族侄文学明之，以作文过劳，痰火上逆，大吐痰沫，因而呕血，一涌数碗。昏晕汗出，
奄奄
而卧，略不敢动，稍动即呕吐
而血随出，色鲜红。饮食汤水皆不敢入，入即吐
而眩晕，血即随之。里有婺君程闻野氏为之诊，骇而走曰∶血
如涌泉，体热脉大，眩晕而药食难入，似无佳兆。乃速予治，予诊视毕，语其乃兄勉之曰∶
可生也，何举家张惶若此？勉之以程言告予，予曰∶看症要圆活，勿拘泥。据经云∶心主血
，肝藏血。又曰∶怒则气上。又曰∶脉虚身热得之伤暑。今左脉弦大，右脉虚大，明之不独
作文劳心动火，且亦被怒伤肝，抑又为暑所逼，以致木火上升，眩晕作吐，经曰∶诸风掉眩
皆属肝木，诸呕吐逆皆属于火。又诸动属火。内为木火上冲，外为暑气所迫，故吐而汗多血
随吐出也。医贵识病，有是病则有是药。予特以白丸子三钱，解其暑气，清其痰饮，抑其冲
逆，则吐可止，吐止气平则血自能归经。服后果嗒然而睡，醒则吐止食进，眩晕寻已。继用
滑石、香薷各三钱，甘草五分，黄连、白扁豆各一钱五分，竹茹一钱，四帖全安。
族嫂程氏，年近五十，患咳嗽吐臭脓血，一日夜一碗余。发热昼轻夜重，肌肉大瘦，六
脉浮
而洪滑且数。人皆谓∶呕血身热脉大，法在不治。予曰∶此非吐血比也。此系酿酒伤肺，又
为怒气所触，瘀血浊痰滞于肺之气窍，无从而出，久之化而为脓，成肺痈也。治宜开肺窍，
活血化痰，使脓尽当自愈也，诸人治之，二年不效，予教以白芨、薏苡仁各三钱，牡丹皮、
桔梗、茜根、归尾、山栀子、贝母、白芍药各一钱，甘草、葶苈子各五分，三十帖。痊愈。
后寿七十三，以它病而终，此疾再不复发。
族侄文学明之，因写文章过度劳累，导致痰火之气上逆，大量吐出痰沫，进而引发呕血，一次涌出数碗之多。他神志昏沉晕厥，大汗淋漓，气息微弱地躺着，完全不敢动弹，稍微一动就会呕吐，血液随之流出，血色鲜红。饮食汤水都不敢入口，一旦喝下就会呕吐并伴随眩晕，血液随即涌出。同族的婺君程闻野氏为他诊脉后，惊恐地跑开说：“出血如泉水喷涌，身体发热且脉搏洪大，伴有眩晕且药物和食物难以进入体内，似乎没有好的征兆。”于是急忙请我诊治。我诊视完毕后，对他的兄长勉之说：“可以治愈，为何全家如此惊慌失措？”勉之将程闻野的话转告给我，我说：“看病要灵活圆通，不要拘泥固执。根据经典记载：心主司血液，肝贮藏血液。又说：愤怒会导致气机上逆。还说：脉象虚弱、身体发热，这是由伤暑引起的。现在患者左脉弦而大，右脉虚而大，说明明之不仅因为作文劳心导致心火亢盛，而且也被愤怒所伤及肝脏，再加上被暑邪逼迫，致使肝木之火上升，出现眩晕和呕吐。经书说：各种风动震颤、眩晕都属于肝木；各种呕吐逆气都属于火；各种躁动不安也都属于火。内部是肝木之火上冲，外部受暑气逼迫，所以呕吐、汗多且血液随吐而出。医生贵在识别病症，有什么病就用什么药。我特意用白丸子三钱，来解除暑气，清除痰饮，抑制冲逆之气，那么呕吐就可以停止，呕吐止住、气机平和后，血液自然能回归经脉。服药后果然安然入睡，醒来时呕吐停止，能够进食，眩晕很快消失。随后使用滑石、香薷各三钱，甘草五分，黄连、白扁豆各一钱五分，竹茹一钱，服用四帖后完全康复。
族嫂程氏，年龄接近五十岁，患有咳嗽并吐出带有臭味的脓血，一天一夜约一碗余。发热表现为白天轻晚上重，肌肉极度消瘦，六部脉象浮取洪大、滑利且快速。人们都说：“呕血、身体发热、脉搏洪大，按照医理属于不治之症。”我说：“这不同于一般的吐血。这是由于酿酒损伤肺部，又被怒气触动，导致瘀血和浊痰滞留在肺的气窍中，无法排出，久而久之化生为脓，形成了肺痈（肺部化脓性疾病）。治疗应当开通肺窍，活血化瘀，化痰排脓，使脓液排尽后自然会痊愈。之前其他人治疗了两年都没有效果，我教他们使用白芨、薏苡仁各三钱，牡丹皮、桔梗、茜草根、当归尾、山栀子、贝母、白芍药各一钱，甘草、葶苈子各五分，共三十帖。最终痊愈。后来她活到七十三岁，因其他疾病去世，此病再也没有复发。”
The author's nephew, Wenxue Mingzhi, suffered from excessive mental exertion while writing essays, which caused phlegm-fire to rebel upwards. He vomited large amounts of frothy phlegm, leading to hematemesis (vomiting blood), with several bowls gushing out at once. He was unconscious and dizzy, sweating profusely, lying weakly without daring to move; any slight movement triggered vomiting and the subsequent ejection of bright red blood. He dared not consume any food or fluids; upon ingestion, he would vomit and become dizzy, with blood following immediately. A relative, Wu Jun Cheng Wenyе, examined him and fled in horror, stating: "The bleeding is like a gushing spring, the body is hot, the pulse is large, accompanied by dizziness and an inability to retain medicine or food; there seems to be no favorable sign." He then urgently summoned me for treatment. After examining the patient, I told his elder brother, Mianzhi: "He can be saved. Why is the whole family so panicked?" When Mianzhi relayed Cheng's words to me, I replied: "Diagnosis must be flexible and comprehensive, not rigid. According to the classics: The Heart governs the Blood, and the Liver stores the Blood. It also states: Anger causes Qi to ascend. Furthermore: