华氏中藏经。见郑樵通志艺文略。为一卷。陈振孙书录解题。同云汉谯郡华陀元化撰。宋史艺文志。华氏作黄盖误。
今世传本有八卷。吴勉学刊在古今医统中。余以乾隆丁未年入翰林。在都。见赵文敏手写本。卷上。自第十篇性忌则脉
急以下起。至第二十九篇为一卷。卷下。自万应丸药方至末为一卷。失其中卷。审是真迹。后归张太史锦芳。其弟录稿
赠余。又以嘉庆戊辰年。乞假南归。在吴门见周氏所藏元人写本。亦称赵书。具有上中下三卷。而缺论诊杂病必死候第
四十八。及察声色形证决死法第四十九。两篇。合前后二本。校勘明本。每篇脱落舛误。凡有数百字。其方药名件次序
分量。俱经后人改易。或有删去其方者。今以赵写两本为定。此书文义古奥。似是六朝人所撰。非后世所能假托。考隋
书经籍志。有华佗观形察色。并三部脉经一卷。疑即是中卷。论诊杂病必死候以下二篇。故不在赵写本中。未敢定之。
郑处中之名不见书传。陈振孙亦云自言为华先生外孙。称此书因梦得于石函。莫可考也。序末称甲寅秋九月序。古人亦
无以干支纪岁。不着岁字者。疑其序伪作。至一卷三卷八卷分合之异。则后人所改。赵写本。旁注有高宗孝宗庙讳。又
称有库本。陆本异同。是根据宋本手录。元代不避宋讳。而不更其字。可见古人审慎阙疑之意。此书四库书既未录存。又
两见赵写善本。急宜刊刻以公同好。卷下万应丸等。皆以丸散治疾。而无汤药古人配合药物分量。案五脏五味。配以五
行生成之数。今俗医任意增减。不识君臣佐使。是以古人有不服药为中医之叹。要知外科丸散。率用古方分量。故其效
过于内科。此即古方不可增减之明证。余所得宋本医学书甚多。皆足证明人改乱古书之谬。惜无深通医理者。与共证之。
嘉庆十三年太岁戊辰十月四日。孙星衍撰序于安德使署之平津馆。
《华氏中藏经》,见于郑樵《通志·艺文略》。该书为一卷。陈振孙在《书录解题》中也称其为汉代谯郡人华佗(字元化)所撰。《宋史·艺文志》中将作者记作“黄盖”,这是错误的。
当今世上流传的版本有八卷,吴勉学将其刊刻在《古今医统》中。我在乾隆丁未年进入翰林院,当时在京城,见到了赵孟頫(字子昂,号松雪道人,谥文敏)的手写本。该手写本的上卷,从第十篇《性忌则脉急》开始,到第二十九篇结束,构成一卷;下卷,从《万应丸药方》开始直到末尾,构成一卷。中间缺失了中卷。经过仔细审视,确认为真迹。后来此书归张太史锦芳所有,他的弟弟抄录了稿本赠送给我。又在嘉庆戊辰年,我请假南归,在苏州(吴门)见到了周氏所藏的元代人手写本,也声称是赵孟頫的书,具备上、中、下三卷,但缺少《论诊杂病必死候第四十八》和《察声色形证决死法第四十九》这两篇。综合前后两个版本进行校勘,发现明刻本每篇都有脱落和错误,共有几百字之差。其中的药物名称、次序、分量,都经过后人改动,有的甚至删去了方剂。现在以赵孟頫的两个手写本作为定本。这本书的文义古奥深涩,像是六朝人所撰写,不是后世所能伪托的。考证《隋书·经籍志》,其中有《华佗观形察色并三部脉经》一卷,怀疑这就是中卷,即《论诊杂病必死候》以下的两篇,所以不在赵孟頫的手写本中。我不敢轻易断定。郑处中的名字不见于书籍传记,陈振孙也说自称是华先生的外孙,称这本书是因梦见而得之于石函中,无法考证。序言末尾称“甲寅秋九月序”,古人也用干支纪年但不著“岁”字,怀疑这篇序言是伪作的。至于一卷、三卷、八卷分合的不同,则是后人改动的结果。赵孟頫的手写本旁边注有宋高宗、宋孝宗的名讳避字,又提到有库本、陆本的异同,是根据宋本手录的。元代不避宋讳,却不更改这些字,可见古人审慎存疑的态度。这本书在《四库全书》中既未被收录,我又两次见到赵孟頫的手写善本,急切应当刊刻以公之于同好。卷下的《万应丸》等方,都是用丸散来治疗疾病,而没有汤药。古人配合药物的分量,依据五脏五味,配以五行生成的数理。如今世俗医生任意增减,不懂得君臣佐使的配伍原则,因此古人有“不服药为中医(指中等水平的医生)”的感叹。要知道外科用的丸散,大都使用古方的分量,所以疗效优于内科。这就是古方不可随意增减的明证。我所获得的宋版医学书籍很多,都足以证明明代人篡改古书的谬误。可惜没有深通医理的人,与我共同考证。嘉庆十三年太岁戊辰十月四日,孙星衍在安德使署的平津馆撰写此序。
*Hua Shi Zhong Zang Jing* (Hua's Classic of the Middle Cavern), recorded in Zheng Qiao's *Tong Zhi: Yi Wen Lue* (Comprehensive Records: Bibliography). It consists of one volume. Chen Zhensun, in his *Shu Lu Jie Ti* (Bibliographic Notes on Books), also states that it was authored by Hua Tuo (courtesy name Yuanhua) of Qiaojun during the Han Dynasty. The *History of Song: Yi Wen Zhi* (Bibliography of the History of Song) erroneously attributes the work to Huang Gai.
