食则令人代哺，口目张HT ，唇口嚼烂，抖擞之状如线引傀儡，每发市人皆聚观，夜卧发热，衣被尽蹇，遍身燥痒，中
热而反外寒，欲自尽，手不能绳。倾产求医，至破其家，而病益坚。叟之子邑中旧小吏也，以父母讯戴人，戴人曰∶此
病甚易治，若隆暑时不过一涌，再涌夺则愈矣。今已秋寒，可三之，如未，更刺 穴必愈。先以通圣散汗之，继服涌剂，
则吐痰一二升，至晚又五七行，其疾小愈，待五日再一涌，出痰三四升，如鸡黄成块，状如汤热，叟以手颤不能自探，
妻与代探，咽嗌肿伤，昏愦如醉，约一二时许，渐省，又下数行，立觉足轻颤减，热亦不作，足亦能步，手能栉巾，可
持匙箸，未至三涌，病去如跃，病后但觉极寒。戴人曰∶当以食补之，久则自退，盖大疾之去，卫气未复，故宜以散气
导气之药，切不以热剂温之，恐反成他病也。
〔源按〕颤振一症，古云木火上盛，肾阴不充，为下虚上实之症。实为痰火，虚则肾亏，法宜清上补下。如戴人所
治，叟病泥用古法，则痰何由而去，故医宜变通，若果标实本虚，治之又宜从古矣。
又治西华李政之病寒厥，其妻热厥，前后十余年，共服逍遥散十余剂不效。二人脉皆浮大而无力，政之曰∶吾手足
之寒，时时渍以热汤，寒不能止；吾妇手足之热，沃以冷水而不能已，何也？子和曰∶寒热之厥也。此皆得之贪饮食，
纵嗜欲。遂出《内经》厥论证之，政之喜曰∶《内经》真圣书也，余年之疑，今而释然，总不服药，愈过半矣。热厥
者，寒在上也，寒在上者，以温剂补其肺；寒厥者，热在上也，热在上者，以凉剂清其心。分处二药令服之，不旬日
而愈。
东垣云∶有人患两手十指疼痛，一指疼了，一指疼，疼后即肿，骨中痛、膝痛，先左膝痛了，然后右膝痛，发时
多则五日，少则三日，昼轻夜重，痛时觉热行则痛轻，肿反重。注云∶先血后气乃先痛后肿，形伤气也，和血散痛汤主
之。
罗谦甫治征南元帅忒木儿，年近七十，秋间征南过阳州，时仲冬病自利，完谷不化，脐腹冷痛，足胫寒，以手搔
之，不知痛痒，常烧石以温之，亦不得暖。诊之脉沉细而微，盖高年气弱深入敌境，军事烦冗，朝暮形寒，饮食失
节，多饮乳酪，履旦湿阳不外固，由是清湿袭虚，病起于下，故 寒而逆冷。《内经》曰∶感于寒则受病，微则为
咳，盛则为泄、为痛。此寒湿相合而为病也，法当即退寒湿之邪，峻补其阳，非灸不已。先以大艾炷于气海灸百壮，
补下焦阳虚，次灸三里各三七壮，治 寒而逆，且接引阳气下行，又灸三阴交，散足受寒湿之邪。遂处方云∶寒淫所胜，
治以辛热，湿邪于外，平以苦热，以苦发之。以附子大辛热，助阳退阴，温经散寒，故以为君；官桂大热辛甘，亦除寒
湿，白术、半夏苦辛温燥脾湿，故以为臣；人参、草豆蔻、甘草大温中益气；干姜大辛温能散清湿之邪，葱白性温能通
上焦阳气，故以为佐。又云∶补下治之以急，急则气味浓，故作大剂服之，不数服，泻止痛减，足 渐温，调其饮食，
十日平复。明年秋过，襄阳值霖雨旬余，前症复作，再根据前灸，添阳辅，各灸三七壮，再以前药投数服愈。
徐可豫治吴兴沈仲刚内子，膝肿痛，右先剧，以热熨之则攻左，熨左攻右，左右俱熨，则腹雷鸣上胸，已而背如受
万捶，独元首弗及，发则面黛色，脉罔辨，昏作旦辍，日 弱甚，却为弗救。徐视脉曰∶是湿淫所中，继复惊伤，胆疾
虽剧，可治。即令以绵缠胸，少顷探咽喉间，涌青白涎几斗许，涌定，徐曰∶今兹疾发，至腹则弗上，面弗青矣，至昏
膝痛仍如熨鸣，果弗及胸，至三鼓已定。皆如徐言，越三昏不复作，遂痊。
刘大用治韶州南七十里，古田有富家妇陈氏，抱异疾，常日无他苦，但遇微风吹拂，则股间一点奇痒，把搔不定
手，已而举体皆然，逮于发厥，凡三日醒，及坐有声如咳，其身乍前乍后若摇兀之状，率以百数，甫少定。又经日始困
卧，不知人累夕，渐至不敢出户，更数医不效。刘视之曰∶吾得其症矣，先用药一服，取念珠一串，病家莫省其用，乃
当妇摇兀时，记其数，数之觉减，然后云是名鬼注，因入神庙为鬼所凭，致精气荡越。法当用死人枕，煎汤饮之，既饮
大泻数行愈，枕还原处。
韩飞霞治一都司，头重眼昏，耳聋牙痛，便言两脚如不着地，医不识为何病。一日梳洗毕，腹痛少间手足不能举。
韩曰∶此火症也，盖素劳心劳形所致，因检《玉机微义》示之。用辛散之剂十帖，恐有消渴痿痹疮疡之患，乃屏喧哗静
卧，果十剂耳知人叫，体虮风发痒成疙瘩，然后头脚始知着落，亟入山静之偶以事触怒，火一发遂渴如欲狂者，一日瓜
