金文学达泉先生，因食肝白肠内伤，续又冒风，就成疟痢，日夜四十余度，小腹痛甚，
每登
厕汗出如雨，下迫后重，小水涩痛。头疼口渴，下午发热，天明始退。左脉浮弦而数，右软
弱，中部稍滑。此内伤饮食，外感风邪，疟痢并作。法当速治，否则深秋阳气潜藏，邪因陷
下，未易瘳也。乃先与柴苓汤一剂，小便即清，不痛。疟发时寒多热少，晚与人参败毒散加
减。人参、干葛、防风、桂枝、粉草、茯苓、枳壳各五分，柴胡、白芍药各一钱，水煎饮之
。次日头痛痢疾俱减，夜才起三次。改与补中益气汤加酒芩、桂枝、白芍药，其夜疟止，但
微热，再改胃风汤，人参、白术、桂皮各二钱，白芍药四钱，当归一钱五分，茯苓、川芎各
八分，酒芩、酒连各一钱，炮姜二分，地榆五分，服后寒热殄迹。夜起一次，已是真粪。前
方减去桂枝，再三剂而巾栉出户矣。
金寄闲先生，七月既望，患头痛口渴，汗大泄不敛，呕恶发寒热，间日一发，而发于阳
日，
乃为诊之，两寸洪大有力，左浮弦而数，右脉稍软，亦弦长。此少阳与阳明合并为疟。以柴
葛解肌汤主之。柴胡、葛根各二钱，白芍药、石膏各三钱，粉草、桂枝各五分，知母一钱，
姜三片，水煎饮之。次早左脉稍退，乃与补阴鳖血何首乌丸截之，又与黄 芍药汤一帖，以
防作痢。白芍药、石膏、黄 各三钱，桂枝五分，知母、粉草各一钱，柴胡七分，姜三片，
煎服。后加人参七分，疟竟全止而向安矣。
金文学达泉先生，因为食用肝脏和白色肠子导致内伤饮食，随后又感受风邪，从而形成了疟疾与痢疾并发的病症。每天发作四十多次，小腹部疼痛剧烈，每次上厕所时出汗如雨下，有急迫感和肛门坠胀感，小便涩滞且疼痛。头痛口渴，下午发热，直到天亮才退热。左脉浮弦而数，右脉软弱，中部脉稍滑。这是内伤饮食、外感风邪，导致疟疾和痢疾同时发作。治疗法则应当迅速干预，否则到了深秋阳气潜藏之时，邪气会陷入体内下部，就不容易治愈了。于是先给予柴苓汤一剂，小便随即变得清利，不再疼痛。疟疾发作时恶寒多而发热少，晚上给予人参败毒散加减方。用人参、干葛（葛根）、防风、桂枝、粉草（甘草）、茯苓、枳壳各五分，柴胡、白芍药各一钱，水煎后服用。第二天头痛和痢疾都减轻了，夜里只起来三次。改为给予补中益气汤加酒炒黄芩、桂枝、白芍药，当夜疟疾停止，只是还有轻微发热，再改为胃风汤，用人参、白术、桂皮各二钱，白芍药四钱，当归一钱五分，茯苓、川芎各八分，酒炒黄芩、酒炒黄连各一钱，炮姜二分，地榆五分，服用之后寒热症状完全消失。夜里只起来一次，排出的已经是正常的粪便。前方减去桂枝，再服几剂药后，就可以起床梳洗出门了。
金寄闲先生，七月十六日，患上头痛口渴，大汗淋漓无法收敛，呕吐恶心并伴有发冷发热，每隔一天发作一次，且在阳日发作。我为他诊脉，两寸脉洪大有力，左脉浮弦而数，右脉稍软，也呈弦长之象。这是少阳经与阳明经合并导致的疟疾。以柴葛解肌汤为主方治疗。用柴胡、葛根各二钱，白芍药、石膏各三钱，粉草（甘草）、桂枝各五分，知母一钱，生姜三片，水煎后服用。第二天早晨左脉稍微减退，于是给予补阴鳖血何首乌丸来截断疟疾，又给予黄芩芍药汤一帖，以防转为痢疾。用白芍药、石膏、黄芩各三钱，桂枝五分，知母、粉草（甘草）各一钱，柴胡七分，生姜三片，煎服。后来加入人参七分，疟疾竟然完全停止并逐渐安康了。
Mr. Jin Dawen, a literary scholar, suffered from internal injury due to diet after consuming liver and white intestines, followed by exposure to wind pathogens, resulting in the concurrent occurrence of malaria (Malaria) and dysentery (Dysentery). He defecated more than forty times a day, with severe lower abdominal pain. Each time he went to the toilet, he sweated profusely like rain, experiencing tenesmus (urgency and heaviness in the anus) and painful, difficult urination. He had headache and thirst, fever in the afternoon that subsided only at dawn. The left pulse was floating, wiry, and rapid; the right pulse was soft and weak; the middle pulse was slightly slippery. This indicates internal injury from diet and external contraction of wind pathogens, causing both malaria and dysentery. The treatment principle should be prompt intervention; otherwise, when yang qi hides in late autumn, the pathogen will sink downward, making it difficult to cure. Therefore, one dose of Chai Ling Tang (Bupleurum and Poria Decoction) was administered first, after which urination became clear and painless. During malaria attacks, chills were more prominent than heat. In the evening, Ren Shen Bai Du San (Ginseng and Detoxification Powder) was given with modifications: Ren Shen (Panax Ginseng Radix), Gan Ge (Puerariae Radix), Fang