总制石公子，年甫十龄，丁丑六月，患感冒风暑，寒热头疼，幼科已用葛根加羌、防解表矣。后复寒热不
减，气喘腹胀，医者用消导加小柴胡汤不应。神昏喘急，时或泄泻，似痢腹痛，不知名为何疾也。诊之，已二
十余日，脉数无力，神昏气乱，按其腹，时胀时痛，观其神，时静时躁，手足或冷或热，虚汗不已。此外邪初
感者，为药而解，久积者未曾清理，加之饮食失调，元气欲脱，致外邪内陷。今以救本为急，用理中汤加桂、
附，痛泻顿减，手足亦温。然热不退，小便赤涩，用金匮肾气汤。二服，小便方利，而寒热愈加，此元气渐回，
症候复现。朝用六君子汤加柴、葛、神曲、干姜，夜用六味汤加参、桂。旬日后，寒冷拘挛，目上窜，切牙呻
吟，咸以为无救矣。陈曰∶此名寒战，正气将回，积邪欲出，乃吉兆也。自未至酉，始大汗如雨，手足软弱，
不语熟睡，天明，方能言。然虚症日出，潮热汗出，则用补中汤合建中加附子。不寐，则用归脾汤。元气弱，
则用十全大补汤。腹痛滑泻，则用理中、六君汤。如是调理，三月方瘳。（此条用药，俱不尽合法。玩叶天士
《温热论》自知。）
蒋仲芳治一小儿，在水阁，风雨卒至，又惊又寒，后四肢厥冷，渐至遍身，惟心口稍暖。此冷风入骨症，
冷至心窝则死。用理中汤加附子一钱，数服而寒退。
聂久吾治司毛理之次子，年十一，夜间忽发大热，头痛，身又痛，咸以为病暑也。及问其由，细察其脉，
乃感寒耳，谓必须发汁，其家以现下多汗为疑。曰∶此汗不当数，必用药发汗，方可除病。遂与一大剂，令其
热服出汗。至天明，诸症尽退，再与清解，数服而安。羌、防各六分，陈、草各三分，芎、芷各四分，赤芍五
分，香薷、干葛各一钱二分，苍术、苏叶、香附各八分，姜三片。
总制石公子，年仅十岁。在丁丑年六月，患感冒风暑之邪，出现寒热交替、头痛的症状。儿科医生已经使用葛根加羌活、防风来解表治疗。后来寒热症状仍未减轻，反而出现气喘和腹胀，医生又用消食导滞的方法加上小柴胡汤，但未见效果。患者神志昏迷、喘息急促，有时腹泻，腹痛似痢疾，不知道这是什么疾病。诊察发现，病程已二十多天，脉象数而无力，神志昏乱，按压腹部，时而胀满时而疼痛；观察其神态，时而安静时而烦躁，手足有时冷有时热，虚汗不止。这是因为外邪初感时，本可通过药物解除，但因久积未清，加之饮食失调，导致元气欲脱，致使外邪内陷。现在以救固根本为急务，使用理中汤加入桂枝、附子，腹痛腹泻顿时减轻，手足也变暖了。然而发热不退，小便赤涩，于是改用金匮肾气汤。服用两剂后，小便才通利，但寒热症状更加严重，这是元气逐渐恢复，病症重新显现的缘故。早晨服用六君子汤加入柴胡、葛根、神曲、干姜，晚上服用六味地黄丸加入人参、桂枝。十几天后，出现寒冷拘挛、眼球上翻、咬牙呻吟的症状，大家都认为无法救治了。陈氏说：这名叫寒战，是正气将要恢复，积存的邪气想要排出的表现，乃是吉兆。从下午三点到五点，终于大汗如雨，手足软弱，不能说话并熟睡，直到天亮才能说话。然而虚证日益明显，出现潮热出汗，则使用补中益气汤合建中汤加入附子。失眠，则使用归脾汤。元气虚弱，则使用十全大补汤。腹痛滑泻，则使用理中汤、六君子汤。像这样调理，三个月后才痊愈。（此条用药，都不完全符合常规法则。研读叶天士的《温热论》自然明白。）
蒋仲芳治疗一个小孩，住在水阁中，风雨突然到来，既受惊又受寒，随后四肢厥冷，逐渐蔓延至全身，只有心口部位稍暖。这是冷风入骨的病症，寒气到达心窝就会死亡。使用理中汤加入一钱附子，服用几剂后寒气消退。
聂久吾治疗司毛理之次子，十一岁，夜间忽然发高热，头痛，身体也痛，大家都认为是中暑。等到询问病因，仔细切脉，原来是感受寒邪，说必须发汗，家属因为孩子目前多汗而感到怀疑。医生说：这种汗不值得计算（指病理性自汗），必须用药发汗，才可以去除疾病。于是给了一大剂药，让他热服出汗。到天亮，所有症状全部退去，再给予清热解表的药物，服用几剂后安稳下来。方药组成：羌活、防风各六分，陈皮、甘草各三分，川芎、白芷各四分，赤芍五分，香薷、葛根各一钱二分，苍术、苏叶、香附各八分，生姜三片。
Zongzhi Shi Gongzi was only ten years old. In the sixth month of the Dingchou year, he contracted wind-heat and summer-heat pathogens, presenting with alternating chills and fever, and headache. The pediatrician had already used Gegen Tang (Kudzu Decoction) added with Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix) to release the exterior. Later, the chills and fever did not subside; instead, he developed panting and abdominal distension. The physician then employed methods for digesting food stagnation combined with Xiaochaihu Tang (Minor Bupleurum Decoction), but without effect. The patient suffered from coma, rapid breathing, occasional diarrhea, and abdominal pain resembling dysentery, making it unclear what disease this was. Upon examination, the illness had persisted for more than twenty days. The pulse was rapid and forceless; consciousness was confused and chaotic. Palpation of the abdomen revealed intermittent distension and pain. Observation of his spirit showed periods of calmness alternating with restlessness; his hands and feet were sometimes cold and sometimes hot, and he sweated profusely due to deficiency. This occurred because when external pathogens are initially contracted, they can be resolved by medication; however, if they accumulate for a long time without being cleared, and combined with dietary irregularities, the primordial qi (Yuan Qi) may become depleted, causing external pathogens to sink inward. Now, the urgent priority is to rescue the root cause. Li Zhong Tang (Regulate the Middle Decoction) was administered with Guizhi (Cinnamon Twig) and Fuzi (Aconiti Lateralis Radix Praeparata). The abdominal pain and diarrhea decreased abruptly, and his hands and feet became warm. However, the fever did not subside, and urination was scanty and painful. Jin Gui Shen Qi Tang (Kidney Qi Pill from the Golden Cabinet) was then used. After two