王氏七旬有三，风温伤肺，头晕目瞑，舌缩无津，身痛肢厥，口干不饮，昏昧鼻鼾，语言难出，寸脉大。
症属痰热阻窍。先清气分热邪。杏仁、象贝、花粉、羚羊角、沙参、嫩桑叶、竹茹、山栀。一服症减肢和，但舌
心黑而尖绛，乃心胃火燔，惧其入营劫液。用鲜生地、犀角汁、元参、丹皮、麦冬、阿胶（煨化）、蔗汁。
三服舌润神苏，身凉脉静，但大便未通，不嗜粥饮，乃灼热伤阴，津液未复，继与调养胃阴，兼佐醒脾，旬
日霍然。
汤 高年冬温犯肺，医用伤寒发表，致燥渴热烦。又进柴葛解肌，呛咳痰多，竟夜无寐。夫伤寒传足经，
温邪犯手经，原不同治，况温邪忌汗，表散即是劫津，诊脉虚数，目赤舌绛，温已化热，再令液涸，必延昏痉。
宜甘润生津，苦辛降气，麦冬、杏仁、栝蒌、山栀、知母、贝母、桑皮、橘红。二服热减嗽定。因小溲赤涩，
去桑皮，加沙参、赤苓、木通、百合煎汤。再经调理而康。
李 冬温表热传里，唇燥舌干，渴饮呕沫，大便迫泻稀水无度，脉濡缓。乃湿甚生热。饮以鲜芦根汤，
随用黄芩、栝蒌、通草、赤苓、车前子、猪苓、半夏曲。数服呕渴自利悉定。去猪苓、夏曲，加滑石、灯心，
渗利湿热而愈。
景氏 冬温挟虚，灼热咳嗽，因误治邪陷营分，便血甚多，阴液内涸，舌黑齿焦，神机不发，脉左虚数，
右浮疾，耳聋目瞑，颊红，遗溺失禁，此阴欲竭而孤阳浮也。急救液以存阴。用生地、犀角汁、五味子、阿胶、
沙参、麦冬、石斛、鸡子黄。三服能呻
吟转侧，第脉虚全不受按。去犀角，加洋参、茯神、枣仁、白芍。再服舌润神清，不饥不食，此上脘热痰结也，
再加川贝、蒌霜，嗣因肺虚，气不化液。用复脉汤去姜、桂、麻仁，加归、芍，浊痰降，大便得行，脉匀有神
而纳谷颇少，此脾阳困而未苏也。改用潞参。茯神、炙草、白术、谷芽、归、芍、莲。枣而食进。
耿 深秋阴疟，冬初重感异气，寒热呕闷，医谓伤寒，发表不应。即用承气，更加苍、朴，头晕壮热，
烦渴下利。更医，亦谓伤寒漏底，症属不治。延至目闭语谵，唇泡齿黑，舌干焦而缩。伊芳祖系予隔邑从姑丈，
年八十矣。来曰∶三子仅存此一线，今病至危奈何？诊脉右虚数，左弦数。予谓此温邪耳，病在上焦，只
宜轻剂疏解气分，硝黄苦寒直降，与无形弥漫热邪何干。苍、朴温燥，劫津助灼，今液涸神昏，邪入心包。
急速生津清热，扫涤心包痰阻，庶望转机。犀角（五分磨汁）、鲜菖蒲（三钱捣汁冲服）、山栀、连翘（各八分）、
鲜生地、鲜石斛（各五钱）、沙参、蒌霜、麦冬、贝母（各二钱）、竹茹（三钱）。一服舌润神苏热减。因小
水短赤，原方加元参（二钱）、灯心、车前（各五分）。再服热退索食，颐下肿痛，是名遗毒。由感症初失于
疏理，仍须清解主治。用豆豉、桔梗、花粉、竹叶、牛蒡、贝母、翘、陈、归、草。数服而消。
袁 阴疟数年，既伤生冷，更感异气；始则寒热咳喘，继则谵烦不寐，上则唇燥舌灰鼻煤，中则咳呕胸
胁牵痛，下则遗溺自利污溏，脉弦大数。医不识何症，漫言阴虚垂绝，举家哀恳。勉疏蛤粉、熟地补剂。予
