族侄合溪，年当八旬，春初偶为寒袭，发热咳嗽。医与芎苏散，即汗出不止，呃呃连声
，勺粒
不入，昏愦经旬，汗日加，呃日甚，延予诊之。六部浮大无力，重按三五不调，六七至一止
，右关近滑。诊毕，语嗣君敬所曰∶尊翁由劳倦表虚感邪，脉故浮大无力，法当从东垣补中
益气汤，一二剂可瘳也。医乃妄为表散，致汗漏、神疲、昏愦、发呃，高年值此，宁不殆乎
？即可侥幸图安，亦不过千日养耳。敬所勃然俯而对曰∶上已后为家君寿期，不虞构疾。羸
惫若此，苟保百日，俾菽水之心，庶几少尽，叔祖之赐多矣。若千日，又出于望外也。予即
以六君子汤，加竹茹、柿蒂以止呃，再加酸枣仁、石斛以敛汗，一进热退呃定，再进汗止食
入，三进霈霈然，精神长矣。乃减去竹茹、柿蒂，加当归，半月全安。先是祝令君谓渠有耆
德，请为介宾，以疾辞不及赴。迨季春，令君闻渠寿，即援例赐一级宠以冠带扁额，用彰恩
典光于乡闾。后果三年而卒。
孝廉方叔度令嫂江氏，年甫三旬，患胀满，诸名家或补、或消、或分利、或温、或寒，
悉为
整理一番，束手而去，举家惶惶无所适从。叔度曰∶闻孙仲暗昔患此，众亦束手，比得孙生
生者，治而起之，众皆敛衽钦服。仲暗伯仲适在馆中，盍咨访之，即发书，介予随绍向往。
诊得左脉弦大，右滑大。予曰∶此李东垣木香化滞汤症也，病从忧思而起，合如法按治，可
保终吉。叔度喜曰∶曩从事诸公悉云不治，先生谓可保终吉，此故仓公有言，拙者疑殆，良
工取焉是也。幸先生早为措剂。予即照本方发四帖。服讫，腹果宽其半，继以人参消痞汤、
琥珀调中丸调理二月全瘳。叔度信予从此始，每推毂予于诸相知，多有奇中，卒为通家之好
。
族侄孙合溪，年龄八十岁。初春时节偶然受寒邪侵袭，出现发热、咳嗽症状。医生给予芎苏散（川芎紫苏散）治疗，随即导致汗出不止，呃逆连声，饮食无法入口，神志昏沉迷糊持续了十天。出汗日益加重，呃逆愈发严重，于是请我诊治。六部脉象均呈现浮大但无力，重按则三五不调，脉搏频率为六七次跳动后出现一次间歇，右关脉近于滑象。诊脉结束后，我对他的继子敬所说：“令尊因劳倦导致表虚而感受外邪，脉象因此浮大无力，治法应当遵循李东垣的补中益气汤，服用一两剂即可痊愈。”然而之前的医生错误地使用了发汗解表的方法，导致汗漏不止、精神疲惫、神志昏愦、发生呃逆，高龄之人遭遇此况，岂不危险吗？即使侥幸得以平安，也不过是苟延残喘千日罢了。敬听后勃然起身恭敬地回答说：“此前刚为家父庆祝过寿辰，没想到竟染上疾病。如今身体虚弱疲惫到这种地步，如果能保全百日性命，让我尽一点奉养的心意，那便是叔祖的大恩大德了。若能活千日，更是出乎意料之外的幸运。”我随即开具六君子汤（人参、白术、茯苓、甘草、陈皮、半夏），加入竹茹、柿蒂以止住呃逆，再加酸枣仁、石斛以收敛止汗。服药一剂后，热退且呃逆停止；再服一剂，汗止并能进食；第三剂服下后，患者神态安适，精神逐渐恢复。于是减去竹茹、柿蒂，加入当归，半个月后完全康复。在此之前，祝姓县令认为他有高尚品德，邀请他担任贵宾，他以生病为由推辞未能赴约。等到晚春时节，县令听说他长寿，便依据惯例赐予一级荣誉，授予冠带匾额，用以彰显皇恩浩荡，光耀乡里。后来果然三年后去世。
孝廉方叔度的嫂子江氏，年仅三十岁，患有腹部胀满病。各位名医有的用补法，有的用消导法，有的用分利法，有的用温法，有的用寒法，全都调理了一遍，最终束手无策离去，全家惊慌失措，不知该怎么办。方叔度说：“听说孙仲暗以前也患过此病，众人也都束手无策，后来得到孙生生（指孙一奎）的治疗才起死回生，众人都整衣致敬，钦佩信服。仲暗先生的伯父和叔叔恰好在馆舍中，何不向他们咨询访问呢？”于是立即写信，委托我跟随他们前往请教。诊得左脉弦大，右脉滑大。我说：“这是李东垣木香化滞汤的适应症，病情由忧思引起，如果按照法规仔细治疗，可以确保最终吉祥。”方叔度高兴地说：“先前从事治疗的各位先生都说不可治，先生却说可保最终吉祥，这正是仓公所说的‘拙者疑殆，良工取焉’的道理。希望先生尽早开药。”我随即照原方发出四帖药。服完后，腹部果然宽松了一半，接着用人参消痞汤、琥珀调中丸调理两个月，完全痊愈。方叔度从此信任我，经常在各位相知好友中推荐我，多有奇效应验，最终成为世交好友。
The clan nephew, He Xi, was eighty years old. In early spring, he was accidentally attacked by cold pathogens, resulting in fever and coughing. A physician administered Xiong Su San (Chuanxiong and Perilla Powder), which immediately caused profuse sweating that would not stop, continuous hiccups, inability to take even a spoonful of food or drink, and confusion lasting for ten days. The sweating increased daily, and the hiccups worsened daily, so he invited me to diagnose him. The pulse at all six positions was floating, large, and powerless; upon heavy pressure, it was irregular with three or five beats followed by an interruption, occurring at a rate of six or seven beats per interval, and the right Guan position was near-slippery. After finishing the diagnosis, I said to his successor, Jing Suo: "Your father contracted pathogens due to surface deficiency caused by fatigue and overwork, hence the pulse is floating, large, and powerless. According to the method of Li Dongyuan, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used; one or two doses will suffice for recovery." However, the previous physician recklessly employed surface-dispersing methods, causing leakage of sweat, mental fatigue, confusion, and hiccups. For an elderly person to face this, is it not dangerous? Even if he侥幸 (luckily) achieves peace, it would merely be prolonging life for a thousand days. Jing Suo stood up abruptly and replied respectfully: "We had just celebrated my father's birthday