气升降故也。一医作胃寒治，用干姜、良姜、官桂、乌、附、丁、沉辈与之，病日剧，加之口渴，小水淋沥。虞诊其六
脉洪数而滑，作清痰处治。令其急烹竹沥服三日。口不渴，小水亦不淋沥，但胸中与膝互痛如旧，用萝卜子研汁与半碗，
吐痰半升，至夜痛尤甚而厥，正所谓引动其猖狂之势耳。次日用参芦一两，逆流水煎服不吐。又次日苦参煎汤，服亦不
吐。又与附子尖、桔梗芦皆不吐。一日清晨用黎芦末一钱，麝香少许，酸浆水调与，始得大吐，至次日天明吐方
定。前后得痰乃稠饮一小桶，其痛如脱，调理而安。
汪石山治一女，年十五，病心悸，常若有人捕之状。欲避而无所，其母抱之于怀，数婢护之于内，犹恐恐然不能安
卧，医者以为病心，用安神丸、镇心丸不效。汪诊之，脉皆细弱而缓，曰∶此胆病也。用温胆汤，服之而安。
或问∶人因心恐，遂觉皮肤寒而起栗何故？予曰∶恐则气下，气下则阳气内入，故若此，恐定气还，便即如故。
又问∶前症亦因恐而病，盖恐则气下，而何故反用温胆汤降其气乎？予曰∶此乃少阳胆疾，非因恐而病，实因病而
恐也。盖胆以温为候，虚则寒，寒则气滞，滞则生痰，痰生胆腑，则神不归舍，故令人心恐不寐。汪 庵云∶此汤橘
皮、半夏、生姜辛温导痰，即以之温胆；枳实破滞，茯苓除饮，甘草和中；竹茹开胃土之郁，清肺金之燥，凉肺金，即
所以平甲木也。（胆为甲木）。如是则不寒不燥，而胆常温矣。
一人年逾七十，忽病瞀昧，但其目系渐急，即合眼昏懵如睡瞌者，头面有所触皆不避，少顷而苏。问之，曰不知
也。一日或发二三次，医作风治，病转剧。汪诊其脉结止。
苏则皆浮洪数，不任寻按，坐起则觉略小，亦不甚数。脉书曰∶数脉所主为热，其症为虚。三日后再诊，左脉小而滑，
右脉大而滑，独肺部浮软，按之似蛰有声，与昨脉不同者，虚之故也。夫阳气者，清顺调和之气也，或劳动过度，或酒
食过伤，则扰动其阳，变而为邪热矣。然脾胃以阳气为主，阳变为热血必沸腾而越出于上矣。昏晕者由热熏灼，故神
昏运倒而类风也。风之旋动转运与火相类，每觉下焦热上胸膈壅塞而即发者，脾脉从足入腹至胸，令下焦热上乃脾火也。
然胸膈心肺之分，为阳之位，清阳居上，而邪热扰之，则阳不得畅达，而心脾之神魂不免为之昏乱矣。况五脏皆赖胃气
以培养，胃受火邪则五脏皆无所禀，而所藏之神亦无所根据，故肺之魄、心之神、肝之魂、脾之意、肾之志，安得不随之
溃乱而昏瞀耶？多发于午前后者，乃阳气所生之时，脉如常，但浮虚耳。曰∶此虚病也，盖病发而脉结者，血少气劣耳。
苏则气血流通，心志皆得所养，故又脉如常也。遂以十全大补汤去桂，加麦冬、陈皮而安。其子问之，汪曰∶三年之
内，可保无恙，越此非予所知，果验。
一人年十五色悴，十二月间，忽呕瘀血一二碗随止。延小儿医调治，肌体尚弱，常觉头晕。近三月间，天热途步，
出汗连日，又劳倦日昃，顿然昏晕不省人事，手足扰乱颠倒，将一时久方定，次日亦然。续后每午前后，如期发一
次，近来渐早，自辰至午，连发二次，渐发三四次，比前稍轻。发时自下焦热上至胸，壅塞则昏晕，良久方苏，始疑为
疟成痫。医云火动，又云痰症，用牛黄清心丸，以竹沥、姜汁磨，服二次，共四丸。又与煎药，多清痰火之剂，服后每
日只发一次。止则汗多，口干食少，身热时多，凉时少。汪脉之阳为邪扰，不能用事，故每至其时而辄发也。且汗多津
液泄，口干津液少，医用牛黄、朱砂、琥珀、南星、半夏等，而复燥之，是愈益其燥，故暂止而复发，不能去拔病根
也。因取参、 各二钱半，远志、山楂、川芎、黄芩各七分，天麻、麦冬、防风、茯神各一钱，甘草、陈皮各五分，
归身八分，白术一钱半，煎服十余剂，而病不复作矣。
张子和治一妇，年逾三十，夜梦鬼交，惊怕异常，及见神堂阴府舟楫桥梁。如此一十五年，竟无妊娠。巫祈觋祷，
无所不至，针肌灸肉，孔穴万千，黄瘦发热引饮，中满足肿。张曰∶阳火盛于上，阴水盛于下。鬼神者，阴之灵，神
堂者，阴之所，舟楫桥梁，水之用。两手寸脉，皆沉而伏，知胸中有痰实也。凡三涌、三泄、三汗，不旬日而无梦，一
月而孕。
一妇喜笑不休半年矣，诸医治之术穷。张曰∶此易治耳。以食盐三两成块，烧令通红，放冷研细，以河水一大碗
煎三五沸，温分三服，须臾探吐出痰半升，次服大剂黄连解毒汤，不数日而笑止。
沈宗常治临淄人，自谓无病，忽觉神思有异，晚歌笑不节。沈曰∶此阴火乘肝，晚动宜以柔剂，少加利之，良愈。
