有臧氏之妇，原以有痰火，服降火之药过多，至秋痰积，因令气下行而滞于大肠，脐边
有硬
块，按之甚痛，痢下红白八日，下惟点滴，日夜二十余行，腹痛潮热，口渴，小水不利，大
便里急后重，饮食不进，身重不能转侧。予诊之，喜左脉皆有神气，即从刘守真之法，行血
则便脓自愈，调气则后重自除治之。用白芍药、滑石、桃仁为君，当归为臣，木香、槟榔、
山楂、酒芩、酒连、枳壳为佐，服下大便稍流利，腹中稍宽舒，次日仍与前药，则滞下大行
，痢减大半。第三日，用芍药、当归、滑石、桃仁、炙甘草、酒连、木香，与保和丸同服
，下午
大便行，上午所服丸药，随粪而下，乃知积滞已尽，诸症悉减，惟脐边痛未全止。以仲景小
建中汤加当归、木香，服之而安。
丁耀川文学令堂，年四十四，常患胃脘痛，孀居十五年，日茹蔬素。其年七月，触于怒
，吐血
碗许，不数日平矣。九月又怒，而吐血如前，加腹痛。至次年二月，忽里急后重，肛门大疼
，小便短涩，出惟点滴，痛不可言，腰与小腹之热，如滚汤泡者，日惟仰卧不有侧，一侧则
左跨并腿作痛。两跨原有痛，小便疼则肛门之痛减，肛门疼则小便之痛亦减。肛门以疼之故
不能坐。遇惊恐则下愈坠而疼，经不行者两月，往常经来时腰腹必痛，下紫黑血块甚多，今
又白带如注，口渴，通宵不寐，不思饮食，多怒，面与手足发虚浮，喉中梗梗有痰，肌肉半
消。诊之脉仅四至，两寸软弱，右关滑，左关弦，两尺涩。据脉上焦气血不足，中焦有痰，
下
焦气凝血滞，郁而为火，盖下焦之疾，肝肾所摄，腰胯肝之所经，而二便乃肾之所主也。据
症面与手足虚浮，则脾气甚弱；饮食不思，则胃气不充；不寐，由过于愁忧思虑而心血不足
，总为七情所伤故尔。《内经》云∶二阳之病发心脾，女子得之则不月，此病近之。且值火
令当权之候，诚可虑也。所幸者，脉尚不数，声音清亮，尤可措手。因先为开郁清热，调达
肝气，保过夏令后，再为骤补阴血。必戒绝怒气，使血得循经，而病可痊。不然，则仓扁亦
难奏功矣。初投当归龙荟丸，以彻下部之热，继以四物汤，龙胆草、黄柏、知母、柴胡、泽
兰叶，煎吞滋肾丸，连服四日，腰与小腹之热始退。后以香薷、石苇、龙胆草、桃仁、滑石
、杜牛膝、甘草梢、软柴胡，煎吞滋肾丸，大小便痛全减。
有一位姓臧的妇女，原本就有痰火之症，因为服用降火药物过多，到了秋季导致痰积停滞，致使气机下行受阻而滞留在大肠。脐部周围出现硬块，按压时非常疼痛，痢疾下红白脓血已持续八天，每次仅排出点滴状物，日夜排便二十多次，伴有腹痛、潮热、口渴、小便不利、大便里急后重、饮食不进、身体沉重无法翻身转动。我诊察她的脉象，发现左脉都有神气（脉象有神，提示正气未衰），于是采用刘守真的治疗方法：“行血则便脓自愈，调气则后重自除”。处方以白芍药、滑石、桃仁为君药，当归为臣药，木香、槟榔、山楂、酒炒黄芩、酒炒黄连、枳壳为佐药。服药后大便稍见通畅，腹部稍感宽舒；第二天继续服用前药，则积滞之物大量排出，痢疾症状减轻大半。第三天，使用芍药、当归、滑石、桃仁、炙甘草、酒黄连、木香，配合保和丸同服。下午大便通行，上午所服的丸药随粪便排出，这才知道积滞已经排尽，各种症状全部减轻，只有脐边疼痛尚未完全停止。于是用张仲景的小建中汤加入当归、木香，服用后病情安定。
丁耀川文学先生的母亲，四十四岁，常患胃脘痛，寡居十五年，每天只吃素食。那年七月，因受怒气刺激，吐血约一碗，几天后痊愈。九月再次动怒，又吐血如前，并伴有腹痛。到次年二月，忽然出现里急后重，肛门剧烈疼痛，小便短少涩滞，仅出点滴，疼痛难以言表，腰部和小腹发热，如同滚汤浸泡一般，白天只能仰卧不能侧身，一旦侧身则左侧胯部和腿部作痛。她双侧胯部原有疼痛，小便疼时肛门痛减轻，肛门疼时小便痛也减轻。因为疼痛，肛门部位无法坐立。遇到惊恐则下坠感加重且疼痛加剧，月经两个月未来。往常月经来潮时腰腹必痛，排出大量紫黑色血块，如今白带如注，口渴，通宵不眠，不思饮食，易怒，面部和手足虚浮，喉中有痰梗塞感，肌肉消瘦了一半。诊察其脉象，仅四至（脉搏缓慢），两寸脉软弱，右关脉滑，左关脉弦，两尺脉涩。根据脉象分析，上焦气血不足，中焦有痰，下焦气凝血滞，郁结化为火邪。大概下焦的疾病由肝肾主管，腰胯是肝经所过之处，而二便乃肾所主。根据症状，面部和手足虚浮，说明脾气很弱；不思饮食，说明胃气不充；不眠，是由于过度愁忧思虑导致心血不足，总归是七情内伤所致。《内经》说：“二阳之病发心脾，女子得之则不月”，此病与此相近。况且正值火令当权之时，确实令人担忧。所幸的是，脉象尚不数（快），声音清亮，尤其容易治疗。因此先为她疏解郁结、清热、调达肝气，保证度过夏季之后，再行骤补阴血。必须戒绝怒气，使血液能循经运行，疾病方可痊愈。否则，即使是仓公、扁鹊也难以奏效。起初投予当归龙荟丸，以清除下部之热；继以四物汤，加龙胆草、黄柏、知母、柴胡、泽兰叶，煎汤吞服滋肾丸，连续服用四天，腰部和小腹的热感才消退。后来用香薷、石苇、龙胆草、桃仁、滑石、杜牛膝、甘草梢、软柴胡，煎汤吞服滋肾丸，大小便疼痛全部减轻。
