〔周氏(扬俊)伤寒论三注〕十六卷 存
自序曰。仲景。医中之圣人也。而伤寒。病中之剧证也。出圣人之心思。辄欲斡旋阴阳之偏胜。脉理之失调。
于是明风寒别六经。分营卫辨内外。因其正之强弱。察其邪之虚实。着论立方。投之无使不中。是诚有得乎造化
之原。而深切于致病之由焉。故能起死不难。回生在手。洵大道也。古君子之善学人。每于一事一物之理。必冥
思博考。以通其奥。谓必如是。而后义精于心。功神于用。否则辄见自以为能。势必一阻。即穷其应。况医道至
重。而病情难测。如伤寒者乎。小子扬俊最喜医学。志宗仲景。而南阳之堂。不易登也。于是取叔和之编次。无
己之注释。及东垣之此事难知。相参考有年。而茫乎若涉大海。暝乎开眼易暗也。于是谋某先生教。而某先生曰。
子何自苦为。因出全生集六书钤捶活人示余曰。诸书具在。览之易晓也。且今之号为明医者不逾此。呜呼。予用
是滋惑矣。吾人读圣人书。以求有补于天下。不敢遽云有功。要先自处无过。乃制方治病。人命攸关。苟非有契
于上圣之一二。敢谓药人无差失乎。予于是仍诵仲景经文。虽寒暑无间也。动息不忘也。且仲景不云乎。余宗族
素多。建安纪年以来未十稔。死亡者三分有二。伤寒居其七。感往昔之沦丧。伤横夭之莫救。乃勤求古训。博采
众方。撰用素问九卷。八十一难。阴阳大论。胎胪药录。并平脉辨证。为伤寒卒病论合十六卷。虽未能尽愈诸病。
庶可以见病知源。若能寻余所集。思过半矣。故反复于喻嘉言之尚论篇。庶几知营卫表里之不同。汗下缓急之各
异。豁然心胸。自信有得。至辛亥岁入都。受业于北海林夫子之门。始授方中行先生条辨。一展卷。而知尚论之
议。从此脱胎。但其性灵笔快。出其所思。掩其所自。无怪乎林夫子以 窃罪之也。然俊以为二千年来。得此表
章绝业。发挥义蕴者。诚有一难。再因思孔圣之书。作于春秋。至宋始弥明备焉。苟非周程张朱数君子。相继而
绎注之。譬诸日月当天。未尽云雾也。今前有条辨。后有尚论。彼之未善。此益研精。总之大道之明而已矣。历
年以来。遵谕及门。于二先生注中。觉有未融处。不敢依样葫芦。又必潜心体会。务期有得。则于二注之意之外。
稍可以补其所不及者。又若干条。合为三注焉。嗟乎。夫使嘉言不在中行之后。无以窥圣人之奥。扬俊不在北海
之门。又无以得中行之传。则前人为其难。后人为其易。理势然也。使后之君子。由是而进焉。务使展尽底蕴。
开悟无穷。又岂有量哉。虽然。医道之重。上古操乎君相。继此以往。半属生知。故得其正。可以挽回造化。失
其传。必至益增夭枉。昔仲景未举孝廉。相者曰。观君思致周密。殆旷世之良医也。夫惟思密。则理不疏。而能
察其情。穷其变者。虽在仲景之圣。弗以其聪明。乃以其学识。始知研理尽智。以敦重生命者。是推医道之大成。
奈何中才以下之士。或点窜成书。或剽集句类。或妄守专家名。诩诩以自鸣于世也。岂不悖于圣哉。康熙癸亥岁
午月。周扬俊谨识。
凡例曰。伤寒论。系王叔和编次。风寒混淆。经腑杂乱。大
概读之。既难分晓。细心体之。复无浅深。无己随文释注。方喻依旧相蒙。理蕴纵有发挥。层次终难考究。俊特
条分缕晰。翻前移后。删去假托之言。厘定六经之例。庶使来学可循。不令章句无序。一是书。论伤寒则以风寒
为重。其间春温夏热。火劫并病合病。脏结结胸痞证。痉湿 。痰病宿食。动气霍乱、瘥后诸复及阴阳易等。别
出别编于后。令读之者。不但伤寒易明。且使杂证无混。一条辨晰理明切。尚论精思爽豁。后汉以来。几二十年。
注释不乏。诚难与比。然既互有短长,亦复各不融贯。俊每取其所长。置其所短。至两家俱未尽妥。敢出管见。
务为详说。期合于经文。益于来学。因成三注。以垂不磨。一本方一百有十三。或奇或偶。取效无穷。或增或减。
命名即异。虽圣人之意。不外乎中庸。而学人之疑。过以为难测。宁用全生汤药。不求本论精微。俊于方后立论。
详药之气味。探意之指归。岂能上合圣心。要亦深求无误。三复苦衷。观之自见一太阳经发于阳发于阴之文。乃
是一篇大旨。总领关键处。方注乃以风寒为阴阳。喻亦宗之。少阴篇首。始得之反发热脉沉一条。为本经最难理
会处。而方喻未及洗发。又如结胸篇。病发于阳而反下之之文。乃误下之大关。从来不有契明传经之旨。雷同
附和。千古疑团。俊非好异前人。但觉于心未妥。面壁几年。忻然雪窦。金针已度。明眼须知。一温热暑脉证条例
虽互见伤寒论中。实非本病。今即别列。然经止几条。正方止几道。后贤方论。不敢辑入。因先于庚申年间。有
全书梓行于世。备采诸方。并集治案。庶无和王随珠之叹。一是书。始于顺治十七年庚子岁。成于康熙十六年丁
巳岁。梓于二十二年癸亥岁。闻见所及。不惮改录。风雨无间。自谓有
得。本之治病。投之辄效。推此变换。亦能不穷。果有志于长沙。可无悲于歧路。
