楚观军舰邹允坤君。年二十八岁。因夏间冒雨追取舢板。感受风湿。遂病腹胀腿肿
。下及两脚。初在上海某医院医治。服泻药不效。九月该舰来镇江。延予延医。
发热胸闷。舌苔黄腻。腹胀不舒。脉滑
溲赤。盖湿势蕴伏。兼有痰滞。初用半夏泻心汤。
小茈胡汤。小陷胸汤等方。热退胸宽。惟遍身关节作痛。因于清利湿热方中。加羌活、秦艽
、桑枝、牛膝等药。以治其痛。讵知此药服后。次日忽大喘不止。速予往诊
。视之果喘息不宁。精神疲惫。不能起坐。诊其脉。两手俱细弱无
神。舌色亦转光而无苔。面色黄淡。盖病退而元气大虚欲脱矣。遂急书方。用潞党参三钱。
西洋参三钱。熟地四钱。黄 、枸
杞子、胡桃肉各三钱。干姜八分。五味子、甘草各五分。水煎服。明日其伴某君复来延诊。
谓予曰。先生真神人也。昨药服后。喘息即止。而神气亦宁。安睡一夜。予
遂偕往观之。果安静如平人。但起坐时。仍觉喘促。因嘱以原方再服一剂。此药服后。喘则
定矣。而腹忽胀大。如怀孕之妇人。大小便不通。乃以资生
丸去黄连。加橙皮、木香作煎剂。一服而胀松。接服五剂。胀全消。每餐能进饭一碗余。并
能起立行走。但觉腿脚酸痛无力而已。其时江浙联军。方攻南京。该舰奉调
。急欲赴宁。乃于前方去山楂、神曲。加炒熟地炭、牛膝、杜仲等药。以与之而行。大凡
虚实复杂之病。其中必多转变。医家当随其机而应付之。曲折变化。一如其病。苟稍执滞
。其不覆败者几希。虽然。此岂可与浅人道哉。
孟姓妇年逾四旬。素患白带。庚戌秋间卧病。服药不效。遂延予治。病者烦躁不安。彻夜不
寐。稍进汤饮。则呕吐不已。脐左
有动气。白带频流。自觉烧热异常。扪其身凉如平人。脉亦弦小不数。舌红赤光。毫无苔垢
。问其家人。病者性情素躁。且已产育十二胎。盖血液亏竭。阳热偏胜。加以所服药饵。皆
辛散苦寒之品。以致胃气益虚。胃液益竭。而神不守舍也。乃与黄连阿胶汤。加沙参、麦冬
、熟地、枣仁、茯神、牡蛎、龙齿、珍珠母、朱砂块、磁石、蒌仁等药。芩、连只用数分。
熟地、阿胶等则用三钱。以鸡子黄一枚。生搅冲服。一剂烦躁定。能安睡。二剂后眠食俱安
。但
精神疲惫。遂以前方去芩、连。加苁蓉、枸杞。填补精血。接服数日而痊。
王姓妇。发热
头疼。呕恶不已。医用荆、防、苏叶等药不效。予诊其脉数口渴。舌苔薄腻。溲热胸闷。此
暑湿痰滞蕴伏中焦。胃脏不能运化之病。乃与橘皮竹茹汤。加黄连、半夏、旋复花、佩兰、
枇杷叶、茯苓、苡仁等药。服后得战汗而热退呕止。能进稀粥。复以原方减轻其剂。加沙参
、麦冬。全愈。
王善余次子。年十六岁。陡患腹痛呕吐。恶寒发热。痛甚则出汗。舌苔薄腻
。脉缓滑。与茈胡桂枝汤去人参。加蔻仁、木香。一剂痛呕俱止。寒热亦退。接服一剂全愈。
吴姓妇年二十余。夏间陡患呕吐心烦胸闷。头眩口干。自服痧药及十滴药
水。均无效。予以黄连五分。吴萸二分。旋复花、半夏各一钱五分。香橼花五朵。橘皮八分
。六一散二钱。代赭石三钱。一剂而愈。
某妓十六岁。腹痛呕吐。先数日天癸来时。犯房事。旋即腹痛。呕吐下利。胸闷发热。痛作则呼号不已。舌苔腻。
脉滑。此平日饮食不慎。胃病而兼子宫病也。因与桂枝汤。加浓朴、木香、砂仁、半夏、当归。服后腹痛较轻。惟吐利
未止。身热口渴。溲热。溺时则小腹大痛。脉弦滑数。遂改用黄连汤加浓朴。于是腹痛大定。身热亦清。但呕吐粘痰甚
多。乃以原方去桂枝、浓朴、半夏。加麦冬、竹茹、神曲、佩兰、生姜汁、莱菔汁等。服后得畅汗而痊。
查养和女佣十八岁。端午节啖糯米粽过多。遂病胸膈饱闷。恶寒发热。舌苔垢腻。脉息滑大。先与平胃散合枳桔汤。
加神曲、栝蒌。不效。乃于方中加滚痰丸三钱。服后得大便两次。胸膈遂通。嗣以原方去滚痰丸。合小陷胸汤。接服两
剂全愈。
黄焕文君病湿温。予已为之治愈矣。未几因饱啖鸡肉荤面莲子等物。复病胸次满闷不舒。发
热口干。舌苔干腻。与枳桔汤合小陷胸汤。加神曲作煎剂。并令先服滚痰丸三钱。服后先得
大便。随即得汗甚多。衣襟俱湿。盖前病之余气未盖。不仅食滞为患也。自是热退胸舒。知
饥能食。复以六君子汤加麦冬、苡仁。接服两日而瘳。
郭某年六十余。腊月间患疝病。外肾根部。肿硬如鸡卵。疼痛非常。恶寒不热。口干。舌光
无苔。而色不红。盖寒疝也。其坚硬如鸡卵者。寒邪搏结得温则消散也。乃以乌头桂枝汤。
蜜炙乌头三钱。桂枝、白芍各二钱。甘草一钱。加党参二钱。干姜八分。小茴香、当归各三
钱。木香一钱。作煎剂。服后至夜间痛始定。肿硬亦消。口干亦止。翌日。以原方用羊肉汤
煎药。并令其煨食羊肉而痊。
龙耀南年逾五旬。素有疝病。时发时愈。辛亥冬月。病复作。然与从前发病时情形不同。自
觉有气从脐下直冲于心。则心痛欲裂。于是手冷汗出。不能支持。吸鸦片烟暂止片刻。然于
病无济。初犹间一二日始发。继则日发无已。精神疲倦。饮食大减。两脉弦小。舌中有白苔
。盖奔豚病也。乃肾气素虚。复受客寒。身中阳气不能胜寒气之侵逼。则上冲而作痛。昔人
所谓肾气凌心者是也。乃与桂枝加桂汤。再加熟地、鹿角胶、小茴香。服两剂后。痛大退。
越两日。天气愈寒。而病之复作。更兼呕吐。遂改用理中汤加肉桂、吴茱萸、半夏、鹿角胶
、沉香。接服三剂全安。
李姓妇年约四旬。天癸两月未来。呕吐不能饮食。茶汤入口便吐
。略有恶寒发热等症。予诊其脉。缓滑有神。乃告之曰。孕也。病家疑信参半。
急欲止吐。
屡服药而呕吐偏不能止。复延他医延医。议论纷纭。方药亦各不同。数日后呕吐如故。日渐
瘦弱。一月后其家复来邀诊。入其室则病患方痉厥未苏。两手紧握。两膝亦蜷。面色黄瘦。
问
家已议备后事矣。予曰。人虽瘦弱。痉厥可畏。而脉则缓滑有生气。非病也。孕也。因嘱其
不必服药。但以粥汤及鸡鸭汤与饮。盖以妇人恶阻。有过六十日或八十日始愈者。不可妄以
药治也。又月余。其侄来诊病。问之。则已渐愈。稍能饮食矣。及至腊月。其婿送诊金来。
复问之。则已饮食步履如平人矣。至今年三月果生一女。金匮论妇人恶阻。有绝之之戒。不
图于今日见之也。
孙姓子七岁。腊月间发热恶寒。咳嗽体倦。饮食减少。脉缓不数。初用
葱豉汤加薄荷、桔梗、杏仁、甘草等。服后颈项及胸背等处。发现痧点。犹隐约在皮肤间。
尚未大现于外也。仍用原方。第三日痧大现。胸背颈项手臂等处。均密布而色红艳。夜间热
甚口渴。遂改用桑叶、金银花、杏仁、益母草、花粉、贝母、甘草等。第四日热仍不退。舌
色红赤起刺。毫无苔垢。遂易方。用地骨皮。干生地各三钱。麦冬二钱。北沙参一钱。白茅
根三钱。贝母一钱。枇杷叶一片。一服热退神安。舌色亦淡而无刺矣。接服一剂全愈。
杨某年近三旬。素有吐血病。遇劳则发。今年五月。因劳役愤怒。血症又作。吐血成碗。发
热咳嗽。延医服药。始尚小效。继则大吐不止。服药不效。其戚王姓延予治。问其情形。每
