孝廉臧茗泉老先生，脉左弦数，右寸弱，关大，重则滑，右尺微。原以疟后复伤饮食，
大便泻
而变痢，一日夜虽只五六行，皆积滞无粪，腹疼后重难安。午未后发热，至天明始退，此
夏伤于暑而秋为疟痢也。其热仍疟之余邪，当先解散，然后以补剂投之，则大便自愈矣。与
神授香连丸一服。服讫，腹中肠鸣，须臾大便行，且较前更多，方有粪下。改以白芍药四钱
，
泽泻、黄连各一钱，滑石二钱，粉草、桂皮、木香各四分，山楂七分，两日后，乃与补中益
气汤加木香、黄连、白芍药。调理半月，潮热，大便皆愈。
包继可先生令眷，孕三月而疟疾发，先寒后热，胸膈大胀疼，口渴，汤水入即吐，谵语
，无
汗，胎气上冲而成子悬，脉皆弦大，以川芎、柴胡、黄芩、知母、甘草、橘红、紫苏、枳壳
、砂仁，水煎服之，吐止痛除。
一张氏妇，年才二十一，其夫延余诊之。左寸关短弱，尺滑，右寸亦滑，关濡弱，尺沉
微。
诊毕问予曰∶脉何如？予曰∶心神脾志皆大不足，肺经有痰。夫曰∶不然，乃有身也。予曰
∶左寸短弱如此，安得有孕？夫曰∶已七十日矣。予俯思久之，问渠曰∶曾经孕育否？夫曰∶
已经二次，今乃三也。予问∶二产皆足月否？男耶女也？夫曰∶实不敢讳，始产仅九个月，手
足面目完全，而水火不分，脔肉一片，生下亦无啼声，抱起已身冷矣。细检之，乃知其无水
火也。次亦九个月，产下又无啼声，看时口中无舌。二胎之异，不知何故？闻先生能细心察
人之病，特祈审之。予方悟前二胎之不完者，由心脾二经不足所致也。今左寸右关之脉可见
矣，乃为筹思一方，专以补心血为主，令其多服，以百帖为率。酸枣仁、远志、茯神各一钱
，白术二钱，白芍药、当归、枸杞子各一钱五分，甘草五分，生地黄八分，艾絮二分，龙眼
肉五枚，水煎服。足月而产一子。次年又有身，不以前事为意，至九个月，产下形体俱具，
外有脂膜一片包其面，耳目口鼻不见，但不能去此脂膜，产下即殁。因思上年之子，为药
之力也。因予久不至苕，其家以予方粘于壁间，一觉有身，即照方服之。后生二子一女。里
中以此方为补天手云。
孝廉臧茗泉老先生，脉象左手弦数（弦主肝郁或痛证，数主热），右寸部弱，关部大，重按则滑，右尺部微。病因是疟疾之后又因饮食不节，导致大便泄泻进而转变为痢疾。虽然一天一夜只排便五六次，但排出的全是积滞物而没有正常粪便，腹部疼痛且有里急后重感，难以安宁。午时到未时（中午11点至下午3点）发热，直到天亮才退热，这是夏季感受暑邪，秋季发作成疟疾和痢疾。体内的热势仍是疟疾残留的余邪，应当先予以解散表邪，然后再投用补益剂，这样大便自然痊愈。给予神授香连丸服用一次。服完后，腹中肠鸣，片刻之后大便通行，而且比之前更多，这才开始有正常粪便排出。随后改用白芍药四钱，泽泻、黄连各一钱，滑石二钱，粉草（甘草）、桂皮、木香各四分，山楂七分。两天后，再给予补中益气汤加木香、黄连、白芍药。调理半个月后，潮热和大便异常都痊愈了。
包继可先生的夫人，怀孕三个月时疟疾发作，先恶寒后发热，胸膈部严重胀满疼痛，口渴，喝汤水进去就吐出来，胡言乱语，无汗，胎气上冲形成子悬（妊娠期因胎气上逆导致的胸腹胀满窒息感），脉象皆弦大。使用川芎、柴胡、黄芩、知母、甘草、橘红、紫苏、枳壳、砂仁，水煎服，呕吐停止，疼痛消除。
一张姓妇女，年仅二十一岁，她的丈夫请我诊治。左寸关脉短弱，尺脉滑；右寸脉也滑，关脉濡弱，尺脉沉微。诊脉完毕后，她丈夫问我：“脉象怎么样？”我说：“心神和脾志都严重不足，肺经有痰。”她丈夫说：“不对，她是怀孕了。”我说：“左寸脉如此短弱，怎么可能怀孕？”她丈夫说：“已经七十天了。”我低头沉思良久，问她丈夫：“曾经生育过吗？”她丈夫说：“已经生过两个，现在是第三个。”我问：“前两次生产都是足月吗？是男孩还是女孩？”她丈夫说：“实在不敢隐瞒，第一次生产仅九个月，手脚面目都长全了，但是水火不分（指阴阳失调或先天缺陷），像一块肉团，生下来也没有哭声，抱起来身体已经冷了。仔细检查才知道，缺乏水和火（指生命活力或特定脏腑功能）。第二次也是九个月，生下来也没有哭声，看时嘴里没有舌头。这两个孩子的异常，不知道是什么原因？听说先生能细心观察人的病情，特意请求您仔细诊断。”我才明白前两个孩子不完整，是由心脾两经不足所致。现在从左手寸部和右手关部的脉象就可以看出来了。于是为她筹划一方，专门以补心血为主，让她多服用，以一百帖为限度。酸枣仁、远志、茯神各一钱，白术二钱，白芍药、当归、枸杞子各一钱五分，甘草五分，生地黄八分，艾絮二分，龙眼肉五枚，水煎服。足月后产下一个儿子。第二年又怀孕，没有把上次的事放在心上，到了九个月，生下时形体具备，外面有一层脂膜包裹着脸，耳目口鼻看不见，但不能去掉这层脂膜，生下来就死了。因此想到去年的孩子，是药物的力量。因为我不久没去苕溪一带，那家人把我的方子贴在墙上，一察觉怀孕，就照着方子服用。后来生了两个儿子和一个女儿。乡里人把这个方子称为“补天手”（意为修补先天不足的妙方）。
Mr. Zang Mingquan, a Juren (provincial graduate), had a pulse that was wiry and rapid on the left side, weak at the right Cun (inch) position, large at the Guan (bar) position, slippery upon heavy pressure, and faint at the right Chi (cubit) position. The etiology was post-malaria injury due to improper diet, leading from diarrhea to dysentery. Although he defecated only five or six times a day and night, the stools consisted entirely of stagnant accumulation without normal feces, accompanied by abdominal pain and tenesmus (a feeling of incomplete defecation with urgent need to pass stool), causing great discomfort. He experienced fever from Wu to Wei hours (11:00 AM to 3:00 PM), which subsided only at dawn. This indicates summer-heat injury in summer manifesting as malaria and dysentery in autumn. The heat is still residual pathogenic factor from malaria; it should first be resolved/dissipated, followed by tonifying agents, after which bowel movements will naturally normalize. One dose of Shenshou Xianglian Wan was administered. After ingestion, borborygmus (intestinal rumbling) occurred in the abdomen, and shortly thereafter, defecation occurred, even more profuse than before, finally yielding normal feces. Subsequently, a prescription of Baishao Yao (Paeoniae Radix Alba) 4 qian, Zexie (Alismatis Rhizoma) and Huanglian (Coptidis Rhizoma) 1 qian each, Huashi (Talcum) 2 qian, Fencao (Glycyrrhizae Radix et Rhizoma Preparata), Guipi (Cinnamomi Cortex), and Muxiang (Aucklandiae Radix) 4 fen each, and Shanzha (Crataegi Fructus) 7 fen was given. Two days later, Buzhong Yiqi Tang (Decoction for Boosting the Middle and Augmenting Qi) with added Muxiang, Huanglian, and Baishao Yao was prescribed. After half a month of regulation, the tidal fever and dysentery were completely cured.
