唐崔铉镇渚宫,有富商船居,中夜暴亡,迨晓气犹未绝。邻房有武陵医工梁新闻之,乃与诊视,曰∶此乃
食毒也。三两日中,曾外食耶?仆夫曰∶主翁少出访,亦不食于他人。梁曰∶寻常嗜食何物?仆夫曰∶好食竹
鸡。曰∶竹鸡吃半夏,必半夏毒也。命捣姜捩汁,折齿而灌,由是而苏。崔闻而异之,召至乃安慰称奖,资以
仆马,劝入京,致书于朝士,声大振,仕至尚药奉御。有一朝士诣之,常曰∶何不早见示,风疾已深,请速归,
处置家事,委顺而已。朝士闻而慌,遽告退,策马而归。时有 州马医赵鄂者,新到京都,于通衢自榜姓名,
云攻医术。此朝士下马告之,赵亦言疾危,与梁生之说同。谓曰∶即有一法,请官人急吃消梨,不限多少,咀
嚼不及,捩汁而饮,或希万一。此朝士又策马而归,以书筒质消梨,马上旋 。行到家旬日,惟吃消梨,顿觉
爽朗,其恙不作。却访赵生感谢,又诣奉御,且言得赵生所教。梁惊异,且曰∶大国必有一人相继者。遂召赵
生,资以仆马钱帛,广为延誉,官至太仆卿。(《北梦琐言》见。见《筠斋漫录》。雄按∶梨甘寒而清风热,
即此可知治中风之肯綮矣。至崔之好贤慷慨,梁之服善颖悟,赵之学识精深,朝士之知恩感德,皆非今人所能及也。)
绍兴十九年三月,有客自番禺至舟中,士人携一仆,仆病脚弱不能行。舟师悯之曰∶吾有一药,治此病如
神,饵之而瘥者,不可胜计,当以相与。既赛庙毕,饮胙颇醉,乃入山求得药,渍酒授病者,令天未明服之。
如其言,药入口,即呻吟云∶肠胃极痛,如刀割截。迟明而死。士人以咎,舟师恚,随即取昨日所余渍,自渍
酒服之,不超时亦死。盖山多断肠草,人食之辄死。而舟师所取药,为根蔓所缠结,醉不暇择,径投酒中,是
以及于祸,则知草药,不可妄服也。(《洗冤录》出中志,见《医说》。雄按∶断肠草即胡蔓也。观此则蛊门
定年药,未必即此物也。)
黄启东治分巡检事戚公,过县,晨兴欲发,疾作不语,呼黄视之。黄曰∶脉与证不应。乃询其左右云,夜
烹食鸡。黄曰∶此必食即就寝,有蜈蚣过其鼻口中毒耳,为处剂投之立苏。戚犹未信,乃更置烹鸡寝处,果有
蜈蚣三枚,自榻顶下。(《湖广通志》。雄按∶虽未明载药治,不可为案,而医者勘病,于脉证不应处,不
可不审问慎思也。且可使饮食之人,有所鉴戒。)
盛启东明初为御医,晨值御药局,忽昏眩欲死,募人疗之莫能应。一草泽医人应之,一服而愈。帝问状,
其人曰∶盛空心入药局,猝中药毒,能和解诸药者,甘草也。帝问盛,果空心入,乃浓赐草泽医人。(
《明史》。雄按∶御药局所贮,岂尽大毒之品?审如是,则药肆中人将何以处之?)
凌汉章归安人,为诸生弃去,北游泰山,古庙前遇病患气垂绝,凌嗟叹久之。一道人忽曰∶汝欲生之乎?
曰∶然。道人针其左股立苏。曰∶此人毒瓦斯内攻,非死也,毒散自生耳。因授凌针术,治疾无不效。(《明史》。
雄按∶虽未明言所中何毒,所针何穴,然毒散自生,理固有之,医者不可不知隅反也。)
张 西言一巡按过山中,见水下有大木耳一丛,甚嫩好,以为天花菜,取归煮食之,尽一盘,即入卧房,
明日巳牌时未起,书吏倒门而入,止见白骨一副,其人尽化为水,流满床下。至山中生木耳处,寻得一蛇,大
如桶,杀之。(《戒庵漫笔》李诩。)
陆放翁《老学庵笔记》云∶族子相,少服菟丝子,十数年,所服至多,饮食倍常,血气充盛,觉背肿赤 ,
乃大疽也。适四月,金银花开,乃取花根据《良方》所载法服之,计已数斤,背肿尽消。以是知非独金石之药,
不可妄服,即菟丝亦能致疾也。
按∶是人或过于酒色,或伤于郁怒,遂致此证,未必尽由服菟丝也。然药物亦多致偏胜之患。
辛未冬,德兴西南磨石窑,居民避兵其中,兵入来攻窑中,五百人悉为烟火熏死。内一李师,迷闷中摸索
得一冻芦菔,嚼之汁,一咽而苏。更与其兄,兄亦活,五百人因此皆得命。芦菔细物,治人之功乃如此。中流
失船,一壶千金,真不虚语。河中人赵才卿,又言炭烟熏人,往往致死。临卧削芦菔一片,着火中,即烟气不
能毒人。如无芦菔时,预暴干为细末,以备急用亦可。(《续夷坚志》。)
嘉靖四十三年,陕西游僧武如香,挟妖术,至昌黎县民张柱家,见其妻美,设饭间,呼其全家同坐,将红
散入饭内食之。少顷,举家昏迷,任其奸淫。复将魇法,吹入柱耳中,柱发狂惑,见举家妖鬼,尽行杀死,凡
一十六人,并无血迹。官司执柱囚之,十余日,柱吐痰二碗许。问其故,乃知所杀者,皆其父母兄嫂妻子姊侄
也。柱与如香皆论死,世宗命榜示天下。观此妖药,亦是莨菪之流耳。唐·安禄山诱奚契丹,饮以莨菪醉酒而
坑之。(《本草纲目》。)
王思中治海盐彭氏,巨室也,其媳方婚而病,烦懑欲绝,诸医莫知所为。思中延医,令尽去帷幔窗棂,并
房中竹器,密求蟹炙脆,研入药中服之顿愈。(《吴江县志》。此中漆毒之致也。雄按∶此亦偶中而愈,未必竟
是漆毒。)
姚福庚己编云∶太仓民家得三足鳖,命妇烹食毕,入卧少顷,形化为血水,止存发耳。邻人疑其妇谋害,
讼之官。时知县黄延宣,鞠问不决,乃取三足鳖,令妇如前烹治,取死囚食之,入狱亦化如前人,遂辨其狱。
按《尔雅》三足鳖名能,又《山海经》云∶从水多三足鳖,食之无蛊,近亦有人误食而无恙者,何哉?(《本
草纲目》。)
吉安朱氏有为子腹痛,人教以取楝树东南根煎汤者,其子初不肯服,其父挞之,既入口,少顷而绝。盖出土
