语云∶医不三世,不服其药。医何以贵世业也?谓其更尝多,而险危剧易皆得之耳闻目
见,较之臆决尝试者,得失何啻倍蓰。且药进医手,而方传古人,古方之行于世者何算,一
证而百方具,将为所适从哉。夫病者悬命医师,方必对脉,药必疗病,譬之抽关启钥,应手
而决,斯善之善有矣。若中无定见,姑徐徐焉取古方历试之,以庶几一遇焉。虽非有心杀人,
而人之死于其手者多矣。医所以贵专门,方所以贵经验也。南丰危亦林,先世遇古名医董奉
远
乃取平昔所用古方,验而无失者,并与其祖、父以来得之师授者,类萃成书,仿《圣济总录
》以十三科编次,名曰《世医得效方》,将锓梓以广其传。余观世之人,得一方辄靳靳焉莫
肯示人,往往以《肘后》、《千金》为解。今危氏以五世所得之秘,一旦尽以公诸人,其过人
远矣。昔许叔微未达时,人劝以树阴德,许念贫而树德惟医为可,乃攻医以活人,其后讫致
显宦,造物之报施如此。然余以为以身种者有限,以书种者无穷。今危氏能公其术于人,使
家有其书,即人无夭死,其所种者不亦多乎。阴德之报,在其身,在其子孙,余知其必有过
于许氏者矣。
后至元四年八月承事郎同知永新州事王充耘与耕书
工欲善其事,必先利其器,器利而后工乃精。医者,舍方书何以为疗病之本。自《难经》、
《汤液》、《灵枢》、《伤寒论》等篇出,而后之医师着述者,殆数百家。盖发纵指示,俾对病
而知证,因证而得药,其用心亦仁矣哉。仆幼而好学,弱冠而业医,重念先世授受之难。由
鼻祖自抚而迁于南丰。高祖云仙,游学东京,遇董奉廿五世孙京,授以大方脉,还家而医道
日行。伯祖子美,复传妇人、正骨、金镞等科。大父碧崖,得小方科于周氏。伯熙再进学眼
科及疗瘵疾。至仆,再参究疮肿、咽喉口齿等科,及诸积古方,并近代名医诸方。由高祖至
仆,凡五世矣。随试随效。然而方书浩若沧海,卒有所索,目不能周。乃于天历初元,以十
三科名目,根据按古方,参之家传,昕夕弗怠,刻苦凡十稔,编次甫成,为十有九卷,名曰《世
医得效方》。首论脉病证治,次由大方脉杂医科以发端,至于疮肿科而终编。分门析类,一
开卷间,纲举而目张,由博以见约。固非敢求异于昔人,直不过欲便于观览云耳。钦惟国朝
念群黎之疾苦,惠民有局,设教有学,于医尤切。然自愧山林鄙陋,见闻不博,妄意纂集,
舛谬惟多。尤欲当道缙绅医师,进而教之,订其讹,补其偏,俾绣诸梓,则庶几广圣皇好生
之仁于无穷,岂不韪欤。
仍至元三年丁丑七月既望嘉禾后学达斋危亦林拜手谨书
俗话说:“医不三世,不服其药。”为什么医学特别重视世代相传的技艺呢?是因为医生经历丰富,对于险恶、危急、剧烈或容易治疗的病症,都通过耳闻目睹亲身经历过,这与那些凭主观臆断、盲目尝试的人相比,得失相差何止数倍。况且药物进入医生的手中,方剂传承自古人,古代流传在世的方剂数量有多少呢?一种病症对应上百种方剂,患者将无所适从。