气并发，当必有东西齐来之风，而何故无乎？予曰∶天地一气也，使气东不和而又有西不和者，则噫气或发于东，而西
不顺之气亦从东而泄，故但有风于东耳。发于西，故但有风于西耳。然大莫大于天地，若彼不和，与此不和，固极远而
不能相应，则噫气彼此齐发，则彼此之风远而各殊，人所不得而知也。即谚云∶千里不同风耳。
又问∶雷电何也？予曰∶一岁之中，热而寒，寒而热，皆天地元阳之气，升上则热，降下则寒。若节至惊蜇，其气
渐升而达于外，因天地之气不和，不和则气不升，不升而欲升之，则破块而出，故雷电并作。盖电即元阳之气，气即火
也，雷因元阳之火升外，故每先电而后雷也（犹人放炮火，先见而后声发也）。若电闪甚，则雷猛发于外，故雷声震上而
形霹雳也。如雷止而但有电者，乃破中之余气耳，所以电即闪而不远，其气乃破而易泄，故彼闪未已，而又有此也。初
秋阳气将收，或值天地之气不和，则气欲降不能，而反逆于上，故每发迅雷耳。若秋渐深，阳气渐下，至冬伏藏，故雷
亦收声也。人与天地同参，至秋其气渐收，收则毛窍闭，而春夏所受之病皆郁，郁而发之，则病作矣，故病每多发于
秋也。
许叔微《本事方》云∶微患饮辟，三十年，始因少年夜坐写文，左向伏几，是以饮食多坠左。中夜必饮酒数杯，又
向左卧，壮时不觉，三五年来，觉酒止从左下有声，胁痛食减嘈杂，饮酒半杯即止。十数日必呕酸水数升，暑月止右边
有汗，左边绝无。遍访名医，治无一效。自揣必有 囊如水之有科臼，不盈科不行，但清者可行，而浊者停滞无路以决
之，故积至五七日，必呕而去。脾土恶湿，而水则流湿。莫若燥脾以去湿，崇土以填科臼。乃悉屏诸药，只以苍术一
斤，去皮切片为末，脂麻半两，水二钱，研滤汁，大枣五十枚，煮去皮核，捣和丸，梧子大，每日空腹，温服五十丸。
增至一二百丸，忌桃李雀肉，服三月而疾除。自此常不呕不吐不痛，胸膈宽利，饮啖如故，暑月汗亦周身，灯下能书细
字，皆术之力也。初服时，必觉微燥，以山栀末沸汤点服加之，久服亦自不燥矣。
又云∶有人平居无疾，忽如死人，身不动摇，目闭口噤，或微知之，眩冒移时方寤，此名血厥，亦名郁冒。因出
汗过多，血少阳气直上，气塞不行，故身如死。气过血还，阴阳复通，故移时方寤，妇人尤多此症。宜服白薇汤，用白
薇、当归各一两，人参半两，甘草钱半，每服五钱，水二盏，煎一盏，温服。
《梦溪笔谈》云∶夏文庄公性豪侈，禀赋异人，才睡则体冷似僵，一如逝者。既觉须令人温之，良久方能动。有人
见其陆行，两车相并，载一物巍然，问之乃绵帐也。以数十斤绵为之。常服仙茅、钟乳、硫黄不可胜记，晨朝每服钟乳
粥。有小吏窃食之，疽发不可救。
《吹剑续录》云∶葛可久治同郡富家女，年可十七八，病四肢痿痹，不能自食，目瞪，众医莫治。葛视之曰∶当去
房中香奁流苏之物，发地板掘土为坎，畀女子其中，扃其屏。戒家人俟其手足动而作声，当报我。久之手足果动而
呼，投药一丸，明日坎中出矣。盖此女平日嗜香，而脾为香所蚀故也。
濮阳传云∶万历丁亥，金台有妇人，以羊毛遍鬻于市，忽不见，继而都人身生泡瘤渐大，痛死者甚众，瘤内惟有
羊毛。有道人传一方云∶以黑豆、乔麦为粉涂擦，毛落自愈，名羊毛疔。
〔源按〕此症近江南山东患者颇众，然所患与前症不同，初起发热，或似疟，或似伤寒，体重，遍身皮肉胀痛不
可忍，满身发红点如疹，用针挑破，内有羊毛，或一鬃或数茎，其色或白或赤，或粗或细，形色不一，俗称羊毛疹子，
死者颇多。或有不用针挑，内服葛根、升麻、柴胡、防风、荆芥、鼠粘子、蝉蜕、银花、连翘、黄芩、羚羊角、西河柳
等味。外用前案药味涂擦，其毛多粘药内，擦后其痛渐平。
但或一日，或二日，或半日许，仍然复作，作时仍用药擦，其毛复有，渐擦渐平。如是者，或患一二月，或三四五月，
至身上起白泡，遍身痒作，方得痊愈。若不用前法治之，得生者少。又有一种只发热，体重而胀痛，并无红点如疹。亦
用前治法，其用针挑去其毛，并出其血，病可立愈，此是疫毒，因泄其毒故耳。
东垣治李正夫人病，诊得六脉中俱弦，洪缓相合，按之无力，弦在其上，是风热下陷入阴中，阳道不行。其症闭目
即浑身麻木，昼减夜甚，觉而目开，则麻木渐退，久则绝止。常开其目则病不作，惧其麻木，不敢合眼，故不得眠。
身体皆重，时有痰嗽，觉胸中常有痰而不利，时烦躁短促而喘，肌肤充盛，饮食大小便如常，惟畏麻木，不敢合眼为最
苦。观其色脉，形病相应不逆。《内经》云∶阳盛瞑目而动轻，阴病闭目而静重。又云∶诸脉皆属于目。《灵枢》曰∶
目开则阳道行，阳气通布周身，合目则阳道闭而不行，如昼夜之分，知其阳衰而阴旺也，且麻木为风，虽三尺童子，皆
以为然。细校之则非，如久坐而起，亦有麻木，假如绳缚系之，觉麻木而不能动，释之则渐自已，以此验之，非有风
