新寨马叟,年五十九,因秋欠税,官杖六十,得惊气,成风搐已三年矣。病大发
则手足颤掉,不能持物,食则令人代哺,口目张
唇舌嚼烂,抖擞之状,如线引傀儡。每发,市人皆聚观。夜卧发热,衣被尽去,遍身燥痒,
中热而反外寒。久欲自尽,手不能绳,倾产求医,至破其家而病益坚。叟之子,邑中旧小吏也,
以父母病讯戴人。戴人曰∶此病甚易治。若隆暑时,不过一涌,再涌夺则愈矣。今已秋寒可
三之;如未,更刺 穴必愈。先以通圣散汗之,继服涌剂,则痰一、二升,至晚又下五、七
行,其疾小愈。待五日,再一涌,出痰三、四升,如鸡黄成块,状如汤热。叟以手颤不能自探,妻
与代探,咽嗌肿伤,昏愦如醉,约一、二时许稍稍省。又下数行,立觉足轻,颤减,热亦
不作,是亦能步,手能巾栉,自持匙箸。未至三涌,病去如濯。病后但觉极寒。戴人曰∶当以
食补之,久则自退。盖大疾之去,卫气未复,故宜以散风导气之药,切不可以热剂温之,恐反成它病也。
吕君玉之妻,年三十余,病风搐目眩,角弓反张,数日不食。诸医皆作惊风、暗
风、风痫治之,以天南星、雄黄、天麻、乌、附用之,殊无少效。戴人曰∶诸风掉眩,皆
属肝木。曲直动摇,风之用也。阳主动,阴主静。由火盛制金,金衰不能平木,肝木茂而自病
。先涌风痰二、三升;次以寒剂下十余行;又以
针刺百会穴,出血二杯,愈。
新寨的马老先生,五十九岁,因为秋天拖欠赋税,被官府杖责六十下,受到惊吓之气,患上了风搐病,已经三年了。病情发作时,手足颤抖抖动,不能拿取物品,吃饭时需要别人代喂,口眼张开,嘴唇舌头被咬烂,身体抖动的样子,就像线牵引着的木偶一样。每次发病,街市上的人都聚集观看。夜间睡觉时发热,把衣被全部去掉,全身干燥瘙痒,体内热而体表反而发冷。长久以来想要自杀,但手无力到无法系绳,耗尽家产求医,甚至导致家庭破产,但病情却更加顽固。马老先生的儿子,是县里的一位老小吏,带着父母病情的情况来咨询戴人(张从正)。戴人说:这个病很容易治疗。如果在盛夏时节,不过使用一次涌吐法,再进行一次催泻就能痊愈。现在已经是秋寒季节,可以分三次进行;如果还没好,再针刺某个穴位必定痊愈。(戴人)先用通圣散让他发汗,接着服用涌吐剂,吐出痰液一、二升,到了晚上又腹泻五、七次,病情稍微好转。等待五天,再次进行涌吐,吐出痰液三、四升,像鸡黄一样结成块状,温度像热水一样。马老先生因为手颤抖不能自己探喉催吐,妻子帮他探喉,导致咽喉肿痛受伤,昏迷糊涂像喝醉了一样,大约一、两个时辰后稍微清醒过来。又腹泻了几次,立刻觉得脚轻快,颤抖减少,发热也不再出现,也能行走了,手能拿着梳子镜子,自己持勺筷。不到三次涌吐,病去得就像洗过澡一样干净。病后只觉得很寒冷。戴人说:应当用食物来补养他,时间久了自然会消退。因为大病去除后,卫气尚未恢复,所以适宜用疏散风邪、引导气机的药物,千万不要用热性药剂温补,恐怕反而造成其他疾病。
吕君玉的妻子,三十多岁,患风搐目眩,角弓反张,几天不进食。各位医生都当作惊风、暗风、风痫来治疗,使用天南星、雄黄、天麻、乌头、附子等药,完全没有一点效果。戴人说:各种风的掉摇眩晕,都属于肝木。曲直动摇,是风的作用。阳主动,阴主静。这是因为火盛克制金,金衰不能平抑木,肝木茂盛而自己生病。(戴人)先涌吐风痰二、三升;接着用寒性药剂催泻十多次;又用针刺百会穴,放出两杯血,病就好了。
Old Man Ma from Xinzhai, aged fifty-nine, fell ill with wind convulsions (Feng Chu) due to fright after being beaten with sixty strokes by officials for unpaid autumn taxes. This condition had persisted for three years. During severe attacks, his hands and feet trembled uncontrollably, preventing him from holding objects; he required others to feed him, and his mouth and eyes would open wide, often biting his lips and tongue until they were raw. His body shook as if he were a marionette controlled by strings, drawing crowds of onlookers in the market each time an attack occurred. At night, he suffered from fever, discarding all bedding, experiencing generalized dryness and itching, with internal heat but external cold sensations. Desiring suicide, he lacked the strength to tie a rope. He exhausted his wealth seeking medical help, even bankrupting his family, yet the disease remained stubborn. His son, a former minor clerk in the county, consulted Dai Ren (Zhang Congzheng) regarding his parents' illness. Dai Ren stated: "This disease is very easy to treat. If it were midsummer, one application of emesis (Yong) followed by one application of purgation (Du) would suffice. Now that it is autumn and cold, three courses may be needed; if not cured, puncturing specific acupoints will ensure recovery." First, Tongsheng San was administered to induce sweating, followed by emetic agents, resulting in the expulsion of one or two sheng of phlegm. By evening, there were five to seven bowel movements, and the condition improved slightly. After five days, another course of emesis expelled three or four sheng of phlegm, resembling chicken yolk clumps and feeling hot like boiling water. Since Old Man Ma’s hand tremors prevented self-induced vomiting, his wife assisted, causing swelling and injury to his throat. He became comatose and confused, akin to drunkenness, recovering consciousness after about one or two hours. Further bowel movements immediately lightened his steps, reduced tremors, and ceased the fever, allowing him to walk and hold a comb or chopsticks himself. Before completing three courses of emesis, the disease vanished as cleanly as after a bath. Post-illness, he felt extreme cold. Dai Ren advised: "Nourish him with food; it will subside naturally. When a major disease departs, Wei Qi (Defensive Qi) has not yet recovered, so dispersing wind and guiding qi herbs are appropriate. Do not use hot tonics, lest they cause other diseases."
The wife of Lord Lu Junyu, over thirty years old, suffered from wind convulsions, vertigo, and opisthotonos (Jiao Gong Fan Zhang), unable to eat for several days. Various physicians treated her as having fright-wind, hidden-wind, or wind epilepsy, using Rhizoma Arisaematis Cum Bile (Tiannanxing), Realgar (Xionghuang), Radix Gastrodiae (Tianma), Radix Aconiti Lateralis Preparata (Wutou), and Radix Aconiti Lateralis Preparata (Fuzi), with no effect whatsoever. Dai Ren stated: "All wind-related tremors and vertigo belong to Liver Wood. The bending, straightening, and shaking are functions of Wind. Yang governs movement; Yin governs stillness. Here, excessive Fire controls Metal; weakened Metal fails to restrain Wood, causing Liver Wood to flourish and become diseased." Dai Ren first induced emesis to expel two or three sheng of wind-phlegm, then used cold-natured purgatives for more than ten bowel movements, and finally punctured the Baihui (GV20) acupoint to bleed two cups, resulting in a cure.