一仆妇，头疼喉咙痛，咳嗽呕恶吐痰，胸膈作胀，经水适来，身热口干，此少阳经痰火
症也
。用柴胡为君，半夏、白芍药、竹茹为臣，葛根、天花粉、橘红、桑白皮、黄芩、知母为佐
，甘草、桔梗为使，一帖微汗而热散痛除。惟痰嗽不转，小水短涩。柴胡、知母、麦冬、竹
茹各八分，白芍药一钱，滑石三钱，黄芩、贝母、桔梗各七分，五味子十二粒，甘草三分，
一帖而瘳。
族侄妇范氏，大参 老女也。素有痰涎，胸腹痞胀。近因乳肿，大发寒热，欲成痈毒。以加
味神效栝蒌散二帖，寒热虽退而肿不消，用贝母、白芷为臣，栝蒌为君，赤芍药、当归、连
翘为佐，青皮、甘草、柴胡为使，痛虽减而肿仍不消。脉之近数，知已成脓，仍与内托十宣
散加金银花、蒲公英两帖而脓溃。因脚上生疮而有浮气，前方去蒲公英、金银花，加薏苡仁
、苍耳子，调理全安。
表侄女黄氏，孕已七月患赤痢，腹痛后重。体素弱，举家甚忧。以白芍药三钱，条芩一
钱五
分，白术、地榆各八分，甘草三分，两帖而愈。后五日报云，因稍劳痢又复来，教以当归三
钱，川芎一钱半，真阿胶二钱，艾叶三分，一帖全瘳。
一程氏妇，吾孙门女也。小产后二十日矣，患赤痢，一日十余次，怯寒恶食，小腹胀痛
。诊
之右寸滑大，知其虚中有热，忆其恶露未净，故小腹胀痛。专科泥丹溪产后大补气血之语，
概施之，因而作痢。乃翁曰∶病尚怯寒，何云有热？予曰∶书云恶寒非寒，明是热症由热极
而似水也。饮药后当自知之。以白芍药、当归、滑石为君，桃仁、酒芩、酒连为臣，木香、
桂皮、槟榔为佐，青皮为使。服下果去臭黑瘀血甚多，小腹顿宽，惟口干小水少，恶心，怕
饮
食，体倦，仍里急后重。人参、川芎、白芍药各一钱，当归一钱五分，酒连、陈皮各六分，
木香二分，外与清六丸服下，热除，痢减十之八矣。但大便不实，恶心、虚弱，以四君子汤
加酒炒白芍药、陈皮、木香、肉果、酒连、当归养之而平。
一位仆妇，出现头痛、喉咙痛的症状，伴有咳嗽、恶心呕吐及咳痰，胸膈部位感到胀满。此时正值月经来潮，身体发热且口干，这是少阳经痰火证。治疗以柴胡为君药，半夏、白芍药、竹茹为臣药，葛根、天花粉、橘红、桑白皮、黄芩、知母为佐药，甘草、桔梗为使药。服用一剂后微微出汗，热退痛止。唯独痰嗽未愈，小便短少涩滞。改用柴胡、知母、麦冬、竹茹各八分，白芍药一钱，滑石三钱，黄芩、贝母、桔梗各七分，五味子十二粒，甘草三分，服用一剂后痊愈。
族侄的妻子范氏，是一位年老的参议（大参）之妻。她平时就有痰涎多、胸腹部痞闷胀满的毛病。最近因乳房肿胀，引发严重的寒热症状，快要形成痈毒了。先用了加味神效栝蒌散两帖，虽然寒热退了但肿胀未消。于是用贝母、白芷作为臣药，栝蒌作为君药，赤芍药、当归、连翘作为佐药，青皮、甘草、柴胡作为使药。疼痛虽减轻但肿胀仍未消退。诊脉发现脉搏近于数脉，知道脓已经形成，仍然给予内托十宣散，并加入金银花、蒲公英，服用两帖后脓溃破。因为脚上生疮且有浮肿之气，前方去掉蒲公英、金银花，加入薏苡仁、苍耳子，调理后完全康复。
表侄女黄氏，怀孕七个月时患赤痢，腹痛且有里急后重感。她体质素来虚弱，全家都很担忧。用白芍药三钱，条芩一钱五分，白术、地榆各八分，甘草三分，服用两帖后痊愈。后来五天报信说，因为稍微劳累痢疾又复发了，教导她用当归三钱，川芎一钱半，真阿胶二钱，艾叶三分，服用一帖后完全治愈。
