程少湖因饮生酒，食硬干豆腐，以致次日面上浮肿，胸中作胀。今经半年，腹中肠鸣，
四肢
浮肿，两腿及阴囊皆肿，口干，大小便俱不利，年四十六矣。夜卧气喘，膝下冷。先以人参
、苍术、陈皮、萝卜子、半夏曲、葛根、浓朴、枳实、破故纸、大附子、茯苓煎服。二帖气
喘稍定，腹中仍鸣，加白豆仁、白芥子、桑白皮，小水颇利，浮肿渐消。
吴斗一丈歙溪南人也。八月初旬，自新都往湖州途次偶感风邪，发热多痰，且又腹痛下
痢，
里急后重。原有肠风下血之疾，又以旧年乃翁痢疾发热卒于湖州，心甚恐怖。予脉之，两关
滑大有力，尺寸俱不足，乃以白芍药一半生、一半酒炒，五钱止痛为君，当归活血，酒连、
酒芩、柴胡、桔梗清热升提阳气为臣，枳壳、槐花兼治肠风为佐，益元散、木香以实大肠，
山楂以消瘀血调肝安脾为裨佐，一帖热减半，痢稍轻，次日仍用前药，外与丹溪保和丸调理
，五日而出户。
侄孙二水体甚肥胖患温疟
侄孙二水年三十，体甚肥胖，夏月常浸在溪中，卧于松阴之下。至八月大发寒热于巳午
间，
至天明乃退。不能起床，饮食亦不进，呕吐黄苦胆汁，胸膈胀闷，舌上干燥，生芒刺沉香色
，
强硬不能言语，必含冷水漱之始能说一句，若再语三语必三噙水而后可。惟西瓜、新藕是啖
。先发寒热之日吐血一口，今则大便下血，症甚危恶，且咳嗽，此温疟症也。由医失解散，
遽用黄 以闭邪气致成大祸。今法当清解止吐，俾饮食进，然后庶可保其生也。柴胡、知母
各三钱，石膏七钱，葛根二钱，橘红、竹茹各一钱五分，酒芩、枳实各二钱，甘草、贝母各
五分，水煎服之，三帖而吐止，改用二陈汤加柴胡、枳实、黄芩、黄连、天花粉、鳖甲、白
术、何首乌调理而愈。乃嘱其不可食荤，食荤早恐复发也。
程少湖因为饮用了生酒，又吃了坚硬的干豆腐，导致第二天面部出现浮肿，胸部感到胀满。到现在已经半年了，腹中肠鸣作响，四肢浮肿，两条腿以及阴囊都肿胀，口干燥，大小便都不通畅，年龄四十六岁。夜间躺卧时气喘，膝盖以下发冷。先用**人参**、**苍术**、**陈皮**、**萝卜子**（莱菔子）、**半夏曲**、**葛根**、**浓朴**（厚朴）、**枳实**、**破故纸**（补骨脂）、**大附子**、**茯苓**煎汤服用。服两帖后气喘稍微平定，但腹中仍然鸣响，加入**白豆仁**（白蔻仁）、**白芥子**、**桑白皮**，小便颇为通利，浮肿逐渐消退。
吴斗一是歙县南溪人。八月上旬，他从新都前往湖州途中偶然感受风邪，发热且痰多，同时又腹痛下痢，有里急后重感。他原本就有肠风下血的疾病，加上去年父亲因患痢疾发热在湖州去世，心中非常恐惧。我诊察他的脉象，两手关部脉滑大有力，寸部和尺部脉都显得不足，于是用**白芍药**一半生用、一半酒炒，五钱作为君药以止痛，**当归**活血，**酒连**（酒黄连）、**酒芩**（酒黄芩）、**柴胡**、**桔梗**清热并升提阳气作为臣药，**枳壳**、**槐花**兼治肠风作为佐药，**益元散**、**木香**以充实大肠，**山楂**以消除瘀血、调和肝脏、安定脾脏作为辅佐药。服一帖后热势减半，痢疾稍轻，第二天仍用前面的药物，外用**丹溪保和丸**调理，五天后就出门了。
侄子孙二水身体非常肥胖，患有温疟。
侄子孙二水三十岁，身体非常肥胖，夏天经常浸泡在溪水中，躺在松树的阴凉下。到了八月，在巳时和午时之间大发寒热，直到天亮才退去。不能起床，饮食也不进，呕吐出黄色的苦胆汁，胸膈部位胀闷，舌面干燥，生出芒刺般的沉香色苔垢，舌头僵硬不能言语，必须含着冷水漱口才能说一句话，如果再说话三句，就必须再含三次水才可以。只吃西瓜和新藕。刚开始发作寒热的那天吐了一口血，现在则大便下血，症状非常危重恶劣，并且伴有咳嗽，这是温疟症。由于医生失误未能及时解散表邪，急于使用**黄柏**等药闭塞邪气，从而酿成大祸。现在的治法应当清热解表止吐，使饮食能够进用，然后才有可能保全生命。**柴胡**、**知母**各三钱，**石膏**七钱，**葛根**二钱，**橘红**、**竹茹**各一钱五分，**酒芩**、**枳实**各二钱，**甘草**、**贝母**各五分，水煎服用。服三帖后呕吐停止，改用**二陈汤**加**柴胡**、**枳实**、**黄芩**、**黄连**、**天花粉**、**鳖甲**、**白术**、**何首乌**调理而痊愈。嘱咐他不可吃荤腥食物，如果吃荤腥过早恐怕会复发。
Cheng Shaohu, due to drinking raw wine and eating hard dried tofu, developed facial edema and chest distension the following day. This condition has persisted for half a year, accompanied by borborygmus in the abdomen, edema of the four limbs, swelling of both legs and the scrotum, dry mouth, and difficulty in urination and defecation. He is forty-six years old. At night, he suffers from asthma when lying down, and coldness below the knees. Initially, he was prescribed a decoction of **Renshen** (Ginseng Radix), **Cangzhu** (Atractylodis Rhizoma), **Chenpi** (Citri Reticulatae Pericarpium), **Luobozhi** (Radish Seed), **Banxiaqu** (Pinelliae Fermentatum), **Gegen** (Puerariae Lobatae Radix), **Houpo** (Magnoliae Officinalis Cortex), **Zhishi** (Aurantii Fructus Immaturus), **Poguzhi** (Psoraleae Fructus), **Fuzi** (Aconiti Lateralis Radix Praeparata), and **Fuling** (Poria) for oral administration. After two doses, the asthma slightly stabilized, but borborygmus persisted in the abdomen. **Baidouren** (Cardamomi Rotundus Fructus), **Baijiezi** (Sinapis Semen), and **Sangbaipi** (Mori Cortex) were added. Urination became quite profuse, and the edema gradually subsided.
