第一方（西药）托氏散○·三重曹一·○分六包，一日三包。此方白天分三次服之（共服三剂）第二方（中药）炙黄芪二钱台参二钱上炒白术三钱炒白芍三钱怀山药三钱补骨脂一钱大熟地一钱炮姜五分粟壳五分归身一钱沙苑蒺藜二钱枸杞子一钱桑螵蛸一钱枣一枚引煎服。此方早晚二次服下，（加减只此数味）第三方（西药）人参精○·○一次硝酸苍铅○·○四单那儿并一·○分四包。自上午九点至下午八点，共眼三包，第二日上午五点服一包。
第四方（中药）炙黄芪一两台参一两炒白芍一两炒山药二两土炒白术三两大熟地八钱枸杞于八钱炙甘草五钱加饴糖一两，炼膏，每服一小茶匙，一日三次。
第五方（西药）单宁酸○·五乳糖三·○分二十包，每服一包。此系善后备用，并非必服之方。
此症以第二方为主方，每口服之约二十馀剂与第三方并用，大见功效。约过十馀日泻即大减，又数日二目亦能全开，鼻塞渐通，古书未列此二症状，然余实已经过数例，凡慢惊风兼有鼻耳二目症状者，不必疑虑，仍以补睥补肾治之，无不收效也。渐即泻止热退，脉则右手先见起色，继为左脉亦渐旺，面色苍白亦渐去，乃以第四方制膏令其常服，以期恢复健康，第五、六方不过备用之品，以防服膏期间，偶再泄泻即服一次，以策万全也。
盲肠炎（八）盲肠炎此为西医病名，或名虫样突起炎，说者谓即中医所称之肠痈，然绝对非是，不可混为——谈，余以此症极多，中医最易溟治，顺气、消食，破滞，甚至大用热药，杀人易如反掌，故采此西医病名，以定标准。
（原因）本病因病菌或不易消化之物侵入肠突起中，因而构成粪石，促炎症之发生。此症急性者，中医率包括于腹痛，及绞肠痧等病名之内，并有种种俗名，例如（中寒）率皆以其急剧腹奇痛而致命也。其慢性者，又有俗名（肚子痛病根）之俗称，皆此症也。
（症候）右肠窝部，即右下腹之近大腿凹处顿发剧痛，遂波及于腹部，呕吐，便秘或体温增高，恶寒，腹部膨胀，甚则热度不退，腹部炎肿，致发腹膜炎而死。此症有慢性者，时常右少腹部疼痛，时发时止，亦愈发愈剧。但至不能挽回之时，亦发腹膜炎而致命。其急性者，则右少腹部忽发剧烈之疼痛，迟延三，五日，即有化脓之倾向，热愈高因而全腹肿痛，卒致不可救药，发生肠穿孔，诱起腹膜炎，而丧其生命，女子患此症者更多，且系危症。中医缺乏此症之正确认识，往往迟误病机，致人死命，故将表而出之。
（治法）以用西医外科手术割治为唯一根本治法，然此法宜及早施行，且须身体强壮，手术完备者，方保无虞。否则因割治而反丧其生命者，亦数见不鲜，最近余友王悦之（美专校长）君，即因割治盲肠炎身故。故适用外科手术，亦必须加以慎审。余长子汉真患盲肠炎，系在济南医院割治而愈。中药内服药，历试多无效，不必讳言，西医之麻醉内服及注射药，与外用消炎药膏，比较有效，然非根治疗法。乃近忽得一中药外治之法，试之屡验，若此法果能特效，则嗣后患此症者得免割治之险而治愈，亦一快事也。
方用鲜槐树皮一方约寸许，先将外层老皮刮去，留其中层，再用真正麝香一分，置病人脐内，而后上覆槐皮，再以艾球即针灸之艾团，如指顶大即可一个，置槐皮上燃之，约灸四、五壮即四、五次，若灸时太痛，可将槐皮略略抬起少许，令其距离肉皮稍有一线之缝，不可距离太远稍缓，仍可将槐皮放下，令其覆盖脐上，灸毕，脐内起一泡，内含汁水，刺破之，用消毒棉花拭净，其盲肠炎症则立消，渐渐止痛、消肿，此方纵身热腹痛，病在垂危，亦能救治。
吴君曾举一例云其友某君，供职于北京某有名之大医院，忽患盲肠炎重症已数日，右腹部已高肿且痛不可忍，然病者绝不愿割治，该院多方劝导，卒不听，乃舁回家中，此时已有化脓险象，热度甚高，右腹部高肿更甚，稍以手拟按，尚未着肉皮，即感觉痛不可忍（内外皆痛）医院同人，甚为惋惜，以为必无生望矣。曾有病者同乡，告以用槐皮、麝香灸治之法，（据云江浙间，对腹痛用此法者，已成习惯，并非专治盲肠炎）病家不得已照法医治，乃竟获大效，脐内水泡，亦未刺破，渐即痛止肿消，不数日即告痊愈。此例吴君能举其住址姓名，惜余忘记，吴君为笃实君子，且系研中西医药，而又现供医职者，其言当可信也。
余思此法，颇具诱导之至理，槐皮苦涩，麝香窜透，又得艾火灸引，同气相求，则盲肠附近之瘀血充血，得其引转此二字颇费解，系余杜撰，而透出脐腹之外，内部炎症，自然消失，亦是最有趣味之医理也，惜余得此法太晚，照此法试验，仅有二例，然皆结果园满，兹录其较重之一例于下：（医验）郑君，住北京西四大拐棒胡同八号，年二十四岁，于二十六年九月十五日延诊，患者右下腹部奇痛，不能步行，呕吐，身热，已三日，盲肠部高肿，大小便均少，脉沉数有力。余当劝其速赴医院割治，奈以病家甚贫，无力住院，恳求施治，乃为免费治疗。以槐皮灸法，开明方笺，令其照法施行，并与硫苦一五·○，令其顿服，按此症西医禁用泻剂，然以余之经验，得病之初，先使肠内容物清洁，而后再与以麻醉剂止痛，比较速效。又以盐酸莫尔比湼○·○○一合以乳糖㈠·五作为一包，与以三包，令其一日夜分服。因其痛苦太甚，实不能忍受也。一方面即用槐皮麝香灸法，照法灸治。第二日来诊，竟大见奇效，据云只灸二壮，痛即止，脐内并未生泡。呕吐腹痛均止，腹肿亦渐消，乃又与以阿片丁剂五十滴，嘱其每隔两点钟服五滴，约六日，完全病愈。此症余认为炎症太甚，恐有延及腹膜之险，竟以此方治愈，殊出意料之外也。
五十年前，余嫂陈氏，即死于此症，迩时余尚不知医，犹忆其每患腹痛，即痛不可忍，且必须令人捶背，时或呕吐，每隔数十日，或数日，辄腹痛一次，盖慢性之盲肠炎也，所服药饵，强半不能记忆，但其临危时，所服之药，则记得系巴豆，盖以其便秘故也。濒危时，所泻之物极多，极腐败臭气，皆如脓血，遂即全腹皆肿。死后全身皆种，口鼻出血，头大如斗，手大如箕，状极可怖。迩时尚无西医，且亦无盲肠炎之名，以此推知，死于此病者，不知凡几，尤以慢性之盲肠炎症，人多忽略失治，可慨也已。
