予童时见族中一妇人，头额常系一带，行动须人扶掖，云无他病，惟头目昏眩，饮食倍
增，
形体加胖，稍饥心内即觉难过。医治无效，只得屏药。越数年疾自愈，形体退瘦，饮食起居
如常。其致病之由，及所服方药，均不同考。后堂弟媳，年二旬余，因遭回禄，忧郁成疾，
见证与族妇仿佛。予知其疾由郁而起，初投逍遥达郁，继加丹栀清火，更进地黄阿胶滋水生
木，白芍菊花平肝熄风，磁石牡蛎镇逆潜阳等法，俱不应。他医以为无痰不作眩，药用豁痰
，又以为无虚不作眩，药用补虚，亦皆无验，遂不服药，四旬外病自瘳。予生平所见眩晕之
疾，未有甚于此二证者，且病中诸治不应，后皆不药自痊，事亦奇矣。细求其故，盖病关情
志，是以草木无灵。由此观之，凡七情内伤致病，皆可类推。
安波按∶七情致病者，尼师寡妇室女为尤甚，必须陶情怡悦，所谓心病必以心药治也
。
荔翁年逾强仕，冬月重感寒邪，诊脉细紧，见证寒热无汗，头疼体痛，初投附子理阴煎
，汗
发不出，复诊方加人参麻黄，翁曰∶麻黄性悍，驶不能御，吾质素弱，恐不可服。予笑谓曰
∶他人之麻黄或不可服，予之麻黄放心服之。盖医当论方，不当论药，若以此加入表散药中
，则诚驶不能御，今合补剂，有人参熟地监制之，虽勇过孟贲，亦难肆其强悍之性矣。古人
用散法，有皮毛肌肉血脉筋骨之殊，峻散平散温散凉散之异。至于阳根于阴，汗化于液，云
腾致雨之妙，独景岳先生得之。其所制理阴煎，及麻桂饮、大温中饮数方，真可称长沙之功
臣
，而补其所未备也。况理阴煎方后，有原加麻黄之法，又何疑耶。翁信予信，一服汗出而解
。
安波按∶于辛已岁，治王少莲者，夏月纳凉痛饮，日晡觉头重恶冷，至次日壮热憎寒
，口
燥渴而不饮，目赤汗沾，诊得脉洪大而空，沉按若无，苔来黑滑。余曰∶此肾阳为阴暑所迫
，致见阳气上戴，目赤口燥不饮，脉空无神，壮热恶寒，即伤寒论之戴阳证也。拟附子理中
汤加香薷人参，一剂而神清楚，寒热顿减，口不燥，目赤退，诸恙稍愈。后以斯方减轻，加
以祛暑渗湿而痊。似此案之相类，故亦录出，以广后来者之目。
我童年时，见族中一位妇女，头额常系着一条带子，行动必须有人搀扶，她说没有其他病，只是头目昏眩，饮食量倍增，身体更加肥胖，稍微饥饿心里就觉得难受。医治无效，只得停止用药。过了几年疾病自愈，身体消瘦，饮食起居恢复正常。其致病的原因，以及所服的方药，都已无法考证。后来堂弟媳，二十多岁，因为遭遇火灾，忧郁成疾，症状与那位族妇相似。我知道她的病由郁结引起，起初投用逍遥散以疏肝达郁，继加丹皮、栀子清火，更进地黄、阿胶滋水涵木，白芍、菊花平肝熄风，磁石、牡蛎镇逆潜阳等方法，都不见效。其他医生认为“无痰不作眩”，用药豁痰；又认为“无虚不作眩”，用药补虚，也都无效，于是她不服药，四十多天后病自然痊愈。我生平所见眩晕的疾病，没有比这两个病例更严重的了，而且病中各种治疗都无效，最后都是不药而愈，事情也很奇特。仔细探究其原因，大概是病关情志，所以草木药物没有灵性。由此看来，凡是七情内伤致病，都可以类推。
安波按：七情致病的患者，尼姑、寡妇、未婚女子尤为严重，必须陶冶性情、使心情愉悦，所谓心病必须用心药来治。
荔翁年龄超过四十岁（强仕之年），冬季再次感受寒邪，诊脉细紧，症状表现为寒热往来、无汗、头痛、身体疼痛，起初投用附子理阴煎，汗发不出来，复诊处方中加入人参、麻黄，荔翁说：“麻黄药性猛烈，药效迅猛难以驾驭，我体质素来虚弱，恐怕不能服用。”我笑着对他说：“别人的麻黄或许不能服用，我的麻黄请放心服用。”因为治病应当讨论方剂配伍，不应单独讨论药物，如果将麻黄加入解表发散药中，那确实药效迅猛难以驾驭，现在配合补益药剂，有人参、熟地黄监制它，即使勇猛胜过孟贲，也难以发挥其强悍的药性。古人使用发散法，有皮毛、肌肉、血脉、筋骨的区别，有峻散、平散、温散、凉散的差异。至于阳气根于阴液，汗液化自津液，云腾致雨的奥妙，只有张景岳先生领悟到了。他所制定的理阴煎，以及麻桂饮、大温中饮等方剂，真可称为继承张仲景功绩的大臣，并补充了其未备之处。况且理阴煎方后，有原方加入麻黄的用法，又有什么可怀疑的呢？荔翁信任我，一服药后出汗而病解。
安波按：在辛巳年，治疗王少莲，夏季乘凉时痛饮，傍晚觉得头重怕冷，到第二天壮热恶寒，口燥渴但不想喝水，眼睛红赤、出汗沾湿，诊得脉象洪大而空，沉取若无，舌苔黑滑。我说：“这是肾阳被阴暑所逼迫，导致阳气上戴（浮越于上），出现目赤、口燥不欲饮、脉空无神、壮热恶寒，这就是《伤寒论》中的戴阳证。”拟定附子理中汤加香薷、人参，一剂后神志清楚，寒热顿减，口不燥，目赤退去，诸症稍愈。后来以此方减轻剂量，加上祛暑渗湿的药物而痊愈。类似这样的案例，所以也记录下来，以开阔后来者的视野。
When I was a child, I observed a woman in my clan whose forehead and head were often bound with a cloth strip. She required assistance to walk, stating that she had no other ailments except for dizziness and vertigo of the head and eyes (Xuan Yun). Her food intake doubled, her body became fatter, and she felt uncomfortable internally when slightly hungry. Medical treatment was ineffective, so medication was discontinued. After several years, the disease healed spontaneously; her body emaciated, and her diet and daily routine returned to normal. The cause of her illness and the prescriptions she took could not be ascertained. Later, my younger brother's wife, over twenty years old, fell ill due to depression following a house fire. Her symptoms resembled those of the clan woman. Knowing her illness arose from Qi stagnation (Yu), I initially prescribed Xiaoyao San (Free and Easy Wanderer Powder) to soothe the Liver and resolve stagnation, then added Mu Dan Pi (Moutan Cortex) and Zhi Zi (Gardeniae Fructus) to clear heat. Subsequently, I advanced to Di Huang (Rehmanniae Radix) and E Jiao (Colla Corii Asini) to nourish Water to generate Wood, Bai Shao (Paeoniae Radix Alba) and Ju Hua (Chrysanthemi Flos) to calm the Liver and extinguish wind, and Ci Shi (Magnetitum) and Mu Li (Ostreae Concha) to subdue rebellious Qi and anchor Yang. None of these methods were effective. Other physicians believed "no phlegm, no vertigo" and used phlegm-resolving drugs; others believed "no deficiency, no vertigo" and used tonifying drugs. All were ineffective. Consequently, she refused further medication, and after forty days, the illness resolved spontaneously. In my life, I have seen no cases of vertigo more severe than these two. Moreover, all treatments during the illness failed, yet both recovered without medication, which is quite remarkable. Investigating the reason carefully, it seems the illness involved emotional factors, rendering herbal medicines ineffective. From this, we can infer that any illness caused by internal injury from the Seven Emotions follows similar patterns.
