〔刘氏（完素）伤寒直格〕三卷 存
翟氏序曰。习医要用直格。乃河间高尚先生刘守真所述也。守真深明素问造化阴阳之理。比尝语予曰。伤
寒谓之大病者。死生在六七日之间。经曰。人之伤于寒也。则为病热。古今亦通谓之伤寒。热病前三日。太阳阳
明少阳受之。热壮于表。汗之则愈。后三日太阴少阴厥阴受之。热传于里。下之则痊。六经传受。自浅至深。皆
是热证。非有阴寒之病。古圣训阴阳为表里。惟仲景深得其旨。厥后朱肱奉议作活人书。尚失仲景本意。将阴阳
字释作寒热。此差之毫厘。失之千里。而中间误罹横夭者。盖不少焉。不可不知也。予语守真曰。先生之论如此。
何不辟此说。以暴耀当世。以革医流之弊。反忍而无言。何邪。守真曰。世之所集各异。人情喜温而恶寒。恐论
者不详。反生疑谤。又曰。欲编书十卷。尚未能就。故弗克耳。今太原书坊刘生锓梓。以广其传。深有益于世。
如宵行冥冥。迷不知径。忽遇明灯巨火。正路昭然。若有执迷。而不知信行者。固不足言。而聪明博雅君子。能
于此者。原始反终。研精覃思。则其所得。又何待予之喋喋也。
马宗素曰。守真刘先生注伤寒六经传受直格一部。计一万七千零九字。（伤寒医鉴）
钱曾曰。仲景伤寒书。金河间刘守真深究其旨。着为直格。便于习医者要用。临川葛雍仲穆校刊之。附以刘
洪伤寒心要为后集。马宗素伤寒医鉴为续集。张子和心镜为别集。于是河间之书。粲然可观矣。
汪琥曰。伤寒直格。金河间刘完素撰。书凡三卷。其上卷则以十干十二支。分发脏腑。又四类九气五邪。运
气有余不足。为病。及论七表八里等脉，此医书之统论。与伤寒不相涉者也。其中卷。则论伤寒六经。表里主疗
之法。下卷则自仲景麻黄桂枝汤外。复载益元散。凉膈散。桂苓甘露饮。共三十四方。推其意。以仲景论寒热二
证不分。其方又过于辛热。是书之作。实为大变仲景之法者也。
四库全书提要曰。伤寒直方格三卷。伤寒标本心法类萃二卷。旧本皆题金刘完素撰。伤寒直格方。大旨出入
于原病式。而于伤寒证治。议论较详。前序一篇。不知何人所撰。马宗素伤寒医鉴。引平城翟公宵行遇灯之语。
与此序正相合。殆即翟公所撰欤。医鉴又云。完素着六经传变直格一部。计一万七千零九字。又于宣明论中。集
紧切药方六十道。分六门。亦名直格。此书有方有论。不分门类。不能确定原为何种。卷首又题为临川葛雍编。
盖经后人窜乱。未必完素之旧矣。伤寒标本心法类萃。上卷分别表里。辨其缓急。下卷则载所用之方。其中传染
一条。称双解散。益元散。皆为神方。二方即完素所制。不应自誉至此。考原病式序。称集伤寒杂病脉证方论之
方。目曰医方精要宣明论。今检宣明论中。已有伤寒二卷。则完素治伤寒法。已在宣明论中。不别为书。二书恐
出于根据托。然流传已久。姑存之以备参考云。
按刘守真伤寒治法。据马宗素及翟公语。宣明论外。似别有一书。则此书未全出于根据托。若伤寒标本。味其
旨趣。觉非完素所撰。葛雍字仲穆。号华盖山樵。临川人。以镏洪心要。马宗素医鉴。常德心镜。校刊于直格卷
后。医统正脉。辑入其书。特于直格一书。题临川葛雍编。提要仍以为是书经后人改窜。抑失考耳。
〔伤寒标本心法类萃〕二卷 存
汪琥曰。此亦刘守真编集也。书凡二卷。其上卷。则以伤风伤寒中暑中湿四证为始。至劳复食复。共四十
六条。其下卷。则集麻桂等五十二汤。又无忧丸等。治食积虫积。及外科之方。至其治两感证。则用大小柴胡汤。
凉膈五苓天水通圣双解等散。热势甚可下者。用三一承气汤。或解毒合承气汤。其言实超出乎朱奉议之上。然亦
大变仲景之法者也。
〔马氏（宗素）伤寒医鉴〕一卷 存
汪琥曰。平阳马宗素撰。书止一卷。首论脉证六经传受。汗下等法。终以小儿疮疹。共十一条。每条之中。
皆引活人书于前。继则引守真氏之语。以辩其非。末又正以素问之文。其旨大部以伤寒为热病。无所谓寒证者。
是深合素问热论中之义也。
四库全书提要曰。伤寒医鉴一卷。元马宗素撰。宗素始末未详。是书载河间六书中。皆采刘完素之说。以
驳朱肱南阳活人书。故每条之论。皆先朱后刘。大旨皆以热病为伤寒。而喜寒凉忌温热。然活人书。往往用麻桂
于夏月发泄之时。所以贻祸。若冬月真正伤寒。则非此不足以散阴邪。岂可专主于凉泄。未免矫枉过直。各执
一偏之见矣。
按医学源流。引历代名医图曰。金有何公务侯德和马宗素杨从政袁景安。而是书又载正治反治之法，曰闻
诸守真之言。则宗素亦金人。
当得亲炙于守真之门者。提要为元人。误矣。
〔镏氏（洪）伤寒心要〕一卷 存
汪琥曰。伤寒心要。都梁镏洪编。书止一卷。其论伤寒。大率以热病为主。其用方药。第一。则双解散。
第二。则用小柴胡凉膈天水合服。第三。凉膈合小柴胡。第四。大柴胡合黄连解毒汤。第五。大柴胡合三乙承气
汤。共三十方。皆复方也。卷末。则添加病后四方。及心要余论。此得河间之一偏。其用药混淆。不足法也。
四库全书提要曰。伤寒心要一卷。旧本题都梁镏洪编。洪始末未详。大旨敷演刘完素之说。所列方凡十八。
又有病后四方。与常德伤寒心镜。皆后人裒辑。附入河间六书之末者。然掇拾残剩。无所发明。
按镏洪号瑞泉野叟。其始末未详。亦似为金人。仍附于此。
〔常氏（德）伤寒心镜〕一卷 存
四库全书提要曰。伤寒心镜一卷。一名张子和心镜别集。旧本题镇阳常德编。德不知何许人。亦不详其时
代。考李濂医史。张从正传后附记曰。儒门事亲十四卷。盖子和草创之。麻知几润色之。常仲明又摭其遗。为治
法心要。子和即从正之字。知几为麻革之字。仲明字义。与德字相符。常仲明者。其即德欤。若然。则金兴定中
人也。书凡七篇。首论河间双解散。及子和增减之法。余亦皆二家之绪论。
汪琥曰。伤寒心镜别集。镇阳常德编。其书止论七条。首论伤寒双解散。及子和增法。次论发表。论攻里。
论攻里发表。论 衣撮空。论传足经不传手经。论亢则害承乃制。其言虽非阐扬仲景之旨。亦深通河间之书者也。
琥按着书者。大都系元末时人也。
按熊氏种德堂本。题曰张子和心镜。门人镇阳常惠仲明编。又李濂医史曰。张戴人兴定中召补太医。居无何
辞去。盖非其好也。于是退而与麻知几常仲明辈。日游HT 水之上云又子和有治常仲明子患风痰药案。见
于十形三
疗。是可以征提要说矣。临川葛雍尝以此书。附刊于河间直格后。曰别集。非其原目也。
〔张氏（璧）伤寒保命集〕（医学源流。作保命伤寒论。济生拔萃。作保命集论类要。）二卷 未见
汪琥曰。伤寒保命集。金张元素之子张璧撰。书凡二卷。其上卷。先辩三部九候之脉。又辩伤寒温病。及
刺结胸痞气头痛腹痛等法。有如辩桂枝汤几证方几道。辩麻黄葛根汤几证方几道。又其次曰。大小青龙汤证。曰
大小柴胡汤证。曰三承气汤证。曰大小陷胸汤证。曰泻心汤抵当汤栀子豉汤等证。凡仲景六经篇证。皆参以己意。
