令郎采石先生，中焦湿热生痰，痞闷，五更倒饱，且下午两股或膝下筋脉抽掣疼痛，时
常嗳
气，面色带黄，间常梦遗。予以清气大安化痰丸，及猪肚丸二方调治而安。猪肚丸用白术五
两，苦参酒炒二两，牡蛎 过三两，为末，将雄猪肚子一具，摘去油，甘草汤洗过，将药装
入肚中，缝其口，饭中蒸极烂为度，捣极匀为丸，此方极健脾去湿热、固精丸也。清气大安
化痰丸用白术四两，橘红、半夏、山楂各三两，黄芩、黄连俱生姜汁炒，各一两五钱，枳实
、栝蒌仁各二两，白芥子、萝卜子各炒一两，姜黄碱水煮干一两，青黛五钱，麦芽取曲打糊
为丸，绿豆大，每食后及夜，茶送下二钱。
令孙女才六岁，忽发寒热一日，过后腰脊中命门穴间骨节肿一块，如大馒头之状，高三
、四
寸，自此不能平身而立，绝不能下地走动，如此者半年。人皆以为龟背痼疾，莫能措一法。
即如幼科治龟背古方治之亦不效。予曰∶此非龟背，盖龟背在上，今在下部。必初年乳母放
在地上，坐早之过，比时筋骨未坚，坐久而背曲，因受风邪，初不觉，其渐入骨节间而生痰
涎
，致令骨节胀满而大。不急治之，必成痼疾。今起未久，可用万灵黑虎比天膏贴之，外再以
晚蚕砂醋洗炒热，绢片包定于膏上，带热熨之，一夜熨一次。再以威灵仙为君，五加皮、乌
药、红花、防风、独活，水煎服之。一月而消其半，骨节柔软，
不复肿硬，便能下地行走如初矣。人皆以为神奇。此后三个月，蓦不能行，问之足膝酸软，
载身不起，故不能行。予知
其病去而下元虚也，用杜仲、晚蚕砂、五加皮、薏苡仁、当归、人参、牛膝、独活、苍耳子
、仙茅，水煎服二十剂，行动如故。
令郎采石先生，中焦湿热蕴结而生痰，导致胸脘痞闷，每至五更时分感到胃中饱胀不适，且下午大腿或膝盖以下的筋脉出现抽搐疼痛，时常嗳气，面色发黄，偶尔发生梦遗。我给予清气大安化痰丸和猪肚丸两个方剂进行调理治疗，病情得以安定。猪肚丸的配方为：白术五两，苦参用酒炒制二两，牡蛎煅过三两，研成粉末；取一只雄猪肚子，摘去油脂，用甘草汤洗净，将药粉装入猪肚中，缝合其口，在饭锅中蒸至极烂的程度，捣匀后制成丸药。此方具有极佳的健脾、祛除湿热、固精止遗的功效。清气大安化痰丸的配方为：白术四两，橘红、半夏、山楂各三两，黄芩、黄连均用生姜汁炒制，各一两五钱，枳实、瓜蒌仁各二两，白芥子、萝卜子各炒制一两，姜黄用碱水煮干一两，青黛五钱，麦芽取曲打糊作为粘合剂制成丸药，大小如绿豆，每次饭后及夜间，用茶送服二钱。
令孙女年仅六岁，忽然发作寒热症状一天，过后腰脊中间的命门穴处骨节肿起一块，形状像大馒头一样，高三四寸，从此以后不能挺直身体站立，完全无法下地行走，这种情况持续了半年。人们都认为是龟背这一顽固性疾病，没有办法施治。即使使用儿科治疗龟背的古方治疗也无效。我说：“这不是龟背，因为龟背病变部位在上部，而现在的病变在下部。必定是早年乳母将其放在地上，过早让其坐立所致，当时筋骨尚未坚固，久坐导致背部弯曲，因而受到风邪侵袭，起初并未察觉，风邪逐渐侵入骨节之间而生出痰涎，致使骨节肿胀变大。如果不及时治愈，必将成为顽固疾病。如今发病时间不长，可以使用万灵黑虎比天膏贴敷患处，外部再用晚蚕砂醋洗后炒热，用绢布包裹固定在膏药上，带着热度熨烫，一夜熨一次。再以威灵仙为主药，配合五加皮、乌药、红花、防风、独活，水煎服用。一个月后肿块消退了一半，骨节变得柔软，不再肿胀坚硬，便能像以前一样下地行走。人们都认为这是神奇的效果。此后三个月，突然不能行走，询问得知足膝酸软，支撑不起身体，所以不能行走。我知道这是病邪已去但下元虚损的缘故，于是使用杜仲、晚蚕砂、五加皮、薏苡仁、当归、人参、牛膝、独活、苍耳子、仙茅，水煎服用二十剂，行动恢复如初。”
Your son, Mr. Caishi, suffers from phlegm generated by damp-heat in the Middle Jiao (Middle Burner), resulting in chest and epigastric fullness and oppression (Pi Men). He experiences a sensation of fullness in the stomach every morning between 5 and 7 AM (Wu Geng Dao Bao), and often has spasmodic pain in the tendons below the thighs or knees in the afternoon. He frequently belches, his complexion is sallow, and he occasionally experiences nocturnal emissions. I prescribed two formulas, Qingqi Da'an Huatan Wan (Clearing Qi and Resolving Phlegm Pill) and Zhudu Wan (Pig Stomach Pill), for regulation and treatment, which brought relief.
