石斛、丹皮、桑叶、竹叶大剂投之，三日而愈。养阴善后，遂以渐安。其余或轻或重，余一以清解而痊。
又云∶李新畲仲郎， 未齐而痰嗽气喘，苔色白滑，小溲不赤，或主犀角地黄汤加紫雪，服而不效，延余
诊之。右脉洪滑而口渴，乃天时酷热，暑邪薄肺，挟其素有之痰而阻其治节，所以气机不行而疹不能达，苔不
能化，溺不能赤也。温散大忌，凉血亦非。与竹叶石膏汤合苇茎，加杏、菀、旋、杷、海石投之，气平疹透，
苔退舌红，小便亦赤，数日而愈。
又云∶徐艮生室年四十余，于酷暑之时患 ，所亲沈悦亭，连与清解，不能杀其势，为邀余视之。体浓痰
多，脉甚滑数，扬掷谵妄，舌绛面赤，渴饮便涩，乃与大剂白虎加犀角、玄参、银花、花粉、贝母、竹黄、竹
叶、竹茹、竹沥，送滚痰丸。服后大便下如胶漆，脉证渐和。数日后去丸药，其势复剧，甚至发厥，仍加丸药
乃平。如是者三次，险浪始息。悦亭复以白金丸涤其膈下留痰，续用甘凉濡润法，充津液而搜余热，渐以告愈。
沈岷源《奇证汇》云∶王燮庵幼时，痧后食酸太过，咳呛不已，年余骨立，五心烦热，已近童劳。一人教
于每日黎明，以头窠鸡子一枚，打千余下，入盐少许，沸汤瀹服，百日而痊。
霖按∶选案数十条，诸法略备。近时运当燥火，多宜清透。但酿热为痰，阻其气机，使疹毒不能透达。时
医不察，只知表散，徒伤真阴，因此致毙者多矣。王孟英治李新畲、
徐艮生两案，极有胆识。然热证热痰，尚不难措手。观许宣治治汪聚之，以热证而素蓄寒痰，就机宣导，尤非
易易。其素本怯弱之儿，因表散太过，气虚不能送毒外出，如余春山等主以甘寒育阴是矣。总不若章虚谷清透
剂内重加玄参，壮水养阴而不腻。遇元阳薄弱者，于此中稍佐附子，尤有卓识。至孙文垣之利水泄热，吴桥之
熏蒸透毒，各寓精义，学人皆当究心探讨，因病制宜，勿拘拘于一格也。
用大剂量的石斛、丹皮、桑叶、竹叶投服，三天后痊愈。采用养阴法善后调理，病情逐渐安定。其余病例或轻或重，我一律以清热解表的方法治愈。
又说：李新畲的次子，出疹未满期便出现痰嗽气喘，舌苔白滑，小便颜色不红。有人主张用犀角地黄汤加紫雪，服用后无效，于是请我诊治。患者右脉洪滑且口渴，这是因天气酷热，暑邪侵犯肺脏，夹杂其体内素有的痰浊，阻碍了肺的治节功能，所以气机运行不畅，导致疹毒不能透发，舌苔不能化解，小便也不能变红。此时温散是大忌，凉血也不合适。给予竹叶石膏汤合苇茎汤，加入杏仁、桔梗、旋覆花、枇杷叶、海浮石投服，气息平复，疹点透出，舌苔消退转为舌红，小便也变红，数日后痊愈。
又说：徐艮生的妻子四十多岁，在酷暑时节患痧疹，亲友沈悦亭连续使用清热解表法，不能遏制病势，于是邀请我诊治。患者体质丰腴痰多，脉象非常滑数，躁动不安、胡言乱语，舌质绛红面色赤红，口渴饮水，大便涩滞。于是给予大剂量白虎汤加犀角、玄参、金银花、天花粉、贝母、竹黄、竹叶、竹茹、竹沥，送服滚痰丸。服药后大便排出如胶漆般的秽物，脉象和症状逐渐平和。数日后去掉丸药，病势再次加剧，甚至出现四肢厥冷，重新加上丸药才平息。像这样反复三次，险情才告平息。沈悦亭又用白金丸涤除膈下留存的痰浊，随后继续用甘凉濡润之法，补充津液并搜剔余热，逐渐痊愈。
沈岷源《奇证汇》记载：王燮庵幼时，出疹后吃酸味食物过多，咳嗽呛逆不止，一年多身体消瘦，五心烦热，已接近童劳（小儿虚劳）的程度。有人教他在每天黎明时，取一个带壳鸡蛋，敲打一千多次，加入少许盐，用沸水冲泡服用，一百天后痊愈。
叶霖按语：所选案例数十条，各种治法大致具备。近来气候多燥火，大多适宜清透之法。但若是酿生热痰，阻碍气机，使疹毒不能透达，当时医生不加考察，只知道用表散法，徒然损伤真阴，因此导致死亡的很多。王孟英治疗李新畲、徐艮生两案，极有胆识。然而热证热痰，尚不难处理。看许宣治治疗汪聚之，因热证而素来蓄积寒痰，顺势宣导，尤其不容易。那些本来怯弱的儿童，因表散太过，气虚不能将毒邪送出体外，像余春山等人主张用甘寒育阴法是正确的。总不如章虚谷在清透剂中重用玄参，壮水养阴而不滋腻。遇到元阳薄弱者，在此方中稍加附子，更有卓识。至于孙文垣的利水泄热，吴桥的熏蒸透毒，各含精义，学习的人都应当用心探讨，因病制宜，不要拘泥于一种固定格式。
A large dose of Dendrobii Caulis (Shihu, 石斛), Moutan Cortex (Danpi, 丹皮), Mori Folium (Sangye, 桑叶), and Phragmitis Rhizoma (Zhuye, 竹叶) was administered, resulting in recovery within three days. Yin-nourishing methods were used for convalescence, leading to gradual stabilization. Other cases, whether mild or severe, were cured uniformly by clearing heat and resolving pathogens.
