男子二十前后，色欲过度，损伤精血，必生阴虚火动之病，睡中盗汗，午后发热，哈哈咳嗽，倦
怠无力，饮食少进，甚则痰涎带血，咯吐出血，或咳血、吐血、衄血，身热，脉沉数，肌肉消瘦，
此名劳瘵。最重难治，轻者必用药数十服，重者期以岁年。然必须病患爱命，坚心定志，绝房室，息
妄想，戒恼怒，节饮食，以自培其根，否则虽服良药，亦无用也。此病治之于早则易，若到肌肉销铄，
沉困着床，沉伏细数，则难为矣。又此病大忌服人参，若曾服过多者，亦难
治。今制一方于后，治色欲证，先见潮热、盗汗、咳嗽、倦怠，趁早服之。
生地黄（酒洗） 甘草（炙） 干姜（炮，各五分） 川芎 熟地（各一钱） 白芍药（炒，一钱三分）
陈皮（七分） 当归 白术（各一钱三分） 黄柏（蜜水浸炙，七分） 知母（蜜水浸拌炒）
天门冬（去心皮，各一钱） 生姜（三片） 水煎，空心温服。
愚按前方治火盛阴虚之法也。大抵此症属足三阴亏损，虚热无火之症，故昼发夜止，夜发昼止，不时
而作，当用六味地黄丸为主，以补中益气汤调补脾胃，若脾胃先损者，当以补中益气为主，以六味地黄
丸温存肝肾，多有得生者。若误用黄柏、知母之类，则复伤脾胃，饮食日少，诸脏愈虚，元气下陷，腹痞
作泻，则不可救矣。
夫衄血、吐血之类，因虚火妄动，血随火而泛行，或阳气虚，不能摄血归经而妄行，其脉弦洪，乃
无根之火浮于外也。大抵此症多因四、五、六月，为火土大旺，金水衰涸之际，不行独宿淡味，保养二
脏，及十一、二月，火气潜藏，不远帏幕，戕贼真元，故至春末夏初，患头疼、脚软、食少、体热注夏之
病，或少有老态，不耐寒暑，不胜劳役，四时迭病。皆因气血方长而劳心亏损，或精血未满而早斫丧，故
其见症难以名状。若左尺脉虚弱或细数，是左肾之真阴不足也，用六味丸；右尺脉迟软或沉细而数欲绝，
是命门之相火不足也，用八味丸；至于两尺微弱，是阴阳俱虚也，十补丸。此皆滋其化源也。仍参前发热
及后咳嗽诸症治法用之。
州同韩用之，色欲过度，烦热作渴，饮水不绝，小便淋沥，大便秘结，唾痰如涌，面目俱赤，满舌生
刺，两唇燥裂，遍身发热，或身如芒刺而无定处，两足心如烙，左三部脉洪而无伦。此肾阴虚，阳无所附
而发于外。盖大热而甚，寒之不寒，是无水也，当峻补其阴。遂以加减八味丸料一斤，内肉桂用一两，以
水顿煎六碗，冰冷与饮，半饷熟睡，至晚又温饮一碗，诸症悉退。翌日畏寒，足冷至膝，诸症仍至，是
无火也，当补其阳，急以八味丸四剂，诸症顿退。
举人陈履贤，色欲过度，孟冬发热无时，饮水不绝，痰涎上涌，遗精不止，小便淋沥，或用四物、二
陈之类，胸膈不利，饮食少思，大便不实。余朝用四君子汤加熟地、当归；夕用加减八味丸；更以附子
唾津调搽涌泉穴渐愈。（详见《内科摘要》）。
府庠王以道，元气素弱，丙午、丁未二年，以科场岁考积劳致疾，至十二月间，其病盛作，大热，泪
出随凝，目赤面黯，扬手露胸，气息沉沉几绝，脉洪大鼓指，按之如无，舌干扪之如刺。此内
真寒而外假热也，遂先服十全大补汤。余曰∶既服此汤，其脉当收敛为善，少顷熟睡，觉而恶寒增衣，
脉顿微细如
丝，此虚寒之真象也。余以人参一两，加熟附三钱，水煎顿服而安。夜间脉复脱，余以参二两，熟附五
钱，仍愈。后以大剂参、术、归身、炙甘草等药，调理而安。
上药此敬臣所亲试者，虽昏 中固知必此药然后可治，必立斋然后能识此病，能用此药，因尊信服
之，卒致痊愈。向使误投寒凉之剂，能不殆哉！今留余生，皆立翁所赐也。感激之余，因附数语于药案
之末，以告世之患者。
一男子吐血，遇劳即作。余以为劳伤肺气，血不归源。与补中益气加麦门、五味、山药、熟地、茯
神、远志，服之而愈。
一男子咳嗽吐血，热渴痰盛，盗汗，遗精。余以为肾水亏损，用地黄丸料加麦门、五味，以壮水而愈。
后因劳怒，忽紫血成块上涌。先用花蕊石以化之，又用独参汤以补之，仍用前药调理遂愈。后每劳则咳嗽
有痰吐血，脾肺肾三脉皆洪数，用补中益气加贝母、茯苓、山茱、山药、麦门、五味，与前药间服而愈。
一星士谈命良久，不时吐血一、二口。余谓此劳伤肺气，与补中益气汤加麦门、五味、山药、熟地、
茯神、远志，服之而愈。
一童子，年十四岁，发热，吐血。余谓宜补中益气以滋化源。不信，乃用寒凉降火，前症愈甚。或
谓曰童子未室，何肾虚之有？参、 补气，奚为用之？余述丹溪先生云∶肾主闭藏，肝主疏泄，二脏俱
有相火，而其系上属于心，心为君火，为物所感，则相火翕然而起，虽不交会，而其精亦已暗耗矣，又褚
氏精血篇云∶男子精未满，而御女以通其精，则五脏有不满之处，异日有难状之疾。正此谓也。遂用补
中益气汤及地黄丸而痊。
一妇人，素勤苦，冬初咳嗽，吐痰，发热，久而吐血，盗汗，经水两月或三月一至，遍身作痛，或用
清热化痰等药，口噤，筋挛。余用加减八味丸及补中益气加麦门、五味、山药治之，年余而痊。
一妇人，年将七十，素有肝脾之症，每作则饮食不进，或胸膈不利，或中脘作痛，或大便作泻，或
小便不利。余用逍遥散加山栀、茯神、远志、木香而愈。后因忧思吐紫血成块，每作先倦怠，后烦热，
以前药加炒黑黄连三分，吴茱萸二分，顿愈。复因怒，吐多色赤，躁渴垂死。乃用人参一两，白术、白
茯苓、当归各三钱，陈皮、炮黑干姜各二钱，炙甘草、木香各一钱，一剂顿止。
若咳嗽盛，加桑白皮、马兜铃、栝蒌仁各七钱，五味子十粒。
若痰盛，加姜制半夏、贝母、栝蒌仁各一钱。
愚按前二症肾气虚弱，火盛水涸，津液涌而为
痰者，用六味丸；肾经阳气虚惫者，用八味丸；脾肺气虚，不能摄涎归源，而痰盛咳嗽者，用六君子汤加
桔梗，虚寒者更加炮姜。
若潮热盛，加桑白皮、沙参、地骨皮各七分。
愚按前症若寅、卯、辰时潮热者，肝经燥热也，用六味丸补肾水以生肝血；若午、未时潮热者，心经虚
热也，用六味丸壮水之主，以制阳光；申、酉、戌时潮热者，肺经虚热也，用补中益气汤培脾土以生肺