阐扬发明。而继以痉湿 霍乱等证。其下卷。则论瘥后劳复水渴阴阳厥发黄结胸等证。其后则续以妇人伤寒胎产
杂证。又小儿伤寒中风 疮等证。是皆发仲景未发之义。而深探伤寒之奥旨者也。
按此书。收在济生拔萃中。其经删略未可知。
〔叔和百问〕佚
熊均曰。张璧。号云岐子。洁古之子也。着医学新说。保命伤寒论。叔和百问。已刊附药注脉诀内。
〔李氏（杲）伤寒会要〕佚
元好问序曰。往予在京师。闻镇人李杲明之有国医之目。而未之识也。壬辰之兵。明之与予同出汴梁。于
聊城。于东平。与之游者。六年于今。然后得其所以为国医者为详。盖明之世以资雄乡里。诸父读书嘉宾客。所
居竹里。名士日造其门。明之幼岁好医药。时易州人张元素以医名燕赵
间。明之捐千金从之学。不数年尽传其业。家既富浓。无事于技。操有余以自重。人不敢以医名之。大夫士或病
其资高謇。少所降屈。非危急之疾。有不得已焉者。则亦未始谒之也。大概其学。于伤寒痈疽眼目病为尤长。
伤寒则着会要三十余万言。其说曰。伤寒家。有经禁时禁病禁。此三禁者。学医者人知之。然亦所以用之。为何
如耳。会要推明仲景朱奉议张元素以来备矣。见证得药。见药识证。以类相从。指掌皆在仓猝之际。虽使粗工用
之。荡然如载司南以适四方。而无问津之惑。其用心博矣。于他病也。以古方为胶柱。本乎七方十剂之说。所取
之药。特以意增损之。一剂之出。愈于托密友而后孝子。他人盖不能也。北京人王善甫为京兆酒宦。病小便不利。
目睛凸出。腹胀如鼓。膝以上坚硬欲裂。饮食且不下。甘淡渗泄之药皆不效。明之来。谓众医言疾深矣。非精思
不能处。我归而思之。夜参半。忽搅衣而起曰。吾得之矣。内经有之。膀胱者。津液之腑。必气化乃出焉。渠辈
已用渗泄之药矣。而病益甚。是气不化也。启玄子云无阳者。阴无以生。无阴者。阳无以化。甘淡渗泄皆阳药。
独阳无阴。欲化得乎。明日以群阴之剂投。不再服而愈。西台掾萧君瑞二月中。病伤寒发热。医以白虎投之。病
者面黑如墨。本证遂不复见。脉沉细。小便不禁。明之初不知用何药也。及诊之曰。此立夏以前。误用白虎之过。
得无以投白虎耶。白虎大寒。非行经之药。止能寒腑脏。不善用之。则伤寒本病。隐曲于经络之间。或更以大热
之药救之。以苦阴耶。则他证必起。非所以救白虎也。有温药之升阳行经者。吾用之。有难者云。白虎大寒。非
大热何以救。君之治奈何。明之曰。病隐于经络间。阳大升则经不升。经行而本证
见矣。本证又何难焉。果如其言而愈。魏邦彦之夫人。目翳暴生。从下而上。其色绿。肿痛不可忍。明之云。翳
从下而上。病从阳明来也。绿非五色之正。殆肺与肾合而为病。乃就画工家。以墨调腻粉。合而成色。谛视之曰。
与翳色同矣。肺肾为病无疑矣。乃泻肺肾之邪。而以入阳明之药为之使。既效矣。而他日病复作者三。其所从来
之经。与翳色各异。乃复以意消息之曰。诸脉皆属于目。脉病则目从之。此必经络不调。经不调。则其目病未已
也。问之果然。因如所论而治之。疾遂不作。冯内翰叔献之侄栎年十五六。病伤寒。目赤而烦渴。脉七八至。医
欲以承气下之。已煮药。而明之适从外来。冯告之当用承气。明之切脉大骇曰。几杀此儿。内经有言。在脉诸数
为热。诸迟为寒，今脉八九至。是热极也。而会要大论云。病有脉从而病反者。何也。脉至而从。按之不鼓。诸
阳皆然。此传而为阴证矣。辄持姜附来。吾当以热因寒用法处药。未就而病者爪甲黑。顿服者八两。汗寻出而愈。
陕帅郭臣济病偏枯。二指着足。底不能伸。迎明之京师。明之至。以长针刺委中。深至骨而不知痛。出血二三
升。其色如墨。又且谬剌之。如是者六七。服药三月。病良愈。裴择之夫人。病寒热。月事不至者数年。已喘嗽
矣。医者率以蛤蚧桂附之等投之。明之曰。不然。夫病阴为阳所搏。温剂太过。故无益而反害。投以寒血之药。
则经行矣。已而果然。宣德侯经略之家人。病崩漏。医莫能效。明之切脉。且以纸疏其证。多至四十余种。为药
疗之。明日而二十四证减。前后五六日良愈。侯浓谢而去。明之设施。皆此类也。戊戌之夏。予将还太原。其子
执中持所谓会要者来。求为序。乃以如上数事冠诸篇。使学人知明之之笔于书。其已试之
效。盖如此云。闰月望日。河东元某书于范尊师之正一宫。（文集）
〔伤寒治法举要〕一卷 未见
汪琥曰。伤寒治法举要。元东垣老人李杲撰。书止一卷。首言冷热风劳虚复。续辨惑伤寒论。共举治法之要。
三十二条。其法。治外感羌活冲和汤。挟内伤补中益气汤。如外感风寒。内伤元气。是内外两感之证。宜用混淆
补中汤。即补中益气汤中。加 本羌活防风苍术也。又一法。先以冲和汤发散。后以参 甘草三味补中汤济之。
其外则有三黄补中汤。归须补中汤。共补中一十二方。又其外则有葛根二圣汤。芎黄汤等七方。此虽发仲景之未
发。要其说过于温补。不足取以为法也。琥按东垣撰内外伤辨惑论。恐有内伤之说作伤寒者。复续上论。恐有伤
寒之说挟内伤者。故制混淆补中等汤以主之也。
〔李氏（浩）伤寒钤法〕国史经籍志十卷 佚
〔仲景或问〕佚
按上见于滕县志。
〔王氏（好古）阴证略例〕读书敏求记一卷 未见
钱曾曰。海藏老人阴证略例一卷。海藏老人王进之尽传东垣李明之之医学。谓伤寒乃人之大疾。而阴证毒为
翟氏作序说：学习医学必须使用《直格》，这是河间高尚先生刘守真所撰写的。刘守真深刻通晓《素问》中关于造化、阴阳的道理。他曾对我说：伤寒被称为大病，生死往往在六七天之间。医经说：人受寒邪侵袭，就会发为热病。古今都通称为伤寒。热病的前三天，太阳、阳明、少阳经受邪，热势盛于体表，用发汗法治疗就能痊愈；后三天，太阴、少阴、厥阴经受邪，热邪传入体内，用泻下法治疗就能康复。六经的传变，由浅入深，都是热证，并没有阴寒的病证。古代圣人对阴阳表里的训诫，只有张仲景深刻领悟了其宗旨。此后朱肱奉议撰写《活人书》，仍然偏离了张仲景的本意，将“阴阳”二字解释为寒热，这失之毫厘，谬以千里，而中间误遭横死夭折的人，大概不少。不可不明了这一点。我对刘守真说：先生的论断如此，为什么不驳斥这种说法，以昭示当世，革除医界的弊端，反而忍受沉默不言，为什么呢？刘守真说：世间汇集的书籍各异，人情喜好温热而厌恶寒凉，恐怕论述不够详尽，反而产生怀疑和诽谤。又说：我想编写十卷的书，尚未完成，所以未能做到。如今太原书坊的刘先生刻印梓行，以广泛流传，对世道大有益处。就像在黑夜里行走，迷失不知路径，忽然遇到明灯大火，正路清晰可见。如果有执着于迷途而不知道信奉实行的人，那就不必多说了；而聪明博学雅正的君子，能在此书中探究本源、推究终末，精心研究、深入思考，那么他们的收获，又何需我喋喋不休地多说呢。
