二诊 咳嗽大减，而仍凛寒身热，汗不多达，痰色黄浓。脉数带滑，苔白心黄。邪热郁于肺胃。夹经未净，
还恐神昏气喘之变。
炙麻黄（后入四分） 光杏仁（三钱） 丝瓜子（研四钱） 连翘（三钱） 枳壳（一钱） 煨石膏（四
钱） 生甘草（二分） 紫丹参（二钱） 桔梗（一钱） 郁金（一钱五分）
杨（右） 外感风邪，内停饮食，身热头疼腹痛。时病情形。三日正炽。
池菊（一钱五分） 桑叶（一钱） 枳实（一钱五分） 范志曲（二钱炒） 牛蒡子（三钱） 莱菔子（炒研
三钱） 桔梗（一钱） 焦楂炭（三钱） 苏薄荷（一钱） 杏仁（三钱打） 广郁金（一钱五分）
二诊 身热已退，而脐上作痛，大便不行。脉象沉弦。寒滞内阻，宜小承其气。
川朴（一钱） 橘皮（一钱） 缩砂仁（后入五分） 乌药（一钱五分） 焦楂炭（三钱） 枳实（一钱）
茯苓（三钱） 制香附（二钱） 生锦纹（后入二钱） 煨生姜（二片） 佛手（一钱）
改方 砂仁（五分） 云茯苓（三钱） 制香附（三钱） 酒炒延胡（一钱五分） 枳壳（一钱） 煨瓦楞子（五
钱） 金铃子（一钱五分） 陈香橼皮（一钱五分） 青皮（一钱）
锦（翁） 由咳嗽咽痛，而致身热不解，汗出不能透渥，胸闷神烦少寐。脉象数滑，舌红苔白质腻。此风热
之邪，与湿相合，蒸腾于肺胃之间。症属风湿，恐其化热。
泡射干（七分） 郁金（一钱五分） 黑山栀（三钱） 连翘（三钱） 范志曲（二钱炒） 光杏仁（三钱）
枳实（一钱） 马勃（一钱） 桔梗（一钱） 莱菔子（生研三钱） 大力子（三钱） 冬桑叶（一钱五分）
二诊 热势大减，苔亦稍化，然仍咳嗽不爽。湿邪留恋肺胃。再为疏化。
光杏仁（三钱打） 郁金（一钱五分） 桔梗（一钱） 枳壳（一钱） 赤白苓（各二钱） 生薏仁（四钱）
粉胡（一钱） 薄橘红（一钱） 炒蒌皮（三钱） 滑石（三钱） 枇杷叶（去毛四片）
张（左） 初起伤食吐泻，风温之邪，乘势而发，平素内伏之痰，与热相合，熏蒸于肺胃之间，以致热不外
扬，咳嗽痰稠。上中两焦，为痰气所遏，则清津不能上升，口渴舌干少津，中心灰炱，小溲作痛。脉数而滑。
症属风温挟痰，化热伤阴，今方旬日，恐转候之际，痰热内闭而致神昏发痉。拟清化痰热，参以救阴。即请商裁。
天花粉（二钱） 光杏仁（去尖打三钱） 海浮石（三钱） 真川贝（炒黄二钱） 北沙参（四钱） 冬瓜子（
四钱打） 大天冬（三钱） 白萝卜（切片一两五钱） 肥知母（二钱炒） 鲜芦根（去节一两） 陈关蛰（
洗淡一两） 干枇杷叶（去毛四片）
二诊 清化痰热，舌苔炱，燥转润，中心霉黑亦化，溲痛已退，气逆亦平，脉亦稍缓。然内热未楚，还宜清化。
北沙参（三钱） 橘红（盐水炒一钱） 鲜竹茹（一钱五分） 冬瓜子（三钱） 通草（一钱） 青盐半夏（一
钱五分） 茯苓（一钱） 光杏仁（三钱） 薏仁（四钱） 枇杷叶（去毛炙四片）
三诊 咳嗽气逆已定，胃纳亦得稍起。然肺胃之间，痰热未化，气不流布，津液不行，以致口燥舌干欲
饮。右脉滑大虚火挟痰，熏蒸胃口，恐起口糜再引津上升而导热下行。
细生地（四钱） 细木通（四分） 天花粉（二钱） 竹沥半夏（一钱五分） 海蛤粉（三钱包） 细甘草（三分）
真川贝（炒黄二钱） 冬瓜子（三钱打） 白茯苓（三钱） 鲜竹茹（盐水炒一钱） 活水芦根（去节一两） 青竹叶
（十片）
四诊 和阴降火，清化痰热，痰爽，舌干转润。的属津气不行。与津枯者有间。
南沙参（四钱） 竹沥半夏（一钱五分） 海蛤粉（三钱包） 橘红（盐水炒一钱） 川石斛（四钱） 川贝母
（炒黄一钱五分） 生薏仁（四钱） 茯苓（三钱） 炒竹茹（一钱） 枇杷叶（去毛四片）
五诊 痰气渐化，津液流通，口渴已定，胃亦渐起。足见燥乃假燥，湿乃真湿，病之变态，足以惑人如此。
白茯苓（三钱） 制半夏（一钱五分） 海蛤粉（五钱包） 炒蒌皮（三钱） 甜杏仁（三钱炒） 薄橘红（一钱）
炒川贝（一钱五分） 生薏仁（三钱） 生熟谷芽（各一钱） 枇杷叶（去毛四片）
顾（右） 冬温九日，发热懊烦无汗，胸膺发出赤斑，不克透露，神识迷糊，指节引动。邪郁不达，挟温蒸腾，
神机为之弥漫。脉形细数，苔白心黄质腻。有内窜昏痉之虞。勉拟泄化邪湿，芳香宣窍即请商裁。
豆豉（三钱） 光杏仁（三钱） 半夏（竹沥拌一钱五分） 炒枳壳（一钱） 赤茯苓（三钱） 生薏仁（三钱）
白桔梗（一钱） 鲜石菖（四分） 牛黄清心丸（一丸开水化服）
某 冬温十一朝，邪化为热，炼液为痰，郁阻肺胃，以致甲木不降，乙木独升，烦热火升颧红。气从上冲，
则恶心欲吐，胸次窒闷异常。寤难得寐，惊惕耳聋，四肢有时震动。脉数弦大，舌红苔白心灰。时邪引动
本病，恐风火内旋，而神昏痉厥。经云、上焦不行则下脘不通。拟开展气化，仍不失清金可以平木之意。
豆豉 杏仁 枳实 竹茹 钩钩 枇杷叶 山栀 郁金 丹皮 桔梗 海蛰
左 肺热津亏，理宜燥渴，昨诊并不口渴，显系肺虽燥热，脾胃仍有湿邪遏伏。所以流化湿邪，俾清津
可以上承，喻氏所以有流湿可以润燥之谈也。无如风化为火，尽壅于肺叠进清肺育阴，竟如杯水车
薪。热循肺系内犯膻中，以致时为谵语。火郁于内发现于外则两颧红赤，唇口朱红，红极发紫，脉数竟
在六至以外。此时为之清金泄热存阴，固属定理殊不知火从风化，其热也釜中之火也，其风也、釜底
之薪也，蒸热之势稍衰，釜底之薪未撤，薪在即火在，所以日前历历转轻，仍云不能把握者为此。刻下
脉数，气口虽属带浮，按之似属少情。如欲解散其风，而撤其薪，以缓其燎原之势，救者自知不逮。不得
