夏子益《奇疾方》云∶有妇人产后瘀血上攻,忽然两乳伸出,细小如肠,垂过小肚,痛不可忍,危亡须臾,名曰乳
悬。将川芎、当归各一斤,以半斤锉碎,于瓦罐内,用水浓煎,不拘多少频服。仍于一斤半锉块于病患桌下烧烟,令将
口鼻吸烟。用尽未愈,再作一料,仍以前法,再用蓖麻子一粒,贴其顶心,则乳头自复。
《奇病方》云∶有男子乳头忽然壅肿,如妇人乳状,扪之痛绝,经年药医不效,此乃阳明之毒瓦斯,结于乳房之间,
非疮毒乃痰毒也。若疮毒经久,必然外溃,经年壅肿如故,非痰毒而何?法当消其痰,通其瘀,用化圣通滞汤煎服自
愈。此方妙有银花、蒲公英,直入阳明之经;又得清痰通滞之味为佐,附子引经单刀直入,无坚不破,又何患痰结之不
消?或疑附子大热,诸痛皆属于火,似不可用。殊不知非附子不能入于至坚之内,况又有栀子、芍药之酸寒,虽大热
亦解其裂性矣。
又云∶有人心窝外忽然生疮如碗大,变成数口,能作人声叫喊,此乃忧郁不舒而祟凭之也。用生甘草三两,人参五
钱,白矾、茯神、银花各三钱,水煎服,即不鸣,再用二剂即愈。盖甘草消毒;人参、茯神以安其心;白矾以止其鸣;
银花以解其火热,故易以奏效也。
《怪症方》云∶有人忽胸背皆驼,颈项渐短。问其故,食旱鳖所致。用紫苏煎汤洗患处,次用龟尿搽之愈。
〔源按〕此症即古云龟胸龟背是也。古方皆作肺治,谓受邪喘久所致。又乳母多食辛热,贻毒于见,感之于肺,因
肺胀大,故胸膈高满如龟状也。盖胸膈之上,乃肺之分野,又肺主皮毛,若背受风邪,客于脊骨,故背高而偻伛。又或
儿坐又早,亦能致之,然多成痼疾。考之古法,惟有百合丹、枳壳防风丸,乃灸肺 、膈 二穴而已,别无治法。若前
症因食旱鳖患此,乃毒感于肺,故肺胀大而胸背皆驼也。紫苏解一切鱼毒,而更能疏通肺气,龟尿软骨,然亦宜速治,
久则骨节坚硬,则不可复矣。
《宣室志》云∶天宝中,有陇西李生,自白衣调选桂州参军。既至任,以热病旬余,觉乳痛不可忍,及视之,高若
痈肿之状,即召医验其脉。医者云∶脏腑无他苦,臆中有物,以喙攻其乳,乳痛而痈不可为也,又旬余病甚,一日痈
溃,有雉自左乳中突而飞去,不知所止,是夕李生卒。
朱丹溪治东阳王仲延,咽膈间常觉有物闷闷然,每食必屈曲自膈而下,且梗涩作微痛,食亦减,他无所苦。朱视其
脉,右甚涩而关甚沉,左却和。朱曰∶污血在胃脘之口,气因郁而为痰,此必食所致,明以告我,彼不自觉。朱又曰∶
汝去冬好食何物为多?曰∶我每日早必单饮点剁酒两三杯,逼寒气。为制一方,用韭汁半盏令细呷之,一日三服,尽韭
二斤而安。
一妇因哭子后,胸患痞有块如杯。食减,面淡黄黪黑,惫甚,脉弦细虚涩,日晡寒热,知其势危,补泻兼用。以补
中益气汤随时令加减与东垣痞气丸相间服之,食前用汤,食后用丸,一月寒热退,食稍进,仍服前药。二月后,忽夜发
寒热,至天明始退,其块如失,至晚手足下半节皆肿,遂停数日。忽夜手足肿如失,天明块复有,而小一晕。以二陈
汤,加白术、桔梗、枳实,服半月而安。
张子和治一妇,为室女时,心下有冷积如覆盆,按之如水声,以热手熨之如冰。于归十五年不孕,其夫欲黜之。张
曰∶毋庸,若用吾药,病可除,孕可得。从之。诊其脉沉而迟,尺脉洪大有力,非无子之候也。乃先以三圣散,吐痰一
斗,心下平软,次服白术调中汤,五苓散,后以四物和之。不再月,气血合度,数月而孕。
程文彬治一孕妇,怀七月,胸膈饱闷气喘,忽吐一物。如小肠寸许,举家惊疑其胎烂。程至诊得寸口脉洪滑,知其
气血少,胎气逆上,中焦素有湿热,湿生痰,知所吐之物乃痰结聚,病名子悬。以紫苏饮,加芩连贝母十剂获愈。
永徽中有僧惟则,病噎不能食,嘱诸弟子曰∶吾死后,便可开吾胸喉,视有何物。自经而卒,弟子侬言开之,中得
一物,形似鱼有两头,遍体皆肉鳞。乃置碗中,跳跃不止,戏投诸味,皆随化尽。时适有一僧,以靛置碗中,此虫随绕
碗而去,须臾化水。此乃虫瘕非噎比,因此后人多以靛治噎,误矣。
昔有人患 瘕死,遗言令开腹视之,得块干硬如石,有五色纹理。人谓异物,窃去削刀柄,后因以刀刈三棱,柄化
为水,乃知此药可疗 瘕也。
时康祖大夫,患心漏十余年,当胸数窍,血液长流,医莫能治。或云窍多则愈损,闭则虑穴他岐,当存其一二,犹
为上策,坐此形神困悴。又苦腰痛,行则伛偻,不饮酒;虽鸡鱼蟹蛤之属,皆不入口。温州郡守韩子温,见而怜之,为
检《圣惠方》载腰痛一门,冷热二症示之,使自择。康祖曰∶某年老久羸,安敢以为热,始作寒症治疗。取一方用鹿
