口舌有疾，适因感触犯痧，痧症虽发在后，治之不容或缓。即使口舌症凶，痧胀较之尤急，断不可先口舌而后痧胀
也。
治验∶
一翁珍硕，舌下起重舌，苦难尽述，有以少阴君火治之，不应。余按其脉，左寸沉微，右关无力。若据脉宜补，据
症宜凉，取痧筋验之，放腿弯痧十余针，皆紫黑毒血。求余立方，余曰∶“向所服者，俱清凉之味，宜少加川连所吹者，
俱引涎之物，宜多加冰片，即而奏效于所疾也。但服药不当温饮，略觉微温足矣。”三日而痊。
一聂敏躬，口疳作烂，吹药益甚，放痧不愈。求余，右脉微缓，左脉沉伏。付清凉至宝饮减细辛加石膏、牛膝、乌
药、枳壳、青皮稍冷冻饮料之，用冰硼散加胆矾、儿茶吹之。
疯有真疯，有类疯，不辨其实，概将花蛇等药攻之误矣。余见痧胀多变，更有类乎疯者，故正其名日类疯痧。
治验∶
一范嗣 ，咳嗽气急，两颧唇口鲜红，有以不足症药治之，不应。余以痧疗之而痊，迨半年后，面颜上忽变出圆片
红色高起，外科视之，认作大疯治。余按脉微而缓，曰痧也。阅痧筋，放腿弯下三针，紫黑色毒血成流，又放指头痧二
十余针。用沉香郁金散，清茶冷冻饮料之，付如圣散加红花、青皮，调黑糖汤，微冷冻饮料之而愈。
肠胃内热积滞气阻，成黄气病。往往有兼痧者，非先治痧，则黄气病终不能治也。
治验∶
一骧武弟妇犯黄气病，面色萎黄，腹胀如臌，腿足俱肿，六脉微涩，令仆妇为之放痧三十余针，俱紫黑色毒血。用
沉香郁金散，清凉至宝饮加青皮、乌药、槟榔、山楂、卜子、牛膝俱稍冷服，腹胀始松。后惟用黄气病本药，微冷冻饮料四
剂而痊。
一蒯香年犯黄气病，热渴唇烈，面黄腹胀，手足俱肿，食即作泻。及按其脉，徐疾不常，缘视腿弯上下痧筋，刺十
余针，毒血成流。用阿魏丸、砂仁汤微冷冻饮料之，胀气遂减。余即以治黄气病本药治之，六剂而痊。
一董临桥，腹胀如鼓，两足微肿，饮食不进，面色干黄，诸药不应。求余治之，脉不洪数，反沉迟。刺指臂三十余
针，胸腹遂爽。即用治黄气病药，稍冷冻饮料，四剂而愈。
口舌部位出现疾病，恰好因为感受邪气而引发痧症。虽然痧症的症状表现稍后出现，但治疗时不容许有丝毫迟缓。即使口舌病症凶险，相比之下痧胀更为急迫，绝对不可以先治疗口舌病而后处理痧胀。
治验记录：
有一位名叫珍硕的老翁，舌下长出重舌（舌下肿胀如双舌），痛苦难以尽述。有人用少阴君火的方法治疗，没有见效。我诊察他的脉象，左寸脉沉微，右关脉无力。如果依据脉象应当补益，依据症状应当清热凉血，于是查看他腿部的痧筋进行验证，在腿弯处放痧十余针，流出的都是紫黑色的毒血。他请求我开具方剂，我说：“之前所服用的，都是清凉性质的药物，应该少量加入川连（黄连）；之前吹入鼻腔或口腔的药物，多是引涎之物，应该多加冰片，这样就能对疾病奏效。但是服药时不应用温热的水送服，稍微觉得有点温凉就可以了。”三天后痊愈。
另一位叫聂敏躬的人，患口疳导致口腔溃烂，使用吹药后病情反而加重，放痧也没有治愈。他求诊于我，右脉微缓，左脉沉伏。我给予清凉至宝饮，减去细辛，加入石膏、牛膝、乌药、枳壳、青皮，稍微冷冻冷却后让他服用；外用冰硼散加入胆矾、儿茶吹敷患处。
疯病有真正的疯病，也有类似疯病的病症，如果不辨别其真实情况，一概使用花蛇等药物攻伐，就会误事。我看到痧胀变化多端，更有类似于疯病的，所以将其正名为“类疯痧”。
治验记录：
有一位叫范嗣的人，咳嗽气急，两颧和唇口颜色鲜红，有人当作虚损不足的病症用药治疗，没有见效。我用治疗痧症的方法治愈了他。等到半年后，他的面部突然变出圆形的红色高起斑块，外科医生视之为大疯病进行治疗。我按摸他的脉象，脉微而缓，说是痧症。查看他腿部的痧筋，在腿弯下方刺了三针，流出紫黑色的毒血，又在他手指头上放了二十多针痧。使用沉香郁金散，用清茶冷冻冷却后让他服用；另外给予如圣散加入红花、青皮，调和黑糖汤，稍微冷冻冷却后让他服用，于是痊愈。
肠胃内部有热积滞、气机阻滞，形成黄气病。往往有兼夹痧症的情况，如果不先治疗痧症，那么黄气病终究无法治愈。
治验记录：
一位叫骧武的弟媳患上黄气病，面色萎黄，腹部胀大如鼓，双腿和双脚都浮肿，六部脉象微涩。我让仆人为她放痧三十多针，流出的都是紫黑色的毒血。使用沉香郁金散，以及清凉至宝饮加入青皮、乌药、槟榔、山楂、萝卜子（莱菔子）、牛膝，都稍微冷服，腹胀才开始缓解。后来只用治疗黄气病的本方药，稍微冷冻冷却后服用四剂而痊愈。
