（附阴虚发热，气血虚热。）
举人杜克宏坠马，服下血药，反作喘，日益甚，此血虚所致而然，非瘀血为患。遂以四物加参、
、五味、麦冬治之，其喘顿止。又用补中益气加五味、麦冬而愈。此症果系瘀血蒸熏于肺而喘，宜
活血行血，不可下。若面黑胸胀，或膈痛作喘，当用人参一两，苏木二两，作一剂，水煎急服，缓则
不治。产妇多有此疾。
杨进士伤手指， 痛发热，服寒凉之药，致饮食顿减，患处不溃。用托里养血之药，食进而溃。
后因劳，每日晡发热，此阴虚而内热也。以四物、软柴胡、地骨皮乃退。更用养血气之药而疮敛。
一男子坠马，腹有瘀血，服药下之，致发热、盗汗、自汗，脉浮涩。以为重剂过伤气血所致，投
以十全大补汤益甚。时或谵语，此药力未及而然也。以前药加炮附子五分，服之即睡，觉来顿安，再
剂而痊。
（附胆经血少，肾经虚怯。）
梁阁老侄，跌伤腿，外敷大黄等药，内服破血之剂，遂致内溃，为针出秽脓三碗许。虚症悉具，
用大补之剂两月余，稍能步履。因劳心，手撒眼闪，汗出如水，或欲用祛风之剂。曰∶此气血尚未充
足而然也。急以艾炒热频熨肚脐，（此法罗谦父尝用之。）并气海穴处。又以人参四两，炮附子五钱，
煎灌。良久，臂少动，又灌一剂，眼开能言。但气不能接续，乃以参、 、归、术四味共一斤，附子
五钱，水煎成，徐徐服之。元气渐复，饮食已进，乃去附子，服之而疮愈。
一女子年十七，闪右臂，微肿作痛，寅申时发热，决其胆经血虚火盛，经水果先期而至。先以四
物合小柴胡汤，四剂热退。更加以四物汤加香附、地骨皮、山栀各五分，芩、连、炙草各二分，二十
余剂，其肿亦消。乃去黄连、山栀，又五十余剂，经水调而元气充矣。
儒者王清之，跌腰作痛，用定痛等药不愈。气血日衰，面耳黧色，曰∶腰为肾之府，虽曰闪伤，
实肾经虚弱所致。遂用杜仲、补骨脂、五味、山萸、苁蓉、山药，空心服，又以六君、当归、白术、
神曲各二钱，食远服，不月而瘥。
一三岁儿，闪腰作痛，服流气等药，半载不愈，此禀肾气不足，不治之症也。后果殁。
举人杜克宏从马上摔下，服用了活血逐瘀的药物后，反而出现气喘，且症状日益加重。这是血虚所致，并非瘀血为患。于是用四物汤加入人参、五味子、麦冬进行治疗，他的气喘立刻停止。后来又用补中益气汤加入五味子、麦冬而痊愈。如果这个病症确实是瘀血蒸熏于肺而导致的气喘，应当使用活血行血的药物，不可使用泻下药。如果出现面色发黑、胸腹胀满，或者膈部疼痛引发气喘，应当用人参一两、苏木二两，作为一剂药，水煎后急服，如果服药迟缓则无法救治。产妇多有此类疾病。
杨进士手指受伤，患处疼痛并伴有发热，服用了寒凉性质的药物，导致饮食突然减少，患处不能溃破排脓。后来使用了托里养血的药物，饮食恢复并且患处溃破排脓。之后因为劳累，每天傍晚时分发热，这是阴虚导致的内热。用四物汤、软柴胡、地骨皮治疗，热势退去。又用养血益气的药物，疮口愈合。
有一个男子从马上摔下，腹部有瘀血，服用药物试图排出瘀血，结果导致发热、盗汗、自汗，脉象浮涩。认为是重剂攻伐过度损伤了气血所致，投以十全大补汤后病情反而加重。有时出现胡言乱语，这是因为药力未能达到病所而产生的现象。在上述方药中加入炮附子五分，服用后即能入睡，醒来后顿时感到安宁，再服两剂便痊愈了。
梁阁老的侄子，腿部跌伤，外敷大黄等药物，内服破血化瘀的药剂，导致内部溃烂，用针挑出约三碗多的污秽脓液。虚损的症状全部具备，使用大补的药剂两个多月，才稍微能够行走。因为用心劳神，出现手撒眼斜、出汗如水状，有人建议使用祛风类药物。我说：这是气血尚未充足所致。急忙用艾叶炒热频繁熨烫肚脐（这种方法罗谦甫曾经使用过），以及气海穴处。又用人参四两、炮附子五钱，煎汁灌服。过了很久，手臂稍微活动，又灌服一剂，眼睛睁开并能说话。只是气息不能接续，于是用人参、白术、当归、白术四味药共一斤，附子五钱，水煎成汤，慢慢服用。元气逐渐恢复，饮食已经进用，于是去掉附子，继续服用而疮口愈合。
有一个十七岁的女子，右臂扭伤，轻微肿胀疼痛，在寅时和申时发热，判断为胆经血虚火盛，月经果然提前到来。先用四物汤合小柴胡汤，服用四剂后热退。再加四物汤，加入香附、地骨皮、山栀各五分，黄芩、黄连、炙甘草各二分，服用二十多剂，肿胀也消退了。于是去掉黄连、山栀，又服用五十多剂，月经调顺且元气充盛。
儒生王清之，腰部跌伤作痛，使用定痛等药物治疗无效。气血日渐衰败，面部和耳朵颜色黧黑，我说：腰是肾的府邸，虽然说是闪挫损伤，实际上是肾经虚弱所致。于是用杜仲、补骨脂、五味子、山茱萸、肉苁蓉、山药，空腹服用；又用六君子汤、当归、白术、神曲各二钱，饭后远时服用，不到一个月就好了。
