李行甫患霉疮。误用水银、番硗等药搓五心。三日间。舌烂齿脱。喉溃。秽气满室。吐
出腐肉如猪肝色。汤水不入。腹胀。二便不通。医皆谢去。独用治喉药吹喉。痰壅愈甚。痛
难忍。几死。仲淳按其腹不痛。虽胀满。未坚。犹未及心。知水银毒入腹未深。法宜以铅收
之。急用黑铅斤余。分作百余块。加大剂甘桔汤料。金银花、粉草各用四五两。水二三十碗
锅内煎浓。先取三四碗入汤注中。徐灌之。任其自流。超时舌渐转动。口亦漱净。即令恣
饮数盏。另取渣再煎。连前浓汁。频濯手足。次日二便去黑水无算。始安。方用吹口药。及
败毒托里药。数剂而愈。
薛立斋治庶吉士刘华甫。茎中作痛。或出白津。或小便秘涩。先用小柴胡加山栀、泽泻
黄连、木通、胆草、茯苓二剂。以清肝火。导湿热。诸证渐愈。因劳倦。忽寒热。用补中
益气汤治之而安。又用六味丸以生肝血。滋肾水。诸证全愈。
一儒者茎中作痒。发热倦怠。外皮浮肿。二年矣。此肝肾阴虚。用八珍加柴胡、山栀及
六味丸。而愈。有兼阴毛间生虫作痒。以桃仁研烂涂之。
石山治一妇。年近三十。形色瘦白。素时或咳嗽一二声。月水或前或后。夏月取凉。遂
咳甚。不能伏枕者月余。嗽痰中或带血。或兼脓。嗽急则吐食。医用芩、连、二陈。不效。
复用参、 等补药。病重。汪视左脉浮滑。右脉稍弱而滑。幼伤手腕。掌不能伸。右脉似难
凭矣。乃以左脉验之。恐妊兼肺痈也。遂以清肺泄肺之剂进之。三服而能着枕。痰不吐。脓
不咯。惟时或恶阻。汪曰。此妊之常病也。教用苡仁、白术、茯苓、麦冬、黄芩、阿胶煎服
病减。月余复为诊脉。皆稍缓而浮。曰。热已减矣。但吐红太多。未免
伤胃。教用四君子加陈皮、黄芩、枳壳煎服调理。妊至六月。食鸡病作。却鸡而愈。至九月
病又复作。声哑。令服童便获安。汪曰。产后病除。乃是佳兆。病若复作。非吾所知。月
足而产。脾胃病作。加泄。竟不救。
一儒者素善饮。咳痰项强。皮肤不泽。此肺痈也。盖肺系于项。故项不能转侧。肺气虚
弱。故皮肤不泽。先用桔梗汤以治肺。后用八珍补肺汤。以补脾土。生肺金。而痊。
一男子面赤吐脓。发热作渴。烦躁引饮。脉洪数而无伦次。此肾火伤肝。先用加减八味
丸加麦冬大剂一钟。热渴顿止。久睡觉而神爽索食。再剂。诸证又减六七。仍用前药。更以
人参五钱、麦冬二钱五分。五味二钱。水煎代茶。日饮一剂。月余而安。此证面赤者当补脾
肾。面白者当补脾肺。故用此药。
江应宿治贡士汪宾篁。患滞下赤白。月余。江诊视。投药数剂而愈。六脉洪数不减。即
告之曰。公年高。足三阴虚损不能相生。当滋化源。否则恐生他病。与六味地黄丸加生脉散
因循半月。未及修制。遂觉右乳旁牵痛。面赤。吐痰腥臭。脉洪大浮数。按之无力。江曰
脉数不时见。此肺痈也。次日。吐脓血甚多。投以桔梗汤加羚羊角。未应。再与升麻汤十
余剂。更以前丸滋其化源而愈。
王宇泰治一妇。感冒风寒。或用发表之剂。反咳嗽喘急。饮食少思。胸膈不利。大便不
通。右寸关脉浮数。欲用通利之剂。王曰。此因脾土亏损。不能生肺金。若更利之。复耗津
液。必患肺痈矣。不信。仍利之。虚证悉至。果吐脓。乃朝用益气汤。夕用桔梗汤。各数帖
又朝用益气汤。夕用十全大补汤。各五十帖。全愈。
一妇咳嗽吐痰。胸膈作痛。右寸关浮滑。项下牵强。此脾胃积热成痰。非痈患也。以二
陈汤加山栀、白术、桔梗。治之而愈。
Li Xingfu suffered from *meichuang* (Syphilis or a similar venereal disease characterized by foul ulcers). He mistakenly applied mercury and *fanqiao* (Ammonium Chloride) to the five centers (palms, soles, and chest). Within three days, his tongue became ulcerated, teeth fell out, throat tissue溃破 (ulcerated), and a foul odor filled the room. He vomited rotting flesh resembling pig liver in color, could not take in soup or water, experienced abdominal distension, and had no bowel or bladder movements. Physicians all declined treatment. Only throat medicines were blown into the throat, which exacerbated phlegm obstruction and unbearable pain, bringing him near death. Zhongchun (a physician) palpated his abdomen; it was non-tender. Although distended, it was not hard, indicating the pathogen had not reached the Heart. He determined that the mercury toxin had entered the abdomen but was not deep. The appropriate method was to use lead to absorb the toxin. He urgently used over one *jin* of black lead, divided into over a hundred pieces, combined with a large dose of *Ganjie Tang* (Licorice and Platycodon Decoction) ingredients: *Jinyinhua* (Honeysuckle Flower) and *Gancao* (Licorice Root), each four to five *liang*. Added two to thirty bowls of water, boiled in a pot until concentrated. First, took three to four bowls, mixed them into rice gruel, and slowly administered orally, allowing it to flow out naturally. After some time, his tongue gradually regained mobility, and his mouth was rinsed clean. He was then instructed to drink several cups freely. The dregs were taken separately and boiled again. Together with the previous concentrated decoction, the mixture was used frequently to wash the hands and feet. The next day, he passed countless amounts of black fluid through both bowels and bladder, and the condition stabilized. Subsequently, oral blowing medicines and herbs for resolving toxicity and supporting the interior were used. After several doses, he recovered.
