叶润斋，年近四十。心膈嘈杂，好啖肉。尤好鸡。一日不能缺，缺则身浮力倦，神魂无
措，
必急得肉乃已。见则大嚼，及入腹，腹又大痛，痛极则吐酸水稠涎，然后定，稍定，又思肉
啖也。其痛苦之态。喊叫之厉，难状见者酸鼻。而润斋则甘心焉。市人咸以为祟。或有谕之
者曰∶古云与其好肉而受痛，孰若绝肉以无楚也。久病脾虚，肉入难化，故使作痛。此妇人
女子且知之，汝丈夫独不慎，何哉？润斋曰∶吾岂不知绝肉之为愈也。盖痛虽苦尚能熬，若
嘈杂则遍身淫淫苏苏，左右无可奈何，手足无所把捉，顷刻不能自存，有近于死不能熬，急
须肉少苏，吾岂纵口求痛哉？不得已也。乃翁延予为诊。六脉大小不等，观其色，唇红脸黄
。予曰∶据色脉乃虫症，非祟也，予能拯之。先与雄黄丸一服，不瘳；改以腻粉五分，使君
子末一钱，用鸡子打饼，五更空心饲之，辰刻下长蛲十条，内有二大者，长尺有咫，自首贯
尾皆红，下午又下小虫百余。自此再不喜肉，而嘈杂良愈。
程相如丈令政郑氏，孕逾七月，因食冷患痢，所下皆白脓，腹痛后重，小水不利，两关
脉滑
数。以艾叶、砂仁、白芍药、白术、浓朴、泽泻、滑石、甘草与之。痢如旧，小水仍不通利
，夜更痢频。改用当归、白芍药各二钱，益母草、酒连、酒芩各一钱，滑石三钱，枳壳七分
，木香、甘草各三分，艾叶二分。两帖而安。
叶润斋，年龄接近四十岁。心窝和胸膈部位感到嘈杂不适，特别喜欢吃肉。尤其喜爱鸡肉。一天都不能缺少，如果缺少就会身体浮肿、乏力疲倦，精神恍惚不知所措，必须急忙吃到肉才能停止这种状态。见到肉就大口吞咽，等到肉进入腹中，腹部又剧烈疼痛，痛到极点时呕吐出酸水和浓稠的涎液，然后疼痛才平息；稍作缓解后，又开始想吃肉吃。他痛苦的样子，喊叫的凄厉程度，难以形容，让旁观者看了都心酸。而叶润斋却心甘情愿。市井百姓都认为他是中了邪祟。有人劝告他说：“古人说，与其因为爱吃肉而承受痛苦，不如戒绝吃肉来避免折磨。”长期患病导致脾虚，肉类难以消化，所以引起疼痛。这是妇孺皆知的道理，你身为男子为何不谨慎呢？叶润斋回答说：“我难道不知道戒绝吃肉会更好吗？只是疼痛虽然痛苦尚且能忍受，若那嘈杂感则让全身瘙痒麻木，左右为难，手足无措，片刻都无法自我安存，这感觉接近于死亡，无法忍受，急需吃点肉稍微舒缓一下，我难道是放纵口腹之欲去寻求痛苦吗？实在是不得已啊。”于是他的父亲请我为他诊治。六脉大小不一，观察他的面色，嘴唇红而脸色黄。我说：“根据色脉判断，这是虫症（寄生虫病），不是邪祟，我能救治他。”先给他服用雄黄丸一剂，病情没有好转；改为使用腻粉五分，使君子末一钱，用鸡蛋调成饼状，在凌晨五更时分空腹喂服，辰时排出了十条长蛲虫，其中两条较大，长度有一尺多，从头到尾都是红色的，下午又排出一百多条小虫。从此再也不喜欢吃肉了，而嘈杂症状也大大好转。
程相如先生的夫人郑氏，怀孕超过七个月，因为吃了冷的食物患上了痢疾，排泄物全是白色脓液，腹痛且有里急后重感，小便不通利，两手关脉滑数。给予艾叶、砂仁、白芍药、白术、厚朴、泽泻、滑石、甘草治疗。痢疾症状依旧，小便仍然不通利，夜间痢疾更加频繁。改用当归、白芍药各二钱，益母草、酒黄连、酒黄芩各一钱，滑石三钱，枳壳七分，木香、甘草各三分，艾叶二分。服用两帖后病情安定。
Ye Runzhai was nearly forty years old. He suffered from epigastric and chest discomfort (Za Cao, a sensation of heat, hunger, and pain in the epigastrium), had a strong craving for meat, especially chicken. He could not go a day without it; if he missed it, his body would swell, he would feel weak and fatigued, and his spirit would be unsettled and at a loss. He had to urgently eat meat to stop this state. Upon seeing meat, he would devour it greedily, but once it entered his stomach, his abdomen would ache severely. When the pain reached its peak, he would vomit sour fluid and thick saliva, after which the pain would subside. Once slightly relieved, he would again crave meat. His painful expression and shrill cries were indescribable, making onlookers feel sorrowful. Yet Ye Runzhai accepted this willingly. The townspeople all believed he was possessed by evil spirits. Some advised him, saying, "The ancients said: Is it better to endure pain because you love meat, or to abstain from meat to avoid torment?" Long-term illness has weakened the Spleen (Pi, the organ responsible for transformation and transportation); meat is difficult to digest, thus causing pain. This is known even to women and children; why are you, a