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Zhang Baoyi developed hiccups (hiccup) after sweating. Some believed that this was due to deficiency of the Stomach Qi causing belching and hiccuping, hence the symptom. They administered a decoction containing dried ginger (Ganjiang) and tangerine peel (Juapi), but it was not tolerated (or ineffective). He then sought my treatment. I said: This syndrome should not be treated entirely as Stomach deficiency. The six pulses are still restless, indicating that residual pathogenic toxins have not yet been resolved. I prescribed Xiao Chai Hu Tang (Minor Bupleurum Decoction). After two doses, he recovered.

In the ninth month of autumn in the year Guimao, I attended the imperial examination at Hainan Sengtai. A fellow examinee, Peng Zijing from Jianyang, fell ill. His symptoms included fever, headache, vomiting and regurgitation, and profuse spontaneous sweating resembling a shower, which had persisted for several days. I summoned him for diagnosis. He asked me: "The examination is only a few days away, yet my condition has worsened so much. What should I do?" I replied: "You have taken too many incorrect medications. This syndrome requires stopping the sweating first. Fortunately, there is no need to worry." I prepared Shu Fu Tang (Aconite and Atractylodes Decoction) for him. After three doses, his sweating stopped. The next day, he sweated slightly, his body temperature normalized, and he recovered completely within five days.

A villager suffered from vomiting in the epigastrium, oppression and irritability in the chest, excessive sleepiness, fatigue with a desire to lie down, and cold extremities. This is a Shaoyin syndrome. After more than ten days without improvement, he suddenly developed high fever throughout the body and hematuria. I said: "When Yin is deficient, Yang must crowd in. Currently, the pulse is fine and weak, and there is no pain below the umbilicus; therefore, purgation is contraindicated. Regarding Tao Ren Cheng Qi Tang (Peach Kernel and Rhubarb Decoction), it is not suitable here; instead, use Shao Yao Di Huang Tang (Peony and Rehmannia Decoction). After three doses, he recovered."

A pregnant woman in the neighborhood contracted Shanghan (Cold Damage). She presented with swelling and fullness from the waist downward. Physicians diagnosed her variously as pregnancy toxemia (Zu), podagra/foot qi (Xiangjiao), or fluid retention (Shuifen). I said: "This is the pulse pattern associated with conception. The disease name is Heart Excess. Treatment should involve promoting urination." The physician asked: "Promoting urination implies treating it as fluid retention? Shouldn't we use Tong Cao (Akebia Caulis), Ting Li Zi (Lepidii Semen), and Sang Bai Pi (Morus Root Bark)?" I replied: "We should puncture Laogong (PC 8) and Guanyuan (CV 4)." The physician was greatly startled and asked: "Which medical classic does this come from?" I said: "Zhang Zhongjing's Yujian Jing (Golden Cabinet Classic) states: When a woman contracts Shanghan during pregnancy, specifically at seven months, if she experiences abdominal fullness and a sensation of water overflowing below the waist, it indicates that the Taiyin Spleen fails to nourish the fetus at this stage. This is an excess of Heart Qi. One should puncture Laogong and Guanyuan to promote urination, and the patient will recover." I instructed her on the acupuncture points, and she subsequently healed.

In the year Jiyi, when the Jin cavalry breached the Huai River region, a plague broke out widely. At that time, Wang Chaofeng was staying at Tianqing Temple. He fell ill with fever, spontaneous sweating, heaviness of the body making turning difficult, somnolence, and snoring during sleep. Physicians diagnosed this as a combined disease of the Three Yang meridians or as Lou Feng (Leaking Wind) syndrome, but the treatments were ineffective. I said: "This is Fengwen (Wind-Warmth) disease." I prescribed Wei Rui Tang (Polygonatum Decoction) and Du Huo Tang (Angelica Pubescens Decoction). After several days, he recovered.

Commentary: Zhang Zhongjing stated in the chapter on Taiyang Disease Pulses: In Taiyang disease, if there is fever, thirst, and aversion to cold is absent, it is called Wenbing (Warm Disease). If, after sweating, the body becomes burning hot, it is named Fengwen (Wind-Warmth). In Fengwen disease, the pulses at the cun, guan, and chi positions are all floating; there is spontaneous sweating; the body feels heavy; there is excessive sleepiness; breathing is accompanied by snoring; and speech is difficult. If mistakenly treated with purgatives, it leads to difficulty in urination, staring gaze, and incontinence of urine and feces. If mistakenly treated with fire therapy, mild cases result in yellowing of the skin, while severe cases resemble convulsions or epilepsy with periodic spasms. It is also stated: If the Yang pulses are floating and slippery, and the Yin pulses are soggy and weak, and wind pathogen is encountered again, it transforms into Fengwen. Generally, when warm pathogens are prevalent and wind pathogens are encountered, these syndromes appear. This occurs frequently in spring and summer. Physicians who treat it as Shanghan Lou Feng are incorrect. Since this is not caused by fire toxin, purgation is contraindicated, and vigorous diaphoresis is also contraindicated. Zhang Zhongjing did not provide a specific formula for this. Ancient methods suggest selecting points from the Hand-Shaoyin Heart meridian and Foot-Jueyin Liver meridian according to the affected channels. Therefore, formulas such as Wei Rui Tang and Du Huo Tang are appropriate. If there is fever without signs requiring purgation, Zhi Mu Shi Gao Tang (Anemarrhena and Gypsum Decoction) should be used. If diaphoresis was mistakenly applied, Fang Ji Huang Qi Tang (Stephania and Astragalus Decoction) can be used to rescue the situation.