论曰∶后生志学人少，但知爱富，不知爱学，临事之日，方知学为可贵，自恨孤陋寡闻
。所以悯其如此，忘寝与食，讨幽探微，辑缀成部，以贻未悟，有能善斯一卷，足为大医。
凡膈上冷、少腹满、肠鸣、膀胱有气、冷利者，当加利药，服讫当利出泔淀青黄水青泥，轻
者一两度加利药去病即止；重者五六度，加利药得日三频大利，方得尽其根源，病乃永愈。
其利法至已时以来两行、三行即定，亦自如旧，终不成利病也。凡病在上膈，久冷痰 积聚
疝瘕症结宿食坚块咳逆上气等固病，终日吐唾、逆气上冲胸胁及咽喉者，此皆胃口积冷所致，
当吐尽乃瘥。轻者一二度，重者五六度方愈。其吐状，初唾冷沫酸水，次黄汁，重者出赤紫
汁。若先患注，人当出黑血，下吐药大吐，吐时令人大闷，须臾自定，不令人虚 ，得冷冻饮料
食已，耳不虚聋，手足不痹。亦有人当吐时，咽中有一块物塞喉，不能得出者，饮一二合药
酒，须臾即吐出一物如拳许大，似段鸡子中黄，重者十块，轻者五六枚。
上件等疾状病之根本，若今日不出此根本之疾，虽得名医与一二剂汤药押定，于后食触
，其病还发。善医者当服此药，一出根本，即终身无疾矣。
吐利出疾法∶
凡长病患 虚羸人 老人 贵人
此等人当少服，积日不已，病当内消也，不须加吐利药。
凡加吐利药，伤多，吐利若不止者，水服大豆屑方寸匕即定，卒无豆屑，嚼蓝叶及乌豆
叶亦得定。丈夫五劳七伤阳气衰损、羸瘦骨立者，服之即瘥。旬月之间，肌肤充悦脑满精溢，
仍加
疗风方 用药多少法∶
历节风（二十两，酒五斗） 贼风 热风 大风（用药与历节同） 偏风 猥退 瘫痪
风（
十二两，酒三斗）
上以上风，皆带热，须加冷药，仍须利药，得利佳也。
贼风掣纵（八两，酒二斗）
湿风周痹（八两，酒二斗）
脚腰挛痛（十二两，酒三斗）
筋节拘急（八两，酒二斗）
食热如针刺（八两，酒二斗）
热病后汗不出（初觉三服，一服一盏；年久服一升）
口 面戾一目不合（四两，酒一斗；年久十二两，酒三斗）
起即头眩（四两，酒一斗）
头面风似虫行（八两，酒二斗）
心闷欲呕吐项强欲阴雨即发者（八两，酒二斗）
因疮得风口噤脊背反张如角弓（五服，一服一盏）
疗冷病方∶
积冷痰 （瘦者四两，酒一斗；强者六两，酒一斗半）
痰饮疝癖（六两，酒一斗半）
宿食吐逆（四两，酒一斗）
症癖肠鸣噫（八两，酒二斗）
痔癖块咳嗽上气（二十两，酒五斗）
奔豚冷气（六两，酒一斗半）
噎哕呕痢（六两，酒一斗半）
久疰（八两，酒二斗）
卒中恶忤心腹胀满气急垂死（三服，一服一盏，当大吐，吐出血）
瘴气（三服）
蛊毒（五服）
温疟（五服）
疟（五服）
冷痢（六两，酒二斗半）
久劳（八两，酒二斗）
疗妇人方（其风冷等准前∶）
带下（十二两，酒三斗）
崩中（六两，酒一斗半）
月水不通（六两，酒一斗半）
冷病绝产（六两，酒一斗半）
断绪（八两，酒二斗）
产后诸疾（八两，酒二斗）
月水不调月前月后乍多乍少（四两，酒一斗）
落身后病（六两，酒一斗半）
重者子宫下垂（十二两，酒三斗）
论曰：后辈求学之人少，只知道爱惜财富，不知道爱惜学问，等到面临事务之时，才知道学习是可贵的，自己悔恨见识浅陋、孤陋寡闻。因此怜悯他们如此，废寝忘食，探究深奥微妙的道理，编辑成册，留给尚未开悟的人，如果能善于研读这一卷书，足以成为大医。
凡是膈上寒冷、小腹胀满、肠鸣、膀胱有气、冷性泄泻的，应当服用通利药，服完后应当排出米泔水样的青黄色水和青色泥状物，轻的一两次服用通利药去除病邪就停止；重的五六次，服用通利药使得每天三次频繁大量排泄，才能彻底根除病源，疾病才能永远痊愈。这种通利的疗法，到了巳时以后两三次、三几次就稳定了，也自然像以前一样，终究不会导致因病而腹泻不止。凡是病在上膈，久寒痰积聚、疝瘕症结、宿食坚块、咳逆上气等顽固病症，整天吐唾沫、逆气上冲胸胁及咽喉的，这都是胃口积冷所致，应当催吐尽才痊愈。轻的一两次，重的五六次才痊愈。其呕吐的情况，起初吐出冷沫酸水，接着是黄汁，重的吐出赤紫色汁液。如果先前患有注病（传染性或迁延性疾病），人应当吐出黑血，服用催吐药剧烈呕吐，呕吐时让人极度闷乱，片刻后自行安定，不让人虚弱，得到冷冻饮料食物后，耳朵不虚聋，手足不麻痹。也有人当呕吐时，咽中有一块物体堵塞喉咙，不能排出的，喝一二合药酒，片刻后就吐出一块如拳头大小的物体，类似鸡蛋黄的一段，重的十块，轻的五六枚。
