句容县东豪子李姓者。得伤寒数日。村落无医。易师巫者五六日矣。或汗下。杂治百出。遂
成坏病。予时自江北避寇。遁伏江左。求宿于其家。夜半闻呻吟声。询之。云患伤寒逾旬矣。予
为诊视。其脉见于上下唇皆已 蚀。声嘶而咽干。舌上白苔。齿无色。予曰病名狐惑。杀人甚急。
秉烛为作雄黄丸泻心汤。投之。数日瘥。
五月。避地维扬东面里沙中。一豪子病伤寒八九日。身体洞黄。鼻目皆痛。两膊及项头腰皆
强急。大便涩。小便如金。予诊曰。脉紧且数。其病脾先受湿。暑热蕴蓄于足太阴之经。宿谷相
搏。郁蒸而不得泄。故使头面有汗。项以下无之。若鼻中气冷。寸口近掌无脉。则死。今脉与证
相应。以茵陈汤调五苓散与之。数日瘥。
人病身体疼痛。面黄。喘。满。头痛。自能饮食。大小便如常。或者多以茵陈五苓散与之。
予诊其脉曰。大而虚。鼻塞且烦。其证如前。则非湿热与宿谷相搏。乃头中寒湿。仲景云疼痛发
热。面黄而喘。头痛。鼻塞而烦。其脉大。自能饮食。腹中和无病。病在头中寒湿。故鼻塞。纳
药鼻中则愈。而仲景无药方。其方见外台删繁证云。治天行热毒。通贯脏腑。沉鼓骨髓之间。或
为黄胆。须瓜蒂散。瓜蒂二七枚。赤小豆秫米各二七枚。为末。如大豆许。内鼻中。缩鼻当出黄
水。慎不可吹入鼻中深处。
句容县东豪族李姓人家，有人患伤寒几天了。因为村落里没有医生，已经请巫师祭祀五六天了。有的用发汗法，有的用泻下法，各种杂乱的治疗方法都用上了，于是变成了坏病。我当时为了躲避战乱从江北逃难，潜伏在江南一带，借宿在他家。半夜听到呻吟声，询问后得知，他患伤寒已经超过十天了。我为他诊视，发现他的上下嘴唇都已经溃烂腐蚀，声音嘶哑且咽喉干燥，舌苔白，牙齿颜色暗淡无光泽。我说这个病名叫狐惑，致死非常迅速。于是点着蜡烛为他配制了雄黄丸和泻心汤，服用后，几天就好了。
五月，我避难到维扬（今扬州）东面的里沙中，一位豪族子弟患伤寒八九天。身体呈现深黄色，鼻子和眼睛都疼痛，两膊以及颈部、头部、腰部都僵硬拘急，大便干涩不通，小便颜色像金子一样黄。我诊察后说：脉象紧而数，这是脾先受了湿邪，暑热蕴积在足太阴脾经，与体内停滞的食物相互搏结，郁蒸而不能宣泄，所以导致头面部有汗，脖子以下没有汗。如果鼻孔中气息寒冷，寸口脉搏靠近手掌处摸不到脉搏，就会死亡。现在脉象与症状相应，我用茵陈汤调服五苓散给他服用，几天就好了。
有人患病身体疼痛，面色发黄，气喘，胸腹胀满，头痛，但能正常饮食，大小便如常。有些人多用茵陈五苓散给他治疗。我诊察他的脉象说：脉大而且虚，鼻塞且烦躁。症状如前所述，但这并不是湿热与停滞食物相搏结，而是头部感受寒湿。张仲景说：身体疼痛发热，面色发黄而气喘，头痛，鼻塞且烦躁，脉象大，能正常饮食，腹部平和没有病，这是病在头中的寒湿，所以导致鼻塞。将药物纳入鼻中就能痊愈。而张仲景没有留下药方，该方剂记载在《外台秘要》删繁证中，说治疗天行热毒，贯通脏腑，深入骨髓之间，或者导致黄疸，需要用瓜蒂散。瓜蒂十四枚，赤小豆和秫米各十四枚，研成细末，取像大豆大小的量，纳入鼻中，收缩鼻子应当流出黄水，千万不要吹入鼻中深处。
A member of the Li family, a prominent clan in Donghao, Jurong County, contracted Shanghan (Cold Damage) for several days. As there were no physicians in the village, he had been relying on shamans and wizards for five or six days. Various treatments were applied indiscriminately, including sweating and purging methods, resulting in a complicated disease state (Huai Bing). At that time, I was fleeing bandits from north of the Yangtze River and taking refuge in the Jiangzuo region. I stayed at his house. In the middle of the night, I heard groaning. Upon inquiry, I learned that he had suffered from Shanghan for over ten days. I examined him and found that both his upper and lower lips were eroded and ulcerated; his voice was hoarse, and his throat was dry. His tongue had a white coating, and his teeth appeared colorless and dull. I said, "This disease is named Huhu (Fox-Infestation), which can be rapidly fatal." I then prepared Xionghuang Wan (Realgar Pill) and Xiexin Tang (Drain the Heart Decoction) by candlelight and administered them. After a few days, he recovered.
In May, while seeking refuge in Lisha, east of Weiyang (modern Yangzhou), a young man from a prominent family had suffered from Shanghan for eight or nine days. His body exhibited a deep yellow discoloration; his nose and eyes were painful; his shoulders, neck, head, and waist were stiff and rigid; his stool was dry and difficult to pass, and his urine was as yellow as gold. I diagnosed: "The pulse is tight and rapid. The spleen has first been affected by dampness, and summerheat and heat have accumulated in the Foot-Taiyin Spleen Meridian. Stagnant food residues contend with this pathogenic factor, causing stagnation and steaming without discharge. This results in sweat on the head and face but none below the neck. If the breath from the nose feels cold, and the pulse at Cun Kou (Radial Artery) near the palm is imperceptible, death will ensue. Now, the pulse corresponds with the symptoms. I will administer Yinchen Tang (Artemisiae Scopariae Decoction) combined with Wuling San (Five-Ingredient Powder with Poria)." After a few days, he recovered.
A patient presented with body pain, yellowish complexion, wheezing, chest fullness, and headache, yet could eat normally, and bowel and bladder functions were regular. Some practitioners often prescribed Yinchen Wuling San (Artemisiae Scopariae and Five-Ingredient Powder with Poria Combination). I examined his pulse and found it large and deficient; he also had nasal congestion and irritability. Given these symptoms, this was not due to damp-heat contending with stagnant food, but rather cold-dampness affecting the head. Zhang Zhongjing stated: "Body pain, fever, yellowish complexion with wheezing, headache, nasal congestion, and irritability, with a large pulse, normal appetite, and a harmonious abdomen free of disease, indicates cold-dampness in the head, hence nasal congestion. Administering medication into the nose will lead to recovery." However, Zhang Zhongjing did not provide a specific formula. The formula is recorded in *Waitai Jianyuan* (Prescriptions from the Outer Cabinet) under the section on eliminating redundancy for infectious cases: It treats epidemic heat-toxin penetrating the zang-fu organs and sinking into the bone marrow, potentially causing jaundice. Use Goudi San (Melon Pedicle Powder): 14 Goudi (Thunberg Fruit), 14 Chi Xiaodou (Adzuki Bean), and 14 Shumi (Millet), ground into powder. Take an amount the size of a soybean, insufflate into the nose. Constrict the nose so that yellow fluid drains out. Do not blow the powder deeply into the nasal cavity.