陈五山胃脘疼，医作劳倦治，不效。又医作寒气治，而用刚燥，痛转极。又医以巴豆丸
下之
，大泻皆水，亦无积滞之物，痛虽稍减，然面有虚浮，胸痞足肿。又张医以人参、白术各二
钱，大补脾胃，则痰嗽气逆，上膈热甚，喉咙干燥，右胁不能贴席，大便一日二三行。因向
被巴豆丸泻起，迨今七日，犹泻不止，饮食大减。延余为治，诊两寸濡弱，两关滑，两尺洪
大。予曰∶据症，原起于郁火，乱投汤剂，大推大搬，以致加重。若平平治之，自当寻愈。
二陈汤加姜连、枳实、姜黄、桔梗、萝卜子、前胡，一帖而热嗽除，右胁亦可贴席。再剂而
饮食进，大便实。其晚又为怒气所加，痰嗽胁痛如旧，且多烦躁。改用橘红、贝母、栝蒌、
茯苓、山栀子、前胡、青皮、甘草、陈皮、萝卜子，水煎，饮之而平。
吴小峰，年五十未有子，素有酒积作疼，晌午即泻，所下多稠粘之物。腹痛之疾，年已
久矣
。治当清洁中焦分湿热，兼养脾法。用白滑石三两，粉草、肉果各五钱，白芍药酒炒一两五
钱，木香三钱，红曲四钱，神曲糊为丸，每早晚白汤送下二钱，服未竟而积除。始举一子。
沈大参玉阳老先生，中焦有食积痰饮而作痞滞，以故大便了而不了，间或作胀。予脉之
，两
寸短弱，关滑，两尺沉滑有力。予曰∶脾胃经有湿痰，蕴而为热，但清其中宫，使清阳升，
浊阴降，而气血自旺，此不补之补也。以二陈汤加枳实、酒连、酒芩、滑石、姜黄、木香、
干葛、山楂，两剂而愈。
陈五山患胃脘疼痛，医生将其当作劳倦过度来治疗，没有效果。另一位医生将其当作寒气治疗，使用了刚燥的药物，导致疼痛加剧。又有一位医生用巴豆丸给他泻下，结果大泻全是水样便，并没有积滞的实物，疼痛虽然稍减，但面部出现虚浮肿胀，胸部痞闷，足部浮肿。后来张医生用人参、白术各二钱，大力补益脾胃，却导致痰嗽气逆，上膈热势很盛，喉咙干燥，右侧胁肋无法贴靠床席，大便一天两三次。这是因为之前被巴豆丸泻下所致，到现在已经七天，腹泻仍不止，饮食大大减少。请我诊治，诊得两手寸脉濡弱，关脉滑，尺脉洪大。我说：根据症状，原本起因于郁火，乱投汤药，强行推荡攻伐，以致病情加重。如果平和地治疗，自然会寻回痊愈。给予二陈汤加姜制黄连、枳实、姜黄、桔梗、萝卜子、前胡，一帖后热嗽消除，右胁也可以贴靠床席。再服两剂后饮食增进，大便成形。当晚又因怒气发作，痰嗽胁痛如旧，且多烦躁。改用橘红、贝母、栝蒌、茯苓、山栀子、前胡、青皮、甘草、陈皮、萝卜子，水煎服用，病势平息。
吴小峰，五十岁尚无子嗣，素来有酒积引起的疼痛，中午就腹泻，所下的多为稠粘之物。腹痛这个病，已经很久了。治疗应当清利中焦分部的湿热，兼以养脾的方法。使用白滑石三两，粉草、肉果各五钱，白芍药酒炒一两五钱，木香三钱，红曲四钱，神曲糊作为丸药，早晚用白开水送服二钱，服药未竟全疗程而积滞已除。这才生了一个儿子。
沈大参玉阳老先生，中焦有食积痰饮导致痞塞阻滞，因此大便感觉排不尽，偶尔腹胀。我诊其脉，两手寸脉短弱，关脉滑，两尺脉沉滑有力。我说：脾胃经有湿痰，蕴结化为热，只需清利中宫（脾胃），使清阳上升，浊阴下降，气血自然旺盛，这是不通过补益而达到补益的效果。用二陈汤加枳实、酒黄连、酒黄芩、滑石、姜黄、木香、干葛、山楂，两剂后痊愈。
Chen Wushan suffered from epigastric pain. Physicians treated it as fatigue and exhaustion, but to no avail. Another physician treated it as cold pathogen and used acrid-dry herbs, which exacerbated the pain. A subsequent physician administered Radix Crotonis (Badou) pills for purgation, resulting in profuse watery diarrhea without any accumulated matter. Although the pain slightly subsided, his face became puffy, he experienced chest stuffiness, and his feet swelled. Later, Physician Zhang prescribed two qian of Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) to strongly tonify the Spleen and Stomach, leading to phlegm-cough with rebellious Qi, intense heat in the upper jiao, dry throat, inability to lie on the right side, and bowel movements two to three times a day. This condition originated from the previous purgation with Badou pills; after seven days, the diarrhea persisted, and food intake significantly decreased. I was consulted. The pulse at both Cun positions was soggy and weak, Guan positions were slippery, and Chi positions were surging and large. I stated: Based on the symptoms, the root cause is stagnant fire. The indiscriminate use of decoctions and forceful purgation has aggravated the condition. If treated gently, recovery will naturally follow. I prescribed