Library

*Yi Xin Fang* (Preserving the Heart's Formula) consists of thirty volumes. The title page of each volume reads: Composed by Danbo Yasutai (Kangrai), who held the rank of Junior Fifth Rank, Lower Grade, and served as Physician-Director and Assistant Governor of Danbo. Respectfully noted: Our ancestors were commissioned to have our great-grandfather, Minister Yuande, copy the manuscripts stored in the Imperial Library of Reizei Palace for preservation in medical archives; at that time, it was regarded as a rare treasure. However, the book is damaged and incomplete, making its full content difficult to ascertain. Now, we are ordered to cross-reference it with epigraphic remains, harmonize it with differences between ancient and modern times and local customs, interweave and synthesize these elements, so that its principles may be complete and serve as a model for future students. Among previous writings, only the works of Master Wang can adequately embody this principle. Yet this book surpasses them directly; is it not even more magnificent? Moreover, due to its extensive citations, this book serves not merely as a precious treasure for physicians, but greatly benefits future learners in myriad ways. We privately rejoice that the civilization of attire and cultural artifacts extends to...

*Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) records: Zhang Zhan said, "The precision of classical formulas has been difficult to master since ancient times. Currently, diseases may share internal similarities but present different external symptoms, or vice versa." It further states: "A great physician treating illness must calm the spirit and stabilize the will, free from desire and craving, first arousing a heart of great compassion and pity, vowing to universally save all sentient beings from disease." If there are... It also states: "The conduct of a physician must prohibit excessive joking and laughter; no noisy chatter, gossiping, criticizing others, boasting of fame, or disparaging..." It further states: "Since ancient times, renowned physicians often used living creatures to treat urgent conditions. Although animals are considered inferior to humans, in valuing life, humans and animals are equal." Damaging others... Those who died first... How could one not...

It also states: Zhang Zhongjing said, "Forcing sweating when not indicated depletes body fluids, leading to death from exhaustion; failing to induce sweating when indicated causes pore closure, leading to death from suffocation and despair. Forcing purgation when not indicated causes inner restlessness, distension, irritability, edema, and death; failing to purge when indicated leads to uncontrollable diarrhea and death. Applying moxibustion when not indicated allows fire pathogens to enter the intestines, disrupting the five zang organs, causing severe distress and death; failing to apply moxibustion when indicated allows cold to accumulate..."

*Bencao Jing* (Divine Farmer's Materia Medica) states: "When treating any disease, one must first investigate its origin and observe the pathogenesis; ensuring the five zang organs are not deficient, the six fu organs are not exhausted, the blood vessels are not disordered, and the spirit..."

It further states: "One should also observe the patient's deficiency or excess, need for tonification or draining, gender, age, suffering or joy, prosperity or decline, region, and customs, as these vary greatly." Chu Cheng treated...

*Taisu Jing* (Classic of Great Simplicity) states: The Yellow Emperor asked Qibo: "Physicians treat the same disease differently, yet all achieve recovery. Why?" Qibo replied: "...The West is a land of gold and jade, sand and stone, where heaven and earth gather and contract; the people live on hills and endure much wind, with tough water and soil. The people do not wear... Their treatment is suitable... The North is a realm of closure and storage, with high terrain, hills, cold wind, and ice; the people prefer nomadic life and dairy diets, suffering from cold internal organs. Their treatment... The South is where heaven and earth nurture abundant yang qi. The terrain is low, the water and soil weak, and fog and dew gather; the people favor sour foods... The Central Plains are flat and damp, producing diverse flora and fauna. The people eat varied diets without hard labor, so their diseases are often flaccidity, tetanus, cold, and heat. Their treatment is suitable for guiding... emotions."

It further states: "In diagnosing illness, one must ask if the patient was formerly noble but now humble; even without external pathogens, disease arises internally, named 'Tuorong' (Loss of Glory); if formerly rich but now poor, it is named 'Shiwu' (Loss of Honor)... Humiliation."

