湿温5(肠伤寒恢复期)
倪某某，男，37岁
初诊
湿温经月甫愈，两天来陡然低烧口干，心烦且渴，一身乏力，中脘闷满堵塞不舒，时时泛恶，纳谷不馨，舌红苔腻，两脉濡数无力。病似湿温劳复，余热尚未清除，故低烧不重，疲乏无力，胃不思纳，时时欲恶，用清热生津，益气和胃法。
竹叶3克，生石膏12克，北沙参15克，半夏9克，麦门冬9克，淡豆豉9克，山栀3克，生甘草3克，二付
二诊
低烧未作，体温36.5℃，口渴心烦已止，纳谷渐香，仍觉脘闷，湿温初愈，余热留恋，清气热少佐补正，化湿郁以开其胃。以饮食为消息。生冷甜黏皆忌。
竹叶茹各3克，生石膏9克，沙参9克，杏仁克，半夏9克，淡豆豉9克，茯苓9克，白蔻仁末0.3克分冲，鸡内金9克，二付
三诊
连服清气开胃之药，低热退而乏力减，中脘堵闷也轻，饮食二便如常。湿温甫愈，正气未复，仍需休息二周，防其劳复。
[按]：湿温初愈，困劳作复发，致低热、烦渴、乏力、纳呆，是余热未尽，正气不足，故取竹叶石膏汤法，清热生津，益气和胃。凡温证初愈，须防劳复、食复。若过劳，或饮食不慎，过食或早进肉食，皆可致复热，或高或低，迁延难退。必用清余热，和胃气法，令胃和则愈。故此案二诊即加用开胃消导之品，化其湿消其滞，则余热不夏久留矣。
湿温6(发烧待查)
李某某，女20岁
初诊
主诉：患者于8月5日自觉恶寒发热，体温在37℃～39℃之间。经某医院诊为病毒性感冒，曾服解表药，热势不退。因持续发烧19天收住院治疗。经西医系统检查，诊为发烧待查。历用液体支持疗法、复方新诺明、青霉素、卡那霉素及雷米封等药治疗，中药曾服清营汤、调胃承气汤、白虎汤、紫雪、至宝以及秦艽鳖甲汤等方药，其势不佳。体温仍在38℃左右。9月30日请赵师会诊。
诊查：证见发热，午后热重，汗出热不解，头晕而沉，口渴不欲饮，胸闷纳呆，周身疲乏倦怠。
辨证：湿遏热伏，午后热甚汗出而热不解；湿热下注-，小便色黄。病在中焦，弥漫上下。
治法：拟辛开苦降，佐以芳香淡渗之味。
处方：佩兰叶10克(后下)，藿香10克(后下)，杏仁10克，淡豆豉10克，半夏10克，黄芩10克，木香6克，马尾连10克，前胡6克，大腹皮10克，炒麦芽10克，栀子6克
三剂，水煎服。忌食腥劳，甜腻。
二诊10月4日。
服药后热势稍减。因湿热之邪难以速祛，故再守原方服药四剂，以冀全功。
三诊10月7日。
体温已退至37.1℃，唯觉颈部酸痛。继服原方药两剂，遂诸症若失，于10月12日痊愈出院。
[按]：此案为湿热蕴郁中焦气分，遗经发汗、清营，攻下、开窍、滋阴等误治，寒凉滋腻，更助其湿，湿热壅塞，阻滞气机，湿不化而热不除。此所“发热日久不退也。湿温病为湿与热合，腔固难解。湿若不去，热则难除。故治疗当以祛湿为先。宜用芳香宣化，辛开苦降，淡渗分消等法，当先调畅气机，宣通三焦。方中藿、佩、前、杏芳香化湿，宣通肺气，以肺主气，气化则湿亦化，湿化则热易清；栀子、豆豉清宣郁热，湿热郁久则为陈腐之气，栀豉合用，最善发越陈腐，故有宣阳解郁之功；半夏、芩连辛开苦降，清热燥湿，开泄中焦之湿热积滞；木香、腹皮、麦芽，理气滞，行水道，助消化，以利三焦。三焦者，水谷之道路，气之所终始，决滨之官，水道出焉。三焦畅则上下分消，邪气自去。药后得二便通得，是三焦通畅之征，故周身汗出而热退。本案初诊予药三剂，服后热势略减，而脉症未变，故二诊继用原方4剂，则霍然而愈矣。非胸中有定见者不能如此处置。若二诊时欲速其效而改弦更张，恐不免功亏一篑。要之，湿温病湿邪阻滞，不易速去，须得湿邪缓缓化去，当其由量变渐至质变，才可达到豁然开朗的境界。故治疗湿温须胸中有定见，不可朝三暮四，频频换方。只要认证准确，立法无误，即可依法用药，自可功到自然成。本案即是例证。
伏暑(肺炎)
王某某，男，87岁
初诊
发烧七天，咳嗽喘憋五天，体温波动在38℃～39.5℃之间，经西医诊断为肺炎，曾注射庆大霉素，口服四环素，效不见著，遂请中医会诊。患者壮热不退，汗出口干，咳嗽喘息，不得平卧，痰黄粘量多，大便五日未行川、便黄少，腹微满不痛，舌红苔黄腻，脉滑数。此属温热入肺，灼液成痰，痰阻气机，肺失宣降，故咳喘并作。肺与太腑为表里，肺气不降，腑气不通，故大便数日未行。治以宣肺涤痰，通腑泄热。幸喜患者虽年迈而体尚健，正气尚足，可攻之于一时，拟宣白承气汤加味。
杏仁6克，全瓜蒌20克，炙杷叶15克，生石膏15克，黛蛤散10克(包)，生大黄6克(后下)，一付
二诊
药后大便三次，所下恶臭，腹不满，咳喘轻，再以原方去大黄治之，二付
三诊
药后诸症大减，体温37.8℃，咳喘已微，能平卧安眠，舌红苔黄白，脉弦细小滑，拟清肃肺气，佐以和胃。
杏仁6克，桔梗6克，瓜蒌皮10克，清半夏10克，焦谷芽10克，生甘草6克，桑白皮6克，芦根20克，二付
药后诸症已平。体温正常，×线检查两肺未见病理性变化，痊愈出院。
[按]，秋月息温，感炎罟之余气而发，是名伏暑。邪伏于肺，炼津成痰，肺失宣降，故喘咳不得平卧，痰多色黄，身热不退。主症虽悉在肺，病机却与腑气不通相关。其不大便五日，是治疗之关键。盖肺与大肠相表里，邪壅于肺，当泻大肠也澈选用吴氏宣白承气汤。虽患者年高而经用攻下者，以其体健故也。得下恶臭，热随便泄，即去大黄。终佐和胃之品，故虽年高，不为伤也。
秋燥1(上呼吸道感染)
王某某，男，56岁
初诊
外感温燥之邪，肺经受灼，口干且渴，发热，微恶风寒，头痛咽红，鼻干且燥，呛咳少痰小溲色黄，大便略干，舌尖边红，苔薄白且干，脉浮数而右侧略大，沉取弦细数。此温邪燥热，阴分受伤，用清润宣降方法，以肃肺止咳。辛辣油重厚味皆忌。
北沙参10克，炒栀皮6克，前胡6克，玉竹6克，茅芦根各15克，鲜梨一个(连皮去核切片入煎)，三付
二诊
边服三剂之后，寒热已退，咽干鼻燥皆减，干咳已轻，大便已畅，脉象数势已差，原方又服五付而痊愈。
[按]：秋令久晴无雨，燥气流行，感之者多病温燥，干咳无痰，口鼻干燥，咽干且痛，此燥伤肺阴，津液受劫，故治以清润为主，以生津液，兼以宣肃透邪。用药平正清灵，可师可法。
秋燥2(支气管炎)
袁某某，男，37岁
初诊
时当秋令，久旱无雨，发烧头痛，体温38.3℃，干咳痰少，今晨痰中带血，鼻干咽燥，心烦欲饮，自觉乏力短气，自服橘红丸12丸(每日4丸，连服三日)，病情益增。证属秋感燥热，肺津受伤，本当用甘寒清润之法。但自服橘红丸，其方本为燥湿化痰，宜用于老年痰湿患者。今误服燥热之药，更伤阴分，燥咳伤于肺络，故见痰粘稠而带血渍，脉象细小弦数，舌绛干裂，仿喻昌清燥救肺法，润燥兼止其血。
