胡某，女，年未详
盛暑烧热七天不减，其夫着人往南昌请乃兄出诊。来人云：“我家主人言明照先生在省之常规，按日付出诊费”。胡向有“花边癖”，而耳且聋，竟云“我一日合二三十元，耽搁两日就不好算了。”经旁人说明患者正是乃妹，始动身下乡。诊毕，拟方清暑益气汤。患者服后汗出增多，胡曰：“得汗即解矣，明日必然思食。”翌晨患者倦怠贪睡，呻吟不绝，于前方加西瓜翠衣、扁豆花、佩兰叶，服后无改进。胡临告辞回省，开方香薷七物汤，嘱服四包，当得战汗而愈。是日我出诊至其邻村，其夫黄某却延之。诊其脉，浮大无力，人事昏沉，眉竖身萎。一味呻吟，头部两胁均有汗，两足胫膝皆着凉。唇绛舌绛，索饮不下咽。断系湿郁，腠理空松，汗为湿阻而不透，遂投人参白虎汤加苍术。黄疑之，谓何敢用此辛凉剂？余见其心怯，即辞之。经旁人劝告，勉服一剂，是夜诸恙减轻。另日黄亲自找我换方，并致歉意，乃于前方加重。
苍术三钱，生石膏四钱，炒知母二钱，米炒洋参二钱，大豆卷三钱，白术二钱
服一剂，热退清，无呻吟。但患者要求停药，故未换方，自为调养。未几皮寒三次，后病虽好，又患足肿，余令服四君子汤八剂而愈。
男，20岁初秋夜间露宿，冷醒后，烧热三四日。医云感冒服药不解，且日见沉重。其面朝里睡，神智昏沉，六脉浮而无力，面赤而亮，目隐红，舌中心红而稍黄，肌表微热，不饮不食。余以为深夜受风，腠理闭塞，风邪乘肝，激成身热，乃取芳香透络法。
佩兰叶二钱，毕澄茄二钱，丝瓜络二钱，橘络二钱，郁金钱半，芦根三钱，豆豉五十粒，煅石膏三钱，扁豆衣二钱，鲜生地二钱，益元散二钱，煎服。
再诊脉浮稍平，面红不亮，目有红丝，舌滑带淡红。能起坐，求冷饮，身上痒。此病无表里症，盖热而不烙手，面红舌红而不渴，脉浮而不恶寒头痛，知风邪尚未化热，里阴未伤也。于前方去毕澄茄、益元散、芦根，加绿萼梅二钱，黛黛花二钱，玉竹二钱，一剂热清。
男，年未详
畏寒发热，无汗，不思食，医云伤寒，以人参白虎汤加味治之，两剂后病况未变。余诊其脉，尺寸见浮，关部沉伏，面色暗而亮，唇舌红而晦。断系伏热未解，处方：
鲜石斛三钱，鲜生地二钱，薏苡仁三钱，白叩仁二钱，绿萼梅二钱，黛黛花二钱，佩兰叶二钱，茵陈三钱，秦艽二钱，橘络二钱，香豉三十粒
服两剂后，汗出热退，已不畏风，身感舒适，能闻饭香。适我家正开饭，问其欲食否？其笑盈盈，乃令食之。食时大汗淋漓，其宽衣露出胸脯，余察觉其胸散布红点，检身全身亦然，以腿夹及少腹较密。问其痒否？摇头曰不痒。余认为湿淫于内，化热成毒，毒已外透。可乘势托之。于前方去鲜生地、鲜石斛，加金银花四钱，连翘二钱，赤芍二钱，益元散三钱，两剂而安。
男，34岁
半月来，烧热不退，汗出不止，脉数搏指，面红舌绛，不恶风寒，亦无头痛，日夜坐卧不安，实乃久热伤营。
生石膏三钱，知母二钱，甘草一钱，粳米二合。令服一剂。但病家以为太凉，不敢服。后经乃兄开导，姑且一试。是夜患者安静，不若服药前之起卧不安。
复诊脉数平，舌红润而不绛，出汗减少，眉开目活，摸其身，微汗稍热。知热势已退，改以清营汤为治。
犀角一钱，生石膏三钱，南沙参二钱，郁金二钱，橘络二钱，鲜生地二钱，佩兰叶二钱，芦根二钱，鲜荷梗二尺，扁豆衣二钱，白叩仁二钱
服两包，汗止热退，能进稀粥。越日来换方，嘱服黄金丹，每日三次，每次九粒，获效。
男，61岁
温温热不退，治疗二十 余天，日见沉重，遂归家准备后事。余将抵其室，即闻号哭声，知病危矣，即转该村塾师处休息。未几哭声止，有人招我往诊。时室内热气腾腾，门窗紧闭，无阳光透入，床上有皮褥皮袄靠背，以为患者畏风寒。待张灯照患者，见其满面红光，舌上笼罩黑壳，说话不能调转舌本。据云服参附十二剂，遂变症如此。诊其脉，洪大搏指，不能对呼吸。知为内热燔盛，胃津告竭。复细察舌上黑壳，见壳下露出红焰色，舌心且绛，病人叫痛，又叫其口含乌梅，俟出涎沫，即用水洗其舌。含乌梅约二十分钟，满口涎沫，黑壳有自脱之象，后用薄荷水洗舌，病人叫舒服，急用五汁饮：
