吐泻交作，两足抽筋。拿痧打针后，遍身红紫，手指足趾，皆刺破出血，昏倒在地 ，不能语言。脉有四大纲领（？），但沉不起，四肢不厥，无腹痛口渴现象。断因 受暑，更食生冷而起，乃令找生芋头数个，复令于门槛内挖一小坑，深尺许，以新 汲水倾入坑内，不搅不停，使其旋转，但防地面脏物、灰尘坠入坑内，手搅二十分 钟，用木勺盛泥水出，倒入碗内，澄清后转瓦罐煮沸。先将生芋头令患者口嚼，问 其麻不麻？患者未应，但有喜食表情。再递一枚嚼之，令其吐渣，勿吞下。又问其 甜否？云鲜甜。乃自索芋头，递给嚼一枚。嚼毕，大叫一声，满口怪气怪味，足能 ■起，知已不再转筋。未几，泻酸臭水一盆，兼有未化之凉粉和糯米团。即以门槛 坑内澄清之水和童便吃下。三小时后，呕止，足不缩。但泄泻更甚，十分钟内下水 三盆，均有酸臭气息。余嘱速购保和丸四粒，分两日服。此人胃寒太甚，暂不宜进 粥饭，可食百合粉、藕粉等，俟其闻得饭香，方可食饭。否则，恐成痢疾。
此人服保和丸后，诸症已解，即不服药。
11、醉饱入房
男，28岁
因高热往南昌治疗，服药三剂而愈。回乡时买有高粱酒、大鱼。其妻闻夫将归，购 肉炖好，以备迎接。抵家后，大吃特吃，图一时之痛快。熟料次日清晨，不省人事 。抬至江桥诊所。视其面容，不甚痿弱，尚能手动目张，但不做声耳。其妻备述前 情，予认作病后食郁治之，用消导法：
山楂、麦芽、神曲、法夏曲、苍术各二钱，川朴钱半，陈粽炭一块，肉骨烧灰一块 同煎服。
服后声音渐开，又叫阴茎痛，知其醉饱入房，不无热伤尿管，改方：
夏枯草二钱，凤尾草钱半，琥珀屑钱半，益智仁二钱，蚕砂二钱，海金砂钱半，益 元散三钱，另用肉店杀猪之猪鞭，烧存性，随药同煎，服两剂而愈。
12、肾泄
男，50岁
家庭富裕，生活淫逸，患黎明泄泻，两载有余，屡服理中、真人养脏等剂皆不效。 余思及黎明泄泻者，肾泄也，与天明泄泻之肠胃病不同。此固肾阴不足，经云：“ 阴不足者，补之以味”。处以青娥丸：
杜仲三钱，青盐（用益智仁二钱代）一钱，补骨脂四钱，共研末，布包，每日用猪 肾一对，分切四片，纳药末炖服。
服三剂后，改用四神丸：
五味子二钱，益智仁三钱，肉叩四钱，吴茱萸三钱。服十六剂而愈。
按肾阴不足与肾阳不足治法本殊，肾阳不足者，除肾泄症外，玉茎不痿，名曰中强 ，乃格阳之候，宜破故纸、韭菜子各一两，炖猪肾一对（一日量）。
女，51岁
学辟谷，求冷食，病患泄泻，服兜涩、分利等剂皆无效。六脉浮沉不定，半部数紧 ，舌色似黄似褐，舌尖独绛，唇焦。其三月来，食米果、梨、苹果或凉拌粉，每晚 打坐，从未睡眠。由此可见因冷食而泄泻，坐久而致肾无关键力。况其泻如射箭， 当系暴注，系非一般洞泄、飧泄可比，必由冷食积寒化热，而肾无关键力，致肾气 上泛，变为肾泄矣。疏方：
山棱二钱，莪术二钱，胡连二钱，黄连钱半，大白钱半，川朴钱半，青皮钱半，广 香钱半，生莱菔子钱半，韭子一撮，鸡内金二钱，麦芽二钱。
服两剂，下丸子屎或白膜样粪便，积寒积热已有出路。脉沉无力，断其久病伤寒， 急宜养胃，嘱其改热食，处方：
乌梅三个，金钗石斛二钱，益智仁钱半，肉蔻二钱，五味子钱半，扁豆二钱，赤石 脂炒当归二钱，栗壳钱半，灶心土一块。嘱服四剂后，改服金匮肾气丸。如法治， 得全愈。（当时余嘱其防足肿及肾气上泛，甚至腹大如鼓）。
13、消渴
男，8岁
口渴尿多，六脉关尺全无，视指纹，则透三关，青赤互见，不甚明亮，舌褐，中心 微黄，神倦目垂，只透大气，时索饮，时小便。知是危症，欲辞出。其母原是余舅 嫂，哭诉不止要我开方，不得已，遂书曰，善食善饿是谷消，烦闷饮一溲二是肾消 ，终非吉象。脉绝两部，独留寸口，浮无根，指纹透出三关，舌褐色，无胃气，非 危症而何？万一要我开方，请孩母尝儿尿，若是甜味，胃气已竭，无甜味，肾气尚 存。今面垢，明日若现青色，势将捐馆矣。书毕，坚辞去，另日果卒。
43岁，男
失业赋闲，贫病交加，面呈黎黑，形消骨露，发音低微，不能尽言，精神疲惫已极。且发热、泄泻、口渴，随饮随溲，脉象浮洪，舌红而燥，唇焦，发烦。断为消渴，已达危候。处方：
乌梅一两，木瓜八钱浓煎服，两日服毕。
服后渴热均减，而泻不止。改方：
文蛤二钱，炒苡米二钱，生于术二钱，炒于术二钱，生谷芽二钱，炒谷芽二钱，乌梅十个，木瓜三钱，五味二钱，竹叶一钱。
服三剂，溺止泻减。惟终日昏睡，食欲不佳。换方：
西党四钱，扁豆三钱，杭芍二钱，五味钱半，金钗石斛二钱，光山二钱盐水炒，知母钱半，覆盆子二钱，菟丝子二钱，粳米一合先炖去米，再入药煎服。
服四剂，前症均解。后足肿，令服四君子丸，每日米汤吞服四十类。盖三消中之谷消较难治，必得谷气养胃而奏效。
14、虫症一例
女，40岁
三年未食米饭，仅吃面或小麦粥，闻食气则腹痛，并呕清水，须食热物而暂止。脉中空，不搏指，面色惨白，怀疑胃有除中变幻，遂辞之。其夫再三求方，犹豫良久，因患者每进食，必得糖和之，遇腹痛，呕清水，必进热物而后安，此虫症之征候。盖吐出之清水，乃虫吐之清水也。虫遇寒则动，故痛且呕，遇热则安，故食热物而痛、呕暂止。况舌现细白点，亦虫症之征也。按此必提驱虫剂，然虑及脉中空，胃有除中变幻，遂先投十全大补汤两剂，然后再进杀虫药。法用：
苦楝树皮（用雌的，勿用雄的。雄的不结子，有毒，能杀人）去表层粗皮八钱，水煎，听用（勿在患者住宅前，避免患者知道）。另用鸡蛋一个，去壳，置菜油内煎极香，以碗盛之，供患者嗅其香味，勿令吃。待患者闻香后清水涌出，即取苦楝皮汤大口吞下。
但须防发晕，因下药后，虫必内骚动也。此与胃脱不同。如上法处理，患者发晕约一小时苏醒，腹痛若失。余嘱其暂食小麦粥及精肉汤（不食肉），俟胃气恢复，再进■食，获全功。
（15）不寐
女，50岁
两感伤寒，病愈后连夜不寐。某医以为元气大伤，投方人参大剂，令服十帖。当时余作客其家，因患者是我继岳母，乃询某医曰：“此证是否虚烦？”伊以鼻嗤之曰：“你不懂，不要乱说。”余以能治此病，告之岳父。遂诊脉，六部浮迟，关部见数，断为大病后之虚烦。处方：
完整栀子八钱，豆豉一两，暗中炖服。
约过四点钟，患者欲睡，上床后鼾声如雷，睡足七小时，顿觉爽然无所苦。
斯时某医尚在吾岳父家打牌，闻病好竟跃然而起曰：“我说不错，但竟有人议我不是，什么鬼东西!”并叫我岳父不可听人乱言。岳父当即以我之论据和医案见示，他无辞以对，桃之夭夭矣。
男，年未详
单热不寒，头痛不寐。声音微弱，与往日高声说话，大相悬殊，似有郁冒，难以申诉，其脉六部见数，肌不烙手，舌边红，中心微黄，不食不饮者六日。某医曾投达原饮、葛根解肌汤未效。余勉以
泽泻、阿胶、猪苓各二钱，鸡子黄一个煎服。盖此阳亢盛，阴不入阳，所以不寐也。
服后睡眠半夜，天明时讨茶吃，是胃气已开也。更方：
黄连一钱，阿胶三钱、鸡子黄一个、夜交藤二钱，泽泻二钱，当归二钱，杭芍钱半
