崔百原公者，河南人也。年余四十矣，而为南勋部郎。患右胁痛，右手足筋骨俱痛，艰
于举
动者三月，诸医作偏风治之不效。驰书邑大夫祝公征余治。予至，视其色苍，其神固，性多
躁急。诊其脉，左弦数，右滑数。时当仲秋。予曰∶此湿痰风热为痹也。脉之滑为痰，弦为
风，数为热。盖湿生痰，痰生热，热壅经络，伤其营卫，变为风也。公曰∶君何以治？予曰
∶痰生经络，虽不害事，然非假岁月不能愈也。随与二陈汤加钩藤、苍耳子、薏苡仁、红花
、五加皮、秦艽、威灵仙、黄芩、竹沥、姜汁饮之。数日手足之痛稍减，而胁痛如旧。再加
郁
金、川芎、白芥子，痛俱稍安。予以赴漕运李公召而行速，劝公请假缓治，因嘱其慎怒、内
观以需药力。公曰∶内观何为主？予曰∶正心。公曰∶儒以正心为修身先务，每苦工夫无下
手处。予曰∶正之为义，一止而已，止于一，则静定而妄念不生，宋儒所谓主静。又曰∶看
喜怒哀乐，未发以前，作何气象。释氏之止观，老子之了得一万事毕。皆此义也，孟子所谓
有事勿正、勿忘、勿助长，是其工夫节度也。公曰∶吾知止矣。遂上疏请告。予录前方，畀
之北归，如法调养半年，而病根尽除。
琼兄内伤饮食，外感风邪，洒淅恶寒发热，烦躁不宁。已经表汗泻吐之后，小水短赤，
口渴
腹中疼，夜不能睡，耳聋气塞，神魂不安，懊 不已。予脉之，两寸滑大，左关弦，右关滑，
两尺皆弦皆七至。据此乃少阳阳明两经合病。仲景云∶渴而小便不利者，当利其小便。先与
柴苓汤加竹茹进之。耳稍聪，稍得睡，热仍不退，闻食气即呕，以济生竹茹汤加人参、麦冬
、黄连与辰砂六一散三钱，服后神稍清，手足心仍热，用竹叶石膏汤而热亦不退，且懊 殊
甚，合目即谵语。按仲景谓伤寒汗吐下后懊 不得眠者，热在心胸之间，宜轻涌之。以栀子
豆豉汤主之。服后晚间仍不得眠，两耳气塞难当，改以小柴胡汤合白虎汤进之，即得睡。睡
中汗出二次，耳顿通利。因进食早，又发热口渴，舌上黄苔，此阳明余热复萌，乃用石膏七
钱，甘草一钱，知母三钱，黄连一钱五分，百合、竹茹各一钱，竹叶三十片，急进而热全退
，始得获安。
崔百原公，是河南人。年纪刚过四十岁，担任南勋部郎中的官职。他患有右侧胁肋疼痛，右手和右脚的筋骨都疼痛，三个月来抬举活动困难，各位医生按偏风治疗没有效果。他写信给县里的祝大夫，请我前去诊治。我到达后，观察他的面色苍老，精神稳固，性格急躁易怒。诊察他的脉象，左手脉弦而数，右手脉滑而数。当时正值仲秋时节。我说：这是湿痰和风热导致的痹证。脉象滑代表有痰，弦代表有风，数代表有热。大概是因为湿气生痰，痰郁化热，热邪壅滞经络，损伤营卫之气，进而转化为风邪。崔公问：您打算怎么治疗？我说：痰浊阻滞经络，虽然不危及生命，但如果不经过较长的时间是不能痊愈的。随即给予二陈汤（燥湿化痰、理气和中的基础方），加入钩藤、苍耳子、薏苡仁、红花、五加皮、秦艽、威灵仙、黄芩，并用竹沥和姜汁冲服。几天后，手足的疼痛稍微减轻，但胁痛依然如旧。我又加入郁金、川芎、白芥子，疼痛才稍稍缓解。因为我因漕运李公的征召要迅速离开，便劝崔公请假延缓治疗，并嘱咐他慎戒愤怒、内省静观以等待药效发挥。崔公问：内省静观以什么为主？我说：在于端正心念。崔公说：儒家把端正心念作为修身的首要任务，我常常苦恼于功夫无处下手。我说：端正的含义，就是一个“止”字罢了，止于一处，就能安静定志而妄念不生，这就是宋儒所说的“主静”。又说：看喜怒哀乐尚未发作之前，呈现什么样的气象。佛家的止观，老子的“得一万事毕”，都是这个义理。孟子所说的“有事勿正、勿忘、勿助长”，就是这种功夫的节度。崔公说：我明白“止”的道理了。于是上疏请求告假回家。我把前面的药方抄录下来，交给他带回北方，按照方法调养半年，病根彻底清除。
琼兄内伤饮食，外感风邪，身体洒淅恶寒发热，烦躁不安。在已经经过发汗、泻下、催吐等治疗后，小便短少色赤，口渴，腹部疼痛，夜里不能入睡，耳聋气塞，神魂不安，心中烦闷懊恼不已。我诊察他的脉象，两寸脉滑大，左关脉弦，右关脉滑，两尺脉皆弦且至数达到七次（一息七至，为数脉之极）。据此判断这是少阳经和阳明经合病。张仲景说：口渴且小便不利的，应当通利小便。先给予柴苓汤（小柴胡汤与五苓散的合方）加入竹茹让他服用。耳朵稍微聪明了些，也能稍微睡一会儿，但热势仍然不退，闻到食物气味就想呕吐，于是用济生竹茹汤加入人参、麦冬、黄连，配合辰砂六一散三钱服用。服药后神志稍微清醒，但手心脚心仍然发热，改用竹叶石膏汤，热势仍不退，而且心中烦闷懊恼特别严重，闭上眼睛就说胡话。根据张仲景的说法，伤寒经过发汗、催吐、泻下之后，出现烦闷懊恼不能入睡的，是热邪在心胸之间，适宜用轻度的涌吐法。用栀子豆豉汤主治。服药后晚上仍然不能入睡，两耳气塞难受，改为用小柴胡汤合白虎汤服用，这才能够入睡。睡觉中出了两次汗，耳朵顿时通畅灵敏。因为进食过早，又出现发热口渴，舌上有黄苔，这是阳明经余热再次萌生，于是使用石膏七钱，甘草一钱，知母三钱，黄连一钱五分，百合、竹茹各一钱，竹叶三十片，急煎服用，热势全退，这才得以安宁。
Mr. Cui Baiyuan was from Henan. He was just over forty years old and served as a Langzhong (Director) in the Southern Military Department. He suffered from pain in the right hypochondrium, with pain in the tendons and bones of the right hand and foot, making movement difficult for three months. Various physicians treated him for hemiplegia (Pian Feng) without success. He sent a letter to Magistrate Zhu of his county, requesting my treatment. Upon arrival, I observed his complexion was dark and his spirit was firm; his temperament was irritable. Palpating his pulse, the left side was wiry (Xian) and rapid (Shu), while the right side was slippery (Hua) and rapid. It was mid-autumn. I said: This is Bi syndrome (Obstruction Syndrome) caused by damp-phlegm and wind-heat. A slippery pulse indicates phlegm, a wiry pulse indicates wind, and a rapid pulse indicates heat. Generally, dampness generates phlegm, phlegm generates heat, heat obstructs the meridians, damages Ying and Wei (Nutritive and Defensive Qi), and transforms into wind. The gentleman asked: How do you intend to treat this? I replied: Phlegm obstructing the meridians, though not immediately life-threatening, cannot be cured without taking considerable time. I then prescribed Er Chen Tang (Two-Aged Decoction) added with Gouteng (Uncaria Rhynchophylla), Canxizi (Xanthium Fruit), Yiyiren (Coix Seed), Honghua (Carthamus Flower), Wujiapi (Acanthopanacis Cortex), Qinjiao (Gentiana Macrophylla), Weilingxian (Syneilesis Rhizome), Huangqin (Scutellaria Root), administered with Zhuli (Bamboo Sap) and Jiangzhi (Ginger Juice). After a few days, the pain in the hands and feet decreased slightly, but the hypochondriac pain remained unchanged. I added Yujin (Curcuma Longa Rhizome), Chuanxiong (Ligusticum Chuanxiong Rhizome), and Baijiezi (Sinapis White Seed); only then did the pain subside somewhat. Because I was summoned by Li Gong of the Grain Transport Office and had to leave quickly, I advised the gentleman to take leave to delay treatment, instructing him to guard against anger and practice inner contemplation to await the medicinal efficacy. The gentleman asked: What is the main focus of inner contemplation? I said: Rectifying the mind. He said: Confucianism regards rectifying the mind as the primary task of self-cultivation, yet I often suffer from not knowing where to begin. I said: The meaning of rectification lies in "stopping" (Zhi). Stopping at one point leads to tranquility and stability, preventing delusive thoughts from arising; this is what Song Confucians call "emphasizing stillness" (Zhu Jing). It also says: Observe the state before the emotions of joy, anger, sorrow, and happiness arise. The Buddhist practice of Zhi Guan (Cessation and Contemplation), and Laozi's "Attaining One, all things are complete," all share this principle. Mencius's saying of "In affairs, do not anticipate results, do not forget, do not force growth," refers to the measure of this practice. The gentleman said: I understand the concept of stopping. He subsequently submitted a memorial requesting leave. I copied the previous prescription for him to take northward. Following the method, he recuperated for half a year, and the root of the disease was completely eliminated.
