一儒者面色痿黄，吞酸嗳腐，恪服理气化痰之药，大便不实，食少体倦，此脾胃虚寒，用六君子加炮姜、
木香渐愈，更兼用四神丸而元气复。此症苦中气虚弱者，用人参理中汤，或补中益气加木香、干姜；不应，送
左金丸或越鞠丸。若中气虚，必加附子，或附子理中汤，无有不验。
一上舍呕吐痰涎，发热作渴，胸膈痞闷，或用清气化痰降火，前症益甚，痰涎自出。余曰∶呕吐痰
涎，胃气虚寒，发热作渴，胃不生津，胸膈痞满，脾气虚弱，须用参、 、归、术之类，温补脾胃，生发
阳气，诸病自退。不信，虚症悉至。余曰∶饮食不入，吃逆不绝，泄泻腹痛，手足逆冷，是谓五虚；烦热
作渴，虚阳越于外也；脉洪大，脉欲绝也。死期迫矣，果然。
陆陈湖母，久患心腹痞痛，每作必胸满厥逆，面赤唇麻，呕吐，咽干舌燥，寒热不时，而脉洪大，众
以痰火治之，屡止屡作，迨春发热频甚，用药反剧。有欲用参术等，疑痛无补法，迎余折中。余曰∶此寒凉
损真之故，内真寒而外假热也。且脉弦洪而有怪状，乃脾气亏损，肝脉乘之而然。惟当温补其胃，遂与补中
益气加半夏、茯苓、吴茱萸、木香，一服而效。自病发月余，竟夕不安，乃熟寐彻晓，脉洪顿敛，诸证释然。
一妇人年逾二十，不进饮食二年矣，日饫清茶、果品之类，面部微黄浮肿，形体如常，仍能步履，
但体倦怠，肝脾二脉弦浮，按之微而结滞。余用六君子、木香、吴茱萸，下痰积甚多，饮食顿进，形体始瘦，
卧床月余，仍服六君之类而安。
一位儒生面色萎黄，出现吞酸、嗳气带有腐臭味等症状，严格服用了理气化痰的药物后，导致大便不成形，食欲减退，身体疲倦。这是脾胃虚寒的证候，使用六君子汤加入炮姜、木香，病情逐渐好转；随后兼用四神丸，元气得以恢复。这种病症如果苦于中气虚弱，可以用人参理中汤，或者在补中益气汤中加入木香、干姜；如果效果不明显，可送服左金丸或越鞠丸。如果是中气虚寒严重，必须加入附子，或者使用附子理中汤，没有不灵验的。
另一位上舍（官职名）呕吐痰涎，伴有发热和口渴，胸膈部痞闷不适。有人使用清气化痰、降火的药物，导致前面的症状更加严重，痰涎自行流出。我说：呕吐痰涎，是胃气虚寒所致；发热口渴，是因为胃不能生津液；胸膈痞满，是脾气虚弱引起。应当用人参、白术、当归、茯苓等药物，温补脾胃，生发阳气，各种疾病自然消退。患者不信，结果虚证全部显现。我说：饮食无法进入，呃逆不止，泄泻腹痛，手足逆冷，这称为“五虚”；烦热作渴，是虚阳外越的表现；脉象洪大，但重按则欲绝，这是死期将至的征兆，果然应验了。
陆陈湖的母亲，长期患有心腹痞痛，每次发作必定伴随胸满、四肢厥冷，面色发红，嘴唇麻木，呕吐，咽干舌燥，寒热交替，且脉象洪大。众人以痰火论治，虽然暂时停止但反复发作，到了春天发热频繁且严重，用药后病情反而加剧。有人想用参、术等药物，但怀疑疼痛不能用补法，于是请我从中调停。我说：这是寒凉药物损伤真阳的缘故，属于内真寒而外假热。而且脉象弦洪且有怪异之象，乃是脾气亏损，肝脉乘袭脾土所致。只应当温补胃气，于是给予补中益气汤加入半夏、茯苓、吴茱萸、木香，服用一剂即见效。从发病的一个多月来，整夜不安，现在竟然能熟睡直到天亮，脉象洪大顿时收敛，各种症状消除。
一位二十多岁的妇人，两年不进饮食，每天饱食清茶、果品之类，面部微黄浮肿，形体如常，仍能行走，只是身体倦怠，肝脾二脉呈现弦浮之象，重按则微弱且结滞。我使用六君子汤、木香、吴茱萸，排出大量痰积，饮食立刻增进，形体开始消瘦，卧床休息一个多月后，继续服用六君子汤之类的药物而痊愈。
A Confucian scholar presented with a sallow complexion, acid regurgitation, and belching with a putrid odor. After strictly administering Qi-regulating and phlegm-resolving medicines, he developed loose stools, poor appetite, and fatigue. This is a syndrome of Spleen and Stomach deficiency-cold. He was treated with Liujunzi Tang (Six Gentlemen Decoction) added with Paojiang (Fried Ginger Rhizome) and Muxiang (Aucklandiae Radix), leading to gradual improvement; subsequently, Sishen Wan (Four Spirits Pill) was added, restoring his Yuanqi (Primordial Qi). For such cases complicated by deficiency of Zhongqi (Middle Qi), Renshen Lizhong Tang (Ginseng Regulate the Middle Decoction) or Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Muxiang (Aucklandiae Radix) and Ganjiang (Dried Ginger Rhizome) may be used. If ineffective, Zuojin Wan (Left Metal Pill) or Yueju Wan (Regulate All Pills) may be administered. If there is severe deficiency-cold of the Middle Qi, Fuzi (Prepared Aconite Lateral Root) must be added, or Fuzi Lizhong Tang (Aconite Regulate the Middle Decoction) should be used; these methods are invariably effective.
