一秀才陈启忠 患病后，只饮食便作呕，每一餐必吐尽方止，辄思饮食，食后又复如是，一
年余羸弱不可言，诸药不效，咸云死症。予视脉曰∶此伤寒愈后，不服补中益气汤，胃虚症也。
用丁香茱萸汤加减，两服而饮食通，十服全愈。
药方
丁香 炙甘草 柴胡 升麻 人参 黄 吴茱萸 草豆蔻 当归身 苍术（各六分） 黄柏
肉桂（各四分）
加黑枣二枚，水一碗半，煎七分。
何道尊（讳敦季，号胤伯，先署漳南道，后署福宁道）
庚寅春，寓所有王友，自头年夏得伤寒症，愈后成疟，至冬月疟愈，头痛不可忍，羸弱不进饮食
，昼夜不得眠者数月，药无效。予视脉曰∶此伤寒不清理小便，聚火不得行，其毒上升结头顶。
予以清便药与之，一服而睡，数服而愈。
药方
生地黄 木通 蒲黄 车前子 通草 归尾 白茯苓 泽泻 槟榔 甘草
郑道尊（讳清，号介臣，福省兵道）素患牙疼症，疼不可言，其气流入肩，即肩成肿
。诸医认为火，多用凉药，其疼益甚，经五年余。庚寅春，予视脉曰，此风入肝湿，
宜用散风，次乃降火，数日见功矣。郑道台以牙疼戒酒，饮即疼发，予以末药三服，用酒尽
量表汗，多饮减疼，其患渐愈。
末药方
羌活（一钱） 附子（一钱） 麻黄（五分）
共为细末，作三服，好酒热冲，尽量出汗为度。
汤药方
荆芥（一钱） 栀子（童便炒，一钱） 淡竹叶（一钱） 石膏（二钱） 大黄（二钱
）薄荷（一钱） 白芷（八分） 连翘（八分） 白茯苓（八分） 甘草（三分）
水一碗半，煎七分。
周道尊（讳之翰，号申公，漳南道） 素患心前有一块埂如拳，每睡后欲起，似乎有压之
者，心神不宁，饮食难化，如此数年，诸药无效。予视脉曰∶此非气之为也，彼医不知，认中脘
痞塞、饱闷为脾气盛，误已！此因心事不快，或烦恼时借房事消遣，是以未行房先胸中似有物
，既行房后竟成一物，名郁火也，制丸药半月而愈。
丸方
浙腿术（二两，米泔水浸一宿，陈壁土炒，去油） 白豆蔻（一两） 麦门冬（二两，去心
，新瓦焙干） 青皮（一两） 枳实
（面炒，一两） 北芥子（炒，一两） 川黄连（吴茱萸制，一两） 砂仁（微炒，五钱）
南木香（五钱） 川浓朴（姜炒，一两） 白茯苓（一两） 人参（一两） 地骨皮（一两）
苍术（一两，米泔水浸一宿，炒） 知母（一两） 甘草（五钱） 甘枸杞（一两）
共为末，陈米用薄荷叶汤煮粥为丸，梧子大，每空心淡盐汤吞二钱。
佟抚台命予视一将官脉，其症则头眩体弱，手足拘挛，饮食不进，药无效。予细察脉曰
∶此有郁血在胸，当因损致然，若此血得出，其病立愈，不则难疗也。用末药一服觉病
益重，二服欲呕，三服始吐出紫血一口，继吐出黑血六七块。其病立愈。
末药方
生陈皮（末，二钱） 生附子（末，二钱） 生大黄（末，二钱） 生干姜（末，一钱）
共为细末，用好陈酒热冲，尽量服之。
苏州商人何凤宇 患病十余日，目黄身肿，胸前结塞，不能通气，每胀闷则目睛上视，一
个时不能转，医者未审何症，但用宽胸理气药益增重，予视脉曰∶此伤寒热邪传里，凶症也，
迟之又久，药力亦无施矣。急取黑骨雄鸡白毛者，去肚内杂物，切开，先用陈皮枳壳末各五分
，摊腹胸，将鸡才切即粘贴，半个时，腹中微响，邪即转动，顿觉爽快矣，服煎药三日而愈。
药方
川黄连（姜汁炒，一钱） 知母（一钱） 石膏（三钱） 黄芩（一钱） 山栀（童便炒，八分）
麦门冬（去心，八分） 五味子（八分） 香豉（一合）
水一碗半，煎八分。
杨提督标下一将官 病久不愈，时九月初，舟中甚热，胀闷不可忍，米饮不能下，
将垂绝矣。予视脉曰∶此非热症也，风邪未经清表，乘虚作胀，凉药服之加重，即温药而
温服之亦无济也，当用汤药候冰冷，数服而愈。
药方
麦门冬（去心，二钱） 白蒺藜（炒，去刺，二钱） 生地黄（二钱） 白茯苓（二钱）
人参（五分）
用水四碗，煎至二碗半，候冰冷，不时服之。
祖部堂标下一将官 病月余，头眩口疮，喉痛下泻，偶一二日作痢，旋愈复泻，阅数日又痢
，而喉肿又不进饮食，偶进食旋吐，服药益吐。予视脉曰∶此虚极，肾水不升，脾土不能胜，当进
以益精补脾之药，喉痛口疮，此邪火不足虑也。整一丸方，十日全愈。
丸药方
人参（一两） 朱砂（水飞，三钱） 白术（米泔水浸一宿，陈壁土炒，二两） 白茯苓（去皮
，一两） 黄 （蜜炙，一两） 白芍药（一两） 当归（酒洗，一两） 陈皮（一两）
