陈州长吏一小儿,病寐而不寤。一日,诸医作睡惊治之,或欲以艾火灸之,或以
大惊丸,及水银饼子治之。其父曰∶此子平日无疾,何骤有惊乎?以子之病,乃问于戴
人。戴人诊其两手,脉皆平和。戴人曰∶若惊风之脉,当洪大而强,今则平和,非惊风也
。戴人窃问其乳母∶尔三日前曾饮醉酒否?遽然笑曰∶夫人以煮酒见饷,酒味甚美,饮一罂
而睡。陈酒味甘而恋膈,酒气满,乳儿亦醉也。乃锉甘草、干葛花、缩砂仁
、贯众煎汁使饮之,立醒。
刘先生妻,有娠半年,因伤损下血,乞药于戴人,戴人诊之,以三和汤(一名玉烛
散)、承气汤、四物汤对停,加朴硝煎之。下数行,痛如手拈,下血亦止。此法可与智识高明者言
。膏粱之家,慎勿举似,非徒骇之,抑又谤之。呜呼!正道难行,正法难用,古今皆然。
一孕妇,年二十余,临产召稳媪三人,其二媪极拽妇之臂,其一媪头抵妇之腹,
更以两手扳其腰,极力为之。胎死于腹,良久乃下,儿亦如血,乃稳媪杀之也。岂知瓜熟自
落,何必如此乎?其妇因兹经脉断闭,腹如刀剜,大渴不止,小溲闭绝。主病者禁水不与饮,
口舌枯燥,牙齿黧黑,臭不可闻,食饮不下,昏愦欲死。戴人先以冰雪水恣意饮之,约二升
许,痛缓渴止;次以舟车丸、通经散,前后五、六服,下数十行,食大进;仍以桂苓甘露散
、六一散、柴胡饮子等调之,半月获安。
又 一妇人,临产,召村妪数人侍焉。先产一臂出,妪不测轻重拽之,臂为之断,子死于腹。
其母面青身冷,汗 不绝,时微喘。呜呼!病家甘于死。忽有人曰∶张戴人有奇
见,试问之。戴人曰∶命在须臾,针药无及。急取秤钩,续以壮绳,以膏涂其钩,令其母分两足向外
偃坐,左、右各一人脚上立足;次以钩其死胎,命一壮力妇,倒身拽出死胎,下败血五、七升,其
母昏困不省;待少顷,以冰水灌之,渐咽二口,大醒食进;次日四物汤调血,数日方愈。戴
人常曰∶产后无他事,因侍妪非其人,转为害耳。
陈州的一位长官家有一个小孩,生病后陷入昏睡无法醒来。一天,各位医生将其当作惊风来治疗,有的想用艾火灸治,有的想用“大惊丸”,还有的用“水银饼子”来治疗。孩子的父亲说:“这孩子平时没有疾病,怎么突然会有惊风呢?”于是带着孩子的病情去询问戴人(张从正)。戴人诊察了孩子的双手,发现脉象都很平和。戴人说:“如果是惊风的脉象,应当是洪大且强劲的,现在脉象平和,这不是惊风。”戴人私下询问孩子的乳母:“你三天前曾经喝醉酒吗?”乳母立刻笑着说:“夫人拿煮好的酒招待我,酒味很美,我喝了一罂就睡着了。陈地的陈年酒味甘美且滞留在胸膈,酒气充盈,哺乳时孩子也醉了。”于是戴人让人切碎甘草、干葛花、缩砂仁、贯众,煎取汁液让孩子服用,孩子立刻苏醒。
刘先生的妻子,怀孕半年,因受到损伤导致下血,向戴人乞求药物。戴人诊察后,将三和汤(又名玉烛散)、承气汤、四物汤按比例混合,加入朴硝一起煎服。服药后腹泻数次,腹痛如被手指掐捏般剧烈,下血也随之停止。这种方法只能与见识高明的人谈论。对于富贵人家,千万不要提及此法,这不仅会吓到他们,还会遭到他们的诽谤。唉!正道难以推行,正法难以使用,古今都是如此。
有一位孕妇,二十多岁,临产时召来了三位稳婆(接生婆)。其中两位稳婆极力拉扯妇女的手臂,另一位稳婆用头抵住妇女的腹部,又用双手扳住她的腰,竭尽全力地操作。结果胎儿死在腹中,过了很久才生下来,婴儿全身像血块一样,这是稳婆害死了他。哪里知道瓜熟自然脱落,何必如此呢?这位妇女因此经脉断绝闭塞,腹部疼痛如刀割,极度口渴不止,小便完全闭塞。主治医生禁止给水让她饮用,导致她口舌干燥枯槁,牙齿发黑,气味臭不可闻,饮食无法进入,神志昏乱想要死去。戴人先让她肆意饮用冰雪水,大约两升左右,疼痛缓解,口渴停止;接着用舟车丸、通经散,前后服用五六次,排出数十行秽物,食欲大增;随后仍用桂苓甘露散、六一散、柴胡饮子等方剂调理,半个月后痊愈。
又有一位妇人,临产时,召集了几位乡村老妪侍候。先产出一只手臂,老妪不辨轻重用力拉扯,导致手臂断裂,胎儿死在腹中。产妇面色青紫,身体冰冷,汗出不止,时常轻微喘息。唉!病家甘愿等死。忽然有人说:“张戴人有奇特的见解,试着去问问他。”戴人说:“性命就在顷刻之间,针药已经来不及了。赶快取一个秤钩,接上粗壮的绳子,用油脂涂抹钩子,让产妇双腿分开向外仰卧坐着,左右各一人踩在她的脚上固定;然后用钩子钩住死胎,命令一位强壮有力的妇人,倒身用力拉出死胎,排出了五到七升败血,产妇昏迷不省人事;等待片刻后,用冰水灌入她口中,渐渐咽下两口,便完全清醒并能进食;第二天用四物汤调理血液,几天后才痊愈。戴人常说:产后没有其他毛病,是因为侍奉的稳婆不是合适的人选,反而转变成祸害罢了。”
A child in the household of a long-term official in Chenzhou fell ill and entered a state of deep sleep from which he could not be awakened. One day, various physicians treated him as if he had suffered from convulsions due to fright; some wished to treat him with moxibustion, others prescribed "Da Jing Wan" (Great Fright Pill), and still others used "Shui Yin Bing Zi" (Mercury Cake). The father said, "This child has been healthy in his daily life; how could he suddenly develop convulsions?" He then consulted Dairen (Zhang Congzheng) regarding his son's condition. Dairen examined the pulses at both wrists and found them to be peaceful and harmonious. Dairen stated, "If this were a pulse of wind-stroke or convulsion, it should be surging, large, and strong. Since it is now peaceful, this is not a case of wind-stroke." Dairen privately asked the wet nurse, "Did you drink alcohol to intoxication three days ago?" She immediately laughed and replied, "The lady offered me boiled wine; its taste was exquisite. I drank one *ying* [unit of volume] and fell asleep. Old Chen wine is sweet and lingers in the chest and diaphragm; the qi of the wine was abundant, so the nursing infant also became intoxicated." Dairen then ordered licorice root (*Gancao*), kudua flower (*Gangehua*), cardamom seed (*Suosharen*), and *Guanzhong* to be chopped and decocted into a juice for the child to drink. The child woke up immediately.
