丁(常熟，二十四岁) 劳嗽寒热是百脉空隙，二气久虚所致，纯用填精益髓，犹虑弗能
充养肌
肉，日见干瘪，病患说医用沉香，声音逐哑(劳嗽大忌香燥。)大凡香气如烟云，先升后降，
况诸香皆泄气，沉香入少阴肾，疏之泄之，尤为劳怯忌用。
萸肉 山药 建莲 五味 茯神 熟地炭 芡实 川斛
顾(嘉善，四十八岁) 五六月间，气候温热，地泛潮湿，六气之邪，其时湿热为盛。凡
湿伤气，热亦伤气，邪入气分，未及入血，瘾疹搔痒，其色仍白，气分郁痹之湿邪也(气分
血分辨析分明示后学看病良法。)病患说汗出，或进食后疹即旋发，邪留阳明，阳明主肌肉
，医称曰风，愈以散药，不分气血，邪混入血分，疹色变赤，此邪较初感又深一层矣。
飞滑石 石膏 紫花地丁 寒水石 白藓皮 三角胡麻 生干首乌 木防己
王(淮安，二十九岁) 平昔好饮，脾气已伤，醉后便溏不实。夫酒性湿而动血，聚湿必
伤脾胃之阳，三年失血，食大减少，恶酒如仇，全是脾胃受困(因好饮而伤中，致血当苏脾胃
之阳而补中为急，好饮者每多此病。)世俗医者，见血见嗽，以滋降清肺治法，滋必滞腻理
嗽清寒，此中阳久困不苏，坠入劳损矣。
中央脾胃，为酒湿所困，惫甚，至恶酒如仇，其中气之衰坏，莫此为甚。舍异功散之外
，别无良法。多服人参，庶几有益。好饮者，比比皆是，须鉴诸。
范(湖州，二十五岁) 形色黄瘦，脘痛呛血，问纳食减平日之七，自初春至霜降，不得
醒复。此内损七情，淹淹劳怯，若不扶其脾胃，但以嗽呛为治，殆不可为矣(有力量)。
丁（常熟人，二十四岁）劳嗽伴寒热症状，是由于全身经脉空隙处的元气与阴气长期虚弱所致。如果单纯使用填补精髓的药物，还担心不能充分滋养肌肉，导致身体日渐干瘪消瘦。病人自述医生使用了沉香，致使声音逐渐嘶哑（治疗劳嗽大忌使用香燥药物）。一般来说，香气如同烟云，先升后降，况且各种香药都有耗散元气的副作用，沉香入少阴肾经，具有疏泄作用，对于劳损怯弱之证更是禁忌。
顾（嘉善人，四十八岁）五六月间，气候温热，地面潮湿，六淫邪气中此时湿热最为盛行。凡是湿邪损伤正气，热邪也会损伤正气，邪气侵入气分，尚未进入血分，出现瘾疹瘙痒，颜色仍然发白，这是气分郁痹的湿邪所致（将气分与血分辨析得十分清楚，是教导后学看病的好方法）。病人自述出汗后，或进食后皮疹立即发作，说明邪气留恋在阳明经。阳明经主司肌肉，医生误称为风邪，使用发散药物治疗，不分气血界限，导致邪气混入血分，皮疹颜色变为红色，这说明邪气比初感时又深入了一层。
飞滑石、石膏、紫花地丁、寒水石、白藓皮、三角胡麻、生干首乌、木防己。
王（淮安人，二十九岁）平时喜好饮酒，脾气已经受损，醉酒后大便溏薄不成形。酒性属湿且能动血，聚积湿气必然损伤脾胃的阳气。三年来的失血，饮食大幅减少，厌恶喝酒如同仇敌，这完全是脾胃受到困阻所致（因为喜好饮酒而损伤中焦，导致血液失调，应当苏醒脾胃阳气并补益中气为急务，喜好饮酒的人常常患此类疾病）。世俗的医生，见到出血和咳嗽，就采用滋阴降火、清肺的治疗方法，滋阴药物必定滋腻碍胃，清热药物寒凉伤阳，这样中焦阳气长期被困无法苏醒，最终坠入劳损的境地。
中央脾胃被酒湿所困，疲惫至极，以至于厌恶喝酒如同仇敌，其中气衰败的程度没有比这更严重的了。除了异功散之外，别无良法。多服用人参，或许会有益处。喜好饮酒的人比比皆是，必须以此为鉴。
范（湖州人，二十五岁）面色黄瘦，脘部疼痛并呛咳出血，询问得知食欲比平时减少了七成，从初春直到霜降，病情未能清醒恢复。这是由于内伤七情，导致缠绵难愈的劳损怯弱之证。如果不扶持脾胃，仅仅针对咳嗽呛血进行治疗，恐怕难以治愈（此方案用药有力量）。
Ding (Changshu, 24 years old) The laborious cough with alternating chills and fever is caused by the long-term deficiency of Yuan Qi (Original Qi) and Yin Qi in the interstices of all meridians. Purely using herbs to fill and essence marrow still risks failing to nourish muscles, leading to a daily decline into emaciation. The patient stated that the physician used Chen Xiang (Aquilaria Wood), causing the voice to gradually become hoarse (Aromatic and drying herbs are strictly contraindicated for laborious cough). Generally speaking, aromatic scents are like smoke and clouds, rising first then descending; moreover, all aromatic herbs dissipate Qi. Chen Xiang enters the Shaoyin Kidney meridian, promoting dispersion and drainage, which is especially contraindicated for cases of consumption and weakness.