梨汁、鲜生地汁、藕汁、萝卜汁、芦根汁调匀乘冷吃下，三分钟后，肚内哇哇作响，病人忽然翻身向外。此后每隔四小时，进五汁饮一杯，共进三杯，是夜自自在在。另日清晨，舌不卷，亦不畏寒，思食粥，并要打开门窗。余拟一方：芦根三钱，鲜生地二钱，扁豆衣二钱，生石膏三钱，西瓜翠衣二钱，玉竹二钱，知母二钱，两剂而愈。
男，50岁
■天四肢厥逆。其住楼上卧室，早晨、下午，均有太阳晒床上，室外有炭火炉两个。楼下较凉，而人皆汗流满面，独其睡楼上，并放下蚊帐，身着夹衣。摸其身，有汗，不甚冷，但自手足尖至肘边冰冷。问其觉热或觉冷，皆不知之。脉象浮洪，关部独盛。知为热伏，不是寒厥，至其汗出而厥，当系卫气背塞内外，酿成厥证，其不自利，则无逆症，实非附桂所宜。嘱先以浮小麦一升煎水收汗，然后以
生石膏三钱，芦根三钱，竹叶钱半，黄连二钱，香薷钱半，绿豆衣一撮煎服。并用紫雪丹一粒，随药调下。
服后自觉舒服，乃令其子检第二剂。复诊患者有笑容，自云病去大半，今已知热矣，特移楼下居住，脉不洪，有数象，不甚搏指，断其伏热逐渐外透。
鲜生地三钱，芦根三钱，黄连二钱，金银花三钱，香薷钱半，生石膏三钱，益元散三钱，鲜荷梗二尺。另用至宝丹一粒，随药吞服。两剂而安。
二日后，患者思食肉，余以为不可，乃投参麦汤善后，并云其病后将有疖毒发生，何以故？盖患者向嗜高粱厚味，必有热结于内，所以方中用黄连解毒，并以紫雪丹、至宝丹清其伏热，热深厥亦深，当清解热毒为要。至秋后，果然满身发生红肿疖毒。
女，30岁
三、四月来（夏季），温温热不退，口渴，有汗，夜睡发烦，不思食，脉浮数无力，又有紧象，似见紊乱。余以湿温治之，用白虎汤，令服一剂。是夜十时，患者叫喝茶，不要开水，其夫手摸其身，不见热气蒸蒸，四肢尚温，次日于方中加洋参钱半服一剂，汗收，微热。复诊见其人闷闷不抬头，额上现苍白色，透大气，脉无数象，六部搏指带涩，断有湿未透，遂于前方加苍术，令服二剂。
越日其父来云获大效，问此究系何病？余答是湿温。前医单以柴胡青蒿退热，殊不知愈表愈热。汗出而热不退者，乃热伏肌表也，是以服辛凉之剂而汗收热解。并嘱病后宜慎养之，可进软食，切忌油腻，俟阴津充沛，而阳气卫外也。谨防秋后发瘅疟。后果如余言。
女，33岁
头晕目黑，贪睡懒食，四肢发软者三、四年。其人面色痿黄，形焦神倦，六脉沉涩，舌有薄滞，唇焦，声音重浊，起坐难于舒展。度其湿淫于内，湿热相搏，三焦不通利，致胃肠被遏，故有面黄肢软，目黑耳鸣，懒食贪睡诸候。方用：
苍术/二钱，秦艽二钱，栀子四个，茵陈三钱，郁金二钱，麦芽二钱，大豆卷二钱，败酱草二钱，鸡内金二钱，姜枣各二同煎。
服两剂，据述头晕肢软显著改善，能进食，但仍贪睡，脉仍见沉涩，独关部搏指，足湿热当有动澹，于方内加：
服四剂，停药。用鸡子黄（去白）打溶，外用无灰酒温热送下。最后可用妇女头发一团，猪板油四两熬去滓，入妇人发，烊化为度，冷却后转入磁碗内，每日服一调羹，热酒调下，吃完为度，该妇如法制服，果获全效。
事后乃夫问此妇未受风霜雨露，湿从何来？我以无形之湿，因胃气不强，不能上彻心阳，灌溉五脏，致三焦不利，所以面黄肢软。言毕，请其阅读温病条辨自明。
男，14岁
精神不振，贪睡少食，皮下温温发热，寸脉尺涩，关部见数，舌红，中心微黄，唇色淡红，时刻叹气，断是湿温，投以
茵陈二钱，秦艽钱半，苍术钱半，大豆卷二钱，郁金钱半，藓皮钱半，赤苓二钱，正西庄钱半，泽泻钱半，豆豉三十粒
服两剂，似效似不效。因欲求速愈，遂往南昌投医，某医治以滋阴退热法，服两剂而热退，但恶寒、头晕、肢软、贪睡。某医于原方加石膏、知母、元参各二钱，嘱服二至四剂。归途患者叫要常面，食完一碗，尚未至家，即泻黄色屎水数次，呼喊难过，烧热复作，人事昏沉。
再延余诊，脉之两寸尺涩如故，关尺浮数，舌红共夹杂，形色暗黄，目有红丝，余认湿郁中焦，致成热结旁流，须渗湿透络，其热自退矣。
