迨返家以后，热度仍不少减，心烦口渴如故。次晨七时，延余往诊。余察其症状，并询知昨晨尚食糍饭一团，因而热度增高，而晚间即发休克者。因告之曰：“此温热病也，以时计之，发热今已三日，有两足天矣，胸部必有隐隐之红疹也。”解衣视之，果然有少数颗粒，散在胸前，惟隐于皮下而不显。余告之曰：“此证颇重，今为处方照服，如得下得汗而热退，则红疹亦退矣。如热仍不退，则红疹必续发而多，此即西医之所谓癍疹伤寒也。”因处一方，以一解四清汤与之。并嘱药须自煎，方可有效，否则假手于药店之代客煎药，必无效也，因以煎法告之。
余去后，病家照法煎服，一小时后，渐渐安静，身有微汗。约二小时后，大便又解，连解两次，肤汗更潮。至午后再服二煎，大便续解两次，于是热退七八矣。翌日晨，复延余诊。其父导余登楼，见庚弟已坐起整理书包。其父惊谓曰：“汝刚热退，而又劳动精神，何可如是耶。”庚弟曰：“两日后须小考矣，故余整理之也。”余闻此言，笑谓之曰：“小考将来可补，身体康健第一要紧。汝不自记前日晚间之休克乎，慎勿过劳也。”及诊察后，依前方酌为加减，再服一剂而安。
一解四清汤方锦纹军二钱五分炒炽壳三钱生石膏一两粉葛根净连翘净银花各三钱杭菊花二钱生黄芩生山栀块滑石(包)各三钱鲜竹叶四十片(按：以黄、枳下气通腑，以膏、葛清经腑，以银、翘、菊清上焦，以芩、栀清膈间，以滑石清膀胱，故名一解四清汤。)一解四清汤加减方锦纹军一钱炒枳壳二钱五分生石膏六钱粉葛根三钱生黄芩二钱生山栀三钱(杵)薤白头二钱五分块滑石二钱(包)鲜芦根一枝(按：此即前方去杭菊花，加薤白头，以竹叶易芦根，其他药量，稍有减少耳。)阳明热病传少阳证妇女于季夏之初，患生热病，医初治之以银、翘不效。
见其有烦躁，治之以栀、豉，又不效。余诊其高热自汗，口干舌绛，大渴欲饮，周身肤带红色，犹如中酒，扪之热甚，烦躁不安，小便黄赤，诊其脉洪大而数。以白虎人参汤加花粉清之，而热退神安。迨三日后，余邪复传少阳，寒热往来，口苦咽干，两胁疼痛，心烦欲呕。复予以小柴胡汤加槟榔、藿香方，两剂而痊。
八仙桥八仙坊有朱美珍者，年30余，于六月初甸，患生热病。初未延医诊治，及两日不退，渐觉加重，乃始延医。医以银翘散与之，一剂不效，再剂亦不效。改延一医，医以其烦躁也，与以栀子豉汤，而亦不效。其夫之友顾雨芝嘱延余诊。余登楼时，尚未入室，即闻病者大声曰：“能以冰水与我饮之，则谢天谢地矣。”余闻此言，已知为白虎汤证。迨入室之后，则室中四五人，环立相向。群慰之曰：“医生来矣，请医生诊治，冰水不可饮也。”余既坐定，察其面色及周身皮肤，皆现红色，犹如中酒之状，且白睛亦带水红。扪之则皮肤热甚，周身自汗湿手，烦躁不安。诊脉之时，因烦躁而三脱其手，六脉皆形洪大而数。问其“欲冷饮已几日焉?”曰：“前日已欲多饮，昨今两日尤甚，且欲饮冰水也。”其夫曰：“他医谓不可冷饮，饮之则大邪必遏于里矣。故不敢与之，而内子索之不休，奈何?”余曰：“如有冬令收贮之雪水，可以与之，惟此一时不易得耳。近已六月上旬，闻新西瓜已上市，可购而与之食也。”因令其先买西瓜，即为之处方。以白虎人参汤加花粉与之，并令其先煎石膏，后下诸药，余即辞去。迨病者先食西瓜后，烦躁即觉减轻，次则如法煎药服之，身汗先多而后少，身热先增而后降，三小时后，降至平温，肤红亦渐退，烦躁完全不作。晚间再服二煎，则高枕一觉，明日其病如失矣。
次日未延续诊，余亦不知其药后之情形。再隔两日，复延余诊。云：“前日服药已痊，故未复劳先生。由昨夜起，忽又发寒热，恶寒之时，欲盖衣被，至发热之时，又去衣被。夜间及上午，如此反复，已三四次矣，得非又患疟疾病乎。”余知之曰：“此无他，因上次一剂退后，阳明经余邪未清，复传少阳，似疟而实非真性疟也。设前次续诊，再服清理余邪之方。二剂，则无此患矣。”及诊其脉，弦而兼数，他症如上文所述。再为之处方，以小柴胡加槟榔、藿香与之，两服而痊。后更处以调理之剂，续服以扶持正气焉。
白虎人参汤加花粉方生石膏三两肥知母六钱炙甘草三钱西党参五钱天花粉四钱小柴胡汤加槟榔、藿香方春柴胡生黄芩各三钱西党参四钱姜制半夏三钱炙甘草三钱花槟榔广藿香各三钱生姜一钱红枣十枚热病阳明经证妇人仲夏病热，初恶寒而旋不恶寒，延至四日，病势愈进。赤膊赤足，卧于地上，烦躁不安，反复颠倒，目赤肤红，犹如中酒，多汗如珠，大渴引饮，脉洪大而数，舌绛而干。先饮以西瓜汁，次进以白虎人参汤加花粉方。
上海羊尾桥有陈姓妇，年42岁。于五月端午节前三日，患生热病，此即《内经》所谓“夏至以前为病温，夏至以后为病热”是也。初为恶寒发热，旋即但热不寒，溅溅然自汗出。至第三日，大汗如洗，他医治之无效。第四日始延余诊。入室时，即见其仰卧于水泥地上。赤膊赤足，仅着一短裤，周身皮肤如中酒，目亦潮红，烦躁不安，反复颠倒，无片刻之宁。自汗如珠，滚滚不已，四肢微厥，而胸部扪之炙手，大渴引饮，欲得冰水以为快。诊其脉，则洪大而数，重按之则微芤。察其舌，则色绛而干，毫无润气。
余知为白虎汤证。但处方配药煎药，尚须一相当之时间，乃令先购隔年西瓜，取汁恣意与饮之。为处白虎人参汤加花粉方，并嘱其先煎石膏，次下诸药及粳米。俟米熟汤成，滤清与服。迨西瓜购来，取汁先与饮之，呼快不已，自汗即渐少。再服汤药后，不二小时，而汗出热退，烦躁渐停。续服二煎，得睡一夜未醒。次日晨，其病如失矣。
白虎人参汤加花粉方生石膏六两肥知母八钱炙甘草三钱西党参四钱天花粉四钱粳米一两热病发癍疹证夏令热病五日，发生癍疹，大小相杂，色红带紫，高热不退，自汗，心烦不安，口干作渴，欲得冷饮，舌绛而干，白睛发红，六脉洪大而数。厂医治之无效。余令先以西瓜汁饮之，次投以白虎人参汤，加葛、地、斛、栀。一剂而热退躁止，癍疹色淡。询其大便未解，心下郁郁微烦。再以竹叶石膏汤合调胃承气汤，便解热清而获愈。
