吕沧洲治一幼女。病嗜卧。颊赤而身不热。诸医皆以为慢惊风。屡进攻风之剂。兼旬不
愈。吕切其脉。右关独滑而数。他部大小等而和。因告之曰。女无病。关滑为宿食。意乳母
致之。乳母必嗜酒。酒后辄乳。故令女醉。非风也。及诘其内子。内子曰。乳母近掌酒库钥。
窃饮必尽意。使人视之。卧内有数空罂。乃拘其钥。饮以枳 子、葛花。日二三服。而起
如常。
李寺丞子三岁。病搐。自卯至巳。数医不效。钱乙视之。搐。目右视。大叫哭。李曰。
何搐右。钱曰。逆也。李曰。谓何。曰。男为阳。本发左。女为阴。本发右。故男目左视。
发搐时无声。右视有声。女发搐时。右视无声。左视有声。所以然者。左肝右肺。肺金肝木
男目右视。肺胜肝也。金来刑木。二脏相战。故有声也。法当泻其强。补其弱。心实者亦
当泻之。肺虚不可泻。肺虚之候。闷乱哽气。长出气。此病男反女。故男治易于女也。假令
女发搐。目左视。肺之胜肝者。病在秋。即肺兼旺位。肝不为任。故叫哭。当大泻其肺。然
后治心。续肝。所以俱言目反右视者。乃肝主目也。凡搐者。风热相搏于内。风属肝。故引
见之于目也。钱用泻肝汤泻之。二日不闷乱。当知肺病退。后用地黄丸补肾。三服后。用泻
青丸、凉惊丸各二服。凡用泻心肝药。五日方愈。不妄治也。又言肺虚不可泻者何。曰。设
令男目左视。木反克金。肝旺胜肺。宜但泻肝。若更病在春夏。金气极虚。则当补肺。不可
泻也。
院使钱公瑛。宣德间。治宁阳侯孙。始生九月。患惊悸啼哭而汗。百方莫救。瑛最后视
疾。乃命坐儿于地。使掬水为戏。惊啼顿止。人问之。曰。时当季春。儿丰衣重帷。不离怀
抱。其热郁在内。安能发泄。使之近水则火邪杀。得土气则藏气平。疾愈矣。奚用药为。
石山治一女。六岁。病左手不能举动。三年矣。后复病痫。初用人参、半夏。或效或否
汪诊左脉浮洪。右脉颇和。曰。痰热也。令以帛勒肚。取茶子去壳三钱。 碎。以滚汤一
碗滤取汁。隔宿勿食。早晨温服。吐痰三碗许。手能举动。痫亦不作。
方荫山治朱氏子。八九岁。寄食外家。以肉汁拌饭啖之。口含饭。未下咽。因疾走颠蹶
遂口噤。手足搐动。医治不效。延七日。甚至令人口含开关等药。合其口喷入。仅能开牙
关。而四肢搐动。发热昏沉不语如故。脉洪滑。方至。以石膏、青黛、甘草、陈皮、南星、
天麻、薄荷、猪苓、泽泻、白术、茯苓、兜铃、元参、黄芩。加姜一片服。是夜熟寐不动。
唯起溺一度。热退身凉脉静。再进一服而愈。
潜村治仙潭孙自范甥慢脾证。痰涎涌盛。咳嗽身热。四肢抽搐。自汗。嗜卧露睛。撮空
手振。屡进补脾兼消痰逐风药。不应。以方就商于杨。杨曰。此证风自内出。本无可逐。痰
因虚动。亦不必消。只补脾土。诸证自退。但据所示兼证。则其面必晃白。眼必散大。舌必
胖
滑。色必嫩白。颈必软而头必垂矣。曰诚然。然救虚而不应。究何故耶。杨曰。诸证皆属寒
而诸方止救虚者也。使天柱未倒。固能取效。尚须除去逐风消痰之品。今颈软头垂。则天
柱已倒。而虚上加寒。确有显据。非炮姜、肉桂。何以追已去之阳。而苏垂绝之气哉。乃写
参附养营汤。嘱之曰。如阻以稚幼无阳。无补阳之法。则百不救一矣。服三剂。竟全愈。次
用五味异功散加煨姜、白芍。调理而健。
吕沧洲治疗一名幼女。她患有嗜睡症，脸颊发红但身体不发热。众位医生都认为是慢惊风（一种以抽搐、昏睡为特征的儿科疾病），多次使用祛风攻邪的药剂，经过二十多天仍未痊愈。吕沧洲诊察她的脉象，发现右关脉单独呈现滑数之象，其他部位的脉象大小相等且平和。于是告知家属说：“女孩没有生病，右关脉滑代表有宿食积滞，我推测是乳母导致的。乳母一定嗜好饮酒，酒后便给孩子喂奶，所以让孩子‘醉’了，并非风邪所致。”等到询问孩子的母亲，母亲说：“乳母最近掌管酒库钥匙，偷喝酒必定喝个尽兴。”派人查看，卧室内有几个空酒坛子，于是没收了她的钥匙，并给她服用枳棋子、葛花煎剂，每天服用两三次，孩子很快恢复如常。
李寺丞的儿子三岁，出现抽搐症状，从卯时持续到巳时，多位医生治疗无效。钱乙诊治时，看到孩子抽搐，眼睛向右看，大声哭叫。李寺丞问：“为什么抽搐时眼睛向右看？”钱乙说：“这是逆证。”李寺丞问：“这是什么意思？”钱乙说：“男孩属阳，发病本应从左边开始；女孩属阴，发病本应从右边开始。所以男孩发病时眼睛向左看，抽搐时无声；眼睛向右看且有声音。女孩发病时，眼睛向右看无声，眼睛向左看有声。之所以这样，是因为左属肝木，右属肺金。如果男孩眼睛向右看，说明肺金克制肝木，金来刑木，两脏相争，所以会有声音。治疗方法应当泻其强盛的一方，补其虚弱的一方。心气实者也应泻之。肺气虚不可泻。肺气虚的表现是胸闷烦躁、呼吸急促、长出气。这个病例中，男孩表现出女孩的病症特征，所以男孩的治疗比女孩容易。假如女孩发病抽搐，眼睛向左看，那是肺金胜肝木的表现。病在秋季，正值肺金旺盛之时，肝木不能胜任制约，所以会大声哭叫。此时应当大泻肺金，然后调理心脏，接着滋养肝脏。之所以都提到眼睛反向观看，是因为肝主目。凡是抽搐，都是风热在内相互搏结，风属于肝，所以反映在眼睛上。”钱乙用泻肝汤治疗，两天后不再胸闷烦躁，可知肺病已退。之后用地黄丸补肾，三天后，再用泻青丸、凉惊丸各服两次。凡是使用泻心肝药物的，五天痊愈，没有误治。又问：为什么说肺气虚不可泻？钱乙说：“假设男孩眼睛向左看，这是木反克金，肝旺胜肺，适宜只泻肝。如果病情发生在春夏季节，金气极虚，则应当补肺，不可泻。”
院使钱公瑛，在宣德年间，治疗宁阳侯的孙子。孩子出生九个月，患惊悸啼哭并出汗，各种方法都无法救治。钱瑛最后诊治，让小孩坐在地上，让他捧水玩耍，惊恐啼哭顿时停止。别人问他原因，他说：“当时正值春季末，孩子穿着厚衣，围着重帷，不离怀抱，热气郁结在体内，怎么能发泄出来呢？让他接近水，火邪就被抑制；得到土气（玩土或地气），藏气就平和了，病就好了，何必用药呢？”