谓此温邪化燥，三焦皆受，岂堪涩腻壅邪，治以疏泄则愈，安得此脉便死耶！因思邪从上受，取之上。用薄荷、
山栀、桑皮、杏仁、蒌仁、贝母、橘红、石斛、梨皮、赤苓、灯心。明晨嗽烦悉定，胸胁痛平，舌苔浮润矣。
越三日，因心事枨触，午寒晡热，气粗语谵，脉弦大而浮，舌心干，唇齿燥。予谓脉易得汗，但须救液以清心
胃燔灼。先用生地、天冬、麦冬、犀角、花粉、石斛、莲子心等。再诊胃脉大，舌心无润，用石膏、知母、
竹叶、生白芍、二冬等，脉候乃平，汗出热退七八。逾日舌尖再见干绛，印堂发出红斑，仍属心阳炽盛。随
用生地、鲜藕、阿胶（另化）、菖蒲、元参、丹参、天冬，防其热陷心营。二服舌尖润，
红斑较淡。后用生地、阿胶、生鳖甲、丹皮、白芍、青蒿等，汗彻身凉，调理而平。
王氏，七十三岁，患风温伤肺之证。表现为头晕、视物昏花，舌体收缩且无津液，身体疼痛、四肢厥冷，口干但不欲饮水，神志昏蒙、鼻息鼾声重浊，言语困难，寸脉大。
病症属于痰热阻滞心窍。先以清气分热邪为主。药用：杏仁、象贝母、天花粉、羚羊角、沙参、嫩桑叶、竹茹、山栀。服用一剂后症状减轻，四肢温和，但舌中心发黑而舌尖绛红，这是心胃火盛燔灼，担心病邪深入营分劫耗阴液。改用鲜生地、犀角汁、玄参、牡丹皮、麦冬、阿胶（烊化）、蔗汁。服用三剂后舌面滋润，神志清醒，身体凉爽，脉象平静，但大便未通，不想喝粥水，这是火热灼伤阴液，津液尚未恢复，继续调理胃阴，兼佐醒脾之法，十日痊愈。
汤姓患者，年高之人患冬温犯肺，医生误用伤寒发表法治疗，导致燥渴、烦热。又进柴葛解肌汤，出现呛咳、痰多，整夜无法入睡。须知伤寒传变于足经，温邪侵犯手经，原治法不同，况且温邪忌用汗法，表散即是劫耗津液。诊其脉虚数，目赤舌绛，温邪已化为热，若再令津液枯竭，必延致昏迷、抽搐。宜用甘润生津、苦辛降气之法。药用：麦冬、杏仁、栝蒌、山栀、知母、贝母、桑白皮、橘红。服用二剂后热减咳定。因小便赤涩，去掉桑白皮，加入沙参、赤茯苓、木通、百合煎汤。再经调理而康复。
李姓患者，冬温表热传入里，唇燥舌干，口渴饮水并呕吐涎沫，大便急迫泻下稀水无度，脉濡缓。这是湿甚生热所致。饮以鲜芦根汤，随后用黄芩、栝蒌、通草、赤茯苓、车前子、猪苓、半夏曲。服用数剂后呕吐、口渴、自利均止。去掉猪苓、半夏曲，加入滑石、灯心草，渗利湿热而愈。
景姓患者，冬温挟带虚损，灼热咳嗽，因误治导致邪气陷入营分，便血甚多，阴液内竭，舌黑齿焦，神机不发，左脉虚数，右脉浮疾，耳聋视物昏花，脸颊红，遗尿失禁，这是阴液欲竭而孤阳上浮。急救阴液以存阴。药用：生地、犀角汁、五味子、阿胶、沙参、麦冬、石斛、鸡子黄。服用三剂后能呻吟转侧，但脉虚完全不能按压。去掉犀角，加入西洋参、茯神、枣仁、白芍。再服后舌润神清，不饥不食，这是上脘有热痰结聚，再加川贝母、栝楼霜。嗣后因肺虚，气不化液。用复脉汤去掉生姜、肉桂、麻仁，加入当归、白芍，浊痰下降，大便得行，脉象匀齐有神但纳谷很少，这是脾阳困顿而未苏醒。改用潞党参、茯神、炙甘草、白术、谷芽、当归、白芍、莲子、大枣，食欲增进。
