古人下乳之方不下百十数，有验有不验者，缘病情不一耳。近得一方，补气为主，而通窍散结，解热活血诸品，无不毕具。已试数人，历有成效。因录二方于后，以备不时查考云。
保胎无忧散：潞参三钱、全当归三钱、枳壳钱半、荆芥穗钱半、紫根朴钱半(姜汁炒)，川贝母二钱研末另冲、川芎三钱、羌活一钱、生黄芪钱半、菟丝饼二钱(酒泡)、白芍二钱半、祁艾钱半(醋炒)、生甘草钱半、生姜三片。水煎服。
下乳神方：生黄芪八钱、全当归五钱、白芷四钱、陈皮三钱、木通片一钱、漏芦钱半、通草钱半、红花五分、姜炭五分、川芎二钱、王不留钱半、潞参四钱、炮甲珠三钱。水煎成加黄酒二樽热服。
肝气不舒郁而生火
里人张兄清之妹，归宁数日，忽患胸满饮食不进，兼发呕作嗽，其母疑为胎。邀余治之。诊其六脉平，左关带滑象。因告之曰，病乃肝气不舒，郁而生火，且肝冲犯胃土，食必不思，乃以逍遥散加丹皮、山栀清之，二服而瘥。
气郁脾馁
读医宗必读一书有治病不失人情论一条。可谓老成练达，道尽医家甘苦。
吾乡张公景夷之弟，素短于才，在湖南作贾。年余而归，益无聊赖，兼嗜洋药，一切衣物日用，仰给于兄。性近侈，私累丛集，又不恭厥兄，终日愦愦抱闷气，食不沾荤，而糖饴瓜果之类，时不离口。辛酉夏因而成疾，其兄延余诊之，六脉平和，惟左关滑，右关弱，乃气不伸而脾馁候也。因投以逍遥散。其兄以为颇效，而病者不任也，乃入城投荣医者治之。荣素迂滞，问其形症，且恐货药无钱，遂以病不可为辞焉。张归则涕零如雨，其母素溺爱，亦以为不复生矣，举家惊啼。日诟谇，景翁不得已，又请余治，情辞急迫，乃曰：荣某以舍弟病为不起，请决之，如真不可为，身后一切好预备也。见其景象，本不欲诊，以景翁诚恳相求。又诊之，则脉象如故。乃告其家人曰，此病此脉，万无不好之理，如别生他证，余不敢保，若单有此病，勿药可愈，如有错误，当抵偿也。荣某以庸术吓人，勿为所惑。景翁颇喜。而其弟则大拂意，奋袂而出。景翁嗟悼再三，问何以处？余曰：此虽弱冠，其心反不如聪明童子，但日给钱数十，令其游行自在，无拘无束，三两月必无虑矣。景翁如言听之，病者日日入城，颓然自放，不两月病痊而更胖矣。景翁始信余言之不谬。即其弟亦自云悔不听余言，致多费也。余笑而鄙之。
又有杨姓名清礼者，鞋贾也，家颇居积，性好符咒逢人辄谈丁甲，并以法水治病，时有小效，而其实胸中龌龊，块然痴物也。与其弟每同居，弟性好挥霍，然善理财，以故日用应酬诸费能源源接济无缺，兄则不能沾手。辛酉冬，其弟应武童子试赴府，礼忽大病，头痛如裂，身热如火。急请余治。灯下诊之，肝滑而数。告曰，此必有大不遂事，以致肝郁头痛，平肝痛自止。然何忽至此，暗询之乃知狎邪（妓院）之费，内外交迫也。乃处以左金丸，三更后颇可，适其弟入武庠。报马络绎。礼不顾严寒，单衣而出，又召外感，次日病益甚。又请余治，余不耐与此辈交，峻绝之。杨日日易医，且医者日数人，而病转甚，将近狂。其弟问余，余曰，此系心病。非药石可疗。置而不问，过年当自已也。其弟笑颔之。除夕果减，元旦后日愈矣。知者见余无不服，余言观此二病，知此等症候，虽华扁亦无可如何也。不失人情之论，不益信哉。
肝木克土
介之城东，马如村郭某，在城货烛，人素迂谨。夏间由介赴祁，往返数四，以躁急故，患胸满不食。时我介疫气流行，自以为染疫，急服散药，而气乏声微，愈不可耐，别易一医以为肾虚，用医家肾气丸补之，服四五剂转益甚，几至昏不知人，乃转人延余治，至其家，问何病?则曰，成虚痨矣。问午热自汗，咳嗽气喘乎？曰否。然则非虚痨。提腕而诊之，则两寸尺俱平平，两关皆坚而滞，而右关微带弦象。乃告之曰，此肝木克脾土也。病由一时气不遂，兼发急躁，以致肝气壅塞脾胃，因而胸满不食，理宜平肝清燥，医者以桂附补之，脾胃愈塞，不增甚何待乎。此时宜先解桂附之药力。然后进以疏肝健脾之品，不过半月保无事矣。病者喜急索方，乃开平胃散加山楂，麦芽以消之。病者争曰，余素无食积，兼久不进食，君用销食之药，不亦悖乎。余笑曰，君第知平胃敞为销食之药，不知君脾胃中虽无食，却有桂附，我之用平胃散非销食，乃解药毒也。药毒不解，胸中终难爽快。人第知平胃散销食，而不知药亦积，非此不能开脾胃之路，此俗医拘其方，而不究其理，所以多误也。病者欣然服之。越三日又请视之，则胸中宽展，渐思食矣。乃继以逍遥散理其脾而清其肝。告曰，不五剂君必起，但服香砂六君子丸半斤，便更壮健。郭如言服之，半月后仍入城货烛矣。
阴火上冲以致耳聋
直隶藩库厅张一端，介人也，以名家子，赴直候补。内艰归里，与余时时作觞豆之会，人亦潇洒不群。以其犹子张文泉司马与余为同谱，故叔呼之。庚申夏，忽患耳聋，人与言者，必大声疾呼方可。适余约作销夏之会，入门与语，貌甚痴。怪问之，方知其聋。谈次便请一诊。问其得自何时?曰：四月中旬。延医数四，皆以为肝气，用平肝药数十付竟不效。乃诊之，觉其六脉沉而数，兼带弱象。因告之曰，此阴火上冲也。耳主肾，肾气壮则耳通；肾气虚则耳闷；肾气寒则耳枯；肾气热则耳塞。君所患乃肾热，绝非肝气，吾乡小儿多患此，甚则流黄汁，一予散肝，不益悖乎。一翁问服何药，乃以知柏地黄汤进。一翁似赚过凉。余曰，长夏气冲，兼胃中有湿热，必无碍。但耳不聋，则勿服也。否则须服麦味地黄丸，其功稍缓。一斋归而服之。余略不记忆，越年许，与其兄张立翁茂才谈及，方知四付耳即通。因忆其事，申谢再再。
里中武庠杨乐斋之二嫂，廿余而寡，抚一子，人颇精强，一切家政，皆经其手，诸妯娌不及也。然郁郁独居，肝气时作，发则喘咳交臻，呻吟不食，如此者经年矣，延医数辈皆以痨瘵论。壬戌春，病复发。卧床月余，阁家无可措手。杨邀余视之，诊其左关滑数，右寸关俱甚。乃告之曰，此气郁停痰，并非痨症。前必多服补药，因而增剧，万勿为虑，药不十剂，保无恐矣。乃以平胃、二陈、四七汤合进之，药入口才刻许、膈间漉漉作声，顿觉宽展，二帖后，喘咳息，而食少进。家人皆惊其神，以为全愈，遂停药。余亦忘之，未过三日病又作。又延余视，诊之，脉少衰，而滑数未改。因问服几帖?以二对。告曰：二帖路已开，病未愈，少亦须四服，但得大解胶粘秽物，则全去矣。不必易方，宜照前服之，三日后再见也。病者听之，越日晨起，暴下恶物数次，食大进，喘咳皆归乌有。更告以香砂六君子丸调摄之，尤当稳固，而其家皆淡漠，不知听之否也。倘调养不善，恐明春再作也。
