予素患噫气,凡体稍不适,其病即至,既响且多,势不可遏,戊子冬,发之最甚,苦
不可言。孟英曰∶阳气式微(比喻衰落),而浊阴上逆也。先
服理中汤一剂,随以旋复代赭汤投之,遂愈。嗣后每发,如法服之,辄效。后来发亦渐轻,今已不甚发矣。予闻孟
英常云∶此仲圣妙方,药极平淡,奈世人畏不敢用,殊可陋也。
袁某,患噫,声闻于邻。俞某与理中汤暨旋复代赭汤皆不效。孟英诊之,尺中虚大。乃诘之曰∶尔自觉气自
少腹上冲乎?病者云∶诚然。孟英曰∶此病在下焦。用∶胡桃肉 故纸 韭子 菟丝 小茴 鹿角霜 枸杞 当
归茯苓 覆盆 龙齿 牡蛎,服一剂,其冲气即至喉而止,不作声为噫矣。再剂寂然。多服竟愈。
许太常滇生之夫人,患腰腿痛而素多噫气,或指头一搓,或眉间一抹,其噫即不已。向以为虚,在都(指京
城)时,服补药竟不能愈,冬间旋里,孟英诊脉∶弦滑。乃痰阻于络,气不得宣也。以∶丝瓜络 竹茹 旋复 橘
络羚羊(角) 茯苓 豆卷 金铃 柿蒂 海 荸荠 藕(肉),为方,吞(服)当归龙荟丸而安。
朱浦香,年五十六,幼患童劳,继以吐血。三十外,即绝欲,得延至此。而平素便如羊矢,其血分之亏如是。
今秋,陡患呃忒,连服滋、镇、温、纳之药,势濒于危。延孟英诊视,脉至弦滑搏数,苔黄浓而腻,口苦溺赤。主
大剂凉润,如∶雪羹 蒌仁 竹沥 枇杷叶 苇茎 元参 紫菀 射干 兜铃 菖蒲等,多剂,连下赤矢始瘳。
如此衰年虚体,尚因痰热致呃,故虚寒之呃,殊不多见。
我向来患有嗳气(指胃中气体上出咽喉所发出的声响,俗称“打饱嗝”),只要身体稍有不适,病症就会发作,声音响亮且频繁,势头无法遏制。戊子年冬天,病情发作得最为严重,痛苦难以言表。王孟英说:这是阳气式微(比喻衰落),而浊阴之气上逆所致。先服用理中汤一剂,随后接着服用旋复代赭汤,于是病愈。此后每次发作,按照这种方法服药,都很有效。后来的发作也逐渐减轻,现在已经不怎么发作了。我听说王孟英常讲:这是张仲景的妙方,药性极其平淡,无奈世人畏惧不敢使用,实在是有见识短浅之嫌。
袁姓患者,患有嗳气,声音大到邻居都能听见。俞某给他服用理中汤和旋复代赭汤都没有效果。王孟英诊察时,发现其尺脉虚大。于是追问他说:你自己感觉有气从少腹向上冲撞吗?病人回答说:确实如此。王孟英说:这个病在下焦。处方用:胡桃肉、故纸(补骨脂)、韭子、菟丝子、小茴香、鹿角霜、枸杞子、当归、茯苓、覆盆子、龙齿、牡蛎。服用一剂后,冲气到达喉咙就停止了,不再发出声音变成嗳气。再服两剂后寂静无声。多服之后竟然痊愈。
许太常滇生的夫人,患有腰腿痛且向来多嗳气,有时手指搓一下,或者眉毛间抹一下,嗳气就停不下来。一向认为是虚证,在京城时,服用补药竟然不能治愈。冬天回到家乡,王孟英诊脉:脉象弦滑。认为是痰阻于络脉,气机不得宣通。处方用:丝瓜络、竹茹、旋复花、橘络、羚羊角、茯苓、豆卷、金铃子(川楝子)、柿蒂、海浮石、荸荠、藕肉,作为方剂,吞服当归龙荟丸而安定。
朱浦香,五十六岁,幼年患童子劳(小儿疳积或虚劳),继而又吐血。三十多岁以后,就断绝房事,才得以活到现在。但他平时大便像羊屎一样干结,说明他的血分亏损如此严重。今年秋天,突然患上呃逆(打嗝),连续服用滋阴、镇降、温补、纳气的药物,病情危急接近死亡。请王孟英诊治,脉象弦滑搏动且数,舌苔黄厚而腻,口苦尿赤。主治以大剂量凉润药物,如:雪羹汤(海蜇与荸荠组成的方剂)、瓜蒌仁、竹沥、枇杷叶、苇茎、玄参、紫菀、射干、款冬花、石菖蒲等,服用多剂,直到排出红色粪便后才痊愈。像这样衰老之年虚弱体质,却因痰热导致呃逆,所以虚寒性质的呃逆,实在是不多见。
I have long suffered from belching (eructation, the sound of gas escaping from the stomach through the mouth). Whenever my body feels slightly unwell, the condition arises; it is loud and frequent, with a momentum that cannot be restrained. In the winter of the Wuzi year, it flared up most severely, causing unbearable suffering. Wang Mengying said: This is due to the decline of Yang Qi (vital energy) and the counterflow of turbid Yin pathogens. First, take one dose of Lizhong Tang (Regulate the Middle Decoction), followed immediately by Xuanfu Daizhe Tang (Inula and Hematite Decoction), and then the illness was cured. Since then, every time it recurred, taking medicine according to this method proved effective. Subsequent attacks gradually became milder, and now it rarely occurs. I often heard Wang Mengying say: This is an excellent prescription by Zhang Zhongjing. The herbs are extremely mild in nature, yet people fear to use them, which shows their limited insight.
