王敬泉内眷，患痰嗽，腹饱胀，泄泻肠鸣，里急后重，发热，口鼻之气如火塞。以六君
子汤
，加山楂、麦芽、柴胡、秦艽、青蒿、白芍药、益智仁，与香连丸兼服，两剂，气舒嗽减，
大便结实，鼻仍塞。前方加川芎，减白芍药而安。
温南溪内人，居常大便秘结，面赤，不思饮食，头时眩晕。诊其脉，右关尺滑大有力，
此痰
火症也。用栝蒌四钱为君，滑石三钱，枳实二钱，半夏一钱半为臣，萝卜子、姜黄各一钱为
佐，两帖愈矣。又教以或遇大便秘结，每服当归龙荟丸，加牛胆南星一钱立应。
陈春野孝廉二令媛，患丁奚疳痢，四肢浮肿，以布袋丸与大安丸同服则大泻，用参苓白
术散
加泽泻、山楂、麦芽，泻亦不止。神气大弱，谷粒不入口，小水不利，大便一日仍三五次，
积滞未除，改以参苓白术散，加肉果与服，泻稍止，食粥一盏。下午因食红枣数枚，夜分痰
忽起，其势甚危。急与苏合丸，服之而愈。再以参苓白术散，加石菖蒲、藿香、炮姜、肉果
，调理全安。
潘敬斋令媳，原因经水不行，医投安胎之剂。越七月，经水忽大行，内有血块筋膜如手
大者
一二桶，昏冒困惫为剧。逆予治，其脉右关洪滑，左寸洪数，两尺皆洪大。病形夜分切牙乱
语，手心热，口噤，时手足皆冷，心头胀闷不快，面色青。始诸医皆谓难治。予曰∶无恐，
此浊痰流滞血海，以误服安胎之剂，益加其滞。夫血去多，故神魂无根据，痰鸣心窍，故神昏
语乱。急为调气开痰，安神养血，可生也。即以温胆汤加石菖蒲、酒芩、天麻、酸枣仁、
丹
参与服，其夜子丑时，切牙乱语皆减半。次日仍与前药，每帖加竹茹五钱，临睡，又与黑虎
丹数粒，诸症悉去而愈。敬斋问曰∶藉高手病痊矣，而每发于夜半何也？予曰∶此心包络与
胆经有痰热，故每至其时而发，单治此两经，痰既消，而神魂俱安也。敬斋曰∶善。
王敬泉的夫人，患有痰嗽（咳嗽有痰），腹部饱胀，腹泻且肠鸣，伴有里急后重（腹痛窘迫，时时欲便，肛门重坠，便出不爽），发热，口鼻呼出的气息感觉像火一样堵塞。使用六君子汤（由人参、白术、茯苓、甘草、陈皮、半夏组成，具有益气健脾、燥湿化痰功效的方剂），加入山楂、麦芽、柴胡、秦艽、青蒿、白芍药、益智仁，同时配合服用香连丸（清热化湿、行气止痛的方剂），服用两剂后，气机舒畅，咳嗽减轻，大便成形变硬，但鼻塞依旧。在前方基础上加入川芎，减少白芍药的用量，病情得以安宁。
温南溪的夫人，平时大便秘结，面部发红，不想吃东西，头部时常眩晕。诊察她的脉象，右关尺部滑大有力，这是痰火证（痰浊与火热互结的病证）。用栝蒌四钱作为主药，滑石三钱，枳实二钱，半夏一钱半作为辅药，萝卜子、姜黄各一钱作为佐药，服用两帖就好了。又教导她如果遇到大便秘结的情况，每次服用当归龙荟丸（清泻肝胆实火的方剂），加牛胆南星一钱，立即见效。
陈春野孝廉的二位女儿，患有丁奚疳痢（一种小儿慢性营养不良伴腹泻的疾病），四肢浮肿，服用布袋丸与大安丸同服后导致严重腹泻，改用参苓白术散（益气健脾、渗湿止泻的方剂）加入泽泻、山楂、麦芽，腹泻仍然不止。神气非常虚弱，一粒米都吃不下，小便不通利，大便一天仍排三四五次，积滞未除。改为使用参苓白术散，加入肉果（肉豆蔻）服用，腹泻稍微停止，能喝一盏粥。下午因为吃了几枚红枣，半夜时分痰突然发作，形势非常危急。急忙给予苏合丸（开窍醒神的方剂），服用后痊愈。再用参苓白术散，加入石菖蒲、藿香、炮姜、肉果，调理后完全康复。
潘敬斋的儿媳，原本因为月经不来，医生投用安胎的药剂。过了七个月，月经忽然大量来潮，经血中有如手掌大小的血块和筋膜一二桶，昏晕冒昧、困倦疲惫极为严重。迎请我诊治，其脉象右关洪滑，左寸洪数，两尺部皆洪大。病症表现为半夜咬牙乱语，手心发热，口噤（牙关紧闭），时而手脚发冷，心头胀闷不舒服，面色发青。起初各位医生都认为难以治疗。我说：不要害怕，这是浊痰流滞于血海（指冲脉或子宫），因为误服安胎之剂，更加加重了阻滞。由于失血过多，所以神魂没有依托；痰鸣于心窍，所以神志昏迷、言语错乱。急忙调气开痰，安神养血，可以存活。即用温胆汤（理气化痰、清胆和胃的方剂）加入石菖蒲、酒芩（酒制黄芩）、天麻、酸枣仁、丹参一同服用，当晚子丑时（夜间11点至凌晨3点），咬牙乱语的症状减半。第二天仍然服用前药，每帖加入竹茹五钱，临睡前，又给予黑虎丹数粒，各种症状全部去除而痊愈。敬斋问道：借助高手的治疗病好了，但为什么每次都在半夜发作呢？我说：这是因为心包络与胆经有痰热，所以每到那个时辰就发作，只要单独治疗这两条经络，痰既消除，那么神魂就都安宁了。敬斋说：好。
Wang Jingquan's wife suffered from phlegm-cough (cough with sputum), abdominal fullness, diarrhea with borborygmus (intestinal rumbling), tenesmus (urgent need to defecate with a feeling of incomplete evacuation), fever, and a sensation of fire blocking the breath from the mouth and nose. She was prescribed Liujunzi Tang (Six Gentlemen Decoction) supplemented with Hawthorn Fruit (Shanzha), Malt (Maiya), Bupleurum Root (Chaihu), Kochia Herb (Qinjiao), Artemisia Annua Herb (Qinghao), White Peony Root (Baishao), and Chinese Yam Rhizome (Yizhiren), taken concurrently with Xianglian Wan (Fragrant Coptis Pill). After two doses, her qi flow became smooth, cough decreased, and stool solidified, though nasal congestion persisted. Chuanxiong Rhizome (Chuanxiong) was added to the previous formula, and Baishao was reduced, leading to recovery.
