子大，以枣汤下之。初服五分不动，又服五分，无何腹痛甚，以大枣汤饮之，大便五六行，时盖日晡也。夜半，
乃大下数斗积水而积平。当其下时，瞑眩特甚，手足厥冷，绝而复苏，举家号泣，咸咎药峻。嗟乎，药可轻用哉。
一人过食瓜果，时值夏月，大泻不止，中脘大痛，烦渴引饮，自服天水散及香薷饮。脉之，右关寸俱沉伏，
因作停冷治，香砂六君子汤加炮姜、浓朴，一服痛渴俱止，只以胃苓调理而安。
龚子才治徐通府，因好烧酒，及五香药酒过度，患吐血唾痰，六脉急数。此酒毒积热入于骨髓，不受滋补。
以黄连解毒汤加知母、贝母、石膏、连翘、元参、花粉、葛根、栝蒌、桔梗、酒蒸大黄，早晚服。至百日外，
以六味丸加解毒汤在内，与前汤药并进，又百日始瘳。后归田逾年，仍为酒困而卒。
陆祖愚治吴武祖之母，少寡长斋，禀性极薄，因正啖糯米粉食，人误报武祖不入泮，不觉惊而且闷，遂成
内伤。或与之消导过多，而中满过甚。脉之，两手断续不匀，洞泻口开，头汗如洗，元气将脱，胸中仍不可按。
脉不足而症有余，宜先补后攻，急用附子理中汤，二剂脉稍有根。以枳实理中汤进之，其积渐觉移动，脉亦有
神。后以润字丸，每服五分，仍以前剂送之，积去身和，调理而愈。（用药次第可法。）
徐小园子，新婚多痰，脾已受伤，又加外感，遂往来寒热，项强背痛，头疼，表里具在。或谓疟疾，遽用
截药，因而口渴，多食生冷，变为吐泻，与柴苓汤不效。诊之，四肢厥逆，不省人事，面色青黄，脉左三部与
右尺隐欲脱，右关滑而有力，乃用参附理中加枳实、浓朴、山楂等，三剂脉起。而内伤之症才身大热，舌焦芒
刺，脐上下手不可按，四肢 然汗出，下症悉具，第用枳、朴、熟黄少许，加铁锈水导之，去燥矢三四块。
势未减，又与枳、朴、楂、连，小柴胡加人参少许，间四五日进润字丸五分，大便去一次。如是八十余日，里
症去，六脉有神。向晡时潮热，胃气不开，口干腹满，前方去参，四剂势又大减。或谓伤寒三七不解，谓之坏
症。经云∶安谷者昌，绝谷者亡。今将百日，粒食不进，焉有生理？况身不热，舌无苔，纵晡时微热，亦是阴
虚之故。急宜滋阴养血，开胃健脾自愈。遂服药一剂，又强饮粥汤半盏，及龙眼汤一杯，是夜仍身体大热，心
口作痛，异常烦躁，舌上有苔。再诊，右关尺沉实，仍用枳实、黄连、卷柏、麦芽、楂、朴，送润字丸一钱五分，
大便一次极畅，诸症顿除。改用六君子，方知饥饱，计百三十余日，头发落尽，年余未得出门户。
陈孟昭新正赴馆，偶开别室，见一柩，心中怦然，是晚梦遗。次日勉强行文，薄暮啖肉面，遂头疼身热，
右胁有块如碗，疼痛寒热，疑为肿毒。诊之，谓内伤兼感。不信。疡医视之，外用敷药，内服解毒之剂，不效。
或与投补，遂昏冒烦躁，谵语如狂。再延诊，脉洪数无伦，此误补故也。仍作内伤饮食治之，用青皮、陈皮、
枳实、浓朴、山楂、黄连等，又以麸皮炒熨肚腹。稍苏，再用润字丸五分。数服后，宿垢去而痛减，改用参、
术、归、芍、麦冬、陈皮、茯苓、甘草之类，调月余而安。
沈振宇患阴症似阳，用温经益元汤而愈。乃病愈未几，因食馒头、羊肉等物，遂胸腹胀满，痞塞不通，服
药旬余不效。口渴烦躁，晡时更甚，大便闭结，凡硝、黄、枳、朴、槟、楂、麻仁、青皮、红花、归、地、芩、
连，遍服而大便不通。陆曰∶大病须以大方治之，若拘拘一二钱，力量轻薄，安能奏捷？如元明粉、槟榔，必
用五钱，枳实、生地、当归、黄芩，必用一两，红花必用三钱，另以山楂四五两煎汤，代水煎药。临服必加铁
锈水半酒杯，其垢自行矣。如言，一剂果腹中运动，响声不绝。两时许，下宿垢半桶，顿觉爽利，调理而痊。
昔有婆罗门僧东来，见食面者，云此大热，何以食之？又见食中有莱菔，云∶赖有此以解其性。自此相传，
食面必啖莱菔。又小说云∶人有中麦面毒者，梦红裳女子悲歌，有一丸莱菔火吾宫之句。（《医说续编》、本草。）
扁鹊云∶酒饮过，腐肠烂胃，渍髓蒸筋，伤神损寿。有客访周 ， 出美酒二石， 饮石二，客饮八斗。
次明 无所苦，酒量惯也，客已死矣。观之客胁穿肠出，岂非量过而犯扁鹊之戒与。（同上。）
王海藏治秦生好服天生茶及冷物，积而痼寒。脉非沉非浮，上下内外，举按极有力，坚而不柔，触指突出
肤表，往来不可以至数名，纵横不可以巨细状，此阴证鼓击脉也。一身游行之火，萃于胸中，寒气逼之，搏大
有力。与真武、四逆、理中等汤丸，佐以白芍、茴香，酒糊丸，使不僭上。每百丸，昼夜相接，八九日服丸至
半斤，作汗而愈。亦世罕有也。（《阴症略例》、《医说续编》。）
薛立斋治一人，食粽，烦闷作渴，大便欲去不去，用消导药不应。以白酒曲炒为末，温酒调服二钱，俄顷，