耿姓患者，深秋患阴疟，冬初重感异气，寒热呕吐闷胀，医生认为是伤寒，发表无效。随即使用承气汤，更加苍术、厚朴，导致头晕壮热，烦渴下利。换医，也认为是伤寒漏底症，属不治之症。延至闭目谵语，嘴唇起泡牙齿黑，舌干焦而收缩。其祖父是隔县的从姑丈，八十岁了。来求我说：“三个儿子仅存这一根独苗，如今病危怎么办？”诊脉右虚数，左弦数。我说这是温邪，病在上焦，只宜轻剂疏解气分，硝黄苦寒直降，与无形弥漫的热邪无关。苍术、厚朴温燥，劫耗津液助长灼热，如今津液枯竭神志昏迷，邪入心包。急速生津清热，扫涤心包痰阻，庶几有望转机。药用：犀角（五分磨汁）、鲜石菖蒲（三钱捣汁冲服）、山栀、连翘（各八分）、鲜生地、鲜石斛（各五钱）、沙参、栝楼霜、麦冬、贝母（各二钱）、竹茹（三钱）。服用一剂后舌润神苏热减。因小便短赤，原方加玄参（二钱）、灯心草、车前子（各五分）。再服后热退索食，颐下肿痛，这名叫遗毒。由于感症初期失于疏理，仍须清解主治。药用：豆豉、桔梗、天花粉、竹叶、牛蒡子、贝母、连翘、陈皮、当归、甘草。数剂后消散。
袁姓患者，患阴疟数年，既伤生冷，更感异气；起初寒热咳喘，继则谵语烦躁不寐，上部唇燥舌灰鼻煤色，中部咳呕胸胁牵痛，下部遗溺自利污溏，脉弦大数。医生不识是何症，漫言阴虚垂绝，全家哀恳。勉强开出蛤粉、熟地补剂。我说这是温邪化燥，三焦皆受，岂堪涩腻壅滞邪气，治以疏泄则愈，安得见此脉便死耶！因思邪从上受，取之上焦。药用：薄荷、山栀、桑白皮、杏仁、栝楼仁、贝母、橘红、石斛、梨皮、赤茯苓、灯心草。明晨嗽烦悉定，胸胁痛平，舌苔浮润了。过了三天，因心事触动，午时恶寒傍晚发热，气粗谵语，脉弦大而浮，舌心干，唇齿燥。我说脉象易得汗，但须救液以清心胃燔灼。先用生地、天冬、麦冬、犀角、天花粉、石斛、莲子心等。再诊胃脉大，舌心无润，用石膏、知母、竹叶、生白芍、二冬等，脉候乃平，汗出热退七八。过了一天舌尖再见干绛，印堂发出红斑，仍属心阳炽盛。随即用生地、鲜藕、阿胶（另化）、石菖蒲、玄参、丹参、天冬，防其热陷心营。二服后舌尖润，红斑较淡。后用生地、阿胶、生鳖甲、丹皮、白芍、青蒿等，汗彻身凉，调理而平。
Wang, aged 73, suffered from Wind-Warmth injuring the Lung. Symptoms included dizziness and blurred vision, a retracted tongue with no saliva, body pain and cold limbs, dry mouth without desire to drink, mental confusion with snoring respiration, difficulty in speech, and a large pulse at the Cun position.
