(亦名《肘后卒救方》,隐居又名《百一方》)
抱朴子丹阳葛稚川曰∶余既穷览坟索,以着述余暇,兼综术数,省仲景元化刘戴
秘要金
匮绿秩黄素方,近将千卷。患其混杂烦重,有求难得,故周流华夏九州之中,收拾奇
异,捃
拾遗逸,选而集之,便种类殊,分缓急易简,凡为百卷,名曰玉函。然非有力不能尽
写,又
见周甘唐阮诸家,各作备急,既不能穷诸病状,兼多珍贵之药,岂贫家野居所能立办
?又使
人用针,自非究习医方,素识明堂流注者,则身中荣卫尚不知其所在,安能用针以治
之哉!
是使凫雁挚击,牛羊搏噬,无以异也,虽有其方,犹不免残害之疾。余今采其要约以
为《肘
后救卒》三卷,率多易得之药,其不获已须买之者,亦皆贱价,草石所在皆有,兼之
以灸,
灸但言其分寸,不名孔穴。凡人览之,可了其所用,或不出乎垣篱之内,顾眄可具。
苟能信
之,庶免横祸焉!世俗苦于贵远贱近,是古非今,恐见此方,无黄帝仓公和鹊逾跗之
目,不
能采用,安可强乎?
太岁庚辰隐居曰∶余宅身幽岭,迄将十载。虽每植德施功,多止一时之设,可以传方
远裔者,莫过于撰述。见葛氏《肘后救卒》,殊足申一隅之思。夫生人所为大患,莫急于疾
,疾而不治,犹救火而不以水也。今辇掖左右,药师易寻,郊郭之外,已似难值。况穷村迥
野,遥山绝浦,其间枉夭,安可胜言?方术之书,滚动条徒烦,拯济殊寡,欲就披览,迷惑多
端,抱朴此制,实为深益。然尚阙漏未尽,辄更采集补阙,凡一百一首,以朱书甄别,为《
肘后百一方》,于杂病单治,略为周遍矣。昔应璩为百一诗,以箴规心行。今余撰此,盖欲
卫辅我躬。且《佛经》云,人用四大成身,一大辄有一百一病,是故深宜自想,上自通人,
下达众庶,莫不各加缮写,而究括之。余又别撰效验方五卷,具论诸病证,徒因药变通,而
并是大治,非穷居所资,若华轩鼎室,亦宜修省耳。葛序云,可以施于贫家野居,然亦不止
如是。今 绅君子,若常处闲佚,乃可披检方书,或从禄外邑,将命遐征;或宿直禁门,晨
宵隔绝;或急速戎陈,城闸极严阻,忽遇疾仓卒,唯拱手相看,曷若探之囊笥,则可庸竖成医
。故备论证候,使晓然不滞,一披条领,无使过差也。寻葛氏旧方,至今已二百许年,播于
海内,因而齐者,其效实多。余今重以该要,庶亦传之千祀,岂止于空卫我躬乎!旧方都有
八十六首,检其四蛇两犬不假殊题;喉舌之间,亦非异处;入冢御气,不足专名;杂治一条
,犹是诸病部类,强致殊分,复成失例,今乃配合为七十九首,于本文究具都无忖减,复添
二十二首,或因葛一事,增构成篇,或补葛所遗,准文更撰,具如后录。详悉自究,先次比
诸病,又不从类,遂具劳复在伤寒前,霍乱置耳目后,阴易之事,乃出杂治中。兼题与篇名
不尽相符,卒急之时,难于寻检,今亦复其铨次,庶历然易晓。其解散脚弱、虚劳、渴痢
、发背、呕血,多是贵胜之疾,其伤寒中风,诊候最难分别,皆应取之于脉,岂凡庸能究?
