许 四十七岁 癸亥二月二十日 脉弦而紧,弦则木旺,紧则为寒,木旺则土衰,中寒
则阳
不运,土衰而阳不运。故吞酸嗳气,不寐不食,不饥不便,九窍不和,皆属胃病。浊阴蟠踞
中焦,格拒心火,不得下达,则心热如火,议苦辛通法。
小枳实(三钱) 淡吴萸(三钱) 半夏(一两) 真云连(二钱,炒) 生苡仁(五钱) 广皮
(二钱) 浓朴(三钱) 生姜(六大片)
甘澜水八碗,煎成三碗,分三次服,渣再煎一碗服。
二十四日 六脉阳微,浊阴蟠踞,不食,不饥,不便,用和阳明兼驱浊阴法。今腹大痛
,已
归下焦,十余日不大便,肝病不能疏泄,用驱浊阴通阴络法。又苦辛通法,兼以浊攻浊法。
淡吴萸(三钱) 小枳实(二钱) 川楝子(三钱) 小茴香(三钱) 雄鼠粪(三钱) 广皮(
钱半) 乌药(一钱) 良姜(二钱,炒) 川朴(三钱) 槟榔(二钱)
以得通大便为度。
二十七日 服以浊攻浊法,大便已通,但欲便先痛,便后痛减,责之络中宿积未能通清
。
脐上且有动气,又非汤药所能速攻,攻急恐有瘕散为蛊之余。议化 回生丹,缓攻为妙。
某 脉沉紧为里寒,木旺土衰,浊阴上攻,腹拘急时痛,胁胀,腰痛,宜苦辛通法,兼
醒脾阳。
白蔻仁(一钱) 官桂(一钱) 川朴(二钱) 半夏(三钱) 生苡仁(三钱) 荜茇(一钱)
藿梗(三钱) 木香(八分) 生香附(三钱) 广皮(钱半) 郁金(二钱) 乌药(二钱)
某 脉弦细而紧,浊阴上攻,胸痛,用辛香流气法。
淡吴萸(三钱) 小枳实(二钱) 木香(一钱) 川朴(二钱) 川楝子(三钱) 广皮(二钱)
槟榔(钱半) 荜茇(二钱) 乌药(二钱) 良姜(三钱)
三帖。
初八日 补火生土,兼泄浊阴。
淡干姜(二钱) 半夏(三钱) 淡吴萸(二钱) 乌药(二钱) 茯苓块(三钱) 生苡仁(三
钱) 广皮(钱半) 益智仁(钱半,煨)
四帖。
李 十三岁 五月十四日 六脉俱弦,不浮,不沉,不数,舌苔白滑,不食,不饥,不
便,
不寐,九窍不和,皆属胃病。卧时自觉气上阻咽,致令卧不着席,此肝气之逆也。额角上有
虫斑,神气若昏,目闭不欲开,视不远,医云有虫,亦复有理。与两和肝胃,如再不应,再
议治虫。
半夏(一两) 旋复花(五钱,包) 秫米(一合)
二十日 六腑不通,九窍不和。医者不知六腑为阳,以通为补,每见其二便闭也,则以
大黄
、蒌仁寒药下之。以后非下不通,屡下屡伤遂致神气若昏,目闭不开,脉弦缓而九窍愈不通
矣。已成坏症,勉与通阳。
广皮(三钱) 川朴(三钱) 白蔻仁(二钱) 半夏(三钱) 大腹皮(三钱) 鸡内金(二钱
,炒) 云苓皮(三钱) 益智仁(二钱)
二十三日 六腑闭塞不通,有若否卦之象。按∶否之得名,以坤阴长阳消之候,将来必
致上
下皆坤而后已。坤为腹,故腹大无外。坤为纯阴,初爻变震为复。然则欲复其阳,非性烈如
震者不可,岂大黄等阴寒药所可用哉。
天台乌药散二钱,加巴豆霜二分,和匀分三分,先服一分,候五时不便,再服第二分,
得快便,即止。
二十四日 服一次于五时得快便,宿物下者甚多,目闭已开,神气亦清,稍食粥饮,知
顽笑矣。
二十五日 六腑不通,温下后大便虽通,而小便仍然未解,心下窒塞,不肌不食,六腑
弦迟,急急通阳为要,与开太阳阖阳明法。
川椒炭(三钱) 泽泻(三钱) 公丁香(一钱) 半夏(五钱) 广皮(三钱) 猪苓(三钱)
云苓皮(五钱) 良姜(二钱) 安南桂(一钱)
六月初一日 大便已能自解,胃能进食,是阳关已阖。惟小便不通,是太阳不开,与专
开太阳。
桂枝(三钱) 云苓皮(五钱) 猪苓(三钱) 安边桂(钱半) 泽泻(三钱) 滑石(三钱)
苍术炭(二钱) 蚕砂(三钱)
煮三杯,分三次服,以小便通为度。若小便已通,而尚混浊者,再服一帖,以小便清为
度。
初六日 服前方二帖,小便暂通。连日大小便复闭,大便闭已七日,自觉胃中痞塞,脸
上虫
