平人气象论云∶尺脉缓涩，谓之解 ，（五注云∶尺者阴部也，腹肾主之，缓为热中涩为无血，故解 也）。
解之证，懈倦困弱，寒不甚寒，热不甚热，恶见人，见人心惕惕然。或热多而汗出，肢体百骸散解，痿弱而不能任
持，少气而不欲言左右，伫（伫音能，困弱也）不可以名其状，故谓之解 ，注夏之证殆相似，亦虚类也。其治大生麦
汤，足以注之，加木瓜、苡仁。
《史记》云∶赵简子疾，五日不知人，大夫皆惧。于是召扁鹊，扁鹊入视病，出董安于问扁鹊，扁鹊曰∶血脉治
也，而何怪？昔秦穆公尝如此，七日而寤。寤之日，告公孙支于子舆曰∶我之帝所甚乐，吾所以久者，适有所学也。帝
告我晋国，且大乱，五世不安，其后将霸。未老而死，霸者之子，且令而国男女无别，公孙支书而藏之秦策。于是出夫
献公之乱，文公之霸，而襄公败秦师于淆，而归纵淫。此予之所闻。今主君之病，与之同，不出三日必间，间必有言也。
居二日半，简子寤，语诸大夫曰∶我之帝所甚乐，与百神游于钧天广乐，九奏万舞，不类三代之乐，其声动心。有
一熊可援，我帝命我射之，中熊，熊死。有罴来，我又射之，中罴罴死。帝甚喜。赐我二笥皆有副。吾见儿在帝侧，
帝属我一翟犬曰∶及而子壮也，以赐之。帝告我晋国且世衰，七世而亡，嬴姓将大败，周人于范魁之西，而亦不能有
也。董安于受言，书而藏之。以扁鹊言告简子，简子赐扁鹊田四万亩。
夏子益《奇疾方》云∶凡人自觉本形作两人，并形并卧，一样无别，但不语。盖人卧则魂归于肝，此由肝虚邪
袭，魂不归舍，病名离魂。用人参、龙齿、赤茯苓各一钱，水一盏，煎半盏，调水飞辰砂末一钱，睡时温服，一夜一
服，三服后，真者气爽，而假者即化矣。
金少游治徐太乙之女，年十六，许字巨族。而太乙日窘，女忧虑不食不寝，长卧目不瞑。太乙往郡城售丝未归，
女卧床上，自言曰∶若许，丝止价四钱八分，不满五数，侍者询其何以知之？答曰∶予方随父入市也。太乙归，少游
先问其丝价，太乙言其数果符。少游云∶此离魂病也。用人参、黄连、龙齿安魂等药，平复。
王日新《小儿方》云∶有小儿患惊风，大叫一声就死者，名老鸦惊。以散麻缠胁下及手足心，以灯火爆之。用老
鸦蒜苗干，车前子等分为末，水调贴手心，仍以灯心淬手足心，及肩膊、眉心、鼻心，即醒也。
〔源按〕老鸦蒜，一名石蒜，又名一枝箭是也。
《外台秘要》云∶刘太丞毗陵人也，有邻家朱玉者，只有一子，年三十余，忽然卒死，脉全无。请太丞治之，取徐
州半夏细末一大豆许，纳鼻中良久，身微暖而苏，迤逦无事。人问太丞∶单方半夏如何活得死人？答曰∶此南岳魏夫
人方也。
〔源按〕此方救五绝。一曰自缢死，气绝；二曰墙壁崩压死，气绝；三曰溺水，气绝；四曰鬼魇死，气绝；五曰产
妇死，气绝，并能救之。昔葛生尝用此方救人，人问葛生何授得此神术能活人命？生曰∶吾因入山采药，遇白衣人问
曰∶汝非葛医生乎？吾乃半夏之精，汝遇人有五绝之病，用吾救治即活。但用吾作细末，令干入鼻中，即复生矣。
《坚夷志》云∶成州团练使张子刚，名锐，以医知名，居于郑州刑部尚书。慕容彦逢为起居舍人，母夫人病，召锐
于郑，至则死矣。时方六月，将就木，张欲入视，彦逢不忍，意其欲求钱。乃曰∶道路之费，当悉奉偿，实不烦入。
张曰∶伤寒法，有死一昼夜复生者，何惜一视之？彦逢不得已，自延入，悲哭不止。张揭面帛注视，呼仵匠语之曰∶可
尝见夏月死者面色赤乎？曰∶无。然则汗不出而厥尔。不死也。幸无亟敛，趋出取药。令以水三升，煮其半，灌病者。
戒曰∶善守之，至夜半大泻，则活矣。锐舍于外馆，至夜半时，守病者觉有声勃勃然，遗尿已满席，出秽恶斗余。一家
大喜，遽敲门呼张。张曰∶吾今体倦莫能起，然亦不必起，明日方可进药也。天且明，出门若将便旋然径命驾归郑。彦
逢诣其室，但留平胃散一帖而已。其母服之，数日良愈。盖张为彦逢有求钱之疑，故不告而去，绍兴中流落入蜀，王柜
叔问之曰∶公之术，古所谓十全者几是欤？曰∶未也，仅能七八尔。长子病，诊脉察色，皆为热极。命煮承气汤欲饮
之，将饮复疑，至于再三，如有掣吾肘者，姑持杯以待。儿忽发颤悸，覆绵衾至四五，始稍定，汗出如洗，明日脱然，
使吾药入口则死矣，安得为造妙。世之庸医，学方书未知万一，自以为是吁，可悲哉。
《疮疡经验》云∶一老妇喉间及心中咬痛，得食则止，心思香燥之物。偶夏天猫绕足而叫，此妇素性爱猫，取鹿脯
嚼之，喉中忽有物出，即取之堕地，头足皆有，五寸长许，乃饥虫也。
许智藏梁人也。秦王俊有病，上驰召之。俊夜梦其亡妃崔氏泣曰∶本来相迎，闻智藏将至，当必相苦，为之奈何？
明夜俊又梦崔氏曰∶外家得许矣，当入灵府避之。及智藏至，为俊诊脉曰∶疾已入心，即当发痫，不可救也。果如言，俊
数日而死。
齐州有人病狂毒而歌曰∶五灵华盖晓玲珑，天府由城汝府中，惆怅此情言不尽，一丸采菔火吾宫。又歌曰∶脚阳
春，人间二月雨和尘，阳春踏尽秋风起，肠断人间白发人。后遇一道士作法治之，乃曰∶梦中见一红裳女子，引入宫
殿，皆红紫饰，小姑令歌。道士曰∶此症犯大麦毒，女则心神，小姑脾神也。按医经萝卜治麦毒，故曰火吾官，即以药
并萝卜食之愈。
陈斗岩治一妇人，病厥逆。脉伏一日夜不苏，药不能进，陈视之曰∶可活也，针手足阳明，气少回，灸百会穴乃
醒。初大泣，既而曰∶我被数人各执凶器，逐潜入柜中，闻小儿啼，百计不能出。又闻击柜者，隙见微明，俄觉火燃其
盖，遂跃出。其击柜者针也，燃柜盖者，灸也。
韩光武寓洋洲得异疾。与神物遇，颇不省人事，神气恍惚，或食或不食，国医陈易简教服苏合香丸，即愈。盖苏合
香丸能辟邪故也。
潘温叟治贵江令王齐，夜梦与妇人讴歌饮酒，昼不能食，如是三岁。温叟治之，疾益平，则妇人色益沮，饮酒益
怠，而讴歌不乐，久之遂无所见。温叟曰∶疾虽衰，然未愈也，如梦男子青巾白衣者方瘥，后果梦此，能食。
〔源按〕此症属于脾，脾为坤土，坤乃阴象。因胃阳弱而坤阴用事，故每梦见妇人。歌者，《内经》所云∶脾主歌
是也。至所梦惟酒何故？故胃阳弱而本不思食，酒乃虚而不实之物，且又五谷所作，乃脾之所好，故梦中饮此也。温
叟所治，必补中益气汤之类，使胃阳渐动，而坤阴之疾自退。即易所谓坤至柔而动也刚，至柔得刚，而所梦已无，自
当能食，而仍不思食何也？因坤土之气始复，犹冬至一阳内复之候，而气之根原未旺，所谓母虚子亦虚也。盖肺为脾之
子，而气之原发于肺，故肺主气，脾主营运，因肺未旺而肝木未平，脾仍失健运之职，所以疾虽衰，然未愈也。乃初因
病甚于坤，故但梦妇人，至坤阴之梦已退，而肺肝所患未除，故二脏之气未和，所以又当梦见青巾白衣男子。青巾，
肝所属也，盖肝属木，其色青，故梦见青色之物。肺属金，其色白，故所梦白人。然必是梦亦无，方得病痊而食也。