The syndrome belongs to Phlegm-Heat obstructing orifices. Initially, clear Heat from the Qi level was prioritized. Herbs used: Xingren (Apricot Seed), Xiangbei (Fritillariae Thunbergii Bulbus), Huafen (Trichosanthis Radix), Lingyangjiao (Saigae Tataricae Cornu), Shashen (Glehniae Radix), Nensangye (Mori Folium), Zhuru (Bambusae Caulis in Taeniam), Shanzhi (Gardeniae Fructus). After one dose, symptoms decreased and limbs became warm, but the center of the tongue turned black while the tip was crimson, indicating blazing Fire of the Heart and Stomach, raising concern that pathogens might enter the Ying (Nutritive) level and consume fluids. Fresh Shengdi (Rehmanniae Radix), Xijiao Zhi (Rhinocerotis Cornu Juice), Xuanshen (Scrophulariae Radix), Danpi (Moutan Cortex), Maidong (Ophiopogonis Radix), Ejiao (Asini Corii Colla, melted), and Zhezhizhi (Saccharum Sinense Juice) were used. After three doses, the tongue became moist, spirit recovered, body temperature normalized, and pulse calmed. However, stool remained unpassed, and there was no appetite for porridge or drinks, indicating Yin injury by burning heat and incomplete recovery of fluids. Subsequently, nourishment of Stomach Yin was continued, assisted by methods to awaken the Spleen. Within ten days, full recovery occurred.
Tang, an elderly patient suffering from Winter-Warmth invading the Lung, had been treated with exterior-releasing methods for Cold Damage, leading to dryness, thirst, and irritability. Subsequently, Chaige Jieji Tang was administered, resulting in choking cough with profuse phlegm and insomnia throughout the night. It must be noted that Cold Damage transmits through the Foot meridians, whereas Warm pathogens invade the Hand meridians; their treatments are originally different. Moreover, Warm pathogens contraindicate sweating; exterior dispersion consumes fluids. The pulse was deficient and rapid, eyes red, tongue crimson. Warmth had transformed into Heat; further fluid depletion would inevitably lead to coma and convulsions. Sweet-moistening to generate fluids and bitter-pungent to descend Qi were indicated. Herbs used: Maidong (Ophiopogonis Radix), Xingren (Apricot Seed), Gualou (Trichosanthis Fructus), Shanzhi (Gardeniae Fructus), Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Cirrhosae Bulbus), Sangpiao (Mori Cortex Radicis), Juhong (Citri Reticulatae Pericarpium Rubrum). After two doses, heat decreased and cough stopped. Due to dark and difficult urination, Sangpiao was removed, and Shashen (Glehniae Radix), Chifuling (Poria cum Ramo et Ligno Cum Polyporo), Mutong (Akebiae Caulis), and Baihe (Lilii Bulbus) were added to the decoction. Recovery followed after further regulation.
Li, with Winter-Warmth exterior heat transmitting inward, presented with dry lips and tongue, thirst with drinking accompanied by vomiting of frothy saliva, urgent diarrhea of watery stools without limit, and a soggy-slow pulse. This was due to excessive Dampness generating Heat. Fresh Lugen (Phragmitis Rhizoma) soup was drunk, followed by Huangqin (Scutellariae Radix), Gualou (Trichosanthis Fructus), Tongcao (Tetrapanacis Medulla), Chifuling (Poria cum Ramo et Ligno Cum Polyporo), Cheqianzi (Plantaginis Semen), Zhuling (Polyporus), and Banxiaqu (Pinelliae Fermentatum). After several doses, vomiting, thirst, and spontaneous diarrhea ceased. Zhuling and Banxiaqu were removed, and Huashi (Talcum), Dengxincao (Junci Medulla) were added to percolate and drain Damp-Heat, leading to cure.
