气行脉外，血行脉内，昼行阳二十五度，夜行阴二十五度，此平人之造化也。得寒则行迟而不及，得热则行速而太
过。内伤于七情，外伤于六气，则血气之运或迟或速而病作矣。彼痛风者，大率因血受热已自沸腾，其后或涉冷水，或
立湿地，或扇取凉，或卧当风。寒凉外抟，热血得寒，污浊凝涩，所以作痛。夜则痛甚，行于阴也。治法以辛热之剂。
流散寒湿，开发腠理。其血得行，与气相和，其病自安。然亦有数种治法稍异，谨书一二，以证予言。
东阳傅文，年逾六十，性急作劳，患两腿痛甚，动则甚痛。予视之曰∶此兼虚证，当补血温血，病当自安。遂与四
物汤加桃仁、陈皮、牛膝、生甘草，煎入生姜，研潜行散，热饮三、四十帖而安。
又朱宅阃内，年近三十，食味甚浓，性躁急，患痛风，挛缩数月，医祷不应。予视之曰∶此挟痰与气证，当和血疏
气导痰，病自安。遂以潜行散入生甘草、牛膝、炒枳壳、通草、陈皮、桃仁、姜汁，煎服半年而安。
又邻鲍六，年二十余，因患血痢，用涩药取效，后患痛风，叫号撼邻。予视之曰∶此恶血入经络证。血受湿热，久
必凝浊，所下未尽，留滞隧道，所以作痛。经久不治，恐成偏枯。遂与四物汤加桃仁、红花、牛膝、黄芩、陈皮、生甘
草，煎入生姜，研潜行散，入少酒饮之数十帖。又与刺委中，出黑血近三合而安。
或曰∶比见邻人用草药研酒饮之不过数帖，亦有安者，如子之言，类皆经久取效，无乃太迂缓乎？予曰∶此劫病草
药，石上采石丝为之君，过山龙等佐之，皆性热而燥者，不能养阴却能燥湿。病之浅者，湿痰得燥则开，热血得热则行，
亦可取效。彼病深而血少者，愈劫愈虚，愈劫愈深，若朱之病是也。子以我为迂缓乎？！
气运行于脉管之外，血运行于脉管之内。白天阳气运行二十五周次，夜晚阴气运行二十五周次，这是健康人的生理规律。遇到寒冷则运行迟缓而不及，遇到炎热则运行迅速而太过。内因七情（喜、怒、忧、思、悲、恐、惊）损伤，外因六气（风、寒、暑、湿、燥、火）侵袭，导致气血的运行或迟或速，疾病由此发作。那些痛风患者，大都是因为血液受热已经沸腾，之后或者接触冷水，或者站立在潮湿之地，或者扇风取凉，或者卧当风口。寒凉之气外束，热血遇到寒凉，变得污浊凝涩，所以产生疼痛。夜间疼痛加剧，是因为气血行于阴分。治疗方法应当使用辛热性质的药物，来流散寒湿，开发腠理（皮肤毛孔及纹理）。血液得以运行，与气相调和，疾病自然痊愈。然而也有几种治法稍有不同，谨记录一二，以证明我的观点。
东阳人傅文，年龄超过六十岁，性格急躁且过度劳累，患两腿剧烈疼痛，活动后疼痛加重。我诊视后说：这是兼有虚证的情况，应当补血温血，疾病自然会好。于是给予四物汤（由熟地黄、当归、白芍、川芎组成）加桃仁、陈皮、牛膝、生甘草，煎药时加入生姜，另研潜行散，热饮服用三十至四十帖后痊愈。
又有一位朱姓宅第的女主人，年龄近三十岁，饮食口味很浓重，性情暴躁急躁，患痛风，肢体挛缩数月，医生祈祷求神均无效。我诊视后说：这是挟带痰湿和气滞的证候，应当和血疏气导痰，疾病自然会好。于是用潜行散加入生甘草、牛膝、炒枳壳、通草、陈皮、桃仁、姜汁，煎服半年后痊愈。
又有邻居鲍六，年龄二十多岁，因为患血痢，使用收敛固涩的药物取得疗效，后来患痛风，呼叫声震动邻居。我诊视后说：这是恶血进入经络的证候。血液受湿热困扰，时间久了必然凝浊，所下的血未尽，留滞在隧道（指经络血脉），所以产生疼痛。如果经久不治疗，恐怕会形成偏枯（半身不遂）。于是给予四物汤加桃仁、红花、牛膝、黄芩、陈皮、生甘草，煎药时加入生姜，另研潜行散，加入少量酒饮用数十帖。又针刺委中穴，放出黑血近三合后痊愈。
有人问：近来见邻居用草药研磨后泡酒饮用，不过几帖，也有痊愈的，像您所说的，都是经久才见效，岂不是太迂腐缓慢了吗？我说：这是劫夺病邪的草药，以石上采集的石丝为主药，过山龙等作为辅药，都是性质热而燥烈的药物，不能滋养阴液却能燥湿。病情浅表的，湿痰得到燥性则消散，热血得到热性则运行，也可以取得疗效。但是病情深重而阴血亏少的人，越劫夺越虚弱，越劫夺病邪越深入，就像朱氏的病情那样。你认为我是迂腐缓慢吗？！
Qi circulates outside the vessels, while Blood circulates inside the vessels. During the day, Qi circulates in the Yang aspects twenty-five times; at night, it circulates in the Yin aspects twenty-five times. This is the natural physiological process of a healthy person. When exposed to Cold, circulation becomes slow and insufficient; when exposed to Heat, circulation becomes rapid and excessive. Internal injury from the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) and external invasion by the Six Exogenous Pathogens (Wind, Cold, Summer-heat, Dampness, Dryness, Fire) cause the movement of Qi and Blood to be either slow or rapid, leading to disease onset. Those suffering from Tongfeng (Gout-like Pain Syndrome) generally occur because the Blood has been heated to the point of boiling, after which they may wade into cold water, stand on damp ground, fan themselves for coolness, or sleep facing the wind. External Cold constrains the exterior; when hot Blood encounters Cold, it becomes turbid, coagulated, and stagnant, thus causing pain. Pain intensifies at night because Qi and Blood travel through the Yin aspects during that time. The treatment method involves using acrid-hot herbs to disperse Cold and Dampness and open the Couli (skin pores and interstices). Once the Blood flows freely and harmonizes with Qi, the disease will naturally resolve. However, there are several variations in treatment methods; I record a few here to substantiate my statements.
