唐仪部胸内作痛，月余腹亦痛，左关弦长，右关弦紧，此脾虚肝邪所乘，以补中益气加半夏
、木香二剂而愈，又用六君子汤二剂而安。此面色黄中见青。
仪部李北川，常患腹痛，每治以补中益气加山栀即愈。一日因怒，肚腹作痛，胸胁作胀，呕吐
不食，肝脉弦紧，此脾气虚弱，肝火所乘，仍用前汤吞左金丸，一服而愈。此面色黄中见青
兼赤。
太守朱阳山，因怒腹痛作泻，或两胁作胀，或胸乳作痛，或寒热往来，或小便不利，饮食不入
，呕吐痰涎，神思不清，此肝木乘脾土。用小柴胡加山栀、炮姜、茯苓、陈皮、制黄连，一剂
而愈。（制黄连即黄连、吴茱萸等分，用热水拌湿罨二三日同炒焦取连用，后仿此。）
阳山之内，素善怒，胸膈不利，吐痰甚多，吞酸嗳腐，饮食少思，手足发热，十余年矣。所服非
芩、连、枳实，必槟、苏、浓朴。左关弦洪，右关弦数。此属肝火血燥，木乘土位。朝用六味
地黄丸以滋养肝木，夕用六君加当归、芍药以调补脾土，不月而愈。癸卯夏患背疽，症属虚
寒，用大温补之药而愈。乙巳夏，因大怒，吞酸嗳腐，胸腹胀满。余以他往旬日，或用二陈、
石膏治之，吐涎如涌，外热如灼，将用滚痰丸下之，余到诊之，脉洪大按之如无。余曰∶此乃
脾胃亏损而发热，脾弱而涎泛出也。余用六君加姜桂一钟即睡，觉而诸症如失，又数剂而康
。
儒者沈尼文，内停饮食，外感风寒，头痛发热，恶心腹痛，就治敝止。余用人参养胃加芎、芷、
曲、柏、香附、桔梗一剂而愈。次日抵家，前病仍作，腹痛请治。以手重按，痛即止。此客寒
乘虚而作也，乃以香砂六君加木香、炮姜，服之睡觉，痛减六七，去二香再服，饮食少进，
又加黄 、当归，少佐升麻而愈。
府庠徐道夫母，胃脘当心痛剧，右寸关俱无，左虽有，微而似绝，手足厥冷，病势危笃，察其
色眼胞上下青黯，此脾虚肝木所胜。用参、术、茯苓、陈皮、甘草补其中气，用木香和胃气
以行肝气；用吴茱萸散脾胃之寒，止心腹之痛。急与一剂，俟滚先服，煎熟再进。诸病悉愈。
向使泥其痛无补法，而反用攻伐之药，祸不旋踵。一妇人怀抱郁结，不时心腹作痛，年余不愈，诸药不应，余用归
脾加炒山栀而愈。
唐仪部（官职名）感觉胸内疼痛，一个月后腹部也开始疼痛。诊见左关脉弦长，右关脉弦紧，这是脾虚导致肝邪乘袭所致。服用补中益气汤加入半夏、木香，两剂后痊愈；随后又服用六君子汤两剂以巩固疗效而安定。此患者面色黄中带青。
仪部李北川，经常患腹痛病，每次治疗都使用补中益气汤加入山栀即可痊愈。有一天因为发怒，肚腹作痛，胸胁胀满，呕吐不能进食，肝脉弦紧，这是脾气虚弱，被肝火乘袭所致。仍然用前面的方剂（补中益气汤加山栀）吞服左金丸，一服药后即痊愈。此患者面色黄中带青兼赤。
太守朱阳山，因为发怒导致腹痛腹泻，有时两胁胀满，有时胸乳疼痛，有时寒热往来，有时小便不利，饮食无法进入，呕吐痰涎，神志不清，这是肝木乘袭脾土所致。使用小柴胡汤加入山栀、炮姜、茯苓、陈皮、制黄连，一服药后即痊愈。（制黄连即黄连与吴茱萸等分，用热水拌湿覆盖二三日同炒焦取黄连使用，后续仿照此法。）
朱阳山的妻子，素来容易发怒，胸膈不畅，吐痰很多，吞酸嗳腐，饮食减少思虑，手足发热，长达十余年。所服用的药物如果不是黄芩、黄连、枳实，就是槟榔、紫苏、厚朴。左关脉弦洪，右关脉弦数。这属于肝火血燥，木气乘袭土位。早晨服用六味地黄丸以滋养肝木，晚上服用六君子汤加入当归、芍药以调补脾土，不到一个月即痊愈。癸卯年夏天患背疽，症状属于虚寒，使用大温补的药物而痊愈。乙巳年夏天，因为大怒，出现吞酸嗳腐，胸腹胀满。我因他事外出十天，期间有人用二陈汤、石膏治疗，导致吐涎如水涌出，体表热如灼烧，准备用滚痰丸攻下。我回来后诊察，脉象洪大但重按如无。我说：这是脾胃亏损导致的发热，脾弱导致涎液泛出。我使用六君子汤加入干姜、肉桂，一钟量服下后即入睡，醒来后诸症消失，又服几剂后康复。
儒生沈尼文，体内停滞饮食，体外感受风寒，头痛发热，恶心腹痛，前来求治。我使用人参养胃汤加入川芎、白芷、神曲、黄柏、香附、桔梗，一服药后即痊愈。第二天回到家，前病复发，腹痛请求治疗。用手重按，疼痛即停止。这是客寒乘虚而入所致，于是使用香砂六君子汤加入木香、炮姜，服用后睡觉，疼痛减轻六七成，去掉木香和砂仁再服，饮食稍进，又加入黄芪、当归，少佐升麻而痊愈。
府庠徐道夫的母亲，胃脘当心处疼痛剧烈，右寸关脉均无，左脉虽有但微弱似绝，手足厥冷，病情危重。观察其面色眼睑上下青黯，这是脾虚肝木克制太过所致。用人参、白术、茯苓、陈皮、甘草补其中气，用木香和胃气以疏行肝气；用吴茱萸散脾胃之寒，止心腹之痛。急予一剂，待药液滚沸先服，煎熟后再进。诸病悉愈。假如拘泥于“痛无补法”的说法，反而使用攻伐的药物，灾祸将立刻降临。
