万肃庵先生令郎，发热十一日，口渴，舌心色若沉香，且甚干燥，额上热极，两胁亦热
，耳
微聋，曾未有汗，亦已下二次，热不少除，小水绝少，神昏足冷，饮食不思。市医技穷，仍
告急于予。予诊之，左脉中按数而有力，右脉软弱，据症为阳明少阳并病也。当以柴葛汤清
其热，看汗有无，再死机而处。柴胡五钱，葛根三钱，白芍药、石膏各二钱，人参、升麻、
天花粉各一钱，粉草七分，水煎服之。次早诊，数脉稍缓，热稍退，舌齿仍干，小水不利，
神思尚昏沉，改用柴胡、粉草、天花粉、黄芩、人参、白术、茯苓、滑石、木通、泽泻。下
午又觉微热，面赤，额上痛且重，即以益元散三钱服之。大便行一次，溏而色黄，热仍甚，
面仍赤，服前药后，小水去二次。再诊之，寸关脉将和，两尺尚洪大，乃知邪热在下焦，唯
利
之而已。再与辰砂益元散五钱，口渴稍止，齿下盘虽润，上盘仍燥，神思昏沉，睡而不醒，
睛彩不与人相当，又知热在心包络也。宜用陶节庵导赤散，二帖而神清，唯小水尚欠利，以
四苓散加酒连、麦芽、木通煎服，再二帖而诸症悉退，饮食且进矣。
大宗伯万履庵老先生夫人，右胁下疼，咳嗽喉干，间亦吐红，或一碗，或半碗，肠鸣泄
泻，
年六十外。原因头风坏目，性躁急。左脉弦数，右滑数。以栝蒌仁二钱，黄连、前胡、桔梗
、枳壳、橘红、贝母、白茯苓各八分，甘草五分服之，次日红仍不止，唯胁疼减半。改用山
栀仁、牡丹皮、香附、贝母、甘草、栝蒌、紫菀、滑石水煎服。方欲觅真郁金，苦不能得，
唐凝庵老先生，乃夫人婿也，偶至闻之，应声曰∶有。取磨三分，用煎药饮之，二帖而红止
痛瘳。
万肃庵先生的儿子，发热持续了十一日，口渴，舌中心颜色像沉香一样，而且非常干燥，额头热得厉害，两胁也发热，耳朵轻微听不见声音，此前从未出过汗，虽然已经腹泻两次，但热度没有明显减退，小便极少，神志昏迷，脚发冷，不想吃东西。当地医生束手无策，再次向我求助。我诊察他的脉象，左手脉在中取时数而有力，右手脉软弱无力，根据症状判断为阳明病和少阳病并见。应当用柴葛汤来清解热邪，观察是否有汗出，再根据病情变化调整处方。处方：柴胡五钱，葛根三钱，白芍药、石膏各二钱，人参、升麻、天花粉各一钱，粉草（甘草）七分，水煎服。第二天早晨诊察，数脉稍微缓和，热度稍退，但舌头和牙齿仍然干燥，小便不通畅，神思依然昏沉，于是改用柴胡、粉草、天花粉、黄芩、人参、白术、茯苓、滑石、木通、泽泻。下午又觉得微微发热，面色发红，额头疼痛且沉重，随即服用益元散三钱。大便排了一次，稀溏且颜色发黄，热度仍然很高，面色依然发红，服用前药后，小便去了两次。再次诊察，寸口和关口的脉象将要调和，但两尺脉仍然洪大，这才知道邪热在下焦，只有利小便的方法才能解决。再次给予辰砂益元散五钱，口渴稍微停止，下唇虽湿润，上唇仍然干燥，神思昏沉，睡觉但不醒来，眼神光彩不与外界相应，又知道热邪在心包络。适宜使用陶节庵的导赤散，服用两帖后神志清醒，只是小便仍然不够通畅，用四苓散加酒炒黄连、麦芽、木通煎服，再服两帖后所有症状全部消退，饮食也开始进补了。
大宗伯万履庵老先生的夫人，右胁下疼痛，咳嗽喉咙干，偶尔吐血，有时一碗，有时半碗，肠鸣泄泻，年龄六十多岁。起因是头风病导致眼睛受损，性格急躁。左脉弦数，右脉滑数。用栝蒌仁二钱，黄连、前胡、桔梗、枳壳、橘红、贝母、白茯苓各八分，甘草五分服用，第二天血仍不止，只有胁痛减半。改用山栀仁、牡丹皮、香附、贝母、甘草、栝蒌、紫菀、滑石水煎服。正想寻找真郁金，苦于得不到，唐凝庵老先生，是夫人的女婿，偶然来到听说此事，应声说：“有。”取郁金磨成三分，用药汁送服，两帖后血止疼痛减轻。
The son of Mr. Wan Su'an suffered from fever for eleven days, with thirst, the center of the tongue colored like agarwood and extremely dry, extreme heat on the forehead, heat in both hypochondriac regions, slight deafness in the ears, no sweat had been produced previously, although he had defecated twice, the heat was not significantly reduced, urine was extremely scanty, consciousness was clouded, feet were cold, and there was no desire for food. Local physicians exhausted their skills and again sought my help upon urgent request. Upon examination, the pulse at the middle position on the left hand was rapid and forceful, while the right hand pulse was weak and soft. Based on the symptoms, this was diagnosed as a concurrent disease of Yangming (Yangming Syndrome) and Shaoyang (Shaoyang Syndrome). It was appropriate to use Chai Ge Tang (Bupleurum and Pueraria Decoction) to clear the heat, observe whether sweating occurs, and then adjust the prescription according to the changing condition. Prescription: Bupleuri Radix (Chaihu) 5 qian, Puerariae Lobatae Radix (Gegen) 3 qian, Paeoniae Radix Alba (Baishao), Gypsum Fibrosum (Shigao) each 2 qian, Ginseng Radix (Renshen), Cimicifugae Rhizoma (Shengma), Trichosanthis Radix (Tianhuafen) each 1 qian, Glycyrrhizae Radix et Rhizoma (Fencao) 7 fen, decocted in water and taken orally. The next morning, upon examination, the rapid pulse had slightly slowed, the heat had slightly subsided, but the tongue and teeth remained dry, urination was difficult, and mental clarity was still clouded. Therefore, the formula was changed to include Bupleuri Radix (Chaihu), Glycyrrhizae