族侄媳叶氏,年三十,身、面、四肢浮肿,渐而入腹,腹大不可言。眼泡肿而无缝,
饮食大减
,小水不利,此气滞水胀也。以大腹皮、茯苓皮、姜黄、苍术、浓朴、泽泻、木香、乌药、
陈皮服四剂,而眼目能开。饮食稍进,即为食伤而复肿,予改用七伤丸调理全安。
族侄孙伍仲立年,善饮好内,小便血淋疼痛。予以滑石、甘草梢、海金沙、琥珀、山栀
子、
青蒿、茅草根煎膏为丸,梧桐子大,每空心及食前灯心汤送下三钱,不终剂而愈。后五年,因
子迟,服补下元药过多,血淋又发,小便中痛极,立而不能解,必蹲下如妇女小解样,始能
解出,皆大血块,每行一二碗余,如是者半月。诸通利清热之剂,靡不遍尝不应,脉俱洪数
,予以五灵脂、蒲黄、甘草梢各二钱,小蓟、龙芽草各三钱,水煎空心服,二帖而痛减半,
血仍旧。改用瞿麦、山栀子、甘草各二钱,茅根、杜牛膝、连叶车前草各三钱,生地黄、柴
胡、黄柏、木通各一钱,四帖痛全减,血全止,惟小便了而不了,六脉亦和缓不似前矣。后
以人参、葛根、青蒿、白术、茯苓、甘草、白芍药、升麻、黄柏、知母调理万全。
令眷,辰州太守石峰公女也。吐红发热,经水二十日一行或一月行二次,白带且多,胸
膈饱
胀,脉洪数。以丹参、生地、山栀子、白芍药、小蓟、鹿角胶,水煎。临服前加入童便一酒
杯,二十剂而瘳。
族侄孙伍仲善的妻子叶氏,三十岁,身体、面部及四肢出现浮肿,逐渐蔓延至腹部,腹部胀大难以形容。眼睑肿胀且无皱纹,饮食大幅减少,小便不通畅,这是气机阻滞导致的水肿病证。使用大腹皮、茯苓皮、姜黄、苍术、厚朴、泽泻、木香、乌药、陈皮服用四剂后,眼睛能够睁开,饮食稍有好转。但因饮食不当损伤脾胃而再次浮肿,我改用七伤丸进行调理,使其完全康复。
族侄孙伍仲立,喜欢饮酒且房事过度,出现小便血淋(尿血伴疼痛)的症状。我用滑石、甘草梢、海金沙、琥珀、山栀子、青蒿、茅草根煎煮成膏状制成丸药,大小如梧桐子,每次空腹及饭前用灯心草汤送服三钱,未服完一剂便痊愈了。五年后,因为儿子出生晚,服用了过多补益下焦元气的药物,导致血淋复发,小便中剧痛,站立时无法排尿,必须蹲下像妇女小便的姿势,才能排出,排出的都是大血块,每次约一两碗多,这种情况持续了半个月。各种通利清热的方法都试过了,没有不无效的,脉象洪大而数。我用五灵脂、蒲黄、甘草梢各二钱,小蓟、龙芽草各三钱,水煎后空腹服用,两帖后疼痛减半,但出血依旧。改用瞿麦、山栀子、甘草各二钱,茅根、杜牛膝、带叶车前草各三钱,生地黄、柴胡、黄柏、木通各一钱,四帖后疼痛完全消失,出血停止,只是小便仍有淋漓不尽的感觉,六脉也变得和缓,不像之前那样了。后来用人参、葛根、青蒿、白术、茯苓、甘草、白芍药、升麻、黄柏、知母进行调理,达到万全的效果。
令眷(尊称对方妻子),是辰州太守石峰公的女儿。吐血(吐红)、发热,月经二十天来一次或一个月来两次,白带多且量多,胸膈部饱胀,脉象洪数。用丹参、生地、山栀子、白芍药、小蓟、鹿角胶,水煎。临服用前加入童便一杯,服用二十剂后病愈。
The wife of my clan nephew Sun Wuzhongshan, Ye Shi, was thirty years old. Her body, face, and four limbs were edematous, which gradually extended to the abdomen, causing severe abdominal distension that was indescribable. Her eyelids were swollen without wrinkles, her dietary intake decreased significantly, and urination was difficult. This is Qi stagnation leading to water swelling (edema due to Qi stagnation). After taking Da Fu Pi (Areca Peel), Fu Ling Pi (Poria Peel), Jiang Huang (Turmeric Rhizome), Cang Zhu (Atractylodis Rhizoma), Hou Po (Magnolia Bark), Ze Xie (Alisma Rhizome), Mu Xiang (Costus Root), Wu Yao (Linderae Radix), and Chen Pi (Citrus Reticulatae Pericarpium) for four doses, her eyes could open, and her diet slightly improved. However, she became edematous again due to food injury (damage from improper diet). I then changed to using Qi Shang Wan (Seven Injuries Pill) for regulation until she fully recovered.