马宗素说：刘守真先生注解的《伤寒六经传受直格》一部，共计一万七千零九字。（出自《伤寒医鉴》）
钱曾说：张仲景的伤寒书，金代河间刘守真深刻探究其旨意，著作为《直格》，便于习医者作为必备用书。临川葛雍（字仲穆）校订刊刻，附上刘洪的《伤寒心要》作为后集，马宗素的《伤寒医鉴》作为续集，张从正的《心镜》作为别集。于是河间的著作，灿烂可观了。
汪琥说：《伤寒直格》，金代河间刘完素撰写。全书共三卷。上卷则以十天干十二地支，分别配属脏腑，又论述四类、九气、五邪，运气有余不足导致的疾病，以及论述七表八里等脉象，这是医书的总论，与伤寒没有直接关系。中卷，则论述伤寒六经表里主治的方法。下卷则在张仲景的麻黄汤、桂枝汤之外，又记载益元散、凉膈散、桂苓甘露饮，共三十四首方剂。推究其用意，是因为张仲景论述寒热二证不分，其方药又过于辛热，这本书的作成，实际上是大大改变了张仲景的方法。
《四库全书提要》说：《伤寒直方格》三卷，《伤寒标本心法类萃》二卷，旧本都题名为金代刘完素撰写。《伤寒直格方》的大旨出入于《原病式》，而在伤寒证治方面，议论较为详细。前有一篇序文，不知是谁撰写。马宗素的《伤寒医鉴》，引用平城翟公“宵行遇灯”的话，与此序完全相合，大概是翟公所撰吧。《医鉴》又说：刘完素著有《六经传变直格》一部，计一万七千零九字。又在《宣明论》中，收集紧要药方六十道，分为六门，也命名为《直格》。此书有方有论，不分门类，不能确定原本为何种书。卷首又题为临川葛雍编纂，大概是经过后人窜改，未必是刘完素的旧貌了。《伤寒标本心法类萃》，上卷分别表里，辨别其缓急，下卷则记载所用的方剂。其中“传染”一条，称双解散、益元散为神方。这两方即刘完素所制，不应自我赞誉到这种程度。考证《原病式》序，称收集《伤寒杂病脉证方论》的方剂，命名为《医方精要宣明论》。现在检查《宣明论》中，已有伤寒二卷，那么刘完素治疗伤寒的方法，已在《宣明论》中，不再另成书。这两本书恐怕出于依托伪造，然而流传已久，姑且保存以备参考。
按：刘守真的伤寒治法，据马宗素及翟公的话，在《宣明论》之外，似乎另有另一本书，则此书未完全出于依托伪造。若论《伤寒标本》，体味其旨趣，觉得并非刘完素所撰。葛雍字仲穆，号华盖山樵，临川人。以刘洪的《心要》、马宗素的《医鉴》、常德的《心镜》，校刊附于《直格》卷后。《医统正脉》将其书辑入，特别在《直格》一书上，题名为临川葛雍编纂。提要仍认为是书经过后人改窜，或许是考察失误罢了。
汪琥说：这也是刘守真编集的。全书共二卷。上卷，则以伤风、伤寒、中暑、中湿四证开始，至劳复、食复，共四十六条。下卷，则收集麻黄汤、桂枝汤等五十二首汤剂，又有无忧丸等，治疗食积、虫积及外科的方剂。至于治疗两感证，则用大柴胡汤、小柴胡汤、凉膈散、五苓散、天水散、通圣散、双解散等。热势非常严重可以攻下的，用三一承气汤，或解毒合承气汤。他的言论确实超出了朱奉议之上，但也大大改变了张仲景的方法。
汪琥说：平阳马宗素撰写。书仅一卷。开头论述脉证、六经传变、汗法、下法等，结尾以小儿疮疹结束，共十一条。每条之中，先引用《活人书》，接着引用刘守真的话，来辩驳其错误。最后又以《素问》的文句加以纠正。其主旨大体认为伤寒是热病，无所谓寒证，这深深契合《素问·热论》中的义理。
《四库全书提要》说：《伤寒医鉴》一卷，元代马宗素撰写。马宗素的生平不详。这本书收录在河间六书中，都采用刘完素的说法，来驳斥朱肱的《南阳活人书》，所以每条的论述，都是先朱后刘。大旨都以热病为伤寒，喜好寒凉而忌讳温热。然而《活人书》往往在夏季发泄之时使用麻黄汤、桂枝汤，所以招致祸患。如果是冬季真正的伤寒，则非此不足以驱散阴邪，岂可专门主张凉泄？未免矫枉过正，各执一偏之见。
按：《医学源流》引用历代名医图说：金代有何公务侯德和马宗素、杨从政、袁景安。而此书又记载正治反治之法，说“听闻刘守真的话”，则马宗素也是金代人。应当是得亲炙于刘守真门下的人。提要说是元代人，错了。
汪琥说：《伤寒心要》，都梁刘洪编纂。书仅一卷。其论述伤寒，大体以热病为主。其用方药，第一则是双解散，第二则是用小柴胡汤、凉膈散、天水散合服，第三，凉膈散合小柴胡汤，第四，大柴胡汤合黄连解毒汤，第五，大柴胡汤合三乙承气汤，共三十首方剂，都是复方。卷末，则添加病后四方及心要余论。这得到了河间学说的一偏，其用药混淆，不值得效法。
《四库全书提要》说：《伤寒心要》一卷，旧本题都梁刘洪编纂。刘洪生平不详。大旨敷演刘完素的说法，所列方剂凡十八首，又有病后四方，与常德的《伤寒心镜》，都是后人搜集编辑，附入河间六书末尾的。然而只是拾取残剩，没有什么发明创造。
按：刘洪号瑞泉野叟，其生平不详，也像是金代人，仍附于此。
《四库全书提要》说：《伤寒心镜》一卷，一名《张子和心镜别集》，旧本题镇阳常德编纂。常德不知是什么地方人，也不详其时代。考证李濂的《医史》，张从正传后附记说：《儒门事亲》十四卷，大概是张从正草创，麻知几润色，常仲明又拾取其遗稿，编为《治法心要》。张从正即张子和的字，麻知几是麻革的字，仲明的字义，与“德”字相符。常仲明者，大概就是常德吧？如果是这样，那就是金兴定年间的人了。全书共七篇，开头论述河间的双解散及张从正增减的方法，其余也都是这两家的绪论。
汪琥说：《伤寒心镜别集》，镇阳常德编纂。其书只论述七条。开头论述伤寒双解散及张从正增法，其次论述发表、攻里、攻里兼发表、撮空理线、传足经不传手经、亢则害承乃制。其言论虽然不是阐扬张仲景的宗旨，但也深深通晓河间的书。汪琥按：著书的人，大都系元末时人。
按：熊氏种德堂本，题名为《张子和心镜》，门人镇阳常惠（字仲明）编纂。又李濂《医史》说：张戴人在兴定年间被召补太医，不久辞去，大概不是他本意。于是退隐而与麻知几、常仲明等人，每日游玩于滏水之上。又说张从正有治疗常仲明儿子患风痰的药案，见于《十形三疗》。这可以验证提要所说的了。临川葛雍曾将此书附刊于河间《直格》之后，称为《别集》，并非其原目录。
【张璧《伤寒保命集》】（《医学源流》作《保命伤寒论》，《济生拔萃》作《保命集论类要》。）二卷 未见
汪琥说：《伤寒保命集》，金代张元素之子张璧撰写。全书共二卷。上卷，先辨析三部九候之脉，又辨析伤寒、温病，及刺结胸、痞气、头痛、腹痛等方法。有如辨析桂枝汤几证方几道，辨析麻黄汤、葛根汤几证方几道。其次曰：大小青龙汤证，曰大小柴胡汤证，曰三承气汤证，曰大小陷胸汤证，曰泻心汤、抵当汤、栀子豉汤等证。凡是张仲景六经篇的证候，都参以自己的意思，阐扬发明，继而继以痉、湿、霍乱等证。下卷，则论述瘥后劳复、水渴、阴阳厥、发黄、结胸等证。其后则续以妇人伤寒、胎产杂证，又小儿伤寒、中风、疮等证。这些都是发挥张仲景未发之义，而深深探求伤寒奥旨的。
