秀水新塍镇屠氏，人多耆寿，牙齿至老坚固不坏，有家传秘诀，自幼大小便时，咬定牙
齿，不令泄气，（法本张景岳。）即有人询问，亦不答应，历久勿间，故牙齿从无坠落之患。余友
郑拙言学博凤锵说。
江湖上女医有捉牙虫者，以箸尖向患处旋绕，投水碗中，似有虫者无数，云曰去齿痛当
顾往往不甚验。比阅程学博瑶田《通艺录》所载亡室徐孺人行略，始知其术皆伪，行略云∶
濠濠间妇人能为龋齿医，行而卖其艺，治一人齿，能出虫多者以百数。孺人曰∶吾生长和州
，知之久矣，齿即生虫，他医莫能出，若乃能应手出乎∶盖蓼花虫也。
余久患齿痛，每勤劳火动，及食甜物即发，丙午年周介梅表弟士稔传一方云∶每日晨起，以
冷水漱口三次，不可间断，永无齿痛。介梅向患齿痛甚剧，行此得痊。余如法行之，齿痛遂
不发。治齿痛神方。用青鱼胆风干，生明矾研末擦之，立止，又可治喉风，以上二味，加入
指甲末、灯心灰吹之最妙。
表兄周乙藜学博士照，于道光壬寅年患腿热，而按之不热，行步无力，不痛不肿，延医
延医
腿患益甚，腿肉日削，食少神惫，势就危殆，时乙藜家质库中友朱光甫能医，乃令治之，曰
∶此痿病也。诚然是湿热，诚然是阴虚，然专治一端则误矣。投以清燥汤，病日减，继用虎
潜丸法，出入增损，至三百剂始撤消。乙藜因是潜玩医书，深究脉学，为人治病屡奏效。
方书言风胜则引，湿胜则肿，寒胜则痛，此亦未可泥也。道光己丑年，先君子芗 公，
（时年四十有九。）患两腿热痛，不能行步，医家用蠲痹汤、巴戟天汤不效，反加剧，且肿，色
青紫，又以为阴亏，用虎潜丸，痛益甚，饮食少进，乃至震泽，就吴雪香先生诊之，（先生
震泽县庠生，中岁悬壶，审症精细，求治者盈门。）切脉濡数，患处肿痛，询知酒户素大，
谓是湿热致患，用苡仁、海桐皮、防己、蚕砂、川萆 、秦艽、桑枝、牛膝、木通等药，日
有起色，不一月全愈。余按∶痛而热，则不当用温药。蠲痹汤等所以不效也。此犹理之显著
者，而知之者鲜焉。甚矣！医道之难明也。
热病愈后，往往归之于足，发热肿痛，不治则痛甚而死，或至残废，如截足风之类。咸
午春，余母周太孺人，偶发寒热，忽患此症，时余在杭州，内人周婉霞在家侍奉，检医书得
一方，用广胶一两，入糟、醋、姜、葱汁，四味烊化成膏，摊纸或布上，贴患处，痛立止。
（糟入醋中，将糟凿碎调匀，滤出汁，去糟渣，勿用姜汁，不必多，只少许，葱汁较姜汁多
一半，糟醋汁须三四倍于葱汁。）
庚申冬初，姬人李氏患伏暑，愈后两足肿而不红，其痛尤剧，服去湿清热药不效，用此
方治
冷水中，号呼痛绝而殒。惜当时未得此方拯之，特详志于此，愿有志者广传焉。
秀水县新塍镇的屠姓人家，族人多长寿，牙齿到老了依然坚固完好，因为他们有家传的秘诀：从幼年开始，每次大小便时，都咬紧牙齿，不让气息泄露。（这种方法源自张景岳。）即使有人询问，也不答应，长期坚持不间断，所以牙齿从未有过脱落的隐患。我的朋友郑拙言（字凤锵）学博对此说过。
江湖上的女医生中有专治牙虫的，用筷子尖在患处旋转搅动，然后投入水碗中，水中似乎有无数的虫子，声称这样就能去除齿痛，但往往不太灵验。后来我阅读了程学博瑶田所著《通艺录》中记载的他亡妻徐孺人的行状，才知道这些法术都是假的。行状中说：濠州有一位妇人能治疗龋齿，行走各地卖弄技艺，治疗一个人的牙齿，能取出的“虫”多的以百数计算。徐孺人说：“我生长在和州，对此知道很久了，牙齿生虫，其他医生无法取出，只有我能随手取出：那其实是蓼花虫。”
我长期患有牙痛，每当劳累上火，或者吃甜食就会发作。丙午年，我的表弟周介梅（名士稔）传授我一个方子说：“每天早晨起床，用冷水漱口三次，不可间断，永远不再患牙痛。”介梅以前患牙痛非常剧烈，实行这个方法后痊愈了。我也照此法施行，牙痛果然不再发作。这是治疗牙痛的神方。另外，用青鱼胆风干，与生明矾研成粉末擦拭患处，疼痛立即停止，还可以治疗喉风。以上两味药，再加入指甲末、灯心灰吹入患处，最为奇妙。
我的表兄周乙藜（名照，博士）在道光壬寅年患上腿热症，但按压时不觉得热，行走无力，不痛也不肿，请医生诊治后，腿部病情反而加重，腿肉一天天消瘦，饮食减少，精神疲惫，形势危急。当时乙藜家当铺里的朋友朱光甫懂医术，于是让他诊治，他说：“这是痿病。”确实属于湿热，也确实属于阴虚，但如果只针对其中一端治疗就错了。投以清燥汤，病情日渐减轻，继而又用虎潜丸的方法，根据情况增减药物，服用了三百剂后才完全消除。乙藜因此潜心研读医书，深入钻研脉学，为人治病屡奏效。
医书中说风胜则牵引拘急，湿胜则肿胀，寒胜则疼痛，这些说法也不可拘泥。道光己丑年，先父芗公（当时四十九岁），患上双腿热痛，不能行走，医生使用蠲痹汤、巴戟天汤无效，反而加剧，并且出现肿胀，颜色青紫，又认为是阴亏，使用虎潜丸，疼痛更加严重，饮食减少，于是前往震泽，找吴雪香先生诊治。（吴先生是震泽县的庠生，中年行医，审症精细，求治的人挤满了门。）诊脉濡数，患处肿痛，询问得知他平时酒量很大，认为是湿热导致的疾病，使用苡仁、海桐皮、防己、蚕砂、川萆薢、秦艽、桑枝、牛膝、木通等药，每天都有起色，不到一个月完全痊愈。我分析认为：疼痛且发热，就不应当使用温药。蠲痹汤等方剂之所以无效，原因就在这里。这还是比较明显的道理，但了解的人很少啊！医学之道太难明白了。
热病痊愈后，病邪往往归于足部，出现发热肿痛，如果不治疗，疼痛加剧会导致死亡，或者导致残疾，比如截足风之类的病症。咸丰年间春天，我的母亲周太孺人，偶然发生寒热症状，突然患上此症。当时我在杭州，妻子周婉霞在家侍奉，查阅医书得到一个方子：用广胶一两，加入酒糟、醋、姜汁、葱汁，将这四味烊化熬成膏，摊在纸或布上，贴敷在患处，疼痛立即停止。（做法是：将酒糟放入醋中，把酒糟捣碎调匀，滤出汁液，去掉糟渣，不要使用姜汁，只需少许，葱汁的量比姜汁多一半，糟醋汁的量须是葱汁的三四倍。）
