薛立斋治一男子，臂患漏，口干发热，喜脓不清稀，脉来迟缓，以豆豉饼灸，及服八珍汤加麦冬、
五味子、软柴胡、地骨皮，三月余而愈。后因不慎房劳复溃，脓清脉大，辞不治，果殁。河间云∶因
病致虚则为轻，盖
病势尚浅，元气未虚也。至病初愈，而劳复饮食劳倦，或房劳，七情六欲，阳瘁阴弱，加致羸损，此
因虚致损则为重，病势已过，元气已索之故也。
一男子年逾二十，禀弱，左腿外侧患毒，三月方溃，脓水清稀，肌肉不生，以十全大补汤加牛膝，
二十余帖渐已。更以豆豉饼灸之，月余而痊。又一媪左臂结核，年余方溃，脓清不敛。一男子患贴骨
痈，腿细短软，疮口不合。俱饮十全大补汤，外用附子饼及贴补药膏，调护得宜，百帖而愈。大凡不
足之症，宜大补之，兼灸以接补阳气，祛散寒邪为上。
京师董赐年逾四十，胸患疮成漏，日出脓碗许，喜饮食如常。以十全大补汤加贝母、远志、白蔹、
续断，灸以附子饼，脓渐少，谨调护，岁余而愈。
一男子患漏，时值阴寒，忽恶寒，右手脉有而似无，此胃气虚而不任风寒也。以四君子汤加炮姜、
肉桂，二剂少止，又四剂而安。
姚应凤治郑孝廉，患流注，穿漏垂死。应凤曰∶气从下泄，难以奏功。乃取药作糜，周身封以败
楮，隙肩井穴吸之而愈。
褪管方∶人手指甲炙黄，象牙屑、穿山甲炙黄各研细，乳香、没药俱炙，朱砂水飞，旧羊角灯底
（须十年外者。）打碎麸炒，为极细末。各三钱，合匀再研，以黄蜡化和丸，如椒大，初服五丸，逐
日加一丸。服至十日外，又每日减一丸，退至五丸。再逐日加一丸，如此周而复始。每日空心陈酒下，
管渐褪出，褪尽为度。
薛立斋治疗一名男子，手臂患有漏疮，伴有口干、发热，脓液稠厚而不清稀，脉象迟缓。采用豆豉饼灸法，并服用八珍汤加麦冬、五味子、软柴胡、地骨皮，经过三个多月痊愈。后来因不慎房事导致复发溃烂，脓液清稀、脉象洪大，薛立斋推辞不治，该患者果然去世。刘河间说：因病导致虚弱属于轻证，因为病势尚浅，元气尚未虚损。至于病初愈时，因劳累、饮食不节、劳倦，或房劳过度，以及七情六欲失调，导致阳气衰竭、阴气虚弱，进而造成身体极度消瘦亏损，这属于因虚致损的重证，是因为病势已过，元气已经枯竭的缘故。
另一名男子年过二十，体质虚弱，左腿外侧患毒疮，三个月才溃破，脓水清稀，肌肉不生，服用十全大补汤加牛膝，二十多剂后逐渐好转。再用豆豉饼灸治，一个多月后痊愈。又有一名老妇人左臂患结核（此处指皮下结节性肿块），一年多才溃破，脓液清稀且不收敛。另一名男子患贴骨痈，腿部细弱短小，疮口不合。均服用十全大补汤，外用附子饼及贴敷补益药膏，调理得当，服用百余帖后痊愈。大凡不足之症，宜用大补之法，兼用灸法以接续补充阳气，驱散寒邪为上策。
京城的董赐年过四十，胸部患疮形成漏管，每天流出约一碗脓液，但食欲如常。服用十全大补汤加贝母、远志、白蔹、续断，并用附子饼灸治，脓液逐渐减少，谨慎调护，一年多后痊愈。
另一名男子患漏疮，正值阴寒天气，突然恶寒，右手脉象似有似无，这是胃气虚弱不能耐受风寒所致。服用四君子汤加炮姜、肉桂，两剂后症状稍减，再服四剂后安定。
姚应凤治疗郑孝廉，患流注（深部脓肿），穿漏且濒临死亡。姚应凤说：“气从下泄，难以奏效。”于是将药物煮成粥状，用败坏的楮树叶包裹全身，仅在肩井穴处留隙，用拔罐法吸之而痊愈。
褪管方：取人手指甲炙至黄色，象牙屑、穿山甲炙至黄色，各研成细末；乳香、没药均炙过；朱砂用水飞法处理；旧羊角灯底（必须是十年以上的）打碎后用麸皮炒制，制成极细粉末。每种药材各三钱，混合均匀再次研磨，用黄蜡调和制成丸药，大小如花椒粒。初次服用五丸，每日增加一丸。服用到第十天以后，又每日减少一丸，退回到五丸。然后再每日增加一丸，如此循环往复。每日空腹用陈酒送服，漏管逐渐脱落排出，直到完全褪尽为止。
Dr. Xue Lizhai treated a male patient who suffered from a fistula in the arm, accompanied by dry mouth and fever. The pus was thick rather than clear and thin, and the pulse was slow. He applied moxibustion using a steamed soybean cake (Douchi Bing) and administered Bazhen Tang (Eight-Treasure Decoction) supplemented with Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Fructus), Ruan Chaihu (Bupleuri Radix), and Digupi (Paeuliae Cortex). After more than three months, the patient recovered. Later, due to improper sexual activity, the condition relapsed and ulcerated again. With clear pus and a large pulse, Dr. Xue declined further treatment, and the patient indeed died. Liu Hejian stated: When deficiency results from disease, it is considered a mild case because the pathogenic factor is still shallow and the Yuan Qi (Original Qi) has not yet been depleted. However, when labor, dietary irregularities, fatigue, excessive sexual activity, or emotional disturbances occur shortly after recovery, leading to exhaustion of Yang and weakness of Yin, resulting in severe emaciation, this constitutes a severe case of damage caused by deficiency. This occurs because the disease process has passed and the Yuan Qi has already been exhausted.