A deficient pulse with body heat indicates injury from Summerheat. Currently, the left pulse is wiry and large, and the right pulse is deficient and large. This indicates that Mingzhi not only injured his Heart with fire due to mental labor from writing, but also injured his Liver through anger, and was further constrained by Summerheat. This led to the ascent of Wood-Fire, causing dizziness and vomiting. The Classics state: All wind-induced tremors and dizziness belong to Liver Wood; all vomiting and rebellious Qi belong to Fire; all movements/agitations belong to Fire. Internally, Wood-Fire rushes upward; externally, it is pressured by Summerheat. Hence, vomiting, excessive sweating, and blood ejection occur together. Physicians must excel in identifying diseases; for every disease, there is a corresponding remedy. I specifically prescribed Bai Wan Zi (White Pill) 3 qian to resolve the Summerheat, clear the phlegm-fluid, and suppress the rebellious Qi. Once vomiting stops and Qi calms, the Blood will naturally return to its vessels. After taking the medicine, he indeed slept peacefully. Upon waking, vomiting ceased, he could eat, and the dizziness soon resolved. Subsequently, using Huashi (Talcum), Xiangru (Elsholtzia Herb) each 3 qian, Gancao (Licorice Root) 5 fen, Huanglian (Coptis Rhizome), Baibian Dou (Hyacinth Bean) each 1.5 qian, Zhuru (Bamboo Shavings) 1 qian, taken over four doses, he made a full recovery.
The author's sister-in-law, Lady Cheng, was nearly fifty years old. She suffered from coughing up foul-smelling purulent blood, approximately one bowl per day and night. Her fever was lighter during the day and heavier at night. Her muscles were severely emaciated, and her six pulses were floating, surging, slippery, and rapid. People said: "Hematemesis with body heat and a large pulse is medically incurable." I said: "This is different from general hematemesis. This case results from lung injury due to winemaking activities, aggravated by anger. Stagnant blood and turbid phlegm are lodged in the lung's Qi orifices, unable to exit. Over time, they transform into pus, forming Fei Yong (Lung Abscess). Treatment should open the lung orifices, invigorate blood, resolve phlegm, and allow the pus to drain completely, after which self-healing will occur. Previous treatments by others for two years were ineffective. I instructed them to use Baiji (Bletilla Tuber), Yiyiren (Coix Seed) each 3 qian, Mudanpi (Moutan Cortex), Jiegeng (Platycodon Root), Qigen (Rubia Root), Guiwei (Angelica Sinensis Tail), Shanzhizi (Gardenia Fruit), Beimu (Fritillaria Bulb), Baishao (White Peony Root) each 1 qian, Gancao (Licorice Root), Tinglizi (Descurainia Seed) each 5 fen, for thirty doses. She recovered fully. She later lived to seventy-three, passing away from another illness, and this disease never recurred."