盖阴与阳，虽属不同的两个属性，然互有联系，互为制约，阴平则阳秘，偏胜则病，所谓「亢则害，承乃制，制则生化」；「君火之下，阴精承之」；「阳不独立，必得阴而后成，阴不自专，必得阳而后行」。此水火阴阳制约的生化规律。故潜其阳，必育其阴。潜阳育阴之法，虽非先生独创，但运用自如，足证先生治法灵活，无固执一法的偏见。从儿科领域中，很多疾病由于邪热消烁真阴，产生水火阴阳制化失常，从而导致肾水的亏损，鸱张了心火的亢盛。诸如出现阴虚阳越的临床症候，若片面育阴，亦难奏效。所谓：「孤阳不生，独阴不长」；「热淫于内，治以咸寒，佐以苦甘」。张介宾尝云；「有形之火不可纵，无形之火不可残。」先生以黄连阿胶汤、定风珠立方，佐以温下潜阳之品，化裁出入，泻其有余，补其不足，其可谓临机应变，深得要旨。
由于先生忙于诊务，没有专论著述留世，但先生及门弟子遍布海内，珍藏先生之临证医案及深得先生之奥旨者不乏其人，此非表彰先生毕生之业绩，而是发扬祖国医学遗产中的一分宝贵数据。如能互相献出，公之于世，则对儿科保健工作者提高学术水平，裨益不少，是所祷之。
【王静斋小传】王静斋〔18831953〕，名功镇，山东历城人。世代业医，自学成才。青年时代在当地即有医名，后悬壶济南，一九二八年起在天津操业，井巡诊于京、唐、保等地，声誉日隆，成为一时名医。精通医理，擅长湿病，又精儿科，著有《养生医药浅说》等。解放后，被天津市卫生局聘为市中医考试委员会委员。
我家世代业医，曾祖父王允中，祖父王晋封，均为当时名医，事迹载历城县志。先父王静斋幼失怙恃，惧祖业之将坠，乃勤求古训，努力钻研，年甫弱冠而医名已著。为了维持家庭生计，一面设塾课徒，一面在当地行医，一时颇具威望。后移寓济南，设一小药铺，前面卖药，后面为诊室。此时被选为山东省议会议员，但仍以行医为正式职业。一九二五年到大连出诊，治愈濒危之小儿，病家为表示谢意，介绍到直隶(即河北省)两摄县篆。北伐后(一九二八年)退居天津，仍理旧业，誉隆遐迩，时到北京、保定、唐山，北戴河等地出诊。诊余之暇，著有《养生医药浅说》行世。解放前后，屡被天津市卫生局聘为中医考试委员。与北京四大名医之一孔伯华极为友好，每逢孔先生来津出诊，即与终日相聚，探讨病理，互相会诊，在当时中医界传为佳话。
医学渊源
先父读儒书时，即取《内经》、《难经》而读之。数年，以为医学一道，非《内经》不足以明其理。熟读《内经》以后，继之以《本草经》、《伤寒》《金匮》，均能熟诵，至老不忘。认为熟读《内经》则增人智慧，于病理可左右逢源，熟读《本草》则方自我出，不受古方局限，熟读《伤寒》、《金匮》，则辨证施治有法可循。正如朱丹溪所说非《素问》无以立论，非《本草》无以立方。有方无论，无以识病，有论无方，何以模仿。又说：仲景之书详于外感，东垣之书详于内伤，医之为书至是始备，医之为道至是始明。(见《格致余论》)先父认为《内经》文词古奥，初学颇不易读，须广看各家注解，其义始通。王太仆为注《素问》之先河，其中有很多精辟之处，如益火之源以消阴翳，壮水之主以制阳光，此注解诚高出千古。马元台、张隐庵之注解，亦有超乎前贤之处。如《素问·生气通天论》：因于气为肿，四维相代，阳气乃竭。王注，四维为筋骨血肉；马张二人注，四维为四肢，似较王注为优。正如虞天民说：《内经》其书深而要，其旨邃以弘，其考辩信而有征，是当为医家之宗。(《医学正传》)我初学医时，先父即教导说：学医要从四部经典著作入手，熟读以后，再博览群书；经过认真临床，方能得之于心，应之于手。如《千金》、《外台》集唐以前医方之大成；金元四家，补前人所不及。历代各家著作及名医医案，须要多读多看。总之，开卷有益也。尤其清代叶天士之《温热论》，吴鞠通之《温病条辨》、王盂英之《温热经纬》更为必读之书。然先父临床运用，不执前人成见，师古而不泥古，不论经方时方，善于化裁。如在治温病之神昏谵语时，常配一种粉剂，处方为：羚羊角、犀角各1克，麝香、牛黄，珍珠粉、薄荷冰各0．3克，琥珀5克，冰片0．3克，朱砂5克。同研细，大人海服2克，小儿每服1克。此方即由局方至宝丹化裁而来，对温病之神昏谵语及剧烈头痛，疗效突出，较局方至宝丹、安宫牛黄丸药力单纯，直达病所。尝谓以古方治新病，譬如拆旧屋盖新房，必须经匠人之手而后可。量体裁衣，自无不合，削足适履，定受其害。
先父治学，既不厚古薄今，也不是今非古，既不主中排酉，也不泥古不化。常谓吴鞠通之《温病条辨》似主杂气，实偏于阴虚，故药多寒凉，陈修园之书，偏于阳虚，故药多温补。二人虽各有所偏，因其所处之时代不同，气运各异也。如中西医书，汗牛充栋，约其宗旨，要皆在济人利物。西医之言细菌，即中医所谓病邪，西医能杀菌灭毒，中医亦能杀菌灭毒。如桂枝汤、麻黄汤、白虎汤、承气汤，或表或化，或吐或下，使邪尽而病愈者，皆杀菌之法也。中西医所操之术不同，而治病教人的目的则同，当互相取长补短，只要有利于病者，医何分中西哉?在那还投有提出中西医结合的时代，而能有此见解，实属可贵。又常说，民国以后，军阀割据，连年战争，杀人盈野，空气中含有一种厉气，故温疫病为多。吴又可著《温疫论》，亦是因当时直隶山东浙江大疫，以伤寒法治之不效，乃著此书。可见古今医家皆是以气运为转移，先父以善治温病名于世，亦因时代所致也。
先父常谓：医虽小道，人命所司，必须明阴阳，察运气，因时制宜，随机应变，庶不致贻误病机。
凡病总不出三因，揆其因治其病，不难治愈；万勿以其人平素虚弱，不问病之所在，一味滋补，致令邪留于中，固蔽既久，永不能出，重则丧命，轻则缠绵终身。须知病去后脏腑虽虚，亦能借谷气以生，所谓药补不如食补；病留，脏腑虽实亦死。祛邪即所以扶正，邪去则正气自复。或曰服补药气不能脱，服热药阳不能绝。须知滋补之剂，固外邪而助内热，病留于中，致使邪气愈炽，于人何益哉！故补虚宜于平日不宜于病时。误服燥药则阴竭；偏于滋腻，湿痰阻滞，补气补血，皆宜慎之。
治病宜分三期：病之初起，元气强壮，无论轻重，当以猛剂峻剂，急去其病，是为第一期，病之中路，元气渐衰，正邪宜兼筹并顾，当以宽猛相济之药，缓急得宜，方能收效，是为第二期；病至末路，元气已亏，惟宜养正为先，正气充足，邪气自除，此时用药万勿猛烈，须缓图而不可急功，是为第三期。我尝遵守这些治疗法则，每收指臂之效。
先父对温病尤为特长，每年活人无算，津市人多称其为伤寒专家。盖西医所谓之伤寒，即温病之类。温病发病急变化快，病死率高，每遇此症，即以峻剂猛剂，不但药味多，而且剂量重，每剂药中生石膏有用90一120克者，甚或有用生石膏煎水作饮料者，故药下即效。并谓治温病如擒虎，稍一放松，回噬伤人，故必须用大剂量，使病邪无反袭之力，所谓治外感如将，如大将之用兵，兵贵神速，除恶务尽也。病愈后，仍须彻底清理，以免死灰复燃。但当时天津人最怕生石膏，以为石膏大寒，入胃后，虑如做豆腐者用石膏之点卤。患者既不敢服，医者也不敢用，如用之，也是用煅者。殊不知生石膏辛凉，体重气轻，体重可泻胃热，气轻可解肌表。丹溪谓其味辛甘。其甘也，能缓脾益气，止渴去火;其辛也，能解肌发汗上行至头。近人张锡纯对石膏论述极精，可资参考。故生石膏主要功能，大清阳明之热，解肌表而发汗，为治温病之特效药，不似芩连之苦寒凝滞也。因而先父与药肆中相识者洽商，嘱其煎好，名之曰清热露，使病人不知为石膏制剂，可以放心服之。津市有一名医某君，素不用石膏，见先父之用清热露颇有疗效，故亦常大量用之，盖其不知即石膏也。
