泄泻多类，得于六淫五邪、饮食所伤之外，复有杂合之邪，似难执方而治。先生治暴气脱而虚，顿
泄不知人，口眼俱闭，呼吸甚微，殆欲死者，急灸气海，饮人参膏十余斤而愈。治阴虚而肾不能
司禁固之权者，峻补其肾。治积痰在肺，致其所合大肠之气不固者，涌出上焦之痰，则肺气下降而大肠
之虚自复。治忧思太过，脾气结而不能升举，陷入下焦而泄者，开其郁结，补其脾胃，使谷气升举也。
凡此不可枚举。因问∶先生治病何其神也？先生曰∶无他，员机活法，具在《内经》，熟之自得矣！退读
《内经》三年，乃知先生于泄利症，凡内外之邪，有伤生化之用，则阴阳失其居处之常，脏腑失其所司
之政，以致肠胃传化之职不修，故泄利也。
膈噎之病，得之七情、六淫，遂有火热炎上之化，多升少降，津液不布，积而为痰，为饮，为呕吐。
必须外避六淫，内节七情，饮食自养，滋血生津，以润肠胃，则金无畏火之炎，肾有生水之渐，气清血和，
则脾健运而食消磨，传送送行矣！治者例用辛香燥热，痰饮被劫，时暂得快，七情、饮食不节，其症复作，
前
药再行，积成其热，血液俱耗，胃脘干槁，大便秘少若羊矢，则难治矣。尝治番胃未至于胃脘干槁者，
一少年，食后必吐出数口，却不尽出，膈上时作声，面色如平人。病不在脾胃而在膈间，问其得病之由，
乃因大怒未止辄吃曲，即有此症，想其怒甚则死血菀于上，积在膈间，碍气升降，津液因聚为痰为饮，
与血相抟而动，故作声也。用二陈汤加香附、韭汁、莱菔子，服二日，以瓜蒂散、败酱吐之，再一日又吐，
痰中见血一盏，次日复吐见血一钟而愈。
一中年人，中脘作痛，食已乃吐，面紫霜色，两关脉涩，乃血病也。因跌仆后中脘即痛，投以生新推
陈血剂，吐血片碗许而愈。
泄泻的种类很多，除了感受六淫（风、寒、暑、湿、燥、火六种外感病邪）和五邪（指五脏之邪或五种致病因素）、饮食损伤之外，还有多种病邪混杂的情况，似乎难以用固定的方剂来治疗。先生曾治疗一例因暴发性气脱导致的虚证，患者突然腹泻不止且昏迷不省人事，口眼紧闭，呼吸极其微弱，几乎濒死。先生紧急施灸气海穴，并让人服用十余斤人参膏，患者最终痊愈。对于阴虚且肾脏失去固摄控制能力的情况，先生采用峻补肾脏的方法治疗。对于肺中积聚痰饮，导致与其相表里的大肠之气不固的情况，先生通过涌吐法排出上焦的痰饮，使肺气得以肃降，大肠的虚弱状态自然恢复。对于因过度忧思导致脾气郁结、不能升举清阳，反而陷入下焦引起泄泻的情况，先生通过疏解郁结、补益脾胃，使谷气能够升举。以上种种情况无法一一列举。有人问：“先生治病为何如此神奇？”先生回答说：“没有别的奥秘，圆机活法（灵活变通的治疗原则）都包含在《黄帝内经》中，熟读自能领悟。”我退而研读《黄帝内经》三年，才明白先生在治疗泄利病症时，凡是内外邪气损伤了人体生化功能，就会导致阴阳失去正常的平衡位置，脏腑失去其应有的职能，致使肠胃传导消化的职责废弛，从而产生泄利症状。
膈噎（胸膈阻塞、吞咽困难）这类疾病，多由七情（喜、怒、忧、思、悲、恐、惊七种情志变化）和六淫引起，进而转化为火热炎上的病理变化，表现为气机多升少降，津液不能布散，积聚而成痰饮，引发呕吐。治疗时必须在外避开六淫侵袭，在内节制七情波动，通过饮食调养自身，滋养血液、生津液，以滋润肠胃。这样，肺金就不会畏惧心火的刑克，肾水也有逐渐滋生的机会，气清血和，脾脏健运而食物得以消化，传送功能恢复正常。然而，医生们通常习惯使用辛香燥热的药物，虽然痰饮被暂时驱除，患者一时感到舒适，但如果七情失调、饮食不节，症状就会复发。再次服用前药，会积热内生，耗伤血液，导致胃脘干燥枯槁，大便干结量少如羊粪状，这就难以治疗了。我曾治疗过一个反胃（食入即吐或朝食暮吐）但尚未发展到胃脘干枯的患者，是一名少年，进食后必吐出几口，但不能完全吐出，胸膈上方时常发出声响，面色却像正常人一样。我认为病位不在脾胃而在膈间。询问他得病的原因，是因为大怒未平息时就吃了酒曲发酵的食物，因此出现此症。我想这是因为愤怒至极导致瘀血郁结于上部，积聚在膈间，阻碍气机的升降，津液因此聚集成痰饮，与瘀血相互搏结而动，所以发出声响。我使用二陈汤（燥湿化痰、理气和中的基础方）加入香附、韭菜汁、莱菔子，服用两天后，再用瓜蒂散（催吐方剂）配合败酱草催吐，第二天又进行催吐，痰中带出一盏血，次日再次催吐见血一钟后痊愈。
还有一位中年人，中脘部位疼痛，进食后才呕吐，面色呈紫霜色，左右关脉涩滞，这是血分病变。因为他跌打损伤后中脘随即疼痛，我投以生新推陈（活血化瘀、去旧生新）的血证药剂，患者吐出一碗左右的淤血后痊愈。
Diarrhea presents in various forms. Beyond injuries caused by the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire) and Five Evils, as well as dietary damage, there are often mixed pathogenic factors, making it difficult to treat with a fixed prescription. The Master once treated a case of sudden Qi collapse leading to deficiency, where the patient suffered from acute diarrhea, loss of consciousness, closed mouth and eyes, extremely faint respiration, and was near death. The Master urgently moxibustioned Qihai (CV6), and administered over ten jin of Ginseng Paste, resulting in recovery. For cases of Yin deficiency where the Kidney loses its power of consolidation and retention, the Master employed vigorous tonification of the Kidney. In cases where accumulated phlegm in the Lung causes the Qi of the Large Intestine (its interiorly-exteriorly related organ) to become insecure, the Master used emesis to expel phlegm from the Upper Jiao, allowing Lung Qi to descend and the deficiency of the Large Intestine to naturally restore. For diarrhea caused by excessive worry and thought, which knots the Spleen Qi, preventing its ascending and lifting function, causing it to sink into the Lower Jiao, the Master resolved the stagnation and tonified the Spleen and Stomach, enabling Grain Qi to ascend. These examples cannot be exhaustively listed. Someone asked, "Why is your treatment of diseases so miraculous?" The Master replied, "There is no other secret; flexible application of principles is contained