昭庆寺僧无量患一症，腹中有块如拳大，冲左冲右，冲上冲下，昼夜叫号不息，疼不可忍
，黄瘦已极，至不进饮食月余，将毙矣，予视脉曰∶此因肠气结涩，起于湿热，毒瓦斯逆行，诸
医以木香豆蔻等通其气，气通，其块益能行走，以香热大便益秘，遂有冲上下之症。末药三服而愈。
末方
大黄（三钱） 黄连（姜炒，一钱） 人中白（二钱） 枳壳（麸炒，三钱） 浓朴（姜炒，
三钱） 桃仁（二钱）
共末作三服。
林返孩 患一症，心重如千斤下坠。背弯不能直，每发时疼痛难忍，眼珠直出，舌俱咬碎，无药
可疗。予视脉曰∶此必打铜锡生理，终日用力，伤于饥饱，间于欲事或因偷情
为人所惊不得泄，用槌则弯背，惊则心血走，不得泄则肾气逆，以气裹血，渗留胞络
，遂成兹症。究之此人果沙皮巷打铜匠也。两剂发汗而心轻，两剂通便而背直，服八味地黄
丸一料，而用力生理如常时也。
汤方
麻黄（一钱） 香附（八分） 羌活（一钱） 茯神（八分） 归尾（八分） 赤芍（八分） 甘草（四分）
汤方
熟大黄（三钱） 赤芍（一钱） 黄柏（一钱） 黄芩（一钱） 槟榔（一钱） 枳实（一钱）
林隐寺僧远尘 患一症，日身凉，夜身热，遍体痛甚，作止有时。昼欲行则痛不可忍，睡卧稍可；
夜欲睡则痛不可忍，行动始安。此僧极苦，但欲速死。予视脉曰∶此由趺坐损血，又有遗梦之症，当
其初坐时，惟恐夜睡精漏，故坐功俱用之夜，而血益损，日间饱食伤气，脾气已倦，当昼思卧。血，
阴分，逢阴不宁，血虚火盛，故昼凉夜热也。服滋阴抑火汤加减，数剂而愈。
加减滋阴抑火汤
天门冬（去心） 麦门冬 当归 地骨皮 丹皮 柴胡 茯神 菊花 枣仁 甘草
加枣二枚，灯心二十根。
朱化之 患一症，气喘痰多，骨瘦如柴，天将明即思食，食时以半碗饭作一口进，则过喉易易，
可食饭七八碗，若一碗饭分作五六口，便不下咽，多许则易，少许则进更难，真不可解。天明后便不索食
，直至晓但饮汤坐卧，痰喘竟夜而已。予视脉曰∶肾水全不伤。此少年保养，中年用心过度，每睡辄思
富贵，长夜到晓，心血虚耗，气壅火发伤
肺，诸医以肺为气之主，肾为气之藏，逆奔体弱，由肾虚不能收肺气，多用补剂，
益喘益弱。予用三拗汤加减，数剂而愈，盖此症起于风邪积痰，误用参 ，遂至
喘促到底，用麻黄者从根也。天将明而思食，由长夜思量到晓，心血虚而胃气
陷，亟欲以食填之，且旦气犹存，保□之□□□□□□□更无济矣。多许易入喉
者，乘胃□□□压之□□则谷气引胃直达而喘不能出，若食少则喘易出，而食难入
矣。日不食者，日多不思，神气昏沉，旦食未化也。
汤方
白茯苓（二钱） 麻黄（不去节，二钱） 杏仁（不去皮尖，二十四粒） 枳壳
（一钱） 甘草（八分） 姜枣
叶素方 于冬十一月索予视脉，维时并无恙，但欲制常服补丸耳。予曰∶且未定
方，其脉已有恙，只旬日当发，则寒热交作，为三日一发之瘅疟。予买舟去杭，至次年
四月归，悉如予言。因酌方服之，三剂而愈。
汤方
制浓朴 制知母 小柴胡 青皮 草果仁 藿香叶 制半夏 白茯苓 甘草
叶成冶 患积痢近十日，腹疼后重不可忍。予视脉曰∶此非积非痢，乃脾血虚而以
食气相触致然耳。酌方服之，一剂不腹疼，一剂不后重，其积全愈。
汤方
当归 白芍药 生地 地骨皮 白茯苓
叶八五孙 患伤寒症，大便昼夜流水不息，面赤而紫，两耳黑，胸前有块大如拳，
气喘不绝，下体冷至脐，诸医以为漏底，欲止之而益重，且面黑狂言，唇青眼直，咳喘不
休，发厥肌冷，皆死症也。求于予，予曰∶此不必看脉，但
言症而已知其易疗矣。当其病在阳明胃经时，不知用大黄黄芩诸药，只用九味羌活汤，致表里俱滞。
其大便流水不息者，当其病在阳明胃经时，所亟需全在大黄黄芩浓朴，而以九味羌活发散。上下两
碍，内有硬粪不得出，阻塞肠胃之路，郁血上攻，故有此症耳。用大承气汤加减，二服全愈。
吕苍鳞 患疟症三年，精神脾胃弱极。予酌方止用白术一味，制丸末服之一月而愈。阅半载余，
忽一日予视脉曰∶据此脉，过三日当忽然神昏眼晕，不省人事，百节皆作疼。因酌方俟其发，维时
精气正旺，诸友不之信，至三日果应予言，服药始愈。
陆春元（讳长卿，字效如） 乃正患一症，头重发热，遍体俱疼，饮食不进。遍请医调治，其
症益重，昼夜呕吐不能出，进以汤药益加重，每吐出有蛔虫数条，后并汤药不能下，如此者半月余，
以无复生理矣。予视脉曰∶此原非死症也，服药不中其病，而病日增。遂并药汤不能下。余只用栀
子仁姜汁炒，与豆蔻二味白滚汤下，但得过喉，便胸前作疼不可忍，其病即可疗矣，服药果如予言，每