服后诸恙渐解，已能成寐，乃自购泽参泡水服。得全愈。
男，45岁
鳏居十二年，家事纷繁，夜不安寐，阴囊流水，自疗与延医，服药百余剂，未见改善。脉洪大，舌红少津，两目瞳孔放大，裤裆湿透。察其面貌，其眉际现有媚态，见人似有逢迎表情。问其服何药？示诸方，皆利湿、燥湿与温补之品。综合以上诸情，断为亢阳肾热，嘱用：
灶心土一块（打细）、煅龙骨末二两，和匀后装入布袋，以阴囊置袋上，俟水流布袋，湿透为度，再更换，直至囊干水净。
内服滋阴降火剂。
川柏二钱，知母二钱，女贞子二钱，地骨皮、生地、连翘、莲子心、丹皮各二钱，薏苡仁三钱，栀子五个。
服两包，阴囊流水减少，夜睡不安。越日来换方，我以亢阳二字告之。盖亢阳与纵欲同，非湿热，乃肾热也。此因鳏居，未得女性，而激动肝火，致肝肾不同源，遂成此症。乃令服知柏地黄丸，从而获得奇效。
女，46岁
终日疲倦，时发牢骚，食不正常，夜不欲寐，但闻呻吟之声。其夫是文学家，颇明医理，医者多不敢与之交谈。一日，其夫亲往某名医家求出诊。某医处方八珍汤，加紫石英、女贞子、夜合花，嘱服十包后，连服补中益气丸一、二斤，其夫如命是从。十剂毕，再服丸药五天，其行路颠跛不稳，乃夫疑之，着人邀我往诊。及至其家，告以病情及治疗经过，并征询于余。余以七情中之肝郁，略加分析，其夫点头，私告余曰：“此妇悍妒成性，常骂两个偏房，动辄气得眉乌面青，并常辱骂于我。”并问余有何方术？余曰非药饵能效，此病权衡在你。经云：“怒以喜胜之。”尔后你须更换旧章，常与此妇接近，择其所喜者予之，最好与其另觅房屋居住，经常与之交谈，每日以甘草五钱煎水代茶，取“甘以缓之”之义，俟有笑脸，除服一般食品外，配以酱油、醋拌海蜇皮，取“酸以收之”之义，切忌参补。若眉际黑暗退，每日蒸食燕窝一只。嗣后欲服丸药，可与天王补心丹常服。其夫依余言，此妇病情渐减。这是个人臆测，录之以供谈笑。
女，20岁
南昌看戏回家，突然自言自笑，欢喜与人说话，但语言错乱，单笑不愁，不知饿，也不知休息，要独宿。其见余桌上《冯氏锦囊》一书，即笑以“锦囊”比划自身之荷包，表情似演戏者。其脉浮数互见，独关部不及四至，脉已紊乱。唇色、舌色、饮食等均正常。断为情志不遂，致令神不守舍，治以养心安神为主：
酸枣仁、柏子仁、远志、郁金、竹茹、女贞子、金钗石斛、琥珀屑各二钱，茯神三钱，枳实一钱，莲子心钱半
嘱服四剂，并云此女娇养成性，又稍有文化知识（她是幼女，专门延师在家课读其一人），不无情志发动，宜及时物色对象，倘拖延时日，难免癫之先兆也。越五日，母女复来，云服药后较安静，渐知羞耻。但经常擦两乳，时摸裤裆。余嘱更换较大衣裤，减少摩擦，但总以结婚为是。生活方面，多吃蔬菜，宜早起，兼做些家务事，勿令闲坐。并服天王补心丹。
未几，与邻村涂姓结婚后，病情若失。
女，19岁
平时喜读爱情小说，并酷嗜采茶戏。病自笑多言，整日外走，甚至两三日不吃饭。其身体丰满，无甚病容，暗笑，脉浮紧，独关部搏指太盛，疑之。询之经期，其母曰无异常。该女四常摩擦两腿夹，又摸胸膛，愁眉叹气，似有隐曲。问其订婚否？母云曾谈数次，但得此病，怎好言婚事？余以为非订婚不可。盖虽可服药，而不能夺其志也。其父解余意，信以为然。遂拟方，治之以清心养气。
金钗石斛、莲子心、酸枣仁、远志、茯神、当归、郁金、竹茹各二钱，九节菖蒲钱半，姜、枣各二
服三剂，仍然自笑，但外出时间减少，能按时归家吃饭。
一日，杜某到我家探问此女是否疯病？我以此女很聪明，是情志病，非疯癫也。杜告其次子拟与此女订婚，但虑及此病是否得愈？对生育有无影响？余以为可令双方见面，如双方心愿，心情获得满足，情性自可正常。生育之事，更无妨也。
该女服药数剂，无什反映。数月后结婚，一切正常，已生子女四人矣。
女，30岁
潮热半月不退，喃喃自语，双目现媚态，时窃窃暗笑，一望而知神经失常。据云每月行经三、四次，不得干净。时而关门睡觉，时而夜半起床，自言自语，面不向人，察脉浮数，唇舌微红。断其每月行经三、四次者，乃错经也。自言自语，面不向人者，是情志不定，当有六郁中之情郁，不是癫症，法以舒肝养气，用药不成汤。
省头草二钱，郁金二钱，鲜生地二钱，鲜石斛三钱，九节菖蒲二钱，竹茹二钱，蛇胆陈皮末一支（随药化服）毕澄茄二钱，绿豆衣二钱，栀子皮二钱，橘络二钱，荷叶一小片同煎。嘱服三、四包。
此方用生地、鲜石斛、绿豆衣等清胃热而养肝木，盖其人素喜炙■。用省头草（佩兰叶）、九节菖蒲、橘络以透络，以免血热忘行。
越三日，乃翁来换方，云能到堂前坐，遇生人自知避开，咀动吞痰，渐思食。当时问不出有无经血，故于前方去石斛、生地、毕澄茄，加莲子心钱半，荆芥炭二钱，当归二钱，童便兑服。
原方去石斛、生地者，防过凉而伤气息也。加当归、荆芥炭，借以散瘀。服四剂后，神识渐趋正常，仍自言自语，改方：
九节菖蒲二钱，远志、酸枣仁、柏子仁、竹茹、郁金、西党、茯神各二钱，枳实一钱，姜枣各二
此方温胆，因胆寒则肝气不宁，胆为中正之官，胆无病，则诸郁自解矣。嘱服数剂，并告乃翁送其丈夫身边，定然全愈。如我言，生下一男一女。
女，22岁
吐泻同时发作，双腿抽筋。在进行了拿痧和打针治疗后，全身皮肤呈现红紫色，手指和脚趾都被刺破出血，患者昏倒在地，无法说话。脉象有四大纲领（？），但表现为沉而不起，四肢没有厥冷，也没有腹痛和口渴的现象。判断病因是感受暑邪，又食用了生冷食物所致。于是让人找几个生芋头，再让他在门槛内挖一个深约一尺的小坑，将新汲取的水倒入坑中，不搅拌也不停止，使其旋转，但要防止地面的脏物和灰尘落入坑内。用手搅动二十分钟，用木勺舀出泥水倒入碗中，澄清后转入瓦罐煮沸。先让患者口嚼生芋头，问其是否有麻木感？患者未作回答，但表现出想吃的神情。再递给他一枚让他咀嚼，令其吐出渣滓，不要吞下。又问他是否觉得甜？他说味道鲜甜。于是他自己索要芋头，递给他人一枚让他咀嚼。嚼完后，大叫一声，满口怪味怪气，脚能够抬起，知道已经不再抽筋了。不久，排出一盆酸臭的水，其中夹杂着未消化的凉粉和糯米团。随即让他喝下从门槛坑内澄清的水和童便。三小时后，呕吐停止，双脚不再蜷缩。但腹泻更加严重，十分钟内排出三盆水，都有酸臭气味。我嘱咐迅速购买保和丸四粒，分两天服用。此人胃寒太重，暂时不宜进食粥饭，可以吃百合粉、藕粉等，等到他能闻到饭香时，才可以吃饭。否则，恐怕会发展成痢疾。
此人服用保和丸后，各种症状已经解除，就不再服药。
11、醉饱入房
男，28岁
因高热前往南昌治疗，服药三剂后痊愈。回乡时买了高粱酒和大鱼。他的妻子听说丈夫要回来，买肉炖好，准备迎接。到家后，大吃大喝，图一时痛快。不料次日清晨，患者不省人事。被抬到江桥诊所。看他的面容，并不十分虚弱，还能手动眼张，只是不出声而已。他的妻子详细叙述了前情，我将其辨为病后食积郁滞，采用消导法治疗：
山楂、麦芽、神曲、法夏曲、苍术各二钱，厚朴钱半，陈粽炭一块，肉骨烧灰一块，同煎服。
