人谁不爱儿女?爱儿女谁不虑其出痘一事,要过了这个关头,方算得是自己儿女。今有
种洋痘一法,不避风,不禁口,行所无事,万无一失,岂大不好。奈何犹不能盛行,只是人
不能坚信,怕出了洋痘,遇着天行痘子又会复染。夫广东行此近三十年,予所问广东人多矣
,皆从未有复发者。广东三十年来所生之人,在外省仕宦商贾者不少,未闻有再染天行痘子
者。就是湘潭虽未盛行,前三四年也有数十家出洋痘,何曾再梁天行痘子来!且今年有几家
出了洋痘,信不的确,又吹苗试之,并不复出,此亦实实信得过了。或谓∶种洋痘者,过十
年当复出。果尔,则十年一回,百年不过十回,稳稳当当,也不费力。况乎必无此理也?试
想,他从两臂点苗,略刺皮肤,微见血点,到次日已无形迹了。若不是直达脏腑,如何过了
三四日方见红影,又三日长水,三日灌浆,三日结痂,如期不爽。与吹苗一般,长得晶圆饱
满,比吹苗之痘更好看些。盖先天之毒蕴于无形,以气引气而痘出焉!吹苗是以气引气,点
苗也是以气引气,为何独信吹苗而不信点苗乎!但点痘之家,主人必须留心,其结痂之后,
痂是尖顶斜脚,则毒瓦斯未出,必要再点方能算得。即不尖顶斜脚,而当长水灌浆时,小儿气
血不足,或有泄泻之病,不能长到饱满,毒瓦斯须出而未尽出,必须重服 、术等药补脾助气
,使他长得十分饱满方好。诚恐本要再点,而主人自以为算得过了。业痘科者亦照管不到,
则万中或有一二复出者。盖此法原有引至两次、三次之说,不可颟顸了事也。或因本要再点
,未及再点,遇天行痘或又复杂,则人皆借口,更无复有信之者矣,岂不大可惜哉。予考医
书中载婴儿生数日,刺出臂上污血,终身可免出痘一条后穴道、刀法皆失传,今之点痘或其
遗法也。夫以万全之法失传已久,而今复行者,大约前此劫数未满,而今日洋烟入中国,害
人不可胜计,把那劫数抵过了,故此法亦从洋来,得以保全婴儿之年寿耳。若不坚信而遵行
之,是违天而自外于生生之理矣。予家中今年点牛痘者十余人,目击其事,深察其所以然,
坚信不疑,何忍秘而不宣,欲以坚天下人之信,广为流传,俾天下之婴孩从兹同登仁寿之宇
也。敢以俚浅之词为坚信点牛痘说云。
按牛痘之术,道光丁亥行之,吾乡全活婴孩甚众,吴子献廷,其术尤精,所点不下数千
人,以吾亲友所见所闻,二十年来从无一复出者,诚保赤之妙手也。
谁不爱惜自己的儿女?爱惜儿女的人,谁不担忧他们出天花(痘疹)这一关?只有平安度过这个关口,才算真正是自己的儿女。如今有一种接种牛痘的方法,不需要避风,也不忌口,如同平常无事一般,万无一失,难道不是极大的好事吗?为何这种疗法还不能广泛流行?只是人们不能坚信,害怕接种了牛痘后,如果遇到天行时疫的天花病毒,又会再次感染。
在广东,这种方法已经施行近三十年了,我询问过许多广东人,都说从未有过复发(再次出天花)的情况。广东三十年来出生的人,有不少在外省做官或经商,也没听说过有人再次感染天行天花的。即使是湘潭虽然未广泛推行,前三四年也有几十家接种了牛痘,何曾有人再感染天行天花呢!况且今年有几家接种了牛痘,起初怀疑其效力不确切,又用吹苗法(将天花脓液吹入鼻腔)进行试验,结果并没有再次出痘,这也是确实可以让人放心的证据。
有人说:接种牛痘的人,过了十年应当会再次出痘。如果真是这样,那么十年一次,一百年也不过十次,稳稳当当,也不费力。何况这必定没有这个道理呢?试想,从两臂点入痘苗,只是略微刺破皮肤,微微见到血点,到了第二天就已经没有痕迹了。如果不是直达脏腑,怎么能过了三四天才出现红影,又过三天长出水泡,再过三天化脓,再过三天结痂,如期而至,丝毫不差?这与吹苗法一样,长得圆润饱满,比吹苗法的痘疹更好看些。这是因为先天的毒气蕴藏在无形之中,以气引气而发出痘疹!吹苗是以气引气,点苗也是以气引气,为什么只相信吹苗而不相信点苗呢!