已再拟清肺饮合清宫汤，以尽绵力。
犀尖（磨冲五分） 连翘心（三钱） 大麦冬（连心三钱） 赤茯苓神（各二钱） 川贝母（二钱）
光杏仁（三钱） 广郁金（一钱五分） 北沙参（五钱） 桑白皮（二钱炙） 枇杷叶（去毛一两） 白茅
根（一两） 濂珠（三分）
川贝（四分二味研极细末调服）
方后原注云、刻下所怕肺热循系入心，心肺同病，气喘神昏，便是危境或问前日如救肺阿胶之类，治之当效
何以不续进，使水来制火耶。曰、舌腻白不渴，如湿盛生痰，更难措手，不得已而退步，非临阵而畏缩也。又此症
乃冬温绵延入春，久不能愈盖被庸工用白芍至四钱，川连至五钱，五味子至二钱，至惊蛰而病更剧，惊蛰阳
动也。初用喻氏清燥救肺汤，后用竹叶石膏汤。前案已遗失，故附志于此（清儒志）
邱（右） 症逾两候先发红疹，继透白 ，又复经行邪势未始不从疹从 而稍泄，所以数日前病有退
机，烦热口渴已得大定。然既疹既 ，营气两液，必然暗虚。而方寸愁虑，木火升动，邪热从而转炽，烦热
复盛，耳鸣耳窍闭塞，喉有痰声，俨如梦语，手指引动，少腹气坠作胀。脉数滑带弦，舌红苔黄。邪湿未化，
木火暗升，炼液成痰，神机不运，有神昏发痉之虞。勉拟透热凉肝化痰宣窍。
羚羊片（三钱） 赤茯苓（三钱） 竹茹（盐水炒一钱） 益元散（三钱加辰砂七厘绢包） 大连翘（三钱）
陈胆星（六分） 黑山栀（三钱） 光杏仁（三钱） 郁金（一钱五分） 橘叶（一钱五分） 银花露（一两）
二诊 透热凉肝，化痰宣窍，烦懊大减，寐亦略安，四肢引动较定，少腹作胀亦松，红疹略为化淡。脉弦
稍柔，舌红黄苔化薄。今晨咯痰三口，颇觉爽适，自觉胸中尚有痰粘之状的是肝胆之火与邪热交炽，
炼液成痰，遂令痰火相煽。神昏发痉，岌岌可虞。前药进后，未及一周，未便操之太激。拟清化邪热，参以化痰。
连翘（三钱） 粉丹皮（二钱） 广郁金（一钱五分） 陈胆星（五分） 白蒺藜（三钱） 山栀（三钱）
栝蒌皮（三钱） 光杏仁（三钱） 益元散（三钱加辰砂七厘绢包） 青竹叶（二十片） 活水芦根（一两）
银花露（一两）
冯（左） 温邪七日，热炽神迷肢节引动，脉见歇止舌黑质红，颧颊红赤，喉间霍霍痰鸣，气粗短促。此热
炽于内，而痰湿抑郁，热不得泄，转从内窜之象，有痰涌昏喘之虞。
羚羊角 陈胆星 天竺黄 竹茹 九节石菖蒲 大连乔
杏仁泥 旋复花 枳实 至宝丹（一丸两服）
周（左） 进泻肺开痰，导热下行，上升之气，十退三四，痰亦稍爽，然热势仍不见衰，左肋痛减，而痰色黄
稠，频渴欲饮，神烦胸闷舌质转红，边尖大有绛意。 如梦语两颧红赤。脉数滑大左部小濡，右部搏指。
良由蕴结之气分渐开，而霍霍痰鸣，肺胃之邪热尚炽火与痰激，故霍然有声。热灼津亏，故频渴而欲
饮。症势较前略定，而鸱张之下，非大有起色，不足以全大局。刻下所急者，痰鸣气逆，最关重系。然邪势
不泄，液即为痰，古人所谓痰即有形之火，火即无形之痰，正此意也。拟清金肃肺之中，参以辛凉重剂，
必得应手始臻妥洽耳。
杏仁泥（三钱） 广郁金（磨冲六分） 桑叶（二钱炙） 石膏（六钱 ） 竹茹（一钱） 法半夏（一钱五分）
炒知母（一钱五分） 赤白苓（四钱） 广橘红（盐水炒一钱） 枇杷叶（去毛六片） 芦根（六钱）
左 邪势不解热，日以炽，咳嗽痰多，频渴引饮，神识有时迷糊。邪湿痰交蒸，有神昏气喘之虞。
栝蒌仁（四钱研） 杏仁泥（三钱） 乌犀尖（磨冲四分） 广玉金（磨冲四分） 天竺黄（三分半磨冲） 淡黄
芩（一钱五分） 滑石块（四钱） 辰砂（一分二味同研绢包） 川贝母（二钱） 马兜铃（二钱） 冬瓜子（五钱）
煨石膏（四钱） 青芦管（一两） 万氏牛黄清心丸（五分开水先送下）
左 咳嗽身热，痰鸣音哑，吸气短促，汗出发润。金伤已极喘脱之虞，行将立至。勉用喻氏法以尽人力。
煨石膏（五钱） 北沙参（六钱） 玄参（三钱） 阿胶（二钱） 生甘草（五分） 牛膝炭（三钱）
川贝（二钱） 炒麦冬（三钱） 枇杷叶（去毛六片）
风温一门，附以冬温温热秋燥，例言中虽曾声明，实因方案遗佚，抄存过少，故仅蝉联附后，未能逐条分列，校
对之下愧同伯玉，缺憾良深。质之吾友某君，曰、编案与作书体例，截然不同。著作之家分门别类，毫发不容紊
乱。至编订方案，不过根据次排比，若欲皎然划一，厘然大备，诸多为难之外。涵以某君阅历有得，深知编纂复杂
之繁，且以见读书之贵变通也。姑附志之。同门旧友若有存稿，盼望惠下，再版时当补辑改定也。（文涵志）
二诊：咳嗽大幅减轻，但仍感到怕冷、身体发热，出汗不多，痰色黄且浓稠。脉象数而带滑，舌苔白中心发黄。这是邪热郁结在肺和胃。加上月经尚未干净，还担心出现神志昏迷和气喘的变证。
炙麻黄（后下四分） 光杏仁（三钱） 丝瓜子（研碎四钱） 连翘（三钱） 枳壳（一钱） 煨石膏（四钱） 生甘草（二分） 紫丹参（二钱） 桔梗（一钱） 郁金（一钱五分）
杨先生（右侧）：外感风邪，体内停滞饮食，导致身体发热、头痛、腹痛。这是时病的典型症状。发病第三天病情正盛。
池菊（一钱五分） 桑叶（一钱） 枳实（一钱五分） 范志曲（炒二钱） 牛蒡子（三钱） 莱菔子（炒后研碎三钱） 桔梗（一钱） 焦山楂炭（三钱） 苏薄荷（一钱） 杏仁（打碎三钱） 广郁金（一钱五分）
二诊：身体发热已经退去，但肚脐上方疼痛，大便不通。脉象沉弦。这是寒湿阻滞在内，适宜用小承气汤来通降气机。
