〔董氏(汲)小儿斑疹备急方论〕(书录解题作小儿斑疹论)书录解题一卷 存
自序曰。夫上古之世。事质民淳。禀气全粹。邪不能干。纵有疾病。祝由而已。虽大人方论。尚或未备。下
逮中古。始有巫妨氏者。着小儿颅囟经。以卜寿夭。别死生。历世相援。于是小儿方论兴焉。然在襁褓之时。脏
腑嫩弱。脉促(促字疑)未辨。痒不知处。痛亦难言。只能啼叫。至于变蒸惊风。客忤解颅。近世巢氏一一明之。
然于斑疹欲出证候。与伤风相类。而略无辨说。致多谬误。而复医者不致详慎。或乃虚者下之。实者益之。疹者
汗之。风者温之。转生诸疾。遂致夭毙。嘘可叹也。今采摭经效秘方。详明证候。通为一卷。目之曰斑疹备急方。
非敢谓有补于后世。意欲传诸好事者。庶几鞠育之义存焉。东平董汲及之序。
孙准序曰。世之人。有得一奇方。可以十全愈疾者。恐恐然惟虑藏之不密。人或知之。而使其药之不神也。
其亦陋矣。夫药之能愈病。如得人人而告之。使无夭横。各尽其天年以终。此亦仁术也。吾友董及之少举进士不
第。急于养亲。一日尽弃其学。而从事于医。然医亦非鄙术矣。古之人未尝不能之。如张仲景陶隐居葛洪孙思邈。
皆名于后世。但昧者为之。至于异贵贱。别贫富。自鄙其学。君子不贵也。及之则不然。凡人之疾苦。如己有之。
其往来病者之家。虽祁寒大暑。未尝少惮。至于贫者。或昏夜自惠薪粲。以周其乏者多矣。他日携小儿斑疹方一
帙见过。求序于余。因为引其略。亦使见及之之所存。知世之有奇方。可以疗疾者。不足贵也如此。东平十柳居
士孙准平甫序。
钱乙后序曰。余平生刻意方药。察脉按证。虽有定法。而探源应变。自谓妙出意表。盖脉难以消息求。证不
可言语取者。襁褓之婴。孩提之童尤甚焉。故专一为业。垂四十年。因绿遭遇。供奉禁掖。累有薄效。误被恩宠。
然小儿之疾。阴阳痫为最大。而医所覃思。经有备论。至于斑疹之候。蔑然危恶及惊搐伤寒二痫大同。而用药甚
异。投剂小瘥。悖谬难整。而医者恬不为虑。比得告归里中。广川及之出方一帙示予。予开卷而惊叹曰。是予平
昔之所究心者。而子乃不言传而得之。予深嘉及之少年艺术之精。而又惬素所愿。以授人者。于是辄书卷尾焉。
时元 癸酉十月丙申日。翰林医官太医丞赐紫金鱼袋钱乙题。
陈振孙曰。东平董汲及之撰。钱乙元 癸酉题其末。
〔谢氏(天锡)疮疹证治〕书录解题一卷 佚
〔刘氏(洙)疮疹抉〕佚
刘 曰。疮疹诀。彭城刘洙撰。洙字道源。
〔陈氏(文中)小儿痘疹方〕一卷 存
自序曰。尝谓小儿病证虽多。而痘疹最为重病。何则。痘疹之病。疑似之间难辨。投以佗药。不唯无益。抑
亦害之。况小儿所苦。非若大人能言受病之状。乃知畏恶之由。为父母者。惟之知。子病急于得药。医者失察。
用药差舛。鲜有不致夭横者。文中每思及此。恻然于心。因取家藏已验之方。集为一卷。名之曰小儿痘疹方论。刻梓流
布。以广古人活幼之意。顾不韪欤。和安郎判太医局。兼翰林良医。陈文中谨书。
王 曰。宿州陈君手集婴幼摄养痘疮疹方。详备有法。证有验。每济人。一如方所说。今及三十载。起死回
生。端如反掌。(泰定养生主论)
阮桂荣曰。陈文中援黄帝岐伯曰。阳盛阴虚。冰雪不知寒。阴盛阳虚。沸汤不知热。治之何如。阳盛则补阴。
木香散。加丁香官桂。阴盛阳虚。异功散。加木香当归。识者详其阴盛阳盛。一概俱用热药。本非黄岐之经者。
类乎实实虚虚。抱薪救火。若曰皆属心火。又不可与秦问同日而语也。又观其本方治痰实壮热。胸满喘息。大便
坚实。用柴胡枳壳汤。亦有大黄。其诸方之用柴胡黑参知母黄芩石膏滑石之类。亦未尝专于热药也。奈何世人喜
热而畏寒。致有阴阳偏盛之患。终不省悟疮疡心火之证乎。
朱震亨曰。痘疮之论。钱氏为详。历举源流经络。明分表里虚实。开陈其施治之法。而又证以论辩之言。深
得着书垂教之体。今人不知致病之由。不求立方之意。仓卒之际。据证检方。漫尔一试。设有不应。并其书而废
之。不思之甚也。近因局方之教久行。素问之学不讲。抱疾谈医者。类皆喜温而恶寒。喜补而恶解利。忽得陈氏
方论。皆燥热补剂。其辞确。其文约。欢然用之。翕然信之。遂以为钱氏不及陈氏远矣。或曰。子以陈氏方为不
足欤。曰。陈氏方诚一偏论。虽然。亦可谓善求病情者。其意大率归重于太阴一经。盖以手太阴属肺。主皮毛也。
足太阴属脾。主肌肉。肺金恶寒。而易于感。脾胃土恶湿。而无物不受。观其用丁香官桂。所以治肺之寒也。用附术半
夏。所以治脾之湿也。使其肺果有寒。脾果有湿。而兼有虚也。量而与之。中病则止。何伤之有。今也不然。徒见其疮
之出迟者。身热者。泄泻者。惊悸者。气急者。渴思饮者。不问寒热虚实。率投木香散。异功散。间有偶中。随获效。
设或误投。祸不旋踵。虽然。渴者用温药。痒塌者用补药。自陈氏发之。迥出前辈。然其多用桂附丁香等燥热。恐未为
适中也。何者。桂附丁香辈。当有寒而虚。固是的当。虚而未必寒者。其为害当何如耶。陈氏立方之时。必有挟寒而痘
疮者。其用燥热补之。固其宜也。今未挟寒。而用一偏之方。宁不过于热乎。(格致余论)
〔熊氏(宗立)类证陈氏小儿痘疹方论〕二卷 存
〔薛氏(己)校注陈氏痘疹方〕一卷 存
自序曰。尝谓医之分析。虽有内外大小之殊。要其理初不异。特在人化裁之耳。至如痘疹痈疽。则尤其相类。
而治亦相通焉者。盖其始而发出。中而成脓。终而收靥。彼此一致。故东垣先生合二者而论之。必皆明托里疏通
和荣卫三法。良有以也。陈氏之书。又以心得。发明虚实寒热。盖契经旨。而起诸家者矣。观凉膈散之治实热。
白术散之治虚热。异功散之治虚寒。木香散之治虚弱。分别表里。察色辨形。兼得之矣。但以上治法。又须见证
