庶吉士黄伯邻，发热吐痰，口干体倦，自用补中益气汤不应，余谓∶此金水俱虚之症，兼服地黄
丸而愈。后背患一疖，烦痛寒热，彼因前月尝偕往视郭主政背疽，郭不经意，余决其殒于金
旺之日，果符余言。已而郭氏妻孥感其毒，皆患恶疮，伯邻所患与郭患同，甚恐。余曰∶
此小疮也，憎寒等症，皆阴虚旧症，果是疮毒，亦当补气血。余在第，就以地黄丸料煎与。服之
，即睡，良久各症顿退。自后常有头面耳目口舌作痛，或吐痰眩晕之类，服前药即愈。后任
都宪督盐法道，出于苏，必垂顾焉。
少司空何潇用，足热口干，吐痰头晕，服四物、黄连、黄柏，饮食即减，痰热益甚，用十全大
补加麦门、五味、山药、山茱而愈。
一儒者，或两足发热，或脚跟作痛，用六味丸及四物加麦门、五味、玄参治之而愈。后因劳役
，发热恶寒，作渴烦躁，用当归补血汤而安。
儒者刘允功，形体魁伟，冬日饮水，自喜壮实。余曰∶此阴虚也。不信，一日口舌生疮，或用
寒凉之剂，肢体倦怠，发热恶寒，余用六味地黄、补中益气而愈。
一男子，腿内作痛，用渗湿化痰药，痛连臀肉，面赤吐痰，脚跟发热。余曰∶乃肾虚阴火上炎
，当滋化源。不信，服黄柏、知母之类而殁。
余甥居宏，年十四而娶，至二十形体丰浓，发热作渴，面赤作胀，或外为砭血，内用降火，肢
体倦怠，痰涎愈多，脉洪数鼓指。用六味丸及大补汤加麦门、五味而痊。
余甥凌云汉，年十六，庚子夏作渴发热，吐痰唇燥，遍身生疥，两腿尤多，色黯作痒，日晡愈
炽，仲冬腿患疮，尺脉洪数。余曰∶疥，肾疳也；疮，骨疽也，皆肾经虚症。针之脓出，
其气氤氲，余谓火旺之际，必患瘵症。遂用六味地黄、十全大补，不二旬诸症愈而瘵症具，
仍用前药而愈。抵冬娶妻，至春其症复作，父母忧之，俾其外寝，虽其年少，谨疾，亦服地黄
丸数斤，煎药三百余剂而愈。
其弟云霄，年十五，壬寅夏，见其面赤唇燥，形体消瘦。余曰∶子病将进矣。癸卯冬复见之曰∶
子病愈深矣！至甲辰夏，胃经部分有青色，此木乘土也，始求治。先以六君加柴胡、芍药、
山栀、芜荑、炒黑黄连数剂，及四味肥儿、六味地黄二丸，及参、苓、白术、归、芍、山栀
、麦门、五味、炙草，三十余剂，肝火渐退，更加胆草、柴胡，三十余剂，乃去芍，加肉桂，三十
余剂，及加减八味丸，元气渐复而愈。
庶吉士黄伯邻，出现发热、咳吐痰涎、口干、身体疲倦的症状，自行服用补中益气汤无效。我判断这是肺（金）肾（水）两虚的病证，建议兼服地黄丸，最终痊愈。后来他背部生了一个疖子，感到烦躁疼痛并伴有寒热症状。因为他上个月曾陪同我去探望患背疽的郭主政，且郭某当时不在意，我断定他会在金气旺盛的日子去世，果然应验了我的话。随后，郭某的妻儿感染了毒气，都患了恶疮，黄伯邻所患与郭某相同，非常恐惧。我说：“这只是小疮，憎寒等症状，都是阴虚的旧疾，即使是疮毒，也应当补益气血。”我当时在京城，便直接用六味地黄丸的药料煎煮给他服用。服药后，他立刻入睡，许久之后各种症状顿时消退。此后他常出现头面耳目口舌疼痛，或咳吐痰涎、眩晕等情况，服用之前的药物即可痊愈。后来他担任都宪督盐法道一职，从苏州经过，必定会来拜访我。
少司空何潇用，足部发热、口干、咳吐痰涎、头晕，服用四物汤、黄连、黄柏后，饮食减少，痰热更加严重。改用十全大补汤加麦门冬、五味子、山药、山茱萸后痊愈。
一位儒者，有时双足发热，有时脚跟疼痛，使用六味地黄丸及四物汤加麦门冬、五味子、玄参治疗而痊愈。后来因劳累过度，出现发热、恶寒、口渴、烦躁，服用当归补血汤后安定。
儒者刘允功，形体魁梧高大，冬天喜欢喝冷水，自认为身体壮实。我说：“这是阴虚。”他不相信。一天口舌生疮，有人使用寒凉药剂，导致肢体倦怠、发热恶寒，我用六味地黄丸和补中益气汤治愈了他。
一名男子，大腿内侧疼痛，使用渗湿化痰药后，疼痛牵连臀部肌肉，面部发红、咳吐痰涎、脚跟发热。我说：“这是肾虚阴火上炎，应当滋补肾阴以化生源头。”他不听，服用黄柏、知母等药物后死亡。
我的外甥居宏，十四岁娶妻，到二十岁时形体丰满浓密，出现发热、口渴、面部发红、腹胀，有时外用砭石放血，内服降火药，导致肢体倦怠，痰涎更多，脉象洪大而数，搏指有力。使用六味地黄丸及大补汤加麦门冬、五味子后痊愈。
我的外甥凌云汉，十六岁时，庚子年夏天出现口渴、发热、咳吐痰涎、嘴唇干燥，全身生疥疮，双腿尤其多，颜色暗红且瘙痒，傍晚时分症状加剧，仲冬时节腿部患疮，尺脉洪大数急。我说：“疥疮是肾疳；疮疡是骨疽，都是肾经虚损的病证。”针刺后脓液流出，气味氤氲，我判断在火旺之际，必然患痨病（瘵症）。于是使用六味地黄丸和十全大补汤，不到二十天各种症状痊愈但痨病的症状显现出来，仍然使用前药而痊愈。到了冬天娶妻，到春天病症复发，父母担忧，让他分房居住，虽然年少，但他谨慎调养疾病，也服用了数斤地黄丸，煎药三百多剂后痊愈。
他的弟弟云霄，十五岁时，壬寅年夏天，见他面部发红、嘴唇干燥、形体消瘦。我说：“你的病情将要加重了。”癸卯年冬天再次见到他说：“你的病情更深重了！”到了甲辰年夏天，胃经循行部位出现青色，这是肝木乘脾土的表现，才开始求治。先用六君子汤加柴胡、芍药、山栀、芜荑、炒黑黄连数剂，以及四味肥儿丸、六味地黄丸，再用人参、茯苓、白术、当归、芍药、山栀、麦门冬、五味子、炙甘草，三十多剂后，肝火逐渐减退，再加龙胆草、柴胡，三十多剂，然后去掉芍药，加入肉桂，三十多剂，最后使用加减八味丸，元气逐渐恢复而痊愈。
