若用毒药治病。先起如黍粟。病去即止。不去倍之。不去十之。取去为度。病在胸膈以
上者
病在
欲
用
消
皆
风
服
忍
须
服
缓
宜
凡古方治疾。全用汤法。百千之中。未有一用散者。今世医工。汤散未辨。且其说多异
端。
涤。
遂
不
不
不
大率如梧桐子大二十丸。多不过三十四十丸。及服散者。少则刀圭钱五。多则方寸匕而已。
岂服汤特多。煮散丸散则少乎。后之世人。既不知斤两升合之制。
又不知汤液煮散之法。今从旧例。率定以药二十五两。水一升小煮。取今一升五合。去
滓
服汤
汗。
服渐
脏。
不
须
之。虚
凡有虚损。无问少长。须补即补。以意量度而用之。凡痔漏痔 等药。皆慎猪鸡鱼油等味。
至老凡
日慎口
以知为
凡服药皆断生冷酢滑。猪犬鸡鱼。油面蒜及果实等。其大补丸散。切忌陈臭宿滞之物。
有空
甘草
藜
子仁忌
凡伤
肥鱼
下之
荆瓠子
生果子
逆下利
凡咳嗽
凡服
尸。
若
及房室喜怒。是以治病用药力。惟在食治将息。得力大半。于药有益。所以病者。务在将息
节慎。节慎之治。可以长生。岂惟愈病而已。
凡服泻汤及诸丸散酒等。至食时须食者。皆先与一口冷醋饮。须臾乃进食为佳。凡人忽
遇风
无风
服汤
汤不绝。即经二日停汤。以羹 自补。将息四体。若瘥即当停药。渐渐将
更服汤攻之、以瘥为度。凡患风服汤。非得大汗。其风不去。所以诸风方
于西州续命即用八两。越婢六两。大小续命或用一两三两四两。故知非汗
密室。不得辄服汤药。徒自误耳。惟更加增。未见损减矣。凡年五十以上
生。慎勿用五石也。四时常以平旦服一二升。暖饮。终身勿绝。及一时勿
鸭等肉。即无病矣。
如果用药性有毒的药物来治病,刚开始服用时剂量要小,如同黍米、粟米大小。病邪去除就停止服药;如果病未去,则加倍剂量;再不去,增至十倍,以病愈为度。
病位在胸膈以上者,宜用缓服法。
凡是古代方剂治疗疾病,全用汤剂方法。千百首方中,没有一首使用散剂的。当今的医生,分不清汤剂和散剂的区别,而且他们的说法多属异端邪说。
大率(丸药)如梧桐子大小,每次二十丸,多的不超过三十或四十丸。至于服用散剂,少的用“刀圭”或五钱匕,多的用一方寸匕而已。难道喝汤剂就要特别多,而煮散的丸散就要特别少吗?后世的世人,既不知道斤两升合的度量制度,又不懂汤液和煮散的方法。现在遵循旧例,大致规定以药物二十五两,加水一升先煎,取今制的一升五合,去渣。
凡是有虚损的情况,无论老少,需要补益就进行补益,凭心意衡量用量来使用。凡是痔疮、漏疮等药物,都要谨慎食用猪、鸡、鱼、油等食物。
凡是服药,都要断绝生冷、醋味及滑腻之物,以及猪肉、狗肉、鸡肉、鱼肉、油脂、面食、大蒜和果实等。那些大补的丸散,切忌食用陈旧、腐臭、宿滞的食物。
凡是受伤……(原文此处有缺漏/乱码,依上下文意译:凡是有损伤……)
凡是咳嗽……(原文此处有缺漏/乱码)
凡是服药……(原文此处有缺漏/乱码)
以及房事、喜怒情绪等,所以治病用药力,主要在于饮食调理和休养,得力于饮食调养占大半,对药物有益。因此患病的人,务必注意休养节制。节制的治理,可以长生,岂止是治愈疾病而已。
凡是服用泻下汤剂以及各种丸散酒剂等,到了吃饭时间必须进食的,都先给一口冷醋饮,片刻后再进食为佳。
凡人忽然遭遇风邪……(原文此处有缺漏/乱码)
汤药不间断,即经过两天停服汤药,用羹汤自我补养,调养四肢。如果痊愈就应当停药,渐渐将息。
再次服用汤剂攻邪,以痊愈为度。凡是患风病服用汤剂,非得大汗出,风邪不能去除。所以各种治风的方剂,如西州续命汤即用八两,越婢汤六两,大小续命汤或用一两、三两、四两。由此可知,并非不出汗……(原文此处有缺漏/乱码)
密室中,不得随意服用汤药,只会自误罢了。只会更加增加病情,未见减少。凡是年五十岁以上的人,慎勿使用五石散。四季时常在清晨服用一二升,暖饮,终身不要间断。以及一时……(原文此处有缺漏/乱码)
鸭肉等,就没有病了。
If using toxic drugs to treat diseases, start with a dose as small as millet grains. Stop when the disease is gone; if not gone, double the dose; if still not gone, increase to ten times, taking recovery as the limit.
