大尹刘天锡，内有湿热，大便滑利，小便涩滞，服淡渗之剂，愈加滴沥，小腹腿膝皆肿，两眼胀痛。此
肾虚热在下焦，淡渗导损阳气，阴无以化，遂用地黄、滋肾二丸，小便如故。更以补中益气加麦冬、五味，
兼服愈。
州同刘禹功，素不慎起居七情，以致饮食不甘，胸膈不利。用消导顺气，肚腹痞闷，吐痰气逆；遂用化
痰降火，食少泄泻，小腹作痛；用分利降火，小便涩滞，气喘痰涌；服清气化痰丸，小便愈滞，大便愈泻，肚
腹胀大，肚脐突出，不能寝卧，六脉微细，左寸虚甚，右寸短促。此命门火衰，脾肾虚寒之危证也。先用金匮
加减肾气丸料，肉桂、附子各一钱五分，二剂，下淤秽甚多；又以补中益气送二神丸，二剂诸证悉退；五六日，
又用前药数剂，并附子之类，贴腰脐及涌泉穴，寸脉渐复而安，后因怒腹闷，惑于人言，服沉香化气丸，大便
下血，诸证悉至。余曰∶此阴络伤也。辞不治，果殁。
一男子，素不善调摄，唾痰口干，饮食不美。服化痰行气之剂，胸腹膨满，痰涎愈甚；服导痰理脾之
剂，肚腹膨胀，二便不利；服分气利水之剂，腹大胁痛，睡卧不得；服破血消导之剂，两足皆肿，脉浮大不
及于寸口。朝用金匮加减肾气丸，夕用补中益气汤煎送前丸，月余诸证渐退，饮食渐进。再用八味丸、补中
益气，月余自能转侧，又两月而能步履。却
服大补汤、还少丹，又半载而康。后稍失调理，其腹仍胀，服前药即愈。
一男子，胸膈痞满，专服破气之药。余曰∶此血虚病也。血生于脾土，若服前药，脾气弱而血愈虚矣。
不信，又用内伤之药，反吐血。余曰∶此阳络伤，不治。后果然。
大尹刘天锡，体内有湿热，大便滑利通畅，小便涩滞不畅，服用淡渗利湿的药物后，症状反而加重，出现点滴难出的情况，小腹部及腿膝部位都出现肿胀，双眼胀痛。这是肾虚导致的热邪位于下焦，淡渗药物损伤了阳气，阴液无法气化，于是使用地黄丸、滋肾丸，小便恢复正常。随后又用补中益气汤加入麦冬、五味子，内外兼服而痊愈。
州同刘禹功，平时不注意起居作息和七情调节，导致饮食无味，胸膈部不适。先用消食导滞、顺气的方法治疗，出现肚腹痞闷、呕吐痰涎、气逆；接着用化痰降火的方法，导致食欲减少、泄泻、小腹部疼痛；再用分利水道、降火的方法，导致小便涩滞、气喘、痰多涌盛；服用清气化痰丸后，小便更加滞涩，大便更加泄泻，肚腹胀大，肚脐突出，不能躺卧，六脉微细，左寸脉虚甚，右寸脉短促。这是命门火衰，脾肾虚寒的危重证候。先用金匮加减肾气丸的药料，肉桂、附子各一钱五分，服用两剂后，排出大量淤积秽浊之物；接着用补中益气汤送服二神丸，服用两剂后各种症状全部消退；五六日后，又用前面的药物数剂，并配合附子类药物，贴敷于腰脐及涌泉穴，寸脉逐渐恢复而安定。后来因为发怒导致腹部闷胀，听信他人言语，服用沉香化气丸，导致大便下血，各种症状再次全部出现。我说：这是阴络受伤。推辞不治疗，果然去世。
有一个男子，平时不善于调养摄生，咳唾痰涎、口干，饮食不佳。服用化痰行气的药物后，胸腹部膨满，痰涎更多；服用导痰理脾的药物后，肚腹胀大，大小便不通利；服用分气利水的药物后，腹部肿大、胁肋疼痛，无法安睡；服用破血消导的药物后，双足皆肿，脉象浮大但不及于寸口。早晨服用金匮加减肾气丸，晚上用补中益气汤煎煮送服前面的药丸，一个多月后各种症状逐渐消退，饮食逐渐增加。再用八味丸、补中益气汤，一个月后能自行翻身转动，又两个月后能行走。后来服用大补汤、还少丹，半年后康复。之后稍微失去调理，腹部仍然胀大，服用之前的药物即愈。
有一个男子，胸膈痞满，专门服用破气的药物。我说：这是血虚的病证。血液生于脾土，如果服用前面的药物，脾气虚弱而血更虚了。他不相信，又用治疗内伤的药物，反而吐血。我说：这是阳络受伤，无法治愈。后果然如此。
Liu Tianxi, a Grand Administrator, had damp-heat internally. His stool was loose and free, but his urination was difficult and obstructed. After taking diaphoretic and leeching agents (Dan Shen Zhi Ji), the condition worsened to the point of dribbling; swelling occurred in the lower abdomen, legs, and knees, accompanied by distending pain in both eyes. This was due to Kidney deficiency with heat in the Lower Jiao (Lower Burner). The leeching agents damaged the Yang Qi, preventing the transformation of Yin fluids. Therefore, Dihuang Wan (Rehmannia Pill) and Zishen Wan (Kidney-Nourishing Pill) were used, after which urination returned to normal. Subsequently, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was modified with Maidong (Ophiopogonis Radix) and Wuwei Zi (Schisandrae Fructus), taken concurrently, leading to recovery.
