缪仲淳治高存之次子，童时，夏月身热十昼夜，止饮白虎汤。诸医汗之不解，以麻仁丸下之热如故。缪诊
曰∶此伤暑也，白虎汤是其本方。因误汗下虚甚，加人参三钱，一剂微汗，瞑眩，少顷热解。更疏一方，防其
疟痢，乃用人参二钱，兼健脾清暑导滞之剂。未几疟作，如方饮之，疟止，痢又作。存之不得已于生脉散中加
益元散饮之，儿 羸甚，痢少减。数日后，仲淳复至，语之故。曰∶生脉益元散得之矣。不诊而谛视儿，问靡
甘否？曰∶甘。缪曰∶病去矣。存之问故？曰∶视儿目光炯炯，且饮食味甘，是精神已王，胃气转矣。寻果脱
然起。
臧玉涵子岁半，盛夏咳嗽。七日，因浴受惊，又伤食，大热倦顿，三日不敢与药，目翳唇焦舌干。仲淳
曰∶此暑病也。当与白虎汤。曰∶腹泻，石膏无害乎？曰∶先以天水散探之。服二钱，少顷，药夹痰而吐，微
汗身凉。黄昏复热，又以天水散二钱，不效。仲淳曰∶其为暑症无疑，当以白虎汤加人参。因儿患肺热，且止。
再诊之，曰∶暑邪客于皮肤分肉，有热无寒，是为瘅疟，断当用白虎汤。连服二剂，不效，鼻露眼开，口不纳
气，势甚急危。曰∶此症气不足胜邪也。刺疟论云∶凡疟，先时一食顷，乃可治，过时则失之也。又云∶无刺
之热，无刺浑浑之脉，无刺漉漉之汗。意者，服药不得时耶。将前药并剂煎，露一宿，鸡鸣温服之，病顿
失。不须调补，精神渐复，以此知察病望气及服药之贵及时也。
蒋千宫第五子，一岁，伤暑发热，服此药（惊风之帖。）十余日，惊搐危殆。又进腊丸等，死去矣。予察其误中
于药，以补脾汤加减治之，立愈。（《慈幼篇》。）
缪仲淳治疗高存之的次子，该患儿年幼时，夏季身体发热持续十昼夜，仅饮用白虎汤。其他医生采用发汗法治疗未能痊愈，又用麻仁丸泻下，但热势依旧。缪仲淳诊察后说：“这是伤暑证，白虎汤是它的本方。因为误用发汗和泻下导致正气极度虚弱，加入人参三钱，服用一剂后微微出汗，出现瞑眩反应（服药后出现的短暂剧烈反应），不久热势解除。随后另开一方，预防疟疾和痢疾，使用人参二钱，配合健脾、清暑、导滞的药物。没过多久疟疾发作，按方服药后疟疾停止，痢疾又发作。高存之不得已将生脉散与益元散合用给患儿服用，孩子身体非常消瘦，痢疾稍减。几天后，缪仲淳再次到来，告知原因。他说：“生脉散和益元散的用法我已经明白了。”他不进行诊脉，只是仔细端详患儿，问：“吃东西觉得甜吗？”回答说：“甜。”缪仲淳说：“病已经好了。”高存之询问原因。缪仲淳说：“看患儿目光炯炯有神，且饮食感觉甘甜，说明精神已旺盛，胃气恢复了。”不久果然完全康复。
臧玉涵的儿子半岁大，盛夏时节咳嗽。七天后，因洗澡受惊，又伤食，出现高热、疲倦乏力，三天不敢给药，导致目生翳膜、嘴唇焦裂、舌头干燥。缪仲淳说：“这是暑病。应当给予白虎汤。”家属说：“有腹泻症状，石膏会有害处吗？”缪仲淳说：“先用天水散试探性服用。”服用二钱后，过了一会儿，药液夹杂痰液吐出，微微出汗，身体变凉。黄昏时再次发热，又服用二钱天水散，无效。缪仲淳说：“这肯定是暑症无疑，应当用白虎汤加人参。但因为孩子患有肺热，所以暂时停止用药。”再次诊察后说：“暑邪客居在皮肤肌肉之间，只有热没有寒，这就是瘅疟，断然应当使用白虎汤。”连续服用两剂，无效，出现鼻孔张开、眼睛睁开、口不纳气的危重症状。缪仲淳说：“这个病症是正气不足，无法战胜邪气。”《刺疟论》说：“凡是疟疾，要在发作前一顿饭的时间才可治疗，错过时机就失掉了治疗的良机。”又说：“对于高热者不要针刺，对于脉象混乱者不要针刺，对于大汗淋漓者不要针刺。”我想，可能是服药时间不对吧。于是将前面的药合并为一剂煎煮，露天放置一夜，鸡鸣时分温服，病势顿时消失。不需要调理进补，精神逐渐恢复，由此可知观察病情望气以及服药贵在及时的重要性。
蒋千宫的第五个儿子，一岁大，伤暑发热，服用此药（惊风贴）十余日，出现惊厥抽搐，情况危急。又服用腊丸等药物，最终死亡。我考察其错误在于中了药物的毒，改用补脾汤加减治疗，立刻痊愈。（出自《慈幼篇》。）
Miao Zhongchun treated the second son of Gao Cunzhi. When the child was young, he suffered from fever for ten days and nights during summer, having only consumed Baihu Tang (White Tiger Decoction). Other physicians attempted diaphoresis (sweating method) without success, and then used Maren Wan (Hemp Seed Pill) to purge, yet the heat remained unchanged. Miao diagnosed: "This is injury by summerheat. Baihu Tang is its primary formula. Due to erroneous sweating and purging, the deficiency is severe. Add three qian of Renshen (Ginseng Radix et Rhizoma), administer one dose; slight sweating will occur, followed by a Mingxuan reaction (a transient adverse reaction after taking medicine), and shortly thereafter the heat will resolve. Then prescribe another formula to prevent malaria and dysentery, using two qian of Renshen combined with herbs that invigorate the spleen, clear summerheat, and guide out stagnation. Soon, malaria appeared; upon drinking according to the prescription, the malaria ceased, but dysentery arose. Out of desperation, Cunzhi administered Shengmai San (Generate the Pulse Powder) mixed with Yiyuan San (Benefit Origin Powder) to the child. The child became extremely emaciated, and the dysentery slightly decreased. Several days later, Miao returned and explained the situation. He said: "I have understood the application of Shengmai San and Yiyuan San." Without palpating the pulse, he carefully observed the child and asked, "Does food taste sweet?" The answer was, "Sweet." Miao said: "The disease has gone." Cunzhi asked for the reason. Miao replied: "Observing the child's bright eyes and his perception of sweetness in food indicates that the spirit is vigorous and the stomach qi has recovered." Indeed, the child soon recovered completely.
