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《神农本经》,余以为信然。昔神农氏之王天下也,画八卦,以通鬼
神之情;造耕种,以省杀生之弊;宣药疗疾,以拯天伤之命。此三道者,历众圣而滋彰。文
王、孔子、彖、象繇、辞,幽 人天。后稷、伊芳尹,播厥百谷,惠被群生。岐、黄、彭、扁
,
振杨辅导,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
在于编简,此书应与《素问》同类,但后人多更修饰之尔。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,(臣禹锡等谨按蜀本作KT ,音糜。)千
不遗
》
《神农本草》三卷。又据《本经》陶序后朱书云∶《本草经》卷上、卷中、卷下。卷上注云∶
序药性之源本,论病名之形诊;卷中云∶玉石、草、木三品;卷下云∶虫兽、果、菜、米食
三品。即不云三卷外别有序录,明知韩保所云∶承据误本,妄生曲说,今当从三卷为正。)
是其《本经》。所出郡县,乃后汉时制,疑仲景、元化等所记。又云有《桐君采药录》,说
其花叶形色。《药对》四卷,论其佐使相须,魏、晋以来,吴普、(臣禹锡等谨按蜀本注
∶普,广陵人也,华佗弟子。撰《本草》一卷。)李当之(臣禹锡等谨按蜀本注云∶华佗弟
子
。修神农旧经,而世少行用。)等,更复损益。或五百九十五,或四百四十一,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,互有得失,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,合七百三十种。精粗皆取,无复遗落,分别科条,区畛(
音轸)物类,兼注铭(音瞑)时用,土地所出,及仙经道术所须,并此序录,合为七卷。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(序药性之源本,论病名之形诊,题记品录,详览施用。)
本草经卷中(玉石、草、木三品。)
本草经卷下(虫兽、果、莱、米食三品,有名未用三品。)
右三卷,其中、下二卷,药合七百三十种,名别有目录,并朱、墨杂书并子注,今大书
分为
七卷。(唐本注《汉书·艺文志》有黄帝内、外经。班固论云∶经方者,本草石之寒温,
原
疾病之深浅。乃班固论经方之语,而无本草之名。唯粱《七录》有《神农本草》三卷,陶据
此以别录加之为七卷。序云三品混糅,冷热舛错,草、石不分,虫、兽无辨;岂使草木同品
,虫兽共条,披览既难,图绘非易。今以序为一卷,例为一卷,玉石三品为三卷,草三品为
六卷,木三品为三卷,禽兽为一卷,虫鱼为一卷,果为一卷,莱为一卷,米谷为一卷,有名
未用为一卷,合二十卷。其十八卷中,药合八百五十种,三百六十一种“本经”,一百八十
一种“别录”,一百一十五种“新附”,一百九十三种“有名未用”。)
上药一百二十种为君,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。
中药一百二十种为臣,主养性以应人,无毒、有毒,斟酌其宜。欲遏病补虚羸者,本中
经。
下药一百二十五种为佐使,主治病以应地,多毒,不可久服。欲除寒热邪气、破积聚、
愈疾
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,合七百三十名
也。
百
录》之文也,当作墨书矣。盖传写浸久,朱、墨错乱之所致耳。遂令后世览之者,捃摭此类
,以谓非神农之书,乃后人附托之文者,率以此故也。)
上本说如此。今按上品药性,亦皆能遣疾,但其势力和浓,不为仓猝之效,然而岁月常
服,
必获大益,病既愈矣,命亦兼申。天道仁育,故云应天。一百二十种者,当谓寅、卯、辰、
巳之月,法万物生荣时也。
中品药性,疗病之辞渐深,轻身之说稍薄,于服之者祛患当速,而延龄为缓。人怀性情,
故
下品药性,专主攻击,毒烈之气,倾损中和,不可常服,疾愈即止。地体收杀,故云应
地。
凡合和之体,不必偏用之,自随人患,参而共行。但君臣配隶,根据后所说,若单服之者,
所不论尔。
药有君、臣、佐、使,以相宣摄。合和宜用一君、二臣、三佐、五使;又可一君、三臣、
九佐、使也。
上本说如此,今按用药,犹如立人之制,若多君少臣,多臣少佐,则气力不周也。而检
仙经
、世俗者方,亦不必皆尔。大抵养命之药则多君,养性之药则多臣,疗病之药则多佐;犹根据
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,皆不同秩。自非农歧之徒,孰敢诠正,正应领略轻重,为其分剂也
。
药有阴阳配合,(臣禹锡等谨按蜀本注云∶凡天地万物,皆有阴阳、大小,各有色类,
寻究
其理,并有法象。故毛羽之类,皆生于阳而属于阴;鳞介之类,皆生于阴而属于阳。所以空
青法木,故色青而主肝;丹砂法火,故色赤而主心;云母法金,故色白而主肺;雌黄法土,
故色黄而主脾;磁石法水,故色黑而主肾。余皆以此推之,例可知也。)子母兄弟,(臣禹锡
等谨按蜀本注云∶若榆皮为母,浓朴为子之类是也。)根茎花实,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,合和视之,当
用相须、相使者良,勿用相恶、相反者。若有毒宜制,可用相畏、相杀者;不尔,勿合用
也。(臣禹锡等谨按蜀本注云∶凡三百六十五种,有单行者七十一种,相须者十二种,相
使者
九十种,相畏者七十八种,相恶者六十种,相反者十八种,相杀者三十六种。凡此七情,合
和视之。)
上本说如此。今按其主疗虽同,而性理不和,更以成患。今检旧方用药,亦有相恶、相
反者
,服之乃不为害。或能有制持之者,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,俗方玉石散,用栝蒌、干姜,略
举大体如此。其余复有数十条,别注在后。半夏有毒,用之必须生姜,此是取其所畏,以相
制尔。其相须、相使者,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,
