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《急救仙方》Vol. 11

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Taiping 太平部 Vol. 11 / 11 7,808 characters

About this page. The original text of 《急救仙方》 Vol. 11 (Taiping 太平部, 11 volumes) is shown in Classical Chinese as transmitted in the Kanripo (Kyoto University) edition. An English interpretation of the 15 passages on this page accompanies it: select a passage or press “Interpretation” to show it. All texts in English

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Source textInterpretation

急救仙方卷之十一惻十一    上清紫庭追癆仙方品 麝香散治男子婦人傳屍骨蒸食熱五癆   天靈盖麝香(各一/分)柴胡(一/兩)   犀角屑(半/兩)阿膠東引桃枝   青蒿東引柳枝石榴皮(四味各/一握)   甘草(三寸患人中指/長男左女右)薤白   葱白(各七/寸)  右件爲末用童便二升半浸藥一宿明日  早晚煎至升半去渣服之若男子病女人  煎女病男煎忌猫雞犬驢馬僧尼孕婦生  人孝子並不令見之煎成飲後分爲三服  入檳榔末三錢温服初服約人行三五里  遠便再進一服慮有惡心以白梅與他含  止之服三五服病止即瀉出異物若蟲如  頭髮馬尾身赤口黑身上如蟻行不可名  狀瀉後葱粥飲補之同時藥煎𥙷五臟伏  神散 忌風一月忌食油膩濕麵鹹味并  牛猪雞鴨犬等物服此藥無不當日差凢  天下治勞服之亦須累日及年猶未全去  病源者不似此方至遠年重病不過兩劑  如病未多即一劑飲子便當服此 伏神散不問遠年近日取效下蟲紅色便可 治肚下黑差成否肚下白色是食髓也萬不 一瘥補方服茯神散   白茯神茯苓人參   遠志(去/心)龍骨肉桂   甘草陳皮(炒各/一兩)當歸   五味子(各一/兩半)黄耆(二/兩)大棗(五十/六箇)
Interpretation

This passage documents the Daoist medical prescriptions for treating "consumptive corpse disease" (a wasting illness resembling tuberculosis), detailing the preparation and application methods for "Musk Powder" (麝香散) and the subsequent restorative formula "Spirit-Subduing Powder" (伏神散).

The Musk Powder formula contains multiple medicinal ingredients: human skull bone (symbolizing the transformation of life and death) and musk (one portion each), bupleurum root (一两), powdered rhinoceros horn (半两), donkey-hide gelatin, peach branches growing eastward, wormwood, willow branches growing eastward, pomegranate rind (one handful each), licorice root (three inches long, measured by the patient's middle finger—left hand for males, right for females), and Chinese chives with scallion stalks (seven inches each). All ingredients are ground into powder, soaked overnight in two and a half liters of boys' urine, then decocted the next morning and evening until reduced to one and a half liters. The dregs are removed before consumption.

Special attention is given to the preparer's gender: male patients require female preparers, while female patients need male preparers. The decoction process must avoid being witnessed by cats, chickens, dogs, donkeys, horses, monks/nuns, pregnant women, strangers, or mourners. The finished decoction is divided into three doses, each taken warm with three qian of areca nut powder added. After the first dose, the patient walks three to five li before taking the second dose; nausea can be relieved with white mume plum. Typically three to five doses produce effects, expelling strange worm-like substances, after which scallion congee should be taken for nourishment.

Concurrently, Spirit-Subduing Powder is administered to regulate the five viscera. Post-treatment requires one month of wind avoidance and dietary restrictions including greasy foods, wet noodles, salty flavors, and meats from cattle, pigs, chickens, ducks, and dogs. The text emphasizes rapid efficacy—even chronic cases may recover within two doses, milder cases with one.

The Spirit-Subduing Powder combines white poria spirit, poria cocos, ginseng, polygala root (with core removed), dragon bone, cinnamon bark, licorice, tangerine peel (stir-fried), Chinese angelica (one liang each), schisandra berries (one and a half liang), astragalus root (two liang), and fifty-six jujubes. The expelled worms' color indicates prognosis: red suggests treatability, black indicates difficulty, while white signifies marrow penetration and near-hopelessness. After initial efficacy, continued use of Spirit-Subduing Powder is necessary for bodily restoration.

 右件爲散分作八服細末每服入棗七箇  生姜二錢用水一升半煎至一升趂前藥  後喫亦空心服神效此是神人所授靈妙  秘方此方前後活數百人也 神效散治諸傳屍癆氣殺蟲(此方得之于河/源郡王府濟世) (極多功/不可量)   川椒(二斤擇去子合/口者炒出汗)  右爲末每服二錢空心米湯調下或酒糊  丸如梧桐子大每服三五十粒 神仙秘方取癆蟲   青桑皮楊柳枝梅枝   石榴枝(一方無/此味)桃枝(正東引者各/七莖四寸許)   葱白(七/莖)阿魏(一錢/别硏)安息香(真者/一分)   (并去/石)青蒿(一握如無/以子代之)  右八味除魏香外餘用童子便一升半煮  藥煎及一半去滓將藥汁化魏香再煎十  數沸去滓候温分作二次調服  辰砂(研/末)檳榔(研末各/半錢)麝香(少許/另硏)  右研極細末分爲二服五更初一服三點  時一服至巳暖必取下蟲紅者可救青者  不治但有所下即用熱油煎殺即進飲粥  飯温暖相息不用性及食生冷毒物仍先  服紙丸子法見後合此藥時須擇良日焚  香祝告天地令病人設榻於福德方服即  有神效不可令病人先知氣味亦不得令  猫犬孝服穢惡婦人等見之 金明散𥙷肝臟勞極   人參知母茯苓   丁香秦芃(去/蘆)甘草(炙)
Interpretation

This scripture records several secret formulas and administration methods for treating consumptive diseases (known in ancient times as "lao bing," referring to wasting illnesses like tuberculosis).

The first is the "Divine Efficacy Powder" (Shenxiao San), specifically designed to treat various infectious consumptive diseases by eliminating internal parasites. This formula originated from the Heyuan Commandery Prince's household and is said to have saved many lives. Its main ingredient is two jin of Sichuan pepper (huajiao), with seeds and unopened husks removed, stir-fried until oil is released. It is then ground into a fine powder, with a dosage of two qian taken on an empty stomach, washed down with rice water. Alternatively, it can be made into wine-paste pills the size of Chinese parasol seeds, with a dosage of thirty to fifty pills per serving.

The second is the "Immortal’s Secret Formula" (Shenxian Mifang), used to expel parasitic worms. It requires green mulberry bark, willow branches, plum branches, pomegranate branches (some versions omit this), peach branches (specifically those growing eastward), scallion whites, asafoetida (a resinous medicinal herb), true benzoin resin, and qinghao (Artemisia). Except for the asafoetida and benzoin, all other ingredients are boiled in boys' urine until the liquid is reduced by half. The decoction is then strained and used to dissolve the asafoetida and benzoin, boiled over ten times, filtered again, and divided into two doses.

