夫人之生也，皆禀天地之气而成形，宜乎保养真元，固守根本，则一病不生，四体轻健
。若
难，盖因人之壮年血气充聚，津液完足之际，不能守养，惟务酒色，岂分饥饱，日夜耽欲，
无有休息，以致耗散精液，则呕血吐痰，骨蒸烦热，肾虚精竭，形羸，颊红，面白，口干咽
燥，小便白浊，遗精盗汗，饮食难进，气力全无。斯因火乘金位，重则半年而毙，轻则一载
而倾。况为医者，不究其源，不通其治，或大寒大热之药，妄投乱进，不能取效。殊不知大
寒则愈虚其中，大热则愈竭其内，所以世之医者，无察其情。予师用药治痨，如羿之射，无
不中的。余以用药次第，开列于后，用药之法，逐一条陈。如呕血咳嗽者，先服十灰散劫住
，如不住者，须以花蕊石散止之，大抵血热则行，血冷则凝，见黑则止，此定理也。止血之
后，患人必疏解其体，用独参汤补之，令其熟睡一觉，不要惊动，醒则病去六七矣，次服保
真汤止嗽宁肺，太平丸润肺扶痿，消化丸下痰疏气，保和汤分治血盛、痰盛、喘盛、热盛、
风盛、寒盛六事，加味治之，余无加法。又服药法曰∶三日前服保真汤，三日后服保和汤，
二药相间服之为准，每日仍浓煎薄荷汤灌漱喉中，用太平丸徐徐咽下，次噙一丸，缓缓化下
，至上床时候，如此用之，夜则肺窍开，药必流入肺窍，此诀最为切要。如痰壅，却先用饧
糖烊消化丸百丸吞下，又根据前嚼太平丸，令其仰卧而睡，嗽必止矣。如有余嗽，可煮润肺
膏服之，复其根本，完其真元，全愈之后，方合十珍丸服之，此谓收功起身药也。前药如神
之妙，如神之灵，虽岐扁再世，不过于此，吁！世之方脉用药，不过草木金石，碌碌之常耳
，何以得此通神诀要奇异之灵也？余蒙师授此书，吴中治痨何止千万人哉！未尝传与一人，今
卫世恐此泯失，重次序一新，名曰《十药神书》，留遗子孙以广其传矣。
人生在世，都是禀受天地之气而形成的形体，理应保养真元之气，固守生命根本，这样就不会生病，四肢身体轻健。如果（出现）困难，大概是因为人在壮年时期血气充盛、津液完备充足的时候，不能加以保养，只致力于饮酒女色，不分饥饱，日夜沉溺于欲望，没有休息，导致精液耗散，于是出现呕血、吐痰、骨蒸烦热、肾虚精竭、身体消瘦、两颊发红、面色苍白、口干咽燥、小便浑浊、遗精盗汗、饮食难进、气力全无等症状。这是因为火邪侵犯肺金之位，严重的半年内死亡，轻的一年内倾覆。况且作为医生，不探究病因源头，不通晓治疗法则，或者滥用大寒大热的药物，胡乱投药，不能取得疗效。殊不知大寒之药会使中焦更加虚损，大热之药会使体内更加枯竭，所以世间的医生，没有考察病情实情。我的老师用药治疗痨病，就像后羿射箭一样，没有不射中的。我将用药的先后次序，开列在后面，用药的方法，逐条陈述。如果是呕血咳嗽的患者，先服用十灰散来劫止（迅速止血），如果止不住，必须用花蕊石散来止血，大体上血热则运行，血冷则凝滞，见黑色则止血，这是固定的定理。止血之后，病人必然要疏解其身体，用独参汤补益，让他熟睡一觉，不要惊动，醒来则病去六七成，接着服用保真汤止咳宁肺，太平丸润肺扶正，消化丸下痰理气，保和汤分别治疗血盛、痰盛、喘盛、热盛、风盛、寒盛六件事，加味治疗，其余没有加法。另外服药方法说：前三天服用保真汤，三天后服用保和汤，这两种药交替服用为准，每天仍然浓煎薄荷汤灌漱喉咙，用太平丸慢慢咽下，其次含服一丸，缓缓化下，到了上床睡觉的时候，如此使用，夜间肺窍打开，药必定流入肺窍，这个诀窍最为切要。如果痰壅塞，却先用饴糖融化消化丸一百丸吞下，又按照前面嚼服太平丸，让他仰卧睡觉，咳嗽必定停止。如果有剩余咳嗽，可以煮润肺膏服用，恢复其根本，完善其真元，完全痊愈之后，才合制十珍丸服用，这叫做收功起身药。前面的药如神般奇妙，如神般灵验，即使扁鹊再世，也不过如此，唉！世间的方脉用药，不过是草木金石，平庸平常罢了，怎么能得到这种通神诀要奇异之灵呢？我蒙受老师传授这本书，吴地治疗痨病何止千万人呢！未曾传给一个人，现在为了保卫世间恐怕此书泯灭失传，重新整理次序一新，命名为《十药神书》，留给子孙以广泛流传它。
Human life is formed by inheriting the Qi of Heaven and Earth. One should preserve the True Yuan (Primordial Energy) and secure the root, thereby preventing disease and maintaining lightness and health in the four limbs. However, difficulties arise because in their prime, when blood and Qi are abundant and body fluids are complete, people fail to maintain themselves, indulging only in wine and lust, disregarding hunger and fullness, obsessing over desires day and night without rest. This leads to the dissipation of essence and fluids, resulting in hematemesis (vomiting blood), expectoration of phlegm, bone-steaming feverish sensation, kidney deficiency with exhaustion of essence, emaciation, malar flush, pale complexion, dry mouth and throat, turbid urine, spermatorrhea, night sweats, difficulty in eating, and total loss of strength. This occurs because Fire invades the position of Metal (Lung). Severe cases may result in death within half a year, while mild cases may collapse within a year. Moreover, physicians who do not investigate the source nor understand the treatment, or who recklessly administer extreme cold or hot medicines, often fail to achieve efficacy. It is unknown that extreme cold further damages