曹家渡之三官堂桥北中华织造厂，有俞某者，为该厂厨房主持之工友。于1952年夏末，患生热病。中医谓温病之发，在夏至以后，立秋以前者为热病，盖以时令分也。初觉微有恶寒，旋即体温上升，而不再恶寒。数小时后，即高至四十度以上，头痛肢酸。尝经厂医治之无效。次日则口干作渴，觉内热如焚。第三日，则更增烦躁，反复不安。第四日，则身发癍疹，大小相杂，懊（忄农）更甚。虽经医连用青霉素及氯霉素治疗，然病仍日增不已。
至第五日，其厂中有工友某偶在裕昌窑货店购物，谈及此证，云将改送医院。裕昌店主告之曰：“此必伤寒病也，非延余医师治疗不能速效，且必有把握也。”某工友回厂，取得俞姓工友及厂中同意，来延余诊。当余步入厂中，经过诊疗室前时，内有白衣使者四五人，见余人内，目逆而送之。余既登楼，至病者之室，见病者卧于床上，赤膊短裤，反复不安，见余入内，则强自镇静。诊其左脉，则以右手抚胸，诊其右脉，则以左手抚胸，其心烦可知。而脉则洪大而数，舌则干燥而绛，目则白睛发红，赤丝缭绕，肤则癍疹相杂，色红而紫。并询知口渴不休，欲得冷饮，其表里之热可知。余令先购一大西瓜，取汁与之。乃为之处方，以白虎人参汤为主，加葛根、生地、石斛、山栀。令如法煎服一帖。
并告病者以无碍，安心服药可也。迨一服之后，病去六分。
次日复诊，见其向之高热已减，烦躁已安，周身之疹色渐淡，而不似前此之紫红矣，诊其两脉亦渐平。惟病者自诉，觉心下尚郁郁微烦。询其大便有几日未解，答云：已四日不解矣。再察其舌，则中尖及边沿之绛色，已较转淡，惟根部薄腻，而带燥黄。乃改以竹叶石膏汤合调胃承气汤。尽大剂白虎之后，有改用竹叶石膏之可能，在清凉之中，有兼用微利之必要，故以此两方合用之耳。服药之后，大便果解，而诸证悉除，舌根黄色退清，而思食矣。三诊之时，嘱以竹叶、石膏、薏仁三味，煎汤当茶，饮之三日。另以香砂六君子加神曲、麦芽，以益气和胃焉。
白虎人参汤加葛地斛栀方西党参四钱生石膏四两肥知母六钱粉葛根五钱鲜生地六钱鲜石斛生山栀各三钱炙甘草二钱五分炒粳米一两竹叶石膏汤合调胃承气汤方鲜竹叶一两生石膏二两麦门冬(去心)四钱潞党参三钱锦纹军二钱元明粉二钱(分冲)炙甘草二钱。
炒粳米五钱小儿热病剧呕证小儿4龄，患生热病。烦躁反复，时时呕吐，药不下咽，热势颇高，周身无汗，肌肤炙手，目赤口干，唇焦齿垢，口气喷人，脘口拒按而痛，大便不通，手足微厥，医易六七而无效。因令卧于湿地一宵，呕吐即止，身有微汗。更以承气增液法加葛根、黄芩、石膏主之。
上海顺昌路蔡生南君之幼儿，才4岁，庶出，爱之愈恒。素喜杂食，家长不之节也。忽于四月底患生热病，时已在夏至后矣。故中医学说不称温病，而称热病也。一日。有友人马顺康介余往诊。甫登楼，即见其家人，皆泪流满面。
余见床上病儿，片刻难安，烦躁反复，时时呕吐，虽少饮开水亦吐，额上有汗，而颈下全身皆无汗，扪之肤干炙手，目赤口干，唇焦齿垢，口气喷人，按其脘口作痛，手足反现微厥。闻其时日，曰“才四日耳。”问其大便，曰“四日未解也。”问前医与服之药，情形如何，曰“点水已不能下，少饮水且呕吐不止，何况于药。”问西药服过否，曰：诊过中西医六七人之多，药不能下，故均不效耳。
余沉思有顷，即问蔡君曰，“汝夫妇尚要此孩否。”蔡君垂涕泣曰：“吾儿焉得不要，先生是何言耶。”余曰：“汝若不要汝儿，则吾有一法试之；汝必要汝儿，则吾丝毫无法矣”。蔡曰：“先生出此奇言，有何意耶?”余曰：“令郎之病，以剧呕不止，而药不下咽，若呕止则有办法矣。今有一法，恐君不肯照行耳。然而不用余言，则断然危矣。”蔡君问何法。余曰：“汝果不要汝儿，可将伊置之地上，以泥土地为佳。但上海无泥土地，可将水泥之地上，以水冲之使洁。再以大毛巾濡湿，置水泥地上。将汝子抱置其上，任其反复，使过一夜。至明晨再看其情形如何也，然恐汝心不舍耳。”蔡曰：“此何意耶。”余曰：“此时病急，不是讲医理之时，信否随汝也。”有顷，蔡忽呼仆曰：“来来，如余先生言，速为办来。”于是仆人将灶间内水泥地洗刷一清，再将大毛巾濡湿，置于其上。蔡即抱儿仰卧之，初尚反复身体，一刻钟后，已烦躁渐减矣。余去后，即不知其情况如何。次日上午九时，又延余去。蔡即欢然告余，谓“睡至夜间十时后，即不再呕吐，身有微汗，热亦渐退而安眠，直至此时，神识大清，尚得无碍否。”余视危机已去，脉象已较平，乃处增液承气加葛根、黄芩、生石膏以治之。大便解后，奇臭难当，复得微汗。再剂减量与服，大便续下数次。表里热清，而病遂霍然。
他日蔡君问余曰：“先生之治，曾救小儿之命。然其医理。可得闻矣。”余曰：“今可告君矣，夫炭置炉中，燃之片时，则成灰矣。若将已燃之炭，置于潮湿土地上，片时即熄，而炭则依然为炭也。何哉?盖地上潮湿之水气，被炭吸收，而炭中之火气，又被湿地吸收，水火之气，成交换作用，故火熄矣。令郎之症，亦犹是也。温热内传，与胃家实合而为病。中脘不通，胃气为逆，因呕吐不止。热与实不去其一，则呕吐不止也。然药已不下，其将听其死耶。故不得已用此一法。断为热实之证，故敢卧之于冷湿地也。果然一卧而热退，热退而呕止。再用承气汤夺其早成之实，合增液法，救其将竭之阴，故之效耳。君如要此爱儿，不肯弃置于湿地，则必不可救矣。”蔡君惊骇叹服。一时传为奇治云。
增液承气汤加葛根、黄芩、石膏方润元参二钱大麦冬(去心)二钱细生地三钱锦纹军一钱五分元明粉粉葛根各二钱生黄芩一钱五分生石膏六钱妇人产后热病(一)妇人产后热病，迅即化燥。面绯目赤，口唇燥裂，舌苔焦腻，而环边紫绛，欲食冷物，烦躁不安，时或昏糊谵语，脘口拒按，胸有隐疹，皮肤干燥，大便不通，小溲短赤，已见呃逆，以白虎承气增液法加减主之。
