戴人女僮，冬间自途来，面赤如火，至HT
，病腰胯大痛，里急后重，痛则见鬼神。戴人曰∶此少阳经也，在身侧为相火。使服舟车丸
经散，泻至数盆，病犹未瘥。人皆怪之，以为有祟。戴人大怒曰∶驴鬼也！复令调胃承气
汤二两，加牵牛头末一两，同煎服之，大过数十行，约一、二缶，方舍其杖策。但发渴。戴人恣
其饮水、西瓜、梨、柿等。戴人曰∶凡治火，莫如冰。水，天地之至阴也。约饮水一、二桶，
犹觉微痛。戴人乃刺其阳陵穴，以伸其滞，足少阳胆经之穴也。自是方宁。女僮自言∶此病每一岁须
泻五、七次，今年不曾泻，故如是也。常仲明悟其言，以身有湿病，故一岁亦泻十余行，病
始已。此可与智者言，难与愚者论也。
一叟，年六十，值徭役烦扰，而暴发狂，口鼻觉如虫行，两手爬搔，数年不已。
戴人诊其两手脉，皆洪大如 绳。断之曰∶口为飞门
，胃为贲门。曰∶口者，胃之上源也，鼻者，足阳明经起于鼻交 之中，旁纳太阳，下循鼻柱，交
人中，环唇下，交承浆，故其病如是。夫徭役烦扰，便属火化。火乘阳明经，故发狂。故《经》
言∶阳明之病，登高而歌，弃衣而走，骂詈不避亲疏。又况肝主谋，胆主决。徭役迫遽，则
财不能支，则肝屡谋而胆屡不能决。屈无所伸，怒无所泄，心火磅因礴，遂乘阳明经。然胃本属
土，而肝属木，胆属相火，火随木气而入胃，故暴发狂。乃命置燠室中，涌而汗出，如此三
次，《内经》曰∶木郁则达之，火郁则发之。良谓此也。又以调胃承气汤半斤，用水五升，
煎半沸，分作三服，大下二十行，血水与瘀血相杂而下数升，取之乃康。以通圣散调其后矣。
戴人（张从正）的一位女性仆人，冬天从路上走来，面色红得像火一样，到了这里，腰胯剧烈疼痛，伴有腹部急迫、肛门重坠感（里急后重），疼痛发作时会出现幻觉，看见鬼神。戴人说：“这是少阳经的病，在身体侧面，属于相火。”让他服用舟车丸和经散，泻下好几盆，病还是没有痊愈。人们对此感到奇怪，认为是有鬼怪作祟。戴人大怒说：“那是驴鬼！”又命令调配调胃承气汤二两，加入牵牛子头末一两，一起煎服，结果腹泻了几十次，大约排泄了一、二缶的量，这才扔掉拐杖能行走。只是感到口渴。戴人任由他喝水、吃西瓜、梨、柿子等。戴人说：“凡是治疗火邪，没有比冰更好的了。水，是天地间至阴之物。”大约喝了一、二桶水，还觉得有点微痛。戴人才针刺他的阳陵泉穴，以疏通阻滞，这是足少阳胆经的穴位。从此才安宁下来。女仆自己说：“这个病每年必须泻五、七次，今年没有泻，所以像这样。”常仲明领悟了她的话，因为他自己有湿病，所以一年也要泻十多次，病才停止。这种事只能跟聪明人讲，很难跟愚笨的人讨论。
一位老翁，六十岁，正值徭役繁重烦扰，突然突发狂症，感觉口鼻里有虫子爬行，双手抓挠，几年都不见好。戴人诊察他的两手脉象，都洪大如绳索。判断说：“口称为飞门，胃称为贲门。”又说：“口，是胃的上源；鼻，是足阳明胃经起始的地方，起于鼻翼旁，交会于鼻根中，旁边接纳太阳经，向下沿着鼻梁柱，交于人中穴，环绕嘴唇下方，交会于承浆穴，所以他的病是这样的。徭役繁重烦扰，就属于火化。火邪侵犯阳明经，所以发狂。所以《内经》说：‘阳明病的症状，登高而歌，脱衣奔跑，骂人不避亲疏。’更何况肝主谋虑，胆主决断。徭役紧迫急促，则财物不能支撑，于是肝屡次谋划而胆屡次不能决断。委屈无处伸展，愤怒无处发泄，心火炽盛逼迫，于是乘袭阳明经。然而胃本属土，肝属木，胆属相火，火随着木气进入胃，所以突发狂症。”于是让人安置在温暖密室中，通过涌吐法使汗出，像这样进行了三次，《内经》说：“木郁结则通达它，火郁结则发散它。”说的正是这种情况。又用调胃承气汤半斤，用水五升，煎煮到半沸，分作三次服用，大大泻下二十次，血水与瘀血混杂而下几升，取效后才康复。最后用通圣散调理其后。
A female servant of Dairen (Zhang Congzheng) came from the road in winter, her face red as fire. Upon arrival, she suffered severe pain in the waist and hips, accompanied by abdominal urgency and tenesmus (a feeling of incomplete defecation with straining). When the pain occurred, she hallucinated, seeing ghosts and spirits. Dairen said, "This is a Shaoyang meridian disease; located on the side of the body, it belongs to Ministerial Fire (Xianghuo). Have him take Zhouche Wan (Boat and Cart Pill) and Jingsan (Meridian-Scattering Powder), resulting in several basins of diarrhea, yet the illness did not subside." People were puzzled, believing it was caused by malevolent spirits. Dairen angrily shouted, "It is an ass-spirit!" He then ordered the preparation of Tiaowei Chengqi Tang (Stomach-Regulating Purge-Decoction), two liang, mixed with one liang of the head-end powder of Qian Niu Zi (Pharbitis Seed), decocted together and administered. The patient had dozens of bowel movements, expelling approximately one or two cans of material, after which he could discard his walking stick. However, he felt thirsty. Dairen allowed him to drink freely and consume watermelon, pear, and persimmon. Dairen stated, "In treating Fire pathogenic factors, nothing compares to Ice. Water is the ultimate Yin substance of heaven and earth." After drinking about one or two