(按此篇。合八十法。方十八首。今不言者。盖脱文也。)
食诸菌中毒。闷乱欲死方。
圣济总录曰。朽木生蕈。腐土生菌。二者。皆阴湿之气蒸郁所生也。既非冲和所产。性必有毒。若误食之。令人吐
利不已。心腹切痛。甚者身黑而死。十一月十二月。勿食薤。
〔鉴〕薤味辛散。走肺气。食之令人多涕唾。
葵心不可食。伤人。
〔鉴〕葵心有毒。背叶反常。亦有毒。不可食。
食躁或躁方。
按金鉴所解。殆属牵强。盖此方介于菜类方法中。则亦当治菜毒方。考医心方。引葛氏方云。为食诸菜中毒发狂烦
闷吐下欲死方。煮豉汁。饮一二升。窃想葛氏所举。本是仲景原文。而今作食躁或躁者。系于文本讹脱。或者食菜烦躁
四字之误也。(今本肘后方。偶欠此方。然自有治诸菜毒方。而其前后诸条。概与本篇方法相同。)
巢源曰。野菜芹荇之类。多有毒虫水蛭附之。人误食之。便中其毒。亦能闷乱烦躁不安。可以互证。
菜中有水莨菪。
按此云中风。即发狂之谓。后汉书朱浮传曰。中风狂走。
春秋二时。龙带精入芹菜中。
按糖。即饧字。饴弱于饧。故饴有胶饴。饧有硬饧也。(辑义引释名。用李时珍所改。当考原书。及方言。说文。
广韵等。)
(按:此篇包含八十种治法,共十八首方剂。现在未列出,大概是文字脱漏所致。)
食用各种菌类中毒,出现胸闷烦乱、几乎要死去的方剂。
《圣济总录》说:朽木上生长蕈类,腐土中滋生菌菇,这两者,都是阴湿之气蒸腾郁结所生成的。既然不是冲和之气所产,性质必然有毒。如果误食它们,使人呕吐腹泻不止,心腹剧烈疼痛,严重的身体发黑而死。十一月、十二月,不要食用薤白。
葵菜的菜心不可食用,会伤害人体。
〔鉴〕葵菜心有毒,叶片背面反常的也有毒,不可食用。
食用后烦躁或躁动的方剂。
按《医宗金鉴》的解释,大概属于牵强附会。因为此方介于蔬菜类方法之中,那么也应当是治疗菜毒的方子。考证《医心方》,引用葛氏方说:“为食用各种蔬菜中毒导致发狂、烦闷、吐泻欲死的方剂。”煮豆豉汁,饮用一二升。私下推测葛氏所列举的,原本就是张仲景的原文,而现在写作“食躁或躁”,是由于文本讹误脱漏造成的。或者是“食菜烦躁”四个字的误写。(现在的《肘后备急方》版本中,偶然缺少此方,但自然有治疗各种菜毒的方子,而且其前后各条,都与本篇的方法相同。)
巢元方说:野菜如芹菜、荇菜之类,多有有毒的水虫、水蛭附着在上面。人误食了,就会中了它们的毒,也能导致胸闷烦乱、烦躁不安。可以互相印证。
蔬菜中有水莨菪。
按这里所说的“中风”,就是指发狂的意思。《后汉书·朱浮传》说:“中风狂走”。
按“糖”,就是“饧”字。饴比饧弱,所以饴有胶饴,饧有硬饧。(辑义引用《释名》,使用了李时珍修改的内容,应当考证原书,以及《方言》、《说文》、《广韵》等。)
(Commentary: This chapter encompasses eighty therapeutic methods and a total of eighteen prescriptions. They are not listed here now, likely due to textual omission.)
Prescription for poisoning from consuming various mushrooms, characterized by chest oppression, mental confusion, and near-death state.
*Shengji Zonglu* (General Records of the Holy Grace) states: Mushrooms grow on rotting wood, and fungi sprout in decaying soil; both are generated by the steaming and stagnation of yin-damp qi. Since they are not produced by harmonious qi, their nature must be toxic. If mistakenly ingested, they cause incessant vomiting and diarrhea, severe cutting pain in the heart and abdomen, and in severe cases, blackening of the body leading to death. In the eleventh and twelfth lunar months, do not consume *Xie* (Allium macrostemon / Chinese leek).
[Commentary by Jian]: *Xie* has a pungent flavor that disperses and travels to the Lung Qi; consuming it causes excessive phlegm and saliva.
The heart (core) of *Kui* (Malva verticillata / Musk mallow) should not be eaten as it harms the human body.
[Commentary by Jian]: The core of *Kui* is toxic; leaves with abnormal backsides are also toxic and should not be consumed.
Prescription for irritability or restlessness after eating.
According to the interpretation in *Yizong Jinjian* (Golden Mirror of Medical Tradition), this is likely forced and unnatural. Since this prescription appears among vegetable-related methods, it should presumably treat vegetable poisoning. Examining *Ishinpō* (Medical Heart Formulas), which cites Ge Shi’s prescription: "For poisoning from eating various vegetables leading to madness, vexation, distress, vomiting, diarrhea, and near-death state." Boil fermented soybean juice (*Chih*) and drink one to two sheng. It is speculated that what Ge Shi cited was originally the text of Zhang Zhongjing, but the current version reads "eating irritability or restlessness" (*Shi Zao Huo Zao*), which is due to textual corruption and omission. It might be a miswriting of the four characters "vegetable-eating irritability" (*Shi Cai Fan Zao*). (The extant version of *Zhouhou Beiji Fang* occasionally lacks this prescription, but naturally possesses other prescriptions for treating various vegetable poisons, and its preceding and following entries generally share the same methods as this chapter.)
Chao Yuanfang states: Wild vegetables such as celery and nymphaeaceae often have poisonous water insects or leeches attached to them. Humans who mistakenly ingest them will be poisoned by these creatures, resulting in chest oppression, mental confusion, and restless anxiety. This can serve as mutual corroboration.
Among vegetables, there is water henbane (*Shui Lang Dang*).
Here, the term "struck by wind" (*Zhong Feng*) refers to madness. The *Book of Later Han* (Hou Hanshu), Biography of Zhu Fu, states: "Struck by wind, running madly."
In spring and autumn seasons, dragons carry essence into celery.
Note: "Tang" (sugar/candy) is the character "Xing". Yi (maltose syrup) is weaker than Xing; thus, Yi includes glue-like maltose, while Xing includes hard maltose. (Jiyi cites *Shiming*, using modifications by Li Shizhen; the original texts, as well as *Fangyan*, *Shuowen Jiezi*, and *Guangyun*, should be consulted for verification.)