典翁外孙女年三岁，病经旬日，发热便泻，初服疏导药不应，忽作抽掣，复请前医视之
，云
系动惊，更加金药琥珀。典翁邀予商酌。望其儿，色白神疲，头身虽热，四肢冰冷，按脉沉
细无力，谓曰∶病乃质亏感邪，便泻多日，脾元受伤，以致肝风内动。金石之品，不可用也
，拟六君子汤加炮姜桂枝，服药热退泻稀，再服肢温泻止，惊亦不作。
典翁外孙女年三岁，病经旬日，发热便泻，初服疏导药不应，忽作抽掣，复请前医视之
，云
系动惊，更加金药琥珀。典翁邀予商酌。望其儿，色白神疲，头身虽热，四肢冰冷，按脉沉
细无力，谓曰∶病乃质亏感邪，便泻多日，脾元受伤，以致肝风内动。金石之品，不可用也
，拟六君子汤加炮姜桂枝，服药热退泻稀，再服肢温泻止，惊亦不作。
典翁外孙女年三岁，病经旬日，发热便泻，初服疏导药不应，忽作抽掣，复请前医视之
，云
系动惊，更加金药琥珀。典翁邀予商酌。望其儿，色白神疲，头身虽热，四肢冰冷，按脉沉
细无力，谓曰∶病乃质亏感邪，便泻多日，脾元受伤，以致肝风内动。金石之品，不可用也
，拟六君子汤加炮姜桂枝，服药热退泻稀，再服肢温泻止，惊亦不作。
荔翁夫人，怀孕数月，嗽喘胸痹，夜不安卧，食少形羸。予曰∶此子嗽也。病由胎火上
冲，
肺金被制，相搏失职，治节不行。经云∶咳嗽上气，厥在胸中，过在手阳明太阴。夫嗽则周
身百脉震动，久嗽不已，必致动胎。古治子嗽，有紫菀散，百合汤法，犹未善。鄙见惟补肺
阿胶汤，内有甘草、兜铃、杏仁、牛蒡清金降火，糯米、阿胶润肺安胎，一方而胎病两调，
至稳至当。服药两日，咳嗽虽减，喘痹未舒，方内加苇茎一味，取其色白中空，轻清宣痹再
服数剂，胸宽喘定，逾月分娩无恙。
汪典扬老先生外孙女年仅三岁，患病已有多日，出现发热和腹泻症状。起初服用疏导类药物无效，突然发生抽搐痉挛，再次请之前的医生诊治，医生说是受惊所致，又增加了金石类药琥珀。汪老先生邀请我共同商讨病情。观察这个孩子，面色苍白、精神疲惫，虽然头身发热，但四肢冰冷，切脉沉细无力。我对他说：这病是由于体质虚弱感受外邪，腹泻多日导致脾元受损，从而引起肝风内动。金石类的药物不可使用，拟定六君子汤加入炮姜和桂枝。服药后热退泻稀，再服药后四肢转温、腹泻停止，惊厥也不再发作。
荔翁夫人怀孕数月，出现咳嗽气喘、胸中痹阻疼痛，夜间无法安卧，食欲减退、身体消瘦。我说：这是子嗽（妊娠期间发生的咳嗽）。病因是胎火上冲，制约了肺金，两者相搏导致肺失宣降，治节功能不行。《内经》说：咳嗽气逆，病机在胸中，病变涉及手阳明大肠经和手太阴肺经。咳嗽会导致周身百脉震动，久咳不止，必然会导致动胎。古代治疗子嗽，有用紫菀散、百合汤的方法，但还不够完善。我的见解认为只有补肺阿胶汤最合适，方中有甘草、天冬（注：原文为兜铃，此处依原文翻译为天冬/川贝母等清肺药，通常指款冬花或川贝，此处保留“兜铃”即款冬花）、杏仁、牛蒡子清金降火，糯米、阿胶润肺安胎，一方同时调理胎气和母体疾病，非常稳妥恰当。服药两天，咳嗽虽减轻，但气喘和胸痹仍未缓解，在原方中加入芦根一味，取其色白中空、轻清宣通痹阻的特性。再服几剂后，胸宽喘定，过了一个月分娩时母子平安。
The granddaughter of Mr. Wang Dianyang was three years old, having been ill for several days with fever and diarrhea. Initially, she took digestive-regulating medicines without effect, then suddenly developed convulsions (spasms). The previous doctor was consulted again, who diagnosed it as "startling" (shock-induced spasms) and added amber (a mineral drug). Mr. Wang invited me to discuss the case. Upon observing the child, her complexion was pale and spirit fatigued; although her head and body were hot, her four limbs were cold, and her pulse was deep, fine, and powerless. I said: This illness is due to constitutional deficiency combined with external pathogenic invasion. Prolonged diarrhea has injured the Spleen Yuan (Spleen's fundamental energy), leading to internal stirring of Liver Wind (internal tremors/spasms caused by Liver dysfunction). Mineral drugs should not be used. I prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) with processed Ginger (Pao Jiang) and Cinnamon Twig (Gui Zhi). After taking the medicine, the fever subsided and diarrhea became thin; after further doses, the limbs warmed, diarrhea stopped, and the convulsions ceased.
Mrs. Li Weng had been pregnant for several months when she developed coughing, wheezing, chest bi-syndrome (obstructive pain in the chest), inability to sleep peacefully at night, poor appetite, and emaciation. I said: This is Zi Sou (cough during pregnancy). The pathology stems from fetal fire rushing upward, constraining Lung Metal, causing conflict and loss of function, thereby impairing the Lung's regulatory control. The Classics state: "Coughing and rebellious Qi, the root lies in the chest, extending to the Hand-Yangming and Hand-Taiyin meridians." Coughing causes vibration throughout all vessels; prolonged coughing will inevitably disturb the fetus. Ancient treatments for Zi Sou included Zi Wan San (Aster Powder) and Bai He Tang (Lily Bulb Decoction), but these are not optimal. My view is that Bu Fei E Jiao Tang (Tonify Lung and Donkey-Hide Gelatin Decoction) is most appropriate. It contains Licorice Root (Gan Cao), Fritillaria/Bulbus Fritillariae Cirrhosae or Adenophora (Dou Ling - note: traditionally Sonchus or Adenophora, here referring to clearing lung heat), Apricot Kernel (Xing Ren), and Bullace Seed (Niu Bang Zi) to clear Lung heat and descend rebellion; Glutinous Rice (Nuomi) and Donkey-Hide Gelatin (E Jiao) moisten the Lung and calm the fetus. One formula simultaneously treats both maternal disease and fetal condition, being extremely stable and appropriate. After two days of medication, the cough decreased, but wheezing and chest obstruction remained unrelieved. I added one herb, Reed Rhizome (Wei Jing/Lu Gen), utilizing its white, hollow nature to lightly clear and open the obstruction. After a few more doses, the chest felt wide, breathing stabilized, and she delivered safely after a month.