华佗治病之法,专注重于刳肠湔胃,不专事方药,其法盖于今之言西医者无殊。史策
昭垂,固夫人而知矣,惟其治病之方书,被收时以予狱吏,狱吏畏法不敢受,佗即索火烧之,
由是其书遂致失传。是又言医术者,所同为扼腕太息者也!庸讵知天地之奇,夕则必宣?况
方书攸关民生,生命与苦乐,视其他载籍为尤重,所至必有神物呵护之,讵能任其湮没而不
彰耶?岁在戊午,于役皖北,奉职于淮泗道尹公署,公余少暇,辄搜罗古籍,以资消遣。其
年季冬,因公住亳,调查学务,晤县立高等国小校校长姚君侗伯,相与讨论学艺,间及典籍。
姚君博闻强识,且家富收藏,暇日即邀与观书于墨海楼。楼凡五楹,盖建于逊清壅、干之间,
其高祖父季虔先生所经营也。余得此良晤,不忍遽舍去。凡流连浃旬,得尽观其所藏。中有
华佗方书,尤为平时所渴望而不得见之秘籍,且内有孙真人及徐灵胎先生序各一,于是书之
原由,叙述綦详,姚君先人,盖欲付梓而不果者。余谓姚君,昔张文襄视学西蜀,尝谓凡有
力好事之人,若自揣得业学问,不足过人,而欲求不朽者,莫如刊布古书,则其书终古不废,
而刊书之人,亦与之终古不泯。况方书关系民命,视刊布其他古籍,为尤有裨益,图不朽,
利民生,承先志,一举而数善备焉。姚君重韪余请,即以剞劂之事相委,比来海上,与诸同
志商榷。佥谓是书所列各方,虽间有分两过大,不合于今人者,然病家果能斟酌用之,其奏
效必讳。且书中如麻沸散及神膏等配合之法,尤为世人所渴欲一睹者。藉兹播之于世,亦足
令今之欧化家,俾知刀圭解剖之术,固非今世欧西医学家所得自夸为绝技也。余深韪其言,
即述其缘起而为之序。
中华民国九年仲春之月沈骧序于沪西古书保存会
华佗治疗疾病的方法,特别注重于剖开肠道、清洗胃腑(一种外科手术方法),并不专门依赖方剂和药物,他的这种方法与当今所说的西医没有不同。史书典籍中明确记载,这本来就是人人都知道的事,只是他治病所用的方书,在被收捕时交给了狱吏,狱吏畏惧法律不敢接受,华佗随即索要火将其烧毁,因此他的书籍最终失传。这也是所有谈论医术的人共同为之扼腕叹息的事情!怎么知道天地的奇妙之处,到了晚上一定会显露?况且医书关系到百姓民生,生命与苦乐,比其他记载的书籍更为重要,所到之处必有神灵宝物呵护它,怎么能任由它埋没而不彰显呢?
