吕沧洲治一幼女。病嗜卧。颊赤而身不热。诸医皆以为慢惊风。屡进攻风之剂。兼旬不
愈。吕切其脉。右关独滑而数。他部大小等而和。因告之曰。女无病。关滑为宿食。意乳母
致之。乳母必嗜酒。酒后辄乳。故令女醉。非风也。及诘其内子。内子曰。乳母近掌酒库钥。
窃饮必尽意。使人视之。卧内有数空罂。乃拘其钥。饮以枳 子、葛花。日二三服。而起
如常。
李寺丞子三岁。病搐。自卯至巳。数医不效。钱乙视之。搐。目右视。大叫哭。李曰。
何搐右。钱曰。逆也。李曰。谓何。曰。男为阳。本发左。女为阴。本发右。故男目左视。
发搐时无声。右视有声。女发搐时。右视无声。左视有声。所以然者。左肝右肺。肺金肝木
男目右视。肺胜肝也。金来刑木。二脏相战。故有声也。法当泻其强。补其弱。心实者亦
当泻之。肺虚不可泻。肺虚之候。闷乱哽气。长出气。此病男反女。故男治易于女也。假令
女发搐。目左视。肺之胜肝者。病在秋。即肺兼旺位。肝不为任。故叫哭。当大泻其肺。然
后治心。续肝。所以俱言目反右视者。乃肝主目也。凡搐者。风热相搏于内。风属肝。故引
见之于目也。钱用泻肝汤泻之。二日不闷乱。当知肺病退。后用地黄丸补肾。三服后。用泻
青丸、凉惊丸各二服。凡用泻心肝药。五日方愈。不妄治也。又言肺虚不可泻者何。曰。设
令男目左视。木反克金。肝旺胜肺。宜但泻肝。若更病在春夏。金气极虚。则当补肺。不可
泻也。
院使钱公瑛。宣德间。治宁阳侯孙。始生九月。患惊悸啼哭而汗。百方莫救。瑛最后视
疾。乃命坐儿于地。使掬水为戏。惊啼顿止。人问之。曰。时当季春。儿丰衣重帷。不离怀
抱。其热郁在内。安能发泄。使之近水则火邪杀。得土气则藏气平。疾愈矣。奚用药为。
石山治一女。六岁。病左手不能举动。三年矣。后复病痫。初用人参、半夏。或效或否
汪诊左脉浮洪。右脉颇和。曰。痰热也。令以帛勒肚。取茶子去壳三钱。 碎。以滚汤一
碗滤取汁。隔宿勿食。早晨温服。吐痰三碗许。手能举动。痫亦不作。
方荫山治朱氏子。八九岁。寄食外家。以肉汁拌饭啖之。口含饭。未下咽。因疾走颠蹶
遂口噤。手足搐动。医治不效。延七日。甚至令人口含开关等药。合其口喷入。仅能开牙
关。而四肢搐动。发热昏沉不语如故。脉洪滑。方至。以石膏、青黛、甘草、陈皮、南星、
天麻、薄荷、猪苓、泽泻、白术、茯苓、兜铃、元参、黄芩。加姜一片服。是夜熟寐不动。
唯起溺一度。热退身凉脉静。再进一服而愈。
潜村治仙潭孙自范甥慢脾证。痰涎涌盛。咳嗽身热。四肢抽搐。自汗。嗜卧露睛。撮空
手振。屡进补脾兼消痰逐风药。不应。以方就商于杨。杨曰。此证风自内出。本无可逐。痰
因虚动。亦不必消。只补脾土。诸证自退。但据所示兼证。则其面必晃白。眼必散大。舌必
胖
滑。色必嫩白。颈必软而头必垂矣。曰诚然。然救虚而不应。究何故耶。杨曰。诸证皆属寒
而诸方止救虚者也。使天柱未倒。固能取效。尚须除去逐风消痰之品。今颈软头垂。则天
柱已倒。而虚上加寒。确有显据。非炮姜、肉桂。何以追已去之阳。而苏垂绝之气哉。乃写
参附养营汤。嘱之曰。如阻以稚幼无阳。无补阳之法。则百不救一矣。服三剂。竟全愈。次
用五味异功散加煨姜、白芍。调理而健。
Lu Cangzhou treated a young girl. She suffered from lethargy (excessive sleepiness), with red cheeks but no body heat. All physicians considered it to be slow convulsion syndrome (a pediatric condition characterized by convulsions and lethargy) and repeatedly administered wind-dispelling agents, yet after twenty days there was no improvement. Lu palpated her pulse and found that only the right Guan position was slippery and rapid, while other positions were equal in size and harmonious. He informed them, "The girl is not ill. A slippery pulse at the Guan position indicates retained food stagnation. I suspect this was caused by the wet nurse. The wet nurse must have a fondness for alcohol and breastfeeds the child immediately after drinking, causing the child to become 'intoxicated.' This is not due to wind pathogen." Upon questioning the mother, she admitted, "The wet nurse recently held the key to the wine cellar and secretly drank until satisfied." An inspection revealed several empty wine jars in the sleeping quarters. The key was confiscated, and the child was given a decoction of *Armeniacae Semen Amarum* (Zhiqi Zi) and *Puerariae Radix* (Gehua). Administered two to three times daily, the child recovered as usual.
The son of Temple Attendant Li, aged three, experienced convulsions lasting from Mao hour to Si hour. Multiple physicians failed to produce results. Qian Yi examined the child and observed convulsions, eyes deviated to the right, and loud crying. Mr. Li asked, "Why are the eyes deviated to the right during convulsions?" Qian Yi replied, "This is a counter-indication." Mr. Li asked for clarification. Qian Yi explained, "Males belong to Yang and