采造时月生熟,土地所出,真伪陈新,并各有法。
上本说如此。又有分剂称两,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,以至殒命。医者意也,
古之所谓良医者,盖善以意量得其节也。谚云∶俗无良医,枉死者半;拙医疗病,不如不疗
。喻如宰夫,以鳝(音善)鳖为 羹,食之更足成病,岂充饥之可望乎?故仲景云∶“如此
死者,愚医杀之也。”
药性有宜丸者,宜散者,宜水煮者,宜洒渍者,宜膏煎者,亦有一物兼宜者,亦有不可
入汤
上本说如此。又按∶病有宜服丸者,服散者,服汤者,服酒者,服膏煎者,亦兼参用,
察病之源,以为其制也。
欲疗病,先察其源,先候病机,五脏未虚,六腑未竭,血脉未乱,精神未散,服药必活。
若病已成,可得半愈。病势已过,命将难全。
上本说如此。按今自非明医,听声察色,至乎诊脉,孰能知未病之病乎?且未病之人,
亦无
肯自疗。故桓侯怠于皮肤之微,以致骨髓之痼。今非但识悟之为难,亦乃信受之弗易。仓公
有言曰∶“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
病之所由来虽多端,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、逸,皆各是邪,非独鬼气疫疠者矣。人生气中,如鱼在水,水浊则鱼瘦,气昏
则人病。邪气之伤人,最为深重,经络既受此气,传入脏腑,随其虚实冷热,结以成病,病
又相生,故流变遂广。精神者,本宅身以为用。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,岂得不致于死乎?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,犹因药疗致愈,昔李子豫有赤丸之例是也。其药疗无
益
者,是则不可祛,晋景公膏肓之例是也。大都鬼神之害则多端,疾病之源唯一种,盖有轻重
者尔。《真诰》中有言曰∶常不能慎事上者,自致百 之本,而怨咎于神灵乎?当风卧湿,
反责他人于失覆,皆痴人也。夫慎事上者,谓举动之事,必皆慎思;若饮食恣情,阴阳不节
,最为百 之本。致使虚损内起,风湿外侵,所以共成其害,如此者,岂得关于神明乎?唯
当勤于药术疗理尔。
若用毒药疗病,先起如黍粟,病去即止,不去倍之,不去十之,取去为度。
上本说如此,按今药中单行一两种有毒物,只如巴豆、甘遂之辈,不可便令至剂尔。如
经所
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,服三丸如胡豆;四物
一毒,服四丸如小豆;五物一毒,服五丸如大豆,六物一毒,服六丸如梧子;从此至十,皆
如梧子,以数为丸。而毒中又有轻重,且如野狼毒、钩吻。岂同附子、芫花辈邪?凡此之类,
皆须量宜。(臣禹锡等谨按唐本旧云∶三物一毒,服三丸如小豆;四物一毒,服四丸如大
;五物一毒,服五丸如兔屎。注云∶谨按∶兔屎大于梧子,等差不类,今以胡豆替小豆,
小豆替大豆,大豆替兔屎,以为折衷。)
疗寒以热药,疗热以寒药,饮食不消以吐下药,鬼疰蛊毒以毒药,痈肿疮瘤以疮药,风
湿以
上本说如此,又按药性,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。褚澄疗寡妇、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,先服药而后食;病在四肢、血脉者,
宜空
腹而在旦;病在骨髓者,宜饱满而在夜。
上本说如此。按其非但药性之多方,其节适早晚,复须条理。今方家所云“先食”、“后
食
”,盖此义也。又有须酒服者、饮服者、冷服者、暖服者。服汤则有疏、有数,煮汤则有生
、有熟,各有法用,并宜审详尔。
夫大病之主,有中风、伤寒、寒热、温疟,中恶、霍乱,大腹、水肿,肠 、下痢,大
小便
不通,奔豚上气,咳逆呕吐,黄胆、消渴,留饮、癖食,坚积、症瘕,惊邪、癫痫、鬼疰,
喉痹、齿痛,耳聋、目盲,金疮、 (乌卧切)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。此大略宗兆,其间变动枝叶,
各宜根据端绪以取之。
上本说如此。按今药之所主,只说病之一名,假令中风,乃有数十种,伤寒证候,亦有
二十
余条,更复就中求其类例,大体归其始终,以本性为根宗,然后配合诸证,以合药尔。病之
变状,不可一概言之。所以医方千卷,犹未尽其理。春秋以前,及和、缓之书蔑闻,而道经
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,今时有存者,亦皆条理
药性。唯张仲景一部,最为众方之祖,又悉根据本草。但其善诊脉,明气候,以意消息之尔。
至于刳肠、剖臆,刮骨、续筋之法,乃别术所得,非神农家事。自晋代以来,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,及江左葛洪、蔡谟、商仲堪诸名人等,并研精药术。宋有羊欣、元徽、胡洽、秦承祖
,齐有尚书褚澄、徐文伯、嗣伯群从兄弟,疗病亦十愈其八九。凡此诸人,各有所撰用方,
观其指趣,莫非本草者乎?或时用别药,亦循其性度,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,或田舍试验之法,或殊域异识之术。如藕皮散血,起
自庖人;牵牛逐水,近出野老。饼店蒜齑,乃是下蛇之药;路边地菘,而为金疮所秘。此盖
天地间物,莫不为天地间用,触遇则会,非其主封矣。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,乃至飞丹炼石之奇,云腾羽化之妙,莫不以药
