倘可载师之余方而敢譬行之何在非竹溪公之流泽远也夫殷中军不尝以解经脉着乎所给事至叩
头流血然后为一诊其母试之一验而即楚其经何衷之狭也有苍生之望竟使壶山蒙其耻声盖不待
咄咄书空之日而觇其无济世之器矣吾又因是刻以见师之大云此尧舜犹病之仁而吾夫子所谓仁
之方也
万历己未进士观刑部政门生杨锡璜顿首拜撰
医之道本草于神农素问于黄帝未始有方也而方之所从出也二圣人岂不能为方以开天下万
世之先而恐后之人按方而执之不知有神明变化之用则必有不适于宜而其误至于杀人者矣圣人
为宜不为方故曰神而化之使民宜之此圣人无方之神也方之说盖起于长桑君之授越人曰我有禁
方使毋泄而后尽与之然方而曰禁取禁而秘之岂惟不令人公且有不使人知者矣虽善于宜而未必
尽为天下用此越人得之所以能随俗为变医闻天下而不免于自祸其身则亦以其方集而不泄之求
其后太仓公授禁方于元里决生死悦疑药论甚精而病家多怨之亦坐此耳善哉汉文帝之能用方也
诏太仓长而问之以技所长所能治病及所受学何师何岁县里人何病与医药已其病之方具悉而对
帝亦HT HT 闻矣然意所对者不过切脉诊色药病所宜与所授书之善为方耳非有关于天下国
家之利病
且其所授书之人至不欲令子孙知学我方若是乎慎而不轻隘而不廓而汉文帝悉以公之天下后世
而尽除千古之肉刑发三王所未有之剂以回造化之脉遂使天下人无残肤缺体英布不黥孙子无刖
人无病而嘻不药而愈熙熙各登春台行华胥此其于上池元里禁方书所称奇称妙其宜何若而论者
且以为帝闻太仓长药论悲其意而除之故千古善用医方者莫如汉文帝嗟乎医方之宜亦难言矣苟
得其宜小用之可以无病于身大用之可不病于天下精用之可以起一时人之疾化用之可以养千万
世人之和无方者圣人神人之宜也有方者贤人智人之宜也贤智人隔垣见一方人圣神人无垣见万
方人顾所宜何如耳圣神人不可得而以望于贤智人之不拘方此丁竹溪先生医方集宜之所为作也
闻丁之先所传多异事朝城令公读书龙洞山中始遇异人授秘方其事迹与长桑元里相似朝城公得
而行之于令大抵皆活人之政而不专以已病闻其书之方久亦散轶不尽传竹翁先生儒者也乃使搜
简而表章之参以古方益以已所证验集而成书曰医方集宜竹翁岂欲以一定之方必天下哉有味哉
其言曰仁者以天地万物为一体而义存焉义者宜也舍方则病仁执方则病义吾集此以待知方之宜
而已竹翁之意远矣非专为宜医者待也盖将以待夫后之人有能好方书而精者无结 于方之中可
以寿身又有妙方书而化者无穷施于方之外可以寿天下故竹翁之后人最善用集方之宜者莫如郡
司理公司理公之所职者刑也而所期者刑无刑也按狱必以律无轻失出入此有方也狱无小大必以
情情而矜之时而舍之此无方也有方则民不犯法无病仁不有方则法无冤民无病义竹翁有集方能
大用化用而不为小用者司理也郡少医病则召巫而祝往岁疫盛行民病多死司理伤之乃刻是集行
之部中以济病民于是全活者众此又以有方妙无方而教民精用者也赤张满稽言有虞氏之药疡也
病而求医孝子操药以诊慈父其 色焦然司理之刻斯集夫亦有焦然者矣所谓为民求医者也夫然
后司理之善用方可知也用方书活民而民活竹翁之道行不用方书活民而民无不活竹翁之道益竹
易曰神无方又曰德方以智无方则神有方则智竹翁之集方与司理之善用方仁义忘矣而进于智虽
道济天下可也何乃其禁方哉
万历岁在庚申秋七月晋江宇下儒林间人李光缙顿首拜撰
