置溲桶中，坐病患其上。久之病脱出，其水银已入椒矣。盖银汤能动水银而不滞，川椒能来水银而聚之。吁！
人谓可久之术良，惜乎不多传也。《酉阳杂俎》云∶椒可以来水银，于此可征矣。（《医说续编》。可
与刘某治案同参。）
缪仲淳曰∶庄敛之平日素壮实，善啖。丁巳四月，忽患泄泻，凡药粥菜蔬入喉，觉如针刺，下咽即辣。因
而满腹绞辣，随觉腹中有气，先从左升，次即右升，氤氲遍腹，即欲如厕，弹响大泄，粪门恍如火灼。一阵甫
毕一阵继之，更番超时，方得离厕。谛视所下，皆清水盈器，白脂上浮。所饮食俱不化而出，甚至梦中大便了
不收摄。诸医或云停滞，或云受暑，或云中寒，百药杂投，竟如沃石，约月余大肉尽脱，束手待毙。余仲夏末
偶过金坛，诊其脉洪大而数，知为火热所生病，为疏一方，用川楝三钱，白芍五钱，橘红二钱，车前、扁豆、
茯苓、石斛各三钱，炙草一钱。嘱其煎成，将井水浸冷，加童便一杯始服。临别嘱其此方勿以示人，恐时师见
之大笑不已也。若为躯命计，须坚信服之耳。彼却众医恪服，药方入喉，恍如饮薄荷汁，隐隐沁入心脾，腹中
似别成一清凉世界。甫一剂，夜卧达旦，洞泻顿止。连服三剂，大便已实。前泄时凡饮食温者下咽，遂觉气升，
即欲大解，一切俱以冷进为快，至是觉恶心畏冷，得温乃安。曰∶此火退之征也。前方加人参二钱半，莲肉四
十粒，红面一钱五分，黄 三钱，升麻五分，黄连减半，五六剂后去升麻。又三十余剂，泻久止而脾气困顿，
不知饥饱，且少饮茶汤，觉胀满，急胀如欲寸裂。曰∶此大泻之后，下多亡阴也，法宜用补，倘用香燥，取快
临时，元气受伤，必成鼓胀，不可为矣。为疏丸方，用人参五两，白芍六两，炙甘草一两，五味六两，黄 五
两，萸肉五两，山药五两，熟地八两，牛膝六两，紫河车二具，蜜丸，空心饥时各一服，并日进前汤方，或时
去黄连。几三年，始知饥而嗜食，体亦渐丰矣。其病初平，劝其绝欲。因出外家，得尽发家人秘谋，乃知向之暴
泄，由中巴豆毒。本草中巴豆毒者，黄连冷水解之。余用大剂黄连冷服，正为对治。时师即信为火，用连、芩
不过七八分，至钱许止矣，况一月之泻，敢用连至三钱乎。此余所以祝其勿出以示人之故也。（《广笔记》。叙
服巴豆之状如绘。凡尝过服此药者，询此证候，便可知其为中巴豆毒矣。黄连为解巴豆毒之要药，以其一寒一
热，互相制伏也。雄按∶初方最炒。若谓下多之阴，忌用香燥，亦是卓见。第不知饥饱伤在胃阴，以津液既为
巴豆所伤，复经洞泻之夺。丸方太嫌腻滞，以致三年始愈，而更藉苦降之药收功也。）
余治敛之，泄止后，恐其元气下陷，急宜升举，用升麻以提之，初不知其为中毒也。乃因用升麻太早，致
浊气混于上焦，胸中时觉似辣非辣，似嘈非嘈，迷闷万状。有时滴酒入腹，或啖一切辛温者，更冤苦不胜。庄
一生知其故，曰∶此病在上焦，汤液入口即下注，恐未易奏功，宜以噙化丸治之。用贝母五钱，苦参一两，真
龙脑、薄荷叶二钱，沉香四钱，人参五钱，为极细末，蜜丸弹子大，午食后临卧时各噙化一丸。甫四丸，胸
中恍如有物推下，三年所苦，一朝若失。（同上。）
将花椒放入尿桶中，让病患坐在上面。过了很久，病邪排出，水银已经混入花椒中了。大概是因为银汤能推动水银流动而不使其停滞，川椒能吸引水银并将其聚集。唉！
人们说这是可久之术确实高明，可惜没有广泛流传。《酉阳杂俎》记载：花椒可以吸引水银，从这里可以证实了。（出自《医说续编》。可与刘某的治疗案例参考对照。）
缪仲淳说：庄敛之平时身体素来强壮结实，善于饮食。丁巳年四月，突然患泄泻，凡是药粥、蔬菜入口，感觉像针刺一样，咽下即感到辛辣。因此满腹绞痛辛辣，随即觉得腹中有气，先从左边升起，接着右边也升起，热气弥漫遍布腹部，就想上厕所，排便时发出弹响声且大便稀薄，肛门仿佛如火烧灼。一阵刚结束一阵又继起，轮番超过时辰，才得离开厕所。仔细观察排出的东西，都是清水装满容器，白色油脂浮在上面。所吃的食物都不能消化就排出来，甚至在睡梦中大便失禁无法控制。各位医生有的说是食积停滞，有的说是受暑，有的说是中寒，各种药物混杂投用，竟然像往石头上浇水一样无效，大约一个月后肌肉全部消瘦脱尽，束手待毙。我在夏末偶然路过金坛，诊察他的脉象洪大而数，知道这是火热导致的疾病，于是开了一方，使用川楝子三钱，白芍五钱，橘红二钱，车前子、扁豆、茯苓、石斛各三钱，炙甘草一钱。嘱咐他煎好后，用井水浸泡冷却，加入童便一杯才开始服用。临别时嘱咐他这个方子不要给别人看，恐怕当时的医生见了会大笑不止。如果是为了性命考虑，必须坚信并服用它。他拒绝了其他医生的建议，严格遵照服用，药方入口，恍惚像喝薄荷汁一样，隐隐沁入心脾，腹中似乎变成了另一个清凉世界。刚服一剂，夜间安睡到天亮，剧烈腹泻立刻停止。连续服用三剂，大便已经成形。之前腹泻时凡吃温热的食物咽下，就觉得气往上冲，就想大便，一切都以冷食进食为快；到了这时却觉得恶心怕冷，得到温热才舒服。我说：这是火退去的征兆。前方加人参二钱半，莲子肉四十粒，红面一钱五分，黄芪三钱，升麻五分，黄连减半，五六剂后去掉升麻。又服用三十多剂，长期腹泻停止但脾气困顿，不知道饥饱，而且稍微喝点茶汤，就觉得胀满，紧急胀满好像要寸裂一样。我说：这是大泻之后，下部津液阴血大量流失所致，治法应当用补益，如果使用香燥药物，只求一时痛快，元气受伤，必然形成鼓胀，那就不可救治了。于是开具丸药方，用人参五两，白芍六两，炙甘草一两，五味子六两，黄芪五两，山茱萸五两，山药五两，熟地黄八两，牛膝六两，紫河车两个，蜂蜜为丸，空腹饥饿时各服一次，同时每天进服前面的汤药方，有时去掉黄连。将近三年，才知道饥饿并且喜爱饮食，身体也逐渐丰满起来。他的病初愈时，劝他戒除房事。因为外出到岳母家，得以揭发家人隐藏的秘密阴谋，才知道之前的暴泻，是由于中了巴豆毒。本草书中记载解巴豆毒的方法，是用黄连和冷水。我使用大剂量黄连冷服，正是针对治疗。当时的医生即使相信是火证，使用黄连、黄芩也不过七八分，到一钱许就停止了，何况是一个月的腹泻，敢用到黄连三钱吗？这就是我嘱咐他不把方子拿出来给人看的缘故。（出自《广笔记》。叙述服用巴豆后的症状描绘得栩栩如生。凡是尝试过服用此药的人，询问这些证候，就可以知道他是中了巴豆毒。黄连是解除巴豆毒的要药，因为它性寒，与巴豆的热性互相制约。雄按：初方最妙。如果说下利过多伤阴，忌讳使用香燥药物，这也是高明的见解。只是不知道饥饱感丧失是因为胃阴受伤，因为津液既被巴豆所伤，又经过剧烈腹泻的耗夺。丸药方太嫌腻滞，导致三年才痊愈，而且更借助苦降的药物收功。）
