凡服吐剂，自辰牌至巳牌为佳。服下剂以人定后临卧为佳，利水之剂亦然。夫人日中百
事纷错，元气为散，入夜安卧，精气下行，故通利之药，最宜临卧也。
小儿常食多好恶，日羸瘦腹满者，由膏腴之毒，熏蒸肠胃，故腹满、肉脱，饮食为好恶
也。治法宜驱肠胃之毒，流通津液。古人用消疳汤，亦不过此意。然此证多属不治。
平素健啖者，有忽发身体强直或不遂者，不可妄药，但减饮食，则必自愈。(宁固曰∶
病多成于食毒，专用吐剂，而于此证云不可妄药，高出前人一筹。)
衄血诸药无效者，三黄泻心汤中加荆芥二钱奇效。(按∶《卫生家宝》治血气妄行，其
出如
涌泉，口鼻皆流。侧柏散，侧柏叶、人参、荆芥穗共三味，此亦荆芥为效者。而其治虚实相
反，并存而可。)
慎独轩尝受松原一闲斋衣钵。林栖于芳野数十年，志不拘检，神情旷荡，无甚可否。是
以其
理疗，自然融活，不似当时古方者流所为。门人中川，故能记其成绩，着《芳翁医谈》，其
可谓翁之忠臣矣。
凡腹中有块而发挛急气急等证者，不论血块积聚，与起废丸效。
其腹有块而腹里拘急，形体瘦削者，名曰干血劳，起废丸长服为是。
反胃难治，然驱除停饮，和胃气则得愈，宜长服小半夏加茯苓汤，时时以大黄甘草丸除
其腐秽。
中风卒倒者难治，与附子泻心汤间得效。
偏枯言语謇涩者，与麦门冬汤加石膏。但偏枯者，与续命汤。此证石膏最为主，一贴用
至五
钱。(偏枯用石膏，山胁东洋原之于续命、风引诸汤，翁亦同时同见，所以古方盛也。)(拙
轩曰∶麦门冬汤加石膏，似戾立之本旨，然用之往往奏奇效。古方之妙，不可思议。
偏枯瘫痪及痿 麻痹者，皆系阳气衰废，故虽用乌附之类，不能奏效。
休息痢因秽物不尽，宜服笃落丸下之，兼用半夏泻心汤之类。
下利久不止，其证如休息痢，而无脓血，唯水泻时作时止，腹满时痛，泻则觉快，日渐
羸惫
，面色萎黄，恶心或吞酸者，非巴豆则不能奏效。故用笃落丸，兼服半夏泻心汤为佳。紫丸
治久痢，亦此意也。
痫证百端，不可枚举，而眼胞惰数瞬呼吸促迫如唏之类，三黄泻心汤最效。若冲逆甚自
汗出者，前方加牡蛎。若见诸怪证者，兼用辰砂丸。
痫家概治《千金》温胆汤为最矣。凡诸证变出不定者，皆系肝胆之气郁，宜主此方而勿
眩其证妄易之。
上市买人之子，卒然厥冷戴眼，不知人事，予以为痫。与三黄加芒硝汤，三日不瘥，因
请治
于松原白翁，翁与风引汤三剂而全愈。一男子年十有八，素患口疮赤烂，一日直视不语，心
下石硬，醒复发，予拟前治，与风引汤十帖，始知人事，后与三黄汤全安。
痫家舌焦或滑白如渍水者，内服麦门冬汤之类，外以黄连石膏末贴之则愈。
多罗尾候性躁拘物，患失精数岁，与人并坐而不自识其漏泄，诸治无效。予诊曰∶此痫
也，与三黄泻心汤全愈。
内痔难愈者，内有结毒也。宜驱尽其毒， 皮最效，如痔漏亦然。长服下剂，可荡尽其
毒，勿漫施外敷求速治。
病有不可不为者，如汗吐下是也。若失其机，则病不治矣。有为之而不若不为者，如鹤
膝风
、流注毒是也。何则？节脉有条理，而皮外不可见。故妄施针刺，则多害屈伸。若服托里之
药，毒瓦斯外泄，终自脓溃，则无后患。余故曰∶为之不若不为。治疮肿者，不可不知。
狗毒鼠，古今论其治，而至猫毒寥寥无闻。予尝为家猫所咬，痛楚苦恼，不可名状。
因普
检毒兽咬伤之方，将水晶一味煎服，其病霍然如脱。后复发，乃作黄连解毒汤，加虎胫骨兼
服之，数十日全愈。
余尝见磨古镜者，将石榴皮磨之，则银光剥尽为铜色，乃知水银之所忌。世解轻粉毒，
专用石榴皮，洵有以也。
水肿冲攻，或香港脚冲心垂死者，取巴豆一味去皮碎，与赤小豆合炒而去巴豆，赤小豆一
味煎服之，则咄嗟奏效，或赤小豆汤方中用此品亦佳。
齿痛难堪者，宜桃核承气汤。(龋齿、 疽、牙疳、骨槽、诸齿痛难堪者，余用之屡效
，盖属血气冲逆者多故也。)
一人患哕五十日许，众医束手。余审其腹候，与建中汤二剂全止。(按∶洋说以哕逆为
膈膜挛急所致，建中汤所以效也。盖翁非信洋说者，治术精思，偶诣此耳。)
《外台》泻脾汤，治 癖成劳者，世所谓积聚之类。有腹痛者，用此方往往奏效。
发狂者，与三黄加芒硝汤，兼灌瀑布泉为妙。灌泉法，使患者着HT ，而以麻索缚之于梯
，别
