毛(二二) 发热旬日,舌黄口燥,大腹有块,按之甚痛,大便难通,所解无几,两脉疲
软带数。此春温疫症,热邪结于大腑,当用承气汤下之。
大黄(三钱) 芒硝(一钱) 枳实(一钱) 石膏(八钱) 知母(二钱) 橘皮(一钱) 甘草
(四分)
一服之后,能下燥粪数块,腹和不硬,热缓神清而愈。
周(二四) 红斑遍体,自觉胸宽热缓,邪热透发明矣。咳呛咽痛。因手太阴受热熏灼,
清疏肺胃立愈。
鲜生地(四钱) 鲜石斛(三钱) 犀角尖(一钱镑) 川贝(一钱五分) 丹皮(一钱五分)
桔梗(一钱) 橘红(八分) 甘草(四分)
又,斑后不思纳食,宜醒胃阴。
北沙参 麦冬 川斛 花粉 茯苓 橘皮 甘草
张妪 疹后内热,咳嗽身痒,当疏肺金郁火。
杏仁 橘红 薄荷 桔梗 连翘 甘草
史女(十七) 仲春发热浃旬,神昏耳聋,颈项与颐俱肿,唇口焦燥,目脂胶结,脉反小
数。
观其脉症,是为温邪内蕴化毒,久则血燥风盛,酿成发颐重症。姑投清疏消毒,但得肿退能
纳,方保无妨。
川连(一钱) 鲜生地(四钱) 鲜石斛(四钱) 蝉衣(五分) 连翘(二钱) 丹皮(一钱五
分) 柴胡(三分) 薄荷(五分)
三服肿退,热减神清,稍能纳粥,仍用凉解。
川连(五分) 鲜生地(四钱) 鲜石斛(一钱) 连翘(一钱五分) 麦冬(二钱) 丹皮(一
钱五分) 白芍(一钱五分)
数服痊愈。
Mao (22 years old): Fever for ten days, yellow tongue coating, dry mouth, a mass in the lower abdomen that is extremely painful upon pressure, difficulty in passing stool with very little excretion, and both pulses are weak, soft, and rapid. This is a spring-warmth epidemic syndrome where heat pathogens are accumulated in the Fu organs (specifically the large intestine). The Chengqi Decoction should be used to purge the accumulation.
Rhubarb Radix et Rhizoma (3 qian) Gypsum Fibrosum (8 qian) Natrii Sulfas (1 qian) Immature Bitter Orange (1 qian) Anemarrhenae Rhizoma (2 qian) Tangerine Peel (1 qian) Licorice Root (4 fen)
After one dose, several pieces of dry feces were passed, the abdomen became soft and no longer hard, the fever subsided, consciousness cleared, and recovery ensued.
Zhou (24 years old): Red macules covered the whole body; he felt his chest was relaxed and the heat had eased, indicating that the pathogenic heat was venting through the skin. He experienced coughing, wheezing, and sore throat. This was due to the heating and scorching of the Hand-Taiyin Lung Meridian. Immediate recovery was achieved by clearing and dispersing the Lung and Stomach.
Fresh Rehmanniae Radix (4 qian) Fresh Dendrobii Caulis (3 qian) Rhinoceros Horn (1 qian, sliced thin) Sichuan Fritillaria Bulb (1.5 qian) Moutan Cortex (1.5 qian) Platycodon Root (1 qian) Exocarpium Citri Reticulatae Viride (0.8 fen) Licorice Root (4 fen)
Furthermore, after the eruption of macules, there was a lack of appetite; it was appropriate to awaken the Stomach Yin.
Glehniae Radix Ophiopogonis Tuber Dendrobii Caulis Trichosanthis Radix Poria Cocos Tangerine Peel Licorice Root
Aunt Zhang: After the eruption of rashes, there was internal heat, coughing, and body itching. It was necessary to disperse the stagnant fire in the Metal (Lung).
Apricot Seed Exocarpium Citri Reticulatae Viride Mentha Herba Platycodon Root Forsythiae Fructus Licorice Root
Miss Shi (17 years old): In mid-spring, fever persisted for ten days, accompanied by coma, deafness, swelling of the neck and jaw (Yi), scorched lips and mouth, gelatinous eye discharge, and a pulse that was surprisingly small and rapid.
Observing the pulse and symptoms, this is warm pathogen accumulating internally and transforming into toxicity. Over time, blood dryness and wind excess developed,酿成 (brewing) a severe case of Fa Yi (mumps/parotitis). Temporarily administer clearing, dispersing, and detoxifying herbs. As long as the swelling subsides and she can eat, safety is assured.
Coptis Rhizome (1 qian) Fresh Rehmanniae Radix (4 qian) Fresh Dendrobii Caulis (4 qian) Cicada Slough (5 fen) Forsythiae Fructus (2 qian) Moutan Cortex (1.5 qian) Bupleuri Radix (3 fen) Mentha Herba (5 fen)
After three doses, the swelling subsided, heat decreased, consciousness cleared, and she could slightly consume congee. The cooling and resolving method was continued.
Coptis Rhizome (5 fen) Fresh Rehmanniae Radix (4 qian) Fresh Dendrobii Caulis (1 qian) Forsythiae Fructus (1.5 qian) Ophiopogonis Tuber (2 qian) Moutan Cortex (1.5 qian) White Peony Root (1.5 qian)
After several doses, full recovery was achieved.