潘大司马公，尝有肠风之疾。八月丁祭，学博馈鹿血，食之而血暴下。致予治，用槐角
子五
钱，黄连、枳壳、地榆、贯众各三钱，一服而止。大司马善其方，书之粘壁间，遇有便血者
，辄根据方药之，无不立愈。喜甚，鼓腹谓诸子曰∶往而姨之疾，族医无不言必死，孙君独能
生之，神哉!进乎技矣。予曰∶昔扁鹊有言，予非能生死人也，此当自生者，越人使之起耳。予
何能，亦张安人当自生也。大司马公由是益重予，病无巨细悉任之，而予亦得尽其术云。
迪老之子凤林，见予起乃翁疾，乘间语曰，内子包有隐疾，每月汛行，子户傍辍生一肿
毒，胀而不痛，过三五日，以银簪烧红针破，出白脓盏余而消，不必帖膏药而生肉，无疤痕。初
间用针刺，近只以指掐之，脓即出，但汛行即发，或上下左右而无定所，第不离子户也。于
今八年，内外科历治不效，且致不孕，先生学博而思超，幸为筹之。予沉思两日而悟曰∶此
中焦湿痰，随经水下流，壅于子户也。经下而痰凝，故化为脓，以原非毒，故不痛。用白螺
蛳壳火锻存性为君，南星、半夏为臣，柴胡、甘草为佐，面糊为丸，令早晚服之，未终剂而
汛行不肿，次年生女。
舜田臧公，吴车驾涌澜公岳也，年将六旬，为人多怒多欲，胸膈痞胀，饮食少，时医治
以平胃散、枳术丸、香砂丸，不效，复以槟榔、三棱、莪术之类日消之，而大便溏泻，两足跟踝
皆浮肿，渐及两手背。医又以其手足浮肿而认为黄胖者，以针砂丸与之，肿益加，面色黄且
黑。自二月医至八月，身重不能动止，又有以水肿治者。车驾公雅善予，因延诊之。脉沉而
濡弱，予曰∶此气虚中满症也，法当温补兼升提，庶清阳升，则大便可实；浊阴降，则膈胸
自宽。以人参、白术各三钱，炮姜、回阳、陈皮各一钱，茯苓、黄 各二钱，泽泻、升麻
、
肉桂、苍术、防风各七分，三十帖而安。客有疑而诘予曰∶此症，诸家非消导则淡渗，而先
生独以温补收功，腹中积而为满为肿者，从何道而去也？予曰∶胀满非肿满比也，故治不同
。肿满由脾虚不能摄水，水渗皮肤，遍身光肿。今胀满者，先因中虚，以致皮胀，外坚中空
，腹皮胀紧象鼓，故俗名鼓胀。盖由气虚以成中满，若气不虚，何中满之有？气虚为本，中
满为标，是以治先温补，使脾气健运，则清浊始分，清浊分而胀斯愈也。
潘大司马公，曾经患有肠风（便血）的疾病。八月丁祭日，学博赠送鹿血，他食用后导致血液突然大量下泄。于是请我诊治，我使用槐角子五钱，黄连、枳壳、地榆、贯众各三钱，服用一剂后出血停止。大司马公认为这个方子很好，把它写在纸上贴在墙壁间，遇到有便血的人，就依据这个方药治疗，没有不立刻痊愈的。他非常高兴，拍着肚子对儿子们说：“以前姨母的疾病，家族医生都说必定死亡，唯独孙君能救活她，真是神妙啊！这已经超越了技艺的层面了。”我说：“从前扁鹊说过，我不是能让死人复活或让活人死去的人，这是那些本来应当存活的人，越人（扁鹊的字）使他们康复罢了。我有什么能力呢？也是张安人本来应当存活。”大司马公因此更加看重我，无论病情大小都委托给我，而我也得以施展我的医术。
迪老的儿子凤林，看到我治好了他父亲的病，趁机对我说：“内人包氏患有隐疾，每次月经来潮时，子宫旁边就会生出一个肿毒，肿胀但不疼痛，过了三五天，用烧红的银簪刺破，流出约一盏多的白色脓液后消退，不需要贴膏药就能长好肉，没有疤痕。起初偶尔用针刺，最近只用手指掐压，脓液就会流出，但每次月经来潮就会发作，位置上下左右不定，只是不离子宫附近。到现在八年了，内外各科医生轮流治疗都没有效果，而且导致不孕，先生学识渊博且思维超群，希望您为她筹划治疗。”我沉思两天后领悟道：“这是中焦湿痰，随着经络下行，壅塞在子宫部位。经血下行而痰凝滞，所以化为脓液，因为原本不是毒邪，所以不痛。使用白螺蛳壳火煅存性作为君药，南星、半夏作为臣药，柴胡、甘草作为佐药，面粉糊为丸，让早晚服用，还没服完一剂，月经来潮时就不再肿胀，次年生下女儿。