茸者,服之逾旬痛减,更觉气宇和畅,月余腰屈复伸,无复叫痛,心漏亦愈。以告医者,皆莫能测其所以。后九年,康
祖自镇江通判满秩造朝访子温,则精力倍昔,饮啖无忌,漏愈之后,日胜一日。子温书吏吴弼,亦若是疾照方服之,浃
旬而愈。其方∶鹿茸去毛酥炙微黄,附子炮去皮脐,皆二两,盐花三分为末,枣肉丸三十丸,每日一丸,空心酒下。
天圣中,工部尚书忠肃公家有媪,病漏十余年。一日有医过,视之曰∶此可治也。即取活鳝鱼一条,削竹钉五七
枚,乃掷鳝于地,屈曲围盘以竹钉贯之,覆疮良久取视,有白虫数十如针,将鳝即置杯中,蠕动如线,后覆之又得十余
枚,如是五六次。医者曰虫尚未尽,然皆小虫,请以常用药敷之。时用槟榔、黄连二味,即为散敷之。明日乃以干艾作
汤,投白矾二三钱,先洗疮口,然后敷药。盖人血气冷必假艾力以佐阳,而艾亦能杀虫也。如是者再,即生肌,不逾月
愈。医曰∶疮一月不消,则有虫,虫能蠕动,气血亦随之,故疮不可遽合,合则结毒,实虫所为。
一人别处无汗,独心孔一片有汗,思虑多则汗亦多,病在用心,名曰心汗。宜养心血,以艾煎汤调茯神末治之。
化圣通治汤
银花 蒲公英(各一两) 花粉 白芥子(各五钱) 附子 木通(各一钱) 柴胡(二钱) 白芍 栀子 茯苓
(各三钱)
水煎。
百合丹
大黄(煨) 天冬 杏仁 百合 桑皮 甜葶苈 软石膏
上为末,炼蜜为丸,梧子大。每服五丸白汤下,临睡服。
枳壳防风丸
枳壳 防风 独活 前胡 麻黄 当归 大黄(煨,各一钱)
面糊丸黍米大,米饮下。
东垣痞气丸
黄连(八钱) 浓朴(五钱) 吴茱萸(三钱) 白术(土炒) 黄芩(二钱) 茵陈(酒炒) 干姜(炮) 砂
仁人参 茯苓 泽泻(各一钱) 川乌(炮) 川椒(各五钱) 肉桂 巴豆霜(各四钱)
蜜丸灯草汤下。
三圣散
甜瓜蒂 防风 藜芦
为末,熟水调下。
白术调中汤
白术 橘皮 茯苓 泽泻(各一钱) 砂仁 官桂 藿香 炮姜(各五分) 甘草(一两)
白汤入蜜少许,调服二钱。
五苓散
猪苓 茯苓 桂 泽泻 白术
为末,每服三钱。
紫苏散
苏叶(一钱) 当归(七分) 川芎 芍药 人参 陈皮 大腹皮(各五分) 甘草(二分)
姜枣煎。
补中益气汤(见项门)
二陈汤(见目门)
四物汤(见头门)
夏子益在《奇疾方》中记载:有一位妇女产后瘀血上冲,突然两乳头伸出,细小如肠管,垂至小腹以下,疼痛难忍,生命危在旦夕,这种病称为“乳悬”。治疗方法是用川芎、当归各一斤,将其中半斤切碎,放入瓦罐内,加水浓煎,不限数量,频繁服用。同时,将剩下的一斤半切成块状,在病人桌下燃烧产生烟雾,让病人吸入烟雾。如果药用完仍未痊愈,再制作一剂药,仍用上述方法,并在头顶心贴上一粒蓖麻子,乳头便会自然回复原位。
《奇病方》记载:有一位男子乳头突然肿胀,形状像妇女的乳房,触摸时疼痛剧烈,经过多年药物治疗无效。这是由于阳明经的毒气结聚在乳房之间,不是疮毒而是痰毒。如果是疮毒经久不愈,必然会向外溃烂;如今经过多年依然肿胀如初,这难道不是痰毒吗?治疗法则应当消除痰浊,疏通瘀滞,服用化圣通滞汤即可自愈。此方妙在有金银花、蒲公英,能直入阳明经;又有清化痰浊、疏通滞气的药物作为辅助;附子作为引经药单刀直入,无坚不摧,又何必担心痰结不能消散呢?有人怀疑附子大热,而各种疼痛多属于火证,似乎不可使用。殊不知非附子不能进入至坚硬的病灶内部,况且方中还有栀子、芍药的酸寒之性,虽然附子大热,也能解除其燥烈之性。
又记载:有一人心窝外突然生出疮疡,大小如碗口,变成数个孔洞,能发出人声叫喊,这是因为忧郁不畅导致邪祟依附所致。使用生甘草三两,人参五钱,白矾、茯神、金银花各三钱,水煎后服用,叫声立即停止,再服用两剂即可痊愈。因为甘草能解毒;人参、茯神能安心神;白矾能止住叫声;金银花能解火热,所以容易见效。
《怪症方》记载:有人突然胸背弯曲成驼背状,颈项逐渐变短。询问原因,说是食用旱鳖所致。用紫苏煎汤清洗患处,随后用龟尿涂抹即可治愈。
沈源按语:此症即古书所说的“龟胸”、“龟背”。古方多从肺脏治疗,认为是受邪喘咳日久所致。另外,乳母多食辛辣温热食物,遗留毒气于婴儿,感之于肺,导致肺脏胀大,所以胸膈高满如龟状。胸膈之上,是肺所主的区域,肺又主皮毛,若背部受风邪侵袭,客居于脊骨,所以背部高耸而佝偻。或者婴儿坐得过早,也能导致此症,但多形成顽固性疾病。考证古法,只有百合丹、枳壳防风丸,以及灸肺俞、膈俞二穴而已,没有其他治法。如果前述症状是因为食用旱鳖患此病,那是毒气感伤于肺,导致肺脏胀大而胸背皆驼。紫苏能解各种鱼毒,且更能疏通肺气;龟尿能软化软骨,但也宜速治,时间久了骨节坚硬,就无法恢复了。
