考功杨朴庵，口舌干燥，小便频数。此膀胱阳燥阴虚，先用滋肾丸以补阴，而小便愈；再用补中益气、
六味地黄，以补脾肾而安。若汗多而小便少，或体不禁寒，乃脾肺气虚也。
儒者杨文奎，痢后两足浮肿，胸腹胀满，小便短少，用分利之剂，遍身肿兼气喘。余曰∶两足浮肿，
脾气下陷也；胸腹胀满，脾虚作痞也；小便短少，肺不能生肾也；身肿气喘，脾不能生肺也。用补中益气加附
子而愈。
大尹顾荣甫，尾闾作痒，小便赤涩，左尺脉洪数。属肾经虚热，法当滋补，不信，服黄柏、知母等药年许，
高骨肿痛，小便淋沥，肺肾二脉洪数无伦。余曰∶子母俱败，无能为矣。果殁。
余甥凌云汉，年十六，庚子夏作渴发热，吐痰唇燥，遍身生疥，两腿尤多，色黯作痒，日晡愈炽，仲冬
腿患疮，尺
脉洪数。余曰∶疥，肾疳也；疮，骨疽也，皆肾经虚证。针之脓出，其气氤氲。余谓火旺之际，必患瘵证，
遂用六味、十全，不二旬，诸证愈。而瘵证具，仍用前药而愈。抵冬娶妻，至春其证夏作，亦服地黄丸数
斤，煎药三百剂而愈。
少宰汪涵斋，头晕白浊，余用补中益气加茯苓、半夏。愈而复患肿痛，用山药、山萸、五味、萆 、远
志，顿愈。又因劳心，盗汗白浊，以归脾汤加五味而愈。后不时眩运，用八味丸全愈。
银台许函谷，因劳发热作渴，小便自遗，或时闭涩。余作肝火血虚，阴挺不能约制，午前用补中益气
加山药、山萸、午后服地黄丸，月余诸证悉退。
一男子，鳏居数年，素勤苦，劳则吐血，发热烦躁，服犀角地黄汤，气高而喘，前证益甚，更遗精白
浊，形体倦怠，饮食少思，脉洪大，举按皆有力，服十全大补加麦冬、五味、山萸、山药而愈。
一童子，年十四，发热吐血，余谓宜补中益气以滋化源，不信，用寒凉降火愈甚。谓余曰∶童子未室，
何肾虚之有？参 补气，奚为用之？余述丹溪先生云∶肾主闭藏，肝主疏泄，二脏俱有相火，而其系上属于
心，心为君火，为物所感则易于动，心动则相火翕然而起，虽不交会，其精亦暗耗矣。又“精血篇”云∶男子
精未满而御女，以通其精，则五脏有不满之处，异日有难状之疾。遂用补中益气及地黄丸而痊。
星士张东谷，说命时，出中庭吐血一二口，云久有此症，遇劳即发。余意此劳伤肺气，其血必散，视之
果然。与补中
益气加五味、麦冬、山药、熟地、茯神、远志，服之而愈。曰∶每服四物、黄连、山栀之类，血益多而倦益甚
，得公一七，吐血顿止，神思如故，何也，余曰∶脾统血，肺主气，此劳伤脾肺，致血妄行，故
用健脾肺之气，而嘘血归源耳。
考功郎中杨朴庵，出现口舌干燥、小便频数的症状。这是膀胱阳气燥热而阴液亏虚所致，先用滋肾丸来补益阴液，小便随即痊愈；接着再用补中益气汤和六味地黄丸，以补益脾肾从而巩固疗效。如果出汗多而小便少，或者身体不能耐受寒冷，这属于脾肺之气虚弱。
儒生杨文奎，在患痢疾后出现双足浮肿、胸腹胀满、小便短少的症状。此前医生使用分利（利尿）的药物，导致全身浮肿并伴有气喘。我说：双足浮肿，是脾气下陷所致；胸腹胀满，是脾虚导致的痞塞；小便短少，是因为肺金不能生肾水；全身浮肿且气喘，是因为脾土不能生肺金。于是使用补中益气汤加入附子，病情痊愈。
大尹顾荣甫，尾闾部位发痒，小便赤红涩痛，左尺脉象洪大而数。这属于肾经虚热，治法应当滋补，但他不信从，服用黄柏、知母等药物长达一年，导致高骨肿痛，小便淋沥不尽，肺脉和肾脉都洪数无度。我说：母子两脏都已败坏，无法救治了。果然去世了。
我的外甥凌云汉，十六岁时，庚子年夏天出现口渴发热、吐痰、嘴唇干燥，全身生出疥疮，双腿尤其多，颜色暗红且瘙痒，傍晚时分症状加重，仲冬时节腿部患疮，尺脉洪数。我说：疥疮，属于肾疳；疮疡，属于骨疽，都是肾经的虚证。针刺后脓液流出，气味浑浊。我预言他在火旺之际，必定会患上痨瘵（肺结核类疾病），于是使用六味地黄丸和十全大补汤，不到十天，各种症状痊愈。但痨瘵的症状显现出来，仍然用前面的药物治疗而痊愈。到了冬天娶妻，到春天时病症在夏季复发，又服用地黄丸几斤，煎药三百剂才痊愈。
少宰汪涵斋，出现头晕、白浊的症状，我用补中益气汤加入茯苓、半夏治疗。痊愈后又复发肿痛，使用山药、山茱萸、五味子、萆薢、远志，立刻痊愈。后来因为劳心过度，出现盗汗和白浊，用归脾汤加入五味子治愈。之后不时出现眩晕，用八味丸完全治愈。
银台许函谷，因为劳累导致发热口渴，小便自遗（失禁），有时闭塞涩痛。我判断为肝火旺盛兼血虚，阴气挺举而不能制约，午前服用补中益气汤加入山药、山茱萸，午后服用地黄丸，一个多月后各种症状全部消退。
一名男子，独居数年，平时勤劳辛苦，劳累后就吐血、发热烦躁。之前服用犀角地黄汤，导致气逆而喘，之前的症状更加严重，后来又遗精、白浊，形体倦怠，饮食减少不想进食，脉象洪大，轻取重按都有力。服用十全大补汤加入麦冬、五味子、山茱萸、山药后痊愈。
一名童子，十四岁，发热吐血。我认为应该用补中益气汤来滋养化源，他不相信，反而用寒凉降火的药物，导致病情更重。他说：童子未娶妻，怎么会有肾虚？人参补气，为什么要用？我引述丹溪先生的话：肾主闭藏，肝主疏泄，这两脏都含有相火，而其联系上属于心，心为君火，被外物所感就容易动，心动则相火随之而起，即使不发生性行为，精气也会暗中消耗。又《精血篇》说：男子精气未满就与女子交合，通泄其精，那么五脏就会有不满的地方，日后会有难以形容的疾病。于是使用补中益气汤及地黄丸而痊愈。