日上午四句钟时。即大吐血。咳嗽有痰。心烦口渴。欲饮冷水。自觉胸博烧热。心胸间喜以
冷水浸手巾覆之。知饥能食。舌苔薄腻微黄。两手脉数不大。形容消瘦。予谓此暑热伏于肺
胃
。热迫血而妄行。欲止其血。当先降其热。热降则血安于其位。不治而自止矣。以玉女煎合
清燥救肺汤为剂。生石膏四钱。桑叶一钱。干地黄四钱。阿胶三钱。贝母、麦冬、沙参各二
钱。杏仁一钱。枇杷叶一片。服后觉凉爽异常。腹中雷鸣。心内空虚。身热亦稍平。上午四
时未吐。至午后始吐。咳嗽痰多。仍以原方加竹叶三钱。栝蒌根二钱。枣仁、柏子仁各四钱
。接服两剂。血几全止矣。惟精神疲惫。时出冷汗。脉息 大无力。舌上无苔。乃热退而元
气虚也。况吐血多日。亡血已多。安有不虚之理。易方用生脉散加黄 、熟地、枸杞、枣仁
、阿胶。接服两剂。汗渐少。能进粥两大碗。惟咳嗽痰中带血。嗽甚则亦或吐一二口。但迥
非从前之汹涌耳。乃以百合固金汤合千金苇茎汤。出入调治。数日后能起床行走。饮食亦大
进矣。遂以饮食滋补。兼服琼玉膏而瘳。
家君自少时即患肺病。咳嗽咯血。必服泻白散及贝母、山栀、麦冬等药数剂始愈。嗣后遇劳
碌及恼怒时。病即复作。然亦有隔数年不发者。丁未夏月。偶因冒暑发热。而旧病亦复发。
较前益剧。先是某日夜间。觉喉内有物上溢。以为痰耳。遂咯吐数口。及张灯视之。则皆血
也
。由是咯血不已。或纯血。或与痰质混和。精神疲惫。不能起于床。服阿胶、地黄、麦冬、
贝母、枇杷叶等药小效。饮食亦稍能进。面色如常。身不发热。亦无盗汗口渴等症。脉息亦
尚平静。遂仍以前方进。讵意次日晚间。血忽上涌。连吐数口。遂昏晕不能言。奄奄一息。
急以潞党参五钱。西洋参五钱。煎汤进。及参汤服下数分钟。始能言语。谓心内慌慌。周
身肉颤。语时声音极低。盖元气大虚欲脱也。遂仍以参汤和阿胶、熟地、枣仁、枸杞等药
煎汤进。并以猪蹄煨汤服。如是调养至十数日。始渐入佳境。而胃纳亦甚佳。每日须六七
餐。过时则饥。每餐皆猪蹄、海参、鸡子、粥、饭等物。且惟此等滋补品能受。若菜蔬、
莱菔及豆腐浆等类。皆不堪食。偶或食之。则觉嘈烦易饥。盖亡血之后胃液耗竭。非藉动物
之脂膏不能填补也。迨一月后。精神渐复。亦能为人诊病。但不能用心思索。每写药方。则
手颤眼花。行路只能及半里。再远则不能行矣。此丁未年焯由苏州返里。侍疾笔记之大略也
。其后三年病未大发。精力亦较前康健。辛亥七月。天气酷热。偶因诊事劳碌。病又复发。
咳嗽咯血。发热口干。服清养药数剂。虽小愈。而精神则殊疲弱。至九月间。武昌革命正在
进行之时。吾扬居民。纷纷迁避。几于十室九空。家君日闻此耗。惊忧交并。于是病又大作
。
接服至十日。血渐少。亦稍稍能睡矣。自是遂以两仪膏集灵膏二方合并。仍制成膏剂。接服
月余。咯血全止。精神亦大恢复。但微有咳嗽而已。计前后凡服党参斤许。西洋参数两。枸杞
子斤许。熟地二斤。干地黄、麦冬、阿胶亦各数两。距今已将三年。病未复发。且精神矍铄
。日夕奔走。为人治病。呜呼。药之功顾不大欤。今编此书。特志崖略于此。以俟高明教正焉。
曹韵笙先生如君。年三十余。素患肺病及头痛病。每劳怒啖粘腻肥甘等物即发。发则
头痛目昏。咳嗽喉中如水鸡声。胸闷不饥。舌苔薄腻。寸关脉滑。盖产育已多。脑筋衰弱。
而又吸阿片。喜肥甘粘食。痰滞阻塞为病也。每次均用桑叶、杭菊、薄荷、杏仁、贝母、桔
梗、前胡、橘皮等药奏效。今已数年。皆赖此方之力。现悉粘腻肥甘之患。已改用他种食品
。而病发亦轻。不复如前此之剧矣。
姚某子六岁。六月间患痢症。里急后重。日夜不休。发热口渴。舌苔黄腻。两脉滑数。用香
连丸加黄芩、枳壳、槟榔、苡仁、六一散。作煎剂。黄连只用四分。余药亦只用一二钱。一
剂痢减半。再剂全安。
张小芬君病痢。下利腹痛。里急后重。困苦不已。脉息滑数。与小
承气汤合香连丸。加槟榔、木香。服后痛痢俱止。但转为发热胸闷。是里气得通而余病将从
表解也。乃易方用小陷胸合小茈胡汤。去人参、甘草。加枳壳、桔梗、浓朴。得汗而解。惟
腹中作胀。不思饮食。舌现白腻苔。复易方用平胃散。加黄芩、苏梗、蔻仁、佩兰、苡仁等
两剂全瘳。
夏某子四岁。下痢红白。腹胀身不热。口不渴。舌色淡无苔。脉缓滑。与平胃散
加白术、木香、砂仁、扁豆等。接服两剂而痊。盖过啖生冷等物。肠胃不能运化也。
殷某子四岁。下痢多日。手足冷。时出冷汗。脉息小弱。神气疲倦。口不渴。舌无苔。此非
痢疾。乃阳虚欲脱也。不温则死。乃与理中汤。参、术各用三钱。干姜八分。甘草八分。加
生姜、
红枣煎服。一服汗收手暖。下利亦减。接服一剂而安。
李善门侄女。年二十余。患痢疾。
医用大黄、槟榔。及三物备急丸数剂。下利益甚。里急亦迫。至于脱肛。每至解大便时。腹
痛肛坠。困苦异常。乃与补中益气汤。一服而脱肛愈。两服而痢亦止矣。
滕云路君令堂。年七十余。病痢多日。至于脱肛。精神疲惫。头晕心悸。不能起坐。舌光无
苔。脉息小弱。与补中益气汤加麦冬、白芍、木香。三剂而痊。
江某子十五岁。泻利年余。面黄体瘦。食少作恶。舌光无苔。口干头晕。心悸脉细。每日犹
泻十数次。所泻皆稀粪水。盖泻利日久肠胃中之脂液消亡。昔人所谓下多亡阴是也。与大补
楚观军舰上的邹允坤先生，二十八岁。因为在夏天冒雨追赶打捞舢板，感受了风湿之邪，于是得了腹胀、腿肿的病，肿胀向下蔓延至双脚。起初在上海某医院治疗，服用泻药没有效果。九月时该舰来到镇江，邀请我去诊治。当时他发热、胸闷、舌苔黄腻、腹胀不舒服、脉象滑、小便赤红。这是湿气蕴伏体内，兼有痰浊停滞。起初使用半夏泻心汤、小柴胡汤、小陷胸汤等方剂，热退后胸口宽畅，只是全身关节疼痛。因此在清利湿热的方子中，加入羌活、秦艽、桑枝、牛膝等药物来治疗疼痛。没想到服药后第二天突然剧烈喘息不止，急忙去诊视，果然见其喘息不安，精神疲惫，不能起坐。诊其脉象，两手都细弱无神，舌色转光且无苔，面色黄淡。这是病邪已退但元气大虚欲脱的征象。于是急忙开方，用潞党参三钱、西洋参三钱、熟地黄四钱、黄芪、枸杞子、胡桃肉各三钱、干姜八分、五味子、甘草各五分，水煎服。第二天他的同伴某君又来请诊，对我说：“先生真是神人！昨天服药后，喘息立即停止，精神也安宁了，安稳睡了一夜。”我便随他去查看，果然安静如常人，只是起坐时仍觉得气短喘促。于是嘱咐他原方再服一剂。服药后喘息平息，但腹部突然胀大，像怀孕的妇人一样，大小便不通。于是用资生丸去掉黄连，加陈皮、木香做成煎剂，服一次后腹胀缓解，接着服五剂，胀满全消。每餐能吃一碗多饭，并能站立行走，只是觉得腿脚酸痛无力而已。当时江浙联军正在攻打南京，该舰奉调急欲前往南京，于是在前方基础上去掉山楂、神曲，加炒熟地炭、牛膝、杜仲等药物给他带着走。大凡虚实夹杂复杂的疾病，其中必然多有变化，医生应当根据病情机变灵活应对，曲折变化要完全顺应病情。如果稍微固执拘泥，不失败的就很少了。虽然如此，这哪里能跟浅薄的人说呢？