一个三岁的孩子，腰部扭伤作痛，服用流气等药物，半年不愈，这是禀受肾气不足，属于不治之症。后果然去世。
(Attached: Yin deficiency causing fever, Qi and Blood deficiency causing fever.)
Du Kehong, a Juren (degree holder), fell from a horse. After taking blood-invigorating and stasis-resolving medicines, he instead developed panting, which worsened daily. This was caused by Blood deficiency, not by blood stasis. Therefore, Siwu Tang (Four Substances Decoction) was administered with added Renshen (Ginseng Radix et Rhizoma), Wuweizi (Schisandrae Fructus), and Maidong (Ophiopogonis Radix). His panting stopped immediately. He was subsequently cured using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Wuweizi and Maidong. If this condition were indeed panting caused by blood stasis steaming and harassing the Lung, one should employ methods to invigorate and move blood, and avoid purgatives. If the patient presents with a dark complexion, chest distension, or epigastric pain inducing panting, one should use Renshen (Ginseng Radix et Rhizoma) 1 liang and Sumu (Sappan Lignum) 2 liang as a single dose, decocted in water and taken urgently; if treatment is delayed, it will be untreatable. This condition is common among postpartum women.
Yang Jinshi (degree holder) injured his finger. The affected area was painful and accompanied by fever. After taking cold-natured medicines, his appetite decreased abruptly, and the lesion failed to suppurate. By employing medicines to support the interior and nourish the blood, his appetite returned, and the lesion suppurated. Later, due to overexertion, he experienced fever every afternoon (Bushi time). This was internal heat due to Yin deficiency. It subsided after treatment with Siwu Tang (Four Substances Decoction), Ruan Chaihu (Soft Bupleuri Radix), and Digupi (Lycii Cortex). The wound healed after further administration of medicines to nourish Blood and tonify Qi.
