沈德潜曰。尤怡。字在京。江南长洲人。布衣。昔皮袭美寓临顿里。陆鲁望自甫里至。与之定交倡和。其地
为皮市。在京居其地。周子 村亦至自甫里。相与赋诗。恰符皮陆也。在京就韩伯休术。欲晦姓名。诗亦不求人
知。而重其诗者。谓唐贤得三昧。远近无异词云。(国朝诗别裁)
〔徐氏(大椿)伤寒类方〕一卷 存
自序曰。王叔和伤寒例云。今搜采仲景旧论,录其证候诊脉。声色对病真方。拟防世急。则知伤寒论。当时
已无成书。乃叔和之所搜集者。虽分定六经。而语无诠次。阳经中多阴经治法。阴经中多阳经治法。参错不一。
后人各生议论。每成一书。必前后更易数条。互相訾议。各是其说。愈更愈乱。终无定论。不知此书非仲景根据经
立方之书。乃救误之书也。其自序云。伤夭横之莫救。所以寻求古训。博采众方。盖因误治之后。变证错杂。必
无循经现证之理。当时着书。亦不过随证立方。本无一定之次序也。余始亦疑其有错乱。乃探求三十年。而后悟
其所以然之故。于是不类经而类方。盖方之治病有定。而病之变迁无定。知其一定之治。随其病之千变万化。而
应用不爽。此从流溯源之法。病无遁形矣。至于用药。则各有条理。解肌发汗。攻邪散痞。逐水驱寒。温中除热。
皆有主方。其加减轻重。又各有法度。不可分毫假借。细分之不外十二类。每类先定主方。即以同类诸方附焉。
其方之精思妙用,又复一一注明。条分而缕析之。随以论中用此方之证。列于方后。而更发明其所以然之故。使
读者于病情药性。一目显然。不论从何经来。从何经去。而见证施治。与仲景之旨。无不吻合。岂非至便之法乎。
余纂集成帙之后。又复钻穷者七年。而五易其稿。乃无遗憾。前宋朱肱活人书。亦尝汇治法于方后。但方不分类。
而又无所发明。故阅之终不得其要领。此书之成。后之读伤寒论者。庶可以此为津梁乎。乾隆二十四年。岁在屠
维单阏。阳月上浣。洄溪徐大椿序。
四库全书提要曰。伤寒类方一卷。国朝徐大椿撰。世传后汉张机伤寒论。乃晋王叔和搜采成书。本非机所编
次。金
聊城成无己始为作注。又以己意。移易篇章。自后医家。屡有刊定。如治尚书者之争洪范武成。注大学人之争古
本今本。迄于有明。终无定论。大椿以为非机根据经立方之书。乃救误之书。当时随证立方。本无定序者。于是削
除阴阳六经门目。但使方以类从。证随方列。使人可案证以求方。而不必循经以求证。虽于古人着书本意。未必
果符。而于聚讼纷呶之中。芟除藤蔓之一术也。其中如大青龙汤下。注云。脉浮缓。身不疼。但重。乍有轻时。
无少阴证者。此汤主之。大椿则以为病情甚轻。不应投以麻黄桂枝石膏。此条必有舛误。又甘草茯苓汤下注云。
伤寒汗出而渴者。五苓散主之。不渴者。此汤主之。大椿则以为此汗出者。乃发汗后汗出不止。非伤寒自汗。其
辨证发明。亦多精到。凡分一十二类。计方一百一十有三。末附六经脉法。又论正证之外。有别证变证。附以刺
法。皆有原委可寻。自谓七年之中。五易草稿乃成云。
〔黄氏(元御)伤寒悬解〕十五卷 未见
四库全书提要曰。伤寒悬解十五卷。国朝黄元御撰。是书大旨。谓汉张机因针灸刺法已亡。而着伤寒论。以
治外感之疾。其理则岐黄越人之理。其法则因岐黄越人之针刺。而变通之。立六经以治伤寒。从六气也。制汤丸
以疗感伤。守五味也。凡脉法八十三章。六经经证。以及入腑传脏之里证。误行汗吐下之坏病。三百六十八章。
外感之类证。汗吐下宜忌。八十章。共五百三十七章。合百十三方。自晋王叔和混热病于伤寒。后来坊本杂出。
又有传经为热。宜中为寒之说。而伤寒亡矣。且简编亦多失次。因为解其脉法,详其经络。考其常变。辨其宜忌。
凡旧文之讹乱者。悉为更定。末
载驳正叔和序例一卷。以纠其失。其持论甚高。考伤寒论旧本。经王叔和之编次。已乱其原次。元御以为错文。
较为有据。与所改素问灵枢难经。出自独断者不同。然果复张机之旧与否。亦别无佐证也。
〔戴氏(震)伤寒论注〕未见
按上见于扬州画舫录。
〔唐氏(千顷)汉长沙原本伤寒论注疏〕未见
按上见于文房肆考。
〔沈氏(金鳌)伤寒论纲目〕十六卷 存
凡例曰。是书。各循三阳三阴之六经。而析六经所发之款。证不循经。但据款析言之。则如各经皆有头痛
之类。难于识别。不析款。但循经挨言之。则又根据文顺义。不能令识者一览易晓。故循经析款。是书所由以成。
一仲景伤寒书。自叔和窜乱后。其六经条款。凡注释家。各以意为前后。讫无一定。独柯氏论注。其分隶六经者。
颇有理据。今纲目所定。皆根据柯本。 一论者。即仲景之伤寒论。继仲景而言者。亦为伤寒论也。 一纲也者。
以为主也。伤寒之论。创自仲景。故独主仲景。而取其论以为纲。目也者。以为发明也。仲景论后。说者无虑千
百家。然或偏或驳。或浅或庸。无足取者甚多。故独采叔和以下若干家。各摘其语之尤精且当者。以为目。 一
各经各款。引仲景之论为纲。固已。或有遗而未备者。必其与逐款无关。不便夹入。或语意与所已录者。大同小