臁疮外症
臁疮外症，极为缠绵。幼时尝见患此者，脓臭浸淫，经年溃烂。治之法亦颇多，而奏效殊非易事。
辛亥岁，家君曾患此病。洗敷百施，时发时愈。继有县之西堡村。多福寺僧，名钟灵者，祖传外科数世矣，极有把握，乃请治之。钟灵来视，则曰，此臁疮也，最畏散药、膏药。若用膏散，必致增盛。生豆腐最好，但切薄片，用暖水泡过，日日更易，不半月必愈矣。家父如言贴之，果克期而愈。
后余亦因磕伤发溃，惭致成此疮，亦用豆腐贴之，口渐敛而痛时作，又有邻人教以黄蜡化融去尽烟，加松香末少许，摊竹纸上贴之，果痛止而愈。
以不紧要之药，治最缠绵之病，功如反掌。乃药病贵相投，不在贵贱也。故志之。
同谱王丹文，续弦至四而仍病。始以为不礼于姑，郁症也。清阴雨苍茂才治之，用逍遥散或效或否。月余又请李笛仙茂才治之，问其癸水不至者两月矣，始疑为孕，继觉其非，以瘵治之，用十全大补汤加桂附，初服则可，继服而热增矣。迁延之久，无计可施，专车迎余。诊之脉细数，而肺部尤兼滑象。告曰，此热入血室症也。初因少阳感冒而起，宜小柴胡汤加生地、丹皮等，以凉其血，则病当愈。阴之逍遥尚近理，李之桂附，则直阴本虚，又加热药以熬煎之，是油沃火也。此时必喘咳并作，午后发热，头目昏晕，精神倦怠。解外感，则外感已散；清内热，则真金久为销烁，恐无效也。丹文急请一方，乃以东垣拯阴理痨汤进。告曰，服后当有效，然此病总以癸水为主，癸水至则可治，若癸水不至，虽效亦无益也。越两日，丹文来喜曰：服兄药凡两剂，病已减半，再服可乎?余曰：可再服两剂，再看可也。又两日，迎余去，诊之，数象稍变，而虚弱特甚。惟肺部火不退，乃易以人参救肺汤。三服后，丹文又迎余，问其癸水仍不至，乃辞焉。……午月末，余由定回介，问之，则四月中已殁矣。
里中王云集夫妇，习天主教，精于技艺，大而土木之工，小而钟表之细，以致裁衣治膳，骑射技击之术无不通，亦无不精也。而清贫如冼，夫妇诵经奉佛，意气淡泊，乡党皆敬之。壬戊春，得脑后疼，起卧不敢转侧，动则如针刺。请王槐堂茂才治之，以为风也，散之不效，乃邀余治。诊其六脉浮滑，两寸俱出鱼际者半寸。告曰，此痰厥头痛，非外感也。甚则为刚痉，必至角弓反张，身体强直；缓则半身不遂，口眼歪斜，实大症也。止头痛，极易事，但此病须服药数十付，乃除根。不然疼虽止，将复发。王以贫辞，乃曰：但能止头痛则举动自如，余听之可也。乃示以东垣通气太阳汤（柴胡、升麻、黄芪各一钱，防风、羌活、陈皮、人参、甘草各五分，藁木、青皮各三分，黄柏一分，白豆蔻仁二分）二服，痛果减，遣人告余，拟余易方，余曰，方无可易，但服至五六付，痛全止矣。王遵之，痛遂已。其妻劝其再治，其夫苦无药资，遂止。余近闻其手足迟重，饮食不思，且皮肤疼痛不自觉。噫！贫人获此大病，若跌扑而痰壅以死，犹为了当，不然恐沉绵床褥，累月经年，其罪状有不可以言语者，伤哉贫也。
气滞停食
医人强学潮之妻，蜂目而豺身，顽物也。夫殁后，益无忌，仇媳而爱女。在家则捶楚（殴打）其媳。其女适吾里王姓，粗悍不让其母，而其母年过六旬，往返吾里日数四，疾健如奔。壬戌春，气后食停，得心胃疼证。前尚忍之，后不可忍。延任医治之，任更愦愦，谓年老气虚，施补剂，服则痛滋甚。又请任治，任拒曰：疾不可为矣。其女家与前习天主教者为邻，知余看王病，乃请治其母，余本欲辞，而王再三怂恿。不得已，为一诊，见其右关实大而滑数，肝部亦郁。告曰，此气滞停食也，必与人争气后，遂进饮食，食为气壅，郁而作痛。其女从旁极赞余神，反诟其母，常劝尔勿食时生气，而尔不悛（改正），今谁怨焉!请一方。乃以越鞠平胃散加枳实，重用香附。告曰：两服后保无虞矣。后五日遇其女于街，则曰，母病已痊愈，称谢数四。
水气下注腿脚作肿
赵梅村先生，崞县人，工书，兼精笔札。见者辄赏之。以廪生博广文尚在需次，为榆林观察芝田先生记室，后芝翁以内艰归里，梅翁亦家居，近为定襄令同谱弟戴幼安翁司笔札。壬戌夏，定襄县试，幼翁邀余阅卷，与梅翁朝夕聚谈。一日梅翁曰：弟素颇健，近不知何故，两腿连脚作肿，午后益盛，闷滞不能屈伸。余问皮皱乎?曰然。光亮乎?曰然。小便不利乎?曰然。胸膈发闷乎?曰然。告曰，此必饮水太多，水气下注，不治则成水肿，渐而至腰，至腹，则无救矣。梅翁请一诊，余曰，不必诊脉，但疏泻其水，小便利则肿自已。至于茶水，渴而后饮，不渴时则绝之，勿过贪也。因进以五苓散加木通、牛膝、防己、瞿麦，至夜则小便五六次，觉肚腹宽舒。天明视之，肿消其半，连服三剂。则肿迹全无，步履矫健。梅翁为书对联、横幅，称神者再再。
古人治疗乳汁不通的方剂不下百十种，有的有效，有的无效，这是因为病情各不相同的缘故。最近得到一方，以补气为主，同时具备通窍散结、清热活血等各种药物。已经试用在几个人身上，都有成效。因此记录两个方子在后面，以备不时之需查阅参考。
保胎无忧散：潞党参三钱、全当归三钱、枳壳一钱半、荆芥穗一钱半、紫根朴一钱半（用姜汁炒），川贝母二钱研成粉末另冲服、川芎三钱、羌活一钱、生黄芪一钱半、菟丝饼二钱（用酒浸泡）、白芍二钱半、祁艾一钱半（用醋炒）、生甘草一钱半、生姜三片。用水煎服。
下乳神方：生黄芪八钱、全当归五钱、白芷四钱、陈皮三钱、木通片一钱、漏芦一钱半、通草一钱半、红花五分、姜炭五分、川芎二钱、王不留行一钱半、潞党参四钱、炮穿山甲珠三钱。水煎好后加入黄酒两樽热服。
肝气不舒郁而生火
同乡张清之兄的妹妹，回娘家住了几天，突然感到胸部胀满，饮食不进，兼有呕吐和咳嗽，她的母亲怀疑是怀孕。邀请我去诊治。诊察她的六脉平和，左关脉带有滑象。于是告诉她说，这是肝气不舒，郁结而生火，且肝气冲犯胃土，所以必然不想吃东西。于是给予逍遥散加牡丹皮、山栀来清热，服用两剂后病就好了。
气郁脾馁
