《千金方》云∶扁鹊曰∶人之所依者形也;乱于和气者,病也;理于烦毒者药也;济命
扶厄
者不
又云∶夫为医者,当须洞视病源,知其所犯,以食治之。食疗不愈,然后命药。药性刚
烈,
又云∶仲景曰∶欲治诸病,当先以汤洗除五脏六腑间,开通诸脉,理道阴阳,荡中破邪,
润
散,散能逐邪。风气、湿痹,表里移走,居无常处,散当平之。次用丸,丸药能逐风冷,破
积聚,消诸坚瘕;进饮食,调营卫,能参合而行之者,可谓上工。医者意也。(营卫,《千金
方》曰∶荣者,络脉之气通;卫者,经脉之气通;营出中焦,卫出上焦。)
《养生要集》云∶张仲景曰∶人体平和,唯好自将养,勿妄服药。药势偏有所助,则令
人脏
又云∶ 悟论服药曰∶夫欲服食,当寻性理所宜,审冷暖之适,不可见彼得力,我便服
之。
《本草经》云∶治寒以热药,治热以寒药。饮食不消,以吐下药。鬼注蛊毒,以毒药;
痈肿
又云∶病在胸膈以上者,先食后服药;病在心腹以下,先服药而后食;病在四肢血脉者,
宜
《抱朴子》云∶按中黄子服食节度曰∶服治病之药,以食前服之;服养生之药,以食后
服之
行,
不得
调之,不然,冷方转增或冷患热时治之,不可一
又云∶病力弱者形肉多消,欲治之法,先以平和汤一两剂少服,通调血气,令病患力渐
渐强
又云∶其病或年远而人仍强,或得病日近病患已致瘦弱。此二种病乃是腑脏受纳病别故
尔。凡脏病皆年远始成,腑病日近寻剧。五脏为阴,六腑为阳,阴病难治,阳病易治。阴阳
二病
服汤
病者
邪者
日服
行于
又云∶春夏不可合吃热药,秋冬不可合吃冷药,但看病患冷热也。
又云∶病有新旧疗法不同,邪在毫毛,宜服膏及以摩之。不疗,二十日入于孙脉,宜服
药酒
脉,宜
谓之
又云∶凡服补汤者,相去远;久服泻汤,相去近。
《短剧方》云∶凡病剧者人必弱,人弱则不胜药,处方宜用分两单省者也。病轻者人则
强,
凡久病者日月已积,必损于食力;食力既弱,亦不胜药,处方亦宜用分两单省者也。新
病者
少壮者病虽重,其人壮,气血盛,胜于药,处方宜用分两重复者也。虽是优乐人,其人
骤病
宜用
夫人壮病轻而用少分两方者,人盛则胜药势,处方分两单省者则不能制病,虽积服之,
其势
虚衰
是
又云∶自有小盛之人,不避风凉,触犯禁忌,暴竭精液;虽得微疾,皆不可轻以利药下
之。一利便竭其精液,因滞着床席,动经年岁也。初始皆宜与平药治也。宜利者,乃转就下
之耳
夫长宿人病,宜服利汤药者,未必顿尽一剂也。皆视其利多少且消息之于一日之宽也。
病源
源宜
夫病是服利汤得瘥者,从此以后,慎不中服补汤也。得补病势则还复成也。重就利之,
其人
垂平
夫有常患之人,不妨行走,气力未衰,欲将补益。冷热随宜丸散者,乃可先服利汤下便,
除
复有虚人积服补药,或中实食为害者,可止服利药除之。复有平实之人暴虚空竭者,亦
宜以
夫极虚极劳,病应服补汤者,风病应服治风汤者,此皆非五三剂可知也。自有滞风洞虚,
积
《千金方》云∶凡人年四十以下,有病可服泻药;不甚须服补药,必有所损,不在此限。
四
术
又云∶必有脏腑积聚,无问少长,须泻;必有虚损,无问少长,须补。以意商量而用之。
又云∶每春秋皆须与服转泻药之一度,则不中天行时气也。
又云∶凡用药皆随土地所宜。江南岭表,其地暑热,肌肤薄脆,腠理开疏,用药轻者;
关中
又云∶凡服痢汤,欲得侵早。
凡服汤欲得如法。汤热服之,则易消下不吐,若冷则吐呕不下,若大热则破人咽喉。务
在用
汤来
又云∶凡服汤皆分三升为三服,然承病儿谷气强,前一服最须多,次一服如少,次后一
服最
又云∶凡服补汤,欲得服三升半。昼三夜一,中间鬲食,则汤气溉灌百脉,易得药力。
如此
皆可
又云∶凡服药三日慎酒,汤忌酒故也。
又云∶凡服治风汤等,一服浓覆取汗,若得汗即须薄覆,勿令大汗。中间亦须间食,不
尔,令人无力,更益虚羸。
又云∶凡饵汤药,其粥食肉菜皆须大熟,大熟则易消,与药相宜。若生则难消。又复损
药,
又云∶凡服泻汤及诸丸散酒等,至食时须食者,皆先与一口冷醋饭,须臾乃进食佳也。
又云∶凡丸药皆如梧子,补者十丸为始,从十渐加,不过四十丸为限。过此,虚人亦一
日三
徒弃
又云∶凡服泻丸,不过以痢为度。慎勿过多,令人下痢无度,大损人。
又云∶凡人忽遇风,发身心顿恶,或不能言。如此者当服大小续命及西州续命,排风越
婢等
出不
日五夜服汤不绝,即经二日停汤,以美羹 自补,消息四体。若小瘥,当即停药,渐渐将息。
如其不瘥,当更服汤攻之,以瘥为限。
又云∶凡患风服汤,非得大汗,其风不去,所以诸风方中皆有麻黄。至如西州续命用八
两,
药,
《葛氏方》云∶凡服药不言先食后食者,皆在食前。其应食后者,自各说之。
凡服汤云分三服再服者,要视病源候或疏或数,足令势力相及。毒利之药,皆须空腹,
补汤
凡服丸散不云酒水饮者,本方如此;而别说用酒水,则此可通得以水饮服之。
《删繁论》云∶凡禁之法,若汤有触服,竟五日忌之。若丸散酒中有相违触,必须服药
竟,之后十日方可饮啖。若药有乳石,复须一月日外。若不如尔,非唯不得力,反致祸也。
*Qianjin Fang* records: Bian Que said: The foundation upon which humans rely is the physical form; what disrupts the harmonious qi of the body is disease; what eliminates internal heat and toxicity is medicine; what saves life and alleviates distress is... (text missing here).
