有一患者，腹胀呕吐眩晕，用柴胡、黄芩、山栀、紫苏、杏仁、枳壳、桔梗、川芎、
当归、赤芍、红花、桃仁四剂而定，后又出血过多，昏愦目黑，用十全大补等药而苏。时
肌肉溃烂，脓水淋漓，筋挛骨痛。薛切其脉浮而涩，沉而弱，此因气血耗损，不能养筋，
筋虚不能束骨，遂用养气血之药，治之而愈。
有一患者，杖疮愈后失于调理，头目不清，服祛风化痰等药反眩晕，服牛黄清心丸又肚
腹疼痛，杖痛肿痒，发热作渴，饮食不思，痰气上升，以为杖疮余毒复作，诊左尺脉洪大，
按之如无。薛曰∶此肾经不足，不能摄气归源，遂用人参、黄 、茯苓、陈皮、当归、川
芎、熟地、山药、山茱萸、五味、麦门、炙草服之而寻愈。后因劳热渴头痛，倦怠少食，
用补中益气汤加麦门、五味而痊。
有一患者，两胁胀闷，欲咳不咳，口觉血腥，遍身臀腿胀痛，倦怠不食，烦渴脉大，
此血脱烦躁也，与童便酒，及砭患处，出死血糜肉甚多，忽发热烦躁汗出，投以独参汤
三剂少止；又用补气血，清肝火之药数剂，饮食稍进，后用独参汤间服，诸症悉退，饮食
顿加。但不能多寐，以归脾汤加山栀、竹茹四剂而熟睡。因劳心，遂烦渴自汗，脉大无
力，以当归补血汤二剂而安，又以十全大补，去川芎加麦门、五味、牡丹、地骨、麻黄根、
炒浮麦数剂而汗止，死肉且溃，又二十余剂而新肉生。 有一患者，烦躁面赤，口干作
渴，脉洪大按之如无。薛曰∶此血虚发躁也，遂以当归补血汤二剂即止。后日晡发热，更
以四物加柴胡、牡丹、地骨、黄柏、知母治之，热退而疮敛。东垣云∶发热恶寒，大渴
不止，其脉大而无力者，非白虎汤证，此血虚发躁也，宜用当归补血汤治之。裴先生云∶
肌热躁热，目赤面红，其脉洪大而虚，此血虚也，若误服白虎汤，轻则危重则毙。 有
一患者，头额出汗，热渴气短，烦躁骨痛，瘀肉不溃，遂割去之出鲜血，服芩连之药益甚，
其脉洪大而微，此气血俱虚，邪火炽盛所致，
以四物加参、 、术、炙草，少用柴胡、炒芩，二剂头汗顿止，又加麦门、五味、肉桂
二剂，诸症悉退，后用参、 、归、术，炒芍、熟地、麦门、五味十余剂，瘀血溃而脓
水稠矣。但新肉不生，以前药倍用白术而敛。吴给事，坠马伤首，出血过多，发热烦躁，
肉润筋惕，或欲投破伤风药。予曰∶此血虚火动所致，当峻补其血为善，遂用圣愈汤二
剂即安，又养气血而疮瘥。 张进士，季秋坠马，亡血过多，出汗烦躁，翌日其汗自止，
热躁益甚，口噤手颤，此阴血虚阳火乘之而汗出，为寒气收敛腠理，故汗不得出，火不
得泄，怫郁内甚而益增他证也。予用四物加柴胡、黄芩、山栀四剂少止，又用四物，参、
、软柴胡、五味、麦门治之而痊。
有一位患者，出现腹部胀满、呕吐、眩晕的症状，使用柴胡、黄芩、山栀（栀子）、紫苏、杏仁、枳壳、桔梗、川芎、当归、赤芍、红花、桃仁这十二味药，服用四剂后病情稳定。后来因为出血过多，导致神志昏沉、眼前发黑，使用十全大补汤等药物后苏醒。当时肌肉溃烂，脓水淋漓不止，筋脉拘挛，骨骼疼痛。薛己切诊发现其脉象浮而涩，沉取则弱，这是因为气血耗损，不能濡养筋脉，筋脉虚弱无法约束骨骼所致，于是使用补养气血的药物进行治疗，最终痊愈。
有一位患者，杖疮愈合后因缺乏调理，头目昏沉不清爽，服用祛风化痰类药物反而加重眩晕，服用牛黄清心丸后又出现腹痛。此时杖疮部位肿痛瘙痒，伴有发热、口渴、食欲不振、痰气上逆等症状。薛己认为这是杖疮余毒复发的表现，诊察左尺脉洪大，但重按感觉空虚。薛己说：这是肾经不足，不能摄纳气机归源，于是使用人参、黄芪、茯苓、陈皮、当归、川芎、熟地黄、山药、山茱萸、五味子、麦门冬、炙甘草等药物治疗，不久便痊愈。后来因劳累出现低热、口渴、头痛，倦怠乏力、食欲减退，使用补中益气汤加麦门冬、五味子治疗后康复。
有一位患者，两胁部胀闷不适，想咳嗽却咳不出来，口中觉得有血腥味，全身臀部和大腿胀痛，倦怠乏力、不想进食，心烦口渴、脉象大，这是血脱导致的烦躁症状。给予童便和酒饮用，并在患处进行砭石放血，排出大量死血和腐肉。突然发热、烦躁、出汗，投用独参汤三剂后症状稍减；又使用补气血、清肝火的药物数剂，饮食逐渐增加，之后间歇服用独参汤，所有症状全部消退，饮食量顿时增加。但不能多睡，使用归脾汤加山栀、竹茹，服用四剂后便能熟睡。因劳心过度，再次出现心烦口渴、自汗，脉象大而无力的情况，使用当归补血汤二剂后安定，又使用十全大补汤，去掉川芎，加入麦门冬、五味子、牡丹皮、地骨皮、麻黄根、炒浮小麦，服用数剂后汗止，坏死组织开始溃破，又服用二十多剂后新肉生长。
有一位患者，烦躁、面色发红，口干作渴，脉象洪大但重按感觉空虚。薛己说：这是血虚引起的烦躁，于是使用当归补血汤，服用二剂即停止。后来在傍晚时分发热，再用四物汤加柴胡、牡丹皮、地骨皮、黄柏、知母治疗，热退后疮口收敛。李东垣说：发热恶寒，极度口渴不止，脉象大而无力的，不是白虎汤证，这是血虚引起的烦躁，应当使用当归补血汤治疗。裴先生说：肌肤发热躁热，眼睛红、面色红，脉象洪大而虚，这是血虚，如果误服白虎汤，轻则病情危重，重则死亡。
