进士刘华甫，停食腹痛，泻黄吐痰，服二陈、山栀、黄连、枳实之类，其证益甚，左关弦紧，右关弦长，
乃肝木克脾土，用六君加木香治之而愈。若食已消而泄未已，宜用异功散以补脾胃。如不应，用补中益气汤
升发阳气。凡泻痢色黄，脾土亏损，真气下陷，必用前汤加木香、肉蔻温补。如不应，当补其母，宜八味丸。
一男子，清晨或五更吐痰，或有酸味，此是脾气虚弱，用六君送四神丸而愈。若脾气郁滞，用二陈加桔梗、
山栀，送香连丸。若郁结伤脾，用归脾送香连丸。若胸膈不舒，归脾加柴胡、山栀送左金丸。若胃气虚，
津液不能运化，用补中益气送左金丸。
长洲朱绍，患肝木克脾，面赤生风，大肠燥结，炎火上冲，久之遂致脏毒下血，肠鸣溏泄，腹胀喘急，驯
至绝谷，诸医方以枳实、黄连之剂，投之展转增剧。余曰∶尔病脾肺两虚，内真寒而外假热，法当温补，遂以
参、术为君，山药、黄 、肉果、姜、附为臣，茱萸。骨脂、五味、归、芩为佐，治十剂，俾以次服之。诸医
皆曰此火病也，以火济火可乎？服之浃旬，尽剂而血止。
一男子，食少胸满，手足逆冷，饮食畏寒，发热吐痰，时欲作呕。自用清气化痰及二陈、枳实之类，
胸腹膨胀，呕吐痰食，小便淋漓；又用四苓、连、柏、知母、车前，小便不利，诸病益甚。余曰∶此脾胃虚寒
无火之证，故食入不消而反出，遂用八味丸补火以生土，用补中益气加姜、桂培养中宫，生发阳气，寻愈。
一妇女，饮食无过碗许，非大便不实，必吞酸嗳腐，或用二陈、黄连，更加内热作呕。余谓∶东垣先生
云，邪热不杀谷，此脾胃虚弱，末传寒中。以六君子汤加炮姜、木香，数剂渐复，饮食渐进。又以补中益气加
木香、炮姜、茯苓、半夏全愈。后怒，饮食顿少，元气顿怯，更加发热，诚似实火，脉洪大而虚，两尺如无，
用益气汤、八味丸，悉愈。
朱介庵，向因失足，划然有声，坐立久则手足麻木，虽夏月足寒如冰，又因醉觉而饮水复睡，遂觉右
腹痞结，以手摩之，腹则沥漉有声，热摩则气泄而止，每每加剧，饮食稍多则作痛泄，医令服枳术丸罔效。
余曰∶此非脾胃病，乃命门火衰，虚寒便之然也，可服八味丸则愈。果验。
工部陈禅亭，发热即痰，服二陈、黄连、枳壳之类，病益甚，请治。其脉左尺微弱，右关浮大，重按
微弱。余曰∶此命门火衰，不能生土而脾病，当补火以生土，或可愈也。不悟，仍服前药，脾土愈弱。至乙巳，
病已革，复邀治，右寸脉平脱，此土不能生金，生气绝于内矣，经云∶虚则补其母，实则泻其子。凡病在子，
当补其母，况病在母而属不足，反泻其子，不死何俟？
进士刘华甫，因饮食停滞导致腹痛，大便色黄且呕吐痰涎，服用二陈汤、山栀、黄连、枳实等药物后，症状反而加重。诊见左关脉弦紧，右关脉弦长，这是肝木克制脾土所致，使用六君子汤加木香治疗而痊愈。如果食物已经消化但腹泻仍未停止，适宜使用异功散来补益脾胃。如果无效，则使用补中益气汤升发阳气。凡是泻痢颜色发黄，属于脾土亏损，真气下陷，必须用前文提到的方剂（指补中益气汤）加木香、肉豆蔻进行温补。如果无效，应当补益其母脏（肾），适宜使用八味丸。
有一名男子，清晨或五更时分呕吐痰涎，带有酸味，这是脾气虚弱所致，用六君子汤送服四神丸而痊愈。如果是脾气郁滞，用二陈汤加桔梗、山栀，送服香连丸。如果是郁结损伤了脾脏，用归脾汤送服香连丸。如果胸膈部不适，用归脾汤加柴胡、山栀送服左金丸。如果胃气虚弱，津液不能运化，用补中益气汤送服左金丸。
长洲人朱绍，患有肝木克制脾土之证，面部发红并伴有风象，大肠干燥便秘，炎火上冲，久而久之导致脏毒下血，肠鸣泄泻，腹胀气喘急促，逐渐发展到无法进食，各位医生却用枳实、黄连等寒凉药剂投治，致使病情辗转加剧。我说：“你的病是脾肺两虚，内里是真寒而外表是假热，治法应当温补。”于是以人参、白术为君药，山药、黄芪、肉豆蔻、干姜、附子为臣药，吴茱萸、骨脂、五味子、当归、黄芩为佐药，制成十剂药，让他依次服用。其他医生说这是火病，用火救火可以吗？服药十天后，药尽而出血停止。
有一名男子，食量减少且胸部胀满，手足逆冷，饮食怕冷，发热并呕吐痰涎，时常想要作呕。他自己服用清气化痰及二陈汤、枳实等药物，导致胸腹膨胀，呕吐痰食，小便淋漓不尽；又服用四苓散、黄连、黄柏、知母、车前子等药物，导致小便不利，各种病症更加严重。我说：“这是脾胃虚寒、无火之证，所以食物入胃不消化反而吐出。”于是用八味丸补火以生土，用补中益气汤加干姜、肉桂培养中焦脾胃之气，升发阳气，不久痊愈。
有一名妇女，饮食不超过一碗，如果不是大便不成形，就一定会吞酸嗳腐。如果用二陈汤、黄连，反而增加内热并引起呕吐。我认为：东垣先生曾说，邪热不能腐熟水谷，这是脾胃虚弱，最终传变为寒中。用六君子汤加炮姜、木香，数剂后逐渐恢复，饮食慢慢增加。后又用补中益气汤加木香、炮姜、茯苓、半夏完全治愈。后来因发怒，饮食突然减少，元气突然怯弱，更加发热，确实像实火，但脉象洪大而虚，两尺脉微弱如无，用益气汤、八味丸，全部治愈。
朱介庵，先前因为失足跌倒，听到响声，坐立久了则手足麻木，即使在夏天脚也冷如冰。又因为醉酒后醒来喝水随即睡觉，于是觉得右侧腹部痞块结聚，用手抚摸，腹部则有沥漉的水声，用热手按摩则气泄而痛止，每每加剧，饮食稍多则发生疼痛和腹泻，医生令其服用枳术丸无效。我说：“这不是脾胃病，而是命门火衰，由虚寒引起的。”可以服用八味丸则痊愈。果然验证有效。