面之根能杀人,朱氏不考古之误也。今医家用桑白皮,本草云∶出土者,亦能杀人,可不慎哉。(《静斋至止直
记》孔行素。)
邱杰年十四,遭母丧,以熟菜有味,不尝于口。岁余,忽梦母曰∶汝啖生菜,遇虾蟆毒,灵床前有三丸药,
下蝌蚪子三升,无恙。(《 栗暇笔》。)
姚应凤治一人妇,身痛,左臂似有系之者。应凤曰∶君食肉中鼠毒,右臂生鼠。用刀决之,有小鼠坠地而
逸。(《钱塘县志》。)
龚子才治一男子,倏然低头,往暗处藏身,不言,问亦不答,食俱背人窃啖,人见之则食不下。诸人以为
中邪,用三牲祭之,其物经宿。乃妻食之,病亦如是,诸医莫知。必中鼠涎有大毒也。以吴茱萸塞入猫口,猫
涎自出;将茱萸令夫妇服之,悉愈。
一药室家人正锉药,忽仆地不省人事,诸人以为中风痰厥。龚曰∶此非病也,以药气熏蒸,中于药毒。令
以甘草煎汤灌之,立醒。(兴盛启东证治同。雄按∶此所切者,必毒烈之药。况切药必低头而视,故毒能吸入,
与盛证有真伪之殊。)
一妇人以烧酒贮锡壶内,经旬取服,止饮一小杯,即醉闷不省人事,众莫能识其证。龚曰∶此中铅毒也。
令以陈壁土搅水澄清,入甘草煎汤灌之即醒。
吴孚先治一人,长夏无故四肢厥冷,神昏不语。或作阴证,或作厥热,或作中风,或作痰治,俱不效。吴
诊之,消息再四,问前者曾食何物?其家人曰前日晚间曾食猪肺。乃恍然,令以忍冬花二两,煎汤灌之乃瘳。
盖所食,乃瘟猪肺也。
有人好食豆腐,中毒不能治。更医,至中途遇作腐人家相争,因妻误将莱菔汤置锅中,腐便不成。医得其
说,以莱菔汤下药而愈。(《医说续编》。)
唐·李宝臣为妓人置堇(音靳,即乌头也。)于液,宝臣饮之即喑,三日死。又唐·武后置堇于食,贺兰氏服之
暴死。(同上。)
刘立之治一老妇人,病腰痛,已历年,诸药不效。刘诊之云∶病虽危殆,然一夕可安。主人讶焉,乃请其
药,答曰∶不须药,用铅粉二三十两,壮士五人,大铃五七枚足矣。于是主家悉备,刘命撤床幔帐,移置屋中,
以米饮和粉置病妇腰周回,令其舒卧。壮士一人负铃绕床急走,使其声不绝,人倦即易之。至夜半夜,其妇稍
能自起立,既而腰痛顿释。举家拜云∶师神医也,愿闻其意。刘云∶此病因服水银所致,水银滞腰 间不能出,
故疼不已。今用铅粉,粉乃水银所化,为金之母,取金音以母呼子,母子合德,出投粉中,则病愈矣。(《医史》、
《医说续编》。雄按∶治法神矣。何以知其服水银,竟不叙明,是曷故也?如其炼饵,当入丹石毒门,如其误
服,不能病至历年。)
明太祖制曰∶医人王允坚卖药为生,锦衣卫监犯厨子王宗,自知罪不可逃,虑恐刃加于颈,令家人买毒
药,允坚实时卖与,隐饮中,入外监门,力士杨受财放入。内监门力士郭观保验出,外监者慌忙,反说内监者
易其药。朕 之,观保曰∶彼往卖药王允坚家买者。朕令王允坚拿至,乃黑药一丸。因授与王允坚,自吞服
之,久毒不作,朕知易药矣。谓允坚曰∶前坚此药何颜色?允坚曰∶红丸。曰∶几枚?对曰∶三枚。噫,毒本
三丸色赤,今止一丸,色且黑,何也?于是急遣人取至,黑赤色,随令王允坚吞服。本人持药在手,颜色为之
变,其态忧惊,犹豫未吞,督之乃服。既服后,随谓之曰∶此药以何料成?曰∶砒霜、巴豆,饭粘为丸,朱砂
为衣。曰∶服后何时人丧?曰∶半昼。语既,允坚泪堕。朕谓曰∶尔所以凄凉者,畏死如此乎?曰∶一子见军,
一子在外,故悲焉。呜呼,其王允坚初卖毒药毒人,及其自服也,药方入腹,眷恋之状,畏死之情,一时发见。
呜呼!愚哉至此而若此,亦何济哉?然终不以此药致本人之死,何故?若督令服此药而死,是药之也。解而后
刑之,法也。随问允坚,此毒还可解乎?曰∶可。何物可?曰∶凉水、生豆汁、熟豆汤可。朕谓曰∶此解不速,
余何速解?曰∶粪清插凉水。粪清用多少?曰∶一鸡子。于是遣人取至,候毒作方与解之。少顷,允坚身不自
宁,手搔上下摩腹,四顾张皇。朕谓曰∶毒何尔患?曰∶五脏不宁,心热气升。曰∶此毒身死伤何经络?允
坚对曰∶五脏先坏,命绝矣,身墨黑。谓曰∶几时可解?何时不解?曰∶三时候不解。朕见毒作,令人与之解,
本人痛利数番,其毒洁然,人复如初。明日枭首,以正其罪。呜呼,昔者古人制药,惟积阴骘以生人。今之货
药者,惟务生理,不施阴骘,少有逆其意。沽名恐诈者有之,实时毒害者有之,图利而卖与人伤生者有之。噫!
如此不才者,犯法遭刑,而杀身亡家,非止一人而已。京市货药者,往往不戒,蹈袭前非,将奈之何?此诰一
出,所在货药之人,听朕言者,推己以及人,永为多福。不然,此刑此犯,有不可逃者。(三编。)
周栎园曰∶癸未冬,亲串有从余游都门者,其人谨愿生平绝迹北里。突生天 ,不解所自。予忽悟其故,
解之曰∶君质弱,常服紫河车,京师四方杂集,患天 疮者甚伙,所服药中,安知无天 衣胞?此疮能延子孙,
气味所冲,尚能中人,生子多无皮肤。衣胞尤为毒瓦斯所归,君之患必缘于此。众人皆以为然。夫忍于殇人之子
以自裨。盖仁者尚不为,况未必有功,而适以滋害如此,可不知所戒。(原注∶江南皆以胞衣为人所食者,
儿多不育,惟京都不甚论。书影。雄按∶举此类推,则胞衣无毒者鲜矣。余临证几三十年矣,从未用过此药。
或病家欲用,则以羊肾代之,温补有情,功较胜焉。附质大方,以为然否?)
