或问童子好睡。孩提无论已,凡三岁以下,十岁以上之童子,每到晚餐才罢,或竟倒卧
或扶
头坐睡,无不如沉醉然何耶?答曰∶此脾系急,心系缓也。何谓脾系急?童子纯阳好动,一日
之中,无刻停歇,则体劳。脾主运动,故曰脾系急。何谓心系缓?童子天机活泼,心无所用
,即入塾课读,亦是口内工夫。十岁之外,有用机记者,即不然也。心主血,不用则血不耗
,故曰心系缓。夫农夫粗人,身虽老大,亦多体劳心逸者,伸脚即酣睡可验矣。富贵人心劳
体逸者多,故不及农夫粗人之好睡耳。
长病与高年病,大要在保全胃气。保全胃气,在食不在药,万不可专恃于药,致妨于食
。倘其力能食时,宁可因食而废药,不可因药而废食。
天下之事,经理一番,其有未尽善者,从而修饰润色,不可缺也。若大病久病愈后,必
当随
时调理,方为无弊。前张邑侯令媛病肝厥,延湖州一医疗治,经月而愈。时予适晤侯于灵芬
馆,乃相告曰∶女公子之疾虽痊,原其故乃血虚木燥,必得滋养兼开郁散滞之品,作丸料常
服,庶保不复作也。侯诺而未暇终服,不数月,疾复作,湖医敛手无术,竟归不起。是谁之
咎欤?
斐一中曰∶人当病愈,胃气必虚,固不可恣情口吻,尤不可小心太过,绝口不沾肉味。
此言
只说得一面,未能圆光。予谓∶病后胃气既虚,必欠于运化,肉食肥浓,发风动气,助火生
痰,皆未能免;须淡味与谷食调养,胃气渐能健运,然后与风肉猪脂煮极烂充膳,方为无弊
。若病愈便啖豕肉,断不可也。如疟疾斑疹之后,尤当切戒。
有人问,为什么儿童喜欢睡觉?年幼的孩童暂且不论,凡是三岁以下的幼儿和十岁以上的儿童,每当晚餐结束,有的直接躺下,有的扶着枕头坐着就睡着了,都像喝醉了一样。回答说:这是因为脾系紧张,心系松弛。什么是脾系紧张?儿童属于纯阳之体,活泼好动,一天之中没有片刻停歇,所以身体劳累。脾主司运动功能,所以说脾系紧张。什么是心系松弛?儿童天性活泼灵动,心思不费于复杂事务,即使进入私塾读书,也多是口头诵读之功。十岁以上的孩子,如果有善于记忆机巧的,情况就不一样了。心主血脉,如果不加消耗,血液就不会耗损,所以说心系松弛。那些农夫粗人,虽然年纪大了,但也多是身体劳累而心神安逸,伸开脚就能酣睡,这可以验证。富贵人家的人则多是心神劳碌而身体安逸,所以不如农夫粗人那样爱睡觉。
大病初愈和高龄患病,关键在于保全胃气。保全胃气,在于饮食调理而非药物,千万不要专门依赖药物,以致妨碍进食。如果患者有力气吃饭时,宁可因为进食而停用药物,也不可因为服药而停止进食。
天下的事情,经过管理处理后,若有不完善的地方,随之进行修饰润色,是不可缺少的环节。如果是大病久病痊愈后,必须随时进行调理,这样才没有弊端。以前张县令的女儿患有肝厥病,请湖州的医生治疗,经过一个月才痊愈。当时我恰好与张县令在灵芬馆见面,便告诉他:“令嫒的病虽然好了,但究其原因,乃是血虚导致肝木干燥,必须得到滋养兼有疏肝解郁、散滞功效的药物,制成丸药长期服用,才能保证不再复发。”县令答应了但没有时间坚持服完,不到几个月,疾病又发作了,那位湖州医生束手无策,最终病人去世。这是谁的过错呢?
