隐居先生,在乎茅山岩岭之上,以吐纳余暇,颇游意方技,览本草药性,以为尽圣人之
心,故撰而论之。
旧说皆称《神农本草经》,余以为信然。昔神农氏之王天下也,画易卦以通鬼神之情;
造耕种,以省煞害之弊;宣药疗疾,以拯夭伤之命。此三道者,历群圣而滋彰。文王、孔子,
彖象繇辞,幽赞人天。后稷、伊芳尹,播厥百谷,惠被生民。岐、皇、彭、扁,振扬辅导,恩
流含气。并岁逾三千,民到于今赖之。
但轩辕以前,文本未传,如六爻指垂,画象稼穑,即事成迹。至于药性所主,当以识识
相因,不尔何由得闻。至乎桐、雷,乃着在篇简。此书应与《素问》同类,但后人多更修饰
之耳。秦皇所焚,医方、卜术不预,故犹得全录。而遭汉献迁徙,晋怀奔迸,文籍焚靡,千
不遗一。
今之所存,有此四卷,是其本经。所出郡县,乃后汉时制,疑仲景、元化等所记。又有
《桐君采药录》,说其华叶形色。《药对》四卷,论其佐使相须。魏、晋以来,吴普、李当之
等,更复损益。或五百九十五,或四百卅一,或三百一十九。或三品混糅。冷热舛错,草石
不分,虫兽无辨,且所主治,互有多少。医家不能备见,则识智有浅深。今辄苞综诸经,研
括烦省。以《神农本经》三品,合三百六十五为主,又进名医副品,亦三百六十五,合七百
卅种。精粗皆取,无复遗落,分别科条,区KT 物类,兼注名世用,土地所出,及仙经道
术所须,并此序录,合为三卷。虽未足追踵前良,盖亦一家撰制。吾去世之后,可贻诸知音
尔。
《本草经》卷上序药性之本源,诠病名之形诊,题记品录,详览施用之。
《本草经》卷中玉石、草、木三品,合三百五十六种。
《本草经》卷下虫兽、果、菜、米食三品,合一百九十五种,有名无实三条,合一百七
十九种。合三百七十四种上三卷,其中、下二卷,药合七百卅种,各别有目录,并朱、墨杂
书并子注。大书分为七
上药一百廿种为君,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,
本上经。
中药一百廿种为臣,主养性以应人,无毒、有毒,斟酌其宜。欲遏病补虚羸者,本中经。
下药一百廿五种为佐、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,本下经。
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。倍其数,合七百卅名。
本说如此。今案上品药性,亦皆能遣疾,但其势力和浓,不为仓卒之效,然而岁月将服,必
获大益,病既愈矣,命亦兼申。天道仁育,故云应天。独用百廿种者,当谓寅、卯、辰、巳
之月,法万物生荣时也。中品药性,治病之辞渐深,轻身之说稍薄,于服之者,祛患当速,
而延龄为缓,人怀性情,故云应人。百廿种者,当谓午、未、申、酉之月,法万物熟成
。下品药性,专主攻击,毒烈之气,倾损中和,不可恒服,疾愈则止,地体收煞,故云应地
。独用一百廿五种者,当谓戌、亥、子、丑之月,兼以闰之,盈数加之,法万物枯藏时也。
今合和之体,不必偏用,自随人患苦,参而共行。但君臣配隶,应依后所说,若单服之者,
所不论耳。
药有君臣佐使,以相宣摄。合和者,宜用一君、二臣、五佐,又可一君、三臣、九佐也。
本说如此。案今用药犹如立人之制,若多君少臣,多臣少佐,则势力不周故也。而检世道诸
方,亦不必皆尔。养命之药则多君;养性之药则多臣;治病之药则多佐。犹依本性所主,而
兼复斟酌。详用此者,益当为善。又恐上品君中,复各有贵贱。譬如列国诸侯,虽并得称君
制,而犹归宗周。臣佐之中,亦当如此。所以门冬、远志,别有君臣。甘草国老、大黄将军
,明其优劣,不皆同秩。自非农岐之徒,孰敢诠正,正应领略轻重,为分剂也。
药有阴阳配合,子母兄弟,根叶华实,草石骨肉。有单行者,有相须者,有相使者,有
相畏者,有相恶者,有相反者,有相杀者。凡此七情,合和当视之。相须、相使者良,勿用
相恶、相反者。若有毒宜制,可用相畏、相杀,不尔,勿合用也。
本说如此。案其主治虽同,而性理不和,更以成患。今检旧方用药,并亦有相恶、相反
者,服之不乃为忤。或能复有制持之者,犹如寇、贾辅汉,程、周佐吴,大体既正,不得以
私情为害。虽尔,恐不如不用。今仙方甘草丸,有防己、细辛;世方五石散,有栝楼、干姜,
