医书汗牛充栋,然博而不约,学人无所折衷焉。曩闻新安程杏轩先生着《医述》十六卷,上自《灵枢》、
《素问》,下迄国朝名家,无不分证辨方,集其说而比附之。取先哲之刀圭,为后人之津逮。虽曰述而不作,
功过作者远甚。兵燹板毁,欲见其原书不可得。嗣访得徽医胡丹 家藏有完本,思假刊之,而医方珍为枕中秘
也。乃 槐孙族弟曾承辗转关说,而书以出。适竹坡弟歉成、幼征弟歙成、瑶圃侄大 、宪屏侄大墉、志卿侄
大坚、少坪侄大堤,研香侄孙普扬,与有同志,遂重付诸手民。而剞劂之督,槐孙独任之;仇校之役,采芝族
叔钟秀、侍丞族弟讲成及研香侄孙普扬分襄之。复取先生别刻医案三卷附于后,以明先生得于心应于手,有成
法必有成效也。而是书乃称完壁焉。由是流传益广,家置一编,不但读活人书者,因流溯源有资考证,即就疗
于人者,亦可因书以知证,因证以辨方。良HT 之剂,知所决择。然则先生寿世之功,方流衍而未有艾也。九阅
月,工竣,书其缘起,弁诸简首。
光绪十有七年岁在辛卯季秋之月泾上云溪老人朱钦成叙
周官医师掌医之政令。《左氏传》曰∶三折肱为良医。古人于医,盖慎之矣!后世医者,不能尽读古人书,
即以疗治为己任,术小验,辄自以为卢、扁不能过也;及遇疑难症,则茫无所辨,又不甘自谓不能辨,于是取
其近似者而拟议焉,尝试焉,否则,投以不足损益之药而塞责焉。呜呼!以彼其术而制人死生,呼吸之顷,欲
赖以济,其可得乎?而信之者,顾曰医者,意也。不在读古书,读书而泥古,方适足以杀人。夫古人之以书教
人也,固教人以审脉理、辨药性,已验之方,特间存一二以备采择,岂教人拘方而不审脉乎!抑教人因疾而
后投药乎!故脉理未审,药性未熟,用古方而杀人,是皆不善读书者之过,而古人固不任咎也。徽州程杏轩先
生,深于医理,其所读书,自《素问》、《灵枢》、本草诸经,洎秦、汉迄近代诸大家之说,皆博通而详解
之。故出其术以治人疾,辄灵异如神。尝取述而不作意,着《医述》若干卷,综贯众说而参以心得,诚寿世之
良方,医家之宝筏也。余往者学医于常州孟河费晋卿先生,熟闻此书之善而无从购得。嗣宦游楚北,邹少松观
察出所藏本,余读之数旬,固心善之,欲借刊而力未能也。辛巳,咨补江陵丞。丁亥,俸满回省。时亦为人治
疾,目击近时医学之衰,思有以救正之。己丑春,始因友人吴君翰臣借得胡君仲卿、余君献丞家藏原本,拟付
手民而力仍未逮也。纪君怀清、朱君槐孙,适有同心,述诸朱云溪翁与其群从,慨任刊资,遂以付梓。古人云∶
为人刊刻遗集,以广流传,与收人骸骨同功。云翁一家,固众善奉行,真能掩骼埋 者。曩刻《摘星楼痘书》,
活婴无算,今复出重资以成此举,其功德岂
浅鲜哉!而与人为善,成人之美,则怀清、槐孙二君之力,尤足多也。盖得数君子,而杏轩先生着书嘉惠后学
之心可以慰,即余数十年殷殷求访之心,亦可借以慰矣。因述其缘起如此。
光绪十六年孟冬上浣仁和啸笙诸淦谨序
医书多得汗牛充栋,然而内容广博却缺乏精要,学习者无法从中得出折中的定论。过去听说新安程杏轩先生撰写了《医述》十六卷,上起《灵枢》、《素问》,下至本朝(清朝)名家著作,无不分别辨证并辨析方剂,汇集各家学说并进行比对附会。取用先哲的医术精髓,作为后人的入门指引。虽然说是“述而不作”(只阐述前人之说,不凭空创作),但其功德远超作者本人。因战乱兵火,刻板被毁,想要见到原书已不可得。后来访得徽州医生胡丹家藏有完整版本,想借来刊印,但医方被视若枕中秘宝般珍藏。于是通过槐孙族弟曾承辗转疏通关系,书才得以流出。恰逢竹坡弟歉成、幼征弟歙成、瑶圃侄大、宪屏侄大墉、志卿侄大坚、少坪侄大堤,研香侄孙普扬,与我有志同道合之心,于是重新交付刻工。而督理雕刻印刷的工作,由槐孙独自承担;校对文字的任务,由采芝族叔钟秀、侍丞族弟讲成以及研香侄孙普扬分担协助。又取来先生另外刻印的医案三卷附在书后,以说明先生心得于胸、应之于手,有成法必有成效。这样这本书才算完美无缺。从此流传更加广泛,家家置备一册,不仅是研读《伤寒论》(活人书)的人,可以因流溯源有助于考证,即使是从事医疗工作的人,也可以凭借书本了解病证,依据病证辨别方剂。对于良善的药物,知道如何抉择。那么先生造福世人的功德,正广泛流传且没有尽头。经过九个月,工程完工,写下缘起,放在书首。
光绪十七年岁次辛卯秋季九月泾上云溪老人朱钦成叙
《周礼》记载医师掌管医疗政令。《左氏传》说:“三次折断手臂就能成为良医。”古人对医学,可以说是非常谨慎的!后世的医者,不能读完古人的书籍,就以治疗为己任,医术稍有见效,就自认为扁鹊、卢医也不能超过;等到遇到疑难病症,则茫然无法分辨,又不甘心承认自己无法分辨,于是选取症状近似的情况进行推测议论,尝试治疗,否则,投用不足以产生损益效果的药物来搪塞责任。唉!凭他们的医术来控制人的生死,在呼吸之间,指望依靠它来救济,这怎么可能呢?而那些相信的人,却说“医者的意趣在于心意”,不在于读古书,读书如果拘泥于古人,方子恰好足以杀人。古人用书籍教导人,本来就是教人审察脉理、辨别药性,已经验证过的方子,只是偶尔保存一二以备选择,难道是教人拘泥于方子而不审察脉象吗!或者是教人根据疾病然后才投药吗!所以脉理未审察清楚,药性不熟悉,使用古方而致人死亡,这都是不善于读书人的过错,而古人本来不承担罪责。徽州程杏轩先生,深谙医理,他所读的书籍,从《素问》、《灵枢》、本草各经,到秦、汉直至近代各位大家的学说,都广博通达并详细解析。所以他施展医术治疗人的疾病,总是灵异如神。曾经秉持“述而不作”的意思,撰写《医述》若干卷,综合贯通众说并参以自己的心得,确实是造福世人的良方,医家的宝筏。我过去在常州孟河费晋卿先生处学医,熟闻此书的好处却无法购得。后来出仕游历楚北,邹少松观察使拿出所藏的版本,我读了数十天,心中十分赞赏,想借来刊印但力量未能做到。辛巳年,咨询补任江陵丞。丁亥年,任期届满回省城。当时也为人治病,亲眼目睹近时医学的衰落,思考有办法来纠正它。己丑年春天,起初因为友人吴君翰臣借得胡君仲卿、余君献丞家藏的原本,打算交付刻工但力量仍未达到。纪君怀清、朱君槐孙,恰好有同心协力之心,向朱云溪翁及其同族兄弟陈述此事,慷慨承担刊印费用,于是付梓印刷。古人说:“为别人刊刻遗集,以广泛流传,与收殓他人骸骨同等功德。”云溪翁一家,确实奉行各种善事,真能掩埋尸骨的人。以前刻印《摘星楼痘书》,救活的婴儿无数,现在又出资完成此举,其功德难道浅小吗!而与人方便行善,成人之美,则是怀清、槐孙两位君的功劳,尤其值得称赞。大概得到这几位君子,杏轩先生著书嘉惠后学的心意可以得到安慰,即我几十年来殷切寻求访求的心情,也可以借此得到安慰了。因此写下缘起如此。
