马提刑记医先祖忠肃公天圣中以工部尚书知濠州家有媪病漏盖十余年一日老兵扫庭下且
言前
数日过市有医自远来道疮漏可治特顷刻之力耳媪曰吾更医多矣不信也其党有以白忠肃公者即
为召医视之曰可治无疑须活鳝一竹针五七枚医乃掷鳝于地鳝困屈盘就盘以竹针贯之覆疮良久
取视有白虫数十如针着鳝医即钤置杯水中 动如线复覆之又得十余枚如是五六医者曰虫固未
尽然其余皆小虫竟请以常用药敷之时家所有槟榔黄连为散敷之医未始用药明日可以干艾作汤
投白矾末三二钱洗疮然后敷药盖老人血气冷必假艾力以佐阳而艾性亦能杀虫也如是者再即生
肌
不一月当愈既而如其言医曰疮一月不治则有虫虫能 动气血亦随之故疮漏不可遽合则结痛实
虫所为又曰人每有疾经月不痊则必惫虚劳妇人则补脾血小儿则防惊疳二广则并治瘴疠医无名
于世而治疾有效亦良医也又其言有理故并录之(良方)
有人脚肚上生一疮久遂成漏凡经二年百药不效自度必死一村人见之云此鳝漏耳但以锻石
二三升百沸汤泡熏洗如觉疮痒即是也病者如其言用灰汤淋洗果痒竟用此洗不三两次遂干
有妇人项下忽生一块肿渐缘至奶上肿起莫知何病偶用刀刺破出清水一碗日久疮不合有道
人见
之曰此蚁漏尔缘吃饭误食蚁得此询妇人云当来吃饭时群蚁缘饭上逐之用汤泡吃往往有死蚁在
中不觉食之道人云此易治但用穿山甲数片烧存性为末敷疮上遂愈盖蚁畏穿山甲故也
马提刑记录了他的先祖忠肃公在天圣年间以工部尚书的身份担任濠州知州时,家中有一位老妇人患“漏”病(指疮疡溃破后久不愈合、流脓流水的慢性溃疡),大概有十多年了。
有一天,一位老兵在打扫庭院时说:“前几天经过集市,听说有位从远方来的医生,说疮漏是可以治疗的,只需要片刻的功夫。”老妇人说:“我看过很多医生了,我不相信。”这件事有人告诉了忠肃公,于是忠肃公就召见了这位医生。
医生诊视后说:“肯定可以治疗,但需要一条活鳝鱼和五到七根竹针。”医生就把活鳝鱼扔在地上,鳝鱼因受困而蜷缩成一团,医生用竹针将其穿起,覆盖在疮口上,过了很久才取下来查看,发现有几十条像针一样细的白色虫子附着在鳝鱼身上。医生随即把这些虫子和鳝鱼放入杯水中,虫子像线头一样在水中蠕动。医生再次用鳝鱼敷在疮口上,又取出了十多条虫子,像这样重复了五六次。医生说:“虫子虽然还没完全除尽,但剩下的都是小虫了,还是请用家里常备的药物来敷贴吧。”当时家里只有槟榔和黄连研成的散剂,就用它来敷贴。
医生起初并没有用药,第二天要求用干艾叶煮水,加入两三钱白矾末清洗疮口,然后再敷药。这是因为老年人气血寒冷,必须借助艾叶的力量来辅助阳气,而且艾叶的性质也能杀虫。像这样处理了两次后,疮口就开始长出新肉,不到一个月就能痊愈。
事后医生说:“疮口如果一个月不治疗,就会有虫子滋生,虫子活动会带动气血运行,所以疮漏不能急于闭合,否则会导致结痂疼痛,这都是虫子造成的。”他又说:“人每次生病如果一个月不好,必然会变得疲惫虚弱,形成虚劳;妇女则需要补益脾血;小儿则需要防止惊风和疳积;两广地区则要同时治疗瘴气瘟疫。这位医生虽然没有名气,但治病有效,也是良医。而且他的话很有道理,所以我一并记录下来。(出自《良方》)”
另有一人脚肚上生了一个疮,时间久了就成了漏管,经过两年,各种药物都无效,自己估计必死无疑。一个村民看见后说:“这是‘鳝漏’罢了,只要用二三升锻石(煅烧过的矿物药),用滚开的热水浸泡,用来熏洗患处,如果觉得疮口发痒,就是见效了。”病人按照他的话用灰汤淋洗,果然感到发痒,竟然只用这种方法洗了不到两三次,疮口就干燥愈合了。
还有一位妇人脖子上突然长出一块肿块,逐渐蔓延到乳房上,肿起来不知道是什么病。偶然用刀刺破,流出了一碗清水,日子久了疮口也不愈合。有道人在旁边看见说:“这是‘蚁漏’啊,是因为吃饭时误食了蚂蚁导致的。”询问妇人,她说当初吃饭时,成群蚂蚁爬在饭上追逐,她用热水泡着吃,里面往往有死蚂蚁,没察觉就吃下去了。道人说是容易治疗的病,只需使用几片穿山甲,烧至存性(保留药效的炭化状态),研成粉末敷在疮口上,很快就痊愈了。这是因为蚂蚁害怕穿山甲的缘故。
Ma Tixing recorded that his ancestor, Lord Zhongsu (Zhang Fangping), while serving as the Prefect of Haozhou with the title of Minister of Works during the Tiansheng era of the Song Dynasty, had an old maid in his household suffering from a "Lou" disease (a chronic ulcer characterized by persistent discharge and non-healing wounds) for over ten years.
