。加藕节、黑栀、侧柏叶、二服略好、再以前方加大黄二钱、当归一钱、桃仁三十粒、不去
皮尖、研如泥、服二剂。大便下黑血三五次。胸胁顿觉。后以八物汤加减。调理一月而安。
盒脐法吸其热毒。次用胃风汤加肉果黄连地榆、煎吞下香连丸如此二服而痢止、再以大剂补
中益气。加扁豆三倍。柴胡山药鳖甲数服疟止。后以参术归 熬膏调理得痊。
一妇人年三十余、患哮喘咳嗽、气急痰壅、昼夜不能卧、一年发三五次遇寒愈甚、余初。以
麻黄石膏杏仁贝母苏叶青皮枳壳桔梗亭苈子大腹皮、四剂而痰喘定。再用保和汤。加减十
余剂。后以清肺丸。并真白丸子三药空心并临卧时服。各半料。竟除根。
一男子年四十余、患伤寒、五六日、汗下失宜、咳逆大作、垂死腹急、大渴、饮水、大便稀
、小便涩少、六脉滑数乃热。结中下二焦停饮在上故作咳逆以大剂二陈汤。加竹茹一钱五分
。黄连一钱二分。柿蒂二十个煎服二剂遂愈。但渴未止。再以黄连白虎汤二大剂全安。
一剂。外感已去。内伤未除。又惹动故积。患胃口大痛。遂用二陈加吴萸炒黄连香附青皮白
芥子官桂黑干姜炭一剂而痛止。次日小腹大痛。又用桂枝芍药汤。加大黄枳壳、其痛又止。
又移胸胁背大胀。急痛不能点指诊之两关散大。知是瘀血。遂用桃仁承气汤连服二剂。下紫
黑血一二斗。背宽而胸胁仍胀。口内血腥。遂用犀角地黄汤一剂。继用四物。加香附童便
制丹皮丹参扁柏叶黑栀仁、连服数剂得痊。以当归膏一料。调理复元。
一男子年三十余。患伤寒头痛、无汗、发热、误药、失、汗、热、蕴、于、内作出遍身红紫
斑。遂用防风通圣散。去硝黄黄柏活石，加牛蒡子二剂。热退斑没。仍虚汗大渴。咽喉肿痛
。再用人参白虎汤。加玄参升麻少许、二剂而痛渴俱止。后用小柴胡汤。去半夏，加白术、
当归、麦冬五六剂而安。
一妇人年二十六七。因恼怒、火、攻、上颈耳头面俱肿、医家用防风通圣散一剂而肿退、越
三月发疟、间日一发、先寒后热、甚重、不知人事、将欲垂死、予诊之、六脉弦紧。两关尤
坚劲。知其肝木太过而乘脾土故疟作也、先用越鞠二陈汤加柴胡黄芩白芍药白术。未发日服
一剂。次用人参白术柴胡青皮归身白芍药黄芩半夏川芎甘草草果乌梅马齿苋姜枣煎、发日五
更空心服。其疟当日即止。后用四君子汤。加当归白芍药香附贝母陈皮青皮、数剂而安。
一男子体质素弱。三月患伤寒、汗吐下俱行、脾胃伤损、病愈后、又失于调理、至五月因事
劳役、一夕忽然晕去、手足厥冷、不知人事、口吐延沫、冷汗如雨、淮水不入、予诊之、两
寸浮小。两关浮大如指。重按全无。两尺短涩不匀。予告之曰。此极虚之候也。非大补不能
活。遂先用荆芥穗五钱，加姜汁竹沥各一盏、先灌下稍定再用人参三钱、黄 二钱、归身白
术各二钱五分、麦冬一钱五分、五味一钱、熟附子二钱、作大剂煎服。连服二剂。遂得复生
。后以十全大补汤。去桂加天麻一钱、防风八分、调养全愈。
一天长县钟水村人。年三十余岁。形肥质浓、素不嗜酒色、偶因劳役、继以外虑、忽患中风
、左手足不遂痰涎壅盛、口能言而头痛如斧劈、大小便利、诊之六脉洪滑。有力不数。此痰
火类中风也遂先用至宝丹丸为引导。次用煎药南星半夏各二钱。陈皮、白术、白茯苓、白芍药各八
分、黄芩石膏各一钱、当归一钱五分、甘草五分、天麻川芎羌活防风各八分、僵蚕全蜗红花
各五分、作大剂、用姜汁竹沥传送、一服而减半。外用滚痰丸下午服。后以此方随症加减。
数剂全安。
一少妇禀弱、素多病、二月初产、甚艰、后患左胯大痛、如鸡嘴咬之状、小腹急痛、见食气
即吐、饮食俱不能进或作血虚治、或作郁火治、皆不效、一医作虚治、用八物汤、用参止五七
分、多即喘促气闷、皆谓郁症不宜用参、止以四物二陈加香附等药、与八物相间服、至三月
形体羸惫、其痛愈甚、请予视之、六脉洪大。重按全无。乃极虚之。候也。遂以参三钱、
一钱五分、白术一钱、陈皮七分、当归一钱、甘草三分、白茯苓一钱、熟附五分、彼力云不
宜用参多。余解之曰。大虚大补。小虚小补。今大虚而反用小补。故邪气不伏反作喘闷。众
皆唯唯。遂煎前药一剂。作三次服。其痛遂十减其七。是夜亦安寝。仍以此方服二十剂。加
参至五钱。力得全愈。
一男子年二十八。患疸症、遍身面目如金色、口渴日潮羸瘦、诊其六脉、轻取浮弦。重按短
涩。前医家按古法以苍术为君，加入茵陈五苓散、内佐以木通山栀、数服不效、又一医以珀
琥丸、愈剧、余诊其脉、细询其状乃知素以酒色并行。金水二脏受伤久矣、从治其标不治其
本、病奚能安乃以四物加便制黄柏知母并枸杞麦门冬甘菊花、大剂一百余剂。始全愈。但
