凡合和汤药。务在精专。甄别新陈。辨明州土。修制合度。分两无差。用得其宜。病无
不愈
疗疾
非
一
又
多
度
两
也
病
属
或
生相
依方
刀剑。
凡煮汤。当以井华水。极令净洁。其水数依方多少。不得参差。常令文火小沸。令药味
出。
之。
病
凡捣罗丸药。用重密绢令细。于蜜中和则易熟。若罗草药为散。以轻细绢。于酒中调服
则不泥。其石药亦用细绢罗然后研理。数百过。视色理和。同为佳也。
凡汤酒中。用诸石药。皆细捣罗之如粟米。亦可以葛筛令调。并新绵裹。内汤酒中同煎
凡
冬
小
也
凡渍药酒。皆须细锉。用生绢袋盛之。乃入酒密封。随寒暑日数视其浓烈便可漉出。不
必待服至酒尽也。滓可曝燥微捣。更渍饮之。亦可为散服。
凡合膏药。初以酒或醋渍令淹浃。不用多汁。密覆勿泄。从今旦至明旦。亦有止一宿者
。微火煎之。令三上三下。以泄其热势。令药味得出。上之使币。币
沸乃下之使沸。静良久乃上宁。欲小小生其中。有薤白者。以两头微焦黄为候。有白芷附子
者。亦令小黄色也。猪肪皆勿令经水。腊月弥佳。绞膏以新布绞之。若是可服之膏。膏滓亦
可酒煮饮之。可摩之膏。膏滓则宜以敷病上。此盖欲兼尽其药力故也。膏中用雄黄朱砂麝香
之辈。皆别研如粉。候绞膏毕。乃可投中。以物疾搅至于凝强。勿使沉聚在下不调。有水银
胡粉者。于凝膏中研令消散。
凡修炼神仙延年丸散。皆须先净其室。烧香洒扫。勿令浪语。当使童子捣之。务令细熟
杵
不效也。其逐急诸小汤散。则不在此限尔。
凡是调和汤药,务必做到精细专一。甄别药材的新旧,辨明产地的不同,炮制加工合乎法度,分量没有差错,使用得当,疾病没有不痊愈的。
治疗疾病的方法不止一种,又有很多次需要用到“两”这种计量单位。病症所属的情况,有的相互依赖,依据方剂(来治疗)。
凡是煎煮汤药,应当使用清晨第一次汲取的井水(井华水),一定要极其洁净。水的数量依照方剂的多少而定,不得有丝毫差错。经常保持用小火微微沸腾,使药味析出。
凡是捣筛制作丸药,要用厚重细密的绢帛使其变得细碎,在蜂蜜中调和就容易煮熟。如果是将草药罗筛成散剂,用轻细的绢帛,在酒中调服就不会粘滞。那些石类药物也要用细绢罗筛过,然后研磨处理,经过数百遍,观察颜色和纹理和谐,才算是好。
凡是汤剂和酒剂中,使用各种石类药物,都要细细捣碎并罗筛得像粟米大小,也可以用葛布筛子使其调和,并用新棉包裹,放入汤或酒中共同煎煮。
凡是浸泡药酒,都必须将药材细细切碎,用生丝布袋盛装,然后放入酒中密封。根据天气寒暑的天数,观察其浓度烈度,就可以过滤取出,不必等到酒全部喝完。药渣可以晒干后轻微捣碎,再次浸泡饮用,也可以制成散剂服用。
凡是制作膏药,起初用酒或醋浸泡,使其完全浸透,不需要太多汁液,严密覆盖防止泄漏。从今天早晨到明天早晨,也有只浸泡一夜的。用微火煎煮,使其经历三次上升三次下降的过程,以散发其热势,使药味析出。每次沸腾时将其取下,待其平静后再加热至沸腾,静置良久再加热。想要在其中稍微产生气泡,如果有薤白(小根蒜)的,以两头微微焦黄为标志;如果有白芷、附子的,也令其呈现小黄色。猪脂肪都不要接触生水,腊月制作的更好。用新布绞取膏液。如果是可以内服的膏药,膏渣也可以用酒煮后饮用;如果是可以外敷的膏药,膏渣则适宜敷在患处。这都是为了尽量利用药力的缘故。膏药中使用的雄黄、朱砂、麝香等药物,都要另外研磨成粉,等到绞取膏液完毕后,才可以投入其中,用器具快速搅拌直到凝固强劲,不要使其沉淀聚集在下面而不均匀。如果含有水银、胡粉的,要在凝固的膏体中研磨使其消散。
凡是修炼神仙延年丸散,都必须先清洁房间,烧香洒扫,不要随意说话,应当让童子来捣药,务必使其细熟,否则不会有效。那些紧急情况下使用的小方汤剂和散剂,则不在此限制之内。
Whenever preparing and mixing decoctions, one must strive for precision and specialization. One must distinguish between new and old materials, identify their geographical origins, ensure processing conforms to standards, maintain exact weights without error, and apply them appropriately; thus, diseases will invariably be cured.