姓孟的妇女四十多岁，平时患有白带病。庚戌年秋天卧病在床，服药无效，于是请我治疗。病人烦躁不安，整夜不睡觉，稍喝点汤水就呕吐不止。脐部左侧有动气感，白带频繁流出，自觉身体异常发热，但摸其身凉如正常人，脉象弦小且不数，舌红赤光亮，毫无苔垢。询问其家人，病人性格素来急躁，且已生育十二胎。这是血液亏竭，阳热偏胜，加上所服药物都是辛散苦寒之品，导致胃气更虚，胃液更竭，而神志不能守舍。于是给予黄连阿胶汤，加沙参、麦冬、熟地黄、酸枣仁、茯神、牡蛎、龙齿、珍珠母、朱砂块、磁石、瓜蒌仁等药物。黄芩、黄连只用几分，熟地黄、阿胶等则用三钱，用鸡蛋黄一枚，生搅冲服。一剂后烦躁安定，能安睡。两剂后眠食皆安，只是精神疲惫，于是以前方去掉黄芩、黄连，加肉苁蓉、枸杞子，填补精血，接连服用数日而痊愈。
姓王的妇女，发热头痛，呕吐不止。医生用荆芥、防风、苏叶等药无效。我诊其脉数口渴，舌苔薄腻，小便热，胸闷。这是暑湿痰滞蕴伏在中焦，胃脏不能运化的病。于是给予橘皮竹茹汤，加黄连、半夏、旋覆花、佩兰、枇杷叶、茯苓、薏苡仁等药物。服药后得战汗而热退呕止，能进稀粥。再用原方减轻剂量，加沙参、麦冬，完全痊愈。
王善余的次子，十六岁。突然患腹痛呕吐，恶寒发热，痛甚则出汗，舌苔薄腻，脉缓滑。给予小柴胡桂枝汤去掉人参，加白豆蔻、木香。一剂后痛呕俱止，寒热亦退。接服一剂完全痊愈。
姓吴的妇女二十多岁。夏天突然患呕吐心烦胸闷，头晕口干。自己服用痧药及十滴水药水，均无效。我用黄连五分、吴茱萸二分、旋覆花、半夏各一钱五分、香橼花五朵、陈皮八分、六一散二钱、代赭石三钱。一剂而愈。
某妓女十六岁。腹痛呕吐。先几天月经来时，行房事，随即腹痛，呕吐下利，胸闷发热，痛时呼叫不已。舌苔腻，脉滑。这是平日饮食不慎，胃病兼子宫病。于是给予桂枝汤，加厚朴、木香、砂仁、半夏、当归。服药后腹痛较轻，只是吐利未止，身热口渴，小便热，排尿时小腹剧痛，脉弦滑数。于是改用黄连汤加厚朴。于是腹痛大定，身热亦清。只是呕吐粘痰很多，于是以原方去掉桂枝、厚朴、半夏，加麦冬、竹茹、神曲、佩兰、生姜汁、莱菔汁等。服药后得畅汗而痊愈。
查养和家的女佣十八岁。端午节吃糯米粽过多，于是病胸膈饱闷，恶寒发热，舌苔垢腻，脉息滑大。先用平胃散合枳桔汤，加神曲、瓜蒌，无效。于是在方中加入滚痰丸三钱，服药后大便两次，胸膈遂通。随后以原方去掉滚痰丸，合小陷胸汤，接服两剂完全痊愈。
黄焕文先生患湿温病，我已经为他治愈了。不久因为饱吃鸡肉荤面莲子等物，又病胸次满闷不舒服，发热口干，舌苔干腻。给予枳桔汤合小陷胸汤，加神曲做成煎剂，并令先服滚痰丸三钱。服药后先得大便，随即得汗甚多，衣襟都湿了。这是因为前病之余气未净，不仅是食滞为患。从此热退胸舒，知饥能食，再用六君子汤加麦冬、薏苡仁，接服两日而病愈。
郭某六十多岁。腊月间患疝病，外肾根部肿硬如鸡卵，疼痛非常，恶寒不热，口干，舌光无苔，面色不红。这是寒疝。其坚硬如鸡卵者，是寒邪搏结，得温则消散。于是给予乌头桂枝汤，蜜炙川乌三钱、桂枝、白芍各二钱、甘草一钱，加党参二钱、干姜八分、小茴香、当归各三钱、木香一钱，做成煎剂。服药后至夜间痛始定，肿硬亦消，口干亦止。次日，以原方用羊肉汤煎药，并令其煨食羊肉而痊愈。
龙耀南五十多岁，素有疝病，时发时愈。辛亥年冬天，病复发。但与从前发病时情形不同，自觉有气从脐下直冲于心，则心痛欲裂，于是手冷汗出，不能支持，吸鸦片烟暂止片刻，但对病无济于事。起初还隔一两天才发作，后来则日日发作不止，精神疲倦，饮食大减，两脉弦小，舌中有白苔。这是奔豚病。这是肾气素虚，复受客寒，身中阳气不能胜寒气之侵逼，则上冲而作痛。古人所谓肾气凌心者是也。于是给予桂枝加桂汤，再加熟地黄、鹿角胶、小茴香。服两剂后，痛大退。过了两天，天气更寒，病复发，更兼呕吐，于是改用理中汤加肉桂、吴茱萸、半夏、鹿角胶、沉香。接服三剂完全安好。
姓李的妇女约四十岁。月经两个月未来，呕吐不能饮食，茶汤入口便吐，略有恶寒发热等症状。我诊其脉，缓滑有神，于是告诉她：“是怀孕。”病家半信半疑，急着止吐，屡服药而呕吐偏不能止，又延请其他医生，议论纷纭，方药也各不相同。数日后呕吐如故，日渐瘦弱。一个月后其家人又来邀诊，进入房间则病患刚发生痉厥未苏醒，两手紧握，两膝蜷缩，面色黄瘦。问家属已议备后事了。我说：“人虽瘦弱，痉厥可畏，但脉则缓滑有生气，不是病，是怀孕。”于是嘱咐不必服药，但以粥汤及鸡鸭汤与饮。因为妇人恶阻（妊娠呕吐），有过六十日或八十日始愈者，不可妄以药治。又月余，其侄子来诊病，问之，则已渐愈，稍能饮食了。到了腊月，其女婿送诊金来，再问之，则已饮食步履如常人矣。到今年三月果然生一女。《金匮要略》论妇人恶阻，有绝之（禁止用药）的戒律，没料到在今天见到了。
姓孙的儿子七岁。腊月间发热恶寒，咳嗽体倦，饮食减少，脉缓不数。初用葱豉汤加薄荷、桔梗、杏仁、甘草等。服后颈项及胸背等处，发现痧点，犹隐约在皮肤间，尚未大现于外也。仍用原方。第三日痧大现，胸背颈项手臂等处，均密布而色红艳。夜间热甚口渴，于是改用桑叶、金银花、杏仁、益母草、花粉、贝母、甘草等。第四日热仍不退，舌色红赤起刺，毫无苔垢，于是换方，用地骨皮、干生地各三钱、麦冬二钱、北沙参一钱、白茅根三钱、贝母一钱、枇杷叶一片。一服热退神安，舌色亦淡而无刺矣。接服一剂完全痊愈。
杨某近三十岁，素有吐血病，遇劳则发。今年五月，因劳役愤怒，血症又作，吐血成碗，发热咳嗽，延医服药，开始尚小效，继则大吐不止，服药无效。其亲戚王某请我治疗。问其情形，每天上午四点时，即大吐血，咳嗽有痰，心烦口渴，想喝冷水，自觉胸膊烧热，心胸间喜欢用冷水浸湿的手巾覆盖，知饥能食，舌苔薄腻微黄，两手脉数不大，形容消瘦。我说这是暑热伏于肺胃，热迫血而妄行，欲止其血，当先降其热，热降则血安于其位，不治而自止矣。以玉女煎合清燥救肺汤为剂，生石膏四钱、桑叶一钱、干地黄四钱、阿胶三钱、贝母、麦冬、沙参各二钱、杏仁一钱、枇杷叶一片。服后觉凉爽异常，腹中雷鸣，心内空虚，身热亦稍平。上午四点未吐，至午后始吐，咳嗽痰多，仍以原方加竹叶三钱、瓜蒌根二钱、枣仁、柏子仁各四钱。接服两剂，血几全止矣。只是精神疲惫，时出冷汗，脉息大而无力，舌上无苔，这是热退而元气虚也。况且吐血多日，亡血已多，岂有不虚之理。换方用生脉散加黄芪、熟地黄、枸杞子、枣仁、阿胶。接服两剂，汗渐少，能进粥两大碗，只是咳嗽痰中带血，咳甚则亦或吐一二口，但迥非从前之汹涌耳。于是以百合固金汤合千金苇茎汤，出入调治，数日后能起床行走，饮食亦大进矣。遂以饮食滋补，兼服琼玉膏而病愈。
