宝丰阿磨堆侯君辅之县丞为亲军时饮食积寒所伤久矣,一日病其脉极沉细易辨,即阴证无疑
。内寒外热,故肩背胸胁 出十数点,语言狂乱,家人惊曰∶发 谵语,莫非热乎?余曰∶
非也。阳为阴逼,上入于肺,传之皮毛,故 微出,神不守舍,故错言如狂,非谵语也。肌
表虽热,以手按执,须臾冷透如水。余与姜附等药,前后数日,约二十余两后中大汗而愈。
及见庭中物色,儿童鸡犬,指之曰∶此正我二三日间梦中境物也。然则神不守舍信矣。愈后
起行,其狂又发,张目而言曰∶今我受省札为御马,群大使如何不与我庆?及诊之,脉又沉
退,三四日不大便。余与理中丸,三日内约半斤,其疾全愈。侯公之狂,非阳狂之狂,乃失
神之狂,即阴也,但脉阴为验,学人当审,独取诸脉,不凭外证可也。
宝丰侯八郎外感风,内伤冷,自服通圣散,大汗出,内外阳气俱脱,不及治而死。其子国华
又病伤寒四五日,身微 ,渴饮水。及诊之,沉弦欲绝,厥阴脉也。温药数日不已,又以姜
附等药微回脉生,因渴私饮水一盂,脉复退,但见头不举,目不开,问之则犯阴易。若只与
烧散则寒而不济矣。遂煎吴茱萸汤一大服调烧 散连进二服,作大汗两昼止。何以然?以
其至阴汗从骨髓中得温而出,所以液汗两昼夜方止。
The Assistant Magistrate (Xiancheng) Hou Junfu from Amadui, Baofeng County, suffered from long-term injury due to dietary accumulation and cold pathogenic factors while serving in the Imperial Guard. One day, he fell ill with a pulse that was extremely deep and fine, which is easy to distinguish; this was undoubtedly a Yin Syndrome (Yin Zheng).
Internal cold with external heat caused several spots to appear on his shoulders, back, chest, and hypochondrium. His speech was chaotic and delirious. His family, alarmed, said, "He is experiencing verbal delirium (Zhanyu); could it be a Heat syndrome?" I replied, "No. Yang Qi is forced by Yin Cold to ascend into the Lung, transmitting to the skin and hair, hence the slight eruption of spots. The Spirit (Shen) fails to reside in its abode, leading to confused speech resembling madness, but this is not verbal delirium." Although the muscle and surface felt hot, pressing them with the hand revealed a coldness penetrating like water after a moment. I administered herbs such as Sheng Jiang (Prepared Ginger) and Fu Zi (Aconite Root), totaling over twenty taels over several days. He then sweated profusely and recovered.
Upon seeing objects in the courtyard, children, chickens, and dogs, he pointed at them and said, "These are exactly the scenes from my dreams two or three days ago." This confirms that the Spirit indeed failed to reside in its abode. After recovery, when he stood up and walked, his madness recurred. Opening his eyes wide, he said, "I have now received an official appointment from the Provincial Secretariat as a Royal Horse Officer; why do you grand envoys not celebrate for me?" Upon examination, the pulse had become deep and retreating again, and he had not had a bowel movement for three or four days. I administered Lizhong Wan (Regulate the Middle Pill), totaling about half a jin within three days, and his illness completely resolved. Hou Gong's madness was not the madness of Yang Excess, but the madness of lost Spirit, which belongs to Yin. One should rely on the pulse as the verification; scholars should examine carefully, relying solely on the pulse rather than external symptoms.
Hou Balang from Baofeng contracted Wind externally and Cold internally. He self-administered Tongsheng San, resulting in profuse sweating, causing both internal and external Yang Qi to collapse, and he died before treatment could be effective.
His son, Guohua, subsequently suffered from Shanghan (Cold Damage) for four or five days, presenting with slight body heat and thirst with desire to drink water. Upon pulse diagnosis, the pulse was deep, wiry, and nearly absent, characteristic of the Jueyin Meridian. Treatment with warming herbs for several days yielded no improvement. Subsequently, using Sheng Jiang and Fu Zi, the pulse slightly returned and life signs revived. However, due to thirst, he privately drank a bowl of water, causing the pulse to retreat again. He presented only with an inability to lift his head or open his eyes. Inquiry revealed involvement of Yin Yi (Easy Transmission/Yin Exchange). If only Shaokun San (Burned Underwear Powder) were given, its cold nature would fail to support the Yang. Therefore, I decocted a large dose of Wuzhuyu Tang (Evodia Decoction) and combined it with Shaokun San, administering two doses consecutively. This resulted in profuse sweating lasting two full days and nights before stopping. Why was this so? Because the sweat of extreme Yin emerged from the bone marrow after receiving warmth, thus the fluid sweat continued for two days and nights until cessation.