Xue Lizhai treated Liu Huaifu, a Shujishi (Hanlin Academy Scholar). The patient experienced pain in the urethra, sometimes discharging white fluid, and sometimes suffering from scanty and difficult urination. Initially, *Xiaochaihu Tang* (Minor Bupleurum Decoction) was prescribed with *Shanzhi* (Gardenia Fruit), *Zexie* (Alisma Rhizome), *Huanglian* (Coptis Rhizome), *Mutong* (Akebia Stem), *Dancao* (Gentian Root), and *Fuling* (Poria), administered for two doses to clear Liver fire and drain damp-heat. Various symptoms gradually improved. Due to fatigue and overwork, he suddenly experienced chills and fever. *Buzhong Yiqi Tang* (Decoction to Supplement the Middle and Augment the Qi) was used to stabilize the condition. Then, *Liuwei Wan* (Six-Ingredient Pill with Rehmannia) was used to generate Liver blood and nourish Kidney water, leading to complete recovery.
A scholar suffered from itching in the urethra, fever, fatigue, and skin edema for two years. This was diagnosed as Yin deficiency of the Liver and Kidney. * Bazhen Tang* (Eight-Treasure Decoction) was added with *Chaihu* (Bupleurum Root), *Shanzhi*, and *Liuwei Wan*, resulting in a cure. In cases where parasites grew between the pubic hairs causing itching, crushed *Taoren* (Peach Seed) was applied topically.
Shishan treated a woman, nearly thirty years old, thin and pale. She usually coughed occasionally. Her menstruation was irregular. After cooling herself in summer, her cough worsened significantly, preventing her from lying down for over a month. Her sputum sometimes contained blood or pus. Severe coughing induced vomiting of food. Physicians used *Qin* (Scutellaria Root), *Lian* (Coptis Rhizome), and *Erchen Tang* (Two-Aged Phlegm Decoction) without effect. They then used tonics like *Renshen* (Ginseng Root), worsening the illness. Wang Ji (styled Shishan) examined the left pulse as floating and slippery, and the right pulse as slightly weak and slippery. The patient had an old wrist injury preventing palm extension, making the right pulse unreliable. Relying on the left pulse, he suspected pregnancy complicated by *Feiyong* (Lung Abscess). He administered formulas to clear and drain Lung heat. After three doses, she could lie down, stopped vomiting sputum, and expectorating pus ceased, though she occasionally experienced morning sickness. Wang Ji stated this is common in pregnancy. He advised decocting *Yiren* (Coix Seed), *Baizhu* (Atractylodes Rhizome), *Fuling*, *Maidong* (Ophiopogon Tuber), *Huangqin* (Scutellaria Root), and *Ejiao* (Donkey-hide Gelatin). Symptoms subsided. Over a month later, pulses were slightly slow and floating. He said, "Heat has decreased. However, excessive hematemesis damages Stomach Qi." He advised *Sijunzi Tang* (Four Gentlemen Decoction) with *Chenpi* (Tangerine Peel), *Huangqin*, and *Zhike* (Aurantium Fructus) for regulation. At six months of pregnancy, eating chicken triggered a relapse; stopping chicken cured it. At nine months, the illness recurred with hoarseness; drinking infant urine brought relief. Wang Ji said, "Recovery after childbirth is a good omen. If it recurs, it is beyond my knowledge." She delivered at term. Spleen and Stomach disorders recurred with diarrhea, and she could not be saved.
