谨按天灵盖神农本经人部惟发 一物外余皆出后世医家或禁术之流奇怪之论殊非仁人之
用心
世称孙思邈有大功于世以杀命治命尚有阴责况于是也近数见医家用以治传尸劳未有一效者信
本经不用未为害也残忍伤神又不急于取效苟有可易仁者宜尽心焉苟不以是说为然决为庸人之
所惑乱设云非此不可是不得已则宜以年深尘泥所渍朽者为良以其绝尸气也(本草)
饶州市民李七常苦鼻衄垂至危困医授以方取萝卜自然汁和无灰酒饮之则止医云血随气运
转气有
滞逆所以妄行萝卜最下气而酒导之是以一服效经五日复如前仅存喘息而张思顺以明州刊王氏
单方刮人中白置新瓦上火逼干以温汤调服实时血止至今十年不作张监润之江口镇适延陵镇官
曾棠入府府委至务同视海舶曾着白茸毛背子盛服济洁正对谈之次血忽出如倾变所服为红色骇
曰素有此疾特不过点滴耳今猛烈可畏觉头空空然殆有性命之虑张曰君勿忧我当渐治一药移时
而就持与之血亦止不复作人中白者旋盆内积 垢是也盖秋石之类特不多用火力治药时勿使其
人知恐其以秽浊不肯服此方可谓神矣
予在汝州时因出验尸有保正赵温者不诣尸所问之即云衄血已数斗昏困欲绝予使人扶掖以
来鼻
血如檐溜平日所记治衄数方旋合药治之血势猛皆冲出予谓治血者莫如地黄试遣人四散寻生地
黄得十余斤不暇取汁因使生吃渐及三四斤又以其滓塞鼻须臾血定又癸未岁予姊病吐血有医者
教
取生地黄自然汁煮服之日服数升三日而愈有一婢病经血半年不通见釜中余汁以为弃去可惜辄
饮数杯寻即通利地黄治血其功如此地黄但用新布拭净捣汁勿用水洗(信效方)
谨按：天灵盖（人头顶骨）在《神农本草经》的人部中，仅有头发这一味药。其余关于天灵盖的记载，都出自后世医家或禁术流派奇怪荒谬的言论，这绝非仁者的心意。
世人称赞孙思邈对世间有大功劳，但他以杀害生命来救治生命，尚且认为会有阴间的责罚，何况是使用天灵盖这种残忍的行为呢？近来多次见到医生用天灵盖治疗传尸劳（一种具有传染性的慢性消耗性疾病），没有一例有效的。确实，《本经》不使用它，并未造成什么危害。残忍伤神，并不急于求效。如果有可以替代的方法，仁爱的人应当尽心考虑。如果不认同这种说法，一定会被庸人所迷惑扰乱。如果说非此不可，那是不得已的情况，那么应该选用年代久远、被尘泥浸渍腐朽的骨头作为良药，因为它已经断绝了尸气。（出自《本草》）
饶州（今江西波阳一带）的市民李七，经常苦于鼻衄（鼻出血），病情危急困顿。医生传授给他一个方子：取萝卜的自然汁，与无灰酒（不含杂质的纯酒）调和饮用，血就止住了。医生说：“血随着气的运行而流转，气如果有滞逆，所以血液会妄行。萝卜最能下气，酒引导药力，所以一服见效。”然而过了五天，病情复发，仅存喘息。张思顺使用明州刊印的王氏单方：刮取人中白（人尿沉淀物），放在新瓦上加热烘干，用温水调服，当时血就止住了，至今十年未再发作。
张监润之在江口镇适延陵镇做官时，曾棠进入府衙，府里委派他到码头事务处一同视察海船。曾棠穿着白色的茸毛背心，盛装打扮，正对着谈话时，血突然像倾倒一样涌出，把他所穿的衣服染成红色。他惊恐地说：“我素来有这种病，只不过点滴而已，现在猛烈得可怕，觉得头空空荡荡的，几乎有性命之忧。”张说：“您不要担忧，我会慢慢治疗，一会儿就能完成。”拿药给他，血也止住了，不再发作。人中白，就是旋盆内积累的污垢之类，属于秋石（从人尿中提取的白色结晶）一类，只是不常用火力炮制药材。服药时不要让病人知道，恐怕他们因为觉得秽浊而不肯服用。这个方子可以说是神效了。
我在汝州时，因为出去验尸，保正赵温不去尸体所在地。问他，他说自己鼻衄已流了几斗血，昏困欲绝。我让人扶着他来，鼻血如屋檐滴水般流出。平时记录的治衄的几个方子，随即合药治疗，但血势凶猛，全都冲出。我认为治血没有比地黄更好的了。试着派人四处寻找生地黄，得到十几斤，来不及榨汁，就让生吃，逐渐吃到三四斤，又用剩下的渣滓塞住鼻子，不一会儿血就止住了。又在癸未年，我的姐姐患吐血病，有医生教取生地黄自然汁煮服，每天服用几升，三天就好了。有一个婢女患经血半年不通，看见釜中剩余的汁液，以为丢弃可惜，就喝了几杯，随即通利。地黄治血的功效如此。地黄只需用新布擦拭干净，捣汁，不要用水洗。（出自《信效方》）
According to the *Shennong Bencao Jing* (Divine Farmer's Materia Medica), in the Human category, only hair is listed. All other records concerning Tianlinggai (human calvaria) originate from strange and absurd theories of later physicians or practitioners of esoteric arts, which are certainly not the intent of a benevolent person.
