医学渊源古帝,其书满家。经方脉论,各有专门。彪炳后先,几于充栋。独走方铃医自
为一科。习是技者,师师口授, 法相承。大率剽窃前贤绪论,以自为盈缩,或夸神授,或
诧僧传。方则多本古人,又不能尽通古人之意,故自古无专书,人亦以卖艺者流薄之。其徒
众辄挟此訾食江湖,秘其主使方剂,互为标揭。而乡僻城市随遇疗治亦往往奇验,比之世为
名医吝骄自大之辈似又胜之。尝读仓公传及六朝褚生列传,与近代苏、沈所纪,见证处方亦
都暗合,可见铃串流传远有端绪,抑亦画山水者,同能不如独胜欤!
同里赵恕轩先生纂《串雅》一书,盖尝遇铃医之贤者,不私所得,悉以授之。先生删其
眩异繁缛,参与秘笈所藏,归之雅正,勒为成书,其用心亦孔浓矣!咸丰初,为余杭某君刊
行,未及流布,遽毁于庚辛之难,人间仅有存者。
徐侍郎颂阁先生乙酉春来杭州,从丁氏八千卷楼假归,录付以去。濒行属余刊印,以公
同好。因乞吴君平格(庚生)补注,条系于后。平格邃于医,其所注悉有根据,足以增益是
书。若
光绪庚寅仲夏仁和许增迈孙识。
香附一斤,黄连半斤,洗晒为末,水糊丸如梧子大。如外感葱姜汤下;内伤米汤下;气
病木香汤下,或沉香或木香随时酌用;血病酒下;痰病姜汤下;火病白滚水下;余可类推。
医学的渊源可以追溯到上古帝王时代,相关的书籍堆满了屋子。经典方剂和脉学理论,各自拥有专门的学问。这些著作前后辉映,数量多得几乎堆满屋梁。唯独那些走街串巷、摇铃行医的江湖医生自成一家。学习这项技艺的人,师徒之间口耳相传,技法代代相承。他们大多窃取前人的理论成果,根据自己的理解进行增减发挥,有的夸耀说是神灵传授,有的惊诧说是僧人传承。他们的药方大多依据古人,但又不能完全通晓古人的本意,所以自古以来没有专门记载他们的书籍,人们也把他们视为卖艺之流而轻视。他们的门徒往往凭借这门手艺在江湖上谋生,把主治方的药方秘而不宣,互相标榜揭发。然而他们在乡间僻壤或城市里随遇而安地治病,往往有奇特的疗效,比起那些世代为名医却吝啬骄傲自大的人来说,似乎又胜过一筹。我曾经阅读《仓公传》以及六朝时期褚生的列传,还有近代苏轼、沈括所记载的内容,发现他们见证病情和开具处方也都暗合此道,可见摇铃串巷医术的流传久远,有其源头脉络,这或许就像画山水一样,大家都能画得相似,但不如独具胜境者高明啊!
同乡的赵恕轩先生编纂了《串雅》一书,大概是因为他曾遇到贤良的铃医,不私藏所得,全部传授给他。先生删去了其中眩惑怪异、繁琐冗杂的内容,参酌秘笈中收藏的资料,归于雅致端正,编辑成书,他的用心可谓深厚啊!咸丰初年,被余杭某位先生刊印发行,还没来得及广泛流传,就突然毁于庚辛年的战乱(指太平天国运动),民间仅存有少量残本。
徐侍郎颂阁先生在乙酉年春天来到杭州,从丁氏八千卷楼借出此书带回家,抄录后带走。临行前嘱托我刊印,以与同道中人共享。于是请吴君平格(字庚生)补充注释,条理清晰地附在后面。平格精通医术,他的注释都有根据,足以增益这本书。
光绪庚寅年仲夏,仁和许增迈孙识记。
香附一斤,黄连半斤,洗净晒干研成粉末,用水糊制作成梧桐子大小的丸药。如果是外感病,用葱姜汤送服;内伤病,用米汤送服;气病,用木香汤送服,或者沉香或木香随时酌情选用;血病,用酒送服;痰病,用姜汤送服;火病,用白开水送服;其余情况可类推。
The origins of medicine trace back to the ancient emperors, with books filling homes. Classic prescriptions and pulse theories each possess their own specialized fields. Shining upon one another across time, they are numerous enough to fill entire libraries. Only wandering physicians who shake bells for a living constitute a separate category. Those who practice this skill learn through oral transmission from master to apprentice, passing down methods in succession. Generally, they borrow fragments from the theories of former sages to adjust dosages or indications, sometimes boasting of divine revelation or marveling at Buddhist transmissions. Their prescriptions are mostly based on those of the ancients, yet they fail to fully comprehend the original intent of these ancients. Consequently, there have been no dedicated books on them since antiquity, and people tend to look down upon them as mere entertainers. Their disciples often rely on this craft to make a living in the jianghu (martial arts world/underground society), keeping their primary formulas secret while mutually exposing others' secrets. However, when treating illnesses opportunistically in remote villages or cities, they often achieve miraculous results, appearing superior to those self-proclaimed famous doctors who are stingy and arrogant. I have read the "Biography of Cang Gong" and the biographies of figures like Chu Sheng from the Six Dynasties, as well as records by Su Shi and Shen Kuo in recent times; their observations and prescriptions also seem to align secretly with this tradition. This shows that the lineage of bell-shaking street medicine has a long history and clear origins. Perhaps it is akin to landscape painting: many can achieve similarity, but few attain unique excellence!
Mr. Zhao Shuxuan, my fellow townsman, compiled the book *Chuan Ya* (String Elegance). He likely encountered virtuous bell physicians who did not hoard their knowledge but taught it all to him. Mr. Zhao removed the bizarre and verbose elements, incorporated materials from secret collections, and refined them into an elegant and orthodox form, compiling them into a finished book. His dedication was profound! In the early Xianfeng era, it was published by a certain gentleman from Yuhang, but before it could spread widely, it was suddenly destroyed during the Geng-Xin calamities (referring to the Taiping Rebellion). Only a few copies remained in the hands of private collectors.
Vice Minister Xu Songge came to Hangzhou in the spring of the Yihai year, borrowed the book from the Eight Thousand Volumes Pavilion of the Ding family, took it home, and had it copied. Before departing, he entrusted me with printing it to share with fellow enthusiasts. Thus, I requested Mr. Wu Pingge (courtesy name Gengsheng) to add supplementary annotations, listed item by item afterwards. Pingge is deeply knowledgeable in medicine, and his annotations are well-founded, sufficient to enrich this book.
Recorded by Xu Zeng Ma Sun of Renhe in mid-summer of the Gengyin year, Guangxu reign.
Xiangfu (Cyperi Rhizoma) 1 jin, Huanglian (Coptidis Rhizoma) 0.5 jin. Wash, dry, and grind into powder. Make pills using water paste, sized like wutong seeds. For exogenous pathogens, take with Scallion and Ginger Decoction; for endogenous injuries, take with Rice Decoction; for Qi disorders, take with Muxiang Tang (Aucklandia Decoction), or use Chenxiang (Aquilaria Lignum) or Muxiang (Aucklandiae Radix) according to circumstances; for Blood disorders, take with Wine; for Phlegm disorders, take with Ginger Decoction; for Fire disorders, take with plain boiled water; other cases may be inferred by analogy.