吕（八二） 患小溲短数而痛，入暮燥渴，夜半尤甚，脉阳盛阴虚，肾水亏乏无疑。高年
不能
屏弃世缘，应酬纷纭，五志不宁，阳不交阴之症。经云∶“膀胱者州都之官，气化则能出焉
。”治宜补阴以降阳，金匮肾气丸，早夜服三钱。
钱（三四） 白浊溺痛，起于长夏，湿热阻窍，清利治之。
萆 扁蓄 瞿麦 赤茯苓 滑石 木通 淡竹叶
四服愈。
顾（二五） 从前吐血，近起白淫，出于溺后，脉数而小，两尺尤微。自述逢劳更甚，补
摄并施。
党参 黄 熟地 萸肉 山药 五味子 湘莲 芡实
一服止，改丸料，吐血亦瘳。
沈氏（二七） 青年丧偶，情怀郁结，以致周痹，时常腹痛，行步维艰，纳谷甚减，治当
疏补兼施。
党参（二钱） 蒸于术（二钱） 苍术（一钱） 柴胡（五分） 香附（一钱五分） 归身（一钱
五分） 益智仁（七分） 橘皮（八分）
出入加减，四十剂痊愈矣。
郁（七五） 两膝痿痛，不能行立，脉来弦数。并非痰凝气滞，若用疏燥之剂，非但无效
，
反能增病。盖缘高年阴血不足，肝火不宁，筋无所养，病属痿症，补血和肝，一定之法。
熟地 归身 白芍 牛膝 威灵仙 枸杞 防己 萆
钱（二九） 中焦痞痛，旋变黄胆，脉来弦数而涩，属肝火内郁。时当溽暑，湿土用事，
湿热相蒸，脾气欠运，此症成矣，宜清疏并用。
川连（八分） 柴胡（六分） 山栀（一钱五分） 丹皮（一钱五分） 香附（一钱五分） 橘皮
（一钱） 木通（七分） 茵陈（一钱五分） 泽泻（一钱五分）
六帖黄退，胸宽而愈。
吕某（八十二岁）：小便短少、频数且疼痛，傍晚时感到燥热口渴，半夜症状尤为严重。脉象表现为阳盛阴虚，肾水亏乏无疑。患者年事已高，无法摒弃世俗情缘，应酬繁杂，导致五志不宁，出现阳气不能交于阴的病症。《内经》云：“膀胱者州都之官，气化则能出焉。”治疗宜采用补阴以潜降阳气的方法，服用金匮肾气丸，早晚各服三钱。
钱某（三十四岁）：白浊且排尿疼痛，起病于长夏季节，属湿热阻塞窍道，治宜清热利湿。
处方：萆薢、扁蓄、瞿麦、赤茯苓、滑石、木通、淡竹叶。
服用四剂后痊愈。
顾某（二十五岁）：此前有吐血病史，近期出现白淫（指男子遗精或尿道流出白色浊液），发生在排尿之后，脉象数而小，两尺脉尤其微弱。自述劳累后症状加重，治宜补益与摄纳并施。
处方：党参、黄芪、熟地黄、山茱萸、山药、五味子、湘莲、芡实。
服用一剂后症状停止，改为丸药调理，吐血之症也随之痊愈。
沈氏（二十七岁）：青年丧偶，情怀郁结，导致周痹（全身性痹痛），时常腹痛，行走困难，食欲大减，治宜疏肝与补脾兼施。
处方：党参（二钱）、蒸白术（二钱）、苍术（一钱）、柴胡（五分）、香附（一钱五分）、当归身（一钱五分）、益智仁（七分）、陈皮（八分）。
随证出入加减，服用四十剂后痊愈。
郁某（七十五岁）：双膝痿软疼痛，无法站立行走，脉象弦数。并非痰凝气滞所致，若使用疏燥之剂，不仅无效，反而会增加病情。这是因为年老阴血不足，肝火不宁，筋脉失养，病属痿证，补血和肝是确定的治法。
处方：熟地黄、当归身、白芍、牛膝、威灵仙、枸杞子、防己、萆薢。
钱某（二十九岁）：中焦痞满疼痛，随即变为黄疸，脉象弦数而涩，属肝火内郁。时值溽暑，湿土当令，湿热相互蒸腾，脾气运化失职，此症已成，宜清利与疏泄并用。
处方：黄连（八分）、柴胡（六分）、山栀子（一钱五分）、牡丹皮（一钱五分）、香附（一钱五分）、陈皮（一钱）、木通（七分）、茵陈（一钱五分）、泽泻（一钱五分）。
服用六帖后黄疸消退，胸膈宽畅而愈。
Lu (82 years old): Suffered from short, frequent, and painful urination. Experienced dryness and thirst in the evening, worsening at midnight. The pulse indicated excess Yang and deficiency of Yin, undoubtedly due to a depletion of Kidney Water (Kidney Yin). Being of advanced age, he could not detach from worldly affairs; with numerous social engagements, his Five Zang Emotions remained unsettled, resulting in a syndrome where Yang fails to interact with Yin. The Classics state: "The Bladder is the official of the metropolitan area; when Qi transformation occurs, urine can be excreted." Treatment should focus on nourishing Yin to subdue Yang. Jin Gui Shen Qi Wan (Kidney Qi Pill from the Golden Cabinet) was prescribed, taken three qian morning and night.