北沙参25克，浙川贝母各10克，晚蚕砂12克，杏仁10克，淡豆豉10克，炒桅皮6克，前胡3克，鲜茅根30克，黛蛤散12克(布包)，鲜梨一个(连皮去核切片入煎)，三付
二诊
连服清燥润肺止咳之药，两天来咳血已止，鼻咽干燥亦轻，夜已成寐，咳嗽痰粘成块，仍觉乏力，口干渴饮，身热头痛皆止，体温37℃，两脉弦细。数势渐缓，舌绛苔较润。此燥热渐减，阴伤少复，仍议甘寒润燥方法。
生桑皮10克，地骨皮10克，肥玉竹10克，麦门冬10克，南北沙参各15克，川贝母6克，炒山栀6克，黛蛤散10克(布包)，鲜茅芦根各30克，冬瓜子30克，三付
三诊
节日饮酒之后，咳嗽痰血又发，身热又重，体温38.1℃，舌红口干，咳嗽胸痛较重，×线透视：“两侧肺纹理增重，支气管炎现象”，两脉弦滑而数。素体阴伤热盛，时值久旱雨少，燥热较重，咳嗽痰中带血初愈，燥热始退，阴伤未复，节日饮酒过多，且吃辛辣油腻，助热而伤阴，再以甘寒育阴，泄热止红。饮食当慎，百日忌酒，防其咳血加重。
鲜生地30克，苏子6克，川楝子10克，黄芩10克，大小蓟各10克，炒槐米10克，黛蛤散10克(布包)，鲜茅根30克，北沙参30克，焦三仙各10克，云南白药一瓶(分四次药迭下)，二付
四诊
药后咳血未作，咳嗽亦轻，身热渐减，体温37.5℃，自述胸痛见轻，舌红糙裂，口于且渴，两脉细弦小滑，数象渐减。再以甘寒育阴，润燥止红。
鲜生地30克，川楝子10克，苏子10克，黄芩10克，白头翁10克，茜草10克，黛蛤散10克(布包)，干荷叶10克，藕节10克，北沙参25克，云南白药一瓶(分六次服)，三付
五诊
近来咳嗽痰血未见，身热已退，体温36.9℃。经×线两肺透视已正常。两脉弦细小滑，舌红口干，饮食二便如常，嘱其停药休息一周，忌食辛辣油腻及一切刺激之品。
[按]：金秋之季，燥气当令，感其气者，即为秋燥。肺为娇脏，其位最高，其气通于天气，若感于时令之燥气，肺必先伤。是知秋燥之病位必在于肺。经云：燥胜则干。盖燥气虽属秋金，然其性若火，易伤阴津也，故秋燥之为病，以谱干燥证为特点，干咳少痰，痰粘带血，鼻咽干燥等。故治秋燥当以清润为主，所谓燥者濡之是也。本例患者初病即自服温燥化痰之橘红丸，更伤阴助燥，致病情加重。经服甘寒濡润之剂渐愈。惜其不守禁忌，饮酒食辣，致病情反复。迭经甘寒育阴，始得全安。观此案可知饮食宜忌在温病治疗中举足轻重，几与药治同功。不守禁忌者，治而无功{能守禁忌，慎于调养者，可收事半功倍之效。
故赵师谆谆叮咛，百日忌酒，并禁辛辣刺激之物。学者当于此留意焉。
冬温1(发烧待查)
王某某，男，50岁
患者发烧五、六日，由外地转入某院。入院后以发烧待查治疗四日，用过的中药有生石膏(三两)、知母、瓜蒌、连翘、生地、元参、花粉、茅芦根、生牡蛎、犀角、羚羊粉、安宫牛黄丸、紫雪丹等，先后共进数剂而效不显著。用过的西药有青霉素、链霉素、卡那霉素、四环素等，效果亦不明显，遂请会诊。
患者神志不清，热势不退，两目不睁，唇焦色深，前板齿燥，舌瘦质绛，龟裂无液，张口费力，脉象沉弦滑数。冬月患此，属温邪深入营分，气机为寒凉所遏，三焦不通，升降无路，津液不至，势将内闭外脱，治当调升降以利三焦，宣气机求其转气。
蝉衣一钱半，杏仁三钱，前胡一钱，佩兰三钱，菖蒲三钱，芦茅根各一两，片姜黄二钱，自蔻仁一钱，半夏三钱，通草五分
二剂热退身凉，脉静神清，遍身小汗出而愈。
[按]；冬月感非时之温邪，是为冬温。初宜疏卫，令邪从外解。奈何医用大队寒凉，闭遏气机，逼邪入营，致神志不清，危证见矣。赵师用宣展气机以透邪外出，药后热退神清，汗出而愈。若一见神昏，便谓邪陷心包，而用三宝之类，恐不免重蹈覆辙，治而无功矣。足见透热转气乃治疗温病之要法，慎用寒凉乃防止邪陷的要诀，明此道理，则得治温之三味矣。
湿温5（肠伤寒恢复期）
倪某某，男，37岁
初诊
湿温病经过一个月才刚刚痊愈，这两天突然又出现低烧、口干，心烦且口渴，全身乏力，胃脘部闷满堵塞不适，时常想吐，食欲不佳，舌质红、苔腻，双侧脉搏濡数且无力。病情看似是湿温病后因劳累而复发，余热尚未清除，所以低烧不严重，疲乏无力，胃不想进食，时常恶心，采用清热生津、益气和胃的方法治疗。
竹叶3克，生石膏12克，北沙参15克，半夏9克，麦门冬9克，淡豆豉9克，山栀3克，生甘草3克，两剂
二诊
低烧未再发作，体温36.5℃，口渴心烦已停止，食欲逐渐好转，但仍感觉胃脘闷胀。湿温病刚愈，余热留恋，清气分之热并稍加补益正气，化除湿郁以开通胃气。饮食方面注意调节。生冷、甜食及黏性食物均忌口。
竹叶、竹茹各3克，生石膏9克，沙参9克，杏仁（缺剂量，推测为常规用量），半夏9克，淡豆豉9克，茯苓9克，白蔻仁末0.3克分次冲服，鸡内金9克，两剂
三诊
连续服用清气开胃的药物后，低热退去，乏力减轻，胃脘堵闷感也减轻，饮食和二便恢复正常。湿温病刚愈，正气尚未恢复，仍需休息两周，防止因劳累而复发。
[按语]：湿温病刚愈，因困倦劳作导致复发，出现低热、烦渴、乏力、食欲不振，这是余热未尽，正气不足，所以取法竹叶石膏汤，清热生津，益气和胃。凡是温热病刚愈，必须防止劳复和食复。如果过度劳累，或饮食不慎，过早或过量食用肉类，都可能导致发热复发，热度或高或低，迁延难退。必须用清余热、和胃气的方法，使胃气和顺则病愈。所以此案在二诊时即加入开胃消导的药物，化除湿滞，那么余热就不会长久停留了。
湿温6（发烧待查）
李某某，女20岁
初诊
主诉：患者于8月5日自觉恶寒发热，体温在37℃～39℃之间。经某医院诊断为病毒性感冒，曾服用解表药，热势不退。因持续发烧19天收住院治疗。经西医系统检查，诊断为发烧待查。历用液体支持疗法、复方新诺明、青霉素、卡那霉素及雷米封等药物治疗，中药曾服用清营汤、调胃承气汤、白虎汤、紫雪丹、至宝丹以及秦艽鳖甲汤等方药，效果不佳。体温仍在38℃左右。9月30日请赵绍琴老师会诊。
诊查：证见发热，午后热重，汗出而热不解，头晕且沉重，口渴但不欲饮水，胸闷纳呆，周身疲乏倦怠。
辨证：湿遏热伏，午后热甚，汗出而热不解；湿热下注，小便色黄。病位在中焦，弥漫上下。
治法：拟用辛开苦降法，佐以芳香淡渗之品。
处方：佩兰叶10克（后下），藿香10克（后下），杏仁10克，淡豆豉10克，半夏10克，黄芩10克，木香6克，马尾连10克，前胡6克，大腹皮10克，炒麦芽10克，栀子6克
三剂，水煎服。忌食腥膻、甜腻食物。
