尹季藩素好豪饮。癸未春患风温咳嗽。气喘。微有寒热。脉浮而数。此温邪犯肺。肺失清肃之令。与连翘、杏仁、
牛蒡子、条芩、桔梗、枳壳、竹茹、羚羊角等。一剂而愈。
郭姓年四十许。素有痰饮。每值严寒。病必举发。喘咳不卧。十余年来。大为所苦。甲申冬。因感寒而病复作。背
上觉冷者如掌大。喉间作水鸡声。寸口脉浮而紧。与小青龙汤。二剂即安。至冬乃灸肺俞大椎中脘等穴。以后不复发
矣。凡饮邪深伏脏腑之俞。逢病发作。用灸法必能除根。惜人多不信。致延终身之疾。可慨也。
马姓妇。夏月患气喘呕吐。头汗如雨。粒食不进。已二日矣。乃邀余诊。其脉大而数。舌苔微白。中心黄而四旁带
赤。余曰此暑邪充斥肺胃气失肃降成喘乃以葶苈子知母南花粉枇杷叶碧玉散川连一剂而愈。
郭绍翁年四十许。经营米业。劳顿实甚。癸酉秋。患伤风咳嗽。就诊于余。脉浮部虚大。寸口涩小。自汗淋漓。余
曰。伤风症也。但脉象极虚。寸口脉应大反小。是内伤而微有外感。若服发散之药。汗必漏而不止。虚阳浮越矣。法宜
补益。与玉屏风散二剂而瘳。
冯某年四十许。素质本虚。更患暑邪。脉极虚大而数。近人至。舌绛目赤。面色戴阳。头汗淋漓。目直视而昏。余
曰。病
原暑邪未透。但真元虚极。医甚棘手。当先固其元。急用四逆加人参汤。益以龙骨、牡蛎。佐以胆汁、童溺。用地浆水
一杯为引。浓煎候冷。徐徐投之。服下一时许。口敛神定。目能转动。但大渴舌燥。暑象毕呈。令食西瓜。神气顿觉清。
爽。次日再诊。脉象稍敛。有根而数。减去一至。为立竹叶石膏汤。服二剂。身能起而口能言。但觉困倦少食。此由胃
津已耗。余烬未熄之故。乃以沙参、麦冬、石斛、知母、生甘草、银花、生扁豆、等滋养肺胃。而清余热。数剂即安。
徐洄溪
惯用此法。用之颇不易也。盖此症象白虎。开手即用白虎。用则必死。何以辨之。全在脉之虚实而已。
尹季藩平时喜欢豪饮。癸未年春季患风温咳嗽。气喘。微有寒热。脉浮而数。这是温邪犯肺。肺失清肃之令。给予连翘、杏仁、牛蒡子、条芩、桔梗、枳壳、竹茹、羚羊角等药。一剂而愈。
郭姓年四十许。素有痰饮。每值严寒。病必举发。喘咳不卧。十余年来。大为所苦。甲申冬。因感寒而病复作。背上觉冷者如掌大。喉间作水鸡声。寸口脉浮而紧。与小青龙汤。二剂即安。至冬乃灸肺俞大椎中脘等穴。以后不复发矣。凡饮邪深伏脏腑之俞。逢病发作。用灸法必能除根。惜人多不信。致延终身之疾。可慨也。
马姓妇。夏月患气喘呕吐。头汗如雨。粒食不进。已二日矣。乃邀余诊。其脉大而数。舌苔微白。中心黄而四旁带赤。余曰此暑邪充斥肺胃气失肃降成喘乃以葶苈子知母南花粉枇杷叶碧玉散川连一剂而愈。
郭绍翁年四十许。经营米业。劳顿实甚。癸酉秋。患伤风咳嗽。就诊于余。脉浮部虚大。寸口涩小。自汗淋漓。余曰。伤风症也。但脉象极虚。寸口脉应大反小。是内伤而微有外感。若服发散之药。汗必漏而不止。虚阳浮越矣。法宜补益。与玉屏风散二剂而瘳。
冯某年四十许。素质本虚。更患暑邪。脉极虚大而数。近人至。舌绛目赤。面色戴阳。头汗淋漓。目直视而昏。余曰。病原暑邪未透。但真元虚极。医甚棘手。当先固其元。急用四逆加人参汤。益以龙骨、牡蛎。佐以胆汁、童溺。用地浆水一杯为引。浓煎候冷。徐徐投之。服下一时许。口敛神定。目能转动。但大渴舌燥。暑象毕呈。令食西瓜。神气顿觉清爽。次日再诊。脉象稍敛。有根而数。减去一至。为立竹叶石膏汤。服二剂。身能起而口能言。但觉困倦少食。此由胃津已耗。余烬未熄之故。乃以沙参、麦冬、石斛、知母、生甘草、银花、生扁豆、等滋养肺胃。而清余热。数剂即安。徐洄溪惯用此法。用之颇不易也。盖此症象白虎。开手即用白虎。用则必死。何以辨之。全在脉之虚实而已。
Yin Jifan had a habit of heavy drinking. In the spring of the Guiwei year, he suffered from wind-warmth cough and asthma. He had slight chills and fever. The pulse was floating and rapid. This was due to warm pathogenic factors invading the lungs, causing the lungs to lose their descending and purifying function. He was prescribed Qiaoqiao (Forsythiae Fructus), Xingren (Armeniacae Semen Amarum), Niubangzi (Arctii Fructus), Tiaohuang (Scutellariae Radix), Jiegeng (Platycodonis Radix), Zhike (Aurantii Fructus), Zhuru (Bambusae Caulis in Taeniam), and Lingyangjiao (Saigae Tataricae Cornu), among other herbs. After one dose, he recovered.