读《医宗必读》一书中有“治病不失人情”这一条论述。可以说老练通达，道尽了医家的甘苦。
我同乡的张景夷公的弟弟，向来才华不足，在湖南做商人。一年多后回来，更加无聊依赖，又嗜好吸食鸦片，一切衣物日用，都依靠哥哥供给。性情接近奢侈，私下的亏空堆积，又不恭敬他的哥哥，整天昏沉闷气，不吃荤腥，而糖饴瓜果之类，时常不离口。辛酉年夏天因此生病，他哥哥请我去诊治，六脉平和，只有左关滑，右关弱，这是气机不伸展而脾胃虚弱的征候。于是投予逍遥散。他哥哥认为很有效，但病人承受不了，于是进城投靠姓荣的医生治疗。荣某向来迂腐迟钝，询问他的形体症状，又担心他没有钱买药，就以病不可治为借口推辞了。张景夷回来后痛哭流涕，他的母亲一向溺爱他，也认为他活不成了，全家惊恐啼哭。每天责骂，张景夷不得已，又请我去诊治，情辞急切迫切，于是说：荣某说我弟弟的病没救了，请您做个决断，如果真是不行了，身后的事情好预备。看到这种景象，本不想再诊，因为张景夷诚恳相求，又诊了一次，脉象如故。于是告诉他的家人说，这个病这个脉，万没有不好的道理，如果别生其他证候，我不敢保证，如果只是这个病，不吃药也能好，如果有错误，我来赔偿。荣某是用庸俗的技术吓人，不要被迷惑。张景夷很高兴。而他弟弟则非常不满意，愤然甩袖而出。张景夷叹息哀悼多次，问怎么处置？我说：这个人虽然刚成年，心智反而不如聪明的童子，只要每天给几十文钱，让他自由游玩，无拘无束，两三个月一定没问题。张景夷照办，病人每天进城，颓废放纵，不到两个月病好了而且更胖了。张景夷才相信我的话不错。就连他弟弟也自己说后悔不听我的话，导致多花钱。我笑着鄙视他。
又有杨姓名清礼的人，是个卖鞋的商人，家里颇有积蓄，性格喜好符咒，逢人便谈论丁甲鬼神，并用法水治病，偶尔有小效，但实际上胸中龌龊，是个呆痴之人。和他弟弟同住，弟弟性格喜好挥霍，但善于理财，所以日常应酬各种费用都能源源接济不缺，哥哥则不能插手。辛酉年冬天，他弟弟参加武童试去府城，清礼忽然大病，头痛如裂，身体发热如火。急忙请我去诊治。灯下诊察，肝脉滑而数。告诉他说，这必定是有极大的不顺心事，导致肝郁头痛，平抑肝气痛自然停止。但是为什么突然到这种地步，暗中询问才知道是因为狎妓的费用，内外交迫。于是处以左金丸，三更后颇好转，恰逢他弟弟进入武庠（考取秀才）。报喜的马匹络绎不绝。清礼不顾严寒，穿着单衣出去，又招致外感，第二天病更重了。又请我去诊治，我不耐烦与这类人交往，严厉拒绝了他。杨清礼每天更换医生，而且医生每天有几个人，但病转重，将近发狂。他弟弟问我，我说，这是心病。不是药物可以治疗的。放下不问，过年时自然会好。他弟弟笑着点头。除夕果然减轻，元旦后日渐痊愈。知情的人见我无不佩服，我看了这两个病，知道这种症候，即使是华佗、扁鹊也没办法。不失人情的理论，不更加可信吗？
肝木克土
介休城东，马如村郭某，在城里卖蜡烛，为人向来迂腐谨慎。夏天由介休赴祁县，往返数次，因为急躁的原因，患胸部胀满不吃饭。当时介休疫气流行，自认为是染上疫病，急忙服用发散药，导致气乏声微，越来越难以忍受，另外换了一个医生认为是肾虚，用医家肾气丸补之，服用四五剂后病情加重，几乎昏迷不省人事，于是辗转请我去诊治。到他家，问什么病？回答说，成了虚劳了。问是否有午后发热自汗，咳嗽气喘吗？回答说没有。那么就不是虚劳。提起手腕诊察，两寸尺脉都平平，两关脉皆坚而滞，右关微带弦象。于是告诉他说，这是肝木克脾土。病由一时气机不顺，兼发急躁，导致肝气壅塞脾胃，因而胸满不食，理宜平肝清燥，医生用桂枝附子补之，脾胃更加堵塞，不加重还等什么。此时应该先解除桂附的药力。然后进用疏肝健脾的药物，不过半个月保证没事。病人高兴急着要方子，于是开平胃散加山楂、麦芽来消导。病人争辩说，我素来没有食积，加上很久不进食，您用消食的药物，不是违背常理吗？我笑着说，您只知道平胃散是消食的药物，不知道您脾胃中虽然没有食物，却有桂附，我用平胃散不是消食，而是解药毒。药毒不解，胸中终究难爽快。人们只知道平胃散消食，而不知道药也是积滞，不用这个不能开通脾胃之路，这是庸医拘泥于方剂，而不探究其原理，所以多误诊。病人高兴地服用了。过了三天又请我看，则胸中宽展，渐渐想吃了。于是继以逍遥散调理脾胃而清肝。告诉他说，不超过五剂您一定能起来，但服用香砂六君子丸半斤，就会更加壮健。郭某照办服用，半月后又进城卖蜡烛了。
阴火上冲以致耳聋
直隶藩库厅张一端，介休人，以名家子弟身份，赴直隶候补。因内艰（母亲去世）回家，与我时时举行酒宴聚会，人也潇洒不群。因为他的侄子张文泉司马与我同谱，所以叔辈称呼他。庚申年夏天，忽然患耳聋，与人说话，必须大声呼喊才行。恰逢我约好举行消夏聚会，进门与他说话，面貌很痴呆。奇怪地问他，才知道他聋了。谈话间便请求诊脉。问他什么时候得的？回答说：四月中旬。请过几次医生，都认为是肝气，用平肝药几十付竟然无效。于是诊察，觉得六脉沉而数，兼带弱象。于是告诉他说，这是阴火上冲。耳主肾，肾气壮则耳通；肾气虚则耳闷；肾气寒则耳枯；肾气热则耳塞。您所患的是肾热，绝非肝气，我们乡里小儿多患此病，严重时流黄汁，一旦给予散肝药，不是更悖谬吗？张一端问服什么药，于是给予知柏地黄汤。张一端似乎嫌太凉。我说，长夏气冲，兼胃中有湿热，一定无碍。只是耳朵不聋了，就不要服了。否则须服用麦味地黄丸，功效稍缓。张一端回去后服用了。我略微不记得了，过了一年多，与其兄张立翁茂才谈及，才知道四付药后耳朵就通了。因此回忆此事，再次致谢。
