若患处夭白，脾气虚也，用六君、芎、归。患处绯赤，阴血虚也，用四物、参、术。若
恶寒发热，气血虚也，用十全大补汤。脓稀白而不生者，脾肺气虚也，用补中益气汤。脓
稀赤而不生者，心脾血虚也，用东垣圣愈汤。寒热而不生，肝火动也，用加味逍遥散。晡
热而不生，肝血虚也，用八珍牡丹皮。食少体倦而不生，脾胃气虚也，用六君子汤。脓
秽而不生者，阴虚邪火也，用六味地黄丸。四肢困倦，精神短少而不生者，元气内伤也，用
补中益气汤。如夏月用调中益气汤，作泻用清暑益气汤，秋令作泻用清燥汤。 有一患
者，溃而不敛，以内有热毒，欲用寒凉之药。薛曰∶此血气俱虚而不能敛耳，非归、术、参、
之类，培养脾土，则肌肉何由而生，岂可复用寒凉克伐之药，重损气血耶！遂用前药，
治之而愈。
若患处或诸窍出者，肝火炽盛，血热错经而妄行也，用加味逍遥散清热养血。若中
气虚弱，血无所附而妄行，用加味四君子汤、补益中气。或元气内脱，不能摄血，用独参
汤加炮姜以回阳。如不应，急加附子。或血蕴于内而呕血，用四物加柴胡、黄芩。凡伤
损劳碌怒气，肚腹胀闷，误服大黄等药，伤阳络则为吐血、衄血、便血、尿血；伤阴络
则为血积、血块，肌肉青黯。此脏腑亏损，经隧失职，急补脾肺亦有生者。但患者不悟此
理，不用此法，惜哉！ 张地官，坠马伤腿，服草乌等药，致衄血咳嗽，臂痛目黄，口渴
齿痛，小便短少，此因燥剂伤肺与大肠而致。薛用生地、芩、连、黄柏、知母、山栀、山
药、甘草，以润肺之燥而生肾水，小便顿长，诸症并止，以山药、五味、麦门、参、 、芎、
归、黄柏、黄芩、知母、炙草，以滋阴血，养元气而疮敛。 俞进士，折腿骨已接三月，尚
发热，出血不止，正体医治不应，左关脉洪数，此肝火炽甚，血得热而妄行也，遂投小
柴胡汤加山栀、芍药、生地、防风，血止热退，又用八珍，五味、麦门治之，疮口即愈。
田宗伯侄，仲秋因怒跌仆，遍身作痛，发热衄血，肝脉弦洪。薛曰∶久衄脉弦洪。乃
肝火盛而制金也，至春则肝木茂盛而自焚，或戕贼脾土，非易治之证，当滋肾水以生肝木，
益脾土以生肺金。乃杂用泻肝火等药，殁于仲春之月。 大尹刘国信，金疮出血，发热
烦躁，属阴虚为患，用圣愈汤治之，虚火息而血归经矣。 梁阁老侄，金疮肿痛，出血
不止，寒热口干，此气虚血无所附而血不归经也，用补中益气，五味、麦门主之，阳气
复而愈。
If the affected area appears pale, it is due to Spleen Qi deficiency; use Liu Jun Zi Tang (Six Gentlemen Decoction), Chuanxiong Rhizoma (Chuanxiong), and Angelicae Sinensis Radix (Danggui). If the affected area appears red, it is due to Yin Blood deficiency; use Si Wu Tang (Four Substance Decoction), Ginseng Radix et Rhizoma (Renshen), and Atractylodis Macrocephalae Rhizoma (Baizhu). If there is aversion to cold and fever, it is due to Qi and Blood deficiency; use Shi Quan Da Bu Tang (Ten Significant Great Tonifying Decoction). If the pus is thin and white with no new flesh growing, it is due to Spleen and Lung Qi deficiency; use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If the pus is thin and red with no new flesh growing, it is due to Heart and Spleen Blood deficiency; use Dong Yuan Sheng Yu Tang (Dongyuan's Holy Salvation Decoction). If there are alternating chills and fever with no new flesh growing, it is due to Liver Fire stirring; use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). If there is afternoon tidal fever with no new flesh growing, it is due to Liver Blood deficiency; use Ba Zhen Tang (Eight Treasure Decoction) plus Moutan Cortex (Mudanpi). If there is poor appetite and physical fatigue with no new flesh growing, it is due to Spleen and Stomach Qi deficiency; use Liu Jun Zi Tang (Six Gentlemen Decoction). If the pus is foul with no new flesh growing, it is due to Yin deficiency with pathogenic fire; use Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill). If there is limb heaviness and fatigue, shortness of spirit, and no new flesh growing, it is due to internal injury of Yuan Qi (Primary Qi); use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). In summer, if diarrhea occurs, use Tiao Zhong Yi Qi Tang (Regulate the Middle and Augment the Qi Decoction); in heatstroke season, use Qing Shu Yi Qi Tang (Clear Summerheat and Augment the Qi Decoction); in autumn, if diarrhea occurs, use Qing Zao Tang (Clear Dryness Decoction).
