夏子益《奇疾方》云∶有人病卧床，四肢不能动，只进得食，好大言说吃物，谓之失说物望病。治法∶如说食猪
肉时，便云你吃猪肉一顿，病者闻之即喜。遂置肉令病患见，临要却不与食，此乃失说物望也。当自睡中涎出便愈。
〔源按〕此症为阳盛于内，故好大言，而善说吃物。且阳盛则气壅，气壅则脉络不利，故四肢不能举动。治法∶说
所食之物，而即许食之，使病患心喜。即经所谓喜则气散。
然置物令见而却不与食者，所谓食入于阴，长气于阳，故但使其望见彼见所喜之物，而不得食，故便能使口中涎出。盖
涎即痰也，痰即火，火即气，同物而异名。涎出则气自衰，而病自愈也。
又云∶有人患口鼻出腥臭之水，以碗盛之，状如铁色虾鱼，如粒米大，走跃不住。以手捉之，即化为水。此肉坏也，
任意馔食鸡肉自愈。
〔源按〕此症因口鼻所出腥臭之水，而名肉坏。良由患毒于内膜之处，因化肉如脓若水，故所出之水腥而臭也。以
碗盛之，状如铁色虾鱼，亦由患肾脏所属之分使然。盖肾属水，其色黑，得肾脏之气所化，故色如铁，而状如水族之物
也然。此水何故不从内下？此乃感人气血之灵，故能走跃水中。所以得随上升之气，从口鼻而出。若捉之又即化为水，
此气散故也。凡毒从肺气所化，其脓色多白。盖肺属金，其色白，得从化而为白也。此毒生于内膜，在肾脏所属之分，
非肺之当令，故即随是脏之气所化，以得是脏所属之色也。鸡肉补虚温中，而又能攻毒。盖至阴之毒，非攻不可，攻之
则毒散，即《内经》所谓其治宜毒药是也（俗蒸鸡汗发痘疮，其效立见，此攻毒之验也）。
又云∶有人患口中生肉球，有根如线五寸余，如钗股。吐出乃能食物，捻之则痛彻心者，麝香研末一钱，水服之，
日三，自消。
〔源按〕此症口生肉球，而但云口内，此必生于舌。经云∶心脉系舌本，脾脉络舌旁，系舌下，凡舌病，皆心脾二
经之所致也。故捻之痛应于心。此由脾土不利，经脉不顺，而有是患。所谓子病母亦病，而又实者当泻其子。故但用麝
香入脾治肉之味，通其土气，开其经络，则怪肉消而病自愈也。
又云∶有人忽气上喘，不能言语，口中流汁，吐逆，齿皆摇动，如欲脱状。气喘转大，闷绝复苏，名曰∶伤寒并热
霍乱。用大黄、人参各半两，水三盏，煎至一盏，去滓热服自安。
又云∶有人饮油至五斤方快意，不尔则病。此是发入于胃，气血裹之化为虫也。雄黄半两为末，水调服之，虫自出。
《奇病方》云∶有人患唇上生疮，久则疮口出齿牙于上唇者，乃七情忧郁，火动生齿故也。方用柴胡、白芍、当归、
生地各三钱，黄芩一钱，天花粉二钱，白果十枚，水煎服。外用冰片一分，僵蚕一钱，黄柏炒，三钱共为末，掺之齿
自消也。
张鸡峰《备急良方》云∶有人患牙齿日长，退场门难食，名髓溢病。用白术煎汤漱服，即愈。
《搜神记》云∶桓宣武有一督将，因时病后虚热，便能饮馥茗一斛二斗乃饱。若减升合，便以为不足。后有客造之，
更进五升，乃大吐一物，如升大有口，形质缩绉，状似牛肚。客乃令置之盆中，以斛二斗馥茗浇之，此物 之都尽而
止，觉小胀。又增五升，便悉混然从口中涌出，既吐此物遂瘥。或问此何病，答曰∶此病名斛茗瘕。
东坡《物类相应志》云∶齐谐记载江夏安陆县，隆安中有人姓郭，名垣。得天行病后，遂能大餐，每日食至一斛，
五年家贫，行乞于市。一日大饥，至一园，食薤一畦，大蒜一畦，便闷板卧地。须臾大吐，吐一物如笼，渐渐缩小，有
人撮饭于上，即消成水，而病遂瘳也。
《酉阳杂俎》云∶和州刘录事者，大历中罢官，居和州傍县，食兼数人，尤能食 。尝 味，未尝果腹。邑客乃网
鱼百余斤，会于野处观其下箸。刘初食 数盘，忽似小哽，因咯出一骨珠子，大如豆，乃置于茶瓯中，以盘覆之。食未
半，怪覆瓯盘倾，侧举视之，骨珠子已长数寸如人状，座客共观之，随视而长，顷刻长及人。遂摔刘，因相殴流血，良
久各散走。一循厅之右，一转厅之左，俱及后门相触翕成一人乃刘也，神已痴矣，半日方能语。访其所以，皆不省之，
刘自是恶 。
《广异记》云∶句容县佐吏，能啖 至数十斤，恒食不饱。县令闻其善啖，乃出百斤，吏快食至尽，因觉气闷，久
之吐一物，状如麻鞋。令命洗出安 所， 悉成水，医莫能名。令命小吏持扬州卖之，冀有识者试之，若有买者，当高
举其价，看还几钱。有胡求买，增价至三百贯文，胡辄还之。初无酬酢，人谓胡曰∶是县令句容家物，问此是何物。
胡云∶是销鱼之精，亦能消腹中块病。患者以一片如指端，绳系之置病所，其块即消。我本国太子，少患此病，父求愈
病者赏之千金。君若见卖，当获大利，令竟卖半与之。
《宣室志》云∶永徽中徐爽有，每食生鱼三斗乃足。一日饥，作 未成，忍饥不禁，遂吐一物如虾蟆，自此不复能
食矣。
《名医录》云∶虞侍郎，苏州人，平生喜食生鱼 。中年病腹坚，倒身不得，每发病疼痛几死，累治不效。一善医
切脉曰∶侍郎右关脉伏，伏为积聚，有生冷之积，成瘕在腹，则疼不可忍，可以药取之，令用橄榄汁，吞丸子药数粒，
晚下利一盆许，是鱼 娄，前一截皆成鱼矣，从此遂安。
《说渊》云∶陆 吴郡人，自幼嗜面食，食愈多而质愈弱，胡人以药吐一虫，长二寸许，色青状如蛙，此名消面虫，
实天下之奇宝也。其说甚异，不具述。
玉田隐者云∶一女子忽嗜河中污泥，每日食数碗方快。有一医用壁间败土，调水饮之遂愈。丹溪云∶吃泥，胃气热
也。用黄芩、白术、茯苓、软石膏煎服。