A man fell from a horse and had abdominal blood stasis. After taking medicines intended to purge the stasis, he developed fever, night sweats, and spontaneous sweating, with a floating and choppy pulse. This was considered to be caused by excessive damage to Qi and Blood from heavy purgative agents. When Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction) was administered, the condition worsened. At times, he exhibited delirious speech, which was attributed to the medicinal force failing to reach the pathological site. By adding Pao Fuzi (Prepared Aconiti Lateralis Radix) 5 fen to the previous prescription, he fell asleep immediately upon ingestion. Upon waking, he felt significantly relieved, and he recovered after two more doses.
(Attached: Blood deficiency in the Gallbladder Meridian, Deficiency and timidity in the Kidney Meridian.)
The nephew of Grand Secretary Liang suffered a leg injury from a fall. He applied external poultices containing Dahuang (Rhei Radix et Rhizoma) and took internal blood-breaking formulas, leading to internal ulceration. Approximately three bowls of foul pus were drained via needle puncture. All signs of deficiency were present. After administering strong tonifying medicines for over two months, he could barely walk. Due to mental exertion, he presented with flaccid hands, deviated eyes, and profuse sweating like water. Some suggested using wind-dispelling agents. I stated: "This is due to insufficient Qi and Blood." Urgently, hot moxa (prepared by stir-frying mugwort leaves) was frequently applied to the navel (a method previously used by Luo Qianfu) and the Qihai (CV-6) acupoint. Additionally, Renshen (Ginseng Radix et Rhizoma) 4 liang and Pao Fuzi (Prepared Aconiti Lateralis Radix) 5 qian were decocted and administered orally. After a long while, his arms moved slightly. Another dose was administered, after which his eyes opened, and he could speak. However, his Qi was unable to connect continuously. Therefore, Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma) [Note: Text says 'Shu', likely referring to Baizhu or Zhushen, but context implies tonifying herbs, here translated as Baizhu based on standard pairing, though original text has a gap/typo ' 、 '. Assuming standard tonifying combo] totaling 1 jin, along with Fuzi (Aconiti Lateralis Radix Praeparata) 5 qian, were decocted in water and slowly ingested. His Yuan Qi (Original Qi) gradually recovered, and his diet improved. The Fuzi was then removed, and continued administration led to the healing of the wound.
A seventeen-year-old girl sprained her right arm, resulting in slight swelling and pain. She experienced fever during Yinshen hours (3-7 AM and PM). It was diagnosed as Blood deficiency and flourishing fire in the Gallbladder Meridian. Her menstruation indeed arrived early. Initially, Siwu Tang (Four Substances Decoction) combined with Xiaochaihu Tang (Minor Bupleurum Decoction) was given for four doses, resolving the fever. Then, Siwu Tang (Four Substances Decoction) was modified with Xiangfu (Cyperi Rhizoma), Digupi (Lycii Cortex), and Zhizi (Gardeniae Fructus) at 5 fen each, Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), and Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) at 2 fen each. After more than twenty doses, the swelling subsided. Huanglian (Coptidis Rhizoma) and Zhizi (Gardeniae Fructus) were then discontinued. After another fifty-plus doses, her menstruation became regular, and her Yuan Qi (Original Qi) became robust.
Wang Qingzhi, a Confucian scholar, suffered lower back pain from a fall. Treatment with pain-relieving agents was ineffective. His Qi and Blood declined daily, and his face and ears turned dark/black. I stated: "The waist is the mansion of the Kidney. Although it is a sprain injury, it is actually caused by Kidney Meridian deficiency." Therefore, Duzhong (Eucommiae Cortex), Buguzhi (Psoraleae Fructus), Wuweizi (Schisandrae Fructus), Shanzhuyu (Corni Fructus), Rongrong (Cynomorii Herba), and Shanyao (Dioscoreae Rhizoma) were taken on an empty stomach. Additionally, Liu Jun Zi Tang (Six Gentlemen Decoction) with Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Shenqu (Massa Medicata Fermentata) at 2 qian each were taken well after meals. He recovered within a month.
A three-year-old child suffered lower back pain from a sprain. After taking Qi-moving medicines for half a year without improvement, it was determined that this was due to congenital insufficiency of Kidney Qi, constituting an untreatable condition. The child eventually died.