家父自少年时即患肺病，咳嗽咯血，必服泻白散及贝母、山栀、麦冬等药数剂始愈。嗣后遇劳碌及恼怒时，病即复发，然亦有隔数年不发者。丁未年夏月，偶因冒暑发热，而旧病亦复发，较前更剧。先是某日夜间，觉喉内有物上溢，以为是痰，遂咯吐数口，及张灯视之，则皆是血也。由是咯血不已，或纯血，或与痰质混和，精神疲惫，不能起于床。服阿胶、地黄、麦冬、贝母、枇杷叶等药小效，饮食亦稍能进，面色如常，身不发热，亦无盗汗口渴等症，脉息亦尚平静，遂仍以前方进。岂料次日晚间，血忽上涌，连吐数口，遂昏晕不能言，奄奄一息。急以潞党参五钱、西洋参五钱，煎汤进服。及参汤服下数分钟，始能言语，谓心内慌慌，周身肉颤，语时声音极低，这是元气大虚欲脱也。遂仍以参汤和阿胶、熟地黄、枣仁、枸杞子等药煎汤进服，并以猪蹄煨汤服。如是调养至十数日，始渐入佳境，而胃纳亦甚佳，每日须六七餐，过时则饥，每餐皆猪蹄、海参、鸡子、粥、饭等物，且惟此等滋补品能受，若菜蔬、莱菔及豆腐浆等类，皆不堪食，偶或食之，则觉嘈烦易饥。这是亡血之后胃液耗竭，非藉动物之脂膏不能填补也。待一月后，精神渐复，亦能为人诊病，但不能用心思索，每写药方，则手颤眼花，行路只能及半里，再远则不能行了。这是丁未年焯由苏州返里，侍疾笔记之大略也。其后三年病未大发，精力亦较前康健。辛亥七月，天气酷热，偶因诊事劳碌，病又复发，咳嗽咯血，发热口干，服清养药数剂，虽小愈，而精神则殊疲弱。至九月间，武昌革命正在进行之时，吾扬居民纷纷迁避，几于十室九空。家父日闻此耗，惊忧交并，于是病又大作。接服至十日，血渐少，亦稍稍能睡矣。自是遂以两仪膏集灵膏二方合并，仍制成膏剂，接服月余，咯血全止，精神亦大恢复，但微有咳嗽而已。计前后凡服党参斤许，西洋参数两，枸杞子斤许，熟地黄二斤，干地黄、麦冬、阿胶亦各数两。距今已将三年，病未复发，且精神矍铄，日夕奔走，为人治病。呜呼，药之功顾不大欤？今编此书，特志崖略于此，以俟高明教正焉。
曹韵笙先生的弟弟曹如君，三十多岁，素患肺病及头痛病，每劳怒啖粘腻肥甘等物即发，发则头痛目昏，咳嗽喉中如水鸡声，胸闷不饥，舌苔薄腻，寸关脉滑。这是产育已多，脑筋衰弱，而又吸阿片，喜肥甘粘食，痰滞阻塞为病也。每次均用桑叶、杭菊、薄荷、杏仁、贝母、桔梗、前胡、橘皮等药奏效。今已数年，皆赖此方之力。现在悉知粘腻肥甘之患，已改用他种食品，而病发亦轻，不复如前此之剧矣。
姚某儿子六岁。六月间患痢症，里急后重，日夜不休，发热口渴，舌苔黄腻，两脉滑数。用香连丸加黄芩、枳壳、槟榔、薏苡仁、六一散，做成煎剂。黄连只用四分，余药亦只用一二钱。一剂痢减半，再剂全安。
张小芬先生患痢，下利腹痛，里急后重，困苦不已，脉息滑数。与小承气汤合香连丸，加槟榔、木香。服后痛痢俱止，但转为发热胸闷，是里气得通而余病将从表解也。于是换方用小陷胸汤合小柴胡汤，去人参、甘草，加枳壳、桔梗、厚朴。得汗而解。只是腹中作胀，不思饮食，舌现白腻苔，复换方用平胃散，加黄芩、苏梗、白豆蔻、佩兰、薏苡仁等，两剂全瘳。
夏某儿子四岁。下痢红白，腹胀身不热，口不渴，舌色淡无苔，脉缓滑。与平胃散加白术、木香、砂仁、扁豆等。接服两剂而痊。这是过吃生冷等物，肠胃不能运化也。
殷某儿子四岁。下痢多日，手足冷，时出冷汗，脉息小弱，神气疲倦，口不渴，舌无苔。这不是痢疾，乃阳虚欲脱也。不温则死，于是给予理中汤，人参、白术各用三钱，干姜八分，甘草八分，加生姜、红枣煎服。一服汗收手暖，下利亦减，接服一剂而安。
李善门的侄女，二十多岁，患痢疾。医生用大黄、槟榔，及三物备急丸数剂，下利益甚，里急亦迫，至于脱肛，每至解大便时，腹痛肛坠，困苦异常。于是给予补中益气汤，一服而脱肛愈，两服而痢亦止矣。
滕云路君的令堂，七十多岁，病痢多日，至于脱肛，精神疲惫，头晕心悸，不能起坐，舌光无苔，脉息小弱。与补中益气汤加麦冬、白芍、木香。三剂而痊。
江某儿子十五岁，泻利年余，面黄体瘦，食少作恶，舌光无苔，口干头晕，心悸脉细，每日犹泻十数次，所泻皆稀粪水。这是泻利日久肠胃中之脂液消亡，古人所谓下多亡阴是也。与大补
Mr. Zou Yun Kun of the Chu Guan Warship, aged twenty-eight. Because he chased and retrieved a sampan in the rain during summer, he contracted Wind-Dampness, resulting in abdominal distension and leg swelling. The swelling extended downwards to both feet. Initially treated at a hospital in Shanghai, laxatives were ineffective. In September, when the warship arrived in Zhenjiang, I was invited to treat him. He presented with fever, chest oppression, yellow and greasy tongue coating, uncomfortable abdominal distension, slippery pulse, and red urine. This indicated Dampness accumulating internally with concurrent Phlegm stagnation. Initially, Banxia Xiexin Tang (Pinellia Decoction for Draining the Epigastrium), Xiao Chaihu Tang (Minor Bupleurum Decoction), and Xiao Xianxiong Tang (Minor Chest-Harmonizing Decoction) were used. After the fever subsided and the chest felt relaxed, generalized joint pain remained. Therefore, Qianghuo (Notopterygii Rhizoma et Radix), Qinjiao (Gentianae Macrophyllae Radix), Sangzhi (Mori Ramulus), and