同治庚申年初冬，我的小妾李氏患伏暑，痊愈后双脚肿胀但不发红，疼痛尤其剧烈，服用祛湿清热药无效，使用这个方子却能在冷水中缓解痛苦（注：原文此处逻辑似有断裂或传抄错误，结合上下文及常见医案，此处意指若不用此方，其在冷水中因剧痛而呼号致死；或用此方后得以救治）。可惜当时没有得到这个方子来拯救她，特此详细记录在此，希望有志于医者广泛传播。
The Tu family in Xincheng Town, Xiushui County, had many long-lived members whose teeth remained firm and intact even in old age. They possessed a family secret: from childhood, they would clench their teeth tightly during defecation and urination to prevent the leakage of Qi (vital energy). (This method originates from Zhang Jingyue.) Even when asked questions, they would not respond. By persisting in this practice without interruption for years, their teeth never suffered from falling out. My friend Zheng Zhuoyan (courtesy name Fengqiang), a learned scholar, spoke of this.
Female doctors on the roads sometimes practiced "catching tooth worms." They would rotate the tip of chopsticks around the affected area and then dip them into a bowl of water, where countless worm-like shapes appeared. They claimed this could cure toothache, but it was often ineffective. Later, I read *Tongyi Lu* by Scholar Cheng Yaotian, which recorded the biography of his deceased wife, Xu Ruren. It revealed that these techniques were all fake. The biography stated: In Haozhou, there was a woman who treated dental caries, traveling to sell her skills. For one patient's teeth, she could extract "worms" numbering in the hundreds. Ruren said, "I grew up in Hezhou and have known this for a long time. While other doctors cannot extract worms from teeth, I can do so effortlessly: they are actually Polygonum persicaria flowers (Liao Hua)."
I suffered from chronic toothache for a long time, which flared up whenever I overworked, generated internal heat, or ate sweet foods. In the Bingwu year, my cousin Zhou Jiemei (personal name Shiran) passed on a prescription saying, "Every morning upon rising, rinse your mouth with cold water three times without interruption, and you will never suffer from toothache again." Jiemei had previously suffered from severe toothache and recovered after practicing this. I followed the method, and my toothache ceased completely. This is a miraculous formula for treating toothache. Additionally, drying green carp gallbladders and grinding them with raw alum into powder for application stops pain immediately; it can also treat throat wind (acute inflammation of the throat). Combining these two ingredients with nail ash and rush pith ash for insufflation into the affected area is particularly effective.
