齐淳于司马食马肝,食饱甚,见酒来,即走去,驱疾,至舍即泄数十出。臣意告曰∶“为
火齐米斗饮之,七八日而当愈。”
饱食疾走,震动肠胃失其分泌,故泄数十。以火齐化其积滞(见上),以米汁润其谷道,
经七日一来复,自能愈矣。或谓米汁可治回风,回风之状,饮食嗌辄后之(即泄也)(见上)。
此方勿轻视,因试见效也。(樊阿注)
齐中郎破石,病得之堕马僵石上,肺伤不治。其人嗜黍,黍主肺,故不及期死。诊脉法
曰∶“病喜养阴处者顺死,喜养阳处者血死。”其人喜自静,不躁,又久安坐,伏几而寐,故
血
按∶伤肺者必吐血,彼独溲血,自由静也。凡病肺最难治,吾师虽能割腹,不能剪肺,
故肺伤者必不治。人言白芨可补肺,可补痈痿之肺耳,非补堕伤者也。仓公不以汤药着,于
病理脉理独详耳。(樊阿注)
齐王侍医遂(名也),中热,论曰∶“中热不溲者,不可服五石(石性重腻,服之增闷),
石之为药精悍,公服之不得数溲(便闭也)亟勿服,色将发痈。”遂曰∶“扁鹊曰∶‘阴石以
治阴病,阳石以治阳病也。’夫药石者有阴阳水火之剂,故中热,即为阴石柔齐治之;中寒,
即为阳石刚齐治之。”意谓∶“扁鹊虽言若是,然必审诊起度量,立规矩,称权衡,合色脉
表里有余不足,顺逆之法,参其人动静与息相应,乃可以论。”论曰∶“阳疾处内,阴形应外
者,不加悍药及 石。”诊法曰∶“二阴应外,一阳接内者,不可以刚药。刚药入则动阳,阴
病益衰,阳邪益着,邪气流行为重困,于愈忿发为疽。”意告之后,百余日,果为疽,发乳
上,入缺盆死。
此请用药石者鉴。(樊阿注)
Chunyu Sima of Qi ate horse liver. Having eaten to fullness, upon seeing wine being served, he immediately ran away, walking briskly. Upon returning home, he suffered diarrhea dozens of times. I (Cang Gong) told him: "Drink Huoji Decoction (Fire-Regulating Decoction), using one dou of rice water per dose, and you will recover in seven or eight days."
Eating to fullness and then walking rapidly shakes the intestines and stomach, causing their secretory function to lose regulation, hence the dozens of diarrheal episodes. Huoji Decoction resolves the accumulation and stagnation, while rice water moistens the intestinal tract. After one physiological cycle of seven days, natural recovery occurs. Some say rice water can treat Huifeng syndrome (Wind-Reversal Syndrome), whose manifestation is food ingested but immediately expelled (i.e., diarrhea) (see above). Do not underestimate this prescription, as trials have proven its efficacy. (Annotation by Fan A)
Zhonglang Jiang Poshi of Qi contracted his illness from falling off a horse and stiffening onto a stone, resulting in an incurable lung injury. This person had a preference for eating broomcorn millet (Shu Mi, Panicum miliaceum). Since Shu Mi enters the Lung meridian, he died before the expected period. The pulse diagnosis method states: "Those who prefer Yin-cold environments die following the disease's course; those who prefer Yang-hot environments die due to blood disorder." This person preferred solitude and quietness, was not irritable, sat still for long periods, and slept leaning on a desk, causing blood circulation to stagnate.
Note: Injury to the lungs typically results in hemoptysis (coughing up blood); he exclusively presented with hematuria (blood in urine), which is due to his preference for stillness. Generally, lung diseases are the most difficult to treat. Although my master could perform laparotomy, he could not suture the lungs; therefore, lung injuries are invariably fatal. People claim that Baiji (Bletillae Rhizoma, Bletilla striata) can tonify the lungs, but it only repairs lungs damaged by carbuncles and sores, not those injured by falls. Cang Gong did not use herbal decoctions because he analyzed the pathology and pulse patterns with particular detail. (Annotation by Fan A)
Sui, a physician attendant to the King of Qi, suffered from Zhongre syndrome (Heat Stroke/Internal Heat). Medical theory states: "For those with internal heat and difficulty urinating, Wushi San (Five-Stone Powder) must not be administered. Stone medicines are heavy and cloying; taking them increases chest oppression. Stone drugs are potent and fierce. If taking them reduces urination frequency (urinary retention), stop immediately, otherwise facial discoloration will occur and carbuncles will develop." Sui said: "Bian Que said: 'Yin stones treat Yin syndromes, and Yang stones treat Yang syndromes.' Medicines and stones have Yin-Yang and Water-Fire formulations. Therefore, for internal heat, treat with Yin stones and soft formulations; for internal cold, treat with Yang stones and rigid formulations." I stated: "Although Bian Que said this, one must carefully diagnose, establish standards, measure weights, combine complexion and pulse analysis to determine excess/deficiency in interior/exterior, follow methods of compliance/inversion, and reference the patient's movement and breath synchronization before making a judgment." Medical theory further states: "When Yang pathogens are internal and Yin manifestations appear external, do not add harsh drugs or stones." Diagnostic methods state: "When two Yin meridians respond externally and one Yang connects internally, rigid drugs cannot be used. Rigid drugs entering the body disturb Yang Qi, causing Yin disease to weaken further and Yang pathogenic factors to become prominent. Pathogenic qi flows vigorously, leading to severe distress, eventually erupting as a carbuncle." After I informed Sui, over a hundred days later, he indeed developed a carbuncle on the breast, which penetrated into the Quepen point (LI12), leading to death.
Let those who use medicinal stones take this as a warning. (Annotation by Fan A)