便施。若稍延缓。反多致误。学人不可不知。仆幸私淑先哲。亦时获验。敢为校注重梓。尚多得失。幸同志教正
云。嘉靖庚戌九月吉旦。前奉政大夫太医院院使后学薛己谨序。
〔闻人氏(规)痘疹论〕国史经籍志三卷 存
刘尚义曰。夫痘疹论者。闻人氏规所着也。规素业儒。而久不得志。以故锐意于岐黄之术。而为此书。其说
虽出于
张从道百二十篇。然考变分论。因证分治。因治应方。而于病之缓急。轻重寒湿。补泻攻击保养。罔不具载。
确而当。简而备。视从道尤详焉。往岁余偶得其抄本。过痘疹者试之辄效。因访之医家。冀得刊本。而无见者。
寻擢御史。游京师。又博访之医与缙绅。而亦无见者。岂元季之乱。而或失耶。夫医药以济其夭死。是书良术。
使湮没而不传。则痘疹之儿。罔借以生。而闻人氏穷矣。今岁余尹朝邑。因思古人遗爱。不可使斩。而婴孩之疡。
不可不恤。乃于簿委之暇。略为校正。令剞劂氏。刊之县斋。庶布而传之。便家得一书。而痘疹者。胥借以生。
而闻人氏其延也。但原本残毁。而字有脱误。幸有刊本者是正之。时嘉靖壬寅仲秋六日。前进士汾州刘尚义识。
闻人规后序曰。士生斯世。穷达两途。孟轲氏有言曰。穷则独善其身。达则兼善天下。虽然。穷而未达者。
能学为良医。亦岂独善其身而已哉。规素着书卷。今兹从事参术。尝谓自昔圣贤。闵生民之疾苦。着书立言。汗
牛充栋。晚观唐孙思邈千金方,其次序深有旨意。三十卷之首。观之以妇人婴孺。获善拯救之说。宁不以生育为
重乎。亲因念妇人之有乳儿。小儿之疾苦。惟疮疹皆不可免。而治疗之间。毫发一差。生死随异。仁人君子。所
尤当审虑者。世传产方之论。其利人也甚博。惟小儿痘疮诸书。止看其大路。仓卒之际。何所凭借焉。规辄不揆
量。广求古人之议论。证以己所闻见。撰成问难八十一篇。凡二卷。目日小儿疮疹论。每施以济人。随试辄效。
所活者亦多。使家有是书。则岂曰小补之哉。此论之成久矣。欲锓诸梓。而力未克遂。迩来幸甚获登绣使焕章吴
公门墙。一日迨暇。因有请言。公既慨然。
捐金以成其事。公之阳岂私于规者。实与众共之。若有讹舛。改而正诸。以俟同志。绍定壬辰仲夏吉。 李待补
国学进士闻人规述。
丁永荣跋曰。余昔守原州。得痘疹论于晋汾刘侍御公处。取而读之。见其立论制方。明白简易。确有源委。
而凡诸家方说。要不出范围内。真有活幼之良书也。既迁覃怀。惧原本失传。乃于簿书之暇。校而图诸梓。岁戊
申。复得海虞陆俨翁所刻全本。阅其方附录之。愿与天下保婴儿者共焉。读是书者。当自得之。其可与覆瓿者例
视也耶。时嘉靖戊申秋八月吉日。南京户部广西司负外郎东鲁陆村氏丁永荣谨跋。
〔王氏(好古)斑疹论〕一卷 未见
按上见于绛云楼书目。也是园书目。
〔 论萃英〕一卷 存
按上收在于杜氏济生拔粹中。未知与斑疹论。果为一书。想是书系其所节抄者。青囊杂纂。题曰小儿方。不
着撰人名氏。
〔朱氏(震亨)治痘要法〕国史经籍志一卷 未见
〔亡名氏小儿痘疹方〕文渊阁书目一部一册阙 未见
〔保婴疮疹方〕文渊阁书目一部一册阙 未见
〔袁氏(仁)痘疹丛书〕五卷 存
袁黄序曰。余祖世受宋恩。戒子孙不得仕元。入国朝。以法竣刑重。犹逡巡未敢出。故曾祖菊泉先生生当永
乐时。资禀颖异。学问渊深。而自托于医。吾组怡杏。吾父 坡。皆英敏博洽。而不习举子业。吾父始教吾兄弟。
为时文应试。而余遂登丙戌进士。入仕以来。遇缙绅诸公。尝慨治痘无奇方。而婴儿横夭。予思菊泉翁因徐氏故
业□痘疹全书。
怡杏重为增辑。而参坡复从而删订之。是皆出其绪余。以广济人之术。而其着论阐幽。绘图立法。真能发前贤所
未发。而开千古之迷。遂命工绣梓以传。此书出。而治痘者有准绳矣。婴儿之命。十可全六七矣。我祖宗之遗惠
不浅矣。呜呼。东方朔之智。不尽于恢谐也。而传汉书者。遂以恢谐概其名。王羲之之学。不尽于笔札也。而慕
右军者。竟以笔札掩其大节。我祖宗之心术行谊。不尽于是也。而后之读是编者。或指是以称袁之盛则误矣。余
谓欲知菊泉者。当观其所着周易绪言。春秋别传。欲知怡杏者。当观春秋或问。革除编年。忠臣自靖录。智士顺
天录。欲知参坡者。当观大易法。毛诗或问。尚书砭蔡编。春秋针胡编。及一螺集等书。庶足以知其概耳。虽然。
遗编种种。皆粗逆也。心之精华。口不能宣。而况形之副墨之迹乎。然则未足以知吾祖考也。善学人。由粗致精
焉可矣。由粗致精。即痘疹一编。亦足玩也。是不可不传矣。赵田逸农袁黄拜手书。
嘉兴府志曰。袁仁。字良贵。父祥祖灏。皆有经济实学。至仁愈邃。谓医贱业。可以藏身济人。遂隐于医。
〔胡氏( )秘传痘疹寿婴集〕一卷 存
自序曰。寿夭固有命也。然必莫之致而致者。乃可谓命。苟人事之不尽。而徒诿之命。智者如是乎。若夫痘
疹之疾。人之寿夭关焉。自始觉以至收靥。各有次序。受证之原。固有不同。而调护之方。则有定法。循其法而
治。罔有不生。舍其法而不之循。未有不殒伤者矣。是岂可不尽人事。而徒归之命乎。予生子女者十人。其卒于
痘疹者几半。弘治改元。一子二女俱婴疾于痘。予惩前日之殒殇。而震恐之不下。乃求钱氏诸家痘疹方药。谨循
其序而治之。重者轻。轻者愈。不逾月而俱获安全。其所生者。固曰有命。予则曰。前此而殁者。未尝循方而治。
其亦人事之未尽者乎。故深恨之。乃辑诸家之为痘疹者。究其原。图其形。迹其变。各述其方论方药。而汇为一
编。将以与我四方之为人父母者。而共览焉。庶或可保婴孩之寿。而全天之命也欤。弘治辛亥菊月朔旦。江东胡
序。
〔蔡氏(维藩)痘疹集览〕四卷 未见
〔小儿痘疹袖金方论〕一卷 存
