昆山周知县(景星)家一妇病腹中块痛有产科专门者诊之为气积投以流气破积之剂令人以
汤饼轴
戛之不效后得一医诊之乃曰此胎气也用四物汤安之而愈后果生一男又南京户部主事韩语亮妻
病腹中作痛按之若有物在脐之左右适 中一名医至京请诊视之云是 瘕服三棱蓬术之剂以其
不效乃止旬余腹渐觉大至数月生二男噫此皆有命而然可不慎哉(菽园杂记)
浙人柯敬仲陈云峤 从化三人自恃禀气强盛预防痈疽之患皆好服防风通圣散每日须进一
服以
为快其后三人不及中寿之年无病暴亡噫岂非好服凉药太过销烁元气急无所救者欤欲求益生反
致殒命嗟夫张洁古有云无病服药乃无事生事可不戒哉(杨太史山居新话)
木鳖子不可服与猪肉相反犯之立死余尝见刘绩霏雪录载一富人生二子皆钟爱之恣其食
啖遂成痞块其父得一方用木鳖子煮猪肉同食之其幼子当夜死明日长子死近见山塘吴氏子年二
十余患便毒清晨服木鳖子药至午饱啖猪肉须臾叫噪而死是以益信刘之所记不妄
云
老人痰气及小儿慢惊脾风欲绝之时虚痰上攻咽喉引气粗大脉来浮数是谓阴盛格阳或误认
为阳
气已复又有喉中痰响如锯一二日间但闭目不开此虚极之故医者不识覆灯将灭之证反行下痰之
药往往痰随气下气
随痰绝医者慎之顷岁吴士黄得之妻病羸疾绝食骨立延世医治遂用猪尾膏疗之药才入咽立毙
余见颅囟方书猪尾膏主治痘疮血 旬日后不结脓窠痂 心火炎燥气喘妄言如见鬼物者用之
今乃以治气血久虚之人致其速死观此医其可以世论耶书此以警好奇者
昆山周知县（景星）家中有一位妇人，患腹中有肿块且疼痛。一位产科专科医生诊断为气积，投以行气破积的药剂。让人用汤饼棍敲击腹部，但无效。后来得到另一位医生诊治，说这是胎气，用四物汤安胎，病就好了。后果然生下一个男孩。
又南京户部主事韩语亮的妻子，患腹部作痛，按压时感觉脐之左右有物存在。恰逢一名名医到京城，请他诊视，说是瘕（腹内结块），服用三棱、蓬术（莪术）的药剂。因为无效便停止服药。十余天后腹部渐渐变大，到了几个月后生下两个男孩。唉，这都是有命注定而然的，能不谨慎吗？（出自《菽园杂记》）
浙江人柯敬仲、陈云峤、从化三人，自恃禀赋之气强盛，为了预防痈疽之患，都喜好服用防风通圣散，每天必须进服一剂，以此为快。后来这三人在未及中寿之年，无病暴亡。唉，岂不是因为喜好服用凉药太过，销烁元气，急迫时无所救助的吗？本想求得长生，反而导致殒命。唉！张洁古曾说：“无病服药，乃无事生事”，可不戒慎吗？（出自杨太史《山居新话》）
木鳖子不可服用，与猪肉相反，犯之立即死亡。我曾见刘绩《霏雪录》记载：有一富人有两个儿子，皆钟爱他们，恣意让他们吃猪肉，遂成痞块。其父得一方，用木鳖子煮猪肉同食。结果幼子当夜死，次日长子死。近来见山塘吴氏之子，年二十余岁，患便毒（肛周脓肿等），清晨服用木鳖子药，中午饱食猪肉，须臾之间叫噪而死。因此更加相信刘绩所记述的不是妄言。
老人痰气及小儿慢惊脾风欲绝之时，虚痰上攻咽喉，引气粗大，脉来浮数，这是谓阴盛格阳。或者误认为阳气已复。又有喉中痰响如锯，一二日间但闭目不开，这是虚极的缘故。医者不识此为覆灯将灭之证，反行下痰之药，往往痰随气下，气随痰绝。医者慎之。顷岁吴士黄之妻患羸疾，绝食骨立，延请世医治之，遂用猪尾膏疗之。药才入咽立即毙命。我见《颅囟方书》载猪尾膏主治痘疮血热，旬日后不结脓窠痂，心火炎燥气喘妄言如见鬼物者用之。今乃以治气血久虚之人，致其速死。观此医，其可以世论耶？书写此文以警示好奇者。
In the household of Zhou Jingxing, Magistrate of Kunshan, a woman suffered from abdominal masses and pain. A specialist in obstetrics diagnosed it as Qi accumulation (Qi Ji) and prescribed decoctions to move Qi and break up accumulations. Someone used a rolling pin on dough cakes to press her abdomen, but it was ineffective. Later, another physician examined her and stated this was fetal Qi (Tai Qi). He treated her with Siwu Tang (Four Substances Decoction) to calm the fetus, and she recovered. She subsequently gave birth to a son.