《宣室志》记载:天宝年间,陇西李生,由平民身份被选拔为桂州参军。到任后,因热病十多天,感觉乳房疼痛难忍,查看时,高高隆起如同痈肿的样子,随即召来医生诊脉。医生说:脏腑没有其他的痛苦,胸臆中有异物,用喙攻击乳房,导致乳房疼痛且形成痈肿,无法治愈。又过了十多天病情加重,一天早晨痈肿溃破,有一只野鸡从左乳中冲出飞走,不知去向,当晚李生去世。
朱丹溪治疗东阳王仲延,咽膈间常觉得有物闷堵,每次进食必须弯曲身体才能从膈下通过,且梗涩伴有轻微疼痛,食欲减少,其他没有不适。朱丹溪诊察他的脉象,右手脉甚涩且关脉甚沉,左手脉却平和。朱丹溪说:这是污血停留在胃脘入口处,气机因郁结而生痰,这必定是饮食所致,请明确告诉我,你自己可能没察觉。朱丹溪又说:你去年冬天喜欢多吃什么?回答说:我每天早晨必喝两三杯剁碎的酒,以驱赶寒气。于是为他配制一方,用韭菜汁半盏让他细细呷服,一日三次,吃完两斤韭菜后便安好了。
一位妇女因哭丧儿子后,胸部患痞块,如杯子大小。食欲减退,面色淡黄黪黑,极度疲惫,脉象弦细虚涩,傍晚时分发冷发热,知道病情危急,采用补泻兼用的方法。用补中益气汤根据时令加减,与东垣痞气丸交替服用,饭前喝汤,饭后吃丸药,一个月后寒热退去,食欲稍进,继续服用前药。两个月后,忽然夜间发作寒热,直到天明才退去,胸部的痞块仿佛消失,到了晚上手足下半节都肿胀,持续了几天。忽然夜间手足肿胀消失,天明痞块又出现,但小了一圈。用二陈汤,加白术、桔梗、枳实,服用半个月后安定下来。
张子和治疗一位妇女,做姑娘时,心下有冷积如倒扣的盆,按压时有水声,用热手熨烫时感觉如冰一样凉。出嫁十五年不孕,丈夫想休弃她。张子和说:不必,如果你用我的药,病可除去,怀孕可得。妇人听从。诊察她的脉象沉而迟,尺脉洪大有力,并非不能生育的征候。于是先用三圣散,吐出痰液一斗,心下变得平软,接着服用白术调中汤、五苓散,后来用四物汤调和。不到两个月,气血调和,几个月后怀孕。
程文彬治疗一位孕妇,怀孕七个月,胸膈饱闷气喘,忽然吐出一个物体,长约一寸多,像小肠,全家惊恐怀疑胎儿腐烂。程文彬诊得寸口脉洪滑,知道她气血少,胎气逆上,中焦素有湿热,湿生痰,得知所吐之物乃是痰结聚,病名“子悬”。用紫苏饮,加黄芩、黄连、贝母,十剂后痊愈。
永徽年间有个僧人惟则,患噎膈不能进食,嘱咐弟子们说:我死后,可以打开我的胸喉,看看有什么东西。说完自缢而死,弟子们依言打开,中得到一个物体,形状像鱼有两个头,全身都是肉鳞。放在碗中,跳跃不止,戏弄地投入各种味道,都随之融化殆尽。当时恰好有一个僧人,将靛蓝放入碗中,这只虫子随即绕着碗而去,一会儿化成水。这其实是虫瘕而非噎膈,因此后人多用靛蓝治疗噎膈,是错误的。
过去有人患瘕病而死,遗言令开腹查看,得到一块干硬如石头的肿块,有五色纹理。人们认为是异物,偷偷拿走用来削刀柄,后来用刀砍三棱草,刀柄化为水,才知道此药可治疗瘕病。
当时康祖大夫,患心漏症十多年,胸前有多个孔窍,血液长流,医生无法治疗。有人说孔窍多了会越损越厉害,闭合又怕穴位流向其他地方,应当保留一两个,这算是上策,因此形体精神困倦憔悴。又苦于腰痛,行走时弯腰驼背,不饮酒;即使是鸡鱼蟹蛤之类的食物,都不入口。温州郡守韩子温,见到后怜悯他,为他查阅《圣惠方》记载的腰痛一门,展示冷热两种病症让他自己选择。康祖说:我年老久病体弱,怎敢认为是热症,开始按寒症治疗。取一方用鹿茸的,服用超过十天疼痛减轻,更觉得气宇和畅,一个多月后腰屈复伸,不再叫痛,心漏也痊愈了。告诉医生,都不能推测其中的原理。九年后,康祖从镇江通判任满回朝拜访韩子温,则精力倍增,饮食无忌,心漏痊愈之后,一天比一天好。子温的书吏吴弼,也是依照这个方子服药,十天就痊愈了。该方:鹿茸去毛酥炙微黄,附子炮制去皮脐,各二两,盐花三分研末,枣肉做成丸药三十丸,每日一丸,空腹酒送下。
