─痈与疽之治,截然两途。世人以痈疽连呼并治,夫痈疽二字之连呼,即夫妻二字之连
呼也
。若以痈药治疽,犹以安胎之药服其夫矣。是集以痈疽分别两途,皆识症执方之法;如照法
法制,照症用药,救人之功,余不敢分;害人之罪,余当独认。情愿万劫披毛,甘受屠家诛
戮。
─辑是《集》,专论阴虚阳实,认定红白两色,是痈是疽,治即痊愈。所载诸方,皆药
到病
愈,切勿增减,并勿因贵重之药减轻。逐症治法,开卷一目了然,不必投师,人人可精此道
。
─诸书惟《冯氏锦囊》内附阴疽论,与余家遗秘相符,独无消疽之方,惟以温补兼托为
法。
且疽初起,即如平塌,安可用托?托则成患。余家之法,以消为贵,以托为畏。即流注、瘰
、恶核,倘有溃者,仍不敢托。托则溃者虽敛,增出者又如何耶?故以消为贵也。
─外科之虚实,发现下外。治之法,《集》中详细,不必谙脉,尽可救人。故痘症之险
闷顺
逆,眼科之心肝脾肺肾,皆现于外,故亦不诊脉也。好学人察患色则知症,照症治,无不痊
。
─医可寄生死。阅坊刻外科,妄称正宗,载云症现七恶即死。又载以桐油烧红衣针,针
入痰
块半寸,用降药为条,插入针孔,七日块自开裂,再以条插七日,其核自落。又称毒在皮里
肉内,刀割深要寸许,伤透内腑,病患何能堪此极刑,七恶之现顷矣。世之宗其法治,尽属
刽徒。此集惟疔用刺,其外概不轻用刀针,并禁用升降痛烂二药。
─遍身所患,止有红白两色。红者痈,白者疽,痈疽即其名也。有谓无名肿毒者,因未
识其阴阳也。
─是书无论背项腰腹,白色者言疽,以疽药愈之;红肿者言痈,以痈药愈之。坊刻书称
以某
药与服不应,再易某药,岂非以人试药乎?倘患生要紧穴道,安可遭医几试!望高明详之。
─世无烂久之痈,惟疽初起失消,或遭降灸针割,以致年久不敛。治之方药,《集》中
详细。
─此《集》有行到之处,好学人自然以此治法。初起者消,久溃者敛。余恐此《集》迟
到,
医未经目,人未见习,以致多误,是以任坊翻刻,速遍海内。使医有生人之治,而无枉死之
人,余愿遂矣。
─载痈疽、咽喉、疔毒、结毒诸疮、痔漏等症,皆药到病愈之方;其杂症及临症后所附
诸病
诸方,亦一服即效者,附梓《集》中。内无以人试药之误,望有力者照方合就,对病旋送;
或止取药本,或抄方传人,注明法制。
─是书所有之药,法制极详,不可忽略。宜细心照法精制,药纯效速。
─伤寒症有转经传变,故有医不执方之说。至如外科杂症,全赖识症执方。余年七十有
二
,治病经历四十余年,用药从无一错,故敢辑是《集》,以公诸世,因名《症治全生》。
- 治疗痈和治疗疽,是两条截然不同的途径。世人习惯将“痈”和“疽”连在一起称呼并一起治疗,这就像把“丈夫”和“妻子”连在一起称呼一样(意指二者性质不同,不可混为一谈)。如果用治疗痈的药物去治疗疽,就如同给孕妇服用安胎药给她的丈夫吃一样荒谬。本书将痈和疽分为两个不同的治疗体系,都是依据症状确定方药的方法;如果按照书中的法制操作,根据症状用药,救人成功的功劳,我不敢独占;但如果造成害人害命的罪过,我独自承担。我宁愿万劫不复、披毛戴角,甘愿接受屠宰者的杀戮。
- 编纂这部《外科全生集》,专门论述阴虚和阳实两种证候,认定红色和白色两种色泽,以此判断是痈还是疽,治疗即可痊愈。书中记载的各方剂,都是药到病除的良方,切勿随意增减药味,也不要因为药物贵重就减少用量。针对各种症状的治疗方法,翻开书卷就能一目了然,不必拜师学习,人人都能精通此道。
- 其他医书中只有《冯氏锦囊》内附有阴疽的论述,与我家传的秘密相符,但唯独缺少消除疽肿的方子,只采用温补兼托毒外出的方法。况且疽初起时,疮面平坦塌陷,怎么可以使用托法?使用托法反而会造成祸患。我家传的方法,以消散为贵,以托法为戒。即使是流注、瘰疬、恶核等病症,如果有溃烂的情况,也不敢使用托法。一旦使用托法,虽然溃烂处可能收敛,但新增出的病灶又该如何处理呢?所以主张以消散为贵。
- 外科疾病的虚实表现,主要显露于体表之外。治疗方法在本书中已有详细记载,不必精通脉诊,完全可以救人。所以痘疹病症的险闷顺逆,眼科中心、肝、脾、肺、肾病变的表现,都显现于外部,因此也不需要通过诊脉来判断。好学之人观察患处的色泽就能知道病症,按照症状治疗,没有不痊愈的。
- 医生可以决定人的生死。阅读市面上刊刻的外科书籍,妄称自己是正宗,书中记载说症状出现“七恶”就会死亡。又记载用桐油烧红红衣针,针刺入痰块半寸深处,用降类药物做成条状插入针孔,七天肿块自然开裂,再插入药条七天,硬结自然脱落。又称毒素在皮肉之间,用刀切割深达一寸左右,伤透内脏,病人怎么能承受这种极刑,出现“七恶”症状顷刻间就会发生。世上那些遵循这种方法行医的人,全都是刽子手。本集仅对疔疮使用刺法,其余一概不轻易使用刀针,并禁用升降痛烂两类药物。
- 遍身所患的疮疡,只有红色和白色两种颜色。红色的是痈,白色的是疽,痈和疽就是它们的名称。有人称之为“无名肿毒”,是因为不认识其阴阳属性所致。
