张子和治一小儿,约五六岁,同队小儿以蜀黍楷相击,逆芒倒刺于咽中,数日不下粥药,肿大发。其家告
张,张命取水,根据道经咒法,以左手屈中指及无名指,作三山印,坐水盏于其上,右手掐印文,是金枪印,脚
踏丁字,立望太阳或灯火,取气一口。次在净水盏中,咒曰∶吾取老君东流顺,老君奉 ,摄去毒水。五托大
帝尊,所到称吾者,各各现帝身,急急如律令。摄念七遍,吹在盏中,虚搅卓三次为定。其儿咽水下咽,曰∶
我可也。三五日肿散,乃知法亦有不可侮者。
《夷坚志》云∶小儿误吞稻芒着咽喉中,不能出者,名曰谷贼,惟以鹅涎灌之即愈。盖鹅涎化谷相制耳。
一儿误吞一钱在咽中不下,诸医不能取,亦不能下。戴人熟思之,忽得一策,以净白表纸,令卷实如着,
以刀纵横乱割其端,作 之状。又别取一箸,缚针钩于其端,令不可脱,先下咽中轻提轻抑探之。觉钩入
钱窍,然后以红卷纳之咽中,与钩尖相抵,觉钩尖入纸卷之端,不碍肌肉提之而出。(此法奇而稳,然非子
和灵心妙手,亦未必有济也。)
方雪瓢偶在鲍渌饮处,谈及《名医类案》中以南硼砂治误吞金,及羊胫骨灰治法,皆神验。座客有言面
筋灰治误吞铜钱甚异者,方默识之。归适邻家误吞铜钱,哽咽间不能上下,危急之际,方即以法教之。才
下咽,钱自口中出,其巧值如斯,殆有鬼神使之耶?因附记之。其法以面筋置新瓦上烧作炭,研末,用滚
汤调温服。钱未下咽者,即从口中出,已下咽者,必从便出。近又传方,以生大蒜塞鼻中,其钱立出,尤
为简便,但未之试耳。
张子和曰∶昔过株林,见一童子误吞铜铁之物,成疾而羸,足不胜身。会六七月,淫雨不止,无薪作食,
过饥数日。一旦邻牛死,闻作葵羹粳饭,病患乘饥顿食之。良久注泻如倾,觉肠中痛,遂下所吞之物。余因悟
《内经》中,肝苦急,急食甘以缓之。牛肉、粳米、葵菜皆甘物也,故能宽缓肠胃。且肠中久空,又遇甘滑
之物,此铜铁所以下也。(如此时刻留心,触处灵通,技安得不精?此古人之所以不可及也。)
近有稚子,戏以线锤置口中,误吞之,有胡僧啖以饧糖,啖之半斤,即于谷道中随秽而下。僧云∶凡误吞
五金者,皆可啖也。近峰闻略及《续医说》旧案,有僧用饧糖,出眼中箭头甚捷。
张景岳治王氏子,甫周岁,其母与一铁钉与之玩弄,吞入喉间。往视之,见其母倒提儿足,以冀其出,
口鼻皆血。因晓之曰∶此岂倒悬可出者乎?速令抱正,遂闻啼声。盖钉已下咽,不在喉矣。因阅本草铁畏朴硝,
遂得一法。用磁石一钱,朴硝二钱,并研为末,令以熬熟猪油加蜜,和调药末与服。下午吞之,至三鼓时,解
下一物,莹如 菜,润滑无棱,药护其外。拨视之,则钉在其中矣,乃京中钉鞋所用磨菇钉也。立方之意,以
硝非磁石,则不能使药附钉,磁石非硝,则不能逐钉速出,非油则无以润,非蜜则未必滑,则着者着,逐者逐,
润者润,同功合力,裹护而出矣。(此景岳杰出之案也。使悉能如此用法周到,夫何间然。)
按∶《物理小识》亦载小儿误吞铁针,以乳香、荔枝、朴硝为末,以犬豕脂入盐和之,吞下自愈。若碎铁,
则用皂荚、 砂。雷学曰∶铁遇神砂,和泥似粉。神砂应即 砂也。( 砂大毒,何可轻用?)
