天津陈××，年四十六岁，得风温兼伏气化热病。
病因 因有事乘京奉车北上时，当仲夏归途受风，致成温热病。
证候 其得病之翌日，即延为诊视，起居如常，惟觉咽喉之间有热上冲，咳嗽吐痰音微哑，周身
似拘束酸软。脉象浮而微滑，右关重按甚实，知其证虽感风成温，而其热气之上冲咽
喉，实有伏气化热内动也。若投以拙拟寒解汤原可一汗而愈。然当此病之初起而遽投以石膏重剂，
彼将疑而不肯服矣。遂迁就为之拟方。盖医以救人为目标，正不妨委曲以行其道也。
处方 薄荷叶（三钱） 青连翘（三钱） 蝉蜕（二钱） 知母（六钱）
玄参（六钱） 天花粉（六钱） 甘草（二钱）
共煎汤一大盅，温服。
复诊 翌日复延为诊视，言服药后周身得微汗，而表里反大热，咳嗽音哑益甚，何以服如此凉药
而热更增加，将毋不易治乎？言之若甚恐惧者。诊其脉洪大而实，左右皆然，知非重用石膏不可。因
谓之曰∶此病乃伏气化热，又兼有新感之热，虽在初得亦必须用石膏清之方能治愈。若果能用生石膏
四两，今日必愈，吾能保险也。问石膏四两一次全服乎？答曰∶非也。可分作数次服，病愈则停
服耳。为出方，盖因其有恐惧之心，故可使相信耳。
处方 生石膏（四两捣细） 粳米（六钱）
共煎汤至米熟，取汤四盅，分四次徐徐温饮下。病愈不必尽剂，饮至热退而止。大便若有滑泻，尤宜将药急停服。
复诊 翌日又延为诊视，相迎而笑曰∶我今热果全消矣，惟喉间似微觉疼，先生可再为治之。问
药四盅全服乎？答曰∶全服矣。当服至三盅后，心犹觉稍热，是以全服，且服后并无大
便滑泻之病，石膏真良药也。再诊其脉已平和如常，原无须服药，问其大便，三日犹未下行。为开
滋阴润便之方，谓服至大便通后，喉疼亦必自愈，即可停药勿服矣。
病因：因为在仲夏时节乘坐京奉铁路火车北上办事，归途中感受风邪，从而形成了温热病。
证候：他得病的第二天，我就去为他诊治。此时他的起居饮食如常，只是觉得咽喉间有热气上冲，咳嗽并吐痰，声音略微嘶哑，全身感觉像被束缚一样拘紧、酸软。脉象浮而微滑，右关脉重按时非常坚实。由此可知，虽然病症是因感风而成温病，但热气上冲咽喉，实际上是伏气化热在体内躁动所致。如果投用我拟定的寒解汤，原本可以一汗而愈。然而，在疾病初起时就立即投以石膏的重剂，患者将会怀疑而不肯服用。于是只好迁就他的心理来拟定处方。大概医生以救人为目标，正不妨委婉曲折地施行其道。
处方：薄荷叶（三钱）、青连翘（三钱）、蝉蜕（二钱）、知母（六钱）、玄参（六钱）、天花粉（六钱）、甘草（二钱）。
共煎成一大盅汤药，温服。
复诊：第二天他又请我去诊治，说服药后周身出了微汗，但表里反而大热，咳嗽和声音嘶哑更加严重，为什么服用如此凉的药，热反而增加了，难道是不容易治好吗？他说这些话时似乎非常恐惧。诊察他的脉象洪大而实，左右手都是如此，知道非重用石膏不可。于是对他说：“这个病是伏气化热，又兼有新感之热，虽然在初得病时也必须用石膏清解才能治愈。如果能用生石膏四两，今天必定痊愈，我能保证。”问：“生石膏四两是一次性全部服用吗？”答：“不是的。可以分作几次服用，病好了就停止服用。”为此开出处方，是因为他有恐惧之心，所以这样安排才能让他相信。
处方：生石膏（四两，捣细）、粳米（六钱）。
共煎汤至米粒熟透，取药汤四盅，分四次徐徐温饮下。病愈不必喝完所有药液，喝到热退为止。大便如果有滑泻的情况，尤其应当立即停止服药。
再复诊：第二天他又请我去诊治，笑着迎接我说：“我现在热果然完全消除了，只是喉咙间稍微觉得疼，先生可以再为我治疗一下。”问：“四盅药都喝完了吗？”答：“都喝完了。当喝到第三盅后，心里还觉得稍热，所以全部服完，而且服后并没有出现大便滑泻的病状，石膏真是良药啊。”再次诊察他的脉象已经平和如常，原本不需要再服药，询问他的大便情况，三天还没有下行。于是开出一个滋阴润便的方子，说服用到大便通畅后，喉痛也必然自愈，就可以停药不再服用了。
Chen XX from Tianjin, aged forty-six, suffered from Wind-Warmth complicated by latent Qi transforming into heat.
