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A farmer suffered from Pi Ji (abdominal masses and distension) for a long time, with his abdomen swollen like a jar. He accidentally met a Quack (Fangshi), who taught him to use external moxibustion and internal powdered medicine to eradicate the root of the disease. Believing this, after a few days, he suddenly felt a burning sensation in the heart as if hungry, vomiting and purging purple blood clots in bowls and basins. He was so dizzy that he could not rise or sit up, and lacked the strength to summon a doctor. He was carried to a relative's house in the town, where I was invited to examine him. The patient lay exhausted on the bed, eyes closed, groaning. Just as I was about to take his pulse, fresh blood gushed out, resembling pig liver, staining the floor everywhere. He fainted, his hands trembled, and he ground his teeth. The relatives feared he would collapse from Qi deficiency (Tuo syndrome) and wanted to carry him back immediately. I palpated his pulse; although it was deficient and fine, it had not yet scattered. I warned them not to panic or disturb him, and told them to wait for a while. After a short while, the fainting subsided. I instructed them to first give him rice water to soothe the Stomach Qi, then administer Dangshen Decoction (Codonopsis Decoction) to tonify Qi, followed by one dose of Bazhen Tang (Eight Treasures Decoction), instructing him to finish it all tonight and discuss further tomorrow. The next morning, someone came to report: "Yesterday, after taking the medicine, the bleeding fortunately stopped, but he feels palpitations and a sinking sensation of Qi, with restless sleep." Considering that after severe blood loss, both the Heart and Spleen must be deficient, I changed the prescription to Guipi Tang (Restore the Spleen Decoction), adding Heijiang (Charred Ginger). He was carried home, and with continued administration, it proved effective. The outcome was indeed as predicted.

The son of Master Yi was five years old. In summer, he had been ill for over twenty days without effect from various medicines. His fever did not subside, he sweated profusely and felt thirsty, his complexion was pale, and he was emaciated. His pulse was deficient, rapid, and forceless. Reviewing previous prescriptions, they were all of the clearing and dispersing type. When Master Yi asked about the severity of the condition, I replied it was critical. When asked what disease it was, I said it was Shu Bing (Summerheat Disease). Initially, treatment would have been easy, but the physician failed to treat it correctly. Prolonged heat has damaged Yin, and Yuan Qi (Original Qi) has been depleted. Fortunately, Liver Wind has not stirred. Urgent nourishment of Yin and preservation of Lung Metal to generate Kidney Water is required; there is still hope. The formula used included He Shou Wu (Polygonum Multiflorum), Liao Dou Pi (Vigna Angularis Peel), Bian Dou (Lablab Bean), Sha Shen (Glehnia Root), Yu Zhu (Polygonatum Odoratum), Mai Dong (Ophiopogon Tuber), Wu Wei Zi (Schisandra Berry), Shi Hu (Dendrobium Stem), Fu Ling (Poria), and Dan Pi (Moutan Cortex). The medicine was decocted with Dao Lu (Rice Dew). After adhering to this for four doses, sweating ceased, and fever receded. Then, Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) was advanced, and his spirit gradually recovered. However, his appetite remained poor, so Liushen San (Six Spirits Powder) was incorporated, along with Yuan Fu (likely a specific tonic or ingredient mentioned in original context) added to meals.

Master Yi himself suffered from alternating chills and fever, hypochondriac pain, bitter taste in the mouth, poor appetite, groaning, and insomnia for over a month. Medications had no effect, and he believed he was near death. His pulse was wiry and rapid. Knowing that he usually suffers from emotional depression and stagnant Liver Qi, and that his illness resembled an exterior contraction but was actually an interior injury, I prescribed Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). One dose brought relief, and several doses led to stability.