一吏部无子,妻极妒,外家方坐蓐,乃盘肠生。妻暗用细针刺于肠上,外家觉后肠时有刺痛难忍。稳婆私告于
外家,外家与吏部言之。诸医束手。一全真曰∶我能治之。用磁石一大块,从痛处引之至于脐,针从脐出,外家竟无
恙。黄蛰南公谈。(《续金陵琐事》。)
刘浴德号壶隐,知医,洞庭叶雅南之细君,五七日前因事不顺意,意欲自毙,遂吞布针十余根。因请乩仙
降笔云∶吾碧云仙使也。始问曾吞针否?又曰∶果则果矣,事则无事。仙方又书凡方可治,复问明书凡方。良
久乃书问壶隐子。因造刘问方,刘教以栎炭末三钱,用井水调服可下。如未下,可再服之。乃曰∶愚意欲饵瓷
石,未审何如?刘曰∶叵叵。(叵叵,犹言不可、不可也。)宜取磁石两大块,置肛门外,或庶几焉。如法
治,针果出。(《续金陵琐事》。)
《百一选方》以净水盛新汲水一盏,捧之面东默念云∶谨请太上东流顺水,急急如南方大帝律令 。一气念
七遍,即吹一口气入水中,如此七吹,以水饮患人,立下。或用此咒水,可以食针并竹刺。(较子和案中咒颇简易。)
诸骨鲠喉,用清水一碗,以手指向水面虚写天上金鸡叫,地下草鸡啼,两鸡并一鸡,九龙下海,喉咙化如
沧海二十五字,口诵七七遍,饮之立愈。向又一法,以清水一碗,用手指向水虚写鸟飞龙下,鱼化丹邱八字,
饮之立效。(并《酉阳杂俎》。雄按∶此皆祝由遗意。或于水面虚写水活鱼龙顺五字,饮之亦妙。)
刘浣邻人马湘生儿数月,偶遗金网中圈子于案上,儿误吞之,哀泣不已。湘求救于医,医适出,湘司于门,
坐立不定。或询其子何疾,惊惶如是。湘以前事告,或教以急买韭数茎,熟而不断,与蚕豆同咽之,不过二次,
从大便出矣。此法方书所不载,故表之。(《北壕纪言》。)
李奎治一人误吞指爪,喉哽几殆,奎令剪人指爪, 服之,立愈。疑其古方,奎曰∶不然。此《内经》所
谓衰之以其属者也。闻者叹服。(《宁波府志》。)
张子和治当涂郭祥正子,患咳嗽,肌骨如削。医多以为劳。张曰∶是不足忧。就坐饮以药,忽大吐,使视
涎沫中,当有物也。视之得鱼骨,宿疾皆愈。(《新安志》。)
一富家子,被鸡骨鲠,百方莫治,家人惊惶。忽一叟至,自云∶我有巧术,但行手法取之,不劳药饵也。
许以千缗浓谢。叟乃以丝棉裹白糖如梅大,令其咽下入喉间,留一半于外,时时以手牵掣。俾喉中作痒,忽
然痰涎涌出,其骨粘于棉上,遂如约酬之。(《续医说》。)
张文垣治查良本内人,怒后偶食鱼头,骨鲠于喉中,即馒头粽肉等压之,骨虽下,随觉胸膈不快。又服销
骨药二帖,已七日矣,胸膈胀痛殊甚,饮食悉从背下,恶寒发热。脉之,两手弦数。盖骨鲠之后,用硬物压之,
伤其胃脘,必有瘀血停蓄膈间,将食管逼向后,故饮食觉从背下也。但销去瘀血,使管撤消,胸膈之痛可瘳矣。
以五灵脂为君,元胡索、山楂、桃仁、枳壳等为臣,赤芍、丹皮、香附、山栀为佐,柴胡、石菖蒲为使,临服
入韭汁一酒杯,服后胸膈宽快,大便泻一次,痛减大半,饮食乃从右下。右边胸喉略痛,吞物甚艰,吐出痰皆
血腥气,改以山栀、赤芍、归尾、桃仁、刘寄奴、五灵脂、丹皮、穿山甲,入韭汁服之,二帖全瘳。
张景岳曰∶凡诸物鲠于喉中,或刺于骨,必得锋芒之逆,所以棘而不下。凡下而逆者,反而上之则顺矣。
故治此者,当借饮食之势,涌而吐之,使之上出,则如拔刺之捷也。若芒刺既深,必欲推下,非惟理势有不能,
亦且迟延,或食饮既消,无可推送,以致渐肿,为害非细。又曰∶凡诸骨鲠,或以 糖一大块,满口吞而咽之。
或用韭菜煮略熟,勿切,吞下一束,即裹而下,亦妙。
高坡纂异载洪洞韩肃,即忠定公之父也,三岁时,误吞一钉,家人皆惊哭待尽。其祖以神医名,视之曰∶
无恙,必待三年,钉乃得出。人莫之信,遂定时日书壁间以俟。但每作腹痛,必绝而复苏,久渐黄瘦骨立。及
期谓家人曰∶儿将瘳,势必大作,虽绝勿惧,宜先煮粥食以俟之。既而腹果大痛,一叫而绝,良久吐出,钉脱
尽。又复绝,超时始苏,岁余获安,寿七十一卒。
金陵秣陵乡中一人,姓李,号守泉,符水绝妙,远近求无不立效。其法命鲠者坐自己佛堂中,佛前放一盂
净水,令亲属往求烧符。用法讫,徐以小 卜之云∶已愈矣。其人归看净水中,所鲠之物在内,随愈。乃亲见
者。(《治法汇》。)
