南史记范云初为陈武帝属官武帝有九锡之命在旦夕矣云忽感伤寒之疾恐不得预庆事召徐
文伯
诊视以实恳之曰可便得愈乎文伯曰便瘥甚易政恐二年后不复起耳云曰朝闻道夕死犹可况二年
乎文伯以火烧地布桃叶设席置云于上顷刻汗解裹以温粉翌日愈云甚喜文伯曰不足喜也后二年
果卒夫取汗先期尚促寿限况罔顾表里不待时日便欲速效乎每见病者不耐未三四日昼夜促汗医
者随情顺意鲜不败事故予书此为医者之戒(本事方)
临安民有因病伤寒而舌出过寸无能治者但以笔管通粥饮入口每日坐于门一道人见之咨嗟
曰吾
能疗此顷刻间尔柰药不可得何家人闻而请曰苟有钱可得当竭力访之不肯告而去明日又言之至
于旬时会中贵人罢直归下马观病者道人适至其言如国中贵问所须乃梅花片脑也笑曰此不难置
即遣仆驰取以付之道人屑为末掺舌上随手而缩凡用五钱病立愈(丁志)
周礼天官下曰疾医长养万民之疾病四时皆有疠疾春时有 首疾(头痛)夏时有痒疥疾秋时
有疟寒疾冬时有嗽上气疾
痧病江南旧无今东西皆有之原其证医家不载大凡才觉寒栗似伤寒而状似疟但觉头痛浑身
壮热
手足厥冷乡落多用艾灸以得砂为良有因灸脓血迸流移时而死者诚可怜也有雍承节印行此方云
初得病以饮艾汤试吐即是其证急以五月蚕蜕纸一片碎剪安碗中以盘盖密以汤泡半碗许仍以纸
封棣缝勿令透气良久乘热饮之就卧以浓衣被盖之令汗透便愈如此岂不胜如火艾枉残害人命敬
之信之(叶氏录验方)
南朝史书记载,范云起初是陈武帝的属官。武帝接受九锡之礼的命令在即,范云忽然患上伤寒病,担心不能参加庆贺大典,于是召请徐文伯诊治,并诚恳地询问:“我能否很快痊愈?”徐文伯说:“迅速康复很容易,只是恐怕两年后您将不再起身(去世)。”范云说:“早晨听闻大道,晚上死去也可以,何况是两年呢?”徐文伯用火烧热地面,铺上桃叶,设置席子让范云躺在上面,片刻之间汗出病解,用温粉包裹身体,第二天就痊愈了。范云非常高兴,徐文伯说:“不必高兴。”两年后果然去世。由此可见,发汗如果过早(先期),尚且会缩短寿命,更何况不顾表里证候,不等待适当时日,就想追求速效呢?我经常见到病人不耐受,不到三四天,医生昼夜催促发汗,医者顺从病人的心意,很少有不失败的。因此写下此文,作为医者的警戒。(出自《本事方》)
临安有一位百姓患伤寒病,舌头伸出超过一寸,无人能治。只能用笔管通入粥饮入口。每天坐在门口,一位道人看见他叹息说:“我能治愈这个病,顷刻间即可,奈何没有药可用。”家人听说后请求道:“如果有钱可得,应当竭力寻访。”道人不肯告知便离开了。第二天又说起此事,直到十天时,一位权贵下班回家,下马观看病人,道人恰好来到,说的话与之前一样。权贵问需要什么药,道人说:“是梅花片脑(冰片)。”笑道:“这不难办。”随即派遣仆人飞驰取来交给道人。道人将其研成粉末,撒在舌头上,舌头随即缩回。共用了五钱,病立刻痊愈。(出自《丁志》)
《周礼·天官下》记载:疾医负责养育万民,治疗各种疾病。四季都有疠气引发的疾病:春季有首疾(头痛),夏季有痒疥疾,秋季有疟寒疾,冬季有咳嗽上气疾。
痧病江南地区过去没有,现在东西各地都有。追溯其证候,医家著作中未详细记载。大凡刚觉得寒战,类似伤寒但症状像疟疾,只觉得头痛,全身高热,手足冰冷。乡野民间多用艾灸治疗,以灸出“砂”(皮下出血点或脓疱)为良。有的因灸后脓血迸流,过了一会儿就死亡的,确实可怜。雍承节印行此方说:刚得病时,喝艾汤试吐,如果是痧病就会吐出东西。急忙取五月蚕蜕纸一片,剪碎放入碗中,用盘子盖严,用热水泡约半碗,再用纸封住碗口缝隙,不让透气。放置良久,趁热饮用,躺下后用厚衣被覆盖,令汗透即愈。这样做难道不是胜过用火艾枉自残害人命吗?要敬重并相信它。(出自《叶氏录验方》)
The history of the Southern Dynasties records that Fan Yun, initially an official under Emperor Wu of Chen, suddenly contracted Shanghan disease (Cold Damage) when the Emperor was about to receive the Nine Bestowals. Fearing he could not attend the celebration, he summoned Xu Wenbo for diagnosis and sincerely asked, "Can I recover quickly?" Xu Wenbo replied, "Recovering quickly is very easy, but I fear you will not rise again in two years." Fan Yun said, "If I hear the Dao in the morning, I can die content in the evening; how much more so for two years?" Xu Wenbo heated the ground with fire, spread peach leaves, set up a mat, and placed Fan Yun upon it. In an instant, sweat emerged and the condition resolved; he was wrapped in warm powder and healed the next day. Fan Yun was very pleased, but Xu Wenbo said, "There is no need to be pleased." Two years later, he indeed passed away. This shows that inducing sweating prematurely still shortens life expectancy; how much more so to disregard the exterior and interior patterns and seek rapid results without waiting for the appropriate time? I often see patients who cannot endure treatment; if doctors urge sweating day and night within three or four days, complying with the patient's wishes, few do not fail. Therefore, I write this as a warning for physicians. (From *Benshi Fang*)
