壬申仲秋，予东游 李，而王松泉、吴小峰偕行。小峰语予∶中秋至矣，此间一妓李姓
者，行第七，殊可人意，须访之。晚令佐酒，至则见其态度果澹雅风致。坐少顷，连咳两声，少
峰究其病，曰∶偶耳。小峰谓∶毋诳，孙公知人生死，不啻扁鹊，可求一诊。诊之，两寸短
涩，两尺洪滑，关弦。予未语，而小峰问脉，予曰∶脉甚怪，公可问经行否？曰∶行仅一日
，亦仅点滴。予曰∶此脉在良家主梦遗，若不宜有也。妓曰∶良然，即御客时亦或遗，遗则
冷汗淫淫，体倦而不能支。小峰为请药，予曰∶姑置之。小峰问何故？予曰∶金木相胜，心
神无主，法当不治。小峰谓人尚无恙，何得便至于此？予曰∶弦为春令，当金旺之时，犹然
猖獗，设在卯月木旺火相，肺金枯萎，水之上源已竭，且肾脉洪滑，妓以欲胜，阴血既亏，
淫火愈炽。书云∶阴虚则病，阴绝则死。今已咳嗽，其兆见矣，可治乎？次年二月果死。
有老妓金姓者，其嫂三月患头痛，身热，口渴，水泻不止，身重不能反侧，日渐昏沉，
耳聋眼合，梦多乱语。嘉秀医者，历试不效，视为必死。予适吴江归，便道过 李，访南溪、吉
泉二兄。吉泉兄以是症见询，且言诸医有以补中益气汤进者，有以附子理中汤进者，二药已
煎成未服，幸弟至，乞为诊之。六脉洪大，观其色内红外黑，口唇干燥，舌心黑胎，不知人
事。予曰∶此疫症也，法当清解，急以小白汤进之，犹可生也。若附子理中汤，杀之耳，安
可用!南溪兄问∶小白何汤也？予曰∶小柴胡、白虎汤，合而一之是也。南溪兄谓∶泄泻昏沉
如此，恐石膏不可用也。予曰∶此挟热下痢，但使清阳上升，则泻止热退，而神气自清也。
服讫，夜半神气苏醒，惟小水不利，热渴不退。予思仲景法谓，渴而身热不退，小便不利者
，当利其小便。乃以辰砂六一散一两，灯心汤调服之。两帖而瘳。南溪兄曰∶死生信乎命也
，弟顷刻不至，必服理中汤，此妇不为泉下人哉!
壬申年仲秋时节，我向东游历至李地，王松泉、吴小峰与我同行。小峰对我说：“中秋节到了，这里有一位姓李的妓女，排行第七，非常讨人喜欢，应当去拜访她。”晚上让她来陪酒，见到后觉得她举止淡雅，风致不凡。坐了一会儿，她连咳了两声，小峰询问她的病情，她说：“只是偶然咳嗽。”小峰说：“不要撒谎，孙公能预知人的生死，就像扁鹊一样，可以请他诊脉。”我诊脉后发现，两手寸脉短涩，两尺脉洪滑，关脉弦。我还没说话，小峰便问脉象，我说：“脉象很奇怪，你可以问问她月经是否来了？”回答说：“刚来一天，而且只有点滴经血。”我说：“这种脉象在良家妇女身上主梦遗，是不应该出现的。”妓女说：“确实如此，即使与客人同房时也会发生梦遗，遗精时冷汗淋漓，身体疲倦无法支撑。”小峰为我请求开药，我说：“暂且搁置不用。”小峰问为什么？我说：“金木相克，心神无主，按照医理属于不治之症。”小峰说：“人还活着，怎么就至于此呢？”我说：“弦脉对应春季，在金气旺盛的秋季出现，说明邪气依然猖獗。假如到了卯月（农历二月），木旺火相，肺金枯萎，肾水这一上源已经枯竭，加上肾脉洪滑，妓女因纵欲过度，阴血亏损，虚火更加炽盛。医书说：‘阴虚则病，阴绝则死’。现在她已经出现咳嗽，这是征兆显现了，还能治吗？”第二年二月果然去世。
有一位姓金的年老妓女，她的嫂子三月间患头痛，身热，口渴，腹泻不止，身体沉重不能翻身侧卧，日渐昏沉，耳聋眼闭，多梦且胡言乱语。当地医生嘉秀尝试各种方法无效，认为必死无疑。我刚好从吴江回来，顺路经过李地，拜访南溪、吉泉两位兄长。吉泉兄拿这个病症向我咨询，并且说各位医生有用补中益气汤治疗的，有用附子理中汤治疗的，这两种药已经煎好但尚未服用，幸好弟弟到来，恳请为我诊治。六脉洪大，观察面色内红外黑，口唇干燥，舌中心有黑苔，神志不清人事不知。我说：“这是疫病，法当清热解表，急用小白汤服用，还可以生还。如果用附子理中汤，只会加速死亡，怎么能用呢！”南溪兄问：“什么是小白汤？”我说：“就是小柴胡汤和白虎汤合方而成。”南溪兄说：“腹泻昏沉如此严重，恐怕石膏不可用吧。”我说：“这是挟热下痢，只要使清阳上升，那么腹泻停止热退，神气自然清醒。”服药后，半夜神气苏醒，只是小便不利，热渴不退。我想到张仲景的法度说，口渴且身热不退，小便不利的，应当利小便。于是用辰砂六一散一两，灯心草汤调服。两帖药后痊愈。南溪兄说：“生死真的听命于天啊，弟弟如果晚到片刻，必定会服用理中汤，这位妇人岂不是要变成黄泉下的人了！”
In the mid-autumn of the Ren-Shen year, I traveled east to Li, accompanied by Wang Songquan and Wu Xiaofeng. Xiaofeng said to me: "The Mid-Autumn Festival is approaching. There is a prostitute surnamed Li here, ranked seventh, who is very pleasing. We should visit her." That evening, she was invited to accompany us in drinking. Upon seeing her, I found her demeanor elegant and refined. After sitting for a while, she coughed twice. Xiaofeng inquired about her illness, and she replied, "It is just occasional." Xiaofeng said, "Do not lie. Master Sun can discern life and death, akin to Bian Que. You may ask him for a pulse diagnosis." Upon examining the pulse, I found both Cun (inch) positions short and choppy, both Chi (cubit) positions surging and slippery, and the Guan (bar) position wiry. Before I could speak, Xiaofeng asked about the pulse. I said, "The pulse is very strange. You may ask if her menstruation has started." She answered, "It started only one day ago, and there is only scant spotting." I said, "This pulse pattern indicates nocturnal emission in women of good standing, which should not be present here." The prostitute said, "Indeed. Even during intercourse with clients, I sometimes experience emission. When it happens, cold sweat pours down, and my body is too exhausted to support itself." Xiaofeng requested medicine from me. I said, "Let us leave it aside for now." Xiaofeng asked