顾(盘门) 向饥时垢血通爽，饱时便出不爽，此太阴失运矣。首方理湿热，继用固肠滑
，皆不效，议辛甘运阳。
理中汤去参，加桂元肉。
谭(仙人塘，四十八岁) 凡劳必身心皆动，动必生热，热灼络血上溢，肉瘦脉数，中年
生阴日浅，可与甘寒润剂(甘寒以生胃阴，人身阴液无不从胃中敷布，先养胃阴，由中宫渐
敷四脏，至理存焉。)
生地 麦冬 扁豆 北沙参 甘蔗汁 白玉竹
王(六十三岁) 色苍瘦，目黄脉弦，向来气冲脘痛，今痛缓气冲至咽，是左升肝气太甚
，右降肺气不及。大旨操持运机致病。
枇杷叶 黑山栀 川贝 苏子 降香木 新会皮 炒桃仁
赵(五十岁) 下焦冰冷，睾丸偏大。
川乌头 舶上茴香 川椒 葫芦巴 川楝子肉 吴茱萸 熟川附子
黑豆汁泛丸。
陈 心虚忡悸，君相多升。
生地 天冬 茯神 柏子仁 枣仁 炙甘草
沈(新市，三十四岁) 产后不复元，血去阴伤，骨热。大凡实火可用清凉，虚热宜以温
补。药取味甘气温，温养气血，令其复元(至当不易之论。)但产伤之损，蓐劳病根，全在肝
肾，延及奇经八脉，非缕杂治所宜(肝肾与奇脉原属一家，然伤必由肝肾而及奇脉，更深一
层矣。)
人参 鲜河车 枸杞 紫石英 茯神 紫衣胡桃 归身 淡肉苁蓉
周(嘉兴，四十一岁) 少腹痛坚，攻及当脐，每午后必痛，气胀贯串腰尻环跳肉腠之间
，肌肤亦渐浮肿，再问经事愆期，仅仅些微黄水，是阴寒已入血络，病必起于产蓐(诊视清
真切当，老笔纷披。)经后连累奇经八脉，身伛不直，俯不得仰，肝肾入奇脉之见症(肝肾入
奇经，又深一层矣。)
孙某（二十六岁）：劳损尚未恢复，少年时期形体消瘦、食欲减退。
顾某（盘门）：以往饥饿时大便排出污血且通畅，饱食后大便排出不畅，这是太阴脾失健运所致。首诊用理湿热之法，继用固肠滑利之剂，均无效，现议用辛甘温阳之法。
方药：理中汤去人参，加桂圆肉。
谭某（仙人塘，四十八岁）：凡是劳损必定身心皆动，动则生热，热邪灼伤络脉血液导致上溢，肌肉消瘦、脉搏数疾。中年人生成阴精的能力日渐减弱，可用甘寒滋润之剂（甘寒以滋生胃阴，人身阴液无不由胃中布散，先养胃阴，由中焦渐次敷布至四脏，道理即在于此。）
药材：生地、麦冬、扁豆、北沙参、甘蔗汁、白玉竹。
王某（六十三岁）：面色青苍、形体消瘦，目黄、脉弦，向来气逆冲撞致脘腹疼痛，如今疼痛缓解但气逆冲至咽喉，这是左升肝气太过，右降肺气不及。大抵因操持心思、运转机巧而致病。
药材：枇杷叶、黑山栀、川贝、苏子、降香木、新会皮、炒桃仁。
赵某（五十岁）：下焦冰冷，睾丸偏大。
药材：川乌头、舶上茴香、川椒、葫芦巴、川楝子肉、吴茱萸、熟川附子。
制法：用黑豆汁泛丸。
陈某：心虚惊悸，君火与相火多呈上升之势。
药材：生地、天冬、茯神、柏子仁、枣仁、炙甘草。
沈某（新市，三十四岁）：产后未能恢复元气，失血导致阴伤，骨蒸潮热。大凡实火可用清凉之法，虚热宜用温补之法。药物选取味甘气温者，以温养气血，令其恢复元气（这是至当不易的论断。）但产伤之损，蓐劳病的病根，全在肝肾，延及奇经八脉，非杂乱治疗所适宜（肝肾与奇经原属一家，然而损伤必由肝肾波及奇经，又深入了一层。）
药材：人参、鲜河车、枸杞、紫石英、茯神、紫衣胡桃、归身、淡肉苁蓉。
周某（嘉兴，四十一岁）：少腹疼痛坚硬，攻窜至肚脐，每午后必然疼痛，气胀贯穿腰尻环跳穴及肌肉腠理之间，肌肤也逐渐浮肿，再问月经延期，仅见少许黄水，这是阴寒已入血络，病起于产褥期（诊视清晰真切老练，笔法纷披流畅。）经后累及奇经八脉，身体弯曲不能伸直，俯身不得仰起，这是肝肾病变涉及奇经的表现（肝肾病变进入奇经，又深入了一层。）
Patient Sun (26 years old): The damage from overwork has not yet recovered; in his youth, he was thin and had reduced appetite.