今所载诸方,皆灼然可用,但根据法施治,无使违逆。其痈疽,金疮形变甚众,自非具方,未
易根尽。其妇女之病、小儿之病,并难治之方法不少,亦载其纲要云,凡此诸方,皆是撮
其枢要,或名医垂记,或累世传良,或博闻有验,或自用得力,故复各题秘要之说,以避文
繁。又用药有旧法,亦不复假事事诠诏,今通立定格,共为成准。凡服药不言先食者,皆在
食前;应食后者,自各言之。凡服汤云三服。再服者,要袍山源涯味,或疏或数,足令势力
相及。毒利药,皆须空腹,补泻其间,自可进粥。凡散日三者,当取旦、中、暮进之。四
五服,则一日之中,量时而分均也。凡下丸散,不云酒水饮者,本方如此,而别说用酒水饮
,则是可通用三物服也。凡云分等,即皆是丸散,随病轻重所须,多少无定,铢两三种五种
,皆分均之分两。凡云丸散之若干分两者,是品诸药,宜多宜少之分两,非必止于若干分两
,假今日服三方寸匕,须瘥止,是三五两药耳。凡云末之,是捣筛如法。 咀者,皆细切之
。凡云汤煮,取三升,分三服,皆绞去滓而后酌量也。字方中用鸟兽屎作矢字,尿作溺字,
牡鼠亦作雄字,干作干字。凡云钱匕者,以大钱上全抄之;若云半钱,则是一钱抄取一边尔
;并用五铢钱也,方寸匕,即用方一寸抄之可也;刀圭准如两大豆。炮、熬、炙、洗治诸药
,凡用半夏,皆汤洗五六度,去滑;附子、乌头,炮,去皮,有生用者,随方言之;矾石熬
令汁尽
;椒皆出汗;麦门冬皆去心;丸散用胶皆炙;巴豆皆去心皮,熬,有生用者,随而言
之;杏
人去尖皮,熬,生用者言之;葶苈皆熬;皂荚去皮子;藜芦、枳壳、甘草皆炙;大枣、
栀子
擘破;巴豆、桃杏仁之类,皆别研捣如膏,乃和之;诸角皆屑之;麻黄皆去节;凡汤中
用
芒硝、阿胶、饴糖,皆绞去滓,纳汤中,更微煮令消;红雪、朴硝等,皆状此而入药也;
用
麻黄即去节,先煮三五沸,掠去沫后,乃入余药。凡如上诸法,皆已具载在余所撰本草上
卷
中。今之人有此《肘后百一方》者,未必得见本草,是以复疏方中所用者载之,此事若非
留
心
药术,不可尽知,则安得使之不僻缪也?案病虽千种,大略只有三条而已,一则腑脏经
络因
邪生疾;二则四肢九窍内外交媾;三则假为他物横来伤害,此三条者,今各以类,而分
别之
,贵图仓卒之时,披寻简易故也。今以内疾为上卷,外发为中卷,他犯为下卷,具列之
云。
上卷三十五首治内病。
中卷三十五首治外发病。
下卷三十一首治为物所苦病。
(This work is also known as *Zhouhou Cujiu Fang* (Emergency Rescue Formulas for the Arm of the Sleeve), and the Recluse also refers to it as *Baiyi Fang* (Hundred-One Formulas).)