*Qianjin Fang* further states: A physician must thoroughly understand the source of the disease and identify the cause. Treatment should begin with dietary therapy. If dietary therapy fails, then medicinal treatment should be prescribed. Medicinal properties are rigid and potent... (text missing here).
*Qianjin Fang* further states: Zhang Zhongjing said: To treat various diseases, one should first use decoctions to cleanse the five zang and six fu organs, unblock the meridians, regulate yin and yang, purge the middle jiao, and dispel evil pathogens, moistening... (text missing here). Dispersing agents can drive out pathogens. For wind conditions and damp-bi, where pathogens migrate between the interior and exterior without a fixed location, dispersing agents should be used to calm them. Secondly, pills are used; pill medicines can expel wind-cold, break up accumulations, and dissolve hard masses; they promote appetite and regulate Ying and Wei Qi. Those who can integrate these methods are considered superior physicians. The essence of medicine lies in intent. (Regarding "Ying and Wei Qi," *Qianjin Fang* explains: Ying refers to the qi circulating through the collateral vessels; Wei refers to the qi circulating through the main meridians; Ying Qi originates from the Middle Jiao, and Wei Qi originates from the Upper Jiao.)
*Yangsheng Yaoji* records: Zhang Zhongjing said: When the human body is in a state of harmony, one should focus on self-nourishment and avoid taking medicine indiscriminately. The biased nature of drugs provides assistance that may lead to... (text missing here) in the zang organs.
*Yangsheng Yaoji* further states: Wu Lun discussed taking food-medicine, saying: When intending to take food-medicine, one must seek its appropriate nature based on its properties and examine whether it suits cold or warm conditions. One should not simply follow others because they found it effective.
*Bencao Jing* states: Treat cold syndromes with hot medicines; treat heat syndromes with cold medicines. For indigestion, use emetics or purgatives. For ghost injection (Gui Zhu) and gu poison, use toxic medicines; for carbuncles and swellings... (text missing here).
*Bencao Jing* further states: For diseases located above the chest and diaphragm, eat first and then take medicine; for diseases below the heart and abdomen, take medicine first and then eat; for diseases in the four limbs and blood vessels, it is suitable to... (text missing here).
