凡药有燥湿精粗不同。必先治择炮焙讫。乃秤之。若用巴豆则不然,当先秤然后治择。
其言巴豆霜者,当根据分两用之。
古方修制法度,多于叙例开述,今欲临方易为检用。兼有一药修制不同,故各于逐方下
注释。
吴人以贰两为一两。隋人以三两为一两,今以新法斤两为则,凡云等分者,谓不拘多寡
,以分两悉同也。
古今升斗大小不同,盖古之三升为今壹升,凡方中用水言升合者,今以中盏为率,庶与
世俗相通,无多少之惑。其他如酒酢乳蜜之类,凡言升合者,亦合以盏为则。
妇人之病,除妊娠产后血风血气门外,余杂病及耳目口鼻诸疾,与男子无异,当于逐门
中,随证用之。
凡小儿之病,与大人不殊,惟用药分剂瘥小耳,除别立专治小儿门编次外,有未详尽处
,可于大人方中,推类酌量用之。
人资食以为养,故凡有疾,当先以食疗之,盖食能排邪而保冲气也。食疗不已,然后命
药者,其不得已而用之欤。
凡针灸 穴,并根据铜人经,及黄帝三部针灸经参定,各随经络编次,复撮其疗病要穴,
分门开具,又禁忌报针法,附于卷末,庶临病易于讨论。
医方之论,本自上古,行用既久,其间文理脱漏,承疑传谬,习以为常。比降诏命,虑
方书药法,有不如古,遗失不完者,如内经论鼻渊今为清涕,以肉苛为不仁,以劳风为风热
,以飧泄为泻利之类。所谓事不如古,内经治血枯以乌贼鱼骨,治阳厥以铁落。治鼓胀以鸡
矢醴,治脾瘅以兰之类。后世未尝讲明,此所谓遗失不完,今举阙误,并行刊正。具补遗于
篇首,仍列诸病方治于逐病门中。
〔按∶原书此处列有煎厥等62种病候(详细名目见卷首目录)的总论补遗,但后世复刻
时已将上述各该病候的总论分别补入以下各卷的有关病候中。故此处的补遗部分,实际上与
下文重复。因删〕
凡是药物,其燥性或湿性、精纯或粗糙的性质各不相同。必须先经过炮制、择选和烘焙处理之后,才能进行称量。如果使用巴豆则情况不同,应当先称量然后再进行炮制择选。
所谓“巴豆霜”,应当按照规定的分量使用。
古代方剂的修制法度,大多在叙例中详细阐述,现在为了方便临证时容易查阅使用,加上有一种药物可能有多种不同的修制方法,所以在每一个方剂下面都加以注释。
吴地人将二两作为一两,隋代人将三两作为一两,现在以新的法定斤两为标准,凡是说“等分”的,意思是不管数量多少,各药的分量必须完全相同。
古时候和现在的升、斗容量大小不同,大概古代的三升相当于现在的一升。凡是方剂中用水用量提到升、合的,现在以中等大小的盏为基准,以便与世俗习惯相通,避免对用量的困惑。其他如酒、醋、乳汁、蜂蜜之类,凡是提到升、合的,也应当以盏为单位来计算。
妇女的疾病,除了妊娠、产后以及血风、血气门之外,其余杂病以及耳目口鼻的各种疾病,与男子没有区别,应当在各个门类中,根据症状随证选用。
凡是小儿的疾病,与成人没有太大差异,只是用药的分量稍微小一些罢了。除了专门设立治疗小儿的门类进行编排外,如果有不够详尽的地方,可以从成人的方剂中,类推斟酌后使用。
人的身体依靠食物来滋养,所以凡是有疾病,应当首先采用食疗的方法,因为食物能够排除邪气并保护冲脉之气。如果食疗无效,然后才命令用药,这是不得已而采用的措施。
凡是针灸穴位,都依据铜人经,以及《黄帝三部针灸经》参校审定,各自按照经络进行编排,又摘录其中治疗疾病的重要穴位,分门别类列出,并将禁忌和报针法附在卷末,以便临证时容易讨论。
医方的论述,本自上古时代,施行使用已经很久,其中的文理有脱漏之处,因怀疑而传承谬误,人们习以为常。近来颁布诏令,考虑到方书药法,有不比得上古代的,遗失而不完整的,例如《内经》论鼻渊现在称为清涕,以肉苛为不仁,以劳风为风热,以飧泄为泻利之类。所谓事情不如古代,《内经》治疗血枯用乌贼鱼骨,治疗阳厥用铁落,治疗鼓胀用鸡矢醴,治疗脾瘅用兰草之类。后世未曾讲明,这所谓的遗失不完整,现在列举出缺失错误之处,一并刊正。在篇首具列补遗内容,仍然在各病门类中列出诸病的方治。
〔按:原书此处列有煎厥等62种病候(详细名目见卷首目录)的总论补遗,但后世复刻时已将上述各该病候的总论分别补入以下各卷的有关病候中。故此处的补遗部分,实际上与下文重复。因此删除〕
All medicines differ in their drying or moistening properties, and in their purity or coarseness. They must first be processed, selected, roasted, and dried before being weighed. However, when using Crotonis Fructus (Baidu), this is not the case; it should be weighed first and then processed and selected.
