族侄妇戴氏,两寸脉滑大,两尺沉微,心痛彻背,背痛彻心,甚则必探吐其食乃已。近
来每
一痛必七日,仅进白水,粒食不能进,进则吐而痛更加,七日后痛渐已。如此者十七年所矣
。始则一年两发,又一年六七发。今则一月一发。以积气丸治之,不终剂而断根。
老仆来兴,咳嗽胸胁背心胀痛,如刀刃所 。发热口渴,诸治不瘳。脉浮而数,此风寒
鼓激
,痰火上涌而然。前胡、麻黄、紫苏子散风邪为臣、以栝蒌仁治痰火为君,橘红、半夏、旋
覆花、杏仁为佐,枳壳、桔梗、甘草为使,两剂而平。
一妇生女不生子,多思多郁,小便秘而不通,胀闷不安者二日。歙医汪氏以备急丸进之
,谓
大便行小水自利也。讵意大便行后,而小水点滴不通,胀闷益急,时刻不能存,将欲自尽。
家人急予为治。予询之曰∶近来经水行否?答曰∶行过十日矣。小腹肿大如一大西瓜之硬,
自大便泄后,疲困不足以息,势若燃眉。予曰∶此转脬病也。不急治则危矣。以补中益气汤
,临服入韭菜汁一小酒杯。服讫,选有力妇人进房,令患者横卧床间,力妇以患者两脚膝弯
架于肩上,将患者下体虚空,提起摇摆数四,俾尿脬倒上,徐徐放下,患者去衣不及,小便
箭射而出。热如汤,黑如墨,顷刻盈盆,小腹立消而愈。后遇数人,不拘男妇,皆以此法治
之而安。
族侄的妻子戴氏,两手寸脉滑大,两尺脉沉微,心痛放射至背部,背痛放射至心脏部位,严重时必须探喉催吐吐出食物才能缓解。近来每次疼痛必定持续七天,只能喝白水,一口饭也吃不下,进食则呕吐且疼痛加剧,七日后疼痛逐渐停止。这种情况已经持续了十七年左右。起初一年发作两次,后来一年发作六七次。现在则一个月发作一次。用积气丸治疗她,药还没服完就断根治愈了。
老仆来兴,咳嗽,胸胁及背心胀痛,感觉像被刀刃割刺一样。发热口渴,各种治疗都不见效。脉象浮而数,这是风寒邪气鼓动激荡,导致痰火上涌所致。以前胡、麻黄、紫苏子疏散风邪作为臣药,以栝蒌仁治疗痰火作为君药,橘红、半夏、旋覆花、杏仁作为佐药,枳壳、桔梗、甘草作为使药,服用两剂后病情平复。
一位妇女生了女儿没生儿子,思虑过多且抑郁,小便闭塞不通,胀闷不安两天。歙县医生汪氏给她用了备急丸,说大便通畅后小便自然就会利出。没想到大便通后,小便却点滴不通,胀闷更加紧急,时刻无法忍受,想要自杀。家人急忙请我诊治。我问她:最近月经来了吗?回答说:已经过了十天了。小腹肿大发硬,像一个大西瓜,自从大便泄下后,疲困得喘不过气,形势危急如燃眉之急。我说:这是转脬病(膀胱扭转或受压导致尿潴留)。不紧急治疗就有危险。用补中益气汤,服药时加入一小酒杯韭菜汁。服完后,选一名有力的妇人进入房间,让患者横躺在床上,力妇将患者的两脚膝盖弯架在肩上,使患者下身悬空,提起并摇摆数次,使膀胱位置倒转向上,然后慢慢放下,患者来不及穿衣,小便如箭般射出。尿液热得像开水,黑得像墨汁,顷刻间盈满盆子,小腹立刻消退而痊愈。后来遇到几个人,不论男女,都用这个方法治疗都安好了。
The wife of a clan nephew, Dai, presented with slippery and large pulses at both cun positions, and deep and faint pulses at both chi positions. She experienced heart pain radiating to the back and back pain radiating to the heart region; when severe, she had to induce vomiting to expel food for relief to occur. Recently, each episode lasted exactly seven days. She could only take plain water and could not ingest any solid food; eating caused vomiting and intensified the pain, which gradually subsided after seven days. This condition had persisted for about seventeen years. Initially, it occurred twice a year, then increased to six or seven times a year, and now occurred once a month. It was treated with Jiqi Wan (Accumulated Qi Pill), and the root cause was eliminated before the course of medication was completed.
Lai Xing, an old servant, suffered from cough, distending and painful swelling in the chest, hypochondrium, and upper back, feeling as if pierced by a blade. He had fever and thirst, and previous treatments were ineffective. His pulse was floating and rapid. This was due to wind-cold pathogenic factors stirring and agitating, causing phlegm-fire to surge upward. Qianhu (Peucedani Radix) and Mahuang (Ephedrae Herba) and Zisuzi (Perillae Fructus) were used to disperse wind-pathogens as minister herbs; Gualouren (Trichosanthis Semen) was used to treat phlegm-fire as sovereign herb; Juhong (Citri Reticulatae Pericarpium Rubrum), Banxia (Pinelliae Rhizoma Preparatum), Xuanfuhua (Inulae Flos), and Xingren (Armeniacae Semen Amarum) served as assistant herbs; Zhike (Aurantii Fructus Immaturus), Jiegeng (Platycodonis Radix), and Gancao (Glycyrrhizae Radix et Rhizoma) served as envoy herbs. The condition resolved after two doses.
A woman who had borne daughters but no sons suffered from excessive thinking and depression. Her urine was obstructed and difficult to pass, accompanied by distension and discomfort for two days. A physician from Xi County prescribed Beijiji Wan (Emergency Preparation Pill), stating that once bowel movements were regular, urination would naturally become free. Unexpectedly, after her bowels moved, her urine became completely obstructed with only drops passing, and the distension and discomfort became more urgent. She could not endure it for a moment and contemplated suicide. Her family urgently sought my treatment. I asked her: "Has your menstrual flow occurred recently?" She replied: "It has been ten days since my last period." Her lower abdomen was swollen and hard, like a large watermelon. After the bowel movement, she was fatigued and short of breath, with a critical situation akin to burning eyebrows. I said: "This is Zhuanpao disease (urinary retention due to bladder displacement/pressure). If not treated urgently, it will be dangerous." I prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), adding one small wine cup of Jiucai juice (Allium tuberosum juice) just before administration. After ingestion, a strong woman was selected to enter the room. The patient lay horizontally on the bed. The strong woman placed the patient's knees bent over her shoulders, suspending the patient's lower body in the air. She lifted and swayed the patient several times to invert the position of the bladder, then slowly lowered her. Before the patient could dress, urine shot out like an arrow. The urine was hot as boiling water and black as ink, filling the basin in an instant. The lower abdomen immediately subsided, and she was cured. Later, several other cases, regardless of gender, were successfully treated with this method.