石山治疗一名六岁女孩，患病三年，左手不能活动。后来又患癫痫。起初用人参、半夏治疗，有时有效有时无效。汪诊察左脉浮洪，右脉颇为平和，说：“这是痰热所致。”命令用丝绸勒紧腹部，取去壳茶子三钱，捣碎，用一碗滚开水过滤取汁，隔夜禁食，早晨温服。吐出约三碗痰液，手能活动了，癫痫也不再发作。
方荫山治疗朱氏之子，八九岁，寄居在外婆家，用肉汁拌饭喂他。孩子嘴里含着饭，还没咽下，因奔跑跌倒，导致牙关紧闭，手足抽搐。医生治疗无效，拖延七天，甚至让人把开关等药含在孩子口中，合拢嘴巴喷入，仅能张开牙关，而四肢抽搐、发热昏沉不语依旧。脉象洪滑。方荫山到来，用石膏、青黛、甘草、陈皮、南星、天麻、薄荷、猪苓、泽泻、白术、茯苓、兜铃、元参、黄芩，加一片生姜服用。当晚熟睡不动，仅起来小便一次，热退身凉脉静，再进一服而痊愈。
潜村治疗仙潭孙自范的外甥，诊断为慢脾证（一种脾胃虚寒严重的儿科危重症）。痰涎涌盛，咳嗽身热，四肢抽搐，自汗，嗜睡且眼睛睁开露出眼珠，手指撮空，手部震颤，多次进服补脾兼消痰逐风的药物，均无效。向杨医生请教。杨医生说：“此证的风是从内部产生的，本来无可驱逐。痰是因为虚而动，也不必消除。只需补益脾土，各种症状自然会消退。但根据所示的兼症，他的面色必然苍白无华，眼睛必然散大，舌体必然胖大滑腻，颜色必然嫩白，颈部必然软弱且头必下垂。”回答说：“确实如此。然而救虚却不见效，究竞是什么原因？”杨医生说：“所有症状都属于寒，而之前的方子只是救虚。如果天柱骨（指颈部支撑力）未倒，固然能取效，但仍须除去逐风消痰的药物。现在颈部软弱头部下垂，说明天柱已倒，且在虚的基础上加上寒，确有明显依据。不用炮姜、肉桂，用什么来追回已经离散的阳气，复苏垂绝的气息呢？”于是开具参附养营汤，嘱咐说：“如果有人以年幼无阳为由，拒绝使用补阳之法，那么百人中救不活一个。”服用三剂，竟然完全痊愈。随后用五味异功散加煨姜、白芍，调理后康复。
Lu Cangzhou treated a young girl. She suffered from lethargy (excessive sleepiness), with red cheeks but no body heat. All physicians considered it to be slow convulsion syndrome (a pediatric condition characterized by convulsions and lethargy) and repeatedly administered wind-dispelling agents, yet after twenty days there was no improvement. Lu palpated her pulse and found that only the right Guan position was slippery and rapid, while other positions were equal in size and harmonious. He informed them, "The girl is not ill. A slippery pulse at the Guan position indicates retained food stagnation. I suspect this was caused by the wet nurse. The wet nurse must have a fondness for alcohol and breastfeeds the child immediately after drinking, causing the child to become 'intoxicated.' This is not due to wind pathogen." Upon questioning the mother, she admitted, "The wet nurse recently held the key to the wine cellar and secretly drank until satisfied." An inspection revealed several empty wine jars in the sleeping quarters. The key was confiscated, and the child was given a decoction of *Armeniacae Semen Amarum* (Zhiqi Zi) and *Puerariae Radix* (Gehua). Administered two to three times daily, the child recovered as usual.