茵陈三钱，秦艽二钱，败酱草二钱，郁金二钱，苍术二钱，赤茯苓二钱，栀子五个，大豆卷二钱，鸡内金二钱，香豉三十粒
服一剂，此孩夜间得大便，且全身出汗，是夜安然。两剂，大汗淋漓，云身上发痒，溲成酱色，有酸臭气息。再服四剂，络透汗出，湿去络通，病减大半。但感肢软头晕。
此孩素禀柔弱，不宜贪凉露宿，可服人参养荣丸四两，七日服完。不可多服，多服必发咳。另拟一方善后：
金钗石斛、薏苡仁、玉竹、南沙参、鲜生地、佩兰叶、毕澄茄、橘络各二钱，扁豆钱半，粉丹皮钱半，甘蔗汁一杯兑服。四剂全愈。
男，59岁
平素吐血，复因路遇大雨，衣襟湿透，致浑身不适，不能劳动，动则气喘，舌中心黄而燥，唇色紫暗，浮数互见。此挟湿成瘀，致经络不舒，内外作闭，浑身扎胀。
丝瓜络二门橘络、郁金、败酱草、关蒺藜、佩兰、芦根、灵仙各二钱，茵陈三钱，芦根一束同煎。
服四剂，身不作闭，溲如酱色，两胁出汗似血水，其它部位则无。脉数有力。乃湿瘀化热，未得透出。
败酱草二钱，茵陈四钱，芦根三钱，郁金二钱，茅根三钱，川柏二钱，黄连二钱，栀子五个，牛膝二钱，丹皮二钱，桃仁二钱，当归尾二钱
服四剂，便下米泔色血水半桶，身觉轻松，四肢能运动，小便转黄而发烧，夹有粘性物，有时胀闷。断为气虚，协热下注，且有热淋变象，改方：
川萆薢二钱，并不相同二钱，瞿麦二钱，通草二钱，黄芩二钱，川柏二钱，蚕砂二钱，冬葵子二钱，石苇二钱龙胆草二钱，灯芯一圈煎服。嘱平日以藕代茶，获痊可。
（49）湿毒
男，65岁
烧热三日，双脚不能下床，喊叫不休。有塾师程某，稍读医书，认为此是刖足伤寒，乃由伤寒失表所致，但其知病因而不处方。待余往诊，患者告以七、八日前，开始至园内扯草，四日前，因当午地上热气上蒸，冲得两足难受，乃至山岩内泉水中浸足数分钟，不觉寒噤一次，当时头晕回坛，是夜烧热大作，自服牛膝、木瓜、玉活、加皮、地骨皮等味，无甚消息。
余诊其脉，两寸浮而软，关部不甚搏指，两尺浮数，知病无定。依据病情，余一时踌躇不定，既虑其发生干脚气，复恐系刖足伤寒。再察其舌，绛而带紫，两足胫热气烙手，满面红光。断定中湿毒，气血均受刺激。
先用破旧灰砖二十块（露天者好），寻集破草鞋二十 只，砖置火内煅红，以破草鞋放在砖上，扶患者坐定，以两足踏破草鞋上，对准砖上泼尿，使热气上腾，蒸熏两足。为使热气不致耗散，须将两足用布固定，直至热砖不烫人放休。拭干足上之尿，卧床盖被。内服药：石菖蒲、凤尾草、香薷、归尾、生地、关蒺藜、云苓、丹皮各二钱，威灵仙三钱，金银花四钱，薏苡仁四钱，露蜂房一个同煎。
连服五剂后，以十大功劳五钱和猪精肉四两煅服数次，最后可购虎潜丸，服20天。如法获得奇效。
治此病之所以用露天灰砖者，以湿导热也，用破草鞋者，以草鞋脚气治脚气，引热外出也；泼尿者，取热气冲足，使之上升下降也。以为两足只受湿热二毒，在经络，而未伤气血，故取温病条辨中之芳香透络也。
王某，男，年未详
全身发闭，不痛不痒，卧床三年，不能转侧，诊治良久，百药罔效。
有憨和尚者，年六十，喜爱劳动，体力强壮，上山砍柴，每次挑三百斤。惟其平时短于言词，人皆呼为“憨和尚”。和尚经常告人曰“我能治三、四种病”。但其言不为人所信任。和尚经常至王某家，云其能治此疾，王初不信，病几乎绝望，姑且试之，乃延和尚治疗。和尚仅问问情况，即开方：
地骨皮五斤，陈艾叶五斤，不能过水洗，分两锅煎水（每锅各两斤半），将水置大脚盆中，盆口平面放木板两块，令患者裸体卧其上，使蒸气熏之，水凉，则更换另一锅热水熏之。两锅水轮流使用二日。
连用四剂（八日），病竟霍然。
后晤和尚，问以故。和尚曰：“王某之病，乃湿痰滞络，内服药难以见效，非用水气熏之不可。”又曰：“我用之地骨皮，实非地骨皮，乃桔子皮也。但桔子皮必须被人践踏陷入泥土者方可用。”（和尚平时敛集此种橘皮）。
王某病情及和尚妙手回春，皆余亲眼所见，特记述供研究。
男，30岁
Hu, female, age unspecified.
