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Xu Xueshi treated a nun. The patient suffered from aversion to wind, fatigue, alternating chills and fever, flushed face, palpitations (heart palpitation), and occasional spontaneous sweating. At that time, epidemic qi was prevalent. Physicians, seeing her chills and fever, treated it as Taiyang disease (a syndrome caused by pathogenic factors invading the Taiyang channel) and administered mixed doses of Da Chaihu Tang (Major Bupleurum Decoction) and Xiao Chaihu Tang (Minor Bupleurum Decoction). After several days, the condition worsened. Xu examined the patient and told the family: "The pulses in the three positions do not show signs of cold pathogens; rather, the Jueyin pulse is wiry and long, extending up to the Yuji area (the thenar eminence at the base of the thumb). It is appropriate to administer Yin-suppressing medicines." He therefore prepared a formula consisting of Shengdi (Rehmanniae Radix Preparata) 2 liang, Chi Shao (Paeoniae Radix Rubra) 1 liang, Chai Hu (Bupleuri Radix), Qin Jiao (Gentianae Macrophyllae Radix), and Huang Qin (Scutellariae Radix), each 5 qian. These were ground into fine powder, mixed with honey, and formed into pills the size of tung tree seeds. Each dose consisted of 30 pills, taken with Wu Mei Tang (Mume Fruit Decoction), three times daily. The patient recovered well shortly after.

Xue Lizhai treated a widow who developed intermittent chills and fever due to anger, which persisted for a long time. Her Liver pulse was wiry and tight. She was treated with Xiao Chaihu Tang added with Shengdi (Rehmanniae Radix Preparata) and recovered. However, exposure to wind still triggered chills and fever. This indicated deficiency of Spleen and Stomach Qi. She was treated concurrently with Jiawei Guipi Tang (Modified Restore the Spleen Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), and the symptoms ceased.

A palace maid who had been released suffered from pain in both hips. The skin color remained unchanged, but she experienced pain during urination and defecation resembling strangury (painful urinary dysfunction), which was exacerbated when using the toilet. This was caused by blood stasis infiltrating the orifices/tunnels, a condition resulting from sexual incompatibility or lack of intercourse. It was difficult to treat. Later, the sores ulcerated and failed to heal, and she died after developing scrofula (tuberculous lymphadenitis). This woman had harbored depression while in the palace; after leaving, she served as an external concubine but was dissatisfied, leading to this illness. Thus, it is evident that scrofula and flowing abscesses result from damage to Qi and Blood caused by the Seven Emotions (joy, anger, worry, thought, sadness, fear, fright). They should not be treated with purgative or attacking methods; this is clear. According to the *Jingxue Pian* (Chapter on Essence and Blood): Once a woman's Tian Gui (menstruation) has arrived, if ten years pass without male intercourse, menstruation becomes irregular. If less than ten years have passed and she desires intercourse, menstruation also becomes irregular. Irregularity causes old blood to remain and new blood to flow improperly; some infiltrates the bones, some forms swellings, and even if intercourse occurs, conception may be difficult. Excessive intercourse depletes fluids and weakens the person; excessive childbirth depletes blood and can be fatal.

Jiang Huangnan treated a noblewoman living in widowhood. Her menstruation was irregular, and she frequently suffered from chills and fever. Her hands and feet were occasionally numb, and she felt heart deficiency with palpitations and fright. Sometimes she felt a spicy or burning sensation in her chest. Various treatments were ineffective. Her Liver pulse was wiry and extended beyond the left Cun position (distal radial pulse position). He deduced that she had emotional stagnation and unfulfilled sexual desire. He prescribed only Wu Yao (Linderae Radix) and Xiang Fu (Cyperi Rhizoma). After two doses, all symptoms subsided.

Yu Zhen’s commentary: Desiring a man but being unable to obtain him causes internal stagnation of Minister Fire (Ministerial Fire, associated with the Kidney and San Jiao). Prolonged stagnation inevitably leads to hidden consumption of Qi and Blood, causing Yin and Yang to contend, thereby generating chills and fever internally. This is not always due to essence and blood leaving their proper positions and infiltrating tunnels to generate chills and fever. Therefore, cases of incompatibility progressing to consumptive diseases (lao disease) are often incurable by medicine. Jiang’s statement that the Liver pulse extending beyond the Cun position indicates that the Liver governs free flow (Shu Xie); since Liver Fire does not disperse and rebels upward, this explanation is coherent. Furthermore, Wei stated that among modern people, five out of ten have pulses reaching the Yuji area, either on the left, right, or both sides. This is commonly seen in individuals with Yin deficiency and hyperactive fire, and one cannot definitively diagnose it as stagnation disease. This view is also correct.