,不忍坐视,因延儿科诊之,遂疏方进药,余病良已。儿科颇自得,谓其家人曰∶老先生道
虽高,究非专科,临症不多,误为逆候。其子若妇,亦甚德之,以为乃翁固不若也。叶闻谓
其子曰∶儿痘果愈耶,某先生力也,当设筵演剧,以酬其劳。子遂折柬招之,儿科盛服往叶
出,众客咸称喜。乃颦蹙曰∶喜恐不能终席耳。众初不解,及开宴,金鼓一声,儿嗷然哭,
遂绝。叶乃欢曰∶吾蚤知其必死也。儿科恧然问故。曰∶此儿先天既薄,感气又深,不能外
达,今未兼旬,勉强收结,所泄乃阳明之毒也。肾经所伏,仍然不动,闻震响则心惊,心火
既动,内迫肾水,水火互冲,毒即激发,而莫可御矣。儿科惭而退,众始服其明也。又我邑
医士王惠昭,亦名冠一时,四方求治者,趾相接。一日随仆行郭外,见隔溪一女子,耘于田
,王熟视良久,顾仆曰∶汝可跣足涉溪,以泥水涂面,突前紧执女手,作拖其下水之势,任
伊芳号哭,不可舍去。仆曰∶百步外有耕者闻声来救,恐难脱身。王曰∶有我在,无害也,仆
如其言,女大骇,极声呼救,其父持梃狂奔而来。王忽止之曰∶是若女耶,将发痘,非此一
惊无活理,三日后必见点,以验我言。其父虽未深信,然素慕王名,姑俟之,至期果然。
亟
延诊视,且问故。王曰∶此肾经症也。猝然震骇,可使转入心经,今无妨矣。遂为定方,不
两旬而愈。或曰∶二症皆发于肾经,一则因惊致死,一则因骇得生,何皆言之验也?余曰∶
叶子年幼质弱,感气既重,正不胜邪,毒终不能外达,故发即死。村女身大气旺,一发即透
,透则生惊者,皆欲触其速发也,然惟叶之能决其必死于初发之时,王能取法于未发之际,
是非三折肱者,其能如是哉!
古人尝以水火治病,其效速如熨炙之类,今尚有之。以水疗疾者,世所罕见也。按后汉
时有
妇人,卧疾经年,诸药无效。华佗令坐石槽中,用冷水灌顶,云当百,始及半,已冷颤欲死
,灌者惧而欲止,佗弗许,灌至七十,觉有热气,继而气若蒸釜,水若沸汤,满百灌,乃使
温褥浓覆而卧,醒来病若失矣。又《南史》载将军房伯玉,服五石散,因以致疾,常觉寒栗
,虽夏月必披裘,徐嗣伯诊之曰∶伏热也,须以水发之,然非冬月不可。迨至十一月,水滴
成冰,平旦令伯玉解衣坐石上,取新汲冷水,从顶浇之,尽二十斛,口噤气绝,家人啼哭请
止,嗣伯怒叱。尽水百斛,伯玉始能动,背上彭彭有气,俄而起坐曰∶热不可忍。乞冷冻饮料,
嗣伯以水一升饮之,疾顿愈。自后肢体常暖,冬月犹服单衣。时珍曰∶此皆伏热之证。火郁
则发之。必于冬月者,盖冬至后阳气在内,平旦亦阳气方盛之时,折之以寒,使热气郁遏至
极而激发之。《米真神灵验篇》云
∶有人患风疾,掘坑令解衣坐坑内,以热汤淋之,良久以簟盖之,汗出而愈。宗 云∶四时
暴泄,肢冷腹痛,令坐热汤中,浸至腹上,频频揉擦,生阳诸药,无速于此。二者皆以水疗
疾,冷热虽殊其理一也。
蜘蛛之毒,甚于蛇蝎。余尝见友家一婢,左臂为蛛所啮,肿如瓮,痛极闷绝。或令以羊
血冲
酒灌之,使醉昏睡一日夜,肿始退。阅刘禹锡传信方,载判官张延赏为斑蛛伤颈,初不觉,
越宿首大如斗,有二赤纹绕项下,至心前,几至不救。有方士取大蓝汁,入麝香、雄黄,以
蛛投之即化为水,遂以汁点咬处,两日悉平。本草言蜘蛛能制蜈蚣蛇伤,其性毒可知,古方
有蜘蛛散,取能定幽暗之风,以治阴疝。吴门王晋三《古方选注》云∶蜘蛛有毒,人咸畏之
,而长邑宰林公瑛,山海卫人,壮年调理方多用之,久亦无害。言有毒者,或南北地异所产
不同耳。物理相制,多有不可解者,顾但知其相制处,亦可救一时之急。邻有幼孩,为群蜂
所螫,顷刻肿甚,或令捣芋艿敷之而消。按《沈括笔谈》言处士刘阳居王屋山,时见一蜘蛛,
为蜂螫坠地,其腹如鼓欲裂,乃
徐行入田间,啮芋梗,以疮就磨之,良久腹顿消。然则以芋治螫,或亦本于此耳。
乾隆初,郡城某绅,患腹痛,发必昏厥,势甚危笃。四方医士,延聘殆尽,诸药毕投,竟
无一验。乃榜示通衢,有能治者酬千金。时逢岁
试,士子咸集郡中。金邑有周生者,性好博,场后与发,薄资尽罄,招覆,案发,周不与,
同寓亦大半散去,周坐困族邸,欲归不时。忽梦亡师某谓曰∶汝已得取,不负此来。周曰∶
昨已出案,门生无分,先生尚未知耶。某曰∶汝案在红笺上。周方欲再问,某遽起曰∶速取
看案。周醒,以为妄想所致,晨起无聊,遂至贡院,见案傍果有红笺,视之,乃某官招医帖
也。因思正无归计,姑就之,倘有机会,亦未可料。遂贸然往略,一诊视,诡言此症非汤药
可疗,余手制灵丹,方期有效。约以翌日,回寓沉思,必得一物,庶可伪为丹药,因徘徊户
外,见墙边有半朽蒲包,乃以黄土封固,炙为灰,分作数包,袖以往。曰∶越两时可一服,
不过三服,病当愈,然是非寻常药肆中物,价值昂贵,必先稍偿药资。主人言若有验,不靳
重酬,预付不能应命。周不得已,爽然反寓。越日,有干仆数辈,辇金而至。曰∶先生妙药
,昨进三服,即吐一血块,腹痛顿愈,聊奉薄酬,还求覆诊。周曰∶今病根已去静养自安,
无须用药,余有急务欲归,不克再往,为我谢覆可也。时我邑杨介眉,医名重海内,绅延伊芳
调理,称周术之神。杨令将所吐之物,洗去血污,置清水内,顷之蠕蠕自动,引之长四五寸
,乃一蚂蝗也。曰∶此必饮水误吞入腹,幸未生子,故得一吐而尽。然私慕周之技,乘间往
访,登堂肃拜,执弟子礼甚恭。周骇曰∶先生医道,谁不敬服,仆素无学问,何敢当此。杨
曰∶愿闻所以知某绅之患而治之。周见其诚,遂实告。杨曰∶蒲包灰尚有否?周乃取余灰出
,杨尝之曰∶是已,此盐包也,盐能杀蛭,故有此验耳。