Zang Yuhan's son was half a year old, suffering from coughing in midsummer. After seven days, due to bathing and being startled, as well as food retention, he developed high fever and exhaustion. For three days, no medicine was given, resulting in corneal opacity, cracked lips, and dry tongue. Miao said: "This is a summerheat disease. One should administer Baihu Tang." The family asked: "There is diarrhea; would Shigao (Gypsum Fibrosum) be harmful?" Miao said: "First, probe with Tianshui San (Heavenly Water Powder)." After administering two qian, shortly afterward, the medicine was vomited out mixed with phlegm, accompanied by slight sweating and cooling of the body. At dusk, the fever recurred; another two qian of Tianshui San were given, but it was ineffective. Miao said: "It is undoubtedly a summerheat syndrome. One should use Baihu Tang plus Renshen. However, since the child suffers from lung heat, we pause for now." Upon re-examination, Miao said: "Summerheat pathogen resides in the skin and muscles, presenting heat without chills; this is Dan Nue (Cachectic Malaria). It must be treated with Baihu Tang." Two doses were taken consecutively without effect; the condition worsened to open nostrils, staring eyes, and inability to accept breath into the mouth, indicating critical danger. Miao said: "In this syndrome, qi deficiency prevents overcoming the pathogen." The *Ling Shu·Ci Nue Lun* states: "For all malarial fevers, treatment should begin about the time of one meal before the onset; if missed, the opportunity is lost." It also states: "Do not needle those with intense heat, do not needle those with chaotic pulses, do not needle those with profuse sweating." I suspect the timing of medication was incorrect. Therefore, combine the previous prescriptions into one decoction, leave it exposed overnight, and administer warm at cockcrow. The illness instantly vanished. No further tonification was needed; the spirit gradually recovered. This demonstrates the importance of observing the disease's qi and the timeliness of medication.
Jiang Qianguan's fifth son was one year old, suffering from summerheat-induced fever. After taking this medicine (Jingfeng Tie - Convulsion Patch) for over ten days, he experienced convulsions and危殆 (critical danger). Subsequently, La Wan (Wax Pill) and other medicines were administered, leading to death. I investigated and found the error lay in poisoning from the medicine. Treating him with modified Bupi Tang (Spleen-Invigorating Decoction), he recovered immediately. (From *Ci You Pian*.)