若用毒药治病,先起如黍粟,病去即止,不去倍之,不去十之,取去为度。病在胸膈以
上者,先食而后服药;病在心腹以下者,先服药而后食;病在四肢血脉者,宜空腹而在旦;
病在骨髓者,宜饱满而在夜。
凡服丸散,不云酒水饮者,本方如此,是可通用也。
凡服利汤欲得侵早,凡服汤欲得稍热服之,即易消下不吐。若冷则吐呕不下,若太热即
破人咽喉,务在用意。汤必须澄清,若浊令人心闷不解,中间相去如步行十里久再服。若太
促数,前汤未消,后汤来冲,必当吐逆,仍问病者腹中药消散,乃可进服。
凡服汤法,大约皆分为三服。取三升,然后乘病患谷气强进。一服最须多,次一服渐少,
后一服最须少,如此即甚安稳。所以病患于后气力渐微,故汤须渐渐少。凡服补汤,欲得服
三升半,昼三夜一,中间间食,则汤气溉灌百脉,易得药力。凡服汤不得太缓太急也。又须
左右仰覆卧各一,食顷即汤势遍行腹中,又于室中行皆可,一百步许一日勿出外即大益。
凡服汤三日常忌酒,缘汤忌酒故也。凡服治风汤,第一服浓覆取汗,若得汗即须薄覆,
勿令大汗,中间亦须间食。不尔人无力,更益虚羸。
凡丸药皆如梧桐子大,补者十丸为始,从一服渐加,不过四十丸,过亦损人。云一日三
度服,欲得引日多时不阙。药气渐渍,熏蒸五脏,积久为佳,不必顿服,早尽为善。徒弃名
药,获益甚少。
凡人四十以下,有病可服泻药,不甚须服补药,必若有所损,不在此限。四十以上,则
不可服泻药,须服补药。五十以上四时勿阙补药,如此乃可延年,得养生之术耳。其方备在
第二十七卷中。《素问》曰,实则泻之,虚则补之,不虚不实,以经调之,此其大略也。
凡有脏腑积聚,无问少长,须泻则泻;凡有虚损,无问少长,须补即补,以意量
凡服痔漏疳 等药,皆慎猪鸡鱼油等味,至瘥。
凡服泻药,不过以利为度,慎勿过多,令人下利无度,大损人也。
凡诸恶疮,瘥后皆百日慎口,不尔即疮发也。
凡服酒药,欲得使酒气相接,无得断绝,绝不得药力。多少皆以知为度,不可令至醉,
及吐则大损人也。
凡服药,皆断生冷酢滑,猪犬鸡鱼,油面蒜及果实等。其大补丸散,切忌陈臭宿滞之物
,有空青忌食生血物。天门冬忌鲤鱼,白术忌桃李及雀肉、胡荽、大蒜、青鱼 等物,地黄
忌芜荑,甘草忌菘菜、海藻,细辛忌生菜,菟丝子忌兔肉,牛膝忌牛肉;黄连、桔梗忌猪肉
,牡丹忌胡荽,藜芦忌狸肉,半夏、菖蒲忌饴糖及羊肉,恒山、桂心忌生葱、生菜,商陆忌
犬肉,茯苓忌醋物,柏子仁忌湿面,巴豆忌芦笋羹及猪肉,鳖甲忌苋菜。
凡服药,忌见死尸及产妇秽污触之,兼及忿怒忧劳。
凡饵汤药,其粥食肉菜皆须大熟。熟即易消,与药相宜。若生则难消,复损药力。仍须
少食菜及硬物,于药为佳,亦少进盐醋乃善,亦不得苦心用力及房室喜怒。是以治病用药力,
唯在食治将息得力,大半于药有益。所以病者务在将息节慎,节慎之至,可以长生,岂惟病
愈而已。
凡服泻汤及诸丸散酒等,至食时须食者,皆先与一口冷醋饭,须臾乃进食为佳。
凡人忽遇风发,身心顿恶,或不能言,有如此者,当服大小续命汤及西州续命、排风、
越婢等汤,于无风处密室之中,日夜四五服,勿计剂数多少,亦无虑虚,常使头面手足腹背
汗出不绝为佳。服汤之时,汤消即食粥,粥消即服汤,亦少与羊肉 将补。若风大重者,相
续五日五夜,服汤不绝,即经二日停汤。以羹 自补将息四体,若小瘥即当停药,渐渐将息。
如其不瘥,当更服汤攻之,以瘥为度。
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,即用八
两,越婢六两,大小续命或用一两、三两、四两,故知非汗不瘥,所以治风非密室不得,辄
服汤药,徒自误耳。惟更加增,未见损减矣。
凡人五十以上,大虚者,服三石更生,慎勿用五石也。四时常以平旦服一二升,暖饮终
生勿绝及一时,勿食蒜、油、猪、鸡、鱼、鹅、鸭、牛、马等肉,即无病矣。
If using toxic drugs to treat diseases, start with a small dose, such as the size of millet or broomcorn millet; stop immediately once the pathogen is eliminated; if the disease persists, double the dose; if it still persists, increase to ten times the initial dose, taking the elimination of the disease as the limit.
