诰封吴太夫人者，车驾涌澜公母也。年余六十，久患白带，历治不效，变为白崩，逆予
治之。诊得右寸滑，左寸短弱，两关濡，两尺皆软弱。予曰∶据脉，心肾俱不足，而中焦不湿。
《脉经》云∶崩中日久为白带，漏下多时骨木枯。今白物下多，气血日败，法当燥脾，兼补
心肾。以既济丹补其心肾，以断下丸燥中宫之湿，则万全矣。服果不终剂而愈。
既济丹方∶鹿角霜、当归、白茯苓各二两，石菖蒲、远志各一两五钱，龙骨、白石脂各
一两，益智仁五钱，干山药打糊为丸，梧桐子大，空心白汤下七八十丸。
断下丸方∶头二蚕砂(炒三两，)黄荆子(炒二两，)海螵蛸(磨去黑甲，)樗根白皮(各一
两，)面糊为丸，下午白汤送下六十丸。
吴北海太学令政，每月经行期之前，四肢累累发块，红紫胀痛，不思饮食，胃脘亦常痛
，经水多不及期。诊其脉，两手皆驶，以症脉参之，肝脾二经有郁火也。盖肝主怒，脾主思，多
思多怒，隐而不发，郁滞于中，故临经累累发红肿于四肢也。以柴胡、川芎、香附、乌药、
白芍药、青皮、丹参、玄胡索、郁金、酒炒黄连、山栀子，治之而愈。
吴之清客周刍玉者，豪放不拘，人言有晋人风，酒后益恣而好男色，因患白浊。吴医有
以补中益气汤升提者，有以六味地黄丸补阴者，有以五苓散、六一散渗利者，有为降火者，有为
温补者，不效。又以草头药乱进之，肌瘦如削，膝软如痿，患有年所矣。因绍介吴太学北海
而谒余，恳为治之。诊其脉，右寸关皆数。予曰∶皆由酒后不检所致也。中宫多湿多痰，积
而为热，流于下部，故浊物淫淫而下，久不愈矣。与以加味端本丸服之而瘥。白螺蛳壳四两
，牡蛎、苦参、葛根、黄柏各二两，陈皮、半夏、茯苓各一两，甘草五钱，面糊为丸，令早
晚白汤下三钱。
诰封吴太夫人，是车驾涌澜公的母亲。年龄六十多岁，长期患有白带病，经过多次治疗无效，病情加重变为白崩（大量白色分泌物下注），于是请我诊治。诊察脉象发现：右寸脉滑，左寸脉短而弱，两关脉濡软，两尺脉均软弱无力。我说：“根据脉象，心肾两脏俱虚，且中焦脾土湿气不化。”《脉经》中说：“崩漏日久转为白带，漏下时间过长导致筋骨枯槁。”如今白色分泌物下注过多，气血日渐衰败，治法应当燥湿健脾，兼补心肾。使用既济丹来补益心肾，使用断下丸来燥除中宫（脾胃）的湿气，这样就能万无一失。服药果然未服完一剂便痊愈了。
既济丹方：鹿角霜、当归、白茯苓各二两，石菖蒲、远志各一两五钱，龙骨、白石脂各一两，益智仁五钱，干山药打糊为丸，梧桐子大小，空腹时用白开水送服七八十丸。
断下丸方：头二蚕砂（炒制三两）、黄荆子（炒制二两）、海螵蛸（磨去黑色硬壳）、樗根白皮（各一两），用面糊为丸，下午用白开水送服六十丸。
吴北海太学令的正室夫人，每次月经来潮之前，四肢接连出现肿块，颜色红紫，伴有胀痛感，不想吃东西，胃脘部也常常疼痛，月经往往提前到来。诊察她的脉象，两手脉皆急促有力。结合症状与脉象分析，这是肝脾二经有郁火所致。大概因为肝主怒，脾主思虑，多思多怒，情绪隐忍不发，郁滞于体内，所以在经期时四肢接连出现红肿。用柴胡、川芎、香附、乌药、白芍药、青皮、丹参、玄胡索、郁金、酒炒黄连、山栀子这些药物治疗，最终痊愈。
吴太学的清客（门客/食客）周刍玉，性格豪放不拘小节，人们说他具有晋代名士的风度，酒后更加放纵，喜好男色，因此患上了白浊（尿道口流出白色浑浊液体）。当地医生有用补中益气汤进行升提治疗的，有用六味地黄丸滋阴补肾的，有用五苓散、六一散渗湿利水的，有用降火法的，有用温补法的，但都没有效果。后来又胡乱服用草药，导致肌肉消瘦如削，膝盖软弱如同痿证，患病已有多年。经由介绍拜见吴太学北海，进而拜见我，恳求为我诊治。诊察他的脉象，右寸、右关脉皆数（快）。我说：“这都是由于酒后行为不检点所导致的。中焦脾胃湿气重且多痰，积聚化为热邪，流注于下部，所以浑浊之物淫溢而下，久治不愈。”给予加味端本丸服用后病情好转。方药组成：白螺蛳壳四两，牡蛎、苦参、葛根、黄柏各二两，陈皮、半夏、茯苓各一两，甘草五钱，用面糊为丸，早晚用白开水送服三钱。
Madam Wu, conferred the title of "Guofeng" (Honored Lady), was the mother of Chejia Yonglan. She was over sixty years old and had suffered from leukorrhea for a long time. After multiple ineffective treatments, her condition worsened into white beng (profuse discharge of white material). I was then consulted to treat her. The pulse diagnosis revealed: the right Cun position was slippery; the left Cun position was short and weak; both Guan positions were soggy (ru); and both Chi positions were soft and weak. I said, "Based on the pulse, both the Heart and Kidney are deficient, and there is dampness in the Middle Jiao." The *Mai Jing* (Pulse Classic) states: "Beng lou lasting for a long time turns into leukorrhea; prolonged leakage causes the bones and sinews to wither." Now, since excessive white discharge has occurred, Qi and Blood are deteriorating daily. The treatment method should be to dry Spleen dampness and simultaneously tonify the Heart and Kidney. Using *Jiji Dan* to tonify the Heart and Kidney, and *Duanxia Wan* to dry the dampness in the Middle Palace (Spleen and Stomach), would ensure complete recovery. Indeed, she recovered before finishing one dose.