天圣年间,工部尚书忠肃公家中有个老妇,患漏症十多年。有一天有个医生经过,看她后说:这个可以治疗。立即取活鳝鱼一条,削竹钉五七个,然后把鳝鱼扔在地上,弯曲围盘用竹钉贯穿它,覆盖在疮口上很久后取下查看,有几十条白虫如针一般,将鳝鱼放入杯中,蠕动如线,后来又覆盖上去又得到十余条,像这样重复五六次。医生说:虫子还没完尽,但都是小虫,请用常用药敷贴。当时用槟榔、黄连两味药,研为散剂敷贴。第二天用干艾叶煮汤,投入白矾二三钱,先清洗疮口,然后敷药。因为人体气血寒冷必须借助艾叶的力量以助阳气,而且艾叶也能杀虫。像这样重复两次,便生肌愈合,不超过一个月痊愈。医生说:疮口一个月不消退,则有虫,虫能蠕动,气血也随之运行,所以疮口不能急于闭合,闭合则会结毒,实为虫子所为。
另一人别处无汗,唯独心口一片有汗,思虑多则汗也多,病在用心,名为“心汗”。宜养心血,用艾叶煎汤调服茯神末治疗。
化圣通滞汤
银花 蒲公英(各一两) 花粉 白芥子(各五钱) 附子 木通(各一钱) 柴胡(二钱) 白芍 栀子 茯苓(各三钱)
水煎服。
百合丹
大黄(煨) 天冬 杏仁 百合 桑皮 甜葶苈 软石膏
以上研为末,炼蜜为丸,梧桐子大小。每服五丸,白开水送下,临睡前服用。
枳壳防风丸
枳壳 防风 独活 前胡 麻黄 当归 大黄(煨,各一钱)
面糊做成丸药如黍米大小,米饮送下。
东垣痞气丸
黄连(八钱) 浓朴(五钱) 吴茱萸(三钱) 白术(土炒) 黄芩(二钱) 茵陈(酒炒) 干姜(炮) 砂仁 人参 茯苓 泽泻(各一钱) 川乌(炮) 川椒(各五钱) 肉桂 巴豆霜(各四钱)
蜜丸,灯草汤送下。
白术调中汤
白术 橘皮 茯苓 泽泻(各一钱) 砂仁 官桂 藿香 炮姜(各五分) 甘草(一两)
白开水加入少许蜂蜜,调服二钱。
Xia Ziyi recorded in *Qi Ji Fang* (Strange Disease Prescriptions): A woman, postpartum with blood stasis rushing upward, suddenly had both nipples protruding, thin as intestines, hanging below the lower abdomen, unbearable pain, life in imminent danger. This condition is named "Ru Xuan" (Breast Suspension). The treatment uses Chuanxiong Rhizoma (Chuanxiong) and Danggui Radix (Danggui), one jin each. Half a jin is chopped into pieces, decocted strongly in a clay pot with water, taken frequently in unlimited amounts. Meanwhile, the remaining half jin plus one jin (totaling 1.5 jin) is cut into blocks, burned under the patient's table to generate smoke, which the patient inhales through mouth and nose. If not cured after using this dose, prepare another dose and repeat the method. Additionally, apply one seed of Ricinus Communis Fructus (Bimazi) to the vertex (Dinghui GV20 area); the nipples will naturally retract.
