俞女（十九） 患月信不调，不时气逆冲胸，迷闷呕吐，甚至神昏发厥，脉大而涩。症似
木乘
土，因脉不合症，视其面色，并无忧怒之形。缘询病起几时，自述前岁饮井水停经，旋起腹
胀，后经通而气冲之病作矣。予既得其情，即处一方，以温经逐瘀利气，三法并施。
炮姜（八分） 归尾（二钱酒润） 艾叶（一钱五分） 大黄（三钱酒润迟入） 枳实（一钱五
分） 延胡索（一钱五分） 香附（二钱） 橘皮（一钱） 桃仁（二钱） 红花（一钱）
时适行经之期，服两剂，所下瘀块甚多，胸宽腹和，不知病之去向矣。惟觉形软，诊其
脉无涩大之象，三载沉痼，应手取效，下法不可不知，改调补气血方，女母不胜欣悦而返。
沈氏（二八） 小产后一月，血崩不止。
党参（二钱） 蒸于术（一钱五分） 枸杞（二钱） 白芍（一钱五分酒炒） 山药（二钱炒）
菟丝子饼（二钱） 杜仲（一钱五分盐水炒） 荆芥炭（一钱） 炙草（三分）
服两剂即愈，此方治挟虚崩漏多效。
人有三百六十种病，一种之中，又有岐焉。不知者乃有亡羊之叹，得其要者，一言而终
，不
外乎表里、脏腑、气血、寒热、虚实十字耳。古来名医，各有成书，惟《内经》包罗一切，
仲景《伤寒》、《金匮》，可曰无遗。后之着述，或有方无论，或有论无方，或出特见以成
一家之言，于各种病症，亦云备矣。何待鄙人之援管操觚，道其长短哉？然而圣人不废孺子
之歌，贤者犹采刍荛之语。仆从事于此，已历四十载，只今须髯皓白，心志日衰；宿有所得
，再不笔之于书，窃恐一旦眼光落地，平昔之苦心力学，参骊究黄，岂不尽付之冥漠乎？所
可鄙者，如马远绘山一角，管中见豹一斑，未免为有识者所诮耳。时次男若济志愿学医，劝
予曰∶即不传于外人，而作小子梯航，何不可耶？乃俾之抄录焉。
俞姓女子（19岁），患有月经不调，时常气逆冲撞胸部，出现神志昏迷、胸闷、呕吐，甚至神志丧失、四肢厥冷，脉象大而涩。症状看似肝木乘脾土，但因脉象与症状不符，观察其面色，并没有忧愁愤怒的神情。于是询问发病时间，患者自述前年饮用井水后停经，随即出现腹胀，后来月经虽通但气冲的病证发作了。我既然了解了病情，便开具一方，采用温经、逐瘀、利气三法并施。
炮姜（八分） 归尾（二钱，用酒润湿） 艾叶（一钱五分） 大黄（三钱，用酒润湿，后下） 枳实（一钱五分） 延胡索（一钱五分） 香附（二钱） 橘皮（一钱） 桃仁（二钱） 红花（一钱）
当时正值行经期间，服用两剂后，排出的瘀血块很多，胸部宽松，腹部平和，感觉不到病邪所在了。只觉得身体软弱，诊察其脉象已无涩大之象，三年的顽疾，应手而愈。攻下之法不可不知，随后改为调理补益气血的方子，女子的母亲非常高兴而返家。
党参（二钱） 蒸于术（一钱五分） 枸杞（二钱） 白芍（一钱五分，酒炒） 山药（二钱，炒） 菟丝子饼（二钱） 杜仲（一钱五分，盐水炒） 荆芥炭（一钱） 炙甘草（三分）
服用两剂即痊愈，此方治疗兼有虚损的血崩漏下多有效验。
人有三百六十种病，每一种病中，又有细微差别。不懂的人会有丢失羊只般的叹息，掌握要领的人，一句话就能终结争论，不外乎表里、脏腑、气血、寒热、虚实这十个字罢了。古来的名医，各有著作，只有《内经》包罗万象，张仲景的《伤寒论》、《金匮要略》，可以说没有遗漏。后世的著述，有的有方无论，有的有论无方，有的提出独特见解以成一家之言，对于各种病症，也算完备了。哪里还需要我来执笔写作，评论长短呢？然而圣人也不废弃孩童的歌谣，贤者还会采纳草野之人的言论。我从事这一行，已经历四十载，如今胡须头发皆白，心志日渐衰退；平素有所心得，再不记录下来，恐怕一旦双目失明，平日苦心力学，探究医理，岂不是都付之东流了吗？我所惭愧的是，如同马远画山一角，管中窥豹一斑，难免被有识之士嘲笑。当时我的次子若济志愿学医，劝我说：“即使不传给外人，作为孩子的阶梯舟船，有什么不可以呢？”于是让他抄录下来。
Ms. Yu (19 years old) suffered from irregular menstruation, with occasional rebellious Qi rushing to the chest, causing mental confusion, chest oppression, vomiting, and even loss of consciousness and cold extremities. The pulse was large and choppy. The symptoms resembled Liver Wood overacting on Spleen Earth, but the pulse did not match the symptoms. Observing her complexion, there were no signs of worry or anger. Upon inquiring about the onset, she stated that after drinking well water last year, her menstruation stopped, followed by abdominal distension. Later, although menstruation resumed, the condition of rebellious Qi arose. Having understood the situation, I prescribed a formula employing three methods simultaneously: warming the meridians, expelling blood stasis, and promoting Qi circulation.
