《经方短剧》一部,连药性灸法合十二卷。古之旧方者,非是术人逆作方,以待未病者
也。皆是当疾之时,序其源由诊候之,然后根据药性处方耳。病者得愈,便记所主治,序为方
说,奏上官府,仍为旧典也。今之学人相与同难,用旧方治病,病如方说,药物根据方,而不
悉验者,共论是病有古今,不言异乡殊气,质耐不同。同病患痛痒,所苦相似,而得之根源
实别异。且人有苦乐强弱,用药不等,而得差是同。既差之后,实各记其方所治神验,方说
略同,其药寒温补利乖背。或先于岭南服之得益,传往淮北为治反害。夫用故方之家,唯信
方说,不究药性,亦不知男女长少殊耐、所居土地温凉有早晚不同,不解气血浮沉深浅应顺
四时、食饮五味以变性情。唯见方说相应,不知药物随宜,而一概投之,此为遇会得力耳,
实非审的为效也。是以《黄帝经》教四海之民,为治异品,此之谓也。今若欲以方术为学人,
当精看大品根本经法,随宜制方处针灸,病者自非寿命应终,毒害已伤生气,五劳七伤已竭
气血者,病无不愈也。若不欲以方术为学,但以备身防急者,当根据方诀,看此《经方短剧》
一部为要也。今先记述上古已来旧方,卷录多少采取可承案者,为《短剧》成法焉。
《华佗方》有十卷
《张仲景辨伤寒并方》有九卷,而世上有不啻九卷,未测定几卷,今且以目录为正。
《张仲景杂方》有八卷
《黄素方》有二十五卷
《葛氏所撰方》有四卷
《阮河南所撰方》有十五卷
《辽东都尉广所撰备急方》、《中古备急》并合为二卷
《杨氏所撰方》有九卷
有《杂撰方》七卷
有《治下汤丸散方》十卷
有《治妇人方》十三卷
有《治少小杂撰方》三十卷
有《治眼方》五卷
有《杂膏方》十卷
《范东阳所撰方》有一百九卷,是范安北过江后撰集也。
上十六件,皆是《秘阁四部书目录》所载录者也。
《羊中散所撰方》有三十卷,是元嘉中于新安郡所集,皆是江东得效者,于世乃可即用。
《秦承祖所撰要方》二十卷,多是范东阳集中单省者耳。且首数又少,于次第治不得周
悉,不足传也。
上二件,并是元嘉中撰也。一切诸贵家皆各自撰集服药方也,终归是大集中事及术士所
增损耳,不可悉录也。
谨案经传撰古今经方、治病旧典,观历代相绍,圣人虽异轨殊迹,治化同源,疗病之理,
其教亦然。是以神农使于草石,黄帝施
而治病则同,是以为异轨同源者也。历代撰集,文迹皆悉存,而术有神人真气,药有游仙所
饵,方有延年益寿,法有民间救急,自古至今,去圣久远,雅有其文,无有传授之者。汉末
有张仲景,意思精密,善详旧效,通于往古,自此以来,未闻胜者。夫学术之验,皆根据智能
开悟,心意安审,寻详经法,得其变
者,非为治病悉应须如此多方也,正是记录开辟以来异轨同源,历代所集服药余方随积耳。
研寻治病终归以药为方,《本草》药
相传所用者,复可数十物。而方集有数百卷,卷有百余首者,皆是古之明术者详经察病,随
宜处方,或药物数同其称分为异,或煮取升合为变通耳。疾愈方积,历代如此,自然成多也。
后来学人,例不案经,多寻方说,随就增损,其方首数既多,药物所殊至微,或说同而方异,
或方同而说乖;或先是老人服之得效,今有少年病与之相似;或者女子先病服之有益,今有
产妇病与之相似;方说病证可服,而人长少盛衰
相传加药。其药物虽是所宜,而于本方更成相犯。或欲除其烦重,于本方便成不便。一方积
经增损,转生伪异。其说虽与病会,其药物久改初始。是以中古诸方,用药多有畏恶相犯,
反毒相触,良由此也。
今更详诸古方,撰取十卷可承案者,又撰本草药性,要物所主治者一卷,临疾看之,增
损所宜,详药性寒温以处之;并灸法要穴为一卷,合为十二卷,为《经方短剧》一部,以备
居家野间无师术处,临急便可即用也。僮幼始学治病者,亦宜先习此短剧,则为开悟有渐,
然后可看大品也。
《经方短剧》一部,连同药性、灸法共十二卷。古代的旧方,并不是那些行医之人预先编造出来,用来应对尚未发生的疾病的。它们都是在疾病发生时,追溯其病因源流,诊察病候,然后根据药物性质来开具处方罢了。病人痊愈后,便记录下所主治的方子,整理成方论,呈报给官府,这就成为了旧的典籍。
现在的学者们共同质疑,使用旧方治病,病情与方论描述相符,药物也按照方子使用,但疗效却不尽如人意。他们共同讨论认为,这是因为疾病有古今之分,而没有考虑到地域不同、气候差异、体质耐受性不同等因素。虽然病患的痛苦和症状相似,但其发病根源实际上截然不同。况且人有苦乐强弱之别,用药剂量不等,但都能取得相似的疗效。既然都治好了,确实各自记录其方子的神奇疗效,方论大致相同,但药物的寒热温凉及补泻作用却大相径庭。有的方子在岭南服用有益,传到淮北治疗反而有害。那些使用旧方的人,只相信方论,不探究药物性质,也不知道男女老少体质耐受性的差异,居住地土地气候早晚的不同,不理解气血浮沉深浅应顺应四时变化,也不懂得饮食五味对体质的影响。只见方论相应,不知道药物需随宜调整,而一概投用,这只是偶然碰巧得力,实在不是审慎确定的疗效。所以《黄帝内经》教导四海之民,治疗要因地制宜,说的就是这个道理。现在如果想把方术作为学问来研究,应当精读《小品方》(即文中提到的“大品”)的根本经法,随宜制定方剂并处理针灸,病人如果不是寿命已尽,毒害未伤生气,五劳七伤未竭气血者,病没有不愈的。如果不打算将方术作为学问研究,只是以备自身防范急症,那么应当依据方诀,以阅读这部《经方短剧》为重要。
现在先记述上古以来的旧方,卷录多少选取可以供参考的,编成《短剧》作为成法。
《华佗方》有十卷
《张仲景辨伤寒并方》有九卷,世上流传的不止九卷,未测定具体几卷,现在暂且以目录为正。
《张仲景杂方》有八卷
《黄素方》有二十五卷
《葛氏所撰方》有四卷
《阮河南所撰方》有十五卷
《辽东都尉广所撰备急方》、《中古备急》合并为二卷
《杨氏所撰方》有九卷
有《杂撰方》七卷
有《治下汤丸散方》十卷
有《治妇人方》十三卷
有《治少小杂撰方》三十卷
有《治眼方》五卷
有《杂膏方》十卷