邪，乃气不行也。不须治风，当补中之气，则麻木自去矣。知其经络，阴火乘其阳分，火动于中，为麻木也，当兼去阴
火则愈矣，时痰嗽者，秋凉在外，湿在上作也，当实皮毛以温剂。身重脉缓者，湿气伏匿而作也，当升阳助气益血，微
泻阴火，去湿通行经脉，调其阴阳，则非五脏之本有邪也。补气升阳和中汤主之，八剂而愈。
又治一人，中年以来得一子。一岁之后，身生红丝瘤，后四子皆病瘤而死，问何缘致此。翌月思之，谓曰∶汝肾中
伏火，精气必有红丝，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，补真阴之不足，忌酒辛热之物。其妻以六味地黄丸以养血，受胎五月之后，以黄芩、白术作散，与五七服，后生子
前症不作。
汪石山治一人，形长而瘦，色白而脆，年三十余得奇疾，遍身淫淫，循行如虫，或从左脚腿起，渐次而上，至头
复下于右脚，自觉虫行有声之状。召医诊视，多不识其为何病。汪诊其脉，浮小而濡，按之不足，兼察形视色知其虚证
矣。《伤寒论》云∶如身虫行，汗多亡阳也。遂仿此例，而用补中益气汤，倍加参、 ，以酒炒黄柏五分佐之，服至三
十帖遂愈。
又治一妇，或时遍身麻木则懵，不省人事，良久乃醒。医作风治，用乌药顺气散，又用小续命汤，病益甚。汪诊
之，脉皆浮濡缓弱。曰∶此气虚也。麻者气馁不行，迟不能接续，如人久坐膝屈，气道不利，故伸足起立而麻者是也。
心之所养者血，所藏者神，气运不利，血亦罕来，由心失所养而昏懵也。用参、 各二钱，归身、茯苓、门冬各一钱，
黄芩、陈皮、甘草各五分，煎服而愈。
祝仲宁治一贵妇，病恶寒，日夜以重裘覆其首，起跃入沸汤中不觉，医以为寒甚。祝曰∶此痰火上腾，所谓阳极似
阴者也。非下之火不杀下，经宿而彻裘，呼水饮之，旬日气平乃愈。
丹溪治一妇年近六十，暑月常恶寒战栗，喜烈火服绵，汗时如雨，形肥肌浓，已服附子十余帖。浑身痒甚，两手脉
沉涩，重取稍大，如其热甚而血虚也。以四物汤，去川芎，倍地黄，加白术、黄 、炒黄柏、生甘草，每服一两。始煎
一帖饮之。腹大泄，目无视，口无言，知其病始深，而药无反佐之过也。仍以前药熟炒与之，盖借火力为向导，一帖利
止，四帖精神回，十帖病全安。
又治蒋氏妇，年三十余，形瘦面黑，六月喜热恶寒，两手脉沉而涩，重取则数。以三黄丸下之，用姜汤送下，每服
三十丸，投至二十服，微汗而愈。
又治一女子，年逾笄，性躁体浓，因暑月大怒而咳逆，每作一声，则举身跳动神昏，凡三五息一作。脉不可诊，视
其形气实。以人参芦二两煎饮，大吐胶痰数碗，大汗昏睡一日而安。
又治一人，遍身俱是块，块即痰也，二陈加白芥，姜炒黄连煎服。
吴邑一人，患肩背起块，如向左卧，其块走入于左，右卧至右。予作痰饮流注治之，用前药去黄连，加桔梗愈。
江汝洁治一老妇，病虚弱气喘，左身半自头面以下至足，发热自汗，单衣被不能耐。右身半自头面以下至足，浓
衣被不能温，如此三年矣，医药不效。汪诊其六脉，举之俱微而略弦，按之略洪而无力，二关脉略胜于二寸。经曰∶微
则为虚。又曰∶诸弦为饮。又曰∶洪为阳为热。又曰∶无力为虚。据此则知风邪入脾，表里阴阳气血俱虚之候作也。经
曰∶治病必求其本，令受风邪，乃木来侵土。又风自太阳而入脾，先当以太阳疏泄以固表，次当养脾而 木，俾脾无贼
邪之患，则血气渐平而左热右寒之疾可除也。以石膏、款冬花各三钱，官桂、甘草半之，研为细末，以管吹入喉中，浓
茶送下三四钱，嗽喘即止。次日用滋补之剂，白术二钱半，白芍、香附各一钱半，黄 、陈皮各一钱，甘草三分，水煎
服，后除芍药，加人参三钱，数服而愈。
时珍治一人，病发则右腰一点胀痛，牵引右胁，上至胸口，则必欲卧，大便里急后重，频欲登圊，小便长而数。或
吞酸，或吐水，或作泻，或阳痿，或得酒稍止，或得食稍减。但受寒食寒，或劳役，或入房，或怒，或饥，实时举发。
一止则诸症泯然，如无病患，甚则日发数次，服温补胜湿、滋补消导诸药，皆微止随发。珍思此乃饥饱劳役，内伤元气，
清阳陷遏，不能上升所致也。遂用升麻葛根汤合四君子汤，加柴胡、苍术、黄 ，煎服，服后饮酒一二杯助之，其药入
腹则觉清气上行，胸膈爽快，手足和暖，头目清顺，神采迅发，诸症如扫。每发一服即止，神验无比。若减升麻、葛
根，或不饮酒，则效便迟。大抵人年五十以后，其气消者多，长者少，降者多，升者少，秋冬之令多，而春夏之令
少。若禀气弱而有前诸症者，并宜此药活法治之。《素问》云∶阴精所奉其人寿，阳精所降其人夭是也。
孙东宿治歙州一贵妇，遍身走注疼痛，至夜则发，如虫啮其肌，多作鬼治。孙曰∶此正历节风病也。以麝香丸三
服愈。
江应宿见一木商，自云曾经五月放树，久立风雨湿地，衣服尽濡，患寒热交作，遍身胀痛欲人击打，莫知为何病；
