凌学颁之夫人病肝胃气痛,先生治之而愈。案云:厥阴脉起大敦,络抵少腹下脘,为肝之部。十月为阳之尽,阴盛阳衰,厥气横逆,上侮胃土则呕恶,不喜饮食,脉象弦细,虚寒无疑,须交一阳来复方能霍然。兹本经旨,肝欲散急食辛以散之,木静则土亦安。高良姜、制香附、制附子、青皮、陈皮、煨木香、谷芽、白芍、吴萸四分、同炒台乌药,另荜茇一分半、寇仁二分、猺桂三分、沉香二分,研末,饭丸。复诊:天寒阳伏,阴气当权,厥阴为阴中之至阴,缘以质本虚寒,遇冷即痛,况脾胃素多痰浊,肝木上侮土也。再用制香附、干姜、橘络、细青皮、煨木香、公丁、香砂仁、半夏、乌药、炒莱菔子、小茴香,另公丁香、沉香、蔻仁、猖桂,研末饭丸。
西水关鸿源之母,舌尖不能转掉,言语不清,口干额上火冒,脉息左寸似无,两尺脉细而数。先生曰;此心气不足,津液不能上承,阴虚阳升,舌喑症也。用熟地、潼沙苑、益智仁(盐水炒)、阿胶、丹皮、女贞子、石斛、石菖蒲、柏子仁、莲心、红枣。赵某咳血音嘶已久,木击金伤,肺痿已成,生气残矣。方用北沙参、竹茹、毛燕、冬瓜子、丹皮、枇杷叶、知母、杏仁、藕节、白芨。
钱少和世丈,子痈与疝气有别,实则异名同类。经云男子任脉为病,内结七疝。巢元方立癃(疒C贵)之名,(疒C贵),内裹脓血是也;癃者,小溲不通之谓也。左睾丸属肝,脉象弦急,气逆口干,高年恐其痛厥,现在小溲三日不利,肾子胀痛,外皮红肿,湿热下注也。姑先通调水道,水道不通,湿热愈形阻滞矣。赤芍、车前子、滑石、石决明、黄柏、龙胆草、甘草梢、竹茹、川楝、橘核、通草、薏仁、革薜。
蒋,右肺主气,脾主运,肝主疏泄,客冬感受寒邪,以致咳嗽,今已久嗽伤阴矣,金伤不能制木,两胁撑痛,疏泄不利则大便艰结,木乘土位则脾阳不振,湿痰所由生也。若用养阴以肃肺,恐碍脾胃,用温燥以平木又恐劫阴,愚见先行培土生金,金胜则木能制矣。淮山药、北沙参、当归身、橘络、茯苓、光杏仁、神曲、谷芽、白蔻仁、萸肉、香附。
徐右(甲子七月十七日),产后脉络空虚,血虚木旺,气火窜入筋络隧道,痛无定处,两胁乃肝络地位,其本位最易先入,至两足屈伸作响,血不营筋故也。某医泥于产后宜温,用桂、木等品,殊不知桂能枯木,产后阴血素亏,肝阳妄动,化火生风,上升则头眩耳痛,犯胃作恶,入于阳明之络,则牙龈红肿,咽喉蒂丁作胀,夜少安卧,无非水不济火也。兹拟平肝火熄风,热化痰浊。生石决明二两(打先煎)、滁甘菊各二钱、法半夏三钱、连翘四钱、丹皮三钱、制僵蚕四钱、蝉衣钱半、辰茯苓五钱、元参三钱、生竹茹三分、辰灯心三尺、橘络钱半。覆诊:昨投平肝熄风,筋络及牙龈之痛大减,惟仍头眩。吾以为药力犹未足也。头晕者肝阳也,耳痛者风火也,牙龈作痛者胃火也。两火相并,则风阳更盛。至于两胁疼痛尚未尽定,产经两月,脉络还是空虚,气火乘隙而入也。若小溲热赤,略有暑热耳。珍珠母二两(打先煎)、滁菊二两、赤白芍各钱半、黑山栀三钱、辰滑石五钱、白蒺藜三钱、茯苓神各钱半、制僵蚕三钱、丹皮二钱、生竹茹三钱炒、车前子三钱、橘络一钱、鲜荷叶一张。
真隐道巷姚某年十九岁,在乡店习业,五月上旬身热透痧,回家途遇冰雹大风,痧即隐,后又透出,不数日又发红痧,已四五日矣。而神情微呆,上下牙龈大酸,顷刻难耐,请先生诊视。见其遍体一片红云,身无隙地,据云前延西医俞姓,谓酸者虚也。先生细视牙龈均有白点,咽喉色紫红肿,谓之曰:第一次所发者痧也,后发者伏热也。邪火未清,逼乱神明,势恐成痧,后牙疳四大忌款之一。用大青解毒之品,犀角、鲜生地、制大黄、丹皮、银花、黑栀、连翘、芦根、绿豆等。明日面目遍体骤然发黄,牙疳稍愈,而肺管作痛,两手之络现紫褐色。先生曰:此瘀热发黄,邪毒尽归于肺,且元气又虚,势恐喘急之变。辞以不治,后果不起。
北栅口单某年三十余,咽喉满口腐烂,音哑不能言语,他医以为温热也。先生曰:此非温热也,是霉毒服轻粉提药,上攻咽喉所致。询之果然。方用犀角、大青、银花、人中黄、黑山栀、连翘、丹皮、仙遗粮、金汁,外以珠黄散吹之,数旬而愈。
北门贝巷陈姓媳年二十余,怀妊足月,头面四肢浮肿,两目陡然失明,继以痉厥,痰涎上涌,面色青惨唇紫,牙关噤闭,手足鼓动不止,神识昏糊,目珠直视,脉伏身冷。先生以为热深厥深,邪热引动肝火,风自火生,恐其胎元不保。用羚羊角五分、竹沥二两,随时研末调服。煎药用羚羊角四分、珍珠母、石决明各二两、制胆星七分、滁菊三钱、钩钩三钱、川贝母三钱、竹沥四两,此午前所服也。晚时再服猴枣一分、月石三分、郁金三分、羚羊角三分,研末调服。明晨请先生诊视,风痉已定,神识时糊时清,牙关时开时闭,腹中大痛。先生恐其即产,而羚羊角凉肝之药不合。用濂珠三分、川贝母三分、天竹黄三分、制胆星三分、钩钩、竹茹泡汤调服。濂珠虽寒,书有下死胎胞衣之说,故可用之。服后神识已清,神倦嗜卧,呼吸有度,两脉起而不伏,腹痛亦止,惟舌红唇燥,两颧转赤,显然阳明之热也。再用川连五分、川贝母三钱、子芩钱半、知母三钱、竹卷心三十斤、连翘三钱、茅芦根各七钱、钩钩三钱、黄杨脑七个,明日腹中又痛,胎儿下堕,已经腐烂,而邪热未清,瘀不得下。再用丹参二钱、泽兰二钱、郁金二钱、茺蔚子三钱、归尾钱半、桃仁泥二钱炒、川贝一钱、藏红花五分、西血珀五分,入煎取气而不取味,加童便一小杯冲服。明日又去诊视,瘀行不多,脉右数而左郁,舌苔深绛,面色仍红,微热不扬,咳不畅达,口渴咽干。用泄肺去瘀法,枇杷叶、大贝母、茺蔚子、丹参、郁金、桃仁泥、焦山查、炒瓜蒌皮、炒牛蒡子、制僵蚕、光杏仁,服后咳止,瘀血盛下,大便干结,仍用丹参、泽兰、生山甲、全瓜蒌、火麻仁、郁金、桃仁泥、橘络、焦山楂,益母草煎汤代水,诸恙皆平,能饮稀粥,调理数日而愈。
