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Xue Lizhai treated a woman with hematuria. After taking Siwu Tang (Four Substance Decoction) and Yuhuang (Polygoni Multiflori Caulis, though here referring to Polygoni Cuspidati Rhizoma et Radix or similar hemostatic herb contextually often associated with Hemerocallis or similar in older texts, but strictly Puhuang is Typhae Pollen), her symptoms worsened with fever and expectoration. When Qingpi (Cortex Phellodendri) and Huanglian (Coptidis Rhizoma) were added, she developed poor appetite and various deficiency syndromes emerged. The Liver pulse was wiry and rapid, and the Spleen pulse was fine and slow. This was due to Wind-Heat in Liver Qi injuring the Spleen, which belongs to Yin and cannot control the blood, thereby causing these symptoms. She recovered after taking Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia).

Lu Yangyu treated the wife of Fei Yutang. Her personality was stubborn and prone to anger. In early summer, she suddenly suffered from difficult urination, swelling and pain in the external genitalia, and during menstruation, experienced hematuria and fever. At that time, epidemic diseases were prevalent. Physicians administered remedies for releasing the muscle layer and expelling the exterior without effect. Upon palpation, the Left Guan pulse was deep, wiry, and rapid; the Right Cun pulse was floating, rapid, and short. Lu said: "This arises from excessive Heart Fire. Since it is the season of Fire, Lung Metal is injured and loses its function of descending and purifying, hence the difficulty in urination. The Foot Jueyin Liver Meridian converges at the perineum, winds around the posterior aspect, and the external genitalia are areas connected by the Liver Meridian. Wood Qi is excessive and lacks restraint, leading to congestion, swelling, and pain." He used Renshen (Ginseng Radix), Maidong (Ophiopogonis Tuber), Zhimu (Anemarrhenae Rhizoma), and Wuweizi (Schisandrae Fructus) to nourish the Lung Meridian and restore its distribution functions; and Huanglian (Coptidis Rhizoma), Chaihu (Bupleuri Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Huashi (Talcum), Qingpi (Citri Reticulatae Pericarpium Viride), Danpi (Moutan Cortex), and Qingdai (Indigo Naturalis) to drain Liver Fire and eliminate stagnation. After several doses, all symptoms resolved. (Xu Dacun noted: The use of Renshen and Wuweizi was inappropriate.)

Zhang Luyu treated the wife of Xu Zhonghan, who had suffered from hematuria for over two months. She usually exerted her mind excessively and was prone to anger. Sometimes, upon anger, she felt blockage in the chest and diaphragm and qi stagnation. Various treatments failed, and she was given Xiangru Yin (Mosla Decoction) once. Palpation revealed that the Guan and Chi pulses on both hands were wiry and weak, while the Cun pulses were slightly large but deficient. He prescribed Yigong Jian (Yigong Decoction) for long-term use, ensuring safety. If anger flared up, Chenxiang Jiangqi San (Agarwood Descending Qi Powder) could be taken intermittently. All cooling-blood and yin-nourishing medicines should be avoided. Later physicians ultimately achieved success using Renshen (Ginseng Radix) and Baizhu (Atractylodis Macrocephalae Rhizoma).

A merchant from Huizhou drank excessive amounts of distilled liquor in summer and developed hematuria. Shenchu Yiqi San (Cinnabar Tonify Qi Powder) was ineffective, as was Liuwu Tang (Six-Ingredient Decoction). Zhang [Luyu] used Daochi San (Direct to the Heart Powder) three times, resulting in a cure. A scholar named Song Xiaoxian, over seventy years old, suffered from scanty, painful, and difficult hematuria. Various medicines failed, and Sheng Liuwei Dihuang Wan (Raw Six-Ingredient Pill with Rehmannia) was also ineffective. It was attributed to his widowhood in his prime and premature abstinence from sexual activity. He was instructed to soak Moudou (Vigna radiata seed), crush and squeeze out the juice, warm it slightly, and drink one bowl daily. If cooked, it would be ineffective.

His brother-in-law, Gu Yuanshu, suffered from hematuria. The urethra frequently ached, and urination caused whole-body numbness, dizziness, and blacking out of vision. His palms and soles were often hot, with severe numbness and soreness. The pulse was wiry, fine, and rapid, with firm beating at the Chi positions. He was given Shengliao Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia without processed ingredients), sometimes adding Niuxi (Achyranthis Bidentatae Radix) or Donggeng (Ophiopogonis Tuber). It was effective but relapsed frequently. Eventually, Liuwei Dihuang Wan was combined with Shengmai San (Generate the Pulse Powder), and Heche (Placenta Hominis) was boiled into an paste to replace honey for making pills, leading to recovery.

