(极难修制须细锉后用微火炒令色黄乃熟不尔入腹生子为害一法采得以 竹筒盛待干用
米泔浸一夜曝干展其身看腹中有子皆去之以冬猪脂煎令焦黄然后用 畏锻石食盐)
(入药除翼足以糯米拌炒米黄黑色去米取用生用吐泻人一法用麸炒过醋煮用 马刀为之
使畏巴豆丹参空青 恶肤青甘草豆花 斑蝥芫青亭长地胆之毒靛汁黄连黑豆葱茶皆能解
之)
(一云去头尾各一尺有大毒不可用只用中 一云黔蛇长大故头尾可去一尺蕲蛇止可头尾
各去三寸亦有单用头尾者大蛇一条只得净肉四两而已久留易蛀惟以汤浸去皮骨取肉炙过蜜封
藏之十年亦不坏也其骨刺须远弃之伤人毒与生者同也凡酒浸春秋三宿夏一宿冬五宿取出炭火
焙干如此三次以砂瓶盛埋地中一宿出 得酒良)
(制同上法)
(此是寒号虫粪也此物多夹砂石绝难修治凡用研为细末以酒淘飞澄去砂脚晒干醋拌炒恶
人参)
(正名鲮鲤或炮或烧或酥炙醋炙童便炙或油煎土炒蛤粉炒当各随本方未有生用者仍以尾
甲乃力胜)
予见今之时师童而习之俱药性 括骈语守为家珍而于神农本草及先贤炮炙法一切高文大
牍竟未尝梦见临证用药方产之真赝莫别修事之轨则全乖欲以攻病譬如克敌致胜责效于不练之
猝至病者甘以七尺之躯往往听其尝试良可悯也先生曰子言诚然因检目前尝用诸药品悉按雷公
炮炙去其迂阔难遵者而裁以已法其无雷公者则自为阐发以益前人所未逮凡诸使制解伏并反忌
恶畏等附系其下庶病家考用一览了然兼可质医师之误其所裨益功岂鲜哉旧笔记所刻止九十余
种今广至四百三十九种一一皆先生口授而予手录之其间删繁举要补阙拾遗句字之出入必严点
画之几微必审稿凡四易始付杀青予窃有微劳焉
延陵庄继光谨识
(水蛭的炮制极其困难,必须细细切碎后,用微火炒至颜色变黄才算熟透。如果不这样处理,进入人体后会“生子”造成危害。另一种方法是:采集回来后,用竹筒盛放,待其干燥后用米泔水浸泡一夜,取出晒干并展开身体,检查腹部是否有子,若有则全部去除。然后用冬季的猪脂煎炸至焦黄色,最后加入畏锻石和食盐。)
(入药时,需除去翅膀和足,与糯米拌炒至米呈黄黑色,去掉糯米取用。生用可治疗吐泻。另一种方法是用麸皮炒过,再用醋煮。马刀是它的使药;它畏惧巴豆、丹参、空青;厌恶肤青、甘草、豆花、斑蝥、芫青、亭长、地胆的毒性;靛汁、黄连、黑豆、葱、茶都能解它的毒。)
(有一种说法认为要去掉头尾各一尺,因为头尾有大毒不可用,只取中间部分。另一种说法认为黔蛇体型长大,所以头尾各去一尺是可以的,而蕲蛇只需头尾各去三寸。也有单独使用头尾的情况。一条大蛇只能得到净肉四两而已。久存容易蛀虫,只有用汤浸洗去皮骨,取肉炙烤后用蜂蜜密封贮藏,十年也不会变质。其骨刺必须远远丢弃,伤人后的毒性与活体相同。凡是用酒浸泡,春秋两季泡三宿,夏季一宿,冬季五宿,取出后用炭火焙干,如此重复三次,装入砂瓶中埋入地下过夜,取出后得到的酒效果良好。)
(穿山甲的炮制方法与上述相同。)
(在五月五日采集,蒸熟后贮藏。临用时应当炙烤,不要放置在水中,否则令人呕吐。)
(这是寒号虫的粪便。这种物质多夹杂砂石,极难炮制。凡是使用,需研为细末,用酒淘洗飞澄,去掉沙脚,晒干后用醋拌炒。它恶人参。)
(正名为鲮鲤。或炮制,或烧制,或酥炙,或醋炙,或童便炙,或油煎,或土炒,或蛤粉炒,应当各自遵循本方的要求,没有生用的情况。仍然以尾甲药效最强。)
我见到当今的时医,从小学习《药性括骈语》并将其视为家传珍宝,而对于《神农本草经》及先贤的炮炙法这些高深文章,竟然从未梦见过。临证用药时,对于产地的真伪无法辨别,炮制的规范完全违背。想要以此攻治病邪,就像克敌制胜却指望未经训练的士兵突然上阵一样,患者往往甘愿以七尺之躯让医生尝试,实在令人怜悯。先生说:“你的话确实有理。”于是检阅目前常用的各种药品,全部按照雷公炮炙法,去除那些迂腐难以遵循的内容,并结合自己的方法进行裁减。对于雷公未记载的,则自行阐发以弥补前人的不足。凡是各种使制、解伏、反忌、恶、畏等附注内容,都列在下面,以便病家考察使用,一目了然,也可以纠正医师的错误,其所带来的益处难道少吗?旧有的笔记所刻印的只有一百多种,现在扩充到四百三十九种。这些都一一由先生口授而我亲手记录。其中删繁就简,补阙拾遗,字句的出入必定严格,笔画的细微之处必定审慎审稿,总共修改了四次才最终定稿。我私下里也出了一点微薄之力。
延陵庄继光谨识
(The processing of leeches is extremely difficult. They must be finely chopped and then stir-fried over a mild fire until they turn yellow, indicating they are fully processed. If this is not done, they may "breed" inside the body and cause harm. Another method: after collection, store them in bamboo tubes until dry. Soak them overnight in rice wash water, sun-dry, spread out their bodies, inspect the abdomen for any offspring, and remove all if present. Then fry them in winter lard until scorched yellow, and finally add *Wei Duanshi* (fearful of iron slag) and salt.)
