一女人胎八九月矣，忽腰痛甚。诊之，六脉俱细，二尺涩且弦。予疑之，视其怀抱不虚
。予
期而产一子，然不暮而亡。观此女素禀弱，勉得胎孕，而乏其滋养，宜如此之克验也。
侄男，甫六岁。三月间，忽然热，三日，右面心胃经部分出痘一颗，如鹅眼大，右眼弦
胞皮上一颗，不甚发而没，余而细红筋数条，至五六日不贯浆，发热烦躁，昼夜不睡，肚饱，咬
牙，寒战，抽搐，时刻叫喊不安。余视之，六脉俱八、九至，幸大便不泻。予思曰∶肚饱者
，脾胃弱不能输运毒瓦斯也；烦躁者，肾水不足而有火也；抽搐切牙者，水不能生木，枯木生
火，风火摇动之象，乘其所不胜也。大法，当
先保元气，清肺金，生肾水，水旺木滋，而火自息，遂合方名保七六三汤，保元汤七分，六
味汤料三分也，加门冬、五味。一帖，鼾睡半日，醒而复躁，复半日，偏身如蚊啮之状，甚
细。又照前一帖，复睡如前，醒后烦不安。予曰∶鼾睡，得药暂元气少复，邪气少退之故；
复烦者，里毒未尽出也。复用参 四圣饮二帖，浆足，黄如蜡色，又七、八日方脱靥。古人
云∶三日热，三日透，三日齐，三日浆足，三日脱靥，此正气不虚者言也，虚而邪盛者，不
拘于此。余曾见切牙寒战，俱弃之不医，而诸书亦云难治，惟立斋先生有治方，不拘此，神
化再出，非庸医可觑其一二者。
叶少池令郎，年十五。发热，足不能行，且痛。予诊之，六脉俱十至，二尺弦细，此血
虚发热，兼湿有寒。用逍遥散加酒柏三分、苍术一钱三分、吴萸三分，二帖全愈，予不意应效如
此之捷。（近年荣相文忠公患此证，即用此方，神效，但不除根。）
丁会成，年四十余，春季右腿正面忽痛麻。诊之，右三部洪数五六至，问口渴否？曰∶
是也。升麻葛根汤二帖而愈。
壬寅九月间，大妹，年二十一岁。缘家贫忧闷，忽患乳痈，不信服药，渐至胀长尺许，
极为可骇。予思石山先生微义，大都人患疮痈，畏针不早开脓，致大伤阳气，后难收复，即以神
效栝蒌散二剂与服之，脓即射出，厥后果然疮口不收，汗出如珠，至日西则昏愦不省人事。
予曰∶虽脓已出，阳气终损，第未全脱耳。诊之，脾胃命门脉细弦，余浮无沉，按无力，此
阳气虚也，以十全大补及补中益气出入服之，数十剂方愈，仍令再服八味丸数斤，无后患，
不则，阳气终难恢复。以怠惰不如所言，来年十月间，前阳虚之症复作，流汗如珠，拭去复
有。予曰∶此少服八味丸之故。以补中益气加吴茱萸、破故纸、干姜，二三帖即减，数十帖
而安。复教以服前丸，妹犹未果。又来年七月患伤风状，来告予欲药。予曰∶此阳虚不卫外
之故，以补中益气二帖服之。缘中气寒极，不甚应病，已十二三日矣。复召予视之，汗出流
水，面赤，舌出不收，呕恶吐痰吐酸，昼夜不知人事，下泻清水，满口皆碎，膈中隔塞不通
。诊其脉，十至余，有影无形，浮中沉俱无力，脉状难定，明知前症之虚寒，寻思东垣《此
事难知》之旨，上吐下泻，此中气不和，脾胃虚寒之症也。即投理中汤加吴萸、姜汁炒山栀
。一帖，上下皆通，舌收、喘定、痰止，遂索汤水，惟昏愦如故。再一帖，口疮尽愈。与
十全大补汤，并服加减八味丸，二十剂余，两太阳各生小疖一二枚，前数脉尽退，方识人。
自云∶向昼夜如梦，今日方醒。九月尽，再诊之，豁大难明之脉已退，惟细弦耳，尚呃逆吐
