予堂嫂程氏，喉间有物如脔，咯之不出，咽之不下，梗梗不安，腹中痛且泻，年五十有
八矣
。乃梅核气症也。腹痛乃新疾，以二陈汤加旋复花、白术、香附、紫苏、桂皮、浓朴、泽泻
四剂。腹痛仍在，泻亦不止，乃用胃苓汤加麦芽、砂仁、香附二帖，痛止泻瘳。仍用二陈汤
加浓朴、桂皮、紫苏、旋复花、细辛、人参煎服，四帖而喉中病去如失。
一妇，先伤风发热，咳嗽二日，乃分娩，热尚未退，又食鸡汁肉等太早，咳嗽发热愈盛
，已
八日矣。胸膈胀痛，头痛口渴，大便秘，咳出之痰色黑而臭，小水短少，胁下扯痛，气逆而
喘不得卧，左胁不能着席，汗出不止，症甚危急。予以栝蒌五钱，紫苏子一钱，枳壳、酒芩
各六分，前胡、桔梗各五分，粉草三分，生姜三片，水煎饮之，胸膈之痛减半，气喘稍定。
次日再进前药，大便用蜜枣导之，热尽退，痛尽减，诸症寻愈。
表嫂孀居二十年矣，右瘫不能举动，不出门者三年，今则神情恍惚，口乳语，常悲泣。
诘其
故，答曰∶自亦不知为何故也。诊之两寸脉短涩，以石菖蒲、远志、当归、茯苓、人参、黄
、白术、大附子、晚蚕砂、陈皮、粉草，服四剂精神较好于前，但悲泣如旧，夜更泣。予
思仲景大枣小麦汤正与此对，即与服之，两帖而瘳。方用大枣十二枚，小麦一合，大甘草炙
过三寸，水煎饮之。此忧伤肺脏，脏寒故多泣也。
我的堂嫂程氏，喉咙里感觉有块肉样的东西，咳不出来也咽不下去，心中梗塞不安，腹部疼痛且腹泻，当时她五十八岁了。这是梅核气证。腹痛是新得的病，我用二陈汤（燥湿化痰、理气和中的方剂）加入旋复花、白术、香附、紫苏、桂皮、厚朴、泽泻，服用四剂。腹痛仍然没有缓解，腹泻也没有停止，于是改用胃苓汤（健脾利湿、行气导滞的方剂）加入麦芽、砂仁、香附，服用两帖，疼痛停止，腹泻痊愈。随后继续用二陈汤加入厚朴、桂皮、紫苏、旋复花、细辛、人参煎服，服用四帖后，喉间的病症完全消失。
有一位妇人，先因伤风发热，咳嗽两天，然后分娩，热势尚未消退，又过早食用鸡汤、鸡肉等滋腻食物，导致咳嗽和发热更加严重，病程已达八天。她胸膈部胀痛，头痛口渴，大便秘结，咳出的痰颜色黑且气味臭秽，小便短少，胁下牵引作痛，气逆而喘，无法平卧，左侧胁部不能着床，出汗不止，病情非常危急。我给予瓜蒌五钱，紫苏子一钱，枳壳、酒黄连各六分，前胡、桔梗各五分，粉甘草三分，生姜三片，水煎后饮用，胸膈部的疼痛减轻了一半，气喘稍微平息。第二天再次服用前面的药物，大便用蜜枣导引通便，热势完全消退，疼痛全部减轻，各种症状随即痊愈。
表嫂守寡二十年，右侧瘫痪不能活动，三年不出门，现在神情恍惚，说梦话，经常悲伤哭泣。询问她原因，她回答说：自己也不知道是什么缘故。诊察她的脉象，两手寸脉短涩，给予石菖蒲、远志、当归、茯苓、人参、黄芪、白术、大附子、晚蚕砂、陈皮、粉甘草，服用四剂后精神比之前好一些，但悲伤哭泣的情况依旧，夜间哭泣更甚。我想到张仲景的大枣小麦汤正好对症，立即让她服用，两帖后痊愈。方剂用大枣十二枚，小麦一合，炙过的粉甘草三寸，水煎后饮用。这是因为忧伤肺脏，脏寒所以容易多泪哭泣。
My cousin's wife, Cheng Shi, felt a lump-like object in her throat that could neither be coughed up nor swallowed down, causing a sensation of obstruction and unease. She also suffered from abdominal pain and diarrhea; she was fifty-eight years old at the time. This is the syndrome of *Meiheqi* (Plum-pit Qi, characterized by a foreign body sensation in the throat). The abdominal pain was a new ailment. I prescribed Erchen Tang (Two-Cured Decoction) with added Xuanfuhua (Inulae Flos), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiangfu (Cyperi Rhizoma), Zisu (Perillae Folium), Guipi (Cinnamomi Cortex), Houpo (Magnoliae Officinalis Cortex), and Zexie (Alismatis Rhizoma) for four doses. The abdominal pain persisted, and the diarrhea did not cease. Therefore, I switched to Weiling Tang (Stomach-Paoling Decoction) with added Maiya (Hordei Fructus Germinatus), Sharen (Amomi Fructus), and Xiangfu for two doses. The pain stopped, and the diarrhea improved. Subsequently, I continued with Erchen Tang plus Houpo, Guipi, Zisu, Xuanfuhua, Xixin (Asari Radix et Rhizoma), and Renshen (Ginseng Radix et Rhizoma) decocted in water. After four doses, the throat ailment disappeared completely.