川朴（一钱） 橘皮（一钱） 缩砂仁（后下五分） 乌药（一钱五分） 焦山楂炭（三钱） 枳实（一钱） 茯苓（三钱） 制香附（二钱） 生锦纹（大黄，后下二钱） 煨生姜（两片） 佛手（一钱）
改方：砂仁（五分） 云茯苓（三钱） 制香附（三钱） 酒炒延胡索（一钱五分） 枳壳（一钱） 煨瓦楞子（五钱） 金铃子（一钱五分） 陈香橼皮（一钱五分） 青皮（一钱）
翁先生（左侧）：起初因咳嗽咽痛，导致身体发热不退，出汗不能透彻，胸闷、心神烦躁、睡眠少。脉象数滑，舌红苔白质地腻。这是风热之邪与湿气相结合，蒸腾于肺胃之间。病症属于风湿，恐怕会化热。
泡射干（七分） 郁金（一钱五分） 黑山栀（三钱） 连翘（三钱） 范志曲（炒二钱） 光杏仁（三钱） 枳实（一钱） 马勃（一钱） 桔梗（一钱） 莱菔子（生研三钱） 大力子（牛蒡子，三钱） 冬桑叶（一钱五分）
二诊：热势大幅减轻，舌苔也有所消退，但仍然咳嗽不畅。这是湿邪留恋在肺胃。再次进行疏解化湿治疗。
光杏仁（打碎三钱） 郁金（一钱五分） 桔梗（一钱） 枳壳（一钱） 赤茯苓和白茯苓（各二钱） 生薏苡仁（四钱） 粉胡（胡黄连，一钱） 薄橘红（一钱） 炒瓜蒌皮（三钱） 滑石（三钱） 枇杷叶（去毛四片）
张先生（左侧）：初起因伤食导致呕吐腹泻，风温之邪乘势发作，平素体内潜伏的痰饮，与热邪相结合，熏蒸于肺胃之间，导致热气不能向外发散，咳嗽痰液稠厚。上焦和中焦被痰气遏制，清津不能上升，导致口渴、舌干少津，舌中心呈灰黑色像烟灰一样，小便刺痛。脉象数而滑。病症属于风温挟痰，化热伤阴。现在病程刚过十天，恐怕在病情转变之际，痰热内闭会导致神志昏迷和抽搐。拟用清热化痰法，兼以救阴。请商榷裁断。
天花粉（二钱） 光杏仁（去尖打碎三钱） 海浮石（三钱） 真川贝母（炒黄二钱） 北沙参（四钱） 冬瓜子（打碎四钱） 大天冬（三钱） 白萝卜（切片一两五钱） 肥知母（炒二钱） 鲜芦根（去节一两） 陈关蛰（海蜇，洗淡一两） 干枇杷叶（去毛四片）
二诊：清热化痰后，舌苔如烟灰状的部分消退，由燥转润，舌中心霉黑部分也化解，小便刺痛已退，气逆也平息，脉象稍缓。然而内热未清，仍宜清热化痰。
北沙参（三钱） 橘红（盐水炒一钱） 鲜竹茹（一钱五分） 冬瓜子（三钱） 通草（一钱） 青盐半夏（一钱五分） 茯苓（一钱） 光杏仁（三钱） 薏苡仁（四钱） 枇杷叶（去毛炙四片）
三诊：咳嗽气逆已定，胃纳也有所恢复。然而肺胃之间，痰热未化，气机不流通，津液不行，导致口燥舌干想喝水。右脉滑大，虚火挟痰，熏蒸胃口，恐怕引起口疮，再引津液上升而导热下行。
细生地（四钱） 细木通（四分） 天花粉（二钱） 竹沥半夏（一钱五分） 海蛤粉（包煎三钱） 细甘草（三分） 真川贝母（炒黄二钱） 冬瓜子（打碎三钱） 白茯苓（三钱） 鲜竹茹（盐水炒一钱） 活水芦根（去节一两） 青竹叶（十片）
四诊：滋阴降火，清热化痰，痰液爽利，舌干转润。这确实属于津气运行不畅。这与津液枯竭者有所不同。
南沙参（四钱） 竹沥半夏（一钱五分） 海蛤粉（包煎三钱） 橘红（盐水炒一钱） 川石斛（四钱） 川贝母（炒黄一钱五分） 生薏苡仁（四钱） 茯苓（三钱） 炒竹茹（一钱） 枇杷叶（去毛四片）
五诊：痰气逐渐化解，津液流通，口渴已定，胃气也逐渐恢复。足见所谓的“燥”是假燥，“湿”才是真湿，病情的变化，足以让人困惑如此。
白茯苓（三钱） 制半夏（一钱五分） 海蛤粉（包煎五钱） 炒瓜蒌皮（三钱） 甜杏仁（炒三钱） 薄橘红（一钱） 炒川贝母（一钱五分） 生薏苡仁（三钱） 生熟谷芽（各一钱） 枇杷叶（去毛四片）
顾先生（右侧）：冬温病九天，发热懊恼烦闷无汗，胸膺部发出红色斑疹，但不能透发，神识迷糊，手指关节抽动。邪气郁结不得通达，挟温热蒸腾，神机为之弥漫。脉形细数，舌苔白中心黄质地腻。有邪气内窜导致昏厥抽搐的担忧。勉强拟定泄化邪湿，芳香开窍的方法，请商榷裁断。
豆豉（三钱） 光杏仁（三钱） 半夏（竹沥拌一钱五分） 炒枳壳（一钱） 赤茯苓（三钱） 生薏苡仁（三钱） 白桔梗（一钱） 鲜石菖蒲（四分） 牛黄清心丸（一丸开水化服）
某人：冬温病十一日，邪气化为热，炼液为痰，郁阻肺胃，导致肝木之气不降，肝阳独升，烦热火升导致颧骨发红。气从上冲，则恶心欲吐，胸中窒闷异常。睡觉难以入睡，惊惕耳聋，四肢有时震动。脉象数弦大，舌红苔白中心灰。时邪引动本病，恐怕风火内旋，导致神昏痉厥。《内经》说：上焦不通则下脘不通。拟开展气化功能，仍不失清肃肺气可以平抑肝木的意思。
豆豉 杏仁 枳实 竹茹 钩藤 枇杷叶 山栀 郁金 丹皮 桔梗 海蜇
左先生：肺热津亏，理应干燥口渴，昨日诊察并不口渴，显系肺虽燥热，脾胃仍有湿邪遏伏。所以流化湿邪，使清津可以上承，喻嘉言因此有“流湿可以润燥”的说法。无奈风化为火，全部壅塞于肺，叠进清肺育阴药物，竟如杯水车薪。热循肺系内犯膻中，导致时而谵语。火郁于内表现在外则两颧红赤，唇口朱红，红极发紫，脉数竟在六至以外。此时为之清金泄热存阴，固属定理，殊不知火从风化，其热是锅中之火，其风是锅底之柴，蒸热之势稍衰，但锅底之柴未撤，柴在即火在，所以日前病情明显减轻，但仍说不能把握的原因在此。目前脉数，气口虽带浮象，按之似乎情势减弱。如果想解散风邪，撤去柴薪，以缓解其燎原之势，救治者自知能力不足。不得已再拟清肺饮合清宫汤，以尽绵力。