日酌一方服之，半月全愈。盖此症初起风寒外感，诸医误用补剂，其寒不经发散，咸积于胸，胃气不
能上升，咸发为火，肠胃燧热已极，蛔虫头上抵至胃脘以上寒处安身，而不知寒处皆死路也。上寒以豆
蔻仁散之，下热宜栀子仁，栀子仁性寒难度上膈，故用炒，是以投之即验也。
李公祖（衢兵道，号庚生） 长媳王氏患一症，颈项红肿，小腹有一股气直冲喉间，疼极，饮食不
能进者七日，医以肿毒欲散之，其症益甚。予视脉曰∶此非肿毒也，细按之，此受胎脉也，世有饮食全
不者七八日而能生者乎？惟有胎者不然，此初感时，大风大雾，其正者结而为胎，邪者发而为毒，但询
以经期，才过期六日，予认定受胎，酌一方平气宽脾、固胎元之药，数剂而安，后果如言。而
王氏竟从夫之变，以节义终，其贞烈固不可及哉！
李公祖（衢刑厅，号暗修） 患一症，胸前有小块，初不疼痒，医家以为肿毒，宜打散，用
膏药粘贴，竟发红作疼日盛，予视脉曰∶此皮疽也。内有硬疔如小指大，当用汤药攻出，又以敷
药薄其皮，二十日其疔即化而为脓，脓出全康。
汤方
何首乌 金银花 贝母 天花粉 皂角刺 当归尾 甘草节
敷药方
何首乌 天南星 大白芷 川乌 大黄
共为末，醋涂四围。
余用成 患一症，饮食不能下，勉强饮食即呕逆作痛，而每日勤劳作事如常，时日饮参汤数钟
，诸药皆不效。予视脉曰∶此重劳不节之症也，劳心劳力无已时，于劳时进食，又多食。是以不节
劳则伤脾，不节食则伤胃，胃伤不纳，脾伤不化，其精力无损，易治也。择一静室，令入室静坐，初
坐竟不进饮食，坐至次日，觉神方稍宁，有欲得食之意，然后以稀粥与之，至三四日竟欲得食，至
七日食过膈矣，此谓以其人治人之病也。
徐玉玄妇 患一症，月余不能眠，每日扶坐，气喘急，头与腿足皆肿大。至第四十日，喉鼻中出
气皆冰冷者，每晕倒不省人事，诸医以为毫无生理矣。予视脉曰∶此奇症也，最易愈。世安有四十日
不能稍眠，不能食，鼻中出气已冷而能生者乎？此由产后血上攻，其血欲从口中出不能，故其血已
死，凝于喉。虽有生气从死血中过，其气已冷，血凝气冷，但能饮汤，其汤作胀，而浮肿于头
面手足。死血在喉，若睡倒即气不能上升而生理绝，是以月余不睡者求生也。酌一方用磨平
饮加减，通其血，才进药而能睡，睡醒而能气暖，数日全愈。
汤方
红花 桃仁 苏木 蓬莪术 枳壳 乌药 当归 京三棱 白芍药
叶楚鄂 初患一症，体瘦如柴而肚渐大，其中有物，饮食不能进。予视脉酌一方，许以愈其
半，果如予言，其半非药所能及也，因求予静功，孰知道缘作合，七日开关，觉通体爽快，其
腹中积物竟从口中呕出，旧病全愈。经今四载，忽有家事盛怒，又当风饮食，复感一症，泄泻不
止，予为治之。愈后又感一症，为咳逆吞酸，四肢疲软，气将绝，欲去世者几番。予视脉曰∶此命
门火不上升之症也，用附子升之，又以肉桂浮药养之，其症渐愈，后复如常。数月后，适予有兰
江之行，叶楚鄂一晚口吐血半碗，吐后复爽快，此时正当用参桂等药固其元神，时医不知此，妄用
凉药，仅两日而症变矣。来兰江请予，予见其方，初用凉血之剂，后琥珀沉（以下脱文）
昭庆寺僧人无量患有一种病症，腹中有拳头大小的肿块，左右上下冲窜，昼夜叫喊不停，疼痛难以忍受，身体黄瘦到了极点，一个多月不进饮食，即将死亡。我诊脉后说：这是由于肠气结滞涩阻，起因于湿热，毒气逆行。众医生用木香、豆蔻等药来通其气，气虽通了，但肿块反而更容易游走；因为用了香燥热性的药物，导致大便更加秘结，于是出现了肿块上下冲窜的症状。服用末药三剂而痊愈。
末药方：
大黄（三钱） 黄连（姜炒，一钱） 人中白（二钱） 枳壳（麸炒，三钱） 厚朴（姜炒，三钱） 桃仁（二钱）
共研为末，分三次服用。
林返孩患有一种病症，感觉心脏沉重如千斤下坠。背部弯曲无法挺直，每次发作时疼痛难忍，眼球突出，舌头被咬碎，看似无药可治。我诊脉后说：这一定是从事打铜锡工作的工匠，整日用力劳作，又因饥饱失调，或房事不节，或因偷情被人惊吓导致气血不得宣泄。用力则背弯，惊吓则心血涣散，气血不得宣泄则肾气上逆，气裹挟血液，渗入胞络，从而形成此症。追究此人果真是沙皮巷的打铜匠。发汗两剂后心脏轻松，通便两剂后背部挺直，服用八味地黄丸一料后，体力劳动恢复正常。
汤方一：
麻黄（一钱） 香附（八分） 羌活（一钱） 茯神（八分） 当归尾（八分） 赤芍（八分） 甘草（四分）
汤方二：
熟大黄（三钱） 赤芍（一钱） 黄柏（一钱） 黄芩（一钱） 槟榔（一钱） 枳实（一钱）