对于内伤虚证，则用药极轻，不但药味少，而且剂量轻，盖以胃气虚弱不能胜药力，药汁入胃不能消化，病必增剧，勿急于求功，须缓缓图之，使正气复而邪气退，所谓治内伤如相，如良相之治国，坐镇从容，神机默运，无功可言，无得可见，而民登寿域。可见治病不在用药之轻重，而在辨证之精确。辨证不明，用药必误。长于治疗中凤、肺痨和麻疹先父对中风、肺痨等大症，均有独到之处。如论中风说：唐宋以前，多主外风，金元四家，刘主火，李主气，朱主痰，因而后人有真中类中之分。实际《内经》中早有记载，不过不名中风，而名大厥薄厥之类。如《素问·调经论》说：血之与气并走于上，则为大厥，厥则暴死，气复反则生，不反则死。这正是本病的致病因素。盖人身气血，上下循环，周流不息。血随气上，上行极必然造成脑充血，故卒然倒仆不省人事；气上行极而下，则血亦随之下行，是为气复返则生；假如气血上行不止，势必造成脑血管破裂而出血，出血不止，是为不返则死。又《素问·生气通天论》说：阳气者，大怒则形气绝，而血菀于上，使人薄厥。这说明肝阳旺盛的人易于动怒，怒则气上，血亦随之，故血菀于上，而造成昏迷，临床常见到血压高的人，往往因大怒而突然发生脑溢血，可见大怒为本病诱因之一。又《素问·通评虚实论》说：凡治消瘅仆击，偏枯痿厥，气满发逆，甘肥贵人，则高梁之疾也。可见嗜高梁厚味的肥胖人，多属半身不遂病的易发体质。因此，本病固不必有真中类中之分，不过有中脏腑，中经络之异，有虚实闭脱之别。虚者益气以通络，实者活血以通络，闭者先用芳香以开之，脱者以补脾肾强心以固之。常用药；益气用参芪白术，养血用归芍熟地，通络用桑寄生、威灵仙、稀莶草、牛膝，活血用山甲、蜇虫，地龙、鸡血藤(活血用虫类药者，以其亦有通络之力也)，口歪用僵蚕、全蝎，肝阳旺者用石决明、生龙牡、胆草、旋复花、赭石、羚羊角，脉滑数者是内热较盛，用生石膏，知柏、竹茹、栀子，痰盛者用黛蛤粉、半夏，广皮，天竺黄、竹沥水，开闭用苏合香丸、安宫牛黄丸、菖蒲等，固脱强心用圆肉、山茱萸、茯神、枸杞子、菟丝子，或加参芪，龙牡。先父每年治中风病不下数十人，很少留有后遗症，因其最后皆令病人加强锻炼，每逢此病治到一定程度，患者已能站立活动，即将太极拳教师李君介绍去帮助患者练习太极拳，故大多数能恢复正常。
先父认为，肺痨有真假之别。先就真肺痨言之：其人先天禀赋不足。若其处境顺者，或能脱过；如日处逆境，心思败乱，虽将其培于参芪之中，亦难幸免于死。盖草根树皮，可以疗病，不能补其将绝之根源也。然此病初得，亦多有因风寒而起者。此时先以辛散解之，清凉化之，使邪不留经，亦可愈于无形；及至骨蒸发热，交阴时则剧，两颧红如拇指一点，此心阳将绝之兆；干咳无痰，或唾涎沫，或大便溏，脉来细疾而软，是肺绝脾败，病人膏盲，无能为力矣。古人多以滋补气血，填精益髓，以延寿命，亦恐于事无济。
再以假肺痨论之：其人平素气充体实，或受风寒外感，邪既郁，脉必闭，不但不见浮数，反涩小而缓，身亦不热头亦不痛，但只咳嗽，此风热闭于内，治当火郁发之。如误认为虚用滋腻之剂，补邪于内，热邪内伏，上蒸于肺，肺被热蒸，久则肿胀，气道不通，咳嗽愈急，血被火炼，烧无定时，或先恶寒而后发烧，形同疟疾，此乃肺部肿腐之时，气盛者阳时发烧，气弱者阴时发烧，风火交煽，则精神萎靡，饮食不进，类似真肺痨矣。烧时满面发红，间有不红者，得汗则解，口渴，脉滑数，洪大，或涩或迟而脉体宽大，不但证为纯阳，而胃亦太热。欲救其急，非釜底抽薪不可，只要大便不见溏泄，即可用生石膏治阳明胃热而清通肺气，犀黄丸消肺中之肿腐，再加紫雪以开之，使浮游之火散，而他脏自安。常用方剂，以麻杏甘石汤、桑菊饮加减。然麻黄辛热，须少用(至多不超过半分，用以搜肺经所郁之风寒)，若多则受其害矣。重用生石膏以清其热，使热不上冲，则咳嗽自愈，此方乃治蕴藏风热之坏症，而非治阴火痨瘵也。然此时如用滋补，则风火不得宣泻，内耗真阴，阴愈虚则热愈盛，肺被熏蒸，势必肿烂而死。
一九三零年，患者羊幼甫，女性，十七岁，初患风热，误服补剂，以致发烧不退，咳嗽，痰中带血，经x光照像为肺结核，求治于先父，其脉细数而疾，时烧时止，饮食减少，形体瘦削，肺痨已成，即用桑菊饮加生石膏，服七十余剂而愈。越三年，其姊又病，复受传染，肺痨又作，仍以前方加生鳖甲、生龙牡、知母、黄柏，犀黄丸、紫雪丹出入为方，服药二百余剂，方治痊愈，观察二十年未再反复。如患者急于求愈，医者不耐心治疗，末见其能愈也。
盖阴与阳，虽属不同的两个属性，然互有联系，互为制约，阴平则阳秘，偏胜则病，所谓「亢则害，承乃制，制则生化」；「君火之下，阴精承之」；「阳不独立，必得阴而后成，阴不自专，必得阳而后行」。此水火阴阳制约的生化规律。故潜其阳，必育其阴。潜阳育阴之法，虽非先生独创，但运用自如，足证先生治法灵活，无固执一法的偏见。从儿科领域中，很多疾病由于邪热消烁真阴，产生水火阴阳制化失常，从而导致肾水的亏损，鸱张了心火的亢盛。诸如出现阴虚阳越的临床症候，若片面育阴，亦难奏效。所谓：「孤阳不生，独阴不长」；「热淫于内，治以咸寒，佐以苦甘」。张介宾尝云；「有形之火不可纵，无形之火不可残。」先生以黄连阿胶汤、定风珠立方，佐以温下潜阳之品，化裁出入，泻其有余，补其不足，其可谓临机应变，深得要旨。
由于先生忙于诊务，没有专论著述留世，但先生及门弟子遍布海内，珍藏先生之临证医案及深得先生之奥旨者不乏其人，此非表彰先生毕生之业绩，而是发扬祖国医学遗产中的一分宝贵数据。如能互相献出，公之于世，则对儿科保健工作者提高学术水平，裨益不少，是所祷之。
【王静斋小传】王静斋〔1883-1953〕，名功镇，山东历城人。世代业医，自学成才。青年时代在当地即有医名，后悬壶济南，一九二八年起在天津操业，井巡诊于京、唐、保等地，声誉日隆，成为一时名医。精通医理，擅长湿病，又精儿科，著有《养生医药浅说》等。解放后，被天津市卫生局聘为市中医考试委员会委员。
我家世代业医，曾祖父王允中，祖父王晋封，均为当时名医，事迹载历城县志。先父王静斋幼失怙恃，惧祖业之将坠，乃勤求古训，努力钻研，年甫弱冠而医名已著。为了维持家庭生计，一面设塾课徒，一面在当地行医，一时颇具威望。后移寓济南，设一小药铺，前面卖药，后面为诊室。此时被选为山东省议会议员，但仍以行医为正式职业。一九二五年到大连出诊，治愈濒危之小儿，病家为表示谢意，介绍到直隶(即河北省)两摄县篆。北伐后(一九二八年)退居天津，仍理旧业，誉隆遐迩，时到北京、保定、唐山，北戴河等地出诊。诊余之暇，著有《养生医药浅说》行世。解放前后，屡被天津市卫生局聘为中医考试委员。与北京四大名医之一孔伯华极为友好，每逢孔先生来津出诊，即与终日相聚，探讨病理，互相会诊，在当时中医界传为佳话。
医学渊源
