吴(三十五岁) 遭逢数奇，情志郁勃，劳伤客感兼有，病物理虚照顾，勿犯二气，是攻
邪宜轻。
连翘 飞滑石 花粉 白蔻仁 桔梗 杏仁 橘红 枳壳
张(舡上，三十三岁) 烈日追呼，气伤热迫，保胃阴以养肺，益肾阴以固本。
生白扁豆 白玉竹 北沙参 甘草 麦冬肉 桑叶
保胃阴，即所以益肾阴也，看用药可知。
陈(二十岁) 少壮春夏失血，次年至期再发，在里阴损不复，数发必凶，用药勿犯胃纳
。六味加麦冬、五味子、秋石。
张(桐桥，五十二岁) 久痢三年。
理阴煎
沈(塘楼，四十五岁) 舌乃心苗，肾脉系焉。舌下肿硬，伸缩不得自然，乃心阳自亢，
肾阴
暗耗。内关脏液虚损，清热消肿无用，常服大补阴丸(灯火旺，盏油易涸，心火亢，肾水易
耗。盖心火之下阴精承之也。)
陈(关上，十九岁) 瓜水辛寒伤阳，渴泻腹鸣。
公丁香柄 诃子皮 官桂 生广木香 茯苓 炮黑姜 茅术 新会皮 浓朴
温中兜涩，燥湿通阳，诸法毕具。
叶(二十七岁) 此肾损久泻亡阴，当暑热气自上吸入，气伤热炽，音哑痰多，水涸金痿
，非小
恙也。绝欲固下，勿扰烦以宁心，精气再苏，望其痊可(盖金从水养，母隐子胎，水涸而金
必痿也。凡痨病肾精内夺，每声哑而死，亦此议也。)
熟地炭 生扁豆 人参 茯神 川石斛 女贞子
汪 不以失血，独取时令湿邪，得以病减。凡六气有胜必复，湿去必致燥来，新秋暴暑
烁津，且养胃阴，白露后可立丸方(识胆俱超。)
吴姓患者（三十五岁），命运多舛，情志抑郁不畅，兼有劳倦内伤与外感客邪。治疗时以顾护正气虚弱为主，切忌触犯风、寒二气之邪，因此祛邪宜用轻剂。
连翘 飞滑石 花粉 白蔻仁 桔梗 杏仁 橘红 枳壳
张姓患者（船工，三十三岁），在烈日下奔波呼喊，导致气机受损、热邪逼迫。治疗应保养胃阴以滋养肺金，补益肾阴以固护根本。
生白扁豆 白玉竹 北沙参 甘草 麦冬肉 桑叶
保养胃阴，即是补益肾阴的方法，从用药即可看出此意。
陈姓患者（二十岁），年轻时春夏季节失血，次年同一时期再次发作，属于里位阴精亏损且无法恢复，多次发作必然凶险，用药不可损伤胃纳功能。
六味地黄丸加麦冬、五味子、秋石。
沈姓患者（塘楼，四十五岁），舌为心之苗窍，肾脉与之相连。舌下肿胀坚硬，伸缩不自然，这是心阳自盛亢奋，肾阴暗中耗损所致。内脏津液虚损，清热消肿无效，常服大补阴丸。（灯烛火旺，盏中油容易干涸；心火亢盛，肾水容易耗竭。因为心火之下需要阴精来承制。）
陈姓患者（关上，十九岁），食用西瓜等辛寒之物损伤阳气，出现口渴、腹泻、腹中鸣响。
公丁香柄 诃子皮 官桂 生广木香 茯苓 炮黑姜 茅术 新会皮 浓朴
温中涩肠，燥湿通阳，各种治法兼备。
叶姓患者（二十七岁），此为肾精亏损导致的久泻亡阴，正值暑热之气自上吸入，气伤热炽盛，声音嘶哑痰多，水涸金痿，不是小病。需断绝房事以固摄下元，避免烦扰以宁心安神，待精气复苏，有望痊愈。（盖因金生水，母隐子胎，水枯竭则金必痿弱。凡是痨病肾精内夺，往往因声音嘶哑而死，也是这个道理。）
熟地炭 生扁豆 人参 茯神 川石斛 女贞子
汪姓患者，不因失血致病，而是独取时令湿邪，得以病情减轻。凡六气有过胜必有报复，湿气去除后必然导致燥气来临，新秋暴热灼伤津液，暂且养胃阴，白露节气后可制定丸方。（见识胆略均高超。）
Wu (35 years old) has encountered numerous misfortunes, with emotional depression and stagnation. There is a combination of labor-induced injury and exogenous pathogenic invasion. In treating the pathological deficiency, care must be taken to protect the body's resistance and avoid exposing it to Wind and Cold pathogens; therefore, expelling evil should be done lightly.
