钱） 广郁金（三钱） 新会皮（钱半） 六一散（三钱，包） 淡竹叶（三钱） 天花粉（三钱）
介按∶伏暑内发，新凉外束，故始起寒热，舌苔微白。清热利湿，方极稳妥，在鄙见宜
去川斛而加入透达之品，则新邪易退，且免恋湿之患。
安昌顾（建记） 阳明伏暑，舌焦腻，脘闷呕恶，脉弦细，暮夜烦热。症属棘手，宜防外
脱内闭，候正。（八月二十四日）
栝蒌子（四钱，杵） 枳实（钱半） 淡竹叶（钱半） 广郁金（三钱） 炒川连（八分） 焦栀
子（三钱） 赤苓（四钱） 晚蚕砂（四钱） 仙半夏（钱半） 原滑石（四钱） 光杏仁（三钱）
介按∶伏暑发自阳明，古人以白虎汤为主方，此人系是浊热粘腻之邪，由阳明而留恋脘
膈。治宗小陷胸汤之意，是属对症疗法。
安昌高 秋暑未清，脉涩滞，气机不和，神识乍愦，溺后精关不固，舌微白，腹痛，仍
遵前法加减治之。（七月二十九日）
广藿香（二钱） 仙半夏（钱半） 生牡蛎（四钱） 石莲子（三钱） 省头草（三钱） 茯苓（
四钱） 蔻壳（钱半） 通草（钱半） 川楝子（三钱） 香附（三钱） 左金丸（八分）
清煎三帖。
介按∶素患遗精，兼受秋暑，故其治法，于清暑理气之中，仍佐涩下之品。虽则标本兼
顾，尚宜注重新邪。
钱姓患者：广郁金（三钱）、新会皮（一钱半）、六一散（三钱，包煎）、淡竹叶（三钱）、天花粉（三钱）。
邵介按语：伏暑（夏季感受暑湿之邪，潜伏体内至秋季发作的病证）内发，新凉（秋季外感凉邪）外束，所以起初出现寒热往来，舌苔微白。清热利湿的方剂非常稳妥，但在我个人看来，应当去掉川石斛而加入透达邪气的药物，这样新感之邪容易消退，并且能避免留恋湿气之患。
安昌顾姓患者（建记）：阳明伏暑，舌苔焦腻，胃脘部闷胀、恶心呕吐，脉象弦细，夜间烦热。病症属于棘手难治，应当防止阳气外脱或邪气内闭导致神昏，等待正气恢复。（八月二十四日）
栝蒌子（四钱，捣碎）、枳实（一钱半）、淡竹叶（一钱半）、广郁金（三钱）、炒川黄连（八分）、焦栀子（三钱）、赤茯苓（四钱）、晚蚕砂（四钱）、仙半夏（一钱半）、原滑石（四钱）、光杏仁（三钱）。
邵介按语：伏暑发自阳明经，古人以白虎汤为主方，此患者属于浊热粘腻之邪，由阳明经留恋于胃脘和膈部。治疗遵循小陷胸汤（具有清热化痰、宽胸散结功效的方剂）的意旨，这属于对症疗法。
安昌高姓患者：秋暑未清，脉象涩滞，气机不和，神识偶尔昏乱，小便后精关不固，舌苔微白，腹痛，仍然遵照前法加减治疗。（七月二十九日）
广藿香（二钱）、仙半夏（一钱半）、生牡蛎（四钱）、石莲子（三钱）、省头草（三钱）、茯苓（四钱）、蔻壳（一钱半）、通草（一钱半）、川楝子（三钱）、香附（三钱）、左金丸（八分）。
清水煎煮，服用三帖。
邵介按语：平时患有遗精，又兼受秋暑，所以治疗方法，在清暑理气之中，仍辅助使用固涩下焦的药物。虽然标本兼顾，但仍应注重祛除新感之邪。
Patient Qian: Guangyujin (Curcuma Aromatica Rhizoma, 3 qian), Xinhui Pi (Citri Reticulatae Pericarpium, 1.5 qian), Liuyi San (Six-to-One Powder, 3 qian, wrapped for decoction), Danzhuye (Lophatheri Herba, 3 qian), Tianhuafen (Trichosanthis Radix, 3 qian).
Commentary by Shao Jie: Fushu (latent summerheat) erupts from within, while Xinliang (new cold/autumn chill) binds from without; hence, initially there is alternating chills and fever, and the tongue coating is slightly white. The formula for clearing heat and promoting diuresis to remove dampness is extremely sound. However, in my opinion, it is advisable to remove Chuanhu (Dendrobii Caulis) and add herbs that penetrate and diffuse pathogenic factors, so that the newly acquired pathogen can be easily expelled, thereby avoiding the risk of dampness lingering.
Patient Gu from Anchang (Recorded by Jianji): Yangming Fushu (latent summerheat in the Yangming channel), with a scorched and greasy tongue coating, epigastric fullness and oppression, nausea and vomiting, wiry and fine pulse, and irritability with fever at night. The condition is tricky and difficult to treat; one should guard against external collapse of Yang qi or internal closure leading to coma, awaiting the recovery of righteous qi. (August 24th)
Gualouzi (Trichosanthis Fructus, 4 qian, crushed), Zhishi (Aurantii Fructus Immaturus, 1.5 qian), Danzhuye (Lophatheri Herba, 1.5 qian), Guangyujin (Curcuma Aromatica Rhizoma, 3 qian), Chao Chuanlian (Coptidis Rhizoma, stir-fried, 8 fen), Jiao Zhizi (Gardeniae Fructus, charred, 3 qian), Chiling (Poria Cocos with Red Host, 4 qian), Wancansha (Bombyx Batryticatus, 4 qian), Xian Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, 1.5 qian), Yuanshishi (Talcum, 4 qian), Guang Xingren (Armeniacae Semen Amarum, 3 qian).
Commentary by Shao Jie: Fushu originates from the Yangming channel. Ancients used Baihu Tang (White Tiger Decoction) as the main formula. This patient suffers from turbid, hot, sticky, and cloying pathogens that linger in the epigastrium and diaphragm after originating from Yangming. The treatment follows the principle of Xiaoxianxiong Tang (Minor Inverted Chest Powder), which constitutes symptomatic therapy.
Patient Gao from Anchang: Autumn summerheat has not cleared; the pulse is choppy and stagnant, Qi mechanism is disharmonious, consciousness is occasionally confused, the essence gate is insecure after urination, the tongue coating is slightly white, and there is abdominal pain. Continue to follow the previous method with modifications. (July 29th)
Guang Huoxiang (Patchouli Herba, 2 qian), Xian Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine, 1.5 qian), Sheng Muli (Ostreae Concha, raw, 4 qian), Shilianzi (Nelumbinis Nucifera Semen, 3 qian), Shentoucao (Agastaches Herba, 3 qian), Fuling (Poria Cocos, 4 qian), Kouqiao (Amomi Fructus Pericarpium, 1.5 qian), Tongcao (Tetrapanacis Medulla, 1.5 qian), Chuanlianzi (Toosendan Fructus, 3 qian), Xiangfu (Cyperi Rhizoma, 3 qian), Zuojin Wan (Left Metal Pill, 8 fen).
Decoct in clear water, take three doses.
Commentary by Shao Jie: The patient has a history of spermatorrhea and is additionally affected by autumn summerheat. Therefore, the treatment method, while clearing summerheat and regulating Qi, still assists with astringent herbs for the lower jiao. Although both root and branch are addressed, attention should still be paid to eliminating the newly acquired pathogen.