凡人无病时,不善调理而致生百病,况既病之后,若不加调摄,而病岂能得愈乎。其调治有法,初起病时
,先看病者元气虚实,次者疮之阴阳险否,然后用药调治,当攻即攻,可补便补,不可因循耽误,以致变态不
虞也。且患者又当安定心神,相忘诸念,毋使怆慌,乃保神气不得变乱也。再顺天时,假如夏热坐卧不可为风,
忌置水于榻前床下,冬寒须避起居,常要温和,非柴火不可开疮看视,常有寒侵致生多变,又未溃之先,毒瓦斯
内作,倘有口干渴症者,凉物须当少少与之,以滋蕴热,至脓溃之后;生冷硬物一概禁之,不然伤脾损胃,脓
必难成,致疮软陷,又难收敛。饮食须当香燥甘甜,粥饭随其喜恶,毋餐过饱,宜少、宜热、宜浓,方无停滞
,又得易化故也。如大疮溃后,气血两虚,脾胃并弱,必制八仙糕,早晚随食数饼以接补真元、培助根本,再
熬参术膏。如患者脾胃俱虚,饮食减少,胸膈不宽,饮食无味者,用白术膏三匙,人参膏二匙,清米汤空心化
服,喜饮者酒化亦可。若精神短少,昏沉多睡,自汗劳倦,懒于动作者用人参膏三匙,白术膏二匙,亦酒化服;
如肌肤粗涩,面苍不泽,或大便血少虚秘,以及皮干发槁者,同地黄膏各二匙和服,或饮阳春酒更妙。其功强
健精神,顿生气血,开胃助脾,润肌荣骨,此二药功甚非小,大疮不可缺之,实非草药之比,病者当信用之,
乃无更变。虚视者,又多反复不常,故有易愈难愈之态,实在乎得此失此之规也。
人在没有患病时,如果不善于调理身体而导致生出各种疾病,更何况在已经生病之后,如果不加以调养摄护,病情又怎么能痊愈呢。其调治是有方法的:在疾病初起时,首先要观察患者的元气是虚还是实,其次要看疮疡属于阴证还是阳证、是险证还是顺证,然后才用药进行调治,该攻邪的就攻邪,该补益的就补益,不能因循守旧而耽误治疗,以致出现意想不到的病情变化。而且患者自己也应当安定心神,忘却杂念,不要使内心惊慌失措,这样才能保证神气不致紊乱。再顺应天时气候,例如夏天炎热,坐卧时不可让风直吹,忌讳在水床前或床下放置冷水;冬天寒冷,必须注意起居保暖,常要保持温和,如果不是用柴火取暖就无法查看疮口,常有寒气侵袭导致产生多种变证。又在疮疡未溃破之前,毒瓦斯在体内作祟,如果有口干口渴症状的患者,凉性食物应当少量给予,以滋润蕴积之热;到了脓液溃破之后,生冷坚硬的食物一概禁止,否则损伤脾胃,脓液必然难以形成,导致疮口软陷,又难以收敛愈合。饮食应当选择香燥甘甜之物,粥饭随患者的喜好而定,但不要吃得过饱,宜少食、宜热食、宜浓稠,这样才不会造成停滞,也易于消化。如大型疮疡溃破后,气血两虚,脾胃虚弱,必须制作八仙糕,早晚各吃几块以接续补益真元、培助根本,再熬制参术膏。如果患者脾胃俱虚,饮食减少,胸膈不宽畅,饮食无味,可用白术膏三匙,人参膏二匙,空腹时用清米汤化开服用,喜欢喝酒的人用酒化开服用也可以。如果精神短少,昏沉嗜睡,自汗且感到劳倦,懒得活动,用人参膏三匙,白术膏二匙,也用酒化开服用;如果肌肤粗糙干涩,面色苍老无光泽,或者大便血少导致虚性便秘,以及皮肤干燥头发枯槁者,同地黄膏各二匙混合服用,或者饮用阳春酒送服更为奇妙。这两味药的功效在于强健精神,顿时生发气血,开胃助脾,润泽肌肤荣养骨骼,这两味药的功效非常大,大型疮疡不可缺少的,实在不是普通草药能比的,患者应当信任并服用它们,这样就不会再有病情变化。体虚的患者,又多反复无常,所以有容易痊愈和难以痊愈的状态,关键在于是否掌握了得此失此的规律。
When a person is free from disease, failure to properly regulate the body may lead to various illnesses. How much more so after illness has set in; if no care is taken to nurture and regulate the condition, how can recovery be expected? There are principles for regulation and treatment: at the onset of the disease, one must first assess whether the patient's Yuan Qi (Original Qi) is deficient or excess, then determine whether the sore/ulcer is Yin or Yang, and whether it is dangerous or favorable. Only then should medication be administered. If attack (expelling pathogenic factors) is indicated, attack; if tonification is indicated, tonify. Do not procrastinate or delay, lest unexpected complications arise. Furthermore, the patient must calm the mind and spirit, discard distracting thoughts, and avoid panic, thereby preserving the Shen (Spirit) and Qi from disorder. One must also adapt to seasonal changes. For instance, in summer heat, one should avoid drafts when sitting or lying down, and avoid placing cold water near the bed or under it. In winter cold, one must guard against chill in daily life, maintaining warmth. Without heating with firewood, it is difficult to inspect open sores; exposure to cold often leads to multiple complications. Before the ulcer suppurates and breaks, toxic pathogens act internally. If the patient experiences dry mouth and thirst, cool substances should be given sparingly to moisten accumulated heat. After the pus breaks and drains, all raw, cold, and hard foods are strictly prohibited. Otherwise, the Spleen and Stomach will be damaged, pus formation will be hindered, leading to soft, sunken ulcers that are difficult to heal. Diet should consist of aromatic, dry, sweet, and mild foods. Porridge and rice should follow the patient's preferences, but overeating must be avoided. Meals should be small in quantity, hot in temperature, and thick in consistency, ensuring no stagnation and easy digestion. Following the rupture of large ulcers, both Qi and Blood are deficient, and the Spleen and Stomach are weak. It is necessary to prepare Baxian Gao (Eight Immortals Cake), consuming several pieces morning and evening to replenish True Yuan (True Original Qi) and strengthen the root. Additionally, Shenzhu Gao (Ginseng and Atractylodes Paste) should be decocted. If the patient suffers from dual deficiency of the Spleen and Stomach, reduced appetite, chest fullness, and loss of taste, take three spoons of Baizhu Gao (Atractylodes Macrocephala Paste) and two spoons of Renshen Gao (Ginseng Paste), dissolved in clear rice soup on an empty stomach. Those who prefer alcohol may dissolve them in wine. If there is mental fatigue, drowsiness, spontaneous sweating, lassitude, and reluctance to move, take three spoons of Renshen Gao (Ginseng Paste) and two spoons of Baizhu Gao (Atractylodes Macrocephala Paste), also dissolved in wine. If the skin is rough and dry, the complexion is dull and lusterless, or if there is constipation due to blood deficiency, or dry skin and brittle hair, mix two spoons each of Dihuang Gao (Rehmannia Paste) and take together, or consume with Yangchun Wine for better effect. These two preparations strengthen the spirit, rapidly generate Qi and Blood, open the appetite, assist the Spleen, moisten the skin, and nourish the bones. Their efficacy is significant; they are indispensable for large ulcers and far surpass ordinary herbs. Patients should trust and use them to prevent further changes. Deficient patients often experience recurrent fluctuations, resulting in varying degrees of ease or difficulty in recovery. This ultimately depends on adhering to or neglecting these regulatory principles.