The third method involves grinding cinnabar (chensha), betel nut (binlang), and musk (shexiang) into a fine powder, divided into two doses: the first taken during the fifth watch (3–5 AM), the second at three o'clock (possibly 3 PM). After taking the medicine, worms will be expelled—red worms indicate a treatable condition, while green worms suggest a difficult prognosis. The expelled worms must be fried in hot oil to kill them, followed by consuming warm congee for recuperation. During treatment, raw, cold, and toxic foods must be avoided.

Lastly, the "Golden Clarity Powder" (Jinming San) is mentioned to restore liver damage caused by consumptive disease. Its ingredients include ginseng (renshen), anemarrhena (zhimu), poria (fuling), clove (dingxiang), gentian (qinjiao, with roots removed), and roasted licorice (zhi gancao). Special emphasis is placed on selecting an auspicious day for preparation, with incense burned in prayer to heaven and earth. The patient must face an auspicious direction when taking the medicine, while avoiding exposure to cats, dogs, mourners, or unclean women. The patient must also not smell the medicine beforehand.

  石膏(煆各/等分)  右件爲細末每服二錢水一盞葱白三寸  同煎至八分通口服 守靈散補心臟勞極   白茯苓丁香訶子(各一/兩)   桔梗芍藥羌活   甘草(炙各/一分)  右件爲細末每服二錢水一盞入銀耳環  一隻葱白三寸同煎至八分通口服 䰟停散𥙷脾臟勞極   白藥子桔梗人參   訶子皮茯苓甘草(炙)     丁香(各一/錢)  右件爲細末每服二錢水一盞入蜜一匙  同煎至八分通口服 虚成散𥙷肺臟勞極   枳實(去瓤/皮心)秦芃(去皮/心)白茯苓   芍藥麻黄(去/節)玄胡索   當歸(洗/淨)茴香(炒各/半兩)甘草(炙一/分)  右件爲極細末每服二錢水一盞銀耳環  一對蜜五點同煎至八分通口服 育嬰散𥙷腎臟虚勞   香附子(炒/黑)附子(炮一/隻)木香   白蒺藜(去角各/一分)白茯苓(半/兩)   甘草炙一錢  右件爲細末每服二錢水一盞姜七片葱  白同煎至七分空心服 龍膽丸治積熱癆瘦不食壓熱壅消瘡腫解 肌骨散解毒滯   草龍胆柴胡地骨皮   黄芩(一方不用此/味加茯苓)鼈甲(醋炙各/一兩)   桃仁(去皮/尖)山梔子陳皮   當歸大黄甘草(炙各/半兩)  右爲細末鍊蜜爲丸梧桐子大每服二十
Interpretation

Here are several ancient Daoist medical prescriptions for treating exhaustion of the five viscera, each detailing precise herbal ratios and administration methods.

The first prescription involves calcined gypsum powder. Take two qian (approximately 7.5 grams) of the powder, decoct with one cup of water and three cun (about 9 cm) of scallion whites until reduced by twenty percent. Drink warm to treat heart overexertion.

The second formula, called Soul-Calming Powder (Shouling San), contains one liang (about 37.5 grams) each of white poria (Fuling), clove buds (Dingxiang), and chebule (Hezi), plus one fen (about 0.375 grams) each of platycodon root (Jiegeng), peony root (Shaoyao), notopterygium root (Qianghuo), and honey-fried licorice (Zhigancao). Grind into powder, then decoct two qian with one cup water, adding one silver earring and three cun scallion whites until twenty percent reduced. This treats spleen exhaustion.

The Spirit-Settling Powder (Hunting San) addresses spleen deficiency, combining one qian (about 3.75 grams) each of white yam (Baiyaozi), platycodon root, ginseng (Renshen), chebule peel, poria, honey-fried licorice, and clove buds. Take two qian powdered with one cup water and one spoon honey.

For lung deficiency, the Deficiency-Transforming Powder (Xucheng San) contains half liang each of immature bitter orange (Zhishi), large gentian root (Qinjiao), white poria, peony root, ephedra (Mahuang), corydalis rhizome (Yanhusuo), Chinese angelica (Danggui), and roasted fennel (Huixiang), plus one fen honey-fried licorice. Decoct two qian with one cup water, one pair silver earrings and five drops honey.

The Infant-Nourishing Powder (Yuying San) treats kidney deficiency, combining one fen each of roasted cyperus tuber (Xiangfu), one processed aconite (Fuzi), costus root (Muxiang), and deborned tribulus fruit (Baijili), half liang white poria, and one qian honey-fried licorice. Decoct two qian with one cup water, seven ginger slices and scallion whites until thirty percent reduced, taken before meals.

Finally, Gentian Pill (Longdan Wan) clears heat toxins: one liang each of gentian root (Longdan), bupleurum root (Chaihu), lycium root bark (Digupi), scutellaria root (Huangqin), and vinegar-fried turtle shell (Biejia), plus half liang each of peach kernel (Taoren), gardenia fruit (Shanzhizi), aged tangerine peel (Chenpi), Chinese angelica, rhubarb (Dahuang), and honey-fried licorice. Form into firmiana seed-sized pills with honey; take twenty pills to clear heat, reduce swelling, and resolve toxins.

 丸空心用温熱水吞下如小兒加减丸數 無比丸治傳屍癆服至一月愈其餘勞瘦之 疾數服取效   紫河車(二兩煮醋浸一/宿焙乾爲末)芍藥   鼈甲(半兩/醋炙)桔梗胡黄連   大黄(炮)甘草(炙)草龍膽   苦參黄藥子知母   貝母(去/心)秋石(研)䜴心(火/段)   莪术磫硝犀角屑(各二/分一)   云無此味  右件爲細末鍊蜜爲丸如梧桐子大每服  二十丸温酒吞下如腸蟲熱食前服膈上  熱食後服 奪命散   鼈甲(醋/炙)天靈盖(醋浸一宿/酥塗炙黄)   柴胡(去/蘆)青蒿知母(各/兩)   甘草人參(各半/兩)阿魏(四棗/子大)   葱白(一/握)桃仁(二十一箇去/皮尖麩炒)  右以天靈盖鼈甲爲末次下人參知母柴  胡甘草又同搗次下葱白青蒿桃仁阿魏  杵成餅子慢火焙乾爲末稱二錢用童子  小便二盞煎至一盞去滓露星斗下一宿  至五更三點暖服半盞服了衣被盖卧天  明又煖半盞扶行病人服强行五七步三  日更不得洗手面指頭候生毛爲驗每日  早晨先吃白湯投之 天竺黄飲子   天竺黄麥門冬(去心各/一兩)   人參茯苓甘草   茯神生地黄(乾)遠志(去/心)   防風龍骨(各半/兩)玄胡索(七/枚)   大腹子(十一/箇)犀角(另)
Interpretation

This passage records several ancient medicinal formulas and administration methods for treating consumption (tuberculosis).

