汪石山治一妇。产后滑泄。勺水粒米弗容。实时泄下。如此半月余。众皆危之。或用五
苓散、平胃散。病益甚。汪诊之。脉皆濡缓而弱。曰。此产中劳力以伤其胃也。若用汤药。
愈滋胃湿。非所宜也。令以参苓白术散。除砂仁。加陈皮、肉豆蔻。煎姜枣汤调服。旬余而
泻止。
〔附〕沈尧封治一妇。产时去血多。随寒战汗出。便泻不止。用大剂真武汤。以干姜易
生姜。两剂战定而汗泻如故。又服两日。寒战复作。再用补中汤。无人参。加附子。两剂。
病者云。我肚里大热。口渴喜饮。然汗出下利寒战仍不减。沈方凝神思虑。其母曰。彼大孔
如洞。不能收闭。又无力吃参。谅无活理。沈用黄 五钱。炙北五味四钱打碎。白芍、茯苓
各二钱。各炒。归身、甘草各钱半。各炒。大枣三枚。一剂病减。四剂全愈。
金大文先生治一妇。产后三日发疹。细而成粒。不稀不密。用荆芥、蝉蜕、粘子等药一
剂。头面俱透。越一日。渐有回意。忽大便溏泄数次。觉神气不宁。问其所苦。曰热曰渴。
语言皆如抖出。脉来微细。数有七至。外露但欲寐少阴证据。金曰。此阳脱证也。属少阴。
用生附子三钱。水洗。 如炒米。干姜炒八分。甘草炒一钱。白芍炒一钱半。水煎。冲人尿
一调羹。猪胆汁四小茶匙。时已黄昏。无猪胆。以青鱼胆汁代之。服毕即睡。觉来热渴俱除
续用黄 建中汤加丹参、苏木。二剂而安。
震按此二案。有大见识。大力量。故能起死回生。较之汪案。高逾十倍。但汪案勺水粒
米弗容。实时泄下。亦诚危矣。然处方平淡。不过以散换汤之巧。亦即效者。盖脉濡缓而弱
与脉微细而数有七至者。其平险各别也。
汪石山治疗一位妇人。产后出现滑泄（大便失禁、泻下无度），连一勺水、一粒米都容纳不住，吃下去立刻就泻出来。这种情况持续了半个多月，大家都认为病情危重。有人使用五苓散、平胃散，病情反而加重。汪石山诊察后，发现脉象皆濡缓而弱，说：“这是生产过程中劳累用力损伤了胃气。如果再用汤药，只会更加滋助胃中湿气，这不适宜。”于是让他服用参苓白术散，去掉砂仁，加入陈皮、肉豆蔻，用生姜和大枣煎汤调服。十多天后腹泻停止。
〔附〕沈尧封治疗一位妇人。生产时失血过多，随后出现寒战出汗，腹泻不止。使用大剂量的真武汤，将干姜代替生姜，服用两剂后寒战平息但出汗和腹泻依旧。又服用了两天，寒战再次发作。再服用补中益气汤，因无人参，加入附子。服用两剂后，病人说：“我肚子里非常热，口渴喜欢喝水。”然而出汗、下利、寒战仍然没有减少。沈尧封凝神思考，病人的母亲说：“她肛门像洞一样无法闭合，又没有力气吃人参，估计没有活理了。”沈尧封使用黄芪五钱，炙北五味子四钱打碎，白芍、茯苓各二钱，分别炒制，当归身、甘草各一钱半，分别炒制，大枣三枚。服用一剂后病情减轻，四剂后完全痊愈。
金大文先生治疗一位妇人。产后三天发疹，皮疹细小如米粒，不稀疏也不密集。使用荆芥、蝉蜕、牛蒡子等药物一剂，头面部皮疹全部透出。过了一天，皮疹逐渐有消退的迹象。忽然大便溏泄数次，感觉神气不安宁。询问她的痛苦，她说发热、口渴，说话声音都像颤抖着吐出来的。脉象微细，数脉达到七至（每分钟脉搏跳动极快）。外表呈现只想睡觉的少阴病证据。金先生说：“这是阳气脱失的证候，属于少阴经。”使用生附子三钱，水洗，炒至像炒米的样子；干姜炒八分；甘草炒一钱；白芍炒一钱半。水煎，冲入人尿一调羹，猪胆汁四小茶匙。当时已是黄昏，没有猪胆，用青鱼胆汁代替。服完后立即入睡，醒来后发热口渴都消除了。接着继续服用黄芪建中汤加丹参、苏木。两剂后病情安定。
俞震按语：这两个医案，有大见识、大力量，所以能起死回生。与汪石山的医案相比，高出十倍。但是汪石山的医案中，病人勺水粒米都容不下，实时泻下，也确实危重。然而处方平淡，不过是把散剂换成汤剂的巧妙之处，也取得了疗效。大概是因为脉象濡缓而弱与脉象微细而数有七至者，其平稳与危险各不相同。
Wang Shishan treated a woman who, after childbirth, suffered from slippery diarrhea (profuse, uncontrollable diarrhea), unable to retain even a spoonful of water or a grain of rice; whatever she consumed was immediately expelled. This condition persisted for over half a month, and everyone considered her condition critical. Some used Wuling San (Five-Ingredient Poria Decoction) and Pingwei San (Calm the Stomach Powder), but the disease worsened. Wang examined her and found the pulse to be all soft, slow, and weak. He said, "This is due to injury of the stomach qi caused by exertion during labor. If decoctions are used, they will only further nourish dampness in the stomach, which is not appropriate." He instructed her to take Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder), removing Amomi Fructus Rotundus (Sharen), and adding Tangerine Peel (Chenpi) and Myristica Seed (Roudoukou). The powder was taken with decoction of Ginger and Jujube. After more than ten days, the diarrhea stopped.