张汉槎便血数年,面色无华,形神憔悴,诸医用侧柏、槐花等不效。乞先生诊之,脉细弱无神,先生曰:此血液太亏,气亦因之而伤,肝脾无统摄之权,目眩心跳,足肿不寐,诸恙蜂起。先拟益气养血,培土敛肝法。潞党参、元米炒三钱、白芍七钱、乌梅一钱炒、大生地四钱土炒、白术二钱炒、刺仁三钱、龙眼肉三个、稆豆衣盐水炒三钱,醋炒、木香八分、藕节七个、伏龙肝一两,煎汤代水,十灰丸二钱淡盐汤下。再诊:足跗浮肿已退,便血亦减,迩日脾胃稍钝,且有湿浊,然不能过于香燥养血,只可稍让一步,再拟益气养营,健脾运中法。炒细生地四钱,生于术二钱醋炒、白芍五钱、旱莲草三钱、黑山栀三钱,炒、枣仁三钱、五味子四分,醋炒、木香七分、陈皮钱半、黑木耳二钱、苦参子十粒、荷叶一角、归脾丸二钱。三诊:便血已止而大便艰难,肠液枯槁,譬如得水可以行舟,舟无水而不能行也。拟养血润燥,细生地四钱、木香三分洞炒去之、火麻仁三钱、鲜苁蓉五钱、白芍五钱、生于术二钱、淮山药三钱、柏子仁三钱、元参盐水炒,二钱,煅磁石五钱炒、秫米三钱,炙、乌梅四分、柿霜五分,数服而愈。八年后因他恙求诊,述及前病,方笺完好无损,深感先生治愈之功,故珍藏至今。
南门外盐场许某,喘逆咳嗽痰多,筋惕肉(目闰),昏昏欲睡,示休自语不休,中脘格拒,饮食少进,已经一载,医用旋覆代赭及人参半夏茯苓汤,而气喘更甚,大便不解。诊脉虚细,舌苔潮腻,先生以为脾胃之阳不足,肾虚摄纳无权。始用黑锡丹及温中之味,服后二脉有力,痞满消除,脏气宣通,大便得解,然气喘不平。再用北沙参、五味子、蛤蚧、坎气、巴戟肉、吴萸、白芍、银杏、紫衣、胡桃等,气喘遂平,浊痰亦少,能进饮食。先生观其苔黄而腻,舌质少有裂纹,又以为阴分亦伤,痰乃津液所化,非填下焦阴液不可。用龟板、制首乌、煅牡蛎、白芍、盐水炒巴戟肉、杞子等,连服数剂,而饮食愈增,惟夜少安卧。原方加柏子仁、煅龙齿、抱木茯神、淮小麦,安眠如常,后服调补气血之药而痊。
民国十三年八月,江渐交战,月余方止,死亡枕籍,血流成河。先生思患预防,因制此方,名胜军丸。治兵凶饥馑后,饮水不洁,触受秽浊,腹痛呕吐泄泻,四肢厥冷等症,可以配合施送,造福无量。
川雅连五钱奎砂仁五钱上雄精三钱广木香五钱广郁金五钱生明矾五钱人中黄三钱檀降香各三钱生姜粉三钱真獭肝二钱石菖蒲三钱焦山查四钱公丁香三钱生香附五钱鬼箭羽四钱
以上十六味共研为细末。用银花二两、防风七钱、藿梗七钱、净黄土二两,四味浓煎汁露清泛丸,朱砂为衣,如桐子大。轻者服钱半,重者三钱,小儿减半,孕妇不忌。
驳岸观音堂某妪年九十六,壮热神糊。延先生诊视,脉细弱苔光,先生曰:大年精血枯槁,虽有外感,未便过于疏散,非扶正达邪不可。用人参须一钱、苏叶、川贝母、菖蒲、郁金等,一剂而神识清,再剂热退,《医验随笔》终
《医验随笔》跋 曾南丰称欧阳公曰:蓄道德,能文章。而欧公之送徐无党文,则以为修于身者未必能施于事,施于事者或不能见于言,三者之不可得而兼,自古已然,盖若斯之难也。镛游于夫子之门数年,窃尝有以观其微矣。夫子粹于医,而于学无所不窥,涵泳于道德,发越于文章。行道数十年,所治辄效,缙神耆宿,名公钜卿,折节相推重;即远近人士,虽未识夫子之面,而咸知夫子之名焉。每一诊视,镛与及门季君鸣九、赵君友渔均相侍侧,遇剧症往往口讲指画,详言其所以然,必明辨再四,至无憾乃已。生平喜著述,久而多散佚,镛等虽心识之,愧未能一一纂录也。周君逢儒秉承小农先生家学,而从游于夫子,阅时未久,其手录治验已裒然成卷。镛曰:此固夫子之修于身施耶于事见于言者,将于是乎见矣。周君学好不倦,倘积以岁月,其所造宁止于是耶!庸碌如镛等能无愧然?夫子曾师事孟河御医马培之徵君,世称为孟河学派云。
《医验随笔》跋
病情万变,药亦万变。能齐其变,以寄死生之重,决之于俄顷之间,盖到至难之事也。是故非博学审问,慎思明辨,而又积甚深之经验,则对此万变之病与药,未有不茫然者。民国壬戍秋,吾邑中医友谊会成,明年刊《医钟》,因得受先生亲炙,聆其讲论极深,研几穷探幽微,未尝不心焉识之。先生粹面盎背,盛德霭然,与物无忤,义之所在,排众难而为之治病,力肩其任,不为外物所挠。源当随侍诊席,每见奇疴大痏,群医却走,而先生当机立断,略无迟疑,莫不应手愈。常谕源曰:读书贵博观约取,活泼泼地不沾沾于一家,静察物理,观天人相与之际,临证时目光四瞩,面面俱到,庶变幻虽多,而病无遁情矣。先生行道垂载,平生医验不可殚述。兹就闻见所及,笔之于书,故不分时代,已为同学四十所记者不录,其他奇验而记忆不完者不录。惟学识谫陋,文字拙劣,不足阐明先生大义于万一,而先生之经验闳深,变化不测,无在非学问思辨之功,孟河一脉渊源斯在。敬识之,以告读是者书。受业周源逢儒谨跋
