一俞姓男子患胸痛彻背。即金匮所谓胸痹是也。投以栝蒌韭白散而愈。此乃古人定法。极易治之病。下工不知。
每用香燥耗气。往往多方图治。以易为难。而因之致害者甚多。故偶存之。
吴山水陆财神殿。三师太患贲豚。气上冲腹。即大痛。坚硬一块从小腹上攻。呕吐不能食。形常伛偻不堪。与以桂
枝、吴萸、东洋参、归、芍、半夏、茯苓、小茴香、黄连、乌梅、木香、川楝子、干姜、炙草等。从少阴厥阴阳明主治。
每早空心。令吞肾气丸三钱、更灸中脘石门关元穴。其患遂愈。惜其烟瘾甚大。体又怯弱。精血耗尽。后至次年患春温
暴脱。
杭垣后市街施医局内金少爷号有常。患狐疝偏坠。立则睾丸下坠。卧则上入少腹。阴囊赤肿而痛。延余诊之。脉
左弦大。右虚濡。余曰。阳明湿热郁蒸。厥阴风木内旋。故有此症。盖阳明厥阴皆主宗筋。其脉皆循阴器。抵少腹。治
当先用化湿疏气。乃从陈修园先生法以二陈汤加木香、川楝、橘核、车前子、小茴香等。服三剂而稍安。复灸冲任
而愈。
宁城应冢家同何世全。与施采成为邻。采成余契友也。辛巳冬邀友就同前酒楼小饮。而施亦在座。其子登楼云。何
某刻患急病。即请诊视。余偕入其室。但闻其声长吁。问其致病之由。自言午尚无恙。至未刻少腹稍有胀急。申即
暴发。阴囊肿大如升如斗。坚硬如石。痛苦欲绝。上吐下泻。脉细而弦。阴茎入腹。囊底一孔如脐。自欲求西医割破。
余曰。西人虽有此法。安可妄试。以自取祸。此症发则甚暴。去亦甚速。若能听余用药。今晚可以即愈。其家以为安
慰语。而未深信。为立理中汤加生附子三钱。半夏二钱。吴萸七分。嘱其静心安养。不可躁急。服药后至戌刻吐泻
止而疝仍如故。痛反更甚。余谓此寒邪盛与热药相拒。下焦深痼之邪。药力尚轻。不能胜病。须再服可瘳。病者有
难色。余恐其疑。复邀同学王君元仲共商。王至已初更余矣。诊毕论与余合。乃立椒附白通汤。合五苓散。仍用生
附子三钱。至二更服下。余就宿施友家。盖恐病情有变。杂药乱投。反致危殆。谓其子曰。若尔父病稍有变动，即来告
我。至三更后其子来告云。父病已好大半。余大喜。持灯速往。病者曰。我因久坐尻 移动。觉如气泄。胀痛顿失。视
之。阴囊已小大半。而皮起皱纹。阴茎伸出其半。次日肿硬全消。平复如故。但觉精神困乏。后因境迫。不服药而愈。
渠竟称为华佗再生云。
有一位姓俞的男子，患胸痛牵引至背部。这就是《金匮要略》中所说的胸痹病。给予栝蒌薤白散治疗后痊愈。这是古人确定的治法，属于极易治疗的疾病。但医术低劣的医生不知道这一点，往往使用香燥耗气的药物，多方尝试治疗，把容易的病变得难治，因此导致伤害的情况很多。所以我偶然记录下来。
吴山山水陆财神殿的三位师太患有奔豚病，气向上冲入腹部，随即剧烈疼痛，小腹有一块坚硬的东西向上攻冲，呕吐不能进食，身体常常弯曲佝偻不堪忍受。给予桂枝、吴茱萸、东洋参、当归、白芍、半夏、茯苓、小茴香、黄连、乌梅、木香、川楝子、干姜、炙甘草等药。从少阴、厥阴、阳明经主治。每天早晨空腹时，令其吞服肾气丸三钱，并艾灸中脘、石门、关元穴。病情于是痊愈。可惜她烟瘾很大，体质又怯弱，精血耗尽，后来到了次年患春温病暴脱而亡。
杭州后市街施医局内的金少爷号有常，患有狐疝偏坠。站立时睾丸下坠，躺卧时则回缩入少腹，阴囊红肿疼痛。请我诊治。脉象左弦大，右虚濡。我说：这是阳明湿热郁蒸，厥阴风木内旋，所以有此症状。因为阳明和厥阴都主管宗筋，其经脉都循行经过阴器，抵达少腹。治疗应当先用化湿疏气的方法，于是遵循陈修园先生的方法，用二陈汤加木香、川楝子、橘核、车前子、小茴香等。服用三剂后稍见安宁，再灸冲任穴而痊愈。
宁城应冢家的何世全，与施采成为邻居。施采成是我的结拜朋友。辛巳年冬天，邀请朋友到应冢家前面的酒楼小饮，施采成也在座。他的儿子登楼说：何某此刻患了急病，请立即诊视。我随他进入其房间，只听到他长声叹息。询问致病的原因，他自己说中午还安然无恙，到了未时（下午1-3点）小腹稍有胀急，申时（下午3-5点）突然暴发，阴囊肿大如升如斗，坚硬如石，痛苦欲绝，上吐下泻，脉细而弦，阴茎缩入腹中，囊底一孔如脐。自己要求西医割破。我说：西方人虽有此法，怎可妄自尝试？以免自取祸患。此症发作非常猛烈，消退也很快。如果能听从我用药，今晚就可以立即痊愈。家属以为这是安慰的话，并未深信。为此开立理中汤加生附子三钱、半夏二钱、吴茱萸七分，嘱咐其静心安养，不可躁急。服药后至戌时（晚上7-9点），吐泻停止但疝气仍如故，疼痛反而更甚。我说这是寒邪盛与热药相拒，下焦深痼之邪，药力尚轻，不能胜病，须再服药才能好转。病人面露难色，我恐其怀疑，又邀请同学王君元仲共同商量。王君到已初（晚上7点左右）更余时才到。诊毕，议论与我一致，于是开立椒附白通汤，合五苓散，仍用生附子三钱。至二更（晚上9-11点）服下。我就宿在施友家，大概是担心病情有变，杂药乱投，反致危殆。对他说：如果你父亲病情稍有变动，就来告诉我。至三更（晚上11-1点）后，他的儿子来告知说：父亲病已好大半。我非常高兴，持灯速往。病人说：我因久坐臀部移动，觉得像气泄一样，胀痛顿时消失。查看发现，阴囊已缩小大半，皮肤起皱纹，阴茎伸出其半。次日肿硬全消，平复如故。只是觉得精神困乏。后因家境逼迫，不服药而愈。他竟称我为华佗再生。