痰，重以六君加吴萸、干姜、砂仁、煨姜，一二剂呃止。复以异功散加干姜、吴萸及前二丸
邱子明，年五十外。左乳上发一肿，服消毒药，且不戒劳，又兼远行，遂肿大如盘，高
一寸
而
钱，姜、桂各五分。一剂，至晚即睡，不觉天明，肿遂平，呕恶减半。再剂，呕恶去，饮食
顿增。复用八珍汤去地黄，加 、桂、姜如前，腐如瓜瓤，此阳气尚能作腐，可医之兆。予
适他往，瘀死之肉剪迟，疮面链接，色黑如墨，重发热攻开。一方医为割之，热透遂凉，仍
服消毒药，乃泄泻，日数十行，呕恶、渴甚、肚痛，疮紫黑。予归，急用六君加 、姜、桂
如前，煎送四神丸百粒。二剂，泄泻止半；三剂，肚痛、泄泻俱定，疮色变红，但渴不止，
此真阴亏也。用八物去地黄加 、姜，送下加减八味丸七十余粒，数十剂而愈。（此节有讹
一友，年二十外。左边睾丸并腰痛，医以大黄等药与之，约六七日矣。反发热、痛甚。此寒
气着于内，着而不行也。余诊之，二尺沉按弱细，余俱洪数，且有滑意，予曰∶此作痛将欲
成脓，用真人活命饮加人参（五分，缺）牛蒡子。一剂痛减，二剂全愈。
蒋子贤，年四十外。因长途劳顿兼酒色，面若熏黑，橘黄带微黑也。无力不思食，六脉
俱细
至三十帖，面红活，但作泻未止，与以四神丸。三四服而愈，第觉左边睾丸有肿意，此脾健
运，湿热下流之故也。不及治之，复北行，酒色两兼，且受恼怒，重发热不安，与补中益气
汤加羌活、蔓荆。一帖，热稍退，而阴子肿大如鹅子大，左脉洪，用小柴胡汤合四物加车前
。一帖，不减，且溺则小便涩痛难出，口干，发热。更加龙胆泻肝汤加牛蒡子。七八帖，发
热退去，口干亦减，溺亦不涩，睾丸肿软十八，又服数剂。服活命饮加牛蒡、人参，十数剂
王岐冈，年十七，读书坐久受寒，遂左边睾丸作痛。用真人活命饮加牛蒡、人参，八帖
陆起潜，右拗患肿作痛，六脉洪数，右关尤甚。用逍遥散加川芎，二帖而愈。予曰∶洪，心
脉也；数者，火旺水亏之征也；而右脉盛，气有余而血不足也。肝血不足，肝木生火，故脉
洪数也。而右阴 肿痛者，以右脉甚也， 者，肝家部分，肝木为火所烁，则筋急，而拘挛
肿痛也。以前汤清其热，养其血，培其根，故捷如影响也。（亦泻实火耳，非养阴培根也。）
伸故耳，六脉俱洪大有力，数有十至。用加味逍遥散，四帖而愈。越二月，手足复患如前，六脉
俱按洪大，以四物加术、陈、 、门、味，八帖而愈。
伍姓，久患漏肿，肛口连臀尖流血不止。医以大黄末敷之，其肉渐黑硬麻，且病目，红
筋满珠，开合不便。余视之，以逍遥加味者，添桃仁、连翘。十余剂服之，而红筋十退六、七，
而漏亦稍可。予复令揭去大黄，日灸艾十余壮，候痛即撤之，内服托里消毒散加破故纸，以
其命门脉弦故也。服数十剂，此方去取一二味后，肉渐软红活而愈，亦教以服六味地黄丸加
统观诸案，恪守立斋家法，理路正大，第药力太薄，法少变化，不足治大病，启后学。
在气血微虚，津液不足，而经络未有痼痹者，自可收功。若夫虚极之重病，实极之暴病，虚实杂
极之奇病，诸方安能制之？故讲方法者，必有《伤寒》、《金匮》之矩 ，兼《千金》、《
台》之魄力，乃能任艰巨，适变化而不竭焉。此书格律谨严，可为老人、虚人调养指南。首
