人有积湿，或因脾虚不能运化，或因喜啖浓肥，恣饮茶酒之故。盖湿蕴则生热，无寒热
者，
谓之湿热病。先寒后热，有汗而热不解者，谓之湿温证。虽在伤寒门内，不得用伤寒方中治
太阳经证之桂枝、麻黄汤，此尽人皆知者也。其脉必濡大而数，其舌苔必白腻转为黄腻，或
见湿灰，口虽觉干，不能多饮；或含水而不欲下咽，此因湿盛于中，故不能饮，热胜于湿，
故口觉干也。夫湿为病之本，热乃湿所化；然则治湿温者，必芳香以燥之，苦寒以泄之，淡
渗以利之，为一定之理，毫无疑义者也。今之治湿温者反是，其方必用豆豉、生地，名曰黑
膏汤。欲以豆豉表汗，生地泄热也。不知今之豆豉，不用桑叶制，而用麻黄制，是以热助热
也。生地性粘腻，滞痰涎，是以湿助湿也。助之不已，则湿愈盛而热愈炽，时觉口渴，（热
炽故也。）舌苔垢腻，其至灰黑，（湿盛故也。黑为水色。）神志昏迷，口多呓语。（皆热炽湿
盛之见象。）医者不知其为药所误，见其昏迷呓语，以为必发疹子，而重用豆豉、豆卷（亦麻
黄制。）等以汗之，不恤竭力以助其热；见其舌灰口渴，以为防其劫津，而重用沙参、石斛
等以润之，不恤竭力以助其湿。至此而昏迷愈甚，舌色愈灰，痰涎上涌，命在顷刻，万无生
理。医乃手足无措，无以名之，名之曰肺闭，而用紫雪丹、至宝丹、牛黄丸、濂珠粉、乌
犀角，一服再服，使湿热之邪，尽引入心包，遂一厥而不复醒矣。岂知湿为阴邪，为浊邪；
暑为阳邪，为清邪。清阳之邪，有气无质，可用紫雪等丹开泄而去；阴浊之邪，有气有质，
不可用开泄，一开泄则邪陷心包，死不旋踵矣!呜呼!湿温一症，始误于豆豉，生地等之助
热助湿，继误于豆卷、石斛等之助热助湿。终误于紫雪、至宝等之引邪入心，以置之必死之
地，而岂知湿温本非死证耶。
湿温非死证，而今之患湿温者，往往致死岂非服药之误乎。今夫病名曰湿，即不当以助
湿之
药以治湿病，虽甚庸愚，必知之也。病名曰温，即不当以助温之药以治温病，虽甚庸愚，必
知之也。而病者乃不之知，医者亦不之知，医之有时名者，更不之知，岂不大可怪耶!
且夫湿为阴邪，阴盛者阳必衰，未有阳衰而可以滋阴者也。阴愈滋则（湿愈）盛，以滋阴
者治
湿，是犹灌卤于地，而望其燥也。愚孰甚哉!然则如何而可治湿温乎？曰∶始未化火，则用朴
、术、陈、夏等以香燥之；继而化火，则用连、芩、栀、翘等以苦泄；终而湿降，则用茯苓
、通草、泽泻、车前子等以淡渗之，始终不当发汗。盖湿家自有汗，不可再发其汗也。始终
不当滋阴，滋阴是以水济水，无益而有害也。无如邪说中人，深入骨髓，愚人无主，听命庸
医，忠告之言，茫然不省。吾未如之何已!
