温巽桥子妇，吴车驾涌澜公长女也。发热恶心，小腹痛，原为怒后进食，因而成积，左
脚酸
已十日矣。南浔有陈女科，始作瘟疫疗治，呕哕益加。又作疟治，粒米不能进，变为滞下，
里急后重，一日夜三十余行。陈技穷而辞去。且言曰∶非不尽心，犯逆症也。下痢身凉者生
，身热者死；脉沉细者生，脉洪大者死。今身热脉大，而又噤口，何可为哉？因请予治。脉
之，两手皆滑大，尺部尤搏指。予曰∶症非逆，误认为疫为疟，治者逆也。虽多日不食，而
尺脉搏指，《内经》云∶在下者引而竭之。法从下可生也。即与当归龙荟丸一钱五分，服下
，去稠积半盆，痛减大半，不食者十四日，至此始进粥一瓯，但胸膈仍饱闷不知饿。又与红
六神丸二钱，胸膈舒而小腹软，惟两跨痛，小腹觉冷，用热砖熨之，子户中白物绵绵下，
小
水短涩。改用五苓散加白芷、小茴香、白鸡冠花、柴胡服之，至夜满腹作疼。亟以五灵脂醋
炒为未，酒糊为丸三钱，白汤送下，通宵安寝，次日，精神清健，饮食大进，小水通利矣。
而独白物仍下，再用香附炒黑存性，枯矾各一两，面糊为丸，每空心益母草煎汤送下二钱，
不终剂而白物无，病痊愈矣。专科赧然称奇而服，录其案验而去。
温一渠内人，平素血虚咳嗽，近为饮食所伤，不知饥饿。专科作阴虚治，而胸膈愈胀。
予脉
之，右关滑大，左手软弱。法当先健脾，消去饮食，然后治嗽。若为补阴降火，不惟咳嗽无
功，恐脾胃转伤，腹胀泻泄，变将不测。何也？脾胃喜温而误寒也。即以二陈汤加山楂、麦
芽、枳实、白术、川芎、香附与之。一剂而胸膈宽，再剂而饮食进。继用桑白皮、地骨皮、
甘草、陈皮、贝母、栝蒌仁、马兜铃、桔梗、紫菀，十帖而咳嗽脱然矣。
温巽桥的妻子，是吴车驾（官职名）涌澜公的长女。她出现发热、恶心、小腹痛的症状，起因是发怒后进食，导致食物积滞，左脚酸痛已经十天了。南浔有一位姓陈的女科医生，起初将其当作瘟疫治疗，结果呕吐呃逆加重；后又按疟疾治疗，导致粒米不进，病情演变为痢疾（滞下），出现里急后重（腹中拘急疼痛，排便时肛门重坠感），一天一夜腹泻三十多次。陈某医术穷尽而辞职离去，并说道：“并非我不尽心，而是这属于逆症（难治之症）。下痢患者若身体凉爽者生，身体发热者死；脉象沉细者生，脉象洪大者死。如今病人身体发热、脉象洪大，又伴有噤口痢（不能进食），怎么还能治呢？”于是请我诊治。诊其脉，两手脉象都滑大，尺部脉尤其搏指有力。我说：“病症并非逆症，是误认为是瘟疫和疟疾，治疗方法错误所致。虽然多日未进食，但尺脉搏指有力，《内经》说：‘病位在下，应用通利的方法引导邪气排出’。从下法治疗可以获生。”随即给予当归龙荟丸一钱五分，服用后排出浓稠积滞物半盆，疼痛减轻大半，十四天未进食，至此才开始喝下一碗粥，但胸膈仍然饱闷不知饥饿。又给予红六神丸二钱，胸膈舒展且小腹变软，只是两胯疼痛，小腹感觉寒冷，用热砖熨烫，阴道中有白色分泌物绵绵而下，小便短少涩痛。改用五苓散加白芷、小茴香、白鸡冠花、柴胡服用，到了夜晚满腹作痛。急忙用五灵脂醋炒为末，酒糊制成丸药三钱，白开水送服，通宵安睡，第二天精神清爽健壮，饮食大增，小便通畅了。唯独白色分泌物仍向下流出，再用香附炒黑存性，枯矾各一两，面糊制成丸药，每次空腹用益母草煎汤送服二钱，未服完一剂，白色分泌物消失，病痊愈了。专科医生羞愧称奇而信服，记录此案疗效后离去。
温一渠的妻子，平时血虚咳嗽，最近因饮食受伤，不知饥饿。专科医生按阴虚治疗，导致胸膈更加胀满。我诊其脉，右关脉滑大，左手脉软弱。治法应当先健脾，消除饮食积滞，然后治疗咳嗽。如果采用补阴降火的方法，不仅咳嗽无效，恐怕脾胃反而受损，出现腹胀泄泻，变化难以预料。为什么呢？因为脾胃喜欢温暖而厌恶寒凉。即用二陈汤加山楂、麦芽、枳实、白术、川芎、香附给她服用。一剂后胸膈宽舒，两剂后饮食进增。继而又用桑白皮、地骨皮、甘草、陈皮、贝母、栝蒌仁、马兜铃、桔梗、紫菀，十帖后咳嗽彻底痊愈。
The wife of Wen Xunqiao, the eldest daughter of Gong Yonglan (a courtesy name) who held the official post of Wu Chejia, suffered from fever, nausea, and lower abdominal pain. The condition originated from eating after a fit of anger, leading to food accumulation, accompanied by soreness in the left leg for ten days. A female practitioner named Chen in Nanxun initially treated it as a pestilence (epidemic disease), which exacerbated vomiting and hiccups. Subsequently treating it as malaria resulted in an inability to ingest even a grain of rice, transforming the condition into dysentery (Zhixia), characterized by tenesmus (urgent need to defecate with heavy sensation in the anus). She had more than thirty bowel movements per day and night. Chen exhausted her methods and resigned, stating, "It is not that I did not exert myself, but this is a contraindicated syndrome (Ni Zheng). In dysentery, those with cool bodies survive, while those with hot bodies die; those with deep and fine pulses survive, while those with surging and large pulses die. Now, the patient has a hot body and a large pulse, along with an inability to eat (Jinkou Li); how can it be treated?" Thus, she requested my treatment. Upon palpation, both wrists showed slippery and large pulses, especially at the Chi position which was forceful against the fingers. I said, "This is not a contraindicated syndrome; the error lies in misdiagnosing it as pestilence and malaria. Although she has not eaten for many days, the Chi pulse is forceful. As stated in the *Neijing* (Classic of Internal Medicine): 'For diseases located below, use draining methods to guide them out.' Treatment via purgation can lead