岭北李文卿,病两膝膑屈伸有声剥剥然。或以为骨鸣。戴人曰∶非也。骨不戛,
焉能鸣?此筋湿也。湿则筋急。有独缓者,缓者不鸣,急者鸣也。若用予之药,一涌一泄,
上下去其水,水去则自无声矣。李文卿乃从其言,既而果然矣。
息城李左衙之妻,病白带如水,窈满中绵绵不绝,秽臭之气不可近,面黄食减,
已三年矣。诸医皆云积冷,起石、硫黄、姜、附之药,重重燥补,污水转多,常以 ,
日易数次。或一药以木炭十斤,置药在坩埚中,盐泥封固,三日三
不绝,烧令通赤,名曰火龙丹。服至数升,污水弥甚。
艾烧针,三年之间,不可胜数。戴人断之曰∶此带浊水。本热乘太阳经,其寒水不可胜如此
也。夫水自高而趋下,宜先绝其上源。乃涌痰水二、三升,次日下沃水十余行,三遍,汗出
周身。至明旦,病患云∶污已不下矣。次用寒凉之剂,服及半载,产一子。《内经》曰∶少
热,溲出白液。带之为病,溶溶然若坐水中。故治带下同治湿法,泻痢,皆宜逐水利小溲。
勿以赤为热,白为寒。今代刘河间书中言之详矣。
赵君玉妻病嗽,时已十月矣。戴人处方六味;陈皮、当归、甘草、白术、枳壳、桔梗。君玉
疑其不类嗽药。戴人笑曰∶君怪无乌梅、罂粟壳乎?夫冬嗽,乃秋之湿也。湿土逆而为嗽
,此方皆散气除湿,解急和经。三服帖然效矣。
岭北的李文卿,患两膝髌骨在屈伸活动时发出剥剥的响声。有人认为是骨头摩擦发出的声音。戴人(张从正)说:不对。骨头如果不相互撞击,怎么能发出声音呢?这是筋脉受湿邪所致。湿气会导致筋脉拘急。如果有的地方松弛,松弛的地方就不会响,只有拘急的地方才会响。如果用我的药,通过涌吐和泻下法,上下排除体内的水湿,水湿去除后自然就没有声响了。李文卿于是听从了他的建议,后来果然痊愈了。
息城的李左衙的妻子,患白带病,状如清水,阴道内绵绵不绝,气味秽臭令人难以靠近,面色发黄,食欲减退,已经三年了。众位医生都说是体内积冷,使用石脂、硫黄、干姜、附子等药物,层层叠叠地用燥热之品进行温补,结果污水反而增多,常常需要更换内裤,一天要换好几次。有人用一种药方,将十斤木炭放入坩埚中,把药放在里面,用盐泥密封固定,连续烧三天三夜不停,烧得通红,名叫“火龙丹”。服用了几升后,污水更加严重。在这三年间,艾灸和烧针治疗,次数多得数不清。戴人诊断后说:这是带脉中的浊水。原本是因为热邪侵袭太阳经,导致寒水无法制约而泛滥如此。水是从高处流向低处的,应该先切断它的上源。于是先用涌吐法吐出痰水二三升,第二天用泻下法排出污水十多次,经过三次治疗,周身出汗。到了第二天早上,病人说:污浊的液体已经不再流出了。接着使用寒凉性质的药剂,服用了半年左右,生下一个孩子。《内经》说:少腹有热,小便排出白色液体。带下病的症状,是感觉溶溶然如同坐在水中一样。所以治疗带下病与治湿法相同,对于泄泻痢疾,也都适宜采用利水通小便的方法。不要认为赤色就是热证,白色就是寒证。现在刘河间书中的论述已经很详细了。
赵君玉的妻子患咳嗽,当时已经是十月了。戴人开了六味药的处方:陈皮、当归、甘草、白术、枳壳、桔梗。君玉怀疑这些药不像治咳嗽的药。戴人笑着说:您奇怪没有乌梅、罂粟壳吗?冬季的咳嗽,其实是秋季留下的湿邪所致。湿土之气上逆导致咳嗽,这个方剂都是用来行气除湿、缓解急迫、调和经脉的。服用三帖后,病情立刻见效。
Li Wenqing from Lingbei suffered from a condition where his patellae made a "pop-pop" sound upon flexion and extension of both knees. Some believed it was bone grinding. Dairen (Zhang Congzheng) said: Incorrect. If bones do not rub against each other, how can they make noise? This is due to dampness affecting the sinews. Dampness causes sinew tension. Where there is slackness, there is no noise; only where there is tension does noise occur. If you use my medicine, employing vomiting and purging methods to remove water from above and below, once the water is eliminated, the sound will naturally cease. Li Wenqing followed his advice, and indeed, he recovered subsequently.
The wife of Li Zuo Ya from Xicheng suffered from leukorrhea resembling clear water, flowing continuously within the vagina with a foul odor that was unbearable. Her face was sallow, her appetite diminished, and this had persisted for three years. All physicians claimed it was accumulated cold, prescribing drugs such as Hemaetites (Lithogypsi Fibrosum), Sulfur, Zingiberis Rhizoma (Dried Ginger), and Aconiti Lateralis Radix Praeparata (Prepared Fuzi). They repeatedly used dry and warm tonics, yet the discharge increased, requiring her to change linens several times a day. One prescription involved placing ten catties of charcoal in a crucible, putting the herbs inside, sealing it with salt mud, and firing it continuously for three days and nights until red-hot, named "Fire Dragon Pill." After consuming several sheng, the discharge worsened significantly. Between moxibustion and cauterization needles, treatments were countless over three years. Dairen diagnosed: This is turbid water in the Dai Mai (Girdle Vessel). Originally, heat pathogen invaded the Taiyang Channel, causing cold water to overflow uncontrollably. Water flows from high to low; one must first cut off its upper source. He first induced vomiting to expel two or three sheng of phlegm-water, then purged more than ten times the next day to evacuate watery stool. After three rounds, profuse sweating occurred all over the body. By the next morning, the patient reported: The turbid discharge has stopped. Subsequently, cold-natured formulas were administered for half a year, resulting in the birth of a child. The *Neijing* states: Heat in the lower jiao causes white fluid to exit via urination. The disease of Dai Mai presents as feeling as if sitting in water. Therefore, treating Dai Mai follows the same method as treating dampness; for dysentery and diarrhea, promoting diuresis and increasing urine output are appropriate. Do not assume red indicates heat and white indicates cold. Liu Hejian’s books have discussed this in detail.
The wife of Zhao Junyu suffered from coughing in the tenth month. Dairen prescribed six ingredients: Chenpi (Aged Tangerine Peel), Danggui (Angelica Sinensis), Gancao (Licorice Root), Baizhu (Atractylodes Macrocephala), Zhike (Bitter Orange), and Jiegeng (Platycodon Root). Junyu doubted these were typical cough medicines. Dairen laughed and said: Are you surprised by the absence of Wumei (Mume Fruit) and Ying Susu Qiao (Poppy Shell)? Winter coughs stem from autumnal dampness. Damp-earth qi rebelling upward causes coughing. This formula disperses qi, removes dampness, relieves urgency, and harmonizes the channels. After three doses, the condition resolved effectively.