王叔和《伤寒论·序例》云∶凡人有疾,不时即治,隐忍冀瘥,以成痼疾。小儿女子,益以滋
甚,时气不和,盒饭早言,寻其邪由,及在腠理,以时治之,罕有不愈者。患人忍之,数日
乃说,邪气入脏,则难可制。徐灵胎《医学源流论》云∶凡人少有不适,必当实时调治,断
不可忽为小病,以致渐深,更不可勉强支持,使病更增,以贻无穷之害。
余在台州时,同官王愚庵先生年五旬余,患时感症,坚守不服药为中医之戒,迁延数日,邪热
内闭神昏,家人延医延医,无及而卒。又余戚秀水王氏子,年方幼稚,偶患身热咳嗽,父母
不以为意,任其冒风嬉戏,饮食无忌,越日疹发不透,胸闷气喘,变症毕现,医言热邪为风
寒所遏,服药不效而卒。此皆不即调治所致也。
真空寺僧能治邝子元心疾,令独处一室,扫空万缘,静坐月余,诸病如失。海盐寺僧能疗一
切劳伤虚损吐血干劳之症,此僧不知《神农本草》、《黄帝内经》,惟善于起居得宜,饮食
消息,患者住彼寺中,三月半年,十愈八九。观此知保身却病之方,莫要于怡养性真,慎
调饮食,不得仅乞灵于药饵也。
北方人所眠火坑,南方人用之,体质阴虚者,多深入火气,每致生疾。吾邑张侯舫孝廉维,
留寓京师,久卧火炕,遂患咳嗽。医者误谓肺虚,投以五味子、五倍子等药,竟至殒命。张贫
而好学,品复端谨,中年不禄,士林惜之。
凡从高坠下而晕绝者,慎勿移动,俟其血气复定而救之,有得生者。若张惶扶掖以扰乱之,
百无一生。余戚沈氏之女,年甫十岁,从楼堕地晕死,急延医视之曰∶幸未移动,尚可望生
,否则殆矣。乃以药灌之,移时渐苏而安。治跌损者,人尿煮热洗之灌之良。
读《续名医类案》,而知移动之禁,非独坠跌者宜然也,备录之。张子和治叟年六十余
,病热厥头痛,以其用涌药时已一月间矣,加之以火,其人先利,年高身困,出门见日而仆不知
人,家人惊惶欲揉扑之,张曰∶火不可扰。与西瓜凉水蜜雪,少顷而苏。盖病患年高涌泄,
则脉易乱,身体内有炎火,外有太阳,是以跌仆,若更扰之,便不救矣。汪石山治人卒厥暴
死不知人,先因微寒发热,面色姜黄,六脉沉弦而细,知为中风久郁所致,令一人紧抱,以口
接其气,徐以热姜汤灌之,禁止喧闹,移动则气不返矣。有顷果苏,温养半月而安。不特此
症为然,凡中风、中气、中寒、暴厥,俱不得妄动以断其气。《内经》明言气复返则生,若
不谙而扰乱,其气不得复,以致夭枉者多矣。魏玉璜曰∶遇卒暴病,病家医士皆宜知此。盖
暴病多火,扰之则正气散而死也。余女年十八,忽暴厥,家人不知此,群集喧哄,又扶挟而
徙之他所,致苏复绝,救无及矣。今录张、汪二案,五内犹摧伤也。
王叔和在《伤寒论·序例》中说:大凡人有了疾病,如果不及时治疗,隐忍希望自愈,就会形成顽固难治的疾病。小儿和女子,病情更容易加重。如果时令气候不和,应当尽早告知医生,寻找病邪的来源,趁着病邪还在腠理(皮肤肌肉之间的间隙),按时进行治疗,很少有不痊愈的。患者忍耐不说,过了几天才说,此时邪气已经深入脏腑,就难以控制了。徐灵胎在《医学源流论》中说:大凡人稍微感到不适,必须实时调理治疗,绝对不可以忽视为小病,导致病情逐渐加深,更不可以勉强支撑,使病情加重,从而留下无穷的后患。
我在台州任职时,同僚王愚庵先生五十多岁,患了时行感冒症,坚守“不服药就是中医(指不依赖药物也能治愈或保持平衡)”的戒律,拖延了几天,导致邪热内闭、神志昏迷,家人请医生诊治,已经来不及了,最终去世。又有一位我亲戚秀水王氏的儿子,年纪很小,偶然得了身体发热咳嗽的病,父母不在意,任由他冒风嬉戏,饮食没有禁忌,第二天疹子发不出来,胸闷气喘,各种变证都出现了,医生说热邪被风寒遏制,服药无效而死亡。这都是不及时调理治疗所导致的。
真空寺的僧人能治疗邝子元的心疾,让他独自住在一间屋子里,扫除一切杂念,静坐一个多月,各种病症就像消失了一样。海盐的僧人能治疗各种劳伤虚损、吐血干劳(一种慢性消耗性疾病)的症状,这位僧人不懂《神农本草经》、《黄帝内经》,只善于让起居得当,饮食调养有方,患者住在他的寺庙里,三个月到半年,十个人能治好八九个。看这些例子就知道,保养身体、预防疾病的办法,最重要的是怡养本性真情,谨慎调节饮食,不能仅仅依靠药物。
北方人睡觉用的火炕,南方人使用它,体质阴虚的人,容易使火热之气深入体内,常常导致生病。我家乡的张侯舫孝廉维,寄居在京师,长时间睡在火炕上,于是患了咳嗽。医生误认为是肺虚,投用五味子、五倍子等收敛固涩的药物,竟然导致死亡。张侯舫贫穷但好学,品行端正严谨,中年去世,读书界的人都惋惜他。