Feng (Saposhnikoviae Radix), Gui Zhi (Cinnamomi Ramulus), Fen Cao (Glycyrrhizae Radix et Rhizoma), Fu Ling (Poria), Zhi Qiao (Aurantii Fructus) each 5 fen; Chai Hu (Bupleuri Radix), Bai Shao Yao (Paeoniae Radix Alba) each 1 qian. Decocted in water and taken orally. The next day, headache and dysentery both decreased, and he rose only three times at night. The prescription was changed to Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Jiu Huang Qin (Scutellariae Radix processed with wine), Gui Zhi, and Bai Shao Yao. That night, malaria ceased, leaving only slight heat. It was then changed to Wei Feng Tang (Stomach Wind Decoction): Ren Shen, Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gui Pi (Cinnamomi Cortex) each 2 qian; Bai Shao Yao 4 qian; Dang Gui (Angelicae Sinensis Radix) 1.5 qian; Fu Ling, Chuan Xiong (Chuanxiong Rhizoma) each 8 fen; Jiu Huang Qin, Jiu Lian Lian (Coptidis Rhizoma processed with wine) each 1 qian; Pao Jiang (Zingiberis Rhizoma Preparata) 2 fen; Di Yu (Sanguisorbae Radix) 5 fen. After taking this, chills and heat disappeared completely. He rose only once at night, and the stool was normal feces. Gui Zhi was removed from the previous formula, and after several more doses, he could get up, comb his hair, and go out.
Mr. Jin Jixian, on the sixteenth day of the seventh lunar month, suffered from headache and thirst, profuse sweating that did not stop, vomiting, nausea, alternating chills and heat, occurring every other day, specifically on yang days. I examined his pulse: both cun positions were surging, large, and forceful; the left pulse was floating, wiry, and rapid; the right pulse was slightly soft but also wiry and long. This is malaria caused by the combination of Shaoyang (Lesser Yang) and Yangming (Greater Yang) syndromes. Chai Ge Jie Ji Tang (Bupleurum and Pueraria Decoction to Resolve the Muscle Layer) was prescribed as the main formula: Chai Hu, Ge Gen (Puerariae Radix) each 2 qian; Bai Shao Yao, Shi Gao (Gypsum Fibrosum) each 3 qian; Fen Cao, Gui Zhi each 5 fen; Zhi Mu (Anemarrhenae Rhizoma) 1 qian; Ginger 3 slices. Decocted in water and taken orally. The next morning, the left pulse had slightly receded. Then, Bu Yin Bie Xue He Shou Wu Wan (Yin-Nourishing Tortoise-Blood Polygonatum Pill) was given to arrest the malaria, followed by one dose of Huang Qin Shao Yao Tang (Scutellaria and Peony Decoction) to prevent the onset of dysentery: Bai Shao Yao, Shi Gao, Huang Qin (Scutellariae Radix) each 3 qian; Gui Zhi 5 fen; Zhi Mu, Fen Cao each 1 qian; Chai Hu 7 fen; Ginger 3 slices. Decocted and taken. Later, Ren Shen was added (7 fen), and the malaria completely stopped, leading to recovery.