苏沈良方十卷前有永嘉道士林灵素序余家有宋刻本窃意灵素在二公文集中或杂记或笔谈
等书
抄出汇成一编附托二公之盛名以行其方耳李东垣谓苏沈良方犹唐家类诗何也盖言不能诗者之
集诗犹不知方者之集方也一诗之不善止不过费纸而已不致误人一方之不善则其祸有不可胜言
者矣噫后之集方书者尚慎之哉
中藏经八卷相传华元化撰按唐书艺文志有吴普集元化药方别无中藏之名普广陵人亲授业
于元
化之门以术艺知名今集中诸论非普不能作灵洞道士邓处中自序元化外孙因吊寝室得此书于梦
中余窃疑其妄诞论后附方意者皆邓生增入之耳如地黄煎丸内有山药古方名薯蓣为避宋英宗讳
故易名山药烧肝散内有白术苍术本草及占方书止云术不分苍白二种牢牙地黄散细注云此方见
僧文莹湘山野录文莹宋僧三者可证其出于邓生之手览者当自知之
葛可久十药神书其方治劳损吐血颇有功效但疑太平丸后跋语云此方利人甚众所得贶不可
胜纪
未尝妄传非人余渐老恐致泯失由是编次与子孙济人无穷之利云观此等语知其非葛氏之书矣可
久豪杰士也虽医术亦所不屑为之岂区区言利者哉姑苏志有可久传称其着书有医学启蒙经络十
二论而不载十药神书非其所着也明矣
凡人血病则当用血药若气虚血弱又当从气虚以人参补之阳旺则能生阴血也东垣曰血脱益
气古
圣人之良法补胃气以助生发之气故曰阳生阴长用诸甘剂为之先务举世皆以篇补气殊不知甘能
生血此阳生阴长之理也故先理胃气人之身内以谷气为宝近时医者多执王汝言明医杂着云阴虚
误服甘温之剂则病日增服之过多则死由是一切脾胃饮食劳倦之症认为阴虚惟用四物汤加苦寒
之
药吾恐地黄当归多能恋膈反伤胃气所谓精气血气何由而生血未见生而谷气先有所损矣昔一士
人形肥而色白因见明医杂着所载补阴丸服之数年形瘦短气蜀医韩天爵用辛热剂决去其滞余而
燥其重阴然后和平无恙此则未达方书而轻率自误可不戒哉
《苏沈良方》共十卷,前面有永嘉道士林灵素的序言。我家收藏有一部宋代刻印的版本,私下推测林灵素在苏轼、沈括二人的文集中,或者在《杂记》《笔谈》等书中抄录了这些内容,汇编成这一本书,借附于苏、沈二位公子的盛名来流传他的药方罢了。李东垣说《苏沈良方》就像唐代的《类诗》一样,为什么呢?大概是因为那些不会写诗的人汇集诗集,就像不懂医理的人汇集药方一样。一首诗写得不好,只不过浪费几张纸而已,不至于误人;但一方药开得不妥当,其祸害就有说不尽的了。唉!后世收集药方书籍的人,应当慎重啊!
