1723年(清雍正元年),雍正皇帝御批同仁堂供御药,由此开启了供御药的传奇经历。在整个清朝时期,享有连续188年供御药殊荣的民间药铺只有同仁堂一家。“传取同仁堂药品,表明清宫对同仁堂的信任和青睐,同时也证明同仁堂成药的品质优良,可以和御药房所制成药互为替代”。In1723,the1stQingYongzhengreign,theemperorgrantedTongrentang’simperialsupplyofmedications,whenalegendarydevelopmentprocesswasinitiatedandlastedasuccessivedurationof188years,thenproudlyastheonlyfoldpharmacysupplier.Theemperor’sgranttoimperialsupplyofTongrentangmedicationsindicatesthetrustofQingImperialPalaceandfavorinTongrentang.Meanwhile,thisalsoprovesthesuperbqualityofTongrentangpreparedmedicines,whichwerethenreplaceablewiththosebytheimperialpharmacies.”
药材和咀片(饮片):这是同仁堂在所供的御药中传药次数最多、品种最广、数量最大的类别。以同治到宣统年间为例,仅49个年份中,有据可查的清宫传同仁堂药材和咀片次数共163次。其中:传药材124次,占76%;传咀片39次,占24%。MedicinalMaterialsandprepareddruginpieces,wereinmostfrequentdemand,widestranges,andlargestquantitiesamongalltheTongrentangsuppliestotheimperialcourt.TakingthesuppliesduringtheTongzhithroughXuantongreignsasanexample,therewasaprovenrecordoftheQingimperialcourt’s163-time,whichwasonlyinaperiodof49years.
此后,清宫御药房多次运用同仁堂配方制作成药,如御药房档案《上用丸散膏丹配方薄》记载:“光绪十三年九月十二日,连英传:用同仁堂配方合梅苏丸;光绪十七年三月二十二日,按同仁堂配方合清肺抑火化痰丸四分之一料,如绿豆粒大;光绪二十二年六月初七日,用同仁堂配方合千金保胎膏一料;光绪二十六年二月十一日,福祥传:用同仁堂配方合加味保和丸半料;光绪二十六年二月十一日,福祥传:用同仁堂配方合香砂养胃半料”。Afterthat,theQingimperialpharmacyappliedTongrentangformulastopreparetheirmedicinesforseveraltimes.
1、养生保健治未病Keepinghealthyforpreventivetreatmentofdiseases
(1)常年养生治未病Keepinghealthyconstantlyforpreventivetreatmentofdiseases
《黄帝内经》曰:“阴阳四时者,万物之终始也,死生之本也,逆之则灾害生,从之则苛疾不起,是谓得道”。四季养生、防病于未然,不治已病治未病是中医养生、医疗的基本理念,同仁堂供的御药中50%以上用于治未病。在皇宫中,皇帝、后、妃等脾胃病较多,加之易有肝郁气滞,多数停饮较重,湿邪缠身,所以常年使用灯芯草、三仙饮(炒山楂、炒麦芽、炒神曲)等消食、祛湿、清心、安神的中药调理。Keepinghealthyandpreventingdiseasearequiteworthwhileallyearround.ThisisthefundamentalphilosophyofTraditionalChineseMedicalTreatment.HalfoftheTongrentangsuppliedmedicinesfortheimperialpharmacypreparationwasmainlyaimedatsuchpreventions.
(2)四季调理治未病RecuperatingatallseasonsforPreventativetreatmentofdiseases
春季,天气渐暖,风多干燥,寒热交替,养生去病重在舒肝养血,养阴润燥,健脾开胃利湿。同仁堂供鲜芦根、白菊花、竹茹等宣润肺燥,养阴益肝;用灯芯草、三仙饮(炒山楂、炒麦芽、炒神曲)消食、导滞、养脾胃。Inspring,TongrentangsuppliesfreshRhizomaPhragmitis,whitechrysanthemumsandCaulisBambusaeInTaeniafornourishingthelung,nourishingYin(feminineandnegative)andstrengtheningliver.CommonrushesandSanxianyinarehelpfulfordigestionandremovingfoodstagnation,andstrengtheningthespleenandstomach.
