一老妇患头痛二月,诸治罔效。余治以通经络和气血之剂,十余帖。晚上吐血二碗许,
其家惶恐奔告。余谓∶其症明日当愈,已而果然。
一贵介,年三旬。先因齿痛,用石膏三钱煎服,顷即满头皆肿痛,牙根上 肿势尤甚
,俟天
和,定方各羌活散火汤,羌活酒炒五分,防风三分,酒连一分,酒芩二分,白茯苓一钱,人
参二钱,甘草五分,半夏一钱,破故纸一钱,枸杞子一钱。二剂,其细涩脉即粗大,是阳气
下行矣,头痛稍止,可见前头痛是下焦无阳,阴火上冲。服之八剂,头痛全止,齿根肿犹
未退,脉则益和。余曰∶将愈矣,此阳气已至羌所。果四五日出脓少许而瘳。
万历壬寅六月间,家君年五十三矣。患心口痛,呕食面黄。诊之,脉细弦数六至余。即
灸气
,遂愈。明年天旱,家贫车戽力罢,复吐酸如前,再服前剂及八味丸而安。
一妇人,年五十余。素有心疼,久已疏矣。七月间,旧病忽作,医以宽中导气削坚攻血
等剂,致中气愈虚,不思饮食,神惫,迎予治之,已五六日不食。诊之,六脉俱沉,惟脾胃弦细
,似有神,寻亦难得;外证则心口痛,左胁胀硬,呕苦酸水,但能饮清汤,如吃米汤一口,
即饱胀不胜,正木来克土之症也。然其人脉病虽笃,面色、肌肉犹不甚脱,忆古人证书不凭
脉之语,投以异功散加吴萸、干姜,佐以姜炒山栀三分。二帖,病失十五,再二帖而愈。
一位老年妇女患头痛两个月,各种治疗方法都无效。我用通经络、和气血的药剂治疗她,服了十几帖后,晚上吐了两碗左右的血,她的家人惊恐地跑来告知我。我说:“这个症状明天应该会痊愈。”后来果然如此。
一位贵族男子,三十岁。先前因为牙痛,服用三钱石膏煎剂,不久之后整个头部都肿痛起来,牙龈上的肿胀尤其严重。等到天气凉爽时,我定下的方子是羌活散火汤:羌活酒炒五分,防风三分,黄连酒浸一分,黄芩酒浸二分,白茯苓一钱,人参二钱,甘草五分,半夏一钱,补骨脂一钱,枸杞子一钱。服用两剂后,他原本细涩的脉象变得粗大,这是阳气下行恢复的表现,头痛稍微停止。由此可见,之前的头痛是由于下焦阳气不足,阴火上冲所致。继续服用八剂后,头痛完全停止,但牙龈肿胀仍未消退,脉象则更加平和。我说:“快要痊愈了,这是因为阳气已经到达病所。”果然在四五天后排出少许脓液而病愈。
万历壬寅年(1662年)六月间,家父五十三岁。患有心口痛,呕吐食物,面色发黄。诊察发现,脉象细弦数,每息六至以上。于是施灸气海穴,随即痊愈。第二年天旱,家中贫困,用车戽水灌溉田地力气耗尽,再次出现呕吐酸水的症状,再次服用之前的药方及八味丸而安定下来。
一位五十多岁的妇女。素来有心痛病,很久没有发作了。七月间,旧病突然发作,医生使用宽中导气、削坚攻血等药剂,导致中气更加虚弱,不想饮食,精神疲惫。请我去诊治时,她已经五六天没有进食了。诊察发现,六脉俱沉,只有脾胃部位的脉象弦细,似乎有神气,但也很难捕捉;外在症状则是心口痛,左胁胀硬,呕吐苦酸水,只能喝清汤,如果吃一口米汤,就会感到饱胀难忍,这正是木克土的症状。然而虽然脉症都很严重,但面色和肌肉还没有严重脱失。想起古人说的“诊断不单纯依赖脉象”的话,投以异功散加吴茱萸、干姜,佐以姜炒山栀三分。服用两剂后,病情减轻十五分,再服两剂后痊愈。
An elderly woman suffered from headache for two months, to which various treatments proved ineffective. I treated her with a decoction designed to unblock the meridians and harmonize Qi and Blood (Qi and Blood). After taking more than ten doses, she vomited approximately two bowls of blood at night. Her family panicked and rushed to inform me. I stated, "The symptoms should resolve tomorrow," which indeed came to pass.
