毛(二二) 发热旬日,舌黄口燥,大腹有块,按之甚痛,大便难通,所解无几,两脉疲
软带数。此春温疫症,热邪结于大腑,当用承气汤下之。
大黄(三钱) 芒硝(一钱) 枳实(一钱) 石膏(八钱) 知母(二钱) 橘皮(一钱) 甘草
(四分)
一服之后,能下燥粪数块,腹和不硬,热缓神清而愈。
周(二四) 红斑遍体,自觉胸宽热缓,邪热透发明矣。咳呛咽痛。因手太阴受热熏灼,
清疏肺胃立愈。
鲜生地(四钱) 鲜石斛(三钱) 犀角尖(一钱镑) 川贝(一钱五分) 丹皮(一钱五分)
桔梗(一钱) 橘红(八分) 甘草(四分)
又,斑后不思纳食,宜醒胃阴。
北沙参 麦冬 川斛 花粉 茯苓 橘皮 甘草
张妪 疹后内热,咳嗽身痒,当疏肺金郁火。
杏仁 橘红 薄荷 桔梗 连翘 甘草
史女(十七) 仲春发热浃旬,神昏耳聋,颈项与颐俱肿,唇口焦燥,目脂胶结,脉反小
数。
观其脉症,是为温邪内蕴化毒,久则血燥风盛,酿成发颐重症。姑投清疏消毒,但得肿退能
纳,方保无妨。
川连(一钱) 鲜生地(四钱) 鲜石斛(四钱) 蝉衣(五分) 连翘(二钱) 丹皮(一钱五
分) 柴胡(三分) 薄荷(五分)
三服肿退,热减神清,稍能纳粥,仍用凉解。
川连(五分) 鲜生地(四钱) 鲜石斛(一钱) 连翘(一钱五分) 麦冬(二钱) 丹皮(一
钱五分) 白芍(一钱五分)
数服痊愈。
毛(二十二岁):发热十天,舌苔黄,口干燥,大腹部有肿块,按压时疼痛剧烈,大便难以通畅,排出的粪便很少,两手脉象虚弱柔软且带有数象。这是春温疫病,热邪结聚在六腑(此处指大肠等传导之官),应当使用承气汤来攻下实热。
大黄(三钱) 芒硝(一钱) 枳实(一钱) 石膏(八钱) 知母(二钱) 橘皮(一钱) 甘草(四分)
服用一剂后,能排出几块燥结的粪便,腹部变得柔和不再坚硬,热势减退,神志清醒而痊愈。
周(二十四岁):红斑遍布全身,自觉胸部宽舒,热势暂缓,说明邪热已经透发于肌表。伴有咳嗽气喘、咽喉疼痛。这是因为手太阴肺经受热邪熏灼所致,采用清宣疏利肺胃的方法即可立即痊愈。
鲜生地(四钱) 鲜石斛(三钱) 犀角尖(一钱,镑成薄片) 川贝母(一钱五分) 牡丹皮(一钱五分) 桔梗(一钱) 橘红(八分) 甘草(四分)
另外,出疹后不想进食,适宜醒胃滋阴。
张老妇人:出疹后体内发热,咳嗽,身体瘙痒,应当疏泄肺金郁积之火。
史女(十七岁):仲春时节发热持续十天,神志昏迷,耳聋,颈部和下巴颐部都肿胀,嘴唇和口腔焦燥,眼部分泌物胶结,脉象反而细小而快。
观察其脉象和症状,这是温邪内蕴化毒,日久导致血燥风盛,酿成严重的“发颐”病症(腮腺炎类疾病)。暂且投以清宣疏解、消毒散结的药物,只要肿胀消退能够进食,方保无碍。
黄连(一钱) 鲜生地(四钱) 鲜石斛(四钱) 蝉蜕(五分) 连翘(二钱) 牡丹皮(一钱五分) 柴胡(三分) 薄荷(五分)
服用三剂后,肿胀消退,热势减退,神志清醒,稍能喝粥,仍然继续使用凉解之法。
黄连(五分) 鲜生地(四钱) 鲜石斛(一钱) 连翘(一钱五分) 麦冬(二钱) 牡丹皮(一钱五分) 白芍(一钱五分)
服用多剂后痊愈。
Mao (22 years old): Fever for ten days, yellow tongue coating, dry mouth, a mass in the lower abdomen that is extremely painful upon pressure, difficulty in passing stool with very little excretion, and both pulses are weak, soft, and rapid. This is a spring-warmth epidemic syndrome where heat pathogens are accumulated in the Fu organs (specifically the large intestine). The Chengqi Decoction should be used to purge the accumulation.