庄先生治喜乐之极而病者。庄切其脉为之失声，佯曰∶吾取药去。数日更不来。病者愁泣，辞其亲友曰∶吾不久
矣。庄知其将愈，慰之，诘其故。庄引《素问》曰∶惧胜喜，可谓得元关者。
陈尚古《簪云楼杂说》云∶先达李其姓，归德府，鹿邑人也，世为农家。癸卯获隽于乡，伊芳父以喜，故失声大笑。
及春举进士，其笑弥甚。历十年擢谏垣，遂成痼疾。初犹间发，后宵旦不能休。大谏甚忧之，从容语太医院某，因得
所授，命家人给乃父云∶大谏已殁。乃父恸绝几殒，如是者十日，病渐瘳。佯为邮语云∶大谏治以赵大夫，绝而复苏，
李因不悲，而笑症永不作矣。盖医者意也，过喜则伤，济以悲而仍和，技进乎进矣。
薛己治一小儿，喜笑常作不安，面赤饮冷，手足并热。先用黄连泻心汤二服，稍定，又用六味地黄丸料煎服，顿
愈。常服此丸则安，月许不服，仍前病作，又服愈矣。
许学士治一妇人，数次无故悲泣不止。或谓之有祟，祈让请祷备至，终不应。许忽忆《金匮》有一症，妇人脏躁悲
伤欲哭，象如鬼物神灵，数欠伸者，宜甘麦大枣汤。急令治药，数剂而愈。
〔源按〕经云∶在脏为肺，在志为悲。又云∶精气并于肺，则悲是也。盖喜属阳，心主之；怒属阴，肝主之。妇人
禀性阴柔，故喜常少而怒常多，或悲泣不止，皆阴类也。又云∶神有余则笑，神不足则悲，所以人之幼时，神魂未足，
善于啼哭也。
邵氏《闻见录》云∶州监军病悲思，郝因告其子曰∶法当得悸而愈。时通守李宋卿御史严甚，监军内所惮也。允与
子，请于宋卿，一造问责其过失，监军惶怖汗出，疾乃已。
绍兴癸丑，许待次四明，有董生者，患神气不宁，每卧则魂飞扬，觉身体在床，而神魂离体，惊悸多魇，通夕无
寐，更医不效。许为诊视，询之曰∶医作何病治？董曰∶众皆以为心病。许曰∶以脉言之，肝经受邪，非心病也。肝气
因虚，邪气袭之，肝藏魂者也，游魂为变。平人肝不受邪，卧则魂归于肝，神静而得寐。今肝有邪，魂不得归，是以卧
则魂飞扬若离体也。肝主怒，故小怒则剧。董欣然曰∶前此未之闻，虽未服药，已觉沉病去体矣，愿求治之。许曰∶公
且持此说，与众医议所治之方，而徐质之。阅旬日复至，云∶医遍议古今无与病相对者。许即处珍珠母丸，独活汤以
赠，服一月而病悉除。此方用珍珠母为君，龙齿佐之。珍珠母，入肝经为第一。龙齿、虎睛，今人例以为镇心药。殊不
知龙齿安魂，虎睛定魄，各言其类也。盖东方苍龙木也，属肝而藏魂，西方白虎金也，属肺而藏魄。龙能变化，故魂游
而不定；虎能专静，故魄止而有守。许谓治魄不宁者，宜以虎睛，治魂飞扬者，宜以龙齿。万物皆有成理而不失，在夫
人达之而已。
徐仲子士纬曰∶家君肄业过劳，场屋屡屈，志坚不懈，吐血盈盆，虚羸骨立。夜卧合睫则梦争斗，转斗转负，恐畏
之态，无可名状，呼号之声，轰然若雷，而不能腾出于口。家人侍睡者，莫不缩手伸舌，如是者十年余矣。每五七夜必
一发，过劳则连发，发尤猛。历访师友，多作心血不足治，惟补心安神药投之漠如也，终莫识其为何症，扪心苦思，思
每达旦，更几寒暑矣。一日偶观《素问·藏气法时篇》论有曰∶肝病令人善怒，虚则目 无所见，耳无所闻，善恐如
人将捕之。恍然警悟，乃知为魂游症也。何言之？夫夜卧属气于肝，肝主藏血，藏魂，作文既言若衄血过度，则魂失
养。惟是交睫若魔，则梦争斗。肝虚则胆怯，故多负多恐也，非峻补不奏功。又思草木之剂，不堪任重，乃以鹿角胶
三钱，清晨酒溶服，五日而睡卧安，半月而肌肉生，一月而神气完，始能出户。厥后每见血症虚惫者，崩中眩晕者，投
前剂莫不附应。夫人但知鹿角胶补虚之功，胜于参 ，而不知鹿角胶可以峻补肝血，盖血盛而魂自安也。
黄师文治一妇，卧病三年，状若劳瘵，诸医以虚损治不瘥。黄视之曰∶此食阴物时，或遭惊也，问之妇方自省悟也。
襄者食米团时，忽有报其夫坠水，由此一惊，病延至今不能愈。黄以青木香丸兼以利药一帖与之，须臾下一块，乃痰裹
一米团耳。当时被惊，怏怏在下而不自觉也，自后安康无恙。
一人惊气入心络，喑不能言，以密陀僧研细一匕许，茶调服，遂愈。有一人伐木山中，为野狼所逐，而得是疾，或授
此方而愈。又一军尉，采藤入谷，逢恶蛇而疾，其症状同，亦用此药治之而愈。
或问∶有邻人，年六十余，因怒而发声，其音遂失，诸治不效。约数年，适食饭蒸白花百合，食后声忽有音，连食
旬日，约二斤余，其音如旧。何故？予曰∶声为怒发，此火伤肺金，百合补中兼清，不寒不燥，中和之品，故得中病。