My cousin Zhou Yili (personal name Zhao, Doctor of Studies) suffered from leg heat in the Renyin year of the Daoguang reign. Although he felt heat in his legs, palpation revealed no warmth. His gait was weak, without pain or swelling. After consulting physicians, his leg condition worsened daily, with muscle wasting, reduced appetite, mental fatigue, and a critical state. At that time, Zhu Guangfu, a friend in Yi Li's family pawnshop who knew medicine, treated him. Zhu said, "This is Wei syndrome (flaccidity syndrome)." Indeed, it involved damp-heat and Yin deficiency, but treating only one aspect would be erroneous. He prescribed Qingzao Tang (Clear Dryness Decoction), which gradually reduced the illness. Subsequently, he used the method of Huanqian Wan (Tiger-Hiding Pill), modifying it with additions and subtractions, until 300 doses were taken to fully resolve the condition. Because of this, Yi Li studied medical books diligently and deeply investigated pulse diagnosis, achieving frequent success in treating others.
Medical texts state that excess Wind causes pulling/twitching, excess Dampness causes swelling, and excess Cold causes pain. These statements should not be rigidly adhered to. In the Jichou year of the Daoguang reign, my late father, Mr. Xiang (aged 49 at the time), suffered from hot pain in both legs, unable to walk. Physicians used Juanbi Tang (Eliminate Bi Decoction) and Bajitian Tang (Morinda Root Decoction) without effect, causing exacerbation and swelling with bluish-purple discoloration. Others attributed it to Yin deficiency and prescribed Huanqian Wan, which intensified the pain and reduced food intake. We then went to Zhenze to consult Mr. Wu Xuexiang. (Mr. Wu was a Shengyuan [licentiate] of Zhenze County, began practicing medicine in middle age, examined symptoms meticulously, and had doors full of patients.) His pulse was soft and rapid. The affected area was swollen and painful. Upon inquiry, we learned he had a large capacity for alcohol. Mr. Wu diagnosed it as caused by damp-heat and prescribed herbs including Coix Seed (Yiren), Saposhnikovia Root (Fangfeng/Haitongpi context implies specific formulation components like Haitongpi - Cinnamon Twig Bark/Phellodendron context usually Phellodendri Cortex here likely Haitongpi - Sophorae Root Bark? Note: Haitongpi is Sophorae Root Bark), Stephania Tetrandra (Fangji), Mulberry Leaf Silkworm Excrement (Can Sha), Gentian Macrophylla Root (Qinjiao), Mulberry Twig (Sangzhi), Achyranthes Bidentata Root (Niuxi), and Akebia Caulis (Mutong). There was daily improvement, and he recovered completely within a month. I analyzed: Pain accompanied by heat indicates that warm medicines should not be used. This explains why Juanbi Tang etc. were ineffective. This is a relatively obvious principle, yet few understand it. Indeed, the Way of Medicine is difficult to comprehend.
After recovery from febrile diseases, pathogens often settle in the feet, causing fever, swelling, and pain. If untreated, pain intensifies leading to death or disability, such as in cases requiring foot amputation (Jiezu Feng). In the spring of the Xianwu year, my mother, Lady Zhou, suddenly developed this symptom after an episode of alternating chills and fever. I was in Hangzhou, while my wife, Zhou Wanxia, cared for her at home. She consulted medical books and found a prescription: Use 1 liang of Guangjiao (Gelatin), mixed with wine lees, vinegar, ginger juice, and scallion juice. Melt these four ingredients into a paste, spread it on paper or cloth, and apply it to the affected area. The pain stopped immediately. (Method: Crush the wine lees in vinegar, mix well, filter out the liquid, discard the dregs. Do not use excessive ginger juice, only a small amount. Scallion juice should be half again as much as ginger juice. The volume of wine lees and vinegar juice should be three to four times that of the scallion juice.)
In early winter of the Gengshen year, my concubine Li suffered from latent summerheat. After recovery, her feet swelled but were not red, and the pain was severe. Medicines for removing dampness and clearing heat were ineffective. (Note: The text implies a tragic outcome if this specific remedy was not available or applied correctly in a different context, or describes a near-fatal event resolved by this method. The original text says "using this method... cried out in pain in cold water and died. Regretfully, this method was not obtained at the time to save her." This suggests the previous sentence might refer to a failed attempt or a different case, or the text has a lacuna/error. Based on standard interpretation of such fragmented classical texts, it likely means: Another case involved someone who suffered greatly in cold water due to pain and died because this specific remedy was not available. I record this in detail here, hoping those interested will spread it widely.)