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Males and females who were overworked in childhood, and experienced unfulfilled moods in their prime, may reach old age without other diseases, presenting only with slight aversion to cold without fever, chest fullness, frequent loss of appetite, peaceful spirit but weak strength, reduced food intake, and abdominal distension. This is due to the long-standing decline of essence and qi, and now the source of transformation and generation in the Middle Palace (Spleen and Stomach) is about to be exhausted; it is merely a matter of prolonged duration.

In cases where males or females have slight fever, dizziness, and an immediately dry and short tongue, with slurred speech but clear consciousness, and no desire for water, if Yin-nourishing methods are applied, the fever subsides and the tongue becomes moist, yet the body and spirit become emaciated and depleted, this indicates that True Yin has been exhausted first, and isolated Yang is about to depart; life expectancy is only a few days.

For constitutions with inherent deficiency of Yuan Qi (Original Qi), excessive labor, bearing heavy loads while fasting, emotional anger injuring the Middle Jiao, negligence after illness, excessive sexual activity, deep and excessive thinking, or traveling far during extreme heat or cold accompanied by mental and physical fatigue, all damage the person's essence and qi. Is this not deficiency adding to deficiency? Therefore, fainting and sudden collapse often occur, without exterior signs of chills or fever, and without interior symptoms such as vomiting or diarrhea. Large tonifying formulas must be used to cultivate and support the True Yuan.

A few days after birth, infants may develop purple-red patches all over the body, varying in size, spreading rapidly. This is called Chi You Dan (Red Roaming Carbuncle). Immediate bloodletting with bi stones to remove evil blood can save the patient. Or, if the swelling is high like a carbuncle, suppurating within one or two days, it should be pricked and drained promptly; delay will lead to internal ulceration. This occurs because the fetus was affected by heat toxins from the parents, which are triggered by external heat after birth.

An infant's skull may float and feel soft like a cup or bowl, without pain upon pressure. If it were a carbuncle or toxin, pressing would cause pain, resembling a mature abscess. This is due to deficiency in both congenital and acquired sources, or qi injury from prolonged illness. When qi is injured, it cannot secure blood; when blood is deficient, it cannot assist qi. Thus, qi fails to ascend, blood stasis causes swelling. Mistaken use of knives or needles will cause uncontrollable bleeding, leading to immediate danger. Yi Qi Gu Yin Tang (see formula below) should be used for slow treatment, and the scalp will naturally become firm.

The Stomach governs reception and containment; the Spleen governs digestion. Located in the center of the human body, belonging to Earth and associated with the color yellow, they steam and rot food and drink, separate the clear from the turbid, and regulate ascending and descending movements, thereby generating qi and blood and assisting spirit. Once normal function is lost, disease easily arises. The body and face appear puffy with a pale yellow complexion. If the sclera is not yellow, it is not Huang Dan Bing (Jaundice); it is Pi Xu (Spleen Deficiency), and the treatment principle is to tonify Earth.