以手巾覆其头，而后灌百会，又以手当额上御眼鼻，而灌天庭，次至胸间膻中，则其人易堪
，而克奏效。(泉水浊者不佳，宜择清冷者。)
凡漫肿坚硬，皮色不变，而其势甚炽者，以矾石汤蒸之，则能消散，悬痈、淋漏、痔毒
之类最效。又治瘫痪不遂不止，香港脚冲心也。
娼妇始入妓院，与客接十日余，必发寒热腹痛，俗称曰淫腹痛，海萝能治之。如寒热不
已者
，宜小柴胡汤加海萝。(按∶《兰轩医谈》载海萝汤治验可征焉。凡海草能避霉气，故京师
妓院多食青海苔。《大和本草》云∶杨梅疮家食昆布，面不发疮，是亦其一证。)
人中白能治血晕。不论产前后与金创损伤，以井花水送下少许，则晕立止。一妇人产后
患口
眼斜，半身不遂，余与桂苓丸料加沉香、人中白而愈。以血分有病，人中白能治之也。(
产前后口舌赤烂痛甚者，以人中白贴之效，以能入血分也。)
金创出血难止者，以纸条紧缚之，以淡红粉撒其间，随缚随撒缠毕，而妄动则血止。如
其更甚者，敷矾石粉，痛发必止。
痫家有数证，而属火热者，属瘀血者，宜甄别舌上苔。其色或黄或黑，常苦上冲，脉数
而有
力者，为火热，宜麦门冬汤加石膏、柴胡加石汤瀑布泉选用之，兼见血证者，为瘀血，宜三
黄泻心汤，加犀角、芒硝，或沉香、姜黄之类。若手足螈 者，宜天麻。间有妇人老后自愈
，即与患痫之妇产后不药而自愈者，一理也。
噤口痢有宜半夏泻心汤加槟榔者，有宜真武汤者，不可概治。
妇人经闭成 瘕者，成鼓胀者，灸肾大小肠膀胱诸俞及腰眼，至十万壮以上，则必效。
黄胖用铁粉而不效者，宜辰砂。
一人伤寒，瘥后久不食，众医治之无效。余诊之，腹中有动悸，与桂枝加龙骨牡蛎汤，
食忽复故。
医有上工，有下工。对病欲愈，执方欲效者，为之下工。临证察机，使药要和者，为之
上工。夫察机要和者，似迂而反捷，此贤者之所得，而愚者之所失也。
人生固有自然之理，而疾病亦不外于人身。故医审其理而治之，否则施治益谬，是以长
沙氏之书务矫其弊，可不鉴哉。
凡是服用催吐药剂，从辰时（上午7-9点）到巳时（上午9-11点）之间服用效果最佳。服用泻下药剂以人定后（晚上9-11点）临睡前服用为佳，利水通淋的药剂也是如此。人在中午时分百事纷扰，元气耗散；入夜后安卧休息，精气下行，所以通利二便的药物，最适合在临睡前服用。
小儿常常挑食偏食，日渐消瘦且腹部胀满的，是由于膏粱厚味的毒素熏蒸肠胃所致，因此出现腹胀、肌肉消瘦、饮食偏好怪异等症状。治疗方法应当驱除肠胃中的毒素，流通津液。古人使用消疳汤，也不过是这个意思。然而这种病症大多属于难治之症。
平时食欲旺盛的人，如果突然发生身体强直或肢体不能随意运动的症状，不可乱用药，只要减少饮食，就一定能自愈。（宁固说：疾病多由饮食积毒而成，此处专门提到催吐剂，而对于这种病症却说不可乱用药，见解高出前人一筹。）
对于衄血（鼻出血等），各种药物无效时，在三黄泻心汤中加入荆芥二钱，有奇效。（按语：《卫生家宝》治疗气血妄行，出血如涌泉，口鼻皆流。侧柏散由侧柏叶、人参、荆芥穗三味药组成，这也是荆芥发挥疗效的例子。虽然其治疗的虚实病机相反，但并存不悖，均可参考。）
福岛慎独轩曾继承松原一闲斋的医术衣钵。他隐居芳野数十年，志向不拘泥于礼法检束，神情旷达豪放，对事物没有过多的褒贬。因此他的医疗方法自然灵活，不像当时那些拘泥于古方的一派所为。他的弟子中川，能够记录他的诊疗成绩，撰写了《芳翁医谈》，这可以说是他对老师忠诚的表现了。
凡是腹中有肿块并伴有痉挛紧急、气急等症状的，不论是否为血块积聚，服用起废丸都有疗效。
如果腹中有肿块且腹部拘急疼痛，形体消瘦的，称为干血劳，长期服用起废丸是合适的。
反胃（食物入胃复出）难以治愈，但如果能驱除停聚的水饮，调和胃气，就能痊愈，适宜长期服用小半夏加茯苓汤，并时常服用大黄甘草丸以清除腐败秽浊之物。
半身不遂且言语不清涩滞的，给予麦门冬汤加石膏。如果是单纯的偏枯（半身不遂），给予续命汤。此证中石膏最为关键，一贴用量可达五钱。（偏枯使用石膏，山胁东洋原本源于续命汤、风引汤等方义，福岛翁也同时有此见解，所以古方在此处显得兴盛有力。）（拙轩说：麦门冬汤加石膏，似乎违背了张仲景创立该方的本意，然而使用时往往奏效奇佳。古方之妙，不可思议。）