《杨氏经验方》云∶益昌伶人刘清啸一娼，名曰花翠，年及逾笄，好食生米。惠民局监赵尹，用苍术，米泔水浸一
宿，锉焙为末，蒸饼和丸梧子大，每服五十丸，食前米饮汤下，日二服，两旬而愈。此症因食生熟物留滞肠胃，遂至生
虫。久则好食生米，否则终日不乐，至憔悴萎黄，不思饮食，以害其生。
《医说》云∶昔慎恭道，肌瘦如劳，唯好食米。缺之则口出清水，食之顿便如常，众医莫辨，有蜀僧道广，以鸡矢
同白米合炒为末。以水一钟调服，良久吐出如米形，即瘥。
又云∶汪丞相徽之，祁门人，平日好食动风物，性尤嗜蟹，或作蟹 、蟹签，恣啖之。一日得风热之疾，齿间壅出
一肉，渐大胀塞，口不能闭，水浆不入，痛楚待尽。已而有一道人言能治此疾，丞相命医之，不日而愈。其法用生地黄
汁一碗，猪牙皂角数挺，火上炙令热，蘸生地汁令尽，末之。
敷壅肉上，随即消缩。
《圣济录》云∶有人患时复呕吐，腹中有水声者，此酒癖也。川芎、三棱炮，各一两，为细末，每服二钱，葱白
汤下。
镇阳有士人嗜酒，日当数斗，至午夜饮兴一发，则不可遏，一夕大醉，呕出一物如舌，视无痕窍，至欲饮时，眼偏
其上，矗然而起，家人沃之以酒立尽，至常日所饮之数而止，士人由是恶酒。
一人自幼好酒，片时无酒，叫呼不绝，全不饮食，日渐羸瘦。或执其手缚柱上，将酒与看而不与饮，即吐一物如猪
肝，入酒内，其人自此遂恶酒。
《异苑》云∶宋元嘉中，有人食鸭成 瘕，以秫米研粉调水服之，须臾烦躁，吐出一鸭雏而愈。孙真人云∶如食鸭
肉成病，必胸满面赤，不食，以秫米泔水一盏饮之。
《疮疡经验》云∶有人病冷痰，医用大蒜一枚煮服，吐一物如升大，外痰包裹，开视之，乃鸡雏也。再服，吐十三
雏而愈，病名鸡瘕。此因食白沦鸡过多故也。
《泊宅编》云∶洛阳李敏求赴言东吴。其妻牙疼，每发呻吟，不堪忍。用钗股按置牙间，少顷银色辄变黑，此毒瓦斯
所致。沿路屡医，殊无一效。嘉禾僧会海，为制一物，服之半年，所苦良已。后因食热面又作，坐间作汤，以进一服而
愈。其神速若此。视药之标题初不着明，但云活血凉血而已。敏徐扣之，知是四物汤，盖血活则凉，何由致壅滞以生疾。
《儒门事亲》云∶一男子病口疮数年，上至口，中至咽，下至胃脘皆痛。不敢食热物，一涌一泄一汗，十去其九，
次服黄连解毒汤，不十余日皆释。
《纲目》云∶有人患口唇紧小，不能开合饮食，不治杀人。以白布作大炷安刀斧上，烧令汗出，拭涂之，日三五度，
再以青布烧灰酒调服。
〔源按〕经云∶肝督冲任四脉，皆络唇者也。一有受邪，则唇亦为之病，风则动，寒则紧，燥则干裂，气郁则生疮，
血少则涩而无血色。治法内理脾胃，外敷以药，无不愈。乃前案所治，外用铁物取汗，制肝经之毒，内服青布烧灰，解
毒而兼去风。此不独为寒所害，而更有风毒为患，治宜审症，不可执治。
《名医录》云∶隋有患者，尝肌而吞食，则下至胸，便即吐出。医作噎疾、膈气、翻胃三候治之无验。有老医任度
视之曰∶非三疾，盖因食蛇肉不消所致，但揣心腹上有蛇形也。疾者曰∶素有大风，尝求蛇肉食，风稍愈，复患此疾矣。
遂以芒硝、大黄合而服之，微泄利而愈。
丹溪治一妇，孕三月，吐痰水并饮食。每日寅卯时作，作时觉小腹有气冲上，然后膈痛而吐。面赤微燥，头眩卧不
能起，肢疼微渴，盖肝火挟冲脉之火冲上也。一日甚，二日轻，脉和，右手寸高，药不效者，将二月余。用沉香磨水，
化抱龙丸一服，膈宽气不上冲，二三服吐止，眩减而安。
一人患气上冲，口出如烟雾，耳内常鸣，此冲脉逆上。与八物汤，加炒黄连二分，黄柏三分，数剂而愈。
张子和治一人，年二十余岁，病患口中气出如登厕，虽亲戚莫肯对语。戴人曰∶肺金本主腥，金为火所乘，火主臭，
应便如是。久则成腐，腐者肾也，此亢极反兼水化。病在上，宜涌之。以茶调散涌去其七，夜以舟车丸、浚川丸五七
行，比旦而臭断。
罗谦甫治韩子王父，年愈六旬，病消渴，至冬反添燥热，须裸袒，以冰水喷胸腋乃快。日食肉面数回，顷时即饥，
如此月余。罗诊得脉沉细而疾，以死决之。子玉泣曰∶病固危笃，君尽心救之，则死而无恨。罗曰∶夫消之为病，其名
不一，曰食 、曰消中、曰宣疾。此高粱之所致也。阳明化燥火，津液不能停，自汗小便数，故饮一溲二，胃热则消谷
善饥，能食而瘦。王叔和云∶多食亦饥，虚是也。此病仲景所谓春夏剧，秋冬瘥，时制故也。令尊今当瘥之时反剧，乃
肾水干涸，不能制其心，而独旺于不胜之时，名曰真强，乃孤阳绝阴者也。且人之身为主，天令为客，此天令大寒，尚
不能制其热，何药能及。《内经》云∶主胜逆，客胜从，正以此也。设从君治疗，徒劳而已。固辞而归，后易医与灸，
数日而卒。
薛己治四明屠寿卿，孟夏，当门齿如有所击，痛不可忍。脉洪大而弦。薛曰∶洪弦相搏，欲发疮毒也。先用清胃
散加白芷、银花、连翘，痛即止。至晚鼻上发一疮，面肿黯痛，更用前药加犀角十剂。肿至两额，口出秽气，脉益大，
恶寒内热，此毒炽血瘀，药力不能骤敌。乃数砭患处与唇上，并刺口内赤肉，各出毒血，再服前药至数剂而愈。若泥
尻神不行砭刺，或全仗药力，鲜不误矣。
吴江史生之内，每产后齿根皆动，必逾日乃止。复怀妊临月，时薛偶至，言及此症，留十全大补汤二剂，令产后煎
服，齿不复动矣。
一妇年三十余，忽不进食，日饮清茶、水果，三年余矣。薛为脾气郁结，用归脾汤加吴茱萸四剂，遂饮食如常。
若人脾胃虚而不饮食，当以四神丸治之。