二诊10月4日。
服药后热势稍减。因为湿热之邪难以迅速祛除，所以继续守原方服药四剂，以期彻底治愈。
三诊10月7日。
体温已退至37.1℃，只感觉颈部酸痛。继服原方药两剂，于是诸症消失，于10月12日痊愈出院。
[按语]：此案为湿热蕴郁于中焦气分，经过误用发汗、清营、攻下、开窍、滋阴等治疗方法，寒凉滋腻药物更助长湿气，导致湿热壅塞，阻滞气机，湿不化则热不除。这就是“发热日久不退”的原因。湿温病是湿与热结合，确实难解。湿若不去，热则难除。所以治疗应当以祛湿为先。宜用芳香宣化、辛开苦降、淡渗分消等方法，当先调畅气机，宣通三焦。方中藿香、佩兰、前胡、杏仁芳香化湿，宣通肺气，因为肺主气，气化则湿亦化，湿化则热易清；栀子、豆豉清宣郁热，湿热郁久则成为陈腐之气，栀豉合用，最善于发越陈腐之气，故有宣阳解郁之功；半夏、黄芩、黄连辛开苦降，清热燥湿，开泄中焦的湿热积滞；木香、大腹皮、麦芽理气滞，行水道，助消化，以利三焦。三焦是水谷运行的道路，气终结始的地方，决渎之官，水道由此而出。三焦通畅则上下分消，邪气自去。服药后大小便通畅，是三焦通畅的标志，所以周身出汗而热退。本案初诊给予药物三剂，服后热势略减，而脉症未变，所以二诊继续使用原方4剂，于是霍然而愈。不是胸中有定见的人不能如此处置。如果在二诊时想要快速见效而改弦更张，恐怕不免功亏一篑。总之，湿温病湿邪阻滞，不易速去，须得湿邪缓缓化去，当其由量变渐至质变，才可以达到豁然开朗的境界。所以治疗湿温须胸中有定见，不可朝三暮四，频频换方。只要认证准确，立法无误，即可依法用药，自然可以成功。本案即是例证。
伏暑（肺炎）
王某某，男，87岁
初诊
发烧七天，咳嗽喘憋五天，体温波动在38℃～39.5℃之间，经西医诊断为肺炎，曾注射庆大霉素，口服四环素，效果不明显，遂请中医会诊。患者壮热不退，汗出口干，咳嗽喘息，不能平卧，痰黄粘量多，大便五日未行，小便黄少，腹部微满但不痛，舌红苔黄腻，脉滑数。此属温热入肺，灼伤津液成痰，痰阻气机，肺失宣降，所以咳喘并作。肺与大肠为表里，肺气不降，腑气不通，所以大便数日未行。治以宣肺涤痰，通腑泄热。幸喜患者虽年迈但身体尚健，正气尚足，可暂时使用攻下法，拟定宣白承气汤加味。
杏仁6克，全瓜蒌20克，炙枇杷叶15克，生石膏15克，黛蛤散10克（包煎），生大黄6克（后下），一剂
二诊
药后大便三次，所下粪便恶臭，腹部不满，咳喘减轻，再用原方去掉大黄治疗，两剂
三诊
药后诸症大减，体温37.8℃，咳喘已轻微，能平卧安眠，舌红苔黄白，脉弦细小滑，拟定清肃肺气，佐以和胃。
杏仁6克，桔梗6克，瓜蒌皮10克，清半夏10克，焦谷芽10克，生甘草6克，桑白皮6克，芦根20克，两剂
药后诸症已平。体温正常，X线检查两肺未见病理性变化，痊愈出院。
[按语]：秋月感受温热，感染夏令之余气而发，名叫伏暑。邪气潜伏于肺，炼津成痰，肺失宣降，所以喘咳不得平卧，痰多色黄，身热不退。主症虽然都在肺，病机却与腑气不通相关。其不大便五日，是治疗的关键。盖肺与大肠相表里，邪气壅塞于肺，应当泻大肠。这里选用吴鞠通的宣白承气汤。虽然患者年高但曾经使用攻下法，是因为他身体健壮。得到排泄恶臭粪便，热随大便而泄，就去掉大黄。最终佐以和胃的药物，所以虽然年高，也不受损伤。
秋燥1（上呼吸道感染）
王某某，男，56岁
初诊
外感温燥之邪，肺经受灼，口干且渴，发热，微恶风寒，头痛咽红，鼻干且燥，呛咳少痰，小便色黄，大便略干，舌尖边红，苔薄白且干，脉浮数而右侧略大，沉取弦细数。此温邪燥热，阴分受伤，用清润宣降方法，以肃肺止咳。辛辣、油腻、厚味皆忌。
北沙参10克，炒栀皮6克，前胡6克，玉竹6克，茅根、芦根各15克，鲜梨一个（连皮去核切片入煎），三剂
二诊
边服三剂之后，寒热已退，咽干鼻燥皆减轻，干咳已轻，大便已通畅，脉象数势已差，原方又服五剂而痊愈。
[按语]：秋季久晴无雨，燥气流行，感之者多病温燥，干咳无痰，口鼻干燥，咽干且痛，这是燥伤肺阴，津液受劫，所以治疗以清润为主，以生津液，兼以宣肃透邪。用药平正清灵，可师可法。
秋燥2（支气管炎）
袁某某，男，37岁
初诊
时值秋季，久旱无雨，发烧头痛，体温38.3℃，干咳痰少，今晨痰中带血，鼻干咽燥，心烦欲饮，自觉乏力短气，自服橘红丸12丸（每日4丸，连服三日），病情加重。证属秋感燥热，肺津受伤，本当用甘寒清润之法。但自服橘红丸，其方本为燥湿化痰，宜用于老年痰湿患者。今误服燥热之药，更伤阴分，燥咳伤于肺络，所以见痰粘稠而带血渍，脉象细小弦数，舌绛干裂，仿喻昌清燥救肺法，润燥兼止其血。
北沙参25克，浙贝母、川贝母各10克，晚蚕砂12克，杏仁10克，淡豆豉10克，炒栀皮6克，前胡3克，鲜茅根30克，黛蛤散12克（布包），鲜梨一个（连皮去核切片入煎），三剂
二诊
连服清燥润肺止咳的药物，两天来咳血已止，鼻咽干燥也减轻，夜间已成寐，咳嗽痰粘成块，仍觉乏力，口干渴饮，身热头痛皆止，体温37℃，两脉弦细。数势渐缓，舌绛苔较润。此燥热渐减，阴伤少复，仍议甘寒润燥方法。
生桑白皮10克，地骨皮10克，肥玉竹10克，麦门冬10克，南沙参、北沙参各15克，川贝母6克，炒山栀6克，黛蛤散10克（布包），鲜茅根、芦根各30克，冬瓜子30克，三剂
三诊
节日饮酒之后，咳嗽痰血又发，身热又重，体温38.1℃，舌红口干，咳嗽胸痛较重，X线透视：“两侧肺纹理增重，支气管炎现象”，两脉弦滑而数。素体阴伤热盛，时值久旱雨少，燥热较重，咳嗽痰中带血初愈，燥热始退，阴伤未复，节日饮酒过多，且吃辛辣油腻，助热而伤阴，再以甘寒育阴，泄热止红。饮食当慎，百日忌酒，防其咳血加重。
鲜生地30克，苏子6克，川楝子10克，黄芩10克，大蓟、小蓟各10克，炒槐米10克，黛蛤散10克（布包），鲜茅根30克，北沙参30克，焦三仙各10克，云南白药一瓶（分四次药迭下），两剂
四诊
药后咳血未作，咳嗽亦轻，身热渐减，体温37.5℃，自述胸痛见轻，舌红糙裂，口干且渴，两脉细弦小滑，数象渐减。再以甘寒育阴，润燥止红。
鲜生地30克，川楝子10克，苏子10克，黄芩10克，白头翁10克，茜草10克，黛蛤散10克（布包），干荷叶10克，藕节10克，北沙参25克，云南白药一瓶（分六次服），三剂
五诊
近来咳嗽痰血未见，身热已退，体温36.9℃。经X线两肺透视已正常。两脉弦细小滑，舌红口干，饮食二便如常，嘱其停药休息一周，忌食辛辣油腻及一切刺激之品。