先父读儒书时，即取《内经》、《难经》而读之。数年，以为医学一道，非《内经》不足以明其理。熟读《内经》以后，继之以《本草经》、《伤寒》《金匮》，均能熟诵，至老不忘。认为熟读《内经》则增人智慧，于病理可左右逢源，熟读《本草》则方自我出，不受古方局限，熟读《伤寒》、《金匮》，则辨证施治有法可循。正如朱丹溪所说非《素问》无以立论，非《本草》无以立方。有方无论，无以识病，有论无方，何以模仿。又说：仲景之书详于外感，东垣之书详于内伤，医之为书至是始备，医之为道至是始明。(见《格致余论》)先父认为《内经》文词古奥，初学颇不易读，须广看各家注解，其义始通。王太仆为注《素问》之先河，其中有很多精辟之处，如益火之源以消阴翳，壮水之主以制阳光，此注解诚高出千古。马元台、张隐庵之注解，亦有超乎前贤之处。如《素问·生气通天论》：因于气为肿，四维相代，阳气乃竭。王注，四维为筋骨血肉；马张二人注，四维为四肢，似较王注为优。正如虞天民说：《内经》其书深而要，其旨邃以弘，其考辩信而有征，是当为医家之宗。(《医学正传》)我初学医时，先父即教导说：学医要从四部经典著作入手，熟读以后，再博览群书；经过认真临床，方能得之于心，应之于手。如《千金》、《外台》集唐以前医方之大成；金元四家，补前人所不及。历代各家著作及名医医案，须要多读多看。总之，开卷有益也。尤其清代叶天士之《温热论》，吴鞠通之《温病条辨》、王盂英之《温热经纬》更为必读之书。然先父临床运用，不执前人成见，师古而不泥古，不论经方时方，善于化裁。如在治温病之神昏谵语时，常配一种粉剂，处方为：羚羊角、犀角各1克，麝香、牛黄，珍珠粉、薄荷冰各0．3克，琥珀5克，冰片0．3克，朱砂5克。同研细，大人海服2克，小儿每服1克。此方即由局方至宝丹化裁而来，对温病之神昏谵语及剧烈头痛，疗效突出，较局方至宝丹、安宫牛黄丸药力单纯，直达病所。尝谓以古方治新病，譬如拆旧屋盖新房，必须经匠人之手而后可。量体裁衣，自无不合，削足适履，定受其害。
先父治学，既不厚古薄今，也不是今非古，既不主中排酉，也不泥古不化。常谓吴鞠通之《温病条辨》似主杂气，实偏于阴虚，故药多寒凉，陈修园之书，偏于阳虚，故药多温补。二人虽各有所偏，因其所处之时代不同，气运各异也。如中西医书，汗牛充栋，约其宗旨，要皆在济人利物。西医之言细菌，即中医所谓病邪，西医能杀菌灭毒，中医亦能杀菌灭毒。如桂枝汤、麻黄汤、白虎汤、承气汤，或表或化，或吐或下，使邪尽而病愈者，皆杀菌之法也。中西医所操之术不同，而治病教人的目的则同，当互相取长补短，只要有利于病者，医何分中西哉?在那还投有提出中西医结合的时代，而能有此见解，实属可贵。又常说，民国以后，军阀割据，连年战争，杀人盈野，空气中含有一种厉气，故温疫病为多。吴又可著《温疫论》，亦是因当时直隶山东浙江大疫，以伤寒法治之不效，乃著此书。可见古今医家皆是以气运为转移，先父以善治温病名于世，亦因时代所致也。
先父常谓：医虽小道，人命所司，必须明阴阳，察运气，因时制宜，随机应变，庶不致贻误病机。
凡病总不出三因，揆其因治其病，不难治愈；万勿以其人平素虚弱，不问病之所在，一味滋补，致令邪留于中，固蔽既久，永不能出，重则丧命，轻则缠绵终身。须知病去后脏腑虽虚，亦能借谷气以生，所谓药补不如食补；病留，脏腑虽实亦死。祛邪即所以扶正，邪去则正气自复。或曰服补药气不能脱，服热药阳不能绝。须知滋补之剂，固外邪而助内热，病留于中，致使邪气愈炽，于人何益哉！故补虚宜于平日不宜于病时。误服燥药则阴竭；偏于滋腻，湿痰阻滞，补气补血，皆宜慎之。
治病宜分三期：病之初起，元气强壮，无论轻重，当以猛剂峻剂，急去其病，是为第一期，病之中路，元气渐衰，正邪宜兼筹并顾，当以宽猛相济之药，缓急得宜，方能收效，是为第二期；病至末路，元气已亏，惟宜养正为先，正气充足，邪气自除，此时用药万勿猛烈，须缓图而不可急功，是为第三期。我尝遵守这些治疗法则，每收指臂之效。
先父对温病尤为特长，每年活人无算，津市人多称其为伤寒专家。盖西医所谓之伤寒，即温病之类。温病发病急变化快，病死率高，每遇此症，即以峻剂猛剂，不但药味多，而且剂量重，每剂药中生石膏有用90一120克者，甚或有用生石膏煎水作饮料者，故药下即效。并谓治温病如擒虎，稍一放松，回噬伤人，故必须用大剂量，使病邪无反袭之力，所谓治外感如将，如大将之用兵，兵贵神速，除恶务尽也。病愈后，仍须彻底清理，以免死灰复燃。但当时天津人最怕生石膏，以为石膏大寒，入胃后，虑如做豆腐者用石膏之点卤。患者既不敢服，医者也不敢用，如用之，也是用煅者。殊不知生石膏辛凉，体重气轻，体重可泻胃热，气轻可解肌表。丹溪谓其味辛甘。其甘也，能缓脾益气，止渴去火;其辛也，能解肌发汗上行至头。近人张锡纯对石膏论述极精，可资参考。故生石膏主要功能，大清阳明之热，解肌表而发汗，为治温病之特效药，不似芩连之苦寒凝滞也。因而先父与药肆中相识者洽商，嘱其煎好，名之曰清热露，使病人不知为石膏制剂，可以放心服之。津市有一名医某君，素不用石膏，见先父之用清热露颇有疗效，故亦常大量用之，盖其不知即石膏也。
对于内伤虚证，则用药极轻，不但药味少，而且剂量轻，盖以胃气虚弱不能胜药力，药汁入胃不能消化，病必增剧，勿急于求功，须缓缓图之，使正气复而邪气退，所谓治内伤如相，如良相之治国，坐镇从容，神机默运，无功可言，无得可见，而民登寿域。可见治病不在用药之轻重，而在辨证之精确。辨证不明，用药必误。长于治疗中凤、肺痨和麻疹先父对中风、肺痨等大症，均有独到之处。如论中风说：唐宋以前，多主外风，金元四家，刘主火，李主气，朱主痰，因而后人有真中类中之分。实际《内经》中早有记载，不过不名中风，而名大厥薄厥之类。如《素问·调经论》说：血之与气并走于上，则为大厥，厥则暴死，气复反则生，不反则死。这正是本病的致病因素。盖人身气血，上下循环，周流不息。血随气上，上行极必然造成脑充血，故卒然倒仆不省人事；气上行极而下，则血亦随之下行，是为气复返则生；假如气血上行不止，势必造成脑血管破裂而出血，出血不止，是为不返则死。又《素问·生气通天论》说：阳气者，大怒则形气绝，而血菀于上，使人薄厥。这说明肝阳旺盛的人易于动怒，怒则气上，血亦随之，故血菀于上，而造成昏迷，临床常见到血压高的人，往往因大怒而突然发生脑溢血，可见大怒为本病诱因之一。又《素问·通评虚实论》说：凡治消瘅仆击，偏枯痿厥，气满发逆，甘肥贵人，则高梁之疾也。可见嗜高梁厚味的肥胖人，多属半身不遂病的易发体质。因此，本病固不必有真中类中之分，不过有中脏腑，中经络之异，有虚实闭脱之别。虚者益气以通络，实者活血以通络，闭者先用芳香以开之，脱者以补脾肾强心以固之。常用药；益气用参芪白术，养血用归芍熟地，通络用桑寄生、威灵仙、稀莶草、牛膝，活血用山甲、蜇虫，地龙、鸡血藤(活血用虫类药者，以其亦有通络之力也)，口歪用僵蚕、全蝎，肝阳旺者用石决明、生龙牡、胆草、旋复花、赭石、羚羊角，脉滑数者是内热较盛，用生石膏，知柏、竹茹、栀子，痰盛者用黛蛤粉、半夏，广皮，天竺黄、竹沥水，开闭用苏合香丸、安宫牛黄丸、菖蒲等，固脱强心用圆肉、山茱萸、茯神、枸杞子、菟丝子，或加参芪，龙牡。先父每年治中风病不下数十人，很少留有后遗症，因其最后皆令病人加强锻炼，每逢此病治到一定程度，患者已能站立活动，即将太极拳教师李君介绍去帮助患者练习太极拳，故大多数能恢复正常。