For diseases located above the chest and diaphragm, slow administration is appropriate.
Generally speaking, ancient prescriptions for treating diseases all used decoction methods. Among hundreds or thousands of prescriptions, there was not one that used powder forms. Modern physicians fail to distinguish between decoctions and powders, and their theories are often heterodox.
Typically, pills are the size of sophora seeds, twenty per dose, not exceeding thirty or forty. As for powders, the minimum is a "dao gui" (a tiny measure) or five qian bi, and the maximum is a fang cun bi (a square-inch scoop). Is it that decoctions must be taken in large quantities while boiled powders and pills are taken in small amounts? Later generations do not understand the measurement systems of jin, liang, sheng, and he, nor do they know the methods of preparing liquid medicines and boiled powders. Now following old examples, we generally stipulate: take 25 liang of herbs, add one sheng of water, boil initially, and obtain 1.5 sheng of modern volume, then remove the dregs.
For any deficiency damage, regardless of age, supplementation should be performed as needed, with dosage determined by judgment. For medications for hemorrhoids and fistulas, one must be cautious about consuming pork, chicken, fish, and oils.
When taking medicine, one must avoid raw, cold, sour, and slippery foods, as well as pork, dog meat, chicken, fish, fats, wheat products, garlic, and fruits. For major tonifying pills and powders, one must strictly avoid stale, rancid, or lingering foods.
Regarding injuries... [Text fragment]
Regarding coughs... [Text fragment]
Regarding taking medicine... [Text fragment]
And regarding sexual activity and emotions, the efficacy of medicinal treatment relies heavily on dietary regulation and recuperation, which contributes more than half of the therapeutic effect. Therefore, patients must focus on recuperation and moderation. Such moderation can lead to longevity, not merely curing the disease.
When taking purgative decoctions or various pills, powders, and wines, if food is required at mealtime, first give a mouthful of cold vinegar drink, wait a moment, and then eat. When a person suddenly encounters wind pathogens... [Text fragment]
If the decoction is continuous, stop the decoction after two days, supplement oneself with soups, and recuperate the four limbs. If recovered, stop the medication and gradually recuperate.
Take decoctions again to attack the pathogen, taking recovery as the limit. For wind diseases treated with decoctions, unless profuse sweating occurs, the wind will not leave. Therefore, in formulas for various winds, such as Xizhou Xuming Decoction using eight liang, Yuebi Decoction using six liang, and Da/Xiao Xuming Decoctions using one, three, or four liang, it is known that without sweating... [Text fragment]
In a sealed room, one must not casually take decoctions, as this only leads to self-harm. The condition will only worsen, not improve. For those over fifty years old, strictly avoid using Five Minerals Powder (Wushi San). Throughout the four seasons, take one or two sheng every morning, warm, and never cease for life. And at certain times... [Text fragment]
Duck meat, etc., and there will be no disease.