按：此书收录在《济生拔萃》中，其经文删略不可知。
【《叔和百问》】佚失
熊均说：张璧，号云岐子，洁古（张元素）之子。著有《医学新说》、《保命伤寒论》、《叔和百问》，已刊刻附于《药注脉诀》内。
元好问作序说：过去我在京师，听说镇州人李杲（字明之）有国医的名目，但未结识他。壬辰年的战乱，李杲与我一同逃出汴梁，在聊城、在东平，与他交往，至今六年，然后详细了解他成为国医的原因。大概李杲家族以资财雄视乡里，伯父们读书待客，所居住的竹里，名士每日登门。李杲幼年喜好医药，当时易州人张元素以医术闻名于燕赵之间，李杲捐千金跟随他学习，没过几年尽传其业。家中既富饶，无需从事技艺，操持多余财富以自重，人们不敢以医生之名对待他。大夫士人或嫌弃他资财高傲、性格刚直，少有屈就，如果不是危急的疾病，有不得已的情况，也未曾去拜访他。大概他的学问，在伤寒、痈疽、眼目病方面尤为擅长。对于伤寒，著有《会要》三十多万字。其学说说：伤寒家，有经禁、时禁、病禁，这三禁，学医的人都知晓。然而也是运用它们，究竟如何呢？《会要》推明自张仲景、朱奉议、张元素以来，备矣。见证得药，见药识证，以类相从，指掌之间都在仓促之际掌握。即使粗工使用，也如拿着指南车前往四方，而没有问津的困惑。其用心可谓博大。对于其他疾病，以古方为胶柱鼓瑟，本乎七方十剂的说法，所选取的药物，特意以心意增减。一剂药出，治愈的效果胜过托密友而后孝子，他人大概不能做到。北京人王善甫担任京兆酒官，患病小便不利，眼球突出，腹胀如鼓，膝盖以上坚硬欲裂，饮食也不能下咽，甘淡渗泄的药物都不见效。李杲来，对众医生说病已深，非精思不能处方。我回去思考，半夜忽然惊醒起身说：我找到了！《内经》说：膀胱者，津液之腑，必气化乃出焉。他们已用渗泄的药物，而病更重，这是气不化。启玄子（王冰）说：无阳者，阴无以生；无阴者，阳无以化。甘淡渗泄皆属阳药，独阳无阴，想要气化怎么可能？第二天用群阴的药剂投服，不到两服就好了。西台掾萧君瑞在二月，患伤寒发热，医生用白虎汤投服，病人面色黑如墨，本证遂不复见，脉沉细，小便不禁。李杲起初不知用什么药。等到诊察说：这是在立夏以前，误用白虎汤的过错。难道不是因为投用白虎汤吗？白虎汤大寒，不是行经的药物，只能寒腑脏，不善用的话，则伤寒本病，隐匿于经络之间，或许再用大热药救它，以苦阴吗？则他证必起，这不是救白虎汤的方法。有温药升阳行经的，我用它。有难者说：白虎汤大寒，非大热何以救？您的治疗怎样？李杲说：病隐匿于经络间，阳气大升则经不升，经行而本证现了。本证又有什么难的呢？果然像他说的那样好了。魏邦彦的夫人，目翳暴生，从下而上，颜色绿，肿痛不可忍。李杲说：翳从下而上，病从阳明来也。绿色非五色之正，大概是肺与肾合而为病。于是就到画工家，用墨调腻粉，合成颜色，仔细观看说：与翳色相同了。肺肾为病无疑了。于是泻肺肾之邪，而以入阳明之药为之使。既有效了，而他日病复发作者三次，其所来的经脉，与翳色各异，于是再凭心意斟酌说：诸脉皆属于目，脉病则目随之。这必定是经络不调，经不调，则其目病未已。询问果然如此。于是按照所论治疗，疾病就不再发作。冯内翰叔献的侄子栎年十五六岁，患伤寒，目赤而烦渴，脉七八至，医生想用承气汤攻下，已煮药，而李杲恰好从外来。冯告诉他应当用承气汤。李杲切脉大惊说：差点杀了这个孩子。《内经》说：在脉，诸数为热，诸迟为寒，今脉八九至，是热极也。而《会要》大论说：病有脉从而病反者，何也？脉至而从，按之不鼓，诸阳皆然。这是传变为阴证了。立即拿来姜、附，我当以热因寒用法处方。药未煮好而病人指甲变黑，顿服八两，汗随即出来而愈。陕帅郭臣济患偏枯，两指着足，底不能伸，迎李杲到京师。李杲到，用长针刺委中穴，深至骨而不知痛，出血二三升，其色如墨。又且缪刺，像这样六七次，服药三月，病良愈。裴择之夫人，患寒热，月事不至数年，已喘嗽。医生率以蛤蚧、桂、附等投服。李杲说：不对。夫病阴为阳所搏，温剂太过，故无益而反害。投以寒血之药，则经行了。后来果然如此。宣德侯经略的家人，患崩漏，医生无能效。李杲切脉，且用纸疏写其证，多至四十余种，为药疗之。第二天二十四证减，前后五六日良愈。侯厚谢而去。李杲的施设，皆此类也。戊戌年夏天，我将回太原，其子执中拿着所谓的《会要》来，求我为序，于是将如上数事冠于篇首，使学人知道李杲笔之于书，其已试之效，大概如此。闰月望日，河东元某书于范尊师之正一宫。（出自《文集》）
【《伤寒治法举要》】一卷 未见
汪琥说：《伤寒治法举要》，元代东垣老人李杲撰写。书仅一卷。开头言冷热风劳虚复，续辨惑伤寒论，共列举治法要点三十二条。其法，治外感用羌活冲和汤，挟内伤用补中益气汤。如外感风寒，内伤元气，是内外两感之证，宜用混淆补中汤，即在补中益气汤中加入藁本、羌活、防风、苍术。又一法，先以冲和汤发散，后以人参、黄芪、甘草三味补中汤济之。其外则有有三黄补中汤、归须补中汤，共补中一十二方。又其外则有葛根二圣汤、芎黄汤等七方。这虽然是发挥张仲景未发之义，但其说过于温补，不值得取以为法。汪琥按：东垣撰写《内外伤辨惑论》，恐怕有内伤之说作伤寒者，复续上论，恐有伤寒之说挟内伤者，故制混淆补中等汤以主之。
【李浩《伤寒钤法》】《国史经籍志》十卷 佚失
【《仲景或问》】佚失
按：上述见于滕县志。
【王好古《阴证略例》】《读书敏求记》一卷 未见
[Liu's (Wansu) Shanghan Zhige] Three Volumes. Extant.
Preface by Mr. Zhai: To study medicine, one must use *Zhige*. This was written by the noble gentleman of Hejian, Mr. Liu Shouzhen. Shouzhen deeply understood the principles of creation and Yin-Yang in the *Suwen* (Basic Questions). He once said to me, "Shanghan is called a major disease; life and death often occur between the sixth and seventh days. The Classics state: 'When humans are injured by cold, it manifests as a