腹鸣粽下而安。一人食水晶团子过多，肚腹胀痛，亦治以此方而愈。
一人食鱼 ，腹痛患痢，诸药不效。用陈皮、白术等分为末，陈米汤数服而愈。一人每食蟹即腹痛，用紫
苏浓煎汤而安。
一妇人停食饱闷，或用人参养胃汤、木香槟榔丸而泄泻吐痰，腹中成块。又与二陈、黄连、浓朴，反加腹
胀不食。此胃气虚不能消磨，用补中益气加茯苓、半夏，五十余剂，脾胃健而诸症痊。
窦材治一人，因暑月食冷物，以致胸腹胀闷欲死。服金液丹百丸，少顷，加全真丹百丸，即有气下降而愈。
一人每饭后饮酒，伤其肺气，致胸膈作胀，气促欲死，服钟乳粉、五膈散而愈。若重者，灸中府穴亦好，
服凉药则成中满难治矣。
一小儿食生杏，致伤脾，胀闷欲死，灸左命门二十壮而愈。又服全真丹五十粒。
一人嗜茶成癖，一方士令以新鞋盛茶令满，任意食尽，再盛一鞋，如此三度，自然愈也。男用女鞋，女用
男鞋，用之果愈。（《集酒方》。）
立斋治一男，夏月入房，食冰果腹痛，用附子理中汤而愈。有同患此者，不信，别用芩、连、二陈之类而死。
林观子治一人，房欲后远涉，饥渴饮新汲泉水，而归病作。医以解表消中药与之，遂冷逾膝肘，外热躁扰
不定，掀衣掷被，谩语无伦，脉寸如蛛丝，余无。急以人参、姜、附，入葱白、生姜，大剂浸冷灌之，得睡躁
定。去葱白、生姜，服数帖得汗，肝脉亦渐和，加别药调而安。
朱丹溪治一丈夫，因酒多下血，肚疼后重成痢，滑石半两，连翘、黄芩、木通、白芍、枳壳、白术各二钱，
甘草五分，桃仁二十一枚，分四帖服。
有人因忧愁中伤食，结积在肠胃，欲发吐利，自冬至后暑月积伤发，暴下数日不止。《玉函》云∶下痢至
隔年月日应期而发者，此为有积，宜下之。止用温脾汤尤佳。如难下，可佐以干姜丸∶干姜、巴豆、大黄、人
参各等分，后服白术散∶白术、木香、附子、人参各等分。上细末，每二钱，水一盏，姜三片，枣一个，前六
分温服。
一丈夫酒多病泄，久不愈，又自进附、椒等，食不进，泄愈多。滑石、黄芩各半两，干姜、黄连、樗皮，
粥为丸，每服百丸。
许学士治宗室赵彦材，下血，面如蜡，不进食，盖酒病也。授紫金丹方，服之终剂，血止，面鲜润，食亦
倍常。新安一士人亦如是，与三百粒，作一服，立愈。胆矾三钱，黄蜡二两，大枣五十枚。上以砂锅，或银石
器内，用好酒三升，先下矾、枣，慢火熬半日，取出枣去皮核，次下蜡，再慢火熬一二时，令如膏，入蜡茶二
两，同和丸如桐子大。每服二三十丸，茶酒任下。
孙兆治馆职学士张居易，嗜酒散诞，不为名利拘束，忽发热头疼。俾翰林医官治之，十日愈甚。诸学士共
议召孙，孙至，脉之曰∶余人皆日伤寒，然此症痰也。张学士好酒多痰，食所伤也。今痰非伤寒，而右手脉甚
数，左手脉平和，此必伤酒食而作头疼，宜用食药五七丸，俟之半日，进退决矣。孙遂用食药，经食久，膈渐
宽，头痛遂减。再进利膈药，遂获安。大凡阳邪，头痛经十日，岂得不变发热而狂乱，故知非伤寒，乃食病之过也。
朱丹溪治胡孺人，因吃冷粉与肉，头痛自汗，膈痞小便赤，用白术三钱半，陈皮一钱半，木通、川芎、黄
芩各五分，姜水煎熟，吞之草豆蔻丸、阿魏丸、保和丸各五十粒。
罗谦甫曰∶丁巳冬，予从军回至汴梁，有伶人李人爱谓予曰∶大儿自今岁七月间，因劳役渴饮凉茶，及食
冷饭，觉心下痞，医投药一服，下利两行，症遂减。不数日，又伤冷物，心腹复痞满，呕吐恶心，饮食无味，
且不饮食，四肢困倦，懒于言语。复请前医诊视，曰∶此病易为，更利几行即快矣。还以无忧散对加牵牛末，
白汤服之。至夕，腹中雷鸣，而作阵痛。少焉，既退又泻，烦渴不止，饮食无度，不能复禁，时发昏愦。再命
前医视之，诊其脉，不能措手而退。顷之，冷汗如洗，口鼻气渐冷而卒矣。小人悔恨无及，敢以为问。予曰∶
未尝亲见，不知所以然，既去。或曰∶予亲见之，果药之罪与，而非与？予曰∶此非药之罪，乃失其约量之过
也。夫药之无据，反为气贼。《内经》云∶约方犹约囊也。囊满勿约，则输泄方成，勿约则神气不俱。故仲景以
桂枝治外伤风邪，则曰∶若一服汗出病瘥，停后服，不必尽剂。大承气汤下大实大满，则曰∶得更衣，止后服，
不必尽剂。其慎如此，此为大戒，盖得圣人约囊之旨也。治病必求其本，盖李以杂剧为戏，劳神损气，而其中
痛，因时暑热，渴饮凉茶，脾胃气弱，不能运化，而作痞满。以药下之，是重困也。加以不慎，又损其阳，虚
而复下，阴争于内，阳扰于外，魄汗未藏，四逆内起。仲景所谓一逆尚引日，再逆促命期。如是，则非失约量
之过而何？故《内经》戒云∶上工平气，中工乱脉，下工绝气。不可不慎。
张子和治一佃侣，好茶成癖，积在左胁。曰∶此与肥气颇同，然 疟不作，便非肥气。虽病十年，不劳一