Baopuzi, Ge Zhichuan of Danyang, said: "Having thoroughly examined ancient texts, and in my leisure time from writing, I have also integrated the study of divination and numerology. I reviewed the secret golden caskets, green scrolls, and yellow records of formulas by Zhang Zhongjing, Hua Tuo, Liu Dai, and others, totaling nearly a thousand volumes. Worried that these contents were mixed and burdensome, making them difficult to access when needed, I traveled throughout the Central Plains and the Nine Provinces, collecting unusual remedies and gathering lost or scattered prescriptions. After selection and compilation, due to the diversity of categories and the distinction between urgent and non-urgent matters, simplified into one hundred volumes, named *Yuxian* (Jade Box). However, not everyone has the means to copy them all. Furthermore, I observed that various families such as Zhou Gan, Tang Ruan, etc., each produced emergency formulas (*Beiji*), yet they could not exhaustively cover all disease manifestations and often relied on precious herbs, which poor families and rural dwellers could hardly afford immediately. Moreover, requiring patients to use acupuncture without thorough study of medical texts and familiarity with the Mingtang (Acupuncture Points) and flow of Qi and Blood would leave even the location of Ying and Wei (Nutritive and Defensive Qi) unknown, making it impossible to treat effectively! This would be no different from catching wild ducks and geese or cattle and sheep fighting and biting each other; even with formulas, one cannot avoid harm. Now, I have selected the essential points to compile *Zhouhou Jiuzu* (Emergency Rescue at the Elbow) in three volumes. Most herbs used are easily obtained; those that must be purchased are inexpensive, with grasses, stones, and minerals available everywhere. Combined with moxibustion, where only measurements are given without specific acupoint names, ordinary people can understand their usage upon reading. The necessary items might be found within one's own fence, just by looking around. If trusted and used, perhaps one can avoid sudden disasters! The secular world suffers from valuing the distant over the near and praising the past while criticizing the present. They may fear that this formula book lacks the prestigious names of Huangdi (Yellow Emperor), Cang Gong, He Que, and Yu Fu, and thus refuse to adopt it. How can we force them?"
In the Gengchen year, the Recluse said: "I have dwelled in secluded mountains for nearly ten years. Although I frequently cultivate virtue and perform good deeds, most are temporary acts. The best way to transmit prescriptions to distant descendants is through writing. Seeing Ge’s *Zhouhou Jiuzu*, it sufficiently expands my limited thoughts. The greatest worry for living beings is illness; failing to treat illness is like trying to extinguish fire without water. Now, carriages are nearby, and pharmacists are easy to find, but outside the suburbs, they become hard to locate. Especially in remote villages and wilderness, far mountains and isolated shores, how can one count the number of premature deaths? Medical texts are often verbose and confusing, offering little practical help. When browsing, confusion abounds. Baopuzi’s compilation is truly beneficial. However, there are still omissions. I have collected and supplemented missing parts, totaling 101 formulas, distinguished by red ink, titled *Zhouhou Baiyi Fang*. For miscellaneous diseases, single treatments are roughly comprehensive. In the past, Ying Qu wrote 'Hundred-One Poems' to admonish moral conduct. My compilation aims to protect myself. As the Buddhist scriptures state, the human body is formed by the Four Elements; if one element is imbalanced, it causes 101 diseases. Therefore, one should reflect deeply. From the enlightened to the common masses, everyone should copy and study these texts. I have also separately compiled five volumes of *Verified Formulas*, discussing various symptoms and adapting treatments based on herbs, suitable for major cures, not just for those in poverty. Even wealthy households should review them. Ge’s preface mentions applicability to poor rural homes, but its value extends beyond that. Gentlemen who live in leisure can browse these books; those serving in distant counties, on long missions, guarding palace gates day and night, or in strict military camps, facing sudden illness with no recourse, would benefit greatly from having these formulas ready, turning laymen into doctors. Thus, I have detailed symptoms and signs to ensure clarity. Reviewing Ge’s old formulas, now over two hundred years old and spread across the land, many have been standardized with good results. I have reorganized the essentials, hoping to pass them down for millennia, not just for self-protection. There were originally 86 formulas. I checked that titles like 'Four Snakes' and 'Two Dogs' did not require special headings; throat