The son of Temple Attendant Li, aged three, experienced convulsions lasting from Mao hour to Si hour. Multiple physicians failed to produce results. Qian Yi examined the child and observed convulsions, eyes deviated to the right, and loud crying. Mr. Li asked, "Why are the eyes deviated to the right during convulsions?" Qian Yi replied, "This is a counter-indication." Mr. Li asked for clarification. Qian Yi explained, "Males belong to Yang and typically manifest symptoms starting on the left; females belong to Yin and typically manifest on the right. Therefore, males look to the left when ill and are silent during convulsions; looking to the right with sound indicates a different pattern. Females look to the right silently during convulsions, and look to the left with sound. This is because the Left corresponds to Liver Wood and the Right to Lung Metal. If a male looks to the right, it indicates Lung Metal overcoming Liver Wood; Metal punishing Wood causes conflict between the two organs, resulting in sound. The treatment method should be to drain the excess and tonify the deficiency. If Heart Qi is excess, it should also be drained. Lung Qi deficiency cannot be drained. Signs of Lung Qi deficiency include chest stuffiness, restlessness, sighing, and long exhalations. In this case, the male exhibits female characteristics, so treating males is easier than females. Suppose a female has convulsions and looks to the left; this indicates Lung Metal overcoming Liver Wood. If the disease occurs in Autumn, when Lung Metal is prosperous, Liver Wood cannot resist, leading to loud crying. One should strongly drain Lung Metal, then treat the Heart, and subsequently nourish the Liver. The reason both cases mention eye deviation is that the Liver governs the eyes. Generally, convulsions result from Wind-Heat fighting internally. Wind belongs to the Liver, hence it manifests in the eyes." Qian Yi used Xie Gan Tang (Drain Liver Decoction) for treatment. After two days, without chest stuffiness or restlessness, it was known that the Lung pathology had receded. Subsequently, Dihuang Wan (Rehmannia Pill) was used to tonify the Kidney. After three doses, Xie Qing Wan (Drain Green Pill) and Liang Jing Wan (Cool Convulsion Pill) were each administered twice. Using Heart and Liver draining medications led to recovery in five days, without erroneous treatment. When asked why Lung deficiency should not be drained, Qian Yi said, "Suppose a male looks to the left; this is Wood counter-overcoming Metal, where Liver excess overcomes Lung. It is appropriate to only drain the Liver. If the illness occurs in Spring or Summer, when Metal Qi is extremely deficient, one should tonify the Lung and not drain it."
