治妇人疾,有不能尽圣人之法者。今富贵之家,居奥室之中,处帏幔之内,甚又以帛 手臂,
既不能行望色之神,又不能殚切脉之巧,四者有二缺焉。黄帝曰∶凡治病察其形气色泽。形气相
得,谓之可治,色泽以浮,谓之易已。形气相失,谓之难治,色夭不泽,谓之难已。又曰∶诊病
之道,观人勇怯,骨肉皮肤,能知其情,以为诊法。若病患脉病不相应,既不得见其形,医者止
据脉供药,其可得乎!如此言之,乌能尽其术哉!此医家之公患,世不能革,医者不得不尽理质问
,以凭调治。病家见其所问烦逮,意其脉道不精,往往得药不服,似此甚多。扁鹊见齐侯之色,
尚不肯信,况其不得见者乎,嗟哉!
世有病患亲朋故旧,交游来问疾者,其人曾不经一事,未读一方,自夸了了,谈说异端,或
言是虚,或言是实,或云是风,或云是气。纷纷缪说,种种不同,使乱病患心意,不知孰是。迁
延已久,时不待人, 然致祸,各自走散。设有明医,识病深浅,探究方书,熟知本草,看病不尔
,大误人事,何况妄议者乎!
鄱阳周顺,医有十全之功,云∶古方如《圣惠》、《千金》、《外台秘要》,所论病原脉症,及
针灸法,皆不可废,然处方分剂,与今大异,不深究其旨者,谨勿妄用。有人得目疾,用古方治之,
目遂突出。又有妇人因产病,用《外台秘要》坐导方,其后反得恶露之疾,终身不瘥。曾有士人得脚弱
病,方书罗列,积药如山,而疾益甚。余今悉屏去,但用杉木为桶,盛水濯足,并令排樟脑于两股间,
以脚绷系定,月余安健如初。南方多此疾,不可不知。顺固名医,语必不妄,故录于此。
治疗妇女的疾病,存在不能完全遵循圣人(古代名医)法则的情况。如今富贵人家,居住在深宅大院之中,身处帷幔之内,甚至用丝帛遮住手臂,导致医生既不能施展观察气色的高超技艺,也无法充分发挥切脉的精妙手法,望、闻、问、切四诊中有两项缺失。黄帝说:大凡治病,要观察病人的形体、气息、气色和光泽。形体与气息相协调,称为可治;气色浮露鲜明,称为容易痊愈。形体与气息不相协调,称为难治;面色枯槁无光泽,称为难以痊愈。又说:诊断疾病的道理,在于观察人的勇敢或怯懦,以及骨骼、肌肉、皮肤的状态,从而了解病情,作为诊断的方法。如果病人的脉象与病症不相符合,医生又无法看到其形体神色,仅凭脉象来提供药物,这能行得通吗!这样说起来,怎么能穷尽医术呢!这是医家的普遍弊病,世人无法改变,医生不得不详尽地询问以探求真理,以此为依据进行调治。病人家属见到医生问得繁琐急切,怀疑医生脉道技术不精,往往拿到药也不服用,类似这种情况很多。扁鹊看到齐侯的气色,尚且不被信任,何况是连面都见不到的情况呢,唉!
世间有病患的亲朋故旧,交往中来探视疾病的人,这些人从未经历过医学事务,没有读过一方一剂,却自夸精通,谈论各种异端邪说,有的说是虚证,有的说是实证,有的说是风邪,有的说是气滞。纷纷谬论,种种不同,扰乱了病患的心意,使其不知道谁是对的。拖延时间很久,时光不等人,最终招致灾祸,各自走散。假设有明医,识别病情的深浅,探究方书,熟知本草,但看病时不像这样(指被干扰),就会严重误事,何况那些妄加议论的人呢!
