秽浊者，即俗称为龌龊也。是证多发于夏秋之间，良由天暑下逼，地湿上腾，暑湿交蒸，更兼秽浊之
气，交混于内，人受之，由口鼻而入，直犯膜原。初起头痛而胀，胸脘痞闷，肤热有汗，频欲恶心，右脉滞
钝者是也。然有暑湿之分，不可以不察也。如偏于暑者，舌苔黄色，口渴心烦，为暑秽也。偏于湿者，
苔白而腻，口不作渴，为湿秽也。均宜芳香化浊法治之，暑秽加滑石、甘草，湿秽加神曲、茅、苍。吾衢
见秽浊之证，便禁药饵，惟以揪刮当先，殊不知禁滋腻呆滞之药，如地、归、沙参等味是也，芳香气分之品、
又何害乎？倘执禁药之说，每见其轻证转重，重证转危，误人性命，不可胜数，悲哉悲哉！
疰夏者，每逢春夏之交，日长暴暖，忽然眩晕、头疼、身倦、脚软，体热食少，频欲呵欠，心烦自汗
是也。盖缘三月属辰土，四月属巳火，五月属午火，火土交旺之候，金水未有不衰，夫金衰不能制木，木动
则生内风，故有眩晕头疼。金为土之子，子虚则盗母气，脾神困顿，故有身倦足软，体热食少。又水衰者，
不能上济乎心，故有频欲呵欠，心烦自汗等证。此皆时令之火为患，非春夏温热之为病也。蔓延失治，必成痨
怯之根，宜以金水相生法治之。如眩晕甚者，加菊花、桑叶；头痛甚者，加佩兰、荷钱；疲倦身热，加潞党、
川斛；心烦多汗，加浮麦、莲子。加减得法，奏效更捷耳。
秽浊病，就是俗称的“龌龊”病。这种病症多发生在夏秋之间，主要是因为天气炎热下逼，地气湿气上腾，暑湿之气相互蒸腾，再加上秽浊之气，混杂在体内，人感受了邪气，从口鼻进入，直接侵犯膜原（半表半里的部位）。初起时头痛且胀，胸脘部痞塞闷胀，皮肤发热且有汗，频繁想要恶心，右手脉象滞涩钝重，这就是秽浊病的表现。然而其中有偏于暑和偏于湿的区别，不能不仔细辨别。如果偏于暑邪，舌苔发黄，口渴心烦，称为暑秽。如果偏于湿邪，舌苔白而腻，口不渴，称为湿秽。这两种情况都适宜用芳香化浊法治疗，暑秽加滑石、甘草，湿秽加神曲、茅苍术。我们衢州地区见到秽浊证，就禁止用药，只以揪刮疗法为先，这其实是不懂得要禁止滋腻呆滞的药物，如地黄、当归、沙参等药味，而对于芳香气分之品，又有什么害处呢？如果固执于禁药的说法，经常看到轻证转为重证，重证转为危证，误人性命，数不胜数，可悲啊可悲！
疰夏病，每逢春夏之交，白天变长突然变暖，忽然出现眩晕、头疼、身体疲倦、脚软，身体发热、食欲减少，频繁想打哈欠，心烦自汗，这就是疰夏的表现。大概是因为三月属辰土，四月属巳火，五月属午火，这是火土两旺的时候，金水二气没有不衰退的。金气衰弱不能制约肝木，肝木妄动则产生内风，所以有眩晕头疼。金是土的子脏，子虚则盗取母气，脾神困顿，所以有身体疲倦足软，身体发热食欲少。另外水气衰弱，不能上济于心，所以有频繁想打哈欠，心烦自汗等症状。这些都是时令之火为患，不是春夏温热病。蔓延失治，必然成为痨怯病的根源，适宜用金水相生法治疗。如果眩晕严重的，加菊花、桑叶；头痛严重的，加佩兰、荷钱；疲倦身热，加潞党参、川石斛；心烦多汗，加浮小麦、莲子。加减得当，疗效更快。
Shizhuo (Filth and Turbidity) disease, commonly known as "Wochuo" (Filth), frequently occurs between summer and autumn. This condition arises primarily from the downward pressure of heavenly heat and the upward rising of earthly dampness, where summer-heat and dampness mutually steam and ferment, compounded by filth-turbid qi mixing internally. When humans contract this pathogen, it enters through the mouth and nose and directly attacks the Membrane Source (Moyuan, a location halfway between the exterior and interior). Initially, there is headache with distension, chest and epigastric stuffiness and oppression, skin fever with sweating, frequent nausea, and a sluggish, dull pulse on the right side. However, distinctions must be made between those biased toward summer-heat and those biased toward dampness. If biased toward summer-heat, the tongue coating is yellow, with thirst and mental restlessness, termed Shuhui (Summer-Heat Filth). If biased toward dampness, the tongue coating is white and greasy, without thirst, termed Shihui (Dampness Filth). Both are suitable for treatment with Aromatic Methods to Transform Turbidity. For Shuhui, add Huashi (Talcum) and Gancao (Licorice); for Shihui, add Shenqu (Medicated Leaven) and Maocangzhu (Atractylodes lancea and Atractylodes macrocephala). In our region of Quzhou, upon seeing Shizhuo conditions, medication is often prohibited in favor of scraping therapies first. This reflects a misunderstanding: one should prohibit cloying, stagnant herbs such as Dihuang (Rehmannia), Danggui (Angelica sinensis), and Shashen (Glehnia), but aromatic herbs entering the Qi aspect pose no harm. Clinging to the prohibition of medicine often results in mild cases becoming severe, and severe cases becoming critical, causing countless deaths. How tragic!
Zhuxia (Stagnant Summer) disease occurs every year at the transition between spring and summer. As days lengthen and warmth suddenly increases, sudden vertigo, headache, body fatigue, and leg weakness appear, accompanied by low-grade fever, poor appetite, frequent yawning, mental restlessness, and spontaneous sweating. This is due to the third month belonging to Chen Earth, the fourth to Si Fire, and the fifth to Wu Fire, a period when Fire and Earth are flourishing, leading inevitably to the decline of Metal and Water. When Metal declines, it fails to control Wood; Wood agitation generates internal Wind, causing vertigo and headache. Since Metal is the child of Earth, deficiency in the child drains the mother (Earth), leaving the Spleen spirit exhausted, resulting in body fatigue, weak legs, fever, and poor appetite. Furthermore, Water deficiency fails to ascend and nourish the Heart, causing frequent yawning, mental restlessness, and spontaneous sweating. These are all caused by seasonal Fire pathogens, not typical Spring-Summer Warm diseases. If neglected and allowed to spread, they will inevitably become the root of consumptive weakness. Treatment should employ the Metal-Water Mutual Generation method. For severe vertigo, add Juhua (Chrysanthemum) and Sangye (Mulberry Leaf); for severe headache, add Peilan (Eupatorium) and Heqian (Lotus leaf); for fatigue and fever, add Ludangshen (Codonopsis) and Chuanhuye (Dendrobium); for mental restlessness and excessive sweating, add Fumai (Floating Wheat) and Lianzi (Lotus seed). With appropriate modifications, efficacy is achieved more rapidly.