异。故亦置之。亦有条款太繁。不必备录者。阅者当为意会。毋以挂漏为咎。一各经条款。彼此相同。如各经俱
备载。毋论已。其有详于此经。不复赘于他经者。或因候治相同者。或因所列之款。相互须彼此连及。
故他经不必再详。阅者当以意会。前后参看。毋得拘泥。一采辑前人诸说。或由理势所及。或因仲景论之前后相
附。不以世代之远近为拘。 一诸家方论。俱系专集。择其至精至当者录之。固已骈珠刻玉。各咀其英。各撷其
髓矣。
〔吴氏(仪洛)伤寒分经十卷〕 存
凡例曰。仲景原文。文义深奥。其中自有层次转折。因窃效程子说诗法。为之句栉字比。添细注。以联贯而
疏明之。务使经义了然。不放妄为穿凿。 一王叔和编次大纲。混于节目之中。无可寻绎。喻氏则先振举其大纲。
次详其节。将三百九十七法。分隶于大纲之下。极得分经之妙。因名之曰分经, 一王叔和编次之乱。序例之误。
及林亿成无己校注之多差。尚论篇中。辨之甚详且明。兹集不重录。
四库全书提要曰。伤寒分经十卷。国朝吴仪洛撰。此书为其医学述之第五种。取喻嘉言所撰尚论篇。重为订
证。凡太阳经三篇阳明经三篇。太阴经一篇。少阴经二篇。厥阴经一篇。春温三篇。夏热一篇。脉法二篇。诸方
一篇。补卒病论一篇。秋燥一篇。共十有九篇。
〔郑氏(重光)伤寒论条辨续注〕十二卷 未见
四库全书提要曰。伤寒论条辨续注十二卷。国朝郑重光撰。重光字在辛。歙县人。明万历中。方有执作伤寒
论条辨。号为精审。后喻昌因之。作尚论篇。张璐因之。作伤寒缵论。程郊倩因之。作后条辨。互有发明。亦各
有出入。然诸书出。而方氏之旧本遂微。重光为有执之里人。因取条辨原本。删其支词。复旁参喻昌等三家之说。
以己意附益。名曰续注。卷首仍题有执之名。明不忘所本之意也。
〔舒氏(诏)再重订伤寒集注〕十卷 存
自序曰。嗟夫医难言矣。不通仲景之书。不足以言医。然其书未易通也。自汉迄今。疏释者数十家。大都得
失相参。均之无当。惟西昌喻嘉言奋起于千数百年之后。条晰博辨。其旨趣始明于世。而缀学浅识。犹往往背而
议之。求能通喻氏之书者。盖亦寡也。予少好医方。每苦于难通。获交南昌罗先生子尚。盖亲承嘉言口授。曰。
某得师传要妙。确守数十年。而未传于徒。年将八旬。时光短矣。惧其传之或失。丞欲得其人而传之。今子颖敏
而坚锐。可当吾意。乃举所得于嘉言者。以传于诏。诏盖耸然起。惶然谢。敬受其书而读焉。旷若蒙之发。底之
脱也。于是所至皆有验。然而仲景之书。虽由尚论而明。其间遗义尚多。故读者不得其口授。亦鲜能通也。诏不
敢苟安于黯混。听之以贻其误。于是不揆薄劣。参考百家。征以症治。出其一知半解。补而详之。殚精瘁神十余
年。始克集注成编。不可谓非难也。二三同志。怂涌刻之行世。历有年所。竟鲜有寻瑕索瘢。匡予之不逮者。予
心殊未慊也。然予既深知其难。又安敢因人莫我訾。遂忘其难。而遽以是自画乎哉。常耿耿孜孜。行若忘。坐若
遗。如是者。十年于兹矣。自觉阅历多。而识见广。学与年而俱进。乃取原刻。删之补之。重镌以问世。至今又
十年矣。所历所验。愈多愈确。于是复加订定。或庶几稍通旨趣。可告无罪于同志君子乎。抑或等之诸家疏释。
均归无当乎。爰再重刻。以就正高明。冀有攻予之短者。予乐得闻。而喜有益焉。不惮三订四订。累烦剞劂也。
大清乾隆三十五年庚寅春王正月元旦后五日。慎斋学人舒诏驰远谨识。
凡例曰。仲景伤寒论。洵医家之要典也。自经兵燹。卷帙散轶。其所存者。仅得之当时读者之口授。故其篇
目失
次。缺而不完。王叔和于尚可搜求之际。乃不深加考订。而杂以伪撰成编。阴阳舛错。颠倒无伦。其后历代相沿。
未及精察。西昌喻嘉言始为削去伪撰。清出原文。止存三百六十条。爰着尚论篇。条晰诸法。纲举目张。厘正六
经。井井不紊。义例之善。无出其上。故是书篇目。一一遵之。而不敢易。 一喻嘉言尚论三百九十七法。未及
一百一十三方。后人惜其方论未备。稍有余憾。其徒徐忠可原方发明。所由作也。然亦择焉而未精。语焉而未详。
且方论别为一集。简阅终非至便。今是书即列原方于本条之下。扩充徐氏之意。博采诸家论者。以明其立方之旨。
命名之义。并将药性。逐一讲明。某药所以能治某病之故。而某药又有宜于此。不宜于彼者。俱有至理存焉。俾
学人读仲景治病之法。即就便以考主治之方。而无翻阅之劳。是亦涓埃之助也。 一是书。原为初学而设。不尚
辞藻。凡先贤论说闲文。概置不录。或辞多于意者。纂其要而登之。或意隐于辞者。微加损益。以显捷而出之。
或先贤有不经意之字。及后世传讹倒乱之句。皆以理正之。极知 越无似。然辅授先贤之意。引诱后来之心。
大不获已。救世之君子。其必有以谅我也。 一是书。凡主脑及关键处。每字上加大圈。凡挈明脉证。及比类处。
旁加尖圈。凡精义处。旁加密点。凡紧要处,旁加连圈。以便省览。 一是书。稿成于己未。刻于庚午。重刻于
