余决为奔豚证，因欲试验加桂枝一法，是否有此能力，乃用桂枝六钱、芍药四钱，他药准此比例。与服一剂，不效。再剂，亦不效。而病者则痛更加剧，体更惫甚，米饮且亦不进，余思不能再以病者为试验品矣。乃将桂枝减为四钱，与芍药等量，加顶上肉桂五分，嘱令将肉桂另行炖冲与服。迨一服之后，其痛大减，脘腹之积气四散，时时暖气，或行浊气。继服二剂，其病若失。余经此试验，适足证明桂枝无此能力。读者之疑，可以决矣。盖桂枝气味俱薄，散表之力为专。肉桂气味俱厚，温里之力为大。今用桂枝以代肉桂，何济于事乎。
桂枝加桂枝汤方桂枝六钱芍药四钱炙甘草三钱生姜二钱红枣十枚按：桂枝汤原方，桂枝与芍药其量相等。此用芍药四钱。桂枝六钱，超出之二钱，即为加重之量。连服二剂，毫无效果。
桂枝加肉桂汤方桂枝四钱芍药四钱炙甘草三钱上肉桂五分生姜二钱红枣十枚按：此方一服之后，其痛大减，冲气渐平。继服二剂，获得痊愈。
青年体弱奔豚证青年身体素弱，面色晦黄，偶因腹部受寒，不时作痛。
始则腹内雷鸣，自觉气动；继则隐隐作痛，脐下悸动，或左或右；终则忽然上攻，气冲胸脘，时作时止。发则手足发冷，额有惊汗。以桂枝汤加肉桂与之，四剂痊愈。
有淮安东乡扒头桥赵庶华者。旅居于沪。其子年方19岁，身体素弱，面色晦黄，若蒙垢之状。饮食只及常人之半，不耐风寒，稍感即病，不能多食，强谷则亦病。故父母对之极为重视。在1948年秋7月间，赵子忽发奔豚之证，如上文所述。发作之时，脐下觉有气起，渐渐直上冲胸，痛连胸膈，甚则咬牙闭目，气息俱停，额有凉汗，两手两足均发冷，口唇及指甲发青蓝色，约二三分至四五分钟。忽又积气自散，气息复旧，手足转温，额上汗收，痛苦顿除。如此时作时止，每日六七次至十余次不等，医药罔效。举家惊惶，视为怪病。
庶华乃谋之于其戚李锡颐君，李令就余诊之。余一见知为奔豚，当以温言慰其父子曰：“此证古医书载之，时医不读古书，故治之不能有效耳。”且期其必愈，以精神疗法，坚其信心。为处桂枝加肉桂汤方，令其如法服之。即次日赵携子来，复就余诊。欣欣然有喜色曰：“果如先生言，一服之后，已见减轻。而发作时亦较短，次数亦减少矣。”因令其照方再服一剂。至第三日，将原方去桂枝加茯苓、白术。
连服两剂而安。
桂枝加肉桂汤方桂枝三钱芍药三钱炙甘草二钱上肉桂五分生姜一钱五分红枣六枚前汤去桂枝加茯苓白术方芍药三钱炙甘草二钱上肉桂五分茯苓三钱白术三钱生姜一钱五分红枣六枚百合病(劳工百合病证)劳动工人，重病之后，身体惫极，正元难复。其症状，一如《金匮》百合病条文所云：百脉一宗，悉致其病也。意欲食而不能食，常默然，欲卧不能卧，欲行不能行，饮食或有美时，或有不欲闻食臭时，如寒无寒，如热无热，口苦小便赤，诸药不能治，得药则剧吐利，如有神灵者，身形如和，其脉微数。且多一症状，音哑不能出声。经用百合地黄汤加味主之。四阅月始痊。
患者詹龙臣，高邮人，为某厂之劳动工友，住中山北路建民村。于1954年春季，患生伤寒。其后病虽去，而身体惫极，正元久久难复。即有百合病之后遗症，此即西医所谓续发性神经衰弱症也。经医治疗，均无效果。后经厂医检验，云系钩虫为患，致体弱难复。即用杀钩虫之药及下药与之内服，孰意一下之后，不但体力愈不能支，且立增音哑，不能发声。詹君懊伤不已，深惧死期之将至。
时已至六月，詹之戚杨星候君，介就余诊。余细询病前之经过，更细察现在之症状，全盘与《金匮》中百合病之征象相同。惟多一音哑，为《金匮》所未有。且知为用下钩虫药而有此证。于此时也，不得不慎重考虑矣。盖病久体虚，不能速效。设病者信心不坚，或不能宽假时日，则必至中道更医，功亏一篑，所谓行百里者半九十也。
乃先以精神疗法，坚其信心。次告以必须半年之久，方可完全获效。并将《金匮》原文及诸家注解，以及余之《金匮要略新义》示之，期其必愈，坚其信医之念。因遵仲景法，为之处方如后。计四易其方，均以仲景百合地黄汤为主，以加味之品为辅。连服两月，较有进步，而喉音渐响。
此时已至八月，新百合已下市。因令之再食新百合，每晨、夕各煮一碗，加白糖食之，以代点心。药则每连服三帖，停药二日。如此四阅月，遂完全告痊。
厂中见其病已痊愈，促其早日上工，病者犹有惧心，询之于余。余令其再休养一二月，厂方疑其狡猾，复令就厂医诊之，为之证明，乃为有效。讵厂医检验，仍谓其有钩虫，再度令服杀钩虫及泻下之药，病者勉从之。不料一服之后，泻下四次，而前证复作，全盘如旧，音亦复哑。厂中令改就上海市第十一人民医院诊之，医谓有梅毒之疑，病者力白其无，遂忿而出院。
复求余诊。余觉再度反复，不同前证。在无可奈何中，仍用前精神疗法，使病者去其惧心。再为之处方，依前加减，令其安心服之。迨服之既久，亦即缓缓收效。又凡三易其方，而渐全愈。直至1955年6月，身体及声音乃全复常态。此病之难治，若不依仲景经方，变而通之，其不濒于危殆者几希矣。盖此病之治，如战争后之破屋残垣焉，主在抚辑流亡，助其缓缓修补及建筑，不在于攻敌。盖此破屋残垣中，已无疾病之大敌也。今将诸方全案，列之于后，以破吾书之例焉。
初治全案詹龙臣1954年6月6日初诊劳工苦力伤气，加以病后失调，正元难复。消化则影响胃肠，喘息则累及肺脏，久久未愈。其间时轻时重，洵至神经衰弱，心绪不宁，坐卧失序。一如《金匮》百合病篇之所述，且经误下失音，此大虚之证也。拟方缓以图之，屏去思虑，知命乐天，乃有可为。
蒸百合四钱生地黄五钱带皮芪(蜜炙)三钱怀山药四钱云茯苓(朱衣)三钱大麦冬三钱红枣十枚陈小麦一两(先煎)二诊：1954年6月27日前进百合地黄汤加味之方，渐有向愈之机。饮食较多，声音微响，面色亦较佳，惟大便干燥，此津液未复之故，不足为虑。拟方再求进步，佐以食疗。俟食复津回而便爽，则诸症可悉去矣。
蒸百合四钱生地黄四钱带皮芪三钱柏子仁三钱怀山药三钱南沙参三钱大麦冬三钱陈小麦一两(先煎)三诊：1954年7月23日进剂渐见好转，面色较华，步履亦较健，惟声音尚未全复。近日来舌苔稍厚，中夹浊滞，大便仍觉不爽，拟方再求进步。
