一男子冬间口苦耳鸣，阴囊湿痒，来春面发紫块，微肿麻木，至冬遍身色紫，不知痛痒
，至
先与再造散二服下毒秽，更以小柴胡合四物汤加白芷、防风、天麻、皂角刺，渐愈。又与换
肌散，但遍体微赤，此血虚有火，因家贫未得调理，秋间发热，至春面仍发块，用前散并养
血药，喜年少谨疾得愈。
一膏粱之人，鼻坏眉落，指脱体溃，热渴晡甚，用四物汤加酒炒黑黄柏、知母、五味、
麦门
便稀溏，此元气虚而时热胜也，用补中益气汤顿安。乃与换肌散及益气汤，兼服两月，更以
生脉散代茶饮，疮少退。时至仲秋，眩晕少食，自汗体重，大便溏数，此亦时湿之症，用清
燥汤调理而愈。又用补中益气汤少加酒炒黑黄柏、知母、皂角刺、天麻，两月余而瘥。又因
劳倦耳聩热渴，误服祛风药，病气益剧，身发赤疹，与益气聪明汤，月许而愈。
一男子赤痛热渴，脓水淋漓，心烦掌热，目昧语涩，怔忡不宁，此心经受症也，用安神
丸兼
胡饮并八珍汤而愈，再用换肌散而瘥。
一男子肚见青筋，面起紫泡，发热作渴，寅卯时甚，脉弦数，腿转筋，小便涩，此肝经
火症
柴胡、山栀，养其气血，乃用换肌散，去其内毒而安。年余因劳役饮食失宜，寒热头痛，遍
身赤疹，自用醉仙散而殁。
一男子面发紫疙瘩，脓水淋漓，睡中搐搦，遍身麻木，渐发赤块，劳怒则痒，肝脉洪大
，砭
下前丸，诸症少愈；却用宝鉴换肌散斤许，又用小柴胡合四物汤加参术、天麻、角刺百余剂
，及六味地黄丸，半载而愈。后因劳遍身麻痒，脉微而迟，此气血俱虚，不能荣于腠理，用
十全大补汤，加五味、麦门，调理年余而安。
一男子面赤发紫泡，下体痒痛，午后发热，大便燥黑，此火盛而血虚也，用再造散及四
物汤
黄；仍以四物去胆草、防己，少用独活，加玄参、萆 ，五十余剂而疮退；却用补中益气汤
加天麻、麦门，而气血渐充；时仲秋霪雨，遍身酸痛，用清燥汤而安；随用换肌散、胡麻散
、八珍汤，兼服而愈。
一上舍面发肿，肌如癣，后变疙瘩，色紫，搔之出水，此脾肺之症也。先用清胃汤，以
清胃
腕手足指缝并患处，以去毒血，疏通隧道；乃与八珍汤加白芷、皂角刺、五加皮、全蝎及二
圣散，兼服月余，以养阴血治疮毒；又与补气泻荣汤，少愈；再与换肌散而全愈。后因劳倦
遂发赤晕，日晡尤甚，以四物汤加丹皮、柴胡、山栀，并用补中益气汤，年余虽劳而不发。
一男子遍身如癣，搔痒成疮，色紫麻木，掐之则痛，小便数而少，此脾胃受症，邪多在
表，
虚也，以大剂参、 、芎、归、蒺藜、桔梗数剂，元气顿复。却用八珍汤加黄 、白芷、蒺
藜、天麻、软柴胡及二圣散治之，其疮渐愈。后用换肌散八珍汤等药，调理半载而痊。后仍
发，误用克伐攻毒，患两感伤寒而死。
一男子遍身疙瘩，搔则痒，掐则痛，便闭作渴，此邪在内也。治以再造散二服，微下三
次，
用二圣散，其疮顿愈，更用大补年余而康。后患痰涎壅盛，舌强语涩，用二陈、苍术、黄柏
、知母、泽泻四剂而愈，再用补中益气汤调理而安。
一男子素清苦，眉尽落，病在肝胆二经也。乃刺臂腿腕及患处，出黑血，空心服八珍汤
，加
一儒者脚心或痒痛，或麻痒，或肿胀，二年后身体作痒，渐变疙瘩，发热耳鸣，日晡益
甚，
以补肾，又用换肌散、祛风丸以治疮，各斤许，疮渐愈，得滋补守禁而痊。
一上舍遍身患之，形体俱虚，余谓须用调补，元气完复，方治其疮。不信，恪服蛇酒以
攻内
，此因毒药脾伤而然也，反服祛毒之剂，吐泻不止而殁。
一男子用药汤熏洗，汗出不止，喘嗽不食，腹鸣足冷，肢体抽搐。余谓此因热伤元气，
腠理不密，汗出亡阳耳，是日果卒。
