桂亭大兄,原因坠轿跌伤腰胁,痛不能转侧,咳嗽吊痛,用三制大黄二钱,桃仁一钱五
分,
杏仁、红花、天花粉各一钱,穿山甲八分,甘草五分,水煎服之,两帖而大便行。继以五加
皮、红花、川芎、当归、生地黄、白芍药、丹参、甘草、桃仁、穿山甲、柴胡,煎四剂饮之
,而痛大定。后因过食荤腥,喘嗽腰痛,右肩背坠痛,素有湿热痰积,以威灵仙、紫苏子
、
枳实、酒芩、半夏曲、栝蒌仁、甘草、陈皮、姜黄、防风、羌活,服后肠鸣,坐则重坠,此
痰积已动,欲行不可得也。与穿山甲、当归尾、红花、杏仁、枳壳、大黄、萝卜子、川芎、
莪术、青皮,服后大便所下稠积秽瘀甚多,痛随减去。以保和丸调理而安。
堂嫂王氏,两寸脉洪大,右关滑大,五六月间必吐紫黑血块,足跟 肿痒痛,时流黄水
,与牡丹皮、山栀子、玄参、甘草、白芍药、当归、陈皮、滑石、桃仁四剂而愈。
族弟妇程氏,孕已五月,痢下脓血,里急后重,腰重坠难当,以白芍、当归、木香、砂
仁、
条芩、酒连、艾叶、陈皮煎服,夜仍痛,痢三次。次日大便所下如烂鱼肠者甚多。夜半忽两
足脚底前半节红肿疼痛难安,此厥阴肝经虚,胎气下坠也,当补气血,以川芎、当归、人参
、
白术、紫苏、茯苓、甘草、槟榔服下,夜半痛止,即得睡矣。左脚略痛,再以人参、紫苏、
川
芎、当归、白芍、甘草、陈皮、茯苓、大腹皮,柴胡、服后左脚痛也全减。后以补中益气汤
加白芍、黄苓、茯苓调补,而胎也无恙。
桂亭大兄,原本是因为从轿子上摔下跌伤了腰胁部,疼痛得无法转身侧卧,咳嗽时牵引着疼痛。使用经过三次炮制的大黄二钱,桃仁一钱五分,杏仁、红花、天花粉各一钱,穿山甲八分,甘草五分,加水煎煮后服用,服两帖药后大便通畅。接着用五加皮、红花、川芎、当归、生地黄、白芍药、丹参、甘草、桃仁、穿山甲、柴胡,煎煮四剂饮用,疼痛便大大安定下来。后来因为过食荤腥油腻之物,出现气喘咳嗽和腰痛,右肩背部有沉重坠痛感。他素来体内有湿热痰积,于是使用威灵仙、紫苏子、枳实、酒炒黄芩、半夏曲、栝蒌仁、甘草、陈皮、姜黄、防风、羌活,服药后肠鸣,坐着时有重坠感,这是痰积已经松动,想要排出却排不出来的表现。给予穿山甲、当归尾、红花、杏仁、枳壳、大黄、萝卜子(莱菔子)、川芎、莪术、青皮,服药后大便排出了大量稠厚的积滞秽浊瘀血,疼痛随之减轻。最后用保和丸调理而痊愈。
堂嫂王氏,两手寸脉洪大,右手关脉滑大,在五六月间必定吐出紫黑色的血块,足跟肿胀、瘙痒且疼痛,时常流出黄色液体。给予牡丹皮、山栀子、玄参、甘草、白芍药、当归、陈皮、滑石、桃仁,煎煮四剂后痊愈。
族弟妇程氏,怀孕已五个月,痢疾下脓血,里急后重,腰部沉重坠胀难以忍受。使用白芍、当归、木香、砂仁、条芩、酒黄连、艾叶、陈皮煎服,夜间仍然疼痛,痢疾发作三次。第二天大便排出的像烂鱼肠一样的东西非常多。半夜忽然双脚脚底前半节红肿疼痛难安,这是厥阴肝经虚弱,胎气下坠所致,应当补益气血,使用川芎、当归、人参、白术、紫苏、茯苓、甘草、槟榔,服药后半夜疼痛停止,随即能够入睡了。左脚略微疼痛,再用人参、紫苏、川芎、当归、白芍、甘草、陈皮、茯苓、大腹皮、柴胡,服药后左脚疼痛也完全减轻。后来用补中益气汤加入白芍、黄芩、茯苓进行调补,胎儿也就没有事了。
Brother Guiting originally suffered a fall from a sedan chair, injuring his waist and hypochondrium. The pain was so severe that he could not turn or lie on his side, and coughing exacerbated the pain. He was prescribed Sanzhi Dahuang (Three-processed Rhubarb) 2 qian, Taoren (Peach Kernel) 1.5 qian, Xingren (Apricot Seed), Honghua (Safflower), and Tianguafen (Trichosanthes Root) each 1 qian, Chansanjia (Pangolin Scale) 8 fen, and Gancao (Licorice) 5 fen. Decocted in water and taken orally, after two doses, bowel movement was achieved. Subsequently, Wujia Pi (Acanthopanacis Cortex), Honghua (Safflower), Chuanxiong (Szechwan Lovage Rhizome), Danggui (Angelica Sinensis), Shengdihuang (Rehmannia Root), Baishao (White Peony Root), Danshen (Salvia Miltiorrhiza), Gancao (Licorice), Taoren (Peach Kernel), Chansanjia (Pangolin Scale), and Chaihu (Bupleurum Root) were decocted into four doses for consumption, resulting in significant relief of pain. Later, due to excessive consumption of meat and greasy foods, he experienced wheezing, coughing, and lower back pain, with a heavy, dragging pain in the right shoulder and back. Having a pre-existing condition of damp-heat and phlegm accumulation, he was treated with Weilingxian (Clematis Root), Zisuzi (Perilla Fruit), Zhishi (Immature Bitter Orange), Jiu Huangqin (Scutellaria Root processed with wine), Banxiaqu (Pinellia Fermented Paste), Gualouren (Trichosanthes Seed), Gancao (Licorice), Chenpi (Tangerine Peel), Jianghuang (Turmeric), Fangfeng (Saposhnikovia Root), and Qianghuo (Notopterygium Rhizome). After ingestion, borborygmus occurred, and sitting