族嫂程氏环跳穴边肿痛,憎寒发热,不能动止,寝食俱废,头重恶心,上身热下体冷,
天明
乃退,口干,舌上白苔甚浓。以柴胡、防风、桂枝解其寒热;以苍术、黄柏、五加皮、桃仁
、
赤芍药治其痛;木通利其湿热且引火下行;甘草调和诸药,使各得职一帖而痛止大半,再进
寒热除,三帖痛全减去,改以小柴胡汤加牡丹、枳壳、桔梗,二帖而舌苔脱然。
上舍恒宇先生原因生杨梅疮后,偶遭一跌,环跳脱出不能复入窠臼,疼痛殊甚,两足因
长短不齐。予思不能复入窠臼者,以瘀血流入窠臼占满故窍,致骨不得复入
也。今但消去瘀血,必以行气活血之剂为主,以下行响导之剂佐之,庶可撤消。用陈年窖中
砖瓦洗净 过四两,生地、杜牛膝、骨碎补、丹参、赤芍各一两五钱,自然铜三两,蒲黄、
车前子、苏木各一两,鹿角二两,玄明粉五钱各为末,以茅草根一斤,红花四两,煎膏拌晒
前药,再以炼蜜为丸,梧桐子大,每空心及食前,酒送下八九十丸。未服此药之先病足长二
寸余,服此丸药后只差半寸。设再制久服必能万全。惜渠素畏药中道而止,故功亏一篑也
,岂胜叹哉。
族侄孙女二周岁时发慢惊,眼开手拳,目不动移,脚指微动,先自囟门后遍身如火,喉
中痰
声,口中痰沫,腹胀放屁,大便亦行。先以牛黄丸、苏合香丸进之不效,及各治惊、治痰等
药与之皆不受,即从痰沫流出。用通关散吹入鼻中亦不作嚏。自申时至戌时犹不能醒,面色
素青而白。气禀甚弱,因婢者抱而偶失跌,受惊发热。此惊气乘虚而入,在法已无生路,但
不忍坐视,姑以人参三钱,生姜自然汁拌炒煎汤,频频用匙挑入口中,初二三四匙皆不受,
又与五六匙,偶能入一二匙下喉,便觉痰声稍缓,因此频频与之。十匙中有二三匙入腹矣。
喉中气转,目便能动,始有生意。再以六君子汤加天麻、石菖蒲、僵蚕、泽泻、薄荷,煎服
至鸡鸣时,乃略啼一二声,方识吮乳。次日咳嗽,语声不出,小水短少,以辰砂、益元散一
钱,用灯心汤调下,热退声出,惟嗽不尽止,改以四君子汤加陈皮、五味子、麦门冬、桑白
皮、桔梗、杏仁、薄荷一帖痊愈。
族嫂程氏环跳穴(位于髋部,属足少阳胆经穴位)周围出现肿胀疼痛,伴有怕冷发热,身体无法活动,睡眠和饮食都废弛,头部沉重恶心,上身发热而下身寒冷,到了天亮时症状才消退,口干燥,舌面上覆盖着很厚的白色苔垢。用柴胡、防风、桂枝来解除寒热症状;用苍术、黄柏、五加皮、桃仁、赤芍药来治疗疼痛;木通利湿清热并引导火气下行;甘草调和各种药物,使各药发挥各自的作用。服用一帖后疼痛减轻大半,再服用则寒热消除,服用三帖后疼痛完全减去,改为小柴胡汤(和解少阳的主方)加入牡丹皮、枳壳、桔梗,服用两帖后舌苔自然脱落。
上舍恒宇先生原本在患杨梅疮(梅毒的一种表现)之后,偶然遭遇一次跌倒,导致环跳关节脱出不能复位,疼痛非常剧烈,两条腿因此长短不齐。我思考他不能复位的缘故,是因为瘀血流入关节窝占据满了窍道,致使骨头无法重新进入原位。现在只要消除瘀血,必然以行气活血的药物为主,以下行疏导的药物辅助,或许可以撤销病情。使用陈年窖中的砖瓦洗净过筛四两,生地、杜牛膝、骨碎补、丹参、赤芍各一两五钱,自然铜三两,蒲黄、车前子、苏木各一两,鹿角二两,玄明粉五钱,分别研成粉末,用茅草根一斤、红花四两煎煮成膏,拌合晒干的上述药物,再用炼蜜制成丸药,大小如梧桐子,每次空腹及饭前,用酒送服八九十丸。未服用此药之前,患病的那条腿比健侧长二寸多,服用此丸药后只差半寸。如果继续制作长期服用,必定能完全痊愈。可惜他平时害怕吃药,中途停止,所以功亏一篑,真是令人叹息啊。
族侄孙女两周岁时发作慢惊风(小儿慢性惊厥),眼睛睁开手握拳,眼球不转动,脚趾微微抽动,起初从囟门(婴儿头顶骨未合缝处)到全身发烫如火,喉中有痰鸣声,口中流出痰沫,腹胀放屁,大便也通畅。先用牛黄丸、苏合香丸灌服没有效果,以及各治惊、治痰等药物给她服用,她都不接受,药物随即从痰沫中流出。用通关散吹入鼻中也不打喷嚏。从申时到戌时仍然不能苏醒,面色向来青白。禀赋气息很弱,因为丫鬟抱着时偶然失手跌落,受惊发热。这种惊气乘虚而入,按照医法已经无生路,但不忍心坐视不管,暂且用人参三钱,生姜自然汁拌炒后煎汤,频频用勺子挑入口中,初二三四匙她都不接受,又喂五六匙,偶然能咽下一两匙下喉,便觉得痰声稍微缓和,因此频频喂她。十匙中有二三匙进入腹中。喉中气息运转,眼睛便能转动,才开始有生机。再用六君子汤(益气健脾、燥湿化痰的方剂)加入天麻、石菖蒲、僵蚕、泽泻、薄荷,煎服直到鸡鸣时分,才略微啼哭一两声,这才懂得吮吸乳汁。第二天咳嗽,说话声音出不来,小便短少,用辰砂、益元散一钱,用灯心草汤调服,热退声音发出,只有咳嗽不止,改为四君子汤(益气健脾的基础方)加入陈皮、五味子、麦门冬、桑白皮、桔梗、杏仁、薄荷,服用一帖痊愈。
The area around the Huantiao acupoint (located in the hip, belonging to the Foot-Shaoyang Gallbladder Meridian) of my clan sister-in-law Cheng exhibited swelling and pain, accompanied by aversion to cold and fever. Her body could not move or stop, sleep and diet were abandoned, her head felt heavy with nausea, the upper body was hot while the lower body was cold, and these symptoms subsided only at dawn. Her mouth was dry, and a thick white coating covered her tongue. Chaihu, Fangfeng, and Guizhi were used to resolve the aversion to cold and fever; Cangzhu, Huangbai, Wujia Pi, Taoren, and Chi Shaoyao were employed to treat the pain; Mutong promoted diuresis to clear damp-heat and guided fire downward; Gancao harmonized the various herbs, allowing each to perform its function. After one dose, the pain decreased by more than half; after further administration, the aversion to cold and fever disappeared; after three doses, the pain was completely eliminated. The prescription was changed to Xiaochaihu Tang (Minor Bupleurum Decoction) with added Mudanpi, Zhike, and Jiegeng. After two doses, the tongue coating naturally fell off.
