外科书向无善本,无怪业此者只讲内消、内托、内补、艾灸、神照、针砭、围药熏洗、开口、收口诸小技,儒者薄
之而不言,所以愈趋而愈下也。余少年遇险逆之症,凡外科咸束手而无策者,必寻出一条大生路,为之调理,十中可愈
六七。非有他术,盖从《伤寒论》中体认十二经之经气标本,而神明乎三百九十七法,一百一十三方之中也。今于女科
杂病后,又附外科四症,以示其概。
眼科书分为七十二症,类皆不切之陈言,各家从而敷衍之,陈陈相因,曷其有极乎?所以有目不医不盲之诮也。而
妇
人眼病,与男子颇殊,当以补养肾水,以济冲、任、胞门、血海之血,以目得血而能视也。又肝开窍于目,女子善怀,
每多忧郁;五郁皆属于肝,又当以疏肝解郁之药佐之;余“新定”二方,面面周到。
新定开瞽神方
茺蔚子(隔纸烘) 元参(酒浸,各八两) 香附(为末,以人乳拌五次) 柴胡(酒拌烘,各四两) 泽泻(酒
拌,烘) 防风(黄 汁拌) 白菊花(各三两)
上为末,炼蜜为丸,如梧桐子大,每服三钱,菊花汤送下。
又附方∶枸杞子一斤(去蒂,并干燥者不用),取羊胆十个(泻汁;用冬蜜十两、山泉水一斤搅匀,将枸杞浸一宿,
蒸半炷香),晒干,又浸又蒸,以汁干为度。收藏密贮,勿泄气。每早晚各吞三钱,以桑叶汤送下。
外科书籍向来没有好的版本,难怪从事这一行业的人只讲内消、内托、内补、艾灸、神照、针砭、围药熏洗、开口、收口等小技艺,读书人轻视它们而不加谈论,所以医术越来越低下了。我年轻时遇到险恶逆乱的病症,凡是外科医生都束手无策的,必定能寻出一条大的生机之路,为他们调理,十个人中可治愈六七个。并不是有什么其他法术,大概是从《伤寒论》中体认十二经(手足三阴三阳经脉)的经气标本,而在三百九十七法、一百一十三方之中运用自如。现在在女科杂病之后,又附上外科四种病症,以展示其大概。
眼科书籍分为七十二种病症,大都是不切实际的陈旧言论,各家随之敷衍了事,代代相因,哪里会有尽头呢?因此有“眼睛有病不找医生治就会瞎”的讥讽。而妇女的眼病,与男子颇为不同,应当通过补养肾水,来济助冲脉、任脉、胞门(子宫)、血海(肝脏藏血功能或特定穴位)之血,因为眼睛得到血液滋养才能视物。另外肝开窍于目,女子多愁善感,往往多有忧郁;五郁(气、血、痰、火、湿五种郁结)皆归属于肝,又应当用疏肝解郁的药物辅助治疗;我“新定”的两个方子,面面俱到。
新定开瞽神方
茺蔚子(隔纸烘干) 元参(玄参,酒浸,各八两) 香附(研为末,用人乳拌五次) 柴胡(酒拌烘干,各四两) 泽泻(酒拌,烘干) 防风(黄芩汁拌) 白菊花(各三两)
以上药物研为细末,炼蜜制成丸药,如梧桐子大小,每次服用三钱,用菊花汤送服。
又附方:枸杞子一斤(去掉蒂头,干燥的不用的),取羊胆十个(挤出胆汁;用冬蜜十两、山泉水一斤搅匀,将枸杞浸泡一夜,蒸半柱香的时间),晒干,再浸泡再蒸,直到汁液干透为止。密封贮藏,不要漏气。每天早晚各吞服三钱,用桑叶汤送下。
Surgical texts have never had good editions, which explains why practitioners in this field only focus on minor techniques such as internal resolution (内消), internal support (内托), internal tonification (内补), moxibustion (艾灸), Shen Zhao therapy (神照), acupuncture and scarification (针砭), encircling medicine fumigation and washing (围药熏洗), incision (开口), and wound closure (收口). Scholars look down upon these practices and do not discuss them, leading to a continuous decline in medical standards. In my youth, when encountering critical and adverse conditions where surgeons were at a loss, I would invariably find a major path to life and manage their recovery, achieving cures in six or seven out of ten cases. This was not due to any other special skill, but rather from comprehending the origin and branch (标本) of the Qi of the Twelve Meridians (Twelve Primary Channels) through the *Treatise on Cold Damage* (*Shanghan Lun*), and applying it flexibly within the framework of three hundred and ninety-seven methods and one hundred and thirteen prescriptions. Now, following the discussion on miscellaneous diseases in gynecology, I append four surgical cases to illustrate the general principles.
Ophthalmic texts categorize seventy-two types of eye diseases, most of which consist of irrelevant stale remarks. Various schools merely elaborate on them, perpetuating the same errors endlessly, with no end in sight. Hence, there is ridicule that "eyes will go blind if not treated by a doctor." However, women's eye diseases differ significantly from men's. Treatment should focus on nourishing Kidney Water (Kidney Yin) to supplement the blood of the Chong Mai (Penetrating Vessel), Ren Mai (Conception Vessel), Baomen (Uterus), and Xuehai (Sea of Blood), because the eyes can see only when nourished by blood. Furthermore, the Liver opens into the eyes; women are prone to emotional sensitivity and often suffer from depression. Since all five types of stagnation (Five Stagnations: Qi, Blood, Phlegm, Fire, Dampness) belong to the Liver, decoctions for soothing the Liver and resolving stagnation should be used as adjuncts. My two "newly formulated" prescriptions are comprehensive and thorough.
Newly Formulated Divine Prescription for Restoring Sight
*Leonuri Fructus* (Chongweizi, dried between paper) 8 liang; *Scrophulariae Radix* (Yuan Shen, soaked in wine) 8 liang; *Cyperi Rhizoma* (Xiangfu, powdered and mixed with human milk five times) 4 liang; *Bupleuri Radix* (Chaihu, mixed with wine and dried) 4 liang; *Alismatis Rhizoma* (Zexie, mixed with wine and dried); *Saposhnikoviae Radix* (Fangfeng, mixed with *Coptidis Decoctum* juice); *Chrysanthemi Flos* (Bai Juhua) 3 liang.
Grind all ingredients into fine powder, mix with refined honey to make pills the size of paulownia seeds. Take 3 qian per dose, washed down with Chrysanthemum tea.
Additional Prescription:
*Corni Fructus* (Gouqizi) 1 jin (remove stems; exclude those that are overly dry). Take 10 sheep gallbladders (extract bile). Mix with 10 liang of winter honey and 1 jin of mountain spring water. Soak the Goji berries overnight, then steam for half an incense stick's duration. Dry them, then soak and steam again until the liquid is completely absorbed. Store tightly sealed to prevent air leakage. Swallow 3 qian each morning and evening, washed down with Mulberry Leaf tea.