朱氏子天送，时疾头疼，身若燔炭，口渴气促，申酉刻热潮更甚，舌心焦黑，遍体紫斑
，语
言含舌不清，时多发呃，耳聋。先治者误进藿香正气散而加呕逆水泻；又医以柴苓汤，呕益
甚
，热转增剧。迎予为诊，六脉俱洪数，此少阳阳明合病之疫，以石膏五钱，知母、柴胡各三
钱，黄芩一钱五分，半夏曲、麦门冬、竹茹、橘红、葛根各一钱，粉草、枳实各五分，服下
热退其七，舌不燥矣。再以柴胡、半夏曲、白芍药、竹茹各一钱，石膏三钱，麦门冬、知母
各一钱五分，黄连、甘草、人参各五分，水煎饮之而斑退，诸症悉平。
朱桃源内人胃脘痛，年五十有二，经水尚行不止，一月且二至，每至十余日不净，白带
淫淫
下，常苦梦遗，近又眩晕，先与积气丸一帖，以止胃脘痛，再以逍遥散加石莲子、莲花心、
五倍子炼蜜为丸，每早晚白汤送下二钱，梦遗竟绝。
桂亭兄，壮年原有湿热、痰积。年遇艾偶坠轿，跌伤背胁。专科以草药敷贴于外，内
以药酒
攻之而愈。越十五年，左胁痛，手不可近，左脉弦数坚劲搏指，小腹也痛，知为旧瘀及痰积
作祟。以青皮、赤芍药、黄连、当归尾各一钱，桃仁一钱五分，大黄二钱，滑石三钱，水煎
，临服调玄明粉一钱。服下吐出痰涎碗余，大便仅行一次，而左胯及腿膝皆痛，夜睡不安，
由
小腹痛甚之故。此瘀物欲行而未能也。再与大黄、当归尾、红花、牡丹皮、赤芍药各一钱，
桃仁二钱，滑石三钱，青皮八分，调玄明粉一钱，再下之。大便行三次，皆沉香色稠粘瘀
物。腹痛虽除，胯痛仍在，用乳香、没药、归尾、红花各一钱，桃仁、滑石各三钱，大黄二
钱，穿山甲、丹参各一钱五分。服后大便行四次，所下皆紫黑如筋膜者不可胜计，诸病悉减
。因食鸡汤、牛肉，脐腹又痛。里急后重，此余积未尽。欲再下之，举家惊怖，谓六旬以外
之年，以下数次，恐脾弱不能再下。予曰∶医贵认病，何以年齿数下拘哉？今药力到而积已
动矣，破竹之势可迎刃而解，若失时姑息，恐他日滋蔓，欲下难动也。行后而补，庶无反顾
之忧。大兄然之。以红花、桃仁、当归尾、赤芍药、山栀仁、玄胡索、牡丹皮、穿山甲、滑
石，煎调玄明粉，下二次紫黑瘀物。如前之半，腿胯小腹痛则俱释。次日用人参、茯苓、白
芍药、粉草、陈皮、山楂、桂心、当归、半夏调养半月，精神、步履、饮啖一如旧矣。
朱氏的儿子天送，患时行疫病，头痛，身体像燃烧的炭火一样烫，口渴且呼吸急促，申时和酉时（下午3点至7点）发热更加严重，舌中心焦黑，全身出现紫色斑疹，说话时舌头僵硬不清，时常打呃逆，耳聋。之前的医生误用藿香正气散，导致呕吐加剧并伴有水样腹泻；另一位医生使用柴苓汤，呕吐更严重，热势反而加剧。请我为他诊脉，六部脉象都洪大且数，这是少阳与阳明合病的疫病，我用石膏五钱，知母、柴胡各三钱，黄芩一钱五分，半夏曲、麦门冬、竹茹、橘红、葛根各一钱，粉草、枳实各五分，服药后热退去七成，舌苔不再干燥。再用柴胡、半夏曲、白芍药、竹茹各一钱，石膏三钱，麦门冬、知母各一钱五分，黄连、甘草、人参各五分，水煎服用，斑疹消退，所有症状完全平息。
朱桃源的夫人胃脘疼痛，年龄五十二岁，月经仍然不止，一个月来两次，每次持续十余日不干净，白带绵绵不断地下流，常苦于梦遗，最近又出现眩晕。先给她服一帖积气丸，以止住胃脘痛，再用逍遥散加石莲子、莲花心、五倍子，炼蜜制成丸药，早晚用白开水送服二钱，梦遗竟然停止。
桂亭兄长，壮年时原有湿热和痰积。某年遇到艾草（此处疑为“隘”或地名，指经过狭窄处），偶然从轿子上摔下，跌伤了背部和胁肋。专科医生用草药外敷，内服药酒攻逐而痊愈。过了十五年，左胁疼痛，手不能靠近，左脉弦数坚劲搏指，小腹也痛，知道是旧有的瘀血及痰积在作祟。用青皮、赤芍药、黄连、当归尾各一钱，桃仁一钱五分，大黄二钱，滑石三钱，水煎，临服药时调入玄明粉一钱。服药后吐出碗余痰涎，大便仅通一次，但左胯及腿膝都痛，夜间睡眠不安，这是因为小腹痛剧烈的缘故。这是瘀血欲行而未行的表现。再给大黄、当归尾、红花、牡丹皮、赤芍药各一钱，桃仁二钱，滑石三钱，青皮八分，调入玄明粉一钱，再次攻下。大便通行三次，排出的都是沉香色的稠粘瘀物。腹痛虽然消除，但胯痛仍在，用乳香、没药、归尾、红花各一钱，桃仁、滑石各三钱，大黄二钱，穿山甲、丹参各一钱五分。服药后大便通行四次，排出的紫黑色如筋膜状的瘀物不计其数，各种病症都减轻了。因为吃了鸡汤、牛肉，脐腹部又痛，里急后重，这是残余的病邪未尽。想要再次攻下，全家惊恐害怕，认为六十多岁的人，已经攻下多次，恐怕脾虚不能再攻下。我说：治病贵在认清病证，怎么能因为年龄和次数就拘泥呢？现在药力到达而积滞已动，如破竹之势可迎刃而解，如果错失时机姑息养奸，恐怕日后滋蔓生长，想攻下也难以推动了。攻下之后再补益，才没有后顾之忧。大哥听从了我的建议。用红花、桃仁、当归尾、赤芍药、山栀仁、玄胡索、牡丹皮、穿山甲、滑石，煎煮调入玄明粉，又排出两次紫黑色瘀物，量如前次的一半，腿胯和小腹的疼痛也就全部解除。第二天用人参、茯苓、白芍药、粉草、陈皮、山楂、桂心、当归、半夏调养半月，精神、步履、饮食都像从前一样了。