胁痛（九）胁痛此胁痛系新得之症，指西医之肋膜炎而言，其他若日久之胁痛，（肋间神经痛）肋膜癌肿、肝脏硬化、胆石等症不在此例。
（原因）本症由于感冒外伤，肺炎，或其他脏器炎症之波及而发，由于激怒，或抑郁，而致此症者尤多。中医对此症，责之肝胆气滞血瘀，其说皆有至理，故激怒以下数字均采中医说。
（症候）此症分三种：1．为干性肋膜炎但觉胸胁刺痛，于呼吸时更甚，脉多弦数。
2，为渗出性肋膜炎因恶寒而发中等度之弛热，呼吸困难，胸部刺痛剧烈，干咳、脉弦数，食欲缺损，渗出液潴留过多时，患者能自觉之，听之可微闻振荡声。
3，为化脓性肋膜炎，屡以寒战而发高热，脉多洪大而数，以上诸症皆剧烈，大便多干燥，小便多短赤。
以上三种症候，治不得法，最易诱起肺结核症，化脓性肋膜炎，屡以寒战而发高热，且有性命危险。诱起腹膜炎等则危险。
（治法）渗出性、化脓性二者，以施行西医外科手术为良，用套管针抽除渗出物及脓液。其内服药之有卓效者，则为撒里天尔酸那笃当膜（撒曹）其馀则为下剂，及麻醉止痛剂，最近余子汉真患较重之渗出性肋膜炎，即以撤曹四·○苦丁二·○蒸馏水二○○·○分六次，一日三次服而治愈。亦能有效。然中医治此症，注重肝胆二经，分别气郁、血瘀、痰饮，及虚、实、寒、热，不但对于新得之胁痛，可以根本治愈，即对于日久之胁痛，神经痛亦能奏效，绝不致演成非用外科手术不可之痛苦，且亦绝无波及其他脏器之虑，此则中医对此症和平有效，可取之方法，不能不表而出之。
中医对干性之肋膜炎，以橘络、枳实、旋覆花、钩藤、龙胆草、赤芍、陈皮、青皮、川栋子等药为有效，对渗出性者，则以茯苓、橘红、半夏中医名此为痰饮加重用之，合前药无不奏效。茯苓须用五、六钱以上，半夏二、三钱。至于化脓性之肋膜炎率用柴胡、陈皮、青皮、瓜蒌仁、穿山甲、蒲公英、金银花、桃仁、生地、桑叶、山栀、夏枯草、连翘参照中医外科肝痈症治法，以此症近似肝脓疡也。等，消肿退热，更有奇效。他若久病之胁痛，参用红花、归须、桃仁、元胡等，注重在疏通血络，更有精义。而对此症兼发之咳嗽，则加枇杷叶、杏仁、贝母，气逆加降香，阴亏咳血加白芍，均甚圆活灵妙，屡试屡验，绝不致酿成危症也。川军亦为有效之品。
（医验）赵君，住北京西四牌楼大拐棒胡同六号，年十八岁，业铁工。因激怒斗殴，于二十七年四月二十五日，致患胁痛，来诊时已得病四日热度昼夜不退，三十九度六痛不能卧，咳嗽呕恶，患侧高肿隆起，呼吸时痛尤甚，不能手按。恶寒四日不解，大便燥结，小便赤短，舌黄，脉左右均洪数，精神不清，呼气有腐败臭味，有化脓嫌疑自觉肋内如有水汁存留，胀满异常。经诊断为肝经瘀热胁痛，防成内痈，急以解毒疏肝，参以外科医理论治，与下方：第一方连翘六钱金银花四钱蒲公英五钱瓜蒌仁四钱青皮二钱陈皮二钱杏仁二钱贝母三钱荆芥一钱防风一钱钩藤三钱丹皮四钱元胡二钱水煎服。此方内服，外用冷罨法于肋间高肿处，一日三次施行，中药系于晚间临睡时服下。又用阿斯比林三·○乳糖三·○分六包，一日二次，自上午六点钟至下午六点钟，分服二包，于三日之间，备用六包。中药则服第一剂取微汗，第二剂已不恶寒，减去荆芥、防风，照方再服二剂，计三日之间，病势大减，热度降至摄氏表三十八度强，痛亦减轻，肿亦略退，脉仍洪数有力，患者来诊，深致感谢。但仍不能卧下，呼吸仍痛甚，大便一次，小便仍赤短，乃与下方：阿斯比林并非连日必用，不发热则不用也。
第二方生白芍二钱竹叶三钱丹皮三钱杏仁三钱青皮二钱陈皮三钱大腹皮二钱元胡二钱前胡二钱枳实二钱龙胆草二钱贝母二钱钩藤一钱连翘四钱水煎服。仍照前服药法，白日与以撤曹四·○苦丁二·○蒸馏水一○○·○分六次，二日分服，临睡服中药一次，共服二剂，胁痛全止，体温三十八度，脉渐平和，尚有咳嗽，便燥，预防转变肺炎，（肋膜炎诱起肺结核者亦有多例）又与下方：第三方瓜蒌仁二钱白芍三钱金银花四钱钩藤三钱杏仁三钱贝母三钱丹皮三钱小青皮二钱橘红二钱苏子二钱寸冬三钱天冬三钱桑叶三钱水煎服。仍照前服药法，白日与以重曹三·○托氏散○·三分六包，二日分服，一日三次。临睡服中药一次，共服二剂，以后减去西药，又服五剂，完全治愈。
此症为较重之肋膜炎，必须中西药互用，方收速效。只用中药，或只用西药，收效均不能迅速，且此数种中西药品之用法，试验四十余年，绝无妨碍也。
疝（十）疝此症与西医所称之疝痛不同，乃纯粹根据中医书之病名，不可误解以西医疝痛意义之解释，与中医不同故也。
（原因）中医书谓任脉为病，男子内结七疝，又云疝病不离乎肝，故认定疝属月千病，细考西医书所称风气疝痛，胆石疝痛，睾丸炎，歇尔尼亚等病名，均与中医所称之七疝略相似，然皆不能吻合，且此症除肾子睾丸肿痛，牵引少腹作痛，人皆知为疝病外，其内疝数种，中医书虽皆说明，然浅学之医，临症多不能认识，故不得不特别表明之。中医七疝名目，不无离奇，然有一部分可取，且为西医未经发明者，学者可细参之。
（症候）此症除肾囊、肾子肿痛，牵引少腹，或肾子不痛只肿大，人皆目为疝气，勿庸详述外，其内疝症状之不易认识，而又恒见者，则为患者腹内时觉聚有有形之物，或横或竖，或一或二。病发作时，直向上冲，或绕腰腹作痛，（向上冲痛者居多）且令人呕逆闷厥，上冲胃皖，吐酸填胀，痛苦万状，然忽而消灭，立时诸症皆失，归于无形，一如平人。腹内上冲之时，状类黄瓜，一直冲犯胃脘，头眩眼黑，呕逆气厥者极多。如此反复发作，常年累月，致令患者全体衰弱，脉多弦实有力，体温多不高，但发作时，亦有寒热往来，及有四肢厥逆者，寒热虚实，务宜细辨，皆内疝也。参看后列吕新甫先生医验。