*Sammohuang King* (Mahamayuri Vidya-Raja Sutra) states:
"There are four types of diseases: wind, heat, phlegm, and general collection diseases. One must know their onset times. In spring, phlegm... moves; in summer, internal wind diseases arise; in autumn... yellow heat... Taking medicine... Disease. Adapt to changes... Follow the seasons... Disease. Ask about... Excessive sweating and... Bright dreams of fire indicate a hot nature. Calm mind and level body, careful examination of head and saliva. Dreaming of white objects in water indicates... nature should be known. No death... Black tongue... Birth. Compassion."

*Nanhai Zhuan* (Biographies of the South Sea) states: "Imbalance of the Four Elements is common to all living beings; the eight solar terms transition without constant triggers. Whenever disease arises, care and recuperation are necessary. Thus, *... Causes body... Source of Diseases... Two...

*Taisu Jing* states: "If disease originates in Yin, treat Yin first, then Yang; if it originates in Yang, treat Yang first, then Yin; both treat the root cause." It further states: "Those whose bodies are comfortable but minds are distressed suffer from pulse-related diseases, treated with moxibustion and acupuncture; those whose bodies are laborious but minds are at ease suffer from tendon diseases, treated with warming compresses and qigong exercises; those whose bodies are comfortable but minds are... at ease, suffer from flesh diseases, treated with needles and stones; those whose bodies and minds are both distressed suffer from throat obstruction, treated with herbal medicine; those frequently frightened suffer from numbness, treated with massage and medicinal wine."

It further states: "Diseases arising from wind-cold, summer-heat, dampness, diet, or sexual activity, which are not heart-mind disorders, can be removed with acupuncture, stones, decoctions, or pills. Joy, anger, worry, and thought damage the spirit... Cannot..."

It further states: "Bo Gao said: Military strategy states, 'Do not confront vigorous energy directly; do not attack well-organized formations.' Acupuncture methods state, 'Do not needle [patients with] intense heat; do not needle dripping...' Soldiers... Large...

*Zhenjiu Jing* (Acupuncture and Moxibustion Classic) states: "Ten-year-old children and seventy-year-old elders should not undergo acupuncture; moxibustion and sweet herbs are appropriate."

*Yimen Fang* (Medical Gate Formulas) states: "The general rule is that spring and summer are suitable for inducing sweating. When taking decoctions to induce sweating, stop when the disease is addressed; there is no need to finish the entire dose. When inducing sweating, aim for... Body... After profuse sweating, if the pulse is surging and large, resembling malaria, occurring twice a day, resolution comes with sweating; administer Guizhi Mahuang Tang (Cinnamon Twig and Ephedra Decoction): Mahuang (Ephedrae Herba, 4 liang, remove joints) Guixin (Cinnamomi Ramulus, 2 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried) Xingren (Armeniacae Semen Amarum, 80 seeds, remove tips). Use seven sheng of water, boil Mahuang first for three sheng until boiling, skim off foam, add other herbs, boil to obtain two and a half sheng, divide into three doses, taken with intervals of roughly seven to eight li. Cover with blankets... No need to drink porridge; follow the method of Guizhi Tang otherwise."

"After sweating, if sweat leaks continuously, the person feels aversion to wind; difficulty urinating, slight stiffness in limbs making flexion and extension difficult; Guizhi Jia Fuzi Tang (Cinnamon Twig Decoction with Aconite Root) is the primary treatment: Guixin (Cinnamomi Ramulus, 3 liang) Shaoyao (Paeoniae Radix Alba, 3 liang) Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, honey-fried) Shengjiang (Zingiberis Rhizoma Recens, 3 liang) Dazao (Jujubae Fructus, 12 pieces, torn, sliced). Use seven sheng of water, simmer gently to obtain three small sheng, strain, divide into three warm doses. Shortly after taking the decoction, drink one sheng of hot porridge to assist the medicinal power. Warm cover... Repeat administration...

It further states: "Winter allows hot herbs but prohibits inducing sweating; if sweating retreats, ulcers may appear in the anus, accompanied by vomiting and dysentery."

"Patients with epistaxis (nosebleed) must not undergo sweating therapy. Sweating will lead to staring eyes and insomnia."

"Patients with stranguria (dysuria) must not undergo sweating therapy; sweating will lead to hematuria."