或问五内有病，何故每见于梦？予曰∶人当寐时，则神归肝肾之所。如一脏有病，则一脏之气不和，不和则神不
安，不安则多梦。如肝肾有病，即梦见肝肾所属之物，即如前症；脾病，则梦脾脏所属；肺肝病，则梦肺肝所属。然梦
妇人而又讴歌饮酒，梦男子而乃青巾白衣。青巾，乃肝脏所属之物，而以冠白人之首，此中之奇特，皆脏气所为，盖气
之变化，诚难测之。
又问∶如梦亲戚长幼及所故之人，所属何脏？予曰∶神自病耳。因用神又过，神不能静，故有是梦耳。
罗谦甫治副使许可道，脉来乍大乍小，乍长乍短，此乃气血不匀，邪伤正气。许云∶路至邯郸，夜梦一妇人，所服
青衣，因用拳打下，却打自胁。遂一点痛，往来不止，兼寒热不能食。罗曰∶此名鬼击，可服八毒赤丸。遂与药三粒，
临卧服，明旦下清水二斗而愈。又陈青玉子，因昼卧水仙庙中，梦得一饼食之，心怀忧虑，复即痞满，饮食减少，约一
载余，渐瘦弱，腹胀如蛊，屡医不效。罗诊之，问其病始末，又非外感风寒，内伤生冷，因思李子豫八毒丸，颇有相
当，遂与五七丸服之。下清黄之涎斗余，渐渐气调，而以别药理之，数月良愈。
或问二症之梦，属何脏病乎？予曰∶此内感不正之气，因心气不宁，故感而成梦，盖邪气入内，正气必伤，致病患
多端，非辟邪不愈，八毒赤丸，因辟邪故也。凡梦如是者，脉必乍大乍小，乍有乍无也。
吕沧洲治一在室女，病不月，诸医疗治，皆不得其当，视之腹大如娠，求其色脉，颇怪之，曰∶汝病非有异梦，即
鬼灵所凭耳。女不答，趋入卧内，密语其侍妪曰∶我去夏过凉庙庑下，薄暮遇木神心动。是夕梦一男子如暮间所见者，
即我寝亲狎，由是感病，我惭赧不敢以报，医言是也，妪以告吕，吕曰∶汝面色乍赤乍白者愧也，乍大乍小者祟也。病
与色脉相符，虽剧无苦，乃以桃仁煎，下血类豚肝者六七枚，俱有窍，如鱼目，病已。
朱丹溪治一少年，每夜有梦，朱连诊两日，观其动止，头不仰举，但俯视不正，必阴邪相留，叩之不言其状。询其
仆，乃言至庙见侍女，以手抚摩久之，不三日而寝疾。朱令法师入庙，毁其像，小腹中泥土皆湿，其疾遂瘳。
一女许嫁后，夫经商二年不归，因不食困卧如痴，无他病，多向里卧。朱诊之，肝脉弦出寸口，曰∶此思想气结
也。药难独治，得喜可解。不然令其怒，脾至思过，思则脾气结而不食，怒属肝木，木能克土，怒则气升发而冲开脾气
矣。令激之大怒而哭，至三时许，令慰解之，与药一服，即索酒食。朱曰∶思气虽解，必得喜则庶不再结，乃诈以夫有
书，旦夕且归，后三月，夫果归而愈。
一妇患心中如火一烧，便入小肠急去小便，大便随时亦出，如是者三年。求治，脉滑数，此相火送入小肠经。朱以
四物汤加炒黄柏、小茴香、木香，四帖而安。
一妇病不知人，稍苏，即号叫数四而复昏。朱诊之，肝脉弦而且滑，曰∶此怒心所为，盖得之怒而强酒也。诘之不
得于夫，每夜必饮满自酌，解其怀。朱治以清痰降火之剂，而加香附，以散肝经之郁乃愈。
一妇因久积忧患后，心痛食减羸瘦，渴不能饮，心与头更换而痛，不寐，大溲燥结。与四物汤，加陈皮、甘草，百
余帖不效。朱曰∶此肺久为火所郁，气不得行，血亦蓄塞，遂成污浊。气壅则头痛，血不流则心痛，通一病也。治肺当
自愈，遂效东垣青空膏例，以黄芩细切酒浸，透炒赤色为细末，以热白汤调下，头稍汗，十余帖，汗渐通身而愈。因其
膝下无汗，瘦弱脉涩，小溲数，大溲涩，当补血以防后患。以四物汤加陈皮、甘草、桃仁、酒苓服之。
许文懿公，因饮食作痰，成心脾疼，后触冒风雪，腿骨疼痛。医以乌、附等药治十余年，艾灸万计。又冒寒而病加，
胯难开合，脾疼则胯痛止，胯痛则脾疼止，初因中脘有食积痰饮，续冒寒湿，抑遏经络，气血不行，津液不通，痰饮注
入骨节，往来如潮，涌上则为脾疼，降下则为胯痛，须涌泄之。时深秋而以甘遂末一钱，入猪腰子内煨食之，连泄七
行，足便能步。后呕吐大作，不食烦躁，气弱不语。《金匮》云∶病患无寒热，而短气不足，以息者实也，其病多年郁
结，一旦泄之，徒行动其猖狂之势，无他制御之药故也。仍以吐剂达其上焦，次第治及中下二焦，连日用瓜蒂、藜芦、
苦参，俱吐不透，而哕燥愈甚。乃用附子尖三枚和酱水与蜜饮之，方大吐胶痰一大桶，以朴硝、滑石、黄芩、石膏、连
翘等一斤浓煎置井中，极冷冻饮料之，四日服四斤。后腹满，二溲闭，脉歇至于卯酉时，夫卯酉为手足阳明之应，此乃胃与
大肠有积滞未尽，当速泻之。群医惑阻，乃作紫雪，二日服至五两，神思稍安，腹亦减安。后又小溲闭痛，饮以萝卜子
半盂，得吐立通。又小腹满痛，不可扪摸，神思不佳，以大黄、牵牛等分，水丸服至三百丸，下如烂鱼肠二升许，神思
稍安。诊其脉不歇，又大溲迸痛，小腹满闷。又与前丸百粒，腹大绞痛，腰胯重，眼热如火，不言语，泻秽如地沥青条
一尺许，肛门如火，以水沃之，自病半月不食不语，此方啜稀粥，始有生意，数日平安。自呕吐至安日，脉皆平常弦
大，次年行倒仓法痊愈。
一妇春末心脾疼，自言腹满手足寒，两膝间须绵裹火烘，胸畏热喜掀露风凉，脉沉细涩，稍重则绝，轻似弦而
短，渴喜热饮，不食。以草豆蔻丸，加黄连、滑石、神曲为丸，白术为君，陈皮为使，作汤下百丸，服至二斤而愈。
虞恒德治一妇，四月间因多食青梅，得痰因病。日间胸膈中大如刀锥，至晚气胸中痛止，而膝KT 大痛，盖痰饮随
《平人气象论》中说：尺脉缓而涩，称为解㑊。（五注解释说：尺部属于阴分，由腹部和肾脏所主。缓脉表示内有热，涩脉表示血虚，所以出现解㑊的症状。）
解㑊的证候，表现为懈怠疲倦、困顿虚弱，怕冷但不甚严重，发热也不剧烈，厌恶见人，见到人心里就惊恐不安。有的患者发热较多且出汗，全身肢体松散无力，痿弱不能支撑身体，气短不想说话，左右顾盼，伫立不动（伫音能，意为困弱），无法用言语形容其状态，所以称之为解㑊。注夏（夏季倦怠嗜卧）的证候大概与此相似，也属于虚证类。治疗此病用大生麦汤，足以治愈，可加木瓜、薏苡仁。
《史记》记载：赵简子生病，五天不省人事，大夫们都很恐惧。于是召见扁鹊，扁鹊进去诊视病情，出来董安于询问扁鹊，扁鹊说：“血脉正常，有什么奇怪的？从前秦穆公也曾这样，七天后苏醒。”苏醒那天，秦穆公告诉公孙支在子舆说：“我在天帝那里非常快乐，我停留时间久，是因为正好在学习东西。天帝告诉我晋国将发生大乱，五代不安定，之后将会称霸。但我未老而死，霸主的儿子将使国家男女伦常混乱。”公孙支记下并藏在秦国的档案中。后来果然出现了献公之乱、文公称霸，以及襄公在殽之战败秦师后放纵淫欲的事。这是我听说的。现在主公的病与这相同，不出三天必定好转，好转后必有话语。”过了两天半，简子苏醒，对众大夫说：“我在天帝那里非常快乐，与百神在钧天广乐中游赏，九奏万舞，不像夏商周三代的音乐，那声音感动人心。有一只熊可以牵引，天帝命令我射它，我射中了熊，熊死了。有罴来，我又射它，射中罴，罴死了。天帝很高兴。赐给我两个竹箱，都有配对的。我看见我的儿子在天帝身边，天帝嘱咐我一隻翟犬说：‘等你儿子长大了，把它赐给他。’天帝告诉我晋国将世代衰微，七代后灭亡，嬴姓将大败，周人在范魁以西，也将无法占有。”董安于接受这番话，记录下来并藏好。把扁鹊的话告诉简子，简子赐给扁鹊田地四万亩。