[按语]：金秋之季，燥气当令，感其气者，即为秋燥。肺为娇脏，其位最高，其气通于天气，若感于时令之燥气，肺必先伤。是知秋燥之病位必在于肺。《内经》云：燥胜则干。盖燥气虽属秋金，然其性若火，易伤阴津也，故秋燥之为病，以干燥证为特点，干咳少痰，痰粘带血，鼻咽干燥等。故治秋燥当以清润为主，所谓“燥者濡之”是也。本例患者初病即自服温燥化痰之橘红丸，更伤阴助燥，致病情加重。经服甘寒濡润之剂渐愈。惜其不守禁忌，饮酒食辣，致病情反复。迭经甘寒育阴，始得全安。观此案可知饮食宜忌在温病治疗中举足轻重，几与药治同功。不守禁忌者，治而无功；能守禁忌，慎于调养者，可收事半功倍之效。
故赵绍琴老师谆谆叮咛，百日忌酒，并禁辛辣刺激之物。学者当于此留意焉。
冬温1（发烧待查）
王某某，男，50岁
患者发烧五、六日，由外地转入某院。入院后以发烧待查治疗四日，用过的中药有生石膏（三两）、知母、瓜蒌、连翘、生地、元参、花粉、茅根、芦根、生牡蛎、犀角、羚羊粉、安宫牛黄丸、紫雪丹等，先后共进数剂而效不显著。用过的西药有青霉素、链霉素、卡那霉素、四环素等，效果亦不明显，遂请会诊。
患者神志不清，热势不退，两目不睁，唇焦色深，前板齿燥，舌瘦质绛，龟裂无液，张口费力，脉象沉弦滑数。冬月患此，属温邪深入营分，气机为寒凉所遏，三焦不通，升降无路，津液不至，势将内闭外脱，治当调升降以利三焦，宣气机求其转气。
蝉衣一钱半，杏仁三钱，前胡一钱，佩兰三钱，石菖蒲三钱，芦根、茅根各一两，片姜黄二钱，白蔻仁一钱，半夏三钱，通草五分
二剂热退身凉，脉静神清，遍身小汗出而愈。
[按语]：冬季感受非时之温邪，是为冬温。初宜疏卫，令邪从外解。奈何医生用大队寒凉药物，闭遏气机，逼邪入营，致神志不清，危证见矣。赵绍琴老师用宣展气机以透邪外出，药后热退神清，汗出而愈。若一见神昏，便谓邪陷心包，而用三宝之类，恐不免重蹈覆辙，治而无功矣。足见透热转气乃治疗温病之要法，慎用寒凉乃防止邪陷的要诀，明此道理，则得治温之三味矣。
Damp-Heat 5 (Recovery Phase of Intestinal Typhoid)
Patient Ni, Male, 37 years old
First Visit
The damp-heat disease had just recovered after a month, but in the past two days, low-grade fever and dry mouth suddenly appeared again. The patient felt irritable and thirsty, with general fatigue. There was a feeling of fullness, blockage, and discomfort in the epigastrium, frequent nausea, poor appetite, red tongue with greasy coating, and both pulses were soggy, rapid, and weak. The condition resembled a relapse of damp-heat due to overexertion, with residual heat not yet cleared. Therefore, the low-grade fever was not severe, fatigue was present, the stomach did not desire food, and there was frequent nausea. The treatment method employed was clearing heat and generating fluids, benefiting qi and harmonizing the stomach.
Zhu Ye (Bamboo Leaf) 3g, Sheng Shi Gao (Raw Gypsum Fibrosum) 12g, Bei Sha Shen (Glehniae Radix) 15g, Ban Xia (Pinelliae Rhizoma Preparatum) 9g, Mai Men Dong (Ophiopogonis Tuber) 9g, Dan Dou Chi (Sojae Semen Preparatum) 9g, Shan Zhi (Gardeniae Fructus) 3g, Sheng Gan Cao (Licorice Root) 3g, 2 doses.
Second Visit
The low-grade fever did not recur; body temperature was 36.5°C. Thirst and irritability had ceased, and appetite gradually improved, but epigastric stuffiness remained. Since damp-heat had just resolved, residual heat lingered. Clearing heat from the Qi level was combined with slightly tonifying healthy qi, resolving damp-stagnation to open the stomach. Dietary adjustments were advised. Cold foods, sweets, and sticky foods were prohibited.
Zhu Ye (Bamboo Leaf) and Zhu Ru (Bambusa Textilis Caulis) 3g each, Sheng Shi Gao (Raw Gypsum Fibrosum) 9g, Sha Shen (Glehniae Radix or Adenophorae Radix) 9g, Xing Ren (Armeniacae Semen Amarum) [dose missing], Ban Xia (Pinelliae Rhizoma Preparatum) 9g, Dan Dou Chi (Sojae Semen Preparatum) 9g, Fu Ling (Poria) 9g, Bai Kou Ren (Amomi Fructus Rotundus) powder 0.3g taken separately by mixing, Ji Nei Jin (Galli Gigerii Endothelium Corneum) 9g, 2 doses.
