仆子孙安，空晨出门，途次食面三碗，饥劳感疫，因内伤，表里皆热。及至绩溪衙中，
昏闷
谵语，头痛，身疼，腹痛。医不察为劳倦感疫，遽以遇仙丹下之，大便泄三四十行，邪因陷
下
，而为挟热下利之候。急归视之。舌沉香色，额痛，口干燥渴，烦闷，昏昏愦愦。脉左弦数
，右洪数，但不克指，知为误下坏症。以柴胡、石膏各三钱，白芍药、黄芩、竹茹、葛根各
一钱，天花粉、甘草各五分，山栀子、枳实各七分，葱白五茎，水煎服之。后半夜吐蛔一条
，乃稍得睡。次早大便犹泻二次，呕吐酸水，腹乃痛。改用小柴胡加滑石、竹茹。夜热甚，
与丝瓜汁一碗，饮既神顿清爽。少顷药力过时，烦热如前，再以丝瓜汁一大碗进之，即大发
战。予谓此战非寒战，乃作汗之征耳。不移时，汗果出而热犹然。忆《活人书》云∶再三
汗
下，热不退，以人参白虎汤加苍术一钱如神。迹此，再加玄参、升麻、柴胡、白芍药、黄连
饮后，身上之斑，先发者紫，后发者红。中夜后乃得睡而热散，斑寻退去。腹中微疼，肠鸣
口渴，右脉尚滑，左脉已和，再与竹叶石膏汤加白芍药、苍术，服后睡安，腹仍微痛。用柴
胡、芍药各一钱，人参、酒芩、陈皮、半夏各六分，甘草三分，乌梅一枚，服此腹痛渐减，
精神 长矣。惟两跨痛不能转动，此大病后汗多而筋失养之故，宜当补益。人参、黄
、白芍药、桑寄生、枸杞子、薏苡仁、桂心、牛膝、熟地黄，水煎服。后加木瓜、黄柏、当
归，减去桂心，调养而痊。
我的儿子孙安，清晨出门，在路上吃了三碗面条，因饥饿劳累感染了疫病，导致内伤，表里都有热邪。到了绩溪衙门后，出现神志昏沉、胡言乱语、头痛、身体疼痛、腹痛等症状。医生没有察觉这是因劳倦感染疫病所致，急忙用遇仙丹攻下，导致大便泄泻三四十次，病邪因此陷入体内下部，表现为伴有热象的下利症状。我急忙赶回去诊治。见他舌苔呈沉香色，额头疼痛，口干燥渴，心烦闷乱，精神昏沉迷糊。脉象左手弦而数，右手洪大而数，但按之无力，我知道这是误用攻下法导致的坏病。于是使用柴胡、石膏各三钱，白芍药、黄芩、竹茹、葛根各一钱，天花粉、甘草各五分，山栀子、枳实各七分，葱白五茎，水煎服。半夜时吐出一条蛔虫，随后稍微能入睡。第二天早上大便仍然腹泻两次，呕吐酸水，腹部疼痛。改为使用小柴胡汤加滑石、竹茹。夜间发热严重，给予一碗丝瓜汁，饮用后神志顿时清爽。过了一会儿药效过去，烦热像之前一样，又给进一大碗丝瓜汁，随即发生剧烈寒战。我认为这种战栗不是寒战，而是将要出汗的征兆。不久，果然出汗但热势仍未退。想起《活人书》中说：经过多次发汗和攻下，热势不退，用人参白虎汤加苍术一钱，效果如神。据此，再加玄参、升麻、柴胡、白芍药、黄连。服药后，身上发出的斑疹，先发的颜色紫暗，后发的颜色红赤。半夜过后才睡着且热势消散，斑疹随即消退。腹部微痛，肠鸣，口渴，右脉尚滑，左脉已调和，再给予竹叶石膏汤加白芍药、苍术，服用后睡眠安稳，腹部仍微痛。使用柴胡、芍药各一钱，人参、酒炒黄芩、陈皮、半夏各六分，甘草三分，乌梅一枚，服用后腹痛逐渐减轻，精神逐渐恢复。只是两胯部疼痛不能转动，这是大病之后出汗过多导致筋脉失于濡养的缘故，应当进行补益。使用人参、黄芪、白芍药、桑寄生、枸杞子、薏苡仁、桂心、牛膝、熟地黄，水煎服。后来加入木瓜、黄柏、当归，减去桂心，经过调养而痊愈。
My son, Sun An, went out early in the morning and ate three bowls of noodles on the way. Due to hunger and fatigue, he contracted an epidemic pathogen, resulting in internal injury with heat in both the interior and exterior. Upon arriving at the Jixi government office, he became drowsy and confused, delirious, suffering from headache, body ache, and abdominal pain. The physician failed to recognize this as a condition caused by fatigue and epidemic infection, and hastily administered Yuxian Dan (Encounter Immortal Pill) to purge the bowels. This resulted in thirty to forty episodes of diarrhea, causing the pathogenic factor to sink downward, manifesting as dysentery with heat. I hurried back to examine him. His tongue coating was dark yellowish-brown like sandalwood; he suffered from forehead pain, dry mouth with intense thirst, irritability, and mental confusion. The pulse was wiry and rapid on the left, and large and rapid on the right, but weak upon pressure. I diagnosed this as a complication arising from erroneous purgation. I prescribed Chai Hu (Bupleuri Radix) and Shí Gāo (Gypsum Fibrosum), each 3 qian, Bái Sháo Yào (Paeoniae Radix Alba), Huáng Qín (Scutellariae Radix), Zhú Rú (Bambusae Caulis in Taeniam), and Gé Gēn (Puerariae Lobatae Radix), each 1 qian, Tiān Huā Fěn (Trichosanthis Radix), and Gān Cǎo (Glycyrrhizae Radix et Rhizoma), each 5 fen, Shān Zhī Zi (Gardeniae Fructus) and Zhǐ Shí (Aurantii Fructus Immaturus), each 7 fen, along with five stalks of Cōng Bái (Allii Fistulosi Bulbus), decocted in water for oral administration. In the middle of the night, he vomited one