由溪程两峰丈内人患血痢，里急后重，呕吐不纳谷，两寸脉洪大，以竹茹温胆汤加姜连
、滑
石、橘红、酒芩，水煎服。二帖大便结实，脓血皆止，惟后重。与枳壳、当归、芍药、生地
、桃仁、条芩、甘草、滑石、酒连，四帖全安。
由溪程七护兄，脐腹右边疼痛，小水短少，大便四日未行，呕吐不能进食，舌上白苔，
面青
手冷，势甚危急。脉之左沉伏，右滑大有力。予曰∶此痰格中焦，气闭下焦，故大小便秘而
不利，气逆呕吐也，不急治即无救矣，与 树东行根皮二钱，滑石三钱，桃仁、青皮、枳实
、槟榔各一钱，水煎服之。夜半吐出胶痰碗余，大便未行，痛亦不减。次日改用玄胡索五钱
，水煎，临服调下玄明粉三钱，辰刻服下，午刻痛减大半，未刻大便始行，右脉平而左脉起
矣。觉体倦无力，以生脉散加甘草、山栀仁、黄柏、芍药、苡仁、陈皮调理如故。
由溪程社贵兄，先醉酒，后御色，次早四肢冷，胃脘痛极，脉仅四至。先医以郁火为治
，投
以寒凉痛更增极，三日前所食西瓜仍吐出不化。
乃翁以为阴症伤寒，欲用附子理中汤，不决，
逆予治之。予观其面色青，惨叫痛而声不扬
，坐卧烦乱。予曰∶此霍乱兼蛔厥症也。先当止痛安蛔，后理霍乱可免死也，迟则误事矣。
急用五灵脂醋炒三钱，苍术一钱五分，乌梅三枚，川椒、炮姜、桂心各五分，水煎饮下，痛
减大半，下午以大腹皮、藿香、半夏、陈皮、山楂、五灵脂、茯苓，两帖全安。
由溪的程两峰先生的内人患有血痢，伴有里急后重（腹痛窘迫，时时欲便，肛门重坠，便出不爽），呕吐且无法进食。诊得两寸脉象洪大，给予竹茹温胆汤，加入姜黄连、滑石、橘红、酒炒黄芩，用水煎服。服用两帖后大便变得干结，脓血均停止，仅剩下里急后重的症状。随后给予枳壳、当归、芍药、生地、桃仁、条芩、甘草、滑石、酒黄连，服用四帖后完全康复。
由溪的程七护先生的兄长，脐腹右侧疼痛，小便短少，大便四天未行，呕吐不能进食，舌苔白，面色青，手脚冰冷，病情十分危急。诊脉左手沉伏，右手滑大有力。我说：这是痰浊阻滞中焦，气机闭塞下焦，所以大小便不通畅，气逆导致呕吐，如果不紧急治疗就会无药可救。给予树东行根皮二钱，滑石三钱，桃仁、青皮、枳实、槟榔各一钱，用水煎服。半夜吐出一碗多胶状痰液，大便仍未通，疼痛也未减轻。第二天改用玄胡索五钱，水煎，临服药时调入玄明粉三钱，辰时服下，午时疼痛减轻大半，未时大便才通，右脉平和而左脉起现。患者感觉身体疲倦无力，用生脉散加入甘草、山栀子仁、黄柏、芍药、薏苡仁、陈皮进行调理，恢复如常。
由溪的程社贵先生，先醉酒，后行房事，次日清晨四肢发冷，胃脘部剧烈疼痛，脉搏仅有四至（每分钟约40-50次）。之前的医生认为是郁火，投以寒凉药物，疼痛更加剧烈，三天前吃的西瓜仍原样吐出未消化。其父亲认为是阴症伤寒，想用附子理中汤，但犹豫不决，转而请我诊治。我看他面色青，因剧痛惨叫但声音不扬，坐卧不安烦躁混乱。我说：这是霍乱兼蛔厥症。应当先止痛安蛔，再调理霍乱才可以避免死亡，拖延则会误事。急忙使用醋炒五灵脂三钱，苍术一钱五分，乌梅三枚，川椒、炮姜、桂心各五分，水煎饮下，疼痛减轻大半。下午用大腹皮、藿香、半夏、陈皮、山楂、五灵脂、茯苓，服用两帖后完全康复。
The wife of Mr. Cheng Liangfeng from Youxi suffered from bloody dysentery (blood in stool with tenesmus), accompanied by tenesmus (a feeling of incomplete defecation with urgency and rectal heaviness), vomiting, and inability to retain food. The pulses at both cun positions were surging and large. She was administered Zhuru Wendan Tang (Bamboo Shavings and Pinellia Decoction for Harmonizing the Gallbladder) with added Jiang Lian (Ginger-processed Coptis Rhizome), Hua Shi (Talcum), Ju Hong (Aged Tangerina Peel), and Jiu Qin (Wine-processed Scutellaria Root). After two doses, the stool became formed, pus and blood ceased, but tenesmus remained. Subsequently, Zhi Qiao (Bitter Orange Fruit), Dang Gui (Angelica Sinensis), Shao Yao (Peony Root), Sheng Di Huang (Rehmannia Root), Tao Ren (Peach Seed), Tiao Qin (Scutellaria Root), Gan Cao (Licorice Root), Hua Shi (Talcum), and Jiu Lian (Ginger-processed Coptis Rhizome) were given. After four doses, she fully recovered.