自序曰。世不可以无医。医不可以无传。医而无传。则亦不可有传矣。仆少时侍先君子。宰滑邑。幼弟痘。
委之庸医。坐视而殒。心切痛之。业儒之暇。窃愿学焉。延访明师。搜致古籍。指授参考之余。似恍然有所得者。
因着痘疹集览四卷。越数年。觉其汗漫无统。复详说之。为痘疹方论一帙。名曰袖金。盖取其不容什手而贵重之
也。凡证之在人。与治之在我者。悉备无遗。或谓曰。是真得其所传者矣。是亦可以传诸人。予曰。事无所征。
因以是验之两淮。验之两畿。宦辙所至。冀之北。湖之南。又从而验之。无往弗协。或谓曰。征而信矣。可弗传
也乎。予曰。志犹未广行。将进而验之天下。可也。然已往而论之。凡其验之所协。皆其迹之所通。今老之将至。
而迹未由以通之也。奈之何哉。或又释之曰。验之协者。理之同也。理有未同。虽迹踪遍天下。夫何益。理苟同
【董汲】《小儿斑疹备急方论》(《书录解题》中作《小儿斑疹论》)一卷,现存。
自序说:上古时代,世事质朴,民风淳厚,人们禀受的气血完整纯粹,外邪不能侵犯。即使有疾病,通过祝由术即可治愈。即使是成人的方论,也尚未完备。到了中古时期,才出现巫妨氏,撰写了《小儿颅囟经》,用来占卜寿命长短,辨别生死。历代沿袭,于是小儿方论兴盛起来。然而婴儿在襁褓之中,脏腑娇嫩虚弱,脉象急促(“促”字可能有误)难以分辨,痒处不知,疼痛也难以言说,只能啼哭。至于变蒸、惊风、客忤、解颅等病症,近代巢元方都已阐明。但是对于斑疹欲出时的证候,与伤风相似,却几乎没有辨析说明,导致很多谬误。再加上医生不仔细审慎,有的对虚证用泻下法,对实证用补益法,对有疹者发汗,对有风者温补,反而引发各种疾病,导致夭折,真是令人叹息。如今我采集经过验证有效的秘方,详细说明证候,汇成一卷,命名为《斑疹备急方》,不敢说对后世有什么补益,只是希望传给爱好医学的人,或许能保存养育孩子的道义。东平董汲及之作序。
孙准序说:世上的人,得到一方奇药,可以完全治愈疾病,却提心吊胆,唯恐藏匿不密,被人知道,从而使药效不灵。这也太浅陋了。药物能够治愈疾病,如果能让每个人都告知,使人们没有横死,各自享尽天年而终,这也是仁术啊。我的朋友董及之年轻时考进士不中,急于奉养双亲,有一天放弃学业,转而从事医学。然而医学也不是卑贱的技艺,古人未曾不能做到。如张仲景、陶隐居、葛洪、孙思邈,都在后世闻名。只是庸俗之人行医,以至于区分贵贱,辨别贫富,轻视自己的医术,君子是不推崇这种行为的。及之却不是这样。凡是别人的疾苦,就像自己的一样。他往来于病人家中,即使是严寒酷暑,也从未稍微畏惧。对于贫穷的人,有时在黄昏夜晚主动赠送柴米,来周济他们的匮乏,这样的人很多。后来他带着《小儿斑疹方》一册来看望我,请求我为之作序,于是我写下这些简要的话,也是为了让人们看到及之的心意,知道世间有可以治疗疾病的奇方,并不值得如此珍视。东平十柳居士孙准平甫作序。
钱乙后序说:我平生致力于方药,诊察脉象,分析证候,虽然有固定的法则,但探究本源、随机应变,自认为妙处超出意料之外。因为脉象难以通过言语探求,证候不可仅凭言语获取,尤其是襁褓中的婴儿和幼童更是如此。所以我专门以此为业,将近四十年。因为机缘巧合,供奉于宫廷,多次取得微薄疗效,误受恩宠。然而小儿的疾病,以阴阳痫症最为重大,而医生所深思的,经典中有详尽论述。至于斑疹的证候,虽然危险恶劣,且与惊搐、伤寒两种痫症大体相同,但用药却非常不同。投药稍有不慎,谬误难以纠正,而医生们却安然不以为虑。近来我告老还乡,广川的及之拿出一帙方子给我看,我打开卷轴惊叹道:这是我平日所用心研究的,而你竟然不言传而得之。我深深赞赏及之少年时医术的精妙,又满足了我平素的愿望,将所学传授给人,于是在卷尾写下这些话。时间是元朝癸酉年十月丙申日,翰林医官太医丞赐紫金鱼袋钱乙题写。
陈振孙说:东平董汲及之撰写。钱乙在元朝癸酉年为其题写末尾。
【谢天锡】《疮疹证治》一卷,已佚。
【刘洙】《疮疹抉》已佚。
刘尚义说:《疮疹诀》,由彭城人刘洙撰写。刘洙字道源。
【陈文中】《小儿痘疹方》一卷,现存。
自序说:我曾认为小儿病证虽然多,但痘疹是最严重的疾病。为什么呢?痘疹的病,在疑似之间难以辨别,投用其他药物,不仅无益,反而有害。况且小儿的痛苦,不像成人能说出患病的情况,知晓恐惧厌恶的原因。做父母的,只知道孩子病急需用药,医生如果失察,用药差错,很少有不导致夭折的。文中每次想到这些,心中感到悲痛。于是选取家藏已经验证过的方子,汇编成一卷,命名为《小儿痘疹方论》,刻印流传,以推广古人救活幼儿的心意。这难道不对吗?和安郎判太医局,兼翰林良医,陈文中谨书。
王肯堂说:宿州陈君亲手收集婴幼儿摄养痘疮疹方,详细完备且有章法,证候有验证,每次救人,都像方书所说的那样。到现在已经三十年,起死回生,容易得像翻手掌一样。(出自《泰定养生主论》)
阮桂荣说:陈文中引用黄帝岐伯的话:“阳盛阴虚,冰雪也不知道寒冷;阴盛阳虚,沸水也不知道热。”怎么治疗呢?阳盛则补阴,用木香散,加丁香、官桂;阴盛阳虚,用异功散,加木香、当归。懂的人详细考察阴盛阳盛,一概使用热药,这本来就不是黄帝岐伯的经典理论,近乎于“实实虚虚”(使实证更实,虚证更虚),如同抱薪救火。如果说都属于心火,那就更不可同日而语了。再看他的本方治疗痰实壮热、胸满喘息、大便坚实,使用柴胡枳壳汤,也有大黄。他的各方中使用柴胡、黑参、知母、黄芩、石膏、滑石之类,也并未专门只用热药。为什么世人喜欢热药而害怕寒药,导致阴阳偏盛的祸患,始终不明白疮疡属于心火的证候呢?
