十论湿剂。岐伯夫子曰∶湿可去枯。夫湿与燥相宜,用湿以润燥也。然燥有在气、在血、在
脏、在腑之殊,有在内、在外、在久、在近之别,未可一概用也。气燥,辛以湿之;血燥,
甘
以湿之;脏燥,咸以湿之;腑燥,凉以湿之。内燥,寒以湿之;外燥,苦以湿之;久燥,温
以湿之;近燥,酸以湿之。燥不同,审虚实而湿之,则无不宜也。
或问燥症之不讲也久矣,幸吾子畅发燥症之门,以补六气之一。又阐扬湿剂以通治燥症,
岂
气血脏腑内外久近之湿,遂足以包治燥之法乎。嗟乎。论燥之症,虽百方而不足以治其常;
论湿之方,若八法而已足以尽其变。正不可见吾燥门之方多,即疑吾湿剂之法少也。
或疑湿剂治燥,而燥症实多,执湿剂以治燥,而无变通之法,吾恐前之燥未解,而后之
燥更
至矣。曰∶变通在心,岂言辞之可尽哉;吾阐发湿剂之义,大约八法尽之,而变通何能尽乎
,亦在人临症而善悟之耳。
或疑湿剂之少也,人能变通,则少可化多,然而能悟者绝少,子何不多举湿剂以示世乎。
嗟
乎。燥症前代明医多不发明,故后世无闻焉。铎受岐天师与张仲景之传,《内经》已补注燥
之旨,《六气》门已畅论燥之文,似不必《本草》重载燥症。然而湿剂得吾之八法,治燥有
余,又何必多举湿剂之法哉。(〔批〕须参看《内经》、《六气》之书,则治燥有余矣。)
以上十剂,明悉乎胸中,自然直捷于指下,然后细阅新注之《本草》,通经达权,以获其神
,守常知变,以造于圣,亦何死者不可重生,危者不可重安哉。
Tenth Discourse on Damp Agents. Master Qibo said: "Dampness can remove dryness." Dampness and dryness are mutually suitable; using dampness to moisten dryness. However, dryness differs in whether it is in the Qi level, Blood level, Zang organs, or Fu organs; it also differs in being internal, external, chronic (long-standing), or recent. One cannot apply a uniform method. For dryness in the Qi level, pungent substances are used to moisten it; for dryness in the Blood level, sweet substances are used to moisten it; for dryness in the Zang organs, salty substances are used to moisten it; for dryness in the Fu organs, cool substances are used to moisten it. For internal dryness, cold substances are used to moisten it; for external dryness, bitter substances are used to moisten it; for chronic dryness, warm substances are used to moisten it; for recent dryness, sour substances are used to moisten it. Since dryness varies, by examining deficiency and excess before applying dampening methods, there will be no unsuitability.
Someone asked: "The discussion of dryness syndromes has long been neglected. Fortunately, you have elucidated the principles of dryness syndromes, supplementing the theory of the Six Qi (Wind, Cold, Summer-heat, Dampness, Dryness, Fire). You also promote damp agents to treat dryness syndromes generally. Do the various dampening methods corresponding to Qi, Blood, Zang, Fu, internal, external, chronic, and recent conditions suffice to cover all methods for treating dryness?" Alas! When discussing dryness syndromes, even a hundred prescriptions may not suffice to treat the common cases; when discussing damp agent formulas, if only the Eight Methods are employed, they are sufficient to exhaust their variations. One must not see that our prescriptions for dryness are numerous and thereby suspect that our methods for damp agents are few.
Someone doubted: "Damp agents treat dryness, but dryness syndromes are actually numerous. If one adheres rigidly to damp agents to treat dryness without flexibility, I fear that while the previous dryness is not resolved, subsequent dryness will arrive even more severely." The reply was: "Flexibility lies in the mind; how can words fully express it? I expound the meaning of damp agents, which are roughly encompassed by the Eight Methods, but how can flexibility be fully exhausted? It depends on the physician's ability to comprehend well when facing clinical cases."
Someone doubted: "Since damp agents are few, if people can flexibly adapt, the few can become many. However, those who can comprehend are extremely rare. Why do you not list more damp agents to show the world?" Alas! Famous physicians of past dynasties mostly did not clarify dryness syndromes, hence later generations rarely heard of them. I, Chen Shiduo, received the transmission from Master Qi Tian Shi and Zhang Zhongjing. The *Neijing* (Inner Canon) has already supplemented the principles of dryness, and the section on *Six Qi* has thoroughly discussed dryness texts. It seems unnecessary to heavily reiterate dryness syndromes in this *Bencao* (Materia Medica). However, with my Eight Methods guiding damp agents, treating dryness is more than sufficient; why is it necessary to list many damp agent methods? (Commentary: One must refer to the books *Neijing* and *Six Qi*, then treating dryness will be more than sufficient.)
If the above Ten Agents are clearly understood in the mind, naturally the application under the fingers will be direct and straightforward. Then, by carefully reading the newly annotated *Bencao*, comprehending the meridians and adapting to circumstances, one can attain spiritual efficacy; by adhering to constants and knowing changes, one can reach the sagehood. In that case, what dead person could not be reborn, and what critical patient could not be restored to health?