夏子益《奇疾方》说：凡人自觉自己的身体变成两个人，并肩躺着，一模一样没有区别，只是不说话。大概人睡觉时魂归于肝，这是由于肝虚邪气侵袭，魂不归舍，病名叫离魂。用人参、龙齿、赤茯苓各一钱，水一盏，煎至半盏，调用水飞辰砂末一钱，睡前温服，一夜一服，三服后，真身气爽，假身即消散。
金少游治疗徐太乙的女儿，十六岁，许配给大家族。但太乙每天贫困窘迫，女儿忧虑不吃不睡，长期卧床眼睛不闭。太乙去郡城卖丝还没回来，女儿躺在床上自言自语说：“如果许配，丝价只有四钱八分，不满五数。”侍者问她怎么知道？回答说：“我正跟随父亲入市呢。”太乙回来，金少游先问丝价，太乙说的数字果然相符。金少游说：“这是离魂病。”用人参、黄连、龙齿等安魂药，痊愈。
王日新《小儿方》说：有小孩患惊风，大叫一声就死去的，名叫老鸦惊。用散麻缠在胁下及手足心，用灯火爆炸。用老鸦蒜苗干、车前子等分为末，水调贴手心，仍用灯心草淬烫手足心，以及肩膊、眉心、鼻心，就醒过来了。
〔沈源按〕老鸦蒜，一名石蒜，又名一枝箭。
《外台秘要》说：刘太丞是毗陵人，邻居朱玉只有一个儿子，三十多岁，忽然猝死，脉搏全无。请太丞治疗，取徐州半夏细末如大豆大小，纳入鼻中很久，身体微暖而苏醒，逐渐无事。有人问太丞：“单方半夏怎么能救活死人？”回答：“这是南岳魏夫人的方子。”
〔沈源按〕这个方子救治五种绝症。一是自缢死，气绝；二是墙壁倒塌压死，气绝；三是溺水，气绝；四是鬼压床死，气绝；五是产妇死，气绝，都能救治。从前葛生曾用此方救人，有人问葛生怎么得到这种神术能救活人命？葛生说：“我因进山采药，遇到白衣人问：‘你不是葛医生吗？我是半夏精，你遇到有五绝病的人，用我救治就能活。只要把我做成细末，让病人干吸入鼻中，就能复活了。’”
《坚夷志》说：成州团练使张子刚，名锐，以医术闻名，居住在郑州刑部尚书慕容彦逢家。慕容彦逢任起居舍人，母亲生病，从郑州召张锐来，到了却已经死了。当时正是六月，准备入棺，张锐想进去查看，彦逢不忍心，猜他想求钱。就说：“路费全部奉还，实在不必进去。”张锐说：“伤寒法中有死后一天一夜复生的，何必吝惜看一眼？”彦逢不得已，请他进去，悲伤哭泣不止。张锐揭开面帛注视，叫来仵作对他说：“你见过夏天死者面色红润的吗？”仵作说：“没有。”张锐说：“那就是汗不出而四肢厥冷。没死。幸好不要急着收敛，快去取药。令用水三升，煮至半升，灌给病人。告诫说：“好好守着，到半夜大泻，就活了。”张锐住在外面馆舍，到半夜时，守病人的人觉得有声勃勃然，遗尿已湿满席子，排出秽恶物斗余。一家大喜，急忙敲门叫张锐。张锐说：“我现在身体疲倦起不来，但也无需起来，明天才可以进药。”天快亮，出门好像要去上厕所，径直驾车回郑州。彦逢到他房间，只留下一帖平胃散而已。他母亲服用，几天后痊愈。因为张锐被彦逢怀疑求钱，所以不告而别，绍兴年间流落入蜀，王柜叔问他：“您的医术，古人所说的十全十美大概是这样吧？”回答说：“还不止，仅能治好七八个罢了。”长子生病，诊脉察色，都是热极。命令煮承气汤想让他喝，将要喝又犹豫，再三如此，好像有人拉我手臂，姑且拿着杯子等待。孩子突然发颤悸，盖上绵被子四五次，才稍微安定，汗出如洗，第二天完全康复，让我的药入口就会死，怎么能说是造妙。世上的庸医，学方书连万一都没学到，自以为是，唉，可悲啊。
《疮疡经验》说：一位老妇喉间及心中咬痛，吃东西就停止，心里想吃香燥之物。偶然夏天猫绕脚叫，这妇人素性爱猫，取鹿肉脯嚼食，喉中忽然有物出来，立即取出掉在地上，头足都有，长约五寸，原来是饥虫。
许智藏是梁国人。秦王俊有病，皇上紧急召见他。俊夜里梦见亡妃崔氏哭着说：“本来相迎，听说许智藏将至，一定会折磨我，怎么办？”第二天夜里俊又梦见崔氏说：“外家得到许先生了，应当进入灵府躲避。”等到许智藏到，为俊诊脉说：“病已入心，即将发作痫病，不可救。”果然如所言，俊几天后死了。
齐州有人患狂毒唱歌说：“五灵华盖晓玲珑，天府由城汝府中，惆怅此情言不尽，一丸采菔火吾宫。”又唱道：“脚阳春，人间二月雨和尘，阳春踏尽秋风起，肠断人间白发人。”后来遇一道士作法治疗，说：“梦中见一红裳女子，引入宫殿，都装饰红紫，小姑令歌。”道士说：“此症犯大麦毒，女则心神，小姑脾神也。”据医经萝卜治麦毒，所以说“火吾宫”，即以药并萝卜吃就好了。
陈斗岩治疗一妇人，患厥逆。脉伏一日夜不苏醒，药不能进，陈看后说：“可以救活。”针刺手足阳明经，气稍回，灸百会穴才醒。起初大哭，随后说：“我被几个人各执凶器，追逐潜入柜中，听见小儿啼哭，百计不能出。又听见击柜者，缝隙看见微明，一会儿觉得火烧柜盖，于是跳出。那击柜者是针，烧柜盖的是灸。”
韩光武寓居洋洲得异疾。与神物相遇，很不省人事，神气恍惚，有时吃有时不吃，国医陈易简教服苏合香丸，即愈。因为苏合香丸能辟邪的缘故。
潘温叟治疗贵江令王齐，夜里梦与妇人讴歌饮酒，白天不能吃饭，如此三年。温叟治疗，病渐平，则妇人脸色越沮丧，喝酒越懈怠，而讴歌不快乐，久了就无所见。温叟说：“病虽衰，但未愈，像梦见男子青巾白衣者才好，后果然梦到此，能吃饭。”
〔沈源按〕此症属于脾，脾为坤土，坤乃阴象。因胃阳弱而坤阴用事，所以每梦见妇人。歌者，《内经》所说：脾主歌是也。至于所梦为何是酒？因为胃阳弱而不思食，酒乃虚而不实之物，且又是五谷所作，乃脾之所好，所以梦中饮此也。温叟所治，必用补中益气汤之类，使胃阳渐动，而坤阴之疾自退。即《易经》所谓坤至柔而动也刚，至柔得刚，而所梦已无，自然能食，但仍不思食为什么？因为坤土之气始复，犹冬至一阳内复之时，而气之根原未旺，所谓母虚子亦虚也。肺为脾之子，而气之原发于肺，故肺主气，脾主营运，因肺未旺而肝木未平，脾仍失健运之职，所以病虽衰，但未愈。乃初因病甚于坤，故但梦妇人，至坤阴之梦已退，而肺肝所患未除，故二脏之气未和，所以又当梦见青巾白衣男子。青巾，肝所属也，盖肝属木，其色青，故梦见青色之物。肺属金，其色白，故所梦白人。然而必须梦也无，方得病痊而食也。
有人问五脏有病，为何每见于梦？我说：“人当睡眠时，神归肝肾之所。如一脏有病，则一脏之气不和，不和则神不安，不安则多梦。如肝肾有病，即梦见肝肾所属之物，即如前症；脾病，则梦脾脏所属；肺肝病，则梦肺肝所属。然而梦妇人而又讴歌饮酒，梦男子而乃青巾白衣。青巾，乃肝脏所属之物，而以冠白人之首，其中的奇特，皆脏气所为，盖气之变化，诚难测之。”