服药罔效。忽思烧酒，热饮数杯，觉腹中宽快，数饮至醉，遂愈。此中寒湿，医莫能察识耳。
姚应凤视一人，年六十许，遍体发小疥如粟。应凤曰∶是名净海疮。甲子将周海上，神仙考核实，生此疮不治则
生，治之则死。其人未之信也。治疮疮愈而死。
一有人患异疽，如痈而小，有异脓如小豆汁，今日去，明日满。用芸苔菜，散血消毒，须捣熟，将布袋盛于热灰中
煨熟，更互熨之，不过二三度愈。
吴篁池治一妇，年三十余，产后患虚症，恶寒，口不能言，手足不能动，饮食颇进，大小便如常，多汗。治用参、
大剂，加桂枝，每剂或一钱，或二三钱，量病势轻重出入，服至年半，时值暑月，恶风寒愈甚。惟口已能言，手足
能动，但恶寒不去，乃令人强扶出风凉处坐，用凉水强浸手足，口含冷水，初甚 ，良久能耐觉安，渐至暖至热，热渐
甚，欲冷冻饮料，乃以凉水顿饮之，复衣顿除，如常而愈。
壬申状元秦涧泉，三年盗汗，每寤衣被俱湿。饮食起居如常，经数十医不效。时予在都，因来就视。予诊之，六脉
如丝，却悠扬无病，惟肝脉中取弦实。予曰∶公之脉，六阴脉也。脉无他异，惟左关弦耳，此肝胆有火。仲景云∶盗汗
在半表半里，胆有热也。用小柴胡汤，加当归、生地、丹皮、经霜桑叶，不数剂而痊。
武林周南溪，年三十余，体壮畏热，因避暑西湖，日坐阴湿之处，又常食瓜果等物，至仲秋忽两腿筋脉钓痛，数日
后牵钓至两臂。又数日，手指一动，即周身经脉钓痛而绝。治用去风利痰之剂，一无取效，病在至危。予视其脉，皆弦
急，盖诸弦为饮，急为寒。又痰入筋骨，则牵引钓痛。此症由寒湿生痰，而流入筋脉故也。以半复、茯苓各三钱，白芥
子二钱，陈皮、木瓜各一钱五分，干姜、甘草各一钱，生姜三片，送妙应丸梧子大者七丸，服后约半日许，手指可动。
又服之手足即不复牵钓。改用六君子汤，调理半月而精神乃复。
一仕人王姓者，仲春肌体大热，如有物在身行走之状，口干唇燥，小便黄赤。予曰∶此即所谓热痹也。《统旨》
云∶热痹脏腑移热，复遇外邪，客搏经络，留而不行，阳遭其阴，故 痹 然而闷，肌肉热极，体上如鼠走之状，
唇口反裂，皮肤色变，治宜升麻汤。予与此汤而愈。
灭痕丹
熟地黄 白术 山茱萸（各一斤） 杜仲 山药（八两） 白芍（六两） 白果肉 当归 车前（各三两）
蜜丸梧子大，每日早晚各一两，服尽自消。
六神丸
神曲 麦芽 茯苓 枳壳 木香 黄连
上为末，神曲和丸，桐子大，每服五十丸，白汤送下。
滋肾丸
知母（酒炒） 黄柏（酒炒，各二两） 肉桂（二钱）
Qi moves simultaneously; logically, there should be wind coming from both east and west at the same time. Why is this not the case? I replied: The heaven and earth constitute a unified qi. If the qi in the east is disharmonious and the qi in the west is also disharmonious, then belching (eructation) might originate from the east, and the disharmonious qi from the west would also discharge along with the eastern qi. Thus, there is only east wind. If it originates from the west, then there is only west wind. However, heaven and earth are the greatest entities. If one side is disharmonious and the other side is disharmonious, although they are extremely far apart and cannot correspond to each other, if belching occurs simultaneously in both places, the winds generated by them will be distant and distinct, which humans cannot perceive. As the proverb says: "The wind differs over a thousand li."
