堪舆张锡泉先生，患左胁皮里膜外疼痛，有恶寒发热之状，以白芥子一钱五分，川芎、
柴胡、
桔梗各一钱，桂枝、甘草各五分，水煎饮之，当愈其半。次日以八珍汤加青皮为君，木香为
佐，柴胡为使，一帖痊愈。
族侄云岳，患偏坠脐腹腰俞俱胀而痛，左关脉弦大鼓指。用小茴香、甘草、苍术、益智
仁、
防风各五分，荔枝核、橘核、糖球子、柴胡各一钱，山栀、青皮各七分，服后其痛如旧，脉
且转数，恐作囊痈，急为解毒。栝蒌五钱，当归、甘草节、金银花各一钱，连翘、柴胡、
青
皮各七分，水煎服之，痛定肿消。因食鸡鱼太早，次日脐腹又作胀痛，发热不能睡。昨日囊
消后，弦脉尽退，今复弦矣。改以山楂、栝蒌各二钱，金银花、柴胡、连翘各八分，甘草节
、黄连、当归各五分，青皮七分，两帖而愈。
一妇，时方妙龄，表虚易感风寒致成鼻渊。流清涕不止，便觉头运，两太阳常作疼，且
多喷
嚏，脉之两寸洪大，用秦艽、酒芩、桑白皮、马兜铃各八分，白芍一钱，滑石、石膏各二钱
，枳壳、蔓荆子各五分，甘草三分，四帖涕止病愈。
程两峰丈，偶与乃侄稍有介蒂，其晚饮于侄家，归觉腹中胀满，呕哕不宁，次日眼珠面
色皆
黄，恶寒发热。时当仲秋，正疟痢为疠之候。医作疟治，五心加热，下午潮热烦躁，似呕不
呕，且鼻衄，腹痛，大便黑如墨，吐出黑血如烂猪肺者然约碗余。有谓∶所吐之物如此，大
便之黑又如彼，似有中蛊之象，心疑乃侄毒之也。正欲与乃侄争辩，予仲子泰来适在渠宅，
徐语渠诸郎君日，尊翁症尚可起，顾不为救症，而务与人哄，何舍重而图轻耶!渠家素不急
予，仍迓所亲信者率相视之。见目珠如金，面若熏橘，腹大如斗，其中有块大如盘，坚如石
，两足下皆浮肿，四肢且冷，小水赤，饮食不思，莫不面面相觑，辞而不药。举家闻言，通
宵号泣，惟欲攘臂争哄。仲子泰来又语之曰∶家君固不敏，其知识量不出诸公下，昨自华阳
归，迓而诊之，当必有说。举家忻然敦予求诊，其脉左涩右滑。予曰∶据滑脉主痰饮，涩主
有瘀血也，今所吐所下皆瘀之征，断非蛊也。使得早从事，曷有此猜忌此号泣哉。两峰曰∶
吾生平颇谨疾，瘀自何致？予曰∶《内经》云∶怒则伤肝，甚则呕血，不呕则积，积而瘀于
经隧，满而溢也。两峰曰∶若谓从怒而致，则此语恰当吾病源矣，敢请剂。予用当归尾三钱
，赤芍药、牡丹皮、川芎各一钱五分，玄胡索、五灵脂、桃仁各一钱，滑石、茜根各二钱，
水煎饮之，所下黑物甚多，腹中仍痛，块犹未软。前方再加青皮、山楂、酒蒸大黄服之，大
便行三次，黑瘀及痰不计其数。从此腹渐宽，块渐溶，面色稍转，而黄日退，饮食津津有加
，四肢微温有生气矣。惟两足浮肿不消，改用六君子汤加炮姜、茜根、滑石、青蒿调理而黑
粪全无。一月精神复旧，里中谓予，此役匪得认病投剂为足称，且俾二宅释猜疑，排忿争，
其雅谊尤足重也。
堪舆师张锡泉先生，患左侧胁部皮肤与膜之间疼痛，伴有怕冷发热的症状。用白芥子一钱五分，川芎、柴胡、桔梗各一钱，桂枝、甘草各五分，水煎后服用，病情减轻了一半。第二天用八珍汤加青皮作为主药，木香作为辅药，柴胡作为引经药，服用一剂后痊愈。
族侄云岳，患偏坠病（睾丸一侧肿大下垂），脐腹及腰俞部位都胀满疼痛，左关脉弦大且搏动有力。用小茴香、甘草、苍术、益智仁、防风各五分，荔枝核、橘核、糖球子、柴胡各一钱，山栀、青皮各七分，服用后疼痛依旧，脉搏反而加快，担心发展为囊痈，急忙采用解毒法。用栝蒌五钱，当归、甘草节、金银花各一钱，连翘、柴胡、青皮各七分，水煎服下，疼痛停止，肿胀消退。因为过早食用鸡肉和鱼类，第二天脐腹部又出现胀痛，发热无法入睡。昨天囊肿消退后，弦脉完全消失，现在又出现弦脉了。改用山楂、栝蒌各二钱，金银花、柴胡、连翘各八分，甘草节、黄连、当归各五分，青皮七分，服用两剂后痊愈。
一位妇女，正值青春年少，因表虚容易感受风寒而患上鼻渊（鼻窦炎）。流清涕不止，自觉头晕，两侧太阳穴经常疼痛，且多喷嚏。诊其脉象两寸洪大，用秦艽、酒黄芩、桑白皮、马兜铃各八分，白芍一钱，滑石、石膏各二钱，枳壳、蔓荆子各五分，甘草三分，服用四帖后鼻涕止住，病愈。
程两峰先生，偶然与他的侄子有些隔阂，晚上在侄子家饮酒，回家后觉得腹部胀满，恶心呕吐不安稳，第二天眼珠和面色都变黄，怕冷发热。当时正值仲秋，正是疟疾和痢疾流行的时候。医生按疟疾治疗，导致五心烦热，下午潮热烦躁，想吐又吐不出来，并且鼻出血，腹痛，大便黑如墨汁，吐出黑血像烂猪肺一样，大约一碗多。有人说：吐出的东西这样，大便的黑那样，似乎有中毒中蛊的迹象，心里怀疑是侄子下的毒。正要与侄子争辩时，我的次子泰来恰好在他家，慢慢对他各位儿子说：“令尊的病症还可以治愈，但你们不致力于救治疾病，却忙于与人争吵，这是舍重图轻啊！”程家平时并不急于请我，仍然迎接他们信任的人来看视。