凡胃寒者多为呕吐,而中寒毒者,又必吐而兼泻。余在燕都,尝治一吴参军者,因见鲜
蘑菇肥嫩可爱,令庖人贸而羹之,以致大吐大泻。延彼乡医治之,咸谓速宜解毒,乃以黄连
、黑豆、桔梗、甘草、枳实之属连进之,而病益甚,遂至胸腹大胀,气喘,水饮皆不能受,
危窘已甚,延救于余。投以人参、白术、甘草、干姜、附子、茯苓之类,彼疑不敢用,曰∶
腹胀气急,口干如此,安敢再服此药。乃停一日,而病愈剧,若朝露矣。因而再恳,与药如
前,彼且疑且畏,而决别于内阃,曰∶必若如此,则活我者此也,杀我者亦此也,余之生死
,在此一举矣。遂不得已含泪吞之,一剂而呕少止,再剂而胀少杀,随大加熟地黄,以兼救
其泻亡之阴,前后凡二十余剂,复元如故。彼因问曰∶余本中毒致病,乡人以解毒而反剧,
先生以不解毒而反愈者何也?余曰∶毒有不同,岂必如黄连、甘、桔之类乃可解耶?即如蘑菇
一物,必产于深坑枯井,或沉寒极阴之处乃有之,此其得阴气之最盛,故肥白最嫩也,公中
此阴寒之毒,而复解以黄连之寒,其谓之何?兹用姜附,非所以解寒毒乎?用人参、熟地,非
所以解毒伤元气乎?然则彼所谓解毒者,适所以助毒也,余所谓不解毒者,正所以解毒也。
理本甚明,而人弗能辨。凡诸病之误治者,无非皆此类耳。公顿首愀然叹曰∶信哉!使非吾
丈,几为衔冤之魄矣,祈寿诸梓,以为后人之鉴云。
In cases of Stomach Cold (Wei Han), vomiting is common; however, in cases of contracting Central Cold Toxin (Zhong Han Du), vomiting must be accompanied by diarrhea.
While in the capital, I once treated a military officer surnamed Wu. Having seen fresh mushrooms that were plump and tender, he instructed his cook to prepare them as a soup, which resulted in severe vomiting and diarrhea.
He then consulted local physicians, who all believed that rapid detoxification was necessary. Consequently, they administered a continuous course of cold-natured herbs such as Huanglian (Coptidis Rhizoma), Heidou (Soybean), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), and Zhishi (Aurantii Fructus Immaturus). The condition worsened, leading to severe distension of the chest and abdomen, panting, and an inability to tolerate even water or fluids. The situation became critical and distressing, prompting him to seek my help.
I prescribed a decoction containing Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata), and Fuling (Poria). However, he doubted and refused to take it, saying, "With abdominal distension,急促 breathing, and such severe dry mouth, how can I dare to take these hot medicines?"
He stopped medication for one day, after which his condition deteriorated further, becoming as fleeting as morning dew (life hanging by a thread). He then earnestly requested treatment again. I maintained the previous prescription. Although he remained suspicious and fearful, he bid farewell to his wife in the inner chambers, stating, "If this is true, these medicines will either save me or kill me; my life depends entirely on this decision." Reluctantly, he swallowed the medicine with tears. After one dose, the vomiting subsided slightly; after two doses, the distension decreased slightly. Subsequently, I significantly increased the dosage of Shudihuang (Rehmanniae Radix Praeparata) to simultaneously rescue the Yin fluid lost through diarrhea. In total, he took more than twenty doses, and his health returned to normal.
He then asked, "My illness was caused by toxin ingestion. The local doctors' attempt to detoxify made it worse, yet your method of not explicitly detoxifying led to recovery. Why is this so?"
I replied, "Toxins vary in nature; does one always need cold herbs like Huanglian, Gancao, and Jiegeng to detoxify? Take mushrooms, for instance. They grow in deep pits, dry wells, or places of extreme cold and Yin. This is because they absorb the most intense Yin Qi (Vital Energy), resulting in their plump, white, and tender appearance. You have contracted this Yin-Cold toxin, yet you use the cold property of Huanglian to treat it. What kind of logic is this? Now, using Ganjiang and Fuzi is precisely the method to resolve cold toxins. Using Renshen and Shudihuang is precisely the method to protect the Yuan Qi (Original Qi) damaged by the toxin. Therefore, what they call 'detoxification' actually assists the toxin, while what I call 'not detoxifying' is the true detoxification. The principle is clear, but people fail to distinguish it. All instances of misdiagnosis and mistreatment of diseases are essentially of this category."
He bowed deeply and sighed sorrowfully, saying, "Truly so! If not for you, I would have died as a wronged spirit. Please have this engraved and published as a warning for future generations."