张溪亭乃眷，喉中梗梗有肉如炙脔，吞之不下，吐之不出，鼻塞头晕，耳常啾啾不安，
汗出
如雨，心惊胆怯，不敢出门，稍见风即遍身疼，小腹时疼，小水淋涩而疼。脉两寸皆短，两
关滑大，右关尤搏指，此梅核气症也。以半夏四钱，浓朴一钱，紫苏叶一钱五分，茯苓一钱
三分，姜三片，水煎，食后服。每用此汤调理多效。
溪亭子室，妊已七月，梦见亡过祖母，挥拳背打一下，惊醒即觉胎动不安，血已下，大
小便
皆急，腰与小腹胀疼者五日，此亦事之奇也。迓予为治。两寸脉俱短弱，此上焦元气大虚，
当骤补之。人参、阿胶、黄 、白术各二钱，当归、白芍、条芩、杜仲各一钱，砂仁、香附
各五分，苎根嫩皮三钱，葱白六钱。一剂而血止，两剂诸症悉除，而神渐安。四帖后，减去
苎根、葱白，调理旬日。足月而产一女。
陈茂之，劳倦之后，勉强色欲，精竭而血继至。续感风寒，发热头痛，胸膈饱闷。始从
太阳
而传之少阳，胸胁痛而耳聋，呕逆口苦，咳嗽，六脉俱弦数，此少阳症也。以小柴胡汤加
枳壳、桔梗、竹茹，而呕逆止，热退。因进粥早，夏热口渴，小水不利，大便一日夜六七次
，所行皆清水，日晡热甚，舌上黄苔，昏沉振颤。此食夏之候。书云∶渴而小便不利者，当
先利其小便。以猪苓汤为主。猪苓、泽泻各二钱，滑石三钱，赤茯苓一钱，柴胡八分，升麻
、木通各五分。连进两帖，小便利而大便实，但热不退。以六神通解散一帖，其夜热仍不退
。
次早诊之，左脉不弦数矣。两寸脉虚，以故服药无汗，口渴，漱水而不欲咽，咽热，此邪传
阳明经，不急凉血，必作鼻衄，病势至此，可谓极恶矣。投黄芩芍药汤合生脉散以止嗽渴，
用葛根汤以解肌热。白芍药三钱，葛根、升麻、黄芩各一钱，人参一钱五分，麦冬、滑石各
三钱，甘草、五味子各五分，乌梅一枚。急煎二帖饮之。日中大便下燥粪十数枚。始得微汗
，就得睡矣。晚进粥一盂，夜卧向安。
张溪亭的夫人，感觉喉咙里梗塞着像烤肉块一样的东西，吞不下去，吐不出来，鼻塞头晕，耳朵里经常嗡嗡作响不得安宁，出汗如雨下，心惊胆战，不敢出门，稍微见到风就全身疼痛，小腹时常疼痛，小便淋沥涩痛且伴有疼痛。两手寸脉都短，两手关脉滑大，右关脉尤其搏指有力，这是梅核气证。用半夏四钱，厚朴一钱，紫苏叶一钱五分，茯苓一钱三分，生姜三片，加水煎煮，饭后服用。每次都用这个汤剂调理，大多有效。
溪亭的儿子媳妇，怀孕已经七个月，梦见已故的祖母，挥拳在背上打了一下，惊醒后立刻觉得胎动不安，阴道出血，大小便都很急迫，腰部和腹部胀痛持续了五天，这也是件奇怪的事。迎接我为她治疗。两手寸脉都短弱，这是上焦元气大虚，应当紧急补益。用人参、阿胶、黄芪、白术各二钱，当归、白芍、黄芩、杜仲各一钱，砂仁、香附各五分，苎麻根嫩皮三钱，葱白六钱。服一剂血止，服两剂各种症状全部消除，精神逐渐安定。服完四帖后，减去苎麻根、葱白，继续调理十天。足月产下一名女婴。
陈茂之，在劳累疲倦之后，勉强进行房事，精液枯竭而经血继至（此处指因劳欲导致的气血紊乱或崩漏类症状）。随后感受风寒，出现发热头痛，胸膈部饱闷。病邪起初从太阳经传入少阳经，出现胸胁疼痛和耳聋，呕吐逆气口苦，咳嗽，六脉都弦数，这是少阳证。用小柴胡汤加枳壳、桔梗、竹茹，呕吐逆气停止，热退。因为过早喝粥，加上夏季炎热口渴，小便不利，大便一天一夜六七次，排出的都是清水，傍晚时分发热严重，舌上有黄苔，神志昏沉并伴有震颤。这是食积兼夏热的征候。医书说：口渴而小便不利的，应当先通利小便。以猪苓汤为主方。猪苓、泽泻各二钱，滑石三钱，赤茯苓一钱，柴胡八分，升麻、木通各五分。连续服用两帖，小便通利而大便成形，但热势不退。用六神通解散一帖，当夜热仍不退。第二天早上诊察，左脉不再弦数了。两手寸脉虚弱，因此服药后无汗，口渴，想含水漱口但不想咽下，咽喉发热，这是邪气传入阳明经，如果不紧急凉血，必然会导致鼻衄，病情到了这种地步，可以说是极其危重了。投予黄芩芍药汤合生脉散以止咳渴，用葛根汤以解肌热。白芍药三钱，葛根、升麻、黄芩各一钱，人参一钱五分，麦冬、滑石各三钱，甘草、五味子各五分，乌梅一枚。紧急煎煮两帖饮服。中午排出干燥粪便十多个。才开始微微出汗，得以入睡。晚上喝了一碗粥，夜间睡眠趋于安稳。
Zhang Xiting's wife felt a sensation of obstruction in her throat, as if there were a piece of roasted meat stuck there; she could not swallow it nor spit it out. She suffered from nasal congestion and dizziness, constant buzzing noises in her ears causing discomfort, profuse sweating like rain, palpitations with timidity, fear of going outdoors, and generalized body pain upon slight exposure to wind. Her lower abdomen was intermittently painful, and her urination was dribbling, obstructed, and painful. Both cun (inch) pulses were short, while both guan (bar) pulses were slippery and large, with the right guan pulse particularly forceful against the fingers. This is diagnosed as Plum-pit Qi (Meiheqi, a condition characterized by a sensation of a foreign body in the throat). The prescription consisted of Banxia (Pinelliae Rhizoma) 4 qian, Houpo (Magnoliae Officinalis Cortex) 1 qian, Zisu Ye (Perillae Folium) 1.5 qian, Fuling (Poria) 1.3 qian, and Shengjiang (Zingiberis Rhizoma Recens) 3 slices, decocted in water and taken after meals. This decoction was frequently used for regulation with good efficacy.