An Bo notes: Patients suffering from illnesses caused by the Seven Emotions are particularly prevalent among nuns, widows, and unmarried women. It is essential to cultivate one's temperament and promote joy. As the saying goes, diseases of the Heart must be treated with "Heart medicine."
Old Man Li was past his fortieth year (Qiang Shi). In winter, he contracted cold pathogenic factors again. His pulse was fine and tight. His manifestations included alternating chills and fever, absence of sweating, headache, and body pain. Initially, I prescribed Fuzi Liyin Jian (Aconite Decoction to Regulate Yin). Sweating did not occur. For the second consultation, I added Ren Shen (Ginseng Radix et Rhizoma) and Ma Huang (Ephedrae Herba) to the prescription. Old Man Li said, "Ma Huang has a fierce nature and its action is too rapid to control. My constitution has always been weak; I fear I cannot take it." I smiled and told him, "Ma Huang from others may indeed be unsuitable, but you can take mine with confidence." This is because medical practice should focus on the formula rather than individual herbs. If Ma Huang is added to exterior-releasing formulas alone, its action is indeed too rapid to control. However, now combined with tonic agents, it is restrained by Ren Shen and Shu Di Huang (Prepared Rehmanniae Radix). Even if its potency surpasses that of Meng Ben (a legendary strongman), it cannot exert its fierce nature. Ancient practitioners distinguished dispersing methods by depth (skin/hair, muscle, blood vessels, sinews/bones) and by intensity (severe, mild, warm, cool). Regarding the principle that Yang is rooted in Yin and sweat transforms from fluids, the subtlety of "clouds rising to bring rain" was uniquely understood by Mr. Zhang Jingyue. His formulated prescriptions, including Liyin Jian, Magui Yin (Cinnamon Twig and Ephedra Drink), and Da Wenzhong Yin (Great Warm the Middle Decoction), truly merit being called ministers complementing the achievements of Changsha (Zhang Zhongjing), filling in what was previously incomplete. Furthermore, the postscript to Liyin Jian includes instructions for adding Ma Huang. What is there to doubt? Trusting me, Old Man Li took one dose, sweated, and was cured.
An Bo notes: In the Xinsi year, I treated Wang Shaolian. In summer, while cooling off, he drank excessively. In the late afternoon, he felt heavy-headed and feared cold. By the next day, he suffered from high fever and aversion to cold, dry mouth with thirst but no desire to drink, red eyes, and profuse sweating. His pulse was surging and empty; deep palpation revealed it seemed absent. The tongue coating was black and slippery. I stated, "This is Kidney Yang being forced by Yin-cold-summerheat, causing Yang Qi to float upward (Dai Yang). The red eyes, dry mouth without desire to drink, empty pulse lacking spirit, high fever, and aversion to cold constitute the Dai Yang Syndrome described in the Shanghan Lun." I prescribed Fuzi Lizhong Tang (Aconite Decoction to Regulate the Middle) with added Xiang Ru (Patriniae Herba) and Ren Shen. After one dose, his mental clarity improved, chills and fever decreased significantly, his mouth was no longer dry, eye redness subsided, and other symptoms improved. Later, using this formula at a reduced dosage and adding herbs to dispel summerheat and promote dampness, he recovered. Similar to such cases, I record this here to broaden the vision of future practitioners.