红疹属血，白 属气，气血同病， 疹并发。发则病宜解矣，神必清矣。此乃既发白 ，
又发红疹，而神反昏沉，身热不退，气息短促，加以舌缩质红，其苔灰薄，遍身自汗，足胫逆
冷，甚至下唇震动两手然。昨多喜笑，小便自遗，本来咳嗽，今反寂然，水饮与之则咽，不与
亦不思。诊得右寸脉形滑数，关部濡软，左手皆见细小，按之模糊。想是风邪外感引动伏邪
又被湿痰所阻，元气受伤，走入手足厥阴也。势已危笃，每易悠悠而脱，邪从汗出，元气亦
与之俱出。正在势不两立之时，用药再为棘手，勉从虚羸少气之例立法，以冀邪尽而元气
不与之俱尽，现为第一要着。
竹叶 石膏 人参 麦冬 川贝 炒谷芽 生地 花粉 远志 茯苓 钩藤 牛膝 甘草 犀角
胃脘当心而痛，继以形寒发热，如疟而作，甚至呃忒频频。此系温邪外感，秽邪内踞，
加以湿痰食滞交结中宫也。今使中宫之阳气内旺，所受之邪容易化达。而此间元气本虚，
诸邪又伤于后，无力消除，病延多日。所以脉象空弦，神情困倦，非补不可之时也。但舌苔
白腻，干欲热饮，下体先痹。今更作麻，哕逆恶心，邪恋肺胃，而肾气亦衰，用药极难兼顾。然
温养中宫，佐以上下之品，俾得一举而三善备焉，以冀即日见痊瘳为幸，否则气息易喘，恐
增额汗。拟候诸高明先生政。
人参 于术 川附 干姜 炙草 复花 半夏 浓朴 丁香 麦冬 藿香 木瓜 赭石 茅根 枇杷叶
红疹属于血分病变，白㾦（皮肤上出现的白色小水疱）属于气分病变。气血同病时，白㾦与红疹会同时并发。如果皮疹发出，病情应当解除，神志必然清醒。然而此患者既发了白㾦，又出了红疹，但神志反而昏沉，身体发热不退，气息短促，加上舌头收缩、舌质红，苔灰而薄，全身自汗，足胫逆冷，甚至下唇震动、两手抽搐。昨天还多喜笑，小便失禁，本来有咳嗽，现在反而沉默不语，给水喝就咽，不给也不思饮。诊得右寸脉滑数，关部濡软，左手脉皆细小，按之模糊。想是风邪外感引动体内伏邪，又被湿痰所阻，元气受伤，病邪走入手足厥阴经。病情已经危重，很容易悠悠然脱绝死亡，邪气随汗出，元气也随着一起耗散。正处于邪正激烈相争之时，用药再为棘手，勉强参照虚羸少气的治法立法，希望邪气尽去而元气不随之俱尽，这是当前的第一要着。
竹叶、石膏、人参、麦冬、川贝、炒谷芽、生地、花粉、远志、茯苓、钩藤、牛膝、甘草、犀角。
胃脘当心处疼痛，继而又出现形寒发热，像疟疾一样发作，甚至呃逆频频。这是温邪外感，秽浊之邪内踞，加上湿痰食滞交结在中焦。现在使中焦的阳气内旺，所受的邪气容易化解排出。但此处元气本虚，诸邪又在后损伤正气，无力消除，病程迁延多日。所以脉象空弦，神情困倦，是非补不可的时候。但是舌苔白腻，口干欲热饮，下肢先麻木。现在更作麻，呃逆恶心，邪气留恋肺胃，而肾气亦衰，用药极难兼顾。然而温养中焦，佐以上下调理的药物，使得一举而三善备焉，希望即日痊愈为幸，否则气息容易喘促，恐怕增加额汗。拟请诸位高明先生指正。
Red macules belong to the blood level, while white papules (white vesicles appearing on the skin) belong to the qi level. When both qi and blood are diseased, white papules and red macules occur concurrently. If they erupt, the disease should resolve, and the spirit must become clear. However, in this case, although both white papules and red macules have erupted, the spirit is instead lethargic, body heat persists, respiration is short, accompanied by a retracted tongue with a red body, thin grey coating, spontaneous sweating over the whole body, coldness in the lower legs and calves, and even trembling of the lower lip and spasms of the hands. Yesterday there was excessive laughter, involuntary urination; originally there was coughing, but now silence prevails; water is swallowed when given, but not craved when not offered. The pulse at the right cun position is slippery and rapid, the guan position is soggy and soft, while the left hand pulses are all fine and small, vague upon pressure. It is presumed that external wind pathogen triggered latent pathogens, which were then obstructed by damp-phlegm, injuring the yuan qi, allowing the pathogen to enter the Jueyin meridians of the foot and hand. The condition is critical and prone to gradual collapse; as the pathogen exits via sweat, the yuan qi also dissipates with it. At this moment of intense conflict between pathogen and healthy qi, medication is particularly difficult. Reluctantly adopting the principle for deficiency and emaciation with shortness of breath, the aim is to hope that the pathogen is eliminated without the yuan qi perishing with it; this is currently the primary priority.
Zhu Ye (Bamboo Leaf), Shi Gao (Gypsum Fibrosum), Ren Shen (Ginseng Radix et Rhizoma), Mai Dong (Ophiopogonis Tuber), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), Chao Gu Ya (Stellariae Fructus Stir-fried), Sheng Di Huang (Rehmanniae Radix), Hua Fen (Trichosanthis Radix), Yuan Zhi (Polygalae Radix), Fu Ling (Poria), Gou Teng (Uncariae Ramulus cum Uncis), Niu Xi (Achyranthis Bidentatae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Xi Jiao (Rhino Ceratosis).
Pain in the epigastrium directly behind the heart, followed by aversion to cold and fever resembling malaria, and even frequent hiccups. This is due to warm pathogen external contraction, turbid pathogen internal retention, compounded by the knotting of damp-phlegm and food stagnation in the middle jiao. Now, if the yang qi of the middle jiao is strengthened internally, the contracted pathogen can be easily transformed and expelled. However, the yuan qi here is originally deficient, and subsequent injury by various pathogens leaves no strength to eliminate them, prolonging the illness for many days. Thus, the pulse is empty and wiry, the expression is fatigued, indicating a time when tonification is imperative. Yet, the tongue coating is white and greasy, dryness desires hot drinks, and numbness precedes in the lower body. Now, more numbness, hiccups, nausea, and vomiting occur; the pathogen lingers in the lung and stomach, while kidney qi also declines, making medication extremely difficult to balance. Nevertheless, by warming and nourishing the middle jiao, assisted by agents regulating the upper and lower, three benefits may be achieved simultaneously, hoping for recovery soon; otherwise, breathing may become asthmatic, and likely sweating on the forehead will increase. Submitted for the correction of distinguished gentlemen.
Ren Shen (Ginseng Radix et Rhizoma), Yu Zhu (Atractylodis Macrocephalae Rhizoma), Chuan Fu Zi (Aconiti Lateralis Radix Praeparata), Gan Jiang (Zingiberis Rhizoma), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma Preparata), Fu Pen Zi (Rubi Cauliflorii Fructus), Ban Xia (Pinelliae Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Ding Xiang (Caryophylli Flos), Mai Dong (Ophiopogonis Tuber), Huo Xiang (Pogostemonis Herba), Mu Gua (Chaenomelis Fructus), Zhe Shi (Hematitum), Mao Gen (Imperatae Rhizoma), Pi Pa Ye (Loquats Leaf).