Mr. Yinju (Hermit) resides upon the rocky ridges of Maoshan Mountain. In his leisure time after practicing Tuna (breath regulation and health preservation), he showed considerable interest in medical arts, studying the properties of herbs from the Bencao (Materia Medica). He believed that this work fully embodied the intent of the sages, and thus he compiled and expounded upon it. Old traditions all refer to it as the *Shennong Benjing* (Divine Farmer's Materia Medica), which I believe is correct. In ancient times, when Shennong ruled the world, he drew the Eight Trigrams to understand the nature of spirits and gods; he invented farming and planting to reduce the harm of killing living beings; and he promoted the use of medicine to treat diseases, thereby saving lives lost to natural causes. These three paths were further clarified and propagated through successive sages. King Wen of Zhou and Confucius, along with the Tuan (Commentary on the Decision), Xiang (Commentary on the Images), and Yao Ci (Line Statements), profoundly elucidated heavenly principles. Houji and Yi Yin sowed various grains, bestowing benefits upon all living creatures. Qibo, Huangdi (Yellow Emperor), Pengzu, and Bian Que promoted and guided these teachings, their grace flowing to all sentient beings. Over three thousand years have passed, yet people still rely on them today. However, before Xuanyuan (Huangdi), texts had not yet been transmitted. For instance, the guidance of the six lines and images depicting agriculture were established through events and traces. Regarding the therapeutic indications of medicinal properties, they must be understood through a chain of knowledge transmission; otherwise, how could they be known? It was only with Tongjun and Leigong that these were recorded on bamboo slips. This book should be of the same category as the *Suwen* (Basic Questions), though later generations added much embellishment. During the burning of books by Qin Shi Huang, medical prescriptions and divination techniques were spared, allowing them to be preserved intact. However, following the displacement of Emperor Xian of Han and the flight of Emperor Huai of Jin, many documents were burned or scattered. Only three volumes of the *Shennong Bencao* remained. According to vermilion ink notes after Tao Hongjing’s preface in the *Benjing*, the *Bencao Jing* is divided into Upper, Middle, and Lower scrolls. The Upper Scroll notes: "Explains the origin of drug properties and discusses the physical diagnosis of disease names." The Middle Scroll states: "Minerals, stones, herbs, and trees, categorized into three grades." The Lower Scroll states: "Insects, beasts, fruits, vegetables, and grains, categorized