族侄孙媳程氏，双桂翁女也，年甫三旬，产曾五胎，今则经闭不行者八年，肌肉则丰肥
于昔
，饮食又倍加于昔，精采则艳美于昔，腹柔不坚，略无所谓病者。独经闭不行，不生育耳。
专科率用四物汤、玄胡索、牡丹皮、诸通调剂，计服千余帖矣。又如三棱、莪术、干漆
、桃仁、苏木之类，莫不概尝，罔有一应。访余为诊。六脉缓大有力。予曰∶此脾湿生痰，
脂满子宫，徒行血、活血、破血无益也。法宜调气消痰，燥湿熔脂，俾使清瘦，庶新饮食不
复生痰，不助肥脂，复为经水，经不期行而自行矣。若被专科者流，局局然养血活血破血，
而望其经行不也难乎？盖前剂皆滋湿生痰之味，非有湿痰者所宜。而肥人尤不宜用也。乃为
订一方，以平胃散加滑石、桃仁、黄连、姜黄、丹参、南星、半夏作丸剂服之，半年而经行
，次年生一子，后连生一子一女。
熊成八官，江右南昌人也。早起行路，忽见邪火两团滚滚而来，大惊骇。次日腹中膨懑
，渐
成胀满，面白皮薄，两手瘦削，两足皆有浮气，按之 然不起，行动气促，形神俱弱。医谓
神弱气促，面白肌瘦，胸腹青筋缕缕如贯索，小水清长，形症如此，脾虚所致，以参苓白术
散投之，十日，堵然如鼓，中有一块巍巍突出，坚若铁石，脐已平满，勺粒不入。医者复诊
，
与渠决曰∶若疾，法在不治，盍早图归，毋作异乡鬼也。病者闻言，泪簌簌下。熊东溪怜而
恳予为诊。脉沉弦有力。诊竟语渠曰∶审脉验症，非气虚中满候也。前补太骤，适有助长。
顾今霉雨途遥，即归，恐未能时刻可到；即到，未必遇良手，治稍异，则大事去矣。予有一
药，尚可冀生。东溪力为之请。以琥珀调中丸，日二进之。一进甚甘，再进称快。十日腹渐
宽，块渐熔，半月块尽消去，青筋俱敛。改以平胃散加萝卜子、姜黄、苡仁、砂仁、木香调
养一月，饮食大加，帖然安寝。两足之浮亦并消释。
族侄孙媳程氏，是双桂翁的女儿，年龄刚满三十岁，曾经生育过五个孩子。如今月经闭止不通已有八年，肌肉比过去更加丰满肥厚，饮食量又比过去加倍增加，精神面貌却比过去更加艳丽美好，腹部柔软而不坚硬，完全没有生病的样子。唯独月经闭止不通，不能生育罢了。
专科医生通常使用四物汤、玄胡索、牡丹皮等通经调血的药物，累计服用了千余帖。又如三棱、莪术、干漆、桃仁、苏木这类破血逐瘀的药物，没有不尝试过的，但没有一次见效。后来找到我为她诊治。六脉缓大而有力。我说：这是脾虚湿盛生痰，脂肪充满子宫，单纯行血、活血、破血是没有益处的。治疗法则应当调理气机、消除痰湿，燥湿熔脂，使身体变得清瘦，这样新的饮食就不会再生成痰湿，不再助长肥脂，而是转化为经水，月经不用期待也会自行来潮。如果被专科医生拘泥于养血、活血、破血的方法，而希望月经来潮，难道不难吗？因为前面的药方都是滋腻生湿生痰的药物，不适合有湿痰的人服用，尤其是肥胖之人更不宜使用。于是为她制定一方，以平胃散为基础，加入滑石、桃仁、黄连、姜黄、丹参、南星、半夏制成丸剂服用，半年后月经来潮，次年生下一个儿子，后来接连生下一子一女。
熊成八官，是江右南昌人。早起走路时，忽然看见两团邪火滚滚而来，非常惊恐骇怕。第二天腹部胀闷，逐渐形成胀满，面色苍白皮肤薄，两手消瘦，两脚都有浮肿，按压后凹陷不起，行动时气喘吁吁，形体和精神都虚弱。医生认为神弱气促、面白肌瘦、胸腹青筋缕缕如绳索贯穿、小便清长，症状如此，是脾虚所致，给予参苓白术散投服，十天后，腹部堵闷如鼓，中间有一块高高突出，坚硬如铁石，肚脐已平满，连勺粒食物都无法入口。医生再次诊察，对他决断说：你的病，按照医理属于不治之症，何不早点打算回家，不要做异乡的鬼魂。病人听到这话，眼泪簌簌落下。熊东溪怜悯他，恳请我为他诊治。脉象沉弦有力。诊察完后我对他说：审察脉象验证症状，并非气虚中满的证候。之前的补益太过急促，正好帮助了病邪生长。况且现在正值梅雨季节，路途遥远，即使回去，恐怕也不能时刻到达；即使到了，未必能遇到好医生，治疗稍有差异，就大事去矣。我有一种药，还可以希望存活。熊东溪极力为他请求。用琥珀调中丸，每天进服两次。第一次服用觉得很舒适，第二次服用感到畅快。十天后腹部逐渐宽松，肿块逐渐熔化，半个月后肿块完全消失，青筋全部收敛。改为用平胃散加入萝卜子、姜黄、苡仁、砂仁、木香调养一个月，饮食大大增加，安稳入睡。两脚的浮肿也一并消除。
The wife of my clan's great-nephew, Cheng Shi, was the daughter of Shuanggui Weng. She was just thirty years old and had given birth to five children previously. For the past eight years, her menstruation had been amenorrheic (absence of menstruation). Her muscles were fatter than before, her food intake had doubled compared to the past, yet her spirit and complexion were more radiant than ever. Her abdomen was soft and not hard, showing no signs of illness whatsoever, except for the amenorrhea and infertility.