游以春治一妇，年三十余，忽午前吐酸水，至未时心前作痛，至申痛极晕绝，交戌方醒如故，每日如此。医治期年
不愈，游治用二陈下气之剂不效，熟思其故，忽记《针经》有云∶未申时气行膀胱，想有瘀血滞于此经使然。遂用归
尾、红花各三钱，干漆五钱，煎服。吐止痛定，晕亦不举。
次日复进一服，前症俱愈。第三日，前方加大黄、桃仁饮之，小便去凝血，三四碗而痊。
滑伯仁治一妇，气实多恐，忽大叫而欲厥。盖痰闭于上，火起于下而上冲。滑用香附五钱，生甘草三钱，川芎七
钱，童便姜汁炒煎服。又用青黛、人中白、香附丸服稍愈，后用吐法乃安，再用导痰汤，加姜汁、黄连、香附、生姜，
下龙荟丸而安。
孙东宿治白仰云内眷，每触怒即晕厥，必闭门合目，静坐不留一人在房中。是皆冷汗出如雨，气息几微，越一时
许，醒如常。原以颈生瘰 ，多服草头药，及专科用斑蝥等毒，因而脾胃损，元气亏也。年三十八尚未生育，每日令二
婢敲两腿，俟其熟睡乃已。夜半心多惊跳，指甲皆无血色，经将行，小腹先痛二日，色紫有块，诸病虽如是，而肌肉饮
食却如无事人。孙诊其脉而寸短弱，左关大而有力，右关左尺俱滑，右尺沉微，据脉肺气虚，肝木实，胃中有痰之症
也。用六君子汤，加丹参酒，连青皮，外与珍珠母丸及独活汤，调理而安。
喻嘉言治熊仲纾之子，髫龄患一症，饮食如常，但脉细神呆，气夺色夭。仲纾曰∶此病何也？喻曰∶病名淹牒。《左
传》所谓近女室晦，即是此病。彼因近女，又遭室晦，又不可为，令郎受室晦之邪，而未近女，是可为也。即以羚羊
角、犀角、龙齿、虎骨、牡蛎、鹿角霜、人参、黄 等药合末，令以羊肉半斤，煎浓汁调末，少加牛黄丸，服旬日而安。
〔源按〕《左传》晋侯求医于秦，秦伯使医和视之曰∶疾不可为也，是谓近女室，疾如蛊。公曰∶女不可近乎？对
曰∶天有六气降生五味，发为五色，征为五声，淫生六疾。六气者，阴阳风雨晦明也。阴淫寒疾，阳淫热疾，风淫末
疾，雨淫腹疾，晦淫惑疾，明淫心疾。女阳物而晦时淫，则生内热，惑蛊之疾。今君不节不时，能无及此乎？
龚子才治一男子，忽低头往暗处藏身，不言亦不答，以饮食俱背人窃食，人见之则食不下。诸人以为中邪，用三牲
祭之，其物经宿，乃妻食之亦如是，诸医莫识。龚云∶必中鼠涎。盖鼠涎有大毒，用吴茱萸塞猫口，以猫涎自出，将涎
水令夫妇服之悉愈。
康熙年间，予里地藏庵有一僧，名鹤松。忽一日藏身暗处，若见人或闻人语，即惊避。每进饮食，必置之外室，窥
视无人，然后出食之，如是数年。适有方士视之曰∶病名鼠魂。鼠窃食为猫所逼，因惊失其魂于食物间，食之乃得是
症。治以安神药，外加猫涎和服而愈。
〔源按〕此症即中鼠涎，云鼠魂者，士好名故耳。
有一人痞塞，不饮食，心中常有所歉。爱处暗地，或倚门后，见人即避，似失志状。此为卑 之病，以血不足故
尔，人参养荣汤主之。
学士卢抱经为侍读时，每寤心必惊惕，医用安神补血之剂，数年不效。时值乾隆戊寅，予至燕京，与公同寓。初寓
之日，公即问予曰∶此症何故使然？予视其脉，独左关弦数。予曰∶《内经》云∶卧而惊者属肝，卧则血归于肝，今
血不静，血不归肝，故惊悸于卧也。《三因》用羌活胜湿汤，加柴胡，治卧而多惊悸，多魇溲者，为风寒在少阳厥阴
This is about the principle of Qi ascending and descending. A physician treated it as Stomach Cold, administering Dried Ginger (Ganjiang), Galangal (Liangjiang), Cinnamon Twig (Guigui), Aconite Root (Wutou), Prepared Aconite Root (Fuzi), Clove (Dingxiang), and Agarwood (Chenxiang). The condition worsened day by day, accompanied by thirst and dribbling urination. Yu Tun examined the six pulses, finding them surging (Hong), rapid (Shu), and slippery (Hua), and