庚辰。于今又十载矣。自觉阅历愈多。而识见愈确。于是殚厥心力。再加订正。凡有未详者益之。冗者删之。可
废者去之。回视前刻。焕然改观焉。今再重刻以问世。冀幸高明或有以教我也。
沈德潜说:尤怡,字在京,是江南长洲人,平民身份。从前皮日休(字袭美)居住在临顿里,陆龟蒙(字鲁望)从甫里来到那里,与他结为朋友并互相唱和诗歌,那个地方被称为“皮市”。尤怡居住在那里,周在村也从甫里来到这里,大家在一起赋诗,恰好符合唐代诗人皮日休和陆龟蒙的典故。尤怡向韩伯休学习医术,想要隐藏自己的姓名,他的诗也不求被人知晓,但重视他诗作的人,认为他深得唐代贤人的精髓,远近之人对此没有异议。(出自《国朝诗别裁》)
〔徐大椿(名大椿)《伤寒类方》〕一卷 现存
自序说:王叔和在《伤寒例》中说:“如今搜集采择张仲景的旧论,记录其中的证候、诊脉、声色与疾病对应的真方,以防备世间的急难。”由此可知,《伤寒论》在当时已经不成书了,乃是王叔和所搜集整理的。虽然划分确定了六经,但言语没有条理次序,阳经中多包含阴经的治疗方法,阴经中多包含阳经的治疗方法,参差错乱不一。后人各自产生议论,每写成一本书,必定前后更改数条条文,互相指责非议,各持己见,越改越乱,最终没有定论。不知道这本书不是张仲景根据经络理论创立方剂的书,而是救治误治错误的书。它自己的序言说:“面对夭折横死的无法挽救,所以寻求古代训诫,广泛采集各方药方。”大概是因为经过误治之后,变证错杂复杂,必然没有按照经络显现常规证候的道理。当时著书,也不过是随着证候创立方剂,本来就没有一定的次序。我起初也怀疑其中有错乱,于是探求了三十多年,才领悟到它之所以这样的原因。于是不按经络分类而按方剂分类。因为方剂治病有固定的法则,而病情的变化没有固定法则。知道了这固定的治疗方法,随着病情的千变万化而应用,就不会出差错。这是顺着水流追溯源头的办法,病情就无法隐藏形迹了。至于用药,则各有条理。解肌发汗,攻邪散痞,逐水驱寒,温中除热,都有主方。其加减轻重,又各有法度,不可丝毫借用。细分起来不外乎十二类。每类先确定主方,就把同类其他方剂附在后面。其中方剂的精思妙用,又一一注明,条分缕析地分析。随即把《伤寒论》中使用此方的证候,列在方剂后面,进而阐明其所以这样做的道理,使读者对病情和药性,一目了然。不论病从何经传来,去往何经,都是见证施治,与张仲景的宗旨,无不吻合。这难道不是最方便的方法吗?我编纂成书之后,又钻研穷究了七年,五次修改稿子,才没有遗憾。前宋朱肱的《活人书》,也曾汇聚集治法于方剂之后,但方剂不分类,而且没有什么阐发发明,所以阅读它始终抓不到要领。这本书的完成,后来的读《伤寒论》者,或许可以把它作为渡河的桥梁吧。乾隆二十四年,岁次屠维单阏(甲戌年),阳月(十月)上旬,洄溪徐大椿作序。
四库全书提要说:《伤寒类方》一卷,清代徐大椿撰写。世间流传的后汉张机(张仲景)《伤寒论》,乃是晋代王叔和搜集整理而成的书,本来就不是张机自己编排的。金代聊城人成无己开始为它作注,又用自己的意思,移动变换篇章。从此以后医家,多次刊定校正,比如治理尚书的人争论《洪范》和《武成》,注释《大学》的人争论古本和今本,直到明代,终究没有定论。徐大椿认为这不是张机根据经络创立方剂的书,而是救治误治错误的书。当时随着证候创立方剂,本来就没有固定次序。于是削除阴阳六经的门目标签,只让方剂以类别跟随,证候随方剂列出,使人可以根据证候来求取方剂,而不必遵循经络来求证候。虽然对于古人著书的原本意图,未必完全相符,但在众说纷纭、争吵不休之中,这也是剪除藤蔓杂乱的一种方法。其中如大青龙汤下,注文说:“脉浮缓,身体不疼,只是沉重,偶尔有减轻的时候,没有少阴证的患者,用此汤主治。”徐大椿则认为病情很轻,不应该投用麻黄、桂枝、石膏,这一条必定有错误。又在甘草茯苓汤(注:此处原文似有误,通常指五苓散证对比,或指茯苓甘草汤等,依原文直译)下注说:“伤寒出汗且口渴的,用五苓散主治;不口渴的,用此汤主治。”徐大椿则认为这个出汗,是发汗后汗出不止,不是伤寒自汗。其辨证发明,也多精当到位。共分十二类,计方一百一十三首。末尾附有六经脉法,又论述正证之外,有别证变证,附上刺法,都有原委可寻。自称七年之中,五次修改草稿才完成。
〔黄元御《伤寒悬解》〕十五卷 未见