景德镇湖田市张姿女名婆儿,因吃 糕被噎而死,气尚未绝,须明日方敛,守尸悲哭。忽闻击户声,问谁
人?曰∶我是河里住人,陈曾二也。张曰∶何故夜深相过?曰∶知道婆儿不幸,但扶HT 起坐,将苕帚拍打背
三下, 便落腹,可活矣。张启门称谢,了无所见。试用其法,不食顷,女腹如雷鸣,实时安好。迨晓寻访陈
曾二,盖七年前溺水而死者,鬼未受生,犹怀恻隐,存心如是,张乃命僧为荐拔之。(《夷坚志》。)
张子和治疗一个约五六岁的小儿,同伴用高粱秆互相击打,倒刺扎入咽喉中,几天无法进食喝药,咽喉肿胀严重。家属告知张子和,张子和让人取水,依照道教经文的咒法,左手弯曲中指和无名指结成“三山印”,将盛水的杯子放在手印上,右手掐诀为“金枪印”,脚踩丁字步,面向太阳或灯火,吸气一口。接着在净水杯中念咒说:“吾取老君东流顺,老君奉(敕令),摄去毒水。五托大帝尊,所到称吾者,各各现帝身,急急如律令。”摄心念咒七遍,吹气入杯中,轻轻搅动三次作为定式。让患儿咽下这口水,说:“我可以了。”三五天后肿胀消散,才知道法术也有不可轻视的地方。
《夷坚志》记载:小儿误吞稻芒卡在咽喉中不能取出,名叫“谷贼”,只有用鹅的唾液灌服即可痊愈。这是因为鹅涎能化解谷物之刺相互制约的缘故。
有一个小孩误吞了一枚铜钱卡在咽喉中下不去,各位医生都无法取出,也无法推下去。戴人(张子和)深思熟虑后,忽然想到一个办法,用干净的白纸卷实像筷子一样,用刀在末端纵横乱割,做成类似钩子的形状。又另取一根筷子,在末端绑上针钩,使其不会脱落,先伸入咽喉中轻轻提按探测。感觉到钩子进入铜钱的孔窍后,然后将红纸卷插入咽喉中,与钩尖相对抵住,感觉钩尖进入纸卷末端,不伤及肌肉便将其提出。(这个方法奇特而稳妥,但如果不是张子和那样心灵手巧的人,也未必能有成效。)
方雪瓢偶然在鲍渌饮处,谈及《名医类案》中用南硼砂治疗误吞金属,以及用羊胫骨灰治疗的方法,都非常灵验。座中有客人说用面筋灰治疗误吞铜钱非常奇异,方雪瓢默默记在心里。回家时恰好邻居小孩误吞铜钱,哽咽间上下不得,危急时刻,方雪瓢立即用此法教导他们。刚咽下,铜钱就从口中吐出,其巧妙程度如此,难道是鬼神在冥冥中指引吗?于是记录下来。这个方法是把面筋放在新瓦上烧成炭,研成粉末,用滚开水调温服用。铜钱未咽下的,会从口中吐出;已经咽下的,必然从大便排出。最近又流传一种方法,用生大蒜塞入鼻孔,铜钱立刻出来,尤为简便,但我未曾尝试过。
张子和说:以前经过株林,看见一个童子误吞铜铁之物,生病消瘦,双腿无力支撑身体。恰逢六七月天,淫雨连绵不断,没有柴火做饭,连续几天挨饿。有一天邻居家的牛死了,听说做了葵菜羹和粳米饭,病人趁着饥饿大吃一顿。过了很久,腹泻如水注,感觉肠中疼痛,于是将吞下的东西排了出来。我因此领悟到《内经》中说:“肝苦急,急食甘以缓之。”牛肉、粳米、葵菜都是味甘的食物,所以能宽缓肠胃。而且肠道长时间空虚,又遇到甘滑之物,这些铜铁之物就顺势排出了。(在这种时刻留心观察,触类旁通,医术怎能不精湛?这就是古人之所以不可及的原因。)
最近有个幼童,玩耍时将线锤放入口中,误吞了下去,有位胡僧喂他饴糖,吃了半斤,随即从肛门随粪便排出。僧人说:凡是误吞五金之物,都可以吃饴糖。近峰听到略提及《续医说》中的旧案,有僧人用饴糖,迅速取出眼中的箭头。
张景岳治疗王氏的儿子,刚满周岁,母亲给他一枚铁钉玩耍,吞入喉间。前去诊治时,看见母亲倒提着孩子的双脚,希望钉子能出来,导致口鼻流血。于是开导她说:这哪里是倒悬就能出来的呢?赶紧让孩子抱正,随即听到哭声。原来钉子已经咽下,不在喉咙里了。查阅本草发现铁畏朴硝,于是想到一个办法。用磁石一钱,朴硝二钱,一起研成末,让患儿用熬熟的猪油加蜜调和药末服用。下午吞服,到了三更天时,解下一物,晶莹如白菜叶,润滑无棱角,药物包裹在外面。拨开查看,钉子就在其中,这是京城钉鞋所用的磨菇钉。立方的用意在于:如果没有硝,磁石就不能使药附着在钉子上;如果没有磁石,硝就不能迅速驱逐钉子;没有油就无法滋润,没有蜜就不一定顺滑,这样着者附着,逐者驱逐,润者滋润,共同合力,包裹保护而出。(这是张景岳杰出的医案。如果能都像这样用法周到,还有什么可挑剔的呢?)