我治疗庄敛之，在腹泻停止后，担心他元气下陷，急需升举，使用升麻来提升，起初并不知道他是中毒。却因为过早使用升麻，导致浊气混杂在上焦，胸中时常觉得似辣非辣，似嘈杂非嘈杂，迷茫烦闷万状。有时滴酒入腹，或者吃一切辛温的食物，更加冤苦不堪。庄一生知道其中的缘故，说：这个病在上焦，汤药入口就向下流注，恐怕不容易见效，应该用噙化丸治疗。使用贝母五钱，苦参一两，真龙脑、薄荷叶二钱，沉香四钱，人参五钱，研成极细粉末，蜂蜜为丸如弹子大小，午饭后和临睡前各含化一丸。刚服四丸，胸中恍惚像有东西推下去一样，三年的痛苦，一天早晨好像失去了。（同上。）
Place Sichuan peppercorns in a urinal, and have the patient sit on top of it. After a long time, the pathogenic factor is expelled, and the mercury has already mixed with the peppercorns. This is because Yin Tang (Silver Decoction) can move mercury without causing stagnation, while Chuanjiao (Sichuan Peppercorn) can attract and gather mercury. Alas!
People say that Kejiuzhi's technique is excellent, but it is a pity that it is not widely transmitted. *Youyang Zazu* states: "Peppercorns can attract mercury," which is confirmed here. (From *Yishuo Xubian*. Can be cross-referenced with the case of treating Mr. Liu.)
Miu Zhongchun said: Zhuang Lianzhi was usually robust and had a good appetite. In the fourth month of the Ding Si year, he suddenly suffered from diarrhea. Whenever medicinal porridge or vegetables entered his throat, he felt as if pierced by needles, and spiciness upon swallowing. Consequently, his abdomen twisted with spicy pain, followed by a sensation of Qi rising first from the left, then from the right, filling his abdomen with miasma, prompting an urgent need to defecate. He passed watery stools with a snapping sound, and his anus felt as if burning with fire. One episode would finish only for another to follow, lasting beyond normal hours before he could leave the toilet. Upon careful observation, what was excreted was clear water filling the vessel, with white fat floating on top. All ingested food was excreted undigested; even during sleep, he lost control of bowel movements. Various physicians attributed this to food stagnation, summerheat, or cold invasion, administering a mix of herbs, yet it was like pouring water on stone—ineffective. After about a month, his muscles wasted away completely, leaving him helpless and awaiting death. At the end of midsummer, I happened to pass through Jintan. Palpating his pulse, which was surging and rapid, I determined it was a disease caused by Fire-Heat. I prescribed a formula using Chuanlianzi (Toosendan Fruit) 3 qian, Baishao (White Peony Root) 5 qian, Juhong (Aged Tangerina Peel) 2 qian, Cheqiancao (Plantago Seed), Bian Dou (Hyacinth