Third Visit
After continuously taking medicines to clear heat and open the stomach, the low fever subsided, fatigue decreased, and epigastric blockage and stuffiness lightened. Diet and bowel/bladder functions returned to normal. Since damp-heat had just resolved and healthy qi had not yet recovered, rest for two weeks was required to prevent relapse due to overexertion.
[Commentary]: When damp-heat has just resolved, relapse caused by fatigue and labor leads to low fever, irritability and thirst, fatigue, and anorexia. This indicates that residual heat is not fully cleared and healthy qi is insufficient. Thus, the method of *Zhuye Shigao Tang* (Cinnamon Twig and Gypsum Decoction - Note: Text says Zhuye Shigao Tang, usually implies formula structure) is adopted to clear heat, generate fluids, benefit qi, and harmonize the stomach. Whenever warm diseases have just resolved, one must guard against relapse due to overexertion (Lao Fu) or improper diet (Shi Fu). Overexertion or dietary indiscretion, such as eating meat too early or in excess, can cause recurrent fever, which may be high or low and difficult to resolve. One must use methods to clear residual heat and harmonize stomach qi; when the stomach qi is harmonized, the disease heals. Therefore, in the second visit of this case, medicines to open the stomach and promote digestion were added to resolve dampness and stagnation, so that residual heat would not linger.
Damp-Heat 6 (Fever of Unknown Origin)
Patient Li, Female, 20 years old
First Visit
Chief Complaint: On August 5th, the patient felt aversion to cold and fever, with body temperature between 37°C and 39°C. Diagnosed with viral influenza at a certain hospital, she took exterior-releasing medicines, but the fever persisted. Due to continuous fever for 19 days, she was hospitalized. Systematic Western medical examinations diagnosed "Fever of Unknown Origin." She underwent fluid support therapy and treatments with Sulfamethoxazole/Trimethoprim, Penicillin, Kanamycin, and Isoniazid. Chinese herbal medicines used included Qingying Tang (Clearing Nutritive Level Decoction), Tiaowei Chengqi Tang (Regulating the Stomach and Directing Downward Decoction), Baihu Tang (White Tiger Decoction), Zixue (Purple Snow), Zhibao (Treasure of Perfection), and Qinjiao Biejia Tang (Gentian Macrocarpa and Turtle Shell Decoction), but the effect was poor. Body temperature remained around 38°C. On September 30th, Teacher Zhao Shaoqin was consulted.