During the peak of summer heat, fever persisted for seven days without abating. The patient's husband sent someone to Nanchang to invite my elder brother to consult. The messenger said, "My master explicitly stated that we will pay the consultation fee according to Mr.'s usual rates in the provincial city." Mr. Hu had a habit of "hoarding silver coins" (referring to stinginess or a specific preference for money) and was deaf; he actually said, "I earn thirty yuan a day; delaying for two days would be hard to calculate." After others explained that the patient was his own sister, he finally set out for the countryside. After examination, he prescribed Qing Shu Yi Qi Tang (Clear Summerheat and Augment Qi Decoction). After the patient took it, sweating increased. Mr. Hu said, "Sweating means recovery; she will surely want food tomorrow." The next morning, the patient was fatigued, drowsy, and groaning incessantly. Watermelon rind (Xi Gua Cui Yi), Lablab flower (Bian Dou Hua), and Eupatorium leaf (Pei Lan Ye) were added to the previous formula, but there was no improvement. As Mr. Hu prepared to leave and return to the city, he prescribed Xiang Ru Qi Wu Tang (Seven-Ingredient Mosla Decoction), instructing four doses, expecting recovery through a shivering sweat (Zhan Han). That day, I went to the neighboring village for a consultation, but the patient's husband, Huang, invited me instead. His pulse was floating, large, and powerless; he was mentally confused, with furrowed brows and a collapsed body. He groaned constantly, with sweat on his head and flanks, while his lower legs and knees felt cold. His lips and tongue were crimson; he wanted to drink but could not swallow. I diagnosed dampness stagnation with loose interstices (Cou Li), where sweat was blocked by dampness and could not vent. Therefore, I administered Ren Shen Bai Hu Tang (Ginseng White Tiger Decoction) with added Atractylodes Rhizome (Cang Zhu). Huang doubted this, asking why such a pungent-cool formula was used. Seeing his timidity, I declined further engagement. Persuaded by others, they reluctantly took one dose, and that night, symptoms alleviated. Another day, Huang personally sought me to adjust the prescription and apologized, so I increased the dosage of the previous formula.
Atractylodes Rhizome (Cang Zhu) 3 qian, Raw Gypsum (Sheng Shi Gao) 4 qian, Stir-fried Anemarrhena Rhizome (Chao Zhi Mu) 2 qian, Rice-fried American Ginseng (Mi Chao Yang Shen) 2 qian, Soybean Sprouts (Da Dou Juan) 3 qian, Atractodis Rhizoma (Bai Zhu) 2 qian.
After one dose, fever subsided, clarity returned, and groaning ceased. However, the patient requested to stop medication, so no adjustment was made, and she recovered through self-care. Soon after, she experienced three episodes of skin chills. Although the illness improved, she developed swollen feet. I instructed her to take Si Jun Zi Tang (Four Gentlemen Decoction) for eight doses, which cured her.
Male, 20 years old. In early autumn, he slept outdoors overnight. After waking from cold, he had fever for three to four days. The doctor said it was a common cold and medication failed, with symptoms worsening daily. He slept facing inward, mentally confused, with six pulses floating and powerless, face red and shiny, eyes slightly red, center of tongue red with slight yellow coating, slight surface heat, no desire to drink or eat. I believed wind invaded late at night, closing the interstices, and wind pathogen attacked the Liver, causing fever. Thus, I employed an aromatic meridian-penetrating method.
Eupatorium Leaf (Pei Lan Ye) 2 qian, Black Cardamom Fruit (Bi Cheng Qie) 2 qian, Luffa Fruit Fiber (Si Gua Luo) 2 qian, Tangerine Peel Network (Ju Luo) 2 qain, Curcuma Tuber (Yu Jin) 0.5 qian, Reed Rhizome (Lu Gen) 3 qian, Fermented Soybean (Dou Chi) 50 grains, Calcined Gypsum (Duan Shi Gao) 3 qian, Lablab Seed Coat (Bian Dou Yi) 2 qian, Fresh Rehmannia Root (Xian Sheng Di) 2 qian, Yi Yuan San 2 qian. Decoct and take.
Second consultation: Pulse floating slightly flattened, face red but not shiny, eyes have red veins, tongue slippery with pale red color. Can sit up, desires cold drinks, body itches. This disease has neither exterior nor interior signs; the heat does not burn to the touch, face and tongue are red but not thirsty, pulse is floating but without aversion to cold or headache. This indicates wind pathogen has not transformed into heat, and Yin inside is unharmed. Remove Black Cardamom Fruit, Yi Yuan San, and Reed Rhizome from the previous formula; add Green Calyx Plum (Lv E Mei) 2 qian, Daidai Flower (Dai Dai Hua) 2 qian, and Polygonatum Rhizome (Yu Zhu) 2 qian. One dose clears the heat.
Male, age unspecified.
Aversion to cold, fever, no sweating, loss of appetite. Doctor diagnosed Shang Han (Cold Damage) and treated with modified Ren Shen Bai Hu Tang (Ginseng White Tiger Decoction). After two doses, condition unchanged. My diagnosis: pulse floating at Cun and Guan, sunken and deep at Guan section, face dark yet shiny, lips and tongue red but dull. Diagnosed as latent heat unresolved. Prescribed:
Fresh Dendrobium Stem (Xian Shi Hu) 3 qian, Fresh Rehmannia Root (Xian Sheng Di) 2 qian, Coix Seed (Yi Yi Ren) 3 qian, White Cardamom Seed (Bai Kou Ren) 2 qian, Green Calyx Plum (Lv E Mei) 2 qian, Daidai Flower (Dai Dai Hua) 2 qian, Eupatorium Leaf (Pei Lan Ye) 2 qian, Artemisia Capillaris Herba (Yin Chen) 3 qian, Gentian Root (Qin Jiao) 2 qian, Tangerine Peel Network (Ju Luo) 2 qian, Fermented Soybean (Xiang Chi) 30 grains.