夏季,天地温暖湿润,万物处于开散、繁茂的时期,需要防治温热过度,伤损阴液。同仁堂供暑汤、香薷汤、金衣祛暑丸、六合定中丸、灯芯草、薄荷、竹茹等祛暑解热、生津止渴。Insummer,TongrentangsuppliesHerbaElsholtziaeDecoction,CaulisBambusaeInTaeniaandotherproductsforclearingsuchheat,helpingproducesalivaandquenchthirst.
秋季,天地气候转向寒冷、干燥,万物处于收敛阶段,北京地区秋风、风沙开始变多,人容易多愁善感,需要注意润肺防燥,止咳化痰。同仁堂供灯芯草、薄荷、白菊花等润肺去燥。Inautumn,Tongrentangprovidescommonrushes,mintandwhitechrysanthemumsfornourishingyourlungandexpellingpathogenicheat.
冬季,天寒地冻,万物纷纷进入阳气潜藏于内的状态,需要注意保护身体阳气,勿使外越,避免外界寒冷侵袭而损伤。同仁堂供鲜芦根、白豆蔻、砂仁、三仙饮(炒山楂、炒麦芽、炒神曲)等引肺气下降,开胃暖胃。Inwinter,TongrentangsuppliesfreshRhizomaPhragmitis,cardamom,fructusamomiandSanxianYinandmedicatedleaventodownregulatelungQi(Vitalenergy)forappetizingandwarmingthestomach.
(3)对症用药治未病Indication-basedPreventiveMedicationforTreatingDiseaseBeforeItsOnset
乾隆四十一年至六十四年,乾隆皇帝因渐至暮年,先后天俱亏,阴阳气血虚损叠至,故频用八珍糕、生脉饮(煎剂),其中乾隆六十二年至六十四年,共进生脉饮359次。In1778--1801,the41stthrough64thQingQianlongreign,theQingemperorQianlong,inthetwilightofhislife,sufferedfrompost-naturalweakness,inadditiontodeficienciesofYin(feminineandnegative),Yang(masculineandpositive),Qi(Vitalenergy)andBlood,thereforefrequentlytookeight-therapycakesandShengmaiyin,ofwhich,during1799--1801,359wereTongrentangconsumedbyhim.
2、随时传药治已病Around-the-clockMedicalServiceForCuringoftheDiseases
清宫成员发生疾病,特别是皇帝、太后等生病,同仁堂要“全天候”服务。Upontheirsickness,theQingimperialpalaceofficialsandtheirfamily,especiallytheemperorandtheempressdowager,demandedTongrentang’sprovisionofaround-the-clockmedicalservices.
3、随王伴驾保平安Ensuringtheemperor’shealthduringhistravels
乾隆四十八年(1783年)乾隆帝“木兰秋狝”(秋猎),备“随围药味咀片丸散”的差事由同仁堂承担,并“限八月三十一日送到”。此次所办药材有茯苓、苏叶、陈皮、半夏等27种;六味地黄丸、健步虎潜丸、补中益气丸、藿香正气丸、宣化丸、参苏理肺丸、五福化毒丹等成药34种;牛黄、冰片、麝香、朱砂、雄黄、犀角面、白芨面等珍贵细料药物及药面7种。DuringQianlong’s‘MulanQiuxian’(autumnhunting)inhis48threign(1783),thepreparationofherbalmedicines,slices,patentmedicinesusedinthehuntingwasundertakenbyTongrentang,whichwasordered‘tobedueon31stdayofthe8thlunarmonth’.Therewere27kindsofmedicinalmaterials,34patentmedicinesAnd7kindsofpreciousandfinematerialsandpowders.
皇帝不仅注重自身的养生,也对为其立下功劳的大臣或封疆大吏、近臣宠臣、皇亲国戚、前线官兵等十分关爱。这种关爱也在其赏赐药品上见到一斑。Theemperornotonlypaidattentiontohisownhealth,butalsocaredfortheministersorregionalpremierswhohadmadecontributions,courtiersandpreferredministers,imperialrelatives,andthefrontlineofficersandsoldiers.
