汪郎兄,腹痛,呕吐不止,城中诸友毕力医治不痊。予为脉之,早晚、大小、缓急不一
,知
其为虫也。以干姜、槟榔、苍术各一钱,五灵脂三钱,乌梅三个,川椒三分水煎饮之,痛吐
立止。
查景川兄,遍身痱痤,红而 痒,诸君以白蒺藜、荆芥、升麻、葛根、玄参、甘草、石
斛、
酒芩、甘草与之,不愈。又谓为风热,以玄参、蝉蜕、赤芍药、羌活、防风、甘草、生地、
当归、升麻、苍耳子、连翘服之,饮食顿减,遍身发疮,痛痒不可言。予脉之,两手俱缓弱
,以六君子汤减去半夏,加白扁豆、砂仁、苡仁、山药、藿香、黄 。一饮而饮食进,四帖
而痛痒除,十帖疮疥如蜕。
程玉吾内人,妊已七月,乳忽红肿而痛,洒淅恶寒发热而成内吹。以大栝蒌四钱为君,
当归
尾二钱为臣,甘草节、蒲公英、贝母、连翘各一钱二分为佐,青皮、柴胡各八分,橘叶五片
为使。水煎饮之两剂而瘳。此方治验不可胜数,缘妇女郁怒肝经为多,故栝蒌、甘草为缓肝
之
剂,贝母开郁,连翘、蒲公英解毒,柴胡、青皮调气,橘叶引经,当归活血。血活气调毒解
热散而肿痛消释也。若将成脓,可加白芷。
一黄氏妇,青年初孕,已及弥月。忽午夜口中呶呶,目作上视,角弓反张,裸裎不避羞
耻,
口眼偏邪,昏愦不知人事,问之不能言对,举家悚骇。予曰∶此风痰为怒所动而成子痫,当
从云箕子葛根汤加大腹皮一两剂可愈也。方以葛根、贝母、丹皮、防风、川芎、当归、茯苓
桂心、泽泻、甘草各二钱,独活、石膏、人参各四钱,水煎饮之而苏。
按∶贝母令人易产,未临月者用升麻代之。
汪郎兄,腹部疼痛,呕吐不止,城中的各位朋友竭尽全力医治却未能痊愈。我为他诊脉,发现早晚、大小便以及脉象的缓急都不一致,判断这是虫积所致。于是用干姜、槟榔、苍术各一钱,五灵脂三钱,乌梅三个,川椒三分,水煎后服用,腹痛和呕吐立刻停止。
查景川兄,全身出现痱子和痤疮,发红且瘙痒,各位医生用白蒺藜、荆芥、升麻、葛根、玄参、甘草、石斛、酒炒黄芩、甘草给他治疗,没有见效。又有人说是风热,用了玄参、蝉蜕、赤芍药、羌活、防风、甘草、生地、当归、升麻、苍耳子、连翘服用,结果饮食突然减少,全身发出疮疡,痛痒难以言表。我为他诊脉,两手脉象都缓弱,于是用六君子汤减去半夏,加入白扁豆、砂仁、薏苡仁、山药、藿香、黄芪。喝了一剂后饮食恢复,四剂后痛痒消除,十剂后疮疥像蜕皮一样脱落。
程玉吾的妻子,怀孕已七个月,乳房突然红肿疼痛,伴有怕冷发热,形成了“内吹”(乳痈的一种)。以大栝蒌四钱为君药,当归尾二钱为臣药,甘草节、蒲公英、贝母、连翘各一钱二分作为佐药,青皮、柴胡各八分,橘叶五片作为使药。水煎后服用两剂而痊愈。这个方子治愈的案例数不胜数,因为妇女多因郁怒导致肝经病变,所以栝蒌、甘草是舒缓肝气的药剂,贝母开解郁结,连翘、蒲公英解毒,柴胡、青皮调理气机,橘叶引药入经,当归活血。血液流通、气机调畅、毒邪解除、热气消散,肿痛也就消除了。如果即将化脓,可以加白芷。
有一位黄姓妇人,年轻初次怀孕,已满十月。忽然在半夜口中喃喃自语,眼睛向上翻视,身体向后反折如弓状(角弓反张),裸露身体不避羞耻,口眼歪斜,昏迷不省人事,问话不能回答对答,全家惊恐害怕。我说:这是风痰被怒气触动而形成的子痫(妊娠痫证),应当用云箕子葛根汤加大腹皮,一两剂就可以痊愈。方子用葛根、贝母、丹皮、防风、川芎、当归、茯苓、桂心、泽泻、甘草各二钱,独活、石膏、人参各四钱,水煎后服用,病人就苏醒过来了。
按语:贝母能使人容易生产,未到预产期者应用升麻代替。
Wang Langxiong suffered from abdominal pain and incessant vomiting. Friends in the city tried their best to treat him but failed. I took his pulse and found that the timing, volume of urination and defecation, and the speed and strength of the pulse were inconsistent, leading me to diagnose it as a case of intestinal parasites (Chong). I prescribed a decoction containing Ganjiang (Dried Ginger), Binglang (Areca Seed), Cangzhu (Atractylodis Rhizoma) each at 1 qian, Wulingzhi (Trogopteri Dung) at 3 qian, Wu Mei (Mume Fructus) 3 pieces, and Chuanjiao (Zanthoxyli Pericarpium) at 3 fen, boiled in water. The pain and vomiting stopped immediately upon ingestion.
