又有人病腹中攻痛十余日鬓发堕落华佗曰是脾半腐可刳腹治也使饮药令卧破腹就视脾果
半
腐坏以刀断之割去恶肉以膏敷之即瘥魏太祖闻而异之召佗常在左右太祖苦头风每作心乱目眩
佗针鬲随手而愈
又有一郡守病华佗以为其人甚怒则瘥乃多受其货而不加功无何弃去留书骂之守果大怒令
人追杀守子知之属吏勿逐 恚吐黑血数升而愈(三说史记)
晋书曰张苗雅好医术善消息诊处陈廪丘得病连服药发汗汗不出众医云发汗不出者死自思
可蒸
之如中风法温气于外迎之必得汗也复以问苗云曾有人疲极汗出卧簟中冷得病苦增寒诸医与散
四日凡八过发汗汗不出苗乃烧地布桃叶于上蒸之即得大汗便于被下敷粉身极
燥乃起即愈廪丘如其言果瘥
魏志曰甘陵相夫人有娠腹痛不安方得六月佗视脉曰胎已死矣使人手摸知所在在右则女在
左则男人云在左于是为汤下之果下男形则愈。
齐书曰徐嗣伯常有人伛患滞冷积年不瘥嗣伯为诊之曰尸注也当得死人枕煮服之乃愈于是
往古
冢中取枕枕已一边腐阙服之即瘥后秣陵人张景年十五腹胀面黄众医不能疗以问嗣伯此石蛔尔
极难疗当得死人枕煮服之根据语煮枕以汤投之得大利并蛔虫头坚如石者五升病即瘥后沈僧翼患
眼
痛又多见鬼物以问嗣伯嗣伯曰邪气入肝可觅死人枕煮服之服竟可埋枕于故处如其言又愈王晏
问之曰三病不同而皆用死人枕而俱瘥何也答曰尸注者鬼气伏而未起故令人沉滞得死人枕促之
魂气飞越不得复附体故尸注可瘥石蛔者久蛔也医疗既癖蛔虫转坚世间药不能遣所以须鬼物驱
之然后可散故令煮死人枕也夫邪气入肝故使眼痛而
见魍魉应须邪物以钩之故用死人枕也气因枕去故复埋于冢间也(太平御览)
又有一人患腹中攻痛十余日,鬓发脱落。华佗说:“这是脾脏半已腐烂,可以剖开腹部治疗。”于是让患者喝下药使其入睡,剖开腹部查看脾脏,果然半已腐坏。用刀切断,割去恶肉,用膏药敷上,随即痊愈。魏太祖听说后感到惊奇,召华佗常在身边侍奉。魏太祖苦于头风病,每次发作时心烦意乱、目眩,华佗针刺膈俞穴,随手而愈。
又有一位郡守患病,华佗认为此人若极度愤怒则病可愈,于是大量收受其财物却不进行治疗。不久便弃之离去,并留下一封信辱骂他。郡守果然大怒,派人追杀华佗。郡守的儿子得知此事,嘱咐官吏不要追捕。郡守愤怒之下吐出黑血数升,病即痊愈。(出自《三国志》)
《晋书》记载:张苗一向喜好医术,善于通过诊察判断病情。陈廪丘患病,连续服药发汗,但汗不出。众医生说:“发汗不出的就会死。”张苗自己思考,认为可以像治疗中风的方法那样进行温蒸,使温热之气从外部迎击邪气,必定能出汗。他又将此法问张苗,张苗说:“曾有人极度疲劳后出汗,躺在竹席上受凉而致病,苦于寒邪加重。各位医生给予发散药四天,共八次发汗,但汗不出。张苗于是烧红地面,铺上桃叶在上面进行蒸疗,结果大汗淋漓。随后在被褥下扑粉,身体极干燥后才起身,随即痊愈。”陈廪丘照此办理,果然痊愈。
《魏志》记载:甘陵相的夫人怀孕六个月,腹痛不安。华佗诊脉后说:“胎儿已经死亡了。”让人用手触摸确定位置,在右侧则是女孩,在左侧则是男孩。家属说在左侧。于是华佗给药汤让其服下,果然产下男婴,病即痊愈。
《齐书》记载:徐嗣伯常遇到一人患有伛偻病,患滞冷之症多年不愈。徐嗣伯为他诊察后说:“这是尸注病,应当找死人枕头煮服才能痊愈。”于是前往古墓中取来枕头,枕头已一边腐烂残缺,服下后随即痊愈。后来秣陵人张景,十五岁,腹胀面黄,众医不能治疗,询问徐嗣伯。徐嗣伯说:“这是石蛔病,极难治疗,应当找死人枕头煮服。”根据语(此处疑为“于是”或具体方法描述,原文似有脱漏,依语境译为:于是煮枕取汤服用),患者排出大量秽物及五升坚如石头的蛔虫头,病即痊愈。后来沈僧翼患眼痛,且多看见鬼物,询问徐嗣伯。徐嗣伯说:“邪气侵入肝脏,可以寻找死人枕头煮服。”服完后将枕头埋回原处,照此办理又痊愈了。王晏问他:“这三种病不同,却都用死人枕头而都痊愈,为什么呢?”回答说:“尸注病是鬼气潜伏而未起,所以使人沉滞;得到死人枕头促使它,魂气飞越,不能再依附身体,所以尸注可愈。石蛔是久病的蛔虫,医疗既成癖好,蛔虫转坚,世间药物不能驱除,所以需要鬼物来驱散它,因此煮死人枕头。邪气侵入肝脏导致眼痛而看见魍魉,应该需要邪物来钩引它,所以用死人枕头。气息随着枕头离开,所以又埋在墓冢之间。”(出自《太平御览》)
Another patient suffered from severe abdominal pain for over ten days, accompanied by the loss of hair on the temples and forehead. Hua Tuo said, "This is half-rotten spleen; it can be treated by laparotomy." He administered medicine to induce sleep, then incised the abdomen to examine the spleen. Indeed, it was half-rotten. Using a knife, he severed the affected part, excised the necrotic tissue, applied an ointment, and the patient recovered immediately. The Emperor Wu of Wei heard of this with amazement and summoned Hua Tuo to attend him constantly. The Emperor suffered from *Toufeng* (Head Wind disease, characterized by headaches and dizziness); whenever it attacked, he felt chaotic and dizzy. Hua Tuo needled the *Geshhu* (BL17) acupoint, and the symptoms resolved instantly.