上述各种疾状病的根本，如果今天不排出这个根本的疾病，虽然得到名医给一两剂汤药压制住，日后饮食触犯禁忌，疾病还会复发。善于治病的人应当服用此药，一次排出根本，就终身无病了。
吐利出疾法：
凡是长期患病、身体虚弱消瘦的人、老人、贵人，
这类人应当少量服用，积累日子不愈，病应当在内消散，不需要加用吐利药。
凡是加用吐利药，损伤多，吐利如果不止的，用水送服大豆屑一方寸匕即停止，突然没有豆屑，嚼食蓝叶及乌豆叶也可以停止。男子五劳七伤阳气衰损、消瘦骨立的，服用后即痊愈。旬月之间，肌肤丰满润泽，脑满精溢，
仍加
疗风方 用药多少法：
历节风（二十两，酒五斗） 贼风 热风 大风（用药与历节同） 偏风 猥退 瘫痪
风（
十二两，酒三斗）
以上这些风证，都带有热，须加冷药，仍需通利药，通利为佳。
贼风掣纵（八两，酒二斗）
湿风周痹（八两，酒二斗）
脚腰挛痛（十二两，酒三斗）
筋节拘急（八两，酒二斗）
食热如针刺（八两，酒二斗）
热病后汗不出（初觉三服，一服一盏；年久服一升）
口眼歪斜一目不合（四两，酒一斗；年久十二两，酒三斗）
起即头眩（四两，酒一斗）
头面风似虫行（八两，酒二斗）
心闷欲呕吐项强欲阴雨即发者（八两，酒二斗）
因疮得风口噤脊背反张如角弓（五服，一服一盏）
疗冷病方：
积冷痰 （瘦者四两，酒一斗；强者六两，酒一斗半）
痰饮疝癖（六两，酒一斗半）
宿食吐逆（四两，酒一斗）
症癖肠鸣噫（八两，酒二斗）
痔癖块咳嗽上气（二十两，酒五斗）
奔豚冷气（六两，酒一斗半）
噎哕呕痢（六两，酒一斗半）
久注（八两，酒二斗）
卒中恶忤心腹胀满气急垂死（三服，一服一盏，当大吐，吐出血）
瘴气（三服）
蛊毒（五服）
温疟（五服）
疟（五服）
冷痢（六两，酒二斗半）
久劳（八两，酒二斗）
疗妇人方（其风冷等准前∶）
带下（十二两，酒三斗）
崩中（六两，酒一斗半）
月水不通（六两，酒一斗半）
冷病绝产（六两，酒一斗半）
断绪（八两，酒二斗）
产后诸疾（八两，酒二斗）
月水不调月前月后乍多乍少（四两，酒一斗）
落身后病（六两，酒一斗半）
重者子宫下垂（十二两，酒三斗）
Commentary: There are few young scholars who value learning; they only know how to cherish wealth, not learning. When faced with tasks, they realize the preciousness of learning and regret their ignorance and narrow experience. Therefore, pitying them thus, I have neglected sleep and food, explored profound and subtle principles, compiled them into sections, to leave for those who have not yet awakened. If one can proficiently study this volume, it is sufficient to become a great physician.
