医之为术苟非得于心而恃书以为用者未见能臻其妙如术能动钟乳按乳石论曰服钟乳当终
身忌
术五石诸散用钟乳为主复用术理极相反不知何谓予以问老医皆不能言其义按乳石论云石性虽
温而体本冷重必待其相蒸薄然后发如此则服石多者势自能相蒸若要以药触之其发必甚五石散
杂以众药用石殊少势不能蒸须藉外物激之令发尔如火少必因风气所鼓而后发火盛则鼓之反为
害此自然之理故孙思邈云五石散大猛毒宁食野葛不服五石遇此方即须焚之勿为含生之害又曰
人不服石庶事不佳石在身中万事休泰惟不可服五石散盖以五石散聚其所恶激而用之其发暴故
也古人处方大体如此非此书所能尽也况方书仍多伪杂如神农本草最为旧书其间差殊尤多医不
可以不知也(刘颖叔异苑)
张中书悫自壮岁时无日不服丹砂暮年归福州身体充 饮啖加于人十倍其家困于供亿独一
侄
与妇竭力祗事张命以官每中夜苦饥但击床屏须亟以馒头非五十枚不饱茹菜必十杆常食羊肉必
五
斤经年之后侄家为之枵空忽发际生疡浸淫及顶巍然若高阜结为三十六疮旬余爆裂有声疮翻而
外向如人口反唇而卒(庚志)
服金石药者潜假药力以济其欲然多讳而不肯言一旦疾作虽欲讳不可得也吴兴吴景渊刑部
服硫
黄人罕有知者其后二十年长予橐为华亭市易官发背而卒乃知流毒传气尚及其子可不戒哉(泊
宅编)
The art of medicine, if one does not grasp it intuitively but relies on books for application, is rarely able to reach its subtlety. For instance, Baizhu (Atractylodis Macrocephalae Rhizoma) can counteract the effects of Zhongru (Gypsum Fibrosum). The *Lushi Lun* (Treatise on Mineral Drugs) states: "When taking Zhongru, one must avoid Baizhu for life." In formulas such as Wushi San (Five-Mineral Powder), which uses Zhongru as the principal ingredient, adding Baizhu is extremely contradictory in principle, and I do not know what this implies. I asked elderly physicians about this, but none could explain the rationale. According to the *Lushi Lun*: "Mineral drugs are warm in nature but cold in substance; they are heavy and require mutual steaming and thinning before they take effect." Thus, those who take large amounts of minerals will naturally have their energies steam each other. If one attempts to trigger this effect with herbs, the reaction will be severe. Wushi San contains many miscellaneous herbs but very few minerals, so its power cannot steam itself; it requires external stimuli to induce activation. This is like a small fire that needs wind to ignite; if the fire is already strong, fanning it may cause harm. This is the natural order. Therefore, Sun Simiao said: "Wushi San is highly toxic; better to eat wild gourd (Yege) than to take Wushi San." Upon encountering this prescription, one should burn it to prevent harm to living beings. He also stated: "Those who do not take mineral drugs find everything unsatisfactory; those who have minerals in their bodies find everything harmonious." However, one must not take Wushi San, likely because it gathers things the body abhors and forces them to act violently. Ancient prescriptions generally followed such principles, which this book cannot fully detail. Moreover, medical texts often contain spurious content. Even the *Shennong Bencao Jing* (Divine Farmer's Materia Medica), an ancient classic, has many discrepancies. Physicians must be aware of this.
Zhang Que, a Secretary of the Center, took Cinnabar (Zhusha) daily from his youth. In his old age, after returning to Fuzhou, he became obese, and his food and drink intake were ten times that of ordinary people. His family struggled to provide for him. Only one nephew and his wife served him diligently. Zhang appointed his nephew to an official post. Whenever Zhang suffered hunger at midnight, he would tap the bed screen, demanding steamed buns (mantou); he would not stop until he had eaten fifty. He required ten stalks of vegetables and five jin (approx. 2.5 kg) of mutton per meal. After several years, his nephew's family was exhausted by these demands. Suddenly, a sore appeared at his hairline, spreading over the top of his head, rising high like a mound, forming thirty-six ulcers. More than ten days later, they burst with a sound, turning outward like inverted lips, and he died.
Those who take mineral drugs secretly use their medicinal power to satisfy desires, yet most hide this and refuse to speak of it. Once illness strikes, concealment becomes impossible. Wu Jingyuan, a Minister of Justice from Wuxing, took Sulfur (Huangshi). Few knew of this. Twenty years later, while serving as the Market Exchange Official in Huating, he died of a carbuncle on his back. It was then realized that the toxicity and transmitted qi affected even his son. How can one not be cautious?