两日昏朦。不能见物后用人参固本丸。加黄柏知母间以六味地黄。加甘菊花、各一料。相间
服。后目亦复明。身体如旧。
一男子年四十余。伤酒感寒、胃脘痛如刀割、呕吐昏闷、七日饮勺不入、诸药服下即吐出、
顷刻不能留、余诊之、六脉沉微无力。知其饮。伤于上寒伤于下寒热相博。为关格之症也。
故诸药物不纳。乃先以理中汤加藿香、半下、陈皮、煎一服、吞下四积保生锭二丸。令以小
杯缓服。一二时不吐。即索粥。脉即起。后以六君子汤十剂全愈。
一女年七岁、患小腹痛、捻上心、连两胁后背俱痛、诸药不效、余诊视、见其面上白点。知
其虫痛无疑身极瘦弱。不能胜追虫之剂。乃先以理中汤加乌梅川椒、连进四服。次用槟榔散
、使君肉、煎汤调下。乃得全愈。仍用参苓白术散调理。
一富室少妇。因郁久伤血、血虚气滞、虚火时动、经事两三月一行、每欲行、必大痛数日、
色淡而少、下午唇颊赤、不发热中脘痞闷、恶食、强食即吐、诊之六脉弦涩。两寸浮滑。以
六君子汤。加浓朴砂仁香附倍之。数帖稍安。每经前后则用四物汤加木香玄胡索红花牡
丹皮。经后用八物汤倍加香附。空心服八珍丸。加香附沉香、益母草膏为丸、服半年全愈。
次年生一子。
一妇人年近四十。八月间生产、子死腹中、历八日方产出、产后小腹内如梭大一块、直抢上
心口、痛不可忍、至夜尤甚、凡医皆用行血破血破气香燥之剂、愈服愈剧、至十一月初、予
为诊视、六脉弦涩而数。两关尤甚。知其肝木乘脾中气下陷。乃用理中汤。加熟附人参。附
用一钱一剂。继用加味益母丸。一服遂愈。后用参术归芍为君。陈皮香附桂枝沉香为引。十
余剂全愈。
一男子年三十六七。素质强健、嗜酒、因事忤意、醉后复大怒、遂胸膈窒塞、喉中一块如梅
核状、咯不出、咽不下、诊其六脉、弦紧而滑、两尺尤大、知其伏火郁痰。冲碍清道遂用二
陈加山栀白豆蔻芦根、煎服数帖、稍宽。再用梨汁、韭汁、萝卜汁、姜汁、萃汁、芦根汁、
生葛根汁、白蜜、各一碗。八味熬膏。外用白术半斤、人参四两、白茯苓四两为末、和匀
入灌内、盐泥封固、放锅内、煮三炷香、取出去火毒、每日清晨上午下午滚水调服、晚用滚
痰丸一钱茶下、如此调治半年全安。此法治中年膈食皆妙。
一族叔因事奔走劳役、谋虑太过、损伤心脾、素又有汗经肥气之疾、春初因怒感寒、大吐、
药食不入、诊其脉、沉迟弦涩不定、初医用香砂养胃汤、次半夏竹茹汤，加丁香、后用治中
汤、皆不应、请余治、予曰烦躁闷乱。面青颊赤。唇目俱黄。脉反沉迟。乃阳症得阴脉也法
难调治。遂先用理中汤。参附各用五分探之。服下稍安。半日后复吐。予坚议欲用附子以回
阳抑阴。其眷属彷徨不决。赖亲友力替。遂以参附各三钱。加入真武汤。内外灸气海十余壮
。且灸且服。药后得汗。周身狂燥遂息。吐亦寻止。但昏沉六日。不省人事。惟啜饮汤而已
。至七日方醒。此由阴盛于内阳消于外。得附子而阳气初回。不定故昏沉耳。后以参术归
为君佐以枸杞子麦门冬酸枣仁圆眼肉之类。上下午服。晨用鹿角胶二三钱调理。百日全安。
（接上文）加入藕节、黑栀子、侧柏叶，服用两剂后症状略有好转；随后在前方基础上加大黄二钱、当归一钱、桃仁三十粒（不去皮尖），研成泥状，服用两剂。大便排出黑血三至五次。胸胁部顿时感到舒畅。之后以八物汤加减，调理一个月而痊愈。
用盒脐法吸附热毒。接着使用胃风汤加肉豆蔻、黄连、地榆，煎煮后吞服香连丸，如此服用两剂痢疾停止；再使用大剂量补中益气汤，加入三倍量的扁豆，以及柴胡、山药、鳖甲，服用数剂疟疾停止。之后以人参、白术、当归熬膏调理，得以痊愈。
一位三十多岁的妇女，患有哮喘咳嗽，气急痰多壅塞，昼夜无法躺卧，一年发作三至五次，遇寒则病情加重。我起初用麻黄、石膏、杏仁、贝母、苏叶、青皮、枳壳、桔梗、葶苈子、大腹皮，服用四剂后痰喘平息。再用保和汤加减十余剂。后来以清肺丸和真白丸子两种药，空腹及临睡前服用，各半料，竟彻底根治。
一位四十多岁的男子，患伤寒病，五六天后，发汗和解下法使用不当，导致咳逆大作，生命垂危，腹部拘急，极度口渴，饮水，大便稀溏，小便涩少，六脉滑数，这是热邪结聚在中下二焦，停饮在上焦，所以引起咳逆。我用大剂量二陈汤，加竹茹一钱五分、黄连一钱二分、柿蒂二十个，煎服两剂便痊愈了。但口渴未止，再用黄连白虎汤两大剂，完全康复。