按语:《物理小识》也记载小儿误吞铁针,用乳香、荔枝核、朴硝研末,用狗猪脂加入盐调和,吞下自愈。如果是碎铁,则用皂荚、朱砂。雷学说:铁遇到神砂,和泥像粉一样。神砂应该就是朱砂。(朱砂大毒,怎么可以轻易使用?)
一位吏部官员没有儿子,妻子非常嫉妒,岳父家正在分娩,胎儿脐带缠绕胎盘出生(盘肠生)。妻子暗中用细针刺在婴儿肠子上,岳父家察觉后,婴儿时常感到刺痛难忍。接生婆私下告诉岳父家,岳父家告诉了吏部官员。各位医生束手无策。一位全真道士说:我能治。用一大块磁石,从痛处引导至肚脐,针从脐部出来,岳父家竟然安然无恙。黄蛰南公谈论此事。(出自《续金陵琐事》。)
刘浴德号壶隐,懂医术,洞庭人叶雅南的妻子,五七天前因为事情不顺心,想要自杀,吞下了十几根布针。于是请乩仙降笔说:我是碧云仙使。起初问是否吞了针?又说:果真是吞了,但事体无碍。仙方又写凡方可治,再次询问明确书写凡方。许久才写下问壶隐之子。于是造访刘浴德询问药方,刘浴德教他用栎树炭末三钱,用井水调服可以排出。如果没排出,可以再服。那人说:我本想喂瓷石,不知如何?刘浴德说:万万不可。(叵叵,意为不可、不行。)应该取两大块磁石,放置在肛门外,或许有效。按照这种方法治疗,针果然排出。(出自《续金陵琐事》。)
《百一选方》记载用净水盛在新汲取的水一盏,捧着面向东方默念说:谨请太上东流顺水,急急如南方大帝律令。一口气念七遍,即吹一口气入水中,如此吹七次,让病人喝水,立刻排出。或者用这种咒水,可以吞下针和竹刺。(比张子和案中的咒法颇为简易。)
各种骨头卡喉,用清水一碗,用手指向水面虚写“天上金鸡叫,地下草鸡啼,两鸡并一鸡,九龙下海,喉咙化如沧海”二十五字,口诵七七四十九遍,饮之立刻痊愈。先前还有一种方法,用清水一碗,用手指向水虚写“鸟飞龙下,鱼化丹邱”八字,饮之立刻见效。(均出自《酉阳杂俎》。雄按:这都是祝由术的遗意。或者在水面虚写“水活鱼龙顺”五字,饮用也奇妙。)
刘浣邻人马湘生的孩子几个月大,偶尔将金网中的圈子遗落在桌上,孩子误吞,哀哭不止。马湘求救于医生,医生恰好外出,马湘守在门口,坐立不安。有人问他孩子什么病,惊慌成这样。马湘将前事告知,有人教他急忙买几茎韭菜,煮熟不断开,与蚕豆一同咽下,不超过两次,从大便排出。这个方法方书没有记载,所以表彰它。(出自《北壕纪言》。)
李奎治疗一个人误吞指甲,喉咙哽塞几乎致死,李奎让人剪下人的指甲,让他服下,立刻痊愈。旁人怀疑这是古方,李奎说:不是这样。这是《内经》所说的“衰之以其属”的道理。听者叹服。(出自《宁波府志》。)
张子和治疗当涂郭祥正的儿子,患咳嗽,肌肉骨骼消瘦。医生多认为是劳损。张子和说:这不必担忧。让他坐下服药,突然剧烈呕吐,让人看唾沫中,应该有异物。查看后得到鱼骨,宿疾全部痊愈。(出自《新安志》。)
一个富家子弟,被鸡骨卡喉,多方治疗无效,家人惊慌失措。忽然一位老者到来,自称:我有巧术,只需用手法治取,不需要药物。许诺重金酬谢。老者用丝棉裹白糖如梅子大小,让他咽下入喉间,留一半在外,时时用手牵拉。使喉中发痒,忽然痰涎涌出,骨头粘在棉上,于是如约酬谢。(出自《续医说》。)
张文垣治疗查良本的夫人,发怒后偶然吃鱼头,鱼骨卡喉,就用馒头粽肉等压迫,骨头虽下去,随即觉得胸膈不适。又服用消骨药两帖,已经七天了,胸膈胀痛非常厉害,饮食都从背部下行,恶寒发热。诊脉,两手弦数。大概是骨鲠之后,用硬物压迫,损伤了胃脘,必有瘀血停蓄在膈间,将食管逼向后方,所以饮食感觉从背部下行。只要消除瘀血,使食管恢复,胸膈之痛就可以治愈了。以五灵脂为君药,元胡索、山楂、桃仁、枳壳等为臣药,赤芍、丹皮、香附、山栀为佐药,柴胡、石菖蒲为使药,临服时加入一杯韭汁,服用后胸膈宽快,大便泻一次,痛减大半,饮食乃从右下侧下行。右侧胸喉略痛,吞咽艰难,吐出的痰都有血腥气,改用药方:山栀、赤芍、归尾、桃仁、刘寄奴、五灵脂、丹皮、穿山甲,加入韭汁服用,两帖全愈。
张景岳说:凡是诸物卡喉中,或刺入骨,必定得锋芒之逆,所以棘刺而下不去。凡是向下而逆势的,反过来向上引则顺了。所以治疗此症,应当借助饮食之势,涌吐使之,使其从上而出,就像拔刺一样快捷。如果芒刺已经深入,一定要推下去,不仅理势不允许,而且会拖延时间,或者饮食既已消化,无可推送,以致逐渐肿胀,危害不小。又说:凡是诸骨鲠,可以用饴糖一大块,满口吞下咽之。或者用韭菜煮略熟,不要切,吞下一束,即包裹而下,也很妙。