陈自明治二男子,剥自死牛,即日遍身患紫 ,不计其数,已而俱溃,各灌神仙毒丸一钱,一吐泻而苏,
一药不下者死。(方见蛊门。雄按∶此丸解诸毒,杀诸虫,皆极神妙。)
吴内翰《备急方》云∶全椒医高照一子无赖,父笞之,遂服砒霜自毒,大渴,腹胀欲裂。余教令服此药,
以水调,随所欲饮与之,不数碗即利而安。其方用白扁豆,晒干为细末,新汲水调下二三钱匕。
凡中毒及附子、乌头、河豚之类,一切药毒皆可治。用多年壁土,热汤泡搅之,令浊,少顷乘热去脚取饮。
不省人事,灌之甚妙。
《北梦琐言》有人为野菌所毒而笑者,煎鱼椹汁服之即愈。或云枫树菌,食之令人多笑。
来安县李主薄弦云度云∶白塔寨丁未春,有二卒一候兵,同食河豚,既醉,烧子并食之,遂皆中毒。人急
以告巡检,二卒已困殆。仓卒无药用,或人之说,独以麻油灌之。油既多,大吐,毒物尽出,腹间顿宽,以此
竟无恙。(《集成》。)
朱丹溪解中毒药方,用五倍子二两重,研细,用无灰酒温调服。毒在上即吐,在下即泻。(《医说续编》。)
一人吃水银僵死,微有喘息,肢体如冰。闻葛可久善治奇疾,往候之。可久视之曰∶得白金二百两可治。
病家谢以贫故,不能重酬。可久笑曰∶欲得白金煮汤治耳。已而叩富者乃得之,且嘱之曰∶以之煎热汤浴体,
如手足动,当来告我。有顷,手足引动,往告之,复谓曰∶眼动及能起坐,悉告我。一如其言,乃取川椒二斤,
唐代的崔铉镇守渚宫时,有一位富商住在船上,半夜突然死亡,等到天亮时气息还未断绝。邻居中有位武陵医生梁新听到了这个消息,便去诊治,说:“这是食物中毒。”问:“这两三天中,曾在外面吃饭吗?”仆人说:“主人很少外出,也没有在别人家吃饭。”梁新问:“平时喜欢吃什么食物?”仆人说:“喜欢吃竹鸡。”梁新说:“竹鸡吃半夏,一定是半夏中毒了。”让人捣碎生姜榨取汁液,掰开病人的牙齿灌下去,病人因此苏醒过来。崔铉听说后感到惊奇,召见梁新并安慰称赞他,资助他仆人和马匹,劝他进京,并写信给朝廷官员,名声大振,官至尚药奉御。
有一位朝士去找梁新看病,梁新常说:“为什么早点来见我?风疾(中风)已经深入,请赶快回去,处理家事,听天由命吧。”朝士听后惊慌,急忙告退,骑马回家。当时有一个名叫赵鄂的州马医,刚到京都,在大街上张贴自己的姓名,声称精通医术。这位朝士下马告诉了他病情,赵鄂也说病情危急,与梁新的说法相同。赵鄂对他说:“现在有一法,请大人赶紧吃消梨(雪梨),不限数量,如果嚼不动,就榨汁饮用,或许还有一线希望。”这位朝士又骑马回家,用书筒抵押换回消梨,在马上咀嚼或榨汁喝。回到家十几天,只吃消梨,顿时觉得神清气爽,病症不再发作。后来他去拜访赵鄂表示感谢,又去拜见尚药奉御梁新,并且说是得到赵医生的教导。梁新惊讶诧异,说:“大国之中必定有相继的人才。”于是召见赵生,资助他仆人马匹和钱帛,广泛为他赞誉推荐,赵生官至太仆卿。(出自《北梦琐言》,见于《筠斋漫录》。熊应雄按:梨味甘寒,能清除风热,由此可知治疗中风的要害所在。至于崔铉的好贤慷慨,梁新的服善颖悟,赵深的学识精深,朝士的知恩感德,都不是今人所能比及的。)
绍兴十九年三月,有一位客人从番禺乘船来到,士人带了一个仆人,仆人患脚弱不能行走。船夫怜悯他说:“我有一种药,治这种病如神,服用后痊愈的人不计其数,应当送给你。”祭祀完庙宇后,饮祭酒有些醉意,于是进山求得药物,浸泡在酒里交给病人,让他在天亮前服用。按照他的说法,药入口,立即呻吟说:“肠胃极痛,像刀割一样。”天亮时死去。士人责怪船夫,船夫恼怒,随即取出昨天剩下的浸泡药,自己浸泡酒服用,不超过时辰也死了。因为山里多断肠草,人吃了就会死。而船夫所取的药物,被根蔓缠绕纠结,醉酒时来不及选择,直接投入酒中,因此招致祸患,由此可见草药不可随意服用。(出自《洗冤录》转引自中志,见于《医说》。熊应雄按:断肠草就是胡蔓藤。看这个例子,蛊门中的定年药,未必就是这种东西。)
黄启东治疗分巡检事戚公,路过县里,早晨起床准备出发时,疾病发作不能说话,呼唤黄启东来看。黄启东说:“脉象与症状不相符。”于是询问身边的人,说晚上烹食鸡肉。黄启东说:“这一定是吃完就睡觉,有蜈蚣爬过鼻口导致中毒。”给他开方服药,立刻苏醒。戚公还不相信,于是重新放置烹鸡的地方作为卧室,果然有三条蜈蚣从床顶垂下。(出自《湖广通志》。熊应雄按:虽然未明确记载药物治疗,但不能不算作医案,而且医生诊断疾病,在脉证不相符的地方,不可不仔细询问、慎重思考。并且可以让负责饮食的人有所借鉴警戒。)
盛启东在明初担任御医,早晨在御药局值班,忽然昏眩想要死去,招募人治疗却无人应答。一位民间医生答应治疗,一服药就好了。皇帝询问情况,那人说:“盛启东空腹进入药局,突然中了药毒,能够和解各种药物的,只有甘草。”皇帝问盛启东,果然是空腹进入,于是重重赏赐这位民间医生。(出自《明史》。熊应雄按:御药局储存的,难道都是大毒之物?如果是这样,那么药店中人将如何处理呢?)
