薛立斋治一男子，患肾脏风，饮烧酒，发青晕，砭出血，敷追毒之药，成疮出水，日晡益甚，类
大麻风。服遇仙丹，眉毛折落，大便下血，虚羸内热，饮食甚少，势诚可畏。先用圣济犀角地黄汤，
其血渐止。又用五味异功散加当归、升麻，饮食渐进。用四物加参、术、丹皮，内热渐减。用易老祛
风丸，脓水渐少。又以八珍、丹皮之类，渐结靥。因思虑，发热盗汗，作痒赤晕，用加味归脾汤，数
剂热渐止。用加味逍遥散、六味丸而痊。
一男子遍身生疮，脓水淋漓，晡热口干，两足发热，形体消瘦，杂服风药，六年未愈。尺脉洪数，
而肾经疮也，如小儿肾疳之疹。用加减八味丸，不半载而痊。
一男子遍身生疮，似疥非疥，脓水淋漓，两腿尤甚，作痒烦热，肢体倦怠，年余不愈。以为肾经
虚火，用加减八味丸而即痊。
一男子素膏粱醇酒，患肾脏风，延及遍身，服疠药益甚。又用捻药于被中熏之，呕吐腹胀，遍身
浮肿溃烂，脓水淋漓，如无皮而死。
一男子患足三阴虚，患血风疮症，误服祛风败毒之药，外敷斑猫、巴豆等药，肌肉溃烂，呕吐腹
膨，或泄泻虚冷，或烦热作渴，此症系脾胃虚败也，辞不治。不越月殁。
一男子患遍身小疮，或时作痒，口干作渴，服消风散，起赤痒益甚。服遇仙丹，脓水淋漓，饮食
无度，肌肉消瘦，尺脉洪数，左尺尤甚。谓肾水不足，虚火上炎为患。先用加减八味丸，其渴渐止。
用补中益气汤加五味，肌肉渐生。佐以八珍汤加丹皮、麦冬，百余帖而痊。二年后，不节房劳，其疮
复作。惑于人言，又服消风散之类，其疮复患。仍用前药，不一月而痊。
一男子内 作痒，色黯，搔起白皮。各砭刺出血，其痒益甚，更起赤晕，延及外 ，浸淫不已。
服祛风之药，肢体亦然，作渴引饮，左尺脉洪大而数无力。谓此肾经虚火，复伤其血，火益甚而患耳。
先以八珍汤加五味子、丹皮，三十余剂，诸症渐退。乃佐以加减八味丸料，又百余剂而痊。
刘鸿腿生湿疮，数年不愈，尺脉轻诊似大，重按无力。此肾气虚，风邪袭之而然，名曰肾脏风疮，
以四生汤治之。不信，自服芩、连等药，遂致气血日弱，脓水愈多，形症愈惫。迨二年，复求治，仍
以前药治之而愈。夫肢体有上下，脏腑有虚实。世之患者，但知苦寒之药，能消疮毒，殊不知肾脏风，
因肾气不足所致。当以蒺藜为君，黄 为臣，白附子、独活为佐使。若再服败毒等药，则愈耗元气，
速其死矣。
Dr. Xue Lizhai treated a male patient suffering from Shenzang Feng (a skin disease caused by kidney deficiency and wind pathogen). After drinking distilled liquor, he developed cyanotic halos. Following scarification to release blood and application of detoxifying ointments, ulcers formed with exudate, worsening in the late afternoon, resembling leprosy. After taking Yuxian Dan, his eyebrows fell out, he experienced hematochezia, emaciation, and internal heat, with poor appetite; the condition was indeed alarming. Initially, Shengji Xijiao Dihuang Tang was administered, gradually stopping the bleeding. Subsequently, Wuyi Yigong San with added Danggui (Angelicae Sinensis Radix) and Shengma (Cimicifugae Rhizoma) was used, improving his appetite. Siwu Tang with added Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), and Mudanpi (Moutan Cortex) reduced the internal heat. Yilao Qufeng Wan decreased the purulent discharge. Further treatment with Bazhen Tang and Mudanpi promoted scabbing. Due to excessive worrying, he developed fever, night sweats, pruritus, and erythematous halos; Jiawei Guipi Tang was prescribed for several doses, alleviating the fever. He recovered after taking Jiawei Xiaoyao San and Liuwei Wan.
