山西高××，年二十八岁，客居天津，于仲秋得温病。
病因 朋友招饮，饮酒过度，又多喝热茶，周身出汗，出外受风。
证候 周身骨节作疼，身热39.4℃，心中热而且渴，舌苔薄而微黄。大便干燥，小便短赤，
时或干嗽，身体酸软殊甚，动则弦晕，脉数逾五至，浮弦无力。自始病至此已四十日矣，
屡次延医服药无效。
诊断 此证乃薄受外感，并非难治之证。因治疗失宜，已逾月而外表未解，内热自不能清。病
则懒食，又兼热久耗阴，遂由外感之实热，酿成内伤之虚热，二热相并，则愈难治矣。斯
当以大滋真阴之药为主，而以解表泻热之药佐之。
处方 生怀山药（一两） 生怀地黄（一两） 玄参（一两） 沙参（六钱）
生杭芍（六钱） 大甘枸杞（五钱） 天冬（五钱） 天花粉（五钱） 滑石（三钱） 甘草（三钱）
共煎汤一大碗，分三次温饮下，其初饮一次时，先用白糖水送服西药阿斯匹林半瓦，然后服汤药。
复诊 初服药一次后，周身得汗，骨节已不觉疼，二次三次继续服完，热退强半，小便通畅，
脉已不浮弦，跳动稍有力，遂即原方略为加减，俾再服之。
处方 生怀山药（一两） 生怀地黄（八钱） 玄参（六钱） 沙参（六钱）
大甘枸杞（六钱） 天门冬（六钱） 滑石（三钱） 甘草（二钱） 真阿胶（三钱捣碎）
药共九味，先将前八味煎汤两大盅，去渣入阿胶融化，分两次温服。其服初次时，仍先用白糖
水送服阿斯匹林三分之一瓦。此方中加阿胶者，以其既善滋阴，又善润大便之干燥也。
效果 将药先服一次，周身又得微汗，继将二分服下，口已不渴，其日大便亦通下，便
下之后，顿觉精神清爽，灼热全无，病遂从此愈矣。
帮助 方中重用大队凉润之品，滋真阴即以退虚热，而复以阿斯匹林解肌、滑石利小便者，所以
开实热之出路也。至于服阿斯匹林半瓦，即遍身得汗者，因体虚者其汗易出，而心有燥
热之人，得凉药之濡润亦恒自出汗也。
Gao XX from Shanxi, aged 28, residing temporarily in Tianjin, contracted Warm Disease (Wen Bing) during the mid-autumn season.
Etiology: Invited by a friend to drink alcohol, he consumed excessive amounts of wine and subsequently drank large quantities of hot tea. This led to profuse sweating over the entire body. Upon going outside, he was exposed to wind pathogen.
Symptoms: Pain in all bone joints; body temperature of 39.4°C; heat sensation in the heart region accompanied by thirst; thin, slightly yellow tongue coating. Dry stool, scanty dark urine; occasional dry cough; extreme physical soreness and weakness; dizziness upon movement; pulse rapid exceeding five beats per cycle (approx. >100 bpm), floating, wiry, and forceless. From the onset of illness to this point, forty days had passed, yet repeated medical consultations and medication proved ineffective.
Diagnosis: This condition is merely a slight external contraction and is not difficult to treat. Due to improper treatment, the exterior pathogen has remained unresolved for over a month, making it impossible to clear the internal heat. The patient’s lack of appetite due to illness, combined with the prolonged heat consuming Yin fluids, has transformed the initial excess heat of external contraction into deficiency heat of internal injury. With both types of heat present, the condition becomes increasingly difficult to treat. Therefore, the primary approach should be using substantial doses of herbs that nourish True Yin, assisted by herbs that release the exterior and purge heat.
Prescription: Raw Huai Yam (Sheng Huai Shan Yao) 30g, Raw Huai Rehmannia Root (Sheng Huai Di Huang) 30g, Scrophularia Root (Xuan Shen) 30g, Glehnia Root (Sha Shen) 18g, Raw Hangzhou White Peony Root (Sheng Hang Shao) 18g, Large Sweet Goji Berry (Da Gan Gou Qi Zi) 15g, Asparagus Tuber (Tian Dong) 15g, Trichosanthes Root (Tian Hua Fen) 15g, Talcum (Hua Shi) 9g, Licorice Root (Gan Cao) 9g.
Decoct together to make one large bowl of soup, divided into three doses taken warm. For the first dose, administer half a grain of Aspirin dissolved in white sugar water orally before taking the herbal decoction.
Follow-up Visit: After the first dose, the patient sweated profusely, and joint pain ceased to be noticeable. After completing the second and third doses, the fever subsided by more than half, urination became unobstructed, and the pulse was no longer floating and wiry, showing slightly increased strength. Consequently, the original prescription was slightly modified for continued use.
Prescription: Raw Huai Yam (Sheng Huai Shan Yao) 30g, Raw Huai Rehmannia Root (Sheng Huai Di Huang) 24g, Scrophularia Root (Xuan Shen) 18g, Glehnia Root (Sha Shen) 18g, Large Sweet Goji Berry (Da Gan Gou Qi Zi) 18g, Asparagus Tuber (Tian Dong) 18g, Talcum (Hua Shi) 9g, Licorice Root (Gan Cao) 6g, Donkey-hide Gelatin (Zhen E Jiao) 9g (crushed).
Nine ingredients in total. First, decoct the preceding eight ingredients in two large cups of water, strain, and dissolve the crushed Donkey-hide Gelatin into the liquid. Divide into two doses taken warm. For the first dose, still administer one-third of a grain of Aspirin dissolved in white sugar water orally beforehand. The reason for adding Donkey-hide Gelatin in this formula is its dual efficacy in nourishing Yin and moistening dryness to relieve constipation.
Outcome: After the first dose, the patient sweated slightly again. After taking the remaining two doses, thirst ceased, and bowel movements occurred on the same day. Immediately after defecation, the patient felt mentally refreshed, and the burning heat completely disappeared. The disease was thus cured.
Explanation: The formula heavily employs cooling and moistening herbs to nourish True Yin, thereby retreating deficiency heat. Simultaneously, Aspirin is used to release the muscle layer, and Talcum promotes diuresis, thereby providing an exit route for excess heat. Regarding the sweating observed after administering half a grain of Aspirin: individuals with deficient constitutions sweat easily; furthermore, those with internal dry-heat often sweat spontaneously when receiving cooling and moistening medications that provide hydration and relief.