The preparation method for Wubi Wan (Matchless Pill): Take placenta (soaked in vinegar overnight, then dried and ground into powder), peony root, turtle shell (half an ounce, vinegar-fried), platycodon root, picrorhiza rhizome, processed rhubarb, roasted licorice, gentian root, sophora root, yellow yam root, anemarrhena rhizome, fritillaria bulb (with core removed), autumn mineral (ground), fermented soybean (roasted), zedoary rhizome, mirabilite, and powdered rhinoceros horn (each two and a half fen), grind into fine powder, and mix with honey to form pills the size of phoenix tree seeds. Adults should take twenty pills per dose with warm wine. For fever caused by intestinal parasites, take before meals; for fever above the diaphragm, take after meals. Dosage should be reduced for children. This formula primarily treats infectious consumption—continuous use for one month leads to recovery, while other wasting diseases show improvement after several doses.

The formula for Duoming San (Life-Seizing Powder): Use vinegar-fried turtle shell, skullcap (soaked in vinegar overnight, coated with butter, and roasted until yellow), bupleurum root with ends removed, sweet wormwood, anemarrhena rhizome (each one ounce), licorice, ginseng (each half an ounce), asafoetida (the size of four jujubes), a handful of scallion stalks, and twenty-one peach kernels (peeled, tips removed, and bran-fried). First, grind the skullcap and turtle shell into powder, then crush together with ginseng, anemarrhena rhizome, bupleurum root, and licorice. Next, add scallion stalks, sweet wormwood, peach kernels, and asafoetida, pounding into a cake that is then slowly dried over low heat and ground into powder. For each dose, take two qian of the powder, boil with two cups of boys' urine until reduced to one cup, strain, and leave uncovered overnight. At the fifth watch (around 3–5 a.m.), warm half a cup and take it, then cover with blankets and rest until dawn before warming and taking the remaining half cup. During treatment, avoid washing hands or face for three days—finger hair growth indicates efficacy. Each morning, first take the medicine with plain boiled water.

The formula for Tianzhu Huang Yinzi (Bamboo Silica Decoction): bamboo silica, ophiopogon root (with core removed, each one ounce), ginseng, poria, licorice, spirit poria, dried rehmannia root, polygala root (with core removed), saposhnikovia root, dragon bone (each half an ounce), seven corydalis tubers, eleven betel nuts, and additional rhinoceros horn. This formula primarily treats symptoms such as mental restlessness.

(Note: The original text contains historical medicinal practices, some of which may no longer be considered safe or ethical by modern standards. This translation is provided for academic reference only.)

 右㕮咀爲末用水二升半煎至一升分作  三服温服忌一切毒物如治乆卧床枕此  藥先看十指毛色如藕白者可治紫黑色  者難治 麝香散治婦人室女一切蓄熱腹内悶著骨 蒸室女經脉不行痩勞肌熱   威靈仙(四兩/細末)雄黄麝香(各一分二/味另硏)   乾漆(一兩碎炒/令煙盡)  右件爲末再研每服一大錢水八分盞煎  至六分空心和渣温服當有惡穢毒物下  並是病根此藥頗難服可以蒸餅糊爲丸  如梧桐子大每服十五丸至二十丸茶湯  任下次服桃仁散 桃仁散   桃仁(湯泡去皮尖/麵炒令黄)赤茯苓(各一兩/去皮)   芍藥人參(各三/錢)檳榔(四/箇)   陳皮(三分/去白)犀角安息香(各一/分)   麝香(二/錢)  右爲細末研匀每服二錢姜五片水一盞  煎至六分早晚食前服若取下其蟲頭赤  便服天竺黄飲子𥙷護心臟未取下蟲亦  須先服之護心 柴胡散治童稚骨蒸熱葱解傷寒後肌熱   柴胡川大黄乾漆(炒)   秦芁甘草常山(各一/兩)   鼈甲(三兩/醋炙)  右㕮咀每服一錢用水一盞入小麥一撮  同煎七分冷服 取蟲藥取啄木禽一隻朱砂四兩精猪肉四 兩餵木禽一晝夜飢甚將朱砂作菉豆大相 和在切碎肉片子肉若無啄木禽晝將繫禽
Interpretation

This scripture records several ancient prescriptions for treating febrile diseases and parasitic infections along with their application methods.

The first is Musk Powder (Shexiang San), used to treat accumulated heat in women and unmarried maidens (室女), presenting with bone-steaming tidal fever (骨蒸潮热), amenorrhea, and emaciation. The formula consists of Clematis root (威灵仙), realgar (雄黄), musk (麝香), and roasted dry lacquer. Grind the ingredients into fine powder, then decoct one daqian (approx. 3g) with water for oral administration. After ingestion, it expels foul matter from the body - the root of the illness. For patients who find it difficult to swallow, the powder can be mixed with steamed cake paste to form phoenix tree seed-sized pills, taking 15-20 pills per dose.

The second prescription, Peach Kernel Powder (Taoren San), primarily treats parasitic diseases. The formula contains peach kernels (桃仁), red poria (赤茯苓), peony root (芍药), and ginseng (人参). If red-headed parasites are expelled after administration, the patient must immediately take Bamboo Yellow Decoction (Tianzhu Huang Yinzi) to protect the heart. Even if no parasites are expelled, preventive heart-protecting medicine should be taken in advance.

The third formula, Bupleurum Powder (Chaihu San), treats pediatric bone-steaming fever and post-febrile disease sequelae. It includes bupleurum root (柴胡), rhubarb (大黄), and vinegar-prepared turtle shell (醋炙鳖甲). Decoct one qian (approx. 3g) with wheat and administer cooled.

Finally, a unique parasite extraction method is described: feed a woodpecker with pork mixed with cinnabar (朱砂) pellets the size of mung beans. If woodpeckers are unavailable, other birds may substitute. This technique utilizes avian digestive systems to isolate parasites.

Note: The term "bone-steaming" (骨蒸) refers to afternoon tidal fever caused by yin deficiency with internal heat; "unmarried maiden" (室女) denotes virginal women; "turtle shell" (鼈甲) refers to Trionyx shell. Some ingredients like realgar and cinnabar contain toxic components and are no longer recommended for modern use.

用塩泥固濟入禽在内用剛火煆一夜來日 不見太陽取出不得打破同固濟塩泥入地 埋二尺許一書夜取出銀器内研作細末以 無灰酒作一服調下入麝少許在藥内同調 置病人在帳中四下緊閉用鐵鉗候病人口 中蟲出即鉗之於沸油中煎殺可預置烈火 沸油於病人左右如蟲出後便令煎嘉禾散 與病人服進粥又煎藥悉如前夜服呪云 唵□嗚□吽吽吒 釣蟲丸   磁石(一兩半有墻/者緊研爲末)龍骨(半/兩)   𥐻砂(一兩/研)麝香(一/錢)膩粉(半兩/另研)  右用蠟爲丸如小嬰桃大每服一丸以藥  上針穿一小竅子以青紅綫貫之梢頭繫  一大古錢早晨令病人向破方正坐用温  水吞下候藥下咽喉中合口以牙咬定古  錢等候惡心便吐出其蟲狀不一急以熱  油煎殺如不吐出蟲只吐得血絲子或涎  一二合皆是安證更服尋常和氣理中諸  藥三兩日决取痊瘥其治過藥可用温水  浴過更可醫一二人若是傳屍癆一丸可  活兩人 釣蟲神功奪命散   母丁香(一錢/半)酒蠟(半/兩)鼈甲(一帖/和殻)   水磨硫黄(二/錢)石燕(一箇火煆/醋淬七次)  右爲細末用蠟爲丸如菉豆大每用一丸  裝鈎子上繫緋綫一條長一丈二尺用雪  膏少許圓藥丸以蠶蠒一截穿於綫上蓋
Interpretation

This scripture records two ancient Daoist medical prescriptions for treating parasitic infections: the "Worm-Fishing Pill" and the "Life-Seizing Divine Worm-Fishing Powder."

