癸丑春。 城令张君。年三十有余。身体丰肥。精神康健。饮食倍于常人。太医王彦宝曰。君
肥盛如此。若不预服凉药。恐生热疾。张君从之。遂服三一承气汤二两。下利三十余行。异日。觉
阴阴腹痛。且不欲食。食而无味。心下痞满。精神困倦。次添胸膈闭塞。时作如刀刺之痛。稍多食
则醋心腹胀。不能消化。以此告予。予曰。昔君刚强。饮啖如常。血气周流。循其天度。十二脏之
相使。各守所司。神气冲和。身体太平。君自戕贼。冲气败乱而致病如此。虽悔何及。予遂以四君
子汤甘温之剂。补脾安胃。更加人参、黄 、升麻。升阳补气。戒以慎起居。节饮食。服之月余。
胸中快利而痛止。病气虽去。终不复正气。未几三旬中风而死。灵兰秘典云。主不明则十二官危。
形乃大伤。以此养生则殃。以为天下者。其宗大危。戒之戒之、启玄子云。心不明。邪正一。邪正
一。则损益不分。损益不分。则动之凶咎。陷身于羸瘠矣。故形乃大伤。夫主不明。则委于左右。
委于左右。则权势妄行。权势妄行。则吏不奉法。吏不奉法。则民众失所。而皆受枉曲矣。且民惟
邦本。本固邦宁。本不获安。国将何有。宗庙之主。安得不至于倾危乎。故曰戒之戒之。张君安危
不察。损益不分。妄加治疗以召其祸。可痛也哉。此既往不可咎。后人当以此为明鉴。
In the spring of the Gui-Chou year, Magistrate Zhang of the city, aged over thirty, was physically robust and obese, with sound spirit and health. His food intake was double that of an ordinary person. Imperial Physician Wang Yanbao said, "You are so obese; if you do not take cooling medicines in advance, it is feared that heat diseases will arise." Magistrate Zhang followed this advice and took two liang of Sanyi Chengqi Tang (Three-One Purging Decoction), resulting in more than thirty episodes of diarrhea. Some days later, he felt a dull abdominal pain, lost his appetite, and found no taste in food. He experienced epigastric fullness and stuffiness, and mental fatigue. Subsequently, chest and diaphragm obstruction developed, accompanied by occasional stabbing pains like those from a knife. If he ate slightly more, he suffered from acid regurgitation, abdominal distension, and indigestion. He reported this to me. I said, "Previously, you were vigorous, eating and drinking as usual, with blood and qi circulating freely according to natural laws. The twelve zang organs coordinated with each other, each fulfilling its duties, with harmonious spirit and peaceful body. You have harmed yourself, causing the disruption of the Chong Qi (Penetrating Vessel/Energy) and leading to such illness. Even if you regret it now, what can be done?" I then prescribed Sizijunzi Tang (Four Gentlemen Decoction), a sweet-warm formula, to tonify the spleen and stabilize the stomach, adding additional Ren Shen (Ginseng Root), Huang Qi (Astragalus Root), and Sheng Ma (Cimicifugae Rhizoma) to raise yang and tonify qi. I advised him to be cautious with daily routines and regulate his diet. After taking the medicine for over a month, his chest felt clear and comfortable, and the pain ceased. Although the pathogenic factor was eliminated, his righteous qi (Zheng Qi) did not fully recover. Within less than thirty days, he died from stroke (Zhong Feng). The *Linglan Midian Lun* states: "If the Sovereign (Heart) is unclear, the Twelve Officials (Organs) are in danger." The physical form suffers greatly; using this method for health preservation leads to disaster, and using it to govern the world brings great peril to the ancestral temple. Beware, beware! Qixuanzi (Wang Bing) stated: "If the Heart is unclear, right and wrong become indistinguishable; if right and wrong are indistinguishable, benefit and loss cannot be differentiated; if benefit and loss are not differentiated, actions invite misfortune, trapping the body in emaciation and weakness." Thus, the physical form suffers greatly. If the Sovereign is unclear, affairs are delegated to attendants on the left and right; if delegated to attendants, those in power act arbitrarily; if those in power act arbitrarily, officials do not uphold the law; if officials do not uphold the law, the people lose their place and suffer injustice. Moreover, the people are the root of the state; when the root is solid, the state is peaceful. If the root is insecure, what can the state have? How can the master of the ancestral temple avoid peril? Therefore, it is said: Beware, beware. Magistrate Zhang failed to examine his own safety and distinguish between benefit and loss, recklessly undergoing treatment and inviting disaster. This is truly lamentable. The past cannot be blamed, but future generations should take this as a clear warning.