史记曰。临 女子薄吾病甚。众医皆以为寒热笃。当死。臣意诊其病。曰。蛲瘕为病。
腹大。上肤黄粗。循之戚戚然。臣意饮以芫花一撮。即出蛲可数升。病已。三十日如故。蛲
得之寒湿。寒湿气郁笃不发。化为虫。臣意所以知薄吾病者。切其脉。循其尺。其尺索刺粗
而毛美奉发。是虫气也。其色泽者。中藏无邪气及重病。
震按此条辨证最佳。上肤黄粗者。腹大而腹上肤黄粗也。循之戚戚然者。如以手摸老松
树皮之枯燥也。其尺索刺粗者。亦是枯燥之象。然仓公望毛发润美。面色又光泽。知为虫病
也。若齐中尉潘满如病小腹痛。谓之遗积瘕。病由于酒且内。当溲血死一条。不讲证。但讲
脉。辞义古奥难明。不敢因其讲脉而录之。
隋有患者。饥而吞食。至胸即便吐出。医作噎膈反胃治之。无验。有老医任度视之曰。
非此三疾。盖因食蛇肉不消而致。但揣心腹上有蛇形也。病者曰。素有大风。常食蛇肉。风
稍愈。复患此疾。遂以大黄芒硝饮之而愈。此蛇瘕也。
〔附〕春夏间。蛇精及液沾菜上。人误食之。腹内生蛇。须用赤头蜈蚣一条。炙为末。
分二服。酒下。
徐文伯善医术。宋明帝宫人。患腰痛牵心。发则气绝。众医以为肉瘕。文伯视之曰。此
发瘕也。以油灌之。即吐物如发。稍引之。长三尺。头已成蛇。能动。悬柱上。水沥尽。惟
余一发而已。遂愈。
〔附〕唐书载甄权弟立言善医。时有尼明律年六十余。患心腹膨胀。身体羸瘦。已经二
年。立言诊之曰。腹内有虫。当是误食发为之耳。因令服雄黄。须臾吐一蛇如手小指。惟有
眼。烧之犹有发气。其疾乃愈。又一人好饮油。每饮四五升。方快意。乃误吞发入胃。血裹
化为虫也。亦用雄黄五钱。水调服愈。
干德中。江浙间有慎道恭。肌瘦如劳。惟好食米。阙之则口出清水。情似忧思。食米顿
便
如常。众医莫辨。后遇蜀僧道广。以鸡屎及白米各半合。共炒为末。以水一盏调。顿服。良
久。病者吐出如米形。遂瘥。病源谓米瘕是也。
续搜神记载一人共奴俱患鳖瘕。奴前死。遂破其腹。得白鳖尚活。有人乘马来看鳖。适
白马尿。正落鳖上。即缩头。寻复以马尿灌之。鳖化为水。其主曰。我将瘥矣。即服之。如
言而愈。
〔附〕一人患鳖瘕。痛有来止。或食鳖即痛。用鸡屎一升。炒黄。投酒中浸一宿。焙为
末。原浸酒调下而愈。
宣室志载永徽中崔爽者。每食生鱼三斗乃足。后饥。作 未成。忍饥不禁。遂吐一物如
虾蟆。自此不复能食 矣。
太平御览载元嘉中。有人啖鸭肉。乃成瘕病。胸满面赤。不得饮食。医令服秫米。须臾
烦闷。吐一鸭雏。身喙翅背已成就。惟左脚故缀昔所食肉。遂瘥。
南史载褚澄治李道念。有冷疾五年。澄曰。汝病是食白瀹鸡子过多。取蒜一斤。令煮服
之。吐一物如升。涎裹之。乃是鸡雏。羽翅爪距皆见。凡十三头而病愈。
震按蛇鳖有毒。 系生食。固有成瘕者。若食鸭肉与白瀹鸡子而生雏。将食猪肉者生小
猪。食羊肉者生小羊乎。未可信也。
明皇杂录载一黄门奉使交广回。周顾谓曰。此人腹中有蛟龙。上惊问黄门曰。卿有疾否
曰。臣驰马大庾岭。时大热。因口渴。遂饮水。觉腹中坚痞如石。周用硝石、雄黄煮服之
立吐一物。长数寸。大如指。鳞甲具。投之水中。俄顷。长数尺。复以苦酒沃之。如故。
以器覆之。明日。已生一龙矣。上甚为之惊讶。
〔附〕广异记载一患者。饮食如故。发则如癫。面色青黄。小腹胀满。状如妊孕。医诊
其脉。与证皆异。而难明主疗。忽有一山叟曰。闻开皇六年。灞桥人患此病。盖因三月八日
水边食芹菜得之。有识者曰。此蛟龙瘕也。为龙游于芹菜之上。不幸食之而病也。遂以寒
食饧每剂五合。服之数剂。吐出一物。形虽小而状似蛟龙。且有两头。获愈。
石藏用。蜀人。良医也。名甚着。一士人尝因承檐溜盥手。觉为物触入指爪中。初若丝
发然。既数日。稍长如线。伸缩不能如常。始悟其为龙伏藏也。乃扣治疗之方于石。石曰。
此方书所不载。当以意去之。归可末蜣螂涂指。庶不深入胸膜。冀他日免震雷之患。士人如
其言。后因迅雷。见火光遍身。士人惧。急以针穴指。果见一物自针穴跃出。不能灾。
名医录载汾州王氏。得病右胁有声如虾蟆。常欲手按之。不则有声。声相接。群医莫能
辨。闻留阳山人赵峦善诊。求之。赵曰。此因惊气入于脏腑。不治而成疾。故常作声。王氏
曰。因边水行次。有大虾蟆跃高数尺。蓦作一声。予不觉惊叫。便觉右胁牵痛。自后作声。
常似虾蟆也。峦乃引王氏脉诀右关脉伏结。积病也。正当作积病治。用六神丹泄下青涎。类
虾蟆之衣。遂瘥。
齐谐记云。隆安中。江夏安陆县有人。姓郭名坦。得天行病后。遂大善食。一日消斗米
