要方第九卷所治如下∶
治服寒食散方
治寒食散发动诸方
治服传病诸决(待考)
上三件
服草木之药则速发,须调饮食;金石者则迟起而难息。其始得效者,皆是草木盛也,金
石乃延引日月。草木少时便息,石势犹自未盛。其有病者不解消息,便谓顿休,续后更服,
或得病固药微,倍复增石,或便杂服众石,非一也。石之为性,其精华之气,则合五行,乃
益五脏,其浊秽便同灰土。但病家血气虚少,不能宣通更陈瘀,便成坚积。若其精华气不发,
则冷如冰。而病者服之望石入腹即热,既见未热,
服之弥多。既见石不即效,便谓不得其力,至后发动之日,都不自疑是石,不肯作石消
息,便作异治者,多致其害。
道弘道人制《解散对治方》,说草石相对之和,有的能发动为证,世人逐易,不逆思寻
古今方说,至于动散,临急便就服之,即不救疾,便成委祸。大散由来早难将之药,夫以大
散难将,而未经服者,乃前有慎耳。既心期得益,苟就服之,已服之人,便应研习救解之宜,
异日动之,便得自救也。夫身有五石之药,而门内无解救之人,轻信对治新方,逐易服之,
从非弃是,不当枉命误药邪?检《神农本草经》,说草石性味,无对治之和,无指的发动之
说,
按其对治之和,亦根据本草之说耳。且大散方说主患,注药物,不说其所主治,亦不说对和指
的发动之性也。览皇甫士安撰《解散说》及将服消息节度,亦无对和的发之说也。复有禀丘
家,将温法以救变败之色,亦无对和的动之说。若以药性相对为神者,栝蒌恶干姜,此是对
之大害者。道弘说对治而不辨此,道弘之方焉可从乎?今不从也。当从皇甫节度,自更改栝
蒌,便为良矣。患热则不服其药,惟患冷者服之耳,自可以除栝蒌。若虚劳脚弱者,以石斛
十分代栝蒌;若风冷上气咳者,当以紫苑十分代栝蒌。二法极良。若杂患常疾者,止除栝蒌
而已,慎勿加余物。
The treatments recorded in Volume 9 of *Xiaopin Fang* are as follows:
Formulas for treating the administration of Hanshi San (Cold Food Powder).
Formulas for treating various conditions triggered by the activation of Hanshi San.
Various judgments for treating diseases transmitted after administration (to be verified).
The above three items.
Administration of herbal medicines (Caomu) causes rapid activation, requiring dietary regulation; administration of mineral and metallic substances (Jinshi) has a slow onset but is difficult to subside. Those who initially see effects are due to the potency of herbal medicines, whereas mineral substances prolong the process over days and months. Herbal medicines subside when used in small amounts, while the momentum of stone drugs remains unfulfilled. Patients who do not understand how to regulate and observe the drug's condition may mistakenly believe the illness has ceased entirely, leading them to continue taking medicine. Some, finding the illness stubborn and the medication mild, double the dosage of stone drugs; others mix various types of stones indiscriminately. The nature of stone drugs: their essence and qi harmonize with the Five Elements, thereby benefiting the Zang-Fu organs (internal organs), while their turbid and impure parts resemble ash and soil. However, if the patient's blood and Qi are deficient and unable to circulate and eliminate stasis, hard accumulations form. If the essence and qi of the stone drugs do not activate, the body becomes cold as ice. Yet patients expect heat upon ingestion of the stones; seeing no immediate heat, they increase the dosage. Seeing no immediate effect, they deem the drug ineffective. When the drug eventually activates later, they fail to suspect it is caused by the stones and refuse to treat it according to protocols for dissipating stone toxins, opting instead for other therapies, which often leads to harm.
Dao Hong Daoren formulated the *Sanjie Duizhi Fang* (Formula for Counteracting Dissipation), discussing the harmony between opposing herbs and minerals. Although some cases serve as evidence of activation, people have blindly changed practices without reflecting on ancient and modern medical texts. When the powder activates, they hastily take these new formulas in emergencies, failing to cure the disease and instead inviting disaster. Hanshi San has long been known as a difficult-to-manage medicine. Those who have not taken it did so out of caution. Since one seeks benefit by taking it, those who have already taken it must study methods of rescue and resolution to save themselves when it activates later. If one ingests medicines containing five stones but lacks knowledgeable rescuers at home, and instead trusts new counteractive formulas and changes practices, abandoning correctness for error, is this not wasting life and misusing medicine? Consulting the *Shennong Bencao Jing* (Divine Farmer's Materia Medica), which describes the properties and flavors of herbs and minerals, there is no mention of counteractive harmonies or specific indications of activation. Any theory of counteractive harmony is based on the *Bencao Jing*. Furthermore, the formula for Hanshi San states the main indications and annotates ingredients but does not explain the specific mechanisms of treatment or the nature of counteractive harmonies and activation. Reviewing Huangfu Mi's (courtesy name Shian, style name Shi'an) *Sanjie Shuo* (Discourse on Dissipation) and guidelines for administration and regulation, there is also no mention of counteractive harmonies or activation. Similarly, the method proposed by the Bingqiu family, using warmth to treat discoloration from drug failure, lacks such theories. If one considers opposing drug properties as miraculous, consider that Gualou (Trichosanthis Fructus) is incompatible with Ganjiang (Zingiberis Rhizoma); this is a major harm in counteractive therapy. Dao Hong discusses counteraction but fails to distinguish this point; how can his formulas be followed? I do not follow them. One should adhere to Huangfu Mi's guidelines and remove Gualou, which is beneficial. For those with heat syndromes, the original medicine should not be taken; only those with cold syndromes should take it, thus naturally excluding Gualou. For deficiency consumption and weak legs, replace Gualou with Shihu (Dendrobii Caulis) in a ratio of ten parts. For wind-cold causing rebellious Qi and cough, replace Gualou with Ziwan (Asteris Radix) in a ratio of ten parts. These two methods are excellent. For miscellaneous chronic diseases, simply remove Gualou; do not add other substances.