The wife of Mr. Liu, who was six months pregnant, suffered vaginal bleeding due to trauma and sought medicine from Dairen. After diagnosis, Dairen combined Sanhe Tang (also known as Yuzhu San/Jade Candle Powder), Chengqi Tang (Chengqi Decoction), and Siwu Tang (Four Substances Decoction) in equal proportions, adding mirabilite (*Piaoxiao*) for decoction. After several bowel movements, the abdominal pain felt like being pinched by fingers, and the vaginal bleeding stopped. This method can only be discussed with those of high intelligence and understanding. One must be cautious about mentioning it to wealthy families; not only will it frighten them, but they will also slander it. Alas! The orthodox path is difficult to follow, and orthodox methods are difficult to apply; this has been true since ancient times.
A pregnant woman, over twenty years old, called upon three midwives when going into labor. Two of the midwives pulled the woman's arms with great force, while one pressed her head against the woman's abdomen and used both hands to pull her waist, exerting maximum effort. The fetus died in the womb and was delivered only after a long time; the infant was covered in blood, having been killed by the midwives. Did they not know that when a melon is ripe, it falls naturally? Why such force? As a result, the woman's meridians became obstructed and closed, her abdomen felt as if cut by a knife, she suffered from unquenchable thirst, and urination ceased completely. The attending physician forbade her from drinking water, causing her mouth and tongue to become dry and withered, her teeth turned black, her breath became foul beyond bearing, she could not eat or drink, and she was delirious and on the verge of death. Dairen first allowed her to drink ice water freely, approximately two *sheng* [units of volume]. Her pain eased, and her thirst stopped. Next, he administered Zhouche Wan (Zhouche Pill) and Tongjing San (Tongjing Powder) five or six times, resulting in dozens of bowel movements, after which her appetite greatly increased. Finally, he regulated her condition using Guiling Ganlu San (Guiling Sweet Dew Powder), Liuyi San (Six-to-One Powder), and Chaihu Yinzi (Bupleurum Drink), and she recovered within half a month.
Another woman went into labor and summoned several village women to attend her. An arm emerged first; the attendant, failing to judge the weight and resistance, pulled forcefully, causing the arm to break off, and the fetus died in the womb. The mother's face was blue, her body cold, her sweat flowed incessantly, and she occasionally panted slightly. Alas! The patient's family seemed resigned to death. Suddenly, someone said, "Zhang Dairen has unique insights; try asking him." Dairen said, "Life hangs in the balance; acupuncture and herbs are no longer effective. Quickly fetch a scale hook, attach a thick rope, grease the hook, and have the mother sit with her legs spread outward and reclining. Have one person stand on each foot to stabilize her; then use the hook to catch the dead fetus. Command a strong woman to lean backward and pull out the dead fetus. Five to seven *sheng* of foul blood were discharged, and the mother fainted and lost consciousness. Wait a moment, then pour ice water into her mouth. After gradually swallowing two mouthfuls, she woke up fully and was able to eat. The next day, Siwu Tang (Four Substances Decoction) was used to regulate the blood, and she recovered after several days. Dairen often said, 'There are no other issues postpartum; the harm arises because the attending midwife is not the right person.'"