杨季登二女。俱及笄将字。长女病经闭年余。发热食少。肌削多汗。而成痨怯。医见汗多。误为虚也。投
以参术。其血愈锢。余诊时见汗出如蒸笼气水。谓曰此症可疗处。全在有汗。盖经血内闭。止有从皮毛间透
出一路。以汗亦血也。设无汗而血不流。则皮毛干槁而死矣。宜用极苦之药。以敛其血入内。而下通
于冲脉。则热退经行。而汗自止。非补药所能效也。于是以龙荟丸日进三次。月余忽觉经血略至。汗热稍轻。
始减前丸。只日进一次。又一月。经血大至。淋漓五日。而诸病全瘳矣。第二女亦病多汗。食减肌削。诊时手
间筋掣肉颤。身倦气怯。余曰。此大惊大虚之候。宜从温补者也。遂于补剂中多加茯神枣仁。投十
余剂。全不对病。余为徘徊治法。因自讦曰。非外感也。非内伤
也。非杂症也。虚汗振掉不宁。能受补药。而病无增减。且闺中处子。素无家难。其神情浑似丧败之余。此曷
故耶。忽而悟曰。此必邪祟之病也。何为其父不言。甚有可疑。往诊问其面色。曰时赤时黄。余曰。此症确有
邪祟。附入脏腑。吾有神药可以驱之。季登才曰。此女每晚睡去。口流白沫。战栗而绝。以姜汤灌至良久方
苏。挑灯侍寝防之。亦不能止。因见所用安神药甚当。兼恐婿家传闻。故不敢明告也。余曰。何不蚤言。
吾一剂可愈。乃以犀角羚羊角龙齿虎威骨牡蛎粉鹿角霜人参黄 等药合末。令以羊肉半斤。煎取浓汁三盏。尽调
其末。一次服之。果得安寝。竟不再发。相传以为神异。余盖以祟附于身。与人之神气支持。亦逼处不安。无
隙可出。故用诸多灵物之遗形。引以羊肉之膻。俾邪祟转附骨角。移从大便而出。仿上古遗精变气祝
繇遗事。充其义耳。吾乡熊仲纾先生幼男去疾。髫龄患一奇症。食饮如常。但脉细神呆。气夺色夭。仲翁曰。
此何病也。余曰。病名淹牒。左传所谓近女室晦。即是此病。彼因近女。又遭室晦。
故不可为。令郎受室晦之邪。而未近女。是可为也。即前方少加牛黄丸。服旬日而安。今壬午去疾已举孝廉矣。
胡卣臣先生曰。辨症用药。通于神明。究莫测其涯 。
Yang Jideng's two daughters were both of age (fifteen) and about to be betrothed. The eldest daughter had suffered from amenorrhea for over a year, accompanied by fever, poor appetite, emaciation, and profuse sweating, eventually developing into a consumptive weakness syndrome (Laoqie). Physicians, seeing the profuse sweating, mistakenly diagnosed it as deficiency and administered tonics such as Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu), which only caused further stagnation of the menses. Upon my examination, I observed her sweating like steam rising from a steamer, and told her: "The key to treating this condition lies entirely in the presence of sweating. Since the menstrual blood is internally obstructed, there is only one pathway for it to emerge: through the skin and hair follicles. This is because sweat is also derived from blood. If there were no sweating and the blood did not flow, the skin would become dry and withered, leading to death." Therefore, it was appropriate to use extremely bitter-cold herbs to consolidate the internalized blood and guide it downward to connect with the Chong Mai (Penetrating Vessel). Once the heat subsided and menstruation resumed, the sweating would stop naturally. This could not be achieved with tonic medicines. Thus, Longhui Wan (Longdan Xiegan Wan modified or similar bitter-draining pill) was administered three times daily. After more than a month, she suddenly felt a slight onset of menstruation, and the sweating and fever slightly alleviated. The dosage of the pill was then reduced to once every other day. Another month later, menstruation flowed heavily for five days, and all ailments were completely cured.
The second daughter also suffered from excessive sweating, reduced appetite, and emaciation. During the pulse diagnosis, I noticed twitching of tendons and trembling of muscles in her hands, along with physical fatigue and weak qi. I stated: "This is a sign of severe deficiency following great fright; it should be treated with warming and tonifying methods." Consequently, I added Sclerotium Poriae Cocos (Fushen) and Ziziphi Spinosae Semen (Suanzaoren) to the tonifying formula. After administering more than ten doses, there was no effect. I hesitated regarding the treatment strategy and reflected upon myself, saying: "This is neither an external contraction nor an internal injury, nor a miscellaneous disease. The spontaneous sweating and tremors are unceasing; since she can tolerate tonics yet the condition remains unchanged, and considering she is a maiden who has never experienced family disasters, why does her demeanor resemble that of someone who has suffered a catastrophic loss?" Suddenly, I realized: "This must be a disease caused by evil spirits (Xiesui). Why did her father not mention this? It is suspicious." I went to examine her and asked about her complexion. She replied: "Her face turns red at times and yellow at others." I said: "There is indeed an evil spirit attached to the viscera. I have divine medicine to expel it." Only then did Yang Jideng reveal: "My daughter, after falling asleep each night, foams at the mouth, shivers violently, and loses consciousness. We pour ginger decoction into her mouth for a long time until she revives. We stay awake by lamp light to guard against it, but cannot stop it. Because the sedative medicines used previously seemed appropriate, and fearing rumors from the future husband's family, I dared not speak openly." I said: "Why did you not say so earlier? One dose will cure her." I prepared a powder made from Rhinoceros Horn (Xijiao), Antelope Horn (Lingyangjiao), Dragon Teeth (Longchi), Tiger Bone (Hu Gu - *Note: Modern substitutes often used*), Oyster Shell (Muli), Deer Antler Glue/Residue (Lujiaoshuang), Ginseng Radix et Rhizoma (Renshen), and Scutellaria Root (Huangqin). Half a jin (approx. 500g) of mutton was boiled to extract three bowls of concentrated broth. The powder was mixed into the broth and taken in one dose. She indeed slept peacefully, and the condition never recurred. People passed it down as miraculous. My reasoning was that when an evil spirit attaches to the body, it contends with the person's Shen Qi (Spirit and Qi), causing mutual discomfort with no outlet. Therefore, I used relics of spiritual animals (bones, teeth, etc.) guided by the strong odor of mutton to attract the evil spirit to attach to the bones and horns, facilitating its expulsion via the large intestine. This imitates ancient practices of exorcism and transformation of spirits, fulfilling their underlying principles.
Mr. Xiong Zhongshu, a gentleman from my hometown, had a young son named Quji. In his childhood, he suffered from a strange illness. His diet and drink were normal, but his pulse was fine/thready, his spirit was dull, his Qi was depleted, and his complexion was sallow/withered. Mr. Xiong asked: "What disease is this?" I replied: "The disease is called 'Yandie' (Chronic debility due to sexual excess or yin pathogens). As mentioned in the Zuo Zhuan, 'approaching women leads to晦 (darkness/yin pathogen)' refers to this condition. That patient suffered because he approached women and encountered yin pathogens, making him incurable. Your son contracted the yin pathogen but did not approach women, so he is curable." I modified the previous formula by adding a small amount of Calculus Bovis (Niuhuang). After ten days of administration, he recovered. By the Renwu year, Quji had already passed the provincial examinations to become a Xiaolian.
Mr. Hu Youchen remarked: "Differentiating symptoms and prescribing medication reaches the level of the divine; its depths are unfathomable."