One day, an old soldier sweeping the courtyard remarked, "A few days ago, passing through the market, I heard of a physician who had traveled from afar, claiming that such ulcers are curable with but a moment's effort." The old maid replied, "I have consulted many physicians; I do not believe it." Someone reported this to Lord Zhongsu, who then summoned the physician.
Upon examination, the physician said, "It is undoubtedly curable, but requires one live eel and five to seven bamboo needles." The physician threw the live eel onto the ground; as the eel curled up in distress, the physician pierced it with the bamboo needles and placed it over the wound. After some time, he removed it and observed dozens of white, needle-like worms attached to the eel. He immediately placed the eel and worms into a cup of water, where the worms wriggled like threads. He repeated the application of the eel to the wound, retrieving another dozen or so worms, repeating this process five or six times. The physician stated, "Although the worms are not yet completely eliminated, the remaining ones are small. It is best to use the common medicinal powder available at home." At that time, only powdered Betel Nut (Arecae Semen) and Coptis Rhizome (Coptidis Rhizoma) were available, which was used for dressing.
The physician initially did not apply any medication. The next day, he instructed to decoct dried Mugwort Herb (Artemisiae Argyi Folium) and add two or qian of Alum (Alumen) powder to wash the wound before applying the dressing. This was because the elderly patient had cold Qi and Blood, requiring the warming properties of Mugwort to assist Yang, and Mugwort also possesses insecticidal properties. After two such treatments, granulation tissue began to form, and healing occurred within a month.
Subsequently, the physician explained, "If an ulcer is left untreated for a month, worms will breed. Their movement stimulates Qi and Blood circulation. Therefore, one must not hastily close a 'Lou' wound, as this leads to pain and induration caused by the worms." He further added, "When a disease persists for a month without recovery, the patient inevitably becomes exhausted and suffers from deficiency consumption (Xu Lao). For women, Spleen Blood should be tonified; for children, one must guard against convulsions and malnutrition syndromes (Jing Gan); in the Liangguang region, Miasma diseases (Zhang Li) must be treated concurrently. Although this physician was unknown, his treatments were effective, making him a good doctor. Moreover, his reasoning was sound, so I recorded it all. (From *Liang Fang*)"
In another case, a man developed an ulcer on his calf which eventually became a fistula. After two years, various medicines proved ineffective, and he despaired of life. A villager saw it and said, "This is 'Eel Lou'. Simply soak two or three sheng of Calcined Stone (Duan Shi) in boiling water and use the steam and liquid to fumigate and wash the area. If the wound feels itchy, it is working." The patient followed this advice, washing with the ash-water solution, and indeed felt itching. After less than two or three washes, the wound dried and healed.
In a third case, a woman suddenly developed a swelling on her neck that extended to her breast. The cause was unknown. Accidentally punctured with a knife, it discharged a bowl of clear fluid, and the wound failed to heal over time. A Daoist priest observing this said, "This is 'Ant Lou', caused by accidentally swallowing ants while eating." Upon inquiry, the woman admitted that when eating, swarms of ants would crawl on her food. She would rinse the food with hot water and eat it, often consuming dead ants unknowingly. The Daoist said this was easy to treat: simply take several slices of Pangolin Scale (Manis Squama), calcine them until they retain their efficacy (charred but not turned to ash), grind them into powder, and apply it to the wound. The wound healed quickly because ants fear pangolins.