看方犹看律,意在精详。用药如用兵,机毋轻发。草木之性既陈,人物犹宜立诀。
律,法度也,齐之以刑,用药犹用兵,谓医者乃人之司命。
天灵盖最主传尸。久病虚劳,热蒸在骨。
天灵盖,乃死人顶骨十字解者,此骨是天生盖压一身之骨节。阳人用阴,阴人用阳。味
咸平无毒,主传尸鬼疰人。
热病乃阳毒发狂,当求人粪汁。打扑损伤并新产,快索童男溺。
人粪,一名人中黄,性寒无毒,专治天行大热,劳气骨蒸,烧末调服;解诸毒,为末汤
调;治热病发狂,绞粪汁饮之。童男溺,童子小便也,女子者不宜用,主寒热虚劳,头疼湿
气。
乳汁有点眼之功, 裆救阴阳之易。
妇人乳汁,味甘平无毒,能安五脏悦皮肤。昔张仓常服,享寿百余岁。衍义云∶乳汁治
眼之功何多,盖人心主血,肝藏血,肝受血则能视。妇人之血,上为乳汁,下为月水,用以
治目,不亦宜乎。 裆,即 裤之当阴处,剪取方圆六七寸许,烧为末服,男子病新瘥,而
妇人与之交,则男病阴易;女人病新瘥,而男子与之交,则女病阳易。小腹绞痛,手足挛,
目中生花,头重不能举,若不急治则死。男子病用妇人 裆,女人病用男子 裆,以水调服
调诸淋,破瘀血,乱发原来即血余。止吐衄,理肺痿,漩垢便是人中白。
血余,乃常人乱发烧灰,味苦微温无毒,治痈疽及转胞。人中白,即尿桶中澄底垢积之
结白者,火上烧灰,最治紧唇,及劳热传尸。
《图经》衍义无虚,医者可知端的。
审视方剂如同审视法度,关键在于精审详备。使用药物如同指挥军队,战机不可轻易发动。草木的药性既然已经陈述清楚,对于人体来源的药物,也应当确立相应的准则。
所谓“律”,就是法度,用刑罚来整齐划一,用药如同用兵,意思是医生掌握着人的生死命运。
天灵盖主要主治传尸(一种具有传染性的慢性消耗性疾病)。久病导致的虚劳,热邪蒸腾于骨骼之中。
天灵盖,是指死人头顶骨呈十字形裂开的部分,这骨头是天生长成覆盖全身骨节的盖子。阳证患者用阴药,阴证患者用阳药。味道咸、平,无毒,主治传尸鬼疰(指由鬼疰邪气引起的传染性痨病)。
热病如果是阳毒导致的神志狂乱,应当寻求人粪汁。跌打损伤以及新近分娩,应迅速寻找童男的小便。
人粪,又名人中黄,性寒,无毒,专门治疗流行性大热、劳气骨蒸(阴虚发热),将其烧成灰末调服;能解各种毒素,研成粉末用汤水调服;治疗热病发狂,绞取粪汁饮用。童男溺,即童子小便,女子的小便不宜使用,主治寒热虚劳、头痛湿气。
乳汁有治疗眼疾的功效,裤裆能救治阴阳易(伤寒病初愈因房事复发的病症)。
妇人乳汁,味甘、平,无毒,能安定五脏、润泽皮肤。过去张仓经常服用,享年一百多岁。《衍义》说:乳汁治疗眼疾的功效为何如此之多?大概因为人心主血,肝藏血,肝得到血的滋养就能视物。妇人的血,上行化为乳汁,下行化为月经,用它来治疗目疾,不是很适宜吗?裤裆,即裤子正对阴部的地方,剪取方圆六七寸左右,烧成灰末服用。男子病刚痊愈,与妇女发生性交,则男子得阴易病;女人病刚痊愈,与男子发生性交,则女人得阳易病。症状为小腹绞痛,手足拘挛,眼中见花,头重不能抬起,如果不紧急治疗就会死亡。男子患病用妇人裤裆,女子患病用男子裤裆,用水调服。
血余能调理各种淋证,破除瘀血,乱发原来就是血余。能止住吐血、衄血,调理肺痿,尿垢便是人中白。
血余,是常人杂乱头发烧成的炭灰,味苦、微温,无毒,治疗痈疽及转胞(小便不通)。人中白,是尿桶中沉淀底部的白色垢积物,在火上烧成灰,最擅长治疗紧唇(口唇紧缩干燥)及劳热传尸。
《图经》和《衍义》的记载没有虚假,医生可以知晓其中的真谛。
Examining prescriptions is like examining laws; the intent lies in precision and detail. Using medicines is like using troops; opportunities for action must not be lightly seized. Since the natures of herbs and plants have been stated, rules should also be established for substances derived from humans and animals.
