李坦渠老先生令子室，十月发寒热起，一日一发，咳嗽，心痛，腰亦痛。至次年正月十
七日
，始间日一发，肌肉大瘦，喉疼，汗出如雨，白带如注，饮食减少，百试而汗不止，延予为
诊。其脉右手软弱，左手散乱，此汗多而脉不敛，病势至此，危之甚矣。书云火热似疟，此
病之谓欤？以黄 二钱，白芍一钱五分，粉草、阿胶各一钱，鳖甲三钱，桂枝五分，乌梅一
个，水煎服。其夜汗止。次早诊之，左脉已敛，神气亦回。前方加何首乌、石斛、牡蛎。其
日寒热亦不发，饮食稍加， 然有幽谷回春之象。
太学周衡宇先生，吴江澜溪人，大冢宰白川公之令孙也。近来咯血色紫，胃中痰火素盛
，壅
于胸膈，作痞作疼，痰与瘀血挟而为热。脉左寸洪大，右寸关皆滑，两手尽数，此有余之候
。总管丸四钱，再以滑石、桃仁各三钱，山楂二钱，枳壳、栀子、贝母、红花、丹皮各一钱
，茅根五钱，水煎服之。次日大便行三次，痰积极多，内带瘀血。改以山栀子、紫菀、丹皮
各一钱，滑石三钱，桃仁一钱五分，小蓟三钱，茅根五钱，水煎，加童便一酒杯，三帖全安
。
大参张公，分守杭嘉湖道，因丧夫人，衙中亡者八口，心中惶惶。因凌绎翁交浓，而礼
予为
诊。左寸脉短，关弦，右关滑，两尺亦弦。据脉心血不足，中焦有痰，流于下部，凝于经络
，以故腰膝酸疼，居常背心作胀，头多眩晕，夜睡多汗。先时诸医悉投风剂，非所宜也。予
以陈皮、白芍药、木瓜、牛膝、五加皮、苡仁、黄柏、酒芩、甘草、生地、当归、威灵仙调
理，十剂，诸症悉愈。
李坦渠老先生的儿媳，从十月开始发作寒热交替，每天发作一次，伴有咳嗽、心痛和腰痛。到了次年正月十七日，改为每两天发作一次，肌肉严重消瘦，喉咙疼痛，出汗如雨下，白带如注般流出，饮食减少，尝试了各种方法汗仍不止，于是请我为其诊治。她的脉象右手软弱无力，左手散乱无根，这是因为出汗过多导致脉气不能收敛，病情发展到这种地步，非常危险。医书说火热之邪类似疟疾，说的就是这种病吧？处方用黄芪二钱，白芍一钱五分，粉草（甘草）、阿胶各一钱，鳖甲三钱，桂枝五分，乌梅一个，水煎服。当晚汗即停止。次日早晨诊察，左脉已经收敛，神气也恢复了。前方中加入何首乌、石斛、牡蛎。当天寒热也不再发作，饮食稍微增加，呈现出幽谷回春般的生机景象。
太学周衡宇先生，是吴江澜溪人，大冢宰白川公的孙子。近来咯出的血色紫暗，胃中素有痰火旺盛，壅塞于胸膈部位，导致痞闷疼痛，痰与瘀血夹杂产生热邪。脉象左寸洪大，右寸关皆滑利，两手脉搏跳动急促（数脉），这是有余实证的征候。服用总管丸四钱，再用滑石、桃仁各三钱，山楂二钱，枳壳、栀子、贝母、红花、丹皮各一钱，白茅根五钱，水煎服。第二天大便行了三次，痰积排出很多，其中带有瘀血。改为处方：山栀子、紫菀、丹皮各一钱，滑石三钱，桃仁一钱五分，小蓟三钱，白茅根五钱，水煎，加入童便一杯，服用三帖后完全痊愈。
大参张公，担任杭嘉湖道的分守职务，因为丧偶，衙门中有八口人死亡，心中惶恐不安。因为凌绎翁关系深厚，而礼节性地请我为其诊治。左寸脉短，关脉弦，右关脉滑，两尺脉亦弦。根据脉象判断，心血不足，中焦有痰湿，流注于下部，凝结于经络，因此腰膝酸疼，平时背部发胀，头部经常眩晕，夜间睡觉多汗。先前各位医生都使用祛风药物，是不适宜的。我使用陈皮、白芍药、木瓜、牛膝、五加皮、薏苡仁、黄柏、酒炒黄芩、甘草、生地、当归、威灵仙进行调理，服用十剂后，所有症状全部痊愈。
Li Tanqu's elderly gentleman's daughter-in-law began experiencing alternating chills and fever in the tenth month, occurring once daily, accompanied by cough (Ke Sou), heart pain (Xin Tong), and lower back pain (Yao Tong). By the seventeenth day of the first month of the following year, the episodes changed to every other day. Her muscles wasted significantly, her throat hurt, she sweated profusely like rain, leukorrhea flowed heavily like a stream, and her food intake decreased. Despite various attempts, the sweating did not stop, so he invited me to examine her. Her pulse was weak and soft on the right hand and scattered and chaotic on the left hand; this indicates that excessive sweating has prevented the pulse qi from consolidating. The disease has reached such a critical stage, which is extremely dangerous. Medical texts state that "heat-fire resembles malaria," which refers to this condition. The prescription consisted of Huangqi (Astragali Radix) 2 qian, Baishao (Paeoniae Radix Alba) 1.5 qian, Fencou (Gancao, Glycyrrhizae Radix et Rhizoma) and Ejiao (Asini Corii Colla) each 1 qian, Biejia (Testudinis Carapax et Plastrum) 3 qian, Guizhi (Cinnamomi Ramulus) 0.5 qian, and Wumei (Mume Fructus) one piece, decocted in water and taken orally. That night, the sweating stopped. The next morning upon examination, the left pulse had consolidated, and her spirit and vitality had returned. To the previous formula, Heshouwu (Polygoni Multiflori Radix), Shihu (Dendrobii Caulis), and Muli (Ostreae Concha) were added. On that day, the chills and fever did not recur, and her appetite slightly increased, presenting an image of revival akin to "spring returning to the deep valley."
