睦州杨寺丞有女事郑迪功女有骨蒸内热之病时发外寒寒过内热附骨蒸盛之时四肢微瘦足
跗肿
者其病在五脏六腑之中众医不瘥因遇处州吴医看曰请为治之只单用石膏散服后体微凉如故其
方出外台秘要只用石膏乳细十分似面以新汲水和服方寸匕取身无热为度(名医录)
气虚则发厥血虚则发热厥者手足冷也气属阳阳虚则阴凑之则故厥血者阴也血虚则阳凑之
故发
热也气虚发厥者当用温药血虚发热者不宜用凉药当用温养气血之药以补之宜养阴黄 建中汤
之类是也又有一种病实热者极而手足厥冷所谓热深厥亦深此当用凉药须以脉别之也此最难辩
差之毫厘则害人性命戒之(医余)
仁和县一吏早衰病瘠齿落不已从货药道人得一单方只碾生硫黄为细末实于猪脏中水煮脏
烂碾
细宿蒸饼丸如桐子大随意服之两月后饮啖倍常步履轻捷年过九十略无老态执役如初因从邑宰
入村醉食牛血遂洞下数十行所泄如金水自是 悴少日而死李巨源得其事于临安入内医官管范
尝与王枢使言之王云但闻猪肪脂能制硫黄兹用脏尤为有理亦合服之久当见效(类编)
翦草状如茜草又如细辛婺台二州皆有之惟婺可用其法每取一斤净洗碎为末入生蜜一斤
和成
膏以陶器盛之不得犯铁日一蒸一曝至九日乃止治劳瘵吐血损肺及血妄行名曰神传膏令病患五
更起面东坐不得语言用匙抄药如食粥然每服四匙良久呷稀粟米粥压之药只冷服粟饮亦不可太
热或吐或下皆无害如久病肺损咯血一服立愈(本事方)
睦州杨寺丞的女儿患有骨蒸内热之病,发作时体表发冷,寒冷过后体内发热。在骨蒸热势旺盛的时候,四肢略微消瘦,足背浮肿。这种病邪位于五脏六腑之中,众多医生治疗无效。后来遇到处州的吴医生诊治,说:“请让我为您治疗。”只单用石膏散服用,服药后身体微微变凉,症状如常消失。该方出自《外台秘要》,仅将石膏研磨成极细粉末,状似面粉,用新汲取的凉水调和服用,每次服用一方寸匕,以身体不再发热为限度。(出自《名医录》)
气虚则会导致厥证(手足逆冷),血虚则会导致发热。所谓厥,是指手足冰冷。气属于阳,阳气虚弱则阴气乘袭,所以发生厥证;血属于阴,血虚则阳气乘袭,所以发生发热。对于气虚导致的厥证,应当使用温性药物;对于血虚导致的发热,不适宜使用寒凉药物,而应当使用温养气血的药物来补益,适宜选用黄芪建中汤之类的方剂。另外有一种病症,是实热极盛反而导致手足厥冷,这就是所谓的“热深厥亦深”,这种情况应当使用寒凉药物,必须通过脉象来辨别。这一点最难分辨,如果差错毫厘,就会害人性命,务必警惕。(出自《医余》)
唐玄宗开元年间,明州人陈藏器撰写《本草拾遗》,书中记载人肉可以治疗羸弱之疾,从此民间相互效仿,割下大腿或手臂的肉入药。
仁和县的一名小吏早衰,身体消瘦,牙齿脱落不止。他从卖药的道人那里得到一个单方:只将生硫黄碾成细末,填入猪内脏中,用水煮至内脏糜烂,再碾细,与宿蒸饼混合制成梧桐子大小的丸药,随意服用。两个月后,他的饮食量加倍,步履轻快敏捷,年龄超过九十岁,完全没有老态,劳作能力如初。后来他跟随县令进入村庄,醉酒吃了牛血,随即腹泻数十次,排泄物像金水一样,从此憔悴,几天后就死了。李巨源从临安的内殿医官管范那里得知此事,管范曾对王枢使说过这件事。王枢使说:“我只听说猪脂肪能制约硫黄的毒性,现在用猪脏来承载硫黄更有道理,也符合逻辑,长期服用应当见效。”(出自《类编》)
翦草形状像茜草,又像细辛。婺州和台州两地都有生长,但只有婺州产的可以使用。其制法如下:每取一斤,洗净后捣碎成粉末,加入生蜜一斤,调和成膏状,用陶器盛装,不得接触铁器。每天蒸一次、晒一次,直到第九天停止。此药用于治疗劳瘵吐血、损伤肺脏以及血液妄行,名为“神传膏”。让患者在五更天起床,面向东方坐下,禁止说话。用勺子舀药,像吃粥一样服用。每次服用四匙,过一会儿喝些稀粟米粥来压住药性。药物只需冷服,粟米饮也不宜太热。如果出现呕吐或腹泻都没有危害。如果是久病肺损导致的咯血,服用一次即可立即痊愈。(出自《本事方》)
The daughter of Yang Sicheng from Mozhou suffered from *Guzheng* (Bone-steaming fever, a type of chronic consumption fever characterized by internal heat and external chills). When the condition flared up, she experienced external cold; after the cold subsided, internal heat would arise. During periods of intense bone-steaming heat, her limbs were slightly emaciated, and her dorsum pedis (instep) was swollen. The pathogenic factor was located within the five zang organs and six fu organs. Many physicians failed to cure her. Eventually, a physician from Chuzhou examined her and said, "Allow me to treat you." He prescribed only *Shigao San* (Gypsum Powder). After taking it, her body felt slightly cool, and the symptoms resolved as if nothing had happened. This prescription originates from *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies). It uses only gypsum, ground into an extremely fine powder resembling flour, mixed with freshly drawn cold water and taken orally. Each dose is one *cunbi* (a square-inch measure), administered until the body no longer feels hot. (From *Mingyi Lu*)