斑未退。议用前配成之乌药散,再服四分。如二便俱通,即停药,统俟初八日清晨再商。如
大便通一次,而小便不通,或竟不通,明日再服三分。若大便二三次,而小便仍不通者,即
勿服。
初八日 服乌药散四分,内巴霜四厘,已得快便,今早且能自行小便,六腑俱通矣。只
与和胃,今能进食,可以收功。盖十二经皆取决于胆,皆秉气于胃也。
半夏(三钱) 云苓块(四钱) 益智仁(一钱,煨) 广皮炭(二钱) 生苡仁(五钱) 生姜
(五钱)
庆宝 女 十六岁 不食十余日 诸医不效,面赤脉洪,与五汁饮,降胃清阴法,兼服
牛乳,三日而大食矣。
梨汁 藕汁 蔗汁 芦根汁 荸荠汁
邱 十八岁 温热愈后,午后微热不除,脉弦数,面赤,五汁饮三日,热退进食,七日
全愈。
许某,四十七岁。癸亥年二月二十日就诊。脉象弦而紧,弦脉主肝木旺盛,紧脉主寒邪,肝木过旺则克制脾土导致脾虚,中焦受寒则阳气不运,脾土虚弱且阳气不运。因此出现吞酸、嗳气、失眠、食欲不振、无饥饿感、大便不通,九窍功能失调,这些症状都属于胃病范畴。浊阴之气盘踞在中焦,格拒心火,使其不能下行,导致心热如火,建议采用苦辛通降的方法治疗。
处方:小枳实(三钱)、淡吴茱萸(三钱)、半夏(一两)、真黄连(二钱,炒制)、生薏苡仁(五钱)、广陈皮(二钱)、厚朴(三钱)、生姜(六大片)。
用甘澜水八碗,煎煮至三碗,分三次服用,药渣再加水煎成一碗服用。
二十四日,六脉阳部微弱,浊阴盘踞,仍不进食、无饥饿感、不大便,采用调和阳明兼驱除浊阴的方法。如今腹部剧烈疼痛,病位已转入下焦,十余日未解大便,因肝气疏泄功能失常,采用驱除浊阴、疏通阴络的方法。再次使用苦辛通降法,并配合以浊攻浊法。
处方:淡吴茱萸(三钱)、小枳实(二钱)、川楝子(三钱)、小茴香(三钱)、雄鼠粪(三钱)、广陈皮(一钱半)、乌药(一钱)、高良姜(二钱,炒制)、川厚朴(三钱)、槟榔(二钱)。
以大便通畅为度。
二十七日,服用以浊攻浊法后,大便已经通畅,但排便前腹痛,排便后疼痛减轻,责在于络脉中的陈旧积滞未能彻底清除。脐上还有动气现象,这也不是汤药能迅速攻下的,若急于攻伐恐怕会导致瘕聚散开变成蛊毒的残余病变。建议服用化回生丹,缓缓攻逐为宜。
另一患者,脉象沉紧为里寒证,肝木旺盛脾土虚弱,浊阴上逆攻冲,腹部拘急时常疼痛,胁肋胀满,腰痛,适宜用苦辛通降法,兼以醒脾阳。
处方:白蔻仁(一钱)、官桂(一钱)、川厚朴(二钱)、半夏(三钱)、生薏苡仁(三钱)、荜茇(一钱)、藿香梗(三钱)、木香(八分)、生香附(三钱)、广陈皮(一钱半)、郁金(二钱)、乌药(二钱)。
另一患者,脉象弦细而紧,浊阴上逆攻冲,胸痛,采用辛香行气法。
处方:淡吴茱萸(三钱)、小枳实(二钱)、木香(一钱)、川厚朴(二钱)、川楝子(三钱)、广陈皮(二钱)、槟榔(一钱半)、荜茇(二钱)、乌药(二钱)、高良姜(三钱)。
连服三帖。
处方:淡干姜(二钱)、半夏(三钱)、淡吴茱萸(二钱)、乌药(二钱)、茯苓块(三钱)、生薏苡仁(三钱)、广陈皮(一钱半)、益智仁(一钱半,煨制)。
连服四帖。
李某,十三岁。五月十四日就诊。六脉皆弦,不浮不沉不数,舌苔白滑,不进食、无饥饿感、不大便、失眠,九窍功能失调,均属于胃病。睡觉时自觉气机上阻咽喉,导致无法平卧,这是肝气上逆所致。额角上有虫斑,神志恍惚,眼睛闭合不想睁开,视力模糊,医生说是寄生虫病,也有道理。先给予调和肝胃的药物,如果无效,再议治虫。
二十日,六腑不通,九窍不和。医生不懂六腑属阳,以通为补的道理,每当见到大小便闭塞,就用大黄、瓜蒌仁等寒凉药物泻下。此后非泻下不通,屡次泻下屡次损伤正气,导致神志恍惚,眼睛闭合不开,脉象弦缓且九窍更加不通。已成坏病,勉强给予通阳之法。
处方:广陈皮(三钱)、川厚朴(三钱)、白蔻仁(二钱)、半夏(三钱)、大腹皮(三钱)、鸡内金(二钱,炒制)、云苓皮(三钱)、益智仁(二钱)。