外感病邪已去，内伤尚未消除，又引动旧有的积滞，导致胃口剧烈疼痛。于是用二陈汤加吴茱萸、炒黄连、香附、青皮、白芥子、官桂、黑干姜炭，服用一剂疼痛停止。第二天小腹剧烈疼痛，又用桂枝芍药汤加大黄、枳壳，疼痛再次停止。随后胸胁背部出现巨大胀满，急痛不能触碰诊察，两手关脉散大，知道是瘀血。于是用桃仁承气汤连续服用两剂，排出紫黑色血液一二斗。背部宽松但胸胁仍然胀满，口内有血腥味。于是用犀角地黄汤一剂，继用四物汤加香附、童便制丹皮、丹参、侧柏叶、黑栀子仁，连续服用数剂得以痊愈。再用当归膏一料，调理恢复元气。
一位三十多岁的男子，患伤寒头痛，无汗，发热，因误药导致汗出异常，热邪蕴结于内，发出遍身红紫斑疹。于是用防风通圣散去芒硝、大黄、黄柏、滑石，加牛蒡子，服用两剂，热退斑消。仍然有虚汗、大渴，咽喉肿痛。再用用人参白虎汤加玄参、升麻少许，服用两剂，疼痛和口渴都停止了。后来用小柴胡汤去半夏，加白术、当归、麦冬，服用五六剂而安定。
一位二十六七岁的妇女，因恼怒，火气攻上，导致颈部、耳朵、头部、面部全部肿胀，医生用防风通圣散一剂，肿胀消退。过了三个月发作疟疾，隔日发作一次，先冷后热，非常严重，神志不清，快要死亡。我诊察发现，六脉弦紧，两关尤其坚劲。知道是肝木太过而乘克脾土，所以发作疟疾。先用越鞠二陈汤加柴胡、黄芩、白芍药、白术，在未发作日服用一剂。接着用人参、白术、柴胡、青皮、归身、白芍药、黄芩、半夏、川芎、甘草、草果、乌梅、马齿苋、姜、枣煎煮，在发作日五更天空腹服用。疟疾当天即止。后来用四君子汤加当归、白芍药、香附、贝母、陈皮、青皮，数剂而安定。
一位男子体质素来虚弱。三月患伤寒，发汗、催吐、泻下都用过，脾胃受损，病愈后，又没有好好调理，到五月因为事务劳累，一天晚上突然晕倒，手足冰冷，神志不清，口吐涎沫，冷汗如雨，水米不进。我诊察发现，两寸脉浮小，两关脉浮大如手指，重按全无，两尺脉短涩不匀。我告诉他说：这是极度的虚证候。不用大补之法不能活命。于是先用荆芥穗五钱，加姜汁、竹沥各一盏，先灌下去稍定，再用参三钱、黄芪二钱、归身、白术各二钱五分、麦冬一钱五分、五味子一钱、熟附子二钱，作大剂煎服。连续服用两剂，于是得以复生。后来用十全大补汤去桂枝，加天麻一钱、防风八分，调养完全痊愈。
天长县钟水村有一人，三十多岁，形体肥胖，体质浓厚，平时不嗜好酒色，偶然因劳累，接着又有外忧，忽然患中风，左手足不遂，痰涎壅盛，能说话但头痛如斧劈，大小便通畅，诊察发现六脉洪滑，有力但不数。这是痰火类中风。于是先用至宝丹作为引导，接着用煎药：南星、半夏各二钱，陈皮、白术、白茯苓、白芍药各八分，黄芩、石膏各一钱，当归一钱五分，甘草五分，天麻、川芎、羌活、防风各八分，僵蚕、全蝎、红花各五分，作大剂，用姜汁、竹沥送服，一剂减半。外用滚痰丸下午服用。后来以此方随症加减，数剂完全安康。
一位年轻妇人禀赋虚弱，平时多病，二月初生产，非常艰难，后来患左胯部剧烈疼痛，像鸡嘴咬一样，小腹急痛，见食物气味就呕吐，饮食都不能进。有人按血虚治，有人按郁火治，都不见效。一位医生按虚证治，用八物汤，用人参只五七分，多了就喘促气闷，都说郁症不宜用人参，只用四物汤、二陈汤加香附等药，与八物汤交替服用，到三月形体瘦弱疲惫，疼痛更加严重。请我看诊，六脉洪大，重按全无，乃是极度的虚证候。于是用参三钱、[黄芪]一钱五分、白术一钱、陈皮七分、当归一钱、甘草三分、白茯苓一钱、熟附子五分。那人说不要多用参。我解释说：大虚大补，小虚小补。现在是大虚却反而用小补，所以邪气不伏反致喘闷。众人都点头称是。于是煎前药一剂，分三次服用。疼痛于是十分去了七分。当晚也能安睡。仍以此方服用二十剂，加参至五钱，才得以完全痊愈。
一位二十八岁的男子，患黄疸病，遍身面目如金色，口渴，日渐消瘦，诊其六脉，轻取浮弦，重按短涩。前医按古法以苍术为君药，加入茵陈五苓散，内佐以木通、山栀，数服不效。又一医以琥珀丸治疗，病情加剧。我诊其脉，细询其状，才知道他素来酒色过度，金（肺）水（肾）两脏受伤已久。从治标不治本，病怎么能好？于是用四物汤加童便制黄柏、知母并枸杞、麦门冬、甘菊花，大剂一百余剂，才完全痊愈。只是两天昏朦，不能见物。后来用人参固本丸加黄柏、知母，间以六味地黄丸加甘菊花，各一料，交替服用。后来眼睛也复明，身体如旧。
一位四十多岁的男子，伤酒感寒，胃脘痛如刀割，呕吐昏闷，七日滴水不进，诸药服下即吐出，顷刻不能停留。我诊察发现，六脉沉微无力。知道他是饮酒伤于上，受寒伤于下，寒热相搏，成为关格之症。所以诸药物不能纳受。于是先用理中汤加藿香、半夏、陈皮，煎一服，吞下四积保生锭二丸，令以小杯缓服，一二小时不吐，就索要粥喝，脉象随即起。后来用六君子汤十剂完全痊愈。