偏枯瘫痪以及痿证麻痹者，都是因为阳气衰败废用，所以即使使用乌头、附子之类的药物，也不能奏效。
休息痢（痢疾反复发作）因为体内秽物未尽，适宜服用笃落丸攻下，同时兼用半夏泻心汤之类。
腹泻日久不止，症状类似休息痢，但没有脓血，只是水样腹泻时发时止，腹部胀满时而疼痛，排便后感觉爽快，日渐消瘦疲惫，面色萎黄，恶心或吞酸水的，非巴豆不能奏效。所以使用笃落丸，兼服半夏泻心汤为佳。紫丸治疗久痢，也是这个意思。
痫证（癫痫）表现千变万化，不可枚举，而出现眼睑跳动频繁、呼吸急促迫近如抽泣声等症状的，三黄泻心汤最有效。如果冲逆严重且自汗出的，在前方基础上加牡蛎。如果出现各种怪异症状的，兼用辰砂丸。
痫病患者总体治疗以《千金方》的温胆汤为最佳。凡是诸种症状变化不定者，都是肝胆之气郁结所致，应以主用此方为主，不要因为症状变化而轻易更改处方。
在市场上买来的一个男孩，突然四肢厥冷、两眼上视（戴眼），不知人事，我认为是痫证。给予三黄加芒硝汤，三天未愈，于是请教于松原白翁，白翁给予风引汤三剂，完全痊愈。有一个十八岁的男子，素来患有口腔溃疡红肿溃烂，一天突然直视不语，心下坚硬如石，醒来后又复发，我拟定之前的治疗方案，给予风引汤十帖，才恢复知觉，后来给予三黄汤完全康复。
痫病患者舌苔焦黑或滑白如浸渍水的，内服麦门冬汤之类，外用黄连石膏末外敷贴患处则能痊愈。
多罗尾侯性格急躁拘谨，患遗精症数年，与人并坐时自己都不知道漏泄，各种治疗无效。我诊断说：这是痫证，给予三黄泻心汤完全痊愈。
内痔难以治愈的，是因为内有结聚的毒素。适宜彻底驱尽毒素，地榆皮最见效，痔疮瘘管也是如此。长期服用泻下剂，可以荡涤尽毒素，不要随意施用外敷药以求速效。
疾病有不可不治疗的，如发汗、催吐、泻下法是。如果错失治疗时机，病就无法治愈了。有应该治疗却不如不治疗的，如鹤膝风、流注毒疮等。为什么呢？经脉脉络有条理，但在皮肤外面看不见。所以妄施针刺，大多会损害屈伸功能。如果服用托里透脓的药物，毒瓦斯向外发散，最终自然会化脓溃破，就没有后患了。所以我说不如不治疗。治疗疮肿的人，不可不知道这一点。
关于狗咬、鼠咬，古今论述其治疗方法很多，至于猫咬中毒则寥寥无闻。我曾在家中被猫咬伤，痛苦苦恼，无法形容。于是普遍检查毒兽咬伤的方子，将水晶一味煎服，病情霍然如脱去一般痊愈。后来复发，于是制作黄连解毒汤，加入虎胫骨兼服，数十日后完全痊愈。
我曾经见过磨古镜的人，用石榴皮打磨，银光剥尽露出铜色，才知道水银所忌讳的东西。世间解轻粉（氯化亚汞）毒，专用石榴皮，确实是有道理的。
水肿邪气上冲，或者香港脚（痛风/下肢肿痛）冲心垂死者，取巴豆一味，去皮捣碎，与赤小豆合炒后去掉巴豆，单用赤小豆煎服，立刻奏效，或者在赤小豆汤方中使用此品也很好。
牙齿疼痛难以忍受的，适宜桃核承气汤。（龋齿、牙痈、牙疳、骨槽风等各种难以忍受的齿痛，我使用此方屡获良效，大概属于气血冲逆的情况较多。）
一个人患呃逆（打嗝）约五十天，众医生束手无策。我审查他的腹部状况，给予建中汤两剂，呃逆完全停止。（按语：西医理论认为呃逆是由膈膜痉挛引起，建中汤之所以有效，大概是因为福岛翁并非迷信西医理论，而是治疗技术精妙深思，偶然达到了这一境界。）
《外台秘要》的泻脾汤，治疗癖积成劳的，即世所谓积聚之类的病。有腹痛症状的，使用此方往往奏效。
发狂的患者，给予三黄加芒硝汤，同时配合灌瀑布泉疗法为妙。灌泉法，让患者仰卧，用麻绳将其绑在梯子上，另外用手巾覆盖其头部，然后向百会穴灌水，又用手挡在额头遮挡眼睛鼻子，然后向天庭穴灌水，接着至胸间膻中穴，这样患者容易承受，从而能奏效。（泉水浑浊的不佳，应选择清冷的泉水。）
凡是漫肿坚硬，皮色不变，但势头很炽盛的，用矾石汤熏蒸，就能消散，悬痈、淋漏、痔毒之类最有效。又用于治疗瘫痪不遂不止，以及香港脚冲心。
妓女刚进入妓院，与客人交接十余天后，必然发作寒热腹痛，俗称淫腹痛，海萝能治疗它。如果寒热不退的，适宜小柴胡汤加海萝。（按语：《兰轩医谈》记载海萝汤的治疗验案可资证明。凡是海草能避霉气，所以京师的妓院多吃青海苔。《大和本草》说：杨梅疮患者吃昆布，面部不发疮，这也是其中一个证据。）