孙东宿治叶润斋，年四十，心膈嘈杂，好啖肉，一日不能缺，缺即身浮力倦，神魂无措，必急得肉乃已，见则大嚼，
及入腹，腹又大痛，痛极则吐酸水稠涎，然后定。稍定，又思肉啖也。其痛苦之态，叫喊之厉难状，见之酸鼻。或有谕
之曰∶与其好肉而受痛，孰若绝肉以无楚也。久病脾虚，肉入难化，故使作痛，此妇人女子且知之，汝丈夫独不慎何哉？
润曰∶何吾岂不知绝肉之为愈也？盖痛虽苦尚能熬，若嘈杂则遍身淫淫苏苏，左右无可奈何，手足无所把捉，顷刻不能
自存，有近于死不能熬，急需食肉少苏。吾岂纵口求痛哉？不得已也。孙诊其脉，大小不等，观其色，唇红脸黄。孙曰∶
据色脉，乃虫症，非祟也。予能殛之，先与雄黄丸一服，不瘳。改用腻粉五分，使君子一钱，为末，用鸡子打饼，五更
空心饲之。辰刻下长虫十条，内有二大者，长尺有咫，自首贯尾皆红。下午又下小虫百余，自此再不喜肉，而嘈杂良愈。
崇祯时，武林姚应凤，有一人患左唇生一红痣，别无他苦，姚视之曰∶此齿荩也，三年必死。其人怒不应。三年齿
溃，诣求救，谢曰∶君天谴也，不能过期矣。
当湖江希生内政，中年时，每食猪肉即身体战栗，屡易不效。后因他病，服逍遥散数剂，旧患亦愈。汪时在燕京蒋
相国家，予过之，言及此症，并问其故。予曰∶《素问》云∶诸禁鼓栗，皆属于火。症由食猪肉战栗，此肝胆素有郁热故
Xia Ziyi recorded in *Qiji Fang* (Book of Strange Diseases): There was a person who lay bedridden, unable to move his four limbs, could only eat food, and liked to loudly talk about wanting to eat certain things. This disease is called "Shishuo Wuwang Bing" (Disease of Losing the Desire for Food by Talking). The treatment method is: when the patient says he wants to eat pork, tell him he can have a meal of pork, and the patient will be pleased upon hearing this. Then place the meat where the patient can see it, but do not give it to him to eat when he is about to. This is what is meant by "Shishuo Wuwang". When saliva flows from the patient during sleep, the illness will heal.
Commentary by Shen Yuan: This syndrome occurs because Yang Qi is excessive internally, hence the tendency to speak loudly and discuss food. Moreover, excess Yang leads to Qi stagnation; Qi stagnation causes obstruction in the meridians and collaterals, resulting in the inability to move the four limbs. The treatment involves mentioning the food he desires and promising to feed it to him, thereby pleasing his mind. This aligns with the statement in the *Neijing* (Inner Canon) that "Joy disperses Qi."
However, the reason for placing the food within sight but not giving it to him is based on the principle that "food enters Yin and nourishes Yang." By allowing him to see the object of his desire without consuming it, saliva is induced to flow. Saliva is phlegm, phlegm is fire, and fire is Qi; they are different names for the same substance. When saliva flows, Qi naturally diminishes, and the illness heals spontaneously.