*Baopuzi* records according to Zhong Huangzi's guidelines on taking food-medicine: Take medicinal herbs for treating illness before meals; take health-preserving herbs after meals... (text missing here), do not... (text missing here) regulate, otherwise, cold conditions may worsen, or treating heat when cold symptoms appear, which cannot be generalized.
*Baopuzi* further states: Patients with weak disease force often have emaciated flesh and muscles. The method of treatment is to first administer a small dose of one to two doses of mild decoction to unblock and regulate blood and qi, allowing the patient's strength to gradually increase... (text missing here).
*Baopuzi* further states: Some patients have had the disease for years but remain strong, while others contracted the disease recently but have become emaciated. These two types differ because the fu and zang organs accept pathogens differently. Zang diseases usually develop over a long period, whereas fu diseases deteriorate quickly within a short time. The five zang belong to Yin, and the six fu belong to Yang. Yin diseases are difficult to treat, while Yang diseases are easy to treat. Yin and Yang diseases... (text missing here) take decoctions... (text missing here) patients... (text missing here) pathogens... (text missing here) daily intake... (text missing here) circulate in... (text missing here).
*Baopuzi* further states: In spring and summer, one should not combine hot medicines; in autumn and winter, one should not combine cold medicines; it depends solely on the patient's cold or heat condition.
*Baopuzi* further states: Diseases vary in newness and oldness, requiring different treatments. If the pathogen is in the fine hairs, ointments and massage are suitable. If untreated, after twenty days the pathogen enters the Sun vessels, and it is suitable to take... (text missing here) medicinal wine... (text missing here) vessels... (text missing here) referred to as... (text missing here).
*Baopuzi* further states: When taking tonic decoctions, the interval should be long; when continuously taking purgative decoctions, the interval should be short.
*Duanju Fang* states: Severe illness inevitably leads to weakness; if the person is weak, they cannot tolerate strong medication, so prescriptions should use lighter and more economical dosages. Mild illness implies the person is strong... (text missing here).
For chronic illnesses, the duration has accumulated, inevitably damaging appetite and digestive power; since appetite and power are weak, they also cannot tolerate strong medication, so prescriptions should also use lighter and more economical dosages. New illness... (text missing here).
Young and vigorous people, even if the disease is severe, are physically strong with abundant Qi and Blood, capable of overcoming the drug's force, so prescriptions should use heavier and repeated dosages. Even for those living in leisure, if they suddenly fall ill... (text missing here) it is suitable to use... (text missing here).
If a strong person with mild illness uses a light dosage, their strong constitution will overcome the drug's potency; using a light and economical prescription will fail to control the disease, and even with cumulative intake, the drug's effect... (text missing here) deficiency and decline... (text missing here) is... (text missing here).
*Duanju Fang* further states: There are individuals with slightly robust constitutions who do not avoid wind, cold, or coolness, violating taboos, leading to sudden depletion of essence and fluids; even if they contract minor ailments, one must not lightly use purgative (Li) medicines to drain them. Using purgatives once will exhaust essence and fluids, causing them to remain bedridden for years. Initially, mild medicines should be given. Only when draining is indicated should one proceed with downward purging.
For elderly patients needing purgative decoctions, one need not finish a full dose at once. One must observe the degree of purging and adjust within a day.
Disease source... (text missing here) source suitable... (text missing here).
For those cured by taking purgative decoctions, thereafter, one must strictly avoid taking tonic medicines. Taking tonics will cause the disease to recur. Reusing purgatives, the person... (text missing here) approaching peace... (text missing here).
For those with chronic conditions who can walk and whose Qi and strength have not declined, wishing to tonify, one may choose pills or powders suitable for cold or heat, but first take a purgative decoction to clear bowels, removing... (text missing here).
There are also deficient persons who have taken tonics for a long time, or are harmed by excess food stagnation in the middle jiao; one should stop taking tonics and use purgatives to clear them. There are also normally solid persons who suddenly become extremely empty and depleted; they also should be treated with... (text missing here).
For those extremely deficient and exhausted, requiring tonic decoctions, or those with wind diseases requiring wind-treating decoctions, these cases are not resolved in just three to five doses. There are cases of stagnant wind and extreme emptiness, accumulation... (text missing here).