人中白能治疗血晕。不论是产前产后还是金创损伤，用井花水送服少许，晕厥立即停止。一位妇人产后患口眼歪斜，半身不遂，我给予桂苓丸料加沉香、人中白而痊愈。因为这是血分有病，人中白能治疗血分病。（产前产后口舌红肿溃烂疼痛严重的，用人中白贴敷有效，因为它能入血分。）
金创出血难以止住的，用纸条紧紧缚住伤口，撒上淡红粉，随缚随撒，缠绕完毕后，如果妄动则血止。如果更严重的，敷上矾石粉，疼痛发作必定停止。
痫证有几类证候，属于火热证的，属于瘀血证的，应当甄别舌上的苔色。如果苔色黄或黑，常苦于气机上冲，脉数而有力的，为火热证，适宜麦门冬汤加石膏、柴胡加石汤，选用瀑布泉疗法，兼见出血症状的，为瘀血证，适宜三黄泻心汤，加犀角、芒硝，或沉香、姜黄之类。如果出现手足抽搐的，适宜天麻。间有妇女年老后自愈的，这与患痫证的妇女产后不药而自愈，是一个道理。
噤口痢（痢疾不能进食）有的适宜半夏泻心汤加槟榔，有的适宜真武汤，不可一概而论治疗。
妇人经闭形成癥瘕的，形成鼓胀的，灸肾俞、大小肠俞、膀胱俞及腰眼穴，达到十万壮以上，则必定有效。
黄胖病（营养不良性水肿/钩虫病）用铁粉治疗无效的，适宜用辰砂。
一个人患伤寒，病愈后长久不能进食，众医生治疗无效。我诊察发现，腹中有动悸感，给予桂枝加龙骨牡蛎汤，食欲忽然恢复正常。
医生有高明的上工，也有低劣的下工。面对疾病想要治愈，执着于方剂想要见效的，称为下工。临证观察病机，使药物调和适宜的，称为上工。观察病机并使药物调和，看似迂阔反而快捷，这是贤者所得到的，而愚者所失去的。
人生固有自然的道理，而疾病也不外乎人身生理规律。所以医生审察其中的道理而治疗，否则施治更加错误，因此长沙太守张仲景的书致力于纠正弊端，难道不值得借鉴吗？
Whenever taking emetic agents, it is best to administer them from Chen hour (7:00–9:00 AM) to Si hour (9:00–11:00 AM). Taking purgative agents is best done after Ren Ding hour (9:00–11:00 PM) just before sleep; the same applies to diuretic agents. During the day at noon, human affairs are chaotic and Yuan Qi (Original Qi) dissipates; at night, when resting peacefully, Jing Qi (Essence Qi) descends. Therefore, medicines that promote unblocking and draining are most suitable for administration before sleep.
Children who often have picky eating habits, becoming increasingly emaciated with abdominal distension, suffer from toxins of rich foods steaming and steaming the intestines and stomach. Thus, they present with abdominal distension, muscle wasting, and abnormal food preferences. The treatment method should be to expel toxins from the intestines and stomach and circulate Jin Ye (Body Fluids). The ancient use of Xiaoguan Tang (Eliminate Malnutrition Decoction) was no more than this intent. However, this condition mostly belongs to untreatable cases.