Examination: Symptoms included fever, worse in the afternoon, sweating without relief of fever, dizziness with heaviness, thirst without desire to drink, chest tightness, anorexia, and general fatigue and lassitude.
Pattern Differentiation: Dampness obstructing and heat lurking; fever is severe in the afternoon, sweating does not relieve fever; damp-heat pouring downward, yellow urine. The disease is located in the Middle Jiao, diffusing up and down.
Treatment Method: Prescribe Acrid-Opening and Bitter-Descending methods, assisted by Aromatic and Light-Diuretic agents.
Prescription: Pei Lan Ye (Eupatorii Herba) 10g (add later), Huo Xiang (Agastaches Herba) 10g (add later), Xing Ren (Armeniacae Semen Amarum) 10g, Dan Dou Chi (Sojae Semen Preparatum) 10g, Ban Xia (Pinelliae Rhizoma Preparatum) 10g, Huang Qin (Scutellariae Radix) 10g, Mu Xiang (Aucklandiae Radix) 6g, Ma Wei Lian (Coptidis Rhizoma) 10g, Qian Hu (Peucedani Radix) 6g, Da Fu Pi (Arecae Pericarpium) 10g, Chao Mai Ya (Hordei Fructus Germinatus) 10g, Zhi Zi (Gardeniae Fructus) 6g.
3 doses, decocted in water. Avoid fishy, sweet, and greasy foods.
Second Visit, October 4th.
After taking the medicine, the fever intensity decreased slightly. Because damp-heat pathogens are difficult to eliminate quickly, the original prescription was continued for four more doses to aim for complete recovery.
Third Visit, October 7th.
Body temperature dropped to 37.1°C, only neck soreness remained. Continuing the original prescription for two doses resulted in the disappearance of all symptoms, and she was discharged cured on October 12th.
[Commentary]: This case involves damp-heat accumulating and stagnating in the Qi level of the Middle Jiao. Previous misuses of sweating, clearing nutritive level, purging, opening orifices, and nourishing yin methods, along with cold and cloying medicines, further aided dampness. Damp-heat congestion blocked qi mechanism; since dampness was not transformed, heat was not removed. This explains the "prolonged unremitting fever." Damp-heat disease is a combination of dampness and heat, truly difficult to resolve. If dampness is not removed, heat is hard to eliminate. Therefore, treatment should prioritize removing dampness. Methods such as aromatic transformation, acrid-opening and bitter-descending, and light diuresis should be used to first regulate qi mechanism and unblock the San Jiao (Triple Burner). In the prescription, Huo Xiang and Pei Lan, along with Qian Hu and Xing Ren, transform dampness aromatically and diffuse Lung qi. Since the Lung governs qi, when qi moves, dampness transforms; when dampness transforms, heat is easily cleared. Zhi Zi and Dou Chi clear and diffuse stagnant heat; long-standing damp-heat becomes stale air, and the combination of Zhi Zi and Dou Chi is excellent at venting stale air, thus having the function of diffusing Yang and relieving depression. Ban Xia, Huang Qin, and Lian (Coptidis Rhizoma) use acrid-opening and bitter-descending to clear heat and dry dampness, opening and draining damp-heat accumulation in the Middle Jiao. Mu Xiang, Da Fu Pi, and Mai Ya regulate qi stagnation, move water pathways, aid digestion, and facilitate the San Jiao. The San Jiao is the pathway of water and grain, the beginning and end of qi, the official of drainage, where water passages emerge. When the San Jiao is smooth, upper and lower diffusion occurs, and pathogens leave. Patent urination and defecation after medication indicate unblocked San Jiao, hence generalized sweating and fever resolution. In the first visit, three doses were given, slightly reducing fever but pulse/symptoms unchanged. Thus, in the second visit, the original formula was continued for 4 doses, resulting in sudden recovery. Only those with firm conviction in their mind can manage such cases. If one changes the prescription in the second visit seeking quick results, it risks failure. In short, damp-heat obstruction in damp-heat disease is not easily removed quickly; dampness must be slowly transformed. When quantitative change reaches qualitative change, a state of sudden clarity is achieved. Therefore, treating damp-heat requires firm conviction, avoiding frequent prescription changes. As long as pattern identification is accurate and principles are correct, following the law of medication will naturally lead to success. This case is an example.
Fu Shu (Pneumonia)
Patient Wang, Male, 87 years old
First Visit
Fever for seven days, cough and wheezing for five days, body temperature fluctuating between 38°C and 39.5°C. Diagnosed with pneumonia by Western medicine, treated with Gentamicin injections and Tetracycline orally, with insignificant effect. Traditional Chinese Medicine consultation was requested. The patient had persistent high fever, sweating with dry mouth, cough and wheezing unable to lie flat, large amount of yellow sticky sputum, no bowel movement for five days, scanty yellow urine, slight abdominal fullness without pain, red tongue with yellow greasy coating, slippery and rapid pulse. This belongs to warm pathogen entering the Lung, scorching fluids into phlegm, phlegm obstructing qi mechanism, Lung losing diffusion and descending functions, causing cough and wheezing. Lung and Large Intestine are interior-exterior related; if Lung qi does not descend, Fu qi does not flow, hence no bowel movement for several days. Treatment: Diffuse Lung, wash away phlegm, purge Fu, drain heat. Fortunately, although elderly, the patient's constitution is still robust, and healthy qi is sufficient, allowing temporary use of purging methods. Prescribe Xuanbai Chengqi Tang modified.
Xing Ren (Armeniacae Semen Amarum) 6g, Quan Gua Lou (Trichosanthis Fructus) 20g, Zhi Pa Ye (Loquat Leaf Preparatum) 15g, Sheng Shi Gao (Raw Gypsum Fibrosum) 15g, Dai Ge San (Indigo Naturalis and Clam Shell Powder) 10g (wrapped), Sheng Da Huang (Rhei Radix et Rhizoma) 6g (add later), 1 dose.
Second Visit
After medication, three bowel movements occurred, stools were foul-smelling, abdomen was no longer full, cough and wheezing lightened. Continue original prescription without Da Huang, 2 doses.
Third Visit
After medication, major symptoms reduced significantly, body temperature 37.8°C, cough and wheezing mild, able to lie flat and sleep. Red tongue with yellow-white coating, wiry, fine, small, slippery pulse. Prescribe clearing and肃ifying Lung qi, assisting with harmonizing stomach.