南沙参三钱带皮苓三钱肥知母三钱怀山药三钱带皮芪(蜜炙)二钱火麻仁三钱土炒白术三钱大麦冬三钱杏仁泥三钱按：此时新百合已上市，即令其日以百合煮烂，加糖食之，早晚各一次，故方中未用蒸百合。
四诊：1954年8月7日原为久病神经衰弱，经治之大见进步。惟近数日来，天气炎热，新秋尚有暑热之邪，胸中烦热痞闷，治当舍本治标。
香薷二钱制夏二钱五分槟榔三钱神曲三钱藿香三钱蔻仁一钱五分蒌皮三钱苏梗三钱花粉三钱生姜两片竹叶四十片按：此方连服三帖，新感邪去。仍接服第三方，至十月初，而病愈音复。
再治全案詹龙臣1955年2月14日初诊客年重笃之百合病，即神经衰弱症，久病不愈。经用百合地黄汤加味方，渐见好转，约四阅月而愈。惟久病体弱，正元尚未十分恢复。近以他医谓有钩虫，用杀虫药及下药，病又反复如初，又变失音。拟方再求合辙，惟一再药误，恐较前为难治耳。
蒸百合四钱生地黄四钱大麦冬三钱远志肉二钱五分朱茯苓三钱带皮芪(蜜炙)三钱酸枣仁三钱陈小麦一两(先煎)二诊：1955年2月29日进剂幸渐转平，夜眠亦较佳，饮食亦较多。惟两腿尚觉无力，大便软溏，喉音未复。拟方再求进步。仍宜屏去思虑，事事乐天，则更易见功。
蒸百合四钱生地黄四钱南沙参三钱远志肉二钱五分补骨脂三钱淡玉竹三钱酸枣仁三钱朱茯苓三钱带皮芪(蜜炙)三钱陈小麦一两(先煎)按：此方连服至四月底，体渐复元，喉音渐响。至五月中旬，音亦完全复旧。
久疟(乱型久疟证)病者初患感冒，继转疟疾。五易其医，均未获效。且病者有阿芙蓉癖，延至半年，体愈不支，后即任之而已。但此后虽不觉重，而病型渐乱，发无定时。如此又延半载有余，饮食更少，赢弱不堪。余以首乌故纸汤，二服而病减食增，六服而完全治愈。接服补中益气汤，恢复健康。
在1941年，时余任上海中医专科学校教务长。有女生翁帼英者，家住浦东三菱塘。其父初患感冒，继转疟疾。经浦东附近医生治之，五易其医，而久久不效，因之厌医厌药。此后即偶尔就医服药，亦继续不常。且其人壮年，即有阿芙蓉癖，体失丰腴。此时年已五旬余，患疟至半年之久，其赢弱之情，可想而知矣。
如此而任之者，又数阅月。病状虽不见重，而病型则错乱无定矣。即有一日一至者，有二日一至者，有三日一至者，亦有五七日一至者，或有一日间二三至者。自病型一乱，而发作之时间，则无一定。久而久之，虽发时已渐轻，然而不能止也。如此又数阅月。前后计之，共有一年零七个月之久，体惫愈甚，饮食更渐减少，仅以芙蓉膏及稀薄粥，为维持生命之要素矣。
翁生于放秋假时，回至浦东，即劝其父来沪就医。父以不信医，故却之。即至将放寒假，翁生又函劝其父，来沪试行医药。俟考试完毕，偕同返家。经叠函苦劝，方始就道。
至沪后，翁生即请余诊。其未来之前，翁生已详告余，即临床诊视，骨瘦如柴，腹凹如舟，呼吸亦较微弱，白睛发青，肤干脱皮。舌质色绛而不泽，且根部中部，均现黑色，知其肾阴固亏，而阿芙蓉更灼其津液也。询其发作之情况，则依然如前所述。乃决定为方，因定名首乌故纸汤，令服两帖再诊。并以温语慰之，使其信医，而精神振作，始有补于服药也。迨两帖服后，于两日间只发作一次，但极轻微，且时亦颇短，饮食渐佳。惟大便未得畅解，干燥异常。因于方中加淡苁蓉及全当归，以熟附易肉桂。连服四帖，便爽食增，而寒热亦从此绝迹矣。复思此时可以大补矣，再为之处以补中益气汤。令服十帖，以扶正气。父女喜出望外，果然寒假大考完毕，相偕返回浦东，欢度旧历新年矣。
首乌故纸汤方制何首乌六钱破故纸四钱大熟地三钱熟附片三钱炮姜炭二钱山萸肉三钱云茯苓四钱土炒白术四钱姜枣引首乌故纸汤加减方制何首乌六钱破故纸四钱大熟地三钱上肉桂八分炮姜炭二钱山萸肉三钱淡苁蓉三钱当归身三钱云茯苓四钱土炒白术四钱姜、枣引补中益气汤方西党参三钱炙黄芪三钱土炒白术三钱炙甘草一钱五分全当归三钱广陈皮二钱五分绿升麻一钱五分春柴胡二钱生姜三片红枣五枚哕病气郁食滞哕证少年气盛心愚，事非其罪，而被责打，午餐未毕，忍忿就睡。因之食滞中脘，气逆胸膈，发生呃逆，此《伤寒》、《金匮》中之哕证也。五日不愈，询之大便未解。与以调胃承气汤加味方，一服而便利哕止。再剂而膈快胸宽，药未三剂，霍然而痊。
丹徒人王炳臣者，住沪南大木桥之瓦平房中。此房地产乃其戚金君所有。王君儿女众多，贫不能自存，来沪相依。
金君即令其住于平民村中，为之代收租金，以度其清贫之生活。时在抗战前一年之某日，王以收来之房租数元，置之案上屉中。至午饭完毕，再取时，已不翼而飞。问其妻彭氏及诸儿，皆云不知。王以长子大槐，已18岁，有窃取嫌疑，指为伊取。而大槐不承其罪，云：父事太烦，或别处遗忘。
时其子午餐尚未毕，王在盛怒之下，饱以老拳，其子因气忿而睡卧不起。迨至傍晚，即发生呃逆。初则时断时继，继则终日不停，非至夜间疲极睡去，则呃逆不能稍止。然间一二小时，又因忽发呃逆而醒。中经医疗，均未获效。病者苦之，而其父亦转怒为愁矣。
嗣乃延余诊治。既至病家，由王妻彭氏告余以详情，知由气郁为患。因察其舌，则尖虽白而根已燥黄。询其大便，则病五日，即五日未解。诊其脉，则微弦数。扪其肤，则微有热，按其腹，则痛而微满，他无所苦也。再索阅前医之方，则甲医用丁香、柿蒂，乙医用代赭、旋覆，然而均不愈也。因告王君曰：“前方之所以不效者，非病邪为之，乃气郁为之，乃郁气夹停食为之，故其用理气降逆之药不效也。
盖食后被责，肝郁而逆脾，脾虚滞于运化，脾气不输助于胃，故胃亦失职，而不能司消化之权也。治当疏肝醒脾以调胃，乃可愈矣。”因为之处方，以调胃承气汤加广郁金、春柴胡、焦白术、鸡内金四味。一剂而大便畅解，呃逆即停，腹胀亦减。再剂则大便续解二次，膈爽而胸部亦宽，时时嗳气，渐觉知饥思食矣。令服薄粥三日，戒慎口腹，勿令其再反复也。病家遵嘱，而获痊愈。
