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Ms. Fang’s constitution was originally deficient in Blood. She accidentally developed an eye disease. The ophthalmologist considered it to be Excess Fire (Shi Huo), initially using Huangqin and Huanglian to clear heat, followed by Dahuang to purge downward. After drinking one cup of the medicine, she suddenly fainted shortly thereafter, her tongue protruding outside the lips unable to retract, with cold limbs and a submerged pulse (Mai Fu). It was already dusk when I was urgently summoned to diagnose her. I said to her family: "Cold purgatives have damaged the True Yang (Zhen Yang), and Yang Qi has suddenly collapsed; the situation is formidable. We must rapidly administer warming and tonifying methods to hope for recovery." Therefore, I prescribed Tongmai Sini Tang (Pulse-Resuscitating Four Reversal Decoction). However, after the medicine was prepared, she could not swallow it. I ordered moxibustion to be applied at Qihai (CV6) and Guanyuan (CV4) acupoints for several moxa cones. Only then did her body begin to move, and her tongue retracted. I hastily forced down one cup of the medicine, but after a while, she fell into coldness again. I ordered further moxibustion. Once the coldness receded, she took the previous medicine again. I guarded her until dawn, when she finally regained consciousness. Subsequently, she continued taking Zuogui Yin (Left Restoring Drink) and other prescriptions nourishing Kidney and generating Liver, after which her illness resolved and her vision cleared.

Mr. Min faced difficult circumstances and had always been prone to worry. He suffered from epigastric pain for a year, and various treatments failed to cure him. His complexion was sallow, and his pulse was fine and weak. I asked if the pain was relieved by pressure; he answered yes. I asked if eating relieved the pain; he answered yes. I said, "This is Deficiency Pain (Xu Tong)." The ancients said, "There is no tonification method for pain," but this statement applies specifically to Excess patterns, not as a general rule. Therefore, I formulated Guipi Tang (Restore the Spleen Decoction) and advised taking it in large quantities for efficacy. Following the advice, he took twenty doses with some effect, and hundred doses resulted in a complete cure. Later, a beggar suffered from the same condition; someone provided him with the prescription, and after taking dozens of doses, he also recovered.

Xu Xichang was a stone mason. His illness began with distending pain in the lower abdomen, which felt hard as stone. Physicians used digestive-promoting medicines, which instead caused him to vomit roundworms and resulted in total obstruction of urination and defecation. Another physician diagnosed Cold Coagulation in the Jueyin channel and administered Ganjiang, Fuzi, and Wuzhuyu, resulting in intensified pain and cold extremities with a submerged pulse. He urgently sought my consultation. I palpated his lower abdomen and saw him grimacing in unbearable pain. I told his wife, "This is Food-Jue Syndrome (Shi Jue)." His wife said, "The illness indeed started from eating cold noodles, but we have already taken digestive medicines without effect. Perhaps the medicinal power was insufficient, who knows? However, how can simple food stagnation lead to Jue, vomiting roundworms, and total obstruction of urine and stool?" I said, "Grain and food descend through the posterior outlet behind the right corner of the lower abdomen into the Changchang (large intestine). Now, because food accumulation cannot descend, there is constipation. The rectum becomes tense and distended, compressing the bladder, causing dysuria. Since the lower orifices are blocked, Qi rebels upward, causing vomiting. Frequent vomiting indicates rebellious Stomach Qi, causing roundworms to attack upward, thus being vomited out. It is imperative to unblock the bowels; once unblocked, pain ceases, and all symptoms will resolve." However, the illness had persisted for many days, and the coagulation was severe. Without potent medicines, no result could be achieved. I immediately administered Beiji Wan (Emergency Rescue Pills), three qian. Soon, borborygmus was heard in the abdomen, and several pieces of hard feces were passed. I gave another 1.5 qian, resulting in more than ten diarrheal episodes. The coldness receded, the pulse emerged, pain decreased, and the abdomen softened. Observers were startled, amazed as if aided by spirits. Later, fearing the potency of the medicine, he refused to take it and recovered after rest.