Patient Gu (Panmen): Previously, when hungry, he passed foul blood with stool freely; when full, bowel movements were unsmooth. This indicates dysfunction of the Taiyin Spleen in transportation and transformation. Initially, damp-heat resolving methods were used, followed by intestinal astringing and lubricating agents, all without effect. It is now proposed to use acrid-sweet yang-moving methods.
Formula: Lizhong Tang (Regulate the Middle Decoction) minus Ginseng Radix et Rhizoma (Renshen), plus Longan Aril (Guiyuan Rou).
Patient Tan (Xianrentang, 48 years old): Any condition of overwork involves both physical and mental exertion; exertion generates heat, which scorches collateral vessels causing blood to overflow upwards. Muscle wasting and rapid pulse are present. In middle age, the generation of yin essence diminishes daily. Sweet-cold moistening agents may be used (Sweet-cold herbs generate Stomach Yin; bodily Yin fluids are distributed from the Stomach. First nourish Stomach Yin, then gradually distribute it from the Central Palace to the four Zang organs; this is the underlying principle.)
Herbs: Shengdi Huang (Rehmanniae Radix Praeparata), Maidong (Ophiopogonis Radix), Bian Dou (Dolichoris Semen), Beishashen (Glehniae Radix), Zhuganshi (Sacchari Canae Succus), Bai Yuzhu (Polygonati Odorati Rhizoma).
Patient Wang (63 years old): Complexion is dark and emaciated, eyes are yellow, pulse is wiry. He has long suffered from Qi counterflow causing epigastric pain. Now the pain has eased, but Qi counterflows to the throat. This indicates excessive ascending Liver Qi on the left and insufficient descending Lung Qi on the right. Generally, this disease arises from excessive mental effort and calculation.
Herbs: Pipa Ye (Loquat Leaf), Hei Shanzhi (Gardeniae Fructus Carbonized), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), Su Zi (Perillae Fructus), Jiangxiang Mu (Aquilariae Lignum Resinatum), Xinhui Pi (Citri Reticulatae Pericarpium), Chao Taoren (Persicae Semen Ustums).
Patient Zhao (50 years old): Lower Jiao is cold, testicles are enlarged.
Herbs: Chuan Wutou (Aconiti Radix Lateralis Preparata), Boshang Huixiang (Foeniculi Fructus), Chuanjiao (Zanthoxyli Pericarpium), Huluba (Trigonellae Semen), Chuanlianzi Rou (Meliae Semen), Wu Zhu Yu (Evodiae Fructus), Shu Chuan Fuzi (Aconiti Radix Preparata).
Preparation: Pill form made by coating with black soybean juice.
Patient Chen: Heart deficiency with palpitations; Ministerial Fire and Sovereign Fire tend to ascend.
Herbs: Shengdi Huang (Rehmanniae Radix Praeparata), Tiandong (Asparagi Radix), Fushen (Poria cum Radix), Baizi Ren (Platycladi Semen), Zaoren (Ziziphi Spinosae Semen), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparata).
Patient Shen (Xinshi, 34 years old): Postpartum recovery is incomplete; blood loss has injured Yin, causing bone-steaming fever. Generally, excess fire can be treated with cooling methods, while deficiency heat should be treated with warming tonification. Select herbs that are sweet in taste and warm in nature to warmly nourish Qi and Blood, allowing recovery (This is an irrefutable principle.) However, the root of postpartum injury and Ru Lao (postpartum consumption) lies entirely in the Liver and Kidney, extending to the Eight Extraordinary Vessels. It is not suitable for scattered or miscellaneous treatments (The Liver and Kidney and the Extraordinary Vessels belong to one family; however, injury must spread from the Liver and Kidney to the Extraordinary Vessels, representing a deeper level of pathology.)
Herbs: Renshen (Ginseng Radix et Rhizoma), Xian Heche (Placentae Humanae), Gouqi (Lycii Fructus), Zishiying (Hematitum), Fushen (Poria cum Radix), Ziyi Hetao (Juglandis Semen Cum Tecto Rubro), Guishen (Angelicae Sinensis Radix), Dan Rourongrong (Cistanches Herba).
Patient Zhou (Jiaxing, 41 years old): Pain and hardness in the lower abdomen, radiating to the umbilicus; pain occurs inevitably every afternoon. Qi distension penetrates through the waist, sacrum, Huantiao acupoint, and muscle layers; skin gradually becomes edematous. Further inquiry reveals delayed menstruation, with only slight yellow discharge. This indicates Yin-Cold has entered the blood collaterals; the disease originated during the puerperium (Diagnosis is clear and precise, written with masterful brushwork.) After menstruation, the Eight Extraordinary Vessels are involved; the body is stooped and cannot straighten, unable to bend forward or arch backward. These are manifestations of Liver and Kidney pathology affecting the Extraordinary Vessels (Liver and Kidney pathology entering the Extraordinary Vessels represents another deepening level.)