钱牧斋先生 患一症，手足时患麻痹，饮食停留，通体不快，如此数十年，到处明医
酌方制药，并不效，而年已古稀外，自以殆将终身矣。春初昭庆寺，予视脉曰∶此由心血
中润，两头枯。自涌泉血上行，至心而回，诸阳血下行，至心而回，上下不相应而气沮
矣。是以有时上身快则下体不快，下体快则上身不快，饮食居中亦由之乎，血欲上下不
得，而精神日渐槁。此当先通山泽，后济坎离，自觉有血上行。有血下行之验，再服坎离
丸半月，饮食随服随化，且觉饮食有味，再阅月饮食较向来加倍，每日多进一餐，精神长
益如壮年更胜焉。
山泽丸
川芎（酒蒸，晒，四两） 当归（酒洗，炒，六两） 升麻（六两） 川牛膝（黑豆蒸，
晒，六两） 白茯苓（人乳拌，蒸，四两） 枳壳（麸炒，四两）
共细末，蜜丸梧子大，每空心吞二钱。
坎离丸
怀大地（酒浸三宿，蒸黑烂，六两） 天门冬（去心，用新瓦焙） 麦门冬（去心，新瓦
焙，各三两） 何首乌（黑豆
九制，八两） 白术（半土炒，半面炒，四两） 白茯苓（去皮，人乳拌，蒸，三两）
川牛膝（黑豆制，蒸，六两） 山茱萸肉（酒润，去核，三两） 芡实（三两） 甘枸杞（
四两） 草（酒洗，乳蒸，三两） 五味子（二两） 地骨皮（酒蒸，三两） 人参
（二两） 当归（酒洗，炒，四两）
蜜丸，梧子大，每清晨白滚汤吞一钱，临睡酒吞一钱。
吴若谷先生 患一症，每饮食只在胸前作疼作响，以乎扪之如有物，久之饮食不下，
喘急烦闷，痰症血症胥起，日就黄瘦，服药不验，予视脉曰∶此用心过度，劳心伤痹，以
致血枯于心，流窒包络。酌一方服之，进头一剂，当使其血如轮转，气如刺疼，其血之枯者
始润，滞者始行。如此二三日，即血度包络，而胃气与心相迎，再服补丸，而心血与肾水相
应，体自康矣。
汤方
前胡 川芎 生地黄 桔梗 赤芍 当归 茯苓 陈皮 玉桂
又丸方即固真丹加九制首乌。
钟武卿妇 患一症，饮食不能进，羸瘦已极，忽吐血如倾，五昼夜不止，第六日目闭口
噤，直倒气绝。又阅一日，是日化纸，将入棺矣，而血唾犹未止。予视脉无可踪迹，然
脉气尚在，世有气绝已久而生血上行者乎？此必命门火未灭也，用生大黄一钱，捣烂入鼻孔
，须臾鼻气渐通。又以参三分同生蕙地六分，入滚汤捣汁，灌入喉，须臾作叹息，而
口能叫疼矣。再视脉已有一息，予曰∶血者水谷之精，生于心，化于脾，布于肺，气行则血
行。若内已受伤，妄行于
上，此必尽出而后快者。医家不知，误用止血药太多，止血脾郁，血遂不能化于脾矣，
脾不化，则止血肺郁，血遂不能化于肺矣。脾不化，则谷气不入，新血不生。其叫
疼者，脾伤而肺筋下坠也。气已绝而血不止者，为药所误，而命火虽坠犹未灭，心血消
长也。血脉自芤，小弱者生，脉静身凉，有似乎死，而不知乃生机也，是以投之辄验。
汤方
生地蕙（一钱） 赤芍药（八分） 侧柏叶（一钱） 生艾叶（八分） 黄芩（一
钱） 川芎（八分）
服此方三剂而病体全愈。用药之奇在生大黄与生参地耳，夫生大黄气最盛，脾血不化
，壅热已极，遂一吸而通，且性寒能凉血。随以参培元气，地归血路，其气已复，以地
芍柏艾芩芎除旧生新，数剂愈矣。
梁吉之妇 患肺痈，脓血不止，渴极，舌生疮不能开口，大小便秘涩，七日不通，诸医
进硝黄亦不效。予视脉曰∶此非肺痈也，毒在脾胃不能出，其毒红肿已极，如拳大塞于肠口
，用大黄只能稍凉血，而加以朴硝与之斗，血益妄行。此当用化毒散，泻肺疗风，和中解
毒，俾其毒从污中去者十之六，从二便去者十之三，而病疗矣。
化毒散
人参（一钱） 黄芩（一钱） 石膏（二钱） 芒硝（八分） 大黄（一钱） 麻黄（六
分） 连翘（八分） 瓜蒌（八分） 牡蛎（八分） 贝母（八分） 木香（六分） 桔梗（
八分） 栀子仁（一钱） 当归（一钱） 川芎（八分） 赤茯苓（八分）
上方服一剂觉身上微冷，被盖出汗，即能开口言语；再
服一剂，小便流血水二三碗；又一剂，腹痛大便行皆脓血，流两个时始见硬粪，内毒已清，
并口疮全愈矣。
王尔用妇 患一虚症，头眩目花，手持物即软，足欲行即踬，腹极饥欲食，而一物
不能下，枯瘦如柴；多痰短气，每服药即胸膈如刺。予视脉曰∶此症服四物汤，诸医
未始不是，但服四物汤即痛如刺，其故未晓也。又他药投之更痛，遂束手不用药矣。予许
以两剂即愈，诸医以予有何如奇药，果两日全愈，反问予所用者，亦即四物汤也。因语以
四物汤亦即有异，盖此症宜芎归等补药，然胸膈有痰气肺火，而脘窍未能即下，补剂甚急
而未能即受，予即用四物汤，而先用枳壳一两煮浓汁，将四物入，浸露一宿，晒干入煎。夫
枳壳宽胸理气，补剂才入而即宽，稍宽而已过脘矣，投之即验，盖以此。
地黄 当归 白芍 川芎 茯神 牛膝 白术 人参 甘草
煎照常。
柴完我 患一症，怔忡胀满吞酸，四肢厥冷，饮食不下，大小便每日行数次，或多或涩
，十年寻医不效。予视脉曰∶此误认为中寒中湿症，多用附子理中汤而益重也，此症因好色过
度，醉后行房，邪入筋络，上攻而怔忡，中聚而胀满，入四肢而酸疼，思饮食而不纳，皆邪火
也。数剂而愈。
汤方
黄连 山栀（童便炒黑） 黄柏（酒炒） 知母 白茯苓 五味子 石莲子 木通 甘草
加黑枣二枚，灯心七根。
姚思济 患一症，筋挛头重，腰疼膝肿，饮食减少，甚至手足不能动。诸医不晓，多用补剂
。风邪不出，变症百出，
患十余年，服药将满车，成不起之症矣。予视脉曰∶此肝肾气虚，风入筋骨，当用乌头全
蝎等药。服五日而饮食进，又五日而体轻，又五日而手足持行如故。
末方
乌头（炮去皮脐） 白附子（炮） 苍术（炒） 川芎 天麻 官桂 羌活 牛膝（各一两）
全蝎（焙，六钱） 僵蚕 当归 防己 黄 （蜜炙） 羌活（各一两五钱） 麝香（三分）
共末，酒服，每服一钱五分。
汪善长 患一症，口中苦极，苦茶入则发呕，咽疼不可忍，不生疮，不发肿，无可用药。谓是热
症，以寒药投之，入喉即吐，易辛热投之，益甚其疼，诸医无可奈何。挨至半月，饮汤全不能下，
食硬米饭日可进半碗，身体干瘦，症益重，惟待毙而已。予视脉曰∶同一热症，而此热有异。夫精气
出入，滋养荣卫，全在口，心热则口苦。咽者胃之系，胃热极而作疼，皆宜寒药。然寒药入喉即吐，
此有故。心胃热宜汤饮，然饮不能下反爱饭，亦有故。以此症乃脏肺积湿，湿生火，火炎上，故口苦
咽疼。湿发于地，饮者水类也，水入重伤，故虽宜寒药而恶水煎。脾热口甘，五谷皆甘美，脾气未伤
故喜饭。三剂全愈。