此内疝病状发作时，类似歇斯的里症，（脏躁）然歇斯的里，系精神病，腹内并无有形硬物上冲心口，内疝发作时，则有有形之物上冲，可以分别，二症不可误认。
第一方（西药）托氏散○·三重碳酸钠一·○分六包，一日三包。此方白天分三次服用（共服三剂）。
第二方（中药）炙黄芪二钱，台参二钱，上炒白术三钱，炒白芍三钱，怀山药三钱，补骨脂一钱，大熟地一钱，炮姜五分，粟壳五分，归身一钱，沙苑蒺藜二钱，枸杞子一钱，桑螵蛸一钱，枣一枚引煎服。此方早晚二次服用，（加减只此数味）。
第三方（西药）人参精○·○一次，硝酸苍铅○·○四，单宁酸及铋剂并一·○分四包。自上午九点至下午八点，共服三包，第二日上午五点服一包。
第四方（中药）炙黄芪一两，台参一两，炒白芍一两，炒山药二两，土炒白术三两，大熟地八钱，枸杞子八钱，炙甘草五钱，加饴糖一两，炼膏，每服一小茶匙，一日三次。
第五方（西药）单宁酸○·五，乳糖三·○分二十包，每服一包。此系善后备用，并非必服之方。
此症以第二方为主方，每日口服约二十余剂与第三方并用，大见功效。约过十余日泻即大减，又数日二目亦能全开，鼻塞渐通，古书未列此二症状，然余实已经过数例，凡慢惊风兼有鼻耳二目症状者，不必疑虑，仍以补脾补肾治之，无不收效也。渐即泻止热退，脉则右手先见起色，继为左脉亦渐旺，面色苍白亦渐去，乃以第四方制膏令其常服，以期恢复健康，第五、六方不过备用之品，以防服膏期间，偶再泄泻即服一次，以策万全也。
盲肠炎（八）盲肠炎此为西医病名，或名虫样突起炎，说者谓即中医所称之肠痈，然绝对非是，不可混为一谈，余以此症极多，中医最易误治，顺气、消食，破滞，甚至大用热药，杀人易如反掌，故采此西医病名，以定标准。
（原因）本病因病菌或不易消化之物侵入肠突起中，因而构成粪石，促炎症之发生。此症急性者，中医率包括于腹痛，及绞肠痧等病名之内，并有种种俗名，例如（中寒）率皆以其急剧腹奇痛而致命也。其慢性者，又有俗名（肚子痛病根）之俗称，皆此症也。
（症候）右肠窝部，即右下腹之近大腿凹处顿发剧痛，遂波及于腹部，呕吐，便秘或体温增高，恶寒，腹部膨胀，甚则热度不退，腹部炎肿，致发腹膜炎而死。此症有慢性者，时常右少腹部疼痛，时发时止，亦愈发愈剧。但至不能挽回之时，亦发腹膜炎而致命。其急性者，则右少腹部忽发剧烈之疼痛，迟延三，五日，即有化脓之倾向，热愈高因而全腹肿痛，卒致不可救药，发生肠穿孔，诱起腹膜炎，而丧其生命，女子患此症者更多，且系危症。中医缺乏此症之正确认识，往往迟误病机，致人死命，故将表而出之。
（治法）以用西医外科手术割治为唯一根本治法，然此法宜及早施行，且须身体强壮，手术完备者，方保无虞。否则因割治而反丧其生命者，亦数见不鲜，最近余友王悦之（美专校长）君，即因割治盲肠炎身故。故适用外科手术，亦必须加以慎审。余长子汉真患盲肠炎，系在济南医院割治而愈。中药内服药，历试多无效，不必讳言，西医之麻醉内服及注射药，与外用消炎药膏，比较有效，然非根治疗法。乃近忽得一中药外治之法，试之屡验，若此法果能特效，则嗣后患此症者得免割治之险而治愈，亦一快事也。
方用鲜槐树皮一方约寸许，先将外层老皮刮去，留其中层，再用真正麝香一分，置病人脐内，而后上覆槐皮，再以艾球即针灸之艾团，如指顶大即可一个，置槐皮上燃之，约灸四、五壮即四、五次，若灸时太痛，可将槐皮略略抬起少许，令其距离肉皮稍有一线之缝，不可距离太远稍缓，仍可将槐皮放下，令其覆盖脐上，灸毕，脐内起一泡，内含汁水，刺破之，用消毒棉花拭净，其盲肠炎症则立消，渐渐止痛、消肿，此方纵身热腹痛，病在垂危，亦能救治。
吴君曾举一例云其友某君，供职于北京某有名之大医院，忽患盲肠炎重症已数日，右腹部已高肿且痛不可忍，然病者绝不愿割治，该院多方劝导，卒不听，乃舁回家中，此时已有化脓险象，热度甚高，右腹部高肿更甚，稍以手拟按，尚未着肉皮，即感觉痛不可忍（内外皆痛）医院同人，甚为惋惜，以为必无生望矣。曾有病者同乡，告以用槐皮、麝香灸治之法，（据云江浙间，对腹痛用此法者，已成习惯，并非专治盲肠炎）病家不得已照法医治，乃竟获大效，脐内水泡，亦未刺破，渐即痛止肿消，不数日即告痊愈。此例吴君能举其住址姓名，惜余忘记，吴君为笃实君子，且系研中西医药，而又现供医职者，其言当可信也。
余思此法，颇具诱导之至理，槐皮苦涩，麝香窜透，又得艾火灸引，同气相求，则盲肠附近之瘀血充血，得其引转此二字颇费解，系余杜撰，而透出脐腹之外，内部炎症，自然消失，亦是最有趣味之医理也，惜余得此法太晚，照此法试验，仅有二例，然皆结果圆满，兹录其较重之一例于下：（医验）郑君，住北京西四大拐棒胡同八号，年二十四岁，于二十六年九月十五日延诊，患者右下腹部奇痛，不能步行，呕吐，身热，已三日，盲肠部高肿，大小便均少，脉沉数有力。余当劝其速赴医院割治，奈以病家甚贫，无力住院，恳求施治，乃为免费治疗。以槐皮灸法，开明方笺，令其照法施行，并与硫苦一五·○，令其顿服，按此症西医禁用泻剂，然以余之经验，得病之初，先使肠内容物清洁，而后再与以麻醉剂止痛，比较速效。又以盐酸莫尔比湼○·○○一合以乳糖㈠·五作为一包，与以三包，令其一日夜分服。因其痛苦太甚，实不能忍受也。一方面即用槐皮麝香灸法，照法灸治。第二日来诊，竟大见奇效，据云只灸二壮，痛即止，脐内并未生泡。呕吐腹痛均止，腹肿亦渐消，乃又与以阿片丁剂五十滴，嘱其每隔两点钟服五滴，约六日，完全病愈。此症余认为炎症太甚，恐有延及腹膜之险，竟以此方治愈，殊出意料之外也。