金；亥、子、丑时潮热者，肾涸虚热也，用六味丸；兼手足逆冷者，肾经虚败也，用六味丸。大凡潮热、
发热、晡热者，五脏齐损也，须用六味丸；气血亏损者，须用十全大补汤。
若梦遗、精滑，加蛎、龙骨、山茱萸各七分。
愚按前症若肾气不足，用益志汤、金锁正元丹；肝肾虚热者，用六味丸、加味逍遥散；脾虚热者，用
六味丸、补中益气汤。凡此悉属不足之症，宜用十全大补汤，或用萆 厘清饮送八味丸。
若盗汗多，加牡蛎、酸枣仁各七分，浮小麦一撮。
愚按前症若阳气虚弱，汗出不止，肢体倦怠，用 附汤；上气喘急，盗汗，气短，头晕者，用参附
汤；肾气虚弱，盗汗，发热者，用六味丸；若肾气虚乏，盗汗，恶寒者，用八味丸∶气血俱虚而盗汗者，用
十全大补汤；阳盛阴虚者，当归六黄汤；心肾虚弱
者，斑龙丸。
若赤白浊，加白茯苓一钱，黄连三分（炒）。
愚按前症若脾肺虚热者，用补中益气汤送六味丸；肺肾虚热者，用黄芩清肺饮送六味丸；
肝肾虚热者，加味逍遥散送六味丸；劳伤心肾者，清心莲子饮；郁结伤脾者，归脾汤；若郁怒伤肝
脾者，加味逍遥散；若心肾虚弱者，小温金散；若思虑伤心肾者，茯菟丸。梦遗、精滑、赤白二浊治法，
当互参用之。
一男子，年逾二十，早于斫丧，梦遗精滑，睡中盗汗，唾痰见血，足热痿软，服黄柏、知母之类。余
曰∶此阳虚而阴弱也，当滋其化源。不信，恪服之，前症益甚，其头渐大，囱门渐开，视物皆大，
吐痰叫喊。余以如法调补，诸症渐退，头囱渐敛而安。
若兼衄血、咳血，出于肺也，加桑白皮一钱，黄芩、山栀各五分（炒）。
若兼嗽血、痰血，出于脾也，加桑白皮、贝母、黄连、栝蒌仁各七分。
若兼呕吐血，出于胃也，加山栀、黄连、干姜、蒲黄各一钱，韭汁半盏，姜汁少许。
若兼咯唾血，出于肾也，加桔梗、玄参、侧柏叶（炒）各一钱。
愚按前方惟上古之人形病俱实者宜用之，今之患者，多属形病俱虚，治者当求其属而主
之。若前症郁
热伤肺而衄血者，用黄 益气汤；肺气虚热不能摄血而衄者，用四君子加芎、归、五味子；郁结伤脾
而嗽吐血者，用归脾汤，胃经有热而嗽吐血者，用犀角地黄汤；胃气弱而嗽吐血者，用四君子加芎、
归、升麻；肾经虚热阴火内动而咯吐血，用六味丸、补中益气汤；怒动肝火而见血者，用加味逍遥
散；肾涸肝火动而见血者，用六味丸。虽曰血得热而错经妄行，亦有卫气虚不能统摄荣血而为妄行者，不可
不察。以上诸症，皆属足三阴亏损，虚火内动所作，非外因所致，皆宜六味丸、补中益气汤，滋其化源，
是治本也。其因甚多，不能枚举，治者当临症而制宜，庶无误矣。
若先见血证，或吐衄盛大者，宜先治血。治法∶轻少者，凉血止血；盛大者，先消瘀血，次止血凉
血。盖血来多，必有瘀于胸膈，不先消化之，则止之凉之不应也。葛可久《十药神书》方可次第检用。方
向惟独参汤，止可用于大吐血后，昏倦，脉微细，气虚者。气虽虚而复有火，可加天门冬五钱。若如前所
云阴虚火动，潮热，盗汗，咳嗽，脉数，不可用。
愚按刘宗浓先生云∶荣者水谷之精也，和调于五脏，洒陈于六腑，乃能入于脉也。源源而来，生化于
脾，总统于心，藏受于肝，宣布于肺，施泄于肾，灌溉一身，是以出入升降濡润宣通者，由此使然也。故经
云∶气主嘘之，血主濡之。又云∶肺朝百脉之气，肝统诸经之血。气血为人身之橐 也。观此多因饮食、
起居、六淫、七情失宜，亏损元气，以致诸经失职，不能司摄。法当调补脾肺之气，使血各归其源，诸病
自愈矣。若潮热、咳嗽而脉数者，元气虚弱，假热之脉也，尤当用甘温调补脾胃为善。
若病属火，大便多燥，然须节调饮食，勿令泄泻。若胃气复坏，泄泻稀溏，则前项寒凉之药难用
矣。急宜调理脾胃，用白术、茯苓、陈皮、半夏、神曲、麦芽、甘草等药。俟胃气复，然后用前本病药
收功，保后可合补阴丸常服之，及用葛可久方。
愚按《内经》云，肾开窍于二阴，大小便也。若肾经津涸者，用六味丸；脾肺气虚者，补中益气汤；
脾经郁结者，加味归脾汤；气血虚者，八珍汤；若发热作渴饮冷，用竹叶黄 汤；若膏粱浓味积热者，加
味清胃散。
一儒者，大便素结，服搜风顺气丸后，胸膈不利，饮食善消，面戴阳色，左关尺脉洪大而虚。余
曰∶此属足三阴虚症也。彼不信，乃服润肠丸，大便不实，肢体倦怠。余以补中益气、六味地黄，月余而
验，年许而安。
一儒者，怀抱郁结，发热作渴，胸膈不利，饮食少思，服清热、化痰、行气等剂，前症益甚，肢体倦
怠，心脾二脉涩滞。余用加味归脾汤，饮食渐进，诸症渐退，但大便尚涩，两颧赤色，用八珍汤加苁蓉、
麦门、五味，至三十余剂，大便自润。
一男子，所患同前，不信余言，服大黄等药，泄泻便血，遍身黑黯，复求治。余视之曰∶此阴阳二络
俱伤也。经曰∶阳络伤则血外溢，阴络伤则血内溢。内外俱伤，其死奚待？辞不治，后果然。
一儒者，口干发热，小便频浊，大便秘结，盗汗，梦遗，遂致废寝，用当归六黄汤二剂，盗汗顿
止，用六味地黄丸，二便调和，用十全大补汤及前丸兼服，月余诸症悉愈。
男子二十岁左右，因房事过度，损伤精血，必然产生阴虚火旺的病证。表现为睡中盗汗，午后发热，哈哈咳嗽，疲倦无力，饮食减少，严重时痰中带血，咯吐鲜血，或咳血、吐血、鼻衄，身体发热，脉象沉数，肌肉消瘦，这称为劳瘵。此病最重且难治，轻者必须用药数十剂，重者需以年为单位治疗。然而，患者必须珍爱生命，坚定心志，禁绝房事，平息妄想，戒除恼怒，节制饮食，以自我培补根本，否则即使服用良药，也无济于事。此病早期治疗容易，若等到肌肉消损，卧床不起，脉象沉伏细数，就难以救治了。另外，此病大忌服用人参，如果曾经服用过多，也难以治疗。现在制定一方如下，用于治疗色欲过度引起的证候，先出现潮热、盗汗、咳嗽、倦怠等症状时，趁早服用。
生地黄（酒洗） 甘草（炙） 干姜（炮，各五分） 川芎 熟地黄（各一钱） 白芍药（炒，一钱三分） 陈皮（七分） 当归 白术（各一钱三分） 黄柏（蜜水浸后炙，七分） 知母（蜜水浸拌炒） 天门冬（去心皮，各一钱） 生姜（三片） 水煎，空腹温服。
