霍乱时行,须守险以杜侵扰。霍乱得愈,尤宜守险以防再来。昧者,不知,徒事
符,以为拥兵自卫之谋,良可慨已。纵恣如常,效彼开门揖盗之愚,尤可笑也。苟欲御乱,
一、人烟稠密之区,疫疠时行,以地气既热,秽气亦盛也。必湖池广而水清,井泉多而甘冽
。
道,毋使积污。或广凿井泉,毋使饮浊。直可登民寿域,不仅默消疫疠也。此越险守疆之事
,为御乱首策,非吾侪仰屋而谈者,可以指挥而行也。
一、当此流离播越之时,卜居最宜审慎。住房不论大小,必要开爽通气,扫除洁净,设不得
已而居市廛湫隘之区,亦可以人工斡旋几分,稍留余地,以为活路,毋使略无退步。甘于霉
时受湿,暑令受热,平日受秽,此人人可守之险也。无如贪夫徇财,愚夫忘害,嬉玩泄沓,漫
无警省。迨挥霍撩乱,突如其来,手足无措矣。
一、昔范文正公每就寝,则思一日之食,与
所行之事,能相准否。虽朝齑暮盐,贫不能自给,而每慨然忧天下
之忧。以其志行磊落,足以纪纲人道,而岂腆然为饮食之人哉?呜呼!此六十四字,为故人宜春袁莲芾布衣跋,余《
饮
腊毒,脏腑先以不清。故秽浊之邪,易得而乘之,同气相求,势所必然之事。若能效法先贤,不
徒为饮食之人,以其余资,量力而行疏河凿井,施药救人,敛埋暴露,扫除秽恶诸事,不
但保身而杜病,吾闻积德可回天。不仅可御霍乱也已。
一、祖父家训,不许供设神像,遵圣人敬而远之也。余性尤不佞佛,生长钱塘,天竺山未尝
一到。虽食贫居贱,而最恶持斋之说。先慈闻而责之曰∶儿自命通脱,何亦效迂儒口吻乎?
夫
以报应。而始畏慕勉行也,故具不得已之苦心者。假神道以设教,创持斋之日期,诱而掖之,斡
旋不少。试看疫疠流行之际,僧尼独鲜死焉?此其明效也。余敬听而识之,屡试不爽。益叹
母训之非诬,故夏月款客。惟用海味干肉鱼虾之类,间或为宾托言茹素,亦借以节主人之
费。但择轻清平淡者而食之。追忆生平未患痧证,敢以此法,公诸同世。
一、造酒曲者,必取诸草汁,以和米 而成。凡草初出之两叶尖者
属阳,性烈而味辛,可以
造酒
犯飞尸,温服可祛阴气。若纵饮无节,未有不致病者。又惟夏月为尤甚,宋刘元城先生云∶
余初到南方,有一高僧教余,南方地热,而酒性亦热。况岭南烟瘴之地,更加以酒,必大发
疾。故余过岭,即阖家断饮,虽遍厉水土恶劣,他人必死之地。余阖家十口皆无恙,今北
归十年矣。无一患瘴者,此其效也。苏文忠公云∶器之酒量无敌,今不复饮矣。观此则妄人
所谓酒可以辟瘴疫者,岂非梦呓。夫瘴疫皆是热浊秽毒之气所酿,同气相求,感受甚易,且
酒之湿热,久蓄于内,一旦因邪气入之而并为
势必剧,其治较难,其愈不易,纵性耽曲 ,甘醉死而不辞者,夏
令必须戒饮,或不屈死于挥霍撩乱之中也。
一、颐生之道,《易经》始发之。曰∶节饮食。孔子曰∶食无求饱。应休琏云∶量腹节所
受。陆放翁云∶多寿只缘餐饭少。《随园诗话》云∶不饱真为
盖饥饱劳逸,皆能致疾,而饱暖尤为酿病之媒,故神农氏播谷之余,即收药味。有熊氏
垂
浊降清升。虽感客邪,亦潜消默化,而不能留着为病。惟过饱则胃气壅塞,脾运艰迟,偶吸外
邪,遂无出路。因而为痧胀成霍乱者最多。故夏令不但膏粱宜屏,虽饭食且然。况无故喜服参
药,妄食腻滞之物,如龙眼、莲子以图补益,而窒塞其气机哉。设犯痧秽之邪,多致不救。今
夏有诸暨余小坡进士,窜难来申,与余亲家褚子耘茂才比屋而居,亦知医。为人视病归,啖莲
子一盏毕,即觉不舒,寻即吐泻转筋,欲请余诊而不及。以邪气得补,无从宣泄,逼其深入
。故告危如此之速,犹之贼来而自弃其险,闭城以待毙也。嘻!可悲已。(过饱不
可,过饥亦不可,不饱非饥之谓,宜知之。谢城)
一、鳗鳝,性热助阳。鳖,性寒滋阴。然或有毒者,夏令更有蛇变者,尤勿轻尝
。即无毒者,其质味浓浓,腻滞难消。如吸外邪而误食之,皆难救治。市脯尤觉秽浊,咸宜杜绝
。(因食鳗鳝而霍乱者,余见甚多。谢城)
一、瓜果冰凉等物,虽能涤热,过食骤食,既恐遏伏热邪,不能泄越。又虑过度
,而反为所伤,并宜撙节为妙。若口不渴,汗不出,溺不赤者,诸冷食皆在所忌也。
一、冬夏衣被过暖,皆能致病,而夏月为尤甚。既因暖而致病矣,或又因病而反畏寒,以热
郁于内,而气不宣达也。再加盖覆,则轻者重,而重者即死矣。竟有死已许久,而旁人未知