It is also recorded: A person suffered from foul-smelling fluid flowing from the mouth and nose. When collected in a bowl, it resembled iron-colored shrimp or fish, about the size of a grain of rice, jumping incessantly. Upon being touched by hand, it turned into water. This is the condition known as "Rouhuai" (Flesh Decay). Eating chicken at will will lead to self-healing.
Commentary by Shen Yuan: This syndrome is named "Rouhuai" due to the foul-smelling fluid from the mouth and nose. It arises because toxic pathogens invade the internal mucosal layers, causing flesh to rot like pus and water, hence the fluid is foul. The resemblance to iron-colored aquatic creatures when placed in a bowl is due to the pathology affecting the regions governed by the Kidney. Since the Kidney belongs to Water and its color is black, the transformation by Kidney Qi results in an iron-like color and aquatic form. Why does this fluid not discharge downward internally? It is because it has been infused with the spiritual vitality of human Qi and Blood, enabling it to jump in water. Thus, it ascends with the rising Qi and exits through the mouth and nose. If grasped, it turns to water because the Qi dissipates. Generally, toxins transformed by Lung Qi appear white in pus, as the Lung belongs to Metal and its color is white. This toxin originates in the internal membranes, in the region governed by the Kidney, not the Lung. Therefore, it transforms according to the Kidney's Qi and assumes its associated color. Chicken tonifies deficiency and warms the middle, while also attacking toxicity. Extreme Yin toxins require attack to disperse them, which corresponds to the *Neijing* saying "treatment should employ medicinal substances" (folklore notes that steaming chicken to induce sweating cures smallpox instantly, verifying the power of attacking toxicity).
It is also recorded: A person had a fleshy ball growing in the mouth, with a root like a thread over five inches long, resembling the shaft of a hairpin. He could only eat after spitting it out; pinching it caused pain piercing the heart. One qian of musk powder taken orally with water, three times daily, caused it to disappear spontaneously.