炼蜜为丸，梧子大，每日进三次，白滚汤每次一钱。
李部堂标下一将官 患伤寒症，头疼发热，恶寒，遍身作痛。屡发无汗，其症不变，而病日益
重。诸医加以发表，遂至癫狂，腹痛欲绝。予视脉曰∶此无阳凶症也，岂有阳虚而能汗者，整一方与之
立效。
药方
防风 羌活 细辛 川芎 桂枝 白芍 熟附 柴胡（各等分） 人参（六分） 甘草（三分）
加黑枣一枚，水一碗半，煎七分。
陈部堂标下一将官 每便撒血不止，腹微痛即有血行，
行即痛止，如此十数年，药无效，羸瘦不堪。予视脉曰∶此脾湿引热也。整一丸方与之
，脾气既健，血自归经，其病全愈。
药方
生地（三两，酒浸三宿，多用酒煮一日，黑烂为度） 陈皮（一两） 苍术（二两，米泔
水浸七日，炒） 川黄连（二两，吴茱萸制） 藿香叶（三两） 升麻（二两） 川浓朴
（二两，炒） 白术（三两，米泔水浸一宿，陈壁土炒） 薏仁（三两，炒） 当归（二两
，酒洗） 槐花（三两）
炼蜜为丸，梧子大，每清晨白滚汤吞二钱，临睡一钱。
马成垣（讳镳，镇守浦城中军）一家丁 每夜发热，昼则发寒。其畏寒有大异者，见人持
扇，即毛窍发战；见人谈及风字，即口噤不能言。饮食夜或可进，昼则概不入也。医者多用热剂
，病益甚。予视脉曰∶此内热极而外怯寒也，由感寒病后不清表，结成胃火。整药与之，二服而愈。
末药方
益元散（五钱） 川黄连（三钱，姜汁炒） 陈皮（二钱）
共为散末，作二服，米汤吞下。
一友林大年 目肿疾愈后，但昏黑不能明，忽疼而止。移时复然。予视脉曰∶此多服凉药，
窍塞血枯，大患虽去而血不能通窍，遂至昏花。血无时不生，窍欲通而复闭，故忽然疼也。整方
与之，三服而愈。
药方
当归 枸杞 黄 细辛 白茯苓 升麻 蔓荆（各等分） 甘草
食后服。
一友黄涵素 九日登高回，忽腹中微痛，医者进以香砂
等药，渐加痛，又服药，益痛不可忍，至五六日几痛绝，口不能言。予视脉曰∶此脉无恙，
必腹中有毒物。整方与之，一服而愈。
末药方
明雄黄（一钱） 没药（七分） 乳香（七分） 麝香（二分） 白芷（一钱） 皂角刺（七分）
共为末，冲陈酒五斤封好，不拘冷热，随意饮尽即愈。
一友俞成伯 阴症，因自知医，先用理中汤，后益腹疼、气冷，用三建汤等热药，囊愈缩不能言语
，将危矣。予视脉曰∶此当先通其气，气通则阳起，起阳之药有秘法，不专在天雄附子也。整一方与
之，一服而愈。
药方
乌骨雄鸡燥粪（五钱） 鼠粪（五钱） 陈皮（三钱） 韭菜（五钱）
先将鸡粪鼠粪炒黄，次入陈皮同炒，冲陈酒一碗，入锅一滚，将韭冲下热服。
徽商汪凤溪 病三四日后，只腹痛不能忍，诸药无效，一日疼甚，眼直卒倒。予视脉曰∶
此伤寒蓄血症也。以井水半碗饮之，其病稍止，即能言，云冷入快极，用药下之即愈。
药方
桂枝（一钱） 枳实（七分） 大黄（二钱） 石膏（一钱） 柴胡（八分） 甘草（四分）
加姜二片，枣一枚，水一碗，煎八分。
一友方玉玄 有头痛症，日夜不得眠，惟进饮汤稍可，食即痛难堪，数年求医不得效。予视脉曰
∶此邪火上聚，进饮汤稍可，全属阴邪，饮者阳气，阳入则阴散也。汤药无效，用洗药五日而愈。
洗药方
羌活（二两） 甘草（二两） 薄荷（一两） 升麻（一两）
作一服。水六碗，煎至二碗，用布浸，乘热洗上，如冷又煎热再洗，自晨至晚，
洗有三个时，夜则不用，以养阳气也，五服全愈。
童旗鼓（讳毓秀，号贤斋，提督旗鼓）己丑冬得感冒甚重，妄用药，遂热蒸欲狂
，解衣扬被，腹胀胸疼，饮食不进，不省人事，成凶症，予视脉曰∶此饮食劳役过伤，内症
也。用药一剂泻其毒热，次用半表半里剂，二服而成疟症，渐愈矣。
药方
柴胡 黄芩 大黄 枳壳 赤芍 朴硝
加姜三片，水一碗半，煎八分。
次药方
人参 陈皮 黄芩 贝母 知母 茯苓
煎照前。
一友莆田戴一甫 患眼疾不能视物二年余，诸药无效。庚寅春，予视脉曰∶此因劳损心血。
肝木主筋，血侵筋，故赤筋侵睛，久则肾益虚，而肝木生风，流泪无穷，益增昏黑矣。整方服之
，五日见物，十日复明。
药方
防风 荆芥 薄荷 家白菊（各一钱） 石决明 蝉蜕 生大地 白茯苓（各八分） 人参（五
分） 甘草（三分）
水一碗，煎七分。
邹副总（讳必科，号聘之，抚院大厅）患头眩，两目黄赤，四肢无力，饮食不进；诸医多用补药