Qi deficiency leads to *Jue* syndrome (reversal cold, characterized by cold extremities), while blood deficiency leads to fever. *Jue* refers to cold hands and feet. Qi belongs to Yang; when Yang qi is deficient, Yin pathogens encroach, resulting in *Jue*. Blood belongs to Yin; when blood is deficient, Yang pathogens encroach, resulting in fever. For *Jue* caused by Qi deficiency, warm herbs should be used. For fever caused by blood deficiency, cooling herbs are inappropriate; instead, warm herbs that nourish Qi and blood should be used for tonification. Formulas such as *Huangqi Jianzhong Tang* (Astragalus Decoction for Building the Middle) are suitable. Additionally, there is a condition where extreme excess heat causes cold extremities, known as "the deeper the heat, the deeper the reversal cold." In such cases, cooling herbs must be used, and differentiation must be made based on the pulse. This is the most difficult aspect to distinguish; a slight error can be fatal, so caution is essential. (From *Yiyu*)
During the Kaiyuan era of Emperor Xuanzong's reign, Chen Cangqi from Mingzhou compiled *Bencao Shiyi* (Supplement to Materia Medica), stating that human flesh could treat wasting diseases. Consequently, common people began imitating this practice, cutting flesh from their thighs or arms for medicinal use.
A clerk from Renhe County suffered from premature aging, emaciation, and continuous tooth loss. He obtained a simple prescription from a traveling medicine seller: grind raw sulfur (*Liuhuang*) into a fine powder, stuff it into pig intestines, boil until the intestines are rotten, then grind finely again. Mix with aged steamed bread pills to form pills the size of paulownia seeds, and take at will. After two months, his appetite doubled, his gait became light and agile, and although he lived past ninety, he showed no signs of old age and retained his ability to work. Later, while accompanying the county magistrate to a village, he ate cow's blood while drunk. He subsequently suffered severe diarrhea dozens of times, with excrement resembling golden water. He became emaciated and died a few days later. Li Juyuan learned of this incident from Guan Fan, an imperial palace physician in Lin'an. Guan Fan had mentioned it to Chancellor Wang. Chancellor Wang remarked, "I have only heard that pork lard can neutralize the toxicity of sulfur. Using pig intestines to contain the sulfur is even more logical and consistent with principles; long-term administration should yield results." (From *Leibian*)
*Jiancao* (Scissor Grass) resembles *Qiancao* (Rubia cordifolia root) and also looks like *Xixin* (Asarum). It grows in both Wuzhou and Taizhou, but only the variety from Wuzhou is usable. The preparation method is as follows: Take one jin (approx. 500g), wash it thoroughly, crush it into powder, and mix with one jin of raw honey to form a paste. Store in a ceramic vessel, avoiding contact with iron. Steam and sun-dry once daily for nine days. This remedy treats *Laozai* (consumption tuberculosis) with hemoptysis, lung injury, and reckless bleeding. It is named *Shenchuan Gao* (Divine Transmission Paste). The patient should rise at *Wugeng* (1-3 AM), sit facing east, and remain silent. Use a spoon to take the medicine as one would eat porridge. Each dose is four spoonsful. Afterward, drink some thin millet porridge to settle the medicine. The medicine should be taken cold; the millet drink should not be too hot. Vomiting or diarrhea are harmless side effects. For chronic lung damage causing hemoptysis, a single dose brings immediate relief. (From *Benshi Fang*)