Jing, suffering from Winter-Warmth complicated by deficiency, presented with burning heat and cough. Due to mismanagement, pathogens sank into the Ying (Nutritive) level, causing severe hematochezia, internal exhaustion of Yin fluids, black tongue, scorched teeth, immobility of Shen mechanism, deficient-rapid pulse on the left, floating-rapid pulse on the right, deafness, blurred vision, red cheeks, enuresis, and incontinence. This indicated impending exhaustion of Yin with floating of solitary Yang. Emergency measures to preserve Yin by replenishing fluids were taken. Herbs used: Shengdi (Rehmanniae Radix), Xijiao Zhi (Rhinocerotis Cornu Juice), Wuweizi (Schisandrae Chinensis Fructus), Ejiao (Asini Corii Colla), Shashen (Glehniae Radix), Maidong (Ophiopogonis Radix), Shihu (Dendrobii Caulis), JiZihuang (Galli Ovum). After three doses, groaning and turning over were possible, but the pulse was so deficient it could not withstand pressure. Xijiao was removed, and Yangshen (Panacis Quinquefolii Radix), Fushen (Poria cum Radice), Zaoren (Ziziphi Spinosae Semen), and Baishao (Paeoniae Radix Alba) were added. After another dose, the tongue became moist, spirit cleared, though there was no hunger or appetite, indicating Heat-Phlegm knotting in the upper epigastrium. Chuanbeimu (Fritillariae Thunbergii Bulbus) and Lou Shuang (Trichosanthis Fructus Pulvis) were added. Later, due to Lung deficiency failing to transform fluids, Fumai Tang (Restore the Pulse Decoction) minus Jiang (Zingiberis Rhizoma), Gui (Cinnamomi Cortex), and Maren (Cannabis Semen), plus Danggui (Angelicae Sinensis Radix) and Baishao (Paeoniae Radix Alba) were used. Turbid phlegm descended, stool passed, pulse became even and spirited, but food intake remained low, indicating Spleen Yang was trapped and not yet revived. Luoshen (Codonopsis Radix) was substituted. Combined with Fushen (Poria cum Radice), Zhigancao (Glycyrrhizae Radix et Rhizoma Preparata), Baizhu (Atractylodis Macrocephalae Rhizoma), Guya (Oryzae Fructus Germinatus), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Lianzi (Nelumbinis Semen), and Dazao (Ziziphi Jujubae Fructus), appetite improved.
Geng, suffering from Yin Malaria in late autumn, contracted a strange pathogen in early winter, presenting with chills, fever, vomiting, and oppression. Physicians diagnosed Cold Damage; exterior release failed. Chengqi Tang was then used, plus Cangzhu (Atractylodis Rhizoma) and Houpo (Magnoliae Officinalis Cortex), leading to dizziness, high fever, irritability, thirst, and diarrhea. Another physician also diagnosed Cold Damage with leakage bottom syndrome, deeming it untreatable. Progression led to closed eyes, delirious speech, blistered lips, blackened teeth, dry scorched retracted tongue. His grandfather, an eighty-year-old relative, pleaded for help. Pulse was deficient-rapid on the right, wiry-rapid on the left. I stated this was Warm Pathogen, disease in the Upper Jiao, requiring light agents to disperse Qi level. Xiaoshi (Sodi Sulphas) and Huanglian (Coptidis Rhizoma) are bitter-cold descending, irrelevant to formless diffuse Heat. Cangzhu and Houpo are warm-dry, consuming fluids and aiding burning heat. Now fluids are exhausted, spirit is confused, pathogens entered the Pericardium. Rapid generation of fluids and clearing of heat, sweeping away Pericardium Phlegm obstruction, offers hope. Herbs used: Xijiao (Rhinocerotis Cornui, 5 fen ground to juice), Xian Changpu (Acori Tatarinowii Rhizoma fresh, 3 qian crushed for juice), Shanzhi (Gardeniae Fructus), Lianqiao (Forsythiae Fructus, each 8 fen), Xian Shengdi (Rehmanniae Radix fresh, 5 qian), Xian Shihu (Dendrobii Caulis fresh, 5 qian), Shashen (Glehniae Radix), Lou Shuang (Trichosanthis Fructus Pulvis), Maidong (Ophiopogonis Radix), Beimu (Fritillariae Cirrhosae Bulbus, each 2 qian), Zhuru (Bambusae Caulis in Taeniam, 3 qian). After one dose, tongue moist, spirit recovered, heat reduced. Due to short dark urine, Yuan Shen (Scrophulariae Radix, 2 qian), Dengxincao (Junci Medulla), Cheqian (Plantaginis Semen, each 5 fen) were added to the original formula. After another dose, heat receded, appetite returned, swelling and pain under the chin appeared, named residual toxin. Due to initial failure to disperse, clearing and resolving remained primary. Herbs used: Douchi (Sojae Semen Preparatum), Jiegeng (Platycodonis Radix), Huafen (Trichosanthis Radix), Zhuye (Bambusae Folium), Niuxib (Arctii Fructus), Beimu (Fritillariae Cirrhosae Bulbus), Qiao (Forsythiae Fructus), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma). After several doses, resolved.
