按∶伤寒门张令韶治一妇，谵妄发狂，以声重且长，断为实热，下之而愈。此案亦壮劲有力，断为虚
寒，补之而愈。第张案则脉伏全无，为热厥也。此则脉空豁无伦，为阳越也。故临症者，尤不可执一端以为准的也。
朱湘波母，病热症，痰盛喘急，烦躁口渴，喉中如烟火上攻，两唇焦裂，足心如烙，小便频数。董安于拟
用十全大补，煎送八味丸。朱以时方盛暑，又系火症，不敢服，招杨商之。切其脉洪大而数无伦，按之虚软，
面色游红，舌上生刺，且敛束如荔枝，曰∶此肾虚，火不归经，脉从而病反者也。当舍时舍症，从脉以治之，
方用八味饮合生脉散，倍加参、地、附子。朱见方论与董合，乃出所拟方示扬。杨曰∶天热，症热，非有灼见，
何敢用此？无庸疑也。乃浓煎，探冷与饮而愈。
李氏妇年六十余，患热症，胸痛闷，神昏沉，气粗便秘，发散消导增甚。脉之滑数，重按有力，面色壅热
通红，满舌黄苔，中间焦黑。此食滞中宫，贲门壅塞，太阴之气阻而不运，阳明之气抑而不伸，郁而为火也。
以大剂疏肝益肾汤，倍熟地与之。当晚下黑矢数十块，诸症大减。次日再诊，脉见浮洪，舌上焦燥黄苔尽脱，
而其色反黑如炭。问曰∶症减而舌反黑，何也？曰∶向者食滞便秘，上下窍不通，火闷不舒，其焰不能上达，
今与以纯阴之剂，使便得通，则壅塞之火，随便泄去。而余火未尽者，复炎而上行，故舌反黑耳。前方加枣仁、
当归、山栀，以滋水清肝。舌黑退，再以生金滋水，及六君子加当归、白芍，全愈。
朱氏媪患热证，痞闷，眼赤羞明，遍身疮肿，大便燥结，小水痛涩，闻声则惕然而惊。医与解毒清火导赤，
十余剂，火益甚，不食不眠。脉之，浮分鼓指，沉则缓大，两关洪软而迟，知其外症悉假火也。与参附养荣汤，
不敢服。杨曰∶此症本为忧虑所伤，致三阴亏损，又为寒凉所迫，致虚火游行。冲于上则两目赤涩，流于下则
二便艰难，乘于外则遍身疮肿，寒于中则胸膈痞闷。故其标则似实热，其本则甚虚寒也。若果系实热，何以闻
响则惊，寒凉频进，而反甚耶？药下咽即卧，至五更，大叫饿甚。自寅及巳，连进粥三次，大便润而小水长，
诸症悉退。原方去附子，十余剂全瘳。
张飞畴治一妇人，寡居，五月间，忽壮热，多汗烦渴，耳聋胁痛。医用柴葛桂枝等剂，其热弥甚，汗出不
止，胸满昏沉，时时噫气。诊之，右脉数大，左脉少神，舌苔微黑，此伏气自少阳发出，故耳聋胁痛。法当用
白虎清解，反行发表，升越其邪，是以热渴转甚。汗出多，故左脉无神；胃液耗，故昏闷胸满。其噫气者，平
素多郁之故。今元气已虚，伏邪未解，与凉膈去硝、黄，易栝蒌根、丹皮、竹叶。一服，热减得睡。但汗不止，
倦难转侧，或时欲呕，此虚也，以生脉加枣仁、茯神、白芍，扶元敛阴。兼进饮粥，以扶胃气。渴止汗敛，而
脉转虚微欲绝，此正气得补，而虚火渐息之真脉也。复与四君归地而痊。
柴屿青治陈勾山舆人梁大患疹，身热谵语，口渴遗尿。服药增剧，求治。两脉沉伏，意其疹尚未透，拟用
消毒饮子。不信，势已濒危，复求诊，脉尚如故，探其舌，燥裂生刺，且面垢唇焦，始信为伏暑（即伏气也，发于阳
明，故现以上诸症。）实热之症。急投白虎汤二剂，病解而脉始洪矣。故临症者，脉既难凭，尤当察其舌也。
王节斋常治一仆人，病热口渴，唇干谵语。诊其脉，细而迟，用四君子汤，加黄 、当归、白芍、熟附子。
进一服，热愈甚，狂言狂走。或曰∶附子差矣。诊其脉如旧，仍增附子，进一大服，遂汗出而热退，脉还四至矣。
陈三农治一人，身大热，两目出火，口舌干燥，手足欲以水浸，狂詈不避亲疏，脉豁大，服黄连解毒汤益
甚。此心之脾胃病，而心气耗散故耳。遂用炒黑干姜一两，人参三钱，白术一钱。不用甘草者，恐生者泻心气，
炙者缓中，致脾胃中火邪不得发散也。三味煎服，不超时引被自盖，战汗出而愈。夫干姜微炒温中，炒黑凉肾止泻。
张路玉治童姓者，伏气发于盛暑。诊时大发躁扰，脉皆洪盛而躁。其妇云大渴，索水二日，不敢与饮，故
发狂乱。因令速与，连进二盏稍宁。少顷复索，又与一大盏。放盏，通身大汗，安睡热除，不烦汤药而愈。同
时有西客二人，亦患此症，皆与水而安。
薛立斋治一男子，盛暑发热，胸背作痛，饮汤自汗。用发表之药，神愦谵语，大便不实，吐痰甚多。用十
全大补一剂，顿退。又用补中益气加炮姜，二剂而愈。
王肯堂治余云衢太史，形气充壮，饮啖兼入。辛卯夏六月，患热病，肢体不甚热，时或扬手掷足，如躁扰
状，昏愦不知人事，时发一二语，不了了，而非谵语也。脉微细如欲绝。有谓是阴症宜温者，有谓当下者。时
座师陆葵日先生，与曾植斋、冯琢庵二太史，皆取决于王。王谓∶是阳病见阴脉，法在不治。然素禀如此，又
值酷暑外炽，过啖酒醴肉炙，宜狂热如焚，不大便七日矣，姑以大柴胡汤下之。时用熟大黄二钱，而太医王雷
庵力争，以为太少，不若用大承气。王曰∶如此脉症，岂宜峻下？待大柴胡不应，而后用调胃承气。再不应，
后用小承气以及大承气未晚也。服药，大便即行，脉已出，手足温矣。乃谓雷庵曰∶设用大承气，宁免噬脐之
悔哉。继以黄连解毒数剂而平。七月初，遂与陆先生同典试南京，不复发矣。明年，王请告归里，偶得刘河间
《伤寒直格论》读之，中有云∶蓄热内甚，脉须疾数，以其极热蓄甚，而脉道不利，致脉沉细欲绝。俗未明造化
之理，反谓传为寒极阴毒者。或始得之阳热暴甚，而便有此症候者，或两感热甚者，通宜解毒，加大承气汤下
之。下后热少退而未愈者，黄连解毒汤调之。或微热未除者，凉膈散调之。或失下热极，以致身冷脉微，而昏
冒将死者，若急下之，则残阴暴绝而死，盖阳气竭而然也。不下亦死，宜凉膈散或黄连解毒汤，养阴退阳，积
热渐以宣散，则心胸再暖，脉渐以生。然后抚卷而叹曰∶古人先得我心矣。余太史所患，正失下热极，以致身