吾家上世以来率精于医洪武间吾祖仲宝翁以耆德推重乡评承京兆委署本邑事最久其神异
尤多成化间吾祖德刚江之浒芦苇丛薄间多虎暴德刚翁为文祭之虎渡江去地遂无虎患又尝还人
遗金至今祭虎还金事里中人犹津津然能道之其它行具见庐陵孙公鼎传中暨吾祖伯远读书龙洞
山中遇异人授秘方后令朝城九载致政其交游迓游燕京当时在朝诸老如刘公大夏屠公镛侣
公钟曾公鉴顾公佐潘公祯俱重翁之品欢然与相酬唱篇什甚众盖屡世皆擅活人妙术其遗方秘简
历更以来亦颇散逸建吾王大父竹溪翁精心慧识始搜括蠹余而表章之参以古方益以己所证验裒
集成书凡有十卷其书首病源次形证次脉法而治法治方治验又次之一开卷而病者之情形与用药
之会了然指掌尝曰医者意意者宜也因名之以集宜顾散帙旧藏笥中余惧其久而寝以散失使前
人一片活人心地湮没不传不忍也又闽地绝少医药以祷赛代针砭以巫觇当医王一有寒暑霜露之
虞束手无策况其大者乎于是谋寿诸梓以广其传惟吾王大父仁心为质其天性孝友忠诚不欺诸不
具论论其细者于凡贫难人之乞医药浓资给之婉慰藉之未已也又谆复期以来告必无自沮殷殷然
应之无倦色于戏此其心何心哉慎斯术也以德则必不遗微细则必哀此梵独旨哉王大父良相良医
之论真知言也吾故因叙是书而并及其制行大略以见吾王大父苦心济人之意非KT 区区剿古
人绪论以衍歧黄一脉已也
万历岁在戊午春王正月元旦孙明登顿首撰于温陵之勺海楼\x
如果还能记载老师剩余的方剂,并敢于比喻推行它们,这如果不是竹溪公恩泽深远的结果,那又是为什么呢?殷中军(殷浩)曾经凭借疏通经脉而闻名,但那些给他办事的人直到磕头流血才进行一次诊断。他的母亲尝试使用这种方法,一验即知其中的局限和狭隘。有苍生之望的人,竟然让壶山(丁毅的号)蒙受耻辱,名声甚至不需要等到像殷浩那样对着天空书写“咄咄怪事”的日子,就能看出他缺乏济世的能力了。我又通过这部刻本看到了老师的宏大之处,这就是尧舜都感到不足的仁爱,也就是我的夫子所说的仁的方法。
万历己未年进士、观刑部政门生杨锡璜叩首敬撰。
医学之道,本草起源于神农,素问起源于黄帝,起初并没有方剂。而方剂是从哪里产生的呢?两位圣人难道不能制定方剂来为天下万世开创先河吗?只是担心后人按照方剂机械地执行,不知道其中有神明般的变化妙用,那么必然会有不适用的情况,其错误甚至会导致杀人。圣人主张适宜而不拘泥于固定方剂,所以说“神而化之,使民宜之”。这是圣人没有固定方剂的奇妙之处。关于方剂的说法,大概起源于长桑君传授给扁鹊(越人),说:“我有禁方,让你不要泄露。”后来才全部交给他。然而方剂被称为“禁”,取的是禁止保密之意,岂止是不让人公开,甚至有不让别人知道的意思。虽然善于适宜,却未必能完全被天下人使用。这也是扁鹊得到这些方剂后,能够随俗变通,医名闻于天下,却难免自身遭祸的原因,大概也是因为他收集方剂而不轻易泄露所致。后来太仓公在元里传授禁方,决断生死,辨析疑难药论非常精妙,但病人家属多怨恨他,也是因为这个原因啊。汉文帝善于运用方剂,真是好啊!他下诏询问太仓令擅长什么技艺,能治什么病,师从何人,学了多久,县里的人得什么病,用什么医药,以及治疗后的方剂,太仓令都详细回答。文帝也听得津津有味。然而他所问的,不过是切脉诊色、药物与疾病的适宜关系,以及所授书籍中方剂的精妙之处罢了,并没有关系到天下国家的利害。
