阁老梁浓斋，气短有痰，小便赤涩，足跟作痛，尺脉浮大，按之则涩。此肾虚而痰饮也，用四物送六味
丸，不月而康。仲景先生之气虚有饮，用肾气丸补而逐之，诚开后学之聋聩也。
都宪孟有涯，气短痰晕，服辛香之剂，痰盛遗尿，两尺浮大，按之如无。余以为肾家不能纳气归源，
香燥致甚耳。用八味丸料，三剂而愈。
孙都宪，形体丰浓，劳神善怒，面带阳色，口渴吐痰，或头目眩晕，或热从腹起，左三脉洪而有力，
右三脉洪而无力。余谓足三阴亏损，用补中益气加麦冬、五味，及而减八味丸而愈。若人少有老态、不耐
寒暑，不胜劳役，四时迭病，皆因气血亏损，房劳过伤，故其见证难以悉状。此精气不足，但滋化源，其病
自痊。又若饮食劳倦，七情失宜，以致诸证，亦当治以前法。设或六淫所侵，而致诸证，亦因真气内虚，而
外邪乘袭，尤当固胃气为主。盖胃为五脏之根本，故黄柏、知母不宜轻用，恐复伤胃气也。大凡杂症属内因，
乃形气病气俱不足，当补不当泻。伤寒虽属外因，亦宜分其表里虚实，治当审之。
先兄体貌丰伟，唾痰甚多，脉洪有力，殊不耐劳，遇风
头晕欲仆，口舌破裂，或至赤烂，误食姜蒜少许，口痰益甚，服八味丸及补中益气加附子即愈，停药月余，诸
证仍作，此命门虚火不得归源也。
阁老梁浓斋，气息短促且有痰，小便颜色红赤且排尿涩痛，足跟疼痛，尺脉浮大，重按则感觉涩滞。这是肾虚兼有痰饮的证候，用四物汤送服六味丸，不到一个月便康复了。张仲景先生论述气虚伴有水饮的情况，使用肾气丸来补益并驱逐水饮，这确实开启了后学者的智慧，打破了他们的蒙昧。
都宪孟有涯，气息短促、痰多导致头晕，服用辛香类药物后，痰液增多且出现遗尿症状，两尺脉浮大，重按时仿佛没有脉搏。我认为这是肾脏不能纳气归元，辛香燥烈之药加重了病情。使用八味丸（即金匮肾气丸）的方料，服用三剂后痊愈。
孙都宪，身体形体丰满，因劳神和易怒，面部呈现红色（阳色），口渴并吐出痰涎，有时头目眩晕，有时热感从腹部升起，左手三部脉象洪大而有力，右手三部脉象洪大但无力。我认为是足三阴经亏损，使用补中益气汤加入麦冬、五味子，以及随后减少剂量使用八味丸而治愈。如果人稍微显露出衰老之态，不耐受寒暑变化，不能胜任劳累役使，四季交替时反复生病，这都是因为气血亏损、房事过度损伤所致，所以这些见证难以详尽描述。这是因为精气不足，只要滋养化源（脾胃），病自然会痊愈。又如因饮食不节、劳倦过度、七情失调导致的各种证候，也应当用上述方法治疗。假如被六淫邪气侵袭而导致各种证候，也是因为真气内部虚弱，外邪趁机侵袭，尤其应当以固护胃气为主。因为胃是五脏的根本，所以黄柏、知母不宜轻易使用，恐怕会再次损伤胃气。大凡杂症属于内因，乃是形体之气和病气都不足，应当采用补法而不应当采用泻法。伤寒虽然属于外因，也应当分辨表里虚实，治疗时必须审慎。
我的兄长体态丰满伟岸，唾吐痰液非常多，脉象洪大有力，特别不耐疲劳，遇到风就头晕欲倒，口舌破裂，甚至红肿溃烂，误食少许姜蒜后，口痰更加严重，服用八味丸及补中益气汤加附子后痊愈，停药一个多月后，各种证候又发作，这是命门虚火不能归元（潜藏）的缘故。
Liang Nongzhai, a Grand Secretary, suffered from shortness of breath with phlegm, dark and difficult urination, and pain in the heels. The Chi pulse (Kidney pulse) was floating and large, but felt choppy upon deep pressure. This is a pattern of Kidney deficiency with Phlegm-fluid retention. He was treated with Siwu Tang (Four Substance Decoction) to deliver Liuwei Wan (Six-Ingredient Pill with Rehmannia), and recovered in less than a month. Mr. Zhang Zhongjing discussed patterns of Qi deficiency with fluid retention, using Shenqi Wan (Kidney Qi Pill) to tonify and expel the fluids; this truly enlightened later generations and dispelled their ignorance.
Meng Youya, a Censor-in-Chief, presented with shortness of breath, dizziness due to phlegm, and after taking acrid-aromatic agents, developed increased phlegm and urinary incontinence. Both Chi pulses were floating and large, yet seemed absent upon deep pressure. I diagnosed this as the Kidney's failure to grasp Qi and return it to its source, exacerbated by the drying nature of aromatic herbs. He was treated with the ingredients of Bawei Wan (Eight-Ingredient Pill, i.e., Jin Gui Shen Qi Wan) and recovered after three doses.
Sun, a Censor-in-Chief, had a robust physique, suffered from mental overwork and irritability, displayed a red complexion (Yang color), thirst, and expectoration. He experienced occasional dizziness of the head and eyes, or heat rising from the abdomen. The three pulses on the left hand were flooding and forceful, while the three pulses on the right hand were flooding but weak. I attributed this to deficiency of the Foot Three Yin meridians. He was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Maidong (Ophiopogon Root) and Wuweizi (Schisandra Fruit), followed by a reduced dose of Bawei Wan (Eight-Ingredient Pill), leading to recovery. When individuals show signs of premature aging, cannot tolerate cold or heat, and are unable to withstand physical labor, suffering from recurrent illnesses across seasons, these are all due to depletion of Qi and Blood and excessive sexual activity causing injury. Consequently, the manifestations are difficult to describe exhaustively. Since this is insufficiency of Essence and Qi, nourishing the Source of Transformation (Spleen/Stomach) will allow the disease to heal spontaneously. Similarly, for various syndromes caused by improper diet, fatigue, or emotional imbalance, the aforementioned methods should be applied. If syndromes arise from invasion by the Six Exogenous Pathogens, it is because the True Qi is internally deficient, allowing external pathogens to attack; in such cases, protecting Stomach Qi is paramount. The Stomach is the root of the Five Zang organs; therefore, Huangbai (Phellodendron Bark) and Zhimu (Anemarrhena Rhizome) should not be used lightly, lest they further damage Stomach Qi. Generally, miscellaneous diseases attributed to internal causes involve insufficiency of both Formative Qi and Pathogenic Qi, requiring tonification rather than purgation. Although Shanghan (Cold Damage) is attributed to external causes, one must still differentiate between exterior/interior and deficiency/excess, and treatment must be prudent.
My elder brother had a robust and grand physique, produced copious amounts of sputum, and had a flooding and forceful pulse. He was particularly intolerant of fatigue; exposure to wind caused dizziness and a sensation of falling. His mouth and tongue cracked, sometimes becoming red and ulcerated. After accidentally consuming a small amount of ginger and garlic, his phlegm worsened significantly. He was cured by taking Bawei Wan (Eight-Ingredient Pill) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Fuzi (Aconite Lateral Root). However, after stopping medication for over a month, all symptoms recurred. This indicates that the Deficient Fire of the Mingmen (Gate of Life) failed to return to its source.