略举大者如此,其余复有数十余条,别注在后。半夏有毒,用之必须生姜,此是取其所畏,
以相制耳。其相须、相使,不必同类,犹如和羹,调食鱼肉,葱、豉各有所宜,共相宣发也。
药有酸、咸、甘、苦、辛五味,又有寒、热、温、凉四气,及有毒、无毒,阴干、曝干,
采治时月生熟,土地所出,真伪陈新,并各有法。
本说如此。又有分剂秤两,轻重多少,皆须甄别。若用得其宜,与病相会,入口必愈,
身安寿延。若冷热乖衷,真假非类,分两违舛,汤丸失度,当瘥反剧,以至殆命。医者意也,
喻如宰夫,以 鳖为 羹,食之更足成病,岂充饥之可望乎?故仲景每云∶如此死者,医杀
之也。
药有宜丸者,宜散者,宜水煮者,宜酒渍者,宜膏煎者,亦有一物兼宜者,亦有不可入
汤酒者,并随药性,不得违越。
本说如此。又疾有宜服丸者,宜服散者,宜服汤者,宜服酒者,宜服膏煎者,亦兼参用,
察病之源,以为其制耳。
凡欲治病,先察其源,先候病机。五脏未虚,六腑未竭,血脉未乱,精神未散,食药必
活
本说如此。案今自非明医,听声察色,至乎诊脉,孰能知未病之病乎?且未病之人,亦
无肯自治。故桓侯怠于皮肤之微,以致骨髓之痼。非但识悟之为难,亦信受之弗易。仓公有
言∶“病不肯服药,一死也;信巫不信医,二死也;轻身薄命,不能将慎,三死也。”夫病之
所由来虽多,而皆关于邪。邪者不正之因,谓非人身之常理,风、寒、暑、湿,饥、饱、劳、
佚,皆各是邪,非独鬼气疾厉者矣。人生气中,如鱼之在水,水浊则鱼瘦,气昏则人疾。邪
气之伤人,最为深重。经络既受此气,传以入脏腑,脏腑随其虚实冷热,结以成病,病又相
生,故流变遂广。精神者,本宅身为用。身既受邪,精神亦乱。神既乱矣,则鬼灵斯入,鬼
力渐强,神守稍弱,岂得不至于死乎?古人譬之植杨,斯理当矣。但病亦别有先从鬼神来者,
则宜以祈祷祛之,虽曰可祛,犹因药疗致益,李子豫赤丸之例是也。其药疗无益者,是则不
可祛,晋景公膏肓之例是也。大都神鬼之害人多端,疾病之源唯一种,盖有轻重者尔。《真
诰》言∶“常不能慎事上者,自致百 ,而怨咎于神灵;当风卧湿,反责他于失福,皆是痴
人也。”云慎事上者,谓举动之事,必皆慎思;饮食、男女,最为百 之本。致使虚损内起,
风湿外侵,以共成其害,如此岂得关于神明乎?唯当勤药治为理耳。
若毒药治病,先起如黍粟,病去即止,不去倍之,不去什之,取去为度。
本说如此。案盖谓单行一两种毒物,如巴豆、甘遂辈,不可便令至剂耳,依如经言。一
物一毒,服一丸如细麻;二物一毒,服二丸如大麻;三物一毒,服三丸如小豆;四物一毒,
服
以数为丸。而毒中又有轻重,如野狼毒、钩吻,岂同附子、芫花辈耶?凡此之类,皆须量宜。
治寒以热药,治热以寒药,饮食不消以吐下药,鬼注蛊毒以毒药,痈、肿、疮、瘤以疮
药
本说如此。案今药性,一物兼主十余病者,取其偏长为本,复应观人之虚实补泻,男女
老少,苦乐荣悴,乡壤风俗,并各不同。褚澄治寡妇、尼僧,异乎妻外家,此是达其性怀之所
致也。
病在胸膈以上者,先食后服药。病在心腹以下者,先服药后食。病在四肢血脉者,宜空
腹而在旦;病在骨髓者,宜饱满而在夜。
本说如此。案其非但药性之多方,节适早晚,复须修理。今方家所云∶先食、后食,盖
此义也。先后二字,当作苏殿、胡豆之音,不得云苏田、胡苟音也。此正大反,多致疑或。
又有须酒服、饮服、温服、冷服、暖服。汤有疏、有数,煮汤有生、有熟,皆各有法,用者
并应详宜之。
夫大病之主,有中风,伤寒,寒热,温疟,中恶,霍乱,大腹水肿,腹 ,下利,大小
便不通,贲豚上气,咳逆,呕吐,黄胆,消渴,留饮,癖食,坚积,症瘕,惊邪,癫痫,鬼
注,喉痹,齿痛,耳聋,目盲,金创, 折,痈肿,恶疮,痔 ,瘿瘤;男子五劳七伤,虚
乏羸瘦;女子带下,崩中,血闭,阴蚀;虫蛇蛊毒所伤。此皆大略宗兆,其间变动枝叶,各
依端绪以取之。
本说如此。案今药之所主,各只说病之一名。假今中风,中风乃数十种,伤寒证候,亦
廿余条。更复就中求其例类,大体归其始终。以本性为根宗,然后配合诸证,以命药耳。病
生之变,不可一概言之。所以医方千卷,犹未理尽。
春秋以前及和、缓之书蔑闻,道经略载扁鹊数法,其用药犹是本草家意。至汉淳于意及
华佗等方,今之所存者,亦皆修药性。张仲景一部,最为众方之祖宗,又悉依本草。但其善