况且太仓公传授书籍的人,甚至不希望子孙知晓学习。我方剂如此谨慎而不轻率,狭隘而不开阔。而汉文帝却将其公之于天下,后世因此尽除千古以来的肉刑,发出三王未曾有过的药剂,以挽回造化的脉络,从而使天下人没有残损肌肤、缺失肢体的人。英布不再受黥刑,孙子不再受刖刑,人们没有疾病而欢笑,不吃药而痊愈,个个安乐地登上春台,生活在华胥国般的理想境界。这对于上池、元里禁方书中所称奇的、称妙的,适宜程度如何呢?评论者认为,是因为文帝听到太仓令的药论,悲悯他的心意而废除了肉刑。所以千古善用医方的人,没有比得上汉文帝的。唉!医方的适宜,也很难言说了。如果得其适宜,小用它可以使身体无病,大用它可以使天下无病,精用它可以起死回生,化用它可以养育千万世人的和谐。没有固定方剂,是圣人和神人顺应时宜的表现;有固定方剂,是贤人和智人顺应时宜的表现。贤人和智人隔着墙能看到一个方剂,圣人和神人不隔墙就能看到万个方剂。只看适宜的方面如何罢了。圣人和神人不可多得,所以我们寄希望于贤人和智人不拘泥于方剂。这就是丁竹溪先生编写《医方集宜》的原因。
听说丁氏祖先流传的多是奇异之事。朝城令(丁毅祖父)在龙洞山中读书时,最初遇到异人传授秘方,其事迹与长桑君、元里相似。朝城公得到后在任县令期间施行,大体都是救人的政绩,并不专门以治愈个人疾病闻名。他的书中方剂长久以来也散失不全。竹翁先生是儒者,于是搜集简选并表彰它们,参考古方,增加自己验证过的经验,集结成书,名为《医方集宜》。竹翁难道想用固定的方剂强求天下人都适用吗?他的话意味深长:“仁者视天地万物为一体,义就存在于其中。义就是适宜。舍弃方剂则损害仁,执着于方剂则损害义。我收集这些方剂,是为了等待懂得方剂适宜性的人罢了。”竹翁的心意深远啊,不仅仅是为了适合行医的人等待,而是将用来等待后代中有人能喜好方书并且精通它,不结党于方剂之中,可以养生;又有妙用方书而不拘泥于方剂之外,可以造福天下。所以竹翁的后人中,最善于运用集合方剂适宜性的,莫过于郡司理公。司理公的职责是刑罚,而他的期望是刑罚最终不被使用。审理案件必定依据法律,不轻易出入人罪,这是有方剂;案件无论大小必定依据实情,酌情怜悯,适时宽恕,这是无方剂。有方剂则百姓不犯法,没有损害仁;没有固定方剂则法律没有冤屈百姓,没有损害义。竹翁有集方,能够大用、化用,而不只是小用,这正是司理公的做法。郡中缺少医生治病,就召请巫师祈祷。往年瘟疫盛行,百姓多死亡,司理公对此感到悲伤,于是刻印这套书在辖区内推行,以救济患病百姓,于是保全活下来的人很多。这又是以有方剂、妙用无方剂来教导百姓精用的例子。赤张满稽曾说,虞氏治疗疮疡,生病求医,孝子拿着药,慈父神色焦急。司理公刻印这套书,大概也有这种焦急的神色吧,这就是所谓为民求医的人。这样以后,司理公善于运用方剂就可以知道了。运用方书救人而人活,竹翁的道就实行了;不用方书救人而人无不活,竹翁的道就更加光大。《易经》说:“神无方”,又说:“德方以智”。无方则神,有方则智。竹翁的集方与司理公的善用方,仁义已忘,而进于智,即使道能济天下又何必呢,何况是那些禁方呢?