into three grades." There is no mention of additional prefaces or catalogs outside these three volumes. It is clear that Han Bao’s claim, based on erroneous versions and speculative theories, is incorrect; we should now take the three-volume version as standard. This is his *Benjing*. The commanderies and counties listed were established during the Later Han dynasty, leading one to suspect they were recorded by Zhang Zhongjing or Hua Tuo. It is also said that there exists a *Tongjun Caoyao Lu* (Record of Tongjun’s Herb Gathering), which describes the shapes and colors of flowers and leaves. The *Yaodui* (Drug Pairs), in four volumes, discusses the complementary relationships between drugs. Since the Wei and Jin dynasties, figures such as Wu Pu (Note by Chen Yuxi et al.: Wu Pu was from Guangling and a disciple of Hua Tuo. He wrote one volume of *Bencao*.) and Li Dang (Note by Chen Yuxi et al.: A disciple of Hua Tuo. He revised the old Shennong classic, but it was rarely used in the world.) have made further additions and deletions. Some versions list 595 species, others 441, and still others 319. Some mix the three grades, confusing cold and hot properties, failing to distinguish between herbs and minerals, and lacking clarity between insects and beasts. Moreover, the therapeutic indications vary in accuracy and error. Since physicians cannot see all treatments, their understanding and wisdom vary in depth. I have now synthesized the various classics, studied and condensed the complex materials, taking the 365 species of the three grades from the *Shennong Benjing* as the main body, and adding 365 species from famous doctors as supplementary items, totaling 730 species. Both refined and coarse materials are included, with nothing left out. Categories and sections are distinguished, and classes of substances are separated. Notes on usage, geographical origins, and requirements for Daoist immortality practices are included. Combined with this preface and catalog, the work comprises seven volumes. Although it may not fully follow the great masters of the past, it represents a unique compilation. After my death, it can be passed on to those who appreciate it.
Bencao Jing, Volume Upper (Explains the origin of drug properties, discusses the physical diagnosis of disease names, records categories, and details application.)
Bencao Jing, Volume Middle (Minerals, stones, herbs, and trees, three grades.)
Bencao Jing, Volume Lower (Insects, beasts, fruits, vegetables, and grains, three grades; plus 365 species named but unused.)