一女七岁，患小腹痛，牵引到心部，连两胁后背都痛，诸药不效。我看诊时，见她面上有白点，知道是虫痛无疑。身体极瘦弱，不能承受驱虫的猛剂。于是先用理中汤加乌梅、川椒，连续进服四剂。次用槟榔散、使君子肉，煎汤调下，才得以完全痊愈。仍用参苓白术散调理。
一位富家少妇，因郁久伤血，血虚气滞，虚火时常发动，月经两三个月来一次，每次欲行经时，必剧烈疼痛数日，经血色淡量少，下午唇颊赤红，不发热，中脘痞闷，恶食，强食即吐。诊察发现六脉弦涩，两寸浮滑。用六君子汤加厚朴、砂仁、香附，加倍用量，数帖稍安。每经前后则用四物汤加木香、玄胡索、红花、牡丹皮。经后用八物汤倍加香附。空心服八珍丸，加香附、沉香、益母草膏为丸，服用半年完全痊愈。次年生一子。
一位近四十岁的妇人，八月间生产，胎儿死在腹中，过了八天才产出，产后小腹内如梭子大的一块硬块，直冲上心口，痛不可忍，到了夜晚尤其严重。凡医生都用行血破血、破气香燥的药剂，越服越严重。到十一月初，我为她诊视，六脉弦涩而数，两关尤其严重。知道是肝木乘脾，中气下陷。于是用理中汤加熟附子、人参。附子用一钱，一剂。继用加味益母丸，一服遂愈。后用参、术、归、芍为君药，陈皮、香附、桂枝、沉香为引药，十余剂完全痊愈。
一位三十六七岁的男子，素质强健，嗜酒，因事不如意，醉后大怒，遂胸膈窒塞，喉中一块如梅核状，咯不出，咽不下。诊其六脉，弦紧而滑，两尺尤大，知道是伏火郁痰，冲碍清道。于是用二陈汤加山栀、白豆蔻、芦根，煎服数帖，稍宽。再用梨汁、韭汁、萝卜汁、姜汁、萃汁（注：原文可能有误，疑为其他汁液）、芦根汁、生葛根汁、白蜜，各一碗，八味熬膏。外用白术半斤、人参四两、白茯苓四两为末，和匀入罐内，盐泥封固，放锅内，煮三炷香的时间，取出去火毒，每日清晨、上午、下午滚水调服，晚用滚痰丸一钱茶下，如此调治半年完全安康。此法治中年膈食皆妙。
一族叔因事奔走劳累，谋虑太过，损伤心脾，素来又有汗症、肥气之疾。春初因怒感寒，大吐，药食不入。诊其脉，沉迟弦涩不定。初医用香砂养胃汤，次用半夏竹茹汤加丁香，后用治中汤，都不见效。请我诊治，我说：烦躁闷乱，面青颊赤，唇目俱黄，脉反沉迟，乃阳症得阴脉也，法难调治。于是先用理中汤，参、附各用五分探试。服下稍安。半日后复吐。我坚决建议要用附子以回阳抑阴。其家属彷徨不决。赖亲友极力怂恿，遂以参、附各三钱，加入真武汤，内外灸气海十余壮。且灸且服。药后得汗，周身狂躁遂息，呕吐也随即停止。但昏沉六日，不省人事，惟啜饮汤而已。至七日方醒。此由阴盛于内，阳消于外，得附子而阳气初回，不定故昏沉耳。后来以参、术、归为君药，佐以枸杞子、麦门冬、酸枣仁、圆眼肉之类，上下午服。晨用鹿角胶二三钱调理，百日完全安康。
(Continuing from the previous text) Add Lotus Node (Nelumbinis Rhizomatis Nodus), Black Gardenia Fruit (Gardeniae Fructus), and Biota Tops (Biotae Cacumen). After two doses, symptoms improved slightly. Subsequently, add Rhubarb (Rhei Radix et Rhizoma) 2 qian, Angelica Sinensis (Angelicae Sinensis Radix) 1 qian, and Peach Kernels (Persicae Semen) 30 grains (without removing skin and sharp ends), ground into a paste. Take for two doses. Dark blood is passed in stool three to five times. The chest and hypochondrium suddenly feel relaxed. Thereafter, modify Ba Wu Tang (Eight Substance Decoction) and regulate for one month until recovery.