先父认为，肺痨有真假之别。先就真肺痨言之：其人先天禀赋不足。若其处境顺者，或能脱过；如日处逆境，心思败乱，虽将其培于参芪之中，亦难幸免于死。盖草根树皮，可以疗病，不能补其将绝之根源也。然此病初得，亦多有因风寒而起者。此时先以辛散解之，清凉化之，使邪不留经，亦可愈于无形；及至骨蒸发热，交阴时则剧，两颧红如拇指一点，此心阳将绝之兆；干咳无痰，或唾涎沫，或大便溏，脉来细疾而软，是肺绝脾败，病人膏盲，无能为力矣。古人多以滋补气血，填精益髓，以延寿命，亦恐于事无济。
再以假肺痨论之：其人平素气充体实，或受风寒外感，邪既郁，脉必闭，不但不见浮数，反涩小而缓，身亦不热头亦不痛，但只咳嗽，此风热闭于内，治当火郁发之。如误认为虚用滋腻之剂，补邪于内，热邪内伏，上蒸于肺，肺被热蒸，久则肿胀，气道不通，咳嗽愈急，血被火炼，烧无定时，或先恶寒而后发烧，形同疟疾，此乃肺部肿腐之时，气盛者阳时发烧，气弱者阴时发烧，风火交煽，则精神萎靡，饮食不进，类似真肺痨矣。烧时满面发红，间有不红者，得汗则解，口渴，脉滑数，洪大，或涩或迟而脉体宽大，不但证为纯阳，而胃亦太热。欲救其急，非釜底抽薪不可，只要大便不见溏泄，即可用生石膏治阳明胃热而清通肺气，犀黄丸消肺中之肿腐，再加紫雪以开之，使浮游之火散，而他脏自安。常用方剂，以麻杏甘石汤、桑菊饮加减。然麻黄辛热，须少用(至多不超过半分，用以搜肺经所郁之风寒)，若多则受其害矣。重用生石膏以清其热，使热不上冲，则咳嗽自愈，此方乃治蕴藏风热之坏症，而非治阴火痨瘵也。然此时如用滋补，则风火不得宣泻，内耗真阴，阴愈虚则热愈盛，肺被熏蒸，势必肿烂而死。
一九三零年，患者羊幼甫，女性，十七岁，初患风热，误服补剂，以致发烧不退，咳嗽，痰中带血，经x光照像为肺结核，求治于先父，其脉细数而疾，时烧时止，饮食减少，形体瘦削，肺痨已成，即用桑菊饮加生石膏，服七十余剂而愈。越三年，其姊又病，复受传染，肺痨又作，仍以前方加生鳖甲、生龙牡、知母、黄柏，犀黄丸、紫雪丹出入为方，服药二百余剂，方治痊愈，观察二十年未再反复。如患者急于求愈，医者不耐心治疗，末见其能愈也。
Yin and Yang, although belonging to two different attributes, are interconnected and mutually restrictive. When Yin is balanced, Yang remains secure; when there is an excess of one, disease occurs. This is what is meant by "Hyperactivity causes harm, succession brings restraint; with restraint, transformation and generation occur"; "Below the Sovereign Fire, Yin Essence succeeds it"; "Yang cannot stand alone, it must obtain Yin to be formed; Yin does not act independently, it must obtain Yang to move." This is the law of transformation and generation involving the mutual restriction of Water and Fire, Yin and Yang. Therefore, to subdue Yang, one must nourish Yin. Although the method of subduing Yang and nourishing Yin was not originally created by Mr. Wang, his proficient application proves that his treatment methods were flexible, without the prejudice of adhering rigidly to a single approach. In the field of pediatrics, many diseases arise because pathogenic heat consumes True Yin, leading to dysfunction in the regulation of Water and Fire, Yin and Yang, resulting in the depletion of Kidney Water and the hyperactivity of Heart Fire. For instance, clinical manifestations of Yin deficiency with Yang floating may not respond well if only Yin is nourished unilaterally. As stated: "Lone Yang cannot generate, lone Yin cannot grow"; "When Heat dominates internally, treat with Salty-Cold, assisting with Bitter-Sweet." Zhang Jiebin once said: "Visible Fire should not be indulged, Invisible Fire should not be completely eradicated." Mr. Wang formulated prescriptions using Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction) and Dingfeng Zhu (Wind-Stabilizing Pearl), assisted by agents that warm, descend, and subdue Yang, modifying them according to circumstances, draining excess, and tonifying deficiency. This can be described as adapting to changes on the spot, deeply grasping the essential principles.