These three volumes contain 730 species in the Middle and Lower scrolls. Names have separate catalogs, including vermilion and black ink annotations and sub-notes. Currently, these are expanded into seven large-volume editions. (Tang edition note: *Book of Han · Bibliography* mentions the *Huangdi Neijing* and *Waijing*. Ban Gu stated: "Jingfang (Classic Prescriptions) rely on the cold/warm nature of herbs and stones, tracing the depth of diseases." This is Ban Gu’s discussion of Jingfang, without using the name 'Bencao'. Only Liang Dynasty’s *Qilu* lists *Shennong Bencao* in three volumes. Tao Hongjing used this to add his *Bielu* (Separate Records) to create seven volumes. The preface mentions mixed grades, confused cold/hot properties, indistinct herbs/minerals, and unclassified insects/beasts. Does this imply mixing herbs and trees in one grade, and insects and beasts in one section, making reading difficult and illustration hard? Now, the preface forms one volume, examples form one volume, minerals/stones/three grades form three volumes, herbs/three grades form three volumes, trees/three grades form three volumes, birds/beasts form one volume, insects/fish form one volume, fruits form one volume, vegetables form one volume, grains form one volume, and named-but-unused form one volume, totaling twenty volumes. Among these eighteen volumes, there are 850 species: 361 from 'Benjing', 181 from 'Bielu', 115 'Newly Added', and 193 'Named but Unused'.)
Superior drugs (120 species) serve as Sovereigns (Jun), nurturing life to correspond with Heaven. They are non-toxic; long-term or heavy use does not harm the body. Those seeking to lighten the body, boost qi, prevent aging, and prolong life should base their regimen on the Superior Grade.
Medicinal drugs (120 species) serve as Ministers (Chen), nurturing nature to correspond with Humanity. They may be non-toxic or toxic; dosage must be carefully considered. Those seeking to suppress disease and tonify emaciation should base their regimen on the Medicinal Grade.
Inferior drugs (125 species) serve as Assistants and Envoys (Zuo-Shi), treating illness to correspond with Earth. They are mostly toxic and should not be taken long-term. Those seeking to eliminate cold-heat pathogens, break up accumulations, and cure diseases should base their regimen on the Inferior Grade.
The three grades total 365 species, corresponding to the 365 degrees of heaven, one degree per day to complete a year. Doubling this number results in 730 names.
(Note regarding text corruption: The original text likely contained vermilion ink, but due to long copying processes, vermilion and black ink became confused. This led later readers to mistakenly believe these parts were not written by Shennong but added by later authors.)
As stated above, examining the Superior Grade drugs, they can indeed dispel illness, but their action is gentle and profound, not producing immediate effects. However, long-term daily use brings great benefit; once the illness is cured, life is also extended. Heaven’s way is benevolent nurturing, hence it corresponds to Heaven. The 120 species correspond to the months of Yin, Mao, Chen, and Si, mirroring the time when all things grow and flourish.
Medicinal Grade drugs have deeper therapeutic descriptions and weaker claims for lightening the body. For users, they remove afflictions quickly but extend lifespan slowly. Humans possess temperament and nature, hence they correspond to Humanity.
Inferior Grade drugs focus on attack. Their toxic and fierce energy disrupts balance and should not be taken regularly; stop once the illness is cured. Earth’s nature is gathering and killing, hence it corresponds to Earth.
In compounding, one need not use drugs exclusively; usage should follow the patient's condition, combining ingredients. However, the hierarchy of Sovereign, Minister, Assistant, and Envoy follows the rules mentioned below. If taken singly, this hierarchy does not apply.
Drugs have Sovereign, Minister, Assistant, and Envoy roles to mutually support and regulate. Compounds should ideally use one Sovereign, two Ministers, three Assistants, and five Envoys; alternatively, one Sovereign, three Ministers, nine Assistants, and five Envoys.
