贾黄中为礼部侍郎兼起居监察中风眩卒 太宗悼惜之切责诸医大搜在城医工凡通神农本
草黄帝难经素问及善针灸药饵者校其能否以补翰林医学及医官院祗候
齐王太后病召臣意入诊脉曰风瘅客脬难于大小溲溺赤臣意饮以火齐汤一饮即前后溲再饮
病已
溺如故病得之流汗涤涤者去衣而汗 也所以知齐王太后病者臣意诊其脉切其太阴之口湿然风
气也脉法曰沉之而大坚浮之而大紧者病主在肾肾切之而相反也脉大而躁大者膀胱气也躁者中
有热而溺赤(史记淳于意传)
济北王病召臣意诊其脉曰风蹶胸满即为药酒尽三石病已得之汗出伏地所以知济北王病者
臣意
切其脉时风气也心脉浊病法过入其阳阳气尽而阴气入阴气入张则寒气上而热气下故胸满汗出
伏地者切其脉气阴阴气者病必入中出及 水也( 士咸切)
齐王故为阳虚候时病甚众医皆以为蹶臣意诊脉以为痹根在右胁下大如覆杯令人喘逆气不
能食
臣意即以火齐粥且饮六日气下即令更服丸药出入六日病已病得之内诊之时不能识其经解大识
其病所在(同上)
臣意尝诊安阳武都里成开方开方自言以为不病臣意谓之病苦沓风三岁四肢不能自用使人
喑喑
即死今闻其四肢不能用喑而未死也病得之数饮酒以见大风气所以知成开方病者诊之其脉法奇
咳言曰脏气相反者死切之得肾反肺法曰三岁死也(史记同上)
贾黄中担任礼部侍郎兼起居监察时,因中风眩病去世。宋太宗对他深切哀悼惋惜,严厉责备各位医生,并在城内广泛搜求精通《神农本草经》、《黄帝内经·难经》、《素问》,以及擅长针灸和药物治疗的人,考核他们的能力,以补充翰林医学及医官院的职位空缺。
齐王太后患病,召见臣意(淳于意)诊脉。臣意说:“这是风邪侵入膀胱所致(风瘅客脬),导致大小便困难,尿液颜色发红。”臣意用“火齐汤”给她服用,喝一次后前后二便即通,喝两次后病愈,小便恢复正常。这种病是由于流汗淋漓(涤涤),脱衣时出汗所致。之所以能判断出齐王太后的病因,是因为臣意诊察她的脉象,在太阴脉口处切得湿然之象,这是风气入侵的表现。脉法说:重按脉象大而坚实,轻取脉象大而紧的,病位主要在肾。但切诊时发现脉象与理论相反:脉大且躁动,大表示膀胱气盛,躁表示体内有热而尿赤。(出自《史记·扁鹊仓公列传》淳于意传)
济北王患病,召见臣意诊脉。臣意说:“这是风厥证,表现为胸中胀满。”随即给他服用药酒,喝完三石后病愈。这种病是由于出汗后伏地受寒所致。之所以能判断出济北王的病因,是因为臣意切脉时发现脉象呈风气之象,心脉浑浊,这是病邪传入阳分的征象。阳气耗尽而阴气入侵,阴气入侵则寒气上逆而热气下陷,所以出现胸中胀满。出汗并伏地者,切其脉象显示气阴两虚(原文作“气阴阴”,据文意推测为气阴受损或相关脉象描述)。阴气入中,若外出则需通过利水来排泄。(出自《史记·扁鹊仓公列传》)
齐王以前作为阳虚侯时,病情严重,众多医生都认为是厥证。臣意诊脉后认为是痹证,病根在右胁下,大小如倒扣的杯子,使人喘息气逆,不能进食。臣意立即用“火齐粥”让他连续饮用六天,待气机下行后,又让他服用丸药,经过六天病愈。这种病源于内伤。诊察时无法识别具体的经络解释,但能明确知道病所在之处。(同上)
臣意曾诊治安阳武都里的成开方。成开方自己声称没有病。臣意说他有病,是苦于“沓风”证,三年后四肢不能自主活动,使人失音,随即死亡。如今听说他四肢已不能用,失音但未死。这种病是由于多次饮酒后感受大风邪所致。之所以能判断成开方的病因,是因为诊脉发现其脉象符合《奇咳》篇所说的“脏气相反者死”。切脉得到肾脉反见于肺脉部位,脉法说三年后死亡。(出自《史记·扁鹊仓公列传》同上)
Jia Huangzhong, serving as Vice Minister of Rites and Director of Ceremonies, died from Zhongfeng Xuan (Wind Dizziness, a condition caused by wind pathogen affecting the head). Emperor Taizong deeply mourned and regretted his loss, severely reprimanded the physicians, and extensively searched within the city for those proficient in the *Shennong Bencao Jing* (Divine Farmer's Materia Medica), the *Huangdi Nanjing* (Classic of Difficult Issues), the *Suwen* (Basic Questions), and skilled in acupuncture and herbal medicine. He assessed their capabilities to fill positions in the Hanlin Medical Academy and the Imperial Medical Service.
