一吴氏妇，有隐疾，其夫访于予，三造门而三不言，忸怩而去。后又至，未言而面先赭
。予
因诘之曰∶诸来诣余者，皆谓予能为人决疑疗急也。今子来者四，必有疑于中，疑而不露一
语，虽百来而疑终不可决，疾终不可去矣。且盈天地间怪事甚多，非圣智所能尽识，然亦非
圣智不能通疗也。彼《折肱灵》、《医说》、《医鉴》等集，怪症 毛，假非明哲决而治之
，何以扩后人之闻见也。其夫乃俯首徐应曰∶言之无任主臣，先生长者，即言之，谅无叹。
山妇子户中突生一物，初长可三寸，今则五寸许矣。状如坚筋，色赤，大可拱把，胀而且痛
，不便起止，憎寒壮热，寝食俱减。羞涩于言，每求自尽。闻先生能为人决疑疗怪，不啻扁
、华，特相访而祈一决。予曰∶疾成几年？对曰∶将百日。予曰∶盖凡所谓怪者，耳目无所
闻睹，书籍无所注载。今所言者，
乃阴挺症也。书有所征，奚足言怪？夫曰∶
阴挺何自而生？何法而治？几何月日而可愈也？可无妨于
生育否？予曰∶子户属厥阴肝经，肝属木。肝有湿热，故生阴挺，犹木有湿热而生蕈然。法
当以龙胆泻肝汤及 皮散，当归、黄芩、牡蛎、 皮、赤芍药为末，每用二钱，空心米饮调
下。即而治之，大计月余可消释也。奚生育之有妨哉？其夫合手顶礼于地曰∶愿如药王言，
敢徼一料。随按法措剂，畀之而去。甫三月，来报云前疾果如所言，消释无痕。兹为汛期一
月不至，
敢问。予曰∶此有身也。夫曰∶疾才愈，未必即能受身，恐防他疾。予曰∶前恙乃肝经有余
之疾，肝为血海。书云∶女人血盛则怀胎。据血盛行当先期。今汛逾期，实孕耳，匪病也。
后果足月而产一子。
有一位姓吴的妇女，患有难以启齿的疾病。她的丈夫来找我诊治，三次登门却三次不肯开口，羞怯地离开了。后来他又来了，还没说话脸先红了。我于是追问他说：“那些来找我的病人，都说我能替人解决疑难、治疗急症。如今你来了四次，心中必有疑惑，如果疑惑藏在心里不说一句话，即使来一百次，疑惑也终究无法解开，疾病也终究无法去除。况且天地之间怪异的事情很多，并非圣明智慧的人就能全部认识，但也并非圣明智慧的人不能通晓治疗方法。像《折肱灵》、《医说》、《医鉴》等医书集子中，记载的怪症多得数不清，如果不是明智贤达之人决断并治疗它们，怎么能扩大后人的见闻呢？”他的丈夫这才低下头慢慢回答说：“说出来实在不好意思，先生您是长辈，即便说出来，想必也不会嫌弃。”
“我妻子的阴户中突然长出一个东西，刚开始大约三寸长，现在已经有五寸左右了。形状像坚硬的筋，颜色发红，大小能握满一把，肿胀而且疼痛，不方便起坐行走，怕冷且高热，睡觉和吃饭都减少了。因为害羞而难以言说，每次都想自杀。听说先生能替人解决疑难、治疗怪病，不亚于扁鹊和华佗，特地前来拜访祈求一个明确的诊断。”我问：“这病得了几年了？”他回答说：“将近一百天。”我说：“大凡所谓的‘怪病’，是耳目没有听到看到，书籍也没有记载的。如今所说的这个症状，其实是阴挺症（子宫脱垂或阴道壁膨出）。书上有所依据，哪里算得上奇怪呢？”丈夫问：“阴挺是怎么产生的？用什么方法治疗？需要多少个月日才能痊愈？会影响生育吗？”我说：“阴户属于足厥阴肝经，肝在五行中属木。肝脏有湿热，所以产生阴挺，就像树木有了湿热就会长出蘑菇一样。治疗方法应当用龙胆泻肝汤及黄柏皮散，将当归、黄芩、牡蛎、黄柏皮、赤芍药研成粉末，每次取二钱，空腹时用米汤调服。按照这个方法治疗，大概一个多月就可以消除。怎么会妨碍生育呢？”他的丈夫双手合十跪拜在地上说：“希望像药王孙思邈所说的那样，敢求一服药方。”随即按照方法配制药剂，给他让他回去。刚过三个月，来人报告说之前的疾病果然像我说的那样，消除得无影无踪。只是这次月经一个月没来，不敢妄问。我说：“这是怀孕了。”丈夫说：“病才刚好，未必马上就能受孕，恐怕会引发其他疾病。”我说：“之前的病症是肝经有余（实证）的病，肝为血海。书上说：女人血盛则容易怀胎。根据血气旺盛的情况，月经应当提前。如今月经逾期不来，确实是怀孕，不是生病。”后果然足月生下一个儿子。
A woman surnamed Wu suffered from an embarrassing ailment. Her husband visited me for treatment, coming to my door three times but refusing to speak each time, leaving in embarrassment. Later he came again; before he could speak, his face turned red first. I then questioned him, saying, "Those who come to me all claim that I can resolve doubts and treat emergencies. Now you have come four times; there must be something troubling you. If you keep your doubts hidden without uttering a word, even if you come a hundred times, the doubt will never be resolved, nor will the illness ever be cured. Moreover, strange occurrences in the world are numerous; they cannot be fully known by the sagely and wise, yet it is also not beyond their ability to understand and treat them. Collections such as *Zhe Gong Ling*, *Yi Shuo*, and *Yi Jian* record countless strange cases. If these were not diagnosed and treated by enlightened individuals, how could the knowledge of future generations be expanded?" The husband then bowed his head and slowly replied, "It is extremely shameful to speak of this. Sir, you are an elder; even if I speak, I trust you will not disdain it."