林隐寺僧人远尘患有一种病症，白天身体凉爽，夜晚身体发热，全身疼痛剧烈，发作和停止都有定时。白天想行走则疼痛难忍，睡觉稍好；夜晚想睡觉则疼痛难忍，起来活动才舒适。这位僧人极度痛苦，只求速死。我诊脉后说：这是由于长时间盘腿打坐损伤了阴血，又有梦遗的症状。刚开始打坐时，唯恐夜间睡眠精液泄漏，所以都在夜间进行坐功修炼，导致阴血更加亏损；白天饱食损伤脾气，脾气已经疲倦，白天思虑想卧。血属阴分，逢阴时不安宁，血虚火旺，所以白天凉晚上热。服用滋阴抑火汤加减，数剂后痊愈。
加减滋阴抑火汤：
天门冬（去心） 麦门冬 当归 地骨皮 牡丹皮 柴胡 茯神 菊花 酸枣仁 甘草
加红枣二枚，灯心草二十根。
朱化之患有一种病症，气喘痰多，骨瘦如柴，天快亮时就想吃东西，吃饭时把半碗饭分成一口一口吃，则过喉很容易，可以吃七八碗饭；如果一碗饭分成五六口吃，便咽不下去，吃得少则更难咽下，实在不可理解。天亮后就不再索食，直到天明只喝汤水坐卧，整夜痰喘而已。我诊脉后说：肾水并没有受伤。这是少年时期保养得当，中年时期用心过度，每次睡觉都想着富贵，从长夜到天明，心血虚耗，气机壅滞火发伤肺。众医生认为肺是气的主宰，肾是气的根本，气逆奔涌身体虚弱，是因为肾虚不能收纳肺气，多用补剂，结果气喘更重身体更弱。我用三拗汤加减，数剂后痊愈。这个病症起于风邪积痰，误用人参等补气药，遂至气喘不止到底。用麻黄是从根源治疗。天快亮时想吃东西，是因为从长夜思量到天明，心血虚而胃气下陷，急切想要用食物填补，且早晨阳气尚存，保……（原文此处有缺字）……更无济于事。多吃容易入喉，是乘着胃气……（原文此处有缺字）……压之……（原文此处有缺字）……则谷气引胃气直达而气喘不能出，如果吃得少则气喘容易出来，而食物难以下咽。白天不吃的原因，是白天大多不想吃，神气昏沉，早晨吃的食物尚未消化。
汤方：
白茯苓（二钱） 麻黄（不去节，二钱） 杏仁（不去皮尖，二十四粒） 枳壳（一钱） 甘草（八分） 生姜、大枣
叶素方在冬季十一月找我诊脉，当时并无不适，只想制作常服补丸。我说：方子还没定，他的脉象已有病兆，不过十天就会发作，表现为寒热交替，成为每三天发作一次的瘅疟（一种疟疾）。我乘船去杭州，到次年四月回来，情况完全如我所言。于是斟酌方子让他服用，三剂后痊愈。
汤方：
制厚朴 制知母 小柴胡汤 青皮 草果仁 藿香叶 制半夏 白茯苓 甘草
叶成冶患痢疾近十天，腹痛里急后重难以忍受。我诊脉后说：这不是积滞也不是痢疾，而是脾血虚与食气相触导致的。斟酌方子服用，一剂后腹痛止，一剂后里急后重消失，积滞全愈。
叶八五孙患伤寒症，大便昼夜流水不止，面色红紫，两耳发黑，胸前有拳头大小的肿块，气喘不停，下半身冷至肚脐。众医生认为是“漏底”（久泻滑脱不禁），想止泻却使病情加重，且面色发黑胡言乱语，嘴唇青紫眼睛直视，咳嗽气喘不休，四肢厥冷肌肤冰冷，都是死症。向我求治，我说：这不必看脉，单凭症状就知道容易治疗。当病在阳明胃经时，不知用大黄、黄芩等药，只用九味羌活汤，导致表里俱滞。他大便流水不止，是因为当病在阳明胃经时，急需大黄、黄芩、厚朴，却用了九味羌活汤发散。上下两碍，内有硬粪不得排出，阻塞肠胃之路，郁血上攻，所以有此症。用大承气汤加减，两剂后全愈。
吕苍鳞患疟疾三年，精神脾胃极度虚弱。我斟酌方子只用白术一味，制成丸末服用，一个月后痊愈。过了半年多，有一天我诊脉后说：根据脉象，过三天会突然神昏眼晕，不省人事，全身关节疼痛。于是斟酌方子等待其发作，当时精气正旺盛，朋友们都不相信，到了第三天果然应验，服药后才痊愈。
陆春元（名长卿，字效如）正患一种病症，头重发热，全身疼痛，饮食不进。遍请医生调治，症状日益加重，昼夜呕吐不止，喂汤药也加重，每次吐出几条蛔虫，后来连汤药都下不去，如此半月多，被认为无药可救。我诊脉后说：这原本不是死症，服药不对症，病日渐加重，以至于连药汤都下不去。我只用栀子仁姜汁炒，配合豆蔻二味，用白开水送服，只要得过咽喉，就会感到胸前疼痛难忍，病就可以治愈了。服药果然如我所言，每天斟酌一方服用，半个月全愈。这个病症初起是风寒外感，众医生误用补剂，寒气不经发散，全部积聚在胸中，胃气不能上升，全部化为火，肠胃燧热已极，蛔虫向上抵至胃脘以上的寒处安身，却不知道寒处皆是死路。上部的寒用豆蔻仁散之，下部的热宜用栀子仁，栀子仁性寒难以度过膈膜，所以用炒过的，因此投药即见效。