typically manifest symptoms starting on the left; females belong to Yin and typically manifest on the right. Therefore, males look to the left when ill and are silent during convulsions; looking to the right with sound indicates a different pattern. Females look to the right silently during convulsions, and look to the left with sound. This is because the Left corresponds to Liver Wood and the Right to Lung Metal. If a male looks to the right, it indicates Lung Metal overcoming Liver Wood; Metal punishing Wood causes conflict between the two organs, resulting in sound. The treatment method should be to drain the excess and tonify the deficiency. If Heart Qi is excess, it should also be drained. Lung Qi deficiency cannot be drained. Signs of Lung Qi deficiency include chest stuffiness, restlessness, sighing, and long exhalations. In this case, the male exhibits female characteristics, so treating males is easier than females. Suppose a female has convulsions and looks to the left; this indicates Lung Metal overcoming Liver Wood. If the disease occurs in Autumn, when Lung Metal is prosperous, Liver Wood cannot resist, leading to loud crying. One should strongly drain Lung Metal, then treat the Heart, and subsequently nourish the Liver. The reason both cases mention eye deviation is that the Liver governs the eyes. Generally, convulsions result from Wind-Heat fighting internally. Wind belongs to the Liver, hence it manifests in the eyes." Qian Yi used Xie Gan Tang (Drain Liver Decoction) for treatment. After two days, without chest stuffiness or restlessness, it was known that the Lung pathology had receded. Subsequently, Dihuang Wan (Rehmannia Pill) was used to tonify the Kidney. After three doses, Xie Qing Wan (Drain Green Pill) and Liang Jing Wan (Cool Convulsion Pill) were each administered twice. Using Heart and Liver draining medications led to recovery in five days, without erroneous treatment. When asked why Lung deficiency should not be drained, Qian Yi said, "Suppose a male looks to the left; this is Wood counter-overcoming Metal, where Liver excess overcomes Lung. It is appropriate to only drain the Liver. If the illness occurs in Spring or Summer, when Metal Qi is extremely deficient, one should tonify the Lung and not drain it."
Court Physician Qian Ying, during the Xuande reign, treated the grandson of Marquis Ningyang. The infant, nine months old, suffered from palpitations, crying, and sweating, which could not be cured by various methods. Qian Ying finally examined the patient and instructed placing the child on the ground to play with water. The fright and crying stopped immediately. When asked for the reason, he said, "It was late spring. The child wore heavy clothes and thick curtains, never leaving the embrace. Heat was constrained internally, unable to vent. Bringing him near water suppressed the Fire pathogen; gaining Earth energy (from the ground/soil) pacified the Zang Qi. The disease healed; why use medicine?"