汪琥曰。伤寒三注。康熙中吴门周扬俊禹。载辑。凡十六卷。其第一卷。太阳上编。风伤卫之证。第二卷。
太阳中篇。寒伤营之证。第三卷。太阳下编。营卫俱伤之证。第四卷。阳明上编经证。又阳明中篇。太阳少阳。
正阳阳明三证。及禁下证。又阳明下编。坏证法治。第五卷。少阳上编经证。又少阳下编。坏证法治。第六卷。
太阴上编。传经证。太阴中篇。脏寒证。太阴下编。坏证法治。第七卷。少阴上编。传经证。少阴中篇。中寒证。
少阴下编。坏证法治。第八卷。厥阴上编。传经证。厥阴中篇。中寒证。厥阴下编。坏证治法。第九卷。火劫病。
第十卷。藏结结胸痞病篇。第十一卷。合病并病篇。第十二卷。痉湿 病篇。第十三卷。痰病宿食病篇。第十四
卷。动气霍乱瘥后诸复阴阳易病篇。第十五卷。春温夏热病篇。第十六卷。脉法篇。其书以条辨尚论篇二书为主。
二书之注。有未尽善。则别出己意补之。书名三注。可为称其实矣。但惜其亦以仲景原文倒乱。斯方氏为之作俑
欤。
〔汪氏(琥)张仲景伤寒论辨证广注〕十四卷 存
自序曰。世人之病。伤寒为多。伤寒之书。仲景为圣。夫以一病。而有三百九十七法。一百一十三方。详已。
恶乎广哉。不知仲景之书。本于内经热论。其言六经传变。非不辨且晰也。仲景复推展以成书。因是以有王叔和
之增益。因是以有成无己之注解。盖愈推则愈广焉。则余之补阙略订讹谬。而为是书也。非无自矣。且夫伤寒之
病。多由时气。则四时八节。二十四气。七十二候。不可不详释也。伤寒之
病。必传经络。则十二经之在手足者。不可不兼图也。伤寒之病非一证。则三百九十七法。一百一十三方。不可
不反复穷究。而为之推衍附益也。伤寒之病。间用针刺。其法近世罕见。则热病之五十九穴。不可不备录也。余
独怪世医。徒取节庵一编。无他。乐其简耳。然昔人方论。皆有奥义存其间。使不深察其意。尝有失之毫芒。而
死生顿易者矣。余非不惮烦也。正恶世之乐于简。而轻视民命者。往往误而杀人也。则是书之补前人所未补。发
前人所未发者。曷可少哉。其曰伤寒非寒者。盖寒病则治以热剂。热病则治以凉剂。此自然之理也。伤寒之病。
名虽为寒。其所见之证皆热。窃恐后人执伤寒之名。而误投热剂。故曰。伤寒非寒也。至感真寒。而深入三阴者。
特十之一二耳。此其所见之病皆寒而与热证迥异。则名之曰真寒。而别为编。康熙庚申重九。长洲汪琥苓友自序。
凡例曰。此书之成专以辨仲景伤寒论也。然仲景论伤寒。实本素问热病。仲景分六经。不出灵枢经脉。故余
摘取二篇中文。列之伤寒例前。为第一卷。使后人尊仲景复和尊轩岐。况仲景当日既成伤寒论。亦自云述。不敢
云作。则知仲景之论。实宗内经之旨也。 一内经热论篇文。王太仆注之于先,马玄台广之于后。然其中有未尽。
合理处。间以鄙意补之。 一王叔和撰次仲景方论。书凡十卷。其中如伤寒例。六经辨脉证治法。及阴阳易差后
诸病。此实系仲景原文。悉为编入。所削者。如第一卷脉法。及第七卷以后。汗吐下诸篇。以其为叔和所增入也。
至于第二卷中。如痉湿 三证。第七卷前。如霍乱一证。亦系仲景原文。而不编入者。以其为杂病也。一叔和撰
次六经篇。有阳明少阳病。
列于太阳篇者。有太阳病。列于阳明篇者。有中寒病杂入太阳阳明病中。及杂入三阴热病中者。今皆悉为归正。
凡三阳病。各归三阳篇。其三阳热病。亦各自归其篇。惟中寒病。则别作上中下三卷。辨其证为真寒。使后学尽
知伤寒中寒二证判然。庶无错误。 一伤寒经络。仲景书止分六经。不言手足。其实则合手经两皆病。愚故于首
卷热论篇后。即图注灵枢手足阴阳六经。其注以滑氏发挥为主。然亦间有错误处。复以鄙意较之。 一驳正伤寒
论例。近非一人。愚今较之。亦从众也。但仲景全书中。有四时八节决病法。乃伤寒论一部纲领。今之书悉皆脱
略。惟准绳于论列中。犹存正文,但当日成氏亦未及注。愚特细为解释。以见十二官辰斗柄所指。时节气候。为
之转移。当其时倘病伤寒。医人宜随时气立论。则用药始可十全。所以仲景亦云须洞解之也。一仲景六经篇中或
有前不得不附之后。后不得不附之前者。则曰附例。或已经附注过。而原论中复及者。则曰重出例。或原论中。
始及未经注过。宜附之后者。则曰附后例。其他如温病坏病。及病宜用刺。别立治法,各分其篇于后者。又诸汤
方。宜附之后者。皆如上例也。六经篇中。惟中寒病。为真阴证。不入上例。止以重圈记之。其真阴寒证。宜用
汤药。亦以重圈记之。 一此书凡系仲景论。成注有未妥者。间采方喻程及诸名家之说。不敢窃取。其所着书及
姓氏必为标出。间附己意。则曰愚按。及设为或问。而余答也。一此书既集仲景论。后必附昔贤及后人方论。悉
属鄙意。逐条解明。然亦多方引证。不敢创为私说。务使论必中理。方必切病。愚切愿天下后世之人。但能读是
