陆令仪尊堂。平日持斋。肠胃素枯。天癸已尽之后。经血犹不止。似有崩漏之意。余鉴姜宜人交肠之
流弊。急为治之。久已痊可。值今岁秋月。燥金太过。湿虫不生。无人不病咳嗽。而尊
堂血虚津枯之体。受伤独猛。胸胁紧胀。上气喘急。卧寐不宁。
咳动则大痛。痰中带血而腥。食不易入。声不易出。寒热交作。而申酉二时。燥金用事。诸苦倍增。其脉时
大时小。时牢时伏。时弦紧。服清肺药。如以勺水沃焦。无裨缓急。诸子 徨无措。
知为危候。余亦明告以肺痈将成。高年难任。于是以葶苈大枣泻肺汤。先通其肺气之壅。即觉气稍平。食稍
入。痰稍易出。身稍可侧。大有生机。余曰。未也。吾见来势太急。不得已而取快于一时。究竟暂开者。
易至复闭。迨复闭。则前法不可再用。迄今乘其暂开。多方以图。必在六十日后。交冬至节。方是愈期。
盖身中之燥。与时令之燥。胶结不解。必俟燥金退气。而肺金乃得太宁耳。令仪昆季极恳专力治之。此六十日
间。屡危屡安。大率皆用活法斡旋。缘肺病不可用补。而脾虚又不能生肺。肺燥喜于用润。而脾滞又艰运食
。今日脾虚之极。食饮不思。则于清肺药中。少加参术以补脾。明日肺燥之极。热盛咳频。则于清肺
药中。少加阿胶以润燥。日续一日。扶至立冬之午刻。病者忽然云。内中光景。大觉清爽。可得生矣。奇哉。
天时之燥去。而肺金之燥。遂下传于大肠。五六日不一大便。略一润肠。旋即解散。
正以客邪易去耳。至小雪节。康健加飧。倍于曩昔。盖胃中空虚已久。势必加飧。复其水谷容受之常。方
为全愈也。令仪昆季咸录微功。而余于此证有退思焉。语云。宁医十男子。莫医一妇
人。乃今宁医十妇人。不医一男子矣
胡卣臣先生曰。还丹不过九转。举世模之不就。陈诠可袭。活法难通也。
陆令仪的尊堂（母亲）。平日坚持吃素。肠胃向来干枯。天癸（指女子月经）已经断绝之后，经血仍然不止。似乎有崩漏（非经期大量出血或淋漓不尽）的迹象。我鉴于姜宜人患“交肠”病（大小便异位而出）留下的弊端教训，急忙为她治疗。早已痊愈。恰逢今年秋季，燥金之气太过旺盛。湿虫无法滋生。没有人不患咳嗽病。而尊堂血虚津液枯竭的体质，受到的伤害尤为猛烈。胸胁部紧绷胀满。上气喘促急促。躺卧睡眠不得安宁。咳嗽时引发剧烈疼痛。痰中带血且有腥味。饮食难以咽下。声音难以发出。寒热交替发作。而在申时（下午3-5点）和酉时（下午5-7点），燥金当令，各种痛苦加倍加重。她的脉象有时大有时小，有时牢实有时伏匿，有时弦紧。服用清肺药物，如同用一勺水浇在烧红的铁块上，对缓解急症毫无帮助。她的儿子们惊慌失措。知道这是危重征候。我也明确告知他们肺痈（肺部化脓性病变）即将形成，且患者年事已高，难以承受。于是使用葶苈大枣泻肺汤，先疏通肺气的壅滞。随即感觉气息稍微平稳。饮食稍微能进。痰液稍微容易咳出。身体稍微可以侧卧。大有生机。我说：还不够。我看病势来得太急，不得已而采取暂时见效的方法。终究来说，暂时开通的气机，容易再次闭塞。等到再次闭塞时，前面的方法就不能再用了。趁现在气机暂时开通，多方谋划调理。必定要等到六十天后，进入冬至节气，才是痊愈的时期。因为体内的燥邪与时令的燥邪，胶结在一起难以解开。必须等到燥金之气退去，肺金才能得到真正的安宁。令仪兄弟极力恳请专心全力治疗。在这六十天期间，病情屡次危急又屡次转安。大体上都运用灵活的方法进行斡旋调理。因为肺病不可以用补法，而脾虚又不能生养肺气。肺燥喜欢用滋润之法，而脾滞又难以运化食物。今天脾虚到了极点，不思饮食，就在清肺药中少量加入人参、白术来补脾。明天肺燥到了极点，热盛咳嗽频繁，就在清肺药中少量加入阿胶来润燥。日复一日，扶持到立冬日的午刻，病人忽然说：体内感觉，觉得非常清爽，可以活下来了。真是奇妙啊。天时之燥气去除后，肺金之燥邪，于是向下传导至大肠。五六天没有一次大便。稍微润一下肠，随即就解除了。正因为客邪（外感病邪）容易去除。到了小雪节气，健康增加食量，比过去加倍。因为胃中空虚已久，势必会增加进食，恢复其容纳水谷的正常功能，这才是完全痊愈。令仪兄弟都记录这微小的功劳，而我对此证有反思。俗话说：宁可医治十个男子，不要医治一个妇人。如今却是宁可医治十个妇人，不医治一个男子了。
胡卣臣先生说：还丹不过九转，举世模仿却做不成。陈诠的理论可以沿袭，但灵活运用的方法难以通达。
The mother of Lu Lingyi. She had kept a vegetarian diet in her daily life, resulting in chronically dry intestines and stomach. After her Tian Gui (menstruation) had ceased, her menstrual blood still did not stop, resembling the pattern of Beng Lou (metrorrhagia or metrostaxis). Recalling the adverse outcomes associated with Jiang Yi Ren's case of Jiao Chang (a condition where urine and feces are excreted from the wrong orifices), I urgently treated her, and she had long since recovered. Coinciding with this year's autumn, the Dryness Metal qi was excessive, preventing the generation of damp insects, causing everyone to suffer from coughs. Her constitution, characterized by blood deficiency and fluid exhaustion, suffered particularly severely. She experienced tightness and distension in the chest and hypochondrium, rapid upper body panting, and restless sleep. Coughing induced severe pain, and her sputum contained bloody, fishy-smelling phlegm. Food intake was difficult, and voice production was impaired. Alternating chills and fever occurred, intensifying significantly during the Shen (15:00–17:00) and You (17:00–19:00) hours when Dryness Metal was in command. Her pulse varied between large and small, deep and hidden, wiry and tight. Administering Lung-clearing herbs was like pouring a spoonful of water onto