同乡武庠杨乐斋的二嫂，二十多岁守寡，抚养一个儿子，人颇为精干强毅，一切家政，都经她手，其他妯娌都比不上。然而郁郁独居，肝气时常发作，发作时喘咳交至，呻吟不食，像这样经过一年了，请过几个医生都以痨瘵论治。壬戌年春天，病复发。卧床月余，全家无可措手。杨邀我去看，诊察她的左关滑数，右寸关俱甚。于是告诉她说，这是气郁停痰，并非痨症。之前必定多服补药，因而加重，千万不要忧虑，药不过十剂，保证无恐。于是将平胃散、二陈汤、四七汤合用，药入口才片刻，膈间漉漉作响，顿觉宽展，两帖后，喘咳平息，而饮食稍进。家人都惊异其神奇，以为全愈，于是停药。我也忘了，没过三天病又发作。又延请我去看，诊察，脉稍衰，而滑数未改。于是问服了几帖？回答说两帖。告诉他说：两帖路已开，病未愈，最少也要四服，只要大便排出胶粘秽物，就全好了。不必换方，宜照前服用，三天后再见。病人听从了，次日晨起，暴下恶物数次，饮食大进，喘咳皆消失。又告诉她用香砂六君子丸调摄，尤其应当稳固，而她家人都很淡漠，不知是否听了。倘若调养不善，恐怕明年春天再发作。
臁疮外症
臁疮的外症，极为缠绵。幼时曾见过患此病的人，脓臭浸淫，经年溃烂。治疗的方法也很多，但奏效殊非易事。
辛亥年，家父曾患此病。洗敷百施，时发时愈。后来有县西堡村多福寺僧人，名钟灵者，祖传外科数世，极有把握，于是请他治疗。钟灵来看，就说，这是臁疮，最畏散药、膏药。如果用膏散，必定导致增生。生豆腐最好，但切薄片，用暖水泡过，日日更换，不到半月必愈。家父照办贴敷，果然按期而愈。
后来我也因磕伤发溃，渐致成此疮，也用豆腐贴敷，口渐敛而痛时作，又有邻居教以黄蜡化融去尽烟，加松香末少许，摊在竹纸上贴敷，果然痛止而愈。
用不紧要的药物，治最缠绵的病，功效如反掌。乃药病贵相投，不在贵贱也。所以记录下来。
同谱王丹文，续弦至第四任妻子时仍生病。开始以为是婆婆不礼貌，郁症。请阴雨苍茂才诊治，用逍遥散或有效或无效。月余又请李笛仙茂才诊治，问其月经不至已经两个月了，开始怀疑是怀孕，继而觉得不是，以痨瘵治之，用十全大补汤加桂附，初服尚可，继服而热增矣。迁延之久，无计可施，专车迎我。诊之脉细数，而肺部尤兼滑象。告曰，此热入血室症也。初因少阳感冒而起，宜小柴胡汤加生地、丹皮等，以凉其血，则病当愈。阴之逍遥尚近理，李之桂附，则直阴本虚，又加热药以熬煎之，是油沃火也。此时必喘咳并作，午后发热，头目昏晕，精神倦怠。解外感，则外感已散；清内热，则真金久为销烁，恐无效也。丹文急请一方，乃以东垣拯阴理痨汤进。告曰，服后当有效，然此病总以癸水为主，癸水至则可治，若癸水不至，虽效亦无益也。越两日，丹文来喜曰：服兄药凡两剂，病已减半，再服可乎？余曰：可再服两剂，再看可也。又两日，迎余去，诊之，数象稍变，而虚弱特甚。惟肺部火不退，乃易以人参救肺汤。三服后，丹文又迎余，问其癸水仍不至，乃辞焉。……午月末，余由定回介，问之，则四月中已殁矣。
同乡王云集夫妇，习天主教，精于技艺，大而土木之工，小而钟表之细，以致裁衣治膳，骑射技击之术无不通，亦无不精也。而清贫如洗，夫妇诵经奉佛，意气淡泊，乡党皆敬之。壬戊春，得脑后疼，起卧不敢转侧，动则如针刺。请王槐堂茂才诊治，以为是风邪，散之不效，于是邀我诊治。诊其六脉浮滑，两寸俱出鱼际者半寸。告曰，此痰厥头痛，非外感也。甚则为刚痉，必至角弓反张，身体强直；缓则半身不遂，口眼歪斜，实大症也。止头痛，极易事，但此病须服药数十付，乃除根。不然疼虽止，将复发。王以贫辞，于是说：只要能止头痛则举动自如，我听凭您的安排。于是示以东垣通气太阳汤（柴胡、升麻、黄芪各一钱，防风、羌活、陈皮、人参、甘草各五分，藁本、青皮各三分，黄柏一分，白豆蔻仁二分）二服，痛果减，派人告诉我，拟让我换方，我说，方无可易，但服至五六付，痛全止矣。王遵之，痛遂已。其妻劝其再治，其夫苦无药资，遂止。我近来听说他手足迟重，饮食不思，且皮肤疼痛不自觉。噫！贫人获此大病，若跌扑而痰壅以死，犹为了当，不然恐沉绵床褥，累月经年，其罪状有不可以言语者，伤哉贫也。
气滞停食
医生强学潮的妻子，蜂目豺身，顽固之物。丈夫死后，更加肆无忌惮，仇视儿媳而宠爱女儿。在家则殴打其媳。其女嫁给我同乡王家，粗悍不让其母，而其母年过六旬，往返我家每日数次，疾健如奔。壬戌春，气后食停，得心胃疼证。前尚忍之，后不可忍。请任医治之，任更糊涂，谓年老气虚，施补剂，服则痛滋甚。又请任治，任拒曰：疾不可为矣。其女家与前习天主教者为邻，知我看王病，于是请治其母，我本想推辞，而王家再三怂恿。不得已，为一诊，见其右关实大而滑数，肝部亦郁。告曰，此气滞停食也，必与人争气后，遂进饮食，食为气壅，郁而作痛。其女从旁极赞我神，反诟其母，常劝尔勿食时生气，而尔不改正，今谁怨焉！请一方。于是以越鞠平胃散加枳实，重用香附。告曰：两服后保无虞矣。后五日遇其女于街，则曰，母病已痊愈，称谢数四。
水气下注腿脚作肿
赵梅村先生，崞县人，工书，兼精笔札。见者辄赏之。以廪生博广文尚在需次，为榆林观察芝田先生记室，后芝翁以内艰归里，梅翁亦家居，近为定襄令同谱弟戴幼安翁司笔札。壬戌夏，定襄县试，幼翁邀我阅卷，与梅翁朝夕聚谈。一日梅翁曰：弟素颇健，近不知何故，两腿连脚作肿，午后益盛，闷滞不能屈伸。我问皮皱乎？曰然。光亮乎？曰然。小便不利乎？曰然。胸膈发闷乎？曰然。告曰，此必饮水太多，水气下注，不治则成水肿，渐而至腰，至腹，则无救矣。梅翁请一诊，我说，不必诊脉，但疏泻其水，小便利则肿自已。至于茶水，渴而后饮，不渴时则绝之，勿过贪也。因进以五苓散加木通、牛膝、防己、瞿麦，至夜则小便五六次，觉肚腹宽舒。天明视之，肿消其半，连服三剂。则肿迹全无，步履矫健。梅翁为书对联、横幅，称神者再再。
Ancient texts contain over a hundred prescriptions for promoting lactation, some effective and others not, due to the varying nature of the conditions. Recently, I obtained a prescription that primarily tonifies Qi while also possessing properties to unblock orifices, dissipate nodules, clear heat, and invigorate blood. It has been tested on several individuals with consistent success. Therefore, I record two prescriptions below for future reference.
