白仰云先生令眷，每触怒即晕厥，必闭门合目静坐，不留一人在房，手足皆冷，汗出如
雨，
气息俱微，越一时许，苏如常。原以颈生瘰 ，多服女医草头药，及专科用斑蝥等毒，因而
脾胃损，元气亏也。年三十八，曾未生育，每日令二婢不住手敲两腿，俟其熟睡乃已。不然
则睡不安，晚至二更后始睡，夜半心多惊跳不止，指甲皆无血色。经将行，小腹先疼二日，
色紫有块，诸病虽如是，而肌肉饮食却如无事人，百治不效，慕予而请诊之。两寸短弱，左
关
大而有力，右关滑，左尺滑，右尺沉微，据脉肺气虚，肝木实，胃中有痰之症也。用六君子
汤加丹参、酒连、青皮，外与珠母丸及独活汤二方调理而安。(二方出《医学纲目》)
吴心逸先生之使，患额疼，口大渴，身大热，汗多，胸膈痞，恶心，昏沉。先与柴苓汤
，加
枳壳、桔梗，热减大半。次日以六君子汤加黄芩、白芍药、当归，调摄而愈。盖劳倦伤寒，
以致虚极，而邪未散，故宜先散而后补也。
吴文学齐阳先生，笃志士也。以积学劳心，又有星士以己卯决科许者，其星士前许历历
有验
，至期疟发不能终场，遂心忧而成癫狂，日间或悲、或歌，或鼓掌，或顿足，甚则骂詈不避
亲
疏贵贱。乃叔邀予视之，面白而青，脉两寸短弱，关弦，右关滑，两尺平。予谓两寸脉既短
弱，此心肺之神不足，志愿高而不遂其欲，郁结不舒，津液生痰而不生血，又攻痰克伐太过
，心神愈不得养，故昏乱而无所摄持。《内经》云∶主不明则十二官危。按此，则治宜补养
，收敛心神，而兼之清痰，可万全也。用酸枣仁、人参、茯神、小草、丹参、当归以补心安
神，黄连、竹茹以清肝胆之火，玄参佐之外以龙齿、珍珠、羚羊角、牛黄、胆星、天麻、青
黛、辰砂、全蝎、水片、黄连、甘草膏为丸，金箔为衣，调理而愈。
白仰云先生的夫人，每次发怒就会晕厥，必须关上门、闭上眼睛静坐，房间里不留一个人在旁，手脚都冰冷，出汗如雨，呼吸微弱，大约过了一刻钟左右，才能像平常一样苏醒。她原本因为脖子上长了瘰疬（颈部淋巴结结核），服用了许多民间女医的草药，以及专科医生使用的斑蝥等有毒药物，导致脾胃受损，元气亏损。她三十八岁，未曾生育，每天让两个婢女不停地敲打她的双腿，等到她熟睡才停止。如果不这样，她就睡不安稳，要到二更天以后才能入睡，半夜里心中经常惊跳不止，指甲都没有血色。月经将要来潮时，小腹先疼痛两天，经色紫暗且有血块。虽然患有这些疾病，但她的肌肉和饮食却像没事人一样，经过各种治疗都不见效，于是慕名请我诊治。诊得两寸脉短弱，左关脉大而有力，右关脉滑，左尺脉滑，右尺脉沉微。根据脉象判断，这是肺气虚、肝木实、胃中有痰的病症。使用六君子汤加丹参、酒黄连、青皮，外用珠母丸及独活汤两方调理而痊愈。（这两方出自《医学纲目》）
吴心逸先生的仆人，患额头疼痛，口大渴，身体高热，汗多，胸膈部痞闷，恶心，神志昏沉。先用柴苓汤，加枳壳、桔梗，热势减去大半。第二天用六君子汤加黄芩、白芍药、当归，调摄而痊愈。这是因为劳倦伤寒，导致极度虚弱，而邪气尚未消散，所以适宜先发散邪气而后补益正气。
吴文学霁阳先生，是一位立志笃行的士人。因为长期勤学劳心，又有星命家预言他己卯年能科举中第，该星命家之前的预测都很灵验，到了期限疟疾发作不能完成考试，于是心中忧愁而成癫狂症，白天有时悲伤，有时唱歌，有时拍手，有时跺脚，严重时骂詈不避亲疏贵贱。他的叔父邀请我去诊治，见他面色白而带青，两寸脉短弱，关脉弦，右关脉滑，两尺脉平和。我对他说：两寸脉既短弱，说明心肺之神不足，志向高远而不能遂愿，郁结不畅，津液凝聚成痰而不化生血液，再加上攻伐痰浊的药物使用太过，心神更加得不到滋养，所以神志昏乱而无法自我控制。《内经》说：“主不明则十二官危。”据此，治疗应当补养，收敛心神，并兼清化痰热，方可万全。使用酸枣仁、人参、茯神、小草、丹参、当归以补心安神，黄连、竹茹以清肝胆之火，玄参辅助；外用龙齿、珍珠、羚羊角、牛黄、胆南星、天麻、青黛、辰砂、全蝎、冰片、黄连、甘草膏制成丸剂，金箔为衣，调理而痊愈。
Mr. Bai Yangyun's wife would faint upon every fit of anger, requiring her to close the door and sit quietly with eyes shut, leaving no one else in the room. Her hands and feet were cold, she sweated profusely as if from rain, and her breathing was faint. After about an hour, she would recover to her normal state. Originally, due to scrofula (tuberculous lymphadenitis) on her neck, she had taken many herbal remedies prescribed by female folk doctors, as well as toxic substances like Mylabris (Mylabris phaleratae) used by specialists, thereby damaging her Spleen and Stomach and depleting her Yuan Qi (Original Qi). At thirty-eight years old, she had never borne children. Every day, she required two maids to continuously pound her legs until she fell asleep; otherwise, she could not sleep peacefully, only falling asleep after the second watch (9 PM–11 PM). In the middle of the night, her heart often palpitated uncontrollably, and her fingernails lacked color. Two days before her menstruation, she experienced lower abdominal pain; the menstrual blood was dark purple with clots. Although suffering from these ailments, her muscle condition and appetite remained normal as if she were healthy. Various treatments had failed, so she sought my diagnosis out of admiration for my reputation. The pulse at both Cun (inch) positions was short and weak; the left Guan (middle) position was large and forceful; the right Guan position was slippery; the left Chi (cubit) position was slippery; and the right Chi position was deep and faint. Based on the pulse, this indicated Lung Qi deficiency, Liver Wood excess, and Phlegm in the Stomach. I prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) supplemented with Danshen (Salvia miltiorrhiza), Jiu Lian (Alcohol-processed Coptidis Rhizoma), and Qing Pi (Aurantii Fructus Immaturus). She was also managed externally with Zhu Mu Wan (Pearl Mother Pill) and Du Huo Tang (Angelicae Pubescentis Decoction), resulting in recovery. (These two formulas are cited from *Yi Xue Gang Mu*).
