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Mr. Wu Mianzhai, a Jieba (Prefectural Vice-Administrator), had a robust and plump physique, had a preference for food that was fried or roasted, indulged in his desires without restraint, and was sixty-seven years old at the time. His temperament was extremely irritable. One day, he fell and injured his teeth, but he paid it no mind. Three days later, he fell again, still disregarding it. On the evening following this second fall, his left hand and foot suddenly became immobile, and his mouth and eyes deviated to one side. Mr. Lu Huainan, a family friend of long standing, went to examine him and said to Mr. Wu's sons: "This is Wind-Stroke (Zhong Feng). Treatment cannot be delayed; quickly administer Niu Huang Wan (Calculus Bovis Pill)." The sons were all distinguished scholars (Tai Xue Sheng). They invited me to treat him. Upon examining his pulse, the left side was Hong Da (Surging and Large), and the right side was Huan Da (Moderate and Large). Observing his complexion, it was Cang Hei (Dark Blue-Black); his spirit was confused, he snored, his exhalations were long while inhalations were short, and breath would exit but not return. He lay supine all day as if intoxicated, unable to be moved by others. Mr. Lu asked: "Is this not Hemiplegia (Ban Shen Bu Sui)?" I replied: "The symptoms are severe; it is not merely hemiplegia. Hemiplegia is a sequela of wind-stroke where the condition progresses slowly, with some remaining asymptomatic for over ten years. Here, the disease has just begun, yet the momentum is already so fierce; this is the onset of wind-stroke, and its future course is unpredictable." Mr. Lu was a dignified elder with profound expertise. Hearing my words, he immediately understood and discussed medication with me. We initially prescribed Liu Jun Zi Tang (Six Gentlemen Decoction) added with Quan Xie (Whole Scorpion), Jiang Can (Bombyx Batryticatus), and Tian Ma (Gastrodia Rhizome). After two days of administration, his spirit remained unclear, still in a coma-like sleep, breathing while asleep, with saliva dripping from the corners of his mouth, occasional vomiting, and refusing even a grain of rice. Zhu Ru (Bamboo Shavings) was added to the previous prescription. Two days later, his consciousness finally returned. He wished to speak but his tongue was stiff and difficult to move, mumbling without being able to articulate. Shi Chang Pu (Acorus Rhizome), Yuan Zhi (Polygala Root), and Hong Hua (Carthamus Flower) were added to the previous prescription. Only then could he consume a few mouthfuls of congee, amounting to roughly a cup of tea per day. At night, Zheng She San (Tongue-Correcting Powder) was administered together with the previous decoction. Three days later, he could sit up, and his congee intake increased significantly. However, his speech remained slurred and hesitant; he used a pen to write when he wanted to speak, indicating that his left hand was very painful, and his urination and defecation were difficult and scanty. Si Jun Zi Tang (Four Gentlemen Decoction) was then prescribed with Chen Pi (Citrus Peel), Zhu Ru, Dang Gui (Angelica Sinensis), Shao Yao (Peony Root), Hong Hua, Gou Teng (Uncaria Rhizoma cum Uncis), and Tian Ma. After three days, his mental state improved greatly, and his diet increased daily. This formula was used for conditioning for a month. His hand pain decreased, and he could move slightly; his legs could extend slightly, and when supported, he could sit. He could even play card games by arranging cards according to a pattern. His speech clarity reached eighty or ninety percent, giving hope for complete recovery. However, his defecation occurred only once every seven to eight days or even ten-plus days. I said: "This is due to blood deficiency. Long-term nourishment will naturally restore health. Fortunately, no other treatments were used that might cause rapid harm." Mr. Wu often claimed that his illness was caused by phlegm in the diaphragm region and that he needed to vomit to feel relief. This was advice given to him by another physician. I said: "Your pulse is large and deficient; it is not residual phlegm causing harm. Moreover, your gradual improvement through nourishing treatment is clear evidence. How dare I lightly attempt emesis? I wish you to endure patiently and wait quietly, avoiding danger." On the twenty-fifth day of the ninth month of the Wuxu year, I departed for Tiao City on that day. Less than ten days after our parting, Mr. Wu placed his trust entirely in Zhang Jia. Zhang loudly declared: "Your illness can be treated with emesis; early emesis leads to early cure." Mr. Wu's sons initially believed my words and opposed this view. Zhang argued: "Your illness is phlegm; emesis is indispensable. Emesis followed by tonification can lead to full recovery without sequelae. Otherwise, it will inevitably become an entrenched disease." Desiring a quick effect, Mr. Wu resolved to undergo emesis. His sons could not stop him. After the first emesis, he became restless and agitated, yet still complained that the vomiting was not thorough enough and insisted on vigorous emesis. After the second emesis, he fell into a coma, experienced shortness of breath, sweated profusely like rain, and died immediately. It is truly lamentable!