In Nanjing, the wife of Han Yuliang, Principal Secretary at the Ministry of Revenue, suffered from abdominal pain. Upon palpation, there seemed to be an object to the left and right of the umbilicus. Coincidentally, a renowned physician arrived in the capital, whom they invited to examine her. He diagnosed it as Jia (abdominal mass) and prescribed herbs such as Sanleng (Sparganii Rhizoma) and Pengzhu (Curcumae Rhizoma). When this proved ineffective, the treatment was stopped. Over ten days later, her abdomen gradually enlarged, and months later she delivered twins. Alas, these cases are determined by fate; can one not be cautious? (From *Shuyuan Zaji*)
Ke Jingzhong, Chen Yunqiao, and Conghua, three men from Zhejiang, relied on their robust constitution and took Fengwang Tongsheng San (Fangfeng Tongsheng Powder) daily to prevent carbuncles and sores, finding pleasure in this regimen. Later, all three died suddenly without illness before reaching middle age. Alas, did they not consume too much cooling medicine, thereby depleting their Yuan Qi (Original Qi), leaving them unable to be saved in emergencies? Seeking longevity, they instead brought about their demise. Alas! Zhang Jiegu once said: "Taking medicine when healthy is creating trouble out of nothing." One must beware of this. (From Yang Taishi's *Shanju Xinhua*)
Mubiezi (Strychni Semen) should not be consumed; it is incompatible with pork. Violating this rule leads to immediate death. I once read in Liu Ji's *Feixue Lu* that a wealthy man had two sons whom he doted on, allowing them to eat pork freely, which resulted in the formation of痞块 (Pi Kuai, stagnant masses). His father obtained a prescription using Mubiezi boiled with pork for them to eat together. The younger son died that night, and the elder son died the next day. Recently, I learned of a son of the Wu family from Shantang, aged over twenty, who suffered from Bi Du (perianal abscess). In the morning he took medicine containing Mubiezi, and at noon ate a heavy meal of pork. Shortly thereafter, he cried out and died. This further convinces me that Liu's record is not false.
When elderly people suffer from Phlegm-Qi disorders, or infants suffer from Slow Convulsion due to Spleen Wind approaching collapse, deficient Phlegm attacks upward to the throat, causing coarse breathing and a floating, rapid pulse. This is termed Yin Excess repelling Yang (Yin Sheng Ge Yang). It is often mistakenly believed that Yang Qi has recovered. Another symptom is rattling phlegm in the throat like a saw, followed by closing the eyes for one or two days; this is due to extreme deficiency. Physicians who do not recognize this as the sign of a lamp about to go out may incorrectly administer drugs to drain Phlegm. Often, Phlegm follows the Qi downward, and Qi follows the Phlegm into extinction. Physicians must be cautious. In recent years, the wife of Wu Shihuang suffered from a wasting disease, refusing food and becoming skeletal. They hired a worldly physician who treated her with Zhuwei Gao (Pig Tail Ointment). As soon as the medicine entered her throat, she died. I have seen in the *Luxin Fangshu* that Zhuwei Gao is indicated for blood heat in smallpox, where pustules fail to crust after ten days, accompanied by blazing Heart Fire, dryness, panting, delirious speech, and hallucinations. Now, using it to treat someone with long-standing Qi and Blood deficiency causes rapid death. Observing this physician, how can such practices be accepted as standard medical discourse? I write this to warn those who seek novelty.