Baotai Wuyou San (Pregnancy-Safeguarding Carefree Powder): Lu Shen (Codonopsis Radix) 3 qian, Quan Dang Gui (Angelicae Sinensis Radix) 3 qian, Zhi Ke (Aurantii Fructus) 1.5 qian, Jing Jie Sui (Schizonepetae Spica) 1.5 qian, Zi Gen Pu (Bupleuri Radix processed with ginger juice) 1.5 qian, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) 2 qian, ground into powder and taken separately; Chuan Xiong (Ligustici Chuanxiong Rhizoma) 3 qian, Qiang Huo (Notopterygii Rhizoma et Radix) 1 qian, Sheng Huang Qi (Astragali Radix) 1.5 qian, Tu Si Bing (Cuscutae Semen processed into cakes with wine) 2 qian, Bai Shao (Paeoniae Radix Alba) 2.5 qian, Qi Ai (Artemisiae Argyi Folium processed with vinegar) 1.5 qian, Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma) 1.5 qian, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices. Decoct in water and take orally.
Xiaru Shen Fang (Miraculous Formula for Promoting Lactation): Sheng Huang Qi (Astragali Radix) 8 qian, Quan Dang Gui (Angelicae Sinensis Radix) 5 qian, Bai Zhi (Angelicae Dahuricae Radix) 4 qian, Chen Pi (Citri Reticulatae Pericarpium) 3 qian, Mu Tong Pian (Akebiae Caulis) 1 qian, Lou Lu (Euphorbiae Humifusae Herba) 1.5 qian, Tong Cao (Tetrapanacis Medulla) 1.5 qian, Hong Hua (Carthami Flos) 0.5 fen, Jiang Tan (Zingiberis Rhizoma Carbonisatum) 0.5 fen, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 2 qian, Wang Bu Liu Xing (Vaccariae Semen) 1.5 qian, Lu Shen (Codonopsis Radix) 4 qian, Pao Jia Zhu (Manis Squama processed) 3 qian. Decoct in water, add two zun of yellow wine, and take hot.
Liver Qi Stagnation Transforming into Fire
The younger sister of my fellow townsman Brother Zhang Qingzhi returned to her natal home for a few days when she suddenly suffered from chest fullness and loss of appetite, accompanied by vomiting and coughing. Her mother suspected pregnancy and invited me to treat her. Upon palpating her six pulses, they were peaceful, but the left Guan position showed a slippery image. I informed her that this was due to Liver Qi stagnation transforming into fire, which then attacked the Stomach Earth, causing an aversion to food. I prescribed Xiaoyao San (Free and Easy Wanderer Powder) plus Mu Dan Pi (Moutan Cortex) and Shan Zhi (Gardeniae Fructus) to clear heat. After two doses, she recovered.