星士张东谷，在谈论命运时，走出庭院吐了一两口血，说长久以来有此症，遇到劳累就会发作。我心想这是劳损伤了肺气，血液必然散乱，查看后确实如此。给予补中益气汤加入五味子、麦冬、山药、熟地、茯神、远志，服用后痊愈。他说：每次服用四物汤、黄连、山栀之类的药物，出血越多，疲倦越严重，得到您的一周治疗，吐血立刻停止，精神恢复如常，为什么呢？我说：脾统摄血液，肺主气，这是劳损伤了脾肺，导致血液妄行，所以用健脾补肺之气的办法，使血液回归本源。
Yang Pu'an, a Kàogōng (Director of Works), presented with dryness of the mouth and tongue, and frequent urination. This was due to dryness of bladder Yang and deficiency of Yin. Initially, Zishen Wan (Kidney Nourishing Pill) was used to tonify Yin, after which urination normalized; subsequently, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) were employed to tonify the Spleen and Kidney, thereby stabilizing the condition. If there is excessive sweating with scanty urine, or if the body cannot tolerate cold, this indicates Qi deficiency of the Lung and Spleen.
Yang Wenkui, a Confucian scholar, developed edema in both legs, chest and abdominal distension, and scanty urine following dysentery. Previous treatment with diuretic agents resulted in generalized edema accompanied by asthma. I stated: Edema in both legs is due to sinking of Spleen Qi; chest and abdominal distension is due to Spleen deficiency causing stagnation; scanty urine is because the Lung Metal fails to generate Kidney Water; generalized edema and asthma are because the Spleen Earth fails to generate Lung Metal. Therefore, Buzhong Yiqi Tang with Fuzi (Aconite Lateral Root) was administered, resulting in recovery.
Gu Rongfu, a Dayin (Magistrate), experienced itching at the tailbone area, red and painful urination, and a surging, rapid pulse at the left Chi position. This belonged to deficient heat in the Kidney channel, and the method should have been nourishment. He did not believe this and took Huangbai (Phellodendron Bark) and Zhimu (Anemarrhena Rhizome) for over a year, leading to swelling and pain of the high bone, dribbling urination, and unmanageably surging and rapid pulses in both the Lung and Kidney channels. I said: Both the mother and child organs are ruined; nothing can be done. He indeed died.
