吴仲峰先生邀予诊，时为仲秋初二日也。六部皆沉微，而左尤甚，隐隐又如蛛丝之细。
症则
原以肠风去血，过服寒凉，致伤脾胃。自春至秋，脾泄不愈，日夜十二三行，面色黄白带青
，两颐浮肿，四肢亦浮，小水不能独利，利必与大便并行，肠鸣，四肢冷，口不渴，饮食大
减，口唇龈肉皆白。其为人也，多忧思。夫四肢者，脾之所主，清冷为阳气不充。两颐乃肾
经部位，浮肿益见肾气之不足也。脉沉微与面色黄肿，皆属于湿。书云∶诸湿肿满，皆属脾
土。合脉症观之，由脾虚不运，积湿而然，虚寒明矣。病至此，势亦甚危，第形症相符，色
脉相应，又能受补，庶几可生也。法当大温补升提。以东垣益胃升阳渗湿汤加减调理。人参
三钱，白术五钱，黄 二钱，茯苓、益智仁、苍术、泽泻各一钱，大附子五分，炮姜、炙甘
草、升麻、防风各五分，连服八帖，诸症悉减。乃嘱之曰∶病虽暂愈，宜戒生冷、忧思，庶
服药有效，切勿轻犯，犯之非药石可回也。翁曰∶诺，敢不唯命？
张后溪先生令孙，遍身疥疮浮肿，肿自足背起，渐肿上大腿，今且至腹，大便泄泻，发
热不
得安寝。此风湿之症，当令与时违之候。治从开鬼门，洁净府二法，使清阳升，则泻可止；
小水利，则浮肿可消。上下分去其湿之意也。苍术一钱，薏苡仁、桑白皮各三钱，青蒿、防
风、升麻、柴胡各五钱，大腹皮、五加皮、赤茯苓、泽泻各六分，八帖全安。
吴仲峰先生邀请我为他诊病，当时是仲秋初二日。六部脉象都呈现沉微之象，其中左脉尤为严重，隐隐约约如同蛛丝般细弱。
病症表现：
原本因肠风便血，过度服用寒凉药物，导致损伤了脾胃。从春季到秋季，脾泄症状未愈，每天大小便十二三次，面色黄白中带有青色，两颊浮肿，四肢也浮肿，小便不能单独通畅，排尿时必然与大便同时排出，肠鸣音明显，四肢冰冷，口不渴，饮食大幅减少，口唇和牙龈肉色皆白。他的性格多忧思。四肢由脾所主，清冷说明阳气不足。两颊属于肾经部位，浮肿更加显示出肾气不足。脉象沉微以及面色黄肿，都属于湿邪范畴。医书说：各种湿邪导致的肿胀胀满，都归属于脾土。综合脉象和症状来看，是由于脾虚无法运化，湿气积聚所致，这是明显的虚寒证。病情发展到这一步，形势非常危急，但形体症状相符，气色与脉象相应，且身体还能承受补益治疗，或许还有生机。治疗方法应当采用大温补并升提的方法。使用东垣的益胃升阳渗湿汤进行加减调理。人参三钱，白术五钱，黄芪二钱，茯苓、益智仁、苍术、泽泻各一钱，大附子五分，炮姜、炙甘草、升麻、防风各五分，连续服用八剂，所有症状全部减轻。于是嘱咐他说：病虽然暂时痊愈，应该戒除生冷食物和忧思情绪，这样服药才能见效，千万不要轻易触犯，一旦触犯就不是药物可以挽回的了。老先生说：好的，怎敢不听从命令？
张后溪先生的孙子，全身疥疮并发浮肿，浮肿从足背开始，逐渐向上蔓延至大腿，现在甚至到了腹部，伴有腹泻，发热导致无法安睡。这是风湿之症，正值气候反常之时。治疗遵循“开鬼门”（发汗）和“洁净府”（利小便）两种方法，使清阳上升，则腹泻可止；小便通利，则浮肿可消。这是上下分消湿气的意思。苍术一钱，薏苡仁、桑白皮各三钱，青蒿、防风、升麻、柴胡各五钱，大腹皮、五加皮、赤茯苓、泽泻各六分，服用八剂后完全康复。
Mr. Wu Zhongfeng invited me to diagnose him; the time was the second day of mid-autumn. The pulses in all six positions were deep and faint (Chen Wei, 沉微), with the left side being particularly severe, faintly resembling the thinness of a spider's thread.