二卷颇有精语，极宜潜玩，视近世好为张皇幽渺词蔓理晦者，奚啻霄壤？
一位女性怀孕八到九个月时，突然腰部剧烈疼痛。诊察发现，六脉皆细，两尺脉涩且弦。我对此感到怀疑，观察她怀抱中并无空虚之象（指胎气尚存）。预产期到了后生下一个儿子，但孩子不到傍晚就夭折了。看这女子素来体质虚弱，勉强受孕，却缺乏滋养，所以出现这种克应验证的情况是必然的。
侄子的儿子，刚满六岁。三月间，忽然发热，持续三天，右侧面部心经和胃经分布区域长出一颗痘疹，大小如鹅眼；右眼睑皮上也有一颗，尚未完全发出就隐没下去了，其余部位有几条细小的红筋。到了第五、六天，痘疹没有灌浆，伴有发热、烦躁，昼夜无法入睡，腹部胀满，咬牙，寒战，抽搐，时刻叫喊不安。我看他的脉象，六脉都达到每呼吸一次跳动八九次，幸好大便没有泄泻。我思考道：腹部胀满，是因为脾胃虚弱，不能输运毒邪；烦躁，是因为肾水不足而有虚火；抽搐和咬牙，是因为水不能生木，枯木生火，这是风火摇动的征象，属于乘袭其所不胜（即肝木受肺金克制或反侮等复杂病机）的大法。应当先保护元气，清肃肺金，滋生肾水，使水旺木滋，则火自平息。于是合方名为“保七六三汤”，由七分保元汤和三分六味地黄丸的药料组成，加入麦门冬、五味子。服用一帖后，打鼾睡了半天，醒来后又烦躁，再睡半天，全身像被蚊子叮咬一样，感觉非常细微。又照前一帖服用，再次像之前那样睡觉，醒后烦闷不安。我说：打鼾睡眠，是药物暂时使元气稍复、邪气稍退的缘故；再次烦躁，是因为体内的毒邪未尽排出。于是再用参四圣饮两帖，痘浆充足，颜色如蜡色，又过了七八天才结痂脱落。古人说：三日热，三日透发，三日齐整，三日浆足，三日脱痂，这是针对正气不虚的人说的。对于正气虚弱而邪气盛的人，不拘泥于这个规律。我曾见过咬牙寒战的病例，都被放弃不治疗，而且各种医书也说难治，只有立斋先生有治疗方法，不拘泥于此，神妙变化，不是庸医能窥探其一二道理的。
叶少池的公子，十五岁。发热，脚不能行走，并且疼痛。我诊察他，六脉都达到每呼吸一次跳动十次，两尺脉弦细。这是血虚发热，兼有湿气和寒气。用逍遥散加酒炒黄柏三分、苍术一钱三分、吴茱萸三分，服用两帖后痊愈，我没料到疗效如此迅速。（近年来荣相文忠公患此证，也用此方，效果神妙，但不能除根。）
丁会成，四十多岁，春季右腿正面忽然疼痛麻木。诊察发现，右三部脉洪数，每呼吸一次跳动五六次。问他是否口渴？回答说：“是的。”服用升麻葛根汤两帖而愈。
壬寅年九月间，我的大妹妹，二十一岁。因为家境贫穷忧愁郁闷，忽然患上乳痈，不相信服药，逐渐肿胀长达一尺多，极为骇人。我想石山先生的微言大义，大多人患疮痈，畏惧针刺而不早点排脓，导致严重损伤阳气，后来难以收复，于是立即给她服用神效栝蒌散两剂，脓液随即射出，后来果然疮口不能愈合，出汗如珠，到了傍晚时分昏愦不省人事。我说：虽然脓已排出，但阳气终究受损，只是还没有完全脱失罢了。诊察发现，脾胃和命门的脉细弦，其余脉浮而无沉象，按之无力，这是阳气虚的表现。于是服用十全大补汤和补中益气汤加减，几十帖后才痊愈，仍然让她再服用几斤八味丸，以免后患，否则，阳气终究难以恢复。因为她懒惰不听我的话，第二年十月间，之前的阳虚症状复发，流汗如珠，擦去又有。