夫抑火升水。养阴退阳。流湿润燥。推陈致新。渍形为汗。润肠为下。温经散寒。补中
益气
。调经破血。痛随利减。风从汗出。发表攻里。敛表渗泄。双解独攻。应变从权。治由有五
。其细味之。和取从折。属其备兮。如假小热。以凉和之。和之不已。次用取之。为热势大
。寒药以取。取之不已。更用从之。因热既甚。从以温药。从之不已。以法折之。为恐冲逆
。味随所为。寒因热用。或更发之。折之不已。求属衰之。求属之法。同气同声。法制之体
。五治所因。经言不分。邪僻内作。工不能禁。此之谓也。
七方之法为绳墨。大小缓急奇偶复。小方剂少饮须徐。大方剂兼宜顿服。恋膈味薄自缓
迟。
攻下气浓乃峻促。奇谓单奇只一法。偶方相合如配匹。复重并制三四方。病谓寒温反佐术。
剂和六合实类聚。各据方隅更审悉。大抵处方要在合宜而用。不可务取品味。数多过制。越
此反不为效矣。本草云。三百六十五种内。相须者止二十种。其单行者七十一。相使者九十
。畏者七十八。相恶者六十。相反者十八。相杀者二十六。是以丹溪先生曰。余以某药治某
病。某药监某药。某药为引经。其意则得之矣。
十剂补泻宣与通。滑涩燥湿重轻伦。泻为泄实治闭满。补即能调虚损人。宣非泻剂乃越吐。
通因开流轻义匀。滑知养窍濡结燥。涩以酸同收敛因。燥攻水液寒清冷。湿润干枯涸揭皴。
重当镇坠抑而减。轻为熏扬泄汗陈。十剂由来三法中。发汗燥涩轻可 。下本重湿通滑泻。
吐唯宣剂旨须论。三法用之犹有补。驱邪扶正益天真。
Suppressing fire and ascending water, nourishing yin and retreating yang; moistening dryness and promoting circulation to eliminate the old and generate the new. Steeping the body induces sweating; moistening the intestines promotes purgation; warming meridians dispels cold; tonifying the middle replenishes qi; regulating menstruation breaks blood stasis; pain decreases as obstruction is relieved. Wind exits through sweating; releasing the exterior or attacking the interior; consolidating the exterior or draining dampness; dual resolution of exterior and interior or solitary attack on pathogens—all are adaptive measures according to circumstances. There are five main methods of treatment; ponder their subtleties carefully. Harmonizing (He) and reducing (Qu) belong to comprehensive principles. For instance, in cases of slight heat, use cool herbs for harmonization; if harmonization fails, proceed to reduction (Zhi). Since heat is intense, use cold herbs for direct reduction; if reduction fails, employ following treatment (Cong) using warm herbs to follow the pathogenic nature. If following treatment fails, apply orthodox reduction (Zhe) to prevent rebellious drug action. The flavors and properties of drugs vary with the therapeutic intent; cold drugs may be taken hot (Han Yin Re Yong), or sweating may be induced again. If reduction fails, seek the underlying etiology and attenuate it. The method of seeking etiology relies on resonance of similar energies and sounds. The formulation of drugs stems from these five treatments. The classics do not distinguish them explicitly because when abnormal pathogens arise internally, physicians cannot easily control them—this is what is meant.
The principles of the Seven Formulas serve as the standard: Large, Small, Slow, Rapid, Odd, Even, and Compound. Small formulas have few ingredients and should be taken slowly; large formulas have many ingredients and are suitable for single-dose administration. Formulas lingering in the chest with light flavors act slowly; purgative formulas with strong qi act rapidly and severely. "Odd" refers to a single formula with one method; "Even" refers to two formulas combined like a pair; "Compound" involves multiple combinations of three or four formulas, used for counteracting mixed cold and heat conditions. Harmonizing formulas gather similar categories. One must examine each case carefully. Generally, prescription lies in appropriateness; one should not pursue excessive variety beyond standard limits, as exceeding this leads to inefficacy. *Bencao* states: Among 365 herbs, 20 are mutually enhancing (Xiang Xu), 71 are used alone (Dan Xing), 90 are mutually assisting (Xiang Shi), 78 are mutually feared (Xiang Wei), 60 are mutually loathed (Xiang E), 18 are mutually incompatible (Xiang Fan), and 26 are mutually killing (Xiang Sha). Thus, Mr. Danxi said: I use herb A to treat disease B, herb C to monitor herb D, and herb E as a guiding herb—the essence is thereby achieved.
The Ten Categories include Tonifying (Bu), Purgative (Xie), Dispersing (Xuan), Unblocking (Tong), Slippery (Hua), Astringent (Se), Drying (Zao), Moistening (Shi), Heavy (Zhong), and Light (Qing). Purgation evacuates excess to treat stagnation and fullness; tonification regulates deficiency. Dispersing is not purgation but induces vomiting; unblocking opens flow evenly. Slippery herbs nourish orifices and moisten dryness; astringent herbs, often sour, promote consolidation. Drying herbs address fluid retention and cold; moistening herbs treat dryness and cracking. Heavy herbs suppress and reduce pathogenic factors; light herbs disperse via fumigation or sweating to expel accumulation. The Ten Categories originate from the Three Methods: dispersing, drying/astringency, and lightness treat the upper jiao; heaviness, moisture, unblocking, slipperiness, and purgation treat the lower jiao; vomiting pertains to the principle of dispersing. When applied correctly, these methods still offer benefit, expelling pathogens, supporting healthy qi, and augmenting innate vitality.