骨小肉脆，定非松柏之姿，脉数经停，已现虚劳之候，先天既弱而水亏，壮火复识而金燥，
岁气一周一损，岂容再损。秋风乍荐已伤，难免重伤，证具如前。药惟补北，非敢说梦，聊以解嘲。
生地 沙参 地骨皮 麦冬 金石斛 生鳖甲
苏禄国贡使契 丹，副使阿石丹，久咳不能卧案。
辨八方之风，测五土之性，大率贵邦，偏在中华之巽上，箕尾之前，翼轸之外，阳气偏泄
，即有风寒，易感易散，来此华夏，已属三焦。况不得卧下，肺气大伤，止宜润降而已。
蜜炙枇杷叶 麦门冬 川贝母 甜杏仁 经霜桑叶 米仁
《内经》谓∶骨肉柔脆之人，其质本弱，然以脉症较之，其咳原属手太阴得之，闻先一
人补
北沙参 燕窝 桑叶 冰溏 川贝母 紫菀
少腹有形隆起如阜，上至心下则厥逆，来疾去驶，虽大力人拒之不能却，上则人身为之
上窜
血，随其上下溢出，群医不能治。余思此症载在《难经》，特未曾缕晰示人耳。且云∶此物
伏在脐旁上下则少楚，伏入脐中则少安。可见脐旁两穴，亦与此条相合。且弗揭明其义，一
任群公思而得之可也。
用薄荷汤送下神秘丸，以病患自思此汤饮之，其物条伏而不动，故亦用之。素来扰亏根
不特病者自嫌，即操医师之术者，亦跋前 后之时也。值风木适旺之令，病目且黄，已而遗
精淋浊，少间，则又膝胫肿痛不能行，及来诊时，脉象左弦数，右搏而长，面沉紫而时时
作呕，静思其故，从前纷纷之病，同一邪也，均为三病，次第缠绵耳。由上而下，由下而至
极下，因根本久拨之体，复蒸而上为胃病，是肾胃相关之故也。倘不稍为戢除一二，但取回
阳返本，窃恐剑关苦拒，而阴平非复汉有也。谨拟一法，略效丹溪，未识何如。
羚羊角 木瓜 酒炒黄柏 伏龙肝 生米仁 橘红 马料豆
劳得愈，如麟毛兔角，或叩之琼台丹扃间，求金光一叶，庶几脱然。
患者骨骼细小、肌肉脆弱，显然不具备松柏般强健的体质；脉象数而时有间歇，已经显露出虚劳病的征候。先天禀赋既已虚弱且肾水不足，体内壮火（亢盛的阳热）又灼伤肺金导致燥热，每年的气候周期都使身体损耗一次，哪里还能承受进一步的损伤？秋风刚起便已受伤，难免遭受更严重的伤害，病症表现如前所述。用药只能采取补益肾水（北方属水，代指肾）的方法，这并非是说梦话，只是姑且以此自我解嘲罢了。
苏禄国贡使契丹、副使阿石丹，患有长期咳嗽无法平卧的症状。
辨析八方之风，推测五方之土性，大体上贵国位于中华东南方向（巽位），箕星与尾星之前，翼星与轸星之外，阳气容易外泄，因此即使感受风寒，也容易感染也易于消散。如今来到华夏之地，病邪已涉及三焦。况且不能平卧，说明肺气严重受损，治疗只宜采用滋润肃降的方法。
处方：蜜炙枇杷叶、麦门冬、川贝母、甜杏仁、经霜桑叶、薏苡仁。
《黄帝内经》说：骨肉柔脆的人，其体质本来就很弱。然而将脉象与症状比较来看，这种咳嗽原本属于手太阴肺经的病证。听闻前人用以下方剂治疗：北沙参、燕窝、桑叶、冰糖、川贝母、紫菀。
小腹部有形状隆起如土丘般的包块，向上延伸至心下部位则出现四肢厥冷逆乱，发病急骤，去势迅猛，即使是大力士也无法将其推开或消除，气机上冲使人感觉身体向上窜动。血液随之上下溢出，众医生都无法治愈。我思考此症记载于《难经》，只是未曾详细向人展示过。并且书中说：此物潜伏在脐旁上下时，疼痛稍减；潜伏进入脐中时，病情稍安。可见脐旁的两个穴位，也与这一条论述相符合。暂且不点明其中的深意，任由各位医生思考领悟即可。
用薄荷汤送服神秘丸，因为病患自己思考后认为此汤饮用后，那个潜伏之物会安静伏住而不活动，所以也使用了此法。素来亏虚的根本不仅让病人自己嫌弃，就连行医之人，在此时也感到进退两难。正值风木之气旺盛的季节，病人眼睛发黄，随后出现遗精、淋证及浊涕，片刻之后，又出现膝胫肿痛无法行走。等到我来诊察时，脉象左侧弦数，右侧搏动有力且长，面色沉滞发紫且时时作呕。静心思考其原因，从前纷繁复杂的病症，本质上是同一邪气所致，分为三种病状，依次缠绵不断。病势由上向下，由下至极下，由于根本长久动摇的体质，复因蒸腾而上导致胃病，这是肾与胃相互关联的缘故。如果不稍微遏制清除一二，仅仅追求回阳返本，恐怕正气难以接纳，而阴液平和的状态也不再存在了。谨拟定一法，略微效仿朱丹溪的思路，不知效果如何。
处方：羚羊角、木瓜、酒炒黄柏、伏龙肝、生薏苡仁、橘红、马料豆。
劳累得以痊愈，就像麒麟的毛、兔子的角一样罕见；或者叩开琼台仙境的门户，求得金光一片，或许才能彻底解脱。
The patient has small bones and fragile muscles, clearly lacking the robust constitution of pine or cypress. The pulse is rapid with intermittent pauses, already revealing signs of *Xu Lao* (Consumptive Disease). Since the congenital foundation is weak and Kidney Water (Yin) is deficient, and vigorous Fire (hyperactive Yang-heat) again scorches Lung Metal causing dryness, each annual cycle of climatic Qi causes further damage; how can it bear additional depletion? The autumn wind has just begun to injure, inevitably leading to severe injury, with symptoms as previously described. Medication can only tonify the North (Kidney/Water); this is not speaking nonsense, but merely offering a self-deprecating remark.
