曹同府东岗先生，右胁痛。脉之左弦大，右滑大，此由
外伤风内伤食所致也。又加咳嗽，夜更痛，体肥面青，寝食俱废。予以紫苏、柴胡解其表，
白芥子、桂皮、香附治其胁痛，山楂、萝卜子消其食，杏仁、陈皮、半夏、栝蒌仁治其嗽，
四帖，饮食进，嗽也除，胁痛减十之七，再与保和丸服之而安。
宜兴令君镜阳先生，上焦有浮热，胃中有食积痰饮，平常好食热物，稍凉即腹痛泄泻，
大便
后，间有红，又因劳心动火，头面生疮疖作疼，脉左数，右滑数，以玄参、石斛、白芍药各
二钱，甘草一钱，天花粉、连翘、贝母各一钱，茯苓八分，薄荷五分，四帖，疮疖皆愈。再
以保和丸加姜连、滑石、红曲、白术丸与服，半月全安。
吴鹉源先生，咳嗽口干，腹中如火滚动，不知饱饿，亦不思饮食，右胁痛，脉右滑数，
左弦
数，此中焦有痰积也。先以总管丸去其痰，而后养脾，服后大便下稠粘黄糜甚多，小水如血
，此热下行也。继以保和丸理脾消余痰，又使新饮食不生痰也。外以桔红、贝母、天花粉、
桔梗、酒芩、知母、葛根、甘草、滑石服之，其咳嗽也除。
吴鹤洲如夫人，病胃脘痛，医有认为虫者，有认为火者，又有认为痰、为气、为食、为
虚、
为血、为寒者。诸说纷纷，百治不效，群然指为怪疾。请予诊，两手大而无力，皆六至，予
曰∶岂怪耶？肝脾相胜之症耳。东垣治例，腹痛以芍药为君，恶热而痛，加黄柏效，效此法
则治当万全矣。白芍四钱，一半生一半酒炒，伐肝补脾为君，大甘草二钱一半炙一半生，缓
肝补脾为臣，山楂为佐，炒黑山栀仁、五灵脂各一钱，止痛为使，三帖而病愈。鹤洲公喜曰
∶君真能用药神而降病怪者也。嘻!
曹同府东岗先生，右侧胁部疼痛。诊察其脉象，左手脉弦大，右手脉滑大，这是由外感风邪、内伤饮食所致。又伴有咳嗽，夜间疼痛加剧，身体肥胖面色发青，睡眠和饮食都废弛不振。我给予紫苏、柴胡以解除表邪，白芥子、桂皮、香附治疗胁痛，山楂、萝卜子（莱菔子）消导食积，杏仁、陈皮、半夏、栝蒌仁治疗咳嗽，服用四剂后，饮食恢复，咳嗽消除，胁痛减轻十分之七，再给予保和丸服用而痊愈。
宜兴县令镜阳先生，上焦有浮热，胃中有食积痰饮，平时喜欢吃热的食物，稍微吃凉的就腹痛泄泻，大便之后，偶尔带有红色，又因劳神动火，头面部生疮疖疼痛，脉象左手数，右手滑数，用玄参、石斛、白芍药各二钱，甘草一钱，天花粉、连翘、贝母各一钱，茯苓八分，薄荷五分，服用四剂，疮疖全部痊愈。再用保和丸加姜黄连、滑石、红曲、白术制成丸药服用，半个月完全安康。
吴鹉源先生，咳嗽口干，腹中如火滚动，不知饱饿，也不思饮食，右侧胁痛，脉象右手滑数，左手弦数，这是中焦有痰积。先用总管丸去除痰浊，然后调养脾胃，服药后大便排出大量稠粘黄糜状物，小便如血，这是热邪下行。接着用保和丸调理脾胃消除余痰，并使新的饮食不再产生痰浊。外用桔红、贝母、天花粉、桔梗、酒黄芩、知母、葛根、甘草、滑石服用，其咳嗽得以消除。
吴鹤洲的夫人，患胃脘痛，医生有的认为是虫积，有的认为是火邪，又有认为是痰、气、食、虚、血、寒的。各种说法纷纷扬扬，多种治疗均无效，众人一致指为怪疾。请我诊治，两手脉象大而无力，均为六至（每息六至），我说：难道是怪疾吗？不过是肝脾相胜的病证罢了。李东垣的治疗法则，腹痛以芍药为君药，恶热而痛，加黄柏有效，效法此法则治疗应当万无一失。白芍四钱，一半生用一半酒炒，伐肝补脾作为君药，大甘草二钱，一半炙用一半生用，缓肝补脾作为臣药，山楂作为佐药，炒黑山栀仁、五灵脂各一钱，止痛作为使药，服用三帖病愈。鹤洲公高兴地说：您真能用药神奇而降服怪病啊。唉！
Mr. Donggang, Prefect Cao, suffered from pain in the right hypochondrium. Palpation revealed a wiry and large pulse on the left and a slippery and large pulse on the right; this was caused by external wind invasion and internal food injury. Additionally, he had coughing, with pain worsening at night, a fat body with a bluish complexion, and both sleep and appetite were abandoned. I administered Zisu (Perilla Leaf) and Chaihu (Bupleurum Root) to release the exterior, Baijiezi (White Mustard Seed), Guipi (Cinnamon Bark), and Xiangfu (Cyperi Rhizoma) to treat the hypochondriac pain, Shanzha (Crataegi Fructus) and Luobozhi (Radish Seed) to digest the food stagnation, Xingren (Prunus Armeniaca Seed), Chenpi (Citrus Reticulata Pericarp), Banxia (Pinelliae Tuber), and Gualouren (Trichosanthis Semen) to treat the cough. After four doses, diet improved, cough ceased, and hypochondriac pain decreased by seventy percent. Subsequently, Baohe Wan (Harmonize the Stomach Pill) was administered, leading to recovery.