鄱阳人周顺,医术有十全十美的功效,他说:古方如《太平圣惠方》、《千金方》、《外台秘要》,所论述的病因、脉象、症状,以及针灸方法,都不可废弃,然而处方的剂量,与现在大不相同,不深入探究其旨意的人,千万不要妄加使用。有人得了眼疾,用古方治疗,眼睛竟然突出。又有妇人因产后病,使用《外台秘要》中的坐导方,后来反而得了恶露不尽的病,终身不愈。曾有士人得了脚弱病,方书罗列,堆积的药像山一样,但病情更加严重。我现在全部摒弃不用,只用杉木做桶,盛水浸泡双脚,并让他在两腿间放置樟脑,用脚绷固定,一个多月后恢复健康如初。南方多此病,不可不知。周顺确实是名医,言语必定不妄,所以记录在此。
In treating women's diseases, there are situations where one cannot fully adhere to the methods of the sages (ancient renowned physicians). Nowadays, families of wealth and status reside in deep inner chambers, within curtains and canopies, and often cover their arms with silk. Consequently, the physician is unable to employ the divine skill of observing complexion and is unable to fully exert the subtlety of pulse diagnosis. Among the four diagnostic methods (Inspection, Auscultation and Olfaction, Inquiry, and Palpation), two are deficient. The Yellow Emperor said: "In general, when treating disease, one must observe the patient's form, qi, color, and luster. When form and qi are harmonious, it is called treatable; when the color is floating and bright, it is called easily curable. When form and qi are discordant, it is called difficult to treat; when the complexion is dull and lacks luster, it is called difficult to cure." He also said: "The way of diagnosing disease lies in observing a person's courage or timidity, as well as their bones, muscles, and skin, to understand their condition and establish diagnostic methods." If a patient's pulse does not correspond to the illness, and the physician cannot see their form and complexion, relying solely on the pulse to prescribe medicine—can this work? In this regard, how can one exhaust the art of medicine? This is a common malpractice among physicians. Since society cannot change this, physicians must diligently inquire to ascertain the truth and base their treatment on it. However, when patients' families see the physician asking numerous and urgent questions, they suspect the physician's pulse diagnosis skills are inadequate, and often refuse to take the prescribed medicine. There are many such cases. Even Bian Que was not trusted when he observed the complexion of the Duke of Qi, let alone in cases where the face is not even visible. Alas!
There are those among friends, relatives, and acquaintances of patients who come to inquire about the illness. These individuals have never experienced medical practice nor read any prescriptions, yet they boast of their understanding and discuss heterodox theories. Some claim it is deficiency (Xu syndrome), some claim it is excess (Shi syndrome), some say it is wind pathogen, others say it is qi stagnation. Amidst these chaotic and contradictory false statements, the patient's mind is confused, not knowing whom to believe. Time drags on, and time waits for no one, eventually leading to disaster, after which everyone scatters. Suppose there is a brilliant physician who can discern the depth of the disease, consults medical texts, and is well-versed in materia medica. If the examination is disrupted by such interference, it will cause great harm to human life, let alone those who make reckless judgments!
Zhou Shun from Poyang, whose medical skill was considered perfect (having ten successes out of ten cases), stated: "Ancient formularies such as *Taiping Shenghui Fang* (Holy Benefit Formulas), *Qianjin Fang* (Thousand Gold Prescriptions), and *Waitai Miyao* (Essential Prescriptions from the Imperial Cabinet) discuss etiology, pulse patterns, symptoms, and acupuncture methods, all of which should not be discarded. However, the dosage in prescriptions differs greatly from modern practices. Those who do not deeply investigate their principles should not use them recklessly." There was a case where someone suffered from an eye disease and used an ancient formula, resulting in the eyes protruding. There was also a woman who, suffering from postpartum illness, used a suppository formula from *Waitai Miyao*, only to subsequently suffer from lochia retention that persisted for life. A scholar once suffered from weak legs; despite having shelves full of medical texts and mountains of accumulated medicines, his condition worsened. I now discard all such approaches and simply use a camphorwood bucket filled with water for foot soaking, placing camphor between the thighs and securing it with leg bandages. After more than a month, health was restored as before. This disease is common in the south and must be known. Zhou Shun is indeed a renowned physician, and his words are certainly not baseless; therefore, I record this here.