王姓妇，年26岁，住上海市城内三牌楼。于六月间，产后发热，久久不退，诸医罔效。延至二十余日，始延余诊。病者面绯目赤，口唇燥裂脱皮，舌苔焦腻，而边缘紫绛，津液干枯，口干欲饮冷水，时或谵语昏糊，烦躁不安，脘口拒按作痛，腹部较软，胸部红疹，隐而不透，皮肤干燥不泽，额上或有汗出，热甚耳聋，大便多日不解，小溲短赤，胸内如焚，手足微冷，已见呃逆。余见此状，觉毫无把握，既属产后，且又正衰邪盛，用药诚大难事。
等到回到家以后，（病人的）热度仍然没有明显减退，心烦口渴的症状依旧。第二天早上七点，家属请我去诊治。我观察他的症状，并询问得知昨天早晨他还吃了一团糍饭，因此导致热度增高，而晚间就出现了休克症状。于是我对家属说：“这是温热病。按时间计算，发热到现在已经三天了，再过两天，胸部一定会有隐隐约约的红疹。”解开衣服查看，果然有少数颗粒散在胸前，只是隐藏在皮下而不明显。我告诉他们说：“这个病情相当严重，现在开处方让你们照方服用，如果大便通畅、出汗并且热度退去，那么红疹也会消退。如果热度仍然不退，那么红疹必定会继续发出而且增多，这就是西医所说的斑疹伤寒。”于是开了一方“一解四清汤”给他。并嘱咐药必须自己煎煮，才能有效，否则交给药店代煎，必然无效，因此把煎药的方法告诉了家属。
我离开后，病家按照方法煎药服用，一小时后，病人渐渐安静下来，身上有微微出汗。大约两小时后，大便又解了两次，连续解了两次，皮肤上的汗出得更厉害。到了中午再服用第二煎，大便继续解了两次，于是热度退了七八成。第二天早上，家属再次请我去诊治。病人的父亲带我上楼，看见庚弟已经坐起来整理书包。他父亲惊讶地说：“你刚退烧，又劳动精神，怎么可以这样呢？”庚弟说：“后天要小考了，所以我整理一下。”我听到这话，笑着对他说：“小考将来可以补考，身体健康才是最重要的。你不记得前天晚上的休克吗？千万不要过度劳累。”等诊察之后，依照前面的处方稍微加减，再服一剂就安稳了。
【一解四清汤方】锦纹军二钱五分（炒），枳壳三钱，生石膏一两，粉葛根三钱，净连翘三钱，净银花三钱，杭菊花二钱，生黄芩三钱，生山栀块三钱，滑石三钱（包煎），鲜竹叶四十片。（按语：用大黄、枳实下气通腑，用石膏、葛根清解经腑之热，用银花、连翘、菊花清上焦之热，用黄芩、栀子清膈间之热，用滑石清膀胱之热，所以名叫一解四清汤。）
【一解四清汤加减方】锦纹军一钱，炒枳壳二钱五分，生石膏六钱，粉葛根三钱，生黄芩二钱，生山栀三钱（杵碎），薤白头二钱五分，块滑石二钱（包煎），鲜芦根一枝。（按语：这就是前方去掉杭菊花，加上薤白头，用竹叶换为芦根，其他药量稍有减少罢了。）
阳明热病传少阳证：一位妇女在季夏之初，患上热病。医生起初用银翘散治疗，无效。见她有烦躁症状，改用栀子豉汤治疗，又无效。我诊察她高热自汗，口干舌绛，大渴欲饮，周身皮肤带红色，犹如醉酒状，摸上去很热，烦躁不安，小便黄赤，诊脉洪大而数。用白虎人参汤加天花粉清热，热度退去，神志安宁。等到三天后，余邪又传入少阳，出现寒热往来，口苦咽干，两胁疼痛，心烦想吐。又给予小柴胡汤加槟榔、藿香方，两剂就好了。
八仙桥八仙坊有个叫朱美珍的人，三十多岁，在六月中旬，患上热病。起初没请医生诊治，过了两天热度不退，逐渐觉得加重，这才请医生。医生给她银翘散，一剂无效，再剂也无效。改请另一位医生，医生因为她烦躁，给了栀子豉汤，也不见效。她丈夫的朋友顾雨芝建议请我去诊治。我上楼时，还没进房间，就听见病人大声说：“如果能给我喝冰水，那就谢天谢地了。”我听到这话，就知道是白虎汤证。进了房间后，屋里四五个人围站着。大家安慰她说：“医生来了，请医生诊治，冰水不能喝啊。”我坐下后，观察她的面色和周身皮肤，都呈现红色，像醉酒的样子，而且眼白也带着水红色。摸上去皮肤很热，全身自汗湿手，烦躁不安。诊脉的时候，因为烦躁，她的手三次挣脱，六脉都呈洪大而数的形态。我问她：“想喝冷饮几天了？”她说：“前天就想多喝，昨天今天两天尤其厉害，而且想喝冰水。”她丈夫说：“其他医生说不能喝冷饮，喝了就会让大邪遏阻在体内。所以不敢给她，但我妻子索要不停，怎么办？”我说：“如果有冬天储存的雪水，可以给她喝，只是这个时候不容易得到。现在已经六月上旬，听说新西瓜上市了，可以买来给她吃。”于是让她先买西瓜，随即为她开处方。用白虎人参汤加天花粉给她，并让她先煎石膏，后下其他药物，我就告辞了。等到病人先吃了西瓜后，烦躁就觉得减轻，接着按法煎药服用，身上的汗先多后少，身热先增后降，三个小时后，降到正常体温，皮肤红色也逐渐消退，烦躁完全停止。晚上再服第二煎，便高枕无忧睡了一觉，第二天病就好了。
第二天没有继续诊治，我也不知道服药后的情况。又隔了两天，家属再次请我去诊治。说：“前日服药已经痊愈，所以没再劳烦先生。但从昨晚开始，忽然又发寒热，恶寒的时候想盖衣被，发热的时候又想脱去衣被。夜间及上午，如此反复，已经三四次了，莫非又患疟疾了吗？”我知道说：“这没什么别的，因为上次一剂药后退热后，阳明经的余邪未清，又传入少阳，像疟疾但不是真性疟疾。如果上次续诊，再服清理余邪的方子，两剂，就没有这个祸患了。”等诊其脉，弦而兼数，其他症状如上文所述。再次为她开处方，用小柴胡加槟榔、藿香方，两服就好了。后来更处以调理的药剂，继续服用以扶持正气。
【白虎人参汤加花粉方】生石膏三两，肥知母六钱，炙甘草三钱，西党参五钱，天花粉四钱。
【小柴胡汤加槟榔、藿香方】春柴胡三钱，生黄芩三钱，西党参四钱，姜制半夏三钱，炙甘草三钱，花槟榔三钱，广藿香三钱，生姜一钱，红枣十枚。
热病阳明经证：一位妇人在仲夏得热病，起初恶寒随即不恶寒，延至四天，病势更加进展。赤膊赤足，卧在地上，烦躁不安，反复颠倒，目赤肤红，犹如醉酒，多汗如珠，大渴引饮，脉洪大而数，舌绛而干。先喂西瓜汁，接着服用白虎人参汤加花粉方。
