瘰 成劳者，与痔漏成劳者，其理全同，但有上下分耳。(拙轩曰∶不止瘰 痔漏，凡
疮口不收，脓水多出者，皆成劳，血液亏乏故也。)
妊娠热郁甚则多堕胎，麻疹疫毒最然。此因肠胃热甚，熏蒸子宫，故用大黄、芒硝无所
嫌，巴豆亦时可用，所谓有故无损也。但疫毒行下夺有机，不可忽诸。
两胁凝结者，直灸章门，则易激动。因先灸风市，则反奏效也。凡灸艾易激者，可善解
此理
。病在上者，先灸足，渐及腰，则上部宽不激动。因灸其部分，则奏全效也，是与大柴胡汤
证候而阻其药者，反与理气汤利其气，而后事疏通则不激同理。灸药之于疾病，岂有二致哉
。
妊娠下部有水气，至产后不瘥，恶露不下，气息促迫者，先利其水，则恶露亦通。治发
狂用
泻心汤紫丸者，夺取诸快利胸膈也。东洞先生治龟胸龟背以紫丸者，恐不过此意。产后脚膝
痿弱与紫丸者，亦疏通胸膈气以下达也。
癖冲逆心下及胁下者，其所冲之眼必为邪视，又有因癖之左右而自异大小者。
妊娠呕吐不止，水分动甚者，小半夏，加茯苓汤、粳米、薯蓣、生 奇中。若中气虚极
者，香砂六君子汤加粳米，各 咀为炒黑，别入洋参一分，水煎少少服之效。
暴吐血不止，或晕绝者，灸鸠尾穴数百壮奇效。(失血甚者，最要接续元气，不可畏其
炎焰，专尚寒凉，逐渐消伐其元气。)
小儿吐乳不止者，对证方中加精品麝香皮效。(大人呕吐诸药无效者，麝香、桂心二味
为末调服效。)
马脾风、麻疹、丹毒三种，治法略同。而有马脾风异治者，如无价散是也。(此说太似
粗，而细味之有理，精于治疗者自知之。)
余尝读先生所着《伤寒论正文解》，深知其识见超乘于古人。又读导水琐言，养婴琐言
，大
见其治术入神品。特如方意解穿凿臆断，或戾古人立方之意，盖方论创于成无己。而吴昆、
李中梓、柯琴、汪昂诸家，各有发明，然或有择焉未精，语焉未详者，方意之难解。振古而
然，岂止此书哉。(拙轩曰∶方意解一书极辨矣。要之一家言，仆亦不能信焉。)
因瘰疬（颈部淋巴结结核）而发展为虚劳病的，与因痔疮漏管而发展为虚劳病的，其道理完全相同，只是病变部位有上下之分罢了。（拙轩说：不仅仅是瘰疬和痔漏，凡是疮口久不愈合、脓水流出过多的，都会导致虚劳病，这是因为血液亏乏的缘故。）
妊娠期间若热邪郁结严重，容易导致流产，麻疹和疫毒之邪最为常见。这是因为肠胃热势炽盛，熏蒸子宫所致，因此使用大黄、芒硝并无禁忌，巴豆有时也可以使用，这就是所谓的“有病则病受之，无损于正气”。但是，针对疫毒采用攻下法必须把握时机，不可轻视。
两胁部有凝结痞块的患者，直接灸治章门穴，容易引发气机激荡反应。如果先灸治风市穴，反而能取得疗效。凡是对艾灸容易产生敏感激惹反应的人，可以善于理解这一原理。病位在上部的，先灸足部，逐渐波及腰部，则上部症状缓解且不会引发激荡反应。因为只灸治局部病灶，往往难以奏效，这与面对大柴胡汤证候却阻碍用药，反而给予理气汤来疏通气机，待气机通畅后不再产生激惹反应的道理是相同的。艾灸与药物治疗对于疾病而言，难道会有两种不同的道理吗？
妊娠期间下部有水气停留，到了产后仍未痊愈，恶露不下，气息急促迫促的，先利小便以去水气，则恶露也能通畅。治疗发狂症使用泻心汤或紫丸的，是为了夺取并通利胸膈间的实邪。东洞先生用紫丸治疗龟胸、龟背，恐怕也是基于这个意思。产后出现脚膝痿弱无力而使用紫丸的，也是为了疏通胸膈气机使其下达。
癖积之气上冲至心下及胁下的，患者目光必定会出现异常斜视，而且根据癖积在左侧还是右侧，瞳孔的大小也会自行发生变化。
妊娠呕吐不止，且水饮动甚者，用小半夏加茯苓汤，配合粳米、薯蓣（山药）、生姜，效果奇特。如果中气极度虚弱者，用香砂六君子汤加入粳米，各药材切碎炒黑，另外加入一分西洋参，用水煎煮，少量频服，效果显著。
突发吐血不止，或者因失血过多而晕厥绝倒的，灸治鸠尾穴数百壮，效果极佳。（失血严重者，最重要的是接续元气，不可畏惧艾火的炎烈之势，专门崇尚寒凉药物，从而逐渐消耗伐害其元气。）
小儿吐乳不止的，在对证的方剂中加入精品麝香皮，效果显著。（大人呕吐诸药无效的，将麝香、桂心两味药研为细末调服，效果显著。）
马脾风、麻疹、丹毒这三种病，治疗方法大致相同。但马脾风有特殊的治法，如无价散就是其中之一。（这种说法看似粗疏，但细细品味其中是有道理的，精通治疗的人自然明白。）
我曾经阅读先生所著的《伤寒论正文解》，深知其见识超越古人。又阅读了《导水琐言》、《养婴琐言》，大大惊叹其医术已入神品境界。唯独像《方意解》一书穿凿附会、主观臆断，有的违背了古人立方的本意，大概是因为方论始于成无己，而吴昆、李中梓、柯琴、汪昂等各家各有发明，然而有的选择不够精当，论述不够详尽，使得方义难以理解。自古至今都是如此，岂止这本书呢？（拙轩说：《方意解》一书辩论极多。总之是一家之言，我也不能相信它。）
When scrofula (tuberculosis of cervical lymph nodes) progresses into consumptive disease (Xu Lao), the principle is exactly the same as when hemorrhoidal fistulas progress into consumptive disease, differing only in the upper and lower locations of the lesions. (Zhuoxuan stated: It is not limited to scrofula and hemorrhoidal fistulas; any chronic ulcer that fails to heal and discharges excessive pus will lead to consumptive disease due to blood deficiency.)
