沪有泰西医士,设肆市药,其治恒施刀针,不按脉,不立方。尝见一乡人病膈求治,医
授药
数粒,归服之,觉肠胃燥裂,遍体如焚,顷吐二物,状类萤,而大倍之,蠕蠕尚动。明日复
诊,询得其故,曰∶症不可疗矣。腹中似此者无数,服药则吐出者应死,内伏者亦死,今
虽
吐出,而物尚生,是非药所能杀矣。乡人涕泣求救,医出一函,并银饼四枚,令至某处,转
求某医。乡人持往,某阅书竟,徐出药水少许,涂其两乳下,及回前医。即令仰卧于椅,椅
有机钮,手足如系。医出利刀,割涂药处,以指探觅,而无所得,复用药封之。乡人自言受
刃时,心虽战栗,恰不甚痛,然病仍未愈也。又一人,以目疾求治,医匣出二虫,形似蝗而
小,置目食翳膜殆尽,而旧患顿失。然其法大都以霸力胜,内症固非所宜,即疮疡之属,
每见其在肉削肉,强壮者尚可,若施于衰弱之体,正恐为祸转烈耳。
两苍氏曰∶读《素》、《灵》等书,知医必穷阴阳之奥。至汉末华元化,以刀斧易药石
,究是医家外乘。今已不传其书,西医殆得其一体,而术不甚验,则犹似是而非欤。
有患暴绝及中风麻木,肢体不仁者,电能疗之。法以电线按患处,若针灸然,或蓄电于
筒,令患者身贴而手按之,即取效。盖电能随人筋络,以营运骨节间,其功固甚速耳。
上海有一位中西结合的医生,开设药铺售卖药物。他治疗疾病时常常使用手术刀和针具,不诊脉,也不开具中药方剂。
曾经见到一位乡下人患有膈症(指胸膈阻塞、饮食难下之病)前来求治,医生给了几粒药丸,让他回去服用。那人服后感觉肠胃像被烧灼裂开一样,全身如火焚般疼痛,不久吐出两个物体,形状类似萤火虫,但体积大了一倍,且还在蠕动。
第二天复诊时,医生询问得知原委,说道:“这个病症无法治愈了。腹中类似的虫子不知有多少,如果服药,吐出来的虫子会死,潜伏在体内的也会死;现在虽然吐出来了,但虫子还活着,这说明不是药物所能杀死的。”
乡下人哭着求救,医生拿出一封信和四枚银饼,让他去某处,转求另一位医生。乡下人拿着信前往,那位医生看完信后,慢慢取出少许药水,涂抹在患者两侧乳房下方,以及背部前侧(注:原文“回前”疑为背前或特定部位,此处依语境译为背部前侧或相关区域,结合下文割涂药处,推测为体表特定位置)。随即让患者仰卧在椅子上,椅子设有机械按钮,将患者的手脚固定住。医生拿出锋利的刀具,切开涂药的地方,用手指探摸寻找,却一无所获,然后又用药封好伤口。乡下人自己说,受刀切割时,心里虽然战栗,但痛感并不强烈,然而病仍未痊愈。
又有一个人,因眼疾求治,医生从匣子里取出两只虫子,形状像蝗虫但较小,放在眼睛上,将眼中的翳膜吃个精光,旧患顿时消失。
然而这种疗法大多依靠强力霸道的手段取胜,对于内伤杂症本来就不适宜;即使是疮疡类疾病,也常见其以肉削肉(切除腐肉),身体强壮者尚可承受,若施用于虚弱之人,恐怕造成的祸害反而更严重。
两苍氏评论道:阅读《素问》、《灵枢》等经典书籍,就知道行医必须探究阴阳的深奥道理。到了汉末的华佗(字元化),用刀斧手术代替药物治疗,终究是医家中的旁支流派。如今他的书已失传,西医或许继承了其中一种形式,但疗效并不显著,这大概是似是而非吧。
还有那些突发昏厥及中风导致麻木、肢体失去知觉的患者,电能可以治疗他们。方法是用电线接触患处,就像针灸一样;或者将蓄电装置置于筒中,让患者身体贴近并用手按住,就能见效。这是因为电能能够随着人的经络运行,作用于骨节之间,其功效确实非常迅速。
In Shanghai, there was a physician versed in both Chinese and Western medicine who ran a shop selling medicines. His treatments often involved the use of scalpels and needles; he did not take pulses nor prescribe herbal formulas.
I once witnessed a villager suffering from *Ge* syndrome (a condition characterized by obstruction in the chest and diaphragm, making swallowing difficult) seeking treatment. The physician gave him several pills to take home. After ingestion, the patient felt his intestines and stomach as if burning and cracking, with his whole body feeling like it was on fire. Shortly after, he vomited two objects resembling fireflies but twice their size, which were still wriggling.
During the follow-up visit the next day, upon learning the details, the physician said, "This disease is incurable. There are countless such creatures in the abdomen. If medication is taken, those vomited out will die, and those remaining inside will also die. Although these have been vomited out, they are still alive, indicating that this is not something medicine can kill."
The villager wept and begged for help. The physician handed him a letter and four silver coins, instructing him to go to a specific location to seek another doctor. The villager went there, and after reading the letter, the second physician slowly took out a small amount of medicinal liquid, applied it to the area below both breasts and the anterior back region. He then instructed the patient to lie supine on a chair equipped with mechanical buttons that restrained his hands and feet. The physician produced a sharp knife, incised the area where the medicine had been applied, and probed with his fingers but found nothing. He then covered the wound with medicine again. The patient later recounted that although his heart trembled during the incision, the pain was not severe, yet his illness remained unresolved.
Another individual sought treatment for an eye disorder. The physician removed two insects from a box, which resembled locusts but were smaller, placed them on the eye, and they consumed almost all the corneal opacity (nebula), resulting in the immediate disappearance of the old ailment.
However, this method largely relies on brute force. It is indeed unsuitable for internal disorders. Even for sores and ulcers, it often involves cutting away flesh; while it may be tolerable for robust individuals, applying it to those with weak constitutions might cause even more severe harm.
Liang Cangshi commented: Reading classics such as the *Suwen* (Basic Questions) and *Lingshu* (Spiritual Pivot), one learns that practicing medicine requires penetrating the profound mysteries of Yin and Yang. By the late Han Dynasty, Hua Yuanhua (Hua Tuo) replaced herbal remedies with surgical knives and axes, which ultimately belonged to the external branches of medical practice. Since his works are no longer extant, Western medicine seems to have inherited only one aspect of this approach. However, since its efficacy is not particularly high, it appears to be somewhat superficial or inaccurate.
For patients suffering from sudden collapse or stroke-induced numbness and insensibility of the limbs, electrical energy can provide treatment. The method involves placing wires against the affected areas, similar to acupuncture and moxibustion, or having the patient press their body and hands against a cylinder containing stored electricity, which yields quick results. This is because electrical energy follows the meridians and collaterals, operating within the joints, and its effect is indeed very rapid.