药方
川连（一两） 嫩石膏（五钱） 淮山药（一两） 白茯苓（五钱）
共研极细，每一次用五钱，拌入硬米饭中，才入口即觉甘美，日进二服，至三日口不苦、咽不疼
，饮食胥进矣。
吴行之 患赤白痢症，三年体瘦面青，饮食不下，并畏
闻饮食之气，热者进，即欲呕，诸药服极多，后并药气俱畏。予视脉曰∶夫气血俱伤则赤白相兼
，总由湿热攻之太急，病将愈而重伤，痢久胃虚，遂饮食不进。三年而肠胃不败、水谷不绝者，
以秉气旺而初感亦未甚重，因攻之太骤，收涩太早，邪气去而复壅，又多用参术，亦能调扶天气
，而肠路不净，日久益增。畏闻饮食之气并药气者，服汤药过多，中气既伤，邪胜于主。谷气者
中气也，下不能化，则中不能纳。凡热则生气，畏气者，畏热也。原感湿热，邪气甚则畏主气也
。即病治病，四剂而愈。
药方
川连（五钱） 枳壳（三钱） 木香（三钱）
取井水一碗，用前药生磨冷服，四日全愈，此谓即病治病也。病患既苦煎药之气，畏不肯服
，是以服亦无功，予即不用入火之药，冷水生磨，入口便觉爽快，中其肠胃之气也。初入与邪气
相安，既入则邪不能容，反客为主，奏功易易耳。
张修甫 患一症，腰痛重坠如负千斤，惟行房时不见重，服补肾等丸总不效。予视脉曰∶夫
腰者肾之府，肾气虚斯病腰，服补肾丸未尝不是，然何以行房时不见重？瘀血滞之也。故行房时，
肾摇而血行，行即不瘀，遂不见其重也。二剂而愈。
汤方
黄柏（盐水炒） 知母（蜜炙） 乌药 桃仁（去皮尖） 青皮 红花 苏木 穿山甲 木通
（各一钱） 甘草（五分）
加黑枣一枚，生姜二片。
谢家一孩子 九岁，初起感冒，服药五六日不效，眼直手软，懒言语，神色昏迷。至九日
忽然气喘，不省人事，四肢冰冷三日，以为死矣，欲入棺，只胸前火热。至第七日，眼目鼻口手
足俱冷，而胸前火热未除。适予过其门，告以病缘，予视脉曰∶此由疳邪内作，误认为感冒
而治其表，脏气受郁已极，遂不能通心窍，而同死人也。胸前火热者，积表气也，法当下之。上不
下者下不上，表里呼应，即得生机。用朱砂、铁粉、琥珀共八分，挖开口灌之，须臾胸前气响运
旋，即有气退场门，两个时觉手足有动意。再用升麻人参汤，更吞朱铁散八分，肠中作响，鼻息喘急
；通体微暖，服汤药三日而始能言语，又服药三日而始能开眼。从死得生，亦快事也。
铁朱散
朱砂（二钱） 铁粉（一钱） 琥珀（二钱）
参麻汤
人参（五分） 升麻（五分） 白豆蔻（六分） 香白芷（三分）
汤方（前三日用）
附子（去皮，炒，五分） 南星（姜炮，八分） 沉香（三分，磨冲） 木香（五分，磨冲）
人参（八分） 甘草（三分）
汤方（后三日用）
当归（一钱） 白术（八分） 白芍（八分） 肉桂（六分） 白茯苓（六分） 川芎（六分）
人参（八分） 远志（六分） 甘草（三分）
沈维新 患一症，腹如刺疼，有时攻心，咽如烟闭，不能通气，诸医不知何症，一日换数药，
不能忍，遂欲自缢。予视脉曰∶此伤寒症，初感能忍，未经汗散，陡至四五日沉
重，诸医不知此，谓其心疼咽烟，遂以黄连解毒药服之，宜乎其益重，而思死也。用瓜蒂散吐
之，即心不疼，只腹痛；咽不烟，只咽干。然后用四逆汤加减，由从前颠倒用药，故其后遂先吐
而后温脏也。
李买甫 患一症，腹中每响动如雷，有声彻上下，隔邻犹闻之，两胁痛不可忍，偶食肉即发
，后闻肉气亦发。初起面口俱青，渐紫黑，至不省人事，如死样三个时始得苏，药总不效。予视
脉曰∶此由伤食不得化，积秽成块，体肥多血，以血裹食。其见肉即发者，必系肉块也，肉欲出
不能。遂响动如雷，末药一料而愈。
末方
山查肉（一半酒炒，一半生用，四两） 桃仁（去皮尖，二两） 川芎 山棱 莪术（醋炒
，各三两） 槟榔（一两） 砂针（一两，醋炒）
共为末，每空心酒吞三钱。
游成宇 患一症，遍身畏寒，夏月亦须绵袄，夜即烘火，鼻中全然不闻香臭，鼻孔有一物豆
大痒极，若以手爪入则又痛极，惟以黄泥入鼻知为土气，常半月不开口，无医可治，予视脉曰∶
病有奇症，医有奇方，此不必用药，只一昼夜即愈，却用毒手，俾之苦极，始得生路。觅一间房极
小，不漏风，四面有砖者，其房四面俱锥一孔，地下掘一小坑仅盘大，可容人面，病患住房内锁
闭。用家艾百斤，渐从四面孔内烧入，自晨至午，烧至三四十斤，烟塞满房，不能容鼻，没奈何以
头触之，寻有空隙，以鼻抵之，即盘大可容人面者，须臾觉鼻息通畅。自午至子，遍身热极，将绵
袄俱脱。天明开门看时，其鼻中血落，不畏风寒，服补中益气汤十剂全愈。究此病所以，因居楼
上，木气太甚，冬月用火太
多，无缝可泄，木又生火，积久成痼，热在脏腑，寒在皮肤，用艾以灸皮肤之寒，而通
脏腑之窍。木入土而朽，火入土而尽，观其病时，惟闻有土气，固已得治法矣。
张太华 患一症，初起口疮身热，用凉药稍愈，后渐神昏气倦，不思饮食，久益见人
不识，手舞摇头，热极但欲饮水，以水肿不与饮，屡用寒药，吐不能纳。予视脉曰∶此病
固宜寒药，而用寒药亦有异。夫病势已久，服药已多，见连柏等即吐者，伤胃也。夫湿郁
成热，火起于胃，初起但凉膈散一服便清，不早为计，火郁已极，又多服寒药，胃伤畏寒
，因不相纳。予亦用寒药，一剂而愈。
末方
辰砂（五分） 玄明粉（八分） 真青黛（六分） 人中白（一钱）
共为末，白滚汤吞下，一服即愈。再用六君子汤数剂。盖黄连等药入胃，迟留搜剔而未即
行，又其气太寒，因与胃斗，用辰砂等迅速易达肠胃，积火久欲去此而出矣。
钱牧斋先生患有一种病症，手足时常出现麻痹感，食物停滞在体内，全身感到不适，这种情况持续了几十年。各地名医斟酌处方、配制药物，但都没有效果，此时他已年过七十，自认为恐怕要终身受此折磨了。初春时节在昭庆寺，我诊察他的脉象后说：这是由于心血中滋润不足，导致上下两端枯竭。正常情况下，血液从涌泉穴向上运行至心脏后返回，诸阳之血向下运行至心脏后也返回，现在上下气血不能相应，导致气机阻滞。因此有时上身舒适而下身不适，下身舒适而上身又不适，饮食居中也是由此引起，血液想要上下流通却不得，精神日渐枯槁。这应当先疏通山泽（指调理气机升降），后济助坎离（指调和心肾），自觉有血液上行和下行的感觉后，再服用坎离丸半个月，饮食随服随化，并且觉得饮食有了味道，再过一个月，饮食量比平时加倍，每天多吃一餐，精神日益增长，甚至比壮年时还要好。
山泽丸
