太政官符。東海東山北陸山陰山陽南海等道諸國司。合臥疫之日治身及禁食物等事柒條。 一凡是疫病名赤斑瘡。初發之時。既似瘧疾。未出前。臥床之苦。或三四日。或五六日。瘡出之間。亦經三四日。支體府藏。大熱如燒。當是之時。欲飲冷水。固忍莫飲。瘡入欲愈。熱氣漸息。痢患更發。早不療治。遂成血痢。〈痢發之間。或前或後。無有定時。〉其共發之病。亦有四種。或咳嗽〈志波不岐〉。或嘔逆〈多麻比〉。或吐血。或鼻血。此等之中。痢是最急。宜知此意。能勤救治。 一以肱巾并綿。能勒腹腰。必令溫和。勿使冷寒。 一鋪設既薄。無臥地上。唯於床上。敷簀席。得臥息。 一粥饘并煎飯粟等汁。溫冷任意。可用好之。但莫食鮮魚完及雜生菜菓。又不得飲水喫氷。固可戒愼。其及痢之時。能煑韮葱。可多食。若成赤白痢者。糯紛和八九。沸令煎。溫飲再三。又糯糒粳糒。以湯饘飡之。若有不止者。用五六度。無有怠緩。〈其糯舂碎。勿令全。〉 一凡此病者。定惡飯食。必宜強喫。始從患發。灸火海松并擣鹽。屢含口中。若口舌雖爛。可用良之。 一病愈之後。雖經廿日。不得輙喫鮮魚完生菜菓。并飲水及洗浴。房室強行。步當風雨。若有過犯。霍亂必發。更亦下痢。所謂勞發。〈更動之病名曰勞發。〉兪附扁鵲。豈得禁斷。 廿日已後。若欲喫魚完。先能煎灸。然後可食。但乾鰒堅魚等之類。煎否皆良。〈乾脯亦好。〉但鯖及阿遲等魚者。雖有乾腊。愼不可食。〈年魚者煎亦不可喫。〉其蘇蜜并□等不在禁例。 一凡欲治疫病。不可用丸散等藥。若有胸熱者。僅得人參湯。 以前四月已來。京及畿內。悉臥疫病。多有死亡。明知諸國佰姓。亦遭此患。仍條件狀。國傳送之。至宜寫取。即差郡司主帳已上一人。宛使早達前所。無有留滯。其國司巡行部內。告示百姓。若無粥饘等料者。國量宜賑給官物。具狀申送。今便以官印印之。符到奉行。 正四位下行右大弁紀朝臣　從六位下守右大史勳十一等壬生使主　天平九年六月廿六日

Order of the Council of State to the governors of the provinces of the Tōkaidō, Tōsandō, Hokurikudō, San’indō, San’yōdō, and Nankaidō circuits. Seven articles in all, on caring for the body and on foods to avoid while lying sick with the epidemic. This epidemic disease is called red spot sores. When it first appears, it looks like an intermittent fever. Before the sores come out, the sick lie suffering in bed for three or four days, or five or six. The sores then take another three or four days to come out. The limbs and inner organs burn with fever as if on fire. At this point the sick want to drink cold water, but they must hold back firmly and not drink. As the sores go down and begin to heal, the fever slowly eases, and then diarrhea breaks out. If it is not treated early, it turns into bloody diarrhea. (The diarrhea may come earlier or later; there is no fixed time.) Four other illnesses also come with it: coughing (in Japanese, shiwabuki), retching (tamahi), vomiting blood, and nosebleeds. Of all these, the diarrhea is the most urgent. Understand this, and work hard to save and treat the sick. Use a strip of cloth and silk floss to bind the belly and lower back firmly. Always keep them warm, and never let them get cold. Bedding is thin, so the sick must not lie on the ground. Let them lie and rest only on a raised bed, with a reed mat spread over it. Thin and thick rice gruel, and broth from boiled rice, millet, and the like, may be given warm or cool, as the sick prefer. But they must not eat fresh fish or meat, or any raw vegetables or fruit. Nor may they drink water or eat ice; guard firmly against this. When the diarrhea comes, cook garlic chives and green onions well, and let them eat plenty. If it turns into red and white diarrhea, mix glutinous rice flour [with water] and bring it to the boil eight or nine times. Let them drink it warm two or three times. Or let them eat dried glutinous or ordinary rice in hot water or gruel. If the diarrhea does not stop, give this five or six times, without slacking. (Pound the glutinous rice to pieces; do not leave the grains whole.) People with this disease always lose their appetite, but they must make themselves eat. From the moment the illness begins, have them roast miru seaweed over a fire and hold it in the mouth often, with pounded salt. This works well even when the mouth and tongue are raw with sores. After the illness has healed, even when twenty days have passed, the sick must not be quick to eat fresh fish or meat, or raw vegetables or fruit. They must not drink water or bathe, insist on sex, or walk out in wind and rain. Anyone who breaks these rules will surely fall ill with sudden vomiting and diarrhea, and the diarrhea will come back as well. This is what is called rōhatsu, a relapse brought on by strain. (An illness that stirs up again is called rōhatsu.) Then not even Yu Fu or Bian Que could stop it. After twenty days, those who want to eat fish or meat must first boil or roast it well; only then may they eat it. Dried abalone, dried bonito, and the like are all good, cooked or not. (Dried meat is fine too.) But mackerel, aji, and similar fish must not be eaten, even dried. (Sweetfish may not be eaten even cooked.) So, honey, and [one word missing] are not forbidden. In treating the epidemic, do not use pills, powders, or other such medicines. If the sick have a fever in the chest, give them only ginseng broth. Since the fourth month, everyone in the capital and the home provinces has fallen sick with the epidemic, and many have died. Clearly the common people of the provinces are suffering from it too. That is why the articles above have been written out. Each province is to pass this order on. When it arrives, have it copied. Then at once send one official of the district, a clerk or higher, as messenger to carry it quickly to the next province, without delay. The governors are to travel through their provinces and announce it to the common people. If any have nothing to make gruel with, the province is to judge what is fitting, give them relief from government stores, and send a full report. This order now bears the Council’s seal. When it arrives, carry it out. Ki, Major Controller of the Right. Mibu, Senior Scribe of the Right. Tenpyō 9 (737), sixth month, twenty-sixth day.