*Qianjin Fang* states: For anyone under forty years old with illness, purgatives may be taken; tonics are generally unnecessary, as they may cause harm, with exceptions noted. Four... (text missing here) Atractylodes... (text missing here).
*Qianjin Fang* further states: Where there are definitely organ accumulations, regardless of age, purging is required; where there are definitely deficiencies, regardless of age, tonification is required. Use judgment to apply them.
*Qianjin Fang* further states: During spring and autumn, one must take a purgative once to prevent contracting seasonal epidemics.
*Qianjin Fang* further states: Medications should suit the local environment. In Jiangnan and Lingbiao regions, the climate is hot and humid, skin is thin and fragile, pores are open, so medications should be light; Guanzhong... (text missing here).
*Qianjin Fang* further states: When taking decoctions for dysentery, for better efficacy, take them early.
Taking decoctions must follow proper methods. Decoctions should be taken warm to facilitate digestion and downward movement without vomiting; cold decoctions cause vomiting and retention; excessively hot decoctions damage the throat. It is crucial to use... (text missing here) decoction to... (text missing here).
*Qianjin Fang* further states: Decoctions are divided into three sheng (units) and taken in three doses. However, considering the patient's Gu Qi (grain qi) strength, the first dose should be the largest, the second smaller, and the third smallest... (text missing here).
*Qianjin Fang* further states: When taking tonic decoctions, aim for three and a half sheng. Take three times during the day and once at night, with food intervals in between, so the decoction qi irrigates the hundred vessels, facilitating drug absorption. Thus... (text missing here) all can... (text missing here).
*Qianjin Fang* further states: When taking medicine, abstain from alcohol for three days, as decoctions conflict with alcohol.
*Qianjin Fang* further states: When taking wind-treating decoctions, cover thickly to induce sweating after one dose. Once sweating occurs, cover lightly to avoid excessive sweating. Intermittent eating is also necessary; otherwise, it causes weakness and exacerbates emaciation.
*Qianjin Fang* further states: When taking decoctions, porridge, food, meat, and vegetables must be thoroughly cooked. Thorough cooking aids digestion and compatibility with medicine. Raw food is hard to digest and damages medicinal efficacy... (text missing here).
*Qianjin Fang* further states: When taking purgative decoctions, pills, powders, or wines, if one must eat at mealtime, first eat a mouthful of cold vinegar rice, then eat after a short while.
*Qianjin Fang* further states: Pills should be sized like wu zi (wu-tzu seeds). Tonics start at ten pills, gradually increasing, not exceeding forty pills. Exceeding this limit, even for deficient persons, taking three times a day... (text missing here) in vain... (text missing here).
*Qianjin Fang* further states: When taking purgative pills, do not exceed the point of diarrhea. Do not overdose, causing uncontrollable diarrhea, which severely harms the body.
*Qianjin Fang* further states: If a person suddenly encounters wind, experiencing sudden physical and mental discomfort or inability to speak, one should take Da Xiao Xu Ming Tang, Xi Zhou Xu Ming Tang, Pai Feng Yue Bi Tang, etc... (text missing here) not out... (text missing here).
Take decoctions continuously day and night. After two days, stop the decoction, nourish oneself with good soup, and observe the four limbs. If slightly improved, stop the medicine immediately and recuperate gradually. If not improved, continue taking decoctions to attack the disease until cured.
*Qianjin Fang* further states: For wind diseases treated with decoctions, unless heavy sweating occurs, the wind will not leave. Hence, Ephedrae Herba (Mahuang) is present in all wind-treating formulas. For example, Xi Zhou Xu Ming Tang uses eight liang... (text missing here) medicine... (text missing here).
*Ge Shi Fang* states: If taking medicine does not specify pre- or post-meal, take it before meals. Post-meal instructions are specified separately.
When taking decoctions divided into three doses or repeated doses, observe the disease source and syndrome, ensuring the drug force is sufficient. Toxic purgatives must be taken on an empty stomach... (text missing here) tonic decoctions... (text missing here).
When taking pills or powders without specifying wine or water, follow the original formula; if additionally specified to use wine or water, one may alternatively use water.
*Shan Fan Lun* states: Regarding prohibitions, if a decoction has conflicting interactions, abstain for five days after finishing. If pills, powders, or wines have conflicts, abstain from food and drink for ten days after finishing the medicine. If the medicine contains Ru Shi (mineral drugs), abstain for over a month. Otherwise, not only will it be ineffective, but it may also bring disaster.