有一患者，服行气之剂，胸痞气促，食少体倦，色黯脓清，此形气俱虚之症也。先用六
君、桔梗二剂，胸膈气和；后用补中益气去升麻，加茯苓、半夏、五味、麦门治之，元气渐
复而愈。若用前剂，戕贼元气，多致不救。
有一患者，去其患处瘀血，用四物、柴胡、红花治之， 痛顿止。但寒热口干，饮食少
思，用四物、白术、茯苓、柴胡、黄芩、花粉，四剂寒热即退；用六君、芎、归、藿香，而
饮食进。腐肉虽溃，脓水清稀，以前药倍用参、 、归、术、茯苓，二十余剂腐肉俱溃，脓
水渐稠。误服下药一钟，连泻四次，患处色黯。喜其脉不洪数，乃以十全大补倍加肉桂、麦
门、五味数剂，肉色红活，新肉渐生。喜在壮年，易于调理，又月余而愈，否则不救。凡杖
疮跌扑之症，患处如有瘀血，止宜砭去，服壮元气之剂。盖其气已损，切不可再用行气下血
之药，复损脾胃，则运气愈难行达于下，而反为败症，怯弱者多致夭枉。
有一患者肿痛，敷寒凉之药，欲内消瘀血，反致臀腿俱冷瘀血，并胸腹痞闷。余急去所
敷之药，以热童便酒洗患处，服六君、木香、当归，敷回阳膏，臀腿渐温；又以前药去木香
，加川芎、藿香、肉桂，四剂瘀血解；乃刺之，更以壮脾胃、养气血得痊。盖气血得温则行
，得寒则凝，寒极生热，变化为脓。腐溃深大，血气既败，肌肉无由而生，欲望其生难矣。
有一位患者，服用了行气类药物后，出现胸脘痞闷、呼吸急促、食欲减退、身体疲倦、面色晦暗、脓液清稀等症状，这是形体与正气俱虚的病证。先用六君子汤和桔梗各两剂，使胸膈之气调和；后用补中益气汤去掉升麻，加入茯苓、半夏、五味子、麦门冬进行治疗，元气逐渐恢复而痊愈。如果继续使用前面的行气药物，会损伤元气，大多导致无法救治。
有一位患者，去除患处瘀血后，用四物汤、柴胡、红花治疗，疼痛立刻停止。但仍有寒热往来、口干、饮食不思的症状，于是用四物汤、白术、茯苓、柴胡、黄芩、天花粉，服用四剂后寒热症状消退；再用六君子汤、川芎、当归、藿香，饮食得以增进。虽然腐肉溃破，但脓水清稀，以前方药加倍使用人参、黄芪、当归、白术、茯苓，服用二十多剂后腐肉全部溃破，脓水逐渐变得浓稠。误服了一钟下药（泻药），连续腹泻四次，患处颜色变暗。庆幸其脉象不洪大数急，于是用十全大补汤加倍加入肉桂、麦门冬、五味子，服用数剂后，肌肉颜色红活，新肉逐渐生长。庆幸患者正值壮年，易于调理，又过了一个多月才痊愈，否则难以救治。凡是杖疮跌扑损伤的病证，患处如有瘀血，只适宜用砭石刺破排出，服用强壮元气的药物。因为患者的气已经受损，切不可再使用行气或下血（活血逐瘀）的药物，再次损伤脾胃，则气血运行更加难以通达于下部，反而变成败症，体弱的人大多会导致早亡。
有一位患者肿痛，敷用寒凉性质的药物，想要内消瘀血，反而导致臀部和小腿都发冷，瘀血停滞，并伴有胸腹痞闷。我急忙去掉所敷的药物，用热童子小便清洗患处，服用六君子汤、木香、当归，外敷回阳膏，臀腿逐渐变暖；又用前方去掉木香，加入川芎、藿香、肉桂，服用四剂后瘀血消散；然后进行针刺，再通过强壮脾胃、滋养气血的方法得以痊愈。因为气血得到温暖则运行通畅，遇到寒冷则凝滞，寒极生热，变化为脓液。如果溃疡深大，血气已经败坏，肌肉没有生成的可能，想要使其存活就难了。
A patient, after taking Qi-moving formulas, presented with chest and epigastric fullness, shortness of breath, poor appetite, fatigue, dark complexion, and thin pus. This is a syndrome of deficiency in both form (body structure) and Qi (vital energy). Initially, Liu Jun Zi Tang (Six Gentlemen Decoction) and Jie Geng (Platycodon Root) were administered for two doses, harmonizing the Qi in the chest and diaphragm. Subsequently, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction), with Sheng Ma (Cimicifugae Rhizoma) removed, plus Fu Ling (Poria), Ban Xia (Pinelliae Rhizoma), Wu Wei Zi (Schisandrae Fructus), and Mai Men Dong (Ophiopogonis Radix) were used to treat the condition. The Yuan Qi (Original Qi) gradually recovered, leading to recovery. Had the previous Qi-moving agents been continued, they would have damaged the Yuan Qi, often resulting in untreatable conditions.