诊脉,明气候,以意消息之耳。至于刳肠剖臆,刮骨续筋之法,乃别术所得,非神农家事。
自晋世以来,有张苗、宫泰、刘德、史脱、靳邵、赵泉、李子豫等,一代良医。其贵胜阮德
如、张茂先、裴逸民、皇甫士安,及江左葛稚川、蔡谟、殷渊源诸名人等,并亦研精药术。
宋有
凡此诸人,各有所撰用方,观其指趣,莫非本草者。或时用别药,亦修其性度,非相逾越。
《范汪方》百余卷,及葛洪《肘后》,其中有细碎单行经用者,所谓出于阿卷是。或田舍试
验之法,殊域异识之术。如藕皮散血,起自庖人。牵牛逐水,近出野老。饼店蒜齑,乃下蛇
之药。路边地松,为金疮所秘。此盖天地间物,莫不为天地间用,触遇则会,非其主对矣。
颜光禄亦云∶诠三品药性,以本草为主。
道经、仙方、服食、断谷、延年、却老,乃至飞丹转石之奇,云腾羽化之妙,莫不以药
导为先。用药之理,又一同本草,但制御之途,小异世法。犹如粱、肉,主于济命,华夷禽
兽,皆共仰资。其为生理则同,其为性灵则异耳。大略所用不多,远至廿余物,或单行数种,
便致大益,是其深练岁积。即本草所云久服之效,不如世人微觉便止。故能臻其所极,以致
遐龄,岂但充体愈疾而已哉!今庸医处治,皆耻看本草,或倚约旧方,或闻人传说,或遇其
所忆,便揽笔疏之,俄然戴面,以此表奇。其畏恶相反,故自寡昧,而药类违僻,分两参差,
亦不以为疑脱。偶而值瘥,则自信方验;若旬月未瘳,则言病源深结,了不反求诸已,详思
得失,虚构声称,多纳金帛,非唯在显宜责,固将居幽贻谴矣。其五经四部,军国礼服,若
详用乖越者,正于事迹非宜耳。至于汤药,一物有谬,便性命及之。千乘之君,百金之长,
何可不深思戒慎耶?许世子侍药不尝,招弑贼之辱;季孙馈药,仲尼未达,知药之不可轻信
也。
晋时有一才情人,欲刊正《周易》及诸药方,先与祖纳共论,祖云∶“辩释经典,纵有
异同,不足以伤风教,方药小小不达,便寿夭所由,则后人受弊不少,何可轻以裁断。”祖
公此言,可谓仁识,足为水镜。《论语》云∶“人而无恒,不可以作巫、医。”明此二法,不
得
复患今承藉者,多恃炫名价,亦不能精心研解,虚传声美,闻风竞往,自有新学该明,而名
称未播,贵胜以为始习,多不信用,委命虚名,谅可惜也。京邑诸人,皆尚声誉,不取实录
。余祖世以来,务敦方药,本有《范汪方》一部,斟酌详用,多获其效。内护家门,旁及亲
族。其有虚心告请者,不限贵贱,皆摩踵救之。凡所救活,数百千人。自余投缨宅岭,犹不
忘此。日夜玩味,恒觉欣欣。今撰此三卷,并《效验方》五卷,又《补阙葛氏肘后》三卷。
盖欲永嗣善业,令诸子侄,弗敢失坠,可以辅身济物者,孰复是先。
今诸药采治之法,既并用见成,非能自掘,不复具论其事,唯合药须解节度,列之如下。
案诸药所生,皆的有境界。秦、汉以前,当言列国。今郡县之名,后人所改耳。自江东
以来,小小杂药,多出近道,气势理,不及本邦。假令荆、益不通,则令用历阳当归,钱唐
三建,岂得相似。所以治病不及往人者,亦当缘此故也。蜀药及北药,虽有去来,亦复非精
者,又市人不解药性,唯尚形饰。上党人参,殆不复售;华阴细辛,弃之如芥。且各随世相
竞,顺方切须,不能多备诸族,故往往遗漏。今之所存,二百许种耳。众医睹不识药,唯听
市人,市人又不辨究,皆委采送之家。采送之家,传习治拙,真伪好恶莫测,所以有钟乳酢
The Reclining Master (referring to Tao Hongjing himself) resides upon the rocky ridges of Maoshan. In his spare time after practicing Tu Na (breathing exercises), he took a keen interest in medical arts, studied the properties of herbs in the Bencao (Materia Medica), and believed that this fully embodied the intent of the sages; therefore, he compiled and expounded upon this work.