A man surnamed Yu suffered from chest pain radiating to the back. This is what is referred to as Chest Bi (Thoracic Obstruction) in the *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet). He was treated with Gualou Xiebai San (Trichosanthes and Macrostemon Decoction) and recovered. This is a method established by the ancients, belonging to diseases that are easy to treat. However, incompetent physicians, unaware of this, often use aromatic and drying herbs that consume Qi, attempting various treatments, thereby turning an easy condition into a difficult one, causing much harm. Therefore, I have recorded it occasionally.
Three nuns at the Shanshui Lu Caishen Temple in Wushan suffered from Ben Tun (Rushing Pig), where Qi rushed upward into the abdomen, causing severe pain immediately. A hard mass attacked upward from the lower abdomen. They vomited and could not eat. Their bodies were often bent and hunched, unbearable in their suffering. They were given Guizhi (Cinnamon Twig), Wuyu (Evodia Fruit), Dongyangshen (Tongol Ginseng), Danggui (Angelica Sinensis), Shaoyao (White Peony Root), Banxia (Pinellia Tuber), Fuling (Poria), Xiaohuixiang (Fennel Seed), Huanglian (Coptis Rhizome), Wumei (Mume Fruit), Muxiang (Aucklandia Root), Chuanlianzi (Szechwan Chinaberry Seed), Ganjiang (Dried Ginger), and Zhigancao (Honey-fried Licorice Root). Treatment focused on the Shaoyin (Lesser Yin), Jueyin (Terminal Yin), and Yangming (Yang Brightness) meridians. Every morning on an empty stomach, they were instructed to swallow Shenqi Wan (Kidney Qi Pill), 3 qian, and moxa was applied to the Zhongwan (CV 12), Shimen (CV 5), and Guanyuan (CV 4) acupoints. The illness then healed. Unfortunately, she had a heavy smoking habit and a weak constitution, exhausting her Jing (Essence) and Blood. Later, in the following year, she suffered from Chunwen (Spring Warmth) sudden collapse and died.