李公祖（衢州兵道，号庚生）的长媳王氏患一种病症，颈项红肿，小腹有一股气直冲喉间，疼痛至极，七天不能进食。医生认为是肿毒想消散它，症状反而更严重。我诊脉后说：这不是肿毒，仔细按摸，这是受胎（怀孕）的脉象。世上哪有七天完全不进食却能生孩子的人呢？只有怀孕的人不然。这是刚受孕时，大风大雾，正气结聚而成胎，邪气发散而成毒。只是询问经期，才过期六天，我认定是怀孕，斟酌一方平气宽脾、固护胎元的药，数剂后安稳，后果然如所言。而王氏最终随丈夫变故，以节义终老，她的贞烈确实令人不可及！
李公祖（衢州刑厅，号暗修）患一种病症，胸前有小块，起初不疼不痒，医生认为是肿毒，宜打散，用膏药粘贴，竟发红作痛日益加重。我诊脉后说：这是皮疽。里面有硬疔如小指大，应当用汤药攻出，又以敷药薄其皮，二十天后疔疮化脓，脓出后全康。
敷药方：
何首乌 天南星 大白芷 川乌 大黄
共研为末，醋调涂四周。
余用成患一种病症，饮食不能下咽，勉强饮食即呕逆作痛，但每天勤劳做事如常，每日喝几钟人参汤，各种药物都不见效。我诊脉后说：这是过度劳累且不节制导致的病症。劳心劳力没有尽头，在劳累时进食，又吃得过多。所以不节制劳累则伤脾，不节制饮食则伤胃，胃伤不能纳食，脾伤不能运化，但他的精力无损，容易治疗。选择一间静室，令他入室静坐，第一天完全不进食，坐到第二天，觉得神志稍微安宁，有了想吃东西的意思，然后用稀粥给他，到三四天竟然想吃东西，到第七天食物能过膈了，这叫以其人之道还治其人之病。
徐玉玄的妻子患一种病症，一个多月不能睡觉，每天扶着坐，气喘急促，头和腿脚都肿大。到第四十天，喉咙鼻子出的气都是冰冷的，每次晕倒不省人事，众医生认为毫无生机。我诊脉后说：这是奇症，最容易治愈。世上哪有四十天不能稍睡，不能进食，鼻中出气已冷还能活的人呢？这是由于产后血上攻，其血欲从口中出而不能，所以血已死，凝于喉部。虽然有生气从死血中经过，其气已冷，血凝气冷，只要能喝汤，汤水造成胀满，而浮肿于头面手足。死血在喉，如果躺倒则气不能上升而生理绝灭，所以一个多月不睡是为了求生。斟酌一方用磨平饮加减，通其血，才进药就能睡觉，睡醒后气息回暖，数日后全愈。
汤方：
红花 桃仁 苏木 蓬莪术 枳壳 乌药 当归 京三棱 白芍药
叶楚鄂起初患一种病症，身体瘦如柴但肚子逐渐变大，其中有物，饮食不能进。我诊脉斟酌一方，许诺能治好一半，果然如我所言，那一半非药物所能及，于是求我教静功，谁知道道缘契合，七天后开关，感觉通体爽快，腹中积物竟从口中呕出，旧病全愈。至今四年，忽然因家事盛怒，又当风饮食，复感一症，泄泻不止，我为他治疗。痊愈后又感一症，为咳逆吞酸，四肢疲软，气将绝，几次差点去世。我诊脉后说：这是命门火不上升的病症，用附子升之，又以肉桂浮药养之，症状逐渐痊愈，后来恢复如常。数月后，适逢我有兰江之行，叶楚鄂一晚吐血半碗，吐后复觉爽快，此时正当用参桂等药固其元神，当时的医生不知道这点，妄用凉药，仅两天症状就变了。来兰江请我，我见他的方子，初用凉血之剂，后琥珀沉（以下脱文）
The monk Wuliang of Zhaoqing Temple suffered from a condition where a lump the size of a fist formed in his abdomen, moving left and right, up and down, with ceaseless crying day and night due to unbearable pain. He was extremely emaciated and yellow, had not eaten for over a month, and was on the verge of death. Upon examining his pulse, I said: This is caused by stagnation and obstruction of intestinal Qi, originating from damp-heat and rebellious toxic qi. Other physicians used aromatic and warm herbs like Muxiang (Aucklandiae Radix) and Doukou (Amomi Fructus Rotundus) to move Qi. Although Qi moved, the lump became more mobile; the use of aromatic, hot, and drying herbs further constipated the bowels, leading to the symptom of the lump rushing up and down. Three doses of powder medicine cured him.
