费一吾先生令政,妊已四月,夜不能睡,小便淋痛,痰嗽内热。脉右关滑,左寸微弱,
两手
皆数。与橘红、贝母、片芩、黄连、茯苓、泽泻、枳壳、苏梗、前胡,水煎服之。其夜即能
安寝。次日再以四君子汤加当归、香附、贝母、陈皮、条芩、紫苏梗、前胡,调理足月而产
一子。
令弟媳六娘子,遍身痛,发热,汗大出,昏昏如醉,卧不能起。两寸脉短弱,两手皆数
而无
力,此劳倦之余,故汗大走也。黄 三钱,白芍四钱,粉草一钱五分,桂皮八分,当归一钱
,石斛二钱。一帖热除,痛、汗皆止。惟倦而不能起,仍以前方加人参、陈皮,两帖而痊。
又八娘子,头痛咳嗽,痰多有血,夜分发热,喉中常作血腥。每经水行,必腹中先痛二
日。
用香附、牡丹皮、滑石、甘草、桃仁、川芎、当归、柴胡、白芍、山栀子、茅根,八帖而瘳
。
姚弁山老先生内人,自上年十月,左足不能履地。至十二月,产后忽好三日,复不能动
,时
常胸胁作痛,素多痰火,而治者卒以四物汤、天麦门冬为主,间服独参汤,服将弥年,而病
如故。予诊之,两寸脉俱洪滑而数,夜分发热,此系湿痰凝滞,补塞太重,故迁延不脱。乃
以二陈汤加苍术、黄柏、威灵仙、五加皮、生地黄、白芥子、白芍药、当归,两帖,胸胁痛
止,热除,再加薏苡仁,八帖,而足能举步矣。
费一吾先生的夫人,怀孕四个月时,夜间无法入睡,小便淋漓涩痛,伴有痰多咳嗽和体内发热。诊脉见右关脉滑,左寸脉微弱,两手脉象均数。给予橘红、贝母、黄芩片(即片芩)、黄连、茯苓、泽泻、枳壳、紫苏梗、前胡,水煎服用。当晚即可安稳入睡。次日再用四君子汤加入当归、香附、贝母、陈皮、条芩、紫苏梗、前胡进行调理,直至足月产下一子。
费夫人的弟媳六娘子,全身疼痛,发热,大汗淋漓,神志昏沉如醉酒状,卧床不能起身。诊脉见两寸脉短弱,两手脉象均数而无力,这是因劳倦过度,导致汗液大量流失所致。给予黄芪三钱、白芍四钱、甘草一钱五分、桂皮八分、当归一钱、石斛二钱。服用一剂后热退,疼痛和出汗均停止。只是仍感疲倦无法起身,仍在原方基础上加入人参、陈皮,服用两剂后痊愈。
又一位八娘子,头痛咳嗽,痰多且带血,半夜时分发热,喉中常带有血腥味。每次月经来潮前,必定先腹痛两天。使用香附、牡丹皮、滑石、甘草、桃仁、川芎、当归、柴胡、白芍、山栀子、白茅根,服用八剂后病愈。
姚弁山老先生的夫人,自去年十月起,左脚无法着地行走。到了十二月,产后曾好转三天,随后又无法活动,时常胸胁部疼痛。她平素多痰火之症,但治疗者最终主要使用四物汤、天冬和麦冬为主药,间或服用独参汤,服药将近一年,病情却依旧如故。我诊治时,发现其两寸脉均洪大滑数,半夜发热,这属于湿痰凝滞,因之前补益固涩太过,导致病情迁延不愈。于是采用二陈汤加入苍术、黄柏、威灵仙、五加皮、生地黄、白芥子、白芍药、当归,服用两剂后,胸胁痛止,热退,再加薏苡仁,共服用八剂,脚便能举步了。
Mr. Fei Yiwu's wife, at four months of pregnancy, suffered from insomnia at night, painful and dribbling urination (Lin syndrome), with phlegm, cough, and internal heat. The pulse was slippery at the right Guan position, weak and thready at the left Cun position, and rapid in both hands. She was prescribed Juhong (Exocarpium Citri Reticulatae), Beimu (Fritillariae Bulbus), Pian Qin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Fuling (Poria), Zexie (Alismatis Rhizoma), Zhike (Aurantii Fructus), Zi Su Geng (Pericarpium Perillae), and Qianhu (Peucedani Radix), decocted in water and taken orally. She slept peacefully that very night. The following day, she was treated with Sijunzi Tang (Four Gentlemen Decoction) added with Danggui (Angelicae Sinensis Radix), Xiangfu (Cyperi Rhizoma), Beimu (Fritillariae Bulbus), Chenpi (Exocarpium Citri Reticulatae), Tiao Qin (Scutellariae Radix), Zi Su Geng (Pericarpium Perillae), and Qianhu (Peucedani Radix) for regulation until full term, when she delivered a healthy son.