A commoner in Lin'an suffered from Shanghan disease with his tongue protruding over one inch, for which no cure was found. Porridge was administered through a brush tube into his mouth daily. He sat at the gate every day. A Daoist priest saw him and sighed, saying, "I can cure this instantly, but alas, I have no medicine." The family heard this and requested, "If money can procure it, we will strive to find it." The priest refused to reveal the remedy and left. The next day, the matter was raised again. Ten days later, a noble official returned from duty, dismounted, and observed the patient. The priest happened to arrive and repeated his previous words. The official asked what medicine was needed. The priest replied, "Meihua Pian Nao (Plum Blossom Borneol)." Laughing, he said, "This is not difficult." He immediately sent a servant to fetch it swiftly and handed it to the priest. The priest powdered it and applied it to the tongue; the tongue retracted immediately. Five qian were used, and the illness was cured instantly. (From *Ding Zhi*)
*Zhou Li · Tian Guan Xia* states: The Physician-in-Charge is responsible for nurturing the people and treating their diseases. There are pestilential diseases in all four seasons: in spring, there is Shou Ji (Headache); in summer, Yang Jie Ji (Itching and Scabies); in autumn, Nuè Han Ji (Malaria-like Chills); in winter, Sou Shang Qi Ji (Cough and Rebellious Qi).
Sha Bing (Sand Disease) did not exist in the Jiangnan region in the past but is now present everywhere. Tracing its manifestations, medical texts do not record them in detail. Generally, the patient feels chills similar to Shanghan but resembles malaria, experiencing headache, high fever throughout the body, and cold extremities. Rural areas mostly use Moxibustion, considering the appearance of "Sha" (petechiae or pustules) favorable. Some died after pus and blood gushed out from moxibustion wounds, which is truly pitiable. Yong Chengjie printed this prescription stating: Upon initial onset, drinking Mugwort Decoction to induce vomiting confirms the diagnosis if Sha is present. Quickly take a piece of paper made from silkworm pupae shed in May, tear it into pieces, place it in a bowl, cover tightly with a plate, soak in hot water for about half a bowl, seal the edges with paper to prevent air leakage. After a while, drink it while hot, lie down, cover with thick clothes and blankets to induce profuse sweating, and the illness will resolve. Is this not superior to using fire moxibustion and causing unnecessary harm to human life? Respect and believe in it. (From *Ye Shi Lu Yan Fang*)