武林云栖梅家坞孙某。形体肥硕。平素喜啖肥甘。年近六旬。患偏枯症。左手不能展动。足亦如之。将及一载。时
或神昏气急。大便不通。头目眩晕。如发痧状。邀余诊之。脉右三部滑大而数。左三部俱涩小。尺部微如蛛丝。余曰。
右
脉滑大。因痰食积滞。以致气道不能流通。左脉涩小。乃高年气血两虚。无以荣养经络。濡润筋骨也。左不升则右
不降。其气血归并一边。而为偏枯之疾。时或神昏气急。大便秘结者。实由痰随气涌。肺气不克下降耳。法当去积
化痰。从左引右。从右引左。从阴引阳。从阳引阴。俾气血流转。周身无滞。方用丹参、归、芍、柴胡、升麻。助其气
血升于左。莱菔子、槟榔、木香、半夏、枳实。消其痰食降于右。服三剂而手足举。大便解。饮食亦进。眩晕不作矣。
继用参、苓、归
芍、半夏、陈皮、丹参、升麻、柴胡、麻仁、桑枝等以调之。嘱其午前进食。午后减食。忌油腻浓味。以养胃中清静之
气。乃
不助浊阴以碍气也。服四五剂。居然下楼晋接。步履如常矣。后用参、 、归、芍等大补气血。佐以消痰活络之品。三
十剂以善将来。半载之疾。脱然而愈。快哉。
梅家坞离杭三十余里。心禅朝去夕返。余时与同寓。据述其病危甚。数日后伊芳婿来寓改方。不胜欣喜。备言诊
后大有起色。无复半体偏枯之苦。足见高手指下。生趣盎然。令人有羹墙黄帝之想。（淞樵评）
武林云栖梅家坞有一位姓孙的人。身体肥胖硕大。平时喜欢吃肥腻甘甜的食物。年龄接近六十岁。患上了偏枯症（半身不遂）。左手不能伸展活动。脚也是如此。将近一年时间。有时会出现神志昏迷、气息急促。大便不通畅。头晕目眩。症状像发痧一样。邀请我诊治。右手寸关尺三部脉象滑大而数。左手寸关尺三部脉象都涩小。尺部脉微细如蛛丝。我说。右脉滑大。是因为痰湿和食积停滞。导致气道不能流通。左脉涩小。是因为年高气血两虚。无法荣养经络。濡润筋骨。左边的气血不升则右边的不能降。气血归并于身体一侧。从而形成偏枯的疾病。有时神志昏迷、气息急促、大便秘结。确实是由于痰随气上涌。肺气不能下降所致。治疗法则应当去除积滞、化痰。从左边引导右边。从右边引导左边。从阴引阳。从阳引阴。使气血流转。周身没有阻滞。方剂使用丹参、当归、白芍、柴胡、升麻。帮助气血升于左侧。莱菔子、槟榔、木香、半夏、枳实。消除痰食降于右侧。服用三剂后手足能够举起。大便通畅。饮食也进来了。眩晕也不再发作了。接着用人参、茯苓、当归、白芍、半夏、陈皮、丹参、升麻、柴胡、火麻仁、桑枝等药物来调理。嘱咐他中午前进食。午后减少进食。忌食油腻浓味食物。以养护胃中清静之气。这样就不会助长浊阴阻碍气机。服用四五剂后。竟然能下楼接待客人。步履如常了。后来用党参、熟地黄、当归、白芍等大补气血。佐以消痰活络的药物。三十剂以巩固疗效。半年的疾病。轻松痊愈。痛快啊。
梅家坞距离杭州三十多里。心禅医生早上出发晚上返回。我当时与他同住。据他说病人病情危重。几天后他的女婿来住处修改处方。非常欣喜。详细叙述诊病后大有起色。不再有半身偏枯的痛苦。足见高手手下。生机盎然。让人产生仰慕黄帝医术的想法。（淞樵评）
There was a Mr. Sun in Meijiawu, Yunqi, Wulin. His physique was obese and large. He usually enjoyed consuming rich and sweet foods. Approaching sixty years of age, he suffered from Pianku (hemiplegia). His left hand could not extend or move. His foot was the same. This lasted for nearly a year. Occasionally, he experienced coma and shortness of breath, constipation, dizziness and vertigo, resembling symptoms of Sha disease (heatstroke-like condition). I was invited to diagnose him. The pulse on the right side at Cun, Guan, and Chi positions was slippery, large, and rapid. The pulse on the left side at all three positions was choppy and small. The Chi position was faint, like a spider's thread. I said: The slippery and large pulse on the right is due to phlegm and food retention, causing the Qi mechanism to be obstructed. The choppy and small pulse on the left indicates deficiency of both Qi and Blood due to advanced age, failing to nourish the meridians and moisten the sinews and bones. If Qi and Blood do not ascend on the left, they cannot descend on the right. The Qi and Blood converge on one side, resulting in Pianku. The occasional coma, shortness of breath, and constipation are indeed caused by Phlegm surging with Qi, preventing the Lung Qi from descending properly. The treatment method should focus on eliminating retention and resolving phlegm. Guide from the left to the right, from the right to the left, from Yin to Yang, and from Yang to Yin. Let Qi and Blood circulate freely without stagnation throughout the body. The prescription used Danshen (Salvia miltiorrhiza Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chaihu (Bupleuri Radix), and Shengma (Cimicifugae Rhizoma) to assist Qi and Blood in ascending on the left. Laifuzi (Raphini Semen), Binglang (Arecae Semen), Muxiang (Aucklandiae Radix), Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine), and Zhishi (Aurantii Fructus Immaturus) were used to eliminate phlegm and food and cause descent on the right. After taking three doses, his hands and feet could be raised, his bowels moved, his appetite improved, and the dizziness ceased. Subsequently, Renshen (Ginseng Radix), Fuling (Poria), Danggui, Baishao, Banxia, Chenpi (Citri Reticulatae Pericarpium), Danshen, Shengma, Chaihu, Haren (Semen Cannabis), and Sangzhi (Ramulus Mori) were used to regulate the condition. He was instructed to eat before noon and reduce food intake after noon, avoiding greasy and strong-flavored foods to nourish the pure and quiet Qi in the Stomach, thereby preventing Turbid Yin from obstructing Qi movement. After four or five doses, he could actually go downstairs to receive guests, walking normally as usual. Later, Dangshen (Codonopsis Radix), Shudihuang (Rehmanniae Radix Preparata), Danggui, and Baishao were used to greatly tonify Qi and Blood, assisted by herbs that resolve phlegm and activate collaterals. After thirty doses, the outcome was secured. A half-year illness was easily cured. How delightful.
Meijiawu is more than thirty li from Hangzhou. Dr. Xinchan departed in the morning and returned in the evening. I was staying with him at the time. He recounted that the patient's condition was critical. A few days later, the patient's son-in-law came to the residence to modify the prescription, expressing great joy. He detailed that after the diagnosis, there was significant improvement, and the suffering of hemiplegia was gone. This fully demonstrates that under the hands of a master, vitality abounds, evoking thoughts of admiring the medical skills of the Yellow Emperor. (Comment by Songqiao)