吕妇年甫三旬，平时面黄体弱，因少乳求方，与八珍汤服之，有验。数年后又因胎产胞
衣不
下，予诊之，曰∶此气虚不能传送，血虚不能濡润故也。令服碍十全大补汤，众议以为新产
，胞衣积血，阻障不出，补之不宜，或授以单方，用芒硝一两煎服，云下胞如神，众咸称善
，一七入喉，实时晕脱。
族媪年逾八旬，天癸复行，日渐淋漓，时或如崩，头昏食少，心悸不寐，予与黑归脾汤
，服
之不应，他医投以清补固涩诸方，亦不效。淹缠数月而殁。予历见老妇病此，皆不能治，古
罕言之，亦奇疾也。
邻村方氏女，年才四岁，其母抱负来舍求治。予问何疾，曰带下。问疾何时起，曰女夜
遗溺
，常以帛垫卧，旧春晨起晒帛，乍见白物，以为偶然，后频下不已，渐觉面黄肌瘦，饮食减
少。今经一载，时发时止，附近求医，皆言未见之证。予曰∶此先天禀弱，脾虚挟温故也。
但童真未充，早泄诚非所宜，令夜服地黄丸，早服参苓白术散，匝月而效。半载后疾复发，
仍令守原方服愈，嗣后不闻消息，及阅《怡堂散记》载一七岁幼女，患此证，虽已治痊，后
出室怀孕，一产即脱，亦夭之由也。方氏女孩得无类此。
洪大登为人 役，体虚多劳，初病夹车紧痛，服疏风药二剂，卧不能起，口不能张，日
饮米
泔，仅以茶瓶嘴灌入，四肢挛急，每小便须两人抬起，痛甚汗淋，诊脉细濡，两尺尤弱，有
从外感起见，仍欲用风药者，予曰∶此痉病也。气血大亏，服此即不救。拟用大剂补元煎，
旬余未效，病家亟请更方。予曰∶毋庸，药力未到耳。原方令守服二十剂，渐能掉动，服至
两月，始出户庭。
吕姓妇人刚满三十岁，平时面色发黄、身体虚弱，因为乳汁不足来求方子，我给她开了八珍汤服用，效果很好。几年后，她又因为分娩后胎盘（胞衣）排不下来，让我诊治。我说：这是气虚不能推动传送，血虚不能濡润滋养的缘故。让她服用十全大补汤，众人议论认为刚生产完，胎盘积血阻滞导致无法排出，此时不宜进补，有人提供单方，用一两芒硝煎服，说能神效排出胎盘，大家都称赞好。结果药汤入口不久，病人立刻出现晕厥脱证。
同族的老年妇女年过八十，月经（天癸）再次来潮，日渐淋漓不尽，有时像崩漏一样大量出血，伴有头晕、食欲减退、心悸、失眠，我给她开了黑归脾汤，服用后没有见效，其他医生投以清热、滋补、固涩等方剂，也不起作用。缠绵病榻数月后去世。我见过许多老妇人患此病，都不能治愈，古代医书很少提及，也是奇难之症。
邻村方家的女儿，年仅四岁，母亲抱着她到我家求治。我问是什么病，说是带下病。问病什么时候开始的，她说女孩夜里遗尿，常用布垫在床上，去年春天早晨起来晒布，乍一看见白色分泌物，以为是偶然现象，后来频繁流出不止，渐渐觉得面色发黄、肌肉消瘦，饮食减少。到现在已经一年，时发时止，附近求医，都说没见过这种病症。我说：这是先天禀赋薄弱，脾虚兼有湿热所致。但儿童天真之气未充，过早使用收敛固涩药确实不适宜，让她晚上服用地黄丸，早上服用参苓白术散，一个月就见效了。半年后疾病复发，仍然让她坚持原方服用而痊愈，此后就没有再听到消息。等到我看《怡堂散记》记载一个七岁幼女患此病，虽然已经治愈，后来出嫁怀孕，一次生产后即发生子宫脱垂，这也是早夭的原因。方家的小女孩恐怕与此类似。
洪大登为人服役，体质虚弱且劳累过度，起初患病表现为下巴关节紧绷疼痛，服用疏风药两剂后，卧床不能起身，嘴巴不能张开，每天只能喝米汤，仅靠茶瓶嘴灌入，四肢拘挛紧急，每次小便需要两个人抬起身体，疼痛剧烈出汗如雨，诊脉细弱濡软，两尺脉尤其微弱，有人主张从外感角度考虑，仍想用祛风药，我说：这是痉病。气血严重亏损，服用祛风药就会危及生命。拟定使用大剂量补元煎，十几天没有见效，病家急切请求更换方子。我说：不必换，是药力还没到达而已。让他继续服用原方二十剂，逐渐能够活动，服用两个月后，才走出家门庭院。
Ms. Lü was just thirty years old. Normally, she had a sallow complexion and a weak constitution. When she sought a prescription for insufficient lactation, I prescribed Bazhen Tang (Eight Treasure Decoction), which proved effective. Several years later, she returned because her placenta (fetal membrane) failed to be expelled after childbirth. Upon examination, I stated: "This is due to Qi deficiency failing to promote transportation and Blood deficiency failing to nourish and moisten." I instructed her to take Shiquan Dabu Tang (Ten Significant Tonifying Decoction). The crowd argued that since she had just given birth, the placenta's accumulated blood was obstructing its expulsion, and tonification was inappropriate at this time. Someone provided a folk remedy using one liang of Mangxiao (Natrii Sulfas) decocted in water, claiming it could expel the placenta miraculously. Everyone praised this idea. However, shortly after ingestion, the patient immediately suffered from syncope and collapse.
An elderly clan auntie over eighty years old experienced the return of Tian Gui (menstruation). Her bleeding became increasingly persistent and dripping, sometimes resembling Ben Jing (sudden gushing hemorrhage). She suffered from dizziness, poor appetite, palpitations, and insomnia. I prescribed Hei Guipi Tang (Black Return to the Spleen Decoction), but it was ineffective. Other physicians administered various formulas for clearing heat, tonifying, and astringing, also without effect. After lingering with the illness for several months, she passed away. I have observed many elderly women suffering from this condition who could not be cured. It is rarely mentioned in ancient texts and is considered a rare and difficult disease.