有一位男子，冬季出现口苦、耳鸣的症状，阴囊潮湿瘙痒；到了春季，面部出现紫色斑块，轻微肿胀且感觉麻木；到了冬季，全身皮肤变为紫色，不知痛痒。先服用再造散两剂以排出体内毒秽之邪，接着用小柴胡汤合四物汤，加入白芷、防风、天麻、皂角刺，病情逐渐好转。随后又服用换肌散，但全身呈现微红色，这是血虚有火的表现，因家境贫寒未能得到妥善调理；秋季出现发热，到春季面部再次出现紫块，使用前面的方剂配合养血药物，幸好患者年轻且谨遵医嘱，最终痊愈。
有一位喜食肥甘厚味的人，鼻子腐烂、眉毛脱落，手指脱落，身体溃烂，午后（晡时）热渴症状加重，使用四物汤加酒炒黑黄柏、知母、五味子、麦门冬等药；但因大便稀溏，这是元气虚弱而时令热邪盛的表现，改用补中益气汤后症状迅速缓解。接着服用换肌散及补中益气汤，兼服两个月，又以生脉散代茶饮，疮疡稍退。时至仲秋，出现眩晕、食欲不振、自汗、身体沉重、大便稀溏次数多，这也是时令湿邪所致，用清燥汤调理后痊愈。之后再用补中益气汤，少加酒炒黑黄柏、知母、皂角刺、天麻，两个多月后病愈。后来因劳累过度导致耳聋、热渴，误服祛风药，病情更加严重，全身发出赤疹，给予益气聪明汤，一个月左右痊愈。
有一位男子，患处红肿疼痛、发热口渴，脓水淋漓，心烦、手掌发热，视物模糊、言语涩滞、心悸不安，这是心经受邪所致，使用安神丸配合胡麻饮及八珍汤后痊愈，再用换肌散彻底治愈。
有一位男子，腹部可见青色筋脉显露，面部起紫色水泡，发热口渴，在寅卯时（凌晨3-7点）症状加重，脉象弦数，腿部抽筋，小便涩滞，这是肝经火症，使用龙胆泻肝汤清泻肝火，滋养气血，然后服用换肌散，清除体内毒素而安定。一年多后，因劳累和饮食不节，出现寒热往来、头痛，全身发出赤疹，自行服用醉仙散而死。
有一位男子，面部出现紫色疙瘩，脓水淋漓，睡眠中抽搐，全身麻木，逐渐出现红色斑块，劳累或发怒时瘙痒，肝脉洪大，采用砭石放血疗法，并服用前文提到的丸药，诸症稍有好转；随后使用宝鉴换肌散约一斤，以及小柴胡汤合四物汤加入人参、白术、天麻、皂角刺百余剂，加上六味地黄丸，半年后痊愈。后来因劳累导致全身麻木瘙痒，脉象微弱而迟缓，这是气血俱虚，不能荣养腠理，使用十全大补汤，加入五味子、麦门冬，调理一年多的时间才安稳。
有一位男子，面部发红并发出紫色水泡，下身瘙痒疼痛，午后发热，大便干燥色黑，这是火盛而血虚的表现，使用再造散及四物汤加黄连、黄芩、栀子等药；随后仍用四物汤去掉龙胆草、防己，少量使用独活，加入玄参、萆薢，五十多剂后疮疡消退；接着用补中益气汤加入天麻、麦门冬，使气血逐渐充盈；正值仲秋雨连绵，全身酸痛，用清燥汤治疗而安；随后服用换肌散、胡麻散、八珍汤，兼服后痊愈。
有一位上舍（国子监学生），面部肿胀，肌肤如癣，后来变成疙瘩，颜色紫红，搔抓后出水，这是脾肺受邪所致。先用清胃汤清泻胃火，并在手腕、足腕、手足指缝及患处进行砭刺放血，以去除毒血，疏通经络隧道；接着服用八珍汤加入白芷、皂角刺、五加皮、全蝎及二圣散，兼服一个多月，以滋养阴血治疗疮毒；又服用补气泻荣汤，症状稍减；再服用换肌散而完全痊愈。后来因劳累复发，出现红色晕斑，日晡时尤为严重，用四物汤加丹皮、柴胡、山栀，并用补中益气汤，一年多来虽然劳累但未再发作。
有一位男子，全身如癣，搔抓后成疮，颜色紫红麻木，掐之则痛，小便频数而量少，这是脾胃受邪，邪气多在表，正气虚弱所致，使用大剂量人参、黄芪、川芎、当归、蒺藜、桔梗数剂，元气顿时恢复。接着用八珍汤加入黄芪、白芷、蒺藜、天麻、软柴胡及二圣散治疗，疮疡逐渐愈合。后用换肌散、八珍汤等药，调理半年后痊愈。后来仍然复发，误用克伐攻毒的药物，患两感伤寒而死。