二十三日,六腑闭塞不通,呈现出“否卦”之象。按:否卦得名,是因为坤阴增长、阳气消退的时机,将来必然导致上下皆为坤阴而后止。坤代表腹部,所以腹部巨大无边。坤为纯阴,初爻变动为震卦即为复卦。然而想要恢复其阳气,非性质猛烈如震卦者不可,难道可以用大黄等阴寒药物吗?
天台乌药散二钱,加入巴豆霜二分,混合均匀分为三份,先服用一份,等待五个时辰(十小时)不便秘,再服用第二份,得到畅快的大便即停止。
二十四日,服用一次后五个时辰内得到畅快大便,排出的宿便很多,眼睛已能睁开,神志也清醒了,稍微喝些粥饮,知道顽皮嬉笑了。
二十五日,六腑不通,温下之后大便虽通,但小便仍然未解,心下部痞塞,肌肤消瘦不进食,六腑脉象弦迟,急需通阳,采用开太阳阖阳明法。
处方:川椒炭(三钱)、泽泻(三钱)、公丁香(一钱)、半夏(五钱)、广陈皮(三钱)、猪苓(三钱)、云苓皮(五钱)、高良姜(二钱)、安南桂(一钱)。
六月初一日,大便已能自行解决,胃能进食,说明阳关已闭合。唯独小便不通,是太阳经气不开,给予专门开通太阳经气的方药。
处方:桂枝(三钱)、云苓皮(五钱)、猪苓(三钱)、安边桂(一钱半)、泽泻(三钱)、滑石(三钱)、苍术炭(二钱)、蚕砂(三钱)。
煮取三杯,分三次服用,以小便通畅为度。如果小便已通,但尚混浊,再服一帖,以小便清澈为度。
初六日,服用前方两帖,小便暂时通畅。连日来大小便再次闭塞,大便闭结已七天,自觉胃中痞塞,脸上虫斑未退。建议使用前配好的乌药散,再服用四分。如果大小便都通,就停药,统一等到初八日清晨再商量。如果大便通一次,而小便不通,或者竟完全不通,明天再服用三分。如果大便二三次,而小便仍不通者,就不要服用。
初八日,服用乌药散四分,内含巴豆霜四厘,已得到畅快大便,今早且能自行小便,六腑都通畅了。只给予和胃药,现在能进食,可以收功。因为十二经脉都取决于胆,都禀受胃气。
处方:半夏(三钱)、云苓块(四钱)、益智仁(一钱,煨制)、广陈皮炭(二钱)、生薏苡仁(五钱)、生姜(五钱)。
庆宝,女性,十六岁。十余日不进食,各位医生治疗无效,面赤脉洪大,给予五汁饮,采用降胃清阴法,兼服牛乳,三天后就能大量进食了。
Xu, aged 47. On the 20th day of the second month in the Guihai year, the pulse was wiry (Xian) and tight (Jin). A wiry pulse indicates hyperactive Liver Wood; a tight pulse indicates Cold. Hyperactive Liver Wood weakens Spleen Earth; Middle Jiao Cold causes Yang Qi to fail to circulate. With weakened Spleen Earth and non-circulating Yang, symptoms such as acid regurgitation, belching, insomnia, anorexia, lack of hunger, constipation, and disharmony of the nine orifices occur, all belonging to Stomach disease. Turbid Yin stagnates in the Middle Jiao, blocking Heart Fire from descending, resulting in Heart heat like fire. It is proposed to use the Bitter-Spicy Unblocking Method (Ku Xin Tong Fa).