As stated above, prescribing drugs is like establishing social order. Too many Sovereigns and few Ministers, or too many Ministers and few Assistants, leads to an imbalance of qi power. Checking immortal scriptures and secular formulas, this is not always the case. Generally, drugs for nurturing life have more Sovereigns; drugs for nurturing nature have more Ministers; drugs for treating disease have more Assistants. One must consider the inherent nature of the drug and make adjustments. Using this method wisely is beneficial. Furthermore, within the Superior Grade Sovereigns, there are distinctions of nobility and baseness, like feudal lords who acknowledge the Zhou dynasty. Similarly, among Ministers and Assistants, there are hierarchies. For example, Dongchun (Asparagus cochinchinensis) and Yuanzhi (Polygala tenuifolia) have distinct Sovereign/Minister roles; Gancao (Licorice) is the 'State Elder', Dahuang (Rhubarb) is the 'General', indicating their differences in rank. Unless one is a disciple of Nong (Shennong) or Qi (Qibo), who dares to judge correctly? One should grasp the weight and measure for appropriate dosing.
Drugs have Yin-Yang combinations. (Note by Chen Yuxi et al.: All things in heaven and earth have Yin/Yang, size, color, and class. Studying their principles reveals symbolic correspondences. Thus, feathered/furred creatures are born from Yang but belong to Yin; scaled/shelled creatures are born from Yin but belong to Yang. Kongqing (Azurite) corresponds to Wood, hence green and governs the Liver; Dansha (Cinnabar) corresponds to Fire, hence red and governs the Heart; Yunmu (Muscovite) corresponds to Metal, hence white and governs the Lungs; Cihuang (Orpiment) corresponds to Earth, hence yellow and governs the Spleen; Cishi (Magnetite) corresponds to Water, hence black and governs the Kidneys. Other cases can be deduced similarly.) Mother-child relationships, (Note: e.g., Yu Pi (Elm bark) as Mother, Houpo (Magnolia bark) as Child.) roots, stems, flowers, fruits, herbs, minerals, flesh, and bones. Some act alone (Danxing), some require mutual enhancement (Xiangxu), some assist each other (Xiangshi), some fear each other (Xiangwei), some dislike each other (Xiange), some oppose each other (Xiangfan), and some kill each other's toxicity (Xiangsha). Of these Seven Emotions, when compounding, use Xiangxu and Xiangshi for best results; do not use Xiange and Xiangfan. If toxicity needs control, use Xiangwei and Xiangsha; otherwise, do not combine them. (Note: Of 365 species, 71 act alone, 12 enhance mutually, 90 assist, 78 fear, 60 dislike, 18 oppose, 36 kill toxicity.)
As stated above, although therapeutic targets may be similar, if their natures conflict, they cause harm. Examining old formulas, some use Xiange or Xiangfan drugs without causing harm because they are controlled by other ingredients, just as ministers like Guan Zhong and Jia Su supported Han, or Cheng Yaojin and Zhou Tong supported Wu; if the main principle is correct, private conflicts do not cause harm. Nevertheless, it is better not to use them if possible. For example, the Immortal Formula Gancao Wan contains Fangji and Xixin; the Secular Formula Yushi San uses Gualou and Ganjiang. These are general examples. Dozens of other cases are noted separately. Banxia (Pinellia) is toxic and must be used with Shengjiang (Fresh Ginger) to counteract its toxicity via Xiangwei. Xiangxu and Xiangshi drugs need not be of the same category, just as soup requires various ingredients, or fish/meat pairs with scallions and fermented soybeans, each having its proper role in mutual promotion.
Drugs have Sour, Salty, Sweet, Bitter, and Pungent Five Flavors, Cold, Hot, Warm, and Cool Four Qi, and Toxic/Non-toxic properties. Methods include drying in shade or sun, harvesting seasons, ripeness, geographical origin, authenticity, age, and freshness, all with specific rules.
