title | Medical Records of Fan Wenfu |
smart_toy
bubble_chart Content A woman, pregnant, suffered from cold-damage disease, with difficulty in defecation, high fever in the afternoon, grasping at the air with both hands, staring straight ahead and panting. Several doctors had already been consulted, and I was invited to treat her. I said, "This condition is nine deaths to one life. Although Zhang Zhongjing has a detailed discussion, there is no treatment method. Moreover, the previous doctors have already used emetics and purgatives, making medication even more difficult." The family pleaded earnestly. I said, "I will reluctantly attempt to save her. If the bowels can be opened and the pulse can turn wiry, there may be hope." I then administered a dose of Minor Purgative Decoction, and indeed, the bowels moved, the symptoms gradually improved, and the pulse also gradually became wiry. After half a month of treatment, she recovered. Someone asked, "Sir, with slight purgation and a wiry pulse, you determined that she could be treated. How did you arrive at this conclusion?" I replied, "Didn't Zhang Zhongjing say, 'Floccillation, restlessness, slight panting, staring straight ahead, with a wiry pulse indicates life, while a choppy pulse indicates death'? For slight cases, with fever and delirious speech, Major Purgative Decoction is the main treatment. According to Qian Zhongyang's 'Xiao'er Yaozheng Zhijue,' grasping at the collar and twisting objects indicates liver heat. Zhang Zhongjing classified this under yangming disease, as yangming pertains to the stomach. When the liver has pathogenic heat, it invades the stomach meridian. I used Chengqi Decoction for purgation, but since she had already been purged, I used Minor Purgative Decoction for slight purgation. Indeed, after purgation, the pulse turned wiry, indicating that the liver was pacified and the stomach was not being oppressed, hence I judged that she could be treated."