族侄仲木内人,贤淑妇也。不育多郁,腹胀,左胁不能侧卧,也不能仰卧,仰侧卧即气
涌。
每午夜背心作胀,气喘,吐痰,发热,必起坐令人揩摩久之始定。面有浮气,右寸关脉滑大
有力,此气郁食积痰饮症也。盖忧思伤脾,思则脾气结,气结不行,则五谷之津液皆凝聚为
痰,故喘急作胀。先与定喘汤二帖,而无进退。继用核桃肉五钱,杏仁三钱,人参、桑白皮
各七分,水煎服之,气喘乃定。惟腹中胀急,改用橘红、半夏曲、木香、白豆仁、郁金、萝
卜子、姜连、香附、茯苓四剂,大便痰积随下,腹胀尽消而愈。
族侄孙女,年甫十岁,大便脱肛,鼻中时常出血,夜多切牙,肚热面黄,将成疳症,以
山楂
、青蒿、枳实、升麻、酒连、滑石各一两,甘草、芦荟、干蟾各五钱,俱研末,神曲糊为丸
,一料痊愈。
唐岩祈,首秋患痢赤白,延至次年春分不愈,腹中作胀不知饿。每行动则气喘,四阳之
末皆
冷,阴囊肿,大便日夜十数行,而肌肉甚瘦,小水短少,饮食减半,面黄,两跗肿大及踝。
与平胃散加酒连、猪苓、泽泻、升麻、防风、酒炒白芍药、薏苡仁,外与香连丸合益元丸相
兼服,四日而痢止,乃知饿而加食,精神爽快。再四剂,两跗、阴囊之肿皆消,惟咳嗽,用
薏苡仁、酒炒白芍药、粉草、泽泻、杏仁、桑白皮、陈皮、姜连、茯苓、姜黄、葛根、萝卜
子二帖而嗽除,但体乏力,与六君子汤加补骨脂、薏苡仁、滑石、红曲、酒炒白芍药、桔梗
、麦芽,调养半月而全瘳。
The wife of the clan nephew Zhongmu was a virtuous and gentle woman. Due to infertility, she suffered from much depression, leading to abdominal distension. She could not lie on her left side or supine; lying in either position caused qi to surge upward.
Every midnight, her back would feel distended, accompanied by asthma, expectoration, and fever. She had to sit up and have someone massage her for a long time before she could calm down. Her face showed signs of floating qi (edematous appearance), and the right cun and guan pulses were slippery, large, and forceful. This is a syndrome of qi stagnation, food retention, and phlegm-fluid retention. It is generally believed that worry and overthinking damage the Spleen; excessive thinking causes Spleen Qi to knot. When Qi knots and fails to circulate, the fluids from the five grains condense into Phlegm, thus causing urgent breathing and distension. Initially, Dingchuan Tang (Calming Asthma Decoction) was administered for two doses, but there was no improvement or deterioration. Subsequently, Walnut Meat (Semen Juglandis) 5 qian, Almond Seed (Semen Armeniacae Amarum) 3 qian, Ginseng Radix et Rhizoma (Renshen) and Mulberry Root Bark (Radix Moriae) each 7 fen were decocted in water and taken orally, after which the asthma stabilized. However, abdominal distension and urgency persisted. The prescription was changed to Tangerinae Pericarpium Rubrum (Chenhui), Pinelliae Fermentatae (Banxiaqu), Aucklandiae Radix (Muxiang), Amomi Fructus Rotundus (Baishoudouren), Curcumae Radix (Yujin), Raphani Semen (Luobozhi), Ginger-processed Coptidis Rhizoma (Jianglian), Cyperi Rhizoma (Xiangfu), and Poria (Fuling) for four doses. The phlegm-stool accumulation was discharged with the stool, the abdominal distension completely disappeared, and she recovered.
The clan nephew's granddaughter was only ten years old. She suffered from rectal prolapse during defecation, frequent epistaxis, severe bruxism at night, abdominal heat, and sallow complexion, indicating an impending development of Infantile Malnutrition (Gan Syndrome). Hawthorn Fruit (Shanzha), Artemisiae Annuae Herba (Qinghao), Immature Bitter Orange (Zhishi), Cimicifugae Rhizoma (Shengma), Wine-processed Coptidis Rhizoma (Jiu Lian), and Talcum (Huashi) each 1 liang, Licorice Root (Gancao), Aloe (Luhui), and Dried Toad Skin (Ganchan) each 5 qian were all ground into powder, mixed with dough made from Medicated Leaven (Shenqu) to form pills. One course of treatment resulted in a complete cure.
Tang Yanqi contracted dysentery with red and white discharge in early autumn. The condition persisted until the Spring Equinox of the following year without resolution. He experienced abdominal distension and loss of appetite. Every time he moved, he suffered from asthma. His four extremities were cold, his scrotum was swollen, and he had bowel movements more than ten times a day. His muscles were very emaciated, urine output was scanty, food intake was halved, his complexion was sallow, and both dorsum pedis were swollen up to the ankles. Pingwei San (Calm the Stomach Powder) was prescribed with additions: Wine-processed Coptidis Rhizoma, Polyporus (Zhu Ling), Alisma Rhizoma (Zexie), Cimicifugae Rhizoma, Saposhnikoviae Radix (Fangfeng), Wine-processed Paeoniae Radix Alba (Jiu Chao Baishao), and Coix Seed (Yiyiren). Externally/alternately, Xianglian Wan (Aucklandia and Coptidis Pill) was combined with Yi Yuan Wan (Benefit Primordial Pill). After four days, the dysentery stopped, he regained his appetite, increased food intake, and felt refreshed. After another four doses, the swelling of the dorsum pedis and scrotum subsided. Only cough remained. Yiyiren, Wine-processed Paeoniae Radix Alba, Glycyrrhizae Radix et Rhizoma Praeparata (Fencao), Alisma Rhizoma, Almond Seed, Mulberry Root Bark, Citri Reticulatae Pericarpium (Chenpi), Ginger-processed Coptidis Rhizoma, Poria, Turmeric Rhizome (Jianghuang), Puerariae Radix (Gegen), and Raphani Semen were used for two doses, eliminating the cough. However, he still lacked physical strength. Liujunzi Tang (Six Gentlemen Decoction) was prescribed with additions: Psoraleae Fructus (Buguzhi), Coix Seed, Talcum, Red Yeast Rice (Hongqu), Wine-processed Paeoniae Radix Alba, Platycodonis Radix (Jiegeng), and Hordeum Fructus Germinatus (Maiya). After half a month of recuperation, he fully recovered.