江右熊二官，疫后食复，额痛，口渴，谵语神昏，面青舌黑鼻中停灰，不省人事，小水
短小
，势已危急。以小柴胡汤减去半夏，加石膏、知母、当归、山栀子、豆豉、枳实急与服之，
一饮便得微汗，热退大半。次日以柴胡、滑石、甘草、知母、石膏、人参、桔梗、黄芩、天
花粉与之，舌黑始退，人事乃清，饮食才进，霍然生矣。
堂弟东里内子，咳嗽吐红，发热头眩，脚膝乏力，先已服滋阴降火十数剂不愈。饮食渐
少，
精神渐羸，恳予治之。两寸脉累累如贯珠，两尺俱软弱，此上盛下虚之候。上盛者，痰与瘀
血也；下虚者，肾阴弱也。且生平好饮，不无助热，法当先清上焦，化去瘀血宿痰，然后以
养阴药收功，则病根可刈，痨瘵可免也。用贝母、枳壳、桑白皮清肺化痰，滑石、桃仁、牡
丹皮、小蓟消除瘀血，山栀子、甘草、白芍药养血以祛余热。三帖后，红渐稀少，前后心始
不胀痛。惟痰嗽不止，大便结燥，减去滑石、桃仁、加栝蒌、黄芩、紫菀调养而平。
由溪程竹坡孺人，年过六十，为疫所染，头痛口渴，舌苔前黄燥，后紫黑，身热沉重，
人事
昏愦，语言错乱，小水短涩，呕逆烦躁，合目不开，谚语不辄口，耳聋，胸胁痛。时五月初
旬也。迎予为诊。左浮而弦数，右洪长而数。诊毕，仲君清夷问曰∶何症？予曰∶此热病类
也。清夷曰∶因体热便名热病乎？予曰∶否。仲景谓春温过时为热病，矧兹又为热厉也。邪
在阳明少阳二经。又问曰∶可生乎？予曰∶脉症对可生也。此症远迩染延甚伙，不足怪。清
夷曰∶适方和宇也云少阳阳明二经之病，二公所见既同，乞商确一方为幸。予与和宇诊多符
合，即以柴胡、石膏为君，知母、麦冬、天花粉、竹茹为臣，黄连为佐，甘草、枳壳、桔梗
为使，连进两帖。丑刻微汗，热退神清不虞，即进荤粥，下午又复大热，谵语昏沉，举家惊
怖。予曰∶此食复也。即以小柴胡汤加山栀子、枳实、淡豆豉、鳖甲四剂，复得汗，热从散
去，神顿清爽，仍口渴烦躁。以生脉汤加黄连、香薷、竹茹、竹叶而安。
江右的熊二官，在瘟疫痊愈后因饮食不当导致病情复发，出现额头疼痛、口渴、胡言乱语且神志昏迷，面色发青、舌质黑、鼻中留有灰黑色分泌物，人事不省，小便短少，病势已经十分危急。用小柴胡汤减去半夏，加入石膏、知母、当归、山栀子、豆豉、枳实，急煎服用，喝一次药后便微微出汗，热势退去大半。第二天用柴胡、滑石、甘草、知母、石膏、人参、桔梗、黄芩、天花粉给他服用，黑色的舌苔开始消退，神志逐渐清醒，饮食才开始进食，于是霍然康复。
堂弟东里的妻子，咳嗽并咳血，发热头晕，脚膝无力，此前已服用滋阴降火药十几剂未愈。饮食逐渐减少，精神日渐消瘦，恳请我诊治。两手寸脉累累如串珠，两尺脉均软弱，这是上盛下虚的征象。所谓上盛，是痰浊与瘀血；所谓下虚，是肾阴虚弱。况且他生平喜好饮酒，难免助长内热，治法应当先清解上焦，化除瘀血和宿痰，然后用养阴药收尾，这样病根可除，劳瘵（肺结核）便可避免。使用贝母、枳壳、桑白皮清肺化痰，滑石、桃仁、牡丹皮、小蓟消除瘀血，山栀子、甘草、白芍药养血以清除余热。三帖药后，咳血量逐渐减少，前后心胸部才不再胀痛。只是痰嗽不止，大便干结，于是减去滑石、桃仁，加入栝蒌、黄芩、紫菀调养而平复。
由溪人程竹坡的夫人，年过六十，感染瘟疫，头痛口渴，舌苔前部黄燥，后部紫黑，身体发热沉重，神志昏愦，言语错乱，小便短涩，呕吐逆气烦躁，闭目不睁，胡言乱语不停，耳聋，胸胁疼痛。当时正值五月上旬。请我去诊病。左手脉浮而弦数，右手脉洪长而数。诊毕，仲君清夷问道：“这是什么病症？”我说：“这是热病一类的疾病。”清夷问：“是因为体内有热就命名为热病吗？”我说：“不是。张仲景说春温病过时不愈称为热病，何况现在又是热厉之邪所致。”邪气在阳明、少阳二经。又问：“能活吗？”我说：“脉症相符，可以存活。此症远近传染蔓延很多，不足为怪。”清夷说：“刚才和宇也说是少阳、阳明二经的病，两位所见既然相同，请求商量一个方子，不胜荣幸。”我与和宇的诊断大多吻合，就以柴胡、石膏为君药，知母、麦冬、天花粉、竹茹为臣药，黄连为佐药，甘草、枳壳、桔梗为使药，连续服用两帖。丑时微微出汗，热退神清，没有发生意外，随即进服荤粥，下午又突然高热，胡言乱语、神志昏沉，全家惊恐。我说：“这是食复（因饮食不当导致的复发）。”立即用小柴胡汤加山栀子、枳实、淡豆豉、鳖甲四剂，再次出汗，热邪散去，神志顿时清爽，但仍口渴烦躁。用生脉汤加黄连、香薷、竹茹、竹叶而安顿好。
Xiong Erguan of Jiangyou, after recovering from an epidemic disease, suffered a relapse due to improper diet. He presented with forehead pain, thirst, delirium, and coma, with a cyanotic complexion, black tongue, and grayish residue in the nose, unconsciousness, and scanty urine; the condition was critical. A modified Xiaochaihu Tang (Minor Bupleurum Decoction), with Banxia (Pinelliae Rhizoma) removed and Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Danggui (Angelicae Sinensis Radix), Shanzhizi (Gardeniae Fructus), Douchi (Sojae Semen Praeparatum), and Zhishi (Aurantii Fructus Immaturus) added, was administered urgently. After one dose, he sweated slightly, and the fever subsided by more than half. The next day, he was given Chaihu (Bupleuri Radix), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma), Zhimu, Shigao, Renshen (Ginseng Radix), Jiegeng (Platycodonis Radix), Huangqin (Scutellariae Radix), and Tianhuafen (Trichosanthis Radix). His black tongue coating began to recede, his mental state cleared, and he resumed eating, leading to a full recovery.