Old theories all refer to this text as the *Shennong Bencao Jing* (Divine Farmer's Materia Medica). I believe this to be true. In ancient times, when Shennong ruled the world, he drew the Eight Trigrams (Bagua) to communicate with the spirits of ghosts and gods; he invented farming and planting to reduce the harm caused by slaughter and injury; he promoted the use of medicines to treat diseases, thereby saving lives from premature death and injury. These three paths have been passed down through numerous sages and have become increasingly prominent. King Wen of Zhou and Confucius, through the Tuan Ci (Commentary on the Judgments), Xiang Ci (Commentary on the Images), and Yao Ci (Oracular Statements), profoundly assisted in understanding the relationship between humanity and heaven. Houji and Yi Yin sowed various grains, bestowing benefits upon the people. Qibo, Huangdi (Yellow Emperor), Pengzu, and Bian Que propagated and guided medical knowledge, their grace flowing to all living beings. These figures span over three thousand years, and the people still rely on them today.
However, before the time of Xuanyuan (Yellow Emperor), written texts had not yet been transmitted. Just as the six lines of the hexagrams served as guides and the images depicted farming, these were traces left by events themselves. Regarding the specific therapeutic actions of medicinal properties, they must have been understood through accumulated knowledge; otherwise, how could such knowledge have been heard? It was only during the times of Tong Jun and Lei Gong that these were recorded on bamboo slips. This book should belong to the same category as the *Suwen* (Basic Questions), but later generations added much embellishment. When Qin Shi Huang burned books, medical prescriptions and divination techniques were exempted, so they remained intact. However, following the displacement of Emperor Xian of Han and the flight of Emperor Huai of Jin, documents were burned and scattered, with less than one in a thousand surviving.
What is preserved today consists of these four volumes, which constitute the original *Bencao Jing*. The commanderies and counties mentioned were administrative divisions of the Later Han dynasty, suspected to be recorded by Zhang Zhongjing or Hua Tuo. There is also the *Tong Jun Caoyao Lu* (Record of Tong Jun's Herb Collection), which describes the flowers, leaves, colors, and shapes of herbs. The *Yaodui* (Pairs of Medicinals), in four volumes, discusses the auxiliary roles and synergistic relationships of drugs. Since the Wei and Jin dynasties, figures such as Wu Pu and Li Dangzhi have made additions and deletions. Some records list 595 species, others 431, and others 319. The Three Classes (Upper, Middle, Lower) are often mixed, with cold and hot properties confused, herbs and minerals indistinguishable, and insects and beasts unclassified. Moreover, the diseases treated vary greatly. Since physicians cannot see all materials, their knowledge and wisdom vary in depth. I have now synthesized various classics, researching and summarizing complex contents. Taking the Three Classes of the *Shennong Bencao Jing*, totaling 365 species, as the main body, I have added 365 secondary species recommended by famous doctors, making a total of 730 species. Both refined and coarse materials are included, leaving nothing out. Categories are distinguished, classes are separated, and historical usage, geographical origins, and requirements for Daoist immortality practices are annotated. Combined with this preface, it forms three volumes. Although it may not fully follow the ancients, it represents my own compilation. After my death, it may be passed on to those who understand it.
Volume Upper of the *Bencao Jing* narrates the origins of drug properties, explains the physical signs and diagnoses of diseases, lists the classifications, and details their application.
Volume Middle covers the Upper, Middle, and Lower grades of stones, minerals, herbs, and trees, totaling 356 species.
Volume Lower covers insects, beasts, fruits, vegetables, and grains, totaling 195 species. Among them, three species are listed by name only without substance, totaling 179 species. Together, these amount to 374 species. Across the three volumes, the Middle and Lower volumes contain a total of 730 medicinal substances. Each has its own catalog, with annotations in red and black ink. The large characters are divided into seven sections:
The Upper Grade medicines, numbering 120, serve as the Sovereign (Jun). They primarily nourish life to align with Heaven. They are non-toxic; taken in large amounts or for long periods, they do not harm the body. Those wishing to lighten the body, boost qi, prevent aging, and prolong life should base their regimen on the Upper Grade.