Xue Lizhai treated a woman who, due to anger, experienced hematuria accompanied by internal heat, thirst, alternating chills and fever, distension in the chest and breasts, and poor appetite. The Liver pulse was wiry and weak, indicating Blood deficiency and Heat in the Liver Meridian. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Liuwei Dihuang Wan were taken concurrently, leading to gradual improvement. Subsequently, Bazhen Tang (Eight Treasure Decoction) with Chaihu (Bupleuri Radix), Danpi (Moutan Cortex), and Zhizi (Gardeniae Fructus) led to full recovery.

Ma Yuanyi treated Gu Xunzhao, who had suffered from hematuria for three months. Repeated use of lifting and tonifying agents was ineffective. His Right pulse was deficient, choppy, and spiritless; the Left Guan pulse alone was wiry. He experienced pain in the penis and passed many blood clots. His complexion was haggard, and he belched frequently. This indicated accumulated Heat in the Liver and Spleen. Liver Heat causes Yin Fire to restlessness, leading to spontaneous movement of Yin Blood. Since Blood is stored in the Liver, and Sanjiao Fire resides in the Liver, symptoms such as hematuria and penile pain arose. Spleen Heat causes dampness to accumulate internally, preventing the free flow of Sheng Qi. Since the Spleen transforms dampness, and Sanjiao Qi circulates through the Spleen, frequent belching and haggard appearance occurred. The treatment method should tonify Liver Yin to extinguish Fire and promote Spleen dampness to harmonize Qi. Shengdi (Rehmanniae Radix), Baishao (Paeoniae Radix Alba), Huangqin (Scutellariae Radix), Bibi (Dioscoreae Hypoglaucae Rhizoma), Danpi (Moutan Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), and Cheqian (Plantaginis Semen) were used for half a year until pain ceased and turbidity stopped, resulting in health.

Cheng Zongling stated: "When I was in Zhanggong at age twenty-six, I suddenly noticed a few drops of blood after urination. I was terrified, but there was no pain. This persisted for a month. If I did not drink alcohol, the bleeding was less, but it never completely stopped. A local soldier told me of a city physician named Zhang Kang who often treated this condition. I summoned him. He provided a vessel of medicine, claiming it was herbal, mixed with small honey balls, and dissolved in water. After two doses, I was cured. I rewarded him generously and asked for the name. It was Jingmian Cao (Symphyti Officinalis Herba/Radix, commonly known as Comfrey), also called Luoye Cao. It is green and grows in cracks of stone steps everywhere." (Recorded in *Liangfang*).

Wang Zhizhong stated: "For someone suffering from hematuria, teach them to decoct Ku Mai Cai Gen (Rumex japonicus Root) with wine and water and take it. They will recover immediately."

Lizhai treated a woman with hematuria and pain in the external genitalia. Qingxin Lianzi Yin (Clear the Heart Lotus Seed Decoction) was ineffective. Bazheng San (Eight Correct Powders) aggravated the condition. Taking Fa Hui (Hair Ash) mixed with vinegar water provided slight relief. Banlong Wan (Banlong Pill) then brought stability.

Qian Guobin treated Wang of Guangling. Initially, he had a toxic sore on the outer side of his right foot, measuring eight inches long and four inches wide. He experienced hematuria resembling menstrual flow, occurring once every two months. The flow ranged from heavy to drops, filling about two copper plates, stopping only after day and night. He was comatose in bed, regaining consciousness only after drinking ginger soup for half a month. The illness had lasted two years, and previous treatments failed. Whenever the period approached, the household was terrified. The pulse was deep, fine, and powerless, with the Right hand pulse slightly stronger. The Classics state that for men with chronic illness, if the Right pulse is strong, it is treatable. Therefore, internal treatment with lifting and raising herbs was prescribed. Ying Qi circulates within the vessels, Wei Qi outside. Qi guides Blood, returning it to the meridians to stop bleeding. Externally, Xionghuang (Realgar), Ercha (Cameliae Camelliae Flos - note: typically refers to tea flower or specific resin in some contexts, here likely a specific topical agent), Rushiang (Frankincense), Moyao (Myrrha), Xuejie (Dragon's Blood), Moshi (Musk), Zhusha (Cinnabar), and Baicaoshuang (Charred Herb Ash) were ground into powder. True Qiai (Artemisia argyi) was made into moxa sticks, placed on cotton paper, sprinkled with one qian of the powder, rolled into a taper, eight inches long. Soaked in sesame oil, the patient lay on their side in a windless place with the lesion facing up. The taper was lit at a distance of 1 chi 2 cun from the wound. Adjust distance based on sensation: move away if too hot, closer if cold. Smoked twice daily. One taper used in three sessions. Internal and external treatments separately stopped the hematuria, and the sore healed in four months.