古人病愈之后,即令食五谷以养之,则元气自复,无所谓补药也。神农、仲景之书,岂
有补
。遂开后世补养服食之法。以后医家,凡属体虚病后之人,必立补方,以为调理善后之计。
若富贵之人,则必常服补药,以供劳心纵欲之资;而医家必百计取媚,以顺其意。其药专取
贵重辛热为主,无非参、术、地黄、桂、附、鹿茸之类,托名秘方异传。其气体合宜者,一
时取效;久之必得风痹阴痼等疾,隐受其害,虽死不悔。此等害人之说。固不足论。至体虚
病后补药之方,自当因人而施,视脏腑之所偏而损益之。其药亦不外阴阳气血,择和平之药
灵敏十种,相为出入,不必如治病之法,一味不可移易也。故立方只问其阴阳脏腑,何者专
重而已。况膏丸合就,必经月经时而后服完。若必每日视脉察色,而后服药,则必须一日换
一丸方矣。故凡服补药,皆可通融者也。其有神其说,过为艰难慎重,取贵僻之药以可以却
病长生者,非其人本愚昧,即欲以之欺人耳!
古谚有∶“不服药为中医”之说自宋以前已有这。盖因医道失传,治人多误,病者又不
能辨
医之高下,故不服药;虽不能愈病,亦不至为药所杀。况病苟非死症,外感渐退,内伤渐复
,亦能自愈,故云中医。此过于小心之法也。而我以为病之在人,有不治自愈者,有不治难
愈者,有不治竟不愈而死者。其自愈之徉,诚不必服药;若难愈及不愈之疾,固当服药。乃
不能知医之高下,药之当否,不敢以身尝试,则莫若择平易轻浅,有益无损之方,以备酌用
。小误亦无害,对病有奇功,此则不止于中医矣。如偶感风寒,则用葱白苏叶汤,取微汗。
偶伤饮食,则用山楂、麦芽等汤消食。偶感暑气,则用六一散、广藿汤清暑。偶伤风热,则
用灯心竹叶汤清火。偶患腹泻,则用陈茶佛手汤和肠胃。如此之类,不一而足。即使少误,
必无大害。又有其药似平常,而竟有大误者,不可不知。如腹痛呕逆之症,寒亦有之,热亦
有之,暑气触秽亦有之。或见此症,而饮以生姜汤,如果属寒,不散寒而用生姜热性之药,
至寒气相斗,已非正治,然犹有得效之理。其余三症,饮之必危。曾见有人中暑,而服浓姜
汤一碗,覆杯即死。若服紫苏汤,寒即立散,暑热亦无害。盖紫苏性发散,不拘何症,皆能
散也。故虽极浅之药,而亦有深义存焉。此又所宜慎也。凡人偶有小疾,能择药性之最轻淡
淡者,随症饮之,则服药而无服药之误,不服药而有服药之功,亦养生者所当深考也。
The ancients believed that after a patient recovered, they should immediately consume the five grains to nourish the body, so that the Yuan Qi (Original Qi) would naturally recover, and there was no need for so-called "tonic medicines." Did the medical texts of Shennong and Zhang Zhongjing contain any specific discussions on tonification? [Text implies absence] This thereby initiated the later practice of using tonic foods for conditioning. Subsequent physicians, whenever encountering individuals with weak constitutions or those recovering from illness, would invariably prescribe tonic formulas as a plan for post-illness regulation. For wealthy individuals, they would insist on long-term consumption of tonic medicines to support their mentally taxing and indulgent lifestyles; physicians, in turn, would devise various schemes to flatter and cater to their wishes. These prescriptions primarily consisted of expensive and acrid-warm herbs, nothing more than Ginseng Radix et Rhizoma (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Rehmanniae Radix (Dihuang), Cinnamomi Ramulus (Guizhi), Aconiti Lateralis Radix Praeparata (Fuzi), and Cervi Cornu Colla (Lurong), falsely claiming them as secret recipes passed down through generations. Among these, if the herb properties suited the constitution, effects might be seen temporarily; however, over time, one would inevitably suffer from conditions such as Wind-Bi (Wind-Damp Bi Syndrome) or Yin-Gu (Chronic Yin Deficiency Syndromes), suffering hidden harm, yet regretting nothing even unto death. Such harmful theories are hardly worth discussing. As for tonic formulas for those with weak constitutions post-illness, they should indeed be applied according to individual circumstances, adjusting based on the imbalances of the Zang-Fu organs. The herbs used generally fall under Yin-Yang, Qi, and Blood categories, selecting mild-natured herbs for flexible combination, rather than being rigidly fixed like treatments for acute diseases. Therefore, when formulating prescriptions, one only needs to consider which aspect of Yin-Yang or Zang-Fu requires particular emphasis. Moreover, pastes and pills often take an entire menstrual cycle to consume. If pulse diagnosis and observation were required daily before taking medicine, a new pill formula would have to be prepared every day. Thus, the use of tonic medicines allows for flexibility. Those who claim that certain methods require extreme caution and the use of rare, precious herbs to prevent disease and prolong life are either ignorant themselves or attempting to deceive others!