Use the Box-Navels method to absorb heat toxins. Next, use Wei Feng Tang (Stomach Wind Decoction) added with Myristica Seed (Myristicae Semen), Coptis Rhizome (Coptidis Rhizoma), and Sanguisorba Root (Sanguisorbae Radix), decocted and taken with Xiang Lian Wan (Fragrant Coptis Pill). After two doses, dysentery stops. Then use a large dose of Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with three times the amount of Lablab Bean (Lablab Album), along with Bupleurum Root (Bupleuri Radix), Chinese Yam (Dioscoreae Rhizoma), and Turtle Shell (Testudinis Carapax et Plastrum). After several doses, malaria stops. Finally, decoct Ginseng (Ginseng Radix), Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma), and Angelica Sinensis into a paste for regulation, leading to full recovery.
A woman in her thirties suffered from asthma and coughing, with急促 breathing and phlegm obstruction, unable to lie down day or night. She had three to five episodes per year, worsening upon exposure to cold. I initially prescribed Ephedra Stem (Ephedrae Herba), Gypsum Fibrosum (Gypsum), Apricot Kernel (Armeniacae Semen Amarum), Fritillaria Bulb (Fritillariae Cirrhosae Bulbus), Perilla Leaf (Perillae Folium), Green Tangerine Peel (Citri Reticulatae Pericarpium), Aurantium Fruit (Aurantii Fructus), Platycodon Root (Platycodi Radix), Thistle Seed (Descurainiae Semen seu Lepidii Semen), and Greater Burdock Fruit (Magnoliae Fructus). After four doses, phlegm and wheezing subsided. Then, use Bao He Tang (Preserve Harmony Decoction) modified for over ten doses. Later, take Qing Fei Wan (Clear Lung Pill) and Zhen Bai Wan (True White Pill) on an empty stomach and before bed, half a portion each, completely curing the root cause.
A man in his forties suffered from Taiyang disease (Exterior Syndrome of the Taiyang Channel). After five or six days, improper sweating and purging led to severe coughing and reversal of qi, near death, abdominal urgency, extreme thirst, loose stools, scanty and difficult urination, and slippery-rapid pulse in all six positions, indicating heat accumulation in the middle and lower jiao with fluid retention in the upper jiao causing cough. I used a large dose of Er Chen Tang (Two-Cured Decoction) adding Bamboo Shavings (Bambusae Caulis in Taeniam), Coptis Rhizome (Coptidis Rhizoma), and Date Calyx (Ziziphi Spinosae Calyx). After two doses, he recovered, though thirst persisted. I then used Huang Lian Bai Hu Tang (Coptis White Tiger Decoction) in large doses, resulting in complete recovery.
The exterior pathogen was expelled, but internal injury remained, aggravating old stagnation, causing severe epigastric pain. I used Er Chen Tang (Two-Cured Decoction) added with Evodia Fruit (Evodiae Fructus), Stir-fried Coptis Rhizome (Coptidis Rhizoma), Cyperus Rhizome (Cyperi Rhizoma), Citrus Peel (Citri Reticulatae Pericarpium), White Mustard Seed (Sinapis Semen), Cassia Twig (Cassiae Ramulus), and Charred Dried Ginger (Zingiberis Rhizoma Carbonisatum). One dose stopped the pain. The next day, severe lower abdominal pain occurred. I used Gui Zhi Shao Yao Tang (Cinnamon Twig and Peony Decoction) adding Rhubarb (Rhei Radix et Rhizoma) and Aurantium Fruit (Aurantii Fructus), stopping the pain again. Subsequently, massive distension and acute pain appeared in the chest, hypochondrium, and back, making palpation impossible. The Guan pulses on both sides were scattered and large, indicating blood stasis. I used Tao Ren Cheng Qi Tang (Peach Kernel and Magnesium Chloride Decoction) for two doses, passing one to two dou of dark purple-black blood. The back felt relieved, but chest and hypochondrium remained distended, with a metallic taste in the mouth. I used Xi Jiao Di Huang Tang (Rhino Horn and Rehmannia Decoction) for one dose, followed by Si Wu Tang (Four Substance Decoction) added with Cyperus Rhizome (Cyperi Rhizoma), Child’s Urine-processed Moutan Bark (Moutan Cortex), Salvia Root (Salviae Miltiorrhizae Radix), Biota Tops (Biotae Cacumen), and Black Gardenia Fruit (Gardeniae Fructus). Several doses led to recovery. Finally, use Dang Gui Jiang (Angelica Paste) for one portion to restore vitality.