凌汉章是归安人,原本是秀才,后来放弃学业,向北游历泰山,在古庙前遇到一个病人气息奄奄快要断气,凌汉章叹息了很久。一个道人忽然说:“你想救活他吗?”凌汉章说:“是的。”道人在他左大腿扎针,病人立刻苏醒。道人说:“这个人毒瓦斯内攻,不是死,毒散开了自然就会活。”于是传授凌汉章针灸技术,治疗疾病没有不有效的。(出自《明史》。熊应雄按:虽然没有明确说明中了什么毒,针刺了什么穴位,但是毒散自生,道理确实如此,医生不可不知触类旁通。)
张西言讲述一个巡按御史经过山中,看见水下有一丛大木耳,非常嫩好,以为是天花菜,拿回来煮着吃,吃了一整盘,就进入卧房,第二天巳牌时还没起床,书吏撞开门进去,只见一副白骨,那个人完全化成了水,流满床下。到山中生长木耳的地方,找到一条蛇,大得像桶,把它杀了。(出自李诩《戒庵漫笔》)
陆游《老学庵笔记》说:族子相,年轻时服用菟丝子,十多年,服用的量很多,饮食加倍,血气充盛,感觉背部肿胀发红,原来是大疽(严重的痈疽)。恰逢四月,金银花开放,于是取花按照《良方》记载的方法服用,总计几斤,背部的肿胀全部消退。由此知道不仅金石类药物,不可随意服用,就连菟丝子也能致病。
按语:这个人或许是过度饮酒色欲,或者是因郁怒受伤,导致这种病症,未必完全是由服用菟丝子引起的。然而药物也多会导致偏胜的祸患。
辛未年冬天,德兴西南的磨石窑,居民躲避战乱在其中,军队进来攻打窑中,五百人全被烟火熏死。其中有一个李师,在昏迷中摸索到一个冻萝卜,嚼出汁液,咽下一口就苏醒了。又给他的哥哥吃,哥哥也活了,五百人因此都得以保全性命。萝卜虽然是细小之物,救治人的功效竟然如此巨大。所谓“中流失船,一壶千金”,真是不假的话。河中的人赵才卿,又说炭烟熏人,往往致死。临睡前削一片萝卜,放在火中,烟气就不能毒害人。如果没有萝卜,预先晒干研成细末,以备急用也可以。(出自《续夷坚志》)
嘉靖四十三年,陕西游僧武如香,挟持妖术,到昌黎县百姓张柱家,看见张柱的妻子美丽,设饭席间,叫他们全家同坐,将红散撒入饭中让他们吃。过了一会儿,全家昏迷,任由他奸淫。又将魇魔法吹入张柱耳中,张柱发狂迷惑,看见全家都是妖鬼,全部杀死,共十六人,都没有血迹。官府抓住张柱囚禁他,十多天后,张柱吐出痰约两碗。问他原因,才知道被他杀的,都是他的父母、兄嫂、妻子、侄子等。张柱与武如香都被判死刑,世宗命令榜示天下。看这个妖药,也是莨菪之类的东西。唐代安禄山引诱奚契丹,给他们喝莨菪酒醉后坑杀了他们。(出自《本草纲目》)
王思中治疗海盐彭氏,是大户人家,他的儿媳刚结婚就病了,烦闷想要死去,众医生不知道怎么办。王思中延请医生,让人撤去帷幔窗棂,并拿走房中的竹器,秘密寻找蟹炙脆,研碎放入药中服用,立刻痊愈。(出自《吴江县志》。这是漆毒导致的。熊应雄按:这也是偶然治愈,未必真的是漆毒。)
姚福庚己编云:太仓民家得到一只三足鳖,让妇女烹煮吃完后,进入卧室一会儿,身体化成血水,只剩下头发而已。邻居怀疑妇女谋害,告到官府。当时知县黄延宣,审讯无法决断,于是取来三足鳖,让妇女像之前那样烹制,找死囚犯吃它,进入监狱也化成像前人一样,于是辨明了这个案件。查考《尔雅》三足鳖名叫鼈,又《山海经》说水中多三足鳖,吃了没有蛊毒,近来也有人误食而没有事的,为什么呢?(出自《本草纲目》)
吉安朱氏有为儿子腹痛,有人教他取楝树东南方的根煎汤,他的儿子起初不肯喝,父亲打他,既然后喝下去,过了一会儿就断了气。大概出土面的根能杀人,朱氏不考察古书的错误。现在的医生使用桑白皮,本草说:出土的,也能杀人,能不谨慎吗?(出自孔行素《静斋至止直记》)
邱杰十四岁,遭遇母亲丧事,因为熟菜有味道,不吃一口。一年多后,忽然梦见母亲说:“你吃生菜,遇到蛤蟆毒,灵床前三丸药,下面蝌蚪子三升,没事。”(出自《栗暇笔》)
姚应凤治疗一个人的妻子,身体疼痛,左臂好像被束缚住。姚应凤说:“你吃的肉中有鼠毒,右臂生了老鼠。”用刀切开,有一只小老鼠掉在地上逃跑了。(出自《钱塘县志》)
龚子才治疗一个男子,突然低头,往暗处藏身,不说话,问也不答,吃东西都背着人偷偷吃,别人看见他就吃不下去。众人以为中了邪,用三牲祭祀,那个东西过夜。于是妻子吃了它,病也是这样,众医生不知道。一定是中了鼠涎有大毒。用吴茱萸塞入猫嘴里,猫涎流出;让吴茱萸夫妇服用,全都好了。
一个药房家人正在切药,忽然倒地不省人事,众人以为是中风痰厥。龚子才说:“这不是病,是被药气熏蒸,中了药毒。”让人用甘草煎汤灌下去,立刻醒来。(兴盛启东的症状治疗相同。熊应雄按:这里切的一定是毒性剧烈的药物。况且切药必须低头看,所以毒气能吸入,与盛启东的案例有真伪的区别。)
一个妇人把烧酒贮存在锡壶里,过了十天拿出来喝,只喝了一小杯,就醉闷不省人事,众人不认识这个病症。龚子才说:“这是中了铅毒。”让人用陈壁土搅水澄清,加入甘草煎汤灌下去就醒了。
吴孚先治疗一个人,长夏无故四肢冰冷,神志昏迷不说话。有人当作阴证,有人当作厥热,有人当作中风,有人当作痰治,都不见效。吴孚先诊察,反复思量,问以前吃过什么东西?他的家人说前几天晚上曾吃过猪肺。于是恍然大悟,让人用忍冬花二两,煎汤灌下去就好了。盖因所吃的,是瘟病的猪肺。
有人喜欢吃豆腐,中毒无法治疗。换医生,在半路上遇到做豆腐的人争吵,因为妻子误将莱菔汤放在锅里,豆腐就做不成了。医生得知这个说法,用莱菔汤送下药而痊愈。(出自《医说续编》)
唐代李宝臣为妓女置放堇(音靳,即乌头)于液体中,李宝臣喝了就失音,三天后死去。又唐代武则天在食物中置放堇,贺兰氏服用后暴死。(同上)
刘立之治疗一个老妇人,病腰痛,已经多年,各种药都不见效。刘立之诊察说:“病虽然危殆,然而一晚就可以安宁。”主人惊讶,于是请求他的药,回答说:“不需要药,用铅粉二三十两,壮士五人,大铃五七个就够了。”于是主家全部准备好,刘立之命令撤去床幔帐,移到屋中,用米饮调和粉放在病妇腰部周围,让她舒展躺下。壮士一人背着铃绕床快走,使铃声不断,人累了就换人。到了半夜,那妇人稍微能自己起立,不久腰痛顿时缓解。全家拜谢说:“老师真是神医,愿闻其意。”刘立之说:“这个病因服用水银所致,水银滞留在腰间不能排出,所以疼痛不止。现在用铅粉,粉是水银所化,为金之母,取金的音以母称呼子,母子合德,出来投入粉中,病就好了。”(出自《医史》、《医说续编》。熊应雄按:治疗方法神奇啊。怎么知道他服用水银,竟然没有叙述明白,这是什么缘故?如果是炼丹服饵,应当列入丹石毒门,如果是误服,不可能病延续多年。)
明太祖下诏说:医生王允坚卖药为生,锦衣卫监管犯厨子王宗,自知罪不可逃脱,担心刀刃加于颈上,让家人买毒药,王允坚立即卖给,隐藏在饮中,进入外监门,力士杨受财放入。内监门力士郭观保查验出来,外监者慌张,反而说内监者换了药。朕审问,郭观保说:“他是去卖药的王允坚家买的。”朕让王允坚拿来,是一丸黑药。于是交给王允坚,让他自己吞服,很久毒没发作,朕知道换了药。对王允坚说:“先前这药是什么颜色?”王允坚说:“红丸。”问:“几枚?”回答:“三枚。”唉,毒本来是三丸红色,现在只有一丸,而且是黑色,为什么呢?于是急忙派人取来,黑红色,随即让王允坚吞服。本人拿着药在手,脸色为之改变,神态忧愁惊恐,犹豫没吞,督促后才服。既服后,随即对他说:“这药用什么原料制成?”说:“砒霜、巴豆,饭粘做成丸,朱砂做衣。”问:“服后何时人丧?”说:“半天。”说完,王允坚流泪。朕对他说:“你之所以凄凉,是怕死吗?”说:“一个儿子参军,一个儿子在外,所以悲伤。”呜呼!王允坚当初卖毒药毒人,等到他自己服用时,药刚入腹,眷恋之情,畏死之情,一时发作。呜呼!愚蠢到这种地步,又有什么帮助呢?然而最终没有因为这个药导致本人死亡,为什么?如果督促让他服此药而死,是陷害他。解开束缚后再刑讯,是依法行事。随即问王允坚,这个毒还可以解吗?说:“可以。”什么可解?说:“凉水、生豆汁、熟豆汤可。”朕对他说:“这个解得不快,我有什么快解?”说:“粪清插凉水。”粪清用多少?说:“一个鸡蛋的量。”于是派人取来,等毒发作才给解。不一会儿,王允坚身体不安宁,手搔上下摩腹,四处张皇。朕对他说:“毒为什么让你痛苦?”说:“五脏不宁,心热气升。”问:“这个毒身死伤何经络?”王允坚回答说:“五脏先坏,命绝矣,身墨黑。”问:“几时可解?何时不解?”说:“三个时辰不解。”朕见毒发作,让人给他解,本人痛利数次,毒完全排出,人恢复如初。第二天斩首,以正其罪。呜呼!过去古人制药,只积阴骘以救人。现在卖药的人,只求利润,不施阴骘,少有违背他们的意愿。沽名钓誉恐欺诈的有之,即时毒害的有之,图利而卖给人伤生的有之。唉!如此不才的人,犯法遭刑,而杀身亡家,不止一人而已。京城市场卖药的,往往不警惕,重蹈前非,将奈之何?这个诰令一出,各地卖药的人,听我的话,推己及人,永远多福。不然,此刑此犯,有不可逃脱的。(三编)
周栎园说:癸未年冬天,亲戚中有跟随我在京师游玩的人,这个人谨慎老实,生平从未去过青楼。突然生出天疱疮,不知道来源。我突然领悟其中的原因,解释他说:“你体质弱,常服用紫河车,京师四方杂集,患天疱疮的人很多,所服的药物中,怎知没有天疱疮患者的衣胞?这个疮能遗传子孙,气味冲撞,还能中人,生子多无皮肤。衣胞更是毒瓦斯聚集的地方,你的患病必然源于此。”众人都认为是对的。忍心伤害别人的孩子来滋补自己。大概仁者尚且不为,何况未必有功,反而增加危害如此,可以不知道警戒。(原注:江南都以胞衣被人食用,孩子多不育,惟京师不太讲究。书影。熊应雄按:举此类推,那么无毒的胞衣很少了。我临证近三十年,从未用过此药。或者病家想用,就用羊肾代替,温补有情,功效胜过它。附质大方,以为然否?)
