闻兄体虚感邪，兼挟内伤，病起寒热肢厥，诊脉沉细，初投当归四逆汤，肢厥虽回，身
热未
退，审属少下亏，邪乘虚陷，更进理阴煎两剂，复诊脉转浮大，舌黑面红，奄奄欲脱，贫士
无力服参，姑以党参熟地各四两，熬成浓汁，昼夜与浆粥间进。神稍回，脉稍敛，尚觉心烦
内热，舌枯津涸，嘱煮团鱼汤煎药。诸候渐平，又转为疟。发时甚剧，多方图治，百日始痊
。后数年，因夏伤于暑，秋发 疟，邪伏于阴，寒热夜作，予用补中益气汤，参香红饮数剂
未止，自求速愈，杂服截疟诸方，气血大伤，面青形倦，寝食俱废，目中时见红光，溲溺淋
漓。复迓予治，悉屏疟门套药，仿四明治久疟不愈，用养营汤送八味丸法，十剂而止。
绣兄夫人，旧冬曾患弱证，今春又病肝风，俱予治愈。续复得一奇证，口吐清涎，日计
数碗
，《道经》云∶涕唾精津汗血液，七般灵物总属阴。涎亦液属，久吐真阴必伤，然百计治之
不止，语其妇曰∶古有咽华池真水之法，咽之不吐何如。妇曰∶若强咽下，即愦愦欲呕。诊
手少阴脉微动，问经事两月未行，告绣兄曰∶脉象似属妊娠，不卜昔年怀孕有此证否。曰∶
拙荆往年受孕，原有吐证，但所吐者食耳，此番证绝不类。况旧病体虚未复，焉能受孕?予
曰∶据脉多属重身，不然断无此等奇证，今不论其孕否，专意补养肝肾，兼益脾胃，以俟消
息。交夏后腹中跃动，孕形渐露，复邀诊视，绣兄笑曰∶拙荆累孕矣。但吐涎如故奈何?予
曰∶无伤，产后当自止。分娩后涎竟止。计自春徂冬，十月之间，所吐涎沫无算，而津液
竟无所损，且胎前诸治不应，产后不治自痊，亦异事也。
柳闻莺先生身体虚弱感受外邪，同时兼有内伤。发病时出现寒战、发热及四肢厥冷，诊察脉象沉细。起初投用当归四逆汤（温经散寒、养血通脉之方），四肢厥冷虽已缓解，但身体发热仍未消退。仔细审察病机，属于下焦亏虚，邪气乘虚陷入体内。于是进一步使用理阴煎（温补脾肾、滋阴养血之方）两剂。复诊时脉象转为浮大，舌苔黑而面色红赤，气息微弱濒临脱证。因患者是贫苦士人，无力服用昂贵的人参，暂且使用党参和熟地黄各四两，熬制成浓汁，在白天喝米浆和粥的间隙间断服用。神志稍见恢复，脉象稍收敛，但仍感觉心烦和内热，舌体干枯津液枯竭。嘱咐煮甲鱼汤来送服药物。各种症状逐渐平复，之后又转变为疟疾。发作时非常剧烈，多方治疗，经过一百天才痊愈。
几年后，因为夏季感受暑邪，秋季发作疟疾，邪气潜伏于阴分，夜间出现寒热往来。我使用补中益气汤（补中益气、升阳举陷之方）和参香红饮数剂，病情未止。患者自求速愈，混杂服用各种截疟的方药，导致气血大伤，面色青暗，形体疲倦，睡眠和饮食都废弛。再次请我诊治，完全摒弃了疟疾科常用的套药，仿照明代医家治久疟不愈的方法，采用养营汤（养血调营之方）送服八味丸（即金匮肾气丸，温补肾阳之方）的法度，服用十剂后疟疾停止。
绣文先生的夫人，去年冬天曾患虚弱性疾病，今年春天又患肝风证，都被我治愈。随后又出现一个奇特的病症，口中吐出清稀涎沫，每天计算有几碗。《道经》说：“涕、唾、精、津、汗、血、液，这七种灵物总属阴。”涎也属于液，长期呕吐必然损伤真阴。然而千方百计治疗却不止吐。我对她的妻子说：“古时有吞咽‘华池真水’（唾液）的方法，如果咽下去不吐出来怎么样？”妻子说：“如果强行咽下去，就会昏乱想呕吐。”诊察手少阴心经的脉象微动，询问月经是否两个月没来。告知绣文先生说：“脉象似乎属于妊娠，但不卜问往年怀孕时是否有此症？”回答说：“我的妻子往年受孕，原有呕吐症状，但所吐的是食物，这次的症状绝不相同。况且旧病体质虚弱尚未恢复，怎么能受孕呢？”我说：“根据脉象多属于怀孕，否则断然不会有这种奇证。现在不论她是否怀孕，专心补养肝肾，兼益脾胃，以等待消息。”进入夏季后腹中胎动，孕形逐渐显露，再次邀请诊治。绣文先生笑着说：“我的妻子多次怀孕了。但吐涎像以前一样怎么办？”我说：“无妨，产后自然会停止。”分娩后涎沫竟然停止了。从春季到冬季，十个月之间，所吐出的涎沫无数，而津液竟然没有受损，而且产前各种治疗无效，产后不治疗自己痊愈，也是奇异的事。
Brother Liu Wenying had a deficient constitution and contracted pathogenic factors, complicated by internal injury. The illness began with chills, fever, and cold extremities (Zhi Jue). His pulse was deep and fine (Chen Xi). Initially, Danggui Sini Tang (Angelica Decoction for Cold Extremities) was administered. Although the cold extremities resolved, the body heat persisted. Upon careful examination, it was determined to be a deficiency in the lower jiao (Lower Burner), with pathogens sinking into the body due to deficiency. Consequently, Liyin Jian (Yin-Regulating Decoction) was advanced for two doses. At the follow-up visit, the pulse became floating and large (Fu Da), the tongue coating was black, and the face was red; the patient’s vital energy was faint and on the verge of collapse. As the scholar was poor and could not afford Ginseng Radix (Renshen), Codonopsis Radix (Dangshen) and Rehmanniae Radix Praeparata (Shudi), each four liang, were boiled into a concentrated decoction. This was given intermittently between sips of rice gruel and porridge throughout the day and night. Mental clarity slightly returned, and the pulse became somewhat contained, yet he still felt irritability and internal heat. The tongue was dry with depleted fluids. It was instructed to prepare softshell turtle soup to assist in administering the herbal medicine. Various symptoms gradually subsided, but the condition later transformed into malaria (Nüe). The episodes were severe; after various treatments, recovery took one hundred days.