A scholar who loved drinking presented with coughing up sputum, neck stiffness, and lusterless skin. This was *Feiyong* (Lung Abscess). Since the Lung meridian connects to the neck, neck immobility occurred. Lung Qi deficiency caused lusterless skin. Initially, *Jiegeng Tang* (Platycodon Decoction) was used to treat the Lung. Later, *Bazhen Bufeitang* (Eight-Treasure Lung-Supplementing Decoction) was used to tonify Spleen Earth to generate Lung Metal, leading to recovery.
A man presented with a red face, expectoration of pus, fever, thirst, irritability, and a rapid, flooding, disordered pulse. This was Kidney Fire injuring the Liver. Initially, *Jiajian Bawei Wan* (Modified Eight-Ingredient Pill) with a large dose of *Maidong* was given. Fever and thirst stopped immediately. After sleeping, he felt refreshed and hungry. After two more doses, symptoms reduced by sixty to seventy percent. He continued the previous prescription, adding *Renshen* (5 qian), *Maidong* (2.5 qian), and *Wuweizi* (Schisandra Berry), decocted in water to replace tea, one dose daily. He stabilized after over a month. For this syndrome, a red face indicates tonifying Spleen and Kidney, while a pale face indicates tonifying Spleen and Lung; hence these prescriptions were used.
Jiang Yingsu treated Wang Binhuang, a Gongshi (Imperial Graduate), who suffered from dysentery with red and white discharge for over a month. Jiang diagnosed and prescribed medication for several doses, curing the dysentery. However, the six pulses remained flooding and rapid. Jiang told him, "You are elderly. The deficiency of the three Foot meridians prevents mutual generation. You must nourish the source of transformation, otherwise other diseases may arise." He prescribed *Liuwei Dihuang Wan* (Six-Ingredient Pill with Rehmannia) plus *Shengmai San* (Generate the Pulse Powder). Due to delay in preparation for half a month, the patient felt pulling pain beside the right breast, flushed face, and expectorated foul-smelling sputum. Pulses were flooding, large, floating, and rapid, but empty upon pressure. Jiang said, "Intermittent rapid pulses indicate *Feiyong* (Lung Abscess)." The next day, he expectorated large amounts of pus and blood. *Jiegeng Tang* with *Lingyangjiao* (Antelope Horn) was administered without effect. Then, *Shengma Tang* (Cimicifuga Decoction) was given for over ten doses, along with the previous pill to nourish the source of transformation, leading to recovery.
Wang Yutai treated a woman who caught wind-cold. Using exterior-releasing agents caused instead coughing, wheezing, poor appetite, chest diaphragm discomfort, and constipation. The right Cun and Guan pulses were floating and rapid. A purgative was considered. Wang said, "This is due to Spleen Earth deficiency failing to generate Lung Metal. Further purging will consume body fluids, inevitably causing *Feiyong*." The patient did not believe him and was purged. Deficiency signs appeared fully, and pus was expectorated. Morning administration of *Yiqi Tang* (Qi-Supplementing Decoction) and evening administration of *Jiegeng Tang* were given for several doses. Then, morning *Yiqi Tang* and evening *Shiquan Dabu Tang* (Complete Great Tonifying Decoction) were given for fifty doses each, resulting in full recovery.
A woman presented with coughing up sputum, chest diaphragm pain, floating and slippery right Cun and Guan pulses, and neck tension. This was phlegm formed from accumulated heat in the Spleen and Stomach, not an abscess. *Erchen Tang* with *Shanzhi*, *Baizhu*, and *Jiegeng* was used, resulting in a cure.