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The wife of Wen Xunqiao, the eldest daughter of Gong Yonglan (a courtesy name) who held the official post of Wu Chejia, suffered from fever, nausea, and lower abdominal pain. The condition originated from eating after a fit of anger, leading to food accumulation, accompanied by soreness in the left leg for ten days. A female practitioner named Chen in Nanxun initially treated it as a pestilence (epidemic disease), which exacerbated vomiting and hiccups. Subsequently treating it as malaria resulted in an inability to ingest even a grain of rice, transforming the condition into dysentery (Zhixia), characterized by tenesmus (urgent need to defecate with heavy sensation in the anus). She had more than thirty bowel movements per day and night. Chen exhausted her methods and resigned, stating, "It is not that I did not exert myself, but this is a contraindicated syndrome (Ni Zheng). In dysentery, those with cool bodies survive, while those with hot bodies die; those with deep and fine pulses survive, while those with surging and large pulses die. Now, the patient has a hot body and a large pulse, along with an inability to eat (Jinkou Li); how can it be treated?" Thus, she requested my treatment. Upon palpation, both wrists showed slippery and large pulses, especially at the Chi position which was forceful against the fingers. I said, "This is not a contraindicated syndrome; the error lies in misdiagnosing it as pestilence and malaria. Although she has not eaten for many days, the Chi pulse is forceful. As stated in the *Neijing* (Classic of Internal Medicine): 'For diseases located below, use draining methods to guide them out.' Treatment via purgation can lead to survival." I immediately administered Danggui Longhui Wan (Angelica Sinensis and Picrorhiza Pill) 1.5 qian. After ingestion, half a basin of thick accumulated matter was expelled, and the pain decreased by more than half. Having not eaten for fourteen days, she finally consumed one bowl of porridge, yet still felt fullness and oppression in the chest and diaphragm without hunger. I then prescribed Hong Liushen Wan (Red Six Spirits Pill) 2 qian. Her chest and diaphragm relaxed, and her lower abdomen softened, though pain persisted in both groins, and coldness was felt in the lower abdomen. Applying hot bricks for warming moxibustion-like therapy resulted in a continuous discharge of white material from the uterus (Zihu), accompanied by short and scanty urination. The prescription was changed to Wuling San (Five-Ingredient Powder with Poria) added with Baizhi (Angelicae Dahuricae Radix), Xiaohuixiang (Foeniculi Fructus), Bai Jiguanhua (Coronillae Coronatae Flos), and Chaihu (Bupleuri Radix). By night, severe abdominal pain ensued. Urgently, Wulingzhi (Trogopteri Dung) was stir-fried with vinegar into powder, mixed with wine paste into pills weighing 3 qian, and taken with warm water. She slept peacefully through the night. The next day, her spirit was clear and robust, her appetite greatly increased, and urination became smooth. However, the white discharge continued. I prescribed Xiangfu (Cyperi Rhizoma) stir-fried until blackened but retaining its nature, and Kufan (Alumen), each 1 liang, made into pills with flour paste. Each time on an empty stomach, 2 qian were taken with decoction of Yimucao (Leonuri Herba). Before completing one course, the white discharge ceased, and the illness was cured. The specialist physician was ashamed yet marveled at the efficacy and submitted, recording the case's success before departing.

The wife of Wen Yiqu, who typically suffered from cough due to blood deficiency, recently injured herself with improper diet and lost her appetite. The specialist physician treated her for Yin deficiency, causing increased distension in the chest and diaphragm. Upon palpation, her Right Guan pulse was slippery and large, while the Left hand pulses were weak and soft. The method should first strengthen the Spleen and eliminate food stagnation before treating the cough. If one were to tonify Yin and descend fire, not only would the cough remain unhealed, but the Spleen and Stomach might further be damaged, leading to abdominal distension and diarrhea, with unpredictable consequences. Why? Because the Spleen and Stomach prefer warmth and dislike cold. I prescribed Erchen Tang (Two-Aged Decoction) added with Shanzha (Crataegi Fructus), Maiya (Hordei Fructus Germinatus), Zhishi (Aurantii Fructus Immaturus), Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Xiangfu (Cyperi Rhizoma). After one dose, the chest and diaphragm widened; after two doses, her appetite returned. Subsequently, Sangbaipi (Mori Cortex), Digupi (Lycii Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Beimu (Fritillariae Thunbergii Bulbus), Gualouren (Trichosanthis Semen), Madouling (Aristolochiae Manshuriensis Radix), Jiegeng (Platycodonis Radix), and Ziwan (Asternis Radix) were used. After ten doses, the cough completely resolved.