看到眼珠金黄，面色像被烟熏过的橘子，腹部大如斗，其中有肿块大如盘，坚硬如石头，双脚下方都浮肿，四肢冰冷，小便赤红，不想饮食，大家面面相觑，推辞不肯用药。全家听了这话，通宵哭泣，只想挥臂争斗。次子泰来又说：“家父虽然不敏，但其见识并不低于各位，昨天从华阳回来，迎接并诊治他，一定会有说法。”全家高兴地敦请我去诊治。其脉象左涩右滑。我说：根据滑脉主痰饮，涩脉主瘀血，现在所吐所下的都是瘀血的征象，断然不是中蛊。如果早点处理，何至于有此猜忌和哭泣呢？两峰说：我生平很注意养生防病，瘀血是从哪里来的？我说：《内经》说：愤怒会伤肝，严重时会呕血，不呕血则积聚，积聚瘀滞在经络中，满了就会溢出。两峰说：如果说因为愤怒导致，那么这句话正好对应了我的病因，敢请开方。我用当归尾三钱，赤芍药、牡丹皮、川芎各一钱五分，玄胡索、五灵脂、桃仁各一钱，滑石、茜根各二钱，水煎服用，排出的黑色物质很多，腹部仍然痛，肿块还没有软化。前方再加青皮、山楂、酒蒸大黄服用，大便通了三次，排出的黑瘀血及痰液不计其数。从此腹部逐渐宽松，肿块逐渐消散，面色稍转红润，黄色日渐退去，饮食渐渐增加，四肢微温有了生气。只有双脚浮肿不消，改用六君子汤加炮姜、茜根、滑石、青蒿调理，直到黑粪全无。一个月后精神恢复如初，乡里人说，这次如果不是准确认病投药，不足以称道，而且让两家消除猜疑，排除忿争，这份高雅的情谊尤其值得重视。
Mr. Zhang Xiquan, a Feng Shui master, suffered from pain in the left hypochondriac region between the skin and the fascia, accompanied by aversion to cold and fever. He was prescribed one qian five fen of Baijiezi (White Mustard Seed), one qian each of Chuanxiong (Szechwan Lovage Rhizome) and Chaihu (Bupleurum Root), and Jiegeng (Platycodon Root), along with half a qian each of Guizhi (Cinnamon Twig) and Gancao (Licorice Root). Decocted in water and taken orally, his condition improved by half. The next day, Bazhen Tang (Eight-Treasure Decoction) was used with Qingpi (Tangerine Peel) as the principal herb, Muxiang (Aucklandia Root) as the assistant herb, and Chaihu (Bupleurum Root) as the guiding herb. One dose resulted in complete recovery.
My clan nephew Yun Yue suffered from hernia testicularis (unilateral scrotal swelling), with distension and pain in the umbilical-abdominal region and Yaoshu (Lumbar region). His left Guan pulse was wiry, large, and forceful. He was given half a qian each of Xiaohuixiang (Fennel Fruit), Gancao (Licorice Root), Cangzhu (Atractylodes Rhizome), Yizhiren (Bitter Apricot Seed), and Fangfeng (Saposhnikovia Root); one qian each of Litchi He (Lychee Seed), Juhe (Tangerine Seed), Tangqiuzi (likely a local variant or typo for similar seed), and Chaihu (Bupleurum Root); and seven fen each of Shanzhi (Gardenia Fruit) and Qingpi (Tangerine Peel). After