An ancient proverb states: "Not taking medicine constitutes 'Zhong Yi' (Intermediate Medicine)," a concept existing prior to the Song Dynasty. This likely arose because the true Dao of medicine was lost, treatments often erred, and patients could not distinguish between high and low medical skill, leading to the advice of abstaining from medicine; although this might not cure the disease, it would at least avoid killing the patient with drugs. Furthermore, unless the disease is fatal, external pathogens gradually recede and internal injuries heal, allowing for spontaneous recovery; hence, "not taking medicine" is considered intermediate-level care. This is an overly cautious approach. I believe that diseases in humans vary: some heal without treatment, some are difficult to heal without treatment, and some result in death despite lack of treatment. For cases that heal spontaneously, medication is indeed unnecessary; however, for difficult or non-healing conditions, medication is certainly required. Since one may not know the physician's skill level or whether the prescription is appropriate, and dare not experiment on oneself, it is better to choose mild, gentle, beneficial, and harmless formulas for optional use. Even if minor errors occur, there will be no great harm, and they can achieve miraculous results for specific symptoms, surpassing the level of "Intermediate Medicine." For example, if accidentally exposed to Wind-Cold, use Cong Bai Su Ye Tang (Scallion White and Perilla Leaf Decoction) to induce slight sweating. If suffering from dietary stagnation, use Shan Zha and Mai Ya decoctions to digest food. If affected by Summerheat, use Liu Yi San (Six-One Powder) or Guang Huo Xiang Tang (Patchouli Decoction) to clear heat. If injured by Wind-Heat, use Deng Xin Cao Zhu Ye Tang (Juncus Effusus and Bamboo Leaf Decoction) to clear fire. If experiencing diarrhea, use Chen Cha Fo Shou Tang (Aged Tea and Bergamot Decoction) to harmonize the intestines and stomach. There are countless such examples. Even slight misuse causes no major harm. However, one must be aware that seemingly ordinary herbs can cause serious errors. For instance, abdominal pain and vomiting can stem from Cold, Heat, or Summerheat touching turbidity. If one sees these symptoms and prescribes Sheng Jiang Tang (Ginger Decoction), and if it is indeed a Cold pattern, using the hot nature of Ginger instead of dispersing cold leads to a clash between pathogenic cold and the herb's heat, deviating from correct treatment principles, though efficacy might still be achieved. For the other three patterns, drinking Ginger Decoction would be dangerous. I have witnessed someone suffering from Summerheat who drank a bowl of strong Ginger Decoction and died immediately after setting down the cup. If they had taken Zi Su Tang (Perilla Decoction), the cold would have dispersed instantly, and the Summerheat would have been unaffected. This is because Zi Su (Perilla Leaf) has a dispersing nature and can disperse regardless of the syndrome. Thus, even extremely simple herbs contain profound meanings. This too requires caution. When people have minor ailments, choosing the mildest and lightest herbs and consuming them according to symptoms ensures that taking medicine avoids error, and abstaining from medicine yields benefit. This is something those interested in health preservation should deeply consider.