戊申年。类试山阳。一时官病伤寒八九日。耳聋而无闻。楚医少阳治。意谓仲景称少阳受病。
则胁痛而耳聋也。予诊之曰。两手脉弱而无力。非少阳证也。若少阳则渴饮水。心烦。但寐。咽
痛。今俱无此证。但多汗惊悸。必汗过多所致也。仲景云未持脉时。令病患咳。而不咳者。两耳聋
无所闻也。所以然者。因重发汗。虚。故如此。病家曰医者尝大发汗矣。遂投以真武白术附子汤
辈。数日。耳有闻而愈。
己酉。王仲贤患伤寒。发热头痛。不恶风。身无汗。烦闷。脉浮而紧。八九日不退。予诊之
曰。麻黄证也。所感多热。是以烦躁。遂投以麻黄汤三服。至暮。烦愈甚。手足躁乱。扬踯不止。
或以为发狂。须用寒药。予争之曰。此汗证也。幸勿忧。切忌乱服药。守一时。须稍定。比寐少
时中。汗出矣。仲景云至六七日三部大。手足躁乱者。欲解也。盖谓此耳。若行寒剂。定是医杀。
城南妇人。腹满身重。遗尿。言语失常。他医曰。不可治也。肾绝矣。其家惊忧无措。密召
予至。则医尚在座。乃诊之曰。何谓肾绝。医家曰仲景谓溲便遗失。狂言。反目直视。此谓肾绝
也。予曰。今脉浮大而长。此三阳合病也。胡为肾绝。仲景云腹满身重。难以转侧。口不仁。谵
语。遗尿。发汗则谵语。下之则额上生汗。手足厥冷。白虎证也。今病患谵语者。以不当汗而汗
之。非狂言反目直视。须是肾绝脉。方可言此证。乃投以白虎加人参汤。数服而病悉除。
戊申年，我在山阳参加类试考试时，当时一位官员患伤寒已八九日，耳朵聋了听不见声音。楚地医生按照少阳病来治疗，认为张仲景说过少阳经受邪，就会出现胁痛和耳聋的症状。我诊察后说：两手脉象虚弱无力，这不是少阳病的证候。如果是少阳病，应该会有口渴想喝水、心烦、只想睡觉、咽喉疼痛等症状，现在这些症状都没有。只是患者多汗且惊悸，这一定是因为发汗过多导致的。张仲景说过，在把脉之前，让病人咳嗽，如果不咳嗽的，说明两耳听不见声音。之所以这样，是因为重发汗导致正气虚损，所以出现这种情况。病人家属说医生曾经大发过汗。于是我用真武汤、白术附子汤之类的方剂投治。几天后，患者听力恢复而痊愈。
己酉年，王仲贤患伤寒，发热头痛，不怕风，身上无汗，烦闷，脉象浮而紧，过了八九天不退。我诊察后说：这是麻黄汤证的指征。他感受的多是热邪，所以烦躁。于是给他服用三服麻黄汤。到了傍晚，烦躁更加严重，手足躁动不安，举手踢腿不停。有人认为是发狂，需要用寒凉药。我争辩说：这是汗出的征兆，幸好不必担忧，切忌乱服药。坚持过一个时辰，应该会稍微安定。等到睡一会儿的时候，就会出汗了。张仲景说过，到六七天时三部脉大，手足躁乱的，是病欲解的表现。大概说的就是这种情况。如果施用寒凉药剂，必定是医生害死了病人。
城南的一位妇人，腹部胀满，身体沉重，遗尿，言语失常。其他医生说：不能治了，肾气绝了。她的家人惊慌忧虑，不知所措，秘密召请我前往。等我到了，那位医生还在座。我便诊察说：为什么说肾绝？医生说：张仲景说过，大小便失禁，胡言乱语，眼睛上翻直视，这叫肾绝。我说：现在脉象浮大而长，这是三阳合病。为什么说是肾绝？张仲景说过，腹部胀满，身体沉重，难以翻身，口舌不灵，谵语，遗尿，发汗会导致谵语，攻下会导致额头出汗，手足厥冷，这是白虎汤证。现在病人谵语，是因为不当发汗而误用了发汗法，并不是胡言乱语、眼睛上翻直视那种必须肾绝脉象才能下的结论。于是投以白虎加人参汤，服用几剂后病全部消除。
In the year of Wushen, while participating in the class examination at Shanyang, an official suffered from Shanghan (Cold Damage) for eight or nine days. He experienced deafness and could not hear anything. A physician from Chu treated him according to Shaoyang disease, reasoning that Zhang Zhongjing stated that when Shaoyang is affected, there would be hypochondriac pain and deafness. I examined his pulse and said, "The pulses in both hands are weak and powerless; this is not a Shaoyang syndrome. If it were Shaoyang, there would be thirst with desire to drink, vexation, a tendency to sleep, and sore throat. None of these symptoms are present here. Instead, there is profuse sweating and palpitations, which must be caused by excessive sweating." Zhang Zhongjing wrote, "Before taking the pulse, ask the patient to cough. If they do not cough, it indicates bilateral deafness." The reason for this is that heavy sweating has depleted the body's Qi, leading to such symptoms. The patient's family reported that the physician had previously induced heavy sweating. Therefore, I administered formulas such as Zhenwu Tang (True Warrior Decoction) and Baizhu Fuzi Tang (Atractylodes Macrocephala and Aconite Decoction). After several days, his hearing recovered, and he was cured.
