(亦名《肘后卒救方》,隐居又名《百一方》)
抱朴子丹阳葛稚川曰∶余既穷览坟索,以着述余暇,兼综术数,省仲景元化刘戴
秘要金
匮绿秩黄素方,近将千卷。患其混杂烦重,有求难得,故周流华夏九州之中,收拾奇
异,捃
拾遗逸,选而集之,便种类殊,分缓急易简,凡为百卷,名曰玉函。然非有力不能尽
写,又
见周甘唐阮诸家,各作备急,既不能穷诸病状,兼多珍贵之药,岂贫家野居所能立办
?又使
人用针,自非究习医方,素识明堂流注者,则身中荣卫尚不知其所在,安能用针以治
之哉!
是使凫雁挚击,牛羊搏噬,无以异也,虽有其方,犹不免残害之疾。余今采其要约以
为《肘
后救卒》三卷,率多易得之药,其不获已须买之者,亦皆贱价,草石所在皆有,兼之
以灸,
灸但言其分寸,不名孔穴。凡人览之,可了其所用,或不出乎垣篱之内,顾眄可具。
苟能信
之,庶免横祸焉!世俗苦于贵远贱近,是古非今,恐见此方,无黄帝仓公和鹊逾跗之
目,不
能采用,安可强乎?
太岁庚辰隐居曰∶余宅身幽岭,迄将十载。虽每植德施功,多止一时之设,可以传方
远裔者,莫过于撰述。见葛氏《肘后救卒》,殊足申一隅之思。夫生人所为大患,莫急于疾
,疾而不治,犹救火而不以水也。今辇掖左右,药师易寻,郊郭之外,已似难值。况穷村迥
野,遥山绝浦,其间枉夭,安可胜言?方术之书,滚动条徒烦,拯济殊寡,欲就披览,迷惑多
端,抱朴此制,实为深益。然尚阙漏未尽,辄更采集补阙,凡一百一首,以朱书甄别,为《
肘后百一方》,于杂病单治,略为周遍矣。昔应璩为百一诗,以箴规心行。今余撰此,盖欲
卫辅我躬。且《佛经》云,人用四大成身,一大辄有一百一病,是故深宜自想,上自通人,
下达众庶,莫不各加缮写,而究括之。余又别撰效验方五卷,具论诸病证,徒因药变通,而
并是大治,非穷居所资,若华轩鼎室,亦宜修省耳。葛序云,可以施于贫家野居,然亦不止
如是。今 绅君子,若常处闲佚,乃可披检方书,或从禄外邑,将命遐征;或宿直禁门,晨
宵隔绝;或急速戎陈,城闸极严阻,忽遇疾仓卒,唯拱手相看,曷若探之囊笥,则可庸竖成医
。故备论证候,使晓然不滞,一披条领,无使过差也。寻葛氏旧方,至今已二百许年,播于
海内,因而齐者,其效实多。余今重以该要,庶亦传之千祀,岂止于空卫我躬乎!旧方都有
八十六首,检其四蛇两犬不假殊题;喉舌之间,亦非异处;入冢御气,不足专名;杂治一条
,犹是诸病部类,强致殊分,复成失例,今乃配合为七十九首,于本文究具都无忖减,复添
二十二首,或因葛一事,增构成篇,或补葛所遗,准文更撰,具如后录。详悉自究,先次比
诸病,又不从类,遂具劳复在伤寒前,霍乱置耳目后,阴易之事,乃出杂治中。兼题与篇名
不尽相符,卒急之时,难于寻检,今亦复其铨次,庶历然易晓。其解散脚弱、虚劳、渴痢
、发背、呕血,多是贵胜之疾,其伤寒中风,诊候最难分别,皆应取之于脉,岂凡庸能究?
