寻万物之性,皆有离合。虎啸风生,龙吟云起,磁石引针,琥珀拾芥,漆得蟹而散,麻
得漆而涌,桂得葱而软,树得桂而枯,戎盐累卵,獭胆分杯,其气爽有相关感,多如此类,
其理不可得而思之。至于诸药,尤能递为利害,先圣既明有所说,何可不详而避之?时人为
方,皆多漏略,若旧方已有,此病亦应改除,假如两种相当,就其轻重,择而除之。伤寒赤
散,吾常不用藜芦,断下黄连丸,亦去其干姜,而施之无不效,何忽强以相憎,苟令共事乎
?相反为害,深于相恶。相恶者,谓彼虽恶我,我无忿心,犹如牛黄恶龙骨,而龙骨得牛黄
更良,此有以制伏故也。相反者,则彼我交仇,必不宜合。今画家用雌黄、胡粉相近,便自
黯妒,粉得黄即黑,黄得粉亦变,此盖相反之证也。药理既昧,所以不效,人多轻之。今按
方处治,必恐卒难寻究本草,更复抄出其事在此,览略看之,易可知验。而《本经》有直云
茱萸、门冬者,无以辨山、吴、天、麦之异,咸宜各题其条。又有乱误处,譬如海蛤之与
甲,畏恶正同。又有诸芝使薯蓣,薯蓣复使紫芝,计无应如此,不知何者是非,亦且并记,
当更广验正之。又《神农本经》相使正各一种,兼以药对参之,乃有两、三,于事亦无嫌。
其有云相得共疗其病者,既非妨避之禁,不复疏出。
上药一百二十种为君,主养命以应天,无毒,多服久服不伤人,欲轻身益气,不老延年
者。其上品药性,亦皆能遣疾,但其势大和浓,不为仓卒之效,然而岁月常服,必获大益。
病既愈矣,命亦兼申,天道仁育,故云应天。一百二十种者,当谓寅、卯、辰、巳之月,法
万物生荣时也。
中药一百二十种为臣,主养性以应人,无毒有毒,斟酌其宜,欲遏病补虚羸者。其中
药性,疗病之辞渐深,轻身之说稍薄,于服之者,祛患当速,而延龄为缓。人怀性情,故
应人。一百二十种者,当谓午、未、申、酉之月,法万物成熟时也。
下药一百二十五种为佐、使,主治病以应地,多毒,不可久服,欲除寒热邪气,破积聚
愈疾者。其下品药性,专主攻击,毒烈之气,倾损中和,不可常服,疾愈即止。地体收杀,
故云应地。一百二十五种者,当谓戌、亥、子、丑之月,法万物枯壮时也。兼以闰之盈数加
之。《神农本经》三品合三百六十五种,法三百六十五度,一度应一日,以成一岁也。今所
举其纲目,以明药之品数。其《本草》中唐之所附,名医尝用加添之药,不在此例也。
Examining the nature of all things, there are always association and dissociation. When a tiger roars, wind arises; when a dragon chants, clouds gather; lodestone attracts iron needles; amber picks up mustard seeds; lacquer disperses upon contact with crabs; hemp swells upon contact with lacquer; cinnamon twig becomes soft when combined with scallion; trees wither when exposed to cinnamon; halite can be stacked like eggs; otter gall divides a cup of wine. Their qi is mutually responsive and interconnected, mostly following such patterns, and their principles are difficult to fully comprehend through thought alone. As for various medicinal materials, they particularly influence each other in terms of benefit and harm. The sages have already clearly stated certain rules; how can one fail to investigate them in detail and avoid pitfalls? Contemporary practitioners compiling prescriptions often omit details. If an old prescription contains a condition that should be modified or removed, it ought to be adjusted. If two substances have comparable interactions (referring to mutual aversion or incompatibility), one should select and remove one based on the severity of the condition. In the Chisan Decoction for treating Cold Damage, I usually exclude Veratrum Viride Rhizome (Lilü, 藜芦); in the Huanglian Wan for dysentery, I also remove Zingiberis Preparata Rhizome (Ganjiang, 干姜), yet the efficacy is invariably achieved. Why insist on forcing substances that mutually detest each other to coexist? The harm caused by incompatibility (Xiangfan, 相反) is deeper than that of mutual aversion (Xiang'e, 相恶). Mutual aversion means that although they dislike each other, there is no resentment; for instance, Niuhuang (Calculus Bovis, 牛黄) dislikes Gulonggu (Os Draconis, 龙骨), but Gulonggu becomes more effective when combined with Niuhuang because one controls the other. Incompatibility means they are like enemies and must not be combined. Modern painters note that Realgar (Xionghuang, 雄黄) and Lead White (Hufen, 胡粉) placed near each other appear dull and jealous; powder turns black when mixed with realgar, and realgar changes when mixed with powder; this is evidence of incompatibility. Since pharmacological principles are unclear, efficacy is poor, and people often disregard them. Now, when prescribing according to formulas, it may be difficult to consult the Materia Medica immediately. Therefore, I copy these matters here for reference. A brief reading makes verification