甲申仲夏王介人病前症自汗灼热。鼾睡昏眩。兼患疝疾。脉浮洪稍缓。前医投以阳明药
不应。余曰此风温症也。以白薇汤倍升麻。入桂少许。两服全愈。
甲申仲夏对邻唐英母年六十余。亦患前症。自汗灼热。鼾睡昏眩。独脉则浮数欲脱。稍
按即
无。时或谵燥。余曰病不难疗须先救脉勿缓视也遂以人参三钱为君。术 归苓甘草知母为佐
。肉桂附子为使。冷服一剂。得睡半日。脉亦转静。至晚再剂。精神逸爽。啜粥碗许。脉按
有力。余曰脉已撤消。不须虑也。次早投白薇汤。始治本症。彼舅氏李姓者请吴醒生。吴以
余所投第三剂极是。但前两剂。不知何解。妄用桂附燥药。余曰吾既用白薇汤。而前两服岂
浪施乎。薛立斋先生云凡脉暴脱。或促代无力。或屋漏。余急用参附汤等药。多有得生者。聆
此则先哲法言。炳如日星余遵而用之。恐未必妄也。
癸未仲夏方我贞外家弟黄申初犯房劳旋感瘟病头痛发热。呕渴胀满。大便洞泄。夜增狂谵
。六
脉迟弱。左关右尺沉伏如绝。初治藿香正气散不效。余以附子理中汤停冷与服。得静睡半日
。呕泄顿止。胀满亦舒。脉即渐出。至晡烦渴未解。余曰寒去而热尚在。经云热虽甚不死不
必虑投以竹叶石膏汤。去石膏。加知母天花牛蒡。热渴半减。次日复烦舌转黄胎。余仍以前
汤去石膏加芩连连三剂全愈。石膏性甘寒沉坠。前症因兼伤肾寒。故去之。第此症倘不先用
温剂消寒救脉。而徒见病治病。枉死必矣。
甲申年仲夏，王介人患有前述病症，表现为自汗、身体灼热、打鼾且昏沉眩晕，同时兼患疝气。脉象浮大洪数但稍显缓弱。前一位医生投用治疗阳明病的药物，未见疗效。我说这是风温症（感受风热之邪所致的病证），使用白薇汤并加倍升麻用量，加入少许桂枝，服用两剂后完全痊愈。
甲申年仲夏，邻居唐英的母亲六十多岁，也患了上述同样的病症，出现自汗、身体灼热、打鼾且昏沉眩晕。唯独脉象浮数且似欲脱失，稍微按压即感觉不到脉搏。有时出现胡言乱语和烦躁不安。我说此病不难治疗，但必须先急救脉象，不可迟缓观察。于是用人参三钱作为主药，白术、当归、茯苓、甘草、知母作为辅佐药，肉桂、附子作为引导药。将药液放冷后服用一剂，患者睡了半天，脉象也随之变得平静缓和。到了晚上再服一剂，精神清爽舒适，喝下一碗左右的稀粥，脉象按之有力。我说脉象已经恢复稳定，不必担忧了。第二天早上投用白薇汤，开始治疗根本病症。他的舅舅姓李的人请来了吴醒生。吴认为我使用的第三剂药非常正确，但对前两剂药不知是何用意，指责我妄用肉桂、附子等燥热药物。我说我既然使用了白薇汤，那么前两剂的用药难道是白白施用的吗？薛立斋先生曾说：凡是脉象突然暴脱，或急促、结代且无力，或如屋漏滴水般断续无力的情况，我急忙使用人参附子汤等药物，大多能挽救生命。听到这些先贤的法度之言，明白它们像日月星辰一样清晰可见，我遵照执行并使用，恐怕未必是胡乱用药吧。
癸未年仲夏，方我贞的外甥黄申初因房事劳累，随即感染瘟病，出现头痛、发热、呕吐、口渴、腹胀满、大便如水样泄泻，夜间加重出现狂躁胡言乱语。六部脉象皆迟而弱，左关部和右尺部的脉象沉伏似绝。起初治疗使用藿香正气散，没有效果。我用附子理中汤，放凉后让患者服用，患者安静地睡了半天，呕吐和泄泻立刻停止，腹胀满也得到了舒缓，脉象逐渐显现出来。到了傍晚，烦渴仍未解除。我说寒气已去而热邪仍在。《内经》说：“热虽甚不死”，不必忧虑。投用竹叶石膏汤，去掉石膏，加入知母、天花粉、牛蒡子，热感和口渴减半。第二天再次出现烦躁，舌苔转为黄色厚腻。我仍然用前面的方剂，去掉石膏，加入黄芩、黄连，连续服用三剂后完全痊愈。石膏性味甘寒且性质沉降下坠，前述病症因为兼有肾寒损伤，所以去掉了石膏。只是这个病症如果不先用温补药物消除寒邪、挽救脉象，而仅仅看到病症就治病，必然会导致枉死。
In the mid-summer of the Jiashen year, Wang Jieren suffered from the aforementioned symptoms: spontaneous sweating (Zihan), burning heat (Zhuore), snoring sleep with dizziness and vertigo (Hanshui Hunxuan), accompanied by hernia disease (Shanji). The pulse was floating, large, and surging but slightly slow. The previous physician administered medicines for Yangming disease (Yangming Bing) without effect. I said this is Wind-Warmth disease (Fengwen Zheng - a disease caused by pathogenic wind-heat). I prescribed Baiwei Tang (White Root Decoction) with doubled Shengma (Cimicifugae Rhizoma), adding a small amount of Guizhi (Cinnamon Twig). After two doses, he was completely cured.