我断定这是奔豚证，因为想试验一下增加桂枝这一方法是否有效，于是使用了六钱桂枝、四钱芍药，其他药物也按照这个比例配制。服用一剂后，没有效果。再服一剂，依然无效。而病人的疼痛更加剧烈，身体更加疲惫，连米汤都喝不进去，我心想不能再把病人当作试验品了。于是将桂枝减为四钱，与芍药等量，并在上方加入五分顶上的肉桂，嘱咐将肉桂单独炖煮冲服。等到服用一剂之后，疼痛大幅减轻，脘腹部的积气向四周散开，不时打嗝，或者排出浊气。接着又服用了两剂，病几乎痊愈。经过这次试验，恰好证明了桂枝没有这种能力。读者的疑惑可以解除了。大概桂枝气味都比较淡薄，发散表邪的力量是专门的。肉桂气味都比较厚重，温补里寒的力量很大。现在用桂枝来代替肉桂，有什么用处呢？
桂枝加桂枝汤方：桂枝六钱，芍药四钱，炙甘草三钱，生姜二钱，红枣十枚。按语：桂枝汤原方中，桂枝与芍药的用量相等。这里使用芍药四钱，桂枝六钱，超出的两钱，就是加重的剂量。连续服用两剂，毫无效果。
桂枝加肉桂汤方：桂枝四钱，芍药四钱，炙甘草三钱，上肉桂五分，生姜二钱，红枣十枚。按语：此方服用一剂之后，疼痛大幅减轻，冲逆之气逐渐平息。接着又服用两剂，获得痊愈。
青年体弱奔豚证：青年身体素来虚弱，面色晦暗发黄，偶尔因为腹部受寒，不时发生疼痛。开始时腹内雷鸣，自觉有气动；接着隐隐作痛，脐下悸动，或左或右；最后突然向上攻冲，气冲胸脘，时发时止。发作时手足发冷，额头出冷汗。用桂枝汤加肉桂给他服用，四剂后痊愈。
有个叫赵庶华的人，来自淮安东乡扒头桥，旅居在上海。他的儿子年仅19岁，身体素来虚弱，面色晦暗发黄，像蒙了污垢的样子。饮食只有常人的半数，不耐风寒，稍微感受就生病，不能多吃，勉强进食也会生病。所以父母对他极为重视。在1948年7月间，赵的儿子忽然发作奔豚证，如上文所述。发作时，觉得脐下有气升起，渐渐直冲胸部，疼痛牵连胸膈，严重时咬牙闭目，气息停止，额头出冷汗，两手两脚都发冷，口唇及指甲发青蓝色，大约持续两三分钟到四五分钟。忽然积气自行消散，气息恢复常态，手脚转暖，额头汗收，痛苦顿时消除。这样时发时止，每天六七次到十余次不等，医药无效。全家惊慌，视为怪病。
赵庶华于是向亲戚李锡颐先生请教，李先生让我诊治。我一见就知道是奔豚证，应当用温和的话语安慰他们的父子说：“这个病症古医书上有记载，现在的医生不读古书，所以治疗不能见效。”并且承诺一定能治愈，以精神疗法坚定他们的信心。为此开具桂枝加肉桂汤方，让他们依法服用。第二天赵带着儿子来复诊，高兴地说：“果然像先生说的，服用一剂后，已经减轻。而且发作时间变短，次数也减少了。”因此让他照方再服一剂。到了第三天，在原方中去掉桂枝，加入茯苓、白术。连续服用两剂而安定下来。
桂枝加肉桂汤方：桂枝三钱，芍药三钱，炙甘草二钱，上肉桂五分，生姜一钱五分，红枣六枚。去桂枝加茯苓白术方：芍药三钱，炙甘草二钱，上肉桂五分，茯苓三钱，白术三钱，生姜一钱五分，红枣六枚。
百合病（劳工百合病证）：劳动工人，重病之后，身体极度疲惫，正气难以恢复。其症状，完全像《金匮要略》百合病条文所说的：百脉一宗，悉致其病也。想要吃东西却吃不下，常常沉默不语，想睡觉却睡不着，想走动却不能走，饮食有时觉得美味，有时又不想闻到食物的气味，好像冷又不冷，好像热又不热，口苦小便赤，各种药物都不能治疗，吃药则剧烈呕吐腹泻，好像有神灵附体一样，身形看似正常，脉象微数。并且多了一个症状，声音嘶哑不能出声。经用百合地黄汤加味主治。四个月后才痊愈。
患者詹龙臣，是高邮人，在某厂做劳动工友，住在中山北路建民村。在1954年春季，患伤寒。后来病虽然好了，但身体极度疲惫，正气久久难以恢复。即有百合病的后遗症，这就是西医所谓的继发性神经衰弱症。经过医生治疗，都没有效果。后经厂医检验，说是钩虫为患，导致体质虚弱难以恢复。就用杀钩虫的药及泻下药内服，谁知一下之后，不但体力更不能支撑，而且立刻增加了声音嘶哑，不能发声。詹君懊恼悲伤不已，深怕死期将至。
当时已是六月，詹的亲戚杨星候先生，介绍我来诊治。我详细询问发病前的经过，更仔细察看现在的症状，全盘与《金匮要略》中百合病的征象相同。只是多了一个声音嘶哑，是《金匮要略》中所没有的。并且知道是因为用了杀钩虫药而有此证。在这个时候，不得不慎重考虑了。大概病久体虚，不能速效。如果病人信心不坚定，或者不能宽限时日，那么必定会在中途更换医生，功亏一篑，所谓行百里者半九十也。
于是先用精神疗法，坚定他的信心。其次告诉他必须半年之久，才可以完全获效。并将《金匮要略》原文及诸家注解，以及我的《金匮要略新义》给他看，期望他一定痊愈，坚定他信医的念头。于是遵循张仲景的方法，为他处方如下。共计四次更改处方，都以张仲景的百合地黄汤为主，以加味的药物为辅。连续服用两个月，比较有进步，而喉音逐渐响亮。
此时已到八月，新的百合已上市。因此让他再吃新百合，每早、晚各煮一碗，加白糖食用，作为点心。药物则是每连续服用三帖，停药两天。如此四个月，便完全告愈。
厂里见他病已痊愈，催促他早日上班，病人仍有恐惧心理，向我询问。我让他再休养一两个月，厂方怀疑他狡猾，又让他找厂医诊治，为之证明，这才有效。岂料厂医检验，仍说他有钩虫，再次令他服用杀钩虫及泻下的药，病人勉强服从。不料服用一剂之后，腹泻四次，而前面的病症复发，全盘如旧，声音也重新嘶哑。厂里令改去上海市第十一人民医院诊治，医生说疑似梅毒，病人极力辩白自己无此病，于是愤然出院。
再次求我诊治。我觉得再度反复，不同于前证。在无可奈何中，仍用前面的精神疗法，使病人去除恐惧心理。再为他处方，依前加减，让他安心服用。等到服用既久，也就缓缓收到效果。又凡三次更改处方，而逐渐全愈。直到1955年6月，身体及声音才完全恢复常态。这个病的难治，如果不依张仲景经方，变通处理，那濒临危殆的情况就很少见了。大概这个病的治疗，就像战争后的破屋残垣，主要在于安抚流亡，帮助其缓缓修补及建筑，不在于攻击敌人。大概这破屋残垣中，已经没有疾病的大敌了。现将诸方全案，列在后面，以打破本书的常规。