Yuan, suffering from Yin Malaria for years, injured by raw/cold foods, further infected by strange pathogens; initially chills, fever, cough, wheezing; subsequently delirium, irritability, insomnia; upper part dry lips, gray tongue, coal-colored nose; middle part cough, vomiting, chest/hypochondriac pulling pain; lower part enuresis, spontaneous diarrhea of foul loose stools; pulse wiry-large-rapid. Physicians did not recognize the syndrome, casually stating Yin deficiency nearing extinction, family begged for help. Reluctantly prescribed Ge Fen (Mercurii Carbonas) and Shudi (Rehmanniae Radix Preparata) tonics. I stated this was Warm Pathogen transforming into dryness, affecting all three Jiaos, how could astringent-greasy herbs block pathogens? Treatment should be dispersing and draining for cure; why die from this pulse! Considering pathogens enter from above, treat the upper. Herbs used: Bohe (Menthae Haplocalycis Herba), Shanzhi (Gardeniae Fructus), Sangpiao (Mori Cortex Radicis), Xingren (Apricot Seed), Gualou Ren (Trichosanthis Fructus Semen), Beimu (Fritillariae Cirrhosae Bulbus), Juhong (Citri Reticulatae Pericarpium Rubrum), Shihu (Dendrobii Caulis), Lipi (Pyrus Communis Pericarpium), Chifuling (Poria cum Ramo et Ligno Cum Polyporo), Dengxincao (Junci Medulla). Next morning, cough and irritability ceased, chest/hypochondriac pain flattened, tongue coating floated and moist. Three days later, due to emotional agitation, chills at noon, fever at dusk, coarse breathing, delirium, pulse wiry-large-floating, dry tongue center, dry lips/teeth. I stated pulse indicates easy sweating, but must save fluids to clear Heart/Stomach blazing heat. First used Shengdi (Rehmanniae Radix), Tiandong (Asparagi Radix), Maidong (Ophiopogonis Radix), Xijiao (Rhinocerotis Cornu), Huafen (Trichosanthis Radix), Shihu (Dendrobii Caulis), Lianzixin (Nelumbinis Plumula). Re-examination showed large Stomach pulse, dry tongue center, used Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Zhuye (Bambusae Folium), Sheng Baishao (Paeoniae Radix Alba), Er Dong (Tiandong and Maidong), pulse normalized, sweat issued, heat retreated by 70-80%. Next day, tongue tip again dry-crimson, erythema appeared on Yintang, still indicating blazing Heart Yang. Immediately used Shengdi (Rehmanniae Radix), Xian Ou (Nelumbinis Rhizoma fresh), Ejiao (Asini Corii Colla, separately melted), Changpu (Acori Tatarinowii Rhizoma), Xuanshen (Scrophulariae Radix), Danshen (Salviae Miltiorrhizae Radix), Tiandong (Asparagi Radix), preventing heat sinking into Heart Ying. After two doses, tongue tip moist, eryma faded. Later used Shengdi (Rehmanniae Radix), Ejiao (Asini Corii Colla), Sheng Biejia (Testudinis Carapax et Plastrum), Danpi (Moutan Cortex), Baishao (Paeoniae Radix Alba), Qinghao (Artemisiae Annuae Herba), sweat thorough, body cool, regulated and stabilized.