A woman surnamed Zang originally suffered from phlegm-fire (Phlegm-Fire). Due to excessive intake of fire-descending medications, by autumn, phlegm accumulated and stagnated. This caused the qi mechanism to descend but become obstructed in the large intestine (Large Intestine), resulting in a hard mass around the navel that was extremely painful upon palpation. She had been suffering from dysentery with red and white discharge for eight days, passing only drops each time, defecating more than twenty times day and night. She experienced abdominal pain, tidal fever, thirst, difficult urination, tenesmus (urgent need to defecate with a feeling of incomplete evacuation), loss of appetite, heaviness of the body preventing turning over, and inability to move sides. Upon diagnosis, I noted that her left pulse possessed Shen Qi (Spirit/Essence in the pulse, indicating preserved healthy qi). Thus, I adopted the method of Liu Shouzhen: "Moving blood will heal pus in stool; regulating qi will eliminate tenesmus." The prescription used Bai Shaoyao (White Peony Root), Huashi (Talcum), and Taoren (Peach Kernel) as Jun (Sovereign) herbs; Danggui (Angelica Sinensis) as Chen (Minister) herbs; and Muxiang (Aucklandia Root), Binglang (Areca Seed), Shanzha (Hawthorn Fruit), Jiuhuangqin (Scutellaria Baicalensis prepared with wine), Jiuhuanglian (Coptis Chinensis prepared with wine), and Zhike (Aurantium Fructus) as Zuo (Assistant) herbs. After taking the medicine, bowel movements became slightly smoother, and the abdomen felt somewhat relaxed. On the second day, continuing with the same prescription resulted in significant expulsion of stagnation, reducing the dysentery by more than half. On the third day, Shaoyao, Danggui, Huashi, Taoren, Zhigancao (Licorice Root prepared with honey), Jiuhuanglian, and Muxiang were used, taken together with Baohe Wan (Preserve Harmony Pill). In the afternoon, bowel movement occurred, and the pills taken in the morning were expelled with the feces. It was then known that the stagnation had been completely cleared, and all symptoms subsided, except for the pain around the navel which had not fully ceased. Therefore, Xiaojianzhong Tang (Minor Construct the Middle Decoction) from Zhang Zhongjing was modified with added Danggui and Muxiang, after which she recovered stability.