病人把性命托付给医生,处方必须针对脉象,药物必须治疗疾病,就像打开门闩、开启锁钥一样,手到病除,这才是医术中的最高境界。如果内心没有坚定的见解,只是姑且慢慢地拿古方逐一尝试,希望能侥幸遇到有效的情况。虽然并非有心杀人,但死在他们手中的病人却很多了。所以医生贵在专科专门,方剂贵在经验验证。南丰人危亦林,先祖曾遇古名医董奉(远),于是选取平素所用且经过验证无误的古方,连同祖父、父亲以来从老师那里传授得到的方剂,分类汇编成书,仿照《圣济总录》按十三科编排,命名为《世医得效方》,准备刻印以广泛传播。我观察世间之人,得到一方就吝啬地不肯示人,往往以葛洪的《肘后备急方》、孙思邈的《千金方》为借口推脱。如今危氏将五代所得的秘密,一旦全部公之于众,他的过人之处远远超过常人。从前许叔微在未显达时,有人劝他积累阴德,许叔微想到贫穷之时唯有行医才能积德,于是钻研医术以救活世人,后来最终做到高官厚禄,造物主的回报就是这样。然而我认为用身体去种植功德是有限的,用书籍去种植功德是无穷的。如今危氏能将医术公开于人,使家家户户都有这本书,那么人们就不会有早夭死亡,他所种植的功德不是更多吗?阴德的回报,在于他自己,也在于他的子孙,我知道这必定会超过许氏。
后至元四年八月,承事郎、同知永新州事王充耘 写序
工匠想要做好他的工作,必须先使工具锋利,工具锋利后工艺才能精湛。医生,除了方书之外,还有什么作为治疗疾病的根本呢?自从《难经》、《汤液经法》、《灵枢》、《伤寒论》等篇章问世之后,后世从事医学著述的医生,几乎有数百家。大概都是发挥指引作用,使医生面对疾病能辨别证候,根据证候选用药物,他们的用心也是仁爱啊。我自幼好学,二十岁开始习医,深切体会到先祖传授技艺的不易。由鼻祖从抚州迁居到南丰。高祖云仙,去东京游学,遇到董奉第二十五代孙董京,被授予大方脉(内科)医术,回家后医术日益精进。伯祖子美,又传授妇人科、正骨科、金镞科(外伤科)等。祖父碧崖,从周氏那里学到小方科。伯父熙进一步学习眼科及治疗痨病(肺结核)。到我这一代,再参究疮肿、咽喉口齿等科,以及历代古方和近代名医的各种方剂。从高祖到我,共五代人了。随试随效。然而方书浩如烟海,突然有所需求时,眼睛不能看遍所有。于是在天历初年,以十三科的名称为依据,参照古方,结合家传经验,早晚勤奋不懈,刻苦钻研整整十年,编纂才完成,共十九卷,命名为《世医得效方》。首先论述脉象、疾病、证候和治疗,其次由大方脉杂医科发端,直到疮肿科结束全书。分门别类,一翻开书卷,纲领举起而条目张开,由博杂见到简约。本来不敢求异于前人,只不过是为了便于阅读罢了。敬想本朝念及百姓疾苦,设有惠民局救济,设立学校教化,对医学尤为迫切。然而自愧身处山林鄙陋之地,见闻不广,妄意编纂收集,错误谬误唯多。尤其希望当权官员和医生,前来教导我,订正其中的讹误,补充其中的偏颇,使其刻印出版,那么或许能广泛弘扬圣皇爱惜生命的仁德于无穷无尽之中,难道不好吗?