Xing Ren (Armeniacae Semen Amarum) 6g, Jie Geng (Platycodonis Radix) 6g, Gua Lou Pi (Trichosanthis Pericarpium) 10g, Qing Ban Xia (Pinelliae Rhizoma Preparatum) 10g, Jiao Gu Ya (Hordei Fructus Germinatus Carbonized) 10g, Sheng Gan Cao (Licorice Root) 6g, Sang Bai Pi (Mori Cortex) 6g, Lu Gen (Imperatae Rhizoma) 20g, 2 doses.
After medication, all symptoms resolved. Body temperature normal, X-ray showed no pathological changes in both lungs, discharged cured.
[Commentary]: In autumn, contracting warm pathogen and lingering heat from summer leads to Fu Shu. Pathogen lurks in Lung, refining fluids into phlegm, Lung loses diffusion and descending, causing wheezing/cough inability to lie flat, abundant yellow sputum, persistent fever. Although main symptoms are in Lung, pathology relates to Fu qi obstruction. Five days of constipation is the key to treatment. Lung and Large Intestine are interior-exterior; pathogen congested in Lung requires purging Large Intestine. Here, Wu Juzhong's Xuanbai Chengqi Tang is selected. Although the patient is elderly, purging was used because his constitution is strong. After passing foul stools, heat drains with stool, so Da Huang is removed. Finally, stomach-harmonizing herbs are added, so despite advanced age, injury is avoided.
Autumn Dryness 1 (Upper Respiratory Tract Infection)
Patient Wang, Male, 56 years old
First Visit
Contracted warm-dryness pathogen externally, Lung meridian scorched. Dry mouth and thirst, fever, slight aversion to wind-cold, headache, red throat, dry and parched nose, hacking cough with little sputum, yellow urine, slightly dry stool. Tip and sides of tongue red, thin white dry coating, floating and rapid pulse, right side slightly larger, deep pressure wiry-fine-rapid. Warm pathogen dry-heat injures Yin level. Use clearing-moistening and diffusing-descending method to肃ify Lung and stop cough. Spicy, oily, and rich flavors are prohibited.
Bei Sha Shen (Glehniae Radix) 10g, Chao Zhi Pi (Gardeniae Pericarpium) 6g, Qian Hu (Peucedani Radix) 6g, Yu Zhu (Polygonati Odorati Rhizoma) 6g, Mao Gen (Imperatae Rhizoma) and Lu Gen (Imperatae Rhizoma) 15g each, Fresh Pear 1 (slice with skin, remove core, decoct), 3 doses.
Second Visit
After taking three doses, chills and fever subsided, dry throat and nose alleviated, dry cough lightened, bowel movement smooth. Pulse rapid tendency diminished. Original prescription taken for five more doses led to cure.
[Commentary]: Long sunny and rainless autumn leads to dryness prevalence. Those contracting it often suffer warm-dryness: dry cough without sputum, dry mouth/nose, dry/painful throat. This is dryness injuring Lung Yin, hijacking fluids. Treatment focuses on clearing-moistening to generate fluids, assisting with diffusing-subsiding to expel pathogen. Medicines are balanced, pure, and agile, worthy of study.
Autumn Dryness 2 (Bronchitis)
Patient Yuan, Male, 37 years old
First Visit
Season is autumn, long drought, fever and headache, body temperature 38.3°C, dry cough with little sputum, blood in sputum this morning, dry nose/throat, irritability with desire to drink, self-perceived fatigue and shortness of breath. Self-administered Ju Hong Wan 12 pills (4 pills daily for 3 days), condition worsened. Pattern: Autumn contraction of dry-heat, Lung fluids injured. Should use Sweet-Cold clearing-moistening method. But self-administered Ju Hong Wan, which is for drying dampness and transforming phlegm, suitable for elderly with damp-phlegm. Mistakenly taking dry-hot medicine further injures Yin. Dry cough damages Lung collaterals, hence thick sticky sputum with blood stains. Pulse fine-wiry-rapid, crimson dry-cracked tongue. Imitate Yu Chang's Qingzao Jiufei Fa (Clearing Dryness Saving Lung Method), moisten dryness and stop bleeding.
Bei Sha Shen (Glehniae Radix) 25g, Zhe Bei Mu (Fritillariae Thunbergii Bulbus) and Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) 10g each, Wan Can Sha (Bombyx Batryticatus) 12g, Xing Ren (Armeniacae Semen Amarum) 10g, Dan Dou Chi (Sojae Semen Preparatum) 10g, Chao Zhi Pi (Gardeniae Pericarpium) 6g, Qian Hu (Peucedani Radix) 3g, Xian Mao Gen (Imperatae Rhizoma) 30g, Dai Ge San (Indigo Naturalis and Clam Shell Powder) 12g (wrapped), Fresh Pear 1 (slice with skin, remove core, decoct), 3 doses.
Second Visit
Continuously taking clearing-dryness, moistening-Lung, stopping-cough medicine, hemoptysis stopped in two days, nasal/throat dryness lightened, slept well at night. Cough with sticky clumps of sputum, still fatigued, dry mouth/thirst. Fever/headache ceased, body temperature 37°C, wiry-fine pulses. Rapid tendency slowing, crimson tongue with moister coating. Dry-heat gradually decreasing, Yin injury slightly recovering. Still propose Sweet-Cold moistening-dryness method.
Sheng Sang Pi (Mori Cortex) 10g, Di Gu Pi (Lycii Cortex) 10g, Fei Yu Zhu (Polygonati Odorati Rhizoma) 10g, Mai Men Dong (Ophiopogonis Tuber) 10g, Nan Sha Shen (Adenophorae Radix) and Bei Sha Shen (Glehniae Radix) 15g each, Chuan Bei Mu (Fritillariae Cirrhosae Bulbus) 6g, Chao Shan Zhi (Gardeniae Fructus) 6g, Dai Ge San (Indigo Naturalis and Clam Shell Powder) 10g (wrapped), Xian Mao Gen (Imperatae Rhizoma) and Lu Gen (Imperatae Rhizoma) 30g each, Dong Gua Zi (Benincasae Semen) 30g, 3 doses.
Third Visit
After drinking during festival, cough and blood in sputum recurred, fever intensified, body temperature 38.1°C, red tongue dry mouth, heavy cough/chest pain. X-ray: "Increased lung markings bilaterally, bronchitis phenomenon," wiry-slippery-rapid pulses. Constitution inherently Yin-injured with heat excess, season long drought/rainless, dry-heat heavy. Cough/hemoptysis just healed, dry-heat just retreated, Yin injury not recovered. Festival drinking excessive, plus spicy/greedy food, aids heat and injures Yin. Again use Sweet-Cold nourishing-Yin, draining-heat, stopping-red. Diet caution: abstain from alcohol for 100 days to prevent worsening hemoptysis.