My nephew, Ling Yunhan, aged sixteen, suffered from thirst and fever in the summer of the Gengzi year, expectoration, dry lips, and scabies all over his body, especially on the two legs, which were dark-colored and itchy. Symptoms intensified in the late afternoon. In mid-winter, he developed sores on his legs, with a surging and rapid Chi pulse. I said: Scabies belongs to Kidney Chancre (Shen Gan); sores belong to Bone Abscess (Gu Ju); both are deficiency syndromes of the Kidney channel. After acupuncture, pus was discharged with a turbid odor. I predicted that during the peak of fire, he would inevitably develop Tuberculosis (Zai Zheng). Thus, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction) were used. Within ten days, all symptoms resolved. However, tuberculosis symptoms appeared, and he recovered again using the previous medications. Upon marrying in winter, his condition recurred in spring, manifesting in summer. He consumed several jin of Dihuang Wan and 300 doses of decoctions before fully recovering.
Wang Hanzhai, a Shaozai (Vice Minister), presented with dizziness and white turbidity. I treated him with Buzhong Yiqi Tang plus Fangshi (Poria) and Banxia (Pinellia Tuber). After recovery, swelling and pain recurred. He was treated with Shanyao (Dioscorea Rhizome), Shanzhuyu (Cornus Fruit), Wuweizi (Schisandra Fruit), Bibing (Dioscorea Hypoglauca Rhizome), and Yuanzhi (Polygala Root), resulting in immediate recovery. Later, due to mental exertion, night sweats and white turbidity occurred. He was cured with Guipi Tang (Restore the Spleen Decoction) plus Wuweizi. Subsequently, intermittent vertigo occurred, which was completely cured by Bawei Wan (Eight-Ingredient Pill).
Xu Hanggu, a Yintai (Censor), suffered from fever and thirst due to labor, spontaneous urinary incontinence, and occasional urinary obstruction and dysuria. I diagnosed Liver Fire with Blood Deficiency, where Yin protrudes and cannot be controlled. In the morning, he took Buzhong Yiqi Tang plus Shanyao and Shanzhuyu; in the afternoon, he took Dihuang Wan. After more than a month, all symptoms subsided.
A man, widowed for several years and accustomed to hard work, suffered from hemoptysis, fever, and irritability upon exertion. He had taken Xijiao Dihuang Tang (Rhinoceros Horn Rehmannia Decoction), which led to asthmatic breathing and exacerbation of previous symptoms. He also experienced spermatorrhea and white turbidity, physical fatigue, poor appetite, and a surging pulse that remained forceful upon light and heavy pressure. He recovered after taking Shiquan Dabu Tang plus Maidong (Ophiopogon Tuber), Wuweizi, Shanzhuyu, and Shanyao.
A boy, aged fourteen, presented with fever and hemoptysis. I advised using Buzhong Yiqi Tang to nourish the source of transformation. He refused, using cold-natured fire-clearing medicines instead, which worsened his condition. He asked me: "I am an unmarried youth, how could I have Kidney deficiency? Ginseng tonifies Qi, why use it?" I quoted Master Danxi: "The Kidney governs storage, and the Liver governs dispersion. Both viscera contain Ministerial Fire, which connects upward to the Heart. The Heart is Sovereign Fire; when affected by external stimuli, it moves easily. When the Heart moves, Ministerial Fire rises spontaneously. Even without sexual intercourse, essence is secretly consumed." Furthermore, the "Chapter on Essence and Blood" states: "If a male engages in intercourse before his essence is full, draining his essence, the five viscera will have areas of insufficiency, leading to difficult-to-describe diseases in later years." Consequently, he recovered using Buzhong Yiqi Tang and Dihuang Wan.
Zhang Donggu, an astrologer, coughed up one or two mouthfuls of blood while walking out of the courtyard discussing fate. He claimed this had persisted for a long time and was triggered by exertion. I suspected this was Lung Qi injury due to labor, causing blood to scatter, which proved correct. I prescribed Buzhong Yiqi Tang plus Wuweizi, Maidong, Shanyao, Shudi (Prepared Rehmannia Root), Fushen (Poria with Hostwood), and Yuanzhi. He recovered after taking it. He remarked: "Every time I took Siwu Tang (Four Substance Decoction), Huanglian (Coptis Rhizome), or Zhizi (Gardenia Fruit), bleeding increased and fatigue worsened. After your week of treatment, hemoptysis stopped immediately, and my spirit returned to normal. Why?" I replied: "The Spleen controls blood, and the Lung governs Qi. Labor injured the Spleen and Lung, causing reckless blood movement. Therefore, by tonifying Spleen and Lung Qi, the blood was guided back to its source."