冷脉微而昏冒欲绝也。下与不下，大下与微下，死生在呼吸间不容发。呜呼！可不慎哉。宜表而出之，以为世鉴。
马元仪治冯太史，因客邸无聊，挟妓为乐。值内虚之际，又苦暑热，因而昼夜发热，烦渴引饮，焦躁不宁。
脉之，细数而急，尺带弦，神气不清。此房劳过度，真阴受亏，阳往乘之也。且烦渴身热，神昏，火邪内扰，
外淫已极。当此盛夏，火炎土燥，垂绝之阴，其足以供燔灼者几何？若不急救其阴，大事去矣。用生首乌二两
为君，以救肝肾之阴，佐以黄连、知母、柴胡、黄芩、枳壳、半夏曲、橘红、杏仁化痰之品。一剂而神气清，
再剂而大便解，热减大半。再与人参、制首乌、鳖甲、丹皮、白芍、甘草调和阴阳之剂而热退。又以人参逍遥
散而安。
张意田治甬江焦姓人，七月间，患壮热舌赤，少腹满闷，小便自利，目赤发狂，已三十余日。初服解散，
继则攻下，俱得微汗，而病终不解。诊之，脉至沉微，重按疾急。夫表症仍在，脉反沉微者，邪陷入于阴也。
重按急疾者，阴不胜其阳，则脉流转疾，并乃狂矣。此随经瘀血，结于少阴也，宜服抵当汤。乃自为制虻虫、
水蛭，加桃仁、大黄煎服。服后下血无算，随用熟地一味，捣烂煎汁，时时饮之，以救阴液。候其通畅，用人
参、附子、炙草，渐渐服之，以固真元。共服熟地二斤余，人参半斤，附子四两，渐得平复。
施笠泽治孝廉唐后坡长公，病寒热面赤，头齿大痛。诊之，脉洪而数，此热症也，当用白虎汤。每剂石膏
一两，一剂而头痛齿痛俱已，寒热亦除。但脉尚搏指，曰∶须仍前再进一剂，不然两日后定发斑矣。乃疑而谋
之专科，曰∶是何斗胆也，石膏岂堪重剂乎？置不服。半月后复求治，云∶两日后果发斑，斑十日不退，退后
犹灼热。曰∶曲突徙薪，其有功乎。投柴苓芍药汤，一剂而热退。后用参、术调理而痊。
友人章深之，病心经热，口燥唇干，百药不效。有教以犀角磨服者。如其言，饮两碗许，症顿除。（《游宦纪
闻》宋·张世楠。）
魏玉璜治表侄凌二官，年二十余。丙子患热症初愈，医即与四君、干姜、巴戟诸气分温补药，久之益觉憔
瘦，状若颠狂，当食而怒，则啮盏折筋，不可遏抑。所服丸药，则人参养荣也。沉绵年许。其母问予，予曰∶
此余症未清，遽投温补所致。与甘露饮方，令服十余剂，遂痊。甲申夏，复患热症，呕恶不眠，至七日，拟用
白虎汤。以先日服犀角地黄而吐，疑为寒，不敢服。延一卢姓医至，诊其脉伏，按其腹痛，谓此疝症，非外感
也。脉已全无，危险甚矣。姑与回阳，脉复乃佳。所用葫芦巴、吴茱萸、肉桂、干姜、木香、小茴香、丁香、
青皮、橘核等，约重三两余，令急煎服。盖是日夜半当战汗，故脉伏而厥痛，彼不审，以为寒症也，乃用此方。
黄昏服下，即躁扰烦渴，扬手掷足，谵语无伦，汗竟不出。盖阴液为燥热所劫，不能蒸发矣。侵晨再亟诊，脉
已出且洪数，而目大 及年寿间皆迸出血珠，鼻煤唇焦，舌渐黑，小便全无。令以鲜地黄四两，捣汁一茶杯与
之，饮下即熟睡片时。醒仍躁扰，再与白虎汤，加鲜地黄二两煎服，热渐退，神渐清。次日渐进粥，二白睛赤
如鸠目，继而口鼻大发疮疡。改与大剂甘露饮，二十余日，始便黑粪甚伙，犹时时烦扰。服前方五十余日，忽
大汗，自顶至足汗极臭，自是全瘳。
陆暗生曰∶鼻者肺之窍，大肠者肺之府。童年攻苦，心气有余，心血必耗。血衰火旺，金受其刑，故上下
结燥。用二冬滋金清火，以治其标。火燥有余，元气必不充足。脱肛出血，皆元气不能统摄也，故用生地引人
参，以培天一生气之原，以治其本，否则必不免童劳之患矣。
徐灵胎曰∶世有奸医，利人之财，取效于一时，罔顾人之生死者，谓之劫剂。劫剂者，以重药夺截邪气也。
夫邪之中人，不能使之一时即出，必渐消渐托而后尽焉。今欲一日见效，势必用猛厉之药，与邪相争。或用峻
补之药，遏抑邪气。药猛厉则邪气渐伏，而正亦伤。并进补则正气骤发，而邪气内陷。一时似乎有效，及至药
力尽而邪复来，元气已大坏矣。如病者身热甚，不散其热，而以沉寒之药遏之；腹痛甚不求其因，而以香燥之
药御之；泻痢甚不去其积，而以收敛之药塞之之类。此峻厉之法也。若邪盛而投以大剂参附，一时阳气大旺，
病必潜藏，自然神气略定。越一二日元气与邪相并，反助邪而肆其毒，为祸尤烈，此峻补之法也。此等害人之
术，奸医以此欺人而骗财者，十之五。庸医不知而效尤以害人者，亦十之五。为医者不可不自省，病家亦不可不察也。
内府秘授青麟丸方，用绵纹大黄十斤，先以淘米泔浸半日，切片晒干。再入无灰酒浸三日取出，晒大半干。
第一次用侧柏叶垫甑底，将大黄铺上，蒸一炷香久，取起晒干。以后每次俱用侧柏叶垫底，起甑走气不用。第
二次用绿豆熬浓汁，将大黄拌透，蒸一炷香，取出晒干。第三次用大麦熬浓汁拌透，照前蒸晒。第四次用黑料
豆熬浓汁拌透。第五次用槐条叶熬浓汁拌透。第六次用桑叶，第七次用桃叶，第八次用车前草，第九次用浓朴，
第十次用陈皮，十一次用半夏，十二次用白术，十三次用香附，十四次用黄芩。以上俱如前煎汤，浸透蒸晒。
第十五次用无灰酒拌透，蒸三炷香，取出晒透，研极细末。每大黄一斤，入黄牛乳二两，藕汁二两，梨汁二两，
童便二两。如无童便，以炼蜜二两代之。外加炼蜜六两，捣和为丸如梧子大。每服二钱，治一切热症。
按语：在伤寒门中，张令韶曾治疗一位妇女，患者出现胡言乱语、发狂的症状。因其声音沉重且长，张令韶判断为实热证，采用攻下法治疗后痊愈。此案（指魏之琇所引的另一案例）同样论证有力，判断为虚寒证，采用补益法治疗后痊愈。但是，张令韶治疗的案例中，患者脉象伏匿全无，属于热厥证。而本案患者脉象空豁无伦次，属于阳气外越证。因此，临床医生尤其不可固执于某一种情况作为标准。
