族妹经不行者八十日，每饮食入腹即疼痛，必尽吐出乃止。居常亦吐酸水，上焦热，下
焦寒
，大便半月始一行，食饮不进者四十日。六脉皆数，左滑右软弱。妹能事者，以其夫多病，
且不谙世故，由是悒悒，病从思虑而得，恐成膈症。今大便燥结、吐酸乃膈之征，急宜拂虑
，庶药有功。先与丁灵丸一粒而吐止，继用温胆汤加大腹皮、姜连痛吐全安，改以二陈汤加
香附、条芩、山栀仁、丹参、砂仁调理两月，经行，大便始润，而膈症斯不作矣。
孙华野，脉沉弦而数，喉痛颊车肿，两太阳作胀疼，遍身皆胀痛，憎寒发热，乃痰火上
壅而变风热，将欲作毒也，宜急治之。薄荷、甘草、升麻、白芷、石膏、枳壳、
天花粉、桔梗、大力子、连翘、玄参，一帖而愈。
显兄，每辛苦及酒多则咯血数口，脉两寸皆短弱，关尺洪数。此胃中有痰火，而下焦有
阴火
，由壮年酒色所伤故耳。以丹参、滑石各三钱，白芍药二钱，麦冬、贝母、桃仁、紫菀、牡
丹皮各一钱，当归七分，甘草五分煎服而安。
歙邑吴遂兄，木商也，在吴兴年七十。因冒雨劳力汗出，又以冷水澡浴，因而发热，口
渴，
心与背互相胀痛，小水长而赤，舌上黄苔，夜不得卧，眼目如金，皮肤尽黄。吴兴之医见之
远走，不敢措剂，谓其年高不宜此病。 劝回家，乃敦访予治。诊得左脉浮数，右濡弱，两
手皆有六至。予曰∶此湿热发黄症也。病虽重，年虽高，有是症当有是药，毋用仓惶。乃以
柴胡三钱，酒芩、葛根、青蒿、香薷、天花粉各一钱，人参七分，粉草五分，连进二帖，晚
得微汗即能睡，次早热退其半，舌苔稍淡润不焦燥矣。胸膈余热作烦，身黄如旧，以竹茹、
青蒿、葛根各一钱，人参、麦门冬、天花粉、知母各八分，白芍药六分，二帖，热退食进，
精神陡长。后于补中益气汤加青蒿、麦门冬、天花粉十帖而眼目肌肤之黄尽释然矣。吴兴诸
公悉服其精当，各录方而传。
族妹月经停止已达八十天，每次饮食进入腹部即刻感到疼痛，必须全部呕吐出来才停止。平时也常吐出酸水，表现为上焦有热、下焦有寒，大便半个月才排便一次，四十天无法进食进水。六脉皆数，左脉滑，右脉软弱。妹妹能操持家务，是因为丈夫多病，且不通世故，因此心情抑郁，疾病由思虑过度所致，恐怕会发展成膈症（噎膈）。如今大便燥结、吐酸是膈症的征兆，急需疏解郁结情绪，否则药物难以奏效。先给予丁灵丸一粒，呕吐随即停止；继用温胆汤加大腹皮、姜黄连，疼痛和呕吐完全痊愈；后改用二陈汤加香附、条芩、山栀仁、丹参、砂仁调理两个月，月经来潮，大便始得滋润，膈症便不再发作。
孙华野，脉象沉弦而数，咽喉疼痛，颊车穴部位肿胀，两侧太阳穴胀痛，全身皆胀痛，怕冷发热，这是痰火上壅导致变为风热，即将化毒，应当紧急治疗。使用薄荷、甘草、升麻、白芷、石膏、枳壳、天花粉、桔梗、牛蒡子、连翘、玄参，一剂药后痊愈。
显兄，每次劳累或饮酒过多则咯出几口血，两寸脉皆短弱，关尺脉洪数。这是胃中有痰火，而下焦有阴火，是由于壮年时期酒色所伤所致。使用丹参、滑石各三钱，白芍药二钱，麦冬、贝母、桃仁、紫菀、牡丹皮各一钱，当归七分，甘草五分煎服，病情安定。
歙县吴遂兄，是木材商人，在吴兴时七十岁。因冒雨劳作出汗，又用冷水洗澡，因而发热，口渴，心口与背部互相胀痛，小便长且颜色赤红，舌上有黄苔，夜间不能入睡，眼目如金色，皮肤全部发黄。吴兴的医生见到他远走躲避，不敢用药，说他年高不宜患此病。劝其回家，于是诚恳邀请我诊治。诊得左脉浮数，右脉濡弱，两手脉搏均达每息六至（约每分钟100-120次）。我说：这是湿热发黄症。病虽重，年虽高，有这种症状就用这种药，不要惊慌失措。于是用柴胡三钱，酒炒黄芩、葛根、青蒿、香薷、天花粉各一钱，人参七分，粉草五分，连续服用两帖，晚上得到微汗后即能入睡，次日早晨热度退去一半，舌苔稍变淡润而不焦燥。胸膈余热引起烦闷，身体黄色如旧，用竹茹、青蒿、葛根各一钱，人参、麦门冬、天花粉、知母各八分，白芍药六分，两帖后，热度退去，食欲增进，精神突然增长。后来在补中益气汤中加入青蒿、麦门冬、天花粉，服用十帖，眼目肌肤的黄色完全消除。吴兴的各位先生都佩服其精当，各自抄录方子传播。
The patient's sister had amenorrhea (absence of menstruation) for eighty days. Every time food and drink entered her stomach, she experienced immediate pain, which only ceased after complete vomiting. She frequently regurgitated acidic fluid, presenting with heat in the Upper Jiao (upper body/organ systems) and cold in the Lower Jiao (lower body/organ systems). Her bowel movements occurred only once every half month, and she had been unable to eat or drink for forty days. All six pulses were rapid; the left pulse was slippery, and the right pulse was weak and soft. The sister managed household affairs because her husband was often ill and lacked worldly wisdom, leading to depression. The illness arose from excessive overthinking, raising concern that it might develop into Ge Syndrome (dysphagia/esophageal obstruction). Currently, dry constipation and regurgitation of acid are signs of Ge Syndrome. It is urgent to relieve emotional stagnation, otherwise, medicinal efficacy will be limited. Initially, one pill of Dingling Wan was administered, stopping the vomiting immediately. Subsequently, Wendan Decoction (Phlegm-Calming Decoction) was used with added Dahuapi (Areca Peel) and Jiang Lianhuang (Ginger-processed Coptis Rhizome), completely resolving the pain and vomiting. Later, Erchen Decoction (Two-Aged Decoction) was modified with Xiangfu (Cyperus Rhizome), Tiaoqin (Scutellaria Root), Shanzhiren (Gardenia Seed), Danshen (Salvia Root), and Sharen (Amomum Fruit) for two months of regulation. Menstruation resumed, bowel movements became moist, and Ge Syndrome did not recur.
