(附∶食生冷入房)
大司徒李蒲汀,南吏部少宰,时患黄胆,当用淡渗之剂,公尚无嗣,犹豫不决。余曰∶有是病
而用是药,以茵陈五苓散加芩、连、山栀,二剂而愈。至辛卯得子,公执余手而笑曰∶医方犹公
案也,设君避毁誉,残喘,安得享余年。而遂付托之望哉,由是礼遇益浓。
应天王治中,遍身发黄,妄言如狂,苦于胸痛,手不可近,此中焦蓄血为患,用桃仁承气汤一
剂,下瘀血而愈。
太守朱阳山弟,下部蓄血发狂,用抵当汤而愈。
一儒者,每春夏口干发热,劳则头痛,服清凉化痰药,泻、喘、烦躁,用香薷饮,神思昏愦,脉大
而虚,此因闭藏之际,不远帏幕为患,名曰注夏。用补中益气去柴胡、升麻,加五味、麦门
、炮姜,一剂,脉益甚。仍用前药加肉桂五分,服之即苏,更用六味丸而痊。
一儒者,体肥善饮,仲秋痰喘,用二陈、芩、连,益甚,加桑皮、杏仁,盗汗气促;加贝母、枳
壳,不时发热,余以为脾肺虚寒,用八味丸以补土母,补中益气以接中气而愈。
一男子,夏月入房,食冰果腹痛,余用附子理中汤而愈。有同患此者,不信,别用二陈、芩、
连之类而死。
一男子,盛暑发热,胸背作痛,饮汤自汗,用发表之药,昏愦谵语,大便不实,吐痰甚多,用
十全大补,一剂顿退,又用补中益气加炮姜,二剂痊愈。
(附注:因食用生冷食物及房事不节导致的病症)
大司徒李蒲汀,担任南吏部少宰一职,当时患有黄疸病,本应使用淡渗利湿的方剂治疗。但他尚无子嗣,对此犹豫不决。我说:“有病就用相应的药,用茵陈五苓散加黄芩、黄连、山栀,服用两剂即可痊愈。”到了辛卯年他得子,拉着我的手笑着说:“医生的处方就像国家的案卷一样,如果君主因为害怕毁誉而回避治疗,连残存的喘息都难以维持,又怎能寄托延续余年的希望呢?”从此对我的礼遇更加深厚。
应天王的治中,全身发黄,胡言乱语如同发狂,痛苦于胸痛,手不能触碰靠近,这是中焦蓄血造成的祸患,用桃仁承气汤一剂,排出瘀血后痊愈。
一位儒者,每逢春夏季节口干发热,劳累则头痛,服用清凉化痰药物后,出现腹泻、气喘、烦躁不安,再用香薷饮,导致神志昏沉困倦,脉象大而虚弱,这是因为在闭藏的季节里,没有远离房事所致,病名叫“注夏”。用补中益气汤去掉柴胡、升麻,加五味子、麦门冬、炮姜,服用一剂后,脉象反而更严重。仍然用前面的药方加肉桂五分,服用后立即苏醒,随后改用六味丸治疗而痊愈。
一位儒者,身体肥胖且喜欢饮酒,仲秋时节痰喘加重,用二陈汤加黄芩、黄连,病情更加严重,加上桑白皮、杏仁,出现盗汗气促;加上贝母、枳壳,不时发热,我认为这是脾肺虚寒,用八味丸来补益脾土之母(肾),用补中益气汤来接助中气,从而痊愈。
一名男子,夏季行房事后,吃冰镇水果导致腹痛,我用附子理中汤治愈。有同样患病的人,不相信我的诊断,另外使用二陈汤、黄芩、黄连之类的药物而死。
一名男子,盛暑时节发热,胸背疼痛,喝热汤自汗出,使用发表的药物后,神志昏沉说胡话,大便不成形,呕吐痰液非常多,用十全大补汤,一剂后症状顿减,又用补中益气汤加炮姜,两剂后痊愈。
(Note: Conditions caused by consuming raw and cold foods and improper sexual activity)
Li Puting, Grand Commandant and Vice Minister of the Ministry of Personnel in the Southern Capital, suffered from jaundice at that time. He should have been treated with diaphoretic and leeching agents, but he had no heir yet, so he hesitated. I said, "When there is a disease, use the corresponding medicine. Use Yinchen Wuling San (Artemisia Capillaris and Poria Decoction) added with Huangqin (Scutellariae Radix), Lianzi (Coptidis Rhizoma), and Shanzhi (Gardeniae Fructus). Two doses will cure it." In the Xinmao year, he had a son. Holding my hand, he smiled and said, "A physician's prescription is like a government document. If the ruler avoids treatment due to fear of criticism or praise, how can he maintain his remaining breath, let alone hope for longevity? Thus, my respect for you deepened."