有一位男子，全身出现疙瘩，搔抓则痒，掐之则痛，便秘口渴，这是邪气在内。治疗用再造散两剂，轻微通下三次，然后用二圣散，疮疡顿时痊愈，再用大补药物一年多后康复。后来患痰涎壅盛，舌强语涩，用二陈汤、苍术、黄柏、知母、泽泻四剂后痊愈，再用补中益气汤调理而安。
有一位男子，平生清苦，眉毛全部脱落，病在肝胆二经。于是针刺手臂、腿部、手腕及患处，放出黑血，空腹服用八珍汤，加入……（原文此处似有缺漏，依语境推测为相关补益或疏泄药）。
有一位儒者，脚心有时瘙痒疼痛，有时麻木瘙痒，有时肿胀，两年后全身作痒，逐渐变成疙瘩，发热耳鸣，日晡时更加严重，……（原文此处似有缺漏，依语境推测为滋阴补肾之法），以补肾，又用换肌散、祛风丸治疗疮疡，各用一斤许，疮疡逐渐愈合，得以滋补并遵守禁忌而痊愈。
有一位上舍全身患病，形体俱虚，我认为必须使用调补方法，待元气完全恢复，才能治疗疮疡。他不相信，坚持服用蛇酒以攻毒，……（原文此处似有缺漏，依语境推测为导致后果），这是因为毒药损伤脾胃所致，反而服用祛毒之剂，呕吐腹泻不止而死。
有一位男子用药汤熏洗，出汗不止，气喘咳嗽、不能进食，肠鸣、脚冷，肢体抽搐。我认为这是因为热邪损伤元气，腠理不固，汗出亡阳所致，当天果然去世。
A man suffered from bitter taste in the mouth and tinnitus in winter, with dampness and itching of the scrotum. In spring, purple patches appeared on his face, slightly swollen and numb. By winter, his whole body turned purple, losing sensation of pain and itch. Initially, two doses of Zaizao San (Reconstruction Powder) were administered to expel toxic filth. Subsequently, Xiao Chai Hu Tang (Minor Bupleurum Decoction) combined with Siwu Tang (Four Substance Decoction), plus Bai Zhi (Angelicae Dahuricae Radix), Fang Feng (Saposhnikoviae Radix), Tian Ma (Gastrodiae Rhizoma), and Zao Jiao Ci (Gleditsiae Spina), gradually improved the condition. Later, Huanji San (Muscle-Rejuvenating Powder) was used, but the whole body remained slightly red, indicating Blood deficiency with Fire. Due to poverty, proper regulation was not possible. Fever occurred in autumn, and by spring, facial patches recurred. Using the previous formula along with Blood-nourishing herbs, he recovered, fortunately being young and careful with his health.
