比邻林楚畹秋间为母延余彼亦以脉求诊余曰子至隆冬。当得重病。但须谨护。无足虑也
。彼
形体魁梧。素健无病。意疑余言为迂。及冬从征山冠。行间驱驰。历经四旬。积受寒湿。甫
归犯色。次日即病头目疼痛。发热如燎。口燥唇焦。呕逆烦闷。脉浮微无力。尺细若脱。
余惊
曰奈何阳病而得阴脉。此必犯房劳。当小腹微疼而复下利。询之果然。急以大剂桂附理中汤与服。脉
症顿减。次早遍体发斑。彼疑以为附毒。余曰子积受寒湿。凝伏经络。昨得热剂血脉流通。中
气既固。邪气不容。暴发于外。此乃寒斑非热斑也。然终疑不释。另投消斑平剂。胃寒药拒不纳
。仍以前汤与服。斑始消。脾气亦健。夫如此症候。表症既实。燥渴狂烦。且复发斑。时医
执症昧脉必用清解之剂即称知脉者。亦必限于胆小。以桂附为蛇蝎。而姑投和缓之剂均能误
人于死也若郑贞侯方HT 可鉴也。
甲申夏里人方HT 房劳冒风脐下沉痛。大便滑利。脉两手浮疾如数稍按即无。余以桂附理
中汤
投三剂。脉症渐减。彼求速效。另延他医。误以为时行瘟病。促投寒药。教啖生果。少顷发
厥狂谵。复求救于余察其六脉已绝当不超时死果然。
癸未秋明经郑木华子贞侯房劳感寒。复沾雨湿。前医惮用姜附。只投二陈缓剂。越九日
发燥增剧。始延诸医及余延医。余告以脉见转索。本夜当殁。郑木华婿陈克新乃余内弟。甲申春
患房劳冲寒。面目青黯。切牙寒战舌即转黑。四肢厥逆速余救疗。余不及脉。急以姜附汤连
三剂始应。
邻居林楚畹在秋天邀请我为他母亲诊病，他也是通过脉象来求诊。我说：“您到了隆冬时节，将会患上重病，但只要小心养护，不必担忧。”
那人身体魁梧，向来健康无病，心里怀疑我的话是迂腐之谈。等到冬天，他跟随军队出征山冠，在行军途中奔波劳碌，历经四十天，积聚感受了寒湿之气。刚回到家就犯了房事，第二天就发病，出现头目疼痛、发热如火燎、口燥唇焦、呕吐逆气、心烦闷乱等症状，脉象浮取微细无力，尺部脉细弱几乎摸不到。
我惊讶地说：“怎么阳证却得了阴脉？这一定是因为犯了房劳，应当感到小腹轻微疼痛并且伴有腹泻。”询问后情况果然如此。急忙用大剂量的桂附理中汤让他服用，脉象和症状立刻减轻。第二天早上，全身发出斑疹。那人怀疑这是附子中毒。我说：“您积聚感受了寒湿，凝滞伏留于经络之中。昨天得到热性药物，血脉流通，中气已经稳固，邪气无法容纳，于是暴发于体表。这是寒斑，不是热斑。”然而他始终疑虑不能消除，另外投服消斑的平和药剂，但胃寒拒药不纳。仍然以前方的桂附理中汤服用，斑疹才消退，脾气也恢复了健运。像这样的症候，表证既已实证，又有燥渴狂烦，并且又发斑疹，当时的医生执着于症状而忽视脉象，必定使用清解的药剂；即使是自称懂脉象的人，也一定因为胆小，把桂枝、附子看作蛇蝎，而姑且投服和缓的药剂，这都会把人误入死地，郑贞侯的事情就可以作为鉴戒。
甲申年夏天，同乡人方HT因房劳后感冒风寒，脐下部位沉痛，大便滑泄不禁，两手脉象浮疾如数，稍微按压就消失不见。我用桂附理中汤投服三剂，脉象和症状逐渐减轻。那人追求速效，另外聘请其他医生，被误认为是时行瘟病，催促投服寒凉药物，并教他吃生冷水果。不久发生厥逆、狂妄谵语，再次求救于我。察看他六脉已绝，断定不超过时辰就会死亡，果然如此。
癸未年秋天，明经郑木华之子郑贞侯因房劳感寒，又沾上雨湿。前医害怕使用干姜、附子，只投服二陈汤等缓和药剂。过了九天，燥热症状加剧，才开始延请各位医生和我。我告诉他脉象呈现转索之象，当夜就会死亡。郑木华的女婿陈克新是我的内弟，甲申春天患房劳冲受寒风，面目青暗，咬紧牙关、寒战，舌头立即变黑，四肢厥冷，急忙请我救治。我来不及诊脉，急忙用姜附汤连续服用三剂才见效。
The neighbor Lin Chuwan invited me to diagnose his mother in autumn, and he also sought diagnosis through pulse examination. I said, "You will suffer from a severe illness during the deep winter months, but as long as you take careful care, there is no need to worry."