Because Mr. Wang was busy with clinical duties, he left no specialized monographs, but his disciples are spread throughout the country, and many treasure his clinical case records and profound insights into his teachings. This is not merely to commend his lifelong achievements, but to promote a precious part of our nation's medical heritage. If these could be shared and made public, it would significantly benefit pediatric health workers in improving their academic standards, which is earnestly hoped.
[Biography of Wang Jingzhai] Wang Jingzhai (1883-1953), named Gongzhen, was from Licheng, Shandong. His family practiced medicine for generations, and he became accomplished through self-study. He gained medical fame locally in his youth, later practiced in Jinan, and began practicing in Tianjin in 1928, also conducting house calls in Beijing, Tangshan, Baoding, etc., gaining increasing reputation and becoming a renowned physician of his time. He had a profound understanding of medical theory, excelled in treating dampness diseases, and was also skilled in pediatrics, authoring works such as *Shengyang Yiyao Qianshuo* (Brief Talk on Health Preservation and Medicine). After liberation, he was appointed as a member of the Municipal Traditional Chinese Medicine Examination Committee by the Tianjin Municipal Health Bureau.
My family has practiced medicine for generations. My great-grandfather Wang Yunzhong and grandfather Wang Jinfeng were both renowned physicians of their time, and their deeds are recorded in the Licheng County Gazetteer. My father, Wang Jingzhai, lost his parents at a young age. Fearing the decline of the family profession, he diligently sought ancient teachings and studied hard, achieving medical fame before reaching adulthood. To maintain the family livelihood, he ran a school to teach students while practicing medicine locally, gaining considerable prestige. Later, he moved to Jinan, setting up a small pharmacy, selling medicine in the front and consulting patients in the back. At this time, he was elected as a member of the Shandong Provincial Assembly, but still regarded medicine as his formal profession. In 1925, he went to Dalian for consultations, curing a critically ill child. The patient's family, to express gratitude, introduced him to Liangshe County, Zhili (now Hebei Province). After the Northern Expedition (1928), he retired to Tianjin, continuing his old profession, gaining widespread fame, and frequently consulted in Beijing, Baoding, Tangshan, Beidaihe, and other places. In his spare time, he authored *Shengyang Yiyao Qianshuo* (Brief Talk on Health Preservation and Medicine). Around the time of liberation, he was repeatedly appointed as a TCM examination committee member by the Tianjin Municipal Health Bureau. He was very friendly with Kong Bohua, one of the Four Famous Doctors of Beijing. Whenever Mr. Kong came to Tianjin for consultations, they would gather all day, discussing pathology and consulting together, which became a佳话 (legendary story) in the TCM community at that time.