者,年来闻见甚多,比如开门揖寇,城已陷。或有尚在梦中而不觉者,可叹也已。亦勿过于
贪凉,迎风沐浴,夜深露坐,雨至开窗,皆自弃其险,而招霍乱之来也。不可不戒。
一、食井中,每交夏令,宜入白矾、雄精之整块者,解水毒而辟蛇虺也。水缸内,宜浸石菖
蒲根、降香。
一、天时潮蒸,室中宜焚大黄、茵陈之类。亦可以解秽气,或以艾搓为绳,点之亦佳。
一、用川椒研末,时涂鼻孔,则秽气不吸入矣。如觉稍吸秽恶,即服玉枢丹数分,且宜稍
忍饥,俾其实时解散,切勿遽食,尤忌补物。恐其助桀为虐,譬奸细来,而得内应也。
一、无论老少强弱之人,虚实寒热之体,常以枇杷叶汤代茗,可杜一切外感时邪,此叶天士
先生法也。见《医案存真》。然必慎起居,节饮食,勿谓有叶先生法在,诸可废弛也。
一、无论贫富夏月宜供馔者,冬腌干菜、卢菔、芹笋、凫茈、丝瓜、冬瓜、栝
蒌、豇豆、紫
食者鄙,焉知此味。呜呼!苟能常咬菜根,则百事可做。岂但性灵不为 没,足以御挥霍撩
乱之灾乎。
挥霍撩乱,突如其来,集饷征师,动需时日,莫若乘其初发,何难一击而平。爰备载伐毛、
取嚏、刮淬、刺急、拓救诸事宜于前,复详侦探、策应、纪律、守险、诸机要于后。虽妇竖一
览,咸知剿御之方,既可各保身家,而厉气莫能张其焰,或可不蹈兵马过篱笆破之谚也。故
列治法第二。
When cholera is prevalent in the community, one must maintain strict defense to prevent invasion. After recovering from cholera, it is especially important to maintain defense to prevent recurrence. The ignorant do not understand this; they merely rely on talismans, treating them as a strategy for self-defense with troops, which is truly lamentable. To behave as usual with unrestrained indulgence, imitating the folly of "opening the door to invite thieves," is even more ridiculous.
If one wishes to resist chaos, the following measures are suggested:
1. In densely populated areas where epidemics are spreading, the local qi is hot, and turbid qi is also abundant. Therefore, lakes and ponds must be excavated to be broad and clear, and wells and springs should be numerous and sweet. Roads must be kept clear of accumulated filth. Or, widely dig wells and springs so that people do not drink turbid water. This can extend the lifespan of the people and silently eliminate epidemics. This is the primary strategy for crossing danger and guarding territory, not something we can achieve by merely talking while looking up at the roof; it requires action.