舜田臧公，是吴车驾涌澜公的岳父，年纪将近六十岁，为人易怒且欲望多，胸膈痞闷胀满，饮食减少，当时医生用平胃散、枳术丸、香砂丸治疗，无效，又用槟榔、三棱、莪术之类每天消导攻伐，导致大便溏泻，两脚跟踝部都浮肿，逐渐波及两手背。医生又因为他手足浮肿而认为是黄胖病（贫血性水肿），给他针砂丸，结果肿胀更加严重，面色黄且黑。从二月看病到八月，身体沉重不能活动，又有医生按水肿治疗。车驾公一向与我交好，因此延请我去诊治。脉象沉而濡弱，我说：“这是气虚中满症，治法应当温补兼升提，这样清阳上升，大便就可以成形；浊阴下降，胸膈自然宽畅。用人参、白术各三钱，炮姜、回阳（指附子等回阳救逆药，此处疑为笔误或特指某药，结合语境及常见配伍，可能指附子或干姜类，原文作‘回阳’，暂译作回阳药）、陈皮各一钱，茯苓、黄芪各二钱，泽泻、升麻、肉桂、苍术、防风各七分，服用三十帖后安定。客人中有怀疑并责问我的人说：“这个病症，各家医生不是用消导就是淡渗利湿，而先生唯独用温补取得功效，腹中积聚而成的胀和肿，是从什么途径排出去的呢？”我说：“胀满与肿满不同，所以治疗方法也不同。肿满是因脾虚不能摄水，水渗入皮肤，全身光亮浮肿。现在的胀满，先是因中气虚弱，导致皮胀，外坚中空，腹部皮肤胀紧像鼓一样，所以俗名叫鼓胀。这是因为气虚形成了中满，如果气不虚，哪里会有中满呢？气虚是本，中满是标，所以治疗先温补，使脾气健运，清浊之气才能分开，清浊分开后胀满也就痊愈了。”
Mr. Pan, Grand Marshal, once suffered from Changfeng (intestinal wind, characterized by rectal bleeding). During the Ding sacrifice in August, a scholar bestowed deer blood upon him; after consuming it, he experienced sudden and profuse hemorrhage. I was consulted for treatment and prescribed Huaijiao Zi (Sophorae Fructus Immaturus) 5 qian, along with Huanglian (Coptidis Rhizoma), Zhike (Aurantii Fructus), Diyü (Sanguisorbae Radix), and Guanzhong (Cyperi Rhizoma), each 3 qian. After one dose, the bleeding stopped. The Grand Marshal approved of this prescription, wrote it down, and pasted it on his wall. Whenever someone presented with hematochezia, he would apply this formula, resulting in immediate recovery without exception. Overjoyed, he patted his belly and said to his sons: "Previously, my aunt's illness was deemed fatal by all family physicians, yet only Master Sun could save her. This is miraculous! It transcends mere skill." I replied: "In ancient times, Bian Que said, 'I am not capable of making the dead live or the living die; these are cases where life should naturally prevail, and Yu Ren (Bian Que's courtesy name) merely facilitated their recovery.' What ability do I possess? It was also Madam Zhang who should have survived naturally." From then on, the Grand Marshal valued me even more, entrusting me with all illnesses, great or small, and I was thus able to fully utilize my medical skills.
