道之大原出于天,凡道之所分寄,亦必探原于天,医其一端也。盖天之道,不外阴阳五
行,禀阴阳五行之精气。而人生焉,感阴阳五行之戾气,而人病焉。然非见道之儒者,又孰从
而
不探微抉奥,体用兼HT 。而又以其余力,考岐黄阐《内》《难》,阴阳有辨,五行有分,
耳目口鼻之司,肌肤筋骸之会,动静燥湿之宜,凡和缓之所未发,仓扁之所难言,莫不
因人见天,葆其天之所本有,治其天之所本无,以人治人,实以天还天而已。吾与石子交最
久,叩其学甚深。他日尝恼医家之不通儒术,率皆昧于其原而仅逐其末也。着《医原》二
十篇,因病之原,探医之原,并探其原中之原。披阅之下,益信石子之学为有原也。乃或者
曰∶医小道也,儒者亦为之耶?夫就医论,医其小之也,固宜,若医而探原于天,则因医见
道
为圭臬,在作者特出其绪余焉耳?一旦居宰衡之任,司燮理之权,必能究致治清浊之原,而
寿人寿世,良相良医,不难以一人收其全功,而天下亦共知儒术之大。阴阳五行之蕴,天人
一原之理,无乎不在也。斯篇其石子之嚆矢也!夫是为序。
咸丰十一年岁次辛酉孟夏月同里愚弟张星亘子绵顿首拜撰
余家事医学,历七世于兹矣。忆自入塾受书时,略明句读,先君子即授以医家言,命与
四子书并读。尝谓业医而不读书,有终身由之而不知其道者,且为人子而不知医亦非孝也
。爰为寿棠立程课,朝而儒,夕而医,历数十寒暑如一日,虽习举子业,未尝或忘,家慈又
体质素弱,医药不离,每侍疾时,与医家参以诊剂,辄颇得效,自是尤三致意焉。年来公车
栗六,迄无暇时,复以南北烽烟,逼近乡里,邑候延余倡办团练,每于夜巡稍暇,人静更阑
,重述先子之绪言,因汇前贤之全说,凡四阅月,得《医原》二十篇。非敢以言寿世也,但
求无负先人之意,且敬承世业云尔!呜呼!父书幼读,愧守箕裘,庭训未忘,感深风
木,此则有益增余恸者矣!
咸丰十一年岁次辛酉仲春月上浣安东石寿棠芾南书于留耕书屋
大道之源出于天,凡是道的分支寄托之处,也必然追溯其本源于天,医学只是其中的一个方面罢了。大概天的运行规律,不外乎阴阳和五行,人禀受了阴阳五行的精气而诞生,若感受了阴阳五行的乖戾之气,人就会生病。然而,如果不是那些通晓大道的儒者,又有谁能深入探究细微隐秘、发掘深奥道理,做到体用兼备呢?他们又利用余力,考证岐伯、黄帝的学说,阐发《黄帝内经》和《难经》,使阴阳得以辨析,五行得以区分,明确耳目口鼻的功能,肌肤筋骸的会合,动静燥湿的适宜之处,凡是古代名医和缓、仓公所未曾阐发的,难以言说的,无不通过观察人来认识天道,保养人天生所固有的本性,治疗人先天所缺失的部分,以人的方法来治疗人,实际上就是用天道来恢复天道罢了。我与石子(石寿棠)交往最久,探问他的学问,发现非常深厚。他曾感叹医家不通晓儒家学术,大多不明道之根本而只追逐细枝末节。于是撰写了《医原》二十篇,从疾病的本源入手,探寻医学的本源,并进一步探寻本源中的本源。我阅读之后,更加相信石子的学问是有根源的。或许有人会说:医学是小道,儒者也从事这个吗?如果就医学本身而言,说它是小道是合适的;但如果医学要追溯本源于天,那么因医学而见道就是准则,这不过是作者将其余绪发挥出来罢了。一旦担任宰相的重任,掌握调和阴阳的权力,必定能探究治理国家清浊混乱的根本,从而使人长寿、使世道安宁,优秀的宰相和优秀的医生,不难由一个人完成全部功业,天下人也都会知道儒家学术的伟大。阴阳五行的蕴藏,天人同源的道理,无处不在。这篇文章是石子的开山之作!这就是序言。
我家世代从事医学,至今已经七代了。回忆我刚进入私塾读书时,刚刚懂得句读,父亲就传授给我医学言论,命令我将它与“四书”一起诵读。他曾经说:从事医学却不读书,会有终身遵循它却不知道其中道理的人;况且作为儿子却不知道医学,也不是孝道。因此我为石寿棠制定了课程计划,早晨攻读儒家经典,晚上研习医学,历经数十个寒暑如一日一般坚持,虽然也在练习科举文章,但从未忘记医学。母亲体质一向虚弱,医药不离身,每次侍奉疾病时,我参与医生的诊断和用药,往往很有效,从此尤其对此用心。近年来参加科举考试奔波劳碌,一直没有空闲时间,加上南北战火逼近家乡,县令邀请我带头办理团练,每当夜间巡逻稍有空闲,夜深人静之时,重新阐述先父的遗训,汇总前贤的全面学说,总共经过四个月,写成《医原》二十篇。不敢说是为了流传于世造福后人,只求不辜负先人的心意,并且恭敬地继承世代相传的事业罢了!唉!父亲的书幼年就读,惭愧地守着祖业,庭训未曾忘记,感伤于父母已逝(风木之悲),这更增加了我的悲痛!