Etiology: While traveling north by the Beijing-Fengtian railway during midsummer for business, he was exposed to wind on his return journey, which resulted in a warm-heat disease.
Symptoms and Signs: On the day following the onset of the illness, I examined him. His daily activities were normal; however, he felt heat rushing up in the throat, coughing with sputum, slightly hoarse voice, and a sensation of stiffness, soreness, and weakness throughout the body. The pulse was floating and slightly slippery (Fu Er Wei Hua), and the right Guan position (Right Cun-Guan-Chi) was very firm upon heavy pressure. From this, it was known that although the condition arose from wind-induced warmth, the heat rushing up to the throat was actually due to latent Qi transforming into heat and stirring internally. If my prescribed Hanjie Tang (Cold Resolving Decoction) had been used, one sweat would have sufficed for recovery. However, administering a heavy dose of Shigao (Gypsum Fibrosum) immediately at the onset of the disease would likely cause suspicion and refusal by the patient. Therefore, I accommodated his psychology in prescribing. Indeed, since the physician's goal is to save lives, it is acceptable to adopt a tactful approach to practice medicine.
Prescription: Bohe Ye (Menthae Haplocalycis Herba, 3 qian), Qing Lianqiao (Forsythiae Fructus, 3 qian), Chantui (Cicadae Periostracum, 2 qian), Zhi Mu (Anemarrhenae Rhizoma, 6 qian), Xuanshen (Scrophulariae Radix, 6 qian), Tianhuafen (Trichosanthis Radix, 6 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian).
Decoct together in a large cup, take warm.
Second Visit: On the next day, he invited me again, stating that after taking the medicine, he sweated slightly all over, but the heat in both exterior and interior increased significantly, and the cough and hoarseness worsened. He asked why the heat increased despite taking such cooling medicines and expressed fear that the disease might be difficult to treat. His pulse was surging and full (Hong Da Er Shi) on both hands. It was determined that a heavy dose of Shigao (Gypsum Fibrosum) was indispensable. I told him, "This disease involves latent Qi transforming into heat, combined with new external heat. Even at the initial stage, Shigao must be used to clear the heat for a cure. If you can use four liang of raw Shigao (Sheng Shigao), you will surely recover today; I guarantee it." He asked, "Will all four liang of Shigao be taken at once?" I replied, "No. It can be divided into several doses; stop taking it when the illness resolves." This prescription was issued considering his fear, so that he would believe it.
Prescription: Sheng Shigao (Raw Gypsum Fibrosum, four liang, crushed fine), Jingmi (Oryza Sativa, six qian).
Decoct until the rice is cooked, extract four cups of decoction, and drink slowly and warm in four divided doses. There is no need to finish the entire dose if the illness resolves; stop drinking when the heat subsides. If loose stools occur, especially stop the medication immediately.
Third Visit: On the following day, he invited me again, greeting me with a smile, saying, "My heat has indeed completely disappeared, but my throat feels slightly painful now. Could you please treat it further?" I asked, "Did you finish all four cups?" He answered, "Yes. After drinking three cups, I still felt slightly hot inside, so I finished them. Moreover, there were no loose stools after taking the medicine; Shigao is truly a good medicine." Upon re-examination, his pulse had returned to a normal, peaceful state, and no further medication was necessary. I asked about his bowel movements, noting they had not occurred for three days. Therefore, I prescribed a formula to nourish Yin and moisten the bowels, stating that once the bowels moved freely, the throat pain would also heal itself, and the medication could then be stopped.