常州杨蕉隐参军振藩，能诗善画，兼谙医学，传一治黄胆病方∶用鲫鱼数枚，剪取其尾
，贴
手熨其身，手亦染黄色，用此治之，自朝至夕，贴鱼尾数次，水流尽即愈。曾目击其效。又
言∶有草名并蒂珊瑚，叶似桂，高不及尺，每颗冬间结子二枚，色红如南天竺子，取子煎服
海宁许珊林观察HT ，精医理，官平度州时，幕友杜某之戚王某，山阴人，夏秋间忽患
自顶至踵，大倍常时，气喘声嘶，大小便不通，危在旦夕，因求观察诊之，令用生黄 四两
，糯米一酒盅，煎一大碗，用小匙逐渐呷服，服至盏许，气喘稍平，即于一时间服尽，移时
小便大通，溺器更易三次，肿亦随消，惟脚面消不及半，自后仍服此方，黄 自四两至一两
，随服随减，佐以祛湿平胃之品，两月复元，独脚面有钱大一块不消，恐次年复发，力劝其
归，届期果患前症，延绍城医士延医，痛诋前方，以为不死乃是大幸，遂用除湿猛剂，十
数服而气绝，次日将及盖棺，其妻见死者两目微动，呼集众人环视，连动数次，试用 米汤灌救
，灌至满口不能下，少顷眼忽一睁，汤俱下咽，从此便出声矣，服黄 至数斤，并脚面之肿
全消而愈。观察之弟辛木部曹楣，谓此方治验多人，先是嫂吴氏，患子死腹中，浑身肿胀，
气喘身直，危在顷刻，余兄遍检名人医案，得此方遵服，便通肿消，旋即生产，因系夏日，
孩尸已烂成十数块，逐渐而下，一无苦楚。后在平度有姬顾姓，患肿胀脱胎，此方数服而愈
。继又治愈数人，王某更在后矣。盖黄 实表，表虚则水聚皮里膜外而成肿胀，得黄 以开
通隧道，水被祛逐，胀自消矣。
常州杨蕉隐参军振藩，擅长诗歌绘画，同时也精通医学。他传授一个治疗黄疸病的方子：取几条鲫鱼，剪下鱼尾，贴在身上用手熨烫，手也会被染成黄色。用这个方法治疗，从早晨到傍晚，贴几次鱼尾，直到水流尽病就好了。我曾亲眼目睹过它的疗效。他又说：有一种草名叫并蒂珊瑚，叶子像桂树，高度不到一尺，每株冬天结两颗果实，颜色红得像南天竺的果子，取果实煎服。
海宁许珊林观察（官职名），精通医理。他在平度州任职时，幕僚杜某的一位亲戚王某，是山阴人。夏秋之间突然患病，从头到脚肿胀，比平时大了一倍，气喘、声音嘶哑，大小便不通，生命垂危。于是请求许观察诊治。许观察让他用生黄芪四两，糯米一酒盅，煎成一碗药汤，用小勺子慢慢服用。喝到约半碗时，气喘稍微平息，随即一次性喝完。过了一会儿，小便大量通畅，换了三次尿壶，肿胀也随之消退。只有脚面的肿消得不到一半。此后继续服用此方，黄芪用量从四两逐渐减至一两，随服随减，辅以祛湿平胃的药物，两个月后恢复健康。唯独脚面有一块铜钱大小的地方没有消肿，担心次年复发，极力劝他回家。到期果然旧病复发，请绍城的医生诊治。那位医生严厉批评前面的方子，认为不死已经是万幸，于是使用猛烈的除湿药剂，服了十几剂后气绝身亡。第二天快要入殓时，他的妻子看见死者双眼微动，叫来众人围观，眼睛连续动了数次。试着用米汤灌救，灌到满口咽不下去时，忽然眼睛睁大，汤水全部咽下，从此能发出声音了。服用黄芪达到几斤，连同脚面的肿胀全部消除而痊愈。许观察的弟弟辛木部曹楣说，这个方子治愈过很多人。在此之前，嫂子吴氏，因胎儿死于腹中，浑身肿胀，气喘身体僵硬，生命垂危。我哥哥遍查名医医案，找到这个方子遵照服用，大小便通利，肿胀消退，随即分娩。因为是夏天，胎儿尸体已腐烂成十几块，逐渐排出，毫无痛苦。后来在平度有一位姓顾的歌姬，患肿胀脱胎（难产伴肿胀），此方服几剂就痊愈了。接着又治愈了几个人，王某的情况更是在其后了。大概是因为黄芪能固表，表虚则水液聚集在皮里膜外形成肿胀，得到黄芪以开通隧道，水液被驱除，胀满自然消除。
Yang Jianfan (Courtesy Name: Jiaoyin), a Military Commissioner in Changzhou, was skilled in poetry and painting, and also well-versed in medicine. He transmitted a prescription for treating jaundice: take several crucian carp (*Carassius auratus*), cut off their tails, apply them to the body and warm with hands; the hands would also turn yellow. Using this method for treatment, from morning till evening, applying the fish tails several times, once the fluid drained away, the disease would be cured. I witnessed its efficacy personally. He also said: There is a herb named *Bingdi Shanhu* (Twin-Red Coral Herb), whose leaves resemble cinnamon (*Cinnamomi Cortex*), growing less than one chi tall. Each plant bears two red fruits in winter, resembling the berries of *Nantianzhu* (*Nandina domestica*). Taking these fruits for decoction and ingestion [is effective].
