阳夏张主簿之妻,病肥气,初如酒杯,大发寒热。十五余年后,因性急悲感,病
益甚。惟心下三指许无病,满腹如石片,不能坐卧,针灸匝矣,徒劳力耳。乃敬邀戴人而问
之。既至,断之曰∶此肥气也。得之季夏戊己日,在左胁下,如覆杯。久不愈,令人发
疟。
散投之,五更,黄涎脓水相半五、六行,凡有积处皆觉痛;后用白术散、当归散、和血流经之药。如
斯涌泄,凡三、四次而方愈。
汴梁曹大使女,年既笄,病血瘕数年。太医宜企贤,以破血等药治之,不愈。企
贤曰∶除得陈州张戴人方愈。一日,戴承语至汴京,曹大使乃邀戴人问焉。戴人曰∶小肠遗
热于大肠,为伏瘕,故结硬如块,面黄不月。乃用涌泄之法。数年之疾,不再旬而效,女
由是得聘。企贤问谁治之?曹大使曰∶张戴人。企贤立使人邀之。
一妇从年少时,因大哭罢,痛饮冰水困卧,水停心下,渐发痛闷。医氏咸以为冷
积,治之以温热剂,及禁食冷物。一闻茶气,病辄内作,如此数年。燎针烧艾,疮孔数千。
十余年后,小便赤黄,大便秘闷,两目加昏,积水转甚,流于两胁。世谓水癖,或谓支饮, 、
漆、棱、术,攻磨之药,竟施之矣。食日衰,积日茂,上至鸠尾,旁至两胁及脐下,但发之
时,按之如水声,心腹结硬,手不可近者。月发五、七次,甚则欲死,诸药皆厌,二十余年。求戴人
发药。诊其脉,寸口独沉而迟,此胸中有痰。先以瓜蒂散涌痰五、七升;不数日,再越痰水及斗
;又数日,上涌数升。凡三涌三下,汗如水者亦三,其积皆去。以流湿饮之药调之,月余大瘥。
The wife of Magistrate Zhang from Yangxia suffered from Feiqi (Liver Accumulation), initially presenting as a mass the size of a wine cup, accompanied by severe alternating chills and fever. After more than fifteen years, due to her irritable temperament and grief, the condition worsened. Only an area about three fingers wide below the heart was unaffected; the rest of the abdomen was hard as stone slabs, preventing sitting or lying down. Acupuncture and moxibustion had been applied repeatedly but were in vain. She respectfully invited Dairen (Zhang Congzheng) for consultation. Upon arrival, he diagnosed: "This is Feiqi. It originated on Wu-Ji days in late summer, located under the left hypochondrium, shaped like an inverted cup. If not cured for a long time, it causes malaria."
He employed the emetic method. At dawn (Wugeng), she passed yellow phlegm, pus, and fluid five or six times, experiencing pain in all areas where accumulation existed. Subsequently, Baizhu San (Atractylodes Macrocephala Powder) and Danggui San (Angelica Sinensis Powder), along with herbs to harmonize blood and meridians, were administered. Through such emetic and purgative treatments, repeated three or four times, she finally recovered.
The daughter of Envoy Cao from Bianliang, having reached adulthood, suffered from Xuejia (Blood Accumulation) for several years. Imperial Physician Yi Qixian treated her with blood-breaking medications without success. Yi Qixian stated, "Only the prescription from Zhang Dairen of Chenzhou can cure this." One day, Dai Cheng informed Dairen that he was traveling to Bianjing. Envoy Cao invited Dairen for treatment. Dairen said, "Residual heat from the Small Intestine has transferred to the Large Intestine, forming Fuji (Hidden Accumulation), resulting in hard nodules, sallow complexion, and amenorrhea." He then used the emetic-purgative method. A disease lasting several years showed efficacy within ten days, allowing the young woman to become betrothed. When Yi Qixian asked who treated her, Envoy Cao replied, "Zhang Dairen." Yi Qixian immediately sent someone to invite him.
A woman, since her youth, after crying bitterly and drinking ice water while drowsy, developed stagnation of fluids in the epigastrium, gradually leading to painful distension. Physicians all considered it cold accumulation and treated it with warming agents, forbidding cold food. Whenever she smelled tea, the illness would flare up internally, continuing for years. Moxibustion and burning needles created thousands of sores. Over ten years later, her urine became dark yellow, stool became constipated and obstructed, vision dimmed significantly, and fluid retention worsened, flowing into both hypochondria. This was known as Shuipi (Water Pleurisy) or Zhiyin (Branching Fluid Retention). Herba Kansui (Kansui Radix), Rhizoma Euphorbiae Lathyridis (Lathyrus Rhizome), Rhizoma Sparganii (Sparganium Rhizome), and Rhizoma Atractylodis Macrocephalae (Atractylodes Macrocephala Rhizome), among other attacking and grinding medicines, were all utilized. Her diet declined daily, while accumulation grew; extending upward to Jiutui (CV15), laterally to the hypochondria and below the navel. During attacks, palpation revealed fluid sounds; the epigastrium and abdomen were knotted and hard, intolerable to touch. Attacks occurred five to seven times monthly, sometimes nearly fatal. Disillusioned with various medicines, she suffered for over twenty years before seeking medication from Dairen. His pulse diagnosis revealed only the Cun (Inch) position sinking and slow, indicating phlegm in the chest. First, Gudi San (Melon Seed Powder) was used to induce vomiting of five to seven sheng of phlegm. Within a few days, another dou of phlegm and fluid was vomited. Several days later, several sheng were vomited again. In total, there were three rounds of emesis and three rounds of purgation, and sweating like water occurred three times. All accumulations were eliminated. She was then regulated with diuretic and damp-draining beverages, recovering significantly after more than a month.