今所载诸方,皆灼然可用,但根据法施治,无使违逆。其痈疽,金疮形变甚众,自非具方,未
易根尽。其妇女之病、小儿之病,并难治之方法不少,亦载其纲要云,凡此诸方,皆是撮
其枢要,或名医垂记,或累世传良,或博闻有验,或自用得力,故复各题秘要之说,以避文
繁。又用药有旧法,亦不复假事事诠诏,今通立定格,共为成准。凡服药不言先食者,皆在
食前;应食后者,自各言之。凡服汤云三服。再服者,要袍山源涯味,或疏或数,足令势力
相及。毒利药,皆须空腹,补泻其间,自可进粥。凡散日三者,当取旦、中、暮进之。四
五服,则一日之中,量时而分均也。凡下丸散,不云酒水饮者,本方如此,而别说用酒水饮
,则是可通用三物服也。凡云分等,即皆是丸散,随病轻重所须,多少无定,铢两三种五种
,皆分均之分两。凡云丸散之若干分两者,是品诸药,宜多宜少之分两,非必止于若干分两
,假今日服三方寸匕,须瘥止,是三五两药耳。凡云末之,是捣筛如法。 咀者,皆细切之
。凡云汤煮,取三升,分三服,皆绞去滓而后酌量也。字方中用鸟兽屎作矢字,尿作溺字,
牡鼠亦作雄字,干作干字。凡云钱匕者,以大钱上全抄之;若云半钱,则是一钱抄取一边尔
;并用五铢钱也,方寸匕,即用方一寸抄之可也;刀圭准如两大豆。炮、熬、炙、洗治诸药
,凡用半夏,皆汤洗五六度,去滑;附子、乌头,炮,去皮,有生用者,随方言之;矾石熬
令汁尽
;椒皆出汗;麦门冬皆去心;丸散用胶皆炙;巴豆皆去心皮,熬,有生用者,随而言
之;杏
人去尖皮,熬,生用者言之;葶苈皆熬;皂荚去皮子;藜芦、枳壳、甘草皆炙;大枣、
栀子
擘破;巴豆、桃杏仁之类,皆别研捣如膏,乃和之;诸角皆屑之;麻黄皆去节;凡汤中
用
芒硝、阿胶、饴糖,皆绞去滓,纳汤中,更微煮令消;红雪、朴硝等,皆状此而入药也;
用
麻黄即去节,先煮三五沸,掠去沫后,乃入余药。凡如上诸法,皆已具载在余所撰本草上
卷
中。今之人有此《肘后百一方》者,未必得见本草,是以复疏方中所用者载之,此事若非
留
心
药术,不可尽知,则安得使之不僻缪也?案病虽千种,大略只有三条而已,一则腑脏经
络因
邪生疾;二则四肢九窍内外交媾;三则假为他物横来伤害,此三条者,今各以类,而分
别之
,贵图仓卒之时,披寻简易故也。今以内疾为上卷,外发为中卷,他犯为下卷,具列之
云。
上卷三十五首治内病。
中卷三十五首治外发病。
下卷三十一首治为物所苦病。
(此书又名《肘后卒救方》,隐居又称其为《百一方》)
抱朴子、丹阳人葛稚川说道:“我既然已经穷尽阅览了上古典籍,在著述的闲暇之余,又综合研究了术数之学。我阅读了张仲景、华佗、刘戴等人的秘要及《金匮绿秩黄素方》,将近千卷。担心这些书籍内容混杂繁重,想要查找时难以获得,所以我周游华夏九州之中,搜集奇异医术,拾取遗漏逸失的内容,筛选并汇编成书,使种类区分明确,分缓急难易,共一百卷,命名为《玉函》。然而没有财力的人无法全部抄写,我又看到周甘、唐阮等各家编写的备急方,既不能穷尽各种病症的表现,又包含许多珍贵的药材,这难道是贫寒之家或野外居住者所能立刻办到的吗?再者让人使用针灸,如果不是深入研究医方、平素熟悉明堂经络流注的人,连自己体内的营卫之气尚且不知道所在之处,怎么能用针来治病呢!这使得治疗如同野鸭大雁被捕捉、牛羊被搏斗撕咬一样,没有什么不同,虽然有治病的方子,仍然免不了造成残害身体的疾病。我现在选取其中的要点编写成《肘后救卒》三卷,大多使用容易得到的药物,那些不得已必须购买的,也都是价格低廉的,草木石头在当地到处都有,再加上艾灸,艾灸只说明分寸位置,不指明具体穴位名称。普通人看了这本书,就能明白药物的用途,或许不出篱笆墙内,回头看看就能具备所需之物。如果能相信并使用它,或许能避免横祸吧!世俗之人苦于看重远方轻视近处,推崇古代贬低现代,恐怕看到这本方书,没有黄帝、仓公、和鹊、逾跗那样的名医之名,就不能采用,这怎么可以勉强呢?
