冬官朱省庵，停食感寒而患疟，自用清脾、截疟二药，食后腹胀，时或作痛，服二陈、黄连、枳实之
类，小腹重坠，腿足浮肿，加白术山楂，吐食未化。谓余曰∶何也？余曰∶食后胀痛，乃脾虚不能克化也；小
腹重坠，乃脾虚不能升举也；腿足浮肿，乃脾虚不能营运也；吐食不消，乃脾胃虚寒无火也。治以补中益气，
加吴茱萸、炮姜、肉桂，一剂诸证顿退，饮食顿加，不数剂而痊。大凡停食之症，宜用六君子、枳实、浓朴。
若食已消而不愈，用六君子汤。若内伤外感，用藿香正气散。若内伤多而外感少，用人参养胃汤。若劳伤元气
兼外感，用补中益气加川芎。若劳伤元气兼伤食，补中益气加神曲、陈皮。若气恼兼食，用六君子加香附、
山栀。若咽酸或食后口酸，当节饮食。病作时，大热燥渴，以姜汤乘热饮之，此截疟之良法也。夫人以脾胃为
主，未有肺胃实而患疟，痢者，若专主发表攻里，降火导痰，治末而忘本矣。
一儒者，秋患寒热，至春未愈，胸痞腹胀。余用人参二两，生姜二两煨熟，煎服，寒热即止。更以调
中益气加半夏、茯苓、炮姜数剂，元气顿复。后任县尹，每饮食劳倦疾作，服前药即愈。
府庠徐道大母，胃脘当心而剧痛，脉右寸关俱无，左虽有，微而似绝，手足厥冷，病势危笃。察其色，
眼胞上下青黯。此脾虚肝木所胜，用参，术、茯苓、陈皮、甘草补其中气，用木香和胃气以行肝气，用吴茱
萸散脾胃之寒，止心腹之痛，急与一剂，病悉愈。向使泥其痛无补法，而反用攻伐之药，祸不旋踵。
冬官（清代官职名）朱省庵，因饮食停滞又感受寒邪而患上疟疾。他自行服用清脾散、截疟丸两种药物后，饭后出现腹部胀满，偶尔发生疼痛。接着又服用了二陈汤、黄连、枳实之类的药物，导致小腹有沉重下坠感，腿脚浮肿。随后加入白术、山楂，结果导致呕吐出未消化的食物。他对我说：“这是怎么回事？”我回答说：“饭后胀痛，是脾气虚弱不能运化水谷；小腹沉重下坠，是脾气虚弱不能升提举陷；腿足浮肿，是脾气虚弱不能运行津液；呕吐不消化的食物，是脾胃虚寒、命门火衰所致。”治疗采用补中益气汤，加入吴茱萸、炮姜、肉桂，服用一剂后各种症状立刻消退，食欲立刻增加，没过几剂药就痊愈了。大凡饮食停滞的病症，适宜使用六君子汤、枳实、厚朴。如果食物已经消化但病仍未愈，使用六君子汤。如果是内伤兼外感，使用藿香正气散。如果是内伤重而外感轻，使用人参养胃汤。如果是劳倦损伤元气兼感外邪，使用补中益气汤加川芎。如果是劳倦损伤元气兼饮食停滞，使用补中益气汤加神曲、陈皮。如果是气恼郁结兼饮食停滞，使用六君子汤加香附、山栀。如果出现咽部泛酸或饭后口中有酸味，应当节制饮食。疾病发作时，若出现高热、烦躁口渴，用姜汤趁热饮用，这是截断疟疾发作的好方法。大凡人以脾胃为本，没有肺胃实证而患疟疾、痢疾的，如果专门主张发表攻里、降火化痰，就是治标忘本了。
有一位读书人，秋季患寒热往来（疟疾症状），到春季仍未痊愈，伴有胸膈痞闷、腹部胀满。我用人参二两，生姜二两煨熟，煎汤服用，寒热症状立即停止。随后改用调中益气汤，加入半夏、茯苓、炮姜，服用数剂后，元气迅速恢复。后来他担任县尹一职，每当因饮食不节或劳累疲倦导致疾病发作，服用前面的药物即可痊愈。
府庠（生员）徐道大的母亲，胃脘部当心位置剧烈疼痛，右手寸关脉均摸不到，左手脉虽然存在，但微弱得几乎感觉不到，手脚冰冷，病情非常危急。观察她的面色，眼睑上下呈现青暗色。这是脾气虚弱，肝木乘虚克制脾土所致。使用人参、白术、茯苓、陈皮、甘草来补益中气；使用木香调和胃气以疏泄肝气；使用吴茱萸驱散脾胃寒气，止住心腹疼痛。紧急给予一剂药，病情完全治愈。假如拘泥于“痛无补法”的说法，反而使用攻伐的药物，灾祸将接踵而至。
Zhu Shengan, an official in the Ministry of Works (Dongguan), contracted malaria due to food stagnation and cold invasion. After self-medicating with Qingpi San (Clear the Spleen Powder) and Jiemie Wan (Malaria-Intercepting Pill), he experienced abdominal distension after meals and occasional pain. Subsequently, he took Erchen Tang (Two-Cured Decoction), Huanglian (Coptis Rhizome), Zhishi (Immature Bitter Orange), and similar substances, which resulted in a heavy bearing-down sensation in the lower abdomen and edema in the legs and feet. He then added Baizhu (Atractylodes Macrocephala Rhizome) and Shanzha (Hawthorn Fruit), leading to vomiting of undigested food. He asked me, "What is happening?" I replied, "The postprandial distension and pain indicate Spleen Qi deficiency failing to transform and transport; the heavy bearing-down in the lower abdomen indicates Spleen Qi deficiency failing to raise and support; the edema in the legs and feet indicates Spleen Qi deficiency failing to circulate fluids; the vomiting of undigested food indicates deficiency-cold of the Spleen and Stomach with a lack of Mingmen Fire (Gate of Life Fire). The treatment employed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), augmented with Wuzhuyu (Evodia Fruit), Paojiang (Prepared Ginger), and Rougui (Cinnamon Bark). After one dose, all symptoms receded instantly, appetite increased immediately, and recovery was achieved within a few doses. Generally, for conditions of food stagnation, Liujunzi Tang (Six-Gentlemen Decoction), Zhishi, and