我按语：前方是治疗火盛阴虚的方法。大体上此症属于足三阴经亏损，虚热无实火的病症，所以白天发作晚上停止，晚上发作白天停止，不时发作，应当以六味地黄丸为主方，用补中益气汤调补脾胃；如果脾胃先受损，应当以补中益气汤为主，用六味地黄丸温和滋补肝肾，大多能痊愈。如果误用黄柏、知母之类，则会再次损伤脾胃，饮食日益减少，五脏更加虚弱，元气下陷，腹部痞满作泻，那就不可救药了。
至于鼻衄、吐血等症，因虚火妄动，血液随火气泛行，或者阳气虚弱，不能摄血归经而妄行，其脉象弦洪，这是无根之火浮于外。大体上此症多发生在四、五、六月，此时火土之气大旺，金水之气衰涸之际，若不独宿淡食，保养肺肾二脏，以及十一、二月，火气潜藏之时，不远离帷帐，戕害真元，导致春末夏初时，患头疼、脚软、食少、体热注夏之病，或者稍显老态，不耐寒暑，不胜劳役，四季交替生病。都是因为气血正在生长却劳心亏损，或者精血未满而早早耗损，所以症状难以名状。如果左尺脉虚弱或细数，是左肾真阴不足，用六味地黄丸；右尺脉迟软或沉细而数欲绝，是命门相火不足，用八味地黄丸；至于两尺脉微弱，是阴阳俱虚，用十补丸。这些都是滋生化之源的方法。仍参考前文发热及后文咳嗽诸症的治疗方法使用。
州同韩用之，房事过度，烦热口渴，饮水不止，小便淋沥，大便秘结，唾痰如涌，面目皆赤，满舌生刺，双唇燥裂，遍身发热，有时身上如芒刺而无定处，两足心如烙铁烫，左三部脉洪大无序。这是肾阴虚，阳气无所依附而发于外。大概是大热至极，用寒凉药不能退热，是无水之象，应当峻补其阴。于是用加减八味丸料一斤，其中肉桂用一两，用水急煎成六碗，冰冷饮用，半小时后熟睡，到晚上又温饮一碗，所有症状全部消退。第二天畏寒，脚冷至膝，症状复发，这是无火之象，应当补其阳，急忙用八味地黄丸四剂，症状顿时消退。
举人陈履贤，房事过度，孟冬时节发热无常，饮水不止，痰涎上涌，遗精不止，小便淋沥，有人用四物汤、二陈汤之类，导致胸膈不利，饮食少思，大便不实。我早上用四君子汤加熟地黄、当归；晚上用加减八味地黄丸；再用附子蘸唾液涂抹涌泉穴，逐渐痊愈。（详见《内科摘要》）。
府庠王以道，元气素来虚弱，丙午、丁未两年，因科场岁考积劳致病，到十二月间，病情加重，大热，泪出即凝，目赤面黯，扬手露胸，气息沉沉几乎断绝，脉象洪大鼓指，重按如无，舌干摸之如刺。这是内真寒而外假热。于是先服十全大补汤。我说：“既然服了此汤，脉象应当收敛为好转。”不久熟睡，醒来后恶寒增衣，脉象顿时微细如丝，这是虚寒的真象。我用人参一两，加熟附子三钱，水煎顿服而安。夜间脉象再次脱失，我用参二两，熟附子五钱，仍然治愈。后来用大剂量人参、白术、当归身、炙甘草等药调理而安。
上述药物是我亲自尝试过的，虽然昏迷中也知道必以此药才能治疗，必立斋先生才能识别此病，能用此药，因为尊信服之，最终痊愈。假如误投寒凉药剂，能不危险吗？如今留得余生，都是立翁所赐。感激之余，因此在药案末尾附上几句话，告知世间的患者。
一男子吐血，遇劳累即发作。我认为这是劳伤肺气，血不归源。给予补中益气汤加麦门冬、五味子、山药、熟地黄、茯神、远志，服用后痊愈。
一男子咳嗽吐血，热渴痰盛，盗汗，遗精。我认为这是肾水亏损，用地黄丸料加麦门冬、五味子，以壮水制火而愈。后因劳累愤怒，忽然紫血成块上涌。先用花蕊石以化瘀，又用独参汤以补气，仍用前药调理遂愈。后来每次劳累则咳嗽有痰吐血，脾肺肾三脉皆洪数，用补中益气汤加贝母、茯苓、山茱萸、山药、麦门冬、五味子，与前药间服而愈。
一星士谈论命理良久，不时吐血一二口。我说这是劳伤肺气，给予补中益气汤加麦门冬、五味子、山药、熟地黄、茯神、远志，服用后痊愈。
一童子，十四岁，发热，吐血。我说应当补中益气以滋生化之源。他不信，乃用寒凉降火药，前症更甚。有人说童子未娶，何来肾虚？参、芪补气，为何要用？我引述丹溪先生说：“肾主闭藏，肝主疏泄，二脏俱有相火，而其系上属于心，心为君火，为物所感，则相火翕然而起，虽不交会，而其精亦已暗耗矣。”又褚氏《精血篇》云：“男子精未满，而御女以通其精，则五脏有不满之处，异日有难状之疾。”正是这个意思。于是用补中益气汤及地黄丸而痊愈。
一妇人，素来勤劳辛苦，冬初咳嗽，吐痰，发热，久而吐血，盗汗，月经两月或三月一至，遍身疼痛，有人用清热化痰等药，导致口噤，筋挛。我用加减八味地黄丸及补中益气汤加麦门冬、五味子、山药治疗，一年余而痊愈。
一妇人，年将七十，素有肝脾之症，每发作则饮食不进，或胸膈不利，或中脘作痛，或大便作泻，或小便不利。我用逍遥散加山栀、茯神、远志、木香而愈。后因忧思吐紫血成块，每次发作先倦怠，后烦热，以前药加炒黑黄连三分，吴茱萸二分，顿愈。复因愤怒，吐血量多色赤，躁渴垂死。乃用人参一两，白术、白茯苓、当归各三钱，陈皮、炮黑干姜各二钱，炙甘草、木香各一钱，一剂顿止。
我按语：前两种情况是肾气虚弱，火盛水涸，津液涌而为痰者，用六味地黄丸；肾经阳气虚惫者，用八味地黄丸；脾肺气虚，不能摄涎归源，而痰盛咳嗽者，用六君子汤加桔梗，虚寒者再加炮姜。
我按语：前症若在寅、卯、辰时潮热者，是肝经燥热，用六味地黄丸补肾水以生肝血；若在午、未时潮热者，是心经虚热，用六味地黄丸壮水之主，以制阳光；若在申、酉、戌时潮热者，是肺经虚热，用补中益气汤培脾土以生肺金；若在亥、子、丑时潮热者，是肾涸虚热，用六味地黄丸；兼手足逆冷者，是肾经虚败，用六味地黄丸。大凡潮热、发热、晡热者，是五脏齐损，须用六味地黄丸；气血亏损者，须用十全大补汤。
我按语：前症若肾气不足，用益志汤、金锁正元丹；肝肾虚热者，用六味地黄丸、加味逍遥散；脾虚热者，用六味地黄丸、补中益气汤。凡此悉属不足之症，宜用十全大补汤，或用萆薢分清饮送服八味地黄丸。