平安丸为治日常心胃疼痛的方剂,胸膈胀满,呕吐嘈杂,纳呆痞塞者均宜,其可理肝脾,顺升降,不损元气,故不仅皇室人员使用,雍正帝也大量赏赐臣下。雍正六年十二月初八日(1728年),雍正帝亲批:赏总督、御史、巡抚、将军、提督、总兵、都统等各级将领平安丸,“共用平安丸捌万伍千柒佰丸”。PinganPillisaprescriptionfortreatingpainsintheheartandstomach.Thisprescriptionissuitableforthosewhofeelfullnessinchest,vomit,havesourregurgitation,andfeelanorexia,distentionandstagnation.Itcanregulatetheliverandspleen,andcoordinatetheupanddownmovementwithoutdamagingthepromordialQi(Vitalenergy).Therefore,itwasusednotonlybyimperialfamilies,butalsobyministersasrewardsgivenbyEmperorYongzheng.
5、保障会试聚人才Ensuringthatexaminationswouldgathertalents
清朝每年春秋二次(同治五年以前每年四次)举办太医院科会考试,由堂官主考,凡吏目、医士、恩粮生、肄业生、医生,按考试结果决定是否能在太医院供职。此时同仁堂承担“科会试场差”,参考人员身体不适所用中药由同仁堂供应。IntheQingDynasty,imperialmedicalexaminationswereheldtwotimes,separatelyinspringandautumn,bytheImperialHospital.TheexaminationsweremonitoredbyCourtofficialsandtheexaminationresultsoftheparticipants,includingminorofficials,medicalassistants,fooddoctors,interns,physicians,wereusedtodeterminewhethertheycouldworkintheImperialHospitalornot.Atthistime,Tongrentangwasresponsibleforthe"examinationroomerrands",andsuppliedChinesemedicinestothesewhohaddiscomfortduringthetest.
在清朝每三年的科举会试中,同仁堂根据举人的身体情况免费备药,写上举人的名字送到驻地。Inimperialmedicalexaminationsthattookplaceevery3yearsinQingDynasty,Tongrentangpreparedmedicinesaccordingtothephysicalconditionsofthesuccessfulcandidatesoftheexaminationswiththeirnameontheprescriptionsandthendeliveredtheseprescriptionstowheretheylived.
上述同仁堂提供的药品保障服务,既为皇家赢得了士子之心,也使同仁堂的产品名扬四海。Thesedrug-supportingservicesprovidedbyTongrentanghadnotonlywontheheartsofthescholarsfortheimperialfamily,butalsomadetheproductsofTongrentangwell-knownintheworld.
6、防控疫情稳民心PreventionandControloftheEpidemictoStabilizethePublicConfidence
清太医张仲元《太医院志》载:“奉旨于瘟疫时于京城设厂派员诊治施药……奏派差务:国初以来,每直京师多疫,由步军统领奏请恩施医药惠济满汉军民人等,得旨后由本院开单奏派……奉旨以为常例”。Dr.ZhangZhongyuan,acourtphysicianoftheQingDynasty,saidintheAnnalsofImperialAcademyofMedicine:“Attheorderoftheemperor,medicalstationswouldbeestablishedandmedicalstaffbedispatchedtodistributemedicinesinthecapitalcitywhenevertherewasanepidemicoutburst...theimperialdecreestated:eversincethebeginningoftheQingDynasty,wheneveranepidemiceruptedinthecapitalcity,theinfantrycommanderwouldpetitionforanimperialdecreetodistributemedicinestosoldiersandciviliansfrombothManchuandHancommunity.OncetheEmperorissuedanimperialdecree,theImperialAcademyofMedicinewouldmakea“listofmedicines”andstartthedistributionaccordingly...itwasmandatorytofollowtheimperialdecree.”
票传交进List-basedDelivery
清宫御药房将各宫内药房等处所传用的成药或咀片写出“用药清单”,交给每日来御药房的同仁堂药商,药商将“用药清单”速交同仁堂铺东,同仁堂据此逐一备药,再由药商将药送交御药房。TheImperialPharmacyofQingImperialPalacewouldmakea"listofmedicines"forpatentmedicinesneededbytheinternalPharmaciesineverypalace,andgiveittotheshopkeeperofTongrentangimmediately,whowouldpreparethemedicinesonebyoneaccordingtothelist.
