医,仁术也。乃或术而无仁,则贪医足以误世;或仁而无术,则庸医足以杀人。古云不
服药
粤数年,目击此辈甚众,辄有慨乎其中。每遇救急良方,不惜捐资购送。今于癸丑四月,适
闻佛山友人有幼子患症,医以风药投之,竟至四肢抽搐,口眼歪斜,命垂旦夕,忽得一良方
,一剂稍愈,三服霍然。又有人患半身不遂者十余年,得一良方,行走如故。余甚奇之,再
四访求,始知二方皆出《医林改错》一书,遍求得之,历试多验,因于公余沉潜反复,颇悟
其旨,窃叹此书之作,直翻千百年旧案,正其谬误,决其瑕疵,为希世之宝也,岂非术之精
而仁之至哉!余不忍秘藏,立刊布以公于世,使今人得悉脏腑经络之实,而免受庸医之误,
亦不负王勋臣先生数十年济世之苦心矣。愿同志君子勿视为寻常善书,幸甚!幸甚!
咸丰癸丑仲夏顺天张润坡识
丁未之秋,寄迹吴门,适同乡焦子浚文来,手执脏腑全图,乃勋臣王先生《医林改错》
之稿
腑人人皆同,勋臣背古人以传图,得毋炫奇立异乎?曰∶否,不然也。古人之图传其误,勋
臣之图传其信。天下物理之是非,闻虚而见实,寡见犹虚,多见为实。古人窃诸刑余之一犯
,勋臣得诸亲见之百人,集数十载之精神,改正乎数千年之遗误,譬诸清夜钟鸣,当头棒喝
,梦梦者皆为之唤醒焉。医书汗牛充栋,岂尽可征,然非善读书者,独具支眼,终为古人所
牢笼,而潜受其欺。孟子曰∶吾于武城取二二策。武城,周书也。孟子,周人也。当代之书
,犹且不可尽信,况远者乎?是书绘图立说,定方救逆,理精识卓,绝后空前,可为黄帝之
功臣,即可为长沙之畏友。抑又闻之,叶氏《指南》有久病入络之说,徐氏非之,不知入络
即血瘀也。今勋臣痛快言之,而《指南》入络之说益明。坊友汪子维之见而悦之,开雕梨枣
,以公诸世,斯真能刊录善书者也。是为序。
道光戊申中秋日上元后学小窗氏刘必荣识
医学,是仁爱的技艺。然而,如果有医术却没有仁爱之心,那么贪婪的医生足以误导世人;如果有仁爱之心却缺乏医术,那么平庸的医生足以致人死地。古语说:“不服药,为中医(不随意用药,被视为中等水平的医生)。”我多年来亲眼目睹这类医生,心中常有感慨。每当遇到救急的好方子,我不惜出资购买并赠送他人。
如今在癸丑年四月,恰好听说佛山的一位朋友家中有幼子患病,医生用祛风药治疗,竟然导致孩子四肢抽搐、口眼歪斜,生命危在旦夕。忽然得到一个好方子,服用一剂后症状稍减,服用三剂后病愈。又有一个人患半身不遂(中风偏瘫)十多年,得到一个良方,行走恢复如常。我感到非常惊奇,经过反复寻访,才知道这两个方子都出自《医林改错》一书。我到处寻找此书,多次试用都有效,因此在公务之余潜心研读,颇悟其深意。私下感叹这本书的问世,简直翻开了千百年来的旧案,纠正了其中的谬误,解决了其中的瑕疵,真是世间罕见的珍宝啊!这难道不是医术精湛且仁爱至极的表现吗?
我不忍心将其秘藏,立即刊印出版以公之于众,使现代人能够了解脏腑经络的真实情况,从而避免被庸医误导,也不辜负王勋臣先生几十年来济世救人的苦心。希望志同道合的君子不要把它视为普通的善书,那将是我的大幸!大幸!