*Forsythiae Fructus* (Lianqiao), *Talcum* (Fei Huashi), *Trichosanthis Radix* (Huafen), *Amomi Fructus Rotundus* (Baikouren), *Platycodonis Radix* (Jiegeng), *Pruni Semen* (Xingren), *Citri Reticulatae Pericarpium* (Juhong), *Aurantii Fructus Immaturus* (Zhiqiao).
Zhang (boatman, 33 years old) suffered from Qi damage and heat pressure due to running and shouting under the scorching sun. The treatment should preserve Stomach Yin to nourish Lung Metal and benefit Kidney Yin to consolidate the root.
*Dolichi Lablabis Semen Album* (Sheng Baibiandou), *Polygonati Odorati Rhizoma* (Bai Yuzhu), *Glehniae Radix* (Beishashen), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Ophiopogonis Tuber* (Maidongrou), *Mori Folium* (Sangye).
Preserving Stomach Yin is essentially benefiting Kidney Yin, which can be seen from the prescription.
Chen (20 years old) experienced blood loss during spring and summer in his youth, recurring at the same time the following year. This indicates internal Yin deficiency that fails to recover. Frequent recurrences will be fatal. Medication must not impair Stomach appetite.
*Liuwei Dihuang Wan* (Six-Ingredient Pill with Rehmannia) added with *Ophiopogonis Tuber* (Maidong), *Schisandrae Fructus* (Wuweizi), and *Calcinatum Urinae Hominis* (Qiushi).
Zhang (Tongqiao, 52 years old) has suffered from dysentery for three years.
*Liyin Jian* (Decoction for Nourishing Yin)
Shen (Tanglou, 45 years old) The tongue is the sprout of the Heart, and the Kidney meridian connects to it. Swelling and hardness under the tongue with unnatural extension and retraction indicate excessive self-rising of Heart Yang and hidden consumption of Kidney Yin. Visceral fluids are deficient. Clearing heat and reducing swelling is useless; one should frequently take *Dabu Yin Wan* (Great Tonification of Yin Pill). (When the lamp fire is strong, the oil in the saucer dries up easily; when Heart Fire is hyperactive, Kidney Water is easily consumed. This is because Yin Essence must support the Heart Fire below.)
Chen (Guanshang, 19 years old) Consumption of melon water and acrid-cold substances damaged Yang, resulting in thirst, diarrhea, and abdominal borborygmus.
*Caryophylli Cacumen* (Gong Dingxiangbing), *Terminalia Chebulae Fructus* (Hezipi), *Cinnamomi Cortex* (Guangui), *Aucklandiae Radix* (Sheng Guangmuxiang), *Poria* (Fushen), *Zingiberis Rhizoma Preparatum* (Paohaijiang), *Atractylodis Rhizoma* (Maoshu), *Citri Reticulatae Pericarpium* (Xinhuiqi), *Magnoliae Officinalis Cortex* (Nouhou).
Warming the middle and astringing, drying dampness and unblocking Yang, all methods are complete.
Ye (27 years old) This is long-term diarrhea causing Yin loss due to Kidney damage. During the summer heat, hot qi was inhaled from above, leading to Qi damage and intense heat. Symptoms include hoarseness and profuse phlegm. With dry water and withered metal, this is no minor ailment. Abstain from sexual desire to consolidate the lower jiao, avoid disturbance to calm the mind, and hope for recovery once Jing-Qi revives. (Metal is nourished by Water; the mother hides in the fetus. When water is exhausted, metal inevitably withers. In consumptive diseases where Kidney Essence is internally seized, death often follows hoarseness, which aligns with this reasoning.)
*Rehmanniae Radix Preparata* (Shudi Tan), *Dolichi Lablabis Semen Album* (Sheng Baibidou), *Ginseng Radix* (Renshen), *Poria cum Wood* (Fushen), *Dendrobii Caulis* (Chuanshihu), *Ligustri Lucidi Fructus* (Nvzhenzi).
Wang did not suffer from blood loss but was affected solely by seasonal dampness, allowing the illness to subside. Whenever the Six Qi have an excess, there is a counteraction; after dampness is removed, dryness inevitably arrives. New autumn violent heat scorches fluids. For now, nourish Stomach Yin; after White Dew, a pill prescription can be formulated. (Insight and courage are both outstanding.)