上海羊尾桥有位陈姓妇人，42岁。在五月端午节前三天，患上热病，这就是《内经》所说的“夏至以前为病温，夏至以后为病热”。起初恶寒发热，随即只有热不恶寒，濑濑然自汗出。到第三天，大汗如洗，其他医生治疗无效。第四天才请我去诊治。进屋时，只见她仰卧在水泥地上。赤膊赤足，只穿一条短裤，周身皮肤像醉酒，眼睛也潮红，烦躁不安，反复颠倒，没有片刻安宁。自汗如珠，滚滚不止，四肢微冷，但胸部摸上去烫手，大渴引饮，想要冰水才痛快。诊其脉，洪大而数，重按则微芤。察其舌，色绛而干，毫无润泽之气。
我知道这是白虎汤证。但是处方配药煎药，还需要相当的时间，于是令先购买隔年的西瓜，取汁随意给她喝。为她开了白虎人参汤加花粉方，并嘱咐先煎石膏，其次下其他药物及粳米。等到米熟汤成，过滤澄清后服用。等到西瓜买来，取汁先给她喝，她喊痛快不已，自汗就渐渐少了。再服汤药后，不到两小时，汗出热退，烦躁渐停。续服第二煎，睡了一夜没醒。第二天早上，病就好了。
【白虎人参汤加花粉方】生石膏六两，肥知母八钱，炙甘草三钱，西党参四钱，天花粉四钱，粳米一两。
热病发斑疹证：夏令热病五天，发生斑疹，大小混杂，色红带紫，高热不退，自汗，心烦不安，口干作渴，想喝冷饮，舌绛而干，眼白发红，六脉洪大而数。厂医治疗无效。我令先以西瓜汁饮用，接着投以白虎人参汤，加葛根、生地、石斛、栀子。一剂后热退躁止，斑疹颜色变淡。询问她大便未解，心下郁郁微烦。再用竹叶石膏汤合调胃承气汤，大便解热清而痊愈。
曹家渡之三官堂桥北中华织造厂，有位俞某，是该厂厨房的主持工友。在1952年夏末，患上热病。中医认为温病的发作，在夏至以后，立秋以前的称为热病，大概是以时令来区分。起初觉得微有恶寒，随即体温上升，而不再恶寒。数小时后，即高达四十度以上，头痛肢酸。曾经经过厂医治疗无效。次日则口干作渴，觉内热如火烧。第三日，则更增加烦躁，反复不安。第四日，则身体发斑疹，大小混杂，懊恼更甚。虽然医生连续使用青霉素及氯霉素治疗，但病情仍日益加重。
到第五日，厂里有位工友某偶然在裕昌窑货店购物，谈及此病，说将改送医院。裕昌店主告诉他：“这一定是伤寒病，不是请余医师治疗不能速效，而且一定有把握。”那位工友回厂，取得俞姓工友及厂中同意，来请我去诊治。当我步入厂中，经过诊疗室前时，里面有白衣使者四五人，见有人进去，目光追随送别。我既上楼，到病人的房间，见病人躺在床上，赤膊短裤，反复不安，见我进去，则强行镇静。诊左脉时，他用右手抚胸，诊右脉时，他用左手抚胸，可知他心烦。而脉象洪大而数，舌干燥而绛，眼睛白睛发红，赤丝缭绕，皮肤斑疹相杂，色红而紫。并询问得知口渴不休，想喝冷饮，可知表里之热。我令先买一个大西瓜，取汁给他。然后为他开处方，以白虎人参汤为主，加葛根、生地、石斛、山栀。令按法煎服一帖。
并告诉病人没有关系，安心服药即可。等到服完一剂后，病去六分。
次日复诊，见他之前的高热已减，烦躁已安，周身疹色渐淡，不像之前那样紫红了，诊其两脉也逐渐平稳。只是病人自诉，觉心下尚郁郁微烦。询问他大便有几日未解，回答说：已经四天未解了。再察其舌，则中尖及边沿的绛色，已较转淡，惟根部薄腻，而带燥黄。于是改为竹叶石膏汤合调胃承气汤。尽大剂量白虎之后，有改用竹叶石膏的可能，在清凉之中，有兼用微利的必要，所以将此两方合用。服药之后，大便果然解了，而诸证悉除，舌根黄色退清，而思食了。三诊之时，嘱以竹叶、石膏、薏仁三味，煎汤当茶，饮之三日。另以香砂六君子加神曲、麦芽，以益气和胃焉。
【白虎人参汤加葛地斛栀方】西党参四钱，生石膏四两，肥知母六钱，粉葛根五钱，鲜生地六钱，鲜石斛三钱，生山栀三钱，炙甘草二钱五分，炒粳米一两。
【竹叶石膏汤合调胃承气汤方】鲜竹叶一两，生石膏二两，麦门冬（去心）四钱，潞党参三钱，锦纹军二钱，元明粉二钱（分冲），炙甘草二钱，炒粳米五钱。
小儿热病剧呕证：一个4岁的小儿，患上热病。烦躁反复，时时呕吐，药不下咽，热势颇高，周身无汗，肌肤烫手，目赤口干，唇焦齿垢，口气喷人，脘口拒按而痛，大便不通，手足微冷，医生换了六七位都无效。于是令卧于湿地一晚，呕吐即止，身有微汗。更以承气增液法加葛根、黄芩、石膏主治。
上海顺昌路蔡生南君的幼儿，才4岁，庶出，爱之愈恒。素喜杂食，家长不节制他。忽于四月底患上热病，时已在夏至后了。故中医学说不称温病，而称热病也。一日，有友人马顺康介余往诊。刚上楼，就见其家人，皆泪流满面。
我看床上病儿，片刻难安，烦躁反复，时时呕吐，虽少饮开水亦吐，额上有汗，而颈下全身皆无汗，摸之肤干烫手，目赤口干，唇焦齿垢，口气喷人，按其脘口作痛，手足反现微冷。问其时日，曰“才四天耳。”问其大便，曰“四天未解也。”问前医与服之药，情形如何，曰“点水已不能下，少饮水且呕吐不止，何况于药。”问西药服过否，曰：诊过中西医六七人之多，药不能下，故均不效耳。
我沉思片刻，就问蔡君说：“你们夫妇还要这孩子吗？”蔡君垂泪哭泣说：“我的孩子怎么能不要，先生这是什么话呀。”我说：“如果你不要你的孩子，那我有一个办法试试；如果你一定要你的孩子，那我丝毫无法了。”蔡君说：“先生出此奇言，有什么意思呢？”我说：“令郎的病，因为剧烈呕吐不止，而药不下咽，如果呕吐停止就有办法了。现在有一个办法，恐怕您不肯照做。然而不用我的话，则断然危险了。”蔡君问什么办法。我说：“你如果真的不要你的孩子，可以把他在地上，以泥土地为佳。但上海没有泥土地，可以将水泥地上，用水冲洗使其干净。再以大毛巾濡湿，置水泥地上。将你的孩子抱置其上，任其反复，使过一夜。到明晨再看他的情形如何。然而恐怕你心里舍不得吧。”蔡君说：“这是什么意思呢？”我说：“此时病急，不是讲医理的时候，信不信随你。”过了一会儿，蔡君忽然呼叫仆人：“来来，照余先生的话，速办来。”于是仆人将灶间内的水泥地洗刷干净，再将大毛巾濡湿，置于其上。蔡君即抱儿仰卧其上，起初还反复身体，一刻钟后，已烦躁渐减矣。我离开后，就不知道其情况如何。次日上午九时，又请我去。蔡君即欢然告诉我，说“睡到夜间十点后，就不再呕吐，身有微汗，热亦渐退而安眠，直到此时，神识大清，尚得无碍否。”我看危机已去，脉象已较平，乃处增液承气加葛根、黄芩、生石膏以治之。大便解后，奇臭难当，复得微汗。再剂减量与服，大便续下数次。表里热清，而病遂霍然。
