一杂症痘疹药性,先贤具备载各册,议论间有不同,主治每多缺略。窃思痘疹中亦
有杂症相兼者,虽在痘时,以治痘为本,杂症为标,然如痘疮贯脓之时,而夹生吐泻恶
症,及夫恶症初愈,而复传染痘疮,此皆不可不共为照管而兼治者。假如一药,治痘疹
实为要品,而于所夹杂症又宜禁用,苟仅专心于此,忘之于彼,不亦助邪为虐,杂症剧
而痘疹亦危矣!故谨将杂症药性条下,附注痘疹药性于后,集成一册,庶可两得无碍,
在痘疹、在杂症自获两全,且便于查览。
一凡药既有大力,可以救人性命于倾刻,复无毒劣气味,贻人灾患于后来,譬如
才德兼备之君子,既所仰仗以济颠危,复可叨庇以藉生养。愈亲之而愈见其益者,
则题目顶上,加以四圈。如气味虽偏,然力量超群,有扶危救困之功,亦可救人性命于
倾刻,如乱世之能臣,借以戡乱扶危,救急于一时者,及性禀平和,功专调补气血,长
养精神,如治世之良臣,借以安邦定国于久远者,题目顶上并加三圈。如气味浅溥,能
辽疾患数病,然无大力,立救沉 ,但可借以佐使治疗,实非久服益人之药,如卒伍卑
贱之良义,而驱使又断不可少者,则题目顶上,加以二圈。如治病虽有小功,损人元
气,亦有小过,功过相等可暂而不可久,如卒伍卑贱之庸者,然虽有小奸,不足以致大
患,若上令明,而下奉自顺也,则题目顶上,加以一圈。如气味庸劣,却病则不足,
损人则有余,犹性成暴恶之徒,善则不能,恶则日甚,损多益少,功不掩过者,及非常
用之药、并世稀见之产,方书相传虽有其名,而治按方药并无取用者,则不圈不点,
遵古类书而已。倘过涉荒唐者,业已删去,不敢混尘。
药名题目之下,即细注药性禀受气味寒热温凉,以为补泻轻重之用,末附禁忌炮
制,庶诸药禀性易明,投用的确无误,制度即得其宜,药力之功效愈见。
一正文倘尚有未尽之旨,及今古有不一之说,复具按论,必取发明,使药性之优
劣,洞然于中,取用之合宜,自能得心应手而不紊矣。
一痘疹药性具附于杂症药性条后,凡前条只一种药名者,则所附仅书主治痘疹合参
数字。若前条下兼有附名药者,则所附方为特书某药合参,便于检阅。
一凡药曰对治是症者,则旁用尖圈,稍次则旁用圆圈,以便知其所用。若功不掩
过,及与病有大功大过者,则将为功为过之处,并如双圆圈,以便知其所重。其不尖圆
双圈者,遵古类书而已,至于有过属虚浮者,业以删去,不敢复赘。
凡物之生也必禀乎天,成也必资乎地。天布令主发生,寒热温凉四时之气行焉,阳
也;地凝质主成物,酸苦辛咸甘淡,五行之味滋焉,阴也。故微寒微温者,春之气也,
温热者,夏之气也,大热者,长夏之气也,凉者。秋之气也,大寒者,冬之气也。凡言
微寒者,禀春之气以生,春气升而生。言大热者感长夏之气以生,长夏之气化。言平
者,感秋之气以生,即凉也,秋气降而收。言大寒者,感冬之气以生,冬气沉而藏。此
物之气得乎天者也。天一生水,地六成之;地二生火,天七成之∶天三生木,地八成
之;地四生金,天九成之;天五生土,地十成之。水曰润下,润下作咸。火曰炎上,炎
上作苦。木曰曲直,曲直作酸。金曰从革,从革作辛。土爰稼穑,稼穑作甘。本乎天者
亲上,本乎地者亲下,气味多少,各从其类
也。凡言酸者得木之气;言辛者得金之气;言咸者得水之气;言苦者得火之气;言甘者得
土之气。惟土寄旺于四季,生成之数皆五,故其气平,其味甘而淡,其性和而无毒,土德冲和,感
而类之,莫或不然,固万物之所出,亦万物之所入,此物之味,资乎地者也。至于药之言毒
者,谓乖戾不和,禀气之偏者也,若气禀纯正,则何毒之有?故气之毒者必热,味之毒者必辛,枝
苗主气而升以治上,根须主味而降以治下,此药禀性不易之常也。其变通合宜之妙,存乎其人。
1. Regarding the properties of herbs for miscellaneous diseases and smallpox/rubella (Xiaozhen, 痘疹), the sages have already recorded them in detail in various volumes, but there are differences in their discussions, and the indications often lack completeness. I privately reflect that within smallpox/rubella cases, there are also concurrent miscellaneous diseases. Although during the onset of smallpox/rubella, treatment should focus on the primary disease as the root and the secondary disease as the branch, yet when pustules are filling with pus, if accompanied by severe symptoms such as vomiting and diarrhea, or after severe symptoms have just healed, if one contracts smallpox/rubella again, these situations all require simultaneous care and combined treatment. If a herb is an essential item for treating smallpox/rubella but is contraindicated for the concurrent disease, focusing solely on one while neglecting the other would only aid the pathogenic factors to wreak havoc, causing the miscellaneous disease to worsen and putting the smallpox/rubella in danger! Therefore, I have listed the properties of herbs for miscellaneous diseases item by item, and appended the properties of herbs for smallpox/rubella afterwards, compiling them into one volume. This way, both can be achieved without hindrance; whether dealing with smallpox/rubella or miscellaneous diseases, one can naturally achieve a perfect outcome, and it is convenient for reference.
