张景岳向寓榆关客邸,一友忽黄昏叩门。张皇甚,问之,则所狎之妓,忽得急症,势在垂危,倘遭其厄,
祸不可解。因求救,随往视之。见其口吐白沫,僵仆于地,口鼻四肢俱冷,气息如绝,状殊骇人。及诊之,则
气口和平,与症不应。沉思久之,复诊脉如故,始悟其诈也。乃以仲景法试之,遂大声言曰∶此病危矣,使非
火攻,必不可活。非用如枣如栗之艾,亦不可活。又非灸人中、眉心、小腹数处,亦不可活。吾寓有艾,可速
取来。然火灸尚迟,姑先与一药,倘能咽,咽后稍有声息,则生意已复,即不灸亦可。若口不咽,或咽后无声,
速灸可也。即与一药,嘱其服后,即来报我。彼闻言已惊,惟恐大艾着体,药到即咽。少顷即哼声出,则徐动徐
起矣。次日问其由,乃知为吃醋而然也。曲中奸狡,有如是者。
景岳在都时,有金吾蓄二外家,其一则燕姬也,有母随之。一日二外家相竞,燕姬理屈,若母助其跳踉,遂致
气厥若死。乃令一婢抱持而坐,自暮达晨,绝无苏意。延治,初入室,见其肉浓色黑,面青目瞑,手撒息微。
诊其脉则伏渺若脱,亦意其危也。而治法难施,温补则虑其气逆未散,开导则虑其脉绝难胜。踌躇间,乃请复
诊,则以十指交叉抱腹,仰坦婢怀。因疑其前已撒手,今能反手,岂他人之所为乎?及诊之,似有嫌拒意,拽
之不能动,乃出其不意猛拽之,则顿脱有声,力强且劲,此非欲脱,真病明矣。因思其脉若此,或以肉浓气滞,
此北人禀赋多有之也。或以两腋紧夹,此奸人狡诈亦有之也。若其面青色微,则怒气使然,自不足怪。识见既
定,因声言其危,使闻灸法,遂先投一剂,下咽即活。金吾因询其病真耶假耶?若假何以竟夕如是,且形症毕
肖?若真何以药下即瘳,抑果药之元秘乎?曰∶元秘乃在言耳,不过借药为名,但使彼惧,病即去矣。经曰忧
可胜怒,正此谓也。然其狡诈,一至于此,使非再诊,亦几为所诳,可不审哉?
一士子为臣家所殴,遂卧病旬日,吐血盈盆。因喧传人命,连及多人,延医数辈,见其危剧之状,皆束手
远避,防为所累也。最后张见之、察其色,则绝无窘苦之况。诊其脉,则皆和缓如常。始而疑,继而悟,乃潜
语之曰∶他可欺也,余不可欺也。此尔之血耶?家禽之血耶?其人愕然,浼予勿言。遂与调和,衔感而罢。
一邻妇以妒外家诟谇,与夫反目,因而病剧,切牙瞪眼,僵厥不苏,若命在呼吸间者。其夫惊惶无措,其外家
几遭不堪,求张救之。则脉非其病,遂用前法治之,愈后其夫感谢,而不知为其所愚也。若此二人,则又人事
中之常态。使不有以鉴别,则此中变,而有以假病而延成真病者,有以小忿延成大祸者,故并记之,以资闻见。
Zhang Jingyue was staying as a guest in an inn at Yuguan (Shanhaiguan) at that time. A friend suddenly knocked on the door at dusk. He appeared extremely panicked. Upon inquiry, it turned out that his favored courtesan had suddenly fallen into a critical condition. If misfortune were to befall her, the disaster would be irreparable. Thus, he sought Zhang's help, and they went together to examine her. The patient was foaming at the mouth, stiffly collapsed on the ground, with cold mouth, nose, and limbs, and breath so faint as if severed; the appearance was quite terrifying. However, upon taking the pulse, the Cun Kou (radial artery pulse) was peaceful and harmonious, inconsistent with the symptoms. After deep contemplation for a long while, he took the pulse again, which remained unchanged. Only then did he realize she was feigning illness. He decided to test her using the method of Zhang Zhongjing, and loudly declared: "This illness is critical. Unless fire therapy is employed, survival is impossible. Unless moxa cones the size of dates or chestnuts are used, survival is impossible. Furthermore, unless points such as Renge (GV26), Meixin (Ex-HN17), and several areas on the lower abdomen are moxibusted, survival is impossible. I have moxa in my residence; go fetch it quickly. However, moxibustion is still too slow. For now, give her one dose of medicine. If she can swallow, and after swallowing shows slight signs of life and breath, then vitality has returned, and moxibustion may be omitted. If she cannot swallow, or if there is no sound/breath after swallowing, perform moxibustion immediately." He then prescribed a dose of medicine, instructing her to report back immediately after taking it. Hearing this, she was already frightened, fearing the large moxa cones would burn her body. As soon as the medicine arrived, she swallowed it. Shortly after, groaning sounds emerged, and she slowly moved and sat up. The next day, upon asking for the cause, it was known that it was due to eating vinegar. The cunning and deceitfulness of women in the entertainment district could reach such extremes.