咸丰三年(癸丑)仲夏,顺天张润坡记述。
丁未年秋天,我寄居在苏州(吴门),恰逢同乡焦浚文前来,手中拿着脏腑全图,那是勋臣王先生《医林改错》的手稿。有人问:既然人体的腑脏人人相同,勋臣背离古人的图谱来传承新图,难道不是为了炫耀奇特、标新立异吗?回答说:不,并非如此。古人的图谱传递的是错误,勋臣的图谱传递的是真实。天下事物的对错,听闻虚名不如见到实物,见得少则觉得虚幻,见得多了才觉得真实。古人从受刑后的罪犯身上窃取知识,而勋臣从亲自观察的一百多人身上获得知识,汇聚了几十年的精神,改正了几千年遗留的错误,就像深夜的钟声响起,当头棒喝,让所有糊涂的人都被唤醒。医书多得堆满屋子,难道都能作为证据吗?然而如果不是善于读书的人,拥有独到的眼光,终究会被古人所束缚,暗中受到欺骗。孟子说:“我对于武城这个地方的记载,只取两三个简册罢了。”武城,是周代的书籍。孟子,也是周代人。当代之书尚且不能完全相信,何况年代久远的呢?这本书绘图立论,制定方剂救治逆症,道理精微,见识卓越,空前绝后,可以称为黄帝的功臣,也可以称为长沙太守张仲景的畏友(敬重的朋友)。
我又听说,叶氏《指南》中有“久病入络”的说法,徐氏对此表示反对,却不知道“入络”就是血瘀。现在勋臣痛快地阐明了这一点,使得《指南》中关于入络的说法更加明确。书坊的朋友汪维之看了之后非常喜欢,刻版印刷,以此公之于世,这真是能刊录善书的人啊。为此作序。
道光八年(戊申)中秋日,上元后学小窗氏刘必荣记述。
Medicine is a benevolent art. Yet, if one has the art but lacks benevolence, a greedy physician can mislead the world; if one has benevolence but lacks the art, an incompetent physician can cause death. The ancients said, "Not prescribing medicine is considered the practice of a middle-tier physician." I have witnessed many such physicians over the years and often felt indignant. Whenever I encounter a good prescription for emergency rescue, I do not hesitate to spend money to purchase and distribute it.
Now, in the fourth month of the Gui Chou year (1853), I happened to hear that a friend in Foshan had a young son suffering from an illness. The physician treated him with wind-dispelling drugs, which resulted in convulsions of the four limbs and deviation of the mouth and eyes, with life hanging by a thread. Suddenly, a good prescription was obtained. After one dose, symptoms slightly improved; after three doses, the patient recovered completely. Another person suffered from hemiplegia (stroke with paralysis) for more than ten years. Upon obtaining a good prescription, their ability to walk returned to normal. I found this very remarkable. After repeated inquiries, I learned that both prescriptions came from the book *Yi Lin Gai Cuo* (Correction of Errors in Medical Forest). I searched everywhere for this book, tried it multiple times with verified efficacy, and then studied it repeatedly during my spare time, gradually grasping its profound meaning. I privately sigh that the creation of this book is like overturning old cases of thousands of years, correcting errors, and resolving flaws; it is indeed a rare treasure of the world. Is this not the pinnacle of refined medical skill and utmost benevolence?
I could not bear to keep it secret, so I immediately published it for the public, enabling modern people to understand the reality of Zang-Fu organs and meridians, thereby avoiding mistakes by incompetent physicians, and not failing Mr. Wang Xunchen's decades of heartfelt dedication to saving the world. I hope gentlemen of like-mindedness will not regard this as an ordinary charitable book. It would be my great fortune! My great fortune!
Recorded by Zhang Runpo of Shuntian in mid-summer of the Xianfeng Gui Chou year (1853).
In the autumn of the Ding Wei year (1847), while residing in Wumen (Suzhou), my fellow townsman Jiao Junwen visited me, holding a complete diagram of the Zang-Fu organs, which was the manuscript of Mr. Wang Xunchen's *Yi Lin Gai Cuo*. Some asked: Since the viscera are identical in all humans, does Xunchen deviating from ancient diagrams to transmit new ones imply showing off uniqueness and establishing novelty? The answer is: No, not at all. Ancient diagrams transmitted errors, whereas Xunchen's diagrams transmit truth. Regarding right and wrong in the principles of the world, hearing about emptiness is inferior to seeing reality; seeing little leads to illusion, while seeing much confirms reality. The ancients derived knowledge from executed criminals, whereas Xunchen obtained it from personally observing hundreds of individuals, dedicating decades of spirit to correcting errors left for millennia. This is like a bell ringing in the clear night or a blow on the head, awakening all those who are dreaming. Medical books are numerous enough to fill carts and fill houses with oxen; are they all verifiable? However, unless one is a skilled reader with unique insight, one will ultimately be confined by the ancients and secretly deceived. Mencius said, "Regarding the records of Wucheng, I took only two or three bamboo slips." Wucheng refers to Zhou dynasty texts, and Mencius himself was from the Zhou period. Even contemporary books cannot be fully trusted, let alone those from distant eras. This book establishes theories through diagrams, formulates prescriptions to treat adverse conditions, possesses exquisite principles and outstanding insights, is unprecedented, and can be called a meritorious official to the Yellow Emperor, as well as a respected friend of Changsha (referring to Zhang Zhongjing).
Furthermore, I heard that Ye Tianshi's *Zhi Nan* contains the theory that "long-term diseases enter the collaterals," which Xu Dachun opposed, unaware that entering the collaterals implies blood stasis. Now, Xunchen clarifies this plainly, making the theory of entering collaterals in *Zhi Nan* even clearer. Friend Wang Weizhi of the publishing house saw it, liked it greatly, and commissioned woodblock printing to publish it to the world. He is truly one who can record and disseminate good books. Therefore, this preface.
Recorded by Liu Birong, humble scholar Xiaochuangshi from Shangyuan, on the Mid-Autumn Festival of the Daoguang Wu Shen year (1848).