In the mid-summer of the Jiashen year, the mother of Tang Ying, my neighbor, who was over sixty years old, also suffered from the same prior symptoms: spontaneous sweating, burning heat, snoring sleep with dizziness and vertigo. However, her pulse was floating and rapid, seemingly about to collapse; it disappeared upon slight pressure. Occasionally, she exhibited delirium and irritability. I said the illness was not difficult to treat, but the pulse must be rescued first without delay. Thus, I used Renshen (Ginseng Radix et Rhizoma) as the sovereign drug, 3 qian in dose, assisted by Baizhu (Atractylodis Rhizoma), Danggui (Angelicae Sinensis Radix), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), and Zhimu (Anemarrhenae Rhizoma), with Rougui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Praeparata) as the guiding drugs. The decoction was taken cold. After one dose, she slept soundly for half a day, and her pulse became calm. By evening, after another dose, her spirit was refreshed and comfortable, she drank about a bowl of congee, and her pulse became forceful upon palpation. I said the pulse has stabilized; there is no need to worry. The next morning, I administered Baiwei Tang to treat the root condition. Her uncle, surnamed Li, invited Wu Xingsheng. Wu considered my third dose very correct but questioned the rationale behind the first two doses, accusing me of recklessly using drying-hot medicines like Rougui and Fuzi. I said, since I employed Baiwei Tang, were the first two doses wasted? Mr. Xue Lizhai stated: "Whenever the pulse suddenly collapses, or is hurried, knotted, intermittent, and weak, or resembles water dripping from a leaking roof [intermittent and irregular], I urgently use medicines such as Shenfu Tang (Ginseng and Aconite Decoction), and many are saved." Hearing these words of wisdom from former sages, which are as clear as the sun and stars, I followed and applied them. I fear they were not reckless actions.
In the mid-summer of the Guiwei year, Huang Shenchu, the nephew of Fang Wozhen's wife, contracted a pestilential disease due to sexual exhaustion. He presented with headache, fever, vomiting, thirst, abdominal distension and fullness, profuse watery diarrhea, and worsening delirium at night. All six pulses were slow and weak; the pulses at the Left Guan and Right Chi positions were deep, hidden, and seemed absent. Initially, Huoxiang Zhengqi San (Agastache Powder to Regulate the Qi and Rectify the Middle) was ineffective. I prescribed Fuzi Lizhong Tang (Aconite Pill to Warm the Middle) cooled before administration. He slept quietly for half a day, vomiting and diarrhea stopped immediately, abdominal distension relieved, and the pulse gradually emerged. By dusk, irritability and thirst remained unresolved. I said, "The cold has gone, but the heat remains." As the Classics state, "Even if the heat is severe, death will not occur," so there was no need to worry. I administered Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction), removing Shigao (Gypsum Fibrosum), and adding Zhimu, Tianhua Fen (Trichosanthis Radix), and Niubangzi (Arctii Fructus). Heat and thirst were reduced by half. The next day, irritability recurred, and the tongue coating turned yellow and thick. I still used the previous formula, removing Shigao and adding Huangqin (Scutellariae Radix) and Lianqiao (Forsythiae Fructus) [Note: Text says 'Lianlian', likely referring to Lianqiao or Lianzi, context suggests clearing heat, usually Huangqin Lianqiao or similar pair, here interpreted as clearing heat herbs]. After three doses, he was completely cured. Shigao is sweet, cold, and heavy/sinking. The prior condition involved concurrent kidney-cold injury, hence Shigao was removed. Indeed, if this condition had not first been treated with warming agents to eliminate cold and rescue the pulse, but merely treated symptomatically, death would have been inevitable.