吕妇年甫三旬,平时面黄体弱,因少乳求方,与八珍汤服之,有验。数年后又因胎产胞
衣不
下,予诊之,曰∶此气虚不能传送,血虚不能濡润故也。令服碍十全大补汤,众议以为新产
,胞衣积血,阻障不出,补之不宜,或授以单方,用芒硝一两煎服,云下胞如神,众咸称善
,一七入喉,实时晕脱。
族媪年逾八旬,天癸复行,日渐淋漓,时或如崩,头昏食少,心悸不寐,予与黑归脾汤
,服
之不应,他医投以清补固涩诸方,亦不效。淹缠数月而殁。予历见老妇病此,皆不能治,古
罕言之,亦奇疾也。
邻村方氏女,年才四岁,其母抱负来舍求治。予问何疾,曰带下。问疾何时起,曰女夜
遗溺
,常以帛垫卧,旧春晨起晒帛,乍见白物,以为偶然,后频下不已,渐觉面黄肌瘦,饮食减
少。今经一载,时发时止,附近求医,皆言未见之证。予曰∶此先天禀弱,脾虚挟温故也。
但童真未充,早泄诚非所宜,令夜服地黄丸,早服参苓白术散,匝月而效。半载后疾复发,
仍令守原方服愈,嗣后不闻消息,及阅《怡堂散记》载一七岁幼女,患此证,虽已治痊,后
出室怀孕,一产即脱,亦夭之由也。方氏女孩得无类此。
洪大登为人 役,体虚多劳,初病夹车紧痛,服疏风药二剂,卧不能起,口不能张,日
饮米
泔,仅以茶瓶嘴灌入,四肢挛急,每小便须两人抬起,痛甚汗淋,诊脉细濡,两尺尤弱,有
从外感起见,仍欲用风药者,予曰∶此痉病也。气血大亏,服此即不救。拟用大剂补元煎,
旬余未效,病家亟请更方。予曰∶毋庸,药力未到耳。原方令守服二十剂,渐能掉动,服至
两月,始出户庭。
Ms. Lü was just thirty years old. Normally, she had a sallow complexion and a weak constitution. When she sought a prescription for insufficient lactation, I prescribed Bazhen Tang (Eight Treasure Decoction), which proved effective. Several years later, she returned because her placenta (fetal membrane) failed to be expelled after childbirth. Upon examination, I stated: "This is due to Qi deficiency failing to promote transportation and Blood deficiency failing to nourish and moisten." I instructed her to take Shiquan Dabu Tang (Ten Significant Tonifying Decoction). The crowd argued that since she had just given birth, the placenta's accumulated blood was obstructing its expulsion, and tonification was inappropriate at this time. Someone provided a folk remedy using one liang of Mangxiao (Natrii Sulfas) decocted in water, claiming it could expel the placenta miraculously. Everyone praised this idea. However, shortly after ingestion, the patient immediately suffered from syncope and collapse.
An elderly clan auntie over eighty years old experienced the return of Tian Gui (menstruation). Her bleeding became increasingly persistent and dripping, sometimes resembling Ben Jing (sudden gushing hemorrhage). She suffered from dizziness, poor appetite, palpitations, and insomnia. I prescribed Hei Guipi Tang (Black Return to the Spleen Decoction), but it was ineffective. Other physicians administered various formulas for clearing heat, tonifying, and astringing, also without effect. After lingering with the illness for several months, she passed away. I have observed many elderly women suffering from this condition who could not be cured. It is rarely mentioned in ancient texts and is considered a rare and difficult disease.
The daughter of the Fang family in the neighboring village was only four years old. Her mother brought her to my residence for treatment. When I asked about the ailment, she said it was Dai Xia (leukorrhea). When I asked when it started, she explained that the girl had nocturnal enuresis and often used cloth pads on the bed. Last spring, while drying the cloth in the morning, they suddenly saw white discharge, thinking it was accidental. Later, the discharge occurred frequently and continuously. Gradually, the child developed a sallow face and emaciation, with reduced food intake. This had persisted for a year, recurring intermittently. Local doctors claimed they had never seen such a case. I stated: "This is due to weak congenital endowment and Spleen deficiency complicated by damp-heat. However, as the child's innate vitality is not yet fully developed, premature use of astringents is indeed inappropriate. Instruct her to take Dihuang Wan (Rehmannia Pill) at night and Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) in the morning." After one month, there was an effect. Six months later, the disease recurred, but adhering to the original formula led to recovery. Subsequently, we heard no news. Later, reading *Yitang Sanji* (Records from Yitang), I found a record of a seven-year-old girl suffering from this condition. Although she was cured, after marriage and pregnancy, she suffered uterine prolapse immediately after delivery, which contributed to her early death. It is likely that the Fang girl would follow a similar fate.
Hong Daden served as a laborer. His constitution was weak, and he worked hard. Initially, his illness presented as tightness and pain in the jaw joint. After taking two doses of Shufeng Yao (wind-dispelling medicines), he could not rise from bed or open his mouth. He could only drink rice wash liquid daily, which was poured into his mouth via the spout of a teapot. His limbs were spasmodic and tense; urination required two people to lift him. The pain was severe, accompanied by profuse sweating. His pulse was fine, weak, and soggy, particularly weak in the Chi positions (kidney area). Some suggested considering an external contraction and still using wind-dispelling drugs. I said: "This is Jing Bing (spasm disease). Qi and Blood are severely depleted; administering wind-dispelling drugs will lead to death." I proposed using a large dose of Buyuan Jian (Tonify the Origin Decoction). After more than ten days, there was no improvement, and the family urgently requested a change of prescription. I said: "No need to change; the medicinal power has not yet taken effect." Let him continue taking the original prescription for twenty doses. Gradually, he gained the ability to move. After two months of medication, he finally stepped out of his courtyard.