- 这本书不论患处是在背部、颈部、腰部还是腹部,白色的称为疽,用治疗疽的药物治愈;红肿的称为痈,用治疗痈的药物治愈。坊间刻印的书声称服用某药无效后,再更换另一种药,这难道不是拿人来做试验吗?倘若患病部位在紧要穴位,怎么可以让医生多次尝试!希望高明之士仔细考量。
- 世间没有长期溃烂不愈的痈,只有疽初起时未能及时消散,或者遭受了降下、艾灸、针刺、切割等治疗,导致多年无法愈合。治疗这些情况的方药,在本书中有详细记载。
- 这部《集》流传到的地方,好学之人自然会采用其中的治疗方法。初起的病症予以消散,久溃的病症予以收敛。我担心这部《集》到达得太晚,医生未曾见过,人们未曾见习,以致产生许多误治,所以任由坊间翻刻,迅速遍布海内外。使医生有救人的医术,而没有枉死的人,我的愿望就实现了。
- 书中记载了痈疽、咽喉、疔毒、结毒等各种疮疡,以及痔漏等症状,都是药到病除的方子;其中杂症及临症后附带的各种疾病和方剂,也是一服即见效的,一并刊印在《集》中。这里没有拿人试药的错误,希望有能力的人按照方子配好药,对症立即送服;或者只取药方成本,或抄录方子传授他人,注明制作和使用法则。
- 本书所载的所有药物,制作和使用法则非常详细,不可忽略。应当细心按照法则精制,保证药性纯正,疗效迅速。
- 伤寒病症有转经传变的过程,所以有医生不固执守方的说法。至于外科杂症,完全依靠识别症状并坚持使用相应的方药。我今年七十二岁,治病经历四十多年,用药从未出过一次错,所以敢编纂这部《集》,公之于世,因此命名为《症治全生》。
- The treatment of carbuncle (Yong) and gangrene (Ju) follows two completely distinct paths. People in the world habitually refer to "carbuncle and gangrene" together and treat them as one, which is akin to referring to "husband and wife" together (implying they are fundamentally different entities). To use medicine for carbuncle to treat gangrene is like administering pregnancy-preserving herbs to a husband instead of his pregnant wife. This collection divides the treatment of carbuncle and gangrene into two separate pathways, both based on the method of identifying symptoms and prescribing formulas; if one follows these methods and prescribes according to symptoms, I dare not claim credit for saving lives; however, I shall bear sole responsibility for any harm caused. I am willing to suffer eternal damnation and be slaughtered by butchers.
- This *Collection* specifically discusses Yin deficiency and Yang excess, identifying red and white colors to determine whether it is a carbuncle or gangrene, upon which recovery can be achieved. All formulas recorded here are effective immediately upon administration; do not arbitrarily add or subtract ingredients, nor reduce dosages due to the high cost of certain herbs. The treatment methods for each symptom are clear at a glance upon opening the book; there is no need to seek a master, as anyone can master this art.
