睦州杨寺丞有女事郑迪功女有骨蒸内热之病时发外寒寒过内热附骨蒸盛之时四肢微瘦足
跗肿
者其病在五脏六腑之中众医不瘥因遇处州吴医看曰请为治之只单用石膏散服后体微凉如故其
方出外台秘要只用石膏乳细十分似面以新汲水和服方寸匕取身无热为度(名医录)
气虚则发厥血虚则发热厥者手足冷也气属阳阳虚则阴凑之则故厥血者阴也血虚则阳凑之
故发
热也气虚发厥者当用温药血虚发热者不宜用凉药当用温养气血之药以补之宜养阴黄 建中汤
之类是也又有一种病实热者极而手足厥冷所谓热深厥亦深此当用凉药须以脉别之也此最难辩
差之毫厘则害人性命戒之(医余)
仁和县一吏早衰病瘠齿落不已从货药道人得一单方只碾生硫黄为细末实于猪脏中水煮脏
烂碾
细宿蒸饼丸如桐子大随意服之两月后饮啖倍常步履轻捷年过九十略无老态执役如初因从邑宰
入村醉食牛血遂洞下数十行所泄如金水自是 悴少日而死李巨源得其事于临安入内医官管范
尝与王枢使言之王云但闻猪肪脂能制硫黄兹用脏尤为有理亦合服之久当见效(类编)
翦草状如茜草又如细辛婺台二州皆有之惟婺可用其法每取一斤净洗碎为末入生蜜一斤
和成
膏以陶器盛之不得犯铁日一蒸一曝至九日乃止治劳瘵吐血损肺及血妄行名曰神传膏令病患五
更起面东坐不得语言用匙抄药如食粥然每服四匙良久呷稀粟米粥压之药只冷服粟饮亦不可太
热或吐或下皆无害如久病肺损咯血一服立愈(本事方)
The daughter of Yang Sicheng from Mozhou suffered from *Guzheng* (Bone-steaming fever, a type of chronic consumption fever characterized by internal heat and external chills). When the condition flared up, she experienced external cold; after the cold subsided, internal heat would arise. During periods of intense bone-steaming heat, her limbs were slightly emaciated, and her dorsum pedis (instep) was swollen. The pathogenic factor was located within the five zang organs and six fu organs. Many physicians failed to cure her. Eventually, a physician from Chuzhou examined her and said, "Allow me to treat you." He prescribed only *Shigao San* (Gypsum Powder). After taking it, her body felt slightly cool, and the symptoms resolved as if nothing had happened. This prescription originates from *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies). It uses only gypsum, ground into an extremely fine powder resembling flour, mixed with freshly drawn cold water and taken orally. Each dose is one *cunbi* (a square-inch measure), administered until the body no longer feels hot. (From *Mingyi Lu*)
Qi deficiency leads to *Jue* syndrome (reversal cold, characterized by cold extremities), while blood deficiency leads to fever. *Jue* refers to cold hands and feet. Qi belongs to Yang; when Yang qi is deficient, Yin pathogens encroach, resulting in *Jue*. Blood belongs to Yin; when blood is deficient, Yang pathogens encroach, resulting in fever. For *Jue* caused by Qi deficiency, warm herbs should be used. For fever caused by blood deficiency, cooling herbs are inappropriate; instead, warm herbs that nourish Qi and blood should be used for tonification. Formulas such as *Huangqi Jianzhong Tang* (Astragalus Decoction for Building the Middle) are suitable. Additionally, there is a condition where extreme excess heat causes cold extremities, known as "the deeper the heat, the deeper the reversal cold." In such cases, cooling herbs must be used, and differentiation must be made based on the pulse. This is the most difficult aspect to distinguish; a slight error can be fatal, so caution is essential. (From *Yiyu*)
During the Kaiyuan era of Emperor Xuanzong's reign, Chen Cangqi from Mingzhou compiled *Bencao Shiyi* (Supplement to Materia Medica), stating that human flesh could treat wasting diseases. Consequently, common people began imitating this practice, cutting flesh from their thighs or arms for medicinal use.
A clerk from Renhe County suffered from premature aging, emaciation, and continuous tooth loss. He obtained a simple prescription from a traveling medicine seller: grind raw sulfur (*Liuhuang*) into a fine powder, stuff it into pig intestines, boil until the intestines are rotten, then grind finely again. Mix with aged steamed bread pills to form pills the size of paulownia seeds, and take at will. After two months, his appetite doubled, his gait became light and agile, and although he lived past ninety, he showed no signs of old age and retained his ability to work. Later, while accompanying the county magistrate to a village, he ate cow's blood while drunk. He subsequently suffered severe diarrhea dozens of times, with excrement resembling golden water. He became emaciated and died a few days later. Li Juyuan learned of this incident from Guan Fan, an imperial palace physician in Lin'an. Guan Fan had mentioned it to Chancellor Wang. Chancellor Wang remarked, "I have only heard that pork lard can neutralize the toxicity of sulfur. Using pig intestines to contain the sulfur is even more logical and consistent with principles; long-term administration should yield results." (From *Leibian*)
*Jiancao* (Scissor Grass) resembles *Qiancao* (Rubia cordifolia root) and also looks like *Xixin* (Asarum). It grows in both Wuzhou and Taizhou, but only the variety from Wuzhou is usable. The preparation method is as follows: Take one jin (approx. 500g), wash it thoroughly, crush it into powder, and mix with one jin of raw honey to form a paste. Store in a ceramic vessel, avoiding contact with iron. Steam and sun-dry once daily for nine days. This remedy treats *Laozai* (consumption tuberculosis) with hemoptysis, lung injury, and reckless bleeding. It is named *Shenchuan Gao* (Divine Transmission Paste). The patient should rise at *Wugeng* (1-3 AM), sit facing east, and remain silent. Use a spoon to take the medicine as one would eat porridge. Each dose is four spoonsful. Afterward, drink some thin millet porridge to settle the medicine. The medicine should be taken cold; the millet drink should not be too hot. Vomiting or diarrhea are harmless side effects. For chronic lung damage causing hemoptysis, a single dose brings immediate relief. (From *Benshi Fang*)