朱震亨说:关于痘疮的论述,钱乙最为详尽。历举源流经络,明确区分表里虚实,陈述治疗方法,并用论辩之言加以证明,深得著书垂教的本体。现在的人不知道致病的原因,不探究立方的用意,仓促之间,根据证候查找方子,随意尝试一次。如果有不应验的,就把书废弃掉,这是不思量的表现。近来因为《局方》的教法长期流行,《素问》的学问不被讲习,患有疾病谈论医生的,大多喜欢温补而厌恶寒凉,喜欢补益而厌恶疏利。偶然得到陈氏的方论,都是燥热补剂,言辞确切,文章简练,欢快地使用它,一致地相信它,于是认为钱乙不如陈氏差得很远。有人说:你认为陈氏的方子不足取吗?我说:陈氏的方子确实是一偏之论。虽然如此,也可以说是善于探求病情的人。他的意图大致归结重于太阴一经。因为手太阴属肺,主管皮毛;足太阴属脾,主管肌肉。肺金厌恶寒冷,而易于感受外邪;脾胃土厌恶湿气,而无物不受。看他使用丁香、官桂,是用来治疗肺的寒冷;使用附子、白术、半夏,是用来治疗脾的湿气。如果肺果真有寒,脾果真有湿,并且兼有虚证,衡量程度给予治疗,中病即止,有什么伤害呢?现在却不是这样,只看见疮发出迟缓的,身体发热的,泄泻的,惊悸的,气急的,口渴想喝水的,不问寒热虚实,一律投用木香散、异功散。偶尔有碰巧奏效的,随即获得效果。如果误投,灾祸立刻到来。虽然如此,口渴的用温药,瘙痒塌陷的用补药,是从陈氏开始的,远超前辈。但是他多用桂枝、附子、丁香等燥热药,恐怕不一定适中。为什么呢?桂枝、附子、丁香这类药,应当用于有寒且虚的情况,确实是恰当的。如果是虚但不一定寒的情况,其危害该有多大呢?陈氏创立方子的时候,一定有挟带寒邪而患痘疮的人,他用燥热药补益,固然是适宜的。现在没有挟带寒邪,却使用一偏的方子,难道不是过于热了吗?(出自《格致余论》)
【熊宗立】《类证陈氏小儿痘疹方论》二卷,现存。
【薛己】《校注陈氏痘疹方》一卷,现存。
自序说:我曾认为医学的分析,虽然有内外科大小之分,但其道理起初并没有不同,特别在于人的灵活裁断罢了。至于像痘疹痈疽,更是尤其相似,而治疗也是相通的。因为它们开始发出,中间成脓,最后收靥,彼此一致。所以东垣先生将两者合而论之,必定都要明白托里、疏通、调和营卫三法,确实是有道理的。陈氏的书,又以心得,发明虚实寒热,契合经旨,而兴起于诸家之上。看凉膈散治疗实热,白术散治疗虚热,异功散治疗虚寒,木香散治疗虚弱,分别表里,观察颜色辨别形态,都兼得了。但是以上治法,还必须见证便施治,如果稍有延误,反而多导致错误,学习的人不可以不知道。我有幸私下仰慕先哲,也时常获得验证,敢为校注重新刻印,尚有很多得失,希望志同道合的人指教改正。嘉靖庚戌年九月初吉,前奉政大夫太医院院使后学薛己谨序。
【闻人规】《痘疹论》三卷,现存。
刘尚义说:《痘疹论》,是闻人规所撰写的。闻人规一向研习儒家经典,但长久不得志,因此专心于岐黄之术,撰写了这本书。他的学说虽然出于张从道一百二十篇,但是考察变分论,因证分治,因治应方,而对于病的缓急、轻重、寒湿,补泻、攻击、保养,无不具备记载,确切而恰当,简明而完备,比张从道更加详细。往年我偶然得到他的抄本,给患痘疹的人试用,立即见效。于是向医家探访,希望能得到刊本,但没有见到。不久我升任御史,游历京城,又广泛向医家和士大夫探访,也没有见到。难道是元末战乱,导致失传了吗?医药是用来救济夭死的,这本书是良术,如果湮没而不流传,那么患痘疹的儿童,就没有借以生存的方法,而闻人规也就困窘了。今年我担任朝邑县令,想到古人的遗爱,不可使其断绝,而婴孩的疮疡,不可不体恤,于是在办公之余,略为校正,让刻工在县衙刊印,以便布散流传,使每家都有一本书,而患痘疹的人,都能借以生存,而闻人规也能得以延续。只是原本残损毁坏,文字有脱漏错误,幸好有刊本的人予以校正。时间是嘉靖壬寅年仲秋六日,前进士汾州刘尚义识记。
闻人规后序说:士人生在这个世上,有穷困和显达两条路。孟子说:“穷则独善其身,达则兼善天下。”虽然如此,穷困而未显达的人,如果能学习成为良医,难道只是独善其身而已吗?我向来著书立说,现在从事人参、白术等药材的研究。曾认为自古圣贤,怜悯百姓的疾苦,著书立言,汗牛充栋。晚年观看唐代孙思邈的《千金方》,其次序深有意蕴。三十卷之首,先看妇人和婴幼儿,获得妥善拯救的说法,难道不是把生育看得很重吗?我因此想到妇女有哺乳婴儿,小儿的疾病痛苦,只有疮疹是不可避免的,而在治疗之间,毫厘之差,生死随之而异,这是仁人君子所特别应当审慎考虑的。世间流传的产方论述,对人的利益很广博,只有小儿痘疮诸书,只看其大路,仓促之间,有什么可凭借的呢?我不自量力,广泛寻求古人的议论,结合自己所听所见,撰写成问答八十一篇,共二卷,命名为《小儿疮疹论》。每次施行以救济他人,随试随效,救活的人也很多。如果家家有这本书,难道只是小补吗?这个论述完成很久了,想刻印出版,但力量未能实现。近来有幸登上绣衣使者吴焕章公的门墙,一天闲暇,有人请我说话。公慷慨地捐资成全此事。公的阳气难道私利于我吗?其实是与众人共享。如果有讹误错乱,修改并纠正它,以等待志同道合的人。绍定壬辰年仲夏吉旦,李待补国学进士闻人规述。
