陈光禄松峦翁，长浓君子也。而存心博爱。常五更胸膈胀疼，三吴名家遍延而治，寒热
温凉
药味备尝，竟无一效。礼予诊之。右寸软弱，左平，两尺亦弱。予曰∶此肺肾二经之不足也
，补而敛之，可无恙矣。以补骨脂、山茱萸、人参各三两，鹿角胶、鹿角霜各五两，杜仲、
巴戟、白茯苓、车前子各一两五钱，干山药二两，鹿角胶酒化为丸，空心淡盐汤送下。又以
御米壳去筋膜蜜水炒三两，诃子面煨去核一两，陈皮一两半，炼蜜为丸，五更枕上白汤送下
一钱。服一月，病不再发。翁由是交予极欢也。及见予《玄珠》稿，大称快，语曰∶医家凡
得一方，辄自秘以为高，君独欲公诸人，是有意于寿苍生者。亟付剞劂，予当助梓。因手录
予百余方，制丸散以施，而亦无人德我之望。
溧水令君吴涌澜公尊夫人，每五更倒饱，必泻一次，腹常作胀，间亦痛。脉两手寸关洪
滑，两
尺沉伏。予曰∶此肠胃中有食积痰饮也。乃与总管丸三钱，生姜汤送下。大便虽行，不甚顺
利，又以神授香连丸和之，外用滑石、甘草、木香、枳壳、山楂、陈白、白芍药、酒连调理
而安。
李悦斋先生夫人，胸胁大腹作痛，谵语如狂。寅卯辰三时稍轻，午后及夜痛甚，昼夜不
睡，
饮食不进者十八日。究其故，原有痰火与头疼、牙疼之疾，又困经行三日后，头疼发寒热。
医以疟治，因大恶热，三四人交扇之，而两手浸冷水中，口噙水而不咽，鼻有微衄，又常自
悲自哭，目以多哭而肿，痛时即壁上亦欲飞去，剧则咬人，小水直下不固，喉梗梗吞药不下
。脉则左弦数，右关洪滑。予曰∶此热入血室症也，误服治疟刚燥之剂而动痰火，以致标本
交作。诸人尤谓∶热入血室，当夜间谵语如狂，如见鬼，何至胸胁痛剧咬人也？予曰∶仲景
云
，经水适来适止，得疾，皆作热入血室治之，治同少阳，而以小柴胡汤为主，加凉血活血之
药，此古人成法可守也。痛极咬人者，乃胃虚虫行，求食而不得，故喉中梗梗然也。即以小
柴胡汤加桃仁、丹皮，而谵语减，
次日以安蛔汤
与服，而疼随止，饮食进，遂 有生意。
陈光禄松峦老先生，是一位身材高大、品德高尚的君子。他心存仁爱，广泛施恩。常常在凌晨五更时分感到胸膈部胀满疼痛，三吴地区的名医都被请来诊治，寒热温凉各类药物都尝试过了，竟然没有一种有效。礼请我为他诊脉。右寸脉软弱无力，左脉平和，两尺脉也虚弱。我说：这是肺肾二经气不足的表现，通过补益和收敛的方法治疗，就可以痊愈了。用补骨脂、山茱萸、人参各三两，鹿角胶、鹿角霜各五两，杜仲、巴戟天、白茯苓、车前子各一两五钱，干山药二两，将鹿角胶用酒烊化后制成丸药，空腹时用淡盐水送服。另外又用御米壳（去筋膜后用蜜水炒制）三两，诃子（面煨去核）一两，陈皮一两半，炼蜜为丸，在五更时睡前用白开水送服一钱。服用一个月后，病症不再复发。老先生因此与我交往非常愉快。当他看到我的《玄珠》书稿时，大为赞赏，说道：“医生们凡是得到一方，就独自秘藏以为高明，唯独您想要公开给众人，这是有意于拯救苍生啊。”急忙安排刻印，我也应当资助梓行。于是亲手抄录了我的一百多个方剂，制作成丸散免费施舍，也没有希望别人感激我的念头。
溧水县令吴涌澜公的尊夫人，每到五更时分出现倒饱（食后感觉食物停滞不消），必然腹泻一次，腹部经常胀满，偶尔也会疼痛。两手寸关脉洪大滑数，两尺脉沉伏。我说：这是肠胃中有食积和痰饮所致。于是给予总管丸三钱，用生姜汤送服。大便虽然排出，但不甚顺畅，又配合使用神授香连丸，外用滑石、甘草、木香、枳壳、山楂、陈皮、白芍药、酒黄连调理，病情得以安定。
李悦斋先生的夫人，胸胁及大腹部位剧烈疼痛，胡言乱语如同发狂。在寅、卯、辰三个时辰（凌晨3点至上午9点）症状稍轻，午后及夜间疼痛加剧，昼夜无法入睡，不进饮食已达十八天。探究其病因，原本就有痰火以及头疼、牙疼的疾病，又在月经来潮三天后，出现头疼并伴有寒热交替的症状。医生按疟疾治疗，因为她极度怕热，让三四个人轮流为她扇风，并将双手浸泡在冷水中，口中含着水却不咽下，鼻孔有轻微出血，还常常自我悲伤哭泣，眼睛因多哭而肿胀，疼痛厉害时甚至想飞到墙壁上去，严重时咬人，小便直通且固摄不住，喉咙梗塞感强烈，吞咽药物困难。脉象左手弦数，右手关脉洪滑。我说：这是热入血室证，误服了治疗疟疾的刚燥药物而动摇了痰火，导致标病与本病同时发作。众人尤其认为：“热入血室证，应当在夜间出现胡言乱语、如见鬼魅般的症状，怎么会到胸胁剧痛、咬人的地步呢？”我说：张仲景说过，月经适来或适止期间患病，都按热入血室证治疗，治法同少阳病，以小柴胡汤为主方，加入凉血活血的药物，这是古人留下的成法可以遵循。疼痛剧烈咬人的情况，是因为胃虚虫动，寻求食物却得不到，所以喉咙中感到梗塞不适。随即用小柴胡汤加桃仁、丹皮，胡言乱语减轻，次日服用安蛔汤，疼痛随之停止，饮食恢复，于是有了生机。
Mr. Songluan, an elderly gentleman of high moral character and benevolent heart, frequently suffered from chest and diaphragm distension and pain at the fifth watch (around 1-5 AM). Renowned physicians in the Sanwu region were consulted, and various cold, hot, warm, and cooling herbs were tried, yet none proved effective. Upon my examination, the pulse at the right Cun position was weak and soft, the left pulse was level, and both Chi positions were also weak. I stated: "This is a deficiency of the Lung and Kidney meridians. It can be cured by tonifying and astringing." The prescription consisted of Psoraleae Fructus (Buguzhi), Corni Fructus (Shanzhuyu), and Ginseng Radix et Rhizoma (Renshen), each 3 liang; Cervi Cornu Colla (Lujiaojiao) and Cervi Cornu Degelatinatum (Lujiaoshuang), each 5 liang; Eucommiae Cortex (Duzhong), Morinda Officinalis Radix (Ba Ji), Poria (Fuling), and Plantaginis Semen (Cheqianzi), each 1.5 liang; and Dioscoreae Rhizoma (Shanyao) 2 liang. The Cervi Cornu Colla was melted with wine to form pills, taken on an empty stomach with light salt water. Additionally, Papaveris Pericarpium (Yumiqiao, processed with honey water after removing fibrous tissue) 3 liang, Terminalia Chebula Retzui (Hezi, roasted in flour and pitted) 1 liang, and Citri Reticulatae Pericarpium (Chenpi) 1.5 liang were made into pills with refined honey, taken one qian before bed at the fifth watch with plain boiled water. After one month of treatment, the disease did not recur. The old gentleman became very pleased with me. Upon seeing the manuscript of my work *Xuanzhu*, he greatly appreciated it, saying, "Physicians usually keep prescriptions secret to appear superior, but you alone wish to share them with the public, showing your intent to save all living beings." He urgently arranged for printing and offered to subsidize the publication. I personally transcribed over a hundred of my formulas, prepared them as pills and powders for free distribution, without any expectation of gratitude.
