投，必至湿蒙热盛，神昏不省，复以犀角、牛黄、紫雪、至宝等品，以引邪入心，而内闭死
矣。呜呼!寒也，温也，风也，湿也，病名既异，治岂得而同哉？自夫人以发汗为治百病良法
，而风温、湿温，遂成不治之症。苟初起有不用发汗之药者，病家先已疑之矣。夫湿病无速
愈之理，稍淹时日，必更他医，必曰此失表也。急表之，已恐弗及，表之而病益重益危，至
不可救，仍旧咎于前医之未表，疹不能速发，病家亦深信之。切齿于前医，反自恨不早延后
医发散之为误。后有病者，必不敢再延前医，而惟后医之发散是从，虽连杀数人不悟也。是
故，杀人而人不知，杀人而名日起，杀人而利愈获，即曰病家迫之使然，然岂竟无天道哉？
他
日者，以此道杀其家之人，即以此道自杀其身。因种于前，果结于后。勿真谓误人无罪，而
操刀妄割也。
余曩客娄东，见死于病者，无非此药，心窃哀之。此苦口婆心语之所以作也。今来郡城
，名
医林立，当不似吾前之所见，而容或亦有类于此者，病家不可以不知也。苟闻吾语而默察之
，亦可以窥破其伎俩矣。（己酉秋杪，鞠坪氏识。）
今亦有不可解者。苏城之病，无一不是阴亏，无方不用洋参、石斛。即舌苔垢腻，不思
饮食
，湿阻中焦，而亦以此投之。至脾为湿困，神倦胃呆，则以为虚而补之以人参。及胸膈饱闷
，不能进食，又以为虚不受补，而束手无策矣。呜呼!贫家患此，不药可愈；而富室则百无
一免，至死犹不知其误。是以医胆愈大，医心愈粗，不必视病，早已胸有成方。一若既为苏
人，即不当病阳虚，而必为阴亏者，岂不可笑!然则，苏城药肆中，一切香燥温热寒凉之品
可不备，医书中，凡治风寒暑湿燥火之方可尽删。洵如是也，何不悬一滋阴之方于药肆中，
使
凡有病者皆服之，免得延医切脉，多此纷纭扰攘之为愈乎？嗟嗟!谬种流传，遂成风气，此亦
劫运使然，非人力所易挽回。而吾所以哓哓不置者，亦欲使不在劫中者，得吾说而憬然自悟
尔。甚矣!苏城之洋参、石斛，与太仓之豆豉、豆卷，用药不同，误人无异，余故连类书之
，以告两地之患病者。（辛亥初夏，鞠坪又识。）
投用这些药物，必然导致湿气蒙蔽清窍、热邪炽盛，出现神志昏迷、不省人事的症状，再使用犀角、牛黄、紫雪丹、至宝丹等药物，会将病邪引入心包，导致内闭而死亡。唉！寒病、温病、风病、湿病，病名既然不同，治疗方法岂能相同？自从人们把发汗当作治疗百病的良法，风温病和湿温病，就成了不治之症。如果初起时不用发汗的药物，病人家属首先就会怀疑。湿病没有迅速痊愈的道理，稍微拖延时日，必定会更换医生，（新医生）一定会说这是失于解表。急于解表，恐怕已经来不及了，解表后病情反而更加严重危急，到了不可救治的地步，仍然责怪前一位医生没有及时解表，疹子不能迅速发出，病人家属也深信不疑。他们咬牙切齿地怨恨前一位医生，反而后悔自己没有早点请后来的医生发散邪气，认为是误诊。以后有生病的人，一定不敢再请前一位医生，而只听从后来医生的发散疗法，即使连续杀死几个人也不醒悟。因此，杀人而人不知道，杀人而名声日益显赫，杀人而利益却获得更多，即使说是病人家属逼迫所致，然而难道完全没有天道报应吗？将来有一天，用这种手段杀害自家的人，就是用这种手段自杀其身。因为在前种下恶因，在后结出恶果。不要真以为误诊无罪，就拿着刀胡乱切割。
我过去客居娄东，见到死于这种病症的，无非是用了这些药，心里暗自哀怜他们。这就是写下这苦口婆心的话的原因。现在来到郡城，名医林立，应当不像我之前所见的那样，或许也有类似的情况，病人家属不可以不知道啊。如果听到我的话而默默观察，也可以看破他们的伎俩了。（己酉年秋末，鞠坪氏记。）
现在也有令人无法理解的事情。苏州城的疾病，无一不是阴液亏损，没有一方不用西洋参、石斛。即使舌苔垢腻，不想饮食，湿气阻滞中焦，也用这些药投治。等到脾脏被湿气困阻，精神疲倦、胃纳呆滞，就以为是虚证而用人参来补益。等到胸膈饱闷，不能进食，又以为是虚不受补，于是束手无策了。唉！贫穷人家患此病，不吃药可以痊愈；而富贵人家则百无一免，直到死还不知道是自己的错误。因此医生的胆量越来越大，医心越来越粗糙，不必诊视病人，早已胸有成竹有了固定的方子。好像既然是苏州人，就不应当患阳虚证，而一定是阴亏证，这难道不可笑吗！既然如此，苏州城的药店中，一切香燥温热寒凉的药物都可以不准备，医书中，凡是治疗风寒暑湿燥火的方子都可以全部删除。如果真的这样，为什么不在药店中悬挂一个滋阴的方子，让所有有病的人都服用它，免得延请医生切脉，省去这纷纭扰攘的麻烦呢？唉！错误的学说流传，遂成风气，这也是劫数使然，不是人力容易挽回的。而我之所以喋喋不休不停止，也是想让不在劫数中的人，听到我的说法而猛然醒悟罢了。太厉害了！苏州城的西洋参、石斛，与太仓的豆豉、豆卷，用药虽然不同，误人的后果无异，所以我连类写在一起，以告诉两地的患病者。（辛亥年初夏，鞠坪又记。）
The administration of these substances will inevitably lead to dampness obscuring the clear orifices and excessive heat, resulting in coma and unconsciousness. The subsequent use of Rhinoceros Horn (Xijiao), Realgar (Niuhuang), Zi Xue Dan (Purple Snow Pill), and Zhi Bao Dan (Precious Treasure Pill) will draw the pathogenic factor into the Heart, leading to internal closure and death. Alas! Cold diseases, warm diseases, wind diseases, and damp diseases have different names; how can their treatments be the same? Since people have adopted diaphoresis (sweating therapy) as a panacea for all diseases, wind-warmth and damp-warmth have become incurable conditions. If no diaphoretic herbs are used at the onset, the patient's family will immediately harbor doubts. Damp diseases do not resolve quickly; after a slight delay, a new physician is consulted. This new physician will invariably claim that the initial treatment failed to release the exterior. In an attempt to urgently release the exterior, it may already be too late. After releasing the exterior, the condition worsens critically, becoming irrecoverable. Yet, blame is still placed on the previous physician for not releasing the exterior promptly, and for the rash failing to emerge rapidly. The patient's family firmly believes this. They curse the previous physician with hatred and regret not having engaged the later physician earlier for dispersal therapy, deeming the previous approach a