Another patient had stasis blood removed from the affected area and was treated with Si Wu Tang (Four Substance Decoction), Chai Hu (Bupleuri Radix), and Hong Hua (Carthami Flos), which immediately stopped the pain. However, symptoms of alternating chills and fever, dry mouth, and lack of desire for food persisted. Si Wu Tang was combined with Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), and Hua Fen (Trichosanthis Radix). After four doses, the chills and fever subsided. Then, Liu Jun Zi Tang (Six Gentlemen Decoction) combined with Xiong Qiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), and Huo Xiang (Agastachis Herba) improved the appetite. Although the necrotic tissue ulcerated, the pus was clear and thin. The previous formula was modified by doubling the dosage of Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Fu Ling (Poria). After more than twenty doses, all necrotic tissue ulcerated, and the pus gradually became thick. Accidentally ingesting one measure of a purgative caused four episodes of diarrhea, and the affected area turned dark. Fortunately, the pulse was not surging and rapid. Therefore, Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) was used with doubled Rou Gui (Cinnamomi Cortex), Mai Men Dong (Ophiopogonis Radix), and Wu Wei Zi (Schisandrae Fructus). After several doses, the flesh color became ruddy and vibrant, and new granulation tissue gradually grew. Fortunately, the patient was in his prime, making regulation easier; he recovered after another month and a half. Otherwise, it would have been untreatable. For injuries from beating or falls, if there is stasis blood in the affected area, it is only appropriate to use Bian Shi (stone acupuncture) to remove it and take formulas that strengthen the Yuan Qi (Original Qi). Since the Qi is already damaged, one must absolutely avoid using Qi-moving or blood-purging (blood-invigorating and stasis-resolving) drugs again, as this would further damage the Spleen and Stomach. Consequently, the movement of Qi and Blood would become even harder to reach the lower parts, turning into a fatal syndrome, and weak individuals would often die prematurely.
A patient with swelling and pain applied cold-natured topical medicines to resolve stasis internally, but this instead caused coldness and stasis in the buttocks and legs, accompanied by chest and abdominal fullness. I urgently removed the applied medicine, washed the affected area with hot Tong Bian (Child's Urine) mixed with wine, and administered Liu Jun Zi Tang (Six Gentlemen Decoction), Mu Xiang (Aucklandiae Radix), and Dang Gui (Angelicae Sinensis Radix), while applying Hui Yang Gao (Return to Yang Ointment) topically. The buttocks and legs gradually warmed up. Then, using the previous formula without Mu Xiang, adding Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huo Xiang (Agastachis Herba), and Rou Gui (Cinnamomi Cortex), the stasis resolved after four doses. Acupuncture was then performed, and recovery was achieved through strengthening the Spleen and Stomach and nourishing Qi and Blood. This illustrates that Qi and Blood move when warmed and coagulate when exposed to cold. Extreme cold generates heat, which transforms into pus. If the ulcer is deep and large, and the Qi and Blood are exhausted, muscle cannot regenerate, making survival difficult.