书。虽遇伤寒变证。极奇之病。然疗之有法。施之辄效。业医者。不可不勉之。
又采辑书目后曰。伤寒辨证广注。清长洲汪琥苓友青溪子辨注。书分一十四卷。始于康熙丙辰重九。终于庚
申重五。四五年间。但应酬稍暇。不敢辍卷。虽祁寒酷暑。而平明灯火之功居多。脱稿后不再易其书。曰辨证者。
辨仲景论中是伤寒。则集之也。曰广注者。广。以广其方论。如古今伤寒之书。皆采附也。注。以注其正文。不
分仲景后贤。其论皆为解释。其方皆为详考也。至若仲景论中真寒证。别集中寒论三卷。即当续出。倘世俗之医。
厌此书烦冗。欲检证寻方。如头痛发热等候。以为不便翻阅,则更有增补成氏明理论出焉。
〔钱氏(潢)重编张仲景伤寒证治发明溯源集〕十卷 存
自序曰。夫天地间风寒暑湿之邪。皆可为病。人若中之。失治而致夭枉者多矣。虽古圣立法。载在灵枢素问
两经之中。奈其义渊深。人莫能解。迨汉长沙守张仲景。悯宗族之沦亡。伤横夭之莫救。乃勤求古训。博采众方。
撰用素问九卷。八十一难。阴阳大论。胎胪药录。并平脉辩证为伤寒卒病论合十六卷。实祖述黄岐之经义。论伊芳
尹之汤液。追神农体箕子而作也。其书统载于金匮玉函中。华佗见之而叹曰。此书可以活人。晋玄晏先生皇甫谧
作甲乙经。其论治伤寒。唯长沙一人。而宋文潞公药准云。仲景书为群方之祖。所以后起诸贤。虽千变万化。各
鸣其所得。而无能逾越其矩度者。自西晋太医令王叔和编次仲景方论十卷。附以己意为三十六卷。而卒病论六卷。
早已遗亡。不复得睹矣。至宋成无己。尊奉叔和。又注为伤寒论十卷。今所行于世者。究仅七卷。而前后舛错。
六经混淆。使读之者。茫无端绪。检阅者漫难寻讨。如少阳诸证杂入太阳篇中。合病并病。散处三阳
前后。结胸痞证。曾不分别阴阳。脏结三条。分隶四卷首尾。中风伤寒纷出。麻黄桂枝杂陈。坏病无从安置。疑
为久远遗失。温病不知方法。谓非作者所长。致后人不知随证之治。而坏病遂无治法。概以麻黄桂枝治温。而温
病每致云亡。凡此皆叔和编次之失。无己注释之病也。及宋奉议朱肱活人书一出。始变长沙之定法。而搅乱经文。
可称作俑。明节庵陶萃截江网杀车槌告成。尽废仲景之原文。奄为己有。实为 窃。新安方有执痛辟其非。条辨
因之而作。江左喻嘉言指摘其谬。尚论由此而成。然皆经义未训。岂能澄清其浊乱。阴阳莫辨。安能洞悉其渊微。
潢以鲁钝之质。自知谫劣。焉能少窥其渊奥。赖先人力学。仰聆训诲于童年。昔以知非之岁。忽犯伤寒。将成不
【周扬俊《伤寒论三注》】十六卷,现存。
自序说:仲景是医学中的圣人,而伤寒是疾病中严重的证候。他运用圣人的思维,致力于调和阴阳的偏盛偏衰,纠正脉理的失调。
于是明确区分风寒,将其归属六经;分辨营卫,辨别病位的内外。根据正气强弱的情况,观察邪气虚实的状态,撰写论述并制定方剂,投药必求准确无误。这确实得出了造化的本源,深切地探究了致病的缘由。因此能够起死回生,妙手回春,确实是大道啊。古代君子善于学习的人,对于每一件事、每一个事物的道理,必定深入思考、广泛考证,以通晓其中的奥妙。认为必须这样,才能使义理在心中精熟,功效在应用中神妙。否则就会自以为有才能,势必遇到阻碍,即使穷尽应对之策,又何况医道至关重要,而病情难以预测,像伤寒这样的疾病呢?我周扬俊最喜欢医学,立志尊崇仲景,但想要登堂入室继承南阳(张仲景)的学问并不容易。于是取用王叔和的编次、成无己的注释,以及李东垣的《此事难知》,相互参考已有多年,却茫然如涉大海,闭眼易暗。于是向某先生请教,某先生说:“你何必如此自苦呢?”于是拿出《全生集》《六书钤捶》《活人书》给我看,说:“这些书籍都在,读起来容易明白。况且现在号称精通医学的人,不超过这些范围。”唉,我因此更加困惑了。我们这些人读圣人的书,是为了寻求对天下有所补益,不敢轻易说有功劳,首先要确保自己不出差错。既然制定方剂治疗疾病关系到人的性命,如果不是对上圣之道有一二契合之处,怎敢声称用药没有差失呢?于是我仍然诵读仲景的经文,无论寒暑从不间断,动静之间不忘思考。况且仲景不是说过吗:“我的宗族原本人口众多,自建安纪年以来不到十年,死亡者占三分之二,其中伤寒占了七成。”感伤往昔的沦丧,哀痛横死夭折者无法挽救,于是勤奋探求古训,广泛采集各方,撰用《素问》九卷、《八十一难》、《阴阳大论》、《胎胪药录》,并结合平脉辨证,写成《伤寒卒病论》共十六卷。虽然不能治愈所有疾病,或许可以见病知源。如果能寻究我所汇集的内容,思虑便已过半了。所以我反复研读喻嘉言的《尚论篇》,希望了解营卫表里的不同,汗法下法的缓急各异。心中豁然开朗,自信有所心得。到了辛亥年入京,拜入北海林夫子门下,才开始受授方中行先生的《条辨》。一展开书卷,就知道《尚论》的议论从此脱胎换骨。