一位叫蒯香年的人患上黄气病，发热口渴，嘴唇干裂，面色发黄，腹部胀满，手脚都浮肿，进食后立即腹泻。等到诊察他的脉象，脉搏徐疾无常。观察他腿弯上下的痧筋，刺了十多针，毒血流成。使用阿魏丸、砂仁汤，稍微冷冻冷却后让他服用，胀气随即减轻。我随即用治疗黄气病的本方药来治疗他，六剂后痊愈。
还有一位叫董临桥的人，腹部胀大如鼓，双脚轻微浮肿，饮食不进，面色干枯发黄，各种药物都没有效果。他求我治疗，脉象不洪数，反而沉迟。我在他的手指和手臂上刺了三十多针，胸腹随即感到舒畅。立即使用治疗黄气病的药物，稍微冷冻冷却后服用，四剂后痊愈。
If diseases occur in the mouth and tongue, and are coincidentally triggered by pathogenic influences causing Sha (a condition characterized by skin eruptions or subcutaneous hemorrhages due to external pathogens), although the Sha symptoms may manifest later, treatment must not be delayed. Even if the mouth and tongue symptoms are severe, Sha Zhang (Sha distension) is comparatively more urgent; one must absolutely not treat the mouth and tongue first and delay the treatment of Sha Zhang.
Case Record 1:
An elderly man named Zhen Shuo developed Chong She (double tongue/swelling under the tongue), suffering from unbearable pain. A physician treated him using methods for Shaoyin Junhuo (Ministerial Fire of Shaoyin), but without effect. Upon palpating his pulse, I found the Cun position on the left side was Chen Wei (deep and faint), and the Guan position on the right was Wu Li (weak). Based on the pulse, tonification seemed appropriate; based on the symptoms, cooling seemed appropriate. I examined the Sha Jin (visible subcutaneous veins indicating Sha) and performed bloodletting at the popliteal fossa (back of the knee) with over ten needles, extracting dark purple-black toxic blood. He requested a prescription. I said, "The medications you previously took were all cooling in nature; you should add a small amount of Huanglian (Coptidis Rhizoma). The medicaments blown into your mouth/nose were likely sialogogues; you should add more Bingpian (Borneol). This will bring efficacy to the disease. However, do not take the medication with warm water; slightly cool temperature is sufficient." He recovered in three days.