家贫不能给。行乞于市。一日大饥不可忍。人家后门有三畦薤。因窃啖之。尽两畦。便大
闷极。卧地。须臾大吐。吐一物如笼。因出地渐小。主人持饭出食之。不复食。因撮饭着所
吐物之上。即化为水。此病寻瘥。
桓宣武有一督将。因时行病后虚热。便喜饮茗。必一斛二斗乃饱。裁减升合。便以为大
不足。后有客造之。更进五升。乃大吐。一物出如升大。有口。形缩绉。状似牛 。客乃令
置之盆中。以斛二斗复茗浇之。此物吸之都尽。而止觉小胀。又增五升。便悉混然从口中涌
出。既吐此物。遂瘥。或问客此何病。答曰。此病名斛茗瘕。
夷坚志载一人自幼好酒。片时无酒。叫呼不绝。全不进食。日渐羸瘦。或执其手缚柱上
将酒与看而不与饮。即吐一物如猪肝。入酒内。其人自此遂恶酒。
又镇阳有士人。嗜酒。日尝数斗。至午夜。饮兴一发。则不可遏。一夕大醉。呕出一物
如舌。视无痕窍。至欲饮时。眼遍其上。矗然而起。家人沃之以酒。立尽。至日常所饮之数
而止。遂投之猛火。爆裂为十数片。士人由是不能饮。
震按此种案可助麈谈。难充诊则。惟诸病名。亦所当知。故选其不同者而删其同者。但
嗜
茗嗜酒。尚非怪异。如鲜于叔明嗜臭虫。权长孺嗜人爪。刘邕嗜疮痂。唐舒州刺史张怀肃。
左司郎中任正名、李栋服人精。唐书高仙芝传载贺兰进明好啖狗粪。明初僧宗泐嗜粪浸芝麻
杂米煮粥。驸马都尉赵辉喜食女人阴精月水。南京祭酒刘俊喜食蚯蚓。吴江妇人喜食死尸肠
胃。此种皆系癖疾。惜无有治之者。遂作小说传流至今。令人绝倒耳。
《史记》记载：临菑女子薄吾病得很重。众医生都认为是寒热交作的重病，认为她会死。我（仓公）诊断她的病，说：这是蛲瘕病。症状是腹部胀大，腹壁皮肤发黄粗糙，用手抚摸时感觉干枯涩滞。我给她服用一撮芫花粉末，随即排出蛲虫几升，病就好了，三十天后恢复如初。蛲虫是由于寒湿之气所致，寒湿气郁结不得发散，化为虫。我之所以知道薄吾的病，是因为切诊其脉，观察尺部皮肤，尺脉索然刺手且粗糙，毛发枯槁而发丝蓬松，这是虫气的表现。她面色光泽，说明脏腑中没有邪气及重病。
俞震按语：这一条的辨证非常精彩。“上肤黄粗”，是指腹部胀大且腹上皮肤发黄粗糙。“循之戚戚然”，是指像用手触摸老松树皮的枯燥感一样。“其尺索刺粗”，也是这种枯燥的现象。然而仓公观察到她毛发润泽美丽，面色又光泽，所以知道是虫病。如果像齐中尉潘满如患小腹痛，称为遗积瘕，病因是饮酒并内伤，应当尿血而死的那一条，不讲证候，只讲脉象，文辞古奥难懂，我不敢因为它是讲脉就收录它。
隋朝有个患者，饥饿时吞食食物，到了胸膈就吐出来。医生当作噎膈、反胃来治疗，没有效果。有位老医生任度诊治后说：这不是这三种疾病，而是因为吃了蛇肉不消化导致的。只要揣摸心腹上方有蛇的形状即可确诊。病人说：素来患有大风病，经常吃蛇肉，风病稍好，又患了这个病。于是用大黄、芒硝煎服而痊愈。这就是蛇瘕。
〔附〕春夏之间，蛇的精气和体液沾在菜叶上，人误食后，腹内生蛇。必须用赤头蜈蚣一条，炙烤研末，分两次服用，酒送下。
徐文伯医术高明。宋明帝的宫人，患腰痛牵引心痛，发作时气息断绝。众医生认为是肉瘕。文伯看后说：这是发瘕。用油灌入喉咙，随即吐出像头发一样的东西，慢慢拉扯，长达三尺，头部已经形成蛇的样子，能活动，悬挂在柱子上，水分沥干后，只剩下一根头发而已，于是痊愈。
〔附〕《唐书》记载甄权的弟弟立言擅长医术。当时有个尼姑明律，六十多岁，患心腹胀满，身体消瘦，已经两年了。立言诊断说：腹内有虫，大概是误食头发形成的。于是让她服用雄黄，不久吐出一条像人手小指那么大的蛇，只有眼睛，烧它还有头发的味道，病就好了。又有一个人喜欢喝油，每次喝四五升才觉得痛快，原来是误吞头发入胃，血液包裹化为虫。也用雄黄五钱，水调服而愈。
干德年间，江浙一带有个叫慎道恭的人，肌肉消瘦像劳损病，只喜欢吃米，缺了就口出清水，神情似忧愁思虑，吃米顿觉正常。众医不能辨认。后来遇到蜀僧道广，用鸡屎和白米各半合，共同炒为粉末，用水一盏调匀，一次性服下。很久之后，病人吐出像米粒形状的东西，于是病愈。病源学说是米瘕。
《续搜神记》记载一人和奴仆都患鳖瘕。奴仆先死了，于是剖开他的肚子，得到一只还活着的白鳖。有人骑马来看这只鳖，正好白马的尿落在鳖身上，鳖立即缩头。随后又用马尿浇灌它，鳖化为水。主人说：我的病要好了。于是喝下这些水，果然痊愈。
〔附〕一人患鳖瘕，疼痛有时发作有时停止，或者吃鳖就痛。用鸡屎一升，炒黄，投入酒中浸泡一夜，焙干研末，用原浸的酒调服而愈。