梨泉水所食无计，韩曰∶此非草木之药可扶矣。遍求人乳，日进十盏，旬余渴减。又偶以事怒，手足不举，如一软物，
卧四日，乃服乳无算而瘥。脉之心涩，曰∶疮作矣，幸不生大毒，患马眼脓疥，越八月乃止。
薛己治一女子，腿前肿一小瘤作痒，搔破出虫如蚊而飞去，寒热如疟。乃肝经之症，故有虱瘤之患。用加味逍遥散
而愈。又有一种发瘤，破开有发，属肾经之症也。
一儒者虽盛暑喜燃火，四肢常欲沸汤渍之，面赤吐痰，一似实火，吐甚宿食亦出，惟食椒姜等方快。薛曰∶食入反
出，乃肾胃虚寒，用八味丸，十全大补加炮姜渐愈，不月平复。
孙东宿治一文学，两足不酸不痛，每行动绝不听其所用，或扭于左而又坠于右，或扭于右而又坠于左，不能一步
步正走。此亦目之稀觏，竟不识为何病。予臆度之，由筋软不能束骨所致，故行动则偏斜扭坠也。夫筋者肝之所主，肝
属木，木纵不收，宜益金以制之。用人参、黄 、白芍，以补肺金，苡仁、虎骨、龟板、杜仲，以壮筋骨，以铁华粉专
制肝木，炼蜜为丸，早晚服之而愈。
一男子患脚后跟骨脱落，动之则痛，艰于行步。就吴门
祛火丹
熟地黄（三两） 北五味（五钱） 麦冬（一两） 山茱萸（五钱） 丹皮（三钱） 甘菊（五钱） 白茯苓（二
钱） 泽泻（三钱） 车前子（二钱）
水煎服。
消湿化怪汤
白术 芡实（一两） 泽泻（五钱） 苡仁（一两） 肉桂（五分） 人参 茯苓 车前 萆 白芥子 白矾（三
钱） 牛膝 陈皮 半夏（二钱）
水煎服。
消块神丹
蚯蚓粪（一两） 水银（一钱） 硼砂（一分） 黄柏（五钱） 儿茶（三钱） 冰片 麝香（五分）
各为细末，研至不见水银为度。此药用醋调成膏，敷在患处，一日即全消。
消指散
硼砂（一分） 瓦葱（一两） 冰片（三分） 人参（一钱）
各为末敷之。
化水汤
白术（五钱） 半夏（一钱） 甘草（二钱） 苡仁（一两） 萆 白芥子 牛膝 人参（三钱）
水煎服。
调胃承气汤
大黄 芒硝 甘草
水煎服。
三化汤
大黄 浓朴 枳实 羌活
水煎服。
和血散痛汤
羌活 升麻 麻黄（一钱五分） 桃仁（十个） 柴胡 防风 黄柏 知母（一钱） 黄连 防己（六分） 猪苓 独
活当归（一分） 甘草（二分） 红花（一分）
分二服水煎，食前热服。
桂附八味丸
熟地黄（八两） 山茱萸 山药（四两） 丹皮 茯苓 泽泻 肉桂 附子（一两）
蜜丸，空心盐汤下，冬酒下。
十全大补汤（即十全散）
人参 白术 茯苓 当归 抚芎 白芍 生地 甘草 黄 肉桂
姜枣煎服。
圣灵丹
苦葶苈（炒，四两） 汉防己 木香 茯苓 木通 人参（二钱半）
上为末，枣肉为丸如梧子大，每服三十丸，桑皮汤下。
生肌散（见头门）
六味丸（见耳门）
通圣散（见头门）
加味逍遥散（见目门）
（患者）进食时让人代替喂食，口眼张开，嘴唇和口腔被咬烂，身体颤抖的样子如同线牵引的傀儡，每次发病市井之人都聚集围观，夜间卧床时发热，衣被紧束不适，全身干燥瘙痒，体内热而体表反觉寒冷，想要自杀，手不能握持绳索。倾尽家产求医，甚至破产，但病情反而更加顽固。这位老人的儿子是县里的一名老小吏，带着父母去咨询戴元礼（戴人），戴人说：“这个病很容易治疗，如果在隆暑时节，不过一次涌吐疗法，再涌吐夺邪就能痊愈。现在已经是秋寒季节，可以三次涌吐，如果还没好，再针刺穴位必定痊愈。”先用通圣散发汗，接着服用涌吐剂，吐出痰液一二升，到晚上又腹泻五六次，病情稍有好转，等待五天后再次涌吐，吐出痰液三四升，像鸡黄一样成块，状如热水般滚烫，老人因手颤无法自行探取，妻子和旁人代为探取，导致咽喉肿痛受伤，昏迷不醒如同醉酒，大约一两个时辰后逐渐清醒，又腹泻数次，立刻觉得脚部轻颤减轻，发热也不再发作，脚能行走，手能梳头巾，可以拿勺子和筷子，不到三次涌吐，病去如跳跃般消失，病后只感觉极度寒冷。戴人说：“应当用食物来补益他，时间久了自然会消退，因为大病去除后，卫气尚未恢复，所以适宜用行气导气的药物，千万不要用热性药剂温补，恐怕反而变成其他疾病。”
〔沈源按〕颤振这一症状，古人说是木火上盛，肾阴不充，属于下虚上实的病症。实则是痰火，虚则是肾亏，治法应当清上焦、补下焦。像戴人所治疗的，如果这位老人拘泥于古法，那么痰液如何能排出？所以医生应当变通，如果确实是标实本虚，治疗时又应当遵循古法了。