又问：“如梦亲戚长幼及所故之人，所属何脏？”我说：“神自病耳。因用神又过，神不能静，故有是梦耳。”
罗谦甫治疗副使许可道，脉来乍大乍小，乍长乍短，这是气血不匀，邪伤正气。许说：“路至邯郸，夜梦一妇人，穿青衣，因用拳打下，却打自己胁。遂一点痛，往来不止，兼寒热不能食。”罗说：“此名鬼击，可服八毒赤丸。”遂给药三粒，临卧服，明晨下清水二斗而愈。又陈青玉子，因昼卧水仙庙中，梦得一饼食之，心怀忧虑，随即痞满，饮食减少，约一年余，渐瘦弱，腹胀如蛊，屡医不效。罗诊之，问其病始末，又不是外感风寒，内伤生冷，因思李子豫八毒丸，颇有相当，遂与五七丸服之。下清黄之涎斗余，渐渐气调，而以别药理之，数月良愈。
有人问这两个症状的梦，属何脏病？我说：“这是内感不正之气，因心气不宁，故感而成梦，盖邪气入内，正气必伤，致病患多端，非辟邪不愈，八毒赤丸，因辟邪故也。凡梦如是者，脉必乍大乍小，乍有乍无也。”
吕沧洲治疗一未婚女子，病月经不来，诸医疗治，都不恰当，看其腹大如怀孕，求其色脉，颇奇怪，说：“你的病非有异梦，即鬼灵所凭耳。”女不答，快步进入卧内，密语侍妪说：“我去夏过凉庙廊下，薄暮遇木神心动。是夕梦一男子如暮间所见者，即我寝亲狎，由此感病，我惭愧不敢报，医言是也。”妪以告吕，吕说：“你面色乍赤乍白者愧也，乍大乍小者祟也。病与色脉相符，虽剧无苦，乃以桃仁煎，下血类豚肝者六七枚，俱有窍，如鱼目，病已。”
朱丹溪治疗一少年，每夜有梦，朱连诊两日，观其动止，头不仰举，但俯视不正，必阴邪相留，叩之不言其状。询其仆，乃言至庙见侍女，以手抚摩久之，不三日而寝疾。朱令法师入庙，毁其像，小腹中泥土皆湿，其疾遂瘳。
一女许嫁后，夫经商二年不归，因不食困卧如痴，无他病，多向里卧。朱诊之，肝脉弦出寸口，说：“此思想气结也。药难独治，得喜可解。不然令其怒，脾至思过，思则脾气结而不食，怒属肝木，木能克土，怒则气升发而冲开脾气矣。”令激之大怒而哭，至三时许，令慰解之，与药一服，即索酒食。朱说：“思气虽解，必得喜则庶不再结，乃诈以夫有书，旦夕且归，后三月，夫果归而愈。”
一妇患心中如火一烧，便入小肠急去小便，大便随时亦出，如是者三年。求治，脉滑数，此相火送入小肠经。朱以四物汤加炒黄柏、小茴香、木香，四帖而安。
一妇病不知人，稍苏，即号叫数四而复昏。朱诊之，肝脉弦而且滑，说：“此怒心所为，盖得之怒而强酒也。”诘之不得于夫，每夜必饮满自酌，解其怀。朱治以清痰降火之剂，而加香附，以散肝经之郁乃愈。
一妇因久积忧患后，心痛食减羸瘦，渴不能饮，心与头更换而痛，不寐，大溲燥结。与四物汤，加陈皮、甘草，百余帖不效。朱说：“此肺久为火所郁，气不得行，血亦蓄塞，遂成污浊。气壅则头痛，血不流则心痛，通一病也。治肺当自愈，遂效东垣青空膏例，以黄芩细切酒浸，透炒赤色为细末，以热白汤调下，头稍汗，十余帖，汗渐通身而愈。因其膝下无汗，瘦弱脉涩，小溲数，大溲涩，当补血以防后患。以四物汤加陈皮、甘草、桃仁、酒苓服之。”
许文懿公，因饮食作痰，成心脾疼，后触冒风雪，腿骨疼痛。医以乌、附等药治十余年，艾灸万计。又冒寒而病加，胯难开合，脾疼则胯痛止，胯痛则脾疼止，初因中脘有食积痰饮，续冒寒湿，抑遏经络，气血不行，津液不通，痰饮注入骨节，往来如潮，涌上则为脾疼，降下则为胯痛，须涌泄之。时深秋而以甘遂末一钱，入猪腰子内煨食之，连泄七行，足便能步。后呕吐大作，不食烦躁，气弱不语。《金匮》说：“病患无寒热，而短气不足息者实也，其病多年郁结，一旦泄之，徒行动其猖狂之势，无他制御之药故也。”仍以吐剂达其上焦，次第治及中下二焦，连日用瓜蒂、藜芦、苦参，俱吐不透，而哕燥愈甚。乃用附子尖三枚和酱水与蜜饮之，方大吐胶痰一大桶，以朴硝、滑石、黄芩、石膏、连翘等一斤浓煎置井中，极冷冻饮料之，四日服四斤。后腹满，二溲闭，脉歇至于卯酉时，夫卯酉为手足阳明之应，此乃胃与大肠有积滞未尽，当速泻之。群医惑阻，乃作紫雪，二日服至五两，神思稍安，腹亦减安。后又小溲闭痛，饮以萝卜子半盂，得吐立通。又小腹满痛，不可扪摸，神思不佳，以大黄、牵牛等分，水丸服至三百丸，下如烂鱼肠二升许，神思稍安。诊其脉不歇，又大溲迸痛，小腹满闷。又与前丸百粒，腹大绞痛，腰胯重，眼热如火，不言语，泻秽如地沥青条一尺许，肛门如火，以水沃之，自病半月不食不语，此方啜稀粥，始有生意，数日平安。自呕吐至安日，脉皆平常弦大，次年行倒仓法痊愈。
一妇春末心脾疼，自言腹满手足寒，两膝间须绵裹火烘，胸畏热喜掀露风凉，脉沉细涩，稍重则绝，轻似弦而短，渴喜热饮，不食。以草豆蔻丸，加黄连、滑石、神曲为丸，白术为君，陈皮为使，作汤下百丸，服至二斤而愈。
虞恒德治疗一妇，四月间因多食青梅，得痰因病。日间胸膈中大如刀锥，至晚气胸中痛止，而膝KT 大痛，盖痰饮随
The *Ping Ren Qi Xiang Lun* (Treatise on the Pulse of a Healthy Person) states: "When the chi pulse is slow and choppy, it is called Jie Jie (exhaustion/looseness)." (The Five Annotations explain: The chi position belongs to the yin aspect, governed by the abdomen and kidneys. A slow pulse indicates internal heat, while a choppy pulse indicates blood deficiency; therefore, Jie Jie occurs.)