Another male patient, over twenty years old and constitutionally weak, developed a toxic sore on the lateral aspect of his left leg. It took three months to ulcerate, producing clear and thin pus with no new muscle growth. He was treated with Shiquan Dabu Tang (Ten-Ingredient Decoction for Great Tonification) added with Niuxi (Achyranthis Bidentatae Radix). After more than twenty doses, he gradually improved. Moxibustion with a steamed soybean cake was then applied, and he fully recovered within a month. Another elderly woman had tubercles (subcutaneous nodules) in her left arm that ulcerated only after more than a year, with clear pus and failure to heal. A male patient suffering from a deep-seated carbuncle (Tie Gu Yong) had a thin, short, and weak leg with an unhealed wound. All were treated internally with Shiquan Dabu Tang and externally with moxibustion using an apoplexy cake (Fuzi Bing) and tonifying plasters. With proper care and over a hundred doses, they recovered. Generally, for conditions of insufficiency, major tonification is appropriate, combined with moxibustion to replenish Yang Qi and dispel cold pathogens, which is the superior approach.
Dong Ci from Beijing, over forty years old, developed a chest abscess that formed a fistula, discharging about a bowl of pus daily, yet his appetite remained normal. He was treated with Shiquan Dabu Tang added with Beimu (Fritillariae Bulbus), Yuanzhi (Polygalae Radix), Bailian (Iris Tectorii Rhizoma), and Xuduan (Dipsaci Radix), along with moxibustion using an apoplexy cake. The pus discharge gradually decreased, and with careful nursing, he recovered after more than a year.
Another male patient with a fistula suddenly experienced aversion to cold during a period of yin-cold weather. His right hand pulse was faint, appearing almost absent. This indicated deficiency of Stomach Qi unable to withstand wind-cold. He was prescribed Sijunzi Tang (Four-Gentlemen Decoction) added with Pao Jiang (Zingiberis Rhizoma Preparatum) and Rougui (Cinnamomi Cortex). Symptoms subsided slightly after two doses and stabilized after four more doses.
Yao Yingfeng treated Scholar Zheng, who suffered from flowing deposits (Liu Zhu, deep-seated abscesses) that had ulcerated and were near death. Yao said, "Qi is leaking from below, making it difficult to achieve success." He prepared the medicine as a porridge, wrapped the patient's body with decaying paper mulberry leaves (Bai Chu), leaving an opening at the Jianjing (SI 14) acupoint, and applied suction (cupping). The patient recovered.
Formula for Shedding the Fistula Tube: Human fingernails are roasted until yellow; tusk ivory chips and pangolin scales are roasted until yellow and ground into fine powder; frankincense (Ruxiang) and myrrh (Moyao) are roasted; cinnabar (Zhusha) is processed by water levigation; old sheep horn lamp bases (must be ten years old or older) are crushed and stir-fried with bran. These are all ground into extremely fine powder. Each ingredient is used in three qian (approx. 9g). They are mixed uniformly and re-ground. Yellow beeswax is used to bind them into pills the size of Sichuan pepper seeds. Initially, take five pills, increasing by one pill daily. After ten days, decrease by one pill daily until returning to five pills. Then increase by one pill daily again, cycling continuously. Take each time on an empty stomach with aged wine. The fistula tube will gradually shed and fall out, continuing until completely expelled.