febrile disease.' Since ancient times, it has been generally referred to as Shanghan. In the first three days of a febrile disease, the Taiyang, Yangming, and Shaoyang meridians are affected; heat is vigorous on the exterior, and sweating will lead to recovery. In the following three days, the Taiyin, Shaoyin, and Jueyin meridians are affected; heat transmits to the interior, and purgation will lead to healing. The transmission of the Six Meridians proceeds from shallow to deep, all being heat syndromes, without any cold syndromes. Ancient sages taught Yin and Yang as exterior and interior. Only Zhang Zhongjing deeply grasped this essence. Later, Zhu Gongyi wrote the *Huoren Shu* (Book for Saving People), yet still deviated from Zhongjing's original intent, interpreting the term 'Yin-Yang' as cold and heat. This error, though slight at first, leads to great deviation. Many have suffered untimely deaths due to such mistakes. One must be aware of this." I said to Shouzhen, "Your arguments are so profound. Why do you not refute this view to illuminate the present age and rectify the flaws in the medical field, instead enduring silence?" Shouzhen replied, "The collections in the world vary. Human nature prefers warmth and dislikes cold. I fear that if my arguments are not detailed enough, they will only cause doubt and slander." He also said, "I intended to compile ten volumes, but have not yet finished, hence I could not act." Now, Mr. Liu of the Taiyang bookshop has had them woodblock printed to spread their transmission, which is deeply beneficial to the world. It is like walking in darkness, lost and knowing no path, when suddenly encountering a bright lamp or great fire, making the correct path clear. If there are those who cling to delusion and do not believe or practice, they need not be mentioned. But wise, learned, and elegant gentlemen, who can explore the origin and trace the end, studying with precision and deep thought, what gains would they not achieve without my verbose explanations?
Ma Zongsu said: Mr. Liu Shouzhen's commentary on *Shanghan Liujing Chuanshou Zhige*, one volume, totaling seventeen thousand and nine characters. (From *Shanghan Yijian*)
Qian Zeng said: Regarding Zhang Zhongjing's Shanghan book, Liu Wansu of Hejian during the Jin dynasty deeply investigated its essence and composed *Zhige*, convenient for students of medicine as an essential text. Ge Yong of Linchuan (courtesy name Zhongmu) collated and published it, attaching Liu Hong's *Shanghan Xinyao* as the latter collection, Ma Zongsu's *Shanghan Yijian* as the continuation, and Zhang Zihe's *Xinjing* as the separate collection. Thus, the works of Hejian became splendid and considerable.
