侄婿陈东山，仲夏患休息痢，所下皆紫血，腹痛，迨清明犹不愈。医药备尝，体倦肌瘦
，或
三五日一发，或七八日一发，发必三日乃止。予为诊之，左涩而右滑，据脉有瘀血痰积。近
来小水不利，姑用四君子汤加滑石、红曲、陈皮、山楂、泽泻、升麻服后，微觉有热，改用
四君子汤加滑石、桃仁、红曲、酒连，神气稍旺，脾气始回。乃用番鸦胆三钱下之，果去紫
黑血块及如败鱼肠者半桶，从此痛除痢止。次日，以六君子汤去半夏，加酒炒白芍药、山楂
、红曲、滑石、桃仁、升麻调之。报云胸膈作胀，恐积滞未尽而服参术，欲再下之，予为再
诊，两寸短弱，两尺洪大，前日滑涩两脉俱无，此阳虚下陷之候，宜当大升大补。以六君子
汤大加黄 为君，酒炒芍药为臣，升麻、桔梗为使，服此胸膈宽快，精神也好，惟肛门热，
前方加酒连，减半夏，脱然平安。
陈氏妇，肠鸣腹痛，大便溏泻，合目即汗出，下午潮热。医谓潮热盗汗，乃虚怯之症，
加之
泄泻，脾气坏矣，视为不治。浼予诊之，右脉濡数，左脉洪数。予曰∶此郁火痰积症也。盖
忧伤肺、思伤脾，饮食因而不化，积而生痰，故腹痛溏泻。但理中焦，消去痰积可瘳也。以
四君子汤加半夏曲、滑石、红曲、麦芽、苡仁、酒炒白芍药、酒炒黄连、牡蛎、桔梗八帖，
而病去如释。
The nephew-in-law, Chen Dongshan, contracted *Xiuxi Li* (Resting Dysentery, a type of dysentery that recurs intermittently) in midsummer. His stools consisted entirely of purple blood, accompanied by abdominal pain, and the condition persisted until the Qingming Festival. He had tried various medicines, resulting in physical fatigue and emaciation. The episodes occurred every three to five days or seven to eight days, each lasting for three days before subsiding. Upon examination, his left pulse was choppy (*Se*) and his right pulse was slippery (*Hua*). Based on the pulses, I diagnosed the presence of blood stasis and phlegm accumulation. Recently, his urination had become difficult. Initially, I prescribed *Sijunzi Tang* (Four Gentlemen Decoction) with added Talcum (*Huashi*), Red Yeast Rice (*Hongqu*), Tangerine Peel (*Chenpi*), Hawthorn Fruit (*Shanzha*), Alisma (*Zexie*), and Cimicifuga Rhizome (*Shengma*). After taking it, he felt slightly hot, so I modified the prescription to *Sijunzi Tang* with added Talcum (*Huashi*), Peach Kernel (*Taoren*), Red Yeast Rice (*Hongqu*), and Wine-processed Coptis Rhizome (*Jiu Lian*). His spirit gradually improved, and his Spleen Qi began to recover. Subsequently, I administered three qian of *Fanya Dan* (Bitter Apricot Seed from a specific variety, used here as a purgative) to purge the bowels. Indeed, half a bucket of dark purple-black blood clots and material resembling rotten fish intestines were expelled. From then on, the pain ceased and the dysentery stopped. The following day, I prescribed *Liujunzi Tang* (Six Gentlemen Decoction) without Pinellia Rhizome (*Banxia*), adding Wine-processed White Peony Root (*Jiu Baishao*), Hawthorn Fruit (*Shanzha*), Red Yeast Rice (*Hongqu*), Talcum (*Huashi*), Peach Kernel (*Taoren*), and Cimicifuga Rhizome (*Shengma*) for regulation. A messenger reported chest and diaphragmatic distension, fearing that the residual stagnation was aggravated by the tonifying herbs Ginseng (*Renshen*) and Atractylodes Macrocephala Rhizome (*Baizhu*), suggesting another purge. I re-examined him and found both Cun positions short and weak, while both Chi positions were large and rapid. The previous slippery and choppy pulses were absent; this indicated Yang deficiency with sinking Qi, requiring strong lifting and tonification. I used *Liujunzi Tang* with a large dose of Astragalus Membranaceus Root (*Huangqi*) as the sovereign herb, Wine-processed White Peony Root (*Baishao*) as the minister herb, and Cimicifuga Rhizome (*Shengma*) and Platycodon Root (*Jiegeng*) as the guide herbs. After taking this, his chest and diaphragm felt relaxed and comfortable, and his spirit improved. However, he still experienced heat in the anus. I added Wine-processed Coptis Rhizome (*Jiu Lian*) to the previous formula and removed Pinellia Rhizome (*Banxia*), after which he recovered completely.
Mrs. Chen suffered from borborygmus (intestinal rumbling), abdominal pain, loose stools, sweating upon closing her eyes (night sweats), and tidal fever in the afternoon. Other physicians attributed the tidal fever and night sweats to a deficiency-cold syndrome, and considering the diarrhea, they believed her Spleen Qi was ruined, deeming the case untreatable. She requested my consultation. Her right pulse was soggy and rapid (*Ru Shu*), and her left pulse was large and rapid (*Hong Shu*). I stated: This is a syndrome of constrained fire and phlegm accumulation. Grief injures the Lung, and overthinking injures the Spleen; consequently, food fails to transform, accumulates, and generates phlegm, leading to abdominal pain and loose stools. By regulating the Middle Jiao and eliminating the phlegm accumulation, she could be cured. I prescribed *Sijunzi Tang* with added Curled Pinellia (*Banxia Qu*), Talcum (*Huashi*), Red Yeast Rice (*Hongqu*), Barley Sprout (*Maiya*), Coix Seed (*Yiren*), Wine-processed White Peony Root (*Jiu Baishao*), Wine-processed Coptis Rhizome (*Jiu Huanglian*), Oyster Shell (*Muli*), and Platycodon Root (*Jiegeng*). After eight doses, her illness was resolved as if released from a burden.