夏益吾，肢节肿痛，手足弯痛肿尤甚，不能动止。凡肿处皆红热。先起于左手右足，五
日后
又传于左足右手，此行痹症也。且喘咳气涌不能睡，左脉浮数、中按弦，右滑数，乃湿热风
痰
壅遏经络而然。以茅山苍术、姜黄、苡仁、威灵仙、秦艽、知母、桑白皮、黄柏、酒芩、麻
黄水煎，服下而右手肿消痛减。夜服七制化痰丸而嗽止。乃得睡。再剂两足弯消其半。左手
经渠列缺穴边肿痛殊甚，用苡仁、苍术、秦艽、甘草、天花粉、五加皮、石斛、前胡、枳壳
、威灵仙、当归，旋服旋愈。
初阳侄令政，先时咳嗽，诸治无功。且嗽急则吐，用碧玉散二钱，白汤调下立止。后半
年复
咳嗽，胸背隐隐疼痛，身常内热，咳出桃花脓不可胜计，腥秽之气甚恶。右胁并乳胀痛，脉
洪数，大便燥、肌瘦骨立，此肺痈症也。用贝母、茜根、白芍药各一钱，知母、麦门冬、山
栀子、紫菀各八分，桑白皮、当归、牡丹皮、杏仁各七分，薏苡仁一钱五分，甘草、葶苈子
各五分，水煎服之，服止甚安，但要常服
。若一缺药，其疾便发。据此，肺窍中痰积、瘀血尚多，未能即去，宜缓图之。书云俟脓去
尽当自愈也。予谓丹溪虽有此言，也不可固执，设不以药消化之，必俟其脓自尽，恐岁月深
而有他变。且中年之人何能当此？莫若清热润肺，消痰化瘀，久而服之，或早愈也。方、黄
、吴诸公谓久咳伤肺，每每投补，屡被紊之。每补必增热，加痛，加咳，而脓转多。余晓之
曰
∶诸公之意诚良，其如病加何是？姑息之谓也。古人不务姑息，惟以去病为安。夫姑息可以
养病，非所以去病也。独汪无怀，然余言，守余法，二年良愈。肌长如初。
夏益吾，肢体关节肿胀疼痛，手肘和膝盖弯曲处肿痛尤为严重，无法活动。凡是肿胀的部位都发红发热。病症先从左手和右足开始，五天后又传染到左足和右手，这是行痹症的表现。并且伴有气喘咳嗽、气息上涌不能平卧的症状，左侧脉象浮数、重按呈弦象，右侧脉象滑数，这是由于湿热风痰壅塞经络所致。用茅山苍术、姜黄、薏苡仁、威灵仙、秦艽、知母、桑白皮、黄柏、酒炒黄芩、麻黄水煎服用，服后右手肿胀消退、疼痛减轻。夜间服用七制化痰丸后咳嗽停止，得以安睡。再服两剂药后，两膝窝的肿胀消退了一半。左手经渠穴和列缺穴附近的肿痛非常严重，使用薏苡仁、苍术、秦艽、甘草、天花粉、五加皮、石斛、前胡、枳壳、威灵仙、当归，服药后随即见效痊愈。
初阳侄子的妻子，先前有咳嗽症状，各种治疗均无效。且咳嗽剧烈时呕吐，用碧玉散二钱，用白开水调服后立刻停止。半年后再次咳嗽，胸背隐隐作痛，身体经常感到内热，咳出如桃花脓样的痰液不计其数，气味腥臭难闻。右胁部及乳房胀痛，脉象洪数，大便干燥，肌肉消瘦、骨骼突出，这是肺痈症。用贝母、茜草根、白芍药各一钱，知母、麦门冬、山栀子、紫菀各八分，桑白皮、当归、牡丹皮、杏仁各七分，薏苡仁一钱五分，甘草、葶苈子各五分，水煎服用，服药后感觉非常舒适，但需要长期服用。如果间断服药，疾病就会复发。据此判断，肺窍中的痰积和瘀血仍然很多，未能立即清除，应当缓慢调理。医书说等到脓液排尽自然就会痊愈。我认为虽然丹溪先生有此言论，也不可不固执己见，假如不用药物化解消散，必定要等待脓液自行排尽，恐怕时日长久会有其他变故。况且中年人怎能承受这种病程？不如清热润肺，消痰化瘀，长期服药，或许能早日痊愈。方、黄、吴各位医生认为久咳伤肺，每每投以补药，屡次被此法扰乱病情。每次进补必然增加热象，加重疼痛和咳嗽，而脓液反而增多。我开导他们说：各位医生的心意确实良好，但对于病情加重该怎么办呢？这就是所谓的姑息养病。古人治病不务于姑息，只以求去病为安。姑息可以滋养疾病，而不是用来去除疾病。只有汪无怀赞同我的说法，遵守我的方法，两年后完全康复。肌肉生长如初。
Xia Yiwu presented with swelling and pain in the limbs and joints, with particularly severe swelling and pain at the flexures of the hands and feet, rendering him unable to move. All swollen areas were red and hot. The condition initially started in the left hand and right foot, and five days later spread to the left foot and right hand; this is a manifestation of Migratory Bi Syndrome (Xingbi). Additionally, he suffered from wheezing, coughing, and surging qi that prevented him from lying down. The pulse on the left was floating and rapid, becoming wiry upon moderate pressure, while the pulse on the right was slippery and rapid. This was caused by damp-heat, wind, and phlegm obstructing the meridians. He was prescribed a decoction of Maoshan Cangzhu (Atractylodis Rhizoma), Jianghuang (Curcumae Longae Rhizoma), Yiren (Coicis Semen), Weilingxian (Syneilesis Herba), Qinjiao (Gentianae Macrophyllae Radix), Zhimu (Anemarrhenae Rhizoma), Sangbaipi (Mori Cortex), Huangbai (Phellodendri Cortex), Jiuhuangqin (Scutellariae Radix prepared with wine), and Mahuang (Ephedrae Herba). After taking it, the swelling in the right hand subsided and pain decreased. At night, he took Qizhi Huatan Wan (Seven-Processed Phlegm-Resolving Pill), which stopped the cough, allowing him to sleep. After two more doses, the swelling in both popliteal fossae reduced by half. The area around Jingqu (LU8) and Lieque (LU7) acupoints on the left hand remained severely swollen and painful. A formula containing Yiren (Coicis Semen), Cangzhu (Atractylodis Rhizoma), Qinjiao (Gentianae Macrophyllae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Tianhuafen (Trichosanthis Radix), Wujiaopi (Acanthopanacis Cortex), Shihu (Dendrobii Caulis), Qianhu (Peucedani Radix), Zhike (Aurantii Fructus Immaturus), Weilingxian (Syneilesis Herba), and Danggui (Angelicae Sinensis Radix) was used, yielding immediate improvement and recovery.