一位姓程的妇人，是我孙辈门下的女子。小产后二十天了，患上赤痢，一天腹泻十多次，怕冷厌食，小腹胀痛。诊察她的右寸脉滑大，知道她是虚中有热，想起她恶露尚未排净，所以小腹胀痛。专科医生拘泥于丹溪关于产后要大补气血的说法，一概施用补法，因而导致痢疾发作。她的父亲说：“病尚且怕冷，怎么能说有热？”我说：“书上说恶寒并非真正的寒症，明明是热症，由热极而表现出像水一样的寒冷。”服药后自然明白。用白芍药、当归、滑石作为君药，桃仁、酒芩、酒连作为臣药，木香、桂皮、槟榔作为佐药，青皮作为使药。服下后果然排出很多臭黑的瘀血，小腹顿时宽松，只是口干、小便少、恶心、害怕饮食、身体疲倦，仍有里急后重。用人参、川芎、白芍药各一钱，当归一钱五分，酒连、陈皮各六分，木香二分，外用清六丸服用，热除，痢疾减少了十分之八。但大便不成形，有恶心、虚弱症状，用四君子汤加酒炒白芍药、陈皮、木香、肉果、酒连、当归调养而平复。
A female servant presented with headache, sore throat, cough, nausea, vomiting with phlegm expectoration, and distension in the chest and diaphragm. Her menstruation had just begun, accompanied by fever and dry mouth. This is a Phlegm-Fire Syndrome of the Shaoyang Channel (Shaoyang Jing Tan Huo Zheng). The prescription used Chai Hu (Bupleuri Radix) as the Sovereign (Jun), Ban Xia (Pinelliae Rhizoma), Bai Shao Yao (Paeoniae Radix Alba), and Zhu Ru (Bambusae Caulis in Taeniam) as the Ministers (Chen), Ge Gen (Puerariae Lobatae Radix), Tian Hua Fen (Trichosanthis Radix), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Sang Bai Pi (Mori Cortex), Huang Qin (Scutellariae Radix), and Zhi Mu (Anemarrhenae Rhizoma) as the Assistants (Zuo), Gan Cao (Glycyrrhizae Radix et Rhizoma) and Jie Geng (Platycodonis Radix) as the Envoys (Shi). After one dose, slight sweating occurred, heat dissipated, and pain ceased. However, the phlegmy cough persisted, and urination was scanty and difficult. A modified formula was prescribed: Chai Hu, Zhi Mu, Mai Dong (Ophiopogonis Radix), and Zhu Ru each 8 fen; Bai Shao Yao 1 qian; Hua Shi (Talcum) 3 qian; Huang Qin, Bei Mu (Fritillariae Bulbus), and Jie Geng each 7 fen; Wu Wei Zi (Schisandrae Chinensis Fructus) 12 grains; Gan Cao 3 fen. One dose resulted in recovery.