induced a sensation of heaviness; this indicated that the phlegm accumulation had moved but failed to discharge. He was then given Chansanjia (Pangolin Scale), Dangguiwei (Tail of Angelica Sinensis), Honghua (Safflower), Xingren (Apricot Seed), Zhike (Bitter Orange), Dahuang (Rhubarb), Luobozu (Radish Seed), Chuanxiong (Szechwan Lovage Rhizome), Ezhu (Curcuma Zedoary), and Qingpi (Green Tangerine Peel). Following administration, copious amounts of thick, turbid, and bloody stasis were discharged via stool, and the pain subsided. He was subsequently regulated and recovered using Baohe Wan (Preserve Harmony Pill).
Wang Shi, my cousin's wife, presented with surging and large pulses at both cun positions, and a slippery and large pulse at the right guan position. Between May and June, she invariably expectorated purple-black blood clots. Her heel was swollen, itchy, and painful, with occasional discharge of yellow fluid. She was treated with Mudanpi (Tree Peony Bark), Shanzhizi (Gardenia Fruit), Xuanshen (Scrophularia Root), Gancao (Licorice), Baishao (White Peony Root), Danggui (Angelica Sinensis), Chenpi (Tangerine Peel), Huashi (Talcum), and Taoren (Peach Kernel). Four doses resulted in a cure.
Cheng Shi, the wife of my clan brother, was five months pregnant when she developed dysentery with pus and blood in the stool, tenesmus, and unbearable heaviness and dragging sensation in the lower back. She was administered Baishao (White Peony Root), Danggui (Angelica Sinensis), Muxiang (Aucklandia Root), Sharen (Amomum Fruit), Tiao Qin (Scutellaria Root), Jiu Lian (Coptis Rhizome processed with wine), Aiye (Mugwort Leaf), and Chenpi (Tangerine Peel). At night, pain persisted, and dysentery occurred three times. The following day, copious amounts of stool resembling rotten fish intestines were discharged. At midnight, sudden redness, swelling, and intolerable pain appeared on the anterior half of the soles of both feet. This was attributed to deficiency of the Jueyin Liver Meridian and downward sinking of fetal qi. Blood and qi should be tonified. She was given Chuanxiong (Szechwan Lovage Rhizome), Danggui (Angelica Sinensis), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Zisu (Perilla Leaf), Fuling (Poria), Gancao (Licorice), and Binglang (Areca Seed). Pain ceased by midnight, and sleep followed. Slight pain remained in the left foot. A subsequent prescription of Renshen (Ginseng Root), Zisu (Perilla Leaf), Chuanxiong (Szechwan Lovage Rhizome), Danggui (Angelica Sinensis), Baishao (White Peony Root), Gancao (Licorice), Chenpi (Tangerine Peel), Fuling (Poria), Dafupi (Areca Pericarp), and Chaihu (Bupleurum Root) completely alleviated the left foot pain. Finally, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) supplemented with Baishao (White Peony Root), Huangqin (Scutellaria Root), and Fuling (Poria) was used for regulation and tonification, ensuring the fetus remained unharmed.