赶紧交进PromptDelivery
遇到皇帝对于用药有特殊质量要求的情况,御药房须派官员去同仁堂遴选药材,“赶紧交进”。InthecasethattheEmperorhadspecialrequirementsforthequalityofmedicines,theImperialPharmacywouldsendofficialstoTongrentangtoselecttheMedicinalMaterialsand"deliverthempromptly".
进宫制药On-siteMedicinePreparationinthePalace
御药房传同仁堂技术人员进宫制药。光绪二十五年正月十四日乾清宫传神效暖脐药二料,档案记载在御药房制药,用“同仁堂熬膏匠役四名”。同仁堂的“工匠”能够进宫制药,体现出皇家对同仁堂制药工艺水平的信任。PharmacistsofTongrentangwerecalleduponbytheImperialPharmacytopreparemedicinesinthepalace.
监视制药MonitoringofMedicinePreparation
御药房派官员到同仁堂监视制药,所用药料从同仁堂取货。光绪三十一年正月初三日,御药房“合配三色暑药共一百四十料,官员、苏拉等赴同仁堂监视碾、筛以及合配妥协”。SomeofficialsdispatchedbytheImperialPharmacymonitoredtheprocessofmedicinepreparationinTongrentang,withalltheMedicinalMaterialsbeingselectedthereinTongrentang.
紧急传药EmergencyDeliveryofMedicines
这种形式是因为宫内有特殊病人,主要是皇帝、太后等突发疾病,由乾清宫内药房、寿药房等首领传旨御药房,所用药物在同仁堂准备就绪,随时交进。即使在夜间,御药房也要派专差立即到同仁堂取药。Thishappenedwhensomepatientsinthepalaceneededspecialtreatment,mostlywhentheEmperorandtheEmpressDowagersuddenlyfellill.Inthiscase,theImperialPharmacywouldreceiveimperialdecreethroughthesupervisorsoftheInternalPharmacyandtheLongevityPharmacyofPalaceofHeavenlyPurity,thenallmedicinesneededwouldbewell-preparedinTongrentangforpromptdelivery.Evenatnight,theImperialPharmacymustsendspecialdispatcherstoTongrentangtocollectthemedicines.
清御药房档案记载,同仁堂向清宫供药大致需要按以下程序办理:Tongrentang’sprocessofofferingmedicinestotheQingImperialPalacewereasfollows:
内药房首领、太监传旨,向御药房传药。ThesupervisorandeunuchoftheInternalPharmacywouldconveytheimperialdecreetotheImperialPharmacyforthedeliveryofmedicines.
御药房“票传”同仁堂,由同仁堂药商每日到御药房领“用药清单传票”,送交同仁堂药铺。SummonedbytheImperialPharmacy,thedrugdealerofTongrentangwouldcomeandcollectthe“listofmedicines”onadailybasis,andthendeliverthelisttoTongrentang.
同仁堂立即按“用药清单”备药,由同仁堂药商送交御药房。Tongrentangwouldpreparethemedicinesimmediatelyaccordingtothe“listofmedicines”anddeliverthemtotheImperialPharmacythroughthedrugdealer.
御药房官员检查药味质量、按“票传”过秤验收,并严格规定:“药商送交本药房验明、过秤其药味,必须拣选上好咀片……方可交进”;验收合格即可收药;验收不合格,御药房值班库掌等官员立刻“斥驳”不能擅收。Themedicinesshouldbecheckedforthequalityandweighedaccordingtothe“listofmedicines”bytheofficialsoftheImperialPharmacyforacceptance.
御药房将药味送交内药房,请皇上看后进行加工制作,即“内药房恭呈御览,验毕交下合配”。TheImperialPharmacywoulddeliverthemedicinestotheInternalPharmacy,andthepreparationprocesswouldstartaftertheemperorgavehispermission,namely“theInternalPharmacywouldpresentthemedicinestotheemperorfordeterminingwhetherthepreparationprocessshouldstart”.
御药房(或内药房)合配丸散或调剂汤剂,并限定:“医生、苏拉等一切炮制碾筛成做不准草率,以昭慎重”。TheImperialPharmacy(ortheInternalPharmacy)wouldpreparethepills,powderordecoction.
制作完成后有些档案记载呈送太后、皇帝御览。Oncethepreparationcompleted,someoftherecordswouldbepresenttotheEmpressDowagerandtheEmperorforreview.
