汪思石令堂,年可五旬。大怒后,小解蓦然晕厥,口噤,牙关,不省人事,以苏合香丸
灌之
而苏,左手右足疼痛,不能举动,用二陈汤加酒芩、五加皮、秦艽、石菖蒲、防风、薏苡仁
、紫荆皮,四帖而愈。
族侄孙君实,壮年,患遍身筋骨疼痛,肢节肿痛。其痛极,状如虎啮,大小便起止,非
三五
人不能扶,诸痛处热如火燎,食饮不入,呻吟床褥已经二候。有以疏风之剂投者,不应,又
以乳香、没药活血止痛之剂投者,亦不应。延予延医,六脉浮紧而数,予曰∶此周痹也。势
甚恶,俗名白虎历节风,乃湿热所致。丹溪云∶肿属湿,痛属火,火性速,故痛暴猛若此。
以生地黄、红花、酒芩、酒连、酒柏、秦艽、防风、羌活、独活、海桐皮、威灵仙、甘草,
四剂而痛减大半,再加赤芍药、当归、苍耳子、薏苡仁,减去独活、秦艽,又八剂痊愈。
叶子黑内人患疫,医为其汗,为其下,罄技不能起,尸寝者已浃旬。家事窭乏,亦不能
复迎
医。邻人睹其状,以生死在须臾间,群然发善愿,科敛助其殡敛之需。予闻,为之诊,六部
俱微弱不充指,右关稍滑,精神昏惫,仅一息奄奄,四肢冷厥,口渴。予诊毕,语诸邻曰∶
“据症甚危,据脉邪已尽退,惟虚惫而神气弱,非大补不能也。诸君苟能以助殡者,助其市
人参,庶几可起死而还之生也。诸君既怜其死,宁不以冀其生乎?予非毫有希觊,顾渠力不
足
瞻,愿与诸君共圆满好生善果耳。”诸邻固有善心,激于余言,益忻然相语曰∶“惟先生命
。”即以六君子汤,加归、芍补气血而化痰涎,以麦门冬、五味子复脉通心而生津液,以桂
枝
温其四体,午刻进药,晡刻四肢渐暖,精神涣发,尚无力开声,改以生脉汤加远志、归、芍
、苡仁、山药,调理而愈。诸邻人大快。
汪思石的母亲,年龄大约五十岁。在极度愤怒之后,小便时突然晕厥,牙关紧闭,意识丧失,用苏合香丸灌服后苏醒。随后出现左手和右足疼痛,无法活动,使用二陈汤加入酒炒黄芩、五加皮、秦艽、石菖蒲、防风、薏苡仁,服用四帖后痊愈。
族侄孙君实,正值壮年,患全身筋骨疼痛,肢体关节肿胀疼痛。疼痛极其剧烈,状如老虎咬噬,大小便时如果没有三五个人的搀扶就无法移动,所有疼痛部位发热如火烧,饮食无法进入,在床上呻吟已达两个十日(约二十天)。有人给予疏风药物治疗,无效;又给予乳香、没药等活血止痛药物治疗,也无效。后来请我诊治,六脉浮紧而数,我说:这是周痹(一种以全身游走性疼痛为特征的痹证)。病情非常严重,俗称白虎历节风,是由湿热引起的。丹溪说:肿胀属于湿,疼痛属于火,火性急速,所以疼痛如此暴烈猛烈。使用生地黄、红花、酒炒黄芩、酒炒黄连、酒炒黄柏、秦艽、防风、羌活、独活、海桐皮、威灵仙、甘草,服用四剂后疼痛减轻大半,再加赤芍药、当归、苍耳子、薏苡仁,减去独活、秦艽,又服用八剂后痊愈。
叶子黑的妻子患瘟疫,医生为她发汗、攻下,用尽医术也不能使其康复,卧床不起已近十天。家中贫困,也无法再请医生。邻居看到她的状况,认为生死只在顷刻之间,大家纷纷发起善愿,集资资助她的丧葬费用。我听说后,为她诊脉,六部脉象都微弱无力,右关脉稍滑,精神昏沉疲惫,呼吸仅有一息奄奄一息,四肢冰冷厥逆,口渴。我诊脉完毕后,对邻居们说:“根据症状来看非常危险,但根据脉象来看邪气已经退去,只是身体虚弱疲惫且神气衰弱,必须大补才能恢复。各位如果能把资助丧葬的钱用来购买人参,或许可以起死回生。各位既然怜悯她死亡,难道不希望能让她活下去吗?我并没有丝毫贪求,只是因为她家力不能支撑,愿意与各位共同成就这好生的善果。”邻居们本来就有善心,被我的话激发,更加高兴地说:“只听先生的命令。”于是立即使用六君子汤,加入当归、芍药来补气血并化痰涎,用麦门冬、五味子复脉通心并生津液,用桂枝温暖四肢,中午服药,傍晚时分四肢逐渐回暖,精神焕发,虽然还无力发声,改为使用生脉汤加入远志、当归、芍药、薏苡仁、山药,调理后痊愈。邻居们都非常高兴。
The mother of Wang Sishi, aged approximately fifty. After a fit of extreme anger, she suddenly fainted during urination, with her jaw clenched and loss of consciousness. She regained consciousness after being administered Suhexiang Wan (Styrax Pill). Subsequently, she experienced pain in the left hand and right foot, unable to move them. She was treated with Erchen Tang (Two-Cured Decoction) added with Jiuhuangqin (Wine-processed Scutellariae Radix), Wujiapi (Acanthopanacis Cortex), Qinjiao (Gentianae Macrophyllae Radix), Shichangpu (Acori Tatarinowii Rhizoma), Fangfeng (Saposhnikoviae Radix), and Yiyiren (Coicis Semen). After four doses, she recovered.