初治全案 詹龙臣 1954年6月6日初诊：劳工苦力伤气，加上病后失调，正气难以恢复。消化则影响胃肠，喘息则累及肺脏，久久未愈。其间时轻时重，确实到了神经衰弱，心绪不宁，坐卧失序的地步。完全像《金匮要略》百合病篇所描述的，并且经过误下导致失音，这是大虚之证。拟方缓图之，屏除思虑，知命乐天，才有可为。
蒸百合四钱，生地黄五钱，带皮芪（蜜炙）三钱，怀山药四钱，云茯苓（朱衣）三钱，大麦冬三钱，红枣十枚，陈小麦一两（先煎）。
二诊：1954年6月27日：前进百合地黄汤加味之方，渐有向愈之机。饮食较多，声音微响，面色亦较佳，惟大便干燥，这是津液未恢复的缘故，不足为虑。拟方再求进步，佐以食疗。等到食复津回而便爽，则诸症可悉去矣。
蒸百合四钱，生地黄四钱，带皮芪三钱，柏子仁三钱，怀山药三钱，南沙参三钱，大麦冬三钱，陈小麦一两（先煎）。
三诊：1954年7月23日：进剂渐见好转，面色较华，步履亦较健，惟声音尚未全复。近日来舌苔稍厚，中夹浊滞，大便仍觉不爽，拟方再求进步。
南沙参三钱，带皮苓三钱，肥知母三钱，怀山药三钱，带皮芪（蜜炙）二钱，火麻仁三钱，土炒白术三钱，大麦冬三钱，杏仁泥三钱。按语：此时新百合已上市，即令其日以百合煮烂，加糖食之，早晚各一次，故方中未用蒸百合。
四诊：1954年8月7日：原为久病神经衰弱，经治之大见进步。惟近数日来，天气炎热，新秋尚有暑热之邪，胸中烦热痞闷，治当舍本治标。
香薷二钱，制半夏二钱五分，槟榔三钱，神曲三钱，藿香三钱，蔻仁一钱五分，蒌皮三钱，苏梗三钱，花粉三钱，生姜两片，竹叶四十片。按语：此方连服三帖，新感邪去。仍接服第三方，至十月初，而病愈音复。
再治全案 詹龙臣 1955年2月14日初诊：客年重笃之百合病，即神经衰弱症，久病不愈。经用百合地黄汤加味方，渐见好转，约四个月而愈。惟久病体弱，正气尚未十分恢复。近以他医谓有钩虫，用杀虫药及下药，病又反复如初，又变失音。拟方再求合辙，惟一再药误，恐较前为难治耳。
蒸百合四钱，生地黄四钱，大麦冬三钱，远志肉二钱五分，朱茯苓三钱，带皮芪（蜜炙）三钱，酸枣仁三钱，陈小麦一两（先煎）。
二诊：1955年2月29日：进剂幸渐转平，夜眠亦较佳，饮食亦较多。惟两腿尚觉无力，大便软溏，喉音未复。拟方再求进步。仍宜屏去思虑，事事乐天，则更易见功。
蒸百合四钱，生地黄四钱，南沙参三钱，远志肉二钱五分，补骨脂三钱，淡玉竹三钱，酸枣仁三钱，朱茯苓三钱，带皮芪（蜜炙）三钱，陈小麦一两（先煎）。按语：此方连服至四月底，体渐复元，喉音渐响。至五月中旬，音亦完全复旧。
久疟（乱型久疟证）：病人起初患感冒，继而转为疟疾。五次更换医生，均未获效。且病人有鸦片瘾，拖延至半年，身体更加不支，后即听之任之而已。但此后虽不觉严重，而病型逐渐混乱，发作无定时。如此又拖延半年有余，饮食更少，羸弱不堪。我用首乌故纸汤，两服而病减食增，六服而完全治愈。接着服用补中益气汤，恢复健康。
在1941年，当时我任上海中医专科学校教务长。有个女生翁帼英，家住浦东三菱塘。她的父亲起初患感冒，继而转为疟疾。经浦东附近医生治疗，五次更换医生，而久久不效，因此厌医厌药。此后即使偶尔就医服药，也不经常。且其人壮年时就有鸦片瘾，身体失去丰腴。此时年已五十多岁，患疟疾长达半年之久，其羸弱之情，可想而知。
如此听之任之，又过了几个月。病状虽不见加重，而病型则错乱无定。即有一日发作一次的，有二日发作一次的，有三日发作一次的，也有五七日发作一次的，或是一日内发作二三次的。自病型一乱，而发作的时间，就没有一定。久而久之，虽然发作时已渐轻，然而不能停止。如此又过了几个月。前后计算，共有一年零七个月之久，身体疲惫更甚，饮食更渐减少，仅以芙蓉膏及稀薄粥，作为维持生命的要素了。
翁生在放秋假时，回到浦东，就劝其父来上海就医。父亲因不信医，所以拒绝。即将放寒假时，翁生又写信劝其父，来上海试行医药。等到考试完毕，一同回家。经过多次信件苦劝，才开始上路。
到上海后，翁生就请我诊治。在她未来之前，翁生已详细告诉我，即临床诊视，骨瘦如柴，腹凹如舟，呼吸亦较微弱，白睛发青，皮肤干脱皮。舌质色绛而不泽，且根部中部，均现黑色，知其肾阴固亏，而鸦片更灼其津液也。询问其发作的情况，则依然如前所述。乃决定为方，因定名首乌故纸汤，令服两帖再诊。并以温语慰之，使其信医，而精神振作，始有补于服药也。等到两帖服后，于两日间只发作一次，但极轻微，且时亦颇短，饮食渐佳。惟大便未得畅解，干燥异常。因于方中加淡苁蓉及全当归，以熟附易肉桂。连续服用四帖，便爽食增，而寒热亦从此绝迹矣。再思此时可以大补矣，再为其处以补中益气汤。令服十帖，以扶正气。父女喜出望外，果然寒假大考完毕，相偕返回浦东，欢度旧历新年矣。
首乌故纸汤方：制何首乌六钱，破故纸四钱，大熟地三钱，熟附片三钱，炮姜炭二钱，山萸肉三钱，云茯苓四钱，土炒白术四钱，姜枣引。
首乌故纸汤加减方：制何首乌六钱，破故纸四钱，大熟地三钱，上肉桂八分，炮姜炭二钱，山萸肉三钱，淡苁蓉三钱，当归身三钱，云茯苓四钱，土炒白术四钱，姜、枣引。
补中益气汤方：西党参三钱，炙黄芪三钱，土炒白术三钱，炙甘草一钱五分，全当归三钱，广陈皮二钱五分，绿升麻一钱五分，春柴胡二钱，生姜三片，红枣五枚。
哕病（气郁食滞哕证）：少年气盛心愚，事非其罪，而被责打，午餐未毕，忍忿就睡。因此食滞中脘，气逆胸膈，发生呃逆，这是《伤寒论》、《金匮要略》中的哕证。五日不愈，询问之大便未解。给予调胃承气汤加味方，一服而便利哕止。再剂而膈快胸宽，药未三剂，霍然而痊。
丹徒人王炳臣，住沪南大木桥之瓦平房中。此房地产乃其戚金君所有。王君儿女众多，贫不能自存，来沪相依。