The Empress Dowager of Qi fell ill and summoned Chen Yi (Chunyu Yi) to diagnose her pulse. Chen Yi stated: "This is Fengdan Ke Pao (Wind Jaundice invading the Bladder), characterized by difficulty in urination and defecation, and red urine." Chen Yi administered Huoqi Tang (Fire-Regulating Decoction). After one dose, both upper and lower orifices opened; after two doses, the illness was cured, and urination returned to normal. This disease resulted from profuse sweating (Didi) when removing clothes. The reason Chen Yi could identify the cause of the Empress Dowager's illness was that upon palpating her pulse at the Taiyin mouth, he felt a moist sensation, indicating the invasion of wind qi. The Pulse Method states: if the pulse is large and firm upon deep pressure, and large and tight upon light pressure, the disease is primarily located in the Kidney. However, the palpated pulse contradicted this: a large and rapid pulse indicates excess qi in the Bladder, while rapidity indicates internal heat causing red urine (from *Records of the Grand Historian*, Biography of Chunyu Yi).
The King of Jibu fell ill and summoned Chen Yi to diagnose his pulse. Chen Yi said: "This is Fengjue (Wind Jue Syndrome), manifesting as chest fullness." He then prescribed medicinal wine. After consuming three shi (a unit of volume), the illness was cured. This disease resulted from sweating and lying prone on the ground (exposure to cold). The reason Chen Yi could identify the cause of the King of Jibu's illness was that upon palpating his pulse, he detected wind qi characteristics. The Heart pulse was turbid, indicating the pathogen had entered the Yang aspect. When Yang qi is exhausted and Yin qi invades, the invasion of Yin causes Cold qi to ascend and Hot qi to descend, resulting in chest fullness. Sweating and lying prone corresponds to a pulse showing Qi and Yin deficiency (text reads "Qi Yin Yin", implying damage to Qi and Yin). If Yin qi enters the interior, it must be expelled through diuresis (from *Records of the Grand Historian*).
When the former King of Qi was Marquis of Yangxu, he suffered from severe illness. Many physicians diagnosed it as Jue (Jue Syndrome). Chen Yi, upon diagnosing the pulse, identified it as Bi (Obstruction Syndrome), with the root located under the right hypochondrium, the size of an inverted cup, causing panting, rebellious qi, and inability to eat. Chen Yi immediately administered Huoqi Zhou (Fire-Regulating Porridge) for six days. Once the qi descended, he prescribed pill medicines. After another six days, the illness was cured. This disease originated from internal injury. During diagnosis, the specific meridian explanations were not identifiable, but the location of the disease was clearly known (ibid.).
Chen Yi once treated Cheng Kaifang from Wudu Li in Anyang. Cheng Kaifang claimed to be healthy. Chen Yi stated he was suffering from Tafa Feng (Tafa Wind), which would lead to immobility of the four limbs after three years, followed by aphonia (loss of voice), and then death. It is now heard that his four limbs are unusable and he has lost his voice, but he has not yet died. This disease resulted from frequent alcohol consumption followed by exposure to strong wind pathogens. The reason Chen Yi could identify Cheng Kaifang's condition was that the pulse matched the description in the *Qike* chapter: "Opposite Zang qi leads to death." Palpation revealed the Kidney pulse appearing in the Lung position. The Pulse Method states death will occur in three years (from *Records of the Grand Historian*, ibid.).