Specialist doctors typically used Siwu Tang (Four Substances Decoction), Yanhusuo (Corydalis Rhizome), Mudanpi (Tree Peony Bark), and other blood-invigorating and regulating prescriptions, totaling over a thousand doses. They also tried Sanleng (Burreed Tuber), Ezhu (Curcuma Zedoary Rhizome), Ganqi (Lacquer Tree Resin), Taoren (Peach Seed), Sumu (Calamus Wood), and similar blood-breaking substances, but none yielded any effect. She then sought my consultation. Her six pulses were slow, large, and forceful. I said: This is phlegm generated by spleen dampness, with fat filling the uterus. Merely moving blood, invigorating blood, or breaking blood is of no benefit. The treatment principle should be to regulate qi and eliminate phlegm, dry dampness and melt fat, so that the body becomes leaner. In this way, new dietary intake will not generate phlegm or assist in accumulating fat, but will instead transform into menstrual blood, which will flow spontaneously without expectation. If one adheres strictly to nourishing blood, invigorating blood, and breaking blood as specialist doctors do, hoping for menstruation to resume, is it not difficult? Indeed, the previous prescriptions consisted of cloying, damp-generating, and phlegm-producing herbs, unsuitable for those with damp-phlegm, especially for obese individuals. Therefore, I formulated a prescription based on Pingwei San (Stomach-Pacifying Powder) added with Huashi (Talcum), Taoren (Peach Seed), Huanglian (Coptis Rhizome), Jianghuang (Turmeric Rhizome), Danshen (Salvia Miltiorrhiza Root), Nanxing (Arisaema Cum Bile), and Banxia (Pinellia Tuber), made into pills. After half a year, menstruation resumed. The following year, she gave birth to a son, and subsequently bore another son and a daughter.
Xiong Chengbaguan was from Nanchang, Jiangyou. While walking early in the morning, he suddenly saw two masses of "evil fire" rolling towards him, causing great fright. The next day, his abdomen became distended and bloated, gradually worsening. His face was pale with thin skin, his hands were emaciated, and both feet showed edema (swelling); pressing the swelling left an indentation that did not immediately rebound. He experienced shortness of breath upon movement, and both his form and spirit were weak. Physicians reasoned that due to weak spirit, shortness of breath, pale face, emaciated muscles, visible blue veins in the chest and abdomen like ropes, and clear, long urination, these symptoms indicated spleen deficiency. They administered Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder). After ten days, his abdomen became tightly distended like a drum, with a prominent, rock-hard mass protruding in the center. His umbilicus was flat and full, and he could not ingest even a spoonful of food. Upon re-examination, the physician declared: Your condition is incurable according to medical principles. Why not plan to return home soon and avoid becoming a ghost in a foreign land? Hearing this, the patient wept bitterly. Xiong Dongxi, pitying him, earnestly requested my consultation. His pulse was deep, wiry, and forceful. After examining him, I told him: Based on the pulse and symptoms, this is not a pattern of qi deficiency with middle jiao fullness. The previous tonification was too abrupt, inadvertently aiding the pathogen. Moreover, it is currently the plum rain season, and the journey home is long; even if you return, you may not arrive promptly. Even if you do, you might not find a skilled practitioner; a slight deviation in treatment would lead to disaster. I have a remedy that offers hope for survival. Dongxi pleaded strongly on his behalf. We administered Hupo Tiaozhong Wan (Amber Regulating Middle Pill) twice daily. After the first dose, he felt very comfortable; after the second, he felt relieved. Ten days later, his abdomen gradually softened, and the mass began to dissolve. Within half a month, the mass disappeared completely, and the visible veins receded. The prescription was changed to Pingwei San (Stomach-Pacifying Powder) added with Luobozzi (Radish Seed), Jianghuang (Turmeric Rhizome), Yiren (Coix Seed), Sharen (Amomum Fruit), and Muxiang (Aucklandia Root) for one month of conditioning. His appetite increased significantly, and he slept peacefully. The edema in both feet also resolved.