徐熙宇文学内眷,常患前后心痛,每痛必面赤手心热,耳鸣眩晕,即饮白汤,亦停膈间
不下
,且作酸呕逆,吐出皆酸水,五七日方止。四肢酸软无力,气逆上嗳,乃其常也。两手脉皆
沉数,左弦,此上焦有痰饮故也。先以二陈汤加瓦楞子、滑石、吴茱萸、姜连、前胡、枳壳
竹茹、香附、大腹皮服,后以橘红、半夏、滑石各二两为臣,白螺蛳壳 过四两为君,茯苓
、姜连各一两半为佐,旋复花一两,吴茱萸三钱为使,面糊为丸,每服三钱,调理而愈。
汤简庵封君,血分热甚,以善饮致肠风,且心肾不交。予以四物汤加酸枣仁、侧柏叶、
槐花、连翘炼蜜为丸,服之顿愈。
吴仰玄先生,患胃脘痛,痛则彻于背,以手重按之少止,痛时冷汗如雨,脉涩,此气虚
而痛也。以小建中汤加御米壳服之而愈。
粳芝岗文学,酒后近内,每行三峰采战、对景忘情之法,致成血淋。自仲夏至岁秋未愈
,便
下或红或紫,中有块如筋膜状,或如苏木汁色,间有小黑子,三五日一发,或劳心、或劳力
,或久立、坐亦发,访医问道,百治不效。以吴中书汉源公交善,逆予治之。观其色白而青
,肌肉削甚,诊其脉,左寸沉弱,关尺弦细,右寸略滑,据此必肺经有浊痰,肝经有瘀血,
总
由酒后竭力纵欲,淫火交煽,精离故道,不识澄心,调气摄精归沅之法,以致凝滞经络,流
于溺道,故新血行至,被阻塞而成淋浊也。三五日一至者,科盈满溢故耳。先与丹参加茅根
浓煎服,小便解后,以瓦器盛之,少顷即成金色黄砂,乃用肾气丸加琥珀、海金沙、黄柏,
以杜牛膝连叶捣汁熬膏为丸调理,外以川芎三钱,当归七钱,杜牛膝草根煎服。临发时,用
滑石、甘草梢、桃仁、海金沙、麝香为末,以韭菜汁、藕汁调服,去其凝精败血,则新血始
得归源,而病根可除矣。三月痊愈。
徐熙宇先生的内眷,经常患有心前区疼痛(心痛),每次疼痛必定伴有面色发红、手心发热、耳鸣、眩晕,即使喝下热水,也停滞在胸膈之间无法下行,并且产生酸味呕吐和呃逆,吐出的都是酸水,经过五到七天才能停止。四肢酸软无力,气机上逆导致打嗝,这是她平时的常态。两手脉象都沉而数,左侧脉弦,这是因为上焦有痰饮所致。先用二陈汤加瓦楞子、滑石、吴茱萸、姜黄连、前胡、枳壳、竹茹、香附、大腹皮服用,后来用橘红、半夏、滑石各二两作为臣药,白螺蛳壳超过四两作为君药,茯苓、姜黄连各一两半作为佐药,旋复花一两,吴茱萸三钱作为使药,用面糊做成丸剂,每次服用三钱,调理后痊愈。
汤简庵封君,血分热邪很盛,因为喜欢饮酒导致肠风(便血),并且心肾不交。我用四物汤加酸枣仁、侧柏叶、槐花、连翘,炼蜜为丸,服用后立刻痊愈。
吴仰玄先生,患有胃脘痛,疼痛时放射至背部,用手重按疼痛稍减,疼痛时冷汗如雨下,脉象涩,这是气虚导致的疼痛。用小建中汤加御米壳服用后痊愈。
粳芝岗先生,酒后亲近女色,每次行房采用“三峰采战”、“对景忘情”等房中术方法,导致患上血淋(尿血)。从夏至到秋末一直未愈,小便排出红色或紫色的血液,其中有像筋膜一样的块状物,或者像苏木汁的颜色,间杂有小黑点,每隔三五天发作一次,无论是劳心、劳力,还是久立、久坐都会诱发。寻医问药,各种治疗都不见效。因为吴中书汉源公与我交好,迎请我诊治。观察他的面色苍白而青,肌肉极度消瘦,诊察他的脉象,左寸脉沉弱,关尺脉弦细,右寸脉略滑,据此判断一定是肺经有浊痰,肝经有瘀血,总归是因为酒后竭力纵欲,淫火相互煽动,精气脱离常道,不懂得澄心静气、调气摄精归元的方法,导致气血凝滞经络,流入溺道,所以新血运行至此,被阻塞而形成淋浊病。每隔三五天发作一次,是因为精血积聚盈满溢出所致。先用丹参加茅根浓煎服用,小便解出后,用瓦器盛接,片刻之后即变成金色的黄砂,于是用肾气丸加琥珀、海金沙、黄柏,以杜牛膝连叶捣汁熬膏为丸进行调理,外用川芎三钱,当归七钱,杜牛膝草根煎服。发作时,用滑石、甘草梢、桃仁、海金沙、麝香研末,用韭菜汁、藕汁调服,去除凝结的精液和败血,那么新血才能回归本源,病根就可以除去了。三个月后痊愈。
The wife of Scholar Xu Xiyu frequently suffered from precordial pain (chest pain). Each episode was invariably accompanied by a flushed face, hot palms, tinnitus, and vertigo. Even after drinking warm water, it would stagnate in the chest and diaphragm without descending, leading to sour vomiting and hiccups, with only sour fluid being expelled. This condition would persist for five to seven days before subsiding. Her limbs were sore and weak, and she frequently experienced rebellious Qi manifesting as belching, which was her usual state. Both radial pulses were deep and rapid; the left pulse was wiry. This indicated the presence of phlegm-fluid retention in the Upper Jiao. Initially, she was administered Er Chen Tang (Two-Cured Decoction) augmented with Valva Concha (Walengzi), Talcum (Huashi), Evodiae Fructus (Wuzhuyu), Ginger-processed Coptidis Rhizoma (Jianglian), Peucedani Radix (Qianhu), Aurantii Fructus (Zhike), Zhi Zhu Pericarpium (Zhuru), Cyperi Rhizoma (Xiangfu), and Arecae Pericarpium (Dafupi). Subsequently, a pill formula was prepared using Tangerine Peel (Juhong), Pinelliae Rhizoma (Banxia), and Talcum (Huashi) each at two liang as minister herbs; White Conch Shell (Bailuoshi) exceeding four liang as sovereign herb; Poria (Fuling) and Ginger-processed Coptidis Rhizoma (Jianglian) each at one and a half liang as assistant herbs; Inulae Flos (Xuanfuhua) at one liang; and Evodiae Fructus (Wuzhuyu) at three qian as guide herbs. These were formed into pills with flour paste. Taking three qian per dose, she recovered after regulation.