只是方氏文笔敏捷,出于其思考,掩盖了其来源,难怪林夫子指责他“窃”。然而我认为,两千年来,能对此绝学进行表彰、发挥义蕴的,确实难得。再想到孔圣人的书作于春秋时期,到宋代才更加明备。如果不是周敦颐、程颢、程颐、张载、朱熹这几位君子相继演绎注释,就像太阳月亮当空,云雾未尽散一样。现在前面有《条辨》,后面有《尚论》,那些不完善的,这里更要研究精深。总之是为了阐明大道罢了。多年来,遵循教诲入门,在两位先生的注解中,觉得有不融通的地方,不敢照猫画虎,又必须潜心体会,务必求得心得,那么在两位注解之意之外,稍微可以补充他们不及的地方,又有若干条,合为《三注》。唉!如果嘉言不在中行之后,就无法窥探圣人的奥妙;如果扬俊不在北海之门,就无法得到中行的传授。那么前人为难,后人为易,这是情理势所必然。假使后来的君子,由此而进阶,务使展露尽底蕴,开启无穷觉悟,又怎么会有量呢?虽然如此,医道之重,上古由君主宰相掌管,此后多半属于生而知之。所以得其正道,可以挽回造化;失其传承,必然增加夭折枉死。昔日仲景未举孝廉时,相面的人说:“观察您的思维周密,大概是旷世的良医啊。”只有思维缜密,道理才不会疏漏,从而能洞察病情,穷尽变化。即使是仲景这样的圣人,也不是凭借聪明,而是凭借学识。开始知道研究道理、竭尽智慧,以尊重生命,这是推演医道的大成。奈何中等才智以下的人士,有的篡改成书,有的剽窃集句,有的妄守专家之名,洋洋自得地向世人炫耀。这难道不违背圣人之道吗?康熙癸亥年五月,周扬俊谨识。
凡例说:《伤寒论》系王叔和编次,风寒混淆,经络与腑证杂乱,大概读来,既难分清楚,细心体察,又无浅深之分。成无己随文解释注释,方喻依旧互相蒙蔽。义理蕴藏纵然有发挥,层次终究难以考究。我特意条理分明,翻转前后,删去假托之言,厘定六经的体例,希望使后来学习者可以遵循,不令章句无序。这一本书,论述伤寒则以风寒为重,其间春温夏热、火劫、并病、合病、脏结、结胸、痞证、痉湿、痰病、宿食、动气、霍乱、瘥后诸复及阴阳易等,另外列出另编在后面,让读者不仅伤寒容易明白,而且使杂证不混杂。一是《条辨》析理明切,《尚论》精思爽豁,自东汉以来近二十年,注释不乏,确实难以相比。然而既然互有短长,也各自不融通贯通。我每每取其长处,置其短处,至于两家都未尽妥当,敢出管见,务必详细解说,期望符合经文,有益于后来学习者。因此成就《三注》,以流传不朽。一本方一百一十三首,或奇或偶,取效无穷。或增或减,命名即异。虽然圣人的意旨,不外乎中庸,而学习者的疑惑,过分以为难测。宁愿使用《全生汤药》,不求本论的精微。我在方后立论,详述药物的气味,探求意旨的归趣。岂能上合圣心,也要深求无误。反复陈述苦衷,观看自然可见。一是太阳经“发于阳,发于阴”的文字,是一篇的大旨,总领关键之处。方注乃以风寒为阴阳,喻氏也宗奉此说。少阴篇首,“始得之,反发热,脉沉”一条,是本经最难理会之处,而方、喻未能及洗发。又如结胸篇,“病发于阳而反下之”的文字,是误下的大关,从来没有人有契合明传经的宗旨,雷同附和,千古疑团。我并非喜好标新立异前人,只是觉得于心不妥,面壁几年,欣然雪窦(指豁然开朗),金针已度,明眼人须知。一是温热暑脉证条例虽互见于《伤寒论》中,实非本病。现在即别列出来。然而经文仅止几条,正方仅止几道,后贤方论,不敢辑入。因先在庚申年间,有全书梓行于世,备采诸方,并集治案,希望没有王叔和随珠之叹。这一本书,始于顺治十七年庚子岁,成于康熙十六年丁巳岁,梓于二十二年癸亥岁。闻见所及,不惮改录,风雨无间,自谓有心得。基于治病,投药辄效,推此变换,也能不穷尽。果有志于长沙(张仲景),可无悲于歧路。
汪琥说:《伤寒三注》,康熙年间吴门周扬俊禹(字)编纂收录。共十六卷。第一卷,太阳上编,风伤卫的证候。第二卷,太阳中篇,寒伤营的证候。第三卷,太阳下编,营卫俱伤的证候。第四卷,阳明上编经证。又阳明中篇,太阳、少阳、正阳阳明三证,及禁下证。又阳明下编,坏证法治。第五卷,少阳上编经证。又少阳下编,坏证法治。第六卷,太阴上编,传经证。太阴中篇,脏寒证。太阴下编,坏证法治。第七卷,少阴上编,传经证。少阴中篇,中寒证。少阴下编,坏证法治。第八卷,厥阴上编,传经证。厥阴中篇,中寒证。厥阴下编,厥阴治法。第九卷,火劫病。第十卷,藏结结胸痞病篇。第十一卷,合病并病篇。第十二卷,痉湿病篇。第十三卷,痰病宿食病篇。第十四卷,动气霍乱瘥后诸复阴阳易病篇。第十五卷,春温夏热病篇。第十六卷,脉法篇。这本书以《条辨》《尚论》两书为主。这两书的注解,有未尽善之处,则另外提出自己的意见补充。书名《三注》,可以说是名副其实了。可惜他也认为仲景原文倒乱,这难道是方氏开了这个头吗?