金君即令其住于平民村中，为之代收租金，以度其清贫之生活。时在抗战前一年之某日，王以收来之房租数元，置之案上屉中。至午饭完毕，再取时，已不翼而飞。问其妻彭氏及诸儿，皆云不知。王以长子大槐，已18岁，有窃取嫌疑，指为伊取。而大槐不承其罪，云：父事太烦，或别处遗忘。
当时其子午餐尚未毕，王在盛怒之下，饱以老拳，其子因气忿而睡卧不起。待到傍晚，即发生呃逆。初则时断时继，继则终日不停，非至夜间疲极睡去，则呃逆不能稍止。然而间一二小时，又因忽发呃逆而醒。中间经过医疗，均未获效。病人苦之，而其父亦转怒为愁矣。
随后乃延请我诊治。既至病家，由王妻彭氏告知我以详情，知由气郁为患。因察其舌，则尖虽白而根已燥黄。询问其大便，则病五日，即五日未解。诊其脉，则微弦数。扪其肤，则微有热，按其腹，则痛而微满，他无所苦也。再索阅前医之方，则甲医用丁香、柿蒂，乙医用代赭、旋覆，然而均不愈也。因告王君曰：“前方之所以不效者，非病邪为之，乃气郁为之，乃郁气夹停食为之，故其用理气降逆之药不效也。
大概食后被责，肝郁而逆脾，脾虚滞于运化，脾气不输助于胃，故胃亦失职，而不能司消化之权也。治当疏肝醒脾以调胃，乃可愈矣。”因此为之处方，以调胃承气汤加广郁金、春柴胡、焦白术、鸡内金四味。一剂而大便畅解，呃逆即停，腹胀亦减。再剂则大便续解二次，膈爽而胸部亦宽，时时嗳气，渐觉知饥思食矣。令服薄粥三日，戒慎口腹，勿令其再反复也。病家遵嘱，而获痊愈。
I diagnosed this as *Ben Tun* (Panic Disease / Roaring Pig Syndrome). Because I wanted to test whether adding *Guizhi* (Cinnamon Twig) would be effective, I prescribed six qian of *Guizhi* and four qian of *Shaoyao* (White Peony Root), with other herbs proportioned accordingly. After one dose, there was no effect. After a second dose, there was still no effect. The patient's pain intensified, his body became more exhausted, and he could not even take rice water. I thought I could no longer use the patient as an experimental subject. Therefore, I reduced the *Guizhi* to four qian, making it equal in amount to the *Shaoyao*, and added five fen of top-grade *Rougui* (Cinnamon Bark). I instructed that the *Rougui* be stewed separately and taken mixed with the decoction. After one dose, the pain decreased significantly, the accumulated gas in the epigastrium and abdomen dispersed, and he belched frequently or passed foul flatus. After two more doses, the illness seemed to disappear. This experiment proved that *Guizhi* lacks this specific capability. Readers' doubts can now be resolved. Generally, *Guizhi* has a thin flavor and aroma, specializing in dispersing exterior pathogens. *Rougui* has a thick flavor and aroma, possessing great power to warm the interior. Using *Guizhi* to replace *Rougui* is of little benefit.
**Guizhi Jia Guizhi Tang (Cinnamon Twig Decoction Plus Cinnamon Twig)**: *Guizhi* (Cinnamon Twig) 6 qian, *Shaoyao* (White Peony Root) 4 qian, *Zhi Gancao* (Honey-fried Licorice Root) 3 qian, *Shengjiang* (Fresh Ginger) 2 qian, *Hongzao* (Jujube) 10 pieces. Note: In the original *Guizhi Tang*, the amounts of *Guizhi* and *Shaoyao* are equal. Here, *Shaoyao* is 4 qian and *Guizhi* is 6 qian; the extra 2 qian represents the increased dosage. Taking this for two doses yielded no effect.