五十年前，余嫂陈氏，即死于此症，迩时余尚不知医，犹忆其每患腹痛，即痛不可忍，且必须令人捶背，时或呕吐，每隔数十日，或数日，辄腹痛一次，盖慢性之盲肠炎也，所服药饵，强半不能记忆，但其临危时，所服之药，则记得系巴豆，盖以其便秘故也。濒危时，所泻之物极多，极腐败臭气，皆如脓血，遂即全腹皆肿。死后全身皆种，口鼻出血，头大如斗，手大如箕，状极可怖。迩时尚无西医，且亦无盲肠炎之名，以此推知，死于此病者，不知凡几，尤以慢性之盲肠炎症，人多忽略失治，可慨也已。
胁痛（九）胁痛此胁痛系新得之症，指西医之肋膜炎而言，其他若日久之胁痛，（肋间神经痛）肋膜癌肿、肝脏硬化、胆石等症不在此例。
（原因）本症由于感冒外伤，肺炎，或其他脏器炎症之波及而发，由于激怒，或抑郁，而致此症者尤多。中医对此症，责之肝胆气滞血瘀，其说皆有至理，故激怒以下数字均采中医说。
（症候）此症分三种：1．为干性肋膜炎但觉胸胁刺痛，于呼吸时更甚，脉多弦数。
2，为渗出性肋膜炎因恶寒而发中等度之弛热，呼吸困难，胸部刺痛剧烈，干咳、脉弦数，食欲缺损，渗出液潴留过多时，患者能自觉之，听之可微闻振荡声。
3，为化脓性肋膜炎，屡以寒战而发高热，脉多洪大而数，以上诸症皆剧烈，大便多干燥，小便多短赤。
以上三种症候，治不得法，最易诱起肺结核症，化脓性肋膜炎，屡以寒战而发高热，且有性命危险。诱起腹膜炎等则危险。
（治法）渗出性、化脓性二者，以施行西医外科手术为良，用套管针抽除渗出物及脓液。其内服药之有卓效者，则为撒里天尔酸那笃当膜（撒曹）其馀则为下剂，及麻醉止痛剂，最近余子汉真患较重之渗出性肋膜炎，即以撤曹四·○苦丁二·○蒸馏水二○○·○分六次，一日三次服而治愈。亦能有效。然中医治此症，注重肝胆二经，分别气郁、血瘀、痰饮，及虚、实、寒、热，不但对于新得之胁痛，可以根本治愈，即对于日久之胁痛，神经痛亦能奏效，绝不致演成非用外科手术不可之痛苦，且亦绝无波及其他脏器之虑，此则中医对此症和平有效，可取之方法，不能不表而出之。
中医对干性之肋膜炎，以橘络、枳实、旋覆花、钩藤、龙胆草、赤芍、陈皮、青皮、川栋子等药为有效，对渗出性者，则以茯苓、橘红、半夏中医名此为痰饮加重用之，合前药无不奏效。茯苓须用五、六钱以上，半夏二、三钱。至于化脓性之肋膜炎率用柴胡、陈皮、青皮、瓜蒌仁、穿山甲、蒲公英、金银花、桃仁、生地、桑叶、山栀、夏枯草、连翘参照中医外科肝痈症治法，以此症近似肝脓疡也。等，消肿退热，更有奇效。他若久病之胁痛，参用红花、归须、桃仁、元胡等，注重在疏通血络，更有精义。而对此症兼发之咳嗽，则加枇杷叶、杏仁、贝母，气逆加降香，阴亏咳血加白芍，均甚圆活灵妙，屡试屡验，绝不致酿成危症也。川军亦为有效之品。
（医验）赵君，住北京西四牌楼大拐棒胡同六号，年十八岁，业铁工。因激怒斗殴，于二十七年四月二十五日，致患胁痛，来诊时已得病四日热度昼夜不退，三十九度六痛不能卧，咳嗽呕恶，患侧高肿隆起，呼吸时痛尤甚，不能手按。恶寒四日不解，大便燥结，小便赤短，舌黄，脉左右均洪数，精神不清，呼气有腐败臭味，有化脓嫌疑自觉肋内如有水汁存留，胀满异常。经诊断为肝经瘀热胁痛，防成内痈，急以解毒疏肝，参以外科医理论治，与下方：第一方连翘六钱金银花四钱蒲公英五钱瓜蒌仁四钱青皮二钱陈皮二钱杏仁二钱贝母三钱荆芥一钱防风一钱钩藤三钱丹皮四钱元胡二钱水煎服。此方内服，外用冷罨法于肋间高肿处，一日三次施行，中药系于晚间临睡时服下。又用阿斯比林三·○乳糖三·○分六包，一日二次，自上午六点钟至下午六点钟，分服二包，于三日之间，备用六包。中药则服第一剂取微汗，第二剂已不恶寒，减去荆芥、防风，照方再服二剂，计三日之间，病势大减，热度降至摄氏表三十八度强，痛亦减轻，肿亦略退，脉仍洪数有力，患者来诊，深致感谢。但仍不能卧下，呼吸仍痛甚，大便一次，小便仍赤短，乃与下方：阿斯比林并非连日必用，不发热则不用也。
第二方生白芍二钱竹叶三钱丹皮三钱杏仁三钱青皮二钱陈皮三钱大腹皮二钱元胡二钱前胡二钱枳实二钱龙胆草二钱贝母二钱钩藤一钱连翘四钱水煎服。仍照前服药法，白日与以撤曹四·○苦丁二·○蒸馏水一○○·○分六次，二日分服，临睡服中药一次，共服二剂，胁痛全止，体温三十八度，脉渐平和，尚有咳嗽，便燥，预防转变肺炎，（肋膜炎诱起肺结核者亦有多例）又与下方：第三方瓜蒌仁二钱白芍三钱金银花四钱钩藤三钱杏仁三钱贝母三钱丹皮三钱小青皮二钱橘红二钱苏子二钱寸冬三钱天冬三钱桑叶三钱水煎服。仍照前服药法，白日与以重曹三·○托氏散○·三分六包，二日分服，一日三次。临睡服中药一次，共服二剂，以后减去西药，又服五剂，完全治愈。
此症为较重之肋膜炎，必须中西药互用，方收速效。只用中药，或只用西药，收效均不能迅速，且此数种中西药品之用法，试验四十余年，绝无妨碍也。
疝（十）疝此症与西医所称之疝痛不同，乃纯粹根据中医书之病名，不可误解以西医疝痛意义之解释，与中医不同故也。
（原因）中医书谓任脉为病，男子内结七疝，又云疝病不离乎肝，故认定疝属肝病，细考西医书所称风气疝痛，胆石疝痛，睾丸炎，歇尔尼亚等病名，均与中医所称之七疝略相似，然皆不能吻合，且此症除肾子睾丸肿痛，牵引少腹作痛，人皆知为疝病外，其内疝数种，中医书虽皆说明，然浅学之医，临症多不能认识，故不得不特别表明之。中医七疝名目，不无离奇，然有一部分可取，且为西医未经发明者，学者可细参之。