《范东阳所撰方》有一百零九卷,这是范安北过江后编纂的。
以上十六种,都是《秘阁四部书目录》中记载的。
《羊中散所撰方》有三十卷,这是元嘉年间在新安郡收集的,都是江东有效的方子,在当时可以直接使用。
《秦承祖所撰要方》二十卷,多是范东阳集中删减省略的内容。而且篇目较少,在治疗次第上不够周全详细,不足以流传。
以上两种,都是元嘉年间编纂的。一切诸贵家都各自编纂服药方,最终归结于大集中的事项及术士的增损罢了,不可全部收录。
谨按经传撰写古今经方、治病的旧典,观察历代相继传承,圣人虽然途径不同、事迹各异,但治疗的教化同源,疗病的原理,其教导也是如此。所以神农尝百草金石,黄帝施针石治病,虽然方法不同,但治愈疾病的目的相同,这就是所谓异轨同源。历代编纂,文字事迹都保存下来,但医术中有神人真气,药物中有游仙所服用的,方剂中有延年益寿的,法中有民间救急的,自古至今,距离圣人久远,虽有雅正的文章,但没有传授的人。汉末有张仲景,心思精密,善于详查旧效,通晓往古,从此以来,未听说有胜过他的。学术的验证,都根据智能开悟,心意安定审慎,寻究详查经法,掌握其变化,并非治病一定要如此多方,正是记录开辟以来异轨同源,历代所集服药余方积累的结果。
研求治病最终归结为以药为方,《本草》药物相传所用的,又有几十种。而方剂集有数百卷,每卷有一百多首的,都是古代明术者详查经法、察看病证,随宜处方,或者药物数量相同但称量分量为异,或者煎煮取液升合为变通罢了。疾病治愈方剂积累,历代如此,自然变得很多。后来的学者,通常不按经书,多寻方论,随意增损,方剂篇目既多,药物差异极微,或者说法相同而方剂不同,或者方剂相同而说法违背;或者是以前老人服用有效,现在有少年病与之相似;或者是女子先病服用有益,现在有产妇病与之相似;方论说病证可服,而人老少盛衰相传加药。其药物虽然是适宜的,但在本方中更成为相犯。或者想除去烦重,在本方便成为不便。一方积累经过增损,逐渐产生伪异。其说法虽与病会,但药物久改初始。所以中古诸方,用药多有畏恶相犯,反毒相触,良由此也。
现在重新详查各古方,选取十卷可供参考的,又编写本草药性,主要药物主治的一卷,临症查看,增损适宜,详查药性寒温以处理;并将灸法要穴为一卷,合为十二卷,编成《经方短剧》一部,以备居家野外无师术处,临急便可即用。童幼开始学习治病者,也应当先习此短剧,则为开悟有渐,然后可看大品。
*Jingfang Duanju* (Short Treatise on Classic Prescriptions), one volume, combined with Materia Medica properties and Moxibustion methods, totals twelve volumes. The ancient old prescriptions were not fabricated by practitioners in advance to treat diseases that had not yet occurred. They were all formulated when the disease was present: tracing its origin and cause, diagnosing the symptoms, and then prescribing based on the nature of the herbs. After the patient recovered, the effective prescription was recorded, organized into a commentary on the formula, and submitted to the government, thus becoming an old classic.
Scholars today often question the use of old prescriptions for treating diseases. Even when the condition matches the description in the formula commentary and the herbs are used as prescribed, the efficacy is not always verified. They collectively argue that this is because diseases differ between ancient and modern times, failing to account for differences in region, climate, and individual constitution. Although patients suffer from similar pains and symptoms, their actual origins are distinct. Moreover, individuals vary in strength and tolerance; different dosages may yield similar results. Once cured, each person records the miraculous efficacy of their specific prescription. While the commentaries on the formulas may be similar, the cold, warm, tonifying, or purging properties of the