御药房根据崇文门的药味定价核算御药的药银数,制作“传药价值清单”。TheImperialPharmacywouldcalculatethefinalpriceofimperialmedicinesandmakea“pricelistofmedicines”.
内务府和御药房主管官员共17人签字。签字官员有掌稿笔贴式、主事、员外郎、主稿员外郎、员外郎督催差务兼行内管领、库掌、署理事务主稿员外郎、总管大库事务主稿郎中、主稿郎中,最后由御药房事务协办大学士、户部尚书、总管内务府大臣宗室福签字。Thelistwouldbesignedbyatotalof17competentofficialsfromtheImperialHouseholdDepartmentandtheImperialPharmacy.
御药房将上述程序工作撰写呈文题为“御药房为呈明领取药银事”呈报皇帝御批。TheImperialPharmacywouldcompileamemorialoftheabovementionedprocesswiththetitleof“MedicinalExpensesSortedOutbytheImperialPharmacy”,andsubmitittotheEmperorforreview.
御药房将“御药房为呈明领取药银事”呈文,移送广储司转银库。TheImperialPharmacythenwouldmakethememorial--“MedicineExpensesSortedOutbytheImperialPharmacy”intoanofficialdocumentandtransferittotheTreasuryBureauviatheDepartmentofStorage.
御药房“出具印领”(有公章的证明)赴银库领银。TheImperialPharmacywouldissue“acertificatebearinganofficialseal”andcollectfeesofthemedicinesfromtheTreasuryBureau.
御药房向景运门发公文“御药房为承报出门事”报告。TheImperialPharmacywouldissueanofficialdocumenttitled“SettlementSubmittedbytheImperialPharmacy”toJingyunGate.
御药房给御史衙门发公文“御药房为知会事”。Then,theImperialPharmacywouldanofficialdocumenttitled“NotificationfromtheImperialPharmacy”totheDisciplineInspectionDepartment.
同仁堂药商将药银领回同仁堂。Later,thedrugdealerofTongrentangwouldcollectthetotalsumofmedicinefees.
1、对药材质量的要求是上等、纯洁、地道。比如黄连选用上等、粗大、饱满,去掉须根的四川雅安的鸡爪黄连。TheMedicinalMaterialsshouldbesuperiorinquality,impurity-freeandauthentic.Forexample,Rhizomacoptidisshouldbechickenfeet-shapedonesfromYa’an,SichuanProvince,whichmustbesuperiorinquality,bulkyandplumpwithfibrousrootsbeingremoved.
2、对制药的要求是“一切炮制、碾筛、成做,不得草率,以昭慎重”。同仁堂制药工艺精湛,对炮制要求十分严苛且方法独特,据统计,同仁堂传统炮制加工方法达50多种,较复杂的工序达20多道。Therequirementsformedicinepreparationstatedthat"allproceduresrelatedtoprocessing,grinding,screeningofmedicinesshouldberigorousandearnest,asasigntodemonstratetheseriousnessofthewholeprocess".
一是同仁堂药商、铺东对供御药的质量负责;1)ThedrugdealerandshopkeeperofTongrentangshouldberesponsibleforthequalityofimperialmedicines;
二是御药房“掌库(库房首领)检查验收,对送交药味验收负责;2)ThewarehousesupervisoroftheImperialPharmacyshouldbeinchargeofcheckingandacceptanceofthemedicinesandberesponsibleforthemedicinesdelivered;
三是皇帝、太后亲自点验;3)TheEmperorandtheEmpressDowagerwouldcountandcheckthemedicinesthemselves;
四是在使用或制作过程中经手的御药房官员17-18人都要签字负责形成“粘单(类似于管理记录)”最后由内务府总管大臣签字;4)Actingasaformofresponsibilitysharing,an“allonge”(similartomanagementrecords)shouldbesignedby17to18officialsoftheImperialPharmacywhoengagedinmedicineadministrationandpreparation,whichfollowedbythefinalsignatureoftheChiefMinisterofImperialHouseholdDepartment;
五是供药有差错交内务府主管刑事狱案的慎行司法办。5)AnyerrorsarisingfromthedeliveryofmedicinesshouldbedealtwithbytheImperialDisciplineDepartment,adivisioncopingwithcriminalcasesundertheImperialHouseholdDepartment.