Brother Qiong suffered from internal injury due to diet and external contraction of wind pathogenic factors. He experienced chills and fever with shivering, irritability, and restlessness. After undergoing sweating, purging, and vomiting treatments, his urine became scanty and dark red, he felt thirsty, had abdominal pain, could not sleep at night, suffered from deafness and qi obstruction, restless soul and mind, and profound mental restlessness (Ao Nu). Palpating his pulse, both Cun positions were slippery and large, the left Guan position was wiry, the right Guan position was slippery, and both Chi positions were wiry and rapid (seven beats per breath). Based on this, it is determined as a combined disease of the Shaoyang and Yangming meridians. Zhang Zhongjing stated: For those who are thirsty and have difficulty urinating, one should promote urination. Initially, I gave Chai Ling Tang (Bupleurum and Poria Decoction) added with Zhuru (Bamboo Shavings). His hearing improved slightly, and he could sleep briefly, but the fever persisted. Upon smelling food, he vomited. I then used Jisheng Zhuru Tang (Efficacious Bamboo Shavings Decoction) added with Renshen (Ginseng Root), Maidong (Ophiopogon Tuber), and Huanglian (Coptis Rhizome), combined with 3 qian of Chensha Liuyi San (Cinnabar Six-to-One Powder). After ingestion, his spirit cleared slightly, but the palms and soles remained hot. I switched to Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction), but the fever did not recede, and the mental restlessness became severe; closing his eyes led to delirious speech. According to Zhang Zhongjing, after sweating, vomiting, or purging in Shanghan (Cold Damage) cases, if there is restlessness and insomnia, the heat is in the chest and diaphragm, and a mild emetic method is suitable. I used Zhizi Chihui Tang (Gardenia and Fermented Soybean Decoction). After taking it, he still could not sleep at night, and the blockage in both ears was unbearable. I changed to Xiao Chai Hu Tang (Minor Bupleurum Decoction) combined with Baihu Tang (White Tiger Decoction), after which he finally slept. During sleep, he sweated twice, and his ears instantly became clear. Because he ate too early, fever and thirst returned, and a yellow coating appeared on the tongue. This indicated the recurrence of residual heat in the Yangming meridian. Therefore, I used Shigao (Gypsum Fibrosum) 7 qian, Gancao (Licorice Root) 1 qian, Zhimu (Anemarrhena Rhizome) 3 qian, Huanglian 1.5 qian, Baihe (Lilii Bulbus) and Zhuru each 1 qian, and 30 Zhu Ye (Bamboo Leaves). Administered urgently, the heat completely subsided, and he finally found peace.