又治疗西华李政之患寒厥，他的妻子患热厥，前后十多年，共服用逍遥散十余剂无效。两人的脉象都浮大而无力量。李政之说：“我的手足寒冷，时时用热水浸泡，寒冷不能停止；我妻子的手足发热，浇以冷水而不能缓解，为什么呢？”戴人说：“这是寒热厥证。这都是因为贪吃饮食，放纵情欲所致。”于是拿出《内经》中关于厥证的论述来解释，李政之高兴地说：“《内经》真是圣书啊，多年的疑惑，今天豁然开朗，总不服药，病好了大半。”热厥，是因为寒邪在上焦，寒邪在上焦的，用温剂补肺；寒厥，是因为热邪在上焦，热邪在上焦的，用凉剂清心。分别开两方让他们服用，不到十天就好了。
东垣说：有人患两手十指疼痛，一个手指疼完另一个手指疼，疼后随即肿胀，骨中痛、膝痛，先左膝疼完，然后右膝疼，发作时多则五日，少则三日，白天轻晚上重，疼痛时感觉热气运行，行走时疼痛减轻，肿胀反而加重。注释说：先血后气就是先痛后肿，是形体受伤影响气机，主方是和血散痛汤。
罗谦甫治疗征南元帅忒木儿，年纪近七十，秋天征南路过阳州，当时仲冬时节患病自利（腹泻），完谷不化，脐腹冷痛，足胫寒冷，用手搔抓不知痛痒，常烧石头来温暖，也不能暖和。诊察脉象沉细而微，大概是因为年高体弱深入敌境，军务繁杂，早晚受寒，饮食失节，多喝乳酪，早晨鞋子湿透阳气不外固，因此清湿侵袭虚弱之处，病起于下，所以足寒而逆冷。《内经》说：“感受寒邪则生病，轻微则为咳嗽，严重则为泄泻、为疼痛。”这是寒湿相合而成的病，治法应当立即退除寒湿之邪，峻补其阳气，非艾灸不可。先用大艾炷在气海穴灸一百壮，补下焦阳虚，其次灸足三里各三七壮，治疗足寒而逆冷，且接引阳气下行，又灸三阴交，驱散足部受寒湿之邪。于是处方说：寒淫所胜，治以辛热；湿邪在表，平以苦热，以苦味发散。用附子大辛热，助阳退阴，温经散寒，所以作为君药；官桂大热辛甘，也除寒湿，白术、半夏苦辛温燥脾湿，所以作为臣药；人参、草豆蔻、甘草大温中益气；干姜大辛温能散清湿之邪，葱白性温能通上焦阳气，所以作为佐药。又说：补下焦治法宜急，急则气味浓厚，所以做大剂服用，没几服，腹泻止痛减，足部渐渐温暖，调理饮食，十日康复。第二年秋天经过襄阳，正值连绵阴雨十多天，前症复发，再按照前面的方法艾灸，添加阳辅穴，各灸三七壮，再用前面的药投喂几服而愈。
徐可豫治疗吴兴沈仲刚的妻子，膝盖肿痛，右侧先剧烈，用热敷则攻向左侧，热敷左侧则攻向右侧，左右都热敷，则腹中雷鸣并上行至胸部，随后背部如同遭受万锤打击，唯独头部未及，发作时面色黛黑，脉象难以辨别，昏睡直到早上才停止，日渐衰弱，被认为无法救治。徐可豫看脉象说：“这是湿邪所中，继而又受惊伤，胆疾虽然严重，但可以治疗。”立即让人用棉布缠胸，片刻后探取咽喉间，涌出青白色涎液几乎一斗，涌吐定后，徐可豫说：“这次疾病发作，到腹部就不再上行，面色不再发青，至于昏睡膝盖痛仍然像之前那样，果然没有波及胸部，到了三更天已经安定。都像徐可豫所说，过了三个昏睡周期不再发作，于是痊愈。
刘大用治疗韶州南七十里古田的一位富家妇人陈氏，患有怪病，平常日子没有其他痛苦，只是遇到微风吹拂，大腿间有一点奇痒，用手抓挠不停，随后全身都这样，等到发生昏厥，凡三天醒来，坐着时有声音像咳嗽，身体忽前忽后像摇晃不稳的样子，通常数以百计，刚刚稍微安定。又过了一天开始困倦卧倒，不知人事，连续几个晚上，渐渐到不敢出门，更换多位医生无效。刘大用观察后说：“我得知她的病症了，先用药一服，取念珠一串，病人家属不明白其用途，就在妇人摇晃不稳时，记下次数，数着觉得减少了，然后说是名鬼注，因为进入神庙被鬼附身，导致精气荡散。治法应当用死人枕，煎汤饮用，喝后大泻数次痊愈，枕头放回原处。
韩飞霞治疗一位都司，头重眼昏，耳聋牙痛，便说两脚像不着地，医生不知道是什么病。一天梳洗完毕，腹痛稍减，手足不能抬起。韩飞霞说：“这是火症，大概是素来劳心劳形所致，于是检查《玉机微义》给他看。用辛散药剂十帖，担心有消渴痿痹疮疡的祸患，于是屏除喧哗静卧，果然十剂后耳朵听见人叫，身体出现风疹发痒成疙瘩，然后头脚才知道着落，急忙进山静养，偶然因事触怒，火一发遂口渴如想发狂的人，一天吃瓜果梨泉水无数，韩飞霞说：“这不是草木药物可以扶持的了。”到处求人乳，每天进饮十盏，十多天后口渴减轻。又偶然因事发怒，手足不能抬起，像一个软物，卧四天，于是服用乳汁无数而痊愈。脉象心涩，说：“疮要作发了，幸好不生大毒，患马眼脓疥，过了八个月才停止。
薛己治疗一名女子，腿前肿一个小瘤作痒，抓破出虫像蚊子一样飞去，寒热像疟疾。这是肝经的病症，所以有虱瘤的祸患。用加味逍遥散而痊愈。又有一种发瘤，破开有头发，属于肾经的病症。