The great origin of the Dao (Way) stems from Heaven. Wherever the Dao is manifested, its source must also be traced back to Heaven; medicine is merely one aspect of this. The Way of Heaven is nothing other than Yin and Yang and the Five Elements. Human beings are born by inheriting the essence and qi of Yin, Yang, and the Five Elements. When humans are affected by the turbulent qi of Yin, Yang, and the Five Elements, illness arises. However, unless one is a Confucian scholar who comprehends the Dao, who else could delve into the subtle and obscure, uncover profound mysteries, and integrate substance with function? Utilizing their remaining energy, they examine the teachings of Qibo and Huangdi, elucidate the *Huangdi Neijing* (Yellow Emperor's Inner Canon) and *Nan Jing* (Classic of Difficult Issues), distinguish Yin from Yang, separate the Five Elements, understand the functions of the ears, eyes, nose, and mouth, the convergence of skin, muscles, sinews, and bones, and the appropriateness of movement, stillness, dryness, and dampness. Regarding matters not yet expounded by ancient physicians like Hehuan and Cangbi, or those difficult to articulate, they all observe humanity to perceive Heaven, preserve what Heaven originally endowed, and treat what Heaven originally lacked. By using human methods to treat humans, they essentially return Heaven to its natural state. I have known Shi Zi (Shi Shoutang) for the longest time and found his scholarship to be extremely profound. He once lamented that many physicians lack proficiency in Confucian studies, often ignorant of the root cause while merely pursuing superficial details. Consequently, he authored twenty chapters of *Yi Yuan* (The Origin of Medicine), exploring the origin of disease to probe the origin of medicine, and further investigating the origin within the origin. Upon reading it, I am even more convinced that Shi Zi’s learning has a solid foundation. Some might say: "Medicine is a minor art; do Confucians engage in it?" If viewed merely as a technical practice, calling it a minor art is appropriate. But if medicine seeks its origin in Heaven, then perceiving the Dao through medicine becomes the standard. This work is but an extension of the author's residual insights. Should one assume the role of a high minister, wielding the power to harmonize, one would surely investigate the origins of governance and clarity versus turbidity, thereby prolonging life and benefiting the world. An excellent statesman and an excellent physician can achieve complete success through one person, and the world will recognize the greatness of Confucian scholarship. The profundity of Yin, Yang, and the Five Elements, and the principle that Heaven and Humanity share a common origin, are present everywhere. This piece is the pioneering work of Shi Zi! Thus, the preface.
My family has practiced medicine for seven generations. Recalling when I first entered school to study, having just learned basic punctuation, my father instructed me in medical texts, ordering me to read them alongside the Four Books. He often said, "One who practices medicine without studying the classics may follow the path for a lifetime without understanding its principles. Moreover, a son who does not know medicine fails in filial piety." Therefore, I established a curriculum for Shou Tang: Confucian studies in the morning, medicine in the evening. For decades, through countless cold summers and hot winters, this routine remained unchanged. Although I engaged in preparing for the imperial examinations, I never neglected medicine. My mother had always been constitutionally weak, requiring constant medical attention. Whenever I attended to her illness, participating in diagnosis and prescription with physicians, the results were often effective. From then on, I paid particular attention to this field. In recent years, due to the busy schedule of the imperial examinations, I had no leisure time. Furthermore, with the smoke of war approaching our hometown from north and south, the county magistrate invited me to lead the organization of local militia. During brief intervals after night patrols, when the night was quiet and late, I revisited my father's teachings and compiled the comprehensive theories of past sages. Over four months, I completed the twenty chapters of *Yi Yuan*. I dare not claim this is to benefit future generations, but only to honor my ancestors' intentions and respectfully inherit our family profession. Alas! Reading my father's books since childhood, I feel ashamed to merely guard the family heritage. Having not forgotten the lessons taught at home, I am deeply moved by the sorrow of losing my parents (the metaphor of wind and trees). This adds to my grief.