red-hot iron, offering no relief for the acute symptoms. Her sons were panicked and at a loss, recognizing it as a critical prognosis. I explicitly informed them that Fei Yong (Lung Abscess) was about to form and that her advanced age made it difficult to endure. Therefore, I used Ting Li Da Zao Xie Fei Tang (Descurainia Seed and Jujube Decoction to Drain the Lungs) to first unblock the stagnation of Lung Qi. Immediately, her breathing slightly stabilized, food intake improved slightly, sputum became easier to expectorate, and she could lie on her side slightly, indicating significant vitality. I stated, "Not yet. I observe the disease momentum is too urgent; I resorted to a temporary quick fix. Ultimately, temporarily opened pathways easily close again. Once closed again, the previous method cannot be reused. Taking advantage of this temporary opening, we must plan multiple strategies. Recovery will only occur after sixty days, upon entering the Winter Solstice solar term. The internal dryness and the seasonal dryness are knotted together and unresolved. We must wait for the Dryness Metal qi to recede before the Lung Metal can attain true peace." The brothers of Lingyi earnestly requested dedicated treatment. During these sixty days, the condition repeatedly became critical and then stable, largely managed through flexible methods. Since Lung diseases should not be treated with tonification, but Spleen deficiency cannot generate Lung Qi, and while Lung dryness prefers moistening, Spleen stagnation hinders food transportation. On days when Spleen deficiency was extreme and appetite was absent, I added small amounts of Renshen (Ginseng Root) and Baizhu (Atractylodes Macrocephala Rhizome) to the Lung-clearing formula to tonify the Spleen. On days when Lung dryness was extreme with intense heat and frequent coughing, I added small amounts of Ejiao (Donkey-hide Gelatin) to moisten dryness. Day by day, supporting her until noon on the Start of Winter solar term, the patient suddenly said, "My internal sensation feels remarkably refreshing; I can survive." How miraculous! As the seasonal dryness dissipated, the Lung Metal dryness transmitted downward to the Large Intestine. For five or six days without a major bowel movement, a slight intestinal moistening led to immediate resolution, precisely because the pathogenic external factors were easy to eliminate. By the Minor Snow solar term, her health improved, and her food intake doubled compared to before. This was because her stomach had been empty for a long time, inevitably leading to increased intake to restore its normal capacity to receive food and drink, marking complete recovery. The brothers of Lingyi recorded this minor achievement, but I reflected on this case. It is said, "Better to treat ten men than one woman." Now, however, it seems better to treat ten women than one man.
Mr. Hu Youchen said: The Elixir does not exceed nine transformations; the world imitates it but fails to achieve it. Chen Quan's theories can be followed, but flexible application is difficult to master.