why. I said, "Metal overcomes Wood; the Heart Spirit lacks mastery. According to medical principles, this is incurable." Xiaofeng said, "She is still alive; how can it be so dire?" I said, "The wiry pulse corresponds to Spring. In the season when Metal is prosperous (Autumn), the pathogenic factor remains rampant. If we reach the Mao month (lunar February), when Wood is prosperous and Fire is assisting, Lung Metal will wither. The upper source of Kidney Water will be exhausted. Furthermore, the Chi pulse is surging and slippery. Due to excessive sexual desire, Yin Blood is depleted, and defluxion fire becomes more intense. Medical texts state: 'Yin deficiency leads to disease; Yin exhaustion leads to death.' Now that she has developed coughing, the signs are manifest. Can it be treated?" Indeed, she died in the second month of the following year.
An elderly prostitute surnamed Jin reported that her sister-in-law suffered from headache, fever, thirst, and incessant diarrhea in the third month. Her body felt heavy, making it impossible to turn over or change sides. She became increasingly lethargic, deaf, eyes closed, prone to dreams, and spoke confusedly. Local physician Jiaxiu tried various treatments without success and deemed it fatal. I had just returned from Wujiang and passed through Li on my way to visit Brothers Nanxi and Jiquan. Brother Jiquan consulted me regarding this case, stating that some physicians had administered Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and others Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction). These medicines were already decocted but not yet taken. Fortunately, I had arrived, and he begged me to diagnose. The six pulses were surging and large. Observing her complexion, the interior appeared red while the exterior appeared black; her lips were dry, the center of her tongue had a black coating, and she was unconscious. I said, "This is an epidemic condition. The method should be clearing and resolving. Administer Xiaobai Tang urgently, and she may survive. If Fuzi Lizhong Tang is used, it will kill her. How can such a prescription be used!" Brother Nanxi asked, "What is Xiaobai Tang?" I said, "It is a combination of Xiao Chaihu Tang (Minor Bupleurum Decoction) and Baihu Tang (White Tiger Decoction)." Brother Nanxi said, "With such severe diarrhea and lethargy, I fear Gypsum (Shigao) cannot be used." I said, "This is dysentery/diarrhea with attached heat. As long as clear Yang ascends, the diarrhea will stop, heat will recede, and the spirit will naturally clarify." After taking the medicine, her spirit revived at midnight, but urination remained difficult, and the fever and thirst persisted. Recalling Zhang Zhongjing's principle: "For thirst with persistent fever and difficulty in urination, one should promote urination." Therefore, I used Chen Sha Liuyi San (Cinnabar Six-to-One Powder) one tael, mixed with Dengxin Tang (Juncus Decoction) for administration. After two doses, she recovered. Brother Nanxi said, "Life and death are indeed determined by fate. Had you arrived a moment later, she would certainly have taken Lizhong Tang. Would this woman not have become a person under the springs (dead)!"