戴人在西华,寄于夏官人宅。忽项上病一疮,状如白头,疮肿根红硬,以其微小
,不虑也。忽遇一故人见邀,以羊羔酒饮,鸡鱼醢蒜皆在焉。戴人以其故旧,不能辞,又忘
其禁忌。是夜疮疼痛不可忍,项肿及头,口发狂言,因见鬼神。夏君甚惧,欲报其家。戴人
笑曰∶请无虑,来日当平。乃以酒调通经散六、七钱,下舟车丸百余粒,次以热面羹投之。
上涌下泄,一时齐作,合去半盆。明日日中,疮肿已平。一、二日,肿消而愈。夏君见,大奇之。
麻先生妻,病代指痛,不可忍。酒调通经散一钱,半夜大吐,吐毕而痛减。余因
叹曰∶向见陈五曾病此,医以为小虫伤,或以草上有毒物,手因触之。迁延数月,脓尽方已。以今日观之,可以大笑。
一妇人病瘰 ,延及胸臆,皆成大疮,相连无好皮肉,求戴人疗之。戴人曰∶火
淫所胜,治以咸寒。命以沧盐吐之,一吐而着痂。次用凉膈散、解毒汤等剂,皮肉乃复如初。
一妇人病咽喉肿塞,浆粥不下,数日肿不退,药既难下,针亦无功。戴人以当归、
荆芥、甘草煎,使热漱之,以冷水拔其两手。不及五、六日,痛减肿消,饮食如故。咽喉之
病甚急,不可妄用针药。
南邻朱老翁,年六十余岁,身热数日不已,舌根肿起,和舌尖亦肿,肿至满口,
比元舌大二倍。一外科以燔针刺其舌下两旁廉泉穴,病势转凶,将至颠
。戴人曰∶血实者宜决之。以 针磨
令锋极尖,轻砭之,日砭八、九次,血出约一、二盏,如此者三次,渐而血少痛减肿消。夫
舌者,心之外候也。心主血,故血出则愈。又曰∶诸痛痒疮疡,皆属心火。燔针艾火,是何义也?
戴人在西华县时,寄住在夏官人的家中。忽然项部生了一个疮,形状像白头疮,疮肿根部红硬,因为疮体微小,并未在意。忽然遇到一位老朋友邀请,席间有羊羔酒、鸡肉、鱼肉、肉酱和蒜等食物。戴人因为是故旧之情,无法推辞,又忘记了饮食禁忌。当天夜里,疮处疼痛难忍,项部肿胀蔓延至头部,口中胡言乱语,甚至看见鬼神。夏君非常恐惧,想要告知其家人。戴人笑着说:“请不用担心,明天自然会平复。”于是用酒调服通经散六七钱,再服用舟车丸一百多粒,接着喝热面汤催吐。上涌下泄同时发作,共排出半盆污物。第二天中午,疮肿已经平复。一两天后,肿胀消退而痊愈。夏君见到后,对此感到非常惊奇。
麻先生的妻子,患代指痛(手指末端红肿疼痛),疼痛难忍。用酒调服通经散一钱,半夜大吐,吐完后疼痛减轻。我因此感叹道:“以前见陈五曾患此病,医生认为是小虫叮咬,或者手触碰到草上的有毒物质所致。拖延了几个月,脓液排尽才痊愈。以今天的眼光来看,这真是令人发笑。”
一个妇人患瘰疬(颈部淋巴结结核),蔓延至胸臆部位,都变成大疮,相连处没有完好的皮肤肌肉,请求戴人治疗。戴人说:“这是火邪过盛,应用咸寒之法治疗。”命令用沧盐催吐,一次吐后结痂。接着使用凉膈散、解毒汤等药剂,皮肤肌肉才恢复如初。
一个妇人患咽喉肿塞,水浆粥食无法咽下,数日肿胀不退,药物难以服下,针刺也无效。戴人用当归、荆芥、甘草煎汤,让患者含漱,同时用冷水浸泡拔提其双手。不到五六天,疼痛减轻,肿胀消退,饮食恢复正常。咽喉的疾病非常急迫,不可妄用针药。
南邻朱老翁,六十多岁,身体发热数日不止,舌根肿胀隆起,舌尖也肿,肿胀充满口腔,比原来的舌头大二倍。一位外科医生用燔针(烧红的针)刺其舌下两旁的廉泉穴,病情反而加重,几乎危及头顶(生命)。戴人说:“血实者宜决之(实证血液瘀滞应当放血疏通)。”将铍针磨得极其锋利,轻轻点刺舌部,每天点刺八九次,出血约一两盏,如此进行三次,逐渐血量减少,疼痛减轻,肿胀消退。舌是心的外候。心主血脉,所以出血则病愈。又说:“各种痛痒疮疡,都属于心火。”用燔针和艾火,是什么道理呢?