The mother of Ding Yaochuan, a literary scholar, was forty-four years old and frequently suffered from epigastric pain. Having been a widow for fifteen years, she consumed only vegetarian food daily. In July of that year, triggered by anger, she vomited blood approximately one bowlful, recovering after a few days. In September, another episode of anger caused similar hematemesis accompanied by abdominal pain. By February of the following year, she suddenly developed tenesmus, severe anal pain, scanty and涩 (astringent/difficult) urination with only drops passing, unbearable pain, and heat in the lower back and lower abdomen as if soaked in boiling water. She could only lie supine during the day; turning to either side caused pain in the left hip and leg. She had pre-existing pain in both hips. When urination was painful, anal pain decreased; when anal pain was severe, urinary pain decreased. Due to pain, she could not sit. Fear or fright exacerbated the sensation of sinking and pain. Her menstruation had stopped for two months. Previously, during menstruation, she always experienced waist and abdominal pain with the passage of many dark purple-black blood clots. Now, she had profuse leukorrhea resembling a flow, thirst, insomnia throughout the night, anorexia, irritability, puffy face and extremities, a sensation of phlegm obstruction in the throat, and half-body muscle wasting. Her pulse was slow (four beats per breath), weak and soft at both Cun (Inch) positions, slippery at the Right Guan (Bar) position, wiry at the Left Guan position, and choppy at both Chi (Cubit) positions. Based on the pulse, there was deficiency of qi and blood in the Upper Jiao (Upper Burner), phlegm in the Middle Jiao (Middle Burner), and qi stagnation with blood stasis in the Lower Jiao (Lower Burner), transforming into fire. Generally, diseases of the Lower Jiao are governed by the Liver and Kidney; the waist and hips are traversed by the Liver meridian, while urination and defecation are controlled by the Kidney. Regarding symptoms, puffiness of the face and hands indicates very weak Spleen Qi; lack of appetite indicates insufficient Stomach Qi; insomnia results from excessive sorrow and worry leading to Heart Blood deficiency. Overall, this is due to injury from the Seven Emotions. The *Neijing* states: "Diseases of the Two Yangs originate from the Heart and Spleen; women suffering from this do not menstruate." This condition is close to that description. Moreover, it occurs when the Fire phase holds authority, which is indeed concerning. Fortunately, the pulse is not rapid, and the voice is clear and bright, making treatment feasible. Therefore, initially, I prescribed Longdan Xiegan Tang principles (specifically Danggui Longhui Wan - Angelica Sinensis and Gentiopsis Drain Liver Pill) to clear heat from the lower part, followed by Siwu Tang (Four Substances Decoction) combined with Longdancao (Gentiana Scabra), Huangbai (Phellodendron Bark), Zhimu (Anemarrhena Rhizome), Chaihu (Bupleurum Root), and Zelan Ye (Lycopus Herb), decocted and taken with Zishen Wan (Nourish Kidney Pill) for four consecutive days, after which the heat in the waist and lower abdomen began to recede. Later, Xiangru (Elsholtzia Herb), Shiwei (Pyrrosia Leaf), Longdancao, Taoren, Huashi, Duniuqi (Cyathula Root), Gancao Shao (Licorice Tip), and Ruan Chaihu (Soft Bupleurum) were decocted and taken with Zishen Wan, resulting in the complete reduction of pain in both urination and defecation.