Sun Huaye presented with a deep, wiry, and rapid pulse. He suffered from sore throat, swelling at the Jiache acupoint (ST6), distending pain in both Taiyang areas (temples), generalized distending pain throughout the body, aversion to cold, and fever. This indicated Phlegm-Fire surging upward transforming into Wind-Heat, likely about to generate toxicity. Urgent treatment was required. A prescription of Bohe (Mint), Gancao (Licorice Root), Shengma (Cimicifuga Rhizome), Baizhi (Angelica Dahurica Root), Shigao (Gypsum Fibrosum), Zhike (Aurantii Fructus), Tianhuafen (Trichosanthes Root), Jiegeng (Platycodon Root), Niu Bang Zi (Arctium Fruit), Lianqiao (Forsythia Fruit), and Xuanshen (Scrophularia Root) was prescribed. Recovery was achieved after one dose.
Xiong Brother expectorated several mouthfuls of blood whenever he exerted himself excessively or consumed too much alcohol. Both Cun (inch) pulses were short and weak, while Guan (middle) and Chi (cubit) pulses were flooding and rapid. This indicated Phlegm-Fire in the Stomach and Yin-Fire in the Lower Jiao, caused by damage from alcohol and sexual indulgence during his prime. He was treated with Danshen (Salvia Root) and Huashi (Talcum), each 3 qian; Baishao Yao (White Peony Root), 2 qian; Maidong (Ophiopogon Tuber), Beimu (Fritillaria Bulb), Taoren (Peach Seed), Ziwan (Aster Root), and Mudanpi (Moutan Cortex), each 1 qian; Danggui (Angelica Sinensis Root), 7 fen; and Gancao (Licorice Root), 5 fen, decocted and taken orally. His condition stabilized.
Wu Sui, a timber merchant from Shexian County, was seventy years old when residing in Wuxing. After laboring in the rain and sweating, he bathed in cold water, resulting in fever, thirst, mutual distending pain between the heart and back, prolonged urination with red urine, yellow tongue coating, insomnia at night, eyes like gold, and generalized jaundice (yellowing of skin). Physicians in Wuxing fled upon seeing him, refusing to prescribe medication, claiming his advanced age made him unsuitable for such a severe disease. They advised him to return home, where he earnestly sought my treatment. I diagnosed a floating and rapid left pulse, a soggy and weak right pulse, and a rate of six beats per breath in both hands. I stated: "This is Jaundice due to Damp-Heat." Although the illness was severe and the patient elderly, the presence of these symptoms dictates the use of corresponding medicines; do not panic. I prescribed Chaihu (Bupleurum Root), 3 qian; Jiuhuangqin (Alcohol-processed Scutellaria Root), Gegen (Pueraria Root), Qinghao (Artemisia Annua Herb), Xiangru (Elsholtzia Herb), and Tianhuafen (Trichosanthes Root), each 1 qian; Renshen (Ginseng Root), 7 fen; and Fencacao (Licorice Root), 5 fen. After two consecutive doses, he sweated slightly in the evening and slept well. By early morning, the fever had subsided by half, and the tongue coating became slightly pale, moist, and no longer scorched. Residual heat in the chest and diaphragm caused irritability, and the body remained yellow. I prescribed Zhuru (Bamboo Shavings), Qinghao (Artemisia Annua Herb), and Gegen (Pueraria Root), each 1 qian; Renshen (Ginseng Root), Maimendong (Ophiopogon Tuber), and Tianhuafen (Trichosanthes Root), each 8 fen; and Baishao Yao (White Peony Root), 6 fen. After two doses, the fever receded, appetite improved, and spirit suddenly increased. Finally, Buzhong Yiqi Tang (Decoction for Reinforcing the Middle and Augmenting Qi) was modified with Qinghao (Artemisia Annua Herb), Maimendong (Ophiopogon Tuber), and Tianhuafen (Trichosanthes Root) for ten doses, completely eliminating the yellow discoloration of the eyes and skin. The physicians in Wuxing admired the precision of this treatment and copied the prescriptions for dissemination.