diagnosed it as Phlegm requiring clearing and transformation. He instructed to urgently decoct Bamboo Sap (Zhuli) for three days. Afterward, the thirst ceased, and urination normalized, but pain in the chest and knees persisted as before. He then administered juice extracted from Radish Seed (Luobozhi), half a bowl, which induced vomiting of half a sheng of phlegm. By night, the pain intensified, leading to cold limbs (Jue), which was precisely due to provoking the rampant pathogenic factor. The next day, one liang of Ginseng Rhizome Stalk (Shenlu) was decocted with reverse-flowing water, but it did not induce vomiting. Another day later, Decoction of Sophora Flavescens (Kushen) was taken, also without vomiting. Subsequently, Aconite Tip (Fuzijian) and Platycodon Rhizome Stalk (Jiegenglu) were used, still without vomiting. One morning, one qian of Veratrum Powder (Lilu) mixed with a small amount of Musk (Shexiang) and adjusted with Acidic Water (Suanjiangshui) was administered, finally inducing massive vomiting, which only stopped at dawn the next day. In total, a small bucket of thick fluid retention (Yin) was vomited out. The pain vanished, and recovery was achieved through conditioning.
Wang Shishan treated a fifteen-year-old girl suffering from palpitations (Xinji), feeling as if someone were chasing her. She had nowhere to hide; although held by her mother and guarded by maids indoors, she remained terrified and unable to sleep peacefully. Physicians attributed this to Heart disease, using An Shen Wan (Calming Spirit Pill) and Zhen Xin Wan (Settling Heart Pill) without effect. Wang diagnosed fine, weak, and slow pulses, stating, "This is a Gallbladder disease." He prescribed Wen Dan Tang (Warm the Gallbladder Decoction), after which she stabilized.