一名儒者即使在盛夏也喜欢燃火，四肢常常想用沸水浸泡，面赤吐痰，一似实火，吐得很厉害连宿食也出来，只有吃椒姜等才舒服。薛己说：“食入反出，是肾胃虚寒，用八味丸，十全大补加炮姜渐渐痊愈，不到一个月康复。
孙东宿治疗一名文学，两脚不酸不痛，每行动完全不听使唤，或者扭向左边又坠向右边，或者扭向右边又坠向左边，不能一步步正走。这也是眼睛很少见到的，竟然不认识是什么病。我推测它，由筋软不能束骨所致，所以行动则偏斜扭坠。筋是肝所主，肝属木，木纵不收，宜益金以制之。用人参、黄芪、白芍，以补肺金，苡仁、虎骨、龟板、杜仲，以壮筋骨，以铁华粉专制肝木，炼蜜为丸，早晚服用而痊愈。
一名男子患脚后跟骨脱落，动之则痛，行走艰难。就吴门祛火丹
熟地黄（三两） 北五味子（五钱） 麦冬（一两） 山茱萸（五钱） 丹皮（三钱） 甘菊（五钱） 白茯苓（二钱） 泽泻（三钱） 车前子（二钱）
水煎服。
消湿化怪汤
白术 芡实（一两） 泽泻（五钱） 苡仁（一两） 肉桂（五分） 人参 茯苓 车前子 萆薢 白芥子 白矾（三钱） 牛膝 陈皮 半夏（二钱）
水煎服。
消块神丹
蚯蚓粪（一两） 水银（一钱） 硼砂（一分） 黄柏（五钱） 儿茶（三钱） 冰片 麝香（五分）
各为细末，研至不见水银为度。此药用醋调成膏，敷在患处，一日即全消。
消指散
硼砂（一分） 瓦葱（一两） 冰片（三分） 人参（一钱）
各为末敷之。
化水汤
白术（五钱） 半夏（一钱） 甘草（二钱） 苡仁（一两） 萆薢 白芥子 牛膝 人参（三钱）
水煎服。
和血散痛汤
羌活 升麻 麻黄（一钱五分） 桃仁（十个） 柴胡 防风 黄柏 知母（一钱） 黄连 防己（六分） 猪苓 独活当归（一分） 甘草（二分） 红花（一分）
分二服水煎，食前热服。
桂附八味丸
熟地黄（八两） 山茱萸 山药（四两） 丹皮 茯苓 泽泻 肉桂 附子（一两）
蜜丸，空心盐汤下，冬酒下。
十全大补汤（即十全散）
人参 白术 茯苓 当归 抚芎 白芍 生地 甘草 黄芪 肉桂
姜枣煎服。
(When eating, the patient requires others to feed them; mouth and eyes open wide, lips and oral cavity are chewed raw; the body trembles as if pulled by strings like a marionette. Every time an episode occurs, townspeople gather to watch. At night, while lying in bed, there is fever, tightness of clothing and bedding, dryness and itching all over the body. There is internal heat but external cold sensation, desire for suicide, inability to hold a rope. They exhausted their wealth seeking medical help, even going bankrupt, yet the disease became more stubborn. The old man's son was an old minor clerk in the county, who consulted Dai Yuanli (Dai Ren) with his parents. Dai said: "This disease is very easy to treat. If it were the height of summer, one induction of vomiting would suffice; repeating the vomiting to drain the pathogen would cure it. Now that it is autumn cold, three inductions of vomiting can be used. If not cured, needling