孙文约孺人，年八十有三，胃脘疼痛，手不可近，腹中饥而饮食不能下，两寸关脉滑大
，两
尺沉弱，此血虚气滞症也。先予积气丸，一服而痛减半，再用生白芍药、山栀子、五灵脂各
一钱，酒炒白芍药二钱，粉草、山楂、香附各八分，一帖全安。
应章族弟，三阴疟发于子、午、卯、酉、日，四越月矣。每发于夜，热多寒少，左脉微
弦，右
关滑大，以二陈汤加柴胡、黄柏、川芎、当归、黄连两帖，而热稍轻，饮食不进，四肢懒倦
，脾气大虚。白术、何首乌各三钱，鳖甲二钱，青皮七分，乌梅一个，一帖而截。
太学程好吾，倜傥博洽士也。季春患两太阳痛，胸胁稍疼，口渴，大便水泻，左脉浮弦
而数
，中按有力，右关滑大。予曰∶春温症也。柴胡、前胡、葛根、粉草、青皮、黄芩、知母、
桔梗、半夏曲、石膏，半夜后得微汗。因起大便，感风续又发热，依然口渴，更觉烦躁。石
膏三钱，知母、柴胡各二钱，葛根，黄芩各一钱，粉草、桔梗各五分，竹叶二十片，两进而
汗出热解，诸症悉平。四肢尚倦，口微干，语言乏力，以生麦汤加薏苡仁、石斛、甘草、白
芍药、黄芩调养如初。
令媳长卿之妇，腹中微疼，经行不流利，喉痛，四肢麻木作战，不知饥饿。右脉洪大如
豌豆
，以川芎、香附、麦芽、山楂、乌梅、粉草、桔梗、酒芩、防风、荆芥、白术、茯苓四剂而
安。次月经水大行，十日不止，以黄 、阿胶、蒲黄各一钱，白芍药二钱，粉草三分，一帖
而止。此后但觉浊气下坠，屁从子户中出，以补中益气汤，加酒炒黄连调养而平。
Ms. Sun Wenyue, aged eighty-three, suffered from epigastric pain (stomach region pain) so severe that she could not bear touch. Although her abdomen felt hungry, she could not swallow food or drink. The pulse at the Cun and Guan positions on both wrists was slippery and large, while the Chi position was deep and weak. This is a syndrome of blood deficiency with qi stagnation. Initially, Jiqi Wan (Accumulated Qi Pill) was administered; after one dose, the pain decreased by half. Subsequently, raw Baishao Yao (Radix Paeoniae Alba), Shanzhizi (Fructus Gardeniae), and Wulingzhi (Faeces Trogopterori) each one qian, wine-fried Baishao Yao two qian, Fencacao (Radix Glycyrrhizae Preparata), Shanzha (Fructus Crataegi), and Xiangfu (Rhizoma Cyperi) each eight fen were prescribed. After one decoction, she recovered completely.
The younger male cousin of Yingzhang suffered from San Yin Malaria (Three-Yin Malaria) occurring on Zi, Wu, Mao, and You days, persisting for four months. Each episode occurred at night, with more heat and less chills. The left pulse was slightly wiry, and the right Guan pulse was slippery and large. Erchen Tang (Two-Aged Decoction) was modified with Chaihu (Radix Bupleuri), Huangbai (Cortex Phellodendri), Chuanxiong (Rhizoma Chuanxiong), Danggui (Radix Angelicae Sinensis), and Huanglian (Rhizoma Coptidis). After two doses, the heat subsided slightly, but appetite remained poor, limbs were lethargic, indicating significant Spleen Qi deficiency. Baizhu (Rhizoma Atractylodis Macrocephalae) and Heshouwu (Radix Polygoni Multiflori Preparata) each three qian, Biejia (Carapax et Plastrum Testudinis) two qian, Qingpi (Exocarpium Citri Reticulatae Viride) seven fen, and Wumei (Fructus Mume) one piece were prescribed. After one dose, the malaria was arrested.
Cheng Haowu, a student of the Imperial Academy, was a free-spirited and erudite scholar. In late spring, he suffered from bilateral Taiyang headache, slight chest and hypochondriac pain, thirst, and watery diarrhea. The left pulse was floating, wiry, and rapid; pressing the middle position revealed strength; the right Guan pulse was slippery and large. I diagnosed this as Chun Wen Bing (Spring-Warmth Disease). Chaihu (Radix Bupleuri), Qianhu (Radix Peucedani), Gegen (Radix Puerariae), Fencacao (Radix Glycyrrhizae Preparata), Qingpi (Exocarpium Citri Reticulatae Viride), Huangqin (Radix Scutellariae), Zhimu (Cortex Anemarrhenae), Jiegeng (Radix Platycodonis), Banxia Qu (Fermented Rhizoma Pinelliae), and Shigao (Gypsum Fibrosum) were prescribed. After midnight, he sweated slightly. Upon rising to defecate, he caught wind and fever recurred, accompanied by persistent thirst and increased irritability. Shigao (Gypsum Fibrosum) three qian, Zhimu (Cortex Anemarrhenae) and Chaihu (Radix Bupleuri) each two qian, Gegen (Radix Puerariae) and Huangqin (Radix Scutellariae) each one qian, Fencacao (Radix Glycyrrhizae Preparata) and Jiegeng (Radix Platycodonis) each five fen, and Zhu Ye (Folium Bambusae) twenty leaves were prescribed. After two successive doses, sweat emerged, heat resolved, and all symptoms subsided. His limbs remained fatigued, mouth slightly dry, and speech lacked strength. Sheng Mai Tang (Generate the Pulse Decoction, likely referring to Shengmai San) was modified with Yiyiren (Semen Coicis), Shihu (Caulis Dendrobii), Gancao (Radix Glycyrrhizae), Baishao Yao (Radix Paeoniae Alba), and Huangqin (Radix Scutellariae) for recuperation until he returned to normal.
The wife of Changqing, my daughter-in-law, experienced mild abdominal pain, irregular menstruation, sore throat, numbness and trembling of the four limbs, and loss of appetite. The right pulse was surging and large like a pea. Chuanxiong (Rhizoma Chuanxiong), Xiangfu (Rhizoma Cyperi), Maiya (Fructus Hordei Germinatus), Shanzha (Fructus Crataegi), Wumei (Fructus Mume), Fencacao (Radix Glycyrrhizae Preparata), Jiegeng (Radix Platycodonis), Jiu Qin (Wine-fried Radix Scutellariae), Fangfeng (Radix Saposhnikoviae), Jingjie (Herba Schizonepetae), Baizhu (Rhizoma Atractylodis Macrocephalae), and Fuling (Poria) were prescribed for four doses, bringing relief. During the next menstrual cycle, bleeding was heavy and lasted ten days. Huangqi (Radix Astragali), Ejiao (Colla Corii Asini), and Puhuang (Pollinis Typhae) each one qian, Baishao Yao (Radix Paeoniae Alba) two qian, and Fencacao (Radix Glycyrrhizae Preparata) three fen were prescribed. After one dose, bleeding stopped. Thereafter, she only felt a sensation of turbid qi sinking downward, with flatulence passing through the vagina (Zihu). Butong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was modified with wine-fried Huanglian (Rhizoma Coptidis) for regulation until she recovered.