朱湘波的母亲，患热症，痰多气喘急促，烦躁口渴，喉中感觉像烟火上冲，双唇焦裂，足心像被火烙一样烫，小便频数。董安于打算使用十全大补汤，煎药送服八味丸。朱湘波认为当时正值盛夏，又是火症，不敢让母亲服用，于是邀请杨商之商议。杨商之切脉发现脉象洪大而数乱无伦，重按则虚软无力，面色红润游移不定，舌上生刺，且收缩束紧像荔枝壳一样。杨商之说：“这是肾虚，火不归经，脉象顺从病症表现但病情相反的情况。”应当舍弃季节和症状的常规考虑，依据脉象来治疗。方剂选用八味饮合生脉散，加倍人参、地黄、附子。朱湘波看到方论与董安于的一致，便拿出自己拟定的方子给杨看。杨商之说：“天气热，病症热，没有独到的见解，怎么敢用这种温补药？不必怀疑。”于是浓煎，放凉后让患者服用，病愈。
李氏妇人六十多岁，患热症，胸痛胸闷，神志昏沉，气粗便秘，经过发散和消导治疗后症状加重。诊脉滑数，重按有力，面色壅滞通红，满舌黄苔，中间焦黑。这是食积停滞在中焦，贲门阻塞，太阴之气受阻不能运化，阳明之气压抑不能舒展，郁结化为火邪。给予大剂量疏肝益肾汤，加倍熟地黄服用。当晚排出黑色粪便数十块，各种症状大幅减轻。第二天再诊，脉象浮洪，舌上焦燥的黄苔全部脱落，但舌色反而黑如炭。问道：“症状减轻而舌色反而变黑，为什么？”回答说：“先前食积便秘，上下窍道不通，火邪闷塞不舒，其火势不能上达；现在给予纯阴的药物，使大便通畅，那么壅塞的火邪随大便泄去。而残余未尽的火邪，重新炎上逆行，所以舌色反而变黑。”前方加入枣仁、当归、山栀，以滋水清肝。舌黑消退后，再用生金滋水及六君子汤加当归、白芍，完全治愈。
朱氏老妇患热证，痞闷，眼睛红畏光，全身疮肿，大便干燥结硬，小便疼痛涩滞，听到声音就惊恐不安。医生给予解毒清火导赤散等药，十余剂后，火邪更甚，不吃不睡。诊脉，轻取鼓指，重按缓大，两关脉洪软而迟，知道外在症状全是假火所致。给予参附养荣汤，患者不敢服用。杨商之说：“此症本因忧虑损伤，导致三阴亏损，又受寒凉药物逼迫，导致虚火游行。冲于上则双目赤涩，流于下则二便艰难，乘于外则全身疮肿，寒于中则胸膈痞闷。所以表象似实热，本质却是极度的虚寒。如果真是实热，为什么听到响声就惊惧，频繁进用寒凉药反而加重呢？”药喝下去后即能入睡，到五更天，大叫非常饥饿。从寅时到巳时，连续喝了三次粥，大便润通，小便通畅，各种症状全部消退。原方去掉附子，再服十余剂完全康复。
张飞畴治疗一位寡妇，五月间，突然高热，多汗烦渴，耳聋胁痛。医生使用柴葛桂枝等解表剂，热势更加严重，汗出不止，胸满昏沉，不时嗳气。诊脉，右脉数大，左脉少神，舌苔微黑，这是伏气温病自少阳发出，所以耳聋胁痛。治法应当用白虎汤清热解肌，反而使用发表药，升提越出了邪气，所以热渴转剧。汗出多，所以左脉无神；胃液耗伤，所以昏闷胸满。其嗳气，是平时多郁结的缘故。如今元气已虚，伏邪未解，给予凉膈散去掉硝石、大黄，改用栝蒌根、丹皮、竹叶。一服药后，热减得睡。但汗仍不止，疲倦难以翻身，有时想呕吐，这是虚证，用生脉散加枣仁、茯神、白芍，扶助元气收敛阴液。同时进饮米粥，以扶持胃气。渴止汗敛，而脉转为虚微欲绝，这是正气得到补充，而虚火逐渐熄灭的真脉象。再给予四君子汤加当归、地黄而痊愈。
柴屿青治疗陈勾山的车夫梁大患疹病，身热谵语，口渴遗尿。服药后病情加重，求治。两脉沉伏，推测疹子尚未透发，打算使用消毒饮子。患者不信，病情已濒危，再次求诊，脉象依然如故，探察其舌，干燥开裂生刺，且面垢唇焦，这才相信是伏暑（即伏气，发于阳明，所以出现上述诸症）实热证。急投白虎汤两剂，病解而脉始见洪大。所以临床医生，脉象既然难以凭信，尤其应当观察舌象。
王节斋常治疗一名仆人，病热口渴，唇干谵语。诊脉细而迟，使用四君子汤，加黄芪、当归、白芍、熟附子。服一剂后，热势更甚，狂言狂走。有人说：“附子用错了。”诊脉如旧，仍然增加附子用量，服一大剂，随即汗出热退，脉恢复至四至（正常频率）。
陈三农治疗一人，身大热，两目出火，口舌干燥，手足想要浸在水中，狂骂不避亲疏，脉象豁大，服用黄连解毒汤后病情更重。这是心脾疾病，而心气耗散所致。于是用炒黑干姜一两，人参三钱，白术一钱。不用甘草的原因，是担心生甘草泻心气，炙甘草缓中，导致脾胃中的火邪不得发散。三味药煎服，不到一小时，病人拉被子盖在身上，战栗出汗而痊愈。干姜微炒温中，炒黑则凉肾止泻。
张路玉治疗姓童的人，伏气温病发于盛暑。诊视时大发躁扰，脉皆洪盛而躁动。其妻子说患者大渴，索要水两天，不敢给水喝，所以发狂乱。于是让人速给水，连进两盏稍安宁。片刻后又索要，又给一大盏。放下杯子，通身大汗，安睡热除，不需汤药而愈。同时有两位西方客商，也患此症，都是给水而安。
薛立斋治疗一男子，盛暑发热，胸背作痛，饮汤自汗。使用发表药，神志昏愦谵语，大便不实，吐痰很多。使用十全大补汤一剂，顿然退热。又用补中益气汤加炮姜，两剂而愈。