四库全书提要说:《伤寒悬解》十五卷,清代黄元御撰写。这本书的大旨意,认为汉代张机因为针灸刺法已经失传,而撰写《伤寒论》,用来治疗外感疾病。它的理则是岐伯、黄帝、扁鹊(越人)的理,它的方法是依据岐伯、黄帝、扁鹊的针刺,而加以变通。确立六经来治疗伤寒,是顺应六气。制作汤丸来疗治感伤,是坚守五味。凡是脉法八十三章,六经经证,以及入腑传脏的里证,误行汗、吐、下的坏病,三百六十八章,外感之类证,汗、吐、下的宜忌,八十章,共五百三十七章,合一百一十三方。自从晋代王叔和把热病混入伤寒,后来坊间版本杂出,又有传经为热、宜中为寒的说法,而伤寒的真义就亡失了。而且简编也多失次序,因此解释它的脉法,详述它的经络,考证它的常变,辨别它的宜忌。凡是旧文中讹误混乱的,都予以更正。末尾载有驳正王叔和序例一卷,以纠正它的失误。他的持论很高明,考证《伤寒论》旧本,经过王叔和的编次,已经打乱了原来的次序。黄元御认为是错文,比较有依据,与他擅自修改《素问》《灵枢》《难经》不同。然而是否真的恢复了张机的旧貌,也没有别的佐证。
〔戴天章(震)《伤寒论注》〕未见
按:上述见于《扬州画舫录》。
〔唐宗海(千顷)《汉长沙原本伤寒论注疏》〕未见
按:上述见于《文房肆考》。
〔沈金鳌《伤寒论纲目》〕十六卷 现存
凡例说:这本书,各自遵循三阳三阴的六经,而分析六经所发的条款。证候不遵循经络,只根据条款分析来说明,那么就像各经都有头痛之类的,难以识别。不分析条款,只遵循经络挨个来说,那么又根据文字顺承义理,不能令识者一览就明白。所以遵循经络分析条款,是这本书形成的原因。
一、张仲景的伤寒书,自从王叔和窜乱之后,其六经条款,凡是注释家,各自凭主观意志排列前后,始终没有一定。唯独柯琴(柯氏)的《伤寒论注》,其分隶六经的,颇有理据。现在《纲目》所确定的,都根据柯氏的版本。
一、“论”者,就是张仲景的《伤寒论》,继张仲景之后说话的,也称为《伤寒论》。
一、“纲”者,以为主要。伤寒的论,创始于张仲景,所以独尊张仲景,而选取他的论作为纲。
一、“目”者,以为发明。张仲景论之后,解说的人无虑千家百家,然而有的偏颇有的驳杂,有的浅薄有的平庸,不值得取的很多。所以只采摘王叔和以下的若干家,各摘取他们话语中尤其精当恰当的,作为目。
一、各经各款,引用张仲景的论作为纲,固然如此。或者有遗漏而未完备的,一定是它与逐款无关,不便夹入,或者语意与已收录的,大同小异,所以也放置不管。也有条款太繁复,不必全部录入的,读者应当意会,不要以挂漏为过错。
一、各经条款,彼此相同,如各经都备载,不用说。其中有详细于此经,不再赘述于他经的,或因候治相同者,或因所列之款,相互须彼此连及,所以他经不必再详,读者应当意会,前后参看,不得拘泥。
一、采辑前人诸说,或由理势所及,或因张仲景论的前后相附,不以世代的远近为拘束。
一、诸家方论,俱系专集,选择其中至精至当的录入,固然已是骈珠刻玉,各咀其英,各撷其髓了。
〔吴仪洛《伤寒分经》〕十卷 现存
凡例说:张仲景原文,文义深奥,其中自有层次转折,于是私下效仿程子说诗的方法,为之句栉字比(像梳子和齿梳一样细致排列),添加细注,以联贯而疏明之。务必使经义了然,不放妄为穿凿。
一、王叔和编次的大纲,混杂在节目之中,无可寻绎。喻嘉言则先振举其大纲,次详其节,将三百九十七法,分隶于大纲之下,极得分经的妙处。于是命名为《分经》。
一、王叔和编次的混乱,序例的错误,以及林亿、成无己校注的多处差错,《尚论篇》中辨之甚详且明。此集不重录。
四库全书提要说:《伤寒分经》十卷,清代吴仪洛撰写。此书是其医学著作的第五种,取喻嘉言所撰《尚论篇》,重新订证。凡是太阳经三篇,阳明经三篇,太阴经一篇,少阴经二篇,厥阴经一篇,春温三篇,夏热一篇,脉法二篇,诸方一篇,补卒病论一篇,秋燥一篇,共十九篇。
〔郑重光《伤寒论条辨续注》〕十二卷 未见
四库全书提要说:《伤寒论条辨续注》十二卷,清代郑重光撰写。郑重光字在辛,歙县人。明代万历年间,方有执作《伤寒论条辨》,号称精审。后来喻昌(喻嘉言)因循它,作《尚论篇》,张璐因循它,作《伤寒缵论》,程郊倩因循它,作《后条辨》,互有发明,也各有出入。然而这些书出来后,方氏的旧本就微弱了。郑重光是方有执的同乡,于是取《条辨》原本,删去支离的词句,又旁参喻昌等三家之说,以自己的意思附益,命名为《续注》。卷首仍题有方有执的名字,表明不忘本源的意思。
〔舒诏《再重订伤寒集注》〕十卷 现存
自序说:唉,医道难言啊。不通晓张仲景的书,不足以言医。然而这本书不容易通晓。自从汉代到现在,疏释者几十家,大都得失参半,都不恰当。只有西昌喻嘉言奋起于千数百年之后,条晰博辨,其旨趣才开始明了于世。然而学识浅薄的人,往往背弃而议论它。能通晓喻氏之书的人,大概也很少。我年轻时喜好医方,常常苦于难以通晓,结交南昌罗先生子尚,他是亲承喻嘉言口授的。他说:“我得到师传的要点,确守数十年,但未传授给徒弟。年纪将近八十,时光短了,怕传承丢失,想寻找合适的人来传承。如今你聪颖敏锐坚定,可当我的心意。”于是把他所得于喻嘉言的,传授给我。我耸然惊起,惶恐谢罪,恭敬接受他的书而读它。开阔得像盲人睁开眼,底部脱落束缚一样。