尝过一富翁之门，见其倾有药渣，中有金斛，不以为意。既而见有霍斛矣，既而见有鲜
斛矣
，最后见有铁皮风斛矣。余乃叹曰∶当此湿令，病多湿温，投此不已，病其殆哉。未几，翁
果死。盖人参与石斛连投，惟恐其津之劫也。然而闻之者，不以为误，一若与其以燥湿生，
无宁以滋阴死者。呜呼!滋阴之说，中于人心，虽死不悔。吾安得运万千广长舌，登生公说
法坛，使顽石一齐点头哉？
有人体内积聚湿气，这可能是因为脾虚导致无法运化水湿，也可能是因为喜欢吃浓腻肥厚的食物，以及随意饮茶饮酒的缘故。湿气蕴结就会化热，如果没有恶寒发热的症状，就称为湿热病。如果先出现恶寒随后发热，出汗后热势仍不消退的，就称为湿温证。虽然湿温证归类在伤寒门类中，但绝不能使用治疗太阳经证的桂枝汤、麻黄汤等伤寒方剂，这是人人都知道的事情。
湿温证的脉象必定是濡大而数，舌苔必定由白腻转为黄腻，或者呈现湿灰色；口虽然觉得干，但不能多喝；或者含着水却不想咽下，这是因为湿气盛于中焦，所以不能饮水；热势胜过湿气，所以口觉干燥。湿是疾病的根本，热是由湿转化而来的；那么治疗湿温证，必须用芳香的药物来燥湿，用苦寒的药物来泄热，用淡渗利湿的药物来利尿，这是一定的道理，毫无疑义。
现在的医生治疗湿温证却相反，他们的方剂必定使用豆豉、生地，名叫黑膏汤。想要用豆豉来发汗解表，用地黄来泄热。却不知道现在的豆豉，不用桑叶炮制，而是用麻黄炮制，这是以热助热。生地黄性味粘腻，会阻滞痰涎，这是以湿助湿。助长不止，则湿气更盛而热势更炽，时常感到口渴（因为热势炽盛），舌苔垢腻，甚至变成灰黑色（因为湿气盛极，黑色属水色），神志昏迷，口中多胡言乱语（这都是热炽湿盛的征象）。医生不知道这是用药失误所致，见到病人昏迷呓语，认为一定会出疹子，于是重用豆豉、豆卷（也是用麻黄炮制的）等药物来发汗，不顾竭力助长热势；见到病人舌色灰暗口渴，担心劫夺津液，于是重用沙参、石斛等药物来滋润，不顾竭力助长湿气。到了这种地步，昏迷更加严重，舌色更加灰暗，痰涎上涌，生命就在顷刻之间，完全没有生机了。医生此时手足无措，无法命名此病，称之为肺闭，于是使用紫雪丹、至宝丹、牛黄丸、珍珠粉、乌犀角等药物，一服再服，使得湿热之邪全部引入心包，于是发生厥逆不再苏醒。
哪里知道湿是阴邪，是浊邪；暑是阳邪，是清邪。清阳之邪，只有气而没有实质，可以用紫雪丹等开泄的方法去除；阴浊之邪，既有气又有实质，不可用开泄法，一旦开泄，邪气就会陷入心包，死亡就在眨眼之间了！唉！湿温这一病症，开始误用豆豉、生地等药助热助湿，接着误用豆卷、石斛等药助热助湿，最终误用紫雪、至宝等药引邪入心，将其置于必死之地，哪里知道湿温本来不是死证呢？
湿温不是死证，而现在患湿温的人往往致死，难道不是服药错误的后果吗？现在这个病名叫“湿”，就不应当用助湿的药物来治疗湿病，即使是再平庸愚笨的人，也一定知道这一点。病名叫“温”，就不应当用助温的药物来治疗温病，即使是再平庸愚笨的人，也一定知道这一点。然而患者不知道，医生也不知道，有时有声誉的医生更不知道，这难道不奇怪吗！
况且湿是阴邪，阴气盛则阳气必然衰弱，没有阳气衰弱还可以滋阴的道理。阴愈滋则湿气愈盛，用滋阴的方法治疗湿病，这就好比往地里灌卤水，却希望它变干燥一样。我真是愚蠢至极啊！那么怎么样才能治疗湿温呢？回答说：起初尚未化火，就用厚朴、白术、陈皮、半夏等药物来香燥祛湿；继而化火，就用黄连、黄芩、栀子、连翘等药物来苦寒泄热；最后湿气下降，就用茯苓、通草、泽泻、车前子等药物来淡渗利湿。始终不应当发汗。因为患湿病的人自然会有汗出，不可以再发其汗。始终不应当滋阴，滋阴是以水济水，不仅无益反而有害。无奈邪说深入人心，深入骨髓，愚人没有主见，听命于庸医，忠告之言，茫然不觉醒。我也无可奈何了！
曾经路过一个富翁的家门口，看见地上有很多药渣，其中有金斛，我没在意。后来看见有霍斛，再后来看见有鲜斛，最后看见有铁皮风斛。我于是感叹道：在这个湿气令行的季节，病多是湿温，投用这些药物不停止，病情大概危险了。不久，那位富翁果然死了。大概是人参和石斛连续服用，唯恐津液被劫夺。然而听到这件事的人，不认为是错误，好像与其让他在燥湿中生存，不如让他死于滋阴。唉！滋阴的说法，击中人心，即使死了也不后悔。我怎么能拥有万千条广长的舌头，登上生公说法的讲坛，使顽石一齐点头呢？
There are individuals with accumulated dampness (Shi), which may be due to Spleen deficiency (Pi Xu) failing to transform and transport fluids, or because of a preference for rich, fatty foods, and the indulgence in tea and alcohol. Dampness accumulating generates heat; when there is no aversion to cold or fever, it is called Damp-Heat Disease (Shi Re Bing). If there is initial aversion to cold followed by fever, and sweating does not resolve the heat, it is called Damp-Warmth Syndrome (Shi Wen Zheng). Although categorized within the Shanghan (Cold Damage) school, one must not use Guizhi Tang (Cinnamon Twig Decoction) or Mahuang Tang (Ephedra Decoction), which treat Taiyang channel syndromes, for this condition—a fact known to all.
