病狂笑二年余，见人尚害羞，不说病情。前医以为热入血室，引起狂笑，欲以癫治。余询之狂笑是否起自行经期中？乃翁曰经后。余以为既非经来后发生狂笑，且此妇乃独自发笑，并未达狂之程度，更无狂言乱语形象，此实有隐曲之情，碍于言表者。因复询其夫妇感情如何？乃翁云，其子一介书生，尚就外传，每归一宿，即回学堂。其归时，或与我同睡，未见进房与其妻谈话。余告乃翁，此病须从两方着手，一面令此妇得与丈夫相处，以遂所欲，其隐曲自解。肝郁得解，而胆自有中正之力，其笑自可潜消也 。至于服药，不过辅助而已。拟方温胆加味：
竹茹二钱，枳实钱半，远志、茯神、台党、九节菖蒲、郁金、陈皮各二钱，戈半夏钱半，姜枣各二。
乃翁依余法，果获奇效。
（17）类中风
男，60岁
大病伤寒，自服药数十剂而愈。一日，剃头时眉梢稍出血，忽然倾倒于地。脉洪大无伦，舌中心红而微黄，唇见紫色，目合牙紧，认作血分中风，以黑神散治之。
黑荆芥五钱，水煎，童便兑服。一小时后，患者张目，叹气，左手振动，似稍知人事，不做声，口内流涎。嘱取：
黑豆三合（炒），与黑荆芥同煎服。是夜九时，患者叫“哎哟”，转身向里睡，无什变相。
次日再诊，面色隐隐带红，脉不洪，但起伏不定，唇色如昨。问其思食何物？仅微微摇头，不能作声，时以手扪胸。其子曰：“前天食糯米饭一碗，并食腊肉，自此即感胸闷。余以病后食郁论治，处方越鞠丸加减：
山楂炭二钱，苍术二钱，神曲二钱，半夏■钱半，广皮钱半，鸡内金二钱，川石斛二钱，陈粽炭一边猪骨烧灰同煎。服二剂，病势大减，胸郁解，已能言。其自服保和丸、黄金丸而愈。
女，55岁
身体肥胖，素嗜酒肉。一日正用膳，碗筷忽然落地，身往桌下一仆，桌子菜碗全部翻腾。口吐涎沫，卒然不语，豫剧牙关紧闭，唇色青暗，目合咀歪，身不转侧，面红汗出，昏迷失知，脉虽有，而度数不明。知为类中之腑症也，当有热痰，阻碍升降。旁有万某曰：“老年中风，多属虚候，请投补剂。”余以为老年中风虽多虚证，然此证是热极生风，宜清热豁痰。若投大剂补品，恐与此症难合。须先开窍通关，一俟声开昏解，再行拟方服药。乃以至宝丹一粒灌服。服后三小时，患者透大气，以手抹汗，口叫要茶。但刚喝一口，突然呕出痰涎一痰盂，遍身汗出，舌仍蹇涩，咀仍左歪，略见循衣摸床，时呼肚内发烧。另日再服至宝丹一粒，并给方：
竹茹三钱，九节菖蒲钱半，蛇胆尖贝末一支，荆芥炭二钱，钩藤二钱，瓜蒌仁二钱，关蒺藜二钱，郁金二钱，白矾二钱，薄荷二钱，橘络二钱，鲜生地二钱，当归二钱，龟板三钱，鲜桑枝三尺。（如无鲜桑枝，则以桑寄生代之），竹沥一杯
连服四包，咀歪减轻，两手能摸身上衣，语言较为清楚。更方：
羚羊角一钱，关蒺藜二钱，刺蒺藜钱半，桑寄生二钱，当归二钱，龟板三钱，钩藤二钱，川尖贝三钱，海浮石二钱，蛇胆陈皮一支（调服）
服两剂，言语能透彻，舌强已解，两手能托碗，但手捻不■，夜睡鼾声如雷。
最后患者急于求好，防有虚象，每日用洋参一两蒸水服。越三日，病复发，遗尿，无声，牙关紧急，水浆不入。再延余诊，余以为此证非周年半载，不得复原，仍须忌补，以住医院疗养为宜。
住院四十日，无显著改善，每天仅进百合粉或鸡汤，遂出院。经某医投小续命汤一剂，大汗淋漓，手足摇动，更医投六味地黄丸五钱烧炭研末，开水调服。服四次，稍有知觉。越二日再延我治，我以其原有梅毒，复以过服参茸，万难调治，非残废不可。此妪六年未起床，妄服参茸者，当引为教训也。
（18）顽痰塞窍
男，60岁
平日嗜酒，喜食猪牛肉，且喘咳经常。一日由省归，是晚突然跌跤，不省人事，脉皆浮大，舌色正常，唇色暗红，面呈青色，昏昧在床。每天早饭后，即感天旋地转，不能启目，直至下午四时，方得开眼。余断其晕眩，并非脱症，必有顽痰塞心窍，致清阳不升，病如晕厥。开方：
石菖蒲、郁金、海浮石、代赭石、橘络、旋覆花（布包）各二钱，京星钱半，西芎钱半，竹沥一杯。服三剂，能起坐，大汗口渴，发晕欲吐，显系胃津被灼，顽痰未净，改方：
郁金钱半，白矾二钱，象贝三钱，菖蒲钱半，西芎二钱，旋覆花（布包）二钱，戈半夏钱半，橘络二钱，玉竹二钱，麦冬二钱，代赭石钱半，藕三大片同煎服。
并嘱用猪肉砍碎如千刀肉，去油炖汤吃。暂食稀粥，不吃干饭。从此病机若失。盖清炖肉汤（去油），能助胃阳上升，益胃气，逐痰。此人嗜酒，肝强而胃枯，顽痰塞心窍，故以祛痰、解郁、除晕眩为主。
（19）癫狂
女，30岁
神经错乱，狂喊乱跳，家人无法，乃用绳索细绑。脉数极，关部不对呼吸，狂叫，怒目视人。问及月经，伊夫告以适来二日，其间烧热两夜，变为发疯。综上诸情，断乃热入血室，激动肝气，以龙胆泻肝汤，作为初治。
龙胆草、栀子、连翘、黄芩、生地各二钱，正西庄（水浸兑服）三钱，青蒿钱半。
服两剂，狂言减少，发气时不跳，然喃喃多语，改用消遥散：
柴胡二钱，黄芩、当归、生地各二钱，川芎钱半，酒白芍钱半，莲子心一钱。
服两剂，病势续减，月经复行，有时自言自语，见人发笑。予以为胆寒未透，改处温胆汤加味：
竹茹、陈皮、半夏、云苓、台党、九节菖蒲、远志各二钱，枳实钱半，甘草（炙）钱半，铁落一撮同煎，两剂而安。
女，33岁
出外奔跑，狂言妄语，不避亲疏，不知羞耻。因其手臂大力紧缩，无法察脉。仅从其身强力大，跑跳乱言，知为实证。其笑貌中，现出愁眉怒目，料其必有隐曲，未得如愿，激成肝火上炎，致令心阳亢盛，精神错乱。摸其身，有热怯手，先以消遥散加天竺黄二钱，琥珀屑钱半，铁落一撮煎服。服两剂，接续以
郁金二两，白矾一两，水打丸，如胡椒大，每日开水吞服二十粒，吃完为度。
自此病势日减，已不骂人，不热，但自言自语，发笑，不吃饭，索冷食，叫要回河南。十日后，仍喃喃自语，大便不畅，尚能外出。嘱服天王补心丹，每日开水吞服五钱。另用大红缎一尺，分两次炖猪肚吃，从此而安。
男，年未详
乱跳乱言，日夜不宁，亦不思饮食。据云烧热后发疯，曾服药，不效。脉沉至骨，面色淡白，舌中褐色，单笑，以手捻人，自言自语，喃喃不休，闻声音，立现惊慌状。断其因受惊而神不守舍，遂成癫症。书云癫属阴，当有胆寒，授以：
台党四钱，远志二钱，枳实二钱，竹茹二钱，茯神（辰砂和人乳拌）二钱，酸枣仁二钱，炙甘草一钱，九节菖蒲二钱，姜枣各二。
服四剂，仍自语不休，但笑容稍敛，手不捻人，夜间可睡三小时（发病后半月未成眠），能向人索食物。改方：
硝石 远志、茯神、柏子仁、勾耳、九节菖蒲、天竺黄、金钗石斛、覆盆子、菟丝子、百合各二钱，西党四钱，酸枣仁三钱，木蝴蝶三对
服八包，精神渐趋正常，后用安肾养心法，最后亦用大红缎炖猪肚吃，全愈。
（20）心肾不交
男，年未详
头晕目眩，卒然仆倒，昏不知人，每隔数日一发。其脉浮数而软，面色苍白，血不华色，神倦形焦，眉蹙声低，夜睡梦多，腰部发胀，间或遗精。中西医咸以痫症论治，服药良久，终鲜疗效。余则认作心肾不交，乃清阳不升，胃津不布，肝肾热迫而相离，水火不得互济，故病晕眩。总由手淫过度，肾水亏竭 ，不能养木，治以滋肾调肝。
远志二钱，茯神三钱，龟板三钱，酸枣仁二钱，熟地四钱，当归三钱，女贞子二钱，力参须二钱，覆盆子二钱，菟丝子二钱，杭芍二钱，肉苁蓉二钱，枸杞二钱，服八剂，夜睡较安，饮食渐增，但眉心痛，晕眩仆倒，仍然发作。于前方
去力参须、肉苁蓉、酸枣仁，加力参段二钱，龟鹿胶各二钱
服十二包，据述半月来精神甚佳，乃于上方加五倍，半羚羊角末三钱研末，蜜丸，共服一月。服毕，再用丸药：
洋参五钱，茯神（人乳和朱砂拌）五钱，山药五钱，百合五钱，女贞子四钱，熟地八钱，鹿茸（去毛）四钱，枸杞五钱，当归四钱，辛夷三钱，藁本四钱，柏子仁四钱，莲子心四钱，夜交藤四钱，合欢皮四钱，金钗石斛四钱，炙草三钱。共研末，蜜丸，如梧桐子大，每日盐开水吞服四十粒。
服药数月，年余未发。据云近发一次。
女，60岁