Lord Tang Jian'an had excessive heat in the Blood aspect. His fondness for alcohol led to intestinal wind (hematochezia) and a failure of Heart-Kidney interaction. I prescribed Si Wu Tang (Four-Substance Decoction) supplemented with Ziziphi Spinosae Semen (Suanzaoren), Platycladi Cacumen (Cebaiye), Sophorae Flavescentis Flos (Huaishu), and Forsythiae Fructus (Lianqiao), processed into pills with refined honey. He recovered immediately upon taking them.
Mr. Wu Yangxuan suffered from epigastric pain. The pain radiated to the back and was slightly relieved by heavy pressure. During attacks, cold sweat poured like rain, and the pulse was choppy. This indicated pain due to Qi deficiency. He was cured after taking Xiao Jian Zhong Tang (Minor Construct the Middle Decoction) supplemented with Papaveris Pericarpium (Yumiqiao).
Scholar Jing Zhigang, after consuming alcohol and engaging in sexual activity, practiced methods such as "Three Peaks Gathering and Fighting" and "Forgetting Emotions Facing Scenery" (sexual techniques). This resulted in bloody strangury (hematuria). From Summer Solstice to late Autumn, he remained unhealed. His urine contained red or purple blood, sometimes with clots resembling fascia or colored like Sapwood juice, interspersed with small black spots. Attacks occurred every three to five days, triggered by mental exertion, physical labor, prolonged standing, or sitting. Despite seeking medical advice and treatments, none were effective. Because Mr. Han Yuan, a Secretary in Wu, was a good friend of mine, he invited me to treat him. Observing his complexion as pale and bluish with severe emaciation, and palpating his pulses—left Cun deep and weak, Guan and Chi wiry and fine; right Cun slightly slippery—I determined that there was turbid phlegm in the Lung Meridian and stasis in the Liver Meridian. The root cause was excessive indulgence in lust after drinking, where libidinous fire agitated each other, causing essence to deviate from its proper path. Lacking the method of clarifying the mind, regulating Qi, and preserving essence to return to the source, the Qi and Blood became stagnant in the meridians and flowed into the urinary pathway. Thus, when new blood reached this area, it was blocked, forming strangury and turbidity. The periodicity of three to five days was due to the accumulation and overflow of essence and blood. Initially, I prescribed a strong decoction of Codonopsis Radix (Dangshen) and Imperatae Rhizoma (Maogen). After urination, the urine collected in a clay vessel turned into golden-yellow sand shortly thereafter. Thereafter, Shen Qi Wan (Kidney Qi Pill) supplemented with Succinum (Hupo), Chrysosplenii Herba (Haijinsha), and Phellodendri Cortex (Huangbai), processed into pills using the juice of Achyranthis Bidentatae Radix et Caulis (Niuxi) leaves and stem boiled into an extract, was used for regulation. Externally, Ligustici Chuanxiong Rhizoma (Chuanxiong) at three qian, Angelicae Sinensis Radix (Danggui) at seven qian, and the roots of Achyranthes bidentata (Duniuxi) were decocted and taken orally. During attacks, a powder of Talcum (Huashi), Glycyrrhizae Radix et Rhizoma caulis (Gancaoshao), Persicami Semen (Taoren), Chrysosplenii Herba (Haijinsha), and Moschus (Shexiang) was mixed with chive juice and lotus root juice for oral administration. By expelling coagulated semen and stale blood, the new blood could return to its source, eliminating the root cause of the disease. Full recovery was achieved within three months.