2. During times of displacement and migration, choosing a residence requires utmost caution. Regardless of the size of the house, it must be open, refreshing, well-ventilated, and clean. If forced to live in narrow, low-lying areas of markets, one should strive through human effort to create some space, leaving room for retreat, ensuring there is no dead end. One should not willingly suffer dampness during moldy seasons, heat during summer, or filth in daily life. These are dangers everyone can guard against. However, greedy men are blinded by wealth, and foolish men ignore harm; they play and relax without vigilance. When disaster strikes suddenly, they are left helpless.
3. Formerly, Fan Zhongyan (Fan Wenzheng Gong) would reflect before sleep on whether his day's food and actions were consistent. Although he ate only pickled vegetables and salted fish morning and night, being too poor to support himself, he often generously worried about the world's troubles. His upright character was sufficient to uphold human ethics; was he merely a man concerned with diet? Alas! These sixty-four characters are from a postscript by my old friend Yuan Lianfei, a commoner from Yichun. In my *Suiju Ju Chongding Huoluan Lun*, it is mentioned that if toxic food is consumed in winter, the internal organs become unclean first. Thus, turbid pathogens easily take advantage, seeking resonance with similar qi, which is inevitable. If one could emulate the sages, not just focusing on diet, but using surplus resources to dredge rivers, dig wells, distribute medicine, save lives, bury exposed corpses, and clean filth, one could not only protect oneself from disease but also accumulate virtue to change fate. This is not just a way to resist cholera.
4. My grandfather's family instruction forbade setting up deity statues, following the sage's attitude of "respecting spirits but keeping them at a distance." I am naturally not superstitious towards Buddhism; having grown up in Qiantang, I have never visited Tianzhu Mountain. Though poor and humble, I detest the theory of vegetarian fasting. My late mother scolded me, saying, "You pride yourself on being free-spirited, why do you mimic pedantic scholars?" I believed in karma and retribution, hence my reluctant adherence to fasting out of awe. Using divine ways to establish teaching, creating fasting dates to guide people, has twisted things significantly. Look at times of epidemic; do monks and nuns rarely die? This is evident proof. I respected and remembered my mother's teachings, finding them consistently accurate. I sigh that her words were not false. Thus, when entertaining guests in summer, I use only seafood, dried meat, fish, and shrimp. If guests claim vegetarianism, I use it to save costs, choosing light, pure, and bland foods. Recalling my life without suffering from Sha syndrome (sand/stagnation syndrome), I dare to share this method with the world.
5. Brewers must extract juices from various herbs to mix with rice for fermentation. The two tip leaves of newly sprouted plants belong to Yang, are potent and pungent, and can be used to make wine. If one gets drunk and suffers from Feishi (a TCM term for sudden severe abdominal pain or spasms), taking it warm can dispel Yin qi. However, unrestrained drinking inevitably causes disease, especially in summer. Mr. Liu Yuancheng of Song Dynasty said: "When I first arrived in the South, a high monk advised me: Southern earth is hot, and wine nature is also hot. Moreover, Lingnan is a miasma region; adding wine will surely trigger severe illness." Thus, upon crossing the岭 (mountain range), my family abstained from alcohol entirely. Despite harsh conditions where others died, our ten family members remained safe. Ten years after returning North, none suffered from miasma. This is the effect. Su Dongpo said: Qi Zhi had unmatched tolerance for wine, but now drinks none. Seeing this, those who claim "wine can ward off miasma" are dreaming. Miasma is brewed from hot, turbid, and foul toxins; similar qi attracts similar qi, making infection easy. Wine's damp-heat accumulates internally; once external pathogens enter, they combine, making the condition severe, difficult to treat, and slow to heal. Those indulging in wine, willing to die drunk, must abstain in summer, lest they die from sudden cholera.