man, not cautious? Ye Runzhai replied, "Do I not know that abstaining from meat would be better? Although pain is bitter, it can be endured. However, the Za Cao sensation makes the whole body itch and tingle, leaving me helpless and unable to grasp anything with my hands and feet. I cannot exist peacefully for even an instant; it feels close to death and is unbearable. I urgently need a little meat to find some relief. Do I indulge my mouth just to seek pain? It is out of necessity." Consequently, his father invited me to examine him. The six pulses (Cun, Guan, Chi on both wrists) varied in size. Observing his complexion, his lips were red and his face yellow. I said, "Based on the complexion and pulses, this is a Parasitic Disease (Chong Zheng), not possession. I can save him." First, I gave him one dose of Xionghuang Wan (Realgar Pill). There was no improvement; so I changed the prescription to Nifen (Calomel) 5 fen, Shijunzi powder (Seed of Quisqualis Indica) 1 qian, mixed into a cake beaten with an egg yolk, administered orally while fasting at Wu Geng (around 5-7 AM). At Chen Shi (7-9 AM), he passed ten long Ascaris lumbricoides (Chang Tiao), two of which were large, measuring over one chi in length, red from head to tail. In the afternoon, he passed more than a hundred small worms. From then on, he no longer craved meat, and the Za Cao symptoms improved significantly.
Madam Zheng, wife of Mr. Cheng Xiangru, was over seven months pregnant. She contracted Dysentery (Li Ji) due to consuming cold food. Her stools consisted entirely of white pus. She experienced abdominal pain and Tenesmus (Hou Zhong, a feeling of incomplete evacuation), and her urination was difficult. The Guan pulses on both wrists were Slippery (Hua) and Rapid (Shuo). I prescribed Ai Ye (Mugwort Leaf), Sha Ren (Amomum Fruit), Bai Shao Yao (White Peony Root), Bai Zhu (Atractylodes Rhizome), Hou Po (Magnolia Bark), Ze Xie (Alisma Rhizome), Hua Shi (Talcum), and Gan Cao (Licorice Root). The dysentery remained unchanged, urination was still obstructed, and at night the frequency of dysentery increased. I changed the prescription to Dang Gui (Angelica Sinensis Root) and Bai Shao Yao (White Peony Root) each 2 qian, Yi Mu Cao (Motherwort Herb), Jiu Lian Lian (Coptis Rhizome processed with wine), and Jiu Huang Qin (Scutellaria Root processed with wine) each 1 qian, Hua Shi (Talcum) 3 qian, Zhi Qiao (Bitter Orange Peel) 7 fen, Mu Xiang (Aucklandia Root) and Gan Cao (Licorice Root) each 3 fen, and Ai Ye (Mugwort Leaf) 2 fen. After two doses, she stabilized.