ingestion, the pain remained unchanged, and the pulse became rapid. Suspecting the development of Nangyong (Scrotal Abscess), urgent detoxification was employed. Five qian of Gualou (Trichosanthes Fruit), one qian each of Danggui (Angelica Sinensis Root), Gancaojie (Licorice Knuckle), and Jinyinhua (Honeysuckle Flower), along with seven fen each of Lianqiao (Forsythia Fruit), Chaihu (Bupleurum Root), and Qingpi (Tangerine Peel) were decocted in water and administered. The pain ceased, and the swelling subsided. However, due to premature consumption of chicken and fish, the umbilical-abdominal region became distended and painful again the next day, accompanied by fever and insomnia. The wiry pulse had completely disappeared after the resolution of the scrotal swelling but reappeared. The prescription was changed to two qian each of Shanzha (Hawthorn Fruit) and Gualou (Trichosanthes Fruit), eight fen each of Jinyinhua (Honeysuckle Flower), Chaihu (Bupleurum Root), and Lianqiao (Forsythia Fruit), five fen each of Gancaojie (Licorice Knuckle), Huanglian (Coptis Rhizome), and Danggui (Angelica Sinensis Root), and seven fen of Qingpi (Tangerine Peel). Two doses led to recovery.
A woman, in the prime of youth, contracted Biyuan (Nasal Sinusitis) due to exterior deficiency making her susceptible to Wind-Cold invasion. She suffered from incessant clear nasal discharge, dizziness, frequent pain in both temporal regions, and sneezing. Her Cun pulses on both sides were surging and large. Qinjiao (Gentiana Macrophylla Root), Jiuhuangqin (Scutellaria Root processed with wine), Sangbaipi (Mulberry Bark), and Madouling (Aristolochia Root) were each prescribed at eight fen; Baishao (White Peony Root) at one qian; Huashi (Talcum) and Shigao (Gypsum Fibrosum) at two qian each; Zhike (Bitter Orange Fruit) and Manjingzi (Vittex Seed) at five fen each; and Gancao (Licorice Root) at three fen. Four doses stopped the nasal discharge and cured the disease.
