昔刘子正妻病气厥笑哭不常人以为鬼祟所凭后遇儒医倪惟德胗其左右手曰脉俱沉胃脘必
有所积有所积必作疼遂以二陈汤导之吐痰升许病果愈
仇山村少时尝苦嗽疾百药不瘳有越州学录者教其取桑条向南嫩者不拘多寡毋条约寸许用
二十一枝纳于沙石锅中用水五碗煎至一碗遇渴饮之服一月而愈(仇远稗史)
盘溪周训导舜卿年五十时患痰火之症外貌虽 禀气则浓性不喜饮请朱医视脉孟浪指为虚
火用
补中益气汤加参术各五钱病者服药超时反致气喘上升喘息几不能活复延钱中立视之曰此实火
也宜泻不宜补痰气得补火邪愈炽岂不危殆先用二陈汤探吐出痰碗许其夜安寝平明仍用二陈
去
半夏加朴硝大黄下结粪无数其热始退更用调理药旬日始安吁不识病机妄施补泻鲜不败事者矣
(e)麻油化痰
苏合香丸古方多以酒调服是以往往服者不能奏功若以人参汤佐之其功倍于常也凡中风不
省人
事牙关紧急者用此丸旋加麝香一二分以真麻油调灌之无不吐痰而苏者盖麻油最能化痰试滴痰
上须臾痰化为水若口开脉绝者不救
凡病患汤饮入胃就觉至脐下便欲小便由精气不输于脾不归于肺则心火上攻使口燥咽干是
阴气
太甚也饭后随即大便乃脾肾之疾夫脾肾交济所以有水谷之分脾气虽强而肾气不足故饮食下咽
而大腑为之飧泄也治法宜理脾安肾盖脾肾之气交通则水谷自然克化此所谓妙合而凝者也(仁
斋直指方)
从前,刘子正的妻子患气厥病,表现为哭笑无常,人们认为是鬼怪附身。后来遇到儒医倪惟德,诊察其左右手脉象后说:“两手脉象都沉,胃脘部一定有积滞;有积滞必然疼痛。”于是用二陈汤引导治疗,患者吐出痰涎一升多,病果然痊愈。
仇山村年轻时曾苦于咳嗽疾病,各种药物都不见效。有一位越州学录(官职名)教他:选取向南生长的桑树嫩枝条,数量不限,截成约一寸长的小段,取二十一枝放入沙石锅中,加水五碗,煎至一碗。口渴时饮用,服用一个月后痊愈。(出自《仇远稗史》)
盘溪的训导周舜卿五十岁时,患上痰火病症。他外表看似禀赋厚实,但性格不喜欢饮酒。请朱医生诊脉,朱医生草率地将其诊断为虚火,使用了补中益气汤并加入人参、白术各五钱。患者服药时间过长,反而导致气喘上逆,喘息几乎无法存活。后来又延请钱中立诊治。钱中立说:“这是实火,应当泻下而不宜进补。痰湿得到补益,火邪会更加炽盛,难道不危险吗?”先用二陈汤探吐,吐出痰液约一碗,当晚便能安睡。天亮后,仍用二陈汤去掉半夏,加入朴硝、大黄攻下结粪无数,热势才消退。再用调理药物,十天左右才安定下来。唉!如果不了解病情机理,胡乱使用补法或泻法,很少有不搞砸事情的。(e)麻油化痰
苏合香丸是古方,多以酒调服,因此往往服用者不能奏效。如果用参汤送服,其功效比平常加倍。凡是中风昏迷、牙关紧闭的患者,用此丸,随即加入麝香一二分,用真麻油调和灌服,无不因吐出痰涎而苏醒。这是因为麻油最能化痰,试滴在痰上,须臾之间痰化为水。如果口开、脉绝的,则无法救治。
凡是病患喝汤药进入胃里,就觉得药液直达脐下就想小便,这是由于精气不能输送到脾、不能归于肺,导致心火上攻,使口燥咽干,这是阴气太甚的表现。饭后随即大便,这是脾肾的疾病。脾肾相互协调,所以有水谷的分别。脾气虽然强盛,但肾气不足,所以饮食咽下后,大肠就会发生完谷不化的泄泻。治疗方法应当调理脾肾。盖因脾肾之气交通,则水谷自然消化,这就是所说的“妙合而凝”的道理。(出自《仁斋直指方》)
In the past, the wife of Liu Zizheng suffered from Qi Jue (Qi Reversal), manifesting as abnormal laughing and crying. People believed she was possessed by ghosts. Later, the Confucian physician Ni Weide examined her pulse on both hands and said: "The pulses on both hands are deep; there must be accumulation in the epigastrium. Accumulation inevitably causes pain." He then administered Er Chen Tang (Two-Cured Decoction) to guide the treatment. The patient vomited more than a sheng (a unit of volume) of phlegm, and the illness was indeed cured.