The daughter of the Fang family in the neighboring village was only four years old. Her mother brought her to my residence for treatment. When I asked about the ailment, she said it was Dai Xia (leukorrhea). When I asked when it started, she explained that the girl had nocturnal enuresis and often used cloth pads on the bed. Last spring, while drying the cloth in the morning, they suddenly saw white discharge, thinking it was accidental. Later, the discharge occurred frequently and continuously. Gradually, the child developed a sallow face and emaciation, with reduced food intake. This had persisted for a year, recurring intermittently. Local doctors claimed they had never seen such a case. I stated: "This is due to weak congenital endowment and Spleen deficiency complicated by damp-heat. However, as the child's innate vitality is not yet fully developed, premature use of astringents is indeed inappropriate. Instruct her to take Dihuang Wan (Rehmannia Pill) at night and Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) in the morning." After one month, there was an effect. Six months later, the disease recurred, but adhering to the original formula led to recovery. Subsequently, we heard no news. Later, reading *Yitang Sanji* (Records from Yitang), I found a record of a seven-year-old girl suffering from this condition. Although she was cured, after marriage and pregnancy, she suffered uterine prolapse immediately after delivery, which contributed to her early death. It is likely that the Fang girl would follow a similar fate.
Hong Daden served as a laborer. His constitution was weak, and he worked hard. Initially, his illness presented as tightness and pain in the jaw joint. After taking two doses of Shufeng Yao (wind-dispelling medicines), he could not rise from bed or open his mouth. He could only drink rice wash liquid daily, which was poured into his mouth via the spout of a teapot. His limbs were spasmodic and tense; urination required two people to lift him. The pain was severe, accompanied by profuse sweating. His pulse was fine, weak, and soggy, particularly weak in the Chi positions (kidney area). Some suggested considering an external contraction and still using wind-dispelling drugs. I said: "This is Jing Bing (spasm disease). Qi and Blood are severely depleted; administering wind-dispelling drugs will lead to death." I proposed using a large dose of Buyuan Jian (Tonify the Origin Decoction). After more than ten days, there was no improvement, and the family urgently requested a change of prescription. I said: "No need to change; the medicinal power has not yet taken effect." Let him continue taking the original prescription for twenty doses. Gradually, he gained the ability to move. After two months of medication, he finally stepped out of his courtyard.