肺热右腮红，至申酉时其红更盛；或大便闭结，或身热，或喘急而咳嗽；或嗽不出而面
壅赤无痰，或口渴气莽；或鼻门干燥且燥破生疮，皆肺热也，治宜用泻白散。肺虚，面色惨
白，外无感冒，治宜用五味子、白术、白茯苓、陈皮、款冬花、甘草。肺寒，治用参苏饮。
其肺寒及寒极似热，治法在后伤寒类。
心热额色红燥，或舌红紫，或舌红而肿，或小便赤，赤而涩，涩而痛，或烧热，皆心热
也。推法运掌从坎入艮，退下六腑，水底捞明月，引水上天河，治用犀角解毒汤。虚热症面
白，唇舌惨淡，小便清利，口亦作渴，治用人参、白茯神、远志、白术、甘草，服三、四剂
自愈。
额不红，舌不红肿，小便不赤涩，乃热蕴于心，不形于窍，不传于色。口气如焚，睡中
齿如错锯，口必狂言，啼哭泪多，此热极似寒也。推法同心热，药用犀角磨水饮之，或大连
翘饮。
其候烧热平常，似有惊而不抽，昏迷无知。治用半夏、陈皮、桔梗各二钱煎服。后用甘
草三钱，连翘、木通各一钱服之，自愈。
九思轩措大方遴萃，举子才两月，症属脾湿动痰传入肺窍，乃妻呼挑筋，妇挑之，症加
甚。且曰挑迟了，不可愈。余往视之，拿却无声，审音知痰入肺窍，先用推拿兼使灯火，随
用半夏二钱，桔梗，枳壳，白术各一钱服之稍愈。遴萃闻余言，半夏合症重用之，微动燥气
。余即用赤芍等味解之，全愈。此脾湿动痰，挑筋无济，用药辄效之一验也。
余长女甫四岁，身上微热，口说诡话，且无所不说，面色紫黄，唇色略红，舌尖独燥，
口气如火，精神不弱，口不作渴，据面色却是中暑。但病值三月，暑非其时，以舌尖口气并
精神揣之，定是热极似寒，用犀角磨水一杯服之，少顷一吐即愈。此热极似寒审窍探情之一
验也。
肺热：右腮发红，到了申时和酉时（下午3点至7点）红色更加明显；或者大便干结不通，或者身体发热，或者气喘急促并伴有咳嗽；或者咳嗽有痰却咳不出来，导致面部壅塞赤红且无痰，或者口渴、气息粗乱；或者鼻孔周围干燥甚至破裂生疮，这些都是肺热的表现，治疗适宜使用泻白散。
肺虚：面色苍白惨淡，体表没有感冒症状，治疗适宜使用五味子、白术、白茯苓、陈皮、款冬花、甘草。
肺寒：治疗使用参苏饮。其肺寒以及寒邪极盛而表现为类似热证的情况，治疗方法在后面的伤寒类章节中论述。
心热：额头颜色红燥，或者舌头红紫，或者舌头红而且肿胀，或者小便颜色深红，排尿涩滞，涩痛，或者发高烧，这些都是心热的表现。推拿手法采用运掌从坎位进入艮位，退下六腑，水底捞明月，引水上天河，治疗使用犀角解毒汤。
虚热症：面色苍白，嘴唇和舌头颜色惨淡，小便清亮通畅，口也感到口渴，治疗使用人参、白茯神、远志、白术、甘草，服用三到四剂后自愈。
额部不红，舌部不红肿，小便不赤涩，这是热邪蕴结在心，但没有表现在官窍上，也没有反映在面色上。口气像火烧一样，睡眠中牙齿磨动发出如锯木头的声音，口中必定说狂话，啼哭时眼泪多，这是热极似寒的表现。推拿方法同于心热，药物使用犀角磨水饮用，或者使用大连翘饮。
症状表现为发低烧，看起来像惊风但并不抽搐，昏迷无知觉。治疗使用半夏、陈皮、桔梗各二钱煎服。之后使用甘草三钱，连翘、木通各一钱服用，即可自愈。
九思轩的大方遴萃，孩子才两个月大，病症属于脾湿动痰传入肺窍，被妻子叫去挑筋，由妇人操作，导致病情加重。并且有人说挑晚了，治不好了。我去诊治，发现孩子拿东西没声音，通过听声音判断是痰入肺窍，先用推拿兼用灯火灸法，随后使用半夏二钱，桔梗、枳壳、白术各一钱服用，稍微好转。遴萃听到我的话，认为半夏对症并重用，结果引发了轻微的燥气反应。我随即使用赤芍等药物化解，完全治愈。这是脾湿动痰，挑筋没有帮助，用药立即见效的一个验证。
我的长女刚四岁，身上微热，嘴里说怪异的话，而且无所不说，面色紫黄，嘴唇颜色略红，只有舌尖特别干燥，口气如火，精神并不虚弱，口也不觉得渴，根据面色来看像是中暑。但生病正值三月，暑邪并非当令之时，根据舌尖干燥、口气如火以及精神状态来推断，确定是热极似寒，使用犀角磨水一杯服用，过了一会儿吐了一次就痊愈了。这是审察官窍、探求病情以识别热极似寒的一个验证。
**Lung Heat:** Redness on the right cheek, which becomes more intense during the Shen and You hours (3:00 PM to 7:00 PM); or constipation; or fever; or rapid breathing with coughing; or inability to expectorate phlegm resulting in a congested, red face without sputum; or thirst and rough breath; or dryness and cracking of the skin around the nostrils with sores. These are all manifestations of Lung Heat (Fei Re). Treatment is indicated with Xiebai San (White Bark Decoction).