Houpo (Magnolia Bark) are appropriate. If the food has digested but the illness persists, use Liujunzi Tang. If there is internal injury combined with external contraction, use Huoxiang Zhengqi San (Agarweed Powder to Rectify the Qi). If internal injury is severe and external contraction is mild, use Renshen Yangwei Tang (Ginseng Decoction to Nourish the Stomach). If labor and fatigue have damaged Yuan Qi (Primal Qi) accompanied by external contraction, use Buzhong Yiqi Tang plus Chuanxiong (Sichuan Lovage Rhizome). If labor and fatigue have damaged Yuan Qi accompanied by food stagnation, use Buzhong Yiqi Tang plus Shenqu (Medicated Leaven) and Chenpi (Tangerine Peel). If emotional anger is combined with food stagnation, use Liujunzi Tang plus Xiangfu (Cyperus Rhizome) and Shanzhi (Gardenia Fruit). If there is acid regurgitation or a sour taste in the mouth after eating, dietary restraint is necessary. When the disease flares up with high fever, dryness, and thirst, drinking hot Jiangtang (Ginger Decoction) while hot is an excellent method to intercept the malaria. Fundamentally, humans rely on the Spleen and Stomach as their root. There are no cases of malaria or dysentery arising from excess patterns in the Lung and Stomach; focusing solely on releasing the exterior, purging the interior, clearing fire, and guiding out phlegm treats the branch while forgetting the root.
A scholar suffered from alternating chills and fever starting in autumn, which persisted into spring, accompanied by chest stuffiness and abdominal distension. I prescribed two liang of Renshen (Ginseng Root) and two liang of Shengjiang (Fresh Ginger) baked until cooked, decocted and administered. The chills and fever ceased immediately. Subsequently, Tiaozhong Yiqi Tang (Regulate the Middle and Augment the Qi Decoction) was used, augmented with Banxia (Pinellia Tuber), Fuling (Poria), and Paojiang. After a few doses, Yuan Qi was rapidly restored. Later, when he served as a County Magistrate, any recurrence of illness due to improper diet or fatigue and overwork was cured by taking the aforementioned medicines.
Mrs. Xu Daoda, a female shengyuan (student), suffered from severe pain in the epigastrium at the heart's location. Her pulses at the Right Cun and Guan positions were imperceptible; although the Left pulse existed, it was faint and nearly absent. Her hands and feet were cold, and her condition was critical. Observing her complexion, the skin above and below her eyelids appeared dark blue. This indicated Spleen deficiency allowing Liver Wood to overact upon Earth. We used Renshen, Baizhu, Fuling, Chenpi, and Gancao (Licorice Root) to tonify Middle Qi; Muxiang (Aucklandia Root) to harmonize Stomach Qi and move Liver Qi; and Wuzhuyu to disperse Cold in the Spleen and Stomach and stop heart and abdominal pain. An urgent single dose was given, resulting in complete recovery. Had we rigidly adhered to the notion that "pain admits no tonification" and instead used attacking drugs, disaster would have followed swiftly.