我按语：前症若阳气虚弱，汗出不止，肢体倦怠，用参附汤；上气喘急，盗汗，气短，头晕者，用参附汤；肾气虚弱，盗汗，发热者，用六味地黄丸；若肾气虚乏，盗汗，恶寒者，用八味地黄丸；气血俱虚而盗汗者，用十全大补汤；阳盛阴虚者，用当归六黄汤；心肾虚弱者，用斑龙丸。
我按语：前症若脾肺虚热者，用补中益气汤送服六味地黄丸；肺肾虚热者，用黄芩清肺饮送服六味地黄丸；肝肾虚热者，用加味逍遥散送服六味地黄丸；劳伤心肾者，用清心莲子饮；郁结伤脾者，用归脾汤；若郁怒伤肝脾者，用加味逍遥散；若心肾虚弱者，用小温金散；若思虑伤心肾者，用茯菟丸。梦遗、精滑、赤白二浊治法，当互参使用。
一男子，年逾二十，早于斫丧，梦遗精滑，睡中盗汗，唾痰见血，足热痿软，服黄柏、知母之类。我说：“这是阳虚而阴弱也，应当滋其化源。”他不信，坚持服用，前症更甚，其头渐大，囟门渐开，视物皆大，吐痰叫喊。我以如法调补，诸症渐退，头囟渐敛而安。
若兼衄血、咳血，出于肺也，加桑白皮一钱，黄芩、山栀各五分（炒）。
若兼嗽血、痰血，出于脾也，加桑白皮、贝母、黄连、栝蒌仁各七分。
若兼呕吐血，出于胃也，加山栀、黄连、干姜、蒲黄各一钱，韭汁半盏，姜汁少许。
我按语：前方惟上古之人形病俱实者宜用之，今之患者，多属形病俱虚，治者当求其属而主之。若前症郁热伤肺而衄血者，用黄芪益气汤；肺气虚热不能摄血而衄者，用四君子汤加川芎、当归、五味子；郁结伤脾而嗽吐血者，用归脾汤，胃经有热而嗽吐血者，用犀角地黄汤；胃气弱而嗽吐血者，用四君子汤加川芎、当归、升麻；肾经虚热阴火内动而咯吐血，用六味地黄丸、补中益气汤；怒动肝火而见血者，用加味逍遥散；肾涸肝火动而见血者，用六味地黄丸。虽曰血得热而错经妄行，亦有卫气虚不能统摄荣血而为妄行者，不可不察。以上诸症，皆属足三阴亏损，虚火内动所作，非外因所致，皆宜六味地黄丸、补中益气汤，滋其化源，是治本也。其因甚多，不能枚举，治者当临症而制宜，庶无误矣。
若先见血证，或吐衄盛大者，宜先治血。治法：轻少者，凉血止血；盛大者，先消瘀血，次止血凉血。盖血来多，必有瘀于胸膈，不先消化之，则止之凉之不应也。葛可久《十药神书》方可次第检用。方中惟独参汤，止可用于大吐血后，昏倦，脉微细，气虚者。气虽虚而复有火，可加天门冬五钱。若如前所言阴虚火动，潮热，盗汗，咳嗽，脉数，不可用。
我按语：刘宗浓先生说：“营者水谷之精也，和调于五脏，洒陈于六腑，乃能入于脉也。源源而来，生化于脾，总统于心，藏受于肝，宣布于肺，施泄于肾，灌溉一身，是以出入升降濡润宣通者，由此使然也。故经云：‘气主嘘之，血主濡之。’又云：‘肺朝百脉之气，肝统诸经之血。’气血为人身之橐籥也。观此多因饮食、起居、六淫、七情失宜，亏损元气，以致诸经失职，不能司摄。法当调补脾肺之气，使血各归其源，诸病自愈矣。若潮热、咳嗽而脉数者，元气虚弱，假热之脉也，尤当用甘温调补脾胃为善。”
若病属火，大便多燥，然须节调饮食，勿令泄泻。若胃气复坏，泄泻稀溏，则前项寒凉之药难用矣。急宜调理脾胃，用白术、茯苓、陈皮、半夏、神曲、麦芽、甘草等药。俟胃气复，然后用前本病药收功，保后可合补阴丸常服之，及用葛可久方。
我按语：《内经》云，肾开窍于二阴，大小便也。若肾经津涸者，用六味地黄丸；脾肺气虚者，用补中益气汤；脾经郁结者，用加味归脾汤；气血虚者，用八珍汤；若发热作渴饮冷，用竹叶石膏汤；若膏粱浓味积热者，用加味清胃散。
一儒者，大便素结，服搜风顺气丸后，胸膈不利，饮食善消，面戴阳色，左关尺脉洪大而虚。我说：“此属足三阴虚症也。”他不信，乃服润肠丸，大便不实，肢体倦怠。我用补中益气汤、六味地黄丸，月余而验，年许而安。
一儒者，怀抱郁结，发热作渴，胸膈不利，饮食少思，服清热、化痰、行气等剂，前症益甚，肢体倦怠，心脾二脉涩滞。我用加味归脾汤，饮食渐进，诸症渐退，但大便尚涩，两颧赤色，用八珍汤加肉苁蓉、麦门冬、五味子，至三十余剂，大便自润。
一男子，所患同前，不信余言，服大黄等药，泄泻便血，遍身黑黯，复求治。我视之曰：“此阴阳二络俱伤也。经曰：‘阳络伤则血外溢，阴络伤则血内溢。’内外俱伤，其死奚待？”辞不治，后果然。
一儒者，口干发热，小便频浊，大便秘结，盗汗，梦遗，遂致废寝，用当归六黄汤二剂，盗汗顿止，用六味地黄丸，二便调和，用十全大补汤及前丸兼服，月余诸症悉愈。
Males around the age of twenty, having engaged in excessive sexual activity, damage their essence and blood, inevitably developing a condition of Yin deficiency with hyperactive fire. Symptoms include night sweats during sleep, afternoon fever, harsh coughing, fatigue and weakness, reduced appetite, and in severe cases, blood-streaked phlegm, hemoptysis, hematemesis, or epistaxis. The body feels hot, the pulse is deep and rapid, muscles emaciate; this is termed Lao Zhai (Consumptive Disease). It is the most severe and difficult to treat; mild cases require dozens of doses of medicine, while severe cases may take