When Zhang Jingyue was in the capital, a Jinwu Guard (official responsible for capital security) kept two concubines. One was a Yan region courtesan who lived with her mother. One day, the two concubines quarreled. The Yan courtesan was in the wrong, but her mother helped her by jumping and stomping in anger, causing the courtesan to suffer from Qi Jue (Qi syncope/collapse) and appear dead. A maid was ordered to hold her sitting up from dusk until dawn, with no sign of recovery. A doctor was summoned. Upon entering the room, the doctor saw she had thick flesh and dark complexion, a bluish face, closed eyes, relaxed hands, and faint breathing. Her pulse was deep, minute, and seemed absent, leading the doctor to believe the condition was critical. However, treatment was difficult to apply: warming and tonifying might exacerbate the stagnant Qi, while guiding and unblocking might be too harsh for a seemingly absent pulse. While hesitating, he requested a follow-up examination. He noticed she was crossing her ten fingers to embrace her abdomen, lying supine in the maid's arms. Suspecting that since her hands were previously relaxed, the current crossed-hands posture must be voluntary and not done by others, he examined her pulse again. She seemed to show reluctance and resistance; pulling her did not move her. Suddenly, he pulled her forcefully, resulting in a loud detachment sound. Her strength was robust and vigorous. This was not an attempt to escape but clear evidence of genuine health. He reasoned that given her pulse, perhaps the thick flesh caused Qi stagnation, a constitution common among northerners. Or perhaps the tight clamping of the armpits was part of her deceitful act. The slightly bluish face was due to anger, which was not surprising. With his diagnosis confirmed, he loudly proclaimed the severity of the illness to make her hear about moxibustion, and then administered a dose of medicine. She recovered immediately after swallowing. The guard asked whether the illness was real or fake. If fake, why did she exhibit such symptoms all night with perfect mimicry? If real, why did she recover instantly upon taking the medicine? Was it the secret power of the herbs? Zhang replied: "The secret lies in words. It was merely a pretext using medicine as a name; by instilling fear, the 'illness' disappeared." The *Classic of Difficult Issues* states that worry can overcome anger, which applies here. However, her deceitfulness was extreme. Without careful re-examination, one could easily be deceived. Is it not necessary to be prudent?
A scholar was beaten by the household of an official and lay ill for ten days, vomiting blood full of basins. He spread rumors of a homicide case, implicating many people. Several doctors were invited. Seeing his critical and severe appearance, they all withdrew their hands in helplessness and avoided him to prevent being implicated. Finally, Zhang Jingyue examined him. Observing his facial expression, there was absolutely no sign of distress or suffering. Taking his pulse, it was harmonious and slow, as usual. Initially suspicious, he then realized the truth. He whispered to the scholar: "Others may be deceived, but I cannot be. Is this your blood? Or is it poultry blood?" The scholar was startled and begged Zhang not to reveal the truth. Zhang then prescribed medicine to harmonize the body. The scholar felt grateful and the matter ended.
A neighboring woman, jealous of a concubine, cursed and argued with her husband, leading to marital discord and severe illness. She clenched her teeth, stared wide-eyed, became stiff and comatose, appearing as if her life hung by a thread. Her husband was panicked and helpless, and her natal family faced potential disgrace. They requested Zhang's rescue. Zhang found the pulse did not match the disease, so he used the previous method to treat her. After recovery, her husband expressed gratitude, unaware he had been tricked. These two cases represent common human behaviors. If not properly distinguished, false illnesses could prolong into real ones, and minor grievances could escalate into major disasters. Therefore, I record them both to broaden knowledge.