Another question was asked: What about thunder and lightning? I replied: Throughout the year, heat changes to cold, and cold changes to heat; these are all the primordial yang qi of heaven and earth. When ascending, it becomes heat; when descending, it becomes cold. When the solar term Jingzhe (Awakening of Insects) arrives, the qi gradually ascends and reaches the exterior. Because the qi of heaven and earth is disharmonious, and disharmony prevents ascent, the desire to ascend but inability to do so causes the qi to break through obstructions and emerge. Hence, thunder and lightning occur together. Lightning is the primordial yang qi, and qi is fire. Thunder arises because the fire of the primordial yang qi ascends outward; therefore, lightning usually appears before thunder (similar to fireworks, where light is seen before sound). If lightning is intense, thunder erupts violently outward, causing the thunderous sound to shake upwards, forming a thunderbolt. If thunder stops but lightning continues, this is residual qi after breaking through the interior. Thus, lightning flashes briefly without traveling far, and the qi dissipates easily. Therefore, as one flash ends, another begins. In early autumn, yang qi is about to收 (gather/restrain). If the qi of heaven and earth is disharmonious, the qi desires to descend but cannot, instead rebelling upward. Hence, sudden thunder often occurs. As autumn deepens, yang qi gradually descends. By winter, it hides and stores, so thunder also ceases its sound. Humans participate with heaven and earth. In autumn, human qi gradually gathers. Gathering closes the hair follicles (pores), and pathogens contracted in spring and summer become stagnant. When stagnation releases, disease manifests. Thus, diseases often occur in autumn.
Xu Shuwei stated in *Ben Shi Fang*: "I suffered from Yin Pi (accumulation due to fluid retention) for thirty years. It began because when I was young, I sat writing at night, leaning left on the desk, causing food and drink to accumulate on the left. At midnight, I drank several cups of wine and slept on my left side. In my prime, I felt nothing. After three or five years, I noticed the wine made sounds only on the lower left, accompanied by hypochondriac pain, reduced appetite, and gastric discomfort. Drinking half a cup stopped me. Every ten days or so, I vomited several sheng of sour water. In summer, I sweated only on the right side, with absolutely no sweating on the left. I visited many famous doctors, but no treatment worked. I speculated that there must be a pouch in my body like a hollow in the ground holding water; it does not flow until full. Only clear fluids can flow, while turbid fluids stagnate without a path to drain. Thus, after accumulating for five to seven days, vomiting relieves it. Spleen Earth dislikes dampness, and water flows with dampness. The best approach is to dry the spleen to remove dampness and strengthen the earth to fill the hollow. So, I discarded all medicines and used only one jin of Cang Zhu (Atractylodis Rhizoma), peeled, sliced, and powdered. Mixed with half a liang of Sesame Seed (Sesami Semen) and two qian of water, ground and filtered for juice. Fifty Jujubes (Jujubae Fructus) were boiled, peeled, pitted, and mashed to mix into pills the size of Sophora seeds. Taken warm on an empty stomach, fifty pills daily. Increased to one or two hundred pills. Avoided peaches, plums, and sparrow meat. After three months, the disease was cured. Since then, I rarely vomit, spit, or feel pain. My chest and diaphragm are open and smooth, eating and drinking are normal, sweating in summer is uniform all over the body, and I can read small print under a lamp. All this is due to Cang Zhu. Initially, I felt slightly dry, so I took Gardenia powder (Gardeniae Fructus) mixed with boiling water to counteract it. Long-term use naturally eliminated the dryness."
He also said: "Someone suddenly appeared dead while normally healthy: body motionless, eyes closed, mouth tight, or slightly conscious, dizzy and confused for a while before waking. This is called Blood Jue (Syncope due to Blood Stagnation) or Yu Mao (Depression and Dizziness). It is caused by excessive sweating leading to blood deficiency and direct upward rush of yang qi. Qi obstruction prevents movement, making the body seem dead. When qi passes and blood returns, yin and yang reconnect, so waking occurs after a while. Women suffer this frequently. Bai Wei Tang (Anemarrhenae Decoction) is suitable, using Bai Wei (Anemarrhenae Rhizoma) and Dang Gui (Angelicae Sinensis Radix) one liang each, Ren Shen (Ginseng Radix) half a liang, and Gan Cao (Licorice Radix) one qian and half. Take five qian per dose, decoct in two zhan of water to one zhan, and take warm."