Commentary by Shen Yuan: Although described as being in the mouth, this fleshy growth must originate on the tongue. The *Neijing* states: "The Heart meridian connects to the root of the tongue, and the Spleen meridian winds around the sides of the tongue and connects below it." All tongue diseases result from disorders of the Heart and Spleen meridians. Hence, pinching it causes pain corresponding to the Heart. This condition arises from Spleen Earth dysfunction and meridian obstruction. As stated, "when the child is sick, the mother is also sick," and in excess conditions, one should drain the child. Therefore, using musk, which enters the Spleen and treats flesh-related issues, unblocks Earth Qi and opens the meridians, causing the abnormal growth to vanish and the illness to heal.
It is also recorded: A person suddenly experienced upward rushing Qi, panting, inability to speak, drooling, vomiting, and loose teeth as if falling out. The panting worsened, leading to suffocation and fainting before recovery. This is named "Shanghan Bing Re Huoluan" (Cold Damage Complicated by Hot Cholera). Use half a liang each of Dahuang (Rhubarb Root) and Renshen (Ginseng), decocted in three cups of water until one cup remains. Strain and drink hot; the body will settle.
It is also recorded: A person felt compelled to drink oil until reaching five jin to feel satisfied; otherwise, he fell ill. This is caused by hair entering the Stomach, wrapped by Qi and Blood, transforming into worms. Take half a liang of Xionghuang (Realgar) ground into powder, mixed with water and ingested; the worms will exit naturally.
*Qibing Fang* records: A person developed sores on the upper lip, which eventually grew teeth-like structures protruding from the sore. This is caused by emotional depression and Fire stirring up tooth formation. The prescription uses Chaihu (Bupleurum Root), Baishao (White Peony Root), Danggui (Angelica Sinensis), Shengdi (Rehmannia Root), each 3 qian; Huangqin (Scutellaria Root) 1 qian; Tianhuafen (Trichosanthes Root) 2 qian; Baiguo (Ginkgo Seed) 10 pieces. Decoct in water and take. Externally, mix Bingpian (Borneol) 1 fen, Jiangcan (Bombyx Batryticatus) 1 qian, and Chao Huangbai (Phellodendron Bark, stir-fried) 3 qian into powder, apply to the teeth; they will dissolve.
Zhang Jifeng recorded in *Beiji Liangfang*: A person suffered from teeth growing longer daily, making eating difficult due to anal blockage. This is named "Muyi Bing" (Marrow Overflow Disease). Rinse and swallow with decoction of Baizhu (Atractylodes Macrocephala Rhizome); it heals immediately.
*Soushen Ji* records: Huan Xuanwu had a commanding officer who, after suffering from seasonal illness and subsequent deficiency-heat, could consume one hu and two dou of fragrant tea to feel full. If less, he felt unsatisfied. Later, a guest visited and offered five sheng more. The officer vomited a large object, about one sheng in volume, with an opening, wrinkled texture, resembling a cow's stomach. The guest instructed placing it in a basin and pouring two hu of fragrant tea over it. The object dissolved completely, leaving the patient feeling slightly bloated. Adding another five sheng caused the entire mass to gush out from the mouth. After vomiting this object, the illness cured. Asked what disease this was, the reply was: "This disease is named 'Huming Jia' (Tea Lump)."
Dongpo recorded in *Wulei Xiangyingzhi*: Qixie recorded that in Anlu County, Jiangxia, during the Long'an era, a man named Guo Yuan, after contracting epidemic fever, developed a voracious appetite, eating up to one hu daily. After five years of poverty, he begged in the market. One day, starving, he entered a garden and ate a plot of wild leeks and a plot of garlic. He soon felt stifled and lay flat on the ground. Soon after, he vomited a cage-like object that gradually shrank. When someone placed rice on it, it dissolved into water, and the illness healed.
*Youyang Zazu* records: Liu Luoshi of Hezhou, after resigning his post during the Dali era, lived in a county near Hezhou. His appetite exceeded several people's, especially for zhajiang (fermented fish paste). He never felt full. Local guests gathered over a hundred jin of fish in the wilderness to watch him eat. After eating several plates of zhajiang, Liu seemed to choke slightly and coughed out a bone bead, bean-sized, which he placed in a teacup covered by a plate. Before finishing half the meal, the plate covering the cup tipped over. Looking closely, the bone bead had grown several inches, taking a human shape. Guests watched as it grew with their gaze, reaching human height in moments. It then attacked Liu, leading to a bloody fight until they scattered. One circled right, the other left, meeting at the back door and merging into one person—Liu. He became mentally confused, speaking only after half a day. He remembered nothing and subsequently hated zhajiang.