"Patients with throat obstruction and dryness must not undergo sweating therapy."

"After severe purgation, inducing sweating causes abdominal distension. After sweating, aversion to cold indicates deficiency; absence of aversion to cold with only heat indicates excess; one should harmonize the stomach qi."

"Patients with chronic sores ('Chuangjia'), despite body pain, must not attack the exterior. Sweating will inevitably lead to tetanus (Jizhi)."

"Patients who recently suffered severe vomiting/purgation, epistaxis, nasal hemorrhage, or 'Oujian' syndrome, and women who recently gave birth, must not undergo sweating therapy."

"Coughing with normal urination, or loss of urinary control, contraindicates sweating; sweating will lead to vomiting, reversal, and cold extremities."

"After sweating, excessive drinking causes wheezing; bathing with cold water also causes wheezing."

"After sweating, palpitations below the navel indicate impending Ben Tun (Rushing Pig) qi; Lingui Gancao Tang (Poria, Cinnamon Twig, and Licorice Decoction)..."

"After sweating, abdominal distension is treated with Nongpu Shengjiang Banxia Gancao Renshen Tang (Magnolia Bark, Fresh Ginger, Pinellia, Licorice, and Ginseng Decoction)."

"It further states: 'The general rule is that spring is suitable for emesis.'"

"For diseases located in the chest, emesis is appropriate."

"When using decoctions for emesis, stop when the disease is addressed; there is no need to finish the entire dose. Emesis is indicated for deficiency, cold damage with chest fullness, and accumulated phlegm with dry retching. Also for phlegm-heat in the chest and diaphragm turning into... cough..."

"For retained food in the stomach tube, emesis or purgation is appropriate."

"It further states: 'Patients with Si Ni (Four Coldness) must not undergo emesis. Patients with general deficiency and emaciation must not undergo emesis. Women who recently gave birth must not undergo emesis.'"

"Patients with Hongzhang (Hong Kong Foot/Charley Horse) rushing to the heart should not undergo emesis."

"Patients who feel aversion to cold and do not wish to remove clothing must not undergo emesis."

"It further states: 'The general rule is that autumn is suitable for purgation.'"

"When using decoctions for purgation, stop when the disease is addressed; do not finish the entire dose."

"If a disease presents with excessive sweating, urgent purgation is required."

"If a disease lasts five to six days with abdominal fullness and constipation, urgent purgation is required."

"After severe purgation, if six or seven days pass without bowel movement, persistent irritability, abdominal pain and fullness indicate dry feces. This is because of pre-existing retained food; Chengqi Tang (Harmonizing the Qi Decoction) is appropriate."

"If a patient has difficulty urinating, alternating difficulty and ease in defecation, occasional mild fever, dizziness, and inability to sleep, this indicates dry feces; purgation is appropriate."

"For cases requiring purgation, decoctions are superior to pills. Flank pain with fever indicates cold; warm purgatives should be used. Cold distension requiring purgation..."

"For patients with constipation, abdominal fullness from cold damage, malaria, abdominal distension like a drum, edema, or constipation requiring promotion of urination; jaundice, water retention..."

"Abdominal fullness and pain due to cold require purgation. If abdominal fullness does not decrease, or decreases insignificantly, continuous purgation is needed. A rapid and slippery pulse indicates retained food; purgation..."

"For cases requiring purgation, use Chengqi Tang formula: Dahuang (Rhei Radix et Rhizoma, 4 liang, soaked overnight) Houpo (Magnoliae Officinalis Cortex, 2 liang, honey-fried) Slice, use five sheng of water, boil to obtain one and a half sheng, add Dahuang, boil for one or two more boils, strain, divide into two doses. Recovery occurs after two or three bowel movements."

"It further states: 'Summer months contraindicate purgation. Wheezing with chest fullness contraindicates purgation. Hardness below the heart, neck stiffness, and vertigo contraindicate purgation. Jue Ni (Reversal Coldness)...'"

"Desire to vomit contraindicates purgation. External syndromes unresolved contraindicate purgation. Abdominal fullness with vomiting worsens with purgation. Major... Do not..."