天津俞××，年过四旬，于孟夏得温病。
病因 与人动气争闹，头面出汗为风所袭，遂成温病。
证候 表里俱发热，胸膈满闷有似结胸，呼吸甚觉不利，夜不能寐，其脉左右皆浮弦有力，舌
苔白浓，大便三日未行。
诊断 此病系在太阳而连及阳明少阳也。为其病在太阳，所以脉浮；为其连及阳明，所以按
之有力；为其更连及少阳，是以脉浮有力而又兼弦也。其胸膈满闷呼吸不利者，因其怒气溢
于胸中，挟风邪痰饮凝结于太阳部位也。宜外解太阳之表，
内清阳明之热，兼和解其少阳，更开荡其胸膈，方为完全之策。
处方 生石膏（二两捣细） 蒌仁（二两炒捣） 生莱菔子（八钱捣碎） 天花粉（六钱）
苏子（三钱炒捣） 连翘（三钱） 薄荷叶（二钱） 茵陈（二钱） 龙胆草（二钱） 甘草（二钱）
共煎汤一大盅，温服后，复衾取微汗。
效果 服药后阅一小时，遍身得汗，胸次豁然，温热全消，夜能安睡，脉已和平如常，惟大便
犹未通下，俾但用西药旃那叶一钱，开水浸服两次，大便遂通下。
邑北境赵××，年近三旬，于孟秋得风温病。
病因 孟秋下旬，农人忙甚，因劳力出汗过多，复在树阴乘凉过度，遂得风温病。
证候 胃热气逆，服药多呕吐。因此屡次延医服药，旬余无效。及愚诊视，见其周身壮热，心中
亦甚觉热，五六日间饮食分毫不进，大便数日未行。问何不少进饮食？自言有时亦思饮食，然一切
食物闻之皆臭恶异常，强食之即呕吐，所以不能食也。诊其脉弦长有力，右部微有洪象，一息五至。
诊断 即此证脉相参，知其阳明腑热已实，又挟冲气上冲，所以不能进食，服药亦多呕也。欲治
此证当以清胃之药为主，而以降冲之药辅之。则冲气不上冲，胃气亦必随之下降，而呕
吐能止即可以受药进食矣。
处方 生石膏（三两捣细） 生赭石（一两轧细） 知母（八钱） 潞党参（四钱）
粳米（三钱） 甘草（二钱）
共煎汤一大碗，分三次温服下。
方解 此方乃白虎加人参汤又加赭石，为其胃腑热实故用白虎汤，为其呕吐已久故加人参，为其
冲胃上逆故又加赭石也。
效果 将药三次服完，呕吐即止，次日减去赭石，又服一剂，大便通下，热退强半。至第三日减
去石膏一两，加玄参六钱，服一剂，脉静身凉，而仍分毫不能饮食，憎其臭味如前。愚晓
其家人曰∶此病已愈，无须用药，所以仍不饮食者，其胃气不开也。胃之食物莫如莱菔，可用鲜
莱菔切丝香油炒半熟，而以葱酱作汤勿过熟，少调以绿豆粉俾服之。至汤作熟时，病患仍不肯服，
迫令尝少许，始知香美，须臾服尽两碗，从此饮食复常。病患谓其家人曰∶吾从前服药十余剂，病未见
愈，今因服莱菔汤而霍然全愈，若早知莱菔汤能如此治病，则吾之病不早愈乎？其家人不觉失笑。
附记 曾记弱冠时，比邻有病外感痰喘者，延邑中老医皮××，投以小青龙汤一剂喘即愈，然觉
胸中似有雾气弥漫不能进食。皮××曰，此乃湿气充盛，是以胃气不开也，此当投以开胃之剂。为疏
方，用《金匮》苓桂术甘汤，煎服后未半刻，陡觉胸中阴霾顿开，毫无障碍，遂能进食，见者皆惊其
用药之神奇。夫皮君能如此用药，诚无愧名医之目。而益叹经方之神妙，诚有不可令人思议者矣。
此因一用莱菔，一用古方，均开胃于顷刻之间，故附志之。
天津人俞××，年龄超过四十岁，在初夏时节患上温病。
病因：与人因生气争吵，头部和面部出汗后受到风邪侵袭，从而形成温病。
证候：身体表里都发热，胸膈部位满闷，症状类似结胸（痰热互结于胸膈的病证），呼吸非常不畅，夜晚无法入睡。其脉搏左右手均呈现浮弦且有力的特征，舌苔白而厚腻，大便三天未排。
诊断：此病属于太阳经病变并波及阳明经和少阳经。因为病在太阳经，所以脉象浮；因为波及阳明经，所以按之有力；因为又波及少阳经，所以脉象浮而有力且兼有弦象。其胸膈满闷、呼吸不利的症状，是因为怒气郁结于胸中，挟带风邪与痰饮凝结在太阳经部位所致。适宜采用外解太阳经表邪，内清阳明经热邪，同时和解少阳经，并开泄涤荡胸膈痰浊的方法，这才是完善的策略。
处方：生石膏（二两，捣碎成细粉） 瓜蒌仁（二两，炒后捣碎） 生莱菔子（八钱，捣碎） 天花粉（六钱） 苏子（三钱，炒后捣碎） 连翘（三钱） 薄荷叶（二钱） 茵陈（二钱） 龙胆草（二钱） 甘草（二钱）
共煎煮成一大盅汤剂，温服后，加盖被子以取微汗。
效果：服药一小时后，全身出汗，胸中豁然开朗，温热感完全消退，夜间能够安睡，脉搏已恢复平和正常，只是大便仍未通畅。于是仅使用西药番泻叶一钱，用开水浸泡服用两次，大便随即通畅。
本县北境赵××，年龄接近三十岁，在初秋时节患上风温病。
病因：初秋下旬，农民农活繁忙，因体力劳动出汗过多，又在树荫下乘凉过度，从而得了风温病。
证候：胃中有热气上逆，服药后多出现呕吐。因此多次请医生服药，十多天无效。到我诊视时，见他周身高热，心中也觉得非常热，五六天间饮食滴水不进，大便数日未行。问他为何不多进食？他自己说有时也想吃东西，但所有食物闻起来都异常臭恶，勉强吃下去就会呕吐，所以不能吃。诊察他的脉象弦长有力，右部脉象略微带有洪大之象，一息跳动五次。
