{"resource_id":15342,"title":"麻疹阐注","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"麻疹闡注","sections":[{"id":"chapter-1-section-1","title":"正文","paragraphs":["麻疹闡注 清 張霞溪","麻疹闡注"]},{"id":"chapter-1-section-2","title":"序","paragraphs":[]},{"id":"chapter-1-section-3","title":"敘","paragraphs":["自敘"]},{"id":"chapter-1-section-4","title":"御定醫宗金鑑麻疹","paragraphs":[]},{"id":"chapter-1-section-5","title":"卷一","paragraphs":["疹原","輕重"]},{"id":"chapter-1-section-6","title":"麻疹主治大法","paragraphs":[]},{"id":"chapter-1-section-7","title":"麻疹未出證治","paragraphs":[]},{"id":"chapter-1-section-8","title":"麻疹見形證治","paragraphs":[]},{"id":"chapter-1-section-9","title":"麻疹收沒證治","paragraphs":[]},{"id":"chapter-1-section-10","title":"卷二","paragraphs":["身熱不退","煩渴","譫妄","喘急","咳嗽"]},{"id":"chapter-1-section-11","title":"喉痛","paragraphs":["失音"]},{"id":"chapter-1-section-12","title":"牙疳","paragraphs":["嘔吐","瀉洩","痢疾"]},{"id":"chapter-1-section-13","title":"腹痛","paragraphs":["衄血"]},{"id":"chapter-1-section-14","title":"瘙疹","paragraphs":[]},{"id":"chapter-1-section-15","title":"蓋痘疹","paragraphs":[]},{"id":"chapter-1-section-16","title":"癮疹","paragraphs":[]},{"id":"chapter-1-section-17","title":"卷三","paragraphs":["麻後龜胸"]},{"id":"chapter-1-section-18","title":"麻後肺痿肺癰","paragraphs":["麻後疳瘵","麻後發搐"]},{"id":"chapter-1-section-19","title":"麻後急慢驚風","paragraphs":[]},{"id":"chapter-1-section-20","title":"麻後眼病","paragraphs":["麻後脫肛","麻疹達權"]},{"id":"chapter-1-section-21","title":"卷四","paragraphs":["謝心陽子家傳"]},{"id":"chapter-1-section-22","title":"辨訣","paragraphs":[]},{"id":"chapter-1-section-23","title":"致五液法","paragraphs":[]},{"id":"chapter-1-section-24","title":"子初發表主方","paragraphs":[]},{"id":"chapter-1-section-25","title":"子消後方","paragraphs":[]},{"id":"chapter-1-section-26","title":"序","paragraphs":["張子霞　先生諱廉。字通源。為我邑名貢士。天資高邁而性耽經史。旁及藝術。屢不得志於名場也。夫麻疹莫醇於金鑑。趙氏既集為匯補。而謝氏又有七十二症之書。則金鑑之闡注。似可不作顧乃以簡約煩瑣變易之故。而必疏解而融貫之。並先示以讀書之法。先生蓋有深意焉。鄉里鯫生。以醫師自命。凡疾病之臨門者。無論症之平險。每不肯以不知辭。