万历岁在庚申秋七月,晋江宇下儒林间人李光缙叩首敬撰。
我家自上古以来,大都精通医术。洪武年间,我的祖父仲宝老人因德行高尚被乡评推崇,承接京兆委任代理本县事务时间最长,他的神异事迹尤其多。成化年间,我的祖父德刚在江边芦苇丛生的地方,多有老虎暴虐。德刚老人写文章祭祀它们,老虎渡江离去,当地从此没有虎患。又曾经归还别人遗失的金子,至今同乡人还津津乐道地讲述祭虎还金的故事。其他的事迹详见庐陵孙公鼎的传记中。等到我的祖父伯远在龙洞山中读书时,遇到异人传授秘方,后来在朝城县令任上九年退休。他的交游迎接他在燕京,当时在朝的各位老臣如刘公大夏、屠公镛、侣公钟、曾公鉴、顾公佐、潘公祯等都看重老人的品德,愉快地与他酬唱,诗篇很多。大概几代人都擅长救人的妙术,他们遗留的方剂和秘密书信,历经岁月也已颇散失。我的祖父竹溪翁精心慧识,开始搜罗蠹余(被虫蛀蚀剩下的部分),并加以表彰。参考古方,增加自己验证过的经验,汇编成书,共有十卷。这本书首先讲病源,其次讲形证,再次讲脉法,然后是治法、方剂、治验。翻开书卷,病人的情形与用药的契合点就了然于掌中。他曾说:“医者意也,意者宜也。”因此命名为《集宜》。可惜散乱的篇章旧藏箱箧中,我担心时间久了会散失,使前人一片救人的心地湮没不传,不忍心啊。况且闽地极少医药,以祈祷祭祀代替针灸,以巫觋充当医生。一旦有寒暑霜露的忧患,就束手无策,何况是大病呢?于是谋划刻印以广泛传播。只有我的祖父以仁心为本性,天性孝顺友爱忠诚不欺,这些都不必细说。只说细微之处,对于凡是贫穷困难之人乞求医药,他慷慨资助,委婉安慰,不止于此。又反复期望着他们再来告知,一定不使他们沮丧,殷切地回应,毫无倦色。唉!这是什么心肠呢?谨慎这门技术,以德行为准则则必不遗漏微小细节,以哀怜鳏寡孤独为宗旨,真好啊!我的祖父良相良医的言论,真是知言之论啊。所以我借着为这本书作序的机会,一并提及他实行的大略,以显示我的祖父苦心救人的心意,不仅仅是抄袭古人的绪论来衍续岐黄一脉而已。
万历岁在戊午春王正月元旦,孙明登叩首撰于温陵之勺海楼。
If the remaining prescriptions of the teacher can still be recorded and dared to be propagated by analogy, would this not be due to the far-reaching influence of Master Zhuxi? Did not General Yin (Yin Hao) once become famous for unblocking meridians? However, his attendants did not perform a single diagnosis until their heads bled from kowtowing. When his mother tried this method, she immediately realized its limitations and narrowness. A person with hope for the common people should not have let Hushan (Ding Yi's pseudonym) suffer shame; his reputation was revealed to lack the capacity to benefit the world even before the day he wrote "Duoduo" (expressing frustration) in the air. Through this printed edition, I again see the greatness of the teacher: this is the benevolence that even Yao and Shun felt was insufficient, and it is what my Master Confucius called the method of Ren (Benevolence).