The syndrome of Jie Jie manifests as lassitude, fatigue, and weakness. The aversion to cold is not severe, nor is the fever intense. The patient dislikes seeing people and feels palpitations and fear when encountering others. Some patients have more fever and sweating, with limbs and bones feeling loose and weak, unable to support the body. They have shortness of breath and do not wish to speak, looking left and right, standing still (Zhu sounds like 'neng', meaning weary and weak), unable to describe their condition in words, hence it is called Jie Jie. The syndrome of Zhu Xia (summer fatigue/lethargy) is likely similar, also belonging to deficiency patterns. Treatment uses Da Sheng Mai Tang (Great Life Pulse Decoction), which is sufficient to cure it; add Mu Gua (Chaenomeles Fruit) and Yi Yi Ren (Coix Seed).
The *Records of the Grand Historian* (*Shi Ji*) records: Duke Jian of Zhao fell ill and was unconscious for five days, causing the ministers great fear. Bian Que was summoned. After entering to examine the illness, Bian Que came out, and Dong Anyu asked him about it. Bian Que said, "The blood vessels are normal; why be surprised? In the past, Duke Mu of Qin experienced this as well, and woke up after seven days." On the day he woke, Duke Mu told Gongsun Zhi at Zi Yu, "I was very happy in the realm of the Emperor (Heavenly Lord). The reason I stayed long was that I was learning something. The Emperor told me that Jin would fall into great chaos, remaining unstable for five generations, after which it would become a hegemon. However, I will die before growing old. The son of the hegemon will cause men and women in the state to lose their distinction." Gongsun Zhi wrote this down and stored it in the Qin archives. Later, the chaos of Duke Xian, the hegemony of Duke Wen, and Duke Xiang's defeat of the Qin army at Xiao followed by his licentiousness indeed occurred. This is what I heard. Now, the Lord's illness is the same as mine; within three days he will surely recover, and upon recovery, he will speak." Two and a half days later, Duke Jian woke up and told the ministers, "I was very happy in the Emperor's realm, roaming with a hundred spirits in Jun Tian Guang Yue (Grand Heaven and Broad Music). The nine movements and ten thousand dances were unlike the music of the Three Dynasties; its sound moved my heart. There was a bear that could be drawn; the Emperor commanded me to shoot it. I hit the bear, and it died. A bear-like creature (Pi) came, and I shot it again, hitting the Pi, which died. The Emperor was very pleased. He bestowed two baskets on me, each with a pair. I saw my son beside the Emperor. The Emperor entrusted a Di dog to me, saying, 'When your son grows up, bestow it upon him.' The Emperor told me that Jin would decline generation after generation, perishing in seven generations. The Ying clan would suffer great defeat, and the Zhou people would fail to possess Fan Kui to the west." Dong Anyu received these words, recorded them, and hid them. Upon telling Duke Jian what Bian Que had said, Duke Jian bestowed forty thousand mu of land on Bian Que.