日，况两手沉细，有积故然。吾治无针灸之苦，但用药即可享寿尽期。先以茶调散吐出宿茶数升，再以木如意
之，又涌数升，皆作茶色。次以三花神佑丸十余粒，是夜泻二十余行，脓水相兼，燥粪瘀血，杂然而下。明
日以除湿之剂，使服十余日，诸苦悉蠲，神色清莹。（《医说续编》。）
浙东监宪全公，每晨先饮阿刺吉十余杯，然后饮常酒，至六月大发热，张奕之治用冰摊心腹上，冰消后增，
内饮以药，三日乃愈。（《药要或问》。）
一富家子二十余岁，四月间病发热，求赵以德治之。脉浮沉无力，而虚热往来，潮作无时，脉间有力洪数，
随热进退。因之非外感之热，必是饮酒留热在内，今因房劳气血之虚而病作。问之，果在正月，每晨饮阿刺吉，
吃狗肉一月。既得其情，遂用补气血药加葛根以散酒毒，一帖微汗，反懈怠，热如故。因是知气血皆虚，不禁
葛根之散而然也，必得鸡距子方可解其毒。偶得干者少许，加于药中，其热即愈。
唐生者，病因饮酪水及食生物，下利紫黑血十余行，脾胃受寒湿毒，与六神平胃散半两，加白术三钱，以
利腰脐间血，一服愈。
周子固治王经历，患身轻飘飘，若行空虚中。易医凡七十人，皆以为风虚，与热剂转加。周曰∶此酒毒也。
即以寒凉之剂驱之随愈。（《九夷山房集》。）
张子和治一酒病患，头疼身热恶寒，状类伤寒。诊其脉，两手俱洪大，三两日不圊，以防风通圣散约一两，
水一中碗，生姜二十余片，葱二十茎，豆豉一大撮，同煎三沸，去渣，稍热，分作二服。先服一多半，须臾，
以钗股探引咽中，吐出宿酒，香味尚然，约一两掬，头上汗出如洗，次服少半立愈。《内经》曰∶火郁发之。
发谓令其汗之疏散也。
朱丹溪治一饮酒人，胸大满，发热，夜谵语，类伤寒，右脉不和，左大。与补中益气汤去黄 、柴胡、升
麻，加半夏。以黄 补气，柴胡、升麻又升，故去之，服后病愈。因食凉物心痛，于前药中加草豆蔻数粒愈。
（《治法》。）
立斋治曹铨，因饮食汾酒，肛门肿痛，便秘，脉实。服荆防败毒散不应，用黄连内疏汤而愈。
张子和治苏郡丞秦水心，初有中气虚寒之症，兼以案牍丛脞，应酬纷扰，遂致疲倦食少，肌表微热，不能
治事。召诊，始而用温，继而用补，其后每剂加参至两许，附至三钱，然后饮食大进，精神焕发。复因汤液久
而苦口，则更制丸剂常服，大抵不外扶阳抑阴之义。忽一日诸症复发，视前较甚，加之自汗头晕，懒于言语。
亟延诊，首讯昔日大剂温补煎方，盖谓丸剂缓而无济也。诊毕曰∶症即前日之症，药非前日之药，是殆劳神动
怒之后，复为饮食所伤，致令当纳受者不纳受，当运化者不运化，实热滞于太阴阳明两经，此王道安所谓饮食
劳倦之中，仍有有余不足。今非昔比，参、附断断不可沾唇者，惟宜清导消热耳。郡丞首肯，遂如法治之而愈。
The son (referring to Wei Zhixiu's son) administered the medication with a decoction of jujube. Upon initial administration of five fen, there was no change in condition; another five fen was given, and shortly thereafter, severe abdominal pain ensued. A jujube decoction was then drunk to alleviate this, followed by five or six bowel movements. At that time, it was approximately late afternoon. By midnight, a large amount of accumulated fluid—several dou—was finally discharged, and the accumulation was resolved. During the evacuation, the patient experienced extreme adverse reactions (mingxuan), with cold hands and feet, and briefly lost consciousness before recovering. The entire family wept bitterly, blaming the harshness of the medicine. Alas, how can medicines be used lightly?