Wang Hu said: *Shanghan Zhige* was written by Liu Wansu of Hejian during the Jin dynasty. The book consists of three volumes. The upper volume uses the Ten Heavenly Stems and Twelve Earthly Branches to distribute the Zang-Fu organs, and classifies four categories, nine Qi, and five evils, discussing diseases caused by excess or deficiency in climatic influences, as well as pulse diagnoses such as Seven Exterior and Eight Interior pulses. This is a general discussion of medical books and is not directly related to Shanghan. The middle volume discusses the methods of treating the exterior and interior of the Six Meridians in Shanghan. The lower volume, besides Zhang Zhongjing's Mahuang Tang and Guizhi Tang, records additional formulas such as Yiyuan San, Liangge San, and Guiling Ganlu Yin, totaling thirty-four formulas. Inferring his intent, because Zhang Zhongjing did not clearly distinguish between cold and heat syndromes, and his formulas were overly acrid and warm, the creation of this book actually greatly altered Zhang Zhongjing's methods.
*Abstracts from the Complete Library of the Four Treasuries* states: *Shanghan Zhifangge* (three volumes) and *Shanghan Biaoben Xinfa Leicui* (two volumes) are both old editions attributed to Liu Wansu of the Jin dynasty. The main idea of *Shanghan Zhige Fang* differs slightly from *Yuanbingshi*, but the discussions on Shanghan syndrome treatment are more detailed. There is one preface at the beginning, whose author is unknown. Ma Zongsu's *Shanghan Yijian* quotes the words of "Mr. Di of Pingcheng meeting a lamp while traveling at night," which matches this preface exactly, suggesting it was likely written by Mr. Di. *Yijian* also states: Wansu wrote *Liujing Chuanbian Zhige*, one volume, totaling seventeen thousand and nine characters. He also collected sixty urgent medicinal formulas in *Xuanming Lun*, divided into six sections, also named *Zhige*. This book contains both formulas and discussions, without categorization, making it difficult to determine its original form. The title page is attributed to Ge Yong of Linchuan, implying it may have been tampered with by later generations and is not necessarily Wansu's original work. *Shanghan Biaoben Xinfa Leicui*: The upper volume distinguishes exterior and interior, identifying urgency; the lower volume records the formulas used. In the section on "contagion," it calls Shuangjie San and Yiyuan San divine formulas. These two formulas were indeed created by Wansu, yet he should not boast to this extent. Examining the preface to *Yuanbingshi*, it mentions collecting formulas for Shanghan and miscellaneous diseases, pulses, syndromes, and treatments under the title *Yifang Jingyao Xuanming Lun*. Checking *Xuanming Lun* now, it already contains two volumes on Shanghan. Thus, Wansu's methods for treating Shanghan were already in *Xuanming Lun*, and he did not create another book separately. These two books are likely fabricated, but since they have been circulated for a long time, we preserve them for reference.
Note: According to Ma Zongsu and Mr. Di, Liu Shouzhen's methods for treating Shanghan seem to exist in a book other than *Xuanming Lun*, so this book is not entirely fabricated. However, regarding *Shanghan Biaoben*, sensing its purport, it does not appear to be written by Wansu. Ge Yong, courtesy name Zhongmu, pseudonym Huagai Shanqiao, was from Linchuan. Because Liu Hong's *Xinyao*, Ma Zongsu's *Yijian*, and Chang De's *Xinjing* were collated and appended after *Zhige*, *Yitong Zhengmai* included these works, specifically titling *Zhige* as compiled by Ge Yong of Linchuan. The Abstracts still consider the book tampered with by later generations, perhaps due to lack of investigation.
[Shanghan Biaoben Xinfa Leicui] Two Volumes. Extant.
Wang Hu said: This was also compiled by Liu Shouzhen. The book has two volumes. The upper volume begins with four syndromes: Wind Injury, Cold Injury, Summerheat Injury, and Dampness Injury, up to post-illness recurrence due to labor or diet, totaling forty-six items. The lower volume collects fifty-two decoctions including Mahuang Tang and Guizhi Tang, as well as Wuyou Wan and others for treating food stagnation, parasite accumulation, and surgical conditions. For treating Lianggan (double infection) syndromes, he uses Da Chaihu Tang, Xiao Chaihu Tang, Liangge San, Wuling San, Tianshui San, Tongsheng San, and Shuangjie San. If heat is very severe and suitable for purgation, he uses Sanyi Chengqi Tang or Jiedu He Chengqi Tang. His statements indeed surpass those of Zhu Fengyi, but they also greatly alter Zhang Zhongjing's methods.
[Ma's (Zongsu) Shanghan Yijian] One Volume. Extant.
Wang Hu said: Written by Ma Zongsu of Pingyang. The book is only one volume. It begins with discussions on pulses, syndromes, Six Meridian transmission, sweating, and purging methods, ending with pediatric rashes, totaling eleven items. In each item, he first cites *Huoren Shu*, then cites Shouzhen's words to refute errors, and finally corrects them with texts from the *Suwen*. The main purport is that Shanghan is a febrile disease, with no so-called cold syndromes, which deeply aligns with the meaning of the *Suwen: Re Bing Lun*.
*Abstracts from the Complete Library of the Four Treasuries* states: *Shanghan Yijian*, one volume, written by Ma Zongsu of the Yuan dynasty. Details of Zongsu's life are unknown. This book is included in the "Six Books of Hejian" and adopts Liu Wansu's theories to refute Zhu Gongying's *Nanyang Huoren Shu*. Therefore, each discussion presents Zhu first and Liu second. The main purport treats febrile disease as Shanghan, favoring cold and cool properties and avoiding warm and hot ones. However, *Huoren Shu* often uses Mahuang and Guizhi during summer for dispersal, causing harm. If it is true Shanghan in winter, these are necessary to disperse Yin evils. How can one exclusively advocate cooling and draining? This is an overcorrection, holding a biased view.
Note: *Yixue Yuanliu* cites diagrams of famous doctors from dynasties, mentioning He Gongwu, Hou De, Ma Zongsu, Yang Congzheng, and Yuan Jing'an of the Jin dynasty. This book also discusses orthodox and counter-treatment methods, stating "I heard from Shouzhen," indicating Zongsu was also a Jin person. He must have studied directly under Shouzhen. The Abstracts mistakenly identify him as a Yuan person.
[Liu's (Hong) Shanghan Xinyao] One Volume. Extant.