他日蔡君问我：“先生的治疗，曾救小儿之命。然而其医理，可以听听吗？”我说：“现在可以告诉你了，那炭放在炉中，燃之片刻，则成灰了。如果把已燃之炭，置于潮湿土地上，片刻即熄，而炭则依然为炭也。为什么呢？盖地上潮湿之水气，被炭吸收，而炭中之火气，又被湿地吸收，水火之气，成交换作用，故火熄了。令郎之症，也是这样。温热内传，与胃家实合而为病。中脘不通，胃气为逆，因呕吐不止。热与实不去其一，则呕吐不止也。然而药已不下，难道听其死吗？所以不得已用这一法。断为热实之证，所以敢卧之于冷湿地。果然一卧而热退，热退而呕止。再用承气汤夺其早成之实，合增液法，救其将竭之阴，所以有效。您如果要这个爱儿，不肯弃置于湿地，则必不可救了。”蔡君惊骇叹服。一时传为奇治云。
【增液承气汤加葛根、黄芩、石膏方】润元参二钱，大麦冬（去心）二钱，细生地三钱，锦纹军一钱五分，元明粉二钱，粉葛根二钱，生黄芩一钱五分，生石膏六钱。
妇人产后热病（一）：妇人产后热病，迅即化燥。面绯目赤，口唇燥裂，舌苔焦腻，而环边紫绛，欲食冷物，烦躁不安，时或昏糊谵语，脘口拒按，胸有隐疹，皮肤干燥，大便不通，小溲短赤，已见呃逆，以白虎承气增液法加减主之。
王姓妇，26岁，住上海市城内三牌楼。在六月间，产后发热，久久不退，诸医罔效。延至二十余日，始请我去诊治。病者面绯目赤，口唇燥裂脱皮，舌苔焦腻，而边缘紫绛，津液干枯，口干欲饮冷水，时或谵语昏糊，烦躁不安，脘口拒按作痛，腹部较软，胸部红疹，隐而不透，皮肤干燥不泽，额上或有汗出，热甚耳聋，大便多日不解，小溲短赤，胸内如焚，手足微冷，已见呃逆。我见此状，觉毫无把握，既属产后，且又正衰邪盛，用药诚大难事。
After returning home, the fever remained largely unchanged, and the symptoms of mental restlessness and thirst persisted as before. At 7:00 a.m. the next morning, I was invited to examine the patient. Observing his symptoms and inquiring further, I learned that he had eaten a ball of sticky rice cake the previous morning, which likely caused the rise in temperature, leading to shock in the evening. I informed them, "This is a warm-heat disease (Wenbing). Counting from the onset, the fever has lasted for three days. In two more days, there will surely be faint red rashes on the chest." Upon unbuttoning the clothes to inspect, indeed, a few scattered granules were found on the chest, hidden beneath the skin and not obvious. I told them, "This condition is quite severe. I am prescribing a formula for you to take as directed. If bowel movements occur, sweating ensues, and the fever subsides, the rashes will also recede. If the fever persists, the rashes will continue to emerge and multiply; this corresponds to what Western medicine calls typhus with maculopapular rash." Therefore, I prescribed Yi Jie Si Qing Tang (One-Solution Four-Clearing Decoction) for him. I instructed that the herbs must be decocted at home to be effective; otherwise, if entrusted to a pharmacy for pre-decoction, it would certainly be ineffective, and thus I explained the decoction method.
