陈修园曰∶《内经》云∶二阳之病发心脾，有不得隐曲，女子不月，其传为风消，其传为息奔者，死不治。马元台注
云∶二阳足阳明胃也，为仓廪之官，主纳水谷。乃不能纳受者，何也？此由心脾所发耳，正以有不得隐曲，郁之于心，
故不能生血养脾，脾亦以伤于思虑，而失其运化之司，胃亦由是不纳水谷，而血脉遂枯，经水逐绝矣。（〔批〕此处略参
己意。）余拟用归脾汤，重加生鹿茸、连心麦冬，服二十余剂可愈。郁甚者，加芍药、柴胡。（〔批〕陈氏以一病一法分为
二方，余合之。归脾汤已见前，故不列。）
风消，火盛烁肌，其消瘦有如风行之速也，宜急救胃阴，归脾汤加生地黄、地骨皮、鲜石斛、白芍、蔗浆、麦冬、
白蜜之属。
息奔，喘息上奔，气将脱也。（〔批〕其气将脱，必先八九至之脉，余曾亲见之）。陈氏谓为胃气上逆，与麦冬汤，大
谬。《经》曰∶不治。无己为拟救元汤
野山参 山萸肉 制首乌 黑降香（磨冲） 胡桃肉（连皮用） 龙骨 北五味 紫苏子 灵磁石（先煎去黑水）
服之气稍平者，不死。息既平，改服鹿茸麦冬归脾汤。加龙骨、五味。（〔批〕此方敛补元气纳归于肾，服之息平，
气尚能归元也。然此证能生者百中一耳，不过数日而已，先天不足者，一二日即死。
陈修园说：《黄帝内经》记载：“二阳（指阳明胃与大肠）的病变发源于心脾，如果有难以启齿的隐情郁结于心，女子就会出现月经闭止。若病情传变发展为‘风消’（形容消瘦迅速如风），或传变为‘息奔’（喘息急促上冲），则属于死证，难以治愈。”马元台注解道：“二阳指的是足阳明胃经，胃是负责受纳水谷的器官。如果无法受纳饮食，是什么原因呢？这是由于心脾功能失调所致。正因为有难以言说的隐情郁结在心，导致心血不能化生以滋养脾土；脾也因过度思虑而受损，失去了运化水谷的功能；胃也因此不能受纳水谷，最终导致血脉枯竭，月经断绝。（批注：此处略加了我个人的见解。）我打算使用归脾汤（益气补血、健脾养心的方剂），并重用生鹿茸（补肾阳、益精血）、连心麦冬（清心除烦、养阴生津），服用二十多剂可以痊愈。如果郁结严重，再加芍药（养血柔肝）、柴胡（疏肝解郁）。（批注：陈氏将一个病证分为两种治法对应两个方子，我将它们合并。归脾汤在前文已列出，故不再重复列出。）
所谓‘风消’，是因为火邪旺盛灼烧肌肉，身体消瘦的速度快得像风一样。应当紧急救治胃阴，在归脾汤基础上加入生地黄（清热凉血、养阴生津）、地骨皮（凉血除蒸）、鲜石斛（益胃生津）、白芍（养血敛阴）、蔗浆（生津润燥）、麦冬（养阴润肺）、白蜜（补中润燥）这类药物。
所谓‘息奔’，是指喘息急促向上冲逆，这是元气即将脱失的表现。（批注：其气将脱时，脉象必定先出现一息八九至的疾脉，我曾亲眼见过这种情况。）陈修园认为是胃气上逆，主张用麦冬汤治疗，这是极大的错误。《黄帝内经》说此证不治。如果没有其他医生诊治，我为他拟定救元汤：野山参（大补元气）、山萸肉（补益肝肾、收敛固涩）、制首乌（补肝肾、益精血）、黑降香（行气活血，磨汁冲服）、胡桃肉（温肺定喘、补肾固精，连皮使用）、龙骨（镇惊安神、收敛固涩）、北五味（收敛固涩、益气生津）、紫苏子（降气化痰）、灵磁石（重镇安神、潜阳纳气，先煎并去除表面黑水）。服药后如果气息稍微平稳，就不会死亡。喘息平息后，改为服用鹿茸麦冬归脾汤，并加入龙骨、五味子。（批注：这个方子能收敛补益元气，使其归于肾中。服用后喘息平息，说明气尚能回归本源。然而这种病症能存活的百中无一，通常不过数日而已，先天禀赋不足者，一二日内就会死亡。）
Chen Xiuyuan stated: The *Huangdi Neijing* (Yellow Emperor's Inner Canon) records: "Diseases of the Two Yangs (referring to the Stomach and Large Intestine meridians) originate from the Heart and Spleen. If there are hidden grievances that cannot be voiced, women will experience amenorrhea (absence of menstruation). If the condition transmits to become 'Feng Xiao' (wind wasting, describing rapid emaciation), or transmits to become 'Xi Ben' (panting rush, describing急促 panting with upward rushing sensation), it is a death syndrome that is incurable." Ma Yuantai annotated: "The Two Yangs refer to the Foot-Yangming Stomach Meridian. The Stomach is the official responsible for receiving water and grain. If it fails to receive food, what is the cause? This arises from dysfunction of the Heart and Spleen. Precisely because of hidden grievances郁结 (depression/constraint) in the Heart, Heart Blood cannot be generated to nourish the Spleen Earth. The Spleen is also damaged by excessive overthinking, losing its function of transportation and transformation. Consequently, the Stomach fails to receive water and grain, leading to the withering of blood vessels and the cessation of menstrual flow. (Commentary: Here I have slightly added my own opinion.) I propose using Guipi Tang (Restore the Spleen Decoction, a formula for replenishing Qi and Blood, strengthening the Spleen, and nourishing the Heart), heavily supplemented with Sheng Lurong (Raw Deer Antler, for tonifying Kidney Yang and benefiting Essence and Blood) and Lianxin Maidong (Ophiopogon with Heart, for clearing Heart heat and nourishing Yin). Taking more than twenty doses can lead to recovery. For severe depression, add Shaoyao (Peony Root, for nourishing Blood and softening the Liver) and Chaihu (Bupleurum Root, for soothing the Liver and resolving constraint). (Commentary: Mr. Chen divided one disease into two methods corresponding to two formulas; I have combined them. Guipi Tang has been listed previously, so it is not repeated here.)