太岁庚辰年,隐居说道:“我居住在幽静的山岭,将近十年。虽然经常种植德行施行功德,但大多只是一时的举措,能够流传方术到远方的,莫过于撰写著作。看到葛洪先生的《肘后救卒》,确实足以伸展我一隅的思考。人生最大的忧患,没有比疾病更紧急的了,有病而不治疗,就像救火不用水一样。现在车马就在身边,药师容易寻找,但在郊外荒野,就已经很难遇到了。何况在穷困的村庄和遥远的原野,深山绝渡之间,枉死夭折的情况,哪里说得完呢?方术之书,滚动翻阅徒然烦扰,真正能拯救救济的很少,想要翻开浏览,迷惑很多。抱朴子的这种体制,实在很有益处。然而还有缺漏未尽的地方,我就再次采集补充缺漏,共一百一首,用红笔书写以作甄别,编为《肘后百一方》,对于杂病单独治疗,大致周全完备了。从前应璩写了《百一诗》,用来规劝心行。现在我撰写这部书,大概是想要护卫辅佐我自己。而且《佛经》说,人由地水火风四大构成身体,一大就有101种病,所以深深应该自我思考,上至通达之人,下至普通百姓,无不各自加以缮写,并深入探究它。我又另外撰写了《效验方》五卷,详细论述各种病症,根据药物变化通变,都是大的治理方法,不是穷居之所需要的,如果是华贵的车轩鼎室,也应该修身反省罢了。葛洪序言说,可以施用于贫家野居,然而也不止于此。现在的士绅君子,如果常处于闲适安逸,才可以披阅检查方书;或者从外地做官,奉命远行;或者值宿禁门,早晚隔绝;或者急速进入军营,城门闸口极严阻,忽然遇到疾病仓促之间,只能拱手相看,何不探取囊笥中的药方,这样就可以让庸俗之人成为医生。所以准备论证候,使其清楚不滞涩,一披览条理纲领,不要有过错偏差。寻查葛洪旧方,到现在已经二百多年,传播于海内,因此整齐划一的,其疗效确实很多。我现在重新概括要点,或许也能流传千年,难道只是空自护卫我自己吗!旧方共有八十六首,检查其中关于四蛇两犬的不需要特殊标题;喉舌之间的病,也不是异处;入冢御气,不足以专门命名;杂治一条,还是诸病部类,强行分为特殊类别,反而成了失例,现在配合为七十九首,对于原文究具都没有删减,又增添二十二首,有的因葛洪一事,增构成篇,有的补葛洪所遗漏,依据文章重新撰写,具体如后录。详细自行探究,先依次比照诸病,又不从类别,于是把劳复放在伤寒前,霍乱放在耳目后,阴易之事,乃出杂治中。兼题与篇名不尽相符,仓促紧急之时,难于寻找检查,现在也恢复其编排次序,希望清晰易懂。其解散脚弱、虚劳、渴痢、发背、呕血,多是贵胜之疾,其伤寒中风,诊候最难分别,都应该取之于脉,岂是凡庸能探究的?现在所载诸方,都明显可用,只要根据方法施治,不要违背逆乱。其痈疽,金疮形变很多,如果不是具备方子,不容易根除干净。