to survival." I immediately administered Danggui Longhui Wan (Angelica Sinensis and Picrorhiza Pill) 1.5 qian. After ingestion, half a basin of thick accumulated matter was expelled, and the pain decreased by more than half. Having not eaten for fourteen days, she finally consumed one bowl of porridge, yet still felt fullness and oppression in the chest and diaphragm without hunger. I then prescribed Hong Liushen Wan (Red Six Spirits Pill) 2 qian. Her chest and diaphragm relaxed, and her lower abdomen softened, though pain persisted in both groins, and coldness was felt in the lower abdomen. Applying hot bricks for warming moxibustion-like therapy resulted in a continuous discharge of white material from the uterus (Zihu), accompanied by short and scanty urination. The prescription was changed to Wuling San (Five-Ingredient Powder with Poria) added with Baizhi (Angelicae Dahuricae Radix), Xiaohuixiang (Foeniculi Fructus), Bai Jiguanhua (Coronillae Coronatae Flos), and Chaihu (Bupleuri Radix). By night, severe abdominal pain ensued. Urgently, Wulingzhi (Trogopteri Dung) was stir-fried with vinegar into powder, mixed with wine paste into pills weighing 3 qian, and taken with warm water. She slept peacefully through the night. The next day, her spirit was clear and robust, her appetite greatly increased, and urination became smooth. However, the white discharge continued. I prescribed Xiangfu (Cyperi Rhizoma) stir-fried until blackened but retaining its nature, and Kufan (Alumen), each 1 liang, made into pills with flour paste. Each time on an empty stomach, 2 qian were taken with decoction of Yimucao (Leonuri Herba). Before completing one course, the white discharge ceased, and the illness was cured. The specialist physician was ashamed yet marveled at the efficacy and submitted, recording the case's success before departing.
The wife of Wen Yiqu, who typically suffered from cough due to blood deficiency, recently injured herself with improper diet and lost her appetite. The specialist physician treated her for Yin deficiency, causing increased distension in the chest and diaphragm. Upon palpation, her Right Guan pulse was slippery and large, while the Left hand pulses were weak and soft. The method should first strengthen the Spleen and eliminate food stagnation before treating the cough. If one were to tonify Yin and descend fire, not only would the cough remain unhealed, but the Spleen and Stomach might further be damaged, leading to abdominal distension and diarrhea, with unpredictable consequences. Why? Because the Spleen and Stomach prefer warmth and dislike cold. I prescribed Erchen Tang (Two-Aged Decoction) added with Shanzha (Crataegi Fructus), Maiya (Hordei Fructus Germinatus), Zhishi (Aurantii Fructus Immaturus), Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Xiangfu (Cyperi Rhizoma). After one dose, the chest and diaphragm widened; after two doses, her appetite returned. Subsequently, Sangbaipi (Mori Cortex), Digupi (Lycii Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Beimu (Fritillariae Thunbergii Bulbus), Gualouren (Trichosanthis Semen), Madouling (Aristolochiae Manshuriensis Radix), Jiegeng (Platycodonis Radix), and Ziwan (Asternis Radix) were used. After ten doses, the cough completely resolved.