Someone asked, "Why does fear cause the skin to feel cold and trigger goosebumps?" I replied, "Fear causes Qi to sink. When Qi sinks, Yang Qi enters inwardly, causing this state. Once fear subsides and Qi returns, normalcy is restored."
Another question arose: "The previous case was also caused by fear. Since fear causes Qi to sink, why use Wen Dan Tang to descend Qi?" I answered, "This is a Shaoyang Gallbladder disorder, not caused by fear per se, but rather fear resulting from the illness. The Gallbladder requires warmth; deficiency leads to cold, cold leads to Qi stagnation, stagnation generates Phlegm. Phlegm in the Gallbladder organ prevents the Spirit from returning to its residence, causing fear and insomnia. Wang An stated: 'In this formula, Tangerine Peel (Chenpi), Pinellia Rhizome (Banxia), and Fresh Ginger (Shengjiang) are acrid and warm to guide Phlegm, thereby warming the Gallbladder; Zhi Shi breaks stagnation; Fu Ling removes fluid retention; Gan Cao harmonizes the Middle Jiao; Zhu Ru opens Spleen-Stomach depression and clears Lung Dryness. Cooling the Lung Metal soothes Jia Wood (Gallbladder).' Thus, neither cold nor dryness prevails, and the Gallbladder remains warm."
A man over seventy suddenly suffered from mental confusion (Maomei). His optic nerves became tense; closing his eyes induced drowsiness like dozing. He ignored tactile stimuli on his head and face, recovering after a short while. Occurring two or three times daily, treatment for Wind syndrome aggravated it. Wang’s pulse diagnosis revealed intermittent pauses (Jie). Upon waking, pulses were floating, large, rapid, and unresponsive to pressure; sitting up made them slightly smaller and less rapid. Pulse classics state: Rapid pulses indicate Heat, manifesting as Deficiency. Three days later, the left pulse was small and slippery, the right large and slippery. The Lung pulse specifically was floating and soft, sounding like hibernating insects upon pressure, differing from yesterday due to Deficiency. Yang Qi is clear, smooth, and harmonious. Overexertion or dietary excess disturbs Yang, transforming it into Evil Heat. The Spleen and Stomach rely on Yang Qi; when Yang transforms into hot blood, it boils and rises. Fainting results from heat scorching, confusing the Spirit and causing dizziness, resembling Stroke. Wind movement resembles Fire. When lower Jiao heat rises to block the chest and diaphragm, attacks occur. The Spleen meridian travels from foot to abdomen to chest; thus, rising lower heat is Spleen Fire. The chest and diaphragm belong to the Yang region where Clear Yang resides. Evil Heat disrupts this, preventing Yang from flowing freely, confusing the Heart and Spleen Spirits. Since all five Zang organs depend on Stomach Qi for nourishment, Fire damaging the Stomach deprives the Zang organs of support, causing their respective Spirits (Po, Shen, Hun, Yi, Zhi) to collapse into confusion. Attacks often occur around noon, a time of Yang generation; pulses are normal but floating and deficient. I diagnosed this as a Deficiency disease. Intermittent pulses during attacks indicate Blood deficiency and Qi weakness. Upon recovery, Qi and Blood flow smoothly, nourishing the Heart and Mind, restoring normal pulses. I prescribed Shiquan Dabu Tang (Ten Significant Tonifying Decoction) minus Cinnamon Twig (Rougui), adding Ophiopogon Tuber (Maidong) and Tangerine Peel (Chenpi). The patient recovered. Predicting a three-year prognosis, Wang noted that beyond this, outcomes were uncertain, which proved accurate.
