若患处夭白，脾气虚也，用六君、芎、归。患处绯赤，阴血虚也，用四物、参、术。若
恶寒发热，气血虚也，用十全大补汤。脓稀白而不生者，脾肺气虚也，用补中益气汤。脓
稀赤而不生者，心脾血虚也，用东垣圣愈汤。寒热而不生，肝火动也，用加味逍遥散。晡
热而不生，肝血虚也，用八珍牡丹皮。食少体倦而不生，脾胃气虚也，用六君子汤。脓
秽而不生者，阴虚邪火也，用六味地黄丸。四肢困倦，精神短少而不生者，元气内伤也，用
补中益气汤。如夏月用调中益气汤，作泻用清暑益气汤，秋令作泻用清燥汤。 有一患
者，溃而不敛，以内有热毒，欲用寒凉之药。薛曰∶此血气俱虚而不能敛耳，非归、术、参、
之类，培养脾土，则肌肉何由而生，岂可复用寒凉克伐之药，重损气血耶！遂用前药，
治之而愈。
若患处或诸窍出者，肝火炽盛，血热错经而妄行也，用加味逍遥散清热养血。若中
气虚弱，血无所附而妄行，用加味四君子汤、补益中气。或元气内脱，不能摄血，用独参
汤加炮姜以回阳。如不应，急加附子。或血蕴于内而呕血，用四物加柴胡、黄芩。凡伤
损劳碌怒气，肚腹胀闷，误服大黄等药，伤阳络则为吐血、衄血、便血、尿血；伤阴络
则为血积、血块，肌肉青黯。此脏腑亏损，经隧失职，急补脾肺亦有生者。但患者不悟此
理，不用此法，惜哉！ 张地官，坠马伤腿，服草乌等药，致衄血咳嗽，臂痛目黄，口渴
齿痛，小便短少，此因燥剂伤肺与大肠而致。薛用生地、芩、连、黄柏、知母、山栀、山
药、甘草，以润肺之燥而生肾水，小便顿长，诸症并止，以山药、五味、麦门、参、 、芎、
归、黄柏、黄芩、知母、炙草，以滋阴血，养元气而疮敛。 俞进士，折腿骨已接三月，尚
发热，出血不止，正体医治不应，左关脉洪数，此肝火炽甚，血得热而妄行也，遂投小
柴胡汤加山栀、芍药、生地、防风，血止热退，又用八珍，五味、麦门治之，疮口即愈。
田宗伯侄，仲秋因怒跌仆，遍身作痛，发热衄血，肝脉弦洪。薛曰∶久衄脉弦洪。乃
肝火盛而制金也，至春则肝木茂盛而自焚，或戕贼脾土，非易治之证，当滋肾水以生肝木，
益脾土以生肺金。乃杂用泻肝火等药，殁于仲春之月。 大尹刘国信，金疮出血，发热
烦躁，属阴虚为患，用圣愈汤治之，虚火息而血归经矣。 梁阁老侄，金疮肿痛，出血
不止，寒热口干，此气虚血无所附而血不归经也，用补中益气，五味、麦门主之，阳气
复而愈。
如果患处颜色苍白，这是脾气虚弱所致，使用六君子汤、川芎、当归。如果患处颜色红赤，这是阴血亏虚所致，使用四物汤、人参、白术。如果出现恶寒发热，这是气血两虚所致，使用十全大补汤。如果脓液稀薄色白且新肉不生，这是脾肺气虚所致，使用补中益气汤。如果脓液稀薄色红且新肉不生，这是心脾血虚所致，使用东垣圣愈汤。如果出现寒热往来且新肉不生，这是肝火妄动所致，使用加味逍遥散。如果出现午后潮热且新肉不生，这是肝血亏虚所致，使用八珍汤加牡丹皮。如果食欲减退、身体倦怠且新肉不生，这是脾胃气虚所致，使用六君子汤。如果脓液污秽且新肉不生，这是阴虚邪火所致，使用六味地黄丸。如果四肢困倦、精神短少且新肉不生，这是元气内伤所致，使用补中益气汤。如果在夏季出现腹泻，使用调中益气汤；如果是暑天腹泻，使用清暑益气汤；如果是秋季腹泻，使用清燥汤。
有一位患者，溃疡溃破后不能收敛，因为体内有热毒，想要使用寒凉药物。薛己说：这是气血俱虚而不能收敛，并非归身、白术、人参之类药物所能解决，若不培养脾土，肌肉如何能生长？岂可再复用寒凉克伐的药物，进一步损伤气血呢！于是使用前面的药物，治愈了该病。
如果患处或各个孔窍出血，这是肝火炽盛，血热导致血液错经而妄行，使用加味逍遥散清热养血。如果是中气虚弱，血液无所依附而妄行，使用加味四君子汤以补益中气。或者是元气内部脱失，不能统摄血液，使用独参汤加炮姜以回阳救逆。如果无效，紧急加入附子。或者是血液郁积于内而呕血，使用四物汤加柴胡、黄芩。凡是因跌打损伤、劳累过度或愤怒，导致肚腹胀闷，误服大黄等药物，损伤阳络则会导致吐血、鼻衄、便血、尿血；损伤阴络则会导致血积、血块，肌肉呈现青暗色。这是由于脏腑亏损，经络功能失职，紧急补益脾肺也有痊愈的。只是患者不明白这个道理，不采用这种方法，可惜啊！
张地官，坠马导致腿部受伤，服用草乌等药物，导致鼻衄、咳嗽、手臂疼痛、目黄、口渴、齿痛、小便短少，这是因为燥烈之药损伤肺与大肠所致。薛己使用生地黄、黄芩、黄连、黄柏、知母、山栀、山药、甘草，以润肺之燥并滋生肾水，小便顿时通畅，各种症状全部停止；随后使用山药、五味子、麦门冬、人参、（此处原文缺字，推测为黄芪或类似补气药，依上下文补中益气之意）、川芎、当归、黄柏、黄芩、知母、炙甘草，以滋阴血、养元气，从而使疮口愈合。
俞进士，腿骨骨折已接好三个月，仍然发热，出血不止，正体堂医生治疗无效，左关脉洪数，这是肝火极盛，血液受热而妄行，于是投用小柴胡汤加山栀、芍药、生地黄、防风，血止热退，又使用八珍汤、五味子、麦门冬治疗，疮口随即愈合。
田宗伯的侄子，仲秋时节因愤怒跌倒，全身疼痛，发热鼻衄，肝脉弦洪。薛己说：长期鼻衄且脉象弦洪，是肝火旺盛克制肺金所致，到了春季肝木茂盛则会自焚，或者伤害脾土，这不是容易治疗的病症，应当滋补肾水以生肝木，补益脾土以生肺金。然而杂用泻肝火的药物，最终在仲春月份去世。