*Meng Xi Bi Tan* records: "Lord Xia Wenzhuang had a luxurious nature and unique constitution. As soon as he fell asleep, his body became cold and stiff, like a corpse. Upon waking, someone had to warm him for a long time before he could move. Someone saw him walking with two carts side by side, carrying a towering object. Asked what it was, it turned out to be a cotton tent made of dozens of jin of cotton. He constantly consumed Xian Mao (Curculiginis Rhizoma), Zhong Ru (Stalactitum), and Liu Huang (Sulfur) beyond count. Every morning he ate Zhong Ru Porridge. A minor official stole some and developed a carbuncle that could not be saved."
*Chui Jian Xu Lu* records: "Ge Kejiu treated a wealthy woman from the same prefecture, aged seventeen or eighteen, suffering from Wei Bi (Flaccidity and Obstruction of the four limbs), unable to feed herself, staring blankly, with no cure found by other physicians. Ge examined her and said: 'Remove all fragrant items like cosmetic boxes and tassels from the bedroom. Dig a pit in the floor, place the girl inside, and close the screen. Warn family members to report to me when her hands and feet move and she cries.' After a long time, her hands and feet moved and she cried. One pill was administered, and she emerged from the pit the next day. This girl had a habit of loving fragrance, which eroded the Spleen."
Puyang Chuan recorded: "In the Dinghai year of the Wanli era, a woman in Jintai sold wool everywhere in the market and then disappeared. Soon, people in the capital developed blistering tumors that grew larger, with many dying of pain. Inside the tumors was only wool. A Daoist transmitted a formula: Powder Black Beans (Phaseoli Semen Nigrum) and Buckwheat (Fagopyri Esculenti Rhizoma) and apply externally. When the wool falls off, it heals. Named Yang Mao Ding (Wool Carbuncle)."
[Shen Yuan's Note]: This condition is common in Jiangnan and Shandong, but differs from the previous case. It starts with fever, resembling Malaria (Nüe Ji) or Cold Damage (Shang Han), heavy body, unbearable distending pain in skin and flesh all over, and red spots like rash. Puncturing with a needle reveals wool inside, either one strand or several, white or red, thick or thin, varying in shape and color. Commonly called Yang Mao Zhen Zi (Wool Rash). Many die. Some do not puncture but take internally Gegen (Puerariae Lobatae Radix), Shengma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix), Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Niu Bang Zi (Arctii Fructus), Chan Tui (Cicadae Periostracum), Yin Hua (Lonicerae Japonicae Flos), Lian Qiao (Forsythiae Fructus), Huang Qin (Scutellariae Radix), Ling Yang Jiao (Capricornis Cornu), Xi He Liu (Salicis Tashiroanae Ramulus). Externally apply the previous case's medicine. The wool sticks to the medicine, and pain subsides after rubbing.
However, it may recur after one day, two days, or half a day. Rubbing with medicine brings back the wool, which gradually flattens. This may last one or two months, or three to five months, until white blisters appear all over and severe itching occurs, then recovery happens. Without this treatment, few survive. Another type presents only with fever, heavy body, and distending pain, without red spots. The same treatment applies: puncture to remove wool and release blood, curing the disease immediately. This is Yi Du (Epidemic Toxin); releasing the toxin cures it.
Li Dongyuan treated Lady Li Zheng. Her six pulses were all wiry (Xian), combined with surging and slow qualities, weak upon pressure, with wiriness above. This indicated Wind-Heat sinking into Yin, blocking the Yang pathway. Symptoms: closing eyes caused whole-body numbness, worse at night; opening eyes made numbness recede, eventually stopping. Keeping eyes open prevented symptoms; fearing numbness, she dared not close them, causing insomnia. Body heavy, occasional phlegm cough, feeling of stuck phlegm in chest, irritability, shortness of breath, robust skin, normal diet and excretion. Fear of numbness and inability to sleep was the greatest suffering. Color and pulse matched the disease without contradiction. *Nei Jing* states: "Yang excess leads to eye closure with light movement; Yin disease leads to eye closure with heavy stillness." Also: "All pulses relate to the eyes." *Ling Shu* states: "Opening eyes allows Yang pathway to function, circulating yang throughout the body; closing eyes blocks the Yang pathway, like day and night separation." Knowing yang is deficient and yin is abundant, and numbness is associated with Wind—even children believe this—careful analysis shows otherwise. Sitting long and rising causes numbness; binding with rope causes numbness and immobility, releasing restores movement. Thus, it is not Wind pathogen, but Qi stagnation. Do not treat Wind; tonify Middle Qi, and numbness will vanish. Knowing the meridians, Yin Fire attacks Yang division, moving internally causing numbness. Must clear Yin Fire. Phlegm cough is due to Autumn coolness outside and Dampness above; solidify exterior with warm agents. Heavy body and slow pulse indicate hidden Dampness; raise Yang, assist Qi, benefit Blood, mildly purge Yin Fire, remove Dampness, unblock meridians, regulate Yin and Yang. Not an original pathogen of the Five Zang. Main formula: Bu Qi Sheng Yang He Zhong Tang (Tonify Qi, Raise Yang, Harmonize Middle Decoction). Eight doses cured.