years. However, the patient must cherish life, strengthen their will, abstain from sexual intercourse, quell delusions, avoid anger, and regulate diet to cultivate their root. Otherwise, even taking good medicine is useless. Early treatment is easy; if one waits until muscles are wasted, the patient is bedridden, and the pulse is deep, fine, and rapid, it becomes difficult to save. Furthermore, this disease strictly contraindicates the use of Ginseng Radix et Rhizoma (Renshen); if taken excessively before, it is also hard to treat. I now prescribe the following formula for conditions caused by excessive sexual desire, to be taken early when symptoms such as tidal fever, night sweats, cough, and fatigue first appear.
Sheng Di Huang (Rehmanniae Radix Praeparata, washed with wine), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Gan Jiang (Zingiberis Rhizoma, roasted) – each 5 fen; Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shu Di Huang (Rehmanniae Radix Praeparata) – each 1 qian; Bai Shao Yao (Paeoniae Radix Alba, stir-fried) – 1.3 qian; Chen Pi (Citri Reticulatae Pericarpium) – 0.7 qian; Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma) – each 1.3 qian; Huang Bo (Phellodendri Cortex, soaked in honey water and fried) – 0.7 qian; Zhi Mu (Anemarrhenae Rhizoma, soaked in honey water and stir-fried); Tian Men Dong (Asparagi Radix, decored and peeled) – each 1 qian; Sheng Jiang (Zingiberis Rhizoma Recens) – 3 slices. Decoct in water, take warm on an empty stomach.
My commentary: The above formula treats the method of excess fire and Yin deficiency. Generally, this syndrome belongs to the deficiency of the three Yin meridians of the foot, characterized by deficient heat without excess fire. Thus, it may manifest during the day and cease at night, or vice versa, occurring irregularly. One should primarily use Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) and regulate/tonify the Spleen and Stomach with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If the Spleen and Stomach are damaged first, prioritize Bu Zhong Yi Qi Tang, and gently tonify the Liver and Kidney with Liu Wei Di Huang Wan; many recover. If mistakenly using Huang Bo and Zhi Mu, the Spleen and Stomach will be further damaged, appetite will decrease daily, the five Zang organs become more deficient, Yuan Qi sinks, leading to abdominal fullness and diarrhea, which is incurable.