As stated above, dosage and weight must be carefully distinguished. If used appropriately to match the disease, recovery and longevity will follow. If cold/hot properties are mismatched, true/false nature ignored, or dosage incorrect, the condition may worsen, even leading to death. Medicine requires intuition. Ancient good physicians were skilled at gauging the right rhythm through insight. As the saying goes: "In common practice, half die wrongly due to lack of good doctors; incompetent treatment is worse than none." Like a cook making soup with eels and turtles, eating it may cause illness rather than satisfy hunger. Thus, Zhongjing said: "Such deaths are caused by foolish doctors."
Drug properties suit different forms: pills, powders, water decoctions, wine maceration, or ointments. Some drugs suit multiple forms; some cannot be boiled.
As stated above, diseases suit different administration methods: pills, powders, decoctions, wine, or ointments. These can be combined, observing the disease source to determine the form.
To treat disease, first examine the source and monitor the pathogenesis. If the Five Zang organs are not deficient, Six Fu organs not exhausted, blood vessels not chaotic, and spirit not scattered, medication will surely succeed. If the disease has formed, half recovery is possible. If the disease momentum has passed, life is hard to save.
As stated above, unless one is a wise physician who listens to sounds, observes colors, and diagnoses pulses, who can know the disease before it manifests? Moreover, healthy people rarely seek self-treatment. Thus, Huan Tou neglected minor skin issues, leading to deep bone marrow disease. Now, not only is understanding difficult, but belief is also hard. Cang Gong said: "Refusing to take medicine is the first cause of death; believing in shamans over doctors is the second; neglecting one's body and failing to be cautious is the third." Although diseases arise from many sources, they all relate to 'Xie' (Pathogens). Xie refers to abnormal causes, not normal human physiology. Wind, Cold, Summer-heat, Dampness, hunger, fullness, labor, and rest are all pathogens, not just ghostly qi or epidemics. Human life exists in Qi like fish in water; turbid water makes fish weak, confused Qi makes humans sick. Pathogenic invasion is severe; entering meridians and transmitting to Zang-Fu, it forms disease based on deficiency/excess and cold/heat, generating further changes. Spirit resides in the body. When the body is invaded, spirit becomes chaotic. Once spirit is chaotic, ghosts enter, ghostly power strengthens, and spiritual defense weakens, leading to death. Ancients compared this to planting trees, which is accurate. However, some diseases originate from ghosts/spirits and should be dispelled by prayer. Although prayer can help, healing often still requires medicine, as seen in Li Ziyu’s Red Pill case. Cases where medicine is useless, like Duke Jing of Jin’s 'Gao Huang' (deep interior) disease, cannot be dispelled by prayer. Ghostly harm is diverse, but the source of disease is singular, differing only in severity. *Zhengao* states: "Those who fail to be cautious bring about hundreds of illnesses themselves; why blame spirits? Sleeping in wind and dampness while blaming others for lack of cover is foolish. Being cautious means thinking carefully in all actions. Indulging in diet and sex, lacking Yin-Yang restraint, is the root of hundreds of illnesses. This causes internal deficiency and external wind-damp invasion. Such harm is not related to deities but requires diligent medical treatment."
When using toxic drugs 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 cured.
As stated above, currently, single toxic drugs like Badou (Croton seed) and Gansui (Kansui root) should not be given in large doses. As the classic says: One toxic drug, one pill size of fine hemp; two toxic drugs, two pills size of large hemp; three toxic drugs, three pills size of Hu dou (fava bean); four toxic drugs, four pills size of small beans; five toxic drugs, five pills size of large beans; six toxic drugs, six pills size of wutong seeds. From seven to ten, all are wutong seed size, numbered accordingly. Toxicity varies; Yelangdu (Daphne genkwa) and Gouwen (Aconitum coreanum) differ from Fuzi (Prepared Aconite) and Yuanhua (Genkwa flower). All such cases require appropriate measurement. (Tang note: Three toxic drugs, three pills size of small beans... Note: Rabbit droppings are larger than wutong seeds, so substitute fava beans for small beans, small beans for large beans, large beans for rabbit droppings for balance.)
Treat Cold with Hot drugs, Heat with Cold drugs, indigestion with vomiting/purgative drugs, ghostly infection and gu poison with toxic drugs, abscesses and tumors with wound-healing drugs, wind-damp with...
