一舆夫外 皮如蛀孔。以数千计。似疮非疮。奇痒难忍。连年不愈。每至夏秋则甚。春冬则瘥。就余治之。见其状
似有虫。但方书无此治法。惟思癞头年久生虫。有用砒霜煮蛋杀虫一法。遂借治之。用鸭蛋两个去壳。入砒霜末二
钱搅匀。加葱用猪脂熬至香气。乘热盖覆患上。以布紧缚。虫闻香气。出而就食。更加痒极彻骨。待冷解看。果引出
极细之虫无数。再用苦寒解毒清湿之药。煎汤温洗数次。其患永除。伊芳云此患吾侪甚多。从无愈者。不知有此奇
治。自是又开一条门径矣。凡出奇制胜之法。虽属小疾。寻思而得。却有无限快乐。
一女年十二岁。患胸痛甚剧。床上翻覆滚号。治以消食行气之药不效。与阿芙蓉膏开水冲少许。服始效。后仍不
效。余视其肌肉消瘦。面黄有蟹爪纹。询之肛门如痔痛。脉或时弦紧。或时细数。而有歇止。却与金匮狐惑病证相
符。乃根据外台杀虫方法。用附子、桂心、大黄、鹤虱、雷丸、干姜、甘草各等分为粗末。每服二三钱。百沸汤入蜜半匙。
和服两剂。以后胃口渐开。肌肉惭生。至今六七年。是病不复作矣。
镶蓝旗某。年力成童。患腹痛甚剧。延余诊之。视其面色萎黄。肌肉已脱。脉虚数。乍大乍小。如羹如沸。舌赤中
有细小白点。病已日久。余曰。此症始于食物不慎。辛辣浓味。化热生虫。日积月累。其虫渐大渐多。今脏腑之脂膏。
被虫侵蚀殆尽。虽有神丹。莫能救也。其家人再四勉求。余一时为其所难。不得已为立连梅汤方。午后复邀往诊。余婉
辞却谢。越二日果殁。
一个轿夫的外皮像被蛀虫咬出的孔洞，数量以千计。看起来像是疮疡，但又不完全是疮疡，奇痒难忍，多年不愈。每到夏秋季节症状加重，春冬季节则减轻。他来找我看病，我观察他的症状，似乎有虫子存在，但医书里没有这种治疗方法。我只想到癞头（麻风病头部病变）长年累月生虫，有用砒霜煮鸡蛋杀虫的方法，于是借用这种方法来治疗。用了两个鸭蛋，去掉蛋壳，放入二钱砒霜粉末搅匀，加入葱段，用猪油熬至散发香气。趁热敷盖在患处，用布紧紧包扎。虫子闻到香气，出来进食，此时瘙痒极度深入骨髓。等药液冷却后解开查看，果然引出了无数极细的虫子。再用苦寒解毒、清利湿气的药物煎汤，温热清洗数次，患部彻底痊愈。他说这类病患我们这行很多，从未有人治愈过，不知道有这样的奇特疗法。从此又开辟了一条新的治疗途径。凡是出奇制胜的方法，虽然属于小病，但经过深思熟虑而获得疗效，却有着无限的快乐。
一个十二岁的女孩，患有剧烈的胸痛，在床上翻滚号叫。用消食行气的药物治疗无效。给她服用少量阿芙蓉膏（鸦片制剂），开水冲服，起初有效。后来再次服用不再见效。我观察她肌肉消瘦，面色发黄且有蟹爪纹（蜘蛛痣样改变），询问得知肛门疼痛如痔疮发作，脉象有时弦紧，有时细数且伴有间歇。这与《金匮要略》中狐惑病的证候相符。于是依据《外台秘要》中的杀虫方法，使用附子、桂心、大黄、鹤虱、雷丸、干姜、甘草各等份研成粗末。每次服用二三钱，用滚开的沸水冲入半匙蜂蜜调和服用。连服两剂后，胃口逐渐打开，肌肉慢慢生长，至今六七年，此病不再复发。
镶蓝旗某位人士，年纪刚成年，患有剧烈腹痛。请我去诊治。观察他面色萎黄，肌肉已经脱失，脉象虚数，忽大忽小，像羹汤沸腾一样。舌头红赤，中间有细小的白色斑点。病情已经持续很久。我说：这个病症始于饮食不慎，辛辣浓味的食物化热生虫，日积月累，虫子逐渐变大变多。如今脏腑的脂膏已被虫子侵蚀殆尽，即使有神丹妙药，也无法挽救了。他的家人再三恳求，我一时难以推脱，不得已为他开了连梅汤方。午后再次邀请我去诊病，我婉言谢绝。过了两天，病人果然去世。
A sedan chair porter's skin was perforated like holes chewed by insects, numbering in the thousands. It resembled sores but was not exactly sores; it was incredibly itchy and had not healed for years. The condition worsened in summer and autumn and improved in spring and winter. He sought my treatment. Observing his condition, it seemed there were parasites, but medical texts did not record a treatment method for this. I recalled that long-standing tinea capitis (ringworm of the head) could produce parasites, and there was a method of using arsenic trioxide to boil eggs to kill them. Thus, I borrowed this method for treatment. Two duck eggs were used, shells removed, mixed with two qian of arsenic trioxide powder, added with scallions, and simmered in lard until fragrant. While hot, it was applied to the affected area and tightly bound with cloth. The parasites, attracted by the aroma, emerged to feed, causing extreme bone-penetrating itching. After cooling, the dressing was removed, revealing countless extremely fine parasites drawn out. Subsequently, bitter-cold detoxifying and damp-clearing herbal decoctions were used for warm washing several times, completely curing the lesion. He stated that many in his profession suffered from this, never cured before, unaware of such a miraculous treatment. This opened a new pathway. Any unconventional method, though for minor ailments, brings infinite joy when discovered through careful consideration.