the middle Jiao, and extreme heat further depletes the interior. Thus, worldly physicians fail to examine the condition accurately. My master’s use of medicine to treat consumption (Lao disease) was like Hou Yi shooting arrows; nothing missed the mark. I list the sequence of medication below and detail the methods step by step. For patients with hematemesis and cough, first administer Shihui San (Ten Ash Powder) to rapidly stop bleeding. If it does not stop, Huarui Shi San (Flower Stamen Stone Powder) must be used. Generally, heat in the blood causes it to flow, cold causes it to coagulate, and black color stops bleeding; this is a fixed principle. After stopping the bleeding, the patient’s body must be relaxed, and Dushen Tang (Single Ginseng Decoction) should be used to tonify, allowing for a deep sleep without disturbance. Upon waking, six or seven-tenths of the illness will have passed. Next, Baozhen Tang (Preserve Truth Decoction) should be taken to stop cough and calm the Lung, Taiping Wan (Taiping Pill) to moisten the Lung and support weakness, Xiaohua Wan (Digestion Pill) to descend phlegm and regulate Qi, and Baohe Tang (Harmony Preservation Decoction) to separately treat excessive Blood, Phlegm, Panting, Heat, Wind, and Cold, with modifications as needed. No other additions are required. Furthermore, regarding the method of taking medicine: take Baozhen Tang for the first three days, and Baohe Tang after three days, alternating these two medicines as the standard. Each day, still brew strong Bohe Tang (Mint Decoction) to gargle the throat. Swallow Taiping Wan slowly, then hold one pill in the mouth to dissolve gradually. When going to bed, use it thus; at night, the Lung orifices open, and the medicine flows into them. This secret is most crucial. If there is phlegm obstruction, first melt Yitang (Maltose) and swallow 100 pills of Xiaohua Wan with it, then chew Taiping Wan as before, lie on the back to sleep, and the cough will surely stop. If residual cough remains, boil Runfei Gao (Lung-Moistening Paste) to drink, restoring the root and perfecting the True Yuan. Only after complete recovery should Shizhen Wan (Ten Treasures Pill) be compounded and taken; this is called the "concluding and rising" medicine. The previous medicines are miraculous and spiritual; even if Bian Que were reborn, he would not exceed this. Alas! Worldly prescriptions rely merely on herbs, minerals, and stones, which are mundane. How can they attain such divine secrets and extraordinary efficacy? I received this book from my master. In Wu Zhong, how many tens of thousands have been treated for consumption? It had never been transmitted to anyone. Now, fearing its loss to the world, I have reorganized and renewed the order, naming it *Shiyao Shenshu* (Divine Book of Ten Medicines), leaving it to descendants to spread its transmission widely.