Tai Xue Zhou Hengyu, a native of Lanxi in Wujiang and the grandson of Grand Minister Baichuan, recently expectorated blood that was purple in color. He had a constitutionally strong accumulation of phlegm-fire in the stomach, which obstructed the chest and diaphragm, causing distension and pain. Phlegm and blood stasis (Yu Xue) combined to generate heat. His pulse was surging and large at the left Cun position, slippery at the right Cun and Guan positions, and rapid (Shu Mai) throughout both hands, indicating an excess syndrome. He took Sizong Wan (General Manager Pill) 4 qian, along with Huashi (Talcum) and Taoren (Persicae Semen) each 3 qian, Shanzha (Crataegi Fructus) 2 qian, Zhike (Aurantii Fructus), Zhizi (Gardeniae Fructus), Beimu (Fritillariae Bulbus), Honghua (Carthami Flos), and Danpi (Moutan Cortex) each 1 qian, and Maogen (Imperatae Rhizoma) 5 qian, decocted in water and taken orally. The next day, he had three bowel movements, expelling a significant amount of accumulated phlegm mixed with blood stasis. The prescription was modified to include Zhizi (Gardeniae Fructus), Ziwan (Asturi Flos), and Danpi (Moutan Cortex) each 1 qian, Huashi (Talcum) 3 qian, Taoren (Persicae Semen) 1.5 qian, Xiaoji (Cephalopteri Herba) 3 qian, and Maogen (Imperatae Rhizoma) 5 qian, decocted in water with one cup of Tongbian (Child's Urine) added. After taking three doses, he was completely cured.
Da Can Zhang Gong, who served as the Sub-prefect of the Hangjiahu Circuit, was deeply distressed due to the death of his wife and eight other deaths within the yamen. Due to the close friendship with Ling Yi Weng, he politely requested my consultation. His left Cun pulse was short, the Guan pulse was wiry (Xian Mai); the right Guan pulse was slippery (Hua Mai), and both Chi pulses were wiry. Based on the pulse, it was determined that there was insufficiency of Heart Blood (Xin Xue), phlegm-dampness in the Middle Jiao (Zhong Jiao) flowing downward and coagulating in the meridians, resulting in soreness and pain in the waist and knees. Usually, he experienced distension in the upper back, frequent dizziness (Xuan Yun), and night sweats. Previous physicians had all administered wind-dispelling agents, which was inappropriate. I prescribed Chenpi (Citri Reticulatae Pericarpium), Baishao Yao (Paeoniae Radix Alba), Mugua (Chaenomelis Fructus), Niuxi (Achyranthis Bidentatae Radix), Wujia Pi (Acanthopanacis Cortex), Yiren (Coicis Semen), Huangbai (Phellodendri Cortex), Jiuhuangqin (Scutellariae Radix processed with wine), Gancao (Glycyrrhizae Radix et Rhizoma), Shengdi (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), and Weilingxian (Saposhnikoviae Radix) for regulation. After ten doses, all symptoms were completely resolved.