于是所到之处都有验效。然而张仲景的书,虽然由《尚论篇》而明,其间遗义还多,所以读者得不到口授,也很少能通晓。我不敢苟安于昏暗混淆,听任它贻误后人,于是不揣测自己浅薄,参考百家,征以症治,提出一知半解,补充而详之,殚精竭虑十余年,才集注成编,不能说不是难事。二三同志,怂恿刻印发行于世,历经多年,竟然很少有人寻瑕索瘢,匡正我的不足。我心里很不满足。然而我既然深知其难,又怎敢因为没有人非议我,就忘记其难,而就此自我画限呢?常常耿耿于怀,孜孜不倦,行走时像忘了什么,坐着时像遗失了什么,像这样十年了。自觉阅历多,而见识广,学问与年龄一起进步,于是取原刻,删之补之,重新镌刻问世。到现在又十年了。所经历所验证的,越多越确切,于是再加订定,或许稍微通晓旨趣,可以向同志君子告无罪了吧。或者等同于诸家疏释,都归于不恰当呢?于是再次重刻,以请教高明之士,希望有攻击我短处的人,我乐意听闻,并且喜有益处。不怕三次四次订正,累烦刻工。大清乾隆三十五年庚寅年春王正月元旦后五日,慎斋学人舒诏驰远谨识。
凡例说:张仲景《伤寒论》,确实是医家的要典。自从经过兵火战乱,卷帙散佚,其所存的,仅得之于当时读者的口授,所以其篇目失次,缺而不全。王叔和在尚可搜求之际,却不深入考订,而杂以伪撰成编,阴阳错乱,颠倒无序。其后历代相沿,未及精察。西昌喻嘉言开始削去伪撰,清出原文,只存三百六十条。于是著《尚论篇》,条晰诸法,纲举目张,厘正六经,井井不紊。义例之善,没有超过它的。所以这本书的篇目,一一遵从其说法,而不敢改变。
一、喻嘉言《尚论》三百九十七法,不及一百一十三方,后人可惜其方论未备,稍有余憾。他的徒弟徐忠可作《原方发明》,由此而生。然而也是择焉而未精,语焉而未详,且方论别为一集,简阅终非至便。现在这本书即列原方于本条之下,扩充徐氏之意,博采诸家论者,以明其立方之旨,命名之义,并将药性,逐一讲明。某药所以能治某病的缘故,而某药又有宜于此,不宜于彼者,俱有至理存焉。使学人读张仲景治病之法,即就便以考主治之方,而无翻阅之劳,这也是涓埃之助。
一、这本书,原为初学者而设,不崇尚辞藻。凡是先贤论说闲文,概置不录。或辞多于意的,纂其要而登之。或意隐于辞的,微加损益,以显捷而出之。或先贤有不经意之字,及后世传讹倒乱之句,皆以理正之。极知我无能,然而辅佐传授先贤之意,引诱后来之心,大不获已。救世的君子,其必有以谅解我吧。
一、这本书,凡主脑及关键处,每字上加大圈。凡挈明脉证,及比类处,旁加尖圈。凡精义处,旁加密点。凡紧要处,旁加连圈。以便省览。
一、这本书,稿成于己未年,刻于庚午年,重刻于庚辰年,到现在又十载了。自觉阅历愈多,而见识愈确切,于是殚厥心力,再加订正。凡有未详者益之,冗者删之,可废者去之。回视前刻,焕然改观焉。现在再重刻以问世,冀幸高明或有以教我也。
Shen Deqian stated: You Yi, courtesy name Jingzai, was a commoner from Changzhou, Jiangnan. In the past, Pi Ximei (Pi Rixiu) resided in Lindun Li, and Lu Luwang (Lu Guimeng) came from Fuli to meet him, establishing friendship and exchanging poems. This place became known as "Pi Market." You Yi lived there, and Zhou Cun also arrived from Fuli, and they composed poetry together, fittingly echoing the Tang dynasty poets Pi and Lu. You Yi studied medicine under Han Boxiu, wishing to conceal his name, and his poetry sought no recognition. However, those who valued his poetry believed he had grasped the essence of Tang literati, with no dissenting voices from near or far. (From *Guochao Shie Cai*)
[ Xu Dachun's *Shanghan Leifang* (Classification of Formulas for Cold Damage)] One volume. Extant.