**Guizhi Jia Rougui Tang (Cinnamon Twig Decoction Plus Cinnamon Bark)**: *Guizhi* (Cinnamon Twig) 4 qian, *Shaoyao* (White Peony Root) 4 qian, *Zhi Gancao* (Honey-fried Licorice Root) 3 qian, *Shang Rougui* (Top-grade Cinnamon Bark) 5 fen, *Shengjiang* (Fresh Ginger) 2 qian, *Hongzao* (Jujube) 10 pieces. Note: After one dose of this formula, the pain decreased significantly, and the upward rushing qi gradually calmed. After two more doses, full recovery was achieved.
**Case of Ben Tun in a Young Man with Weak Constitution**: A young man with a constitutionally weak body, sallow and dull complexion, occasionally suffered abdominal pain due to cold invasion. Initially, there was borborygmus in the abdomen and a sensation of moving qi; then dull pain, palpitations below the umbilicus, shifting left or right; finally, sudden upward attack, with qi rushing to the chest and epigastrium, intermittent. During attacks, hands and feet were cold, and sweat appeared on the forehead. He was treated with *Guizhi Tang* plus *Rougui*, recovering after four doses.
**Zhao Shuhua**, from Batou Bridge, Dongxiang, Huai'an, residing in Shanghai. His son, aged 19, had a constitutionally weak body, sallow and dull complexion resembling dirt-stained skin. His food intake was half that of normal people; he could not tolerate wind and cold, falling ill easily, and overeating also caused illness. His parents were very concerned. In July 1948, his son suddenly developed *Ben Tun* as described above. During attacks, he felt qi rising from below the umbilicus, rushing straight up to the chest, causing pain radiating to the chest and diaphragm. Severe cases involved gritting teeth, closing eyes, cessation of breathing, cold sweat on the forehead, cold hands and feet, and cyanosis of lips and nails, lasting 2-5 minutes. Then the accumulated gas would dissipate, breathing would normalize, limbs would warm, sweat would stop, and pain would vanish. These episodes occurred intermittently, 6-10 times daily, unresponsive to medicine. The family was panicked, considering it a strange disease.
Zhao consulted his relative, Mr. Li Xiyi, who referred him to me. Upon seeing the patient, I identified it as *Ben Tun*. I comforted the father and son gently, saying, "This condition is recorded in ancient medical texts. Modern doctors do not read these texts, hence their treatments fail." I promised a cure to bolster their confidence through psychological therapy. I prescribed **Guizhi Jia Rougui Tang** for them to take as directed. The next day, Zhao returned with his son, looking pleased, saying, "As you predicted, after one dose, symptoms lessened. Attacks were shorter and fewer." I advised continuing the same prescription. On the third day, I modified the original formula by removing *Guizhi* and adding *Fuling* (Poria) and *Baizhu* (Atractylodes Macrocephala Rhizome). Two doses brought stability.
**Guizhi Jia Rougui Tang**: *Guizhi* (Cinnamon Twig) 3 qian, *Shaoyao* (White Peony Root) 3 qian, *Zhi Gancao* (Honey-fried Licorice Root) 2 qian, *Shang Rougui* (Top-grade Cinnamon Bark) 5 fen, *Shengjiang* (Fresh Ginger) 1.5 qian, *Hongzao* (Jujube) 6 pieces.
**Formula Removing Guizhi and Adding Fuling and Baizhu**: *Shaoyao* (White Peony Root) 3 qian, *Zhi Gancao* (Honey-fried Licorice Root) 2 qian, *Shang Rougui* (Top-grade Cinnamon Bark) 5 fen, *Fuling* (Poria) 3 qian, *Baizhu* (Atractylodes Macrocephala Rhizome) 3 qian, *Shengjiang* (Fresh Ginger) 1.5 qian, *Hongzao* (Jujube) 6 pieces.
**Baihe Bing (Lily Disease) - Laborer's Lily Disease**: Laborers, after severe illness, become extremely exhausted, and righteous qi is hard to restore. Symptoms match those described in the *Jin Gui Yao Lue* (Essential Prescriptions from the Golden Cabinet) regarding *Baihe Bing*: "All vessels belong to one source, all suffer disease." Desire to eat but cannot; often silent; desire to sleep but cannot; desire to walk but cannot; appetite fluctuates between liking and disliking food odors; sensations of cold or heat without actual fever/chills; bitter taste in mouth, red urine; various medicines fail, and drugs cause severe vomiting and diarrhea; seems possessed by spirits; physical appearance is normal, pulse is slightly rapid. Additionally, there is hoarseness/inability to speak. Treated with *Baihe Dihuang Tang* (Lily and Rehmannia Decoction) modified. Recovery took four months.
**Patient Zhan Longchen**, from Gaoyou, a laborer in a factory, living at Jianmin Village, Zhongshan North Road. In Spring 1948, he contracted Shanghan (Cold Damage). Although the illness passed, his body remained extremely exhausted, and righteous qi recovered slowly. This resulted in sequelae of *Baihe Bing*, known in Western medicine as secondary neurasthenia. Previous treatments were ineffective. Factory doctors tested for hookworms, attributing weakness to infestation. Anthelmintics and purgatives were administered internally. However, after one dose, vitality worsened, and hoarseness developed immediately. Mr. Zhan was distressed, fearing death.
By June, Mr. Yang Xinghou, a relative, introduced me to treat him. I inquired about the history and examined current symptoms, finding them identical to *Baihe Bing* in the *Jin Gui Yao Lue*, except for the hoarseness, which is not mentioned in the classic. I realized this arose from using anthelmintic/purgative drugs. Given the chronic nature and deficiency, quick results were impossible. If the patient lacked confidence or patience, he might switch doctors midway, ruining progress ("He who travels a hundred li considers ninety as half"). I first used psychological therapy to strengthen his confidence, telling him full recovery required six months. I showed him the original text of the *Jin Gui Yao Lue*, commentaries, and my own *New Interpretations of Jin Gui Yao Lue* to solidify his trust. Following Zhang Zhongjing's methods, I prescribed the following. Four prescriptions were adjusted, primarily based on Zhang Zhongjing's *Baihe Dihuang Tang*, supplemented by modified herbs. After two months of continuous use, progress was evident, and voice improved.
In August, new lily bulbs were available. I instructed him to eat fresh lilies, boiled with white sugar, morning and evening, as a snack. Medication was taken for three days, followed by a two-day break. After four months, complete recovery was achieved.
The factory urged him to return to work upon hearing of his recovery, but he remained fearful and asked me. I advised resting for another one or two months. The factory suspected deception and sent him to the factory doctor for certification. The factory doctor still detected hookworms and ordered more anthelmintics and purgatives. The patient reluctantly complied. One dose caused four bowel movements, and previous symptoms recurred completely, including hoarseness. The factory sent him to Shanghai No. 11 People's Hospital. The physician suspected syphilis. The patient denied this and left angrily.