A man in his thirties suffered from Taiyang disease with headache, anhidrosis, and fever. Due to erroneous medication causing abnormal sweating, heat accumulated internally, manifesting as widespread red-purple macules. I used Fang Feng Tong Sheng San (Siler and Sage Powder to Unblock the Interior) removing Mang Xiao (Mirabilitum), Da Huang (Rhei Radix et Rhizoma), Huang Bo (Phellodendri Cortex), and Hua Shi (Talcum), adding Cowherb Seed (Bursae Fructus). Two doses cleared the heat and resolved the macules. However, deficiency sweating, extreme thirst, and sore throat persisted. I used Ren Shen Bai Hu Tang (Ginseng White Tiger Decoction) adding Scrophularia Root (Scrophulariae Radix) and Ma Huang (Ephedrae Herba - *Note: Context suggests Sheng Ma Cimicifugae Rhizoma likely intended given "Sheng Ma" in text, but text says "Xuan Shen Sheng Ma", usually Cimicifugae Rhizoma*) in small amounts. Two doses stopped pain and thirst. Later, Xiao Chai Hu Tang (Minor Bupleurum Decoction) removing Pinellia Tuber (Pinelliae Rhizoma), adding Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma), Angelica Sinensis (Angelicae Sinensis Radix), and Ophiopogon Tuber (Ophiopogonis Tuber) for five to six doses brought stability.
A woman aged twenty-six or twenty-seven suffered from anger, causing fire to attack upwards, resulting in swelling of the neck, ears, head, and face. A doctor used Fang Feng Tong Sheng San (Siler and Sage Powder to Unblock the Interior) for one dose, reducing swelling. Three months later, malaria developed, occurring every other day, starting with chills followed by fever, very severe, with loss of consciousness, nearing death. I diagnosed string-tight pulses in all six positions, especially firm at the Guan positions. This indicated excessive Liver Wood attacking Spleen Earth, causing malaria. I first used Yue Ju Er Chen Tang (Regulating Qi and Two-Cured Decoction) adding Bupleurum Root (Bupleuri Radix), Scutellaria Root (Scutellariae Radix), White Peony Root (Paeoniae Radix Alba), and Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma), taken on non-paroxysm days. Next, I used Ginseng (Ginseng Radix), Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma), Bupleurum Root (Bupleuri Radix), Citrus Peel (Citri Reticulatae Pericarpium), Angelica Sinensis Root (Angelicae Sinensis Radix), White Peony Root (Paeoniae Radix Alba), Scutellaria Root (Scutellariae Radix), Pinellia Tuber (Pinelliae Rhizoma), Ligusticum Rhizome (Ligustici Chuanxiong Rhizoma), Licorice Root (Glycyrrhizae Radix et Rhizoma), Tsaoko Cardamom Fruit (Amomi Fructus), Plum Fruit (Pruni Mume Fructus), Purslane (Portulacae Herba), Ginger (Zingiberis Rhizoma Recens), and Jujube (Ziziphi Jujubae Fructus) decocted, taken on paroxysm days at dawn on an empty stomach. Malaria stopped that day. Later, Si Jun Zi Tang (Four Gentlemen Decoction) adding Angelica Sinensis (Angelicae Sinensis Radix), White Peony Root (Paeoniae Radix Alba), Cyperus Rhizome (Cyperi Rhizoma), Fritillaria Bulb (Fritillariae Cirrhosae Bulbus), Citrus Peel (Citri Reticulatae Pericarpium), and Aurantium Fruit (Aurantii Fructus) for several doses brought stability.
A man with a constitutionally weak physique suffered from Taiyang disease in March. Sweating, vomiting, and purging were all employed, damaging the Spleen and Stomach. After recovery, lack of proper regulation led to fatigue in May. Suddenly fainting, cold limbs, unconsciousness, foaming at the mouth, profuse cold sweat, inability to swallow water. I diagnosed floating-small Chi pulses, floating-large Guan pulses like fingers, empty on deep pressure, and short-choppy irregular Chi pulses. I stated this was extreme deficiency requiring major tonification to survive. I first used Schizonepeta Spike (Schizonepetae Spica) 5 qian, added Ginger Juice (Zingiberis Succus) and Bamboo Sap (Bambusae Succus) 1 liang each, administered first to stabilize. Then Ginseng (Ginseng Radix) 3 qian, Astragalus Root (Astragali Radix) 2 qian, Angelica Sinensis Root (Angelicae Sinensis Radix) and Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma) 2.5 qian each, Ophiopogon Tuber (Ophiopogonis Tuber) 1.5 qian, Schisandra Berry (Schisandrae Chinensis Fructus) 1 qian, and Prepared Aconite Root (Aconiti Lateralis Radix Praeparata) 2 qian, made into a large decoction. Two doses restored life. Later, Shi Quan Da Bu Tang (Great Tonifying Decoction of Ten Ingredients) removing Cinnamon Twig (Cinnamomi Ramulus), adding Gastrodia Tuber (Gastrodiae Rhizoma) 1 qian and Saposhnikovia Root (Saposhnikoviae Radix) 8 fen, regulated him to full recovery.
A resident of Zhongshui Village, Changtian County, in his thirties, was obese and robust, not fond of alcohol or sex. Due to labor and external worry, he suddenly suffered stroke-like symptoms: left-sided hemiplegia, abundant phlegm-saliva, able to speak but with splitting headache, normal bowel and bladder movements. Pulses were surging-slipping, forceful but not rapid. This was Phlegm-Fire Stroke-Like Syndrome. I first used Zhi Bao Dan (Precious Treasure Pill) as a guide, then decocted Arisaema Rhizome (Arisaematis Rhizoma) and Pinellia Tuber (Pinelliae Rhizoma) 2 qian each, Citrus Peel (Citri Reticulatae Pericarpium), Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma), Poria (Poria), White Peony Root (Paeoniae Radix Alba) 8 fen each, Scutellaria Root (Scutellariae Radix) and Gypsum Fibrosum (Gypsum) 1 qian each, Angelica Sinensis (Angelicae Sinensis Radix) 1.5 qian, Licorice Root (Glycyrrhizae Radix et Rhizoma) 5 fen, Gastrodia Tuber (Gastrodiae Rhizoma), Ligusticum Rhizome (Ligustici Chuanxiong Rhizoma), Notopterygium Rhizome (Notopterygii Rhizoma), Saposhnikovia Root (Saposhnikoviae Radix) 8 fen each, Silkworm (Bombyx Batryticatus), Centipede (Scolopendra), and Safflower (Carthami Flos) 5 fen each. Made into a large decoction, taken with Ginger Juice and Bamboo Sap. One dose reduced symptoms by half. External use of Dun Tan Wan (Rolling Phlegm Pill) in the afternoon. Modified this formula subsequently for several doses until full recovery.