犀角尖（磨冲五分） 连翘心（三钱） 大麦冬（连心三钱） 赤茯苓神（各二钱） 川贝母（二钱） 光杏仁（三钱） 广郁金（一钱五分） 北沙参（五钱） 桑白皮（炙二钱） 枇杷叶（去毛一两） 白茅根（一两） 濂珠（珍珠，三分）
川贝母（四分，两味研极细末调服）
方后原注说：目前所怕的是肺热循经入心，心肺同病，气喘神昏，便是危境。有人问：前几天如果用救肺阿胶之类，治疗应当有效，为什么不再继续进服，使水来制火呢？回答说：舌苔白腻不渴，如果是湿盛生痰，更难着手处理，不得已而退步，并非临阵畏缩。另外此症乃冬温绵延入春，久不能愈，大概被庸医使用白芍至四钱，黄连至五钱，五味子至二钱，到了惊蛰节气病情更重，惊蛰阳气发动。初用喻氏清燥救肺汤，后用竹叶石膏汤。前案已遗失，故附记于此。（清儒志）
邱先生（右侧）：病症超过两周，先发红色疹子，继而出白痦，又复月经来潮，邪势未始不从疹子和白痦而稍泄，所以数日前病有退机，烦热口渴已得大定。然而既出疹又出白痦，营气和阴液必然暗虚。而且心中愁虑，肝木火气升动，邪热从而转炽，烦热复盛，耳鸣耳窍闭塞，喉有痰声，俨如梦语，手指抽动，少腹气坠作胀。脉数滑带弦，舌红苔黄。邪湿未化，肝木火气暗升，炼液成痰，神机不运，有神昏发痉的担忧。勉强拟定透热凉肝化痰宣窍的方法。
羚羊片（三钱） 赤茯苓（三钱） 竹茹（盐水炒一钱） 益元散（三钱加辰砂七厘绢包） 大连翘（三钱） 陈胆星（六分） 黑山栀（三钱） 光杏仁（三钱） 郁金（一钱五分） 橘叶（一钱五分） 银花露（一两）
二诊：透热凉肝，化痰宣窍，烦闷懊恼大幅减轻，睡眠也略安，四肢抽动较定，少腹作胀也松缓，红疹略为化淡。脉弦稍柔，舌红黄苔化薄。今晨咯痰三口，颇觉爽适，自觉胸中尚有痰粘之状。确实是肝胆之火与邪热交炽，炼液成痰，遂令痰火相煽。神昏发痉，岌岌可虞。前药进后，未及一周，未便操之太激。拟清化邪热，参以化痰。
连翘（三钱） 粉丹皮（二钱） 广郁金（一钱五分） 陈胆星（五分） 白蒺藜（三钱） 山栀（三钱） 栝蒌皮（三钱） 光杏仁（三钱） 益元散（三钱加辰砂七厘绢包） 青竹叶（二十片） 活水芦根（一两） 银花露（一两）
冯先生（左侧）：温邪七日，热炽神迷肢节引动，脉见歇止舌黑质红，颧颊红赤，喉间霍霍痰鸣，气粗短促。这是热炽于内，而痰湿抑郁，热不得泄，转从内窜之象，有痰涌昏喘的担忧。
羚羊角 陈胆星 天竺黄 竹茹 九节石菖蒲 大连翘 杏仁泥 旋复花 枳实 至宝丹（一丸分两次服）
周先生（左侧）：进泻肺开痰，导热下行，上升之气，十退三四，痰亦稍爽，然而热势仍不见衰，左肋痛减，而痰色黄稠，频渴欲饮，神烦胸闷舌质转红，边尖大有绛意。如梦语两颧红赤。脉数滑大左部小濡，右部搏指。良由蕴结之气分渐开，而霍霍痰鸣，肺胃之邪热尚炽火与痰激，故霍然有声。热灼津亏，故频渴而欲饮。症势较前略定，而在鸱张之下，非大有起色，不足以全大局。刻下所急者，痰鸣气逆，最关重系。然而邪势不泄，液即为痰，古人所谓痰即有形之火，火即无形之痰，正此意也。拟清金肃肺之中，参以辛凉重剂，必得应手始臻妥洽耳。
杏仁泥（三钱） 广郁金（磨冲六分） 桑叶（炙二钱） 石膏（六钱） 竹茹（一钱） 法半夏（一钱五分） 炒知母（一钱五分） 赤白茯苓（四钱） 广橘红（盐水炒一钱） 枇杷叶（去毛六片） 芦根（六钱）
左先生：邪势不解热，日以炽，咳嗽痰多，频渴引饮，神识有时迷糊。邪湿痰交蒸，有神昏气喘的担忧。
栝蒌仁（研四钱） 杏仁泥（三钱） 乌犀尖（磨冲四分） 广玉金（磨冲四分） 天竺黄（三分半磨冲） 淡黄芩（一钱五分） 滑石块（四钱） 辰砂（一分，两味同研绢包） 川贝母（二钱） 马兜铃（二钱） 冬瓜子（五钱） 煨石膏（四钱） 青芦管（一两） 万氏牛黄清心丸（五分开水先送下）
左先生：咳嗽身热，痰鸣音哑，吸气短促，汗出发润。金伤已极，喘脱之虞，行将立至。勉强用喻氏法以尽人力。
煨石膏（五钱） 北沙参（六钱） 玄参（三钱） 阿胶（二钱） 生甘草（五分） 牛膝炭（三钱） 川贝（二钱） 炒麦冬（三钱） 枇杷叶（去毛六片）
风温一门，附以冬温、温热、秋燥，例言中虽曾声明，实因方案遗佚，抄存过少，故仅蝉联附后，未能逐条分列，校对之下愧同伯玉，缺憾良深。质之吾友某君，曰：编案与作书体例，截然不同。著作之家分门别类，毫发不容紊乱。至编订方案，不过根据次排比，若欲皎然划一，厘然大备，诸多为难之外。涵以某君阅历有得，深知编纂复杂之繁，且以见读书之贵变通也。姑附志之。同门旧友若有存稿，盼望惠下，再版时当补辑改定也。（文涵志）
Second visit: Cough has significantly decreased, but there is still chills and fever, with little sweating. The sputum is yellow and thick. The pulse is rapid and slippery, and the tongue coating is white with a yellow center. This indicates pathogenic heat constrained in the Lung and Stomach. With the menstrual period not yet finished, there is still fear of complications such as coma and asthma.