高坡纂异记载洪洞韩肃,就是忠定公的父亲,三岁时,误吞一枚钉子,家人都惊哭等待死亡。他的祖父以神医闻名,诊治后说:无妨,必须等到三年,钉子才能出来。人们都不相信,于是定时日写在墙壁间等待。但每次腹痛,必定昏厥复苏,久而久之渐渐黄瘦骨立。到期对家人说:孩子将要痊愈,势必大作,即使昏厥也不要怕,应该先煮粥食用等待。不久腹部果然大痛,大叫一声而绝,良久吐出,钉子完全脱落。又昏厥,超时才苏醒,一岁多获得安康,寿七十一岁去世。
金陵秣陵乡中有一人,姓李,号守泉,符水非常灵验,远近求治无不立效。他的方法是让卡喉者坐在自己的佛堂中,佛前放一盆净水,让亲属去求烧符。用法完毕,慢慢用小卜卦器占卜说:已经痊愈了。那人回家看净水中,卡喉之物在里面,随即痊愈。这是亲眼所见者。(出自《治法汇》。)
景德镇湖田市张姿的女儿名婆儿,因吃糕被噎死,气尚未断,须明天才收敛,守尸悲哭。忽然听见敲门声,问是谁?答:我是河里住人,陈曾二。张氏说:为何深夜相访?答:知道婆儿不幸,但扶起她坐好,将苕帚拍打背部三下,糕点就会落入腹中,可以活了。张氏开门致谢,却一无所见。试用其法,不一会儿,女孩腹部如雷鸣,实时安好。等到天亮寻找陈曾二,原来是七年前溺水而死的人,鬼魂未受生,犹怀恻隐之心,存心如此,张氏于是命僧人为其超度荐拔。(出自《夷坚志》。)
Zihe treated a child of about five or six years old. His playmates were hitting each other with sorghum stalks, and the inverted awns pierced into his throat. For several days, he could not eat porridge or take medicine, and the swelling was severe. The family informed Zihe. Zihe ordered water to be fetched. Following the incantation method from the Daoist scriptures, he bent his left middle and ring fingers to form the "Three Mountain Seal" (Sanshan Yin), placed a cup of water on it, pinched the pattern with his right hand forming the "Golden Spear Seal" (Jinqiang Yin), stood with his feet in a 'Ding' character shape, faced the sun or a lamp, and drew one breath of qi. Then, over the clean water cup, he chanted: "I take Laozi's east-flowing smoothness; Laozi receives the decree, to absorb the toxic water. Five Tu Great Emperor's honor, those who arrive and call upon me, each manifest the Emperor's body, swiftly as the law commands." He focused his mind, repeated the chant seven times, blew into the cup, stirred gently three times to set it. The child swallowed the water, saying, "I am fine." After three to five days, the swelling subsided, showing that magical methods are also not to be despised.