古有防风粥,以真珠兰碎金犀取油,煮五香稻为糜耳,一盂价值一金。白居易在翰林日
,上尝赐一瓯,食之口香七日,云可除风去湿。是亦芳香逐湿之意也。
按《梁州杂记》饧醋能消介类。忆《说部》载有少年眼中尝见一镜,医者言其必吃 太
多,有
鱼鳞在胸,致眼生花耳。乃设芥醋一瓶,令于饥时啜之,疾遂愈。又有为鱼骨所鲠,几废饮
食,后服白饧而解。证此则饧醋之可消介类,其说信然。
走方医卖药市中,或曰∶一日必疗一病,虽未必然,而亦时有验者。邑有李跛,开鱼行
于东
门外,自言其幼时,足背生细疮数颗,无甚痛苦,绝不为意。夏月赤足坐门首,有走方医目
之曰∶此非癣疥疾也,毒伏阳明已久,亟宜外达,不治当发肠痈,此足废矣。伊芳父怒其妄而
叱之,遂去。不逾月病发,医药半年始愈,而足果废。可见走方祝由之类,虽多以小术惑人
,讹取财物,而于方药所不能疗之痼疾,往往以符咒草药取效,即此可见其非全妄也。
(Ye Tianshi) could not bear to stand by and do nothing, so he invited a pediatrician for consultation. The pediatrician prescribed medicine, and my illness was indeed cured. The pediatrician was quite pleased with himself and said to his family: "Although the old gentleman's medical skills are high, he is not a specialist after all. He lacks clinical experience and misjudged the condition as an adverse prognosis." His son and daughter-in-law were also very grateful to him, believing that their father was indeed inferior to this gentleman. Upon hearing this, Ye Tianshi said to him: "Has your son's smallpox really recovered? This is due to Mr. [Ye]'s efforts. You should host a banquet and hire actors to perform plays to repay his labor." Thus, the man sent an invitation, and the pediatrician attended in full ceremonial dress. All the guests expressed joy. However, the pediatrician frowned and said, "I fear this joy will not last until the end of the feast." At first, no one understood. When the banquet began, upon the sound of gongs and drums, the child cried out loudly and then died. Ye Tianshi happily said, "I knew from the beginning that he would surely die." The pediatrician, ashamed, asked for the reason. Ye Tianshi replied: "This child had weak congenital constitution and deep pathogenic qi invasion; the toxin could not reach the exterior. Now, within less than twenty days, it forced a scabbing over. What was discharged was merely the toxin of the Yangming channel. The toxin latent in the Kidney channel remained inactive. Hearing the loud noise caused heart fright. Once the Heart Fire moved, it pressed inward on the Kidney Water. Water and Fire clashed mutually, the toxin was instantly triggered, and could no longer be controlled." The pediatrician retreated in shame, and everyone then acknowledged his brilliance.