Regarding epistaxis and hematemesis, these occur due to hyperactive deficient fire causing blood to flow recklessly, or due to deficient Yang failing to control blood within its vessels. The pulse is wiry and surging, indicating rootless fire floating outward. Generally, this occurs in the fourth, fifth, and sixth months when Fire and Earth qi are strong and Metal and Water qi are depleted. If one does not practice celibacy and eat bland food to nourish the Lung and Kidney, or if in the eleventh and twelfth months, when Fire qi hides, one does not avoid intimacy and damages true Yuan, then in late spring and early summer, one suffers from headache, weak legs, poor appetite, and "Summer Heat" fever, or appears aged prematurely, intolerant to cold and heat, unable to bear labor, getting sick in all seasons. This is because Qi and Blood are growing but are damaged by mental exertion, or Essence and Blood are not yet full but are squandered early. Hence, symptoms are hard to describe. If the left Chi pulse is weak or fine and rapid, it indicates insufficient True Yin of the Left Kidney; use Liu Wei Di Huang Wan. If the right Chi pulse is slow, soft, or deep, fine, and nearly absent, it indicates insufficient Ministerial Fire of the Ming Men; use Ba Wei Di Huang Wan (Eight-Ingredient Pill with Rehmannia). If both Chi pulses are weak, it indicates dual deficiency of Yin and Yang; use Shi Bu Wan (Ten-Tonifying Pill). These all nourish the source of transformation. Refer to previous methods for fever and subsequent methods for cough.
Han Yongzhi, a Zhou Tong official, suffered from excessive sexual desire, resulting in irritability, heat, thirst, incessant drinking, dribbling urine, constipation, profuse sputum, red face and eyes, thorny tongue, cracked lips, generalized fever, sensation of needles in the skin without fixed location, burning soles, and a chaotic, surging pulse in the left three positions. This is Kidney Yin deficiency with Yang lacking attachment and floating outward. Severe heat that does not respond to cooling indicates lack of Water; one must vigorously tonify Yin. I used Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill with Rehmannia) material totaling one jin, containing 1 liang of Rou Gui (Cinnamomi Cortex), decocted rapidly in water to make six bowls. Given cold, he slept soundly after half an hour. At night, given one bowl warm, all symptoms subsided. The next day, he felt cold, feet cold to the knees, and symptoms returned; this indicated lack of Fire; one must tonify Yang. I urgently prescribed four doses of Ba Wei Di Huang Wan, and symptoms instantly receded.
Chen Lv xian, a Juren degree holder, suffered from excessive sexual desire. In early winter, he had irregular fever, incessant drinking, surging sputum, continuous spermatorrhea, and dribbling urine. Others used Si Wu Tang (Four-Substance Decoction) and Er Chen Tang (Two-Aged Decoction), leading to chest discomfort, poor appetite, and loose stools. I prescribed Si Jun Zi Tang (Four-Gentlemen Decoction) with Shu Di Huang and Dang Gui in the morning, and Jia Jian Ba Wei Wan in the evening. I also applied Fu Zi (Aconiti Lateralis Radix Praeparata) mixed with saliva to Yong Quan (KI 1) acupoint. He gradually recovered (see *Nei Ke Miao Duan*).
Wang Yidao, a Fuxiang student, had inherently weak Yuan Qi. In Bing Wu and Ding Wei years, accumulated fatigue from examinations caused illness. By December, it worsened: high fever, tears freezing upon exit, red eyes, dark face, waving hands, exposing chest, shallow breath nearly stopping, surging pulse beating strongly against fingers but empty on deep pressure, dry tongue feeling like thorns. This is internal true cold and external false heat. I first administered Shi Quan Da Bu Tang (Great Tonifying Decoction for Ten Insufficiencies). I said, "After taking this, the pulse should converge." Soon he slept deeply. Waking, he felt cold and added clothes; the pulse became minute and thread-like, revealing true deficiency-cold. I used 1 liang of Ren Shen (Ginseng Radix et Rhizoma) plus 3 qian of Shu Fu Zi (Prepared Aconite Lateral Root), decocted and taken at once, bringing peace. At night, the pulse collapsed again; I used 2 liang of Ren Shen and 5 qian of Shu Fu Zi, curing him again. Later, large doses of Ren Shen, Bai Zhu, Dang Gui, and Zhi Gan Cao regulated him to health.
The above medicines were personally tested by me. Even in coma, I knew only these could cure. Only Lizhai [Li Yan] could recognize this disease and use these medicines. Because you trusted and took them, you fully recovered. Had we mistakenly used cold-cooling agents, would we not have perished? My remaining life is gifted by Master Li. Out of gratitude, I append these words to the end of the case record to inform patients.
One man had hematemesis triggered by fatigue. I considered this Lung Qi injury from overwork, with blood not returning to its source. I gave Bu Zhong Yi Qi Tang plus Mai Men Dong, Wu Wei Zi, Shan Yao, Shu Di Huang, Fu Shen, and Yuan Zhi. He recovered.
One man had coughing with hemoptysis, heat, thirst, profuse phlegm, night sweats, and spermatorrhea. I considered this Kidney Water deficiency and used Di Huang Wan material plus Mai Men Dong and Wu Wei Zi to strengthen Water. He recovered. Later, due to fatigue and anger, purple blood clumps surged up. I first used Hua Rui Shi (Pyrite) to resolve stasis, then Du Shen Tang (Single Ginseng Decoction) to tonify Qi, and continued with previous medicines. He recovered. Subsequently, every time he fatigued, he coughed with bloody sputum; Spleen, Lung, and Kidney pulses were surging and rapid. I used Bu Zhong Yi Qi Tang plus Bei Mu, Fu Ling, Shan Zhu Yu, Shan Yao, Mai Men Dong, and Wu Wei Zi, alternating with previous medicines. He recovered.
A fortune teller talked about destiny for a long time and occasionally spat one or two mouthfuls of blood. I said this was Lung Qi injury from fatigue and gave Bu Zhong Yi Qi Tang plus Mai Men Dong, Wu Wei Zi, Shan Yao, Shu Di Huang, Fu Shen, and Yuan Zhi. He recovered.
A boy, fourteen years old, had fever and hemoptysis. I said one should tonify Middle Qi to nourish the source of transformation. He did not believe me and used cold-cooling fire-reducing herbs, worsening symptoms. Someone asked, "The boy is unmarried, how can he have Kidney deficiency? Why use Qi-tonifying Ginseng and Astragalus?" I quoted Master Danxi: "The Kidney governs storage, the Liver governs dispersion. Both contain Ministerial Fire connected to the Heart (Monarch Fire). Stimulated by objects, Ministerial Fire rises; even without intercourse, essence is secretly consumed." Also, Chu Shi's *Jing Xue Pian* states: "If a male whose essence is not full engages in sex to drain it, the five Zang organs will have unmet needs, leading to difficult-to-describe diseases later." This applies here. I used Bu Zhong Yi Qi Tang and Di Huang Wan, and he recovered.