A young woman with weak constitution and frequent illness gave birth in early February with great difficulty. Later suffered severe left hip pain like a chicken beak biting, lower abdominal urgency, vomiting upon smelling food, unable to eat. Treated as Blood Deficiency or Depression-Fire without effect. Another doctor treated as deficiency using Ba Wu Tang (Eight Substance Decoction) with only 5-7 fen of Ginseng (Ginseng Radix); more caused panting. They said depression should not use Ginseng, using Si Wu Tang (Four Substance Decoction) and Er Chen Tang (Two-Cured Decoction) with Cyperus Rhizome (Cyperi Rhizoma) alternating with Ba Wu Tang. By March, she was emaciated and painful. I diagnosed surging-large pulses empty on deep pressure, indicating extreme deficiency. I used Ginseng (Ginseng Radix) 3 qian, [Astragalus Root (Astragali Radix)] 1.5 qian, Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma) 1 qian, Citrus Peel (Citri Reticulatae Pericarpium) 7 fen, Angelica Sinensis (Angelicae Sinensis Radix) 1 qian, Licorice Root (Glycyrrhizae Radix et Rhizoma) 3 fen, Poria (Poria) 1 qian, and Prepared Aconite Root (Aconiti Lateralis Radix Praeparata) 5 fen. Others argued against high-dose Ginseng. I explained: Great deficiency requires great tonification; slight deficiency requires slight tonification. Using slight tonification for great deficiency fails to subdue pathogens, causing panting. They agreed. One dose divided into three servings reduced pain by 70%. She slept peacefully that night. Continued this formula for 20 doses, increasing Ginseng to 5 qian, achieving full recovery.
A 28-year-old man suffered from Jaundice, with yellow body and eyes, thirst, and wasting. Pulses were floating-stringy on light pressure, short-choppy on deep pressure. Previous doctors used Cang Zhu (Atractylodis Rhizoma) as chief herb with Yin Chen Wu Ling San (Artemisia Capillaris and Five-Ingredient Poria Decoction) plus Tong Cao (Tetrapanacis Medulla) and Gardenia Fruit (Gardeniae Fructus) without effect. Another doctor used Hu Po Wan (Amber Pill), worsening the condition. I diagnosed fine pulses and learned of chronic alcohol and sexual excess damaging Lung (Metal) and Kidney (Water). Treating only symptoms failed. I used Si Wu Tang (Four Substance Decoction) added with Child’s Urine-processed Phellodendron Bark (Phellodendri Cortex), Anemarrhena Rhizome (Anemarrhenae Rhizoma), Goji Berry (Lycii Fructus), Ophiopogon Tuber (Ophiopogonis Tuber), and Chrysanthemum Flower (Chrysanthemi Flos) in large doses for over 100 doses until full recovery. Temporary blindness occurred for two days. Later used Ren Shen Gu Ben Wan (Ginseng Solidify Root Pill) added with Phellodendron Bark (Phellodendri Cortex) and Anemarrhena Rhizome (Anemarrhenae Rhizoma), alternating with Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) added with Chrysanthemum Flower (Chrysanthemi Flos). Eyesight and health fully restored.
A man in his forties suffered from alcohol injury and cold invasion, causing stabbing epigastric pain, vomiting, and drowsiness. Unable to keep anything down for seven days. Pulses were deep-micro and powerless. This was drinking injury above and cold injury below, cold-heat clashing causing Guan Ge (Obstruction-Reversal) syndrome, preventing drug intake. I first used Li Zhong Tang (Regulate the Middle Decoction) adding Agastache Herb (Agastachis Herba), Pinellia Tuber (Pinelliae Rhizoma), and Citrus Peel (Citri Reticulatae Pericarpium), decocted and taken with Si Ji Bao Sheng Ding (Four Accumulations Protect Life Tablet). Taken slowly in small cups, no vomiting after 1-2 hours, craving porridge, pulse rising. Six Jun Zi Tang (Six Gentlemen Decoction) for ten doses cured him.
A 7-year-old girl suffered from lower abdominal pain radiating to the heart, hypochondrium, and back. All drugs failed. I saw white spots on her face, diagnosing worm pain. Too weak for strong vermifuges. I first used Li Zhong Tang (Regulate the Middle Decoction) adding Sour Plum Fruit (Pruni Mume Fructus) and Sichuan Pepper (Zanthoxyli Pericarpium) for four doses. Then used Bing Lang San (Areca Seed Powder) and Qu Su Rou (Quisqualis Fructus Flesh) decocted and taken orally. Fully recovered. Regulated with Shen Ling Bai Zhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder).