戊午年(1918年),我在皖北服役,在淮泗道尹公署任职,公务之余稍有空闲,就搜集古籍来消遣。那年冬季末,因公住在亳州,调查学务,会见了县立高等小学校校长姚侗伯先生,一起讨论学问技艺,间或谈及典籍。姚君见闻广博且记忆力强,家里又富有收藏,闲暇时就邀请我去墨海楼看书。墨海楼共有五间房,大概建于清朝逊位前后之间,是他的高祖父季虔先生所经营的。我得到这次美好的会晤,不忍心立刻离开。凡是流连了十天,得以尽情观看他所收藏的书籍。其中有华佗的方书,更是我平时渴望而不得见到的秘籍,而且书中还有孙真人(孙思邈)和徐灵胎先生各一篇序言,于是关于这本书的由来,叙述得非常详细,这是姚君的先人想要刻印出版但没有成功的事情。
我对姚君说,从前张之洞(张文襄)巡视西蜀教育时,曾经说凡是有力气且喜欢做善事的人,如果自认为自己的学业学问不足以超过别人,而想求得不朽名声的,不如刊布古书,那么这本书就会永远不废弃,而刊书的人,也与之永远不磨灭。况且医书关系民众性命,比刊布其他古籍更有裨益,图求不朽,利于民生,继承先人的志向,一举而具备多种善举。姚君看重并同意我的请求,便将刻印之事委托给我。近来来到上海,与各位同志商量。大家都认为这本书所列的各个方剂,虽然有时分量过大,不符合今人的习惯,但如果病人确实能斟酌使用,其疗效必定显著。而且书中如麻沸散及神膏等配合的方法,更是世人渴望一睹为快的内容。借此传播于世,也足以让当今推崇欧化的人知道,刀圭解剖的技术,本来就不是当今欧美西医学家可以独自夸耀为绝技的。我非常赞同他们的言论,于是陈述其缘起并为此作序。
中华民国九年(1920年)仲春之月,沈骧序于沪西古书保存会
The method of treating diseases by Hua Tuo specifically focused on evisceration and gastric lavage (a surgical procedure), rather than relying exclusively on herbal prescriptions and medicines. His approach was no different from what is currently referred to as Western medicine. This is clearly recorded in historical texts and is known to everyone. However, his medical manuscripts were handed over to the prison warden upon his arrest; the warden, fearing legal repercussions, dared not accept them. Consequently, Hua Tuo had them burned with fire, leading to their eventual loss. This is indeed a matter that all practitioners of medicine lament deeply! How could one assume that the wonders of heaven and earth would remain hidden? Moreover, medical texts concern public welfare, life, and suffering, holding greater significance than other literary works. They are surely protected by divine forces and cannot be allowed to remain obscure and unacknowledged.
In the year of Wuwu (1918), while serving in northern Anhui at the office of the Huaisi Provincial Inspector, I utilized my spare time after official duties to collect ancient books for leisure. In the late winter of that year, due to official business in Bozhou investigating educational affairs, I met Mr. Yao Tongbo, the principal of the County Higher Primary School. We discussed learning and arts, touching upon ancient texts. Mr. Yao was well-read and had a strong memory, and his family possessed an extensive collection. On days off, he invited me to view books at the Mohai Pavilion. The pavilion consisted of five rooms, built around the transition period between the reigns of Emperor Yongzheng and Qianlong of the Qing Dynasty, managed by his great-grandfather, Mr. Ji Quan. Grateful for this fortunate encounter, I hesitated to leave immediately. After lingering for ten days, I was able to thoroughly examine his collection. Among these was a manuscript of Hua Tuo’s prescriptions, a secret text I had long desired but never seen. It contained prefaces by Sun Simiao (Sun Zhenren) and Xu Lingtai, detailing the history of the book. This was a work Mr. Yao’s ancestors had intended to publish but failed to do so.
I told Mr. Yao: "Formerly, when Zhang Zhidong (Zhang Wenxiang) inspected education in western Sichuan, he stated that anyone with resources and a desire to do good, who feels their own scholarly achievements are insufficient to achieve immortality, should publish ancient books. By doing so, the books will endure forever, and the publishers will share in that immortality. Furthermore, since medical texts relate to human life, publishing them offers greater benefit than other ancient texts. It achieves immortality, benefits the people, and fulfills ancestral wishes, accomplishing multiple virtues in one act." Mr. Yao agreed with my proposal and entrusted me with the printing process. Recently, upon arriving in Shanghai, I consulted with colleagues. They unanimously held that although some dosages in the prescribed formulas were excessively large and unsuitable for modern usage, if patients could carefully adjust them, the therapeutic effects would undoubtedly be remarkable. Additionally, the preparation methods for substances such as Mafei San (Hemp-Boiling Powder) and Shen Gao (Divine Ointment) are particularly coveted by the world. Disseminating this text globally would demonstrate to contemporary proponents of Westernization that the techniques of scalpel and anatomy were not solely the unique expertise of modern European and American physicians. Deeply agreeing with their views, I hereby state the origins and present this preface.
Preface by Shen Xiang in the Second Month of Spring, 9th Year of the Republic of China (1920), at the Ancient Book Preservation Society, West Shanghai.