《中藏经》共八卷,相传是华佗(字元化)所撰。查考《唐书·艺文志》,记载有吴普汇集的华佗药方,并没有《中藏经》这个名字。吴普是广陵人,曾直接师从华佗学习,以医术技艺闻名。现在书中的各种论述,不是吴普不能写出。灵洞道士邓处中为这本书写了自序,说是华佗的外孙在凭吊寝室时,在梦中得到这本书。我私下怀疑这是荒诞虚妄的。论说后面附带的方剂,猜想都是邓处中增加进去的。例如地黄煎丸内有山药,古方中名为薯蓣,因为要避宋英宗赵曙的名讳,所以改名为山药;烧肝散内有白术和苍术,本草及古代方书中只称“术”,不分白术、苍术两种;牢牙地黄散的细注中说:“此方见于僧人文莹的《湘山野录》。”文莹是宋朝的僧人。这三点可以证明该书出自邓处中之手,阅读的人应当自己知道。
葛可久的《十药神书》,其中的药方治疗劳损吐血颇有功效。但我怀疑其后跋语说:“这个方子对人多有帮助,所得馈赠不可胜数,未曾随意传给非人。我渐渐老了,恐怕导致失传,因此编次整理,留给子孙,以济助人无穷的利益。”看这些话,就知道这不是葛氏的书了。葛可久是豪杰之士,虽然医术高明也尚且不屑去做,难道是那种区区计较利益的人吗?《姑苏志》中有葛可久的传记,称他著述有《医学启蒙》《经络十二论》,而没有记载《十药神书》,这显然不是他所著的。
大凡人的血病,就应当用血药;如果气虚血弱,又应当从补气入手,用人参来补益。阳气旺盛就能滋生阴血。李东垣说:“血脱者益气”,这是古圣人的好方法。通过补胃气来助长生发之气,所以说“阳生阴长”。使用各种甘味药剂作为首要任务,世人都只知道用甘味药补气,却不知道甘味能生血,这就是阳生阴长的道理。所以先调理胃气,人身以内以谷气为宝。近时的医生多固执于王汝言在《明医杂着》中的说法,认为阴虚误服甘温的药则病情日益加重,服用过多就会死亡。因此,一切脾胃、饮食、劳倦引起的病症,都认为是阴虚,只用四物汤加上苦寒的药物。我担心地黄、当归大多会滞膈碍胃,反而损伤胃气,那么所谓的精、气、血又是从哪里产生的呢?血还没见生成,而谷气先已受损了。从前有一位读书人,形体肥胖而面色白,因为看到《明医杂着》所载的补阴丸,服用了几年,结果身体消瘦、短气。蜀地医生韩天爵用辛热药剂祛除其体内的积滞,再燥去其厚重的阴邪,然后才平和无恙。这是因为没有通达方书原理而轻率自我误治,不可以不警惕啊!
*Su Shen Liang Fang* (Excellent Prescriptions of Su and Shen) consists of ten volumes, preceded by a preface from Lin Lingsu, a Daoist priest from Yongjia. I possess a Song dynasty printed edition and suspect that Lin Lingsu copied content from the collected works of Su Shi and Shen Kuo, or from miscellaneous records such as *Zaji* (Miscellaneous Records) and *Bitan* (Brush Talks), compiled them into this single volume, and attached it to the renowned names of Masters Su and Shen to disseminate his prescriptions. Li Dongyuan remarked that *Su Shen Liang Fang* is akin to the Tang dynasty's *Leishi* (Classified Poetry). Why? It is because those who cannot compose poetry compile poetry collections just as those who do not understand medicine compile prescription books. A poorly composed poem merely wastes paper and does not harm others; however, an improperly formulated prescription can lead to disastrous consequences beyond measure. Alas! Those who compile medical texts in later generations should exercise great caution.
*Zhongzang Jing* (The Classic of the Inner Storage) comprises eight volumes and is traditionally attributed to Hua Tuo (courtesy name Yuanhua). According to the *Yiwen Zhi* (Treatise on Literature) in the *Book of Tang*, there exists a collection of Hua Tuo’s prescriptions compiled by Wu Pu, but no text titled *Zhongzang Jing*. Wu Pu was from Guangling and studied directly under Hua Tuo, gaining fame for his medical skills. The theoretical discussions within the current text could not have been written by anyone other than Wu Pu. Deng Chuzhong, a Daoist priest of Lingdong, wrote a self-preface claiming that Hua Tuo’s grandson received this book in a dream while mourning at the ancestral hall. I privately suspect this account is absurd. The prescriptions appended to the treatises appear to have been added by Deng Chuzhong himself. For instance, *Dihuang Jian Wan* (Rehmannia Decoction Pill) contains *Shanyao* (Dioscoreae Rhizoma); in ancient formulas, it was named *Shuyu* (Dioscoreae Rhizoma), but was renamed *Shanyao* to avoid the naming taboo of Emperor Yingzong of Song (Zhao Shu). *Shaogan San* (Roasted Liver Powder) contains *Baizhu* (Atractylodis Macrocephalae Rhizoma) and *Cangzhu* (Atractylodis Rhizoma). Both materia medica and ancient prescription texts refer only to *Zhu* (Atractylodis Rhizoma) without distinguishing between white and black varieties. The detailed note for *Laoya Dihuang San* (Teeth-Firming Rehmannia Powder) states: "This prescription appears in Monk Wenying’s *Xiangshan Yelu*." Wenying was a Song dynasty monk. These three points prove that the text originated from Deng Chuzhong; readers should recognize this for themselves.