The first method requires sealing a container with salt clay (a mixture of salt and clay), placing medicinal ingredients inside, and calcining it over intense flames for an entire night. Before sunrise the next day, the container—still intact with its salt clay seal—must be retrieved and buried two feet underground. After one day and night, the contents are ground into powder, mixed with ash-free wine (pure alcohol) and a small amount of musk for oral administration. During treatment, the patient must be placed in an enclosed tent, with iron tongs ready to immediately grasp any parasites emerging from the mouth and plunge them into boiling oil to kill them. Preparations must include having boiling oil and a brazier placed beside the patient. After expelling the parasites, the patient should take Jiasan Powder (a tonic formula) and congee for recuperation. The process concludes with reciting the worm-expelling incantation: "Om □ wu □ hong hong zha."

The second method, the "Worm-Fishing Pill," contains magnetite, dragon bone (fossilized bone), sal ammoniac, musk, and calomel, formed with wax into cherry-sized pills. Before administration, small holes are pierced through the pills to thread them with green-red strings attached to large copper coins. The patient must sit upright facing the "broken direction" (an inauspicious方位) and swallow the pill with warm water while biting the copper coin. When nausea occurs, parasites will be vomited out and must immediately be killed in hot oil. Even if only mucus or bloody threads are expelled, this still indicates efficacy—the patient should then take spleen-stomach regulating medicine to complete recovery. Notably, these pills can be washed with warm water and reused; for treating consumptive disease (tuberculosis), one pill can treat two patients.

The third method, the "Life-Seizing Divine Worm-Fishing Powder," combines clove buds, wine wax, turtle shell, sulfur, and fossilized swallow stones into wax pills the size of mung beans. Each pill is tied with a twelve-foot red string coated with snow ointment (likely a lubricant) and fixed with silkworm cocoons. The administration method resembles the previous techniques.

These methods reflect ancient Daoist medicine's unique understanding of parasitic diseases, combining herbal treatment with Daoist rituals while emphasizing directional orientation and environmental arrangements during deworming. The use of boiling oil to kill parasites and copper coins to induce vomiting bears distinct historical characteristics of its era.

 之令病人先吃膏後一口同藥吞下良久  綫動用力拽出有蟲用沸油煎殺此藥於  端午日日未出時修合先服紙丸次同神  仙秘法服   服紙丸子法  凢醫傳屍先當齋戒志心對聖焚香服紙  丸子用雞子清塗紙上令乾剪作錢樣大  丸服之然後服前件丸散 通神散治屍癆   附子(一/箇)大黄(一/兩)牛黄(二/字)  右件爲末加桃柳枝青蒿各七握剉碎用  童子小便半椀浸一宿來日五更初煎數  十沸濾滓調散子一半喫服了以衣被盖  便睡取下惡物自住不用利下時用盆子  盛看何物在其中蟲類有四一頭如馬尾  二似亂髮三似蜈蚣四如雞子或破綿絮  後要有一人來别此忌硬物茶炙煿鳴蟹  血生冷油膩醃蔵等物後服藥   甘草黄連當歸   木香(各半/兩)  右將酒二升甆器内煎取五合傾出煎四  味熬看軟硬和丸如梧桐子大空心晚後  酒或塩湯下三十丸 紫河車丹治飛屍鬼疰虚勞羸瘦喘嗽氣  其法取男子首經兒先以皂水洗淨次以  銚子内用米醋堞洗控乾將一小小焙籠  以低周圍密糊不令失火氣或無小焙籠  只用小籃子去繫蜜糊安紫河車於上用  烈火焙更將參子盖之焙令極乾約只有  十二三文重候極乾至乾了更入後藥   人參(一兩/半)木香(半/兩)白术(炒)
Interpretation

Here are recorded several secret formulas for treating "consumption disease" (similar to tuberculosis) and general debility conditions. First is the method of ingesting paper pellets: Before treatment, the physician must observe purification rituals (zhaijiao) and cleanse the mind, burning incense before divine images. Egg white is applied to paper and dried, then cut into coin-sized pellets for the patient to swallow before taking other medicinal powders or pills.

The Tong Shen Powder formula for consumption disease: Take one aconite root (fuzi), one liang of rhubarb (dahuang), and two qian of bezoar (niuhuang), ground into powder. Add seven handfuls each of peach twigs, willow twigs, and wormwood (qinghao) chopped finely, soaked overnight in half a bowl of a child's urine. At dawn the next day, boil for several dozen bubbling cycles, strain, and mix with half the medicinal powder for ingestion. After taking the medicine, the patient should cover themselves and sleep until foul substances are expelled. The discharge may contain four types of parasites resembling horse tails, tangled hair, centipedes, or egg-like forms, possibly including cotton-like matter. During treatment, avoid hard foods, tea, grilled meats, crab, blood products, raw/cold/greasy foods, and pickled items. Follow-up treatment involves decocting half a liang each of licorice (gancao), coptis (huanglian), angelica (danggui), and costus root (muxiang) in wine.

The Purple River Chariot Elixir (ziheche dan), made from placenta, specifically treats sudden epidemic diseases ("flying corpse ghost infestations") and consumptive conditions with emaciation and coughing. Preparation method: Take a healthy male infant's placenta, first wash with soapberry water, then rinse with rice vinegar and dry. Slowly roast in a sealed baking basket over low heat to prevent medicinal qi (energy) from escaping. If no baking basket is available, use a small sealed container over strong fire until completely dried (reducing to about 12-13 qian weight). After drying, add one and a half liang of ginseng (renshen), half liang of costus root (muxiang), and fried white atractylodes (baizhu) for further processing.

These formulas emphasize specific timing (such as before sunrise on the Dragon Boat Festival) and special materials (child's urine, firstborn placenta), reflecting Daoist medicine's principle of "using the extraordinary to overcome disease." The careful observation of post-treatment reactions and dietary restrictions demonstrates ancient practitioners' meticulous approach to understanding the relationship between illness and therapy.