Niuxi (Achyranthis Bidentatae Radix) were added to the formula clearing and draining Damp-Heat to treat the pain. Unexpectedly, after taking this medicine, severe continuous panting erupted the next day. Upon urgent examination, indeed, he was restless from panting, exhausted, and unable to sit or rise. His pulses on both hands were fine, weak, and lacking spirit; his tongue color had turned smooth and devoid of coating; his complexion was sallow and pale. This signified that while the pathogen had receded, the Primordial Qi was severely deficient and on the verge of collapse. I urgently prescribed: Lushen Shen (Codonopsis Radix) 3 qian, Xiyang Shen (American Ginseng Radix) 3 qian, Shudi Huang (Rehmanniae Radix Preparata) 4 qian, Huangqi (Astragali Radix), Gouqizi (Lycii Fructus), and Hetaorou (Juglandis Semen) each 3 qian, Ganjiang (Zingiberis Rhizoma) 8 fen, Wuweizi (Schisandrae Chinensis Fructus) and Gancao (Glycyrrhizae Radix et Rhizoma) each 5 fen, decocted in water and taken orally. The next day, his companion Mr. [Name] returned to invite me again, saying, "Sir, you are truly miraculous! After taking yesterday's medicine, the panting stopped immediately, and his spirit calmed down; he slept peacefully through the night." I accompanied him to examine the patient, who was indeed quiet as a normal person, though still feeling shortness of breath upon rising and sitting. I advised continuing the original prescription for another dose. After this dose, the panting stabilized, but suddenly his abdomen became massively distended like a pregnant woman, with obstruction of urination and defecation. Therefore, Zisheng Wan (Vitality-Generating Pill) with Coptidis Rhizoma removed, plus Chenpi (Citri Reticulatae Pericarpium) and Muxiang (Aucklandiae Radix) were made into a decoction. One dose relieved the distension; five consecutive doses completely eliminated it. He could eat over a bowl of rice per meal and stand and walk, only complaining of soreness and weakness in the legs and feet. At that time, the Jiang-Zhe Allied Forces were attacking Nanjing, and the warship was ordered to proceed urgently to Nanjing. Therefore, Shan Zha (Crataegi Fructus) and Shenqu (Massa Medicata Fermentata) were removed from the previous formula, and Chao Shudi Tan (Charred Rehmanniae Radix Preparata), Niuxi, and Duzhong (Eucommiae Cortex) were added for him to take along. Generally, diseases involving complex deficiency and excess inevitably undergo many transformations. Physicians must respond flexibly according to the changing condition, adapting intricately to the disease. If one is slightly rigid or stuck in fixed ideas, failure is rare to avoid. Although so, how can this be explained to those with shallow understanding?