Mr. Cheng Qi Hu's elder brother from Youxi experienced pain on the right side of his umbilical and abdominal region, scanty urine, no bowel movement for four days, vomiting preventing food intake, a white coating on the tongue, cyanotic complexion, and cold hands and feet; the condition was critical. The left pulse was deep and hidden, while the right pulse was slippery, large, and forceful. I stated: This is phlegm obstructing the middle jiao and qi closure in the lower jiao, causing constipation and difficult urination, along with qi rebellion leading to vomiting. If not treated urgently, it will be incurable. He was given Er Dong Xing Gen Pi (Root Bark of Eucommia Ulmoides growing on the east side) 2 qian, Hua Shi (Talcum) 3 qian, Tao Ren (Peach Seed), Qing Pi (Citrus Aurantium Peel), Zhi Shi (Immature Bitter Orange Fruit), and Bing Lang (Areca Seed) each 1 qian, decocted in water and taken orally. At midnight, he vomited over a bowl of viscous phlegm, but the bowels remained unopened and pain persisted. The next day, Yan Hu Suo (Corydalis Rhizome) 5 qian was used, decocted in water, with Xuan Ming Fen (Mirabilite) 3 qian mixed in just before ingestion. Taken at Chen hour (7-9 AM), by Wu hour (11 AM-1 PM), the pain decreased significantly. By Wei hour (1-3 PM), the bowels finally moved, the right pulse normalized, and the left pulse emerged. Feeling weak and fatigued, he was regulated with Sheng Mai San (Generate the Pulse Powder) added with Gan Cao (Licorice Root), Shan Zhi Ren (Gardenia Seed), Huang Bo (Phellodendron Bark), Shao Yao (Peony Root), Yi Yi Ren (Coix Seed), and Chen Pi (Aged Tangerina Peel), after which he returned to normal.
Mr. Cheng She Gui from Youxi first became drunk, then engaged in sexual intercourse. Early the next morning, his limbs were cold, and he suffered extreme epigastric pain. His pulse was only four beats per cycle (approx. 40-50 bpm). The previous physician treated him for constrained fire, administering cold-natured herbs, which exacerbated the pain significantly. The watermelon eaten three days prior was still being vomited undigested. His father suspected Yin-type Cold Damage (Shanghan) and wished to use Fuzi Lizhong Tang (Aconite Decoction to Regulate the Middle), but hesitated. Seeking my advice instead, I observed his cyanotic complexion, loud screaming cries due to pain but with a suppressed voice, and restlessness in sitting or lying down. I diagnosed this as Huoluan (Cholera-like syndrome) combined with Hui Jue (Roundworm-induced syncope/cold extremities). First, pain relief and roundworm calming are necessary, followed by managing Huoluan to avoid death; delay would be fatal. Urgently, Wu Ling Zhi (Trogopterus Dung) stir-fried with vinegar 3 qian, Cang Zhu (Atractylodes Rhizome) 1.5 qian, Wu Mei (Mume Fruit) 3 pieces, Chuan Jiao (Sichuan Pepper), Pao Jiang (Prepared Ginger), and Gui Xin (Cinnamon Twig Heart) each 0.5 fen were decocted in water and drunk. The pain decreased significantly. In the afternoon, Da Fu Pi (Areca Pericarp), Huo Xiang (Patchouli), Ban Xia (Pinellia Tuber), Chen Pi (Aged Tangerina Peel), Shan Zha (Hawthorn Fruit), Wu Ling Zhi (Trogopterus Dung), and Fu Ling (Poria) were prescribed. After two doses, he fully recovered.