慢痧迟缓，中于血分，未至攻心，留滞经络，或在左在右，半身疼痛或麻痹，遂成半身
不遂，见痧筋急刺破，用药散毒活血消瘀（土六）。
一人朝凉夜热，气急半年，服药不应，加右半身疼不能俯仰，痰嗽食减，成劳弱病。然
脉症不符，阅痧筋刺二十余针，用土六方二服后，疼痛吐痰俱除，后朝用六味丸，夕用补中
益气，寒热愈。
先有臌胀，忽痧乘之，臌胀益甚，痧宜早治。
一人脐突筋青，心坎将平，知为血臌，其指头黑色，兼痧无疑。刺二十余针，腿臂血出
，略松。服丝三方、脐下青筋渐退，后用臌症药导去恶水，日服治臌香橼丸，二月余臌症尽
平。
慢痧迁延时日，留滞肌肤肠胃中，若不早治，即成真臌。
一人急气作胀饱闷，脐下青筋突起，心坎将平，此慢痧成臌也，刺二十余针，出毒血，
脐筋即淡，腹内觉松，用石二方，胀渐消。
先有痰火嗽疾，忽喘急如锯，或头汗如油，烦闷莫状。虽是痰火危笃，然有兼感时气秽
触骤然势盛者，必宜察脉按症，先清痧、次治痰，渐补气血可耳。
一妪素抱痰火老弱病，忽痰壅喘急如锯，六脉不匀如雀啄，此兼痧症，尚有挽回，刺出
恶血，用散痧消食豁痰顺气药，并进土五方渐安，后大补气血而痊。
先有劳弱症，或时吐血或微干嗽，颧唇鲜红，或骨蒸发热不已，一染时气秽触，必兼痧
症，或痰喘、或喉鲠、或胀闷烦热，较平时不足之症益觉沉重，宜治痧为主，令痧退尽方治
本症。
一劳弱吐红症，脉洪实有力，医谓此脉是症之所忌，予见势暴凝焉，视腿弯筋青色，先
放痧，脉和症平，又用散痧消食去积药，饮食渐进，后用六味丸及十全汤，劳弱亦愈，盖向
病俱从痧气而泄，所以用补得效也。
一妇吐血干嗽，昼凉夜热已久，因怒午后忽发热胀闷、痰喘昏迷，左关微缓，余脉应指
不匀。夫怒气左关必有力，劳弱脉亦宜弦数，内有瘀血，寸关亦当见芤，脉不对症，兼痧明
矣，刺痧筋、倍用石二方清茶饮之，神清喘已，但劳弱未愈耳。
慢痧（发病缓慢的痧症）病程迟缓，邪气侵入血分，尚未攻心，但留滞于经络之中，表现为身体左侧或右侧半身疼痛或麻木，最终导致半身不遂。治疗时可见皮肤下显现青紫色的“痧筋”，将其刺破出血，并用药方散毒、活血、消瘀（使用土六方）。
有一人早晨怕冷、晚上发热，气急症状持续半年，服药无效，随后出现右半身疼痛且无法自如俯仰，伴有痰嗽、食欲减退，演变为虚劳弱症。然而脉象与症状不符，检查发现痧筋，针刺二十余针后，使用土六方服用两剂，疼痛和吐痰症状全部消除。之后早上服用六味丸，晚上服用补中益气汤，寒热症状痊愈。
原本患有臌胀病（腹部胀大如鼓的疾病），忽然又感染痧症，导致臌胀病情加重，痧症应当尽早治疗。
有一人脐部突起、静脉青紫，心窝处平坦（正常形态消失），判断为血臌，手指头呈黑色，兼有痧症无疑。针刺二十余针，腿部和手臂放出血液，症状稍缓解。服用丝三方后，脐下青筋逐渐消退，之后使用治疗臌胀的药物导除体内恶水，每日服用治臌香橼丸，两个多月后臌胀症状完全平复。
慢痧迁延日久，留滞在肌肤和肠胃中，如果不尽早治疗，就会演变成真臌胀。
有一人因急怒导致腹胀饱闷，脐下青筋突起，心窝处平坦，这是慢痧演变为臌胀的表现。针刺二十余针，放出毒血，脐下筋脉颜色变淡，腹部感觉轻松，使用石二方，腹胀逐渐消退。
原本患有痰火咳嗽疾病，忽然气喘急促如同拉锯声，或者头部出汗如油，烦躁闷乱难以形容。虽然这是痰火危重之症，但如果同时感染了时行疫气秽浊之气，导致病情骤然加重，必须诊察脉象和症状，先清除痧毒，再治疗痰症，最后逐渐补益气血即可。
有一位老妇人素来患有痰火导致的虚弱病症，忽然痰液壅塞、气喘急促如拉锯声，六脉不调匀如雀啄脉，这是兼有痧症，尚有挽回余地。刺出恶血，使用散痧、消食、豁痰、顺气的药物，并进服土五方，症状逐渐安定，后来大补气血而痊愈。
原本患有劳弱症，有时吐血或轻微干咳，颧骨和嘴唇鲜红，或者有骨蒸潮热不止，一旦感染时行疫气秽浊之气，必定兼有痧症，可能出现痰喘、咽喉梗阻感、腹胀闷烦热等症状，比平时的不足之症更加沉重。治疗应以治痧为主，待痧症退尽后再治疗本来的虚劳症。
有一位劳弱吐血患者，脉象洪大有力，医生认为这种脉象是此症的禁忌。我见其病势暴烈凝滞，查看其腿弯处静脉青色，先进行放痧治疗，脉象平和、症状平息，又使用散痧、消食、去积的药物，饮食逐渐恢复，后来服用六味丸及十全汤，劳弱症也痊愈了，这是因为向日的病邪都随着痧气排出体外，所以使用补法得以见效。
有一位妇女吐血、干咳，昼凉夜热已久，因发怒午后忽然发热、腹胀闷、痰喘昏迷，左关脉微缓，其余脉象应指不调匀。怒气发作时左关脉必然有力，劳弱症的脉象也宜见弦数，若内有瘀血，寸关脉也应见芤脉，现在的脉象与症状不对应，兼有痧症是明显的。刺破痧筋，加倍使用石二方清茶饮服，神志清醒、喘息停止，只是劳弱症尚未痊愈罢了。
Slow Sha (Sha syndrome with slow onset) has a protracted course, the pathogen enters the Blood aspect, has not yet attacked the Heart, but remains stagnant in the meridians. It manifests as pain or numbness on either the left or right side of the body, eventually leading to hemiplegia. When blue-purple "Sha veins" are visible under the skin, they should be pricked to bleed, and herbal formulas used to dissipate toxins, invigorate blood, and resolve stasis (using Tu Liu Fang).