光绪十六年孟冬上旬仁和啸笙诸淦谨序
Medical books are numerous enough to make the ox sweat and fill the barns, yet they are broad but not concise, leaving learners without a standard for judgment. I previously heard that Mr. Cheng Xingxuan of Xin'an authored "Yi Shu" (Record of Medicine) in sixteen volumes. From the *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions) at the top, down to the famous doctors of our dynasty, it categorizes syndromes and analyzes prescriptions, collecting various theories and comparing them. It takes the essence of the techniques from ancient sages as a guide for later generations. Although it is said to be "transmitting without creating," its merit far exceeds that of the original authors. Due to war and fire, the printing blocks were destroyed, making it impossible to obtain the original book. Later, I learned that Hu Dan, a physician from Huizhou, had a complete copy in his family collection. I wished to borrow it for publication, but medical formulas were guarded as secret treasures kept under the pillow. Through Zeng Cheng, the clan brother of Huai Sun, efforts were made through intermediaries, and the book was finally released. Coincidentally, Zhu Po's younger brother Qian Cheng, You Zheng's younger brother Shucheng, Yaopu's nephew Da, Xianping's nephew Dayong, Zhijing's nephew Dajian, Shaoping's nephew Dadi, and Yanxiang's grand-nephun Puyang shared my aspirations. Thus, the task was entrusted to the printers again. Huai Sun alone undertook the supervision of the carving; Cai Zhi's clan uncle Zhongxiu, Shicheng's clan brother Jiangcheng, and Yanxiang's grand-nephew Puyang assisted with the collation and proofreading. Furthermore, three volumes of Mr. Cheng's separately printed medical cases were appended to the end to demonstrate that his insights were internalized and manifested in his hands; where there are established methods, there must be effective results. In this way, the book became flawless. Consequently, its dissemination became even wider, with every household possessing a copy. Not only can those studying the *Shanghan Lun* (Book of Living People) trace the source to aid in verification, but even practitioners can understand syndromes through the book, differentiate prescriptions based on syndromes, and know how to select good medicines. Thus, Mr. Cheng's merit in benefiting the world continues to spread endlessly. After nine months, the work was completed. I recorded the origin of this project and placed it at the beginning of the book.