Court Physician Qian Ying, during the Xuande reign, treated the grandson of Marquis Ningyang. The infant, nine months old, suffered from palpitations, crying, and sweating, which could not be cured by various methods. Qian Ying finally examined the patient and instructed placing the child on the ground to play with water. The fright and crying stopped immediately. When asked for the reason, he said, "It was late spring. The child wore heavy clothes and thick curtains, never leaving the embrace. Heat was constrained internally, unable to vent. Bringing him near water suppressed the Fire pathogen; gaining Earth energy (from the ground/soil) pacified the Zang Qi. The disease healed; why use medicine?"
Shi Shan treated a six-year-old girl who had been unable to move her left hand for three years. Later, she developed epilepsy. Initially treated with *Ren Shen* (Ginseng) and *Ban Xia* (Pinellia), with variable efficacy. Wang diagnosed a floating and surging pulse on the left and a relatively harmonious pulse on the right, stating, "This is Phlegm-Heat." He ordered using silk to bind the abdomen, taking three qian of shelled tea seeds, crushing them, and filtering through a bowl of boiling water. After fasting overnight, the juice was taken warm in the morning. Approximately three bowls of phlegm were vomited up, the hand regained movement, and epilepsy ceased.
Fang Yingshan treated the son of the Zhu family, aged eight or nine, who was staying with his maternal grandparents. He was fed rice mixed with meat broth. While holding rice in his mouth, unswallowed, he ran and fell, resulting in locked jaw and convulsions of hands and feet. Medical treatment was ineffective. Seven days passed, and even medicines like Kai Guan were forced into his mouth, opening the jaw only slightly, while limb convulsions, fever, lethargy, and muteness persisted. The pulse was surging and slippery. Fang arrived and prescribed *Shi Gao* (Gypsum), *Qing Dai* (Indigo Naturalis), *Gan Cao* (Licorice), *Chen Pi* (Tangerine Peel), *Nan Xing* (Arisaema), *Tian Ma* (Gastrodia), *Bo He* (Mint), *Zhu Ling* (Polyporus), *Ze Xie* (Alisma), *Bai Zhu* (Atractylodes), *Fu Ling* (Poria), *Dou Ling* (Loquat Leaf), *Yuan Shen* (Scrophularia), and *Huang Qin* (Scutellaria), plus one slice of ginger. That night, the child slept soundly without moving, urinating only once. Fever subsided, body cooled, and pulse became tranquil. After one more dose, full recovery was achieved.
Qian Cun treated the nephew of Sun Zifan from Xiantan, diagnosed with Slow Spleen Syndrome (a critical pediatric condition of severe Spleen-Yang deficiency). Symptoms included abundant salivation, cough, fever, limb convulsions, spontaneous sweating, lethargy with eyes open showing whites, grasping at air, and hand tremors. Repeated administration of Spleen-tonifying combined with phlegm-resolving and wind-expelling herbs yielded no effect. Consultation with Dr. Yang ensued. Yang stated, "The wind in this syndrome arises internally and cannot be expelled. The phlegm moves due to deficiency and need not be resolved. Only by tonifying Spleen Earth will all symptoms recede. Based on the accompanying signs, his complexion must be pale and lusterless, eyes dilated, tongue fat and slippery, color tender white, neck soft, and head drooping." The father replied, "Indeed. But why did rescue via tonification fail?" Yang answered, "All symptoms indicate Cold, whereas previous formulas only addressed Deficiency. If the Tianzhu bone (neck support) had not collapsed, efficacy might have been seen, provided wind-expelling and phlegm-resolving agents were removed. Now, with a soft neck and drooping head, the Tianzhu has collapsed, indicating Deficiency compounded by Cold, with clear evidence. Without Pao Jiang (Prepared Ginger) and Rou Gui (Cinnamon Bark), how can we retrieve the departing Yang and revive the nearly extinct Qi?" Thus, Shenyang Yangying Tang (Tonify Qi and Nourish Blood Decoction containing Ginseng and Aconite) was prescribed, with the warning: "If anyone objects based on the premise that infants lack Yang and thus cannot receive Yang-tonifying methods, less than one in a hundred will survive." After three doses, complete recovery occurred. Subsequently, Wuwei Yigong San (Five-Ingredient Efficacious Powder) with baked ginger and Bai Shao (White Peony Root) was used for regulation, leading to robust health.