A patient surnamed Yuan suffered from belching, so loud that neighbors could hear it. Dr. Yu prescribed both Lizhong Tang (Regulate the Middle Decoction) and Xuanfu Daizhe Tang (Inula and Hematite Decoction), but they were ineffective. Wang Mengying examined the pulse and found the Chi position (kidney pulse at the wrist) deficient and large. He asked him: Do you feel gas rushing upward from your lower abdomen? The patient replied: Indeed. Wang Mengying said: This disease is located in the Lower Jiao (Lower Burner). Prescription: Juglans Semen (Walnut Kernel), Psoraleae Fructus (Buguzhi), Allii Tuberosi Semen (Jiu Zi), Cuscutae Semen (Tusi), Foeniculi Fructus (Xiao Hui), Cornu Cervi Corium Pergamentum (Lujiaoshuang), Lycii Fructus (Gouqi), Angelicae Sinensis Radix (Danggui), Poria (Fuling), Rubi Fructus (Fupenzi), Os Draconis (Longchi), Ostrea Concha (Muli). After one dose, the rushing Qi stopped at the throat, no longer making the belching sound. After two more doses, silence prevailed. With continued administration, he was completely cured.
The wife of Xu Taichang Diansheng suffered from waist and leg pain and had always been prone to belching. Sometimes rubbing her fingertips or wiping her forehead would trigger incessant belching. She had long considered it a deficiency syndrome. When in the capital, she took tonic medicines without success. Returning home in winter, Wang Mengying palpated the pulse: wiry and slippery. He diagnosed phlegm obstructing the collaterals, preventing the free flow of Qi. Prescription: Luffae Fructus Retinervus (Sigualuo), Bambusae Folium (Zhuru), Inulae Flos (Xuanfu), Citri Reticulatae Pericarpium Viride (Jueluo), Antelopis Cornu (Lingyangjiao), Poria (Fuling), Sojae Semen Praeparatum (Doujuan), Swinglea Fructus (Jinlingzi), Diospyroi Fructus (Shidi), Metasequoiae Cortex (Haifushi), Alismatis Rhizoma (Biqi), Nelumbinis Rhizoma (Ourou). The patient swallowed Danggui Longhui Wan (Angelica Sinensis and Gardenia Pill) and stabilized.
Zhu Puxiang, aged fifty-six, suffered from childhood consumption (pediatric wasting-thirst or deficiency labor) and subsequently hemoptysis (coughing up blood). After his thirties, he abstained from sexual activity, which allowed him to survive until this age. However, his stools were normally hard and pellet-like like sheep dung, indicating such severe depletion of Blood aspect. This autumn, he suddenly developed hiccups (hiccup). He had continuously taken medications for nourishing Yin, suppressing rebellious Qi, warming, and grasping Qi, but his condition became critical. Wang Mengying examined him: the pulse was wiry, slippery, forceful, and rapid; the tongue coating was thick, yellow, and greasy; he had a bitter taste in the mouth and dark red urine. The treatment principle was to use a large dose of cooling and moistening agents, such as Xue Geng Soup (Sea Jellyfish and Water Chestnut Decoction), Trichosanthis Semen (Louren), Phragmitis Caulis Juice (Zhuli), Eriobotryae Folium (Pipaye), Typhonii Rhizoma (Weijing), Scrophulariae Radix (Yuanshen), Asteris Radix (Zouwan), Belamcandae Rhizoma (Shegan), Adenophorae Radix (Doulou), Acori Tatarinowii Rhizoma (Changpu), etc. After several doses, he recovered only after passing red stools. For someone of such advanced age and weak constitution, hiccups caused by phlegm-heat are rare; thus, hiccups due to deficiency-cold are even less common.