The formula for Zhudu Wan consists of: Atractylodis Macrocephalae Rhizoma (Baizhu) five liang, Sophorae Flavescentis Radix (Kushen) two liang stir-fried with wine, Oyster Shell (Muli) calcined three liang, ground into powder. Take one male pig stomach, remove the fat, wash it with Licorice Decoction (Gancao Tang), stuff the powder inside, sew the opening, and steam it in rice until extremely soft. Mash it thoroughly and form pills. This formula strongly strengthens the Spleen, eliminates damp-heat, and consolidates essence to stop emissions.
The formula for Qingqi Da'an Huatan Wan consists of: Atractylodis Macrocephalae Rhizoma (Baizhu) four liang, Tangerine Peel (Juhong), Pinellia Tuber (Banxia), and Hawthorn Fruit (Shanzha) each three liang; Scutellaria Root (Huangqin) and Coptis Rhizome (Huanglian) each one tael and five qian, stir-fried with ginger juice; Immature Bitter Orange (Zhishi) and Trichosanthes Seed (Gualou Ren) each two liang; White Mustard Seed (Baijiezi) and Radish Seed (Luobozhi) each one liang, stir-fried; Curcuma Longa Rhizome (Jianghuang) one liang, boiled in alkali water and dried; Indigo Naturalis (Qingdai) five qian; Malt (Maiya) processed into paste as a binder to form pills. The pills are sized like mung beans. Take two qian with tea after meals and at night.
Your granddaughter was only six years old when she suddenly developed alternating chills and fever for one day. Afterwards, a lump swelled up at the bone joint between the Mingmen acupoint (Gate of Life) in her lower back and spine. It resembled a large steamed bun, standing three or four cun high. From then on, she could not stand upright and was completely unable to walk on the ground. This condition persisted for half a year. Everyone considered it an incurable case of "Turtle Back" (Kyphosis/Guibei) and had no method to treat it. Even using ancient pediatric formulas for Turtle Back proved ineffective. I said, "This is not Turtle Back. Turtle Back affects the upper part, whereas this lesion is in the lower part. It must be due to the wet nurse placing her on the ground and allowing her to sit too early in childhood. At that time, her bones and tendons were not yet firm; prolonged sitting caused curvature of the back, leading to invasion by Wind pathogenic factors. Initially unnoticed, the pathogen gradually entered the joints, generating phlegm-fluids, causing the joints to swell and enlarge. If not treated promptly, it would become an intractable disease. Since the onset is recent, you can apply Wanning Heihu Bitian Gao (Ten Thousand Spirits Black Tiger Bi-Tian Plaster). Externally, wash Late Silkworm Sand (Wancansha) with vinegar, stir-fry until hot, wrap it in silk cloth, fix it over the plaster, and apply heat compression while warm, once per night. Internally, use Clematis Root (Weilingxian) as the chief herb, combined with Eucommia Bark (Wujia Pi), Lindera Root (Wuyao), Safflower Honghua), Saposhnikovia Root (Fangfeng), and Angelica Pubescens Root (Duhuo), decocted in water and taken orally. After one month, the swelling reduced by half, the joints became soft, no longer swollen and hard, and she could walk on the ground as before. People regarded this as miraculous.
Three months later, she suddenly became unable to walk. Upon inquiry, her feet and knees were sore and weak, unable to support her body weight, hence the inability to walk. I understood that although the pathogenic factor had been eliminated, the Lower Yuan (Kidney Essence/Essence and Qi of the Lower Body) was deficient. Therefore, I used Eucommia Bark (Duzhong), Late Silkworm Sand (Wancansha), Eucommia Bark (Wujia Pi), Coix Seed (Yiyiren), Angelica Sinensis Root (Danggui), Ginseng Root (Renshen), Achyranthes Root (Niuxi), Angelica Pubescens Root (Duhuo), Cocklebur Fruit (Cangerzi), and Curculigo Rhizome (Xianmao), decocted in water and taken orally for twenty doses. Her mobility returned to normal."