(When preparing for medicinal use, remove the wings and feet, stir-fry with glutinous rice until the rice turns yellow-black, discard the rice, and use the residue. Raw usage can treat vomiting and diarrhea. Another method: stir-fry with bran, then boil in vinegar. *Madao* (a type of mollusk/shell) serves as its guiding herb; it is inhibited by *Badou* (Crotonis Fructus), *Danshen* (Salviae Miltiorrhizae Radix et Rhizoma), and *Kongqing* (Azurite); it opposes *Fuqing*, *Gancao* (Glycyrrhizae Radix et Rhizoma), *Doushua*, *Banzhao* (Mylabris), *Yuanqing*, *Tingzhang*, and the toxicity of *Dichang*; *Dianzhi* (Indigo Naturalis), *Huanglian* (Coptidis Rhizoma), *Heidou*, green onions, and tea can all detoxify it.)
(One theory states that the head and tail, each one chi long, should be removed due to high toxicity, using only the middle section. Another view holds that because Qianshe snakes are large, removing one chi from both ends is acceptable, whereas for Qishe snakes, only three cun from each end need removal. Some use only the head and tail. From one large snake, only four liang of pure meat can be obtained. Long storage leads to insect infestation; however, if soaked in water, skin and bones removed, the meat roasted, and sealed in honey, it will not spoil even after ten years. The bone spines must be discarded far away, as their toxicity upon injury is the same as that of live specimens. For wine soaking: three nights in spring and autumn, one night in summer, five nights in winter. Take out, roast over charcoal fire, repeat three times. Store in a clay jar, bury underground overnight, then retrieve; the resulting wine is potent.)
(The processing method for pangolin scales is the same as above.)
(Collect on the fifth day of the fifth lunar month, steam, and store. When ready for use, roast; do not keep in water, as it induces vomiting.)
(This is the feces of the Cold-Number Bird. It often contains sand and stones, making it very difficult to process. When used, grind into fine powder, wash with wine to separate impurities, let settle, remove the sandy residue, sun-dry, and stir-fry with vinegar. It is incompatible with *Renshen* (Ginseng Radix).)
(The correct name is Lingli (Pangolin). Methods include calcining, burning, frying with butter, vinegar-frying, frying in child's urine, oil-frying, earth-frying, or flour-frying, according to the specific prescription. None are used raw. The tail scales possess the strongest efficacy.)
I observe that contemporary physicians, having studied since childhood, regard the *Yaoxing Kuopianyue* (Summary of Drug Properties in Parallel Prose) as a family treasure, while having never even dreamed of reading profound texts such as the *Shennong Bencao Jing* (Divine Farmer's Materia Medica) or the ancient processing methods of sages. In clinical practice, they cannot distinguish genuine from counterfeit drugs based on origin, and completely disregard standard processing procedures. Attempting to treat diseases with such ignorance is like sending untrained soldiers to battle; patients often willingly allow their bodies to be experimented upon, which is truly pitiable. The Master said, "Your words are indeed true." Therefore, he reviewed various commonly used herbs, applied the principles of Lei Gong's Processing Methods, eliminated those that were impractical or overly rigid, and incorporated his own methods where Lei Gong was silent. For items not covered by Lei Gong, he elaborated to supplement previous knowledge. All notes on synergistic actions, antagonisms, contraindications, and aversions were appended below, allowing patients to understand usage at a glance and helping to correct physician errors. The benefits are significant. The original notes contained only ninety-plus species; now expanded to four hundred thirty-nine. These were all dictated by the Master and recorded by my hand. Redundancies were removed, essentials highlighted, gaps filled, and omissions corrected. Every character was scrutinized strictly, every stroke carefully reviewed. After four revisions, the manuscript was finalized. I humbly contributed my modest efforts.
Zhuang Jiguang of Yanling respectfully records