一男子,病泄十余年。豆蔻、阿胶、诃子、龙骨、枯矾,皆用之矣。中脘、脐下、三里
,岁岁灸之。皮肉皴槁,神昏足肿,泄如泔水,日夜无度。戴人诊其两手脉,沉且微,曰∶
生也。病患忽曰∶羊肝生可食乎?戴人应声曰∶羊肝止泄,尤宜服。病患悦而食一小盏许
,可以浆粥送之。病患饮粥数口,几半升,续又食羊肝(生)一盏许,次日泄几七分。如此月余
安。此皆忌口太过之罪也。
戴人常曰∶胃为水谷之海,不可虚怯,虚怯则百邪皆入矣。或思
荤茹,虽与病相反,亦令少食,图引浆粥,此权变之道也。若专以淡粥责之,则病患不悦而
食减,久则病增损命,世俗误人矣。
戴人常曰∶脏毒酒毒;下血呕血;妇人三十以下血闭;六月七月间脓血恶痢
,疼痛不止;妇人初得孕择食者,以上皆不忌口。
戴人常曰∶人言我不接众工。戴人曰∶余岂不欲接人,但道不同,不相为
谋。医之善,惟《素问》一经为祖。有平生不识其面者,有看其文,不知其义者,此等虽曰相亲,欲何
说?止不过求一、二药方而已矣。大凡药方,前人所以立法,病有百变,岂可执方?设于富贵之
家病者,数工同治,戴人必不能从众工,众工亦不能从戴人,以此常孤。惟书生高士,推者
复来,日不离门。戴人又曰∶我之术,止可以教,书生不能受医者忽授老书生曰∶我是书
生,岂不知书生?书生固多许可,以易慢。戴人问之,曰∶彼未尝见予治病,故有是言。若亲
见予治病数十人,自反思矣。凡谤我者,皆望风取信于群医之口也。孔子曰∶浸润之谮,肤
之HT ,不行焉。可谓明也已矣。
A male patient suffered from diarrhea for more than ten years. He had already used Cardamomi Fructus Rotundus (Doukou), Colla Corii Asini (Ejiao), Terminalia Chebula Retzui (Hezi), Os Draconis (Longgu), and Alumina Calcinate (Kufan). He received moxibustion annually at the Zhongwan (CV12) acupoint, below the umbilicus, and the Zusanli (ST36) acupoint. His skin and flesh became shriveled and dry, his spirit was confused, his feet were swollen, and he passed watery stools resembling rice washings without restraint day or night. Dairen (Zhang Congzheng) examined the pulses of both his hands, finding them deep and faint, and said, "He will survive." The patient suddenly asked, "Can raw sheep liver be eaten?" Dairen immediately replied, "Sheep liver can stop diarrhea; it is especially suitable for consumption." The patient was delighted and ate about one small cup, which could be taken with grain gruel. After drinking a few mouthfuls of gruel, nearly half a cup, he subsequently ate another small cup of raw sheep liver. The next day, his diarrhea decreased by seven-tenths. After continuing in this manner for over a month, he recovered. This was all due to the sin of excessive dietary restriction.
Dairen often said: The Stomach is the sea of water and grain; it must not be deficient or timid. If it is deficient, all kinds of pathogenic factors will enter. If one desires to eat meat or vegetables, even if it seems contrary to the illness, one should allow small amounts to be consumed to entice the intake of grain gruels. This is the way of flexible adaptation. If one strictly demands only bland gruel, the patient will be displeased and eat less. Over time, this will worsen the disease and damage life. Such practices mislead people in the secular world.
Dairen often said: Regarding dysenteric toxin (Zangdu) and alcohol toxin causing hematochezia and hematemesis; blood obstruction in women under thirty; purulent and bloody severe dysentery occurring between June and July with unceasing pain; and pregnant women who are selective about food upon conception—none of these conditions require strict dietary taboos.
Dairen said: People claim I do not associate with other practitioners. Dairen said, "Do I not wish to associate with others? It is simply that those whose paths differ cannot plan together. The excellence of medicine regards the *Suwen* (Plain Questions) as its ancestor. Some have never seen its face in their lives; some read its text but do not understand its meaning. Although such people claim intimacy, what is there to discuss? They merely seek one or two prescriptions. Generally speaking, prescriptions were established by predecessors. Diseases change in hundreds of ways; how can one adhere rigidly to a fixed formula? In wealthy households where patients are treated by multiple physicians, Dairen would certainly not follow the common doctors, nor would they follow Dairen. Thus, he was often isolated. Only scholars and noble gentlemen, who admired him and returned repeatedly, kept his door busy daily. Dairen also said: My methods can only teach scholars; they cannot tolerate the disdain of medical practitioners. An old scholar said, "I am a scholar; do I not know scholars? Scholars tend to give approval but act lightly and casually." Dairen asked him, "That person had never seen me treat patients, hence such remarks. If he had personally witnessed me cure dozens of people, he would reflect on himself. All those who slander me believe the gossip of the group of doctors. Confucius said: 'The infiltrating slander and the subtle harm cannot take effect here.' This can be called wisdom."