【汪琥《张仲景伤寒论辨证广注》】十四卷,现存。
自序说:世人的病,伤寒居多。关于伤寒的书,仲景为圣。凭着一病,而有三百九十七法,一百一十三方,详细已极,还怎么广博呢?不知道仲景的书,本源于《内经·热论》,它所说的六经传变,不是不辨析且清晰。仲景又推展而成书,因此有了王叔和的增益,因此有了成无己的注解。大概越推展就越广博。那么我补充阙漏、订正讹谬,而作成这本书,不是没有原因的。况且伤寒的病,多由时气引起,那么四时八节、二十四气、七十二候,不可不详释。伤寒的病,必传经络,那么十二经在手足者,不可不兼图。伤寒的病不是一证,那么三百九十七法,一百一十三方,不可不反复穷究,而为之推衍附益。伤寒的病,间或用针刺,其法近世罕见,那么热病的五十九穴,不可不备录。我唯独奇怪世间的医生,只取节庵的一编,没有其他原因,喜欢它的简单罢了。然而昔人的方论,都有奥义存于其间,如果不深察其意,常有失之毫厘,而死生顿易的情况。我不是不怕麻烦,正是厌恶世间乐于简单,而轻视民命的人,往往误而杀人。那么这本书补充前人所未补,发挥前人所未发的,怎么能少呢?所谓“伤寒非寒”,是因为寒病则用热剂治疗,热病则用凉剂治疗,这是自然的道理。伤寒的病,名义上是寒,所见到的证候都是热。我恐怕后人执着于“伤寒”之名,而误投热剂,所以说:“伤寒非寒也。”至于感受真寒,而深入三阴的,特十之一二而已。这所见到的病都是寒,而与热证迥异,则命名为真寒,而另为编集。康熙庚申年重九日,长洲汪琥苓友自序。
凡例说:这本书的完成专门为了辨析仲景《伤寒论》。然而仲景论伤寒,实本于《素问·热病》。仲景分六经,不出《灵枢·经脉》。所以我摘取这两篇中的文字,列在《伤寒例》前,作为第一卷,使后人尊仲景又尊轩辕、岐伯。况且仲景当日既成《伤寒论》,也自称“述”,不敢云“作”,则知道仲景的论,实宗奉《内经》的宗旨。一是《内经·热论》篇文,王冰(王太仆)先为之注,马莳(马玄台)后为之广注。然而其中有未尽合理之处,间以鄙意补充。一是王叔和撰次仲景方论,书凡十卷。其中如《伤寒例》、《六经辨脉证治法》,及《阴阳易差后诸病》,这实在系仲景原文,悉为编入。所削去的,如第一卷脉法,及第七卷以后,汗吐下诸篇,因为那是叔和所增入的。至于第二卷中,如痉湿暍三证,第七卷前,如霍乱一证,也系仲景原文,而不编入的,因为那是杂病。一是叔和撰次六经篇,有阳明少阳病列于太阳篇者,有太阳病列于阳明篇者,有中寒病杂入太阳阳明病中,及杂入三阴热病中者。现在都悉为归正。凡三阳病,各归三阳篇。其三阳热病,亦各自归其篇。惟中寒病,则别作上中下三卷,辨其证为真寒,使后学尽知伤寒、中寒二证判然,庶无错误。一是伤寒经络,仲景书止分六经,不言手足。其实则合手经两皆病。愚故于首卷《热论》篇后,即图注《灵枢》手足阴阳六经。其注以滑寿(滑氏)发挥为主。然而也有错误之处,复以鄙意较之。一是驳正《伤寒论例》。近非一人。愚今较之,也从众。但仲景全书中,有四时八节决病法,乃《伤寒论》一部纲领。现在的书悉皆脱略,惟《准绳》于论列中,犹存正文,但当日成无己也未及注。愚特细为解释,以见十二官辰斗柄所指,时节气候,为之转移。当其时倘病伤寒,医人宜随时气立论,则用药始可十全。所以仲景也云须洞解之也。一是仲景六经篇中或有前不得不附之后,后不得不附之前者,则曰附例。或已经附注过,而原论中复及者,则曰重出例。或原论中,始及未经注过,宜附之后者,则曰附后例。其他如温病坏病,及病宜用刺,别立治法,各分其篇于后者,又诸汤方,宜附之后者,皆如上例也。六经篇中,惟中寒病,为真阴证,不入上例,止以重圈记之。其真阴寒证,宜用汤药,亦以重圈记之。一是此书凡系仲景论,成注有未妥者,间采方有执、喻嘉言、程郊倩及诸名家之说,不敢窃取。其所着书及姓氏必为标出。间附己意,则曰愚按。及设为或问,而余答也。一是此书既集仲景论,后必附昔贤及后人方论,悉属鄙意,逐条解明。然亦多方引证,不敢创为私说。务使论必中理,方必切病。愚切愿天下后世之人,但能读是书,虽遇伤寒变证,极奇之病,然疗之有法,施之辄效。业医者,不可不勉之。
又采辑书目后说:《伤寒辨证广注》,清长洲汪琥苓友青溪子辨注。书分一十四卷。始于康熙丙辰年重九,终于庚申年重五。四五年间,但应酬稍暇,不敢辍卷。虽祁寒酷暑,而平明灯火之功居多。脱稿后不再易其书。曰“辨证”者,辨仲景论中是伤寒,则集之也。曰“广注”者,广,以广其方论,如古今伤寒之书,皆采附也。注,以注其正文,不分仲景后贤,其论皆为解释,其方皆为详考也。至若仲景论中真寒证,别集中寒论三卷,即当续出。倘世俗之医,厌此书烦冗,欲检证寻方,如头痛发热等候,以为不便翻阅,则更有增补成氏《明理论》出焉。
【钱潢《重编张仲景伤寒证治发明溯源集》】十卷,现存。
自序说:天地间风寒暑湿之邪,皆可为病。人若中之,失治而致夭枉者多矣。虽古圣立法,载在《灵枢》《素问》两经之中。奈其义渊深,人莫能解。迨汉长沙守张仲景,悯宗族之沦亡,伤横夭之莫救,乃勤求古训,博采众方。撰用《素问》九卷、《八十一难》、《阴阳大论》、《胎胪药录》,并平脉辩证为《伤寒卒病论》合十六卷。实祖述黄岐之经义,论伊尹之汤液,追神农体箕子而作也。其书统载于《金匮玉函》中。华佗见之而叹曰:“此书可以活人。”晋玄晏先生皇甫谧作《甲乙经》,其论治伤寒,唯长沙一人。而宋文潞公《药准》云:“仲景书为群方之祖。”所以后起诸贤,虽千变万化,各鸣其所得,而无能逾越其矩度者。自西晋太医令王叔和编次仲景方论十卷,附以己意为三十六卷,而《卒病论》六卷,早已遗亡,不复得睹矣。至宋成无己,尊奉叔和,又注为《伤寒论》十卷。今所行于世者,究仅七卷,而前后舛错,六经混淆,使读之者,茫无端绪,检阅者漫难寻讨。如少阳诸证杂入太阳篇中,合病并病,散处三阳前后,结胸痞证,曾不分别阴阳,脏结三条,分隶四卷首尾,中风伤寒纷出,麻黄桂枝杂陈,坏病无从安置,疑为久远遗失,温病不知方法,谓非作者所长,致后人不知随证之治,而坏病遂无治法,概以麻黄桂枝治温,而温病每致云亡。凡此皆叔和编次之失,无己注释之病也。及宋奉议朱肱《活人书》一出,始变长沙之定法,而搅乱经文,可称作俑。明节庵陶萃截江网杀车槌告成,尽废仲景之原文,奄为己有,实为窃。新安方有执痛辟其非,《条辨》因之而作。江左喻嘉言指摘其谬,《尚论》由此而成。然皆经义未训,岂能澄清其浊乱,阴阳莫辨,安能洞悉其渊微。钱潢以鲁钝之质,自知谫劣,焉能少窥其渊奥。赖先人力学,仰聆训诲于童年。昔以知非之岁,忽犯伤寒,将成不……
[Zhou Yangjun's *Three Annotations on the Treatise on Cold Damage*] Sixteen volumes. Extant.
