族侄孙君锡,头痛,胸背胀,饮食下膈便吐,咳嗽不住口,痰浊如脓,大便结燥。脉之
,独
右寸洪大。以二陈汤加竹茹、滑石、石膏、酒连、麦冬,连进四剂,夜与益元丸兼服,而嗽
吐俱止。惟痰浊如脓色,且腥气触人,此将
欲作肺痈,改用牡丹皮、麦门冬、山栀子、甘草、贝母、枳壳、桑白皮、紫菀、知母、当归
、生地黄、桔梗四帖,全安。
侄孙尔嘉内人,三孕而三小产,六脉滑数。乃气虚血热也。由其热故多滑下,因其血频
下,
心甚恐怖,终日偃卧,略不敢起身,稍起,血即大下。与生地、白芍药、白术、地榆、桑寄
生、续断、甘草、升麻、椿根白皮、黄柏、条芩服之,而血三日不来,惟白带绵绵下。过五
日后,因有不得已事,起身稍劳,血又大下。予谓∶血滑已久,如水行旧路,若不涩之,必
不能止。又思∶血海甚热,亦肝风所致,防风子芩丸正与病对,宜制与之。又制白芍药六两
,侧柏叶、条芩各三两,防风、椿根白皮各二两,蜜丸服之。从此血止胎安,足月而产一子
。此后连产三子,并无胎漏之患。后遇胎漏,递用此法,莫不良已。附告同志,以便取用
。
鸿胪薇垣侄内人,喉中 痒,咳唾红痰,两寸关洪大,内热生疮。山栀子、小蓟、生地
、
牡丹皮、滑石、青皮、麦门冬、甘草、黄连、栝蒌,水煎饮之,而血止嗽除。后遇劳心即咳
嗽,喉中血腥,总由上焦热盛而然。以枇杷叶、山栀子、生地、白芍药、甘草、牡丹皮、地
动蜂、天花粉、滑石、紫菀,常服三五剂,两月而安。
族侄孙君锡,出现头痛、胸背部胀满感,饮食咽下至膈部时随即呕吐,咳嗽不止,痰液浑浊如脓状,大便干结燥硬。诊察其脉象,唯独右寸脉洪大有力。使用二陈汤加入竹茹、滑石、石膏、酒制黄连、麦冬,连续服用四剂,夜间配合服用益元丸,于是咳嗽和呕吐都停止了。只是痰液仍然浑浊如脓色,且有腥气扑鼻,这是即将形成肺痈(肺部化脓性病变)的征兆,于是改用牡丹皮、麦门冬、山栀子、甘草、贝母、枳壳、桑白皮、紫菀、知母、当归、生地黄、桔梗,服用四帖后,完全康复。
侄子孙尔嘉的妻子,三次怀孕均发生小产,六脉呈现滑数之象。这是气虚血热的证候。因为体内有热,所以胎气不固而频繁下滑;因为血液频繁流失,心中非常恐惧,整天躺卧,稍微不敢起身,只要稍一起身,出血量就很大。给予生地、白芍药、白术、地榆、桑寄生、续断、甘草、升麻、椿根白皮、黄柏、条芩煎服,服药后三天出血停止,仅有白带绵绵不断流出。过了五天后,因为有事不得不起来,稍微劳累,出血又大量发生。我说:血滑脱已久,就像水在旧河道中流淌,如果不加以收敛固涩,一定不能止住。又想到:血海(子宫/冲任)非常热,这也是肝风内动所致,防风子芩丸正好对症,应当制作给她服用。又另外制作方剂:白芍药六两,侧柏叶、条芩各三两,防风、椿根白皮各二两,炼蜜为丸服用。从此以后出血停止,胎儿安稳,足月分娩得一子。此后连续生育三个孩子,都没有胎漏(孕期阴道少量出血)的隐患。后来遇到胎漏情况,依次使用这种方法,没有不好的结果。附告同道中人,以便取用。
鸿胪寺官员薇垣的侄媳,喉咙发痒,咳嗽吐出带血的痰,两手寸关脉洪大,体内发热并生疮疡。使用山栀子、小蓟、生地、牡丹皮、滑石、青皮、麦门冬、甘草、黄连、栝蒌,水煎饮用,于是止血且咳嗽消除。后来一用心劳即出现咳嗽,喉中有血腥味,这完全是由于上焦热盛造成的。使用枇杷叶、山栀子、生地、白芍药、甘草、牡丹皮、地龙(此处原文“地动蜂”疑为笔误或异名,通常指地龙)、天花粉、滑石、紫菀,经常服用三五剂,两个月后病情安定。
The clan nephew Sun Junxi experienced headache, distension in the chest and back, vomiting immediately after food passed through the diaphragm, incessant coughing, turbid sputum resembling pus, and dry, hard stools. Upon palpating the pulse, only the right Cun (Cun position of the radial artery) was surging and large. He was administered Er Chen Tang (Two-Aged Decoction) with added Zhu Ru (Bamboo Shavings), Hua Shi (Talcum), Shi Gao (Gypsum Fibrosum), Jiu Lian (Liquorice-processed Coptis Rhizome), and Mai Dong (Ophiopogon Tuber). After taking four doses continuously, combined with Yi Yuan Wan (Benefit Prime Pill) taken at night, both the cough and vomiting ceased. However, the sputum remained turbid like pus with a fishy odor, indicating an impending development of Fei Yong (Lung Abscess). The prescription was changed to Mu Dan Pi (Moutan Cortex), Men Dong (Ophiopogon Tuber), Shan Zhi Zi (Gardenia Fruit), Gan Cao (Liquorice Root), Bei Mu (Fritillaria Bulb), Zhi Ke (Aurantium Fructus), Sang Bai Pi (Morus Root Bark), Zi Wan (Aster Root), Zhi Mu (Anemarrhena Rhizome), Dang Gui (Angelica Sinensis), Sheng Di Huang (Rehmannia Root), and Jie Geng (Platycodon Root). After four doses, he was completely cured.
