张文学子心，二尹可泉公长君也。自知医，弱冠病，吴下名医皆诊之，佥曰瘵，治久不
效。子心亦自分必死，督家人具秘器，已沐浴，衣 衣而卧正寝，断粒、绝药者二日。可泉闻
予治其高第张星岳之婶奇，因访予曰∶病心痹而尸寝浃旬者能起之，谁不啧啧称公高手
，
吾子病且革，幸怜而诊之。予至，诊其脉，左寸短弱，右关略弦，余皆洪大。其症咳嗽，下
午热从两足心起，渐至头面，夜半乃退，面色青，形羸气促，多梦遣，交睫卧床褥奄奄一息
耳。时则七月初旬也。诊毕，语可泉公曰∶郎君病可治，不宜豫凶器也。可泉公曰∶诸医
佥谓火起九泉者，十不救一，大肉尽削者死，咳嗽加汗者死，脉不为汗衰者死，又当此铄石
流金之候，又恐肺金将绝。豚子亦自谓无生理，先生何言可治也？予曰∶汗多者，孤阳几于飞
越也。可泉公曰∶飞越亦死候也。予曰∶几者，将成未成之辞也。症虽危，其色、其声音、其
脉，尚有生意。终不可以一凶而废三善。两颧不赤，心火未焚也；声音不哑，肺金未痿也
∶耳叶不焦，肾水未涸也。相书云∶面青者，忧疑不决∶左寸短者，心神不足∶关略弦者，
谋为不遂。夫心者，万世万化之主，《内经》曰∶主明则下安，主不明则十二官危。又肝主谋
为，胆主决断。谋为不决，故色青。症与色与脉皆非瘵也。盖郎君志愿高而不遂其欲，殆心
病，非肾病也。经曰∶色脉相得者生。予故谓郎君之病可起也。病者闻言，明目语其父曰∶
吾今由寐者初寤矣!从来未有此论沁吾心脾也。吾病由星士许决科于癸酉，是年余落第，
而同窗者中，故怏怏至此。先生得吾心于色脉，神矣!此言可当药石，谨拜命。予为定方，
煎方名调肝益神汤。以人参、酸枣仁、龙骨为君，丹参、
石斛、贝母、麦冬、五味子为臣，山栀、香附为佐，服二十帖而病
起。丸方则大龟板、熟地黄、枸杞子、人参、麦冬、五味、茯苓，蜜丸，服三月而精神健，
肌肉完。次年生女。可泉公，苕中名士，奇予治，而延誉闻于大宗伯董浔阳公，宗伯交欢予
者，由可泉公始也。
张文学的儿子名叫心，是二尹可泉公的长子。他通晓医术，二十岁左右患病，吴地名医都为他诊治，众人都说是痨病（消耗性疾病），治疗很久不见效。张心自己也断定必死无疑，便督促家人准备棺材，已经沐浴完毕，穿着寿衣躺在正厅的床上，断绝饮食、停止服药两天了。可泉公听说我治好了他得意门生张星岳的婶母的怪病，于是来拜访我说：“能治好像张心这样患心痹症且卧床如尸体一般整整十天的人，谁不啧啧称赞您是高手？我的儿子病情危急，希望您怜悯而为他诊治。”
我到了之后，诊察他的脉象，左寸脉短弱，右关脉略微弦硬，其余部位的脉象洪大。他的症状是咳嗽，下午热度从两脚心升起，逐渐蔓延至头面部，半夜才退去，面色发青，形体消瘦，气息急促，多梦遗精，一合眼躺在床上就奄奄一息。当时正值七月上旬。诊脉结束后，我对可泉公说：“令郎的病可以治愈，不必预先准备凶器（棺材）。”可泉公说：“其他医生都说，火起九泉（指阴虚火旺至极）的人，十个人中救不活一个；大肉尽削（肌肉极度消瘦）的人会死；咳嗽加重并出汗的人会死；脉象不因出汗而衰减的人会死；况且又赶上酷热难耐的时候，又担心肺金之气将要断绝。小儿子也自认为没有生机，先生为什么说可以治愈呢？”
我说：“汗出过多，说明孤阳几乎要飞越脱散。”可泉公说：“飞越也是死候啊。”我说：“‘几’字，是将成未成的意思。病症虽然危险，但他的神色、声音、脉象，还存有生机。绝不能因为一个凶兆就废弃三个吉兆。两颧不发红，说明心火尚未焚毁；声音不嘶哑，说明肺金尚未痿废；耳叶不焦枯，说明肾水尚未枯竭。相书说：面色青，代表忧虑疑虑、犹豫不决；左寸脉短，代表心神不足；关脉略弦，代表谋事不成。心，是万世万化的主宰，《内经》说：主明则下安，主不明则十二官危。肝主谋为，胆主决断。谋为不决，所以面色发青。病症、面色和脉象都不是痨病。大概是因为令郎志愿高远而不能实现其欲望，这大概是心病，不是肾病。经书说：色脉相得者生。所以我告诉您，令郎的病是可以治好的。”
病人听到这话，睁大眼睛对父亲说：“我现在就像从睡梦中刚刚醒来一样！从来没有这样的论断沁入我的心脾。我的病是因为星士在癸酉年预言我能考中科举，结果那年我落榜，而同窗的同学中有人考中了，所以忧郁至此。先生通过面色和脉象洞察了我的心思，真是神妙啊！这番话可以当作药石，我恭敬地接受命令。”
我为他定下方剂，煎剂的方名叫做“调肝益神汤”。以人参、酸枣仁、龙骨为君药，丹参、石斛、贝母、麦冬、五味子为臣药，山栀、香附为佐药，服用二十帖后病愈。丸方的药物则是大龟板、熟地黄、枸杞子、人参、麦冬、五味子、茯苓，用蜂蜜制成丸药，服用三个月后精神健旺，肌肉丰满。第二年生了女儿。可泉公是苕中著名的文人，对我的治疗感到惊奇，并向大宗伯董浔阳公赞誉我，大宗伯与我交好，就是从可泉公开始的。
Zhang Wenxue's son, named Xin, was the eldest son of Er Yin, Mr. Kequan. He possessed medical knowledge. In his early twenties, he fell ill. Famous physicians in Wu were consulted for his treatment, and all diagnosed it as *Zhai* (consumptive disease). Despite prolonged treatment, there was no effect. Zhang Xin himself concluded that death was inevitable. He instructed his family to prepare a coffin, had already bathed, put on burial clothes, and lay in the main hall, having abstained from food and medicine for two days.