- Among other medical texts, only the discussion on Yin Gangrene attached to *Feng Shi Jin Nang* (Feng's Brocade Bag) aligns with my family's secret knowledge, yet it lacks formulas for resolving gangrene, relying solely on warming, tonifying, and supporting methods. Moreover, when gangrene first appears, the lesion is often flat and collapsed; how can a supporting method be used? Using support would cause further trouble. My family's method prioritizes resolution (dissipation) and fears support. Even in cases of flowing abscesses, scrofula, or malignant nodules, if ulceration has occurred, support is still contraindicated. If support is used, although the ulcerated area may heal, what about the newly emerging lesions? Therefore, resolution is prioritized.
- The deficiency and excess patterns in surgical diseases manifest externally. The treatment methods are detailed in this *Collection*, allowing one to save lives without needing to be proficient in pulse diagnosis. Thus, for conditions like smallpox (where danger, obstruction, smoothness, or reversal are observed), and eye diseases related to the Heart, Liver, Spleen, Lung, and Kidney, signs appear externally, so pulse diagnosis is also unnecessary. Diligent students can identify the disease by observing the color of the lesion and treat accordingly, ensuring recovery.
- Physicians hold the power over life and death. Reading commercially published surgical books that falsely claim orthodoxy, one finds statements like "if seven evils appear, death is certain." Another passage describes using a needle heated with tung oil and red clothing to pierce phlegm masses half an inch deep, inserting strips of descending medicines into the puncture wound; after seven days, the mass cracks open, and after another seven days of insertion, the nodule falls off. It also claims toxins lie within the skin and flesh, requiring incisions up to an inch deep, penetrating internal organs, asking how patients could endure such torture, leading to the immediate appearance of the "seven evils." Those who follow these methods are essentially executioners. This collection only uses pricking for ding-toxins (hard boils); otherwise, it generally avoids knives and needles and strictly prohibits the use of descending and pain-inducing/rotting medicines.
- Lesions all over the body present in only two colors: red and white. Red indicates carbuncle, white indicates gangrene; these are their names. Some call them "nameless swelling and toxicity" because they fail to recognize their Yin-Yang nature.
- Regardless of whether the lesion is on the back, neck, waist, or abdomen, white lesions are termed gangrene and cured with gangrene medicines; red and swollen lesions are termed carbuncles and cured with carbuncle medicines. Commercially printed books suggest trying one medicine, and if ineffective, switching to another. Is this not using humans as test subjects? If a lesion occurs at a critical acupoint, how can doctors afford to experiment! I hope those with superior insight will consider this carefully.
- There are no chronic, non-healing carbuncles in the world. Only gangrenes that failed to resolve initially, or were subjected to descending treatments, moxibustion, needling, or cutting, result in long-term non-healing. The formulas and drugs for treating these are detailed in this *Collection*.
- Wherever this *Collection* reaches, diligent students will naturally adopt its treatment methods. Initial stages are resolved, and chronic ulcers are healed. I fear that if this *Collection* arrives too late, physicians may not have seen it, and people may not have learned from it, leading to many errors. Therefore, I allow commercial reprinting to spread it rapidly throughout the land. May physicians possess the skill to save lives, and may there be no unjust deaths; this is my wish.
- The book records formulas for carbuncles, gangrenes, throat disorders, ding-toxins, chancres, various sores, hemorrhoids, and fistulas, all of which cure diseases upon administration. Miscellaneous conditions and additional diseases and formulas appended after clinical observations, which are also effective after a single dose, are included in this *Collection*. There is no error of testing medicines on humans here. I hope those with resources will prepare the medicines according to the formulas and deliver them promptly for the corresponding diseases; or simply take the cost of the herbs, or copy and transmit the formulas to others, noting the preparation and usage rules.
- The preparation and usage rules for all medicines in this book are extremely detailed and must not be ignored. One should carefully refine the medicines according to the rules to ensure purity and rapid efficacy.
- Typhoid fever (Shanghan) involves transmission through meridians, hence the saying that physicians should not stick rigidly to fixed formulas. However, surgical miscellaneous diseases rely entirely on identifying symptoms and adhering to specific formulas. At seventy-two years old, having treated diseases for over forty years, I have never made a mistake in medication. Thus, I dare to compile this *Collection* and make it public, naming it *Zheng Zhi Quan Sheng* (Complete Life Based on Symptom Treatment).