范姓一室女，父母皆亡。患暑热，予治。一日，予诊脉，两手皆洪而两尺尤大，疑天癸之至。询工妇出人三次，答以无事。予以暑热太盛，用白虎汤。至晚，痉厥，始知其经果至。因室女怕羞，嘱其勿说，遂致不救。
同治壬戌，避难乡间，有一妇患疫，八日经至，又四日，邀治。速用前法。讵乡间赴市较远，药未入口而经已停，遂至神昏不语，痉厥不治。
毛姓一妇，孕八个月。霜降后患伏暑。黄昏寒热似疟非疟。无物不呕是上中焦症，其阳之不通以禁用滑石故也。然日用厚朴、藿梗更多，医呕总不除，后予以喻氏进退法，一剂呕止，即告辞。以极于上者，必反于下。一产即为棘手，病家再三嘱，治用安胎清暑法，不弥月而产，产后母于均吉，惟恶露点滴则无。予思病经一月，今欲求其血，是迫饥民而征敛也，理当加本求利。于是以丹参八钱、当归三钱、川芎二钱，再加沙苑子一两以代地黄，经血大至。服十剂，恶露已净。黄昏寒热又作。予谓是极于下，必反于上也。用薄荷、滑石辛凉解肺而愈。
世交张鲁封六兄，医学高明，凡戚友中，病至棘手，延至，立法即愈。一嫒尚在室，患温邪多日不愈。邀治。舌黑燥，神呆，脉滞大。予认为邪入心包，当用犀角地黄。鲁翁封以业已服过，或剂轻之故，再议以大剂，不应。予又诊，细问工妇病中，曾经走经否对以十余日上，至服主人药。予知其必不用医通法也。于是以舌黑为津液之涸、肾水之干；耳聋者，水不上升也；神昏者，精不上交于心也；两腿不能自移，衣服著肌肉即大叫痛者，为血分之亏也。用吴氏《温病条辨》下焦篇中复脉汤加减，内大熟地用至八钱，炙甘草用至六钱。鲁翁嫌手笔太重。予谓其书谓甘草不应加至一两，曾经得效多人，竟用之，一剂即知。鲁翁竟以此汤日进。不过十余日，全愈。予即以《温病条辨》转赠，缘此书京城所刻。吴鞠通与世伯胡水云先生交好，今下灶胡心亨明府水云先生之令嗣也。蒙其屡次下赠，今宁波有翻刻者。后晤鲁翁云，曾经以书内大定风珠治血崩得效。此嫒适阳嘉龙孙宝号七月间，患暑湿致小产，经血不下，鲁翁自诊后，又邀予。鲁翁此次手笔亦不轻，当归用至七钱。予谓究属性温，不如易以丹参一两，且产由暑热逼下，须用凉剂。若不以凉，即热入血室矣。加以丹皮、栀子、六一散、木通等，竟霍然风温发疹。绍兴谓之"瘄"，苏人谓"痧"，叶氏谓之肺邪，发在冬春用温邪法，夏秋用暑湿法，皆以凉肺祛风。惟怕胀闷大便不解。若大便水泻，不必服药。即用药如樱桃核、绵丝线、西湖柳，皆无用焉。同治丙寅三月，余全家病瘄，皆轻，不服药。有二女病亦轻，病中经皆至，绝不为意。一女尚无恙，一女从此经断。越两月，气喘面胀，昼夜坐，始询其故。服黑锡丹一钱，气平能卧，面肿亦消，然大便水泻。考《张氏医通》谓之肝肾喘，水泻者不治。历用药，竟无效。此二女绝顶聪明，识书义尤孝友爱敬。一字明之，一字全之。全之次年出嫁，以予病危，割臂痊余。又明年患病，易箦时，见疮痕始悉，女本同胞三，尚有长姊，字圆之，十五岁时割臂疗予。出嫁后二十一岁产亡。予以曹娥十四岁能孝血食万年。今十五岁行孝而速死，以理诘稽曾城隍签，示一啄一饮，莫非前定，然则窍通修短俱属前定。予观唐代取书，谓佛氏上应鬼宿，鬼宿明亮，佛道昌明。于是晤天地间三教鼎立，缺一不可。以儒教治人，以佛教治鬼，以道教治非人非鬼之妖怪。且以晤命数所定。即仓公扁鹊亦无益也。
西郭陈永茂，颇识医之善否。予每治其家妇女，病中经至即愈。今予老病不为治，去秋有患暑而经至。颇记金言导医者，以热从血泻法，乃茫然，仍用厚朴、枳、蒌，复以炒芍，即不治。###痢###
予治清凉桥沈下纯血，舌黄，脉弦大。用当归、赤芍、黄芩、甘草、木香、川连、楝子、炒小茴、酒延胡、柏子仁，两三剂，血中又有蛔。于前方去甘草、小茴加川椒炭、乌梅肉、台乌药两剂，乃血中见粪，终以肝法得愈。
锦鳞桥毛妇患痢，舌黄，口渴，痛在脐上下，用脾痢法，杏仁、厚朴、枳壳、银花炭、香连丸、陈皮。至第七日，脉沉实。用制军、枳实攻之。讵病家申刻即睡。所议方，每于次日始服。第八日，服下药，则小腹大痛。予谓是转入肝经，药在病后也，再以当归黄芩汤合金铃子散加柏子仁、炒小茴香。又七日，乃愈。是先脾后肝也。
保佑桥秋患痢，五日，邀诊。脉弦细，寒热往来，肋腹痛。阅所服，痢疾套方，故无效。用小柴胡汤合当归黄芩汤、香连丸，七日即愈。
东昌坊梁所患，必是肝痢，所服不分肝脾之套方，已至呃逆，舌苔雪花。予诊脉弦小如丝，是肝阴大伤之候。用大生地、归、芍、阿胶、淮药补其肝，缩砂、牡蛎降其逆，旋覆花除其呃，出入调补十余日而愈。