When Dai Ren was in Xihua, he stayed at the residence of Official Xia. Suddenly, a sore appeared on his neck, resembling a "white-headed" sore (a type of superficial abscess with a white head), with a red and hard base. Due to its small size, he did not worry about it. Suddenly, an old friend invited him to a banquet where mutton lamb wine, chicken, fish, meat sauce, and garlic were served. Because of their past friendship, Dai Ren could not refuse, and he forgot the dietary contraindications. That night, the pain from the sore became unbearable, swelling spread from the neck to the head, he spoke deliriously, and even saw ghosts and spirits. Master Xia was very frightened and wanted to inform Dai Ren's family. Dai Ren laughed and said, "Please do not worry; it will be flat tomorrow." He then mixed Tongjing San (Unblocking Meridian Powder) with wine, administering 6-7 qian, followed by over 100 pills of Zhouche Wan (Boat and Cart Pill). Next, he had him drink hot noodle soup to induce vomiting. Both upper vomiting and lower purging occurred simultaneously, expelling half a basin of waste. By noon the next day, the sore and swelling had flattened. Within one or two days, the swelling subsided, and he recovered. Master Xia was greatly amazed upon seeing this.
The wife of Mr. Ma suffered from Daizhi Tong (painful inflammation of the fingertip), which was unbearable. One qian of Tongjing San (Unblocking Meridian Powder) was taken with wine. She vomited heavily at midnight, and the pain subsided after vomiting. I sighed and said, "Previously, I saw Chen Wu suffer from this condition. Physicians attributed it to insect bites or contact with toxic substances on grass. The condition dragged on for months until the pus drained completely before healing. Looking at it today, it is laughable."
A woman suffered from Luoli (scrofula/neck lymph node tuberculosis), which extended to her chest and epigastrium, forming large sores with no healthy skin or flesh remaining between them. She sought treatment from Dai Ren. Dai Ren said, "This is caused by excessive Fire pathogen; it should be treated with Salty-Cold methods." He ordered the use of Cangyan (Blue Salt) to induce vomiting. After one episode of vomiting, scabs formed. Subsequently, using Liangge San (Cooling the Diaphragm Powder) and Jiedu Tang (Detoxifying Decoction), her skin and flesh returned to normal.
Another woman suffered from severe throat swelling and obstruction, unable to swallow liquids or porridge. The swelling persisted for several days despite medication being difficult to administer and acupuncture proving ineffective. Dai Ren prescribed a decoction of Danggui (Angelicae Sinensis Radix), Jingjie (Schizonepetae Herba), and Gancao (Glycyrrhizae Radix et Rhizoma) for the patient to gargle with while hot, and simultaneously applied cold water to draw out the blood from both hands. Within five or six days, the pain decreased, the swelling subsided, and her diet returned to normal. Throat diseases are extremely urgent; one must not recklessly use needles or drugs.
Old Man Zhu, a neighbor to the south, aged over sixty, had persistent fever for several days. His tongue root swelled up, and the tip also swelled, filling his entire mouth, becoming twice the size of his original tongue. A surgeon used a burning needle (red-hot needle) to puncture the Lianquan acupoint (CV23) on both sides under the tongue, but the condition worsened, nearly reaching the vertex (endangering life). Dai Ren said, "Where there is Blood excess, one should drain it." He sharpened a Pi needle (flat-bladed needle) to an extreme point and lightly pricked the tongue, doing so eight or nine times a day. Approximately one to two zhan of blood was discharged each time. This was repeated three times. Gradually, the blood loss decreased, pain subsided, and swelling resolved. The tongue is the external manifestation of the Heart. The Heart governs Blood; therefore, bleeding leads to recovery. It is also said, "All pain, itching, sores, and ulcers belong to Heart Fire." What is the rationale behind using burning needles and moxibustion?