，病势益重。予视脉曰∶风邪未清，如何用补？目赤头眩者，火也；四肢无力者，邪入筋络也；饮食
不进者，用补药气扼也。整一方四
服而愈。
药方
薄荷 荆芥 牛蒡子 麦门冬（去心） 胆南星 黄柏 知母 干菊 茯苓
（各等分） 甘草（四分）
加姜二片，水一碗半，煎七分。
王副总（讳进，号翠芝，福省城守） 初患伤寒，予整药二服随痊。因不忌口
成疟，复不忌口，重不可言。医者以其病久，多议服补虚健脾之药。予视脉曰∶此伤寒
劳复，因疟后血气未平，尚有余热，随多食发怒，劳力劳神。用小柴胡加减，数剂而愈。
药方
柴胡 人参 半夏曲 川浓朴 白术 白茯苓 陈皮 泽泻 甘草
煎照常，加煨姜。
蒋副总（讳彪；号□□，部院大厅）患一病，只恶寒畏风，房间聚旺火不见热，被几床
不知暖，诸医以辛热之药投之，势益重。予视脉曰∶此内热极不得清凉，外寒极不得辛散
也。用末药热极者，以酒送下，次用表药汗之，即令撤其火与被，而身体爽快矣，四服全愈。
末药方
附子（炮去皮，一半面包煨，一半生） 肉桂 苍术（各三钱） 甘草（二钱）
为末，分作四服，陈酒尽量服之。
药方
麻黄 人参 白芍 干葛 细辛 泽泻 猪苓 陈皮 甘草
加姜二片，煎照常。
一友吴丕显 久病后只发呕恶心不进饮食，四肢困倦，夜发冷汗，日枯瘦，药无效。
予视脉，用温肾汤加减为末，日进一服，随效。
药方
柴胡 麻黄根（各四钱） 白茯苓（人乳蒸） 白术（土炒） 黄柏（酒炒） 猪苓
（酒炒） 升麻 泽泻（炒） 陈皮 神曲（各六钱）
共为末，每清晨用白滚汤吞一钱。
A scholar named Chen Qizhong, after falling ill, would vomit immediately upon eating or drinking. Each meal had to be completely vomited before stopping. Although he desired food, he would repeat the vomiting after eating. For over a year, his body became extremely emaciated and weak, and various medicines were ineffective. Everyone claimed it was a fatal condition. Upon examining his pulse, I said: This is a symptom of stomach deficiency following the recovery from Shanghan (Cold Damage), due to not taking Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) for regulation. Using Dingxiang Zhuyu Tang (Clove and Evodia Decoction) with modifications, after two doses, his digestion normalized; after ten doses, he was fully recovered.
Prescription:
Dingxiang (Caryophylli Flos), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Renshen (Ginseng Radix), Huangqi (Astragali Radix), Wuzhuyu (Evodiae Fructus), Caodoukou (Amomi Fructus Rotundus), Dangguishen (Angelicae Sinensis Radix), Cangzhu (Atractylodis Rhizoma) (each 6 fen); Huangbai (Phellodendri Cortex), Rougui (Cinnamomi Cortex) (each 4 fen).