Those who usually have hearty appetites but suddenly develop body stiffness or paralysis/inability to move limbs should not take medicine recklessly; simply reducing food intake will lead to spontaneous recovery. (Ning Gu said: Diseases often arise from food toxicity. Here, specifically mentioning emetics, yet stating that for this condition one should not take medicine recklessly, shows insight surpassing predecessors.)
For patients with epistaxis (nosebleed) where various medicines are ineffective, adding 2 qian of Jingjie (Schizonepetae Herba) to Sanhuang Xiexin Tang (Three Yellow Heart-Purging Decoction) yields miraculous effects. (Note: *Weisheng Jiabao* treats reckless flow of Qi and Blood, bleeding like a gushing spring from mouth and nose. Cebai San (Cypress Leaf Powder), composed of Cebaiye (Platycladi Cacumen), Renshen (Ginseng Radix), and Jingjiesui (Schizonepetae Spica), also demonstrates the efficacy of Jingjie. Although the patterns treated are opposite in deficiency/excess, both coexist and are valid.)
Fukushima Shindokken inherited the medical lineage of Matsubara Ikkan-sai. He lived in seclusion in Fangye for decades, his aspirations unconstrained by etiquette, his demeanor open and magnanimous, holding few strong opinions on praise or blame. Therefore, his medical methods were naturally flexible and adaptable, unlike the rigid adherence to ancient formulas prevalent at the time. His disciple Nakagawa recorded his clinical achievements and wrote *Fangweng Yitan* (Medical Talks of Old Man Fang), which can be considered loyal service to his master.