recently, unexpectedly contracting this illness. With such emaciation and exhaustion, if we can preserve his life for a hundred days, allowing us to fulfill our duty of providing beans and water (basic sustenance), it would be a great favor from you, Uncle Grandfather. To live a thousand days is beyond our expectations." I then prescribed Liu Jun Zi Tang (Six Gentlemen Decoction), adding Zhu Ru (Bamboo Shavings) and Shi Di (Persimmon Calyx) to stop hiccups, and further adding Suan Zao Ren (Ziziphus Seed) and Shi Hu (Dendrobium) to arrest sweating. After one dose, the fever subsided and hiccups stopped; after two doses, sweating ceased and eating resumed; after three doses, he appeared peaceful and his spirit recovered. Then, Zhu Ru and Shi Di were removed, and Dang Gui (Angelica Sinensis) was added. Half a month later, he was fully recovered. Previously, Magistrate Zhu, considering his high moral character, had invited him as a distinguished guest, but he declined due to illness. When late spring arrived, the Magistrate heard of his longevity and, following precedent, granted him a first-class honor, bestowing a banner with official hat and belt decorations, to manifest imperial grace and glorify the locality. He subsequently passed away three years later.
Madam Jiang, the sister-in-law of Xiaolian Fang Shudu, was only thirty years old when she suffered from abdominal distension. Various renowned physicians applied tonifying, reducing, separating-and-draining, warming, or cooling methods, attempting to manage her condition thoroughly, yet they all left helpless. The entire family was panicked and did not know what to do. Fang Shudu said: "I heard that Sun Zhong'an previously suffered from this same illness, and everyone was helpless until Sun Shengsheng (referring to Sun Yikui) treated him and brought him back to health, causing everyone to bow in admiration. Mr. Zhong'an's uncles are currently in the academy; why not consult them?" He immediately sent a letter, introducing me to follow them to seek advice. The diagnosis revealed a left pulse that was wiry and large, and a right pulse that was slippery and large. I said: "This is a case suitable for Mu Xiang Hua Zhi Tang (Costus Regulating Stagnation Decoction) by Li Dongyuan. The disease originated from worry and thought; if treated according to proper methods, ultimate auspiciousness can be ensured." Fang Shudu joyfully said: "The gentlemen who previously treated her all declared it incurable, yet you say ultimate auspiciousness can be ensured. This aligns with Cang Gong's saying: 'The incompetent are doubtful and hesitant, while the skilled artisans seize the opportunity.' I hope you will prescribe medication soon." I issued four doses according to the original formula. After consumption, the abdomen indeed became half looser. Subsequently, using Ren Shen Xiao Pi Tang (Ginseng Eliminating Glomus Decoction) and Hu Po Tiao Zhong Wan (Amber Regulating Middle Pill) for two months, she made a complete recovery. Fang Shudu began to trust me from this point on, often recommending me among his acquaintances, where many treatments proved remarkably effective, ultimately leading to a close familial friendship.