During pregnancy, severe heat stagnation often leads to miscarriage, particularly with measles and epidemic toxins. This occurs because intense heat in the intestines and stomach steams and insults the uterus. Therefore, the use of Da Huang (Rhubarb Rhizome) and Mang Xiao (Mirabilite) is not contraindicated, and Ba Dou (Croton Seed) may also be used at times. This is known as "when there is a pathogen, there is no harm [to the healthy qi]." However, one must not neglect the timing for using purgative methods against epidemic toxins.
For patients with凝结 (coagulation/stagnation) in both hypochondriac regions, moxibustion directly on Zhangmen (LR13) may easily trigger agitation of Qi. Conversely, if Fengshi (GB31) is moxibusted first, it yields effective results. Those who are easily agitated by moxibustion should understand this principle well. For diseases located in the upper body, moxibustion should begin at the feet and gradually extend to the waist; this relieves symptoms in the upper part without causing agitation. Moxibusting only the local affected area often fails to produce full effects. This is analogous to encountering a pattern suitable for Da Chai Hu Tang (Major Bupleurum Decoction) but obstructing its use, instead administering Li Qi Tang (Qi-Regulating Decoction) to promote Qi flow. Once the Qi flows smoothly, agitation does not occur. The principles behind moxibustion and herbal medicine regarding disease treatment are fundamentally identical.
If damp-water accumulates in the lower jiao during pregnancy and persists postpartum, accompanied by lochia stasis and rapid, labored breathing, promoting urination to drain the water will also facilitate the discharge of lochia. The use of Xie Xin Tang (Drain the Epigastrium Decoction) or Zi Wan (Purple Pill) for treating mania aims to purge and unblock the chest and diaphragm. Mr. Dodo's use of Zi Wan to treat turtle chest and turtle back likely stems from this same intent. The use of Zi Wan for postpartum flaccidity and weakness of the legs and knees is also intended to unblock the chest and diaphragm Qi so it can descend.
When Pi accumulation (masses/lumps) causes rebellious Qi rushing to the epigastrium and hypochondriac regions, the patient's gaze will inevitably become abnormal (strabismus). Furthermore, depending on whether the Pi accumulation is on the left or right, the size of the pupils may spontaneously change.
For persistent vomiting during pregnancy with severe fluid disturbance, Xiao Ban Xia Jia Fu Ling Tang (Minor Pinellia Decoction plus Poria) combined with Jing Mi (Coix Seed/Rice), Shu Yu (Dioscorea Root), and Sheng Jiang (Fresh Ginger) yields remarkable results. If the Middle Qi is extremely deficient, Xiang Sha Liu Jun Zi Tang (Aucklandia and Amomum Six Gentlemen Decoction) with added Jing Mi, where all herbs are chopped and stir-fried until blackened, along with one fen of Yang Shen (American Ginseng) added separately, decocted in water and taken in small frequent doses, is effective.
In cases of sudden, incessant hematemesis or syncope due to blood loss, moxibustion on Jiutui (CV15) for several hundred moxa cones produces excellent results. (In severe blood loss, the priority is to restore Yuan Qi; one must not fear the heat of the moxa flame nor rely solely on cold-natured herbs, which would gradually deplete the Yuan Qi.)
For infants with incessant spitting up of milk, adding high-quality Moshepi (Musk Bark) to the syndrome-specific formula is effective. (For adults with vomiting unresponsive to various medicines, a powder of She Xiang (Musk) and Gui Xin (Cinnamon Heart) mixed and taken orally is effective.)
Ma Pi Feng (Horse Spleen Wind), measles, and erysipelas share similar treatment approaches. However, Ma Pi Feng has distinct treatments, such as Wu Jia San (Priceless Powder). (This view seems too crude, but upon careful reflection, it contains logic; those proficient in treatment will know this.)
I once read Mr.'s commentary *Shanghan Lun Zhengwen Jie* (Explanation of the Main Text of Treatise on Cold Damage) and deeply appreciated his insights surpassing those of ancient masters. I also read *Dao Shuo Suoyan* (Trivial Words on Guiding Water) and *Yang Ying Suoyan* (Trivial Words on Nurturing Infants), marveling at how his medical skills reached a divine level. However, his work *Fang Yi Jie* (Explanation of Formula Intentions) appears forced and speculative, sometimes contradicting the original intent of ancient formulas. Since formula theories originated with Cheng Wuji, later scholars like Wu Kun, Li Zhongzi, Ke Qin, and Wang Ang each offered their own interpretations. Yet, some selections were imprecise and explanations unclear, making the understanding of formula intentions difficult. This difficulty has existed since antiquity, not just in this book. (Zhuoxuan stated: *Fang Yi Jie* debates extensively. Ultimately, it is merely one school's opinion, and I cannot accept it.)