Cornus officinalis Fruit (Shanzhuyu), Chinese Yam (Shanyao), Jian Lotus Seed (Jianlian), Schisandra Berry (Wuweizi), Poria Cocos with Hostwood (Fushen), Charred Prepared Rehmannia Root (Shuditan), Euryale Seed (Qianshi), Dendrobium Stem (Chuanhu).
Gu (Jiashan, 48 years old) During May and June, the climate is warm and humid, and the pathogenic factors of the Six Qi are prevalent, with damp-heat being particularly strong at this time. Dampness injures Qi, and heat also injures Qi. When pathogens enter the Qi level but have not yet reached the Blood level, urticaria (wind rash) with itching appears, remaining white in color; this is damp-pathogen stagnation and obstruction in the Qi level (Clearly distinguishing between Qi level and Blood level is an excellent method for teaching students how to diagnose). The patient reported that sweating or eating causes the rash to reappear immediately. The pathogen remains in the Yangming channel. Yangming governs the muscles. The physician misdiagnosed it as Wind and used dispersing herbs without distinguishing between Qi and Blood levels, causing the pathogen to mix into the Blood level. The rash turned red, indicating that the pathogen has penetrated one layer deeper than the initial infection.
Calcined Talcum (Feihuashi), Gypsum Fibrosum (Shigao), Purple Flower Violet Herb (Zihuadiding), Cold Water Stone (Hanshuishi), Phellodendron Bark (Baixianpi), Triangular Sesame (Sanjiao Huma), Raw and Dry Polygonum Multiflorum Root (Sheng Gan Shouwu), Ephedra Root Alternative / Stephania Tetrandra (Mufangji).
Wang (Huai'an, 29 years old) He usually enjoys drinking alcohol, damaging his Spleen Qi. After getting drunk, he suffers from loose stools. Alcohol's nature is damp and moves Blood; accumulated dampness inevitably injures the Yang Qi of the Spleen and Stomach. Three years of blood loss, significantly reduced food intake, and hating alcohol like an enemy are all due to the Spleen and Stomach being trapped (Injury to the Middle Jiao due to excessive drinking leads to blood disorders; awakening Spleen Yang and tonifying the Middle is urgent. Those who enjoy drinking often suffer from this disease). Secular physicians, seeing blood and cough, employ methods of nourishing Yin, descending fire, and clearing the Lungs. Nourishing Yin herbs are necessarily cloying and greasy, while clearing heat herbs are cold and damaging. Thus, Middle Yang remains trapped and unable to revive, falling into consumption.
The Central Spleen and Stomach are trapped by wine-dampness, extremely exhausted, to the point of hating alcohol like an enemy. The decay of Middle Qi is nowhere more severe than this. Apart from Yigong San (Extraordinary Power Powder), there is no other good method. Taking large amounts of Ginseng Root (Renshen) may be beneficial. Those who enjoy drinking are everywhere; one must take this as a warning.
Fan (Huzhou, 25 years old) His complexion is yellow and thin, with epigastric pain and hemoptysis (coughing up blood). Inquiry revealed that his appetite decreased by seven-tenths compared to usual. From early spring until Frost Descent, he could not recover. This is internal damage from the Seven Emotions, resulting in lingering consumption and weakness. If one does not support the Spleen and Stomach but only treats the cough and hemoptysis, it will likely be incurable (This prescription has strength).