The wife of my nephew Sun Erjia had suffered three miscarriages during three pregnancies. Her six pulses were slippery and rapid. This indicated Qi deficiency and Blood heat. Due to the internal heat, the fetal qi descended frequently; due to the frequent loss of blood, she was terrified, lying down all day and daring not to rise slightly. If she rose even a little, heavy bleeding occurred. She was given Sheng Di Huang (Rehmannia Root), Bai Shao Yao (White Peony Root), Bai Zhu (Atractylodes Macrocephala Rhizome), Di Yu (Sanguisorba Root), Sang Ji Sheng (Taxillus Caulis), Xu Duan (Dipsacus Root), Gan Cao (Liquorice Root), Sheng Ma (Cimicifugae Rhizoma), Chun Gen Bai Pi (Toona Root Bark), Huang Bo (Phellodendron Bark), and Tiao Qin (Scutellaria Root). After administration, the bleeding stopped for three days, leaving only continuous leukorrhea. Five days later, due to urgent matters, she rose and exerted herself slightly, causing heavy bleeding again. I stated: "The slipping of blood has persisted for a long time, like water flowing in an old channel; if it is not astringed, it cannot stop." Furthermore, I considered that the Xue Hai (Sea of Blood) was very hot, which was also caused by Liver Wind. Fang Feng Zi Qin Wan (Wind-Dispersing and Heat-Clearing Pill) was precisely suitable for this condition, so I prepared it for her. Additionally, I prepared another pill formula: Bai Shao Yao (White Peony Root) 6 liang, Ce Bai Ye (Biota Tops) and Tiao Qin (Scutellaria Root) 3 liang each, Fang Feng (Saposhnikovia Root) and Chun Gen Bai Pi (Toona Root Bark) 2 liang each, made into honey pills. From then on, the bleeding stopped, the fetus was secured, and she delivered a healthy son at full term. Thereafter, she gave birth to three more children without any risk of Tai Lou (Threatened Miscarriage). Later, whenever threatened miscarriage occurred, this method was applied sequentially, always yielding good results. I attach this for colleagues' reference for future use.
The wife of the nephew of Honglu Si (Court of State Ceremonial) official Wei Yuan experienced itching in the throat, coughing up bloody sputum, and surging-large pulses at both Cun and Guan positions, accompanied by internal heat and ulceration. She was prescribed Shan Zhi Zi (Gardenia Fruit), Xiao Ji (Cirsium Carthmoides Herb), Sheng Di Huang (Rehmannia Root), Mu Dan Pi (Moutan Cortex), Hua Shi (Talcum), Qing Pi (Citrus Reticulata Green Peel), Men Dong (Ophiopogon Tuber), Gan Cao (Liquorice Root), Huang Lian (Coptis Rhizome), and Gua Lou (Trichosanthes Fruit), decocted in water and drunk. The bleeding stopped and the cough was eliminated. Later, mental exertion triggered coughing and a metallic taste in the throat, entirely due to excessive heat in the Upper Jiao (Upper Burner). She regularly took five or three doses of Pi Pa Ye (Loquat Leaf), Shan Zhi Zi (Gardenia Fruit), Sheng Di Huang (Rehmannia Root), Bai Shao Yao (White Peony Root), Gan Cao (Liquorice Root), Mu Dan Pi (Moutan Cortex), Di Long (Pheretima), Tian Hua Fen (Trichosanthes Root), Hua Shi (Talcum), and Zi Wan (Aster Root), achieving stability within two months.