一儒者，每春夏口干发热，劳则头痛，服清凉化痰药，泻喘烦躁，用香茹饮，神思昏倦，脉大而虚。此因
闭藏之际，不远帏幕为患，名曰注夏。用补中益气去升麻、柴胡，加五味，麦冬、炮姜，一剂，脉益甚。仍
用前药加肉桂五分，服之即苏，更用六味丸而痊。
给事张禹功，目赤不明，服祛风散热药，反畏明重听，脉大而虚，此因劳心过度，饮食失节。以补中益
气加茯苓、枣仁，山药、山萸，五味，顿愈。又劳役复甚，用十全大补兼以前药，渐愈，却用补中益气加前
药而痊。东垣云∶诸经脉络，皆走于面而行空窍，其清气散于目而为精，走于耳而为听。若心烦事冗，饮食
失节，脾胃亏损，心火太甚，百脉沸腾，邪害空窍而失明矣。况脾为诸阴之首，目为血脉之宗，脾
虚则五脏之精气皆为失所，若不理脾胃，不养气血，乃治标而不治本也。
少宰李浦汀，耳如蝉鸣，服四物汤，耳鸣益甚，此元气亏损之症。五更服六味丸，食前服补中益气，顿
愈。此证若血虚而有火，用八珍加山栀、柴胡；气虚而有火，四君加山栀、柴胡；若因怒遂聋，用小柴胡加
芎、归、山栀；虚用补中益气加山栀；午前甚，用四物加术，苓；久须用补中益气；午后甚，用地黄丸。
一儒者，两目作痛，服降火祛风之药，两目如绛，热倦殊甚。余用十全大补汤数剂，诸证悉退，服补中
益气兼六味丸而愈。复因劳役，午后目涩体倦，服十全大补而痊。
一位读书人，每逢春夏季节就出现口干、发热，劳累后则头痛。他服用清凉化痰的药物后，反而出现腹泻、气喘、烦躁的症状；后来使用香薷饮，导致精神昏沉疲倦，脉象大而虚。这是因为在闭藏的季节里，不注意保暖而受寒所致，这种病症被称为“注夏”（夏季慢性虚弱综合征）。医生使用补中益气汤，去掉升麻和柴胡，加入五味子、麦冬、炮姜，服用一剂后，脉象反而更加严重。于是仍然使用前面的药方，但加入五分肉桂，服用后患者立刻苏醒恢复，之后改用六味丸治疗而痊愈。
给事中张禹功，眼睛发红且视物不清，服用祛风散热的药物后，反而更加畏光并听力下降，脉象大而虚。这是因为用心过度、饮食不节制所致。医生用补中益气汤加入茯苓、酸枣仁、山药、山茱萸、五味子，一次服用后即痊愈。后来因劳累过度复发，使用十全大补汤兼以前面提到的药物，逐渐好转，最后只用补中益气汤加入前述药物而痊愈。李东垣说：各经的脉络都走向面部并通达五官空窍，其中的清气散布于眼睛就成为视觉之精，流注于耳朵就成为听觉。如果心烦意乱、事务繁杂，加上饮食不节制，导致脾胃亏损，心火过旺，百脉沸腾，邪气侵害空窍而导致失明。况且脾为诸阴之首，目为血脉之宗，脾虚则五脏的精气都会失去滋养，如果不调理脾胃、不养护气血，就是治标而不治本。
少宰李浦汀，耳朵像蝉鸣一样响，服用四物汤后，耳鸣更加严重，这是元气亏损的病症。他在五更天服用六味丸，饭前服用补中益气汤，一次即愈。此证如果是血虚而有火，用八珍汤加山栀、柴胡；气虚而有火，用四君子汤加山栀、柴胡；如果因愤怒导致耳聋，用小柴胡汤加川芎、当归、山栀；虚证用补中益气汤加山栀；午前症状加重，用四物汤加白术、茯苓；久病须用补中益气汤；午后症状加重，用地黄丸。
又一位读书人，双眼疼痛，服用降火祛风的药物后，双眼变得像深红色一样，热感和疲倦非常严重。我用十全大补汤数剂，所有症状全部消退，随后服用补中益气汤兼六味丸而痊愈。后来因劳累，午后眼睛干涩、身体疲倦，服用十全大补汤而痊愈。
A scholar suffered from dry mouth and fever every spring and summer, and headache upon exertion. After taking cooling and phlegm-resolving medicines, he experienced diarrhea, wheezing, and irritability; subsequently, using Xiangru Yin (Mosla Decoction) led to mental confusion and fatigue, with a large and deficient pulse. This condition arose from failing to protect oneself against cold during the season of storage (winter), and is named "Zhu Xia" (Summer Chronic Weakness Syndrome). The physician prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), removing Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix), and adding Wuweizi (Schisandrae Fructus), Maidong (Ophiopogonis Radix), and Paojiang (Prepared Zingiberis Rhizoma). After one dose, the pulse became even more pronounced/severe. The prescription was retained, but Rougui (Cinnamomi Cortex) 5 fen was added; after taking it, the patient immediately recovered consciousness. He was then cured by taking Liuwei Wan (Six-Ingredient Pill with Rehmannia).