Powder Formula:
Dahuang (Rhei Radix et Rhizoma, 3 qian), Huanglian (Coptidis Rhizoma stir-fried with ginger juice, 1 qian), Renzhongbai (Calcinatus Urinae Humanae, 2 qian), Zhiqiao (Aurantii Fructus stir-fried with bran, 3 qian), Houpo (Magnoliae Officinalis Cortex stir-fried with ginger juice, 3 qian), Taoren (Persicae Semen, 2 qian).
Grind into powder, divide into three doses.
Lin Fanhai suffered from a condition where his heart felt heavy as if weighed down by a thousand jin. His back was bent and unable to straighten; during each attack, the pain was unbearable, his eyeballs protruded, and his tongue was bitten to pieces, appearing untreatable. Upon examining his pulse, I said: This must be a copper-smith or tinsmith who exerts himself all day, suffers from irregular meals, engages in excessive sexual activity, or is startled while having an illicit affair, causing Qi and Blood to stagnate. Exertion bends the back; startle scatters Heart Blood; stagnation causes Kidney Qi to rebel. Qi envelops Blood, which seeps into the Bao Luo (uterine collaterals), forming this condition. Investigation confirmed he was indeed a copper-smith in Shapi Lane. Two doses inducing sweating lightened the heart; two doses promoting bowel movements straightened the back; one course of Bawei Dihuang Wan (Eight-Ingredient Rehmannia Pill) restored his ability to work physically.
Decoction Formula 1:
Mahuang (Ephedrae Herba, 1 qian), Xiangfu (Cyperi Rhizoma, 8 fen), Qianghuo (Notopterygii Rhizoma et Radix, 1 qian), Fushen (Poria with Hostwood, 8 fen), Guiwei (Angelicae Sinensis Radix tail, 8 fen), Chishao (Paeoniae Rubra Radix, 8 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen).