After two doses, sweating occurred, fever subsided, aversion to wind ceased, body felt comfortable, and smell of rice became appealing. Coinciding with my family's mealtime, I asked if he wanted to eat. He smiled and agreed. During eating, profuse sweating occurred. Unbuttoning his clothes revealed red spots on his chest, similar distribution over the whole body, denser on legs and lower abdomen. Asked if itchy? He shook his head saying no. I reasoned that dampness overflowing internally transformed into heat and toxin, which had now emerged externally. We should capitalize on this to push it out. Remove Fresh Rehmannia Root and Fresh Dendrobium Stem from the previous formula; add Honeysuckle Flower (Jin Yin Hua) 4 qian, Forsythia Fruit (Lian Qiao) 2 qian, Red Peony Root (Chi Shao) 2 qian, and Yi Yuan San 3 qian. Two doses brought stability.
Male, 34 years old.
For half a month, fever persisted without abatement, continuous sweating, rapid pulse beating against fingers, red face, crimson tongue, no aversion to wind or cold, no headache, restlessness day and night. This is prolonged heat injuring Ying (Nutritive) level.
Raw Gypsum (Sheng Shi Gao) 3 qian, Anemarrhena Rhizome (Zhi Mu) 2 qian, Licorice Root (Gan Cao) 1 qian, Japonica Rice (Geng Mi) 2 he. Take one dose. The family thought it too cooling and dared not take it. Later persuaded by his brother, they tried it tentatively. That night, the patient was quiet, unlike the restless state before medication.
Second consultation: Rapid pulse normalized, tongue moist and red but not crimson, sweating decreased, brows relaxed, eyes lively, body slightly warm with slight sweat. Heat trend has receded. Changed treatment to Qing Ying Tang (Clear Nutritive Level Decoction).
Rhinoceros Horn (Xi Jiao) 1 qian, Raw Gypsum (Sheng Shi Gao) 3 qian, Adenophora Root (Nan Sha Shen) 2 qian, Curcuma Tuber (Yu Jin) 2 qian, Tangerine Peel Network (Ju Luo) 2 qian, Fresh Rehmannia Root (Xian Sheng Di) 2 qian, Eupatorium Leaf (Pei Lan Ye) 2 qian, Reed Rhizome (Lu Gen) 2 qian, Fresh Lotus Stem (Xian He Geng) 2 chi, Lablab Seed Coat (Bian Dou Yi) 2 qian, White Cardamom Seed (Bai Kou Ren) 2 qian.
Took two packs, sweating stopped, fever subsided, able to consume thin porridge. Came for follow-up, instructed to take Huang Jin Dan (Golden Pill), three times daily, nine pills each time, effective.
Male, 61 years old.
Low-grade persistent fever, treated for over twenty days, condition worsened daily, returned home to prepare end-of-life affairs. As I approached his room, I heard wailing, knowing the condition was critical, so I rested at a village schoolmaster's place. Wailing soon stopped, someone summoned me to consult. The room was hot, doors and windows closed, no sunlight, bed had leather mattress and coat backrest, assuming patient feared wind/cold. Upon lighting lamp, saw full red face, black crust covering tongue, unable to move tongue base when speaking. Claimed taking twelve doses of Shen Fu (Ginseng and Aconite), leading to these changes. Pulse was surging, large, beating strongly against fingers, difficult to coordinate with breathing. Known as intense internal heat, stomach fluids exhausted. Further observing black crust on tongue, saw red flame color underneath, tongue center crimson. Patient cried in pain. Instructed to hold Chinese Plum (Wu Mei) in mouth until saliva produced, then wash tongue with water. Holding Chinese Plum for about twenty minutes, mouth filled with saliva, black crust showed signs of detaching. Then washed tongue with Mint Water (Bo He Shui), patient expressed comfort. Urgently used Wu Zhi Yin (Five Juices Drink):
Pear Juice, Fresh Rehmannia Root Juice, Lotus Root Juice, Radish Juice, Reed Rhizome Juice mixed well and taken cold. Three minutes later, stomach gurgled, patient suddenly turned outward. Thereafter, every four hours, one cup of Five Juices Drink, total three cups, spent the night comfortably. Next morning, tongue not curled, no aversion to cold, desired congee, wanted windows open. I prescribed: Reed Rhizome (Lu Gen) 3 qian, Fresh Rehmannia Root (Xian Sheng Di) 2 qian, Lablab Seed Coat (Bian Dou Yi) 2 qian, Raw Gypsum (Sheng Shi Gao) 3 qian, Watermelon Rind (Xi Gua Cui Yi) 2 qian, Polygonatum Rhizome (Yu Zhu) 2 qian, Anemarrhena Rhizome (Zhi Mu) 2 qian. Two doses cured.
Male, 50 years old.
Certain day: Four limbs cold reversal (Jue Ni). Lives in upstairs bedroom. Morning and afternoon, sun shines on bed, two charcoal stoves outside downstairs. Downstairs cooler, people sweating profusely, but he sleeps upstairs, mosquito net down, wearing padded jacket. Touching body, sweaty, not very cold, but from fingertips to elbows ice cold. Asked if feels hot or cold, knows nothing. Pulse floating and surging, Guan section particularly strong. Known as latent heat, not cold reversal. Sweating with cold reversal indicates Wei Qi blocked internally and externally, forming Jue syndrome. No diarrhea, thus no adverse signs, truly not suitable for Aconite (Fu) and Cinnamon Bark (Gui). Instructed first to decoct Floating Wheat (Fu Xiao Mai) one sheng to collect sweat, then take:
Raw Gypsum (Sheng Shi Gao) 3 qian, Reed Rhizome (Lu Gen) 3 qian, Bamboo Leaf (Zhu Ye) 0.5 qian, Coptis Rhizome (Huang Lian) 2 qian, Mosla Herb (Xiang Ru) 0.5 qian, Mung Bean Skin (Lu Dou Yi) a pinch. Decoct and take. Also use Zi Xue Dan (Purple Snow Pill) one pill, mixed with medicine.
Felt comfortable after taking, instructed son to get second dose. Second consultation: Patient smiling, claimed illness gone more than half, now knows heat, moved downstairs. Pulse not surging, rapid quality, not beating strongly against fingers. Judged latent heat gradually emerging externally.
Fresh Rehmannia Root (Xian Sheng Di) 3 qian, Reed Rhizome (Lu Gen) 3 qian, Coptis Rhizome (Huang Lian) 2 qian, Honeysuckle Flower (Jin Yin Hua) 3 qian, Mosla Herb (Xiang Ru) 0.5 qian, Raw Gypsum (Sheng Shi Gao) 3 qian, Yi Yuan San 3 qian, Fresh Lotus Stem (Xian He Geng) 2 chi. Also use Zhi Bao Dan (Treasure of Life Pill) one pill, swallowed with medicine. Two doses stable.
Two days later, patient desired meat. I thought inadvisable, prescribed Shen Mai Tang (Ginseng and Ophiopogon Decoction) for recovery, and predicted boils/toxins would occur post-illness. Why? Patient previously loved rich foods, likely heat accumulation internally. Hence Coptis Rhizome used for detoxification, Zi Xue Dan and Zhi Bao Dan cleared latent heat. Deep heat leads to deep cold reversal; clearing heat and resolving toxin is key. By autumn, indeed widespread red swollen boils appeared.
Female, 30 years old.
March-April (Summer): Low-grade persistent fever, thirst, sweating, irritability at night, loss of appetite. Pulse floating, rapid, powerless, with tight quality, seemingly chaotic. I treated as Wen Wen (Warm-Dampness) using Bai Hu Tang (White Tiger Decoction), one dose. That night at 10 PM, patient called for tea, not boiling water. Husband touched body, no steaming heat, limbs still warm. Next day added American Ginseng (Yang Shen) 0.5 qian to formula, one dose, sweat stopped, slight fever. Second consultation: Patient depressed, head down, forehead pale white, deep breaths, pulse no longer rapid, six positions beat with涩 (choppy) quality. Judged dampness not fully vented. Added Atractylodes Rhizome (Cang Zhu) to previous formula, two doses.
Next day father came saying great effect, asked what disease this was. I answered Wen Wen (Warm-Dampness). Previous doctors only used Bupleurum Root (Chai Hu) and Artemisia Annua Herba (Qing Hao) to reduce fever, unaware that releasing exterior increases heat. Sweating without fever reduction indicates heat latent in muscle layer. Hence pungent-cool agents stopped sweat and resolved heat. Advised careful care post-illness, soft food, avoid grease, wait for Yin fluids abundant and Yang Qi defending exterior. Beware of Dan Nue (Malaria) in autumn. Result followed my words.
Female, 33 years old.
Dizziness, dark vision, drowsiness, poor appetite, weak limbs for 3-4 years. Complexion sallow, emaciated spirit fatigue, six pulses sunken and choppy, tongue thin coating, dry lips, heavy voice, difficulty stretching when sitting/standing. Estimated dampness overflowing internally, damp-heat struggling, San Jiao (Triple Burner) not smooth, blocking Stomach and Intestines, hence sallow face, weak limbs, dark vision, tinnitus, laziness, drowsiness. Formula:
Atractylodes Rhizome (Cang Zhu) 2 qian, Gentian Root (Qin Jiao) 2 qian, Gardenia Fruit (Zhi Zi) 4, Artemisia Capillaris Herba (Yin Chen) 3 qian, Curcuma Tuber (Yu Jin) 2 qian, Barley Sprout (Mai Ya) 2 qian, Soybean Sprouts (Da Dou Juan) 2 qian, Patrinia Herb (Bai Jiang Cao) 2 qian, Chicken Gizzard Lining (Ji Nei Jin) 2 qian, Ginger and Jujube 2 each. Decoct together.
Two doses: Dizziness and limb weakness significantly improved, able to eat, but still drowsy, pulse still sunken/choppy, Guan section beats strongly. Damp-heat stirring suspected. Add to formula:
Angelica Sinensis Root (Dang Gui) 2 qian, Adzuki Bean (Chi Xiao Dou) 3 qian, Cyathula Root (Chuan Niu Xi) 2 qian, Papaya Fruit (Mu Gua) 2 qian, Ligusticum Rhizome (Chuan Xiong) 0.5 qian.
Four doses, stop medication. Use Egg Yolk (Qu Bai) beaten, taken with warm non-ash wine. Finally, use a ball of women's hair, 4 liang of pork lard, boil away residue, add women's hair, melt completely, cool into ceramic bowl. Take one spoon daily with hot wine, finish course. Woman followed method, achieved full recovery.