*Qi Bing Fang* records: A man's nipples suddenly swelled, resembling a woman's breasts, extremely painful upon touch. After years of medical treatment with no effect, this is due to toxic qi of the Yangming channel knotting between the breasts. It is not a sore toxin but a phlegm toxin. If it were a sore toxin persisting for long, it would inevitably ulcerate externally; since it has swollen for years without change, how can it not be a phlegm toxin? The therapeutic method should eliminate phlegm and unblock stasis. Decocting and taking Huasheng Tongzhi Tang (Miracle Sage Decoction to Unblock Stagnation) will lead to self-cure. This formula is wonderful because Jinyinhua Flos (Jinyinhua) and Pugongying Herba (Pugongying) enter the Yangming channel directly; assisted by ingredients that clear phlegm and unblock stagnation; Fuzii Radix Preparata (Fuzi) acts as a guiding herb, striking straight in, breaking all hardness. Why worry about the failure to dissipate phlegm knots? Some doubt the use of Fuzi, which is greatly hot, while all pains are attributed to fire, seemingly making it unusable. Little do they know that only Fuzi can penetrate the most solid interior. Moreover, with the sour-cool properties of Zhizi Fructus (Zhizi) and Baishao Radix Alba (Baishao), even its great heat is neutralized to prevent cracking/drying effects.
It also records: Someone suddenly developed sores outside the epigastrium, bowl-sized, splitting into several openings, capable of emitting human-like cries/shouts. This is caused by depression and discomfort allowing malevolent influences to possess. Use Sheng Gancao Radix (Sheng Gancao) three liang, Renshen Radix (Renshen) five qian, Bai Fan (Alumen), Fushen Poria Cum Radix (Fushen), and Jinyinhua Flos (Jinyinhua) each three qian. Decoct in water and take. The shouting stops immediately; two more doses bring cure. Gancao detoxifies; Renshen and Fushen calm the mind; Bai Fan stops the noise; Jinyinhua clears heat-fire, hence efficacy is achieved easily.