The *Yijian Zhi* records: When a child accidentally swallows rice awns stuck in the throat, unable to come out, it is called "Grain Thief" (Gu Zei). Only by pouring goose saliva into him will he recover. This is because goose saliva can dissolve grain thorns through mutual restriction.
A child accidentally swallowed a copper coin stuck in the throat, unable to go down. Various doctors could neither remove nor push it down. Dairen (Zihe) thought deeply and suddenly devised a plan. He took clean white paper, rolled it tightly like a chopstick, and cut the end crosswise with a knife to make it hook-shaped. He took another chopstick, bound a needle hook to its end so it would not detach, inserted it lightly into the throat to probe. Feeling the hook enter the coin's hole, he then inserted the red paper roll into the throat, opposing the hook tip. Feeling the hook tip enter the end of the paper roll without hindering the muscle, he lifted it out. (This method is strange yet stable, but without Zihe's agile mind and skillful hands, it might not have succeeded.)
Fang Xuepiao was at Bao Luyin's place when they discussed the *Famous Doctors' Cases*, mentioning that using South Borax to treat accidental swallowing of metal, and sheep shin bone ash for treatment, were both miraculous. A guest mentioned that using gluten ash to treat swallowed copper coins was very strange. Fang memorized it silently. Returning home, he happened to find a neighbor's child had swallowed a copper coin, choking and unable to move it up or down. In this critical moment, Fang immediately taught them the method. As soon as it was swallowed, the coin came out of the mouth. Its cleverness was such, perhaps guided by spirits? I record it here. The method involves placing gluten on a new tile, burning it to charcoal, grinding it into powder, and taking it warm mixed with boiling water. Coins not yet swallowed will exit from the mouth; those already swallowed will surely exit via stool. Recently, another method has been circulated: plugging raw garlic into the nose makes the coin emerge immediately, which is even simpler, though I have not tried it.
Zihe said: Once passing Zhulin, I saw a boy who had accidentally swallowed copper and iron objects, becoming ill and emaciated, unable to support his body with his legs. It was June or July, continuous rain, no firewood for cooking, starving for several days. One day, a neighbor's cow died. Hearing they made mallow soup and glutinous rice meal, the patient ate heartily while hungry. After a while, he had profuse diarrhea, felt pain in his intestines, and then passed the swallowed object. I thereby realized what the *Neijing* says: "The Liver suffers from tension; urgently eat sweet things to relax it." Beef, glutinous rice, and mallows are all sweet substances, thus they can loosen and relax the intestines and stomach. Moreover, the intestines had been empty for a long time, and encountering sweet and slippery substances allowed the copper and iron to pass down. (Being attentive at such moments, gaining insight everywhere, how can one's skills not be refined? This is why the ancients are unsurpassable.)
Recently, a young child played with a line weight, putting it in his mouth and accidentally swallowing it. A Hu monk fed him maltose sugar. Eating half a jin, it passed down with feces from the anus. The monk said: Anyone who accidentally swallows the "Five Metals" can eat maltose. Jinfeng heard briefly mention an old case in *Continued Medical Sayings*, where a monk used maltose to quickly extract an arrowhead from the eye.
Zhang Jingyue treated the son of the Wang family, just one year old. His mother gave him an iron nail to play with, which he swallowed into his throat. Upon visiting, he saw the mother holding the child upside down by the feet, hoping the nail would come out, causing blood from the mouth and nose. He advised her: "How can hanging upside down make it come out? Quickly hold him upright." Immediately, crying was heard. The nail had gone down the esophagus, not staying in the throat. Consulting the Materia Medica, iron fears Mirabilite (Puxiao). Thus, a method was found. Use Magnetite (Cishi) 1 qian, Mirabilite 2 qian, grind together into powder. Let the child take it mixed with boiled lard and honey. Swallowed in the afternoon, by the third watch (midnight), a substance was passed. It was clear like cabbage leaves, smooth and edgeless, protected by medicine on the outside. Inspecting it, the nail was inside. It was a mushroom-headed nail used for shoe-nailing in the capital. The intent of the prescription: Without Mirabilite, Magnetite cannot make the medicine adhere to the nail; without Magnetite, Mirabilite cannot drive the nail out quickly; without oil, there is no lubrication; without honey, it may not be slippery. Thus, the adhering adheres, the driving drives, the lubricating lubricates, working together to wrap and expel. (This is an outstanding case by Jingyue. If everyone could use methods so thoroughly, what fault could be found?)