  白茯苓茯神當歸   熟地黄(各一/兩)乳香(别/研)没藥(各四/錢)   朱砂(二錢/别研)麝香(二/錢)  右件爲細末用諸藥和匀紅酒糊爲丸如  梧子大每服五十丸煎人參湯下空心日  午四服鍊蜜丸亦得 明目丹又傳追下屍蟲治傳屍癆   白兔糞(中秋夜取四十/丸立野中者佳𥐻)砂  右研爲細末鍊蜜丸梧子大每服七丸用  甘草半兩生搥碎以水一盞揉取濃汁若  患人瘦弱即炙過甘草五更空心服預戒  患人不得心燥冷服不妨小瘥兩日再服  下蟲爲準須上旬服 青蒿飲治癆疾   青蒿(赤根者取子一/升葉五兩隂乾)桃枝(三兩/嫩者)   柴胡甘草(各一/兩)柳枝(三兩/嫩者)   地骨皮(二/兩)梔子仁(一兩量患/人虚實用)  右㕮咀每服三錢水一盞烏梅兩箇煎至  七分温服不拘時 柴胡散𥙷虚勞   柴胡人參白茯苓   桔梗芍藥青皮(去/白)   川當歸(酒浸/一宿)麥門冬(去/心)川芎   升麻桒白皮白术(米泔浸/一宿)   甘草(各一/兩)  右件爲細末每服二錢水一盞煎至七分  通口服 鼈甲煎補虚勞   鼈甲(一枚醋/炙令黄)柴胡(去/蘆)川當歸   甘草(炙)桔梗赤芍   人參(各一/兩)麝香(半/錢)杏仁(去皮/尖炒)
Interpretation

This prescription records several formulas for treating consumptive disorders, all commonly used in ancient Daoist medicine.

The first formula combines one liang each of white poria, fushen spirit fungus, Chinese angelica root, and prepared rehmannia root, with four qian each of frankincense and myrrh, plus two qian each of cinnabar and musk. These ingredients are ground into fine powder and mixed with red wine to form pills the size of wutong seeds. Take fifty pills per dose, swallowed with ginseng decoction on an empty stomach at noon, four times daily. Alternatively, the mixture can be prepared with honey into pills. Named "Bright Vision Elixir," this formula also expels intestinal parasites and treats infectious consumptive diseases.

Another formula uses white rabbit droppings (forty pellets collected on Mid-Autumn night being most potent) mixed with sal ammoniac, ground into powder and formed into wutong seed-sized pills with honey. Take seven pills per dose with thick licorice juice extracted by pounding half a liang of root in water. For emaciated patients, roast the licorice and administer at the fifth watch (3-5 AM) on an empty stomach. Before taking, advise patients to maintain mental tranquility—the medicine may be taken cool. After effectiveness is observed, repeat every two days until parasites are expelled, preferably during the first ten days of the lunar month.

"Artemisia Decoction" treats consumptive disorders with one sheng of red-rooted artemisia seeds, five liang of shade-dried leaves, three liang of tender peach branches, one liang each of bupleurum and licorice, three liang of tender willow branches, two liang of wolfberry root bark, and one liang of gardenia kernels (adjusted according to constitution). Chop ingredients and decoct three qian per dose with one bowl of water and two dark plums until reduced by 30%. Take warm without time restrictions.

"Bupleurum Powder" replenishes consumptive disorders with equal parts (one liang each) of: bupleurum, ginseng, white poria, platycodon, peony root, green tangerine peel (white removed), Sichuan angelica (soaked overnight in wine), ophiopogon (core removed), ligusticum, cimicifuga, mulberry root bark, atractylodes (soaked overnight in rice water), and licorice. Grind into powder, decoct two qian per dose in one bowl of water until 70% remains, and take warm.

The final "Turtle Shell Decoction" also treats consumption: one vinegar-fried turtle shell (until yellow) combined with one liang each of bupleurum (root removed), Sichuan angelica, roasted licorice, platycodon, red peony root, and ginseng, plus half qian of musk and stir-fried apricot kernels (skin and tips removed). These formulas exemplify Daoist medical principles emphasizing herbal compatibility and precise timing of administration.

  胡黄連地骨皮宣連(各一/錢)   木香(半/兩)真酥白沙蜜(各三/兩)   官桂(半兩去粗/皮不見火)  右件爲細末用青蒿一斤童便五升熬青  篙汁約二升濾去滓入酥蜜再熬成膏疾  冷入藥末搜和爲丸如梧子大每服十五  丸温酒下米飲亦可日進三服如秋冬時  更入桃柳心七箇與前柴胡散同煎服 貫衆丸去三屍五蟲   貫衆(五分殺/伏屍)白萑蘆(三分/殺虫)蜀漆(三分殺/白蟲)   厚朴(三分殺/肺蟲)狼牙子(四分殺/胃蟲)   殭蠶(四分殺/膈蟲)雷丸(六分殺/赤蟲)雄黄(三分殺/屍蟲)   蕪荑(五分殺/差蟲)  右揀凈焙乾炒令黄色搗爲細末鍊蜜爲  丸如梧子大川水下五丸三服可漸加至  十丸二十丸服之二十日百病皆愈三屍  九蟲自滅服者須齋戒恭敬婦人絶孕服  之有子 桂心丸神仙去三屍九蟲   熟地黄(三/兩)乾漆(半兩/炒)桂心(一/兩)  右爲細末鍊蜜爲丸如梧子大每服七丸  米飲送下 雄黄丸又去三屍九蟲   雄黄(研)松脂(各一/兩研)  右溶脂爲丸如蓮子大平旦吞一丸服七  日三屍盡去 輕骨散治勞嗽   烏梅龍膽草胡黄連   貝母知母鼈甲(醋/炙)   桔梗秦芁柴胡   甘草(炙)山梔子(去/皮)人參
Interpretation

This text records several ancient Daoist medicinal formulas primarily used to expel internal parasites (referred to as the "Three Corpses and Nine Worms") and treat consumptive cough (a chronic cough resembling tuberculosis). All formulas employ common Chinese medicinal ingredients prepared into small pills for oral administration.

The first formula combines finely powdered herbs including Picrorhiza root (huhuanglian), wolfberry root bark (digupi), and costus root (muxiang) with wormwood juice, ghee, and honey to create a paste, then formed into pills the size of phoenix tree seeds. The dosage is fifteen pills per serving, taken with warm wine or rice water three times daily. During autumn and winter, seven peach and willow buds may be added, decocted together with bupleurum powder (chaihusan).

The second formula, the Dryopteris Pill (guanzhong wan), specifically targets various parasites. It combines nine ingredients including Dryopteris root (guanzhong) to subdue latent corpses, dictamnus root bark (baixianpi) to kill worms, and dichroa root (shuqi) to eliminate white worms. After roasting and stir-frying until yellow, the ingredients are powdered and mixed with honey into phoenix-tree-seed-sized pills. Begin with five pills per dose, gradually increasing to twenty pills over twenty consecutive days. The treatment requires purification rituals (zhaijie) during administration and is said to also treat infertility.

The third formula, Cinnamon Pill (guixin wan), uses just three ingredients: prepared rehmannia root (shudihuang), dried lacquer (ganqi), and cinnamon bark (guixin), powdered and mixed with honey into pills. Seven pills per dose are taken with rice water.

The simpler fourth formula, Realgar Pill (xionghuang wan), uses only realgar and pine resin melted together to form lotus-seed-sized pills. One pill is swallowed on an empty stomach each morning for seven consecutive days.

Finally, the Light Bone Powder (qinggu san) for consumptive cough combines twelve ingredients including smoked plum (wumei), gentian root (longdancao), fritillaria bulb (beimu), anemarrhena rhizome (zhimu), and turtle shell (biejia). Most ingredients possess heat-clearing, cough-suppressing, and yin-nourishing properties, with special processing methods like vinegar-frying enhancing efficacy.