山阴吏书陈步云，患痢多日，所服皆消导攻痢等药。舌雪花，呃逆不食，脉两尺独大，余弦小。此久痢伤及肝肾也。用熟地、龟板、归、芍、阿胶补其肝肾，姜、五味、炙甘、陈皮调其胃，以胃为肾之关，仿胃关煎法也。复以刀豆除其呃。十余剂愈。
保佑桥酒店忘其姓，男人，年二十余。痢一月，诊时，气息奄奄，脉沉虚小，侧卧不敢动。一动则肛门稀水即出。舌鲜红光洁。是肾阴大伤，必攻击过分所致。用熟地、肉桂，五味、龟板，复以炮姜、粳米、赤石脂等桃花汤，多剂始愈。
予祖基本江南，迁绍二百余年，即居此，与刘姓为邻。怀川世叔，五六世交好也。患休息痢四载，日四五行，解出甚难，多转矢气，痢即随出，如酱色紫。其休时，粪如笔管，商治于予。予谓须春分前后治之。至期，诊脉弦滞大，予谓湿热未净，伤及气分，用汉防己、焦茅术、川连、茯苓、泽泻祛其湿热，广木香、缩砂、陈皮利其气，文党参一两，以升麻一钱煎浓汁浸烘党参，升补其气。七帖，其病如失。由是凡城乡患休息痢者，每约至春分，治愈颇多。又松林张，年四十余岁，患休息痢两年，是伤及肝分者，用当归黄芩汤合香连丸加制香附、缩砂舒肝而愈。
又松林薛四兄，作官江西，患休息痢已两载。秋时归里，求治于予。予以治须春分，现恐汤药不能效，当用丸缓治之法。用川连一两，台乌药一两五钱，焦茅术三两，广木香一两五钱，泽泻一两五钱，淡黄芩一两五钱，研末，米饮为丸。每服五钱，服七两饮。痢亦愈。缘渠痢中夹红，为湿热之在肝者。
孕身患痢，治之极难。古人有五禁三审之法。三审者，审身之热否，胎之动否，腰之痛否。一禁槟榔、厚朴破其气，气破胎下也；二禁制军破其血，血破胎下也；三禁滑石、通草通其窍，窍通胎下也；四禁茯苓、泽泻利其水，利水必伤阴，胎不保也；五禁人参、升麻兜塞其气，痢愈滞，胎撞心也。法当凉血利气。鸡头山周，七月孕，身患痢，皋埠诸医无效。邀予。予以前法，二剂即愈。病家以方示诸医，皆云非痢疾方，何以得愈？噫!正惟非痢疾方，乃所以治孕身之痢也。幼科周七香兄，其两媳孕身，同时患痢。予以前法，皆两剂愈。予友朱谷堂，寒士也，如君孕八个月，患痢，虽不犯大黄、槟榔，然皆厚朴、枳壳、蒌仁、麻仁通套药，并非遵古治孕痢法，黄昏邀余治。正在腰腹大痛，势欲作产，谷堂手足无措。予诊脉浮大而舌净，今胎动一产，即母于皆伤。因忆《景岳全书》内有治孕痢欲产用当归补血法。用蜜炙绵蓍一两，炒当归三钱，炒糯米一合，幸药铺不远，予为之扇火速煎，下咽，逾时痛止。再诊关尺尚大，恐五更乃产，令再一剂，五更服之。次日午刻，谷堂至，称医为仙，五更果大痛，下咽痛止，以此方为妙，又服一剂矣。予谓中病即止，过剂即属兜塞，此痢胎前不能愈矣。果产后大作水泻，又邀予。予以痢为水泻为将愈，母须诊，授以五苓散即愈。
大云桥周，二十三岁。其家前门紧对任氏后门，患痢，恶任氏专以攻夺，延姚姓治之。姚则不分肝脾，概以当归、白芍、黄芩治之。治十日，不愈。不得已，邀任氏，以脾治法。又十日，更甚。始邀予。时正九月初也。予诊脉弦大，舌白浮，面灰色，喉痛，口渴，其泻出颇多。予以病在上焦，肺与大肠表里，用肺分湿热法，喉痛舌黑虽去，而痢总不愈。日邀治。治总不得其窍。一日病甚危，卧床，少腹中有块顶起，喜人以厚棉褥用力按住，而粪乃下，且多。旁人告予其囊缩入少腹，此时房内聚集妇女，不避生人。予见床侧有装饰如新妇状者，询系何人。其母云：系病者之续室，三月间娶，八月初六在店中病，初七日归，初八日重。予日夜陪。予云：初七夜汝未必陪也。乃不答。于是知病不谨，故囊缩，为入肝。据用大熟地八钱，吴茱萸一钱，肉桂、五味、龟板、归身、淮药二剂，块隐泻大差，再以脾肾法而愈。
世侄屠患痢，服大黄药，病甚。其父邀予。予曰；令郎左胁下素有块，若误服大黄，必便紫血，为不治，是犯仲师之禁也。对曰：血却不见。比诊，正大痢血矣。予即辞。其父再三求。予云：须另请高明，予参末议可耳，后服人参多剂，终于不治。仲师所谓脐上下左右有动气者，不可汗不可下也。
西郭陈患痢，就有名无实。服茯苓、泽泻、米仁等药，痢尤甚，盖痢则禁小溲也。予诊，脉弦，舌黄薄，痛在右腰肋，此肝痢也。用当归、白芍、黄芩、甘草、川楝子、炒小茴、酒延胡、香连丸，两剂即愈。凡泻之似痢非痢者，盲医每认为痢，用通痢套药。即病家亦认为痢，至死不悟，大可叹也。
向桥朱，述患痢多日，服痢药多剂不效。予诊时，听腹中有响声。询响岁时起。述初起即有。予云：痢无响声，若一响，痢即愈，此非痢也。其家以粪有五色诘予为非。予云：响者，风也。凡肠风下血，风木乘脾，皆作响。此痛在脐上下，痛响即泻，症名风木乘脾也。以仲景建中汤白芍五钱为君，当归、桂枝、甘草、乌药、木瓜、乌梅辅之，二剂痛泻大差，三剂乃愈。