"My wife has suddenly grown a mass in her vagina. Initially it was about three cun long, and now it is approximately five cun. It resembles a hard tendon, is reddish in color, and is large enough to fill a hand's grasp. It is swollen and painful, making it inconvenient to rise, sit, or walk. She experiences aversion to cold and high fever, and both her sleep and appetite have decreased. Ashamed to speak of it, she often wishes to end her life. Hearing that you can resolve doubts and treat strange ailments, comparable to Bian Que and Hua Tuo, I specially came to seek your diagnosis." I asked, "How many years has this illness lasted?" He replied, "Nearly one hundred days." I said, "Generally speaking, what is called a 'strange disease' refers to conditions unseen by eyes and ears and unrecorded in books. What you describe is actually Yin Ting syndrome (prolapse of the uterus or vaginal wall). Since it is documented in medical texts, how can it be considered strange?" The husband asked, "How does Yin Ting arise? What is the treatment method? How many months will it take to heal? Will it affect fertility?" I said, "The vagina belongs to the Foot Jueyin Liver Meridian, and the Liver corresponds to Wood in the Five Elements. Damp-heat in the Liver causes Yin Ting, just as damp-heat on a tree causes mushrooms to grow. The treatment should involve Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver) and Huang Bo Pi San (Phellodendron Bark Powder). Grind Dang Gui (Angelica Sinensis), Huang Qin (Scutellaria Baicalensis), Mu Li (Oyster Shell), Huang Bo (Phellodendron Bark), and Chi Shao Yao (Red Peony Root) into powder. Take two qian each time, mixed with rice water on an empty stomach. Following this regimen, the mass should disappear in about a month. How could it possibly hinder fertility?" The husband clasped his hands and kowtowed on the ground, saying, "I hope it goes as the Medicine King [Sun Simiao] predicted. I dare to request a dose." I prepared the medicine according to the prescription and gave it to him. Just three months later, the messenger reported that the previous illness had indeed disappeared without a trace. However, her menstrual period had been absent for one month, so he dared not ask further. I said, "This is pregnancy." The husband said, "The illness has just healed; it is unlikely she can conceive immediately. I fear other illnesses may arise." I said, "The previous condition was an excess syndrome of the Liver Meridian. The Liver is the Sea of Blood. As the classics state: 'When a woman's blood is abundant, she conceives.' Given the abundance of blood, menstruation should have occurred earlier. The fact that it is overdue indicates true pregnancy, not illness." Eventually, she delivered a healthy son at full term.