Later husband asked how this woman got dampness without exposure to wind/rain/dew? I explained invisible dampness, due to weak Stomach Qi unable to reach Heart Yang, irrigate five Zang organs, causing San Jiao obstruction, hence sallow face and weak limbs. Finished speaking, asked him to read Wen Bing Tiao Bian (Systematic Differentiation of Warm Diseases) to understand himself.
Male, 14 years old.
Listless, drowsy, poor appetite, subcutaneous low-grade fever. Cun pulse Choppy, Chi pulse Choppy, Guan pulse Rapid. Tongue red, center slightly yellow, lips pale red, frequent sighing. Judged Wen Wen (Warm-Dampness). Prescribed:
Artemisia Capillaris Herba (Yin Chen) 2 qian, Gentian Root (Qin Jiao) 0.5 qian, Atractylodes Rhizome (Cang Zhu) 0.5 qian, Soybean Sprouts (Da Dou Juan) 2 qian, Curcuma Tuber (Yu Jin) 0.5 qian, Phellodendron Bark (Xuan Pi) 0.5 qian, Red Poria (Chi Ling) 2 qian, Zheng Xi Zhuang 0.5 qian, Alisma Rhizome (Ze Xie) 0.5 qian, Fermented Soybean (Dou Chi) 30 grains.
Two doses: Effect uncertain. Seeking quick cure, went to Nanchang to see another doctor. That doctor used Yin-nourishing heat-reducing method. Two doses reduced fever, but caused aversion to cold, dizziness, limb weakness, drowsiness. Doctor added Gypsum, Anemarrhena Rhizome, Ophiopogon Root (Yuan Shen) 2 qian each, instructed 2-4 doses. On way home, patient craved noodles, ate one bowl. Before arriving home, defecated yellow watery stool several times, cried in pain, fever returned, mental confusion.
Consulted me again. Cun and Chi pulses Choppy as before, Guan and Chi floating and rapid. Tongue red mixed, dark yellow appearance, eyes red veins. Recognized dampness stagnating in Middle Jiao, causing heat binding with side-flow. Must seep dampness and penetrate meridians, heat will retreat naturally.
Artemisia Capillaris Herba (Yin Chen) 3 qian, Gentian Root (Qin Jiao) 2 qian, Patrinia Herb (Bai Jiang Cao) 2 qian, Curcuma Tuber (Yu Jin) 2 qian, Atractylodes Rhizome (Cang Zhu) 2 qian, Red Poria (Chi Fu Ling) 2 qian, Gardenia Fruit (Zhi Zi) 5, Soybean Sprouts (Da Dou Juan) 2 qian, Chicken Gizzard Lining (Ji Nei Jin) 2 qian, Fermented Soybean (Xiang Chi) 30 grains.
One dose: Child had bowel movement at night, whole body sweated, peaceful that night. Two doses: Profuse sweating, body itchy, urine sauce-colored with sour odor. Four more doses: Meridians penetrated, sweat out, dampness removed, meridians clear, illness halved. But feels limb weakness and dizziness.
Child constitutionally weak, should not sleep outdoors seeking coolness. Can take Ren Shen Yang Rong Wan (Ginseng Nourishing Harmony Pill) 4 liang, finish in seven days. Do not overdose, causes cough. Another formula for recovery:
Dendrobium Nobile Stem (Jin Chai Shi Hu), Coix Seed (Yi Yi Ren), Polygonatum Rhizome (Yu Zhu), Adenophora Root (Nan Sha Shen), Fresh Rehmannia Root (Xian Sheng Di), Eupatorium Leaf (Pei Lan Ye), Black Cardamom Fruit (Bi Cheng Qie), Tangerine Peel Network (Ju Luo) each 2 qian, Lablab (Bian Dou) 0.5 qian, Moutan Cortex (Fen Dan Pi) 0.5 qian, Sugarcane Juice 1 cup mixed. Four doses fully cured.
Male, 59 years old.
Usually hematemesis (vomiting blood). Again encountered heavy rain, clothes soaked, causing whole body discomfort, inability to work, panting on exertion. Tongue center yellow and dry, lips purple-dark, floating and rapid pulses alternating. This is dampness complicating into blood stasis, causing meridian discomfort, internal/external closure, whole body distension.
Luffa Fruit Fiber (Si Gua Luo), Tangerine Peel Network (Ju Luo), Curcuma Tuber (Yu Jin), Patrinia Herb (Bai Jiang Cao), Tribulus Fruit (Guan Ji Li), Eupatorium Leaf (Pei Lan), Reed Rhizome (Lu Gen), Clematis Root (Ling Xian) each 2 qian, Artemisia Capillaris Herba (Yin Chen) 3 qian, Reed Rhizome (Lu Gen) one bundle. Decoct together.
Four doses: Body no longer closed, urine sauce-colored, sweat from flanks like bloody water, other parts none. Pulse rapid and forceful. Damp-stasis transforming into heat, not yet vented.
Patrinia Herb (Bai Jiang Cao) 2 qian, Artemisia Capillaris Herba (Yin Chen) 4 qian, Reed Rhizome (Lu Gen) 3 qian, Curcuma Tuber (Yu Jin) 2 qian, Imperata Rhizome (Mao Gen) 3 qian, Phellodendron Bark (Chuan Bai) 2 qian, Coptis Rhizome (Huang Lian) 2 qian, Gardenia Fruit (Zhi Zi) 5, Cyathula Root (Niu Xi) 2 qian, Moutan Cortex (Dan Pi) 2 qian, Peach Kernel (Tao Ren) 2 qian, Angelica Sinensis Tail (Dang Gui Wei) 2 qian.
