立斋曰。一妇人阴门不闭。肿痛。发热恶寒。用十全大补加五味。四剂肿消而敛。若初
产肿胀。或 痛而不闭者。当用加味逍遥散。若肿既消而不闭。当用补中益气汤。切忌寒凉
之剂。
震按玉关不闭。虚证无疑。而虚证之中。又有分别。立斋之加惠后学多矣。特是产科奇
病甚多。奇方亦甚多。兹集不能全载。如遇怪异证候。当于叶杏林所述诸书检求之。夫学医
何难。不过多读书耳。金史载张洁古学医。夜梦有人用大斧长凿。凿心开窍。纳书数卷于其
中。自是洞彻其术。因思天使此人为良医。尚须纳之以书。我侪既不梦斧凿开窍。务必从目
从口将书纳之于心。纳之诚多。宁让洁古独步耶。设遇奇病。自有奇方。可向腹笥检求矣。
至类案江公注云。须问临产难易。去血多少。以辨虚实。及血热戒投温燥。俱系名言。又可
为薛氏之功臣。
震于疡科幼科。素所未谙。故不敢选。今择其与内科有关涉者。略采数条。以作邻壁之
余光。
陈斗岩治金台僧嗣真。遍体生 。岁久。药罔效。陈曰。此太阴之经蕴风邪。风化为
虫病也。初犹未信。翌日。僧持疮痂数片细看。有虫如虱。泣拜求治。乃教以百部、蛇床子
草乌、楝树叶煎汤一缸。令僧洗浴一二时。落疮痂虫无数。一月凡数浴。僧遍体如白癜风
状而愈。
立斋治一男子。年十六。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。薛曰。疥。肾疳也。疮。骨疽也。皆肾经虚证。针之脓出
其气氤氲。薛谓火旺之际。必患瘵证。遂用六味地黄、十全大补。不二旬。诸证愈而瘵证
具
仍用前药而愈。抵冬娶妻。至春诸证复作。父母忧之。令其外寝。幸年少谨疾。亦服地黄
丸数斤。煎药三百余剂而愈。
薛立斋说：有一位妇女阴户松弛不闭合，伴有肿痛、发热和恶寒。使用十全大补汤（具有益气补血功效的方剂）加入五味子，服用四剂后肿胀消退且伤口收敛。如果是刚生产后的肿胀，或者疼痛但不松弛的，应当使用加味逍遥散（在逍遥散基础上加减的方剂）。如果肿胀已经消退但阴户仍不闭合，应当使用补中益气汤（具有补中益气、升阳举陷功效的方剂）。切忌使用寒凉性质的药物。
俞震按语：玉关（指女性阴户）不闭合，无疑是虚证。但在虚证之中，又有具体的区分。薛立斋对后世学者的恩惠很大。只是产科奇病很多，奇方也很多，本集不能全部收录。如果遇到怪异的症状，应当在叶天士（叶杏林）所著的各类书籍中查找。学习医学有什么难的？不过是多读书罢了。《金史》记载张元素（字洁古）学医时，夜里梦见有人用大斧和长凿，凿开心窍，将几卷书放入其中。从此他透彻掌握了医术。由此想到，上天要让这个人成为良医，还需要把书放进他的心里。我们这些人既然没有梦到斧凿开窍，务必通过眼睛看、嘴巴读，将书中的知识纳入心中。只要纳入得足够多，难道会落后于张洁古吗？如果遇到奇病，自然会有奇方，可以向自己腹中的藏书（指学识）中查找。至于类似案例中江公的注释说：“必须询问临产难易程度、失血多少，以辨别虚实；以及血热时忌讳投用温燥药物”，这些都是名言警句，也可以说是薛氏理论的功臣。
俞震对于外科和儿科，向来不熟悉，所以不敢选录。现在选择那些与内科有关联的几条，略加采集，作为邻近墙壁的一点余光（比喻借光或辅助参考）。
陈斗岩治疗金台僧人嗣真，全身生疮，多年了，用药无效。陈斗岩说：“这是太阴经蕴藏风邪，风化为虫疳所致。”起初僧人还不相信。第二天，僧人拿着几片疮痂仔细观看，发现里面有像虱子一样的虫子，哭着拜求治疗。于是教他用百部、蛇床子、草乌、楝树叶煎成一缸汤，让僧人洗浴一两个时辰，落下无数疮痂和虫子。一个月里多次洗浴，僧人遍体皮肤变得像白癜风一样而痊愈。
薛立斋治疗一名男子，十六岁，夏天感到口渴发热，吐痰，嘴唇干燥，全身生疥疮，两条腿尤其多，颜色暗红且瘙痒，傍晚时分症状加剧。仲冬时节腿部患疮，尺脉洪数。薛立斋说：“疥疮属于肾疳，疮疡属于骨疽，都是肾经的虚证。”针刺后脓液流出，气息氤氲。薛立斋认为火旺之际，必定会患上痨瘵（结核病类疾病）。于是使用六味地黄丸（滋补肾阴的方剂）和十全大补汤，不到十天，各种症状痊愈，但痨瘵的症状却显现出来。
仍然使用前面的药物而痊愈。等到冬天娶妻，到了春天各种症状又发作。父母为此担忧，让他分房居住。幸好他年轻且谨慎调养身体，也服用了数斤地黄丸，煎药三百多剂而痊愈。
Xue Lizhai stated: A woman presented with laxity and non-closure of the yin gate (female genitalia), accompanied by swelling, pain, fever, and aversion to cold. She was treated with Shiquan Dabu Tang (Ten Complete Tonifying Decoction) added with Wuweizi (Schisandrae Fructus). After four doses, the swelling subsided and the tissues contracted. If the condition arises from postpartum swelling, or involves pain without laxity, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) should be used. If the swelling has subsided but the yin gate remains open, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is indicated. Cold-natured medicines must be strictly avoided.