仍至元三年丁丑七月十六日,嘉禾后学达斋危亦林 叩手谨书
It is said: "Do not take the medicine of a physician whose family has not practiced for three generations." Why is it that medicine values hereditary practice? It is because such physicians have extensive experience; they have heard and seen with their own eyes cases that are dangerous, critical, severe, or easy to treat. Compared to those who make decisions based on speculation and trial, the difference in success and failure is many times over. Moreover, when medicine enters a doctor's hands and prescriptions are passed down from ancient times, how numerous are the ancient formulas circulating in the world? For one symptom, there may be hundreds of formulas; which one should the patient choose? The patient entrusts his life to the physician; the prescription must correspond to the pulse, and the medicine must treat the disease. This is like unlocking a door or opening a lock—resolving the issue upon contact. This is the highest level of skill. If one lacks a firm opinion and merely tries ancient formulas one by one slowly, hoping for a lucky encounter, although there is no intent to kill, many people die under such treatment. Therefore, physicians are valued for their specialization, and formulas are valued for their empirical verification. Wei Yilin from Nanfeng, whose ancestors encountered the ancient famous physician Dong Feng (Yuan), selected ancient formulas he had used previously that proved effective without error, along with those inherited from his grandfather and father through teachers. He compiled them into a book, modeled after the *Shengji Zonglu* (General Records of Holy Relief), organized according to thirteen departments, and named it *Shiyi Dexion Fang* (Family Physician's Effective Formulas). He intended to have it printed to spread its transmission widely. I observe that people in the world often hoard a formula once obtained, unwilling to show it to others, often using the *Zhouhou Beiji Fang* (Handbook of Prescriptions for Emergencies) and *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) as excuses. Now, the Wei family makes public the secrets gained over five generations at once; his superiority over others is far-reaching. In the past, when Xu Shuwei was not yet prominent, someone advised him to accumulate hidden virtue. Xu thought that among the poor, only practicing medicine could accumulate virtue, so he studied medicine to save lives. Later, he eventually reached high official positions. Thus is the retribution of Heaven. However, I believe that sowing virtue with one's body is limited, while sowing virtue through books is infinite. Now that Mr. Wei can share his art with others, enabling every household to possess this book, so that people will not die prematurely, is not the virtue he sows even greater? The reward for hidden virtue lies with himself and his descendants; I know it will certainly surpass that of the Xu family.
In the fourth year of Houzhiyuan, eighth month, Wang Chongyun, Chengshi Lang (Attendant Gentleman) and Tongzhi (Co-administrator) of Yongxin Prefecture, wrote this preface.
A craftsman who wishes to do his work well must first sharpen his tools; only when the tools are sharp can the craft be refined. What serves as the foundation for treating diseases if not medical texts? Since the emergence of works such as the *Nanjing* (Classic of Difficult Issues), *Tangye Jingfa* (Scripture of Decoctions), *Lingshu* (Spiritual Pivot), and *Shanghan Lun* (Treatise on Cold Damage Pathogenic Factors), nearly hundreds of physicians have engaged in medical writing. They generally provide guidance, enabling physicians to identify syndromes from diseases and select medicines based on syndromes. Their intention is indeed benevolent. I loved learning since childhood and began practicing medicine at twenty. I deeply reflect on the difficulty of transmitting skills from my ancestors. My great-great-grandfather moved from Fuzhou to Nanfeng. My great-grandfather Yunxian traveled to Tokyo for study, met Dong Jing, the twenty-fifth descendant of Dong Feng, and was taught internal medicine (Da Fangmai). Upon returning home, his medical practice flourished daily. My grand-uncle Zimei further transmitted gynecology, orthopedics, and trauma surgery (Jinzu Ke). My grandfather Biya learned minor formulae from the Zhou family. My grand-uncle Xi further studied ophthalmology and the treatment of consumption (tuberculosis). As for me, I further investigated dermatology, soreness, throat and dental conditions, as well as ancient formulas and modern famous physicians' prescriptions. From my great-grandfather to me, five generations have passed. The results were immediate and effective. However, medical texts are vast as the ocean; when a sudden need arises, one cannot read them all. Therefore, in the first year of Tianli, based on the names of the thirteen departments, referencing ancient formulas and combining them with family traditions, I worked diligently day and night. After ten years of hard study, the compilation was finally completed, consisting of nineteen volumes, named *Shiyi Dexion Fang*. It begins with discussions on pulse, disease, syndrome, and treatment, starts with internal medicine and miscellaneous diseases, and ends with dermatology. Categorized and classified, upon opening the book, the principles are clear and details are organized, moving from the broad to the concise. I dare not seek novelty compared to predecessors; I simply wish to facilitate reading. We respectfully consider that our dynasty cares for the suffering of the common people, establishing relief bureaus and educational institutions, with particular emphasis on medicine. Yet, ashamed of my humble background and limited knowledge, I fear my compilation contains many errors. I especially hope that officials and physicians in power will guide me, correct errors, and supplement biases, so that it may be printed. Then, perhaps, the benevolence of the Emperor in cherishing life can be extended infinitely. Is this not good?
On the fifteenth day of the seventh month in the Dingchou year of Zhiyuan, the junior scholar Da Zhai Wei Yilin from Jiahe, respectfully bowed and wrote.