Another male patient presented with widespread ulcers, copious purulent discharge, afternoon fever, dry mouth, hot feet, and emaciation. Having taken various wind-dispelling medicines for six years without cure, his Chi pulse was flooding and rapid. This was identified as an ulcer of the Kidney meridian, similar to rashes in pediatric Shengan (Kidney malnutrition). Jiajian Bawei Wan cured him in less than half a year.
A third male patient had widespread ulcers, resembling but not being scabies, with copious pus, especially on the legs, accompanied by itching, irritability, heat, and limb fatigue for over a year. Diagnosed as deficient fire of the Kidney meridian, he recovered immediately after taking Jiajian Bawei Wan.
A fourth male patient, accustomed to rich food and strong wine, suffered from Shenzang Feng spreading over his body. Taking medicines for leprosy worsened his condition. Fumigation with medicated rolls inside blankets caused vomiting, abdominal distension, generalized edema, ulceration, and copious pus, leaving him looking like a corpse without skin.
A fifth male patient with deficiency of the Foot-Taiyin, Shaoyin, and Taiyang meridians suffered from Xuefeng Chuang (Blood Wind Ulcer). Mistakenly taking wind-dispelling and toxin-resolving medicines, and applying topical Banmao (Mylabris) and Badou (Crotonis Fructus), led to muscle ulceration, vomiting, abdominal distension, cold diarrhea, or irritability with thirst. This indicated failure of the Spleen and Stomach; he declined treatment and died within a month.
A sixth male patient had small widespread ulcers with intermittent itching, dry mouth, and thirst. Taking Xiaofeng San aggravated the redness and itching. Taking Yuxian Dan resulted in copious pus, excessive eating, and muscle wasting. His Chi pulse was flooding and rapid, particularly on the left side. This was attributed to insufficient Kidney Water and rising deficient fire. Jiajian Bawei Wan initially stopped the thirst. Buzhong Yiqi Tang with Wuweizi (Schisandrae Fructus) promoted muscle regeneration. Bazhen Tang with Mudanpi and Maidong (Ophiopogonis Radix) aided recovery over more than one hundred doses. Two years later, due to sexual indiscretion, the ulcers recurred. Confused by others' advice, he took Xiaofeng San again, causing recurrence. The previous prescription restored health within a month.
A seventh male patient had pruritus in the genital region with dark discoloration and white scales upon scratching. Scarification exacerbated the itching, causing erythematous halos spreading to the external genitals with continuous exudation. Wind-dispelling medicines affected the limbs similarly, causing thirst with excessive drinking. The left Chi pulse was flooding, rapid, and forceless. This was diagnosed as deficient fire of the Kidney meridian compounded by blood injury. Bazhen Tang with Wuweizi and Mudanpi for over thirty doses gradually resolved symptoms. Jiajian Bawei Wan decoction ingredients were then added, curing him after over one hundred doses.
Liu Hong suffered from damp eczema on the leg for years without cure. His Chi pulse seemed large on light palpation but forceless on deep pressure. This was Kidney Qi deficiency attacked by wind pathogen, named Shenzang Feng Chuang. It was treated with Sisheng Tang. Disbelieving this, he self-medicated with Huangqin (Scutellariae Radix) and Lianzi (Nelumbinis Semen), leading to declining Qi and Blood, increased pus, and worsening condition. Two years later, seeking treatment again, he recovered with the original prescription. Limbs have upper and lower distinctions; Zang-Fu organs have deficiency and excess states. Patients often believe bitter-cold medicines eliminate toxin, unaware that Shenzang Feng stems from Kidney Qi insufficiency. Tribulus should be the sovereign herb, Astragalus the minister, with BaiFuzi (Aconiti Kusnezoffii Rhizoma) and Duhuo (Angelicae Pubescentis Radix) as assistants. Taking toxin-resolving medicines would further deplete Yuan Qi and hasten death.