Rhubarb Radix et Rhizoma (3 qian) Gypsum Fibrosum (8 qian) Natrii Sulfas (1 qian) Immature Bitter Orange (1 qian) Anemarrhenae Rhizoma (2 qian) Tangerine Peel (1 qian) Licorice Root (4 fen)
After one dose, several pieces of dry feces were passed, the abdomen became soft and no longer hard, the fever subsided, consciousness cleared, and recovery ensued.
Zhou (24 years old): Red macules covered the whole body; he felt his chest was relaxed and the heat had eased, indicating that the pathogenic heat was venting through the skin. He experienced coughing, wheezing, and sore throat. This was due to the heating and scorching of the Hand-Taiyin Lung Meridian. Immediate recovery was achieved by clearing and dispersing the Lung and Stomach.
Fresh Rehmanniae Radix (4 qian) Fresh Dendrobii Caulis (3 qian) Rhinoceros Horn (1 qian, sliced thin) Sichuan Fritillaria Bulb (1.5 qian) Moutan Cortex (1.5 qian) Platycodon Root (1 qian) Exocarpium Citri Reticulatae Viride (0.8 fen) Licorice Root (4 fen)
Furthermore, after the eruption of macules, there was a lack of appetite; it was appropriate to awaken the Stomach Yin.
Glehniae Radix Ophiopogonis Tuber Dendrobii Caulis Trichosanthis Radix Poria Cocos Tangerine Peel Licorice Root
Aunt Zhang: After the eruption of rashes, there was internal heat, coughing, and body itching. It was necessary to disperse the stagnant fire in the Metal (Lung).
Apricot Seed Exocarpium Citri Reticulatae Viride Mentha Herba Platycodon Root Forsythiae Fructus Licorice Root
Miss Shi (17 years old): In mid-spring, fever persisted for ten days, accompanied by coma, deafness, swelling of the neck and jaw (Yi), scorched lips and mouth, gelatinous eye discharge, and a pulse that was surprisingly small and rapid.
Observing the pulse and symptoms, this is warm pathogen accumulating internally and transforming into toxicity. Over time, blood dryness and wind excess developed,酿成 (brewing) a severe case of Fa Yi (mumps/parotitis). Temporarily administer clearing, dispersing, and detoxifying herbs. As long as the swelling subsides and she can eat, safety is assured.
Coptis Rhizome (1 qian) Fresh Rehmanniae Radix (4 qian) Fresh Dendrobii Caulis (4 qian) Cicada Slough (5 fen) Forsythiae Fructus (2 qian) Moutan Cortex (1.5 qian) Bupleuri Radix (3 fen) Mentha Herba (5 fen)
After three doses, the swelling subsided, heat decreased, consciousness cleared, and she could slightly consume congee. The cooling and resolving method was continued.
Coptis Rhizome (5 fen) Fresh Rehmanniae Radix (4 qian) Fresh Dendrobii Caulis (1 qian) Forsythiae Fructus (1.5 qian) Ophiopogonis Tuber (2 qian) Moutan Cortex (1.5 qian) White Peony Root (1.5 qian)
After several doses, full recovery was achieved.