傅林傅妇，患三日，予诊脉滞大，舌苔黄厚，口不甚渴。予询解出如浆，然有时有块否对曰：有时有之。予曰：此溏泻也，五泻之一。用胃苓汤而愈。
周七香之母，年望八十。九月间患痢。已服过时手药矣。予诊六脉洪大逾分。凡高年之脉，皆洪大也。舌白浮，面灰色，口不渴。述病未起时，食蟹，予以谓蟹伤脾胃也。用枳术丸法。复入紫苏以消蟹积。两剂，其病如失。
俗言：吃不杀痢疾。张氏云：痢能食者，脾病，胃不病治之易愈耳，总须忌口。《本草汇言》云；泻病，食鸭则成痢；痢，食鸭为难治。予治姚家方埭方姬，月初患痢，愈，嘱勿食鸭。逾月，误食复痢，其家人嘱再邀予。病者畏予笑其饕餮而止，遂不治。予见方书云，夏时少吃瓜果，秋时可免痢。后过酷暑，饭前后过食西瓜，致成似痢，非痢解出急滞不爽，粪如鸽蛋，色红，日六七行，诸药不效。患至两年，嗣以茅术、川连、归、芍、乌药、泽泻、广木香、砂仁，米饮为丸，服七两而愈。忌口半载后，食鸭，致周身化胀。服麻黄、生石膏入五苓散而愈。###暑伏暑###
予治府幕杭人陈春翁，年六十余。前一日在暑中行走，次日，身热大汗，昏蒙不省人事，脉弦数，舌鲜红，是暑热直中心包。用犀角地黄汤、益元、麦冬、银花，再加紫雪三分，两剂霍然。
治松林薛妇，年三十余，暑月手足麻木，瘈疭，不能起立，立即倒。俗医谓之摇头痧，诸药不效。予诊脉弦小。《名医论》云暑湿入肝则麻木。用生地、归身、阿胶、木瓜、刺蒺藜、滑石，服之即效。是暑湿直中肝经也。
又莲河桥马妇，八月间患伏邪，久亦手足麻木瘈疭，舌净鲜红，亦以此汤愈。是暑湿传人肝经也。又平水妇女，年三十余，壬戌九月间，在松林，往诊。病由八月间，身热咳嗽因避难不能服药。至是则痪疚神昏，脉弦，身微热而咳嗽尚有。予谓是暑湿由肺传心入肝，当先从肝心退出，仍归肺分则净若可。用薄荷、杏仁、桑叶等则身可凉也。于是以生地、归身、刺蒺藜、麦冬、益元、木瓜、银花、连翘、石菖蒲数剂，瘼疚除，神清，而身反大热咳痰，再用辛凉合领邪外出法乃愈。
A maiden of the Fan family, whose parents had both passed away, suffered from summer-heat. I treated her. One day, upon taking her pulse, I found it surging and large in both hands, particularly at the Chi (Kidney) positions, leading me to suspect the onset of menstruation. I asked the female servant if she had experienced any changes, and she replied that there were none. Believing the summer-heat was excessive, I prescribed Baihu Tang (White Tiger Decoction). By evening, the patient developed spasms and syncope, at which point it became clear that her menses had indeed arrived. Because the maiden was shy, I instructed her to keep it secret, which ultimately led to an untreatable condition and death.
In the Renxu year of the Tongzhi era, while seeking refuge in the countryside, I was called to treat a woman suffering from an epidemic disease. Her menses began eight days after the onset of illness. Four days later, I was invited to treat her again. I promptly applied the previous method suitable for menstrual illness. However, due to the long distance from the village to the market, the medicine had not been ingested before her menses stopped. This resulted in coma, muteness, spasms, and syncope, leading to her death.