The methods for treating illnesses are not singular, and there are many instances where the unit of "liang" (a traditional Chinese weight) is employed. The nature of diseases may vary or depend upon each other, necessitating adherence to specific prescriptions.
When boiling decoctions, one should use well-water drawn at dawn (Jinghua water), ensuring it is extremely clean. The quantity of water must strictly follow the prescription, allowing for no deviation. Maintain a gentle simmer with low heat to allow the medicinal flavors to extract.
When pounding and sifting ingredients for pills, use heavy, fine silk gauze to achieve a fine powder; mixing this with honey facilitates easier cooking. If sifting herbal medicines into powders, use light, fine silk gauze; mixing with wine for administration prevents caking. Mineral drugs should also be sifted through fine silk gauze before being ground, repeated hundreds of times, until the color and texture appear harmonious, which indicates quality.
For any decoctions or wines containing mineral drugs, these must be finely pounded and sifted to the size of millet grains. They can also be blended using a kudzu sieve, wrapped in new cotton, and boiled together within the decoction or wine.
When macerating medicinal wines, herbs must be finely chopped and placed in raw silk bags. These are then submerged in wine and sealed tightly. Depending on the seasonal temperature (cold or hot), observe the duration required for the desired potency, then strain out the liquid. It is not necessary to wait until all the wine has been consumed. The dregs can be dried, slightly crushed, and re-macerated for further drinking, or they can be used as a powder.
When preparing ointments, initially soak the ingredients in wine or vinegar until fully saturated, using minimal liquid. Cover tightly to prevent leakage. Soak from morning until the next morning, or sometimes just overnight. Simmer over low heat, employing a technique of bringing it to a boil three times and removing it from heat three times to dissipate excessive heat and release medicinal properties. When it boils, remove it; let it settle quietly before reheating. The goal is to achieve slight bubbling. For ingredients like Allium macrostemon (Xiebai), look for the ends turning slightly yellow-brown; for Angelica dahurica (Baizhi) and Aconitum carmichaelii (Fuzi), aim for a slight yellow hue. Lard (Zhufang) must never come into contact with water; lard prepared in the twelfth lunar month is superior. Strain the ointment using fresh cloth. If the ointment is intended for internal use, the residue may be boiled in wine and drunk; if for external application, the residue should be applied to the affected area. This ensures the full utilization of the medicinal power. Minerals such as Realgar (Xionghuang), Cinnabar (Zhusha), and Moschus (Shexiang) used in ointments must be separately ground into powder. After straining the ointment base, add these powders and stir vigorously with a utensil until the mixture becomes firm and cohesive, preventing sedimentation at the bottom. If Mercury (Shuiyin) or Lead carbonate (Hufen) are involved, grind them into the solidified ointment until dissolved.
For preparing elixirs and powders for longevity and spiritual cultivation, the room must first be cleaned, incense burned, and swept. Silence must be maintained; do not engage in idle chatter. Young boys should perform the pounding, ensuring the material is thoroughly fine and cooked; otherwise, efficacy will not be achieved. However, urgent minor decoctions and powders are exempt from these strict requirements.