The Middle Grade medicines, numbering 120, serve as the Ministers (Chen). They primarily nourish nature/character to align with Humanity. They may be non-toxic or toxic; their suitability must be carefully considered. Those wishing to suppress disease and tonify deficiency and emaciation should base their regimen on the Middle Grade.
The Lower Grade medicines, numbering 125, serve as the Assistants and Envoys (Zuo/Shi). They primarily treat disease to align with Earth. They are mostly toxic and should not be taken for long periods. Those wishing to eliminate cold-heat pathogenic factors, break up accumulations, and cure illnesses should base their regimen on the Lower Grade.
The Three Classes together total 365 species, corresponding to the 365 degrees (days) of a year, where one degree corresponds to one day, completing a year. Doubling this number results in 730 names. This is the original theory. Now, examining the properties of Upper Grade drugs, they can indeed dispel illness, but their power is mild and concentrated, lacking immediate effects. However, with long-term use over years, great benefits will surely be obtained. Once the illness is cured, life is also extended. Heaven’s way is benevolent and nurturing, hence it is said to align with Heaven. The exclusive use of 120 species corresponds to the months of Yin, Mao, Chen, and Si, modeling the time when all things grow and flourish.
The properties of Middle Grade drugs involve deeper explanations of treating diseases, while claims of lightening the body are somewhat diminished. For the user, removing afflictions is relatively fast, while extending lifespan is slower. Humans possess temperament and nature, hence it is said to align with Humanity. The 120 species correspond to the months of Wu, Wei, Shen, and You, modeling the time when all things mature and harvest.
The properties of Lower Grade drugs are dedicated to attack. Their toxic and fierce qi damages the balance and harmony, so they cannot be taken constantly. Use should cease once the illness is cured. Earth’s nature is receptive and肃杀 (restraining/killing), hence it is said to align with Earth. The exclusive use of 125 species corresponds to the months of Xu, Hai, Zi, and Chou, including leap months and adding numbers to reach fullness, modeling the time when all things wither and store.
In the current practice of harmonizing the body, one need not rely exclusively on one class. Usage should naturally adapt to the patient's suffering, combining methods. However, the hierarchy of Sovereign, Minister, Assistant, and Envoy should follow the descriptions below. If single herbs are used, this discussion does not apply.
Medicines have Sovereign, Minister, Assistant, and Envoy roles to interact and regulate each other. In combination, it is appropriate to use one Sovereign, two Ministers, and five Assistants, or alternatively, one Sovereign, three Ministers, and nine Assistants. This is the original theory. Examining current medication practices akin to human social structure, if there are too many Soveriegn and too few Ministers, or too many Ministers and too few Assistants, the efficacy will not be comprehensive. Therefore, checking various prescriptions in the world, they do not always follow this strictly. Tonics for life tend to have more Sovereigns; tonics for character tend to have more Ministers; treatments for disease tend to have more Assistants. One should still follow the inherent nature of the drugs and exercise discretion. Detailed application of this method yields greater benefit. Furthermore, within the Upper Grade Sovereigns, there are distinctions of nobility and baseness. Like feudal lords who all claim the title of ruler but ultimately pay homage to the Zhou King, among Ministers and Assistants, similar distinctions exist. Thus, Dongchun (Asparagus root) and Yuanzhi (Polygala root) have distinct hierarchical roles. Gancao (Licorice) is called "Guolao" (State Elder), and Dahuang (Rhubarb) is called "Jiangjun" (General), clarifying their superiority and inferiority; they are not of equal rank. Unless one is like Shennong or Qibo, who dares to judge and correct? One should only grasp the weight and lightness to determine dosage.
Medicines have yin-yang combinations, mother-son relationships, brother-sister relationships, roots-leaves, flowers-fruits, herb-mineral, and flesh-bone associations. There are those used alone (Dan Xing), those that require each other (Xiang Xu), those that assist each other (Xiang Shi), those that fear each other (Xiang Wei), those that disparage each other (Xiang E), those that oppose each other (Xiang Fan), and those that kill/reduce each other's toxicity (Xiang Sha). Of these Seven Emotions (Qi Qing), one must consider them during formulation. Xiang Xu and Xiang Shi are good; do not use Xiang E and Xiang Fan. If toxicity needs to be controlled, one may use Xiang Wei or Xiang Sha; otherwise, do not combine them.