*Guangyiji* records: An assistant official in Jurong County could eat dozens of jin of zhajiang, yet always remained hungry. The county magistrate, hearing of his appetite, provided a hundred jin. The official ate it joyfully but soon felt suffocated. After a long time, he vomited an object shaped like a hemp shoe. The magistrate ordered it washed and placed somewhere, where it turned to water. Doctors could not identify it. The magistrate sent a clerk to sell it in Yangzhou, hoping for recognition. If bought, the price would be raised to see how much it fetched. A Hu (foreigner) wanted to buy it, raising the price to three hundred guan, but the Hu refused. People asked the Hu what it was. The Hu said: "This is essence that dissolves fish; it also dissolves abdominal masses. A patient takes a piece the size of a finger tip, ties it with a string, and places it on the affected area; the mass dissolves. My country's crown prince suffered from this as a child; his father offered a thousand taels for a cure. If you sell it, you will gain great profit." The magistrate ultimately sold half to him.
*Xuanshi Zhi* records: In the Yonghui era, Xu Shuang loved eating zhajiang, requiring three dou of raw fish per meal. One day, hungry, while preparing zhajiang, he couldn't resist hunger and vomited an object resembling a toad. He could no longer eat zhajiang thereafter.
*Mingyi Lu* records: Vice Minister Yu, from Suzhou, loved eating raw fish zhajiang. In middle age, he developed abdominal hardness, unable to bend over. Each episode caused near-fatal pain; multiple treatments failed. A skilled pulse-reader diagnosed: "The Right Guan pulse is deep and hidden (Fu), indicating accumulation. Cold/raw food accumulation has formed a Jia (lump) in the abdomen, causing unbearable pain. Medication can remove it." He prescribed swallowing pills with olive juice. That night, the patient passed a basin-full of stool containing fish intestines/accumulation; the front part had turned into fish. He recovered thereafter.
*Shuo Yuan* records: Lu, a native of Wujun, loved wheat noodles since childhood; the more he ate, the weaker he became. A Hu person used medicine to expel a worm, about two cun long, green and frog-shaped. This is called "Xiaomian Chong" (Noodle-Dissolving Worm), actually a rare treasure. The explanation is strange and not detailed here.
Hermit of Yutian recorded: A young woman suddenly craved river mud, eating several bowls daily to feel satisfied. A doctor used soil from wall cracks, mixed with water, and gave it to her; she healed. Danxi stated: Craving mud indicates Heat in Stomach Qi. Treat with Huangqin (Scutellaria Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), and Ruang Shigao (Soft Gypsum) decocted and taken.
*Yangshi Jingyan Fang* records: Liu Qingxiao, a performer from Yichang, had a courtesan named Hua Cui, over fifteen years old, who loved eating raw rice. Zhao Yin, supervisor of the Huimin Bureau, soaked Cangzhu (Atractylodes Lancea Rhizome) in rice wash overnight, ground it, and made pills the size of wu zi seeds with steamed dough. Take fifty pills before meals with rice water, twice daily. Cured in twenty days. This syndrome arises from raw/cooked food stagnating in the intestines and stomach, generating worms. Over time, craving raw rice develops; otherwise, the patient is unhappy all day, becoming emaciated and yellow, losing appetite, endangering life.
*Yishuo* records: Formerly, Shen Gongdao was emaciated like consumption, loving only rice. Without it, clear water flowed from his mouth; eating restored normalcy. Doctors could not diagnose. Monk Daoguang from Shu roasted chicken dung with white rice, ground into powder. Mixed with water and taken, after a while, rice-shaped matter was vomited, and he healed.
Also recorded: Chancellor Wang Huizhi, from Qimen, loved foods that stirred Wind, especially crabs, often eating crab soup or strips. One day, he contracted Wind-Heat. Flesh grew between his teeth, expanding until it blocked his mouth, preventing closure, intake of fluids, and causing extreme pain. A Daoist claimed he could cure it. The Chancellor ordered treatment, and he healed quickly. The method: use one bowl of Shengdihuang Juice (Rehmannia Root Juice), soak several stalks of Zhuya Zaojiao (Chinese Tamarisk Fruit) over fire until hot, dip until juice is absorbed, then grind to powder. Apply to the obstructing flesh; it shrinks immediately.
*Shengji Lu* records: A person suffered recurrent vomiting with water sounds in the abdomen. This is Jiupi (Alcohol癖/Lump). Chuanxiong (Sichuan Lovage Rhizome) and Pao Sanleng (Prepared Sparganium Rhizome), each one liang, ground to fine powder. Take two qian per dose, with scallion white decoction.
A scholar from Zhenyang loved wine, drinking several dou daily. At midnight, his craving became uncontrollable. One night, after heavy drunkenness, he vomited a tongue-like object with no pores. When craving wine again, his eyes rolled up, and the object stood upright. Family poured wine on it, which it drank instantly until reaching his usual amount. He subsequently developed an aversion to wine.
Another person loved wine since childhood; without it for even a moment, he screamed incessantly, refusing food. He wasted away. Someone tied his hands to a pillar, showed him wine but didn't let him drink. He vomited a pig-liver-like object, which dissolved in the wine. He thereafter hated wine.
