十一月,长安大寒,杨国忠计程兼驿,自成都赶回长安,立刻上骊山华清宫。杨国忠在宫内晋谒了皇帝之后,立刻到李林甫的别墅,在病榻旁拜见宰相——李林甫在温泉区又中寒,卧病,病势且不断加深。杨国忠看到他,已形槁骨立了。皇帝派中使召回杨国忠,并未先告李林甫,李林甫稍后自秘书送来的文件摘要中看到。这样做,可以解释为皇帝因他患病而权宜措施,但对相权,总是一种侵犯,他为此而忧和憾,现在,见了杨国忠,勉强寒暄和问了一些巴蜀的事,接着,他怆然说:“国忠,我的病怕不会好了,我死,你必为相,老夫以后事累公!”杨国忠惶恐着连说不敢,因为,李林甫的话很重,大唐官场中“以后事累公”,并不是一句寻常话,而是暗示过去虽有不洽或仇隙,请政敌放过自己的子孙,所谓人死怨消的意思。这样子说,是属于直率的,杨国忠对提拔自己的李林甫,内心有着惮忌,他担心,到了这一地步,如李林甫不死,自己的处境就难想象了。虽然李林甫病重,但要断他必死,那也不能够。于是,杨国忠在辞出之后,分别去拜访在温泉区侍驾的官员,又冒寒赶入城去,利用自外地回都城的借口,广泛地拜客联络。同时在山上时,又每天都到李林甫家中问候一次。他很小心,不过,他对自己处境的忧虑,只有三天,就不再担忧了,他自多方面调查,据医生的报道,李林甫生存时间,不可能超过十日。医生的判断很接近,在杨国忠回到长安的第八天,做了十九年宰相,深为皇帝信赖的李林甫病死在温泉住宅。皇帝悼惜这位大臣,追赠太尉,扬州大都督的官衔,由子侄扶灵回都城,丧事很盛大。但是,从前畏惮李林甫的那些官员,在他死后,便纷纷议论了。
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