Mrs. Ling Xueban suffered from Qi pain of the Liver and Stomach, which was cured by the Master. The medical record states: The Jueyin meridian originates at Dadun (LR1), connects to and reaches the lower abdomen and Xiawan (CV10), which is the region of the Liver. In the tenth month, Yang energy ends, Yin is abundant and Yang is declining; Jue逆 Qi rebels upward, insulting the Earth of the Stomach, causing vomiting and nausea, loss of appetite, with a wiry and thin pulse, undoubtedly indicating Deficiency-Cold. It must wait for the return of one Yang (Winter Solstice) to recover completely. Now, based on the principles of the Classic, the Liver desires dispersion; eat pungent flavors to disperse it. When Wood is calm, Earth is also peaceful. The prescription uses Galangal Rhizome (Gao Liang Jiang), Processed Cyperus Rhizome (Zhi Xiang Fu), Processed Aconite Root (Zhi Fu Zi), Green Tangerine Peel (Qing Pi), Aged Tangerine Peel (Chen Pi), Baked Aucklandia Root (Wei Mu Xiang), Rice Sprout (Gu Ya), White Peony Root (Bai Shao), and Cornus Fruit (Wu Yu) 4 fen stir-fried together with Tugao Rhizome (Tai Wu Yao). Separately, Long Pepper Fruit (Bi Bo) 1.5 fen, Cardamom Seed (Kou Ren) 2 fen, Cinnamon Twig (Yao Gui) 3 fen, and Agarwood (Chen Xiang) 2 fen are ground into powder and made into pills with rice paste. Follow-up visit: Cold weather causes Yang to hide, Yin Qi dominates. Jueyin is the extreme Yin within Yin. Because the constitution is inherently deficient and cold, pain occurs upon exposure to cold. Moreover, the Spleen and Stomach have always had much phlegm-turbidity, with Liver Wood insulting Earth. Again using Processed Cyperus Rhizome (Zhi Xiang Fu), Dried Ginger (Gan Jiang), Tangerine Network (Ju Luo), Fine Green Tangerine Peel (Xi Qing Pi), Baked Aucklandia Root (Wei Mu Xiang), Clove (Gong Ding), Amomum Fruit (Xiang Sha Ren), Pinellia Tuber (Ban Xia), Tugao Rhizome (Wu Yao), Stir-fried Radish Seed (Chao Lai Fu Zi), and Small Fennel Fruit (Xiao Hui Xiang). Separately, Clove (Gong Ding), Agarwood (Chen Xiang), Cardamom Seed (Kou Ren), and Cinnamon Twig (Chang Gui) are ground into powder and made into pills with rice paste.