One person had overconsumed fruits and vegetables during summer, resulting in incessant diarrhea, severe pain in the epigastrium (Zhongwan point area), irritability, thirst, and a desire to drink. He self-administered Tianshui San (Sky Water Powder) and Xiangru Yin (Elsholtzia Decoction). Upon pulse diagnosis, the right Guan and Cun positions were both deep and hidden. Thus, it was diagnosed as cold-damp stagnation. Xiangsha Liujunzi Tang (Aucklandia and Amomum Six Gentlemen Decoction) was prescribed with processed ginger and thick bark magnolia stem. After one dose, the pain and thirst ceased, and recovery was achieved through regulation with Weiling Tang (Stomach and Lingzhi Decoction).
Gong Zicai treated Prefect Xu, who suffered from hematemesis and expectoration due to excessive consumption of distilled liquor and five-spice medicinal wine. His six pulses were rapid and urgent. This indicated that alcohol toxicity and accumulated heat had penetrated into the bone marrow, making tonification inadvisable. Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) was modified with Anemarrhena Rhizome, Fritillaria Bulb, Gypsum, Forsythia Fruit, Scrophularia Root, Trichosanthes Root, Kudzu Root, Trichosanthes Fruit, Platycodon Root, and rhubarb steamed with wine, administered morning and evening. After more than a hundred days, Liuwei Wan (Six-Ingredient Pill with Rehmannia) combined with the detoxifying decoction was taken concurrently with the previous herbal soup. It took another hundred days for full recovery. However, after retiring home for over a year, he died still plagued by alcohol intoxication.
Lu Zuyu treated the mother of Wu Wuzu, who had been a widow since youth and maintained a strict vegetarian diet, possessing a very deficient constitution. While eating glutinous rice flour food, she was mistakenly informed that her son had failed the county examination, leading to shock and chest stuffiness, resulting in internal injury. Others administered excessive digestive-promoting herbs, causing severe middle-jiao distension. Pulse diagnosis revealed irregular, intermittent pulses in both hands, profuse watery diarrhea, an open mouth, and head sweat pouring like rain, indicating impending collapse of vital qi, yet the chest remained tender to palpation. With deficiency evident in the pulse but excess in symptoms, tonification should precede purgation. Fuzi Lizhong Tang (Aconite and Ginger Regulate the Middle Decoction) was urgently administered. After two doses, the pulse gained some root. Subsequently, Zhishi Lizhong Tang (Immature Bitter Orange and Ginger Regulate the Middle Decoction) was given, and the accumulation gradually moved, with the pulse showing spirit. Later, Runzi Wan (Moistening Pill) was administered at five fen per dose, delivered with the previous decoction. Once the accumulation was expelled and the body harmonized, regulation led to recovery. (The sequence of medication is worthy of emulation.)