有一位患者，额头出汗，发热口渴、气短，烦躁、骨痛，瘀肉不溃烂，于是割去瘀肉流出鲜血，服用黄连、黄芩等苦寒药物后病情加重，其脉象洪大但微弱，这是气血俱虚、邪火炽盛所致，使用四物汤加人参、黄芪、白术、炙甘草，少量使用柴胡、炒黄芩，服用二剂后头汗立刻停止，又加入麦门冬、五味子、肉桂，服用二剂后所有症状全部消退，后来使用人参、黄芪、当归、白术、炒白芍、熟地黄、麦门冬、五味子，服用十余剂后，瘀血溃破且脓水变得浓稠。只是新肉不生，以前方药加倍使用白术使疮口收敛。吴给事，坠马伤及头部，出血过多，发热烦躁，肌肉松弛跳动，有人想要投用治疗破伤风的药物。我说：这是血虚火动所致，应当峻补其血为好，于是使用圣愈汤，服用二剂后即安定，又通过调养气血使疮口愈合。
张进士，深秋季节坠马，亡血过多，出汗烦躁，第二天汗水自行停止，但热躁更加严重，牙关紧闭、手部颤抖，这是阴血虚衰，阳火乘虚而入导致出汗，由于寒气收敛腠理，所以汗水不得出，火热不得泄，郁结于内非常严重从而增加了其他病症。我使用四物汤加柴胡、黄芩、山栀，服用四剂后症状稍减，又使用四物汤，加入人参、黄芪、软柴胡、五味子、麦门冬治疗而痊愈。
A patient presented with abdominal distension, vomiting, and vertigo. Treatment with Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Shan Zhi (Gardeniae Fructus), Zi Su (Perillae Folium), Xing Ren (Armeniacae Semen Amarum), Zhi Qiao (Aurantii Fructus), Jie Geng (Platycodonis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chi Shao (Paeoniae Radix Rubra), Hong Hua (Carthami Flos), and Tao Ren (Persicae Semen) for four doses stabilized the condition. Subsequently, due to excessive bleeding, the patient became comatose with blackened vision. Recovery was achieved using Shi Quan Da Bu Tang (Decoction of Ten Tonic Ingredients) and other herbs. At that time, muscles were ulcerated with dripping pus, tendons were spasmodic, and bones ached. Xue Ji palpated the pulse as floating and choppy on the superficial level, and weak on the deep level. This indicated that Qi and Blood were depleted, failing to nourish the tendons; the weakness of the tendons failed to bind the bones. Therefore, herbs tonifying Qi and Blood were administered, leading to recovery.
Another patient, after healing from a beating injury, neglected proper recuperation, resulting in a cloudy head and eyes. Taking wind-dispelling and phlegm-resolving herbs aggravated the vertigo, and taking Niu Huang Qing Xin Wan (Calculus Bovis Heart-Clearing Pill) caused abdominal pain. The beating wound remained swollen, itchy, accompanied by fever, thirst, anorexia, and rising phlegm-Qi. It was considered a recurrence of residual toxins from the beating injury. Palpation of the left Chi (Cunian) pulse revealed it was surging but empty upon pressure. Xue Ji stated: "This is insufficiency of the Kidney Meridian, failing to grasp Qi and return it to its source." Treatment with Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Dang Gui, Chuan Xiong, Shu Di Huang (Rehmanniae Radix Praeparata), Shan Yao (Dioscoreae Rhizoma), Shan Zhu Yu (Corni Fructus), Wu Wei Zi (Schisandrae Chinensis Fructus), Mai Men Dong (Ophiopogonis Radix), and Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle) led to rapid recovery. Later, due to exertion, symptoms of low-grade fever, thirst, headache, fatigue, and poor appetite appeared. Recovery was achieved using Bu Zhong Yi Qi Tang (Decoction for Supplementing the Middle and Augmenting the Qi) plus Mai Men Dong and Wu Wei Zi.
A patient suffered from distension and stuffiness in both hypochondria, a desire to cough without success, a metallic taste in the mouth, swelling and pain in the buttocks and legs, fatigue, anorexia, irritability, thirst, and a large pulse. This was identified as irritability due to blood loss. Administration of child urine mixed with wine, along with Bian Fa (stone pricking therapy) at the affected sites, expelled a significant amount of stagnant blood and necrotic tissue. Suddenly, fever, irritability, and sweating occurred. Three doses of Du Shen Tang (Decoction of Single Ginseng) slightly alleviated the symptoms. Subsequently, several doses of herbs tonifying Qi and Blood and clearing Liver Fire improved dietary intake. Intermittent use of Du Shen Tang resolved all symptoms and significantly increased appetite. However, insomnia persisted. Four doses of Gui Pi Tang (Restore the Spleen Decoction) plus Shan Zhi and Zhu Ru (Bambusae Membrana Sacca) induced deep sleep. Due to mental overexertion, irritability, thirst, and spontaneous sweating recurred with a large but forceless pulse. Two doses of Dang Gui Bu Xue Tang (Tang Gui's Decoction for Tonifying Blood) brought stability. Then, Shi Quan Da Bu Tang, modified by removing Chuan Xiong and adding Mai Men Dong, Wu Wei Zi, Mu Dan Pi (Moutan Cortex), Di Gu Pi (Lycii Cortex), Ma Huang Gen (Ephedrae Radix et Rhizoma), and Chao Fu Mai (Triticum Vulgare Fructus Praeparatus) for several doses stopped the sweating. Necrotic tissue began to slough off, and after more than twenty doses, new granulation tissue grew.