For cases of cold above the diaphragm, fullness in the lower abdomen, borborygmus, qi in the bladder, and cold diarrhea, purgative medicines should be administered. After ingestion, milky-like green-yellow water and green mud should be discharged. For mild cases, stopping after one or two doses of purgatives to remove the pathogen is sufficient; for severe cases, five or six times, administering purgatives to achieve frequent large-scale defecation three times a day, until the root cause is completely exhausted, will lead to permanent cure. This purging method stabilizes after two or three bowel movements following the Si hour (9-11 AM), returning to normal, without causing pathological diarrhea. For stubborn diseases located above the diaphragm, such as accumulation of phlegm due to long-standing cold, hernia masses (Shen Jia), hard lumps from retained food, rebellious cough with upward rushing Qi, constant spitting of saliva, and rebellious Qi rushing up to the chest, hypochondrium, throat, and pharynx—all caused by accumulated cold in the stomach—they must be induced to vomit until recovery. Mild cases require one or two inductions; severe cases require five or six. The vomitus initially consists of cold foam and sour fluid, then yellow juice; severe cases produce red-purple fluid. If previously suffering from Zhu disease (chronic/infectious disease), black blood may be expelled. Vigorous vomiting induced by emetic medicine causes temporary severe distress but resolves spontaneously without causing deficiency. After consuming cold drinks/food, ears will not suffer from tinnitus/deafness, and limbs will not suffer from numbness. Some patients may feel a lump blocking the throat during vomiting that cannot be expelled; drinking one or two he of medicinal wine will cause expulsion of a lump about the size of a fist, resembling a segment of egg yolk. Severe cases expel ten pieces; mild cases expel five or six.
The root of these various conditions lies in not expelling this fundamental pathology today. Even if skilled physicians prescribe one or two doses of decoctions to suppress symptoms, recurrence will happen upon dietary indiscretion later. A skilled physician should administer this medicine to expel the root once, ensuring lifelong health.
Method of Expelling Pathogens via Vomiting and Purging:
For chronic patients, those who are weak and emaciated, the elderly, and nobles:
These individuals should take small doses. If illness persists over days, it will resolve internally; there is no need to add emetic or purgative drugs.
If emetic/purgative drugs are added and damage is excessive, and vomiting/diarrhea do not stop, taking one square-cun scoop of soybean bran with water will stop it. If soybean bran is unavailable, chewing Isatis leaf or Vigna angularis leaf also works. For men suffering from Five Exhaustions and Seven Injuries (Wu Lao Qi Shang) with depleted Yang Qi, emaciation, and skeletal prominence, administration leads to recovery. Within ten days to a month, skin and muscles become plump and lustrous, brain fills, and essence overflows.
Still adding:
Wind-Disease Formulas - Dosage Method:
Li Jie Feng (Joint Bi Syndrome) (20 liang, 5 dou of wine) Zei Feng (Robber Wind) Re Feng (Hot Wind) Da Feng (Great Wind) [Dosage same as Li Jie] Pian Feng (Hemiplegic Wind) Wei Tui (Atrophy/Weakness) Tan Huan Feng (Paralytic Wind)
(12 liang, 3 dou of wine)
All the above wind syndromes carry heat; cold-natured herbs must be added, and purgatives are still required; achieving purgation is ideal.