工部官员陈禅亭，一发热就有痰，服用二陈汤、黄连、枳壳等药物，病情更加严重，请求治疗。其脉象左尺微弱，右关浮大，重按微弱。我说：“这是命门火衰，不能生助脾土而导致脾病，应当补火以生土，或许可以痊愈。”他不醒悟，仍然服用前面的药物，脾土更加虚弱。到了乙巳年，病情已危急，再次邀请治疗，右寸脉平脱，这是土不能生金，生气在内断绝了。经书说：“虚则补其母，实则泻其子。”凡是病在子脏，应当补益其母脏，何况病在母脏且属于不足，反而泻其子脏，不死还等什么？
Liu Huafu, a Jinshi degree holder, suffered from abdominal pain due to food stagnation, yellowish diarrhea, and vomiting of phlegm. After taking Er Chen Tang (Two Aged Decoction), Gardenia Jasminis Fructus (Zhizi), Coptidis Rhizoma (Huanglian), and Immature Bitter Orange (Zhishi), his symptoms worsened. The pulse at the left Guan position was wiry and tight, and at the right Guan position was wiry and long. This indicated Liver Wood overacting on Spleen Earth. He was cured using Liu Jun Zi Tang (Six Gentlemen Decoction) with added Mu Xiang (Aucklandiae Radix). If food has digested but diarrhea persists, Yi Gong San (Extraordinary Power Powder) should be used to tonify the Spleen and Stomach. If ineffective, Bu Zhong Yi Qi Tang (Decoction to Supplement the Middle and Augment the Qi) should be used to raise Yang Qi. For all cases of dysentery or diarrhea with yellow color, indicating Spleen Earth deficiency and sinking of True Qi, the aforementioned decoction (Bu Zhong Yi Qi Tang) must be used with added Mu Xiang and Myristicae Semen (Roukou) for warming and tonification. If ineffective, one should tonify the mother organ (Kidney), preferably using Ba Wei Wan (Eight-Ingredient Pill).
A man vomited phlegm in the early morning or during the fifth watch (3–5 AM), sometimes with an sour taste, which indicated Spleen Qi deficiency. He was cured by taking Liu Jun Zi Tang followed by Si Shen Wan (Four Spirits Pill). If it was Spleen Qi stagnation, Er Chen Tang with added Platycodonis Radix (Jiegeng) and Gardenia Jasminis Fructus (Zhizi), taken with Xiang Lian Wan (Fragrant Coptis Pill), was appropriate. If emotional constraint injured the Spleen, Gui Pi Tang (Restore the Spleen Decoction) taken with Xiang Lian Wan was suitable. If there was discomfort in the chest and diaphragm, Gui Pi Tang with added Bupleuri Radix (Chaihu) and Gardenia Jasminis Fructus (Zhizi), taken with Zuo Jin Wan (Left Metal Pill), was indicated. If Stomach Qi was deficient and fluids could not be transported, Bu Zhong Yi Qi Tang taken with Zuo Jin Wan was used.