acupoints will surely cure it." First, administer Tongsheng San (Universal Salvation Powder) to induce sweating, then take the emetic agent. This resulted in vomiting one or two sheng of phlegm, and by evening, five or six bowel movements occurred. The illness improved slightly. After waiting five days, another induction of vomiting expelled three or four sheng of phlegm, clumped like chicken yolk, hot like boiling water. Due to hand tremors, the old man could not probe himself; his wife and others assisted, causing swelling and injury to the throat. He fell into a coma resembling drunkenness. After about one or two hours, he gradually regained consciousness, had several more bowel movements, and immediately felt reduced trembling in the legs, cessation of fever, ability to walk, comb hair, hold chopsticks and spoons. Before three inductions of vomiting, the disease vanished like a leap. Post-illness, only extreme cold was felt. Dai said: "Nourishment through food should be used; it will recede naturally over time. Because after a major illness, Wei Qi (Defensive Qi) has not recovered, it is appropriate to use herbs that move and guide Qi. Do not use hot tonics, lest they cause other diseases."
[Shen Yuan notes] Tremor and convulsion (Chan Zhen), according to ancients, is caused by flourishing Wood Fire and insufficient Kidney Yin, constituting a syndrome of deficiency below and excess above. Excess involves Phlegm-Fire; deficiency involves Kidney depletion. The method should clear the upper and tonify the lower. In Dai's treatment, if this old man had adhered rigidly to ancient methods, how would the Phlegm have been expelled? Thus, physicians must be flexible. If it is indeed excess at the branch (biao) and deficiency at the root (ben), treatment should follow ancient principles.