The pulse must be soggy (Ru), large, and rapid (Shu). The tongue coating must transition from white and greasy to yellow and greasy, or appear damp-grey. Although the mouth feels dry, the patient cannot drink much; or they hold water in the mouth without swallowing. This is because dampness is abundant in the middle jiao, preventing drinking, while heat surpasses dampness, causing the sensation of dryness. Dampness is the root of the disease, and heat is transformed from dampness. Therefore, treating Damp-Warmth requires aromatic herbs to dry dampness, bitter-cold herbs to drain heat, and bland-draining herbs to promote urination. This is an immutable principle, beyond doubt.
However, contemporary practitioners treat Damp-Warmth oppositely. Their formulas invariably use Dou Chi (Fermented Soybean) and Sheng Di Huang (Rehmannia Root), named Hei Gao Tang. They intend for Dou Chi to induce sweating and Sheng Di Huang to clear heat. Yet, they do not realize that current Dou Chi is processed with Ma Huang (Ephedra) rather than Sang Ye (Mulberry Leaf), thereby using heat to assist heat. Sheng Di Huang is sticky and cloying, obstructing phlegm-fluids, thereby using dampness to assist dampness. Unchecked assistance leads to more abundant dampness and fiercer heat. The patient frequently feels thirsty (due to fierce heat), the tongue coating becomes filthy and greasy, turning grey-black (due to extreme dampness; black corresponds to Water element), consciousness becomes clouded, and muttering occurs (all manifestations of fierce heat and abundant dampness).
The physician, unaware of the medication error, seeing coma and muttering, assumes rashes will erupt, and heavily prescribes Dou Chi and Dou Juan (also processed with Ma Huang) to induce sweating, disregarding the effort to assist heat. Seeing grey tongue and thirst, fearing fluid depletion, they heavily prescribe Sha Shen (Glehnia Root) and Shi Hu (Dendrobium Stem) to moisten, disregarding the effort to assist dampness. At this stage, coma deepens, tongue color turns grayer, phlegm-fluid surges upward, and life hangs in the balance, with no hope of survival. The physician is at a loss, unable to name the condition, calling it Lung Obstruction (Fei Bi), and uses Zi Xue Dan (Purple Snow Pill), Zhi Bao Dan (Precious Treasure Pill), Niu Huang Wan (Calculus Bovis Pill), Lian Zhu Fen (Pearl Powder), and Wu Xi Jiao (Black Rhinoceros Horn). One dose after another causes the damp-heat pathogen to enter the Pericardium (Xin Bao), leading to Jue (collapse) from which the patient never regains consciousness.