陈自明治两个男子,剥自死的牛,当天遍身患紫斑,不计其数,随后都溃烂,各灌神仙毒丸一钱,一个吐泻后苏醒,一个药下不去的死去了。(方剂见蛊门。熊应雄按:此丸解诸毒,杀诸虫,都极神妙。)
吴内翰《备急方》说:全椒医生高照的一个儿子是无赖,父亲打他,于是服砒霜自毒,大渴,腹胀欲裂。我教他服此药,用水调,随他想喝给他喝,不几碗就腹泻而安宁。其方用白扁豆,晒干为细末,新汲水调下二三钱匕。
凡中毒及附子、乌头、河豚之类,一切药毒皆可治。用多年的壁土,热汤泡搅之,令浑浊,少顷乘热去渣取汁饮用。不省人事,灌之甚妙。
《北梦琐言》有人被野菌毒而笑,煎鱼椹汁服用即愈。有人说枫树菌,吃它让人多笑。
来安县李主薄弦云度说:白塔寨丁未年春天,有两个士兵一个候兵,同吃河豚,既醉,烧子并吃,遂皆中毒。人急忙告诉巡检,两个士兵已困顿危险。仓促无药用,听从别人的说法,独以麻油灌之。油既多,大吐,毒物尽出,腹间顿宽,以此竟无恙。(《集成》)
朱丹溪解中毒药方,用五倍子二两重,研细,用无灰酒温调服。毒在上即吐,在下即泻。(《医说续编》)
一人吃水银僵死,微有喘息,肢体如冰。听说葛可久善治奇疾,前往请教。葛可久看他说:“得白金二百两可治。”病家以贫穷为由谢绝,不能重酬。葛可久笑着说:“想要白金煮汤治罢了。”随后敲富有者才得到,并且嘱咐他说:“用它煎热汤浴体,如果手足动,应当来告诉我。”一会儿,手足牵引动,前往告诉他,又对他说:“眼动及能起坐,都告诉我。”完全照他的话做,于是取川椒二斤,
In the Tang Dynasty, Cui Xuan governed Zhugong. A wealthy merchant lived on a boat and suddenly died in the middle of the night; by dawn, his breath had not yet ceased. Liang Xin, a medical practitioner from Wuling who lived next door, heard of this and went to examine him. He said, "This is food poisoning." He asked, "Have you eaten out in the past two or three days?" The servant replied, "My master rarely goes out and has not eaten at others' homes." Liang Xin asked, "What do you usually like to eat?" The servant said, "He likes to eat bamboo chickens." Liang Xin said, "Bamboo chickens eat Pinellia ternata (Banxia), so it must be Pinellia toxicity." He ordered ginger to be crushed and its juice extracted, then pried open the patient's teeth and poured the juice in. The patient revived. Cui Xuan was surprised upon hearing this, summoned Liang Xin, comforted and praised him, provided him with servants and horses, advised him to go to the capital, and wrote letters to court officials. His reputation spread widely, and he eventually rose to the position of Shangyao Fengyu (Imperial Physician in Charge of Medicine).
A court official visited Liang Xin for treatment. Liang Xin often said, "Why did you not see me earlier? Your wind disease (Zhongfeng, stroke) has already penetrated deeply. Please return home quickly, settle your affairs, and leave it to fate." The official, alarmed, hastily took his leave and rode home. At that time, there was a horse doctor named Zhao E from a prefecture who had just arrived in the capital. He posted his name on a main street, claiming proficiency in medicine. The court official dismounted and told him of his condition. Zhao E also stated that the illness was critical, agreeing with Liang Xin's assessment. Zhao said to him, "There is one method now. Please have the official urgently consume Xi Li (Pyrus pyrifolia, Asian pear), without limit on quantity. If chewing is difficult, extract the juice and drink it. There might be a slim chance." The official rode back home again, pawned his book tube for Xi Li, and chewed or juiced them while riding. After returning home for ten days, consuming only Xi Li, he felt refreshed and the ailment did not recur. Later, he visited Zhao E to express gratitude and then went to see the Imperial Physician Liang Xin, mentioning that he had been taught by Doctor Zhao. Liang Xin was astonished and said, "In a great nation, there must be successors following one another." Thus, he summoned Zhao Sheng, provided him with servants, horses, money, and silk, and widely recommended him. Zhao E eventually became Taibu Qing (Minister of Chariots and Horses). (From *Beimeng Suoyan*, cited in *Yunzhai Manlu*. Xiong Yingxiong notes: Pear is sweet and cold, clearing wind-heat; from this, we can understand the key point in treating stroke. As for Cui Xuan's appreciation of talent and generosity, Liang Xin's willingness to accept good advice and quick understanding, Zhao Shen's profound knowledge, and the official's gratitude, these are beyond the reach of people today.)
