族弟××，年三十八岁，于孟夏来津于旅次得温病。
病因 时天气炎热，途中自挽鹿车，辛苦过力，出汗受风，至津遂成温病。
证候 表里俱觉甚热，合目恒谵语，所言多劳力之事。舌苔白浓，大便三日未行，脉象左部弦硬，右部
洪实而浮，数逾五
至。
诊断 此证因长途炎热劳碌，脏腑间先有积热，又为外感所袭，则其热陡发。其左脉弦硬者，
劳力过度肝肾之阴分有伤也。右部洪实者，阳明之腑热已实也。其洪实兼浮者，证犹连表
也。拟治以白虎加人参汤以玄参代知母，生山药代粳米，更辅以透表之药以引热外出。
处方 生石膏（三两捣细） 大潞参（四钱） 玄参（一两） 生怀山药（六钱）
甘草（三钱） 西药阿斯匹林（一瓦）
将前五味共煎汤两大盅，先温服一盅，迟半点钟将阿斯匹林用开水送下，俟汗出后再将所
余一盅分两次温服下。
效果 将药服一盅后，即不作谵语，须臾将阿斯匹林服下，遍体
得汗，继又将所余之汤药徐徐服下，其病霍然全愈。
帮助 白虎汤中以石膏为主药，重用至三两，所以治右脉之洪实也；于白虎汤中加人参更以玄
参代知母，生山药代粳米，退热之中大具滋阴之力（石膏、人参并用，能于温寒大热之际，立复真阴），
所以治左脉之弦硬也。用药如用兵，料敌详审，步伍整齐，此所以战则必胜也。至于脉象
兼浮，知其表证未罢，犹可由汗而解，遂佐以阿斯匹林之善透表者以引之出汗，此所谓因其病机而利
导之也。若无阿斯匹林之处，于方中加薄荷叶一钱，连翘二钱，亦能出汗。
族弟××，三十八岁，在初夏时节来到天津，在旅途中染上温病。
病因：当时天气炎热，途中自己拉鹿车（一种轻便小车），劳累过度，出汗后受风，到了天津便形成了温病。
证候：感觉表里都非常热，闭上眼睛时常说胡话，所说的内容多与劳力之事有关。舌苔白而厚腻，大便三天未排，脉象左侧弦硬，右侧洪大、实且浮，脉搏频率超过五至（每分钟五十次以上）。
诊断：此证因长途跋涉、天气炎热且劳累，脏腑间先有积热，又遭受外邪侵袭，导致热势突然发作。左脉弦硬，是因为劳力过度损伤了肝肾的阴分。右脉洪大且实，是阳明腑的热邪已经结实。洪大且实兼见浮象，说明病证仍然牵连到体表。拟用白虎加人参汤治疗，以玄参代替知母，以生山药代替粳米，并辅以透散表邪的药物，以引导热邪外出。
处方：生石膏（三两，捣碎） 大潞参（四钱） 玄参（一两） 生怀山药（六钱） 甘草（三钱） 西药阿斯匹林（一瓦）
将前五味药共同煎煮成两大盅汤剂，先温服一盅，过半小时后用开水送服阿斯匹林，待出汗后再将剩余的一盅汤药分两次温服。
效果：服药一盅后，立即不再说胡话，片刻后将阿斯匹林服下，全身得汗，随后徐徐服完剩余的汤药，疾病霍然痊愈。
按语：白虎汤中以石膏为主药，重用至三两，是为了治疗右脉的洪实；在白虎汤中加入人参，并以玄参代替知母，生山药代替粳米，在退热的同时具有强大的滋阴功效（石膏与人参并用，能在温热大热之际，迅速恢复真阴），这是为了治疗左脉的弦硬。用药如用兵，详细审察敌情，阵型整齐，所以作战必胜。至于脉象兼见浮象，知道表证尚未解除，仍可通过发汗来解表，于是佐以善于透表的阿斯匹林来引导出汗，这叫做顺应病机进行疏导。如果没有阿斯匹林的地方，在方中加入一钱薄荷叶、二钱连翘，也能发汗。
The author's younger male cousin, ××, aged thirty-eight, contracted a warm disease (Wenbing, febrile disease) while traveling to Tianjin in early summer.
Etiology: The weather was hot at the time. He pulled a light cart by himself during the journey, exerting himself excessively. After sweating and being exposed to wind, he developed a warm disease upon arriving in Tianjin.
Symptoms: He felt intense heat both on the exterior and interior. When closing his eyes, he frequently spoke deliriously, mostly talking about matters related to physical labor. His tongue coating was white and thick. He had not had a bowel movement for three days. The pulse was wiry and hard on the left side, and surging, full, and floating on the right side, with a rate exceeding five beats per cun (approximately fifty beats per minute).
Diagnosis: This condition arose because long-distance travel, hot weather, and fatigue caused accumulated heat within the zang-fu organs prior to the invasion of external pathogens, causing the heat to flare up suddenly. The wiry and hard left pulse indicates injury to the yin aspect of the Liver and Kidney due to excessive physical labor. The surging and full right pulse indicates that the heat in the Yangming Fu organs has become solid. The presence of surging and full qualities combined with floating indicates that the condition still involves the exterior. The proposed treatment is Baihu Jia Renshen Tang (White Tiger plus Ginseng Decoction), substituting Xuanshen (Scrophulariae Radix) for Zhimu (Anemarrhenae Rhizoma), and Sheng Huai Shanyao (Raw Dioscorea Hypoglauca Tuber) for Jingmi (Oryza Sativa Germ), assisted by herbs that vent the exterior to guide the heat outward.
Prescription: Sheng Shigao (Calcitum, raw gypsum, 3 liang, crushed) Dalushen (Codonopsis Radix, specifically from Lu region, 4 qian) Xuanshen (Scrophulariae Radix, 1 liang) Sheng Huai Shanyao (Raw Dioscorea Hypoglauca Tuber, 6 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian) Aspirin (1 grain)
Decoct the first five ingredients together to make two large bowls of decoction. First, take one bowl warm. Half an hour later, take the Aspirin with boiled water. After sweating occurs, take the remaining half bowl in two divided doses, warm.
Outcome: After taking one bowl of the medicine, the delirium ceased immediately. Shortly after taking the Aspirin, he sweated profusely over his entire body. Subsequently, he slowly consumed the remaining decoction, and the illness was completely cured.
Commentary: In Baihu Tang (White Tiger Decoction), Shigao (Calcitum) is the chief herb, used in a heavy dose of 3 liang, to treat the surging and full quality of the right pulse. Adding Renshen (Ginseng Radix et Rhizoma) to Baihu Tang, and substituting Xuanshen (Scrophulariae Radix) for Zhimu (Anemarrhenae Rhizoma) and Sheng Shanyao (Dioscoreae Hypoglaucae Tuber) for Jingmi (Oryzae Semen Germinatum), provides significant yin-nourishing power alongside heat-clearing effects (the combination of Shigao and Renshen can rapidly restore true yin amidst severe heat), thereby treating the wiry and hard quality of the left pulse. Using medicine is like using troops; carefully assessing the enemy situation and maintaining orderly formations ensures victory in battle. Since the pulse also showed a floating quality, indicating that the exterior syndrome had not yet resolved, it could still be resolved through sweating. Therefore, Aspirin, which is good at venting the exterior, was added to guide sweating out. This is called facilitating the pathogenesis according to its nature. If Aspirin is unavailable, adding 1 qian Bohe Ye (Menthae Haplocalycis Folium) and 2 qian Lianqiao (Forsythiae Fructus) to the prescription can also induce sweating.