When Qiu Shanshan was young, he suffered from chronic cough, which did not respond to various medicines. An official titled Xuelu (Director of Studies) in Yuezhou taught him: Take tender branches of mulberry trees growing towards the south, cut them into segments approximately one cun long, take twenty-one segments, place them in a clay or stone pot, add five bowls of water, and decoct until only one bowl remains. Drink this when thirsty. After taking it for one month, he was cured (from *Qiu Yuan Baishi*).
Zhou Shunqing, a Xundao (Instructor) from Panxi, at the age of fifty, suffered from Phlegm-Fire syndrome. Although his exterior appeared robust and he disliked drinking alcohol, Physician Zhu examined his pulse and rashly diagnosed it as Deficient Fire. He prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Ren Shen (Ginseng Root) and Bai Zhu (Atractylodes Macrocephala Rhizome), each five qian. The patient took the medicine for an extended period, which instead caused rebellious Qi leading to asthma and panting, nearly resulting in death. Subsequently, Qian Zhongli was consulted. Qian Zhongli said: "This is Excess Fire; it should be purged, not tonified. If Phlegm-Dampness is tonified, the Fire pathogen will become even more intense, which would be perilous." First, he used Er Chen Tang (Two-Cured Decoction) to induce vomiting, expelling about one bowl of phlegm. That night, the patient slept peacefully. At dawn, he again used Er Chen Tang (Two-Cured Decoction), removing Ban Xia (Pinellia Tuber), and adding Po Xiao (Natrii Sulfas) and Da Huang (Rhei Radix et Rhizoma) to purge numerous hardened feces. Only then did the heat subside. Afterwards, using conditioning herbs, the patient stabilized after ten days. Alas! Those who do not understand the pathology and recklessly apply tonification or purgation rarely avoid failure. (e) Sesame Oil Resolving Phlegm
Suhe Xiang Wan (Styrax Pill) is an ancient formula, usually taken with wine, so it often fails to produce effects. If taken with Ginseng Decoction, its efficacy doubles that of usual administration. For patients suffering from Stroke-Wind (Zhong Feng) with loss of consciousness and locked jaw, use this pill, immediately adding 1-2 fen of She Xiang (Moschus), and mix with genuine Sesame Oil for administration. Such cases invariably recover by vomiting phlegm. This is because Sesame Oil is best at resolving phlegm; if dropped onto phlegm, it turns into water within moments. However, if the mouth is open and the pulse is absent, the condition is incurable.
Whenever a patient drinks herbal decoctions and feels the liquid reaching below the navel, triggering an immediate urge to urinate, it indicates that Essence-Qi fails to transport to the Spleen and return to the Lung, causing Heart Fire to attack upward, resulting in dry mouth and throat. This signifies excessive Yin Qi. Having a bowel movement immediately after meals is a disorder of the Spleen and Kidney. The coordination between Spleen and Kidney distinguishes water and grain processing. Although Spleen Qi may be strong, insufficient Kidney Qi leads to undigested stool diarrhea (Sun Xie) upon swallowing food. The treatment method should regulate the Spleen and secure the Kidney. When Spleen and Kidney Qi communicate, water and grain are naturally transformed. This is referred to as "wonderful integration and coagulation" (from *Ren Zhai Zhi Zhi Fang*).