论曰内经谓石药性悍,非缓心和人不可服。夫圣人垂训深矣,世之服乳石者。至于轻生
伤性,恃毫发所得,不戒夫毒烈之过。夭于中道,十有七八,夫岂知大冶范形。精全神固,
和理均足,初无加损也,能者养以取福。则全生尽年,若乃情窦一开,嗜欲滋甚。方且资刚
暴勇猛之剂。以蕲补养,积之畎浍,泄之尾闾,果何所赖耶,说者乃以益气补精,安五脏,
通百节,利九窍。延年益寿,利人如此其多,谓不可不食,其食也。乃分少稚强壮之先后,
又以石精石滓,分上士下士所服之优劣。夫以其有益于人,必欲资是以祛沉 痼疾可也。当
气体调和,营卫流通,亦何必区区于炼饵哉。胡不考服食之后,将护多端,一失其度,发作
异态,饮食之细,则有或热或温之过,衣服坐卧,则有温衣浓衣久坐久停之患,其它六反七
急,八不可,三无疑,又须谨畏而力行,惝有不慎。疾不旋踵,与其服食失度,自诒伊芳戚,
曷若清静恬淡,克保冲和。今叙疾 之由,庶几无轻饵。
论曰,服饵药剂,皆有程序,戒慎将适。每务周至,矧乳石 悍,尤当谨畏。炼食之后
,宜如何哉。饮食衣服,居处劳佚,温热寒凉之度。所当究图者,无虑数十,一失其度,疾
之孽,速于影响,盖精明非华佗,审治非仲景。轻信服食,弃是从非,动发急难,不知解
救。则有能消息节度,专意候察者,亦庶几免于困毙也。
治乳石发动,咽痛鼻塞,涕出者,此为衣温近火。方
上宜速脱衣,当风取冷,以冷石熨咽鼻,即瘥。
治乳石发动,辄安卧不与人语者,此为热盛食少失其性。方
上宜与热酒,冷洗冷食自劳,即瘥。
治乳石发动,耳鸣如风声,又有汗出者,此为自劳过度,阳事不节气上。方
上宜数饮食补之,节禁阳事,即瘥。
治乳石发动,关节强直,不可屈伸者,此为久停息,不自劳曳,药气不散,渐侵筋血。
方
上宜出力使温,冷水洗之,即瘥。
治乳石发动,身体痛楚无常处,如游风者,此为犯热所作。方
上宜冷洗,以冷石熨之,即瘥。
治乳石发动,服药心闷乱者,此为服温药,与疾争力。方
上当大吐,或不吐,病当困毙。若吐不绝者,可冷食饮即瘥。若绝不识人,口不开者,
亦当琢齿,以热酒灌之。入咽吐出者,更当与之,但得酒气下通,不半日即苏。
治乳石发动,臂脚偏急痛苦者,此为久坐卧温热,不自移转,气入肺脾胃。方
上勤以布巾浸冷水拓之,觉温则易,三日即瘥。
治乳石发动,似伤寒温疟者,此为犯热。方
上宜以常治伤寒温疟药救之,但勿服热药耳,其伤寒药等。皆除热破癖,不与寒食相妨
,故通服也。凡服寒食虽已热解而更病者,要先以寒食救之,终不中冷。
治乳石发动,脱衣便寒着衣便热,此为脱着失度。方
上小寒自可着衣,小温便可脱衣,及冷洗之即爽,应洗勿疑。若忍之,则病成矣。
治乳石发动,脉洪实,或断绝不足似死脉,或细数弦 ,其所犯非一,热多则弦 ,有
癖则洪实急痛。方
上宜寒食,自无所苦,盖热药发动,率常如此。
治乳石发动,夜不得睡者,此为食少热在内。方
上当服大黄黄芩栀子三黄汤,数进冷食,自得睡也。
治乳石发动,眩冒欲倒者,此为衣浓犯热。方
上宜冷水淋头,并洗之,即瘥。
治乳石发动,脚疼欲折者,此为久坐温处。方
上当单床薄衣,勿怠行役,并以冷水洗浴,即瘥。
治乳石发动,食患冷不下者,此为久冷食,口中不知味。方
上当作白酒糜多着酥,热食一两顿,若小闷者,还令冷冻饮料食,即瘥。
治乳石发动,下部臭烂者,此为所坐荐席浓热。方
上当坐冷水中,即瘥。
治乳石发动,百节酸痛者,此为卧处太浓,又盖复被衣温浓,不时脱去。方
上当单床薄被衣,或以冷水洗,勿着故垢衣。虽冬寒亦须散发受风,仍以冷石熨其衣,
衣勿系带。若犯此烦闷者,急入冷水浴,勿忍病而畏冷也。
治乳石发动,遗失大便,不自觉者,此为热气入胃,大肠不禁。方
上当冷水洗之,即瘥。
