同邑张梦庐学博千里,医名隆赫。道光间,应闽浙总督无锡孙文靖公之聘,至闽时,公
患水
胀已剧,犹笃信草泽医,服攻水之药,自谓可痊。张乃详论病情,反复数千言,劝其止药。
私谓其僚属曰∶元气已竭,难延至旬日矣。越七日果卒。其论大略云∶专科以草药为醴,峻
剂逐水,或从两足滂溢,或从大肠直泻,所用之药,虽秘不肯泄 ,然投剂少而见效速,其猛
利可知。夫用药犹用兵,攻守之法,参伍错综,必主于有利而无弊,从未有病经两年,发已
数次,不辨病之浅深,体之虚实,只以峻下一法,为可屡投而屡效者。盖此症之起,初因饮
啖兼人,胃强脾弱,继则忧劳过度,气竭肝伤,流之壅,由乎源之塞,若再守饮食之厉禁,
进暴突之劫剂,不帝剿寇用兵而无节制,则兵反为寇;济师无饷而专驱迫,则民尽为仇。公
何忍以千金之躯 ,轻供孤注之掷耶?彼草泽无知,守一己之师传,图侥幸于万一,以治藜藿
劳形之法,概施诸君民倚赖之身,效则国之福,不效则虽食其肉,犹可追乎?此余之所痛心
疾首,而进停药之说也。语殊切直,特录之以告世之溺惑于庸医者。张有谒孙宫保句云∶身
思报国仔肩重,病为忧民措手难。见所刊《闽游草》中。
(炳章)按∶梦庐医号千里,桐乡人,家居后珠村,少工诗文,长精医术,就诊之舟,日
所百计,不事置产,聚书万卷,着有医案多种传世。
A fellow townsman, Zhang Menglu, courtesy name Qianli, was a learned scholar and enjoyed a prominent reputation in medicine. During the Daoguang reign period, he accepted an invitation from Sun Erzhun (posthumous title: Wenzheng), the Viceroy of Minzhe (Fujian and Zhejiang provinces) from Wuxi, to travel to Fujian. At that time, the Viceroy suffered from severe Shuizhang (ascites/abdominal edema) but still firmly trusted folk practitioners, taking drugs to purge water retention, believing himself capable of recovery. Zhang then elaborated on the condition at length, repeating his arguments for thousands of words, and advised him to stop medication. Privately, he told the Viceroy’s subordinates: "The Yuanqi (vital energy) is exhausted; it will be difficult to survive more than ten days." Seven days later, the Viceroy indeed passed away. His argument was roughly as follows: Specialist doctors treat herbal medicines as if they were sweet wine, using harsh agents to drive out water. The effects may manifest as fluid oozing from both legs or direct purging through the large intestine. Although the specific herbs used are kept secret, the fact that small doses yield rapid results reveals their extreme potency. Using medicine is like deploying troops; the methods of attack and defense are intricate and complex, and must always aim for benefit without harm. It has never been the case that a disease lasting two years with multiple recurrences can be treated solely by harsh purgation, repeatedly administered with repeated success, without distinguishing the depth of the disease or the deficiency/excess status of the constitution. Generally, this illness originates initially from excessive eating and drinking, where Stomach strength exceeds Spleen weakness; subsequently, due to excessive worry and labor, Qi exhaustion and Liver injury occur. Water flow stagnates because its source is blocked. If one strictly adheres to severe dietary restrictions while administering violent, abrupt, and robbing agents, it is akin to suppressing rebels with uncontrolled military force, causing soldiers to turn into bandits; or reinforcing an army without provisions yet forcing them to advance, turning the populace into enemies. How could you bear to risk your precious body (worth a thousand gold) in such a desperate gamble? Those ignorant folk practitioners, sticking to their personal lineage teachings, seek luck in a million-to-one chance. They apply treatments suitable for commoners suffering from physical labor indiscriminately to a person relied upon by the state and people. If effective, it is a blessing to the nation; if ineffective, even consuming their flesh would not suffice for retribution. This is why I am heartbroken and propose stopping the medication. The words are particularly earnest and straightforward; I record them here to warn those in the world who are deluded by quack doctors. Zhang had a poem written when visiting Governor-General Sun: "Thinking of serving the country, the burden on my shoulders is heavy; Illness makes it difficult to handle matters for the worried people." This appears in his published work, *Min You Cao* (Poems from Travel in Fujian).
(Bingzhang) Note: Doctor Menglu’s pseudonym was Qianli. He was from Tongxiang, residing in Houzhu Village. In his youth, he excelled in poetry and prose; in adulthood, he mastered medical arts. Patients arriving by boat numbered hundreds daily. He did not engage in accumulating property but instead collected ten thousand volumes of books. He authored several collections of medical cases that have been passed down.