Zhi Mahuang (Prepared Ephedrae Herba, added later, 4 fen) Guang Xingren (Prunus Armeniaca Seed, 3 qian) Sigua Zi (Trichosanthes Kirilowii Fruit, crushed, 4 qian) Lianqiao (Forsythiae Fructum, 3 qian) Zhi Qiao (Aurantii Fructum, 1 qian) Wei Shigao (Calcined Gypsum, 4 qian) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 2 fen) Zi Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 2 qian) Jiegeng (Platycodonis Radix, 1 qian) Yujin (Curcumae Radix, 1.5 qian)
Mr. Yang (Right side): External contraction of wind pathogen, internal retention of food stagnation, leading to fever, headache, and abdominal pain. This is the typical presentation of seasonal diseases. On the third day, the condition is at its peak.
Chi Ju (Chrysanthemi Flos, 1.5 qian) Sang Ye (Mori Folium, 1 qian) Zhi Shi (Aurantii Fructus Immaturus, 1.5 qian) Fan Zhi Qu (Medicated Leaven, stir-fried, 2 qian) Niu Bang Zi (Arctii Fructum, 3 qian) Lai Fu Zi (Raphani Semen, stir-fried and crushed, 3 qian) Jiegeng (Platycodonis Radix, 1 qian) Jiao Zha Tan (Charred Crataegi Fructum, 3 qian) Su Bohe (Menthae Haplocalycis Herba, 1 qian) Xingren (Prunus Armeniaca Seed, crushed, 3 qian) Guang Yujin (Curcumae Radix, 1.5 qian)
Second visit: Fever has subsided, but there is pain above the umbilicus and constipation. The pulse is deep and wiry. This is obstruction by cold and dampness internally; it is appropriate to use Xiao Cheng Qi Tang (Minor Order the Qi Decoction) to descend the qi.
Chuan Po (Magnoliae Officinalis Cortex, 1 qian) Ju Pi (Citri Reticulatae Pericarpium, 1 qian) Suo Sha Ren (Amomi Fructus Rotundus, added later, 5 fen) Wu Yao (Linderae Radix, 1.5 qian) Jiao Zha Tan (Charred Crataegi Fructum, 3 qian) Zhi Shi (Aurantii Fructus Immaturus, 1 qian) Fu Ling (Poria, 3 qian) Zhi Xiang Fu (Cyperi Rhizoma processed, 2 qian) Sheng Jin Wen (Rhei Radix et Rhizoma, added later, 2 qian) Wei Sheng Jiang (Gingeris Rhizoma Recens calcined, 2 slices) Foshou (Citrus Sarcodactylis Fructus, 1 qian)
Modified Prescription: Sha Ren (Amomi Fructus Rotundus, 5 fen) Yun Fu Ling (Poria, 3 qian) Zhi Xiang Fu (Cyperi Rhizoma processed, 3 qian) Jiu Chao Yan Hu (Corydalis Rhizoma wine-fried, 1.5 qian) Zhi Qiao (Aurantii Fructum, 1 qian) Wei Wa Leng Zi (Arcae Shell calcined, 5 qian) Jin Ling Zi (Meliosmae Fructum, 1.5 qian) Chen Xiang Yuan Pi (Eupteleae Fructus Pericarpium, 1.5 qian) Qing Pi (Citri Reticulatae Pericarpium Viride, 1 qian)
Mr. Weng (Left side): Initially due to cough and sore throat, leading to persistent fever, sweating that is not thorough, chest tightness, mental restlessness, and insomnia. The pulse is rapid and slippery, the tongue is red with a white, greasy coating. This is wind-heat pathogen combining with dampness, steaming between the Lung and Stomach. The syndrome belongs to wind-dampness, fearing transformation into heat.
Pao Shegan (Belamcandae Rhizoma soaked, 7 fen) Yujin (Curcumae Radix, 1.5 qian) Hei Shan Zhi (Gardeniae Fructus charred, 3 qian) Lianqiao (Forsythiae Fructum, 3 qian) Fan Zhi Qu (Medicated Leaven, stir-fried, 2 qian) Guang Xingren (Prunus Armeniaca Seed, 3 qian) Zhi Shi (Aurantii Fructus Immaturus, 1 qian) Ma Bo (Polyporus, 1 qian) Jiegeng (Platycodonis Radix, 1 qian) Lai Fu Zi (Raphani Semen, raw and crushed, 3 qian) Da Li Zi (Arctii Fructum, 3 qian) Dong Sang Ye (Mulberry Leaf, 1.5 qian)
Second visit: Heat intensity has greatly reduced, and the tongue coating has slightly transformed, but cough remains unsmooth. Dampness lingers in the Lung and Stomach. Again, disperse and resolve dampness.
Guang Xingren (Prunus Armeniaca Seed, crushed, 3 qian) Yujin (Curcumae Radix, 1.5 qian) Jiegeng (Platycodonis Radix, 1 qian) Zhi Qiao (Aurantii Fructum, 1 qian) Chi Bai Ling (Red and White Poria, 2 qian each) Sheng Yi Ren (Coix Seed raw, 4 qian) Fen Hu (Picrorhizae Rhizoma, 1 qian) Bo Ju Hong (Tangerine Peel thin, 1 qian) Chao Lou Pi (Trichosanthis Pericarpium fried, 3 qian) Huashi (Talcum, 3 qian) Pipa Ye (Loquat Leaf de-haired, 4 pieces)
Mr. Zhang (Left side): Initially injured by food, leading to vomiting and diarrhea. The Wind-Warmth pathogen took advantage of the situation to erupt. Phlegm latent in the body normally combined with heat, steaming between the Lung and Stomach, causing heat not to diffuse outward, resulting in cough and thick sputum. The Upper and Middle Jiao are obstructed by phlegm and qi, preventing clear fluids from ascending, leading to thirst, dry tongue with little fluid, gray soot-like center on the tongue, and painful urination. The pulse is rapid and slippery. The syndrome is Wind-Warmth with phlegm, transforming into heat and injuring Yin. Now that ten days have passed, there is fear that during the transition of the disease, phlegm-heat closing internally may lead to coma and convulsions. Propose clearing and resolving phlegm-heat, assisted by saving Yin. Please consult and decide.