Prescription: Small Zhi Shi (Fructus Aurantii Immaturus, 3 qian), Dan Wu Zhu Yu (Evodiae Fructus, 3 qian), Ban Xia (Pinelliae Rhizoma, 1 liang), Zhen Yun Lian (Coptidis Rhizoma, 2 qian, stir-fried), Sheng Yi Yi Ren (Coicis Semen, 5 qian), Guang Pi (Citri Reticulatae Pericarpium, 2 qian), Nong Po (Magnoliae Officinalis Cortex, 3 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 6 large slices).
Boil with Gan Lan Water (Ganlan water, prepared by stirring boiling water vigorously) 8 bowls down to 3 bowls, divide into three doses. Decoction residue boiled again to yield 1 bowl for administration.
On the 24th day, the Yang positions of the six pulses were faint. Turbid Yin stagnated; there was no eating, no hunger, and no bowel movement. The method of harmonizing Yangming and driving out turbid Yin was used. Now abdominal severe pain has shifted to the Lower Jiao. Having not had a bowel movement for over ten days due to Liver failure in dredging and draining, the method of driving out turbid Yin and unblocking the Yin collaterals is employed. This combines the Bitter-Spicy Unblocking Method with the "Attacking Turbid with Turbid" method.
Prescription: Dan Wu Zhu Yu (Evodiae Fructus, 3 qian), Xiao Zhi Shi (Fructus Aurantii Immaturus, 2 qian), Chuan Li Zi (Toosendan Fructus, 3 qian), Xiao Hui Xiang (Foeniculi Fructus, 3 qian), Xiong Shu Fen (Stercor Mus Marris, 3 qian), Guang Pi (Citri Reticulatae Pericarpium, 1.5 qian), Wu Yao (Linderae Radix, 1 qian), Liang Jiang (Galangal Rhizome, 2 qian, stir-fried), Chuan Po (Magnoliae Officinalis Cortex, 3 qian), Bing Lang (Arecae Semen, 2 qian).
Stop when bowel movement is achieved.
On the 27th day, after taking the "Attacking Turbid with Turbid" method, bowel movement was achieved, but pain preceded defecation and decreased after defecation. This is attributed to old accumulation in the collaterals not being cleared. There is also moving Qi above the navel, which cannot be rapidly attacked by decoctions. Rapid attack might cause masses to scatter and transform into Gu poison remnants. It is proposed to use Hua Huisheng Dan (Hua Huisheng Pill) for slow attack, which is advisable.
Another patient: Pulse deep and tight indicates Interior Cold. Liver Wood is hyperactive and Spleen Earth is weak. Turbid Yin attacks upward, causing abdominal tension and intermittent pain, hypochondriac distension, and lower back pain. The Bitter-Spicy Unblocking Method is suitable, combined with awakening Spleen Yang.
Prescription: Bai Kou Ren (Amomi Fructus Rotundus, 1 qian), Guan Gui (Cinnamomi Cortex, 1 qian), Chuan Po (Magnoliae Officinalis Cortex, 2 qian), Ban Xia (Pinelliae Rhizoma, 3 qian), Sheng Yi Yi Ren (Coicis Semen, 3 qian), Bi Bo (Piperis Kadsurae Fructus, 1 qian), Huo Geng (Agastachis Herba, 3 qian), Mu Xiang (Aucklandiae Radix, 8 fen), Sheng Xiang Fu (Cyperi Rhizoma, 3 qian), Guang Pi (Citri Reticulatae Pericarpium, 1.5 qian), Yu Jin (Curcumae Longae Radix, 2 qian), Wu Yao (Linderae Radix, 2 qian).