Preface by the author states: Wang Shuhe, in the *Shanghan Li* (Examples of Cold Damage), said, "Now I have collected and selected Zhang Zhongjing's old treatises, recording their symptoms, pulse diagnoses, voice and color observations corresponding to diseases, and true formulas, to guard against emergencies in the world." From this, we know that *Shanghan Lun* (Treatise on Cold Damage) was not a complete book at that time, but rather something collected and compiled by Wang Shuhe. Although it divided and established the Six Channels (Liu Jing), the language lacked logical order; the Yang channels contained treatment methods for Yin channels, and vice versa, resulting in a disordered mix. Later scholars generated various discussions; each new book inevitably altered several clauses, criticizing each other, each asserting their own views, leading to increasing confusion without a definitive conclusion. They did not realize that this book was not a work where Zhang Zhongjing created formulas based on meridian theory, but rather a book for correcting errors caused by mis-treatment. Its own preface states, "Facing untimely death and sudden disasters that cannot be saved, I sought ancient teachings and widely collected various formulas." This is likely because after mis-treatment, the transformed syndromes become complex and mixed, making it impossible to follow the standard presentation of syndromes according to meridians. The original writing was simply creating formulas according to symptoms, without a fixed sequence. I initially also suspected disorder, but after thirty years of exploration, I understood the reason. Thus, I classified by formula rather than by meridian. Because formulas have fixed therapeutic effects for diseases, while disease changes are variable. Knowing the fixed treatment allows for application amidst the myriad changes of disease without error. This is the method of tracing the source from the stream, leaving no room for diseases to hide their forms. Regarding medication, there are clear principles: releasing the muscle layer and inducing sweating, attacking pathogens and dissipating masses, draining water and driving out cold, warming the middle and clearing heat—all have principal formulas. Their additions, subtractions, and dosage adjustments follow specific rules and cannot be borrowed arbitrarily. Divided finely, there are twelve categories. Each category first establishes a principal formula, followed by similar formulas. The profound thoughts and ingenious uses of these formulas are noted one by one, analyzed in detail. Subsequently, the syndromes in *Shanghan Lun* using these formulas are listed after the formulas, further explaining the rationale, so that readers can clearly understand the disease conditions and drug properties at a glance. Regardless of which channel the disease comes from or goes to, treating based on observed syndromes aligns perfectly with Zhang Zhongjing's intent. Is this not the most convenient method? After compiling this work, I researched deeply for seven years, revising the manuscript five times, until I felt no regrets. Zhu Gong's *Huo Ren Shu* (Book of Living People) from the Song Dynasty also gathered treatment methods after formulas, but did not classify the formulas nor provide much insight, so reading it never revealed the key points. With the completion of this book, future readers of *Shanghan Lun* may use it as a bridge. Preface by Xu Dachun of Huixi, in the first ten days of the tenth month (Yang Month) of the year Ji Xu (1759).
Abstract from the *Siku Quanshu* (Complete Library of the Four Treasuries): *Shanghan Leifang*, one volume, written by Xu Dachun of the Qing Dynasty. The *Shanghan Lun* attributed to Zhang Ji (Zhang Zhongjing) of the Later Han Dynasty, which circulates in the world, was compiled by Wang Shuhe of the Jin Dynasty and was not originally arranged by Zhang Ji himself. Cheng Wuji of Liaocheng during the Jin Dynasty was the first to annotate it, rearranging chapters according to his own ideas. Since then, physicians have repeatedly revised it, such as debates over the *Hongfan* and *Wucheng* chapters of the *Shangshu*, or the ancient versus modern editions of the *Daxue*. Until the Ming Dynasty, no consensus was reached. Xu Dachun believed it was not a book where Zhang Ji created formulas based on meridians, but a book for correcting errors. At that time, formulas were created according to symptoms, without a fixed order. Thus, he removed the headings of Yin/Yang and Six Channels, letting formulas follow their categories and syndromes follow the formulas, allowing people to seek formulas based on syndromes rather than seeking syndromes based on meridians. Although this may not strictly match the original intent of the ancients, it is a method of pruning vines and branches amidst chaotic disputes. For example, under the Green Dragon Decoction (Da Qinglong Tang), the annotation says, "Pulse floating and slow, body does not ache but feels heavy, occasionally lighter, without Shaoyin syndrome, this decoction governs." Xu Dachun argued that the condition is very mild and should not receive Mahuang, Guizhi, and Shigao, suggesting this clause must contain an error. Under the Gancao Fuling Tang (Licorice and Poria Decoction - note: text implies comparison with Wuling San), it notes, "For cold damage with sweating and thirst, Wuling San governs; without thirst, this decoction governs." Xu Dachun argued that this sweating refers to continuous sweating after inducing diaphoresis, not spontaneous sweating from cold damage. His diagnostic insights are often precise. It divides into twelve categories, totaling 113 formulas. At the end, it attaches the pulse methods of the six channels, discusses special and transformed syndromes beyond standard ones, and includes acupuncture methods, all traceable to origins. He claimed it took seven years and five drafts to complete.