（症候）此症除肾囊、肾子肿痛，牵引少腹，或肾子不痛只肿大，人皆目为疝气，勿庸详述外，其内疝症状之不易认识，而又恒见者，则为患者腹内时觉聚有有形之物，或横或竖，或一或二。病发作时，直向上冲，或绕腰腹作痛，（向上冲痛者居多）且令人呕逆闷厥，上冲胃皖，吐酸填胀，痛苦万状，然忽而消灭，立时诸症皆失，归于无形，一如平人。腹内上冲之时，状类黄瓜，一直冲犯胃脘，头眩眼黑，呕逆气厥者极多。如此反复发作，常年累月，致令患者全体衰弱，脉多弦实有力，体温多不高，但发作时，亦有寒热往来，及有四肢厥逆者，寒热虚实，务宜细辨，皆内疝也。参看后列吕新甫先生医验。
此内疝病状发作时，类似歇斯的里症，（脏躁）然歇斯的里，系精神病，腹内并无有形硬物上冲心口，内疝发作时，则有有形之物上冲，可以分别，二症不可误认。
First Prescription (Western Medicine) Trousseau's Powder ○.3, Sodium Bicarbonate 1.0, divided into six packets, three packets per day. This prescription is taken in three doses during the day (total of three doses).
Second Prescription (Chinese Medicine) Prepared Astragali Radix (Huangqi) 2 qian, Taishen (Codonopsis/Panax) 2 qian, Stir-fried Atractylodis Macrocephalae Rhizoma (Baizhu) 3 qian, Stir-fried Paeoniae Radix Alba (Baishao) 3 qian, Huai Dioscoreae Rhizoma (Shanyao) 3 qian, Psoraleae Fructus (Buguzhi) 1 qian, Prepared Rehmanniae Radix (Shudi) 1 qian, Processed Zingiberis Rhizoma (Paojiang) 5 fen, Poppy Shell (Kuaqiao) 5 fen, Angelicae Sinensis Radix (Guishen) 1 qian, Astragali Semen (Shayuanjili) 2 qian, Lycii Fructus (Gouqi) 1 qian, Mantis Egg Case (Sangpiaoxiao) 1 qian, Jujube 1 piece as a guide for decoction. This prescription is taken twice daily, morning and evening. (Modifications consist only of these herbs).
Third Prescription (Western Medicine) Ginseng Essence ○.0 once, Lead Nitrate (Cangqian) ○.4, Tannic Acid and Bismuth Compound 1.0, divided into four packets. Taken from 9:00 AM to 8:00 PM, totaling three packets; one packet taken at 5:00 AM on the second day.
Fourth Prescription (Chinese Medicine) Prepared Astragali Radix (Huangqi) 1 liang, Taishen 1 liang, Stir-fried Paeoniae Radix Alba (Baishao) 1 liang, Stir-fried Dioscoreae Rhizoma (Shanyao) 2 liang, Earth-fried Atractylodis Macrocephalae Rhizoma (Baizhu) 3 liang, Prepared Rehmanniae Radix (Shudi) 8 qian, Lycii Fructus (Gouqi) 8 qian, Prepared Glycyrrhizae Radix et Rhizoma (Gancao) 5 qian, added with Maltose Sugar (Yitang) 1 liang, refined into an ointment/paste. Take one small tea spoon per dose, three times daily.
Fifth Prescription (Western Medicine) Tannic Acid ○.5, Lactose 3.0, divided into twenty packets, one packet per dose. This is kept as a backup for emergencies and is not mandatory.