Another patient: Pulse wiry, fine, and tight. Turbid Yin attacks upward, causing chest pain. The Pungent-Aromatic Qi-Flowing Method is used.
Prescription: Dan Wu Zhu Yu (Evodiae Fructus, 3 qian), Xiao Zhi Shi (Fructus Aurantii Immaturus, 2 qian), Mu Xiang (Aucklandiae Radix, 1 qian), Chuan Po (Magnoliae Officinalis Cortex, 2 qian), Chuan Li Zi (Toosendan Fructus, 3 qian), Guang Pi (Citri Reticulatae Pericarpium, 2 qian), Bing Lang (Arecae Semen, 1.5 qian), Bi Bo (Piperis Kadsurae Fructus, 2 qian), Wu Yao (Linderae Radix, 2 qian), Liang Jiang (Galangal Rhizome, 3 qian).
Three doses.
On the 8th day, Supplement Fire to Generate Earth, combined with draining Turbid Yin.
Prescription: Dan Gan Jiang (Zingiberis Rhizoma, 2 qian), Ban Xia (Pinelliae Rhizoma, 3 qian), Dan Wu Zhu Yu (Evodiae Fructus, 2 qian), Wu Yao (Linderae Radix, 2 qian), Fu Ling Kuai (Poria, 3 qian), Sheng Yi Yi Ren (Coicis Semen, 3 qian), Guang Pi (Citri Reticulatae Pericarpium, 1.5 qian), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, 1.5 qian, baked).
Four doses.
Li, aged 13. On May 14th, all six pulses were wiry, neither floating, sinking, nor rapid. Tongue coating was white and slippery. Symptoms included anorexia, lack of hunger, constipation, insomnia, and disharmony of the nine orifices, all belonging to Stomach disease. While lying down, he felt Qi obstructing the throat, preventing him from lying flat. This is counterflow of Liver Qi. There were worm spots on the forehead corners, spirit seemed dull, eyes closed unwilling to open, and distant vision was impaired. The physician diagnosed worms, which is reasonable. First, harmonize Liver and Stomach. If there is no response, discuss treating worms again.
Prescription: Ban Xia (Pinelliae Rhizoma, 1 liang), Xuan Fu Hua (Inulae Flos, 5 qian, wrapped), Shu Mi (Sorghum Vulgare, 1 he).
On the 20th day, the Six Fu organs are blocked, leading to disharmony of the nine orifices. Physicians do not understand that the Six Fu organs belong to Yang and benefit from unblocking. Whenever they see closure of stool and urine, they use cold purgatives like Da Huang (Rhei Radix et Rhizoma) and Lou Ren (Trichosanthis Semen) to purge. Subsequently, without purging, there is no passage; repeated purging repeatedly injures the body, leading to dull spirit, closed eyes, wiry-slow pulse, and worsening blockage of the nine orifices. It has become a ruined condition. Tentatively, unblock Yang.
Prescription: Guang Pi (Citri Reticulatae Pericarpium, 3 qian), Chuan Po (Magnoliae Officinalis Cortex, 3 qian), Bai Kou Ren (Amomi Fructus Rotundus, 2 qian), Ban Xia (Pinelliae Rhizoma, 3 qian), Da Fu Pi (Arecae Pericarpium, 3 qian), Ji Nei Jin (Galli Gigerii Endothelium Corneum, 2 qian, stir-fried), Yun Ling Pi (Poria Cortice, 3 qian), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, 2 qian).
On the 23rd day, the Six Fu organs are blocked, resembling the hexagram Pi (Standstill). Note: Pi gets its name from the phase where Kun Yin grows and Yang declines, eventually leading to pure Kun (Yin) above and below. Kun represents the abdomen, hence the abdomen is huge. Kun is pure Yin; if the first line changes to Zhen, it becomes Fu (Return). Thus, to restore Yang, one must use something fierce like Zhen. How can cold Yin herbs like Da Huang be used?