Important Note: These ancient formulas document historical medical practices, with some ingredients like realgar containing toxic components. Modern readers must never prepare or consume these without professional guidance. These records serve primarily for studying ancient Daoist medical thought—always consult licensed practitioners for actual medical treatment.

  青篙(酒/煮)阿膠(炒)杏仁(去皮尖/麩炒)  右件晒乾爲末用好京墨一寸以井花水  磨調前藥末作餅子如大指頭大透風處  窨乾二七日方用每服一餅井水磨化又  用没藥五十磨成一盞於五更又用黄皮  末二錢同煎數沸却入盞内頻頻打轉通  口於五更時輕輕起吃纔服了便睡令病  人仰卧甚者不過三服 蛤蚧散又治勞瘦   白茯苓(一兩去烏皮入銚内/慢火炒令燥便住)   桑白皮(二兩用酥醋刷炙/五次令黄色紫色)   杏仁(六兩湯泡去皮尖雙仁者以紙簟/入鐺内炒令乾入臼内搗爲粉用)   (皮紙角出/油盡爲度)   知母(用酥醋涮炒令黄熟蛤蚧雌雄一/對入酥醋内浸透慢火炙乾再用)   (酥醋刷炙五七次令黄/熟不得燒損無力了)   貝母(二兩用酥醋刷炙/令黄色三五次)   甘草(三兩捶碎用醋酥須/刷炙三五次令紫黄)   人參(一兩大者用酥醋/刷炙三五次令黄)   熟乳酥(真好者四十文切作骰子大塊/入銚内溶成汁入陳米醋極酸)   (者半升已下和匀同刷炙前藥醋不宜/多用只以四合多爲的庶好刷用否則)   (稀/炙)  右件爲末每服二大錢水一盞煎七分服  忌油膩冷毒物如久患嗽者初服此藥必  服鬪嗽加甚須勤服乆則可安須自保惜  爲妙 治勞熱止損止嗽
Interpretation

Here are two medicinal formulas for treating consumptive cough, both employing unique preparation methods.

The first formula primarily uses herbs like sweet wormwood, donkey-hide gelatin, and apricot kernels. The preparation involves sun-drying the ingredients, grinding them into powder, then mixing with premium ink sticks and well water to form finger-sized medicinal cakes. These are air-dried in shade for fourteen days. For administration, one cake is dissolved in well water with fifty myrrh grains ground into it, taken during the fifth watch (3-5 AM). This should be accompanied by two qian (about 7.5 grams) of yellow citrus peel decoction, consumed warm in small sips before immediate rest. Severe cases typically show improvement within three doses.

The second formula, called Gecko Powder, specifically treats consumptive emaciation. Ingredients include poria cocos, mulberry root bark, apricot kernels, anemarrhena rhizome, a pair of geckos (male and female), fritillaria bulb, licorice root, ginseng, and milk butter. Each herb undergoes specialized vinegar or butter roasting: repeatedly brushed with vinegar or butter then lightly baked to specific colors. For instance, mulberry bark is roasted until yellow-purple, apricot kernels are peeled, stir-dried and powdered, while geckos are first soaked in vinegar-butter before roasting.

Administration involves grinding all ingredients into powder, taking two large qian (about 7.5g) decocted until 70% liquid remains. Patients must avoid greasy and raw-cold foods during treatment. Important note: chronic cough may initially worsen upon taking the medicine—persistent use yields results while maintaining bodily nourishment.

Both formulas treat consumptive fever, stop bleeding, and relieve coughs, with the second being particularly effective for chronic cases. The elaborate preparation—especially the repeated vinegar-butter roasting—enhances medicinal potency.

  蛤蚧(一對洗淨/酒醋浸炙)黄芩(半/兩)   胡黄連秦芁甘草   生地黄熟地黄青蒿   人參(炒)柴胡麻黄   知母貝母杏仁(去皮尖/雙仁取)   (梢各/半兩)鼈甲(一兩酒/醋炙)桔梗   龍膽草木香(各一/錢)  右件爲細末用烏梅姜棗煎服 治虚勞方   杏仁(一/斤)  右用生姜六兩剉碎嗽者加人參四兩剉  碎同置於新沙鍋内用無根河水一斗燒  木炭文武火熬水盡爲度去生姜參滓放  冷每服五七箇杏仁頻頻服之 治傳屍勞瘵方  右童子便一盞無灰酒一盞以新甆瓶貯  之取全猪腰子一對於内密封泥日晚時  以慢火養熟至中夜止待五更初更以火  温之發瓶飲酒食腰子病篤者只一月效  平日瘦怯者亦可服此盖以血養血絶勝  金石草木之藥也 又方以獺肝一具隂乾杵末方寸七日三服  有效 又方以赤□兒(俗名/王瓜)焙乾爲末温酒調服即  有效   黄帝灸二十一種癆圖并序  夫人含靈受氣禀於五常攝之乖理降之  大疾至若岐黄廣記抑有六舊經法單行  顯靈斯術骨蒸病者亦名傳尸亦名殗殢  亦名伏連亦名無辜丈夫以元氣爲根本  婦人以血海爲根源其病狀也髮乾而短  或聚或分或腹中有塊或腦門結核或卧  盗汗夢見鬼交雖目視分明而四肢無力
Interpretation

This text records several medicinal formulas and moxibustion methods for treating consumptive disorders. First is the Gecko Formula: Take a pair of geckos (a medicinal lizard), clean them, soak in wine and vinegar, then roast. Add half an ounce each of scutellaria (huangqin), picrorhiza (huhuanglian), gentian (qinjiao), licorice (gancao), raw rehmannia (shengdihuang), prepared rehmannia (shudihuang), artemisia (qinghao), stir-fried ginseng (renshen), bupleurum (chaihu), ephedra (mahuang), anemarrhena (zhimu), fritillaria (beimu), and bitter apricot kernels (xingren) with removed skin and tips. Also include one ounce each of wine-vinegar roasted turtle shell (biejia), platycodon (jiegeng), gentian (longdancao), and costus root (muxiang). Grind these ingredients into fine powder and decoct with dark plum (wumei), fresh ginger (shengjiang), and jujube (dazao) for oral administration.

Another formula for consumptive disorders uses one jin of apricot kernels combined with six liang of finely chopped ginger. For those with cough, add four liang of chopped ginseng. Place these in a new earthenware pot with one dou of "rootless river water" (rainwater). Simmer over charcoal fire alternating between gentle and strong heat until the liquid evaporates. Remove the ginger and ginseng residue, then consume five to seven apricot kernels per dose after cooling, taken regularly.

For treating "corpse-transmission consumption" (a wasting disease resembling tuberculosis), there's a special formula: Take one cup of "child's urine" (healthy boy's urine) and one bowl of ash-free wine (pure alcohol) in a new porcelain vessel. Add a pair of intact pork kidneys, seal tightly with clay. Simmer over slow fire in the evening until midnight, then pause heating. At fifth watch (before dawn), reheat and consume both the liquid and kidneys. Severe cases should take this for one month. Even generally weak individuals may use this method—it follows the principle of "nourishing blood with blood" and proves far more effective than mineral or herbal medicines.