For this condition, the Second Prescription is the main formula. It is taken orally along with the Third Prescription, approximately more than twenty doses in total, showing significant efficacy. After about ten days, diarrhea decreases significantly. After a few more days, both eyes can open fully, and nasal congestion gradually clears. Although ancient texts do not list these two symptoms, I have personally observed several cases. For chronic infantile convulsions accompanied by nasal or ocular symptoms, there is no need for doubt; treating with Spleen-tonifying and Kidney-nourishing methods invariably yields results. Gradually, diarrhea stops and fever subsides. The pulse on the right hand shows improvement first, followed by the left pulse becoming stronger. The pale complexion gradually returns to normal. Then, the Fourth Prescription is prepared as a paste for regular consumption to restore health. The Fifth and Sixth Prescriptions are merely backups; if diarrhea recurs during the period of taking the paste, they are taken once to ensure complete safety.
Appendicitis (8) Appendicitis is a Western medical term, also known as inflammation of the vermiform appendix. Some claim it corresponds to the Chinese medicine concept of Intestinal Abscess (Changyong), but this is absolutely incorrect and should not be conflated. Given the high prevalence of this condition and the tendency of Chinese medicine practitioners to misdiagnose it—using methods such as promoting Qi circulation, digesting food, breaking stagnation, or even heavily using hot herbs, which can kill patients easily—I adopt this Western medical term to establish a standard.
(Cause) This disease occurs when bacteria or indigestible substances enter the appendix, forming fecaliths that promote inflammation. Acute cases are generally included in Chinese medicine under terms such as Abdominal Pain (Futong) or Colic Typhoid (Jiaochangsha), and various folk names. For example, "Zhonghan" (Cold Invasion) often refers to acute severe abdominal pain leading to death. Chronic cases also have folk names such as "Root of Stomachache."
(Symptoms) Sudden severe pain erupts in the right iliac fossa (the depression near the thigh in the lower right abdomen), spreading to the rest of the abdomen. Symptoms include vomiting, constipation or increased body temperature, aversion to cold, abdominal distension. In severe cases, fever persists, abdominal inflammation and swelling occur, leading to peritonitis and death. Chronic cases involve recurrent pain in the right lower abdomen, intermittent but worsening over time. Eventually, peritonitis develops, proving fatal. Acute cases feature sudden severe pain in the right lower abdomen. After three to five days, there is a tendency toward suppuration. Higher fever leads to whole-abdomen swelling and pain, ultimately resulting in intestinal perforation, inducing peritonitis, and causing death. Women suffer from this condition more frequently, and it is critical. Chinese medicine lacks a correct understanding of this condition, often delaying treatment and causing death, hence this clarification.
(Treatment) Western surgical excision is the only fundamental cure. However, this method must be performed early, and the patient must be physically strong with complete surgical facilities to ensure safety. Otherwise, death due to surgery is common. Recently, my friend Mr. Wang Yuezhi (Principal of the Academy of Fine Arts) died from appendectomy. Therefore, the application of surgery requires caution. My eldest son, Hanzhen, suffered from appendicitis and was cured by surgery at Jinan Hospital. Internal Chinese herbal medicines have repeatedly proven ineffective, so I will not hide this fact. Western internal anesthetics, injections, and external anti-inflammatory ointments are relatively effective but are not curative. Recently, I discovered a Chinese medicine external treatment method that has been tested successfully multiple times. If this method proves specific, future patients can avoid the risks of surgery and be cured, which would be a joy.
Formula: Use fresh Sophora japonica bark (Huaimu Pi), about one cun square. Scrape off the outer old bark, keeping the middle layer. Place one fen of genuine Moschus (Shexiang) inside the patient's umbilicus. Cover with the Sophora bark. Place a moxa cone (Ai Qiu), size of a fingertip, on the bark and ignite it. Moxibustion is performed for four or five sessions (Zhuang). If the pain is too severe, slightly lift the bark to create a small gap from the skin; do not lift it too far or slow down. Replace the bark to cover the umbilicus. After moxibustion, a blister forms inside the umbilicus containing fluid. Pierce it, wipe clean with sterile cotton, and the appendiceal inflammation disappears immediately. Pain and swelling subside gradually. Even if the patient has fever, abdominal pain, and is in critical condition, this formula can save them.
Mr. Wu cited a case: His friend, working at a famous hospital in Beijing, suddenly suffered severe appendicitis for several days. The right abdomen was highly swollen and unbearable in pain. The patient absolutely refused surgery. Despite the hospital's persuasion, he was carried home. At this point, signs of suppuration were evident, with high fever and severe right abdominal swelling. Touching it caused unbearable pain (both internal and external). Hospital colleagues regretted it, believing there was no hope. A fellow townsman of the patient suggested using the Sophora bark and Moschus moxibustion method (Reportedly common in Jiangsu and Zhejiang for abdominal pain, not specifically for appendicitis). Reluctantly, the family tried it and achieved great results. The umbilical blister was not pierced. Pain stopped, swelling subsided, and he recovered in a few days. Mr. Wu could provide the address and name, but I forgot. Mr. Wu is a sincere gentleman researching both Chinese and Western medicine and currently holds a medical position, so his words are credible.
I believe this method contains profound principles. Sophora bark is bitter and astringent, Moschus is penetrating, and combined with moxa fire guidance, seeking similar energies draws the blood stasis and congestion near the appendix out through the umbilicus and abdomen. The internal inflammation naturally disappears. This is an interesting medical principle. Regrettably, I learned of this method too late. Testing it yielded only two cases, both successful. Here is the heavier case recorded below: (Medical Record) Mr. Zheng, residing at No. 8 Dagbangbang Hutong, Xisi, Beijing, aged 24. Consulted on September 15, Year 26. Patient had strange pain in the right lower abdomen, unable to walk, vomiting, fever for three days. High swelling in the appendix area, scanty urine and stool. Pulse was deep, rapid, and forceful. I advised immediate hospital surgery, but the family was too poor to afford hospitalization and begged for treatment, so I treated him for free. Using the Sophora bark moxibustion method, I prescribed clearly and instructed them to follow the method. Also administered Epsom Salts (Liusu) 15.0, to be taken at once. According to Western medicine, laxatives are contraindicated for this condition. However, based on my experience, at the onset of illness, clearing intestinal contents first, followed by analgesics, is faster. Also prescribed Morphin Hydrochloride 0.01 combined with Lactose 1.5 as one packet, giving three packets to be taken throughout the day and night due to unbearable pain. Simultaneously, apply the Sophora bark and Moschus moxibustion method. On the second day, upon consultation, miraculous effects were seen. He reported that after only two moxa sessions, pain stopped, and no blister formed in the umbilicus. Vomiting and abdominal pain ceased, abdominal swelling subsided. Then administered Opium Drops 50 drops, instructed to take 5 drops every two hours. Completely cured after about six days. I considered the inflammation too severe, fearing spread to the peritoneum, so curing it with this formula was unexpected.