He also treated Li Zhengzhi from Xihua suffering from Cold Jue (Cold Reversal), while his wife suffered from Heat Jue. For over ten years, they took Xiaoyao San (Free and Easy Wanderer Powder) more than ten doses without effect. Both had floating, large, and forceless pulses. Li said: "My hands and feet are cold; soaking them in hot water does not stop the cold. My wife's hands and feet are hot; pouring cold water on them does not relieve the heat. Why?" Zihe (Dai) said: "These are Cold and Heat Jue syndromes. Both result from gluttony and indulgence in desires." He then cited the *Neijing* (Classic of Internal Medicine) discussion on Jue to explain. Li rejoiced: "The *Neijing* is truly a sacred text! My doubts of many years are now resolved. I will take no medicine, and the illness will heal by half." Heat Jue is due to Cold in the Upper Jiao; Cold in the Upper Jiao is treated by warming agents to tonify the Lung. Cold Jue is due to Heat in the Upper Jiao; Heat in the Upper Jiao is treated by cooling agents to clear the Heart. Two prescriptions were given separately, and both were cured within ten days.
Dongyuan stated: Someone suffered pain in the ten fingers of both hands. One finger hurt, then another; swelling followed pain. Bone pain and knee pain occurred; left knee pain preceded right knee pain. Episodes lasted five days at most, three days at least. Symptoms were lighter by day and heavier by night. During pain, heat sensation moved; walking relieved pain but worsened swelling. Annotation: Blood disturbance preceding Qi disturbance means pain precedes swelling; this is form injury affecting Qi. The main formula is Hexue Santong Tang (Blood Harmonizing and Pain Dispelling Decoction).
Luo Qianfu treated Temuer, Marshal of the Southern Expedition, nearly seventy years old. In autumn, while passing Yangzhou during the Southern Expedition, in mid-winter he suffered diarrhea with undigested food, cold pain in the umbilical and abdominal region, cold calves, and loss of pain/itch sensation upon scratching. He burned stones to warm himself, but could not get warm. Pulse was deep, fine, and faint. Likely due to advanced age and weak Qi entering enemy territory, complex military affairs, morning/evening exposure to cold, irregular diet, excessive consumption of milk and cheese, wet shoes in the morning failing to secure Yang Qi externally. Thus, cold-damp invaded deficiency, disease arising from below, resulting in cold and reversal coldness. *Neijing* says: "Attacked by cold, disease is contracted; mild cases become coughs, severe cases become diarrhea and pain." This is a disease of combined Cold-Damp. Method: Immediately expel Cold-Damp pathogens, vigorously tonify Yang. Moxibustion is essential. First, moxa cones on Qihai (CV6) for one hundred burns to tonify Lower Jiao Yang deficiency. Next, moxibustion on Zusanli (ST36), thirty-seven burns each side, to treat cold reversal and guide Yang Qi downward. Also moxa Sanyinjiao (SP6) to disperse Cold-Damp in the feet. Prescription: When Cold dominates, treat with Pungent-Hot. When Damp is external, level with Bitter-Hot, using Bitter to disperse. Fuzi (Prepared Aconite Root) is Great Pungent-Hot, assisting Yang, retreating Yin, warming meridians, dispelling cold; thus it is the Sovereign herb. Rougui (Cinnamon Bark) is Great Hot, Pungent-Sweet, also dispelling Cold-Damp. Baizhu (Atractylodes Rhizome) and Banxia (Pinellia Tuber) are Bitter-Pungent-Warm, drying Spleen Damp; thus they are Ministers. Renshen (Ginseng Root), Caodoukou (Cardamom Seed), and Gancao (Licorice Root) are Great Warm, benefiting Middle Jiao and Qi. Ganjiang (Dried Ginger) is Great Pungent-Warm, dispersing Cold-Damp. Congbai (Scallion White) is Warm, unblocking Upper Jiao Yang Qi; thus they are Assistants. Furthermore: Tonifying the Lower Jiao requires urgency; urgency demands strong flavor and aroma, hence a large dose. Within a few doses, diarrhea stopped, pain decreased, feet warmed. Diet regulated, recovered in ten days. Next autumn, passing Xiangyang during continuous rain for ten days, previous symptoms recurred. Moxa again as before, adding Yangfu (GB38), thirty-seven burns each. Administer previous prescription for a few doses until cured.
Xu Keyu treated the wife of Shen Zhonggang from Wuxing. Knee swelling and pain, worse on the right first. Hot compress shifted pain to the left; compressing left shifted to right. Compressing both caused borborygmus rising to the chest, followed by back pain like being beaten by ten thousand hammers, sparing only the head. Upon onset, face turned dark blue, pulse indistinguishable, coma until dawn, daily weakness deemed incurable. Xu examined the pulse: "Struck by Damp, subsequently injured by Shock. Gallbladder disease is severe but treatable." Ordered cotton wrapped around the chest, then induced vomiting of green-white saliva, nearly one dou. After vomiting settled, Xu said: "Now when the disease rises to the abdomen it stops, face won't turn cyanotic. Coma and knee pain remain like before, but certainly won't reach the chest. By third watch, it will settle." All happened as Xu predicted. After three episodes of coma, it did not recur, and she recovered.