心跳烦躁，日夜不安，闻声即惊，不能外出，怕见生人。病家以患者畏惧生人，向余苦求单方，乃令购生熟酸枣仁各一两，煎浓汁，夜间服。翌日延诊，患者面目消瘦，目光放大，确有恐惧状态，身旁有人叫不要惊慌。脉浮弦，独关部不浮，但搏指甚，不分度数。认系肝热胆寒，痰阻升降，疏方：
竹茹三钱，菖蒲、郁金、瓜蒌仁、尖贝、橘络、酸枣仁、远志各二钱，竹沥一杯
服两剂，脉如与状，知前方无效，改以养心定神剂。
茯神二钱、远志、枳实、当归、百合、夜交藤、阿胶珠、莲子心各二钱，酸枣仁钱半，柏子仁钱半
服三剂，脉无浮象，尺部见数，不若以前之恐惧，换方：远志二钱，酸枣仁三钱，灵磁石二钱，茯神二钱，西党三钱，柏子仁二钱，莲子心二钱，女贞子二钱，熟地二钱，阿胶珠二钱，铁落一撮，琥珀屑钱半
服四剂，神事正常，诸恙悉解。有人问我获效之理，余曰心为火脏，肾为水脏，肾气挟痰以冲心，水能克火，则心振荡而不自主。必使各安其位，不但不相克，而且能相济，是以生涤痰温胆，再养心定神，然后镇坠养心安肾也。
（21）阴邪袭肝
男，33岁
口眼左扯，双目胀闷，行路身向前仆，饮食如常，六脉见浮，舌红，断为阴邪袭肝，先以：
黑豆三合，黑荆芥五钱，同煎服。再以：
勾耳二钱，天麻二钱，地黄二钱，秦艽二钱，黑荆芥二钱，龟板三钱，十剂而愈。
（22）晕眩仆倒
男，40岁
与人斗讼，被关年余，目畏阳光，不辨青暗，跌仆在地，脉起伏不定，四大脉皆难辨。摸其身，则光滑无热，形似阴阳俱绝。眼无瞳人，白珠底黄外蓝，认系阳虚阴凑，清阳不升，阴湿上掩阳光，是以目无所视，致晕眩仆倒。疏方人参白虎汤，并重用苍术。
服一剂，晕眩、畏光均减轻，但恶闻食气，舌呈褐色，脉有胎息，仍不明度数，余认为前方不合病情，更以胜湿回阳法。
苍术四钱，桂枝钱半，煅石膏三钱，白术三钱，附子二钱，丝瓜络二钱，秦艽二钱，茵陈三钱，煨姜一钱，红枣三枚水煎服。并嘱购苍术一斤，置床下熏烟，令患者闻，若病人有汗出，则速将苍术拿出，开窗透气，然后再行服药。
两日后，患者能起坐，无晕倒现象，鼻塞甚，仅打喷嚏一次。改用羌活胜湿汤：
川羌二钱，苍术二钱，香附三钱，台乌钱半，叩仁二钱，附子二钱，薏苡仁三钱，威灵仙二钱，丝瓜络二钱，姜枣各二
服两剂，诸恙均见减轻。以其不愿外出，遂未再诊。后闻其喜食鳖鱼，黄鳝，已成黄胖病。
（23）类似风■
男，36岁
不痛不痒，但不能转身，亦不能行动，无汗，睡着吃，大小便要人抱起，声颇粗壮，面带桃花色。其妻问我有何法治之，我以其延医及服药许多，皆未得效，遂不敢插言。未几，有一锄草药者到该村买红牛膝，闻有此病，找上病家，自荐能治斯疾。患者于无望之中，姑拟一试，遂问需款若干？答曰：“不拘多少，待病好后随便拿。”次日果送药一包，嘱每日煎汤代茶。连服十多日，患者云身感轻松些。该草药医再两，揣一大捆新鲜草药，尽摘去叶者。置锅内煎汁收'膏，收膏时，曾下药末少许。膏成，嘱每天用酒兑服一盅，吃完为度。吃过二十多天，患者能转侧，自觉有汗，两足渐能挑风。服完此膏（约四十日左右），已可下床。草药医复来，带来一包零星药材，合成一剂，嘱煎服，可收全效。服毕，果验。
此事传之乡邻，乃有不信者，竟亲至病家访问。一日，该草药医来我家，告以前情，余问其何药获效，其以秦艽一味见示，且云秦艽能搜风，用法一样，制法不同。况秦艽有本地出者，有山中出者，其煎水能搜风理湿，熬膏能通关节，须开花时锄出，置屋檐吹干，若不经风吹，则干燥不润，无横行性。熬割要放元寸，则大通关一节，盖用元寸作响导也。余后于冯氏锦囊中见单用秦艽一味得奇效者。
（24）梦与鬼交
女，22岁
烧热不退，说身边有鬼，举家惶惶，先后作过赎魂、解太岁、降神童等，又择期请道士六人做法事，家长莫名其妙，毫无主意。余至其家，满座十优犯，床下置七星灯，桌上满布灯烛、菩萨，热气上腾，碍难坐下，只好请一部分不暂离房间。
患者满面鲜红，舌红润，唇微红，六脉浮数，前后一般。形容不见干枯或憔悴，口内尚含饼渣。床头食物甚多，知其饮食未绝，惟不欲食而已。其母在旁，潸然泪下，云此女米浆不过喉者七、八日，大汗出时，就叫有人，“我怕，我怕!”即往我怀里躲。其甚怕热，必扇凉风而后安。其时寐时醒，不得安睡。
病狂笑两年多，见到人还感到害羞，不肯说出病情。之前的医生认为是热邪进入血室，引起狂笑，打算按癫症治疗。我询问狂笑是否发生在月经期间？患者的父亲回答说是在月经之后。我认为既然不是在经期后发生的狂笑，而且这位妇女是独自发笑，并没有达到狂乱的严重程度，更没有胡言乱语的神态，这实际上是心中有难以启齿的隐情。于是我又询问她的夫妻感情如何？患者的父亲说，他的儿子是个读书人，还在外求学，每次回家住一晚就回学堂。他回来时，有时和我（患者父亲）同睡，没见进房与妻子谈话。我告诉患者的父亲，这个病必须从两方面着手，一方面让这位妇女能与丈夫相处，满足她的心愿，心中的隐情自然解开。肝郁得以疏解，胆气自然恢复中正之力，笑声自然会逐渐消失。至于服药，只是辅助作用而已。拟定方剂为温胆汤加味：
竹茹二钱，枳实一钱半，远志、茯神、党参、九节菖蒲、郁金、陈皮各二钱，姜半夏一钱半，生姜、大枣各两枚。
患者的父亲按照我的方法治疗，果然获得奇效。
（17）类中风
男性，60岁
患严重伤寒，自行服用几十剂药后痊愈。一天，在剃头时眉梢稍微出血，突然跌倒在地。脉搏洪大无比，舌中心红而微黄，嘴唇呈紫色，眼睛闭合，牙齿紧咬，被认定为血分中风，用黑神散治疗。
黑荆芥五钱，水煎，兑入童便服用。一小时后，患者睁开眼睛，叹气，左手振动，似乎稍微清醒人事，但不说话，口内流口水。嘱咐取：
黑豆三合（炒），与黑荆芥同煎服。当晚九点，患者叫“哎哟”，转身向里睡，没有太大变化。
第二天再诊，面色隐隐带红，脉象不再洪大，但起伏不定，唇色如前。问他想吃什么？只是微微摇头，不能说话，不时用手抚摸胸口。他的儿子说：“前天吃了一碗糯米饭，并吃了腊肉，从此就感觉胸闷。”我以病后饮食积滞论治，处方越鞠丸加减：
山楂炭二钱，苍术二钱，神曲二钱，半夏一钱半，广陈皮一钱半，鸡内金二钱，川石斛二钱，陈粽炭一片（与猪骨烧灰同煎）。服用两剂，病势大减，胸中郁结解除，已经能说话。他自己服用保和丸、黄金丸而痊愈。
女性，55岁
身体肥胖，平时喜欢喝酒吃肉。一天正在吃饭，碗筷突然落地，身子往桌下一扑，桌子上的菜碗全部翻倒。口吐涎沫，突然不说话，牙关紧闭，嘴唇颜色青暗，眼睛闭合，嘴巴歪斜，身体不能转动，面红出汗，昏迷失去知觉，脉搏虽然存在，但速率不明。知道这是类中风中的腑证，应该有热痰，阻碍气机升降。旁边有万某说：“老年中风，多属于虚证，请投补剂。”我认为老年中风虽然多是虚证，但这个证候是热极生风，应该清热豁痰。如果投以大剂量的补品，恐怕与此症不合。必须先开窍通关，等到声音开通、昏迷解除，再行拟方服药。于是以至宝丹一粒灌服。服药后三小时，患者长出大气，用手抹汗，口喊要茶。但刚喝一口，突然呕吐出一痰盂的痰涎，遍身出汗，舌头仍然僵硬不灵活，嘴巴仍然向左歪斜，略微出现循衣摸床的动作，时常呼喊肚子里发烧。另日再服至宝丹一粒，并给方：
竹茹三钱，九节菖蒲一钱半，蛇胆尖贝末一支，荆芥炭二钱，钩藤二钱，瓜蒌仁二钱，蒺藜二钱，郁金二钱，白矾二钱，薄荷二钱，橘络二钱，鲜生地二钱，当归二钱，龟板三钱，鲜桑枝三尺。（如果没有鲜桑枝，则以桑寄生代替），竹沥一杯
连续服用四包，嘴巴歪斜减轻，两手能摸到身上的衣服，语言较为清楚。更方：
羚羊角一钱，蒺藜二钱，刺蒺藜一钱半，桑寄生二钱，当归二钱，龟板三钱，钩藤二钱，川尖贝三钱，海浮石二钱，蛇胆陈皮一支（调服）
服用两剂，言语能透彻，舌强已解，两手能托碗，但手指捻动不灵活，夜间睡觉鼾声如雷。