For any masses in the abdomen accompanied by spasms, urgency, and shortness of breath, regardless of whether they are blood stasis accumulations, Qifei Wan (Revive the Wasted Pill) is effective.
If there is a mass in the abdomen with internal tension and pain, and the body is emaciated, it is called Ganxue Lao (Dry Blood Consumption); long-term use of Qifei Wan is appropriate.
Fanwei (Regurgitation/Vomiting of ingested food) is difficult to treat, but if stagnant fluids are expelled and Stomach Qi is harmonized, recovery is possible. Long-term use of Xiao Banxia Jia Fuling Tang (Minor Pinellia plus Poria Decoction) is suitable, occasionally supplemented with Dahuang Gancao Wan (Rhubarb and Licorice Pill) to eliminate putrid filth.
Zhongfeng (Wind Stroke) sudden collapse is difficult to treat; intermittent use of Fuzi Xiexin Tang (Aconite Heart-Purging Decoction) can yield results.
For hemiplegia with slurred speech, Maimendong Tang (Ophiopogon Decoction) added with Shigao (Gypsum Fibrosum) is indicated. For pure hemiplegia, Xuming Tang (Restore Life Decoction) is given. In this condition, Shigao is paramount, with a dose of up to 5 qian per prescription. (The use of Shigao for hemiplegia originates from Yamawata Toyo’s interpretation of Xuming Tang and Fengyin Tang; Master Fukuda shared this view simultaneously, highlighting the vitality of ancient formulas.) (Zhuoxuan said: Maimendong Tang with Shigao seems contrary to Zhang Zhongjing’s original intent, yet it often produces miraculous effects. The subtlety of ancient formulas is inconceivable.)
Hemiplegia, paralysis, and flaccid numbness are all due to the decline and dysfunction of Yang Qi; thus, even using herbs like Wutou (Aconiti Lateralis Radix Praeparata) and Fuzi (Aconiti Radix Praeparata) fails to produce efficacy.
Xiuxili (Resting Dysentery/Dysentery with remissions) occurs because foul matter remains incomplete; it is suitable to administer Duoluo Wan (Fallen Dust Pill) to purge, combined with Banxia Xiexin Tang (Pinellia Heart-Purging Decoction).
Chronic diarrhea that does not stop, presenting similarly to resting dysentery but without pus and blood, only watery stools coming and going, abdominal fullness with intermittent pain, relief after defecation, progressive emaciation, sallow complexion, nausea, or acid regurgitation, cannot be effectively treated except with Baidu (Crotonis Fructus). Therefore, using Duoluo Wan combined with Banxia Xiexin Tang is ideal. Ziwan (Purple Pill) for chronic dysentery follows this same principle.
Xianzheng (Epilepsy) presents in myriad ways, impossible to list exhaustively. However, for symptoms such as frequent eyelid twitching and rapid, forced breathing resembling sobbing, Sanhuang Xiexin Tang is most effective. If rebellious Qi is severe with spontaneous sweating, add Muli (Concha Ostreae) to the previous formula. If strange manifestations appear, combine with Chensha Wan (Cinnabar Pill).
Generally, epilepsy is best treated with Wendan Tang (Warm the Gallbladder Decoction) from *Qianjin Fang*. For any symptoms that vary unpredictably, this is due to stagnation of Liver and Gallbladder Qi; one should prioritize this formula and not change it rashly due to symptom fluctuations.
I once treated a boy purchased in the market who suddenly presented with cold extremities, eyes fixed upward (Daiyan), and unconsciousness, diagnosing him with epilepsy. I administered Sanhuang Jia Mangxiao Tang (Three Yellow plus Nitre Decoction). After three days without improvement, I consulted Master Songyuan Bai. He prescribed Fengyin Tang (Wind-Guiding Decoction) for three doses, resulting in complete recovery. An eighteen-year-old man, previously suffering from oral ulcers and redness/swelling, suddenly became unable to speak or look straight, with a rock-hard sensation below the heart. Upon waking, he relapsed. I applied the previous treatment with Fengyin Tang for ten doses, restoring consciousness, followed by Sanhuang Tang for full recovery.