Fifty years ago, my sister-in-law Mrs. Chen died from this condition. At that time, I did not know medicine. I recall that whenever she suffered abdominal pain, it was unbearable, requiring someone to beat her back, sometimes vomiting. Every few days or dozens of days, she had abdominal pain once, indicating chronic appendicitis. Most of the medicines she took cannot be remembered, but at the critical moment, she took Croton Seed (Badou) because of constipation. Near death, she passed large amounts of extremely foul-smelling, pus-and-blood-like material, leading to whole-abdomen swelling. After death, her whole body bloated, mouth and nose bled, head as large as a bucket, hands as large as a winnowing basket, looking terrifying. There were no Western doctors then, nor the name for appendicitis. From this, we can infer how many died from this disease, especially those with chronic appendicitis who were ignored and mistreated, which is lamentable.
Hypochondriac Pain (9) Hypochondriac pain here refers to a newly acquired condition, meaning Pleurisy in Western medicine. Other long-standing hypochondriac pains (Intercostal Neuralgia), Pleural Cancer, Liver Cirrhosis, Gallstones, etc., are not included in this example.
(Cause) This condition arises from cold/flu, trauma, pneumonia, or spread from inflammation of other organs. It is particularly common due to anger or depression. Chinese medicine attributes this to Liver and Gallbladder Qi stagnation and Blood stasis, which has rational basis. Thus, the following points adopt Chinese medicine theories.
(Symptoms) This condition is divided into three types:
1. Dry Pleurisy: Only feels stabbing pain in the chest and hypochondrium, worse during breathing. Pulse is typically wiry and rapid.
2. Exudative Pleurisy: Starts with aversion to cold, developing moderate remittent fever. Dyspnea, severe stabbing chest pain, dry cough, wiry and rapid pulse, loss of appetite. When exudate accumulates excessively, the patient can feel it, and auscultation may reveal slight oscillating sounds.
3. Suppurative Pleurisy: Frequent chills followed by high fever. Pulse is typically surging, large, and rapid. All above symptoms are severe. Stool is mostly dry, urine is short and red.
If these three symptom patterns are not treated correctly, they easily induce Pulmonary Tuberculosis. Suppurative pleurisy, with frequent chills and high fever, poses a life threat. Inducing peritonitis is also dangerous.
(Treatment) For exudative and suppurative types, Western surgical intervention is good, using a cannula needle to aspirate exudate and pus. Among internal medicines, Salicylic Acid Sodium (Salol/Saccharin? Note: Text says "Sa Li Tian Er Suan Na Du Dang Mo", likely a transliteration error for a salicylate compound like Sodium Salicylate or similar antipyretic/anti-inflammatory) is highly effective. Others are cathartics and anesthetics/analgesics. Recently, my son Hanzhen suffered from severe exudative pleurisy and was cured by taking Saccharin 4.0, Kudingcha 2.0, distilled water 200.0, divided into six doses, taken three times daily. It is also effective. However, Chinese medicine treats this condition focusing on the Liver and Gallbladder meridians, distinguishing Qi stagnation, Blood stasis, Phlegm-fluid retention, and Deficiency/Excess/Cold/Heat. Not only can it fundamentally cure new-onset hypochondriac pain, but it is also effective for long-standing hypochondriac pain and neuralgia, absolutely avoiding the pain of necessary surgery and the risk of affecting other organs. This peaceful and effective method of Chinese medicine deserves emphasis.
For dry pleurisy, Chinese medicine finds Citrus Reticulata Viridocarpon (Juluo), Immature Bitter Orange (Zhishi), Inula Flower (Xuanfuhua), Uncaria Rhynchophylla (Gouteng), Gentiana Root (Longdancao), Red Peony Root (Chishao), Tangerine Peel (Chenpi), Green Tangerine Peel (Qingpi), and Sichuan Chinaberry Fruit (Chuanlianzi) effective. For exudative types, Poria (Fuling), Tangerine Peel (Juhong), Pinellia Ternata (Banxia)—known in Chinese medicine as Phlegm-Fluid—are used heavily. Combined with previous herbs, they are always effective. Fuling must be used in doses of 5-6 qian or more; Banxia 2-3 qian. For suppurative pleurisy, Bupleurum Root (Chaihu), Chenpi, Qingpi, Trichosanthes Seed (Gualouren), Pangolin Scales (Chuanshanjia), Dandelion (Pugongying), Honeysuckle Flower (Jinyinhua), Peach Kernel (Taoren), Rehmannia Root (Shengdi), Mulberry Leaf (Sangye), Gardenia Fruit (Shanzhi), Prunella Spike (Xiakucao), Forsythia Fruit (Lianqiao) are used. Referencing Chinese surgical treatment for Liver Abscess (Ganyong), as this condition approximates liver abscess. These reduce swelling and fever with miraculous effects. For long-standing hypochondriac pain, adding Safflower (Honghua), Angelica Sinensis Root Tail (Guixu), Peach Kernel (Taoren), Corydalis Rhizome (Yanhusu) focuses on unblocking blood collaterals, having profound significance. For accompanying cough, add Loquat Leaf (Pipaye), Apricot Kernel (Xingren), Fritillaria Bulb (Beimu). For rebellious Qi, add Aquilaria Wood (Xiang); for Yin deficiency with hemoptysis, add White Peony Root (Baishao). All are flexible and effective, rarely leading to critical conditions. Rheubarb (Chuanjun) is also effective.
