族弟应章，胃脘当心而痛，手不可近，疑有瘀血使然。玄胡、五灵脂、牡丹皮、滑石、
川芎、当归、甘草、桃仁、桔梗、香附，水煎，临服加韭菜汁一小酒杯，其夜痛止得睡，饮
食也进。惟大便下坠，逼迫不安，此瘀血已动，欲下行也。前剂减去韭菜汁，一帖全安。
予弟淑南，额痛遍身痛，口干，舌苔黄浓，左脉浮大，六部俱数。时当仲秋初旬，以小
柴胡
合白虎汤加羌活，热仍不退。下午用六神通解散，以葱汤调服三钱，热稍退，至半夜后又复
热，额痛，顶巅尤甚，舌根黄且焦黑，小水赤痛，烦躁不睡，遍身又痛，此三阳合病，暑
症
也。次日，以小柴胡大加石膏为君， 本、白芷、竹叶、粳米、生姜、大枣。少顷，大汗出
至足，热始尽退，犹烦躁不睡，仍以小柴胡汤加桂枝、山栀子、竹茹、竹叶饮下，烦躁宁而
得睡，余热悉平，精神爽而向安矣。
一富家妇，当仲秋大小便秘者三日，市师以巴豆丸二帖，大便泻而小便愈秘，胀闷，脐
突二
寸余，前阴胀裂不能坐卧，啼泣呻吟欲求自尽，此转脬病也。 树东行根皮一寸，滑石二钱
，玄胡索、桃仁、当归、瞿麦各一钱，水煎，临服入韭菜汁半杯。服后食顷而小便稍行，玉
户
痛甚，小便非极用力努之，则不能出，改用升麻、桔梗、枳壳、玄胡索煎成，调玄明粉二钱
，乃提清降浊之意，服后大小便俱行，始不胀急。次日报云∶每大小便来时，腹中先痛，有
淡血水，小便短，再以丹参、丹皮、当归、白芍药、甘草、青皮、香附、玄胡、茯苓、山栀
子、山楂两帖，各症良安。
族弟应章，胃脘部正对心脏的位置疼痛，手不能触碰靠近，怀疑是瘀血导致的。使用玄胡、五灵脂、牡丹皮、滑石、川芎、当归、甘草、桃仁、桔梗、香附，水煎煮，服用前加入一小酒杯韭菜汁，当晚疼痛停止并能入睡，饮食也进来了。只是大便时有下坠感，逼迫不安，这是瘀血已经活动，想要向下排出的表现。前面的方剂减去韭菜汁，服用一帖后完全痊愈。
我的弟弟淑南，额头疼痛，全身疼痛，口干，舌苔黄厚，左脉浮大，六部脉象都数（快）。当时正值仲秋初旬，用小柴胡汤合白虎汤加羌活，热势仍然不退。下午用六神通解散，用葱汤调服三钱，热势稍退，到了半夜后又再次发热，额头痛，头顶尤其严重，舌根黄且焦黑，小便赤涩疼痛，烦躁不睡，全身又痛，这是三阳合病，属于暑症。第二天，用小柴胡汤大量增加石膏作为君药，加上本（此处指藁本或类似引经药，原文仅“本”字，结合语境及常用配伍，通常指藁本或独活等，但依原文提取为“本”）、白芷、竹叶、粳米、生姜、大枣。不久，大汗出至脚底，热势才完全消退，仍然烦躁不睡，仍用小柴胡汤加桂枝、山栀子、竹茹、竹叶饮用，烦躁平息而能入睡，余热全部平复，精神清爽而趋向安康。
一位富家妇女，在仲秋时节大小便不通三天，市井医生给她吃了两帖巴豆丸，大便泻下但小便更加闭塞，腹胀闷，肚脐突出二寸多，前阴肿胀破裂不能坐卧，哭泣呻吟想要自尽，这是转脬病。取树东行根皮一寸，滑石二钱，玄胡索、桃仁、当归、瞿麦各一钱，水煎煮，服用前加入半杯韭菜汁。服药后过了一会儿小便稍微通畅，玉户（女性生殖器）疼痛剧烈，小便非极用力努挣则不能排出，改用升麻、桔梗、枳壳、玄胡索煎成，调入玄明粉二钱，这是提清降浊的意思，服药后大小便都通了，才开始不胀急。第二天报信人说：每次大小便来时，腹中先痛，有淡血水，小便短少，再用丹参、丹皮、当归、白芍药、甘草、青皮、香附、玄胡、茯苓、山栀子、山楂两帖，各种症状良好安定。
Zu Di Yingzhang experienced pain in the epigastric region directly opposite the heart, so severe that it could not be touched or approached. It was suspected to be caused by blood stasis (Yu Xue). A decoction of Yanhu (Corydalis Rhizome), Wulingzhi (Trogopterus Dung), Mudanpi (Moutan Cortex), Huashi (Talcum), Chuanxiong (Ligusticum Rhizome), Danggui (Angelicae Sinensis Radix), Gancao (Licorice Root), Taoren (Persicae Semen), Jiegeng (Platycodon Root), and Xiangfu (Cyperi Rhizome) was prepared with water. Just before taking the medicine, a small cup of leek juice was added. That night, the pain ceased, allowing him to sleep, and his appetite returned. However, he felt a sensation of bearing down during defecation and discomfort due to pressure. This indicated that the blood stasis had moved and was attempting to descend downward. The previous prescription was modified by removing the leek juice; after one dose, he was completely recovered.