川芎（酒蒸，晒干，四两） 当归（酒洗，炒，六两） 升麻（六两） 川牛膝（黑豆蒸，晒干，六两） 白茯苓（人乳拌，蒸，四两） 枳壳（麸炒，四两）
共研为细末，用蜂蜜制成梧桐子大小的丸药，每次空腹吞服二钱。
坎离丸
怀地黄（酒浸三晚，蒸黑烂，六两） 天门冬（去心，用新瓦焙干） 麦门冬（去心，新瓦焙干，各三两） 何首乌（黑豆九制，八两） 白术（半土炒，半面炒，四两） 白茯苓（去皮，人乳拌，蒸，三两） 川牛膝（黑豆制，蒸，六两） 山茱萸肉（酒润，去核，三两） 芡实（三两） 甘枸杞（四两） 草（酒洗，乳蒸，三两） 五味子（二两） 地骨皮（酒蒸，三两） 人参（二两） 当归（酒洗，炒，四两）
蜂蜜制丸，梧桐子大小，每天清晨用白开水吞服一钱，临睡前用酒吞服一钱。
吴若谷先生患有一种病症，每次饮食只在胸前作痛作响，用手触摸好像有物块，时间久了饮食难以下咽，气喘急促烦闷，痰症和血症都起来了，日渐黄瘦，服药无效。我诊察脉象后说：这是用心过度，劳伤心神导致痹阻，致使心血干枯，血流阻滞在心包络。斟酌一方让他服用，进服第一剂后，应使其血液如车轮般旋转，气机如针刺般疼痛，这样干枯的血液才开始滋润，阻滞的血液才开始运行。如此两三天后，血液就能通过心包络，胃气与心神相互迎和，再服用补益丸药，使心血与肾水相应，身体自然康复。
汤方
前胡 川芎 生地黄 桔梗 赤芍 当归 茯苓 陈皮 玉桂
另一丸方即固真丹加九制首乌。
钟武卿的妻子患有一种病症，饮食无法进入，极度消瘦，忽然吐血如倾泻，五昼夜不止，第六天眼睛紧闭口噤，直挺挺地倒气绝。又过了一天，这天正在折纸钱，准备入棺了，而血唾仍未停止。我诊察脉象找不到踪迹，然而脉气还在，世间哪有气绝已久还能生血上行的呢？这一定是命门之火未灭。用生大黄一钱，捣烂塞入鼻孔，片刻后鼻息逐渐通畅。又以人参三分同生地黄六分，放入滚水中捣汁，灌入喉咙，片刻后发出叹息声，而且口中能叫疼了。再诊脉已有一息跳动，我说：血是水谷的精微，生于心，化于脾，布散于肺，气行则血行。如果内部已经受伤，妄行于上，这一定是排尽后才痛快。医生不知道这一点，误用止血药太多，导致止血而脾郁结，血液遂不能在脾中化生；脾不化生，则导致肺郁结，血液遂不能在肺中化生；脾不化生，则谷气不入，新血不生。她叫疼，是因为脾伤而肺筋下坠。气已绝而血不止，是被药物所误，而命火虽然坠落犹未熄灭，是心血消长的表现。血脉呈现芤脉，小弱者可生，脉静身凉，看似死亡，而不知这是生机，所以投药往往有效。
汤方
生地黄（一钱） 赤芍药（八分） 侧柏叶（一钱） 生艾叶（八分） 黄芩（一钱） 川芎（八分）
服用此方三剂而病体全愈。用药的奇妙在于生大黄与人参、地黄。生大黄气最盛，脾血不化，壅热已极，于是被吸入而通，且性寒能凉血。随即用人参培补元气，地黄引导血液归路，其气已复，用地黄、芍药、柏叶、艾叶、黄芩、川芎除旧生新，数剂便痊愈了。
梁吉之的妻子患肺痈，脓血不止，口渴至极，舌生疮不能开口，大小便秘涩，七日不通，各位医生使用硝石、大黄也不见效。我诊察脉象后说：这不是肺痈，毒邪在脾胃不能排出，其毒邪红肿已极，像拳头大堵塞在肠口，使用大黄只能稍微凉血，再加上朴硝与之争斗，血液更加妄行。这应当使用化毒散，泻肺疗风，和中解毒，使得毒邪从污秽中去的占十分之六，从二便去的占十分之三，病就好了。
化毒散
人参（一钱） 黄芩（一钱） 石膏（二钱） 芒硝（八分） 大黄（一钱） 麻黄（六分） 连翘（八分） 瓜蒌（八分） 牡蛎（八分） 贝母（八分） 木香（六分） 桔梗（八分） 栀子仁（一钱） 当归（一钱） 川芎（八分） 赤茯苓（八分）
上方服用一剂后感觉身上微冷，盖被子出汗，就能开口言语；再服一剂，小便流出血水二三碗；又一剂，腹痛大便通行全是脓血，流了两个时辰才见到硬粪，内毒已清，连同口疮全部痊愈。
王尔用的妻子患一种虚症，头晕眼花，手持物品就无力，脚想行走就跌倒，腹部极度饥饿想吃东西，但一样东西也吃不下，枯瘦如柴；多痰短气，每服药就觉得胸膈如针刺。我诊察脉象后说：此症服用四物汤，各位医生未尝不对，但服用四物汤就痛如针刺，其中的缘故我不明白。其他药物投进去更痛，于是束手不用药了。我承诺两剂即可痊愈，各位医生以为我有什么奇药，果然两天全愈，反过来问我用了什么，也就是四物汤。于是告诉他们四物汤也有不同之处，大概此症宜用芎、归等补药，然而胸膈有痰气肺火，而脘窍未能立即下行，补剂很急而不能立即接受，我就用四物汤，而先用枳壳一两煮浓汁，将四物汤药料放入浸泡露置一夜，晒干后再煎。因为枳壳宽胸理气，补剂刚进入就宽舒了，稍宽舒就已经过了脘部了，投药即验，大概就是这个原因。
地黄 当归 白芍 川芎 茯神 牛膝 白术 人参 甘草
煎法照常。
柴完我患一种病症，怔忡胀满吞酸，四肢厥冷，饮食不下，大小便每日行数次，或多或涩，十年寻医无效。我诊察脉象后说：这是误认为是中寒中湿症，多用附子理中汤而病情加重了，此症因好色过度，醉后行房，邪气侵入筋络，上攻而怔忡，中聚而胀满，入四肢而酸疼，思饮食而不纳，都是邪火所致。数剂而愈。
汤方
黄连 山栀（童便炒黑） 黄柏（酒炒） 知母 白茯苓 五味子 石莲子 木通 甘草
加黑枣二枚，灯心七根。
姚思济患一种病症，筋挛头重，腰疼膝肿，饮食减少，甚至手足不能动。各位医生不懂，多用补剂。风邪不出，变症百出，患病十余年，服药将满车，成了不起之症了。我诊察脉象后说：这是肝肾气虚，风邪侵入筋骨，应当使用乌头、全蝎等药。服用五日而饮食进，又五日而身体轻快，又五日而手足持行如故。
末方
乌头（炮去皮脐） 白附子（炮） 苍术（炒） 川芎 天麻 官桂 羌活 牛膝（各一两） 全蝎（焙，六钱） 僵蚕 当归 防己 黄芪（蜜炙） 羌活（各一两五钱） 麝香（三分）
共研为末，酒送服，每次服一钱五分。
汪善长患一种病症，口中苦极，喝苦茶则发呕，咽疼不可忍，不生疮，不发肿，无可用药的地方。说是热症，用寒药投之，入喉即吐，换辛热药投之，更加剧其疼痛，各位医生无可奈何。挨至半月，饮汤完全不能下，吃硬米饭每天可进半碗，身体干瘦，症状加重，只有等待死亡而已。我诊察脉象后说：同样是热症，但这热有所不同。精气出入，滋养荣卫，全在口，心热则口苦。咽是胃的系带，胃热极而作疼，都适宜用寒药。然而寒药入喉即吐，这是有原因的。心胃热适宜汤饮，然而饮不能下反而爱吃饭，也是有原因的。以此症乃脏肺积湿，湿生火，火炎上，故口苦咽疼。湿发于地，饮水者水类也，水入重伤，故虽宜寒药而恶水煎。脾热口甘，五谷皆甘美，脾气未伤故喜饭。三剂全愈。