[Appendix] Shen Yaofeng treated a woman who had lost a large amount of blood during delivery, followed by chills, sweating, and incessant diarrhea. A large dose of Zhenwu Tang (True Warrior Decoction) was used, substituting Dried Ginger (Ganjiang) for Fresh Ginger (Shengjiang). After two doses, the chills subsided, but sweating and diarrhea remained unchanged. After another two days of administration, the chills recurred. Then Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was administered; lacking Ginseng, Aconite Root (Fuzi) was added. After two doses, the patient reported, "My abdomen feels extremely hot, and I am thirsty and desire to drink." However, sweating, diarrhea, and chills still did not decrease. Shen Yaofeng pondered deeply. The patient's mother said, "Her anus is like a hole that cannot close, and she lacks the strength to take Ginseng; there is likely no hope for survival." Shen then prescribed Astragalus Root (Huangqi) 5 qian, Prepared Schisandra Berry (Zhi Bei Wuweizi) 4 qian crushed, White Peony Root (Baishao) and Poria (Fuling) each 2 qian, stir-fried separately, Angelica Sinensis Root (Guishen) and Licorice Root (Gancao) each 1.5 qian, stir-fried separately, and three Jujubes (Dazao). After one dose, the condition improved; after four doses, she fully recovered.
Mr. Jin Dawen treated a woman who developed a rash on the third day postpartum. The rash was fine and granular, neither sparse nor dense. One dose of Schizonepeta Spike (Jingjie), Cicada Slough (Chantui), and Burdock Fruit (Niubangzi) allowed the rash to fully emerge on the head and face. The next day, it began to recede. Suddenly, she experienced several episodes of loose stools and felt restless spirit. When asked about her distress, she reported fever and thirst, and her speech sounded as if trembling out. Her pulse was faint and fine, rapid with seven beats per breath cycle (indicating extreme tachycardia). Externally, she exhibited signs of wanting to sleep, consistent with Shaoyin syndrome evidence. Jin said, "This is a syndrome of Yang collapse, belonging to the Shaoyin channel." He used Raw Aconite Root (Sheng Fuzi) 3 qian, washed and stir-fried until resembling fried rice; Dried Ginger (Ganjiang) stir-fried 8 fen; Licorice Root (Gancao) stir-fried 1 qian; White Peony Root (Baishao) stir-fried 1.5 qian. These were decocted in water, mixed with one tablespoon of human urine and four small teaspoons of Porcine Bile (Zhudanzhi). It was already dusk, so Pig Gallbladder was unavailable; instead, Green Fish Bile was used as a substitute. After taking the medicine, she fell asleep immediately. Upon waking, the fever and thirst were gone. Subsequently, Huangqi Jianzhong Tang (Astragalus and Middle-Warming Decoction) plus Salvia Root (Danshen) and Sappan Wood (Sumu) was continued. After two doses, she stabilized.
Yu Zhen’s commentary: These two cases demonstrate profound insight and great power, thus enabling recovery from near-death states. Compared to Wang’s case, they are ten times superior. However, in Wang’s case, where the patient could not retain even a drop of water or grain of rice, expelling it immediately, the condition was indeed critical. Yet the prescription was plain, merely employing the skill of converting powder into decoction, yet it was effective. This is because the pulse characteristics—soft, slow, and weak versus faint, fine, and rapid with seven beats per breath cycle—differ significantly in terms of stability and danger.