A Mrs. Surname, over forty years old, had a chronic history of leukorrhea. In autumn of the Gengxu year, she fell ill; medication was ineffective, so she sought my treatment. The patient was irritable and restless, sleepless all night, and vomited incessantly even after consuming small amounts of liquid. There was a sensation of qi movement to the left of the umbilicus, frequent leukorrhea flow, and a subjective sensation of abnormal heat, yet her body felt cool to the touch like a healthy person. Her pulse was wiry, small, and not rapid; her tongue was bright red and smooth, entirely devoid of coating. Inquiry revealed her personality was naturally irritable, and she had given birth twelve times. This indicated exhaustion of blood and yin fluids with hyperactive yang-heat. Additionally, the medications she had taken were acrid-dispersing and bitter-cold in nature, further damaging stomach qi and depleting stomach fluids, causing the spirit to lose its residence. I prescribed Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction), adding Shashen (Glehniae Radix), Maidong (Ophiopogonis Radix), Shudi Huang, Zaoren (Ziziphi Spinosae Semen), Fushen (Poria with Hostwood), Muli (Concha Ostreae), Longchi (Os Draconis), Zhenzhumu (Margarita), Cishi (Hematitum), and Louren (Trichosanthis Semen). Huangqin (Scutellariae Radix) and Huanglian were used only in minute amounts (several fen), while Shudi Huang and Ejiao (Colla Corii Asini) were used at 3 qian. One raw egg yolk was beaten in raw and taken with the decoction. After one dose, irritability settled, and she slept peacefully. After two doses, sleep and appetite were stable, though spirit remained fatigued. Therefore, Huangqin and Huanglian were removed from the previous formula, and Congrong (Cynomorii Herba) and Gouqizi were added to tonify essence and blood. Taking several more doses resulted in recovery.
A Mrs. Wang suffered from fever, headache, and incessant vomiting. Medications containing Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), and Suye (Perillae Folium) were ineffective. My pulse diagnosis showed rapid pulse, thirst, thin greasy tongue coating, hot urine, and chest oppression. This indicated Summerheat-Dampness and Phlegm stagnation accumulating in the Middle Jiao, preventing the Stomach from transforming and transporting. I prescribed Jupi Zhuru Tang (Tangerine Peel and Bamboo Shavings Decoction), adding Huanglian, Banxia (Pinelliae Rhizoma), Xuanfuhua (Inulae Flos), Peilan (Eupatorii Herba), Pipaye (Loquat Leaf), Fuling (Poria), and Yiren (Coicis Semen). After taking it, she experienced a chills-and-sweat reaction (Zhanhan), after which fever ceased, vomiting stopped, and she could consume thin congee. The original formula was then administered with reduced dosage, adding Shashen and Maidong, leading to complete recovery.
The second son of Wang Shanyu, aged sixteen, suddenly developed abdominal pain and vomiting, aversion to cold, and fever. Sweating occurred when pain was severe. Tongue coating was thin and greasy; pulse was slow and slippery. I prescribed Xiaochaihu Guizhi Tang (Minor Bupleurum and Cinnamon Twig Decoction) with Renshen (Ginseng Radix) removed, adding Kouren (Amomi Fructus Rotundus) and Muxiang. After one dose, pain and vomiting ceased, and cold/fever symptoms resolved. A second consecutive dose led to full recovery.
A Mrs. Wu, in her twenties, suddenly developed vomiting, irritability, chest oppression, dizziness, and dry mouth during summer. Self-medication with Sha medicines and Shidi Water (Ten Drops Liquid) was ineffective. I prescribed Huanglian 5 fen, Wuyu (Evodiae Fructus) 2 fen, Xuanfuhua and Banxia each 1.5 qian, Xiangyuanhua (Citrodis Flower) 5 flowers, Chenpi 8 fen, Liuyisan (Six-One Powder) 2 qian, and Daizheshi (Haematitum) 3 qian. Recovery occurred after one dose.
A sixteen-year-old prostitute suffered from abdominal pain and vomiting. Several days prior, menstruation began, followed by sexual intercourse, immediately triggering abdominal pain, vomiting, diarrhea, chest oppression, and fever. She cried out in agony during pain attacks. Tongue coating was greasy; pulse was slippery. This resulted from careless diet, causing Stomach disease combined with Uterine disease. I prescribed Guizhi Tang (Cinnamon Twig Decoction), adding Houpo (Magnoliae Officinalis Cortex), Muxiang, Sharen (Amomi Fructus), Banxia, and Danggui (Angelicae Sinensis Radix). Abdominal pain lessened, but vomiting and diarrhea persisted. Body heat, thirst, hot urine, and severe lower abdominal pain during uritation appeared. Pulse became wiry, slippery, and rapid. I switched to Huanglian Tang (Coptis Decoction) with Houpo added. Abdominal pain greatly stabilized, and body heat cleared. However, copious sticky phlegm was vomited. Therefore, Guizhi, Houpo, and Banxia were removed from the original formula, and Maidong, Zhuru (Bambusa Textilis Caulis in Media Segmentata), Shenqu, Peilan, Shengjiang juice (Fresh Ginger Juice), and Laifu juice (Radish Juice) were added. After taking it, profuse sweating occurred, leading to recovery.
An eighteen-year-old female servant of Cha Yanghe consumed excessive glutinous rice zongzi during the Dragon Boat Festival, resulting in chest and diaphragmatic fullness, aversion to cold, fever, greasy tongue coating, and large slippery pulse. Initially, Pingwei San (Powder for Maintaining Stability) combined with Zhijie Tang (Immature Bitter Orange and Magnolia Flower Decoction), adding Shenqu and Gualou (Trichosanthis Fructus), was ineffective. Therefore, Untan Wan (Rolling Phlegm Pill) 3 qian was added to the formula. After taking it, two bowel movements occurred, and the chest/diaphragm opened. Subsequently, Untan Wan was removed from the original formula, combined with Xiao Xianxiong Tang, and taken for two consecutive doses, resulting in complete recovery.
Mr. Huang Huanwen suffered from Damp-Warmth disease, which I had already cured. Shortly after, due to overeating chicken, meat noodles, lotus seeds, etc., he developed chest fullness and discomfort, fever, dry mouth, and dry greasy tongue coating. Zhijie Tang combined with Xiao Xianxiong Tang, adding Shenqu, was made into a decoction, and he was instructed to first take Untan Wan 3 qian. After taking it, he first had a bowel movement, followed by profuse sweating soaking his clothes. This indicated residual pathogenic qi from the previous illness had not fully cleared, and food stagnation was not the sole cause. From then on, fever subsided, chest felt relaxed, hunger returned, and appetite improved. Liu Junzi Tang (Six Gentlemen Decoction) with Maidong and Yiren was administered for two consecutive days, leading to recovery.
