眉寿之人,形气虽衰,心亦自壮,但不能随时、人、事遂其所欲。虽居处温给,亦常不足
,故多咨煎背执,等闲喜怒,性气不定。止如小儿,全在承奉颜色,随其所欲,严戒婢使子
孙,不令违背。若愤怒一作,血气虚弱,中气不顺,因而饮食,便成疾患。深宜体悉。
常令人随侍左右,不可令孤坐独寝;缘老人孤僻,易于伤感。才觉孤寂,便生郁闷。养
老之法,凡人平生为性,各有好嗜之事,见即喜之。有好书画者,有好琴棋者,有好赌扑者
,有好珍奇者,有好禽鸟者,有好古物者,有好佛事者,有好丹灶者。人之僻
好,不能备举。但以其平生偏嗜之物,时为寻求,择其精纯者,布于左右,使其喜爱、玩悦
不已,老人衰倦,无所用心。若只令守家孤坐,自成滞闷。今见所好之物,自然用心于物上
,日日看承戏玩,自以为乐;虽有劳倦,咨煎性气,自然减可。
凡人衰晚之年,心力倦怠,精神耗短,百事懒于施为,盖气血筋力之使然也。全藉子孙
孝养,竭力将护,以免非横之虞。凡行住坐卧,宴处起居,皆须巧立制度,以助娱乐。
栖息之室,必常洁雅。夏则虚敞,冬则温密。
其寝寐床榻,不须高广。比常之制,三分减一,低,则易于升降;狭,则不容漫风。
褥浓藉,务在软平;三面设屏,以防风冷。其枕,宜用夹熟色帛为之,实以菊花,制在低长∶低,则寝无罅风;
长则转不落枕。其所坐椅,宜作矮 床样,坐可垂足履地,易于兴居。左右置栏,面前设几,缘老人多困,坐则
成眠,有所栏围,免闪侧之伤。
其衣服制度,不须宽长。长,则多有蹴绊;宽,则衣服不着身。缘老人骨肉疏冷,风寒
易中,若窄衣贴身,暖气着体,自然血气流利,四肢和畅。虽遇盛夏,亦不可令袒露。其颈
后连项,常用紫软夹帛,自颈后巾帻中垂下着肉,入衣领中,至背甲间,以护腠理。尊年人
肌肉瘦怯,腠理开疏,若风伤腠中,便成大患。深宜慎之。
The elderly, although their physical form and vital qi (Vital Energy) have declined, often retain a strong-willed mind. However, they cannot adapt to changes in time, people, and circumstances to fulfill their desires. Even if their living conditions are warm and sufficient, they often feel inadequate internally. Consequently, they tend to be anxious, stubborn, prone to sudden anger or joy, and their temperament is unstable. They should be treated like children; care must be entirely focused on observing their expressions and accommodating their wishes. Servants and descendants must be strictly warned not to disobey them. If they become angry, it can lead to weakness in blood and qi, and disharmony of the Middle Jiao Qi (Qi of the middle burner). Forcing food intake under such conditions may result in illness. This requires deep understanding and careful attention.
One should always keep someone accompanying the elderly; they must not be allowed to sit alone or sleep in isolation. Because the elderly can be solitary and prone to sentimentality, even a slight sense of loneliness can give rise to depression. The method of caring for the elderly lies in recognizing that every person has inherent preferences based on their lifelong nature, which bring them joy upon seeing them. Some enjoy calligraphy and painting, some enjoy zither and chess, some enjoy gambling games, some enjoy rare treasures, some enjoy birds and beasts, some enjoy antiques, some engage in Buddhist practices, and some practice alchemy. It is impossible to list all eccentric hobbies. One should seek out items they have favored throughout their life, select the finest and purest among them, and place them around them, so that they remain delighted and entertained by playing with these objects. When the elderly are weary and lack mental focus, merely sitting alone at home leads to stagnation and gloom. Seeing their beloved objects naturally engages their mind; daily viewing and playing with them brings self-pleasure. Although fatigue and irritability may occur, they will naturally diminish.
In their declining years, individuals suffer from mental and physical exhaustion, shortness of spirit, and reluctance to engage in any affairs, due to the depletion of blood, qi, sinews, and strength. This relies entirely on the filial support of descendants, who must exert themselves in nursing and protection to avoid unexpected calamities. All activities—walking, standing, sitting, lying down, dining, and daily routines—require cleverly established regulations to assist in entertainment. The resting quarters must always be clean and elegant. In summer, they should be airy and open; in winter, warm and sealed.
The bed for sleeping need not be high or wide. It should be one-third smaller than standard dimensions: low enough for easy ascent and descent, and narrow enough to prevent drafts. Mattresses and bedding must be soft and flat. Screens should be placed on three sides to protect against cold wind. Pillows should be made of double-layered dyed silk, stuffed with chrysanthemum flowers, designed to be low and long: low to prevent drafts entering gaps during sleep, and long to prevent falling off when turning over. Chairs for sitting should resemble low beds, allowing the feet to hang down and touch the ground, facilitating ease of rising and sitting. Railings should be placed on both sides, and a small table in front. Since the elderly often feel drowsy and may fall asleep while sitting, railings prevent injury from rolling sideways.
Clothing should not be overly long or wide. Long clothes cause tripping; wide clothes do not fit the body. Because the elderly have loose bones and cold flesh, making them susceptible to wind-cold invasion, tight-fitting clothing keeps warmth close to the body, promoting smooth blood flow and harmonious limbs. Even in midsummer, exposure should be avoided. The back of the neck and nape should be covered with soft purple double-layered silk, hanging from a headscarf behind the neck, touching the skin, entering the collar, and extending to the interscapular region, to protect the Cou Li (skin texture and pores). Elderly people have thin muscles and sparse Cou Li; if wind pathogen invades the Cou Li, it can lead to serious illness. This must be approached with utmost caution.