Medical Origins
When my father read Confucian classics, he also read *Neijing* (Inner Canon) and *Nanjing* (Classic of Difficult Issues). After several years, he believed that the way of medicine could not be understood without *Neijing*. After thoroughly studying *Neijing*, he continued with *Bencao Jing* (Classic of Materia Medica), *Shanghan Lun* (Treatise on Cold Damage), and *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet), memorizing them so well that he never forgot them until old age. He believed that thorough study of *Neijing* increases wisdom and allows one to navigate pathology freely; thorough study of *Bencao* allows formulas to originate from oneself, free from the limitations of ancient formulas; thorough study of *Shanghan* and *Jingui* provides methods for syndrome differentiation and treatment. As Zhu Danxi said: Without *Suwen* (Plain Questions), one cannot establish theories; without *Bencao*, one cannot formulate prescriptions. With formulas but no theory, one cannot recognize diseases; with theory but no formulas, how can one imitate? He also said: Zhang Zhongjing's book details external contractions, while Li Dongyuan's book details internal injuries. Medical books were complete from this point, and the Way of Medicine was clarified from this point (see *Gezhi Yulun*). My father believed that the language of *Neijing* is archaic and difficult for beginners to read, requiring extensive reading of various commentaries to understand its meaning. Wang Bing (Wang Taipu) pioneered the commentary on *Suwen*, containing many insightful points, such as "Tonify the source of Fire to eliminate Yin shadow, strengthen the master of Water to control Yang sunlight," which is truly outstanding above the ages. Ma Yuantai and Zhang Yinan's commentaries also surpassed previous sages. For example, in *Suwen · Shengqi Tongtian Lun*: "Due to Qi swelling, the four dimensions replace each other, and Yang Qi is exhausted." Wang's commentary states the four dimensions are tendons, bones, flesh, and blood; Ma and Zhang's commentaries state the four dimensions are the four limbs, which seems superior to Wang's commentary. As Yu Tianmin said: *Neijing* is deep and concise, its purpose is profound and broad, its考证 (verification) is credible and evidenced, making it the ancestor of medical families (*Yixue Zhengchuan*). When I first learned medicine, my father taught me: Start learning medicine from the four classic works, after mastering them, then read widely; only through serious clinical practice can one internalize it and apply it skillfully. Works like *Qianjin Yaofang* (Essential Prescriptions Worth a Thousand Gold) and *Waitai Miyao* (Mirrored Secrets of the Outer Cabinet) collected the greatest achievements of medical formulas before the Tang Dynasty; the Four Masters of Jin and Yuan supplemented what predecessors lacked. One must read and see more of works from various dynasties and famous doctors' cases. In short, opening a book is beneficial. Especially Ye Tianshi's *Wenre Lun* (Treatise on Warm Diseases), Wu Jutong's *Wenbing Tiaobian* (Systematic Differentiation of Warm Diseases), and Wang Mengying's *Wenre Jingwei* (Coordinates of Warm Diseases) are essential readings. However, in clinical application, my father did not adhere to preconceived notions of predecessors, learning from antiquity without being bound by it, whether using classical or contemporary formulas, and was good at modification. For example, when treating Shen Hun Shan Yu (spiritual confusion and delirious speech) in warm diseases, he often prescribed a powder: Lingyangjiao (Antelope Horn) 1g, Xijiao (Rhinoceros Horn) 1g, Shexiang (Musk) 0.3g, Niuhuang (Calculus Bovis) 0.3g, Zhenzhufen (Pearl Powder) 0.3g, Bohebing (Menthol) 0.3g, Hupo (Amber) 5g, Bingpian (Borneol) 0.3g, Zhusha (Cinnabar) 5g. Ground finely together, adults take 2g per dose, children take 1g per dose. This formula was modified from Juzhi Bao Dan (Official Formulation Treasure Pill), showing outstanding efficacy for spiritual confusion, delirious speech, and severe headache in warm diseases, with simpler medicinal power than Juzhi Bao Dan or Angong Niuhuang Wan, acting directly on the disease site. He often said that using ancient formulas to treat new diseases is like demolishing an old house to build a new one; it must go through the hands of a craftsman. Tailoring clothes fits perfectly, but cutting feet to fit shoes definitely causes harm.
In his scholarship, my father neither valued antiquity over modernity nor criticized the past for the present, nor did he advocate excluding Western medicine, nor was he rigidly bound by antiquity. He often said that Wu Jutong's *Wenbing Tiaobian* seems to focus on miscellaneous pathogens but actually leans towards Yin deficiency, so the medicines are mostly cold and cool; Chen Xiuyuan's books lean towards Yang deficiency, so the medicines are mostly warm and tonifying. Although both had their biases, it was due to their different eras and differing Qi movements. Regarding Chinese and Western medical books, which are numerous, their main purpose is to help people and benefit things. What Western medicine calls bacteria is what TCM calls pathogenic factors; Western medicine can kill bacteria and toxins, and TCM can also kill bacteria and toxins. For example, Guizhi Tang (Cinnamon Twig Decoction), Mahuang Tang (Ephedra Decoction), Baihu Tang (White Tiger Decoction), Chengqi Tang (Descending Qi Decoction), whether releasing the exterior, transforming, inducing vomiting, or purging, to eliminate pathogens and cure the disease, are all methods of killing bacteria. Although the techniques used by Chinese and Western medicine differ, the purpose of treating diseases and saving lives is the same; they should learn from each other's strengths. As long as it benefits the patient, why distinguish between Chinese and Western medicine? At a time when the integration of Chinese and Western medicine had not yet been proposed, having such insight is truly valuable. He also often said that after the Republic of China era, warlords divided the country, and continuous wars killed people everywhere, creating a harsh Qi in the air, so warm epidemic diseases were common. Wu Keyou wrote *Wenyi Lun* (Treatise on Warm Epidemics) because of the major epidemics in Zhili, Shandong, and Zhejiang at that time, where treating them with Shanghan methods was ineffective, so he wrote this book. It is evident that ancient and modern physicians were influenced by Qi movements. My father was famous for treating warm diseases, also due to the times.
Treating External Contractions Like a General, Treating Internal Injuries Like a Minister
My father often said: Medicine may be a minor art, but it holds human life. One must understand Yin and Yang, observe Qi movements, adapt to the times, and change flexibly, otherwise one might miss the opportunity to treat the disease.