2. Any herb that possesses great potency, capable of saving lives in an instant, and lacks toxic or foul flavors that might cause future harm, is like a gentleman of both talent and virtue: relied upon to rescue from peril, and providing protection for sustenance. For those whose benefits become more apparent the closer one gets to them, four circles are added above the title. For herbs with biased flavors but superlative power, capable of rescuing from crisis and aiding the distressed, saving lives in emergencies—like capable ministers in chaotic times who stabilize turmoil and assist in crises—or those with mild natures, specifically effective in regulating and tonifying Qi and Blood, and nourishing Spirit over the long term—like virtuous ministers in peaceful times who secure the state for generations—three circles are added side-by-side above the title. For herbs with shallow and thin flavors, able to cure several ailments but lacking great potency to instantly save critical conditions, serving only as assistants or guides in treatment, and not suitable for long-term beneficial consumption—like low-ranking soldiers who are righteous and indispensable for service—two circles are added above the title. For herbs that offer minor therapeutic merit but damage Yuan Qi, having equal merit and fault, usable temporarily but not long-term—like mediocre low-ranking soldiers who commit minor faults but do not cause major disasters, obeying orders faithfully—one circle is added above the title. For herbs with mediocre and inferior flavors, insufficient for curing disease but excessive in harming the body, akin to violent and evil individuals who cannot do good but grow increasingly wicked, doing more harm than good, where merit does not cover fault—as well as non-routine herbs and rare products known in name through ancient texts but unused in practice—no circles or dots are added, following ancient encyclopedias only. Absurd content has been deleted and will not pollute the text.
Below the herb names, detailed notes on the herb's nature, acquired flavor, and cold/heat/warm/cool attributes are provided to determine the degree of tonification or purgation. Contraindications and processing methods are appended at the end, making the inherent nature of each herb clear, ensuring accurate prescription, proper preparation, and enhanced efficacy.
3. If the main text leaves any points unexplained or if there are discrepancies between ancient and modern theories, additional commentary is provided to clarify and elucidate, ensuring that the superiority or inferiority of herb properties is clearly understood internally, allowing for appropriate selection and effortless application without confusion.
4. The properties of herbs for smallpox/rubella are appended after the entries for miscellaneous diseases. If the preceding entry lists only one herb name, the appendix simply states "Combined Reference for Smallpox/Rubella Indications." If the preceding entry includes multiple herbs, the appendix specifically details the combined reference for each herb to facilitate retrieval.
5. If an herb is stated to directly treat a specific symptom, a pointed circle is marked beside it; if slightly less effective, a round circle is used, to indicate its applicability. If the merit does not outweigh the fault, or if there is significant merit or fault regarding the disease, double circles are used to highlight the emphasis. Entries without pointed or double circles follow ancient encyclopedic records. Entries with false or exaggerated faults have been deleted and will not be repeated.
6. All things are born by receiving energy from Heaven and mature by relying on Earth. Heaven issues commands governing generation, with the Qi of Cold, Heat, Warmth, and Coolness circulating in the four seasons; this is Yang. Earth condenses substance governing formation, with the Flavors of Sour, Bitter, Pungent, Salty, Sweet, and Bland nourishing the Five Elements; this is Yin. Thus, slightly cold and slightly warm correspond to Spring Qi; warm and hot correspond to Summer Qi; greatly hot corresponds to Late Summer Qi; cool corresponds to Autumn Qi; and greatly cold corresponds to Winter Qi. "Slightly cold" implies receiving Spring Qi to generate, where Spring Qi ascends and promotes growth. "Greatly hot" implies receiving Late Summer Qi to generate, where Late Summer Qi transforms. "Neutral" implies receiving Autumn Qi to generate, which is cool; Autumn Qi descends and gathers. "Greatly cold" implies receiving Winter Qi to generate, where Winter Qi sinks and stores. These are the aspects of Qi received from Heaven.
"Heaven generates Water, Earth completes it with six; Earth generates Fire, Heaven completes it with seven; Heaven generates Wood, Earth completes it with eight; Earth generates Metal, Heaven completes it with nine; Heaven generates Earth, Earth completes it with ten." Water moistens downward, producing Saltness. Fire flares upward, producing Bitterness. Wood bends and straightens, producing Sourness. Metal yields and changes, producing Pungency. Earth cultivates and harvests, producing Sweetness. That which originates from Heaven tends upward; that which originates from Earth tends downward. The quantity of Qi and Flavor follows their respective categories. Sour corresponds to Wood Qi; Pungent to Metal Qi; Salty to Water Qi; Bitter to Fire Qi; Sweet to Earth Qi. Earth thrives in all four seasons, and its generative number is five; thus its Qi is neutral, its Flavor is sweet and bland, its Nature is mild and non-toxic. The Virtue of Earth is harmonious;感应 (induction) and analogy confirm this universally. It is indeed the source and destination of all things; this represents the Flavor derived from Earth.
Regarding the term "toxic" in herbs, it refers to discordant and imbalanced Qi, indicating biased acquisition. If the Qi acquisition is pure and correct, what toxicity could there be? Therefore, Qi with toxicity must be Hot; Flavor with toxicity must be Pungent. Branches and shoots govern Qi and ascend to treat the upper body; roots and fibers govern Flavor and descend to treat the lower body. This is the immutable constant of herb nature. The subtlety of adaptation and appropriateness lies in the practitioner.