Fu Wen from Dongyang, over sixty years old, had an impatient nature and overexerted himself. He suffered from severe pain in both legs, which worsened with movement. Upon examination, I said: "This is a syndrome complicated by deficiency. One should tonify and warm the Blood, and the disease will resolve." I prescribed Siwu Tang (Four Substances Decoction) added with Tao Ren (Peach Kernel), Chen Pi (Aged Tangerine Peel), Niu Xi (Achyranthes Root), and Sheng Gan Cao (Raw Licorice Root). The decoction was prepared with fresh ginger. Additionally, Qianxing San (Secretly Advancing Powder) was administered orally while hot. After thirty to forty doses, he recovered.
Another patient, the lady of the Zhu household, nearly thirty years old, consumed rich and heavy flavors, and had an irritable temperament. She suffered from Tongfeng (Gout-like Pain Syndrome) with limb contracture for several months, to no avail despite medical prayers and rituals. Upon examination, I said: "This is a syndrome involving Phlegm and Qi stagnation. One should harmonize the Blood, regulate Qi, and guide out Phlegm, and the disease will resolve." I used Qianxing San added with Sheng Gan Cao (Raw Licorice Root), Niu Xi (Achyranthes Root), Chao Zhi Ke (Stir-fried Bitter Orange Peel), Tong Cao (Tetrapanax Pith), Chen Pi (Aged Tangerine Peel), Tao Ren (Peach Kernel), and Jiang Zhi (Fresh Ginger Juice). After half a year of decoction administration, she recovered.
Neighbor Bao Liu, in his twenties, had previously suffered from Xueli (Blood Dysentery). He used astringent herbs to achieve efficacy but later developed Tongfeng (Gout-like Pain Syndrome), crying out so loudly that it disturbed his neighbors. Upon examination, I said: "This is a syndrome where Evil Blood enters the meridians. The Blood, affected by Damp-Heat, eventually becomes turbid and coagulated. The residual blood from the dysentery remained stagnant in the tunnels (meridians and collaterals), causing pain. If left untreated for a long time, it may lead to Pianku (Hemiplegia)." I prescribed Siwu Tang (Four Substances Decoction) added with Tao Ren (Peach Kernel), Hong Hua (Safflower), Niu Xi (Achyranthes Root), Huang Qin (Scutellaria Root), Chen Pi (Aged Tangerine Peel), and Sheng Gan Cao (Raw Licorice Root). The decoction was prepared with fresh ginger. Qianxing San (Secretly Advancing Powder) was mixed in and taken with a small amount of wine for dozens of doses. Additionally, I punctured Weizhong (BL40) to release nearly three he of dark blood, after which he recovered.
Someone asked: "Recently, I have seen neighbors use herbal medicines ground into wine and drunk. Within just a few doses, some have recovered. Your approach seems to take a long time to show effects. Is it not too pedantic and slow?" I replied: "These are herbs that forcibly attack the pathogen. They use Shisi (Stone Silk found on rocks) as the chief herb, supported by Guoshanlong (Lycopodium clavatum) and others. These herbs are acrid, hot, and drying. They cannot nourish Yin but can dry Dampness. In superficial diseases, Damp-Phlegm dissipates upon encountering dryness, and hot Blood moves upon encountering heat, so efficacy can be achieved. However, in patients with deep-seated disease and deficient Blood, such forcible attacks only increase deficiency and drive the pathogen deeper, as in the case of Ms. Zhu. Do you consider me pedantic and slow?!"