王肯堂治疗余云衢太史，形体气力充壮，饮食兼入。辛卯年夏六月，患热病，肢体不甚热，时而扬手掷足，像躁扰状，昏愦不知人事，偶尔说一两句，含糊不清，而不是谵语。脉微细如欲绝。有人说这是阴症宜温者，有人说当下者。当时的座师陆葵日先生，与曾植斋、冯琢庵二位太史，都取决于王肯堂的判断。王肯堂说：“这是阳病见阴脉，法在不治。然而他素来体质如此，又值酷暑外炽，过食酒醴肉炙，应该狂热如焚，不大便七日了，姑且用大柴胡汤攻下。当时用熟大黄二钱，而太医王雷庵极力争辩，认为太少，不如用大承气汤。王肯堂说：“如此脉症，岂宜峻下？待大柴胡汤不应，而后用调胃承气汤。再不应，后用小承气以及大承气也不晚。”服药，大便即行，脉已出，手足温了。于是对雷庵说：“假如用大承气汤，难道免得了噬脐之悔吗？”继以黄连解毒汤数剂而平。七月初，遂与陆先生同往南京主持考试，不再复发。第二年，王肯堂告老还乡，偶然读到刘河间的《伤寒直格论》，其中有云：“蓄热内甚，脉须疾数，以其极热蓄甚，而脉道不利，致脉沉细欲绝。俗人不明造化之理，反谓传为寒极阴毒者。或始得之阳热暴甚，而便有此症候者，或两感热甚者，通宜解毒，加大承气汤下之。下后热少退而未愈者，黄连解毒汤调之。或微热未除者，凉膈散调之。或失下热极，以致身冷脉微，而昏冒将死者，若急下之，则残阴暴绝而死，盖阳气竭而然也。不下亦死，宜凉膈散或黄连解毒汤，养阴退阳，积热渐以宣散，则心胸再暖，脉渐以生。”然后抚卷而叹曰：“古人先得我心矣。余太史所患，正是失下热极，以致身冷脉微而昏冒欲绝也。下与不下，大下与微下，死生在呼吸间不容发。呜呼！可不慎哉。宜表而出之，以为世鉴。”
马元仪治疗冯太史，因客居旅馆无聊，挟妓为乐。正值内虚之际，又苦暑热，因而昼夜发热，烦渴引饮，焦躁不宁。诊脉，细数而急，尺部带弦，神气不清。这是房劳过度，真阴受亏，阳往乘之也。且烦渴身热，神昏，火邪内扰，外淫已极。当此盛夏，火炎土燥，垂绝之阴，其足以供燔灼者几何？若不急救其阴，大事去矣。用生首乌二两为君，以救肝肾之阴，佐以黄连、知母、柴胡、黄芩、枳壳、半夏曲、橘红、杏仁化痰之品。一剂而神气清，再剂而大便解，热减大半。再与人参、制首乌、鳖甲、丹皮、白芍、甘草调和阴阳之剂而热退。又以人参逍遥散而安。
张意田治疗甬江姓焦的人，七月间，患壮热舌赤，少腹满闷，小便自利，目赤发狂，已三十余日。初服解散药，继则攻下药，俱得微汗，而病终不解。诊之，脉至沉微，重按疾急。夫表症仍在，脉反沉微者，邪陷入于阴也。重按急疾者，阴不胜其阳，则脉流转疾，并乃狂矣。此随经瘀血，结于少阴也，宜服抵当汤。乃自为制虻虫、水蛭，加桃仁、大黄煎服。服后下血无算，随用熟地一味，捣烂煎汁，时时饮之，以救阴液。候其通畅，用人参、附子、炙草，渐渐服之，以固真元。共服熟地二斤余，人参半斤，附子四两，渐得平复。
施笠泽治疗孝廉唐后坡长公，病寒热面赤，头齿大痛。诊之，脉洪而数，此热症也，当用白虎汤。每剂石膏一两，一剂而头痛齿痛俱已，寒热亦除。但脉尚搏指，曰：“须仍前再进一剂，不然两日后定发斑矣。”乃疑而谋之专科，曰：“是何斗胆也，石膏岂堪重剂乎？”置不服。半月后复求治，云：“两日后果发斑，斑十日不退，退后犹灼热。”曰：“曲突徙薪，其有功乎。”投柴苓芍药汤，一剂而热退。后用参、术调理而痊。
友人章深之，病心经热，口燥唇干，百药不效。有人教以犀角磨服者。如其言，饮两碗许，症顿除。（出自《游宦纪闻》宋·张世楠。）
魏玉璜治疗表侄凌二官，年二十余。丙子年患热症初愈，医生即给予四君、干姜、巴戟诸气分温补药，久之益觉消瘦，状若颠狂，当食而怒，则啮盏折筋，不可遏抑。所服丸药，则是人参养荣丸。沉绵年许。其母问予，予曰：“此余症未清，遽投温补所致。”给予甘露饮方，令服十余剂，遂痊。甲申年夏，复患热症，呕恶不眠，至七日，拟用白虎汤。以先日服犀角地黄汤而吐，疑为寒，不敢服。延一卢姓医至，诊其脉伏，按其腹痛，谓此疝症，非外感也。脉已全无，危险甚矣。姑与回阳，脉复乃佳。所用葫芦巴、吴茱萸、肉桂、干姜、木香、小茴香、丁香、青皮、橘核等，约重三两余，令急煎服。盖是日夜半当战汗，故脉伏而厥痛，彼不审，以为寒症也，乃用此方。黄昏服下，即躁扰烦渴，扬手掷足，谵语无伦，汗竟不出。盖阴液为燥热所劫，不能蒸发矣。侵晨再亟诊，脉已出且洪数，而目大眦及年寿间皆迸出血珠，鼻煤唇焦，舌渐黑，小便全无。令以鲜地黄四两，捣汁一茶杯与之，饮下即熟睡片时。醒仍躁扰，再与白虎汤，加鲜地黄二两煎服，热渐退，神渐清。次日渐进粥，二白睛赤如鸠目，继而口鼻大发疮疡。改与大剂甘露饮，二十余日，始便黑粪甚伙，犹时时烦扰。服前方五十余日，忽大汗，自顶至足汗极臭，自是全瘳。
陆暗生说：鼻是肺之窍，大肠是肺之府。童年攻苦，心气有余，心血必耗。血衰火旺，金受其刑，故上下结燥。用二冬滋金清火，以治其标。火燥有余，元气必不充足。脱肛出血，皆元气不能统摄也，故用生地引人参，以培天一生气之原，以治其本，否则必不免童劳之患矣。
徐灵胎说：世间有奸医，贪图人之财，取效于一时，不顾人之生死者，谓之劫剂。劫剂者，以重药夺截邪气也。夫邪之中人，不能使之一时即出，必渐消渐托而后尽焉。今欲一日见效，势必用猛厉之药，与邪相争。或用峻补之药，遏抑邪气。药猛厉则邪气渐伏，而正亦伤。并进补则正气骤发，而邪气内陷。一时似乎有效，及至药力尽而邪复来，元气已大坏矣。如病者身热甚，不散其热，而以沉寒之药遏之；腹痛甚不求其因，而以香燥之药御之；泻痢甚不去其积，而以收敛之药塞之之类。此峻厉之法也。若邪盛而投以大剂参附，一时阳气大旺，病必潜藏，自然神气略定。越一二日元气与邪相并，反助邪而肆其毒，为祸尤烈，此峻补之法也。此等害人之术，奸医以此欺人而骗财者，十之五。庸医不知而效尤以害人者，亦十之五。为医者不可不自省，病家亦不可不察也。