A fifteen-year-old boy with sallow complexion suddenly vomited one to two bowls of stagnant Blood in December, stopping immediately. Pediatric treatment failed; he remained weak and dizzy. Three months prior, walking in hot weather caused continuous sweating, compounded by afternoon fatigue, leading to sudden fainting and unconsciousness with limb thrashing, lasting nearly an hour, recurring the next day. Later, attacks occurred daily around noon, progressively earlier (from Chen to Wu hours), increasing in frequency to three or four times, though slightly milder. Heat rose from lower Jiao to the chest, causing blockage and fainting, resolving after a long time. Initially suspected as Malaria evolving into Epilepsy. Physicians attributed it to Fire or Phlegm. Niuhuang Qingxin Wan (Coral and Bezoar Heart-Clearing Pill), ground with Bamboo Sap and Ginger Juice, was given twice (four pills total). Other phlegm-clearing and fire-purging decoctions reduced attacks to once daily. Symptoms included excessive sweating upon cessation, dry mouth, poor appetite, prolonged fever, and brief coolness. Wang diagnosed Yang Qi disturbed by Evil, failing to function at specific times. Excessive sweating depletes Jin Ye (Body Fluids); dry mouth indicates deficiency. Medications like Bezoar (Niuhuang), Cinnabar (Zhusha), Amber (Hupo), Arisaema (Nanxing), and Pinellia (Banxia) further dried fluids, exacerbating dryness and causing temporary relief followed by recurrence, failing to eradicate the root. Prescription: Ginseng (Renshen) [missing herb in source], each 2.5 qian; Polygala Root (Yuanzhi), Hawthorn Fruit (Shanzha), Ligusticum Rhizome (Chuanxiong), Scutellaria Root (Huangqin), each 0.7 qian; Gastrodia Tuber (Tianma), Ophiopogon Tuber (Maidong), Saposhnikovia Root (Fangfeng), Poria (Fushen), each 1 qian; Licorice Root (Gancao), Tangerine Peel (Chenpi), each 0.5 qian; Angelica Sinensis Root (Guishen) 0.8 qian; Atractylodes Macrocephala Rhizome (Baizhu) 1.5 qian. Decocted and taken for over ten doses, the disease did not recur.
Zi Hehe treated a woman over thirty who experienced nocturnal emissions involving ghosts, extreme terror, and visions of spirit halls, underworlds, boats, and bridges for fifteen years, remaining barren. Exorcisms, acupuncture, and moxibustion failed. She became emaciated, febrile, thirsty, and abdominally swollen. Zi Hehe diagnosed: "Yang Fire excess above, Yin Water excess below. Ghosts/spirits represent Yin spirits; spirit halls are Yin locations; boats/bridges relate to Water. Both Cun pulses were deep and hidden, indicating solid Phlegm in the chest." After three rounds of emesis (Yong), purgation (Xie), and diaphoresis (Han), dreams ceased within ten days, and pregnancy occurred within a month.
A woman laughed incessantly for half a year despite various treatments. Zi Hehe said, "Easy to treat." He used three liang of rock salt, heated red-hot, cooled, powdered, and decocted in one large bowl of river water for three to five boils. Taken warm in three doses, it induced vomiting of half a sheng of phlegm. Followed by a large dose of Huanglian Jiedu Tang (Scutellaria and Phellodendron Decoction to Clear Toxicity), laughter stopped in days.
Shen Zongchang treated a man from Linzi who claimed health but exhibited altered mentality, singing and laughing uncontrollably at night. Shen diagnosed: "Yin Fire attacking the Liver. Nighttime Yang activation requires softening agents with slight dispersants for cure."
Master Zhuang treated a patient ill from excessive joy. Zhuang feigned silence upon pulse-taking, claiming he needed to fetch medicine, then disappeared for days. The patient, despairing, bid farewell to relatives. Zhuang knew recovery was imminent, comforted him, and explained citing Suwen: "Fear conquers Joy," demonstrating profound understanding.
Chen Shanggou's *Zanyun Lou Zasuo* records: Elder Li from Luyi, Henan, a farmer, passed the provincial exam in Gui Mao year. His father laughed uncontrollably from joy. Upon passing the metropolitan exam in spring, laughter worsened. Ten years later, promoted to Censor, it became chronic. Initially intermittent, then ceaseless day and night. Worried, the Censor consulted the Imperial Medical Academy, devised a ruse: family told his father the Censor had died. The father grieved intensely for ten days, improving gradually. Then rumors spread the Censor was revived by Dr. Zhao. Li ceased grieving, and laughter never returned. This illustrates medical intent: excessive Joy injures; balancing with Sadness restores harmony, elevating skill to Dao.
Xue Ji treated a child with constant laughter, restlessness, red face, desire for cold drinks, and hot extremities. Two doses of Huanglian Xiexin Tang (Scutellaria and Gardenia Decoction to Drain Heart) calmed him slightly. Sixwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) decocted cured him instantly. Maintenance prevented relapse; discontinuation caused recurrence, resolved by resuming medication.
Scholar Xu treated a woman crying endlessly without cause. Exorcism failed. Xu recalled *Jingui Yaolue*: "Zang Zao" (Visceral Agitation) causing sadness, weeping like possessed states, yawning/stretching. Prescribed Ganmai Dazao Tang (Licorice, Wheat, and Jujube Decoction). Cured in several doses.
