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Spirit is damaged above, essence is corrupted below. Heart and Kidney fail to interact; prolonged injury to Qi and Essence, with no recovery, is termed "Damage" (Sun). The *Nei Jing* discusses the treatment of Damage in the Five Zang organs, with different methods for each. Yue Ren (Bian Que) proposed that upper Damage should be treated from the Yang aspect, and lower Damage from the Yin aspect. However, one must rely on food intake to nourish, so that the Post-Heaven Stomach and Spleen are revitalized, hoping that Essence and Qi can be generated from grain and food. From this past autumn until now, the condition has worsened; this indicates that the True Qi within lacks storage. During the Spring season when Yang Qi leaks out, the Generating Qi does not arrive, leading to gradual dispersion. Since Essence and Blood are tangible substances, how can medicines suddenly replenish them? Methods for treating disease generally target external pathogens, using bias to treat bias. Reviewing ancient masters like Li Dongyuan and Zhu Danxi, for cases of Damage that refuse to recover, they first advocated large doses of Ginseng (*Ren Shen*) and Atractylodes (*Bai Zhu*), up to several jin, stating that tangible Essence and Blood are hard to generate, while intangible Original Qi must be urgently secured. Moreover, when both upper and lower aspects are damaged, the Middle Jiao should be treated. If the Middle Jiao revives and appetite returns, then incorporate herbs that gather, tonify essence, and calm the spirit. Currently, in Spring, Wood Qi is greatly leaking, and all flowers bloom; the human body responds to this. In this month, urgent rescue is required without slackening.

Shen Shu Paste (Ginseng and Atractylodes Paste): Mixed with rice water for administration.

Over the past month, although there have been recurrences, considering pulse, symptoms, complexion, and physique, the Generating Yang Qi has substantial roots. Recently, eating broad beans caused Qi stagnation, slight abdominal distension, and a sour, turbid taste after meals. This is due to prolonged lying down and heavy clothing, where the mechanism of Spleen Yang movement is scarce, leading to rising Fire, irritability, moving Qi, and sweating. Although nocturnal emission has decreased compared to before, it has not returned to normal. The internal damage is profound. If treatment is appropriate, for every point of Essence recovered, one point of pathology is reduced. In late summer, the Spleen and Stomach govern; cultivating Earth and assisting ingestion is key. Since Essence and Qi are scattered, methods of gathering and securing are also needed. Currently, with sour taste and slight distension, tonifying the Spleen should be accompanied by slightly dispersing the Stomach. It is suitable to take medicine in the evening. In the morning, prepare separate tonifying and securing pills to benefit the organ's True Qi and attract scattered Qi.

Evening Prescription: *Ren Shen* (Ginseng), *Fu Ling* (Poria), *Bai Zhu* (Atractylodes Macrocephala), Zhi Gan Cao (Honey-fried Licorice), Guang Pi (Tangerine Peel), *Mai Dong* (Ophiopogon), *Wu Wei Zi* (Schisandra), Shen Qu (Medicated Leaven), Mai Ya (Barley Sprout), Chao Huang Bo (Fried Phellodendron).

Morning Prescription: *Ren Shen* (Ginseng), Sang Piao Xiao (Mantis Egg Case), Bai Long Gu (Fossilized Bone), Dan Cong Rong (Cistanche), *Wu Wei Zi* (Schisandra), Qian Shi (Euryale Seed), Fu Shen (Poria with Hostwood), Zao Ren (Jujube Seed), Jin Po (Gold Foil), Jin Ying Zi Paste Pills.

Muscles are loose and soft, pulse is small and rapid. There are frequent dream-emissions, and Yin Essence is insecure. Last winter, excessive warmth caused pores to become loose, Yang Qi moved recklessly without storing, all Qi rose, and collateral blood overflowed with Qi. Symptoms include heat in the head and face, twitching under the eyes, palpitations and fright, sweating in the four limbs, edema in both feet, coldness and lack of warmth, shortness of breath and desire to pant after walking a few steps. Are these not signs of Shaoyin Kidney Qi failing to secure, and Yang floating unwillingly to submerge? Moreover, frequent disturbing dreams result from Essence injury affecting Spirit and Qi. The method should use rich-tasting herbs to fill Essence, heavy-substance herbs to settle Spirit, assisted by sour herbs to astringe and sweet herbs to moderate. Do not administer cooling herbs just because of bleeding; do not administer drying-hot herbs just because of lower cold. Strictly observe taboos to ensure peace. Hope for success over a year. The concern is that a young man's will and thoughts are not pure, leading to worries of recurrence.

Water-processed Shu Di Huang (Rehmannia Root), *Ren Shen* (Ginseng) mixed with Autumn Stone, Bai Long Gu (Fossilized Bone), Chao Gou Qi Zi (Fried Lycium Fruit), *Wu Wei Zi* (Schisandra), Chao Shan Yao (Fried Dioscorea), Fu Shen (Poria with Hostwood), Niu Xi Tan (Charred Achyranthes Root).

Nocturnal emission: With dreams belongs to Heart; without dreams belongs to Kidney. According to the description, Qi and Fire flow downward, resembling the state of urination, with pain in the urethra, hot Qi rushing upward, swelling and distension in the throat and vertex, and timid speech. This is Ren Mai failing to secure and Chong Mai Qi reversing. The treatment method is to guide and lead, to secure and consolidate. Currently, stool is loose and appetite is poor; do not administer heavy, yin, cloying, or stagnant medicines.

Sha Ren processed Shu Di Huang (Rehmannia Root with Amomum), Chao Hei Yuan Zhi Rou (Fried Black Polygala Flesh), Chao Lian Xu (Fried Lotus Stamen), Yuan Wu Ban (Tortoise Plastron), Bai Long Gu (Fossilized Bone), Suo Yang (Cynomorium), *Fu Ling* (Poria), Du Zhong (Eucommia Bark), Qian Shi (Euryale Seed), Jin Ying Zi (Cherokee Rose Hip) paste pills.