Zei Feng Che Zong (Robber Wind with Twitching/Spasms) (8 liang, 2 dou of wine)
Shi Feng Zhou Bi (Damp Wind with Generalized Bi Syndrome) (8 liang, 2 dou of wine)
Jiao Yao Luan Tong (Calf/Waist Spasm and Pain) (12 liang, 3 dou of wine)
Jin Jie Ju Ji (Tendon/Joint Contraction and Urgency) (8 liang, 2 dou of wine)
Shi Re Ru Zhen Ci (Heat sensation like needle pricking after eating) (8 liang, 2 dou of wine)
Han Bu Chu Hou Re Bing (Failure to sweat after febrile disease) [Initial perception: 3 doses, 1 dose = 1 zhan; Long-standing: 1 sheng]
Kou Yan Yi Li Yi Mu Bu He (Facial Deviation with One Eye Unable to Close) (4 liang, 1 dou of wine; Long-standing: 12 liang, 3 dou of wine)
Qi Ji Tou Xuan (Dizziness upon Rising) (4 liang, 1 dou of wine)
Tou Mian Feng Si Chong Xing (Head/Face Wind Sensation Like Insects Crawling) (8 liang, 2 dou of wine)
Xin Men Yu Ou Tu Xiang Jiang Yu Yin Yu Ji Fa Zhe (Mental Distress, Desire to Vomit, Neck Stiffness Triggered by Rainy Weather) (8 liang, 2 dou of wine)
Yin Chuang De Kou Jin Ji Bei Fan Zhang Ru Jiao Gong (Trismus and Opisthotonos Resembling Bow String Due to Sores) (5 doses, 1 dose = 1 zhan)
Cold-Disease Formula:
Ji Leng Tan (Accumulated Cold Phlegm) [Emaciated: 4 liang, 1 dou wine; Strong: 6 liang, 1.5 dou wine]
Tan Yin Shan Pi (Phlegm-Fluids and Hernia Masses) (6 liang, 1.5 dou wine)
Su Shi Ou Ni (Retained Food with Vomiting/Rebellion) (4 liang, 1 dou wine)
Zheng Pi Chang Ming Yi (Masses, Borborygmus, Belching) (8 liang, 2 dou wine)
Zhi Pi Ku Sou Shang Qi (Hemorrhoidal Masses, Cough, Upward Rushing Qi) (20 liang, 5 dou wine)
Ben Tun Leng Qi (Running Piglet Cold Qi) (6 liang, 1.5 dou wine)
Ye Yue Ou Li (Choking, Hiccups, Vomiting, Dysentery) (6 liang, 1.5 dou wine)
Jiu Zhu (Chronic Infectious Disease) (8 liang, 2 dou wine)
Zu Zhong E Wu Xin Zhang Fu Man Qi Ji Chui Si (Sudden Attack by Evil Qi, Abdominal Fullness, Shortness of Breath, Near Death) (3 doses, 1 dose = 1 zhan; expect massive vomiting with blood)
Zhang Qi (Miasma) (3 doses)
Gu Du (Gu Poison) (5 doses)
Wen Nue (Warm Malaria) (5 doses)
Nue (Malaria) (5 doses)
Leng Li (Cold Dysentery) (6 liang, 2.5 dou wine)
Jiu Lao (Chronic Exhaustion) (8 liang, 2 dou wine)
Women's Disease Formula (Wind-Cold etc. follow previous rules):
Dai Xia (Leukorrhea) (12 liang, 3 dou wine)
Beng Zhong (Metrorrhagia/Uterine Bleeding) (6 liang, 1.5 dou wine)
Yue Shui Bu Tong (Amenorrhea) (6 liang, 1.5 dou wine)
Leng Bing Jue Chan (Infertility due to Cold Disease) (6 liang, 1.5 dou wine)
Duan Xu (Discontinuation of Menstrual Cycle) (8 liang, 2 dou wine)
Chan Hou Zhu Ji (Postpartum Diseases) (8 liang, 2 dou wine)
Yue Shui Bu Diao Yue Qian Yue Hou Zha Duo Zha Shao (Irregular Menstruation, Fluctuating Amount Before/After Month) (4 liang, 1 dou wine)
Luo Shen Hou Bing (Postpartum Sequelae Disease) (6 liang, 1.5 dou wine)
Zhong Zhe Zi Gong Xia Chui (Severe Case: Uterine Prolapse) (12 liang, 3 dou wine)