After I left, the family followed the instructions. One hour after ingestion, the patient gradually became calm, with slight perspiration on the body. Approximately two hours later, he had another bowel movement, passing stool twice consecutively, with profuse sweating on the skin. By noon, after taking the second decoction, he had two more bowel movements, and the fever subsided by about seventy to eighty percent. The next morning, the family invited me again. The father led me upstairs and saw that Geng Di was sitting up organizing his schoolbag. His father exclaimed in surprise, "You just had your fever break, why are you exerting yourself mentally like this?" Geng Di replied, "There is a quiz in two days, so I am preparing." Hearing this, I smiled and said, "The quiz can be made up later; physical health is paramount. Do you not remember the shock you experienced the night before? Please do not overexert yourself." After examination, I slightly modified the previous prescription, and after one more dose, the patient stabilized.
[Yi Jie Si Qing Tang Formula]: Jin Wen Jun (Rhei Radix et Rhizoma) 2.5 qian (stir-fried), Zhi Qiao (Aurantii Fructus) 3 qian, Sheng Shi Gao (Gypsum Fibrosum) 1 liang, Fen Ge Gen (Puerariae Lobatae Radix) 3 qian, Jing Lian Qiao (Forsythiae Fructum) 3 qian, Jing Yin Hua (Lonicerae Japonicae Flos) 3 qian, Hang Ju Hua (Chrysanthemi Flos) 2 qian, Sheng Huang Qin (Scutellariae Radix) 3 qian, Sheng Shan Zhi Kuai (Gardeniae Fructus) 3 qian, Hua Shi (Talcum) 3 qian (wrapped), Xian Zhu Ye (Bambusae Folium) 40 leaves. [Note: Using Da Huang and Zhi Shi to descend qi and unblock the bowels; using Shi Gao and Ge Gen to clear heat from the meridians and fu-organs; using Yin Hua, Lian Qiao, and Ju Hua to clear upper jiao heat; using Huang Qin and Shan Zhi to clear heat between the diaphragm; using Hua Shi to clear bladder heat. Hence named Yi Jie Si Qing Tang.]
[Modified Yi Jie Si Qing Tang Formula]: Jin Wen Jun 1 qian, Chao Zhi Qiao 2.5 qian, Sheng Shi Gao 6 qian, Fen Ge Gen 3 qian, Sheng Huang Qin 2 qian, Sheng Shan Zhi 3 qian (pounded), Xie Bai Tou (Allii Macrostemonis Bulbus) 2.5 qian, Kuai Hua Shi 2 qian (wrapped), Xian Lu Gen (Phragmitis Rhizoma) 1 branch. [Note: This is the previous formula without Hang Ju Hua, adding Xie Bai Tou, replacing Zhu Ye with Lu Gen, and slightly reducing other dosages.]
Yangming Heat Disease Transmitting to Shaoyang Syndrome: A woman suffered from a heat illness at the beginning of late summer. Initially treated with Yin Qiao San (Honeysuckle and Forsythia Powder) by physicians, it was ineffective. Seeing her irritability, she was treated with Zhi Zi Chi Tang (Gardenia and Fermented Soybean Decoction), which also failed. I examined her high fever with spontaneous sweating, dry mouth, crimson tongue, intense thirst, reddish hue to the skin resembling intoxication, hot to touch, restlessness, yellow-red urine, and a flooding, rapid pulse. I cleared the heat using Bai Hu Ren Shen Tang (White Tiger with Ginseng Decoction) plus Tian Hua Fen (Trichosanthis Radix), after which the fever subsided and spirit calmed. Three days later, residual pathogenic factors transmitted to Shaoyang, presenting with alternating chills and fever, bitter taste in the mouth, dry throat, pain in the hypochondrium, and irritability with desire to vomit. I administered Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Bing Lang (Arecae Semen) and Huo Xiang (Agastaches Herba); after two doses, she recovered.
Zhu Meizhen, aged over 30, residing at Baxian Bridge, Baxian Fang, contracted a heat illness in mid-June. Initially, no physician was consulted. After two days of persistent fever and worsening condition, a doctor was summoned. He was given Yin Qiao San; one dose was ineffective, and a second dose also failed. Another doctor was consulted who, noting her irritability, prescribed Zhi Zi Chi Tang, which was also ineffective. Her husband's friend, Gu Yuzhi, suggested inviting me. As I ascended the stairs, before entering the room, I heard the patient loudly say, "If only I could drink ice water, I would thank heaven and earth!" Hearing this, I immediately recognized it as a Bai Hu Tang syndrome. Upon entering, four or five people stood around comforting her, saying, "The doctor is here; please let him examine you. Do not drink ice water." After sitting down, I observed her face and skin were red, resembling intoxication, with sclera showing watery redness. Her skin was hot to the touch, covered in sweat that wetted my hand, and she was restless. During pulse diagnosis, due to restlessness, she pulled her hand away three times; all six pulses were flooding and rapid. I asked, "How many days have you desired cold drinks?" She replied, "I wanted to drink more since the day before yesterday, especially these past two days, and now I crave ice water." Her husband said, "Other doctors said cold drinks are forbidden, as they might trap the pathogen inside. So I dared not give it, but my wife insists. What should I do?" I said, "If you had snow stored from winter, I could prescribe it, but it is hard to obtain now. It is early June; fresh watermelons are available. Buy some and feed them to her." I instructed her to buy a watermelon first, then prescribed Bai Hu Ren Shen Tang plus Tian Hua Fen, advising to decoct Shi Gao first, then add other herbs, before departing. After eating the watermelon, her irritability lessened. Following the decoction method, she sweated profusely at first, then less; fever rose initially then fell. Within three hours, her temperature normalized, skin redness faded, and irritability ceased completely. Taking the second decoction that evening, she slept soundly, and by morning, the illness had vanished.