Furthermore, Doctor Wang Huizhao of our county was renowned at the time, with seekers of treatment coming from all directions. One day, while walking in the suburbs with his servant, he saw a woman weeding in a field across a stream. Wang stared at her for a long time, then turned to his servant and said: "You can wade across the stream barefoot, smear mud and water on your face, suddenly approach, firmly grasp the woman's hand, and pretend to drag her into the water. Let her cry out; do not let go." The servant said, "There are farmers within a hundred paces who will hear the noise and come to rescue; it may be difficult to escape." Wang said, "With me here, there will be no harm." The servant did as instructed. The woman was terrified and called for help loudly. Her father came running wildly with a stick. Wang suddenly stopped them and said, "Is this your daughter? She is about to develop smallpox. Without this shock, there is no chance of survival. In three days, spots will definitely appear, verifying my words." Although her father did not fully believe him, he admired Wang's reputation and waited. As predicted, it happened exactly as stated. They urgently invited him to diagnose and asked for the reason. Wang said, "This is a disease of the Kidney channel. Sudden shock can cause the pathogen to shift to the Heart channel; now there is no danger." He then prescribed a formula, and she recovered in less than twenty days. Someone asked: "Both cases originated from the Kidney channel; one died due to fright, and the other survived due to shock. Why did both predictions prove accurate?" I said: "Ye Zi was young and physically weak. With heavy pathogenic invasion, righteous Qi could not overcome the evil, so the toxin ultimately could not reach the exterior. Therefore, once it erupted, death ensued. The village girl had a robust body and vigorous Qi; upon eruption, it could penetrate outward. The eruption itself induced fright, which served to hasten its release. However, only Ye Tianshi could determine the certainty of death at the initial stage, and Wang Huizhao could apply methods before the eruption. Only those with extensive experience (literally: 'three broken arms') could achieve such results!"