服药后声音逐渐恢复，又诉说阴茎疼痛，知道他是在醉酒饱食后行房，难免热伤尿道，于是改方：
夏枯草二钱，凤尾草钱半，琥珀屑钱半，益智仁二钱，蚕砂二钱，海金砂钱半，益元散三钱，另外用肉店杀猪的猪鞭，烧存性，随药同煎，服用两剂后痊愈。
12、肾泄
男，50岁
家庭富裕，生活淫逸，患黎明时分泄泻，两年多以来，多次服用理中汤、真人养脏汤等方剂均无效。我想到黎明泄泻者，属于肾泄，与天明时分的肠胃病不同。这确实是肾阴不足，《内经》说：“阴不足者，补之以味”。处以青娥丸：
杜仲三钱，青盐（用益智仁二钱代替）一钱，补骨脂四钱，共研为末，布包，每日用猪肾一对，分切四片，纳入药末炖服。
服用三剂后，改用四神丸：
五味子二钱，益智仁三钱，肉豆蔻四钱，吴茱萸三钱。服用十六剂后痊愈。
按：肾阴不足与肾阳不足的治法本来不同，肾阳不足者，除了肾泄症状外，还有玉茎不痿，名为“中强”，这是格阳的表现，宜用破故纸、韭菜子各一两，炖猪肾一对（一日量）。
女，51岁
学习辟谷，追求冷食，患病泄泻，服用兜涩、分利等方剂均无效。六脉浮沉不定，半部脉数紧，舌色似黄似褐，舌尖独绛，嘴唇焦裂。这三个月来，吃米果、梨、苹果或凉拌粉，每晚打坐，从未睡眠。由此可见是因冷食导致泄泻，久坐导致肾无固摄之力。况且她的泻下如射箭，应当属于暴注，不是一般洞泄、飧泄可比，必定是由冷食积寒化热，而肾无固摄之力，导致肾气上泛，变为肾泄了。开方：
三棱二钱，莪术二钱，胡黄连二钱，黄连钱半，白术钱半，厚朴钱半，青皮钱半，广藿香钱半，生莱菔子钱半，韭子一撮，鸡内金二钱，麦芽二钱。
服用两剂后，排出丸子状粪便或白膜样粪便，积寒积热已有出路。脉沉无力，判断其为久病伤寒，急需养胃，嘱咐其改为热食，处方：
乌梅三个，金钗石斛二钱，益智仁钱半，肉豆蔻二钱，五味子钱半，扁豆二钱，赤石脂炒当归二钱，栗壳钱半，灶心土一块。嘱咐服用四剂后，改服金匮肾气丸。按照此法治愈。（当时我嘱咐她预防足肿及肾气上泛，甚至腹部大如鼓的情况）。
13、消渴
男，8岁
口渴尿多，六脉关尺部全无，观察指纹，则透达三关，青赤相间，不甚明亮，舌色褐，中心微黄，精神疲倦，眼皮下垂，只透出大气，时而索饮，时而小便。知道这是危症，想要告辞离开。其母亲原是我的舅嫂，哭诉不止要求我开方，不得已，于是写道：善食善饿是谷消，烦闷饮一溲二是肾消，终非吉兆。脉绝两部，独留寸口，浮而无根，指纹透出三关，舌色褐色，无胃气，不是危症是什么？万一要我开方，请孩子母亲尝尝孩子的尿液，如果是甜味，胃气已竭，无甜味，肾气尚存。现在面色污垢，明天若出现青色，势必将死。写完后，坚决辞去，另日果然去世。
43岁，男
失业赋闲，贫病交加，面色黎黑，形体消瘦骨露，发音低微，不能说完话，精神疲惫已极。且发热、泄泻、口渴，随饮随尿，脉象浮洪，舌红而燥，唇焦，发烦。断为消渴，已达危候。处方：
乌梅一两，木瓜八钱，浓煎服，两日服完。
服药后渴热均减，但腹泻不止。改方：
文蛤二钱，炒薏苡仁二钱，生白术二钱，炒白术二钱，生谷芽二钱，炒谷芽二钱，乌梅十个，木瓜三钱，五味子二钱，竹叶一钱。
服用三剂，小便止住，腹泻减轻。只是终日昏睡，食欲不佳。换方：
党参四钱，扁豆三钱，杭白芍二钱，五味子钱半，金钗石斛二钱，光山（山药）二钱盐水炒，知母钱半，覆盆子二钱，菟丝子二钱，粳米一合先炖去米，再入药煎服。
服用四剂，前症均解。后来足肿，令服用四君子丸，每日用米汤吞服四十粒。盖三消中的谷消较难治，必须得谷气养胃才能奏效。
14、虫症一例
女，40岁
三年未吃米饭，仅吃面或小麦粥，闻到饭气则腹痛，并呕吐清水，须吃热物才暂时停止。脉中空，不搏指，面色惨白，怀疑胃有除中变幻，遂辞之。其夫再三求方，犹豫良久，因患者每进食，必得糖和之，遇腹痛，呕清水，必进热物而后安，此虫症之征候。盖吐出之清水，乃虫吐之清水也。虫遇寒则动，故痛且呕，遇热则安，故食热物而痛、呕暂止。况舌现细白点，亦虫症之征也。按此必提驱虫剂，然虑及脉中空，胃有除中变幻，遂先投十全大补汤两剂，然后再进杀虫药。法用：
苦楝树皮（用雌的，勿用雄的。雄的不结子，有毒，能杀人）去表层粗皮八钱，水煎，听用（勿在患者住宅前，避免患者知道）。另用鸡蛋一个，去壳，置菜油内煎极香，以碗盛之，供患者嗅其香味，勿令吃。待患者闻香后清水涌出，即取苦楝皮汤大口吞下。
但须防发晕，因下药后，虫必内骚动也。此与胃脱不同。如上法处理，患者发晕约一小时苏醒，腹痛若失。我嘱咐其暂食小麦粥及精肉汤（不食肉），俟胃气恢复，再进正常饮食，获全功。
（15）不寐
女，50岁
两感伤寒，病愈后连夜不寐。某医以为元气大伤，投方人参大剂，令服十帖。当时余作客其家，因患者是我继岳母，乃询某医曰：“此证是否虚烦？”伊以鼻嗤之曰：“你不懂，不要乱说。”余以能治此病，告之岳父。遂诊脉，六部浮迟，关部见数，断为大病后之虚烦。处方：
完整栀子八钱，豆豉一两，暗中炖服。
约过四点钟，患者欲睡，上床后鼾声如雷，睡足七小时，顿觉爽然无所苦。
斯时某医尚在吾岳父家打牌，闻病好竟跃然而起曰：“我说不错，但竟有人议我不是，什么鬼东西!”并叫我岳父不可听人乱言。岳父当即以我之论据和医案见示，他无辞以对，桃之夭夭矣。
男，年未详
单热不寒，头痛不寐。声音微弱，与往日高声说话，大相悬殊，似有郁冒，难以申诉，其脉六部见数，肌不烙手，舌边红，中心微黄，不食不饮者六日。某医曾投达原饮、葛根解肌汤未效。余勉以
泽泻、阿胶、猪苓各二钱，鸡子黄一个煎服。盖此阳亢盛，阴不入阳，所以不寐也。
服后睡眠半夜，天明时讨茶吃，是胃气已开也。更方：
黄连一钱，阿胶三钱、鸡子黄一个、夜交藤二钱，泽泻二钱，当归二钱，杭芍钱半
服后诸恙渐解，已能成寐，乃自购泽参泡水服。得全愈。
男，45岁
鳏居十二年，家事纷繁，夜不安寐，阴囊流水，自疗与延医，服药百余剂，未见改善。脉洪大，舌红少津，两目瞳孔放大，裤裆湿透。察其面貌，其眉际现有媚态，见人似有逢迎表情。问其服何药？示诸方，皆利湿、燥湿与温补之品。综合以上诸情，断为亢阳肾热，嘱用：
灶心土一块（打细）、煅龙骨末二两，和匀后装入布袋，以阴囊置袋上，俟水流布袋，湿透为度，再更换，直至囊干水净。
内服滋阴降火剂。
川柏二钱，知母二钱，女贞子二钱，地骨皮、生地、连翘、莲子心、丹皮各二钱，薏苡仁三钱，栀子五个。
服两包，阴囊流水减少，夜睡不安。越日来换方，我以亢阳二字告之。盖亢阳与纵欲同，非湿热，乃肾热也。此因鳏居，未得女性，而激动肝火，致肝肾不同源，遂成此症。乃令服知柏地黄丸，从而获得奇效。
女，46岁
