一人食咸,头汗如注,食淡则否。诊之心脉独大而搏指,因问曰∶燥欲饮乎?曰∶然。
每晨
起舌必有刺,因悟所以头汗出者,心火太盛,而水不胜之也。味咸属水,而能降火,火与水
搏,火盛水微,不能胜之而反外越也。其出于头者,水本润下,而火性炎上,水为火激,反
从
其化也。食淡则否者,咸味涌泄为阴,淡味渗泄为阳,阳与阳从,不相激射,故得遂其渗泄
之性而下行也。
医悟融会群经,贯穿百家,不为名言高论而义理自着,以视夸大其言而不适于用者,奚
啻霄壤!
医读平易简要,可为中人以下说法,要非熟读群书,通晓方药者,不能为此。
正本书辨论古方铢量权衡,甚为详悉,以及唐宋医局官制医书本草汤液脉病,并有卓见
。亦好古博雅之士欤!
韩氏十四药定经因时和解之法,极意分晰,而眉目未清,绝无准绳,而多所裁制。逞一
己之私意,乱先圣之旧章,不足为后学法也。
夫治病犹治国也。治国者,必审往古理乱之事迹,与正治之得失,而后斟之以时,酌之
以势
,而后从而因革之;治病者,必知前哲察病之机宜,与治疗之方法,而后合之气体,辨之方
土,而从而损益之。盖未有事不师古,而有济于今者;亦未有言之无文,而能行之远者。予
自弱冠,即喜博涉医学,自轩岐以迄近代诸书,搜览之下,凡有所得,或信或疑,辄笔诸简
,虽所见未广,而日月既多,卷帙遂成。昔真西山修《读书记》谓门人曰∶此人君为治之门
,如有用我者,执此以往。予之是集,即西山读书记之意也,执此以往,亦可以应变无穷矣
。
饲鹤山人尤怡识
有一位患者食用咸味食物后,头部出汗如注,而食用清淡食物时则不会如此。诊察时发现其心脉独大且搏动有力、触及手指明显,于是问道:“是否感到干燥想喝水?”患者回答:“是的。”
每天早晨起床时舌头上必有刺感(或刺痛感),由此领悟到之所以头部出汗的原因,是心火过于旺盛,而肾水不足以制约它。咸味归属于水,具有降火的作用,但此时火与水相互搏结,由于火盛水微,水不能胜火反而导致火热之气外越。汗液出于头部的原因,是因为水性本应润下,而火性炎上,水被火所激发,反而随火势而上行化热。食用清淡食物就不会出现这种情况,因为咸味涌泄属阴,淡味渗泄属阳,阳气与阳气相从,不互相激射,所以能够顺应其渗泄的特性而向下运行。
尤怡融会贯通各经典医籍,贯穿百家学说,不追求华丽的言辞和高深的理论,但义理自然显明,与那些夸大其词而不切实际的说法相比,简直有天壤之别!
《医读》一书平易简要,适合中等资质以下的读者学习,但这并非熟读群书、通晓方药的人不能写出这样的著作。
本书对古代方剂的剂量权衡进行了详尽的辨析,对于唐宋时期医局的官制、医书、本草、汤液及脉病等,都有独到的见解。这也是一位喜好古学、博学雅正的人士的作品吧!
韩氏关于十四种药物定经、因时和解的方法,虽然极力分析,但条理尚不清晰,完全没有准则,而是随意裁断。这是逞个人私意,扰乱先圣的旧章,不足以作为后学的法则。
治病就像治国一样。治理国家的人,必须审视过去治乱的事迹,以及正确治理的得失,然后结合当时的时机,斟酌当前的形势,从而进行继承和变革;治病的人,必须了解前贤察病的机宜和治疗的方法,然后结合患者的体质,辨别地域差异,从而进行增减调整。大概没有不效法古人却能有益于当今的事情;也没有言之无文辞之美却能流传久远的话。我从二十岁起,就喜欢广泛涉猎医学,从黄帝、岐伯直到近代的各种书籍,在搜集阅览之下,凡是有心得的,无论相信还是怀疑,都记录下来。虽然见识不够广博,但因为时间长久,卷册便形成了。以前真德秀(西山先生)编修《读书记》时对门人说:“这是君主治理国家的门户,如果有任用我的人,拿着这个去应对即可。”我编纂这本集子,就是遵循西山先生《读书记》的意思,拿着这些去应对,也可以应变无穷了。
饲鹤山人尤怡记
A patient experienced profuse sweating on the head after consuming salty food, but not when consuming bland food. Upon examination, the heart pulse (Xin Mai) was found to be uniquely large and forceful against the fingers. The physician asked, "Do you feel dry and desire to drink?" The patient replied, "Yes." Every morning upon waking, there was a prickling sensation on the tongue. From this, it was realized that the cause of the head sweating was excessive Heart Fire (Xin Huo), which the Kidney Water (Shen Shui) could not overcome. Salty flavor belongs to Water and has the property of descending fire. However, in this case, Fire and Water were contending; due to excess Fire and deficient Water, the Water failed to subdue the Fire, causing the Fire to escape outward. The reason the sweat emerged from the head is that Water naturally moistens and flows downward, while Fire flares upward. When Water is agitated by Fire, it follows the transformation of Fire and rises. When bland food was consumed, this did not occur because salty flavor induces vomiting and purging and is Yin, whereas bland flavor induces seepage and purging and is Yang. Yang follows Yang without mutual agitation, allowing it to follow its nature of seepage and flow downward.
You Yi integrated the various classics and traversed diverse schools of thought. He did not rely on ornate rhetoric or high-flown theories, yet his principles were self-evident. Compared to those who exaggerate their words for effect but are impractical, the difference is as vast as heaven and earth!
"Medical Readings" is plain and concise, suitable for readers of average ability below the middle level. It is evident that only one well-versed in numerous books and proficient in formulas and herbs could have written this.
This book provides detailed discussions on the weights and measures of ancient formulas. Regarding the official systems of medical bureaus in the Tang and Song dynasties, medical texts, materia medica, decoctions, and pulse diseases, it offers outstanding insights. It must be the work of a scholar who loves antiquity and possesses broad learning and elegance!
Han Shi's methods regarding fourteen herbs for stabilizing meridians and harmonizing according to seasons were analyzed with great effort, yet the structure remained unclear. Lacking any standard criteria, he made arbitrary modifications. This indulges personal bias and disrupts the established rules of the sages, making it unsuitable as a guide for later learners.
Treating disease is like governing a state. One who governs a state must examine past events of order and chaos, and the merits and faults of correct governance, then adjust according to the times and circumstances, thereby deciding what to retain and what to change. One who treats disease must understand the insights of former sages into disease mechanisms and treatment methods, then adapt them according to the patient's constitution and regional differences, thereby deciding what to add and what to subtract. There is no instance where ignoring ancient precedents benefits the present; nor is there speech without literary grace that can endure for long. Since my youth, I have enjoyed extensively studying medicine. From the Yellow Emperor and Qibo to modern works, through searching and reading, whenever I had insights—whether believing or doubting—I recorded them on bamboo slips. Although my vision was not broad, over many years, volumes accumulated. Previously, Zhen Xishan, when compiling "Readings Record," said to his disciples: "This is the gateway for rulers to govern. If anyone uses me, take this and proceed." My compilation here follows the intent of Xishan's "Readings Record"; taking this forward, one can respond to infinite changes.
Recorded by You Yi, the Heron-Feeding Mountain Man