丁永荣跋说:我过去镇守原州,从晋汾刘侍御公那里得到《痘疹论》,拿来阅读,看到它的立论制方,明白简易,确有源流委曲,而凡诸家的方说,总不出其范围,真是救活幼儿的良书。后来调任覃怀,担心原本失传,于是在办公之余,校对并刻印。戊申年,又从海虞陆俨翁那里得到刻印的全本,阅读后将方子附录其中,愿与天下保护婴儿的人共同拥有。读这本书的人,应当自然有所领悟。它可以与用来盖酒坛的书同等看待吗?时间是嘉靖戊申年秋八月吉日,南京户部广西司员外郎东鲁陆村氏丁永荣谨跋。
【王好古】《斑疹论》一卷,未见。
按:上述见于绛云楼书目、也是园书目。
【佚名】《论萃英》一卷,现存。
按:上述收录在于杜氏《济生拔粹》中,不知道是否与《斑疹论》果真是同一本书,猜想这本书是他节抄的。《青囊杂纂》,题为小儿方,不著撰人名氏。
【朱震亨】《治痘要法》一卷,未见。
【佚名】《小儿痘疹方》一部一册,阙,未见。
【佚名】《保婴疮疹方》一部一册,阙,未见。
【袁仁】《痘疹丛书》五卷,现存。
袁黄序说:我的祖先世代承受宋朝恩惠,告诫子孙不做元朝的官。进入明朝,因为法律严酷刑罚重,仍然犹豫不敢出来做官。所以曾祖菊泉先生生活在永乐年间,资质聪颖,学问渊博,却寄托于医学。我的祖父怡杏,父亲参坡,都英明敏捷,博学洽闻,却不学习科举应试的文章。我父亲开始教导我们兄弟,写时文参加应试,而我于是考中丙戌年进士。入仕以来,遇到缙绅各位先生,曾经感慨治疗痘疮没有奇方,而婴儿横死夭折。我想菊泉翁因为徐氏的旧业,编写《痘疹全书》。怡杏重新增辑,而参坡又从而删订。这些都是利用他们的剩余精力,来推广救济他人的技术。而他们著论阐发幽微,绘图立法,真能发挥前贤所未发挥的,开启千古的迷团。于是命工匠刻印流传。这本书一出,治疗痘疮的人就有准则了。婴儿的生命,十分可以保全六七分。我祖宗的遗留恩惠不浅啊。唉,东方朔的智慧,不仅仅体现在诙谐上,而传写汉书的人,就用诙谐概括了他的名声。王羲之的学问,不仅仅体现在笔札上,而仰慕右军的人,竟用笔札掩盖了他的大节。我祖宗的心术行谊,不仅仅体现在这里,而后世读这本编者的人,如果以此称颂袁家的盛大就错了。我认为想要了解菊泉,应当观察他所著的《周易绪言》、《春秋别传》;想要了解怡杏,应当观察《春秋或问》、《革除编年》、《忠臣自靖录》、《智士顺天录》;想要了解参坡,应当观察《大易法》、《毛诗或问》、《尚书砭蔡编》、《春秋针胡编》及《一螺集》等书,才足以知道他们的概况。虽然如此,遗留的篇章种种,都是粗浅的。心的精华,口不能宣示,何况形之于纸墨的痕迹呢?然而这不足以了解我们的祖考。善于学习的人,由粗浅达到精微就可以了。由粗浅达到精微,即使是痘疹这一编,也足够玩味了。这是不可以不流传的。赵田逸农袁黄拜手书。
嘉兴府志说:袁仁,字良贵。父亲祥,祖父灏,都有经世济民的实学。到袁仁更加深邃,认为医学是卑贱的职业,可以藏身济人,于是隐居于医学。
【胡某】《秘传痘疹寿婴集》一卷,现存。
自序说:寿命长短固然有天命,但必须是没有人招致而自然到来的,才可以称为命。如果人事没有尽力,而仅仅推卸给天命,智者会这样做吗?至于痘疹这种疾病,关乎人的寿命长短,从刚开始察觉直到收靥,各有次序,受证的根源,固然不同,而调护的方法,则有定法。遵循这种方法治疗,没有不活的。舍弃这种方法而不遵循,没有不死亡的。这难道可以不尽人事,而仅仅归咎于天命吗?我生育子女十人,死于痘疹的几乎一半。弘治改元那年,一个儿子两个女儿都感染痘疾。我惩戒前日死亡的悲伤,震动恐惧不能平息,于是寻求钱乙等各家痘疹方药,谨慎遵循其次序治疗。重的变轻,轻的痊愈,不超过一个月都获得安全。他们所生的,固然说是有命,我却说:此前死亡的,未曾遵循方子治疗,也是人事未尽吧。所以深深痛恨这件事。于是编辑各家关于痘疹的著作,探究其根源,描绘其形状,追踪其变化,各述其方论方药,汇编为一编。将要与我四方为人父母者共同阅览。或许可以保全婴孩的寿命,而保全天命吧。弘治辛亥年菊月朔旦,江东胡序。
【蔡维藩】《痘疹集览》四卷,未见。
【佚名】《小儿痘疹袖金方论》一卷,现存。
自序说:世间不可以没有医生,医生不可以没有传承。医生如果没有传承,那么也就不可有传承了。我年轻时侍奉先父,治理滑邑,幼弟患痘,委托给庸医,坐视死亡,心中深切悲痛。在研习儒学的闲暇,私下愿意学习医学。聘请访问名师,搜集获取古籍,指点教授参考之余,似乎恍然有所得。于是撰写《痘疹集览》四卷。过了几年,觉得其内容汗漫无统绪,又重新详细说明,写成《痘疹方论》一册,命名为《袖金》,大概是取其不容于手心而贵重它的意思。凡是证候在人,与治疗在我,都完备无遗。有人对我说:这真是得到了所传承的了。这也可以流传给别人。我说:事情没有征验,因此用它在两淮验证,在两畿验证。宦途所至,冀州以北,湖广以南,又从而验证,没有不协调的。有人对我说:征验可信了,可以不流传吗?我说:志向还未广泛实行,将进而验证于天下,是可以的。然而已往而言,凡是验证所协调的,都是其踪迹所通达的。现在年老将至,而踪迹无法通达,怎么办呢?有人又开导我说:验证协调的,是理的同。理有不同,即使踪迹遍天下,又有什么益处。理如果同……
[Dong Ji] *Xiao'er Banzhen Beiji Fanglun* (Recorded as *Xiao'er Banzhen Lun* in *Shulu Jieting*), one volume, extant.
