闻之 老,自顺治至康熙之初,四十年间,外郡人称武林为医薮。盖其时卢君晋公,以禅理参证医
理,治奇疾辄效,名动一时。张君隐庵继之而起,名与相埒,构侣山堂,招同学友生及诸门弟子,讲论
其中,参考经论之同异,而辨其是非,于是谈轩岐之学人,咸向往于两君之门,称极盛焉。两君所着书皆
堪传世,张氏所辑者,俱已授梓行世,甫及百年,流传日少。其《针灸秘传》及《侣山堂类辩》二种,已
难得购,余寻之有年,始得《类辩》一种。观其准古衡今,析疑纠谬,足为后学规矩准绳,亟为重梓,以
广其传。后之学人,苟以此为指南,庶能得正道,而由之宁有岐路之迷、邪径之误哉?隐庵初为粮道书
吏,粮道患癃闭,诸医用药皆罔效,或荐隐庵。隐庵以补中益气汤投之,一剂而愈。或问之曰∶人治以降
利之药而不效,子易以升提之药而效,其理安在?隐庵曰∶公不见夫水注子乎!闭其上而倒悬之,点滴不
能下也;去其上之闭,而水自通流。非其法耶?令阅编中所释,将欲下之,必先举之,而引辘轳之绳以
喻,正是此理。人能以此法触类而通之,医法固无尽藏哉!兹事,余盖闻之黄君观石者如是,近又闻张君
东扶,言卢晋公事粮道,患内闭溺不得下,势甚亟,诸医皆束手,晋公先生以人参、麻黄各一两定剂,诸
医嗫嚅不敢谓是,粮道不疑,而饮其药,不超时溺下,粮道喜以千金赠晋公。与予前所闻者异辞,予意
卢、张二君所治各一,当事而传者,均属之粮道,致有异同之疑耳!黄、张二友,皆非妄言者,故并纪之
以为治癃闭之法,并以证此帙中,名言精理,所蕴不少,人当殚思细参,以收其益,慎毋视为浅近而忽之也。
乾隆己丑三月五日戊子胥山老人王琦
忆甲子岁暮,以事往来横山大岭间,道中憩一农家,农家方解豕,析其前蹄,有清水流出,约二升
许。异而询之,农家子曰∶此豕自么时即患足弱不能行立,恒卧而食。此其病之所由来也。予因是悟人
之病手足不良,而不任持行者,盖因水湿之气留滞其中者,亦如此矣。兹阅隐庵所记,因猪肠之蛔,而知
无病之人未尝有蛔。其事固可类观也。谷雨后三日庚子,校勘已毕,重阅此条,因 笔附记于后。
听人说,从顺治年间到康熙初年这四十年间,外地人都称杭州(武林)为医学汇聚之地。大概是因为当时卢晋公先生,用禅宗的道理来参证医学原理,治疗疑难杂症往往有效,名声震动一时。张隐庵先生接着兴起,名声与卢公相当,他建造了侣山堂,召集同学、朋友以及各位门生弟子,在堂中讲论,参考经典论述的异同,从而辨析其中的是非对错。于是,谈论黄帝、岐伯医学的人,都向往这两位先生的门下,盛况达到了极点。两位先生所著的书籍都值得传世,张氏所编辑的著作,都已经刻印发行。仅仅过了一百年,流传的版本就越来越少了。其中《针灸秘传》和《侣山堂类辩》这两种书,已经很难买到。我寻找多年,才得到《侣山堂类辩》这一种。看它依据古法衡量今世,分析疑惑纠正谬误,足以成为后学者的准则和规范,急需重新刻印,以扩大其传播。后来的学者,如果以此为指南,或许能掌握正道,沿着这条路走,难道还会有歧路之迷、邪径之误吗?
张隐庵起初担任粮道的文书小吏。粮道患癃闭(小便不通),各位医生用药都没有效果,有人推荐了张隐庵。张隐庵用补中益气汤投喂,一剂药就好了。有人问他:“别人用通利小便的药治疗却无效,您改用升提的药物却有效,其中的道理在哪里?”张隐庵说:“您没看过那个汲水的器具吗!堵住上面并倒悬它,水点滴也流不下来;去掉上面的堵塞,水自然就会流通。这不是最好的方法吗?”现在阅读书中解释的内容,想要向下通利,必须先向上提升,并用辘轳的绳子来比喻,正是这个道理。人们如果能以此法触类旁通,医学的方法确实是无穷无尽的啊!这件事,我听黄观石先生是这样说的,最近又听张先生东扶说,卢晋公处理粮道事务时,粮道患内闭溺不得下,形势非常紧急,各位医生都束手无策。卢晋公用人参、麻黄各一两作为定量的药剂,各位医生犹豫不敢说是这个方子,但粮道没有怀疑,喝下了这药,没过多久小便就通了,粮道高兴之下赠送千金给卢晋公。这与我之前听到的说法不同,我的意思是卢、张两位先生治疗的可能是不同的病例,而当事者传说时,都归结于粮道一人身上,导致了差异和疑问。黄、张两位朋友,都不是乱说话的人,所以一并记录下来,作为治疗癃闭的方法,同时也证明这本书中蕴含的名言精理不少,人们应当竭尽思考仔细参悟,以收获益处,千万不要视为浅显近俗而忽视它。
乾隆己丑年三月五日戊子日,胥山老人王琦记。
回忆甲子岁末,因为事情往来于横山大岭之间,在路上在一个农家休息,农家正在杀猪,剖开猪的前蹄,有清水流出,大约两升左右。我感到奇怪并询问,农家儿子说:“这头猪自从很小时就患有足弱不能行走站立,总是躺着吃食。这就是它病情的由来。”我因此领悟到,人的手足不好,不能胜任持物行走,大概也是因为水湿之气留滞在其中,也像这样啊。现在阅读张隐庵的记录,通过猪肠中的蛔虫,知道没有病的人体内未曾有蛔虫。这件事固然可以类比观察。谷雨节后三日庚子日,校勘完毕,重读这一条,于是提笔附记在后面。
It is said that from the Shunzhi era to the early Kangxi era, a period of forty years, people from outside the prefecture referred to Hangzhou (Wulin) as the "pool of medicine" (a gathering place for medical experts). This was likely because at that time, Mr. Lu Jingong (Lu Jin), using Zen Buddhist principles to corroborate medical theories, frequently achieved efficacy in treating rare and difficult diseases, thereby shaking the world with his fame. Mr. Zhang Yinan (Zhang Yin'an) rose subsequently, his fame being comparable to Lu's. He constructed the Lushan Tang (Hall of Companioning Mountains), inviting fellow students, friends, and disciples to lecture within, referencing the similarities and differences in classical texts to distinguish right from wrong. Consequently, scholars discussing the learning of Huangdi (Yellow Emperor) and Qibo (Qibo) all yearned to study under these two masters, reaching an unprecedented peak of prosperity. The books authored by both masters were worthy of passing down through generations; the works edited by the Zhang family had already been woodblock printed and circulated. Yet, barely a century later, the number of circulating copies had dwindled. Among them, *Zhenjiu Michuan* (Secret Transmission of Acupuncture and Moxibustion) and *Lushan Tang Leibian* (Classified Debates of Lushan Hall) had become difficult to acquire. I searched for many years before finally obtaining *Lushan Tang Leibian*. Observing its adherence to ancient standards while evaluating contemporary practices, analyzing doubts, and correcting errors, it serves as a sufficient compass and square (standards and norms) for future learners. It is urgent to reprint it to broaden its dissemination. If future scholars take this as their guide, they may hopefully attain the correct path, and by following it, how could there be confusion on divergent paths or errors on crooked trails?