My clan nephew Sun Wuzhongli enjoyed drinking and excessive sexual activity, suffering from hematuria with dysuria (blood in urine accompanied by pain). I prescribed Hua Shi (Talcum), Gan Cao Shao (Tip of Licorice Root), Hai Jin Sha (Lygodii Spora), Hu Po (Amber), Shan Zhi Zi (Gardeniae Fructus), Qing Hao (Artemisiae Annuae Herba), and Mao Gen Cao (Imperatae Rhizoma), decocted into a paste and formed into pills the size of Sophora seeds. Each time, taken on an empty stomach and before meals with Deng Xin Tang (Juncus Decoction), three qian per dose. She was cured before finishing one dose. Five years later, due to late conception of her son, she took too many herbs tonifying the lower Yuan Qi (Original Qi), causing the hematuria to recur. The pain in urination was extreme; she could not stand to void but had to squat like a woman urinating to pass urine, expelling large blood clots, about one or two bowls each time. This lasted for half a month. All agents for promoting diuresis and clearing heat were tried without success. The pulse was flooding and rapid. I prescribed Wu Ling Zhi (Trogopteri Dung), Pu Huang (Typhae Pollen), and Gan Cao Shao, each 2 qian, along with Xiao Ji (Cirsii Herba) and Long Ya Cao (Agrimoniae Herba), each 3 qian, decocted in water and taken on an empty stomach. After two doses, the pain halved, but bleeding persisted. I changed to Qu Mai (Diantherae Herba), Shan Zhi Zi, and Gan Cao, each 2 qian, Mao Gen, Du Niu Xi (Achyranthis Bidentatae Radix), and Che Qian Cao (Plantaginis Herba with leaves), each 3 qian, Sheng Di Huang (Rehmanniae Radix), Chai Hu (Bupleuri Radix), Huang Bo (Phellodendri Cortex), and Mu Tong (Akebiae Caulis), each 1 qian. After four doses, the pain completely subsided, and bleeding stopped, though urination remained incomplete. The six pulses became harmonious and moderate, unlike before. Later, she was regulated with Ren Shen (Ginseng Radix), Ge Gen (Puerariae Lobatae Radix), Qing Hao, Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Gan Cao, Bai Shao Yao (Paeoniae Radix Alba), Sheng Ma (Cimicifugae Rhizoma), Huang Bo, and Zhi Mu (Anemarrhenae Rhizoma) to achieve complete recovery.
Your respected wife, the daughter of Shi Feng Gong, Prefect of Chenzhou, suffered from hematemesis (spitting blood) and fever. Her menstruation occurred every twenty days or twice a month. Leukorrhea was profuse. There was fullness and distension in the chest and diaphragm. The pulse was flooding and rapid. I prescribed Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma), Sheng Di Huang, Shan Zhi Zi, Bai Shao Yao, Xiao Ji, and Lu Jiao Jiao (Colla Cornu Cervi), decocted in water. Just before taking the medicine, one cup of Tong Bian (Child's Urine) was added. After twenty doses, she recovered.