Preface by the author states: In ancient times, affairs were simple and people were honest; they possessed complete and pure vital qi, so evil pathogens could not invade. Even if diseases occurred, they could be cured through Zhuyou (incantation therapy). Even treatises for adults were not yet complete. It was not until the middle antiquity that Wu Fangshi appeared, authoring the *Xiao'er Lixin Jing* (Classic of the Infant's Cranium) to divine longevity and distinguish life from death. Passed down through generations, this led to the rise of pediatric treatises. However, infants in swaddling clothes have tender and weak internal organs; their pulses are rapid (the character "Cu" may be erroneous) and difficult to differentiate; they do not know where they itch nor can they speak of pain, only crying. Conditions such as Bianzheng (metamorphosis and steaming), Jingfeng (convulsions), Kewu (alien influence), and Jielu (splitting of the fontanelle) were clarified by Chao Yuanfang in recent times. Yet regarding the symptoms before the eruption of macules and papules, which resemble Shangfeng (wind-cold injury), there was little differentiation, leading to many errors. Furthermore, physicians were not sufficiently cautious; some purged deficiency patterns and tonified excess patterns, induced sweating for rash cases, and applied warming methods for wind cases, thereby generating various diseases and leading to premature death. This is truly lamentable. I have now collected effective secret prescriptions, detailed the symptoms, and compiled them into one volume, titled *Banzhen Beiji Fang*. I dare not claim it benefits future generations, but hope it will be passed on to those interested in medicine, preserving the righteousness of nurturing children. Dong Ping Dong Ji (courtesy name Jizhi) wrote the preface.
Sun Zhun wrote: People in the world often obtain a miraculous prescription capable of completely curing diseases, yet they fearfully worry about keeping it secret lest others know and render the medicine ineffective. This is indeed shallow. Medicine's ability to cure disease should be shared with everyone, preventing premature death and allowing each to fulfill their natural lifespan; this is also a benevolent art. My friend Dong Jizhi failed the Jinshi examination in his youth and, eager to support his parents, abandoned his studies one day to practice medicine. However, medicine is not a lowly art; ancients did not fail to master it. Figures like Zhang Zhongjing, Tao Hongjing, Ge Hong, and Sun Simiao became famous in later generations. It is only vulgar practitioners who distinguish between noble and base, rich and poor, and disparage their own profession, which gentlemen do not value. Jizhi is different. He treats others' suffering as his own. Visiting patients' homes, he never shrank from extreme cold or heat. For the poor, he often voluntarily provided firewood and grain at dusk or night to alleviate their shortages, and there were many such instances. Later, he brought a booklet of *Xiao'er Banzhen Fang* to visit me, requesting a preface. I thus wrote these brief words to reveal Jizhi's intent, showing that possessing miraculous prescriptions to cure diseases is not something to be overly prized. Dong Ping Shiliushi Shi Sun Zhun (courtesy name Pingfu) wrote the preface.
Qian Yi wrote the postscript: Throughout my life, I have focused on prescriptions and herbs, examining pulses and analyzing syndromes. Although there are fixed methods, exploring origins and adapting to changes, I believe my insights exceed expectations. Pulses are difficult to grasp through mere inquiry, and syndromes cannot be fully captured by words, especially for infants in swaddling clothes and young children. Thus, I specialized in this field for nearly forty years. By chance, I served in the imperial palace and achieved modest success, receiving unexpected favor. However, among pediatric diseases, Yin-Yang epilepsy is the most critical. While classics discuss this extensively, the syndrome of macules and papules, though dangerous, is similar to convulsions and cold damage epilesis, yet the medication differs greatly. A slight error in dosage leads to irreparable mistakes, yet physicians remain unconcerned. Recently, upon returning home, Jizhi from Guangchuan showed me a booklet of prescriptions. Opening it, I exclaimed: "This is what I have devoted myself to studying, yet you obtained it without explicit transmission." I deeply admire Jizhi's mastery of medicine in his youth and am gratified that he shares knowledge as I wished. Thus, I write at the end of the scroll. Dated Bing Shen day of the tenth month, Guiyou year of the Yuan dynasty. Qian Yi, Hanlin Medical Officer, Vice Director of the Imperial Medical Bureau, bestowed with a purple fish pouch, inscribed.
Chen Zhen-sun stated: Authored by Dong Ji (courtesy name Jizhi) of Dongping. Qian Yi inscribed the end in the Guiyou year of the Yuan dynasty.
[Xie Tianxi] *Chuangzhen Zhengzhi*, one volume, lost.
[Liu Zhu] *Chuangzhen Jue*, lost.
Liu Shangyi stated: *Chuangzhen Jue* was authored by Liu Zhu of Pengcheng. Liu Zhu, courtesy name Daoyuan.
[Chen Wenzhong] *Xiao'er Douzhen Fang*, one volume, extant.
Preface by the author states: I have always held that although pediatric diseases are numerous, smallpox and measles are the most severe. Why? Because smallpox and measles are difficult to distinguish in their ambiguous stages. Administering other medicines not only fails to help but causes harm. Moreover, unlike adults, children cannot describe their illness or explain their fears. Parents, knowing the urgency, seek medicine immediately. If physicians misjudge and prescribe incorrectly, few avoid premature death. Whenever I think of this, I feel sorrow. Therefore, I selected verified prescriptions from my family collection, compiled them into one volume, named it *Xiao'er Douzhen Fanglun*, and had it printed for circulation, to promote the ancients' intention of saving children. Is this not correct? Chen Wenzhong, He'an Lang, Judge of the Imperial Medical Bureau and Hanlin Physician, respectfully wrote.
Wang Kentang stated: Mr. Chen of Suzhou personally compiled prescriptions for infant care, smallpox, and measles. They are detailed, methodical, and verified. Each time he saves someone, it matches the prescription exactly. Now, thirty years later, he brings the dead back to life as easily as flipping a hand. (From *Taidai Yangsheng Zhu Lun*)
Ruan Guirong stated: Chen Wenzhong quotes Huangdi and Qibo: "When Yang is excessive and Yin deficient, one does not feel cold even in ice and snow; when Yin is excessive and Yang deficient, one does not feel heat even in boiling water." How to treat this? If Yang is excessive, tonify Yin using Muxiang San, adding Dingxiang and Guigui. If Yin is excessive and Yang deficient, use Yigong San, adding Muxiang and Danggui. Those who understand carefully examine whether Yin or Yang is excessive. Using hot medicines indiscriminately is not in accordance with the classics of Huangdi and Qibo; it resembles "making the excess more excess and the deficiency more deficient," like carrying firewood to save a fire. To say all belong to Heart Fire is absurd. Looking at his original formulas for treating phlegm-heat, fullness in the chest, panting, and hard stools, he uses Chaihu Zhike Tang, which contains Dahuang. His other formulas use Chaihu, Heishen, Zhimu, Huangqin, Shigao, Huashi, etc., and do not exclusively use hot medicines. Why do people prefer hot medicines and fear cold ones, leading to Yin-Yang imbalance, failing to realize that sores and ulcers relate to Heart Fire?