I did not follow up the next day. Two days later, the family invited me again, stating, "She recovered after the previous medication, so we didn't trouble you. But since last night, she suddenly developed alternating chills and fever. When feeling cold, she wants blankets; when hot, she discards them. This has repeated three or four times during the night and morning. Could it be malaria?" I explained, "It is nothing else. After the previous dose broke the fever, residual Yangming heat was not fully cleared, transmitting to Shaoyang. It resembles malaria but is not true malaria. If I had continued treatment then, clearing residual pathogens with two doses, this complication would have been avoided." Her pulse was wiry and rapid; other symptoms matched the description above. I prescribed Xiao Chai Hu Tang plus Bing Lang and Huo Xiang; after two doses, she recovered. Subsequently, I prescribed regulating formulas to support healthy qi.
[Bai Hu Ren Shen Tang Plus Tian Hua Fen Formula]: Sheng Shi Gao 3 liang, Fei Zhi Mu 6 qian, Zhi Gan Cao 3 qian, Xi Dang Shen 5 qian, Tian Hua Fen 4 qian.
[Xiao Chai Hu Tang Plus Bing Lang and Huo Xiang Formula]: Chun Chai Hu 3 qian, Sheng Huang Qin 3 qian, Xi Dang Shen 4 qian, Jiang Zhi Ban Xia 3 qian, Zhi Gan Cao 3 qian, Hua Bing Lang 3 qian, Guang Huo Xiang 3 qian, Sheng Jiang 1 qian, Hong Zao 10 pieces.
Heat Illness Yangming Meridian Syndrome: A woman contracted a heat illness in mid-summer. Initially experiencing chills, she quickly stopped feeling cold. By the fourth day, the condition worsened. She lay naked on the floor, restless, tossing and turning, with red eyes and skin resembling intoxication, profuse pearl-like sweating, intense thirst, flooding and rapid pulse, and a crimson, dry tongue. She was first given watermelon juice, followed by Bai Hu Ren Shen Tang plus Tian Hua Fen.
In Shanghai, a Mrs. Chen, aged 42, contracted a heat illness three days before the Dragon Boat Festival in May. This aligns with the *Neijing* statement: "Illnesses before Summer Solstice are Warm diseases; illnesses after are Heat diseases." Initially chills and fever, she soon experienced only fever without chills, with continuous sweating. By the third day, she sweated profusely as if washed; other treatments failed. On the fourth day, I was called. She was lying supine on a cement floor, naked except for shorts, skin red like intoxication, eyes congested, restless, tossing and turning without peace, sweating profusely, limbs slightly cold, but chest burning hot, intense thirst craving ice water. Pulse was flooding and rapid, faint and hollow upon heavy pressure. Tongue was crimson and dry, lacking moisture.
I identified it as a Bai Hu Tang syndrome. However, preparing and decocting the medicine takes time, so I ordered her to buy an old-season watermelon, extract the juice, and drink it freely. I prescribed Bai Hu Ren Shen Tang plus Tian Hua Fen, instructing to decoct Shi Gao first, then add other herbs and Jing Mi (Oryza Sativa). Once the rice was cooked and the soup ready, filter and administer. After drinking the watermelon juice, she expressed great relief, and sweating decreased. After taking the herbal decoction, within two hours, sweating ceased, fever broke, and irritability stopped. After the second decoction, she slept through the night. By morning, the illness had disappeared.
[Bai Hu Ren Shen Tang Plus Tian Hua Fen Formula]: Sheng Shi Gao 6 liang, Fei Zhi Mu 8 qian, Zhi Gan Cao 3 qian, Xi Dang Shen 4 qian, Tian Hua Fen 4 qian, Jing Mi 1 liang.
Heat Illness with Maculopapular Rash Syndrome: Five days into a summer heat illness, maculopapular rashes appeared, mixed in size, red with purple hues, accompanied by persistent high fever, spontaneous sweating, mental restlessness, dry mouth and thirst for cold drinks, crimson dry tongue, red sclera, and flooding, rapid pulses. Factory doctors were ineffective. I instructed giving watermelon juice first, then administering Bai Hu Ren Shen Tang plus Ge Gen, Di Huang, Shi Hu, and Shan Zhi. After one dose, fever broke, irritability ceased, and rash color lightened. Learning that bowels were unopened and epigastric fullness with mild irritability existed, I used Zhu Ye Shi Gao Tang combined with Tiao Wei Cheng Qi Tang. Bowels opened, heat cleared, and she recovered.
Yu, a worker managing the kitchen at Zhonghua Weaving Factory near Sanguan Tang Bridge, Caojiadu, contracted a heat illness in late summer 1952. Traditional Chinese Medicine classifies heat illnesses occurring between Summer Solstice and Start of Autumn based on seasonal timing. Initially slight chills, then temperature rose above 40°C without chills, accompanied by headache and limb soreness. Factory doctors were ineffective. Next day: dry mouth and thirst, internal heat like fire. Third day: increased irritability and restlessness. Fourth day: appearance of maculopapular rashes, mixed sizes, severe distress. Despite penicillin and chloramphenicol treatment, the condition worsened daily.
On the fifth day, a coworker shopping at Yuchang Kiln Goods Store mentioned the case, suggesting hospital transfer. The owner advised, "This is likely Typhoid/Shaoyin disease; only Dr. Yu can treat it effectively and with certainty." With permission, the coworker invited me. Entering the factory, medical staff watched me enter. Upstairs, the patient lay on bed, naked waist and shorts, restless, forcing calm upon my entry. For left pulse, he held chest with right hand; for right pulse, left hand on chest, indicating heart irritability. Pulse was flooding and rapid; tongue dry and crimson; sclera red with blood vessels; skin showed mixed red-purple rashes. Thirst for cold drinks confirmed interior-exterior heat. I ordered a large watermelon for juice. Prescribed Bai Hu Ren Shen Tang as main formula, adding Ge Gen, Sheng Di, Shi Hu, and Shan Zhi. One dose taken as directed.
I reassured him it was harmless and to take medicine calmly. After one dose, 60% of the illness resolved.
Next day's follow-up: High fever reduced, irritability calmed, rash color faded from purple-red. Pulses smoothed. Patient reported lingering epigastric fullness and mild irritability. Bowels unopened for four days. Tongue crimson edges faded, root thin greasy with dry yellow coating. Changed to Zhu Ye Shi Gao Tang combined with Tiao Wei Cheng Qi Tang. After heavy use of Bai Hu, switching to Zhu Ye Shi Gao allows for mild purgation amidst cooling. After medication, bowels opened, symptoms resolved, yellow coating cleared, appetite returned. Third visit: Instructed to brew Zhu Ye, Shi Gao, and Yi Yi Ren as tea for three days. Additionally, Xiang Sha Liu Jun Zi Tang plus Shen Qu and Mai Ya to benefit qi and harmonize stomach.