Case Record 2:
Nie Mingong suffered from Kou Gan (oral ulceration/gangrene) leading to rotting lesions; blowing medicinal powder aggravated the condition, and bloodletting did not cure it. He sought my treatment. His right pulse was Wei Huan (faint and slow), and his left pulse was Chen Fu (deep and hidden). I prescribed Qingliang Zhibao Yin (Cooling Precious Treasure Decoction), removing Xixin (Asari Radix et Rhizoma) and adding Shigao (Gypsum Fibrosum), Niuxi (Achyranthis Bidentatae Radix), Wuyao (Linderae Radix), Zhike (Aurantii Fructus Immaturus), and Qingpi (Citri Reticulatae Pericarpium Viride). It was administered slightly chilled. Externally, I prescribed Bingpeng San (Borneol and Borax Powder) added with Danfan (Alum) and Ercha (Myrobalan) to be blown into the oral cavity.
True Feng (madness/leprosy-like conditions) exists, as does pseudo-Feng. If one fails to distinguish the reality and indiscriminately attacks with herbs like Huashe (Naja atra/Snake), errors will occur. I have observed that Sha Zhang has many variations, some resembling Feng; thus, I have formally named this type Lei Feng Sha (Pseudo-Feng Sha).
Case Record 3:
Fan Si suffered from coughing and rapid breathing, with bright red coloration on both malar eminences and lips/mouth. A physician treated him for deficiency syndromes, but without effect. I treated him for Sha, and he recovered. Half a year later, circular, elevated red patches suddenly appeared on his face. Surgeons diagnosed this as Da Feng (severe leprosy/madness). I palpated his pulse, finding it faint and slow, and identified it as Sha. Examining the Sha Jin, I performed bloodletting below the popliteal fossa with three needles, releasing dark purple-black toxic blood, and performed bloodletting on the fingertips with over twenty needles. I prescribed Chenxiang Yujin San (Agarwood and Curcuma Powder), administered with clear tea chilled. Additionally, I prescribed Rusheng San (Miraculous Sage Powder) added with Honghua (Carthami Flos) and Qingpi, mixed with black sugar soup, and administered slightly chilled. He recovered.
Internal heat accumulation and stagnation in the intestines and stomach, obstructing Qi flow, results in Huangqi Bing (Yellow Qi Disease). Often, this is complicated by Sha. If Sha is not treated first, Huangqi Bing cannot ultimately be cured.
Case Record 4:
The younger sister-in-law of Xiawu contracted Huangqi Bing. Her complexion was sallow, her abdomen distended like a drum, and her legs and feet were edematous. Her six pulses were Wei Se (faint and choppy). I instructed a servant to perform bloodletting on her with over thirty needles, extracting dark purple-black toxic blood. I prescribed Chenxiang Yujin San, and Qingliang Zhibao Yin added with Qingpi, Wuyao, Binglang (Arecae Semen), Shanzha (Crataegi Fructus), Buluozi (Raphani Semen), and Niuxi. These were taken slightly cold. The abdominal distension began to loosen. Subsequently, only the specific medicine for Huangqi Bing was used, taken slightly chilled for four doses, resulting in recovery.
Case Record 5:
Kuai Xiangnian contracted Huangqi Bing. He had fever, thirst, cracked lips, sallow complexion, abdominal distension, edema in hands and feet, and diarrhea immediately after eating. Upon palpating his pulse, the rhythm was irregular (Xu Ji Bu Chang). Observing the Sha Jin above and below the popliteal fossa, I punctured with over ten needles, releasing flowing toxic blood. I prescribedawei Wan (Elsholtzia Pill) and Sharen Tang (Amomum Decoction), administered slightly chilled. The Qi distension subsequently decreased. I then treated him with the specific medicine for Huangqi Bing for six doses, resulting in recovery.
Case Record 6:
Dong Linqiao suffered from abdominal distension like a drum, slight edema in both feet, inability to eat, and a dry, sallow complexion. Various medicines had no effect. He sought my treatment. His pulse was not Hong Shu (surging and rapid), but rather Chen Chi (deep and slow). I punctured his fingers and arms with over thirty needles, after which his chest and abdomen felt comfortable. I immediately prescribed the medicine for Huangqi Bing, administered slightly chilled. He recovered in four doses.