(Medical Record) Mr. Zhao, residing at No. 6 Dagbangbang Hutong, Xisi Paifang, Beijing, aged 18, ironworker. Due to anger and fighting, he developed hypochondriac pain on April 25, Year 27. Upon consultation, he had been sick for four days. Fever persisted day and night at 39.6°C. Pain prevented lying down. Cough, nausea, vomiting. Affected side was highly swollen and raised, pain worse during breathing, unable to touch. Aversion to cold for four days unresolved. Stool dry and bound, urine red and short. Tongue yellow. Pulse surging and rapid on both sides. Mental confusion. Exhaled breath had putrid odor. Suspected suppuration. Felt fluid accumulation in ribs, abnormal distension. Diagnosed as Liver Meridian Stasis-Heat Hypochondriac Pain, preventing internal abscess. Urgently detoxify and soothe Liver, incorporating surgical theory. Prescribed: First Prescription: Forsythia Fruit (Lianqiao) 6 qian, Honeysuckle Flower (Jinyinhua) 4 qian, Dandelion (Pugongying) 5 qian, Trichosanthes Seed (Gualouren) 4 qian, Green Tangerine Peel (Qingpi) 2 qian, Tangerine Peel (Chenpi) 2 qian, Apricot Kernel (Xingren) 2 qian, Fritillaria Bulb (Beimu) 3 qian, Schizonepeta Spike (Jingjie) 1 qian, Saposhnikovia Root (Fangfeng) 1 qian, Uncaria Rhynchophylla (Gouteng) 3 qian, Moutan Cortex (Danpi) 4 qian, Corydalis Rhizome (Yanhusu) 2 qian. Decoct and take. Internal use, external cold compress applied to the highly swollen intercostal area three times daily. Chinese medicine taken at bedtime. Also Aspirin 3.0, Lactose 3.0, divided into six packets, twice daily. Two packets taken between 6:00 AM and 6:00 PM, preparing six packets for three days. Chinese medicine: First dose induces slight sweat. Second dose, aversion to cold resolves, remove Jingjie and Fangfeng, continue with remaining prescription for two doses. Within three days, condition greatly reduced, fever dropped to just over 38°C, pain relieved, swelling subsided slightly. Pulse still surging and rapid. Patient came for consultation, deeply grateful. Still unable to lie down, breathing painful, one bowel movement, urine still red and short. Prescribed: Second Prescription: Raw White Peony Root (Baishao) 2 qian, Bamboo Leaves (Zhuye) 3 qian, Moutan Cortex (Danpi) 3 qian, Apricot Kernel (Xingren) 3 qian, Green Tangerine Peel (Qingpi) 2 qian, Tangerine Peel (Chenpi) 3 qian, Areca Seed (Dafupi) 2 qian, Corydalis Rhizome (Yanhusu) 2 qian, Peucedanum Root (Qianhu) 2 qian, Immature Bitter Orange (Zhishi) 2 qian, Gentiana Root (Longdancao) 2 qian, Fritillaria Bulb (Beimu) 2 qian, Uncaria Rhynchophylla (Gouteng) 1 qian, Forsythia Fruit (Lianqiao) 4 qian. Decoct and take. Continue previous medication method. During the day, administer Saccharin 4.0, Kudingcha 2.0, distilled water 100.0, divided into six doses, taken over two days. Take Chinese medicine once before bed. Total two doses. Hypochondriac pain completely stopped, temperature 38°C, pulse gradually normalized. Still coughing, dry stool. Prevent transformation into pneumonia (Pleurisy inducing tuberculosis has many cases). Prescribed: Third Prescription: Trichosanthes Seed (Gualouren) 2 qian, White Peony Root (Baishao) 3 qian, Honeysuckle Flower (Jinyinhua) 4 qian, Uncaria Rhynchophylla (Gouteng) 3 qian, Apricot Kernel (Xingren) 3 qian, Fritillaria Bulb (Beimu) 3 qian, Moutan Cortex (Danpi) 3 qian, Small Green Tangerine Peel (Xiaoqingpi) 2 qian, Tangerine Peel (Juhong) 2 qian, Perilla Fruit (Suzi) 2 qian, Ophiopogon Tuber (Mendong) 3 qian, Asparagus Tuber (Tiantong) 3 qian, Mulberry Leaf (Sangye) 3 qian. Decoct and take. Continue previous medication method. During the day, administer Sodium Bicarbonate (Chongcao) 3.0, Trousseau's Powder ○.3, divided into six packets, taken over two days, three times daily. Take Chinese medicine once before bed. Total two doses. Later, reduce Western medicine, take five more doses, completely cured.
This condition is severe pleurisy, requiring combined Chinese and Western medicine for rapid effect. Using only Chinese or only Western medicine does not yield rapid results. The usage of these Chinese and Western drugs has been tested for over forty years with no adverse effects.
Hernia (10) Hernia here differs from the Western medical concept of Hernial Pain. It is purely based on Chinese medicine disease names. Do not misunderstand it with Western interpretations. Hence the difference.
(Cause) Chinese medicine texts state that Ren Mai disease causes seven types of internal hernia in men. It also states that hernia diseases are inseparable from the Liver, thus identifying hernia as a Liver disease. Carefully examining Western medical terms such as Wind Hernia Pain, Gallstone Hernia Pain, Orchitis, and Charneaux, they are somewhat similar to the Seven Hernias in Chinese medicine, but do not match perfectly. Except for testicular swelling and pain pulling to the lower abdomen, which everyone knows as hernia, there are several types of internal hernia. Although Chinese medicine texts explain them, inexperienced physicians often fail to recognize them clinically, so special clarification is necessary. The names of the Seven Hernias in Chinese medicine may seem bizarre, but some parts are valuable and unexplored by Western medicine. Scholars can study them carefully.
(Symptoms) Besides scrotal/testicular swelling and pain pulling to the lower abdomen, or testicular painless swelling, which people call "Qi Hernia," no need to detail. The internal hernia symptoms that are hard to recognize but commonly seen are: the patient occasionally feels a tangible object gathering in the abdomen, horizontal or vertical, one or two. When the disease attacks, it rushes straight upward or circles the waist and abdomen causing pain (upward rushing pain is more common), causing nausea, syncope, rushing up to the stomach, acid regurgitation, fullness, extreme suffering. Then it suddenly disappears, all symptoms vanish, returning to formlessness, like a normal person. When rushing upward in the abdomen, resembling a cucumber, rushing directly to the stomach, causing dizziness, blackouts, nausea, and Qi syncope is very common. Such repeated attacks, year after year, cause general weakness. Pulse is typically wiry, solid, and forceful. Body temperature is usually not high, but during attacks, there may be alternating chills and fever, and cold limbs. Cold, Heat, Deficiency, and Excess must be carefully distinguished. All are internal hernias. See the Medical Record of Mr. Lv Xinpu listed below.
When this internal hernia attacks, it resembles Hysteria (Zang Zao). However, Hysteria is a mental disorder, with no tangible hard object rushing up to the heart/mouth in the abdomen. Internal hernia attacks involve a tangible object rushing up. They can be distinguished. The two conditions must not be confused.