In the third month of the 19th year of Shaoxing, a guest arrived by boat from Panyu. A scholar brought a servant who suffered from weak legs and could not walk. The boatman pitied him and said, "I have a medicine that cures this disease miraculously. Countless people have recovered after taking it; I should give it to you." After the temple sacrifice was completed and he had drunk some sacrificial wine and was somewhat drunk, he entered the mountains to obtain the medicine, soaked it in wine, and gave it to the sick person, instructing him to take it before dawn. Following the instructions, as soon as the medicine entered his mouth, he groaned, saying, "My intestines and stomach hurt extremely, as if cut by a knife." He died by morning. The scholar blamed the boatman, who became angry and immediately took the remaining medicine soaked from the previous day, soaked it in wine himself, and drank it. Within the hour, he also died. This is because the mountains were full of Duan Chang Cao (Aconitum coreanum, Heart-severing Grass); eating it causes death. The medicine the boatman collected was entangled with roots and vines. In his drunken state, he failed to select carefully and threw it directly into the wine, leading to disaster. This shows that herbal medicines should not be taken casually. (From *Xiyuan Lu*, cited in *Yishuo*. Xiong Yingxiong notes: Duan Chang Cao is Humantea japonica (Human). From this, the "determining-year medicine" in the Gu (poison/parasite) category is likely not this substance.)
Huang Qidong treated Qi Gong, an Inspector of Sub-inspections. While passing through a county, Qi Gong fell ill in the morning when preparing to depart, becoming unable to speak. He called Huang Qidong to examine him. Huang said, "The pulse does not match the symptoms." He then asked those around him, who reported that they had cooked and eaten chicken the previous night. Huang said, "This must be poisoning from a centipede crawling over the nose and mouth immediately after eating and going to sleep." He prescribed a formula, which cured him instantly. Qi Gong remained skeptical, so he placed the cooked chicken in his sleeping quarters again. Indeed, three centipedes were found hanging from the top of the bed. (From *Hubei Tongzhi*. Xiong Yingxiong notes: Although the specific medicinal treatment is not explicitly recorded, this cannot be dismissed as a case. Moreover, when a physician encounters discrepancies between pulse and symptoms, careful inquiry and thoughtful consideration are essential. This also serves as a warning for those responsible for diet.)
Sheng Qidong served as an Imperial Physician in the early Ming Dynasty. One morning, while on duty at the Imperial Pharmacy, he suddenly fainted and felt as if he were dying. People recruited to treat him could not respond. A folk healer volunteered and cured him with one dose. When the Emperor asked about the situation, the healer said, "Sheng entered the pharmacy on an empty stomach and suddenly ingested toxic herbs. Only Gancao (Glycyrrhizae Radix et Rhizoma) can harmonize various drugs." The Emperor asked Sheng, who confirmed he had entered on an empty stomach. Consequently, the Emperor heavily rewarded the folk healer. (From *Mingshi*. Xiong Yingxiong notes: Does the Imperial Pharmacy store only highly toxic substances? If so, how should practitioners in drugstores handle their stock?)
Ling Hanzhang was from Gui'an. Originally a student, he abandoned his studies and traveled north to Mount Tai. Before an ancient temple, he encountered a patient whose breath was nearly gone. Ling sighed for a long time. Suddenly, a Daoist priest said, "Do you wish to save him?" Ling replied, "Yes." The priest inserted a needle into the patient's left thigh, and the patient revived immediately. The priest said, "This person suffers from internal attack by toxic vapors. It is not death; once the toxin disperses, life will return naturally." He then taught Ling acupuncture techniques, which proved effective in all his treatments. (From *Mingshi*. Xiong Yingxiong notes: Although the specific toxin and acupoints are not mentioned, the principle that "life returns when toxins disperse" is valid. Physicians must learn to apply principles举一反三 (infer other cases from one example).)
Zhang Xiyan recounted that a Censor passed through a mountain area and saw a cluster of large, tender black fungus growing underwater. Mistaking it for Tianhua Cai (Tremella fuciformis), he collected it, boiled it, and ate an entire plate. He then went to his bedroom. By the Si hour (9-11 AM) the next day, he had not risen. A clerk broke down the door and found only a skeleton; the man had completely liquefied, filling the space under the bed. They searched the spot where the fungus grew and found a snake as large as a barrel, which they killed. (From Li Xu's *Jie'an Manbi*)
Lu You's *Laoxue'an Biji* states: His relative, Xiang, consumed Tusizi (Cuscutae Semen, Dodder Seed) in his youth. Over ten years, he consumed large amounts, doubling his food intake, resulting in abundant blood and qi. He developed swelling and redness on his back, which turned out to be a severe carbuncle (Ju). Coinciding with April when Lianqiao (Forsythiae Fructus, Forsythia Fruit) flowers bloomed, he took the flowers and administered them according to the method recorded in *Liangfang*. He consumed several jin (approx. 3-5 kg), and the back swelling completely subsided. This demonstrates that not only mineral drugs but also Tusizi can cause disease if taken improperly.
Note: This person may have suffered from excessive sexual activity or emotional depression/anger, leading to this condition, rather than solely from consuming Tusizi. However, drugs often cause harm due to imbalance.
In the winter of the Xinwei year, residents of Moshiyao in southwestern Dexing sought shelter in a kiln from soldiers. The soldiers attacked the kiln, and all five hundred people inside died from smoke inhalation. Among them was a Li Shi who, in a fainting state, groped for a frozen radish (Lufu/Raphani Radix), chewed it, and swallowed the juice. After one swallow, he revived. He gave some to his brother, who also survived. All five hundred people were saved because of the radish. Though a small item, its power to save lives is immense. The saying "A pot worth a thousand gold when lost in mid-stream" is truly true. Zhao Caiqing from the river region also stated that carbon monoxide/smoke poisoning often causes death. Slicing a piece of radish and placing it in the fire prevents the smoke from being toxic. If radishes are unavailable, drying them and grinding them into powder for emergency use is also effective. (From *Xu Yijian Zhi*)
In the 43rd year of Jiajing, a wandering monk from Shaanxi named Wu Ruxiang, practicing sorcery, went to the home of Zhang Zhu, a commoner in Changli County. Seeing Zhang's wife was beautiful, he set a meal, invited the whole family to sit together, and sprinkled "Red Powder" into the rice. Soon, the whole family fell into a coma, allowing him to commit rape. He then used a spell, blowing it into Zhang Zhu's ear. Zhang Zhu went mad, seeing demons and ghosts everywhere, and killed his entire family of sixteen people without leaving any bloodstains. The authorities arrested Zhang Zhu. After more than ten days, Zhang Zhu vomited about two bowls of phlegm. Upon questioning, it was revealed that those he killed were his parents, siblings, wife, and nephews. Both Zhang Zhu and Wu Ruxiang were sentenced to death. The Shizong Emperor ordered the decree to be posted throughout the country. Observing this demonic drug, it appears to be related to Langdang (Datura metel, Thorn Apple). In the Tang Dynasty, An Lushan tricked the Xi and Khitan tribes by feeding them Langdang wine until they were drunk, then massacred them. (From *Bencao Gangmu*)
Wang Sizhong treated the daughter-in-law of the Peng family in Haiyan, a wealthy household. She had just married but fell ill, feeling suffocated and near death. Various doctors did not know what to do. Wang Sizhong instructed everyone to remove curtains, window lattices, and bamboo utensils from the room. He secretly sought dried crab cakes, ground them into powder, added them to the medicine, and administered it. The patient recovered instantly. (From *Wujiang County Gazetteer*. This was caused by lacquer poison. Xiong Yingxiong notes: This was likely a coincidental cure; it may not necessarily have been lacquer poison.)