[Huang Yuanyu's *Shanghan Xuanjie* (Unraveling the Mystery of Shanghan)] Fifteen volumes. Not seen.
Abstract from the *Siku Quanshu*: *Shanghan Xuanjie*, fifteen volumes, written by Huang Yuanyu of the Qing Dynasty. The main idea of this book is that Zhang Ji of the Han Dynasty, because acupuncture techniques had been lost, wrote *Shanghan Lun* to treat external contraction diseases. Its principles follow those of Qibo, Huangdi, and Bian Que (Yueren); its methods adapt their acupuncture techniques. Establishing the Six Channels to treat cold damage follows the Six Qi. Creating decoctions and pills to treat contractions adheres to the Five Flavors. There are 83 chapters on pulse methods, 368 chapters on Six Channel manifestations, interior syndromes entering fu organs and zang organs, and mishandled diseases due to improper sweating, vomiting, or purging, 80 chapters on similar syndromes of external contractions and indications/contraindications for sweating, vomiting, and purging, totaling 537 chapters and 113 formulas. Since Wang Shuhe of the Jin Dynasty conflated warm diseases with cold damage, later printed editions introduced theories of transmission generating heat or interior cold, causing the true meaning of cold damage to be lost. Moreover, the text was often disordered. Therefore, he explained the pulse methods, detailed the meridians, examined constancy and variation, and distinguished indications and contraindications. All erroneous and chaotic old texts were corrected. At the end, he included a volume refuting Wang Shuhe's preface to correct its errors. His arguments were high-minded. Examining old versions of *Shanghan Lun*, Wang Shuhe's compilation had already disrupted the original order. Huang Yuanyu considered them erroneous texts, which is more grounded than his arbitrary revisions of *Suwen*, *Lingshu*, and *Nanjing*. However, whether he truly restored Zhang Ji's original text remains unverified.
[Dai Zhen's *Shanghan Lun Zhu* (Annotation of Shanghan Lun)] Not seen.
Note: Mentioned in *Yangzhou Huafang Lu*.
[Tang Qianqing's *Han Changsha Yuanben Shanghan Lun Zhushu* (Commentary and Sub-commentary on the Original Shanghan Lun of Han Changsha)] Not seen.
Note: Mentioned in *Wenfang Sikao*.
[Shen Jinao's *Shanghan Lun Gangmu* (Outline of Shanghan Lun)] Sixteen volumes. Extant.
General Rules state: This book follows the Six Channels of Three Yang and Three Yin, analyzing the clauses arising from each channel. Syndromes do not follow meridians but are analyzed by clauses; otherwise, similarities like headache across channels would be hard to distinguish. Conversely, merely following meridians without analyzing clauses makes it difficult for experts to understand at a glance. Thus, following meridians to analyze clauses is how this book was formed.
1. Zhang Zhongjing's *Shanghan* book, after being tampered with by Wang Shuhe, had its Six Channel clauses arranged arbitrarily by commentators, lacking consistency. Only Ke Qin's (*Ke Shi*) *Shanghan Lun Zhu* provided reasonable basis for assigning clauses to the Six Channels. The *Gangmu* relies on Ke's version.
2. "Lun" refers to Zhang Zhongjing's *Shanghan Lun*. Those speaking after Zhongjing are also discussing *Shanghan Lun*.
3. "Gang" means the main thread. Since Zhongjing initiated the discourse on cold damage, he is the sole authority, and his treatise serves as the main thread.
4. "Mu" means elaboration. After Zhongjing's treatise, thousands of commentators existed, many biased, flawed, shallow, or mediocre. Thus, only selected excerpts from Wang Shuhe onwards are chosen for their precision and appropriateness as the sub-themes.
5. For each channel and clause, citing Zhongjing as the main thread is essential. If omissions occur, they are excluded if irrelevant or too similar to existing records. Overly lengthy clauses are summarized; readers should infer context and not blame for omissions.
6. Identical clauses across channels need not be repeated. Readers should cross-reference and not be rigid.
7. Preceding scholars' opinions are cited based on logical relevance or textual proximity, regardless of chronological distance.
8. Formula discussions from various schools are selected for their excellence, akin to selecting pearls and jade.
[Wu Yiluo's *Shanghan Fenjing* (Differentiating Channels in Shanghan)] Ten volumes. Extent.
General Rules state: Zhang Zhongjing's original text is profound, with inherent layers and transitions. I imitated Cheng Zi's method of interpreting poetry, arranging words and sentences meticulously, adding detailed notes to connect and clarify. The goal is clarity without forced interpretation.
1. Wang Shuhe's compilation mixed the general outline with details, making it hard to trace. Yu Jiayan first highlighted the outline, then detailed the sections, distributing 397 methods under the outline, excellently differentiating channels. Hence the title *Fenjing*.
2. Wang Shuhe's disordered compilation, erroneous prefaces, and mistakes in Lin Yi and Cheng Wuji's annotations are detailed in *Shanglun Pian*. This collection does not repeat them.
Abstract from the *Siku Quanshu*: *Shanghan Fenjing*, ten volumes, written by Wu Yiluo of the Qing Dynasty. This is the fifth of his medical works, revising Yu Jiayan's *Shanglun Pian*. It includes three chapters on Taiyang, three on Yangming, one on Taiyin, two on Shaoyin, one on Jueyin, three on Spring Warmth, one on Summer Heat, two on Pulse Methods, one on Various Formulas, one supplementing the *Zubing Lun*, and one on Autumn Dryness, totaling nineteen chapters.
