夫人之一身阴常不足而阳常有余故丹溪谆谆勉人养阴以配阳实非欲补阴以胜阳也余近见
赵继
宗儒医精要一书驳丹溪专欲补阴以并阳是谓逆阴阳之常经决无补阴之理二辩王叔和命门属火
之误三辩张仲景伤寒无汗吐下法四辩张洁古无中暑中热之分五辩中风无火气湿三者之论六辩
十二经之脉差缪赵公偏执己见妄立邪说以欺人乘悖经旨得罪于名教多矣噫仲景叔和医之圣也
百世之师也继宗何人而敢轻议如此多见其不知量也
和剂局方皆名医所集可谓精矣其间差舛者亦有乏且如牛黄清心丸一方用药二十九味药性
寒热
交错殊不可晓昔见老医云此方止是黄芩麝香龙脑羚羊角牛黄犀角雄黄蒲黄金箔九味而已自干
山药以后二十一味乃局方补虚门中山芋丸当时不知何故误作一方以上载周密癸辛杂志余始得
此说甚未以为然及考诸方书果信二方之合而为一也志之以俟博洽者订焉
李东垣内外伤辩先欲理脾胃极本之论也未免药伤于杂前辈谓其如韩信之用兵多多益善盖
讳
之也朱彦修医推于儒其识见颇高于杂病伤寒之旨恐非其长 国朝名家作手帷戴原礼赵良仁二
人之外落莫无闻也近代王汝言似窥庭户得前人之糟粕或者谓其议论名浮于实要之成功则难矣
哉(石门刘桂医论)
盛御医启东永乐中东宫妃张氏十月经不通众医以为胎而胀一日 上谓曰东妃有病往视
之东宫以 上命医也导之惟谨既诊出复曰使上病状早若何晚若何一如见
妃闻之曰朝廷有此医者不早令视我何也出而疏方皆破血之剂东宫视之大怒曰好御医早晚当诞
皇
孙乃为此方何也遂不用数日病益急乃复诊之曰再后三日臣不敢用药矣仍疏前方乃锁之禁中家
人惶怖或曰死矣或曰将籍没家矣既三日红棍前呼赏赐盛甚盖妃服药下血数斗疾遂平矣既而
上亦赐之曰非谢医乃压惊也(王文恪公笔记)
In the human body, Yin is often insufficient while Yang is often in excess. Therefore, Zhu Danxi repeatedly urged people to nourish Yin to harmonize with Yang; this was truly not intended to supplement Yin to overcome Yang. I recently saw Zhao Jizong's book *Ruyi Jingyao* (Essentials for Confucian Physicians), which refutes Zhu Danxi's supposed intention to exclusively supplement Yin and suppress Yang, arguing that this violates the constant principles of Yin and Yang and that there is absolutely no rationale for merely supplementing Yin. The book also refutes Wang Shuhe's error regarding the Mingmen (Gate of Life) belonging to Fire; refutes Zhang Zhongjing's methods for treating Taiyang syndrome without sweating, vomiting, or purgation; refutes Zhang Jiegu's failure to distinguish between heatstroke (Zhongshu) and intense heat (Zhongre); refutes the theory that stroke (Fengzhong) is caused by Fire, Qi, and Dampness; and refutes errors in the descriptions of the Twelve Meridians' pulses. Mr. Zhao adhered rigidly to his own views, arbitrarily established heretical theories to deceive people, violated the intent of the classics, and committed many offenses against moral orthodoxy. Alas! Zhang Zhongjing and Wang Shuhe are sages of medicine and teachers for a hundred generations. Who is Zhao Jizong to dare discuss such matters so lightly? This only shows his lack of self-awareness.
The *Heji Jufang* (Prescriptions from the Bureau of Harmonized Medicines) was compiled by famous physicians and can be considered exquisite. However, it also contains errors and omissions. For instance, the Niuhuang Qingxin Wan (Calf Bezoar Clearing Heart Pill) uses twenty-nine ingredients, with cold and hot properties intermixed, which is truly incomprehensible. I once heard an old physician say that this prescription actually consists of only nine herbs: Huangqin (Scutellariae Radix), Shexiang (Moschus), Longnao (Borneolum Syntheticum), Lingyangjiao (Capricornis Cornu), Niuhuang (Calculus Bovis), Xijiao (Rhinocerotis Cornu), Xionghuang (Realgar), Puhuang (Pollinis Typhae), and Jinbo (Lamina Aurii). The twenty-one ingredients following Gan Shanyao (Dioscoreae Rhizoma Dryum) were originally from the Shanyao Wan (Dioscorea Pill) in the deficiency-supplementing section of the *Jufang*, but were mistakenly combined into one formula at some unknown time. This account is recorded in Zhou Mi's *Guixin Zazhi*. When I first obtained this explanation, I did not fully believe it, but after consulting various medical texts, I confirmed that two formulas had indeed been merged into one. I record this here for scholars to verify.
Li Dongyuan's *Neiwai Shang Bian* (Differentiation of Internal and External Injury) prioritizes regulating the Spleen and Stomach, which is a fundamental argument. However, his prescriptions are inevitably mixed and complex. Predecessors commented that his use of medicines was like Han Xin leading troops: the more, the better, perhaps as a defense. Zhu Yanshou applied Confucian thought to medicine, and his insights were quite superior, yet he may not have excelled in the principles of miscellaneous diseases and Cold Damage (Shanghan). Among the renowned masters of our dynasty, apart from Dai Yuanli and Zhao Liangren, others are largely obscure. In recent times, Wang Ruyan seemed to glimpse the inner chambers of previous masters, obtaining their dregs. Some say his reputation exceeds his actual ability; ultimately, achieving success would be difficult. (From Liu Gui's Medical Discourses from Shimen)
Imperial Physician Sheng Qidong, during the Yongle era, treated Consort Zhang of the Eastern Palace who had not menstruated for ten months. Most physicians believed she was pregnant and experiencing distension. One day, the Emperor said to him, "The Consort of the Eastern Palace is ill; go examine her." The Crown Prince instructed him accordingly, guiding him with great caution. After examining her pulse and reporting back, he said, "If the illness had appeared earlier, what would have happened? If later, what then?" He acted as if he could see the Consort directly. Upon hearing this, the Consort said, "Does the court have such a physician? Why was I not consulted sooner?" He then prescribed a formula consisting entirely of blood-breaking agents. The Crown Prince viewed this with great anger, saying, "What a good imperial physician! We should soon have a royal grandson, yet you prescribe such a formula!" Consequently, the prescription was not used. A few days later, the condition became critical, and he was summoned again. He stated, "If you wait three more days, I will not dare to administer medicine." He still wrote out the previous prescription and was locked inside the forbidden palace. His family was terrified; some said, "He is dead," others said, "His property will be confiscated." After three days, a red-stick messenger (herald) called out ahead, bestowing lavish rewards. It turned out that after taking the medicine, the Consort expelled several dou of blood, and the illness subsided. Subsequently, the Emperor also bestowed gifts upon him, stating, "This is not to thank the physician, but to calm the nerves." (From Wang Wenke's Notes)