我说：这是少服八味丸的缘故。用补中益气汤加吴茱萸、破故纸、干姜，二三帖即减轻，几十帖才安定。又教她服用前面的药丸，妹妹还是没有完成。又过了一年七月，患了类似伤风的病症，来告诉我想要用药。我说：这是阳虚不能卫护体表的缘故，服用补中益气汤两帖。因为中气极寒，药效不明显，已经十二三天了。再次召我去诊治，出汗如水，面赤，舌头伸出不能收回，呕吐恶心吐痰吐酸，昼夜不知人事，下利清水，满口溃烂，膈中堵塞不通。诊察她的脉象，每呼吸一次跳动十多次，有影无形，浮中沉三候都无力，脉状难以确定。明知是前症的虚寒，寻思东垣《此事难知》的宗旨，上吐下泻，这是中气不和，脾胃虚寒的病症。立即投予理中汤加吴茱萸、姜汁炒山栀。一帖后，上下皆通，舌头收回，喘息平定，痰止，于是索要汤水，只是依然昏愦如故。再服一帖，口疮全部痊愈。给予十全大补汤，并服用加减八味丸，二十余剂后，两侧太阳穴各长出小疖子一两个，前面的数脉全部消退，才能识人。自己说：从前昼夜如梦，今天才清醒。九月末，再诊察，豁大难明的脉象已退，只是细弦而已，还有呃逆吐痰，重用六君子汤加吴茱萸、干姜、砂仁、煨姜，一二帖呃逆停止。再用异功散加干姜、吴茱萸及前面两种药丸。
邱子明，五十多岁。左乳上长了一个肿，服用消毒药，且不戒除劳累，又加上远行，于是肿大如盘，高一寸。用姜、桂各五分。一帖，到晚上就睡着，不知不觉天亮了，肿随之平复，呕吐恶心减半。再服一帖，呕吐恶心去除，饮食顿时增加。再用八珍汤去掉地黄，加黄芪、肉桂、干姜如前法，腐肉如瓜瓤，这是阳气尚能化腐，是可以医治的征兆。我恰好外出，瘀死之肉剪除延迟，疮面连接，颜色黑如墨，再次发热攻开。另一位医生为他割除，热透遂凉，仍服用消毒药，于是发生泄泻，每天数十次，呕吐恶心，极度口渴，腹痛，疮色紫黑。我回来，急忙用六君子汤加黄芪、干姜、肉桂如前法，煎汤送服四神丸一百粒。两帖，泄泻止住一半；三帖，腹痛、泄泻都安定，疮色变红，只是口渴不止，这是真阴亏损。用八物汤去掉地黄加黄芪、干姜，送下加减八味丸七十多粒，几十帖后痊愈。（这一节文字有误）
一位朋友，二十多岁。左边睾丸和腰痛，医生用大黄等药给他，大约六七天了。反而发热，疼痛加剧。这是寒气着于体内，附着而不运行。我诊察他，两尺脉沉按弱细，其余脉洪数，且有滑意。我说：这是作痛将要成脓，用真人活命饮加人参（五分，缺）、牛蒡子。一帖痛减，二帖全愈。
蒋子贤，四十多岁。因为长途劳顿兼饮酒色欲，面色像熏黑一样，橘黄色带微黑。无力不想吃东西，六脉皆细。服用三十帖后，面色红润，只是腹泻未止，给予四神丸。三四服而愈，只觉左边睾丸有肿胀之意，这是脾健运，湿热下流的缘故。来不及治疗，又向北行，酒色两兼，且受恼怒，再次发热不安，给予补中益气汤加羌活、蔓荆子。一帖，热稍退，而阴囊肿大如鹅蛋大，左脉洪，用小柴胡汤合四物汤加车前子。一帖，不减，且小便涩痛难出，口干，发热。更加龙胆泻肝汤加牛蒡子。七八帖，发热退去，口干亦减，小便也不涩，睾丸肿软十八（此处疑为衍文或错字，意指肿胀消退），又服数剂。服用活命饮加牛蒡、人参，十数剂……（原文此处似乎有缺失或排版错误，结合上下文推测为继续治疗过程）