Decoction Formula 2:
Shu Dahuang (Prepared Rhei Radix et Rhizoma, 3 qian), Chishao (Paeoniae Rubra Radix, 1 qian), Huangbai (Phellodendri Cortex, 1 qian), Huangqin (Scutellariae Radix, 1 qian), Binglang (Arecae Semen, 1 qian), Zhishi (Aurantii Fructus Immaturus, 1 qian).
The monk Yuanchen of Linyin Temple suffered from a condition where his body was cool during the day and hot at night, with severe whole-body pain that came and went at regular intervals. Walking during the day was unbearably painful, but sleeping brought relief; sleeping at night was unbearably painful, but walking provided comfort. The monk was in extreme suffering, desiring only a quick death. Upon examining his pulse, I said: This results from blood damage due to prolonged sitting meditation, combined with nocturnal emissions. Initially fearing seminal leakage during sleep, he practiced meditation at night, further damaging Yin Blood. Daytime heavy meals damaged Spleen Qi, leaving it fatigued and desiring rest during the day. Blood belongs to the Yin aspect; when Yin prevails, unrest occurs. Blood deficiency with flourishing Fire causes daytime coolness and nighttime heat. Modified Ziyin Yihuo Tang (Nourishing Yin and Suppressing Fire Decoction) cured him after several doses.
Modified Ziyin Yihuo Tang:
Tianmendong (Asparagi Radix, heart removed), Maimendong (Ophiopogonis Radix), Danggui (Angelicae Sinensis Radix), Digupi (Lycii Cortex), Danpi (Moutan Cortex), Chaihu (Bupleuri Radix), Fushen (Poria with Hostwood), Juhua (Chrysanthemi Flos), Zaoren (Ziziphi Spinosae Semen), Gancao (Glycyrrhizae Radix et Rhizoma).
Add two red dates and twenty stalks of Dengxincao (Junci Medulla).
Zhu Huazhi suffered from a condition with asthma, excessive phlegm, and extreme emaciation. As dawn approached, he craved food. Eating half a bowl of rice in small bites allowed easy swallowing, enabling him to eat seven or eight bowls. However, dividing one bowl into five or six bites made swallowing difficult; smaller amounts were even harder to swallow, which was inexplicable. After dawn, he no longer sought food, drinking only soup and lying or sitting until morning, suffering from phlegm and asthma all night. Upon examining his pulse, I said: The Kidney Water is not injured. This stems from proper preservation in youth but excessive mental exertion in middle age, dreaming of wealth from night till dawn, depleting Heart Blood. Qi stagnation and Fire flare up, injuring the Lung. Other physicians, knowing the Lung governs Qi and the Kidney stores Qi, attributed the rebellious Qi and weakness to Kidney deficiency failing to grasp Lung Qi, using many tonics, which worsened the asthma and weakness. I used modified San'ao Tang (Three Unblocking Decoction), curing him after several doses. This condition originated from Wind pathogen and accumulated phlegm; mistaken use of Renshen (Ginseng Radix) led to persistent asthma. Using Mahuang (Ephedrae Herba) addresses the root. Craving food at dawn results from mental exertion depleting Heart Blood and sinking Stomach Qi, urgently seeking food to fill the void. Morning Qi is still present... [text missing] ...more food enters easily because it utilizes Stomach Qi... [text missing] ...pressing down... [text missing] ...grain Qi guides Stomach Qi directly, preventing asthma from escaping; if food is scarce, asthma escapes easily, but food enters with difficulty. Not eating during the day is due to lack of desire, dull spirit and Qi, and undigested morning food.
Decoction Formula:
Baifuling (Poria, 2 qian), Mahuang (Ephedrae Herba, untrimmed joints, 2 qian), Xingren (Pruni Armeniaci Semen, unpeeled tips, 24 grains), Zhiqiao (Aurantii Fructus, 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 8 fen), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus).
Ye Sufang asked me to examine his pulse in November. At that time, he had no symptoms but wanted to prepare a daily tonic pill. I said: The formula is not yet determined, but his pulse already shows pathology; within ten days, it will manifest as alternating chills and fever, becoming a Dan Nue (Febrile Malaria occurring every three days). I traveled to Hangzhou by boat and returned in April the following year. Everything happened exactly as I predicted. He took the prescribed formula and was cured after three doses.
Decoction Formula:
Zhi Houpo (Prepared Magnoliae Officinalis Cortex), Zhi Zhimu (Prepared Anemarrhenae Rhizoma), Xiao Chaihu Tang (Minor Bupleurum Decoction), Qingpi (Citri Reticulatae Pericarpium Viride), Caoguoren (Arecae Semen, kernel), Huoxiangye (Agastaches Herba), Zhi Banxia (Prepared Pinelliae Tuber), Baifuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma).
Ye Chengye suffered from dysentery with accumulation for nearly ten days, with unbearable abdominal pain and tenesmus. Upon examining his pulse, I said: This is neither accumulation nor dysentery, but rather Spleen Blood deficiency interacting with food Qi. After taking the prescribed formula, abdominal pain ceased after one dose, and tenesmus ceased after another dose; the accumulation was completely cured.
