济北王召淳于意诊脉诸女子侍者至女子竖竖无病意告永巷长曰竖伤脾不可劳法当春呕血
死王
曰得毋有病乎意对曰竖病重在死法中王召视之其颜色不变以为不然春竖奉剑从王之厕王去竖
后令人召之即仆于厕呕血死病得之流汗流汗者同法病内重毛发而色泽脉不衰此亦关内之病也
(并史记)
蕲水县高医庞安时治病无不愈其处方用意几于古人自言心解初不从人授也蕲有富家子窃
出游
值邻人有斗者排动屋壁富人子大惊惧疾走惶惑突入市市方陈刑尸富人子走仆尸上因大惊到家
发狂性理遂错医巫百方不能已庞为剂药求得绞囚绳烧为灰以调药一剂而愈庞得他人药尝之入
口即知其何物及其多少不瘥也(张右史明道杂志)
四明僧奉真良医也天章阁待制许元为江淮发运使奏课于京师方欲入对而其子病亟瞑而不
食
能延数日之期否奉真曰如此自可诸脏皆已衰唯肝脏独过脾为肝所胜其气先绝一脏绝则死若急
泻肝气令肝气衰则脾少缓可延三日过此无术也乃投药至晚乃能张目精稍复啜粥明日渐苏而能
食元甚喜奉真笑曰此不足喜肝气暂舒尔无能为也后三日果卒(笔谈)
虞雍公拜甫绍兴二十八年自渠州守召至行在憩北郭外接待院因道中冒暑得泄痢疾连月重
九日
梦至一处类神仙居一人被服如仙官延之坐视壁间有韵语药方一纸读之数遍其词曰暑毒在脾湿
气连脚不泻则痢不痢则疟独炼雄黄蒸饼和药甘草作汤服之安乐别作治疗医家大错梦回尚能记
即录之盖治暑泄方也如方服遂愈(夷坚志)
济北王召见淳于意为他的侍女们诊脉。淳于意诊断后告诉永巷长说:“名叫竖的女子脾脏受损,不可从事劳累工作,按照病法推断,到了春天她会呕血而死。”
济北王问:“难道她有病吗?”
淳于意回答说:“竖的病重,处于必死的病证中。”
济北王召来让她看,她的面色没有改变,因此济北王认为淳于意的话不对。到了春天,竖奉命持剑跟随济北王去厕所,济北王离开后,让人叫竖,竖随即倒在厕所里呕血而死。这个病是由于流汗引起的,流汗的人有同样的病法。如果体内邪气深重,但毛发润泽、面色光亮、脉象不衰,这也是关内地区的常见病。(出自《史记》)
蕲水县的高医庞安时治病没有不痊愈的,他开方用药的心意几乎与古人相同。他自己说心里领悟了医理,起初并不从别人那里传授而来。蕲地有个富家子弟偷偷出游,正赶上邻居有人打架,推撞动了屋壁。富家子弟大惊恐惧,惊慌失措地逃跑,突然冲进集市,当时集市正好陈列着受刑者的尸体。富家子弟跑倒压在尸体上,因此受到极大惊吓,回家后精神狂乱,性情理智错乱。医生和巫师用各种方法治疗都不能止住。庞安时配制药物,求得绞死囚犯用的绳子,烧成灰来调制药汤,一剂药服下就痊愈了。庞安时尝过别人的药,入口就能知道是什么药以及分量多少,不会出错。(出自张右史明道杂志)
四明僧人奉真是位良医。天章阁待制许元担任江淮发运使,到京城汇报政绩,正准备入宫面圣,但他的儿子病危,昏迷不食。许元问能否延长几天的寿命?奉真说:“像这样,各个脏腑都已经衰弱,只有肝脏之气独盛(过亢)。脾土被肝木所克,脾气先绝。一个脏腑之气断绝就会死亡。如果急泻肝气,使肝气衰退,那么脾脏就能稍微缓和,可以延长三天生命,超过这个时间就没有办法了。”于是投药,到了晚上病人才能张开眼睛,精神稍微恢复,能喝点粥。第二天逐渐苏醒并能进食。许元非常高兴,奉真笑着说:“这不值得高兴,只是肝气暂时舒缓罢了,无能为力了。”后来三天果然去世了。(出自《笔谈》)
虞雍公拜任宰相刚不久,绍兴二十八年,他从渠州太守职位被召回行在(皇帝巡行所在之地),在北门外接待院休息,因为途中冒暑得了泄痢疾,持续了一个多月。九月九日,梦见到一个地方,像是神仙居住的地方。一个人穿着像仙官的衣服,请他坐下,指着墙壁上的韵语药方一张纸让他读,读了数遍。词曰:“暑毒在脾,湿气连脚。不泻则痢,不痢则疟。独炼雄黄,蒸饼和药,甘草作汤服之安乐。别作治疗,医家大错。”梦醒后还能记得,立即记录下来,原来是治疗暑热泄泻的方子。按照方子服用,于是痊愈了。(出自《夷坚志》)
King of Jibei summoned Chunyu Yi to diagnose the pulses of his female attendants. Chunyu Yi informed the Chief Eunuch of the Palace (Yongchang Zhang) that "Shu, a female attendant, has Spleen injury; she must not engage in labor. According to the disease method, she will vomit blood and die in spring."