'Feng Xiao' occurs when Fire pathogen is excessive and scorches the muscles, causing emaciation as fast as the wind. One should urgently rescue Stomach Yin. Use Guipi Tang added with Sheng Dihuang (Rehmannia Root, for clearing Heat and cooling Blood, nourishing Yin), Digupi (Cortex Lycii, for clearing deficient Heat), Xian Shihu (Fresh Dendrobium Stem, for benefiting Stomach and generating fluids), Baishao (White Peony Root, for nourishing Blood and astringing Yin), Zhe Jiang (Sugarcane Juice, for generating fluids and moistening dryness), Maidong (Ophiopogon Tuber, for nourishing Lung Yin), and Baimi (White Honey, for tonifying the Middle and moistening dryness).
'Xi Ben' refers to急促 panting rushing upward, indicating that Yuan Qi (Original Qi) is about to collapse. (Commentary: When Qi is about to collapse, the pulse must first become extremely rapid, beating eight or nine times per breath cycle; I have witnessed this personally.) Mr. Chen attributed this to rebellious Stomach Qi and advocated using Maidong Tang, which is a major error. The *Jing* (Classic) states it is untreatable. In the absence of other practitioners, I prescribe Jiuyuan Tang (Rescue the Origin Decoction): Yeshanshen (Wild Ginseng Root, for massively tonifying Original Qi), Shanyurou (Cornus Fruit, for tonifying Liver and Kidney, astringing and securing), Zhi Heshouwu (Prepared Polygonum Multiflorum Root, for tonifying Liver and Kidney, benefiting Essence and Blood), Hei Jiangxiang (Black Aquilaria Wood, for moving Qi and activating Blood, ground and taken as a wash); Hu Tao Rou (Walnut Kernel, for warming Lungs, stabilizing panting, tonifying Kidneys, used with skin); Longgu (Dragon Bone, for calming Spirit and astringing); Bei Wuwei (Schisandra Berry, for astringing and securing, benefiting Qi and generating fluids); Zi Su Zi (Perilla Fruit, for descending Qi and transforming Phlegm); Ling Cishi (Magnetite, for anchoring Spirit and subduing Yang, decocted first with black water removed). If the patient's breathing becomes slightly calm after taking the medicine, they will not die. Once the panting subsides, switch to Lu Rong Maidong Guipi Tang (Deer Antler, Ophiopogon, and Restore the Spleen Decoction), adding Longgu (Dragon Bone) and Wuweizi (Schisandra Berry). (Commentary: This formula astringes and tonifies Original Qi, guiding it back to the Kidney. After taking it, if panting ceases, it indicates that Qi can still return to its source. However, among such cases, only one in a hundred survives; usually, it lasts only a few days. Those with congenital insufficiency will die within one or two days.)