Another patient, accustomed to rich food, suffered from nasal destruction, loss of eyebrows, finger detachment, and body ulcers. Heat and thirst were severe at dusk (Bushi). Siwu Tang (Four Substance Decoction) was added with wine-fried black Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Wu Wei Zi (Schisandrae Fructus), and Mai Men Dong (Ophiopogonis Radix). However, loose stools indicated Qi deficiency with prevailing seasonal heat; Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) brought rapid relief. He then took Huanji San (Muscle-Rejuvenating Powder) and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) concurrently for two months, and Sheng Mai San (Generate the Pulse Powder) as tea substitute, leading to slight regression of sores. In mid-autumn, dizziness, poor appetite, spontaneous sweating, heavy body, and frequent loose stools appeared, attributed to seasonal dampness. Qing Zao Tang (Clear Dryness Decoction) regulated the condition successfully. Afterwards, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with small amounts of wine-fried black Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), Zao Jiao Ci (Gleditsiae Spina), and Tian Ma (Gastrodiae Rhizoma) cured him after over two months. Later, due to fatigue, he experienced deafness, heat, and thirst. Mistakenly taking wind-dispelling herbs aggravated the disease, causing red rashes all over. Yi Qi Cong Ming Tang (Augment Qi and Brighten the Eyes Decoction) cured him in about a month.
A man presented with red, painful, hot, and thirsty sores with dripping pus, vexation, palm heat, blurred vision, slurred speech, and palpitations. This was a Heart Meridian syndrome. An Shen Wan (Calming the Spirit Pill) combined with Hu Ma Yin (Sesame Drink) and Ba Zhen Tang (Eight Treasure Decoction) cured him, followed by Huanji San (Muscle-Rejuvenating Powder) for complete recovery.
Another man had visible blue veins on the abdomen, purple blisters on the face, fever, thirst worsening during Yin-Mao hours (3-7 AM), wiry and rapid pulse, leg cramps, and astringent urination. This was a Liver Meridian Fire syndrome. Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver) cleared Liver fire, nourished Qi and Blood, followed by Huanji San (Muscle-Rejuvenating Powder) to remove internal toxins. Over a year later, due to labor and improper diet, chills, fever, headache, and widespread red rashes occurred. He died after self-administering Zui Xian San (Intoxicating Immortal Powder).
A man had purple nodules on the face with dripping pus, convulsions during sleep, generalized numbness, and gradually appearing red patches that itched upon fatigue or anger. The Liver pulse was surging and large. Scarification (Bian) was used, along with previous pills, yielding slight improvement. Then, Bao Jian Huanji San (Mirror-like Muscle-Rejuvenating Powder, approx. one jin) was taken, along with Xiao Chai Hu Tang (Minor Bupleurum Decoction) combined with Siwu Tang (Four Substance Decoction) plus Ren Shen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Tian Ma (Gastrodiae Rhizoma), and Jiao Ci (Spina Gleditsiae) for over a hundred doses, plus Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), curing him in half a year. Later, fatigue caused generalized numbness and itching with a faint, slow pulse, indicating Qi and Blood deficiency failing to nourish the Cou Li (skin and interstices). Shi Quan Da Bu Tang (Ten Great Tonifying Decoction) with Wu Wei Zi (Schisandrae Fructus) and Mai Men Dong (Ophiopogonis Radix) regulated the condition for over a year until stable.
A man had a red face with purple blisters, lower body itching and pain, afternoon fever, and dry, dark stool. This was excessive Fire with Blood deficiency. Zaizao San (Reconstruction Powder) and Siwu Tang (Four Substance Decoction) plus Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), and Shan Zhi (Gardeniae Fructus) were used. Subsequently, Siwu Tang (Four Substance Decoction) without Long Dan Cao (Gentianae Radix) and Fang Ji (Stephaniae Tetrandrae Radix), with small amounts of Du Huo (Angelicae Pubescentis Radix), plus Xuan Shen (Scrophulariae Radix) and Bi Xie (Dioscoreae Hypoglaucae Rhizoma) for over fifty doses, reduced the sores. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Tian Ma (Gastrodiae Rhizoma) and Mai Men Dong (Ophiopogonis Radix) gradually replenished Qi and Blood. During mid-autumn rains, generalized soreness and pain occurred, treated with Qing Zao Tang (Clear Dryness Decoction). Finally, Huanji San (Muscle-Rejuvenating Powder), Hu Ma San (Sesame Powder), and Ba Zhen Tang (Eight Treasure Decoction) taken concurrently cured him.