Formula for *Jiji Dan*: Lu Jiao Shuang (Deer Horn Frost), Dang Gui (Angelica Sinensis), Bai Fu Ling (Poria) each 2 liang; Shi Chang Pu (Acorus Tatarinowii), Yuan Zhi (Polygala) each 1.5 liang; Long Gu (Fossilized Bones), Bai Shi Zhi (Halloysitum Rubrum) each 1 liang; Yi Zhi Ren (Alpinia Oxyphylla) 5 qian. Made into pills using dried Shan Yao (Dioscorea) paste as a binder, sized like paulownia seeds. Take 70-80 pills with warm water on an empty stomach.
Formula for *Duanxia Wan*: Tou Er Can Sha (Mulberry Silkworm Feces, stir-fried) 3 liang; Huang Jing Zi (Vitex Negundo Fruit, stir-fried) 2 liang; Hai Piao Xiao (Cuttlefish Bone, scraped clean of black shell); Chu Gen Bai Pi (Celastrus Root Bark) each 1 liang. Made into pills using flour paste as a binder. Take 60 pills with warm water in the afternoon.
The wife of Wu Beihai, the Taixue Ling (Director of the Imperial College), experienced recurring lumps on her limbs before each menstruation. These lumps were red and purple, accompanied by distending pain. She had no appetite, and her epigastrium often hurt. Her menstrual period often arrived ahead of schedule. Her pulse was rapid and forceful in both hands. Correlating symptoms with the pulse, this indicated stagnant fire in the Liver and Spleen meridians. Generally, the Liver governs anger, and the Spleen governs overthinking. Excessive thinking and anger, if suppressed and not expressed, cause stagnation within. Thus, during menstruation, red and swollen lumps appear on the limbs. She was treated with Chai Hu (Bupleurum), Chuan Xiong (Ligusticum), Xiang Fu (Cyperus), Wu Yao (Lindera), Bai Shao Yao (White Peony), Qing Pi (Citrus Aurantium Green Peel), Dan Shen (Salvia), Yan Hu Suo (Corydalis), Yu Jin (Curcuma), Jiu Chao Huang Lian (Stir-fried Coptis with wine), and Shan Zhi Zi (Gardenia). She recovered completely.
Zhou Chuyu, a guest of Scholar Wu, was bold and unconstrained. People said he had the demeanor of Jin Dynasty scholars. After drinking, he became even more licentious and fond of male companionship, which led to his suffering from white zhuo (white turbid discharge from the urethra). Local physicians tried treating him with *Buzhong Yiqi Tang* to lift Qi, *Liujun Di Huang Wan* to nourish Yin, *Wuling San* and *Liuyi San* to promote urination and drain dampness, methods to clear fire, and methods to warm and tonify. None were effective. He also indiscriminately took herbal remedies, resulting in emaciation like skin and bone, and knee weakness resembling Wei syndrome (flaccidity). He had been ill for many years. Through introduction to Scholar Wu Beihai, he visited me and earnestly requested treatment. His pulse at the right Cun and Guan positions was rapid. I said, "This is caused by lack of restraint after drinking. There is excessive dampness and phlegm in the Middle Jiao, which accumulates and transforms into heat, flowing downward. Hence, turbid matter flows out continuously, leading to chronic non-healing." I prescribed *Jiawei Duanben Wan*, after which his condition improved. Formula: Bai Luo Si Ke (White Snail Shell) 4 liang; Mu Li (Oyster Shell), Ku Shen (Sophora Flavescens), Ge Gen (Kudzu Root), Huang Bo (Phellodendron Bark) each 2 liang; Chen Pi (Tangerine Peel), Ban Xia (Pinellia), Fu Ling (Poria) each 1 liang; Gan Cao (Licorice Root) 5 qian. Made into pills using flour paste. Take 3 qian with warm water morning and evening.