The ancients used water and fire to treat diseases, with effects as rapid as moxibustion or hot compresses; such practices still exist today. Using water to treat illness is rare in the world. According to records from the Later Han Dynasty, a woman lay ill for a year with no effect from various medicines. Hua Tuo instructed her to sit in a stone trough and pour cold water over her head, stating it should be done one hundred times. By half way, she was shivering violently, nearly dying. The person pouring the water feared and wanted to stop, but Hua Tuo refused. At seventy times, she felt warmth rising, followed by breath like a steamer and water boiling like soup. After one hundred pours, she was covered with thick warm blankets and slept. Upon waking, her illness had vanished. Additionally, *History of the Southern Dynasties* records General Fang Boyu, who suffered illness from taking Five-Mineral Powder, often feeling cold and shivering, wearing fur coats even in summer. Xu Sibai diagnosed it as latent heat requiring dispersion through water, but insisted it must be winter. In November, when water dripped into ice, at dawn, Fang Boyu was ordered to undress and sit on a stone. Fresh cold water was poured from his head down. Twenty hu were exhausted; he became rigid and apneic. His family wept and begged to stop, but Xu Sibai scolded them angrily. After one hundred hu were poured, Fang Boyu could move again. Gas bubbled from his back, and he soon sat up saying, "The heat is unbearable." He begged for cold drinks. Xu Sibai gave him one sheng of water, and the illness instantly healed. Thereafter, his limbs were always warm, and he wore single clothes even in winter. Li Shizhen stated: "These are all cases of latent heat. When Fire is constrained, it must be dispersed. The reason for choosing winter is that after the Winter Solstice, Yang Qi resides internally. Dawn is also when Yang Qi is just flourishing. Using cold to restrain it causes the trapped heat to accumulate to an extreme and then erupt." The *Mi Zhen Shen Ling Yan Pian* states: "Someone suffering from wind-disease dug a pit, undressed, and sat inside. Hot water was poured over him. After a long time, he was covered with a bamboo mat. Sweating occurred, and he was cured." Zong Shi said: "For sudden diarrhea in any season, with cold limbs and abdominal pain, having the patient sit in hot water immersed up to the abdomen, frequently rubbing, produces yang Qi faster than any other medicine. Both cases use water to treat disease; although one uses cold and the other heat, the principle is the same."
Spider venom is more potent than that of snakes and scorpions. I once saw a maid in a friend's house whose left arm was bitten by a spider. It swelled like a jar, causing extreme pain and fainting. Someone suggested administering wine mixed with sheep's blood to induce drunken sleep for a day and night, after which the swelling subsided. Liu Yuxi's *Chuan Xin Fang* records that Censor Zhang Yanshang was bitten on the neck by a spotted spider. Initially unnoticed, by the next morning his head was as large as a bucket, with two red stripes winding under the neck to the chest, nearly fatal. A Daoist priest took juice from Isatis root, added Moschus (She Xiang) and Realgar (Xiong Huang), threw the spider in, which dissolved into water. He then applied the juice to the bite site, and it healed completely in two days. *Ben Cao* states that spiders can counteract centipede and snake bites, indicating their toxicity. Ancient formulas include Zhizu San (Spider Powder), utilizing its ability to calm winds of darkness to treat Yin hernia. Wang Jinshan of Wu Men in *Gu Fang Xuan Zhu* notes: "Spiders are toxic, and people fear them. However, Lin Ying, magistrate of Changyi and native of Shanhaiwei, used them frequently in tonifying prescriptions during his prime without harm. Those claiming toxicity may refer to differences in origin between North and South. Natural counteractions are often inexplicable; knowing these counteractions can save lives in emergencies." A neighbor's child was stung by a swarm of bees, swelling rapidly. Someone advised applying mashed taro, which resolved the swelling. Shen Kuo's *Bi Tan* records that recluse Liu Yang, living in Mount Wangwu, often saw a spider bitten by a bee fall to the ground, its belly distended like a drum about to burst. It slowly walked into the fields, chewed taro stems, and rubbed the wound against them. After a while, the belly subsided. Thus, using taro to treat bee stings may originate from this observation.