When "Crotonis Fructus Frost" (Badoushuang) is mentioned, it should be used according to the specified proportion.
The preparation methods of ancient prescriptions were mostly detailed in the introductory examples. Now, to facilitate easy reference during clinical practice, and because one herb may have different preparation methods, annotations are provided under each prescription.
In the Wu region, two liang were considered equal to one liang; in the Sui dynasty, three liang were considered equal to one liang. Currently, we use the new standard system of jin and liang as the rule. Whenever "equal parts" (Dengfen) is stated, it means that regardless of the quantity, the weight of each ingredient must be exactly the same.
The capacity of sheng and dou differed between ancient and modern times. Generally, three ancient sheng equaled one modern sheng. For water measurements in prescriptions mentioned in sheng or he, the current standard uses a medium-sized cup (Zhuan). This aligns with common usage and avoids confusion regarding quantities. Similarly, for other substances such as wine, vinegar, milk, and honey, where sheng or he are mentioned, they should also be measured by the cup.
Women's diseases, except for those related to pregnancy, postpartum conditions, blood wind, and blood qi, along with miscellaneous diseases and disorders of the ears, eyes, mouth, and nose, are no different from men's. These should be treated according to symptoms within their respective categories.
Children's diseases are generally similar to adults', except that the dosage of medicine is slightly smaller. Apart from the dedicated sections for pediatric treatments, if there are insufficient details, one can extrapolate and adjust dosages from adult prescriptions.
Humans rely on food for nourishment. Therefore, when treating illness, dietary therapy should be attempted first, as food can expel pathogens and protect the Chong Qi (Penetrating Vessel Qi). Only if dietary therapy fails should medication be prescribed, which is a measure of last resort.
Acupuncture points are determined based on the Bronze Man Classic (Tongren Jing) and cross-referenced with the Huangdi Sanbu Zhenjiu Jing (Yellow Emperor's Three Categories of Acupuncture and Moxibustion Classic). They are organized by meridians. Key points for treating specific diseases are extracted and listed by category. Contraindications and needling techniques are appended at the end of the volume for ease of clinical discussion.
Discussions on medical prescriptions originate from antiquity. Having been in use for a long time, textual errors and omissions have occurred, leading to the transmission of mistakes which became customary. Recently, an imperial edict was issued expressing concern that some prescription books and drug methods had deviated from ancient standards or were incomplete. For instance, what the Neijing (Inner Canon) described as Biyuan (Nasal Sinusitis) is now referred to as Qingti (Clear Nasal Discharge); Rouke (Muscular Numbness) is understood as Buren (Insensitivity); Laofeng (Labor-induced Wind) is seen as Fengre (Wind-Heat); and Xunxie (Incomplete Digestion Diarrhea) is classified as Xieli (Diarrhea). Regarding matters differing from antiquity, the Neijing treated Xueku (Blood Depletion) with Ocutis Sepiae (Cuttlefish Bone), Yangjue (Yang Reversal) with Tieluo (Iron Filings), Guzhang (Distension) with Jishili (Chicken Dropping Wine), and Pidan (Spleen Heat) with Lancao (Orchid-like Herbs). These were not clearly explained in later generations, representing the so-called incompleteness. We now list these omissions and errors and correct them. Supplementary materials are placed at the beginning of the chapter, and formulas for various diseases are listed in their respective disease categories.
[Note: The original text here lists general supplementary discussions for 62 syndromes including Jianjue (see the table of contents at the beginning of the volume). However, in later reproductions, these general discussions were incorporated into the relevant sections of subsequent volumes. Thus, the supplementary section here actually duplicates the following content and has been deleted.]