Zhu Zhenheng stated: Regarding smallpox discussions, Qian's work is the most detailed. It traces origins and meridians, clearly distinguishes exterior-interior and deficiency-excess, and outlines treatment methods, supported by argumentative discourse, embodying the spirit of teaching through writing. Modern people do not understand the cause of disease or the intent behind prescriptions. In emergencies, they check formulas based on symptoms and try them randomly. If ineffective, they discard the book, which is very thoughtless. Recently, due to the long-standing popularity of *Jufang* and neglect of *Suwen* studies, those discussing medicine with patients tend to prefer warming and tonifying while avoiding cooling and draining. Upon obtaining Chen's treatise, which consists entirely of drying, hot, and tonifying agents, they found the language precise and concise, happily used it, and believed it unanimously, concluding that Qian was far inferior to Chen. Someone asked: Do you think Chen's formulas are inadequate? I said: Chen's formulas are indeed a one-sided theory. Nevertheless, he can be said to be good at seeking the condition of the disease. His intent largely focuses on the Taiyin meridian. Hand Taiyin belongs to the Lung, governing skin and hair; Foot Taiyin belongs to the Spleen, governing muscles. Lung metal dislikes cold and is prone to invasion; Spleen and Stomach earth dislike dampness and accept everything. His use of Dingxiang and Guigui treats Lung cold; Fuzi, Baizhu, and Banxia treat Spleen dampness. If the Lung truly has cold, the Spleen truly has dampness, and there is deficiency, administering measured amounts and stopping when the disease is cured causes no harm. However, nowadays, people only see delayed eruption, fever, diarrhea, palpitations, shortness of breath, and thirst, and regardless of cold-heat or deficiency-excess, they indiscriminately administer Muxiang San and Yigong San. Occasionally, it works, and they claim efficacy. If mistakenly administered, disaster follows quickly. Although using warm medicines for thirst and tonics for itching/collapse originated with Chen and surpassed predecessors, his frequent use of Guizhi, Fuzi, and Dingxiang (drying and hot) may not be appropriate. Why? Guizhi, Fuzi, and Dingxiang are suitable for cold and deficiency. But for deficiency without cold, the harm would be significant. When Chen created his formulas, there must have been smallpox cases complicated by cold, making drying and hot tonification appropriate. Now, without cold complication, using a one-sided formula is likely too hot. (From *Gezhi Yulun*)
[Xiong Zongli] *Leizheng Chen's Xiao'er Douzhen Fanglun*, two volumes, extant.
[Xue Ji] *Jiaozhu Chen's Douzhen Fang*, one volume, extant.
Preface by the author states: I have always held that although medical analysis differs in internal/external and large/small categories, the underlying principles are the same, differing only in human adaptation. Smallpox/measles and carbuncles/sores are particularly similar, and their treatments are interconnected. Both begin with eruption, progress to suppuration, and end with scabbing, following the same pattern. Therefore, Master Dongyuan combined them, emphasizing three methods: Tuo Li (supporting the interior), Shu Tong (unblocking), and He Ying Wei (harmonizing Ying and Wei). This is certainly justified. Chen's book, based on personal insight, elucidates deficiency-excess and cold-heat, aligning with classic principles and surpassing other schools. Liangge San treats excess-heat; Baizhu San treats deficiency-heat; Yigong San treats deficiency-cold; Muxiang San treats weakness. These differentiate exterior-interior, observe colors, and distinguish forms. However, these methods must be applied immediately upon seeing the syndrome; delay leads to error, so students must know this. Having privately studied the sages and occasionally achieved results, I dare to collate and reprint. There may be gains and losses; I hope colleagues will correct me. Auspicious day of the ninth month, Gengxu year of the Jiajing reign. Xue Ji, former Official of Merit and Director of the Imperial Medical Bureau, respectfully wrote.
[Wenren Gui] *Douzhen Lun*, three volumes, extant.
Liu Shangyi stated: *Douzhen Lun* was authored by Wenren Gui. Gui was originally a Confucian scholar who failed to achieve success, so he dedicated himself to traditional Chinese medicine and wrote this book. Although his theories derive from Zhang Congdao's 120 chapters, examining the Fenbian Lun (differentiation of changes), he treats according to syndromes and prescribes accordingly. He covers the urgency, severity, cold-dampness, tonification, purgation, attack, and maintenance of the disease comprehensively. His work is accurate, appropriate, concise, and complete, surpassing Zhang Congdao. Last year, I accidentally obtained a copy and tested it on smallpox patients with immediate effect. I sought a printed edition from physicians but found none. Later, promoted to Censor, I traveled to the capital and widely asked physicians and gentry, still finding none. Was it lost during the late Yuan chaos? Medicine saves lives; if this excellent book remains obscure, children with smallpox will have no means to survive, and Wenren Gui will be forgotten. This year, as Magistrate of Chaoyi, thinking of the ancients' benevolence and the need to care for infant sores, I corrected and had it printed in the county office during spare time, hoping to spread it so every family has a book, allowing smallpox patients to survive and Wenren Gui's legacy to continue. The original was damaged with missing characters, so I hope printed editions will correct them. Dated sixth day of mid-autumn, Renyin year of the Jiajing reign. Liu Shangyi, former Jinshi from Fenzhou, recorded.
Wenren Gui wrote the postscript: Scholars in this world face either obscurity or prominence. Mencius said: "In obscurity, cultivate oneself; in prominence, benefit the world." However, an obscure scholar who becomes a good physician does more than just cultivate himself. I have always written books and now study herbs like Renshen and Baizhu. I believe ancient sages, pitying people's suffering, wrote countless books. Reading Sun Simiao's *Qianjin Fang* in my later years, I noticed its order: starting with women and infants, emphasizing salvation and valuing reproduction. I reflected that nursing mothers and sick children inevitably suffer from sores/rashes, where a slight error in treatment leads to life or death, a matter requiring utmost caution by benevolent gentlemen. Birth prescriptions benefit many, but books on infant smallpox only cover basics, offering little guidance in emergencies. Unworthy as I am, I sought ancient discussions, combined them with my observations, and wrote 81 questions and answers in two volumes, titled *Xiao'er Chuangzhen Lun*. I used them to help others with consistent success, saving many. If every family had this book, it would be more than a minor supplement. The treatise was completed long ago, but I lacked the resources to print it. Recently, I entered the circle of Censor Wu Huanzhang, who, upon request, generously donated funds to publish it. His motive was not selfish but to share with all. If there are errors, please correct them for colleagues. Auspicious day of mid-summer, Renchen year of the Shaoding reign. Wenren Gui, Jinshi of the National Academy, described.
