吴仪制主政尚卿先生,柱史安节公公子也。弱冠时,病鼻塞不能喷者四年,且衄,寒月
更甚
,口渴,咽喉边有痰核,脉之右寸关洪滑。予曰∶此肺经痰火症也。与前胡、秦艽、葛根、
薄荷、石膏、天花粉、玄参、贝母、山栀子、甘草、白药子、桔梗、丹皮、四帖而衄止。夜
与牛黄三清丸数粒噙之,鼻气即通利能嗅,噙未旬曰痊愈。先生初年绩学,心专志一,不知
寒暑,致有塞衄疾。又万历己卯庚辰,郡邑试皆首选,如此者再,而皆不得籍名学宫,益郁
然不适。予时把臂语之曰∶先生何以一儒冠为汲汲。据脉,科甲当不在尊君下,即馆中二友
亦金马客也。根据愚见,史先登,公次之,吴又次之,日后当以斯言为左券,毋相忘。后三公
先后登第,一如予言。万历戊戌春,余应吴宫詹召,公暨史玉老不爽前言,皆为予撰《玄珠
》序,而纪其事,以见一时良遇云。
宜兴宋令君,山东人也,太夫人年五十余,病胸腋胀痛。予时寓吴宫詹家,而绳庵安节
二公,皆
宋公年友,因二公而逆予。诊太夫人脉,右寸关洪滑弹指,如黄豆大,左三部散乱无绪,如
解索状,两尺绝无神气。予不得其受病之源,而宋公亦不以病源告,卒然问曰∶脉为何症
?
予曰∶据左脉为虚弱久病,右脉似又为饮食所伤,必病小愈而又伤,反复之疾也。其势亦危
。宋公闻言危,乃拂其意,貌似不恭,予见其貌,即辞出,至后堂,有各佐二及学博佘公在
焉。佘公予乡人也,素亦知医。问曰∶症候何如?
予曰∶不治。渠谓前诊者皆无难色,公何云然?予曰∶两尺无神,如树无根,此《难经》所
云也。左脉散乱,右脉如豆大弹指,不旬日当见,果后七日而卒,邑中乡先生士民相传,谓
予能预决死生云。
Mr. Shangqing, whose courtesy name was Yizhi and who held the official post of Zhuzheng (Chief Administrator), was the son of Mr. Anjie, who served as Zhushi (Censor). In his early twenties, he suffered from nasal congestion and an inability to sneeze for four years, accompanied by Bi Nu (epistaxis/nosebleed), which worsened in cold months. He experienced thirst and had phlegm nodules (phlegm condensations) at the side of his throat. His pulse at the Right Cun and Guan positions was Hong (surging) and Hua (slippery). I said: This is a condition of Phlegm-Fire in the Lung Meridian. I prescribed Qian Hu (Peucedani Radix), Qin Jiao (Gentianae Macrophyllae Radix), Ge Gen (Puerariae Lobatae Radix), Bo He (Menthae Haplocalycis Herba), Shi Gao (Gypsum Fibrosum), Tian Hua Fen (Trichosanthis Radix), Xuan Shen (Scrophulariae Radix), Bei Mu (Fritillariae Cirrhosae Bulbus), Shan Zhi Zi (Gardeniae Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Bai Yao Zi (Stemonae Radix), Jie Geng (Platycodonis Radix), and Dan Pi (Moutan Cortex). After four doses, the epistaxis stopped. At night, he held several pills of Niuhuang Sanqing Wan (Calculus Bovis Triple-Clearing Pill) in his mouth; immediately, his nasal breath became clear and he could smell odors. Within ten days, he recovered completely. In his youth, Mr. Shangqing devoted himself entirely to scholarship, indifferent to heat and cold, which led to these nasal ailments. Later, during the Ji-Mao and Geng-Chen years of the Wanli era, he ranked first in both the prefectural and county examinations twice but failed to be enrolled as a student in the local academy, causing him increasing depression and discomfort. At that time, I took his arm and said to him: Sir, why are you so eager for the Confucian scholar's cap? Based on your pulse, your success in the imperial examinations would not be inferior to your father's; even your two friends in the academy are destined for high office. By my humble opinion, Mr. Shi will pass first, you second, and Mr. Wu third. You should take these words as a guarantee and do not forget them. Later, all three gentlemen passed the examinations in succession, exactly as I predicted. In the spring of the Wu-Xu year of the Wanli era, I was summoned by Guozhan Wu. Mr. Shangqing and Shi Yulao, keeping their promise, wrote prefaces for my book *Xuanzhu* and recorded this event to witness our good fortune together.
Magistrate Song of Yixing was from Shandong. His mother, the Lady Tai, was over fifty years old and suffered from distending pain in the chest and hypochondrium. I was then residing at the home of Guozhan Wu. Messrs. Shengan and Anjie, both close friends of Magistrate Song by age cohort, invited me through them. Upon examining the Lady Tai's pulse, the Right Cun and Guan positions were Hong (surging), Hua (slippery), and elastic to the touch, like soybeans. The Left positions (Cun, Guan, Chi) were scattered and disordered, resembling a loosening rope. The two Chi positions lacked any spirit or vitality. Unable to determine the source of her illness, and since Magistrate Song did not disclose the cause, I suddenly asked: What disease does this pulse indicate? I replied: According to the Left pulse, it indicates a chronic deficiency condition; the Right pulse suggests injury from diet. It must be a recurring illness where the patient improves slightly only to relapse due to further injury. The situation is critical. Hearing "critical," Magistrate Song acted against my advice, appearing seemingly disrespectful. Seeing his demeanor, I took my leave. At the rear hall, various assistant officials and Scholar She were present. Scholar She, a fellow townsman of mine who also understood medicine, asked: How are the symptoms? I said: Incurable. He remarked that previous physicians showed no hesitation, asking why I said so. I replied: The lack of spirit in the two Chi positions is like a tree without roots, as stated in the *Nan Jing* (Classic of Difficult Issues). With the Left pulse scattered and the Right pulse hard and bean-like, death will occur within ten days. Indeed, she passed away seven days later. The scholars and common people of the county spread rumors that I could predict life and death.