《宣室志》记载永徽年间崔爽，每顿饭要吃生鱼三斗才满足。后来饿了，做粥没做成，忍受不住饥饿，于是吐出一个像蛤蟆一样的东西，从此不能再吃粥了。
《太平御览》记载元嘉年间，有人吃了鸭肉，形成了瘕病。胸满面红，不能饮食。医生让他服用秫米，一会儿感到烦闷，吐出一只雏鸭，身躯、嘴、翅膀、背部都已长成，只有左脚还连着以前吃的肉，于是痊愈。
《南史》记载褚澄治疗李道念，有冷疾五年。褚澄说：你的病是吃水煮鸡蛋过多引起的。取蒜一斤，煮给他服下。吐出一个像升那样大的东西，被涎液包裹着，那是小鸡雏，羽毛、翅膀、爪子、脚距都看得见，一共十三个头，病就好了。
俞震按语：蛇和鳖有毒，生食确实会形成瘕。但如果吃鸭肉和水煮鸡蛋生出雏鸭和小鸡，难道吃猪肉的人会生出小猪，吃羊肉的人会生出小羊吗？这不可信。
《明皇杂录》记载一个黄门官奉命出使交广回来，周顾对他说：这个人腹中有蛟龙。皇上惊问黄门官说：你有病吗？回答说：臣在马背上赶路经过大庾岭，当时天气很热，因为口渴，就喝水，觉得腹中坚硬痞块如石头。周顾用硝石、雄黄煮服，立刻吐出一个东西，长几寸，大如手指，鳞甲具备，投到水中，一会儿长到几尺，再用醋浇它，还是老样子。用器皿盖住它，第二天，已经变成一条龙了。皇上对此非常惊讶。
〔附〕《广异记》记载一个患者，饮食如常，发作时像发癫狂，面色青黄，小腹胀满，状如怀孕。医生诊脉，与证候皆不同，难以明确主治方法。忽然有一位山中说：听说开皇六年，灞桥有人患此病，是因为三月八日在水边吃芹菜得的。有见识的人说：这是蛟龙瘕。因为龙游在芹菜上面，不幸吃了而生病。于是用寒食饧，每剂五合，服用几剂，吐出一个东西，形状虽小但状似蛟龙，而且有两个头，获得痊愈。
石藏用，蜀地人，良医，名声很大。一个士人曾经在屋檐滴水处洗手，感觉有东西触入指甲缝中，起初像丝发一样，过了几天，稍微长得像线一样，伸缩不能像平常一样，这才醒悟是龙潜伏在里面。于是向石藏求治方。石藏说：这个方子书上没有记载，应当凭心意去除。回去后可以磨蜣螂粉涂在手指上，希望不要深入胸膜，期望将来免除震雷之患。士人照他的话做，后来遇到迅雷，看见火光遍身，士人害怕，急忙用针刺手指，果然见一个东西从针穴跳出，没有造成灾害。
《名医录》记载汾州王氏，得病右胁有声像蛤蟆，常常想用手按住它，不然就有声音，声音接连不断，群医不能辨认。听说留阳山人赵峦善于诊病，去求他。赵峦说：这是因为惊气进入脏腑，不治而成疾，所以常发出声音。王氏说：因为在边境水边行走途中，有大蛤蟆跃起几尺高，突然发出一声，我不觉惊叫，就觉得右胁牵痛，从此发出声音，常像蛤蟆叫。赵峦于是引用《王氏脉诀》，右关脉伏结，是积病，正当作积病治疗。用六神丹泄下青色涎沫，类似蛤蟆皮，于是痊愈。
《齐谐记》说：隆安年间，江夏安陆县有个人，姓郭名坦，得天行病后，于是特别能吃，一天消耗一斗米，家里贫穷不能供给，就在集市乞讨。一天大饥不可忍耐，人家后门有三畦薤（小根蒜），于是偷吃，吃完两畦，就大闷极，卧倒在地，一会儿大吐，吐出一个像笼子一样的东西，因露出地面逐渐变小，主人拿饭出来喂它，不再吃了，于是把饭撮起来放在所吐之物上，立即化为水，这个病很快痊愈。
桓宣武有一个督将，因为时行病后虚热，便喜欢喝茶，必须一斛二斗才饱，稍微减少一点升合，就觉得大大不足。后来有客人来访，再进献五升茶，就大吐，吐出一个像升那样大的东西，有口，形状收缩起皱，状似牛脾。客人于是让它放在盆中，用一斛二斗茶浇它，这东西吸吮干净，只觉得小胀，又增加五升，就全部混然从口中涌出。既吐出这个东西，于是痊愈。有人问客人这是什么病，回答说：这个病名叫斛茗瘕。
《夷坚志》记载一人自幼好酒，片刻无酒，叫呼不绝，全不进食，日渐消瘦。有人抓住他的手绑在柱子上，把酒给他看而不给喝，他就吐出一个像猪肝一样的东西，放入酒内，那人从此厌恶酒。
又镇阳有个士人，嗜酒，每天喝几斗，到午夜，酒瘾一发，就不可遏制。一晚大醉，呕出一个像舌头一样的东西，看没有孔窍，到想喝的时候，眼睛布满其上，矗然而起。家人浇以酒，立即喝完，直到日常饮用的数量才停止。于是把它投入猛火，爆裂为十几片，士人因此不能喝酒。