The mother of Hong Yuan from Xishuiguan could not move her tongue tip clearly, spoke indistinctly, had dry mouth and a sensation of fire rising to the forehead. The pulse at the left Cun position was almost imperceptible, while the two Chi positions were fine and rapid. The Master said: This is insufficient Heart Qi, inability of body fluids to ascend, Yin deficiency leading to Yang rising, constituting Tongue Aphasia (She Yin Syndrome). The prescription uses Prepared Rehmannia Root (Shu Di Huang), Astragalus Seeds (Tong Shayuan), Chinese Yam Bean (Yi Zhi Ren - stir-fried in salt water), Donkey-hide Gelatin (E Jiao), Moutan Bark (Dan Pi), Privet Fruit (Nv Zhen Zi), Dendrobium Stem (Shi Hu), Acorus Rhizome (Shi Chang Pu), Biota Seed (Bai Zi Ren), Lotus Plumule (Lian Xin), and Red Date (Hong Zao). Mr. Zhao has suffered from hemoptysis and hoarseness for a long time. Wood attacking Metal injures the Lung, Lung Flaccidity (Fei Wei) has formed, and vital Qi is nearly exhausted. The prescription uses Northern Glehnia Root (Bei Sha Shen), Bamboo Shavings (Zhu Ru), Bird's Nest (Mao Yan), Winter Melon Seed (Dong Gua Zi), Moutan Bark (Dan Pi), Loquat Leaf (Pi Pa Ye), Anemone Root (Zhi Mu), Apricot Kernel (Xing Ren), Lotus Rhizome Node (Ou Jie), and Bletilla Tuber (Bai Ji).
Mr. Qian Shaohe's son suffered from testicular abscess, which differs from hernia but is essentially the same category under different names. The Classics state that disease of the Ren Mai in men results in internal knotting forming seven types of hernias. Chao Yuanfang established the name "Long" (Lóng), referring to internal accumulation of pus and blood; "Long" also refers to obstruction of urination. The left testicle belongs to the Liver. The pulse is wiry and urgent, Qi rebels with dry mouth. In an elderly patient, painful syncope is feared. Currently, urination has been obstructed for three days, the kidney/testicle is distended and painful, and the skin is red and swollen, indicating Damp-Heat pouring downward. For now, first regulate the water passages. If water passages are blocked, Damp-Heat will become more stagnant. The prescription uses Red Peony Root (Chi Shao), Plantago Seed (Che Qian Zi), Talcum (Hua Shi), Abalone Shell (Shi Jue Ming), Phellodendron Bark (Huang Bai), Gentian Root (Long Dan Cao), Licorice Tip (Gan Cao Shao), Bamboo Shavings (Zhu Ru), Toosendan Fruit (Chuan Lian), Tangerine Seed (Ju He), Tetrapanax Pith (Tong Cao), Coix Seed (Yi Ren), and Dioscorea Hypoglauca Rhizome (Bi Xie).
Patient Jiang: The right Lung governs Qi, the Spleen governs transportation, and the Liver governs free flow. Last winter, Cold pathogen was contracted, leading to cough. Now, prolonged cough has injured Yin. Metal injury fails to control Wood, causing distending pain in both hypochondria. Impaired free flow leads to difficult constipation. Wood overacting on Earth causes Spleen Yang to be weak, giving rise to damp-phlegm. Using Yin-nourishing herbs to subdue the Lung may hinder the Spleen and Stomach; using warm-drying herbs to calm Wood may consume Yin. My opinion is to first tonify Earth to generate Metal. When Metal is strong, it can control Wood. The prescription uses Chinese Yam (Huai Shan Yao), Northern Glehnia Root (Bei Sha Shen), Angelica Sinensis Root Body (Dang Gui Shen), Tangerine Network (Ju Luo), Poria (Fu Ling), Apricot Kernel (Guang Xing Ren), Medicated Leaven (Shen Qu), Rice Sprout (Gu Ya), White Cardamom Seed (Bai Kou Ren), Cornus Fruit (Yu Rou), and Cyperus Rhizome (Xiang Fu).