Mr. Hengyu, a Shangshe, had previously suffered from Yangmei Chuang (a manifestation of syphilis). Subsequently, he accidentally fell, causing the Huantiao joint to dislocate and fail to return to its socket, resulting in severe pain and unequal length of the two legs. I reasoned that the failure of the joint to return to position was due to blood stasis flowing into the socket and filling it, preventing the bone from re-entering. Therefore, eliminating the blood stasis is essential. The treatment should primarily consist of formulas that promote Qi circulation and invigorate blood, assisted by agents that guide downward and unblock obstructions, so that the condition might be resolved. Four taels of cleaned and sieved bricks and tiles from an old cellar, 1.5 taels each of Shengdi, Dunnium Acanthopanacis Radix (Dun Niuxi), Saxifragae Stoloniferae Rhizoma et Radix (Gusuibu), Salviae Miltiorrhizae Radix et Rhizoma (Danshen), and Red Peony Root (Chi Shaoyao), 3 taels of Pyritum (Ziran Tong), 1 tael each of Pollen Typhae (Puhuang), Plantaginis Seed (Cheqianzi), and Calamus Wood (Sumu), 2 taels of Deer Antler (Lujiao), and 5 qian of Mirabilite (Xuanmingfen) were each ground into powder. One jin of Cogon Grass Root (Maogen) and 4 taels of Safflower (Honghua) were decocted into a paste, which was mixed with the sun-dried powders above. Finally, refined honey was used to form pills the size of Sophora seeds. Each time, on an empty stomach and before meals, 80–90 pills were taken with wine. Before taking this medicine, the affected leg was more than 2 cun longer than the healthy one; after taking these pills, the difference was reduced to half a cun. If continued for a long term, complete recovery would certainly be achieved. Alas, he feared the medication and stopped midway, thus failing at the last step—how lamentable!
My clan niece’s granddaughter developed Slow Convulsion (Chronic Pediatric Epilepsy/Convulsion) at two years of age. Her eyes were open, hands clenched, eyeballs immobile, and toes twitching slightly. Initially, heat radiated from the fontanelle (the soft spot on an infant's head) throughout the body like fire, with phlegm rattling in the throat and frothy phlegm in the mouth. She had abdominal distension, flatulence, but normal bowel movements. Niu Huang Wan and Suhexiang Wan were administered first without effect. Other medicines for treating convulsions and phlegm were also refused; they flowed out with the phlegm. Tongguan San blown into the nose did not induce sneezing. From Shen hour to Xu hour, she remained unconscious, with a complexion that was typically cyanotic and pale. Her constitution was very weak. The incident was caused by a nanny dropping her accidentally, leading to fright and fever. This pathogenic factor of fright entered through deficiency. According to medical principles, there was no hope for survival. However, unable to sit idly by, I tentatively prescribed 3 qian of Renshen (Ginseng), stir-fried with fresh ginger juice, decocted in water, and frequently spoon-fed. For the first few spoons, she refused them. Upon offering five or six more, she occasionally swallowed one or two spoons, after which the phlegm sound eased slightly. Thus, I continued frequent feeding. Of ten spoons, two or three entered the stomach. Phlegm movement ceased, eye movement resumed, and signs of life returned. Then, Liujunzi Tang (Six Gentlemen Decoction) with Tianma, Shichangpu, Jiangcan, Zexie, and Bohe was decocted and administered until Ji Ming hour (dawn). She then cried once or twice and began to suckle milk. The next day, she coughed, lost her voice, and had scanty urination. Chen Sha (Cinnabar) and Yiyuan San (One Gram Powder), 1 qian each, were mixed with Dengxin Cao (Juncus Effusus) decoction and administered. The fever subsided, and her voice returned. Only the cough persisted. The prescription was changed to Sijunzi Tang (Four Gentlemen Decoction) with Chenpi, Wuweizi, Maidong, Sangbaipi, Jiegeng, Xingren, and Bohe. After one dose, she recovered completely.