余自髫稚学业医道,考究方脉,三十余年,遍历江湖,多学广博者,不过言国文本形容
之耳
明医道,精通方术,用药如发矢,无不中的。余曰∶必神人也!遂拜为师,得授奇方一册,
阅之,或群队者,或三四味者,皆余目观至人用效者也,使予如久旱逢霖,夜行得月,心中
豁然。自此回至吴中,一用一捷,无不刻验。信乎奇方,可锓梓者也。余以三余暇日,将至
人所授奇方,并日用决效之法,类成一帙,名曰《十药神书》。盖用效者,辄记录之。今西
浙大痴道人与余通家之好,用礼求授,故录以奉养生济人之功用尔。
时至正戊子春正月三阳日可久书于姑苏春先堂
余奉使渡台后,感受海外瘴疠,吐血咳嗽,公余 阅是编,照方试服,不旬日血止而嗽
亦平
降胃,牡丹皮、山栀等味以泻肝胆之火,然后清金补土,固其营卫,以次奏功,焉得不愈?
经陈修园先生逐方详注,极为精当。余又以己意及名人所论,随笔添注于上。汪子用大令索
阅是编,读而好之,用之有效,因为付梓,剞劂既竣,并乞弁言。
光绪己卯秋吴潘 书于鄂署之精白堂。
予读此十方,俱出人意表,其间次序缓急,可为千百世法,即不必十方并用,要无能出
其范
辄用六味地黄增减,冀其收功,皆由《医贯》入手,而未尝从《神书》体会者也。彼谓肾水
衰则火炎为患,壮水之主,可镇阳光也。孰知人之犯此病者,阴虚固多,而他因得亦复不少
。假如从劳力而得者,其伤在足太阴矣;从忧思而得者,其伤在手少阴矣;从嗜饮而得者,
其伤在手太阴矣;从愤怒而得者,伤又在足厥阴矣。皆致吐血、咳血、咯血等症,岂一壮水
可以胜其任乎?总之,人身之血,附气而行者也。一脏伤则气必不调,而血遂溢于外,故逆
则上出,坠则下行,滞则阻痛,寒则凝,热则散,此自然之势也。后之君子于诊视之际,闻
问之余,斟酌而得其情否乎?果能于此着眼,视其病之所伤在何脏?脉之所伤在何部?时之所
值在何季?思过半矣。余曾治一咯血之人,平日极劳,每咯紫黑色俱成小块者,然必是饱食
则多,少食则少,不食则或少或无。予以韭汁、童便、制大黄治之,二服而安,后以补中益
气加血药愈。而知者以为怪妄,予谓极平常。盖实从《神书》究心,而置《医贯》为谈料者
也。
康熙二十六年五月吴门周扬俊识于星沙寓中
我自幼学习医道,研究方剂与脉诊,三十多年来,游历江湖,见过许多学识渊博的人,他们大多只是用华丽的辞藻来描述罢了。
真正精通医道、深谙方术的人,用药如同射箭,没有不中靶的。我说:“这一定是神人!”于是拜他为师,得到传授的一本奇方书。翻阅之后,发现书中有的方子由多味药组成,有的仅三四味药,都是我曾亲眼见到高人使用有效的案例。这让我感觉如同久旱逢甘霖,夜间行走得见明月,心中豁然开朗。从此回到吴中地区,每用一次就见效,无不立刻验证。这些确实是奇方,值得刊刻印刷。我在闲暇之余,将老师所授的奇方以及日常判断疗效的方法,分类整理成一册,命名为《十药神书》。凡是使用有效的,我都记录下来。如今西浙大痴道人与我家交好,以礼请求传授,所以我抄录下来,以发挥其养生济世的功效。
时至正戊子年(1348年)春季正月三日,可久在姑苏春先堂书写。
我奉命渡海前往台湾后,感染了海外的瘴气瘟疫,出现吐血咳嗽的症状。在公务之余阅读这本书,照着方子尝试服用,不到十天血止住了,咳嗽也平息了。通过降低胃气,使用牡丹皮、山栀等药物来泻肝胆之火,然后清肺金、补脾土,巩固营卫之气,依次取得功效,怎么能不好呢?经过陈修园先生对方剂逐一详细注释,极为精当。我又结合自己的见解及名家的论述,随手添加注释在上面。汪子用大令索阅此书,读后很喜欢,试用有效,因此付梓印刷。雕版完成后,并乞求撰写序言。
光绪己卯年(1879年)秋季,吴潘在鄂署之精白堂书写。
我阅读这十个方子,都出乎意料之外,其中安排的次序缓急,可以作为千百世的典范。即使不必同时使用这十个方子,也总离不开它们的规范。人们往往随意使用六味地黄丸进行加减,希望收到功效,这都是从《医贯》入手,而未曾从《神书》中体会真谛。《医贯》认为肾水衰弱则火炎为患,壮水之主可以镇阳光。殊不知患此病的人,阴虚固然很多,但其他原因导致的也不在少数。假如是因为过度劳累而得的,损伤在于足太阴脾经;因为忧思而得的,损伤在于手少阴心经;因为嗜酒而得的,损伤在于手太阴肺经;因为愤怒而得的,损伤在于足厥阴肝经。这些都导致吐血、咳血、咯血等症状,难道仅仅靠“壮水”就能胜任吗?总之,人身之血是依附于气而运行的。一个脏腑受伤,气必然不调,血就会溢出体外,所以气逆则向上出血,气陷则向下出血,气滞则阻滞疼痛,寒则凝滞,热则散乱,这是自然的趋势。后来的医生在诊视之际,问诊之余,能否斟酌情况得其真情呢?如果真能在此着眼,观察疾病损伤的是哪个脏腑?脉象损伤的是哪个部位?时令对应的是什么季节?思考就完成大半了。我曾经治疗一个咯血的人,平时极度劳累,每次咯出的血紫黑色且结成小块,但一定是饱食后多,少食后少,不食则或有一点或没有。我用韭汁、童便、制大黄治疗他,服两剂后安定,后来用补中益气汤加入活血药治愈。知道的人认为是怪诞荒谬,我却认为极平常。这是因为真正用心钻研《神书》,而把《医贯》当作谈资的人。
康熙二十六年(1687年)五月,吴门周扬俊识记于星沙寓所中。
I studied medicine since childhood, investigating prescriptions and pulse diagnosis. For over thirty years, I traveled through rivers and lakes, encountering many who were learned and broad-minded; however, they mostly merely used ornate language to describe things.
