有一患者,愈后腿作痛。余意脓血过多,疮虽愈,肝经血气尚未充实,而湿热乘虚也。
遂以八珍加牛膝、木瓜、苍术、黄柏、防己、炙草以祛湿热,养阴血,痛渐止;乃去防己、
黄柏,服之遂瘳。
有一患者,瘀血失砭,胀痛烦渴。纵饮凉童便,渴胀顿止,以萝卜细捣涂之,瘀血渐散
。已而患处作痒,仍涂之痒止。后口干作渴,小腹引阴茎作痛,小便如淋,时出白津,此肝
经郁火也,遂以小柴胡汤加大黄、黄连、山栀饮之,诸症悉退;再用养血等药而安。夫小腹
引阴茎作痛等症,往往误认为寒症,投以热剂,则诸窍出血,或二便不通,以及危殆,轻亦
损其目矣。
有一患者,痛甚发热,呕吐少食,胸膈痞满。用行气破血之剂益甚,口干作渴,大便不
调,患处色黯。余曰∶此痛伤胃气所致。遂以四君、当归、炒芩、软柴、藿香,二剂诸症渐
愈;又用大补之剂,溃之而瘳。
有一患者,发热 痛。服寒凉药,更加口干作渴,肚腹亦痛,自以为瘀血欲下之。余按
其肚腹不痛,脉细微而迟,饮食恶寒。此凉药伤胃而然也,急用六君加芍药、当归、炮附子
各一钱,服之前症益甚,反加谵语面赤。余意其药力未至耳。前药再加附子五分,服之即睡
,觉来诸病顿退而安。
有一患者,瘀血虽去,饮食形气如故,但热渴 痛,膈痞有痰,以小柴胡汤加天花粉、
贝母、桔梗、山栀,二剂少愈;又加生地、归尾、黄芩、柴胡、山栀、花粉而愈。余治百余
人,其杖后血气不虚者,惟此一人耳,治者审之。
有一位患者,疮疡愈合后腿部疼痛。我推测是因为脓血流失过多,虽然疮口已愈,但肝经的血气尚未恢复充实,导致湿热之邪乘虚而入。
于是使用八珍汤(一种补气养血的方剂)加入牛膝、木瓜、苍术、黄柏、防己、炙甘草,以祛除湿热、滋养阴血,疼痛逐渐停止;随后去掉防己和黄柏,继续服用该方,病情最终痊愈。
有一位患者,因瘀血未能通过砭石疗法排出,出现胀痛和烦躁口渴。他大量饮用凉的童便(儿童尿液),口渴和腹胀顿时缓解,再用细碎的萝卜捣烂外敷患处,瘀血逐渐消散。不久后患处发痒,再次涂抹萝卜泥后瘙痒停止。后来出现口干口渴,小腹部牵引阴茎疼痛,小便像淋证一样涩痛,时常流出白色津液,这是肝经郁结之火所致,于是用小柴胡汤(和解少阳的方剂)加大黄、黄连、山栀服用,所有症状全部消退;接着再用养血等药物调理而安定下来。像小腹牵引阴茎疼痛等症状,往往被误认为是寒症,如果投用热性药物,会导致各种窍道出血,或者大小便不通,甚至危及生命,轻则损伤眼睛。
有一位患者,疼痛剧烈且发热,呕吐、进食减少,胸膈部痞塞胀满。使用行气破血的药剂后症状反而加重,出现口干口渴,大便不调,患处颜色暗紫。我说:这是疼痛损伤了胃气所致。于是使用四君子汤(补气基础方)加入当归、炒黄芩、软柴胡、藿香,服用两剂后所有症状逐渐痊愈;又使用大补气血的药剂,促使疮疡溃破排脓而痊愈。
有一位患者,发热且疼痛。服用寒凉药物后,更加口干口渴,肚腹也疼痛,自认为有瘀血想要攻下。我按压他的肚腹并不痛,脉象细微而迟缓,饮食减少且怕冷。这是寒凉药物损伤胃气造成的,急忙使用六君子汤(益气健脾化痰方)加入芍药、当归、炮附子各一钱,服用后前症反而加重,还出现了胡言乱语和面红。我推测是药力还未到达病所。在前方的基础上再加附子五分,服用后即入睡,醒来后所有病症顿然消退而安宁。
有一位患者,瘀血虽然已经去除,饮食和形体气息如常,只是仍有热渴和疼痛,膈间痞塞且有痰,用小柴胡汤加入天花粉、贝母、桔梗、山栀,服用两剂后稍有好转;又加入生地、归尾、黄芩、柴胡、山栀、花粉而痊愈。我治疗过一百多人,在受杖刑后血气没有亏损的,只有这一位病人罢了,治病者应当审慎对待。
A patient experienced leg pain after the healing of a sore. I surmised that due to excessive loss of pus and blood, although the wound had healed, the Qi and Blood of the Liver Meridian were not yet sufficient, allowing Damp-Heat to invade via the deficiency.
