辽宁刘××幼子，年七岁，于暮春得温病。
病因 因赴澡塘洗澡，汗出未竭，遽出冒风，遂成温病。病初得时，医者不知，用辛凉之药解
饥，而竟用温热之药为发其汗，迨汗出遍体，而灼热转剧。又延他医遽以承气下之，病
尤加剧，因其无可下之证而误下也。从此不敢轻于服药，迟
延数日见病势浸增，遂延愚为诊视，其精神昏愦间作谵语，气息微喘，肌肤灼热。问其心中亦甚
觉热，唇干裂有凝血，其舌苔薄而黄，中心干黑，频频饮水不能濡润。其脉弦而有
力，搏近六至，按之不实，而左部尤不任重按，其大便自服药下后未行。
诊断 此因误汗误下，伤其气化，兼温热既久阴分亏耗，乃邪实正虚之候也。宜治以大剂白虎
加人参汤。以白虎汤清其热，以人参补其虚，再加滋阴之品数味，以滋补阴分之亏耗。
处方 生石膏（四两捣细） 知母（一两） 野党参（五钱） 大生地黄（一两）
生怀山药（七钱） 玄参（四钱） 甘草（三钱）
共煎汤三大盅，分三次温饮下。病愈者勿须尽剂，热退即停服。白虎加人参汤中无粳米者，
因方中有生山药可代粳米和胃也。
效果 三次将药服完，温热大减，神已清爽。大使犹未通下，心中犹觉发热，诊其脉仍似有力，
遂将原方去山药仍煎三盅，俾徐徐温饮下，服至两盅大便通下，遂停药勿服，病全愈。
Liu's young son from Liaoning, aged seven, contracted Warm Disease (Wen Bing) in late spring.
Etiology: He went to a bathhouse to bathe; after sweating, he did not wait for his sweat to dry and immediately went out into the wind, thereby developing Warm Disease. At the onset of the illness, the physician was unaware of the condition. Instead of using acrid-cool herbs to resolve the exterior, warm-hot herbs were erroneously used to induce sweating. Consequently, after profuse sweating throughout the body, the burning heat intensified. Subsequently, another physician hastily administered Chengqi Decoction (Cassia Pill Formula) to purge the bowels, further aggravating the illness due to the absence of indications for purgation. From then on, they dared not take medicine lightly. After several days of delay, as the disease progressed, I was invited to examine the patient. The patient exhibited intermittent mental confusion and delirium, faint breathing with slight panting, and burning hot skin. Upon inquiry, the patient reported intense heat in the chest. The lips were dry, cracked, and contained coagulated blood. The tongue coating was thin and yellow, with a dry, black center. Frequent drinking failed to moisten the mouth. The pulse was wiry and forceful, beating nearly six times per cycle (approx. 90-100 bpm), but felt empty upon pressure. The left cun position was particularly unable to withstand heavy pressure. Bowel movements had not occurred since the administration of the previous purgative.
Diagnosis: This condition resulted from erroneous sweating and purging methods, which damaged the Qi transformation mechanism. Additionally, the prolonged presence of warm-heat pathogens depleted the Yin aspect. This presents as a pattern of Excess Pathogen and Deficient Healthy Qi. The appropriate treatment is a large dose of Baihu Jia Renshen Tang (White Tiger Decoction plus Ginseng). Baihu Tang clears the heat, while Renshen tonifies the deficiency. Several Yin-nourishing herbs are added to replenish the depletion of Yin fluids.
Prescription: Sheng Shigao (Raw Gypsum Fibrosum, 4 liang, crushed) Zhimu (Anemarrhenae Rhizoma, 1 liang) Ye Dangshen (Wild Codonopsis Radix, 5 qian) Da Sheng Dihuang (Fresh Rehmanniae Radix, 1 liang) Sheng Huai Shanyao (Fresh Dioscoreae Hypoglaucae Rhizoma, 7 qian) Xuanshen (Scrophulariae Radix, 4 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian)
Decoct together in water to yield three large bowls. Administer warm in three doses. If cured, there is no need to finish the entire course; stop taking it once the fever subsides. Rice (Jingmi) is omitted from this variation of Baihu Jia Renshen Tang because Sheng Huai Shanyao can substitute for Jingmi to harmonize the Stomach.
Outcome: After completing three doses, the heat symptoms significantly decreased, and mental clarity returned. However, bowel movements remained unpassed, and the patient still felt heat in the chest. The pulse still appeared forceful. Therefore, Shanyao was removed from the original formula, and the remaining herbs were decocted again to yield three large bowls for slow, warm consumption. After consuming two bowls, bowel movements were achieved. The medication was then discontinued, and the patient made a full recovery.