Liu Yugong, a Prefectural Assistant, neglected his daily routine and emotional regulation, resulting in poor appetite and discomfort in the chest and diaphragm. He was treated with digestive and qi-regulating methods, which led to abdominal fullness, vomiting of phlegm, and rebellious qi. Then, phlegm-resolving and fire-clearing methods were applied, causing reduced food intake, diarrhea, and pain in the lower abdomen. Next, water-partitioning and fire-clearing methods were used, resulting in difficult urination, panting, and surging phlegm. After taking Qingqi Huatan Wan (Clear Qi and Resolve Phlegm Pill), urination became more obstructed, diarrhea worsened, the abdomen distended significantly, the umbilicus protruded, and he could not lie down. His six pulses were faint and thin; the Cun position on the left was extremely deficient, and the Cun position on the right was short and rapid. This was a critical syndrome of Mingmen Fire Decline (Decline of the Gate of Life Fire) and Spleen-Kidney Deficiency-Cold. Initially, Jin Gui Jianjia Shenqi Wan (Modified Kidney Qi Pill from the Golden Cabinet) ingredients were used, with Rougui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Praeparata) each at 1.5 qian. After two doses, a large amount of turbid stasis was discharged. Then, Buzhong Yiqi Tang was used to deliverershenshen Wan (Two Divine Pills); after two doses, all symptoms receded. Five or six days later, several doses of the previous medicines were administered again, along with Fuzi-based preparations applied as patches to the waist-umbilical area and Yongquan (KI1, Gushing Spring) acupoint. The Cun pulse gradually recovered, and he stabilized. Later, due to anger causing abdominal stuffiness, and misled by others' advice, he took Chenxiang Huaqi Wan (Agarwood Transforming Qi Pill), which resulted in blood in the stool and the recurrence of all symptoms. I stated: "This is injury to the Yin Collaterals." I declined treatment, and he indeed died.
A certain man, who was generally poor at self-care, suffered from expectoration of phlegm, dry mouth, and poor diet. After taking phlegm-resolving and qi-moving agents, his chest and abdomen became distended, and phlegm increased. After taking phlegm-guiding and Spleen-regulating agents, his abdomen swelled, and both urination and defecation became obstructed. After taking qi-partitioning and water-leeching agents, his abdomen enlarged with hypochondriac pain, and he could not sleep. After taking blood-breaking and digestion-promoting agents, both feet swelled, and his pulse was floating and large but did not reach the Cun position. In the morning, he took Jin Gui Jianjia Shenqi Wan; in the evening, he took the previous pill delivered by decoction of Buzhong Yiqi Tang. After more than a month, symptoms gradually receded, and dietary intake improved. He then took Bawei Wan (Eight Flavor Pill) and Buzhong Yiqi for another month, after which he could turn over independently. After two more months, he could walk. He subsequently took Dabu Tang (Great Tonification Decoction) and Huan Shao Dan (Return to Youth Elixir), and after half a year, he recovered. Later, when he slightly neglected regulation, his abdomen distended again, but it resolved upon taking the previous medicines.
A certain man suffered from chest and diaphragm fullness and exclusively took qi-breaking drugs. I said: "This is a Blood deficiency disease." Blood is generated from Spleen Earth; if such drugs are taken, Spleen Qi becomes weak, and Blood becomes even more deficient. He did not believe this and took internal-injury medications, which instead caused him to vomit blood. I said: "This is injury to the Yang Collaterals; it cannot be cured." This proved true eventually.