七味白术散，治小儿久泻脾虚者最灵。震泽泥水匠贺凤山孙二岁，泄泻两月，身热少食
，面色痿黄，夜睡时惊，幼科用青蒿、扁豆、二芩、浓朴、枳壳、陈皮等药，日就危笃，求余治之
，令服七味白术散，（党参二钱，焦白术、茯苓二钱，炙甘草四分，木香四分，煨葛根四分
，藿香七分，煨姜三分），四剂，泻止身凉。改方去葛根，加炒扁豆二钱，炒苡仁三钱，砂
仁三分，桔梗四分，四剂全愈。
四苓散治疝有极验者。周克庵于丁巳岁病痰火痊后，忽睾丸起块如鸡卵，坚硬重坠不能
行，
始服治疝药，如川楝子、荔枝核等，反作痛，自揣是岁寓吴江时，常于酒后至茶肆，饮茶过
多，殆水气流入膀胱所致，与肝经无涉，改服四苓散，泄泻数次而疝全愈。
《客尘医话》云∶咳嗽大半由于火来克金，谓之贼邪，最难速愈。因风寒外袭，而内生
实火
，急宜泻之，若失于提解，久之传变生疾，误服阴药，反成劳瘵。此数语甚的。又云∶如果
系虚火，惟壮水一法。但养阴之药，又皆阻气滞痰，是在治之者灵也。如生脉六君汤、金水
六君煎之类，最为妥当。余按∶金水六君煎，景岳以治肺肾虚寒，水泛为痰，而《景岳全书
发挥》訾其立方杂乱，（二陈、地、归），且为水泛为痰而用二陈，于理不通，当用地黄汤，
至壮水之法，六君汤亦非所宜。薛生白有案云∶此由金水不相承挹，故咳久不愈，切勿理肺
，肺为娇脏，愈理愈虚，亦不可泛然滋阴，方
用整玉竹、川石斛、甜杏仁、生扁豆、北沙参、云茯神，迥胜于生脉六君汤、金水六君煎。
余仿此以治久嗽阴伤，无不获效。
咳嗽有寒热之别，不可误治。感寒者，鼻塞流涕，或微恶寒，宜服生姜、葱白。（日二
次，
不宜常服。）挟热者，夜嗽较甚，喉痒，口或微渴，宜服淡盐汤，（可常服代茶。）初起服此
者，不致久延，余家用之恒验。
七味白术散，治疗小儿因脾虚导致的长期腹泻最为灵验。震泽泥水匠贺凤山的孙子两岁大，腹泻持续两个月，身体发热、食欲减退，面色萎黄无华，夜间睡眠时容易惊悸。儿科医生使用青蒿、扁豆、黄芩与黄柏（二芩）、厚朴、枳壳、陈皮等药物，病情日益危急，于是求我诊治。我让他服用七味白术散（党参二钱，焦白术、茯苓各二钱，炙甘草四分，木香四分，煨葛根四分，藿香七分，煨姜三分），服用四剂后，腹泻停止，体温恢复正常。随后更改处方，去掉葛根，加入炒扁豆二钱、炒薏苡仁三钱、砂仁三分、桔梗四分，再服四剂便完全痊愈。
四苓散治疗疝气有极高的疗效。周克庵在丁巳年患痰火证痊愈后，突然睾丸肿起如鸡蛋大小的肿块，坚硬沉重下坠，无法行走。起初服用治疗疝气的药物，如川楝子、荔枝核等，反而引起疼痛。他自己推测，这一年寓居吴江时，常在酒后到茶馆饮茶过多，大概是水气流入膀胱所致，与肝经无关，于是改服四苓散，经过几次腹泻后，疝气完全痊愈。
《客尘医话》中说：咳嗽大半由于火邪克制肺金，称为“贼邪”，最难迅速治愈。因为风寒外袭，导致体内产生实火，应当急用泻法；如果延误了解表透邪的时机，久而久之传变产生其他疾病，误服滋阴寒凉的药物，反而会形成劳瘵（慢性消耗性疾病）。这几句话非常确切。又说：如果是虚火，只有壮水（滋补肾阴）这一种方法。但是，养阴的药物大多会阻碍气机运行并停滞痰湿，这取决于治疗者的灵活变通。例如生脉六君汤、金水六君煎之类的方剂，最为妥当。我按语认为：金水六君煎，张景岳用来治疗肺肾虚寒、水湿泛滥成痰的情况，但《景岳全书发挥》批评其组方杂乱（包含二陈汤及地黄、当归），而且对于水湿泛滥成痰却使用二陈汤，在理论上是讲不通的，应当用地黄汤；至于壮水的方法，六君汤也不适宜。薛生白有一个医案说：这是由于金水不相承继滋养，所以咳嗽长久不愈，千万不要单纯治理肺部，肺是娇脏，越治理越虚弱，也不可泛泛地滋阴，处方用整玉竹、川石斛、甜杏仁、生扁豆、北沙参、云茯神，远远胜过生脉六君汤和金水六君煎。我模仿这个方法来治疗久咳伤阴的患者，无不获得疗效。
咳嗽有寒证和热证的区别，不可误治。感受寒邪的，鼻塞流涕，或者轻微怕冷，适宜服用生姜、葱白。（每天两次，不宜经常服用。）挟带热邪的，夜间咳嗽较重，喉咙痒，口中可能微渴，适宜服用淡盐汤，（可以经常服用代替茶）。初起时服用这些方法的，不会导致病程迁延日久，我家使用这种方法一直验证有效。
Qiwei Baizhu San (Seven-Ingredient White Atractylodes Macrocephala Decoction) is most effective in treating prolonged diarrhea due to Spleen deficiency in children. The grandson of He Fengshan, a plasterer from Zhenze, was two years old and had suffered from diarrhea for two months. He presented with fever, poor appetite, sallow complexion, and night terrors during sleep. Pediatricians prescribed herbs such as Qinghao (Artemisiae Annuae Herba), Bian Dou (Dolichoris Semen), Er Qin (Huangqin [Scutellariae Radix] and Huangbai [Phellodendri Cortex]), Hou Po (Magnoliae Officinalis Cortex), Zhi Qiao (Aurantii Fructus), and Chen Pi (Citri Reticulatae Pericarpium), but his condition deteriorated daily. Seeking my treatment, I instructed him to take Qiwei Baizhu San (Dang Shen [Codonopsis Radix] 2 qian, Jiao Baizhu [Fried Atractylodis Macrocephalae Rhizoma] and Fu Ling [Poria] each 2 qian, Zhi Gancao [Prepared Licorice Root] 4 fen, Mu Xiang [Aucklandiae Radix] 4 fen, Wei Gegen [Steamed Puerariae Lobatae Radix] 4 fen, Huo Xiang [Agastaches Herba] 7 fen, Wei Jiang [Steamed Ginger] 3 fen). After four doses, the diarrhea ceased and body temperature normalized. The prescription was then modified by removing Gegen and adding Chao Bian Dou [Stir-fried Dolichoris Semen] 2 qian, Chao Yiyi Ren [Stir-fried Coicis Semen] 3 qian, Sha Ren [Amomi Fructus Rotundus] 3 fen, and Jie Geng [Platycodonis Radix] 4 fen. After another four doses, he recovered completely.