其妇女之病、小儿之病,并难治之方法不少,也记载其纲要云,凡是此诸方,都是撮取其枢要,或是名医垂记,或是累世传良,或是博闻有验,或是自用得力,所以又各自题写秘要之说,以避免文字繁冗。又有用药有旧法,也不再假事事诠诏,现在统一设立定格,共为成准。凡是服药不说先食者,都在食前;应食后者,各自说明。凡是服汤药说三服的,再服者,要袍山源涯味,或疏或数,足以令势力相及。毒利药,都必须空腹,补泻其间,自然可以吃粥。凡是散剂日三服,应当取早晨、中午、晚上进服。四五服,则一天之中,量时而分均。凡是下丸散,不说酒水饮者,本方如此,而别说用酒水饮,则是可通用三物服也。凡是云分等,即皆是丸散,随病轻重所须,多少无定,铢两三种五种,皆分均之分两。凡是云丸散之若干分两者,是品诸药,宜多宜少之分两,非必止于若干分两,假如今日服三方寸匕,须瘥止,是三五两药耳。凡是云末之,是捣筛如法。咀者,皆细切之。凡是云汤煮,取三升,分三服,皆绞去滓而后酌量也。字方中用鸟兽屎作矢字,尿作溺字,牡鼠亦作雄字,干作干字。凡是云钱匕者,以大钱上全抄之;若云半钱,则是一钱抄取一边尔;并用五铢钱也,方寸匕,即用方一寸抄之可也;刀圭准如两大豆。炮、熬、炙、洗治诸药,凡是用半夏,皆汤洗五六度,去滑;附子、乌头,炮,去皮,有生用者,随方言之;矾石熬令汁尽;椒皆出汗;麦门冬皆去心;丸散用胶皆炙;巴豆皆去心皮,熬,有生用者,随而言之;杏人去尖皮,熬,生用者言之;葶苈皆熬;皂荚去皮子;藜芦、枳壳、甘草皆炙;大枣、栀子擘破;巴豆、桃杏仁之类,皆别研捣如膏,乃和之;诸角皆屑之;麻黄皆去节;凡是汤中使用芒硝、阿胶、饴糖,皆绞去滓,纳汤中,更微煮令消;红雪、朴硝等,皆状此而入药也;用麻黄即去节,先煮三五沸,掠去沫后,乃入余药。凡是如上诸法,都已具体记载在我所撰写的本草上卷中。现在的人有此《肘后百一方》者,未必得见本草,是以又疏方中所用者载之,此事若非留心药术,不可尽知,则安得使之不僻缪也?案病虽千种,大略只有三条而已,一则腑脏经络因邪生疾;二则四肢九窍内外交媾;三则假为他物横来伤害,此三条者,今各以类,而分别之,贵图仓卒之时,披寻简易故也。今以内疾为上卷,外发为中卷,他犯为下卷,具列之云。
上卷三十五首治内病。
中卷三十五首治外发病。
下卷三十一首治为物所苦病。”
(This work is also known as *Zhouhou Cujiu Fang* (Emergency Rescue Formulas for the Arm of the Sleeve), and the Recluse also refers to it as *Baiyi Fang* (Hundred-One Formulas).)
