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The wife of Scholar Xu Xiyu frequently suffered from precordial pain (chest pain). Each episode was invariably accompanied by a flushed face, hot palms, tinnitus, and vertigo. Even after drinking warm water, it would stagnate in the chest and diaphragm without descending, leading to sour vomiting and hiccups, with only sour fluid being expelled. This condition would persist for five to seven days before subsiding. Her limbs were sore and weak, and she frequently experienced rebellious Qi manifesting as belching, which was her usual state. Both radial pulses were deep and rapid; the left pulse was wiry. This indicated the presence of phlegm-fluid retention in the Upper Jiao. Initially, she was administered Er Chen Tang (Two-Cured Decoction) augmented with Valva Concha (Walengzi), Talcum (Huashi), Evodiae Fructus (Wuzhuyu), Ginger-processed Coptidis Rhizoma (Jianglian), Peucedani Radix (Qianhu), Aurantii Fructus (Zhike), Zhi Zhu Pericarpium (Zhuru), Cyperi Rhizoma (Xiangfu), and Arecae Pericarpium (Dafupi). Subsequently, a pill formula was prepared using Tangerine Peel (Juhong), Pinelliae Rhizoma (Banxia), and Talcum (Huashi) each at two liang as minister herbs; White Conch Shell (Bailuoshi) exceeding four liang as sovereign herb; Poria (Fuling) and Ginger-processed Coptidis Rhizoma (Jianglian) each at one and a half liang as assistant herbs; Inulae Flos (Xuanfuhua) at one liang; and Evodiae Fructus (Wuzhuyu) at three qian as guide herbs. These were formed into pills with flour paste. Taking three qian per dose, she recovered after regulation.

Lord Tang Jian'an had excessive heat in the Blood aspect. His fondness for alcohol led to intestinal wind (hematochezia) and a failure of Heart-Kidney interaction. I prescribed Si Wu Tang (Four-Substance Decoction) supplemented with Ziziphi Spinosae Semen (Suanzaoren), Platycladi Cacumen (Cebaiye), Sophorae Flavescentis Flos (Huaishu), and Forsythiae Fructus (Lianqiao), processed into pills with refined honey. He recovered immediately upon taking them.

Mr. Wu Yangxuan suffered from epigastric pain. The pain radiated to the back and was slightly relieved by heavy pressure. During attacks, cold sweat poured like rain, and the pulse was choppy. This indicated pain due to Qi deficiency. He was cured after taking Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) supplemented with Papaveris Pericarpium (Yumiqiao).

Scholar Jing Zhigang, after consuming alcohol and engaging in sexual activity, practiced methods such as "Three Peaks Gathering and Fighting" and "Forgetting Emotions Facing Scenery" (sexual techniques). This resulted in bloody strangury (hematuria). From Summer Solstice to late Autumn, he remained unhealed. His urine contained red or purple blood, sometimes with clots resembling fascia or colored like Sapwood juice, interspersed with small black spots. Attacks occurred every three to five days, triggered by mental exertion, physical labor, prolonged standing, or sitting. Despite seeking medical advice and treatments, none were effective. Because Mr. Han Yuan, a Secretary in Wu, was a good friend of mine, he invited me to treat him. Observing his complexion as pale and bluish with severe emaciation, and palpating his pulses—left Cun deep and weak, Guan and Chi wiry and fine; right Cun slightly slippery—I determined that there was turbid phlegm in the Lung Meridian and stasis in the Liver Meridian. The root cause was excessive indulgence in lust after drinking, where libidinous fire agitated each other, causing essence to deviate from its proper path. Lacking the method of clarifying the mind, regulating Qi, and preserving essence to return to the source, the Qi and Blood became stagnant in the meridians and flowed into the urinary pathway. Thus, when new blood reached this area, it was blocked, forming strangury and turbidity. The periodicity of three to five days was due to the accumulation and overflow of essence and blood. Initially, I prescribed a strong decoction of Codonopsis Radix (Dangshen) and Imperatae Rhizoma (Maogen). After urination, the urine collected in a clay vessel turned into golden-yellow sand shortly thereafter. Thereafter, Shen Qi Wan (Kidney Qi Pill) supplemented with Succinum (Hupo), Chrysosplenii Herba (Haijinsha), and Phellodendri Cortex (Huangbai), processed into pills using the juice of Achyranthis Bidentatae Radix et Caulis (Niuxi) leaves and stem boiled into an extract, was used for regulation. Externally, Ligustici Chuanxiong Rhizoma (Chuanxiong) at three qian, Angelicae Sinensis Radix (Danggui) at seven qian, and the roots of Achyranthes bidentata (Duniuxi) were decocted and taken orally. During attacks, a powder of Talcum (Huashi), Glycyrrhizae Radix et Rhizoma caulis (Gancaoshao), Persicami Semen (Taoren), Chrysosplenii Herba (Haijinsha), and Moschus (Shexiang) was mixed with chive juice and lotus root juice for oral administration. By expelling coagulated semen and stale blood, the new blood could return to its source, eliminating the root cause of the disease. Full recovery was achieved within three months.