Add two black dates, one bowl and a half of water, decoct until seven-tenths remain.
He Daozun (courtesy name Dunji, pseudonym Yinbo, formerly acting as Prefect of Zhangnan, later acting as Prefect of Funing)
In the spring of Gengyin year, a friend Wang staying in my residence contracted Shanghan in the summer of the previous year. After recovering, he developed Nue (Intermittent Fever). By winter, although the Nue subsided, he suffered unbearable headaches, extreme emaciation, inability to eat, and insomnia day and night for several months, with no effect from medicine. Upon examining his pulse, I said: This is because the Shanghan pathogen was not cleared properly, leading to urinary retention. The accumulated fire could not discharge, and its toxicity rose and clustered at the vertex of the head. I gave him herbs to promote urination. After one dose, he slept; after several doses, he recovered.
Prescription:
Sheng Dihuang (Rehmanniae Radix), Mutong (Akebiae Caulis), Puhuang (Typhae Pollen), Cheqianzi (Plantaginis Semen), Tongcao (Tetrapanacis Medulla), Guiwei (Angelicae Sinensis Radix), Baifuling (Poria), Zexie (Alismatis Rhizoma), Binglang (Arecae Semen), Gancao (Glycyrrhizae Radix et Rhizoma).
Zheng Daozun (courtesy name Qing, pseudonym Jiechen, Military Intendant of Fujian) suffered from toothache since youth, so severe it was unbearable. The pain radiated to the shoulder, causing swelling there. Various physicians diagnosed it as Fire and used cooling herbs, which worsened the pain. It persisted for over five years. In the spring of Gengyin year, upon examining his pulse, I said: This is Wind invading the Liver with Dampness. One should first disperse Wind, then descend Fire. Effect would be seen in a few days. Prefect Zheng abstained from alcohol due to the toothache; drinking triggered the pain. I prescribed powdered medicine for three doses, using wine to induce sweating. Drinking more reduced the pain, and the condition gradually improved.
Powdered Medicine Prescription:
Qianghuo (Notopterygii Rhizoma et Radix, 1 qian), Fuzi (Aconiti Lateralis Radix Praeparata, 1 qian), Mahuang (Ephedrae Herba, 5 fen).
Grind into fine powder, divide into three doses. Mix with good aged wine and take hot. Induce profuse sweating as the goal.
Decoction Prescription:
Jingjie (Schizonepetae Herba, 1 qian), Zhizi (Gardeniae Fructus, stir-fried with child's urine, 1 qian), Danzhuye (Lophatheri Herba, 1 qian), Shigao (Gypsum Fibrosum, 2 qian), Dahuang (Rhei Radix et Rhizoma, 2 qian), Bohe (Menthae Haplocalycis Herba, 1 qian), Baizhi (Angelicae Dahuricae Radix, 8 fen), Lianqiao (Forsythiae Fructus, 8 fen), Baifuling (Poria, 8 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen).
One bowl and a half of water, decoct until seven-tenths remain.
Zhou Daozun (courtesy name Zhihan, pseudonym Shen Gong, Prefect of Zhangnan) suffered from a hard mass like a fist in the precordial region. Upon waking and attempting to rise, he felt pressure as if someone were pressing on him. His spirit was restless, and digestion was difficult. This lasted for years with no effect from medicine. Upon examining his pulse, I said: This is not caused by Qi stagnation. Previous doctors mistook epigastric fullness and bloating for excessive Spleen Qi, which was an error! This was due to unresolved emotional distress. When seeking relief through sexual intercourse during times of annoyance, he felt something in the chest beforehand, and after intercourse, a tangible mass formed. This is called "Depressed Fire." He was cured after taking pills for half a month.
Pill Prescription:
Zhe Bazhu (Atractylodis Rhizoma, 2 liang, soaked overnight in rice wash water, stir-fried with old wall earth to remove oil), Bai Doukou (Amomi Fructus Rotundus, 1 liang), Maimendong (Ophiopogonis Radix, 2 liang, dehearted, baked on new tile), Qingpi (Citri Reticulatae Pericarpium Viride, 1 liang), Zhishi (Aurantii Fructus, stir-fried with flour, 1 liang), Beijiejie (Sinapis Semen, stir-fried, 1 liang), Chuan Huanglian (Coptidis Rhizoma, processed with Wuzhuyu, 1 liang), Sharen (Amomi Fructus, lightly stir-fried, 5 qian), Nanmuxiang (Agastachis Herba, 5 qian), Chuan Nannpu (Magnoliae Officinalis Cortex, stir-fried with ginger, 1 liang), Baifuling (Poria, 1 liang), Renshen (Ginseng Radix, 1 liang), Digupi (Lycii Cortex, 1 liang), Cangzhu (Atractylodis Rhizoma, 1 liang, soaked overnight in rice wash water, stir-fried), Zhimu (Anemarrhenae Rhizoma, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 5 qian), Gan Gouqi (Lycii Fructus, 1 liang).