俞震按语：这类医案可以助谈资，难充作诊疗准则。只是这些病名，也应当知道。所以选择不同的删去相同的。但嗜好茶、嗜好酒，尚非怪异，如鲜于叔明嗜好臭虫，权长孺嗜好人爪，刘邕嗜好疮痂，唐舒州刺史张怀肃，左司郎中任正名、李栋服食人精，唐书高仙芝传记载贺兰进明好啖狗粪，明初僧宗泐嗜好粪浸芝麻杂米煮粥，驸马都尉赵辉喜食女人阴精月水，南京祭酒刘俊喜食蚯蚓，吴江妇人喜食死尸肠胃。这些都属于癖疾，可惜没有治愈的人，遂作为小说流传至今，令人绝倒罢了。
According to the *Records of the Grand Historian* (*Shiji*): The woman Bo Wu from Linzi was severely ill. All physicians believed it was a severe condition of alternating cold and heat, predicting death. I (Cang Gong) diagnosed her illness, saying: This is a "Nao Jia" (Ascaris/Parasitic Mass) disease. The symptoms include abdominal distension, yellowish and rough skin on the abdomen, and a dry, coarse sensation upon palpation. I administered one tuacuo (a small measure) of *Kansui Radix* (Yuanhua powder). Immediately afterwards, several sheng (ancient volume unit) of ascarides were expelled, and the illness was cured; thirty days later, she returned to normal. Nao parasites arise from cold-dampness; when cold-damp qi stagnates and fails to disperse, it transforms into worms. I knew Bo Wu's condition by palpating her pulse and observing the skin at the Chi position. Her Chi pulse was string-taut, prickly, and rough, and her hair was withered yet fluffy, which are signs of parasitic qi. Her complexion was lustrous, indicating no pathogenic qi or severe disease in the zang-fu organs.
Yu Zhen's commentary: The differentiation of this case is excellent. "Yellowish and rough upper skin" refers to abdominal distension with yellowish, rough skin on the abdomen. "Coarse sensation upon palpation" resembles touching the dry bark of an old pine tree. "String-taut, prickly, and rough Chi pulse" also indicates a dry, withered state. However, Cang Gong observed that her hair was moist and beautiful, and her complexion was lustrous, thus identifying it as a parasitic disease. Regarding the case of Pan Manru, Chancellor of Qi, who suffered from lower abdominal pain termed "Yi Ji Jia" (Residual