大尹刘国信，金创出血，发热烦躁，属于阴虚为患，使用圣愈汤治疗，虚火平息而血液回归经脉。梁阁老的侄子，金创肿痛，出血不止，寒热口干，这是气虚血液无所依附而血不归经，使用补中益气汤，以五味子、麦门冬为主药，阳气恢复而痊愈。
If the affected area appears pale, it is due to Spleen Qi deficiency; use Liu Jun Zi Tang (Six Gentlemen Decoction), Chuanxiong Rhizoma (Chuanxiong), and Angelicae Sinensis Radix (Danggui). If the affected area appears red, it is due to Yin Blood deficiency; use Si Wu Tang (Four Substance Decoction), Ginseng Radix et Rhizoma (Renshen), and Atractylodis Macrocephalae Rhizoma (Baizhu). If there is aversion to cold and fever, it is due to Qi and Blood deficiency; use Shi Quan Da Bu Tang (Ten Significant Great Tonifying Decoction). If the pus is thin and white with no new flesh growing, it is due to Spleen and Lung Qi deficiency; use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If the pus is thin and red with no new flesh growing, it is due to Heart and Spleen Blood deficiency; use Dong Yuan Sheng Yu Tang (Dongyuan's Holy Salvation Decoction). If there are alternating chills and fever with no new flesh growing, it is due to Liver Fire stirring; use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). If there is afternoon tidal fever with no new flesh growing, it is due to Liver Blood deficiency; use Ba Zhen Tang (Eight Treasure Decoction) plus Moutan Cortex (Mudanpi). If there is poor appetite and physical fatigue with no new flesh growing, it is due to Spleen and Stomach Qi deficiency; use Liu Jun Zi Tang (Six Gentlemen Decoction). If the pus is foul with no new flesh growing, it is due to Yin deficiency with pathogenic fire; use Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill). If there is limb heaviness and fatigue, shortness of spirit, and no new flesh growing, it is due to internal injury of Yuan Qi (Primary Qi); use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). In summer, if diarrhea occurs, use Tiao Zhong Yi Qi Tang (Regulate the Middle and Augment the Qi Decoction); in heatstroke season, use Qing Shu Yi Qi Tang (Clear Summerheat and Augment the Qi Decoction); in autumn, if diarrhea occurs, use Qing Zao Tang (Clear Dryness Decoction).