Yao Fu's *Gengji Bian* records: A family in Taicang obtained a three-legged turtle. After a woman cooked and ate it, she lay down in her bedroom for a short while and her body dissolved into bloody water, leaving only her hair. Neighbors suspected the woman of murder and sued her. The magistrate, Huang Yanxuan, could not resolve the case. He obtained a three-legged turtle, had the woman cook it as before, and fed it to a death row inmate. The inmate also dissolved in prison, thus clarifying the case. According to *Erya*, the three-legged turtle is called Neng. *Shanhai Jing* states that waters with many three-legged turtles, if eaten, prevent Gu (poison/parasite) diseases. Recently, some people have mistakenly eaten them without incident. Why is this? (From *Bencao Gangmu*)
The Zhu family in Ji'an had a son suffering from abdominal pain. Someone advised them to decoct the southeast root of the Chinaberry tree (Liannan Mu Gen). The son initially refused to drink it. His father beat him, and after he finally drank it, he died shortly after. Roots exposed above ground can be lethal. The Zhu family erred by not consulting ancient texts. Modern physicians use Sangbaipi (Mori Cortex, Mulberry Root Bark); the Materia Medica states that the part above ground can also be lethal. How cautious one must be! (From Kong Xingsu's *Jingzhai Zhizhi Zhiji*)
Qiu Jie, at fourteen, mourned his mother's death. Because cooked vegetables tasted too strong, he refused to eat any. More than a year later, he dreamed of his mother saying, "You ate raw vegetables and encountered toad poison. There are three pills before the spirit table, and three sheng of tadpoles below; you will be fine." (From *Lixia Bi*)
Yao Yingfeng treated the wife of a man who suffered from body pain, with her left arm feeling bound. Yao Yingfeng said, "You have rat poison in the meat you ate; a rat has grown in your right arm." He cut it open with a knife, and a small rat fell to the ground and escaped. (From *Qiantang County Gazetteer*)
Gong Zicai treated a man who suddenly lowered his head, hid in dark places, did not speak, and ignored questions. He ate secretly behind people's backs and could not eat if seen. Others thought he was possessed by evil spirits and offered sacrifices of three animals. The offerings were left overnight. The wife then ate them, and she exhibited similar symptoms. Doctors were baffled. Gong concluded it must be poisoning from rat saliva, which is highly toxic. He stuffed Evodiae Fructus (Wuzhuyu) into a cat's mouth to induce salivation. He then had the couple ingest the Evodiae Fructus, and both recovered.
A servant in a pharmacy was chopping herbs when he suddenly collapsed and lost consciousness. Others assumed it was wind-phlegm collapse (stroke). Gong Zicai said, "This is not a disease. It is poisoning from herb fumes." He ordered Gancao decoction to be forced down his throat, and he woke up immediately. (Similar to Sheng Qidong's case. Xiong Yingxiong notes: The herbs chopped here must have been highly toxic. Since chopping requires looking down, toxic fumes are easily inhaled. This differs from Sheng's case in terms of authenticity/mechanism.)
A woman stored liquor in a tin pot. After ten days, she took a small cup and became intoxicated, unconscious, and confused. No one could identify the syndrome. Gong Zicai said, "This is lead poisoning." He ordered Chenbitu (Old Wall Earth) to be mixed with water, clarified, and combined with a Gancao decoction to be灌 (poured) into her mouth. She woke up immediately.
Wu Fuxian treated a man who, during midsummer, suddenly experienced cold limbs, unconsciousness, and muteness. Some diagnosed it as Yin syndrome, some as Jue-Re syndrome, some as stroke, some as phlegm, but none were effective. Wu Fuxian examined him, pondered repeatedly, and asked what he had eaten previously. The family said they had eaten pig lungs the previous evening. Wu realized the truth and ordered Ren Dong Hua (Lonicerae Japonicae Flos, Honeysuckle Flower), two liang, decocted and given to the patient, who recovered. The pig lungs were from a pig that had died of plague.
Someone who loved eating tofu became poisoned and untreatable. Seeking another doctor, on the way he encountered a dispute at a tofu maker's house. The wife had accidentally put Radish Soup (Laifu Tang) into the pot, ruining the tofu. The doctor learned this and treated the patient with Radish Soup, curing him. (From *Yishuo Xubian*)
In the Tang Dynasty, Li Baochen placed Jin (Urtica ferox, Stinging Nettle/Aconite context implies Aconite here based on pronunciation note 'Jin' often linked to Urtica but text says 'Ji Wu' i.e., Aconite) into liquid. Li Baochen drank it, lost his voice, and died three days later. Also, Empress Wu Zetian placed Jin in food; He Lan Shi ate it and died suddenly. (Same source)
Liu Lizhi treated an old woman with lower back pain lasting years, unresponsive to various medicines. Liu diagnosed her and said, "Although critical, she will be safe by tonight." The owner was surprised and asked for the prescription. Liu replied, "No medicine needed. Use two or three liang of Lead Powder (Qianfen), five strong men, and five to seven large bells." The family prepared everything. Liu ordered the bed curtains removed, moved the bed into the room, mixed the powder with rice water, and placed it around the woman's waist, instructing her to lie comfortably. One strong man carried a bell and walked rapidly around the bed, keeping the sound continuous. Men rotated when tired. By midnight, the woman could stand slightly, and her back pain vanished instantly. The family bowed, calling him a divine physician, and asked for the explanation. Liu said, "This illness was caused by ingesting Mercury (Shuiyin). Mercury stagnated in the waist and could not exit, causing persistent pain. Now, using Lead Powder, which is derived from Mercury (Lead is the mother of Metal/Mercury in alchemical theory), we use the sound of metal to call the child (Mercury). Mother and child unite virtue; coming into contact with the powder, the disease heals." (From *Yishi*, *Yishuo Xubian*. Xiong Yingxiong notes: The treatment is miraculous. How did he know she ingested mercury? It is not explained. If it were alchemical ingestion, it should be in the Mineral Poison section. If accidental, it shouldn't last years.)
