陆宣公在忠州裒方书以度日非特假此以避祸盖君子之存心无所不用其至也前辈名士往往
能医
非惟卫生亦可及物而今人反耻言之近时士大夫家藏方或集验方流布甚广皆仁人之用心本草单
方近巳刻于四明及本朝诸公文集杂说中名方尚多未见有类而传之者予屡欲为之恨藏书不广傥
有能用予言集以传诸人亦济物之一端也
淮南子曰神农始尝百草之滋味当此之时一日而七十毒世本曰神农和药济人则百药自神农
始也
世纪或云伏羲尝味百草非也梁陶弘景本草序曰神农氏王天下宣药疗疾以拯夭伤高氏小史曰炎
帝尝百药以治病尝药之时百死百生帝王世纪曰炎帝尝味草木宣药疗疾着本草四卷至梁陶弘景
唐李世 等注叙为二十卷 皇朝开宝中重校定
仁宗嘉 中命掌禹锡等集类诸家叙药之说为补注本草唐书于志宁传志宁云班固惟记黄帝
内外
经不载本草齐七录乃称之世谓神农尝药黄帝以前文本不传以识相付至桐雷乃载篇册然所载郡
县多汉时张仲景华佗窜记其语梁陶弘景此书应与素问同类其余多与志宁之说同也(事物纪原)
药有君臣佐使大抵养命之药则多君养性之药则多臣疗病之药则多佐使犹根据本性所主而兼
复斟酌详用此者益当为善
千金方云夫众疾积聚皆起于虚虚生百病积者五脏之所积聚者六腑之所聚如斯等疾多从旧
方不
假增损虚而劳者其弊万端宜应随病增减聊更审其冷热记其增损之主耳虚劳而头痛复热加枸杞
萎蕤虚而欲吐加人参虚而不安亦加人参虚而多梦纷纭加龙骨虚而多热加地黄牡砺地肤子甘草
虚而冷加当归芎 干姜虚而损加钟乳棘刺苁蓉巴戟天虚而大热加黄芩天门冬虚而多忘加茯神
远志虚而惊悸不安加龙齿沙参紫石英小草若冷则用紫石英小草若客热则用沙参龙齿不冷不热
皆用之虚而口干加麦门冬知母虚而吸吸加胡麻覆盆子柏子仁虚而多气兼微咳加五味子大枣虚
而身强腰中不利加磁石杜仲虚而多冷加桂心吴茱萸附子乌头虚而劳小便赤加黄芩虚而客热加
地骨皮白水黄 (白水地名)虚而冷用陇西黄 虚而痰复有气用生姜半夏枳实虚而小肠利加桑
螵蛸龙骨鸡 虚而小肠不利加茯苓泽泻虚而损溺白加浓朴诸药无有一一历而用之但据体性
冷热的相主对聊叙增损之一隅夫处方者宜准此
陆宣公在忠州收集方书来度过日子,这不仅仅是借此事来躲避灾祸,大概是因为君子存心做事,没有不做到极致的。前辈名士往往精通医术,这不仅是为了保养自身,也可以惠及他人。然而现在的人反而以此为耻,不愿提及。近时士大夫家中收藏的《济生方》(原名《士大夫家藏方》,此处依语境指代当时流行的医方集)或《集验方》流传非常广泛,这都是仁人志士用心的体现。本草单方已经刊刻于四明地区以及本朝各位文人的文集杂说中,著名的方剂还有很多,但未见有人将其分类整理并传之后世。我多次想这样做,遗憾藏书不够广博。倘若有人能采纳我的建议,将这些方剂集结起来传给众人,这也是救济万物的一种方式。
《淮南子》说:神农开始品尝百草的味道,在这个时候,一天之内中毒七十次。《世本》说:神农调和药物以救助世人,那么百药是从神农开始的。《世纪》有人说伏羲尝味百草,这是不对的。梁代陶弘景在《本草序》中说:神农氏统治天下,宣扬药物治疗疾病,以拯救夭折和受伤的人。《高氏小史》说:炎帝尝试百药来治疗疾病,尝试药物时,经历百死百生。《帝王世纪》说:炎帝尝试草木的味道,宣扬药物治疗疾病,撰写了《本草》四卷。到了梁代陶弘景、唐代李世𪟝等人注释叙述后,扩充为二十卷。本朝开宝年间重新校定。仁宗嘉祐年间,命令掌禹锡等人分类汇集各家关于药物的说法,编写成《补注本草》。《唐书·于志宁传》记载:于志宁说班固只记录了《黄帝内经》内外经,没有记载《本草》。《七录》却称有《本草》。世人认为神农尝药是在黄帝以前,文本本来没有流传,只是通过口耳相传,直到桐君、雷公才记录在篇册中。然而其中所记载的郡县多是汉代的名称。张仲景、华佗窜改记述了其中的话语。梁代陶弘景认为这本书应与《素问》同类,其余观点大多与于志宁的说法相同。(出自《事物纪原》)
药物有君、臣、佐、使之分。大体上,养命的药物多作为君药;养性的药物多作为臣药;治疗疾病的药物多作为佐使药。这就像根据本性所主而兼复斟酌详细使用一样,这样做更加妥善。
《千金方》说:各种疾病积聚都起源于虚证,虚证产生百病。积是五脏的病,聚是六腑的病。像这样的疾病,大多沿用旧方,不需要增减。如果是虚劳病,其弊端万端,应该随着病情增减药味。姑且更仔细地审察其寒热属性,记录增减的主要药物。虚劳而头痛,又发热,加枸杞、萎蕤;虚而想要呕吐,加人参;虚而心神不安,也加人参;虚而多梦纷纭,加龙骨;虚而多热,加地黄、牡砺、地肤子、甘草;虚而冷,加当归、川芎、干姜;虚而亏损,加钟乳、棘刺、肉苁蓉、巴戟天;虚而大热,加黄芩、天门冬;虚而健忘,加茯神、远志;虚而惊悸不安,加龙齿、沙参、紫石英、小草(若冷则用紫石英、小草;若客热则用沙参、龙齿;不冷不热皆用之);虚而口干,加麦门冬、知母;虚而呼吸急促,加胡麻、覆盆子、柏子仁;虚而多气兼轻微咳嗽,加五味子、大枣;虚而身体僵硬、腰部不利,加磁石、杜仲;虚而多冷,加桂心、吴茱萸、附子、乌头;虚而劳损、小便赤,加黄芩;虚而客热,加地骨皮、白水黄(白水地名);虚而冷用陇西黄;虚而痰多且有气逆,用生姜、半夏、枳实;虚而小肠通利过度,加桑螵蛸、龙骨、鸡内金;虚而小肠不通利,加茯苓、泽泻;虚而亏损、尿白,加浓朴。诸药没有一一列举全部使用,只是根据体质性状的寒热相对主治,姑且叙述增减的一个方面。处方的人应当依据此法。
Lu Xuan Gong collected medical prescriptions in Zhongzhou to pass the days. This was not merely to use this as a means to avoid disaster, but rather because a gentleman's intention and conduct are applied to the utmost extent in all things. Distinguished scholars of previous generations were often skilled in medicine; this was not only for self-preservation but also to benefit others. However, people nowadays feel ashamed to speak of it. Recently, medical collections such as *Jisheng Fang* (Prescriptions for Saving Lives) or *Jiyan Fang* (Collected Proven Prescriptions) kept by scholar-officials have circulated widely, reflecting the benevolent intentions of virtuous men. Single-herb prescriptions from the Materia Medica have already been printed in Siming and in the collected works and miscellaneous essays of various literati of our dynasty. There are many famous prescriptions, yet none have been categorized and transmitted. I have repeatedly wished to do so, regretting that my collection is not extensive enough. If someone could adopt my advice to compile and transmit these to the public, it would be one way to benefit beings.