终日疲倦，时发牢骚，食不正常，夜不欲寐，但闻呻吟之声。其夫是文学家，颇明医理，医者多不敢与之交谈。一日，其夫亲往某名医家求出诊。某医处方八珍汤，加紫石英、女贞子、夜合花，嘱服十包后，连服补中益气丸一、二斤，其夫如命是从。十剂毕，再服丸药五天，其行路颠跛不稳，乃夫疑之，着人邀我往诊。及至其家，告以病情及治疗经过，并征询于余。余以七情中之肝郁，略加分析，其夫点头，私告余曰：“此妇悍妒成性，常骂两个偏房，动辄气得眉乌面青，并常辱骂于我。”并问余有何方术？余曰非药饵能效，此病权衡在你。经云：“怒以喜胜之。”尔后你须更换旧章，常与此妇接近，择其所喜者予之，最好与其另觅房屋居住，经常与之交谈，每日以甘草五钱煎水代茶，取“甘以缓之”之义，俟有笑脸，除服一般食品外，配以酱油、醋拌海蜇皮，取“酸以收之”之义，切忌参补。若眉际黑暗退，每日蒸食燕窝一只。嗣后欲服丸药，可与天王补心丹常服。其夫依余言，此妇病情渐减。这是个人臆测，录之以供谈笑。
女，20岁
南昌看戏回家，突然自言自笑，欢喜与人说话，但语言错乱，单笑不愁，不知饿，也不知休息，要独宿。其见余桌上《冯氏锦囊》一书，即笑以“锦囊”比划自身之荷包，表情似演戏者。其脉浮数互见，独关部不及四至，脉已紊乱。唇色、舌色、饮食等均正常。断为情志不遂，致令神不守舍，治以养心安神为主：
酸枣仁、柏子仁、远志、郁金、竹茹、女贞子、金钗石斛、琥珀屑各二钱，茯神三钱，枳实一钱，莲子心钱半
嘱服四剂，并云此女娇养成性，又稍有文化知识（她是幼女，专门延师在家课读其一人），不无情志发动，宜及时物色对象，倘拖延时日，难免癫之先兆也。越五日，母女复来，云服药后较安静，渐知羞耻。但经常擦两乳，时摸裤裆。余嘱更换较大衣裤，减少摩擦，但总以结婚为是。生活方面，多吃蔬菜，宜早起，兼做些家务事，勿令闲坐。并服天王补心丹。
未几，与邻村涂姓结婚后，病情若失。
女，19岁
平时喜读爱情小说，并酷嗜采茶戏。病自笑多言，整日外走，甚至两三日不吃饭。其身体丰满，无甚病容，暗笑，脉浮紧，独关部搏指太盛，疑之。询之经期，其母曰无异常。该女四常摩擦两腿夹，又摸胸膛，愁眉叹气，似有隐曲。问其订婚否？母云曾谈数次，但得此病，怎好言婚事？余以为非订婚不可。盖虽可服药，而不能夺其志也。其父解余意，信以为然。遂拟方，治之以清心养气。
金钗石斛、莲子心、酸枣仁、远志、茯神、当归、郁金、竹茹各二钱，九节菖蒲钱半，姜、枣各二
服三剂，仍然自笑，但外出时间减少，能按时归家吃饭。
一日，杜某到我家探问此女是否疯病？我以此女很聪明，是情志病，非疯癫也。杜告其次子拟与此女订婚，但虑及此病是否得愈？对生育有无影响？余以为可令双方见面，如双方心愿，心情获得满足，情性自可正常。生育之事，更无妨也。
该女服药数剂，无什反映。数月后结婚，一切正常，已生子女四人矣。
女，30岁
潮热半月不退，喃喃自语，双目现媚态，时窃窃暗笑，一望而知神经失常。据云每月行经三、四次，不得干净。时而关门睡觉，时而夜半起床，自言自语，面不向人，察脉浮数，唇舌微红。断其每月行经三、四次者，乃错经也。自言自语，面不向人者，是情志不定，当有六郁中之情郁，不是癫症，法以舒肝养气，用药不成汤。
省头草二钱，郁金二钱，鲜生地二钱，鲜石斛三钱，九节菖蒲二钱，竹茹二钱，蛇胆陈皮末一支（随药化服）毕澄茄二钱，绿豆衣二钱，栀子皮二钱，橘络二钱，荷叶一小片同煎。嘱服三、四包。
此方用生地、鲜石斛、绿豆衣等清胃热而养肝木，盖其人素喜炙■。用省头草（佩兰叶）、九节菖蒲、橘络以透络，以免血热忘行。
越三日，乃翁来换方，云能到堂前坐，遇生人自知避开，咀动吞痰，渐思食。当时问不出有无经血，故于前方去石斛、生地、毕澄茄，加莲子心钱半，荆芥炭二钱，当归二钱，童便兑服。
原方去石斛、生地者，防过凉而伤气息也。加当归、荆芥炭，借以散瘀。服四剂后，神识渐趋正常，仍自言自语，改方：
九节菖蒲二钱，远志、酸枣仁、柏子仁、竹茹、郁金、西党、茯神各二钱，枳实一钱，姜枣各二
此方温胆，因胆寒则肝气不宁，胆为中正之官，胆无病，则诸郁自解矣。嘱服数剂，并告乃翁送其丈夫身边，定然全愈。如我言，生下一男一女。
女，22岁
Simultaneous vomiting and diarrhea, with cramps in both legs. After undergoing *Nasha* (a folk therapy involving pinching the skin) and injections, the entire body turned red and purple, with bleeding from punctured fingers and toes. The patient fainted and was unable to speak. The pulse exhibited four major principles (?), but presented as deep and unrising; there were no signs of cold extremities, abdominal pain, or thirst. The cause was diagnosed as summerheat pathogen combined with consumption of raw and cold foods. I instructed someone to find several raw taro roots (*Dioscorea esculenta*), then dig a small pit about one chi deep inside the threshold. Freshly drawn water was poured into the pit without stirring or stopping, allowing it to rotate, while preventing dirt and dust from falling in. The water was stirred by hand for twenty minutes, then scooped out with a wooden spoon into a bowl, clarified, and boiled in a clay pot. First, the patient was asked to chew a piece of raw taro. When asked if it felt numbing, the patient did not respond but showed an expression of desire to eat. Another piece was given to chew, with instructions to spit out the residue