近翁同道友也，夏月患感证，自用白虎汤治愈。后因饮食不节，病复发热腹胀，服消导
药不
效，再服白虎汤亦不效，热盛口渴，舌黄便闭。予曰∶此食复也。投以枳实栀豉汤，加大黄
，一剂和，二剂已。仲景祖方，用之对证，无不桴鼓相应。
道友曹肖岩翁，故居杨村，侨寓岩镇，乾隆甲寅春初病寒热头痛，自服温散不解，又因
胸膈
胀闷，疑夹食滞，加用消导亦不效。直至七朝，热发不退，精神恍惚，予视之曰∶病由冬不
藏精，又伤于寒，邪伏少阴，乘时触发，即春温两感证也。渠虑客中不便，乃归，诘朝延诊
，势渐加重，神昏脉大，面赤舌黑。方仿理阴煎，补中托邪。渠师仇心谷先生，见方称善。
次早复诊，予告仇公曰∶此病全是真元内亏，邪伏于里，猝难驱逐，吾料其热烦过二候，始
能退去。热退神自清耳。复订六味回阳饮与之。越日再视，热盛舌干，烦躁脉数，因易左归
饮，令服两剂，期届二候，果汗出热退。守至两旬，饮食大进，日啜糜粥十余碗，便犹未圊
，其昆季问故。予曰∶人胃中常留水谷三斗五升，每日入五升，出五升。缘病中全不能食，
胃中水谷，久经告竭，今虽日啜糜粥，不足弥缝其阙，并未有余，焉能骤便。予阅方书，案
载一人病后，纳食颇多，并不欲便，亦无胀楚，众疑之。医曰∶胃津亏耗，燥火用事，所进
之食即销熔，其渣滓须待津回燥润，方能便利如常，阅月余便始通，今才两旬，何虑为?后
至三十余日便通，病亦全却。
曹近轩老先生是我的同道好友。他在夏季患外感病证，自行服用白虎汤治愈。后来因为饮食不节制，病情复发出现发热、腹胀，服用消食导滞的药物无效，再次服用白虎汤也无效，此时热势亢盛、口渴、舌苔黄、大便闭塞。我说：这是“食复”（因饮食不当导致疾病复发）。于是投以枳实栀子豉汤，加入大黄，一剂后症状调和，两剂后痊愈。张仲景的经典方剂，只要用之对症，无不像鼓槌击鼓那样迅速见效。
道友曹肖岩老先生，原居杨村，侨居岩镇。乾隆甲寅年春初，他患寒热往来、头痛，自行服用温散药物未能解除；又因胸膈胀闷，怀疑夹有食积停滞，加用消导药也不见效。直到第七天，热势不退，精神恍惚。我去诊视，说：此病是由于冬季未能藏精，又受寒邪侵袭，邪气潜伏于少阴经，乘春季时令触发，这就是“春温两感证”（春季发生的温热病，兼有表里同病或新旧邪气相合）。他担心在外地就医不便，便回家，第二天早晨请我诊治，病情逐渐加重，神志昏迷、脉象洪大、面色红赤、舌色黑。处方仿照理阴煎，旨在补益中气、托举邪气外出。他的老师仇心谷先生看到方子称赞好。第二天早上复诊，我对仇公说：这病完全是真元内部亏损，邪气潜伏在体内，仓促难以驱逐，我预料他的烦热经过两个五天（约十天）后，才能退去。热退后神志自然清醒。于是重新拟定六味回阳饮给他服用。过了一天再诊视，热势更盛、舌干、烦躁、脉数，因此改用左归饮，令其服用两剂。期限到了第二个五天，果然出汗热退。坚持治疗到二十天，饮食大增，每天喝十几碗稀粥，但大便仍未通畅。他的兄弟询问原因。我说：人胃中通常留存水谷三斗五升，每天摄入五升，排出五升。因为生病期间完全不能进食，胃中的水谷早已耗尽，现在虽然每天喝稀粥，还不足以弥补之前的亏空，并没有多余的食物，怎么能突然有大便呢？我阅读医书，记载有一人病后，吃了很多食物，并不想排便，也没有胀痛不适，众人对此感到疑惑。医生说：胃中津液亏耗，燥火盛行，所吃的食物即刻被消化熔解，其中的渣滓必须等待津液恢复、燥热滋润，才能像平常一样便利。过了一个多月才通便，现在才二十天，有什么可忧虑的？后来过了三十多天大便才通畅，病也完全好了。
Old Man Cao Jin-xuan was a colleague and friend of mine. In summer, he suffered from an exogenous pathogenic condition (wai gan zheng), which he cured by self-administering Baihu Tang (White Tiger Decoction). Later, due to irregular diet, the illness relapsed with fever and abdominal distension. He took digestive-promoting medicines without effect, and taking Baihu Tang again also proved ineffective. The heat was intense, accompanied by thirst, yellow tongue coating, and constipation. I said: This is "Shi Fu" (relapse caused by improper diet). I prescribed Zhishi Zhichi Tang (Immature Bitter Orange and Fermented Soybean Decoction) with added Dahuang (Rhubarb Rhizome). After one dose, the symptoms harmonized; after two doses, it resolved. Zhang Zhongjing's classic formulas, when applied correctly to the syndrome, yield results as swiftly as a drumstick striking a drum.
