立斋治韩州同色欲过度，烦热作渴，饮水不绝，小便淋沥，大便闭结，唾痰如涌，面目
俱赤，满舌生刺，唇裂身热，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，用肉桂一两，以水顿煎六碗，冰冷与服，半饷熟睡，至晚又温饮一碗，诸证悉退
。翼日，畏寒足冷诸证仍至，是无火也，当补其阳，急与八味丸四剂，诸证俱退。
又治府庠王以道元气素弱，复以科场岁考，积劳致疾。至十二月，病大作，大热，泪出
随凝，目赤露胸，气息沉沉欲绝，脉洪大鼓指，按之如无，舌干如刺，此内真寒而外假热也
。遂先服十全大补汤。余曰∶服此药，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，乃
以参二两，熟附五钱仍愈。后以大剂参、术、归身、灸甘草等药调理而愈。
又治一童子，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，
前证愈甚。或谓曰∶童子未室，何肾虚之有？参术补气，奚为用之？余述丹溪先生曰∶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，而精已暗耗矣。又褚氏《精血篇》曰∶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。
立斋治疗韩州同，因房事过度，出现烦热口渴，饮水不止，小便淋漓不畅，大便闭塞不通，痰多如涌出，面部和眼睛都发红，满舌生刺，嘴唇干裂，身体发热，有时感觉身上像有芒刺一样但位置不定，两脚心像被火烙一样烫。左手寸、关、尺三部脉象洪大而无条理。这是肾阴虚，阳气无所依附而发散于体表所致。大概是大热之证，用寒凉药不能退热，这是因为阴液枯竭（无水），应当峻补其阴。于是使用加减八味丸的药料一斤，加入肉桂一两，用水急煎成六碗，放冷后服用。半个时辰后熟睡，到了晚上又温服一碗，各种症状全部消退。第二天，畏寒、脚冷等症状再次出现，这是阳虚（无火），应当补其阳气，急忙给予八味丸四剂，各种症状全部消退。
又治疗府庠生王以道，他元气素来虚弱，又因为科举考试岁考，积劳致病。到了十二月，病情加重，发大热，眼泪流出随即凝固，眼睛红赤，袒露胸腹，气息微弱几乎要断绝，脉象洪大鼓指，但重按却感觉没有脉搏，舌头干燥像有刺一样。这是内里真寒而外表假热的证候。于是先服用十全大补汤。我说：“服用这个药，如果脉象收敛就是好现象。”过了一会儿，熟睡醒来后感到恶寒并增加衣物，脉象顿时变得微细如丝，这是虚寒的真象。我用参一两，加熟附子三钱，水煎一次服下，病情安定。夜间脉象再次脱失，于是用参二两，熟附子五钱，仍然治愈。后来用大剂量的人参、白术、当归身、炙甘草等药物调理而痊愈。
又治疗一个童子，十四岁，发热吐血。我认为应该用补中益气汤来滋养化源，他不相信，反而使用寒凉降火的药物，前面的症状更加严重。有人说：“童子未娶妻，怎么会有肾虚？人参、白术补气，为什么要用？”我引述丹溪先生的话说：“肾主闭藏，肝主疏泄，这两脏都有相火，而其联系上属于心。心为君火，受到外物诱惑，则相火随之兴起，即使不进行性交，精液也已经暗中耗损了。”又引用褚氏《精血篇》说：“男子精气未满而御女以通其精，则五脏有不满足的地方，日后会有难以形容的疾病”，正是说的这种情况。于是使用补中益气汤及地黄丸而痊愈。
Li Zhai treated Han Zhoutong, who suffered from excessive sexual activity, resulting in vexatious heat and thirst, incessant drinking, dribbling urination, constipation, profuse expectoration of phlegm, redness of the face and eyes, thorny tongue coating, cracked lips, body fever, sometimes feeling like having thorns all over the body but with no fixed location, and burning soles of the feet. The pulse at the left Cun, Guan, and Chi positions was surging (Hong) and irregular. This indicated Kidney Yin deficiency, where Yang had no root and floated outward. Generally, when severe heat does not respond to cold treatments, it signifies a lack of Water (Yin), requiring vigorous tonification of Yin. Therefore, he used one jin of the ingredients for Jiajian Bawei Wan (Modified Eight-Ingredient Pill), adding one liang of Rougui (Cinnamon Twig), decocted rapidly in water to yield six bowls. It was administered cold. After half an hour of sound sleep, another bowl was taken warm in the evening, and all symptoms subsided. The next day, aversion to cold and cold feet returned, indicating a lack of Fire (Yang), requiring tonification of Yang. He urgently prescribed four doses of Bawei Wan (Eight-Ingredient Pill), after which all symptoms resolved.
He also treated Wang Yidao, a student at the prefectural school, whose Yuan Qi (Original Qi) was inherently weak. Compounded by fatigue from imperial examinations, he fell ill. By December, the disease worsened significantly: high fever, tears freezing upon exiting the eyes, red eyes, exposed chest, faint breath nearly ceasing, a surging pulse that beat strongly against the finger but felt empty upon deep pressure, and a dry, prickly tongue. This presented as true internal Cold with false external Heat. Initially, Shiquan Dabu Tang (Ten Complete Tonifying Decoction) was administered. I stated, "If this medicine is effective, the pulse should converge, which would be auspicious." Shortly after, he slept soundly; upon waking, he felt increased aversion to cold, added clothing, and his pulse became suddenly minute and thread-like (Wei Xi), revealing the true image of Deficiency Cold. I prescribed one liang of Renshen (Ginseng Root) plus three qian of Shu Fuzi (Prepared Aconite Root), decocted in water and taken once, stabilizing the condition. At night, the pulse collapsed again; thus, two liang of Renshen and five qian of Shu Fuzi were used, leading to recovery. Subsequently, large doses of Renshen, Baizhu (Atractylodes Macrocephala Rhizome), Dangshen (Codonopsis Radix - *Note: Text says Guishen, likely Dangui/Dangshen context, but strictly translating text as Guishen/Root of Angelica*), and Zhi Gancao (Honey-fried Licorice Root) were used for conditioning until full recovery.
He also treated a boy of fourteen years old suffering from fever and hemoptysis (coughing up blood). I advised using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to nourish the source of transformation, but he did not believe me. Instead, he used cold-natured herbs to clear heat and descend fire, causing the previous symptoms to worsen. Someone asked, "The boy is unmarried, how can there be Kidney deficiency? Why use Renshen and Baizhu to tonify Qi?" I quoted Master Danxi: "The Kidney governs storage, while the Liver governs dispersion. Both viscera contain Ministerial Fire (Xiang Huo), which connects upward to the Heart. The Heart is Sovereign Fire; when affected by external stimuli, Ministerial Fire rises vigorously. Even without sexual intercourse, essence is secretly consumed." Furthermore, citing Chu Shi's "Chapter on Essence and Blood": "When a man's essence is not yet full but engages in intercourse to release it, the five viscera will have areas of insufficiency, leading to difficult-to-describe illnesses later," which precisely describes this situation. Consequently, Buzhong Yiqi Tang and Dihuang Wan (Rehmannia Pill) were used, resulting in a cure.