Tian Hua Fen (Trichosanthis Radix, 2 qian) Guang Xingren (Prunus Armeniaca Seed, tip removed and crushed, 3 qian) Hai Fu Shi (Spongilla Spiculum, 3 qian) Zhen Chuan Bei (Fritillariae Cirrhosae Bulbus, fried yellow, 2 qian) Bei Sha Shen (Glehniae Radix, 4 qian) Dong Gua Zi (Benincasae Semen, crushed, 4 qian) Da Tian Dong (Asparagi Radix, 3 qian) Bai Luo Bo (Radish sliced, 1.5 liang) Fei Zhi Mu (Anemarrhenae Rhizoma fried, 2 qian) Xian Lu Gen (Imperatae Rhizoma fresh, nodes removed, 1 liang) Chen Guan Zhe (Marina Corpusculum washed and desalted, 1 liang) Gan Pipa Ye (Loquat Leaf dried, de-haired, 4 pieces)
Second visit: After clearing and resolving phlegm-heat, the soot-like tongue coating has receded, turning from dry to moist, and the moldy black center has also resolved. Painful urination has ceased, rebellious qi has flattened, and the pulse has slowed slightly. However, internal heat is not yet cleared; it is still appropriate to clear and resolve.
Bei Sha Shen (Glehniae Radix, 3 qian) Ju Hong (Tangerine Peel salt-water fried, 1 qian) Xian Zhu Ru (Bambusa Textilis Caulis fresh, 1.5 qian) Dong Gua Zi (Benincasae Semen, 3 qian) Tong Cao (Tetrapanacis Medulla, 1 qian) Qing Yan Ban Xia (Pinelliae Rhizoma green salt processed, 1.5 qian) Fu Ling (Poria, 1 qian) Guang Xingren (Prunus Armeniaca Seed, 3 qian) Yi Ren (Coix Seed, 4 qian) Pipa Ye (Loquat Leaf de-haired and roasted, 4 pieces)
Third visit: Cough and rebellious qi have stabilized, and stomach appetite has slightly recovered. However, phlegm-heat in the Lung and Stomach has not resolved, qi does not circulate, and fluids do not move, leading to dry mouth and tongue wanting to drink. The right pulse is slippery and large; deficient fire carries phlegm, steaming the stomach opening, fearing the onset of oral ulcers. Again guide fluids upward and conduct heat downward.
Xi Sheng Di (Rehmanniae Radix Preparata fine, 4 qian) Xi Mu Tong (Akebiae Caulis fine, 4 fen) Tian Hua Fen (Trichosanthis Radix, 2 qian) Zhu Li Ban Xia (Pinelliae Rhizoma bamboo sap processed, 1.5 qian) Hai Ge Fen (Concha Meretricis et Cyprinae powder, bagged, 3 qian) Xi Gancao (Glycyrrhizae Radix et Rhizoma fine, 3 fen) Zhen Chuan Bei (Fritillariae Cirrhosae Bulbus fried yellow, 2 qian) Dong Gua Zi (Benincasae Semen crushed, 3 qian) Bai Fu Ling (White Poria, 3 qian) Xian Zhu Ru (Bambusa Textilis Caulis fresh, salt-water fried, 1 qian) Huo Shui Lu Gen (Imperatae Rhizoma living water, nodes removed, 1 liang) Qing Zhu Ye (Bambusa Leaves green, 10 pieces)
Fourth visit: Nourishing Yin and descending fire, clearing and resolving phlegm-heat, sputum is smooth, dry tongue turns moist. This indeed belongs to dysfunction of Jin-Qi (fluids and qi). It differs from cases of fluid exhaustion.
Nan Sha Shen (Adenophorae Radix, 4 qian) Zhu Li Ban Xia (Pinelliae Rhizoma bamboo sap processed, 1.5 qian) Hai Ge Fen (Concha Meretricis et Cyprinae powder, bagged, 3 qian) Ju Hong (Tangerine Peel salt-water fried, 1 qian) Chuan Shi Hu (Dendrobii Caulis, 4 qian) Chuan Bei Mu (Fritillariae Thunbergii Bulbus fried yellow, 1.5 qian) Sheng Yi Ren (Coix Seed raw, 4 qian) Fu Ling (Poria, 3 qian) Chao Zhu Ru (Bambusa Textilis Caulis fried, 1 qian) Pipa Ye (Loquat Leaf de-haired, 4 pieces)
Fifth visit: Phlegm and qi gradually resolve, fluids circulate, thirst stabilizes, and stomach function gradually improves. This shows that the "dryness" was false dryness, while "dampness" was true dampness. The variations of the disease are confusing enough.
Bai Fu Ling (White Poria, 3 qian) Zhi Ban Xia (Pinelliae Rhizoma processed, 1.5 qian) Hai Ge Fen (Concha Meretricis et Cyprinae powder, bagged, 5 qian) Chao Lou Pi (Trichosanthis Pericarpium fried, 3 qian) Tian Xingren (Sweet Prunus Armeniaca Seed fried, 3 qian) Bo Ju Hong (Tangerine Peel thin, 1 qian) Chuan Chuan Bei (Fritillariae Cirrhosae Bulbus fried, 1.5 qian) Sheng Yi Ren (Coix Seed raw, 3 qian) Sheng Shu Gu Ya (Hordei Fructus Germinatus raw and cooked, 1 qian each) Pipa Ye (Loquat Leaf de-haired, 4 pieces)
Mr. Gu (Right side): Winter-Warmth for nine days, fever, restlessness, no sweat, red macules erupted on the chest and upper back but could not be exuded, mental confusion, finger joint twitching. Pathogen constrained and unable to reach the exterior, carrying warmth and steaming, divine mechanism becomes diffuse. Pulse is fine and rapid, tongue coating white with yellow center and greasy texture. There is danger of internal penetration leading to coma and convulsions. Tentatively propose venting and resolving pathogenic dampness, aromatic orifice-opening method. Please consult and decide.
Dou Chi (Sojae Semnis Preparatum, 3 qian) Guang Xingren (Prunus Armeniaca Seed, 3 qian) Ban Xia (Pinelliae Rhizoma mixed with bamboo sap, 1.5 qian) Chao Zhi Qiao (Aurantii Fructum fried, 1 qian) Chi Fu Ling (Red Poria, 3 qian) Sheng Yi Ren (Coix Seed raw, 3 qian) Bai Jie Geng (Platycodonis Radix white, 1 qian) Xian Shi Chang Pu (Acori Tatarinowii Rhizoma fresh, 4 fen) Niu Huang Qing Xin Wan (Calculus Bovis Clear Heart Pill, one pill dissolved in boiling water)
Someone: Winter-Warmth for eleven days, pathogen transforms into heat, refining fluids into phlegm, constrained and obstructing Lung and Stomach, causing Liver Wood (Jia) not to descend, Liver Wood (Yi) rising alone,烦热 (restless heat) and fire rising causing malar flush. Qi rushes upward, causing nausea and desire to vomit, extreme chest oppression. Difficulty sleeping, startle, deafness, occasional limb tremors. Pulse is rapid, wiry, and large; tongue red with white coating and gray center. Seasonal pathogen triggers underlying disease, fearing internal rotation of wind-fire leading to coma and convulsions. The Classic says: If the Upper Jiao does not function, the Lower Stomach will not unblock. Propose promoting Qi transformation, retaining the meaning that clearing Metal can pacify Wood.