Xia Ziyi's *Qi Ji Fang* (Formulas for Strange Diseases) states: When a person feels their body has split into two, lying side by side, identical with no difference, yet neither speaks. Generally, when a person sleeps, the Hun (Ethereal Soul) returns to the Liver. This occurs due to Liver deficiency and evil invasion, where the Hun does not return to its residence. The disease is named Li Hun (Separate Soul). Use Ren Shen (Ginseng Root), Long Chi (Dragon Teeth), and Chi Fu Ling (Red Poria) each one qian. Add one cup of water, decoct to half a cup, mix with one qian of Shui Fei Chen Sha (Cinnabar powder washed in water). Take warm at bedtime, once per night. After three doses, the true body will feel refreshed, and the false body will dissipate.
Jin Shaoyou treated the daughter of Xu Taiyi, aged sixteen, betrothed to a prominent family. However, Taiyi was daily impoverished. The daughter, worried, did not eat or sleep, lying long with eyes open. Taiyi had gone to the commandery city to sell silk and had not returned. The daughter lay on the bed, speaking to herself, "If betrothed, the silk price is only four qian eight fen, not reaching five." The attendant asked how she knew. She replied, "I am currently following father into the market." When Taiyi returned, Jin Shaoyou first asked about the silk price; Taiyi's stated number matched exactly. Jin Shaoyou said, "This is Li Hun disease." Using Ren Shen (Ginseng Root), Huang Lian (Coptis Rhizome), Long Chi (Dragon Teeth), and other soul-anchoring medicines, she recovered.
Wang Rixin's *Xiao Er Fang* (Pediatric Formulas) states: There is a child suffering from Jing Feng (Wind Agitation) who cries out loudly and then dies, named Lao Ya Jing (Magpie Startle). Wrap San Ma (Hemp Stem) around the hypochondrium and palms/soles, and explode them with a lamp flame. Use dried Lao Ya Suan Miao (Lycoris Leaf Bulb shoots) and Che Qian Zi (Plantago Seed) ground equally into powder, mixed with water and applied to the palm. Also, quench the soles of feet/hands, shoulders, glabella, and nasal tip with a lit rush pith. The patient will wake.
[Shen Yuan notes] Lao Ya Suan is also known as Shi Suan (Rock Amaryllis) or Yi Zhi Jian (One Arrow).
The *Waitai Miyao* (Essential Prescriptions from the Imperial Library) states: Liu Taicheng was from Piling. A neighbor, Zhu Yu, had only one son, over thirty years old, who suddenly died, with no pulse. Taicheng was invited to treat him. He took a large soybean-sized amount of fine powder of Ban Xia (Pinellia Tuber) from Xuzhou, inserted it into the nose. After a long time, the body became slightly warm, and the patient revived, eventually recovering fully. People asked Taicheng, "How can a single herb formula of Ban Xia revive a dead person?" He answered, "This is the formula of Lady Wei of Mount Nan."
[Shen Yuan notes] This formula rescues the Five Extinctions (Wu Jue). One is suicide by hanging, qi extinction; two is death by collapsing walls, qi extinction; three is drowning, qi extinction; four is death by ghost oppression (sleep paralysis), qi extinction; five is death during childbirth, qi extinction. All can be rescued. In the past, Ge Sheng used this formula to save people. Someone asked Ge Sheng how he obtained this divine art to save lives. Ge Sheng said, "While gathering herbs in the mountains, I met a man in white who asked, 'Are you not Doctor Ge? I am the essence of Ban Xia. When you encounter someone with the Five Extinctions, use me to rescue them, and they will live. Just grind me into fine powder and let the patient inhale it dry, and they will revive.'"
The *Jian Yi Zhi* states: Zhang Zigang, Military Commissioner of Chengzhou, named Rui, was famous for his medical skills and resided at the home of Minister of Justice Murong Yanfeng in Zhengzhou. Murong Yanfeng, serving as Attendant Gentleman, had a mother who fell ill. He summoned Rui from Zhengzhou, but by the time he arrived, she had already died. It was June, and preparations for burial were underway. Rui wanted to enter to examine, but Yanfeng, unwilling to let him in and suspecting he sought money, said, "Travel expenses will be fully compensated; truly no need to enter." Rui said, "In the treatment of Shang Han (Cold Damage), there are cases of revival one day and night after death. Why spare one look?" Reluctantly, Yanfeng allowed him in, weeping bitterly. Rui lifted the face cloth and stared, calling the coroner and saying, "Have you ever seen a summer death with a red complexion?" The coroner said, "No." Rui said, "Then it is anoxia without sweating and cold extremities. Not dead. Fortunately, do not hurry to bury. Quickly fetch medicine. Boil three sheng of water until half remains, and pour it into the patient. Guard her well. By midnight, if there is a massive purge, she will live." Rui stayed in an outer guesthouse. At midnight, the watcher felt a vigorous sound, found urine soaking the mat, and expelled over a dou of foul matter. The family rejoiced, knocking urgently to call Rui. Rui said, "My body is too tired to rise now, nor is it necessary. Medicine can be administered tomorrow." As dawn approached, he went out as if to relieve himself and drove straight back to Zhengzhou. Yanfeng visited his room and found only one packet of Ping Wei San (Peaceful Stomach Powder) left. His mother took it and recovered well in a few days. Because Rui suspected Yanfeng of doubting his motives regarding money, he left without explanation. During the Shaoxing era, he drifted into Shu. Wang Guishu asked him, "Is your skill what the ancients called 'perfect ten' (ten cures out of ten)?" He replied, "Not yet, only about seven or eight out of ten." [Rui continued:] My eldest son was ill. Pulse diagnosis and observation indicated extreme heat. I ordered the decoction of Cheng Qi Tang (Descending Qi Decoction) to be drunk. About to drink, I hesitated, repeatedly, as if someone pulled my elbow. I held the cup waiting. The child suddenly trembled and palpitated. Covering him with cotton quilts four or five times, he stabilized slightly, sweating profusely. The next day, he recovered completely. If my medicine had entered his mouth, he would have died. How could it be considered miraculous? Modern mediocre doctors learn prescriptions but know less than one ten-thousandth, thinking themselves correct. Alas, how tragic!
The *Chuang Yang Jing Yan* (Experienced Treatments for Sores and Ulcers) states: An old woman suffered biting pain in her throat and chest, which stopped upon eating. She craved fragrant and dry foods. Once, in summer, a cat circled her feet crying. Since she loved cats, she chewed deer jerky. Suddenly, an object emerged from her throat. She took it out and dropped it on the ground; it had a head and feet, about five cun long. It was a hunger worm.
Xu Zhicang was from the Liang dynasty. Prince Qin Jun was ill, and the Emperor sent urgent summons. Jun dreamed at night that his deceased consort Cui cried, "I intended to welcome you, but hearing Xu Zhicang is coming, he will surely torment me. What shall I do?" The next night, Jun dreamed Cui again, saying, "The outsider has obtained Xu; I must hide in the Ling Fu (Spiritual Mansion)." When Xu Zhicang arrived, he diagnosed Jun's pulse, saying, "The disease has entered the Heart; epilepsy will ensue, and it is incurable." Indeed, as predicted, Jun died after several days.
