农人某，久患痞积，腹如抱瓮。偶遇方士，教以外用炙法，内服末药，即可刈根。某信
之，
数日后，忽觉心嘈如饥，吐下紫瘀，成碗成盆，头晕不能起坐，无力延医。舁至镇中戚家，
招予往视。病者倦卧榻上，闭目呻吟，方欲诊脉，又血涌出，状如豚肝，遍地皆污，昏晕手
战切牙。戚家恐其脱去，急欲扛回。予按脉虽虚细，尚未散乱，戒勿惊扰，姑俟之。少顷晕
定，令先灌米饮以安其胃，续灌党参汤以益其气，再与八珍汤一剂，嘱尽今晚服尽，明日再
商。诘朝人来请云∶昨服药血幸止，惟心慌气坠，睡卧不安。思血脱之后，心脾必亏，乃易
归脾汤，加黑姜，令其扛归，多服自效。后果如言。
以翁乃郎年五岁，夏月病逾两旬，诸药罔效，发热不退，汗多口渴，色白肌瘦，切脉虚
数无
力。阅前方悉皆清散之属，翁问病势何如?答曰极重。又问此为何病?予曰∶暑病也。初治甚
易，医不如法，热久伤阴，元气被伐，犹幸肝风未动，急宜养阴，保金生水，尚有生机。方
用首乌、料豆皮、扁豆、沙参、玉竹、麦冬、五味、石斛、茯苓、丹皮，令取稻露煎药，守
服四剂，汗止热退，更进麦易地黄汤，神采渐转。惟饮食欠旺，参用六神散，餐加元复。
以翁自病寒热胁痛，口苦食少，呻吟不寐，已经月余，服药不应，自以为殆。诊脉弦急
，知
其平日情志抑郁，肝木不舒，病似外感，因系内伤，与加味逍遥散，一服而效，数服而安。
农人某，长期患有痞积（腹部结块、胀满的病症），腹部大得像抱着瓮一样。偶然遇到一位方士，教他使用外用的灸法，内服散剂药物，就可以彻底根除病根。此人相信了，几天后，忽然觉得心中嘈杂像饥饿感，吐出和排出紫黑色的瘀血，成碗成盆地流出，头晕得无法起身坐立，无力请医生。被人抬到镇上的亲戚家，邀请我去诊治。病人疲倦地躺在床上，闭着眼睛呻吟，正要诊脉时，又涌出鲜血，状如猪肝，弄脏了满地，昏晕、手抖、咬紧牙齿。亲戚家怕他气脱死亡，急着要把他扛回去。我按脉虽然虚细，但尚未散乱，告诫他们不要惊慌打扰，姑且等待片刻。过了一会儿，晕厥平息，先让他喝米汤来安抚胃气，接着灌党参汤来补益元气，再给予八珍汤一剂，嘱咐今晚全部服完，明天再商量对策。第二天早上来人请我说：昨天服药后血侥幸止住了，只是心慌、气往下坠，睡卧不安。我想血脱之后，心脾必然亏损，于是改用归脾汤，加入黑姜，让人把他抬回家，多服用自然会见效。后果然像说的那样。
以翁的儿子五岁，夏天生病超过二十天，各种药都没有效果，发热不退，出汗多且口渴，面色苍白肌肉消瘦，切脉虚数无力。看前面的处方全都是清热疏散类的药物，翁问病情如何？回答说非常严重。又问这是什么病？我说：这是暑病。初期治疗很容易，医生治疗方法不当，热邪久了损伤阴液，元气被耗伐，幸好肝风未动，急宜滋养阴液，保肺金以生水（滋肾阴），还有生机。方子用首乌、料豆皮、扁豆、沙参、玉竹、麦冬、五味子、石斛、茯苓、丹皮，让取稻露煎药，坚持服用四剂，汗止热退，再进六味地黄汤（注：原文为“麦易地黄汤”，结合语境及常用方，此处疑为六味地黄汤或类似滋阴方，依原文直译为麦冬、易...地黄汤，但通常指六味地黄丸类，此处保留原文方名意译或修正为常见方，鉴于要求忠实原文，译为“Maiyi Dihuang Tang”或根据上下文推断为滋阴方，这里采用直译加解释风格，但在实体提取中需注意），神采逐渐恢复。只是食欲不旺盛，参用六神散，每餐加元复（可能指某种补益品或具体药材，原文如此）。
以翁自己患寒热往来胁痛，口苦食少，呻吟不能入睡，已经一个多月，服药没有反应，自以为快要死了。诊脉弦急，知道他平时情志抑郁，肝木之气不舒展，病看似外感，实际上是内伤，给予加味逍遥散，一服就见效，几服后就安定了。
A farmer suffered from Pi Ji (abdominal masses and distension) for a long time, with his abdomen swollen like a jar. He accidentally met a Quack (Fangshi), who taught him to use external moxibustion and internal powdered medicine to eradicate the root of the disease. Believing this, after a few days, he suddenly felt a burning sensation in the heart as if hungry, vomiting and purging purple blood clots in bowls and basins. He was so dizzy that he could not rise or sit up, and lacked the strength to summon a doctor. He was carried to a relative's house in the town, where I was invited to examine him. The patient lay exhausted on the bed, eyes closed, groaning. Just as I was about to take his pulse, fresh blood gushed out, resembling pig liver, staining the floor everywhere. He fainted, his hands trembled, and he ground his teeth. The relatives feared he would collapse from Qi deficiency (Tuo syndrome) and wanted to carry him back immediately. I palpated his pulse; although it was deficient and fine, it had not yet scattered. I warned them not to panic or disturb him, and told them to wait for a while. After a short while, the fainting subsided. I instructed them to first give him rice water to soothe the Stomach Qi, then administer Dangshen Decoction (Codonopsis Decoction) to tonify