and tongue issues were not separate; entering tombs and controlling Qi were not unique categories; miscellaneous treatments were grouped under general disease categories. Forced separation created inconsistencies. Now, combined into 79 formulas, preserving the original content without reduction, plus 22 new ones added either by expanding on Ge’s cases or supplementing his omissions, as listed below. Detailed examination shows that previously, conditions like relapse after recovery were placed before cold damage, cholera after ear and eye disorders, and Yin-Yi transformation emerged from miscellaneous treatments. Titles and chapter names did not always match, making lookup difficult in emergencies. I have restored the order for clarity. Conditions like joint stiffness, deficiency consumption, thirst and dysentery, back carbuncles, and hematemesis are mostly diseases of the elite. Cold damage and wind-stroke are hardest to distinguish diagnostically, requiring pulse diagnosis, which laypeople cannot master. All formulas herein are effective if followed strictly. For sores, ulcers, and metal wounds, variations are numerous; without complete formulas, root causes are hard to eliminate. Women’s and children’s diseases and difficult-to-treat methods are also summarized. These formulas capture the essence, recorded by famous doctors, passed down through generations, verified by broad experience, or tested personally. To avoid verbosity, I have noted their secret origins. Regarding herb preparation, old methods are retained without excessive explanation, establishing standard rules. Unless specified otherwise, decoctions are taken before meals; those requiring post-meal intake are noted. Decoctions taken three times daily: subsequent doses vary in frequency to maintain efficacy. Purgatives must be taken on an empty stomach; tonics or draining agents can be followed by porridge. Powders taken three times daily should be administered morning, noon, and evening. Four or five doses per day should be evenly spaced. Pills and powders taken with water or wine: if not specified, any of the three liquids can be used. 'Equal parts' refers to pills and powders, varying by disease severity. Weights like 3, 5, or more zhu are divided equally. 'X portions of pills/powders' indicates relative proportions of ingredients, not fixed total weight. E.g., taking three square-inch spoons today requires stopping when cured, amounting to 3-5 liang of herbs. 'Grind into powder' means crushing and sieving properly. 'Ju' means finely chopping. Decoctions yielding 3 sheng, divided into 3 doses, must be strained before measuring. Characters in formulas: bird/beast feces written as 'shi', urine as 'ni', male rat as 'xiong', dry as 'gan'. 'Qianbi' (coin spoon): full scoop on a large coin; half-qianbi scoops one side. Five-zhu coins used. 'Fangcunbi' (square-inch spoon): scoop area of one square inch. 'Daogui' (knife tip): size of two large soybeans. Processing herbs: frying, roasting, baking, washing. Banxia (Pinellia Rhizome): wash 5-6 times in hot water to remove slipperiness. Fuzi (Aconite Lateral Root) and Wutou (Aconite Root): roast, peel skin; some used raw as directed. Fanshi (Alum): roast until juice evaporates. Jiao (Sichuan Pepper): sweat out moisture. Maidong (Ophiopogon Tuber): remove heart. Glue for pills/powders: roast. Badou (Croton Seed): remove heart and skin, roast; some used raw as directed. Xingren (Apricot Kernel): remove tip and skin, roast; some used raw as directed. Tingli (Descurainia Seed): roast. Zaojia (Tamarind Bean): remove skin and seeds. Lilu (Veratrum Rhizome), Zhike (Bitter Orange), Gancao (Licorice Root): roast. Dazao (Jujube), Zhizi (Gardenia Fruit): split open. Badou, Tao Ren (Peach Kernel), Xing Ren: grind separately into paste before mixing. Horns: powderize. Mahuang (Ephedra Stem): remove joints. Mangxiao (Mirabilite), Ejiao (Donkey-Hide Gelatin), Yitang (Maltose) in decoctions: strain impurities, add to liquid, simmer gently to dissolve. Hongxue (Red Snow), Poxiao (Niter): prepare similarly. Mahuang: remove joints, boil first 3-5 minutes, skim foam, then add other herbs. All above methods are detailed in my *Bencao Shangjuan* (Compendium of Materia Medica, Upper Volume). Readers of *Zhouhou Baiyi Fang* may not see the *Bencao*, so I list preparations here. Without attention to herbal arts, errors arise. Diseases, though thousands in type, fall into three main categories: 1. Internal organs and meridians diseased by pathogens; 2. Limbs and nine orifices affected internally and externally; 3. Harm caused by external objects. These three are categorized for easy reference in emergencies. Internal diseases form the Upper Volume, external eruptions the Middle Volume, and injuries by foreign objects the Lower Volume.
Upper Volume: 35 formulas for internal diseases.
Middle Volume: 35 formulas for external eruptions.
Lower Volume: 31 formulas for injuries by foreign objects.