This is the original theory. Examining cases where indications are the same but properties and principles conflict, this can lead to new ailments. Checking old prescriptions, some do contain Xiang E and Xiang Fan combinations, which might contradict the patient. Perhaps there are controlling agents involved, similar to Kou and Jia assisting Han, or Cheng and Zhou assisting Wu. As long as the general principle is correct, private conflicts do not cause harm. Nevertheless, it is better not to use them. For example, the Immortal Prescription Gancao Wan contains Fangji and Xixin; the World Prescription Wushi San contains Gualou and Ganjiang. These are major examples; dozens more exist, noted separately later. Banxia (Pinellia) is toxic and must be used with Shengjiang (Fresh Ginger); this utilizes the principle of Xiang Wei to control toxicity. Xiang Xu and Xiang Shi do not necessarily require similar categories, just as soup is seasoned with fish and meat, scallions and fermented soybeans each having their place, working together to enhance flavor.
Medicines have Sour, Salty, Sweet, Bitter, and Pungent Five Flavors (Wu Wei), and Cold, Hot, Warm, and Cool Four Qi (Si Qi), as well as Toxic and Non-toxic properties. Methods include drying in shade or sun, harvesting times based on lunar months and ripeness, geographical origin, authenticity, age, and freshness, all governed by specific rules.
This is the original theory. Dosage weights and measures, heaviness and lightness, must be carefully distinguished. If used appropriately and matched to the disease, recovery is certain, ensuring health and longevity. If cold and hot properties are mismatched, authentic and fake materials are confused, dosages are incorrect, and decoctions or pills are improperly prepared, recovery may turn into worsening conditions, even leading to death. A physician relies on insight, like a chef. If one makes turtle soup but eats something else that causes illness, how can one expect satiety? Thus, Zhang Zhongjing often said, "Those who die in this manner are killed by the doctor."
Some medicines are suitable for pills, some for powders, some for water decoction, some for wine infusion, some for paste preparation. Some are suitable for multiple forms, while others cannot be used in decoctions or wines. All depend on drug properties and must not be violated.
This is the original theory. Diseases also dictate form: some suit pills, some powders, some decoctions, some wines, some pastes. Combinations are possible, observing the source of the disease to determine the form.
To treat illness, first investigate the source and observe the disease mechanism. If the Five Zang organs are not deficient, the Six Fu organs are not exhausted, blood vessels are not chaotic, and spirit is not scattered, food and medicine will ensure survival.
This is the original theory. Examining current practice, unless one is a brilliant physician capable of listening to sounds, observing colors, and diagnosing pulses, who can know the disease before it manifests? Moreover, healthy people rarely seek self-treatment. Thus, Huan He neglected minor skin issues, leading to deep bone marrow disease. Not only is discernment difficult, but acceptance is also hard. Cang Gong said, "Refusing to take medicine is the first cause of death; trusting shamans over doctors is the second; being frivolous with life and unable to be cautious is the third." Although diseases arise from many sources, they all relate to Pathogenic Factors (Xie). Xie refers to abnormal causes, not normal human physiology. Wind, Cold, Summer-heat, Dampness, hunger, fullness, labor, and rest are all pathogenic factors, not just ghostly qi or epidemics. Human life exists within Qi, like a fish in water; turbid water makes fish thin, turbid Qi makes humans sick. Pathogenic factors harming humans are most severe. Once meridians receive this qi, it transmits to the Zang-Fu organs. Depending on deficiency/excess and cold/heat, pathogens congeal to form disease, and diseases generate each other, spreading widely. Spirit is the master of the body. When the body receives pathogens, spirit becomes chaotic. Once spirit is chaotic, ghosts and spirits enter; ghostly power grows strong, while spiritual defense weakens. How can this not lead to death? Ancients compared this to planting poplars; the logic holds. However, some diseases originate from ghosts/spirits and should be dispelled through prayer. Although prayer may help, medicinal treatment still provides benefit, as seen in Li Ziyu's Chi Wan. If medicinal treatment offers no benefit, it cannot be dispelled, as seen in Duke Jing of Jin's disease in the gao-huang region. Generally, ghosts and spirits cause harm in many ways, but the source of disease is singular, differing only in severity. The *Zhengao* states: "Those who fail to be cautious in their conduct bring upon themselves hundreds of ailments and blame the spirits; lying in drafts and dampness while blaming others for bad fortune are all foolish people." Being cautious means thinking carefully about actions; diet and sexual activity are the root of hundreds of ailments. This causes internal deficiency and external invasion of wind-dampness, creating harm. How can this be attributed to deities? One should diligently use medicinal treatment.
When using toxic medicines to treat disease, start with a dose like millet seeds. Stop when the disease is gone. If not gone, double the dose; if still not gone, increase tenfold. Stop when the disease is eliminated.
