梁阁老侄，跌伤腿，外敷大黄等药，内服破血之剂，遂致内溃。薛针出秽脓三碗许，
虚证悉具，用大补之剂两月余，少能步履，因劳心，手撒、眼闭、汗出如水，或欲用祛风
之剂。薛曰∶此气血尚未充足而然也。急以艾炒热，频熨肚脐、并气海穴处，以人参四
两，炮附子（五钱），煎灌，良久臂少动。又灌一剂，眼开能言，但气不能接续，乃以参、 、
归、术四味，（共一斤），附子（五钱），水煎徐徐服之，元气渐复，饮食已进，乃去附子服之而
疮愈。
跳跃捶胸，闪挫举重，劳役恚怒而胸腹痛闷，喜手摸者，肝火伤脾也，用四君、柴
胡、山栀。畏手摸者，肝经血滞也，用四物、柴胡、山栀、桃仁、红花。若胸胁作痛，发
热晡热，肝经血伤也，用加味逍遥散。若胸胁作痛，饮食少思，肝脾气伤也，用四君、芎、
归、柴栀、丹皮。若胸腹胀满，饮食少思，肝脾气滞也，用六君加柴胡、芎、归。若胸腹
不利，食少无寐，脾气郁结也，用加味归脾汤。若痰气不利，脾肺气滞也，用二陈、白
术、芎、归、栀子、青皮。若切牙发搐，肝旺脾虚也，用小柴胡汤，川芎、山栀、天麻、
钓藤钩。或用风药，则肝血益伤，肝火益甚。或饮糖洒，则肾水溢虚，肝火愈炽。若用大
黄等药，内伤阴络，反致下血，少壮者必为痼疾，老弱者多致不起。
梁阁老的侄子，腿部遭受跌打损伤，外用大黄等药物敷贴，内服破血化瘀的药剂，导致体内组织溃烂。薛己针刺排出污秽脓液约三碗，患者呈现全面的虚证表现，使用大补气血的方剂治疗两个多月，才勉强能够行走。后因过度劳心，出现手部松开、眼睛闭合、汗水如水流出的症状，有人打算使用祛风类药物。薛己说：这是气血尚未充足所致。急忙将艾叶炒热，频繁熨烫肚脐和气海穴部位，用人参四两、炮附子五钱煎汤灌服，过了很久手臂才稍有动静。又灌服一剂后，眼睛睁开能说话，但气息不能接续，于是用人参、白术、当归、白芍四味药（共一斤），加附子五钱，水煎后慢慢服用，元气逐渐恢复，饮食也已进用，此时去掉附子继续服用，疮口痊愈。
因跳跃、捶胸、闪挫或举重，以及劳累、愤怒导致的胸腹疼痛闷胀，喜欢被人用手抚摸缓解的，是肝火损伤脾脏所致，使用四君子汤、柴胡、山栀。害怕被人用手抚摸的，是肝经血液停滞所致，使用四物汤、柴胡、山栀、桃仁、红花。如果胸胁部疼痛，伴有发热和午后潮热，是肝经血液受损所致，使用加味逍遥散。如果胸胁部疼痛，饮食减少思虑不足，是肝脾之气受损所致，使用四君子汤、川芎、当归、柴胡、山栀、丹皮。如果胸腹胀满，饮食减少思虑不足，是肝脾之气滞涩所致，使用六君子汤加柴胡、川芎、当归。如果胸腹部不适，食少失眠，是脾气郁结所致，使用加味归脾汤。如果痰气运行不畅，是脾肺之气滞涩所致，使用二陈汤、白术、川芎、当归、栀子、青皮。如果出现咬牙抽搐，是肝旺脾虚所致，使用小柴胡汤，加川芎、山栀、天麻、钓藤钩。如果使用风药，则肝血更加受伤，肝火更加旺盛。如果饮用甜酒，则肾水更加亏虚，肝火更加炽盛。如果使用大黄等寒凉药物，会内伤阴络，反而导致下血，年轻力壮者必然成为顽固疾病，年老体弱者多会导致死亡。
The nephew of Vice Minister Liang suffered a leg injury from a fall. He applied external poultices containing Rhizoma Polygoni Cuspidati (Dahuang) and other herbs, and took internal blood-breaking decoctions, which subsequently led to internal tissue ulceration. Xue Ji punctured the area, draining approximately three bowls of foul pus. The patient presented with comprehensive deficiency symptoms. After more than two months of treatment with major tonifying formulas, he could barely walk. Due to excessive mental exertion, he developed symptoms of hand relaxation, eye closure, and profuse sweating like water. Some suggested using wind-dispelling agents. Xue Ji stated: "This is due to insufficient Qi and Blood." He urgently had mugwort leaves (Artemisiae Argyi Folium) stir-fried until hot and frequently moxibusted the navel (Shenque, CV8) and Qihai (CV6) acupoints. He administered a decoction of four taels of Radix Ginseng (Renshen) and five qian of Prepared Radix Aconiti Lateralis Preparata (Paofuzi). After a long while, the arm showed slight movement. After administering another dose, the eyes opened and speech resumed, but the breath was unable to connect continuously. Therefore, he prescribed a formula of Radix Ginseng (Renshen), Rhizoma Atractylodis Macrocephalae (Baizhu), Radix Angelicae Sinensis (Danggui), and Radix Paeoniae Alba (Baishao)—totaling one jin—along with five qian of Radix Aconiti Lateralis Preparata (Fuzi), decocted in water and taken slowly. Gradually, the primordial Qi recovered, food intake resumed, and upon removing Fuzi and continuing the remaining prescription, the wound healed.