A wealthy young woman suffered from long-term depression injuring Blood, causing Blood Deficiency and Qi Stagnation, with occasional deficiency fire. Menstruation every 2-3 months, severe pain before onset, pale and scant flow, red cheeks in afternoon without fever, epigastric fullness, aversion to food, vomiting if forced. Pulses were string-choppy, floating-slipping at Chi. Liu Jun Zi Tang (Six Gentlemen Decoction) added with Magnolia Bark (Magnoliae Officinalis Cortex), Amomum Fruit (Amomi Fructus), and Cyperus Rhizome (Cyperi Rhizoma) doubled for several patches brought relief. Before and during menstruation, Si Wu Tang (Four Substance Decoction) added with Costus Root (Saussureae Radix), Corydalis Rhizome (Corydalidis Rhizoma), Safflower (Carthami Flos), and Moutan Bark (Moutan Cortex). After menstruation, Ba Wu Tang (Eight Substance Decoction) with doubled Cyperus Rhizome (Cyperi Rhizoma). Empty stomach took Ba Zhen Wan (Eight Treasure Pill) added with Cyperus Rhizome (Cyperi Rhizoma), Aquilaria Wood (Aquilariae Lignum Resinatum), and Motherwort Extract (Leonuri Fructus Extract) as pills. Half a year of treatment cured her. She bore a son the next year.
A woman near forty gave birth in August; fetus died in uterus, delivered after eight days. Postpartum, a spindle-sized mass in lower abdomen rushed up to the heart, unbearable pain, worse at night. Doctors used blood-invigorating and Qi-moving aromatic-dry drugs, worsening condition. In November, I diagnosed string-choppy-rapid pulses, severe at Guan. Liver Wood attacking Spleen with sinking Middle Qi. Used Li Zhong Tang (Regulate the Middle Decoction) adding Prepared Aconite Root (Aconiti Lateralis Radix Praeparata) and Ginseng (Ginseng Radix). Aconite 1 qian, one dose. Followed by Jia Yi Mu Wan (Modified Motherwort Pill), one dose cured. Later used Ginseng (Ginseng Radix), Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma), Angelica Sinensis (Angelicae Sinensis Radix), and White Peony Root (Paeoniae Radix Alba) as chiefs, Citrus Peel (Citri Reticulatae Pericarpium), Cyperus Rhizome (Cyperi Rhizoma), Cinnamon Twig (Cinnamomi Ramulus), and Aquilaria Wood (Aquilariae Lignum Resinatum) as guides. Over ten doses cured.
A man aged 36-37, robust, fond of alcohol, became angry after drinking due to frustration. Chest oppression, plum-pit qi in throat (globus hystericus). Pulses string-tight-slipping, large Chi. Internal fire and stagnant phlegm obstructing clear pathways. Used Er Chen Tang (Two-Cured Decoction) adding Gardenia Fruit (Gardeniae Fructus), White Cardamom Fruit (Amomi Fructus), and Reed Rhizome (Phragmitis Rhizoma) for several patches bringing relief. Then Pear Juice, Leek Juice, Radish Juice, Ginger Juice, [Unknown Juice], Reed Rhizome Juice, Kudzu Root Juice, and White Honey, each 1 bowl, boiled into paste. External use: Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma) 0.5 jin, Ginseng (Ginseng Radix) 4 liang, Poria (Poria) 4 liang, powdered, mixed, sealed in jar with salt mud, boiled for 3 incense burns, detoxified. Taken with boiling water morning, noon, evening. Evening took Dun Tan Wan (Rolling Phlegm Pill) 1 qian with tea. Six months of treatment cured. Effective for middle-aged esophageal obstruction.
A clan uncle suffered heart-Spleen damage from labor and overthinking, with history of sweating and Fei Qi (abdominal mass). Spring anger and cold caused severe vomiting, unable to take medicine/food. Pulses deep-slow-string-choppy. Initial doctors used Xiang Sha Yang Wei Tang (Costus and Amomum Stomach-Nourishing Decoction), Ban Xia Zhu Ru Tang (Pinellia and Bambusa Caulis in Taeniam Decoction) with丁香 (Caryophylli Flos), and Zhi Zhong Tang (Regulate Middle Decoction) without effect. I diagnosed irritability, blue face/red cheeks, yellow lips/eyes, slow pulse—Yang syndrome with Yin pulse, difficult to treat. First used Li Zhong Tang (Regulate the Middle Decoction) with Ginseng (Ginseng Radix) and Aconite Root (Aconiti Radix) 5 fen each to probe. Slight relief, then vomiting resumed. I insisted on Aconite (Aconiti Radix) to restore Yang. Family hesitated. Relatives urged, so Ginseng (Ginseng Radix) and Aconite Root (Aconiti Radix) 3 qian each added to Zhen Wu Tang (True Warrior Decoction). Moxibustion on Qihai (CV6) while taking medicine. Sweating stopped restlessness and vomiting. Coma for six days, waking on seventh. Yin excess inside, Yang decline outside; Aconite restored initial Yang, causing instability/coma. Later used Ginseng (Ginseng Radix), Atractylodes Macrocephala Rhizome (Atractylodis Macrocephalae Rhizoma), Angelica Sinensis (Angelicae Sinensis Radix) as chiefs, Goji Berry (Lycii Fructus), Ophiopogon Tuber (Ophiopogonis Tuber), Sour Jujube Seed (Ziziphi Spinosae Semen), and Longan Flesh (Longan Arillus) as assistants, taken morning/evening. Morning Deer Antler Glue (Cervi Cornu Colla) 2-3 qian. Hundred days to full recovery.