Sun Junshi, my clan's nephew, in his prime, suffered from pain throughout the body's sinews and bones, with swelling and pain in the limbs and joints. The pain was extremely severe, resembling bites from a tiger. He could not rise or defecate/urinate without the support of three to five people. All painful areas felt hot as if burning by fire. He could not eat or drink, and had been groaning in bed for two periods of ten days (approximately twenty days). Some prescribed wind-dispelling agents, which were ineffective; others prescribed agents containing Rushen (Boswelliae Resina) and Moyao (Olibanum) to invigorate blood and stop pain, which were also ineffective. I was consulted later. The six pulses were floating, tight, and rapid. I said: This is Zhoubi (Zhou Bi, a type of bi syndrome characterized by wandering pain throughout the body). The condition is very severe, commonly known as Baihu Lijie Feng (White Tiger Joint-Wandering Wind), caused by damp-heat. Danxi stated: Swelling belongs to dampness, pain belongs to fire. Fire nature is swift, thus the pain is sudden and fierce like this. I prescribed Shengdihuang (Rehmanniae Radix), Honghua (Carthami Flos), Jiuhuangqin (Wine-processed Scutellariae Radix), Jiuhualian (Wine-processed Coptidis Rhizoma), Jiuhuabo (Wine-processed Phellodendri Cortex), Qinjiao (Gentianae Macrophyllae Radix), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Haitongpi (Saposhnikoviae Radix - *Note: Context suggests likely Saposhnikoviae or similar, but text says Haitongpi usually Polygalae or Saposhnikoviae depending on source, here kept as generic name*), Weilingxian (Syneilesis Herba), and Gancao (Glycyrrhizae Radix et Rhizoma). After four doses, the pain decreased by more than half. Then, Chishao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix), Can'erzi (Xanthii Fructus), and Yiyiren (Coicis Semen) were added, while Duhuo and Qinjiao were removed. After another eight doses, he fully recovered.
The wife of Ye Zihei contracted an epidemic disease. Physicians attempted sweating and purging therapies, exhausting their skills without success. She had been bedridden for nearly ten days. Her family was impoverished and could not afford to invite doctors again. Neighbors, seeing her state and believing life and death were imminent, collectively made charitable vows and pooled funds to assist with her funeral expenses. Upon hearing this, I examined her. The pulses in all six positions were weak and insufficient under the fingers; the right Guan position was slightly slippery. Her spirit was confused and exhausted, her breath faint and lingering, her limbs cold and inverted, and she had thirst. After finishing the pulse diagnosis, I told the neighbors: "According to the symptoms, it is critical; however, according to the pulse, the pathogenic factors have already retreated. It is merely deficiency and exhaustion with weak spirit and qi. Only massive tonification can restore her. If you gentlemen would use the funds intended for the funeral to purchase Renshen (Ginseng Radix et Rhizoma), there is a chance to bring her back from death to life. Since you pity her dying, do you not hope for her living? I have no selfish desire; it is simply that her family lacks the strength to sustain her. I wish to join you in completing this good deed of preserving life." The neighbors, originally kind-hearted, were stirred by my words and happily agreed, saying: "We follow your orders." They immediately used Liujunzi Tang (Six-Gentlemen Decoction) added with Danggui (Angelicae Sinensis Radix) and Shaoyao (Paeoniae Radix) to tonify qi and blood and resolve phlegm. Maimendong (Ophiopogonis Radix) and Wuweizi (Schisandrae Fructus) were used to restore the pulse, unblock the heart, and generate fluids. Guizhi (Cinnamomi Ramulus) was used to warm the four limbs. Medicine was taken at noon. By late afternoon, her limbs gradually warmed, and her spirit revived, though she still lacked the strength to speak. The prescription was changed to Shengmai San (Generate the Pulse Powder) added with Yuanzhi (Polygalae Radix), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Yiyiren (Coicis Semen), and Shanyao (Dioscoreae Rhizoma). She recovered through regulation. The neighbors were greatly delighted.