The world praises Sun Simiao for his great merit to society; yet he believed that using killing to save life would still incur karmic retribution, let alone the use of Tianlinggai. Recently, I have seen physicians use it to treat Chuanshiben (Lao disease, a contagious chronic consumptive disorder) with no success whatsoever. Indeed, its omission from the *Bencao Jing* has caused no harm. Cruelty harms the spirit and does not urgently require efficacy. If there are alternatives, a benevolent person should consider them carefully. If one does not accept this view, they will surely be confused by quacks. If it is claimed that nothing else works, implying desperation, then one should choose bones that are old, stained with dust and mud, and decayed, as they have lost their "corpse qi" (spiritual residue). (From *Bencao*)
Li Qi, a citizen of Raozhou, frequently suffered from Bi Nu (epistaxis/nosebleed), reaching a critical state. A physician prescribed a formula: drink fresh radish juice mixed with pure wine (Wuhui Jiu). The bleeding stopped. The physician said, "Blood follows the movement of Qi. When Qi stagnates and rebels, blood flows recklessly. Radish descends Qi effectively, and wine guides the medicine, hence one dose was effective." However, five days later, the condition recurred, leaving him with only panting. Zhang Sishun used a single prescription from Wang Shi, published in Mingzhou: scrape Renzhongbai (calcined human urine sediment), dry it on a new tile over fire, mix with warm water, and take orally. The bleeding stopped immediately and did not recur for ten years.
Zhang Jian Runzhi, an official stationed at Jiangkou Town and Yiling Town, had Zeng Tang enter the prefecture office. Zeng Tang was assigned to inspect sea ships at the docks together. Dressed formally in a white wool-lined jacket, while conversing face-to-face, blood suddenly gushed out like pouring, staining his clothes red. He was terrified, saying, "I have had this ailment before, but only in drops. Now it is fierce and terrifying; my head feels empty, and I fear for my life." Zhang said, "Do not worry. I will treat you gradually, and it will be done shortly." He gave him the medicine, and the bleeding stopped, never recurring. Renzhongbai is the scum accumulated in chamber pots, similar to Qiushi (refined human urine salt), though rarely used. When preparing the medicine with fire, do not let the patient know, lest they refuse due to its filthy nature. This prescription can be called miraculous.
When I was in Ruzhou, going to inspect a corpse, Baozheng Zhao Wen refused to go to the scene. Upon inquiry, he stated he had suffered severe epistaxis, losing several dou of blood, leading to faintness and near-death. I ordered attendants to support him. His nosebleed flowed like dripping eaves. Recalling several prescriptions for treating epistaxis recorded previously, I compounded medicine, but the bleeding was too violent to stop. I considered Rehmanniae Radix (Di Huang) the best herb for stopping bleeding. I sent people to search for Sheng Di Huang (fresh Rehmannia root), obtaining over ten jin. Too busy to extract juice, I instructed him to chew and swallow it raw, gradually consuming three to four jin. I also stuffed the dregs into his nostrils. Soon, the bleeding stabilized. In the Guiwei year, my sister suffered from Tu Xue (hematemesis/vomiting blood). A physician advised boiling fresh Rehmannia juice and taking it orally, several sheng per day. She recovered in three days. A maid suffered from amenorrhea for half a year. Seeing leftover juice in a pot, thinking it wasteful to discard, she drank several cups, and her menstruation promptly resumed. Thus, the efficacy of Rehmannia in treating blood disorders is remarkable. For Rehmannia, simply wipe clean with a new cloth, crush to extract juice, and do not wash with water. (From *Xin Xiao Fang*)