Zhu's son, Tiansong, suffered from a seasonal epidemic disease with headache, body heat as intense as burning charcoal, thirst, and shortness of breath. The fever intensified during the Shen and You hours (3 PM to 7 PM). His tongue center was scorched black, purple macules appeared all over his body, his speech was slurred with tongue stiffness, he frequently hiccuped, and was deaf. Previous practitioners mistakenly administered Huoxiang Zhengqi San (Patchouli and Magnolia Bark Powder), which worsened vomiting and caused watery diarrhea. Another physician used Chai Ling Tang (Bupleurum and Poria Decoction), leading to even more severe vomiting and increased fever. I was invited to diagnose him; all six pulses were surging and rapid. This was identified as an epidemic disease involving both Shaoyang and Yangming channels. I prescribed Shigao (Gypsum Fibrosum) 5 qian, Zhimu (Anemarrhenae Rhizoma) and Chaihu (Bupleuri Radix) each 3 qian, Huangqin (Scutellariae Radix) 1.5 qian, Banxia Qu (Prepared Pinellia Fermented with Bran) 1 qian, Maimendong (Ophiopogonis Radix) 1 qian, Zhuru (Bambusae Caulis in Taeniam) 1 qian, Juhong (Exocarpium Citri Reticulatae Rubrum) 1 qian, Gegen (Puerariae Lobatae Radix) 1 qian, Fencacao (Glycyrrhizae Radix et Rhizoma Preparatum) and Zhishi (Aurantii Fructus Immaturus) each 0.5 qian. After taking this decoction, the fever subsided by seventy percent, and the tongue no longer felt dry. Subsequently, I prescribed Chaihu (Bupleuri Radix) 1 qian, Banxia Qu (Prepared Pinellia Fermented with Bran) 1 qian, Baishao (Paeoniae Radix Alba) 1 qian, Zhuru (Bambusae Caulis in Taeniam) 1 qian, Shigao (Gypsum Fibrosum) 3 qian, Maimendong (Ophiopogonis Radix) 1.5 qian, Zhimu (Anemarrhenae Rhizoma) 1.5 qian, Huanglian (Coptidis Rhizoma) 0.5 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, and Renshen (Ginseng Radix et Rhizoma) 0.5 qian, decocted in water. The macules receded, and all symptoms resolved completely.
