族子应章之弟，十月发三阴疟，至次年仲春未止。每发于辰戌、丑未日，午后寒多热少
，夜
有盗汗，左脉软弱，右关尽弦数有力。用白芍药、当归各一钱，白术二钱，柴胡、川芎、粉
草、砂仁、桂枝、酒芩各三分，生姜三片，水煎服，再以何首乌、白术、鳖甲各三钱，柴胡
一钱，青皮、酒芩、甘草各五分，乌梅一个，生姜三片，水煎，临发日五更服之，两帖而止
。后半月，下体大生疮疖，以东坡四神丹调理而痊。
油 吴中岳孺人，先感风邪，后伤饮食，发热头疼，腹中作胀。医与巴豆丸泻之而热不
减；后医又以大黄重泻之，而热也如初；再后医谓泻而热不退者为虚，大用参、 、
白术补之，补经四日，神气昏沉，不知人事。乃敦予诊，左脉弦数，右关尺沉数有力，舌尖
沉香色，舌根焦黑芒刺，语言含舌不清，扣前服药，始知妄下妄补，不思饥谨之余，疫气为
厉，误成坏症，危而且殆。姑以知母、柴胡各三钱，石膏六钱，枳实、天花粉各五分，粉草、
黄芩、麦冬各一钱，山栀子、生地黄各七分，人参六分，竹叶三十片，生姜三片，水煎饮之
。中夜后人事稍清，微有汗，舌稍柔和，语言已不含舌， 然有生气矣。次日，前方减去
地黄，加白芍药，舌心焦黑退尽，诸症十减其七。但大便五日未行，遍身尚痛，咳嗽，与七
制化痰丸两帖，再以石膏二钱，麦冬、贝母各一钱，前胡、枳实、黄芩、栀子各六分，甘草
三分，桑白皮八分煎服而安。
The younger brother of my clan member Yingzhang contracted San Yin Malaria (a type of malaria with deep-seated pathology) in the tenth month, which persisted until mid-spring of the following year. Attacks occurred on Chen, Xu, Chou, and Wei days, characterized by more chills than fever in the afternoon, and night sweats (sweating during sleep). The left pulse was weak, while the right Guan position (corresponding to the Spleen and Stomach) was wiry, rapid, and forceful. A decoction was prescribed containing Bai Shao Yao (Radix Paeoniae Alba), Dang Gui (Radix Angelicae Sinensis) each 1 qian; Bai Zhu (Rhizoma Atractylodis Macrocephalae) 2 qian; Chai Hu (Radix Bupleuri), Chuan Xiong (Rhizoma Chuanxiong), Fen Cao (Radix Glycyrrhizae Preparata), Sha Ren (Fructus Amomi), Gui Zhi (Ramulus Cinnamomi), and Jiu Qin (Radix Scutellariae Praeparata cum Vino) each 3 fen; and 3 slices of Sheng Jiang (Rhizoma Zingiberis Recens). This was taken after water decoction. Subsequently, a second prescription was prepared with He Shou Wu (Caulis Polygoni Multiflori), Bai Zhu, and Bie Jia (Carapax et Plastrum Testudinis) each 3 qian; Chai Hu 1 qian; Qing Pi (Pericarpium Citri Reticulatae Viride), Jiu Qin, and Gan Cao (Radix Glycyrrhizae) each 5 fen; one Mei Zi (Fructus Mume); and 3 slices of Sheng Jiang. This was decocted in water and administered at Wugeng (approx. 3-5 AM) on the day of the next attack. After two doses, the attacks ceased. Half a month later, large boils and sores appeared on the lower body, which were resolved through regulation with Dongpo Sishen Dan (Dongpo's Four Divine Pills).
Madam Wu Zhongyue first contracted Wind Pathogen (Feng Xie), followed by dietary injury, resulting in fever, headache, and abdominal distension. A physician administered Ba Dou Wan (Croton Seed Pill) for purgation, but the fever did not subside; another physician then used Da Huang (Radix et Rhizoma Rhei) for severe purgation, yet the fever remained unchanged. A subsequent physician reasoned that fever persisting after purgation indicated deficiency, and thus heavily supplemented with Ren Shen (Radix Ginseng), [text missing, likely Qi-tonifying herb], and Bai Zhu. After four days of supplementation, her spirit became lethargic and she lost consciousness. I was then consulted. The left pulse was wiry and rapid; the right Guan and Chi positions were deep, rapid, and forceful. The tip of the tongue was sedge-brown, while the root was scorched black with prickles. Speech was slurred due to tongue stiffness. Inquiry into previous treatments revealed erroneous purgation and supplementation. Considering this occurred amidst famine and epidemic prevalence, the mismanagement led to a Huai Zheng (complicated critical condition), which was dangerous and nearly fatal. Initially, I prescribed Zhi Mu (Rhizoma Anemarrhenae), Chai Hu each 3 qian; Shi Gao (Gypsum Fibrosum) 6 qian; Zhi Shi (Fructus Aurantii Immaturus), Tian Hua Fen (Radix Trichosanthis) each 5 fen; Fen Cao, Huang Qin (Radix Scutellariae), Mai Dong (Radix Ophiopogonis) each 1 qian; Shan Zhi Zi (Fructus Gardeniae), Sheng Di Huang (Radix Rehmanniae Preparata) each 7 fen; Ren Shen 6 fen; Zhu Ye (Leaf of Bambusa) 30 pieces; and Sheng Jiang 3 slices. Decocted in water and administered. After midnight, her consciousness slightly cleared, she had slight sweating, the tongue became softer, speech was no longer slurred, indicating the presence of vital energy. The next day, Sheng Di Huang was removed from the formula and Bai Shao Yao was added. The scorched black coating on the center of the tongue completely disappeared, and seven-tenths of the symptoms subsided. However, there had been no bowel movement for five days, the whole body still hurt, and she was coughing. Two doses of Qizhi Huatan Wan (Seven-Processed Phlegm-Resolving Pill) were given, followed by a decoction of Shi Gao 2 qian; Mai Dong, Bei Mu (Bulbus Fritillariae Cirrhosae) each 1 qian; Qian Hu (Radix Peucedani), Zhi Shi, Huang Qin, Zhi Zi (Fructus Gardeniae) each 6 fen; Gan Cao 3 fen; Sang Bai Pi (Cortex Mori Radicis) 8 fen. With this, the condition stabilized.