Zhang Yugong, a Censor, had red eyes and blurred vision. After taking wind-dispelling and heat-clearing medicines, his photophobia worsened and hearing became impaired, with a large and deficient pulse. This resulted from excessive mental labor and irregular diet. He was treated with Buzhong Yiqi Tang plus Fuling (Poria), Zaoren (Ziziphi Spinosomi Semen), Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), and Wuweizi, resulting in immediate recovery. Upon recurrence due to severe physical overexertion, he used Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction) combined with the previous herbs, gradually improving, and finally was cured by using Buzhong Yiqi Tang with the aforementioned additions. Dongyuan [Li Dongyuan] stated: The meridians of all channels travel to the face and open into the sensory orifices. The clear qi scatters into the eyes to form visual essence, and flows into the ears to form hearing. If one is troubled by worry and busy affairs, coupled with dietary irregularities, Spleen and Stomach deficiency occurs, Heart fire becomes excessive, causing the hundred vessels to boil. Pathogenic factors harm the orifices, leading to blindness. Moreover, the Spleen is the head of all yin channels, and the eyes are the gathering place of blood vessels. When the Spleen is deficient, the essential qi of the five zang organs loses its nourishment. If the Spleen and Stomach are not regulated, and qi and blood are not nourished, this treats the branch rather than the root.
Li Puting, a Vice Minister, experienced tinnitus like cicada chirping. After taking Siwu Tang (Four-Substance Decoction), the tinnitus worsened, indicating a syndrome of primordial qi deficiency. He took Liuwei Wan (Six-Ingredient Pill with Rehmannia) at wu geng (3–5 AM) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) before meals, resulting in immediate recovery. For this syndrome, if there is blood deficiency with fire, use Bazhen Tang (Eight-Treasure Decoction) plus Zhizi (Gardeniae Fructus) and Chaihu (Bupleuri Radix); if there is qi deficiency with fire, use Sijunzi Tang (Four-Gentlemen Decoction) plus Zhizi and Chaihu; if deafness results from anger, use Xiao Chaihu Tang (Minor Bupleuri Decoction) plus Xiong (Chuanxiong Rhizome) and Gui (Danggui Radix Sinensis), plus Zhizi; for deficiency, use Buzhong Yiqi Tang plus Zhizi; if symptoms are worse in the morning, use Siwu Tang plus Zhu (Baizhu Rhizoma) and Ling (Fuling); for chronic cases, Buzhong Yiqi Tang is required; if symptoms are worse in the afternoon, use Dihuang Wan (Rehmannia Pill).
Another scholar suffered from pain in both eyes. After taking fire-descending and wind-dispelling medicines, his eyes turned deep red, and he felt extreme heat and fatigue. I administered several doses of Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction), after which all symptoms subsided. He was then cured by taking Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Liuwei Wan (Six-Ingredient Pill with Rehmannia). Later, due to physical overexertion, he experienced dry eyes and body fatigue in the afternoon, and was cured by taking Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction).