傅廉访观察清河时。其弟南安寄来慎修（修园。又号慎修。）医两卷。东皋四书文
八卷。披阅不倦。题句云。东皋制义慎修医。万顷汪洋孰望涯。辛酉余到直接补。叨识
于牡牝元黄之外。此一时之盛事也。亦彼时之仅事也。日者。奉委赴热河。禀辞甫出。
又传入署。曰。雅着数种。俱经抄录。详加评点。但集中阙妇人阴挺一证。此证北方最
多。亦最险逆而难治。必不可阙。若到热河辨公。公余当续补之。予答以近日医过两人
效获之故。差次繁冗之中。立论尚恐弗详。不如即于寓中走笔书之。书成呈阅。一阅一
击节。又问曰。闻二十年前。患此者少。自此地种产甘薯。妇女食之。多生此疮。盖以
疮形与甘薯相仿也。余曰、此亦想当然语。其实不然。甘薯始自闽省。俗名地瓜。性同
山药。而甘味过之。闽自福清以南。及漳泉二府滨海处。以此作饭。终身不生他病。本
草从新谓其补脾胃。驱湿热。养气血。长肌肉。海滨人多寿。皆食此物之故。今薯谱极
赞其功。闽人治下痢。以白蜜同煮食之。甚效。妇人患赤白带。用此法亦效。可知其利
湿热之功钜也。味甘属土。土能胜湿。可知其利湿之功尤钜也。鄙意以甘薯堪为阴挺病
之专药。盖以阴挺之本。不离于湿。而此为探本之治。阴挺之形。突出如瓜。而此为象
形之治。患此者。令其如法服药敷药之外。又以此物代饭。其效当必更远。观察曰善。
请附于前着之后。以补千古之阙。并析一时之疑。洵大方
便之一事。
胃气下泄。（不从大便为失气。而从前）阴吹（出）而正喧。（谓其连续不绝。喧然存
声。）此谷气之实（大便不通故）也。（以）膏发煎主之。（取其滋润以通大便。则气从
大便而出。此通而彼塞矣。）
膏发煎方
猪膏（半斤） 乱发（如鸡子大三枚）
上二味。和膏中煎之。发消药成。分再服。病从小便出。按千金云、太医尉史脱家
婢黄病服此。胃中燥粪下便瘥。神验。
徐忠可云、下泄与下陷不同。下陷为虚。下泄者气从阴门而泄出。故曰阴吹。吹者。
气出而不能止也。
尤在泾云、谷气实者。大便结而不通。是以阳明下行之气。不得从其故道。而乃别
走旁窍也。猪膏发煎。润导大便。便通气自归矣。
小儿疳虫蚀齿方
雄黄 葶苈
上二味。末之。取腊月猪脂。熔以槐枝。绵裹头四五枚。点药烙之。
傅廉访在观察清河任职期间，他的弟弟南安寄来两卷《慎修医》（陈修园又号慎修）和八卷《东皋四书文》。他翻阅这些书籍不知疲倦，并题写诗句道：“东皋制义慎修医，万顷汪洋孰望涯。”辛酉年我到达直隶，有幸结识于牡牝元黄（指阴阳变化或天地玄妙）之外，这是当时的一件盛事，也是彼时的罕见之事。
近日，我奉命前往热河，刚禀辞出门，又被传回署中。他们说：“您先前写的几种著作，都已经抄录下来，并详细加以评点。但集中缺少关于‘妇人阴挺’这一证候的内容。此证在北方最为多见，也最为险逆难治，绝对不能缺失。如果您到热河办理公务后，在闲暇时应当续补上去。”我回答说：“最近因为医治了两位病人且都获得了疗效，所以在繁忙冗杂的事务中，立论尚且担心不够详尽，不如就在我寓所中直接动笔书写。写成后呈给您审阅。”他阅读后，每读一遍都击节赞赏。他又问道：“听说二十年前，患此病的人很少，自从当地种植并出产甘薯后，妇女食用它，大多生出这种疮疡。大概是因为疮形与甘薯相似吧。”我说：“这也是想当然的说法，其实并非如此。甘薯最初来自福建省，俗名地瓜，其药性与山药相同，但甘甜之味更甚。福建从福清以南，以及漳州、泉州两府沿海地区，人们以此作饭吃，终身不生其他疾病。《本草从新》记载它能补脾胃、驱湿热、养气血、长肌肉。海边人长寿，都是食用此物的缘故。现在的《薯谱》极力称赞它的功效。福建人治疗下痢，用白蜜同煮食用，效果很好。妇女患有赤白带下，用这种方法也有效。可知它利湿热的功效巨大。味甘属土，土能胜湿，可知它利湿的功效尤其巨大。我的意见是，甘薯可以作为治疗阴挺病的专药。因为阴挺的根本原因，离不开湿气，而甘薯是从根本上治疗；阴挺的形态，突出如瓜，而甘薯是取象比类进行治疗。患此病的人，除了让他们依法服药敷药外，又让以此物代替米饭食用，疗效应当必定更加显著。”观察使说：“好。”请求将其附在前著之后，以补充千古的缺失，并辨析一时的疑惑，这确实是大方之家的一件事。
胃气下泄。（不从大便排出称为失气，而从前）阴吹（阴道排气）而正喧。（指连续不断，喧然有声。）这是由于谷气实（大便不通所致）。用膏发煎主治。（取其滋润以通大便，则气从大便而出，此处通畅了，彼处闭塞的症状也就消失了。）
膏发煎方
猪膏（半斤） 乱发（如鸡蛋大三枚）
以上两味药，放入猪膏中煎煮，头发消融即药成。分两次服用。病邪从小便排出。按《千金方》记载：太医尉史脱家的婢女患黄病，服用此方后，胃中的燥粪排出，病就好了，神效。
徐忠可说：下泄与下陷不同。下陷属于虚证，下泄则是气从阴门泄出，所以叫阴吹。吹，是指气出而不能停止。
尤在泾说：谷气实，是指大便结滞不通。因此阳明下行之气，不能从其旧道下行，而是另走旁窍。猪发煎，润导大便，大便通气自然归位了。
When Fu Lianfang served as the Inspector of Qinghe, his brother Nan'an sent him two volumes of *Shenxiu Yi* (Chen Xiuyuan's courtesy name was also Shenxiu) and eight volumes of *Donggao Four Books Essays*. He read them tirelessly and inscribed a poem: "The essays of Donggao and the medical texts of Shenxiu; vast as ten thousand acres of ocean, who can measure its depth?" In the Xinyou year, I arrived in Zhili and had the honor of acquainting myself with you beyond the mysteries of Yin and Yang (referring to profound changes or cosmic principles). This was a grand event of that time, and also a rare occurrence.