Note: *Wuli Xiaoshi* also records that for children accidentally swallowing iron needles, using Frankincense (Ruxiang), Lychee seed, and Mirabilite ground into powder, mixed with dog or pig fat and salt, swallowed to heal itself. For broken iron, use Gleditsia sinensis (Zaojia) and Cinnabar (Zhusha). Lei Xue said: Iron meets Divine Cinnabar, mixing mud like powder. Divine Cinnabar should be Cinnabar. (Cinnabar is highly toxic, how can it be used lightly?)
A Ministry official had no sons, and his wife was extremely jealous. Her family was giving birth, and the baby was born with the umbilical cord wrapped around the placenta (Pan Chang Sheng). The wife secretly pricked the intestine with a fine needle. After the maternal family noticed, the infant often suffered unbearable sharp pain. The midwife privately told the maternal family, who informed the official. All doctors were helpless. A Quanzhen Daoist said: "I can cure him." Using a large piece of Magnetite, guiding it from the painful area to the navel, the needle emerged from the navel. The maternal family was completely unharmed. Discussed by Huang Zenan. (*Continued Jinling Trivial Matters*.)
Liu Yude, styled Huyin, knew medicine. Ye Yanan of Dongting's wife, five or seven days prior due to dissatisfaction, intended suicide, swallowing more than ten cloth pins. They consulted a spirit-writing medium who said: "I am the Envoy of Bixian." First asked if she swallowed pins? Then said: "Indeed she did, but the matter is harmless." The spiritual prescription wrote that ordinary prescriptions can treat it, asking again to write clearly. After a long time, it wrote asking Huyin's son. Visiting Liu to ask for the prescription, Liu taught him to use Oak Charcoal Powder 3 qian, mixed well water to swallow, which can expel it. If not expelled, take again. The person said: "My intention was to feed Magnetite, how do you think?" Liu said: "Absolutely not." (Popo means absolutely not.) Should take two large pieces of Magnetite, place outside the anus, perhaps it will work. Treated according to method, the pins indeed came out. (*Continued Jinling Trivial Matters*.)
*Bai Yi Xuan Fang* records filling a new ladle of clean water, holding it facing East, silently chanting: "Respectfully invite Supreme Lord East-Flowing Smooth Water, swiftly as Southern Great Emperor's Law." Chant once for seven repetitions, blow one breath into the water, blowing seven times, let the patient drink, expels immediately. Or use this blessed water to swallow needles and bamboo splinters. (Much simpler than Zihe's incantation case.)
For various bones stuck in the throat, take one bowl of clear water, use finger to write in the air above the water: "Heavenly Golden Rooster Cries, Earthly Grass Rooster Clucks, Two Roosters Become One, Nine Dragons Enter Sea, Throat Transforms Like Vast Ocean" (25 characters). Recite 7x7=49 times, drink, instantly healed. Previously, another method: one bowl clear water, finger writes above water: "Bird Flies Dragon Descends, Fish Transforms Danqiu" (8 characters). Drink, instantly effective. (Both from *Youyang Zazu*. Xiong notes: These are remnants of Zhuyou magic. Or writing "Water Lives Fish Dragon Smooth" 5 characters above water, drinking is also wonderful.)
Liu Huanlin's subordinate Ma Xiang's son, months old, accidentally dropped a gold net ring on the table, child swallowed it, crying bitterly. Xiang sought help from a doctor, who was out. Xiang waited at the door, restless. Someone asked why he was so panicked about his son's illness. Xiang told the story. Someone taught him to urgently buy several stems of Chinese chives, cook thoroughly without cutting, swallow together with broad beans. Not exceeding twice, it passed from the large intestine. This method is not recorded in medical books, so I publicize it. (*Beihao Jiyan*.)
Li Kui treated a person who accidentally swallowed fingernails, throat choked nearly to death. Kui ordered human fingernails to be cut and taken orally, instantly healed. Suspecting it was an ancient formula, Kui said: No. This is what the *Neijing* calls "Reducing by its affinity." Listeners sighed in admiration. (*Ningbo Prefecture Gazetteer*.)
Zihe treated Guo Xiangzheng's son from Dangtu, suffering cough, muscles and bones wasted. Doctors mostly considered it consumption (Lao). Zihe said: This is not worth worrying about. Seated, he gave him medicine. Suddenly, violent vomiting occurred. Asked to view the phlegm, there should be an object. Viewing it, a fishbone was found. Chronic illnesses all healed. (*Xin'an Zhi*.)