Yang Xihuang, Jinshi of Jiwei Year in Wanli, Student of Guan Xingbu Zheng, bows respectfully.
The Way of Medicine originated from Bencao (Materia Medica) by Shennong and Suwen (Basic Questions) by the Yellow Emperor; initially, there were no specific prescriptions. Where did prescriptions come from? Could the two sages not have created prescriptions to pioneer for the world and future generations? They feared that later people would mechanically follow prescriptions without understanding the divine and transformative applications, leading to inappropriate uses and even death. Therefore, sages emphasized appropriateness rather than fixed prescriptions, saying, "Transform them divinely so that the people may find them suitable." This is the miraculous nature of sages having no fixed prescriptions. The concept of prescriptions likely began when Changsang Jun transmitted secret prescriptions to Yue Ren (Bian Que), saying, "I have forbidden prescriptions; do not leak them," before eventually giving them all to him. However, calling them "forbidden" implies secrecy, not just keeping them public but even hiding them from knowledge. Although suitable, they might not be fully usable by the world. This is why Bian Que, despite mastering these prescriptions and adapting to customs to gain fame, could not avoid personal disaster—likely because he collected but did not freely disseminate them. Later, Taicang Gong transmitted forbidden prescriptions at Yuanli, judging life and death and analyzing difficult medicinal theories with great precision, yet many patients' families resented him, also due to this reason. How admirable was Emperor Wen of Han in his use of prescriptions! He issued an edict asking the Taicang Ling about his skills, diseases he could treat, teachers, years of study, local ailments, medicines used, and resulting prescriptions, which the official answered in detail. The emperor listened attentively. However, his inquiries focused only on pulse diagnosis, complexion observation, suitability of drugs for diseases, and the excellence of prescribed books, lacking concern for national interests.
Moreover, the person who transmitted books to Taicang Gong did not even want his descendants to learn them. Our prescriptions are thus cautious and not frivolous, narrow and not expansive. Yet Emperor Wen made them public to the world. Subsequently, ancient corporal punishments were abolished, and unprecedented remedies were issued to restore the pulse of creation, ensuring no one suffered mutilation. Ying Bu was not branded, Sun Bin was not amputated; people lived without disease, laughing and healing without medicine, joyfully ascending to the Terrace of Spring, living in the ideal state of Huaxu. Compared to the wonders described in Shangchi and Yuanli forbidden prescription books, how suitable was this? Critics argue that Emperor Wen heard the Taicang Ling's medicinal theory, felt compassion, and abolished the punishments. Thus, no one in history has used medical prescriptions better than Emperor Wen. Alas, the suitability of medical prescriptions is hard to describe. If applied appropriately, small-scale use prevents personal illness; large-scale use prevents global illness; refined use revives the dying; transformative use nurtures harmony for millennia. Having no fixed prescription is the way of Sages and Divine Ones to adapt to circumstances; having fixed prescriptions is the way of Worthies and Wise Men to adapt. Worthies and Wise Men see one prescription through a wall; Sages and Divine Ones see ten thousand prescriptions without walls. It depends on appropriateness. Since Sages and Divine Ones are rare, we rely on Worthies and Wise Men not being bound by prescriptions. This is why Mr. Ding Zhuxi compiled *Yifang Jiyi* (Collection of Suitable Medical Prescriptions).
