有一患者，两胁胀闷，欲咳不咳，口觉血腥，遍身臀腿胀痛，倦怠不食，烦渴脉大，此
血脱烦躁也，与童便酒及砭患处，出死血糜肉甚多。忽发热烦躁汗出，投以独参汤三剂少止
，又用补气血、清肝火之药数剂，饮食稍进。后用独参汤间服，诸症悉退，饮食顿加，但不
能多寐，以归脾汤加山栀、竹茹，四剂而熟睡。因劳心遂烦渴自汗，脉大无力，以当归补血
汤二剂而安；又以十全大补去川芎加麦门、五味、牡丹、地骨、麻黄根、炒浮麦，数剂而汗
止，死肉且溃；又二十余剂而新肉生。
有一患者，烦躁面赤，口干作渴，脉洪大，按之如无。余曰∶此血虚发躁也，遂以当归
补血汤二剂即止。后日晡发热，更以四物加柴胡、牡丹、地骨、黄柏、知母治之，热退而疮
敛。东垣云∶发热恶寒，大渴不止，其脉大而无力者，非白虎汤症，此血虚发躁也，宜用当
归补血汤治之。裴先生云∶肌热躁热，目赤面红，其脉洪大而虚，此血虚也，若误用白虎汤
，轻则危，重则毙。
有一患者，头额出汗，热渴气短，烦躁骨痛，瘀肉不溃，遂割去之，出鲜血，服芩、连
之药益甚，其脉洪大而微，此气血俱虚，邪火炽盛所致，以四物加参、 、术、炙草，少
用柴胡、炒芩，二剂头汗顿止；又加麦门、五味、肉桂，二剂诸症悉退。后用参、 、归、
术、炒芍、熟地、麦门、五味，十余剂瘀血溃而脓水稠矣。但新肉不生，以前药倍用白术而
敛。
有一位患者，两侧胁肋部胀闷不适，想咳嗽却咳不出来，口中感觉有血腥味，全身臀部和大腿胀痛，疲倦乏力且没有食欲，心烦口渴，脉象宏大，这是血脱引起的烦躁症状。给予童便和酒服用，并在患处进行砭石放血，排出大量死血和腐烂的肉组织。突然出现发热、烦躁、出汗的症状，投以独参汤三剂后症状稍缓解，接着又使用补益气血、清泻肝火的药物数剂，饮食稍微有所增加。之后间断服用独参汤，所有症状全部消退，饮食突然增加，只是不能多睡，于是用归脾汤加入山栀、竹茹，服用四剂后便能熟睡。因为劳心过度导致心烦口渴、自汗，脉象宏大但无力，服用当归补血汤两剂后病情安定；接着又用十全大补汤去掉川芎，加入麦门冬、五味子、牡丹皮、地骨皮、麻黄根、炒浮小麦，服用数剂后汗止，腐肉溃烂脱落；又过了二十多剂药后新肉生长。
有一位患者，烦躁不安，面色发红，口干作渴，脉象洪大，重按却感觉空虚。我说：这是血虚引起的发躁，于是用当归补血汤两剂，症状立即停止。后来在傍晚时分发热，再用四物汤加入柴胡、牡丹皮、地骨皮、黄柏、知母治疗，热退后疮口收敛。李东垣说：发热恶寒，大渴不止，脉象大而无力者，不是白虎汤证，这是血虚发躁，应该用当归补血汤治疗。裴先生说：肌肤发热躁热，眼睛红赤，面色发红，脉象洪大但虚弱，这是血虚，如果误用白虎汤，轻则危险，重则致死。
有一位患者，额头出汗，发热口渴，气短，烦躁，骨头疼痛，腐肉不溃烂，于是将其割去，流出鲜血，服用黄芩、黄连的药物后病情加重，其脉象洪大但微弱，这是气血俱虚，邪火炽盛所致，用四物汤加入人参、[此处原文缺字，推测为茯苓或类似补气药，依上下文补入]、白术、炙甘草，少量使用柴胡、炒黄芩，两剂后头汗立即停止；又加入麦门冬、五味子、肉桂，两剂后所有症状全部消退。之后用人参、[同上]、当归、白术、炒白芍、熟地黄、麦门冬、五味子，十余剂后瘀血溃烂，脓水变得稠厚。只是新肉不生，以前方药加倍使用白术而收敛。
A patient presented with distension and oppression in both hypochondriac regions, a desire to cough but inability to do so, a metallic taste of blood in the mouth, distending pain throughout the body especially in the buttocks and thighs, fatigue, anorexia, irritability, thirst, and a large pulse. This is irritability due to blood loss (Xue Tuo Fan Zao). He was administered child's urine mixed with wine, and scarification (Bian) was performed on the affected areas, expelling a significant amount of dead blood and necrotic tissue. Suddenly, he developed fever, irritability, and sweating. A single-ingredient Ginseng Decoction (Dushen Tang) was given for three doses, which slightly alleviated the symptoms. Subsequently, several doses of herbs to tonify Qi and Blood and clear Liver Fire were used, leading to slight improvement in appetite. Later, the Single Ginseng Decoction was taken intermittently, all symptoms completely subsided, and appetite increased sharply. However, he could not sleep much. Guipi Tang (Restore the Spleen Decoction) was modified with Gardenia Fruit (Shanzhi) and Bamboo Shavings (Zhuru), and after four doses, he slept soundly. Due to mental overexertion, he experienced irritability, thirst, and spontaneous sweating with a large but forceless pulse. Danggui Buxue Tang (Angelica Sinensis Decoction for Tonifying Blood) was administered for two doses, stabilizing the condition. Then, Shiquan Dabu Tang (Ten Ingredients Great Supplementing Decoction) without Chuanxiong Rhizome (Chuanxiong) was used, adding Ophiopogon Tuber (Maimen), Schisandra Berry (Wuweizi), Moutan Bark (Mudanpi), Phellodendron Bark (Digupi), Ephedra Root (Mahuanggen), and fried wheat grains (Chao Fumai). After several doses, sweating stopped, necrotic tissue sloughed off, and after more than twenty doses, new granulation tissue grew.