A patient experienced morning chills and evening fevers, with shortness of breath persisting for half a year. Medication was ineffective. Subsequently, pain in the right half of the body developed, preventing free flexion and extension, accompanied by phlegm-cough and reduced appetite, evolving into a deficiency-consumption weakness. However, the pulse did not match the symptoms. Examination revealed Sha veins; after pricking more than twenty needles, two doses of Tu Liu Fang were administered. The pain and phlegm expectoration were completely relieved. Later, Liu Wei Wan (Six-Ingredient Pill with Rehmannia) was taken in the morning, and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) in the evening, resolving the alternating chills and fever.
The patient previously suffered from Gu Zhang (Abdominal Distension Syndrome resembling drum), but suddenly contracted Sha syndrome, exacerbating the abdominal distension. Sha syndrome requires early treatment.
A patient presented with protruding umbilicus and cyanotic subcutaneous veins, with the epigastric region flattening out, indicating Blood Gu Zhang. The fingertips were black, confirming concurrent Sha syndrome. More than twenty needles were pricked, releasing blood from the legs and arms, providing slight relief. After taking Si San Fang, the cyanotic veins below the umbilicus gradually receded. Subsequently, drugs for treating Gu Zhang were used to guide out noxious fluids, and Zhi Gu Xiang Yuan Wan (Efficacious Drum-Regulating Citron Pill) was taken daily. Over two months, the Gu Zhang symptoms completely resolved.
Slow Sha lingering for a long time stagnates in the skin, muscles, intestines, and stomach. If not treated early, it will transform into true Gu Zhang.
A patient suffered from acute anger-induced abdominal fullness and bloating, with protruding cyanotic veins below the umbilicus and a flattened epigastric region. This is Slow Sha transforming into Gu Zhang. More than twenty needles were pricked, releasing toxic blood. The color of the umbilical veins lightened, and the abdomen felt relaxed. Shi Er Fang was administered, and the abdominal distension gradually subsided.
Previously suffering from Phlegm-Fire cough disease, the patient suddenly experienced severe asthma-like wheezing (sawing sound), or profuse oily sweat on the head, and indescribable irritability and oppression. Although this is a critical Phlegm-Fire condition, if concurrently infected with seasonal epidemic turbid pathogens causing sudden severity, one must examine the pulse and symptoms. First, clear the Sha toxin, then treat the Phlegm, and gradually tonify Qi and Blood.
An elderly woman, chronically weak due to Phlegm-Fire, suddenly developed phlegm obstruction and severe sawing-like asthma. Her six pulses were irregular, resembling the pecking of a sparrow. This indicates concurrent Sha syndrome, with room for recovery. Evil blood was pricked out. Formulas to dissipate Sha, digest food, resolve phlegm, and regulate Qi were used, along with Tu Wu Fang. Symptoms gradually stabilized. She later recovered after massive tonification of Qi and Blood.
Patients with prior Consumption-Weakness may experience occasional hemoptysis or mild dry cough, bright red malar flush and lips, or unremitting bone-steaming fever. Once infected with seasonal epidemic turbid pathogens, they inevitably develop concurrent Sha syndrome, manifesting as phlegm-asthma, throat obstruction sensation, or abdominal distension and irritability. These symptoms feel heavier than usual deficiencies. Treatment should primarily focus on resolving Sha; only after Sha is fully cleared should the underlying Consumption-Weakness be treated.
A patient with Consumption-Weakness and hemoptysis presented with a surging, forceful pulse. Physicians considered this pulse contraindicated for this condition. Observing the violent and stagnant nature of the illness, I noted cyanotic veins in the popliteal fossa. Sha release was performed first. The pulse became harmonious and symptoms calmed. Subsequently, herbs to dissipate Sha, digest food, and remove accumulation were used. Diet gradually improved. Later, Liu Wei Wan and Shi Quan Tang (Ten Complete Decoction) were administered, curing the Consumption-Weakness. This is because previous pathogens were expelled via the Sha mechanism, allowing tonification to be effective.
A female patient with hemoptysis and dry cough had experienced cool days and hot nights for a long time. Due to anger, she suddenly developed afternoon fever, abdominal distension and oppression, phlegm-asthma, and coma. The Left Guan pulse was slightly slack, while other pulses were irregular upon palpation. Anger typically causes a forceful Left Guan pulse; Consumption-Weakness usually presents with wiry and rapid pulses. Internal blood stasis would typically show a knotted pulse at Cun and Guan. Since the pulse does not match the symptoms, concurrent Sha syndrome is evident. Sha veins were pricked, and Shi Er Fang was doubled and drunk as a clear tea. Consciousness cleared, and asthma ceased, though the Consumption-Weakness remained unresolved.