Ms. Zhu Taoyuan, wife of Zhu Taoyuan, suffered from epigastric pain at age fifty-two. Her menstruation continued incessantly, occurring twice a month, with each episode lasting over ten days without clearing. She had continuous leukorrhea (white vaginal discharge) and often suffered from nocturnal emissions. Recently, she also experienced dizziness. Initially, one dose of Jiqi Wan (Qi-Stagnation Pill) was given to stop the epigastric pain. Then, Xiaoyao San (Free and Easy Wanderer Powder) was modified with Shilianzi (Nelumbinis Semen), Lianhua Xin (Plumula Nelumbinis), and Wubeizi (Gallnut) to be processed into pills with refined honey. Two qian were taken morning and evening with warm water, resulting in the complete cessation of nocturnal emissions.
Brother Guting, in his prime, originally had damp-heat and phlegm accumulation. One year, while passing through a narrow pass, he accidentally fell from a sedan chair, injuring his back and flanks. Specialists treated him externally with herbal poultices and internally with medicinal wine, leading to recovery. Fifteen years later, he developed left hypochondriac pain so severe that he could not bear touch. His left pulse was wiry, rapid, firm, and forceful against the fingers. He also had lower abdominal pain. It was determined that old blood stasis and phlegm accumulation were the culprits. Qingpi (Citri Reticulatae Pericarpium Viride), Chishao (Paeoniae Radix Rubra), Huanglian (Coptidis Rhizoma), and Dangguiwei (Angelicae Sinensis Radix Cauda) were each prescribed at 1 qian, Tao Ren (Persicae Semen) 1.5 qian, Dahuang (Rhei Radix et Rhizoma) 2 qian, and Huashi (Talcum) 3 qian, decocted in water. Xuanmingfen (Mirabilite) 1 qian was mixed in just before administration. After taking it, he vomited over a bowl of phlegm-saliva, and had only one bowel movement. However, his left hip, leg, and knee became painful, and he slept restlessly at night due to severe lower abdominal pain. This indicated that the blood stasis was attempting to move but failed. A second prescription of Dahuang (Rhei Radix et Rhizoma) 1 qian, Dangguiwei (Angelicae Sinensis Radix Cauda) 1 qian, Honghua (Carthami Flos) 1 qian, Mudanpi (Moutan Cortex) 1 qian, Chishao (Paeoniae Radix Rubra) 1 qian, Tao Ren (Persicae Semen) 2 qian, Huashi (Talcum) 3 qian, and Qingpi (Citri Reticulatae Pericarpium Viride) 0.8 qian, with Xuanmingfen (Mirabilite) 1 qian mixed in, was given to purge again. Three bowel movements occurred, discharging dark green, thick, sticky blood stasis. Although abdominal pain ceased, hip pain persisted. A third formula containing Rushiang (Boswelliae Resina), Moyao (Commiphorae Resina), Guiwei (Angelicae Sinensis Radix Cauda), Honghua (Carthami Flos) each 1 qian, Tao Ren (Persicae Semen) 3 qian, Huashi (Talcum) 3 qian, Dahuang (Rhei Radix et Rhizoma) 2 qian, and Chanshanjia (Squama Manis) and Danshen (Salviae Miltiorrhizae Radix et Rhizoma) each 1.5 qian was administered. Four bowel movements followed, discharging countless amounts of purple-black, fascia-like blood stasis. All diseases significantly improved. However, after consuming chicken soup and beef, umbilical and abdominal pain returned with tenesmus, indicating residual pathogenic factors remained. I intended to purge again, but the family was terrified, arguing that for someone over sixty who had been purged several times, spleen deficiency might prevent further purgation. I stated: "Medicine values recognizing the disease correctly; why be constrained by age and number of treatments? Now the drug power has reached the target and the accumulation is moving. Like splitting bamboo, it can be solved easily. If we miss the opportunity and show leniency, fear that it will spread later, making purgation difficult." They agreed to purge first, then tonify, avoiding regret. Using Honghua (Carthami Flos), Tao Ren (Persicae Semen), Dangguiwei (Angelicae Sinensis Radix Cauda), Chishao (Paeoniae Radix Rubra), Shanzhiren (Gardeniae Semen), Yuanhusuo (Corydalis Rhizoma), Mudanpi (Moutan Cortex), Chanshanjia (Squama Manis), and Huashi (Talcum), decocted with Xuanmingfen (Mirabilite), two more discharges of purple-black blood stasis occurred, half the volume of the previous ones. Pain in the legs, hips, and lower abdomen was completely relieved. The next day, Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Baishao (Paeoniae Radix Alba), Fencacao (Glycyrrhizae Radix et Rhizoma Preparatum), Chenpi (Citri Reticulatae Pericarpium), Shanzha (Crataegi Fructus), Guixin (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix), and Banxia (Pinelliae Rhizoma) were used to regulate health for half a month. His spirit, gait, and appetite returned to normal.