[Bai Hu Ren Shen Tang Plus Ge Di Hu Zhi Formula]: Xi Dang Shen 4 qian, Sheng Shi Gao 4 liang, Fei Zhi Mu 6 qian, Fen Ge Gen 5 qian, Xian Sheng Di 6 qian, Xian Shi Hu 3 qian, Sheng Shan Zhi 3 qian, Zhi Gan Cao 2.5 qian, Chao Jing Mi 1 liang.
[Zhu Ye Shi Gao Tang Combined with Tiao Wei Cheng Qi Tang Formula]: Xian Zhu Ye 1 liang, Sheng Shi Gao 2 liang, Mai Men Dong (decored) 4 qian, Lu Dang Shen 3 qian, Jin Wen Jun 2 qian, Yuan Ming Fen 2 qian (taken separately), Zhi Gan Cao 2 qian, Chao Jing Mi 5 qian.
Severe Vomiting in Pediatric Heat Illness: A 4-year-old boy suffered from heat illness. Restless, frequent vomiting preventing medication intake, high fever, no sweating, hot skin, red eyes, dry mouth, scorched lips, dental plaque, offensive breath, epigastric tenderness, constipation, slightly cold extremities. Six or seven doctors failed. I instructed sleeping on a damp surface overnight; vomiting stopped, slight sweat appeared. Then treated with Cheng Qi Zeng Ye Fa plus Ge Gen, Huang Qin, and Shi Gao.
Young son of Mr. Cai Shengnan on Shunchang Road, Shanghai, aged 4, born of a concubine, dearly loved. Accustomed to miscellaneous foods, parents did not restrict him. Late April, post-Summer Solstice, he contracted a heat illness (called Heat Disease, not Warm Disease, per TCM theory). Friend Ma Shunkang introduced me. Upon ascending stairs, family was weeping.
The child on bed was uneasy, restless, vomiting frequently, even rejecting small sips of boiled water. Sweat on forehead only, neck and body dry and hot. Red eyes, dry mouth, scorched lips, offensive breath, epigastric pain, cold extremities. Illness duration: 4 days. Bowels unopened for 4 days. Previous medications failed as nothing could stay down. Seven Western and Chinese doctors visited, all ineffective due to inability to administer drugs.
After contemplation, I asked Mr. Cai, "Do you still want this child?" Mr. Cai wept, "How could I not want him! What do you mean?" I said, "If you don't want him, I have a method to try; if you do want him, I have no method." Mr. Cai asked for meaning. I said, "Your son's severe vomiting prevents drug intake. If vomiting stops, there is hope. I have a method, but you may not agree. Without my advice, danger is certain." Mr. Cai asked what method. I said, "If you truly don't want him, place him on the ground, preferably mud. Since Shanghai has no mud, clean a cement floor with water. Wet a large towel, place it on the cement. Lay your son on it, allow him to toss and turn overnight. Check tomorrow. But I fear you cannot bear it." Mr. Cai asked meaning. I said, "Condition is critical; now is not time for theory. Believe as you wish." Soon, Mr. Cai called servant, "Come, do as Mr. Yu says, quickly prepare." Servant cleaned cement floor, placed wet towel. Mr. Cai laid son supine. Initially restless, after 15 minutes, irritability decreased. I left, unaware of subsequent events. Next day 9 a.m., invited back. Mr. Cai joyfully reported, "After sleeping until 10 p.m., vomiting stopped, slight sweat appeared, fever subsided, slept peacefully, mind clear." Crisis passed, pulse smoothed. Prescribed Zeng Ye Cheng Qi Tang plus Ge Gen, Huang Qin, and Sheng Shi Gao. After bowel movement, foul odor, slight sweat. Reduced dose for second administration, multiple bowel movements ensued. Interior-exterior heat cleared, illness resolved miraculously.
Later, Mr. Cai asked, "You saved my son's life. Can you explain the medical principle?" I said, "Now I can tell you. Charcoal in furnace burns briefly to ash. If lit charcoal is placed on damp land, it extinguishes quickly, yet remains charcoal. Why? Dampness absorbs fire energy; fire absorbs dampness. Water-fire exchange extinguishes fire. Your son's condition is similar. Warm-heat transmitted internally, combining with Stomach excess. Middle jiao blocked, Stomach qi rebellious, causing vomiting. Unless heat or excess is removed, vomiting continues. Since drugs cannot be taken, shall we let him die? Thus, I used this method. Diagnosed as Heat-Excess syndrome, daring to place him on cold damp ground. Indeed, lying down broke fever; breaking fever stopped vomiting. Then Cheng Qi Tang seized established excess, Zeng Ye method rescued depleted yin. Hence efficacy. If you refused to place him on damp ground, he would surely have died." Mr. Cai was shocked and convinced. This became known as a miraculous cure.
[Zeng Ye Cheng Qi Tang Plus Ge Gen, Huang Qin, Shi Gao Formula]: Run Yuan Shen 2 qian, Da Mai Dong (decored) 2 qian, Xi Sheng Di 3 qian, Jin Wen Jun 1.5 qian, Yuan Ming Fen 2 qian, Fen Ge Gen 2 qian, Sheng Huang Qin 1.5 qian, Sheng Shi Gao 6 qian.
Postpartum Heat Illness (1): Postpartum heat illness rapidly transforms into dryness. Reddish face, red eyes, cracked lips, scaly tongue coating with purple-crimson edges, desire for cold food, restlessness, occasional delirium, epigastric tenderness, hidden chest rashes, dry skin, constipation, scanty dark urine, hiccups. Treated with modified Bai Hu Cheng Qi Zeng Ye Fa.
Mrs. Wang, 26, living in Sanpai Lou, Shanghai City, experienced persistent postpartum fever in June, unresponsive to various doctors. Invited me after 20+ days. Patient had reddish face, red eyes, peeling cracked lips, scaly tongue with purple-crimson edges, dry fluids, dry mouth craving cold water, occasional delirium, restlessness, epigastric pain, soft abdomen, hidden chest rashes, dry dull skin, forehead sweat, deafness from high fever, multi-day constipation, scanty dark urine, burning chest, cold extremities, hiccups. Seeing this, I felt uncertain. Postpartum state, deficiency with excess pathogens, making medication very difficult.