会复华以事入都,家人另延医,投以苍白术、补骨脂、肉豆蔻、丁、桂、香、砂仁、建莲、扁豆之类,频服
至百余日,肌肉枯削,动则忡惕眩晕,食入即呕,而下利益频。始谢去,再延余,但与重剂杞子、地黄、沙参、麦
冬、米仁、山药。初加黄连三分,四剂随减去。加人参一钱,四五剂,亦减去。后加肉苁蓉四钱,四剂,凡服
药一月而安。类皆甘寒润滑之品,有泥景岳之说,谓吐泻皆属脾胃虚寒者,宜变通焉。
复华令正亦患脾泄,每五更黎明,必行一二次,医亦以香燥辛热健脾之剂与之。治半年余,泄泻转加,月
事数月不至,寒热无时,头晕心忡,四肢厥冷。每下午则面赤口苦舌燥,食则欲呕,寐则多惊。幸脉未数,亦
与杞、地、沙参、麦冬,间入酒连,诸证递愈,经水亦行。再加山药、枣仁,食增泻止。
褚某年二十四五,新婚数月,忽病泄泻,日五六次,食后即急欲如厕,腹胀甚,腰亦疼。脉之,两手俱弦,
与生地、杞子、沙参、麦冬、米仁、川楝,稍减旋复。乃加杞子至一两,入酒连四分,二剂而愈。
项秋子尊堂年五十,久患泄泻,日常数行。凡饮食稍热,即欲泄,后食渐减,治数年无效,已听之。偶昏
暮于空房见黑影,疑外孙也,抚之无有,因大恐失跌,遂作寒热,左胁如锥刺,彻夜不眠,口苦眩晕。或疑邪
祟,或疑瘀滞,幸未服药。诊之,脉弦数,与川连、楝肉、米仁、沙参、麦冬、生地、杞子、蒌仁,才下咽,
胁痛如失。再剂,则累年之泄泻亦愈矣。或问故,曰∶此肝经血燥,火旺乘脾之证。经曰∶人虚则目KT KT 无所
见。其见黑影者,乃眩晕时作,又因恐而失跌也。原夫向之泄泻,屡治罔验者,盖时师见证治证,所用必香、
砂、芩、术诸燥剂也。火生于木,祸发必克,此《阴符经》之秘旨也。医者能扩而充之,则世无难治之病矣。
会复华因事前往京城,他的家人另外请了医生,给他服用了苍白术、补骨脂、肉豆蔻、丁香、桂枝、香附、砂仁、建莲、扁豆等药物,频繁服用。
到了百余日,肌肉消瘦枯槁,一动就心悸眩晕,吃进去的食物立刻呕吐,而下利(腹泻)更加频繁。
这才辞退那位医生,再次请我诊治,我只给予重剂量的枸杞子、地黄、沙参、麦冬、薏苡仁、山药。
起初加入黄连三分,服用四剂后随即减去。
加入人参一钱,服用四五剂后,也减去了。
后来加入肉苁蓉四钱,服用四剂,总共服药一个月而病情安定。
这些药物大都是甘寒润滑性质的,如果有拘泥于张景岳的说法,认为呕吐和腹泻都属于脾胃虚寒的,应当变通看待。
会复华的夫人也患有脾泄(脾虚导致的泄泻),每当天将亮时,必定要排便一两次,医生也用香燥辛热健脾的药物给她治疗。
治疗半年多,泄泻反而加重,月经数月不来,寒热往来无定时,头晕心悸,四肢冰冷。
每到下午则面红口苦舌干,进食就想呕吐,睡觉时容易受惊。
幸好脉搏没有数急,我也用枸杞、地黄、沙参、麦冬,间或加入酒炒黄连,各种症状逐渐痊愈,月经也来了。
再加山药、酸枣仁,食欲增加,泄泻停止。
姓褚的人二十四五岁,新婚几个月,忽然患泄泻,每天五六次,吃完饭后就急着上厕所,腹部胀气很严重,腰部也疼痛。
诊脉,两手脉象都弦,给予生地、枸杞子、沙参、麦冬、薏苡仁、川楝子,症状稍减后又复发。
于是将枸杞子加到一两,加入酒炒黄连四分,服用两剂而痊愈。
项秋子的母亲五十岁,长期患泄泻,每天数次大便。
凡是饮食稍微热一点,就想泄泻,后来吃得渐渐减少,治疗几年无效,已经听之任之。
偶然在黄昏时分在空房里看到黑影,以为是外孙,去抚摸却没有,因此极度惊恐失足跌倒,于是出现寒热,左胁像锥子刺一样痛,整夜不眠,口苦眩晕。
有人怀疑是邪祟作怪,有人怀疑是瘀血阻滞,幸好没有服药。
诊脉,脉象弦数,给予川连、楝肉、薏苡仁、沙参、麦冬、生地、枸杞子、瓜蒌仁,药才刚咽下,胁痛就像消失了一样。
再服用两剂,那么多年的泄泻也痊愈了。
有人问原因,我说:这是肝经血燥,火旺乘脾的病证。《内经》说:人虚弱就会眼睛看不清东西。
他看见黑影,是因为眩晕发作,又因为恐惧而失足跌倒造成的。
原先的泄泻,多次治疗都没有效果,大概是因为当时的医生见症治症,所用的必定是香附、砂仁、黄芩、白术等燥烈药物。
火生于木,灾祸发生必然克制(被克者),这是《阴符经》中的秘密旨意啊。
医生如果能扩大并充实这一理论,那么世上就没有难治的疾病了。
Hui Fuhua went to the capital on business, and his family hired another physician who administered a frequent course of medicines including Cang Zhu (Atractylodis Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Gou Gu Zhi (Psoraleae Fructus), Rou Dou Kou (Myristicae Semen), Ding Xiang (Caryophylli Flos), Gui Zhi (Cinnamomi Ramulus), Xiang Fu (Cyperi Rhizoma), Sha Ren (Amomi Fructus Rotundus), Jian Lian (Nelumbinis Plumula), and Bian Dou (Dolichoris Semen).
