袁聚东年二十岁。生痞块。卧床数月。无医不投。日进化坚削痞之药。渐至枯瘁肉脱。面黧发卷。殆无
生理。买舟载往郡中就医。因虑不能生还而止。然尚医巫日费。余至则家计已罄。姑请一诊。以决生死远近
耳。无他望也。余诊时。先视其块。自少腹至脐旁。分为三岐。皆坚硬如石。以手拊之。痛不可忍。其脉
止两尺洪盛。余微细。谓曰。是病由见块医块。不究其源而误治也。初起时块必不坚。以峻猛药攻之。至真气
内乱。转护邪气为害。如人 打。扭结一团。旁无解散。故迸紧不放。其实全是空气聚成。非如女子冲任血海
之地。其月经凝而不行。即成血块之比。观两尺脉洪盛。明明是少阴肾经之气。传于膀胱。膀胱之气。本可传
于前后二便而出。误以破血之药。兼破其气。其气遂不能转运。而结为石块。以手摩触则愈痛。情状大露。
若是血块得手。则何痛之有。此病本一剂可瘳。但数月误治。从上至下。无病之地。亦先受伤。姑用补中药一
剂。以通中下之气。然后用大剂药。内收肾气。外散膀胱之气。以解其相 相结。约计三剂。可痊愈也。于是
先以理中汤。少加附子五分。服一剂。块已减十之三。再用桂附药一大剂。腹中气响甚喧。顷之三块一时顿没。戚友共
骇为神。再服一剂。果然全愈。调摄月余。肌肉复生。面转明润。堆云之发。才剩数茎而已。每遇天气阴寒。必
用重 浓被盖覆。不敢起身。余谓病根尚在。盖以肾气之收藏未固。膀胱之气化未旺。兼之年少新婚。倘犯房
室。其块复作。仍为后日之累。更用补肾药。加入桂附。而多用河车为丸。取其以胞补胞。而助膀胱之化
源也。服之竟不畏寒。腰围亦大。而体加充盛。年余又得子。感前恩而思建祠肖像以报。以连值岁凶。
姑尸祝于家庭焉。亦浓之道矣
胡卣臣先生曰。辨证十分明彻。故未用药。先早知其功效矣。又早善
其后。得心应手之妙。一一传之纸上。大有可观。
袁聚东，二十岁。身上长了痞块（腹部结块），卧床数月。没有不尝试治疗的医生，每天服用软化坚积、消除痞块的药物。逐渐导致身体枯瘦、肌肉脱失，面色黧黑、头发卷曲，几乎没有了生机。家人买船载他前往郡城就医，因为担心无法活着回来而停止。然而仍然每日花费在医生和巫师身上，等我到达时，家产已经耗尽。姑且请我诊察一次，以判断生死远近罢了，没有其他奢望。
我诊脉时，先观察他的痞块，从小腹到脐旁，分为三岔，都坚硬如石头，用手按压，疼痛难以忍受。他的脉搏只有两尺部洪大旺盛，其余部位微细。我对他说：“这个病是因为见到痞块就只治痞块，不探究根源而误治造成的。初起时痞块一定不坚硬，用峻猛的药物攻伐它，导致真气在内混乱，反而保护了邪气造成危害。就像人打架扭结在一起，旁边没有解散的力量，所以紧缩不放。其实这完全是空气聚集而成，不像女子冲任二脉和血海之地，月经凝结不行，就会形成血块那样。看两尺脉洪大旺盛，明明是少阴肾经的气，传到了膀胱。膀胱的气，本来可以传到前阴和后阴排出体外。误用了破血的药物，同时也破了气，气于是不能转运，而结成了石块。用手抚摸触碰则更痛，情状完全暴露。如果是血块，手按下去怎么会痛呢？这个病本来一剂药就可以痊愈，但几个月误治，从上到下，没有病的地方，也先受了伤。姑且用补益中焦的药一剂，以疏通中下焦的气。然后用大剂量的药，内收肾气，外散膀胱之气，以解除它们的相互缠结。大约计算三剂，可以痊愈。”
于是先用理中汤，少量加入附子五分，服一剂后，痞块已减少十分之三。再用桂枝、附子类药物的一个大剂量方剂，腹中气响非常喧闹，片刻之间三个痞块一时全部消失。亲戚朋友共同惊骇为神效。再服一剂，果然完全痊愈。调养摄生月余，肌肉重新生长，面色转为明亮润泽，像堆云一样的头发，只剩下几根而已。每当遇到天气阴寒，必定用厚重的棉被覆盖，不敢起身。我说病根还在，这是因为肾气的收藏功能尚未稳固，膀胱的气化功能尚未旺盛，加上年少新婚，倘若犯房事，痞块会再次发作，仍成为日后的累赘。又用补肾药，加入桂枝、附子，而多用紫河车制成丸药，取其以胞宫补胞宫，并帮助膀胱的气化源头。服用之后竟然不怕寒冷，腰围也变粗，身体更加充实强壮。一年多后又得了儿子。感激之前的恩情，想建祠堂画像来报答，因为接连遇到荒年，暂时在家中祭祀供奉罢了。这也是浓厚的道义啊。
胡卣臣先生说：“辨证十分明彻，所以还没用药，就先知道了功效。又早早善于处理后续问题，得心应手的妙处，一一传达在纸上，大有可观。”
Yuan Judong, aged twenty. He developed a *pi* mass (abdominal lump) and lay in bed for several months. No physician was not consulted; daily he took medicines to soften hardness and dissipate masses. Gradually, he became emaciated with muscle wasting, his complexion darkened, and hair curled, leaving almost no hope of survival. His family bought a boat to take him to the prefecture city for medical treatment but stopped due to fear that he would not return alive. Nevertheless, expenses for physicians and shamans continued daily. When I arrived, the family fortune was exhausted. They merely asked me to examine him once to determine the proximity of life or death, with no other expectations.