Wang Hu said: *Shanghan Xinyao* was compiled by Liu Hong of Duliang. The book is one volume. Its discussion on Shanghan mainly focuses on febrile disease. Its use of formulas prioritizes Shuangjie San as first, followed by combining Xiao Chaihu Tang, Liangge San, and Tianshui San as second, Liangge San combined with Xiao Chaihu Tang as third, Da Chaihu Tang combined with Huanglian Jiedu Tang as fourth, and Da Chaihu Tang combined with Sanyi Chengqi Tang as fifth, totaling thirty formulas, all compound formulas. At the end, it adds four formulas for post-illness recovery and *Xinyao Yulun*. This captures only one aspect of Hejian's teachings; its medication is confused and not worthy of emulation.
*Abstracts from the Complete Library of the Four Treasuries* states: *Shanghan Xinyao*, one volume, old edition titled compiled by Liu Hong of Duliang. Details of Hong's life are unknown. The main purport elaborates on Liu Wansu's theories. It lists eighteen formulas, plus four for post-illness recovery. Along with Chang De's *Shanghan Xinjing*, these were later compiled and appended to the end of the "Six Books of Hejian" by later editors. However, they merely gather fragments without innovation.
Note: Liu Hong, pseudonym Ruiquan Yesou, details of whose life are unknown, also seems to be a Jin person, so he is attached here.
[Chang's (De) Shanghan Xinjing] One Volume. Extant.
*Abstracts from the Complete Library of the Four Treasuries* states: *Shanghan Xinjing*, one volume, also known as *Zhang Zihe Xinjing Bieji*. Old edition titled compiled by Chang De of Zhenyang. Nothing is known about where De was from or his era. Examining Li Lian's *Yishi*, the appendix to Zhang Congzheng's biography says: *Rumen Shinqin* (Affairs of Confucian Scholars), fourteen volumes, was roughly drafted by Zihe, polished by Mazhi Ji, and supplemented by Chang Zhongming into *Zhifa Xinyao*. Zihe is the courtesy name of Congzheng; Zhiji is the courtesy name of Ma Ge; the meaning of Zhongming's courtesy name corresponds to "De". Is Chang Zhongming the same as De? If so, he was a person of the Xingding era of the Jin dynasty. The book has seven chapters. The first discusses Hejian's Shuangjie San and Zihe's modifications. The rest are also extensions of their theories.
Wang Hu said: *Shanghan Xinjing Bieji* was compiled by Chang De of Zhenyang. The book discusses only seven points. First, Shanghan Shuangjie San and Zihe's additions. Second, releasing the exterior. Third, purging the interior. Fourth, purging interior and releasing exterior simultaneously. Fifth, "grabbing at empty air" (Cuokong). Sixth, transmission to Foot meridians but not Hand meridians. Seventh, "Excess leads to harm, control follows nature" (Kang Ze Hai, Cheng Nai Zhi). Although his words do not elucidate Zhang Zhongjing's purport, he deeply understands Hejian's books. Wang Hu notes: Authors of such books were mostly people from the late Yuan dynasty.
Note: The Xiong family's Zhongdetang edition titles it *Zhang Zihe Xinjing*, compiled by disciple Chang Hui of Zhenyang (courtesy name Zhongming). Li Lian's *Yishi* states: Zhang Dairen was summoned to be Imperial Physician during the Xingding era but resigned shortly after, as it was not his desire. He retired and played daily with Mazhi Ji, Chang Zhongming, etc., by the Hu River. There is also a case record of Zihe treating Chang Zhongming's son with wind-phlegm, found in *Shi Xing San Liao*, which confirms the statement in the Abstracts. Ge Yong of Linchuan once appended this book after Hejian's *Zhige*, calling it *Bieji*, which was not its original title.
[Zhang's (Bi) Shanghan Baoming Ji] (*Yixue Yuanliu* calls it *Baoming Shanghan Lun*; *Jisheng Bahui* calls it *Baoming Ji Lun Leiyao*.) Two Volumes. Not seen.
Wang Hu said: *Shanghan Baoming Ji* was written by Zhang Bi, son of Zhang Yuansu of the Jin dynasty. The book has two volumes. The upper volume first differentiates pulses of Three Parts and Nine Positions, then differentiates Shanghan and Wenbing, and methods for puncturing Jiechang, Piqi, headache, and abdominal pain. It discusses how many syndromes and formulas apply to Guizhi Tang, Mahuang Tang, and Gegen Tang. Next, it covers syndromes of Da Qinglong Tang, Xiao Qinglong Tang, Da Chaihu Tang, Xiao Chaihu Tang, Three Chengqi Tangs, Da Xiaoxiong Tang, Xiaxin Tang, Didang Tang, Zhizi Chi Tang, etc. All Zhang Zhongjing's Six Meridian chapter syndromes are analyzed with personal insights to elucidate and develop them, followed by Jing (spasm), Shi (dampness), and Huoluan syndromes. The lower volume discusses post-recovery recurrence, thirst, Yin-Yang reversal, jaundice, and Jiechang. It continues with women's Shanghan, pregnancy, childbirth, and miscellaneous syndromes, as well as children's Shanghan, wind-stroke, and sores. These all expound meanings not previously stated by Zhang Zhongjing and deeply probe the profound essence of Shanghan.
Note: This book is included in *Jisheng Bahui*; its text may have been abridged.
[Shuhe Baiwen] Lost.
Xiong Jun said: Zhang Bi, pseudonym Yunqizi, son of Jiegu (Zhang Yuansu). He wrote *Yixue Xinshuo*, *Baoming Shanghan Lun*, and *Shuhe Baiwen*, which were published and attached to *Yaozhu Maijue*.
[Li's (Gao) Shanghan Huiyao] Lost.
Preface by Yuan Haowen: Previously, in the capital, I heard that Li Gao (courtesy name Mingzhi) from Zhenzhou had the title of National Doctor, but I had not met him. During the warfare of Renchen year, Mingzhi and I fled Bianliang together, to Liaocheng, and to Dongping. We associated for six years, after which I learned in detail why he was considered a National Doctor. Generally, his family was wealthy and influential in the locality. His uncles read and hosted guests; scholars visited his bamboo residence daily. Mingzhi loved medicine since childhood. At that time, Zhang Yuansu from Yizhou was famous for medicine in Yan and Zhao. Mingzhi donated a thousand gold taels to study under him. Within a few years, he mastered his profession. Being wealthy, he had no need to practice skills, maintaining dignity through surplus wealth. People did not dare call him a doctor. Officials and scholars sometimes disliked his high status and aloofness, rarely condescending to them. Unless it was a critical illness with no other option, they did not visit him. Generally, his expertise lay particularly in Shanghan, abscesses/ulcers, and eye diseases. For Shanghan, he wrote *Huiyao* of over 300,000 words. His theory states: Shanghan practitioners observe prohibitions regarding meridians, seasons, and diseases. These three prohibitions are known by students, but one must know how to apply them. *Huiyao* elaborates on the theories of Zhang Zhongjing, Zhu Fengyi, and Zhang Yuansu comprehensively. Seeing syndromes to choose medicines, seeing medicines to identify syndromes, categorized logically, clear as palm lines even in haste. Even crude physicians using it would navigate like a south-pointing chariot without confusion. His intention was broad. For other diseases, he treated ancient formulas as rigid (glued tuning pegs), based on the theories of Seven Forms and Ten Agents. He selected herbs and adjusted them by intent. One prescription cured better than entrusting close friends or filial sons seeking help elsewhere; others could not achieve this.