Grind into powder. Use old rice porridge made with mint leaf tea to form pills the size of wutong seeds. Take 2 qian on an empty stomach with light salt water.
Governor Tong asked me to examine a general officer. His symptoms were dizziness, weakness, spasm of limbs, and inability to eat, with no effect from medicine. Upon careful pulse examination, I said: There is stagnant blood in the chest, likely due to injury. If this blood can be expelled, the illness will heal immediately; otherwise, it will be difficult to treat. Using powdered medicine, after one dose he felt worse; after two doses he wanted to vomit; after three doses, he spat out a mouthful of purple blood, followed by six or seven pieces of black blood. The illness healed immediately.
Powdered Medicine Prescription:
Sheng Chenpi (Citri Reticulatae Pericarpium, powder, 2 qian), Sheng Fuzi (Aconiti Lateralis Radix, powder, 2 qian), Sheng Dahuang (Rhei Radix et Rhizoma, powder, 2 qian), Sheng Ganjiang (Zingiberis Rhizoma, powder, 1 qian).
Grind into fine powder. Mix with good aged wine and take hot. Drink as much as possible.
He Fengyu, a merchant from Suzhou, had been ill for over ten days with yellow eyes, swollen body, chest congestion, and inability to breathe freely. During episodes of distension and discomfort, his eyes rolled up and remained fixed for an hour. Physicians did not diagnose the condition correctly and used herbs to broaden the chest and regulate Qi, which only worsened the condition. Upon examining his pulse, I said: This is Shanghan heat pathogen transmitting inward, a critical condition. Delaying further renders medicine useless. Urgently obtain a black-boned white-feathered rooster. Remove internal organs, cut open, and spread a mixture of Chenpi (Citri Reticulatae Pericarpium) and Zhike (Aurantii Fructus) powder (each 5 fen) on the chicken's abdomen and chest. Immediately paste the cut side onto the patient's abdomen. After half an hour, slight rumbling in the abdomen indicated the evil pathogen moving, bringing immediate relief. He recovered after three days of decoction.
Prescription:
Chuan Huanglian (Coptidis Rhizoma, stir-fried with ginger juice, 1 qian), Zhimu (Anemarrhenae Rhizoma, 1 qian), Shigao (Gypsum Fibrosum, 3 qian), Huangqin (Scutellariae Radix, 1 qian), Shanzhi (Gardeniae Fructus, stir-fried with child's urine, 8 fen), Maimendong (Ophiopogonis Radix, dehearted, 8 fen), Wuweizi (Schisandrae Fructus, 8 fen), Xiangchi (Fermented Soybean, 1 he).
One bowl and a half of water, decoct until eight-tenths remain.
A general officer under Admiral Yang had been ill for a long time without recovery. It was early September, and the boat was very hot. He suffered unbearable distension and discomfort, unable to even drink rice water, nearing death. Upon examining his pulse, I said: This is not a Heat syndrome. The Wind pathogen was not released via sweating, and it caused distension by exploiting deficiency. Cooling herbs worsened it. Even warming herbs taken warm would not help. One must use decoction, cooled down, and take it in several doses. He recovered after several doses.
Prescription:
Maimendong (Ophiopogonis Radix, dehearted, 2 qian), Baijili (Tribuli Fructus, stir-fried, de-spined, 2 qian), Sheng Dihuang (Rehmanniae Radix, 2 qian), Baifuling (Poria, 2 qian), Renshen (Ginseng Radix, 5 fen).
Use four bowls of water, decoct until two bowls and a half remain. Let cool, and take occasionally.
A general officer under Minister Zu had been ill for over a month with dizziness, mouth ulcers, sore throat, and diarrhea. Occasionally, dysentery occurred for one or two days, then resolved, only to return after a few days. Throat swelling prevented eating; any food intake led to immediate vomiting, and medicine exacerbated vomiting. Upon examining his pulse, I said: This is extreme deficiency. Kidney Water cannot ascend, and Spleen Earth cannot perform its function. One should administer herbs to tonify Essence and strengthen the Spleen. The sore throat and mouth ulcers are due to deficient Fire and are not a major concern. I prepared a pill prescription. He recovered completely in ten days.
