方东野,两胁痛,上壅至胸,发热,饮食不进。脉左手沉而弦数,乃积气也。右手滑,
痰饮
也。关脉濡弱,脾气不充也。据症或触于怒,故痛之暴耳。治当先去积热,消痰气,然后用
补。栝蒌仁六钱,枳壳、姜连、半夏各一钱半,白芥子一钱,牡蛎二钱,炙甘草五分,柴胡
一钱五分,二帖,诸症尽去,饮食进矣。然恐其复发也。与当归龙荟丸使行之,以刈其根。
服下果行两次。
一妇人怀妊七月,内热咳嗽,胸膈饱闷。以条芩二钱,栝蒌仁、白芍药、紫菀、贝母、
桑白皮各一钱,甘草三分,枳壳、紫苏梗、知母、陈皮各七分,两帖而愈。
一妇人心痛,唇红,痛则大发热,头疼,少顷出汗,脉大小不一。予曰∶此虫痛之症,
痛吐
白沫可征也。槟榔、川椒各二钱,杏仁一钱五分,石菖蒲一钱,乌梅七个,炮姜、草豆仁、
陈皮各五分,山栀仁一钱,一进而痛减半,再进而痛全除。
倪二南内人小产后小腹痛,夜分作热,作晕。予曰∶此气血虚而恶露未尽也。川芎一钱
半,
当归三钱,泽兰、益母草、香附、丹参各一钱,人参七分,荆芥穗五分,山楂、桂皮各一钱
。一帖而小腹痛止,再帖而热晕悉除。
倪少南右颊车浮肿而疼,直冲太阳,大发寒热,两手寸关俱洪大有力,此阳明经风热交
扇所
致。以软石膏三钱,白芷、升麻各一钱,葛根二钱,生熟甘草各一钱,薄荷、山栀子、牡丹
皮、连翘各七分,天花粉、贯众各一钱半。两帖肿痛全消。
方东野,两胁疼痛,气逆上冲至胸部,伴有发热,饮食无法进服。脉象左手沉而弦数,这是积滞之气所致;右手滑,是痰饮之象;关部脉濡弱,说明脾气不足。根据症状判断,可能是因愤怒触发,所以疼痛突然发作。治疗应当先清除积热、消散痰气,然后再进行补益。处方:栝蒌仁六钱,枳壳、姜制黄连、半夏各一钱半,白芥子一钱,牡蛎二钱,炙甘草五分,柴胡一钱五分。服用两剂后,各种症状全部消除,饮食恢复正常。然而担心病情复发,给予当归龙荟丸以彻底根除病根。服药后果然排便两次。
一位怀孕七个月的妇女,自觉内热咳嗽,胸膈部饱闷胀满。使用条芩二钱,栝蒌仁、白芍药、紫菀、贝母、桑白皮各一钱,甘草三分,枳壳、紫苏梗、知母、陈皮各七分。服用两剂后痊愈。
一位妇女患心痛,嘴唇红润,疼痛时伴随高热,头痛,片刻后出汗,脉象大小不一。我说:这是虫痛的症状,疼痛时吐出白沫即可证实。处方:槟榔、川椒各二钱,杏仁一钱五分,石菖蒲一钱,乌梅七个,炮姜、草豆仁、陈皮各五分,山栀仁一钱。服用一次后疼痛减半,再服用一次后疼痛完全消除。
倪二南的妻子在小产之后出现小腹痛,夜间发热,伴有眩晕。我说:这是气血虚弱且恶露未尽所致。处方:川芎一钱半,当归三钱,泽兰、益母草、香附、丹参各一钱,人参七分,荆芥穗五分,山楂、桂皮各一钱。服用一剂后小腹痛停止,再服用两剂后发热和眩晕全部消除。
倪少南右侧颊车穴部位浮肿且疼痛,疼痛直冲太阳经,出现严重的寒热交替,两手寸部和关部脉象均洪大有力,这是阳明经风热交攻所致。处方:软石膏三钱,白芷、升麻各一钱,葛根二钱,生甘草、熟甘草各一钱,薄荷、山栀子、牡丹皮、连翘各七分,天花粉、贯众各一钱半。服用两剂后肿痛全部消退。
Fang Dongye suffered from pain in both hypochondria, with qi counterflow rising to the chest, accompanied by fever and inability to take food. The left hand pulse was deep, wiry, and rapid, indicating accumulated stagnant qi; the right hand pulse was slippery, indicating phlegm-fluid retention; the guan position pulse was soggy and weak, indicating insufficiency of Spleen Qi. Based on the symptoms, it was likely triggered by anger, causing sudden onset of pain. Treatment should first clear accumulated heat and dissipate phlegm-qi, then proceed with tonification. Prescription: Gualou Ren (Trichosanthis Semen) 6 qian, Zhike (Aurantii Fructus), Jiang Lian (Coptidis Rhizoma prepared with ginger), Banxia (Pinelliae Tuber) each 1.5 qian, Baijiezi (Sinapis Semen) 1 qian, Muli (Ostreae Concha) 2 qian, Zhi Gancao (Glycyrrhizae Radix et Rhizoma prepared with honey) 0.5 qian, Chaihu (Bupleuri Radix) 1.5 qian. After two doses, all symptoms disappeared, and appetite returned. However, fearing recurrence, Danggui Longhui Wan (Angelica Sinensis and Gardenia Pill) was administered to eradicate the root cause. The patient indeed defecated twice after taking the medicine.
