冬花、桑白皮各八分，桔梗、枳壳各五分，
麻黄三分，服下无进退。改以杏仁、陈皮、人参、贝母、款冬花、麦门冬各七分，薏苡仁一
钱五分，桔梗、知母各五分，五味子十一粒，桑白皮一钱，陈皮六分，服下痰减大半，胸膈
仍不舒，口仍干，脚仍热。前方减去款冬花、五味子，加枳壳、葶苈子两帖全安。
程应祯兄，胸膈背心时常胀疼，头眩晕，脚软弱，手指痛，咳吐红痰。诊其脉，左关弦
大，
右寸关滑大。予谓此食饱后感于怒，老痰瘀血积在上焦，宜其胸背胀痛而热壅也，治当清化
上焦，使新痰不生。宿瘀磨去，则万全矣。如落时套，用地黄、山茱萸等滋阴降火之剂，是
以滞益滞，则热无由去，瘀无由消，而痰益增不去也。病者闻言，谔然曰∶未见公时，业已
服过一月久矣。疑其饮食损而热寻加，胸背胀痛递长哉。予曰∶今反辙幸早耳，再迟则败事
。亟以青皮、枳壳、陈皮快其气而疏其壅滞。盖痰随气行也。贝母、桑白皮以消余痰而清其
嗽；牡丹皮、滑石、桃仁，消其瘀血，山栀仁开郁清热；白芍药伐肝补脾；甘草调和诸性，
缓而理之，当见其去泰去甚也。别后半月复书报云∶胸背之胀减三之二，血已十日止矣，痰
如旧。改以山栀仁、牡丹皮、丹参、赤芍药、桃仁各八分，滑石三钱，五灵脂、当归尾各
一钱，半夏曲、青皮各六分，诸症悉去，独足心热，再以黄柏、知母、苡仁、牛膝、甘草、
白芍药、茯苓、陈皮、贝母、石斛、牡丹皮调之如初。
孙竹野从浙江回家，途中感受暑邪，又因饮食酒和面食不当而受伤，导致呕吐，胸膈部痞塞闷胀。当时的医生使用消食导滞的药剂，燥热之性激发了脾火，出现口渴、胃中嘈杂不安、烦躁混乱不得安宁，眼珠像金子一样黄，全身都发黄，已经形成黄疸病。诊察发现只有右寸脉洪大有力，先用温胆汤，加倍加入香薷、滑石、葛根以解暑止呕作为君药，黄连、麦门冬清热止渴作为臣药，使湿热消散而黄疸自然痊愈。连续服用三帖后，呕吐停止，食欲增进，黄疸也稳定了。再给予五苓散加青蒿、葛根、滑石、黄连、枳实八剂，黄疸完全消除。
程菊泉在暑月患喘咳病，咳嗽连连不断，浓痰滚滚而出，行动时气喘急促不得安宁。半夜时分口渴，胸膈胀闷，两手寸脉滑而数，两手关脉弦。这是肺有宿痰、胆有郁火。《内经》说：火郁应当发散。又说：风寒外感者可以发汗。用紫苏子、半夏曲、杏仁各一钱，石膏二钱，款冬花、桑白皮各八分，桔梗、枳壳各五分，麻黄三分，服用后病情没有进退变化。改为用杏仁、陈皮、人参、贝母、款冬花、麦门冬各七分，薏苡仁一钱五分，桔梗、知母各五分，五味子十一粒，桑白皮一钱，陈皮六分，服用后痰减少大半，胸膈仍然不舒畅，口仍然干，脚仍然热。前方减去款冬花、五味子，加枳壳、葶苈子两帖后完全安康。
程应祯的哥哥，胸膈和背心时常胀痛，头晕目眩，脚软弱无力，手指痛，咳嗽吐红痰。诊察他的脉象，左关脉弦大，右寸关脉滑大。我认为这是吃饱饭后受怒气影响，老痰和瘀血积聚在上焦，所以胸背胀痛且热壅盛，治疗应当清化上焦，使新痰不生。宿瘀磨去，就万无一失了。如果像当时其他人那样，用地黄、山茱萸等滋阴降火的药剂，是以停滞加重停滞，那么热无法去除，瘀无法消散，而痰只会增加而不消退。病人听了这话，惊讶地说：“见到您之前，我已经服药一个月了。”怀疑是饮食损伤导致热邪随之加重，胸背胀痛逐渐延长吗？我说：“现在反其道而行幸好还早，再迟就会坏事。”赶快用青皮、枳壳、陈皮来快气并疏通壅滞。因为痰随气运行。贝母、桑白皮来消除余痰并清肃咳嗽；牡丹皮、滑石、桃仁，消除瘀血，山栀仁开郁清热；白芍药伐肝补脾；甘草调和诸药性质，缓慢调理，应当看到症状减轻。分别后半个月复信报告说：胸背的胀感减少了三分之二，出血已经十天停止了，痰如旧状。改为用山栀仁、牡丹皮、丹参、赤芍药、桃仁各八分，滑石三钱，五灵脂、当归尾各一钱，半夏曲、青皮各六分，所有症状全部去除，只有脚心热，再用黄柏、知母、苡仁、牛膝、甘草、白芍药、茯苓、陈皮、贝母、石斛、牡丹皮调理如初。
Sun Zhuye returned from Zhejiang, contracting summerheat during the journey and injuring his spleen and stomach by consuming alcohol and wheat-based foods. This led to vomiting and a sensation of fullness and oppression in the chest and diaphragm. The attending physician administered digestive agents, which dried out and stirred up Spleen fire, resulting in thirst, gastric discomfort (zaocha), restlessness, yellowing of the eyeballs like gold, and generalized jaundice, indicating the formation of Jaundice disease (Dan Zheng). Pulse diagnosis revealed only the right Cun position as surging, large, and forceful. Initially, Wendan Tang (Phlegm-Draining Decoction) was prescribed with doubled doses of Xiangru (Moslae Herba), Huashi (Talcum), and Gegen (Puerariae Radix) to resolve summerheat and stop vomiting as sovereign herbs; Huanglian (Coptidis Rhizoma) and Maidong (Ophiopogonis Radix) were added as minister herbs to clear heat and relieve thirst, aiming to dissipate damp-heat so that jaundice would naturally heal. After three doses, vomiting ceased, appetite improved, and jaundice stabilized. Subsequently, Wuling San (Five-Ingredient Powder with Poria) was given with Qinghao (Artemisiae Annuae Herba), Gegen, Huashi, Huanglian, and Zhishi (Aurantii Fructus Immaturus) for eight doses, resulting in the complete resolution of jaundice.
