南史曰褚澄善医术建元中为吴郡太守百姓李道念以公事到郡澄见谓汝有重病答曰旧有冷
病至今
五年众医不瘥澄为诊谓曰汝病非冷非热当是食白瀹鸡子过多所致令取蒜一升煮服仍吐一物如
升涎裹之动开看是鸡雏羽翅爪距具足能行走澄曰此未尽更服所余药又吐得如向者鸡十三头而
病都瘥当时称妙
唐与正少年得脉法于临安医者黄泽继又得药法于太学生夏德懋所召紫霞仙遇人有奇疾多
以意
治其侄女年数岁得风瘅疾先发于臆迤逦延上赤肿痛痒医以上膈风热治之不效唐诊之曰是肝肺
风热盛极耳以升麻羌活荆芥鼠粘子赤芍药淡竹叶桔梗干葛八物治之自下渐退而肿聚于顶其高
数寸虽饮食寝处无妨而疾未去也唐母吴夫人曰此女乳母好饮热酒至并 其糟疾殆因是欤唐方
悟所以至顶不消之由思之唯干葛消酒且能疗火毒乃于先方加葛三倍使服之二日肿尽失去从舅
吴巡检病不得前溲卧则微通立则不能涓滴医遍用通小肠药穷技巧弗验唐因其侄孙大用来问吴
常日服何药曰叔祖常服黑锡丹问何人结砂曰自为之唐洒然悟曰是必结砂时铅不死硫黄飞去铅
砂入膀胱卧则偏重犹可溲立则正塞水道以故不能通令取金液丹三百粒分为十服煎矍麦汤下之
膀
胱得硫黄积铅成灰从水道下犹累累如细砂病遂愈葛之消酒硫黄之化铅皆载经方苟不知病源而
以古方从事未见其可也(夷坚志)
《南史》记载,褚澄擅长医术。建元年间,他担任吴郡太守。百姓李道念因公务来到郡府,褚澄见到他后说:“你有重病。”李道念回答说:“我患有陈年寒病,至今已经五年了,众医治疗都没有痊愈。”褚澄为他诊脉后说:“你的病不是寒证也不是热证,应该是食用过多白水煮鸡蛋所致。”于是让病人取一升大蒜煮服,服后呕吐出一个物体,大小如一升,外面包裹着涎液,拨开看里面是雏鸡的羽毛、翅膀、爪子和距都齐全,甚至能行走。褚澄说:“这还没有排尽,继续服用剩下的药。”又吐出像之前那样的十三只小鸡,于是病完全痊愈,当时人们称赞其医术奇妙。
唐与正少年时从临安医生黄泽处学到脉法,后来又从太学生夏德懋处学到药法。他曾遇到一位自称“紫霞仙”的人,遇到人有奇特疾病,多凭心意诊治。他的侄女几岁时得了风瘅疾(一种以发热、皮肤红肿为特征的疾病),起初发作于胸部,逐渐向上蔓延,出现红肿疼痛瘙痒的症状。医生用治疗上膈风热的方法治疗,没有效果。唐与正诊察后说:“这是肝肺风热极盛所致。”于是用升麻、羌活、荆芥、鼠粘子(牛蒡子)、赤芍药、淡竹叶、桔梗、干葛(葛根)八味药治疗,症状自下而上逐渐消退,但肿势聚集在头顶,高达数寸,虽然饮食起居没有妨碍,但疾病未去。唐与正的母亲吴夫人说:“这个女儿的乳母喜欢喝热酒,连同酒糟一起喂给孩子,疾病大概是因为这个原因吧?”唐与正这才明白为什么肿势到头顶不能消散的原因。思考之后,他认为只有干葛能消解酒毒,且能治疗火毒,于是在原来的方剂中将葛根的用量增加三倍,让病人服用。两天后,肿势全部消失。
他的从舅吴巡检患病,小便不通,躺着时稍微能通一点,站着时则一滴也尿不出来。医生普遍使用通利小肠的药物,穷尽技巧,但没有验证有效。唐与正通过他的侄孙大用来询问,吴巡检平时服用什么药?回答说:“叔祖常服用黑锡丹。”问是谁制作的?回答说:“自己制作的。”唐与正豁然醒悟说:“这一定是制作黑锡丹时,铅没有死(反应不完全),硫黄飞散掉了,铅砂进入膀胱。躺着时偏重,还可以排尿;站着时正中堵塞水道,所以不能通。”于是让他取金液丹三百粒,分为十次服用,用大麦汤煎服。膀胱得到硫黄,积聚的铅变成灰烬,从水道排出,仍然像细砂一样颗粒状,病于是痊愈。葛根消解酒毒,硫黄化解铅毒,都记载在经方中。如果不知道病源而只是套用古方,未见可行之理。(出自《夷坚志》)
The *History of the Southern Dynasties* records that Chu Cheng was skilled in medicine. During the Jianyuan era, he served as the Administrator of Wu Commandery. A commoner named Li Daonion came to the commandery on official business. Upon seeing him, Chu Cheng said, "You have a severe illness." Li Daonion replied, "I have suffered from a chronic cold disease for five years, and numerous physicians have failed to cure it." After taking his pulse, Chu Cheng said, "Your illness is neither cold nor heat; it is likely caused by consuming too many boiled eggs." He instructed the patient to take one *sheng* (a unit of volume) of garlic, boil it, and consume it. The patient vomited up an object the size of one *sheng*, wrapped in saliva. Upon opening it, one could see the feathers, wings, claws, and spurs of a chick, which appeared capable of movement. Chu Cheng stated, "This is not yet complete; continue taking the remaining medicine." The patient then vomited thirteen more chicks similar to the first, after which the illness completely resolved. People at the time marveled at this miraculous treatment.