内府秘授青麟丸方，用绵纹大黄十斤，先以淘米泔浸半日，切片晒干。再入无灰酒浸三日取出，晒大半干。第一次用侧柏叶垫甑底，将大黄铺上，蒸一炷香久，取起晒干。以后每次俱用侧柏叶垫底，起甑走气不用。第二次用绿豆熬浓汁，将大黄拌透，蒸一炷香，取出晒干。第三次用大麦熬浓汁拌透，照前蒸晒。第四次用黑料豆熬浓汁拌透。第五次用槐条叶熬浓汁拌透。第六次用桑叶，第七次用桃叶，第八次用车前草，第九次用浓朴，第十次用陈皮，十一次用半夏，十二次用白术，十三次用香附，十四次用黄芩。以上俱如前煎汤，浸透蒸晒。第十五次用无灰酒拌透，蒸三炷香，取出晒透，研极细末。每大黄一斤，入黄牛乳二两，藕汁二两，梨汁二两，童便二两。如无童便，以炼蜜二两代之。外加炼蜜六两，捣和为丸如梧子大。每服二钱，治一切热症。
Note: In the section on Cold Damage, Zhanglingshao treated a woman who exhibited delirium and madness. Because her voice was heavy and long, he diagnosed it as an Excess Heat syndrome and cured her with purgation. This case (referring to another case cited by Wei Zhixiu) is also powerfully argued, diagnosing Deficiency Cold and curing it with tonification. However, in Zhang's case, the pulse was hidden and completely absent, indicating Heat Jue (Cold Extremities due to Heat). In this case, the pulse was empty and chaotic, indicating Yang floating outward. Therefore, clinicians must not rigidly adhere to one aspect as the standard.
Zhu Xiangbo's mother suffered from a Heat syndrome with abundant phlegm, rapid panting, irritability, thirst, a sensation of fire/smoke rushing up the throat, cracked and scorched lips, burning soles, and frequent urination. Dong Anyu intended to use Shiquan Dabu Decoction (Complete Great Tonifying Decoction), decocted to swallow Bawei Wan (Eight-Ingredient Pill). Zhu Xiangbo, considering it was midsummer and the condition involved Fire, dared not let her take it, and invited Yang Shangzhi for consultation. Yang palpated the pulse, finding it flooding, rapid, and chaotic without order, but soft and deficient upon deep pressure. The face showed wandering redness, the tongue had prickles, and was contracted and bundled like a lychee shell. Yang said: "This is Kidney Deficiency with Fire failing to return to its source; the pulse follows the symptom manifestation but the pathology is opposite." One should set aside seasonal and symptomatic conventions and treat according to the pulse. The formula used was Bawei Yin combined with Shengmai San (Generate the Pulse Powder), with doubled doses of Renshen (Ginseng), Dihuang (Rehmannia), and Fuzi (Aconite). Seeing that the prescription matched Dong's, Zhu showed his own proposed formula to Yang. Yang said: "The weather is hot, the syndrome is hot; without unique insight, how dare one use such warming tonics? Do not doubt." It was decocted strongly, cooled, and administered, resulting in recovery.