Baopuzi, Ge Zhichuan of Danyang, said: "Having thoroughly examined ancient texts, and in my leisure time from writing, I have also integrated the study of divination and numerology. I reviewed the secret golden caskets, green scrolls, and yellow records of formulas by Zhang Zhongjing, Hua Tuo, Liu Dai, and others, totaling nearly a thousand volumes. Worried that these contents were mixed and burdensome, making them difficult to access when needed, I traveled throughout the Central Plains and the Nine Provinces, collecting unusual remedies and gathering lost or scattered prescriptions. After selection and compilation, due to the diversity of categories and the distinction between urgent and non-urgent matters, simplified into one hundred volumes, named *Yuxian* (Jade Box). However, not everyone has the means to copy them all. Furthermore, I observed that various families such as Zhou Gan, Tang Ruan, etc., each produced emergency formulas (*Beiji*), yet they could not exhaustively cover all disease manifestations and often relied on precious herbs, which poor families and rural dwellers could hardly afford immediately. Moreover, requiring patients to use acupuncture without thorough study of medical texts and familiarity with the Mingtang (Acupuncture Points) and flow of Qi and Blood would leave even the location of Ying and Wei (Nutritive and Defensive Qi) unknown, making it impossible to treat effectively! This would be no different from catching wild ducks and geese or cattle and sheep fighting and biting each other; even with formulas, one cannot avoid harm. Now, I have selected the essential points to compile *Zhouhou Jiuzu* (Emergency Rescue at the Elbow) in three volumes. Most herbs used are easily obtained; those that must be purchased are inexpensive, with grasses, stones, and minerals available everywhere. Combined with moxibustion, where only measurements are given without specific acupoint names, ordinary people can understand their usage upon reading. The necessary items might be found within one's own fence, just by looking around. If trusted and used, perhaps one can avoid sudden disasters! The secular world suffers from valuing the distant over the near and praising the past while criticizing the present. They may fear that this formula book lacks the prestigious names of Huangdi (Yellow Emperor), Cang Gong, He Que, and Yu Fu, and thus refuse to adopt it. How can we force them?"
In the Gengchen year, the Recluse said: "I have dwelled in secluded mountains for nearly ten years. Although I frequently cultivate virtue and perform good deeds, most are temporary acts. The best way to transmit prescriptions to distant descendants is through writing. Seeing Ge’s *Zhouhou Jiuzu*, it sufficiently expands my limited thoughts. The greatest worry for living beings is illness; failing to treat illness is like trying to extinguish fire without water. Now, carriages are nearby, and pharmacists are easy to find, but outside the suburbs, they become hard to locate. Especially in remote villages and wilderness, far mountains and isolated shores, how can one count the number of premature deaths? Medical texts are often verbose and confusing, offering little practical help. When browsing, confusion abounds. Baopuzi’s compilation is truly beneficial. However, there are still omissions. I have collected and supplemented missing parts, totaling 101 formulas, distinguished by red ink, titled *Zhouhou Baiyi Fang*. For miscellaneous diseases, single treatments are roughly comprehensive. In the past, Ying Qu wrote 'Hundred-One Poems' to admonish moral conduct. My compilation aims to protect myself. As the Buddhist scriptures state, the human body is formed by the Four Elements; if one element is imbalanced, it causes 101 diseases. Therefore, one should reflect deeply. From the enlightened to the common masses, everyone should copy and study these texts. I have also separately compiled five volumes of *Verified Formulas*, discussing various symptoms and adapting treatments based on herbs, suitable for major cures, not just for those in poverty. Even wealthy households should review them. Ge’s preface mentions applicability to poor rural homes, but its value extends beyond that. Gentlemen who live in leisure can browse these books; those serving in distant counties, on long missions, guarding palace gates day and night, or in strict military camps, facing sudden illness with no recourse, would benefit greatly from having these formulas ready, turning laymen into doctors. Thus, I have detailed symptoms and signs to ensure clarity. Reviewing Ge’s old formulas, now over two hundred years old and spread across the land, many have been standardized with good results. I have reorganized the essentials, hoping to pass them down for millennia, not just for self-protection. There were originally 86 formulas. I checked that titles like 'Four Snakes' and 'Two Dogs' did not require special headings; throat