Mr. Cheng Liangfeng had a slight estrangement with his nephew. After drinking at his nephew's house one evening, he returned feeling abdominal fullness and restless nausea/vomiting. The next day, his eyeballs and complexion turned yellow, accompanied by aversion to cold and fever. It was mid-autumn, the season prone to malaria and dysentery epidemics. Physicians treated him for malaria, resulting in heat in the five centers (palms, soles, and chest), afternoon tidal fever, irritability, a sensation of wanting to vomit without actually doing so, epistaxis, abdominal pain, black stools like ink, and vomiting of black blood resembling rotten pig lung, approximately one bowl in volume. Some suggested that given the nature of the vomitus and the black stool, it resembled poisoning by Gu (a mythical venomous creature or toxin), leading to suspicion that the nephew had poisoned him. Just as he was about to confront his nephew, my second son Tailai happened to be at their residence. He gently spoke to the young masters of the household: "Your father's condition is curable. Yet, instead of focusing on treating the illness, you are engaged in disputes. This is neglecting the important for the trivial." The Cheng family, not initially eager to invite me, sent their trusted acquaintances to examine him. They observed golden-yellow eyeballs, an orange-skin-like complexion, an abdomen distended like a bucket, a hard stone-like mass the size of a plate within, edema below both feet, cold limbs, red urine, and loss of appetite. Everyone looked at each other in dismay and declined to prescribe medicine. Hearing this, the whole family wailed all night, ready to fight. Tailai said again: "My father may not be sharp-witted, but his knowledge is no inferior to yours. He returned from Huayang yesterday; if you invite him to diagnose, there will surely be an explanation." The family happily urged me to visit. His pulse was choppy on the left and slippery on the right. I stated: "A slippery pulse indicates Phlegm-Fluid retention, while a choppy pulse indicates Blood Stasis. The vomited and excreted materials are signs of stasis, definitely not Gu poisoning. If treated earlier, such suspicion and weeping would have been avoided." Liangfeng asked: "I have always been careful with my health; how did the stasis arise?" I replied: "The *Neijing* states: Anger injures the Liver. Severe cases lead to hematemesis; if not vomited, it accumulates. Accumulation leads to stasis in the meridians, which overflows when full." Liangfeng said: "If attributed to anger, this perfectly matches the source of my illness. I respectfully request a prescription." I prescribed three qian of Dangguiwei (Tail of Angelica Sinensis Root), one qian five fen each of Chishao (Red Peony Root) and Mudanpi (Tree Peony Bark), one qian each of Yanhusuo (Corydalis Rhizome), Wulingzhi (Trogopterus Dung), and Taoren (Peach Seed), and two qian each of Huashi (Talcum) and Qiangen (Rubia Root). Decocted in water and taken orally, a large amount of black material was excreted. Abdominal pain persisted, and the mass remained hard. The previous formula was augmented with Qingpi (Tangerine Peel), Shanzha (Hawthorn Fruit), and Jiudahuang (Rhubarb Root processed with wine). Three bowel movements occurred, expelling countless amounts of black stasis and phlegm. From then on, the abdomen gradually relaxed, the mass dissolved, the complexion slightly brightened, and the jaundice receded daily. Appetite increased, and limbs became slightly warm and vital. Only the foot edema persisted. The prescription was changed to Liujunzi Tang (Six-Gentlemen Decoction) supplemented with Paojiang (Prepared Ginger), Qiangen (Rubia Root), Huashi (Talcum), and Qinghao (Sweet Wormwood) for regulation, until black stools ceased completely. Within a month, his spirit recovered to normal. People in the village remarked that this case was not only a testament to accurate diagnosis and appropriate prescription but also to the reconciliation of the two families, dispelling suspicion and resolving conflict, a friendship of high elegance worthy of respect.