For diseases located above the chest and diaphragm, eat first and then take medicine; for diseases located below the heart and abdomen, take medicine first and then eat; for diseases located in the four limbs and blood vessels, it is appropriate to take them on an empty stomach in the morning; for diseases located in the bone marrow, it is appropriate to take them when full at night.
When taking pills or powders, if the original prescription does not specify whether to use wine or water for delivery, follow the original prescription's general rule.
When taking purgative decoctions, they should be taken early; when taking general decoctions, they should be taken while slightly warm, which facilitates digestion and prevents vomiting. If too cold, it may cause vomiting and poor absorption; if too hot, it will damage the throat, so attention must be paid. The decoction must be clear; if turbid, it causes mental restlessness. The interval between doses should be approximately the time it takes to walk ten *li*. If the interval is too short, before the previous dose is digested, the new dose arrives, inevitably causing vomiting and reflux. Therefore, ask the patient if the medicine in the abdomen has dissipated before administering the next dose.
The general method for taking decoctions is to divide them into three doses. Take three *sheng* of liquid, and administer while the patient's *Gu Qi* (Grain Qi/Stomach Qi) is strong. The first dose should be the largest, the second gradually smaller, and the third the smallest, ensuring stability. Since the patient's strength diminishes with subsequent doses, the dosage should gradually decrease. When taking tonic decoctions, aim for 3.5 *sheng* per administration, three times during the day and once at night, interspersed with meals, so that the medicinal qi irrigates the hundred vessels and efficacy is easily achieved. The speed of taking decoctions should not be too slow or too fast. One should also lie supine and prone on both sides for about one meal's duration, after which the medicinal momentum spreads throughout the abdomen. Walking indoors for about one hundred steps is also beneficial; staying indoors for the day is highly advantageous.
For three days after taking decoctions, alcohol must be avoided due to incompatibility. For decoctions treating wind diseases, the first dose should be covered tightly to induce sweating; once sweat occurs, cover lightly to prevent excessive sweating. Meals should be interspersed. Otherwise, the person will lose strength and become more emaciated.
Pills are generally made the size of a Chinese quince seed (*Cotoneaster melon*). Tonic pills start at ten pills, gradually increasing with each dose, but not exceeding forty pills, as excess harms the body. If prescribed three times a day, the course should be extended over many days without interruption. The medicinal qi gradually permeates and steams the five zang organs; accumulation over time yields better results. It is not necessary to take all at once; finishing early is good. Wasting expensive medicines yields little benefit.
For those under forty, purgatives may be used for illness, tonics are generally unnecessary unless there is specific damage. For those over forty, purgatives should not be used, and tonics are required. For those over fifty, tonics should not be lacking in any season to prolong life and master health preservation methods. Specific formulas are recorded in Volume 27. As stated in *Su Wen*: "Excess is treated by purging, deficiency is treated by tonifying; neither excess nor deficiency is balanced by regulating the meridians." This is the general principle.
For any organ accumulations, regardless of age, purge if necessary; for any deficiency, regardless of age, tonify if necessary, judging according to circumstances.
When taking medicines for hemorrhoids, fistulas, or gan syndrome, strictly avoid pork, chicken, fish, and oils until recovery.
When taking purgatives, stop once bowel movement is achieved; do not overdose to cause uncontrolled diarrhea, which severely damages the body.
After healing from various severe sores, dietary restrictions must be observed for one hundred days, otherwise the sores may recur.
