一夫人性刚多怒。胸前作痛。肉色不变。脉数恶寒。经曰。洪数脉。应发热。反恶寒。
也。今脉洪数则脓已成。但体丰浓。故色不变。似乎无脓。以痛极始肯针。入数寸。脓数碗
。以清肝消毒药治之而愈。设泥其色而不用针。无可救之理。（此凭症脉也。）
一人年逾四十。胸患疮成漏。日出脓碗许。喜饮食如常。用十全大补汤。（十三）加远志
、贝母、白蔹、续断。灸以附子饼。脓渐少。调护岁余而愈。（此凭症也。）
一少妇胸膺间溃一窍。脓血。与口中所咳相应而出。以参、 、当归。加退热排脓等药
而愈。一说此因肺痿所致。
一人胸肿一块。半载不消。令灸百壮方溃。服大补药不敛。灸附子饼而愈。（此凭症也
一百户胸患毒。肿高 赤。发热脉数。大小便涩。饮食如常。齐氏曰。肿起色赤。寒热
。皮肤壮热。头目昏重。气血实也。又曰。大小便涩。饮食如故。肠满膨胀。胸膈痞闷。肢
节疼痛。身热脉大精神昏塞。脏腑实也。进黄连内疏汤（三）二剂。诸症悉退。更以荆防败毒
散。加黄芩、山栀四剂少愈。再以四物加芩连、白芷、桔梗、甘草、金银花数剂而消。（此
凭脉症也。）
机按此项治法。虽因脉症皆实而用泄法。然泄法又有前后次序。先攻里。后发表。最后
又用和解。前贤治病。不肯孟浪如此。学人可不以此为法哉。
有一位女性性格刚烈且易怒。胸前部位疼痛，皮肤颜色没有改变，脉象数而快，伴有恶寒的感觉。医经中说：洪大而数的脉象，通常对应发热症状，现在反而出现恶寒，这是正常的病理表现。如今脉象洪数，说明脓液已经形成，只是因为患者体型丰满浓密，所以表面看不出变化，似乎没有脓液，直到疼痛极度剧烈时才肯进行针刺，针入数寸深，流出脓液数碗之多，使用清肝解毒的药物进行治疗后痊愈。（这是依据症状和脉象判断的。）
另一位四十多岁的人，胸部患疮疡并形成瘘管，每天流出约一碗脓液，但喜欢饮食如常。使用十全大补汤（十三），加入远志、贝母、白蔹、续断，并用附子饼灸法治疗，脓液逐渐减少，经过一年多的调养护理而痊愈。（这是依据症状判断的。）
一位年轻妇女胸膺间溃破一个孔窍，流出的脓血与口中咳嗽出的相应而出。使用人参、[此处原文缺字，推测为黄芪或类似补气药]、当归，加入退热排脓等药物治疗而痊愈。另一种说法认为这是由于肺痿所致。
还有一人胸部肿胀一块，半年不消退，命令灸一百壮后才溃破，服用大补药物伤口不收敛，用附子饼灸法后痊愈。（这是依据症状判断的。）
一位百户官职的人胸部患毒，肿胀高耸且发红，发热，脉象数，大小便涩滞不畅，饮食如常。齐氏说：肿胀隆起且色赤，伴有寒热，皮肤灼热，头目昏重，这是气血实证。又说：大小便涩滞，饮食照旧，肠道胀满膨胀，胸膈痞闷，肢体关节疼痛，身体发热，脉象大，精神昏沉闭塞，这是脏腑实证。服用黄连内疏汤（三）两剂，各种症状全部消退，再用荆防败毒散，加入黄芩、山栀四剂，病情稍有好转，最后再用四物汤加入黄芩、黄连、白芷、桔梗、甘草、金银花数剂，肿块消散。（这是依据脉象和症状判断的。）
汪机按语：这项治疗方法，虽然是因为脉症皆实而采用泻法，然而泻法又有前后的次序，先攻里，后解表，最后又用和解之法。前贤治病，不肯如此轻率孟浪。学习者难道可以把这作为法则吗？
A woman with a stern and irritable temperament experienced pain in her chest. The skin color remained unchanged, her pulse was rapid (Shu), and she felt aversion to cold. The medical classics state: A洪 (Hong) and rapid pulse typically corresponds to fever; the fact that she feels aversion to cold instead is consistent with the pathology. Currently, the 洪 (Hong) and rapid pulse indicates that pus has already formed. However, due to her robust and fleshy physique, the surface appearance did not change, seemingly indicating no pus. She only consented to acupuncture when the pain became extreme. Upon insertion of several inches, several bowls of pus were drained. She was treated with herbs for clearing liver heat and detoxification and recovered. (This diagnosis relied on symptoms and pulse.)