The son of Xu Xiaoyuan, having recently married, had excessive phlegm and injured spleen qi, compounded by an external contraction. He presented with alternating chills and fever, stiffness and pain in the neck and back, and headache, exhibiting both exterior and interior signs. Some diagnosed malaria and hastily used antimalarial drugs, leading to thirst. He further consumed raw and cold foods, developing vomiting and diarrhea. Chai Ling Tang (Bupleurum and Poria Decoction) proved ineffective. Diagnosis revealed cold limbs, unconsciousness, blue-yellow complexion, and a faint, nearly absent pulse in the left three positions and right Chi position, while the right Guan position was slippery and forceful. Shenfu Lizhong Tang (Ginseng and Aconite Regulate the Middle Decoction) with Immature Bitter Orange, Thick Bark Magnolia Stem, and Hawthorn Seed was prescribed. After three doses, the pulse recovered. However, internal injury symptoms manifested as high fever, scorched tongue with prickles, tenderness around the umbilicus, and continuous sweating on the limbs, indicating complete lower-jiao excess syndrome. Only small amounts of Immature Bitter Orange, Thick Bark Magnolia Stem, and prepared rhubarb, guided by iron rust water, were used to expel three or four pieces of dry feces. As the condition persisted, Immature Bitter Orange, Thick Bark Magnolia Stem, Hawthorn Seed, and Coptis were added to Xiao Chaihu Tang (Minor Bupleurum Decoction) with a little Ginseng. Every four to five days, five fen of Runzi Wan was given, resulting in one bowel movement. After more than eighty days, the interior syndrome cleared, and the six pulses regained spirit. Previously, he had tidal fever in the late afternoon, closed stomach qi, dry mouth, and abdominal fullness. Removing Ginseng from the previous formula and administering four doses significantly reduced the condition. Some argued that if Shaoyang syndrome persists beyond twenty-one days, it becomes a complicated case. The Classics state: "Those who can eat prosper; those who cannot eat perish." Now, near a hundred days without any food intake, how could there be life? Moreover, with no fever, no tongue coating, and only slight late-afternoon heat, this must be due to yin deficiency. Urgent nourishment of yin and blood, along with opening the stomach and strengthening the spleen, would lead to natural recovery. One dose was given, followed by half a cup of rice gruel and a cup of longan juice. That night, however, he again had high fever, heart pain, extreme irritability, and developed tongue coating. Re-diagnosis showed deep, solid pulses in the right Guan and Chi positions. Immature Bitter Orange, Coptis, Polyporus, Malt, Hawthorn Seed, and Thick Bark Magnolia Stem were used to deliver fifteen fen of Runzi Wan. One smooth bowel movement occurred, and all symptoms vanished immediately. The formula was changed to Liujunzi Tang (Six Gentlemen Decoction), and appetite returned. Over one hundred and thirty days, his hair fell out completely, and he did not leave his house for over a year.
Chen Mengzhao went to teach during the New Year, accidentally opened an empty room, saw a coffin, felt a sudden palpitation, and had a nocturnal emission that night. The next day, he forced himself to write essays. In the evening, after eating meat noodles, he developed headache, fever, a bowl-sized mass in the right hypochondrium, pain, and alternating chills and fever, suspecting a carbuncle. Diagnosis indicated internal injury with external contraction. He disbelieved this. The surgeon applied external plasters and internal detoxifying agents without effect. Another practitioner gave tonics, leading to stupor, irritability, and delirious speech resembling madness. Re-evaluation showed extremely rapid and flooding pulses, attributed to erroneous tonification. Treatment reverted to internal injury from diet, using Green Tangerine Peel, Tangerine Peel, Immature Bitter Orange, Thick Bark Magnolia Stem, Hawthorn Seed, and Coptis. Wheat bran was stir-fried and applied hot to the abdomen. He slightly revived, and five fen of Runzi Wan was given. After several doses, old turbidity was expelled, pain decreased, and the formula shifted to Ginseng, Atractylodes, Angelica, White Peony Root, Ophiopogon, Tangerine Peel, Poria, and Licorice. Regulation over a month led to stability.
Shen Zhenyu suffered from a yin syndrome presenting with yang-like symptoms and recovered using Wenjing Yiyuan Tang (Warming Meridians and Benefiting Origin Decoction). Shortly after recovery, consuming mantou (steamed buns) and mutton caused chest and abdominal distension and blockage. Medication for ten days was ineffective. Thirst, irritability, worse in the late afternoon, and constipation persisted. Niter, rhubarb, Immature Bitter Orange, Thick Bark Magnolia Stem, Areca Seed, Hawthorn Seed, Hemp Seed, Green Tangerine Peel, Safflower, Angelica, Rehmannia, Scutellaria, and Coptis were all tried without success. Lu stated: Severe illnesses require powerful prescriptions. Restricting dosages to one or two qian results in weak efficacy. For Yuanmingfen (Mirabilite) and Areca Seed, five qian are necessary; for Immature Bitter Orange, Rehmannia, Angelica, and Scutellaria, one liang is required; for Safflower, three qian. Additionally, use four to five liang of Hawthorn Seed decocted in water to replace normal water for decocting other herbs. Add half a wine glass of iron rust water before administration to naturally expel turbidity. Following this advice, one dose caused abdominal movement and constant rumbling. Within two hours, half a bucket of old turbidity was discharged, bringing immediate relief, and recovery followed through regulation.
In the past, a Brahmin monk from the East said to those eating noodles, "This is excessively heating; why do you eat it?" Seeing radishes in the food, he said, "Fortunately, this exists to neutralize its nature." Since then, it has been transmitted that one must eat radishes when consuming noodles. Novels also record: Someone poisoned by wheat flour dreamed of a woman in red singing sadly, with the line, "There is a radish roasting my palace." (Yi Shuo Xu Bian, Bencao.)
Bian Que said: Excessive drinking corrodes the intestines and stomach, soaks the marrow, steams the sinews, damages the spirit, and shortens lifespan. A guest visited Zhou, offering two shi of fine wine. Zhou drank two dou, and the guest drank eight dou. The next day, Zhou was unharmed due to habitual tolerance, but the guest had died. Examination showed the guest's ribs pierced and intestines protruding, clearly violating Bian Que's warning against exceeding capacity. (Ibid.)
