宁郡月湖陆姓子。夏随群儿下河捕鱼。右足心涌泉穴。被触出血盈斗。日久自膝至跗。其冷如冰。筋脉挛急。是足
既废已行动需杖。其戚友为余邻。商治于余。余曰。足废两载有余。何能为也。然细思起病之由。因于血出过多。而
筋脉失养。其穴乃肾经所属。又为寒湿乘之。遂以阳和汤去白芥子。加附子。薏苡、牛膝、木瓜、当归。姑令试之。嘱
其守服四十剂。不必更方。亦未敢云必效也。乃服十五剂而足温。三十剂而筋舒。步履渐如常矣。盖阳和汤原为治
阴疽之方。此则借以通经养血。而复加舒筋逐湿之品。夙疾顿瘳。凡天下事总须据理推测。不可拘泥如是。
何某年三十余。忽患心痛。甚则昏厥。急召余诊。唇面俱青。以手紧按胸膛。痛剧不能言脉之左关尺紧。寸口如循
刀刃。右手不克诊。以紧按胸膛故也。余曰。此真心痛病。旦发夕死。夕发旦死。虽卢扁复生。不能救也。超时果卒。
赵忠翁前患左颊及耳前后经络不时抽掣。余为治愈。相安三载。间有小发。调理辄效。己丑冬诊其脉两尺弦滑
而芤。小便频数。溺管涩痛。夜不能寐。余曰。此高年亢阳为患也。翁天禀甚浓。年逾八旬。傍无媵外家。以致相火时动。
而小便淋沥。由是而起。内经云。思想无穷。所愿不遂。意淫于外。乃发白淫。因用甘凉育阴之药。佐以知、柏、车前
等以泻肾火。服数剂渐安。今言正月亦复如是。余直言明告其故。曰。此症非药能治。如火动时惟默念六字经以制
之。是即无上上药。翁大笑而不答病遂寻愈。
此为心病以心药治也。年高福浓元气淋漓趣语令人解颐。（淞樵评）
A son of a man surnamed Lu from the Yuehu area in Ningbo. In summer, he followed a group of children into the river to fish. His Yongquan (Kidney 1) acupoint on the sole of the right foot was touched and bled profusely, with blood loss amounting to a dou (a traditional unit of volume). After a long time, from the knee to the dorsum of the foot, it felt as cold as ice, with spasms and tension in the tendons and vessels. That leg had become useless, requiring a cane for movement. His relatives and friends were my neighbors, so they consulted me for treatment. I said, "The leg has been disabled for over two years; how can it be cured?" However, upon careful consideration of the cause of onset, it was due to excessive blood loss leading to malnourishment of the tendons and vessels. This acupoint belongs to the Kidney Meridian, and was further invaded by Cold-Dampness. Therefore, I used Yanghe Decoction (Warming Yang and Resolving Toxins Decoction), removing Baijiezi (White Mustard Seed), and adding Fuzi (Prepared Aconite Root), Yiyiren (Coix Seed), Niuxi (Achyranthes Root), Mugua (Chaenomeles Fruit), and Danggui (Angelica Sinensis). I advised him to try this regimen. I instructed him to take it continuously for forty doses without changing the prescription. I did not dare to promise efficacy. However, after fifteen doses, his foot became warm; after thirty doses, the tendons relaxed, and his gait gradually returned to normal. Originally, Yanghe Decoction is a formula for treating Yin Abscesses (Yin Ju). Here, it was borrowed to unblock the meridians and nourish the blood, supplemented with herbs that relax tendons and expel dampness. The chronic ailment was suddenly cured. Matters in the world generally require reasoning based on principles and should not be treated with such rigidity.
Mr. He, in his thirties, suddenly suffered from heart pain, which sometimes led to syncope. He urgently summoned me for diagnosis. His lips and face were cyanotic. He held his chest tightly with his hands, unable to speak due to severe pain. The pulse at the left Guan and Chi positions was tight; the Cun position felt like touching a blade (indicating a wiry and tense pulse). The right hand could not be palpated due to his pressing on his chest. I said, "This is Zhenxin Tong (True Heart Pain). If it occurs in the morning, death comes in the evening; if in the evening, death comes in the morning. Even if Lu Dan and Bian Que were reborn, they could not save him." Shortly thereafter, he indeed passed away.
Prior to this, Mr. Zhao Zhong suffered from intermittent twitching and pulling sensations along the meridians of his left cheek and around the ears. I cured him, and he remained well for three years, with only occasional minor recurrences that responded well to regulation. In the winter of the Jichou year, his pulse at both Chi positions was wiry, slippery, and hollow (Kou). He had frequent urination, painful and difficult urination through the urethra, and insomnia at night. I said, "This is caused by Hyperactive Yang in old age. The gentleman has a strong constitution and is over eighty years old, lacking wives or concubines, leading to frequent stirring of Ministerial Fire, resulting in dribbling urine. As stated in the Neijing: 'Endless thoughts, unfulfilled desires, and mental wandering outside' lead to spontaneous seminal emission (Baiyin). Therefore, I used sweet-cool yin-nourishing medicines, assisted by Zhi Mu (Anemarrhena Rhizome), Huang Bo (Phellodendron Bark), and Che Qian Zi (Plantago Seed) to drain Kidney Fire. After several doses, he gradually stabilized. Now he says it happened again in January. I frankly explained the cause to him, saying, 'This condition cannot be cured by medicine alone. When the fire stirs, you must silently recite the Six Healing Sounds (Liu Zi Jue) to restrain it. This is the supreme medicine.' The old gentleman laughed loudly but did not answer, and the illness subsequently healed itself.
This is treating a heart-related disease with a heart-related remedy. Advanced age with abundant fortune and overflowing vital energy; witty remarks bring joy. (Commented by Songqiao)