**Lung Deficiency:** Pale and dull complexion, with no external signs of cold pathogen invasion. Treatment is indicated with Wuweizi (Schisandra Fruit), Baizhu (Atractylodes Macrocephala Rhizome), Baifuling (Poria), Chenpi (Citrus Reticulata Peel), Kuandonghua (Kalanchoe Flower), and Gancao (Licorice Root).
**Lung Cold:** Treatment uses Shensu Yin (Ginseng and Perilla Decoction). The treatment for Lung Cold and for conditions where extreme cold mimics heat is discussed in the subsequent section on Cold Damage Diseases (Shanghan Lei).
**Heart Heat:** Red and dry forehead; or red-purple tongue; or red and swollen tongue; or dark red urine that is difficult and painful to pass; or high fever. These are all manifestations of Heart Heat (Xin Re). Tuina techniques include moving the palm from Kan to Gen positions, draining the six fu organs, "Fishing for the Bright Moon at the Bottom of the Water," and "Guiding Water Up to the Heavenly River." Treatment uses Xijiao Jiedu Tang (Rhinoceros Horn Detoxification Decoction).
**Deficiency Heat:** Pale complexion, dull lips and tongue, clear and profuse urination, and thirst. Treatment uses Ren Shen (Ginseng), Bai Fushen (Poria with Hostwood), Yuanzhi (Polygala Root), Baizhu (Atractylodes Macrocephala Rhizome), and Gancao (Licorice Root). Self-healing occurs after three to four doses.
If the forehead is not red, the tongue is not swollen or red, and urination is not dark and difficult, it indicates that heat is stagnant in the heart but has not manifested in the orifices or reflected in the complexion. Burning breath, teeth grinding like sawing wood during sleep, delirious speech, and excessive tearing while crying indicate "Extreme Heat Mimicking Cold" (Re Ji Si Han). Tuina methods are the same as for Heart Heat. Medication involves drinking water in which Xijiao (Rhinoceros Horn) has been ground, or using Dalianqiao Yin (Large Forsythia Decoction).
Symptoms include low-grade fever, appearance resembling convulsions but without actual spasms, and unconscious confusion. Treatment uses Banxia (Pinellia Tuber), Chenpi (Citrus Reticulata Peel), and Jiegeng (Platycodon Root), each two qian, decocted and taken orally. Subsequently, Gancao (Licorice Root) three qian, Lianqiao (Forsythia Fruit), and Mutong (Akebia Stem), each one qian, are taken to achieve self-healing.
Jiusixuan's Da Fang Lin Cui was two months old when his condition involved spleen dampness stirring up phlegm that entered the lung orifices. His wife summoned a practitioner to perform tendon-picking, which exacerbated the condition. It was claimed that picking too late made it incurable. Upon examination, I noted the child had no voice when grasping objects. Auditory assessment confirmed phlegm entering the lung orifices. Initially, tuina combined with moxibustion (denghuo) was used. Then, Banxia (Pinellia Tuber) two qian, along with Jiegeng (Platycodon Root), Zhike (Bitter Orange), and Baizhu (Atractylodes Macrocephala Rhizome) each one qian were administered, leading to slight improvement. Lin Cui’s father, hearing my advice, heavily relied on Banxia due to its symptomatic match, which triggered mild dryness-qi reaction. I subsequently used Chishao (Red Peony Root) and other herbs to resolve it, resulting in full recovery. This verifies that for spleen-dampness-induced phlegm, tendon-picking is ineffective, whereas herbal medicine yields immediate results.
My eldest daughter was just four years old. She had a slight fever, spoke nonsensical words indiscriminately, had a purplish-yellow complexion, slightly red lips, a uniquely dry tongue tip, and burning breath. Her spirit was not weak, nor did she feel thirsty. Based on her complexion, it appeared to be Summerheat Disease (Zhongshu). However, since it was the third month, summerheat was not the prevailing pathogen. Inferring from the dry tongue tip, burning breath, and mental state, I determined it was "Extreme Heat Mimicking Cold." One cup of water in which Xijiao (Rhinoceros Horn) was ground was administered. After a short while, vomiting occurred, and she recovered immediately. This serves as a verification of diagnosing "Extreme Heat Mimicking Cold" by examining orifices and probing the condition.