In the year of Jiyu, Wang Zhongxian suffered from Shanghan, presenting with fever, headache, aversion to wind absent, absence of sweat on the body, vexation and oppression, and a floating and tight pulse. These symptoms persisted for eight or nine days without receding. I examined him and said, "This is a Mahuang Tang (Ephedra Decoction) syndrome. The pathogenic factor contracted is predominantly heat, hence the irritability." I prescribed three doses of Mahuang Tang. By evening, the vexation worsened, and his hands and feet became restless, tossing and turning incessantly. Some believed he was going mad and required cold-natured medicines. I argued against this, saying, "This is a sign that sweating will occur. Do not worry. It is crucial to avoid administering random medications. Wait for one shichen (two hours), and he should stabilize. When he falls asleep for a short while, he will sweat." Zhang Zhongjing stated, "When reaching six or seven days, if the pulses in all three positions are large and the hands and feet are restless, the disease is about to resolve." This refers to such cases. If cold-natured agents were used, it would certainly result in medical malpractice leading to death.
A woman in the south of the city presented with abdominal fullness, heaviness of the body, urinary incontinence, and abnormal speech. Other physicians declared, "It is untreatable; the Kidney Qi is exhausted." Her family was panicked and distressed, so they secretly summoned me. Upon arrival, the other physician was still present. I examined her and asked, "Why do you say the Kidney is exhausted?" The physician replied, "Zhang Zhongjing stated that loss of urine and stool, delirium, reversed eyes, and fixed gaze constitute Kidney exhaustion." I said, "Currently, the pulse is floating, large, and long. This is a combination of the Three Yang channels. Why call it Kidney exhaustion? Zhang Zhongjing wrote, 'Abdominal fullness, body heaviness, difficulty in turning over, insensitivity of the mouth, delirium, and urinary incontinence. If sweating is induced, delirium ensues; if purgation is used, sweat appears on the forehead, and the hands and feet become cold. This is a Baihu Tang (White Tiger Decoction) syndrome.' The current delirium in the patient resulted from inappropriate sweating therapy, not from the specific signs of delirium, reversed eyes, and fixed gaze that necessitate a diagnosis of Kidney exhaustion based on pulse characteristics." I then administered Baihu Jia Renshen Tang (White Tiger Decoction plus Ginseng). After several doses, all symptoms disappeared.