Preface states: Zhang Zhongjing is the sage of medicine, while cold damage (Shanghan) is a severe syndrome among diseases. Utilizing the wisdom of the sage, he sought to regulate the excessive or deficient states of Yin and Yang, and correct the disharmony of pulse patterns.
Thus, he clearly distinguished Wind-Cold and assigned them to the Six Channels (Liu Jing); differentiated Ying (Nutrient) and Wei (Defensive) Qi to identify interior and exterior locations. Based on the strength of Righteous Qi, he observed the deficiency or excess of Pathogenic factors, wrote treatises, and formulated prescriptions, ensuring that every administration was accurate. This indeed grasped the origin of creation and deeply explored the causes of disease. Therefore, reviving the dead was not difficult, and restoring life was within his grasp; this is truly the Great Dao. Ancient gentlemen who were good at learning would deeply ponder and extensively examine the principles of every matter and thing to understand their mysteries. They believed that only in this way could principles be mastered in the mind and efficacy become divine in application. Otherwise, one might rely on self-perceived ability, inevitably encountering obstacles, and even if exhausting all responses, how much more so for the medical path which is of utmost importance and whose manifestations are hard to predict, such as cold damage? I, Zhou Yangjun, have always loved medicine and vowed to revere Zhongjing, yet it is not easy to ascend the hall of Nanyang (Zhang Zhongjing). Thus, I took Wang Shuhe's compilation, Cheng Wuji's annotations, and Li Dongyuan's *This Matter Is Hard to Know*, referencing them for many years, yet felt lost like wading through a vast sea, blind as if closing my eyes. I then sought instruction from a certain master, who said, "Why do you torment yourself?" He then presented me with *Quan Sheng Ji*, *Liu Shu Qian Chui*, and *Huo Ren Shu*, saying, "These books are available; reading them makes understanding easy. Moreover, those today who claim to be proficient in medicine do not exceed these works." Alas, I became even more confused. We read the sage's books to seek benefit for the world, daring not claim merit, but first ensuring we commit no errors. Since prescribing formulas to treat diseases involves human lives, unless there is some alignment with the supreme sages' teachings, how dare one claim error-free medication? Thus, I continued to recite Zhongjing's scriptures without interruption regardless of heat or cold, never forgetting them in movement or rest. Did Zhongjing not say, "My clan was originally large; since the Jian'an era, within ten years, two-thirds died, seven-tenths from cold damage." Grieving past losses and mourning the helpless victims of premature death, he diligently sought ancient teachings, widely collected formulas, utilized nine volumes of *Su Wen*, *Ba Shi Yi Nan*, *Yin Yang Da Lun*, *Tai Lu Yao Lu*, combined with pulse differentiation and syndrome identification, compiling the *Treatise on Cold Damage and Sudden Diseases* into sixteen volumes. Although unable to cure all diseases, perhaps one can see the source of the disease by observing symptoms. If one explores what I have compiled, half the thinking is already done. Therefore, I repeatedly studied Yu Jiayan's *Shang Lun Pian*, hoping to understand the differences in Ying-Wei, exterior-interior, and the varying urgencies of sweating and purging methods. My mind suddenly cleared, and I confidently felt I had gained insights. In the Xinhai year, upon entering the capital, I studied under Master Lin of Beihai, and began receiving Fang Zhongxing's *Tiao Bian*. Upon opening the scroll, I realized the discussions in *Shang Lun* had transformed completely. However, Fang's writing was agile, originating from his own thoughts, obscuring his sources; no wonder Master Lin accused him of plagiarism. Yet I believe that in two thousand years, finding someone to commend this lost art and elucidate its meanings has been rare. Reflecting on Confucius's writings composed during the Spring and Autumn period, which only became clear and complete in the Song Dynasty due to the successive commentaries of Zhou Dunyi, Cheng Hao, Cheng Yi, Zhang Zai, and Zhu Xi—like the sun and moon in the sky with clouds not yet fully dispersed. Now, with *Tiao Bian* preceding and *Shang Lun* following, where the former lacked perfection, the latter must study with greater precision. Ultimately, this is to clarify the Great Dao. For years, following instructions, I found areas in the two masters' annotations that were not fully integrated. Daring not to copy blindly, I immersed myself in contemplation to gain insights, supplementing their omissions with several additional points, combining them into *Three Annotations*. Alas! If Jiayan had not come after Zhongxing, the mysteries of the sages would remain unseen; if Yangjun had not entered Master Beihai's door, Zhongxing's transmission would not have been obtained. Thus, predecessors faced difficulties, successors found ease; this is the natural course. If future gentlemen advance from this, fully revealing the depths and enlightening infinite minds, who can measure the extent? Nevertheless, the medical path is heavy; in ancient times, it was managed by rulers and ministers, later mostly belonging to those born with knowledge. Thus, obtaining the orthodoxy allows reversing creation, while losing the lineage increases premature death. When Zhang Zhongjing had not yet been recommended as a filial and incorrupt official, a physiognomist said, "Observing your meticulous thinking, you are likely a peerless excellent physician." Only with meticulous thinking can principles not be neglected, allowing one to perceive conditions and exhaust changes. Even the sage Zhongjing relied not on cleverness but on scholarship. Knowing to study principles and exhaust wisdom to honor life represents the culmination of the medical path. How lamentable that scholars of mediocre talent below average either alter existing books, plagiarize sentences, or falsely claim expert status, boasting to the world. Does this not contradict the sages? In the fifth month of Guihai year in the Kangxi era, Zhou Yangjun respectfully recorded.