[Shen Yuan Note]: Classics state: "In Zang organs corresponds to Lung, in emotions corresponds to Sadness." "Essence and Qi merging in Lung causes Sadness." Joy is Yang, governed by Heart; Anger is Yin, governed by Liver. Women, being Yin-natured, experience less Joy and more Anger/Sadness. "Excess Spirit causes laughter; Deficient Spirit causes sadness." Children cry because their Spirit is immature.
Shi’s *Wenjian Lu* records: A military supervisor suffered sorrowful longing. Hao advised his son to induce palpitations for cure. The supervisor feared Official Li Songqing. Hao requested Li to reprimand the supervisor publicly. Fear and sweating cured the illness.
In Shaoxing Gui Chou year, Xu Shushi treated Dong Sheng in Siming. Dong suffered restless Spirit, flying soul during sleep, feeling body in bed while soul departed, palpitations, nightmares, insomnia. Doctors diagnosed Heart disease. Xu diagnosed Liver Meridian invasion via pulse: "Liver stores Hun (Soul). Normal sleep returns Hun to Liver. Pathogen in Liver prevents return, causing soul flight. Liver governs Anger; minor anger aggravates symptoms." Dong agreed. Xu prescribed Zhenzhumu Wan (Mother-of-Pearl Pill) and Duhuo Tang (Angelica Pubescens Decoction). Cure in one month. Pearl Mother enters Liver meridian first. Dragon Teeth (Longchi) calm Hun; Tiger Eyes (Hujing) settle Po. East Green Dragon (Wood/Liver/Hun) changes; West White Tiger (Metal/Lung/Po) stays still. Understanding these principles cures Soul/Flying issues.
Xu Zhongzi Shiwai reported: His father studied excessively, failed exams repeatedly, vomited blood profusely, became emaciated. Dreams of fighting, fear, loud screaming without voice for ten years, occurring every 5-7 nights or after overwork. Tonifying Heart Blood failed. Reading *Suwen · Zangqi Fashi Pian*: "Liver disease causes anger; deficiency causes blindness, deafness, fear of being chased." Realized it was "Hun Wandering." Night belongs to Liver; Liver stores Blood and Hun. Excessive bleeding starves Hun. Closing eyes triggers dream fights. Liver deficiency causes gallbladder timidity/fear. Severe tonification required. Herbal medicines insufficient. Used Deer Antler Glue (Lujiaojiao) 3 qian dissolved in wine morning. Sleep stabilized in 5 days, muscles grew in 15 days, Spirit restored in 1 month, enabling walking. Later used successfully for Blood deficiency, menorrhagia, vertigo. People know Deer Antler Glue tonifies better than Ginseng/Astragalus, but it severely tonifies Liver Blood; abundant Blood calms Hun.
Huang Shiwen treated a woman bedridden for three years, resembling Consumption (Lao Fei). Deficiency treatments failed. Huang diagnosed: "Ingestion of Yin food combined with fright." Patient recalled eating rice balls when hearing husband fell in water. Shock caused lingering illness. Huang gave Qingmuxiang Wan (Blue Musk香 Pill) plus purgative. Passed a clump of phlegm-wrapped rice ball. Unconscious shock lodged below; recovered thereafter.
One person with Shock Qi entering Heart collaterals lost speech. Medicated with Litharge (Mituo seng) powder mixed in tea. Cured. Another hunted by wolves in mountains cured similarly. A military officer bitten by snake cured likewise.
Question: Neighbor, 60+, lost voice after anger. Tried many cures. Ate steamed Lily Bulb (Baihe) for days (~2 jin). Voice returned. Answer: Anger generates Fire injuring Lung Metal. Lily Bulb tonifies center and clears Heat, neutral nature, hits the pathology.
You Yichun treated a woman, 30+, vomiting acid before noon, chest pain at Wei hour, fainting at Shen hour, waking at Xu hour. Year-long treatment failed. Erchen Tang (Two-Aged Decoction) for descending Qi failed. Recalling *Zhenjing*: "Qi flows in Bladder during Wei/Shen hours." Suspected Blood stasis in Bladder meridian. Prescribed Danggui Tail (Guowei), Safflower (Honghua) 3 qian each, Dried Lacquer (Ganqi) 5 qian. Vomiting/pain stopped, fainting ceased. Next day, same dose cured all. Third day, added Rhubarb (Dahuang) and Peach Kernel (Taoren). Passed 3-4 bowls of clotted Blood. Cured.