herbs can be contradictory. A prescription beneficial in Lingnan might be harmful if transmitted to Huaibei. Those who rely on old prescriptions trust only the commentary, neglecting to investigate the nature of the herbs. They fail to understand the differences in tolerance among men, women, the elderly, and the young; the variations in climate早晚 (morning and evening) across different lands; nor do they comprehend how Qi and Blood floating or sinking, deep or shallow, should adapt to the four seasons, or how the five flavors of food and drink alter temperament. Seeing only that the commentary matches the condition, but ignoring the need for herbal adjustment according to circumstances, they administer the same prescription universally. This success is merely coincidental, not the result of careful deliberation. Thus, the *Huangdi Neijing* (Yellow Emperor's Inner Canon) teaches that people in the four seas should be treated with different items, which is what this refers to.
If one wishes to study prescription arts as a scholarly discipline, one should meticulously study the fundamental classics of the "Great Work" (*Da Pin*, referring to *Xiaopin Fang*), formulate prescriptions and manage acupuncture/moxibustion according to circumstances. For patients whose lifespan has not ended, whose vital energy has not been damaged by toxins, and whose Five Exhaustions and Seven Injuries have not depleted Qi and Blood, no disease will remain untreatable. If one does not wish to study prescription arts as a scholarship, but merely to prepare for personal emergencies, one should rely on formula principles and prioritize reading this *Jingfang Duanju*.
Herein, I first record old prescriptions since antiquity, selecting those volumes suitable for reference to form the *Duanju* as a standard method.
*Hua Tuo's Prescriptions*: 10 volumes.
*Zhang Zhongjing's Differentiation of Cold Damage and Prescriptions*: 9 volumes. The world circulates more than 9 volumes; the exact number is undetermined. Currently, we take the catalog as authoritative.
*Zhang Zhongjing's Miscellaneous Prescriptions*: 8 volumes.
*Huang Su's Prescriptions*: 25 volumes.
*Ge Shi's Compiled Prescriptions*: 4 volumes.
*Ruan Henan's Compiled Prescriptions*: 15 volumes.
*Liaodong Commandant Guang's Emergency Prescriptions* and *Middle Antiquity Emergency Prescriptions*: Combined into 2 volumes.
*Yang Shi's Compiled Prescriptions*: 9 volumes.
