族兄女三岁，出痘如蚕种，医初认为麻，越日始识为痘，骇甚辞去，更医泛投清解套药
。延
至九朝，色白顶陷，势欲痒塌，兄商于予。予曰∶毒盛气虚，船轻载重，本属险逆，初起按
法图治，尚望生机，今无及矣。兄恳救治，勉订保元汤，用糯米鲫鱼羊肉煮汁煎药，昼夜频
灌，喜得浆行陷起，再加熟地、当归、枸
杞、鹿茸温补之品，侥幸收功。无何。妇病感证，两进逍遥散不应，热盛脉数，口渴舌黄，
照方加生地黄芩，次日证仍未减，神昏舌苔干黑。予曰∶疾急矣，非重剂莫挽。乃用大剂甘
露饮，令其浓煎数碗，尽今日夜服尽，诘朝复视，昏热舌黑如故，反增胸腹胀闷。旁议二冬
寒凉，二地滋腻，与胀不合。予曰∶古人论治感证，始终以存津液为主，今热炽舌涸如斯，
舍是别无良法。兄曰∶固知药好，然腹胀药势不行奈何。沉思良久，令市大西瓜一枚，取汁
与服。汁尽少顷，忽作寒战，目阖昏睡，汗出如雨，衣被皆濡，至晚始定。兄问故，予曰
∶此战汗也，非此则邪不能达，今无忧矣。嗣此热退神清，知饥纳食，惟觉身轻如叶，倦怠
不支，徐为培养血气而安。
菜佣某，初患腹胀，二便不利，予用胃苓之属，稍效。渠欲求速功，更医目为脏寒生满
病，
猛进桂附姜萸，胀甚，腹如抱瓮，脐突口干，溲滴如墨，揣无生理。其兄同来，代为恳治。
予谓某曰∶尔病由湿热内蕴，致成单胀，复被狠药吃坏，似非草木可疗，吾有妙药，汝勿嫌
秽可乎?某泣曰∶我今只图愈疾，焉敢嫌秽。令取干鸡矢一升，炒研为末，分作数次，每次
加大黄一钱，五更清酒煎服，有效再商。某归根据法制就，初服肠鸣便泻数行，腹胀稍舒，再
服腹软胀宽。又服数日，十愈六七，更用理脾末药而瘳。众以为奇，不知此本内经方法，何
奇之有。予治此证，每服此法，效者颇多，视禹功神佑诸方，其功相去远矣。
族兄的女儿三岁，出痘疹像蚕种一样密集。医生起初误认为是麻疹，过了一天之后才识别为天花，感到震惊便辞职离去。后续医生随意投用清热解毒的常规药物。
拖延到第九天，痘色发白、顶部凹陷，形势危急，即将出现瘙痒塌陷的症状。兄长向我商量救治之法。我说：“毒邪炽盛而正气虚弱，如同小船装载重物，本属险恶逆证。若在初起时按正规法则治疗，还望有一线生机；如今已来不及了。”兄长恳求救治，我勉强开具保元汤，用糯米、鲫鱼、羊肉煮汁来煎药，昼夜频繁灌服。庆幸的是，痘浆运行，凹陷之处隆起。随后加入熟地黄、当归、枸杞、鹿茸等温补之品，侥幸获得痊愈。
不久，嫂子患上外感热病。两次服用逍遥散均无效，表现为热势亢盛、脉象数急、口渴、舌苔黄。按照原方加入生地黄、黄芩，次日症状仍未减轻，出现神志昏迷、舌苔干黑。我说：“病情危急，非重用峻剂不能挽回。”于是使用大剂量的甘露饮，嘱咐浓煎数碗，在今晚全部服完。第二天早晨复诊，昏热和舌黑依旧，反而增加了胸腹胀闷的症状。旁人议论认为，天冬、麦冬过于寒凉，生地、熟地过于滋腻，与腹胀的病机不合。我说：“古人论述治疗外感热病，始终以保存津液为主。如今热势炽盛，舌面干枯如此，除了此法别无良策。”兄长说：“固然知道药好，但既然腹胀导致药力无法通行，该怎么办？”沉思良久，让人去买一个大西瓜，取汁给她服用。汁液喝完后不久，忽然发生寒战，闭目昏睡，汗出如雨，衣被都被浸湿，直到晚上才安定下来。兄长询问原因，我说：“这是战汗（正邪交争剧烈后出汗退热），不这样则邪气不能透达，现在不用担心了。”此后热退神清，知道饥饿并进食，只感觉身体轻飘如叶，倦怠无力，慢慢调理气血而安愈。
菜贩某人，起初患腹胀，大小便不通利。我使用胃苓汤之类的方剂，稍见成效。他想要快速见效，换医生诊断为“脏寒生满病”，猛进桂枝、附子、干姜、吴茱萸等大热之药，导致腹胀加剧，腹部像抱着瓮一样大，肚脐突出，口干，小便点滴且色黑如墨，估计没有生存希望。他的哥哥一同前来，代为恳求救治。我对他说：“你的病是由于湿热内蕴，导致形成单腹胀，又被猛烈的药物治坏，似乎不是草木药物所能治疗的。我有妙药，你不嫌弃肮脏可以吗？”那人哭着说：“我现在只求治愈疾病，怎敢嫌弃肮脏。”让人取干鸡矢白一升，炒制后研成粉末，分几次服用，每次加大黄一钱，五更天时用清酒煎服，有效再商议。那人回去依此法制备，初次服用后肠鸣腹泻数次，腹胀稍微舒缓；再次服用后腹部变软，胀满宽减。又服用数日，痊愈六七成，再用健脾的末药而彻底康复。众人认为这很奇特，却不知道这本是《内经》中的方法，有什么奇特的呢？我治疗此类病症，每用此法，有效的很多，比起禹功散、神佑丸等方剂，功效相差甚远。
The daughter of my clan brother, aged three, presented with smallpox lesions as dense as silkworm eggs. The physician initially misdiagnosed them as chickenpox (Ma Zhen). Only after a day did he recognize it as smallpox (Dou), and in shock, he resigned. Subsequent physicians indiscriminately administered standard clearing-heat and detoxifying prescriptions.