最后患者急于求好，担心有虚象，每天用西洋参一两蒸水服用。过了三天，病复发，遗尿，无声，牙关紧急，水浆不进。再请我诊治，我认为这个证候不是半年一年就能复原的，仍然必须忌补，以住院疗养为宜。
住院四十天，没有显著改善，每天只吃百合粉或鸡汤，于是出院。经某医投小续命汤一剂，大汗淋漓，手足摇动，换医投六味地黄丸五钱烧炭研末，开水调服。服用四次，稍有知觉。过了两天再请我治疗，我以其原有梅毒，又因过服参茸，万难调治，必然导致残疾。这位老妇人六年未起床，妄服参茸者，应当引以为教训。
（18）顽痰塞窍
男性，60岁
平时嗜酒，喜欢吃猪牛肉，且经常喘咳。一天从省城回来，当天晚上突然跌倒，不省人事，脉象皆浮大，舌色正常，唇色暗红，面色呈青色，昏昧在床上。每天早饭后，就感到天旋地转，不能睁眼，直到下午四点，才能睁开眼。我判断其晕眩，并非脱症，必有顽痰堵塞心窍，导致清阳不升，病如晕厥。开方：
石菖蒲、郁金、海浮石、代赭石、橘络、旋覆花（布包）各二钱，京星（南星）一钱半，西芎一钱半，竹沥一杯。服用三剂，能起坐，大汗口渴，发晕欲吐，显系胃津被灼伤，顽痰未净，改方：
郁金一钱半，白矾二钱，象贝母三钱，菖蒲一钱半，西芎二钱，旋覆花（布包）二钱，姜半夏一钱半，橘络二钱，玉竹二钱，麦冬二钱，代赭石一钱半，藕三大片同煎服。
并嘱咐用猪肉砍碎如千刀肉，去油炖汤吃。暂时吃稀粥，不吃干饭。从此病机若失。因为清炖肉汤（去油），能助胃阳上升，益胃气，逐痰。此人嗜酒，肝强而胃枯，顽痰堵塞心窍，故以祛痰、解郁、除晕眩为主。
（19）癫狂
女性，30岁
神经错乱，狂喊乱跳，家人没办法，就用绳索细细绑住。脉数极快，关部不对呼吸节奏，狂叫，怒目视人。问及月经，她的丈夫告知适来两天，其间烧热两夜，变为发疯。综上诸情，判断乃是热入血室，激动肝气，以龙胆泻肝汤，作为初治。
龙胆草、栀子、连翘、黄芩、生地各二钱，正西庄（水浸兑服）三钱，青蒿一钱半。
服用两剂，狂言减少，发脾气时不跳，然而喃喃多语，改用逍遥散：
柴胡二钱，黄芩、当归、生地各二钱，川芎一钱半，酒白芍一钱半，莲子心一钱。
服用两剂，病势继续减轻，月经复行，有时自言自语，见人发笑。我认为胆寒未透，改处温胆汤加味：
竹茹、陈皮、半夏、云苓、党参、九节菖蒲、远志各二钱，枳实一钱半，甘草（炙）一钱半，铁落一撮同煎，两剂而安。
女性，33岁
外出奔跑，狂言妄语，不避亲疏，不知羞耻。因其手臂大力紧缩，无法察脉。仅从其身强力大，跑跳乱言，知为实证。其笑貌中，现出愁眉怒目，料其必有隐曲，未得如愿，激成肝火上炎，致令心阳亢盛，精神错乱。摸其身，有热怯手，先以逍遥散加天竺黄二钱，琥珀屑一钱半，铁落一撮煎服。服用两剂，接续以
郁金二两，白矾一两，水打丸，如胡椒大，每日开水吞服二十粒，吃完为止。
自此病势日减，已不骂人，不热，但自言自语，发笑，不吃饭，索冷食，叫要回河南。十日后，仍喃喃自语，大便不畅，尚能外出。嘱咐服天王补心丹，每日开水吞服五钱。另用大红缎一尺，分两次炖猪肚吃，从此而安。
男性，年龄不详
乱跳乱言，日夜不宁，也不思饮食。据称烧热后发疯，曾服药，无效。脉沉至骨，面色淡白，舌中褐色，单笑，用手捻人，自言自语，喃喃不休，听到声音，立即现惊慌状。判断其因受惊而神不守舍，遂成癫症。书云癫属阴，当有胆寒，授以：
党参四钱，远志二钱，枳实二钱，竹茹二钱，茯神（辰砂和人乳拌）二钱，酸枣仁二钱，炙甘草一钱，九节菖蒲二钱，生姜、大枣各两枚。
服用四剂，仍自语不休，但笑容稍敛，手不捻人，夜间可睡三小时（发病后半月未成眠），能向人索食物。改方：
硝石、远志、茯神、柏子仁、勾耳（钩藤）、九节菖蒲、天竺黄、金钗石斛、覆盆子、菟丝子、百合各二钱，西党四钱，酸枣仁三钱，木蝴蝶三对
服用八包，精神渐趋正常，后用安肾养心法，最后也用大红缎炖猪肚吃，全愈。
（20）心肾不交
男性，年龄不详
头晕目眩，突然仆倒，昏不知人，每隔数日发作一次。其脉浮数而软，面色苍白，血不华色，神倦形焦，眉蹙声低，夜睡梦多，腰部发胀，间或遗精。中西医都认为是痫症论治，服药很久，终鲜疗效。我却认作心肾不交，乃清阳不升，胃津不布，肝肾热迫而相离，水火不得互济，故病晕眩。总由手淫过度，肾水亏竭，不能养木，治以滋肾调肝。
远志二钱，茯神三钱，龟板三钱，酸枣仁二钱，熟地四钱，当归三钱，女贞子二钱，力参须二钱，覆盆子二钱，菟丝子二钱，杭芍二钱，肉苁蓉二钱，枸杞二钱，服用八剂，夜睡较安，饮食渐增，但眉心痛，晕眩仆倒，仍然发作。于前方
去力参须、肉苁蓉、酸枣仁，加力参段二钱，龟鹿胶各二钱
服用十二包，据述半月来精神甚佳，乃于上方加五倍，半羚羊角末三钱研末，蜜丸，共服一月。服毕，再用丸药：
西洋参五钱，茯神（人乳和朱砂拌）五钱，山药五钱，百合五钱，女贞子四钱，熟地八钱，鹿茸（去毛）四钱，枸杞五钱，当归四钱，辛夷三钱，藁本四钱，柏子仁四钱，莲子心四钱，夜交藤四钱，合欢皮四钱，金钗石斛四钱，炙草三钱。共研末，蜜丸，如梧桐子大，每日盐开水吞服四十粒。
服药数月，年余未发。据称近发一次。
女性，60岁
心跳烦躁，日夜不安，闻声即惊，不能外出，怕见生人。病家以患者畏惧生人，向我苦求单方，于是令购生熟酸枣仁各一两，煎浓汁，夜间服。翌日延诊，患者面目消瘦，目光放大，确有恐惧状态，身旁有人叫不要惊慌。脉浮弦，独关部不浮，但搏指甚，不分度数。认系肝热胆寒，痰阻升降，疏方：
竹茹三钱，菖蒲、郁金、瓜蒌仁、尖贝、橘络、酸枣仁、远志各二钱，竹沥一杯
服用两剂，脉如与状，知前方无效，改以养心定神剂。
茯神二钱、远志、枳实、当归、百合、夜交藤、阿胶珠、莲子心各二钱，酸枣仁一钱半，柏子仁一钱半
服用三剂，脉无浮象，尺部见数，不若以前之恐惧，换方：远志二钱，酸枣仁三钱，灵磁石二钱，茯神二钱，党参三钱，柏子仁二钱，莲子心二钱，女贞子二钱，熟地二钱，阿胶珠二钱，铁落一撮，琥珀屑一钱半
服用四剂，神志正常，诸恙悉解。有人问我获效之理，我说心为火脏，肾为水脏，肾气挟痰以冲心，水能克火，则心振荡而不自主。必使各安其位，不但不相克，而且能相济，是以生涤痰温胆，再养心定神，然后镇坠养心安肾也。
（21）阴邪袭肝
男性，33岁
口眼向左扯，双目胀闷，走路身子向前扑，饮食如常，六脉见浮，舌红，断为阴邪袭肝，先以：
黑豆三合，黑荆芥五钱，同煎服。再以：
钩藤二钱，天麻二钱，地黄二钱，秦艽二钱，黑荆芥二钱，龟板三钱，十剂而愈。
（22）晕眩仆倒
男性，40岁
与人斗讼，被关押一年多，眼睛畏光，不辨青暗，跌仆在地，脉象起伏不定，四大脉皆难辨。摸其身，则光滑无热，形似阴阳俱绝。眼无瞳人，白珠底黄外蓝，认系阳虚阴凑，清阳不升，阴湿上掩阳光，是以目无所视，致晕眩仆倒。疏方人参白虎汤，并重用苍术。
服用一剂，晕眩、畏光均减轻，但恶闻食气，舌呈褐色，脉有胎息，仍不明度数，我认为前方不合病情，更以胜湿回阳法。
苍术四钱，桂枝一钱半，煅石膏三钱，白术三钱，附子二钱，丝瓜络二钱，秦艽二钱，茵陈三钱，煨姜一钱，红枣三枚水煎服。并嘱咐购苍术一斤，置床下熏烟，令患者闻，若病人有汗出，则速将苍术拿出，开窗透气，然后再行服药。
两日后，患者能起坐，无晕倒现象，鼻塞甚，仅打喷嚏一次。改用羌活胜湿汤：
川羌活二钱，苍术二钱，香附三钱，台乌药一钱半，叩仁二钱，附子二钱，薏苡仁三钱，威灵仙二钱，丝瓜络二钱，生姜、大枣各两枚
服用两剂，诸恙均见减轻。以其不愿外出，遂未再诊。后闻其喜食鳖鱼，黄鳝，已成黄胖病。
（23）类似风■
男性，36岁