The respected wife of Wu Yonglan, Magistrate of Lishui, experienced retrograde fullness (feeling of food stagnation) every fifth watch, followed by a bowel movement, accompanied by frequent abdominal distension and occasional pain. Her pulses at both Cun and Guan positions were surging and slippery, while both Chi positions were deep and hidden. I stated: "This is due to food retention and phlegm-fluids in the intestines and stomach." I prescribed Zongguan Wan (General Manager Pill) 3 qian, taken with ginger decoction. Although stool was passed, it was not smooth. Therefore, Shenzhou Xianglian Wan was added. External management included Shi Gypsum (Huashi), Glycyrrhizae Radix et Rhizoma (Gancao), Aucklandiae Radix (Muxiang), Aurantii Fructus (Zhike), Crataegi Fructus (Shanzha), Citri Reticulatae Pericarpium (Chenpi), Paeoniae Radix Alba (Baishao), and Coptidis Rhizoma (Huanglian, wine-processed) for regulation, leading to recovery.
The wife of Mr. Li Yuzhai suffered from severe pain in the chest, hypochondrium, and abdomen, along with delirium resembling madness. Symptoms were slightly lighter during the Yin, Mao, and Chen hours (3 AM - 9 AM), but worsened in the afternoon and night. She could not sleep day or night and had not eaten for eighteen days. Investigation revealed she originally had conditions of phlegm-fire, headache, and toothache. Three days after her menstruation began, she developed headache with alternating chills and fever. Physicians treated it as malaria. Due to extreme heat intolerance, three or four people fanned her, and she immersed her hands in cold water, holding water in her mouth without swallowing, with slight epistaxis. She often wept and felt sorrowful, her eyes swollen from crying. During severe pain, she wished to fly onto the wall; at its worst, she bit people. Urine flowed freely without control, and she felt a lump in the throat, making swallowing difficult. The pulse was wiry and rapid on the left, and surging and slippery at the right Guan position. I stated: "This is Heat Entering the Blood Chamber syndrome. Misuse of drying and acrid medicines for malaria agitation has stirred up phlegm-fire, causing simultaneous manifestation of root and branch symptoms." Others argued: "Heat Entering the Blood Chamber typically presents with delirium and hallucinations at night, like seeing ghosts. How can it cause severe chest/hypochondriac pain and biting?" I replied: "Zhang Zhongjing stated that diseases occurring when menstruation is just starting or stopping should be treated as Heat Entering the Blood Chamber, using the same method as Shaoyang disorders, primarily with Xiaochaihu Tang (Minor Bupleurum Decoction), plus blood-cooling and blood-invigorating herbs. This is an established ancient method." The severe pain and biting are due to stomach deficiency causing intestinal worms to move, seeking food but failing, resulting in a sensation of obstruction in the throat. I immediately prescribed Xiaochaihu Tang with Peach Kernel (Taoren) and Moutan Cortex (Danpi), which reduced the delirium. The next day, Anwei Tang (Calming Worms Decoction) was administered, stopping the pain, restoring appetite, and bringing vitality back.