王岐冈，十七岁，读书久坐受寒，于是左边睾丸作痛。用真人活命饮加牛蒡、人参，八帖……（原文此处似乎有缺失）
陆起潜，右侧腋下患肿作痛，六脉洪数，右关脉尤其甚。用逍遥散加川芎，二帖而愈。我说：洪，是心脉；数者，是火旺水亏的征象；而右脉盛，是气有余而血不足。肝血不足，肝木生火，所以脉洪数。而右侧阴部肿痛，是因为右脉甚，阴部是肝家部分，肝木为火所烁，则筋急，而拘挛肿痛。用前面的汤药清其热，养其血，培其根，所以快捷如影响。（这也是泻实火罢了，并非养阴培根。）
伸故耳（此处原文可能有误，结合下文应为另一案例或续文），六脉俱洪大有力，数有十至。用加味逍遥散，四帖而愈。越二月，手足复发如前，六脉俱按之洪大，以四物汤加白术、陈皮、黄芪、麦门冬、五味子，八帖而愈。
伍姓，久患漏肿，肛口连臀尖流血不止。医生用大黄末敷之，其肉渐黑硬麻，且病目，红筋满珠，开合不便。我看他用逍遥散加味，添桃仁、连翘。十余剂服用后，红筋退了六七成，而漏症也稍微好转。我又令他揭去大黄，每日灸艾十余壮，候痛即撤去，内服托里消毒散加破故纸，因为其命门脉弦的缘故。服用几十剂，此方去取一二味后，肉渐软红活而愈，也教他服用六味地黄丸加……（原文此处截断）
统观诸案，恪守立斋家法，理路正大，只是药力太薄，方法少变化，不足以治大病，启发后学。在气血微虚，津液不足，而经络未有痼痹者，自然可以收功。如果是虚极的重病，实极的暴病，虚实夹杂的奇病，各种方剂怎么能控制得了？所以讲究方法的人，必须有《伤寒论》、《金匮要略》的法度，兼有《千金方》、《外台秘要》的魄力，才能胜任艰巨，适应变化而不枯竭。这本书格律严谨，可作为老人、虚人调养指南。前两卷颇有精语，极宜潜心玩味，与近世喜欢夸大幽渺、词蔓理晦的人相比，何止是天壤之别？
A woman was eight or nine months pregnant when she suddenly experienced severe lower back pain. Upon diagnosis, all six pulses were fine (Xì), and the two Chi (尺) pulses were choppy (Sè) and wiry (Xián). I harbored doubts, observing that her womb did not appear empty (indicating the fetus was still viable). She delivered a son at term, but the child died before evening. Observing that this woman had always been constitutionally weak and had conceived with difficulty, lacking sufficient nourishment, it was inevitable that such a fatal outcome would occur.