Siling San (Four-Ingredient Poria Decoction) has extremely verified efficacy in treating hernia. Mr. Zhou Ken'an, after recovering from Phlegm-Fire syndrome in the Ding Si year, suddenly developed a testicular mass the size of a chicken egg, which was hard, heavy, and dragging, making walking impossible. Initially, he took hernia remedies such as Chuan Lian Zi (Toosendan Fructus) and Lizhi He (Litchi Seed), which aggravated the pain. He reasoned that while residing in Wujiang that year, he often drank excessive tea at teahouses after consuming alcohol, suggesting that Water Qi had flowed into the Bladder rather than involving the Liver Meridian. He switched to Siling San, and after several episodes of diarrhea, the hernia was completely cured.
*Kechen Yihua* states: "Most coughs result from Fire overacting on Metal (Lung), termed 'Thief Evil,' and are difficult to cure quickly. When Wind-Cold attacks externally, it generates internal Excess Fire, which should be purged urgently. If the opportunity to resolve the exterior is missed, the condition may transform over time, leading to other diseases. Misusing Yin-nourishing (cooling/yin-deficiency) medicines can instead lead to Lao Zhai (consumption disease)." These words are very accurate. It further states: "If it is indeed Deficient Fire, only the method of Zhuang Shui (strengthening Water/nourishing Kidney Yin) applies. However, Yin-nourishing medicines tend to obstruct Qi flow and stagnate Phlegm; this depends on the practitioner's flexibility. Formulas such as Shengmai Liujun Tang (Six Gentlemen Decoction with Shengmai Powder) and Jinshui Liujun Jian (Six Gentlemen Decoction for Metal and Water) are most appropriate." My commentary notes: Jinshui Liujun Jian, used by Zhang Jingyue to treat Lung-Kidney Deficient Cold with Water Flooding transforming into Phlegm, was criticized in *Jingyue Quanshu Fahui* for its chaotic formulation (combining Er Chen Tang with Dihuang [Rehmanniae Radix] and Guibai [Angelicae Sinensis Radix]). Moreover, using Er Chen Tang for Water Flooding transforming into Phlegm is theoretically inconsistent; one should use Dihuang Tang. Regarding the method of strengthening Water, Liujun Tang is also unsuitable. Xue Shengbai recorded a case stating: "This arises because Metal and Water do not support each other, causing chronic cough. Do not merely treat the Lung; the Lung is a Delicate Organ, and treating it directly makes it more deficient. One must not indiscriminately nourish Yin. The prescription uses Zheng Yuzhu [Polygonati Odorati Rhizoma], Chuan Shihu [Dendrobii Nobile Caulis], Tian Xingren [Pruni Armeniacae Semen], Sheng Bian Dou [Fresh Dolichoris Semen], Bei Shashen [Glehniae Radix], and Yun Fushen [Poria with Hostwood]. This far surpasses Shengmai Liujun Tang and Jinshui Liujun Jian." I imitated this method to treat chronic cough with Yin injury, achieving consistent success.
Coughs differ between Cold and Heat patterns and must not be misdiagnosed. For those affected by Cold, presenting with nasal congestion, runny nose, or slight aversion to cold, fresh Ginger and Scallion White are suitable. (Take twice daily; do not use long-term.) For those with Heat involvement, coughing is worse at night, accompanied by throat itching and slight thirst; light salt water is suitable. (Can be taken regularly as tea substitute.) Using these methods at the onset prevents prolonged illness; my family has found them consistently effective.