而平日於岐黃家言。或未盡見。即見之而簡約者不能擴充。煩瑣者不能審擇。變易者。不能條貫。則仍即其平生耳食之謬說。鹵莽滅裂而治之。而民命遂等於草芥。闡注之作。所以教人讀醫書。固不第為麻科者言也。而麻科之精且詳。卒非他書所能及。顧是書向無硬板。酈子非　先生曾為校訂。擬刻不果。往歲春夏。麻症多危。其侄孫蕙坡在越。以霞　先生族侄輯園語及。遂從家郵致。與其尊甫紫庭叔耶　從弟重皋分參而登諸梨棗。囑予一言以志其巔末雲。","道光二十有八年歲次戊申孟夏之月後學煦齋徐漸逵書於蠡城試寓"]},{"id":"chapter-1-section-27","title":"敘","paragraphs":["張子。諸暨老宿也。博通經史。工舉業。善古文詞。一時經其口授指書者。皆有名於時。掇巍科而去者歲有之。所著書積高至三四尺許。皆明理學。辨是非。論治亂。有關身心性命天下國家之言。旁及藝術小數。無不曲通其旨。浦陽戴太史東珊先生。題其孝感裡志。曰非張子之積學有素。精心果力。其孰能是。趙子耀緒題其章氏季漢書評曰。張子惟熟於肅常郝經謝少連之書。故知章氏之書為獨善。然非有才學識三長。雖熟於三子之書。不能知其善。何能言其所以善。朱子得章氏而其義益彰。章氏得張子而其意始顯。趙子思恭題其春秋說曰。六通四辟之論。如萬斛源泉。自天而下。飛沫濺衣。令人不敢逼視。文十年次於厥貉以後。多右楚左晉。是先生獨具手眼處。孝廉蔣子錦川題其文集曰。張子學宗新建。文學老蘇。皆能升堂而入其室。故其所言多可為世用。是數子皆知張子之深者。世人謂張子不幸而窮故著書。不知不窮不足以著書。張子之不幸。後人之幸也。近年吾暨麻疹大劇。諸醫束手。謝不治者。問之張子。應手而愈。人鹹神之。請其秘方。張子曰。方無秘。方有秘。方之所以窮也。出其闡注御定醫宗金鑑麻疹。授之曰。讀其書。得其意。忘其言。庶幾有豸乎。人珍為拱璧。恐積久殘毀不傳。即傳。抄錄不廣。為惠有限。以餘頗明岐黃。又為張子老友。囑言其本末。付梓以公諸世。餘覽之廢卷而嘆曰。此張子之緒餘也，烏足珍。雖然。緒餘驗則其諸書之足為世用也益信。張子謂誰。水霞廉通源霞溪也。","道光二年十月同學弟壽椿懷玉書","自敘","麻疹一科。古無專書。惟於痘症後略見之。痘重而麻輕也。近數十年。麻多劇症。較重於痘。","於是有心濟世者。各著書以傳之。然猶少刊本。往往私相傳抄。矜為秘方。其實瑕瑜不掩。","醇駁雜出。甚至有以蜈蚣全蟲五虎散治麻疹。誇為神方。筆之於書。而互相傳授者。是可哀也。餘所見麻科。自萬氏而後。以謝氏七十二症。趙氏麻　匯補。最為平穩。然謝氏未免煩瑣。愈煩瑣則愈掛漏。蓋言其常。風痰食火四者可該。窮其變。則千變萬化。非七十二症所能盡也。趙氏匯補。悉本御定醫宗金鑑。故較謝氏尤醇。但變易其方藥詞句。使若不出於金鑑者以神為心得。又條款倒置。線索不清。未為善本。總不若金鑑之醇而又醇也。但金鑑言簡而賅。非得其言外之意。必疑其略而不詳。餘所闡發。未必得其奧旨。然悉本前賢。未敢杜撰。而所採之說。趙氏尤多。不注姓名者。以便文勢耳。非敢掠美也。","歲在HT　蒙大淵獻月惟皋諸暨張廉敘。"]},{"id":"chapter-1-section-28","title":"御定醫宗金鑑麻疹","paragraphs":["讀書之法。當逐字讀。逐句讀。逐節讀，復舉全篇融會貫通而讀。斯能得其言外之意。而為善讀書者矣。醫門之書。如我朝御定醫宗金鑑。言簡而意賅。義近而旨遠。非易讀也。即其麻疹一科。凡言某方主之者。言主之必有輔之者矣。所謂逐字讀也。於見形條雲。有不透徹。須察所因。言因則因之者廣。不可列舉。因之者猝不可預揣。故下第列因風因火因虛可知之三項。以見舉一反三之意。所謂逐句讀也。於收沒條。言當散不散。內有虛熱。不可純用寒涼之劑。以柴胡四物湯治之。於身熱不退條。言麻既出透。身仍大熱。此毒盛壅遏。宜化毒清表湯治之。疹已沒落而身熱者。此餘熱留於肌表。宜柴胡清熱飲治之。何言之相反乃爾。蓋分觀則偏。合觀則全。所謂逐節讀也。詳於正症。略於變症。正症可言。變症不勝言也。詳於麻前。略於麻後。麻前得法。麻後自無患也。只言實症。不言虛症。麻為陽毒。絕少虛症。麻後之虛。不言可知也。所謂統舉全篇。融會貫通而讀也。故於主治條曰。此首尾主治之大法。至於臨時權變。惟神而明之而已。富哉言乎。一篇微旨。已揭於此。讀是書者。當無不領略而會悟之。而餘復為之闡發者。為淺學通其旨也。然而高明之家。已竊笑其蛇足矣。乙亥仲夏。","霞溪張廉書於白HT　湖　山之指川書塾。"]},{"id":"chapter-1-section-29","title":"卷一","paragraphs":["疹原","疹非一類。有瘙疹。癮疹。溫疹。蓋痘疹。皆非正疹也。