A woman, accustomed to hard work, had cough, expectoration, and fever in early winter. Long-term, she developed hemoptysis, night sweats, irregular menstruation (every 2-3 months), and generalized pain. Others used heat-clearing and phlegm-resolving herbs, causing lockjaw and tendon spasms. I used Jia Jian Ba Wei Wan and Bu Zhong Yi Qi Tang plus Mai Men Dong, Wu Wei Zi, and Shan Yao. She recovered after more than a year.
A woman, nearly seventy, had chronic Liver-Spleen issues. Attacks involved poor appetite, chest discomfort, epigastric pain, diarrhea, or urinary difficulty. I used Xiao Yao San (Free and Easy Wanderer Powder) plus Shan Zhi, Fu Shen, Yuan Zhi, and Mu Xiang. She recovered. Later, due to worry and thought, she vomited purple blood clumps. Each attack began with fatigue followed by irritability and heat. I used previous herbs plus 3 fen of charred Huang Lian and 2 fen of Wu Zhu Yu. She recovered instantly. Then, due to anger, she vomited large amounts of bright red blood, becoming restless, thirsty, and near death. I used 1 liang of Ren Shen, 3 qian each of Bai Zhu, Bai Fu Ling, and Dang Gui, 2 qian each of Chen Pi and Pao Hei Gan Jiang, and 1 qian each of Zhi Gan Cao and Mu Xiang. One dose stopped the bleeding.
If cough is severe, add Sang Bai Pi, Ma Dou Ling, and Gua Lou Ren (each 7 qian) and 10 Wu Wei Zi.
If phlegm is profuse, add Jiang Zhi Ban Xia, Bei Mu, and Gua Lou Ren (each 1 qian).
My commentary: For the previous two cases, if Kidney Qi is weak with excess fire and dried fluids涌ing into phlegm, use Liu Wei Di Huang Wan. If Kidney Yang is exhausted, use Ba Wei Di Huang Wan. If Spleen and Lung Qi are deficient, failing to control fluids, causing profuse phlegm and cough, use Liu Jun Zi Tang plus Jie Geng; for deficiency-cold, add Pao Jiang.
If tidal fever is severe, add Sang Bai Pi, Sha Shen, and Di Gu Pi (each 7 fen).
My commentary: For the previous symptoms, if tidal fever occurs during Yin, Mao, Chen hours (Liver time), it is Liver dryness-heat; use Liu Wei Di Huang Wan to tonify Kidney Water to generate Liver Blood. If it occurs during Wu, Wei hours (Heart time), it is Heart deficient heat; use Liu Wei Di Huang Wan to strengthen the master of Water to control sunlight. If it occurs during Shen, You, Xu hours (Lung time), it is Lung deficient heat; use Bu Zhong Yi Qi Tang to cultivate Spleen Earth to generate Lung Metal. If it occurs during Hai, Zi, Chou hours (Kidney time), it is Kidney depletion deficient heat; use Liu Wei Di Huang Wan. With cold extremities, it is Kidney deficiency collapse; use Liu Wei Di Huang Wan. Generally, tidal fever, fever, and post-prandial fever indicate damage to all five Zang; use Liu Wei Di Huang Wan. For Qi and Blood deficiency, use Shi Quan Da Bu Tang.
For nocturnal emission and slippery essence, add Li Shi, Long Gu, and Shan Zhu Yu (each 7 fen).
My commentary: For the previous symptoms, if Kidney Qi is insufficient, use Yi Zhi Tang and Jin Suo Zheng Yuan Dan. If Liver-Kidney deficient heat, use Liu Wei Di Huang Wan and Jia Wei Xiao Yao San. If Spleen deficient heat, use Liu Wei Di Huang Wan and Bu Zhong Yi Qi Tang. All these belong to deficiency syndromes; use Shi Quan Da Bu Tang, or Bi Xie Fen Qing Yin to deliver Ba Wei Di Huang Wan.
For profuse night sweats, add Mu Li, Suan Zao Ren (each 7 fen), and Fu Xiao Mai (a handful).
My commentary: For the previous symptoms, if Yang Qi is weak with incessant sweating and limb fatigue, use Shen Fu Tang. If asthma, shortness of breath, dizziness, and night sweats occur, use Shen Fu Tang. If Kidney Qi is weak with night sweats and fever, use Liu Wei Di Huang Wan. If Kidney Qi is deficient with night sweats and aversion to cold, use Ba Wei Di Huang Wan. If dual Qi-Blood deficiency with night sweats, use Shi Quan Da Bu Tang. If Yang excess and Yin deficiency, use Dang Gui Liu Huang Tang. If Heart-Kidney weakness, use Ban Long Wan.
For red and white turbidity, add Bai Fu Ling (1 qian) and Huang Lian (3 fen, stir-fried).
My commentary: For the previous symptoms, if Spleen-Lung deficient heat, use Bu Zhong Yi Qi Tang to deliver Liu Wei Di Huang Wan. If Lung-Kidney deficient heat, use Huang Qin Qing Fei Yin to deliver Liu Wei Di Huang Wan. If Liver-Kidney deficient heat, use Jia Wei Xiao Yao San to deliver Liu Wei Di Huang Wan. If Labor injures Heart-Kidney, use Qing Xin Lian Zi Yin. If Depression injures Spleen, use Gui Pi Tang. If Anger injures Liver-Spleen, use Jia Wei Xiao Yao San. If Heart-Kidney weakness, use Xiao Wen Jin San. If Overthinking injures Heart-Kidney, use Fu Tu Wan. Methods for nocturnal emission, slippery essence, and red-white turbidity should be cross-referenced.
One man, over twenty, squandered himself early, suffering from nocturnal emissions, slippery essence, night sweats, bloody sputum, hot and weak legs. He took Huang Bo and Zhi Mu. I said, "This is Yang deficiency with Yin weakness; one must nourish the source of transformation." He did not believe me, persisted in taking them, and symptoms worsened. His head enlarged, fontanelle opened, vision magnified, with spitting and shouting. I regulated and tonified according to method; symptoms receded, head/fontanelle closed, and he stabilized.
If accompanied by epistaxis or hemoptysis from the Lung, add Sang Bai Pi (1 qian), Huang Qin, and Shan Zhi (each 5 fen, stir-fried).
If accompanied by coughing blood or bloody phlegm from the Spleen, add Sang Bai Pi, Bei Mu, Huang Lian, and Gua Lou Ren (each 7 fen).