A woman first contracted wind-heat with fever and coughing for two days, then gave birth. The fever had not yet subsided when she consumed chicken broth and meat too early. Consequently, her cough and fever intensified, lasting eight days. She experienced distending pain in the chest and diaphragm, headache, thirst, constipation, black and foul-smelling sputum, scanty urine, pulling pain under the hypochondrium, rebellious qi with asthma preventing supine position (unable to lie on her left side), continuous sweating, indicating a critical condition. I prescribed Gualou (Trichosanthis Fructus) 5 qian, Zisuzi (Perillae Fructus) 1 qian, Zhike (Aurantii Fructus), and Jiu Huangqin (Scutellariae Radix prepared with wine) each 6 fen, Qianhu (Peucedani Radix), Jiegeng (Platycodonis Radix) each 5 fen, Fencao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) 3 fen, and three slices of Shengjiang (Zingiberis Rhizoma Recens). Decocted in water and drunk, the chest and diaphragm pain reduced by half, and the asthma slightly stabilized. The next day, she took the same prescription again. Her stool was guided out using honey dates (Mi Zao). The fever completely subsided, the pain entirely diminished, and all symptoms soon recovered.
My second cousin's wife had been a widow for twenty years, suffering from right-sided hemiplegia unable to move, and had not left home for three years. Now, her spirit was confused, she spoke incoherently (sleep-talking), and frequently wept bitterly. When asked about the cause, she replied that she did not know herself. Upon pulse diagnosis, both Cun (inch) pulses were short and choppy. I prescribed Shichangpu (Acori Tatarinowii Rhizoma), Yuanzhi (Polygalae Radix), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Renshen, Huangqi (Astragali Radix), Baizhu, Da Fuzi (Aconiti Lateralis Radix Praeparata), Wancansha (Bombyx Batryticatus), Chenpi (Citri Reticulatae Pericarpium), and Fencao. After four doses, her mental state improved compared to before, but she continued to weep as before, especially at night. I recalled that Zhang Zhongjing's Dazao Xiaomai Tang (Jujube and Wheat Decoction) was precisely indicated for this case, so I administered it immediately. After two doses, she recovered. The formula consisted of twelve large jujubes (Dazao), one he of wheat (Xiaomai), and three cun of roasted Licorice root (Gancao), decocted in water and drunk. This condition resulted from sorrow injuring the Lung organ; due to coldness in the viscera, excessive weeping occurred.