The wife of my clan's nephew, Ms. Fan, was an elderly lady whose husband held the title of Grand Secretary (Da Can). She habitually suffered from excessive phlegm and saliva, along with fullness and distension in the chest and abdomen. Recently, due to breast swelling, she developed severe chills and fever, threatening to form an abscess. Initially, two doses of Jia Wei Shen Xiao Gua Lou San were administered. Although the chills and fever subsided, the swelling remained. Subsequently, Bei Mu and Bai Zhi (Angelicae Dahuricae Radix) were used as Ministers, Gua Lou (Trichosanthis Fructus) as the Sovereign, Chi Shao Yao (Paeoniae Radix Rubra), Dang Gui (Angelicae Sinensis Radix), and Lian Qiao (Forsythiae Fructus) as Assistants, and Qing Pi (Citri Reticulatae Pericarpium Viride), Gan Cao, and Chai Hu as Envoys. Pain decreased, but swelling persisted. Palpation revealed a near-rapid pulse, indicating that pus had formed. Neituo Shixuan San was continued, supplemented with Jin Yin Hua (Lonicerae Japonicae Flos) and Pu Gong Ying (Taraxaci Herba). After two doses, the abscess ruptured. Because sores appeared on her feet accompanied by edema, Pu Gong Ying and Jin Yin Hua were removed from the previous formula, and Yi Yi Ren (Coicis Semen) and Cang Er Zi (Xanthii Fructus) were added. She recovered fully after regulation.
Ms. Huang, my cousin's granddaughter, contracted dysentery with red stool at seven months of pregnancy, accompanied by abdominal pain and tenesmus. Her constitution was inherently weak, causing great worry for the family. She was treated with Bai Shao Yao 3 qian, Tiao Qin (Scutellariae Radix) 1.5 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) and Di Yu (Sanguisorbae Radix) each 8 fen, and Gan Cao 3 fen. She recovered after two doses. Five days later, news arrived that the dysentery relapsed due to slight exertion. She was instructed to take Dang Gui 3 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1.5 qian, Zhen E Jiao (Colla Corii Asini) 2 qian, and Ai Ye (Artemisiae Argyi Folium) 3 fen. One dose led to complete cure.
Ms. Cheng, a young woman under my grandson's care, suffered from dysentery with red stool twenty days post-miscarriage. She defecated more than ten times a day, felt aversion to cold, lost appetite, and experienced lower abdominal distension and pain. Examination of her right Cun pulse revealed it to be slippery and large, indicating deficiency with internal heat. Recalling that her lochia was not yet completely expelled, I attributed the lower abdominal distension and pain to this cause. Specialists, adhering rigidly to Danxi's principle of greatly tonifying Qi and Blood after childbirth, applied general tonification, which exacerbated the dysentery. Her father asked, "The patient still fears cold; how can you say there is heat?" I replied, "The classics state that aversion to cold does not necessarily mean cold syndrome; it is clearly a heat syndrome where extreme heat mimics water-like cold." She would realize this after taking the medicine. The prescription used Bai Shao Yao, Dang Gui, and Hua Shi as Sovereigns; Tao Ren (Persicae Semen), Jiu Qin (Scutellariae Radix prepared with wine), and Jiu Lian (Coptidis Rhizoma prepared with wine) as Ministers; Mu Xiang (Aucklandiae Radix), Gui Pi (Cinnamomi Cortex), and Bing Lang (Arecae Semen) as Assistants; and Qing Pi as Envoy. Upon ingestion, a significant amount of foul-smelling black blood clots were discharged, and the lower abdomen immediately relaxed. However, she still had dry mouth, scanty urine, nausea, fear of food intake, fatigue, and tenesmus. A second prescription consisted of Ren Shen (Ginseng Radix), Chuan Xiong, and Bai Shao Yao each 1 qian; Dang Gui 1.5 qian; Jiu Lian and Chen Pi (Citri Reticulatae Pericarpium) each 6 fen; Mu Xiang 2 fen. Additionally, Qing Liu Wan was administered externally/orally. Heat was eliminated, and dysentery reduced by eighty percent. However, stools remained loose, with persistent nausea and weakness. She was nourished with Sijunzi Tang (Four Gentlemen Decoction) supplemented with Jiu Chao Bai Shao Yao, Chen Pi, Mu Xiang, Rou Guo (Myristicae Semen), Jiu Lian, and Dang Gui, leading to stabilization.