惟麻疹則為正疹。亦胎元之毒。伏於六腑。感天地邪陽火旺之氣。自肺脾而出。故多咳嗽噴嚏。鼻流清涕。眼淚汪汪。兩胞浮腫。身熱二三日。或四五日。始見點於皮膚之上。形如麻粒。色若桃花。間有類於痘大者。","此麻疹初發之狀也。形尖疏稀。漸次稠密。有顆粒而無根暈。微起泛而不生漿。此麻疹見形之後。大異於痘也。須留神調治。始終不可一毫疏忽。較之於痘雖稍輕。而變化之速。則在頃刻也。","廉按身熱一二日。疹點一齊湧出者重。三四日出者輕。五日後出者重。至六七日隱隱皮膚之間而不見點者尤重。","輕重","麻症出時。有輕重之分。臨時須要詳察。若氣血平和。素無他病者。雖感時氣。而正能制邪。故發熱和緩。微微汗出。神氣清爽。二便調勻。見點則透徹。散沒不疾不徐。為輕而易治者也。若素有風寒食滯。表裡交雜。一觸邪陽火旺之氣。內外合發。而正不能制邪。必大熱無汗。煩躁口渴。神氣不清。便閉"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"麻疹闡注","section_title":"正文","is_available":true},{"id":"chapter-1-section-2","chapter_title":"麻疹闡注","section_title":"序","is_available":true},{"id":"chapter-1-section-3","chapter_title":"麻疹闡注","section_title":"敘","is_available":true},{"id":"chapter-1-section-4","chapter_title":"麻疹闡注","section_title":"御定醫宗金鑑麻疹","is_available":true},{"id":"chapter-1-section-5","chapter_title":"麻疹闡注","section_title":"卷一","is_available":true},{"id":"chapter-1-section-6","chapter_title":"麻疹闡注","section_title":"麻疹主治大法","is_available":true},{"id":"chapter-1-section-7","chapter_title":"麻疹闡注","section_title":"麻疹未出證治","is_available":true},{"id":"chapter-1-section-8","chapter_title":"麻疹闡注","section_title":"麻疹見形證治","is_available":true},{"id":"chapter-1-section-9","chapter_title":"麻疹闡注","section_title":"麻疹收沒證治","is_available":true},{"id":"chapter-1-section-10","chapter_title":"麻疹闡注","section_title":"卷二","is_available":true},{"id":"chapter-1-section-11","chapter_title":"麻疹闡注","section_title":"喉痛","is_available":true},{"id":"chapter-1-section-12","chapter_title":"麻疹闡注","section_title":"牙疳","is_available":true},{"id":"chapter-1-section-13","chapter_title":"麻疹闡注","section_title":"腹痛","is_available":true},{"id":"chapter-1-section-14","chapter_title":"麻疹闡注","section_title":"瘙疹","is_available":true},{"id":"chapter-1-section-15","chapter_title":"麻疹闡注","section_title":"蓋痘疹","is_available":true},{"id":"chapter-1-section-16","chapter_title":"麻疹闡注","section_title":"癮疹","is_available":true},{"id":"chapter-1-section-17","chapter_title":"麻疹闡