Tang Yibu (an official title) experienced pain in the chest, which extended to the abdomen after more than a month. The pulse at the left Guan position was wiry and long, and the pulse at the right Guan position was wiry and tight. This indicated Spleen deficiency with Liver pathogenic factors taking advantage of the weakness. After two doses of Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Banxia (Pinelliae Rhizoma) and Muxiang (Aucklandiae Radix), he recovered. Subsequently, he took Liujunzi Tang (Six Gentlemen Decoction) for two doses to stabilize his condition. His complexion was yellow with a bluish tint.
Li Beichuan, also an Yibu, frequently suffered from abdominal pain, which was cured each time by administering Buzhong Yiqi Tang added with Shanzhi (Gardeniae Fructus). One day, due to anger, he experienced abdominal pain, distension in the chest and hypochondrium, vomiting, and inability to eat. The Liver pulse was wiry and tight. This indicated Spleen Qi deficiency with Liver Fire taking advantage of the weakness. He continued to use the previous prescription (Buzhong Yiqi Tang plus Shanzhi) while swallowing Zuojin Wan (Left Metal Pill), recovering after one dose. His complexion was yellow with a bluish and reddish tint.
Zhu Yangshan, a Taishou (Prefectural Governor), suffered from abdominal pain and diarrhea due to anger. Sometimes he experienced distension in both hypochondria, pain in the chest and breasts, alternating chills and fever, difficulty in urination, inability to take food, vomiting of phlegm-saliva, and unclear mental state. This indicated Liver Wood overacting on Spleen Earth. He was treated with Xiaochaihu Tang (Minor Bupleurum Decoction) added with Shanzhi (Gardeniae Fructus), Paojiang (Prepared Zingiberis Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), and Zhì Huánglián (Processed Coptidis Rhizoma). He recovered after one dose. (Zhì Huánglián is prepared by mixing equal parts of Huanglian (Coptidis Rhizoma) and Wuzhuyu (Evodiae Fructus), moistening them with hot water, covering them for two to three days, stir-frying them together until scorched, and then using only the Huanglian. The following methods are similar.)
