世袭骑都尉常公,系户部郎中观公名岱者,中表弟也。癸丑五月病疫。观公素精医术,调治半月,
斑疹暗回,而诸症反剧,已备后事。乃弟因一息尚在,复邀予治。诊其脉,若有若无;观其色,目闭无声,
四肢逆冷,大便旁流清水。予谢以不治。阖家拜恳,但求开方,死而无怨。予见嘴唇微肿,紫而且黑,知
内有伏毒,非不可救。热乘于心肺,故昏闷无声;乘于肝,故目闭;乘于脾,故四肢逆冷;乘于大肠,故
旁流清水。查看前方,亦是清热化斑等剂。观公素性谨慎,药虽不错,只治其焰,未拔其根,当此危急之
秋,再一探视,死在三七。予按本方,用犀角八钱,黄连六钱,加滑石一两,木通三钱,猪苓、泽泻各二
钱,桑皮三钱,栝蒌霜三钱,另用石膏一斤,竹叶一两,熬水煎药。连进三煎,次日脉起细数,手足遂温,
旁流亦减,小水亦通,目开而声出矣。仍用本方去滑石、木通、猪苓、泽泻、桑皮、栝蒌。又一服,以后逐日
减用,七日而痊。观公登门道谢曰∶舍表弟之症,一百死一百,一千死一千,君能生之,敢不心悦而诚服!
工部员外彩公名柱者,令亲内务府高某,病疫九日,邀予。其脉浮大而数,身热如炉,目红面赤,赤
斑成片,忽然大叫,若有所见,卒然惊惕,若有所惧,语生平未有之事、未见之人。举家惊恐,疑有邪附。
本地风俗,最喜看香送祟,以至异端之术,不绝于门。予进屋内,香烟一室,满壁符签咒语。予曰∶
此邪予能去之,将此一概收去,只用大冰四块,安置四角。彩问何为?予曰∶当此暑热,病此大热之症,
加以香烛辉煌,内外夹攻,不狂何待?此邪热乘于肝胆,故发狂,外用多冰,收其熏蒸暑气,内服清凉解
散之药,病除而狂自止,焉有邪附者乎?遂用大剂,七日而愈。
Chang Gong, a hereditary Qi Du Wei (Knight Commander), was the maternal cousin of Guan Gong (name Dai), a Lang Zhong (Director) in the Ministry of Revenue. In the fifth month of the Gui Chou year, he contracted an epidemic disease. Guan Gong had long been proficient in medical arts and treated him for half a month. Although the macules and rashes receded, all symptoms worsened, and preparations for his funeral were made. His younger brother, seeing that there was still a breath left, invited me to treat him again. Upon palpation, the pulse was faint and indistinct; upon observation, his eyes were closed, he was silent, his four limbs were cold and reversed, and loose watery stool flowed from the side. I declined, stating it was untreatable. The entire family kowtowed and begged, asking only for a prescription, vowing no resentment even if he died. Seeing his lips slightly swollen, purple and black, I knew there was latent toxic heat within, which was not incurable. Heat invading the Heart and Lung caused coma and silence; invading the Liver caused closed eyes; invading the Spleen caused cold limbs; invading the Large Intestine caused watery diarrhea. Reviewing previous prescriptions, they were agents for clearing heat and resolving macules. Guan Gong is cautious by nature; although the herbs were correct, they only addressed the symptoms ("flames") without removing the root cause. Given the critical situation, after further examination, I predicted death within 21-27 days. Following the original formula's principle, I used Xi Jiao (Rhinoceros Horn) 8 qian, Huang Lian (Coptis Rhizome) 6 qian, added Hua Shi (Talcum) 1 liang, Mu Tong (Akebia Caulis) 3 qian, Zhu Ling (Poria) and Ze Xie (Alisma Rhizome) 2 qian each, Sang Bai Pi (Morus Root Bark) 3 qian, Gua Lou Shuang (Trichosanthes Fruit Frost) 3 qian. Additionally, Shi Gao (Gypsum Fibrosum) 1 jin and Zhu Ye (Bambusae Folium) 1 liang were decocted in water to boil the medicine. After three doses, the next day the pulse became fine and rapid, hands and feet warmed, diarrhea decreased, urination resumed, and eyes opened with voice returning. The original formula was continued, removing Hua Shi, Mu Tong, Zhu Ling, Ze Xie, Sang Bai Pi, and Gua Lou. After another dose, the dosage was gradually reduced daily until recovery in seven days. Guan Gong visited to thank me, saying: "My cousin's condition was fatal every time, hundred times or thousand times. You brought him back to life; how could I not be sincerely convinced!"
Cai Gong (name Zhu), a Yuan Wai (Vice Director) in the Ministry of Works, invited me to treat his relative, Gao Mou, from the Imperial Household Department, who had suffered from an epidemic disease for nine days. The pulse was floating, large, and rapid; body heat was intense like a furnace; eyes were red, face flushed, with成片 (patches) of red macules. Suddenly, he shouted loudly, appearing to see things; he was startled and fearful, speaking of events and people never encountered before. The family was terrified, suspecting demonic possession. Local customs favored exorcism rituals, so heterodox practitioners constantly visited. Entering the room, it was filled with incense smoke, and walls were covered with talismans and spells. I said: "I can remove this 'evil'. Remove all these immediately. Place four large blocks of ice in the four corners." Cai asked why. I replied: "In this hot summer, suffering from such high fever, compounded by bright incense and candles, creating internal and external attacks, madness is inevitable. This is pathogenic heat invading the Liver and Gallbladder, causing mania. Externally applying ice absorbs the steaming heat; internally administering Qing Liang Jie San (Cooling and Resolving Decoction) will cure the disease and stop the mania. Where is any demonic possession?" Thus, a large dose was administered, and he recovered in seven days.