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Mr. Ni E'nan's wife suffered from urinary incontinence, urinating more than twenty times a day. The pulse at the right Cun position was surging and forceful, while the left Cun position was deficient; the right Chi position was deep and faint. This is a syndrome of Heart-Kidney non-interaction (Xin Shen Bu Jiao). Pills were prepared using Dang Gui (Angelica Sinensis), Yuan Zhi (Polygalae Radix), Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Mu Dan Pi (Moutan Cortex), Sang Piao Xiao (Mantis Egg Case), Ren Shen (Ginseng Radix), Shan Zhu Yu (Corni Fructus), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Huang Bo (Phellodendri Cortex), and Zhi Mu (Anemarrhenae Rhizoma). After taking them, she stabilized within five days. Later, whenever she encountered fatigue or hard work, the symptoms would recur, but taking this prescription brought immediate relief.

The eldest daughter-in-law of Yan Yinlao, a Zhushi (Historian/Archivist), was the daughter of Shen Jinglao, a Shaokong (Vice Minister of Works). She suffered from abdominal pain with multiple small lumps palpable in the abdomen, and her abdomen felt extremely cold. The pulses at both Cun and Guan positions on the hands were slippery and rapid, while those at both Chi positions were deep and faint. This indicated Spleen Qi deficiency leading to indigestion. Furthermore, it was the season of autumn when dampness prevails; even if not currently diarrhea, it might occur, so prevention was advised. A decoction was prescribed containing Bai Zhu (Atractylodis Macrocephalae Rhizoma), Cang Zhu (Atractylodis Rhizoma), Fu Ling (Poria), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Dou Ren (Arecae Semen), Mu Xiang (Aucklandiae Radix), Ban Xia (Pinelliae Tuber), Chen Pi (Citri Reticulatae Pericarpium), and Ze Xie (Alismatis Rhizoma). That night, she indeed had one episode of diarrhea. The next morning, another episode occurred. However, the lower abdominal pain did not decrease significantly, accompanied by tenesmus (Li Ji Hou Zhong). Given her constitution was inherently deficient, the treatment should tonify the middle jiao while simultaneously resolving stagnation and promoting diuresis. The prescription included Bai Shao Yao (Paeoniae Radix Alba) 3 qian, Gui Xin (Cinnamomi Ramulus) 1 qian, Gan Cao, Ren Shen, Fu Ling, Ze Xie, Chen Pi, and Bai Zhu each 8 fen, and Sheng Ma (Cimicifugae Rhizoma) and Ge Gen (Puerariae Lobatae Radix) each 6 fen. After administration, the pulses became weak and soft without slipperiness, and the lumps dissipated. The formula was then modified to include Ren Shen, Huang Qi (Astragali Radix), Bai Zhu, and Bai Shao Yao each 2 qian, and Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma), Chen Pi, Ze Xie, Ge Gen, Chai Hu (Bupleuri Radix), and Fu Ling each 1 qian. She recovered after further regulation.

Mr. Chen Lutang from Xinshi originally suffered from Chang Feng (Intestinal Wind) and Zang Du (Visceral Toxin), characterized by dry and constipated stools, unable to defecate for several days, causing severe suffering. This is a syndrome of Cold Stomach and Heat Intestine. His pulses at both Cun positions were rapid, both Guan positions were wiry and deficient, and both Chi positions were surging and slippery, especially on the left side. After diagnosis, he told me: "I have been ill for years, and many doctors failed to cure me. Hope for survival is slim. I heard your treatments are often miraculous; I hope for one miracle to save my life, which would be a grace of re-creation." Sympathizing with his suffering, I pondered deeply. I recalled Li Dongyuan's saying: "The Large Intestine prefers coolness and dislikes heat; the Spleen and Stomach prefer warmth and dislike cold, because the Stomach belongs to Earth, while the Large Intestine belongs to Metal." When treating diseases involving both stomach and intestines, the condition must reach a state where it is neither chillingly cold nor scorchingly hot. Therefore, I carefully devised a formula, using herbs specifically for Chang Feng and Zang Du as the sovereign drugs, wrapped in blood-nourishing agents to prevent injury to Stomach Qi. Since the medicine enters the Stomach first before reaching the Large Intestine, the wrapping agent remains intact in the Stomach and dissolves only upon entering the Large Intestine, allowing the sovereign drugs to act there, thus avoiding mutual interference. This strategy is akin to "borrowing a path to destroy Guo." The prescription consisted of Da Huang (Rhei Radix et Rhizoma, soaked in wine, steamed and dried nine times) 2 liang, Huai Hua (Sophorae Flos) 3 liang, Mu Er (Auriculariae Auricula-Judae) 2 liang, Yu Li Ren (Pruni Semen), Zao Jiao Zi (Gleditsiae Spina), Xiang Ya Xie (Elephantis Dentis Fragmentum), and Tiao Qin (Scutellariae Radix) each 1 liang, plus Xue Yu Hui (Sanguinis Humanis Cinis), Sheng Ma, and Jing Jie Sui (Schizonepetae Spica) each 5 qian, ground into powder and formed into pills with refined honey, sized like red beans. These were coated with Si Wu Tang (Four Substances Decoction) plus Pu Huang (Typhae Pollen) each 1 liang, taken with rice soup, 2 qian each time on an empty stomach and in the afternoon. Indeed, after taking this, the bleeding stopped, stools were no longer dry, and appetite improved daily. Lutang rejoiced and said: "Ancients say that using medicine is like using troops; combining orthodox and unorthodox strategies rarely fails to defeat the enemy. This describes you perfectly."