论述说:《内经》提到石药(指古代服用矿物类丹药,如五石散等)药性猛烈,不是性情平和、心态安宁的人不能服用。圣人留下的教诲非常深远,世上那些服用乳石的人,以至于轻视生命、损伤本性,依仗着微小的益处,不警惕毒烈过度的危害。在半路夭折的,十有七八,他们哪里知道天地大冶(比喻大自然)塑造人的形体,只要精神完备、神气固守,阴阳调和、理数充足,本来就没有什么增加或减损。善于养生的人通过调养来求得福报,从而保全生命、享尽天年;如果情欲之门一开,嗜好欲望日益严重,却反而依赖刚暴勇猛的药剂来祈求补养,这就像把水积在田间小沟里,又让它在尾闾(传说中海水汇聚之处,喻指人体下部排泄口)泄漏,究竟依靠什么呢?
解说的人于是认为乳石能益气补精、安五脏、通百节、利九窍,延年益寿,对人如此有益,说不可不吃。至于吃的方法,又区分年少体壮者先服还是后服,又以石精(纯净部分)、石滓(杂质部分)来区分上士和下士所服药物的优劣。既然它对人有益,一定要借助它来祛除沉疴痼疾是可以的。但当身体气血调和,营卫之气流通时,又何必拘泥于炼丹服食呢?为什么不考察服食之后,调护方法多种多样,一旦失去法度,就会发作出各种怪异病态?饮食方面,有过热或过温的弊端;穿衣坐卧方面,有过穿暖衣、厚衣、久坐久停的祸患。其他的“六反”、“七急”、“八不可”、“三无疑”等禁忌,都必须谨慎敬畏并努力实行,稍有疏忽,疾病就会立刻发作。与其服食失度,自己招致忧患,何不保持清静恬淡,克制保养冲和之气?现在叙述发病的原因,希望人们不要轻易饵服。
论述说:服用饵剂药物,都有程序法则,必须谨慎地适应生活起居。务必周全细致,何况乳石药性猛烈,更应当谨慎敬畏。炼食之后,应该怎么做呢?饮食衣服、居处劳逸、温热寒凉的尺度,应当研究的方面,不少于几十项。一旦失去法度,疾病的灾祸,比影子和回声还要迅速。况且普通人并非华佗那样精明,诊治并非张仲景那样审慎,轻信服食,弃是取非,一旦急性发作,不知道如何解救。如果有能够斟酌节度、专心观察病情的人,也差不多可以免于困顿致死。
治疗乳石发动,出现咽痛鼻塞、流鼻涕的症状,这是因为穿衣太暖、靠近火源所致。方剂:此时应迅速脱去衣物,对着风取凉,用冷石头熨烫咽喉和鼻子,即可痊愈。
治疗乳石发动,经常安静躺卧不愿与人说话的症状,这是因为热盛、吃得少、神志失常所致。方剂:此时应给予热酒,进行冷水洗浴、进食冷食并适度劳作,即可痊愈。
治疗乳石发动,耳鸣像风声,并且有汗出的症状,这是因为过度劳累,阳气失调,气机上逆所致。方剂:此时应多次饮食以补益之,节制房事,即可痊愈。
治疗乳石发动,关节强直,不能屈伸的症状,这是因为长时间静止休息,不自我劳作牵引,药气不散,逐渐侵入筋血所致。方剂:此时应出力活动使身体温暖,用冷水清洗,即可痊愈。
治疗乳石发动,身体疼痛无常处,像游走风邪一样的症状,这是因为触犯热邪所致。方剂:此时应冷水洗浴,用冷石头熨烫,即可痊愈。
治疗乳石发动,服药后心闷混乱的症状,这是因为服用温药,与病邪争力所致。方剂:此时应当催吐,如果不吐,病情可能会困顿致死。如果呕吐不止,可以吃冷饮冷食,即可痊愈。如果完全不认识人,嘴张不开,也应该撬开牙齿,灌入热酒。进入咽喉吐出后,再给予,只要酒气下行通畅,不到半天就能苏醒。
治疗乳石发动,手臂和脚偏侧拘急痛苦的症状,这是因为久坐卧在温热环境,不自行移动转动,气进入肺脾胃所致。方剂:应用布巾浸冷水频繁擦拭,感觉变温就更换,三天即可痊愈。
治疗乳石发动,类似伤寒温疟的症状,这是因为触犯热邪所致。方剂:应用通常治疗伤寒温疟的药物来救治,只是不要服用热药罢了。那些治疗伤寒的药物,都能清热破癖,不与寒食相冲突,所以通用服用。凡是服用寒食虽然热解但再次生病的,要先用寒食来救治,最终不会受寒凉伤害。
治疗乳石发动,脱衣就觉得冷,穿衣就觉得热的症状,这是因为脱衣穿衣失去法度所致。方剂:稍微有点冷就可以穿衣服,稍微有点热就可以脱衣服,并进行冷水洗浴就会爽快,只要是洗浴就不要犹豫。如果忍耐,疾病就会形成。
治疗乳石发动,脉象洪实,或者断绝不足似死脉,或者细数弦紧的症状,其所触犯的原因不一,热多则脉弦,有积聚癖块则脉洪实且急痛。方剂:此时应食用寒凉食物,自然没有痛苦,因为热药发动,通常都是这样。