doses, urination became smooth, but the chills and fever worsened. This indicated that primordial qi was gradually returning, and symptoms were reappearing. In the morning, Liu Jun Zi Tang (Six Gentlemen Decoction) was given with Chaihu (Bupleuri Radix), Gegen (Puerariae Radix), Shenqu (Massa Medicata Fermentata), and Ganjiang (Zingiberis Rhizoma); at night, Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) was given with Renshen (Ginseng Radix) and Guizhi (Cinnamon Twig). Ten days later, he experienced cold rigors, muscle spasms, upward deviation of the eyes, teeth grinding, and groaning. Everyone believed he was incurable. Chen stated: "This is called 'han zhan' (cold shivering). It signifies that righteous qi is about to recover and accumulated pathogens are attempting to exit; thus, it is an auspicious sign." From 3 PM to 5 PM, he finally broke into a sweat like rain. His limbs became weak, he fell into a deep sleep unable to speak, and could only speak after dawn. However, as deficiency symptoms emerged daily, including tidal fever and sweating, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Jian Zhong Tang (Establish the Middle Decoction) plus Fuzi (Aconiti Lateralis Radix Praeparata) was used. For insomnia, Gui Pi Tang (Restore the Spleen Decoction) was prescribed. For weak primordial qi, Shi Quan Da Bu Tang (Ten Great Tonics Decoction) was used. For abdominal pain and slippery diarrhea, Li Zhong Tang (Regulate the Middle Decoction) and Liu Jun Zi Tang (Six Gentlemen Decoction) were employed. Through such regulation, he recovered after three months. (The medications used in this case do not strictly adhere to standard principles. Studying Ye Tianshi's *Wen Re Lun* [Treatise on Warm-Heat Diseases] will make this clear.)
Jiang Zhongfang treated a child living in a water pavilion. Wind and rain arrived suddenly, causing both fright and cold exposure. Subsequently, his four limbs became cold, spreading gradually to the entire body, except for the area around the heart which remained slightly warm. This was a condition of cold wind penetrating the bones; if the cold reached the heart pit, death would ensue. Li Zhong Tang (Regulate the Middle Decoction) with one qian of Fuzi (Aconiti Lateralis Radix Praeparata) was used. After several doses, the cold receded.
Nie Jiuwu treated the second son of Si Maoli, aged eleven. At night, he suddenly developed high fever, headache, and body ache. Everyone assumed it was heatstroke. Upon inquiry and careful pulse diagnosis, Nie determined it was actually cold pathogen contraction. He stated that sweating must be induced. The family doubted this because the child was currently sweating profusely. Nie said: "This sweat is pathological and should not be counted as normal; medication must be used to induce sweating to eliminate the disease." A large dose was prescribed to be taken hot to induce sweating. By dawn, all symptoms had subsided. Clearing and resolving agents were then administered, and after several doses, the patient stabilized. The prescription consisted of: Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix) each 6 fen; Chenpi (Citri Reticulatae Pericarpium) and Gancao (Glycyrrhizae Radix et Rhizoma) each 3 fen; Xiong (Chuanxiong Rhizoma) and Baizhi (Angelicae Dahuricae Radix) each 4 fen; Chishao (Paeoniae Radix Rubra) 5 fen; Xiangru (Moslae Herba) and Gegen (Puerariae Radix) each 1.2 qian; Cangzhu (Atractylodis Rhizoma), Ziyè (Perillae Folium), and Xiangfu (Cyperi Rhizoma) each 8 fen; and 3 slices of Shengjiang (Zingiberis Rhizoma Recens).