张道南先生内人，以饮食忤于气，因腹痛不饮食五日矣。逆予诊之。两寸关弦，尺滑。
予曰
∶此上焦气虚，下有郁滞也。以姜黄、青皮为君，山楂、槟榔、当归、杏仁、乌药、枳壳为
臣，柴胡、木香为佐，吴茱萸为使。服后气稍顺。然后用葱二斤，前汤浴洗腰腹，即将熟葱
擦
摩腰腹，使气通透，洗毕即安卧少顷。其夜大便通，先下皆黑硬结块，后皆水，此积滞行而
正气虚也。以建中汤加山楂、茯苓、泽泻、柴胡、香附、姜连调摄之而痊。
张道南先生尊堂老妇人，以劳倦致早晨膈上有痰痞而恶心。每食热物，目中即出泪，脉
右寸
关皆滑，左寸短弱，此心血不足，而肺胃有痰也。以六君子汤加麦芽、白豆仁、旋复花治之
而愈。
马迪庵先生内人，原以饮食过伤，又为风寒外袭，以内伤外感治之后，复至五更发热，
唇燥
，胸中冲跳不已，手足皆冷，脉两寸俱滑数。予谓此奇痰症也。以小陷胸汤加白芍药、萝卜
子、前胡、酒芩二帖，次早大便行，下蛔虫八条，胸中即不冲跳，但觉力怯。再诊之，两寸
减半，尺脉稍起。以二陈汤加白术、白芍药、酒芩调理，后四帖加当归而痊愈。
大宗伯董浔老夫人，常眩晕，手指及肢节作胀。脉右寸软弱，关滑，左脉弦长，直上鱼际，
两尺皆弱，此亢而不下之脉。《难经》所谓木行乘金之候也。总由未生育而肝经之血未破尔
。《内经》云∶诸风掉眩，皆属肝木。兼有痰火，治当养金平木，培土化痰。以白术半夏天
麻汤，正与此对。服两帖而眩晕平。再与六君子汤加天麻、白僵蚕以治其晕，加白芍药以泻
肝，麦门冬、人参以补肺金，麦芽、枳实、神曲、苍术以健脾，使宿痰去而新痰不生。少用
黄柏二分为使，引热下行，令不再发。
Mr. Zhang Daonan's wife suffered from abdominal pain and inability to eat for five days due to dietary factors conflicting with qi mechanism. I examined her pulse. The cun (inch) and guan (bar) positions on both hands were xian (wiry), while the chi (cubit) position was hua (slippery).
I stated: This indicates deficiency of qi in the upper jiao (upper burner) and stagnation in the lower jiao. I used Jianghuang (Curcumae Radix, 姜黄) and Qingpi (Citri Reticulatae Pericarpium Viride, 青皮) as Jun (Sovereign) herbs; Shan Zha (Crataegi Fructus, 山楂), Bing Lang (Arecae Semen, 槟榔), Dang Gui (Angelicae Sinensis Radix, 当归), Xing Ren (Armeniacae Semen Amarum, 杏仁), Wu Yao (Linderae Radix, 乌药), and Zhi Qiao (Aurantii Fructus, 枳壳) as Chen (Minister) herbs; Chai Hu (Bupleuri Radix, 柴胡) and Mu Xiang (Aucklandiae Radix, 木香) as Zuo (Assistant) herbs; and Wu Zhu Yu (Evodiae Fructus, 吴茱萸) as Shi (Envoy) herb. After taking the medicine, the qi flow became slightly smooth. Subsequently, two jin (approx. 1 kg) of scallions were boiled to make a decoction for bathing the waist and abdomen. The warm scallions were then rubbed and massaged over the waist and abdomen to promote qi penetration. She rested quietly for a short time after washing. That night, her bowels moved. Initially, black hard lumps were passed, followed by watery stool, indicating that the accumulation had moved but the healthy qi was deficient. Jianzhong Tang (Cinnamon Twig Decoction) was administered with additions of Shan Zha, Fu Ling (Poria, 茯苓), Ze Xie (Alismatis Rhizoma, 泽泻), Chai Hu, Xiang Fu (Cyperi Rhizoma, 香附), and Jiang Lian (Ginger-processed Coptidis Rhizoma, 姜连) for regulation, leading to recovery.
