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Difficulty in urination and defecation, with red urine. I (Chunyu Yi) administered Huoqi Tang (Fire-Equalizing Decoction); after one dose, both urinary and fecal discharge became smooth; after two doses, the illness resolved, and the urine returned to normal.

I stated: "The pulse is large and restless. 'Large' indicates abnormal Qi mechanism of the Bladder; 'restless' indicates internal Heat causing red urine." I also palpated the Taiyin (Great Yin) mouth [pulse position] and said: "This is Damp-Heat complicated by Wind pathogen." I once used decoction of *Dioscorea alata* root (White Butterfly Flower Root) for drinking and achieved effective results. Examining my use of Huoqi Tang, which consists of Fuzi (Prepared Aconite Root), Rougui (Cinnamon Bark), Daji (Euphorbia Root), Dahuang (Rhubarb Root), Hanfangji (Stephania Tetrandra), Cheqianzi (Plantago Seed), and Fangfeng (Saposhnikovia Root), how could these be commonly used? What makes my skill a unique art? (Wu Pu's Note)

Shanfu Disease (Mountain Stiffness Illness) arises from extreme anger followed by sexual intercourse. The reason I diagnosed Shanfu Disease was that upon palpating the pulse, I found Lung Qi Heat. The Imperial Physician of Qi first diagnosed Shanfu Disease, moxa-ed the Foot Shaoyang (Lesser Yang) mouth [pulse position], and administered Banxia Wan (Pinellia Pill). The patient immediately suffered from diarrhea, leaving the abdomen empty. Then, he moxa-ed the Shao Yin (Lesser Yin) pulse. This severely damaged the Liver's rigid Qi, penetrating deeply. Such repeated damage to the patient's Qi caused alternating chills and fever, leading to mania three days later. One collateral of the Liver connects and attaches, knotting at the Yangming (Bright Yang) below the breast, thus severing the collaterals. If the Yangmai (Yang Pulse) is opened, injury to the Yangmai leads to manic running. Death occurs five days later because the distance between the Liver and Heart is five fen; thus, it is said that when five days pass, essence is exhausted, and exhaustion leads to death. (Fan A's Note)

Commentary: This illness initially involved the Liver, then phlegm-dampness accumulated in the Lungs, followed by moxibustion treatment, and in summer, the administration of the drying and acrid Banxia (Pinellia). However, if Yuan Qi (Original Qi) were greatly tonified, such as using Qiyе Qinglin San (Leaf-Lacquer Green Scale Powder), it was not untreatable. It merely required long-term administration for slow regulation, unable to provide emergency relief. (Fan A's Note)

Jia Mass (Soft Mass) differs from Zheng Mass (Hard Mass). Zheng Mass is hard, while Jia Mass is soft. Zheng Mass is formed by Blood stasis, whereas Jia Mass is formed by Qi stagnation. Pan Manru, the Grand Commandant of Qi, suffered from lower abdominal pain. Upon palpating his pulse, I found it deep, small, and weak, suddenly floating together, indicating Spleen Qi deficiency. The right pulse at the Kou position was tight and small, revealing the presence of Jia Qi. He subsequently died after passing blood in urine.

Commentary: If this patient had been treated by my Master, his Jia Mass would certainly not have ruptured spontaneously leading to hematuria and death. Chunyu Yi likely could only diagnose life and death through pulse-taking but could not truly cure diseases. Loss of Spleen function does not necessarily lead to death, and rupture of a mass does not necessarily cause muscle pain; he did not yet understand this principle. (Fan A's Note)