Accumulation Mass), caused by alcohol consumption and internal injury, leading to hematuria and death—that entry discusses only the pulse without elaborating on symptoms. Its archaic language is difficult to comprehend, so I dare not record it merely for its discussion of pulse diagnosis.
In the Sui Dynasty, a patient swallowed food while hungry but vomited it up upon reaching the chest. Physicians treated him for dysphagia (Ye Ge) or regurgitation (Fan Wei) with no effect. An old physician, Ren Du, examined him and said: This is not one of these three diseases. It is caused by undigested snake meat. One can confirm this by palpating the area above the heart and abdomen for a snake-like shape. The patient replied: He had previously suffered from wind disease and often ate snake meat. As the wind disease subsided, this ailment appeared. He was cured by administering a decoction of *Rhei Radix et Rhizoma* (Dahuang) and *Natrii Sulfas* (Mangxiao). This is called Snake Jia.
[Appendix] In spring and summer, snake essence and fluids may contaminate vegetables. If ingested accidentally, snakes may form in the abdomen. Treatment requires one red-headed centipede (*Scolopendra subspinipes mutilans*), roasted and powdered, divided into two doses, taken with wine.
Xu Wenbo was skilled in medicine. A palace lady under Emperor Ming of Song suffered from low back pain radiating to the heart, with episodes of breathlessness. Physicians diagnosed it as Rou Jia (Flesh Mass). Wenbo observed: This is Fa Jia (Hair Mass). Oil was instilled down her throat, expelling a substance resembling hair. Upon gentle traction, it measured three chi in length, with a head formed like a snake, capable of movement. It was hung on a pillar until the moisture drained, leaving only a single hair strand, after which she recovered.
