夫药有君臣佐使,人有强弱虚实,服饵之法,轻重不同,少长殊途,强羸各异,或宜补
宜泻,或可汤可丸,加减不失其宜,药病相投必愈。若病在胸膈以上者,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。凡药势与食气不欲相逢,食气消即进药,药气散而进食。如此消息,即得五脏安和,
非但药性之多方,其节适早晚,复须调理,今所云先食、后食,盖此义也。
凡服汤,欲得稍热服之,则易消下。若冷,则呕吐不下。若太热,则伤人咽喉,务在用
意。汤必须澄清,若浊,则令人心闷不解。中间相去如步行十里久,即再服,若太促者,前
汤未消,后汤来冲,必当吐逆。仍问病者腹中药消散否,乃更进服。
凡服丸药补者,皆如梧桐子大,以二十丸为始,从一服渐加至四十丸为限,过多亦损人
。云一日再服者,欲得引日多时不阙,药力渐积,熏蒸五脏,弥久为佳,不须顿服为善,徒
饵名药,获益甚少也。
凡服浸酒药,欲得使酒气相接,无得断绝,断绝则不得药力,多少皆随性饮之,以知为
度。不可令大醉至吐,大损人也。
凡服毒药治病,先起如黍粟,病去而止,不去倍之,不去十之,取去为度。今药中单行
一、两种有毒之药,只如巴豆、甘遂之辈,不可令至尽剂尔。如经所说∶一味一毒服一丸如
细麻,二味一毒服二丸如大麻,三味一毒服三丸如胡豆,四味一毒服四丸如小豆,五味一毒
服五丸如大豆,六味一毒服六丸如梧桐子。以数为丸,而毒中又有轻重,只如野狼毒、钩吻,
岂同附子、芫花之辈耶!凡此之类,皆须量用也。
凡饵汤药后,其粥食、肉菜皆须大熟,大熟则易消,与药相宜。若生,则难消,复损药
力,仍须少食菜,于药为佳。亦少进盐、醋乃善。亦不得苦心用力,及于喜怒。是以疗病用
药力为首,若在食治,将息得力,太半于药。所以病者务在将息,摄养之至,可以长生,岂
止愈病而已哉。
Medicines follow the principles of Sovereign (Jun), Minister (Chen), Assistant (Zuo), and Courier (Shi) [hierarchical roles in herbal formulas], while human constitutions vary in strength, weakness, deficiency, and excess. The methods of administration differ in weight and dosage; the approaches for the young and old are distinct, and conditions vary between robust and emaciated individuals. Some require tonification, others purgation; some are suitable as decoctions, others as pills. Adjustments must be appropriate, and when the medicine matches the disease, recovery is certain. If the disease is located above the chest and diaphragm, eat first then take medicine. If the disease is below the heart and abdomen, take medicine first then eat. If the disease is in the limbs and blood vessels, it is suitable to take on an empty stomach in the morning. If the disease is in the bone marrow, it is suitable to take when full at night. Generally, the medicinal force should not clash with food qi; take medicine after food qi has digested, and eat after the medicinal qi has dispersed. Through such regulation, the five Zang organs will be harmonious. It is not merely about the variety of medicinal properties, but also the timing and moderation, which require careful management. The terms "eat first" or "eat later" mentioned here refer to this principle.
When taking decoctions, they should be taken slightly warm to facilitate digestion and downward movement. If cold, they may cause vomiting and fail to go down. If too hot, they will damage the throat and esophagus; attention must be paid. Decoctions must be clear; if turbid, they can cause chest stuffiness and discomfort. There should be an interval equivalent to walking ten li before administering the next dose. If the interval is too short, the previous decoction has not yet digested, and the new one rushes in, inevitably causing vomiting and regurgitation. One must ask the patient whether the medicine in the abdomen has dissipated before administering more.
When taking pill medicines for tonification, they should be made the size of a *Celtis sinensis* seed. Start with twenty pills, gradually increasing from one dose up to a limit of forty pills; excessive amounts will harm the body. When it says "take twice a day," it implies maintaining a long-term, uninterrupted course so that the medicinal power accumulates gradually, steaming and nourishing the five Zang organs. This prolonged approach is best; sudden large doses are not advisable. Merely consuming famous/expensive medicines without proper regimen yields little benefit.
When taking medicinal wines, the wine qi should be continuous and not interrupted. Interruption prevents the medicinal power from taking effect. Drink according to one's tolerance, stopping when the desired effect is achieved. Do not become excessively drunk to the point of vomiting, as this severely harms the body.
When using toxic medicines to treat diseases, start with a small dose like millet grains. Stop when the disease resolves. If unresolved, double the dose; if still unresolved, increase to ten times, until the disease is cured. In current prescriptions, single or dual toxic herbs such as *Crotonis Fructus* (Badou) and *Euphorbiae Pekinensis Radix* (Gansui) should not constitute the entire formula. As stated in classics: for one toxic herb, take one pill the size of a fine sesame seed; for two toxic herbs, two pills the size of a large sesame seed; for three, three pills the size of a fava bean; for four, four pills the size of a mung bean; for five, five pills the size of a soybean; for six, six pills the size of a *Celtis sinensis* seed. Formulate into pills based on quantity, noting that toxicity varies. For instance, *Daphne genkwa* (Yelangdu) and *Gelsemium elegans* (Gouwen) are not comparable to *Aconiti Lateralis Radix Praeparata* (Fuzi) or *Genkwa Flos* (Yuanhua). All such cases require measured usage.
After taking decoctions, porridges, meats, and vegetables must be thoroughly cooked. Thoroughly cooked food is easy to digest and compatible with the medicine. Raw food is hard to digest and damages medicinal efficacy. Vegetables should be consumed sparingly for optimal effect. Small amounts of salt and vinegar are beneficial. Avoid mental strain, physical exertion, and extreme emotions like anger or joy. Therefore, medicinal power is primary in treating disease, but dietary therapy and nursing care contribute significantly, often surpassing the effect of medicine alone. Thus, patients must focus on recuperation and self-care. Ultimate preservation of health can lead to longevity, far beyond merely curing illness.