癸丑春。 城令张君。年三十有余。身体丰肥。精神康健。饮食倍于常人。太医王彦宝曰。君
肥盛如此。若不预服凉药。恐生热疾。张君从之。遂服三一承气汤二两。下利三十余行。异日。觉
阴阴腹痛。且不欲食。食而无味。心下痞满。精神困倦。次添胸膈闭塞。时作如刀刺之痛。稍多食
则醋心腹胀。不能消化。以此告予。予曰。昔君刚强。饮啖如常。血气周流。循其天度。十二脏之
相使。各守所司。神气冲和。身体太平。君自戕贼。冲气败乱而致病如此。虽悔何及。予遂以四君
子汤甘温之剂。补脾安胃。更加人参、黄 、升麻。升阳补气。戒以慎起居。节饮食。服之月余。
胸中快利而痛止。病气虽去。终不复正气。未几三旬中风而死。灵兰秘典云。主不明则十二官危。
形乃大伤。以此养生则殃。以为天下者。其宗大危。戒之戒之、启玄子云。心不明。邪正一。邪正
一。则损益不分。损益不分。则动之凶咎。陷身于羸瘠矣。故形乃大伤。夫主不明。则委于左右。
委于左右。则权势妄行。权势妄行。则吏不奉法。吏不奉法。则民众失所。而皆受枉曲矣。且民惟
邦本。本固邦宁。本不获安。国将何有。宗庙之主。安得不至于倾危乎。故曰戒之戒之。张君安危
不察。损益不分。妄加治疗以召其祸。可痛也哉。此既往不可咎。后人当以此为明鉴。
癸丑年春天。城里的县令张君，年龄三十多岁。身体肥胖壮实，精神健康，饮食量是常人的两倍。太医王彦宝说：“您如此肥胖，如果不预先服用凉性药物，恐怕会生出热性疾病。”张君听从了他的建议，于是服用了三两三一承气汤，导致腹泻三十多次。过了几天，他感到隐隐的腹痛，并且不想吃东西，吃了也尝不出味道，心口部位痞塞胀满，精神困倦乏力。随后又增添了胸膈部闭塞感，时常出现像刀刺一样的疼痛，稍微多吃一点食物就会反酸、腹胀，无法消化。因此他向我诉说病情。我说：“过去您刚强有力，饮食如常，气血周流全身，遵循自然的规律，十二脏腑相互协调，各自坚守其职守，神气冲和，身体安康太平。是您自己伤害了自己，导致冲气败乱而病变成这样，即使后悔又怎么来得及呢？”我随即用四君子汤这种甘温的药剂，来补脾安胃，另外加入人参、黄芪、升麻，以升发阳气、补益元气。告诫他要注意起居作息，节制饮食。服药一个多月后，胸中畅快便利，疼痛停止。虽然病邪已去，但正气终究没有恢复。不久之后（不到三十天），他因中风而死。《灵兰秘典论》说：“君主不明，则十二官危。”形体受到极大损伤，以此养生则会遭殃，以此治理天下，宗庙社稷将极度危险。要警惕啊，要警惕啊！启玄子（王冰）说：“心志不明，则邪正不分；邪正不分，则损益不辨；损益不辨，则行动招致凶险灾祸，使自身陷入瘦弱衰败之中。”所以形体受到极大损伤。如果君主不明，则将政事委托给左右近臣；委托给左右近臣，则权势之人妄自行事；权势之人妄自行事，则官吏不奉行法度；官吏不奉行法度，则百姓失去安居之所，都遭受冤屈。况且民众是国家的根本，根本稳固国家才能安宁，根本不能安定，国家还有什么呢？作为宗庙的主宰，怎么能不面临倾覆危险呢？所以说要警惕啊，要警惕啊。张君未能审察自身的安危，分不清损益，胡乱接受治疗从而招致祸患，真是令人悲痛啊。这已经是过去的事，不可再责怪，但后人应当以此为明鉴。
In the spring of the Gui-Chou year, Magistrate Zhang of the city, aged over thirty, was physically robust and obese, with sound spirit and health. His food intake was double that of an ordinary person. Imperial Physician Wang Yanbao said, "You are so obese; if you do not take cooling medicines in advance, it is feared that heat diseases will arise." Magistrate Zhang followed this advice and took two liang of Sanyi Chengqi Tang (Three-One Purging Decoction), resulting in more than thirty episodes of diarrhea. Some days later, he felt a dull abdominal pain, lost his appetite, and found no taste in food. He experienced epigastric fullness and stuffiness, and mental fatigue. Subsequently, chest and diaphragm obstruction developed, accompanied by occasional stabbing pains like those from a knife. If he ate slightly more, he suffered from acid regurgitation, abdominal distension, and indigestion. He reported this to me. I said, "Previously, you were vigorous, eating and drinking as usual, with blood and qi circulating freely according to natural laws. The twelve zang organs coordinated with each other, each fulfilling its duties, with harmonious spirit and peaceful body. You have harmed yourself, causing the disruption of the Chong Qi (Penetrating Vessel/Energy) and leading to such illness. Even if you regret it now, what can be done?" I then prescribed Sizijunzi Tang (Four Gentlemen Decoction), a sweet-warm formula, to tonify the spleen and stabilize the stomach, adding additional Ren Shen (Ginseng Root), Huang Qi (Astragalus Root), and Sheng Ma (Cimicifugae Rhizoma) to raise yang and tonify qi. I advised him to be cautious with daily routines and regulate his diet. After taking the medicine for over a month, his chest felt clear and comfortable, and the pain ceased. Although the pathogenic factor was eliminated, his righteous qi (Zheng Qi) did not fully recover. Within less than thirty days, he died from stroke (Zhong Feng). The *Linglan Midian Lun* states: "If the Sovereign (Heart) is unclear, the Twelve Officials (Organs) are in danger." The physical form suffers greatly; using this method for health preservation leads to disaster, and using it to govern the world brings great peril to the ancestral temple. Beware, beware! Qixuanzi (Wang Bing) stated: "If the Heart is unclear, right and wrong become indistinguishable; if right and wrong are indistinguishable, benefit and loss cannot be differentiated; if benefit and loss are not differentiated, actions invite misfortune, trapping the body in emaciation and weakness." Thus, the physical form suffers greatly. If the Sovereign is unclear, affairs are delegated to attendants on the left and right; if delegated to attendants, those in power act arbitrarily; if those in power act arbitrarily, officials do not uphold the law; if officials do not uphold the law, the people lose their place and suffer injustice. Moreover, the people are the root of the state; when the root is solid, the state is peaceful. If the root is insecure, what can the state have? How can the master of the ancestral temple avoid peril? Therefore, it is said: Beware, beware. Magistrate Zhang failed to examine his own safety and distinguish between benefit and loss, recklessly undergoing treatment and inviting disaster. This is truly lamentable. The past cannot be blamed, but future generations should take this as a clear warning.