[Appendix] The *Book of Tang* records that Zhen Quan's younger brother, Li Yan, was proficient in medicine. A nun named Ming Lü, over sixty years old, suffered from abdominal distension and emaciation for two years. Li Yan diagnosed: There are parasites in the abdomen, likely formed from ingested hair. He prescribed *Realgar* (Xionghuang). Soon after, she vomited a snake-sized finger, possessing only eyes; burning it emitted the smell of hair, and the illness resolved. Another individual who enjoyed drinking oil, consuming four or five sheng per time to feel satisfied, had actually swallowed hair into the stomach, where blood enveloped it to form a parasite. He was also cured using five qian of *Realgar* mixed with water.
During the Gaide era, in the Jiang-Zhe region, there was a man named Shen Daogong. His muscles were wasted as if from consumption, yet he craved rice exclusively; lacking it, saliva flowed from his mouth, and he appeared melancholic. Eating rice immediately restored his normal state. Physicians could not identify the cause. Later, he met the Shu monk Dao Guang, who prepared a powder from half a he of chicken excrement and half a he of white rice, roasted together. Mixed with one zhan of water and taken in one dose, after a long while, the patient vomited rice-shaped objects, and the illness ceased. Etiological texts classify this as Mi Jia (Rice Mass).
The *Continued Search for Spirits* records that a man and his servant both suffered from Bie Jia (Turtle Mass). The servant died first, and upon dissecting his abdomen, a live white turtle was found. A person riding a white horse came to view the turtle; coincidentally, the horse's urine fell onto the turtle, causing it to retract its head. Subsequently, more horse urine was poured on it, dissolving the turtle into water. The master said: My illness will be cured. He drank the liquid and recovered as predicted.
[Appendix] A patient with Bie Jia experienced intermittent pain, exacerbated by eating turtle meat. One sheng of chicken excrement was roasted until yellow, soaked in wine overnight, dried, and powdered. Taken with the original wine, the patient recovered.
The *Xuan Shi Zhi* records that during the Yonghui era, Cui Shuang would consume three dou of raw fish per meal to feel satisfied. Once, unable to prepare porridge while hungry, he endured the hunger too long and vomited an object resembling a toad. From then on, he could no longer eat porridge.
The *Taiping Yulan* records that during the Yuanjia era, someone developed a Jia disease after eating duck meat. Their chest became red, and they could not eat or drink. The physician prescribed *Sorghum Vulgare* (Sumi). Shortly after, feeling restless, the patient vomited a duckling, fully formed with beak, wings, and back, except for the left foot which still attached to the previously consumed meat. The patient recovered.
The *History of the Southern Dynasties* records Chu Cheng treating Li Daonian, who suffered from a cold disease for five years. Cheng stated: Your illness is due to excessive consumption of boiled eggs. Take one jin of garlic, boil, and administer. The patient vomited an object the size of a sheng, wrapped in saliva, which was a chick, complete with feathers, wings, claws, and spurs. Thirteen heads were expelled, and the illness healed.
Yu Zhen's commentary: Snakes and turtles are toxic; raw consumption indeed causes Jia. But if eating duck meat or boiled eggs produces ducklings or chicks, does eating pork produce piglets, or mutton produce lambs? This is unbelievable.
The *Miscellaneous Records of Emperor Xuanzong of Tang* records a eunuch returning from a mission to Jia-Guang. Zhou Gu told him: You have a Jiaolong (Dragon) in your abdomen. The Emperor asked the eunuch: Do you have an illness? He replied: While riding through Dayu Ridge in intense heat, I drank water due to thirst and felt a hard, stone-like mass in my abdomen. Zhou Gu administered a decoction of *Natrii Sulfas* (Xiaoshi) and *Realgar*. The patient immediately vomited an object several cun long and finger-thick, covered in scales. Placed in water, it grew to several chi. Vinegar was poured on it, but it remained unchanged. Covered with a vessel, by the next day, it had transformed into a dragon. The Emperor was greatly astonished.
