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Zhang Xiting's wife felt a sensation of obstruction in her throat, as if there were a piece of roasted meat stuck there; she could not swallow it nor spit it out. She suffered from nasal congestion and dizziness, constant buzzing noises in her ears causing discomfort, profuse sweating like rain, palpitations with timidity, fear of going outdoors, and generalized body pain upon slight exposure to wind. Her lower abdomen was intermittently painful, and her urination was dribbling, obstructed, and painful. Both cun (inch) pulses were short, while both guan (bar) pulses were slippery and large, with the right guan pulse particularly forceful against the fingers. This is diagnosed as Plum-pit Qi (Meiheqi, a condition characterized by a sensation of a foreign body in the throat). The prescription consisted of Banxia (Pinelliae Rhizoma) 4 qian, Houpo (Magnoliae Officinalis Cortex) 1 qian, Zisu Ye (Perillae Folium) 1.5 qian, Fuling (Poria) 1.3 qian, and Shengjiang (Zingiberis Rhizoma Recens) 3 slices, decocted in water and taken after meals. This decoction was frequently used for regulation with good efficacy.

Xiting's daughter-in-law had been pregnant for seven months when she dreamed of her deceased grandmother striking her on the back with a fist. Upon waking, she immediately felt fetal restlessness and vaginal bleeding. Her urge to defecate and urinate became urgent, accompanied by distending pain in the waist and lower abdomen for five days. This was indeed a strange occurrence. I was summoned to treat her. Both cun pulses were short and weak, indicating severe deficiency of Yuan Qi (Original Qi) in the Upper Jiao (Upper Burner), requiring urgent tonification. The prescription included Renshen (Ginseng Radix et Rhizoma), Ejiao (Colla Corii Asini), Huangqi (Astragali Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma) each 2 qian; Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix), and Duzhong (Eucommiae Cortex) each 1 qian; Sharen (Amomi Fructus) and Xiangfu (Cyperi Rhizoma) each 0.5 qian; Zhugen Nenpi (Bambusae Caulis Interarticularis or related part, specifically young skin of Ramie root) 3 qian, and Congbai (Allii Fistulosi Bulbus) 6 qian. After one dose, the bleeding stopped; after two doses, all symptoms resolved, and her spirit gradually calmed. After four doses, Zhugen and Congbai were removed, and she continued regulation for ten days. She delivered a healthy female infant at full term.

Chen Maozhi, following fatigue and overexertion, engaged in sexual activity reluctantly, leading to depletion of Jing (Essence) followed by abnormal bleeding. Subsequently, he contracted Wind-Cold, presenting with fever, headache, and fullness/stuffiness in the chest and diaphragm. The pathogen initially transmitted from the Taiyang (Greater Yang) channel to the Shaoyang (Lesser Yang) channel, manifesting as hypochondriac pain and deafness, vomiting with acid regurgitation and bitter taste, and coughing. All six pulses were wiry and rapid, diagnosing this as a Shaoyang syndrome. Xiao Chaihu Tang (Minor Bupleurum Decoction) was prescribed with added Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix), and Zhuru (Bambusae Caulis in Taeniam). Vomiting ceased, and the fever subsided. However, due to consuming congee too early during summer heat, he developed thirst, difficult urination, and diarrhea occurring six to seven times a day, passing only clear water. His fever intensified in the late afternoon, his tongue presented a yellow coating, and he experienced mental cloudiness and tremors. This indicated food retention complicated by summer-heat. Medical texts state: "When there is thirst and difficult urination, one should first promote urination." Zhu Ling Tang (Polyporus Decoction) was selected as the main formula. It contained Zhuling (Polypori Paria), Zexie (Alismatis Rhizoma) each 2 qian, Huashi (Talcum) 3 qian, Chi Fuling (Poria cum Rubro) 1 qian, Chaihu (Bupleuri Radix) 0.8 fen, and Shengma (Cimicifugae Rhizoma), Mutong (Akebiae Caulis) each 0.5 fen. After taking two doses consecutively, urination became smooth and stool formed, but the fever persisted. Liu Shen Tong San Jie (Six-Agent Unblocking Decoction) was administered for one dose, yet the fever remained unchanged that night. On the next morning, the left pulse was no longer wiry and rapid. Both cun pulses were deficient. Consequently, despite medication, there was no sweating; he remained thirsty, desired to rinse his mouth with water but did not wish to swallow, and felt heat in the throat. This indicated the pathogen had transmitted to the Yangming (Yang Brightness) channel. If blood-cooling measures were not urgently applied, epistaxis would likely occur. At this stage, the disease was extremely severe. Huangqin Shaoyao Tang (Scutellaria and Peony Decoction) combined with Shengmai San (Generate the Pulse Powder) was given to stop cough and thirst, while Gegen Tang (Kudzu Decoction) was used to release the muscle layer. Baishao (Paeoniae Radix Alba) 3 qian, Gegen (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma), Huangqin (Scutellariae Radix) each 1 qian, Renshen (Ginseng Radix et Rhizoma) 1.5 qian, Maidong (Ophiopogonis Tuber), Huashi (Talcum) each 3 qian, Gancao (Glycyrrhizae Radix et Rhizoma), Wuweizi (Schisandrae Fructus) each 0.5 fen, and Wumei (Mume Fructus) one piece. Two doses were urgently decocted and administered. By noon, several hard stools were passed. Finally, a slight sweat appeared, allowing him to sleep. He consumed a bowl of congee in the evening, and his night-time rest improved.