[Zheng Zhongguang's *Shanghan Lun Tiaobian Xuzhu* (Continued Annotation of Clause-by-Clause Analysis of Shanghan Lun)] Twelve volumes. Not seen.
Abstract from the *Siku Quanshu*: *Shanghan Lun Tiaobian Xuzhu*, twelve volumes, written by Zheng Zhongguang of the Qing Dynasty. Zheng, courtesy name Zaixin, was from Shexian. During the Wanli era of the Ming Dynasty, Fang Youzhi wrote *Shanghan Lun Tiaobian*, praised for its precision. Later, Yu Chang (Yu Jiayan) wrote *Shanglun Pian* based on it, Zhang Lu wrote *Shanghan Zuanchun*, and Cheng Jiaoqian wrote *Hou Tiaobian*. They developed each other's ideas but also differed. These books caused Fang's original version to fade. Zheng, a fellow townsman of Fang, took the original *Tiaobian*, deleted superfluous words, consulted Yu Chang and others, added his own insights, and named it *Xuzhu*. The title page retains Fang's name to honor the source.
[Shu Zhao's *Zai Chongding Shanghan Jizhu* (Re-revised Collected Annotations on Shanghan Lun)] Ten volumes. Extant.
Preface by the author states: Alas, medicine is difficult to discuss. Without understanding Zhang Zhongjing's book, one cannot speak of medicine. Yet this book is hard to comprehend. From the Han Dynasty to now, dozens of commentators have offered interpretations, mostly mixed in quality and none entirely adequate. Only Yu Jiayan of Xichang rose centuries later, clarifying and debating extensively, making the core meaning clear to the world. Yet shallow scholars often criticize it. Few truly understand Yu's work. I loved medical formulas in my youth but struggled to understand them. I met Master Luo Zishang in Nanchang, who received oral transmission directly from Yu Jiayan. He said, "I have kept the master's secrets for decades but have no disciple. Approaching eighty, time is short. I fear the transmission will be lost. I seek a worthy successor. You are sharp and determined, fitting my wish." He thus transmitted what he learned from Jiayan to me. I was startled, humbly accepted, and read the book. It was like opening eyes to the blind or removing shackles. Treatments proved effective wherever I went. However, although *Shanghan Lun* became clear through *Shanglun Pian*, many hidden meanings remained. Without oral transmission, few could fully grasp it. I dared not remain ignorant and cause harm. So, disregarding my inadequacy, I consulted hundreds of sources, verified with clinical cases, offered my partial understanding, supplemented and detailed them, exhausting my spirit for over ten years to compile this annotated edition. It was indeed difficult. Colleagues urged publication. Years passed, yet few pointed out my flaws. I remained unsatisfied. Knowing the difficulty, I refused to stop just because no one criticized me. I worked tirelessly, walking as if forgetting, sitting as if losing things, for ten years. My experience grew, my vision broadened, and my learning advanced with age. I revised the original print, deleting and adding, re-engraving it for the world. Another ten years passed. My experiences and validations became more accurate, leading to further revisions. Perhaps I now slightly grasp the essence and can face my colleagues without shame? Or am I like other commentators, failing to hit the mark? Thus, I reprint again to seek guidance from the wise, hoping for criticism to improve. I welcome it, fearing no further revisions or engraving costs. On the fifth day after New Year's Day of the first lunar month, Gengyin year (1770), Shu Zhao, student of Shenzhai, respectfully recorded.
General Rules state: Zhang Zhongjing's *Shanghan Lun* is indeed the essential classic of medicine. Due to war and fire, volumes were scattered and lost. What remains comes from oral transmission of contemporary readers, causing disordered chapters and incompleteness. Wang Shuhe, when materials were still available, failed to verify deeply, mixing forged texts into the compilation, causing Yin-Yang confusion and disorder. Generations followed without scrutiny. Yu Jiayan of Xichang began removing forgeries, restoring original texts, keeping only 360 clauses, and writing *Shanglun Pian*, clarifying methods, raising the net by its head绳, correcting the Six Channels orderly. Its principles are unsurpassed. Thus, this book follows its chapter structure strictly.
1. Yu Jiayan's *Shanglun* covers 397 methods but lacks the 113 formulas, leaving a regret. His disciple Xu Zhongke wrote *Yuanfang Faming* to address this, but it was not precise or detailed enough, and separating formulas made reading inconvenient. This book places original formulas under relevant clauses, expanding Xu's intent, collecting various commentaries to explain the rationale and naming of formulas, and detailing drug properties. It explains why certain drugs treat certain diseases and their suitability, aiding students to study treatments and formulas simultaneously without flipping pages.
2. This book is for beginners, avoiding flowery language. Superfluous essays by sages are omitted. Verbose texts are condensed; obscure meanings are clarified. Erroneous characters or jumbled sentences from later generations are corrected by reason. Though I am incompetent, compelled to assist sages and guide newcomers, saving lives requires this. Benevolent healers will understand.
3. Key points are marked with large circles. Pulse-syndrome correlations and comparisons have pointed circles. Profound insights have dense dots. Important points have connected circles. This facilitates quick review.
4. The manuscript was completed in Jiwu year, engraved in Gengwu year, re-engraved in Gengchen year, and now another decade has passed. With greater experience and certainty, I exerted full effort to revise again, adding details, deleting redundancy, and removing obsolete parts. Compared to previous editions, it is焕然一新 (brand new). Reprinting now, I hope for guidance from the wise.