For epilepsy patients with scorched tongue coating or slippery white coating like soaked water, internal administration of Maimendong Tang is suitable, while external application of Huanglian (Coptidis Rhizoma) and Shigao powder to the area leads to cure.
Lord Tarao had an irritable and constrained temperament, suffering from seminal emission for years. He was unaware of leakage even while sitting with others; various treatments failed. I diagnosed this as epilepsy and prescribed Sanhuang Xiexin Tang, resulting in complete recovery.
Internal hemorrhoids are difficult to cure due to accumulated toxins internally. It is necessary to thoroughly expel these toxins; Yupi (Cornus Officinalis Bark - *Note: Context implies a specific herb for hemorrhoids, likely Diyu/Sanguisorbae Radix or similar, but text says Yupi*) is most effective; the same applies to hemorrhoidal fistulas. Long-term use of purgatives can cleanse all toxins; do not indiscriminately apply external remedies seeking quick fixes.
There are diseases that must be treated, such as sweating, vomiting, and purging. If the timing is missed, the disease becomes untreatable. There are conditions where treatment is less effective than non-treatment, such as Crural Phthisis (Knee-Joint Swelling) and Liuzhu (Flowing Abscesses). Why? Meridians have structure but are invisible externally. Reckless acupuncture often impairs flexion and extension. If one takes tonifying drugs to support the interior, the toxic vapors exit outward, eventually suppurating and ulcerating spontaneously, leaving no future complications. Hence I say: non-treatment is preferable. Those treating sores and swellings must understand this.
Regarding dog bites and rat bites, ancient and modern texts discuss treatments extensively, but cat bites are rarely mentioned. I was once bitten by a domestic cat, experiencing indescribable pain and distress. I searched for formulas for venomous animal bites and decocted Shuijing (Rock Crystal) alone to drink; the illness vanished instantly. When it recurred, I prepared Huanglian Jiedu Tang (Coptis Detoxification Decoction) with Hu Jinggu (Tiger Tibia Bone - *Note: Modern ethics prohibit this, historical context noted*) taken concurrently, achieving full recovery after dozens of days.
I once observed a person polishing an ancient mirror using Shiliupi (Pomegranate Peel); the silver luster peeled away revealing copper color, revealing what Mercury fears. The world uses Shiliupi exclusively to detoxify Qingfen (Calomel), which is indeed justified.
For edema with rebellious attack, or Hongzhangjiao (Gout/Lower Limb Swelling) attacking the heart near death, take one piece of Baidu (Croton Seed), remove skin and crush, stir-fry together with Chixiaodou (Adzuki Bean), then discard the Baidu. Decoct the Chixiaodou alone and drink; it works instantaneously. Alternatively, adding this preparation to Chixiaodou Tang is also good.
For unbearable toothache, Taohé Chengqi Tang (Peach Kernel Draining-Chi Decoction) is suitable. (For caries, dental abscesses, noma, alveolar pyorrhea, and other unbearable toothaches, I have used this formula with frequent success, largely because these cases often involve rebellious Qi and Blood.)
A patient suffered from hiccups for about fifty days; many doctors were helpless. I examined his abdominal signs and prescribed Jianzhong Tang (Establish the Middle Decoction) for two doses, stopping the hiccups completely. (Note: Western theory attributes hiccups to diaphragm spasm; Jianzhong Tang’s efficacy here suggests Master Fukuda’s precise diagnostic thinking achieved this result, rather than belief in Western theories.)
*Xiwai Mi Yao*’s Xipi Tang treats Pi accumulation turning into consumption, known generally as accumulations and masses. For those with abdominal pain, this formula often yields results.
For mania, administer Sanhuang Jia Mangxiao Tang, combined with the "Waterfall Spring" irrigation therapy for optimal effect. The irrigation method involves laying the patient flat, binding them to a ladder with hemp rope, covering their head with a hand towel, then pouring water over Baihui (GV20). Use hands to shield the forehead, eyes, and nose, then pour over Tinggong (EX-HN18/Tinggong area - *Text says Tingting, likely Tinggong or similar anterior point*), then down to the chest at Danzhong (CV17). This makes the procedure bearable and effective. (Muddy water is poor; choose clear, cold water.)
