虚山内人，胸胁胀痛，五更嘈杂，每一嘈杂则痛发更甚，左寸关脉洪滑，右关亦然，此
肝胆
有郁火，胃中有胶痰，乃有余之疾。内经云∶木郁则达之。盖木火之性贵乎疏通，当以龙荟
丸
条而达之。顾痛则不通，通之则不痛也。服龙
荟丸一钱五分，大便行一次，痛随殄迹。惟声不开，以陈皮、柴胡、贝母、茯苓、甘草、白
芍药、酒芩、香附、杏仁、桔梗调之而安。
一妇，当暑月小便不利而痛，玉户肿，且又便血，发热，左脉弦数，右寸短弱，此肺气
不足
，肝火太炽。盖肝为血海，肝又主小便，玉户为肝经所络之地，治当疏决肝经壅塞，俾气畅
则新血得以归经，热解则小水可不痛，而肿亦可消矣。以滑石三钱，桃仁、当归、白芍药
各
一钱，柴胡、黄连、人参各八分，川芎六分，甘草、桂皮、白芷各三分，四剂而病如失。
族弟妇戴氏，腹中痛多在脐腹，白带如注，四肢酸疼，大便里急后重，已成赤白痢矣。
脉之
，两寸关俱滑数，尺也数。以白芍药、当归、黄连、黄芩、木香、槟榔、桂皮、甘草、滑石
、桃仁、桔梗，一剂而红止。惟小水短涩，下午发热，大便一日夜仍四行。改用白芍药、当
归、
白术、陈皮、滑石、甘草、茯苓、浓朴、酒连、酒芩、桔梗、柴胡、木香饮下，诸症悉愈。
惟头痛腰疼，再以桂心、当归、白芍药、白术、茯苓、甘草、酒芩、酒连、破故纸、木通、
黄柏煎服，全安。
虚山的妻子，出现胸胁部胀满疼痛，五更时分胃中嘈杂不适，每次感到嘈杂时疼痛就会加剧。左寸关脉象洪大滑利，右关脉象也是如此。这是肝胆有郁结之火，胃中有胶固之痰，属于实证。《内经》说：“木郁则达之。”大概木火之性贵在疏通，应当用龙荟丸来条达疏泄。所谓痛则不通，通则不痛。服用龙荟丸一钱五分后，大便通行一次，疼痛随即消失。只是声音嘶哑未开，于是用陈皮、柴胡、贝母、茯苓、甘草、白芍药、酒炒黄芩、香附、杏仁、桔梗调理而痊愈。
一位妇女，在暑热月份小便不利且疼痛，外阴肿胀，并且大便出血，伴有发热。左脉弦数，右寸脉短弱。这是肺气不足，肝火太盛。因为肝为血海，肝又主管小便，外阴是肝经所络属的部位，治疗应当疏解决断肝经的壅塞，使气机通畅则新血得以回归经脉，热邪解除则小便不再疼痛，肿胀也可消退。使用滑石三钱，桃仁、当归、白芍药各一钱，柴胡、黄连、人参各八分，川芎六分，甘草、桂皮、白芷各三分，服用四剂后病愈如失。
同族的弟媳戴氏，腹痛多在脐腹部，白带像水一样倾注而下，四肢酸痛，大便里急后重，已经形成赤白痢疾了。诊察其脉象，两寸关脉都滑数，尺脉也数。使用白芍药、当归、黄连、黄芩、木香、槟榔、桂皮、甘草、滑石、桃仁、桔梗，服用一剂后便血停止。只是小便短少涩滞，下午发热，一天一夜大便仍行四次。改用白芍药、当归、白术、陈皮、滑石、甘草、茯苓、厚朴、酒炒黄连、酒炒黄芩、桔梗、柴胡、木香煎服，各种症状全部痊愈。只是还有头痛腰痛，再用肉桂心、当归、白芍药、白术、茯苓、甘草、酒炒黄芩、酒炒黄连、补骨脂、木通、黄柏煎服，完全康复。
Xu Shan's wife presented with distending pain in the chest and hypochondrium, and a sensation of stomach discomfort (zao) at dawn. Each time the sensation of stomach discomfort occurred, the pain intensified. The pulse at the left Cun and Guan positions was surging and slippery, as was the right Guan position. This indicates Liver-Gallbladder Qi stagnation transforming into fire (gan dan you yu huo) and sticky phlegm (jiao tan) in the Stomach, constituting an excess syndrome. The *Neijing* states: "When Wood is stagnant, unblock it." The nature of Wood and Fire favors free flow; therefore, one should use Longdan Xianxiong Wan (Dragon Gallbladder Eliminating Viscera Pill) to soothe and unblock. As the saying goes, "Pain results from obstruction; relief follows unblocking." After taking 1.5 qian of Longdan Xianxiong Wan, bowel movement occurred once, and the pain vanished completely. However, her voice remained hoarse. She was then treated with Chenpi (Citri Reticulatae Pericarpium), Chaihu (Bupleuri Radix), Beimu (Fritillariae Bulbus), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Baishao (Paeoniae Radix Alba), Jiuhuangqin (Scutellariae Radix processed with wine), Xiangfu (Cyperii Rhizoma), Xingren (Armeniacae Semen Amarum), and Jiegeng (Platycodonis Radix), resulting in recovery.