Preface by Zhu Qincheng, Old Man of Yunxi on the Jing River, in the ninth month of the autumn season of the year Xinsi (1891).
The *Rites of Zhou* records that physicians were in charge of medical administration. The *Zuo Zhuan* states: "He who has fractured his arm three times becomes a good physician." The ancients were indeed cautious regarding medicine! Physicians in later generations, unable to read all the books of the ancients, took treatment as their duty. Once their skills showed slight efficacy, they arrogantly believed that Bian Que or Lu Yi could not surpass them. However, when encountering difficult and complicated diseases, they were bewildered and unable to distinguish them. Unwilling to admit their inability to diagnose, they would speculate based on similar symptoms, attempt treatments, or otherwise administer medications that had negligible effects to shirk responsibility. Alas! With such skills controlling life and death, relying on them in the brief moment of respiration, how could one expect salvation? Yet believers say, "Medicine lies in intuition/mindset," arguing that it does not lie in reading ancient books, and that reading while being rigid about antiquity leads to fatal prescriptions. The ancients used books to teach people, certainly to teach them to examine pulse principles and differentiate drug properties. Verified prescriptions were occasionally preserved for selection. Did they teach people to stick to prescriptions without examining pulses? Or did they teach people to prescribe only after identifying the disease? Therefore, if pulse principles are not examined and drug properties are not familiar, using ancient prescriptions causes death. This is the fault of those who do not study well, and the ancients bear no blame. Mr. Cheng Xingxuan of Huizhou deeply understood medical principles. His readings, from the *Su Wen*, *Ling Shu*, and various Materia Medica classics, to the theories of major masters from Qin and Han dynasties up to modern times, were all broadly mastered and thoroughly analyzed. Thus, when he applied his skills to treat diseases, his results were often miraculous. He once adopted the principle of "transmitting without creating" to write several volumes of "Yi Shu" (Record of Medicine), synthesizing various theories with his personal insights. It is truly a fine prescription for benefiting the world and a raft for medical practitioners. In the past, I studied medicine under Mr. Fei Jinqing of Menghe, Changzhou, and frequently heard of the excellence of this book but could not acquire it. Later, while serving in Chu Bei, Observer Zou Shaosong showed me his collected copy. I read it for dozens of days, heartily approving of it, and wished to borrow it for publication, but lacked the means. In the year Xinsi, I was appointed as Vice Magistrate of Jiangling. In Dinghai, upon completion of my term, I returned to the provincial capital. At that time, I was also treating patients and witnessed the decline of contemporary medicine, thinking of ways to correct it. In the spring of Jichou, I initially borrowed the original text from the collections of Mr. Hu Zhongqing and Mr. Yu Xiancheng through my friend Mr. Wu Hanchen, intending to give it to the printers, but still lacked the resources. Mr. Ji Huaqing and Mr. Zhu Huaishun happened to share my sentiments. They presented the matter to Old Man Zhu Yunxi and his clan relatives, who generously covered the publishing costs, allowing it to be printed. The ancients said: "Publishing the posthumous works of others to widely disseminate them is equivalent in merit to burying human bones." Old Man Yunxi's family indeed practiced all virtues and truly buried the exposed bones. Previously, he published the *Zhaixing Lou Smallpox Book*, saving countless infants; now he expends heavy funds to accomplish this act. Is his merit not significant? Moreover, in helping others do good and completing the beauty of others, the efforts of Mr. Huaqing and Mr. Huaishun are particularly praiseworthy. Having obtained these gentlemen, Mr. Xingxuan's intention to benefit future scholars through his writings can be comforted, and my own ardent search over decades can also find solace. Thus, I record the origin of this event.
Respectfully Prefaced by Zhu Gan, Xiaosheng of Renhe, in the early ten days of the first month of winter in the 16th year of Guangxu (1890).