Mr. Guo, over sixty years old, suffered from hernia disease in December. The root of the external genitalia was swollen and hard like a chicken egg, with extreme pain, aversion to cold without fever, dry mouth, smooth tongue without coating, and non-red complexion. This was Cold Hernia. The hardness like a chicken egg indicated Cold-Evil knotting, which dissipates with warmth. I prescribed Wutou Guizhi Tang (Aconite and Cinnamon Twig Decoction): Honey-fried Wutou (Aconiti Lateralis Radix Preparata) 3 qian, Guizhi (Cinnamomi Ramulus) and Baishao (Paeoniae Radix Alba) each 2 qian, Gancao 1 qian, plus Dangshen (Codonopsis Radix) 2 qian, Ganjiang 8 fen, Xiaohuixiang (Foeniculi Fructus) and Danggui each 3 qian, Muxiang 1 qian, made into a decoction. Pain stabilized by night, swelling and hardness subsided, and dry mouth ceased. The next day, the original formula was decocted using mutton soup, and he was instructed to stew and eat mutton, leading to recovery.
Long Yaonan, over fifty years old, had a chronic hernia disease that came and went. In winter of the Xinhai year, the disease recurred, but differently from before. He felt qi rushing straight from below the umbilicus to the heart, causing splitting heart pain, cold sweat on hands, and inability to support himself. Inhaling opium provided temporary relief but did not help the disease. Initially, episodes occurred every one or two days; later, they occurred daily without end. Spirit was fatigued, appetite significantly decreased, pulses were wiry and small, and there was white coating in the center of the tongue. This was Ben Tun Disease (Running Piglet). It resulted from inherent Kidney Qi deficiency compounded by exogenous Cold. Internal Yang Qi could not overcome the invading Cold, causing upward rush and pain. As ancients said, this is "Kidney Qi assaulting the Heart." I prescribed Guizhi Jia Gui Tang (Cinnamon Twig Decoction with Added Cinnamon Twig), plus Shudi Huang, Lujiaojiao (Colla Cornus Cervi), and Xiaohuixiang. After two doses, pain greatly retreated. Two days later, weather grew colder, and the disease recurred with vomiting. I switched to Lizhong Tang (Middle-Warming Decoction) with Rougui (Cinnamomi Cortex), Wuzhuyu (Evodiae Fructus), Banxia, Lujiaojiao, and Chenxiang (Aquilariae Lignum Resinatum). Three consecutive doses brought complete peace.
A Mrs. Li, about forty years old, had missed menstruation for two months, suffered from vomiting and inability to eat, vomiting everything including tea and water upon entry, with slight aversion to cold and fever. My pulse diagnosis showed slow, slippery, and spirited pulse. I told her, "It is pregnancy." The family was half-believing, half-doubting, anxious to stop vomiting. Repeated medication failed to stop vomiting. Other doctors were consulted, opinions varied, prescriptions differed. Days passed, vomiting continued, emaciation increased. One month later, the family invited me again. Entering the room, the patient was recovering from convulsions/fainting, hands tightly clenched, knees curled, sallow and thin complexion. Family had discussed funeral arrangements. I said, "Though thin and weak, convulsions are alarming, but the pulse is slow, slippery, and vibrant—this is not disease, but pregnancy." I advised against medication, suggesting only rice soup and chicken/duck broth. Pregnancy nausea (E Zu) can last sixty or eighty days before resolving; one should not recklessly use drugs. Over a month later, her nephew visited for consultation; she had gradually improved and could eat slightly. By December, her son-in-law brought consultation fees; she was eating and walking normally. In March of this year, she indeed gave birth to a daughter. The *Jin Gui Yao Lue* warns against treating pregnancy nausea with harsh drugs. I never expected to see this principle validated today.
Seven-year-old son of Mr. Sun suffered from fever, aversion to cold, cough, fatigue, and reduced appetite in December. Pulse was slow and not rapid. Initially, Congchi Tang (Green Onion and Fermented Soybean Decoction) with Bohe (Menthae Haplocalycis Herba), Jiegeng (Platycodonis Radix), Xingren (Armeniacae Semen Amarum), and Gancao was used. After taking it, sand points (sha rash) appeared on neck, chest, and back, faintly visible under the skin, not yet fully erupted. Original formula continued. On the third day, sha rash fully erupted, densely distributed on chest, back, neck, arms, bright red. Nighttime fever intensified with thirst. Formula changed to Sangye (Mori Folium), Jinyinhua (Lonicerae Japonicae Flos), Xingren, Yimucao (Leonuri Herba), Huafen (Trichosanthis Radix), Beimu (Fritillariae Cirrhosae Bulbus), and Gancao. On the fourth day, fever persisted, tongue bright red with prickles, no coating. Formula changed to Digupi (Lycii Cortex), Sheng Dihuang (Rehmanniae Radix) each 3 qian, Maidong 2 qian, Beishashen (Glehniae Radix) 1 qian, Baimaogen (Imperatae Rhizoma) 3 qian, Beimu 1 qian, Pipaye one slice. After one dose, fever subsided, spirit calmed, tongue became pale without prickles. One more dose led to full recovery.
Mr. Yang, nearing thirty, had a chronic history of hematemesis triggered by exertion. In May this year, due to labor and anger, bleeding recurred, vomiting a bowlful of blood, with fever and cough. Initial medical treatment had slight effect, then massive uncontrollable bleeding ensued despite medication. Relative Mr. Wang invited me. Condition: Massive hematemesis daily at 4 AM, cough with phlegm, irritability, thirst desiring cold water, subjective burning in chest/upper abdomen, preference for covering chest with cold wet towel, hunger present, appetite intact, thin greasy slightly yellow tongue coating, rapid but not large pulses on both hands, emaciated appearance. I stated this was latent Summerheat-Heat in Lung and Stomach, forcing blood to bleed recklessly. To stop bleeding, one must first descend heat; once heat descends, blood returns to its vessels and stops spontaneously. I prescribed Yuni Jian (Jade Woman Decoction) combined with Qingzao Jiufei Tang (Clear Dryness and Rescue Lung Decoction): Sheng Shigao (Gypsum Fibrosum) 4 qian, Sangye 1 qian, Sheng Dihuang 4 qian, Ejiao 3 qian, Beimu, Maidong, Shashen each 2 qian, Xingren 1 qian, Pipaye one slice. After taking it, unusual cooling sensation, borborygmus, empty feeling in heart, slight reduction in body heat. No bleeding at 4 AM; bleeding started in afternoon, with much cough and phlegm. Original formula continued, adding Zhuye (Phyllostachys nigra Folium) 3 qian, Gualougen (Trichosanthis Radix) 2 qian, Zaoren and Baiziren (Biota Seed) each 4 qian. Two consecutive doses nearly stopped bleeding. Only spirit fatigue and occasional cold sweat remained; pulse was large and powerless, tongue devoid of coating. Heat had receded, but Yuan Qi was deficient. Moreover, prolonged hematemesis meant significant blood loss; deficiency was inevitable. Formula changed to Shengmai San (Generate Pulse Powder) with Huangqi, Shudi Huang, Gouqizi, Zaoren, and Ejiao. Two consecutive doses reduced sweating, allowed consumption of two large bowls of congee. Only cough with blood-streaked phlegm remained, occasionally vomiting one or two mouthfuls when coughing severely, but vastly different from previous torrential bleeding. Formula adjusted using Baihe Gujin Tang (Lily Metal-Solidifying Decoction) combined with Qianjin Weijing Tang (Thousand Gold Reed Shoot Decoction). Within days, able to get up and walk, appetite greatly improved. Dietary nourishment supplemented with Qiongyu Gao (Jade Essence Paste) led to recovery.
