汪 长夏湿气，主伤脾胃中阳，湿是阴浊之气，不饥泄泻，湿滞气阻，升降不利，咳声
震动而血溢。医知风寒火颇多，而明暑湿燥绝少，愈治愈穷，茫茫无效。到吴已易三方，病
减及半，推原和中为要(病是因湿致血，但宣气滞不必顾血，而血自已，此治病求其本者。)
生谷芽 茯苓 白芍 炙草 米仁 北沙参
药味清和，治湿不致燥烈动血。
钱(信心巷，四十三岁) 肾精内夺，骨痿肉消，溺溲不禁如淋，大便不爽，气注精关，
液枯窍阻(施泄无度，真气下注走熟，精随气泄，精关不收不固，溺溲如淋，骨髓不充，自
当骨痿肉消。)有形既去，草木不能生精血，莫若取血气填进冲任之脉络，必多服久进，肾
液默生，可保身命。(语有斤两，惯用房术之人，逼勒脏腑之气，尽注阳道，病中不痿，临
危方倒。)
河车、人乳炼膏，煎参汤送。
齐(四十八岁) 四五月暴暖，雨湿泄泻，是劳烦气弱，易受时令之气。今见症脾胃不和
，乃长夏热泄元气，胃津伤，口必不辨五味(以缩脾饮加减。)
人参 砂仁 桔梗 米仁 乌梅 白蔻仁 橘红 谷芽
章(水关桥，四十九岁) 病患说咳嗽四年，每着枕必咳，寐熟乃已，此肾虚气冲上犯。
医见嗽治肺，延及跗肿，阴囊皆浮，阴水散漫，阳乏开阖，都属肺药之害(讲到阳气开阖，
才大心细)
汪先生：长夏季节湿气盛行，主要损伤脾胃的中阳。湿属于阴浊之气，导致食欲不振、腹泻，这是湿邪停滞、气机阻滞，使得升降功能失常，咳嗽震动导致出血。医生们只知道风寒火邪很多，而明白暑湿燥邪的很少，越治越觉得棘手，茫然无措且无效。到了吴地已经更换了三个方子，病情减轻了一半，推究其原委，调和脾胃是关键（病因是湿邪导致出血，但宣通气滞就不必专门顾护血液，而血自然会止，这就是治病求本的道理）。
生谷芽 茯苓 白芍 炙甘草 米仁（薏苡仁） 北沙参
药性清和平和，治疗湿邪不至于因过于燥烈而动血。
钱某（住在信心巷，四十三岁）：肾精内耗，骨骼痿软、肌肉消瘦，小便失禁像淋病一样，大便不畅，气陷注于精关，津液枯竭、窍道阻塞（施泄无度，真气下注走散，精随气外泄，精关不固摄，小便如淋，骨髓不充盈，自然会出现骨痿肉消的症状）。有形的精血既已亏去，草木药物难以直接生成精血，不如取血肉有情之品填补冲任脉络，必须多服久进，肾液才能默默滋生，可以保全性命。（这话很有分量，惯用房中术的人，逼迫脏腑之气，全部灌注于阳道，病中看似不痿，临危时才倒下。）
紫河车、人乳炼成膏，用人参汤送服。
齐某（四十八岁）：四五月份突然变暖，雨湿导致腹泻，这是劳烦导致气弱，容易受时令之气影响。现在见到的症状是脾胃不和，乃是长夏热邪泄泻元气，胃津受伤，口舌必然不能辨别五味（采用缩脾饮加减治疗）。
人参 砂仁 桔梗 米仁（薏苡仁） 乌梅 白蔻仁 橘红 谷芽
章某（住在水关桥，四十九岁）：病人说咳嗽四年，每次一躺下枕头就咳，睡熟后才停止，这是肾虚气逆上犯。医生见咳治肺，延误病情导致足背浮肿，阴囊都肿胀，阴水散漫，阳气缺乏开阖功能，这都是只使用肺药的害处（讲到阳气开阖，可见其才大心细）。
Mr. Wang: In the late summer season, dampness is prevalent and primarily damages the middle yang of the spleen and stomach. Dampness is a yin-turbid qi, leading to loss of appetite and diarrhea; this is due to dampness stagnation and qi obstruction, causing dysfunction of ascending and descending mechanisms. The vibration from coughing causes bleeding. Physicians are aware of wind-cold and fire pathogens but rarely understand summerheat-dampness and dryness. Consequently, treatments become increasingly futile, leaving them bewildered and ineffective. Upon arriving in Wu, three prescriptions were changed, reducing the illness by half. Tracing back to the root, harmonizing the middle (Jian Pi) is essential (The cause of bleeding is dampness; however, by promoting qi circulation, there is no need to specifically attend to blood, which will stop on its own. This is treating the disease by seeking its root).
Sheng Guya (Raw Sprouted Grain), Fuling (Poria), Baishao (White Peony Root), Zhigancao (Honey-fried Licorice), Miren (Coix Seed), Beishashen (Glehnia Root).
The medicinal properties are clear and mild; treating dampness without being overly drying or agitating blood.
Mr. Qian (Residing at Xinxin Alley, aged 43): Kidney essence is internally depleted, resulting in bone flaccidity and muscle emaciation. Urination is involuntary, resembling strangury. Bowel movements are unsatisfactory. Qi sinks into the essence gate, fluid is dried up, and orifices are obstructed (Excessive discharge causes true qi to sink and scatter; essence leaks with qi, the essence gate fails to secure, urination resembles strangury, marrow bones are not nourished, naturally leading to bone flaccidity and muscle wasting). Since有形 (substantial) essence and blood have been lost, herbal medicines cannot easily regenerate them. It is better to use blood-and-qi tonics (flesh-and-blood有情 substances) to fill the Chong and Ren meridians. Long-term and frequent administration is required so that kidney fluids may silently generate, thereby preserving life. (This statement carries weight. Those accustomed to sexual techniques force the qi of zang-fu organs to pour entirely into the yang pathway; they appear non-flaccid during illness but collapse at the critical moment.)
Heche (Placenta Humanus), Renru (Human Milk) refined into paste, taken with Ginseng Decoction.
Mr. Qi (Aged 48): Sudden warmth in April and May, combined with rain and dampness, caused diarrhea. This indicates qi deficiency due to overwork and fatigue, making one susceptible to seasonal pathogens. Current symptoms show spleen-stomach disharmony, where long-summer heat and diarrhea have drained yuan qi, injuring stomach fluids. The mouth loses the ability to distinguish the five flavors (Treated with modifications of Suopi Yin).
Renshen (Ginseng Root), Sharen (Amomum Fruit), Jiegeng (Platycodon Root), Miren (Coix Seed), Wumei (Mume Fruit), Baokouren (Cardamom Seed), Juhong (Citrus Peel), Guya (Sprouted Grain).
Mr. Zhang (Residing at Shuiguan Bridge, aged 49): The patient reports four years of coughing, occurring every time he lies down on the pillow, ceasing only when deep sleep is achieved. This is due to kidney deficiency with rebellious qi attacking upward. Physicians treated the lung for cough, delaying care until edema appeared on the dorsum of the foot and swelling of the scrotum. Yin water spreads diffusely, and yang lacks opening and closing functions. These are all harms caused by using only lung-targeting herbs (Discussing the opening and closing of yang qi reveals great talent and meticulous attention to detail).