Treated another person who had a son in middle age. After one year, red-thread tumors appeared on his body. His four subsequent sons died of similar tumors. Asked why. Next month, he thought and said: "You have latent fire in Kidney. Essence and Qi must contain red threads, transmitted by Qi, causing this disease in offspring. Commonly named Tai Liu (Fetal Tumor). Observe carefully." He confirmed. Prescribed Zi Shen Wan (Nourish Kidney Pills) several doses to purge Kidney fire and supplement True Yin deficiency. Avoid alcohol and spicy-hot foods. Wife used Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) to nourish Blood. After five months of pregnancy, used Huang Qin (Scutellariae Radix) and Bai Zhu (Atractylodis Macrocephalae Rhizoma) as powder, taken five to seven doses. Subsequent sons did not develop the condition.
Wang Shishan treated a man, tall and thin, pale and fragile, over thirty years old, with a strange disease. Whole body tingling, moving like insects, sometimes starting from left leg, ascending to head, descending to right leg, hearing insect sounds. Doctors did not know the disease. Wang palpated pulse: floating, small, and soft, insufficient upon pressure. Observing form and color indicated deficiency. *Shang Han Lun* states: "Like insects moving on body, indicates loss of Yang from excessive sweating." Following this example, used Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction), doubling Ren Shen (Ginseng Radix) and Huang Qi (Astragali Radix), assisted by five fen of Huang Bo (Phellodendri Cortex) fried in wine. Thirty doses cured.
Treated a woman who occasionally experienced whole-body numbness leading to confusion and unconsciousness, recovering after a long time. Doctors treated as Wind, using Wu Yao Shun Qi San (May Chang Qi-Regulating Powder) and Xiao Xu Ming Tang (Minor Extinction Brightening Decoction), worsening the disease. Wang palpated: pulses floating, soft, slow, and weak. Said: "This is Qi deficiency. Numbness is Qi failing to move; slowness fails to connect. Like sitting long with bent knees, Qi pathway blocked, standing up causes numbness. Heart nourishes Blood and houses Spirit. If Qi transport is poor, Blood rarely arrives. Heart loses nourishment, causing confusion." Used Ren Shen (Ginseng Radix) and Huang Qi (Astragali Radix) two qian each, Dang Gui (Angelicae Sinensis Radix), Fu Ling (Poria), Mai Dong (Ophiopogonis Radix) one qian each, Huang Qin (Scutellariae Radix), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Licorice Radix) five fen each. Decocted and taken, cured.
Zhu Zhongning treated a noble lady suffering from aversion to cold, covering her head with heavy furs day and night, jumping into boiling water without feeling it. Doctors thought cold was severe. Zhu said: "This is Phlegm-Fire rushing upward, known as Extreme Yang resembling Yin." Must purge downward to kill fire. Overnight removed furs, called for water to drink. Ten days later, Qi calmed and recovered.
Danxi treated a woman near sixty, often shivering with cold in summer, preferring fierce fire and cotton, sweating like rain, fat and muscular, having taken Fu Zi (Aconiti Lateralis Radix Praeparata) over ten doses. Whole body very itchy, pulses deep and choppy, slightly large when pressed heavily. Indicated extreme heat and Blood deficiency. Used Si Wu Tang (Four Substance Decoction), removing Chuan Xiong (Ligustici Chuanxiong Rhizoma), doubling Shu Di Huang (Rehmanniae Radix Praeparata), adding Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Qi (Astragali Radix), fried Huang Bo (Phellodendri Cortex), raw Gan Cao (Licorice Radix), one liang per dose. First decoction drunk. Severe diarrhea, blind, mute. Realized disease was deep and medicine lacked counter-agent guidance. Gave same medicine well-fried, borrowing fire power as guide. One dose stopped diarrhea, four doses restored spirit, ten doses fully healed.
Treated Jiang's wife, over thirty, thin and dark-faced, preferring heat and aversion to cold in June, pulses deep and choppy, rapid when pressed heavily. Purged with San Huang Wan (Three Yellow Pills), taken with Ginger Decoction, thirty pills per dose. Twenty doses, slight sweat, cured.
Treated a girl over fifteen, irritable and stout, coughing and reversing qi due to great anger in summer. Each sound caused whole-body trembling and fainting, occurring every three to five breaths. Pulse unpalpable, form and Qi indicated excess. Decocted two liang of Ren Shen Lu (Ginseng Stem) and drank. Vomited several bowls of sticky phlegm, profuse sweat, slept for a day, then calm.