The *Huainanzi* states: "Shennong began tasting the flavors of hundreds of herbs. At that time, he suffered poisoning seventy times a day." The *Shiben* states: "Shennong harmonized medicines to save people, thus the hundred medicines originated with Shennong." The *Shiji* claims that Fuxi tasted the flavors of hundreds of herbs, which is incorrect. Tao Hongjing of the Liang Dynasty wrote in his preface to the *Materia Medica*: "Shennong ruled the world, promoted the use of drugs to treat diseases, and saved those suffering from premature death and injury." The *Gao Shi Xiaoshi* states: "Yandi (Flame Emperor) tasted hundreds of medicines to treat illnesses. During the tasting, he experienced near-death experiences a hundred times and survived a hundred times." The *Diwang Shiji* states: "Yandi tasted the flavors of plants and trees, promoted the use of drugs to treat diseases, and authored four volumes of *Bencao* (Materia Medica)." By the time of Tao Hongjing in the Liang Dynasty and Li Shimin et al. in the Tang Dynasty who annotated and narrated, it expanded to twenty volumes. It was re-collated during the Kaibao era of our dynasty. In the Jiayou era of Emperor Renzong, Zhang Yuxi et al. were ordered to categorize and collect explanations of drugs from various schools into the *Supplemented Annotated Materia Medica*. The *Book of Tang*, Biography of Yu Zining, records: "Yu Zining said that Ban Gu only recorded the *Huangdi Neijing* (Yellow Emperor's Inner Canon) but did not record the *Bencao*. The *Qilu* (Seven Catalogs), however, mentions the *Bencao*." People believe that Shennong tasted herbs before the Yellow Emperor, and the texts were not transmitted in written form but passed down orally until Tongjun and Leigong recorded them in chapters. However, the commanderies and counties mentioned are mostly from the Han Dynasty. Zhang Zhongjing and Hua Tuo altered and recorded some of its content. Tao Hongjing of the Liang Dynasty believed this book should be similar to the *Suwen* (Basic Questions); the rest of the views are largely consistent with Yu Zining's statements. (From *Shiwu Jiyuan*)
Medicines are classified into Sovereign (Jun), Minister (Chen), Assistant (Zuo), and Guide (Shi). Generally, medicines that nourish life serve as Sovereign; medicines that nourish nature serve as Ministers; medicines that treat diseases serve as Assistants and Guides. This is akin to carefully considering and using them based on their inherent properties, which is beneficial.