A married woman of the Mao family, who was eight months pregnant, contracted latent summer-heat after the Frost Descent solar term. At dusk, she experienced alternating chills and fever resembling malaria but not quite so. Persistent vomiting indicated a disorder of the Upper and Middle Jiao; the obstruction of Yang Qi was caused by the prior physician's prohibition of Shi Gao (Gypsum Fibrosum). Although Houpo (Magnolia Bark) and Huoxiang (Patchouli) were used frequently, the vomiting persisted. Later, I employed Yu Jia Yan’s (Yu Chang) method of advancing and retreating. After one dose, the vomiting ceased, and I took my leave. Since the pathology was extreme at the upper level, it inevitably rebounded to the lower level. Childbirth itself is difficult; the family repeatedly requested treatment using methods to calm the fetus and clear summer-heat. She delivered within a month post-treatment, and both mother and child were well, except for scant lochia. I reasoned that after a month of illness, attempting to promote blood circulation now would be like taxing starving people; one must add capital to gain profit (i.e., tonify to facilitate recovery). Thus, I prescribed Danshen (Salvia Miltiorrhiza) 8 qian, Danggui (Angelica Sinensis) 3 qian, and Chuanxiong (Ligusticum) 2 qian, adding Shayuanzi (Astragalus Complanatus) 1 liang to replace Dihuang (Rehmannia). The menstrual blood flowed heavily. After ten doses, the lochia cleared. Dusk saw the return of chills and fever. I stated that extremity at the lower level implies a rebound to the upper level. I used Bohe (Mint) and Huashi (Talcum) to release the Lung with acrid-cool properties, resulting in a cure.
