朱 八旬，公车抵都，途次委顿，浃旬，苦不得便。脉洪大，右尺虚。予谓大肠主液，此阳明液干，
热秘象也。宜润肠丸。因
高年血液燥热，仿东垣润燥汤。用生熟地黄、麻仁、桃仁、当归、红花，蜜冲服，效。
房兄 病后便秘脉虚，于润补剂中参升降法。潞参、熟地黄、当归、升麻、杏仁，服愈。（熟地可加
倍两许用。）
石氏 老年风秘，兼痔血肿痛，脉洪而虚。用滋燥养营汤，加荆芥（醋炒）、地榆（酒炒）、胡麻、
升麻、苁蓉（蒸），炼蜜为丸，服效。（滋燥养营汤见燥症。）
李氏 腑失传送，胁痛脘胀便艰，皆气机阻窒为患。宜先导其腑气。用杏仁、苏梗、浓朴、郁金、橘白、
郁李仁、当归，四服痛胀止。兼令服牛乳，便亦通润。后左胁钻痛，得汤浴则止，乃肝气滞由脏及腑。用麸
皮炒熨，兼用延胡（酒炒）、白芍（炒）、当归、金橘皮煎汤，降香、木香（俱磨汁服）而平。
族妇 大便旬余一行，或劝服大黄，艰秘益甚，两尺沉大，此清气陷下也。用补中益气汤去柴胡、白术，
加桃杏二仁，数服而复常。
邓氏 阴虚阳搏谓之崩，崩久成漏，冲任经虚可知。据述五月间因悲思血下成块以后，红白相间，至仲
冬后淋沥未止，服药不效。近又少腹重坠，两拗掣痛如束，小便至夜点滴不通，或以为气粗窒痛。用茜草、
归须、桃仁等通络。不应，又以为血虚滑脱。用蒲黄、石脂、石英等镇摄。淋痛更剧，脉沉弦。予谓此症
乃漏久而膀胱气陷也，通络则漏卮益渗，镇摄则胞门益坠。法宜温而升之，固以摄之，于理为近。用升麻（六分）、
菟丝饼、赤苓（各三钱）、延胡、当归（俱醋炒。各二钱）、阿胶、棕灰（各一钱半）、茴香、补骨脂（俱
酒炒。各一钱）、沙苑子（二钱），一服得溺而掣痛止，数服淋漏俱除。
朱姓患者，八十岁，乘坐公车抵达京城，途中身体极度疲惫，过了十天，痛苦于无法排便。脉象洪大，但右尺部脉象虚弱。我认为大肠主司津液，这是阳明经津液枯竭，属于热秘的表现。适宜使用润肠丸。因为患者年事已高，血液燥热，仿照李东垣的润燥汤方意。使用生地黄、熟地黄、火麻仁、桃仁、当归、红花，用蜂蜜冲服，见效。
房家兄长，病后便秘，脉象虚弱，在润补剂中参入升降气机的方法。使用党参（潞参）、熟地黄、当归、升麻、杏仁，服用后痊愈。（熟地黄可以加倍至一两左右使用。）
石氏家族成员，老年风秘，兼有痔疮出血肿痛，脉象洪大而虚。使用滋燥养营汤，加入荆芥（醋炒）、地榆（酒炒）、胡麻、升麻、肉苁蓉（蒸），炼蜜制成丸药，服用有效。（滋燥养营汤见“燥症”章节。）
李氏家族成员，腑气失去传导功能，胁痛、胃脘胀满、大便艰难，都是气机阻滞造成的危害。应当先疏导腑气。使用杏仁、紫苏梗、厚朴、郁金、橘白、郁李仁、当归，服用四剂后疼痛和胀满停止。同时令其服用牛奶，大便也通畅润泽。后来左胁出现钻顶样疼痛，喝热汤洗澡后疼痛停止，这是肝气由脏及腑的阻滞所致。使用麸皮炒热熨烫，同时使用延胡索（酒炒）、白芍（炒）、当归、金橘皮煎汤，降香、木香（都磨汁服用）而平息。
族中妇女，大便十几天才排一次，有人劝她服用大黄，导致便秘更加严重，两尺脉沉大，这是清气下陷。使用补中益气汤去掉柴胡、白术，加入桃仁和杏仁，服用几剂后恢复常态。
邓氏家族成员，阴虚阳亢搏动称为崩漏，崩漏日久形成漏证，可知冲任二脉经血亏虚。据描述，五月间因悲伤思虑导致血下成块，此后红白相间，到仲冬之后淋漓未止，服药无效。最近又感到少腹沉重下坠，两侧腰部掣痛如被束缚，小便到了夜晚点滴不通，有人认为是气粗窒塞疼痛。使用茜草、当归须、桃仁等通络。没有效果，又认为是血虚滑脱。使用蒲黄、赤石脂、石英等镇摄固涩。淋痛更加剧烈，脉象沉弦。我认为此症乃是漏证日久导致膀胱气陷，通络则漏孔更加渗漏，镇摄则胞门更加下坠。治法应当温补而升提，固涩以摄纳，这在道理上比较接近。使用升麻（六分）、菟丝饼、赤茯苓（各三钱）、延胡索、当归（都用醋炒，各二钱）、阿胶、棕榈灰（各一钱半）、小茴香、补骨脂（都用酒炒，各一钱）、沙苑子（二钱），服用一剂后得以排尿且掣痛停止，服用数剂后淋证和漏证全部消除。
Patient Zhu, aged eighty, arrived in the capital by carriage. During the journey, he was extremely exhausted. After ten days, he suffered from constipation. The pulse was surging and large (Hong Da), but the right Chi position was deficient (Xu). I stated that the Large Intestine governs fluids; this is a case of fluid exhaustion in the Yangming channel, presenting as heat-type constipation (Re Mi). It is suitable to use Run Chang Wan (Moisten the Intestines Pill). Because the patient is advanced in age with dry-heat in the blood and yin, I modeled the prescription after Li Dongyuan's Run Zao Tang (Dryness-Moistening Decoction). It used Sheng Di Huang (Raw Rehmannia Root), Shu Di Huang (Prepared Rehmannia Root), Huo Ma Ren (Hemp Seed), Tao Ren (Peach Kernel), Dang Gui (Angelica Sinensis), and Hong Hua (Safflower), taken with honey. It was effective.