After more than a hundred days of frequent administration, his muscles became emaciated and wasted; upon movement, he experienced palpitations and vertigo; food was vomited immediately after ingestion, and diarrhea became increasingly frequent.
Only then did they dismiss that physician and invite me again. I prescribed heavy doses of Gou Qi Zi (Lycii Fructus), Di Huang (Rehmanniae Radix), Sha Shen (Glehniae Radix or Adenophorae Radix), Mai Dong (Ophiopogonis Tuber), Mi Yi Ren (Coicis Semen), and Shan Yao (Dioscoreae Rhizoma).
Initially, I added three fen of Huang Lian (Coptidis Rhizoma), which was removed after four doses.
I added one qian of Ren Shen (Ginseng Radix et Rhizoma), which was also removed after four or five doses.
Later, I added four qian of Rou Cong Rong (Cistanches Herba), and after four doses, the patient stabilized after one month of medication in total.
These substances were mostly sweet, cold, and lubricating in nature. Those who rigidly adhere to Zhang Jingyue's theory that vomiting and diarrhea all belong to spleen-stomach deficiency-cold should exercise flexibility in their approach.
Mr. Hui's wife also suffered from Pi Xie (Spleen Deficiency Diarrhea); every dawn, she would defecate once or twice. Physicians treated her with aromatic, dry, acrid, and hot formulas to tonify the spleen for over half a year, yet her diarrhea worsened. Her menstruation ceased for months, she experienced irregular chills and fever, dizziness, palpitations, and cold limbs.
Every afternoon, her face turned red, her mouth became bitter and tongue dry; she felt nauseous after eating and had frequent frights during sleep. Fortunately, her pulse was not rapid. I prescribed Gou Qi Zi, Di Huang, Sha Shen, and Mai Dong, occasionally adding Jiu Lian (Wine-processed Coptidis Rhizoma). Her symptoms gradually resolved, and her menses resumed.
Subsequently, I added Shan Yao and Suan Zao Ren (Ziziphi Spinosae Semen); her appetite increased, and diarrhea ceased.
A man surnamed Chu, aged twenty-four or twenty-five, had been married for several months when he suddenly developed diarrhea, occurring five or six times daily. He urgently needed to defecate immediately after eating, accompanied by severe abdominal distension and lower back pain.
Palpation revealed wiry pulses in both hands. I prescribed Sheng Di Huang (Rehmanniae Radix Preparata), Gou Qi Zi, Sha Shen, Mai Dong, Mi Yi Ren, and Chuan Lian Zi (Toosendan Fructus). His condition improved slightly but relapsed.
I then increased the dose of Gou Qi Zi to one liang and added four fen of Jiu Lian. After two doses, he recovered.
The mother of Xiang Qiuzi, aged fifty, had suffered from chronic diarrhea for years, defecating several times daily. Any food that was slightly hot triggered an urge to defecate. Her intake gradually decreased despite years of ineffective treatment, leading her to resign herself to the condition.
One evening, while in an empty room, she saw a dark shadow, mistaking it for her grandson. Upon reaching out to touch him, no one was there. Overcome with great fear, she stumbled and fell, subsequently developing chills and fever, stabbing pain in the left hypochondrium lasting all night, insomnia, bitter taste, and vertigo.
Some suspected demonic influence, others blood stasis, but fortunately, no medicine had been taken. Palpation revealed a wiry and rapid pulse. I prescribed Chuan Lian (Coptidis Rhizoma), Lian Rou (Toosendani Mesocarp), Mi Yi Ren, Sha Shen, Mai Dong, Sheng Di Huang, Gou Qi Zi, and Lou Ren (Trichosanthis Semen). As soon as the medicine was swallowed, the hypochondriac pain vanished. After two more doses, her chronic diarrhea of many years was also cured.
When asked for the rationale, I replied: This is a syndrome of liver meridian blood dryness with fire hyperactivity invading the spleen. The Classics state: "When the person is deficient, vision becomes unclear." The seeing of shadows was due to episodes of vertigo combined with the fall caused by fear.
As for the previous diarrhea, which failed to respond to repeated treatments, it was likely because contemporary physicians treated symptoms symptomatically using drying agents such as Xiang Fu, Sha Ren, Huang Qin (Scutellariae Radix), and Bai Zhu.
Fire originates from wood; when disaster strikes, it inevitably destroys its source. This is the secret principle of the *Yin Fu Jing*. If physicians can expand upon and apply this understanding, there will be no incurable diseases in the world.