典藏书目

The Langzhongling (Attendant Gentleman of the Palace) Xun of Qi fell ill. All physicians believed it was Jue Qi entering the center and treated him with acupuncture. Chunyu Yi examined him and said, "This is Yong Han (Surging Hernia), a condition causing inability to urinate or defecate." Xun said, "I have been unable to pass urine or stool for three days." Yi administered Huo Ji Tang (Fire-Regulating Decoction). After one dose, he could urinate; after two doses, he could defecate; after three doses, the disease was cured. The disease originated from internal causes (improper sexual conduct). I knew it was Xun's illness because upon palpating his pulse, the pulse at the right Cun Kou (Radial Pulse Position) was rapid and tense, lacking the harmonious Qi of the five Zang organs. The right Cun pulse was large and rapid; a rapid pulse indicates heat in the middle and lower Jiao with surging Qi. The left corresponds to the lower, the right to the upper, and neither showed correspondence to the five Zang organs, hence termed Yong Han. Heat in the middle Jiao caused the dark red urine.

Mingfu (Lady of Rank) Chu of the Beigong Sikong (Palace Constable) in Qi fell ill. All physicians believed it was Wind pathogen entering the center, locating the disease in the Lung, and needled her Foot Shaoyang meridian. Chunyu Yi palpated her pulse and said, "This is Bing Qi Han (Pathogenic Qi Hernia); the pathogenic Qi resides in the Bladder, causing difficulty in urination and defecation with dark red urine. When exposed to cold pathogen, she experiences urinary incontinence and abdominal swelling. Chu contracted this illness due to attempting to urinate but failing, followed immediately by sexual intercourse. I knew it was Chu's illness because her pulse was large, solid, and difficult to feel, which is the arterial manifestation of the Jueyin Meridian. A difficult-to-feel pulse indicates Hernia Qi residing in the Bladder. The abdominal swelling occurs because the collaterals of the Jueyin Meridian are knotted in the lower abdomen. When Jueyin is affected, the pulse knots; when the pulse moves, the abdomen swells. Yi then moxa-ed one point on each side of the Foot Jueyin Meridian. Consequently, urinary incontinence ceased, urination became clear, and lower abdominal pain stopped. Subsequently, Yi administered Huo Ji Tang (Fire-Regulating Decoction). After three days, the Hernia Qi dissipated, and she recovered.

Gongcheng (Commoner of Rank) Xiang Chu of Anling Banli fell ill. Chunyu Yi palpated his pulse and said, "This is Mu Han (Male Hernia). Mu Han is located below the diaphragm and connects upward to the Lung. This disease originates from internal causes." Yi warned him, "Be cautious and do not engage in strenuous labor, otherwise you will vomit blood and die." Later, Xiang Chu played football, twisted his waist, caught cold, sweated profusely, and subsequently vomited blood. Yi re-examined him and said, "He will die on the morning of the next day, towards evening." Xiang Chu indeed died that evening. The disease originated from internal causes. I knew it was Xiang Chu's illness because palpation revealed the Fan Yang pulse entering the Xu Li (Vital Area). He died the next day because one Fan and one Luo constitute Mu Han. Yi stated, "There are many other cases where I predicted life and death or treated cured diseases, but I have largely forgotten them and cannot recall them all, so I dare not answer."

Cao Shanfu of Zhangwu Li in Qi fell ill. Chunyu Yi palpated his pulse and said, "This is Fei Xiao Dan (Lung Wasting-Thirst with Carbuncle), accompanied by alternating chills and fever." He informed the family, "The disease is untreatable and fatal. You should only provide care and nourishment; medical treatment is inappropriate." Medical texts state: "After three days, the patient will become delirious, rise, walk, and desire to run; they will die after five days." He died exactly as predicted. Shanfu contracted this illness due to intense anger followed by sexual intercourse. I knew it was Shanfu's illness because palpation revealed heat in the Lung Qi. The pulse law states: "If the pulse is uneven and does not surge, the physical form is ruined." This is a Jing Meridian disease resulting from the transmission of essence among the five Zang organs from distant to near points. Thus, upon palpation, the pulse was uneven and exhibited Dai Mai (Intermittent Pulse). Unevenness means blood does not reside in its proper place; Dai Mai indicates intermittent beating, surging together, sometimes restless and sometimes large. This is because two collateral vessels are severed, rendering it untreatable and fatal. The accompanying chills and fever indicate severe depletion of Yuan Qi (Primal Qi). Severe depletion leads to ruin of the physical form; when the form is ruined, Moxibustion, Bian Stone therapy, and toxic drugs are contraindicated. Before I visited to diagnose, the Grand Physician of Qi had already treated Shanfu by moxa-ing the Foot Shaoyang pulse opening and administering Banxia Wan (Pinellia Pill). The patient immediately suffered diarrhea and abdominal emptiness. Then, the Shaoyin pulse was moxa-ed, which damaged the Gan Gang (Liver's Yang/Strength) deeply. Such repeated damage depleted the patient's Qi, thereby aggravating the chills and fever. The reason for delirium after three days is that a collateral of the Liver connects and severs at the Yangming Meridian below the breast; thus, the collateral severance opens the Yangming Meridian, and injury to the Yangming Meridian causes delirium and running. Death after five days occurs because the Liver and Heart are separated by five fen (units of measurement); thus, it is said that after five days, the essence is exhausted, and exhaustion leads to death.