A rich man's son was choked by a chicken bone, hundred methods failed to treat, family panicked. Suddenly an old man arrived, claiming: "I have a clever technique, only need manual method to remove, no medicine needed." Promised thousand strings of cash as reward. Old man wrapped white sugar in silk cotton like a plum size, told him to swallow into throat, leaving half outside, pulling occasionally with hand. Making throat itch, suddenly phlegm surged out, bone stuck to cotton, paid as promised. (*Continued Medical Sayings*.)
Zhang Wenyuan treated Lady Cha Liangben. After anger, accidentally ate fish head, bone stuck in throat. Pressed with mantou and zongzi meat, bone went down, but felt chest discomfort. Took bone-dissolving medicine two doses, seven days passed, chest and diaphragm swollen and painful, food seemed to go down the back, aversion to cold and fever. Pulse: both hands wiry and rapid. Likely after bone sticking, pressing with hard objects injured the stomach, causing blood stasis accumulating between diaphragm, pushing esophagus backward, hence food feels like going down the back. Only by eliminating blood stasis, letting tube retract, can chest pain heal. Use Psoralea fruit (Wulingzhi) as Sovereign herb, Corydalis (Yuanhusuo), Hawthorn (Shanzha), Peach Kernel (Taoren), Bitter Orange (Zhiqiao) as Ministers, Red Peony Root (Chishao), Moutan Bark (Danpi), Cyperus (Xiangfu), Gardenia (Shanzhi) as Assistants, Bupleurum (Chaihu), Acorus (Shichangpu) as Envoys. Before taking, add one wine glass of Chinese chive juice. After taking, chest relaxed, bowel movement once, pain reduced greatly, food now goes down right side. Right chest/throat slightly painful, swallowing difficult, vomited phlegm with bloody smell. Changed prescription: Gardenia, Red Peony Root, Angelica Tail (Guiwei), Peach Kernel, Partridge Berry (Liujinu), Psoralea, Moutan, Pangolin Scales (Chuanshanjia), add chive juice. Two doses fully cured.
Zhang Jingyue said: Whenever objects stick in throat, or pierce bone, must get the reverse of sharp edges, thus prickly and not going down. Whatever goes down reversely, reversing it upwards makes it smooth. So treating this, should borrow the momentum of food/drink, surge and vomit it, making it exit upwards, as swift as pulling a thorn. If thorn is deep, forcing it down is not only logically impossible, but delays, or if food digests, nothing to push, leading to gradual swelling, harm is not small. Also said: For any bone sticking, take a large piece of maltose sugar, fill mouth and swallow. Or boil Chinese chives slightly cooked, do not cut, swallow a bundle, wrapping and going down, also wonderful.
*Gaopo Zuan Yi* records Hongtong Han Su, father of Zhongding Gong. At three years old, accidentally swallowed a nail. Family cried waiting for death. His grandfather, famous as divine doctor, examined and said: No danger, must wait three years, nail will come out. People did not believe, fixed date written on wall to wait. But every time abdominal pain occurred, fainted and revived, gradually became yellow and emaciated. When time came, told family: Child will recover, must act strongly, even if fainting do not fear, should first cook porridge to eat and wait. Soon abdomen truly hurt greatly, cried and fainted, after long time vomited, nail completely detached. Fainted again, recovered after time, gained peace for over a year, died at 71.
In Moling village, Jinling, a man surnamed Li, styled Shuquan, talisman water was superb, seeking from near and far always effective. His method: tell the stuck person to sit in their own Buddha hall, place a basin of clean water before Buddha, let relatives go burn talismans. After usage, slowly divinate with a small oracle tool saying: Already healed. Person returns to see clean water, the stuck object is inside, heals immediately. Seen personally. (*Zhi Fa Hui*.)
Zhang Zi's daughter named Po'er in Hutian Town, Jingdezhen, choked to death eating cake, breath not yet gone, must bury tomorrow, guarding corpse weeping bitterly. Suddenly heard knocking, asked who? Answer: I am river dweller, Chen Zeng Er. Zhang said: Why visit late at night? Answer: Know Po'er is unfortunate, but lift her sit up, beat back three times with broom, cake falls into belly, can live. Zhang opened door thanked, saw nothing. Tried method, not long, girl's belly like thunder, instantly well. Dawn searched for Chen Zeng Er, actually drowned seven years ago, ghost not yet reborn, still held compassion, heart thus, Zhang ordered monks to recommend deliverance. (*Yijian Zhi*.)