Treated a man with lumps all over body, which are Phlegm. Er Chen Tang (Two-Cured Decoction) plus Bai Jie Zi (Sinapis Semen), fried Huang Lian (Coptidis Rhizoma) decocted and taken.
A man from Wu Prefecture had lumps on shoulder and back. Leaning left moved lump to left, leaning right moved to right. Treated as Phlegm-Fluid flowing and pooling. Removed Huang Lian from previous formula, added Jie Geng (Platycodonis Radix), cured.
Jiang Rujie treated an old woman with weakness, asthma, left half of body from head to foot hot with spontaneous sweating, unable to endure single clothes. Right half from head to foot cold, unable to be warmed by thick clothes. Three years, medicine ineffective. Wang palpated six pulses: lifting revealed all subtle and slightly wiry; pressing revealed slightly surging and weak. Two Guan pulses slightly stronger than two Cun pulses. Classics state: "Subtle indicates deficiency." "All wiry indicates Fluid retention." "Surging indicates Yang/Heat." "Weak indicates deficiency." Thus, Wind pathogen entered Spleen, exterior-interior Yin-Yang Qi-Blood all deficient. Classics state: "Treating disease must seek root. Wind pathogen means Wood invades Earth." Wind enters Spleen from Taiyang. First, vent Taiyang to secure exterior. Then nourish Spleen and suppress Wood, preventing Spleen from thief pathogen. Qi-Blood gradually calm, left-heat/right-cold disease removed. Shi Gao (Gypsum Fibrosum) and Kuan Dong Hua (Farfarae Flos) three qian each, Guan Gui (Cinnamomi Cortex), half amount of Gan Cao (Licorice Radix), powdered fine, blown into throat with tube, taken with strong tea three to four qian. Cough and asthma stopped. Next day, tonic agent: Bai Zhu (Atractylodis Macrocephalae Rhizoma) two qian half, Bai Shao (Paeoniae Radix Alba), Xiang Fu (Cyperi Rhizoma) one qian half each, Huang Qi (Astragali Radix), Chen Pi (Citri Reticulatae Pericarpium) one qian each, Gan Cao (Licorice Radix) three fen. Decocted and taken. Later removed Bai Shao, added Ren Shen (Ginseng Radix) three qian. Several doses cured.
Shizhen treated a man. Onset: distending pain at one point in right waist, radiating to right hypochondrium, up to chest, requiring lying down. Bowel urgency with heaviness, frequent defecation urge, long and frequent urination. Or acid regurgitation, or vomiting water, or diarrhea, or impotence, or relieved slightly by wine, or reduced slightly by food. Triggered immediately by cold exposure, cold food, labor, intercourse, anger, or hunger. Once stopped, all symptoms vanished as if healthy. Sometimes several times a day. Warm-tonifying damp-resolving, nourishing, and digesting medicines gave slight temporary relief. Shizhen thought: Hunger/fullness and labor injured Original Qi, Clear Yang trapped, unable to ascend. Used Sheng Ma Ge Gen Tang (Kudzu and Cimicifuga Decoction) combined with Si Jun Zi Tang (Four Gentlemen Decoction), adding Chai Hu (Bupleuri Radix), Cang Zhu (Atractylodis Rhizoma), Huang Qi (Astragali Radix). Decocted and taken. After taking, drank one or two cups of wine to assist. Medicine entering abdomen felt Clear Yang ascending, chest/diaphragm refreshing, hands/feet warm, head/eyes clear, spirit vigorous, symptoms swept away. One dose stopped each onset, incredibly effective. Reducing Sheng Ma/Ge Gen or not drinking wine delayed effect. Generally, after fifty, Qi consumption exceeds growth, descent exceeds ascent, Autumn/Winter commands exceed Spring/Summer. Those with weak constitution and these symptoms should use this active method. *Su Wen* states: "Where Yin Essence is offered, life is long; where Yang Essence descends, life is short."
Sun Dongsu treated a noble lady in Shizhou. Whole body migrating pain, worse at night, like insects biting muscle, often attributed to ghosts. Sun said: "This is exactly Li Jie Feng (Joint-Wandering Wind)." Three doses of She Xiang Wan (Musk Pill) cured.
Jiang Yingsu saw a timber merchant who claimed spending five months felling trees, standing long in wind/rain/wetland, clothes soaked. Suffered alternating chills and fever, whole-body distending pain wanting to be beaten, unknown disease. Medicines ineffective. Suddenly craving rice wine, drank several cups hot, felt abdominal comfort. Drank to drunkenness, then cured. This was Cold-Dampness, unrecognized by doctors.
Yao Yingfeng saw a man, around sixty, whole body small boils like millet. Yingfeng said: "Named Jing Hai Chuang (Pure Sea Sore). In the Jiazi year nearing Zhouhai, immortal assessment true. Born with this sore: untreated lives, treated dies." Man did not believe. Treated sore, sore healed, man died.