治疗乳石发动,晚上睡不着觉的症状,这是因为吃得少,热邪在内所致。方剂:此时应当服用大黄黄芩栀子三黄汤,多次进服冷食,自然就能入睡。
治疗乳石发动,眩晕昏冒想要跌倒的症状,这是因为穿着厚重、触犯热邪所致。方剂:此时应用冷水淋头并清洗,即可痊愈。
治疗乳石发动,脚疼想要折断的症状,这是因为久坐温暖地方所致。方剂:此时应当睡单床、穿薄衣,不要懈怠行走劳作,并用冷水洗浴,即可痊愈。
治疗乳石发动,进食患冷症无法下咽的症状,这是因为长期吃冷食,口中不知味道所致。方剂:此时应当制作白酒粥,多加酥油,热食一两顿,如果稍微感到胸闷,还令其冷冻饮料食,即可痊愈。
治疗乳石发动,下部臭烂的症状,这是因为所坐的垫席浓热所致。方剂:此时应当坐在冷水中,即可痊愈。
治疗乳石发动,全身关节酸痛的症状,这是因为卧处太暖,又盖被衣温暖厚重,不时脱去所致。方剂:此时应当睡单床、盖薄被衣,或者用冷水洗浴,不要穿旧的脏衣服。即使是冬天寒冷也必须散发受风,仍用冷石头熨烫衣服,衣服不要系带子。如果触犯此症感到烦闷,急忙进入冷水浴,不要因为害怕寒冷而忍受病痛。
It is stated: The *Neijing* (Classic of Internal Medicine) mentions that stone medicines (referring to ancient mineral-based elixirs, such as the Five-Stone Powder) have fierce properties and should not be taken by anyone who does not possess a calm mind and peaceful temperament. The teachings left by the sages are profound. Those in the world who take stone medicines end up disregarding their lives and damaging their natures, relying on trivial benefits while failing to guard against the excessive toxicity. Seventy or eighty percent die prematurely, unaware that Nature (the Great Forge) shapes human form; if spirit is complete and vitality is solid, with harmony and balance sufficient, there is originally no addition or subtraction. Those skilled in nurturing life do so to obtain blessings, thereby preserving life and fulfilling their years. However, once the gates of desire open and cravings intensify, they instead rely on fierce and violent agents to seek nourishment. This is like accumulating water in small ditches and letting it drain from the Weilu (a legendary convergence point for sea water, metaphorically referring to the lower body's excretory outlets); what reliance can there be?