The servant of Mr. Wu Xinyi suffered from forehead pain, intense thirst, high fever, profuse sweating, chest and diaphragm stuffiness, nausea, and mental lethargy. Initially, Chai Ling Tang (Bupleurum and Poria Decoction) was administered with Zhi Ke (Aurantii Fructus) and Jie Geng (Platycodonis Radix), reducing the fever by more than half. The next day, Liu Jun Zi Tang (Six Gentlemen Decoction) was given with Huang Qin (Scutellariae Radix), Bai Shao Yao (Paeoniae Radix Alba), and Dang Gui (Angelicae Sinensis Radix), leading to recovery through regulation. This case illustrates that fatigue-induced Shang Han (Cold Damage) leads to extreme deficiency while pathogens remain unresolved; thus, dispersing pathogens first and tonifying later is appropriate.
Mr. Wu Wenxue Jiayang was a dedicated scholar. Due to excessive mental labor from studying, and because an astrologer had predicted his success in the imperial examinations in the Ji-Mao year—with previous predictions proving accurate—he developed manic psychosis when malaria prevented him from completing the exam during the expected period. He became consumed with worry. During the day, he would alternately weep or sing, clap his hands, or stamp his feet; severely, he would curse without distinction regarding kinship, intimacy, nobility, or lowliness. His uncle invited me to examine him. His complexion was pale with a bluish tint. The pulse at both Cun positions was short and weak; the Guan positions were wiry; the right Guan position was slippery; and both Chi positions were level. I stated: Since the pulse at both Cun positions is short and weak, this indicates insufficiency of the Shen (Spirit) of the Heart and Lung. His aspirations were high but unfulfilled, leading to depression and stagnation. Fluids condensed into Phlegm rather than generating Blood. Furthermore, excessive use of harsh drugs to attack Phlegm further deprived the Heart Shen of nourishment, causing mental confusion and loss of self-control. As the *Nei Jing* states: "If the Ruler (Heart) is unclear, the Twelve Officials are endangered." Therefore, treatment should focus on tonification, consolidating the Heart Shen, and clearing Phlegm simultaneously to ensure complete recovery. I used Suan Zao Ren (Ziziphus Seed), Ren Shen (Ginseng Root), Fu Shen (Poria with Hostwood), Xiao Cao (Veronicae Herba), Dan Shen (Salvia Miltiorrhiza Root), and Dang Gui (Angelicae Sinensis Radix) to tonify the Heart and calm the Shen; Huang Lian (Coptidis Rhizoma) and Zhu Ru (Bambusa Textilis Caulis) to clear Fire from the Liver and Gallbladder; and Xuan Shen (Scrophulariae Radix) as an assistant. Externally, Long Chi (Dragon Tooth), Zhen Zhu (Pearl), Ling Yang Jiao (Saiga Tatarica Horn), Niu Huang (Calculus Bovis), Dan Nan Xing (Arisaematis Cum Bile), Tian Ma (Gastrodiae Rhizoma), Qing Dai (Indigo Naturalis), Chen Sha (Cinnabar), Quan Xie (Scorpio), Bing Pian (Borneolum Syntheticum), Huang Lian (Coptidis Rhizoma), and Gan Cao (Glycyrrhizae Radix et Rhizoma) paste were processed into pills, coated with Jin Bo (Gold Foil), and administered for regulation, resulting in recovery.