How could they know that dampness is Yin pathogen and turbid pathogen, whereas summerheat is Yang pathogen and clear pathogen? Clear-Yang pathogens have Qi but no substance, and can be expelled via opening and draining methods like Zi Xue Dan. Yin-Turbid pathogens have both Qi and substance; they must not be treated with opening and draining. Once opened and drained, the pathogen sinks into the Pericardium, and death follows instantly! Alas! In Damp-Warmth syndrome, the first error was using Dou Chi and Sheng Di Huang to assist heat and dampness; the second error was using Dou Juan and Shi Hu to assist heat and dampness; the final error was using Zi Xue and Zhi Bao to draw the pathogen into the heart, placing the patient in a fatal position. Who would know that Damp-Warmth is inherently not a fatal syndrome?
Damp-Warmth is not fatal, yet patients often die. Is this not due to medication errors? The disease is named "Damp"; thus, one should not use damp-assisting herbs to treat it. Even the most mediocre and foolish person would know this. The disease is named "Warm"; thus, one should not use warm-assisting herbs to treat it. Even the most mediocre and foolish person would know this. Yet, the patient does not know, the physician does not know, and even renowned physicians do not know. Is this not astonishing?
Moreover, dampness is a Yin pathogen. When Yin is excessive, Yang must decline. There is no case where declining Yang can be treated with Yin-nourishing methods. The more one nourishes Yin, the more abundant the dampness becomes. Treating dampness with Yin-nourishing herbs is like pouring brine onto the ground and hoping it dries. I am extremely foolish! So, how should Damp-Warmth be treated? Answer: Initially, before fire transformation, use Hou Po (Magnolia Bark), Bai Zhu (Atractylodes Macrocephala), Chen Pi (Tangerine Peel), and Ban Xia (Pinellia Tuber) to aromatically dry dampness. Subsequently, after fire transformation, use Lian Qiao (Forsythia Fruit), Huang Qin (Scutellaria Root), Zhi Zi (Gardenia Fruit), and Lian Qiao (Forsythia Fruit - *Note: Text says 'Qiao', usually refers to Lian Qiao or similar clearing herbs*) to bitterly drain heat. Finally, when dampness descends, use Fu Ling (Poria), Tong Cao (Tetrapanax Pith), Ze Xie (Alisma Rhizome), and Che Qian Zi (Plantago Seed) to blandly drain dampness. Throughout, one must not induce sweating. Patients with dampness naturally sweat; one must not induce further sweating. Throughout, one must not nourish Yin. Nourishing Yin is using water to meet water, which is useless and harmful.
Unfortunately, heretical theories penetrate deeply into people's bones. Foolish people lack autonomy and obey quack physicians, remaining oblivious to loyal advice. I am helpless!
Once, passing the gate of a wealthy man, I saw discarded medicinal dregs containing Jin Hu (Golden Dendrobium), which I ignored. Then I saw Huo Hu (Huo Dendrobium), then fresh Hu, and finally Tie Pi Feng Hu (Iron Skin Wind Dendrobium). I sighed, saying, "In this damp season, diseases are mostly Damp-Warmth. Continuing these prescriptions, the illness will surely become critical." Shortly after, the wealthy man indeed died. It seems Ginseng and Shi Hu were administered consecutively, fearing fluid depletion. However, those who heard of this did not consider it an error, as if preferring death by Yin-nourishing over living by drying dampness. Alas! The theory of Yin-nourishing strikes the human heart; even unto death, there is no repentance. How can I wield ten thousand long tongues, ascend the pulpit of Master Sheng, and make the stubborn stones nod together?