文学程道吾先生令眷夜为梦魇所惊,时常晕厥,精神恍惚,一日三五发。咳嗽面色青,
不思谷
食。日惟啖牛肉脯数块而已。时师屡治无功。吴渤海视为寒痰作厥,投以附子、肉桂而厥尤
加。逆予为治,诊左脉弦,右脉滑,两寸稍短。道吾先令眷二皆卒于瘵,知其为传尸瘵症也
,不易治之。乃权以壮神补养之剂,消息调理,俟饮食进,胃气转始可用正治之法,姑用人
参、茯苓、柏子仁、石菖蒲、远志、丹参、当归、石斛以补养神气,以陈皮、贝母、甘草、
紫菀化痰治嗽,服半月而无进退。乃为制太上浑元丹,药用紫河车一具,辰砂、鳖甲、犀角
各一两,鹿角胶、紫石英、石斛各八钱,沉香、乳香、安息香、茯苓、紫菀、牛膝、人参各
五钱,麝香五分,炼蜜为丸,赤豆大,每早晚盐汤或酒送下三十六丸。又制霹雳出猎丹,药
用牛黄、狗宝、阿魏、安息各一钱,虎头骨五钱,啄木鸟一只,獭爪一枚,败鼓心破皮三钱
,麝香五分,天灵盖一个,炼蜜为丸,雄黄三钱为衣,每五更空心葱白汤送下五分,三五日
服一次,与太上浑元丹相兼服,才服半月,精神顿异,不似前时恍惚矣,但小腹左边一点
疼,前煎药中加白芍一钱,服之一月,精神大好,晕厥再不发矣。次年生一女,其宅瘵疾从
此再亦不传。
文学程道吾先生的夫人夜间常被梦魇惊吓,时常出现晕厥,精神恍惚不定,一天发作三到五次。伴有咳嗽、面色发青,不想进食谷物粮食。每天只吃几块牛肉干罢了。当时的医生多次治疗都没有效果。吴渤海将其视为寒痰引起的厥证,投用附子、肉桂等药物,结果厥逆症状反而加重。
我接手为她治疗,诊察发现左脉弦,右脉滑,两寸脉稍短。得知程道吾的妻儿二人都死于痨病(消耗性传染病),判断她也是得了传尸瘵症(一种具有传染性的慢性消耗性疾病),属于难以治愈的疾病。于是暂时采用壮神补养的方剂,根据病情变化调理,等待饮食增加、胃气恢复后,才可以使用正规的治疗方法。暂用人参、茯苓、柏子仁、石菖蒲、远志、丹参、当归、石斛来补养神气;用陈皮、贝母、甘草、紫菀化痰止咳。服用半个月后,病情没有明显进退。
于是为她配制“太上浑元丹”,药料包括:紫河车一具,辰砂、鳖甲、犀角各一两,鹿角胶、紫石英、石斛各八钱,沉香、乳香、安息香、茯苓、紫菀、牛膝、人参各五钱,麝香五分,炼蜜制成丸药,大小如赤豆,早晚各用盐汤或酒送服三十六丸。又配制“霹雳出猎丹”,药料包括:牛黄、狗宝、阿魏、安息香各一钱,虎头骨五钱,啄木鸟一只,獭爪一枚,败鼓心及破皮三钱,麝香五分,天灵盖一个,炼蜜为丸,以雄黄三钱为衣,每在五更时分空腹用葱白汤送服五分,每隔三五日服用一次,与“太上浑元丹”交替服用。刚服用半个月,精神立刻大不相同,不再像以前那样恍惚了,只是小腹左边有一点疼痛,在前面的煎药中加入白芍一钱,服用一个月后,精神大好,晕厥再也没有发作。第二年生了一个女儿,这个家庭的痨病从此再也没有传染。
Mr. Cheng Daowu, a literary scholar, had his wife who was frequently startled by nightmares at night, often experiencing syncope (fainting), with fluctuating spirit and absent-mindedness, occurring three to five times a day. She suffered from coughing and a bluish complexion, had no appetite for grain food, and consumed only a few pieces of beef jerky daily. Previous physicians' treatments were ineffective. Wu Bohai diagnosed it as Jue syndrome (sudden reversal of qi causing cold limbs or fainting) caused by Cold-Phlegm, prescribing Aconite Root (Fuzi) and Cinnamon Bark (Rougui), which exacerbated the Jue symptoms.
I took over her treatment. Her left pulse was Wiry (Xian), right pulse Slippery (Hua), and both Cun (inch) positions were slightly short. Knowing that Mr. Cheng's wife and child had previously died from Lao disease (consumptive tuberculosis), I determined she also suffered from Chuan Shi Zhai (a contagious consumptive disease), which is difficult to treat. Therefore, I temporarily employed formulas to strengthen the spirit and nourish the body, adjusting according to changes, waiting for improved diet and restored Stomach Qi before applying standard treatment. Initially, I used Ginseng Root (Renshen), Poria (Fuling), Biota Seed (Baiziren), Acorus Rhizome (Shichangpu), Polygala Root (Yuanzhi), Salvia Root (Danshen), Angelica Sinensis Root (Danggui), and Dendrobium Stem (Shihu) to nourish the spirit and qi; and Tangerine Peel (Chenpi), Fritillaria Bulb (Beimu), Licorice Root (Gancao), and Aster Root (Ziwan) to resolve phlegm and stop coughing. After half a month, there was no significant improvement or deterioration.
Subsequently, I prepared "Taishang Hunyuan Dan" (Supreme Primordial Pill). Ingredients included: one placenta (Ziheche), 1 liang each of Cinnabar (Chensha), Turtle Shell (Biejia), and Rhino Horn (Xijiao); 8 qian each of Deer Antler Glue (Lujiaojiao), Purple Quartz (Zishiyan), and Dendrobium Stem (Shihu); 5 qian each of Agarwood (Chenxiang), Frankincense (Ruxiang), Benzoin (Anshixiang), Poria (Fuling), Aster Root (Ziwan), Achyranthes Root (Niuxi), and Ginseng Root (Renshen); and 5 fen of Musk (Shexiang). These were processed with refined honey into pills the size of red beans. Taken morning and evening with salt water or wine, 36 pills per dose.
I also prepared "Pili Chu Lie Dan" (Thunderbolt Hunting Pill). Ingredients included: 1 qian each of Calculus Bovis (Niuhuang), Dog Gallstone (Goubao), Asarum Resin (Awei), and Benzoin (Anshixiang); 5 qian of Tiger Skull Bone (Tutougu); one woodpecker; one otter claw; 3 qian of dried drum heart and broken skin; 5 fen of Musk (Shexiang); and one human skull cap (Tianlinggai). Processed with refined honey into pills, coated with 3 qian of Realgar (Xionghuang). Taken every fifth watch (early morning) on an empty stomach with scallion white decoction, 5 fen per dose, once every three to five days, taken alternately with Taishang Hunyuan Dan. After just half a month of this regimen, her spirit greatly improved, no longer appearing absent-minded as before. However, she had slight pain in the lower left abdomen. I added White Peony Root (Baishao) 1 qian to the previous decoction. After one month of taking it, her spirit recovered significantly, and syncope ceased completely. The following year, she gave birth to a daughter, and the family's Lao disease did not spread further thereafter.