My family friend, Brother Zhang Lufeng, possessed high medical skill. Whenever relatives or friends faced difficult cases, his prescriptions brought immediate recovery. His unmarried daughter suffered from warm-pathogen invasion for many days without improvement. Upon examination, her tongue was black and dry, her spirit was dull, and her pulse was stagnant and large. I diagnosed pathogen invasion into the Pericardium and recommended Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction). Mr. Zhang said they had already taken it, perhaps the dosage was too light, and proposed increasing the dose, but he refused. Upon further examination and questioning the servant about whether the patient had menstruated during the illness, I was told it occurred over ten days ago, before taking the owner's medicine. I realized he would certainly not use methods to regulate menstruation. I interpreted the black tongue as depletion of body fluids and drying of Kidney Water; deafness as failure of water energy to ascend; confusion as essence failing to connect with the Heart; inability to move legs and pain upon clothing touching muscles as deficiency of Blood aspect. I modified Fumai Tang (Restore the Pulse Decoction) from the Lower Jiao chapter of Wu Ju Tong’s *Wenbing Tiaobian* (Systematic Differentiation of Warm Diseases), using up to 8 qian of Shudi (Prepared Rehmannia) and 6 qian of Zhigancao (Honey-fried Licorice). Mr. Zhang disliked the heavy prescription. I cited the book stating Licorice should not exceed 1 liang and had cured many with this approach. He eventually administered this decoction daily. Within ten days, she fully recovered. I gifted him a copy of *Wenbing Tiaobian*, printed in Beijing. Wu Jutong was close friends with my senior relative Mr. Hu Shuiyun. Now, Hu Xin Heng, magistrate of Xi Zao, is Mr. Hu Shuiyun’s son. Thanks to his repeated gifts, Ningbo has reprinted it. Later, Mr. Zhang mentioned using Da Ding Feng Zhu (Great Calming Wind Pearl) from the book to successfully treat metrorrhagia. This daughter married into the Yangjia Long Sun Bao shop. In July, she suffered a miscarriage due to summer-dampness, with no vaginal discharge. Mr. Zhang treated her initially and then invited me. His prescription was substantial, using 7 qian of Danggui. I argued that since the nature is warm, it should be replaced with 1 liang of Danshen. As the miscarriage was forced down by summer-heat, cool herbs are necessary. Without cooling, heat would enter the Blood Chamber. I added Danpi (Moutan Cortex), Zhizi (Gardenia Fruit), Liuyisan (Six-one Powder), and Mutong (Akebia Caulis). She recovered suddenly but developed wind-warmth rashes. In Shaoxing, this is called "Ma"; in Suzhou, "Sha"; Ye Tianshi called it Lung Pathogen. In winter/spring, use warm-pathogen methods; in summer/autumn, use summer-dampness methods, all aiming to cool the Lung and dispel wind. The main concern is bloating and constipation. If diarrhea occurs, no medicine is needed; even remedies like cherry pits or willow branches are useless. In March of the Bingyin year of Tongzhi, my whole family contracted "Ma," but it was mild, and we took no medicine. Two daughters had mild illness with menstruation during the sickness, which I ignored. One remained healthy; the other’s menses ceased. Two months later, she developed asthma and facial swelling, sitting day and night. I questioned the cause. After administering 1 qian of Heixi Dan (Black Lead Pill), her breathing stabilized, swelling subsided, but she had watery diarrhea. Consulting *Zhangshi Yitong* (Medical Secrets of Master Zhang), this is Liver-Kidney Asthma; watery diarrhea indicates incurability. Various treatments failed. These two daughters were exceptionally intelligent, filial, and kind. One named Yimingzhi, the other Quan Zhi. Quan Zhi married the next year and cut her arm flesh to save me when I was critically ill. The following year, she fell ill and died, revealing the scar only at her deathbed. There were three sisters; the eldest, Yuan Zhi, also cut her arm to save me at age fifteen. She died giving birth at twenty-one. I reflect on Cao E’s filial piety at fourteen, lasting eternally. Now, a fifteen-year-old dies quickly after showing filial piety. Questioning the Qicheng Magistrate’s lot, it showed that every sip and bite is predestined, as is lifespan. Observing the Tang dynasty civil service exams linking Buddhism to the Ghost Mansion star, I realized the three teachings—Confucianism for humans, Buddhism for spirits, Daoism for monsters—are indispensable. Fate is fixed; even Cang Gong and Bian Que could not alter it.