不痛不痒，但不能转身，也不能行动，无汗，睡着吃，大小便要人抱起，声音颇粗壮，面带桃花色。他的妻子问我有什么法治之，我以其延医及服药许多，皆未得效，遂不敢插言。未几，有一锄草药者到该村买红牛膝，闻有此病，找上病家，自荐能治斯疾。患者在无望之中，姑拟一试，遂问需款若干？答曰：“不拘多少，待病好后随便拿。”次日果送药一包，嘱每日煎汤代茶。连服十多日，患者云身感轻松些。该草药医再来两趟，揣一大捆新鲜草药，尽摘去叶者。置锅内煎汁收'膏，收膏时，曾下药末少许。膏成，嘱每天用酒兑服一盅，吃完为止。吃过二十多天，患者能转侧，自觉有汗，两足渐能挑风。服完此膏（约四十日左右），已可下床。草药医复来，带来一包零星药材，合成一剂，嘱煎服，可收全效。服毕，果验。
此事传之乡邻，乃有不信者，竟亲至病家访问。一日，该草药医来我家，告以前情，我问其何药获效，其以秦艽一味见示，且云秦艽能搜风，用法一样，制法不同。况秦艽有本地出者，有山中出者，其煎水能搜风理湿，熬膏能通关节，须开花时锄出，置屋檐吹干，若不经风吹，则干燥不润，无横行性。熬割要放元寸，则大通关一节，盖用元寸作响导也。我后来在冯氏锦囊中见单用秦艽一味得奇效者。
（24）梦与鬼交
女性，22岁
烧热不退，说身边有鬼，举家惶惶，先后作过赎魂、解太岁、降神童等，又择期请道士六人做法事，家长莫名其妙，毫无主意。我至其家，满座十优犯，床下置七星灯，桌上满布灯烛、菩萨，热气上腾，碍难坐下，只好请一部分不暂离房间。
患者满面鲜红，舌红润，唇微红，六脉浮数，前后一般。形容不见干枯或憔悴，口内尚含饼渣。床头食物甚多，知其饮食未绝，惟不欲食而已。其母在旁，潸然泪下，云此女米浆不过喉者七、八日，大汗出时，就叫有人，“我怕，我怕!”即往我怀里躲。其甚怕热，必扇凉风而后安。其时寐时醒，不得安睡。
Madness of excessive laughter for over two years, yet still feeling shy when seeing people, refusing to disclose the condition. Previous physicians attributed the laughter to heat entering the Blood Chamber (Xue Shi) and intended to treat it as Mania (Dian). I inquired whether the laughter occurred during menstruation. The patient's father replied it was after menstruation. I reasoned that since the laughter did not occur post-menstruation, and the woman laughed alone without reaching a state of severe mania or incoherent speech, this was actually due to hidden emotional distress difficult to express. I then asked about her marital relationship. The father stated his son was a scholar studying away from home, returning only for one night before going back to school; upon return, he sometimes slept with the father-in-law and never entered the room to talk with his wife. I told the father that treatment must proceed from two aspects: first, allowing the woman to live with her husband to fulfill her desires, thereby resolving her hidden distress. Once Liver Qi Stagnation is resolved, Gallbladder will naturally regain its upright strength, and the laughter will subside. Medication serves only as an auxiliary measure. Prescribed Wendan Tang (Phlegm-Draining Decoction) modified:
Zhu Ru (Bambusa Textilis Caulis), Zhi Shi (Immature Bitter Orange) 1.5 qian, Yuan Zhi (Polygala Root), Fu Shen (Poria with Hostwood), Dang Shen (Codonopsis Root), Jie Shou Chang Pu (Acorus Tatarinowii Rhizome), Yu Jin (Curcuma Aromatica Rhizome), Chen Pi (Citrus Reticulata Pericarpium) each 2 qian, Ban Xia (Pinellia Tuber) 1.5 qian, Sheng Jiang (Fresh Ginger), Da Zao (Jujube Fruit) each 2 pieces.
The father followed my method and achieved remarkable results.
(17) Stroke-like Syndrome
Male, 60 years old
Suffered from severe Cold Damage (Shang Han), cured after taking dozens of doses of medicine himself. One day, while getting a haircut, the eyebrow corner bled slightly, and he suddenly collapsed. Pulse was extremely surging and large, tongue center red with slight yellow coating, lips purple, eyes closed, teeth clenched. Diagnosed as Stroke affecting the Blood aspect, treated with Hei Shen San (Black Divine Powder).
Hei Jing Jie (Schizonepetae Herba Praeparata cum Cinere) 5 qian, decocted in water, administered with Tong Bian (Child's Urine). After one hour, the patient opened his eyes, sighed, left hand trembled, seemed slightly conscious but silent, salivating. Instructed to take:
Hei Dou (Sojaes Semen Nigrum) 3 he (stir-fried), decocted together with Hei Jing Jie. At 9 PM that night, the patient cried "Ouch," turned to sleep facing inward, with no major changes.
Second-day examination: complexion faintly red, pulse no longer surging but fluctuating, lips unchanged. Asked what he wanted to eat? Merely shook head slightly, unable to speak, occasionally touching chest with hand. His son said: "Ate a bowl of glutinous rice and preserved meat the day before, felt chest oppression since." Treated as food stagnation post-illness, prescribed Yueju Wan (Yueju Pill) modified:
Shan Zha Tan (Crataegi Fructus Carbonized) 2 qian, Cang Zhu (Atractylodis Rhizoma) 2 qian, Shen Qu (Massa Medicata Fermentata) 2 qian, Ban Xia (Pinellia Tuber) 1.5 qian, Guang Pi (Tangerine Peel) 1.5 qian, Ji Nei Jin (Galli Gigerii Endothelium Corneum) 2 qian, Chuan Shi Hu (Dendrobii Officinalis Caulis) 2 qian, Chen Zong Tan (Charred Rice Dumpling Wrapper) one piece (decocted with pork bone ash). Two doses taken, illness significantly reduced, chest oppression resolved, able to speak. Cured by self-administering Baohe Wan (Harmonize the Stomach Pill) and Huang Jin Wan (Golden Pill).
Female, 55 years old
Obese constitution, accustomed to alcohol and meat. One day while eating, bowls and chopsticks fell suddenly, body threw under table, overturning dishes. Saliva foaming, sudden mutism, jaw clenching, lips cyanotic, eyes closed, mouth deviated, body immobile, face red with sweating, coma, pulse present but rate indistinct. Identified as Stroke-like syndrome affecting the Fu organs, likely Heat-Phlegm obstructing ascending and descending mechanisms. Wan Mou nearby suggested: "Elderly stroke is mostly deficiency, prescribe tonics." I believed although elderly stroke is often deficiency, this case was Wind generated by extreme Heat, requiring clearing Heat and resolving Phlegm. Large doses of tonics would be unsuitable. Must first open orifices and unblock passages; once consciousness returns, then prescribe medication. Administered one pill of Zhibao Dan (Precious Treasure Pill). Three hours later, patient exhaled deeply, wiped sweat, requested tea. Upon sipping, suddenly vomited a basin of phlegm-saliva, profuse sweating, tongue stiff, mouth deviated left, slight picking at clothes, complaining of internal burning heat. Another day, another Zhibao Dan pill given, plus prescription:
Zhu Ru (Bambusa Textilis Caulis) 3 qian, Jie Shou Chang Pu (Acorus Tatarinowii Rhizome) 1.5 qian, She Dan Jian Bei Mo (Snake Gallbladder and Fritillaria Thunbergii Bulb Powder) one unit, Jing Jie Tan (Schizonepetae Herba Carbonized) 2 qian, Gou Teng (Uncariae Ramulus cum Uncis) 2 qian, Gua Lou Ren (Trichosanthis Semen) 2 qian, Guan Ji Li (Tribuli Fructus) 2 qian, Yu Jin (Curcuma Aromatica Rhizome) 2 qian, Bai Fan (Alumen) 2 qian, Bo He (Menthae Haplocalycis Herba) 2 qian, Ju Luo (Citri Reticulatae Pericarpium Venae) 2 qian, Xian Sheng Di (Rehmanniae Radix Recens) 2 qian, Dang Gui (Angelicae Sinensis Radix) 2 qian, Gui Ban (Testudinis Carapax et Plastrum) 3 qian, Xian Sang Zhi (Mori Ramulus Recens) 3 chi (substitute Sang Ji Sheng if unavailable), Zhu Li (Bambusa Textilis Succus) one cup.