[Appendix] The *Guang Yi Ji* records a patient whose diet was normal but who experienced manic episodes, cyan-yellow complexion, and lower abdominal distension resembling pregnancy. Pulse and symptoms did not match standard patterns, making treatment difficult. Suddenly, a mountain dweller said: I heard that in the sixth year of Kaihuang, a person in Ba Bridge suffered this illness after eating celery by the water on the eighth day of the third lunar month. An expert identified it as Jiaolong Jia (Dragon Mass), because dragons swim on celery, and accidental ingestion caused the disease. The patient was given five he of Hanshi Tang (Cold Food Syrup) per dose. After several doses, an object resembling a small dragon with two heads was vomited, and the patient recovered.
Shi Zangyong, a renowned physician from Shu, was consulted by a scholar who felt something touch his fingernails while washing hands under eaves dripping water. Initially thread-like, it grew line-like over days, unable to move normally, revealing a hidden dragon. Shi Zangyong said: This is not recorded in medical texts; it must be removed by intuition. Grind dung beetles (*Scarabaeus sacer*) into powder and apply to the finger to prevent deep penetration into the thoracic membrane, hoping to avoid future thunder-related disasters. The scholar followed this advice. Later, during a thunderstorm, firelight surrounded him. Fearing disaster, he pricked his finger with a needle. A creature jumped out from the puncture, causing no harm.
The *Record of Famous Doctors* records Wang Shi from Fenzhou, who had sounds in the right hypochondrium resembling frogs, relieved by pressure. Physicians could not diagnose. Zhao Luan, known for diagnosis, was consulted. Zhao said: This is due to shock qi entering the zang-fu, forming a pathology causing sounds. Wang Shi recalled: While traveling near water, a large frog leaped high and croaked, startling him, causing right hypochondriac pain and subsequent frog-like sounds. Zhao cited the *Wang Shi Pulse Classic*: a submerged and knotted pulse at the Right Guan position indicates accumulation disease. Treatment should focus on accumulation. Using *Liushen Dan* to purge green phlegm resembling frog skin, the patient recovered.
The *Qi Xie Ji* states that during the Long'an era, Guo Tan from Anlu County, Jiangxia, developed voracious appetite after a epidemic disease, consuming one dou of rice daily, forcing him to beg. Starving one day, he stole and ate two beds of wild leeks behind a house. He collapsed, vomiting a cage-like object that shrank as it emerged. The owner fed it rice, which turned to water upon contact with the vomit. The illness quickly resolved.
Huan Xuanwu's commander, suffering from deficiency-heat post-epidemic, craved tea, requiring one hu and two dou to feel full. A guest offered five sheng more, triggering massive vomiting of an object the size of a sheng, with a mouth, shriveled like ox spleen. The guest placed it in a basin and poured two hu and two dou of tea over it. It absorbed all the tea, causing slight bloating. Adding another five sheng caused it to gush out from the mouth. The patient recovered. When asked about the disease, the guest replied: This is called Hu Ming Jia (Tea Measure Mass).
The *Yi Jian Zhi* records a man addicted to alcohol since childhood, screaming without wine, refusing food, becoming emaciated. Restraint therapy showed him wine without letting him drink caused him to vomit a liver-like object into the wine, curing his addiction.
Another scholar from Zhenyang drank several dou daily. At midnight, craving became uncontrollable. Drunk one night, he vomited a tongue-like object without orifices. When craving returned, eyes appeared on it, standing upright. Family members poured wine on it, which it drank until his usual amount. Roasted fiercely, it split into dozens of pieces, curing his addiction.
Yu Zhen's commentary: These cases aid conversation but lack diagnostic rigor. However, knowing these disease names is useful. I selected unique cases and deleted common ones. Craving tea or wine is not bizarre. Examples of strange cravings include Xianyu Shuming liking bedbugs, Quan Changru liking human nails, Liu Yong preferring scabs, Zhang Huaisu (Prefect of Shuzhou) and officials Ren Zhengming and Li Dong consuming human essence, Helan Jinming eating dog feces (per *History of Tang*), Monk Zongle eating sesame porridge cooked with feces, Consort Zhao Hui desiring female genital secretions and menstrual blood, Liu Jun (Imperial Academician of Nanjing) eating earthworms, and a woman from Wujiang eating dead intestines. These are all peculiar cravings (Pi Ji). Sadly, none were cured, becoming novels passed down, amusing readers.