药方
川连（一两） 嫩石膏（五钱） 淮山药（一两） 白茯苓（五钱）
共研极细，每次用五钱，拌入硬米饭中，才入口即觉甘美，日进二服，至三日口不苦、咽不疼，饮食都进了。
吴行之患赤白痢症，三年体瘦面青，饮食不下，并畏惧闻到饮食的气味，热的进食，就想呕吐，各种药服极多，后来连药气都畏惧。我诊察脉象后说：气血俱伤则赤白相兼，总由湿热攻之太急，病将愈而重伤，痢久胃虚，遂饮食不进。三年而肠胃不败、水谷不绝者，以秉气旺而初感亦未甚重，因攻之太骤，收涩太早，邪气去而复壅，又多用参术，也能调扶正气，而肠路不净，日久益增。畏惧闻到饮食之气并药气者，服汤药过多，中气既伤，邪胜于主。谷气者中气也，下不能化，则中不能纳。凡热则生气，畏气者，畏热也。原感湿热，邪气甚则畏主气也。即病治病，四剂而愈。
药方
川连（五钱） 枳壳（三钱） 木香（三钱）
取井水一碗，用前药生磨冷服，四日全愈，这叫即病治病。病患既然苦于煎药的气味，畏惧不肯服，所以服了也无功，我即不用入火的药，冷水生磨，入口便觉爽快，击中肠胃之气。初入与邪气相安，既入则邪不能容，反客为主，奏功容易。
张修甫患一种病症，腰痛重坠如负千斤，只有在行房时不见重，服用补肾等丸药总是不效。我诊察脉象后说：腰是肾的府邸，肾气虚则病腰，服用补肾丸未尝不是，然而为什么行房时不见重？是瘀血阻滞的缘故。所以在行房时，肾摇而血行，行即不瘀，遂不见其重了。二剂而愈。
汤方
黄柏（盐水炒） 知母（蜜炙） 乌药 桃仁（去皮尖） 青皮 红花 苏木 穿山甲 木通（各一钱） 甘草（五分）
加黑枣一枚，生姜二片。
谢家一个孩子九岁，初起感冒，服药五六日不效，眼直手软，懒言语，神色昏迷。到第九日忽然气喘，不省人事，四肢冰冷三日，以为死了，欲入棺，只胸前火热。到第七日，眼目鼻口手足俱冷，而胸前火热未除。恰好我经过他家，告知病因，我诊察脉象后说：这是由疳邪内作，误认为感冒而治其表，脏气受郁已极，遂不能通心窍，而同死人了。胸前火热者，是积表气也，法当下之。上不下者下不上，表里呼应，即得生机。用朱砂、铁粉、琥珀共八分，挖开口灌之，片刻后胸前气响运旋，即有气退场门，两个时辰后觉得手足有动意。再用升麻人参汤，更吞朱铁散八分，肠中作响，鼻息喘急；通体微暖，服汤药三日而始能言语，又服药三日而始能开眼。从死得生，也是快事。
参麻汤
人参（五分） 升麻（五分） 白豆蔻（六分） 香白芷（三分）
汤方（前三日用）
附子（去皮，炒，五分） 南星（姜炮，八分） 沉香（三分，磨冲） 木香（五分，磨冲） 人参（八分） 甘草（三分）
汤方（后三日用）
当归（一钱） 白术（八分） 白芍（八分） 肉桂（六分） 白茯苓（六分） 川芎（六分） 人参（八分） 远志（六分） 甘草（三分）
沈维新患一种病症，腹如刺疼，有时攻心，咽如烟闭，不能通气，各位医生不知是什么症，一日换数药，不能忍受，遂欲自缢。我诊察脉象后说：这是伤寒症，初感能忍，未经汗散，陡至四五日沉重，各位医生不知道这点，谓其心疼咽烟，遂以黄连解毒药服之，宜乎其益重，而思死也。用瓜蒂散吐之，即心不疼，只腹痛；咽不烟，只咽干。然后用四逆汤加减，由从前颠倒用药，故其后遂先吐而后温脏也。
李买甫患一种病症，腹中每响动如雷，有声彻上下，隔邻犹闻之，两胁痛不可忍，偶食肉即发，后闻肉气亦发。初起面口俱青，渐紫黑，至不省人事，如死样三个时始得苏，药总不效。我诊察脉象后说：这是由伤食不得化，积秽成块，体肥多血，以血裹食。其见肉即发者，必系肉块也，肉欲出不能。遂响动如雷，末药一料而愈。
末方
山楂肉（一半酒炒，一半生用，四两） 桃仁（去皮尖，二两） 川芎 山棱 莪术（醋炒，各三两） 槟榔（一两） 砂针（一两，醋炒）
共为末，每次空腹酒吞三钱。
游成宇患一种病症，遍身畏寒，夏月亦须绵袄，夜即烘火，鼻中全然不闻香臭，鼻孔有一物豆大痒极，若以手爪入则又痛极，惟以黄泥入鼻知为土气，常半月不开口，无医可治，我诊察脉象后说：病有奇症，医有奇方，此不必用药，只一昼夜即愈，却用毒手，使其苦极，始得生路。觅一间房极小，不漏风，四面有砖者，其房四面俱锥一孔，地下掘一小坑仅盘大，可容人面，病患住房内锁闭。用家艾百斤，渐从四面孔内烧入，自晨至午，烧至三四十斤，烟塞满房，不能容鼻，没奈何以头触之，寻有空隙，以鼻抵之，即盘大可容人面者，须臾觉鼻息通畅。自午至子，遍身热极，将绵袄俱脱。天明开门看时，其鼻中血落，不畏风寒，服补中益气汤十剂全愈。究此病所以，因居楼上，木气太甚，冬月用火太多，无缝可泄，木又生火，积久成痼，热在脏腑，寒在皮肤，用艾以灸皮肤之寒，而通脏腑之窍。木入土而朽，火入土而尽，观其病时，惟闻有土气，固已得治法矣。
张太华患一种病症，初起口疮身热，用凉药稍愈，后渐神昏气倦，不思饮食，久益见人不识，手舞摇头，热极但欲饮水，以水肿不与饮，屡用寒药，吐不能纳。我诊察脉象后说：此病固宜寒药，而用寒药亦有异。夫病势已久，服药已多，见连柏等即吐者，伤胃也。夫湿郁成热，火起于胃，初起但凉膈散一服便清，不早为计，火郁已极，又多服寒药，胃伤畏寒，因不相纳。予亦用寒药，一剂而愈。
末方
辰砂（五分） 玄明粉（八分） 真青黛（六分） 人中白（一钱）
共为末，白开水吞下，一服即愈。再用六君子汤数剂。盖黄连等药入胃，迟留搜剔而未即行，又其气太寒，因与胃斗，用辰砂等迅速易达肠胃，积火久欲去此而出矣。