A student (Shang She) had facial swelling, skin like tinea, later turning into purple nodules that wept when scratched. This was a Spleen and Lung syndrome. Qing Wei Tang (Clear Stomach Decoction) was first used to clear Stomach heat. Scarification at wrists, ankles, finger webs, and lesions expelled toxic blood and unblocked meridians. Ba Zhen Tang (Eight Treasure Decoction) plus Bai Zhi (Angelicae Dahuricae Radix), Zao Jiao Ci (Gleditsiae Spina), Wu Jia Pi (Acanthopanacis Cortex), Quan Xie (Scorpio), and Er Sheng San (Two Sages Powder) were taken concurrently for over a month to nourish Yin Blood and treat toxin sores. Bu Qi Xie Rong Tang (Augment Qi and Reduce Ying Decoction) provided slight improvement. Huanji San (Muscle-Rejuvenating Powder) led to full recovery. Later, fatigue caused red halos, worse at dusk. Siwu Tang (Four Substance Decoction) plus Dan Pi (Moutan Cortex), Chai Hu (Bupleuri Radix), and Shan Zhi (Gardeniae Fructus), along with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction), prevented recurrence despite labor for over a year.
A man had generalized tinea-like itching turning into sores, purple and numb, painful when pinched, with frequent scanty urination. This was a Spleen and Stomach syndrome with pathogenic factors mostly on the exterior and deficiency. Large doses of Ren Shen (Ginseng Radix), Huang Qi (Astragali Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Ji Li (Tribuli Fructus), and Jie Geng (Platycodonis Radix) for several doses instantly restored Yuan Qi (Original Qi). Ba Zhen Tang (Eight Treasure Decoction) plus Huang Qi (Astragali Radix), Bai Zhi (Angelicae Dahuricae Radix), Ji Li (Tribuli Fructus), Tian Ma (Gastrodiae Rhizoma), Ruan Chai Hu (Soft Bupleuri Radix), and Er Sheng San (Two Sages Powder) gradually healed the sores. Huanji San (Muscle-Rejuvenating Powder) and Ba Zhen Tang (Eight Treasure Decoction) regulated the condition for half a year until cure. Relapse occurred later; mistaken use of purgative and detoxifying herbs led to death from Liang Gan Shang Han (Double-Contracted Cold Damage).
A man had generalized nodules, itchy when scratched, painful when pinched, with constipation and thirst. This indicated internal pathogens. Zaizao San (Reconstruction Powder) for two doses and mild purgation three times, followed by Er Sheng San (Two Sages Powder), instantly healed the sores. Major tonification for over a year restored health. Later, copious phlegm-saliva, stiff tongue, and slurred speech occurred. Er Chen Tang (Two Aged Decoction) plus Cang Zhu (Atractylodis Rhizoma), Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), and Ze Xie (Alismatis Rhizoma) for four doses cured him, followed by Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) for regulation.
A man, living ascetically, lost all eyebrows. The disease was in the Liver and Gallbladder meridians. Scarification at arms, legs, wrists, and lesions expelled black blood. Ba Zhen Tang (Eight Treasure Decoction) plus [missing text] was taken on an empty stomach.
A scholar had itchy/painful or numb/swollen soles. After two years, generalized itching developed into nodules, fever, and tinnitus, worsening at dusk. [Missing text] to tonify Kidney. Huanji San (Muscle-Rejuvenating Powder) and Qu Feng Wan (Wind-Dispelling Pill), each one jin, gradually healed sores. Recovery was achieved through tonification and adherence to dietary/lifestyle restrictions.
A student suffered generalized disease with emaciation. I advised tonification to restore Yuan Qi (Original Qi) before treating sores. Disbelieving, he strictly drank Snake Wine to attack pathogens internally. [Missing text] resulting from poison damaging the Spleen. Taking detoxifying agents instead caused incessant vomiting and diarrhea, leading to death.
A man underwent herbal fumigation and washing, resulting in profuse sweating, panting, coughing, anorexia, borborygmus, cold feet, and limb convulsions. I reasoned this was Heat damaging Yuan Qi (Original Qi), insecure Cou Li (skin and interstices), and sweating leading to Yang collapse. He died that day.