Mr. Jingyang, Magistrate of Yixing, had floating heat in the upper jiao (Upper Burner) and food stagnation with phlegm-fluid retention in the stomach. He usually preferred hot foods; slightly cool foods would cause abdominal pain and diarrhea. Occasionally, redness appeared after defecation. Due to mental labor stirring up fire, sores and boils appeared on the head and face causing pain. The pulse was rapid on the left and slippery-rapid on the right. Xuan Shen (Scrophulariae Radix), Shi Hu (Dendrobii Caulis), and Baishao Yao (Paeoniae Radix Alba) were each used at two qian, Gancao (Glycyrrhizae Radix et Rhizoma) at one qian, Tianhuafen (Trichosanthis Radix), Lianqiao (Forsythiae Fructus), and Beimu (Fritillariae Bulbus) each at one qian, Fuling (Poria) at eight fen, and Bohe (Menthae Haplocalycis Herba) at five fen. After four doses, all sores and boils healed. Subsequently, Baohe Wan (Harmonize the Stomach Pill) was modified with Jianglian (Zingiberis Rhizoma Praeparatum cum Bile Scutellariae), Huashi (Talcum), Hongqu (Red Yeast Rice), and Baizhu (Atractylodis Macrocephalae Rhizoma) made into pills and taken for half a month, resulting in complete health.
Mr. Wuyuan suffered from coughing and dry mouth, a sensation of fire rolling in the abdomen, unaware of satiety or hunger, and no desire for food. He had pain in the right hypochondrium. The pulse was slippery-rapid on the right and wiry-rapid on the left, indicating phlegm accumulation in the middle jiao (Middle Burner). First, Zongguan Wan (Chief Commander Pill) was used to remove phlegm, followed by spleen nourishment. After taking it, a large amount of thick, sticky, yellow mushy stool was discharged, and urine resembled blood, indicating heat moving downward. Then, Baohe Wan (Harmonize the Stomach Pill) was used to regulate the spleen and eliminate residual phlegm, preventing new food intake from generating phlegm. Externally (via oral administration), Juhong (Citri Reticulatae Pericarpium Rubrum), Beimu (Fritillariae Bulbus), Tianhuafen (Trichosanthis Radix), Jiegeng (Platycodonis Radix), Jiuhuang Qin (Scutellariae Radix prepared with wine), Zhimu (Anemarrhenae Rhizoma), Gegen (Puerariae Lobatae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), and Huashi (Talcum) were taken, eliminating the cough.
Madam Wu, wife of Hezhou, suffered from epigastric pain. Physicians attributed it to parasites, fire, phlegm, qi stagnation, food stagnation, deficiency, blood stasis, or cold. Various theories abounded, yet hundred treatments failed, and the crowd unanimously labeled it a strange disease. Upon my diagnosis, both hands showed large but forceless pulses, counting six beats per breath. I said: Is it truly a strange disease? It is merely a syndrome of liver overcoming spleen. Following Li Dongyuan's treatment principles, for abdominal pain, Shaoyao (Paeoniae Radix) is the sovereign herb; if there is aversion to heat with pain, adding Huangbai (Phellodendri Cortex) is effective. Applying this method ensures complete success. Baishao (Paeoniae Radix Alba) four qian, half raw and half wine-fried, acts as the sovereign herb to subdue the liver and tonify the spleen; Da Gancao (Glycyrrhizae Radix et Rhizoma) two qian, half honey-fried and half raw, acts as the minister herb to soothe the liver and tonify the spleen; Shanzha (Crataegi Fructus) serves as the assistant herb; Chaohei Zhizi Ren (Gardeniae Semen prepared and charred black) and Wulingzhi (Trogopterori Faeces) each one qian act as the envoy herb to relieve pain. After three doses, the illness was cured. Mr. Hezhou rejoiced, saying: You truly possess divine medicinal skills to subdue strange diseases! Alas!