Huang Bolin, a Shuji Shi (Academician of the Hanlin Academy), presented with fever, expectoration of phlegm, dry mouth, and physical fatigue. He had self-administered Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) without effect. I diagnosed this as a deficiency of both Metal (Lung) and Water (Kidney). I advised him to take Dihuang Wan (Rehmannia Pill) concurrently, after which he recovered. Later, a boil developed on his back, causing irritability, pain, aversion to cold, and fever. Since he had previously accompanied me to visit Guo Zhuzheng (Director Guo), who suffered from a carbuncle on his back and disregarded it, I predicted that Guo would die during the days when Metal energy was at its peak. This prediction proved accurate. Subsequently, Guo's wife and children contracted the toxicity and all developed malignant sores. Huang Bolin's condition resembled Guo's, causing him great fear. I said, "This is merely a minor sore. The aversion to cold and other symptoms are chronic signs of Yin deficiency. Even if it is sore toxicity, one must tonify Qi and Blood." At that time, I was in the capital, so I prepared a decoction using the ingredients of Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). After taking it, he fell asleep immediately, and after a while, all symptoms subsided abruptly. Thereafter, he frequently experienced pain in the head, face, ears, eyes, mouth, and tongue, or suffered from expectoration of phackm and dizziness. These conditions resolved upon taking the aforementioned medicine. Later, he served as Duchayuan (Censor-in-Chief) and Director of the Salt Law Circuit. When passing through Suzhou, he surely visited me.
He Xiaoyong, a Shaosikong (Vice Minister of Works), presented with heat in the feet, dry mouth, expectoration of phlegm, and dizziness. After taking Siwu Tang (Four-Substance Decoction), Huanglian (Coptis Rhizome), and Huangbai (Phellodendron Bark), his appetite decreased, and the phlegm-heat worsened. He was cured by using Shiquan Dabu Tang (Complete Great Tonifying Decoction) supplemented with Maimen Dong (Ophiopogon Tuber), Wuweizi (Schisandra Fruit), Shanyao (Dioscorea Rhizome), and Shanzhuyu (Cornus Fruit).