Qi Stagnation and Spleen Emaciation
Reading the book *Yi Zong Bi Du* (Essential Readings for Medical Masters), there is a section titled "Treating Illness Without Losing Human Sentiment." This can be described as experienced and thorough, fully expressing the joys and hardships of physicians.
The younger brother of Mr. Zhang Jingyi from my hometown lacked talent and worked as a merchant in Hunan. After returning after more than a year, he became increasingly dependent and developed a habit of smoking opium. All his clothing and daily necessities were supplied by his older brother. His nature leaned towards extravagance, accumulating private debts, yet he was disrespectful to his brother. He spent his days gloomy and depressed, avoiding meat, while constantly consuming sweets, fruits, and candies. In the summer of the Xinyou year, he fell ill. His brother invited me to diagnose him. The six pulses were peaceful, except for a slippery pulse at the left Guan and a weak pulse at the right Guan, indicating stagnant Qi and emaciated Spleen. I prescribed Xiaoyao San (Free and Easy Wanderer Powder). His brother thought it was effective, but the patient could not tolerate it, so he went to the city to seek treatment from Dr. Rong. Dr. Rong was pedantic and slow; upon hearing the symptoms and fearing the patient had no money for medicine, he claimed the illness was incurable. When Zhang Jingyi returned, he wept bitterly. His mother, who doted on him, believed he would not survive, and the whole family was in panic and grief. They scolded him daily. Reluctantly, Zhang Jingyi asked me to treat him again, pleading urgently. He said, "Dr. Rong claims my brother is dying. Please make a decision. If he truly cannot be saved, let us prepare for the aftermath." Seeing the scene, I did not wish to examine him, but out of Zhang's sincerity, I did so again. The pulse remained the same. I told the family, "With this illness and this pulse, there is absolutely no reason for it not to improve. If other complications arise, I cannot guarantee it, but if it is only this illness, it will heal without medicine. If I am wrong, I will compensate." I advised them not to be frightened by Dr. Rong's quackery. Zhang Jingyi was pleased, but his brother was furious and stormed out. Zhang sighed repeatedly and asked how to handle the situation. I said, "Although he is young, his mind is less sharp than a clever child. Give him a few dozen coins daily to roam freely without restriction. Within two or three months, there will be no worries." Zhang followed my advice. The patient went into the city daily, indulging in leisure. Within two months, he recovered and gained weight. Zhang finally believed my words were correct. Even his brother admitted regretting not listening to me, resulting in wasted expenses. I laughed and despised him.
Liver Stagnation Headache
There was another man named Yang Qingli, a shoe merchant with considerable savings. He loved talismans and spells, discussing spirits with everyone, and treated illnesses with magical water, achieving occasional minor successes. However, his heart was corrupt, and he was essentially a dull person. He lived with his younger brother, who was extravagant but good at managing finances, ensuring all daily expenses were met, whereas the elder brother had no control over the money. In the winter of the Xinyou year, while his younger brother went to the prefecture for the military examination, Qingli suddenly fell severely ill with splitting headaches and burning fever. I was called urgently. Under the lamp, I palpated his Liver pulse as slippery and rapid. I told him, "This must be caused by significant frustration leading to Liver stagnation headache. Calming the Liver will stop the pain. But why did it happen so suddenly?" Secretly inquiring, I learned it was due to expenses from visiting prostitutes, causing internal and external pressure. I prescribed Zuojin Wan (Left Metal Pill). By the third watch, he improved somewhat. Coincidentally, his younger brother passed the examination. Messengers came continuously. Ignoring the severe cold, Qingli went out in thin clothes, catching an external contraction. The next day, his condition worsened. He asked me to treat him again, but I was tired of dealing with such people and refused sternly. Yang changed doctors daily, seeing several each day, but his condition deteriorated until he was nearly mad. His younger brother asked me. I said, "This is a Heart disease. Medicines cannot cure it. Leave it alone; it will heal itself by the New Year." His younger brother smiled and nodded. Indeed, on New Year's Eve, he improved, and after New Year's Day, he healed daily. Those who knew this admired me. From these two cases, I know that for such syndromes, even Hua Tuo or Bian Que would be helpless. The theory of "not losing human sentiment" is indeed trustworthy.
Liver Wood Overacting on Earth
Guo Mou from Macun Village, east of Jiexiu, sold candles in the city and was known for being pedantic and cautious. In summer, he traveled between Jiexiu and Qixian multiple times. Due to impatience, he suffered from chest fullness and loss of appetite. At that time, epidemic qi was prevalent in Jiexiu. Believing he had caught the plague, he hastily took dispersing medicines, leading to fatigue and a faint voice, becoming unbearable. Another doctor diagnosed Kidney Deficiency and prescribed Shenqi Wan (Kidney Qi Pill) to tonify. After four or five doses, his condition worsened significantly, nearly reaching unconsciousness. He was then referred to me. Upon arrival, I asked about his illness. He said he had developed Xu Lao (Consumptive Disease). I asked if he had afternoon fever, spontaneous sweating, cough, and asthma. He said no. Thus, it was not Xu Lao. Palpating his wrist, both Cun and Chi positions were flat, while both Guan positions were firm and sluggish, with the right Guan slightly wiry. I told him, "This is Liver Wood overacting on Spleen Earth. The illness resulted from temporary Qi obstruction and impatience, causing Liver Qi to block the Spleen and Stomach, leading to chest fullness and anorexia. The proper treatment should calm the Liver and clear dryness. The previous doctor used Guizhi and Fuzi to tonify, further blocking the Spleen and Stomach. Why wouldn't it worsen? At this stage, one must first resolve the effects of Guizhi and Fuzi, then administer herbs to soothe the Liver and strengthen the Spleen. Within half a month, you will be fine." The patient happily requested a prescription. I prescribed Pingwei San (Peaceful Stomach Powder) plus Shan Zha (Crataegi Fructus) and Mai Ya (Hordei Fructus Germinatus) to digest. The patient argued, "I never have food stagnation, and I haven't eaten for a long time. Using digestive herbs is contrary to logic." I laughed and said, "You only know Pingwei San as a digestive herb. You do not realize that although your Spleen and Stomach lack food, they contain Guizhi and Fuzi. My use of Pingwei San is not to digest food, but to detoxify the medicine. If the medicinal toxin is not resolved, the chest will never feel comfortable. People only know Pingwei San digests food, but do not realize that medicine itself can become stagnation. Without this, the path of the Spleen and Stomach cannot be opened. This is why vulgar doctors stick to formulas without investigating principles, leading to many errors." The patient happily took the medicine. Three days later, he felt relieved in the chest and began to crave food. I then continued with Xiaoyao San (Free and Easy Wanderer Powder) to regulate the Spleen and clear the Liver. I told him, "Within five doses, you will recover. Additionally, take Ban jin of Xiangsha Liujunzi Wan (Aucklandia and Amomum Six Gentlemen Pills) to become stronger." Guo followed the advice and returned to selling candles in the city after half a month.