Patient Xu (July 17, Jiazi Year): Postpartum meridians are empty, Blood deficiency leads to exuberant Liver Wood. Qi and Fire rush into the sinews and collaterals, causing pain without fixed location. The hypochondria are the territory of Liver collaterals, where pathogens easily enter. The knees make noise when bending and extending because Blood fails to nourish the sinews. One doctor adhered to the postpartum principle of warmth, using Cinnamon Twig (Gui Zhi) and Costus Root (Mu Xiang), not realizing that Cinnamon can deplete Wood. Postpartum Yin-Blood is inherently deficient, Liver Yang moves recklessly, transforming into Fire generating Wind. Rising upward causes dizziness and ear pain; invading the Stomach causes nausea; entering the Yangming collaterals causes gum swelling and throat distension; inability to sleep peacefully at night is due to Water failing to balance Fire. Now prescribing to calm Liver Fire, extinguish Wind, clear Heat, and resolve turbid phlegm. Prescription: Raw Abalone Shell (Sheng Shi Jue Ming) 2 liang (crushed, decocted first), Chuzhou Chrysanthemum (Chu Gan Ju) 2 qian each, Processed Pinellia (Fa Ban Xia) 3 qian, Forsythia Fruit (Lian Qiao) 4 qian, Moutan Bark (Dan Pi) 3 qian, Processed Bombyx Batryticatus (Zhi Jiang Can) 4 qian, Cicada Slough (Chan Yi) 1.5 qian, Chen Poria (Chen Fu Ling) 5 qian, Scrophularia Root (Yuan Shen) 3 qian, Raw Bamboo Shavings (Sheng Zhu Ru) 3 fen, Chen Lampwick (Chen Deng Xin) 3 chi, Tangerine Network (Ju Luo) 1.5 qian. Follow-up: Yesterday's dose of calming Liver and extinguishing Wind greatly reduced pain in sinews and gums, but dizziness persists. I believe the medicinal force is insufficient. Dizziness is Liver Yang; ear pain is Wind-Fire; gum pain is Stomach Fire. Two Fires combined make Wind-Yang stronger. As for lingering hypochondriac pain, two months postpartum, meridians remain empty, allowing Qi-Fire to enter through gaps. If urine is hot and red, there is slight summer-heat. Prescription: Pearl Mother Oyster Shell (Zhen Zhu Mu) 2 liang (crushed, decocted first), Chuzhou Chrysanthemum (Chu Ju) 2 liang, Red and White Peony Roots (Chi Bai Shao) 1.5 qian each, Black Gardenia Fruit (Hei Shan Zhi) 3 qian, Chen Talcum (Chen Hua Shi) 5 qian, Tribulus Fruit (Bai Ji Li) 3 qian, Poria and Poria with Hostwood (Fu Ling Shen) 1.5 qian each, Processed Bombyx Batryticatus (Zhi Jiang Can) 3 qian, Moutan Bark (Dan Pi) 2 qian, Raw Bamboo Shavings (Sheng Zhu Ru) 3 qian stir-fried, Plantago Seed (Che Qian Zi) 3 qian, Tangerine Network (Ju Luo) 1 qian, Fresh Lotus Leaf (Xian He Ye) 1 sheet.
Yao from Zhenyin Dao Alley, aged 19, working in a country shop, developed fever and scarlet rash in early May. On the way home, he encountered hail and strong wind, causing the rash to hide, then reappear. A few days later, red rash appeared again, lasting four or five days. His expression was slightly dull, upper and lower gums were extremely sore, unbearable in moments. The Master examined him, seeing a widespread red cloud-like rash covering the body without gaps. Previously consulted Western doctor surnamed Yu, who said soreness indicates deficiency. The Master carefully observed white spots on the gums and purple-red swollen throat, stating: The first eruption was scarlet rash; subsequent eruptions are latent heat. Evil fire not cleared disturbs the Spirit, potentially developing into Gum Gangrene (Ya Gan), one of the four major taboos. Using detoxifying herbs like Big Blue Herb (Da Qing), Rhinoceros Horn (Xi Jiao), Fresh Rehmannia Root (Xian Sheng Di), Processed Rhubarb (Zhi Da Huang), Moutan Bark (Dan Pi), Honeysuckle Flower (Jin Yin Hua), Black Gardenia (Hei Zhi), Forsythia (Lian Qiao), Reed Rhizome (Lu Gen), Mung Bean (Lv Dou), etc. Next day, face and body suddenly turned yellow, gum gangrene improved slightly, but lung tubes hurt, and veins on hands showed purple-brown color. The Master said: This is stasis-heat causing jaundice, evil toxins returning to the Lung, and Yuan Qi is also deficient, risking sudden asthma. Declined treatment as incurable, and indeed he died.
Dan from Beizhakou, over 30 years old, had rotten throat and mouth, hoarse voice unable to speak. Other doctors thought it was Warm-Heat. The Master said: This is not Warm-Heat, but mercury poisoning from taking light powder (calomel) medicine, attacking the throat upwards. Inquiry confirmed this. Prescription: Rhinoceros Horn (Xi Jiao), Big Blue Herb (Da Qing), Honeysuckle Flower (Jin Yin Hua), Human Excrement Soil (Ren Zhong Huang), Black Gardenia (Hei Shan Zhi), Forsythia (Lian Qiao), Moutan Bark (Dan Pi), Polygonum Multiflorum Vine (Xian Yi Liang), Golden Juice (Jin Zhi). Externally apply Pearl and Calamine Powder (Zhu Huang San). Recovered after several weeks.