Another prescription uses one otter liver dried in shade and ground into powder. Take one square-inch spoonful (an ancient measure ≈1g) three times daily for effect. A simpler version involves baking and powdering "red □-er" (folk name: wanggua, likely Trichosanthes kirilowii), taken with warm wine.

Finally, the text mentions the Yellow Emperor's Moxibustion Methods, recording twenty-one moxibustion treatments for consumptive diseases. The preface states that humans receive the vital Qi (energy) of heaven and earth, and improper cultivation leads to serious illness. This "bone-steaming disease" (consumptive disorder) has multiple names—for men it roots in primordial Qi (yuanqi), for women in the "sea of blood." Symptoms include dry, sparse hair that sometimes clumps, abdominal masses, nodules on the forehead, night sweats, ghost intercourse (sexual dreams), and visible but weak limbs despite functional eyesight.

 上氣食少漸至沉羸終延歲月遂至殞滅  余昔忝任洛州司馬三十日灸活一十三  人前後差者數通二百里至於狸骨獺肝  徒聞曩說金牙銅鼻罕見其能未如此方  扶危救急非止單攻骨蒸兼亦療風或瘴  或勞或邪或僻患狀旣廣灸愈亦多不可  具録聊述大概又恐傳說訛謬以誤將來  今具圖形庶令覽者易於悉使所在流傳  頗用家蔵不暇明醫旁求立業返魂還魄  何難之有遇斯疾者可不謹歟 肺俞二穴在第三椎下兩傍相去一寸半是 穴理顛癎嬰氣上氣吐逆返滿脊强寒熱不 食内痛皮癢傳屍骨蒸肺嗽針三分留七分 呼得氣即灸三壯 厥陰二穴在第四椎下 兩傍相去一寸半是穴理遂氣吐嘔心痛攣 結胷中煩悶針入三分留七分得氣可灸三 壯 心俞穴在第五椎下兩傍各一寸半是 穴理心中風狂癎氣亂語悲啼心腹坎滿汗 不出結積寒奶嘔逆不食食物即吐咳腫目 痛不灸通針三分留七分呼得氣即瀉灸三 壯 肝俞穴在第九椎下兩傍各一寸是穴 理口乾中風肢滿短氣不食食物不消吐血 目不明關塞胷痛肩疼寒疝針入三分留七 分呼得氣灸三壯 脾俞二穴在第十一椎 下兩傍各一寸半是穴理腰身脹滿腹肚泄 瀉痢身重四肢不收黄疸邪氣積聚腹痛寒 熱針入三分留七分呼氣灸三壯 腎俞二
Interpretation

This passage documents an ancient Daoist medical technique titled Emergency Immortal Formulas, primarily detailing acupuncture treatments for various intractable diseases. The author recounts using these methods during his tenure as Sima in Luozhou, where he successfully revived thirteen patients within thirty days.

The text meticulously describes specific acupuncture points and their operational techniques for different ailments. For instance, to treat lung diseases, one should target the "Feishu point" (Lung Transport Point), located one and a half cun (a traditional Chinese measurement) lateral to the lower border of the third thoracic vertebra. This point addresses epilepsy, rebellious Qi (vital energy), vomiting, back pain, fever with chills, and other symptoms. The needle should be inserted to a depth of three fen (another traditional unit), leaving seven fen exposed. After achieving the sensation of Qi (Deqi), moxibustion should be applied for three zhuang (a unit referring to the complete burning of one moxa cone).

Other crucial acupuncture points include:

  • Jueyin point (below the fourth thoracic vertebra): treats vomiting, heart pain, and chest oppression.
  • Xinshu point (Heart Transport Point, below the fifth thoracic vertebra): addresses mania, incoherent speech, and abdominal distension.
  • Ganshu point (Liver Transport Point, below the ninth thoracic vertebra): alleviates stroke, indigestion, vomiting blood, and blurred vision.
  • Pishu point (Spleen Transport Point, below the eleventh thoracic vertebra): counters abdominal distension, diarrhea, and jaundice.
  • Shenshu point (Kidney Transport Point, location unspecified).

The author emphasizes that these methods are effective not only for "bone steaming" (a consumptive disease resembling tuberculosis) but also for wind disorders, miasma, exhaustion, and pathogenic influences. Concerned that oral transmission might lead to errors, he included diagrams to ensure accuracy for future practitioners. This medical art is straightforward and practical, accessible even to laypeople, reducing dependence on professional physicians.

穴在第十四椎下兩傍各一寸半上一膈對 是穴理虚勞耳聾腎虚水狀脹攣急腰痛小 便濁膈中疼溺血精出五勞七傷冷嘔脚膝 酸疼拘急好獨卧身腫如水針入三分留七 分呼氣可灸三壯 大杼二穴在第一椎 膈俞二穴在第七椎 膽俞二穴在十一椎  三焦二俞二穴在十三椎 胃俞二穴在 十三椎 旋俞二穴在第二十椎 仍引灸 四花膏盲爲妙 師令患人平身正直立以 細繩子一條令脚底竪踏男左女右其頭上 大姆指湍高順脚踵引直上至曲䐐中大横 文處截斷患人取穴去處一依銅人又令患 人平坐解髮分開兩邊從髮路沿項直下至 脊繩子頭椎骨上以骨點記之患人亦依銅 人坐也又取繩子中鈎起至鼻住按定截口 吻兩頭了却將此量   取穴法 口繩子於點記處平摺拖兩頭勿令少有偏 邪直要端正兩頭記處是穴中心於點處非 穴莫灸又法令患人平身正坐稍縮膊取小 繩子一條拖其兩垂向前繩兩頭高至鳩尾 穴穴在心上頗骨下也便截斷却翻繩子向 背拖繩停心於喉結骨上其繩兩頭雙垂當 脊上中繩子頭便點記 又法取一繩令患 人平坐合口横量準前取繩子兩頭是灸穴 此通前四穴各灸七壯至二十一壯須加至 百五十壯仍停候瘡欲發又將先量口繩子
Interpretation

This passage provides detailed documentation of ancient Chinese acupuncture point selection methods and specific treatment procedures. It primarily describes the therapeutic scope of the Shenshu (Kidney Transport) point, located one and a half cun lateral to the lower border of the fourteenth thoracic vertebra. This point addresses various conditions including consumptive fatigue, deafness, kidney deficiency edema, lumbar pain, and turbid urine. The recommended needling depth is three fen, with the needle retained for seven respiratory cycles, and it can also be treated with three moxa cones.

The text then introduces several other important acupoint locations: Dazhu (Great Shuttle) at the first thoracic vertebra, Geshu (Diaphragm Transport) at the seventh, Danshu (Gallbladder Transport) at the eleventh, while Sanjiaoshu (Triple Burner Transport) and Weishu (Stomach Transport) are both found at the thirteenth thoracic vertebra. Xinshu (Heart Transport) is located at the twentieth vertebra. The text particularly recommends combining these with moxibustion at the Sihua Gaohuang points for enhanced effectiveness.

Three specific point measurement methods are emphasized: First, have the patient stand straight while measuring with a thin cord from the sole along the posterior leg to the popliteal crease before cutting. Second, have the patient sit upright while measuring downward from the hairline along the spine. Third, have the patient sit properly while measuring with a cord from the Jiuwei (Dove Tail) point below the xiphoid process to the Adam's apple before turning to the back. All methods require precise, undistorted measurements during the process. After locating exact points, apply moxibustion using seven to twenty-one cones per session, accumulating up to 150 cones total. Subsequent treatments should only commence when the moxibustion blisters begin to form.