and not swallow it. Asked if it tasted sweet, the patient replied it was fresh and sweet. The patient then requested another piece to chew. After chewing, the patient let out a loud cry, complaining of a strange taste in the mouth, but was able to lift their feet, indicating the cramps had ceased. Soon after, the patient expelled a basin of sour-smelling water containing undiginned jelly noodles and glutinous rice balls. The patient was then instructed to drink the clarified water from the threshold pit along with child's urine (*Tongbian*). Three hours later, vomiting stopped, and the legs were no longer curled. However, diarrhea worsened significantly, with three basins of water expelled within ten minutes, all having a sour odor. I advised purchasing four pills of *Baohe Wan* (Preserve Harmony Pill), to be taken over two days. Due to severe stomach cold, porridge and rice were temporarily prohibited; instead, lily bulb powder and lotus root starch were allowed. Rice could only be introduced when the patient could smell its aroma; otherwise, dysentery might develop.
After taking *Baohe Wan*, all symptoms resolved, and no further medication was taken.
11. Intercourse after Drunkenness and Overeating
Male, 28 years old.
Admitted to Nanchang for high fever, cured after three doses of medicine. Upon returning home, he purchased sorghum wine and large fish. His wife, anticipating his return, bought meat and stewed it in preparation. Upon arrival, he ate excessively for temporary pleasure. Unexpectedly, the next morning, he became unconscious. He was carried to Jiangqiao Clinic. His complexion was not severely emaciated; he could move his hands and open his eyes but remained silent. His wife recounted the history. I diagnosed this as food stagnation following illness and treated with a digestive method:
Hawthorn Fruit (*Shanzha*), Malt (*Maiya*), Medicated Leaven (*Shenqu*), Prepared Pinellia Curd (*Faxia Qu*), and Atractylodes Rhizome (*Cangzhu*) each 2 qian; Magnolia Bark (*Chuanpu*) 1.5 qian; Charred Zong Leaf (*Chenzong Tan*) one piece; Charred Pork Bone (*Rugu*) one piece. Decoct together and take orally.
After administration, speech gradually returned, followed by complaints of penile pain. Recognizing intercourse after drunkenness and overeating likely caused heat injury to the urethra, the prescription was modified:
Prunella Spike (*Xiakucao*), Pteris Multifida Herb (*Fengweicao*), Amber Powder (*Hupo Xie*), Alpinia Oxyphylla Fruit (*Yizhiren*), Silkworm Frass (*Can Sha*), Goldthread Rhizome (*Haijinsha*), and *Yiyuan San* each 2 qian, 1.5 qian, 1.5 qian, 2 qian, 2 qian, 1.5 qian, and 3 qian respectively. Additionally, Pig Penis (*Zhubian*) from a butcher shop, calcined to preserve efficacy, was decocted with the herbs. Two doses resulted in recovery.