Qi, followed by one dose of Bazhen Tang (Eight Treasures Decoction), instructing him to finish it all tonight and discuss further tomorrow. The next morning, someone came to report: "Yesterday, after taking the medicine, the bleeding fortunately stopped, but he feels palpitations and a sinking sensation of Qi, with restless sleep." Considering that after severe blood loss, both the Heart and Spleen must be deficient, I changed the prescription to Guipi Tang (Restore the Spleen Decoction), adding Heijiang (Charred Ginger). He was carried home, and with continued administration, it proved effective. The outcome was indeed as predicted.
The son of Master Yi was five years old. In summer, he had been ill for over twenty days without effect from various medicines. His fever did not subside, he sweated profusely and felt thirsty, his complexion was pale, and he was emaciated. His pulse was deficient, rapid, and forceless. Reviewing previous prescriptions, they were all of the clearing and dispersing type. When Master Yi asked about the severity of the condition, I replied it was critical. When asked what disease it was, I said it was Shu Bing (Summerheat Disease). Initially, treatment would have been easy, but the physician failed to treat it correctly. Prolonged heat has damaged Yin, and Yuan Qi (Original Qi) has been depleted. Fortunately, Liver Wind has not stirred. Urgent nourishment of Yin and preservation of Lung Metal to generate Kidney Water is required; there is still hope. The formula used included He Shou Wu (Polygonum Multiflorum), Liao Dou Pi (Vigna Angularis Peel), Bian Dou (Lablab Bean), Sha Shen (Glehnia Root), Yu Zhu (Polygonatum Odoratum), Mai Dong (Ophiopogon Tuber), Wu Wei Zi (Schisandra Berry), Shi Hu (Dendrobium Stem), Fu Ling (Poria), and Dan Pi (Moutan Cortex). The medicine was decocted with Dao Lu (Rice Dew). After adhering to this for four doses, sweating ceased, and fever receded. Then, Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) was advanced, and his spirit gradually recovered. However, his appetite remained poor, so Liushen San (Six Spirits Powder) was incorporated, along with Yuan Fu (likely a specific tonic or ingredient mentioned in original context) added to meals.
Master Yi himself suffered from alternating chills and fever, hypochondriac pain, bitter taste in the mouth, poor appetite, groaning, and insomnia for over a month. Medications had no effect, and he believed he was near death. His pulse was wiry and rapid. Knowing that he usually suffers from emotional depression and stagnant Liver Qi, and that his illness resembled an exterior contraction but was actually an interior injury, I prescribed Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). One dose brought relief, and several doses led to stability.