或言∶人有病,不可吐,人身骨节间皆有涎,若吐出骨节间涎,令人偏枯。戴人闻之
曰∶我之药,止是吐肠胃间久积,或膜盲间宿沫,皆是胃膈中溢出者,天下与吐一理也。但
病有上下,故用药有逆顺耳。
或言∶戴人汗、下、吐三法,欲该天下之医者,非也。夫古人医法未备,故立此三法。后
世医法皆备,自有成说,岂可废后世之法,而从远古?譬犹上古结绳,今日可废书契而从结
绳乎?戴人问之曰∶易之法虽多,不离八卦五行;刑章虽多,不过笞杖徒流。岐伯
知其要者,一言而终。然则岐伯亦诳人乎?大抵举纲则简,计目则繁。
或言∶戴人用药皆峻激,乃《本草》中下品药也,岂可服哉?戴人曰∶甚矣。人
之不读书!《本草》言上药为君,中品为臣,下品为佐使者,所以辩其性刚柔也。《内经》言∶所谓君臣
佐使者,非本草中三品之谓也。主治之为君,次君之谓臣,应臣之为佐使。假如大黄能治此病,则大
黄为君;甘遂能治此病,则甘遂为君矣。若专以人参、黄 治人之邪气,此庸工所以常误人命
也。
李嗣荣言∶京中闲人云∶戴人医杀二妇,遂辞太医之职而去。又有人云∶昔曾医杀颖守,
私遁而去。麻知几初闻亦疑之,乃载见戴人于颖阳。观其用药,百发百中,论议该赡,应变
无穷。其所治之疾,则不三、二十年,即十年,或五、六年,应手辄愈。群医之领袖,无以
养生。及其归也,谤言满市,皆曰∶戴人医杀仓使、耿四而去。时仓使以病卒,与余未尝通
姓名。耿四病嗽咯血,曾问戴人。戴人曰∶公病消困,不可峻攻,宜以调养。戴人已去,后而卒矣
。麻先生乃肖李嗣荣所言,皆诬也,凡余所治之病,皆众坏之证,将危且死而治之,死则当怨于
戴人。又戴人所论按经切理,众误皆露,以是嫉之。又戴人治病,多用峻激之药,将愈未愈之间
,适戴人去。群医毁之曰∶病为戴人攻损,急补之。遂用相反之药。如病愈,则我药
可久服,攻疾之药可暂用。我方攻疾,岂欲常服哉?疾去则止药。若果欲养气,五谷、五肉、五菜
,非上药耶?亦安在枯草死木之根核哉?
有人议论说:人患病时,不可使用催吐法。因为人体骨节之间都有涎液,如果把骨节间的涎液吐出来,会导致半身不遂(偏枯)。戴人听到后说:我的药物,只是用来吐出肠胃中久积的宿食,或者胸膈膜盲间停留已久的痰沫,这些都是从胃膈中溢出上来的,这与天下通用的道理是一致的。只是疾病有在上在下的区别,所以用药有逆治和顺治的不同罢了。
又有人说:戴人提出的汗、下、吐三法,想要囊括天下所有医家的医术,这是不对的。古代医生的治疗方法尚未完备,所以才创立这三种方法。后世的治疗方法已经完备,自有成熟的定论,怎么能废弃后世的方法,而遵从远古的做法呢?这就像上古时期用结绳记事,今天可以废弃文字书写而回归到结绳记事吗?戴人反问说:《易经》中的法则虽然多,但不离八卦五行;刑法条文虽然多,不过不过是笞刑、杖刑、徒刑、流刑几种。岐伯懂得要领的人,一句话就能终结(阐明)它。那么岐伯也是在欺骗人吗?大抵抓住纲领就简单,罗列条目就繁杂。
又有人说:戴人使用的药物都猛烈激进,属于《本草》中的下品药,怎么可以吃呢?戴人说:人们不读书真是太严重了!《本草》说上药为君,中药为臣,下药为佐使,是用来辨别药性的刚柔之别的。《内经》说:所谓的君臣佐使,并不是指《本草》中的上中下三品。主治疾病的药为君,辅助君药的为臣,配合臣药发挥作用的为佐使。假如大黄能治疗这个病,那么大黄就是君药;假如甘遂能治疗这个病,那么甘遂就是君药了。如果专门用人参、黄芪来祛除人体的邪气,这就是庸医常常误人性命的原因。
李嗣荣说:京城里的闲人说:戴人医死了两个妇人,于是辞去太医的职务离开了。又有人说:以前曾经医死过颍州的太守,私下逃跑离开了。麻知几起初也对此感到怀疑,于是去颖阳拜访戴人。观察他用药,百发百中,议论渊博详备,应对变化无穷无尽。他所治疗的疾病,短则三五年,长则一二十年,甚至十年,往往手到病除。他是群医的领袖,却没有什么养生之道可讲。等到他离开时,市场上诽谤之言充满,都说:戴人医死了仓使、耿四才离开的。当时仓使因病去世,和我从未交换过姓名。耿四患有咳嗽咯血的症状,曾询问戴人。戴人说:您的病情消耗困顿,不可使用猛烈的攻伐之法,适宜通过调养来恢复。戴人已经离开后,耿四后来去世了。麻先生于是指出李嗣荣所说的话,都是诬蔑。凡是我所治疗的疾病,都是众人认为无法挽救的危重证候,将死未死之际进行治疗,如果死亡,怨恨就会指向戴人。另外,戴人的论述符合经络常理,众人的错误都暴露无遗,因此遭到嫉妒。还有,戴人治病,多用猛烈激进的药物,在将要痊愈还未完全痊愈之间,恰好戴人离开了。群医诋毁他说:这个病是被戴人攻伐损伤的,赶快用补法救治。于是使用性质相反的药物。如果病好了,就说我的药可以长期服用,攻逐疾病的药只能暂时使用。我方才攻逐疾病,难道想要让人长期服用吗?疾病去除就停止用药。如果真的想要养气,五谷、五肉、五菜,不是上等的药物吗?哪里在于那些枯草死木的根核呢?