A twelve-year-old girl suffered from severe chest pain, rolling and crying on her bed. Digestive-promoting and qi-moving medications were ineffective. A small amount of Opium Paste (A Fuyou Gao), dissolved in boiling water, was administered, initially effective. Later, it became ineffective again. Upon examination, her muscles were emaciated, her complexion sallow with crab-claw-like markings (spider nevi). Inquiry revealed anal pain resembling hemorrhoids. Her pulse was sometimes wiry and tight, sometimes thready and rapid with intermittent pauses. This corresponded to the Huo Huo disease (Huo Huo Syndrome) pattern described in *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet). Therefore, relying on the anti-parasitic methods from *Wai Tai Mi Yao* (Prescriptions of the Outer Library), I prescribed equal parts of Radix Aconiti Lateralis Preparata (Fuzi, 附子), Cinnamomi Cortex (Guixin, 桂心), Radix et Rhizoma Rhei (Dahuang, 大黄), Carpesii Fructus (Heshi, 鹤虱), and Polyporus (Leiwuan, 雷丸), Zingiberis Rhizoma (Ganjiang, 干姜), and Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), ground into coarse powder. Each dose was two to three qian, taken with boiling water and half a spoonful of honey. After two doses, her appetite gradually returned, and muscles slowly regenerated. For six or seven years since then, the disease has not recurred.
A man from the Plain Blue Banner, just reaching adulthood, suffered from severe abdominal pain. I was invited to diagnose him. His complexion was sallow and dull, muscles wasted away. His pulse was deficient and rapid, fluctuating between large and small, resembling boiling soup. His tongue was red with tiny white spots in the center. The illness had persisted for a long time. I said: This condition began with dietary indiscretion; spicy and rich foods generated heat and parasites. Over time, the parasites grew larger and more numerous. Now, the essence and fat of the zang-fu organs have been entirely eroded by the parasites. Even with divine medicine, salvation is impossible. His family pleaded repeatedly. Initially reluctant, I finally prescribed Lian Mei Tang (Coptis and Mume Decoction). In the afternoon, they invited me again, but I politely declined. Two days later, he indeed passed away.