Madam Bao, wife of Mr. Bao Jike, developed malaria at three months of pregnancy. Symptoms included initial chills followed by fever, severe distension and pain in the chest and diaphragm, thirst, vomiting immediately after ingesting liquids, delirium, absence of sweating, and fetal qi rushing upward resulting in Zixuan (fetal oppression/distension syndrome). The pulse was wiry and large throughout. A decoction of Chuanxiong (Ligustici Chuanxiong Rhizoma), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum), Zisu (Perillae Folium), Zhike (Aurantii Fructus Immaturus), and Sharen (Amomi Fructus Rotundus) was prepared in water and administered. Vomiting ceased and pain was relieved.
Mrs. Zhang, aged only twenty-one, sought my consultation through her husband. The pulse at the left Cun and Guan positions was short and weak, while the Chi position was slippery; the right Cun was also slippery, the Guan position was soggy and weak, and the Chi position was deep and faint. After finishing the diagnosis, her husband asked, "How is the pulse?" I replied, "The Heart spirit and Spleen intention are both significantly deficient, and there is phlegm in the Lung meridian." Her husband said, "No, she is pregnant." I stated, "With such a short and weak Left Cun pulse, how can she be pregnant?" Her husband replied, "It has been seventy days." I pondered deeply for a long time and asked him, "Has she been pregnant before?" He answered, "She has delivered twice already; this is the third." I asked, "Were both previous deliveries full-term? Were they male or female?" He said, "I dare not conceal the truth. The first delivery was at nine months; although hands, feet, and face were fully formed, yin and yang were not separated (indicating congenital defect), appearing as a lump of flesh. It did not cry after birth, and its body was cold when picked up. Upon careful examination, it lacked 'water and fire' (vital essence/functions). The second delivery was also at nine months; the infant did not cry, and upon inspection, lacked a tongue. I do not know the cause of these abnormalities in the two children. Hearing that you can carefully observe diseases, I specifically request your thorough diagnosis." Only then did I realize that the incompleteness of the previous two children was caused by deficiency in the Heart and Spleen meridians. This could now be seen in the Left Cun and Right Guan pulses. Therefore, I formulated a prescription focusing primarily on nourishing Heart blood, advising frequent intake, with a limit of one hundred doses. Suanzaoren (Ziziphi Spinosae Semen), Yuanzhi (Polygalae Radix), and Fushen (Poria with Hostwood) 1 qian each, Baizhu (Atractylodis Macrocephalae Rhizoma) 2 qian, Baishao Yao, Danggui (Angelicae Sinensis Radix), and Gouqizi (Lycii Fructus) 1.5 qian each, Gancao 5 fen, Shengdihuang (Rehmanniae Radix) 8 fen, Aixu (Mugwort Floss) 2 fen, and Longyanrou (Longan Arillus) 5 pieces were decocted in water and taken. At full term, a son was born. The following year, she became pregnant again, disregarding the previous incident. At nine months, the infant was fully formed but covered by a layer of fatty membrane over the face, obscuring the eyes, ears, nose, and mouth. Unable to remove this membrane, the infant died immediately after birth. Reflecting on this, I concluded that the survival of last year's child was due to the efficacy of the medicine. Because I had not visited the Tiao area for some time, the family had pasted my prescription on the wall. Upon sensing pregnancy, they took the formula as directed. They subsequently gave birth to two sons and one daughter. The locals refer to this prescription as "Bu Tian Shou" (Hand that Repairs Heaven/Mending the Sky).