*Yiyuan* records: During the Yuanjia era of Song, a person developed a Jia from eating duck. Taking powder from Shumi (Glutinous Rice) mixed with water caused restlessness, followed by vomiting a duckling, curing the illness. Sun Simiao said: If illness results from eating duck meat, expect chest fullness and red face, loss of appetite. Drink one cup of glutinous rice wash water.
*Chuangyang Jingyan* records: A person with Cold Phlegm was treated with one boiled clove of garlic, vomiting an object the size of a sheng, wrapped in phlegm. Inside was a chick. After another dose, thirteen chicks were vomited, curing the illness named "Ji Jia" (Chicken Lump). This resulted from excessive consumption of Bai Lun Ji (White Run Chicken).
*Bozhai Bian* records: Li Minqiu of Luoyang traveled to Eastern Wu. His wife suffered toothache, groaning in unbearable pain. Pressing a hairpin shaft between teeth turned silver black due to toxic vapors. Multiple doctors along the way failed. Monk Huihai of Jiahe prepared a remedy; after half a year of use, the suffering ceased. Later, eating hot noodles triggered recurrence. Drinking a decoction prepared while sitting cured it swiftly. The label merely said "invigorate blood and cool blood." Li asked further and learned it was Siwu Tang (Four Substances Decoction). Invigorating blood cools it; how could stagnation cause disease?
*Rumen Shiqin* records: A man suffered mouth ulcers for years, extending from mouth to throat to epigastrium, causing pain. He dared not eat hot food. Using inducing vomiting, purging, and sweating methods removed nine-tenths of the pathogen. Subsequently taking Huanglian Jiedu Tang (Coptis Decoction for Detoxification) resolved it in ten days.
*Bencao Gangmu* records: A person suffered tight, small lips unable to open for eating/drinking; untreated, it was fatal. Make a large moxa cone from white cloth, place on a knife/axe, burn until sweat appears, wipe and apply to lips, three to five times daily. Then take ash of blue cloth mixed with wine.
Commentary by Shen Yuan: The *Neijing* states: The Liver, Du, Chong, and Ren meridians all connect to the lips. If afflicted by pathogens, lips become diseased: Wind causes movement, Cold causes tightness, Dryness causes cracking, Qi stagnation causes sores, Blood deficiency causes roughness and lack of color. Treatment involves regulating Spleen and Stomach internally and applying herbs externally; all heal. The previous case used iron tools to induce sweating, restraining Liver Meridian toxicity, and ingesting burnt blue cloth ash to detoxify and dispel Wind. This was not merely Cold damage but involved Wind-Toxin. Treatment requires careful diagnosis, not rigid adherence to one method.
*Mingyi Lu* records: A Sui dynasty patient swallowed meat but vomited it upon reaching the chest. Doctors treated for Ye (Dysphagia), Ge (Diaphragmatic Qi), and Fanwei (Regurgitation) without success. Old physician Ren Du examined him and said: "Not these three diseases, but indigestion from snake meat. Feel for a snake-shape in the chest/abdomen." The patient replied: "I had severe wind-disease, ate snake meat to relieve it, wind subsided slightly, but this illness returned." He took Mangxiao (Mirabilite) and Dahuang (Rhubarb Root) together, had mild diarrhea, and healed.
Danxi treated a pregnant woman (three months) who vomited phlegm-water and food. Attacks occurred at Yin-Mao hours (5-9 AM), with Qi rushing up from lower abdomen, causing diaphragm pain and vomiting. Face red, slightly dry, dizzy, unable to rise, limb pain, slight thirst. This is Liver Fire carrying Chong Mai Fire upward. Severity varied day by day; pulse harmonious, Right Cun high. Medicine failed for nearly two months. Use Chenxiang (Agarwood) ground in water to dissolve Baolong Wan (Embrace Dragon Pill). Diaphragm relaxed, Qi stopped rushing. Two to three doses stopped vomiting, reduced dizziness, and brought peace.
A person suffered upward rushing Qi, mouth emitting smoke-like vapor, constant ear ringing. This is Chong Mai reversing upward. Prescribed Bawu Tang (Eight Matters Decoction) with fried Huanglian (Coptis Rhizome) 2 fen and Huangbai (Phellodendron Bark) 3 fen. Several doses cured it.
Zhang Zihe treated a man in his twenties whose breath smelled like a toilet, avoiding relatives. Dai Ren (Zhang Zihe's courtesy name) said: "Metal governs fishy smells; Fire conquers Metal; Fire governs foul odors. Thus the smell. Prolonged corruption affects Kidney (Water). This is extreme亢 (hyperactivity) mimicking Water transformation. Pathology is upper; use Vomiting method." Used Chatiao San to induce vomiting seven-tenths of the pathogen; at night, Zhouche Wan and Xunchuan Wan five to seven doses. By morning, odor ceased.