Four packets taken consecutively, mouth deviation improved, hands could touch clothes, speech clearer. Modified prescription:
Ling Yang Jiao (Capricornis Cornu) 1 qian, Guan Ji Li (Tribuli Fructus) 2 qian, Ci Ji Li (Tribuli Fructus Spinosus) 1.5 qian, Sang Ji Sheng (Taxilli Caulis) 2 qian, Dang Gui (Angelicae Sinensis Radix) 2 qian, Gui Ban (Testudinis Carapax et Plastrum) 3 qian, Gou Teng (Uncariae Ramulus cum Uncis) 2 qian, Chuan Jian Bei (Fritillariae Thunbergii Bulbus) 3 qian, Hai Fu Shi (Pumex) 2 qian, She Dan Chen Pi (Citri Reticulatae Pericarpium with Snake Gallbladder) one unit (mixed).
Two doses taken, speech articulate, tongue stiffness resolved, hands could hold bowl, but finger manipulation clumsy, loud snoring at night.
Patient anxious for recovery, fearing deficiency, took Western Ginseng (Yang Shen) 1 liang steamed in water daily. Three days later, relapse: enuresis, mutism, jaw clenching, inability to swallow fluids. Reconsulted me. I believed recovery would take months, strict avoidance of tonics needed, hospitalization recommended.
Hospitalized 40 days, no significant improvement, subsisting on lily powder or chicken soup, discharged. Another physician prescribed Xiao Xuming Tang (Minor Life-Sustaining Decoction), causing profuse sweating and limb shaking. Another physician prescribed Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) 5 qian charred and powdered, mixed with water. Four doses taken, slight consciousness returned. Two days later, reconsulted me. Noting prior syphilis and excessive use of Ginseng and Deer Antler, prognosis poor, disability inevitable. This woman bedridden for six years due to reckless tonic use should serve as a lesson.
(18) Stubborn Phlegm Obstructing Orifices
Male, 60 years old
Accustomed to alcohol, pork, and beef, frequent wheezing and cough. Returned from provincial capital, suddenly fell unconscious that evening. Pulses floating and large, tongue normal color, lips dark red, face cyanotic, dazed in bed. Every morning after breakfast, experienced vertigo, unable to open eyes until 4 PM. Judged vertigo not as Collapse syndrome, but stubborn Phlegm blocking Heart orifices, preventing Clear Yang from ascending, mimicking syncope. Prescription:
Shi Chang Pu (Acori Tatarinowii Rhizoma), Yu Jin (Curcumae Rhizoma), Hai Fu Shi (Pumex), Dai Zhe Shi (Haematitum), Ju Luo (Citri Reticulatae Pericarpium Venae), Xuan Fu Hua (Inulae Flos wrapped in cloth) each 2 qian, Jing Xing (Arisomatis Rhizoma) 1.5 qian, Xi Xiong (Ligustici Chuanxiong Rhizoma) 1.5 qian, Zhu Li (Bambusa Textilis Succus) one cup. Three doses taken, able to sit up, profuse sweating, thirst, dizziness, nausea. Indicates Stomach Yin damaged, stubborn Phlegm remaining. Modified prescription:
Yu Jin (Curcumae Rhizoma) 1.5 qian, Bai Fan (Alumen) 2 qian, Xiang Bei (Fritillariae Cirrhosae Bulbus) 3 qian, Chang Pu (Acori Tatarinowii Rhizoma) 1.5 qian, Xi Xiong (Ligustici Chuanxiong Rhizoma) 2 qian, Xuan Fu Hua (Inulae Flos wrapped in cloth) 2 qian, Ge Ban Xia (Pinelliae Rhizoma Preparatum) 1.5 qian, Ju Luo (Citri Reticulatae Pericarpium Venae) 2 qian, Yu Zhu (Polygonati Odorati Rhizoma) 2 qian, Mai Dong (Ophiopogonis Radix) 2 qian, Dai Zhe Shi (Haematitum) 1.5 qian, Ou (Nelumbinis Rhizoma) three large slices, decocted together.
Instructed to consume lean pork stewed clear broth (defatted), temporary porridge diet, no solid food. Condition stabilized. Clear stewed broth aids Stomach Yang ascent, benefits Stomach Qi, expels Phlegm. Patient has strong Liver due to alcohol, dry Stomach, stubborn Phlegm blocking Heart orifices; treatment focused on resolving Phlegm, soothing depression, relieving vertigo.
(19) Dian-Kuang (Manic-Depressive Disorder)
Female, 30 years old
Neurological confusion, screaming and jumping, family bound her with ropes. Pulse rapid, Guan position irregular, screaming, glaring. Menstruation inquiry: husband reported onset two days ago, fever for two nights, leading to madness. Diagnosed as Heat entering Blood Chamber agitating Liver Qi. Initial treatment: Longdan Xiegan Tang (Gentian Liver-Draining Decoction).
Long Dan Cao (Gentianae Radix), Zhi Zi (Gardeniae Fructus), Lian Qiao (Forsythiae Fructus), Huang Qin (Scutellariae Radix), Sheng Di (Rehmanniae Radix) each 2 qian, Zheng Xi Zhuang (likely a local herb, soaked in water) 3 qian, Qing Hao (Artemisiae Annuae Herba) 1.5 qian.
Two doses taken, manic speech reduced, jumping ceased during anger, but muttering continued. Switched to Xiaoyao San (Free and Easy Wanderer Powder):
Chai Hu (Bupleuri Radix) 2 qian, Huang Qin (Scutellariae Radix), Dang Gui (Angelicae Sinensis Radix), Sheng Di (Rehmanniae Radix) each 2 qian, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 1.5 qian, Jiu Bai Shao (White Peony Root prepared with wine) 1.5 qian, Lian Zi Xin (Nelumbinis Plumula) 1 qian.
Two doses taken, illness further reduced, menstruation resumed, occasional self-talk and laughing. Believed Gallbladder cold not fully penetrated. Prescribed Wendan Tang (Phlegm-Draining Decoction) modified:
Zhu Ru (Bambusa Textilis Caulis), Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma), Yun Ling (Poria), Tai Dang (Codonopsis Radix), Jie Shou Chang Pu (Acori Tatarinowii Rhizoma), Yuan Zhi (Polygalae Radix) each 2 qian, Zhi Shi (Aurantii Immaturus Fructus) 1.5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma roasted) 1.5 qian, Tie Luo (Ferrum) one pinch, decocted together. Two doses brought peace.
Female, 33 years old
Running outside, speaking wildly, ignoring social boundaries, shameless. Arms tightly contracted, pulse undetectable. Based on physical strength and wild behavior, diagnosed as Excess syndrome. Laughing expression showed frowning and anger, suggesting hidden grievance unfulfilled, igniting Liver Fire upward, causing Hyperactive Heart Yang and mental confusion. Body hot to touch. Initially prescribed Xiaoyao San (Free and Easy Wanderer Powder) plus Tian Zhu Huang (Bambusae Concretio Silicea) 2 qian, Hu Po Xie (Electrum) 1.5 qian, Tie Luo (Ferrum) one pinch, decocted. Two doses taken, followed by:
Yu Jin (Curcumae Rhizoma) 2 liang, Bai Fan (Alumen) 1 liang, water-made pills, size of pepper, 20 pills swallowed daily with warm water until finished.