The King asked, "Does she have an illness?"
Chunyu Yi replied, "Shu's illness is severe and falls within the category of fatal conditions."
The King ordered her to be brought before him. Her complexion had not changed, so the King did not believe it. In spring, Shu was ordered to hold a sword and follow the King to the latrine. After the King left, he sent someone to summon Shu; she collapsed in the latrine and died of hematemesis. This illness originates from sweating; those who sweat are subject to the same disease pattern. If internal pathology is heavy but hair is lustrous, complexion is bright, and pulse is unweakened, this is also a common disease in the Guan region. (From *Records of the Grand Historian*)
Pang Anshi, a renowned physician from Qishui County, cured all diseases without exception. His approach to prescribing medication was nearly identical to that of ancient masters. He claimed to have intuitively understood medical principles and initially received no instruction from others. A son of a wealthy family in Qi secretly went out for a stroll and happened upon neighbors fighting, which shook the house walls. The young man was terrified, fled in panic, and stumbled into the market, where corpses of executed criminals were displayed. He tripped and fell onto a corpse, suffering extreme shock. Upon returning home, he went mad, losing his rationality. Physicians and shamans tried various treatments without success. Pang Anshi prepared a remedy using ropes used to strangle prisoners, burned them to ash, and mixed them into a decoction. One dose cured him. Pang Anshi could taste others' medicines and immediately identify the ingredients and dosages without error. (From *Zhang You Shi Ming Dao Zazhi*)
Feng Zhen, a monk from Siming, was an excellent physician. Xu Yuan, a Waiting Gentleman of Tianzhang Pavilion and Commissioner of Jianghuai Transport, arrived in the capital to report on his performance and was about to enter the palace for an audience when his son fell critically ill, unconscious and refusing food. Xu Yuan asked if his life could be extended by a few days. Feng Zhen said, "In this condition, all viscera are declining, while Liver Qi alone is excessive. Spleen Earth is overcome by Liver Wood, so Spleen Qi perishes first. When one viscus perishes, death ensues. If we urgently drain Liver Qi to subdue its excess, the Spleen may recover slightly, extending life by three days. Beyond this, there is no remedy." He administered medicine. By evening, the patient could open his eyes, his spirit slightly recovered, and he could sip gruel. The next day, he gradually revived and could eat. Xu Yuan was very pleased, but Feng Zhen smiled and said, "There is no need for joy; this is merely temporary relief of Liver Qi. It is futile." Three days later, the patient indeed passed away. (From *Bi Tan*)
Yu Yonggong had just been appointed Chancellor when, in the 28th year of Shaoxing (1158 AD), he was recalled from his post as Prefect of Quzhou to the imperial circuit station. Resting at the Reception Courtyard outside the north gate, he suffered from summerheat-induced diarrhea and dysentery due to exposure to heat during the journey, lasting over a month. On the Double Ninth Festival (9th day of the 9th lunar month), he dreamed of a place resembling a celestial abode. A figure dressed like an immortal official invited him to sit and pointed to a poem and prescription written on paper on the wall. He read it several times. The text read: "Summerheat toxin resides in the Spleen, dampness connects to the feet. Without diarrhea, there is dysentery; without dysentery, there is malaria. Refine Realgar alone, mix with steamed bun dough, prepare a decoction with Licorice Root, take it for peace and comfort. Treating otherwise is a great error for physicians." Waking from the dream, he still remembered it and recorded it immediately. It turned out to be a formula for treating summerheat diarrhea. Following the prescription, he was cured. (From *Yi Jian Zhi*)