misdiagnosis. Consequently, future patients dare not engage the previous physician again, blindly following the dispersal methods of the new physician, even if several deaths occur without realization. Thus, one kills without others knowing, gains fame through killing, and reaps greater profits. Even if one argues that the patient's family forced this outcome, can there truly be no Heavenly Dao (divine retribution)? One day, using this method to kill one's own family members will amount to suicide by the same means. Cause planted in the past yields fruit in the future. Do not falsely believe that medical error carries no guilt, allowing one to wield the knife recklessly.
In my past stay in Loudong, I witnessed many dying from illnesses treated with these drugs, and I secretly pitied them. This is why I wrote these bitter yet well-intentioned words. Now that I have come to the prefectural city, where famous physicians stand like forests, the situation may differ from what I previously saw, yet similar cases may still exist. Patient families must be aware of this. If they hear my words and observe silently, they can also see through these tricks. (Recorded by Juping at the end of autumn in the Jiyi year.)
There are also matters today that defy explanation. In Suzhou City, almost every illness is diagnosed as Yin deficiency, and no prescription is formulated without American Ginseng (Yangshen) and Dendrobium (Shihu). Even when the tongue coating is greasy and dirty, appetite is lost, and dampness obstructs the Middle Jiao, these cooling and moistening herbs are still administered. When the Spleen is trapped by dampness, manifesting as mental fatigue and gastric stagnation, it is mistaken for deficiency, and Ginseng (Renshen) is used to tonify. When chest and epigastric fullness and stifling sensation prevent eating, it is then attributed to "deficiency unable to tolerate tonification," leaving the physician helpless. Alas! For poor families suffering from this, abstaining from medication leads to recovery; whereas for wealthy households, nearly all fail to survive, remaining unaware of their error until death. Thus, physicians' courage grows bolder, and their medical hearts grow coarser. Without examining the patient, they already have a fixed formula in mind. It seems that being a resident of Suzhou precludes Yang deficiency, mandating a diagnosis of Yin deficiency instead. Is this not laughable? If such logic holds, pharmacies in Suzhou need not stock aromatic, drying, warming, heating, cooling, or cold-natured substances, and medical texts need not retain formulas for treating wind-cold, summerheat, dampness, dryness, or fire. Indeed, if this were true, why not simply post a Yin-nourishing prescription in every pharmacy for all patients to take, thereby avoiding the confusion and disturbance of consulting physicians and taking pulses? Sigh! The spread of erroneous doctrines has become a trend, driven by kalpa (cosmic disaster), beyond human power to reverse. My incessant admonitions aim only to awaken those not yet ensnared by this fate upon hearing my argument. How profound is the impact! American Ginseng and Dendrobium in Suzhou, though differing from Fermented Soybean (Douchi) and Soybean Sprouts (Doujuan) in Taicang, cause identical harm through misuse. Therefore, I list them together to warn the afflicted in both regions. (Recorded again by Juping in early summer of the Xinhai year.)