My father suffered from lung disease since youth, with cough and hemoptysis, requiring several doses of Xiebai San (Drain White Powder) plus Beimu, Shanzhi (Gardeniae Fructus), and Maidong to recover. Recurrence followed exertion or anger, though sometimes years passed without episode. In summer of Dingwei year, exposure to summer heat caused fever and recurrence of old disease, worse than before. One night, felt substance overflowing in throat, assumed it was phlegm, spat several mouthfuls, but under lamplight, saw it was all blood. Hemoptysis continued, pure blood or mixed with phlegm. Spirit fatigued, bedridden. Medications including Ejiao, Dihuang, Maidong, Beimu, Pipaye had slight effect; appetite slightly improved, complexion normal, no fever, night sweats, or thirst, pulse calm. Continued previous formula. Unexpectedly, next night, blood surged up, vomiting several mouthfuls, followed by fainting, inability to speak, near death. Urgently administered Lu Shen Shen 5 qian and Xiyang Shen 5 qian decocted in water. Minutes after taking ginseng soup, speech resumed, describing palpitations, whole-body tremors, very low voice. This indicated severe Yuan Qi deficiency impending collapse. Continued ginseng soup combined with Ejiao, Shudi Huang, Zaoren, Gouqizi decocted, plus pork trotter soup. Nourishing care for ten-plus days gradually improved condition. Appetite became excellent, needing six to seven meals daily; hunger if delayed. Preferred pork trotters, sea cucumber, eggs, congee, rice; could only tolerate these nourishing items. Vegetables, radishes, tofu milk caused irritability and hunger. After blood loss, stomach fluids were depleted; only animal fats/gelatin could replenish them. After one month, spirit recovered, able to diagnose patients, but mental effort caused hand tremors and blurred vision. Walking limited to half a li; farther impossible. This is the summary of my notes attending my father's illness upon returning home from Suzhou in Dingwei year. For three years thereafter, disease did not flare severely, energy healthier than before. In July of Xinhai year, intense heat, combined with diagnostic work fatigue, caused recurrence: cough, hemoptysis, fever, dry mouth. Clear-nourishing medicines provided slight improvement, but spirit remained very weak. In September, during the Wuchang Revolution, residents of our Yang area fled en masse, leaving nine out of ten houses empty. Daily news alarmed and worried my father, causing disease to flare severely again. Taking medication for ten days, bleeding decreased, sleep slightly improved. Henceforth, Liangyi Gao (Two Polarity Paste) and Jiling Gao (Auspicious Spirit Paste) were combined into paste form, taken for over a month, hemoptysis completely stopped, spirit largely recovered, only slight cough remained. Total consumption: approx. 1 jin of Dangshen, several taels of Xiyang Shen, approx. 1 jin of Gouqizi, 2 jin of Shudi Huang, several taels each of Sheng Dihuang, Maidong, and Ejiao. Nearly three years have passed since then; disease has not recurred, spirit vigorous, running day and night to treat others. Alas, is the merit of medicine not great? Compiling this book, I record these outlines here, awaiting correction from experts.
Mr. Cao Yunsheng's younger brother, Mr. Ru, over thirty, chronically suffered from lung disease and headaches. Episodes triggered by exertion, anger, or consuming sticky, rich, sweet foods. Symptoms included headache, blurred vision, cough with sound like a water fowl in throat, chest oppression, lack of appetite, thin greasy tongue coating, slippery pulse at Cun and Guan positions. Due to multiple childbirths, brain/nerves weakened, plus opium smoking and preference for rich/sticky foods, causing Phlegm stagnation obstruction. Each time, Sangye, Hangju (Chrysanthemi Flos), Bohe, Xingren, Beimu, Jiegeng, Qianhu (Peucedani Radix), and Chenpi proved effective. This formula worked for years. Now aware of harm from rich/sticky foods, dietary changes led to milder attacks, no longer as severe as before.
Son of Mr. Yao, six years old. In June, suffered from dysentery: tenesmus, ceaseless day and night, fever, thirst, yellow greasy tongue coating, slippery rapid pulses. Xianglian Wan (Incense-Coptis Pill) with Huangqin, Zhike (Aurantii Fructus Immaturus), Binglang (Arecae Semen), Yiren, and Liuyisan made into decoction. Huanglian used only 4 fen, other herbs 1-2 qian. One dose halved dysentery; two doses brought complete peace.
Mr. Zhang Xiaofen suffered from dysentery: diarrhea, abdominal pain, severe tenesmis, distress. Pulse slippery rapid. Xiao Chengqi Tang (Minor Order the Qi Decoction) combined with Xianglian Wan, adding Binglang and Muxiang. Pain and dysentery ceased after taking, but transformed into fever and chest oppression, indicating interior qi unblocked and residual pathogen resolving via exterior. Formula changed to Xiao Xianxiong Tang combined with Xiao Chaihu Tang, removing Renshen and Gancao, adding Zhike, Jiegeng, and Houpo. Resolved with sweating. Abdominal distension and anorexia remained, white greasy tongue coating appeared. Formula changed to Pingwei San with Huangqin, Sugeng (Perillae Stem), Kouren, Peilan, and Yiren. Two doses led to recovery.
Son of Mr. Xia, four years old. Dysentery with red and white stool, abdominal distension, no body heat, no thirst, pale tongue without coating, slow slippery pulse. Pingwei San with Baizhu (Atractylodis Macrocephalae Rhizoma), Muxiang, Sharen, and Bidou (Dolichoris Semen) administered. Two consecutive doses cured. Caused by excessive consumption of cold/raw foods, impairing intestinal and stomach transformation.
Son of Mr. Yin, four years old. Dysentery for many days, cold extremities, occasional cold sweat, small weak pulse, fatigued spirit, no thirst, no tongue coating. This was not dysentery, but Yang deficiency impending collapse. Without warming, death would ensue. Lizhong Tang with Renshen and Baizhu each 3 qian, Ganjiang 8 fen, Gancao 8 fen, plus Fresh Ginger and Red Dates decocted. One dose stopped sweating, warmed hands, reduced diarrhea. One more dose brought stability.
Niece of Li Shanmen, over twenty, suffered from dysentery. Doctors used Dahuang (Rhei Radix et Rhizoma), Binglang, and Sanwu Beijji Wan (Three Things Emergency-Prepared Pill) for several doses, worsening diarrhea and tenesmis, leading to rectal prolapse. Severe abdominal pain and anal bearing-down sensation during defecation. Bu Zhong Yi Qi Tang (Decoction to Supplement the Middle and Augment the Qi) administered. Rectal prolapse cured after one dose; dysentery stopped after two doses.
Mother of Teng Yunlu, over seventy, suffered from dysentery for many days, rectal prolapse, fatigued spirit, dizziness, palpitations, unable to sit or rise, smooth tongue without coating, small weak pulse. Bu Zhong Yi Qi Tang with Maidong, Baishao, and Muxiang administered. Three doses cured.
Son of Mr. Jiang, fifteen years old. Diarrhea for over a year, sallow complexion, thin body, poor appetite with nausea, smooth tongue without coating, dry mouth, dizziness, palpitations, fine pulse, defecating ten-plus times daily, passing watery stool. Prolonged diarrhea depleted intestinal and stomach lipids/fluids, known as "lowering leads to yin exhaustion." Given Great Tonification...