注","section_title":"卷三","is_available":true},{"id":"chapter-1-section-18","chapter_title":"麻疹闡注","section_title":"麻後肺痿肺癰","is_available":true},{"id":"chapter-1-section-19","chapter_title":"麻疹闡注","section_title":"麻後急慢驚風","is_available":true},{"id":"chapter-1-section-20","chapter_title":"麻疹闡注","section_title":"麻後眼病","is_available":true},{"id":"chapter-1-section-21","chapter_title":"麻疹闡注","section_title":"卷四","is_available":true},{"id":"chapter-1-section-22","chapter_title":"麻疹闡注","section_title":"辨訣","is_available":true},{"id":"chapter-1-section-23","chapter_title":"麻疹闡注","section_title":"致五液法","is_available":true},{"id":"chapter-1-section-24","chapter_title":"麻疹闡注","section_title":"子初發表主方","is_available":true},{"id":"chapter-1-section-25","chapter_title":"麻疹闡注","section_title":"子消後方","is_available":true},{"id":"chapter-1-section-26","chapter_title":"麻疹闡注","section_title":"序","is_available":true},{"id":"chapter-1-section-27","chapter_title":"麻疹闡注","section_title":"敘","is_available":true},{"id":"chapter-1-section-28","chapter_title":"麻疹闡注","section_title":"御定醫宗金鑑麻疹","is_available":true},{"id":"chapter-1-section-29","chapter_title":"麻疹闡注","section_title":"卷一","is_available":true}],"plain_text":"# 麻疹闡注\n麻疹闡注 清 張霞溪\n麻疹闡注\n## 序\n## 敘\n自敘\n## 御定醫宗金鑑麻疹\n## 卷一\n疹原\n輕重\n## 麻疹主治大法\n## 麻疹未出證治\n## 麻疹見形證治\n## 麻疹收沒證治\n## 卷二\n身熱不退\n煩渴\n譫妄\n喘急\n咳嗽\n## 喉痛\n失音\n## 牙疳\n嘔吐\n瀉洩\n痢疾\n## 腹痛\n衄血\n## 瘙疹\n## 蓋痘疹\n## 癮疹\n## 卷三\n麻後龜胸\n## 麻後肺痿肺癰\n麻後疳瘵\n麻後發搐\n## 麻後急慢驚風\n## 麻後眼病\n麻後脫肛\n麻疹達權\n## 卷四\n謝心陽子家傳\n## 辨訣\n## 致五液法\n## 子初發表主方\n## 子消後方\n## 序\n張子霞　先生諱廉。字通源。為我邑名貢士。天資高邁而性耽經史。旁及藝術。屢不得志於名場也。夫麻疹莫醇於金鑑。趙氏既集為匯補。而謝氏又有七十二症之書。則金鑑之闡注。似可不作顧乃以簡約煩瑣變易之故。而必疏解而融貫之。並先示以讀書之法。先生蓋有深意焉。鄉里鯫生。以醫師自命。凡疾病之臨門者。無論症之平險。每不肯以不知辭。而平日於岐黃家言。或未盡見。即見之而簡約者不能擴充。煩瑣者不能審擇。變易者。不能條貫。則仍即其平生耳食之謬說。鹵莽滅裂而治之。而民命遂等於草芥。闡注之作。所以教人讀醫書。固不第為麻科者言也。而麻科之精且詳。卒非他書所能及。顧是書向無硬板。酈子非　先生曾為校訂。擬刻不果。往歲春夏。麻症多危。其侄孫蕙坡在越。以霞　先生族侄輯園語及。遂從家郵致。與其尊甫紫庭叔耶　從弟重皋分參而登諸梨棗。囑予一言以志其巔末雲。\n道光二十有八年歲次戊申孟夏之月後學煦齋徐漸逵書於蠡城試寓\n## 敘\n張子。諸暨老宿也。博通經史。