As stated above, one drug may treat over ten diseases; take its primary strength as the basis. Also observe the patient's deficiency/excess, tonification/purging needs, gender, age, suffering/joy, prosperity/emaciation, and local customs, all of which vary. Chu Cheng treated widows and nuns differently from wives' families, understanding their psychological state.
For diseases above the chest/diaphragm, eat first, then take medicine. For diseases below the heart/abdomen, take medicine first, then eat. For diseases in limbs/blood vessels, take on an empty stomach in the morning. For diseases in bone marrow, take when full at night.
As stated above, besides drug properties, timing and frequency must be regulated. "Eat first" and "eat later" refer to this principle. Some require wine, water, cold, or warm administration. Decoctions vary in frequency and preparation (raw vs. cooked). Each has specific methods requiring careful attention.
Major serious diseases include: Wind-stroke, Cold damage, Cold-Heat, Warm Malaria, Evil Infestation, Cholera, Abdominal Distension, Edema, Intestinal Abscess, Dysentery, Urinary/Fecal Retention, Running Piglet Qi, Cough/Vomiting, Jaundice, Xiao Ke (Wasting-Thirst), Fluid Retention, Food Stagnation, Hard Accumulation, Masses, Startle Evil, Epilepsy, Ghostly Infection, Throat Bi, Toothache, Deafness, Blindness, Metal Wounds, Fractures, Abscesses, Malignant Sores, Hemorrhoids, Goiter; Men's Five Labors and Seven Injuries, Deficiency and Emaciation; Women's Leukorrhea, Metrorrhagia, Blood Closure, Genital Erosion; Insect/Snake/Gu Poison injuries. These are general categories; variations and branches should be addressed according to their origins.
As stated above, current drugs only list one disease name. For example, Wind-stroke has dozens of types, and Cold damage has over twenty patterns. Further categorization is needed, returning to the beginning and end, using inherent nature as the root, then matching symptoms with drugs. Disease variations cannot be generalized. Hence, thousands of medical volumes have not exhausted the principles. Before the Spring and Autumn period, works of He and Huan are unheard of. Daoist classics briefly record Bian Que’s methods, using herb-based logic. Han dynasty formulas by Chunyu Yi and Hua Tuo survive, organizing drug properties. Zhang Zhongjing’s work is the ancestor of all formulas, entirely based on Bencao. His skill lies in pulse diagnosis and understanding climate/qi changes. Techniques like intestinal surgery, rib opening, bone scraping, and tendon knitting are separate arts, not Shennong’s domain. Since the Jin dynasty, good physicians include Zhang Miao, Gong Tai, Liu De, Shi Tuo, Jin Shao, Zhao Quan, Li Ziyu, etc. Nobles like Ruan Deru, Zhang Maoxian, Pei Yimin, Huangfu Shian, and Jiangdong figures like Ge Hong, Cai Mo, and Shang Zhongkan studied pharmacology. Song dynasty figures Yang Xin, Yuan Hui, Hu Qia, Qin Chengzu, and Qi dynasty figures Chu Cheng, Xu Wenbo, and the Sibai brothers cured 80-90% of patients. All these individuals wrote formulas, all rooted in Bencao. Even when using other drugs, they followed their properties without transgression. Fan Wang’s *Fang* (over 100 volumes) and Ge Hong’s *Zhouhou Bei Ji* contain detailed single-drug uses, rural tests, or foreign techniques. Lotus skin disperses blood, originating from cooks; Qian Niu (Pharbitis seed) drains water, emerging from peasants. Garlic paste from bakeries treats snake bites; ground cabbage by the road heals metal wounds. These are things in heaven and earth used for heaven and earth, meeting when encountered, not confined by owners. Yan Guanglu also said: Evaluating the three grades of drug properties relies on Bencao. Daoist classics, immortal formulas, dietary therapy, grain cessation, longevity, anti-aging, and even alchemy (flying cinnabar, refining stones) and transformation rely on drugs.