闵文川先生，肛上生一肿毒，月余脓溃矣，但稍动则出鲜血不止，大便结燥，胸膈饱胀
，饮
食不思。脉两寸短弱，关弦，尺洪滑。此气虚血热，陷于下部。法宜补而升提也者，不然痔
漏将作，可虑也。黄 二钱，归身、地榆、槐花、枳壳各一钱，升麻、秦艽各七分，荆芥穗
五分，甘草三分，服后胸膈宽，惟口苦甚，前方加酒连、连翘各五分而愈。
李古愚先生，每食后即大便，腹皮稍胀急，胸膈饱闷。医与参术则痞闷愈甚，小水清而
长。
予脉之，左寸涩，右寸滑，按之如黄豆大，且鼓指，关尺之脉皆弦小，左尺脉迢迢有神气。
据脉乃积痰郁滞于肺莫能出，以致大便之气不固也。法当效丹溪治乃叔用吐，吐去上焦痰积
，而大便自实矣。先用苦梗、萝卜子各三钱，白豆仁、橘红、山栀仁各一钱，川芎五分，生
姜三片，葱三根，水煎服之，取吐。服后半小时许，恶心，吐出清痰，恶心之势虽有，乃痰
积胶固，犹不易出。又以萝卜子一合，擂浆水，加蜂蜜，与半碗饮之，始吐出胶痰二碗余。
平日每小水则大便并行，吐后小水始能独利，连行三四次，而胸腹宽舒。初亦以吐为惧，至
是豁然称快，大便五日不行，始以予言为不谬也。再以二陈汤加白术、旋复花、麦芽，调理而
全可矣。
闵文川先生，肛门上方生了一个肿毒，一个多月后脓液溃破，但稍微活动就会流出鲜血不止，大便干结燥硬，胸膈部饱胀不适，没有食欲。诊察其脉象，两寸脉短而弱，关脉弦，尺脉洪大滑利。这是气虚血热，邪气下陷于身体下部。治疗法则应当采用补气并升提阳气的方法，否则可能会发展成痔疮或肛漏，令人担忧。处方：黄芪二钱，当归身、地榆、槐花、枳壳各一钱，升麻、秦艽各七分，荆芥穗五分，甘草三分。服用后胸膈感到宽舒，只是口苦严重，在原方基础上加入酒炒黄连、连翘各五分，病即痊愈。
李古愚先生，每次进食后就要排便，腹部皮肤稍感胀急，胸膈部饱闷。其他医生给予人参、白术等药物，导致痞闷更加严重，小便清长。我诊察他的脉象，左寸脉涩，右寸脉滑，按之感觉像黄豆大小，且搏动有力（鼓指），关脉和尺脉都弦小，唯独左尺脉悠长且有神气。根据脉象判断，乃是积痰郁滞于肺部无法排出，导致大肠固摄大便的功能失常。治疗法则应当效法朱丹溪治疗其叔父所用的催吐法，通过呕吐去除上焦的痰积，大便自然就能成形。先用桔梗、萝卜子各三钱，白豆蔻仁、橘红、山栀仁各一钱，川芎五分，生姜三片，葱三根，水煎服以引发呕吐。服药后约半小时，出现恶心，吐出清稀痰液，虽然恶心的势头存在，但由于痰积胶着坚固，仍然不容易吐出。又用萝卜子一合，研磨后兑入浆水，加入蜂蜜，给患者喝下半碗，这才吐出了胶稠痰液两碗多。平时每次小便时大便也同时排出，呕吐之后小便才能单独通畅，连续行了三四次小便后，胸腹感到宽舒。起初对催吐疗法感到恐惧，到了这时豁然开朗，感到非常畅快，大便五天没有排解，才开始相信我的话没有错误。随后再用二陈汤加入白术、旋复花、麦芽，进行调理，最终完全康复。
Mr. Min Wenchuan developed a swelling and toxin above the anus. After more than a month, pus ruptured, but slight movement caused continuous bleeding of fresh blood. His stool was dry and hard, his chest and diaphragm felt full and distended, and he had no appetite. The pulse at both Cun (inch) positions was short and weak; the Guan (bar) position was wiry; the Chi (cubit) positions were surging and slippery. This indicates Qi deficiency with Blood heat, sinking to the lower part of the body. The treatment principle should be tonification and lifting. Otherwise, hemorrhoids or anal fistulas may develop, which is concerning. Prescription: Huangqi (Astragali Radix) 2 qian, Danggui Shen (Angelicae Sinensis Radix), Diyü (Sanguisorbae Radix), Huaihua (Sophorae Flos), Zhike (Aurantii Fructus Immaturus) each 1 qian, Shengma (Cimicifugae Rhizoma), Qinjiao (Gentianae Macrophyllae Radix) each 7 fen, Jingjie Sui (Schizonepetae Spica) 5 fen, Gancao (Glycyrrhizae Radix et Rhizoma) 3 fen. After taking the medicine, the chest and diaphragm felt relaxed, but bitter taste in the mouth was severe. Jiu Lian (Scutellariae Radix prepared with wine) and Lianqiao (Forsythiae Fructus) 5 fen each were added to the previous prescription, and the patient recovered.
Mr. Li Guyu defecated immediately after every meal, with slight tightness and distension of the abdominal skin, and fullness and oppression in the chest and diaphragm. Other physicians administered Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma), which worsened the obstruction and fullness. His urine was clear and long. I palpated his pulse: the left Cun position was choppy; the right Cun position was slippery, feeling like a soybean under pressure, and pulsating vigorously (drum-like). The Guan and Chi positions were wiry and small, while the left Chi position was long and vigorous. Based on the pulse, it was determined that accumulated phlegm was stagnating in the Lung and could not be expelled, leading to instability in the Large Intestine's function of securing stool. The treatment principle should follow Zhu Danxi’s method for treating his uncle using emesis. Vomiting would remove the phlegm accumulation in the Upper Jiao, and the stool would naturally become solid. First, Jiegeng (Platycodonis Radix) and Luobozhi (Brassicae Semium) each 3 qian, Baidouren (Cardamomi Fructus), Juhong (Citri Reticulatae Pericarpium), Shanzhiren (Gardeniae Semen) each 1 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma) 5 fen, Shengjiang (Zingiberis Rhizoma Recens) 3 slices, Congbai (Allii Fistulosi Bulbus) 3 stalks were decocted in water and taken to induce vomiting. About half an hour after ingestion, nausea occurred, and clear phlegm was vomited. Although the urge to vomit persisted, the phlegm accumulation was sticky and stubborn, making it difficult to expel. Then, 1 he of Luobozhi was ground into a paste mixed with Jiangshui (fermented rice water) and honey, and half a bowl was given to drink. Only then were over two bowls of sticky phlegm vomited. Previously, stool passed simultaneously with urination. After vomiting, urination became independent and smooth, occurring three or four times consecutively, after which the chest and abdomen felt relaxed. Initially fearful of emesis, he suddenly felt relieved and comfortable. Stool was retained for five days, at which point he began to believe my diagnosis was correct. Subsequently, Erchen Tang (Two-Cured Decoction) was modified with Baizhu (Atractylodis Macrocephalae Rhizoma), Xuanfuhua (Inulae Flos), and Maiya (Hordei Fructus Germinatus) for conditioning, leading to complete recovery.