One person had strange carbuncle, like abscess but small, strange pus like mung bean soup, gone today, full tomorrow. Use Yun Tai Cai (Rapeseed Vegetable), disperse blood and detoxify. Must mash cooked, put in cloth bag, bake in hot ash, alternate compressing. Two or three times cured.
Wu Huangchi treated a woman, over thirty, postpartum deficiency syndrome, aversion to cold, unable to speak, unable to move hands/feet, good appetite, normal excretion, profuse sweating. Treatment: Ren Shen (Ginseng Radix) large dose, add Gui Zhi (Cinnamomi Ramulus), one to three qian per dose depending on severity. Taken for half a year. In summer, aversion to wind/cold worsened. Mouth could speak, hands/feet could move, but cold aversion remained. Forced to sit in cool breeze, immersed hands/feet in cold water, held cold water in mouth. Initially very uncomfortable, later endured, felt safe. Gradually warm to hot, increasingly hot, desired frozen drinks. Drank cold water suddenly, removed clothes suddenly, returned to normal and healed.
Qin Jianquan, Zhuangyuan in Ren Shen year, nocturnal sweating for three years, wetting clothes/quilt every waking. Diet/lifestyle normal. Dozens of doctors ineffective. I was in capital, came to consult. Palpated: six pulses like silk, yet leisurely without illness, only Liver pulse medium-pressure wiry and solid. Said: "Your pulse is Six Yin pulses. No other abnormality, only left Guan wiry. Liver/Gallbladder has Fire." Zhongjing states: "Nocturnal sweating is half-exterior half-interior, Gallbladder has Heat." Used Xiao Chai Hu Tang (Minor Bupleurum Decoction), adding Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Dan Pi (Moutan Cortex), Frost-fallen Sang Ye (Mori Folium). Few doses cured.
Zhou Nanxi from Wulin, over thirty, strong constitution, feared heat. Avoiding heat in West Lake, sat in damp shade daily, ate fruits/melons. Mid-Autumn suddenly legs tendons pulled painfully, days later arms. Days later, finger movement caused whole-body tendon pulling pain and cessation. Treated with wind-dispersing/phlegm-draining agents, ineffective, critical. Pulses all wiry and urgent. Wiry indicates Fluid retention, urgent indicates Cold. Phlegm entering bones/tendons causes pulling pain. Disease due to Cold-Damp generating Phlegm flowing into tendons. Ban Xia (Pinelliae Rhizoma), Fu Ling (Poria) three qian each, Bai Jie Zi (Sinapis Semen) two qian, Chen Pi (Citri Reticulatae Pericarpium), Mu Gua (Chaenomelis Fructus) one qian half each, Gan Jiang (Zingiberis Rhizoma), Gan Cao (Licorice Radix) one qian each, Sheng Jiang (Zingiberis Rhizoma Recens) three slices. Delivered Qi Ying Wan (Miraculous Response Pill) seven Sophora-seed-sized pills. Half day later, fingers moved. Further doses stopped pulling. Changed to Liu Jun Zi Tang (Six Gentlemen Decoction), regulated half month, spirit recovered.
Official surnamed Wang, mid-Spring body very hot, sensation of object moving on body, dry mouth/lips, yellow-red urine. Said: "This is Re Bi (Heat Bi)." *Tong Zhi* states: "Heat Bi transfers heat from Zang-Fu, meets external pathogen, lodges in meridians, stays not moving. Yang encounters Yin, thus Bi obstructed and stifled, muscles extremely hot, body like mouse running, lips/mouth cracked, skin color changed. Treat with Sheng Ma Tang (Cimicifuga Decoction)." Gave this decoction, cured.
**Nie Hen Dan (Trace-Eliminating Pill)**
Shu Di Huang (Rehmanniae Radix Praeparata), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Shan Zhu Yu (Corni Fructus) (each one jin), Du Zhong (Eucommiae Cortex), Shan Yao (Dioscoreae Rhizoma) (eight liang), Bai Shao (Paeoniae Radix Alba) (six liang), Bai Guo (Ginkgo Semen), Dang Gui (Angelicae Sinensis Radix), Che Qian (Plantaginis Semen) (each three liang). Honey pills, Sophora-seed-sized. One liang morning and evening daily. Self-dissolves when finished.
**Liu Shen Wan (Six Spirits Pill)**
Shen Qu (Massa Medicata Fermentata), Mai Ya (Hordei Fructus Germinatus), Fu Ling (Poria), Zhi Ke (Aurantii Fructus Immaturus), Mu Xiang (Aucklandiae Radix), Huang Lian (Coptidis Rhizoma). Powdered, mixed with Shen Qu into pills, sesame-seed-sized. Fifty pills per dose, delivered with plain warm water.
**Zi Shen Wan (Nourish Kidney Pill)**
Zhi Mu (Anemarrhenae Rhizoma) (wine-fried), Huang Bo (Phellodendri Cortex) (wine-fried, each two liang), Rou Gui (Cinnamomi Cortex) (two qian).