The wife of Zhu Yangshan had a history of irritability, chest and diaphragm discomfort, excessive expectoration, acid regurgitation, belching with a foul taste, poor appetite, and heat sensation in the hands and feet, lasting for over ten years. Her medications usually consisted of Qin (Scutellariae Radix), Lian (Coptidis Rhizoma), Zhishi (Aurantii Fructus), Binglang (Arecae Semen), Suzi (Perillae Fructus), or Houpo (Magnoliae Officinalis Cortex). The pulse at the left Guan position was wiry and surging, and the pulse at the right Guan position was wiry and rapid. This belonged to Liver Fire and Blood dryness, with Wood overacting on Earth. In the morning, she took Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) to nourish Liver Wood; in the evening, she took Liujunzi Tang (Six Gentlemen Decoction) added with Danggui (Angelicae Sinensis Radix) and Shaoyao (Paeoniae Radix) to regulate and tonify Spleen Earth. She recovered within a month. In the summer of the Gui Mao year, she developed a carbuncle on the back, presenting as deficiency-cold syndrome, which was cured with strong warming and tonifying medicines. In the summer of the Yi Si year, due to great anger, she experienced acid regurgitation, belching with a foul taste, and chest and abdominal fullness. I was away for ten days. During this time, others used Erchen Tang (Two Aged Decoction) and Shigao (Gypsum Fibrosum), causing her to vomit saliva like a gush and feel intense external heat. They were about to administer Guntan Wan (Rolling Phlegm Pill) to purge. Upon my return, I diagnosed her pulse as surging and large but empty upon deep pressure. I stated: "This is fever caused by Spleen and Stomach deficiency, with saliva overflowing due to weak Spleen." I administered Liujunzi Tang (Six Gentlemen Decoction) added with Jiang (Zingiberis Rhizoma) and Gui (Cinnamomi Ramulus). After drinking one cup, she fell asleep. Upon waking, all symptoms disappeared, and she recovered after several more doses.
Shen Niwen, a Confucian scholar, had retained food internally and contracted wind-cold externally. He presented with headache, fever, nausea, and abdominal pain, and sought treatment from me. I prescribed Renshen Yangwei Tang (Ginseng Decoction to Nourish the Stomach) added with Xiong (Ligustici Chuanxiong Rhizoma), Zhi (Bai Zhi, Angelicae Dahuricae Radix), Qu (Shenqu, Massae Fermentatae Medicamentae), Bai (Huangbai, Phellodendri Cortex), Xiangfu (Cyperi Rhizoma), and Jiegeng (Platycodonis Radix). He recovered after one dose. The next day, upon returning home, his previous illness recurred, specifically abdominal pain. Pressing heavily with the hand stopped the pain. This was cold pathogen taking advantage of deficiency. I prescribed Xiangsha Liujunzi Tang (Aucklandia and Amomum Six Gentlemen Decoction) added with Muxiang (Aucklandiae Radix) and Paojiang (Prepared Zingiberis Rhizoma). After sleeping following administration, the pain decreased by six or seven tenths. Removing Muxiang and Sharen (Amomi Fructus) and taking it again allowed slight improvement in diet. Finally, adding Huangqi (Astragali Radix) and Danggui (Angelicae Sinensis Radix), with a small amount of Shengma (Cimicifugae Rhizoma), led to recovery.
The mother of Xu Daofu, a student at the local academy, suffered severe pain in the epigastrium corresponding to the heart. The pulses at the right Cun and Guan positions were absent; although present at the left, they were faint and nearly imperceptible. Her hands and feet were cold, and the condition was critical. Observing her complexion, the skin above and below her eyelids was dark blue. This indicated Spleen deficiency with excessive control by Liver Wood. I used Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), and Gancao (Glycyrrhizae Radix et Rhizoma) to tonify the Middle Qi; Muxiang (Aucklandiae Radix) to harmonize Stomach Qi and move Liver Qi; and Wuzhuyu (Evodiae Fructus) to disperse Cold in the Spleen and Stomach and stop abdominal and cardiac pain. An urgent dose was given, to be taken boiling hot first, followed by the rest when warm. All diseases were cured. Had they adhered rigidly to the notion that "pain has no tonification method" and instead used attacking drugs, disaster would have ensued immediately.
A woman suffering from emotional depression experienced intermittent cardiac and abdominal pain for over a year without relief from various medicines. I prescribed Guipi Tang (Restore the Spleen Decoction) added with fried Shanzhi (Gardeniae Fructus), and she recovered.