於前脊椎上垂繩子點處停心竪量以繩子 兩頭是穴點記灸之如前法此名四花穴須 是離日灸之用三月三日採艾極妙灸疾若 了於百日内却愼飲食房室且安心靜眠如 一月覺未全安常如初法於舊穴上再灸之 永除害也灸後仍服藥製方在後余切讀老 叟自序論傳屍之候巳詳如灸心俞穴中取 蟲㨿銅人經云則不可用正如此高高嗣照 世稱良醫雖取穴針灸上古治法不同豈神 聖之功殆不可云 一法當於癸亥日夜二更時六神皆聚之時 解去下體衣服直身平立用筆於其腰上兩 傍微陷處點定鍼家謂之腰眼然後上床合 面而卧每灼小艾炷七壯兩腰眼共一十四 壯勞蟲或吐出或瀉下即可平安斷根更不 傳染    灸後服藥   生地黄(汁)青蒿(汁)薄苛(汁)   童便好酒(右各二升同/煎成膏入)   柴胡(去/蘆)鼈甲(醋/炙)秦芁(各一/兩)   麝(另/研)硃砂(各半/兩)  右五味爲細末入前膏爲丸如梧桐子大  每服十五丸至二十丸温酒下忌生冷毒  物   又取蟲方  凡取癆蟲可於三節骨上一穴膏肓二穴  每穴灸七壯然後喫飲食調理方下藥取  蟲其蟲或如亂絲或如紅綫者是也 春用雄黄硫黄巴豆(一粒/出油)豆豉(七/粒)   右同前藥共和研爲丸如梧子大次用童
Interpretation

This passage describes a combined treatment of moxibustion and herbal medicine for "consumptive corpse disease" (a wasting illness similar to tuberculosis). First, locate the Four Flowers acupoints (special points along both sides of the spine) on the back, measuring their positions with string before applying moxibustion. The best mugwort for this purpose is gathered on the third day of the third lunar month, and the treatment should avoid "unpropitious days" (Li Ri). After moxibustion, observe celibacy for one hundred days, maintain dietary restrictions, and rest quietly for one month. If recovery is incomplete, repeat the moxibustion.

Another method involves standing bare-legged during the late night of Guihai Day (around 9–11 pm), marking the depressions on both sides of the waist (Yaoyan acupoints), then applying seven small moxa cones to each side (fourteen cones total). After treatment, vomiting or diarrhea may expel "consumptive worms" (ancient physicians imagined disease-causing parasites).

Post-moxibustion, herbal medicine should be taken: combine two liters each of fresh rehmannia juice, artemisia juice, and mint juice, simmer with children’s urine and good liquor into a paste, then add one liang each of bupleurum root, vinegar-fried turtle shell, and gentian root, along with half a liang each of musk and cinnabar to form pills. Take 15–20 pills per dose with warm wine, avoiding raw, cold, or toxic foods.

Another deworming formula: first apply seven moxa cones each to the third spinal vertebra and the Gaohuang acupoint (located three cun lateral to the fourth thoracic vertebra), regulate the diet, then administer medicine to expel worms. The expelled parasites may appear as tangled threads or red threads. In spring, pills can be made from realgar, sulfur, one debittered croton seed, and seven fermented soybeans, taken with children’s urine.

These methods reflect ancient physicians’ understanding of chronic wasting diseases, imagining microbial infections as "worms" and using moxibustion to stimulate Yang Qi (vital energy) alongside herbal medicine to expel pathogenic factors. The precise acupoint location, timing of moxibustion, and herbal combinations embody the Daoist medical principle of "correspondence between heaven and human" in treatment.

 子不喫飯的小便一合酒一盞下 夏用蘆伏子鶴虱硫黄巴豆(一粒/去油)   豆豉(七/粒)  右同前藥丸如前湯使下 秋用錫灰雄雌二黄菉豆粉豆豉(七/粒)   巴豆(一粒/去油)  右同藥爲丸用前湯使下 冬用雄雌二黄錫灰巴豆(去/油)豆䜴(七/粒)  右爲丸同前湯使下 淨明法中治勞瘵方  度師玉真先生傳 其方須先鍊度如法  次以南木香五錢重切碎用新潔瓦器慢  火煎出濃汁分作二處留出木香渣將在  一處調朱砂書符用一處調青蒿用青蒿  九斤重切碎用新潔鐵鍋水煎一日去渣  取濃汁入前木香渣再煎去渣以前木香  濃汁一處慢火熬成膏 朱砂五錢重爲  細末用前一處木香汁調書五炁符及鍊  度中五炁符燒化入木香汁内就用此化  開青蒿膏子與患人服切戒勿令患者知  之務在志誠而爲也仍忌一切外人畜類  等見之無不神效此方
Interpretation

This scripture records the medical prescriptions and rituals of the Jingming tradition (an important Daoist school emphasizing the path of loyalty, filial piety, purity, and illumination) for treating consumptive diseases (known in ancient times as "laozhai," similar to modern tuberculosis). The prescriptions vary according to seasonal changes:

For summer treatment, the formula includes lufta seeds, carpesium, sulfur, croton seeds (one seed, with oil removed), and fermented soybeans (seven beans). These ingredients are made into pills to be taken with the decoction mentioned earlier.

In autumn, the prescription changes to tin ash, realgar and orpiment (two mineral-based medicinal substances), mung bean powder, fermented soybeans (seven beans), and degreased croton seeds (one seed), similarly prepared as pills for consumption.

Winter treatment employs realgar and orpiment, tin ash, degreased croton seeds, and seven fermented soybeans. Each dose must be taken with a specific accompanying decoction.

Particularly significant is the Jingming healing method transmitted by Master Yuzhen, which requires performing the liandu ritual (a Daoist rite for the salvation of souls) according to established protocols. The specific procedure is as follows: Take five qian of southern costus root, sliced, and decoct it in a clean earthenware vessel over low heat to obtain a concentrated liquid, divided into two portions. One portion is used to mix with cinnabar for talisman drawing, while the other is blended with sweet wormwood. Separately, take nine jin of sweet wormwood, chopped, and boil in an iron pot for one full day. After removing the dregs, combine with the leftover costus root dregs for further decoction, finally mixing with the concentrated costus liquid to form a paste.

Grind five qian of cinnabar into fine powder, blending it with the reserved costus liquid to inscribe the Five Qi talismans (fu representing the energies of the Five Phases). Then burn these Five Qi talismans from the liandu ritual into the costus liquid, using this mixture to dissolve the sweet wormwood paste for the patient to ingest. Crucially, the preparation process must be concealed from the patient, performed with utmost sincerity, and shielded from observation by outsiders or animals. Tradition holds that this prescription yields exceptional results when combined with Jingming practices.

行是法者用之尤  爲妙也 急救仙方卷之十一

Source text: Kanripo 漢籍リポジトリ(KR5e0066); Licence: CC BY-SA 4.0 · Report an error / feedback

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