By the ninth day, the lesions were pale with depressed centers, and the condition was critical, threatening to collapse due to itching. My brother consulted me for treatment. I said, "The pathogenic toxin is excessive while Qi is deficient; this is like a light boat carrying a heavy load, inherently a dangerous and adverse pattern. If treated according to proper methods at the onset, there might be hope for survival; now it is too late." My brother pleaded for rescue. Reluctantly, I prescribed Baoyuan Tang (Preserve the Origin Decoction), decocting the medicine using broth made from glutinous rice, crucian carp, and mutton. We administered it frequently day and night. Fortunately, the pus formed and the depressed areas rose. Subsequently, we added warming and tonifying substances such as Shu Di Huang (Rehmanniae Radix Praeparata), Dang Gui (Angelicae Sinensis Radix), Gou Qi Zi (Lycii Fructus), and Lu Rong (Cervi Cornu Colla) to achieve a fortunate recovery.
Shortly thereafter, his wife suffered from an exogenous febrile disease. Two administrations of Xiaoyao San (Free and Easy Wanderer Powder) were ineffective. She exhibited intense heat, rapid pulse, thirst, and a yellow tongue coating. Following the original formula, we added Sheng Di Huang (Rehmanniae Radix) and Huang Qin (Scutellariae Radix). The next day, symptoms remained unchanged, progressing to coma and a dry, black tongue coating. I stated, "The illness is critical; only a heavy dose can save her." Thus, I used a large dose of Ganlu Yin (Sweet Dew Drink), instructing them to decoct it strongly into several bowls and consume it all within that night. Upon morning review, the coma, heat, and black tongue persisted, accompanied by increased chest and abdominal distension. Bystanders argued that Dong Tian (Asparagi Rhizoma) and Dong Hua (Ophiopogonis Radix) were too cold, and Di Huang (both raw and prepared) were too cloying, which conflicted with the distension. I replied, "Ancient texts on treating exogenous febrile diseases emphasize preserving body fluids as the primary principle. With such intense heat and a dried-out tongue, there is no other good method besides this." My brother said, "I know the medicine is good, but how can it work if the abdominal distension prevents its action?" After deep thought, I instructed someone to buy a large watermelon, extract its juice, and give it to her. Shortly after finishing the juice, she suddenly experienced chills, closed her eyes and slept deeply, sweating profusely until her clothes and bedding were soaked. This subsided by evening. When asked about the cause, I explained, "This is Zhan Han (battle sweat); without this, the pathogen cannot be expelled. There is no need to worry now." Afterwards, the heat receded, consciousness cleared, appetite returned, though she felt extremely weak and fatigued. Gradual tonification of blood and Qi led to her recovery.
A vegetable vendor initially suffered from abdominal distension with difficulty in urination and defecation. I used formulas similar to Weiling Tang (Stomach-Lining Decoction), yielding slight improvement. Desiring quick results, he sought another physician who diagnosed "cold in the zang organs causing fullness" and aggressively prescribed Gui Zhi (Cinnamomi Ramulus), Fu Zi (Aconiti Lateralis Radix Praeparata), Gan Jiang (Zingiberis Rhizoma), and Yu Zhu (Evodiae Fructus). This exacerbated the distension; his abdomen swelled like a urn, his umbilicus protruded, he had dry mouth, and passed scanty urine dark as ink. His life seemed hopeless. His brother came along and pleaded for treatment on his behalf. I told him, "Your illness stems from internal accumulation of damp-heat leading to isolated abdominal distension (Dan Zhang), further worsened by harsh medicines. It seems uncurable by ordinary herbs. I have a miraculous remedy; would you not disdain its filth?" He wept and said, "I only seek cure now; how dare I disdain filth." I ordered one sheng (approx. 1 liter) of dried Ji Shi Bai (Galli Stercoris Candidum), stir-fried and powdered, divided into several doses. Each dose included Da Huang (Rhei Radix et Rhizoma) one qian (approx. 3g), decocted in clear wine during the fifth watch (early morning). We would discuss further if effective. He prepared it accordingly. After the first dose, borborygmus occurred with several stools, and distension slightly relieved. After the second dose, the abdomen softened and distension decreased. After several more days, six or seven-tenths recovered. Finally, using spleen-regulating powder, he was cured. The crowd considered this strange, unaware it was a method from the *Neijing* (Inner Canon). What is strange about it? In my practice, this method has proven effective often for such cases, far surpassing the efficacy of Fangs like Yugong San (Yugong Powder) and Shenyao Wan (Shenyao Pill).