前丘一染匠之妇，腹痛两月矣。或以为寒，为热，为气，为虚，为食积，为虫，递尝试
之转
加。一医与膏药如斗大者一个，满腹贴之，痛益剧。乃揭去膏药，即贴牢不可起，火熨油调
，百计不能脱分寸，如生在肉上相类。无可奈何，知予在吴乡宦宅中，乃买舟就予诊。及抵
吴门桥口，匠偕乃母乃姑四人尽力扶挽，绝不能动移一步。岸上环视如堵，莫不语匠曰∶病
势若此，时刻难抵，固乃强其起而欲污吾桥口耶？匠乃止妇舟中，起而垦予为治。至舟中，
见其面色苍黑。及伸手求诊，皮肤燥若老松树皮之状。六脉皆洪数。问其腹中之痛何在？匠
即为解衣露腹指其痛所，始知膏药粘牢之故，此甚希觏。叩其不能举步之由，妇曰∶非力弱
不能行，乃左脚不可动，动即痛应于心，是以一步不能举也。予俯思，若色若脉，皆非死候
，胡治而益剧也？此必肠痈，左脚莫能举是其征也。与营卫返魂汤，加金银花为君，与四帖
，酒水各一碗煎服。一帖痛稍减，二帖下臭脓半桶，痛全减。腹上膏药不须手揭，自脱而下
。由热去而膏脱也。四帖完，其妇同匠诣吴宅拜谢予，并求善后之方。吴宅见之，一族皆惊
。
王祖泉，大便里急后重，腹痛，日夜下紫黑稠粘三四十度。市中凡有名者，雷同痢治。
自秋
历冬，三越月不瘳。形色瘦瘁，匙箸厌举，即勉强，仅一盏而止，眼阖懒开，悉以为不治弃
去。访余脉之，六部濡弱，观其所下之色甚晦，如芋苗汁之状。予曰∶观此色，非痢，乃脏
毒下血症。《医说》中人参樗皮散，正此对腔剂也。即制与之，其夜果减半，终剂全愈。方
以人参、樗根白皮各二两，为末，每空心米饮调服二钱，忌肉汁，生菜、鱼腥。
前丘有一位染匠的妻子，腹痛已经两个月了。有人认为是寒证、热证、气滞、虚证、食积或虫积，依次尝试治疗，病情反而加重。一位医生给她贴了一个像斗一样大的膏药，贴满腹部，疼痛更加剧烈。于是揭去膏药，发现膏药粘牢无法取下，用火烤、用油调，想尽办法也无法移动一分一毫，就像长在肉上一样。无可奈何之下，听说我在吴地乡宦家中，便买船来找我诊治。等到抵达吴门桥口时，染匠和他的母亲、婆婆共四人尽力搀扶，完全无法让她移动一步。岸上围观的人像墙一样密集，没有人不对染匠说：“病势如此严重，时刻都难以到达，难道是你强行抬着她想要弄脏我们的桥口吗？”染匠于是将妻子留在船中，上岸恳求我治疗。到了船中，看到她的面色苍黑。伸手诊脉时，皮肤干燥得像老松树皮一样。六脉皆洪大且数。询问她腹中的疼痛在哪里？染匠随即解开衣服露出腹部，指出疼痛的部位，这才知道膏药粘牢的原因，这种情况非常罕见。询问她不能行走的原因，妇人说：“不是力气弱不能走，而是左脚不能动，一动就痛感放射到心脏，所以一步也抬不起来。”我沉思片刻，看面色和脉象，都不是死症，为什么治疗反而加重呢？这一定是肠痈（肠道化脓性炎症），左脚不能抬起是其征象。给予营卫返魂汤，以金银花为君药，开四帖，用水和酒各一碗煎服。服用一帖后疼痛稍减，服用两帖后排出了半桶臭脓，疼痛完全减轻。腹部的膏药不需要用手揭，自然脱落。这是因为热邪去除而膏药脱落。四帖服完，这位妇女和染匠一同到吴宅拜谢我，并请求善后的方子。吴宅的人见到她，全家都感到惊讶。
王祖泉，大便里急后重，腹痛，日夜排出紫黑色稠粘粪便三四十次。市面上所有有名的医生，都一致按痢疾治疗。从秋天到冬天，超过三个月没有痊愈。形体消瘦憔悴，连匙筷都厌恶举起，即使勉强吃，也只喝一盏粥就停止，眼睛闭合懒得睁开，大家都认为是不治之症而放弃。后来找到我诊脉，六部脉象濡弱，观察他排出的颜色非常晦暗，像芋苗汁的样子。我说：“看这个颜色，不是痢疾，乃是脏毒下血症（因脏腑湿热毒邪引起的便血）。《医说》中记载的人参樗皮散，正是对症的方剂。”立即配制给他，当晚果然减半，服完整个疗程完全痊愈。方子用人参、樗根白皮各二两，研为细末，每次空腹用米饮调服二钱，忌食肉汁、生菜、鱼腥。
A dyer's wife in Qianqiu had suffered from abdominal pain for two months. Some considered it to be cold, heat, qi stagnation, deficiency, food retention, or parasites, and treatments were tried sequentially, only to make the condition worse. A physician applied a plaster as large as a dou (a unit of volume) covering her entire abdomen, which intensified the pain. When the plaster was removed, it was found to be stuck so firmly that it could not be lifted; despite using fire to warm it and oil to lubricate it, countless attempts failed to move it by even a fraction of an inch, resembling tissue grown into the flesh. Helpless, she heard that I was staying at the residence of a local official in Wu, so she hired a boat to seek my diagnosis. Upon arriving at the Wumen Bridge pier, the dyer, accompanied by his mother and mother-in-law, three people in total, struggled to support her, yet she could not move a single step. The crowd on the shore, dense as a wall, all said to the dyer: "With the illness this severe, it is difficult to arrive even moment by moment; are you forcing her up to defile our bridge pier?" The dyer then left his wife in the boat, went ashore, and earnestly requested my treatment. Inside the boat, I observed her complexion was dark and sallow. When extending her arm for pulse diagnosis, her skin was dry like the bark of an old