The Administrator of Ying Tian presented with generalized yellowing of the skin, delirious speech resembling madness, and severe chest pain where touch was intolerable. This was a disorder caused by blood stasis in the middle jiao. One dose of Tao Ren Chengqi Tang (Peach Kernel and Rheum Decoction) expelled the blood stasis, and he recovered.
The younger brother of Prefect Zhu Yangshan presented with mania due to blood stasis in the lower jiao. He was cured using Didang Tang (Ephedra and Ground Beetle Decoction).
A scholar experienced dry mouth and fever every spring and summer. Fatigue triggered headaches. After taking cooling and phlegm-resolving medicines, he developed diarrhea, asthma, and restlessness. Subsequent use of Xiangru Yin (Elsholtzia Decoction) led to mental confusion and lethargy, with a large and empty pulse. This condition resulted from failing to abstain from sexual intercourse during the season of storage, known as "Zhu Xia" (Summer Malaise). I prescribed Buzhong Yiqi Tang (Middle-Boosting Qi-Enriching Decoction) without Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma), adding Wuweizi (Schisandrae Chinensis Fructus), Maimendong (Ophiopogonis Radix), and Paojiang (Prepared Ginger). After one dose, the pulse became even more pronounced. I continued with the previous formula, adding Rougui (Cinnamomi Cortex) 5 fen. Upon ingestion, he regained consciousness immediately. Subsequently, Liuwei Wan (Six-Ingredient Pill with Rehmannia) was used to complete the recovery.
Another scholar, who was obese and fond of drinking alcohol, suffered from worsening phlegm and asthma in mid-autumn. Treatment with Erchen Tang (Two-Cured Decoction) plus Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) aggravated the condition. Adding Sangbaipi (Morus Alba Bark) and Xingren (Prunus Armeniaca Seed) led to night sweats and shortness of breath. Adding Beimu (Fritillariae Bulbus) and Zhikqiao (Aurantii Fructus) caused intermittent fever. I diagnosed this as deficiency-cold of the Spleen and Lung. I used Bawei Wan (Eight-Ingredient Pill) to tonify the mother of Earth (Kidney), and Buzhong Yiqi Tang to support the Middle Qi, resulting in recovery.
A man engaged in sexual intercourse in summer and consumed ice-cold fruits, leading to abdominal pain. I treated him successfully with Fuzi Lizhong Tang (Aconite and Zingiber Decoction to Warm the Middle). Another patient with the same condition did not believe in this approach and died after being treated with Erchen Tang, Huangqin, and Huanglian.
A man suffered from fever in the height of summer, accompanied by chest and back pain, spontaneous sweating upon drinking hot liquids. After taking exterior-releasing medicines, he became confused and delirious, with loose stools and excessive expectoration of phlegm. One dose of Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) rapidly alleviated symptoms. Subsequent treatment with Buzhong Yiqi Tang plus Paojiang (Prepared Ginger) for two doses resulted in full recovery.