Jingchuan Xiong had widespread papules and acne all over his body, which were red and itchy. Other physicians treated him with Baijili (Tribuli Fructus), Jingjie (Schizonepetae Herba), Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Xuanshen (Scrophulariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Shihu (Dendrobii Caulis), Jiuhuangqin (Scutellariae Radix processed with wine), and Gancao again, but without success. Later, attributing the condition to Wind-Heat, they administered Xuanshen, Chantui (Cicadae Periostracum), Chishao Yao (Paeoniae Radix Rubra), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Gancao, Shengdi (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), Shengma, Can'erzi (Xanthii Fructus), and Lianqiao (Forsythiae Fructus). Consequently, his appetite decreased sharply, and sores erupted all over his body, causing unbearable pain and itching. Upon taking his pulse, I found both hands exhibited Huanruo (slow and weak) pulses. I prescribed Liujunzi Tang (Six Gentlemen Decoction) with Banxia (Pinelliae Rhizoma) removed, and added Baibiandou (Lablab Album), Sharen (Amomi Fructus), Yiren (Coicis Semen), Shanyao (Dioscoreae Rhizoma), Huoxiang (Agastaches Herba), and Huangqi (Astragali Radix). After one dose, his appetite returned; after four doses, the pain and itching ceased; after ten doses, the sores and scabies shed like skin.
The wife of Cheng Yuwu was seven months pregnant when her breasts suddenly became red, swollen, and painful, accompanied by aversion to cold and fever, resulting in Neichui (Internal Blowing, a type of mastitis during pregnancy). I used Gualou (Trichosanthis Fructus) at 4 qian as the Sovereign herb, Dangguiwei (Angelicae Sinensis Radix tail) at 2 qian as the Minister herb, Gancaojie (Glycyrrhizae Radix et Rhizoma with nodes), Pugongying (Taraxaci Herba), Beimu (Fritillariae Bulbus), and Lianqiao each at 1.2 qian as the Assistant herbs, Qingpi (Citri Reticulatae Pericarpium Viride) and Chaihu (Bupleuri Radix) each at 0.8 fen, and Juye (Citri Reticulatae Folium) 5 leaves as the Guide herb. Boiled in water and taken for two doses, she recovered. This prescription has cured countless cases, as women often suffer from Liver Meridian disorders due to depression and anger. Therefore, Gualou and Gancao soothe the Liver; Beimu resolves stagnation; Lianqiao and Pugongying clear toxicity; Chaihu and Qingpi regulate Qi; Juye guides the medicine to the channel; and Danggui invigorates blood. With blood circulation restored, Qi regulated, toxicity resolved, and heat dispersed, swelling and pain subsided. If abscess formation is imminent, Baizhi (Angelicae Dahuricae Radix) can be added.
A woman surnamed Huang, young and in her first pregnancy, reached full term. Suddenly, in the middle of the night, she muttered incoherently, her eyes rolled upward, her body arched backward like a bow (Jiaogong Fanzhang), exposed herself without shame, her mouth and eyes deviated, she fell into a coma unaware of her surroundings, and could not respond to questions, terrifying her entire family. I said: This is Zixian (Eclampsia of Pregnancy) caused by Wind-Phlegm stirred by anger. It should be treated with Yunjizi Gegen Tang (Kudzu Root Decoction modified by Yunjizi) plus Dafupi (Arecae Pericarpium). One or two doses will suffice. The formula consisted of Gegen, Beimu, Danpi (Moutan Cortex), Fangfeng, Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui, Fuling (Poria), Guixin (Cinnamomi Ramulus), Zexie (Alismatis Rhizoma), and Gancao each at 2 qian; Duhuo (Angelicae Pubescentis Radix), Shigao (Gypsum Fibrosum), and Renshen (Ginseng Radix et Rhizoma) each at 4 qian. Boiled in water and administered, she regained consciousness.
Note: Beimu facilitates childbirth; for those not yet at term, Shengma should be used instead.