东门一男子,病泻利不止,腹鸣如雷,不敢冷坐,坐则下注如倾。诸医例断为寒
证。干姜、官桂、丁香、豆蔻之属;枯矾、龙骨,皆服之矣。何针不燔!何艾不炷!迁延将二十载矣
。一日,问于戴人。戴人曰∶两手寸脉皆滑,余不以为寒。然其所以寒者,水也。以茶
调散,涌寒水五、七升;无忧散,泻积水数十行。乃通因通用之法也。次以五苓散淡剂,渗泻利之
道;又以甘露散止渴。不数日而冷食寒饮皆如故。此法王启玄稔言之矣,奈何无人用之哉?
息城司侯,闻父死于贼,乃大悲哭之,罢,便觉心痛,日增不已,月余成块,状
若覆杯,大痛不住,药皆无功。议用燔针炷艾,病患恶之,乃求于戴人。戴人至,适巫者在
其旁,乃学巫者,杂以狂言以谑病者,至是大笑,不忍回。面向壁,一、二日,心下结块皆
散。戴人曰∶《内经》言∶忧则气结,喜则百脉舒和。又云∶喜胜悲。《内经》自有此法治
之,不知何用针灸哉?适足增其痛耳!
项关令之妻,病食不欲食,常好叫呼怒骂,欲杀左右,恶言不辍。众医皆处药,
几半载尚尔。其夫命戴人视之。戴人曰∶此难以药治。乃使二娼,各涂丹粉,作伶人状
,其妇大笑;次日,又令作角抵,又大笑;其旁常以两
个能食之妇,夸其食美,其妇亦索其食,而为一尝。不数日,怒减食增,不药而瘥,后得
一子。夫医贵有才,若无才,何足应变无穷?
东门外有一位男子,患腹泻痢疾不止,腹部肠鸣声如雷响,不敢坐在冷处,一旦坐下,大便就像倾泻一样流出。各位医生都将其断定为寒证。干姜、官桂、丁香、豆蔻之类的药物;枯矾、龙骨等药,他都服用过了。各种烧针(燔针)!各种艾灸(炷艾)!拖延将近二十年了。有一天,他向戴人(张从正的字)请教。戴人说:“两手寸脉都滑利,我不认为这是寒证。然而他感到寒冷的原因,是水饮之邪。”于是用茶调散,催吐排出寒水五到七升;用无忧散,泻下积水几十次。这就是“通因通用”的治疗方法。接着用五苓散的淡剂,通过渗湿利小便来治疗泄泻;又用甘露散来止渴。没过几天,吃冷食喝冷饮就和以前一样了。这种方法王启玄(王冰)讲得很透彻了,无奈没有人使用它啊?
息城的司侯,听说父亲死于盗贼之手,于是极度悲伤痛哭,哭完后,便觉得心痛,一天比一天加重,一个多月后形成肿块,形状像倒扣的杯子,剧烈疼痛不止,药物都没有效果。大家商议用烧针和艾灸,病人厌恶这种疗法,于是向戴人求助。戴人来到时,恰好有巫医在旁边,他便模仿巫医的样子,夹杂一些疯话戏弄病人,直到病人哈哈大笑,不忍心停止。病人面向墙壁躺了一两天,心下的结块都消散了。戴人说:“《内经》说:‘忧愁会导致气机郁结,喜悦能使全身经脉舒缓调和。’又说:‘喜能胜悲。’《内经》本来就有这样的治疗方法,不知道为什么要用针灸呢?那只会增加他的痛苦罢了!”
项关令的妻子,患病不想吃东西,经常大声呼叫、怒骂,想要杀死身边的人,恶言不绝。众医生都开药方,半年多了还是这样。她的丈夫让戴人去诊治。戴人说:“这很难用药物治疗。”于是让两个妓女,都涂上脂粉,装扮成伶人的模样,那位妇人看了大笑;第二天,又让她们表演角抵(摔跤),妇人又大笑;旁边常有两个很能吃的妇女,夸赞食物美味,那位妇人也就索要食物,尝了一口。没过几天,怒气减少,食欲增加,没有吃药就好了,后来还生了一个儿子。做医生的贵在有机智才能,如果没有才能,怎么足以应对无穷的变化呢?
A man from the east gate suffered from persistent diarrhea and dysentery, with abdominal borborygmus sounding like thunder. He dared not sit on cold surfaces; if he did, his stool would flow out like a pouring stream. All physicians diagnosed it as a cold syndrome. He had taken herbs such as Radix Zingiberis Preparata (Ganjiang), Ramulus Cinnamomi (Guangui), Flos Caryophylli (Dingxiang), and Semen Myristicae (Doukou); also dried alum (Kufan) and Os Draconis (Longgu). He underwent various cauterization needles (Fanzhen)! Various moxa cones (Zhuzhi)! The condition persisted for nearly twenty years. One day, he consulted Dairen (Zhang Congzheng). Dairen said: "The pulse at both cun positions is slippery; I do not consider this a cold syndrome. However, the reason he feels cold is due to water retention." Thus, using Cha Tiao San (Tea Regulation Powder), he induced vomiting to expel five to seven sheng of cold water; using Wu You San (Worry-Free Powder), he purged dozens of bowel movements of accumulated water. This is the method of "treating obstruction with unblocking agents" (Tong Yin Tong Yong). Subsequently, using a mild dosage of Wu Ling San (Five-Ingredient Powder with Poria), he promoted diuresis to treat the diarrhea; and used Gan Lu San (Sweet Dew Powder) to relieve thirst. Within a few days, eating cold food and drinking cold beverages returned to normal. This method was thoroughly explained by Wang Qixuan (Wang Bing), yet unfortunately, no one uses it.
The Marquis of Xicheng, upon hearing that his father died at the hands of bandits, wept bitterly in extreme grief. After crying, he felt heart pain, which increased daily. Over a month later, a mass formed, resembling an inverted cup, causing unbearable severe pain. Medications were ineffective. They discussed using cauterization needles and moxibustion, but the patient detested these methods, so he sought help from Dairen. When Dairen arrived, a shaman happened to be nearby. Dairen imitated the shaman, mixing in absurd words to tease the patient, until the patient laughed heartily and could not stop. Facing the wall, after one or two days, the knot under the heart dissipated. Dairen said: "The *Neijing* states: 'Sorrow causes Qi stagnation, while joy relaxes and harmonizes all vessels.' It also says: 'Joy overcomes sorrow.' The *Neijing* itself provides this treatment method; why use acupuncture and moxibustion? That would only increase his pain!"
The wife of Magistrate Xiang Guan suffered from loss of appetite, often shouting and cursing angrily, wishing to kill those around her, ceaselessly uttering foul language. Physicians prescribed medicines for half a year, but she remained unchanged. Her husband asked Dairen to examine her. Dairen said: "This is difficult to treat with medicine." He then had two courtesans apply rouge and powder, dressing up as actors, causing the woman to laugh greatly; the next day, he had them perform wrestling (Jiaodi), causing her to laugh again; beside them, two women known for good appetites praised the deliciousness of their food, prompting the patient to ask for food and taste it. Within a few days, her anger subsided, her appetite increased, and she recovered without medication. She later gave birth to a son. A physician must possess talent; without talent, how can one adapt to infinite changes?