A commandery governor fell ill. Hua Tuo believed that if the patient became extremely angry, the illness would heal. Therefore, he accepted large amounts of payment but provided no treatment. Soon after, he left without warning, leaving a letter insulting the governor. The governor indeed flew into a rage and ordered men to pursue Hua Tuo. The governor's son learned of this and instructed the officials not to chase. In his anger, the governor vomited several sheng of black blood and recovered. (From *Records of the Three Kingdoms*)
The *Book of Jin* records: Zhang Miao had always loved medical arts and was skilled in pulse diagnosis and prognosis. Chen Linqiu fell ill and took medication to induce sweating, but no sweat came out. The physicians said, "If sweating does not occur, death is certain." Zhang Miao pondered and thought, "One could use steam therapy similar to the method for treating wind-stroke, applying warm qi externally to attract the pathogen, which should induce sweating." He asked Zhang Miao about this. Zhang Miao said, "There was once a person who was exhausted and sweating, lay on a bamboo mat, caught cold, and developed an illness worsened by cold. Physicians gave dispersing herbs for four days, totaling eight attempts to induce sweating, but failed. I then heated the ground, spread peach leaves upon it, and performed steam therapy. The patient sweated profusely. Then, powder was applied under the blankets until the body was extremely dry before rising. The patient recovered." Chen Linqiu followed this advice and indeed recovered.
The *Records of Wei* states: The wife of the Chancellor of Ganling was pregnant and suffering from abdominal pain and restlessness at six months gestation. Hua Tuo examined her pulse and said, "The fetus has already died." He had someone palpate the abdomen to determine its position; if on the right, it is female; if on the left, it is male. The family reported it was on the left. Thus, Hua Tuo prescribed a decoction to expel it. A male infant was delivered, and she recovered.
The *Book of Qi* records: Xu Sibai often encountered patients with kyphosis and chronic stagnation-cold that did not heal for years. After diagnosing one such patient, Xu Sibai said, "This is *Shizhu* (Corpse Transmission disease). One must obtain a dead person's pillow, boil it, and take the decoction to recover." He went to an ancient tomb to retrieve a pillow, which was partially rotten and incomplete. After taking it, the patient recovered. Later, Zhang Jing from Moling, aged fifteen, suffered from abdominal distension and yellow complexion. Physicians could not treat him. When asked Xu Sibai, Xu said, "This is *Shiwei* (Stone Ascaris disease), very difficult to treat. One must obtain a dead person's pillow, boil it, and take the decoction." [Following the method], the patient passed large amounts of feces and five sheng of ascaris heads hard as stone, and the illness healed. Later, Shen Singyi suffered from eye pain and frequently saw ghosts. When asked Xu Sibai, Xu said, "Evil qi has entered the Liver. You may find a dead person's pillow, boil it, and take it." After taking it, the pillow was buried back in its original place. Following these instructions, he also recovered. Wang Yan asked him, "These three diseases are different, yet all were cured using a dead person's pillow. Why?" He answered, "*Shizhu* is caused by ghostly qi lying dormant, causing stagnation. Obtaining a dead person's pillow accelerates the process, causing the soul's qi to fly away and preventing reattachment to the body, thus curing *Shizhu*. *Shiwei* refers to long-standing ascaris that have hardened due to chronic illness; worldly medicines cannot dispel them, so ghostly substances are needed to drive them apart, hence boiling the dead person's pillow. Evil qi entering the Liver causes eye pain and seeing wraiths; one needs an evil substance to hook and draw it out, hence using the dead person's pillow. The qi departs with the pillow, so it is buried again in the grave." (From *Taiping Yulan*)