进猪苓汤后，所见下痢已减其半，所化之邪亦减其半。所以唇之肿者能消，齿之垢者能
清，以及右脉之弦数者能缓能和，似属佳兆。然左脉细小，按之仍属无神，且兼关部带弦。
弦主乎肝，细小无神又主乎真阴不足。惟以不足之真阴，难以涵养肝木，肝木顺乘土中，尤
为易事。如土中尚属有权，往往于病邪消化之
后，胃口渐开，生机可望。此乃胃中之津液早被热气所伤，又为下痢所劫，一伤一劫杳不思
谷，干呕恶心，所为津劫病至，津竭祸来，此等症是也。若论上肠盘踞之邪，痛势仍然，按之
未减，而其位置则已近于小腹，而不连于胁部，势欲下行，还未归并大肠。即使贻患将来，
不过为痈为血，尚可徐图。惟此虚态百出，变生眉眼，能无惧乎？然则不得不宗七虚七实、
扶正为先之训，回元气于无何有之乡，再图侥幸。候政。
人参 五味子 麦冬 银花 甘草 荸荠 海蜇 白芍 青皮 丹皮 川贝 橘白 牡蛎 花粉 人中白
取炒香谷芽（五钱）
煎汤代水。
惊悸起因，传为颤振，继以寤寐不宁，左脉细软，右关弦数，数则为火，弦则为痰，细软
又主乎虚。虚在肝肾，兼以痰火，结在脾胃，所以肢体软弱，口燥身疼也。连日固本，既属安
适，可无更张。惟痰火内胜，不以十味温胆法加减佐之，以为标本兼顾之计，俾得虚不再
虚，未知是否？同石盘竹香先生议。
人参 大熟地（浮石拌炒） 枣仁 归身 天冬 大生地 茯苓 橘红 竹茹 川贝 柏仁 龙齿 石决明
服用猪苓汤之后，患者出现的痢疾症状减轻了一半，体内所化的病邪也减少了一半。因此，嘴唇的肿胀能够消退，牙齿上的垢腻能够清除，以及右侧脉象中弦数之象能够缓和调和，这似乎属于良好的征兆。然而左侧脉象细小，重按仍然显得无神，且兼有关部带弦象。弦脉主肝病，细小无神又主真阴不足。正因为真阴不足，难以涵养肝木，肝木顺势乘袭脾土，更是容易之事。如果脾土尚且有力量制约，往往在病邪消化之后，胃口逐渐开放，生机有望恢复。这是因为胃中的津液早已被热气所伤，又被下痢所劫夺，一伤一劫导致完全不想进食，出现干呕恶心，这就是所谓的津液被劫夺而致病，津液枯竭而祸患来临，这类病症就是如此。如果论述肠道盘踞的病邪，疼痛之势依然，按压时并未减轻，而其位置已经接近小腹，而不连接胁部，势头欲向下行，还未归并到大肠。即使遗留后患，也不过形成痈肿或瘀血，还可以慢慢图谋治疗。只是这种虚态百出，变化发生在眉眼之间（指病情危重或表现异常），能不令人恐惧吗？既然如此，不得不遵循“七虚七实、扶正为先”的教诲，在无何有之乡（指元气根本之处）挽回元气，再图侥幸。请候政先生指正。
人参 五味子 麦冬 银花 甘草 荸荠 海蜇 白芍 青皮 丹皮 川贝 橘白 牡蛎 花粉 人中白
取炒香谷芽（五钱）
煎汤代水。
惊悸起因，传变为颤振，继之以醒睡不宁，左侧脉象细软，右侧关部脉象弦数，数脉则为火，弦脉则为痰，细软又主虚证。虚证在肝肾，兼以痰火，结滞在脾胃，所以肢体软弱，口燥身疼。连日使用固本之法，既然感到安适，可以不作更改。只是痰火内盛，如果不以十味温胆法加减佐助，作为标本兼顾的计划，使得虚者不再更虚，不知是否可行？与同石盘竹香先生商议。
After administering Zhuling Tang (Polyporus Decoction), the dysentery observed has decreased by half, and the pathogenic factors transformed within the body have also reduced by half. Consequently, the swelling of the lips has subsided, the coating on the teeth has cleared, and the wiry and rapid pulse on the right side has become moderated and harmonious, which seems to be a favorable omen. However, the pulse on the left is fine and thin; upon deep pressure, it still lacks spirit (Shen). Additionally, there is a wiry quality at the Guan position. A wiry pulse indicates Liver pathology, while a fine, thin, and spiritless pulse indicates deficiency of True Yin. Due to this deficiency of True Yin, it is difficult to nourish and anchor Liver Wood. Thus, Liver Wood easily overacts upon Spleen Earth. If Spleen Earth retains its authority, often after the pathogenic factors are resolved, the appetite gradually opens, and hope for vitality emerges. This occurs because the fluids in the Stomach were previously injured by heat, and further depleted by dysentery. With both injury and depletion, there is no desire for food, accompanied by dry retching and nausea. These are cases where fluid depletion causes disease, and fluid exhaustion brings disaster. Regarding the pathogenic factors entrenched in the intestines, the pain persists and does not diminish upon pressure, but the location has moved closer to the lower abdomen and