Zhang Yinan initially served as a clerk for the Grain Transport Commissioner (Liangdao). The Commissioner suffered from Longbi (urinary retention/obstruction), and various physicians' medications proved ineffective. Someone recommended Zhang Yinan. Zhang prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction), and the patient recovered after one dose. When asked, "Others used diuretic drugs without effect, yet you used ascending and lifting drugs with success; what is the rationale?" Zhang replied, "Have you not seen a water-drawing device? If you block the top and invert it, not a single drop can flow out; remove the blockage at the top, and the water flows naturally. Is this not the method?" Reading the explanations in this book, the principle that to drain downwards, one must first lift upwards, illustrated by the rope of a windlass, is precisely this logic. If people can apply this method to understand related matters through analogy, the methods of medicine are indeed inexhaustible! Regarding this matter, I heard Mr. Huang Guanshi explain it thus. Recently, I also heard Mr. Zhang Dongfu state that when Lu Jingong handled affairs for the Grain Transport Commissioner, the Commissioner suffered from internal obstruction with inability to urinate, a critical situation where all physicians were at a loss. Lu Jingong prescribed Ren Shen (Ginseng Radix et Rhizoma) and Ma Huang (Ephedrae Herba), each one liang (approx. 37g), as a fixed dose. The other physicians hesitated and dared not endorse this prescription, but the Commissioner did not doubt it and drank the medicine. Before long, urine flowed, and the delighted Commissioner gifted Lu Jingong a thousand taels of gold. This differs from what I previously heard. My opinion is that Masters Lu and Zhang treated different cases, but the stories told by those involved were conflated onto the Grain Transport Commissioner, leading to discrepancies and doubts. Friends Huang and Zhang are not given to falsehoods, so I record both accounts here as methods for treating Longbi, and also to testify that this volume contains abundant profound theories and exquisite words. People should exert their thoughts and carefully contemplate to reap benefits, and certainly should not regard it as superficial and trivial, neglecting it.
Recorded on the Wuzi day of the third month, Ji Chou year of the Qianlong reign, by Old Man of Xushan, Wang Qi.
Recalling the end of the Jiazi year, I traveled back and forth between Hengshan and Daling due to business. Resting on the road at a farmhouse, the farmers were slaughtering a pig and dissecting its foreleg, from which clear fluid flowed, approximately two sheng (approx. 2 liters). Surprised, I inquired. The farmer's son said, "This pig has suffered from weak legs, unable to walk or stand since infancy, always lying down to eat. This is the origin of its illness." From this, I realized that human ailments involving limbs that are unfit for holding objects or walking are likely caused by the stagnation of dampness-water qi within the body, similar to this case. Now, reading Zhang Yinan's records, he inferred from the presence of roundworms (Ascaris lumbricoides) in a pig's intestine that healthy humans do not harbor such worms. This matter can indeed be observed by analogy. On the Gengzi day, three days after Guyu (Grain Rain solar term), having finished collating and proofreading, I reread this section and appended this note with my pen.