Dou Chi (Sojae Semnis Preparatum) Xingren (Prunus Armeniaca Seed) Zhi Shi (Aurantii Fructus Immaturus) Zhu Ru (Bambusa Textilis Caulis) Gou Gou (Uncariae Ramulus cum Uncis) Pipa Ye (Loquat Leaf) Shan Zhi (Gardeniae Fructum) Yujin (Curcumae Radix) Dan Pi (Moutan Cortex) Jie Geng (Platycodonis Radix) Hai Zhe (Marina Corpusculum)
Mr. Zuo: Lung heat and fluid deficiency should logically cause dryness and thirst. Yesterday's diagnosis showed no thirst, clearly indicating that although the Lung is dry and hot, the Spleen and Stomach still have dampness obstructing. Therefore, flowing and resolving dampness allows clear fluids to ascend. Yu Jiayan thus spoke of "flowing dampness can moisten dryness." Unfortunately, wind transforms into fire, all congesting in the Lung. Repeated administration of Lung-clearing and Yin-nourishing herbs was like pouring a cup of water on a cartload of burning fuel. Heat follows the Lung channel inward attacking the Danzhong, causing occasional delirium. Fire constrained internally manifests externally as malar flush, crimson lips and mouth, turning purple when extreme. Pulse is rapid, exceeding six beats per breath. At this time, clearing Metal, venting heat, and preserving Yin is indeed the standard principle. However, one must not ignore that fire arises from wind transformation; its heat is fire in the pot, its wind is firewood under the pot. Although the steaming heat intensity has slightly declined, the firewood under the pot has not been removed. As long as the wood is there, the fire is there. Hence, the symptoms improved noticeably before, but I still said I couldn't grasp the situation firmly because of this. Currently, the pulse is rapid; the Qi Kou (radial artery) shows floating, but pressing feels less intense. If we wish to dissipate the wind and remove the firewood to slow the prairie fire, the healer knows their ability is insufficient. Reluctantly, I again propose Qing Fei Yin (Clear Lung Drink) combined with Qing Gong Tang (Clear Palace Decoction) to exert my limited effort.
Xi Jian (Rhino Horn tip ground and taken with liquid, 5 fen) Lian Qiao Xin (Forsythiae Fructum heart, 3 qian) Da Mai Dong (Ophiopogonis Radix with heart, 3 qian) Chi Fu Ling Shen (Red Poria with hostwood, 2 qian each) Chuan Bei Mu (Fritillariae Thunbergii Bulbus, 2 qian) Guang Xingren (Prunus Armeniaca Seed, 3 qian) Guang Yujin (Curcumae Radix, 1.5 qian) Bei Sha Shen (Glehniae Radix, 5 qian) Sang Bai Pi (Mori Cortex roasted, 2 qian) Pipa Ye (Loquat Leaf de-haired, 1 liang) Bai Mao Gen (Imperatae Rhizoma, 1 liang) Lian Zhu (Pearl, 3 fen)
Chuan Bei (Fritillariae Cirrhosae Bulbus 4 fen, two ingredients ground extremely fine and taken mixed)
Original note after the prescription says: What is currently feared is Lung heat following the channel entering the Heart, causing simultaneous disease of Heart and Lung, asthma, and coma, which would be a critical state. Someone asked: A few days ago, if drugs like Ejiao for saving the Lung were used, treatment should have been effective. Why not continue them to let Water control Fire? Answer: Tongue coating is white and greasy, no thirst. If dampness is abundant generating phlegm, it is even harder to handle. Reluctantly stepping back is not shrinking from battle. Furthermore, this case is Winter-Warmth lingering into Spring, unable to heal for a long time. It was likely treated by mediocre doctors using Bai Shao (Paeoniae Radix Alba) up to 4 qian, Chuan Lian (Coptidis Rhizoma) up to 5 qian, and Wu Wei Zi (Schisandrae Fructum) up to 2 qian. By Jingzhe (Awakening of Insects solar term), the disease worsened, as Jingzhe is when Yang moves. Initially used Yu Shi's Qing Zao Jiu Fei Tang (Clear Dryness Save Lung Decoction), later used Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction). Previous cases are lost, so recorded here (Qing Ru Zhi).
Mr. Qiu (Right side): Syndrome exceeded two weeks, first red rash appeared, then white milia (white grains), followed by menstruation. Pathogen force did not fail to drain slightly through rash and milia, so a few days ago the disease had signs of retreat,烦热 (restless heat) and thirst were largely stabilized. However, since both rash and milia appeared, Ying Qi (Nutritive Qi) and Yin fluids must have secretly depleted. Moreover, mental worry causes Liver Wood and Fire to rise, pathogenic heat thereby intensifies,烦热 (restless heat) returns strongly, tinnitus and ear blockage, phlegm sound in throat, resembling dream talk, finger twitching, lower abdomen qi sinking and distension. Pulse is rapid, slippery, and wiry; tongue red with yellow coating. Pathogenic dampness not resolved, Liver Wood and Fire secretly rising, refining fluids into phlegm, divine mechanism not operating, danger of coma and convulsions. Tentatively propose venting heat, cooling Liver, resolving phlegm, and opening orifices.
Ling Yang Pian (Antelope Horn slices, 3 qian) Chi Fu Ling (Red Poria, 3 qian) Zhu Ru (Bambusa Textilis Caulis salt-water fried, 1 qian) Yi Yuan San (Benefit Origin Powder, 3 qian plus Cinnabar 7 li wrapped in silk) Da Lian Qiao (Forsythiae Fructum large, 3 qian) Chen Dan Xing (Areca Seed with bile aged, 6 fen) Hei Shan Zhi (Gardeniae Fructus charred, 3 qian) Guang Xingren (Prunus Armeniaca Seed, 3 qian) Yujin (Curcumae Radix, 1.5 qian) Ju Ye (Citrus Reticulata Leaf, 1.5 qian) Yin Hua Lu (Honeysuckle Dew, 1 liang)
Second visit: Venting heat, cooling Liver, resolving phlegm, opening orifices,烦ao (restlessness) greatly reduced, sleep slightly peaceful, limb twitching more stable, lower abdominal distension relaxed, red rash slightly faded. Pulse wiry and slightly soft, tongue red with thinning yellow coating. This morning expectorated three mouthfuls of sputum, feeling quite relieved, self-perceiving sticky phlegm in chest. Indeed, Liver-Gallbladder fire and pathogenic heat fiercely compete, refining fluids into phlegm, causing phlegm-fire to fan each other. Coma and convulsions are imminent and alarming. After taking previous medicine, less than a week has passed, cannot operate too aggressively. Propose clearing and resolving pathogenic heat, assisted by resolving phlegm.