The wife of Chuyang’s nephew had previously suffered from coughing, to which various treatments were ineffective. Severe coughing induced vomiting. She was given Biyu San (Jade Green Powder), two qian, mixed with warm water, which stopped the symptoms immediately. Half a year later, she coughed again, experiencing dull pain in the chest and back, frequent internal heat, and expectorating copious amounts of pus resembling peach blossoms, with a foul, fishy odor. There was distending pain in the right hypochondrium and breasts. The pulse was surging and rapid, stool was dry, and she was emaciated with visible bones. This was Lung Abscess (Fei Yong). The prescription included Beimu (Fritillariae Bulbus), Qiangeng (Rubiae Radix), and Baishao Yao (Paeoniae Radix Alba) each 1 qian; Zhimu (Anemarrhenae Rhizoma), Maimendong (Ophiopogonis Tuber), Shanzhizi (Gardeniae Fructus), and Ziwan (Asternatis Herba) each 8 fen; Sangbaipi (Mori Cortex), Danggui (Angelicae Sinensis Radix), Mudanpi (Moutan Cortex), and Xingren (Armeniacae Semen Amarum) each 7 fen; Yiyiren (Coicis Semen) 1.5 qian; and Gancao (Glycyrrhizae Radix et Rhizoma) and Tinglizi (Descurainiae Semen) each 5 fen, decocted in water. After administration, she felt very comfortable, but long-term continuous use was required. If medication was interrupted, the disease would recur. Based on this, it was deduced that there was still significant accumulation of phlegm and blood stasis in the lung orifices, which could not be cleared immediately; thus, slow treatment was appropriate. Medical texts state that one should wait until the pus is completely expelled for natural recovery. I argued that although Danxi held this view, one should not adhere to it rigidly. If drugs are not used to resolve and dissipate the abscess, waiting for spontaneous expulsion might take too long, risking other complications over time. Moreover, how can a middle-aged person endure such a prolonged course? It is better to clear heat, moisten the lungs, resolve phlegm, and transform blood stasis, administering the medicine over a long period to achieve early recovery. Physicians Fang, Huang, Wu, and others believed that chronic cough damages the lungs and frequently administered tonics, which repeatedly disrupted the treatment. Each tonic intake inevitably increased heat, worsened pain and coughing, and produced more pus. I advised them: "Your intentions are indeed good, but what about the worsening condition? This is called 'indulgent care' (guxi). Ancient practitioners did not indulge the disease but sought its removal. Indulgence nourishes the disease rather than curing it." Only Wang Wuhuai agreed with my words, followed my method, and recovered fully after two years, with muscles regaining their original tone.