但是,选择点痘的家庭,主人必须留心观察。如果结痂之后,痂皮是尖顶斜脚的,说明毒瓦斯没有排尽,必要重新接种才能算数。即使不是尖顶斜脚,但在长水、化脓的时候,如果小儿气血不足,或者有泄泻的疾病,导致不能长得饱满,毒瓦斯就必须排出而未完全排出,必须重新服用白术等药物补脾助气,使他长得十分饱满才好。诚恐本来需要重新接种,而主人自以为已经安全度过。从事痘科治疗的医生也照管不到,那么万中或许有一两次复发的情况。因为这个方法原本就有引导至两次、三次的说法,不可马虎了事。
如果因为本来需要重新接种,却来不及重新接种,遇到天行天花又混合感染,那么人们都会以此为借口,更没有人再相信它了,这难道不是太可惜了吗?我考察医书,记载婴儿出生后几天,刺出臂上的污血,终身可免出痘,但后来的穴位和刀法都失传了,现在的点痘法或许是它的遗留方法吧。以万全之法失传已久,而现在重新推行的原因,大约是因为此前的劫数未满,而今日鸦片传入中国,害人不可胜计,把那劫数抵过了,所以这个方法也从洋人那里传来,得以保全婴儿的年寿罢了。如果不坚信并遵行它,就是违背天道,将自己排斥在生生不息的道理之外了。
我家今年有十几人接种了牛痘,我亲眼目睹此事,深入探究其中的原理,坚信不疑,怎么忍心保密而不公开?想要坚定天下人的信心,广泛流传,使天下的婴孩从此都能同登仁寿的境界。敢用浅陋的词句写成《坚信点牛痘说》。
按:牛痘之术,在道光丁亥年(1827年)开始施行,我的家乡因此保全了许多婴孩。吴子献廷,他的医术尤其精湛,所接种的人数不下几千。根据我亲友所见所闻,二十年来从未有过复发的情况,确实是保护婴儿的妙手。
Who does not love their children? Those who love their children, who does not worry about the hurdle of smallpox (variola)? Only after safely passing this hurdle can one say they are truly their own children. Now there is a method of inoculating cowpox (niudou), which requires no avoidance of wind, no dietary restrictions, and proceeds as if nothing were amiss, with ten thousand chances of success and none of failure. Is this not a great benefit? Why then has it not become prevalent? It is simply that people cannot firmly believe in it, fearing that after contracting cowpox, if they encounter the epidemic variola (tianxing douzi), they will be re-infected.
In Guangdong, this method has been practiced for nearly thirty years. I have asked many people from Guangdong, and all say they have never had a recurrence. Among those born in Guangdong over the past thirty years, many have served as officials or merchants in other provinces, yet none have been heard of to have contracted epidemic variola again. Even in Xiangtan, where it was not widely practiced, dozens of families had cowpox inoculated three or four years ago; did any of them contract epidemic variola again! Moreover, this year, several families had cowpox inoculated. Initially doubting its efficacy, they tried the "blowing seed" method (chuimiao, blowing smallpox matter into the nose) as a test, and no further eruption occurred. This is indeed something to trust.
Some argue: Those who receive cowpox inoculation should erupt again after ten years. If so, then once every ten years, meaning only ten times in a hundred years, steady and effortless. However, surely this logic is flawed? Consider, the seed is introduced into both arms, slightly pricking the skin, showing only minute blood points. By the next day, there are no traces. If it did not reach the internal organs directly, how could red shadows appear after three or four days, followed by vesicles after three more days, pus formation after another three days, and scabbing after yet another three days, occurring exactly on schedule without error? This is similar to the blowing seed method; the eruptions grow round, full, and plump, looking even better than those from the blowing seed method. This is because the innate toxin is stored invisibly, and qi draws qi to produce the eruption! Blowing seed uses qi to draw qi, and point-seeding also uses qi to draw qi. Why trust blowing seed but not point-seeding?
However, families choosing point-seeding must pay close attention. After the scabs form, if the scabs are pointed at the top and slanted at the base, the toxic vapor has not fully exited, and re-inoculation is necessary to count as successful. Even if not pointed/slanted, during the vesicle and pus stages, if the child's qi and blood are insufficient, or if they suffer from diarrhea, preventing full growth, the toxic vapor must exit but may not be fully expelled. In such cases, herbs such as Atractylodis Rhizoma (Baizhu) must be taken again to tonify the spleen and assist qi, ensuring the eruption grows fully plump. One must fear that re-inoculation was needed, but the owner mistakenly believed it was unnecessary. Physicians specializing in smallpox may not monitor closely enough, so among ten thousand cases, one or two might recur. This method originally had theories of guiding eruptions twice or thrice; one must not be careless.
If re-inoculation was needed but delayed, and epidemic variola occurs simultaneously, people will use this as an excuse, and no one will believe in the method anymore. Would this not be a great pity? I examined medical texts which record that infants, a few days after birth, had dirty blood pricked from the arm, granting lifelong immunity from smallpox, but the acupoints and knife techniques were lost. The current point-seeding method may be a remnant of this. The perfect method was lost long ago, and its revival now is likely because the previous kalpa (disaster cycle) was not yet complete. With opium entering China and harming countless people, offsetting that kalpa, this method also came from foreigners, thereby preserving the lifespan of infants. To not firmly believe and practice it is to violate Heaven and exclude oneself from the principle of continuous generation.
In my family, over ten people received cowpox inoculation this year. Witnessing this personally and deeply understanding its mechanism, I firmly believe without doubt. How could I bear to keep it secret and not share it? I wish to strengthen the faith of all under heaven and spread it widely, so that all infants may henceforth enter the realm of benevolence and longevity. I dare to offer these humble words as "Discourse on Firmly Believing in Cowpox Inoculation."
Note: The art of cowpox inoculation began in the Dinghai year of the Daoguang reign (1827). Many infants in my hometown were saved. Wu Zixian Ting, whose technique was particularly exquisite, inoculated no fewer than thousands. Based on what my relatives and friends saw and heard, in twenty years, not a single case of recurrence occurred. He is truly a master hand in protecting infants.