Mrs. Li, over sixty years old, suffered from a Heat syndrome with chest pain and oppression, mental lethargy, coarse breathing, and constipation. Symptoms worsened after using dispersing and digesting methods. The pulse was slippery and rapid, forceful upon deep pressure. The face was congested and bright red, the tongue covered with yellow coating, black and scorched in the center. This was food stagnation in the Middle Jiao, obstruction at the cardia, blocking Taiyin Qi transport and suppressing Yangming Qi extension, leading to郁 (stagnation) transforming into Fire. A large dose of Shugan Yishen Tang (Soothe Liver and Benefit Kidney Decoction) with doubled Shudi (Prepared Rehmannia) was given. That night, dozens of pieces of black stool were passed, and symptoms greatly reduced. On the second day, the pulse was floating and flooding, the scorched yellow coating on the tongue had completely fallen off, but the tongue color turned black as charcoal. Asked: "Why is the tongue black when symptoms have improved?" Answered: "Previously, food stagnation and constipation blocked the upper and lower orifices, trapping Fire which could not rise. Now, pure Yin-nourishing agents allowed bowel movement, draining the obstructed Fire. Residual Fire rose again, turning the tongue black." Ziren (Jujube Seed), Danggui (Angelica Sinensis), and Shanzhi (Gardenia) were added to nourish Water and clear Liver Fire. After the black tongue receded, Shengjin Zishui (Generate Metal and Nourish Water) and Liu Junzi Tang (Six Gentlemen Decoction) plus Danggui and Baishao (White Peony Root) were used for complete recovery.
An elderly woman surnamed Zhu suffered from a Heat syndrome with fullness and oppression, red and light-sensitive eyes, body-wide sores, dry hard stools, painful and scanty urination, and startle response to noise. Doctors administered Jiedu Qinghuo Daochi (Detoxify, Clear Fire, Guide Out Redness) formulas for over ten doses, worsening the Fire, causing loss of appetite and insomnia. Palpation revealed superficial pulsating pulse, deep slow and large pulse, and flooding, soft, and slow pulses at both Guan positions. The external symptoms were identified as False Fire. Shenfu Yangrong Tang (Ginseng and Aconite Nourish Spirit Decoction) was prescribed, but the patient refused. Yang said: "This syndrome originates from worry damaging the Three Yin, exacerbated by cold medicines driving Deficient Fire to wander. Rising upward causes red eyes; flowing downward causes difficult urination and defecation; manifesting externally causes sores; chilling internally causes chest oppression. Thus, the branch appears as Excess Heat, but the root is extreme Deficiency Cold. If it were true Excess Heat, why would she startle at noise and worsen with cold medicines?" After taking the medicine, she slept until the fifth watch, then cried out from hunger. From Yin to Si hours, she drank congee three times. Bowels moistened, urine flowed, and all symptoms subsided. Fuzi was removed from the original formula, and after ten more doses, she fully recovered.
Fei Zichou treated a widow who, in May, suddenly developed high fever, profuse sweating, irritability, thirst, deafness, and hypochondriac pain. Doctors used Chaihu, Gegen, Guizhi, etc., increasing the heat and sweating, causing chest fullness, lethargy, and belching. The right pulse was rapid and large; the left pulse lacked spirit. The tongue coating was slightly black. This was latent Qi emerging from Shaoyang, causing deafness and pain. The method should have been Baihu Tang (White Tiger Decoction) to clear heat, but instead, exterior-releasing agents were used, lifting the pathogen, worsening heat and thirst. Profuse sweating depleted the left pulse spirit; stomach fluid consumption caused lethargy and chest fullness. Belching resulted from chronic depression. With Yuanqi already deficient and latent pathogen unresolved, Liangge San (Cool the Diaphragm Powder) was modified by removing Xiaokun (Mirabilite) and Dahuang (Rhubarb), adding Gualougen (Trichosanthes Root), Danpi (Moutan Cortex), and Zhuye (Bamboo Leaf). One dose reduced heat and induced sleep. However, sweating continued, fatigue prevented turning over, and occasional nausea indicated deficiency. Shengmai San (Generate the Pulse Powder) plus Ziren, Fushen (Poria with Hostwood), and Baishao was used to support Yuanqi and astringe Yin. Congee was taken to support Stomach Qi. When thirst stopped and sweating ceased, the pulse became weak and nearly vanished, indicating restored Zhengqi and extinguished Deficient Fire. Sijunzi Tang (Four Gentlemen Decoction) plus Danggui and Dihuang completed the cure.
Chai Yuqing treated Liang Da, a charioteer for Chen Goushan, suffering from rash, fever, delirium, thirst, and urinary incontinence. Medication worsened the condition. Both pulses were hidden and deep. Suspecting the rash had not yet erupted, Xiaodu Yin Zi (Detoxifying Drink) was planned. The patient did not believe it. When critically ill and seeking treatment again, pulses remained hidden. The tongue was dry, cracked, and prickle-covered, with a dirty face and scorched lips. He then believed it was Fu Shu (Latent Summerheat, i.e., Latent Qi manifesting in Yangming) Excess Heat. Baihu Tang was urgently administered for two doses. The illness resolved, and the pulse became flooding. Thus, when pulses are unreliable, observing the tongue is crucial.
Wang Jiezhai often treated a servant with fever, thirst, dry lips, and delirium. The pulse was fine and slow. Sijunzi Tang was used, adding Huangqi (Astragalus), Danggui, Baishao, and Shufuzi (Prepared Aconite). After one dose, heat intensified, and he walked wildly speaking nonsense. Someone said: "Fuzi was wrong." The pulse remained unchanged. Wang increased the Fuzi dose significantly. After one large dose, sweating occurred, heat receded, and the pulse returned to four beats per breath.
Chen Sansan treated a man with severe fever, eyes appearing to emit fire, dry mouth and tongue, desire to immerse hands and feet in water, and cursing without discrimination. The pulse was wide and large. Huanglian Jiedu Tang (Coptis Detoxification Decoction) worsened the condition. This was a Heart-Spleen disease with dissipating Heart Qi. Chaohei Ganjiang (Stir-fried Black Ginger Rhizome) 1 liang, Renshen 3 qian, Baizhu 1 qian were used. Gancao (Licorice) was omitted to avoid clearing Heart Qi (raw) or slowing the middle (roasted), which would prevent the dispersion of Fire in the Spleen-Stomach. Decocted and taken, within an hour the patient pulled covers over himself, experienced chills and sweating, and recovered. Stir-fried Ginger warms the middle; stir-fried black Ginger cools the Kidney and stops diarrhea.