Jin Shaoye, courtesy name Youchang, inside the Shi Medical Bureau in the Back Market Street of Hangzhou, suffered from Huxian Pianzhui (Fox Hernia with unilateral descent). When standing, the testicle descended; when lying down, it retracted into the lower abdomen. The scrotum was red, swollen, and painful. He invited me to diagnose him. The pulse was left Xian Da (Wiry and Large), right Xu Ru (Deficient and Soft). I said: This is due to Damp-Heat stagnation and steaming in the Yangming, and internal whirling of Wind-Wood in the Jueyin, hence this symptom. Both Yangming and Jueyin govern the Zongjin (Major Tendons), and their meridians all circulate through the Yinqi (Genitals) and reach the lower abdomen. Treatment should first employ methods to resolve Dampness and regulate Qi. Following the method of Mr. Chen Xiuyuan, Erchen Tang (Two-Cured Decoction) was used with added Muxiang, Chuanlianzi, Juhe (Tangerine Seed), Cheqianzi (Plantago Seed), and Xiaohuixiang. After taking three doses, he felt slightly relieved. Moxa was then applied to the Chong and Ren vessels, and he healed.
He Shiquan of the Ying Family Tomb in Ningcheng lived next to Shi Caicheng. Shi Caicheng was my sworn friend. In the winter of the Xin Si year, friends were invited to drink lightly at the restaurant in front of the Ying family tomb, and Shi Caicheng was also present. His son climbed the stairs and said: Mr. He is currently suffering from an acute illness; please come and diagnose him immediately. I accompanied him into his room. Only long sighs were heard. Asking for the cause of the illness, he said himself that at noon he was still well, but around Wei hour (1-3 PM) his lower abdomen became slightly distended and urgent, and by Shen hour (3-5 PM) it suddenly erupted. The scrotum swelled large as a sheng or dou measure, hard as stone, with pain almost unbearable. He vomited and had diarrhea. The pulse was fine and wiry. The penis retracted into the abdomen. There was a hole at the bottom of the scrotum like an umbilicus. He wanted to seek Western medicine to cut it open. I said: Although Westerners have this method, how can one rashly try it? To invite disaster upon oneself. This disease erupts violently and subsides quickly. If you listen to my medication, it can be cured tonight. The family thought it was comforting words and did not believe it deeply. For him, Lizhong Tang (Regulate the Middle Decoction) was prescribed with added Sheng Fuzi (Raw Aconite Root) 3 qian, Banxia 2 qian, and Wuyu 7 fen. He was advised to rest quietly and nourish himself, without anxiety. After taking the medicine until Xu hour (7-9 PM), vomiting and diarrhea stopped, but the hernia remained as before, and the pain increased. I said this is because Cold Evil is abundant and rejects the hot medicine. The deep-seated pathogen in the Lower Jiao is strong, and the medicinal power is too light to overcome the disease. Another dose is needed to improve. The patient showed difficulty. Fearing his doubt, I invited my classmate, Mr. Wang Yuanzhong, to discuss together. Mr. Wang arrived after Ji hour (5-7 PM) and past the first watch. After diagnosis, his discussion agreed with mine. Thus, Jiaofu Baitong Tang (Pepper and Aconite Bai Tong Decoction) combined with Wuling San (Five-Ingredient Powder with Poria) was prescribed, still using Sheng Fuzi 3 qian. Taken at the second watch (9-11 PM). I stayed overnight at Friend Shi's house, fearing that if the condition changed and miscellaneous medicines were indiscriminately used, it might lead to danger. I told his son: If your father's condition changes slightly, come tell me immediately. After the third watch (11 PM-1 AM), his son came to report: Father's illness has improved more than half. I was greatly delighted, took a lamp and went quickly. The patient said: Because I moved while sitting for a long time, I felt as if Qi leaked out, and the distension and pain disappeared instantly. Looking at it, the scrotum had shrunk more than half, and the skin wrinkled. The penis extended halfway. The next day, swelling and hardness completely disappeared, returning to normal. Only spiritual fatigue was felt. Later, due to financial pressure, he recovered without taking medicine. He actually called me Huatuo Reborn.