The wife of my cousin Dongli suffered from coughing and hemoptysis, fever, dizziness, and weakness in the legs and knees. She had previously taken numerous doses of Yin-nourishing and Fire-descending prescriptions without success. Her food intake gradually decreased, and her spirit became increasingly emaciated, prompting her to seek my treatment. Both Cun pulses were prominent like a string of pearls, while both Chi pulses were weak and soft, indicating a pattern of excess above and deficiency below. The excess above referred to phlegm and blood stasis; the deficiency below referred to weak Kidney Yin. Furthermore, as she habitually consumed alcohol, it likely contributed to internal heat. The treatment principle should first clear the Upper Jiao, resolve the blood stasis and old phlegm, and then conclude with Yin-nourishing herbs to eradicate the root of the disease and prevent consumption (Laozai). Beimu (Fritillariae Bulbus), Zhike (Aurantii Fructus), Sangbaipi (Mori Cortex) were used to clear the lungs and transform phlegm; Huashi, Taoren (Persicae Semen), Mudanpi (Moutan Cortex), and Xiaoji (Cibotii Rhizoma or蓼科植物) were used to eliminate blood stasis; Shanzhizi, Gancao, and Baishao (Paeoniae Radix Alba) were used to nourish blood and dispel residual heat. After three doses, the amount of blood expectorated gradually decreased, and distending pain in the chest and abdomen subsided. However, due to persistent phlegmy cough and dry constipation, Huashi and Taoren were removed, and Gualou (Trichosanthis Fructus), Huangqin, and Ziwan (Asternatis Radix) were added for conditioning, leading to stabilization.
Madam Cheng, wife of Cheng Zhipo from Youxi, aged over sixty, contracted an epidemic disease. She presented with headache, thirst, yellow and dry tongue coating at the front, purple-black coating at the back, heavy feverish sensation, coma, disordered speech, scanty and difficult urination, vomiting, irritability, eyes closed and unable to open, incessant muttering, deafness, and chest and hypochondriac pain. This occurred in early May. I was invited to diagnose her. The left pulse was floating, wiry, and rapid; the right pulse was surging, long, and rapid. After diagnosis, Mr. Qingyi asked, "What is the syndrome?" I replied, "This belongs to the category of Heat Disease." Qingyi asked, "Is it named Heat Disease simply because there is heat in the body?" I said, "No. Zhang Zhongjing stated that if Spring Warmth persists beyond its season, it is called Heat Disease, especially since this is caused by a virulent heat pathogen." The pathogen was located in the Yangming and Shaoyang meridians. He asked again, "Can she survive?" I said, "If the pulse and symptoms correspond, survival is possible. It is not surprising that this disease has spread widely nearby and far away." Qingyi said, "He Yu also mentioned that this is a disease of the Shaoyang and Yangming meridians. Since our views coincide, we request your advice on a prescription." My diagnosis largely aligned with He Yu's. Therefore, I prescribed Chaihu and Shigao as the sovereign drugs, Zhimu, Maidong (Ophiopogonis Radix), Tianhuafen, and Zhuru (Bambusae Caulis in Taeniam) as the minister drugs, Huanglian (Coptidis Rhizoma) as the assistant drug, and Gancao, Zhike, and Jiegeng as the envoy drugs. Two doses were taken consecutively. At Chou hour, she sweated slightly, the fever subsided, and her mind cleared without adverse events. She immediately consumed meat broth. In the afternoon, however, high fever returned, accompanied by delirium and deep stupor, causing panic among the family. I said, "This is a relapse due to food." I immediately prescribed Xiaochaihu Tang with added Shanzhizi, Zhishi, Dan Douchi (Sojae Semen Praeparatum), and Biejia (Testudinis Carapax et Plastrum) for four doses. She sweated again, the heat dispersed, and her mind became clear, though she remained thirsty and irritable. She was stabilized using Shengmai San (Generate the Pulse Powder) with added Huanglian, Xiangru (Elsholtziae Herba), Zhuru, and Zhuye (Bambusae Folium).