A patient had an ulcer that failed to close. Because there was toxic heat internally, [the physician] intended to use cooling herbs. Xue Ji said: This is due to both Qi and Blood deficiency preventing closure. Without using Danggui, Baizhu, Renshen, etc., to cultivate the Spleen Earth, how can muscle tissue grow? How can one re-use cooling and draining herbs to further damage Qi and Blood! Thus, the aforementioned medicines were used, and the disease was cured.
If bleeding occurs from the affected area or various orifices, it is due to blazing Liver Fire causing blood heat to deviate from its vessels and flow recklessly; use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) to clear heat and nourish blood. If it is due to weak Central Qi, with blood having no attachment and flowing recklessly, use Jia Wei Si Jun Zi Tang (Modified Four Gentlemen Decoction) to tonify and augment Central Qi. Or if Yuan Qi has collapsed internally and cannot control the blood, use Du Shen Tang (Single Ginseng Decoction) plus Pao Jiang (Prepared Ginger) to restore Yang. If there is no response, urgently add Aconiti Lateralis Radix Praeparata (Fuzi). Or if blood is stagnated internally causing hematemesis, use Si Wu Tang (Four Substance Decoction) plus Bupleuri Radix (Chaihu) and Scutellariae Radix (Huangqin). Any injury from falls, overwork, or anger, leading to abdominal distension and fullness, and mistakenly taking Rhubarb (Dahuang) and other drugs, damages the Yang collaterals resulting in hematemesis, epistaxis, hematochezia, or hematuria; damages the Yin collaterals resulting in blood stasis and clots, with muscles appearing dark blue. This is due to visceral deficiency and failure of the meridians' function; urgently tonifying Spleen and Lung may lead to recovery. Alas, it is a pity that patients do not understand this principle and do not adopt this method!
Zhang Diguan fell from a horse and injured his leg. After taking Caowu (Aconitum kusnezoffii) and other drugs, he suffered epistaxis, cough, arm pain, yellow eyes, thirst, toothache, and scanty urination. This was caused by drying agents damaging the Lung and Large Intestine. Xue Ji used Sheng Dihuang (Rehmanniae Radix), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Shanzhi (Gardeniae Fructus), Shanyao (Dioscoreae Rhizoma), and Gancao (Licorice Root) to moisten Lung dryness and generate Kidney Water. Urination immediately increased, and all symptoms ceased. Then, using Shanyao, Wuweizi (Schisandrae Fructus), Maidong (Ophiopogonis Radix), Renshen, [missing character, likely Huangqi], Chuanxiong, Danggui, Huangbai, Huangqin, Zhimu, and Zhi Gancao (Honey-fried Licorice), he nourished Yin Blood and supported Yuan Qi, leading to wound healing.
Yu Jinshi had a fractured leg bone set for three months but still suffered fever and continuous bleeding. The Zhengti Tang physicians' treatment was ineffective. The pulse at the left Guan position was surging and rapid, indicating blazing Liver Fire causing blood to flow recklessly due to heat. He was administered Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Shanzhi, Shaoyao (Paeoniae Radix Alba), Sheng Dihuang, and Fangfeng (Saposhnikoviae Radix). Bleeding stopped and fever subsided. Subsequently, Ba Zhen Tang (Eight Treasure Decoction), Wuweizi, and Maidong were used, and the wound healed.
The nephew of Tian Zongbo fell due to anger in mid-autumn, suffering whole-body pain, fever, and epistaxis. The Liver pulse was wiry and surging. Xue Ji said: Long-term epistaxis with a wiry and surging pulse indicates excessive Liver Fire controlling Metal. By spring, when Liver Wood flourishes, it will self-consume or damage Spleen Earth. This is not an easy-to-treat condition; one should nourish Kidney Water to generate Liver Wood and tonify Spleen Earth to generate Lung Metal. However, mixed use of Liver-fire-draining herbs led to his death in early spring.
Dayin Liu Guoxin suffered bleeding from a metallic wound, fever, and irritability, attributed to Yin deficiency. Sheng Yu Tang (Holy Salvation Decoction) was used. The deficient fire subsided, and blood returned to its vessels. The nephew of Liang Gelao suffered swelling, pain, and continuous bleeding from a metallic wound, with chills, fever, and dry mouth. This was due to Qi deficiency causing blood to have no attachment and fail to return to its vessels. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was used, with Wuweizi and Maidong as primary adjuncts. Yang Qi recovered, and he healed.