Symptoms:
Originally suffering from intestinal wind bleeding (Changfeng Quxue, 肠风去血), he had overconsumed cold-natured medicines, thereby damaging the spleen and stomach. From spring to autumn, spleen diarrhea (Pi Xie, 脾泄) remained uncured, occurring twelve or thirteen times daily. His complexion was yellowish-white with a bluish tint, his cheeks were swollen, and his limbs were also edematous. Urine could not flow independently; when urinating, it necessarily occurred simultaneously with defecation. There was borborygmus (intestinal rumbling), cold limbs, no thirst, significantly reduced dietary intake, and both lips and gingival flesh appeared white. He is a person prone to excessive worry and thought. The limbs are governed by the spleen; coldness indicates insufficient yang qi. The cheeks belong to the kidney meridian region; edema there further reveals insufficiency of kidney qi. Deep-faint pulses and a yellowish-swollen complexion both pertain to dampness. As the classics state: "All dampness-induced swelling and fullness belong to spleen earth." Synthesizing pulse and symptoms, this arises from spleen deficiency failing to transport, leading to accumulated dampness; the deficiency-cold nature is clear. With the disease reaching this stage, the situation is critical. However, since the physical signs correspond, the complexion matches the pulse, and the body can tolerate tonification, there is hope for survival. The method should be major warming-tonification and lifting. I prescribed modified Yiwei Shengyang Shen Shi Tang (Benefit Stomach, Raise Yang, and Leach Out Dampness Decoction) from Dongyuan for regulation. Ren Shen (Ginseng Radix) 3 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Huang Qi (Astragali Radix) 2 qian, Fu Ling (Poria), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Cang Zhu (Atractylodis Rhizoma), Ze Xie (Alismatis Rhizoma) each 1 qian, Da Fu Zi (Aconiti Lateralis Radix Praeparata) 5 fen, Pao Jiang (Zingiberis Rhizoma Praeparatum), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata), Sheng Ma (Cimicifugae Rhizoma), Fang Feng (Saposhnikoviae Radix) each 5 fen. After taking eight doses, all symptoms subsided. I then instructed him: Although the illness has temporarily healed, you must avoid raw/cold foods and excessive worry so that medication remains effective. Do not lightly violate these rules; if violated, neither medicine nor acupuncture can reverse it. The old gentleman said: Agreed, how dare I disobey?
Mr. Zhang Houxi's grandson suffered from generalized scabies accompanied by edema. The edema started at the dorsum of the foot, gradually ascending to the thighs, and now reached the abdomen. He experienced diarrhea, fever, and inability to sleep peacefully. This is a wind-dampness syndrome, occurring during an abnormal climatic period. Treatment followed the two methods of "opening the ghost gate" (sweating) and "purifying the bladder" (diuresis), aiming to raise clear yang to stop diarrhea and promote diuresis to resolve edema. This embodies the intent of dispersing dampness from above and below. Cang Zhu (Atractylodis Rhizoma) 1 qian, Yi Yi Ren (Coicis Semen) and Sang Bai Pi (Mori Cortex) each 3 qian, Qing Hao (Artemisiae Annuae Herba), Fang Feng (Saposhnikoviae Radix), Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix) each 5 qian, Da Fu Pi (Arecae Pericarpium), Wu Jia Pi (Acanthopanacis Cortex), Chi Fu Ling (Poria cum Rubro), Ze Xie (Alismatis Rhizoma) each 6 fen. After eight doses, he was completely recovered.