A certain woman, during the summer months, suffered from difficult and painful urination, swelling of the external genitalia (yuhu), hematochezia, and fever. Her left pulse was wiry and rapid, while the right Cun pulse was short and weak. This indicates Lung Qi deficiency and excessive Liver fire. Since the Liver is the Sea of Blood and governs urination, and the external genitalia are areas connected by the Liver meridian, treatment should focus on resolving the congestion in the Liver meridian. Once Qi flows freely, new blood can return to its vessels; once heat is resolved, urination will cease to be painful, and swelling will subside. The prescription consisted of Huashi (Talcum) 3 qian, Taoren (Persicae Semen), and Danggui (Angelicae Sinensis Radix) each 1 qian, Baishao (Paeoniae Radix Alba) 1 qian, Chaihu (Bupleuri Radix), Huanglian (Coptidis Rhizoma), and Renshen (Ginseng Radix) each 8 fen, Chuanxiong (Ligustici Chuanxiong Rhizoma) 6 fen, Gancao (Glycyrrhizae Radix et Rhizoma), Guipi (Cinnamomi Cortex), and Baizhi (Angelicae Dahuricae Radix) each 3 fen. After four doses, the illness disappeared as if it had never existed.
The wife of my clan's younger brother, Dai Shi, experienced abdominal pain primarily around the umbilicus and lower abdomen, profuse leukorrhea like flowing water, soreness and pain in the four limbs, and tenesmus with stool urgency. She had developed dysentery with red and white discharge (chibai li). Palpation revealed both Cun and Guan pulses were surging and rapid, and the Chi pulse was also rapid. She was prescribed Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Guipi (Cinnamomi Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Huashi (Talcum), Taoren (Persicae Semen), and Jiegeng (Platycodonis Radix). After one dose, the bloody discharge stopped. However, she still had scanty and difficult urination, afternoon fever, and four bowel movements per day and night. The formula was changed to Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma), Fuling (Poria), Houpo (Magnoliae Officinalis Cortex), Jiuhuanglian (Coptidis Rhizoma processed with wine), Jiuhuangqin (Scutellariae Radix processed with wine), Jiegeng (Platycodonis Radix), Chaihu (Bupleuri Radix), and Muxiang (Aucklandiae Radix). All symptoms resolved. Only headache and lower back pain remained. She was then given Rouguixin (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Jiuhuangqin (Scutellariae Radix processed with wine), Jiuhuanglian (Coptidis Rhizoma processed with wine), Pugu Zhi (Psoraleae Fructus), Mutong (Akebiae Caulis), and Huangbai (Phellodendri Cortex) decocted and taken orally, leading to complete recovery.