12. Kidney Diarrhea
Male, 50 years old.
From a wealthy family with a licentious lifestyle, suffering from dawn diarrhea for over two years. Multiple treatments with *Lizhong Tang* (Regulate the Middle Decoction) and *Zhenren Yangzang Wan* (True Man Nourish Viscera Pill) were ineffective. Dawn diarrhea is identified as Kidney Diarrhea (*Xunxie*), distinct from gastrointestinal disorders occurring at dawn. This is due to Kidney Yin deficiency. As stated in the classics: "For Yin deficiency, tonify with flavor." Prescribed *Qing'e Wan*:
Eucommia Bark (*Duzhong*) 3 qian, Green Salt (*Qingyan*) substituted with Alpinia Oxyphylla Fruit (*Yizhiren*) 2 qian, Psoralea Fruit (*Buguzhi*) 4 qian. Grind into powder, wrap in cloth. Daily, use one pig kidney, sliced into four pieces, stewed with the powder and consumed.
After three doses, switched to *Sishen Wan* (Four Spirits Pill):
Schisandra Berry (*Wuweizi*) 2 qian, Alpinia Oxyphylla Fruit (*Yizhiren*) 3 qian, Nutmeg Seed (*Roudoukou*) 4 qian, Evodia Fruit (*Wuzhuyu*) 3 qian. Sixteen doses resulted in recovery.
Note: Treatments for Kidney Yin and Yang deficiencies differ. Kidney Yang deficiency presents with Kidney Diarrhea and non-erectile penis, termed "Zhongqiang," indicating floating Yang syndrome. Treatment involves Psoralea Fruit (*Poguozhi*) and Leek Seed (*Jiucaizi*) each 1 liang, stewed with one pig kidney (daily dose).
Female, 51 years old.
Practiced fasting (*Bigu*), sought cold foods, resulting in diarrhea. Astringents and diuretics were ineffective. Pulse was indeterminate in depth across six positions, rapid and tight in half, tongue color yellowish-brown, tip distinctly crimson, lips dry. For three months, she consumed rice fruits, pears, apples, or cold noodles, sat in meditation nightly without sleep. This indicates diarrhea caused by cold food accumulation and lack of Kidney retention power due to prolonged sitting. The projectile nature of the diarrhea suggests acute pouring (*Baozhu*), unlike typical clear or undigested diarrhea. It is caused by cold accumulation transforming into heat, leading to Kidney Qi rebellion, resulting in Kidney Diarrhea. Prescription:
Burreed Tuber (*Sanleng*), Curcuma Rhizome (*Ezhu*), Coptis Rhizome (*Hulian*), Coptis Rhizome (*Huanglian*) 2 qian, 2 qian, 2 qian, 1.5 qian respectively; Atractylodes Rhizome (*Baizhu*) 1.5 qian, Magnolia Bark (*Chuanpu*) 1.5 qian, Tangerine Peel (*Qingpi*) 1.5 qian, Patchouli Herb (*Guangxiang*) 1.5 qian, Radish Seed (*Sheng Laifuzi*) 1.5 qian, Leek Seed (*Jiu Zi*) a pinch, Chicken Gizzard Lining (*Jineijin*) 2 qian, Malt (*Maiya*) 2 qian.
After two doses, pellet-like or white membrane stools were passed, indicating an exit for accumulated cold and heat. Pulse became deep and weak. Diagnosed as chronic Cold Damage requiring stomach nourishment. Advised switching to hot foods. Prescription:
Smoked Plum (*Wumei*) 3 pieces, Dendrobium Stem (*Jinchai Shihu*) 2 qian, Alpinia Oxyphylla Fruit (*Yizhiren*) 1.5 qian, Nutmeg Seed (*Roukou*) 2 qian, Schisandra Berry (*Wuweizi*) 1.5 qian, White Hyacinth Bean (*Bian Dou*) 2 qian, Red Halloysite Fried with Angelica Root (*Chishizhi Chao Danggui*) 2 qian, Persimmon Calyx (*Liqiao*) 1.5 qian, Hearth Earth (*Zaoxintu*) one piece. Take four doses, then switch to *Jinkui Shenqi Wan* (Golden Cabinet Kidney Qi Pill). Recovered fully. (I previously warned against foot swelling and Kidney Qi rebellion causing abdominal distension).
13. Xiao Ke (Wasting-Thirst)
Male, 8 years old.
Thirsty with polyuria. Guan and Chi pulses on six positions were absent. Finger veins penetrated all three sections, showing mixed green and red, not bright. Tongue brown, center slightly yellow. Spirit fatigued, eyelids drooping. Only large Qi visible. Periodically seeking drinks and urinating. Recognized as a critical condition, intended to decline. The mother, my aunt-by-marriage, cried incessantly, begging for a prescription. Reluctantly wrote: Excessive eating and hunger indicate Grain Thirst (*Guxiao*); irritability, drinking much and urinating much indicate Kidney Thirst (*Shenxiao*). Both are ominous. Pulses absent in two positions, remaining only at Cun, floating without root. Finger veins penetrating three sections, brown tongue, absence of Stomach Qi—how is this not critical? If forced to prescribe, have the mother taste the child's urine. Sweetness indicates exhausted Stomach Qi; lack of sweetness indicates remaining Kidney Qi. Current dirty complexion, if blue appears tomorrow, death is imminent. Wrote this, insisted on leaving. The child died the next day.
Male, 43 years old.
Unemployed, impoverished and ill. Complexion dark, emaciated, voice low, unable to finish sentences, extremely exhausted spirit. Fever, diarrhea, thirst, immediate urination after drinking. Pulse floating and surging, tongue red and dry, lips cracked, irritability. Diagnosed as critical Xiao Ke. Prescription:
Smoked Plum (*Wumei*) 1 liang, Papaya (*Mugua*) 8 qian. Decoct strongly, consume over two days.
After taking, thirst and heat reduced, but diarrhea persisted. Modified prescription:
Clam Shell (*Wenge*), Stir-fried Coix Seed (*Chao Yimi*), Raw Atractylodes Macrocephala Rhizome (*Sheng Baizhu*), Stir-fried Atractylodes Macrocephala Rhizome (*Chao Baizhu*), Raw Barley Sprout (*Sheng Guya*), Stir-fried Barley Sprout (*Chao Guya*) each 2 qian; Smoked Plum (*Wumei*) 10 pieces, Papaya (*Mugua*) 3 qian, Schisandra Berry (*Wuweizi*) 2 qian, Bamboo Leaf (*Zhuye*) 1 qian.