Chen Yongmao from West Gate recognized good and bad medicine. When I treated women in his family, illness resolved when menses arrived. Now old and sick, I stopped treating them. Last autumn, someone had summer-heat with menses. Remembering his advice to guide physicians to use blood-draining methods for heat, I was confused and still used Houpo, Zhishi, and Gualou, plus fried Shaoyao, leading to non-recovery. ###Dysentery###
I treated Shen Xia Chunqing from Qingliang Bridge with pure bloody dysentery. Tongue yellow, pulse string-large. Prescribed Danggui, Chishao, Huangqin, Gancao, Muxiang, Chuanlian, Lianzi, fried Xiao Hui, Jiuhanyu, Baiziren. After 2-3 doses, roundworms appeared in the stool. Removed Gancao and Xiao Hui, added Chuanjiaotan (Charred Sichuan Pepper), Wumei (Smoked Plum), Tai Wuyao. After 2 doses, feces appeared in blood. Finally cured using Liver methods.
Mao’s wife from Jinlin Bridge had dysentery: yellow tongue, thirst, pain around the navel. Used Spleen Dysentery method: Xingren, Houpo, Zhike, Yinhua Tan, Xianglian Wan, Chenpi. On day 7, pulse deep-solid. Used Zhijun (Da Huang) and Zhishi to purge. The family slept at Shen hour, taking medicine the next day. On day 8, after purgatives, severe lower abdominal pain. I said this transferred to the Liver channel due to delayed medication. Prescribed Danggui Huangqin Tang combined with Lingliao San, adding Baiziren and fried Xiao Huixiang. Cured after another 7 days. First Spleen, then Liver.
Qiu from Bao You Bridge had dysentery for 5 days. Pulse string-thin, alternating chills/fever, hypochondriac/abdominal pain. Previous prescriptions were standard dysentery formulas, hence ineffective. Used Xiao Chaihu Tang combined with Danggui Huangqin Tang and Xianglian Wan. Cured in 7 days.
Liang from Dongchang Fang likely had Liver Dysentery. Standard formulas ignoring Liver/Spleen differentiation led to hiccups and snowflake-like tongue coating. Pulse string-small like a thread indicates severe Liver Yin damage. Used Shudi, Danggui, Shaoyao, Ejiao, Huaishanyao to tonify Liver; Suosha, Muli to descend rebellious Qi; Xuanfuhua to stop hiccups. Adjusted tonification over 10+ days until cured.
Chen Buyun, a clerk from Shanyin, had prolonged dysentery treated with draining/purging drugs. Snowflake tongue, hiccups, anorexia, Chi pulse large, others string-small. Prolonged dysentery damaged Liver/Kidney. Used Shudi, Guiban, Danggui, Shaoyao, Ejiao to tonify Liver/Kidney; Jiang, Wuweizi, Zhigancao, Chenpi to harmonize Stomach (Stomach as gate of Kidney, imitating Weiguan Jian). Added Dou Dou to stop hiccups. Cured in 10+ doses.
Hotel owner from Bao You Bridge, male, 20s. Dysentery for 1 month. Breath faint, pulse deep-empty-small, lying on side afraid to move. Movement causes anal leakage of thin water. Tongue bright red, clean. Severe Kidney Yin damage due to excessive attacking. Used Shudi, Rougui, Wuweizi, Guiban, plus Paojiang, Jingmi, Chishizhi (Taohua Tang). Multiple doses until cured.
My ancestor moved from Jiangnan to Shaoxing 200 years ago, living near the Liu family. Uncle Huai Chuan, a multi-generational friend, suffered from intermittent dysentery for 4 years, 4-5 times daily, difficult passage, passing gas followed by sauce-colored purple stool. During remission, stool was tube-like. Consulted me. I advised treating around Spring Equinox. At that time, pulse string-stagnant-large. Damp-heat remained, damaging Qi. Used Hanfangji, Jiaomaoshu, Chuanlian, Fuling, Zexie to drain damp-heat; Guangmuxiang, Suosha, Chenpi to move Qi; Wendangshen 1 liang, soaked in Shengma decoction to raise Qi. 7 doses, disease vanished. Since then, many intermittent dysentery cases in town/country cured around Spring Equinox. Zhang from Songlin, 40s, 2 years intermittent dysentery, Liver involvement. Used Danggui Huangqin Tang + Xianglian Wan + Zhixiangfu, Suosha to soothe Liver. Cured.