Recently, I was commissioned to go to Rehe. Just as I had reported for departure and stepped out, I was summoned back to the office. They said, "Several of your previous works have been copied and carefully commented upon. However, the collection lacks a section on 'female uterine prolapse' (Furen Yinting). This condition is most common in the North, yet it is also the most dangerous, adverse, and difficult to treat; it cannot be omitted. When you arrive at Rehe to handle official duties, please supplement this during your leisure." I replied, "Recently, due to successfully treating two patients, amidst my busy and tedious affairs, I fear my theoretical discussions may not be detailed enough. It would be better if I were to write it directly in my residence. I will present it for your review after completion." Upon reading it, he applauded every passage. He then asked, "I heard that twenty years ago, few people suffered from this disease. Since sweet potatoes began to be cultivated and produced locally, many women developed this sore after eating them. Perhaps it is because the shape of the sore resembles a sweet potato?" I said, "This is merely an assumption; in reality, it is not so. Sweet potatoes originated in Fujian Province, commonly known as 'Di Gua'. Their medicinal nature is similar to Chinese Yam (*Dioscorea opposita*), but their sweetness is greater. In Fujian, from Fuqing southward, and in the coastal areas of Zhangzhou and Quanzhou Prefectures, people use them as staple food and rarely suffer from other diseases. *Bencao Congxin* states that they tonify the Spleen and Stomach, dispel damp-heat, nourish Qi and Blood, and promote muscle growth. The longevity of people in coastal areas is attributed to consuming this food. Current *Shupu* highly praises its efficacy. Fujianese treat dysentery by boiling it with white honey and eating it, which is very effective. Women suffering from leukorrhea (red and white discharge) also find this method effective. Thus, we can see its great power in promoting the drainage of damp-heat. Its sweet taste corresponds to Earth, and Earth can overcome Dampness; thus, its power in draining dampness is particularly significant. My opinion is that sweet potatoes can serve as a specific medicine for uterine prolapse. The root cause of prolapse lies in Dampness, and this addresses the root; the shape of prolapse protrudes like a melon, and this follows the principle of sympathetic magic/form correspondence. For patients, besides taking medication and applying external treatments according to standard methods, substituting rice with sweet potatoes should yield even better results." The Inspector agreed and requested that this be appended to his previous works to fill a historical gap and clarify contemporary doubts, which is indeed a valuable contribution by a learned physician.
If the Stomach Qi leaks downward (leaking gas not through the anus is called passing wind, but previously), vaginal flatulence (Yinchui) occurs and is noisy (meaning continuous and audible). This is due to excess Grain Qi (constipation). Treat with Gao Fa Jian (Pig Fat and Hair Decoction) (to moisten and unblock the bowels, allowing Qi to exit through the anus; once open here, the blockage there resolves).
Formula for Gao Fa Jian (Pig Fat and Hair Decoction)
Zhu Gao (Pig Fat, 8 liang) Luan Fa (Tangled Human Hair, three pieces the size of a chicken egg)
Take the above two ingredients, boil them together in the pig fat until the hair dissolves and the medicine is ready. Divide into two doses. The pathogen exits via the urine. According to *Qianjin Fang*: A maid in the household of Taiyi Wei Shi Tuo suffered from jaundice (Huangbing); after taking this formula, dry feces in the stomach were discharged, and she recovered miraculously.
Xu Zhongke stated: Downward leakage differs from sinking. Sinking is a deficiency pattern; downward leakage means Qi escapes from the yin gate, hence called Yinchui. 'Chui' refers to the unceasing emission of Qi.
You Zaijing stated: Excess Grain Qi implies constipation and obstruction. Therefore, the descending Qi of the Yangming channel cannot follow its normal pathway and instead diverts to an accessory orifice. Gao Fa Jian moistens and guides the bowels; once stool passes, Qi returns to its proper course.
Formula for Pediatric Malnutrition Caused by Worms Eroding Teeth
Xiong Huang (Realgar) Ting Li (Descurainia Seed / Lepidium Seed)
Grind the above two ingredients into powder. Take lard rendered in the twelfth lunar month, melt it using locust branches, wrap four or five cotton wicks in the mixture, dip in the powder, and cauterize the affected teeth.