A patient had an ulcer that failed to close. Because there was toxic heat internally, [the physician] intended to use cooling herbs. Xue Ji said: This is due to both Qi and Blood deficiency preventing closure. Without using Danggui, Baizhu, Renshen, etc., to cultivate the Spleen Earth, how can muscle tissue grow? How can one re-use cooling and draining herbs to further damage Qi and Blood! Thus, the aforementioned medicines were used, and the disease was cured.
If bleeding occurs from the affected area or various orifices, it is due to blazing Liver Fire causing blood heat to deviate from its vessels and flow recklessly; use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) to clear heat and nourish blood. If it is due to weak Central Qi, with blood having no attachment and flowing recklessly, use Jia Wei Si Jun Zi Tang (Modified Four Gentlemen Decoction) to tonify and augment Central Qi. Or if Yuan Qi has collapsed internally and cannot control the blood, use Du Shen Tang (Single Ginseng Decoction) plus Pao Jiang (Prepared Ginger) to restore Yang. If there is no response, urgently add Aconiti Lateralis Radix Praeparata (Fuzi). Or if blood is stagnated internally causing hematemesis, use Si Wu Tang (Four Substance Decoction) plus Bupleuri Radix (Chaihu) and Scutellariae Radix (Huangqin). Any injury from falls, overwork, or anger, leading to abdominal distension and fullness, and mistakenly taking Rhubarb (Dahuang) and other drugs, damages the Yang collaterals resulting in hematemesis, epistaxis, hematochezia, or hematuria; damages the Yin collaterals resulting in blood stasis and clots, with muscles appearing dark blue. This is due to visceral deficiency and failure of the meridians' function; urgently tonifying Spleen and Lung may lead to recovery. Alas, it is a pity that patients do not understand this principle and do not adopt this method!
Zhang Diguan fell from a horse and injured his leg. After taking Caowu (Aconitum kusnezoffii) and other drugs, he suffered epistaxis, cough, arm pain, yellow eyes, thirst, toothache, and scanty urination. This was caused by drying agents damaging the Lung and Large Intestine. Xue Ji used Sheng Dihuang (Rehmanniae Radix), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Shanzhi (Gardeniae Fructus), Shanyao (Dioscoreae Rhizoma), and Gancao (Licorice Root) to moisten Lung dryness and generate Kidney Water. Urination immediately increased, and all symptoms ceased. Then, using Shanyao, Wuweizi (Schisandrae Fructus), Maidong (Ophiopogonis Radix), Renshen, [missing character, likely Huangqi], Chuanxiong, Danggui, Huangbai, Huangqin, Zhimu, and Zhi Gancao (Honey-fried Licorice), he nourished Yin Blood and supported Yuan Qi, leading to wound healing.
Yu Jinshi had a fractured leg bone set for three months but still suffered fever and continuous bleeding. The Zhengti Tang physicians' treatment was ineffective. The pulse at the left Guan position was surging and rapid, indicating blazing Liver Fire causing blood to flow recklessly due to heat. He was administered Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Shanzhi, Shaoyao (Paeoniae Radix Alba), Sheng Dihuang, and Fangfeng (Saposhnikoviae Radix). Bleeding stopped and fever subsided. Subsequently, Ba Zhen Tang (Eight Treasure Decoction), Wuweizi, and Maidong were used, and the wound healed.
The nephew of Tian Zongbo fell due to anger in mid-autumn, suffering whole-body pain, fever, and epistaxis. The Liver pulse was wiry and surging. Xue Ji said: Long-term epistaxis with a wiry and surging pulse indicates excessive Liver Fire controlling Metal. By spring, when Liver Wood flourishes, it will self-consume or damage Spleen Earth. This is not an easy-to-treat condition; one should nourish Kidney Water to generate Liver Wood and tonify Spleen Earth to generate Lung Metal. However, mixed use of Liver-fire-draining herbs led to his death in early spring.
Dayin Liu Guoxin suffered bleeding from a metallic wound, fever, and irritability, attributed to Yin deficiency. Sheng Yu Tang (Holy Salvation Decoction) was used. The deficient fire subsided, and blood returned to its vessels. The nephew of Liang Gelao suffered swelling, pain, and continuous bleeding from a metallic wound, with chills, fever, and dry mouth. This was due to Qi deficiency causing blood to have no attachment and fail to return to its vessels. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was used, with Wuweizi and Maidong as primary adjuncts. Yang Qi recovered, and he healed.