It is also stated: Li Xinshu’s second son developed phlegm-cough and wheezing before the rash had fully erupted. His tongue coating was white and slippery, and his urine was not red. Some physicians prescribed Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction) with Zhixue (Purple Snow), but it proved ineffective. I was then consulted. The right pulse was surging and slippery, accompanied by thirst. This indicated that due to extreme summer heat, Summerheat-Pathogen invaded the Lung, combining with pre-existing phlegm and obstructing the Lung’s regulation of Qi and water passages. Consequently, Qi mechanism stagnation prevented the rash from venting, the coating failed to resolve, and urine remained non-red. Warming and dispersing are strictly contraindicated; cooling blood is also inappropriate. I prescribed Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) combined with Weijing Tang (Reed Shoot Decoction), adding Xingren (Apricot Seed), Jiegeng (Platycodon Root), Xuanshu (Inula Flower), Pipaye (Loquat Leaf), and Haishi (Pumice). After administration, breathing stabilized, the rash emerged, the coating receded revealing a red tongue, and urine turned red. Recovery occurred within several days.
Furthermore: Mrs. Xu Gensheng, over forty years old, contracted measles during intense summer heat. Her relative, Shen Yueting, repeatedly applied heat-clearing and pathogen-resolving methods without subduing the disease severity, so he invited me to examine her. She had a robust physique with abundant phlegm, a very slippery and rapid pulse, restlessness with delirious speech, crimson tongue, flushed face, thirst with desire to drink, and constipation. I administered a large dose of Baihu Tang (White Tiger Decoction) plus Shuijiao (Rhino Horn - *Note: modern substitute usually Shengdi or Niuhuang in practice, but text says Shuijiao*), Xuanshen (Scrophularia Root), Yinhua (Honeysuckle Flower), Huafen (Trichosanthes Root), Beimu (Fritillaria Bulb), Zhuhuang (Bambusa Textilis Bamboo Moss), Zhuye (Bamboo Leaf), Zhuru (Bamboo Shavings), and Zhuli (Bamboo Juice), delivered with Guntan Wan (Rolling Phlegm Pill). After ingestion, dark, glue-like stool was passed, and pulse and symptoms gradually harmonized. Several days later, the pill was discontinued, but the condition worsened again, even reaching cold extremities (Jue). The pill was reinstated, and stability returned. This cycle repeated three times before the crisis subsided. Shen Yueting then used Baijin Wan (White Gold Pill) to clear residual phlegm from the diaphragm, followed by sweet-cool moistening methods to replenish body fluids and search out lingering heat, leading to gradual recovery.
Shen Minyuan’s "Qizheng Hui" (Collection of Strange Cases) records: When Wang Xie’an was young, excessive consumption of sour food after measles led to persistent coughing and choking. For over a year, he became emaciated, suffered from five-palm heat, and approached the state of Child Consumption (Tonglao). Someone advised him to take one whole egg (shell included) every day at dawn, beat it over a thousand times, add a little salt, brew it with boiling water, and drink it. He recovered after one hundred days.
Ye Lin’s Commentary: The selected dozens of cases cover various treatment methods. In recent times, the climate favors dryness and fire, making clearing and venting generally suitable. However, when heat transforms into phlegm, obstructing Qi mechanism and preventing rash toxin venting, contemporary physicians often fail to observe this, relying solely on exterior-dispersing methods. This vainly injures True Yin, leading to many deaths. Wang Mengying’s treatment of the cases of Li Xinshu and Xu Gensheng demonstrates great courage and insight. Nevertheless, treating heat syndromes with hot phlegm is not difficult. Observing Xu Xuanzhi’s treatment of Wang Juzhi, who had a heat syndrome but pre-existing cold phlegm, required skillful guidance and was particularly challenging. For children with inherent weakness, where excessive dispersing leads to Qi deficiency unable to expel toxins outward, Yu Chunshan’s approach of using sweet-cool methods to nourish Yin is correct. Overall, Zhang Xugu’s method of heavily adding Xuanshen to clearing-and-venting formulas to strengthen Water and nourish Yin without cloying is superior. For patients with weak Yuan Yang, adding Aconite (Fuzi) slightly to such formulas shows exceptional insight. Sun Wenyuan’s method of promoting urination to drain heat and Wu Qiao’s method of fumigation to vent toxins each contain profound principles. Students should study these carefully, adapting treatment to the specific disease rather than adhering rigidly to a single pattern.