Upon examination, I first observed the mass. It extended from the lower abdomen to beside the navel, branching into three parts, all hard as stone. Palpation caused unbearable pain. The pulse was only vigorous and surging at the two *Chi* positions (Kidney positions), while the rest were faint and thin. I said, "This illness resulted from treating the mass without investigating its root cause. Initially, the mass must not have been hard. By attacking it with harsh drugs, the true Qi (*Zheng Qi*) was disrupted internally, inadvertently protecting the pathogenic factor and causing harm. It is like people grappling in a fight, knotted together without external force to dissolve them, thus remaining tight and unyielding. In reality, this is formed entirely by the accumulation of air, unlike the situation in women's *Chong* and *Ren* vessels and the Blood Sea, where stagnant menstruation forms blood masses. Observing the surging pulse at the two *Chi* positions, it is clearly the Qi of the Shaoyin Kidney channel transmitting to the Bladder. The Qi of the Bladder should naturally be excreted through the anterior and posterior orifices. Mistakenly using blood-breaking drugs also damaged the Qi, preventing its transformation and movement, leading to the formation of a stone-like mass. Touching it causes more pain, revealing the nature of the condition. If it were a blood mass, why would palpation cause pain? This disease could have been cured with one dose originally. However, months of mis-treatment have injured areas above and below that were not diseased. I will prescribe one dose of medicine to tonify the Middle Jiao to unblock the Qi of the Middle and Lower Jiao. Then, I will use a large dose of medicine to gather Kidney Qi internally and disperse Bladder Qi externally, resolving their entanglement. Approximately three doses should result in a complete cure."
Thus, we first used *Lizhong Tang* (Regulate the Middle Decoction) with a small addition of 5 fen of *Fuzi* (Prepared Aconite Root). After one dose, the mass reduced by three-tenths. Next, a large dose of medicine containing *Guizhi* (Cinnamon Twig) and *Fuzi* was administered. Loud intestinal sounds ensued, and within moments, all three masses disappeared simultaneously. Relatives and friends were amazed, calling it miraculous. One more dose confirmed a complete recovery. After a month of recuperation, muscles regenerated, the complexion became bright and lustrous, and the thick, cloud-like hair had thinned to just a few strands. Whenever the weather was cold and cloudy, he insisted on being covered with heavy quilts and dared not get up. I stated that the root cause remained because the storage function of Kidney Qi was not yet solid, and the transformation function of Bladder Qi was not yet vigorous. Moreover, given his youth and recent marriage, if he engaged in sexual activity, the mass would recur, becoming a future burden. I prescribed kidney-tonifying medicine added with *Guizhi* and *Fuzi*, and primarily used *Heche* (Placenta Hominis) made into pills, utilizing the principle of using the womb to tonify the womb, thereby assisting the source of Bladder transformation. After taking this, he no longer feared cold, his waist circumference increased, and his body became fuller and stronger. Over a year later, he fathered a son. Grateful for my previous kindness, he wished to build a shrine and paint a portrait to repay me. Due to consecutive years of famine, he temporarily set up an altar for sacrifice in his home. This is also a manifestation of profound righteousness.
Mr. Hu Youchen said: "The differentiation of symptoms and signs was extremely clear and thorough; therefore, before administering medicine, the efficacy was already known. Furthermore, the subsequent management was handled skillfully. The ingenuity of handling matters with ease and precision was recorded on paper, which is highly commendable."