Yu Zhen commented: Non-closure of the yu guan (jade gate, referring to the female genitalia) is undoubtedly a deficiency syndrome. However, within deficiency syndromes, further differentiation is required. Xue Lizhai has bestowed great benefits upon later learners. Nevertheless, there are many rare diseases in obstetrics and correspondingly many rare prescriptions; this collection cannot record them all. When encountering bizarre symptoms, one should consult the various books authored by Ye Tianshi (Ye Xinglin). What is difficult about learning medicine? It is merely reading more books. The History of Jin records that Zhang Jiegu (Zhang Yuansu) learned medicine and once dreamed that someone used a large axe and a long chisel to open his heart's orifices, placing several volumes of books inside. From then on, he thoroughly mastered the art. One might think that even for heaven to make someone a good physician, it is necessary to put books into their mind. Since we do not dream of axes and chisels opening our orifices, we must surely use our eyes to read and our mouths to recite, incorporating the knowledge into our hearts. If we incorporate enough, how could we possibly trail behind Zhang Jiegu? When facing rare diseases, there will naturally be rare prescriptions, which can be sought from the library within one's belly (metaphor for one's accumulated knowledge). Regarding the annotations by Jiang Gong in similar cases, he stated: "One must inquire about the difficulty of labor and the amount of blood loss to differentiate between excess and deficiency; furthermore, when blood heat is present, warm-drying agents are contraindicated." These are profound statements and can be considered merits contributing to Xue's theories.
Yu Zhen has never been proficient in surgery (yangke) and pediatrics, so he dared not select cases from these fields. Now, he selects a few items related to internal medicine, collecting them slightly to provide some residual light to adjacent walls (a metaphor for borrowing light or providing auxiliary reference).
Chen Douyan treated Jin Tai, a monk named Sizhen, who had developed sores all over his body for years, with no effect from medication. Chen said, "This is wind-pathogen stagnating in the Taiyin meridian, transforming into insect-related gangrene." Initially, the monk did not believe him. The next day, the monk examined several pieces of scab carefully and found insects resembling lice within them. He wept and bowed, begging for treatment. Chen instructed him to decoct Baibu (Stemonae Radix), Shechuangzi (Cnidii Fructus), Caowu (Aconiti Radix Preparata), and Liandeye (Meliae Folium) in a vat of water, allowing the monk to bathe for one or two shichen (hours). Countless scabs and insects fell off. After several baths over a month, the monk's skin resembled vitiligo, and he recovered.
Xue Lizhai treated a sixteen-year-old man who, in summer, experienced thirst, fever, expectoration, dry lips, and generalized scabies, particularly severe on both legs. The lesions were dark-colored and pruritic, worsening at dusk. In mid-winter, he developed ulcers on his legs, with a chi pulse that was flooding and rapid. Xue said, "Scabies belongs to kidney gangrene; ulcers belong to bone abscess. Both are deficiency syndromes of the Kidney meridian." After acupuncture, pus drained, and the qi seemed misty. Xue believed that during periods of fire hyperactivity, phthisis (consumption/tuberculosis) would inevitably occur. Thus, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and Shiquan Dabu Tang were administered. Within ten days, all symptoms resolved, yet signs of phthisis manifested.
He continued using the previous medications and eventually recovered. Upon marrying in winter, the symptoms recurred in spring. His parents were worried and ordered him to sleep in a separate room. Fortunately, being young and careful with his health, he consumed several jin of Dihuang Wan and took over three hundred doses of decoctions before recovering.