Formula: Raw Rehmanniae Radix (Sheng Di Huang), Glehniae Radix (Sha Shen), Cortex Lycii (Di Gu Pi), Ophiopogonis Radix (Mai Dong), Dendrobii Caulis (Jin Shi Hu), Fresh Trionycis Carapax et Plastrum (Sheng Bie Jia).
Qi Dan, the envoy from the Kingdom of Sulu, and his deputy A Shi Dan, suffered from chronic coughing unable to lie down.
Analyzing the winds of the eight directions and measuring the nature of the five soils, generally your country lies in the Southeast (Xun position) of China, before the stars Ji and Wei, and outside the stars Yi and Zhen. Yang Qi tends to leak out; thus, even if Wind-Cold is contracted, it is easily acquired and easily dispersed. Having come to Huaxia (China), the pathogenic factor has already involved the San Jiao (Triple Burner). Moreover, since lying flat is impossible, Lung Qi is severely damaged; treatment should solely focus on moistening and descending.
Formula: Honey-fried Loquat Leaf (Mi Zhi Pi Pa Ye), Ophiopogonis Tuber (Mai Men Dong), Fritillariae Cirrhosae Bulbus (Chuan Bei Mu), Sweet Almond Seed (Tian Xing Ren), Mulberry Leaf after Frost (Jing Shuang Sang Ye), Coix Seed (Mi Yi Ren).
The *Nei Jing* (Inner Canon) states: Those with soft and fragile bone and flesh have inherently weak constitutions. However, comparing pulse and symptoms, this cough originally belongs to the Hand-Taiyin Lung Meridian. It is heard that predecessors used the following formula: Glehniae Radix (Bei Sha Shen), Bird's Nest (Yan Wo), Mulberry Leaf (Sang Ye), Rock Sugar (Bing Tang), Fritillariae Cirrhosae Bulbus (Chuan Bei Mu), Asteris Radix (Zi Wan).
There is a palpable mound-like elevation in the lower abdomen. When it extends upward to the epigastrium, there is cold reversal (Jue Ni). Onset is sudden, and departure is swift; even a strong man cannot repel it. Upward surging causes the body to feel like it is leaping up. Blood overflows up and down, and many physicians could not treat it. I ponder that this condition is recorded in the *Nan Jing* (Classic of Difficult Issues), though it has not been explicitly demonstrated to people. It also says: This entity, when lurking above and below the umbilicus, causes slight discomfort; when entering the umbilicus, there is slight relief. Thus, the two acupoints beside the umbilicus also correspond to this description. I will not explicitly reveal its meaning, leaving it for other doctors to contemplate and understand.
Administer Shen Mi Wan (Mysterious Pill) with Mint Decoction. Because the patient reasoned that drinking this decoction would cause the entity to settle quietly without moving, this method was also employed. The inherent deficiency of the root is not only disliked by the patient but also leaves practitioners feeling stuck between advancing and retreating. At a time when Wood-Wind Qi is flourishing, the patient's eyes turned yellow, followed by seminal emission, stranguria, and turbid discharge. Shortly after, swelling and pain in the knees and shins rendered walking impossible. Upon my examination, the pulse was wiry and rapid on the left, and bounding and long on the right. The complexion was dark purple, with frequent vomiting. Calmly considering the cause, the previous chaotic illnesses were essentially the same pathogenic factor manifesting as three conditions, lingering sequentially. The pathology moved from upper to lower, and from lower to extreme lower. Due to the long-disrupted foundation, steaming rose upward causing Stomach disease; this is due to the interconnection of Kidney and Stomach. If one does not slightly suppress and eliminate some of it, but merely seeks to return Yang and restore the root, I fear the "Sword Gate" (spiritual/energetic barrier) will bitterly reject it, and the state of Yin peace will no longer exist. I respectfully propose a method, slightly imitating Zhu Danxi, wondering how it will fare.
Formula: Antelope Horn (Ling Yang Jiao), Quince Fruit (Mu Gua), Phellodendri Cortex fried with wine (Jiu Chao Huang Bo), Dragon's House Earth (Fu Long Gan), Raw Coix Seed (Sheng Yi Yi Ren), Tangerine Peel (Ju Hong), Horse Feed Bean (Ma Liao Dou).
Recovering from labor is as rare as Qilin hair or Rabbit horn; or perhaps knocking on the gates of the Jade Terrace, seeking a ray of golden light, might finally bring relief.