My nephew’s son was just six years old. In March, he suddenly developed a fever lasting three days. A single pock appeared on the right side of his face in the distribution of the Heart and Stomach meridians, the size of a goose eye; another appeared on the eyelid of the right eye but failed to fully erupt and subsided. Several fine red veins appeared elsewhere. By the fifth or sixth day, the pocks had not filled with pus. He suffered from fever, irritability, sleeplessness day and night, abdominal distension, teeth grinding, chills, convulsions, and constant crying and restlessness. His pulses were rapid, beating eight or nine times per breath across all positions. Fortunately, there was no diarrhea. I reasoned: Abdominal distension indicates Spleen and Stomach weakness failing to transport and transform toxic factors; irritability indicates insufficient Kidney Water leading to deficient fire; convulsions and teeth grinding indicate Water failing to generate Wood, resulting in dry Wood generating fire, a sign of Wind-Fire agitation attacking the unconquered (Liver Wood being attacked by Lung Metal or vice versa). The general principle is to first protect the Original Qi, clear Lung Metal, and generate Kidney Water. When Water is abundant and Wood is nourished, Fire will subside spontaneously. Thus, I combined formulas into "Bao Qi Liu San Tang," consisting of seven parts Baoyuan Tang and three parts Liuyun Wan ingredients, adding Dongchong Xiacao (Ophiopogon tuber) and Wuweizi (Schisandra fruit). After one dose, he slept with snoring for half a day, woke up irritable again, slept for another half day, and felt as if bitten by mosquitoes all over his body, very finely. Administering the same dose again, he slept similarly, waking up restless. I said: Snoring sleep indicates a temporary recovery of Original Qi and slight retreat of pathogenic factors due to the medicine; recurring irritability indicates that internal toxins have not yet fully expelled. Therefore, I administered Shensi Yin (Four Saints Drink) with Ginseng for two doses. The pocks filled with pus, turning yellow like wax color, and scabs fell off after another seven or eight days. Ancients said: Three days of fever, three days of eruption, three days of uniformity, three days of pus filling, three days of scabbing—this applies to those with strong Zheng Qi. For those with deficient Zheng Qi and excessive pathogens, these rules do not strictly apply. I have seen cases of teeth grinding and chills abandoned by doctors, and medical texts also deem them difficult to treat. Only Master Lizai had treatment methods that transcended these limits, achieving miraculous results, which mediocre physicians cannot comprehend.
Master Ye Shaochi’s eldest son, aged fifteen, suffered from fever and inability to walk due to pain. Diagnosis revealed all six pulses beating ten times per breath, with the two Chi pulses wiry and fine. This indicated Blood deficiency causing fever, complicated by Dampness and Cold. I prescribed Xiaoyao San (Free and Easy Wanderer Powder) with Jiu Bai (Alcohol-processed Phellodendron bark) 3 fen, Cangzhu (Atractylodes rhizome) 1 qian 3 fen, and Wuzhuyu (Evodia fruit) 3 fen. He recovered completely after two doses. I did not expect such swift efficacy. (In recent years, Rong Xiang Wenzhong Gong suffered from this condition and used this formula with miraculous effect, though it did not cure the root cause.)
Ding Huicheng, over forty years old, suddenly experienced pain and numbness on the front of his right leg in spring. Diagnosis showed the three pulses on the right side were surging and rapid, beating five or six times per breath. When asked if he was thirsty, he confirmed it. He recovered after two doses of Shengma Gegen Tang (Kudzu and Cimicifuga Decoction).
In September of the Renyin year, my eldest sister, aged twenty-one, suffering from poverty and worry, suddenly developed breast carbuncle (Ru Yong). Disbelieving in medication, her swelling grew to over a chi in length, extremely alarming. Recalling Mr. Shishan’s subtle principles, most people with sores and carbuncles fear acupuncture and delay draining pus, severely damaging Yang Qi and making recovery difficult later. I immediately administered Shenxiao Gualou San (Miraculous Trichosanthes Powder) for two doses. Pus was discharged immediately. Later, indeed, the wound failed to close, sweating occurred like pearls, and by late afternoon, she became comatose. I said: Although pus was discharged, Yang Qi was ultimately damaged, though not completely depleted. Diagnosis showed the Spleen/Stomach and Mingmen pulses were fine and wiry, while others were floating