工舉業。善古文詞。一時經其口授指書者。皆有名於時。掇巍科而去者歲有之。所著書積高至三四尺許。皆明理學。辨是非。論治亂。有關身心性命天下國家之言。旁及藝術小數。無不曲通其旨。浦陽戴太史東珊先生。題其孝感裡志。曰非張子之積學有素。精心果力。其孰能是。趙子耀緒題其章氏季漢書評曰。張子惟熟於肅常郝經謝少連之書。故知章氏之書為獨善。然非有才學識三長。雖熟於三子之書。不能知其善。何能言其所以善。朱子得章氏而其義益彰。章氏得張子而其意始顯。趙子思恭題其春秋說曰。六通四辟之論。如萬斛源泉。自天而下。飛沫濺衣。令人不敢逼視。文十年次於厥貉以後。多右楚左晉。是先生獨具手眼處。孝廉蔣子錦川題其文集曰。張子學宗新建。文學老蘇。皆能升堂而入其室。故其所言多可為世用。是數子皆知張子之深者。世人謂張子不幸而窮故著書。不知不窮不足以著書。張子之不幸。後人之幸也。近年吾暨麻疹大劇。諸醫束手。謝不治者。問之張子。應手而愈。人鹹神之。請其秘方。張子曰。方無秘。方有秘。方之所以窮也。出其闡注御定醫宗金鑑麻疹。授之曰。讀其書。得其意。忘其言。庶幾有豸乎。人珍為拱璧。恐積久殘毀不傳。即傳。抄錄不廣。為惠有限。以餘頗明岐黃。又為張子老友。囑言其本末。付梓以公諸世。餘覽之廢卷而嘆曰。此張子之緒餘也，烏足珍。雖然。緒餘驗則其諸書之足為世用也益信。張子謂誰。水霞廉通源霞溪也。\n道光二年十月同學弟壽椿懷玉書\n自敘\n麻疹一科。古無專書。惟於痘症後略見之。痘重而麻輕也。近數十年。麻多劇症。較重於痘。\n於是有心濟世者。各著書以傳之。然猶少刊本。往往私相傳抄。矜為秘方。其實瑕瑜不掩。\n醇駁雜出。甚至有以蜈蚣全蟲五虎散治麻疹。誇為神方。筆之於書。而互相傳授者。是可哀也。餘所見麻科。自萬氏而後。以謝氏七十二症。趙氏麻　匯補。最為平穩。然謝氏未免煩瑣。愈煩瑣則愈掛漏。蓋言其常。風痰食火四者可該。窮其變。則千變萬化。非七十二症所能盡也。趙氏匯補。悉本御定醫宗金鑑。故較謝氏尤醇。但變易其方藥詞句。使若不出於金鑑者以神為心得。又條款倒置。線索不清。未為善本。總不若金鑑之醇而又醇也。但金鑑言簡而賅。非得其言外之意。必疑其略而不詳。餘所闡發。未必得其奧旨。然悉本前賢。未敢杜撰。而所採之說。趙氏尤多。不注姓名者。以便文勢耳。非敢掠美也。\n歲在HT　蒙大淵獻月惟皋諸暨張廉敘。\n## 御定醫宗金鑑麻疹\n讀書之法。當逐字讀。逐句讀。逐節讀，復舉全篇融會貫通而讀。斯能得其言外之意。而為善讀書者矣。醫門之書。如我朝御定醫宗金鑑。言簡而意賅。義近而旨遠。非易讀也。即其麻疹一科。凡言某方主之者。言主之必有輔之者矣。所謂逐字讀也。於見形條雲。有不透徹。須察所因。言因則因之者廣。不可列舉。因之者猝不可預揣。故下第列因風因火因虛可知之三項。以見舉一反三之意。所謂逐句讀也。於收沒條。言當散不散。內有虛熱。不可純用寒涼之劑。以柴胡四物湯治之。於身熱不退條。言麻既出透。身仍大熱。此毒盛壅遏。宜化毒清表湯治之。疹已沒落而身熱者。此餘熱留於肌表。宜柴胡清熱飲治之。何言之相反乃爾。蓋分觀則偏。合觀則全。所謂逐節讀也。詳於正症。略於變症。正症可言。變症不勝言也。詳於麻前。略於麻後。麻前得法。麻後自無患也。只言實症。不言虛症。麻為陽毒。絕少虛症。麻後之虛。不言可知也。所謂統舉全篇。融會貫通而讀也。故於主治條曰。此首尾主治之大法。至於臨時權變。惟神而明之而已。富哉言乎。一篇微旨。已揭於此。讀是書者。當無不領略而會悟之。而餘復為之闡發者。為淺學通其旨也。然而高明之家。已竊笑其蛇足矣。乙亥仲夏。\n霞溪張廉書於白HT　湖　山之指川書塾。\n## 卷一\n疹原\n疹非一類。有瘙疹。癮疹。溫疹。蓋痘疹。皆非正疹也。惟麻疹則為正疹。亦胎元之毒。伏於六腑。感天地邪陽火旺之氣。自肺脾而出。故多咳嗽噴嚏。鼻流清涕。眼淚汪汪。兩胞浮腫。身熱二三日。或四五日。始見點於皮膚之上。形如麻粒。色若桃花。間有類於痘大者。\n此麻疹初發之狀也。形尖疏稀。漸次稠密。有顆粒而無根暈。微起泛而不生漿。此麻疹見形之後。大異於痘也。須留神調治。始終不可一毫疏忽。較之於痘雖稍輕。而變化之速。則在頃刻也。\n廉按身熱一二日。疹點一齊湧出者重。三四日出者輕。五日後出者重。至六七日隱隱皮膚之間而不見點者尤重。\n輕重\n麻症出時。有輕重之分。臨時須要詳察。若氣血平和。素無他病者。雖感時氣。而正能制邪。故發熱和緩。微微汗出。神氣清爽。二便調勻。見點則透徹。散沒不疾不徐。為輕而易治者也。若素有風寒食滯。表裡交雜。一觸邪陽火旺之氣。內外合發。而正不能制邪。必大熱無汗。煩躁口渴。神氣不清。便閉","is_preview":true,"preview_page_limit":10}