南乡刀镊工卫氏病风,半身无汗,已再中矣。戴人以三法疗之,寻愈。恐其求报
,乃 曰∶余夜梦一长髯人,针余左耳,故愈。
巫者武媪,年四十,病劳三年,羸瘦不足观
,诸医技绝。适五、六月间求治,愿奉白金五两。戴人治之,五、六日而安。止答曰∶白金三两
。乃曰∶一道士投我一符,焚而吞之,乃痊。如此等人,不可胜计。若病再作,何以求治?
至有耻前言,而不敢复求治疗,而杀其身者。此所以世之庸工,当正病时,以犀、珠、龙、
麝、丁、沉、木、乳,乘其急而巧取之。然君子博爱,贤愚亦不当效若辈也。
有扶救之功,如死,我则有攻击之罪,明者不可不察也。麻先生常见他医言戴人
能治奇病,不能治常病;能治杂病,不能治伤寒。他日见戴人,问以伤寒事。超然独出仲
景言外之意,谓余曰∶公慎勿 仲景纸上语,惑杀世人。
余他日再读仲景,方省其旨。戴人云∶人常见伤寒疫气动时辄避,曰∶夫伤寒多变,须朝夕
再视。若十人病,已不能给,况阖郡之中,皆亲故人乎?其死生常在六、七日之间,稍不往视
,别变矣。以此他医咸诮之,以为不能治伤寒。盖未常窥其涯
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外有风寒暑湿,属天之四令,无形也。
内有饥饱劳逸,属天之四令,有形也。
一者,始因气动而内有所成者,谓积聚、 瘕、瘤气、瘿起、结核、狂瞀
癫痫。疏曰∶ ,坚也,积也;瘕,气血也。
二者,始因气动而外有所成
三者,不因气动而病生于内者,谓留饮、癖食、饥饱、劳损、宿食、霍乱、悲、恐、喜、怒、想慕、忧结之类是也。
四者、不因气动而病生于外者,谓瘴气、贼魅、虫蛇、蛊毒、伏尸、鬼击、冲搏、坠堕、风
、寒、暑、湿、斫、射、割刺之类是也。
A surgical craftsman named Wei from Nanxiang suffered from wind disease, with no sweat on half of his body, and had relapsed twice. Dai Ren treated him using the three methods (sweating, vomiting, purging), and he recovered soon. Fearing that the patient would seek reward, Dai Ren said, "I dreamed last night of a long-bearded man who acupunctured my left ear; thus I recovered."
A sorceress named Wu, aged forty, had suffered from consumptive disease (Lao) for three years. She was emaciated to an unsightly degree, and many physicians' skills were exhausted. Seeking treatment in the fifth and sixth lunar months, she offered five taels of silver. Dai Ren treated her, and she stabilized within five or six days. He only replied, "Return three taels of silver," and added, "A Daoist priest gave me a talisman; I burned it and swallowed the ashes, and then I healed." There are countless such cases. If the illness recurs, where will they seek treatment? Some even, ashamed of their previous lies, dare not seek medical care again, leading to their own deaths. This is why quacks of the world, when diseases are acute, use rhinoceros horn, pearls, dragon bone, musk, clove, agarwood, wood fragrant bark, and frankincense to exploit the urgent situation and cleverly extract wealth. However, a gentleman possesses universal love; neither the wise nor the foolish should imitate such people.
There is merit in supporting and saving lives; but if death occurs, I bear the guilt of excessive attack. The discerning must examine this carefully. Mr. Ma often heard other physicians say that Dai Ren could treat strange diseases but not common ones; could treat miscellaneous diseases but not Shanghan (Cold Damage). One day, seeing Dai Ren, he asked about Shanghan matters. Dai Ren transcended the literal meaning of Zhang Zhongjing's words, telling me, "Do not be confused by the words on Zhang Zhongjing's paper, which bewitch and kill the common people."
Later, upon re-reading Zhang Zhongjing, I finally understood his intent. Dai Ren said, "People usually avoid times when Shanghan epidemics occur, saying: 'Shanghan has many variations; one must visit morning and evening.' If ten people are sick, it is already impossible to attend to them all, let alone if everyone in the entire commandery is a relative or friend? Life and death often hinge between the sixth and seventh days; if one does not visit slightly later, the condition changes differently. Therefore, other physicians mocked him, claiming he could not treat Shanghan. This was likely because they had never glimpsed its boundaries."
Summary Diagram
Diagram of Zang-Fu Images Corresponding to the Six Positions of Heaven and Earth
External Wind, Cold, Summerheat, and Dampness belong to the Four Commands of Heaven; they are formless.
Internal Hunger, Fullness, Labor, and Rest belong to the Four Commands of Man; they have form.
The first category refers to pathologies formed internally due to qi movement, such as accumulations (Ji), masses (Jia), tumors, goiters, tubercles, mania, confusion, epilepsy, etc. Commentary states: "Ji" refers to hardness and accumulation; "Jia" refers to qi and blood stagnation.
The second category refers to pathologies formed externally due to qi movement... [Text cuts off here]
The third category refers to diseases arising internally not due to qi movement, such as retained fluids, food stagnation, dietary irregularities, fatigue damage, retained food, cholera-like disorders, and emotional conditions like grief, fear, joy, anger, longing, and worry knots.
The fourth category refers to diseases arising externally not due to qi movement, such as miasma, malevolent spirits, insect and snake bites, gu poison, latent corpses, ghost strikes, collisions and fights, falls and trauma, Wind, Cold, Summerheat, Dampness, hacking, shooting, cutting, and stabbing injuries.