Qian (34 years old): White turbidity in urine accompanied by pain, onset during late summer. Caused by Damp-Heat obstructing the orifices; treated with clearing heat and promoting diuresis.
Prescription: Bixie (Dioscorea Hypoglauca Rhizome), Bianxu (Polygonum Aviculare Herba), Qumai (Dianthus Superbus Herba), Chifuling (Poria Cocos with Red Cortex), Huashi (Talcum), Mutong (Akebia Trifoliata Caulis), Danzhuye (Lophatherum Herb).
Cured after four doses.
Gu (25 years old): Previously suffered from hematemesis (vomiting blood); recently developed Baiyin (white seminal emission or urethral discharge), occurring after urination. Pulse was rapid and small, especially faint at both Chi positions. He reported symptoms worsened with exertion. Treatment combined tonification and astringency.
Prescription: Dangshen (Codonopsis Radix), Huangqi (Astragali Radix), Shudi (Rehmanniae Radix Preparata), Yurou (Corni Fructus), Shanyao (Dioscoreae Oppositae Rhizoma), Wuweizi (Schisandrae Chinensis Fructus), Xianglian (Nelumbinis Semen), Qianshi (Euryales Semen).
Symptoms ceased after one dose; switched to pill form for maintenance, and hematemesis also resolved.
Shi (27 years old): Widowed in youth, leading to emotional depression, resulting in Zhoubi (generalized bi-syndrome/pain). Frequently experienced abdominal pain, difficulty walking, and significantly reduced appetite. Treatment required simultaneous soothing of Liver and tonification of Spleen.
Prescription: Dangshen (Codonopsis Radix, 2 qian), Zheng Baizhu (Steamed Atractylodis Macrocephalae Rhizoma, 2 qian), Cangzhu (Atractylodis Rhizoma, 1 qian), Chaihu (Bupleuri Radix, 0.5 qian), Xiangfu (Cyperi Rhizoma, 1.5 qian), Guishen (Angelicae Sinensis Radix, 1.5 qian), Yizhiren (Alpinia Oxyphylla Fructus, 0.7 qian), Jupi (Citri Reticulatae Pericarpium, 0.8 qian).
With modifications based on symptom changes, cured after forty doses.
Yu (75 years old): Atrophic pain in both knees, unable to stand or walk. Pulse was wiry and rapid. This was not caused by Phlegm coagulation or Qi stagnation; using drying and dispersing agents would be ineffective and exacerbate the condition. It stems from insufficient Yin and Blood in old age, restless Liver Fire, and tendons lacking nourishment. The disease belongs to Wei Syndrome (Atrophy Syndrome); nourishing Blood and harmonizing the Liver is the established method.
Prescription: Shudi (Rehmanniae Radix Preparata), Guishen (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Niuxi (Achyranthis Bidentatae Radix), Weilingxian (Saposhnikoviae Radix), Gouqi (Lycii Fructus), Fangji (Stephaniae Tetrandrae Radix), Bixie (Dioscorea Hypoglauca Rhizoma).
Qian (29 years old): Fullness and pain in the Middle Jiao, which subsequently transformed into Huangdan (Jaundice). Pulse was wiry, rapid, and choppy, indicating internal stagnation of Liver Fire. During the humid summer season, Damp-Earth was dominant; Damp-Heat steamed each other, impairing Spleen transport and transformation, thus forming this syndrome. Treatment required simultaneous clearing/detoxifying and soothing/dispersing.
Prescription: Chuanlian (Coptidis Rhizoma, 0.8 fen), Chaihu (Bupleuri Radix, 0.6 fen), Shanzhi (Gardeniae Fructus, 1.5 qian), Danpi (Moutan Cortex, 1.5 qian), Xiangfu (Cyperi Rhizoma, 1.5 qian), Jupi (Citri Reticulatae Pericarpium, 1 qian), Mutong (Akebia Trifoliata Caulis, 0.7 qian), Ychen (Artemisiae Scopariae Herba, 1.5 qian), Zexie (Alismatis Rhizoma, 1.5 qian).
After six prescriptions, jaundice subsided, chest fullness resolved, and the patient recovered.