Granddaughter-in-law of Chen from Beimen Baixiang, over 20 years old, full-term pregnancy, edema of head, face, and limbs, sudden blindness, followed by convulsions, surging phlegm-saliva, blue-green complexion, purple lips, locked jaw, continuous limb movement, confused consciousness, staring eyes, hidden pulse, cold body. The Master believed Deep Heat leads to Deep Cold (Re Shen Jue Shen), evil heat stirring Liver Fire, Wind generated from Fire, fearing loss of fetal vitality. Used Antelope Horn (Ling Yang Jiao) 5 fen, Bamboo Sap (Zhu Li) 2 liang, ground and taken as needed. Decoction: Antelope Horn (Ling Yang Jiao) 4 fen, Pearl Mother Oyster Shell (Zhen Zhu Mu), Abalone Shell (Shi Jue Ming) 2 liang each, Processed Arisaema (Zhi Dan Xing) 7 fen, Chuzhou Chrysanthemum (Chu Ju) 3 qian, Uncaria Hook (Gou Gou) 3 qian, Fritillaria Bulb (Chuan Bei Mu) 3 qian, Bamboo Sap (Zhu Li) 4 liang. Taken in the morning. Evening dose: Monkey Datum (Hou Zao) 1 fen, Borax (Yue Shi) 3 fen, Curcuma Tuber (Yu Jin) 3 fen, Antelope Horn (Ling Yang Jiao) 3 fen, ground and taken. Next morning examination: Convulsions stabilized, consciousness fluctuating, jaw opening/closing intermittently, severe abdominal pain. Master feared imminent delivery, and Antelope Horn (cooling Liver) was inappropriate. Used Pearl (Lian Zhu) 3 fen, Fritillaria Bulb (Chuan Bei Mu) 3 fen, Heavenly Bamboo Resin (Tian Zhu Huang) 3 fen, Processed Arisaema (Zhi Dan Xing) 3 fen, Uncaria Hook (Gou Gou), Bamboo Shavings (Zhu Ru) decocted and taken. Although Pearl is cold, books mention its ability to expel dead fetus/placenta, so it can be used. After taking, consciousness cleared, fatigue and desire to sleep, regular breathing, pulses rose and were no longer hidden, abdominal pain stopped. Only red tongue, dry lips, red malar areas, obviously Yangming Heat. Further prescription: Coptis Rhizome (Chuan Lian) 5 fen, Fritillaria Bulb (Chuan Bei Mu) 3 qian, Scutellaria Root (Zi Qin) 1.5 qian, Anemone Root (Zhi Mu) 3 qian, Lotus Plumule (Zhu Juan Xin) 30 pieces, Forsythia (Lian Qiao) 3 qian, Imperata Rhizome (Mao Lu Gen) 7 qian each, Uncaria Hook (Gou Gou) 3 qian, Yang Brain (Huang Yang Nao) 7 pieces. Next day, abdominal pain again, fetus expelled, already rotten, evil heat not cleared, stasis not discharged. Further prescription: Salvia Root (Dan Shen) 2 qian, Lyonia Fruit (Ze Lan) 2 qian, Curcuma Tuber (Yu Jin) 2 qian, Leonurus Fruit (Chong Wei Zi) 3 qian, Angelica Sinensis Tail (Gui Wei) 1.5 qian, Peach Kernel Paste (Tao Ren Ni) 2 qian stir-fried, Fritillaria (Chuan Bei) 1 qian, Safflower (Zang Hong Hua) 5 fen, West Amber (Xi Xue Po) 5 fen. Decocted for aroma, not taste, added 1 small cup of child's urine to take. Next day examination: Stasis discharge not much, right pulse rapid, left pulse depressed, deep crimson tongue coating, still red face, slight heat not prominent, cough unsmooth, thirsty dry throat. Use method to drain Lung and remove stasis: Loquat Leaf (Pi Pa Ye), Large Fritillaria (Da Bei Mu), Leonurus Fruit (Chong Wei Zi), Salvia Root (Dan Shen), Curcuma Tuber (Yu Jin), Peach Kernel Paste (Tao Ren Ni), Scorched Hawthorn (Jiao Shan Zha), Stir-fried Trichosanthes Peel (Chao Gua Lou Pi), Stir-fried Bullhorn Seed (Chao Niu Bang Zi), Processed Bombyx Batryticatus (Zhi Jiang Can), Apricot Kernel (Guang Xing Ren). After taking, cough stopped, heavy stasis discharge, dry stool. Still using Salvia Root (Dan Shen), Lyonia Fruit (Ze Lan), Raw Pangolin Scale (Sheng Shan Jia), Whole Trichosanthes (Quan Gua Lou), Hemp Seed (Huo Ma Ren), Curcuma Tuber (Yu Jin), Peach Kernel Paste (Tao Ren Ni), Tangerine Network (Ju Luo), Scorched Hawthorn (Jiao Shan Zha), Motherwort (Yi Mu Cao) decocted as water substitute. All ailments resolved, able to drink thin porridge, recovered after several days of regulation.