When taking wine-processed medicines, ensure the alcohol effect is continuous without interruption, otherwise efficacy is lost. Dosage should be adjusted until effective; intoxication and vomiting must be avoided as they severely harm the body.
When taking medicine, avoid raw, cold, sour, and slippery foods, as well as pork, dog, chicken, fish, oil, flour, garlic, and fruits. For major tonic pills/powders, strictly avoid stale, smelly, or leftover foods. When using *Kong Qing* (Azurite), avoid blood-generating foods. *Tian Dong* (Asparagus Root) avoids carp; *Bai Zhu* (Atractylodes Macrocephala Rhizome) avoids plums, peaches, sparrow meat, *Hu Su* (Coriander), garlic, and green fish; *Di Huang* (Rehmannia Root) avoids *Wu Yi* (Chrysanthemum Seed); *Gan Cao* (Licorice Root) avoids *Song Cai* (Chinese Cabbage) and *Hai Zao* (Sargassum); *Xi Xin* (Asarum) avoids raw vegetables; *Tu Si Zi* (Dodder Seed) avoids rabbit meat; *Niu Xi* (Achyranthes Root) avoids beef; *Huang Lian* (Coptis Rhizome) and *Jie Geng* (Platycodon Root) avoid pork; *Mu Dan Pi* (Moutan Cortex) avoids *Hu Su*; *Li Lu* (Veratrum Root) avoids civet cat meat; *Ban Xia* (Pinellia Tuber) and *Chang Pu* (Acorus Rhizome) avoid maltose and mutton; *Heng Shan* (Dichroa Root) and *Gui Xin* (Cinnamon Twig Heart) avoid raw scallions and vegetables; *Shang Lu* (Phytolacca Root) avoids dog meat; *Fu Ling* (Poria) avoids vinegar-treated foods; *Bai Zi Ren* (Biota Seed) avoids wet dough; *Ba Dou* (Croton Seed) avoids asparagus soup and pork; *Bie Jia* (Turtle Shell) avoids amaranth.
When taking medicine, avoid contact with corpses and postpartum filth, as well as anger and worry/overwork.
When taking decoctions, porridges, meats, and vegetables must be thoroughly cooked. Cooked food is easy to digest and compatible with medicine; raw food is hard to digest and impairs efficacy. Eat less vegetables and hard foods for best results; consume small amounts of salt and vinegar. Avoid mental strain, sexual activity, and extreme emotions. Thus, the efficacy of medicine relies heavily on proper diet and care, which benefits the treatment significantly. Patients must focus on moderation and caution; ultimate caution leads to longevity, not just cure.
When taking purgative decoctions or pills/powders/wines, if eating is required at mealtime, first have a mouthful of cold vinegar rice, wait a moment, then eat.
If suddenly encountering wind disease onset with sudden physical and mental deterioration or inability to speak, take *Da Xiao Xu Ming Tang* (Major and Minor Continuation Life Decoction), *Xi Zhou Xu Ming Tang*, *Pai Feng Tang*, or *Yue Bi Tang*. In a windless, sealed room, take four to five doses daily, regardless of quantity, without worrying about deficiency. Aim for continuous sweating on the head, face, hands, feet, abdomen, and back. When the decoction is digested, eat porridge; when porridge is digested, take decoction again. Slightly supplement with mutton. If wind is severe, continue decoctions for five days and nights, then stop for two days. Supplement the four limbs with soups. If slightly improved, stop medication and recover gradually. If not improved, resume attacking with decoctions until cured.
To expel wind via decoctions, heavy sweating is required. Hence, *Ma Huang* (Ephedrae Herba) is present in most wind formulas: *Xi Zhou Xu Ming Tang* uses eight taels, *Yue Bi Tang* six taels, *Da/Xiao Xu Ming Tang* one, three, or four taels. Without sweating, cure is impossible. Treatment must occur in a sealed room; arbitrary dosing only worsens the condition.
For those over fifty with severe deficiency, take *San Shi Geng Sheng* (Three Minerals Rejuvenation Pill); do not use *Wu Shi San* (Five Minerals Powder). Take one to two *sheng* every morning at dawn throughout the seasons, lifelong without interruption. Avoid garlic, oil, pork, chicken, fish, goose, duck, beef, and horse meat to remain disease-free.