A woman at seven months of pregnancy suffered from internal heat, cough, and fullness/stuffiness in the chest and diaphragm. Prescription: Tiao Qin (Scutellariae Radix) 2 qian, Gualou Ren (Trichosanthis Semen), Baishao Yao (Paeoniae Radix Alba), Ziwan (Asternis Radix), Beimu (Fritillariae Bulbus), Sangbaipi (Mori Cortex) each 1 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 0.3 qian, Zhike (Aurantii Fructus), Zisu Geng (Perillae Caulis), Zhimu (Anemarrhenae Rhizoma), Chenpi (Citri Reticulatae Pericarpium) each 0.7 qian. She recovered after two doses.
A woman suffered from heart pain, red lips, high fever upon pain onset, headache, and sweating after a short while. Her pulse varied in size. I stated: This is a symptom of worm pain, confirmed by vomiting white foam upon pain. Prescription: Binglang (Arecae Semen), Chuanjiao (Zanthoxyli Pericarpium) each 2 qian, Xingren (Armeniacae Semen Amarum) 1.5 qian, Shichangpu (Acori Tatarinowii Rhizoma) 1 qian, Wumei (Mume Fructus) 7 pieces, Paojiang (Zingiberis Rhizoma Preparatum), Caodouren (Amomi Fructus Rotundus), Chenpi (Citri Reticulatae Pericarpium) each 0.5 qian, Shanzhiren (Gardeniae Fructus) 1 qian. After one dose, pain reduced by half; after another dose, pain completely resolved.
Ni E'nan's wife suffered from lower abdominal pain, night-time fever, and dizziness following a miscarriage. I stated: This is due to deficiency of Qi and Blood and incomplete expulsion of lochia. Prescription: Chuanxiong (Ligustici Chuanxiong Rhizoma) 1.5 qian, Danggui (Angelicae Sinensis Radix) 3 qian, Zelan (Lycopersici Herba), Yimucacao (Leonuri Herba), Xiangfu (Cyperi Rhizoma), Danshen (Salviae Miltiorrhizae Radix et Rhizoma) each 1 qian, Renshen (Ginseng Radix et Rhizoma) 0.7 qian, Jingjisui (Schizonepetae Spica) 0.5 qian, Shanzha (Crataegi Fructus), Guipi (Cinnamomi Cortex) each 1 qian. After one dose, lower abdominal pain ceased; after two more doses, fever and dizziness completely resolved.
Ni Shaonan suffered from swelling and pain in the right Jiache acupoint area, radiating directly to the Taiyang channel, with severe alternating chills and fever. Both cun and guan positions of the hands showed surging, large, and forceful pulses. This was caused by wind-heat interacting in the Yangming channel. Prescription: Ruan Shigao (Gypsum Fibrosum) 3 qian, Baizhi (Angelicae Dahuricae Radix), Shengma (Cimicifugae Rhizoma) each 1 qian, Gegen (Puerariae Lobatae Radix) 2 qian, Sheng Gancao (Glycyrrhizae Radix et Rhizoma), Shu Gancao (Glycyrrhizae Radix et Rhizoma preparata) each 1 qian, Bohe (Menthae Haplocalycis Herba), Shanzhizi (Gardeniae Fructus), Mudanpi (Moutan Cortex), Lianqiao (Forsythiae Fructus) each 0.7 qian, Tianhuafen (Trichosanthis Radix), Guanzhong (Dryopteridis Crassirhizoma) each 1.5 qian. After two doses, swelling and pain completely subsided.