Hua Borren treated a woman with excess Qi and fear, screaming near syncope. Phlegm blocked upper, Fire rose from lower. Prescribed Cyperus Rhizome (Xiangfu) 5 qian, Raw Licorice (Sheng Gancao) 3 qian, Ligusticum (Chuanxiong) 7 qian, decocted with Child’s Urine (Tongbian) and Ginger Juice. Improved with Qingdai (Indigo Naturalis), Narenbai (Human Ash), Xiangfu pills. Emesis settled her. Finally, Daotan Tang (Phlegm-Guiding Decoction) with Ginger Juice, Huanglian, Xiangfu, Shengjiang, followed by Longdan Xiegan Tang (Gentian Decoction to Drain Liver) – actually Longhui Wan (Euphorbia and Gentian Pills) – achieved stability.
Sun Dongsu treated Madam Bai Yangyun. Syncope upon anger, requiring solitude. Profuse cold sweat, weak breath, recovering after an hour. History of neck scrofula treated with toxic herbs (Mylabris/Cantharidis) damaged Spleen/Stomach and Yuan Qi. Age 38, barren. Maids massaged legs until asleep. Midnight palpitations, pale nails. Menstrual pain two days prior, dark purple clots. Muscles/diet normal. Pulse: Cun short/weak; Left Guan large/powerful; Right Guan/Left Chi slippery; Right Chi deep/micro. Diagnosis: Lung Qi deficiency, Liver Wood excess, Stomach Phlegm. Prescribed Liujunzi Tang (Six-Gentlemen Decoction) with Danshen Wine and Qingpi. External: Zhenzhumu Wan and Duhuo Tang. Stabilized.
Yu Jiayan treated Xiong Zhongshu’s son. Childhood illness: normal diet, thin pulse, dull spirit, depleted Qi, sallow color. Yu diagnosed "Yandie" (Protracted Record). *Zuo Zhuan* mentions "approaching women during dark times" (Huimei). Patient exposed to Huimei evil but avoided women. Treatable. Formula: Antelope Horn (Lingyangjiao), Rhinoceros Horn (Xijiao - note: banned, historically used), Dragon Teeth (Longchi), Tiger Bone (Hugu - note: banned), Oyster Shell (Muli), Deer Antler Frost (Lujiaoshuang), Ginseng (Renshen), Astragalus (Huangqi). Powdered, mixed with mutton broth, small dose of Niuhuang Wan. Stable in 10 days.
[Shen Yuan Note]: *Zuo Zhuan*: Duke Jing of Jin sought Qin doctor He. He said: "Illness incurable, called 'approaching women,' like Gu (worm/possession)." Duke asked if women should be avoided. He replied: "Heaven has Six Qi... excess causes six diseases. Yin excess cold, Yang excess heat, Wind excess limbs, Rain excess abdomen, Darkness/Dusk excess confusion (Huoi), Brightness excess Heart (Xin). Women are Yang objects; indulgence at dusk generates internal heat, confusion/Gu disease. If you do not regulate timing/intensity, how can you avoid this?"
Gong Zicai treated a man hiding in dark places, silent, stealing food, unable to eat when observed. Thought possessed, sacrifices failed. Wife ate same food, same reaction. Gong diagnosed: "Rat Saliva Poisoning." Rat saliva is highly toxic. Method: Plug cat’s mouth with Evodia Fruit (Wuzhuyu) to induce cat saliva. Couple drank cat saliva. Cured.
Kangxi era: Monk Hesong at Dizang Temple hid in dark, fleeing people/sounds. Ate only when alone outside. For years. Daoist diagnosed "Rat Soul." Rat fleeing cat loses soul in food; eating food causes illness. Treated with calming herbs + cat saliva. Cured.
[Shen Yuan Note]: This is Rat Saliva poisoning. "Rat Soul" is scholarly pretension.
One person with epigastric fullness, anorexia, guilt, avoiding light/people, seeming despondent. Diagnosed as "Beibian" (Lowly/Timid) disease due to Blood deficiency. Treated with Renshen Yangrong Tang (Ginseng and Nutritive Qi-Tonifying Decoction).
Scholar Lu Baojing, as Reader, woke with palpitations. Calming/Blood-tonifying herbs failed for years. Qianlong Wuyin year, I met him in Beijing. Left Guan pulse stringy-rapid. I cited Neijing: "Sleeping startles belong to Liver. Blood returns to Liver during sleep. Unquiet Blood doesn't return, causing palpitations." *Sanyin Fang* uses Qianghuo Shengshi Tang (Notopterygium and Drynaria Decoction to Overcome Dampness) plus Chaihu for sleeping palpitations/nightmares/bedwetting due to Wind-Cold in Shaoyang/Jueyin.