伏温而兼挟外感者，则以新邪而引动伏气为病。若伏温而兼内伤者，则因内伤而留滞伏温，不得爽达。治
之不得其
法，每有因此淹缠，致成坏证者。即如平时有气郁之病，则肝木不畅，络气郁滞，温邪窜入肝络，即有胸板胁
刺、咳逆等证。邪郁不达，久而化火，即蒙冒厥阴而有昏痉之变。平日有痰饮内停者，抑遏温邪，不得疏越，
郁之即久，外冒之痰浊，尚未蒸开，而内藏之津液，早已干涸。一旦热势猝发，如烈火燎原不可措手者，亦往
往有之。中宫先有食滞，或因病而积，为热邪所燔，阻结于胃，劫烁胃津，此可攻之证也。须得大便通行，积
去而热邪乃随之而解也。平时有瘀血在络，或因病而有蓄血，温热之邪与之纠结，热附血而愈觉缠绵，血得热
而愈形胶固。或早凉暮热，或外凉内热，或神呆不语，或妄见如狂，种种奇险之证，皆瘀热所为。治之者，必
须导去瘀血，俾热邪随瘀而下，庶几病势可转危为安也。有胎前犯温病者，热邪燔灼，易于伤胎。治之者，除
蓝布冷泥护胎外，治法亦别无善法。只要眼明手快，认清病机，迎头清泄，勿令邪热留滞伤胎，便为得法。古
法每于当用方中，加入四物，名曰护胎。如当用者，尚无大害；若不当用而用之，则滋腻滞邪，非徒无益，而
反害之矣。产后血舍空虚，百脉俱弛，当此而温病猝发，最易陷入血络，急则为痉狂等险候，缓则留恋血室，
燔灼营阴，延为阴损之候。治之者，须处处回护阴血，一面撤邪，一面养血，勿令热邪深陷，乃为得手。至兼
挟经带为病，亦与胎产相似，不外虚则邪陷、实则瘀阻两层。治之者，处处就此两层着想，自然得法矣。
伏气温病兼夹外感邪气的，是因为新的外邪引动了体内潜伏的温邪而发病。如果伏气温病兼夹内伤病的，则是因为内伤病导致伏温留滞，不能舒畅透达。治疗时如果不得法，常常因此缠绵难愈，导致变成坏证（病情恶化或出现严重并发症）。就像平时有气郁病症的人，肝木之气不畅，络脉之气郁滞，温邪窜入肝络，就会出现胸胁痞闷刺痛、咳嗽气逆等症状。邪气郁结不能透达，时间久了化为火邪，就会蒙蔽厥阴心包，导致神昏、抽搐等变证。平时有痰饮停留在体内的，会抑制遏阻温邪，使其不能疏泄透越，郁积久了，体表的痰浊尚未蒸化消散，而体内的津液早已干涸。一旦热势突然发作，像烈火燎原一样难以措手，这种情况也往往存在。中焦脾胃先有食积停滞，或者是因病导致积滞，被热邪焚烧，阻滞结聚在胃中，劫夺耗伤胃中津液，这是可以用攻下法治疗的证候。必须使大便通畅，积滞去除后，热邪也就随之解除了。平时络脉中有瘀血，或者因病而有蓄血，温热之邪与瘀血纠结在一起，热邪依附于血中就显得更加缠绵难愈，血液得到热邪就变得更加胶固黏着。有的早晨凉晚上热，有的体表凉体内热，有的神情呆滞不说话，有的胡言乱语如发狂状，种种奇险的证候，都是瘀热造成的。治疗的人，必须引导祛除瘀血，让热邪随着瘀血下行排出，这样病情才有可能转危为安。有怀孕前患温病的，热邪焚烧灼伤，容易损伤胎儿。治疗的人，除了用蓝布和冷泥保护胎儿外，治疗方法也没有其他更好的办法。只要眼光敏锐、下手迅速，认清病机，迎面清泄热邪，不让邪热留滞损伤胎儿，就是得法了。古法常在应当使用的方剂中加入四物汤，名叫护胎。如果确实应当使用，还没有大害；如果不应当使用却用了，那么滋腻的药物会滞留邪气，不仅没有益处，反而有害。产后血海空虚，全身经脉都松弛，在这个时候温病突然发作，最容易陷入血络，急症时会出现痉病、狂躁等危险证候，缓症时则会留恋在血室，焚烧灼伤营阴，拖延成为阴液亏损的证候。治疗的人，必须处处回护阴血，一方面驱除邪气，一方面滋养血液，不让热邪深陷，才算手法得当。至于兼夹月经、带下病而发病的，也与胎产相似，不外乎虚则邪气内陷、实则瘀血阻滞两个层面。治疗的人，处处从这两个层面着想，自然就能得法了。
When latent warm-heat disease is complicated by external contraction, the new pathogen triggers the latent qi to cause illness. If latent warm-heat disease is complicated by internal injury, the internal injury causes the latent warm-heat to stagnate, preventing it from being smoothly expressed. If treatment is not performed according to proper methods, it often leads to lingering and protracted courses, resulting in disastrous syndromes (severe complications or deterioration of condition). For instance, individuals with a history of Qi stagnation suffer from unsmooth Liver Wood qi and stagnant collateral qi; when warm pathogens invade the Liver collaterals, symptoms such as chest and hypochondriac fullness/stabbing pain and coughing with rebellious qi occur. When pathogens remain stagnant and unexpressed, they transform into fire over time, potentially clouding the Jueyin Pericardium and leading to coma and convulsions. In cases where phlegm-fluids are retained internally, they suppress and obstruct warm pathogens, preventing their dispersion. Prolonged stagnation means that while external turbid phlegm has not yet been steamed open, the internal body fluids have already