easy. However, in the *Shennong Bencao Jing* (*Divine Farmer's Materia Medica*), items like Zhuyu (Corni Fructus, 茱萸) and Mendong (Ophiopogonis Radix, 麦冬) are listed without distinguishing between Shan Zhuyu (Corni Fructus, 山茱萸) and Wu Zhuyu (Zanthoxyli Fructus, 吴茱萸), or between Tianmendong (Asparagi Radix, 天门冬) and Maimendong (Ophiopogonis Radix, 麦门冬). Each entry should be clearly labeled. There are also errors and confusions; for example, Haige (Concha Arcae, 海蛤) and Haiheli (Concha Arcae, 海蛤壳) have identical avoidance relationships. Also, various Zhi (Ganoderma spp., 灵芝) interact with Shuyu (Dioscoreae Rhizoma, 薯蓣), and Shuyu interacts with Zizhi (Ganoderma Sinense, 紫芝); calculations suggest this should not occur, but since it is unknown which is correct, both are recorded for future verification. Furthermore, the *Shennong Bencao Jing* states that "mutual enhancement" (Xiangshi, 相使) applies to specific pairs; cross-referencing with drug pairs reveals two or three instances, which poses no objection. Those described as "mutual accord" (Xiangde, 相得) to treat diseases together are not contraindicated and thus are not separately listed.
The Upper Grade consists of 120 herbs acting as Sovereign drugs, primarily nourishing life to align with Heaven. They are non-toxic; long-term use does not harm the body. For those seeking to lighten the body, augment qi, prevent aging, and prolong life: these Upper Grade herbs can also dispel disease, but their action is gentle and profound, lacking immediate effects. However, consistent use over time yields great benefits. Once illness is cured, life is extended. Heaven’s way is benevolent nurturing, hence "aligning with Heaven." The number 120 corresponds to the months of Yin, Mao, Chen, and Si, modeling the time when all things grow and flourish.
The Middle Grade consists of 120 herbs acting as Minister drugs, primarily cultivating temperament to align with Humanity. They may be toxic or non-toxic, used with careful judgment. For those aiming to suppress disease and tonify emaciation: the therapeutic descriptions for Middle Grade herbs are more intense, while claims of lightening the body are weaker. For users, disease removal is relatively fast, while longevity extension is slower. Humans possess temperament, hence "aligning with Humanity." The number 120 corresponds to the months of Wu, Wei, Shen, and You, modeling the time when all things mature.
The Lower Grade consists of 125 herbs acting as Assistant and Envoy drugs, primarily treating disease to align with Earth. They are mostly toxic and should not be taken long-term. For those aiming to eliminate cold-heat pathogenic factors, break up accumulations, and cure illness: Lower Grade herbs specialize in attack. Their toxic and fierce qi damages the harmonious balance and cannot be taken continuously; usage stops once the disease is resolved. Earth’s nature is收敛 (restraining) and killing, hence "aligning with Earth." The number 125 corresponds to the months of Xu, Hai, Zi, and Chou, modeling the time when all things wither and store. This includes leap month adjustments. The *Shennong Bencao Jing* lists 365 items across the three grades, corresponding to the 365 degrees of the year, one degree per day, completing a year. The current outline clarifies the classification numbers. Herbs added later by famous physicians or included in Tang dynasty commentaries are excluded from this count.