Those who truly understand medical principles and master prescription techniques prescribe medicines as accurately as an archer hitting the target every time. I said, "This must be a divine person!" Thus, I bowed to him as my teacher and received a booklet of miraculous prescriptions. Upon reading it, I found that some formulas consisted of multiple herbs, while others had only three or four ingredients. These were all cases I had personally witnessed being effective when used by masters. It was like meeting rain after a long drought or seeing the moon while traveling at night; my mind became suddenly clear. Thereafter, upon returning to the Wu region, each application yielded immediate results, verified instantly. Indeed, these are miraculous prescriptions worthy of printing. During my spare time, I categorized the miraculous prescriptions taught by my teacher along with methods for daily judgment of efficacy into one volume, naming it *Shi Yao Shen Shu* (Ten Medicines Divine Book). Whenever a prescription proved effective, I recorded it. Now, Daoist Master Da Chi from West Zhejiang, who is a close friend of my family, requested to receive this teaching with courtesy. Therefore, I copied it to offer its functions in nourishing life and benefiting humanity.
Written on the third day of the first month of spring in the year Wuzi of Zhengde era (1348) at Chunxian Hall in Gusu, by Kejiu.
After I was sent on a mission to cross the sea to Taiwan, I contracted the miasma and pestilence of the overseas regions, suffering from hemoptysis (coughing up blood) and cough. While reviewing this book during my spare time, I tried taking the prescribed medicines according to the formulas. Within ten days, the bleeding stopped and the cough subsided. By descending stomach qi, using herbs such as *Mudan Pi* (Cortex Moutan Radicis) and *Shanzhi* (Fructus Gardeniae Jasminoidis) to drain fire from the liver and gallbladder, then clearing lung metal and tonifying spleen earth, and consolidating ying and wei qi step by step, how could it not heal? After Mr. Chen Xiuyuan provided detailed annotations for each formula, they were extremely precise. I further added notes based on my own insights and discussions by famous doctors. Wang Ziyongda Ling requested to read this book, liked it after reading, found it effective in use, and thus arranged for its publication. After the carving was completed, he also requested a preface.
Written in autumn of the year Jimo of Guangxu era (1879) at Jingbai Hall of the Hubei Office, by Pan of Wu.
Reading these ten formulas, all are beyond expectation. The sequence and urgency among them can serve as a model for thousands of generations. Even if one does not need to use all ten formulas simultaneously, one essentially cannot go beyond their framework. People often arbitrarily modify Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), hoping to achieve results. This stems from starting with *Yi Guan* (Medical Canon) without truly comprehending *Shen Shu*. *Yi Guan* posits that when kidney water declines, fire flares up causing affliction; strengthening the master of water can suppress excessive yang. Little do they know that among those suffering from this disease, although yin deficiency is common, other causes are also numerous. If acquired from overwork, the injury lies in the Foot-Taiyin Spleen Meridian; if from worry and thought, the injury lies in the Hand-Shaoyin Heart Meridian; if from alcohol indulgence, the injury lies in the Hand-Taiyin Lung Meridian; if from anger, the injury lies in the Foot-Jueyin Liver Meridian. All these lead to symptoms such as hematemesis (vomiting blood), hemoptysis, and spitting blood. Can merely "strengthening water" handle these cases? In summary, blood in the human body travels attached to qi. When one zang organ is injured, qi inevitably becomes disordered, and blood spills outwards. Thus, rebellion causes upward bleeding, sinking causes downward bleeding, stagnation causes obstruction and pain, cold causes coagulation, and heat causes dispersion. This is the natural trend. Do later physicians, during diagnosis and inquiry, carefully weigh the situation to grasp the truth? If one can focus on this, observing which zang organ is injured by the disease, which part of the pulse is affected, and which season corresponds to the timing, half the thinking is done. I once treated a person with spitting blood who was extremely fatigued daily. Every time he spat blood, it was purple-black and formed small clumps. However, there was more after full meals, less after eating little, and either a little or none when fasting. I treated him with chive juice, child's urine, and prepared Rhubarb (*Dahuang*). After two doses, he stabilized. Later, he recovered using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with blood-invigorating herbs. Those who understood considered this strange and absurd, but I regarded it as very ordinary. This is because I seriously studied *Shen Shu*, treating *Yi Guan* merely as conversational material.
Recorded in May of the 26th year of Kangxi era (1687) at the residence in Xingsha, by Zhou Yangjun of Wu Gate.