All diseases generally do not exceed three causes; investigating the cause to treat the disease is not difficult to cure. Never, because a person is usually weak, ignore the location of the disease and blindly tonify, causing pathogens to remain inside. If blocked for a long time, they can never exit; severely, it leads to death; mildly, it lingers for a lifetime. Know that even if Zang-Fu are deficient after the disease leaves, they can still survive by borrowing Grain Qi, as the saying goes: "Medicinal tonification is inferior to food tonification." If the disease remains, even if Zang-Fu are full, death ensues. Eliminating pathogens is the way to support righteousness; when pathogens leave, righteous Qi recovers. Some say taking tonics prevents Qi collapse, taking hot medicines prevents Yang extinction. But know that tonifying agents fixate external pathogens and assist internal heat, leaving the disease inside, causing pathogens to become more fierce, what benefit is this to people! Therefore, tonifying deficiency is suitable for normal days, not during illness. Taking dry medicines erroneously leads to Yin exhaustion; leaning towards cloying and greasy substances blocks Damp-Phlegm; tonifying Qi and Blood should all be done cautiously.
Treating diseases should be divided into three stages: At the beginning of the disease, when Yuan Qi is strong, regardless of severity, use strong and drastic medicines to quickly remove the disease; this is the first stage. In the middle of the disease, when Yuan Qi gradually declines, righteousness and pathogens should be considered together; use medicines that balance mildness and severity, adjusting speed appropriately, to achieve effects; this is the second stage. At the end of the disease, when Yuan Qi is depleted, only nurturing righteousness is priority; when righteous Qi is sufficient, pathogens naturally disappear. At this time, medicines must not be drastic; plan slowly and do not seek quick success; this is the third stage. I have often followed these treatment rules and achieved effective results.
My father was particularly skilled in treating warm diseases, saving countless lives every year, and people in Tianjin often called him a Shanghan expert. What Western medicine calls typhoid fever is similar to warm diseases. Warm diseases have rapid onset and fast changes, with high mortality rates. Whenever encountering such cases, he used drastic and strong medicines, not only with many ingredients but also heavy dosages. Sometimes 90-120g of Sheng Shigao (Raw Gypsum) was used per dose, or even boiling raw gypsum water as a beverage, so the medicine took effect immediately. He also said that treating warm diseases is like catching a tiger; if you relax slightly, it turns back to bite, so large doses are necessary to prevent pathogens from counterattacking. This is the so-called "treating external contractions like a general," like a great general using troops, valuing speed, and eliminating evil thoroughly. After recovery, thorough cleaning is still required to prevent relapse. However, people in Tianjin at that time feared Raw Gypsum the most, believing Gypsum was extremely cold, worrying that after entering the stomach, it would be like tofu makers using gypsum to coagulate soy milk. Patients dared not take it, and doctors dared not use it; if used, it was calcined gypsum. Little did they know that Raw Gypsum is Pungent-Cool, heavy in weight but light in Qi. Its heaviness can drain Stomach Heat, and its lightness can release the muscle layer. Danxi said its taste is Pungent-Sweet. Its sweetness can soothe the Spleen, boost Qi, quench thirst, and remove fire; its pungency can release the muscle layer, induce sweating, and ascend to the head. Modern scholar Zhang Xichun discussed Gypsum extremely precisely, worth referencing. Therefore, the main function of Raw Gypsum is to clear Yangming Heat vigorously, release the muscle layer, and induce sweating, making it a specific medicine for treating warm diseases, unlike the bitter-cold stagnation of Huangqin and Huanglian. Thus, my father negotiated with acquaintances in pharmacies, asking them to decoct it well, naming it Qingre Lu (Heat-Clearing Dew), so patients would not know it was a gypsum preparation and could take it with peace of mind. A famous doctor in Tianjin, who usually did not use Gypsum, saw the effectiveness of my father's Qingre Lu and thus also used large amounts of it, not knowing it was Gypsum.
For internal injury deficiency syndromes, the medicines used were extremely light, not only few in number but also light in dosage, because the Stomach Qi is weak and cannot withstand the medicinal power. If the decoction enters the stomach and cannot be digested, the disease will surely worsen. Do not rush for success; plan slowly, allowing righteous Qi to recover and pathogens to retreat. This is the so-called "treating internal injuries like a minister," like a good minister governing the country, sitting calmly, operating divine mechanisms silently, with no merit to speak of, no gains to be seen, yet the people reach longevity. It is evident that treating disease lies not in the heaviness or lightness of medicines, but in the precision of syndrome differentiation. If differentiation is unclear, medication will inevitably be erroneous.
Expertise in Treating Stroke, Pulmonary Tuberculosis, and Measles
My father had unique insights into major diseases like stroke and pulmonary tuberculosis. Regarding stroke: Before the Tang and Song dynasties, it was mostly attributed to external Wind. The Four Masters of Jin and Yuan emphasized Fire (Liu Wansu), Qi (Li Gao), and Phlegm (Zhu Danxi), leading later scholars to distinguish between true stroke and simulated stroke. Actually, *Neijing* recorded this early on, though not named stroke, but as Da Jue (Great Reversal) or Bo Jue (Thin Reversal). For example, *Suwen · Tiaojing Lun* says: "When Blood and Qi move upward together, it becomes Great Reversal; reversal means sudden death; if Qi returns, life is saved; if it does not return, death ensues." This is exactly the pathogenic factor of this disease. Human Qi and Blood circulate up and down, flowing endlessly. Blood follows Qi upward; extreme upward movement inevitably causes cerebral congestion, hence sudden collapse and loss of consciousness; if Qi moves upward to the extreme and then descends, Blood also descends with it, which is "Qi returns, life is saved"; if Qi and Blood continue moving upward, it will inevitably cause cerebral blood vessel rupture and bleeding; if bleeding continues, it is "does not return, death ensues." Also, *Suwen · Shengqi Tongtian Lun* says: "Yang Qi, when angered greatly, causes form and Qi to sever, and Blood stagnates upward, causing people to suffer Thin Reversal." This shows that people with vigorous Liver Yang are prone to anger; anger causes Qi to rise, and Blood follows, so Blood stagnates upward, causing coma. Clinically, it is common to see people with high blood pressure suddenly suffering cerebral hemorrhage due to great anger, indicating that great anger is one of the inducements for this disease. Also, *Suwen · Tongping Xu Shi Lun* says: "Generally, treating Xiao Dao (wasting-thirst), Pu Ji (sudden fall), Pian Ku (hemiplegia), Wei Jue (numbness and coldness), Qi Man Fa Ni (fullness of Qi and rebellion), for those who eat sweet and fatty foods and are nobles, these are diseases of high grain and rich flavors." It is evident that obese people who love rich and heavy flavors are prone to hemiplegia. Therefore, this disease does not necessarily need to be divided into true and simulated strokes, but differs in affecting Zang-Fu or Collaterals, and in deficiency/excess, closure/escape. For deficiency, boost Qi to unblock collaterals; for excess, invigorate Blood to unblock collaterals; for closure, first use aromatic agents to open it; for escape, tonify Spleen and Kidney, strengthen Heart to consolidate it. Commonly used medicines: Boost Qi with Renshen (Ginseng), Huangqi (Astragalus), Baizhu (Atractylodes); nourish Blood with Danggui (Angelica), Shaoyao (Peony), Shudi (Prepared Rehmannia); unblock collaterals with Sangjisheng (Taxillus), Weilingxian (Siraitos Root), Xixiancao (Siegesbeckia), Niuxi (Achyranthes); invigorate Blood with Shan Jia (Pangolin Scales), Zhe Chong (Ground Beetle), Dilong (Earthworm), Jixueteng (Spatholobus Stem) (using insect medicines for invigorating blood because they also have the power to unblock collaterals); for facial deviation, use Jiangcan (Silkworm), Quanxie (Scorpion); for vigorous Liver Yang, use Shijueming (Haliotidis Shell), Sheng Longmu (Raw Dragon Bone and Oyster Shell), Dancao (Gardenia), Xuanfuhua (Inula Flower), Zheishi (Magnetitum), Lingyangjiao (Antelope Horn); if pulse is slippery and rapid, indicating internal heat is relatively strong, use Sheng Shigao (Raw Gypsum), Zhimu (Anemarrhena), Baipidu (Phellodendron), Zhuru (Bamboo Shavings), Zhizi (Gardenia); if Phlegm is abundant, use Daige Fen (Murex Powder), Banxia (Pinellia), Guangpi (Tangerine Peel), Tianzhuhuang (Calamus Rhizome), Zhulvshui (Bamboo Sap); for opening closure, use Suhexiang Wan (Styrax Pill), Angong Niuhuang Wan (Cooling the Palace Bovine Calculus Pill), Changpu (Acorus); for consolidating escape and strengthening Heart, use Yuanrou (Longan Aril), Shanzhuyu (Cornus), Fushen (Poria with Hostwood), Gouqi Zi (Goji Berry), Tusizi (Cuscuta), or add Renshen, Huangqi, Longmu. My father treated dozens of stroke patients every year, rarely leaving sequelae, because finally he instructed patients to strengthen exercise. Whenever this disease reached a certain degree of treatment, and the patient could stand and move, he introduced Teacher Li, a Tai Chi instructor, to help patients practice Tai Chi, so most could recover normally.
My father believed that pulmonary tuberculosis has true and false distinctions. Speaking of true pulmonary tuberculosis first: The person lacks congenital endowment. If their circumstances are smooth, they might escape; if living in adversity, with chaotic thoughts, even if nurtured with Renshen and Huangqi, it is difficult to avoid death. Because grass roots and tree bark can treat disease, but cannot supplement the nearly extinct root source. However, when this disease first occurs, it is often caused by Wind-Cold. At this time, first resolve it with Pungent-Dispersing agents, transform it with Cooling agents, so pathogens do not remain in the meridians, and it can also heal invisibly; until bone-steaming fever occurs, worsening at Yin times, with malar flush like a thumbprint, this is a sign of impending Heart Yang extinction; dry cough without phlegm, or spitting saliva foam, or loose stools, with fine, rapid, and soft pulse, indicates Lung extinction and Spleen failure, the patient is beyond remedy, powerless. Ancients mostly used tonifying Qi and Blood, filling essence and marrow to prolong life, but this is likely useless.
Speaking of false pulmonary tuberculosis next: The person usually has ample Qi and solid body, or suffers from Wind-Cold external contraction. Once pathogens are constrained, the pulse must be closed, not only not floating and rapid, but instead choppy, small, and slow; the body is not hot, the head does not hurt, only coughing. This is Wind-Heat closed internally; treatment should employ "Fire constraint, emit it." If mistakenly considered deficiency and treated with cloying tonics, supplementing pathogens inside, Heat pathogens hide internally, steaming upwards to the Lung. The Lung is steamed by Heat, eventually swelling, airways blocked, coughing becomes more urgent, Blood is refined by Fire, fever occurs irregularly, sometimes first aversion to cold then fever, resembling malaria. This is the time of lung swelling and putrefaction. Those with strong Qi have fever during Yang times, those with weak Qi have fever during Yin times. Wind and Fire fan each other, causing mental depression and loss of appetite, similar to true pulmonary tuberculosis. During fever, face is red, sometimes not red, resolving with sweat, thirst, pulse slippery and rapid, surging and large, or choppy or slow but wide pulse body, not only is the syndrome pure Yang, but the Stomach is also too hot. To save the emergency, removing fuel from under the cauldron is indispensable. As long as stool is not loose, Raw Gypsum can be used to treat Yangming Stomach Heat and clear/unblock Lung Qi, Xihuang Wan eliminates lung swelling and putrefaction, plus Zixue to open it, dispersing floating Fire, and other organs settle. Commonly used formulas, modify Maxing Gan Shi Tang (Ephedra, Apricot Kernel, Licorice, and Gypsum Decoction) and Sangju Yin (Mulberry Leaf and Chrysanthemum Drink). However, Mahuang is Pungent-Hot, must be used sparingly (at most not exceeding half qian, to search out Wind-Cold constrained in Lung meridian); if used too much, it causes harm. Use heavy Raw Gypsum to clear Heat, preventing Heat from rushing upward, then cough heals itself. This formula treats bad syndromes of hidden Wind-Heat, not Yin Fire consumption disease. However, at this time, if tonification is used, Wind and Fire cannot be vented, internally consuming True Yin; the more Yin is deficient, the stronger the Heat, the Lung is scorched, inevitably swelling and rotting to death.
In 1930, patient Yang Youfu, female, 17 years old, initially suffered from Wind-Heat, mistakenly took tonics, resulting in persistent fever, cough, blood in sputum. X-ray showed pulmonary tuberculosis. Seeking treatment from my father, her pulse was fine, rapid, and hurried, fever came and went, diet decreased, body emaciated, pulmonary tuberculosis was established. Immediately used Sangju Yin plus Raw Gypsum, took over seventy doses and recovered. Three years later, her sister fell ill again, re-infected, pulmonary tuberculosis recurred. Still used the previous formula adding Sheng Biejia (Raw Softshell Turtle Shell), Sheng Longmu (Raw Dragon Bone and Oyster Shell), Zhimu (Anemarrhena), Huangbai (Phellodendron), Xihuang Wan (Calculus Bovis and Musk Pill), Zixue Dan (Purple Snow Pill) modified. Took over two hundred doses, finally cured, observed for twenty years without recurrence. If patients rushed for cure, and doctors lacked patience in treatment, it is unlikely they would recover.
My father had deep research in pediatrics, especially with unique insights into measles. He once authored *Zhenke Xinfa* (Heart Method of Measles Disease), one volume, attached to *Shengyang Yiyao Qianshuo*.