An official titled "Shangshe" vomited phlegm and saliva, accompanied by fever and thirst, and chest/epigastric fullness. The practitioner employed Qingqi Huatan Jianghuo (Clearing Qi, Resolving Phlegm, and Descending Fire) methods, which exacerbated the previous symptoms, causing spontaneous discharge of phlegm and saliva. I stated: Vomiting phlegm and saliva indicates Deficiency-Cold of Stomach Qi; fever and thirst result from the Stomach's inability to generate body fluids; chest and epigastric fullness stem from Spleen Qi deficiency. One should use herbs such as Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), and Fuling (Poria), to warm and tonify the Spleen and Stomach, and generate Yang Qi, whereby all diseases will recede. The patient did not believe this, and all deficiency syndromes manifested. I further stated: Inability to ingest food, incessant hiccups, diarrhea, abdominal pain, and cold extremities constitute the "Five Deficiencies"; irritability, heat, and thirst indicate the floating outward of Deficient Yang; a洪大 (Huge and Rapid) pulse that feels empty upon deep pressure signifies imminent death. This proved true.
The mother of Lu Chenhu suffered from chronic epigastric and abdominal distension and pain for a long time. Each episode was accompanied by chest fullness, cold extremities, flushed face, numb lips, vomiting, dry throat and tongue, alternating chills and fever, and a洪大 (Huge and Rapid) pulse. The public treated it as Phlegm-Fire, achieving temporary relief but frequent recurrence. By spring, the fever became frequent and severe, and medication aggravated the condition. Some wished to use Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) but doubted that pain could be treated with tonification, so they invited me to mediate. I stated: This is due to cold-cooling medicines damaging True Yang, presenting as Internal True Cold and External False Heat. Furthermore, the pulse is Xian Hong (Wiry and Huge) with abnormal characteristics, indicating Spleen Qi deficiency with Liver Qi overacting upon the Spleen. Only by warming and tonifying the Stomach can it be cured. Thus, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was prescribed with Banxia (Pinelliae Rhizoma), Fuling (Poria), Wuzhuyu (Evodiae Fructus), and Muxiang (Aucklandiae Radix). One dose yielded efficacy. Having been restless night after night for over a month since onset, she slept soundly until dawn; the洪大 (Huge and Rapid) pulse immediately restrained, and all symptoms resolved.
A woman over twenty years old had not taken solid food for two years, consuming only clear tea and fruits daily. Her face was slightly yellow and puffy, her body shape remained normal, and she could still walk, though she felt fatigued. Her Liver and Spleen pulses were Xian Fu (Wiry and Floating), feeling weak and obstructed upon deep pressure. I used Liujunzi Tang (Six Gentlemen Decoction), Muxiang (Aucklandiae Radix), and Wuzhuyu (Evodiae Fructus). She discharged a large amount of phlegm accumulation, her appetite improved instantly, and her body began to emaciate. After bed rest for over a month, continued administration of Liujunzi Tang (Six Gentlemen Decoction)-like formulas led to recovery.