Ge Kejiu’s *Shiyao Shenshu* (Divine Book of Ten Medicines) contains prescriptions that are quite effective for treating consumption (*Lao Sun*) and hemoptysis. However, I doubt its authenticity based on the postscript, which states: "This prescription has benefited many people; the gifts received are countless. I never transmitted it recklessly to unworthy persons. As I grow older, I fear it may be lost, so I have edited and arranged it for my descendants to provide endless benefit to humanity." Such language indicates that this is not a work by Ge Kejiu. Ge Kejiu was a heroic figure who, despite his medical expertise, would disdain such mercenary talk. The *Gusu Zhi* (Chronicles of Gusu) includes a biography of Ge Kejiu, listing his authored works as *Yixue Qimeng* (Enlightenment on Medicine) and *Jingluo Shier Lun* (Twelve Discussions on Meridians and Collaterals), but makes no mention of *Shiyao Shenshu*. Thus, it is evident that he did not author this book.
Generally, when treating blood diseases, blood-invigorating or blood-nourishing herbs should be used. If Qi deficiency leads to weak blood, one must address the Qi deficiency first by tonifying with *Renshen* (Ginseng Radix et Rhizoma). When Yang Qi is robust, it can generate Yin blood. Li Dongyuan stated, "In cases of blood loss, tonify Qi," which is an excellent method of the ancient sages. By tonifying Stomach Qi, one assists the generating and ascending Qi; thus, it is said that "Yang generation leads to Yin growth." Using sweet-flavored agents as a primary task is crucial. The world generally believes that sweet flavors tonify Qi, yet they fail to realize that sweet flavors can also generate blood, illustrating the principle of Yang generating Yin. Therefore, regulating Stomach Qi is paramount, as grain Qi is the treasure within the human body. Recent physicians often adhere rigidly to Wang Ruyan’s statement in *Mingyi Zazhe* (Miscellaneous Notes of Famous Physicians): "If patients with Yin deficiency mistakenly take sweet-warm agents, their illness will worsen daily, and excessive consumption may lead to death." Consequently, all conditions related to the Spleen and Stomach, diet, and fatigue are diagnosed as Yin deficiency, treated solely with *Sini Tang* (Forsythiae Fructus Decoction - Note: Context implies Siwu Tang usually, but text says Siwu Tang + bitter cold) combined with bitter-cold herbs. I worry that *Dihuang* (Rehmanniae Radix) and *Danggui* (Angelicae Sinensis Radix) tend to cause stagnation in the chest and damage Stomach Qi. How, then, can essence, Qi, and blood be generated? Blood has not yet been produced, while grain Qi has already been impaired. In the past, a scholar who was obese and pale took *Buyin Wan* (Nourish Yin Pill) recorded in *Mingyi Zazhe* for several years, resulting in emaciation and shortness of breath. Han Tianjue, a physician from Shu, used pungent-hot agents to resolve his stagnation and dry out his heavy Yin pathogen, after which he recovered peacefully. This case demonstrates the error of failing to comprehend medical texts and acting rashly; one must take heed.