6. The Way of Life begins with the *I Ching* (Book of Changes), stating: "Regulate diet." Confucius said: "Do not seek satiety in eating." Ying Xiulian said: "Measure the stomach's capacity to regulate intake." Lu You said: "Longevity is due to eating less." *Suiyuan Shihua* says: "Not being full is true blessing." Hunger, fullness, fatigue, and rest can all cause disease, but overeating and warmth are particularly conducive to illness. Thus, Shennong collected medicinal herbs alongside grains. The Yellow Emperor ensured turbid qi descended and clear qi ascended. Even if affected by external pathogens, they dissipate quietly without becoming disease. Only overeating blocks Stomach Qi, slows Spleen transport, and prevents the expulsion of external pathogens, leading to Sha distension and cholera. Therefore, in summer, rich foods should be avoided, and even regular meals should be moderated. Furthermore, taking Ginseng unnecessarily or eating cloying foods like Longan and Lotus Seeds for tonification blocks Qi mechanism. If Sha-foul pathogens are encountered, rescue is often impossible. This summer, Scholar Yu Xiaopo from Zhuji fled to Shanghai, living next to my relative-in-law, Scholar Chu Ziyun, who knew medicine. Upon returning from treating a patient, he ate a bowl of lotus seeds, felt uncomfortable, and immediately developed vomiting, diarrhea, and tendon twitching. He wanted me to diagnose him but couldn't. Because the pathogen received tonification, it could not be excreted and drove deeper. Thus, the crisis appeared so quickly, like abandoning defenses and waiting for death. Alas! How sad. (Note: Overeating is bad, but so is excessive hunger. Not being full does not mean starving. Know this. - Xie Cheng)
7. Eels and eel-like fish are hot and yang-assisting. Turtle is cold and yin-nourishing. However, some may be toxic, and in summer, snakes may transform into them (legend); do not taste lightly. Even if non-toxic, their texture and flavor are thick, cloying, and hard to digest. If external pathogens are absorbed and such food is eaten mistakenly, rescue is difficult. Market-cured meats are particularly foul and should be strictly avoided. (I have seen many cases of cholera caused by eating eels. - Xie Cheng)
8. Cold fruits and melons, though able to clear heat, if eaten excessively or suddenly, may suppress latent heat pathogens, preventing their dispersal. Overconsumption may also cause injury. Moderation is best. If there is no thirst, no sweating, and urine is not red, all cold foods are contraindicated.
9. Winter and summer bedding that is too warm can cause disease, especially in summer. If disease arises from warmth, or if one fears cold due to disease because heat is trapped internally and Qi cannot circulate, adding more cover will worsen mild cases and kill severe ones. There are cases where people have been dead for a long time without others knowing, like opening the door to bandits after the city has fallen. Some remain asleep to the danger. Pitiful. Do not overly crave coolness: bathing in the wind, sitting outdoors at night, opening windows during rain—all these abandon defenses and invite cholera. Must beware.
10. For well water in summer, add whole pieces of Alum (Bai Fan) and Realgar (Xiong Jing) to detoxify water and repel snakes. Soak Acorus rhizome (Shi Chang Pu) and Agarwood (Xiang) in water vats.
11. In humid and muggy weather, burn Rhubarb (Da Huang) and Artemisia capillaris (Yin Chen) indoors to resolve foul qi. Alternatively, roll Mugwort (Ai Ye) into ropes and burn them.
12. Grind Sichuan peppercorn (Chuan Jiao) into powder and apply to nostrils frequently to prevent inhaling foul qi. If slight inhalation occurs, take a few fen of Yushu Dan immediately. It is advisable to fast slightly to allow the pathogen to disperse; do not eat immediately, especially avoiding tonics. Tonics may aid the villain, like an inside accomplice to spies.
13. Regardless of age, strength, deficiency, excess, cold, or heat constitution, regularly using Loquat Leaf Decoction (Pipa Ye Tang) as tea can prevent all external seasonal pathogens. This is Master Ye Tianshi's method, seen in *Yi An Cun Zhen*. However, one must regulate daily life and diet. Do not think that because Ye's method exists, other precautions can be neglected.
14. Regardless of wealth, summer-appropriate foods include: winter-preserved dried vegetables, Radish (Lu Fu), Celery shoots, Water chestnut (Fu Zi), Luffa, Winter melon, Trichosanthes fruit (Gua Lou), Cowpea, Perilla, etc. Those who eat them find them coarse, unaware of their value. Alas! If one can endure eating vegetable roots, anything can be achieved. Not only will spiritual vitality not be buried, but one can also resist the disaster of sudden cholera.
Sudden cholera strikes unexpectedly. Gathering supplies and troops takes time. It is better to strike while the outbreak is initial. Therefore, methods like inducing vomiting, sneezing, scraping, acupuncture, and massage are recorded first. Detailed strategies for reconnaissance, response, discipline, and defense are listed later. Even women and children can understand prevention methods, protecting families and stopping the spread of malignant qi, avoiding the proverb "troops passing through a broken fence." Thus, treatment methods are listed second.