Yin Fire Rushing Up Causing Deafness
Zhang Yiduan, a clerk in the Direct Administration Treasury Hall from Jiexiu, was a son of a prominent family seeking a post in Zhili. He returned home due to his mother's death and often held banquets with me. He was elegant and outstanding. Because his nephew, Sima Zhang Wenquan, was in the same genealogical register as me, I addressed him as uncle. In the summer of the Gengshen year, he suddenly suffered from deafness, requiring loud shouting to communicate. I had arranged a summer gathering. Upon entering and speaking, he appeared very dull. Surprised, I asked and discovered his deafness. During the conversation, he requested a pulse diagnosis. I asked when it started. He said mid-April. Several doctors had treated him, diagnosing Liver Qi issues and prescribing dozens of doses of Liver-calming herbs without effect. Upon diagnosis, his six pulses were deep, rapid, and weak. I told him, "This is Yin Fire rushing up. The ears are governed by the Kidney. Strong Kidney Qi leads to clear hearing; deficient Kidney Qi causes muffled hearing; cold Kidney Qi leads to withered hearing; hot Kidney Qi causes blocked hearing. Your condition is Kidney Heat, definitely not Liver Qi. Many children in our village suffer from this, sometimes discharging yellow fluid. Prescribing Liver-dispersing herbs would be contradictory." He asked what medicine to take. I prescribed Zhibai Dihuang Tang (Anemarrhenae, Phellodendri and Rehmanniae Pill). He seemed to think it was too cooling. I said, "In the height of summer, Qi rushes up, and there is damp-heat in the Stomach, so it will not harm you. Stop taking it once your hearing returns. Otherwise, you must take Maiwei Dihuang Wan (Lily and Schisandra Rehmannia Pill), which acts more slowly." He returned and took the medicine. I barely remembered it. A year later, talking with his brother Maocai Zhang Liweng, I learned that his hearing cleared after four doses. Recalling this, I expressed my gratitude again.
Qi Stagnation with Phlegm Retention, Asthma, Cough, and Anorexia
The second sister-in-law of Yang Lezhai, a martial arts student from my hometown, was widowed in her twenties and raised a son. She was capable and managed all household affairs better than her sisters-in-law. However, living in depression, her Liver Qi frequently flared up, causing simultaneous asthma and coughing, groaning, and refusal to eat. This persisted for a year. Several doctors diagnosed it as Lao Zhai (Consumptive Disease). In the spring of the Renxu year, the illness recurred. She lay in bed for over a month, leaving the family helpless. Yang invited me to examine her. Her left Guan pulse was slippery and rapid, and the right Cun and Guan positions were very strong. I told her, "This is Qi stagnation with phlegm retention, not Consumptive Disease. You must have taken many tonifying medicines previously, worsening the condition. Do not worry. Within ten doses, you will be safe." I combined Pingwei San (Peaceful Stomach Powder), Erchen Tang (Two Aged Treasures Decoction), and Siqi Tang (Four Seven Decoction). Immediately after taking the medicine, gurgling sounds were heard in the chest, bringing immediate relief. After two doses, the asthma and cough stopped, and appetite slightly returned. The family was amazed, thinking she was cured, and stopped the medication. I also forgot about it. Within three days, the illness returned. I examined her again; the pulse was slightly weaker, but still slippery and rapid. I asked how many doses she took. She said two. I told her, "The path is open, but the illness remains. At least four doses are needed. Once sticky, foul stool is passed, the illness will be completely gone. Do not change the formula; continue as before. See me in three days." The patient obeyed. The next morning, she passed foul matter several times, ate greatly, and the asthma and cough disappeared. I advised her to take Xiangsha Liujunzi Wan (Aucklandia and Amomum Six Gentlemen Pills) for recovery to ensure stability. Her family was indifferent, and I do not know if they listened. If care is poor, it may recur next spring.
External Syndrome of Leg Ulcers
Leg ulcers are extremely lingering. In my childhood, I saw patients with pus and odor oozing, ulcerating for years. There are many treatments, but achieving results is difficult.
In the Xinhai year, my father suffered from this. Various washes and applications were tried, with intermittent healing. Later, a monk named Zhongling from Duofu Temple in Xibao Village, whose family practiced surgery for generations with great confidence, was invited. Zhongling examined him and said, "This is a leg ulcer. It fears dispersing powders and plasters. Using them will cause proliferation. Raw tofu is best. Slice it thinly, soak in warm water, and replace daily. It will heal within half a month." My father followed this and healed on schedule.
Later, I also developed an ulcer from a bruise. I used tofu, which healed the wound but caused intermittent pain. A neighbor taught me to melt beeswax, remove smoke residue, add a little pine rosin powder, spread it on bamboo paper, and apply it. The pain stopped, and it healed.
Using insignificant medicines to treat the most lingering diseases yields results like flipping a hand. The key is that the medicine matches the disease, not its price. So I recorded this.