Zhang Luyu treated a patient named Tong whose latent Qi manifested during midsummer. During examination, he was extremely restless. Pulses were flooding, full, and restless. His wife reported intense thirst, requesting water for two days but being denied, leading to madness. Water was quickly provided. After two cups, he calmed slightly. Soon after, he requested another large cup. Upon putting down the cup, he sweated profusely throughout the body, slept peacefully, and recovered without further medication. Two Western merchants with similar symptoms also recovered with water.
Xue Lizhai treated a man with summer heat fever, chest and back pain, sweating after drinking warm fluids. Exterior-releasing medicines caused mental confusion, delirium, loose stools, and excessive phlegm. One dose of Shiquan Dabu Decoction instantly reduced the fever. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Paojiang (Roasted Ginger) for two doses completed the cure.
Wang Kentang treated Yu Yunqu, a Grand Secretary. He was robust and ate well. In June of the Xinmao year, he suffered from a Heat syndrome. Limbs were not very hot, but he occasionally threw his hands and feet about, appearing restless, confused, unaware of people, speaking indistinctly but not deliriously. The pulse was faint and fine, nearly vanishing. Some suggested Yin syndrome requiring warming; others suggested purgation. His mentor Lu Kuiri and other scholars deferred to Wang. Wang said: "Yang syndrome showing Yin pulse indicates untreatable condition. However, given his constitution, extreme summer heat, and overindulgence in wine and meat, he should have had burning fever and seven-day constipation. Let us try Daxiehu Tang (Major Bupleurum Decoction) to purge. Use 2 qian of Shudahuang (Prepared Rhubarb)." Imperial Physician Wang Leian argued this was too little, suggesting Dachengqi Tang (Major Order the Qi Decoction). Wang said: "With such pulse and symptoms, harsh purgation is inappropriate. Wait if Daxiehu fails, then use Tiaowei Chengqi Tang. If that fails, then Xiao Chengqi Tang or Dachengqi Tang." After medication, bowels moved, pulse emerged, and limbs warmed. Wang told Leian: "Had we used Dachengqi, would we not regret it later?" Several doses of Huanglian Jiedu Tang brought stability. In July, he accompanied Mr. Lu to Nanjing for examinations, with no recurrence. The next year, Wang retired and read Liu Hejian's *Shanghan Zhige Lun* (Direct Grid of Cold Damage), which stated: "Accumulated heat internally causes rapid pulse... due to extreme heat obstructing pulse vessels, causing faint, fine, nearly vanishing pulse. Laypeople mistake this for extreme Cold/Yin toxicity. Or initial Yang heat is violent... or simultaneous contraction of Heat... generally detoxify and purge with Dachengqi. If heat reduces but doesn't resolve, use Huanglian Jiedu. If slight heat remains, use Liangge San. If missed purgation leads to extreme heat, cold body, faint pulse, and coma, urgent purgation will cause sudden death of residual Yin due to exhausted Yang. Not purging also leads to death; use Liangge San or Huanglian Jiedu to nourish Yin, retreat Yang, and gradually disperse accumulated heat, warming the chest and restoring the pulse." Wang sighed: "The ancients anticipated my thoughts. My patient suffered exactly from missed purgation leading to extreme heat, cold body, faint pulse, and coma. To purge or not, heavily or lightly, life and death hang by a hair. Alas! How cautious one must be."
Ma Yuanyi treated Grand Secretary Feng. Bored in lodging, he enjoyed concubines. During internal deficiency and summer heat, he developed day-and-night fever, irritability, thirst, and restlessness. Pulse was fine, rapid, urgent, with wiry Chi position, and unclear spirit. This was excessive sexual activity depleting True Yin, allowing Yang to invade. With irritability, fever, and coma, Fire pathogen disturbed internally, and external invasion was extreme. In midsummer, with Fire blazing and Earth dry, how much Yin remained to withstand burning? Without urgent Yin rescue, disaster was imminent. Shouwu (Polygonum multiflorum) 2 liang as sovereign to save Liver-Kidney Yin, assisted by Huanglian, Zhimu, Chaihu, Huangqin, Zhike, Banxia Qu, Juhong, Xingren to transform phlegm. One dose cleared spirit; two doses resolved bowels, reducing heat by half. Then Renshen, Zhi Shouwu, Biejia, Danpi, Baishao, Gancao to harmonize Yin-Yang, reducing heat. Finally, Renshen Xiaoyao San stabilized him.
Zhang Yitian treated a man surnamed Jiao from Yongjiang. In July, he had high fever, red tongue, lower abdominal fullness, free urination, red eyes, and madness for over thirty days. Initial dispersing and subsequent purging gave slight sweat but failed to cure. Pulse was deep and faint, rapid and urgent upon deep pressure. Surface symptoms remained, but pulse was deep/faint, indicating pathogen sinking into Yin. Rapid/urgent deep pulse indicated Yin unable to control Yang, causing rapid pulse flow and madness. This was collateral blood stasis binding in Shaoyin. Didang Tang (Definite Blood-Purgation Decoction) was indicated. He prepared Machong (Blister Beetle), Shuizhi (Leech), Taoren (Peach Kernel), and Dahuang, decocted and taken. Massive bleeding followed. Shudi (Prepared Rehmannia) was then decocted alone and drunk frequently to save Yin fluids. Once unblocked, Renshen, Fuzi, and Zhigancao were slowly administered to secure True Yuan. Total intake: over 2 jin Shudi, 0.5 jin Renshen, 4 liang Fuzi. Gradual recovery ensued.
Shi Lizet treated Tang Houpo, a successful candidate. Symptoms included alternating chills/fever, red face, severe head and tooth pain. Pulse was flooding and rapid, indicating Heat syndrome. Baihu Tang was indicated, with 1 liang Shigao (Gypsum) per dose. One dose cured head/tooth pain and chills/fever. However, pulse still beat forcefully against fingers. Shi said: "Must continue with another dose, otherwise macules will erupt in two days." The patient doubted and consulted specialists, who asked: "How bold! Can Gypsum bear heavy doses?" He refused. Half a month later, he sought help again, reporting macules had erupted, lasting ten days, with lingering burning heat. Shi said: "Did preventing the fire work?" He administered Chai Ling Shaoyao Tang (Bupleurum, Pinellia, and Peony Decoction). One dose reduced heat. Later, Renshen and Baizhu regulated him to recovery.