The younger sister-in-law of Mr. Fei, named Liu Niangzi, experienced generalized body pain, fever, profuse sweating, drowsiness resembling drunkenness, and inability to rise from bed. The pulse was short and weak at both Cun positions, and rapid without strength in both hands. This was due to exhaustion from overwork, causing excessive loss of sweat. Huangqi (Astragali Radix) 3 qian, Baishao (Paeoniae Radix Alba) 4 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 1.5 qian, Guipi (Cinnamomi Cortex) 8 fen, Danggui (Angelicae Sinensis Radix) 1 qian, and Shihu (Dendrobii Caulis) 2 qian were prescribed. After one dose, the fever subsided, and pain and sweating ceased. However, she remained fatigued and unable to rise. Ren Shen (Ginseng Radix) and Chenpi (Exocarpium Citri Reticulatae) were added to the previous formula. After two doses, she recovered completely.
Another patient, Ba Niangzi, presented with headache, cough, copious sputum containing blood, nocturnal fever, and a bloody taste in the throat. Two days prior to each menstrual period, she invariably experienced abdominal pain. Xiangfu (Cyperi Rhizoma), Mudanpi (Moutan Cortex), Huashi (Talcum), Gancao (Glycyrrhizae Radix et Rhizoma), Taoren (Persicae Semen), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Chaihu (Bupleuri Radix), Baishao (Paeoniae Radix Alba), Shanzhizi (Gardeniae Fructus), and Maogen (Imperatae Rhizoma) were used. After eight doses, the illness was cured.
The wife of Elder Mr. Yao Banshan had been unable to bear weight on her left foot since October of the previous year. In December, after childbirth, she improved for three days but then became immobile again, suffering from frequent chest and hypochondriac pain. She habitually suffered from phlegm-fire, yet her previous physicians primarily prescribed Siwu Tang (Four Substances Decoction), Tianmendong (Asparagi Radix), and Maimendong (Ophiopogonis Radix), occasionally administering Dushen Tang (Single Ginseng Decoction). After nearly a year of treatment, her condition remained unchanged. Upon my examination, the pulses at both Cun positions were surging, slippery, and rapid, accompanied by nocturnal fever. This indicated stagnation of damp-phlegm, caused by excessive tonification and astringency in previous treatments, leading to a lingering course. Therefore, Erchen Tang (Two Aged Ingredients Decoction) was prescribed with Cangzhu (Atractylodis Rhizoma), Huangbai (Phellodendri Cortex), Weilingxian (Clematidis Radix), Wujia Pi (Acanthopanacis Cortex), Shengdihuang (Rehmanniae Radix), Baijiezi (Sinapis Semen), Baishao Yao (Paeoniae Radix Alba), and Danggui (Angelicae Sinensis Radix). After two doses, chest and hypochondriac pain stopped, and fever subsided. Yi Yi Ren (Coicis Semen) was then added. After eight doses, she was able to walk.