Tang Yuzheng learned pulse diagnosis from Huang Ze, a physician in Lin'an, in his youth, and later acquired pharmacological knowledge from Xia Demao, a student at the Imperial Academy. He encountered a person calling himself the "Purple Cloud Immortal," who treated peculiar diseases based on intuition. Tang's niece, aged several years, contracted *Fengdan* disease (a condition characterized by wind-heat toxicity manifesting as fever and skin swelling). Initially, symptoms appeared on the chest and gradually spread upward, causing redness, swelling, pain, and itching. Physicians treated it as upper jiao wind-heat, but with no effect. Tang diagnosed it as extreme excess of liver and lung wind-heat. He prescribed a formula containing *Shengma* (Cimicifugae Rhizoma), *Qianghuo* (Notopterygii Rhizoma et Radix), *Jingjie* (Schizonepetae Herba), *Niubangzi* (Arctii Fructus), *Chishao* (Paeoniae Radix Rubra), *Dan Zhuye* (Lophatheri Herba), *Jiegeng* (Platycodonis Radix), and *Gegen* (Puerariae Lobatae Radix). The symptoms subsided from below, but swelling accumulated on the vertex, reaching several inches high. Although eating and sleeping were unaffected, the disease persisted. Tang’s mother, Lady Wu, remarked, "The wet nurse of this girl loves drinking hot wine and even feeds her the dregs. The illness may be due to this." Tang then realized why the swelling did not dissipate at the vertex. He reasoned that only *Gegen* (Puerariae Lobatae Radix) can resolve alcohol toxicity and treat fire-toxin. Thus, he tripled the dosage of *Gegen* in the original prescription. After two days, the swelling completely disappeared.
His maternal uncle, Patrolman Wu, suffered from urinary retention. He could urinate slightly when lying down, but not a drop when standing. Physicians universally employed drugs to promote urination via the Small Intestine channel, exhausting their techniques without success. Tang asked his nephew Sun Dalai what medication Uncle Wu took daily. The reply was, "My uncle frequently takes *Heixi Dan* (Black Tin Pill)." When asked who prepared it, he answered, "He makes it himself." Tang suddenly understood, saying, "It must be that during the preparation of the pill, the lead did not fully react (become 'dead'), and sulfur volatilized. Lead sulfide entered the bladder. When lying down, the weight shifts, allowing some urine flow; when standing, it blocks the urethra directly, hence the inability to void." He instructed him to take 300 pills of *Jinye Dan* (Golden Fluid Pill), divided into ten doses, taken with decoction of *Damai* (Hordei Fructus Germinatus). The sulfur in the pill reacted with the accumulated lead in the bladder, turning it into ash, which was excreted through the urinary tract like fine sand. The disease was cured. *Gegen* resolving alcohol toxicity and sulfur dissolving lead are both recorded in classical prescriptions. However, if one does not understand the source of the disease and merely applies ancient formulas, success is unlikely. (From *Yijian Zhi*)