Radix et Rhizoma (Fencao), Trichosanthis Radix (Tianhuafen), Scutellariae Radix (Huangqin), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Talcum (Huashi), Akebiae Caulis (Mutong), Alismatis Rhizoma (Zexie). In the afternoon, slight fever returned, the face became red, and the forehead was painful and heavy. Immediately, Yi Yuan San (Yiyuan Powder) 3 qian was administered. One bowel movement occurred, which was loose and yellow in color; the heat remained severe, and the face remained red. After taking the previous medicine, urination occurred twice. Upon re-examination, the Cun (Inch) and Guan (Carpal) positions of the pulse were approaching harmony, but the Chi (Cubit) positions on both sides were still surging and large. It was then understood that the pathogenic heat was in the Lower Jiao (Lower Burner), and only by promoting urination could it be resolved. Again, Chen Sha Yi Yuan San (Cinnabar Yi Yuan Powder) 5 qian was given. Thirst slightly stopped, the lower lip became moist, but the upper lip remained dry; consciousness was clouded, sleeping but not waking, and eye luster did not respond to external stimuli. It was further determined that the heat was in the Pericardium Collateral (Xin Bao Luo). It was suitable to use Tao Jian'an's Dao Chi San (Guide Out Red Powder). After two doses, mental clarity returned, although urination was still not smooth. Si Ling San (Four-Poria Powder) was added with wine-processed Coptidis Rhizoma (Jiu Lian), Hordeum Vulgare Sprout (Maiya), and Akebiae Caulis (Mutong), decocted and taken. After another two doses, all symptoms subsided, and dietary intake improved.
The wife of Grand Secretary Mr. Wan Lu'an experienced pain under the right hypochondrium, coughing with a dry throat, occasional hematemesis (vomiting blood), sometimes a bowlful, sometimes half a bowlful, borborygmus (intestinal rumbling) with diarrhea, aged over sixty. The cause was attributed to head wind disease damaging the eyes, with an irritable temperament. The left pulse was wiry and rapid, the right pulse was slippery and rapid. She was prescribed Trichosanthis Semen (Gualou Ren) 2 qian, Coptidis Rhizoma (Huanglian), Peucedani Radix (Qianhu), Platycodonis Radix (Jiegeng), Aurantii Fructus Immaturus (Zhike), Citri Reticulatae Pericarpium (Juhong), Fritillariae Bulbus (Beimu), Poria (Baifuling) each 8 fen, and Glycyrrhizae Radix et Rhizoma (Gancao) 5 fen. The next day, bleeding continued, though hypochondriac pain halved. The prescription was changed to Gardeniae Fructus (Shanzhiren), Moutan Cortex (Mudanpi), Cyperi Rhizoma (Xiangfu), Fritillariae Bulbus (Beimu), Glycyrrhizae Radix et Rhizoma (Gancao), Trichosanthis Fruit (Gualou), Asteris Radix (Ziwan), Talcum (Huashi), decocted in water. Just as I was trying to find true Curcuma Longa Rhizoma (Yujin) but could not obtain it, Mr. Tang Ning'an, who was the lady's son-in-law, happened to arrive and heard of this, responding immediately: "I have it." He took Curcuma Longa Rhizoma (Yujin), ground three fen, and mixed it with the herbal decoction to drink. After two doses, bleeding stopped and pain alleviated.