Wang Shanfu from Beijing, a wine official in Jingzhao, suffered from difficulty urinating, bulging eyes, drum-like abdominal distension, hardness above knees threatening to split, and inability to eat or drink. Salty-damp draining drugs failed. Mingzhi arrived and told other doctors the disease was deep, requiring careful thought. He returned, pondered until midnight, then woke up abruptly saying, "I have it!" The *Neijing* says: The Bladder is the palace of fluids; it requires Qi transformation to excrete. They used draining drugs, yet the disease worsened; this is failure of Qi transformation. Qixuanzi said: Without Yang, Yin cannot generate; without Yin, Yang cannot transform. Salty-damp draining drugs are Yang-only. With only Yang and no Yin, how can transformation occur? The next day, he administered Yin-nourishing formulas, and the patient recovered within two doses.
Xiao Junrui, clerk of Xitai, contracted Shanghan fever in February. Doctors used Baihu Tang. The patient's face turned black as ink, original symptoms disappeared, pulse became deep and fine, and urinary incontinence occurred. Mingzhi initially didn't know what to prescribe. Upon diagnosis, he said: This is an error from using Baihu Tang before Lixia. Baihu is extremely cold, not a meridian-traveling drug; it only chills the fu-organs. Misuse hides the original Shanghan pathology in the meridians. Using extreme heat to rescue might trigger other syndromes. I will use warm drugs to raise Yang and travel meridians. A skeptic asked: Baihu is extremely cold; how can non-extreme heat rescue it? Mingzhi replied: The disease hides in meridians. Great raising of Yang allows meridians to travel, revealing original symptoms, which are then easy to treat. It healed as predicted.
Madam of Wei Bangyan suddenly developed cataracts rising from below, green in color, unbearable swelling and pain. Mingzhi said: Rising from below indicates disease from Yangming. Green is not a primary color; likely Lung and Kidney combined pathology. He mixed ink with rice powder to match the cataract color, confirming Lung-Kidney involvement. He purged Lung-Kidney evil using herbs entering Yangming as guides. It worked, but relapsed three times with different meridians and colors. He reasoned: All meridians connect to the eyes; meridian disease affects the eyes. Likely meridian imbalance. Treatment resolved it permanently.
Feng Neihan Shuxian's nephew, Lian, aged 15-16, had Shanghan with red eyes, irritability, thirst, and rapid pulse (7-8 beats per breath). Doctors wanted to use Chengqi Tang. As medicine boiled, Mingzhi arrived. Feng suggested Chengqi. Mingzhi palpated and exclaimed: You almost killed this boy! *Neijing* says: Rapid pulses indicate heat, slow indicate cold. Pulse 8-9 beats is extreme heat. But *Huiyao* discusses cases where pulse conforms but disease contradicts. Pulse conforms but feels weak upon pressure indicates Yin transformation. He immediately prepared Ginger and Aconite, using "treating cold with heat" method. Before preparation, patient's nails turned black. After taking eight liang, sweat appeared, and he recovered.
Guo Chenji, military governor of Shaanxi, suffered hemiplegia, toes unable to extend. Summoned Mingzhi to capital. Mingzhi punctured Weizhong (BL40) deeply to bone without pain sensation, bleeding two to three sheng, dark as ink. Moxibustion/acupuncture repeated six or seven times. Medication for three months led to good recovery.
Madam of Pei Zhezhi suffered alternating chills and fever, amenorrhea for years, wheezing and coughing. Doctors used Gecko, Cinnamon, and Aconite. Mingzhi said: Incorrect. Yin attacked by Yang, excessive warm agents harm rather than help. Use blood-cooling drugs to restore menstruation. It worked.
Servant of Duke Xuande suffered metrorrhagia. Doctors failed. Mingzhi palpated and listed over 40 symptoms on paper. Prescribed medication. Next day, 24 symptoms reduced. Recovered in 5-6 days. Duke thanked him richly. Mingzhi's practices were all like this.
In summer of Wuxu year, I returned to Taiyuan. His son, Zhi zhong, brought *Huiyao* for preface. I placed these cases at the beginning so students know Mingzhi's written theories were tested and effective as described. 15th day of leap month, Yuan [Haowen] wrote at Zhengyi Palace of Master Fan Zunshi. (From *Wenji*)
[Shanghan Zhifa Juyao] One Volume. Not seen.
Wang Hu said: *Shanghan Zhifa Juyao* was written by Elder Dongyuan (Li Gao) of the Yuan dynasty. The book is one volume. It begins with cold, heat, wind,勞 (labor/fatigue), deficiency, and recurrence. Then it differentiates *Huohuo Shanghan Lun*, listing thirty-two key treatment methods. For external contraction, use Qianghuo Chonghe Tang; for internal injury, use Buzhong Yiqi Tang. If external wind-cold combines with internal Yuan Qi injury (internal-external double infection), use Hunxiao Buzhong Tang (Buzhong Yiqi Tang plus Gaoben, Qianghuo, Fangfeng, Cangzhu). Another method: first disperse with Chonghe Tang, then support middle with Ginseng, Astragalus, and Licorice. Others include Sanhuang Buzhong Tang, Guixu Buzhong Tang, totaling twelve Buzhong formulas. Also Gegen Ersheng Tang, Xionghuang Tang, etc., seven formulas. While developing Zhang Zhongjing's unstated ideas, the theory is too warming and tonifying, not worthy of emulation. Wang Hu notes: Dongyuan wrote *Neiwai Shang Bianhuo Lun*. Perhaps fearing internal injury mistaken for Shanghan, he continued the discussion, fearing Shanghan complicated by internal injury, thus creating Hunxiao Buzhong Tang to address it.
[Li's (Hao) Shanghan Lingfa] Ten Volumes (*Guoshi Jingji Zhi*). Lost.
[Zhongjing Huowen] Lost.
Note: Mentioned above in Teng County Gazetteer.
[Wang's (Haogu) Yinzheng Lüeli] One Volume (*Dushu Minqiu Ji*). Not seen.
Qian Zeng said: *Yinzheng Lüeli* by Old Man Haicang (Wang Hao). Haicang Old Man Wang Haojin fully transmitted Dongyuan Li Mingzhi's medicine. He stated that Shanghan is a major disease of humans, and Yin syndrome toxicity...