Zhu Shao from Changzhou suffered from Liver Wood overacting on Spleen Earth, presenting with a red face, wind sensations, dry constipation of the Large Intestine, and flaming heat rushing upward. Over time, this led to internal toxicity with bloody stool, borborygmus with loose stools, abdominal distension, and rapid breathing, eventually progressing to an inability to eat. Other physicians treated him with bitter-cold agents like Zhishi and Huanglian, causing his condition to deteriorate progressively. I said: "Your disease is a dual deficiency of Spleen and Lung, with true cold inside and false heat outside. The method should be warming and tonifying." Thus, I used Ren Shen (Ginseng Radix et Rhizoma) and Atractylodis Macrocephalae Rhizoma (Baizhu) as sovereign herbs, Dioscoreae Rhizoma (Shanyao), Astragali Radix (Huangqi), Myristicae Semen (Rouguo), Zingiberis Rhizoma Recens (Shengjiang), and Aconiti Lateralis Radix Praeparata (Fuzi) as minister herbs, Euodiae Fructus (Zhuyu), Morindae Officinalis Radix (Guzhi), Schisandrae Fructus (Wuweizi), Angelicae Sinensis Radix (Danggui), and Scutellariae Radix (Huangqin) as assistant herbs. Ten doses were prepared for sequential administration. Other physicians argued, "This is a fire disease; can we use fire to treat fire?" After ten days of administration, the bleeding stopped upon finishing the course.
A man had reduced appetite, chest fullness, cold extremities, aversion to cold foods, fever, phlegm vomiting, and frequent nausea. Self-medication with Qing Qi Hua Tan Tang (Clear Qi Transform Phlegm Decoction), Er Chen Tang, and Zhishi caused abdominal distension, vomiting of phlegm and food, and dribbling urination. Subsequent use of Si Ling San (Four Poria Powder), Huanglian, Phellodendri Cortex (Huangbai), Anemarrhenae Rhizoma (Zhimu), and Plantaginis Seed (Cheqianzi) led to difficult urination and worsening of all symptoms. I said: "This is a syndrome of Spleen-Stomach deficiency-cold without fire, hence food enters but fails to digest and is regurgitated." Therefore, Ba Wei Wan was used to tonify fire to generate earth, and Bu Zhong Yi Qi Tang with Shengjiang and Cinnamomi Ramulus (Guirui) was used to cultivate the middle jiao and generate Yang Qi. He recovered soon after.
A woman ate less than a bowl per meal. Unless her stool was unformed, she would experience acid regurgitation and belching of rotten food. Using Er Chen Tang or Huanglian increased internal heat and induced vomiting. I stated: "Master Dongyuan said that pathogenic heat fails to ripen grains; this is Spleen-Stomach weakness transmitting into cold in the interior." Six Jun Zi Tang with Pao Jiang (Prepared Ginger) and Mu Xiang was administered for several doses, leading to gradual recovery and increased intake. Later, Bu Zhong Yi Qi Tang with Mu Xiang, Pao Jiang, Poria (Fuling), and Pinelliae Tuber (Banxia) resulted in complete cure. Later, due to anger, her diet suddenly decreased, Yuan Qi became timid, and fever intensified, resembling excess fire. However, the pulse was surging yet empty, and the two Chi positions were faint as if non-existent. Yi Qi Tang and Ba Wei Wan cured her completely.
Zhu Jian'an, after a fall where he heard a snap, experienced numbness in hands and feet after prolonged sitting or standing. Even in summer, his feet were cold as ice. After waking from drunkenness, drinking water and sleeping again, he felt a痞 (mass/stagnation) in the right abdomen. Massaging it produced gurgling sounds; hot massage relieved the gas and pain. Symptoms aggravated frequently, and slightly excessive eating caused painful diarrhea. Physicians prescribed Zhi Zhu Wan (Immature Bitter Orange and Atractylodes Pill) without effect. I said: "This is not a Spleen-Stomach disease, but Ming Men Fire decline causing deficiency-cold." Taking Ba Wei Wan cured him. It proved effective.
Chen Chanting, an official in the Ministry of Works, developed phlegm upon fever. Taking Er Chen Tang, Huanglian, and Aurantii Fructus (Zhike) worsened the illness. Upon treatment request, his pulse was weak and minute at the left Chi, floating and large at the right Guan, but weak and minute upon heavy pressure. I said: "This is Ming Men Fire decline failing to generate Spleen Earth, resulting in Spleen disease. Tonifying fire to generate earth may cure it." Unaware, he continued previous medications, further weakening Spleen Earth. By Yisi year, the illness was critical. Upon re-invitation, the right Cun pulse was flat and detached, indicating Earth failing to generate Metal, with Sheng Qi severed internally. The Classic states: "Deficiency tonifies the mother, excess drains the child." When disease is in the child, one should tonify the mother. How much more so when the mother is deficient? To drain the child instead invites death.