Pill Prescription:
Renshen (Ginseng Radix, 1 liang), Zhusha (Cinnabar, water-triturated, 3 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, soaked overnight in rice wash water, stir-fried with old wall earth, 2 liang), Baifuling (Poria, peeled, 1 liang), Huangqi (Astragali Radix, honey-roasted, 1 liang), Baishaoyao (Paeoniae Radix Alba, 1 liang), Danggui (Angelicae Sinensis Radix, washed with wine, 1 liang), Chenpi (Citri Reticulatae Pericarpium, 1 liang).
Form pills with refined honey, size of wutong seeds. Take three times daily, one qian each time with plain boiled water.
A general officer under Minister Li contracted Shanghan with headache, fever, aversion to cold, and generalized body pain. Repeated attacks with no sweating, symptoms unchanged but condition worsening daily. Physicians applied releasing exterior herbs, leading to mania and excruciating abdominal pain. Upon examining his pulse, I said: This is a critical condition of Yang deficiency. How can one sweat with deficient Yang? I prepared a formula, and he responded immediately.
Prescription:
Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Xixin (Asari Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Guizhi (Cinnamomi Ramulus), Baishao (Paeoniae Radix Alba), Shu Fu (Prepared Aconiti Lateralis Radix), Chaihu (Bupleuri Radix) (equal parts), Renshen (Ginseng Radix, 6 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen).
Add one black date, one bowl and a half of water, decoct until seven-tenths remain.
A general officer under Minister Chen suffered from continuous bleeding during defecation for over ten years. Mild abdominal pain preceded bleeding, and pain ceased when bleeding stopped. Various medicines failed, leaving him severely emaciated. Upon examining his pulse, I said: This is Spleen Dampness drawing out Heat. I prepared a pill prescription. Once Spleen Qi is strong, Blood returns to its vessels, and the disease cures.
Prescription:
Shengdi (Rehmanniae Radix, 3 liang, soaked in wine for three nights, boiled in ample wine for one day until black and soft), Chenpi (Citri Reticulatae Pericarpium, 1 liang), Cangzhu (Atractylodis Rhizoma, 2 liang, soaked in rice wash water for seven days, stir-fried), Chuan Huanglian (Coptidis Rhizoma, 2 liang, processed with Wuzhuyu), Huoxiangye (Pogostemonis Herba, 3 liang), Shengma (Cimicifugae Rhizoma, 2 liang), Chuan Nannpu (Magnoliae Officinalis Cortex, 2 liang, stir-fried), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang, soaked overnight in rice wash water, stir-fried with old wall earth), Yiren (Coicis Semen, 3 liang, stir-fried), Danggui (Angelicae Sinensis Radix, 2 liang, washed with wine), Huaihua (Sophorae Flos, 3 liang).
Form pills with refined honey, size of wutong seeds. Take 2 qian with plain boiled water every morning, and 1 qian before bed.
A servant in the household of Ma Chengyuan (courtesy name Biao, Garrison Commander of Pucheng) experienced nightly fever and daytime chills. His aversion to cold was unusual: seeing someone holding a fan caused his pores to shiver; hearing the word "wind" caused jaw locking and inability to speak. He could eat at night but refused food during the day. Physicians used heating agents, worsening the condition. Upon examining his pulse, I said: This is extreme internal Heat with external fear of cold, resulting from contracting Cold and failing to release the exterior, forming Stomach Fire. I prepared medicine, and he recovered after two doses.
Powdered Medicine Prescription:
Yiyuan San (Benefiting Origin Powder, 5 qian), Chuan Huanglian (Coptidis Rhizoma, 3 qian, stir-fried with ginger juice), Chenpi (Citri Reticulatae Pericarpium, 2 qian).
Grind into powder, divide into two doses. Swallow with rice soup.
A friend, Lin Daniann, after recovering from eye swelling, suffered from dim vision. Sudden pain would occur and then cease, recurring after a while. Upon examining his pulse, I said: This was caused by excessive use of cooling herbs, blocking the orifices and drying up Blood. Although the major illness passed, Blood could not nourish the orifices, leading to blurred vision. Blood is constantly generated, but the orifices close again when trying to open, causing sudden pain. I prepared a formula, and he recovered after three doses.
Prescription:
Danggui (Angelicae Sinensis Radix), Gouqi (Lycii Fructus), Huangqi (Astragali Radix), Xixin (Asari Radix et Rhizoma), Baifuling (Poria), Shengma (Cimicifugae Rhizoma), Manjingzi (Viticis Semen) (equal parts), Gancao (Glycyrrhizae Radix et Rhizoma).
Take after meals.
A friend, Huang Hansu, returned from climbing a mountain on the ninth day. He suddenly had mild abdominal pain. Physicians gave Xiangsha (Aucklandiae and Amomi) herbs, increasing the pain. Further medication made the pain unbearable. By the fifth or sixth day, he was near death from pain and could not speak. Upon examining his pulse, I said: The pulse is normal; there must be a toxic substance in the abdomen. I prepared a formula, and he recovered after one dose.