凡是从高處坠落导致晕厥死亡的,千万不要移动,等到气血恢复平静后再救治,有的人可以存活。如果惊慌失措地搀扶搬动来扰乱他,百无一活。我亲戚沈氏的女儿,刚十岁,从楼上摔到地上晕死,急忙请医生来看,医生说:幸好没有移动,还有希望生存,否则就危险了。于是用药灌服,过了一会儿渐渐苏醒并安定下来。治疗跌打损伤的人,用人尿煮热后清洗或灌服效果很好。
读《续名医类案》,才知道禁止移动的规定,不仅仅适用于坠落跌倒者,详细记录在此。张子和治疗一位六十多岁的老人,患热厥头痛,因为他之前用过涌吐药,时间已经过去一个月了,再加上火烤,此人先出现腹泻,年高体弱,出门见到太阳就摔倒不知人事,家人惊慌想要揉搓拍打他,张子和说:受火邪不可扰动。给他西瓜凉水蜜雪,一会儿就苏醒了。因为病人年高且经过涌吐泄下,脉象容易紊乱,身体内有炎火,外面又有太阳暴晒,所以跌倒,如果再扰动他,就无法救治了。汪石山治疗一个人突然昏厥暴死不知人事,起初是因为轻微受寒发热,面色姜黄,六脉沉弦而细,知道这是中风久郁所致,让一个人紧紧抱住,用口接引他的气息,慢慢用热姜汤灌服,禁止喧闹,移动就会导致气机无法返回。过了一会儿果然苏醒,温养半个月后安定。不只是这个病症如此,凡是中风、中气、中寒、暴厥,都不可以妄动以断绝气机。《黄帝内经》明确说气机回复则生,如果不明白这一点而扰乱它,气机无法回复,导致早逝的人很多。魏玉璜说:遇到突发急病,病人家属和医生都应该知道这一点。因为急病多属火邪,扰动它会导致正气散失而死。我的女儿十八岁,忽然暴厥,家人不知道这个道理,聚集在一起喧哗哄闹,又搀扶挟持把她移到其他地方,导致苏醒后又再次昏厥,抢救已经来不及了。现在记录张子和、汪石山两个医案,内心仍然感到悲痛摧残。
Wang Shuhe, in the "Preface to Examples" of *Shanghan Lun* (Treatise on Cold Damage Disorders), stated: "Whenever a person falls ill, if it is not treated promptly and they endure it hoping for spontaneous recovery, it will develop into an entrenched disease. This is especially true for children and women, whose conditions tend to worsen. When the seasonal qi is discordant, one should inform the physician early, trace the origin of the pathogen, and treat it in time while it is still in the *Couli* (interstices of skin and muscles); rarely does such a case fail to heal. If the patient endures the symptoms and speaks up only after several days, the pathogenic factor has entered the Zang organs, making it difficult to control." Xu Lingtai, in *Yixue Yuanliu Lun* (Discussion on the Origins and Development of Medicine), said: "Whenever a person feels slightly unwell, immediate regulation and treatment are necessary. One must absolutely not ignore it as a minor illness, leading to gradual deepening, nor should one force oneself to endure it, causing the disease to intensify and leaving endless harm."