Cheng Juquan suffered from wheezing and coughing during the summer months, with continuous coughing fits and profuse thick sputum. He experienced shortness of breath and restlessness upon movement. At night, he felt thirsty, with chest and diaphragmatic distension and oppression. Both Cun positions were slippery and rapid, while both Guan positions were wiry. This indicated old phlegm in the Lung and stagnant fire in the Gallbladder. As stated in the Neijing: "Stagnant fire should be dispersed." And also: "Exterior wind-cold can be treated by sweating." Zisuzi (Perillae Fructus), Banxiaqu (Pinelliae Fermentatum), and Xingren (Prunus Semen) were each used at 1 qian, Shigao (Gypsum Fibrosum) at 2 qian, Kudonghua (Dodecatheonis Flos) and Sangbaipi (Mori Cortex) at 8 fen, Jiegeng (Platycodonis Radix) and Zhike (Aurantii Fructus) at 5 fen, and Mahuang (Ephedrae Herba) at 3 fen. However, there was no improvement or deterioration after administration. The prescription was changed to Xingren, Chenpi (Citri Reticulatae Pericarpium), Renshen (Ginseng Radix et Rhizoma), Beimu (Fritillariae Bulbus), Kudonghua, and Maidong each at 7 fen, Yiyiren (Coicis Semen) at 1.5 qian, Jiegeng and Zhimu (Anemarrhenae Rhizoma) each at 5 fen, Wuweizi (Schisandrae Fructus) at 11 grains, Sangbaipi at 1 qian, and Chenpi at 6 fen. After this, sputum decreased significantly, but chest and diaphragmatic discomfort, dry mouth, and hot feet persisted. Kudonghua and Wuweizi were removed from the previous formula, and Zhike and Tinglizi (Descurainiae Semen seu Lepidii Semen) were added. After two doses, the patient recovered completely.
The elder brother of Cheng Yingzhen frequently experienced pain and distension in the chest, diaphragm, and back, accompanied by dizziness, weak legs, finger pain, and coughing up red sputum. Pulse diagnosis showed the left Guan position as wiry and large, and the right Cun and Guan positions as slippery and large. It was reasoned that this condition resulted from anger after a full meal, causing old phlegm and blood stasis to accumulate in the Upper Jiao, leading to chest and back distension/pain and heat congestion. Treatment should focus on clearing and transforming the Upper Jiao to prevent new phlegm production. Once old stasis is resolved, the case would be fully managed. Using herbs such as Dihuang (Rehmanniae Radix) and Shanzhuyu (Corni Fructus) for yin-nourishing and fire-descending would exacerbate stagnation, preventing heat dissipation and stasis resolution, thereby increasing phlegm. The patient replied in astonishment: "Before seeing you, I had already taken medicine for a month." He suspected that dietary injury caused heat to worsen and chest/back pain to prolong. I stated: "It is fortunate that you reversed course early; delaying further would ruin the treatment." Quickly using Qingpi (Citri Reticulatae Pericarpium Viride), Zhike, and Chenpi to promote qi movement and unblock stagnation is essential, as phlegm follows qi. Beimu and Sangbaipi were used to eliminate residual phlegm and clear cough; Mudanpi (Moutan Cortex), Huashi, and Taoren (Persicae Semen) to resolve blood stasis; Zhiziren (Gardeniae Fructus) to open depression and clear heat; Baishao (Paeoniae Radix Alba) to subdue Liver and tonify Spleen; and Gancao (Glycyrrhizae Radix et Rhizoma) to harmonize the properties of other herbs, treating slowly to reduce excess symptoms. Half a month later, a letter reported that chest/back distension reduced by two-thirds, bleeding stopped ten days ago, and sputum remained unchanged. The formula was modified to Zhiziren, Mudanpi, Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Chishao (Paeoniae Radix Rubra), and Taoren each at 8 fen, Huashi at 3 qian, Wulingzi (Trogopterori Faeces) and Dangguiwei (Angelicae Sinensis Radix caudex) each at 1 qian, Banxiaqu and Qingpi each at 6 fen. All symptoms disappeared except for hot soles. Finally, Huangbai (Phellodendri Cortex), Zhimu, Yiyiren, Niuxi (Achyranthis Bidentatae Radix), Gancao, Baishao, Fuling (Poria), Chenpi, Beimu, Shihu (Dendrobii Caulis), and Mudanpi were used to regulate the condition until recovery.