Friend Zhang Shenzhi suffered from Heart Meridian Heat, dry mouth/lips, unresponsive to many medicines. Someone advised grinding Xijiao (Rhinoceros Horn - note: now substituted with Niuxi or other herbs in modern practice, but text says Xijiao). He drank about two bowls, and symptoms instantly disappeared. (From *Youhuan Jiwen*, Song Dynasty, Zhang Shinan.)
Wei Yuhuang treated his cousin Ling Erguan, over twenty. After recovering from Heat syndrome in Bingzi year, doctors immediately gave Sijunzi, Ganjiang, Bajiji, and other Qi-warming tonics. Over time, he became emaciated, acting mad, angry while eating, biting cups, breaking tendons, uncontrollable. He took Renshen Yangrong Wan (Ginseng Nourish Spirit Pills). He was bedridden for a year. His mother asked me. I said: "Residual pathogens were not cleared; premature warming tonics caused this." Ganlu Yin (Sweet Dew Drink) was given for over ten doses, resulting in cure. In summer of Jiashen year, he relapsed with vomiting, nausea, and insomnia. By the seventh day, Baihu Tang was planned. However, previous use of Xijiao Dihuang Tang caused vomiting, leading to suspicion of Cold. A doctor surnamed Lu was invited. Pulse was hidden; abdominal pain upon pressure. He diagnosed Hernia syndrome, not external contraction. Pulse completely absent, very dangerous. Tentatively gave Huiyang (Restore Yang) formula. Only then did pulse recover. Ingredients included Huluba, Wuzhuyu, Rougui, Ganjiang, Muxiang, Xiaohuixiang, Dingxiang, Qingpi, Juhe, totaling over 3 liang, decocted urgently. That night, chills and sweating were expected, causing hidden pulse and cold pain. The doctor misdiagnosed Cold and used this formula. Taken at dusk, it caused agitation, thirst, thrashing, and delirium, but no sweating. Yin fluids were seized by dry heat, unable to evaporate. Early morning re-examination showed pulse emerged, flooding and rapid. Eyes leaked blood, nose coal-like, lips scorched, tongue turning black, no urine. Fresh Dihuang 4 liang, juiced, was given. He slept soundly briefly. Waking, still agitated. Baihu Tang plus 2 liang fresh Dihuang was decocted and taken. Heat gradually receded, spirit cleared. Next day, congee introduced. Whites of eyes red as dove eyes, followed by sores on mouth/nose. Large dose Ganlu Yin was changed to. After twenty-plus days, massive black stool passed, though occasional agitation remained. Taking the previous formula for fifty-plus days, sudden profuse sweating occurred from head to toe, extremely foul-smelling. Complete recovery followed.
Lu Ansheng said: The nose is the orifice of the Lung; the Large Intestine is the residence of the Lung. Childhood study exhausts Heart Qi, consuming Heart Blood. Blood deficiency and Fire prosperity damage Metal (Lung), causing dryness above and below. Er Dong (Ophiopogon and Asparagus) nourishes Metal and clears Fire to treat the branch. Excessive Fire/Dryness implies insufficient Yuanqi. Rectal prolapse and bleeding indicate Yuanqi cannot hold. Shengdi guides Renshen to cultivate the origin of Tianyi (Heaven One) Qi to treat the root; otherwise, childhood consumptive disease is inevitable.
Xu Lingtai said: There are deceitful physicians who profit from patients' wealth, seeking temporary effect regardless of life or death, called "Robbing Agents" (Jie Ji). Robbing agents use heavy drugs to forcibly intercept pathogens. Pathogens entering the body cannot exit instantly; they must be gradually eliminated and pushed out. Seeking one-day results necessitates fierce drugs fighting pathogens, or strong tonics suppressing pathogens. Fierce drugs subdue pathogens but injure Zhengqi. Strong tonics cause Zhengqi to surge, trapping pathogens inside. Temporarily effective, but when drug power fades, pathogens return, and Yuanqi is severely damaged. Examples: Severe heat suppressed by cold drugs; severe abdominal pain treated with aromatic/dry drugs without investigating cause; severe diarrhea sealed with astringents without removing accumulation. This is the method of severity. If pathogens are strong and large doses of Renshen/Fuzi are given, Yang Qi surges temporarily, hiding the illness and calming spirit. After one or two days, Yuanqi combines with pathogens, aiding their toxicity, causing greater harm. This is the method of strong tonification. Such harmful techniques deceive and scam five out of ten physicians. Ignorant physicians imitating them harm others, also five out of ten. Physicians must self-reflect; patients must discern.
Internal Palace Secret Formula for Qinglin Wan: Use 10 jin of Mianwen Dahuang (Cotton-pattern Rhubarb). Soak in rice washing water for half a day, slice, and dry. Soak in non-ash wine for three days, remove, and dry partially. First steaming: Line steamer bottom with Cebaiye (Platycladi Cacumen), spread Dahuang, steam for duration of one incense stick, remove, and dry. Subsequent steamings use Cebaiye lining only, discarding the vaporized air. Second: Mix Dahuang thoroughly with concentrated Moudou (Mung Bean) decoction, steam, remove, dry. Third: Mix with concentrated Damai (Barley) decoction, steam/dry. Fourth: Mix with Heilidou (Black Soybean) decoction. Fifth: Mix with Huaishuoye (Locust Twig/Leaf) decoction. Sixth: Sangye (Mulberry Leaf). Seventh: Taoye (Peach Leaf). Eighth: Cheqiancao (Plantago Herb). Ninth: Houpu (Magnolia Bark). Tenth: Chenpi (Tangerine Peel). Eleventh: Banxia (Pinellia). Twelfth: Baizhu (Atractylodes). Thirteenth: Xiangfu (Cyperus). Fourteenth: Huangqin (Scutellaria). All above decocted, soaked, steamed, dried as before. Fifteenth: Mix with non-ash wine, steam for three incense sticks, remove, dry thoroughly, grind to fine powder. For every 1 jin of Dahuang, add 2 liang Huangniuru (Yellow Cow Milk), 2 liang Ouji (Lotus Root Juice), 2 liang Lizhi (Pear Juice), 2 liang Tongbian (Child Urine). If no child urine, substitute 2 liang refined honey. Add 6 liang refined honey, mix, and form pills size of Wu Zi (Chinese Wolfberry). Dosage: 2 qian per administration. Treats all Heat syndromes.