Liu Dayong treated Chen Shi, a wealthy woman in Gutian, 70 li south of Shaozhou. She had a strange illness: normally no discomfort, but upon slight breeze, a point of intense itch between thighs, uncontrollable scratching, spreading to whole body, leading to fainting. Awake every three days. Sitting produced cough-like sounds. Body swayed forward and backward, unstable, hundreds of times before settling. Then slept confused for days, unaware of surroundings, afraid to go out. Multiple doctors failed. Liu observed: "I know her syndrome. First, give one dose of medicine. Take a string of prayer beads. Family didn't understand its use. Count the swaying episodes. As count decreases, then say it is Gui Zhu (Ghost Impregnation), possessed by ghosts in temples, causing essence and Qi to scatter. Method: Use pillow of a dead person, decoct and drink. After drinking, massive diarrhea several times, cured. Return pillow to original place."
Han Feixia treated a Du Si (Commandant). Heavy head, dim eyes, deafness, toothache. Said feet felt like not touching ground. Doctors didn't know the disease. One day after washing/combing, abdominal pain subsided slightly, but hands and feet couldn't lift. Han said: "This is a Fire syndrome, likely due to chronic mental and physical labor." Showed him *Yuji Weiyi*. Used Pungent-Dispersing agents for ten doses, fearing complications like Xiao Ke (Wasting-Thirst), Wei Bi (Flaccidity), Chuang Yang (Sores). Advised quiet rest away from noise. Indeed, after ten doses, heard voices, body developed wind-rash/itching nodules, then head and feet felt grounded. Urgently entered mountains for quietude. Angered by an incident, Fire flared, thirst like madness. Ate melons, pears, drank spring water endlessly. Han said: "Herbal medicines cannot support this." Sought human milk, ten cups daily. Thirst reduced after ten days. Angered again, limbs paralyzed, soft as cloth. Lying for four days, consumed countless milk until recovery. Pulse Heart-Choppy: "Sores will arise. Fortunately no severe toxicity. Developed horse-eye pus sores, ceased after eight months."
Xue Ji treated a young woman. Small tumor on front of leg, itchy. Scratched open, released insects like mosquitoes flying away. Alternating chills and fever like malaria. Liver Meridian syndrome, hence lice-tumor affliction. Cured with Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). Another type of hair-tumor, opening reveals hair, belongs to Kidney Meridian syndrome.
A scholar liked burning fire even in peak summer, wanted limbs soaked in boiling water. Red face, spitting phlegm, resembling Excess Fire. Vomiting expelled old food too. Only comfortable eating pepper/ginger. Xue said: "Food intake followed by regurgitation indicates Kidney-Stomach Deficiency-Cold." Used Bawei Wan (Eight-Ingredient Pill), Shiquan Dabu Jia Pa Jiang (Ten Complete Tonifying with Roasted Ginger). Gradually recovered, healed within a month.
Sun Dongsu treated a scholar. Feet neither sore nor painful, but movement completely disobedient. Twisting left then falling right, twisting right then falling left. Unable to walk straight. Rare sight, unknown disease. I surmise: Soft sinews unable to bind bones, causing deviation/twisting/falling. Sinews are governed by Liver. Liver belongs to Wood. Unrestrained Wood needs Metal to control. Use Renshen (Ginseng), Huangqi (Astragalus), Baishao (White Peony Root) to tonify Lung Metal. Yiren (Coix Seed), Hugu (Tiger Bone - *note: modern substitutes used*), Guiban (Turtle Shell), Duzhong (Eucommia) to strengthen sinews/bones. Tiehua Fen (Iron Flower Powder) specifically controls Liver Wood. Honey pills, taken morning/evening, cured.
A man suffered heel bone displacement. Pain on movement, difficult walking. Formula: Wu Men Quhu Dan (Wu Gate Fire-Removing Pill).
Shudihuang (Rehmannia Root) 3 liang, Beiwuwei (Schisandra Fruit) 5 qian, Maidong (Ophiopogon Tuber) 1 liang, Shanzhuyu (Cornus Fruit) 5 qian, Danpi (Moutan Bark) 3 qian, Ganju (Chrysanthemum) 5 qian, Bai Fuling (Poria) 2 qian, Zexie (Alisma) 3 qian, Cheqianzi (Plantago Seed) 2 qian. Decoct in water.
Xiaoshi Huaguai Tang (Dampness Eliminating and Anomaly Resolving Decoction).