Lian Qiao (Forsythiae Fructum, 3 qian) Fen Dan Pi (Moutan Cortex powdered, 2 qian) Guang Yujin (Curcumae Radix, 1.5 qian) Chen Dan Xing (Areca Seed with bile aged, 5 fen) Bai Ji Li (Tribuli Fructus, 3 qian) Shan Zhi (Gardeniae Fructum, 3 qian) Gua Lou Pi (Trichosanthis Pericarpium, 3 qian) Guang Xingren (Prunus Armeniaca Seed, 3 qian) Yi Yuan San (Benefit Origin Powder, 3 qian plus Cinnabar 7 li wrapped in silk) Qing Zhu Ye (Bambusa Leaves green, 20 pieces) Huo Shui Lu Gen (Imperatae Rhizoma living water, 1 liang) Yin Hua Lu (Honeysuckle Dew, 1 liang)
Mr. Feng (Left side): Warm pathogen for seven days, intense heat, mental confusion, limb joint twitching, pulse with pauses, black tongue with red substance, malar flush, loud rattling phlegm in throat, coarse and short breathing. This is intense heat internally, with damp-phlegm depression, heat unable to vent, turning to internal penetration, danger of phlegm surging, coma, and asthma.
Ling Yang Jiao (Antelope Horn) Chen Dan Xing (Areca Seed with bile aged) Tian Zhu Huang (Calami Turbidae Resina) Zhu Ru (Bambusa Textilis Caulis) Jiu Jie Shi Chang Pu (Acori Tatarinowii Rhizoma nine-sectioned) Da Lian Qiao (Forsythiae Fructum large) Xing Ren Ni (Prunus Armeniaca Seed paste) Xuan Fu Hua (Inulae Flos) Zhi Shi (Aurantii Fructus Immaturus) Zhi Bao Dan (Treasure Pill, one pill divided into two doses)
Mr. Zhou (Left side): After administering Lung-draining and phlegm-resolving methods, conducting heat downward, the ascending qi has retreated by three or four parts out of ten, sputum is slightly smoother, but heat intensity still does not decline. Left rib pain decreased, but sputum is yellow and thick, frequent thirst wanting to drink, mental restlessness, chest tightness, tongue substance turned red, edges and tips showing significant crimson tendency. Like dream talk, malar flush. Pulse rapid, slippery, large; left part small and soggy, right part pounding. Good reason: accumulated Qi division gradually opens, but loud rattling phlegm indicates Lung-Stomach pathogenic heat is still intense. Fire agitates phlegm, hence the loud sound. Heat burns fluids, causing deficiency, hence frequent thirst and desire to drink. Disease trend is slightly stabilized compared to before, but under the soaring momentum, without major improvement, the overall situation cannot be secured. What is urgent now is phlegm rattling and rebellious qi, most critically important. However, if pathogenic force does not vent, fluids become phlegm. The ancients said: Phlegm is tangible fire; fire is intangible phlegm. This is exactly the meaning. Propose within clearing Metal and肃肺 (purifying Lung), assisted by heavy辛凉 (pungent-cool) agents. Must achieve effectiveness to be proper.
Xing Ren Ni (Prunus Armeniaca Seed paste, 3 qian) Guang Yujin (Curcumae Radix ground and taken with liquid, 6 fen) Sang Ye (Mori Folium roasted, 2 qian) Shi Gao (Gypsum Fibrosum, 6 qian) Zhu Ru (Bambusa Textilis Caulis, 1 qian) Fa Ban Xia (Pinelliae Rhizoma processed, 1.5 qian) Chao Zhi Mu (Anemarrhenae Rhizoma fried, 1.5 qian) Chi Bai Ling (Red and White Poria, 4 qian) Guang Ju Hong (Tangerine Peel salt-water fried, 1 qian) Pipa Ye (Loquat Leaf de-haired, 6 pieces) Lu Gen (Imperatae Rhizoma, 6 qian)
Mr. Zuo: Pathogenic force unresolved, heat daily intensifies, cough with much sputum, frequent thirst drinking, mental confusion sometimes. Pathogenic dampness and phlegm jointly steam, danger of coma and asthma.
Gua Lou Ren (Trichosanthis Semen crushed, 4 qian) Xing Ren Ni (Prunus Armeniaca Seed paste, 3 qian) Wu Xi Jian (Black Rhino Horn tip ground and taken with liquid, 4 fen) Guang Yu Jin (Curcumae Radix ground and taken with liquid, 4 fen) Tian Zhu Huang (Calami Turbidae Resina ground and taken with liquid, 3.5 fen) Dan Huang Qin (Scutellariae Radix pale, 1.5 qian) Hua Shi Kuai (Talcum lump, 4 qian) Chen Sha (Cinnabar 1 fen, two ingredients ground together wrapped in silk) Chuan Bei Mu (Fritillariae Thunbergii Bulbus, 2 qian) Ma Dou Ling (Aristolochiae Manshuriensis Caulis, 2 qian) Dong Gua Zi (Benincasae Semen, 5 qian) Wei Shi Gao (Calcined Gypsum, 4 qian) Qing Lu Guan (Green Reed Tube, 1 liang) Wan Shi Niu Huang Qing Xin Wan (Wan's Calculus Bovis Clear Heart Pill, 5 fen dissolved in boiling water sent first)
Mr. Zuo: Cough, fever, phlegm rattling, hoarseness, short inhalation, sweat making hair damp. Metal injury is extreme, danger of asthma collapse is imminent. Tentatively use Yu Shi's method to exhaust human effort.
Wei Shi Gao (Calcined Gypsum, 5 qian) Bei Sha Shen (Glehniae Radix, 6 qian) Xuan Shen (Scrophulariae Radix, 3 qian) E Jiao (Colla Corii Asini, 2 qian) Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 5 fen) Niu Xi Tan (Achyranthis Bidentatae Radix charcoal, 3 qian) Chuan Bei (Fritillariae Cirrhosae Bulbus, 2 qian) Chao Mai Dong (Ophiopogonis Radix fried, 3 qian) Pipa Ye (Loquat Leaf de-haired, 6 pieces)
The Wind-Warmth category, attached with Winter-Warmth, Warm-Thermal, and Autumn-Dryness, although stated in the example remarks, is actually due to lost prescriptions and insufficient copies kept, so only appended consecutively afterwards, unable to list item by item. Proofreading makes me feel ashamed like Boyu, deeply regretting the omission. Asked my friend Mr. X: Compiling cases differs fundamentally from writing books. Authors categorize strictly, allowing no disorder. Compiling prescriptions is merely arranging based on sequence. If one desires clear uniformity and comprehensive perfection, it is difficult amidst many challenges. Han believes Mr. X has experience and gains, knowing well the complexity of compilation, and sees the value of flexibility in reading. Tentatively record this. If old classmates have preserved drafts, hope you provide them. When republishing, I will supplement and revise. (Wen Han Zhi)