roundworm and then managed to sleep slightly. Early the next morning, he still had two bowel movements, vomited sour fluid, and experienced abdominal pain. I changed the prescription to Xiǎo Chái Hú Tāng (Minor Bupleurum Decoction) with added Huá Shí (Talcum) and Zhú Rú (Bambusae Caulis in Taeniam). Night fever was severe, so I gave him one bowl of Sī Guā Zhī (Luffa Fruit Juice); after drinking it, his spirit refreshed instantly. Shortly after, when the medicinal effect waned, the irritability and heat returned as before. I administered another large bowl of Luffa Fruit Juice, which immediately triggered a violent shivering fit. I stated that this shivering was not due to cold, but rather a sign of impending sweating. Indeed, within no time, sweat appeared, yet the heat persisted. Recalling the statement in *Huo Ren Shu* (Book of Vitality): "If heat persists after repeated sweating and purging, use Rén Shēn Bái Hǔ Tāng (Ginseng White Tiger Decoction) with 1 qian of Cāng Zhú (Atractylodis Rhizoma) for miraculous effect." Based on this, I added Xuán Shēn (Scrophulariae Radix), Shēng Má (Cimicifugae Rhizoma), Chái Hú (Bupleuri Radix), Bái Sháo Yào (Paeoniae Radix Alba), and Huáng Lián (Coptidis Rhizoma). After ingestion, the macules appearing on his body were purple where they first emerged and red where they appeared later. He finally slept after midnight, the heat dissipated, and the macules faded shortly thereafter. There was slight abdominal pain, borborygmus, and thirst. The right pulse remained slippery, while the left pulse had harmonized. I prescribed Zhú Yè Shí Gāo Tāng (Bamboo Leaf and Gypsum Decoction) with added Bái Sháo Yào (Paeoniae Radix Alba) and Cāng Zhú (Atractylodis Rhizoma). After taking it, he slept peacefully, though slight abdominal pain persisted. I then used Chái Hú (Bupleuri Radix) and Sháo Yào (Paeoniae Radix), each 1 qian; Rén Shēn (Ginseng Radix et Rhizoma), Jiǔ Huáng Qín (Scutellariae Radix processed with wine), Chén Pí (Citri Reticulatae Pericarpium), and Bàn Xià (Pinelliae Rhizoma Praeparatum), each 6 fen; Gān Cǎo (Glycyrrhizae Radix et Rhizoma) 3 fen; and one Wū Méi (Mume Fructus). After taking this, abdominal pain gradually decreased, and his spirit recovered. However, his hips were painful and immobile. This was due to excessive sweating during the severe illness leading to malnourishment of the sinews, requiring tonification. I prescribed Rén Shēn (Ginseng Radix et Rhizoma), Huáng Qí (Astragali Radix), Bái Sháo Yào (Paeoniae Radix Alba), Sāng Jì Shēng (Taxilli Herba), Gǒu Qǐ Zǐ (Lycii Fructus), Yì Yǐ Rén (Coicis Semen), Guì Xīn (Cinnamomi Ramulus Cortex), Niú Xī (Achyranthis Bidentatae Radix), and Shú Dì Huáng (Rehmanniae Radix Praeparata), decocted in water. Later, Mù Guā (Chaenomelis Fructus), Huáng Bǎi (Phellodendri Cortex), and Dāng Guī (Angelicae Sinensis Radix) were added, while Guì Xīn (Cinnamomi Ramulus Cortex) was removed. Through recuperative care, he fully recovered.