General Rules state: *Treatise on Cold Damage* was compiled by Wang Shuhe, where Wind-Cold were confused, and channels and fu-organs mixed. Generally reading it, it is hard to distinguish clearly; carefully contemplating it, there is no depth or shallowness. Cheng Wuji annotated according to the text, while Fang and Yu followed each other's confusion. Although meanings were elaborated, layers remained difficult to investigate. I specifically organized details, reversed order, deleted false attributions, and clarified the rules of the Six Channels, hoping future learners could follow without chaotic chapters. This book focuses on Wind-Cold for cold damage; spring warmth, summer heat, fire coercion, concurrent syndromes, combined syndromes, zongjie (internal knotting), juxiong (chest binding), pi syndrome (epigastric fullness), jing-wetness, phlegm-disease, retained food, dongqi (moving qi), huoluan (cholera-like disorder), post-recovery complications, and yin-yang exchange are listed separately later, so readers find cold damage clear and miscellaneous diseases distinct. One, *Tiao Bian* clarifies reasoning sharply; *Shang Lun* offers profound and refreshing thought. Nearly twenty years since the Later Han, numerous annotations exist, making comparison difficult. Yet having mutual strengths and weaknesses, neither is fully integrated. I take their strengths, discard weaknesses; where both are imperfect, I offer my views for detailed explanation, aiming to align with scriptures and benefit learners. Thus forming *Three Annotations* to preserve forever. One, the one hundred thirteen formulas vary in odd/even numbers, yielding endless effects. Added or subtracted, names change. Though the sage's intent lies in the Mean, learners find it hard to fathom. Preferring *Quan Sheng Tang Yao* over the essence of the original treatise, I established theories after formulas, detailing herb properties and exploring intent. Though unlikely to match the sage's heart perfectly, deep seeking ensures no error. Repeatedly stating my earnest feelings, seeing is believing. One, the text "Sun Tai Jing fa yu yang, fa yu yin" (Taiyang channel originates from Yang, originates from Yin) is the main theme and key point. Fang's annotation treats Wind-Cold as Yin-Yang, a view also held by Yu. The Shaoyin chapter's beginning, "Just acquired, contrary fever, deep pulse," is the hardest part to understand in this channel, yet Fang and Yu failed to elucidate it. Similarly, in the Juxiong chapter, "Disease originates from Yang but is wrongly purged" is a major point of erroneous purging. Never before has anyone aligned with the true meaning of transmitting channels, avoiding echo-chamber附和, leaving a millennium-old mystery. I am not fond of differing from predecessors, but felt uneasy in my heart. After years of solitary meditation, joyfully clearing the fog, the golden needle has been passed; those with bright eyes should know. One, warm-heat and summer-heat pulse/syndrome rules appear in *Shang Lun* but are not the primary disease. Now listed separately. However, scriptures contain few items, formulas few paths; later experts' formulas and theories are not included. Having published the complete work in Genshen year, collecting various formulas and treatment cases, hoping to avoid Wang Shuhe's regret of missing pearls. This book started in Gengzi year of Shunzhi 17th year, completed in Ding Si year of Kangxi 16th year, printed in Guihai year of Kangxi 22nd year. Regarding hearsay and sight, I did not hesitate to revise and record, rain or shine, believing I had gains. Based on treating diseases, administering drugs yields immediate effect; applying this transformation is inexhaustible. Those determined to follow Changsha (Zhongjing) need not grieve at crossroads.
Wang Hu states: *Shanghan San Zhu* was compiled by Zhou Yangjun of Wumen during the Kangxi era, totaling sixteen volumes. Volume 1, Taiyang Upper Compilation, Wind injuring Wei syndromes. Volume 2, Taiyang Middle Chapter, Cold injuring Ying syndromes. Volume 3, Taiyang Lower Compilation, Ying and Wei both injured syndromes. Volume 4, Yangming Upper Compilation channel syndromes. Also Yangming Middle Chapter, Taiyang-Shaoyang-Zhengyang Yangming three syndromes, and contraindicated purgation syndromes. Also Yangming Lower Compilation, damaged syndrome treatments. Volume 5, Shaoyang Upper Compilation channel syndromes. Also Shaoyang Lower Compilation, damaged syndrome treatments. Volume 6, Taiyin Upper Compilation, transmitted channel syndromes. Taiyin Middle Chapter, zang-cold syndromes. Taiyin Lower Compilation, damaged syndrome treatments. Volume 7, Shaoyin Upper Compilation, transmitted channel syndromes. Shaoyin Middle Chapter, middle-cold syndromes. Shaoyin Lower Compilation, damaged syndrome treatments. Volume 8, Jueyin Upper Compilation, transmitted channel syndromes. Jueyin Middle Chapter, middle-cold syndromes. Jueyin Lower Compilation, Jueyin treatment methods. Volume 9, Fire coercion diseases. Volume 10, Zangjie-Juxiong-Pi disease chapter. Volume 11, Concurrent and Combined syndromes chapter. Volume 12, Jing-Wetness disease chapter. Volume 13, Phlegm-Retained Food disease chapter. Volume 14, Dongqi-Huoluan-Post-recovery-Yin-Yang Exchange disease chapter. Volume 15, Spring Warmth-Summer Heat disease chapter. Volume 16, Pulse methods chapter. The book mainly relies on *Tiao Bian* and *Shang Lun*. Where these two annotations are imperfect, personal opinions are added. The title *Three Annotations* is apt. Regrettably, he also considers Zhongjing's original text disordered; did Fang Shi initiate this?
[Wang Hu's *Extended Annotations on Differentiating Syndromes in Zhang Zhongjing's Treatise on Cold Damage*] Fourteen volumes. Extant.