Some argued: "When a person is ill, emesis (vomiting therapy) should not be used. There is phlegm-fluid (xian) in the interstices of the bones and joints throughout the body. If the phlegm-fluid from the bone joints is vomited out, it will lead to hemiplegia (piān kū)." Upon hearing this, Dai Ren said: "My medicines are only intended to expel long-standing accumulations in the stomach and intestines, or old saliva and phlegm retained in the diaphragm and blind areas. These all overflow from the stomach and diaphragm region. This principle is consistent with general medical logic across the world. It is merely that diseases occur in different locations (upper or lower), so the administration of medicine follows either contrary (nì) or conforming (shùn) methods."
Others claimed: "Dai Ren's three methods—diaphoresis (sweating), purgation, and emesis—cannot encompass the medical knowledge of all practitioners. This is incorrect. In ancient times, medical methods were not yet complete, hence these three methods were established. In later generations, medical methods became comprehensive, with established doctrines. How can one discard the methods of later generations to follow those of antiquity? This is like saying that since knot-tying was used for record-keeping in prehistoric times, we should abandon written characters today and return to knot-tying." Dai Ren asked in response: "Although the principles of the *I Ching* (Book of Changes) are numerous, they do not go beyond the Eight Trigrams and Five Phases. Although penal codes are numerous, they essentially consist only of beating with light bamboo, beating with heavy bamboo, penal servitude, and exile. Those who understand the essence, like Qibo, can summarize everything in a single statement. Does this mean Qibo was deceiving people? Generally, grasping the main纲 (guiding principle) simplifies matters, while listing every detail complicates them."
Still others asserted: "The medicines Dai Ren uses are harsh and drastic, belonging to the inferior grade (xià pǐn) in the *Bencao* (Materia Medica). How can they be taken?" Dai Ren replied: "It is truly unfortunate that people do not read! The *Bencao* states that superior-grade herbs serve as Sovereign (Jūn), medium-grade as Minister (Chén), and inferior-grade as Assistant (Zuǒ Shǐ) to distinguish their inherent natures (gentle vs. harsh). However, the *Neijing* (Inner Canon) clarifies that 'Sovereign, Minister, Assistant, and Courier' refers to the functional roles within a prescription, not the three grades of the *Bencao*. The herb that primarily treats the disease acts as the Sovereign; those that assist the Sovereign act as Ministers; those that coordinate with the Ministers act as Assistants and Couriers. For instance, if Dahuang (Rhei Radix et Rhizoma) can treat this disease, then Dahuang is the Sovereign; if Gansui (Kansui Radix) can treat this disease, then Gansui is the Sovereign. If one exclusively relies on Renshen (Ginseng Radix) and Huangqi (Astragali Radix) to dispel pathogenic factors, this is why mediocre physicians often cause death by mistake."
Li Sirong stated: "Idlers in the capital claim that Dai Ren killed two women with his treatment, after which he resigned from his position as Imperial Physician and left. Others say he once killed the Prefect of Yingzhou and fled privately. Ma Zhiji initially doubted these claims but visited Dai Ren at Yingyang. Observing his prescriptions, they were effective in every case; his discussions were profound and comprehensive, and his adaptability was limitless. The diseases he treated, whether lasting three to five years or up to ten or twenty years, were cured promptly upon application. As a leader among physicians, he had no specific regimen for nourishing life. When he departed, slander filled the markets, claiming: 'Dai Ren killed Cangshi and Geng Si before leaving.' At that time, Cangshi died of illness and had never exchanged names with me. Geng Si suffered from coughing and hemoptysis and consulted Dai Ren. Dai Ren said: 'Your condition involves depletion and exhaustion; harsh attack methods are unsuitable. You should rely on recuperation and nourishment.' Dai Ren had already left when Geng Si subsequently passed away. Mr. Ma pointed out that Li Sirong’s statements were all calumnies. All the cases I treated were critical conditions deemed hopeless by others, where patients were near death. If they died, resentment would naturally be directed at Dai Ren. Furthermore, Dai Ren’s theories align with meridian laws and logical reasoning, exposing the errors of other physicians, which bred jealousy. Additionally, Dai Ren often used harsh and drastic medicines. Between the stages of nearly cured and fully cured, Dai Ren happened to leave. Other physicians defamed him, saying: 'The illness was damaged by Dai Ren’s aggressive treatment; quickly apply tonification.' They then used contradictory medications. If the patient recovered, they claimed their tonic could be taken long-term, whereas attacking drugs were only temporary. I attacked the disease; did I intend for long-term use? Once the disease is gone, the medication stops. If one truly wishes to nourish Qi, are not the Five Grains, Five Meats, and Five Vegetables superior medicines? Why rely on dead wood and roots of withered grass?"