Illness gradually decreased, no longer cursing or hot, but self-talking, laughing, anorexia, craving cold food, demanding to return to Henan. Ten days later, still muttering, constipation, able to go out. Instructed to take Tianwang Buxin Dan (Emperor of Heaven's Heart-Nourishing Pill) 5 qian daily with warm water. Also instructed to stew pig stomach with one chi of red satin fabric twice, achieving stability.
Male, age unknown
Jumping and talking wildly, restless day and night, anorexic. Reported madness after fever, previous medicines ineffective. Pulse deep to bone, pale complexion, brown tongue center, solitary laughter, poking people, self-talking incessantly, startled by sounds. Diagnosed as Dian syndrome due to fright causing Spirit insecurity. Classics state Dian belongs to Yin, implying Gallbladder cold. Prescribed:
Tai Dang (Codonopsis Radix) 4 qian, Yuan Zhi (Polygalae Radix) 2 qian, Zhi Shi (Aurantii Immaturus Fructus) 2 qian, Zhu Ru (Bambusa Textilis Caulis) 2 qian, Fu Shen (Poria with Hostwood mixed with Cinnabar and Human Milk) 2 qian, Suan Zao Ren (Ziziphi Spinosae Semen) 2 qian, Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma preparata) 1 qian, Jie Shou Chang Pu (Acori Tatarinowii Rhizoma) 2 qian, Sheng Jiang (Fresh Ginger), Da Zao (Jujube Fruit) each 2 pieces.
Four doses taken, still muttering, but smile restrained, no longer poking, slept 3 hours at night (insomnia for half month since onset), able to ask for food. Modified prescription:
Xiao Shi (Natrii Nitras), Yuan Zhi (Polygalae Radix), Fu Shen (Poria), Bai Zi Ren (Platycladi Semen), Gou Er (Uncariae Ramulus cum Uncis), Jie Shou Chang Pu (Acori Tatarinowii Rhizoma), Tian Zhu Huang (Bambusae Concretio Silicea), Jin Chai Shi Hu (Dendrobii Nobile Caulis), Fu Pen Zi (Rubi Fructus), Tu Si Zi (Cuscutae Semen), Bai He (Lilii Bulbus) each 2 qian, Xi Dang (Codonopsis Radix) 4 qian, Suan Zao Ren (Ziziphi Spinosae Semen) 3 qian, Mu Hu Die (Urostigma Dissectum) three pairs.
Eight packets taken, spirit gradually normalized. Later used Kidney-Anchoring and Heart-Nourishing methods, finally stewed pig stomach with red satin fabric, fully recovered.
(20) Heart-Kidney Non-Interaction
Male, age unknown
Dizziness, sudden collapse, unconsciousness, recurring every few days. Pulse floating, rapid, soft; pale complexion, blood failing to nourish features, spiritual fatigue, emaciation, furrowed brows, low voice, dream-disturbed sleep, waist distension, occasional seminal emission. Both Chinese and Western medicine treated as Epilepsy (Xian Zheng), long-term medication yielded little effect. I diagnosed Heart-Kidney Non-Interaction: Clear Yang not ascending, Stomach Yin not distributing, Liver-Kidney Heat forcing separation, Water and Fire failing to interact, causing vertigo. Etiology: excessive masturbation depleting Kidney Water, failing to nourish Wood. Treatment: Nourish Kidney, regulate Liver.
Yuan Zhi (Polygalae Radix) 2 qian, Fu Shen (Poria with Hostwood) 3 qian, Gui Ban (Testudinis Carapax et Plastrum) 3 qian, Suan Zao Ren (Ziziphi Spinosae Semen) 2 qian, Shu Di (Rehmanniae Radix Preparata) 4 qian, Dang Gui (Angelicae Sinensis Radix) 3 qian, Nu Zhen Zi (Ligustri Lucidi Fructus) 2 qian, Li Shen Xu (Codonopsis Radix Tenuis) 2 qian, Fu Pen Zi (Rubi Fructus) 2 qian, Tu Si Zi (Cuscutae Semen) 2 qian, Hang Shao (Paeoniae Radix Alba) 2 qian, Rou Cong Rong (Cynomorii Herba) 2 qian, Gou Qi Zi (Lycii Fructus) 2 qian. Eight doses taken, sleep improved, appetite increased, but brow pain and vertigo/collapse persisted. Modified prescription:
Remove Li Shen Xu, Rou Cong Rong, Suan Zao Ren; add Li Shen Duan (Codonopsis Radix Segment) 2 qian, Gui Lu Jiao (Testudinis Carapax et Plastrum cum Cervi Cornu Colla) each 2 qian.
Twelve packets taken, reported excellent spirit for half month. Added five times the amount of Ling Yang Jiao (Capricornis Cornu) powder 3 qian, honey-pilled, taken for one month. Post-treatment pill formula:
Yang Shen (Panacis Quinquefolii Radix) 5 qian, Fu Shen (Poria with Hostwood mixed with Human Milk and Cinnabar) 5 qian, Shan Yao (Dioscoreae Rhizoma) 5 qian, Bai He (Lilii Bulbus) 5 qian, Nu Zhen Zi (Ligustri Lucidi Fructus) 4 qian, Shu Di (Rehmanniae Radix Preparata) 8 qian, Lu Rong (Cervi Cornu Pantotrichum depilated) 4 qian, Gou Qi Zi (Lycii Fructus) 5 qian, Dang Gui (Angelicae Sinensis Radix) 4 qian, Xin Yi (Magnoliae Flos) 3 qian, Gao Ben (Ligustici Wallichii Rhizoma et Radix) 4 qian, Bai Zi Ren (Platycladi Semen) 4 qian, Lian Zi Xin (Nelumbinis Plumula) 4 qian, Ye Jiao Teng (Polygoni Multiflori Caulis) 4 qian, He Huan Pi (Albiziae Cortex) 4 qian, Jin Chai Shi Hu (Dendrobii Nobile Caulis) 4 qian, Zhi Cao (Glycyrrhizae Radix et Rhizoma preparata) 3 qian. Powdered, honey-pilled, size of paulownia seed, 40 pills swallowed daily with salted water.
Medicated for months, no recurrence for over a year. Reported one recent episode.
Female, 60 years old
Palpitations, irritability, restlessness day and night, startled by sounds, unable to go out, fear of strangers. Family sought single prescriptions due to fear of strangers. Instructed to buy raw and cooked Suan Zao Ren (Ziziphi Spinosae Semen) 1 liang each, decoct concentrated juice, taken at night. Next day consultation: patient emaciated, dilated pupils, fearful state, companion advising calmness. Pulse floating and wiry, Guan position not floating but forceful, rate indistinct. Diagnosed as Liver Heat, Gallbladder Cold, Phlegm obstructing ascent/descent. Prescription:
Zhu Ru (Bambusa Textilis Caulis) 3 qian, Chang Pu (Acori Tatarinowii Rhizoma), Yu Jin (Curcumae Rhizoma), Gua Lou Ren (Trichosanthis Semen), Jian Bei (Fritillariae Thunbergii Bulbus), Ju Luo (Citri Reticulatae Pericarpium Venae), Suan Zao Ren (Ziziphi Spinosae Semen), Yuan Zhi (Polygalae Radix) each 2 qian, Zhu Li (Bambusa Textilis Succus) one cup.
Two doses taken, pulse unchanged, indicating ineffectiveness. Switched to Heart-Nourishing and Spirit-Calming agent.
