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Observing this formula, the technique is indeed skillful (Tang's edition lacks the character "observe" and renders "skillful hand" as "wonderful"), so it is recorded for the use of scholars (this sentence is absent in Tang's edition).

The meaning of "rapid and moving pulse" is unclear; perhaps the character "rapid" is a typo for "changing," awaiting correction by experts. The Chong Mai (Penetrating Vessel) is referred to as the Blood Chamber, governed by the Liver, and its channel originates at the Qichuan acupoint. Qichuan is an acupoint of the Foot-Yangming Stomach Channel, thus the Chong Mai is also affiliated with the Yangming system. When pathogenic factors invade the Blood Chamber, Zhang Zhongjing established two treatment methods based on the depth of the pathogen: if the pathogen is deep, presenting symptoms similar to Jie Xiong (Chest Binding) syndrome with delirium, one should puncture Qimen (LR14) and drain according to excess, thereby expelling the pathogen via the Liver; this is what Tao refers to as "Blood Jie Xiong." If the pathogen is shallow, presenting alternating chills and fever resembling malaria but without delirium, Xiao Chai Hu Tang (Minor Bupleurum Decoction) should be used, treating from the Gallbladder perspective. Since alternating chills and fever are signs of Shaoyang disease, using Xiao Chai Hu Tang lifts the Shaoyang pathogen, allowing the heat in the Blood Chamber to exit outward, as the Liver and Gallbladder are interior-exteriorly related. Thus, deep pathogens are treated via the Liver, and shallow pathogens via the Gallbladder, to guide the expulsion of pathogens from the Blood Chamber. Now, Mr. Ye has detailed the symptoms further, incorporating methods from Tao and Wang, and viewing them alongside Zhang Zhongjing's clauses, which is indeed meticulous and comprehensive. Regarding the use of Xiao Chai Hu Tang, it is only appropriate for those with deficiency. Why? Because in Shanghan (Cold Damage), the pathogen enters the Blood Chamber via the channels, while the Stomach remains free of pathogen, allowing the use of Ginseng and Jujube. However, in Wenyue (Warm-Heat diseases), the pathogen first attacks the Stomach before entering the Blood Chamber; therefore, Ginseng and Jujube should be removed. They may only be used when there is no pathogen in the Stomach or in individuals with Middle Jiao deficiency!

Wang Shiyong's Note: In clinical practice, physicians often treat malaria indiscriminately, regardless of whether it is transformed from warm-heat, blindly using Xiao Chai Hu Tang to tonify the Stomach, leading to many critical situations! One must understand that Zhang Zhongjing's use of Xiao Chai Hu Tang aims to prevent Shaoyang channel pathogens from invading the deficient Stomach, hence using Ginseng and Jujube to assist Stomach Qi in resisting the pathogen. This differs from the origin of warm-heat pathogens, necessitating different treatments.

Wang's Note: It is correct that warm-heat pathogens and cold-damage pathogens have different origins, thus requiring different treatments. However, stating that the Stomach has no pathogen in cold damage, while simultaneously saying we prevent Shaoyang pathogens from invading the Stomach, seems inconsistent. Cold damage transmission proceeds from Taiyang to Yangming to Shaoyang, resulting in Taiyang-Yangming, Zheng Yang Yangming, and Shaoyang-Yangming patterns. How can Shaoyang be affected while Yangming remains unaffected? Nor is there logic in preventing Shaoyang pathogens from retrogressing into Yangming.

Wang Shiyong's Note: There are three presentations of warm-pathogen heat entering the Blood Chamber: 1. Menstruation begins, and heat pathogens sink in, causing blood stasis and obstruction; this requires breaking the blood stasis. 2. Menstruation has just ended, and pathogens attack the empty Blood Chamber; this requires nourishing Ying (Nutrient) Qi to clear heat. 3. Heat pathogens transmit to Ying Qi, forcing blood to bleed recklessly, causing menstruation to arrive prematurely; this requires clearing heat to calm Ying Qi.

This is Chapter 20; Tang's edition labels it Chapter 21. The preface states: "Twenty Treatments for Warm Disease Patterns," recorded by Mr. Ye's disciple Gu Jingwen during a boat trip on Dongting Mountain, noting down Mr. Ye's words spontaneously. Lacking refinement, the language is somewhat awkward and disordered, making it difficult for readers. Dalie presumes to slightly organize the sentences and rearrange sections for clarity, without altering Mr. Ye's core arguments. Zhang's commentary follows Tang's edition. I believe the original order is already logical, and the sentences are not hard to read. Why rearrange chapters and disrupt the structure? For instance, removing the character "Ru" (Like/As) from Yü Nü Jian (Jade Maiden Decoction) in Chapter 3 obscures its true nature. Here, corrections are made entirely based on Hua's edition.