一人患腹痛、延葛可久诊脉。谓其家曰∶腹有肉龟,候熟寐,吾针之,勿使患者知之,
知即龟藏矣。患者问家人,诳曰∶医云寒气凝结,多饮醇酒则自散矣。患者喜,引觞剧饮,沉酣
而卧。家人亟报。可久以针刺其患处,病者惊悟,敷以药饵,须臾有物下俨如龟形,厥首有穴,
针所中也,病遂愈。
淮安富翁子,忽病视正物皆以为斜,凡几案书册之类排布整齐,必更移令斜,自以为正,
以至书写尺牍莫不皆然。父母甚忧之,更历数医皆不谙其疾。闻乡有名医吉老,遂携子往求治。
既诊脉后,令父先归,留其子设乐开宴劝酬,尽醉乃已。扶病者坐轿中,使人抬之,高下其手,
常令倾侧展转,久之方令登榻而卧。达旦酒酸,遣之归家。前日斜视之物皆正之。父母跃然而喜,
且问治之之方。吉老云∶此疾因醉中着闪,倒肝之一叶搭肺叶,故视正物为斜,今复饮之剧
醉则肺胀,展转之间,然复旧归原矣,故视遂正,药饵安能治之哉!翁浓酬金帛。
张子和《十形三疗》云∶戴人治王宰妻,病胸膈不利。戴人用痰药一涌而出雷白虫一条,长
五、六寸,有口、鼻、牙齿。病者忿而断之,中有白发一茎。予按徽僧病噎者,腹中破一物,
其状如鱼,即所谓生瘕也。嘉靖初长州邹妻患小腹下左生一块形如梅李,久之吐出,始则腐溃,
若粒米之状,中则若蚬肉之状,以指捻开,即有长发数条在其内。名医竟不能治,遂至不起。
予尝见蛇发等瘕,往往载于方书,或偶因食物相感,假血而成,理故有之,不可指为妄诞。
有一位患者患有腹痛,延请葛可久诊脉。葛可久对其家属说:“腹中有肉龟(一种病理积聚物),待其熟睡时,我来针刺它,不要让患者知道,一旦知道,肉龟就会藏匿起来。”患者询问家人,家人欺骗他说:“医生说这是寒气凝结,多喝些醇酒就能自行消散。”患者很高兴,举杯痛饮,沉醉而卧。家人急忙通知葛可久。葛可久用针刺患者的患处,患者受惊醒来,随后敷上药物,不久后有一物体排出,形状俨然如龟,其头部有孔穴,正是针扎的地方,病于是痊愈。
淮安一位富翁的儿子,突然患病,看正立的物体都认为是斜的,凡是几案书册之类排列整齐的物品,一定要移动使其倾斜,自己才认为它是正的,以至于写信写字没有不这样的。父母非常担忧,遍访多位医生都不懂此疾。听说乡里有位名医吉老,便带着儿子前去求治。诊断完脉象后,让父亲先回去,留下儿子设宴奏乐劝酒,直到大醉才停止。让病人坐在轿中,让人抬着,上下晃动轿子,常常使身体倾斜翻转,过了很久才让他上床睡觉。到了第二天早上酒气酸散,送他回家。前一天看斜的物体现在都变正了。父母欣喜跳跃,并且询问治疗的方法。吉老说:“这个病是因为醉酒中闪挫,导致肝脏的一叶搭在肺叶上,所以看正物为斜,现在再次让他大醉,肺部胀满,在翻转之间,自然恢复原位,所以视线就正了,药物怎么能治好呢!”富翁重重地酬谢金银布帛。
张子和《十形三疗》记载:戴人治疗王宰的妻子,病证为胸膈部不适。戴人使用催吐药,涌出一只雷白虫,长五、六寸,有口、鼻、牙齿。病人愤怒地将其折断,中间有一根白发。我考证徽州僧人患噎食病的案例,腹中破出一个物体,形状像鱼,就是所谓的生瘕(体内形成的肿块)。嘉靖初年,长州邹姓妻子的左下小腹生出一块,形状像梅李,时间久了吐出,起初腐败溃烂,像米粒状,后来像蚬肉状,用手指捻开,里面有几条长发。名医最终无法治愈,直至去世。我曾见过蛇发等瘕症,往往记载于医书中,或许是偶然因食物相感,借血而成,道理上确实存在,不能指斥为荒诞不经。
A patient suffered from abdominal pain and consulted Ge Kejiu for pulse diagnosis. Ge told the family, "There is a 'flesh turtle' (a pathological accumulation) in the abdomen. When he falls into a deep sleep, I will needle it. Do not let the patient know; if he knows, the turtle will hide." The patient asked his family members, who lied to him, saying, "The doctor says this is caused by cold qi stagnation. Drinking plenty of strong wine will disperse it naturally." The patient was pleased, raised his cup and drank heavily, falling into a drunken slumber. His family quickly notified Ge. Ge used a needle on the affected area. The patient woke up startled, applied medicinal plasters, and shortly after, an object was expelled, resembling a turtle in shape. There was a hole at its head where the needle had entered, and the illness was cured.
The son of a wealthy man in Huai'an suddenly fell ill, perceiving upright objects as slanted. Any neatly arranged items such as tables or books had to be moved until they were tilted for him to consider them straight. This extended to writing letters and characters. His parents were deeply worried and consulted several doctors who could not understand the disease. Hearing of a famous local physician named Ji Lao, they took their son to seek treatment. After diagnosing the pulse, Ji Lao instructed the father to return home first, keeping the son behind to enjoy music and a banquet with heavy drinking until he was thoroughly intoxicated. The patient was placed in a sedan chair and carried around, with the carriers tilting and rotating him frequently for a long time before letting him lie down on the bed. By dawn, when the smell of alcohol had faded, he was sent home. Objects that appeared slanted the previous day now appeared straight. His parents jumped for joy and asked about the treatment method. Ji Lao said, "This illness resulted from a sprain during drunkenness, causing one lobe of the liver to rest upon the lung lobes, thus making upright objects appear slanted. Now, by inducing severe intoxication again, the lungs become distended. During the rotation, the organs naturally returned to their original positions, so vision became normal. How could medicine cure this?" The wealthy man generously rewarded him with gold, silver, and silk.
Zhang Zihe's *Shi Xing San Liao* records: Dai Ren treated the wife of Magistrate Wang, who suffered from chest and diaphragm discomfort. Dai Ren administered an emetic, causing her to vomit out a Lei Bai Chong (Thunder White Worm), five or six inches long, with a mouth, nose, and teeth. The patient angrily broke it open and found a single white hair inside. I have verified cases such as a monk from Huizhou suffering from dysphagia, who expelled an object from his abdomen resembling a fish, known as a Sheng Jia (formed mass). In the early Jiajing era, the wife of Mr. Zou in Changzhou developed a lump in the lower left abdomen, shaped like a plum or li fruit. After a long time, she vomited it up. Initially, it was putrid and ulcerated, resembling rice grains; later, it resembled clam meat. When pinched open with fingers, several long hairs were found inside. Famous physicians could not cure it, and she eventually died. I have often seen accounts of Sheng Jia such as snake-hair masses recorded in medical texts. These may occasionally arise from food interactions and blood formation; theoretically, they exist and should not be dismissed as absurd.