pine tree. All six pulses were surging and rapid. I asked where the abdominal pain was located. The dyer immediately undressed to expose her abdomen and pointed to the painful area, revealing the reason for the plaster's adhesion; such cases are rare. Inquiring about her inability to walk, the woman said: "It is not due to weakness preventing movement, but because my left foot cannot move; any movement causes pain to radiate to the heart, hence I cannot lift a step." I pondered deeply: both the complexion and the pulses indicated no fatal prognosis, why did the treatment exacerbate the condition? This must be Changyong (Intestinal Abscess), and the inability to raise the left foot is its sign. I prescribed Yingwei Fanhun Tang (Camp and Defense Soul-Returning Decoction), with Jinyinhua (Lonicerae Japonicae Flos, Honeysuckle Flower) as the sovereign herb, four doses in total, decocted with one bowl of water and one bowl of wine. After one dose, the pain decreased slightly; after two doses, half a bucket of foul-smelling pus was discharged, and the pain completely subsided. The plaster on the abdomen fell off naturally without manual removal, indicating that the heat pathogen had cleared, causing the plaster to detach. After completing the four doses, the woman and the dyer visited the Wu residence to thank me and requested a follow-up prescription. The family at the Wu residence was astonished upon seeing her.
Wang Zuquan experienced tenesmus (urgent need to defecate with little result), abdominal pain, and passed thirty to forty stools daily consisting of dark purple, thick, and sticky material. All renowned physicians in the market uniformly treated him for Li (Dysentery). From autumn through winter, spanning over three months, he did not recover. His physical appearance was emaciated and exhausted; he loathed lifting spoons and chopsticks, and even if forced, consumed only a small bowl before stopping. His eyes remained closed, reluctant to open, and everyone deemed it an incurable case and abandoned him. Later, he sought my pulse diagnosis; the pulses in all six positions were soft and weak. Observing the color of his excrement, it was very dull, resembling juice from taro shoots. I stated: "Judging by this color, it is not Dysentery, but Zangdu Xiexue (Visceral Toxemia with Hematochezia). The Ren Shen Chu Pi San (Ginseng and Black Cork Bark Powder) recorded in *Yi Shuo* (Medical Sayings) is precisely the appropriate formula for this condition." I prepared it for him immediately. That night, the symptoms indeed halved, and upon finishing the course, he was fully cured. The formula consisted of Ren Shen (Ginseng Radix et Rhizoma) and Chu Gen Bai Pi (Phellodendri Cortex, Phellodendron Bark), each two liang, ground into powder. Each time, two qian were taken orally with rice water on an empty stomach. Dietary restrictions included avoiding meat broth, raw vegetables, and fishy odors.