Shaoyang Cold with Heat Entering the Blood Chamber
Wang Danwen, from the same genealogical register, had his fourth wife fall ill. Initially, it was thought to be a depression syndrome due to disrespect towards her mother-in-law. Maocai Qing Yincang treated her with Xiaoyao San (Free and Easy Wanderer Powder), with mixed results. A month later, Maocai Li Dixian was invited. Learning that her menstruation had ceased for two months, he suspected pregnancy, then ruled it out, treating it as Consumptive Disease with Shiquan Dabu Tang (Ten Complete Tonifying Decoction) plus Guizhi and Fuzi. Initially effective, but subsequent doses increased heat. After prolonged delay, with no other options, he was brought to me by special carriage. Her pulse was fine and rapid, with the Lung area particularly slippery. I said, "This is Heat Entering the Blood Chamber syndrome. It started with a Shaoyang cold. Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Sheng Di Huang (Rehmanniae Radix) and Mu Dan Pi (Moutan Cortex) should cool the blood and cure the illness. Xiaoyao San is reasonable, but Li's use of Guizhi and Fuzi directly attacks the Yin deficiency and adds heating drugs to boil it, like pouring oil on fire. At this stage, there must be asthma and cough, afternoon fever, dizziness, and fatigue. Resolving the external cold disperses the cold; clearing internal heat consumes the true metal (essence), likely ineffective." Danwen urgently requested a prescription. I administered Dongyuan's Zhengyin Lilao Tang (Restoring Yin and Managing Consumptive Decoction). I said, "It should be effective. However, this illness depends mainly on menstruation. If menstruation arrives, it is curable; if not, even if effective, it is useless." Two days later, Danwen came joyfully saying, "After two doses of your medicine, the illness halved. Can I take more?" I said, "Yes, two more doses, then reassess." Two days later, he invited me again. The rapid pulse changed slightly, but weakness was extreme. Only the Lung fire remained. I changed to Renshen Jiufei Tang (Ginseng Saving Lung Decoction). After three doses, Danwen invited me again, asking if menstruation had arrived. It had not, so I declined. ... At the end of the Wu month, returning from Dingxiang to Jiexiu, I asked about him. He had died in April.
Phlegm Jue Headache
Wang Yunji and his wife from my hometown practiced Catholicism and were skilled in crafts, from large construction to small clockwork, tailoring, cooking, riding, archery, and martial arts. They were proficient in all. Despite being poor as a washed-out cloth, they chanted scriptures and worshipped Buddha, appearing indifferent. The villagers respected them. In the spring of the Renwu year, Wang suffered from back-of-head pain, unable to turn while lying down or sitting, feeling like needle pricks upon movement. Maocai Wang Huaitang treated him, diagnosing Wind, but dispersing herbs failed. He invited me. His six pulses were floating and slippery, with both Cun positions extending half a cun beyond the fish border. I said, "This is Phlegm Jue Headache, not an external contraction. Severe cases lead to Gang Jing (Rigid Spasm), with opisthotonos and body stiffness; mild cases lead to hemiplegia and facial paralysis. It is a major illness. Stopping the headache is easy, but this requires dozens of doses to eradicate the root. Otherwise, the pain will return." Wang cited poverty. I said, "If it stops the headache and allows free movement, I accept whatever arrangement." I prescribed Dongyuan's Tongqi Taiyang Tang (Unblocking Qi Taiyang Decoction: Chai Hu, Sheng Ma, Huang Qi each 1 qian; Fang Feng, Qiang Huo, Chen Pi, Renshen, Gan Cao each 0.5 qian; Gao Ben, Qing Pi each 0.3 qian; Huang Bo 0.1 qian; Bai Dou Kou Ren 0.2 qian). After two doses, the pain decreased. He sent someone to ask for a new prescription. I said, "No need to change. Continue to five or six doses, and the pain will cease." Wang complied, and the pain stopped. His wife urged further treatment, but he lacked funds, so it stopped. I recently heard his hands and feet were heavy, he had no appetite, and his skin hurt without sensation. Alas! For a poor person to suffer such a major illness, if he dies from falling and phlegm obstruction, it is a release. Otherwise, he may lie in bed for months or years, suffering indescribable agony. How sad poverty is.
Qi Stagnation with Food Retention
Qiang Xuechao, a physician, had a wife with bee-like eyes and a jackal's body, a stubborn person. After her husband died, she became unrestrained, hating her daughter-in-law and loving her daughter. At home, she beat her daughter-in-law. Her daughter married into the Wang family in my hometown, inheriting her mother's roughness. Her mother, over sixty, visited daily several times, running swiftly. In the spring of the Renxu year, after an argument, she retained food, developing Heart-Stomach pain. She endured it initially, but later could not. Physician Ren treated her, confusingly diagnosing old age and Qi deficiency, prescribing tonics, which worsened the pain. Asked again, Ren refused, saying the illness was incurable. Her daughter's house was neighbors with the Catholics mentioned earlier. Knowing I treated Wang, they asked me to treat her mother. I wanted to refuse, but the Wangs urged me repeatedly. Reluctantly, I examined her. Her right Guan pulse was solid, large, slippery, and rapid; the Liver area was also stagnant. I said, "This is Qi stagnation with food retention. After arguing with someone, she ate. The food was blocked by Qi, stagnating and causing pain." Her daughter praised my skill from the side, rebuking her mother, saying, "I always advise you not to get angry while eating, but you don't change. Who do you blame now?" I prescribed Yueju Pingwei San (Yueju Peaceful Stomach Powder) plus Zhi Shi (Aurantii Fructus Immaturus), heavily using Xiang Fu (Cyperii Rhizoma). I said, "After two doses, you will be safe." Five days later, I met her daughter on the street. She said her mother had fully recovered and thanked me repeatedly.
Water Qi Descending Causing Leg and Foot Swelling
Mr. Zhao Meicun from Guoxian was skilled in calligraphy and writing. Admirers praised him. As a Linsheng (government-supported student) waiting for a post as Guangwen, he served as secretary to Observer Zhitan of Yulin. Later, when Master Zhitan returned home due to his father's death, Master Mei also stayed home. Recently, he served as secretary for Dai You'an, a fellow clansman and magistrate of Dingxiang. In the summer of the Renxu year, during the Dingxiang county exam, Master Dai invited me to grade papers. I talked with Master Mei day and night. One day, Master Mei said, "I have always been healthy. Recently, for unknown reasons, both legs and feet have swollen, worse in the afternoon, feeling stuffy and unable to bend or extend." I asked, "Is the skin wrinkled?" He said yes. "Is it shiny?" He said yes. "Is urination difficult?" He said yes. "Is there chest oppression?" He said yes. I said, "This must be due to drinking too much water, with water qi descending. If untreated, it becomes edema, spreading to the waist and abdomen, becoming incurable." Master Mei asked for a pulse diagnosis. I said, "No need. Just drain the water. Once urination is smooth, the swelling will subside. Regarding tea and water, drink only when thirsty; abstain when not. Do not be greedy." I prescribed Wuling San (Five-Ling Powder) plus Mutong (Akebiae Caulis), Niuxi (Achyranthis Bidentatae Radix), Fangji (Stephaniae Tetrandrae Radix), and Qumai (Dianthi Herba). By night, he urinated five or six times, feeling abdominal comfort. At dawn, the swelling reduced by half. After three consecutive doses, the swelling marks disappeared completely, and his steps became vigorous. Master Mei wrote couplets and banners, praising my miraculous skills repeatedly.
Spleen and Stomach Stagnation Mistakenly Treated with Guizhi and Fuzi