The *Qianjin Fang* states: "Accumulations of various diseases arise from deficiency; deficiency gives rise to a hundred diseases. 'Ji' (accumulation) refers to disorders of the five zang organs, while 'Ju' (gathering) refers to disorders of the six fu organs. For such diseases, old prescriptions are generally used without modification. However, for deficiency-fatigue (Xu Lao), the complications are myriad, and one should adjust the prescription according to the disease. One must carefully examine the cold or heat patterns and record the main herbs added or removed. For deficiency-fatigue with headache and fever, add Gouqi (Lycium Fruit) and Weiru (Polygonatum Rhizome); for deficiency with nausea/vomiting, add Renshen (Ginseng Root); for deficiency with restlessness, also add Renshen; for deficiency with frequent dreams, add Longgu (Fossilized Bones); for deficiency with excessive heat, add Dihuang (Rehmannia Root), Muli (Oyster Shell), Difuzi (Kochia Fruit), and Gancao (Licorice Root); for deficiency with cold, add Danggui (Angelica Sinensis Root), Xiong (Ligusticum Rhizome), and Jiangjiang (Dried Ginger); for deficiency with depletion, add Zhongru (Stalactite), Cila (Thorn), Rongrong (Cistanche Stem), and Bajitian (Morinda Root); for deficiency with severe heat, add Huangqin (Scutellaria Root) and Tianmendong (Asparagus Tuber); for deficiency with forgetfulness, add Fushen (Poria with Pine Root) and Yuanzhi (Polygala Root); for deficiency with palpitations and unrest, add Longchi (Dragon Teeth), Shashen (Adenophora Root), Zi Shiyun (Purple Quartz), and Xiaocao (Herba Siegesbeckiae - if cold, use Zi Shiyun and Xiaocao; if exogenous heat, use Shashen and Longchi; if neither cold nor heat, use both); for deficiency with dry mouth, add Maidong (Ophiopogon Tuber) and Zhimu (Anemarrhena Rhizome); for deficiency with rapid breathing, add Huma (Sesame Seed), Fupenzi (Rubus Fruit), and Baiziren (Platycladus Seed); for deficiency with excessive qi and slight cough, add Wubeizi (Schisandra Fruit) and Dazao (Jujube); for deficiency with stiff body and lumbar discomfort, add Cishi (Magnetite) and Duzhong (Eucommia Bark); for deficiency with excessive cold, add Guixin (Cinnamon Twig), Wuzhuyu (Evodia Fruit), Fuzi (Aconite Lateral Root), and Wutou (Aconite Root); for deficiency-fatigue with red urine, add Huangqin; for deficiency with exogenous heat, add Digupi (Lycium Bark) and Baishuihuang (Yellow Coptis from Baishui place name); for deficiency with cold, use Longxi Huang (Yellow Coptis from Longxi); for deficiency with phlegm and qi rebellion, use Shengjiang (Fresh Ginger), Banxia (Pinellia Tuber), and Zhishi (Bitter Orange Fruit); for deficiency with hyperactive small intestine function, add Sangpiaoxiao (Mantis Egg Case), Longgu, and Jinji Nei-Jin (Chicken Gizzard Lining); for deficiency with impaired small intestine function, add Fuling (Poria) and Zexie (Alisma Rhizome); for deficiency with depletion and white urine, add Houpo (Magnolia Bark). These medicines are not listed for exhaustive use, but rather to illustrate a corner of the principle of addition and subtraction based on the constitution's cold/heat characteristics. Prescribers should follow this guideline."