Luo Qianfu treated Han Zi Wangfu, over sixty, with Xiao Ke (Wasting-Thirst). Winter brought dryness-heat; he stripped naked and sprayed ice water on chest/armpits for relief. Ate meat/noodles several times daily, hungry quickly. Duration: one month. Pulse: deep, thin, rapid. Luo predicted death. Ziyu wept: "Illness is critical; save him diligently, and I die without regret." Luo said: "Xiao Ke has many names: Shi Ji, Xiao Zhong, Xuan Ji. Caused by rich/greasy food. Yangming transforms to Dryness-Fire; fluids cannot stay; spontaneous sweating, frequent urination. Drink one, urinate two. Stomach heat digests food well, causing hunger despite eating, leading to thinness. Wang Shuhe said: 'Eating much yet hungry is deficiency.' Zhang Zhongjing said: 'Worse in Spring/Summer, better in Autumn/Winter' due to seasonal influence. Your father should improve but worsened. This is Kidney Water dried up, failing to control Heart Fire, flaring in weak times. Named 'True Hyperactivity,' isolated Yang, severed Yin. Body is Master, Heaven is Guest. Extreme Cold cannot control Heat; how can medicine? *Neijing* says: 'Master winning is adverse, Guest winning is compliant.' Following your treatment is futile." He declined, returned. Changed doctors and moxibustion; died in days.
Xue Ji treated Tu Shouqing of Siming. Early Summer, incisors felt struck, unbearable pain. Pulse: surging, large, wiry. Xue said: "Surging and wiry fighting indicates impending carbuncle-toxin." First used Qingwei San (Clear Stomach Powder) plus Baizhu (Angelica Dahurica), Yinhua (Honeysuckle Flower), Lianqiao (Forsythia Fruit). Pain stopped. Evening: boil appeared on nose, face swollen/dark/painful. Continued previous formula plus Xijiao (Rhinoceros Horn) for ten doses. Swelling reached temples, foul breath, pulse larger, aversion to cold with internal heat. Toxin blazing, blood stasis; medicine insufficient alone. Pricked affected areas and lips multiple times, pierced red flesh inside mouth, draining toxic blood. Continued previous formula for several doses; healed. Clinging to taboo against pricking or relying solely on medicine rarely avoids error.
Wujiang Shi Sheng's wife had loose gum roots after every birth, resolving after days. Pregnant again near term, Xue visited, discussed syndrome, left Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction) for two doses post-birth. Teeth did not loosen thereafter.
A woman over thirty suddenly stopped eating, drinking only clear tea and fruit for over three years. Xue diagnosed Spleen Qi depression/stagnation. Used Guipi Tang (Restore the Spleen Decoction) plus Wuzhuyu (Evodia Fruit) for four doses; diet normalized. For those with Spleen/Stomach deficiency not eating, use Sishen Wan (Four Spirit Pill).
Sun Dongsu treated Ye Runzhai, forty, with heart/diaphragm buzzing, craving meat daily. Missing meat caused floating body, fatigue, mental distress; urgent need to eat meat relieved it. Eating caused severe abdominal pain, acid regurgitation, thick saliva, then relief. Relief led to craving meat again. Pain and screaming were unbearable. Advised: "Better to cut meat than suffer pain?" Chronic Spleen deficiency makes meat hard to digest, causing pain. Even women know this; why don't you? Runzhai replied: "Do I not know cutting meat helps? Pain is bearable; buzzing makes body tingle, helpless, unable to grasp anything, unable to survive moments, nearing death. Urgently need meat to soothe. Do I seek pain? Forced by necessity." Sun's pulse: unequal sizes. Color: red lips, yellow face. Sun said: "Based on color/pulse, this is Worm Syndrome, not demon possession. I can kill them." First gave Xionghuang Wan (Realgar Pill); no improvement. Changed to Nifen (Calomel) 5 fen, Shijunzi (Quisqualis Fruit) 1 qian, ground, made cake with egg, fed at dawn empty stomach. At Chen hour (7-9 AM), passed ten long worms, two large ones, chi-zhi long, red from head to tail. Afternoon passed over hundred small worms. No longer craved meat; buzzing cured.
Chongzhen era, Wulin Yao Yingfeng: A man had a red mole on left lip, no other symptoms. Yao said: "This is Chi Jin (Tooth Grass); death in three years." Man angry, ignored. Three years later, teeth decayed, sought help. Yao declined: "Heaven's punishment; cannot exceed time limit."
Jiang Xisheng of Danghu's wife: Middle age, trembling after eating pork, multiple changes ineffective. Later, treating another illness with Xiaoyao San (Free and Easy Wanderer Powder) for several doses cured old complaint. Wang was in Yanjing at Chancellor Jiang's house. Visiting, discussed syndrome. I said: "*Suwen* says: 'All spasms and tremors belong to Fire.' Trembling from pork indicates pre-existing Liver/Gallbladder depression-heat."