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A patient suffered from distending pain, vexation, and thirst because blood stasis had not been expelled by scarification. He drank large amounts of cold urine from a young boy (Tongbian), after which the thirst and abdominal distension ceased immediately. The bruised area was then covered with finely mashed radish, causing the blood stasis to gradually dissipate. Subsequently, the affected area became itchy, so the radish paste continued to be applied. After the itching stopped, he developed dry mouth and thirst, pain in the lower abdomen radiating to the penis, urinary symptoms resembling strangury (Lin syndrome), and occasional discharge of white fluid. This was diagnosed as constrained fire in the Liver channel. Xiao Chai Hu Tang (Minor Bupleurum Decoction) was administered with added Dahuang (Rhubarb Rhizome), Huanglian (Coptis Rhizome), and Shanzhi (Gardenia Fruit). All symptoms subsided; subsequently, blood-nourishing herbs were used to restore health. Conditions such as lower abdominal pain radiating to the penis are often misdiagnosed as Cold syndromes. Administering hot-natured agents in such cases can cause bleeding from various orifices, obstruction of urination and defecation, critical danger, or even damage to the eyes.

Stagnation of Ying and Wei Qi (Nutritive and Defensive Qi) is treated with Fuyuan Tongqi San (Revitalizing Circulation and Promoting Qi Powder). Pain in sinews and bones indicates injury to the Qi of the Liver and Kidneys, treated with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). Internal injury with hematochezia accompanied by pain indicates deficiency of Spleen and Stomach Qi, treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). External trauma with bleeding and pain indicates deficiency of Lung and Spleen Qi, treated with Bazhen Tang (Eight-Treasure Decoction). Generally, persistent hematochezia indicates the collapse of Spleen and Stomach Qi. Vomiting, diarrhea, and inability to eat indicate the failure of Spleen and Stomach Qi. If the Spleen and Stomach were tonified and regulated in advance, this disaster would have been avoided.

If pain persists for four to five days without relief, or begins only after one or two days, it indicates impending suppuration (pus formation); Tuoli San (Support the Interior Powder) should be used. If pressing the area with a finger leaves an indentation that rebounds immediately, pus has formed; puncturing and draining the pus will stop the pain. Occasional headaches indicate Qi and Blood deficiency. Pain accompanied by dizziness suggests Phlegm; treatment should focus on generating Liver Blood and tonifying Spleen Qi.

Another patient presented with distending pain at the lesion site, sorrow, and anger. This was caused by Jueyang Fire (Hyperactive Yang Fire) stimulated by the Seven Emotions (Seven Affects). Scarification was performed to remove blood stasis, followed by Xiao Chai Hu Tang (Minor Bupleurum Decoction) with added Shanzhi (Gardenia Fruit), Huanglian (Coptis Rhizome), and Jiegeng (Platycodon Root). The condition stabilized. Subsequently, herbs to nourish Liver Blood and tonify Spleen Qi were used, leading to the ulceration and healing of the sore. Dai Jishi (Censor Dai) fell from a horse, resulting in swollen and painful legs with dark discoloration, poor appetite, and fatigue. This was due to weak Yuan Qi (Primary Qi) failing to transform and disperse blood stasis. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was prescribed, with Shengma (Cimicifuga Rhizome) and Chaihu (Bupleurum Root) removed, and Mugua (Chaenomeles Fruit), Fuling (Poria), Shaoyao (Peony Root), and Baizhu (Atractylodes Macrocephala Rhizome) added. He recovered. Wang Qingzhi, a scholar, suffered from lumbar strain pain. Treatment with Dingtong (Stop Pain) herbs failed; his Qi and Blood declined daily, and his face and ears turned dark. Xue Ji stated: "The waist is the mansion of the Kidney. Although this is a sprain injury, it is actually caused by weakness of the Kidney channel." He prescribed Duzhong (Eucommia Bark), Buguzhi (Psoralea Fruit), Wuweizi (Schisandra Fruit), Shanzhuyu (Cornus Fruit), Rongrong (Cistanche Stem), and Shanyao (Dioscorea Rhizome) taken on an empty stomach. Additionally, Liujunzi Tang (Six-Gentlemen Decoction) components—Ren Shen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Gancao (Licorice Root)—along with Danggui (Angelica Sinensis Root) and Shenqu (Medicated Leaven), each 2 qian, were taken after meals. He recovered within a month. A three-year-old child suffered from lumbar strain pain. Treatment with Liuqi (Moving Qi) herbs for half a year yielded no results. Xue Ji stated: "This is due to insufficient congenital Kidney Qi; it is an incurable case." The child indeed died later.