Tian Tai Wu Yao San (Tian Tai Lindera Powder) 2 qian, mixed with Ba Dou Shuang (Crotonis Semen Frost, 2 fen), evenly divided into three parts. Take one part first. If no bowel movement after five shichen (10 hours), take the second part. Stop once free stool is passed.
On the 24th day, after one dose, free stool was passed within five shichen. Much accumulated matter was discharged. Eyes opened, spirit cleared, slightly consumed porridge, and knew how to play.
On the 25th day, Six Fu organs blocked. After warm purging, although bowel movement occurred, urination remained unresolved. Epigastric stuffiness, emaciation, anorexia, and Six Fu wiry-slow pulse indicate urgent need to unblock Yang. Use the method of Opening Taiyang and Closing Yangming.
Prescription: Chuan Jiao Tan (Zanthoxyli Pericarpium Carbonized, 3 qian), Ze Xie (Alismatis Rhizoma, 3 qian), Gong Ding Xiang (Syzygii Aromatisati Flos, 1 qian), Ban Xia (Pinelliae Rhizoma, 5 qian), Guang Pi (Citri Reticulatae Pericarpium, 3 qian), Zhu Ling (Polyporus, 3 qian), Yun Ling Pi (Poria Cortice, 5 qian), Liang Jiang (Galangal Rhizome, 2 qian), An Nan Gui (Cinnamomi Ramulus, 1 qian).
On June 1st, bowel movement could resolve spontaneously, and stomach could accept food, indicating the Yang gate is closed. Only urination is blocked, indicating Taiyang is not opening. Prescribe specifically to open Taiyang.
Prescription: Gui Zhi (Cinnamomi Ramulus, 3 qian), Yun Ling Pi (Poria Cortice, 5 qian), Zhu Ling (Polyporus, 3 qian), An Bian Gui (Cinnamomi Ramulus, 1.5 qian), Ze Xie (Alismatis Rhizoma, 3 qian), Hua Shi (Talcum, 3 qian), Cang Zhu Tan (Atractylodis Rhizoma Carbonized, 2 qian), Can Sha (Bombyx Batryticatus, 3 qian).
Boil to three cups, divide into three doses. Stop when urination is clear. If urination is clear but still turbid, take another dose until urine is clear.
On the 6th day, after two doses of the previous prescription, urination temporarily cleared. For consecutive days, both stool and urine became blocked again. Stool blocked for seven days, feeling epigastric stuffiness, worm spots on face not faded. Propose using the previously compounded Wu Yao San, take another 4 fen. If both stool and urine pass, stop medication, wait until early morning of the 8th day to consult further. If stool passes once but urine does not, or completely fails to pass, take 3 fen tomorrow. If stool passes two or three times but urine still does not, do not take.
On the 8th day, took 4 fen of Wu Yao San, containing 4 li of Ba Dou Shuang. Obtained free stool. This morning, could urinate independently. All Six Fu organs are now open. Only give Harmonize Stomach medicine. Now able to eat, treatment can conclude. All twelve meridians depend on Gallbladder and derive Qi from Stomach.
Prescription: Ban Xia (Pinelliae Rhizoma, 3 qian), Yun Ling Kuai (Poria, 4 qian), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, 1 qian, baked), Guang Pi Tan (Citri Reticulatae Pericarpium Carbonized, 2 qian), Sheng Yi Yi Ren (Coicis Semen, 5 qian), Sheng Jiang (Zingiberis Rhizoma Recens, 5 qian).
Qingbao, Female, 16 years old. Not eating for over ten days. Various physicians ineffective. Face red, pulse surging. Given Wu Zhi Yin (Five Juices Drink), using Descend Stomach and Clear Yin method, combined with cow milk. After three days, ate heavily.
Prescription: Li Zhi (Pyri Fructus Juice), Ou Zhi (Nelumbinis Rhizomatis Juice), Zhe Zhi (Sacchari Sinarum Juice), Lu Gen Zhi (Phragmitis Rhizomatis Juice), Bi Qi Zhi (Dioscoreae Hypoglaucae Juice).
Qiu, 18 years old. After recovery from Warm Heat disease, slight afternoon fever persisted. Pulse wiry and rapid, face red. Took Wu Zhi Yin for three days. Fever subsided, appetite returned, fully recovered in seven days.