诊断：综合这些证候和脉象，可知其阳明腑实热已经结实，又挟带冲气上冲，所以不能进食，服药也多呕吐。想要治疗此证，应当以清胃热的药物为主，以降冲气的药物为辅。这样冲气不再上冲，胃气也必然随之下降，呕吐停止后就能接受药物和进食了。
处方：生石膏（三两，捣碎成细粉） 生赭石（一两，轧碎成细粉） 知母（八钱） 潞党参（四钱） 粳米（三钱） 甘草（二钱）
共煎煮成一大碗汤剂，分三次温服。
方解：此方是白虎加人参汤（清热生津的方剂）再加赭石。因为胃腑热实，所以用白虎汤；因为呕吐已久，所以加人参以益气生津；因为冲胃之气上逆，所以再加赭石以重镇降逆。
效果：将药分三次服完，呕吐即止。次日减去赭石，又服一剂，大便通畅，热度退去大半。到了第三天，减去石膏一两，加入玄参六钱，服一剂后，脉搏平静，身体凉爽，但仍然丝毫不能进食，像以前一样厌恶食物的臭味。我告诉他的家人说：“这个病已经好了，不需要再用药。之所以仍然不能进食，是因为胃气尚未开通。胃的食物没有比得上萝卜的，可以用新鲜萝卜切丝，用香油炒至半熟，再用葱酱做汤，不要煮得太烂，少量调入绿豆粉让他服用。”等到汤煮熟时，病人仍不肯喝，强迫他尝了一小口，才知道香味美味，一会儿就喝完了两碗，从此饮食恢复正常。病人对他的家人说：“我以前服药十几剂，病没见好，今天因为喝了萝卜汤而霍然痊愈，如果早知道萝卜汤能如此治病，我的病不是早就好了吗？”他的家人不禁失笑。
附记：曾记得年轻时，邻居有人患外感引起的痰喘病，请县城中医皮××诊治，投用小青龙汤（解表散寒、温肺化饮的方剂）一剂，气喘即愈，但感觉胸中似有雾气弥漫，不能进食。皮××说：“这是湿气充盛，导致胃气不开，应当投用开胃的药剂。”于是开具《金匮要略》中的苓桂术甘汤（温阳化饮、健脾利湿的方剂），煎服后不到半刻钟，突然觉得胸中阴霾顿开，毫无障碍，遂能进食，见到的人都惊叹其用药的神奇。皮先生能如此用药，确实无愧于名医的称号。而我更加感叹经方（经典医籍中的方剂）的神妙，确实有不可思议之处。这是因为一次用萝卜，一次用古方，都在顷刻之间开启了胃气，所以记录下来。
Yu XX from Tianjin, aged over forty, contracted a warm disease (Wenbing) in early summer.
Etiology: After an angry dispute with someone, sweat on his head and face was exposed to wind pathogen, leading to the warm disease.
Symptoms: Fever present both in the exterior and interior; chest and diaphragm fullness resembling Jie Xiong (chest binding syndrome); severe difficulty in breathing; inability to sleep at night. The pulse is floating, wiry, and forceful on both left and right sides. The tongue coating is white and thick. No bowel movement for three days.
Diagnosis: This disease involves the Taiyang channel extending to the Yangming and Shaoyang channels. Because the pathogen is in Taiyang, the pulse is floating; because it extends to Yangming, it feels forceful upon pressure; because it further involves Shaoyang, the pulse is floating, forceful, and wiry. The chest fullness and breathing difficulty are due to anger stagnating in the chest, carrying wind pathogen and phlegm-fluids to condense in the Taiyang region. The appropriate strategy is to release the Taiyang exterior, clear the Yangming heat internally, harmonize the Shaoyang, and open up the chest diaphragm to purge turbidity. This constitutes a complete approach.