Xian Sheng Di (Rehmanniae Radix Recens) 30g, Su Zi (Perillae Fructus) 6g, Chuan Lian Zi (Meliae Fructus) 10g, Huang Qin (Scutellariae Radix) 10g, Da Ji (Great Thistle Root) and Xiao Ji (Lesser Thistle Root) 10g each, Chao Huai Mi (Sophorae Flavescentis Flos) 10g, Dai Ge San (Indigo Naturalis and Clam Shell Powder) 10g (wrapped), Xian Mao Gen (Imperatae Rhizoma) 30g, Bei Sha Shen (Glehniae Radix) 30g, Jiao San Xian (Charred Three Immortals) 10g each, Yunnan Baiyao 1 bottle (taken in 4 doses staggered), 2 doses.
Fourth Visit
After medication, no hemoptysis, cough light, fever gradually decreasing, body temperature 37.5°C, self-reported chest pain lightened. Red rough-cracked tongue, dry mouth/thirst, fine-wiry-small-slippery pulses, rapid image decreasing. Again use Sweet-Cold nourishing-Yin, moistening-dryness, stopping-red.
Xian Sheng Di (Rehmanniae Radix Recens) 30g, Chuan Lian Zi (Meliae Fructus) 10g, Su Zi (Perillae Fructus) 10g, Huang Qin (Scutellariae Radix) 10g, Bai Tou Weng (Pulsatillae Radix) 10g, Qian Cao (Rubiae Radix et Rhizoma) 10g, Dai Ge San (Indigo Naturalis and Clam Shell Powder) 10g (wrapped), Gan He Ye (Nelumbinis Folium) 10g, Ou Jie (Nelumbinis Rhizomatis Node) 10g, Bei Sha Shen (Glehniae Radix) 25g, Yunnan Baiyao 1 bottle (taken in 6 doses), 3 doses.
Fifth Visit
Recently no cough/blood in sputum, fever subsided, body temperature 36.9°C. X-ray bilateral lungs normal. Wiry-fine-small-slippery pulses, red tongue dry mouth, diet/bowel/bladder normal. Advised to stop medication and rest one week, avoid spicy/greasy and all stimulating foods.
[Commentary]: In golden autumn, dryness prevails. Contracting its qi causes Autumn Dryness. Lung is delicate organ, highest position, connects with heaven qi. If contracted by seasonal dryness, Lung is injured first. Thus, Autumn Dryness location is definitely Lung. Classic says: "Dryness dominates leading to dryness." Although dryness belongs to Autumn Metal, its nature is like fire, easily injuring Yin fluids. Hence, Autumn Dryness disease features dryness syndromes: dry cough little sputum, sticky bloody sputum, dry nose/throat. Treating Autumn Dryness should focus on clearing-moistening, as stated "Dryness requires moistening." This patient initially self-administered warm-dryness transforming-phlegm Ju Hong Wan, further injuring Yin and aiding dryness, worsening condition. Gradually healed after taking Sweet-Cold moistening agents. Regrettably, he did not observe taboos, drank alcohol and ate spicy food, causing recurrence. Repeated Sweet-Cold nourishing-Yin finally brought full peace. This case shows dietary taboos are crucial in warm disease treatment, almost equal to medication efficacy. Those not observing taboos fail treatment; those observing taboos and caring carefully achieve double result with half effort.
Thus, Teacher Zhao earnestly advises abstaining from alcohol for 100 days and avoiding spicy/stimulating foods. Students should pay attention here.
Winter Warmth 1 (Fever of Unknown Origin)
Patient Wang, Male, 50 years old
Patient had fever for 5-6 days, transferred from out of town to a certain hospital. Hospitalized for 4 days treating fever of unknown origin. Used Chinese medicines including Raw Gypsum (3 liang), Zhi Mu, Gua Lou, Lian Qiao, Sheng Di, Yuan Shen, Hua Fen, Mao Gen, Lu Gen, Sheng Mu Li, Xi Jiao, Ling Yang Fen, Angong Niuhuang Wan, Zixue Dan, etc. Taken in several doses with insignificant effect. Used Western medicines including Penicillin, Streptomycin, Kanamycin, Tetracycline, etc., also ineffective. Consultation requested.
Patient unconscious, fever persisting, eyes not opening, lips scorched dark, anterior teeth dry, thin crimson tongue, cracked without fluid, difficulty opening mouth, deep wiry-slippery-rapid pulse. Occurring in winter, this belongs to warm pathogen deeply entering Ying (Nutritive) level. Qi mechanism suppressed by cold medicines, San Jiao blocked, no path for ascending/descending, fluids do not reach. Trending towards internal closure and external collapse. Treatment: Regulate ascending/descending to benefit San Jiao, diffuse qi mechanism to seek turning qi.
Chan Yi (Bombyx Batryticatus) 1.5 qian, Xing Ren (Armeniacae Semen Amarum) 3 qian, Qian Hu (Peucedani Radix) 1 qian, Pei Lan (Eupatorii Herba) 3 qian, Chang Pu (Acori Tatarinowii Rhizoma) 3 qian, Lu Gen and Mao Gen (Imperatae Rhizoma) 1 liang each, Pian Jiang Huang (Curcumae Longae Rhizoma) 2 qian, Bai Kou Ren (Amomi Fructus Rotundus) 1 qian, Ban Xia (Pinelliae Rhizoma Preparatum) 3 qian, Tong Cao (Tetrapanacis Medulla) 0.5 qian.
2 doses. Fever subsided, body cooled, pulse quiet, spirit clear, generalized slight sweating, then cured.
[Commentary]: Winter contracting non-seasonal warm pathogen is called Winter Warmth. Initially should release Wei (Defensive) level, letting pathogen exit externally. Alas, doctors used large amounts of cold medicines, closing qi mechanism, forcing pathogen into Ying level, causing unconsciousness, critical signs appeared. Teacher Zhao used diffusing-unblocking qi mechanism to vent pathogen outward. After medication, fever subsided, spirit cleared, sweating occurred, then cured. If seeing coma immediately assuming pathogen trapped in Heart Pericardium and using San Bao (Three Treasures) type medicines, likely repeating mistakes, treatment failing. It suffices to show "Venting Heat Turning Qi" is essential method for treating warm diseases, cautious use of cold medicines is key to preventing pathogen trapping. Understanding this principle means grasping the three flavors of treating warmth.