Wen Nanxi's wife usually suffered from constipation, flushed face, loss of appetite, and occasional dizziness. Her pulse at the right Guan and Chi positions was slippery, large, and forceful, indicating Phlegm-Fire Syndrome (a condition where phlegm and fire pathogenic factors combine). Trichosanthes Root (Gualou) 4 qian was used as the sovereign drug, Polytropis Talcum (Huashi) 3 qian, Immature Bitter Orange (Zhishi) 2 qian, and Pinellia Tuber (Banxia) 1.5 qian as minister drugs, while Radish Seed (Luobozhi) and Turmeric Rhizome (Jianghuang) each 1 qian were used as assistant drugs. She recovered after two prescriptions. She was also advised that if constipation recurred, she should take Danggui Longhui Wan (Angelica Sinensis and Scutellaria Barrelieri Pill) with one qian of Cow Gallbladder Phlegm (Niudannanxing) for immediate effect.
The second daughters of Chen Chunye, a Xiaolian degree holder, suffered from Dingxi Ganli (a type of chronic malnutrition with dysentery in children), presenting with edema of the four limbs. Taking Budai Wan (Cloth Bag Pill) together with Da'an Wan (Great Peace Pill) caused severe diarrhea. The prescription was changed to Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) added with Alisma Rhizome (Zexie), Shanzha, and Maiya, but diarrhea continued. Her spirit and qi were severely weakened; she could not eat even a grain of rice, urination was difficult, and she still had three to five bowel movements daily without clearing the stagnation. The formula was changed to Shenling Baizhu San added with Myristica Seed (Rouguo). Diarrhea slightly stopped, and she could drink a bowl of porridge. In the afternoon, after eating several red dates, phlegm suddenly arose late at night, creating a critical situation. Suhe Wan (Styrax Pill) was urgently administered, resulting in recovery. Subsequently, Shenling Baizhu San added with Acorus Rhizome (Shichangpu), Agastache Herb (Huoxiang), Prepared Ginger (Paojiang), and Rouguo was used for conditioning until full recovery.
Pan Jingzhai's daughter-in-law originally had amenorrhea (absence of menstruation) and was treated with An Tai (fetus-stabilizing) agents by other physicians. Seven months later, menstruation suddenly started heavily, expelling blood clots and membranes as large as a hand, amounting to one or two buckets. She suffered from severe fainting, confusion, fatigue, and exhaustion. I was consulted. Her pulse at the right Guan position was surging and slippery, left Cun was surging and rapid, and both Chi positions were surging and large. At midnight, she exhibited teeth grinding, delirious speech, hot palms, trismus (lockjaw), cold hands and feet intermittently, chest distension and discomfort, and a bluish complexion. Initially, all physicians considered it incurable. I said: "Do not fear. This is turbid phlegm stagnating in the Blood Sea (Chong Mai/Uterus), exacerbated by the mistaken use of fetus-stabilizing agents. Due to excessive blood loss, the soul lacks a foundation; due to phlegm obstructing the heart orifices, there is mental confusion and disordered speech. Urgently regulate qi, resolve phlegm, calm the spirit, and nourish blood, and she will survive." I prescribed Wendan Tang (Warm the Gallbladder Decoction) added with Shichangpu, Jiuhuangqin (Scutellaria Root processed with wine), Gastrodia Tuber (Tianma), Sour Jujube Seed (Suanzaoren), and Salvia Root (Danshen). By the Zi-Chou hours (11 PM - 3 AM) that night, her teeth grinding and delirium were halved. The next day, the same medicine was given, adding Bamboo Shavings (Zhuru) 5 qian per dose. Before sleep, several pills of Heihu Dan (Black Tiger Pill) were administered. All symptoms disappeared, and she recovered. Jingzhai asked: "Thanks to your skill, the illness is cured, but why does it flare up at midnight?" I replied: "This is because there is phlegm-heat in the Pericardium Collateral and Gallbladder Meridian, causing flare-ups at these specific times. Treating only these two meridians eliminates the phlegm, thereby calming the spirit and soul." Jingzhai said: "Excellent."