My younger brother Shunan suffered from forehead pain, generalized body pain, dry mouth, a thick yellow tongue coating, a floating and large left pulse, and rapid pulses in all six positions. At this time, which was early mid-autumn, Xiao Chaihu Tang (Minor Bupleurum Decoction) combined with Baihu Tang (White Tiger Decoction) plus Qianghuo (Notopterygii Rhizoma et Radix) was administered, but the fever did not subside. In the afternoon, Liutongshen Sanjie San (Six-Exhausting Unblocking Decoction Powder) was used, taken with scallion soup at a dosage of three qian. The fever subsided slightly, but recurred at midnight with forehead pain, particularly severe at the vertex. The root of the tongue was yellow, scorched, and blackish; urination was red, painful, and difficult; he was irritable, unable to sleep, and suffered from generalized body pain. This presented as a combination of diseases involving the three Yang meridians, specifically a summerheat syndrome. The next day, Xiao Chaihu Tang was modified with Gypsum Fibrosum (Shigao) as the chief ingredient, added with Ben (likely Gaoben/Lepidii Seed or similar, text says "Ben"), Baizhi (Angelicae Dahuricae Radix), Zhuye (Bamboo Leaf), Jingmi (Rice), Shengjiang (Fresh Ginger), and Dazao (Jujube). Shortly after, profuse sweating occurred extending to the feet, and the fever finally subsided completely. He remained irritable and sleepless, so Xiao Chaihu Tang was again administered with Guizhi (Cinnamon Twig), Shanzhizi (Gardeniae Fructus), Zhuru (Bamboo Shavings), and Zhuye. His irritability settled, he fell asleep, residual heat cleared, and his spirit refreshed, leading to recovery.
A wealthy woman suffered from constipation of both stool and urine for three days during mid-autumn. A local practitioner gave her two doses of Badou Wan (Croton Seed Pills). While diarrhea ensued, urinary retention worsened. She experienced abdominal distension and oppression, with the umbilicus protruding more than two cun. Her external genitalia were swollen and cracked, preventing sitting or lying down; she wept, moaned, and desired suicide. This was diagnosed as Zhuantiao disease (retention of urine due to bladder displacement/obstruction). One cun of tree bark growing eastward, Er qian of Huashi (Talcum), Yi qian each of Xuanshusuo (Corydalis Rhizome), Taoren (Persicae Semen), Danggui (Angelicae Sinensis Radix), and Qumai (Dianthi Herba) were decocted in water. Half a cup of leek juice was added just before ingestion. After a short while, urination began slightly. However, severe pain persisted in the Yuhu (vulva), requiring extreme straining to void. The prescription was changed to Shengma (Cimicifugae Rhizoma), Jiegeng (Platycodon Root), Zhike (Aurantii Fructus Immaturus), and Xuanshusuo (Corydalis Rhizome) decocted, with Erythrinitrum (Xuanmingfen) mixed in at two qian. This approach aimed to raise the clear and descend the turbid. After administration, both stool and urine passed freely, relieving the distension and urgency. The following day, it was reported that abdominal pain preceded bowel and bladder movements, accompanied by pale bloody fluid and scanty urine. Two doses of Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Danpi (Moutan Cortex), Danggui (Angelicae Sinensis Radix), Baishaoyao (Paeoniae Radix Alba), Gancao (Licorice Root), Qingpi (Citri Reticulatae Pericarpium Viride), Xiangfu (Cyperi Rhizoma), Xuanhu (Corydalis Rhizome), Fuling (Poria), Shanzhizi (Gardeniae Fructus), and Shanzha (Crataegi Fructus) were given, resulting in the resolution of all symptoms.