Mr. Qian Mu Zhai suffered from a condition where his hands and feet frequently experienced numbness, food stagnated in the body, and he felt discomfort throughout his entire system. This persisted for decades. Famous physicians everywhere prescribed formulas and prepared medicines, but none were effective. By the time he was over seventy years old, he believed he would suffer this fate for life. In early spring at Zhaoqing Temple, I examined his pulse and said: This is caused by a lack of nourishment in the Heart Blood, leading to dryness at both ends. Normally, blood ascends from the Yongquan acupoint (Kidney 1) to the Heart and returns; the Yang blood descends to the Heart and returns. Now, the upper and lower Qi fail to correspond, causing Qi obstruction. Therefore, sometimes the upper body feels comfortable while the lower does not, and vice versa. Food digestion in the middle is also affected by this. The blood desires to circulate up and down but cannot, causing the spirit to wither day by day. One should first unblock the Mountain and Marsh (regulating the ascending and descending of Qi), then assist Kan and Li (harmonizing Heart and Kidney). Once there is a sensation of blood ascending and descending, take Kanli Wan (Kan-Li Pill) for half a month. Food will digest immediately upon ingestion, and taste will return. After another month, food intake will double compared to before, with one extra meal per day. Spirit will increase daily, surpassing even that of his youth.
Shanze Wan (Mountain-Marsch Pill)
Chuanxiong Rhizome (Jiu Zheng, dried, 4 liang) Angelicae Sinensis Radix (Jiu Xi, fried, 6 liang) Cimicifugae Rhizoma (6 liang) Cyathulae Radix (Black Soybean steamed, dried, 6 liang) Poria (Mixed with Human Milk, steamed, 4 liang) Aurantii Fructus (Bran fried, 4 liang)
Grind into fine powder, make pills the size of mulberry seeds. Swallow 2 qian on an empty stomach.
Kanli Wan (Kan-Li Pill)
Huai Dihuang (Soaked in wine for three nights, steamed until black and soft, 6 liang) Asparagi Radix (Remove heart, bake on new tile) Ophiopogonis Radix (Remove heart, bake on new tile, each 3 liang) Polygoni Multiflori Preparata Radix (Nine preparations with Black Soybean, 8 liang) Atractylodis Macrocephalae Rhizoma (Half earth-fried, half flour-fried, 4 liang) Poria (Remove skin, mixed with Human Milk, steamed, 3 liang) Cyathulae Radix (Prepared with Black Soybean, steamed, 6 liang) Corni Fructus (Moistened with wine, remove pit, 3 liang) Euryales Semen (3 liang) Lycii Fructus (4 liang) [Herb name missing in source, likely related to context] (Washed with wine, steamed with milk, 3 liang) Schisandrae Fructus (2 liang) Lycii Cortex Radicis (Steamed with wine, 3 liang) Ginseng Radix et Rhizoma (2 liang) Angelicae Sinensis Radix (Washed with wine, fried, 4 liang)
Make honey pills the size of mulberry seeds. Swallow 1 qian with plain boiled water every morning, and 1 qian with wine before sleep.