*Miscellaneous Compiled Prescriptions*: 7 volumes.
*Prescriptions for Lower Body Decoctions, Pills, Powders, and Scattered Medicines*: 10 volumes.
*Prescriptions for Women*: 13 volumes.
*Miscellaneous Compiled Prescriptions for Children*: 30 volumes.
*Prescriptions for Eyes*: 5 volumes.
*Miscellaneous Ointments*: 10 volumes.
*Fan Dongyang's Compiled Prescriptions*: 109 volumes. This was compiled by Fan Anbei after crossing the river south.
The above sixteen items are all recorded in the *Secret Cabinet Four Categories Book Catalog*.
*Yang Zhongsan's Compiled Prescriptions*: 30 volumes. These were collected in Xin'an Commandery during the Yuanjia era, consisting of effective prescriptions from Jiangdong, directly usable in society at that time.
*Qin Chengzu's Essential Prescriptions*: 20 volumes. These are mostly abbreviated versions from Fan Dongyang's collection. The number of chapters is small, and the treatment sequence is not comprehensive enough, making them insufficient for transmission.
The above two items were both compiled during the Yuanjia era. All noble families compiled their own medication prescriptions, ultimately deriving from major collections and modifications by practitioners. These cannot be fully recorded.
Respectfully examining the classics and transmissions regarding ancient and modern classic prescriptions and old medical texts, observing the succession through dynasties, although the Sages had different paths and deeds, their therapeutic教化 (education/transformation) shares the same source. The principle of curing diseases and their teachings are also the same. Thus, Shennong tasted herbs and minerals, and Huangdi applied needles and stones to cure diseases; though the methods differed, the goal of healing was the same. This is what is meant by "different tracks, same source." Through the ages, compilations preserved textual traces, but the art contained spiritual energy of sages, medicines included those eaten by wandering immortals, formulas aimed at longevity, and methods for folk emergencies. From ancient times to now, far removed from the Sages, elegant texts exist, but there are no transmitters. At the end of the Han Dynasty, Zhang Zhongjing appeared. His thoughts were precise, skilled in detailing past efficacies, and knowledgeable of antiquity. Since then, none have surpassed him. The verification of academic learning relies on intelligence and enlightenment, a calm and prudent mind, seeking and detailing canonical laws, and grasping their variations. It is not that curing diseases requires so many diverse methods; rather, it records the accumulation of prescriptions from the beginning of creation, following different tracks but sharing the same source, collected through generations.
Studying the ultimate return of curing diseases leads back to using medicine as the formula. The *Bencao* (Materia Medica) transmits the use of dozens of substances. Yet formula collections number hundreds of volumes, with over a hundred formulas per volume. These were all carefully observed by ancient masters of the art, analyzing canonical laws and diseases, prescribing according to circumstances. Sometimes the number of herbs is the same, but the weighing and division differ; sometimes the boiling and measuring in sheng and he units vary. As diseases are cured, formulas accumulate; this has been the case through the ages, naturally resulting in abundance. Later scholars, generally not consulting the classics, seek formula commentaries and make arbitrary additions and deletions. With numerous formulas and minute differences in herbs, sometimes the commentary is the same but the formula differs, or the formula is the same but the commentary contradicts. Perhaps an old man benefited from a prescription previously, while a youth now suffers a similar illness; or a woman benefited before, while a postpartum woman now suffers similarly. The commentary says the disease can be treated, but due to age and vitality differences, herbs are added through tradition. Although the herbs are suitable, they may conflict within the original formula. Attempting to remove heaviness may create inconvenience in the original formula. One formula, accumulated and modified over time, gradually becomes distorted. Although the commentary may match the disease, the herbs have long deviated from the initial formulation. Therefore, in Middle Antiquity prescriptions, herb usage often involved mutual aversion or conflict, leading to counter-toxicity, precisely for this reason.
Now, re-examining ancient prescriptions, I select ten volumes suitable for reference. I also compile a volume on Materia Medica properties and main indications of essential herbs. When facing a disease, one consults these, adds or subtracts as appropriate, and carefully considers the cold/warm nature of herbs to prescribe. Combined with a volume on essential moxibustion points, totaling twelve volumes, this forms *Jingfang Duanju*, intended for home use or in remote areas without teachers, allowing immediate application in emergencies. Children starting to learn medicine should first study this *Duanju*, allowing gradual enlightenment, before proceeding to the "Great Work."