In the early Qianlong era, a gentry member in the prefectural city suffered from abdominal pain accompanied by syncope upon onset, in critical condition. Doctors from all directions were hired, and all medicines tried, yet none worked. A notice was posted on the main street offering a thousand taels of silver for a cure. During the annual examination, scholars gathered in the city. Zhou, a scholar from Jinyi, loved gambling. After the exam, he lost all his modest savings. Failing the exam and losing his place among peers, he was stranded in a clan guesthouse, wanting to return home but unable to. He dreamed of his deceased teacher, who said, "You have been admitted; your trip was not in vain." Zhou replied, "The results were published yesterday; I was not selected. Does the Master not know?" The teacher said, "Your name is on the red slip." Just as Zhou was about to ask further, the teacher abruptly stood and said, "Go check the list quickly." Zhou woke up, thinking it a delusion. Bored the next morning, he went to the Examination Hall and saw a red slip next to the list. It was an invitation from an official seeking a doctor. Thinking he had no other way home, he decided to try his luck. He went to examine the patient, falsely claiming that decoctions could not treat this condition, but his handmade spiritual pill would be effective. He promised to return the next day. Back at his lodging, he pondered how to fake a pill. Pacing outside, he saw a half-rotten hemp sack by the wall. He sealed it with yellow earth, burned it to ash, divided it into several packets, and carried them in his sleeve. He told the host, "Take one dose every two hours. Within three doses, the illness will heal. But this is not common pharmacy stock; it is expensive. You must pay some advance." The host said, "If effective, I will not spare rewards, but I cannot pay in advance." Reluctantly, Zhou returned home. The next day, several capable servants arrived carrying gold. They said, "Sir's miraculous medicine worked. After three doses yesterday, he vomited a blood clot, and the abdominal pain ceased immediately. Please accept this humble reward and re-examine." Zhou said, "The root of the illness is gone; rest will bring peace. No more medicine is needed. I have urgent business and must leave. Please decline further visits for me." At that time, Yang Jiemei of our county, renowned nationally, was invited by the gentry to manage the recovery. He praised Zhou's skill as divine. Yang ordered the vomited matter to be washed clean and placed in clear water. Soon, it wriggled and stretched to four or five cun—it was a leech. Yang said, "It must have been swallowed with drinking water. Fortunately, it had not reproduced, so it could be expelled entirely." Privately admiring Zhou's technique, Yang visited him incognito, bowing respectfully as a disciple. Zhou was startled, saying, "Who does not respect your medical Dao? I lack learning; how dare I accept this?" Yang said, "I wish to hear how you diagnosed and cured the gentry member's illness." Seeing his sincerity, Zhou confessed truthfully. Yang asked, "Do you still have the sack ash?" Zhou produced the remaining ash. Yang tasted it and said, "Yes, this is salt ash. Salt kills leeches, hence the efficacy."
Anciently, Fangfeng Zhou (Saposhnikovia Porridge) was made by infusing oils from Zhenzhu Lan (Platanthera chlorantha), Suijin (Acorus tatarinowii?), and Xi Qu (Rhino horn substitute?) into five-spice rice porridge. One bowl cost one tael of gold. When Bai Juyi was in the Hanlin Academy, the Emperor once granted him a cup. Eating it kept his breath fragrant for seven days, claimed to dispel wind and dampness. This reflects the intention of using aromatic herbs to drive out dampness.
According to *Liangzhou Zaji*, malt vinegar can dissolve shellfish-like foods. I recall *Shuo Bu* recording a youth who constantly saw a mirror in his vision. The physician said he ate too much sugar, causing fish scales to form in the chest, leading to visual disturbances. A bottle of mustard vinegar was prescribed to be drunk on an empty stomach, curing the illness. Another case involved someone choked by a fishbone, nearly unable to eat or drink, who was relieved by consuming malt syrup. These proofs confirm that malt vinegar dissolving shellfish-like substances is credible.
Wandering physicians selling medicine in markets claim to cure one disease per day. While not always true, they sometimes succeed. Li Bo, a fish merchant in our county outside the East Gate, claimed that in his childhood, he had several small sores on the dorsum of his foot, causing little pain, which he ignored. One summer day, sitting barefoot at the door, a wandering physician looked at him and said, "This is not a skin disease. Toxin has been latent in the Yangming channel for a long time. It must be released externally. If untreated, intestinal abscess will develop, and this foot will be crippled." His father angrily cursed him away. Within a month, the illness erupted. Medical treatment lasted half a year to recover, and the foot was indeed crippled. This shows that wandering practitioners of Fuyou (exorcism/chanting), though often deceiving people with minor tricks for money, can sometimes achieve results for chronic diseases unresponsive to conventional medicine using talismans and herbs. Thus, they are not entirely baseless.