参政陆公(容)尝于客座闻一医者云酒不宜冷冻饮料陆颇讶之谓其未知丹溪之论而云然耳二三
年
后秋间陆公偶得痢疾延此医治之云公得非多饮凉酒乎陆以实告遵信丹溪之言暑天常饮冷醇酒
医
云丹溪但知热酒之为害而不知冷酒之害尤甚也服药数帖而止余阅儒门事亲云张戴人治一人病
危热戴人往视之其人曰我别无病三年前当隆暑时出村野有以煮酒馈余者适村落无汤器冷冻饮料数
升便觉左胁下闷渐作痛结硬如石至今不化针灸磨药殊无寸效戴人诊其两手脉俱沉实而有力先
以独圣散吐之一涌二三升气味如酒其痛即止后服和脾安胃之剂而愈始知冷酒之致病也如此
王一山年六十余因多食蟹蓄毒在脏秋患大便脓血日夜三四十度医率用止血之剂不效延至
半载
气血渐弱饮食渐减肌肉渐瘦服热药则腹愈痛血愈下服凉药则泻注诸医技穷束手待尽而已所亲
邀余治之遂用人参一两椿白皮五钱甘草一钱五分一服减半二服渐可三服脓血顿止大便见粪矣
后加调理半月颜貌腴泽精神倍强饮食如故脉息平和矣
疟之为疾寒热并作谓之疟二日一发谓之 经年累月谓之 内经问答详尽今人未尝深究但
持无
痰不成疟之说传习砒黄豆粉为丸衣以朱砂谓之疟丹或以常山一味为君名为疟药不问虚实概行
施治或偶与痰疟相投暂得取效若脾虚气弱之人疟不因痰而或七情所致者投之大作呕吐精源髓
海倒流逆动病势转增为祸不浅妇人所畏者吐耳尤难遽投当详其病源有暑风湿痰食老疟之不同
若贫贱之人其身虽苦其志则安虽用砒石朱砂有毒之药以热攻热亦能取效至于富贵之人往往役
心大甚加之奉养过浓内火与外火俱动以热攻热变为吐血泻血疮疡呕吐之症岂可以一概而治之
哉
Lu Rong, a Censor-in-Chief (Can Zheng), once heard at a banquet that a physician claimed wine should not be consumed when frozen. Lu was quite surprised, thinking the doctor merely misunderstood Zhu Danxi's theories.
A few years later, in autumn, Lu contracted dysentery and invited this physician to treat him. The physician asked, "Did you perhaps drink excessive amounts of cold wine?" Lu admitted this truthfully, confessing that he had always followed Zhu Danxi's advice to drink chilled pure wine during the summer heat.
The physician replied, "Zhu Danxi only knew the harm of hot wine but did not know that the harm of cold wine is even more severe." After taking several doses of medicine, the illness ceased.
I read in *Ru Men Shi Qin* (Records of Confucian Medicine) that Zhang Da-ren treated a patient who was critically ill with high fever. When Zhang visited, the patient said, "I have no other ailments. Three years ago, during the peak of summer heat, while out in the countryside, someone offered me boiled wine. Since there were no vessels available to warm it, I drank several sheng [a unit of volume] after cooling it by freezing. I immediately felt stuffiness in my left hypochondrium, which gradually became painful, forming a hard mass like stone that has not dissolved since. Acupuncture and powdered medicines yielded no effect."
Zhang examined the pulses of both hands, finding them deep, solid, and forceful. He first administered Du Sheng San (Single Holy Powder) to induce vomiting. Upon vomiting two or three sheng of material smelling like wine, the pain stopped immediately. Later, he prescribed formulas to harmonize the Spleen and Stomach, leading to recovery. This revealed how severely cold wine could cause disease.
Wang Yishan, over sixty years old, suffered from accumulated toxins in the Zang organs due to excessive consumption of crabs. In autumn, he developed dysentery with pus and blood in the stool, occurring thirty to forty times a day. Physicians typically used hemostatic agents without success. After half a year, his Qi and Blood gradually weakened, food intake decreased, and muscles wasted away. Taking warming herbs aggravated abdominal pain and bleeding; taking cooling herbs caused watery diarrhea. All physicians were at their wit's end, helpless and awaiting death.
His relatives invited me to treat him. I prescribed one liang of Ren Shen (Ginseng Radix), five qian of Chun Bai Pi (Celastrus Cortex), and 1.5 qian of Gan Cao (Licorice Root). After one dose, symptoms halved; after two doses, improvement was gradual; after three doses, pus and blood stopped abruptly, and normal feces appeared.
After half a month of conditioning, his complexion became plump and lustrous, spirit doubled, diet returned to normal, and pulses became peaceful.
Malaria (Nue) is a disease characterized by alternating chills and fever. Occurring every two days is termed Jian Ri Nue (Intermittent Malaria); persisting for years is termed Lao Nue (Chronic/Consumptive Malaria). The Q&A in *Huang Di Nei Jing* (Yellow Emperor's Inner Canon) is exhaustive. However, modern practitioners rarely study it deeply. Instead, they propagate the theory that "no phlegm, no malaria," using arsenic (Pi Shi) and soybean flour pills coated with Cinnabar (Zhu Sha), called "Malaria Pills" (Nue Dan); or using Hedyotis Diffusa (Chang Shan) as the chief ingredient, called "Malaria Medicine" (Nue Yao). They treat all cases indiscriminately regardless of deficiency or excess.
Sometimes, these treatments coincidentally match Phlegm-type Malaria and yield temporary effects. However, for patients with Spleen Qi deficiency and weakness, whose malaria is not caused by phlegm but by Seven Emotions (Qi Qing), administering these drugs causes severe vomiting, reversing the flow of Essence source and Marrow Sea, aggravating the disease condition, causing significant harm. Women fear vomiting especially, making immediate administration difficult. One must carefully investigate the disease origin, distinguishing between Summerheat Malaria, Wind Malaria, Dampness Malaria, Phlegm Malaria, Food Malaria, and Chronic Malaria.
For poor and low-status individuals, although their bodies suffer hardship, their minds are tranquil. Even if toxic drugs like Arsenic and Cinnabar are used to attack heat with heat, efficacy can be achieved. Conversely, wealthy and noble individuals often exert their minds excessively and enjoy rich nourishment, causing internal fire and external fire to activate simultaneously. Attacking heat with heat may transform into hematemesis, bloody diarrhea, sores, ulcers, and vomiting. How can such cases be treated uniformly?