Zhang Hancha suffered from hematochezia for years, pale complexion, emaciated spirit. Doctors using Platycladus Seed (Ce Bai) and Sophora Flower (Huai Hua) were ineffective. Requested Master's diagnosis. Pulse fine, weak, lacking spirit. Master said: Blood is too deficient, Qi is also injured. Liver and Spleen lose their controlling power. Symptoms include dizziness, palpitations, leg edema, insomnia, various diseases arising. First prescribing Tonify Qi and Nourish Blood, Cultivate Earth and Astringe Liver. Method: Dang Shen (Lu Dang Shen), Yuan Mi stir-fried 3 qian, White Peony Root (Bai Shao) 7 qian, Cornus Fruit (Wu Mei) 1 qian stir-fried, Large Rehmannia Root (Da Sheng Di) 4 qian earth-stir-fried, Atractylodes Macrocephala (Bai Zhu) 2 qian stir-fried, Ci Ren 3 qian, Longan Aril (Long Yan Rou) 3 pieces, Vigna Angularis Seed Coat (Lu Dou Yi) stir-fried in salt water 3 qian vinegar-stir-fried, Aucklandia Root (Mu Xiang) 8 fen, Lotus Rhizome Node (Ou Jie) 7 pieces, Dragon Bone (Fu Long Gan) 1 liang decocted as water substitute, Ten Ash Pills (Shi Hui Wan) 2 qian taken with light salt water. Follow-up: Leg edema subsided, hematochezia reduced. Recently Spleen/Stomach slightly sluggish, with damp-turbidity. Cannot use overly aromatic-drying blood-nourishing herbs, only step back slightly. Prescribe Tonify Qi and Nourish Ying, Strengthen Spleen and Transport Middle. Method: Stir-fried Fine Rehmannia (Chao Xi Sheng Di) 4 qian, Raw Atractylodes (Sheng Yu Zhu) 2 qian vinegar-stir-fried, White Peony Root (Bai Shao) 5 qian, Eclipta Grass (Han Lian Cao) 3 qian, Black Gardenia (Hei Shan Zhi) 3 qian stir-fried, Ziziphus Seed (Zao Ren) 3 qian, Schisandra Berry (Wu Wei Zi) 4 fen vinegar-stir-fried, Aucklandia Root (Mu Xiang) 7 fen, Tangerine Peel (Chen Pi) 1.5 qian, Black Wood Ear (Hei Mu Er) 2 qian, Sophora Seed (Ku Shen Zi) 10 grains, Lotus Leaf (He Ye) 1 corner, Guipi Pills (Gui Pi Wan) 2 qian. Third follow-up: Hematochezia stopped but defecation difficult, intestinal fluid dried up. Like a boat needing water to float, without water it cannot move. Prescribe Nourish Blood and Moisten Dryness. Method: Fine Rehmannia (Xi Sheng Di) 4 qian, Aucklandia Root (Mu Xiang) 3 fen hollow-stir-fried and removed, Hemp Seed (Huo Ma Ren) 3 qian, Fresh Cistanche (Xian Cong Rong) 5 qian, White Peony Root (Bai Shao) 5 qian, Raw Atractylodes (Sheng Yu Zhu) 2 qian, Chinese Yam (Huai Shan Yao) 3 qian, Biota Seed (Bai Zi Ren) 3 qian, Scrophularia Root (Yuan Shen) stir-fried in salt water 2 qian, Calcined Magnetite (Duan Ci Shi) 5 qian stir-fried, Sorghum (Shu Mi) 3 qian roasted, Cornus Fruit (Wu Mei) 4 fen, Persimmon Frost (Shi Shuang) 5 fen. Several doses cured. Eight years later, sought diagnosis for another ailment, recounted previous illness, prescription paper intact, deeply grateful for Master's cure, thus treasured until now.
Xu from Nanmenwai Salt Field, wheezing, coughing, excessive phlegm, muscle twitching (Rou Sun), drowsiness, talking to himself incessantly, epigastric blockage, poor appetite, for one year. Doctors used Inula Decoction (Xuan Fu Dai Zhe Tang) and Ginseng, Pinellia, Poria Decoction, but wheezing worsened, constipation persisted. Pulse deficient and fine, tongue coating moist and greasy. Master considered Spleen-Stomach Yang insufficient, Kidney deficiency failing to grasp Qi. Initially used Black Tin Pill (Hei Xi Dan) and warming middle herbs. After taking, pulses became forceful, bloating eliminated, organ Qi circulated, defecation achieved, but wheezing not flat. Further prescription: Northern Glehnia Root (Bei Sha Shen), Schisandra Berry (Wu Wei Zi), Gecko (Ge Jie), Kidney Cord (Kan Qi), Morinda Root (Ba Ji Rou), Cornus Fruit (Wu Yu), White Peony Root (Bai Shao), Ginkgo Nut (Yin Xing), Purple Skin (Zi Yi), Walnut (Hu Tao), etc. Wheezing flattened, turbid phlegm reduced, able to eat. Master observed yellow greasy coating, slight cracks on tongue body, considered Yin aspect also injured. Phlegm is transformed from body fluids, must fill Lower Jiao Yin. Prescription: Turtle Plastron (Gui Ban), Processed Polygonum Multiflorum (Zhi Shou Wu), Calcined Oyster Shell (Duan Mu Li), White Peony Root (Bai Shao), Morinda Root (Ba Ji Rou) stir-fried in salt water, Goji Berry (Qi Zi), etc. Several doses, appetite increased, only poor sleep at night. Original formula plus Biota Seed (Bai Zi Ren), Calcined Dragon Tooth (Duan Long Chi), Poria with Hostwood (Bao Mu Fu Shen), Wheat (Huai Xiao Mai), sleep normal. Later took Qi and Blood tonics and recovered.
August, 13th Year of Republic of China, Jiangsu-Zhejiang war, lasted over a month, deaths piled up, rivers of blood. Master thinking of prevention, formulated this prescription, named Shengjun Wan. Treats soldiers after famine and disaster, drinking unclean water, touching foul turbidity, abdominal pain, vomiting, diarrhea, cold limbs, etc. Can distribute cooperatively, benefiting countless people.