*Guai Zheng Fang* records: Someone suddenly became hunchbacked in chest and back, neck gradually shortening. Inquiry revealed it was caused by eating land turtles. Wash the affected area with decoction of Perilla Frutescens Folium (Zisu), then apply Testudinis Carapax et Plastrum Urina (Gui Niao/Guineafowl urine or Turtle urine depending on interpretation, here literal translation used) to cure.
[Shen Yuan's Note]: This condition is what ancients called "Gui Xiong" (Turtle Chest) and "Gui Bei" (Turtle Back). Ancient formulas treated it via the Lung, attributing it to prolonged pathogenic invasion and wheezing. Also, wet nurses often consuming pungent-hot foods leave toxins to the infant, affecting the Lung, causing Lung distension, thus high and full chest/diaphragm like a turtle. Above the chest/diaphragm is the domain of the Lung; the Lung governs skin and hair. If wind-pathogens invade the back and lodge in the spinal bones, the back becomes high and stooped. Alternatively, infants sitting too early can cause this, often resulting in chronic disease. Examining ancient methods, only Baihe Dan (Lily Bulb Pill), Zhike Fangfeng Wan (Aurantii Fructus and Saposhnikoviae Root Pill), and moxibustion on Feishu BL13 and Geshu BL17 acupoints exist, with no other treatments. If the aforementioned symptoms are due to eating land turtles, it is toxin affecting the Lung, causing Lung distension and hunchback. Zisu resolves various fish poisons and unblocks Lung qi; Gui Niao softens cartilage. However, rapid treatment is necessary; if delayed, bone joints harden and cannot be restored.
*Xuan Shi Zhi* records: During the Tianbao era, Li Sheng from Longxi, a commoner selected as Assistant Administrator of Guizhou, upon assuming office, suffered from febrile disease for over ten days. He felt unbearable breast pain. Upon inspection, it was elevated like an abscess. He summoned a doctor to check his pulse. The doctor said: The zang-fu organs have no other suffering; there is an object in the chest attacking the breast with a beak, causing pain and abscess formation, incurable. Over ten days later, the condition worsened. One morning the abscess ruptured, and a pheasant burst out from the left breast and flew away, never to be seen again. That evening, Li Sheng died.
Zhu Danxi treated Wang Zhongyan of Dongyang, who constantly felt a stuffy obstruction in the throat and diaphragm. Every meal required bending forward to pass food down from the diaphragm, accompanied by blockage and slight pain, reducing appetite, with no other discomfort. Zhu observed his pulse: right side very choppy (Se) and Guan position very deep (Chen); left side harmonious. Zhu said: Filthy blood resides at the entrance of the stomach cavity; Qi stagnates transforming into Phlegm. This must be caused by diet; tell me clearly, though you may not realize it yourself. Zhu added: What did you eat excessively last winter? He replied: I drank two or three cups of chopped wine every morning to drive away cold qi. Zhu prescribed a formula: half a cup of Jiucui Juice (Leek Juice) to be sipped slowly, three times a day. After consuming two jin of leeks, he recovered.
A woman, after weeping for her son, developed a palpable mass in the chest like a cup. Appetite decreased, complexion pale yellow and dark/black, extreme fatigue. Pulse was wiry, fine, deficient, and choppy. Evening chills and fever indicated critical condition. Treatment combined tonification and purgation. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was modified according to seasons and alternated with Dongyuan Piqi Wan (Dongyuan Mass Pill). Decoction taken before meals, pills after meals. After one month, chills/fever subsided, appetite slightly improved, continuing previous meds. Two months later, sudden night chills/fever until dawn, mass seemed lost. By evening, lower halves of hands and feet swelled, lasting several days. Suddenly night swelling vanished, dawn mass reappeared but smaller. Erchen Tang (Two-Cured Decoction) with Baizhu Rhizoma (Baizhu), Jiegeng Radix (Jiegeng), Zhishi Immature Bitter Orange Fructus (Zhishi) administered for half a month, resulting in stability.
Zihe Zheng treated a woman. As a maiden, she had cold accumulation in the epigastrium like an inverted basin, sounding like water when pressed, feeling icy cold to warm hands. Married fifteen years without pregnancy, husband desired divorce. Zihe said: No need. If you use my medicine, illness removed, pregnancy obtained. She agreed. Pulse deep and slow, Chi position surging and strong—this is not a sign of infertility. First, use Sansheng San (Three Holy Powder) to vomit one dou of phlegm; epigastrium became flat and soft. Then took Baizhu Tiaozhong Tang (Baizhu Regulate Middle Decoction), Wuling San (Five-Ling Powder), followed by Siwu Tang (Four Substances Decoction) to harmonize. Within two months, Qi and Blood harmonized; within several months, pregnancy occurred.