Another patient presented with irritability, flushed face, dry mouth with thirst, and a surging pulse that felt empty upon pressure. Xue Ji stated: "This is irritability caused by Blood deficiency." Two doses of Dang Gui Bu Xue Tang stopped the symptoms. Later, evening tidal fever occurred. Treatment with Si Wu Tang (Four Substances Decoction) plus Chai Hu (Bupleuri Radix), Mu Dan Pi, Di Gu Pi, Huang Bo (Phellodendri Cortex), and Zhi Mu (Anemarrhenae Rhizoma) reduced the fever and promoted wound contraction. Li Dongyuan stated: "Fever with aversion to cold, extreme unquenchable thirst, and a large but forceless pulse are not indications for Bai Hu Tang (White Tiger Decoction); this is irritability due to Blood deficiency, and Dang Gui Bu Xue Tang should be used." Mr. Pei stated: "Muscular heat and restlessness, red eyes and face, with a surging yet deficient pulse indicate Blood deficiency. If Bai Hu Tang is mistakenly administered, the condition may become critical or fatal."
A patient had sweating on the forehead, fever, thirst, shortness of breath, irritability, bone pain, and non-ulcerated necrotic tissue. The necrotic tissue was excised, releasing fresh blood. Taking Huang Lian (Coptidis Rhizoma) and Huang Qin aggravated the condition. The pulse was surging yet faint, indicating dual deficiency of Qi and Blood with blazing pathogenic fire. Treatment with Si Wu Tang plus Ren Shen, Huang Qi, Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Zhi Gan Cao, with small amounts of Chai Hu and Chao Huang Qin, stopped the head sweating after two doses. Adding Mai Men Dong, Wu Wei Zi, and Rou Gui (Cinnamomi Cortex) for two doses resolved all symptoms. Subsequently, Ren Shen, Huang Qi, Dang Gui, Bai Zhu, Chao Bai Shao (Paeoniae Radix Alba Praeparata), Shu Di Huang, Mai Men Dong, and Wu Wei Zi were taken for over ten doses, causing the necrotic tissue to ulcerate and the pus to become thick. Since new flesh did not grow, doubling the dosage of Bai Zhu in the previous formula promoted wound closure.
Wu Jishi, injured his head falling from a horse, suffered excessive bleeding, fever, irritability, muscle laxity, and twitching. Some suggested administering herbs for Po Shang Feng (Wind-Strike following Injury). I said: "This is caused by Blood deficiency and moving Fire. Profound tonification of Blood is appropriate." Two doses of Sheng Yu Tang (Sage's Decoction for Replenishing Life) brought peace, followed by nourishing Qi and Blood to heal the wound.
Zhang Jinshi, fell from a horse in late autumn, suffering excessive blood loss, sweating, and irritability. The next day, sweating ceased spontaneously, but heat and restlessness worsened, accompanied by trismus and hand tremors. This was Yin-Blood deficiency allowing Yang-Fire to invade, causing sweating; however, Cold Qi constricted the Cou Li (pores/skin texture), preventing sweat release and Fire venting, leading to severe internal stagnation and additional symptoms. Four doses of Si Wu Tang plus Chai Hu, Huang Qin, and Shan Zhi slightly alleviated the condition. Further treatment with Si Wu Tang plus Ren Shen, Huang Qi, Ruan Chai Hu (Soft Bupleuri Radix), Wu Wei Zi, and Mai Men Dong resulted in recovery.