Chest and abdominal pain and distension caused by jumping, chest pounding, sprains, lifting heavy objects, labor, or anger, where the patient prefers being touched, indicates Liver Fire damaging the Spleen; treat with Four Gentlemen Decoction (Sijunzi Tang), Bupleuri Radix (Chaihu), and Gardenia Fruit (Shanzhi). If the patient fears being touched, it indicates Blood stasis in the Liver Meridian; treat with Four Substances Decoction (Siwu Tang), Chaihu, Shanzhi, Peach Kernel (Taoren), and Safflower (Honghua). If there is pain in the chest and hypochondrium accompanied by fever and afternoon tidal fever, it indicates damage to Liver Meridian Blood; treat with Modified Free and Easy Wanderer Powder (Jiawei Xiaoyao San). If there is chest/hypochondriac pain with poor appetite and lack of desire for food, it indicates damage to Liver and Spleen Qi; treat with Sijunzi Tang, Ligusticum Chuanxiong Rhizome (Chuanxiong), Danggui, Chaihu, Shanzhi, and Moutan Cortex (Danpi). If there is chest/abdominal fullness with poor appetite, it indicates Qi stagnation in the Liver and Spleen; treat with Six Gentlemen Decoction (Liujunzi Tang) plus Chaihu, Chuanxiong, and Danggui. If there is discomfort in the chest/abdomen, poor appetite, and insomnia, it indicates Spleen Qi depression; treat with Modified Guipi Decoction (Jiawei Guipi Tang). If there is difficulty in Phlegm-Qi movement indicating Spleen and Lung Qi stagnation, treat with Two-Chen Decoction (Erchen Tang), Baizhu, Chuanxiong, Danggui, Zhi Zi, and Green Tangerina Peel (Qingpi). If there is teeth grinding and convulsions, it indicates Liver Excess and Spleen Deficiency; treat with Minor Bupleurum Decoction (Xiaochaihu Tang) plus Chuanxiong, Shanzhi, Gastrodia Tuber (Tianma), and Uncaria Ramulus cum Uncis (Gouteng). Using wind-dispersing herbs will further injure Liver Blood and intensify Liver Fire. Drinking sweet wine will further deplete Kidney Water and exacerbate Liver Fire. Using cold herbs like Rhizoma Polygoni Cuspidati (Dahuang) will damage the Yin collaterals internally, leading to lower bleeding; young and strong individuals will likely develop chronic diseases, while the old and weak may die.