Er Chen Tang (Two-Aged Decoction) modified with Ginger-processed Coptidis Rhizoma (Jiang Lian), Immature Bitter Orange (Zhishi), Turmeric Rhizome (Jianghuang), Platycodon Root (Jiegeng), Radish Seed (Luobozhi), and Peucedani Radix (Qianhu). After one dose, the hot cough resolved, and he could lie on his right side. After two more doses, his appetite improved, and his stool formed. That evening, anger triggered a recurrence of phlegm-cough and hypochondriac pain, accompanied by irritability. I switched to a formula of Tangerine Peel (Juhong), Fritillaria Bulb (Beimu), Trichosanthes Fruit (Gualou), Poria (Fuling), Gardenia Fruit (Shanzhizi), Peucedani Radix (Qianhu), Green Tangerine Peel (Qingpi), Licorice Root (Gancao), Chenpi, and Radish Seed (Luobozhi), decocted in water. The condition stabilized.
Wu Xiaofeng, aged fifty, had no children. He habitually suffered from pain due to alcohol accumulation, with diarrhea occurring around noon, passing thick and sticky substances. His abdominal pain had persisted for many years. Treatment should focus on clearing damp-heat in the middle jiao while nourishing the Spleen. I used three liang of Talcum (Huashi), five qian each of Glycyrrhiza Root (Fangcaozhi) and Myristica Seed (Rouguo), one tael five qian of White Peony Root (Shaoyao) processed with wine, three qian of Aucklandiae Radix (Muxiang), and four qian of Red Yeast Rice (Hongqu). These were made into pills using Medicated Leaven (Shenqu) paste. Two qian were taken with warm water morning and evening. Before finishing the course, the accumulation was eliminated, and he subsequently fathered a son.
Shen Dayuan, Mr. Yuyang, suffered from stuffiness and obstruction in the middle jiao due to food retention and phlegm-fluids, resulting in a sensation of incomplete defecation and occasional bloating. Upon palpating his pulse, the Cun positions were short and weak, Guan was slippery, and both Chi positions were deep, slippery, and forceful. I stated: There is damp-phlegm in the Spleen and Stomach meridians, stagnating and transforming into heat. By clearing the Middle Palace (Spleen/Stomach), allowing clear Yang to ascend and turbid Yin to descend, Qi and Blood will naturally flourish. This is a method of tonification through non-tonification. I prescribed Er Chen Tang (Two-Aged Decoction) modified with Immature Bitter Orange (Zhishi), Wine-processed Coptidis Rhizoma (Jiu Lian), Wine-processed Scutellaria Root (Jiu Qin), Talcum (Huashi), Turmeric Rhizome (Jianghuang), Aucklandiae Radix (Muxiang), Kudzu Root (Gegen), and Hawthorn Fruit (Shanzha). He recovered after two doses.