The elderly mother of Mr. Zhang Daonan suffered from morning phlegm obstruction in the diaphragm area accompanied by nausea due to fatigue and overexertion. Whenever she consumed hot food, tears flowed from her eyes. Her pulse was hua (slippery) at the right cun and guan positions, and duan ruo (short and weak) at the left cun position. This indicated insufficiency of heart blood and the presence of phlegm in the lungs and stomach. Liujunzi Tang (Six Gentlemen Decoction) was prescribed with additions of Mai Ya (Hordei Fructus Germinatus, 麦芽), Bai Dou Ren (Vigna Radiata Seed, 白豆仁), and Xuan Fu Hua (Inulae Flos, 旋复花), resulting in a cure.
Mr. Ma Di'an's wife originally suffered from excessive dietary injury compounded by external wind-cold invasion. After treatment for internal injury and external contraction, she developed fever at dawn (wugeng hour), dry lips, incessant palpitations/churning in the chest, and cold hands and feet. Both cun pulses were hua shuo (slippery and rapid). I diagnosed this as a rare phlegm syndrome. Xiaoxianxiong Tang (Small Trap in the Chest Decoction) was given with additions of Bai Shao Yao (Paeoniae Radix Alba, 白芍药), Luo Bo Zi (Brassicae Semens, 萝卜子), Qian Hu (Peucedani Radix, 前胡), and Jiu Qin (Scutellariae Radix processed with wine, 酒芩) for two doses. The next morning, bowel movement occurred, and eight roundworms were expelled. The chest churning ceased, though she felt weak. Upon re-examination, the cun pulses had halved, and the chi pulse slightly rose. Erchen Tang (Two Aged Herbs Decoction) was used for regulation with additions of Bai Zhu (Atractylodis Macrocephalae Rhizoma, 白术), Bai Shao Yao, and Jiu Qin. In the subsequent four doses, Dang Gui was added, leading to full recovery.
Dong Xun, the Elderly Lady of the Grand Secretary, frequently suffered from dizziness and distension in the fingers and limb joints. The right cun pulse was ruan ruo (soft and weak), the guan was hua (slippery); the left pulse was xian chang (wiry and long), extending straight up to the yuji (fish border) area, and both chi pulses were weak. This is a pulse pattern of hyperactivity without descent, described in the Nan Jing (Classic of Difficult Issues) as Wood overcoming Metal. It is attributed to her never having given birth, meaning the liver channel blood had not been broken/released. The Nei Jing (Inner Canon) states: "All wind diseases causing tremors and dizziness belong to Liver Wood." Accompanied by phlegm-fire, the treatment should nourish Metal to calm Wood and strengthen Earth to resolve phlegm. Baizhu Banxia Tianma Tang (Atractylodes, Pinellia, and Gastrodia Decoction) was appropriate for this condition. After two doses, the dizziness subsided. Liujunzi Tang was then given with additions of Tian Ma (Gastrodiae Rhizoma, 天麻) and Bai Jiang Can (Bombyx Batryticatus, 白僵蚕) to treat dizziness, Bai Shao Yao to drain Liver fire, Mai Men Dong (Ophiopogonis Tuber, 麦门冬) and Ren Shen (Ginseng Radix, 人参) to tonify Lung Metal, Mai Ya, Zhi Shi (Aurantii Fructus Immaturus, 枳实), Shen Qu (Massa Medicata Fermentata, 神曲), and Cang Zhu (Atractylodis Rhizoma, 苍术) to strengthen the Spleen, ensuring old phlegm is removed and new phlegm does not form. A small amount of Huang Bo (Phellodendri Cortex, 黄柏), two fen, was used as an envoy to guide heat downward and prevent recurrence.