A person from Qizhou suffered from Kuang Du (Madness Toxin) and sang: "Five Spirits Canopy shines clear at dawn, Tian Fu passes through your mansion. Melancholy, these feelings cannot be fully expressed; One pill of radish burns my palace." He sang again: "Foot Spring Sun, February rain and dust in the human world. After treading through Spring Sun, Autumn winds rise, breaking the hearts of white-haired people in the world." Later, a Daoist priest treated him with magic methods, saying, "In the dream, I saw a woman in red robes leading me into a palace, decorated in red and purple, where Little Sister commanded singing." The Daoist said, "This syndrome violates Da Mai (Large Wheat) toxin. For women, it affects the Heart Spirit; for Little Sister, the Spleen Spirit." According to medical classics, radish treats Mai toxin, hence "burn my palace." Eating medicine along with radish cured him.
Chen Douyan treated a woman with Jue Ni (Reversal Cold). Her pulse was hidden (Fu) for a day and night without regaining consciousness; medicine could not be administered. Chen observed and said, "She can be saved." Needling the Hand and Foot Yangming meridians, the qi returned slightly. Moxibustion at Bai Hui (GV20) caused her to wake. Initially, she wept bitterly, then said, "Several people chased me with weapons into a cabinet. I heard a child crying but could not escape by any means. Then I heard someone striking the cabinet. Through a gap, I saw faint light. Suddenly, fire burned the lid, so I leaped out." The one striking the cabinet was the needle; the one burning the lid was the moxa.
Han Guangwu, residing in Yangzhou, contracted a strange disease. Encountering a divine entity, he lost consciousness, his spirit confused, eating intermittently. Chen Yijian, a national physician, instructed him to take Su He Xiang Wan (Styrax Pill), and he recovered. This is because Su He Xiang Wan can dispel evil influences.
Pan Wensou treated Wang Qi, Magistrate of Guijiang. Wang dreamed of singing and drinking with a woman at night, unable to eat during the day, for three years. Wensou treated him. As the illness subsided, the woman in the dream looked increasingly depressed, drank less leisurely, and sang unhappily. Eventually, she disappeared. Wensou said, "Though the illness has weakened, it is not cured. Only when dreaming of a man in a green turban and white clothes will he recover." Later, he indeed dreamed this and could eat.
[Shen Yuan notes] This syndrome belongs to the Spleen. The Spleen is Kun Earth, and Kun represents Yin imagery. Because Stomach Yang is weak and Kun Yin dominates, one often dreams of women. Singing relates to the *Nei Jing* statement: "The Spleen governs singing." Why specifically wine? Because Stomach Yang is weak and there is no desire to eat. Wine is empty and insubstantial, made from grains, and is what the Spleen likes, hence the dream of drinking it. Wensou's treatment likely involved Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) to gradually move Stomach Yang, causing the Kun Yin pathology to recede. As the *I Ching* says, Kun is extremely soft yet moves with strength; obtaining strength, the dreams cease, and appetite returns. But why still no desire to eat? Because Kun Earth qi begins to recover, akin to the moment of one Yang returning internally at Winter Solstice, but the root of qi is not yet vigorous. This is "Mother deficiency leads to Son deficiency." The Lung is the Son of the Spleen, and the origin of qi arises from the Lung. Thus, the Lung governs Qi, and the Spleen governs Nutritive circulation. Because the Lung is not yet vigorous and Liver Wood is not balanced, the Spleen loses its transport function. Hence, though the illness wanes, it is not cured. Initially, the illness was severe in Kun, so only women were dreamed. Once the Kun Yin dreams receded, but Lung and Liver pathologies remained, the Qi of these two organs was not harmonized, hence dreaming of a man in a green turban and white clothes. Green turbans belong to the Liver; Liver belongs to Wood, color green, hence dreaming of green objects. Lung belongs to Metal, color white, hence dreaming of white people. Only when these dreams cease can the disease be cured and eating resume.
Someone asked, "Why do diseases of the five zang organs appear in dreams?" I said, "When a person sleeps, the Shen (Spirit) returns to the Liver and Kidney. If one zang is diseased, its qi is unharmonious. Unharmonious qi makes the Shen uneasy; unease causes frequent dreaming. If Liver/Kidney are diseased, one dreams of Liver/Kidney related things, as in previous cases; Spleen disease dreams of Spleen-related things; Lung/Liver disease dreams of Lung/Liver related things. However, dreaming of women while singing/drinking, or men in green turbans/white clothes. Green turbans belong to the Liver, worn on the head of a white person. These peculiarities are all caused by Zang Qi changes. The transformation of Qi is truly unfathomable."
Asked again, "Regarding dreams of relatives, elders, juniors, or deceased persons, which zang do they belong to?" I said, "It is the Shen itself that is diseased. Overuse of the Shen prevents it from resting, thus causing such dreams."
Luo Qianfu treated Vice Commissioner Xu Kedao. The pulse varied suddenly large and small, long and short. This indicates uneven Qi and Blood, with evil injuring righteous Qi. Xu said, "On the road to Handan, I dreamed of a woman in blue clothes. I punched her, but struck my own hypochondrium. A sharp pain ensued, alternating endlessly, accompanied by chills, fever, and inability to eat." Luo said, "This is named Gui Ji (Ghost Strike). Take Ba Du Chi Wan (Eight Poisons Red Pill)." He gave three pills, taken at bedtime. The next morning, after passing two dou of clear water, he recovered.
Also, Chen Qingyu's son slept in the Shui Xian Temple during the day, dreamed of receiving a cake, ate it, and felt worried. Soon, he developed fullness and stagnation, reduced appetite, and over a year grew thin with a distended abdomen like Gu (parasite swelling). Multiple physicians failed. Luo diagnosed him, asked for the history, ruling out external wind-cold or internal raw/cold injury. Recalling Li Ziyu's Ba Du Wan, which seemed appropriate, he gave five to seven pills. The patient passed over a dou of clear yellow phlegm. Gradually, his qi regulated, and other medicines resolved the issue, curing him in months.
Asked about the zang affiliation of these dream symptoms, I said, "This is internal infection by incorrect Qi. Because Heart Qi is unsettled, it induces dreams. Evil entering internally injures righteous Qi, causing diverse symptoms. Without dispelling evil, it will not heal. Ba Du Chi Wan works by dispelling evil. For such dreams, the pulse must vary suddenly large/small, present/absent."
Lu Cangzhou treated an unmarried girl with amenorrhea. Various physicians failed to treat appropriately. Her abdomen was large as if pregnant. Observing her complexion and pulse, Lu found it strange, saying, "Your illness stems either from a strange dream or possession by a spirit." The girl did not answer, hurried to her bedroom, and whispered to her maid, "Last summer, passing under the cool temple corridor, at dusk I encountered a Wood God and my heart moved. That night I dreamed of a man like the one I saw at dusk, who intimately embraced me in sleep. Thus I became ill. I am ashamed to report this. The doctor is correct." The maid told Lu. Lu said, "Your complexion turning red and white indicates shame; the pulse varying large and small indicates spiritual influence. Illness matches complexion and pulse. Though severe, there is no harm." He used Tao Ren Jian (Peach Kernel Decoction). The patient passed six or seven pieces of blood resembling pig liver, each with pores like fish eyes. The illness ended.