Bean), Fuling (Poria), and Shihu (Dendrobium Stem) each 3 qian, and Zhigancao (Prepared Licorice Root) 1 qian. I instructed him to cool the decoction in well water, add one cup of Tongbian (Child's Urine), and then take it. Before leaving, I advised him not to show this prescription to others, fearing contemporary doctors would laugh uncontrollably. If considering his life, he must believe in and take it firmly. He rejected other doctors' advice and strictly took the medicine. Upon entering his throat, it felt like drinking mint juice, subtly penetrating the Heart and Spleen, making his abdomen feel like a cool world. After just one dose, he slept peacefully until dawn, and the profuse diarrhea stopped immediately. After three consecutive doses, his stool became solid. Previously, during diarrhea, warm food intake triggered Qi rising and the urge to defecate, so he preferred cold foods. Now, however, he felt nausea and aversion to cold, finding relief with warmth. I said: "This is a sign that the Fire is retreating." To the previous formula, I added Renshen (Ginseng Root) 2.5 qian, Lianrou (Lotus Seed Flesh) 40 pieces, Hongmian (Red Flour) 1.5 qian, Huangqi (Astragalus Root) 3 qian, Shengma (Cimicifugae Rhizome) 0.5 qian, and halved the amount of Huanglian (Coptis Rhizome). After five to six doses, Shengma was removed. After more than thirty doses, the chronic diarrhea ceased, but his Spleen Qi became sluggish, losing awareness of hunger and fullness. Even slight consumption of tea or soup caused blooming, feeling as if bursting. I said: "This is due to the loss of Yin fluids after severe diarrhea. The treatment should involve tonification. If aromatic-drying herbs are used for temporary relief, Yuanqi (Primal Qi) will be damaged, inevitably leading to Guzhang (Drum Distension/Bloating), which would be incurable." I then prescribed a pill formula using Renshen (Ginseng Root) 5 liang, Baishao (White Peony Root) 6 liang, Zhigancao (Prepared Licorice Root) 1 liang, Wuweizi (Schisandra Berry) 6 liang, Huangqi (Astragalus Root) 5 liang, Yurou (Cornus Fruit) 5 liang, Shanyao (Dioscorea Rhizome) 5 liang, Shudi (Prepared Rehmannia Root) 8 liang, Niuxi (Achyranthes Root) 6 liang, and Ziheche (Placenta Hominis) 2 units, made into pills with honey. Taken once when empty-stomached or hungry, alongside the daily decoction (sometimes omitting Huanglian). It took nearly three years for him to regain appetite and gradually regain flesh. When his illness first subsided, I advised him to abstain from sexual