金寄闲令堂暑月患痢,小腹窘迫,胸膈膨胀,口舌焦渴。右寸关脉洪滑,左脉弦,乃气
郁食
积痢也。先与木香槟榔丸开而下之,微利一二度,因口渴食西瓜一片,即恶心而吐。昨日大
便利后,胸膈宽快,就进饭一碗,致腹饱闷,兀兀欲吐,所吐皆痰涎。乃以温胆汤加减治之
。半夏四钱,枳实一钱五分,竹茹二钱,橘红、茯苓各一钱,甘草五分,姜连八分,生姜五
片,水煎服之。一饮而胸膈舒畅,便能就枕而睡,恶心顿无,痢亦寻止。
徐中宇之妇,汗
出
如雨,昏昏愦愦,两手无所着落,胸要人足 之不少放,少放即昏愦益甚,气促不能以息,
稍近风则呕恶晕厥。与九龙镇心丹一丸,服下即稍定,少间则又发,始知胸喉中有物作梗而
痛,汤水难入,即药仅能吞一口,多则弗能咽下。乃以苏合香丸与之,晕厥寻止,心痛始
萌。昨日六脉俱伏,今早六部俱见,惟左寸短涩,知其痛为瘀血也。用玄胡索、桃仁、丹皮
、丹参、青皮、当归、香附。其夜仍晕厥一次,由其痛极而然。再与玄胡、丹皮、桃仁、
丹
参、香附、青皮、乌梅、人参、贝母、桂枝、赤芍药,服此痛减大半。乃自云心虚,有热,
头眩。加山栀仁。居常多梦交之症,近更甚,以其心虚故也。人参、石斛、丹参、贝母、当
归、白芍药、酸枣仁、酒连、香附,调理全安。
Jin Jixian’s mother suffered from dysentery in the summer. She experienced urgency and discomfort in the lower abdomen, distension and fullness in the chest and diaphragm, and a parched, dry mouth and tongue. The pulse at the right Cun and Guan positions was surging and slippery, while the left pulse was wiry. This indicated dysentery caused by Qi stagnation and food accumulation. Initially, Muxiang Binglang Wan (Aucklandiae and Arecae Semen Pill) was administered to promote downward movement and unblock stagnation. After mild defecation one or two times, due to thirst, she ate a slice of watermelon, which immediately triggered nausea and vomiting. After a normal bowel movement yesterday, her chest and diaphragm felt relieved and open. She then consumed a bowl of rice, leading to abdominal fullness and oppression, dizziness, and a desire to vomit; what she vomited was phlegm and saliva. Therefore, Wendan Tang (Warm the Gallbladder Decoction) was modified for treatment. Banxia (Pinelliae Rhizoma) 4 qian, Zhishi (Aurantii Fructus Immaturus) 1.5 qian, Zhuru (Bambusae Caulis in Taeniam) 2 qian, Juhong (Citri Reticulatae Pericarpium Rubrum) and Fuling (Poria) each 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, Jiang Lian (Coptidis Rhizoma processed with ginger) 0.8 fen, Shengjiang (Zingiberis Rhizoma Recens) 5 slices. Decocted in water and taken orally. After one dose, her chest and diaphragm became comfortable, she was able to lie down and sleep, the nausea disappeared instantly, and the dysentery ceased shortly thereafter.
Xu Zhongyu’s wife sweated profusely like rain, felt dizzy and confused, and could not find a comfortable position for her hands. Her chest required someone to step on it for slight relief, and if this pressure was released even slightly, her dizziness and confusion worsened significantly. She had rapid breathing and difficulty catching her breath; approaching wind induced nausea, vomiting, and syncope. One pill of Jiulong Zhenxin Dan (Nine Dragons Calming the Heart Pill) was given. After ingestion, symptoms stabilized slightly, but recurred after a short while. It was then realized that there was an obstruction causing pain in the chest and throat, making it difficult to swallow liquids or solids; only one mouthful of medicine could be swallowed, more could not go down. Suhe Xiang Wan (Styrax Pill) was then administered, and the syncope stopped quickly, revealing the onset of heart pain. Yesterday, all six pulses were hidden (Fu pulse); this morning, all six positions showed pulses, except the left Cun position which was short and choppy, indicating the pain was due to Blood stasis. Yanhusuo (Corydalis Rhizoma), Tao Ren (Persicae Semen), Mudanpi (Moutan Cortex), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Qingpi (Aurantii Fructus Immaturus Pericarpium), Danggui (Angelicae Sinensis Radix), and Xiangfu (Cyperi Rhizoma) were used. That night, she still had one episode of syncope due to extreme pain. Yanhusuo, Mudanpi, Tao Ren, Danshen, Xiangfu, Qingpi, Wumei (Mume Fructus), Renshen (Ginseng Radix et Rhizoma), Beimu (Fritillariae Thunbergii Bulbus), Guizhi (Cinnamomi Ramulus), and Chishao (Paeoniae Radix Rubra) were prescribed again. After taking this, the pain reduced by more than half. She then reported feeling Heart deficiency with Heat, and dizziness. Zhiren (Gardeniae Fructus) was added. She usually suffered from nocturnal emissions/dreams involving sexual intercourse, which had recently worsened due to Heart deficiency. Renshen (Ginseng Radix et Rhizoma), Shihu (Dendrobii Caulis), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Beimu (Fritillariae Thunbergii Bulbus), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Suanzaoren (Ziziphi Spinosae Semen), Jiu Lian (Coptidis Rhizoma processed with wine), and Xiangfu (Cyperi Rhizoma) were used for regulation, leading to complete recovery.