For diffuse swelling that is hard, with unchanged skin color but intense heat, fumigate with Fanshi Tang (Alum Decoction) to dissipate it; this is most effective for Xuan Yong (Perineal Abscess), Lin Lou (Leaking Fistula), and hemorrhoidal toxins. It also treats persistent paralysis and Hongzhangjiao attacking the heart.
When a prostitute first enters a brothel and has sexual contact for over ten days, she inevitably develops chills, fever, and abdominal pain, commonly called Yin Abdominal Pain. Hairuo (Sargassum/Hairy Seaweed) can treat this. If chills and fever persist, Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Hairuo is suitable. (Note: *Lanxian Yitan* records successful cases of Hairuo Tang. Generally, seaweed avoids damp-miasma, hence prostitutes in the capital often eat Qing Haitai (Green Seaweed). *Dahe Bencao* states that patients with Syphilis/Kanyame Chuang eating Kelp prevent facial eruptions, which is another proof.)
Ren Zhongbai (Urine Sediment) treats Blood Syncope. Whether postpartum, prenatal, or from traumatic injury, taking a small amount dissolved in Jinghua Shui (Well Water) stops syncope immediately. A woman suffered from facial deviation and hemiplegia after childbirth. I prescribed Guiling Wan material added with Chenxiang (Agarwood) and Ren Zhongbai, curing her. Since this was a disorder of the Blood aspect, Ren Zhongbai, which enters the Blood aspect, was effective. (For severe redness, ulceration, and pain of the mouth/tongue pre/post-partum, applying Ren Zhongbai externally is effective due to its entry into the Blood aspect.)
For traumatic bleeding that is difficult to stop, tightly bind with paper strips, sprinkle Danhongfen (Light Red Powder) between layers, binding and sprinkling simultaneously. Finish wrapping; if movement causes bleeding to resume, it will stop. For more severe cases, apply Fanshi Fen (Alum Powder); pain and bleeding will cease.
Epilepsy has several syndromes. Those belonging to Fire-Heat and those belonging to Blood Stasis require differentiation via tongue coating. If the coating is yellow or black, with frequent rebellious Qi sensation, and pulse is rapid and forceful, it is Fire-Heat syndrome: Maimendong Tang added with Shigao, or Chaihu Jia Shigu Tang (Bupleurum plus Gypsum Decoction), selecting Waterfall Spring therapy. If accompanied by bleeding symptoms, it is Blood Stasis syndrome: Sanhuang Xiexin Tang added with Xijiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*), Mangxiao (Mirabilite), or Chenxiang, Jianghuang (Curcuma Longa Rhizoma). If there are convulsions of hands and feet, Tianma (Gastrodiae Rhizoma) is suitable. Occasionally, women recover spontaneously after old age, similar to epileptic women recovering spontaneously postpartum without medication; the principle is the same.
Jinkouli (Closed-Mouth Dysentery) may suit Banxia Xiexin Tang added with Binglang (Areca Seed), or Zhenwu Tang (True Warrior Decoction); treatment cannot be generalized.
For women with amenorrhea forming Zheng Jia (Masses) or developing Drum Distension (Ascites), moxa the Shu points of Kidney, Large Intestine, Small Intestine, Bladder, and Yaoyan (Lumbar Eye points) to over 100,000 moxa cones; this will certainly be effective.
For Huangpan (Yellow Puffy Disease/Iron-deficiency anemia-like condition) where Iron Powder is ineffective, Chensha (Cinnabar) is suitable.
A patient suffered from Cold Damage (Shanghan). After recovery, he could not eat for a long time; other doctors failed. I diagnosed palpitations in the abdomen and prescribed Guizhi Jia Longgu Muli Tang (Cinnamon Twig plus Dragon Bone and Oyster Shell Decoction); appetite suddenly returned to normal.
Doctors are classified into Superior (Shanggong) and Inferior (Xiagong). Those who fixate on formulas hoping for efficacy against a disease are Inferior. Those who observe the pathogenic mechanism clinically and ensure herbal harmony are Superior. Observing mechanism and ensuring harmony seems slow but is actually swift; this is gained by the wise and lost by the foolish.
Human life follows natural laws, and disease does not exist outside human physiology. Therefore, physicians must examine these principles to treat; otherwise, treatment becomes more erroneous. Thus, the writings of Changsha (Zhang Zhongjing) aim to correct these abuses; should we not learn from them?