Wang Haicang treated Qin Sheng, who habitually consumed Tian Sheng Cha (natural tea) and cold foods, accumulating chronic cold. The pulse was neither deep nor floating; throughout the body, pressing yielded extreme force, hard and unyielding, protruding above the skin surface, moving too fast to count and too vast to describe. This is the "drum-beating pulse" of yin syndrome. Wanderfire gathered in the chest, constrained by cold, creating strong pulsation. Zhenwu Tang (True Warrior Decoction), Sini Tang (Reverse Cold Decoction), and Lizhong Tang (Regulate the Middle Decoction) pills were given, assisted by White Peony Root and Fennel, formed into pills with wine paste to prevent ascending rebellion. Hundred pills were taken continuously day and night. After eight to nine days, half a jin of pills was consumed, leading to sweating and recovery. This is rare in the world. (Yin Zheng Lue Li, Yi Shuo Xu Bian.)
Xue Lizhai treated a man who ate zongzi (sticky rice dumplings), experiencing irritability, thirst, and difficulty defecating. Digestive promoters failed. Fermented rice wine cake, fried and powdered, was mixed with warm wine and taken at two qian. Soon, abdominal sounds occurred, the zongzi passed, and he recovered. Another person ate too many crystal dumplings, causing abdominal distension and pain, also cured by this method.
A man ate fish, developed abdominal pain and dysentery, unresponsive to various medicines. Equal parts Tangerine Peel and Atractylodes Macrocephala Rhizome, powdered, taken with aged rice water, cured him. Another person had abdominal pain every time he ate crab, relieved by strong decoction of Perilla Leaf.
A woman suffered from food stagnation and fullness. Using Renshen Yangwei Tang (Ginseng Nourishing Stomach Decoction) and Muxiang Binglang Wan (Aucklandia and Areca Pill) caused diarrhea, phlegm vomiting, and abdominal masses. Erchen Tang (Two Old Ones Decoction), Coptis, and Thick Bark Magnolia Stem worsened the bloating and anorexia. This was due to deficient stomach qi unable to digest. Buzhong Yiqi Tang (Supplement the Middle and Benefit Qi Decoction) with Poria and Pinellia was given for over fifty doses, strengthening the spleen and stomach and resolving all symptoms.
Dou Cai treated a man who ate cold foods in summer, causing severe chest and abdominal oppression. Jin Ye Dan (Golden Elixir Pill) was administered at one hundred pills, followed by Quan Zhen Dan (Complete True Pill) at one hundred pills shortly after. Gas descended, and he recovered.
Another man drank alcohol after every meal, damaging lung qi, causing chest diaphragm distension and suffocating breathlessness. Zhuru Fen (Crystal Powder) and Wuge San (Five Diaphragms Powder) cured him. For severe cases, moxa at Zhongfu (LU1) is effective; cooling medicines would cause difficult-to-treat middle-jiao fullness.
A child ate raw apricots, injuring the spleen, causing fatal distension. Moxa was applied to Left Mingmen (GV4) for twenty cones, curing him. He also took fifty Quan Zhen Dan pills.
A man addicted to tea was advised by a Daoist to fill new shoes with tea and eat them until empty, repeating three times. Men should use women's shoes, and women men's shoes. This cured him. (Ji Jiu Fang.)
Lizhai treated a man who had intercourse in summer and ate ice fruit, causing abdominal pain. Fuzi Lizhong Tang cured him. Another with the same condition disbelieved, used Scutellaria, Coptis, and Erchen Tang, and died.
Lin Guanzi treated a man who traveled far after intercourse, drank fresh spring water while hungry and thirsty, and fell ill upon return. Doctors gave exterior-resolving and digestive herbs, causing cold extending past knees and elbows, external heat, restlessness, kicking off covers, incoherent speech, and a thread-like pulse at the Cun position, with no other pulse. Urgently, Ginseng, Ginger, and Aconite, with Scallion White and Fresh Ginger, were decocted in large doses, cooled, and poured in. He slept, agitation ceased. Scallion and Ginger were removed, and after several doses, sweating occurred, liver pulse harmonized, and other medicines regulated him to safety.
Zhu Danxi treated a man who drank heavily, leading to lower bleeding, abdominal pain, tenesmus, and dysentery. Halves liang of Talcum, two qian each of Forsythia, Scutellaria, Akebia Stem, White Peony Root, Immature Bitter Orange, and Atractylodes Macrocephala Rhizome, five fen of Licorice, and twenty-one Peach Kernels were divided into four doses.
Someone injured by worry and food stagnation had accumulation in the intestines and stomach, desiring vomiting and diarrhea. From winter solstice to summer, the accumulation erupted, causing violent diarrhea for days. Yu Han Jing states: Dysentery recurring annually or monthly indicates accumulation; purgation is appropriate. Wenpi Tang (Warm the Spleen Decoction) is best. If difficult to purge, Ganjiang Wan (Ginger Pill) assists: equal parts Dried Ginger, Croton Seed, Rhubarb, and Ginseng. Follow with Baizhu San (Atractylodes Powder): equal parts Atractylodes Macrocephala Rhizome, Aucklandia, Aconite, and Ginseng. Powder finely, take two qian with one cup of water, three slices of ginger, and one jujube, warming and taking six parts.