and tongue issues were not separate; entering tombs and controlling Qi were not unique categories; miscellaneous treatments were grouped under general disease categories. Forced separation created inconsistencies. Now, combined into 79 formulas, preserving the original content without reduction, plus 22 new ones added either by expanding on Ge’s cases or supplementing his omissions, as listed below. Detailed examination shows that previously, conditions like relapse after recovery were placed before cold damage, cholera after ear and eye disorders, and Yin-Yi transformation emerged from miscellaneous treatments. Titles and chapter names did not always match, making lookup difficult in emergencies. I have restored the order for clarity. Conditions like joint stiffness, deficiency consumption, thirst and dysentery, back carbuncles, and hematemesis are mostly diseases of the elite. Cold damage and wind-stroke are hardest to distinguish diagnostically, requiring pulse diagnosis, which laypeople cannot master. All formulas herein are effective if followed strictly. For sores, ulcers, and metal wounds, variations are numerous; without complete formulas, root causes are hard to eliminate. Women’s and children’s diseases and difficult-to-treat methods are also summarized. These formulas capture the essence, recorded by famous doctors, passed down through generations, verified by broad experience, or tested personally. To avoid verbosity, I have noted their secret origins. Regarding herb preparation, old methods are retained without excessive explanation, establishing standard rules. Unless specified otherwise, decoctions are taken before meals; those requiring post-meal intake are noted. Decoctions taken three times daily: subsequent doses vary in frequency to maintain efficacy. Purgatives must be taken on an empty stomach; tonics or draining agents can be followed by porridge. Powders taken three times daily should be administered morning, noon, and evening. Four or five doses per day should be evenly spaced. Pills and powders taken with water or wine: if not specified, any of the three liquids can be used. 'Equal parts' refers to pills and powders, varying by disease severity. Weights like 3, 5, or more zhu are divided equally. 'X portions of pills/powders' indicates relative proportions of ingredients, not fixed total weight. E.g., taking three square-inch spoons today requires stopping when cured, amounting to 3-5 liang of herbs. 'Grind into powder' means crushing and sieving properly. 'Ju' means finely chopping. Decoctions yielding 3 sheng, divided into 3 doses, must be strained before measuring. Characters in formulas: bird/beast feces written as 'shi', urine as 'ni', male rat as 'xiong', dry as 'gan'. 'Qianbi' (coin spoon): full scoop on a large coin; half-qianbi scoops one side. Five-zhu coins used. 'Fangcunbi' (square-inch spoon): scoop area of one square inch. 'Daogui' (knife tip): size of two large soybeans. Processing herbs: frying, roasting, baking, washing. Banxia (Pinellia Rhizome): wash 5-6 times in hot water to remove slipperiness. Fuzi (Aconite Lateral Root) and Wutou (Aconite Root): roast, peel skin; some used raw as directed. Fanshi (Alum): roast until juice evaporates. Jiao (Sichuan Pepper): sweat out moisture. Maidong (Ophiopogon Tuber): remove heart. Glue for pills/powders: roast. Badou (Croton Seed): remove heart and skin, roast; some used raw as directed. Xingren (Apricot Kernel): remove tip and skin, roast; some used raw as directed. Tingli (Descurainia Seed): roast. Zaojia (Tamarind Bean): remove skin and seeds. Lilu (Veratrum Rhizome), Zhike (Bitter Orange), Gancao (Licorice Root): roast. Dazao (Jujube), Zhizi (Gardenia Fruit): split open. Badou, Tao Ren (Peach Kernel), Xing Ren: grind separately into paste before mixing. Horns: powderize. Mahuang (Ephedra Stem): remove joints. Mangxiao (Mirabilite), Ejiao (Donkey-Hide Gelatin), Yitang (Maltose) in decoctions: strain impurities, add to liquid, simmer gently to dissolve. Hongxue (Red Snow), Poxiao (Niter): prepare similarly. Mahuang: remove joints, boil first 3-5 minutes, skim foam, then add other herbs. All above methods are detailed in my *Bencao Shangjuan* (Compendium of Materia Medica, Upper Volume). Readers of *Zhouhou Baiyi Fang* may not see the *Bencao*, so I list preparations here. Without attention to herbal arts, errors arise. Diseases, though thousands in type, fall into three main categories: 1. Internal organs and meridians diseased by pathogens; 2. Limbs and nine orifices affected internally and externally; 3. Harm caused by external objects. These three are categorized for easy reference in emergencies. Internal diseases form the Upper Volume, external eruptions the Middle Volume, and injuries by foreign objects the Lower Volume.
Upper Volume: 35 formulas for internal diseases.
Middle Volume: 35 formulas for external eruptions.
Lower Volume: 31 formulas for injuries by foreign objects.