Baizhu (Atractylodes Macrocephala Rhizome), Qianshi (Euryale Seed) 1 liang, Zexie (Alisma) 5 qian, Yiren (Coix Seed) 1 liang, Rougui (Cinnamon Bark) 5 fen, Renshen (Ginseng), Fuling (Poria), Cheqian (Plantago), Bibo (Dioscorea Hypoglauca Rhizome), Baijiezi (White Mustard Seed), Baifan (Alum) 3 qian, Niuxi (Achyranthes Root), Chenpi (Citrus Peel), Banxia (Pinellia Tuber) 2 qian. Decoct in water.
Xiaokuai Shendan (Mass Eliminating Divine Elixir).
Qiuyinfen (Earthworm Excrement) 1 liang, Shuiyin (Mercury) 1 qian, Pengsha (Borax) 1 fen, Huangbo (Phellodendron Bark) 5 qian, Ercha (Catechu) 3 qian, Bingpian (Borneol), Shexiang (Musk) 5 fen. Grind to fine powder, grind until Mercury disappears. Mix with vinegar to paste, apply to affected area. Completely resolves in one day.
Xiaozhi San (Finger Eliminating Powder).
Pengsha (Borax) 1 fen, Wachong (Tile Onion) 1 liang, Bingpian (Borneol) 3 fen, Renshen (Ginseng) 1 qian. Grind to powder, apply.
Huashui Tang (Water Transforming Decoction).
Baizhu (Atractylodes Macrocephala Rhizome) 5 qian, Banxia (Pinellia Tuber) 1 qian, Gancao (Licorice Root) 2 qian, Yiren (Coix Seed) 1 liang, Bibo (Dioscorea Hypoglauca Rhizome), Baijiezi (White Mustard Seed), Niuxi (Achyranthes Root), Renshen (Ginseng) 3 qian. Decoct in water.
Tiaowei Chengqi Tang (Regulating Stomach and Descending Qi Decoction).
Dahuang (Rhubarb Root), Mangxiao (Mirabilite), Gancao (Licorice Root). Decoct in water.
Sanhua Tang (Three Transformations Decoction).
Dahuang (Rhubarb Root), Nongpo (Magnolia Bark), Zhishi (Immature Bitter Orange), Qianghuo (Notopterygium Rhizome). Decoct in water.
Hexue Santong Tang (Blood Harmonizing and Pain Dispelling Decoction).
Qianghuo (Notopterygium Rhizome), Shengma (Cimicifuga Rhizome), Mahuang (Ephedra Stem) 1.5 qian, Taoren (Peach Seed) 10, Chaihu (Bupleurum Root), Fangfeng (Saposhnikovia Root), Huangbo (Phellodendron Bark), Zhimu (Anemarrhena Rhizome) 1 qian, Huanglian (Coptis Rhizome), Fangji (Stephania Root) 6 fen, Zhuling (Polyporus), Duhuo (Angelica Pubescens Root), Danggui (Angelica Sinensis Root) 1 fen, Gancao (Licorice Root) 2 fen, Honghua (Carthamus Flower) 1 fen. Divide into two doses, decoct in water, take hot before meals.
Guifu Bawei Wan (Cinnamon and Aconite Eight-Ingredient Pill).
Shudihuang (Rehmannia Root) 8 liang, Shanzhuyu (Cornus Fruit), Shanyao (Dioscorea Rhizome) 4 liang, Danpi (Moutan Bark), Fuling (Poria), Zexie (Alisma), Rougui (Cinnamon Bark), Fuzi (Prepared Aconite Root) 1 liang. Honey pills, taken on empty stomach with salt water, or winter wine.
Shiquan Dabu Tang (Ten Complete Tonifying Decoction / Ten Complete Powder).
Renshen (Ginseng), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Danggui (Angelica Sinensis Root), Fuxiong (Ligusticum Chuanxiong Rhizome), Baishao (White Peony Root), Shengdi (Rehmannia Root), Gancao (Licorice Root), Huangqi (Astragalus Root), Rougui (Cinnamon Bark). Decoct with Ginger and Jujube.
Shengling Dan (Divine Spirit Elixir).
Kutingli (Descurainia Seed, stir-fried) 4 liang, Hanfangji (Stephania Tetrandra Root), Muxiang (Vladimiria Root), Fuling (Poria), Mutong (Akebia Stem), Renshen (Ginseng) 2.5 qian. Grind to powder, make pills with jujube flesh size of wutong seeds. Take 30 pills per dose, wash down with Mulberry Bark Decoction.
Shengji San (See Head Section).
Liushi Wan (See Ear Section).
Tongsheng San (See Head Section).
Jiawei Xiaoyao San (See Eye Section).