Fellow Daoist Old Man Cao Xiao-yan, originally from Yangcun and residing in Yanzhen, fell ill in early spring of the Jia-Yin year of Qianlong's reign with alternating chills and fever, and headache. Self-medication with warming and dispersing agents failed to resolve it. Due to chest and diaphragm fullness and oppression, suspecting food stagnation, he added digestive promoters, but these were also ineffective. By the seventh day, the fever persisted, and his spirit was erratic. Upon examination, I stated: The disease stems from failing to store essence during winter, compounded by cold injury. The pathogen lies latent in the Shaoyin channel (Lesser Yin channel) and is triggered by the seasonal change. This is "Chun Wen Liang Gan Zheng" (Spring-warmth syndrome with dual infection/complex presentation). Fearing inconvenience of seeking medical care while away from home, he returned. The next morning, upon my consultation, his condition worsened: coma, large pulse, red face, and black tongue. I formulated a prescription modeled on Liyin Jian (Nourish Yin Decoction) to tonify the middle and expel pathogens outward. His teacher, Mr. Qiu Xingu, praised the formula. At the next morning's follow-up, I told Mr. Qiu: This case involves complete deficiency of true yuan (original qi) internally, with pathogens latent within, making rapid expulsion difficult. I predict that the heat and irritability will subside only after two five-day periods (approximately ten days). Once the heat recedes, clarity of mind will naturally return. I then prescribed Liuwei Huiyang Yin (Six-Ingredient Decoction to Restore Yang Qi). A day later, upon re-examination, the heat was more intense, tongue dry, irritability present, and pulse rapid. Therefore, I switched to Zuogui Yin (Left Restoring Decoction), instructing him to take two doses. When the second five-day period arrived, indeed, sweating occurred, and the heat subsided. Maintaining treatment for twenty days, his appetite greatly improved, consuming over ten bowls of millet porridge daily, yet stool remained unpassed. His brothers asked for the reason. I said: Normally, the stomach retains three dou and five sheng of food and fluids. Daily intake is five sheng, and output is five sheng. During illness, total inability to eat led to the exhaustion of gastric contents. Although he now consumes porridge daily, it is insufficient to fill the deficit, let alone create surplus; thus, sudden defecation is impossible. I recall reading in medical texts about a patient who, after recovery, ate much but had no urge to defecate, nor any bloating or pain. Others were puzzled. The physician explained: Gastric fluid depletion allows dryness-fire to dominate. Ingested food is immediately metabolized; residues require the restoration of fluids and moistening of dryness before normal bowel movement can resume. It took over a month for this patient to pass stool. Now, only twenty days have passed; why worry? Eventually, after thirty-plus days, stool passed, and the illness completely resolved.