Wu Douyi was a native of Nanxi, Shexian. In early August, while traveling from Xindu to Huzhou, he accidentally contracted wind-pathogens, resulting in fever, excessive phlegm, abdominal pain, and dysentery with tenesmus. He had a pre-existing condition of intestinal wind with blood in the stool. Additionally, his father had died of dysentery and fever in Huzhou the previous year, causing him great fear. Upon pulse diagnosis, the pulses at both Guan positions were slippery, large, and forceful, while the Chi and Cun positions were deficient. Therefore, I prescribed **Baishao** (Paeoniae Radix Alba), half raw and half wine-fried, five qian as the sovereign drug to relieve pain; **Danggui** (Angelicae Sinensis Radix) to invigorate blood; **Jiu Lian** (Coptidis Rhizoma processed with wine), **Jiu Qin** (Scutellariae Radix processed with wine), **Chaihu** (Bupleuri Radix), and **Jiegeng** (Platycodonis Radix) to clear heat and raise yang qi as the minister drugs; **Zhiqiao** (Aurantii Fructus) and **Huaihua** (Sophorae Flos) to treat intestinal wind as the assistant drugs; **Yiyuan San** (Beneficial Essence Powder) and **Muxiang** (Aucklandiae Radix) to strengthen the large intestine; and **Shanzha** (Crataegi Fructus) to resolve blood stasis, harmonize the liver, and stabilize the spleen as the adjunct drugs. After one dose, the fever decreased by half, and the dysentery lightened slightly. The next day, the same prescription was continued, along with external regulation using **Danxi Baohe Wan** (Danxi Harmonizing the Middle Pill). After five days, he was able to go outdoors.
My nephew Sun Ershui, who suffered from warm malaria, had a very obese physique.
My nephew Sun Ershui was thirty years old and very obese. During summer, he often immersed himself in streams and slept under the shade of pine trees. By August, he experienced severe chills and fever between the Si and Wu hours (9 AM - 1 PM), which subsided only at dawn. He could not get out of bed and refused food. He vomited yellow, bitter bile, felt distension and oppression in the chest and diaphragm, and his tongue was dry with prickly,沉香-colored coating. His tongue was stiff and unable to speak; he had to rinse his mouth with cold water to utter a single sentence. If he spoke three sentences, he had to rinse his mouth with water three times in between. He only consumed watermelon and fresh lotus root. On the first day of chills and fever, he vomited a mouthful of blood; now he has blood in his stool. The symptoms were extremely critical and malignant, accompanied by coughing. This is a case of warm malaria. It arose because the physician failed to release the exterior pathogens promptly and hastily used **Huangbo** (Phellodendri Cortex) to trap the pathogenic qi, leading to serious consequences. The current treatment should focus on clearing heat, resolving the exterior, and stopping vomiting, so that food intake can resume, thereby preserving life. **Chaihu** (Bupleuri Radix) and **Zhimu** (Anemarrhenae Rhizoma), each three qian; **Shigao** (Gypsum Fibrosum), seven qian; **Gegen** (Puerariae Lobatae Radix), two qian; **Juhong** (Citri Reticulatae Pericarpium Rubrum) and **Zhuru** (Bambusae Caulis in Taeniam), each one qian and five fen; **Jiu Qin** (Scutellariae Radix processed with wine) and **Zhishi** (Aurantii Fructus Immaturus), each two qian; **Gancao** (Glycyrrhizae Radix et Rhizoma) and **Beimu** (Fritillariae Thunbergii Bulbus), each five fen. Decocted in water and taken orally. After three doses, vomiting ceased. The formula was then changed to **Erchen Tang** (Two-Cured Decoction) plus **Chaihu** (Bupleuri Radix), **Zhishi** (Aurantii Fructus Immaturus), **Huangqin** (Scutellariae Radix), **Huanglian** (Coptidis Rhizoma), **Tianhuafen** (Trichosanthis Radix), **Biejia** (Testudinis Carapax et Plastrum), **Baizhu** (Atractylodis Macrocephalae Rhizoma), and **Heshouwu** (Polygoni Multiflori Radix) for regulation until recovery. He was instructed to avoid meat; consuming meat too early might cause relapse.