This is the original theory. This likely refers to single toxic substances like Badou (Croton seed) or Gansui (Kansui root), which should not be given in large doses initially, following the classic text. One toxic substance: take one pill size of fine hemp. Two toxic substances: take two pills size of large hemp. Three toxic substances: take three pills size of small beans. Four toxic substances: take... make pills by number. Within toxins, there are degrees of severity. Yelangdu (Daphne genkwa) and Gouwen (Gelsemium) are not comparable to Fuzi (Aconite) or Yuanhua (Genkwa flower). All such cases require appropriate measurement.
Treat Cold with Hot medicines, treat Heat with Cold medicines, treat indigestion with vomiting/purging medicines, treat Gui Zhu (ghostly transmission) and Gu poison with toxic medicines, treat abscesses, swellings, sores, and tumors with topical medicines.
This is the original theory. Examining current drug properties, one drug may treat over ten diseases; take its primary strength as the basis. Also, observe the patient's deficiency/excess for tonification or purging, gender, age, joy/suffering, prosperity/hardship, and regional customs, all of which differ. Chu Cheng treated widows and nuns differently from wives' families, demonstrating an understanding of their psychological state.
For diseases above the chest and diaphragm, eat first, then take medicine. For diseases below the heart and abdomen, take medicine first, then eat. For diseases in limbs and blood vessels, take on an empty stomach in the morning. For diseases in bone marrow, take when full at night.
This is the original theory. Examining this, not only are there many drug properties, but timing and appropriateness must also be adjusted. What modern practitioners call "before eating" or "after eating" implies this meaning. The characters "Xian" (First) and "Hou" (Later) should be pronounced like "Su Dian" and "Hu Dou," not "Su Tian" and "Hu Gou." This significant error causes much confusion.
There are also methods of taking medicine with wine, water, warm, cold, or hot temperatures. Decoctions can be thin or thick, boiled raw or cooked thoroughly, each with its own method. Users should examine these carefully.
Major serious diseases include Wind Stroke, Cold Damage, Cold-Heat disorders, Warm Malaria, Evil Invasion, Cholera, Abdominal Edema, Abdominal Distension, Diarrhea, Constipation, Belching and Qi Rebellion, Cough and Reverse Qi, Vomiting, Jaundice, Xiao Ke (Wasting and Thirsting), Retained Fluids, Pi Shi (Masses/Food Stagnation), Hard Accumulations, Zheng Jia (Masses), Shock and Evil, Epilepsy, Ghost Transmission, Throat Bi, Toothache, Deafness, Blindness, Metal Wounds, Fractures, Abscesses, Malignant Sores, Hemorrhoids, Goiter; Men suffer from Five Exhaustions and Seven Injuries, deficiency and emaciation; Women suffer from Leukorrhea, Metrorrhagia, Blood Closure, Genital Ulcers; and injuries from insect, snake, and Gu poisons. These are general categories; variations and branches should be addressed according to their specific clues.
This is the original theory. Examining current materia medica, each drug lists only one disease name. For example, Wind Stroke comprises dozens of types, and Cold Damage symptoms have over twenty entries. One must further categorize them, tracing origins and endings. Using inherent nature as the root, one then matches symptoms to name the drug. Variations in disease generation cannot be generalized. Hence, despite thousands of volumes of medical formulas, the principles are not fully exhausted.
Books from before the Spring and Autumn period and those of He and Huan are rarely heard of. Daoist scriptures briefly record a few methods of Bian Que, whose drug usage still reflects Bencao concepts. By the Han dynasty, prescriptions from Chunyu Yi and Hua Tuo, what remains today, also focus on refining drug properties. Zhang Zhongjing's work is the ancestor of all formulas and completely follows the Bencao. His skill lies in pulse diagnosis and understanding climate changes, adjusting treatment by insight. Techniques like intestinal surgery, opening the chest, scraping bones, and reconnecting tendons belong to other arts, not Shennong's domain.
Since the Jin dynasty, there have been excellent physicians such as Zhang Miao, Gong Tai, Liu De, Shi Tuo, Jin Shao, Zhao Quan, and Li Ziyu. Noble figures like Ruan Deru, Zhang Maoxian, Pei Yimin, Huangfu Shian, and Jiangdong figures like Ge Zhichuan, Cai Mo, and Yin Yuanyuan also studied pharmaceutical arts meticulously.
Song dynasty had...
All these individuals wrote prescriptions. Observing their intent, none deviated from the Bencao. Even when using different drugs, they respected their properties, not exceeding boundaries.