It is said that the Ding ancestors transmitted many extraordinary events. Lord Chaocheng (Ding Yi's grandfather) studied in Longdong Mountain and first met an immortal who taught him secret prescriptions, similar to Changsang Jun and Yuanli. After obtaining them, he practiced them during his nine-year tenure as magistrate, primarily achieving lives saved rather than personal fame. His prescriptions scattered over time. Mr. Zhuweng, a Confucian scholar, collected, edited, and promoted them, referencing ancient prescriptions and adding his own verified experiences to compile *Yifang Jiyi*. Did Mr. Zhuweng intend to force a fixed prescription upon the world? His words are profound: "The benevolent regard heaven, earth, and all things as one body, where Yi (Righteousness/Appropriateness) resides. Yi means appropriateness. Abandoning prescriptions harms Ren; clinging to prescriptions harms Yi. I collect these to await those who understand the appropriateness of prescriptions." Mr. Zhuweng's intent is distant, not merely for doctors but for future generations who love and master medical texts, avoiding entanglement in prescriptions to preserve health, and utilizing prescriptions beyond themselves to benefit the world. Among Mr. Zhuxi's descendants, the most adept at using the collection's suitability was the Prefectural Administrator (Sili Gong). His duty was punishment, but his hope was for punishment to cease. He judged cases strictly by law, avoiding wrongful convictions (having prescriptions); he considered circumstances, showing mercy and granting leniency when appropriate (without fixed prescriptions). With prescriptions, people do not break laws, preserving Ren; without rigid prescriptions, laws do not wrong people, preserving Yi. Mr. Zhuxi’s collection allows for grand and transformative use, not just minor application, which is what the Administrator does. When the prefecture lacked doctors, shamans were summoned. During past epidemics causing many deaths, the Administrator was distressed and printed this book to distribute locally, saving many lives. This exemplifies using prescriptions wisely to teach the people. As Chizhang Manji said, during Yu's time, treating wounds involved filial sons holding medicine and loving fathers looking anxious. The Administrator printing this book likely shared this anxiety, truly seeking medicine for the people. Thus, his skillful use of prescriptions is known. Using prescriptions to save lives implements Mr. Zhuxi’s Way; saving lives without relying on prescriptions further expands it. The *I Ching* says, "The Spirit has no form," and "Virtue is wise through form." Formless leads to spirit; formed leads to wisdom. Mr. Zhuxi’s collection and the Administrator’s skill transcend Ren and Yi, advancing to Wisdom, capable of benefiting the world, far surpassing mere forbidden prescriptions.
Li Guangjin, Scholar from Yuxia, Jinjiang, bows respectfully in the seventh month of Gengshen Year in Wanli.
My family has excelled in medicine since ancient times. In the Hongwu era, my ancestor Grandpa Zhongbao was respected for his virtue, appointed acting magistrate for a long time, and known for miraculous deeds. In the Chenghua era, my ancestor Degang encountered tiger troubles near the river reeds. He wrote a sacrificial text, and the tigers crossed the river, ending the threat. He also returned lost gold, stories still told fondly by locals. Other deeds are in Sun Ding’s biography of Luling. My ancestor Boyuan studied in Longdong Mountain, met an immortal, received secret prescriptions, served as magistrate of Chaocheng for nine years, and retired. He socialized with officials like Liu Daxia, Tu Yong, Lv Zhong, Zeng Jian, Gu Zuo, and Pan Zhen in Beijing, exchanging poems. Generations mastered life-saving arts, though manuscripts scattered. My grandfather Zhuxi carefully collected remnants, referenced ancient texts, added personal validations, and compiled ten volumes. The book covers disease sources, symptoms, pulse methods, treatments, prescriptions, and case studies. Opening it reveals clear connections between patient conditions and medication. He said, "Medicine is intention; intention is appropriateness." Hence the name *Jiyi*. Fearing loss, I sought to print it to preserve his life-saving heart. Fujian lacks medicine, relying on shamanism. Without proper care, people suffer. Thus, I planned to print it widely. My grandfather possessed innate benevolence, filial piety, and honesty. For the poor, he gave generously and comforted sincerely, encouraging them to return. What a noble heart! Cautious in practice, virtuous in detail, compassionate to the vulnerable. His view of "Good Minister, Good Doctor" is insightful. I write this preface to highlight his altruistic intent, not merely copying ancients to continue Qi-Huang lineage.
Sun Mingdeng bows respectfully on New Year's Day, Wumu Year in Wanli, at Shaohai Pavilion, Wenling.