Four doses: Defecated half bucket of rice-water colored bloody water, body felt light, limbs movable, urine turned yellow with fever, containing sticky matter, sometimes bloated. Judged Qi deficiency, heat sinking downward, with heat strangury transformation. Changed formula:
Smilax Glabra Rhizome (Chuan Bi Xie) 2 qian, [Text Error: "Bing Bu Xiang Tong" likely refers to a specific herb or typo, kept as is], Dianthera Herba (Qu Mai) 2 qian, Taro Stem (Tong Cao) 2 qian, Scutellaria Root (Huang Qin) 2 qian, Phellodendron Bark (Chuan Bai) 2 qian, Silkworm Frass (Can Sha) 2 qian, Malva Seed (Dong Kui Zi) 2 qian, Pyrola Root (Shi Wei) 2 qian, Gentiana Scabra Root (Long Dan Cao) 2 qian, Centipeda Herb (Deng Xin) one circle. Decoct. Advised replacing tea with lotus root daily, recovered.
(49) Damp-Toxin
Male, 65 years old.
Fever three days, both feet unable to step off bed, shouting incessantly. Schoolmaster Cheng, having read some medical books, believed this was Yue Zu Shang Han (Amputated Foot Cold Damage), caused by failure to release exterior in Shang Han, but knew cause without prescribing. When I consulted, patient reported starting pulling weeds in garden 7-8 days ago. Four days ago, noon ground heat rose, making feet uncomfortable, immersed feet in mountain spring water for minutes, felt one chill, dizzy returning home. That night fever spiked, self-medicated with Cyathula Root (Niu Xi), Papaya Fruit (Mu Gua), Actaea Rhizome (Yu Huo), Dogwood Bark (Jia Pi), Mahonia Leaf (Di Gu Pi), etc., no significant change.
My diagnosis: Cun pulses floating and soft, Guan not beating strongly, Chi pulses floating and rapid. Disease uncertain. Based on condition, hesitated, fearing Gan Jiao Qi (Dry Beriberi) or Yue Zu Shang Han. Observed tongue: crimson with purple, calves hot to touch, face red. Judged damp-toxin poisoning, affecting Qi and Blood.
First used 20 broken gray bricks (outdoor preferred), collected 20 broken straw shoes. Bricks heated red in fire, placed broken shoes on bricks. Supported patient sitting, stepped on shoes, poured urine onto bricks to generate steam, fumigating feet. To prevent heat dissipation, fixed feet with cloth until bricks cooled. Wiped urine, lay in bed covered. Internal medicine: Acorus Rhizome (Shi Chang Pu), Pteris Vinulatae Herba (Feng Wei Cao), Mosla Herb (Xiang Ru), Angelica Sinensis Tail (Gui Wei), Rehmannia Root (Sheng Di), Tribulus Fruit (Guan Ji Li), Poria (Yun Ling), Moutan Cortex (Dan Pi) each 2 qian, Clematis Root (Wei Ling Xian) 3 qian, Honeysuckle Flower (Jin Yin Hua) 4 qian, Coix Seed (Yi Yi Ren) 4 qian, Honeycomb (Lu Feng Fang) one. Decoct together.
Five doses continuously. Then Ten Great Merit Fruit (Shi Da Gong Lao) 5 qian and lean pork 4 liang roasted/taken several times. Finally buy Hu Qian Wan (Tiger Crouching Pill), take for 20 days. Method achieved miraculous effect.
Reason for outdoor gray bricks: conducts dampness heat. Reason for broken straw shoes: treats beriberi with beriberi, guides heat out. Pouring urine: uses heat to rush feet, rising and descending. Believed feet only affected by damp-heat toxins in meridians, not harming Qi/Blood, thus using aromatic meridian-penetrating method from Wen Bing Tiao Bian.
Wang, male, age unspecified.
Whole body closed/stiff, no pain/itch, bedridden three years, unable to turn, long treatment, hundred medicines ineffective.
Monk Han, 60 years old, loves labor, strong physique, chops wood, carries 300 jin each time. Usually taciturn, called "Monk Han". Monk often told people "I can treat 3-4 diseases". Words not trusted. Monk often visited Wang's house, claiming ability to cure. Wang initially disbelieved, nearly desperate, tried tentatively, invited monk to treat. Monk only asked condition, then prescribed:
Mahonia Leaf (Di Gu Pi) 5 jin, Aged Mugwort Leaf (Chen Ai Ye) 5 jin, must not wash with water. Decoct in two pots (2.5 jin each). Place water in large foot basin, put two wooden boards flat on basin mouth, let patient lie naked on them, fumigate with steam. When water cools, switch to other pot. Rotate two pots for two days.
Used four doses (eight days), illness suddenly vanished.
Later met monk, asked reason. Monk said: "Wang's disease is damp-phlegm blocking meridians, internal medicine hard to see effect, must use steam." Also said: "The Di Gu Pi I use is actually not Di Gu Pi, but Orange Peel. But orange peel must be trampled by people into mud to be usable." (Monk usually collects such orange peels).
Wang's condition and monk's skill witnessed by me personally, recorded specifically for research.
Male, 30 years old.