Years later, due to summerheat injury in summer, malaria occurred in autumn. Pathogens were latent in the yin level, presenting with chills and fever at night. I used Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Shenxiang Hong Yin for several doses, but the condition did not cease. Seeking rapid cure, the patient indiscriminately took various antimalarial formulas, causing severe damage to qi and blood. The complexion was cyanotic, the form was fatigued, and sleep and appetite were abolished. Occasional red light was seen in the eyes, and urination was dribbling. He invited me again for treatment. All standard antimalarial prescriptions were discarded. Mimicking the Ming dynasty physician’s method for treating chronic malaria that does not resolve, Yangying Tang (Nourish Ying Decoction) was used to deliver Jiwei Wan (Eight-Ingredient Pill, i.e., Jin Gui Shenqi Wan). After ten doses, the malaria ceased.
Madam, wife of Brother Xiuwen, had suffered from a weak condition last winter and liver wind (Gan Feng) this spring, both of which I cured. Subsequently, she presented with a peculiar syndrome: vomiting clear saliva, amounting to several bowls per day. The *Daoist Canon* states: "Tears, spittle, essence, fluid, sweat, blood, and mucus—these seven spiritual substances all belong to yin." Saliva is also a type of fluid; prolonged vomiting must injure true yin. However, despite hundreds of attempts to treat it, the vomiting did not stop. I said to his wife: "In ancient times, there was a method of swallowing 'true water from the Hua Chi' (saliva). What if you swallow it instead of vomiting?" The wife replied: "If forced to swallow, I feel dizzy and nauseous." Palpation of the Shaoyin Heart channel pulse showed slight movement. Menstruation was asked about; it had been absent for two months. I informed Brother Xiuwen: "The pulse image suggests pregnancy. I do not ask if your wife had this symptom during previous pregnancies." He answered: "My wife previously vomited when pregnant, but she vomited food. This current syndrome is completely different. Moreover, her old illness has left her constitution weak and unrecovered; how could she conceive?" I said: "Based on the pulse, it is highly likely pregnancy. Otherwise, such a peculiar syndrome would be impossible. Regardless of whether she is pregnant, we will focus on nourishing the liver and kidney, while benefiting the spleen and stomach, and await further developments." After entering summer, fetal movement was felt in the abdomen, and the pregnancy shape gradually appeared. She was invited for another consultation. Brother Xiuwen smiled and said: "My wife has been pregnant multiple times. But she continues to vomit saliva as before. What should we do?" I said: "It is harmless; it will stop naturally after delivery." Indeed, after childbirth, the salivation stopped. From spring to winter, within ten months, an immeasurable amount of saliva was vomited, yet the body fluids were not damaged. Furthermore, the various treatments during pregnancy were ineffective, while no treatment after delivery led to spontaneous recovery. This is indeed a strange occurrence.