without sinking, and powerless upon pressure, indicating Yang Qi deficiency. I administered Shiquan Dabu Tang (Complete Great Tonifying Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) alternately. After dozens of doses, she recovered. I instructed her to take several jin of Bawei Wan (Eight-Ingredient Pill) to prevent recurrence; otherwise, Yang Qi would be hard to restore. Due to her laziness and disobedience, the previous Yang deficiency symptoms recurred in October of the following year, with pearl-like sweating. I said: This is due to insufficient intake of Bawei Wan. I prescribed Buzhong Yiqi Tang plus Wuzhuyu, Pugu Zhi (Psoralea fruit), and Ganjiang (Dried Ginger). Symptoms reduced after two to three doses and stabilized after dozens. I taught her to take the previous pill again, but she did not complete the course. In July of the next year, she contracted a wind-cold pattern and sought medication. I said: This is due to Yang deficiency failing to defend the exterior. I prescribed Buzhong Yiqi Tang for two doses. Because the Middle Qi was extremely cold, the response was poor, lasting twelve to thirteen days. Upon re-examination, she was sweating profusely, face red, tongue protruding and unable to retract, vomiting phlegm and acid, unconscious day and night, purging clear water, mouth ulcers, and chest obstruction. Pulses were rapid, over ten beats per breath, shadowy formless, powerless in all depths, difficult to define. Knowing the prior syndrome was deficiency-cold, I recalled Dongyuan’s *Cishi Nan Zhi* (Difficulties in This Matter): Upper vomiting and lower purging indicate Middle Qi disharmony and Spleen/Stomach deficiency-cold. I immediately administered Lizhong Tang (Regulate the Middle Decoction) plus Wuzhuyu and Zhizi (Gardenia fruit) stir-fried with ginger juice. After one dose, upper and lower passages cleared, tongue retracted, panting stopped, phlegm ceased, and she requested soup/water, though still comatose. After another dose, oral ulcers healed. I gave Shiquan Dabu Tang and Jiaban Bawei Wan. After more than twenty doses, small boils appeared on both temples, previous rapid pulses retreated, and she regained consciousness. She stated: Previously, day and night were like dreams; today I finally woke up. At the end of September, upon re-diagnosis, the large indistinct pulse had retreated to fine and wiry, with hiccups and phlegm. I heavily prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) plus Wuzhuyu, Ganjiang, Sharen (Amomum fruit), and Wei Jiang (Roasted Ginger). Hiccups stopped after one or two doses. Then I used Yigong San (Extraordinary Aid Powder) plus Ganjiang, Wuzhuyu, and the previous two pills.
Qiu Ziming, over fifty, developed a swelling on the left breast. After taking detoxifying herbs, continuing labor, and traveling far, it swelled like a plate, one cun high. I prescribed Jiang (Ginger) and Gui (Cinnamon twig) each 5 fen. After one dose, he slept until dawn, swelling flattened, and vomiting halved. After another dose, vomiting ceased, appetite increased. I then used Bazhen Tang (Eight Treasure Decoction) minus Dihuang, adding Huangqi (Astragalus), Rougui (Cinnamon bark), and Jiang as before. The necrotic tissue resembled melon pulp, indicating Yang Qi could still transform rot, a sign of recoverability. I was away, delaying the removal of dead flesh. The wound edges connected, black as ink, and fever returned. Another doctor cut it open; heat dissipated and cooled, but he continued detoxifying herbs, leading to diarrhea, dozens of times daily, vomiting, extreme thirst, abdominal pain, and purple-black sores. Upon my return, I urgently prescribed Liu Jun Zi Tang plus Huangqi, Jiang, and Gui as before, decocted to send down Sishen Wan (Four Spirits Pill) 100 pills. After two doses, diarrhea halved; after three, abdominal pain and diarrhea settled, sore turned red, but thirst persisted, indicating True Yin deficiency. I used Bayu Tang minus Dihuang plus Huangqi and Jiang, sending down Jiaban Bawei Wan over seventy pills. After dozens of doses, he recovered. (This section contains errors.)
A friend, over twenty, suffered from left testicular and lower back pain. The physician gave him Dahuang (Rhubarb) etc. for about six or seven days. Fever and severe pain ensued. This was Cold Qi lodging internally and stagnating. Diagnosis showed Chi pulses deep, weak, and fine; others were surging, rapid, and slippery. I said: Pain indicates impending suppuration. I prescribed Zhenren Huoming Yin (True Man’s Life-Saving Decoction) plus Renshen (Ginseng, 5 fen, missing in text) and Niubangzi (Arctium fruit). Pain reduced after one dose, cured after two.
