一膏粱之人跌腿，青肿作痛，服辛热之药，反发热作喘，患处益痛，口干唇揭。余曰∶
膏粱之人，内多积热，夏服辛热之剂，益其胃火而使然也。频饮童便，以清胃散加山栀、黄
芩治之顿止，患处以葱熨之，肿即消散。
举人杜克弘坠马，服下血药，反作喘，日晡益甚。此血虚所致耳，非瘀血为患，遂以四
物加参、 、五味、麦门治之，其喘顿止。又用补中益气加五味、麦门而愈。此症果系瘀血
蒸熏于肺而喘，只宜活血行血，亦不可下。若面黑胸胀，或膈痛作喘，当用人参一两、苏木
二两，作一剂水煎急服，缓则不治。产妇多有此疾。
杨进士伤手指， 痛发热，服寒凉之药，致饮食顿减，患处不溃。余用托里养血之药，
食进疮溃，后因劳每日晡发热，此阴虚而内热也。以四物、软柴胡、地骨皮乃退、更用养血
气之药而疮敛。
一男子坠马，腹有瘀血。服药下之，致发热盗汗、自汗，脉浮涩。余以为重剂过伤气血
所致，投以十全大补汤益甚，时或谵语，此药力未及而然也。以前药加炮附子五分，服之即
睡，觉来顿安，再剂而痊。
（二条）
大尹刘国信金疮出血，发热烦躁，属阴虚为患。用圣愈汤治之，虚火息而血归经矣。
梁阁老侄金疮肿痛，出血不止，寒热口干。此气虚血无所附，而血不归经也。用补中益
气、五味、麦门主之，阳气复而愈。
有一位常食肥甘厚味的人腿部跌伤，出现青紫肿胀并疼痛，服用辛热性质的药物后，反而出现发热、气喘，患处疼痛加剧，伴有口干、嘴唇干裂脱皮。我说：常食肥甘厚味的人，体内多积热，夏季又服用辛热剂药，更加助长胃火，从而导致上述症状。频繁饮用童便（童子尿），并用清胃散加入山栀、黄芩治疗，症状立刻停止；患处用葱白熨烫，肿胀随即消散。
举人杜克弘从马上摔下，服用活血化瘀的药物后，反而出现气喘，且在下午申时（日晡）症状加重。这是血虚所致，并非瘀血为患，于是用四物汤加入人参、黄芪、五味子、麦门冬治疗，气喘立刻停止。后来又用补中益气汤加入五味子、麦门冬而痊愈。如果这个病症确实是瘀血蒸熏于肺导致的气喘，只宜活血行血，也不可用泻下法。如果面色发黑、胸腹胀满，或者膈部疼痛导致气喘，应当用人参一两、苏木二两，作为一剂水煎急服，若延误则无法救治。产妇多有此类疾病。
杨进士手指受伤，局部疼痛发热，服用寒凉药物后，导致饮食突然减少，患处疮口不溃烂。我使用托里养血的药物，患者饮食增加，疮口溃破，后来因劳累每天下午申时发热，这是阴虚内热。用四物汤、软柴胡、地骨皮治疗，热退后，再用养血益气的药物使疮口收敛愈合。
有一个男子从马上摔下，腹部有瘀血。服药试图通过泻下排出瘀血，导致发热、盗汗、自汗，脉象浮涩。我认为这是重剂攻下药过度损伤气血所致，投以十全大补汤后症状反而加重，有时出现胡言乱语，这是药力未到病所而产生的反应。在上述方药中加入炮附子五分，服用后即能入睡，醒来后顿感安宁，再服两剂后痊愈。
第二条：
大尹刘国信因金创出血，出现发热烦躁，属于阴虚为患。用圣愈汤治疗，虚火平息，血液回归经脉。
梁阁老的侄子因金创肿痛，出血不止，伴有寒热、口干。这是气虚导致血液无所依附，从而血不归经。用补中益气汤加入五味子、麦门冬主治，阳气恢复后痊愈。
A person accustomed to a rich diet suffered a leg injury from a fall, presenting with cyanosis, swelling, and pain. After taking acrid-warm herbs, he developed fever and wheezing, with increased pain at the injured site, dry mouth, and peeling lips. I stated: Individuals accustomed to rich diets often have accumulated internal heat. Taking acrid-warm preparations in summer further exacerbates Stomach Fire (Wei Huo), causing these symptoms. Frequent consumption of child’s urine (Tong Bian) combined with Qingwei San (Clear the Stomach Powder) added with Gardenia Fruit (Shanzhi) and Scutellaria Root (Huangqin) stopped the symptoms immediately. The injured area was treated with moxibustion using scallions (Cong Yun), leading to rapid resolution of the swelling.
Juren Du Kehong fell from a horse and took blood-invigorating herbs, which resulted in wheezing that worsened in the afternoon (Ribu). This was caused by Blood Deficiency (Xue Xu), not by blood stasis. Therefore, Siwu Tang (Four Substances Decoction) was administered with Ginseng Radix (Renshen), Astragalus Root (Huangqi), Schisandra Fruit (Wuweizi), and Ophiopogon Tuber (Maimendong), which immediately ceased the wheezing. Subsequently, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Schisandra Fruit and Ophiopogon Tuber cured the condition. If this syndrome were indeed wheezing caused by blood stasis steaming the Lungs, only blood-invigorating methods should be used, and purgatives must be avoided. If the face is dark, chest is distended, or diaphragmatic pain causes wheezing, one ounce of Ginseng Radix and two ounces of Sappan Wood (Sumu) should be decocted together and taken urgently; delay renders it untreatable. This condition is common among postpartum women.
Academician Yang injured his finger, experiencing local pain and fever. After taking cold-natured herbs, his food intake decreased sharply, and the wound failed to suppurate. I used herbs for supporting the interior and nourishing blood, after which his appetite improved and the wound opened. Later, due to overexertion, he developed fever every afternoon (Ribu), indicating Yin Deficiency with internal heat. Treatment with Siwu Tang, Soft Bupleurum Root (Ruan Chaihu), and Cortex Lycii (Digupi) resolved the fever, followed by herbs to nourish blood and benefit qi, leading to wound contraction and healing.
A man fell from a horse and had abdominal blood stasis. He took herbs intended to purge the stasis, resulting in fever, night sweats, and spontaneous sweating, with a floating and choppy pulse. I considered this caused by heavy purgative drugs excessively damaging qi and blood. Administering Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction) worsened the condition. Occasionally, he exhibited delirious speech, which was due to the medicinal power not yet reaching the disease site. Adding five fen of Processed Aconite Root (Pao Fuzi) to the previous prescription allowed him to sleep immediately upon ingestion; upon waking, he felt significantly relieved, and recovery occurred after two more doses.
Case Two:
Da Yin Liu Guoxin suffered bleeding from a metallic wound, accompanied by fever and irritability, attributed to Yin Deficiency. Treatment with Shengyu Tang (Sage’s Rescue Decoction) extinguished the deficient fire, allowing the blood to return to its vessels.
The nephew of Grand Secretary Liang suffered from swelling, pain, and continuous bleeding due to a metallic wound, accompanied by alternating chills and fever and dry mouth. This was due to Qi Deficiency causing blood to lose its attachment, leading to blood failing to remain within the vessels. Treatment with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Schisandra Fruit and Ophiopogon Tuber restored yang qi, resulting in recovery.