Three doses stopped urination and reduced diarrhea. Patient slept constantly with poor appetite. Changed prescription:
Codonopsis Root (*Xidang*) 4 qian, White Hyacinth Bean (*Bian Dou*) 3 qian, Hangzhou Peony Root (*Hangshao*) 2 qian, Schisandra Berry (*Wuweizi*) 1.5 qian, Dendrobium Stem (*Jinchai Shihu*) 2 qian, Shan Yao (*Guangshan*) stir-fried in salt water 2 qian, Anemarrhena Rhizome (*Zhimu*) 1.5 qian, Raspberry (*Fupenzi*) 2 qian, Dodder Seed (*Tusizi*) 2 qian. Cook one he of Japonica Rice (*Jingmi*) first, remove rice, then decoct herbs.
Four doses resolved previous symptoms. Later developed foot edema, prescribed *Sijunzi Wan* (Four Gentlemen Pill), taken with rice gruel, 40 pills daily. Grain Thirst among the three Xiao types is difficult to treat; must rely on Grain Qi to nourish the Stomach for efficacy.
14. Case of Parasitic Disease
Female, 40 years old.
Had not eaten rice for three years, only wheat noodles or congee. Abdominal pain and vomiting of clear fluid upon smelling food, relieved by eating hot food. Pulse hollow, not bounding. Complexion pale white. Suspected stomach collapse (*Chuzhong*), declined treatment. Husband begged repeatedly. Hesitated long, but noted patient required sugar with meals, and pain/vomiting cleared with hot food—signs of parasites. The vomited clear fluid is parasite-induced. Parasites move with cold (causing pain/vomiting) and settle with heat (relieving symptoms). Fine white spots on tongue also indicate parasites. Must use vermifuge, but considering hollow pulse and suspected stomach collapse, first administered two doses of *Shiquan Dabu Tang* (Ten Substance Great Tonifying Decoction), then vermifuge. Method:
Bark of *Toona sinensis* (female tree only, male is sterile, toxic, and lethal) 8 qian, stripped of coarse outer layer, decocted in water, set aside (do not let patient know location). Fry one eggshell-less egg in vegetable oil until fragrant, place in bowl for patient to smell, do not eat. Once patient smells fragrance and salivates profusely, have patient gulp down the *Toona* bark decoction.
Watch for dizziness due to parasite agitation. Differentiate from stomach collapse. Following this method, patient dizzy for one hour then woke, abdominal pain vanished. Advised wheat congee and lean meat broth (no meat) until Stomach Qi recovered, then normal diet. Full recovery.
(15) Insomnia
Female, 50 years old.
Contracted dual-pathogen Cold Damage. After recovery, suffered continuous insomnia. One physician attributed it to severe Yuan Qi depletion and prescribed large doses of Ginseng (*Renshen*) for ten doses. I was a guest at her home (she was my step-mother-in-law). I asked the physician: "Is this deficiency vexation?" He sneered: "You don't understand, don't talk nonsense." I told my father-in-law I could cure it. Pulse: floating and slow in all six positions, rapid at Guan. Diagnosed as deficiency vexation post-major illness. Prescription:
Whole Gardenia Fruit (*Zhizi*) 8 qian, Fermented Soybean (*Douchi*) 1 liang. Decoct secretly and take.
After four hours, patient desired sleep. Snored loudly in bed, slept seven hours, feeling refreshed and free of distress.
The other physician was still playing cards at my father-in-law's house. Hearing of the cure, he jumped up saying: "I said it was correct, but people criticize me! What nonsense!" He told my father-in-law not to listen to others. My father-in-law showed him my reasoning and case records. He had no reply and fled.
Male, age unspecified.
Fever without chills, headache, insomnia. Voice weak, contrasting sharply with usual loud speech. Appears depressed and stifled, unable to express. Pulse rapid in all six positions, skin not burning hot, tongue edges red, center slightly yellow. No food or drink for six days. Previous physician used *Dayuan Yin* and *Gegen Jieji Tang* without effect. I tentatively prescribed:
Alisma Rhizome (*Zexie*), Donkey-hide Gelatin (*Ejiao*), Polyporus (*Zuling*) each 2 qian, Egg Yolk (*Jizihuang*) one. Decoct and take. This is excessive Yang flourishing, Yin failing to enter Yang, causing insomnia.
After taking, slept for half the night. Asked for tea at dawn, indicating Stomach Qi opening. Modified prescription:
Coptis Rhizome (*Huanglian*) 1 qian, Donkey-hide Gelatin (*Ejiao*) 3 qian, Egg Yolk (*Jizihuang*) one, Night-crossing Vine (*Yejaoteng*) 2 qian, Alisma Rhizome (*Zexie*) 2 qian, Angelica Root (*Danggui*) 2 qian, Hangzhou Peony Root (*Hangshao*) 1.5 qian.
Symptoms gradually resolved, able to sleep. Self-purchased *Zeshen* (likely *Zexie* or similar) soaked in water. Fully recovered.
Male, 45 years old.
Widowed for twelve years, busy with family affairs, insomnia at night, dripping scrotum. Self-medication and medical visits with over 100 doses showed no improvement. Pulse surging and large, tongue red with little moisture, pupils dilated, crotch wet. Facial expression showed coquettishness, flattering towards others. Asked about medications shown: all were damp-draining, drying-dampness, and warming-tonic agents. Synthesizing these, diagnosed as Hyperactive Yang Kidney Heat. External application:
Hearth Earth (*Zaoxintu*) one piece (finely ground), Calcined Dragon Bone (*Duanyulonggu*) powder 2 liang. Mix evenly, put in cloth bag. Place scrotum on bag until water flows into bag and saturates it. Replace until scrotum is dry and clean.
Internal medicine: Nourishing Yin and descending fire agent.
Phellodendron Bark (*Chuanbai*) 2 qian, Anemarrhena Rhizome (*Zhimu*) 2 qian, Ligustrum Fruit (*Nvzhenzi*) 2 qian, Lycium Bark (*Digupi*), Rehmannia Root (*Shengdi*), Forsythia Fruit (*Lianqiao*), Lotus Plumule (*Lianzixin*), Moutan Cortex (*Danpi*) each 2 qian, Coix Seed (*Yiyiren*) 3 qian, Gardenia Fruit (*Zhizi*) 5 pieces.
Two packages reduced scrotal discharge, but night sleep remained restless. Next day changed prescription, explained "Hyperactive Yang." Hyperactive Yang is akin to excessive desire, not damp-heat, but Kidney heat. Due to widowhood, lack of female companionship agitated Liver Fire, causing Liver and Kidney disconnection. Prescribed *Zhibai Dihuang Wan* (Anemarrhena, Phellodendron, and Rehmannia Pill), achieving miraculous effect.
(16) Liver Depression, Emotional Frustration
Female, 46 years old.