Mr. Guo, around forty years old, had long suffered from phlegm-fluid retention. Every time severe cold arrived, his illness would flare up, causing asthma, coughing, and inability to lie down. For over ten years, he had been greatly distressed by it. In the winter of the Jiashen year, due to contracting cold, his illness recurred. He felt a patch on his back, the size of a palm, as cold. There was a sound like a water chicken in his throat. The cunkou pulse was floating and tight. He was given Xiao Qinglong Tang (Minor Blue Dragon Decoction). After two doses, he stabilized. In winter, moxibustion was applied to Feishu (BL13), Dazhui (GV14), and Zhongwan (CV12) acupoints. Afterwards, the illness did not recur again. Whenever fluid pathogens are deeply embedded in the shu-akupoints of the zang-fu organs, when an attack occurs, using moxibustion can definitely eradicate the root cause. It is regrettable that many people do not believe this, leading to lifelong diseases. This is truly lamentable.
Mrs. Ma suffered from asthma and vomiting in summer. Her head sweated profusely like rain. She could not eat anything. This had lasted for two days. She invited me to diagnose her. Her pulse was large and rapid. The tongue coating was slightly white, yellow in the center, and red at the edges. I said this was due to summerheat pathogenic factors filling the lungs and stomach, causing qi to fail to descend properly, resulting in asthma. Therefore, Tinglizi (Descurainiae Semen seu Lepidii Semen), Zhimu (Anemarrhenae Rhizoma), Nanhuafen (Trichosanthis Radix), Pipaye (Eriobotryae Folium), Biyu San (Jade Green Powder), and Chuanlian (Coptidis Rhizoma) were prescribed. After one dose, she recovered.
Mr. Guo Shaoweng, around forty years old, managed a rice business and was extremely fatigued. In the autumn of the Guiyou year, he contracted wind-cold with cough and consulted me. The superficial pulse was deficient and large; the cunkou pulse was choppy and small. He had spontaneous sweating profusely. I said this was a wind-cold syndrome. However, the pulse image was extremely deficient. The cunkou pulse should be large but was instead small. This indicated internal injury with slight external contraction. If dispersing medicines were taken, sweat would leak uncontrollably, and deficient yang would float upward. The method should be tonification. Yu Pingfeng San (Jade Windscreen Powder) was prescribed for two doses, and he improved.
Mr. Feng, around forty years old, had a constitutionally deficient quality and further contracted summerheat pathogenic factors. His pulse was extremely deficient, large, and rapid. When relatives came to visit, his tongue was crimson, eyes red, face showed floating yang (redness on the cheeks while the rest of the face is pale), head sweated profusely, eyes stared straight ahead and were confused. I said the original disease was summerheat pathogenic factors not yet fully penetrated, but true yuan (original qi) was extremely deficient. The medical situation was very difficult. One must first consolidate his yuan. Urgently use Sini Jia Renshen Tang (Four Reversal Decoction plus Ginseng), supplemented with Longgu (Fossilia Ossis Mastodi et Scapulae) and Muli (Concha Ostreae). Assisted by bile and child's urine. Using one cup of earth well water as a guide. Decoct strongly, wait until cool, and administer slowly. After about one hour of taking the medicine, his mouth closed, spirit settled, and eyes could move. But he had extreme thirst and dry tongue. Summerheat signs fully appeared. Let him eat watermelon. Spirit and qi instantly felt refreshed. Diagnosed again the next day. Pulse image slightly gathered, had root, and was rapid, reduced by one beat. Established Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction). After two doses, he could rise and speak. But felt tired and ate little. This was due to consumption of stomach fluids and lingering heat. Therefore, Shashen (Glehniae Radix), Maidong (Ophiopogonis Radix), Shihu (Dendrobii Caulis), Zhimu (Anemarrhenae Rhizoma), Sheng Gancao (Glycyrrhizae Radix et Rhizoma Preparata), Yinhua (Lonicerae Japonicae Flos), and Sheng Bian Dou (Phaseoli Multiflori Semen) were used to nourish lungs and stomach, and clear residual heat. After several doses, he stabilized. Xu Huixi often used this method. It is not easy to use it well. Because this syndrome resembles Baihu Tang syndrome. If Baihu Tang is used from the beginning, death is certain. How to distinguish? It entirely depends on the deficiency or excess of the pulse.