A Confucian scholar presented with intermittent heat in both feet or pain in the heels. He was treated with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and Siwu Tang (Four-Substance Decoction) supplemented with Maimen Dong (Ophiopogon Tuber), Wuweizi (Schisandra Fruit), and Xuanshen (Scrophularia Root), resulting in recovery. Later, due to overwork, he developed fever, aversion to cold, thirst, and irritability. He stabilized after taking Danggui Buxue Tang (Angelica Tonify the Blood Decoction).
Liu Yungong, a Confucian scholar, had a robust physique and enjoyed drinking cold water in winter, believing himself to be strong. I stated, "This is Yin deficiency." He did not believe me. One day, ulcers developed in his mouth and tongue. Another practitioner used cold-natured herbs, leading to physical fatigue, fever, and aversion to cold. I cured him using Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
A man presented with pain inside the thighs. After using herbs to leach out dampness and resolve phlegm, the pain radiated to the buttock muscles, accompanied by a red face, expectoration of phlegm, and heat in the heels. I said, "This is Kidney deficiency with deflection of Minfire (Ministerial Fire) flaming upward. One should nourish the source of transformation (Kidney Yin)." He did not listen and took Huangbai (Phellodendron Bark) and Zhimu (Anemarrhena Rhizome), resulting in death.
My nephew Ju Hong married at age fourteen. By age twenty, his physique was full and dense. He presented with fever, thirst, facial redness, and distension. Sometimes bloodletting with a lancet (Bianshi) was performed externally, and fire-draining herbs were taken internally. This led to physical fatigue and increased salivation/phlegm. His pulse was surging and rapid, beating forcefully against the finger. He recovered using Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and Dabu Tang (Great Tonifying Decoction) supplemented with Maimen Dong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit).
My nephew Ling Yunhan, at age sixteen, in the summer of Gengzi year, presented with thirst, fever, expectoration of phlegm, and dry lips. Scabies erupted all over his body, especially on the legs, appearing dark and itchy. Symptoms intensified in the late afternoon. In mid-winter, sores developed on his legs, and the Chi pulse (at the wrist) was surging and rapid. I said, "Scabies is Ren Gan (Kidney Chancre); sores are Guju (Bone Abscess). Both are deficiency syndromes of the Kidney Meridian." Upon acupuncture, pus drained with a muggy odor. I judged that during the peak of Fire, he would inevitably develop Zhai Disease (Consumptive Disease/Tuberculosis). I then prescribed Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and Shiquan Dabu Tang (Complete Great Tonifying Decoction). Within less than twenty days, various symptoms resolved, but signs of Zhai Disease appeared. Continuing with the previous medicines, he eventually recovered. He married in winter, and symptoms recurred in spring. His parents were worried and arranged for him to sleep separately. Although young, he carefully managed his illness, consuming several jin of Dihuang Wan (Rehmannia Pill) and over three hundred doses of decoctions, finally recovering.
His younger brother Yun Xiao, at age fifteen, in the summer of Renyin year, presented with facial redness, dry lips, and emaciation. I said, "Your disease will progress." In the winter of Gui Mao year, I saw him again and said, "Your disease has deepened!" In the summer of Jiachen year, a bluish color appeared in the Stomach Meridian area, indicating Wood overacting on Earth (Liver invading Spleen/Stomach). He then sought treatment. Initially, I administered six doses of Liujun Zi Tang (Six-Gentlemen Decoction) supplemented with Chaihu (Bupleurum Root), Shaoyao (Peony Root), Shanzhi (Gardenia Fruit), Wuyi (Alangium Root Bark), and stir-fried black Huanglian (Coptis Rhizome), along with Sitian Feier Wan (Four-Ingredient Fatten the Child Pills) and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). Then, I prescribed Renshen (Ginseng), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome), Danggui (Angelica Sinensis Root), Shaoyao (Peony Root), Shanzhi (Gardenia Fruit), Maimen Dong (Ophiopogon Tuber), Wuweizi (Schisandra Fruit), and Zhigancao (Prepared Licorice Root) for over thirty doses. Liver Fire gradually subsided. I added Longdancao (Gentiana Root) and Chaihu (Bupleurum Root) for another thirty doses. Then, I removed Shaoyao (Peony Root) and added Rougui (Cinnamon Bark) for thirty more doses. Finally, I used Jiaban Bawei Wan (Modified Eight-Ingredient Pill), and his Yuanqi (Original Qi) gradually recovered, leading to cure.