斐一中说:“人在病愈之后,胃气必然虚弱,固然不可以放纵口腹之欲,尤其不可过分小心,完全不吃肉类。”这种说法只说对了一半,不够全面圆满。我认为:病后胃气既然虚弱,必然缺乏运化能力,肉食肥腻,容易引发风邪、扰动气机、助火生痰,这些都是不可避免的;应当用清淡口味和谷物食物来调养,待胃气逐渐能够健旺运化后,再吃肥肉猪脂煮得极烂的食物作为膳食,这样才没有弊端。如果在病愈后立即吃猪肉,是绝对不可以的。特别是在疟疾、斑疹等疾病之后,更应当严格戒忌。
A question was asked: Why do children tend to sleep? Young infants aside, for children under three years old and those over ten years old, whenever dinner is finished, some lie down directly, while others lean on pillows and sit sleeping, all appearing as if intoxicated. The answer is: This is due to the tension of the Spleen system (the physiological connections related to the Spleen) and the relaxation of the Heart system (the physiological connections related to the Heart). What is meant by the tension of the Spleen system? Children possess a pure Yang constitution and are active and playful; they do not rest for a moment throughout the day, thus their bodies become fatigued. The Spleen governs movement and transformation, hence it is said that the Spleen system is tense. What is meant by the relaxation of the Heart system? Children have lively natural instincts and their minds are not burdened with complex tasks; even when attending school for lessons, they mostly engage in oral recitation. For those over ten who possess keen memory skills, this is not the case. The Heart governs blood; if not exerted, blood is not consumed, hence it is said that the Heart system is relaxed. Farmers and laborers, although aged, often experience physical fatigue but mental ease, which can be verified by their ability to fall into deep sleep immediately after stretching out their legs. People in wealthy and noble families, however, often suffer from mental toil but physical ease, so they are less prone to sleeping deeply compared to farmers and laborers.
For illnesses following prolonged sickness or occurring in the elderly, the key lies in preserving Stomach Qi (Vital Energy of the Stomach). Preserving Stomach Qi depends on diet rather than medicine; one must never rely exclusively on medication to the detriment of food intake. If the patient has the strength to eat, it is better to discontinue medicine due to eating than to discontinue eating due to taking medicine.
In worldly affairs, after management and handling, any imperfections require subsequent refinement and polishing, which is indispensable. Similarly, after recovery from severe or chronic diseases, timely regulation is necessary to avoid adverse consequences. Previously, the daughter of Magistrate Zhang suffered from Gan Jue (Liver Convulsion), treated by a physician from Huzhou, and recovered after a month. At that time, I happened to meet Magistrate Zhang at Lingfen Pavilion and informed him: "Although your daughter's illness has healed, the root cause was Blood deficiency leading to dryness of Liver Wood. She requires nourishing agents combined with herbs that soothe the Liver, relieve depression, and dissipate stagnation, prepared as pills for long-term consumption, to ensure no recurrence." The Magistrate agreed but did not have the time to complete the course. Within a few months, the disease relapsed. The Huzhou physician was helpless, and the patient ultimately died. Whose fault is this?
Fei Yizhong stated: "When a person recovers from illness, Stomach Qi is inevitably deficient. One must certainly not indulge one's palate, nor should one be overly cautious to the point of abstaining completely from meat." This statement only covers one aspect and is not comprehensive. I argue: Since Stomach Qi is deficient after illness, its transformative and transportive functions are necessarily weak. Meat, being rich and fatty, tends to generate wind, disturb Qi, assist fire, and produce phlegm, effects that cannot be avoided. Therefore, one must first regulate with bland flavors and grain foods until Stomach Qi gradually becomes robust and functional. Only then can fatty meats and pork lard, cooked until extremely soft, be introduced as part of the diet without causing harm. It is absolutely inadvisable to consume pork immediately upon recovery. This is especially critical to observe strictly after diseases such as malaria or maculopapular rashes.