Therefore, Ba Zhen Tang (Eight Treasure Decoction) was administered with added Niuxi (Radix Achyranthis Bidentatae), Mugua (Fructus Chaenomelis), Cangzhu (Rhizoma Atractylodis Chinensis), Huangbai (Cortex Phellodendri), Fangji (Radix Stephaniae Tetrandrae), and Zhigancao (Radix Glycyrrhizae Preparata) to dispel Damp-Heat and nourish Yin-Blood. The pain gradually ceased; subsequently, Fangji and Huangbai were removed, and upon continuing this prescription, the condition was completely cured.
Another patient suffered from distending pain, irritability, and thirst because stasis-blood was not expelled by bian-shi (stone lancet) therapy. He drank large quantities of cold Tongbian (urine of a healthy child), which immediately relieved the thirst and distension. Crushed radish (Raphani Semen) was applied externally to the affected area, causing the stasis-blood to gradually dissipate. Later, the affected area became itchy; reapplication of the radish paste stopped the itching. Subsequently, he developed dry mouth and thirst, pain in the lower abdomen radiating to the penis, dysuria resembling Lin syndrome, and occasional discharge of white fluid. This indicated Fire stagnation in the Liver Meridian. Xiao Chai Hu Tang (Minor Bupleurum Decoction) was prescribed with added Dahuang (Radix et Rhizoma Rhei), Huanglian (Rhizoma Coptidis), and Shanzhi (Fructus Gardeniae). All symptoms subsided; thereafter, blood-nourishing herbs were used to restore stability. Symptoms such as lower abdominal pain radiating to the penis are often misdiagnosed as Cold syndromes. If hot-natured medicines are administered, bleeding from various orifices, obstruction of urination and defecation, or even critical danger may occur; mild cases may result in eye damage.
A third patient presented with severe pain, fever, vomiting, poor appetite, and fullness/stuffiness in the chest and diaphragm. Administration of Qi-moving and blood-breaking agents exacerbated the condition, leading to dry mouth, thirst, irregular bowel movements, and dark discoloration of the affected area. I stated: "This is caused by pain damaging Stomach Qi." Therefore, Si Jun Zi Tang (Four Gentlemen Decoction) was used with added Danggui (Radix Angelicae Sinensis), fried Huangqin (Radix Scutellariae), soft Chaihu (Radix Bupleuri), and Huoxiang (Herba Agastaches), for two doses until all symptoms gradually resolved. Subsequently, strong tonifying agents were employed to promote suppuration and cure the condition.
A fourth patient suffered from fever and pain. After taking cold-natured medicines, his dry mouth and thirst worsened, accompanied by abdominal pain. He believed there was stasis-blood and desired purgation. Upon palpation, his abdomen was not tender, his pulse was fine, minute, and slow, and he had poor intake and aversion to cold. This resulted from cold medicines damaging Stomach Qi. Urgently, Liu Jun Zi Tang (Six Gentlemen Decoction) was administered with Shaoyao (Radix Paeoniae Alba), Danggui, and Paofuzi (Radix Aconiti Lateralis Preparata), each 1 qian. After ingestion, previous symptoms worsened, and delirium and facial redness appeared. I surmised that the medicinal force had not yet reached the disease site. An additional 5 fen of Fuzi was added to the previous prescription. Upon ingestion, the patient fell asleep; upon waking, all ailments suddenly receded, and he stabilized.
A fifth patient had already expelled stasis-blood, with normal diet, physique, and Qi, but still experienced heat, thirst, and pain, along with diaphragmatic stuffiness and phlegm. Xiao Chai Hu Tang was prescribed with added Tianhuafen (Radix Trichosanthis), Beimu (Bulbus Fritillariae Cirrhosae), Jiegeng (Radix Platycodonis), and Shanzhi. After two doses, slight improvement was noted; subsequently, Dihuang (Radix Rehmanniae Preparata), Guiwei (Cauda Radicis Angelicae Sinensis), Huangqin, Chaihu, Shanzhi, and Huafen were added, resulting in recovery. Among over one hundred patients I treated who received corporal punishment (caning) without depletion of Qi and Blood, this was the only case. Practitioners should exercise caution.