Brother Fang, suffering from post-illness constipation with a deficient pulse, was treated with moistening and tonifying agents combined with methods to regulate ascending and descending Qi. Lu Shen (Codonopsis Pilosula), Shu Di Huang (Prepared Rehmannia Root), Dang Gui (Angelica Sinensis), Sheng Ma (Cimicifugae Rhizoma), and Xing Ren (Apricot Seed) were used. He recovered after taking it. (Shu Di Huang can be doubled to approximately one liang.)
Member of the Shi family, elderly with wind-type constipation (Feng Mi), complicated by hemorrhoidal bleeding, swelling, and pain. The pulse was surging yet deficient. Zi Zao Yang Ying Tang (Nourish Dryness and Nourish Blood Decoction) was used, added with Jing Jie (Schizonepetae Herba, stir-fried with vinegar), Di Yu (Sanguisorbae Radix, stir-fried with wine), Hu Ma (Sesamum Indicum Seed), Sheng Ma (Cimicifugae Rhizoma), and Cong Rong (Cynomorii Herba, steamed). Honey pills were made and taken, showing effectiveness. (Zi Zao Yang Ying Tang is seen under "Dryness Syndromes".)
Member of the Li family, the Fu organs lost their transmission function, causing hypochondriac pain, epigastric distension, and difficult defecation. All were due to obstruction of Qi mechanism. It was appropriate to first guide the Fu organ Qi. Xing Ren (Apricot Seed), Su Geng (Perilla Stem), Hou Po (Magnolia Bark), Yu Jin (Curcumae Radix), Ju Bai (Citri Reticulatae Pericarpium Album), Yu Li Ren (Prunus Lasiocarpa Seed), and Dang Gui (Angelica Sinensis) were used. After four doses, pain and distension ceased. He was also instructed to drink cow's milk, which facilitated smooth defecation. Later, he experienced drilling pain in the left hypochondrium, which stopped after hot soup baths. This indicated Liver Qi stagnation spreading from the Zang to the Fu. Wheat bran was stir-fried and applied as a warm compress. Yan Hu Suo (Corydalis Rhizoma, stir-fried with wine), Bai Shao (White Peony Root, stir-fried), Dang Gui (Angelica Sinensis), and Jin Ju Pi (Kumquat Peel) were decocted. Jiang Xiang (Aquilariae Lignum Resinatum) and Mu Xiang (Aucklandiae Radix), both ground into juice, were taken orally, and the condition subsided.
Ancestral relative, having bowel movements only once every ten-plus days. Someone advised her to take Da Huang (Rhei Radix et Rhizoma), making the constipation worse. Both Chi pulses were deep and large. This was sinking of clear Qi. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was used, removing Chai Hu (Bupleuri Radix) and Bai Zhu (Atractylodis Macrocephalae Rhizoma), adding Tao Ren (Peach Kernel) and Xing Ren (Apricot Seed). After several doses, she returned to normal.
Member of the Deng family, Yin deficiency with Yang hyperactivity leads to Ben Beng (profuse uterine bleeding); prolonged Ben Beng becomes Lou (persistent spotting), indicating deficiency of the Chong and Ren vessels. According to the history, in May, grief and overthinking caused blood to flow out in clots. Thereafter, red and white discharge alternated. By mid-winter, the spotting had not stopped, and medication was ineffective. Recently, there was a heavy bearing-down sensation in the lower abdomen, and pulling pain in both flanks like being bound. Urination became scanty or absent at night. Some attributed it to rough Qi and obstructive pain. Qian Cao (Rubiae Cordifoliae Radix), Gui Xu (Angelica Sinensis Root Tip), and Tao Ren (Peach Kernel) were used to unblock collaterals. Without effect, others attributed it to blood deficiency with slipping leakage. Pu Huang (Typhae Pollen), Shi Zhi (Halloysitum Rubrum), and Shi Ying (Quartzum) were used to stabilize and secure. The strangury and pain worsened, and the pulse was deep and wiry. I stated that this syndrome is due to bladder Qi sinking from prolonged leakage. Unblocking collaterals increases leakage through the pores; stabilizing causes the uterus to sag further. The method should be warming and lifting, securing and containing, which aligns with the principles. Sheng Ma (Cimicifugae Rhizoma, 6 fen), Tu Si Bing (Cuscutae Semen Cake), Chi Ling (Polyporus Umbellatus, each 3 qian), Yan Hu Suo (Corydalis Rhizoma), and Dang Gui (Angelica Sinensis, all stir-fried with vinegar, each 2 qian), E Jiao (Donkey-Hide Gelatin), Zong Hui (Ligum Palmare, each 1.5 qian), Hui Xiang (Foeniculum Vulgare Fruit), Bu Gu Zhi (Psoraleae Fructus, all stir-fried with wine, each 1 qian), and Sha Yuan Zi (Astragali Complanati Semen, 2 qian) were used. After one dose, urination occurred and pulling pain stopped. After several doses, strangury and leakage were eliminated.