Another individual, over forty years old, suffered from a chest abscess that developed into a fistula, discharging approximately one bowl of pus daily. Despite this, his appetite and diet remained normal. He was prescribed Shiquan Dabu Tang (Ten Thousand Benefit Decoction) supplemented with Yuanzhi (Radix Polygalae), Beimu (Bulbus Fritillariae Cirrhosae), Bailian (Radix Anemones Raddeanae), and Xuduan (Radix Dipsaci). He also received moxibustion using Aizi Bing (Moxa cakes prepared with Fuzi). The discharge gradually decreased, and after more than a year of care and recuperation, he recovered. (This diagnosis relied on symptoms.)
A young woman had an ulcerated opening between her chest and diaphragm, discharging pus and blood that corresponded with what she coughed up from her mouth. She was treated with Renshen (Radix Ginseng), [text missing in original, likely Huangqi or similar], Danggui (Radix Angelicae Sinensis), along with herbs for reducing fever and expelling pus, and recovered. Another opinion suggests this condition was caused by Fei Wei (Lung Atrophy).
Another person had a swelling on the chest that persisted for half a year without subsiding. He was instructed to undergo moxibustion for one hundred Zhu (units of moxa cone size/burns) until it suppurated. Taking general tonic herbs failed to heal the wound, but treatment with Aizi Bing moxibustion led to recovery. (This diagnosis relied on symptoms.)
A military officer titled "Baihu" suffered from a toxic swelling in the chest, which was high, red, accompanied by fever and a rapid pulse. His urination and defecation were obstructive, yet his diet remained normal. Qi Shi stated: Swelling that rises and turns red, accompanied by alternating chills and fever, hot skin, and heavy/dizzy head and eyes, indicates an Excess pattern of Qi and Blood. He further stated: Obstructive urination and defecation with normal diet, abdominal fullness and distension, chest and diaphragm stuffiness, pain in limbs and joints, body heat, large pulse, and mental confusion indicate an Excess pattern of the Zang-Fu organs. He administered Lianglian Neishu Tang (Coptis Internal Purging Decoction) for two doses, after which all symptoms receded. Subsequently, Jingfang Baidu San (Schizonepeta and Saposhnikovia Powder to Overcome Toxicity) with added Huangqin (Radix Scutellariae) and Shanzhi (Fructus Gardeniae) was given for four doses, resulting in slight improvement. Finally, Siwu Tang (Four Substance Decoction) supplemented with Huangqin, Huanglian (Rhizoma Coptidis), Baizhi (Radix Angelicae Dahuricae), Jiegeng (Radix Platycodonis), Gancao (Radix Glycyrrhizae), and Jinyinhua (Flos Lonicerae Japonicae) was administered for several doses, leading to the resolution of the swelling. (This diagnosis relied on pulse and symptoms.)
Ji's commentary: Although this treatment method employs purgative techniques because both pulse and symptoms indicate excess, there is a specific sequence to purgation: first attacking the interior, then releasing the exterior, and finally using harmonizing methods. Ancient sages did not treat diseases so recklessly. Should learners take this as a standard model?