许生咏堂母病请治，据云因食豚肝面饼后，偶触怫郁，致患腹痛，自用麦芽楂曲香砂二
陈不
应。因其痛在少腹，以为寒凝厥阴，加吴萸炮姜服之益剧。予问痛处可按乎?曰拒按。又问
日来便乎?曰未也。切脉沉细，视舌苔黄，中心焦燥，顾谓生曰∶此下证也。生曰∶连服温
消诸剂不验，思亦及此。因家母平素质亏，且脉沉细，故未敢下。予曰∶痛剧脉伏，此理之
常。质虽虚而病则实，书称腑病以通为补，仲师云∶腹满不减，减不足言，当下之。又云舌
黄未下者，下之黄自去。今痛满拒按，舌黄焦燥，下证悉具，夫复何疑。方定大承气汤，用
元明粉代芒硝，仍加香砂楂曲，兼行气滞。服头煎后便行一次，其痛略定，随服复煎，夜半
连下三次，痛势大减，舌干转润，易以调中和胃，旬后起居如常。
予甥习方，稚年出麻，麻后热久不退，干咳无痰肌瘠食少，粪如羊矢，神形疲困。诸医
束手
，姊氏忧惶，抱负来舍。予曰∶此麻疳也。病属难疗，姊嘱拯治，思麻后热久，阴血必伤，
干咳便难，津液必涸，计惟养阴保液，清肺润肠，庶可望效。方定麦易地黄汤，加石斛、沙
参、玉竹、芝麻、阿胶、梨汁、白蜜，并令饮人乳，食猪肚。姊言前医以嗽热未清，戒勿食
荤。予曰∶谷肉果菜，食养尽之。今病久肠胃干枯，须假物类脂膏，以补人身血液，古有猪
肤汤，猪肚丸，可法也。于是药食并进，热嗽渐减，便润食加，调治一月，诸候均愈，肌肉
复生，乃送归焉。
许咏堂的母亲患病，请我诊治。据家属说，是因为吃了猪肝和面饼后，偶然情绪抑郁，导致腹痛，自行服用麦芽、山楂、神曲、木香、砂仁等药物无效。因为疼痛部位在少腹，他们认为是寒邪凝滞厥阴经，于是加了吴茱萸、炮姜服用，结果病情更加严重。我问她疼痛部位是否允许按压？回答说拒绝按压。又问这几天大便通畅吗？回答说没有。切脉象沉细，看舌苔黄，中心部分焦躁干燥，我对许咏堂说：这是阳明腑实证（下证）。许咏堂说：连续服用温中消导的各种药剂都不见效，我也想到过这一点。只是因为母亲平时体质虚弱，而且脉象沉细，所以不敢使用泻下法。我说：疼痛剧烈而脉象伏匿，这是常理。虽然体质虚弱但病邪属实，医书说六腑的疾病以通利为补益，张仲景说：腹部胀满不减，即使稍微减轻也不足以说明问题，应当使用泻下法。又说：舌苔黄而未使用泻下法的，泻下后黄苔自去。现在疼痛胀满且拒绝按压，舌苔黄且焦躁干燥，下证的指征全部具备，还有什么可怀疑的呢？于是确定方剂为大承气汤，用元明粉代替芒硝，仍然加入木香、砂仁、山楂、神曲，兼以行气导滞。服用第一煎后大便通行一次，疼痛略微缓解，随即服用第二煎，半夜里连续排便三次，疼痛大势减退，舌干转为滋润，改用调和中和胃气的方药，十天后起居如常。
我的外甥习方，年幼时出麻疹，麻疹后发热久久不退，干咳无痰，肌肉消瘦，食欲减退，粪便像羊屎一样干燥，精神形体疲惫困倦。各位医生束手无策，姐姐非常担忧惶恐，抱着他来到我家。我说：这是麻疳（麻疹后的并发症）。这种病属于难治之症，姐姐嘱咐救治，我想麻疹后发热日久，阴血必然受损，干咳且排便困难，津液必然枯竭，计谋唯有滋养阴液保护津液，清肺润肠，或许可以看到疗效。于是确定方剂为麦冬地黄汤，加入石斛、沙参、玉竹、芝麻、阿胶、梨汁、白蜜，并让他饮用人乳，食用猪肚。姐姐说前一位医生因为咳嗽发热未清，禁止吃荤腥食物。我说：五谷、肉类、水果、蔬菜，饮食调养可以治愈疾病。现在病久肠胃干枯，必须借助动物类的脂膏，来补充人体的血液，古代有猪肤汤、猪肚丸，是可以效法的。于是药物和食物同时并进，发热咳嗽逐渐减少，大便滋润食欲增加，调理一个月，各种症状都痊愈，肌肉重新生长，于是送他回家。
Xu Yongtang’s mother fell ill, and he requested my treatment. According to the family, after consuming pig liver and wheat flour pancakes, she experienced occasional emotional depression (Fu Yu), which led to abdominal pain. She self-administered a decoction containing Mai Ya (Sprouted Hordeum Vulgare Fruit), Shan Zha (Crataegi Fructus), Shen Qu (Massa Medicata Fermentata), Mu Xiang (Aucklandiae Radix), and Sha Ren (Amomi Fructus), but it was ineffective. Because the pain was located in the lower abdomen, they believed it was due to Cold congealing in the Jueyin channel, so they added Wu Zhu Yu (Evodiae Fructus) and Pao Jiang (Prepared Zingiberis Rhizoma). However, her condition worsened. I asked if the painful area could be pressed; she replied that she rejected pressure. I then asked about her bowel movements over the past few days; she said there had been none. Her pulse was deep and fine, and her tongue coating was yellow with a scorched and dry center. I told Xu: This is a Yangming Fu syndrome (Excess syndrome requiring purgation). Xu said: "I have taken various warming and resolving agents without effect, and I had also considered this possibility. However, because my mother has always had a deficient constitution, and her pulse is deep and fine, I dared not use purgatives." I said: "Severe pain with a hidden pulse is a common phenomenon. Although her constitution is deficient, the pathogenic factor is excess. Medical texts state that for diseases of the Fu organs, unblocking is