Shi Shan treated a six-year-old girl who had been unable to move her left hand for three years. Later, she developed epilepsy. Initially treated with *Ren Shen* (Ginseng) and *Ban Xia* (Pinellia), with variable efficacy. Wang diagnosed a floating and surging pulse on the left and a relatively harmonious pulse on the right, stating, "This is Phlegm-Heat." He ordered using silk to bind the abdomen, taking three qian of shelled tea seeds, crushing them, and filtering through a bowl of boiling water. After fasting overnight, the juice was taken warm in the morning. Approximately three bowls of phlegm were vomited up, the hand regained movement, and epilepsy ceased.
Fang Yingshan treated the son of the Zhu family, aged eight or nine, who was staying with his maternal grandparents. He was fed rice mixed with meat broth. While holding rice in his mouth, unswallowed, he ran and fell, resulting in locked jaw and convulsions of hands and feet. Medical treatment was ineffective. Seven days passed, and even medicines like Kai Guan were forced into his mouth, opening the jaw only slightly, while limb convulsions, fever, lethargy, and muteness persisted. The pulse was surging and slippery. Fang arrived and prescribed *Shi Gao* (Gypsum), *Qing Dai* (Indigo Naturalis), *Gan Cao* (Licorice), *Chen Pi* (Tangerine Peel), *Nan Xing* (Arisaema), *Tian Ma* (Gastrodia), *Bo He* (Mint), *Zhu Ling* (Polyporus), *Ze Xie* (Alisma), *Bai Zhu* (Atractylodes), *Fu Ling* (Poria), *Dou Ling* (Loquat Leaf), *Yuan Shen* (Scrophularia), and *Huang Qin* (Scutellaria), plus one slice of ginger. That night, the child slept soundly without moving, urinating only once. Fever subsided, body cooled, and pulse became tranquil. After one more dose, full recovery was achieved.
Qian Cun treated the nephew of Sun Zifan from Xiantan, diagnosed with Slow Spleen Syndrome (a critical pediatric condition of severe Spleen-Yang deficiency). Symptoms included abundant salivation, cough, fever, limb convulsions, spontaneous sweating, lethargy with eyes open showing whites, grasping at air, and hand tremors. Repeated administration of Spleen-tonifying combined with phlegm-resolving and wind-expelling herbs yielded no effect. Consultation with Dr. Yang ensued. Yang stated, "The wind in this syndrome arises internally and cannot be expelled. The phlegm moves due to deficiency and need not be resolved. Only by tonifying Spleen Earth will all symptoms recede. Based on the accompanying signs, his complexion must be pale and lusterless, eyes dilated, tongue fat and slippery, color tender white, neck soft, and head drooping." The father replied, "Indeed. But why did rescue via tonification fail?" Yang answered, "All symptoms indicate Cold, whereas previous formulas only addressed Deficiency. If the Tianzhu bone (neck support) had not collapsed, efficacy might have been seen, provided wind-expelling and phlegm-resolving agents were removed. Now, with a soft neck and drooping head, the Tianzhu has collapsed, indicating Deficiency compounded by Cold, with clear evidence. Without Pao Jiang (Prepared Ginger) and Rou Gui (Cinnamon Bark), how can we retrieve the departing Yang and revive the nearly extinct Qi?" Thus, Shenyang Yangying Tang (Tonify Qi and Nourish Blood Decoction containing Ginseng and Aconite) was prescribed, with the warning: "If anyone objects based on the premise that infants lack Yang and thus cannot receive Yang-tonifying methods, less than one in a hundred will survive." After three doses, complete recovery occurred. Subsequently, Wuwei Yigong San (Five-Ingredient Efficacious Powder) with baked ginger and Bai Shao (White Peony Root) was used for regulation, leading to robust health.