甲申季夏姜子社续弦少妇病潮热喘嗽。经水涩少。每郁即见膈胀拒。食遇啖辛热。咯血口干。
脉弦滑微数。姜以为瘵。余曰。甫笄阴血未充。五火易动。因循不治。亦能成瘵。投以六味
地黄加炙草黄芩麦冬知母阿胶为丸。服月余诸症俱失。且复举孕。
甲申春里中一寡妇甫三旬。时或增寒发热。通宵不寐。时或经昼昏眠。呢喃独语。遇劳肢体
厥冷。每自用姜葱解表。遂致停热脾胃。乘虚下注而患赤带。脉沉伏若绝。重按洪实搏指余
以为相火蕴隆内真热而外假寒用四物汤。加黄连龙胆炒栀知母茯苓木通投八剂。诸症悉平褚
澄以僧尼寡妇异其治诚然。
癸未秋衷表龚门一外家。年逾三旬。娩未百日。恣啖生冷。呕吐脐疼。病白带。月余行经
冲任。冒寒发热。烦渴。赤带频下。脉沉迟无力此内真寒而外假热之症用四物二陈。加炮姜肉桂
木香。少佐升麻丸。服阅月而愈。
余侄女年甫笄。素体瘦实。喜啖姜蒜。每经行先期而至脉沉数此脾胃蕴热迫血下行令其
淡饮食用清凉之物。逾后如期而至。
又
乙酉秋连都阃嫡母年将五旬。素未举孕。怀抱郁结。亦患经水先期而至。频漏不绝。晕
眩发热。脉见浮革无力余断以郁火凌脾气虚不能摄血作虚热论用八珍汤。去川芎加黄 续断
阿胶少佐升麻逾旬而瘥。
甲申年夏季，姜姓人家的续弦妻子是一位年轻妇人，患有潮热、气喘咳嗽的症状。月经量少且排出不畅。每当情绪郁结时，就会感到胸膈胀满疼痛。如果进食辛辣温热的食物，就会出现咯血和口干。脉象弦滑而略微偏数。姜某认为这是痨病（结核病）。我说：这位女子刚成年，阴血尚未充盈，五志之火容易妄动。如果拖延不治疗，也能发展成痨病。于是投以六味地黄丸，加入炙甘草、黄芩、麦冬、知母、阿胶，制成丸药服用。服药一个多月后，各种症状全部消失，并且后来再次怀孕。
甲申年春季，乡里有一位寡妇刚三十岁。有时出现怕冷发热，整夜无法入睡；有时白天昏睡，喃喃自语。劳累后四肢厥冷。她每次自己用生姜、葱白解表发汗，导致热邪停滞在脾胃，乘虚下注而患赤带（血色白带）。脉象沉伏似有若无，重按则洪大实搏指。我认为这是相火蕴积炽盛，内里真热而外表假寒。使用四物汤，加入黄连、龙胆草、炒栀子、知母、茯苓、木通，投药八剂，各种症状全部平复。褚澄曾说对僧尼寡妇要区别对待，确实如此。
癸未年秋季，我表亲龚家的一位外甥女。年龄超过三十岁。分娩未满一百天，恣意吃生冷食物，导致呕吐、脐部疼痛，患上白带病。一个月后行经冲任二脉，冒受寒邪而发热，心烦口渴，赤带频繁下行。脉象沉迟无力。这是内里真寒而外表假热的病症。使用四物汤合二陈汤，加入炮姜、肉桂、木香，少量佐以升麻，制成丸药。服用一个月后痊愈。
我的侄女刚成年。平时身体瘦弱但结实，喜欢吃姜蒜。每次月经提前到来，脉象沉数。这是脾胃蕴藏热邪，逼迫血液下行所致。让她饮食清淡，食用清凉之物，过后月经便如期而至。
又，乙酉年秋季，连都阃（武官名）的嫡母将近五十岁。平生未曾怀孕过，怀抱郁结，也患有月经提前到来，淋漓不断，头晕目眩，发热。脉象浮革而无力。我判断为郁火凌犯脾气，气虚不能摄血，作为虚热论治。使用八珍汤，去掉川芎，加入黄柏、续断、阿胶，少量佐以升麻。十天后病愈。
In the late summer of the Jia-Shen year, a young woman who was the second wife of a man surnamed Jiang suffered from tidal fever, wheezing, and coughing. Her menstruation was scanty and difficult to flow. Whenever she felt emotionally depressed, she experienced distension and pain in the chest and diaphragm. If she consumed spicy and warm foods, she would expectorate blood and feel dryness in the mouth. The pulse was wiry, slippery, and slightly rapid. Mr. Jiang considered this to be *Zai* (consumptive disease/tuberculosis). I said, "This woman has just reached adulthood; her Yin blood is not yet full, and the fire of the five emotions is prone to agitation. If left untreated for long, it can also develop into consumptive disease." I prescribed Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) with added Zhi Gancao (Honey-fried Licorice Root), Huangqin (Scutellaria Root), Maidong (Ophiopogon Tuber), Zhimu (Anemarrhena Rhizome), and Ejiao (Donkey-hide Gelatin), made into pills. After taking them for over a month, all symptoms disappeared, and she subsequently became pregnant again.