Mr. Wu Ruo Gu suffered from a condition where eating caused pain and noise only in the chest. Palpation revealed a mass. Over time, food could not go down, leading to panting, urgency, and irritability. Phlegm disorders and blood disorders arose, and he became increasingly yellow and thin. Medicines were ineffective. I examined his pulse and said: This is due to excessive mental exertion, damaging the Heart and causing Bi obstruction, resulting in dry Heart Blood and stagnation in the Pericardium Collateral. I prescribed a formula. After the first dose, the blood should rotate like a wheel, and Qi should feel like needle pricks. Only then will the dry blood become moist and the stagnant blood begin to move. After two or three days, the blood will pass through the Pericardium Collateral, and Stomach Qi will meet Heart Qi. Taking tonifying pills thereafter will harmonize Heart Blood and Kidney Water, restoring health.
Decoction Formula
Peucedani Radix Chuanxiong Rhizome Rehmanniae Radix Prunellae Spica Red Peony Root Angelicae Sinensis Radix Poria Citri Reticulatae Pericarpium Cinnamomi Ramulus
Another pill formula is Guzhen Dan (Solidify True Pill) plus Nine-Prepared Polygoni Multiflori Preparata Radix.
Mrs. Zhong Wu Qing suffered from a condition where she could not eat, was extremely emaciated, and suddenly vomited blood profusely, continuing for five days and nights. On the sixth day, her eyes were closed, jaw clenched, and she lay rigid as if dead. Another day passed; paper money was being folded for burial, yet blood still flowed. Her pulse was imperceptible, but Qi remained. Is it possible for someone to have been dead for so long and yet generate blood upwards? This must be because the Fire of the Gate of Life has not extinguished. Use 1 qian of Raw Rhubarb, pounded and applied to the nostril. Soon nasal breathing will resume. Then mix 3 fen of Ginseng Radix et Rhizoma with 6 fen of Raw Rehmanniae Radix, pound in boiling water to extract juice, and pour into the throat. Soon she will sigh and cry out in pain. Re-examining the pulse, there is now one beat per breath. I said: Blood is the essence of grain and water, generated by the Heart, transformed by the Spleen, distributed by the Lung. When Qi moves, Blood moves. If internal injury has occurred and blood rebels upwards, it must be expelled completely to bring relief. Physicians do not understand this, using too many hemostatic drugs, causing Spleen stagnation, preventing blood transformation in the Spleen. If the Spleen fails to transform, Lung Qi stagnates, preventing blood transformation in the Lung. If the Spleen fails to transform, Grain Qi does not enter, and new blood is not generated. Her crying out is due to Spleen injury and descent of Lung tendons. Qi is exhausted but blood continues to flow due to medication error; although the Life Fire has fallen, it has not extinguished, reflecting the waxing and waning of Heart Blood. The pulse is Kou (hollow), small and weak indicates survival. Pulse quiet and body cool may seem like death, but it is actually vitality. Hence, treatment is effective.
Decoction Formula
Raw Rehmanniae Radix (1 qian) Red Peony Root (8 fen) Platycladi Cacumen (1 qian) Raw Mugwort Leaf (8 fen) Scutellariae Radix (1 qian) Chuanxiong Rhizome (8 fen)
Three doses cured the illness. The miracle of the medication lies in Raw Rhubarb, Ginseng, and Rehmannia. Raw Rhubarb has strong Qi; when Spleen blood fails to transform and heat accumulates excessively, it draws the blockage away, and its cold nature cools the blood. Ginseng then supports Yuan Qi, and Rehmannia guides blood back to its path. With Qi restored, Rehmannia, Peony, Platycladus, Mugwort, Scutellaria, and Chuanxiong eliminate the old and generate the new. Several doses cured it.
Mrs. Liang Ji Zhi suffered from Lung Abscess, with continuous pus and blood, extreme thirst, mouth ulcers preventing opening of the mouth, and constipation for seven days. Physicians used Mirabilite and Rhubarb without effect. I examined the pulse and said: This is not Lung Abscess. The toxin is in the Spleen and Stomach and cannot exit. The toxin is extremely swollen and red, blocking the intestinal opening like a fist. Using Rhubarb only slightly cools the blood, and adding Mirabilite fights it, causing more reckless blood flow. One should use Huadu San (Toxin Resolving Powder) to drain the Lung, dispel wind, harmonize the middle, and resolve toxins. Sixty percent of the toxin will exit via filth, thirty percent via urination and defecation, and the disease will heal.
Huadu San (Toxin Resolving Powder)
Ginseng Radix et Rhizoma (1 qian) Scutellariae Radix (1 qian) Gypsum Fibrosum (2 qian) Natrii Sulfas (8 fen) Rheum Palmatum Radix et Rhizoma (1 qian) Ephedrae Herba (6 fen) Forsythiae Fructus (8 fen) Trichosanthis Fructus (8 fen) Ostreae Concha (8 fen) Fritillariae Bulbus (8 fen) Aucklandiae Radix (6 fen) Platycodonis Radix (8 fen) Gardeniae Fructus (1 qian) Angelicae Sinensis Radix (1 qian) Chuanxiong Rhizome (8 fen) Red Poria (8 fen)
After one dose, slight chill and sweating under blankets allowed speech. After a second dose, two to three bowls of bloody urine were passed. After a third dose, abdominal pain led to passage of pus and blood in stool. After two hours, hard stool appeared, internal toxins cleared, and mouth ulcers healed.
Mrs. Wang Er Yong suffered from a deficiency syndrome: dizziness, blurred vision, weakness holding objects, stumbling when walking, extreme hunger but inability to swallow anything, emaciation, excessive phlegm, shortness of breath, and stabbing pain in the chest/epigastrium after taking medicine. I examined the pulse and said: Prescribing Siwu Tang (Four Substances Decoction) is correct, but why does it cause stabbing pain? Other medicines cause worse pain, so doctors gave up. I promised cure in two doses. Doctors wondered what miracle drug I used. It turned out to be Siwu Tang. However, Siwu Tang can vary. This case required tonics like Chuanxiong and Danggui, but Phlegm-Qi and Lung Fire were in the chest/epigastrium, blocking the orifices. Tonics were too urgent to be accepted. I used Siwu Tang but first boiled 1 liang of Aurantii Fructus in thick juice, soaked the Siwu Tang ingredients in it overnight, dried them, and then decocted. Aurantii Fructus expands the chest and regulates Qi. When tonics entered, the chest was already expanded, allowing passage past the epigastrium. That is why it worked.
