凡药有燥湿精粗不同。必先治择炮焙讫。乃秤之。若用巴豆则不然,当先秤然后治择。
其言巴豆霜者,当根据分两用之。
古方修制法度,多于叙例开述,今欲临方易为检用。兼有一药修制不同,故各于逐方下
注释。
吴人以贰两为一两。隋人以三两为一两,今以新法斤两为则,凡云等分者,谓不拘多寡
,以分两悉同也。
古今升斗大小不同,盖古之三升为今壹升,凡方中用水言升合者,今以中盏为率,庶与
世俗相通,无多少之惑。其他如酒酢乳蜜之类,凡言升合者,亦合以盏为则。
妇人之病,除妊娠产后血风血气门外,余杂病及耳目口鼻诸疾,与男子无异,当于逐门
中,随证用之。
凡小儿之病,与大人不殊,惟用药分剂瘥小耳,除别立专治小儿门编次外,有未详尽处
,可于大人方中,推类酌量用之。
人资食以为养,故凡有疾,当先以食疗之,盖食能排邪而保冲气也。食疗不已,然后命
药者,其不得已而用之欤。
凡针灸 穴,并根据铜人经,及黄帝三部针灸经参定,各随经络编次,复撮其疗病要穴,
分门开具,又禁忌报针法,附于卷末,庶临病易于讨论。
医方之论,本自上古,行用既久,其间文理脱漏,承疑传谬,习以为常。比降诏命,虑
方书药法,有不如古,遗失不完者,如内经论鼻渊今为清涕,以肉苛为不仁,以劳风为风热
,以飧泄为泻利之类。所谓事不如古,内经治血枯以乌贼鱼骨,治阳厥以铁落。治鼓胀以鸡
矢醴,治脾瘅以兰之类。后世未尝讲明,此所谓遗失不完,今举阙误,并行刊正。具补遗于
篇首,仍列诸病方治于逐病门中。
〔按∶原书此处列有煎厥等62种病候(详细名目见卷首目录)的总论补遗,但后世复刻
时已将上述各该病候的总论分别补入以下各卷的有关病候中。故此处的补遗部分,实际上与
下文重复。因删〕
All medicines differ in their drying or moistening properties, and in their purity or coarseness. They must first be processed, selected, roasted, and dried before being weighed. However, when using Crotonis Fructus (Baidu), this is not the case; it should be weighed first and then processed and selected.
When "Crotonis Fructus Frost" (Badoushuang) is mentioned, it should be used according to the specified proportion.
The preparation methods of ancient prescriptions were mostly detailed in the introductory examples. Now, to facilitate easy reference during clinical practice, and because one herb may have different preparation methods, annotations are provided under each prescription.
In the Wu region, two liang were considered equal to one liang; in the Sui dynasty, three liang were considered equal to one liang. Currently, we use the new standard system of jin and liang as the rule. Whenever "equal parts" (Dengfen) is stated, it means that regardless of the quantity, the weight of each ingredient must be exactly the same.
The capacity of sheng and dou differed between ancient and modern times. Generally, three ancient sheng equaled one modern sheng. For water measurements in prescriptions mentioned in sheng or he, the current standard uses a medium-sized cup (Zhuan). This aligns with common usage and avoids confusion regarding quantities. Similarly, for other substances such as wine, vinegar, milk, and honey, where sheng or he are mentioned, they should also be measured by the cup.
Women's diseases, except for those related to pregnancy, postpartum conditions, blood wind, and blood qi, along with miscellaneous diseases and disorders of the ears, eyes, mouth, and nose, are no different from men's. These should be treated according to symptoms within their respective categories.
Children's diseases are generally similar to adults', except that the dosage of medicine is slightly smaller. Apart from the dedicated sections for pediatric treatments, if there are insufficient details, one can extrapolate and adjust dosages from adult prescriptions.
Humans rely on food for nourishment. Therefore, when treating illness, dietary therapy should be attempted first, as food can expel pathogens and protect the Chong Qi (Penetrating Vessel Qi). Only if dietary therapy fails should medication be prescribed, which is a measure of last resort.
Acupuncture points are determined based on the Bronze Man Classic (Tongren Jing) and cross-referenced with the Huangdi Sanbu Zhenjiu Jing (Yellow Emperor's Three Categories of Acupuncture and Moxibustion Classic). They are organized by meridians. Key points for treating specific diseases are extracted and listed by category. Contraindications and needling techniques are appended at the end of the volume for ease of clinical discussion.
Discussions on medical prescriptions originate from antiquity. Having been in use for a long time, textual errors and omissions have occurred, leading to the transmission of mistakes which became customary. Recently, an imperial edict was issued expressing concern that some prescription books and drug methods had deviated from ancient standards or were incomplete. For instance, what the Neijing (Inner Canon) described as Biyuan (Nasal Sinusitis) is now referred to as Qingti (Clear Nasal Discharge); Rouke (Muscular Numbness) is understood as Buren (Insensitivity); Laofeng (Labor-induced Wind) is seen as Fengre (Wind-Heat); and Xunxie (Incomplete Digestion Diarrhea) is classified as Xieli (Diarrhea). Regarding matters differing from antiquity, the Neijing treated Xueku (Blood Depletion) with Ocutis Sepiae (Cuttlefish Bone), Yangjue (Yang Reversal) with Tieluo (Iron Filings), Guzhang (Distension) with Jishili (Chicken Dropping Wine), and Pidan (Spleen Heat) with Lancao (Orchid-like Herbs). These were not clearly explained in later generations, representing the so-called incompleteness. We now list these omissions and errors and correct them. Supplementary materials are placed at the beginning of the chapter, and formulas for various diseases are listed in their respective disease categories.
[Note: The original text here lists general supplementary discussions for 62 syndromes including Jianjue (see the table of contents at the beginning of the volume). However, in later reproductions, these general discussions were incorporated into the relevant sections of subsequent volumes. Thus, the supplementary section here actually duplicates the following content and has been deleted.]