(臣)等谨案。瑞竹堂经验方五卷,元沙图穆苏(原作萨理弥实今改正)撰。沙图穆苏
元史
无传,其事迹不可考,以吴澄王都中二序核之,则其字为谦斋,尝以御史出为建昌太守,是
书即其在郡时所撰集也。原书本十五卷,杨士奇等文渊阁书目,载有一部一册,而晁KT
宝文堂书目内,亦列其名,则是明中叶以前,原帙尚存,其后遂鲜传本。今据永乐大典所载,
搜采编辑,计亡阙已十之五六,而所存者尚多,谨根据方诠次,分立二十四门,厘为五卷,中
间如调补一门,不轻用金石之药,其处方最为醇正。又女科之八珍散,即四君子汤、四物汤
之并方,其用尤广,明薛己医案,已详着之,至疮科所载返魂丹,与今世疡医所用梅花点舌
丹、夺命丹相类,内托千金散以治痈毒,亦见殊功,是皆可资利济之用。惟幼科之褐丸子,
与苏沈良方中所列褐丸,名目相类,治疗亦同,特彼则攻补兼行,颇为周密,此乃过于峻利。
盖金元方剂,往往如斯,由北人气禀壮实,与南人异治故也。此在于随宜消息,不可以成法
拘矣。
乾隆五十年二月恭校上。
此方前代曾服有效风药,服之十三日安。可治腰腿疼,半身不遂,手足不能屈伸,口眼
斜
服之
白术(四两,煨) 沉香(五钱,镑) 天麻(一两) 天台乌药(三两) 青皮(五
钱,去穣)
白芷 甘草(各五钱) 人参(去芦,五钱)
上为 咀,每服三钱,水一盏半,生姜三片,紫苏五叶,木瓜三片,枣子一枚,煎至七
分,
(臣)等仔细核查。《瑞竹堂经验方》共五卷,由元代沙图穆苏(原名萨理弥实,现已改正)撰写。沙图穆苏在《元史》中没有传记,其生平事迹已不可考。根据吴澄和王都中写的两篇序言来核对,他的字是谦斋,曾以御史的身份出任建昌太守,这本书就是他在任郡守期间编纂的。原书共有十五卷,杨士奇等人编撰的文渊阁书目中记载有一部一册,而晁公武的《宝文堂书目》中也列有书名,这说明在明朝中期以前,原书的完整版本尚且存在,但后来就很少流传了。现在依据《永乐大典》中所载的内容,搜集采录并编辑整理,计算下来缺失的已有十分之五六,但所保存下来的部分仍然很多。我们谨慎地根据方剂进行编排分类,分立为二十四个门类,分为五卷。其中如“调补”这一门,不轻易使用金石类药物,其处方最为纯正。还有妇科的八珍散,即是四君子汤与四物汤的合方,应用尤其广泛,明代薛己的医案中已经详细记载。至于外科所载的返魂丹,与当今外科医生所用的梅花点舌丹、夺命丹相似;内托千金散用于治疗痈毒,也有显著功效,这些都是可以供人利用救济的。只有儿科的褐丸子,与《苏沈良方》中所列的褐丸,名称相似,治疗作用也相同,只是《苏沈良方》中的方子攻补兼施,颇为周密,而这个方子则过于峻猛利泄。大概金元时期的方剂往往如此,这是由于北方人体质壮实,与南方人治疗方法不同所致。这在于根据情况灵活变通,不可以被固定的成法所拘束。
乾隆五十年二月恭敬校订呈上。
此方在前代服用有效。风药服用后十三日病情安定。可治疗腰腿疼痛、半身不遂、手足不能屈伸、口眼歪斜。
白术(四两,煨制) 沉香(五钱,镑碎) 天麻(一两) 天台乌药(三两) 青皮(五钱,去瓤)
白芷 甘草(各五钱) 人参(去芦头,五钱)
(We) have carefully examined. *Ruizhutang Jingyan Fang* (Experience Formulas from Ruizhu Hall), consisting of five volumes, was compiled by Shatumusu (originally named Sali Mishí, now corrected) of the Yuan Dynasty. There is no biography of Shatumusu in the *History of Yuan*, and his life details are untraceable. By cross-referencing with two prefaces written by Wu Cheng and Wang Duzhong, we find that his courtesy name was Qianzhai. He served as the Prefect of Jianchang while holding the office of Censor; this book was compiled during his tenure in the commandery. The original work consisted of fifteen volumes. The Catalogue of the Wenyuan Pavilion, compiled by Yang Shiqi and others, records one copy in one volume, and Chao Gongwu’s *Baowentang Mulu* also lists its title. This indicates that before the mid-Ming Dynasty, the complete original text still existed, but later it became rare. Currently, based on the content recorded in *Yongle Dadian*, we have collected and edited it. Calculating the missing parts, more than half has been lost, yet much remains. We have cautiously arranged the formulas into twenty-four categories, divided into five volumes. For instance, in the category of "Regulating and Tonifying," metallic and mineral drugs are rarely used, making the prescriptions particularly pure and correct. Furthermore, Bazhen San (Eight-Treasure Powder) for gynecology is a combined formula of Sijunzi Tang (Four Gentlemen Decoction) and Siwu Tang (Four Substances Decoction), which has a particularly wide application; this was already detailed in the medical cases of Xue Ji from the Ming Dynasty. Regarding Fanhun Dan (Soul-Returning Pill) recorded in dermatology/surgery, it is similar to Meihua Dianshe Dan (Plum-Blossom Pointed Tongue Pill) and Duoming Dan (Life-Snatching Pill) used by modern surgeons; Neituo Qianjin San (Internal Support Thousand-Gold Powder) for treating carbuncles and toxins also shows remarkable efficacy. These can all be utilized for benefit and relief. However, He Wan (Brown Pill) for pediatrics is similar in name and therapeutic effect to the He Wan listed in *Su Shen Liang Fang*. Yet, the latter combines purging and tonifying methods, being quite thorough, whereas this one is overly harsh and draining. Generally, formulas from the Jin and Yuan Dynasties were often like this, due to the robust constitution of northern people requiring different treatments compared to southern people. This requires flexible adjustment according to circumstances and should not be constrained by fixed rules.
Respectfully submitted after collation in February of the 50th year of Qianlong.
This formula was effective when taken in previous generations. After taking wind-dispelling herbs, peace was restored after thirteen days. It can treat lower back and leg pain, hemiplegia, inability to flex and extend limbs, and deviation of the mouth and eyes.
Bai Zhu (Atractylodis Rhizoma, four liang, roasted) Chen Xiang (Aquilariae Lignum Resinatum, five qian, shaved) Tian Ma (Gastrodiae Rhizoma, one liang) Tiantai W Yao (Tasmanniae Fructus, three liang) Qing Pi (Citri Reticulatae Pericarpium Viride, five qian, pith removed)
Bai Zhi (Angelicae Dahuricae Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma, five qian each) Ren Shen (Ginseng Radix, pith removed, five qian)
The above ingredients are processed into coarse powder. Each dose takes three qian, added with one dan and a half of water, three slices of fresh ginger, five leaves of perilla, three slices of quince, and one jujube. Decoct until reduced to seventy percent,