Rehmanniae Radix Angelicae Sinensis Radix White Peony Root Chuanxiong Rhizome Poria Codonopsis Radix Achyranthis Bidentatae Radix Atractylodis Macrocephalae Rhizoma Ginseng Radix et Rhizoma Licorice Radix et Rhizoma
Decoct as usual.
Chai Wan Wo suffered from palpitations, distension, acid regurgitation, cold limbs, inability to eat, frequent bowel movements (varying amount or difficulty), for ten years without success. I examined the pulse and said: This was mistaken for Cold-Dampness in the Middle Jiao. Excessive use of Fuzi Lizhong Tang worsened it. This case resulted from excessive sexual indulgence and intercourse while drunk. Pathogens entered the sinews and collaterals, attacking upwards causing palpitations, gathering in the middle causing distension, entering limbs causing soreness, and rejecting food desire—all due to Evil Fire. Several doses cured it.
Decoction Formula
Coptidis Rhizoma Gardeniae Fructus (Stir-fried black with Child's Urine) Phellodendri Cortex (Wine fried) Anemarrhenae Rhizoma Poria Schisandrae Fructus Nelumbinis Plumula Akebiae Caulis Licorice Radix et Rhizoma
Add two Black Dates and seven roots of Juncus Effusus.
Yao Si Ji suffered from muscle spasms, heavy head, lower back pain, swollen knees, reduced appetite, and immobility of hands and feet. Physicians did not understand, using mostly tonics. Wind pathogens did not exit, causing myriad changes. For over ten years, cartloads of medicine were taken, becoming incurable. I examined the pulse and said: Liver and Kidney Qi are deficient, Wind has entered sinews and bones. Use Aconitum and Scorpio. After five days, appetite returned. After ten days, body felt light. After fifteen days, hands and feet functioned normally.
Powder Formula
Aconiti Lateralis Radix Praeparata (Pao, remove skin and root end) Bolbitis Rhizoma (Pao) Atractylodis Rhizoma (Fried) Chuanxiong Rhizoma Gastrodiae Rhizoma Cinnamon Twig Notopterygii Rhizoma et Radix Achyranthis Bidentatae Radix (Each 1 liang) Scorpio (Roasted, 6 qian) Bombyx Batryticatus Angelicae Sinensis Radix Podagricae Radix Astragali Membranacei Radix (Honey fried) Notopterygii Rhizoma et Radix (Each 1.5 liang) Moschus (3 fen)
Grind into powder, take with wine, 1.5 qian per dose.
Wang Shan Chang suffered from extreme bitter taste in mouth, vomiting bitter tea, unbearable throat pain, no ulcers or swelling, no obvious treatment site. Treated as Heat syndrome with cold herbs caused immediate vomiting. Switching to pungent-hot herbs worsened pain. Physicians were helpless. After half a month, liquids could not pass, only half a bowl of hard rice daily. Body wasted, condition critical. I examined the pulse and said: Both are Heat syndromes, but different. Essence and Qi circulation, nourishing Ying and Wei, all relate to the mouth. Heart Heat causes bitterness. Throat is the connection of the Stomach. Extreme Stomach Heat causes pain, usually treated with cold herbs. But cold herbs cause vomiting here—there is a reason. Heart-Stomach Heat prefers liquid drinks, yet drinking is rejected while liking rice—there is a reason. This case is Dampness accumulation in Zang and Lung, generating Fire, which flares upward, causing bitterness and throat pain. Dampness arises from Earth; water belongs to Water. Drinking water causes further injury, hence aversion to decoctions despite needing cold herbs. Spleen Heat causes sweet taste; grains are sweet. Spleen Qi is undamaged, hence preference for rice. Three doses cured it.
Medicine Formula
Coptidis Rhizoma (1 liang) Tender Gypsum Fibrosum (5 qian) Dioscoreae Hypoglaucae Rhizoma (1 liang) Poria (5 qian)
Grind extremely fine. Use 5 qian each time, mix with hard rice. Sweet upon entry. Take twice daily. By the third day, mouth no longer bitter, throat no longer painful, diet resumed.
Wu Xing Zhi suffered from Dysentery (Red and White) for three years, emaciated, green face, unable to eat, aversion to smell of food. Hot foods caused vomiting. Many medicines taken, eventually aversion to medicine smell itself. I examined the pulse and said: Damage to both Qi and Blood causes mixed red and white dysentery. Total cause is excessive aggression against Damp-Heat. Disease was near cure but severely injured again. Long-term dysentery leads to weak Stomach Qi, hence no appetite. For three years, intestines and stomach did not fail, and grain/water continued because constitution was strong and initial infection was not severe. However, aggressive attack and premature astringency caused pathogens to return and accumulate. Excessive use of Ginseng and Atractylodes supported Righteous Qi but did not clear the intestinal path, worsening over time. Aversion to food and medicine smells is due to excessive decoction use damaging Middle Qi, allowing Pathogen to dominate. Grain Qi is Middle Qi. If lower cannot transform, middle cannot accept. Heat generates Qi; aversion to Qi is aversion to Heat. Originally contracted Damp-Heat; when Pathogen is strong, it dominates Host Qi. Treat the disease directly. Four doses cured it.
Medicine Formula
Coptidis Rhizoma (5 qian) Aurantii Fructus (3 qian) Aucklandiae Radix (3 qian)
Take one bowl of well water, grind raw herbs cold, drink cold. Cured in four days. This is "treating the disease directly." Patient suffered from decoction smell, refused to take it, rendering it useless. I used no fire-cooked herbs. Cold grinding made it refreshing, hitting the Intestine-Stomach Qi. Initially compatible with Pathogen, once inside, Pathogen cannot tolerate it, reversing host-guest relationship, achieving easy success.
Zhang Xiu Fu suffered from heavy, dragging lower back pain as if carrying a thousand jin. Pain disappeared during intercourse. Kidney-tonifying pills failed. I examined the pulse and said: Waist is the residence of the Kidney. Kidney Qi deficiency causes waist pain. Kidney tonics are not wrong, but why no pain during intercourse? Blood stasis obstruction. During intercourse, Kidney shakes, Blood moves, stasis clears, hence no heaviness. Two doses cured it.
Decoction Formula
Phellodendri Cortex (Salt water fried) Anemarrhenae Rhizoma (Honey fried) Linderae Radix Peach Kernel (Remove skin and tip) Green Tangerine Peel Safflower Pericarpium Sappan Wood Manis Squama Aquilariae Caulix (Each 1 qian) Licorice Radix et Rhizoma (5 fen)
Add one Black Date and two slices of Ginger.