Brother Xue Si from Songlin, official in Jiangxi, had intermittent dysentery for 2 years. Returned home in Autumn. I advised Spring Equinox treatment, suggesting pills for slow action. Formula: Chuanlian 1 liang, Taiwuyao 1.5 liang, Jiaomaoshu 3 liang, Guangmuxiang 1.5 liang, Zexie 1.5 liang, Dan Huangqin 1.5 liang. Powdered, pilled with rice drink. 5 qian per dose, total 7 liang consumed. Cured. Red in stool indicated damp-heat in Liver.
Pregnant women with dysentery are hard to treat. Ancients had Five Prohibitions and Three Examinations. Three Examinations: check body heat, fetal movement, waist pain. Five Prohibitions: 1. Banlang, Houpo break Qi (Qi broken leads to abortion); 2. Zhijun breaks Blood (Blood broken leads to abortion); 3. Huashi, Tongcao open orifices (Orifices open leads to abortion); 4. Fuling, Zexie drain water (Draining water damages Yin, fetus unsafe); 5. Renshen, Shengma block Qi (Dysentery stagnates, fetus hits Heart). Method: Cool Blood, benefit Qi. Zhou from Jitou Mountain, 7 months pregnant, dysentery, Gaobu doctors failed. I used previous method, cured in 2 doses. Doctors said it wasn't a dysentery formula. Indeed, it treats pregnancy dysentery specifically. Zhou Qixiang’s two daughters-in-law, pregnant, simultaneous dysentery. Cured in 2 doses each. Friend Zhu Gutang, poor scholar, wife 8 months pregnant, dysentery. Used standard drugs (Houpo, Zhike, Gualou, Huren) not following ancient pregnancy dysentery rules. Invited me at dusk. Severe waist/abdominal pain, impending labor. Pulse floating-large, tongue clean. Fetal movement and labor will injure mother and child. Recalled *Jingyue Quanshu* method for pregnancy dysentery impending labor: Danggui Bu Xue method. Mi Zhi Huangqi 1 liang, Chao Danggui 3 qian, Chao Nuomi 1 he. Pharmacy nearby, fanned fire to boil fast. Swallowed, pain stopped after an hour. Guan/Chi pulses still large, feared labor at dawn. Gave another dose for dawn. Next noon, Zhu said doctor is immortal, labor pains started at dawn, stopped after swallowing, took another dose. I said stop when illness responds; overdose blocks. Dysentery won't heal before birth. Post-partum severe watery diarrhea. I said dysentery turning to diarrhea means healing. Mother needs diagnosis. Gave Wuling San, cured.
Zhou from Dayun Bridge, 23 years old. Front door opposite Ren family back door. Had dysentery, disliked Ren’s aggressive treatment, hired Yao. Yao used Danggui, Baishao, Huangqin indiscriminately for 10 days, no cure. Reluctantly hired Ren for Spleen method. 10 more days, worse. Finally hired me. Early September. Pulse string-large, white floating tongue, gray face, sore throat, thirst, frequent discharge. Disease in Upper Jiao, Lung/Large Intestine exterior-interior. Used Lung Damp-Heat method. Sore throat/black tongue resolved, but dysentery persisted. Daily visits, couldn't find key. One day critical, bedridden, mass in lower abdomen pushed up, liked thick cotton pad pressed firmly, stool passed abundantly. Others said scrotum retracted into abdomen. Room full of women, didn't avoid strangers. Saw decoration like bride beside bed, asked who. Mother said new wife, married March, sick in shop Aug 6, returned Aug 7, worsened Aug 8. I accompanied day/night. Said you probably didn't accompany on Aug 7 night. No answer. Realized lack of caution caused scrotal retraction, pathogen entered Liver. Used Shudi 8 qian, Wuzhuyu 1 qian, Rougui, Wuweizi, Guiban, Danggui, Huaishanyao. 2 doses, mass hidden, diarrhea improved. Then Spleen-Kidney method cured.
Nephew Tu had dysentery, took Da Huang, condition worsened. Father invited me. I said: Young master has mass under left rib. Mistaken Da Huang use will cause purple blood stool, incurable, violating Master Zhongjing’s prohibition. Answered: No blood seen. Examined, actually passing bloody dysentery. I declined. Father begged. Said: Hire another expert, I can only advise. Later took Renshen multiple doses, finally died. Zhongjing said: Moving Qi above/below/left/right of umbilicus cannot be sweated or purged.