Powdered Medicine Prescription:
Ming Xionghuang (Realgar, 1 qian), Moyao (Myrrha, 7 fen), Ruxiang (Olibanum, 7 fen), Shexiang (Moschus, 2 fen), Baizhi (Angelicae Dahuricae Radix, 1 qian), Zaojiaoci (Gleditsiae Spina, 7 fen).
Grind into powder. Seal in five jin of aged wine. Drink freely, hot or cold, until cured.
A friend, Yu Chengbo, suffered from a Yin syndrome. Knowing some medicine, he first took Lizhong Tang (Regulate the Middle Decoction), then abdominal pain and cold Qi worsened. He took Sanjian Tang and other heating herbs. His scrotum retracted, and he lost speech ability, facing danger. Upon examining his pulse, I said: One must first unblock the Qi. When Qi flows, Yang rises. The method to raise Yang is secret and does not rely solely on Tianxiong or Fuzi. I prepared a formula, and he recovered after one dose.
Prescription:
Wugu Xiongji Zaofen (Dry feces of black-boned rooster, 5 qian), Shufen (Mouse feces, 5 qian), Chenpi (Citri Reticulatae Pericarpium, 3 qian), Jiucui (Allium Tuberosum, 5 qian).
Stir-fry chicken and mouse feces until yellow. Add Chenpi and stir-fry together. Pour in one bowl of aged wine, boil briefly. Add Jiucui and take hot.
Wang Fengxi, a merchant from Huizhou, suffered unbearable abdominal pain for three or four days after illness onset. Medicines failed. One day, pain intensified, eyes stared straight, and he collapsed suddenly. Upon examining his pulse, I said: This is Shanghan with Blood accumulation. I had him drink half a bowl of well water. The pain subsided slightly, he could speak, and said the cold water felt extremely relieving. He recovered after taking purgative medicine.
Prescription:
Guizhi (Cinnamomi Ramulus, 1 qian), Zhishi (Aurantii Fructus, 7 fen), Dahuang (Rhei Radix et Rhizoma, 2 qian), Shigao (Gypsum Fibrosum, 1 qian), Chaihu (Bupleuri Radix, 8 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen).
Add two slices of ginger, one date, one bowl of water, decoct until eight-tenths remain.
A friend, Fang Yuxuan, suffered from headache and insomnia day and night. Only drinking liquids provided slight relief; eating caused unbearable pain. Seeking medical help for years yielded no results. Upon examining his pulse, I said: This is Evil Fire clustering upward. Liquids provide slight relief because they belong to Yin, while drinks represent Yang Qi; Yang entering disperses Yin. Decoctions were ineffective. I used a washing treatment for five days, and he recovered.
Washing Prescription:
Qianghuo (Notopterygii Rhizoma et Radix, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), Bohe (Menthae Haplocalycis Herba, 1 liang), Shengma (Cimicifugae Rhizoma, 1 liang).
Make one dose. Use six bowls of water, decoct until two bowls remain. Soak cloth in the liquid, apply hot to the head. If cool, reheat and wash again. From morning to evening, wash for three hours. Do not wash at night to preserve Yang Qi. Five treatments resulted in full recovery.
Tong Qigu (courtesy name Yuxiu, pseudonym Xianzhai, Drum Major General) caught a severe cold in the winter of Jichou year. Misusing medicine led to intense heat, delirium, removing clothes and kicking off blankets, abdominal distension, chest pain, inability to eat, and unconsciousness, becoming a critical condition. Upon examining his pulse, I said: This is internal damage from excessive diet and labor. I used one dose of medicine to purge toxic heat, followed by a Shaoyang (Half-Exterior Half-Interior) formula. After two doses, he developed Nue (Intermittent Fever) and gradually recovered.
Prescription:
Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma), Zhike (Aurantii Fructus), Chishao (Paeoniae Radix Rubra), Poxiao (Natrii Sulfas).
Add three slices of ginger, one bowl and a half of water, decoct until eight-tenths remain.
Secondary Prescription:
Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium), Huangqin (Scutellariae Radix), Beimu (Fritillariae Bulbus), Zhimu (Anemarrhenae Rhizoma), Fuling (Poria).
Decoct as before.
Dai Yifu from Putian, a friend, suffered from blindness for over two years. Medicines failed. In the spring of Gengyin year, upon examining his pulse, I said: This is due to damaging Heart Blood through overwork. The Liver Wood governs tendons; Blood invading tendons causes red veins to invade the eyes. Over time, Kidney deficiency increases, Liver Wood generates Wind, causing endless tearing and worsening darkness. I prepared a formula. After five days, he could see objects; after ten days, his vision restored.