Xiting's daughter-in-law had been pregnant for seven months when she dreamed of her deceased grandmother striking her on the back with a fist. Upon waking, she immediately felt fetal restlessness and vaginal bleeding. Her urge to defecate and urinate became urgent, accompanied by distending pain in the waist and lower abdomen for five days. This was indeed a strange occurrence. I was summoned to treat her. Both cun pulses were short and weak, indicating severe deficiency of Yuan Qi (Original Qi) in the Upper Jiao (Upper Burner), requiring urgent tonification. The prescription included Renshen (Ginseng Radix et Rhizoma), Ejiao (Colla Corii Asini), Huangqi (Astragali Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma) each 2 qian; Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix), and Duzhong (Eucommiae Cortex) each 1 qian; Sharen (Amomi Fructus) and Xiangfu (Cyperi Rhizoma) each 0.5 qian; Zhugen Nenpi (Bambusae Caulis Interarticularis or related part, specifically young skin of Ramie root) 3 qian, and Congbai (Allii Fistulosi Bulbus) 6 qian. After one dose, the bleeding stopped; after two doses, all symptoms resolved, and her spirit gradually calmed. After four doses, Zhugen and Congbai were removed, and she continued regulation for ten days. She delivered a healthy female infant at full term.
Chen Maozhi, following fatigue and overexertion, engaged in sexual activity reluctantly, leading to depletion of Jing (Essence) followed by abnormal bleeding. Subsequently, he contracted Wind-Cold, presenting with fever, headache, and fullness/stuffiness in the chest and diaphragm. The pathogen initially transmitted from the Taiyang (Greater Yang) channel to the Shaoyang (Lesser Yang) channel, manifesting as hypochondriac pain and deafness, vomiting with acid regurgitation and bitter taste, and coughing. All six pulses were wiry and rapid, diagnosing this as a Shaoyang syndrome. Xiao Chaihu Tang (Minor Bupleurum Decoction) was prescribed with added Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix), and Zhuru (Bambusae Caulis in Taeniam). Vomiting ceased, and the fever subsided. However, due to consuming congee too early during summer heat, he developed thirst, difficult urination, and diarrhea occurring six to seven times a day, passing only clear water. His fever intensified in the late afternoon, his tongue presented a yellow coating, and he experienced mental cloudiness and tremors. This indicated food retention complicated by summer-heat. Medical texts state: "When there is thirst and difficult urination, one should first promote urination." Zhu Ling Tang (Polyporus Decoction) was selected as the main formula. It contained Zhuling (Polypori Paria), Zexie (Alismatis Rhizoma) each 2 qian, Huashi (Talcum) 3 qian, Chi Fuling (Poria cum Rubro) 1 qian, Chaihu (Bupleuri Radix) 0.8 fen, and Shengma (Cimicifugae Rhizoma), Mutong (Akebiae Caulis) each 0.5 fen. After taking two doses consecutively, urination became smooth and stool formed, but the fever persisted. Liu Shen Tong San Jie (Six-Agent Unblocking Decoction) was administered for one dose, yet the fever remained unchanged that night. On the next morning, the left pulse was no longer wiry and rapid. Both cun pulses were deficient. Consequently, despite medication, there was no sweating; he remained thirsty, desired to rinse his mouth with water but did not wish to swallow, and felt heat in the throat. This indicated the pathogen had transmitted to the Yangming (Yang Brightness) channel. If blood-cooling measures were not urgently applied, epistaxis would likely occur. At this stage, the disease was extremely severe. Huangqin Shaoyao Tang (Scutellaria and Peony Decoction) combined with Shengmai San (Generate the Pulse Powder) was given to stop cough and thirst, while Gegen Tang (Kudzu Decoction) was used to release the muscle layer. Baishao (Paeoniae Radix Alba) 3 qian, Gegen (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix) each 1 qian, Renshen (Ginseng Radix et Rhizoma) 1.5 qian, Maidong (Ophiopogonis Tuber), Huashi (Talcum) each 3 qian, Gancao (Glycyrrhizae Radix et Rhizoma), Wuweizi (Schisandrae Fructus) each 0.5 fen, and Wumei (Mume Fructus) one piece. Two doses were urgently decocted and administered. By noon, several hard stools were passed. Finally, a slight sweat appeared, allowing him to sleep. He consumed a bowl of congee in the evening, and his night-time rest improved.