buckets of water, slight pain persisted. Only then did Dairen needle Yanglingquan (GB34, Gallbladder 34), a point of the Foot-Shaoyang Gallbladder Meridian, to unblock stagnation. From then on, the patient calmed down. The servant later explained, "This illness requires purging five to seven times annually. Since I did not purge this year, the condition manifested thusly." Chang Zhongming understood her words; having dampness pathology himself, he experienced over ten bowel movements annually, after which his illness ceased. Such matters can be discussed with the wise, but are difficult to explain to the foolish.
An old man, aged sixty, suffering from heavy and harassing corvée labor, suddenly developed manic psychosis. He felt as if insects were crawling in his mouth and nose, scratching his hands incessantly for years without relief. Dairen palpated both wrists and found the pulses surging and large like ropes. He diagnosed, "The mouth is called Feimen (Flying Gate), and the stomach is called Benmen (Pyloric Gate)." He further explained, "The mouth is the upper source of the stomach. The nose is where the Foot-Yangming Stomach Meridian originates; it starts at the lateral aspect of the nose, intersects at the root of the nose, receives Qi from the Taiyang Bladder Meridian, descends along the nasal bridge, intersects at Renzhong (GV26), circles the lips, and intersects at Chengjiang (CV24). Hence, his symptoms manifest this way. Heavy and harassing labor generates Fire transformation. When Fire invades the Yangming Meridian, mania ensues. Thus, the *Neijing* states: 'Yangming diseases present with climbing high and singing, discarding clothes and running, cursing without distinguishing relatives or strangers.' Moreover, the Liver governs planning, and the Gallbladder governs decision-making. Under urgent pressure, resources may be insufficient, leading the Liver to plan repeatedly while the Gallbladder fails to decide. Frustration has no outlet, anger cannot be vented, causing Heart Fire to surge and oppress, subsequently invading the Yangming Meridian. Although the Stomach belongs to Earth, the Liver belongs to Wood, and the Gallbladder houses Ministerial Fire; Fire follows Wood Qi into the Stomach, resulting in sudden mania." Dairen instructed placing the patient in a warm room, inducing sweating through emesis therapy (Yongfa), repeating this three times. As the *Neijing* says, 'When Wood is stagnant, disperse it; when Fire is stagnant, vent it.' This precisely applies here. He also prescribed half a jin of Tiaowei Chengqi Tang (Stomach-Regulating Purge-Decoction), boiled in five sheng of water until half-boiled, divided into three doses. This resulted in massive purgation of twenty movements, expelling several sheng of blood, water, and stasis. Recovery followed. Finally, Tongsheng San (Universal Benefit Powder) was used for post-treatment regulation.