Xie Family's nine-year-old child initially had a common cold. Five to six days of medicine ineffective. Eyes straight, hands weak, reluctant to speak, confused expression. On the ninth day, sudden panting, unconsciousness, cold limbs for three days. Thought dead, preparing coffin, only chest was hot. On the seventh day (note: timeline discrepancy in source, likely meant later stage), eyes, nose, mouth, hands, feet all cold, but chest heat remained. I passed by, heard the story, examined pulse and said: This is Gan Evil acting internally. Mistaken for cold, treated exteriorly. Zang Qi severely depressed, unable to open Heart orifices, appearing dead. Chest heat is accumulated Exterior Qi. Method requires purging downward. If upper does not descend, lower does not ascend. Interior-exterior interaction brings vitality. Use Cinnabaris, Ferrum Oxidatum, Succinum total 8 fen. Open mouth and administer. Soon chest Qi rotates and sounds, Qi retreats from anus. After two hours, hands and feet show movement signs. Then use Shengma Renshen Tang (Cimicifuga and Ginseng Decoction), swallow Zhutie San (Cinnabar-Iron Powder) 8 fen. Intestines rumble, nasal breathing rapid. Whole body slightly warm. After three days of decoction, able to speak. After another three days, able to open eyes. From death to life, a joyous event.
Zhitie San (Iron-Cinnabar Powder)
Cinnabaris (2 qian) Ferrum Oxidatum (1 qian) Succinum (2 qian)
Shenma Tang (Ginseng-Cimicifuga Decoction)
Ginseng Radix et Rhizoma (5 fen) Cimicifugae Rhizoma (5 fen) Amomi Fructus Rotundus (6 fen) Angelicae Dahuricae Radix (3 fen)
Decoction Formula (First three days)
Aconiti Lateralis Radix Praeparata (Remove skin, fried, 5 fen) Pinelliae Tuber (Ginger processed, 8 fen) Aquilariae Resina (3 fen, ground and mixed) Aucklandiae Radix (5 fen, ground and mixed) Ginseng Radix et Rhizoma (8 fen) Licorice Radix et Rhizoma (3 fen)
Decoction Formula (Last three days)
Angelicae Sinensis Radix (1 qian) Atractylodis Macrocephalae Rhizoma (8 fen) White Peony Root (8 fen) Cinnamon Bark (6 fen) Poria (6 fen) Chuanxiong Rhizoma (6 fen) Ginseng Radix et Rhizoma (8 fen) Polygalae Radix (6 fen) Licorice Radix et Rhizoma (3 fen)
Shen Wei Xin suffered from stabbing abdominal pain, sometimes attacking the Heart, throat feeling blocked by smoke, unable to breathe. Physicians did not know the syndrome, changing medicines multiple times a day. Unbearable, attempted suicide. I examined the pulse and said: This is Shanghan (Cold Damage) syndrome. Initial contraction was bearable, but without sweating dispersion, by day four or five it became severe. Physicians did not know this, attributing heart pain and throat smoke to Heat, prescribing Huanglian Jiedu Tang (Coptis Decoction for Detoxification). Naturally it worsened, leading to desire for death. Use Gouti San (Melon Pedicle Powder) to induce vomiting. Heart pain ceased, only abdominal pain remained. Smoke sensation ceased, only dry throat remained. Then use Sini Tang (Reverse the Yin Decoction) modified. Because previous medications were inverted, subsequent treatment involved vomiting first, then warming the Zang organs.
Li Mai Fu suffered from abdominal rumbling like thunder, sound penetrating up and down, audible to neighbors. Unbearable hypochondriac pain. Occasional meat consumption triggered attacks; later even smelling meat triggered attacks. Initially face and mouth blue, gradually purple-black, unconscious for three hours before recovery. Medicines ineffective. I examined the pulse and said: This is Food Retention failing to transform, accumulating filth into a mass. Obese with much blood, blood wraps food. Reaction to meat suggests meat mass wanting to exit but unable. Hence rumbling like thunder. One dose of powder cured it.
Powder Formula
Crataegi Fructus (Half wine-fried, half raw, 4 liang) Peach Kernel (Remove skin and tip, 2 liang) Chuanxiong Rhizoma Curcuma Zedoaria Rhizoma Vinegar-fried, each 3 liang) Arecae Semen (1 liang) Sandarac (1 liang, vinegar fried)
Grind into powder. Swallow 3 qian with wine on empty stomach.
You Cheng Yu suffered from whole-body aversion to cold, requiring cotton-padded jacket even in summer, heating fire at night. Complete loss of smell/taste in nose. A bean-sized object in nostril extremely itchy; scratching caused severe pain. Only recognized earth smell by putting yellow mud in nose. Often silent for half a month, no physician could treat. I examined pulse and said: Strange diseases have strange prescriptions. No need for internal medicine. Cure in one day and night, but use harsh method to cause extreme suffering, creating a path to life. Find a very small room, leak-proof, brick walls. Drill holes in all four walls. Dig a small pit on floor, plate-sized, fitting a face. Lock patient inside. Burn 100 jin of domestic Mugwort leaves, gradually inserting smoke through wall holes from morning to noon. Burn 30-40 jin. Smoke fills room, unbearable for nose. Forced to touch head, find gap, press nose to it (the plate-sized pit). Soon nasal breathing clears. From noon to midnight, whole body extremely hot, removing cotton jacket. At dawn, open door. Nose bleeds, no longer afraid of wind/cold. Take Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) ten doses. Cured. Reason for disease: Living upstairs, excessive Wood Qi. Winter fire usage too high, no vent. Wood generates Fire. Accumulated into chronic condition. Heat in Zang-Fu, Cold in Skin. Use Mugwort to moxa Skin Cold and open Zang-Fu orifices. Wood rots in Earth, Fire extinguishes in Earth. Observing the disease, only earth smell detected, confirming treatment method.
Zhang Tai Hua suffered from mouth ulcers and fever initially. Cool medicines helped slightly. Later gradual confusion, fatigue, loss of appetite,不认识 people, dancing and shaking head, extreme heat desiring water. Due to edema, water withheld. Repeated cold medicines caused vomiting and inability to retain. I examined pulse and said: This disease suits cold medicines, but application differs. Disease prolonged, many medicines taken. Vomiting upon seeing Coptis and Phellodendrum indicates Stomach damage. Dampness depression turns to Heat, Fire starts in Stomach. Initially, Liangge San (Cool the Diaphragm Powder) one dose would clear it. Not planned early, Fire depression extreme. More cold medicines damaged Stomach, causing fear of cold and rejection. I also used cold medicines, one dose cured it.
Powder Formula
Cinnabaris (5 fen) Natrii Sulfas Refinatus (8 fen) Indigo Naturalis (6 fen) Hominis Calcinatus (1 qian)
Grind into powder. Swallow with plain boiled water. One dose cured. Follow with Liu Junzi Tang (Six Gentlemen Decoction) several doses. Coptis etc. stay in Stomach, lingering and searching without immediate action, and their Qi is too cold, fighting the Stomach. Cinnabar etc. reach Intestines/Stomach quickly. Accumulated Fire long desired to exit.