is no longer connected to the hypochondrium. The momentum suggests downward movement, yet it has not yet merged into the Large Intestine. Even if it causes future trouble, it may merely result in an abscess or blood stasis, allowing for gradual treatment. However, with so many manifestations of deficiency arising and changes occurring in the eyes and eyebrows (indicating critical or abnormal signs), can one not feel fear? Therefore, one must adhere to the instruction of "Seven Deficiencies and Seven Excesses, supporting the righteous Qi first," to restore Yuan Qi from the realm of non-being (the root of vitality), and then seek a chance for recovery. Pending correction by Mr. Zheng.
Ren Shen (Ginseng Radix et Rhizoma), Wu Wei Zi (Schisandrae Fructus), Mai Dong (Ophiopogonis Tuber), Yin Hua (Lonicerae Flos), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bi Qi (Dioscoreae Bulbiferiae), Hai Zhe (Mantidis Ooteca), Bai Shao (Paeoniae Radix Alba), Qing Pi (Citri Reticulatae Pericarpium Viride), Dan Pi (Moutan Cortex), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), Ju Bai (Citri Reticulatae Pericarpium), Mu Li (Ostreae Concha), Hua Fen (Trichosanthis Radix), Ren Zhong Bai (Natrii Uridas).
Take fried aromatic Gu Ya (Hordei Vulgaris Germinatus Semen) (5 qian)
Decocted as water substitute.
Palpitations originated and transmitted into tremors, followed by restlessness during sleep and wakefulness. The left pulse is fine and soft; the right Guan pulse is wiry and rapid. Rapid indicates Fire, wiry indicates Phlegm, and fine/soft indicates Deficiency. The deficiency lies in the Liver and Kidney, combined with Phlegm-Fire, which knots in the Spleen and Stomach. Hence, the limbs are weak, the mouth is dry, and the body aches. Since using the Ben Gu (Solidify the Root) method for consecutive days has brought comfort, no changes are needed. However, since Phlegm-Fire prevails internally, if one does not use Shi Wei Wen Dan Tang (Ten-Ingredient Gallbladder-Warming Decoction) with modifications as an adjunct, aiming to address both root and branch, ensuring that the deficient do not become more deficient, I wonder if this is appropriate? Discussed with Mr. Tong Shipan Zhu Xiang.
Ren Shen (Ginseng Radix et Rhizoma), Da Shu Di Huang (Rehmanniae Radix Praeparata) (stir-fried with Fu Shi), Zao Ren (Ziziphi Spinosae Semen), Gui Shen (Angelicae Sinensis Radix), Tian Dong (Asparagi Tuber), Da Sheng Di Huang (Rehmanniae Radix), Fu Ling (Poria), Ju Hong (Citri Reticulatae Pericarpium), Zhu Ru (Bambusae Caulis in Taenia), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), Bai Ren (Prunus Armeniacae Semen Amarum), Long Chi (Dentis Mammuti Fosilium), Shi Jue Ming (Haliotidis Concha).