Coptis Rhizome (Chuan Ya Lian) 5 qian, Sandamom Seed (Kui Sha Ren) 5 qian, Real Male Essence (Shang Xiong Jing) 3 qian, Guangmu Xiang (Guang Mu Xiang) 5 qian, Guang Yu Jin (Guang Yu Jin) 5 qian, Raw Alum (Sheng Ming Fan) 5 qian, Human Excrement Soil (Ren Zhong Huang) 3 qian, Sandalwood and Aquilaria (Tan Jiang Xiang) 3 qian each, Ginger Powder (Sheng Jiang Fen) 3 qian, Real Otter Liver (Zhen Ta Gan) 2 qian, Acorus Rhizome (Shi Chang Pu) 3 qian, Scorched Hawthorn (Jiao Shan Zha) 4 qian, Clove (Gong Ding Xiang) 3 qian, Raw Cyperus (Sheng Xiang Fu) 5 qian, Arrow Wood (Gui Jian Yu) 4 qian.
Above sixteen ingredients ground into fine powder. Use Honeysuckle Flower (Yin Hua) 2 liang, Saposhnikovia Root (Fang Feng) 7 qian, Agastache Stem (Huo Geng) 7 qian, Clean Yellow Earth (Jing Huang Tu) 2 liang. Four ingredients decocted thick, liquid clarified, pills floated, coated with Cinnabar (Zhu Sha), size of paulownia seeds. Mild case take 1.5 qian, severe case 3 qian, children half dose, pregnant women not contraindicated.
Old woman from Guan Yin Temple on the embankment, 96 years old, high fever, confused spirit. Consulted Master. Pulse fine, weak, tongue coating peeled. Master said: Elderly person, essence and blood dried up. Although external contraction exists, cannot disperse excessively. Must support Righteousness to expel Evil. Prescription: Ginseng Root Hair (Ren Shen Xu) 1 qian, Perilla Leaf (Su Ye), Fritillaria Bulb (Chuan Bei Mu), Acorus Rhizome (Chang Pu), Curcuma Tuber (Yu Jin), etc. One dose, spirit cleared; second dose, fever subsided. End of *Medical Verification Casual Notes*.
Postscript to *Medical Verification Casual Notes*: Zeng Nanfeng praised Ouyang Gong: Accumulates virtue, capable of writing. But in Ouyang Gong's letter to Xu Wudang, he stated that cultivating oneself does not necessarily translate to action, acting effectively may not be expressed in words. These three cannot be combined, since ancient times, such difficulty. Yong studied under the Master for several years, secretly observing his subtleties. The Master was refined in medicine, exploring all learning, immersed in virtue, expressing in writing. Practicing for decades, treatments effective. Officials and elders, nobles and ministers, respected him; distant and near people, though unseen, knew his name. Every consultation, Yong and disciples Ji Mingjiu, Zhao Youyu attended. Facing severe cases, often explaining details, distinguishing repeatedly until satisfied. Loved writing, but works scattered. Yong remembers but cannot compile all. Zhou Fengru inherited Master Xiaonong's family learning, studied under the Master briefly, his handwritten records already form volumes. Yong says: This is indeed the Master's cultivation of self, action, and expression seen here. Zhou loves learning tirelessly, if accumulating years, his achievements would surely exceed this! How can mediocre Yong feel ashamed? The Master studied under Menghe Imperial Physician Ma Peizhi, known as the Menghe School.
Republic of China 13th Year, Jiazi, Early Winter Month, Disciple Ding Shiyong respectfully writes postscript.
Postscript to *Medical Verification Casual Notes*
Disease conditions change infinitely, medicines also change infinitely. To harmonize these changes, entrusting life and death, deciding in an instant, is extremely difficult. Therefore, unless one is broadly learned, asks carefully, thinks cautiously, distinguishes clearly, and accumulates profound experience, facing changing diseases and medicines, one will inevitably be confused. Autumn of Renxu Year, Republic of China, our county's Traditional Chinese Medicine Friendship Association formed. Next year published *Medical Bell*, thus receiving direct instruction from the Master, listening to profound lectures, exploring mysteries, never failing to remember in heart. The Master had a refined face and ample back, majestic virtue, non-confrontational. Where righteousness lay, overcoming difficulties to treat patients, bearing responsibility, not swayed by external things. Source accompanied during consultations, often seeing strange diseases, other doctors retreating, while the Master decided promptly, without hesitation, all cured readily. Often instructed Source: Reading values broad observation and concise selection, lively and not attached to one school, quietly observing principles, viewing interaction between Heaven and Man. During clinical practice, look around comprehensively, cover all aspects, so although changes are many, disease nature reveals itself. Master practiced for years, lifetime medical verifications cannot be fully described. Here recording what I heard and saw, writing into book. Thus not dividing by era, those recorded by classmates forty are not included, other miraculous verifications with incomplete memory are not included. Only shallow knowledge, clumsy writing, insufficient to clarify Master's great meaning in part, but Master's profound experience, unpredictable changes, none without the merit of learning, questioning, thinking, distinguishing. Menghe lineage origin lies here. Respectfully record, to inform readers. Disciple Zhou Yuanfeng respectfully writes postscript.