In the spring of the Jia-Shen year, a widow in the village, just thirty years old, sometimes experienced chills and fever, unable to sleep throughout the night. At other times, she slept drowsily during the day, muttering and talking to herself. After exertion, her limbs became cold. She repeatedly used ginger and scallions to induce sweating and release the exterior, which caused heat to stagnate in the Spleen and Stomach. Taking advantage of the deficiency, the pathogen descended downward, resulting in red leukorrhea (blood-stained vaginal discharge). The pulse was deep and hidden, seeming almost absent, but upon heavy pressure, it was surging, full, and forceful against the fingers. I judged this to be an accumulation and flourishing of Minister Fire, where there was true heat inside and false cold on the outside. I administered Siwu Tang (Four-Substance Decoction) with added Huanglian (Coptis Rhizome), Longdancao (Gentian Root), Chao Zhizi (Fried Gardenia Fruit), Zhimu (Anemarrhena Rhizome), Fuling (Poria), and Mutong (Akebia Stem). After eight doses, all symptoms subsided. Chu Cheng once stated that monks, nuns, and widows should be treated differently; this is indeed true.
In the autumn of the Gui-Wei year, a niece by marriage from my cousin's Gong family, over thirty years old, had not yet completed one hundred days postpartum. She indulged in raw and cold foods, leading to vomiting and umbilical pain, and developed white leukorrhea. A month later, while menstruating through the Chong and Ren vessels, she caught a cold and developed fever, irritability, thirst, and frequent passage of red leukorrhea. The pulse was deep, slow, and weak. This was a syndrome of true cold inside and false heat on the outside. I used Siwu Tang combined with Erchen Tang, adding Pao Jiang (Prepared Ginger), Rougui (Cinnamon Bark), and Muxiang (Aucklandia Root), with a small amount of Shengma (Cimicifuga Rhizome), made into pills. After one month of consumption, she recovered.
My niece had just reached adulthood. Her constitution was naturally thin yet solid, and she enjoyed eating ginger and garlic. Every time her menstruation arrived early, the pulse was deep and rapid. This was due to heat accumulating in the Spleen and Stomach, forcing blood to descend. I instructed her to eat a bland diet and consume cooling foods. Afterwards, her menstruation returned to its regular schedule.
Furthermore, in the autumn of the Yi-You year, the legitimate mother of Duke Lian, nearing fifty years old, had never been pregnant before. Due to emotional depression and constraint, she also suffered from early menstruation, continuous dripping without cessation, dizziness, vertigo, and fever. The pulse was floating, wiry like a guitar string, and weak. I diagnosed this as Depressive Fire harassing the Spleen Qi, where Qi deficiency failed to control the blood, classifying it as Deficient Heat. I prescribed Bazhen Tang (Eight-Treasure Decoction), removing Chuanxiong, and adding Huangbo (Phellodendron Bark), Xuduan (Dipsacus Root), and Ejiao (Donkey-hide Gelatin), with a small amount of Shengma (Cimicifuga Rhizome). After ten days, the illness resolved.