Mr. Kequan heard that I had cured a strange illness of his prominent student Zhang Xingyue's aunt, so he visited me and said, "Who would not praise you as a master if one could cure someone like Xin, who suffers from Heart Bi (obstruction of the heart vessels) and has been bedridden like a corpse for ten days? My son is critically ill; I hope you will show pity and examine him."
Upon arrival, I palpated his pulse: the left Cun position was short and weak, the right Guan position was slightly wiry, while the rest were surging and large. His symptoms included coughing, fever starting from the soles of both feet in the afternoon, gradually spreading to the head and face, subsiding at midnight, bluish complexion, emaciation, rapid breathing, frequent nocturnal emissions, and being barely alive when closing his eyes to lie down. It was then the first ten days of the seventh lunar month. After finishing the pulse diagnosis, I told Mr. Kequan, "Your young master's illness is curable; there is no need to prepare funeral utensils in advance."
Mr. Kequan said, "All other physicians stated that those with 'fire rising from nine springs' (extreme yin deficiency with hyperactive fire) have only a one-in-ten chance of survival; those with complete muscle wasting die; those whose cough worsens with sweating die; and those whose pulse does not diminish after sweating die. Moreover, we are in the scorching heat of summer, and I fear the Metal of the Lung is about to perish. My son also believes there is no hope. Why do you say it is curable?"
I replied, "Excessive sweating indicates that isolated Yang is on the verge of flying away (deviating from its source)." Mr. Kequan said, "Flying away is also a sign of death." I said, "'Ji' (verge/soon) means something that is about to happen but has not yet occurred. Although the condition is critical, his complexion, voice, and pulse still show signs of life. One should not discard three auspicious signs because of one ominous one. The malar regions are not red, indicating Heart Fire has not burned out; the voice is not hoarse, indicating Lung Metal has not flaccidified; the earlobes are not scorched, indicating Kidney Water has not dried up. Physiognomy texts state: a bluish face indicates worry and indecision; a short left Cun pulse indicates insufficiency of Heart Spirit; a slightly wiry Guan pulse indicates unfulfilled plans. The Heart is the master of all transformations. The *Neijing* states: 'If the Master is clear, the subordinates are peaceful; if the Master is unclear, the Twelve Officials are in danger.' The Liver governs planning, and the Gallbladder governs decision-making. Due to indecisiveness, the face is blue. The symptoms, complexion, and pulse are not consistent with consumptive disease. It seems your young master has high aspirations that remain unfulfilled. This is likely a Heart disorder, not a Kidney disorder. The Classics state: 'When color and pulse correspond, there is life.' Therefore, I say your young master's illness can be cured."
Hearing this, the patient opened his eyes wide and said to his father, "I feel as if I have just awakened from sleep! No theory has ever penetrated my heart and spleen like this before. My illness stems from an astrologer predicting in the Guiyou year that I would pass the imperial examination. That year, I failed, while my classmates succeeded, leading to this depression. You have discerned my mind through my color and pulse; this is divine! These words serve as medicine and stone [metaphor for effective treatment]. I respectfully accept your prescription."
I prescribed a decoction named *Tiao Gan Yi Shen Tang* (Liver-Calming and Spirit-Nourishing Decoction). The sovereign herbs were *Ren Shen* (Ginseng Radix), *Suan Zao Ren* (Ziziphus Seed), and *Long Gu* (Fossilized Bone). The minister herbs were *Dan Shen* (Salvia Root), *Shi Hu* (Dendrobium Stem), *Bei Mu* (Fritillaria Bulb), *Mai Dong* (Ophiopogon Tuber), and *Wu Wei Zi* (Schisandra Fruit). The assistant herbs were *Shan Zhi* (Gardenia Fruit) and *Xiang Fu* (Cyperus Rhizome). After taking twenty doses, the illness resolved. For the pill formula, ingredients included *Da Gui Ban* (Testudo Plastrum), *Shu Di Huang* (Rehmanniae Radix Praeparata), *Gou Qi Zi* (Lycium Fruit), *Ren Shen* (Ginseng Radix), *Mai Dong* (Ophiopogon Tuber), *Wu Wei Zi* (Schisandra Fruit), and *Fu Ling* (Poria). These were made into honey pills. After three months of consumption, his spirit became robust, and muscles filled out. The following year, he had a daughter.
Mr. Kequan was a renowned scholar in the Tiao region. Astonished by my treatment, he praised me to Grand Secretary Dong Xunyang. The Grand Secretary's friendship with me began with Mr. Kequan.