Prescription:
Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Bohe (Menthae Haplocalycis Herba), Jiabaiju (Chrysanthemi Flos, 1 qian each), Shijueming (Concha Argois), Chantui (Cicadae Periostracum), Sheng Dadi (Rehmanniae Radix, Baifuling (Poria) (each 8 fen), Renshen (Ginseng Radix, 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen).
One bowl of water, decoct until seven-tenths remain.
Deputy Commander Zou (courtesy name Bike, pseudonym Pinzhi, Hall Attendant) suffered from dizziness, yellow-red eyes, limb weakness, and inability to eat. Physicians used tonics, worsening the condition. Upon examining his pulse, I said: Wind pathogen is not cleared; how can tonics be used? Red eyes and dizziness indicate Fire; limb weakness indicates pathogen entering tendons and collaterals; inability to eat indicates Qi obstruction from tonics. I prepared a formula. He recovered after four doses.
Prescription:
Bohe (Menthae Haplocalycis Herba), Jingjie (Schizonepetae Herba), Niubangzi (Arctii Fructus), Maimendong (Ophiopogonis Radix, dehearted), Dantanxing (Arisaematis Cum Bile), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Ganju (Chrysanthemi Flos), Fuling (Poria) (equal parts), Gancao (Glycyrrhizae Radix et Rhizoma, 4 fen).
Add two slices of ginger, one bowl and a half of water, decoct until seven-tenths remain.
Deputy Commander Wang (courtesy name Jin, pseudonym Cuizhi, City Defender of Fujian) initially contracted Shanghan. I prescribed medicine, and he recovered after two doses. Due to dietary indiscretion, he developed Nue (Intermittent Fever). Continued indiscretion worsened the condition significantly. Physicians, noting the chronic nature, suggested tonifying deficiency and strengthening the Spleen. Upon examining his pulse, I said: This is Shanghan relapse due to labor. After Nue, Blood and Qi are unstable, with residual Heat remaining. Combined with overeating, anger, physical, and mental exertion, Xiao Chaihu Tang (Minor Bupleuri Decoction) with modifications cured him after several doses.
Prescription:
Chaihu (Bupleuri Radix), Renshen (Ginseng Radix), Banxiaqu (Pinelliae Fermentatum), Chuan Nannpu (Magnoliae Officinalis Cortex), Baizhu (Atractylodis Macrocephalae Rhizoma), Baifuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Zexie (Alismatis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Decoct normally, add roasted ginger.
Deputy Commander Jiang (courtesy name Biao; pseudonym □□, Hall Attendant) suffered from aversion to cold and wind. Despite gathering strong fires in the room, he felt no heat; covering himself with multiple quilts, he felt no warmth. Physicians used acrid-hot herbs, worsening the condition. Upon examining his pulse, I said: Internal Heat is extreme but cannot be cooled; External Cold is extreme but cannot be dispersed with acrid herbs. I used powdered medicine for the extreme Heat, taken with wine. Then, I used exterior-releasing herbs to induce sweating. I ordered the removal of fires and blankets. He felt refreshed and recovered after four doses.
Powdered Medicine Prescription:
Fuzi (Aconiti Lateralis Radix Praeparata, processed, skin removed; half wrapped in bread and baked, half raw), Rougui (Cinnamomi Cortex), Cangzhu (Atractylodis Rhizoma) (each 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian).
Grind into powder, divide into four doses. Take with aged wine as much as possible.
Prescription:
Mahuang (Ephedrae Herba), Renshen (Ginseng Radix), Baishao (Paeoniae Radix Alba), Gange (Puerariae Radix), Xixin (Asari Radix et Rhizoma), Zexie (Alismatis Rhizoma), Zhuling (Polyporus), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma).
Add two slices of ginger, decoct normally.
A friend, Wu Pixian, after a long illness, suffered only from vomiting, nausea, and inability to eat. Limbs were fatigued, night sweats occurred, and he wasted away daily. Medicines failed.
Upon examining his pulse, I modified Wen Shen Tang (Warm the Kidney Decoction) into powder. Taking one dose daily showed immediate effect.
Prescription:
Chaihu (Bupleuri Radix), Mahuanggen (Ephedrae Herba Radix) (each 4 qian), Baifuling (Poria, steamed with human milk), Baizhu (Atractylodis Macrocephalae Rhizoma, soil-stir-fried), Huangbai (Phellodendri Cortex, wine-stir-fried), Zhuling (Polyporus, wine-stir-fried), Shengma (Cimicifugae Rhizoma), Zexie (Alismatis Rhizoma, stir-fried), Chenpi (Citri Reticulatae Pericarpium), Shenqu (Massa Medicata Fermentata) (each 6 qian).
Grind into powder. Take 1 qian with plain boiled water every morning.