He sought my treatment again. The recurrence differed from before. Helplessly, I used psychological therapy again to remove his fear. I prescribed modifications of the previous formulas. Slowly, effects appeared. Three more adjustments led to gradual full recovery. By June 1955, his body and voice fully normalized. This difficult case demonstrates that without adapting Zhang Zhongjing's classical formulas, danger would have been imminent. Treating this illness is like repairing ruins after war: the focus is on comforting refugees and slowly rebuilding, not attacking enemies. There are no major disease enemies left in these ruins. The full case records are listed below, breaking the usual format of this book.
**Initial Treatment Record: Zhan Longchen, June 6, 1954**: Laborers injure qi; post-illness imbalance makes righteous qi hard to restore. Digestion affects stomach/intestines; panting affects lungs. Chronic course leads to neurasthenia, restlessness, and disrupted sleep/posture, matching *Baihe Bing* in *Jin Gui Yao Lue*. Misuse of purgatives caused loss of voice, indicating severe deficiency. Plan: Treat slowly, eliminate worry, accept fate, and find joy.
Steamed Baihe (Lily Bulb) 4 qian, Raw Dihuang (Rehmannia Root) 5 qian, Daipi Qi (Astragalus with Peel, Honey-fried) 3 qian, Huai Shanyao (Chinese Yam) 4 qian, Yun Fuling (Poria with Cinnabar Coating) 3 qian, Da Maidong (Ophiopogon Tuber) 3 qian, Hongzao (Jujube) 10 pieces, Chen Xiaomai (Old Wheat) 1 liang (decocted first).
**Second Visit: June 27, 1954**: Previous modified *Baihe Dihuang Tang* showed improvement. Appetite increased, voice slightly louder, complexion better. Stool remains dry due to unrecovered fluids, not worrying. Plan: Seek further progress, aid with diet therapy. Once fluids recover and bowels clear, symptoms will vanish.
Steamed Baihe (Lily Bulb) 4 qian, Shengdi (Prepared Rehmannia Root) 4 qian, Daipi Qi (Astragalus with Peel) 3 qian, Baizi Ren (Biota Seed) 3 qian, Huai Shanyao (Chinese Yam) 3 qian, Nan Shashen (Adenophora Root) 3 qian, Da Maidong (Ophiopogon Tuber) 3 qian, Chen Xiaomai (Old Wheat) 1 liang (decocted first).
**Third Visit: July 23, 1954**: Continued medication showed improvement. Complexion brighter, gait stronger, but voice not fully restored. Recent tongue coating slightly thick with turbid stagnation; stool still unsatisfactory. Plan: Seek further progress.
Nan Shashen (Adenophora Root) 3 qian, Daipi Ling (Poria with Peel) 3 qian, Fei Zhimu (Anemarrhena Rhizome) 3 qian, Huai Shanyao (Chinese Yam) 3 qian, Daipi Qi (Astragalus with Peel, Honey-fried) 2 qian, Huomaren (Hemp Seed) 3 qian, Tu Chao Baizhu (Atractylodes Stir-fried with Soil) 3 qian, Da Maidong (Ophiopogon Tuber) 3 qian, Xingren Ni (Apricot Kernel Paste) 3 qian. Note: Fresh lilies were available, so he ate boiled lilies with sugar twice daily; thus, steamed lily bulb was omitted from the formula.
**Fourth Visit: August 7, 1954**: Originally chronic neurasthenia, greatly improved by treatment. Recently, hot weather and lingering summer-heat pathogen caused chest irritability and stuffiness. Treatment should address the branch (symptoms) rather than the root.
Xiangru (Elsholtzia Herb) 2 qian, Zhi Banxia (Pinellia Tuber Processed) 2.5 qian, Binglang (Areca Nut) 3 qian, Shenqu (Medicated Leaven) 3 qian, Huoxiang (Patchouli Herb) 3 qian, Kourén (Cardamom Seed) 1.5 qian, Loupi (Trichosanthes Peel) 3 qian, Sugeng (Perilla Stem) 3 qian, Huafen (Trichosanthes Root) 3 qian, Shengjiang (Fresh Ginger) 2 slices, Zhuye (Bamboo Leaf) 40 pieces. Note: After three doses, new pathogenic factors were expelled. Continue with the third formula until early October, when illness cured and voice restored.
**Retreatment Record: Zhan Longchen, February 14, 1955**: Last year's severe *Baihe Bing* (neurasthenia) persisted. Modified *Baihe Dihuang Tang* led to gradual improvement, curing in about four months. However, chronic weakness meant righteous qi was not fully restored. Recently, another doctor diagnosed hookworms and used anthelmintics/purgatives, causing relapse and loss of voice. Plan: Adjust formula, but repeated errors make treatment harder.
Steamed Baihe (Lily Bulb) 4 qian, Shengdi (Prepared Rehmannia Root) 4 qian, Da Maidong (Ophiopogon Tuber) 3 qian, Yuanzhi Rou (Polygala Root Flesh) 2.5 qian, Zhu Fuling (Poria with Cinnabar) 3 qian, Daipi Qi (Astragalus with Peel, Honey-fried) 3 qian, Suanzaoren (Ziziphus Seed) 3 qian, Chen Xiaomai (Old Wheat) 1 liang (decocted first).
**Second Visit: February 29, 1955**: Medication stabilized sleep and appetite. Legs feel weak, stool soft/loose, voice not restored. Plan: Seek progress. Eliminate worry, find joy in everything for faster results.
Steamed Baihe (Lily Bulb) 4 qian, Shengdi (Prepared Rehmannia Root) 4 qian, Nan Shashen (Adenophora Root) 3 qian, Yuanzhi Rou (Polygala Root Flesh) 2.5 qian, Buguzhi (Psoralea Fruit) 3 qian, Dan Yuzhu (Polygonatum Rhizome) 3 qian, Suanzaoren (Ziziphus Seed) 3 qian, Zhu Fuling (Poria with Cinnabar) 3 qian, Daipi Qi (Astragalus with Peel, Honey-fried) 3 qian, Chen Xiaomai (Old Wheat) 1 liang (decocted first). Note: Taken until end of April, body recovered, voice strengthened. By mid-May, voice fully restored.
**Chronic Malaria (Chaotic Pattern)**: Patient initially had a cold, progressing to malaria. Five doctors failed to cure. Patient had opium addiction, worsening condition over six months. Condition became chaotic, irregular attacks. Over another six months, appetite decreased, emaciation worsened. I used **Shouwu Guzhi Tang** (Polygonum Multiflorum and Psoralea Decoction). Two doses reduced illness and increased appetite; six doses cured completely. Followed by **Buzhong Yiqi Tang** (Tonify the Middle and Augment the Qi Decoction) for health restoration.