If accompanied by vomiting blood from the Stomach, add Shan Zhi, Huang Lian, Gan Jiang, Pu Huang (each 1 qian), Jiuzhi (half cup), and Jiangzhi (a little).
If accompanied by spitting blood from the Kidney, add Jie Geng, Xuan Shen, and Ce Bai Ye (stir-fried) (each 1 qian).
My commentary: The above formula is suitable only for ancients with both form and disease being excess. Modern patients are mostly dual deficiency. Practitioners should seek the root cause. If depression-heat injures Lung causing epistaxis, use Huang Qi Yi Qi Tang. If Lung Qi deficient heat fails to control blood causing epistaxis, use Si Jun Zi Tang plus Chuan Xiong, Dang Gui, and Wu Wei Zi. If depression injures Spleen causing cough-hemoptysis, use Gui Pi Tang. If Stomach channel has heat causing cough-hemoptysis, use Xi Jiao Di Huang Tang. If Stomach Qi is weak causing cough-hemoptysis, use Si Jun Zi Tang plus Chuan Xiong, Dang Gui, and Sheng Ma. If Kidney channel deficient heat and Yin fire move internally causing hemoptysis, use Liu Wei Di Huang Wan and Bu Zhong Yi Qi Tang. If anger moves Liver fire causing bleeding, use Jia Wei Xiao Yao San. If Kidney depletion and Liver fire movement cause bleeding, use Liu Wei Di Huang Wan. Although blood flows recklessly due to heat, there are also cases where Defensive Qi is weak and fails to control Nutritive Blood. Do not fail to observe. All above symptoms belong to foot three-Yin deficiency with internal hyperactive deficient fire, not external causes. All should use Liu Wei Di Huang Wan and Bu Zhong Yi Qi Tang to nourish the source of transformation; this is treating the root. Causes are numerous; practitioners must adapt to symptoms to avoid error.
If blood signs appear first, or hematemesis/epistaxis is severe, treat blood first. Method: For mild cases, cool blood and stop bleeding. For severe cases, first resolve stasis, then stop bleeding and cool blood. Profuse bleeding implies stasis in the chest/diaphragm; if not resolved first, cooling and stopping will fail. Use Ge Kejiu's *Shi Yao Shen Shu* sequentially. Among formulas, Du Shen Tang is only applicable after massive hematemesis with coma, fatigue, minute pulse, and Qi deficiency. If Qi is deficient but fire remains, add Tian Men Dong (5 qian). If, as previously stated, Yin deficiency with hyperactive fire, tidal fever, night sweats, cough, and rapid pulse exist, do not use.
My commentary: Mr. Liu Zongnong said: "Ying (Nutritive) Qi is the essence of food and drink, harmonizing with the five Zang, spreading to the six Fu, entering the vessels. Coming continuously, generated by Spleen, commanded by Heart, stored by Liver, announced by Lung, excreted by Kidney, irrigating the body. Thus, entry, exit, ascent, descent, moistening, and circulation depend on this. Hence, Classics say: 'Qi commands breathing, Blood moistens.' And: 'Lung gathers Qi of all vessels, Liver commands Blood of all channels.' Qi and Blood are the bellows of the human body. Observing this, most cases result from improper diet, lifestyle, Six Evils, or Seven Emotions damaging Yuan Qi, causing meridian dysfunction and failure to control. The method is to regulate and tonify Spleen-Lung Qi, making blood return to its source, curing diseases. If tidal fever, cough, and rapid pulse occur, it is weak Yuan Qi with false heat pulse; especially appropriate to use sweet-warm Spleen-Stomach tonification."
If the disease involves Fire, stool is often dry, but one must regulate diet to avoid diarrhea. If Stomach Qi is damaged again, causing loose/watery diarrhea, cold-cooling herbs are difficult to use. Urgently regulate Spleen-Stomach using Bai Zhu, Fu Ling, Chen Pi, Ban Xia, Shen Qu, Mai Ya, and Gan Cao. Wait for Stomach Qi to recover, then use previous disease-specific medicines to conclude treatment. Afterwards, one may commonly take Bu Yin Wan and Ge Kejiu's formulas.
My commentary: *Nei Jing* says: "Kidney opens into the two yin openings, governing urination and defecation." If Kidney channel fluids are depleted, use Liu Wei Di Huang Wan. If Spleen-Lung Qi is deficient, use Bu Zhong Yi Qi Tang. If Spleen channel depression exists, use Jia Wei Gui Pi Tang. If Qi-Blood is deficient, use Ba Zhen Tang. If fever with thirst for cold drinks, use Zhu Ye Shi Gao Tang. If accumulation-heat from rich foods, use Jia Wei Qing Wei San.
A scholar had chronic constipation. After taking Sou Feng Shun Qi Wan, he had chest discomfort, good digestion, flushed face, and surging yet empty Guan and Chi pulses on the left. I said, "This is foot three-Yin deficiency." He did not believe me, took Run Chang Wan, resulting in loose stools and limb fatigue. I used Bu Zhong Yi Qi Tang and Liu Wei Di Huang Wan. After a month, results appeared; after a year, he was stable.
A scholar had emotional depression, fever, thirst, chest discomfort, poor appetite. After taking heat-clearing, phlegm-resolving, and Qi-moving agents, symptoms worsened, limbs fatigued, Heart and Spleen pulses were choppy. I used Jia Wei Gui Pi Tang. Appetite improved, symptoms receded. However, stool remained dry, malar flush present. I used Ba Zhen Tang plus Cong Rong, Mai Men Dong, and Wu Wei Zi. After thirty-plus doses, stool naturally softened.
One man had the same complaint, did not believe my words, took Da Huang etc., resulting in diarrhea and bloody stool, blackened body. He sought treatment again. I looked and said, "Both Yang and Yin collaterals are injured. Classics say: 'Injury to Yang collateral causes external bleeding; injury to Yin collateral causes internal bleeding.' Both injured externally and internally, why wait for death?" I refused treatment; he indeed died.
A scholar had dry mouth, fever, frequent turbid urine, constipation, night sweats, nocturnal emissions, leading to insomnia. I used Dang Gui Liu Huang Tang for two doses; night sweats stopped instantly. I used Liu Wei Di Huang Wan; urination and defecation harmonized. I used Shi Quan Da Bu Tang combined with previous pills. After a month, all symptoms cured.