Chen from West Gate had dysentery, nominal only. Took Fuling, Zexie, Yiyiren, dysentery worsened. Dysentery prohibits urination promotion. Pulse string, thin yellow tongue, pain right flank/hypochondrium. Liver Dysentery. Used Danggui, Baishao, Huangqin, Gancao, Chuanlianzi, fried Xiao Hui, Jiuhanyu, Xianglian Wan. Cured in 2 doses. Diarrhea resembling dysentery is often misdiagnosed by blind doctors using standard dysentery drugs. Families also think it's dysentery, die without realizing. Sad.
Zhu from Xiang Bridge had dysentery many days, drugs ineffective. Heard rumbling in abdomen during exam. Asked when started. Said since beginning. I said: Dysentery has no sound. If sound appears, dysentery cures. This isn't dysentery. Family questioned based on five-colored stool. I said: Sound is Wind. Intestinal wind bleeding, Wood attacking Spleen, all make sound. Pain around navel, sound precedes diarrhea, syndrome named Wood Attacking Spleen. Used Zhang Zhongjing’s Jianzhong Tang, Baishao 5 qian as chief, Danggui, Guizhi, Gancao, Wuyao, Mugua, Wumei as assistants. 2 doses pain/diarrhea greatly improved, 3 doses cured.
Fu Lin’s wife, ill 3 days. Pulse stagnant-large, thick yellow tongue, not very thirsty. Stool like paste, sometimes with clumps. I said: This is loose stool, one of five diarrheas. Used Weiling Tang, cured.
Mother of Zhou Qixiang, nearly 80. Dysentery in September. Took seasonal drugs. Six pulses flooding-large beyond degree. Elderly pulses are usually flooding-large. White floating tongue, gray face, no thirst. Ate crab before illness. I said crab injured Spleen/Stomach. Used Zhizhu Wan method, added Zisu to digest crab accumulation. 2 doses, disease vanished.
Common saying: Eating doesn't kill dysentery. Zhang said: Dysentery patients who can eat have Spleen disease, not Stomach, easy to cure, but must avoid certain foods. *Bencao Huiyan* says: Diarrhea patients eating duck become dysenteric; dysentery patients eating duck are hard to treat. I treated Fang Ji from Fangdai Yao family. Dysentery early month, cured, told to avoid duck. Over a month later, ate duck by mistake, dysentery returned. Family invited me again. Patient feared mockery for gluttony, stopped, untreated. Formulas say: Eat less melons/fruits in summer, avoid dysentery in autumn. Later endured intense heat, ate too much watermelon before/after meals, formed pseudo-dysentery. Urgent, sticky discharge, stool like pigeon egg, red, 6-7 times/day, drugs ineffective. Ill for 2 years. Later Maoshu, Chuanlian, Danggui, Shaoyao, Wuyao, Zexie, Guangmuxiang, Sharen, pilled with rice drink. Consumed 7 liang, cured. Avoided diet half year, ate duck, body swelled. Ma Huang, Sheng Shigao added to Wuling San, cured. ###Summer Heat/Latent Summer Heat###
Treated Chen Chun Weng, Hangzhou man, 60s. Walked in sun previous day. Next day, fever, profuse sweat, unconscious, pulse string-rapid, bright red tongue. Summer-heat directly entered Pericardium. Used Xijiao Dihuang Tang, Yi Yuan San, Maidong, Yinhua, plus Zixue 3 fen. 2 doses, sudden recovery.
Treated Xue’s wife from Songlin, 30s. Summer month, numbness in limbs, convulsions, unable to stand, collapsed immediately. Folk doctors called it Head-Shaking Sha, drugs ineffective. Pulse string-small. *Mingyi Lun* says summer-damp entering Liver causes numbness. Used Shengdi, Danggui, Ejiao, Mugua, Ciji Li, Huashi. Effective immediately. Summer-damp directly invaded Liver channel.
Ma’s wife from Lianhe Bridge, August latent pathogen, long-term limb numbness/convulsions, clean bright red tongue. Cured with same decoction. Summer-damp transmitted to Liver channel. Woman from Pingshui, 30s, visited Songlin in Sept Renxu year. Illness started August with fever/cough, couldn't take meds due to refuge. Now convulsions, coma, string pulse, slight fever, cough persists. Summer-damp transmitted Lung -> Heart -> Liver. Must exit Liver/Heart first, return to Lung to clear. Used Bohe, Xingren, Sangye to cool body. Then Shengdi, Danggui, Ciji Li, Maidong, Yi Yuan San, Mugua, Yinhua, Lianqiao, Shichangpu. Convulsions removed, spirit clear, but body hot, cough/phlegm increased. Used acrid-cool method to lead pathogen out. Cured.