A man drank heavily, causing chronic diarrhea unrelieved. Self-administering Aconite and Sichuan Pepper worsened anorexia and diarrhea. Talcum and Scutellaria, halves liang each, with Dried Ginger, Coptis, and Toona Sinensis Bark, formed into pills with porridge, taking one hundred pills per dose.
Scholar Xu treated Imperial Clan member Zhao Yancai, who had lower bleeding, waxy complexion, and anorexia, attributed to alcohol disease. Zijin Dan (Purple Gold Pill) was prescribed. Completing the course stopped bleeding, restored facial luster, and doubled appetite. A scholar from Xin'an had similar results with three hundred pills in one dose. Alum three qian, yellow beeswax two liang, jujubes fifty. In a clay pot or silver/stone vessel, boil three sheng of good wine. Add alum and jujubes first, simmer slowly for half a day. Remove jujubes, peel, and pit. Add wax, simmer slowly for one to two hours until paste-like. Add two liang of wax tea, mix, and form pills sized like paulownia seeds. Take twenty to thirty pills with tea or wine as desired.
Sun Zhao treated Academician Zhang Juyi, who loved wine and lived freely, suddenly developing fever and headache. Academy physicians treated him for ten days with worsening results. Scholars summoned Sun. Sun diagnosed: Others say shaoyang, but this is phlegm. Zhang loves wine, has much phlegm, and food injury. Phlegm is not shaoyang; right hand pulse is very rapid, left is peaceful. This is headache from wine/food injury. Use Shi Yao Wan (Food Medicine Pill) five to seven pills. Wait half a day to see progress. Sun administered the pill. After digestion, chest widened, headache decreased. Further diaphragm-clearing medicines brought peace. Generally, yang pathogenic factors causing headache for ten days will inevitably turn to fever and madness. Thus, it is not shaoyang but food disease.
Zhu Danxi treated Lady Hu, who ate cold noodles and meat, causing headache, spontaneous sweating, chest stuffiness, and dark urine. Three and a half qian of Atractylodes Macrocephala Rhizome, one and a half qian of Tangerine Peel, five fen each of Akebia Stem, Ligusticum Wallichii Rhizome, and Scutellaria Root, decocted with ginger water, swallowed with fifty grains each of Caodoukou Wan (Cardamom Pill), Asarum Pill, and Baohe Wan (Harmonize the Stomach Pill).
Luo Qianfu said: In winter of Ding Si year, returning from military service to Bianliang, actor Li Ren'ai told me: My eldest son, since July this year, worked hard, drank cold tea while thirsty, and ate cold rice. He felt epigastric stuffiness. One dose of medicine caused two bowel movements, reducing symptoms. Days later, he ate cold foods again, causing recurrent epigastric and abdominal fullness, vomiting, nausea, loss of taste, refusal to eat, limb fatigue, and reluctance to speak. The previous doctor was consulted again, saying: This is easy to treat; a few more bowel movements will bring relief. Youyou San (Carefree Powder) mixed with Kansui powder was taken in white water. Evening came, abdominal thundering and cramping pain ensued. Soon, diarrhea returned, persistent thirst and irritability, uncontrollable eating desires, and occasional stupor. The doctor was called again, found the pulse unmanageable, and withdrew. Soon, cold sweat poured, breath from nose and mouth grew cold, and he died. The servant regretted deeply and asked. I said: I haven't seen it personally, don't know why, but left. Someone else said: I saw it personally. Was it the medicine's fault? I said: Not the medicine's fault, but failure to observe dosage limits. Medicines without basis become qi thieves. Neijing says: Regulating a prescription is like tying a bag. If the bag is full and not tied, contents leak; if not tied, spirit and qi do not gather together. Thus, Zhang Zhongjing, using Guizhi Tang for wind strike, said: If one dose causes sweating and cure, stop subsequent doses, do not finish the decoction. Dachengqi Tang for severe fullness, said: Change clothes, stop subsequent doses, do not finish. Such caution is a great warning, following the sage's principle of tying the bag. Treating disease requires seeking the root. Li played drama, exhausting spirit and qi, causing mid-abdominal pain. Due to summer heat, he drank cold tea. Spleen and stomach qi were weak, unable to transform, causing fullness. Purging with medicine further weakened him. Carelessness damaged yang. Deficiency followed by purging, yin contends inside, yang disturbs outside, soul sweat not stored, cold limbs arise internally. Zhongjing said: One reversal delays death; two reversals hasten it. Is this not failure to observe dosage? Neijing warns: Superior doctors regulate qi; middle doctors disrupt pulses; inferior doctors exhaust qi. Must be cautious.
