有一患者，服行气之剂，胸痞气促，食少体倦，色黯脓清，此形气俱虚之症也。先用六
君、桔梗二剂，胸膈气和；后用补中益气去升麻，加茯苓、半夏、五味、麦门治之，元气渐
复而愈。若用前剂，戕贼元气，多致不救。
有一患者，去其患处瘀血，用四物、柴胡、红花治之， 痛顿止。但寒热口干，饮食少
思，用四物、白术、茯苓、柴胡、黄芩、花粉，四剂寒热即退；用六君、芎、归、藿香，而
饮食进。腐肉虽溃，脓水清稀，以前药倍用参、 、归、术、茯苓，二十余剂腐肉俱溃，脓
水渐稠。误服下药一钟，连泻四次，患处色黯。喜其脉不洪数，乃以十全大补倍加肉桂、麦
门、五味数剂，肉色红活，新肉渐生。喜在壮年，易于调理，又月余而愈，否则不救。凡杖
疮跌扑之症，患处如有瘀血，止宜砭去，服壮元气之剂。盖其气已损，切不可再用行气下血
之药，复损脾胃，则运气愈难行达于下，而反为败症，怯弱者多致夭枉。
有一患者肿痛，敷寒凉之药，欲内消瘀血，反致臀腿俱冷瘀血，并胸腹痞闷。余急去所
敷之药，以热童便酒洗患处，服六君、木香、当归，敷回阳膏，臀腿渐温；又以前药去木香
，加川芎、藿香、肉桂，四剂瘀血解；乃刺之，更以壮脾胃、养气血得痊。盖气血得温则行
，得寒则凝，寒极生热，变化为脓。腐溃深大，血气既败，肌肉无由而生，欲望其生难矣。
A patient, after taking Qi-moving formulas, presented with chest and epigastric fullness, shortness of breath, poor appetite, fatigue, dark complexion, and thin pus. This is a syndrome of deficiency in both form (body structure) and Qi (vital energy). Initially, Liu Jun Zi Tang (Six Gentlemen Decoction) and Jie Geng (Platycodon Root) were administered for two doses, harmonizing the Qi in the chest and diaphragm. Subsequently, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction), with Sheng Ma (Cimicifugae Rhizoma) removed, plus Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), Wu Wei Zi (Schisandrae Fructus), and Mai Men Dong (Ophiopogonis Radix) were used to treat the condition. The Yuan Qi (Original Qi) gradually recovered, leading to recovery. Had the previous Qi-moving agents been continued, they would have damaged the Yuan Qi, often resulting in untreatable conditions.
Another patient had stasis blood removed from the affected area and was treated with Si Wu Tang (Four Substance Decoction), Chai Hu (Bupleuri Radix), and Hong Hua (Carthami Flos), which immediately stopped the pain. However, symptoms of alternating chills and fever, dry mouth, and lack of desire for food persisted. Si Wu Tang was combined with Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), and Hua Fen (Trichosanthis Radix). After four doses, the chills and fever subsided. Then, Liu Jun Zi Tang (Six Gentlemen Decoction) combined with Xiong Qiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), and Huo Xiang (Agastachis Herba) improved the appetite. Although the necrotic tissue ulcerated, the pus was clear and thin. The previous formula was modified by doubling the dosage of Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Fu Ling (Poria). After more than twenty doses, all necrotic tissue ulcerated, and the pus gradually became thick. Accidentally ingesting one measure of a purgative caused four episodes of diarrhea, and the affected area turned dark. Fortunately, the pulse was not surging and rapid. Therefore, Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) was used with doubled Rou Gui (Cinnamomi Cortex), Mai Men Dong (Ophiopogonis Radix), and Wu Wei Zi (Schisandrae Fructus). After several doses, the flesh color became ruddy and vibrant, and new granulation tissue gradually grew. Fortunately, the patient was in his prime, making regulation easier; he recovered after another month and a half. Otherwise, it would have been untreatable. For injuries from beating or falls, if there is stasis blood in the affected area, it is only appropriate to use Bian Shi (stone acupuncture) to remove it and take formulas that strengthen the Yuan Qi (Original Qi). Since the Qi is already damaged, one must absolutely avoid using Qi-moving or blood-purging (blood-invigorating and stasis-resolving) drugs again, as this would further damage the Spleen and Stomach. Consequently, the movement of Qi and Blood would become even harder to reach the lower parts, turning into a fatal syndrome, and weak individuals would often die prematurely.
A patient with swelling and pain applied cold-natured topical medicines to resolve stasis internally, but this instead caused coldness and stasis in the buttocks and legs, accompanied by chest and abdominal fullness. I urgently removed the applied medicine, washed the affected area with hot Tong Bian (Child's Urine) mixed with wine, and administered Liu Jun Zi Tang (Six Gentlemen Decoction), Mu Xiang (Aucklandiae Radix), and Dang Gui (Angelicae Sinensis Radix), while applying Hui Yang Gao (Return to Yang Ointment) topically. The buttocks and legs gradually warmed up. Then, using the previous formula without Mu Xiang, adding Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huo Xiang (Agastachis Herba), and Rou Gui (Cinnamomi Cortex), the stasis resolved after four doses. Acupuncture was then performed, and recovery was achieved through strengthening the Spleen and Stomach and nourishing Qi and Blood. This illustrates that Qi and Blood move when warmed and coagulate when exposed to cold. Extreme cold generates heat, which transforms into pus. If the ulcer is deep and large, and the Qi and Blood are exhausted, muscle cannot regenerate, making survival difficult.