Prescription: Sheng Shigao (Raw Gypsum Fibrosum, 2 liang, crushed fine), Lou Ren (Trichosanthis Semen, 2 liang, stir-fried and crushed), Sheng Laifuzi (Radish Seed, 8 qian, crushed), Tianhuafen (Trichosanthis Radix, 6 qian), Suzi (Perilla Fructus, 3 qian, stir-fried and crushed), Lianqiao (Forsythiae Fructus, 3 qian), Bohe Ye (Menthae Haplocalycis Folium, 2 qian), Yichen (Artemisiae Scopariae Herba, 2 qian), Longdancao (Gentianae Radix et Rhizoma, 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian).
Decoct together in a large cup of water. Take warm, then cover with blankets to induce slight sweating.
Outcome: One hour after taking the medicine, the whole body sweated, the chest felt relieved, fever completely subsided, and he slept peacefully at night. The pulse returned to normal. However, the bowels remained unopened. He was given Xi Yao (Sennae Folium, 1 qian) soaked in boiling water and taken twice, after which the bowels opened.
Zhao XX from the northern border of the county, aged nearly thirty, contracted Wind-Warmth (Fengwen) in early autumn.
Etiology: In late early autumn, farmers were busy with harvest. Excessive sweating from physical labor followed by excessive cooling in the shade of trees led to Wind-Warmth.
Symptoms: Stomach heat with rebellious Qi, causing frequent vomiting after taking medicine. Multiple doctors were consulted over ten days without effect. Upon my examination, he had high fever throughout the body and intense heat in the heart/chest. He had not eaten or drunk anything for five to six days, and no bowel movement for several days. When asked why he did not eat, he said he sometimes desired food, but all foods smelled abnormally foul to him. Forcing himself to eat caused vomiting, hence he could not eat. His pulse was wiry, long, and forceful, with the right side slightly showing a flooding quality, beating five times per breath.
Diagnosis: Based on these symptoms and pulse, the Yangming fu-organ heat is solid/excess, accompanied by Chong Qi (Rebellious Qi from the Chong vessel) rushing upward. This prevents eating and causes vomiting even when taking medicine. Treatment should focus primarily on clearing stomach heat, assisted by herbs that descend rebellious Qi. Once Chong Qi descends, Stomach Qi will follow, stopping vomiting and allowing intake of medicine and food.
Prescription: Sheng Shigao (Raw Gypsum Fibrosum, 3 liang, crushed fine), Sheng Zheshi (Hematitum, 1 liang, crushed fine), Zhimu (Anemarrhenae Rhizoma, 8 qian), Lu Dangshen (Codonopsis Radix, 4 qian), Jingmi (Oryza Sativa, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian).
Decoct together in a large bowl. Take warm, divided into three doses.
Formula Analysis: This formula is Bai Hu Jia Ren Shen Tang (White Tiger Decoction plus Ginseng) added with Zhesi. Bai Hu Tang is used because of the solid heat in the stomach fu organ. Ren Shen is added because of prolonged vomiting. Zhesi is added to subdue the rebellious Qi of the Chong and Stomach vessels.
Outcome: After finishing the three doses, vomiting stopped. The next day, Zhesi was removed, and another dose was taken. Bowels opened, and fever reduced by more than half. On the third day, Shigao was reduced by one liang, and Xuanshen (Scrophulariae Radix, 6 qian) was added. After one dose, the pulse became calm, and the body cooled, yet he still could not eat and disliked food odors as before. I told his family: "The disease is cured; no more medicine is needed. The reason he cannot eat is that Stomach Qi has not yet opened. Nothing opens the Stomach better than radish. Use fresh radish, cut into shreds, stir-fry semi-cooked in sesame oil, make soup with scallions and soybean paste, do not overcook, and mix in a little mung bean flour for him to drink." When the soup was ready, he refused initially. Forced to taste a little, he found it fragrant and delicious, drinking two bowls quickly. From then on, his diet normalized. He told his family: "I took over ten doses of medicine before without improvement. Today, thanks to the radish soup, I am suddenly cured. If I had known earlier, would my illness not have healed sooner?" His family laughed involuntarily.
Appendix: I recall when I was young, a neighbor suffered from external contraction complicated by phlegm and wheezing. An old local physician, Pi XX, prescribed Xiao Qing Long Tang (Minor Blue Dragon Decoction). One dose cured the wheezing, but the patient felt mist-like obstruction in the chest and could not eat. Pi XX said: "This is dampness abundance causing Stomach Qi stagnation. We need an appetite-opening agent." He prescribed Ling Gui Zhu Gan Tang (Poria, Cinnamon Twig, Atractylodes Macrocephala, and Licorice Decoction) from *Jin Gui Yao Lue*. Less than half a ke (approx. 30 minutes) after ingestion, the chest obstruction cleared instantly, and he could eat. Observers marveled at the miraculous efficacy. Mr. Pi truly deserved the title of famous doctor. I am further amazed by the profound efficacy of classical formulas (Jing Fang), which are indeed beyond ordinary comprehension. Here, one case used radish, the other a classical formula, both opening the Stomach Qi within moments. Hence, I record this.