Xu Shanlin, an Inspector from Haining, was proficient in medical principles. While serving as the Prefect of Pingdu Zhou, a relative of his staff member Du, surnamed Wang from Shanyin, suddenly fell ill between summer and autumn. From head to toe, he suffered massive edema, swelling twice his normal size, accompanied by asthma, hoarseness, and obstruction of urination and defecation. His condition was critical. He sought Xu's diagnosis. Xu prescribed four liang of raw *Huangqi* (Astragali Radix) and one wine-cup of glutinous rice (*Oryza sativa var. glutinosa*), decocted into one large bowl. The patient was instructed to sip it slowly using a small spoon. After drinking about half a bowl, his breathing eased slightly; he then consumed the remainder at once. Shortly after, he passed a large volume of urine, changing the urinal three times, and the edema subsided accordingly. However, the swelling on the dorsum of the feet reduced by less than half. He continued taking this formula subsequently, reducing the dosage of *Huangqi* from four liang to one liang gradually, accompanied by herbs that dispel dampness and harmonize the stomach. Two months later, he recovered fully, except for a coin-sized area of persistent swelling on the foot. Fearing a recurrence the following year, he was strongly advised to return home. Indeed, the previous symptoms returned at the appointed time. A physician from Shaocheng was summoned, who severely criticized the previous formula, stating that survival itself was a miracle. He instead used potent diuretic agents. After more than ten doses, the patient died of qi exhaustion. On the second day, just before coffin closure, his wife noticed his eyes moving slightly. She gathered people to watch as his eyes moved repeatedly. They tried administering rice water for resuscitation. When the mouth was full and swallowing seemed impossible, his eyes suddenly opened wide, and the liquid was swallowed. He regained consciousness and voice. He took several jin of *Huangqi*, and even the foot swelling completely resolved, leading to a cure. Xu's younger brother, Xinmu, a Departmental Director, stated that this formula had cured many people. Previously, his sister-in-law, Lady Wu, suffered from fetal death in utero, resulting in whole-body edema, asthma, and rigid posture, with her life hanging by a thread. My elder brother searched through famous medical cases and found this formula, which she followed. Her bowels and bladder cleared, edema subsided, and she delivered immediately. Since it was summer, the fetal remains had rotted into dozens of pieces and were expelled gradually without pain. Later, in Pingdu, a concubine surnamed Gu suffered from edema complicated by difficult labor; this formula cured her after a few doses. It subsequently cured several others, with Mr. Wang being among the later cases. Generally speaking, *Huangqi* consolidates the exterior. When the exterior is deficient, water accumulates between the skin and fascia, causing edema. With *Huangqi* to open the collaterals and channels, the water is expelled, and the distension naturally resolves.