Fenglin, son of Di Lao, having witnessed my successful treatment of his father, took the opportunity to say: "My wife, Ms. Bao, suffers from a hidden ailment. Every time her menstruation occurs, a swelling appears beside the uterus. It is swollen but painless. After three to five days, if pricked with a red-hot silver hairpin, about one cup of white pus drains out, after which it subsides. Without needing plasters, the flesh regenerates without leaving scars. Initially, occasional needle pricking sufficed; recently, simply pressing with fingers releases the pus. However, it recurs with every menstrual cycle, appearing in various positions above, below, left, or right, though always near the uterus. This has persisted for eight years. Various internal and external medicine practitioners have treated her without success, and she has become infertile. Sir, with your profound learning and superior insight, please devise a treatment plan for her." I pondered for two days before realizing: "This is damp-phlegm in the Middle Jiao, flowing downward along the meridians and obstructing the uterus. As menstrual blood flows down, phlegm coagulates, transforming into pus. Since it is not toxic heat, there is no pain. Use Bai Luosi Ke (Concha Melaniae) calcined over fire until its nature remains preserved as the sovereign herb; Nanxing (Arisaematis Rhizoma) and Banxia (Pinelliae Rhizoma) as ministerial herbs; Chaihu (Bupleuri Radix) and Gancao (Glycyrrhizae Radix et Rhizoma) as assistant herbs. Form pills with wheat paste, to be taken morning and evening. Before completing one course, the swelling during menstruation ceased, and she gave birth to a daughter the following year."
Zang Gong of Shuntian, father-in-law of Wu Chejia Yonglan, was nearly sixty years old. He was prone to anger and excessive desires, suffering from chest and diaphragmatic fullness and distension, with poor appetite. Physicians initially treated him with Pingwei San, Zhizhu Wan, and Xiangsha Wan, without effect. Subsequently, they administered daily doses of Binglang (Arecae Semen), Sanleng (Sparganii Rhizoma), and Ezhu (Curcumae Rhizoma) to reduce accumulation, leading to loose stools. Swelling appeared in both heels and ankles, gradually extending to the backs of both hands. Physicians, observing the edema of limbs, diagnosed it as Huangpang (yellowish anemia with edema) and prescribed Zhen Sha Wan. Consequently, the swelling worsened, and his complexion became yellowish-black. From February to August, despite various treatments including those for edema, his body became so heavy he could barely move. Chejia, being a close friend, invited me to consult. His pulse was deep, soggy, and weak. I stated: "This is Zhongman syndrome due to Qi deficiency. The treatment method should involve warming tonification combined with lifting. Thus, clear Yang will ascend, firming the stool; turbid Yin will descend, relieving chest oppression." I prescribed Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma), each 3 qian; Paojiang (Zingiberis Rhizoma Praeparatum), Huiyang (likely referring to Fu Zi/Aconiti Lateralis Radix Preparata or similar warming agent), and Chenpi (Citri Reticulatae Pericarpium), each 1 qian; Fuling (Poria), Huangqi (Astragali Radix), each 2 qian; Zexie (Alismatis Rhizoma), Shengma (Cimicifugae Rhizoma), Rougui (Cinnamomi Cortex), Cangzhu (Atractylodis Rhizoma), and Fangfeng (Saposhnikoviae Radix), each 7 fen. After thirty doses, he stabilized. A skeptical guest questioned me: "For this condition, other physicians use either reducing/digestive methods or mild diuretics. How did your exclusive use of warming tonification succeed? Through what pathway were the accumulated fullness and swelling expelled?" I replied: "Fullness (Zhàng) differs from edema (Zhǒng). Edema arises from Spleen deficiency failing to control water, causing water to seep into the skin, resulting in generalized shiny swelling. Current fullness stems primarily from Middle Jiao deficiency, causing skin distension that is hard externally and hollow internally, with tight abdominal skin resembling a drum—commonly known as Drum Distension. This results from Qi deficiency forming Middle Fullness. If Qi were not deficient, would Middle Fullness exist? Qi deficiency is the root; Middle Fullness is the branch. Therefore, treatment begins with warming tonification to strengthen Spleen transport and transformation. Once Spleen function is robust, Clear and Turbid separate; once separated, the distension resolves."