Cheng Wenbin treated a pregnant woman, seven months gestation, chest/diaphragm fullness/stuffiness and asthma. Suddenly vomited an object, inch-long, resembling small intestine. Family panicked, suspecting rotten fetus. Cheng diagnosed Cun Kou pulse surging and slippery. Knowing Qi/Blood deficiency and fetal Qi reversing upward, with pre-existing damp-heat in middle jiao generating phlegm, identified vomited matter as phlegm knot. Disease named "Zi Xuan" (Fetal Suspension). Used Zisu Yin (Perilla Infusion) with Huangqin Cortex (Huangqin), Huanglian Rhizoma (Huanglian), Beimu Bulbus (Beimu). Ten doses resulted in cure.
In Yonghui era, monk Weize suffered from dysphagia unable to eat. Instructed disciples: After my death, open my chest/throat to see what is inside. Strangled himself. Disciples obeyed, found an object resembling a two-headed fish, covered in fleshy scales. Placed in bowl, jumping incessantly. Tested with various flavors, all dissolved instantly. A monk placed Dianthus Indigofera Leaf (Dian Lan/Indigo) in bowl; worm circled bowl and dissolved into water in moments. This was actually insect mass (Chong Jia), not dysphagia. Hence later people wrongly used indigo for dysphagia.
Formerly, someone died of abdominal mass (Jia Ji), leaving instructions to open abdomen. Found dry, hard stone-like lump with five-color patterns. People thought it was foreign object, stole it to whittle knife handle. Later, using knife to cut Sanleng Rhizoma (Sparganium), handle turned to water. Realized this substance cures abdominal masses.
Physician Kang Zu suffered from heart fistula for over ten years, multiple holes on chest, continuous blood flow, untreatable by doctors. Advice: Too many holes cause damage; closing them risks diversion; keep one or two as best strategy. Resulted in physical/spiritual exhaustion. Also suffered back pain, stooping when walking, abstaining from alcohol; avoided chicken/fish/crab/clams. Han Ziwen, Prefect of Wenzhou, pitied him, consulted *Sheng Hui Fang* regarding back pain categories (cold/heat), let him choose. Kang Zu said: Old, emaciated, dare not assume heat; treat as cold. Used formula containing Lurong Antler (Deer Horn). After ten days, pain reduced, energy improved. Month later, back straightened, no more pain calls, heart fistula healed. Doctors puzzled. Nine years later, Kang Zu, after term as Vice Prefect of Zhenjiang visited Han Ziwen, energetic, eating freely, health improving daily. Wu Bi, Han's clerk, used same prescription, cured in ten days. Formula: Lurong (hair removed, fried in butter till light yellow), Fuzii Radix Preparata (processed, skin/navel removed), each two liang; Yanhua Salt (Salt Flower) three fen. Powdered, pilled with Jujube Flesh (Za Rou) into thirty pills. One pill daily, empty stomach with wine.
During Tiansheng era, old woman in Minister of Works Zhongsu Gong's house suffered fistula for ten years. Doctor passed, said curable. Took live Eel (Shanyu), inserted five-seven bamboo pins, threw eel on ground, coiled around plate, pinned it, covered wound for long time. Removed, found dozens of white needle-like worms. Put eel in cup, wriggling like thread. Covered again, got more. Repeated 5-6 times. Doctor said: Worms not fully gone, but small ones. Apply common herbs. Used Binglang Areca Seed (Binglang), Huanglian Rhizoma (Huanglian) powdered and applied. Next day, dried Mugwort Folium (Ai Ye) decoction with Bai Fan (Alumen) 2-3 qian washed wound, then applied medicine. Human Qi/Blood cold requires Ai Ye to assist Yang; Ai Ye also kills worms. Repeated twice, flesh regenerated, cured within month. Doctor said: Wound not healing in month implies worms. Worms move, Qi/Blood follows, so wound cannot close quickly; closing traps toxin, caused by worms.
Another person had no sweat elsewhere, only on heart region. More thinking led to more sweat. Disease in Heart-Mind, named "Xin Han" (Heart Sweat). Nourish Heart Blood. Treat with Ai Ye decoction mixed with Fushen Poria Cum Radix powder.
