东垣云。李和叔中年得一子。至一岁。身生红丝瘤。不救。后四子至三岁。皆病瘤而死
问何缘至此。翌日思之。谓曰。汝乃肾中伏火。精中多有红丝。以气相传。故生子有此疾。
俗名胎瘤是也。汝试观之。果如其言。遂以滋肾丸数服。以泻肾中火邪。补真阴不足。忌酒
肉辛热之物。其妻以六味地黄丸养其阴血。受胎五月之后。以黄芩白术作散服。后生子。前
证不作。
一子年十六。生七个月。得淋病。五七日必一作。其发则大痛。水道方行。下如漆和粟
者一盏方定。脉之轻则涩。重则弦。视其形瘦而长。青而苍。意其父必服固下部药。遗热在
胎。留于子之命门而然。遂以紫雪和黄柏末丸梧子大。晒极干。汤下百丸。半日。又下二百
丸。食压之。又半日。痛大作。连腰腹水道。乃行下漆和粟者碗许。痛减十之八。后与陈皮
一两。桔梗、木通各五钱。又下合许而安。父得燥热。尚能病子。况母得之者乎。
江篁南治一儿产数日。常昏晕。一日五六见。医作惊风治。不效。江以大补气血之剂浓
煎汤喂之。并饮乳母。多服渐减而愈。
立斋治李阁老子。潮热。饮食如故。自申酉时甚。至子丑时方止。遍身似疥。大便秘结
小便赤涩。热渴饮冷。薛以为脾胃实热。传于肺与大肠。先用清凉饮四剂。结热始退。又
用四物、柴胡、黄连数剂。其疮渐愈。彼欲速效。另用槐角丸之类。诸证益甚。仍以前药更
加桃仁、赤芍。至百剂而愈。
江篁南治一儿。生方两月。时值酷暑。又久雨。湿令流行。遍身大热。然初生小儿。肠
胃脆窄。药难区处。乃取干壁土舂碎撤地上。上以芭蕉叶铺之。将儿卧叶上。又以芭蕉叶覆
之。更少加干壁土于上。睡少时。其热如失。
Li Dongyuan stated: Li Heshu had a son in his middle age. When the child was one year old, red thread-like tumors appeared on his body, and he could not be saved, eventually dying. Later, he had four more sons, all of whom died at the age of three from the same tumor disease.
Someone asked what the cause of this was. The next day, after pondering, Li Heshu said, "This is due to latent fire in your kidneys. Your essence contains many red threads, which are transmitted via Qi to the offspring, hence they suffer from this ailment." This is commonly known as "fetal tumor." You may observe it yourself, and indeed, it was as he said. Subsequently, Zishen Wan (Kidney-Nourishing Pill) was administered several times to drain the pathogenic fire in the kidneys and tonify the deficiency of true Yin. Alcohol, meat, and pungent-warm substances were forbidden. His wife used Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to nourish Yin and blood. After five months of pregnancy, Huangqin Baizhu San (Scutellaria and Atractylodes Powder) was taken. The subsequent child did not exhibit the previous symptoms.
Another son, when sixteen years old, fathered a child at seven months gestation who suffered from Lin syndrome (dysuria). The condition recurred every five to seven days. Upon onset, severe pain occurred; only after urination became smooth and expelled approximately one cup of substance resembling lac mixed with millet grains did the pain subside. Palpation revealed a choppy pulse on light pressure and a wiry pulse on heavy pressure. Observing the father's emaciated and elongated physique with a dark, bluish complexion, it was inferred that the father must have taken drugs to consolidate the lower jiao, leaving residual heat in the fetus, which remained in the child's Mingmen (Gate of Life), causing the disease. Consequently, Zixue (Purple Snow) was combined with Huangbai powder to make pills the size of wutong seeds, dried thoroughly. One hundred pills were administered with decoction. Half a day later, two hundred more pills were given, followed by food to suppress the drug's action. Another half day later, the pain intensified, radiating to the waist, abdomen, and urinary tract, after which approximately one bowl of substance resembling lac mixed with millet grains was discharged, reducing the pain by eighty percent. Afterwards, Chenpi (Tangerine Peel, 1 liang), Jiegeng (Platycodon Root, 5 qian), and Mutong (Akebia Stem, 5 qian) were prescribed. After discharging a similar amount, the patient stabilized. If the father's dryness-heat can afflict the child, how much more so if the mother is affected?
Jiang Huangnan treated an infant born a few days prior who frequently experienced fainting spells, occurring five or six times a day. Physicians treated it as wind-stroke (convulsions) without effect. Jiang Huangnan administered a strong decoction of a formula greatly tonifying Qi and Blood, feeding it to the infant while also having the wet nurse drink it. With continued administration, the frequency decreased gradually until recovery.
Xue Lizhai treated the grandson of Scholar Li, who presented with tidal fever but maintained normal appetite. Symptoms worsened during Shen and You hours (3 PM–7 PM) and ceased by Zi and Chou hours (11 PM–3 AM). The body surface resembled scabies, accompanied by constipation, dark and scanty urine, fever, thirst, and a preference for cold drinks. Xue diagnosed it as excess heat in the Spleen and Stomach transmitting to the Lung and Large Intestine. Qingliang Yin (Cooling Drink) was prescribed for four doses, after which the accumulated heat subsided. Subsequently, Siwu Tang (Four-Substance Decoction), Chaihu (Bupleurum Root), and Huanglian (Coptis Rhizome) were administered for several doses, leading to gradual healing of the skin lesions. Desiring rapid results, the family used Huaijiao Wan (Stemtree Bark Pill) instead, which exacerbated all symptoms. Xue reverted to the previous prescription, adding Taoren (Peach Seed) and Chishao (Red Peony Root), administering a total of one hundred doses before full recovery.
Jiang Huangnan treated an infant aged two months during intense summer heat following prolonged rain, with dampness prevalent. The infant had high fever throughout the body. However, newborns have fragile and narrow intestines and stomachs, making medication difficult to manage. Therefore, dry wall earth was collected, pounded into powder, and spread on the ground. Banana leaves were placed on top, and the infant was laid upon them. More banana leaves covered the infant, with a small amount of dry wall earth added on top. After sleeping for a short while, the high fever disappeared as if lost.