Preface states: People's illnesses are mostly cold damage. Books on cold damage, Zhongjing is the sage. With one disease having 397 methods and 113 formulas, detailed enough, how can it be extended? Not knowing Zhongjing's book originates from *Nei Jing: Re Canon*, its discussion of Six Channel transmission is clear and distinct. Zhongjing expanded it into a book, leading to Wang Shuhe's additions and Cheng Wuji's annotations. The more it expands, the broader it becomes. Thus, my supplementing omissions and correcting errors to create this book has a basis. Furthermore, cold damage often arises from seasonal qi; thus, four seasons, eight festivals, 24 solar terms, and 72 pentads must be explained in detail. Cold damage transmits through meridians; thus, twelve channels in hands and feet must be diagrammed. Cold damage presents various syndromes; thus, 397 methods and 113 formulas must be thoroughly investigated and expanded. Cold damage sometimes uses acupuncture, a method rarely seen recently; thus, 59 acupoints for heat diseases must be recorded. I uniquely wonder why modern physicians only use Jie'an's compilation, simply because it is concise. However, ancient formula theories contain profound meanings. Without deep inspection, a slight deviation can instantly change life and death. It is not that I fear trouble, but I detest those who love simplicity and轻视 (disregard) people's lives, often causing death by mistake. Thus, supplementing what predecessors missed and expounding what they did not reveal, how can this book be omitted? Saying "Cold Damage is not Cold": Cold diseases are treated with hot agents, heat diseases with cool agents, a natural principle. Cold damage is named cold, but observed syndromes are all heat. I fear later generations stick to the name "Cold Damage" and mistakenly use hot agents, hence saying "Cold Damage is not cold." True cold penetrating the Three Yin occurs only in one or two cases. These present as cold, distinct from heat syndromes, named True Cold and compiled separately. On Double Ninth Day of Genshen year in Kangxi era, Changzhou Wang Hu Lingyou self-prefaced.
General Rules state: This book aims to differentiate Zhang Zhongjing's *Treatise on Cold Damage*. Zhongjing's theory on cold damage is based on *Su Wen: Re Canon*. His division of Six Channels follows *Ling Shu: Meridians*. I extracted texts from these two chapters, placing them before *Cold Damage Example* as Volume 1, so later generations respect Zhongjing, Xuanyuan, and Qibo. Zhongjing claimed to "transmit" rather than "create," showing his reliance on *Nei Jing*. One, *Nei Jing: Re Canon* text was annotated by Wang Bing (Tai Pu) first, Ma Shi (Xuan Tai) later. Some parts lack rationality; I supplemented with my views. One, Wang Shuhe compiled Zhongjing's formulas into ten volumes. Parts like *Cold Damage Example*, *Six Channel Pulse/Syndrome/Treatment Methods*, and *Yin-Yang Exchange/Post-Recovery Diseases* are genuine Zhongjing texts, fully included. Deleted parts include Volume 1 Pulse Methods and Volumes 7+ Sweating/Vomiting/Purging chapters, as these were Wang Shuhe's additions. Parts like Jing-Wetness-Huang three syndromes in Vol 2, and Huoluan in early Vol 7, are also Zhongjing's but excluded as miscellaneous diseases. One, Shuhe's Six Channel chapters misplaced Yangming-Shaoyang diseases in Taiyang, Taiyang in Yangming, mixed Middle-Cold into Taiyang-Yangming, and into Three Yin heat diseases. Now corrected. All Three Yang diseases return to their respective chapters. Middle-Cold diseases are separated into Upper/Middle/Lower three volumes, distinguishing True Cold, so learners know the difference between Cold Damage and Middle-Cold, avoiding errors. One, Zhongjing's meridian theory divides into Six Channels, not mentioning hands/feet. Actually, hand and foot channels are involved. I diagrammed *Ling Shu* Hand-Foot Yin-Yang Six Channels after *Re Canon* in Vol 1, primarily using Hua Shou's (Slip Family) expansion, correcting errors with my views. One, refuting *Cold Damage Examples*. Many have done so; I follow the majority. But Zhongjing's book contains Four Seasons/Eight Festivals disease determination methods, the core outline. Current books omit this, except *Zhun Sheng* retains the text, though Cheng Wuji didn't annotate it. I explain in detail to show how celestial bodies and seasons shift climate. If catching cold damage then, physicians should adjust formulas accordingly for perfection, as Zhongjing advised understanding thoroughly. One, in Six Channel chapters, some precede/follow logically, termed "Attached Example"; some repeat previously annotated items, termed "Repeated Example"; some mention new unannotated items to be attached later, termed "Attach Later Example." Others like Warm Disease/Damaged Syndrome/Acupuncture treatments are separated into later chapters. Formulas are attached similarly. In Six Channel chapters, only Middle-Cold is True Yin Syndrome, marked with double circles, not fitting above examples. True Yin-Cold syndromes requiring decoctions are also double-circled. One, for Zhongjing's theories where Cheng's notes are inadequate, I occasionally cite Fang Youzhi, Yu Jiayan, Cheng Jiaoqian, and others, citing sources. Personal comments are marked "Yu An" (Foolish Analysis) or Q&A format. One, after collecting Zhongjing's theories, I appended ancients' and later experts' formulas/theories, explaining each item. Citing extensively, avoiding private theories, ensuring logical arguments and applicable formulas. I sincerely hope readers, even facing bizarre cold damage variations, will find effective treatments. Physicians must strive for this.
Bibliography Postscript: *Shanghan Bianzheng Guangzhu* by Qing Changzhou Wang Hu Lingyou Qingxizi. Fourteen volumes. Started Double Ninth Day of Bingchen year, ended Fifth Day of Genshen year. Over four-five years, working whenever free, enduring extreme cold/heat, studying by lamplight. Finalized without revision. "Bianzheng" differentiates cold damage in Zhongjing's text. "Guangzhu" extends formula theories by including ancient/modern cold damage books. "Zhu" annotates main text, explaining theories and examining formulas regardless of author. True Cold syndromes in Zhongjing are collected in *Zhonghan Lun* (Three Volumes), to be published sequentially. If physicians dislike verbosity and want quick reference for headaches/fevers, supplementary Cheng's *Mingli Lun* is available.