Commentators claim that stone medicines can replenish qi and essence, calm the five zang organs, unblock the hundred joints, benefit the nine orifices, prolong life, and extend longevity, asserting that they are so beneficial one must eat them. Regarding the method of consumption, distinctions are made between those who are young and strong taking it first or last, and between "stone essence" (pure parts) and "stone dregs" (impurities) to distinguish the superiority of what the "superior scholar" versus the "inferior scholar" takes. If it is indeed beneficial to humans, using it to dispel chronic and stubborn diseases is acceptable. But when the constitution is harmonious and Ying-Wei (Nutritive and Defensive Qi) circulate freely, why cling to refining and ingesting these substances? Why not examine the aftermath of ingestion, where care methods are numerous, and a single loss of measure results in various abnormal manifestations? In terms of diet, there are excesses of heat or warmth; in sitting and lying, there are hazards of wearing warm/thick clothes, long sitting, or prolonged stillness. Other taboos such as the "Six Reversals," "Seven Urgencies," "Eight Impossibilities," and "Three Certainties" must be observed with caution and practiced diligently. Any negligence will cause disease to strike immediately. Rather than losing measure in ingestion and bringing sorrow upon oneself, is it not better to maintain clarity, tranquility, and blandness, and to preserve the harmonious state? Herein lies the discussion of the causes of illness, hoping that people will not lightly ingest these substances.
It is stated: There are procedures for taking medicinal elixirs, requiring cautious adaptation to daily life. One must be thorough and meticulous. Especially since stone medicines are fierce, extreme caution is required. After refining and consuming them, what should be done? Aspects to investigate regarding diet, clothing, dwelling, labor, rest, and degrees of heat, cold, warmth, and coolness number no less than dozens. A single loss of measure causes disasters of disease to arise faster than shadows or echoes. Ordinary people are not as perceptive as Hua Tuo, nor do they diagnose as skillfully as Zhang Zhongjing. Trusting blindly in ingestion, rejecting correctness for error, leads to sudden acute crises without knowledge of how to rescue oneself. Only those who can modulate measures and attentively observe symptoms may barely avoid distress and death.
To treat Stone Medicine Activation presenting with sore throat, nasal congestion, and runny nose, caused by wearing warm clothes or staying near fire: Immediately remove clothing, expose oneself to wind to cool down, and apply cold stones to soothe the throat and nose. Recovery will follow.
To treat Stone Medicine Activation presenting with frequent quiet lying down and unwillingness to speak, caused by excess heat, poor appetite, and loss of mental control: Administer hot wine, perform cold washes, consume cold food, and engage in moderate physical exertion. Recovery will follow.
To treat Stone Medicine Activation presenting with tinnitus sounding like wind and sweating, caused by overexertion and disharmony of Yang leading to upward rushing of Qi: Increase dietary intake to tonify, and abstain from sexual activity. Recovery will follow.
To treat Stone Medicine Activation presenting with joint stiffness and inability to flex or extend, caused by prolonged rest without self-movement, allowing medicinal Qi to stagnate and gradually invade tendons and blood: Engage in physical effort to generate warmth, and wash with cold water. Recovery will follow.