That person was physically burly and had always been healthy without illness. He suspected my words were pedantic. When winter arrived, he followed the army to campaign in Shanguan, galloping back and forth during the march. After forty days of exposure, he accumulated cold-dampness. Upon returning home, he engaged in sexual activity. The next day, he fell ill with headache and eye pain, fever burning like fire, dry mouth and scorched lips, vomiting and regurgitation, irritability and stifling sensation. The pulse was floating, slightly weak and forceless; the cun position at the chi (distal) section was thin and nearly imperceptible.
I exclaimed, "How can a Yang syndrome present with a Yin pulse? This must be due to sexual exhaustion. There should be slight pain in the lower abdomen accompanied by diarrhea." Upon inquiry, this proved true. I urgently administered a large dose of Guizhi Fuzi Lizhong Tang (Cinnamon Twig, Aconite Root, and Gastrodia Decoction). The pulse and symptoms immediately subsided. The following morning, macules appeared all over his body. He suspected it was toxicity from Aconite. I said, "You accumulated cold-dampness, which stagnated and lurked in the meridians. Yesterday, receiving hot-natured medicine promoted blood circulation and fortified the Middle Qi. Unable to contain the pathogenic factor, it erupted externally. These are Cold Macules, not Heat Macules." However, his suspicion remained unresolved. He took another mild formula for resolving macules, but his cold stomach rejected the medication. We continued administering the previous Guizhi Fuzi Lizhong Tang, after which the macules subsided and Spleen Qi recovered. In such cases, where exterior syndromes are excess, accompanied by dry thirst, mania, and irritability, along with macule eruption, contemporary physicians who cling to symptoms while ignoring the pulse will inevitably use clearing and resolving agents. Even those who claim to understand the pulse, out of timidity regarding Cinnamon Twig and Aconite as if they were snakes and scorpions, will resort to mild agents, thereby leading patients to death. The case of Zheng Zhenhou serves as a warning.
In the summer of Jiashen, a fellow townsman, Fang HT, suffered from umbilical sinking pain and slippery diarrhea after engaging in sexual activity and catching wind. The pulses in both hands were floating and rapid, resembling a frequent pulse, disappearing upon slight pressure. I administered Guizhi Fuzi Lizhong Tang for three doses, after which the pulse and symptoms gradually subsided. Seeking quick results, he hired another physician who misdiagnosed the condition as an epidemic plague, urging the administration of cold medicines and instructing him to eat raw fruits. Soon, he developed Jue syndrome (cold extremities), madness, and delirious speech. He sought my help again. Examining his six pulses, I found them absent, predicting death within a short time, which proved correct.
In the autumn of Guiwei, Zheng Zhenhou, son of Mingjing Zheng Muhua, contracted cold after sexual exhaustion and was further exposed to rain and dampness. The previous physician, afraid to use Ginger and Aconite, only prescribed Erchen Tang (Two-Cured Decoction) or other mild formulas. Nine days later, the dry heat worsened significantly, prompting the invitation of various physicians, including myself. I informed them that the pulse presented a turning-rope quality, indicating death would occur that night. Chen Kexin, son-in-law of Zheng Muhua and my brother-in-law, suffered from cold invasion after sexual exhaustion in the spring of Jiashen. His face and eyes were dark cyanotic, he clenched his teeth and shivered, his tongue turned black, and his four limbs were cold. He urgently requested my treatment. I did not have time to palpate the pulse and urgently administered Jiangfu Tang (Ginger and Aconite Decoction) for three consecutive doses before improvement occurred.