Emperor Taizu of Ming issued an edict: The physician Wang Yunjian made a living selling medicine. Wang Zong, a kitchen slave imprisoned by the Embroidered Uniform Guard, knowing his crime was unpardonable and fearing execution, had his family buy poison. Wang Yunjian sold it to him immediately. Hidden in a drink, it was smuggled into the outer prison gate by Yang Shou, a guard who accepted bribes. Guo Guanbao, a guard at the inner prison gate, detected it. Panicked, the outer guards claimed the inner guards swapped the medicine. I interrogated Guo Guanbao, who said, "He bought it from Wang Yunjian's shop." I summoned Wang Yunjian. It was a black pill. I gave it to Wang Yunjian to swallow. After a long time, no poison acted. I knew the medicine had been swapped. I asked Wang Yunjian, "What color was the original medicine?" He said, "Red pill." "How many?" "Three." Alas! The poison was originally three red pills; now there is only one, and it is black. Why? I ordered it retrieved. It was black and red. I ordered Wang Yunjian to swallow it. Holding the pill, his face changed color, showing fear and hesitation. Forced to swallow, he complied. I asked, "What ingredients make this medicine?" He said, "Arsenic (Pishuang), Croton Seed (Badou), formed into pills with rice paste, coated with Cinnabar (Zhusha)." "When will death occur after ingestion?" "Half a day." Wang Yunjian shed tears. I asked, "Are you desolate because you fear death?" He said, "One son is in the military, one is away; hence my sorrow." Alas! When Wang Yunjian first sold poison to kill others, and then was forced to take it himself, as soon as the medicine entered his stomach, his attachment to life and fear of death surfaced instantly. Alas! So foolish is he, yet what good does it do? However, I did not let him die from this poison. Why? Forcing him to take it and die would be framing him. Releasing him and then executing him is the law. I asked Wang Yunjian, "Can this poison be antidoted?" He said, "Yes." "With what?" "Cold water, raw bean juice, cooked bean soup." I asked, "If this antidote is slow, what fast antidote do I have?" He said, "Feces-clear mixed with cold water." "How much feces-clear?" "One egg's worth." I ordered it fetched. We waited for the poison to act before administering the antidote. Soon, Wang Yunjian became restless, scratching his abdomen, looking around in panic. I asked, "Why does the poison torment you?" He said, "Five zang organs are unsettled, heart heat rises." "Which meridians does this poison damage to cause death?" Wang Yunjian replied, "The five zang organs fail first, life ends, and the body turns black." "When will it be resolved? When will it not?" "It will not resolve within three hours." Seeing the poison act, I ordered the antidote administered. Wang Yunjian suffered diarrhea several times, expelling all the poison, and returned to normal. The next day, he was beheaded to punish his crime. Alas! Ancient people made medicine to accumulate merit and save lives. Today's sellers seek profit, lacking mercy, rarely acting against their interests. Some seek fame through fraud, some cause immediate harm, some sell for profit harming lives. Alas! Such incompetent people break the law and suffer punishment, losing their lives and families, not just one person. Sellers in the capital market often do not learn from mistakes. What can be done? With this edict, all sellers should listen to my words, extend empathy to others, and bring lasting fortune. Otherwise, this punishment and crime are inescapable. (Third Compilation)
Zhou Leyuan said: In the winter of the Guiwei year, a relative accompanied me to the capital. This person was honest and had never visited brothels. Suddenly, he developed Tian Pao Chuang (Impetigo/Ecthyma), unknown origin. I suddenly understood the cause and explained: "Your constitution is weak, and you often consume Ziheche (Placenta Humanum). The capital gathers people from all directions; many suffer from Tian Pao Chuang. Who knows if the medicines you took contained placenta from sufferers? This disease can affect descendants; its odor can penetrate and harm people, causing offspring to lack skin. Placenta is especially the gathering place of toxic vapors. Your illness must stem from this." Everyone agreed. To harm another's child to benefit oneself... even benevolent people refrain, let alone when it brings no benefit but harm. One must beware. (Original Note: In Jiangnan, placenta is often eaten, and children are often infertile; in the capital, this is less discussed. *Shuying*. Xiong Yingxiong notes: By analogy, placenta without toxicity is rare. I have practiced for nearly thirty years and never used this medicine. If patients desire it, I substitute with Sheep Kidney (Yangshen), which warms and tonifies with 'sentient' properties, offering superior efficacy. Asking experts, do you agree?)
Chen Ziming treated two men who skinned dead cows. That day, they developed purple spots all over their bodies, countless in number, which subsequently ulcerated. Each was given one qian of Shenxian Duwan (Divine Immortal Poison Pill). One recovered after vomiting and diarrhea; the other died because he could not keep the medicine down. (Formula seen in Gu category. Xiong Yingxiong notes: This pill resolves various poisons and kills parasites, extremely efficacious.)
Wu Nei Han's *Beiji Fang* states: Gao Zhao, a doctor from Quanjiao, had a worthless son. The father whipped him, so the son ingested Arsenic (Pishuang) to commit suicide. He suffered extreme thirst and abdominal distension threatening to burst. I instructed him to take this medicine, mixed with water, allowing him to drink as desired. After a few bowls, he had a bowel movement and recovered. The formula uses Bai Biandou (Lablab Album, White Hyacinth Bean), dried and ground into fine powder, taken with fresh well water, 2-3 qian.
For all poisonings and toxicity from Fuzi (Aconiti Lateralis Radix Praeparata), Wutou (Aconiti Radix), Pufferfish, etc., this treats all drug poisons. Use wall earth from many years, soak in hot water, stir until turbid. Wait briefly, then drink the hot liquid while removing the sediment. For unconsciousness, pouring it in is very effective.
*Beimeng Suoyan* records someone poisoned by wild mushrooms who laughed; decocted Yu Shen Zhi (Fish Mulberry Juice) cured him. Some say Maple Tree Mushrooms cause excessive laughter.
Li Zhuibo Xian Yun Du of Lai'an County stated: In spring of Dingwei year in Baita Village, two soldiers and one scout ate Pufferfish. Drunk, they also ate the roe and became poisoned. Urgently informing the patrol officer, the two soldiers were near death. With no medicine available, they followed advice and poured Sesame Oil (MAYOU) into them. The large amount of oil induced violent vomiting, expelling all toxins, relieving abdominal pressure, and saving their lives. (*Jicheng*)
Zhu Danxi's formula for resolving poison uses Wubeizi (Terminalia Chebula Retusa Fruit, Chinese Gall), two liang, ground fine, taken with warm non-ash wine. If poison is upper, it induces vomiting; if lower, it induces diarrhea. (*Yishuo Xubian*)
A person who ate Mercury became stiff and dead, with slight breathing and ice-cold limbs. Hearing Ge Kejiu was skilled in treating strange diseases, they sought him out. Ge looked and said, "Two hundred taels of silver can cure this." The family declined due to poverty, unable to offer heavy reward. Ge smiled and said, "I want the silver to boil into soup for treatment." He then solicited the rich and obtained it. He instructed, "Use it to boil hot water for bathing. If hands and feet move, come tell me." Soon, limbs twitched. They reported back. Ge said, "Report if eyes move or if he can sit up." They followed exactly. Then he took Sichuan Pepper (Chuanjiao), two jin,