within the *Huangdi Neijing* (Yellow Emperor's Inner Canon). Familiarity with it leads to natural understanding." After retreating to study the *Huangdi Neijing* for three years, I came to understand that when treating diarrhea and dysentery, whenever internal or external pathogens impair the body's metabolic functions, Yin and Yang lose their normal positions, Zang-Fu organs lose their governing roles, and the transmission and transformation duties of the intestines and stomach are neglected, thus causing diarrhea and dysentery.
Dage (obstruction in the chest/diaphragm) and Yie (difficulty swallowing) arise from the Seven Emotions (Joy, Anger, Worry, Thought, Sadness, Fear, Fright) and the Six Excesses, leading to transformations of Fire and Heat flaring upward. This results in Qi rising excessively and descending insufficiently, fluids failing to distribute, accumulating into Phlegm and Fluid Retention, causing vomiting. One must avoid the Six Excesses externally, regulate the Seven Emotions internally, nourish oneself through diet, generate Blood and fluids to moisten the intestines and stomach. Then, Metal will not fear the inflammation of Fire, Kidney Water will have gradual generation, Qi will be clear and Blood harmonious, the Spleen will transport effectively, food will be digested, and transmission will proceed smoothly. However, practitioners typically use pungent, aromatic, dry, and hot herbs. Although Phlegm and Fluids are temporarily劫ed (driven away), providing momentary relief, if emotions remain unregulated and diet is irregular, symptoms recur. Re-administering previous medicines accumulates Heat, consumes Blood and fluids, leading to dryness and withering of the Epigastrium, and constipation with stool resembling sheep pellets, which becomes difficult to treat. I once treated a young man with Fanwei (regurgitation/vomiting after eating) who had not yet reached the stage of epigastric dryness. He would vomit a few mouthfuls after eating but not all of it, making sounds above the diaphragm, while his complexion appeared normal. I determined the disease lay not in the Spleen and Stomach but in the Diaphragm area. Asking about the cause, he explained he consumed fermented grains immediately after a fit of rage. I surmised that extreme anger caused stagnant Blood to accumulate in the upper part, lodging in the diaphragm, obstructing the ascent and descent of Qi. Fluids gathered into Phlegm and Fluid Retention, battling with the Blood, causing movement and sound. I prescribed Erchen Tang (Two-Cured Decoction) augmented with Cyperi Rhizoma (Xiangfu), Allii Tuberosi Juice (Jiuji), and Raphani Semen (Laifuzi). After two days of administration, I induced vomiting using Gouti San (Melon Tendril Powder) combined with Patriniae Herba (Baijiangcao). On the second day of vomiting, one cup of blood was found in the phlegm; on the third day, another cup of blood was expelled upon vomiting, and he recovered.
Another case involved a middle-aged man suffering from pain in the Zhongwan region, vomiting only after eating, with a purplish-frost complexion and choppy pulses at both Guan positions, indicating a Blood disorder. Following a fall, he experienced immediate Zhongwan pain. I administered a formula to promote new Blood formation and eliminate old Blood (stasis). He vomited approximately one bowl of bloody material and recovered.