Ding Yongrong wrote the colophon: When I governed Yuanzhou, I obtained *Douzhen Lun* from Censor Liu of Jinfen. Reading it, I found its theories and prescriptions clear, simple, and well-founded, encompassing all other schools' methods. It is truly an excellent book for saving children. Later, transferring to Qinhuai, fearing the loss of the original, I proofread and printed it during administrative downtime. In the Wushen year, I obtained the complete version carved by Lu Yanweng of Haiyu. I read it and appended the formulas, wishing to share it with all who protect infants. Readers should gain understanding naturally. Can it be treated as waste paper? Auspicious day of autumn eighth month, Wushen year of the Jiajing reign. Ding Yongrong, External Secretary of Guangxi Department, Ministry of Revenue, Nanjing, respectfully colophon.
[Wang Haogu] *Banzhen Lun*, one volume, unseen.
Note: Listed in Jiangyunlou Catalog and Yeshiyuan Catalog.
[Anonymous] *Lun Cuiying*, one volume, extant.
Note: Included in Du's *Jisheng Bachui*. Unclear if identical to *Banzhen Lun*; likely an excerpt. *Qingnang Zazuan*, titled *Xiao'er Fang*, author unknown.
[Zhu Zhenheng] *Zhi Dou Yaofa*, one volume, unseen.
[Anonymous] *Xiao'er Douzhen Fang*, one volume, one fascicle, missing, unseen.
[Anonymous] *Baoying Chuangzhen Fang*, one volume, one fascicle, missing, unseen.
[Yuan Ren] *Douzhen Congshu*, five volumes, extant.
Yuan Huang preface: My ancestors received Song dynasty favors and forbade descendants from serving Yuan. Entering Ming, due to harsh laws, we hesitated. My great-grandfather, Mr. Juquan, lived in the Yongle era, gifted and learned, but turned to medicine. My grandfather Yixing and father Canpo were brilliant and erudite but avoided civil service exams. My father taught us literature for exams, and I passed the Bingxu Jinshi. In officialdom, meeting scholars, I lamented the lack of miraculous cures for smallpox and the high infant mortality. I recall Great-grandfather Juquan compiled *Douzhen Quanshu* based on Xu's work. Grandfather Yixing revised it, and Father Canpo edited it. They used their surplus energy to aid others. Their theories and diagrams revealed hidden truths and dispelled ancient mysteries. I ordered printing to spread it. With this book, smallpox treatment has standards, saving 60-70% of infants. Our ancestors' legacy is profound. Alas, Dongfang Shuo's wisdom wasn't just humor, yet historians reduced him to it. Wang Xizhi's learning wasn't just calligraphy, yet admirers focused only on that. Our ancestors' virtues aren't limited here. Readers who judge our family solely by this book are mistaken. To know Juquan, read *Zhouyi Xuyan* and *Chunqiu Biezhuan*; to know Yixing, read *Chunqiu Huowen*, *Gechu Biannian*, *Zhongchen Zijing Lu*, *Zhishi Shuntian Lu*; to know Canpo, read *Dayi Fa*, *Maoshi Huowen*, *Shangshu Biancai Bian*, *Chunqiu Zhenhu Bian*, and *Yiluo Ji*. Only then can you grasp their essence. Though these writings are coarse, the mind's essence cannot be fully expressed in words or ink. Thus, they don't fully reveal our ancestors. Good learners move from coarse to refined. Even this smallpox compilation is worth studying. It must be transmitted. Yuan Huang, Yinong of Zhaotian, bowed and wrote.
Jiaxing Prefecture Gazetteer states: Yuan Ren, courtesy name Lianggui. Father Xiang, grandfather Hao, both had practical statecraft skills. Ren was even deeper, considering medicine a humble profession suitable for seclusion and aiding others, so he secluded himself in medicine.
[Hu] *Michuan Douzhen Shouying Ji*, one volume, extant.
Preface by the author states: Longevity and lifespan are destined, but only if not caused by human action can it be called destiny. If human efforts are incomplete and one blames destiny, is this wise? Smallpox affects lifespan. From onset to scabbing, there are sequences. Origins differ, but care methods are fixed. Following them ensures survival; ignoring them leads to death. Should we neglect human effort and blame destiny? I had ten children, nearly half died of smallpox. In the first year of Hongzhi, one son and two daughters contracted smallpox. Mourning past deaths, I sought Qian Yi's and others' smallpox prescriptions, followed their sequences strictly. Severe cases improved, mild cases recovered, all safe within a month. Their birth was destined, but I say: those who died earlier didn't follow prescriptions; human effort was incomplete. I deeply regretted this. So I compiled various smallpox texts, explored origins, drew shapes, traced changes, and recorded prescriptions and theories into one volume. I wish to share it with parents everywhere, perhaps preserving infant life and fulfilling destiny. First day of the chrysanthemum month, Xinhai year of Hongzhi. Hu from Jiangdong wrote.
[Cai Weifan] *Douzhen Jilan*, four volumes, unseen.
[Anonymous] *Xiao'er Douzhen Xiujin Fanglun*, one volume, extant.
Preface by the author states: The world needs doctors, and doctors need transmission. Without transmission, there is no continuity. When I was young, accompanying my father who governed Huayi, my younger brother died of smallpox entrusted to a quack. I grieved deeply. While studying Confucianism, I secretly wished to learn medicine. I sought masters, collected ancient texts, and after instruction and reference, felt enlightened. I wrote *Douzhen Jilan* in four volumes. Years later, finding it scattered, I refined it into *Douzhen Fanglun*, titled *Xiujin* (Sleeve Gold), implying it is precious enough to fit in a sleeve. All syndromes and treatments are covered. Someone said: "You truly inherited the tradition. You should pass it on." I said: "Without verification, I tested it in Lianghuai and Liangji. Wherever I served, north of Ji, south of Hu, it worked consistently." Someone said: "Verified and trusted. Why not transmit?" I said: "My ambition is to test it nationwide. But looking back, consistency proves validity. Now old age approaches, and I cannot travel further." Another explained: "Consistency reflects universal principle. If principles differ, traveling everywhere helps nothing. If principles are the same..."