activity. Later, upon visiting his wife's family, he uncovered hidden conspiracies among the servants, revealing that the sudden diarrhea was caused by Badou (Croton Seed) toxicity. Materia Medica records that Coptis Rhizome and cold water resolve Badou toxicity. My use of a large dose of cold Huanglian was precisely the counter-treatment. Contemporary doctors, even if believing it was Heat, used only 7-8 fen or up to 1 qian of Huanglian and Huangqin (Scutellaria Root), let alone daring to use 3 qian for a month-long diarrhea. This is why I warned him not to show the prescription. (From *Guang Biji*. The description of symptoms after consuming Badou is vivid. For anyone who has taken this drug, asking about these symptoms reveals Badou toxicity. Huanglian is the key herb for resolving Badou toxicity because its Cold nature counters Badou's Heat. Xiong Annotates: The initial formula was most effective. The view that aromatic-drying herbs are contraindicated after excessive downward discharge due to Yin injury is also insightful. However, the loss of hunger/fullness sensation stems from Stomach Yin injury, as fluids were damaged by Badou and further depleted by profuse diarrhea. The pill formula was too cloying and sticky, delaying recovery for three years, relying finally on bitter-descending herbs to conclude the treatment.)
When I treated Lianzhi, after the diarrhea stopped, fearing his Yuanqi (Primal Qi) had sunk, I urgently needed to lift it, using Shengma (Cimicifugae Rhizome) to raise it. Initially, I did not know it was poisoning. However, using Shengma too early caused turbid Qi to mix in the Upper Jiao (Upper Burner). His chest often felt vaguely spicy and vaguely嘈杂 (clamorous/irritated), bewildering and distressing. Sometimes, a drop of wine or any acrid-warm food caused unbearable suffering. Zhuang Yisheng knew the cause and said: "The disease is in the Upper Jiao. Decoctions enter the mouth and flow down immediately, likely ineffective. You should use Qin Hua Wan (Holding-and-Melting Pill)." The formula used Beimu (Fritillaria Bulb) 5 qian, Kushen (Sophora Root) 1 liang, Zhen Longnao (Realborne Camphor) and Boheye (Mint Leaf) 2 qian, Chenxiang (Aquilaria Wood) 4 qian, and Renshen (Ginseng Root) 5 qian, ground into fine powder and formed into pills the size of bullet seeds with honey. One pill was held and melted in the mouth after lunch and before bed. After just four pills, he felt as if something in his chest was pushed down, and the three-year suffering vanished overnight. (Ibid.)