Pao Jiang (Fried Zingiberis Rhizoma, 8 fen), Gui Wei (Cinnamon Twig Root, 2 qian, moistened with wine), Ai Ye (Mugwort Leaf, 1.5 qian), Da Huang (Rhubarb Root, 3 qian, moistened with wine, added later), Zhi Shi (Immature Bitter Orange, 1.5 qian), Yan Hu Suo (Corydalis Rhizome, 1.5 qian), Xiang Fu (Cyperus Rhizome, 2 qian), Ju Pi (Tangerine Peel, 1 qian), Tao Ren (Peach Seed, 2 qian), Hong Hua (Safflower, 1 qian).
At that time, it was during her menstrual period. After taking two doses, a large amount of blood clots were discharged. Her chest felt relaxed, and her abdomen became harmonious; she no longer felt the presence of the disease. She only felt physically weak. Palpation revealed that the pulse no longer showed large and choppy characteristics. This three-year chronic ailment was cured promptly. The purgative method must be known. Subsequently, a formula for regulating and tonifying Qi and Blood was prescribed. The patient's mother was extremely pleased and returned home.
Ms. Shen (16 years old) experienced continuous metrorrhagia (profuse uterine bleeding) one month after a spontaneous abortion.
Dang Shen (Codonopsis Radix, 2 qian), Zheng Zhu Shu (Steamed Atractylodis Macrocephalae Rhizoma, 1.5 qian), Gou Qi (Goji Berry, 2 qian), Bai Shao (White Peony Root, 1.5 qian, stir-fried with wine), Shan Yao (Chinese Yam, 2 qian, stir-fried), Tu Si Zi Bing (Cuscuta Seed Cake, 2 qian), Du Zhong (Eucommia Bark, 1.5 qian, stir-fried with salt water), Jing Jie Tan (Schizonepeta Spike Charcoal, 1 qian), Zhi Cao (Honey-fried Licorice Root, 3 fen).
She recovered after taking two doses. This formula is effective for treating metrorrhagia and metrostaxis accompanied by deficiency.
There are three hundred and sixty types of diseases in humans, and within each type, there are further variations. Those who do not understand may sigh like someone who has lost sheep, while those who grasp the essentials can resolve matters with a single word, focusing merely on the ten characters: Exterior/Interior, Zang-Fu Organs, Qi/Blood, Cold/Heat, and Deficiency/Excess. Famous physicians throughout history have each produced their own works. Only the *Neijing* (Classic of Internal Medicine) encompasses everything, while Zhang Zhongjing’s *Shanghan Lun* (Treatise on Cold Damage) and *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet) can be said to be comprehensive. Later writings either contain formulas without discussions, discussions without formulas, or present unique insights to form a school of thought, covering various diseases quite thoroughly. Why should I bother writing to comment on their merits and faults? However, sages do not discard the songs of children, and the wise still collect opinions from commoners. I have engaged in this profession for forty years. Now, my beard and hair are white, and my mental vigor declines daily. If I do not record what I have learned, I fear that once my eyesight fails, all my past hard work and study of medical theories will be lost to oblivion. What I feel ashamed of is that my knowledge is like Ma Yuan’s painting of a corner of a mountain or seeing a leopard through a tube—fragmentary—and liable to be mocked by the knowledgeable. At that time, my second son, Ruo Ji, expressed his willingness to study medicine and advised me, saying, "Even if you do not pass it on to outsiders, using it as a stepping stone for your son, why not?" Thus, I allowed him to copy these records.