The *Fan Wang Fang* (Prescriptions of Fan Wang) over 100 volumes, and Ge Hong's *Zhouhou Beiji Fang* (Handbook of Prescriptions for Emergencies), contain fragmented single-drug classical uses, originating from obscure scrolls. Or rural trial methods, foreign techniques. For example, lotus bark dispersing blood originated from cooks. Morning glory chasing water came from country folk. Garlic paste from bakeries is a snake-repelling medicine. Ground pine by the road is a secret for metal wounds. These are things in heaven and earth, used for heaven and earth. Encounters happen spontaneously, not necessarily matching primary indications.
Yan Guanglu also stated: Explaining the Three Classes of drug properties relies on the Bencao.
Daoist scriptures, immortal prescriptions, dietary regimens, grain-abstention, longevity, anti-aging, and even wonders like flying cinnabar and turning stones, miracles of cloud-rising and feather-transforming, all prioritize drug guidance. The principles of drug use align with the Bencao, though control methods differ slightly from worldly laws. Like grain and meat, which sustain life, Huaxi birds and beasts all rely on them. Their physiological function is the same, but their spiritual nature differs. Generally, few items are used, up to twenty or thirty, or just a few single drugs, yielding great benefits due to deep practice accumulated over years. This matches the Bencao's claim of long-term use effects. Unlike common people who stop at slight sensations, experts reach the extreme, achieving long life, not just filling the body or curing illness! Today, mediocre physicians disdain studying the Bencao. They rely on old formulas, hearsay, or fleeting memories, writing prescriptions hastily, showing off. Ignoring fears, aversions, oppositions, and incompatibilities, they use inappropriate drug classes and inconsistent dosages without doubt. If by chance recovery occurs, they claim the formula is effective; if no recovery after weeks or months, they blame deep-seated disease sources, never reflecting on their own errors, fabricating reputations, and collecting wealth. This is not only blameworthy in public but will incur retribution in the underworld. Regarding the Five Classics and Four Sections, military and state rituals, if detailed use deviates, it is merely inappropriate to the context. But for decoctions, one wrong ingredient endangers life. Rulers of thousand-chariot states and leaders of hundred-gold armies, how can they not think deeply and be cautious? Prince Xu serving medicine without tasting invited the humiliation of assassination; Ji Sun sending medicine, Confucius did not accept, knowing medicine cannot be trusted lightly.
During the Jin dynasty, a talented person wanted to correct the *I Ching* and various medical formulas. He first discussed this with Zu Na. Zu Na said, "Debating classics, even with differences, does not harm moral teachings. Minor misunderstandings in formulas lead to life and death, causing much harm to future generations. How can one lightly judge?" Zu Gong's words show benevolent wisdom, worthy of being a mirror. The *Analects* states: "A man without constancy cannot make a shaman or a doctor." Clearly, these two methods cannot be...
Furthermore, worrying about current inheritors, many rely on flashy reputations, unable to study carefully, spreading false fame. Hearing rumors, they rush forward. There are new scholars who are thorough and clear, but their names are unknown. Nobles consider them beginners and do not trust them, entrusting lives to empty names. Truly pitiable. People in the capital value reputation over facts. My ancestors have always emphasized practical pharmacy. We originally had the *Fan Wang Fang*, carefully used with much effect. Internally protecting the family, externally aiding relatives. Those who sincerely ask, regardless of status, are helped immediately. Hundreds of thousands saved. Since retiring to the mountains, I have not forgotten this. Day and night pondering, always feeling joyful. Now compiling these three volumes, plus five volumes of *Effective Prescriptions*, and three volumes of *Supplement to Ge's Handbook*. Hoping to perpetuate this good deed, letting descendants not lose it, as it aids the body and benefits things. Who comes before?
Current methods for collecting and processing drugs are already established; I cannot dig them myself, so I will not detail them. Only the regulations for compounding are listed below.
Examining where drugs grow, they have definite regions. Before Qin and Han, these should be referred to as states. Current county names were changed by later generations. Since the Jiangdong era, minor miscellaneous drugs mostly come from nearby roads, lacking the potency and principle of their native regions. For example, if Jing and Yi do not connect, using Liyang Angelica instead of genuine Angelica, or Qiantang Sanjian instead of genuine Sanjian, how can they be similar? Thus, treating diseases worse than ancients is also due to this reason. Sichuan and Northern drugs, although traded, are not the finest. Market people do not understand drug properties, valuing only appearance. Shangdang Ginseng is hardly sold; Huayin Asarum is discarded like chaff. Following worldly competition and prescription demands, one cannot prepare all varieties, so omissions occur. What remains today is about 200 species. Many doctors do not recognize drugs, relying on market people, who do not investigate, delegating to collectors. Collectors pass on clumsy practices, making authenticity and quality unpredictable. Thus, there are cases of...