A nobleman, aged thirty, had previously suffered from toothache. He took three qian of Shigao (Gypsum Fibrosum) decocted in water. Shortly thereafter, his entire head became swollen and painful, with the swelling at the gum roots being particularly severe. When the weather cooled down, I prescribed Qianghuo Sanhuo Tang (Qianghuo Fire-Dispersing Decoction): Qianghuo (Notopterygii Rhizoma et Radix) stir-fried with wine, 5 fen; Fangfeng (Saposhnikoviae Radix), 3 fen; Lianhua (Coptidis Rhizoma) soaked in wine, 1 fen; Huangqin (Scutellariae Radix) soaked in wine, 2 fen; Baifuling (Poria), 1 qian; Renshen (Ginseng Radix et Rhizoma), 2 qian; Gancao (Glycyrrhizae Radix et Rhizoma), 5 fen; Banxia (Pinelliae Rhizoma), 1 qian; Pugu Zhi (Psoraleae Fructus), 1 qian; Gouqizi (Lycii Fructus), 1 qian. After two doses, his previously fine and choppy pulse became coarse and large, indicating that Yang Qi was descending. The headache subsided slightly, demonstrating that the previous headache was caused by a lack of Yang Qi in the Lower Jiao (Lower Burner) with Yin Fire rushing upward. After taking eight more doses, the headache completely ceased, although the gum swelling remained, the pulse became even more harmonious. I said, "It is about to heal; this indicates that Yang Qi has reached the affected area." Indeed, after four or five days, a small amount of pus was discharged, and he recovered.
In June of the Renyin year of the Wanli era, my father was fifty-three years old. He suffered from pain in the heart region (epigastric/cardiac area), vomiting food, and yellow complexion. Upon diagnosis, his pulse was fine, wiry, and rapid, exceeding six beats per breath. I applied moxibustion to Qihai (CV6, Sea of Qi), and he recovered immediately. The following year, due to drought and poverty, my family exhausted their strength using a wheel-barrow bucket for irrigation. He again experienced vomiting of acid fluid similar to before. He took the previous prescription along with Bawei Wan (Eight-Ingredient Pill) and stabilized.
A woman over fifty years old had a history of heart pain, which had been dormant for a long time. In July, the old illness suddenly recurred. Physicians administered formulas to widen the middle and guide Qi, as well as those to reduce hardness and attack blood stasis. This resulted in further deficiency of Middle Qi (Middle Burner Qi), loss of appetite, and mental exhaustion. When I was invited to treat her, she had not eaten for five or six days. Diagnosis revealed that all six pulses were deep. Only the pulses corresponding to the Spleen and Stomach were wiry and fine, appearing to have Shen (Spirit/Vitality), though difficult to grasp. Externally, she presented with pain in the heart region, distension and hardness in the left hypochondrium, vomiting of bitter and sour fluid, and an ability to drink only clear soup. Consuming even one mouthful of rice gruel caused unbearable fullness. This is a classic case of Wood overacting on Earth (Liver invading Spleen/Stomach). Although the pulse and symptoms were severe, her facial color and muscles had not significantly wasted away. Recalling the ancient saying that diagnosis should not rely solely on the pulse, I administered Yigong San (Yigong Powder) added with Wuzhuyu (Evodiae Fructus) and Ganjiang (Zingiberis Rhizoma), assisted by Jiangchao Zhizi (Gardeniae Fructus stir-fried with ginger), 3 fen. After two doses, the illness diminished by fifteen percent; after another two doses, she recovered.