When I was serving in Taizhou, my colleague Mr. Wang Yu'an, who was over fifty years old, suffered from a seasonal epidemic syndrome. He adhered strictly to the taboo of "not taking medicine is the best medicine," delaying treatment for several days. Consequently, pathogenic heat closed inward, causing unconsciousness. His family summoned physicians, but it was too late, and he died. Another case involved the son of a relative, the Wang family from Xiushui, who was very young. He accidentally developed fever and cough. His parents did not take it seriously, allowing him to play in the wind without dietary restrictions. The next day, his rash failed to erupt fully, accompanied by chest tightness and wheezing, with various complications appearing. The physician stated that the pathogenic heat was suppressed by wind-cold; despite medication, he died. All these cases resulted from a lack of prompt treatment.
A monk at Zhongkong Temple could cure Kuang Ziyuan's heart disorder by having him live alone in a room, clearing all worldly distractions, and sitting quietly for over a month, after which all illnesses vanished like they had never existed. A monk at Haiyan Temple could treat all types of consumptive diseases, deficiency injuries, hematemesis, and dry consumption. This monk did not know the *Shennong Bencao Jing* (Divine Farmer's Materia Medica) or the *Huangdi Neijing* (Yellow Emperor's Inner Canon); he was merely skilled in ensuring proper daily routine and dietary management. Patients staying at his temple for three to six months saw eight or nine out of ten recover. From this, we can see that the method for preserving health and preventing disease lies primarily in nurturing one's true nature and carefully regulating diet, rather than relying solely on herbal medicines.
The kang (heated brick bed) used by people in the North causes illness when used by Southerners, especially those with Yin deficiency constitutions, as the fire qi penetrates deeply, often leading to disease. Zhang Haofang, a Jinshi scholar from my hometown, resided in the capital and slept on a heated kang for a long time, subsequently developing a cough. Physicians mistakenly diagnosed lung deficiency and administered astringent herbs such as Wuweizi (Schisandrae Fructus) and Wubeizi (Galla Chinensis), which ultimately led to his death. Zhang was poor but loved learning, and his character was upright and cautious. He died in middle age, and the scholarly community mourned him.
For those who faint or die from falling from heights, one must be careful not to move them. Wait until their Qi and blood stabilize before providing rescue; some may survive. If one panics and supports or carries them, causing disturbance, there is less than one chance in a hundred of survival. My relative's daughter, the Shen family's girl, aged ten, fell from a building and fainted upon hitting the ground. A physician was urgently summoned, who said, "Fortunately, she has not been moved; there is still hope for life. Otherwise, it would be dire." Medication was then administered, and after a while, she gradually revived and stabilized. For treating contusions and fractures, washing or administering warm human urine is beneficial.
Reading *Xu Mingyi Leian* (Continued Cases of Famous Physicians), I learned that the prohibition against movement applies not only to falls and bruises. It is recorded here in detail. Zhang Zihe treated an elderly man, over sixty years old, suffering from headache due to heat jue. Since he had used emetic drugs a month prior, combined with exposure to fire, the patient first experienced diarrhea. Due to his advanced age and weakness, upon going out and seeing the sun, he collapsed and lost consciousness. His family panicked and wanted to rub or pat him. Zhang said, "Do not disturb the one affected by fire." He gave the patient watermelon, cold water, honey, and snow. Shortly after, the patient revived. Because the patient was elderly and had undergone emesis and purging, his pulse was prone to chaos. With internal inflammatory fire and external solar exposure, he fell. Further disturbance would have made him incurable. Wang Shishan treated a person who suddenly fainted and appeared dead, losing consciousness. Initially, he had slight chills and fever, with a ginger-yellow complexion and deep, wiry, and thin pulses throughout. Wang knew this was caused by wind-strike and long-standing stagnation. He ordered one person to hold him tightly, breathe air into his mouth, and slowly administer hot ginger decoction, prohibiting noise and movement, as moving would prevent the Qi from returning. After a while, the patient indeed revived and stabilized after half a month of warming nourishment. This is not limited to this specific condition; in cases of wind-stroke, Qi stagnation, cold strike, or sudden syncope, one must not recklessly move the patient to sever the Qi. The *Neijing* clearly states, "If Qi returns, there is life." Those who do not understand this and cause disturbance, preventing Qi from returning, often result in premature death. Wei Yuhuang said: "In cases of sudden acute illness, both the family and the physician should know this. Acute illnesses often involve fire; disturbing them scatters the healthy Qi, leading to death." My daughter, aged eighteen, suddenly suffered from syncope. Her family did not know this principle, gathered around making noise, and carried her to another place, causing her to revive and then faint again, making rescue futile. Recording the cases of Zhang and Wang now still breaks my heart.