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Mr. Wu Shuangquan presented with bilaterally large and surging chi pulses (Kidney pulse), bilaterally slippery guan pulses (Liver/Spleen pulse), and bilaterally deep and faint chi pulses. This indicates a pattern of hyperactive Yang and deficient Yin, characterized by excess in the upper jiao and deficiency in the lower jiao. The "excess in the upper" refers to the accumulation of phlegm and fire; the "deficiency in the lower" refers to insufficiency of the true Yin in the Kidney meridian. The treatment principle should be to clear the upper and tonify the lower. Clearing the upper will result in clarity of the head and eyes, eliminating symptoms such as tinnitus and vertigo. Tonifying the lower will prevent soreness and weakness of the waist and knees, strengthening the sinews and bones. For clearing the upper, Qingzhong Wan (Clearing the Middle Pill) is used, composed of Fritillariae Bulbus (Beimu), Citri Reticulatae Pericarpium (Juhong), Aurantii Fructus Immaturus (Zhishi), Aragonitum (Haishi), Crataegi Fructus (Shanzha), Poria (Fuling), Sinapis Semen Album (Baijiezi), Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin), Talcum (Huashi), Cyanotis Arachnoidea Herba (Qingdai), and Malt (Shenqu). These are processed into pills, taken after meals with tea, two qian per dose. For tonifying the lower, Jiji Dan (Ji Ji Pill) is used, composed of Cinnabar (Chensha) and Magnetitum (Cishi), each one liang, Prepared Rehmanniae Radix (Shudihuang) four liang, Phellodendri Cortex (Huangbai) and Anemarrhenae Rhizoma (Zhimu), Dodonaeae Semen (Tusizi), and Biota Seed (Baiziren), each two liang, Achyranthis Bidentatae Radix (Niuxi), Lycii Fructus (Gouqizi), and Poria (Baifuling), each one and a half liang. These are mixed with refined honey to form pills the size of paulownia seeds, taken on an empty stomach with light salt water, 80-90 pills per dose.

Mr. Li Yinzhai suffered from hematuria (blood strangury) for nearly two years without cure. Each episode lasted over ten days, with difficult and scanty urination and unbearable pain in the urethra. Before an attack, he would first experience facial heat and toothache, followed by hematuria. In the few days preceding an attack, he desired warm water; two days later, he desired hot water; and two days after that, he could only tolerate ice-cold water. He experienced extreme dryness and thirst, requiring others to quickly draw well water and drink two or three bowls continuously, yet still feeling unsatisfied. When not attacking, his stool was dry and constipated, passing once every four or five days; during attacks, he suffered from diarrhea with incomplete evacuation. His pulse was short and weak at the left cun position, wiry and large at the left guan position, slippery and large at the right cun (lower half finger breadth) and guan positions, and large and surging at both chi positions. Based on this, it was determined that there was phlegm in the middle jiao and blood stasis in the Liver meridian. Previous treatments with herbs for nourishing Yin and descending fire, as well as diuretics for promoting urination, were ineffective. Furthermore, given his age of sixty-three, the chronic nature of the disease, and significant blood loss, tonification must be included. The treatment strategy should focus on removing stasis to generate new blood, raising clear Yang and descending turbid Yin. Siwu Tang (Four Substances Decoction) was used with added Achyranthes bidentata root (Duniuxi) to tonify new blood, Talcum (Huashi) and Persicae Semen (Taoren) to dissipate stasis, Aurantii Fructus Immaturus (Zhishi) and Fritillariae Bulbus (Beimu) to resolve phlegm, Gardeniae Fructus (Shanzhiren) to descend fire, and Bupleuri Radix (Chaihu) to raise clear Qi. After twenty doses, all symptoms gradually subsided. Subsequently, a pill formula was prepared using Talcum (Huashi), Phellodendri Cortex (Huangbai), and Anemarrhenae Rhizoma (Zhimu), each one liang; Succinum (Hupo), Foeniculi Fructus (Xiaohuixiang), and Cinnamomi Cortex (Guixin), each one and a half qian; Mirabilite (Xuanmingfen) three qian; Chrysosplenii Herba (Haijinsasha) and Myrrha (Moyao), each five qian; boiled with juice of Imperatae Rhizoma (Maogen) to form pills. One qian was taken per dose, on an empty stomach and in the evening, washed down with Imperatae Rhizoma decoction, resulting in a cure.