Constant fatigue, occasional complaints, irregular eating, insomnia at night, only heard groaning. Husband was a literati, knowledgeable in medicine, so physicians avoided him. One day, husband visited a famous physician. Prescription: *Bazhen Tang* (Eight Treasure Decoction) plus Fluorite (*Zishiying*), Ligustrum Fruit (*Nvzhenzi*), Albizia Flower (*Yehua*). Ten doses followed by 1-2 jin of *Buzhong Yiqi Wan* (Tonify the Middle and Augment Qi Pill). Husband complied. After ten doses and five days of pills, gait became unstable. Husband suspected error, invited me. After hearing history, I analyzed Liver Depression among Seven Emotions. Husband nodded, privately revealed: "This woman is fierce and jealous, often scolds concubines, gets angry until face turns blue/black, and insults me." Asked for advice. I said medicine alone won't work; the balance lies with you. Classics say: "Anger is overcome by joy." Change old habits, stay close to her, give her what she likes. Best to live separately, talk often. Daily decoct 5 qian Licorice Root (*Gancao*) as tea, meaning "Sweet to relax." When smiling appears, besides normal food, add soy sauce and vinegar with jellyfish skin, meaning "Sour to astringe." Avoid Ginseng tonics. If dark circles under brows fade, steam one bird's nest daily. Later, can take *Tianwang Buxin Dan* (Heavenly Emperor Heart-Nourishing Pill). Husband followed advice, condition gradually improved. This is personal speculation, recorded for amusement.
Female, 20 years old.
Returned from theater in Nanchang, suddenly talking and laughing to herself, happy to speak but language confused, laughing only without sorrow, unaware of hunger or rest, wanted to sleep alone. Saw *Fengshi Jinang* on my desk, laughed and compared "Jinang" (brocade bag) to her own purse, expression like an actor. Pulse floating and rapid intermixed, Guan position less than four beats, pulse chaotic. Lips, tongue, diet normal. Diagnosed as emotional frustration causing Spirit not residing in heart. Treatment focused on nourishing Heart and calming Spirit:
Sour Jujube Seed (*Suanzaoren*), Biota Seed (*Baiziren*), Polygala Root (*Yuanzhi*), Curcuma Aromatica Rhizome (*Yujin*), Bamboo Shavings (*Zhuru*), Ligustrum Fruit (*Nvzhenzi*), Dendrobium Stem (*Jinchai Shihu*), Amber Powder (*Hupo Xie*) each 2 qian, Poria (*Fushen*) 3 qian, Immature Bitter Orange (*Zhishi*) 1 qian, Lotus Plumule (*Lianzixin*) 1.5 qian.
Four doses advised. Noted this girl was spoiled, had some culture (private tutor since childhood), emotions easily stirred. Suggested finding a partner promptly; delay risks epilepsy precursor. Five days later, mother and daughter returned. Said she was quieter after meds, gradually knowing shame. But frequently rubbed breasts, touched crotch. Advised larger clothes/pants to reduce friction, but marriage is essential. Diet: more vegetables, early rising, household chores, avoid idleness. Also take *Tianwang Buxin Dan*.
Soon after marrying a man surnamed Tu from neighboring village, condition disappeared.
Female, 19 years old.
Liked romance novels and tea-picking opera. Illness: self-laughing, verbose, walking outside all day, even skipping meals for 2-3 days. Plump, no sick appearance, secret smiling, pulse floating and tight, Guan position bounding too strongly, suspicious. Asked about menstruation, mother said normal. Girl often rubbed inner thighs, touched chest, frowned and sighed, seemed to have hidden concerns. Asked if engaged, mother said discussed several times but how to mention marriage now? I insisted engagement was necessary. Medicine cannot override will. Father understood, agreed. Prescription: Clear Heart and nourish Qi.
Dendrobium Stem (*Jinchai Shihu*), Lotus Plumule (*Lianzixin*), Sour Jujube Seed (*Suanzaoren*), Polygala Root (*Yuanzhi*), Poria (*Fushen*), Angelica Root (*Danggui*), Curcuma Aromatica Rhizome (*Yujin*), Bamboo Shavings (*Zhuru*) each 2 qian, Acorus Rhizome (*Jiejie Changpu*) 1.5 qian, Ginger and Jujube each 2 pieces.
Three doses, still self-laughing, but less time outside, able to return home for meals on time.
One day, Mr. Du asked if she was mad. I said she is smart, it is an emotional disorder, not madness. Du mentioned his second son wanted to engage her, worried about cure and fertility. I suggested they meet. If mutual consent, mood satisfied, temperament normalizes. Fertility unaffected.
Girl took several doses, no significant reaction. Married months later, everything normal, has four children.
Female, 30 years old.
Tidal fever for half month, muttering to self, coquettish eyes, secret smiling, obviously neurotic. Menstruates 3-4 times monthly, never clean. Sometimes sleeps with door closed, sometimes wakes at midnight, mutters, faces away. Pulse floating and rapid, lips/tongue slightly red. Diagnosed menstrual irregularity as *Cuojing* (Erratic Menses). Muttering/facing away indicates emotional instability, likely Qi Depression among Six Depressions, not epilepsy. Method: Soothe Liver and nourish Qi, formula not standard decoction.
Peppermint Herb (*Shengtoucao*), Curcuma Aromatica Rhizome (*Yujin*), Fresh Rehmannia Root (*Sheng Shengdi*) each 2 qian, Fresh Dendrobium Stem (*Xian Shihu*) 3 qian, Acorus Rhizome (*Jiejie Changpu*) 2 qian, Bamboo Shavings (*Zhuru*) 2 qian, Snake Gallbladder Tangerine Peel Powder (*Shedan Chenpi Mo*) one stick (dissolve with medicine), Long Pepper Fruit (*Bichengqie*) 2 qian, Mung Bean Coat (*Lvdouyi*) 2 qian, Gardenia Skin (*Zhizi Pi*) 2 qian, Tangerine Network (*Jieluo*) 2 qian, Lotus Leaf (*Heye*) one small piece. Decoct together. Take 3-4 packages.
Formula uses Rehmannia, Fresh Dendrobium, Mung Bean Coat to clear Stomach heat and nourish Liver Wood (patient likes fried foods). Peppermint, Acorus, Tangerine Network to penetrate collaterals, preventing blood heat from disrupting flow.
Three days later, father came to change prescription. Said she could sit in hall, avoids strangers, swallows phlegm, desires food. Couldn't ask about menstruation. Removed Dendrobium, Rehmannia, Long Pepper from previous formula. Added Lotus Plumule (*Lianzixin*) 1.5 qian, Charred Schizonepeta (*Jingjie Tan*) 2 qian, Angelica Root (*Danggui*) 2 qian, mix with child's urine (*Tongbian*).
Removed Dendrobium/Rehmannia to prevent excessive cooling damaging Qi. Added Angelica/Charred Schizonepeta to dissipate stasis. Four doses, mind gradually normalized, still muttering. Modified prescription:
Acorus Rhizome (*Jiejie Changpu*) 2 qian, Polygala Root (*Yuanzhi*), Sour Jujube Seed (*Suanzaoren*), Biota Seed (*Baiziren*), Bamboo Shavings (*Zhuru*), Curcuma Aromatica Rhizome (*Yujin*), Codonopsis Root (*Xidang*), Poria (*Fushen*) each 2 qian, Immature Bitter Orange (*Zhishi*) 1 qian, Ginger and Jujube each 2 pieces.
This formula warms the Gallbladder. Cold Gallbladder causes Liver Qi unrest. Gallbladder is the Official of Justice; if healthy, all depressions resolve. Take several doses. Advised father to send her to husband. Will recover fully. Did so, gave birth to one boy and one girl.
Female, 22 years old