In 1941, I served as Dean of Shanghai College of Traditional Chinese Medicine. Student Weng Guoying lived in Sanbeitang, Pudong. Her father had a cold turning into malaria. Local doctors failed after five changes. He lost faith in medicine. He had an opium addiction since youth, losing weight. Now over 50, suffering malaria for six months, his emaciation was evident.
After months of neglect, symptoms didn't worsen but pattern became chaotic: daily, every two days, every three days, every five-seven days, or multiple times a day. Attack times varied. Though attacks lightened, they didn't stop. Total duration: 1 year 7 months. Exhaustion increased, appetite dropped, surviving only on lotus paste and thin porridge.
During autumn break, Weng persuaded her father to come to Shanghai. He refused due to distrust. During winter break, she wrote urging him. After exams, they returned. Weng told me details beforehand. Clinical exam: emaciated, sunken abdomen, weak breathing, blue sclera, dry peeling skin. Tongue deep red, dull, black at root and center, indicating Kidney Yin deficiency exacerbated by opium burning fluids. Attack pattern matched previous description. I decided on **Shouwu Guzhi Tang**, two doses, then re-evaluate. Comforted him to build trust and spirit, aiding treatment. After two doses, only one mild, short attack in two days; appetite improved. Stool remained dry. Added Rongrong (Cistanche) and Danggui (Angelica Sinensis); replaced Rougui with Fupian (Prepared Aconite). Four doses cleared stool, increased appetite, and eliminated chills/fever. Decided to tonify heavily, prescribing **Buzhong Yiqi Tang** for ten doses to support righteous qi. Father and daughter were delighted, returning to Pudong for New Year.
**Shouwu Guzhi Tang**: Zhi Heshouwu (Prepared Polygonum Multiflorum Root) 6 qian, Pozhizi (Psoralea Fruit) 4 qian, Da Shudi (Prepared Rehmannia Root) 3 qian, Shufupian (Prepared Aconite Slice) 3 qian, Pao Jiangtan (Charred Ginger) 2 qian, Shanzhuyu (Cornus Fruit) 3 qian, Yun Fuling (Poria) 4 qian, Tu Chao Baizhu (Atractylodes Stir-fried with Soil) 4 qian, Ginger and Jujube as guides.
**Modified Shouwu Guzhi Tang**: Zhi Heshouwu (Prepared Polygonum Multiflorum Root) 6 qian, Pozhizi (Psoralea Fruit) 4 qian, Da Shudi (Prepared Rehmannia Root) 3 qian, Shang Rougui (Top-grade Cinnamon Bark) 8 fen, Pao Jiangtan (Charred Ginger) 2 qian, Shanzhuyu (Cornus Fruit) 3 qian, Dan Rongrong (Cistanche) 3 qian, Dangguishen (Angelica Sinensis Root Body) 3 qian, Yun Fuling (Poria) 4 qian, Tu Chao Baizhu (Atractylodes Stir-fried with Soil) 4 qian, Ginger and Jujube as guides.
**Buzhong Yiqi Tang**: Xidangshen (Codonopsis Root) 3 qian, Zhi Huangqi (Astragalus Root, Honey-fried) 3 qian, Tu Chao Baizhu (Atractylodes Stir-fried with Soil) 3 qian, Zhi Gancao (Honey-fried Licorice Root) 1.5 qian, Quandanggui (Whole Angelica Sinensis Root) 3 qian, Guang Chenpi (Tangerine Peel) 2.5 qian, Lv Shengma (Cimicifuga Rhizome) 1.5 qian, Chun Chaihu (Bupleurum Root) 2 qian, Shengjiang (Fresh Ginger) 3 slices, Hongzao (Jujube) 5 pieces.
**Hiccups (Qi Stagnation and Food Retention)**: A young man, arrogant and foolish, was beaten for a crime he didn't commit. While lunch was unfinished, he slept in anger. Food stagnated in the middle jiao, qi rebelled in the chest/diaphragm, causing hiccups (*Yue*). This is the *Yue* syndrome in *Shanghan Lun* and *Jin Gui Yao Lue*. Unresolved for five days, constipation noted. Prescribed **Tiaowei Chengqi Tang** (Regulate the Stomach and Purge the Yang Decoction) modified. One dose cleared bowels and stopped hiccups. Second dose relieved chest/sternum. Within three doses, sudden recovery.
**Wang Bingchen** from Dantu, living in a tiled house in Damuqiao, South Shanghai. Property owned by relative Mr. Jin. Wang had many children, poor, came to Shanghai to rely on Jin.
Mr. Jin let him live in a civilian village, collecting rent for a poor life. One day before the Anti-Japanese War, Wang placed a few yuan of rent on his desk drawer. After lunch, money was gone. Wife Peng and children claimed ignorance. Wang suspected eldest son Dahuai (18 years old) stole it. Dahuai denied it, saying father was busy or forgot elsewhere.
Son hadn't finished lunch. Wang, furious, beat him severely. Son slept in anger. Evening brought hiccups. Initially intermittent, then constant all day, stopping only when exhausted asleep. Woke every 1-2 hours due to sudden hiccups. Medical treatment failed. Patient suffered, father worried.
Consulted me. Wife Peng explained details, identifying Qi stagnation. Tongue tip white, root dry/yellow. Bowel movement absent for five days. Pulse slightly wiry-rapid. Skin slightly hot. Abdomen painful/tender/full. No other complaints. Reviewed previous prescriptions: Doctor A used Dingxiang (Clove) and Shidi (Persimmon Calyx); Doctor B used Daizhe (Magnetite) and Xuanshu (Inula Flower). All failed. I told Mr. Wang: "Previous failures were not due to pathogen, but Qi stagnation and stagnant food. Regulating Qi and descending rebellion was ineffective.
After eating, being scolded causes Liver Qi stagnation rebelling against Spleen. Spleen deficiency stalls transformation; Spleen Qi fails to assist Stomach. Stomach loses function, failing digestion. Treatment should soothe Liver, awaken Spleen, and regulate Stomach." Prescribed **Tiaowei Chengqi Tang** modified with Guang Yujin (Curcuma Rhizome), Chun Chaihu (Bupleurum Root), Jiao Baizhu (Charred Atractylodes), and Ji Neijin (Chicken Gizzard Lining). One dose cleared bowels, stopped hiccups, reduced bloating. Second dose continued bowel movements, relieved chest, frequent belching, hunger returned. Advised thin porridge for three days, careful diet to prevent relapse. Family complied, recovery achieved.