To treat Stone Medicine Activation presenting with wandering body pain, similar to migrating wind pathogens, caused by exposure to heat: Perform cold washes and apply cold stones. Recovery will follow.
To treat Stone Medicine Activation presenting with chest oppression and mental confusion after taking medicine, caused by warm medicines clashing with pathogenic factors: Induce vomiting. If vomiting does not occur, the condition may become critical. If vomiting persists, consume cold drinks/food. If the patient is unconscious and cannot open the mouth, pry open the teeth and pour in hot wine. Once swallowed and vomited out, administer again. As long as the aroma of wine reaches the interior, consciousness will return within half a day.
To treat Stone Medicine Activation presenting with unilateral spasm and pain in arms and legs, caused by prolonged sitting/lying in warm environments without movement, allowing Qi to enter the Lung, Spleen, and Stomach: Frequently wipe with cloths soaked in cold water, replacing them when they warm up. Recovery will follow in three days.
To treat Stone Medicine Activation presenting with symptoms resembling Cold Damage or Warm Malaria, caused by exposure to heat: Use standard formulas for treating Cold Damage or Warm Malaria, but do not use hot medicines. These Cold Damage formulas clear heat and break accumulations, and do not conflict with cold foods/diets, so they can be used generally. Even if heat resolves after taking cold foods/diets but illness recurs, first rescue with cold foods/diets; ultimately, this will not cause cold injury.
To treat Stone Medicine Activation presenting with feeling cold when undressing and feeling hot when dressing, caused by improper regulation of clothing: Dress slightly when feeling cool, undress slightly when feeling warm, and perform cold washes. Do not hesitate to wash. Enduring this will lead to established disease.
To treat Stone Medicine Activation presenting with surging/full pulse, or intermittent/deficient pulses resembling death pulses, or fine/rapid/wiry pulses. Causes vary: Excess heat presents with wiry pulses; accumulations present with surging/full, rapid, and painful pulses. Consume cold foods/diets; discomfort will cease naturally, as this is typical of activation by hot medicines.
To treat Stone Medicine Activation presenting with insomnia at night, caused by poor intake and internal heat: Administer Sanhuang Tang (Three Yellows Decoction containing Rhubarb, Scutellaria, and Gardenia), frequently consume cold foods/diets, and sleep will naturally ensue.
To treat Stone Medicine Activation presenting with vertigo and dizziness threatening collapse, caused by heavy clothing and exposure to heat: Pour cold water over the head and wash. Recovery will follow.
To treat Stone Medicine Activation presenting with severe foot pain as if breaking, caused by prolonged sitting in warm places: Sleep on a single bed, wear thin clothes, avoid laziness, engage in walking/exercise, and wash with cold water. Recovery will follow.
To treat Stone Medicine Activation presenting with difficulty swallowing due to cold sensation in the stomach, caused by long-term consumption of cold foods and loss of taste: Prepare millet porridge with white wine and add plenty of butter/ghee. Eat warm portions for one or two meals. If slight chest oppression occurs, allow consumption of chilled drinks/foods. Recovery will follow.
To treat Stone Medicine Activation presenting with foul decay in the lower body, caused by sitting on thick, hot mats: Sit in cold water. Recovery will follow.
To treat Stone Medicine Activation presenting with soreness and pain in all joints, caused by sleeping in warm places, covering with thick/warm bedding, and failing to remove them timely: Sleep on a single bed with thin bedding, or wash with cold water. Do not wear old, dirty clothes. Even in winter cold, expose hair/head to wind. Apply cold stones to clothes, and do not tie belts tightly. If this provokes oppression/confusion, urgently bathe in cold water. Do not endure pain out of fear of cold.
To treat Stone Medicine Activation presenting with involuntary fecal incontinence, caused by heat entering the Stomach and failure of the Large Intestine to control: Wash with cold water. Recovery will follow.