Decoction Formula:
Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Shengdi (Rehmanniae Radix), Digupi (Lycii Cortex), Baifuling (Poria).
Ye Bawusun suffered from a Shanghan (Cold Damage) syndrome with continuous watery diarrhea day and night, a red-purple complexion, black ears, a fist-sized lump on the chest, incessant asthma, and coldness extending from the lower body to the navel. Other physicians diagnosed it as "Lou Di" (slipping bottom/profuse diarrhea) and tried to stop it, worsening the condition. With a dark face, delirium, blue lips, fixed eyes, incessant coughing and asthma, cold limbs, and cold skin, these were signs of death. Seeking my help, I said: Pulse examination is unnecessary; the symptoms alone indicate it is easily treatable. When the disease was in the Yangming Stomach channel, they should have used Dahuang (Rhei Radix et Rhizoma) and Huangqin (Scutellariae Radix), but instead used Jiwei Qianghuo Tang (Nine-Herb Notopterygium Decoction), causing both exterior and interior stagnation. The continuous watery stool occurred because, when the disease was in the Yangming Stomach channel, Dahuang, Huangqin, and Houpo were urgently needed, but Jiwei Qianghuo Tang was used to disperse. Both upper and lower pathways were obstructed; hard feces inside could not exit, blocking the intestines and stomach, causing stagnant Blood to attack upwards, resulting in these symptoms. Modified Dachengqi Tang (Major Order the Qi Decoction) cured him after two doses.
Lu Canglin suffered from malaria for three years, with extremely weak spirit and Spleen/Stomach. I prescribed a formula containing only Baizhu (Atractylodis Macrocephalae Rhizoma), made into pills and powder, taken for one month, resulting in a cure. Over half a year later, one day upon examining his pulse, I said: Based on the pulse, in three days he will suddenly become unconscious and dizzy, lose consciousness, and suffer pain in all joints. I prepared a formula waiting for the onset. At that time, his Essence and Qi were strong, and friends did not believe me. On the third day, it happened exactly as predicted, and he recovered after taking the medicine.
Lu Chunyuan (Courtesy name Changqing, Art name Xiaoru) suffered from a condition with heavy head, fever, whole-body pain, and inability to eat. Despite consulting many physicians, the condition worsened. He vomited day and night, and administering decoctions aggravated it. Each vomiting episode produced several roundworms; later, even decoctions could not stay down. After over half a month, it was considered incurable. Upon examining his pulse, I said: This was originally not a fatal condition; incorrect medication increased the illness until even decoctions could not be retained. I used only Zhizi Ren (Gardeniae Semen stir-fried with ginger juice) and Doukou (Amomi Fructus Rotundus), administered with plain boiled water. Once past the throat, unbearable chest pain would occur, indicating the disease could be treated. The medication worked exactly as predicted. Taking a modified prescription daily, he recovered fully in half a month. The condition initially arose from external Wind-Cold. Physicians mistakenly used tonics, trapping Cold in the chest. Stomach Qi failed to ascend, transforming into Fire. Intestines and stomach became extremely hot. Roundworms migrated upward to the cold area above the epigastrium to seek refuge, unaware that the cold area was a dead end. The upper Cold was dispersed by Doukou Ren, and the lower Heat was cleared by Zhizi Ren. Since Zhizi Ren is cold and difficult to cross the diaphragm, it was stir-fried, ensuring immediate efficacy.
Li Gongzu (Prefectural Military Dao, Art name Gengsheng)'s eldest daughter-in-law, Wang Shi, suffered from a condition with swollen and red neck, and a surge of Qi from the lower abdomen rushing to the throat, causing extreme pain and inability to eat for seven days. Physicians treated it as a swelling/toxin and attempted to dissipate it, worsening the condition. Upon examining her pulse, I said: This is not a swelling/toxin. Palpating carefully, this is a pregnancy pulse. Is there anyone in the world who can give birth after not eating for seven to eight days? Only pregnant women are different. At conception, strong wind and fog caused righteous Qi to condense into the fetus, while pathogenic Qi manifested as toxicity. Asking about her menstrual period, she had missed it by only six days. I confirmed pregnancy and prescribed a formula to calm Qi, broaden the Spleen, and secure the fetal origin. After several doses, she stabilized, exactly as predicted. Wang Shi eventually followed her husband's changes, ending her life with integrity and righteousness; her chastity and heroism were truly unsurpassable!