"Lü" (Law/Rule) refers to standards. Just as punishments are used to enforce order, using medicine is akin to military strategy, implying that physicians hold the power over life and death.
Tianlinggai (Cranium Bone) primarily treats Chuanshi (a contagious wasting disease). It addresses chronic deficiency consumption where heat steams within the bones.
Tianlinggai refers to the vertex bone of a corpse's skull that has split in a cross shape. This bone naturally covers all other skeletal joints. For Yang-pattern conditions, Yin-substances are used; for Yin-pattern conditions, Yang-substances are used. Its taste is salty and neutral, non-toxic. It treats Chuanshi and Guizhu (ghostly affections/transmissible tuberculosis).
In cases of febrile diseases manifesting as Yang-toxin induced madness, human fecal juice should be sought. For traumatic injuries or recent postpartum conditions, urine from an uncircumcised boy should be rapidly obtained.
Renfen (Human Feces), also known as Renzhonghuang, is cold in nature and non-toxic. It specifically treats epidemic high fever and Laoqi Guzheng (deficiency heat steaming from the bones). It is administered by burning it to ash and mixing with water; it can detoxify various poisons when taken as powder mixed with decoction; and for febrile madness, fresh fecal juice is squeezed and drunk. Tongzhan Ni (Urine of a Boy) refers to the urine of an uncircumcised boy; female urine is not suitable. It treats alternating chills and fever, deficiency consumption, headache, and dampness.
Ruzhi (Breast Milk) possesses efficacy in treating eye disorders. Dang (The crotch area of trousers) can treat Yin-Yi and Yang-Yi (post-febrile sexual transmission syndromes).
Feminine breast milk is sweet and neutral, non-toxic. It calms the Five Zang organs and nourishes the skin. Zhang Cang of ancient times frequently consumed it, living over a hundred years. *Yanyi* states: Why does breast milk have such great efficacy for eyes? The heart governs blood, and the liver stores blood; when the liver receives blood, vision is possible. A woman's blood transforms upward into breast milk and downward into menstrual flow; thus, using it to treat the eyes is appropriate. "Dang" refers to the fabric covering the genital area of trousers. Cut a piece approximately 6-7 inches square, burn to ash, and ingest. If a man recovers from illness and engages in intercourse with a woman, he contracts Yin-Yi; if a woman recovers and engages with a man, she contracts Yang-Yi. Symptoms include severe lower abdominal pain, spasms of hands and feet, visual hallucinations ("seeing flowers"), and heavy head unable to lift. Without urgent treatment, death ensues. Men use the woman's crotch fabric; women use the man's. Mix with water and take orally.
Xueyu (Hair Ash) regulates various Lin syndromes and breaks up blood stasis; disordered hair is originally Xueyu. It stops hematemesis and epistaxis, and manages Feiwei (lung atrophy). Xuangou (Urine Sediment) is Renzhongbai.
Xueyu is the carbonized ash of common human hair. It is bitter and slightly warm, non-toxic. It treats carbuncles and Zhuanbao (retention of urine due to bladder displacement). Renzhongbai is the white sedimentary crust found at the bottom of urinals. Burned to ash over fire, it effectively treats Jinchi (tight/dry lips) and Lao-Re Chuanshi (heat-induced transmissible wasting).
The records in *Tujing* and *Yanyi* are not false; physicians may understand the truth herein.