dried up. Once heat erupts suddenly, resembling a prairie fire that is difficult to manage, such cases do occur. If there is food stagnation in the Middle Jiao (Spleen and Stomach) initially, either due to prior conditions or illness accumulation, and this is scorched by heat pathogens, causing obstruction and knotting in the Stomach and consuming Stomach fluids, this is a syndrome suitable for purgation. It is necessary to achieve bowel movement; once the accumulation is removed, the heat pathogens will resolve accordingly. If blood stasis exists in the collaterals normally, or if blood retention occurs due to illness, warm-heat pathogens entangle with the stasis. Heat adhering to blood makes it more lingering, and blood heated becomes more viscous and fixed. Symptoms may include morning coolness and evening fever, external coolness with internal heat, mental dullness with muteness, or delirious speech resembling mania. All these dangerous and unusual syndromes are caused by stasis-heat. The practitioner must guide out the blood stasis so that heat pathogens descend and exit with the stasis, thereby turning danger into safety. For pregnant women contracting warm diseases, scorching heat easily damages the fetus. Treatment involves protecting the fetus using blue cloth and cold mud, but no other superior method exists. One must be sharp-eyed and swift-handed, clearly recognizing the pathogenesis, and directly clearing and draining heat to prevent pathogenic heat from lingering and damaging the fetus; this constitutes proper treatment. Ancient methods often added Siwu Tang (Four Substances Decoction) to indicated formulas, termed "protecting the fetus." If used when indicated, there is little harm; however, if used inappropriately, its cloying nature will retain pathogens, doing neither good nor only harm. After childbirth, the Blood Sea is empty, and all meridians are relaxed. If warm disease strikes suddenly at this time, it easily sinks into the blood collaterals. Acute cases present with dangerous signs like convulsions and madness, while chronic cases linger in the Blood Chamber, scorching Ying-Yin (Nutritive Yin), eventually leading to Yin deficiency syndromes. Practitioners must constantly protect Yin and Blood, simultaneously dispelling pathogens and nourishing blood, ensuring heat pathogens do not sink deeply; this represents skillful handling. Conditions complicated by menstrual disorders or leukorrhea are similar to pregnancy and postpartum states, essentially falling into two categories: deficiency allowing pathogen sinking, and excess causing stasis obstruction. By considering these two aspects consistently, practitioners will naturally find the correct approach.