Huasheng Tongzhi Tang (Miracle Sage Decoction to Unblock Stagnation)
Jinyinhua Flos (Jinyinhua), Pugongying Herba (Pugongying) (each 1 liang); Huafen Trichosanthes Radix (Huafen), Baijiezi Sinapis Semen (Baijiezi) (each 5 qian); Fuzii Radix Preparata (Fuzi), Mutong Akebia Caulis (Mutong) (each 1 qian); Chaihu Bupleuri Radix (Chaihu) (2 qian); Baishao Radix Alba (Baishao), Zhizi Fructus (Zhizi), Fuling Poria (Fuling) (each 3 qian).
Decoct in water.
Baihe Dan (Lily Bulb Pill)
Dahuang Rheae Radix et Rhizoma (roasted), Tiandong Asparagi Radix (Tiandong), Xingren Armeniacae Semen Amarum (Xingren), Baihe Lilii Bulbus (Baihe), Sangpi Morus Cortex (Sangpi), Tiantili Descurainiae Semen (Tiantili), Ruangypsum Fibrosum (Ruangypsum).
Powdered, honey-pilled size of wutong seeds. Take 5 pills with plain water before sleep.
Zhike Fangfeng Wan (Aurantii Fructus and Saposhnikoviae Root Pill)
Zhiki Immature Bitter Orange Fructus (Zhike), Fangfeng Saposhnikoviae Radix (Fangfeng), Duhuo Angelicae Pubescentis Radix (Duhuo), Qianhu Peucedani Radix (Qianhu), Mahuang Ephedrae Herba (Mahuang), Danggui Radix (Danggui), Dahuang Rheae Radix et Rhizoma (roasted, each 1 qian).
Pilled with wheat paste size of millet grains. Take with rice drink.
Dongyuan Piqi Wan (Dongyuan Mass Pill)
Huanglian Coptidis Rhizoma (8 qian), Houpo Magnoliae Officinalis Cortex (5 qian), Wuzhuyu Evodiae Fructus (3 qian), Baizhu Rhizoma (earth-fried), Huangqin Cortex (2 qian), Yinchen Artemisiae Scopariae Herba (wine-fried), Ganjiang Zingiberis Rhizoma (processed), Sharen Amomi Fructus (Sand Ginger), Renshen Radix (Ginseng), Fuling Poria, Zexiare Thaliae Rhizoma (each 1 qian); Chuanwu Aconiti Lateralis Radix Preparata (processed), Chuanjiao Zanthoxyli Pericarpium (each 5 qian); Rouguia Cinnamomi Cortex (Cinnamon Bark), Badoushuang Crotonis Fructus Frost (each 4 qian).
Honey-pilled, take with Cogon Grass (Dengcao) decoction.
Sansheng San (Three Holy Powder)
Tianguadi Melonis Fructus (Sweet Melon Tip), Fangfeng Saposhnikoviae Radix (Fangfeng), Lilu Veratri Rhizoma (Lilu).
Powdered, take with cooked water.
Baizhu Tiaozhong Tang (Baizhu Regulate Middle Decoction)
Baizhu Rhizoma (1 qian), Jupei Citri Reticulatae Pericarpium (Ju Chen), Fuling Poria (1 qian), Zexiare Thaliae Rhizoma (1 qian); Sharen Amomi Fructus (Sand Ginger), Guanzi Cinnamomi Cortex (Official Cinnamon), Huoxiang Pogostemonis Herba (Huoxiang), Paojiang Zingiberis Rhizoma (Processed Ginger) (each 5 fen); Gancao Radix (1 liang).
Take 2 qian mixed with plain water and little honey.
Wuling San (Five-Ling Powder)
Zhuling Polyporus (Zhuling), Fuling Poria (Fuling), Gui Cinnamomi Ramulus (Cinnamon Twig), Zexiare Thaliae Rhizoma (Zexie), Baizhu Rhizoma (Baizhu).
Powdered, take 3 qian per dose.
Zisu San (Perilla Powder)
Suye Perillae Folium (1 qian), Danggui Radix (7 fen); Chuanxiong Rhizoma (Chuanxiong), Shaoyao Radix (Shaoyao), Renshen Radix (Renshen), Chenpi Citri Reticulatae Pericarpium (Chenpi), Dafupi Arecae Pericarpium (Dafupi) (each 5 fen); Gancao Radix (2 fen).
Decoct with Shengjiang Zingiberis Rhizoma Recens (Fresh Ginger) and Dazjuju Fructus (Jujube).
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See Neck Section)
Erchen Tang (Two-Cured Decoction) (See Eye Section)
Siwu Tang (Four Substances Decoction) (See Head Section)