Another patient presented with irritability, flushed face, dry mouth with thirst, and a flooding pulse that felt empty upon deep pressure. I stated: "This is irritability due to Blood deficiency." Danggui Buxue Tang (Angelica Sinensis Decoction for Tonifying Blood) was prescribed for two doses, and the symptoms ceased immediately. Later, he developed fever in the late afternoon. Siwu Tang (Four Substance Decoction) was modified with Bupleurum Root (Chaihu), Moutan Bark (Mudanpi), Phellodendron Bark (Digupi), Phellodendron Bark (Huangbai), and Anemarrhena Rhizome (Zhimu). The fever subsided, and the wound healed. Li Dongyuan said: "Fever with aversion to cold, extreme unquenchable thirst, and a large but forceless pulse are not indications for Baihu Tang (White Tiger Decoction); this is irritability due to Blood deficiency, and Danggui Buxue Tang should be used." Mr. Pei said: "Skin heat with restlessness, red eyes, and flushed face, accompanied by a flooding yet deficient pulse, indicate Blood deficiency. If mistakenly treated with Baihu Tang (White Tiger Decoction), it may lead to danger or even death."
A third patient presented with sweating on the forehead, fever, thirst, shortness of breath, irritability, bone pain, and non-sloughing necrotic tissue. The necrotic tissue was surgically removed, revealing fresh bleeding. Administration of Scutellaria Root (Huangqin) and Coptis Rhizome (Huanglian) worsened the condition. The pulse was flooding yet faint. This was caused by simultaneous deficiency of Qi and Blood with flourishing pathogenic fire. Siwu Tang (Four Substance Decoction) was modified with Ginseng Radix et Rhizoma (Renshen), [missing character in original text, likely Poria], Atractylodes Macrocephala Rhizome (Baizhu), and prepared Licorice Root (Zhicao), with small amounts of Bupleurum Root (Chaihu) and fried Scutellaria Root (Chao Huangqin). After two doses, head sweating stopped abruptly. Then, Ophiopogon Tuber (Maimen), Schisandra Berry (Wuweizi), and Cinnamon Twig (Rougui) were added. After two doses, all symptoms subsided. Later, Ginseng Radix et Rhizoma (Renshen), [same missing herb], Angelica Sinensis Radix (Danggui), Atractylodes Macrocephala Rhizome (Baizhu), fried White Peony Root (Chao Shaoyao), Prepared Rehmannia Root (Shudi), Ophiopogon Tuber (Maimen), and Schisandra Berry (Wuweizi) were used for over ten doses. The necrotic tissue sloughed off, and the pus became thick. However, new flesh did not grow. By doubling the dose of Atractylodes Macrocephala Rhizome (Baizhu) in the previous formula, the wound healed.