Jiang Zixian, over forty, suffered from long-distance fatigue and sexual excess. Face was darkened like smoke, orange-yellow with slight blackness. Weakness and anorexia. All six pulses were fine. After thirty doses [of tonification], face became ruddy, but diarrhea persisted. Given Sishen Wan. Cured after three or four doses. However, left testicle felt swollen, indicating Spleen strengthening transforming Damp-Heat flowing downward. Not treated timely, he traveled north, indulged in wine and sex, and suffered anger. Fever and restlessness returned. Given Buzhong Yiqi Tang plus Qianghuo (Notopterygium rhizome) and Manjingzi (Vernonia seed). After one dose, fever slightly subsided, but scrotum swelled like a goose egg, left pulse surging. Given Xiao Chaihu Tang combined with Siwu Tang plus Cheqianzi (Plantago seed). No improvement after one dose; urination painful and difficult, dry mouth, fever. Added Longdan Xiegan Tang (Gentian Liver-Draining Decoction) plus Niubangzi. After seven or eight doses, fever and dry mouth subsided, urination smooth, testicle soft/swelling reduced. Continued with Huoming Yin plus Niubangzi and Renshen for over ten doses.
Wang Qigang, seventeen, sat reading too long and caught cold, causing left testicular pain. Used Zhenren Huoming Yin plus Niubangzi and Renshen for eight doses.
Lu Qiqian, right axilla swollen and painful. Six pulses surging and rapid, especially Guan position on right. Used Xiaoyao San plus Chuanxiong (Ligusticum rhizome). Cured after two doses. I said: Surging is Heart pulse; rapid indicates Fire excess and Water deficiency; right pulse dominance indicates Qi excess and Blood deficiency. Liver Blood deficiency leads to Liver Wood generating Fire, hence surging/rapid pulse. Right yin area swelling/pain is due to strong right pulse; yin area belongs to Liver. Liver Wood scorched by Fire causes tendon tension, contraction, swelling, and pain. Using the previous decoction to clear Heat, nourish Blood, and cultivate the root yielded swift results. (This is clearing Excess Fire, not nourishing Yin and cultivating the root.)
[Text fragment] ...all six pulses surging, large, forceful, rapid with ten beats. Used Jiaban Xiaoyao San (Modified Free and Easy Wanderer Powder). Cured after four doses. Two months later, hands and feet relapsed. All pulses surging/large upon pressure. Used Siwu Tang plus Baizhu (Atractylodes macrocephala), Chenpi (Tangerine peel), Huangqi, Maidong (Ophiopogon), and Wuweizi. Cured after eight doses.
Wu family member, chronic leaking abscess, anus to buttock tip bleeding continuously. Doctor applied Dahuang powder externally, flesh turned black/hard/numb, eyes affected with red veins covering sclera, difficult opening/closing. I observed using Xiaoyao San modified with Taoren (Peach kernel) and Lianqiao (Forsythia). After ten-plus doses, red veins reduced by 60-70%, leakage improved. I ordered removal of Dahuang, moxa moxibustion ten-plus cones daily until pain, then stop. Internally, Tuoli Xiaodu San (Support Interior and Detoxify Powder) plus Pugu Zhi, due to wiry Mingmen pulse. After dozens of doses, adjusting one or two herbs, flesh softened/red/ruddy, cured. Also advised Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia).
Reviewing all cases, adhering strictly to Lizai’s school methods, the logic is upright and correct, but the medicinal strength is too mild, and methods lack variation, insufficient for major diseases, serving mainly to inspire students. For mild Qi/Blood deficiency and fluid insufficiency without chronic meridian blockage, success is natural. But for extreme deficiency critical illnesses, extreme excess acute illnesses, or complex deficiency/excess bizarre illnesses, how can standard formulas control them? Thus, those studying methods must possess the framework of *Shanghan Lun* and *Jingui Yaolue*, combined with the boldness of *Qianjin Yaofang* and *Waitai Miyao*, to handle arduous tasks and adapt to changes endlessly. This book is rigorous in structure, serving as a guide for elderly and deficient persons’ care. The first two volumes contain profound insights, worthy of deep contemplation, compared to contemporary works that exaggerate obscurity and obscure reasoning—a difference as vast as heaven and earth.