Li Gongzu (Prefectural Judicial Office, Art name Anxiu) suffered from a small lump on the chest, initially painless and itchless. Physicians thought it was a swelling/toxin suitable for dispersal, applying plasters. It turned red and painful, increasing daily. Upon examining his pulse, I said: This is Pi Ju (Skin Abscess). Inside is a hard Ding (carbuncle/nodule) the size of a little finger. It requires decoction medicine to expel it externally, and topical application to thin the skin. After twenty days, the nodule suppurated. After pus drainage, he recovered fully.
Decoction Formula:
Heshouwu (Polygoni Multiflori Radix), Jinyinhua (Lonicerae Japonicae Flos), Beimu (Fritillariae Thunbergii Bulbus), Tianhuafen (Trichosanthis Radix), Zaojiaoci (Gleditsiae Spina), Dangguiwei (Angelicae Sinensis Radix tail), Gancaojie (Glycyrrhizae Radix et Rhizoma joint).
Topical Application Formula:
Heshouwu (Polygoni Multiflori Radix), Tiannanxing (Arisaematis Tuber), Da Baizhi (Angelicae Dahuricae Radix), Chuanwu (Aconiti Radix), Dahuang (Rhei Radix et Rhizoma).
Grind into powder, apply around the area mixed with vinegar.
Yu Yongcheng suffered from a condition where food could not go down; forcing food caused vomiting and pain, yet he worked diligently as usual. He drank several cups of Renshen Tang (Ginseng Decoction) daily, but various medicines were ineffective. Upon examining his pulse, I said: This is a condition of excessive labor without moderation. Mental and physical labor without end, eating during labor, and overeating. Thus, immoderate labor injures the Spleen, and immoderate diet injures the Stomach. Stomach injury prevents intake; Spleen injury prevents transformation. However, his vital energy remains intact, making it easy to treat. I selected a quiet room and instructed him to sit quietly inside. On the first day, he ate nothing. By the next day, his spirit felt slightly calmer, and he desired food. I then gave him thin porridge. By the third or fourth day, he strongly desired food. By the seventh day, food passed through the esophagus. This is called treating the person's illness with their own method.
Wife of Xu Yuxuan suffered from a condition where she could not sleep for over a month, sat supported, panted rapidly, and had swollen head, legs, and feet. On the fortieth day, air from her throat and nose was ice-cold. She fainted repeatedly, losing consciousness. Physicians deemed it hopeless. Upon examining her pulse, I said: This is a strange condition, easiest to cure. How can anyone survive forty days without sleep or food, with cold breath from the nose? This resulted from postpartum Blood attacking upwards. The Blood wanted to exit via the mouth but could not, so it died and coagulated in the throat. Although living Qi passed through the dead Blood, the Qi became cold. Coagulated Blood and cold Qi cause distension from drinking fluids, leading to edema of the head, face, hands, and feet. Dead Blood in the throat means lying down blocks Qi from ascending, cutting off vital function. Hence, the month-long insomnia was a struggle for survival. I prescribed modified Moping Yin (Grinding Level Drink) to unblock Blood. After taking the medicine, she could sleep. Upon waking, her Qi warmed. She recovered fully in a few days.
Decoction Formula:
Honghua (Carthami Flos), Taoren (Persicae Semen), Sumu (Sappan Lignum), Peng'e Zhu (Curcumae Phaeocaulis Rhizoma), Zhiqiao (Aurantii Fructus), Wuyao (Linderae Radix), Danggui (Angelicae Sinensis Radix), Jingsanleng (Sparganii Rhizoma), Baishaoyao (Paeoniae Radix Alba).
Ye Chu'e initially suffered from a condition where his body was emaciated but his abdomen gradually enlarged with a mass, preventing food intake. I examined his pulse and prescribed a formula, promising to cure half of it. It happened exactly as predicted; the other half was beyond medicinal reach. He then requested I teach him Jing Gong (Quiet Meditation). Fortunately, the Dao affinity aligned. After seven days of opening the gates, he felt refreshed throughout his body, and the abdominal mass was vomited out. The old illness was completely cured. Four years later, sudden anger over family matters, combined with eating in the wind, caused a recurrence: persistent diarrhea. I treated him. After recovery, another condition arose: coughing, acid regurgitation, limb flaccidity, near-death gasps. Upon examining his pulse, I said: This is Mingmen Fire failing to ascend. I used Fuzi (Aconiti Lateralis Radix Praeparata) to ascend it and Rougui (Cinnamomi Cortex) floating medicine to nourish it. Symptoms gradually improved, returning to normal. Months later, during my trip to Lanjiang, Ye Chu'e vomited half a bowl of blood one night. Vomiting brought relief. At this time, Renshen (Ginseng Radix) and Guipi (Astragali Radix) etc. should have been used to secure the Primordial Spirit. Contemporary doctors did not know this and recklessly used cooling medicines. Within two days, the condition changed. Coming to Lanjiang to consult me, I saw his formula: initially using cooling Blood agents, then Hupo (Succinum)... [text missing]