Zhu Danxi treated a youth who dreamed every night. Zhu diagnosed for two days, observing his movements. The youth did not lift his head but looked down crookedly, indicating lingering Yin evil. Questioning revealed nothing. Asking the servant, he learned the youth had visited a temple, touched a maiden statue for a long time, and fell ill within three days. Zhu ordered a mage to enter the temple, destroy the statue. The mud in the lower abdomen was wet, and the illness healed.
A girl, after being betrothed, waited two years for her husband who was trading abroad. She stopped eating, lay listless like a fool, with no other illness, mostly lying facing inward. Zhu diagnosed a string-like Liver pulse extending beyond the Cun position, saying, "This is Qi knotting from excessive thought. Medicine alone is hard to treat; joy can resolve it. Otherwise, induce anger. The Spleen suffers from excessive thought; thought knots Spleen Qi, causing anorexia. Anger belongs to Liver Wood; Wood controls Earth. Anger causes Qi to rise and break the Spleen knot." He provoked her to great anger and crying for three hours, then comforted her. One dose of medicine made her ask for food and wine. Zhu said, "Although the thought-Qi is resolved, joy must be obtained to prevent recurrence." He falsely claimed her husband had written and would return soon. Three months later, the husband returned, and she recovered.
A woman suffered a burning sensation in the heart, rushing to urinate, with bowel movements occurring simultaneously, for three years. Seeking treatment, her pulse was slippery and rapid. This indicated Minister Fire transmitting to the Small Intestine Meridian. Zhu used Si Wu Tang (Four Substances Decoction) plus fried Huang Bo (Phellodendron Bark), Xiao Hui Xiang (Fennel), and Mu Xiang (Aucklandia Root). Four doses brought relief.
A woman fell unconscious. Upon slight recovery, she screamed several times before fainting again. Zhu diagnosed a stringy and slippery Liver pulse, saying, "This is caused by anger and forced drinking." Pressed, she admitted her husband mistreated her, so she drank heavily every night to soothe her mind. Zhu treated with phlegm-clearing and fire-descending agents, adding Xiang Fu (Cyperus Rhizome) to disperse Liver Qi stagnation. She recovered.
A woman, after long-term worry and grief, suffered heart pain, reduced appetite, emaciation, thirst without desire to drink, alternating pain between heart and head, insomnia, and dry constipation. Given Si Wu Tang (Four Substances Decoction) with Chen Pi (Tangerine Peel) and Gan Cao (Licorice Root) for over a hundred doses, there was no effect. Zhu said, "The Lung has long been constrained by Fire. Qi cannot move, Blood accumulates and blocks, becoming turbid. Qi congestion causes headache; Blood stasis causes heart pain. It is one disease. Treating the Lung should cure it." Following Dong Yuan's Qing Kong Gao example, he finely cut Huang Qin (Scutellaria Root), soaked in wine, stir-fried until red, ground to powder, and taken with hot water. Slight sweating on the head occurred. After ten-plus doses, sweat spread over the body, and she recovered. Because there was no sweat below the knees, she was thin with a choppy pulse, frequent small urination, and difficult large urination, Zhu prescribed blood tonification to prevent future issues: Si Wu Tang (Four Substances Decoction) with Chen Pi (Tangerine Peel), Gan Cao (Licorice Root), Tao Ren (Peach Kernel), and Jiu Ling (Alcohol-processed Poria).
Viscount Xu Wenyi produced phlegm from diet, resulting in Heart-Spleen pain. Later, exposed to wind and snow, he suffered leg bone pain. Physicians treated with Wu Tou (Aconite Root) and Fu Zi (Prepared Aconite Child) for over ten years, using thousands of moxibustion sessions. Exposure to cold worsened the illness. Hip joints became stiff. Spleen pain stopped hip pain, and hip pain stopped spleen pain. Initially, there was food retention and phlegm-fluid in the Zhong Wan (CV12). Subsequent exposure to cold-damp obstructed collaterals, stopping Qi and Blood flow and fluid passage. Phlegm-fluid injected into bone joints, surging like tides. Rising caused Spleen pain; descending caused hip pain. Purging was required. In late autumn, one qian of Gan Sui (Kansui Root) powder was baked inside a pig kidney and eaten. Seven purgative actions followed, allowing walking. Later, severe vomiting, anorexia, irritability, weak Qi, and muteness occurred. The *Jin Gui* states: "Patients without chills/fever but with shortness of breath and insufficient respiration have excess pathology. This disease has been stagnant for years; sudden purging only activates its rampant momentum without controlling drugs." Vomiting agents were used to reach the Upper Jiao, sequentially treating Middle and Lower Jiao. Days of Gua Di (Melon Peduncle), Li Lu (Veratrum Root), and Ku Shen (Sophora Root) failed to induce vomiting, worsening hiccups and dryness. Three points of Fu Zi Jian (Aconite Tip) were mixed with sauce water and honey, inducing massive vomiting of gelatinous phlegm. One jin of Po Xiao (Mirabilite), Hua Shi (Talcum), Huang Qin (Scutellaria Root), Shi Gao (Gypsum), and Lian Qiao (Forsythia Fruit) was decocted strongly, cooled in a well, and drunk ice-cold. Four jin consumed in four days. Later, abdominal fullness, closure of urination/defecation, and intermittent pulse appeared at Mao/You hours. Mao/You correspond to Hand/Foot Yangming; this indicated residual accumulation in Stomach and Large Intestine requiring rapid purging. Confused physicians blocked this. Zi Xue (Purple Snow) was prepared; five liang consumed in two days. Mental clarity improved slightly, abdominal ease increased. Later, painful urinary retention. Half a bowl of Luo Bo Zi (Radish Seed) induced vomiting and immediate relief. Abdominal fullness/pain, unpalpable, poor mental state. Equal parts Da Huang (Rhubarb Root) and Qian Niu (Pharbitis Seed) formed water pills; 300 pills taken. Passed two sheng of rotting fish-intestine-like stool. Mental clarity improved slightly. Pulse no longer intermittent, but severe large urination pain and abdominal fullness. Another 100 pills given. Severe abdominal colic, heavy waist/hips, fiery eyes, muteness. Passed one chi of black tar-like feces. Anus felt like fire, cooled with water. Having fasted and been mute for half a month, sipping thin gruel restored vitality. Peaceful for several days. From vomiting to peace, pulses were normal stringy-large. The next year, Dao Cang Fa (Stomach Purging Method) cured him completely.
A woman suffered Heart-Spleen pain in late spring, claiming abdominal fullness, cold hands/feet, needing wool-wrapped fire heating between knees, chest fearing heat preferring wind/coolness. Pulse was deep, fine, choppy; heavy pressure abolished it; light pressure felt stringy and short. Thirsty for hot drinks, anorexic. Cao Dou Kou Wan (Cardamom Pill) plus Huang Lian (Coptis Rhizome), Hua Shi (Talcum), Shen Qu (Medicated Leaven) formed pills. Bai Zhu (Atractylodes Macrocephala Rhizome) as Sovereign, Chen Pi (Tangerine Peel) as Envoy. Taken with decoction, 100 pills at a time. Consumed two jin to recover.
Yu Hengde treated a woman in April who ate too many green plums, contracting phlegm-disease. Daytime chest/diaphragm felt like knife/cone piercing. Evening chest Qi pain ceased, but knee KT (likely typo for specific location or term, context implies joint pain) severely hurt. Phlegm-fluid followed...