tonification. Zhang Zhongjing stated: 'Abdominal fullness that does not decrease, even if slightly relieved, is insufficient reason to stop treatment; one must purge.' He also said: 'If the tongue coating is yellow and purgatives have not yet been used, purging will cause the yellow coating to disappear.' Now, with severe pain, fullness, rejection of pressure, and a yellow, scorched-dry tongue, all indications for purgation are present. What is there to doubt?" Therefore, I prescribed Da Cheng Qi Tang (Major Order the Qi Decoction), using Yuan Ming Fen (Natrii Sulfas) instead of Mang Xiao (Glauber's Salt), and still added Mu Xiang, Sha Ren, Shan Zha, and Shen Qu to move Qi stagnation simultaneously. After taking the first decoction, she had one bowel movement, and the pain subsided slightly. She then took the second decoction, and by midnight, she had three consecutive bowel movements. The pain significantly decreased, and her dry tongue became moist. I then switched to a formula to harmonize and nourish the Stomach. Within ten days, her daily activities returned to normal.
My nephew, Xi Fang, contracted measles in childhood. After the measles, his fever persisted for a long time, accompanied by dry cough without phlegm, emaciation, poor appetite, and stool resembling sheep dung. His spirit and physique were exhausted. Various physicians were at a loss, and my sister was deeply worried and anxious, bringing him to my residence. I said: "This is Ma Gan (Measles-related deficiency syndrome). It is a difficult condition to treat. Since your sister has entrusted me with his care, I consider that prolonged fever after measles必然 damages Yin blood, and dry cough with difficulty in defecation indicates depletion of body fluids. Our strategy must be to nourish Yin, preserve fluids, clear the Lungs, and moisten the Intestines. Only then can we hope for efficacy." Thus, I prescribed Mai Di Huang Tang (Ophiopogon and Rehmannia Decoction), adding Shi Hu (Dendrobii Caulis), Sha Shen (Glehniae Radix), Yu Zhu (Polygonati Odorati Rhizoma), Zhi Ma (Sesami Semen), E Jiao (Colla Corii Asini), Li Zhi (Pear Juice), and Bai Mi (White Honey). I also instructed him to drink human milk and eat pig stomach. My sister said that previous physicians, noting that the cough and heat were not cleared, had forbidden meat consumption. I said: "Grains, meats, fruits, and vegetables constitute dietary therapy for complete recovery. Now that the disease has lasted long, the intestines and stomach are dry and withered; we must utilize animal fats and greases to replenish the body's blood. In ancient times, there were formulas such as Zhu Fu Tang (Pig Skin Decoction) and Zhu Du Wan (Pig Stomach Pills), which are worthy of emulation." Consequently, medicine and diet were administered together. The fever and cough gradually diminished, bowel movements became moist, and appetite increased. After one month of regulation, all symptoms resolved, muscle mass regenerated, and he was sent home.