Fu Shen (Poria with Hostwood) 2 qian, Yuan Zhi (Polygalae Radix), Zhi Shi (Aurantii Immaturus Fructus), Dang Gui (Angelicae Sinensis Radix), Bai He (Lilii Bulbus), Ye Jiao Teng (Polygoni Multiflori Caulis), E Jiao Zhu (Asini Corii Colla prepared beads), Lian Zi Xin (Nelumbinis Plumula) each 2 qian, Suan Zao Ren (Ziziphi Spinosae Semen) 1.5 qian, Bai Zi Ren (Platycladi Semen) 1.5 qian.
Three doses taken, pulse no longer floating, Chi position rapid, less fearful. Changed prescription: Yuan Zhi (Polygalae Radix) 2 qian, Suan Zao Ren (Ziziphi Spinosae Semen) 3 qian, Ling Ci Shi (Magnetitum) 2 qian, Fu Shen (Poria with Hostwood) 2 qian, Xi Dang (Codonopsis Radix) 3 qian, Bai Zi Ren (Platycladi Semen) 2 qian, Lian Zi Xin (Nelumbinis Plumula) 2 qian, Nu Zhen Zi (Ligustri Lucidi Fructus) 2 qian, Shu Di (Rehmanniae Radix Preparata) 2 qian, E Jiao Zhu (Asini Corii Colla prepared beads) 2 qian, Tie Luo (Ferrum) one pinch, Hu Po Xie (Electrum) 1.5 qian.
Four doses taken, spirit normalized, all symptoms resolved. When asked for rationale, I explained: Heart is Fire organ, Kidney is Water organ. Kidney Qi carrying Phlegm attacks Heart; Water controls Fire, causing Heart oscillation and loss of autonomy. Must restore positions so they do not control but support each other. Thus, first resolve Phlegm and warm Gallbladder, then nourish Heart and calm Spirit, finally anchor and nourish Heart and Kidney.
(21) Yin Pathogen Attacking Liver
Male, 33 years old
Mouth and eyes pulled to left, eyes swollen and stuffy, walking forward fall, normal diet, pulses floating, red tongue. Diagnosed as Yin Pathogen attacking Liver. First prescribed:
Hei Dou (Sojaes Semen Nigrum) 3 he, Hei Jing Jie (Schizonepetae Herba Praeparata cum Cinere) 5 qian, decocted together. Followed by:
Gou Er (Uncariae Ramulus cum Uncis) 2 qian, Tian Ma (Gastrodiae Rhizoma) 2 qian, Di Huang (Rehmanniae Radix) 2 qian, Qin Jiao (Gentianae Macrophyllae Radix) 2 qian, Hei Jing Jie (Schizonepetae Herba Praeparata cum Cinere) 2 qian, Gui Ban (Testudinis Carapax et Plastrum) 3 qian. Ten doses resulted in cure.
(22) Vertigo and Collapse
Male, 40 years old
Involved in litigation, imprisoned over a year, photophobia, unable to distinguish colors, collapsed. Pulse fluctuating, four major pulses indistinguishable. Body smooth, cool, resembling Yin-Yang exhaustion. Pupils absent, sclera yellow inside blue outside. Diagnosed as Yang Deficiency with Yin encroachment, Clear Yang not ascending, Yin-Dampness obscuring vision, causing vertigo and collapse. Prescribed Renshen Baihu Tang (Ginseng White Tiger Decoction) with heavy Cang Zhu (Atractylodis Rhizoma).
One dose taken, vertigo and photophobia reduced, but aversion to food odor, brown tongue, pulse with "fetal breath" quality, rate still unclear. Believed previous prescription unsuitable. Switched to Dampness-Overcoming and Yang-Recovering method.
Cang Zhu (Atractylodis Rhizoma) 4 qian, Gui Zhi (Cinnamomi Ramulus) 1.5 qian, Duan Shi Gao (Gypsum Fibrosum calcined) 3 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 3 qian, Fu Zi (Aconiti Lateralis Radix Preparata) 2 qian, Si Gua Luo (Luffae Fructus Retinervus) 2 qian, Qin Jiao (Gentianae Macrophyllae Radix) 2 qian, Yin Chen (Artemisiae Scopariae Herba) 3 qian, Wei Jiang (Roasted Ginger) 1 qian, Hong Zao (Jujubae Fructus) 3 pieces, decocted. Instructed to buy 1 jin of Cang Zhu, smoke under bed for patient to inhale; if sweating occurs, remove Cang Zhu, ventilate, then resume medication.
Two days later, patient sat up, no collapse, severe nasal congestion, one sneeze. Switched to Qianghuo Shengshi Tang (Notopterygii et Ligustici Decoction for Overcoming Dampness):
Chuan Qiang (Notopterygii Rhizoma et Radix) 2 qian, Cang Zhu (Atractylodis Rhizoma) 2 qian, Xiang Fu (Cyperi Rhizoma) 3 qian, Tai Wu (Illicii Fructus) 1.5 qian, Kou Ren (Amomi Fructus) 2 qian, Fu Zi (Aconiti Lateralis Radix Preparata) 2 qian, Yi Yi Ren (Coicis Semen) 3 qian, Wei Ling Xian (Salviae Miltiorrhizae Radix et Rhizoma - *Note: Context suggests Saposhnikoviae Radix usually, but text says Wei Ling Xian*) 2 qian, Si Gua Luo (Luffae Fructus Retinervus) 2 qian, Sheng Jiang (Fresh Ginger), Da Zao (Jujube Fruit) each 2 pieces.
Two doses taken, symptoms reduced. Patient refused further visits. Later heard he liked turtle and eel, developed Yellow Puffy Disease (Huang Pan Bing).
(23) Wind-like Syndrome ■
Male, 36 years old
No pain or itch, unable to turn or move, no sweat, eats while sleeping, requires carrying for toiletries, robust voice, peach-blossom complexion. Wife asked for treatment; I remained silent due to previous failures. Soon, a herbal gatherer came buying Red Niuxi, heard of the disease, offered treatment. Desperate, patient agreed. Cost: "Any amount, pay after cure." Next day, sent one packet of herbs, decoct as tea daily. Taken for over ten days, patient felt lighter. Herbalist returned twice with fresh herbs, stripped leaves, boiled down to paste, added small amount of powder. Paste ready, instructed to mix with wine, one cup daily until finished. After 20+ days, patient could turn, felt sweating, legs gained mobility. After finishing paste (~40 days), could get out of bed. Herbalist returned with miscellaneous herbs, one dose, decocted for full cure. Effective.
Story spread, skeptics visited. Herbalist visited me, revealed effective herb was Qin Jiao (Gentianae Macrophyllae Radix), claiming it searches out Wind. Usage same, preparation different. Local vs mountain Qin Jiao differs; decoction searches Wind/Damp, paste unblocks joints. Must harvest at flowering, dry under eaves; wind-drying ensures pliability. Without wind-drying, dry and brittle, lacking horizontal movement properties. Paste making requires specific length ("Yuan Cun") for connection. Later found in Feng's Brocade Bag single-use Qin Jiao cases with miraculous effects.
(24) Dreaming of Sexual Intercourse with Spirits
Female, 22 years old
Persistent fever, claims ghosts are present, family panicked. Attempts included soul redemption, Tai Sui appeasement, spirit medium invocation, hired six Taoists for rituals. Parents bewildered. I arrived: crowded with mediums, Seven Star lamps under bed, tables full of candles and Buddhas, hot air rising, hard to sit. Asked some to leave.
Patient face bright red, tongue red and moist, lips slightly red, six pulses floating and rapid, consistent throughout. Appearance not emaciated, crumbs in mouth. Bedside full of food, knowing intake exists but appetite lacking. Mother weeping, stated girl hadn't swallowed rice gruel for 7-8 days. During profuse sweating, cried "Someone! I'm afraid!" hiding in my arms. Extremely heat-intolerant, required cooling fan to settle. Sleep-wake cycle disrupted, unable to rest peacefully.