Zhang Zihe treated a tenant farmer addicted to tea, with accumulation in the left hypochondrium. Said: Similar to Feiqi (Fat Qi), but without malaria attacks, it is not Feiqi. Though sick for ten years, not laboring a day. Both hands deep and thin, due to accumulation. My treatment avoids acupuncture pain; only medicine extends life. First, Chatiao San (Tea Regulating Powder) induced vomiting of several sheng of old tea. Then, using a wooden tool, induced vomiting of several more sheng, all tea-colored. Next, Sanhua Shenyao Wan (Three Flowers Divine Protection Pill) ten-plus pills caused over twenty bowel movements that night, mixing pus, water, dry feces, and blood. Next day, dampness-draining medicines for ten days relieved all suffering, restoring clear spirit. (Yi Shuo Xu Bian.)
Quan Gong, Supervising Censor of Eastern Zhejiang, drank over ten cups of Araki (distilled spirit) every morning before regular wine. In June, severe fever developed. Zhang Yizhi treated him by placing ice on the heart and abdomen. After ice melted, fever increased. Internal medication cured him in three days. (Yaoyao Huowen.)
A wealthy young man in his twenties had fever in April, sought Zhao Yi-de. Pulses were weak floating and sunken, with fluctuating deficiency heat, tidal fever without fixed time, and intermittent forceful, rapid pulses advancing and retreating with heat. Not external heat, likely retained heat from alcohol, exacerbated by sexual exhaustion and qi/blood deficiency. Inquiry confirmed drinking Araki daily in January and eating dog meat for a month. Knowing this, qi/blood tonics plus Kudzu Root to dissipate alcohol toxin were given. One dose caused slight sweating, but weakness increased, fever remained. Realizing qi/blood were too weak to tolerate Kudzu's dispersing action, Chicken Claw Fruit (Jiju Zi) was needed to resolve toxicity. A small amount of dried fruit was added, and fever resolved.
Tang Sheng, due to drinking milk water and eating raw foods, had purple-black bloody diarrhea over ten times. Spleen and stomach affected by cold-damp toxin. Liushen Pingwei San (Six Spirits Harmonize Stomach Powder) halves liang plus three qian Atractylodes Macrocephala Rhizome to promote blood circulation in waist and umbilicus. One dose cured him.
Zhou Zigong treated Wang Jingli, who felt light and floating, as if walking in emptiness. Seventy doctors changed, all diagnosing wind-deficiency, giving heat-inducing medicines which worsened condition. Zhou said: This is alcohol toxicity. Cooling medicines dispelled it, and he recovered. (Ji Yi Shanfang Ji.)
Zhang Zihe treated an alcoholic patient with headache, fever, aversion to cold, resembling shaoyang. Pulses were flooding and large in both hands. No bowel movement for two to three days. Fangfeng Tongsheng San (Saposhnikovia Unblocking the Healthy Decoction) about one liang, one bowl of water, twenty-plus slices of ginger, twenty scallions, a large handful of fermented soybeans, boiled three times, strained, slightly warmed, divided into two doses. Took most of the first dose, soon stimulated throat with hairpin, vomited about one liang of old wine, still fragrant. Head sweat poured like rain. Took remaining small portion, instantly cured. Neijing says: For fire stagnation, vent it. Vent means inducing sweating and dispersion.
Zhu Danxi treated a drinker with chest fullness, fever, night delirium, resembling shaoyang. Right pulse discordant, left large. Buzhong Yiqi Tang (Supplement the Middle and Benefit Qi Decoction) minus Astragalus, Bupleurum, and Cimicifuga, plus Pinellia. Astragalus tonifies qi, Bupleurum and Cimicifuga ascend, thus removed. Condition cured. Heart pain from cold food resolved by adding Cardamom grains to previous medicine. (Zhi Fa.)
Lizhai treated Cao Quan, who drank Fenjiu, causing anal swelling/pain and constipation with forceful pulse. Jingfang Baidu San (Aucklandia and Saposhnikovia Dispelling Toxicity Powder) failed. Huanglian Neishu Tang (Coptis Interior-Purging Decoction) cured him.
Zhang Zihe treated Vice-Prefect Qin Shuixin of Suzhou, initially with middle qi deficiency-cold, compounded by heavy paperwork and social disturbances, leading to fatigue, poor appetite, slight surface heat, and inability to work. Diagnosis started with warming, then tonifying, eventually adding Ginseng to one liang and Aconite to three qian per dose. Diet and spirit improved. Due to bitter taste of long-term decoctions, pills were made for maintenance, generally supporting yang and suppressing yin. Suddenly, symptoms recurred, worse than before, with spontaneous sweating, dizziness, and reluctance to speak. Urgent consultation questioned previous large-dose warming/tonifying decoctions, assuming pills were too slow. Diagnosis concluded: Symptoms same as before, but medicine different. Likely after mental exertion and anger, re-injured by diet, causing failure to receive and transform, with excess heat stagnating in Taiyang and Yangming meridians. As Wang Dao'an said, within dietary/labor fatigue, there remains excess and deficiency. Now differs from past; Ginseng and Aconite strictly forbidden. Only clearing and guiding to eliminate heat is suitable. Vice-Prefect agreed, treated accordingly, and recovered.