The version currently circulating in the world comprises eight volumes, which Wu Mianxue published within the *Gu Jin Yi Tong* (Ancient and Modern Medical Orthodoxy). In the Dingwei year of the Qianlong reign, I entered the Hanlin Academy and was in the capital, where I saw a handwritten manuscript by Zhao Mengfu (style name Ziang, pseudonym Songxue Daoren, posthumous title Wenmin). The upper scroll of this manuscript begins with the tenth chapter, "Xing Ji Ze Mai Ji" (Nature Taboos Lead to Urgent Pulse), and ends with the twenty-ninth chapter, forming one volume. The lower scroll begins with "Wan Ying Wan Yao Fang" (Myriad Response Pill Prescription) and continues to the end, forming another volume. The middle scroll is missing. Upon careful examination, it was confirmed as an authentic original. Later, this book came into the possession of Grand Secretary Zhang Jinfang, whose younger brother copied the manuscript and presented it to me. In the Wuchen year of the Jiaqing reign, while on leave returning south, I visited Zhou's collection in Suzhou (Wumen) and found a Yuan dynasty handwritten manuscript, also claimed to be Zhao Mengfu's work, containing upper, middle, and lower scrolls, but lacking the two chapters: "Lun Zhen Za Bing Bi Si Hou Di Si Shi Ba" (Discussion on the Signs of Inevitable Death in Miscellaneous Diseases, Chapter 48) and "Cha Sheng Se Xing Zheng Jue Si Fa Di Si Shi Jiu" (Observation of Voice, Color, Form, and Symptoms to Determine Death Methods, Chapter 49). By collating the previous two versions, it was found that the Ming printed edition had omissions and errors in every chapter, totaling several hundred characters. The names, order, and dosages of the medicinal ingredients were all altered by later generations, and some prescriptions were even deleted. Currently, the two handwritten manuscripts by Zhao Mengfu are taken as the definitive text. The literary meaning of this book is archaic and profound, suggesting it was written by someone from the Six Dynasties period, rather than being a forgery by later eras. According to the *Sui Shu: Jing Ji Zhi* (Bibliography of the Book of Sui), there exists a volume titled *Hua Tuo Guan Xing Cha Se Bing San Bu Mai Jing* (Hua Tuo's Observation of Forms and Colors and Canon of the Three Pulse Regions), which is suspected to be the middle scroll, specifically the two chapters following "Lun Zhen Za Bing Bi Si Hou," hence absent from Zhao's handwritten copy. I dare not definitively confirm this. The name Zheng Zhuzhong does not appear in historical records; Chen Zhensun also noted that the author claimed to be the grandson of Master Hua, stating the book was obtained through a dream from a stone casket, which cannot be verified. The preface ends with "Preface in the Ninth Month of Autumn, Year Jiayin." Although ancients used the Ganzhi (Heavenly Stems and Earthly Branches) system for dating years without explicitly writing the character "year," the suspicion remains that this preface is apocryphal. As for the variations in volume divisions (one, three, or eight volumes), these are alterations made by later people. The marginal notes in Zhao's handwritten manuscript include taboo characters for Emperors Gaozong and Xiaozong of the Song Dynasty, and mention differences between the Library Edition and Lu Edition, indicating it was hand-copied from a Song edition. Since the Yuan Dynasty did not observe Song taboos yet retained these characters, it reflects the cautious and skeptical attitude of ancient scholars. This book was not included in the *Siku Quanshu* (Complete Library of the Four Treasuries), and since I have encountered two excellent copies of Zhao's handwriting, it is urgent to print it for the benefit of fellow enthusiasts. The prescriptions in the lower scroll, such as "Wan Ying Wan," treat diseases using pills and powders, without decoctions. The ancients matched herbal dosages according to the Five Zang organs, Five Flavors, and the generative numbers of the Five Elements. However, modern physicians arbitrarily increase or decrease dosages, failing to understand the principles of Sovereign, Minister, Assistant, and Courier (Jun-Chen-Zuo-Shi) compatibility. Thus, the ancients sighed that "not taking medicine is the practice of a mediocre physician." It should be known that surgical pills and powders generally use ancient dosage formulas, resulting in efficacy superior to internal medicine. This serves as clear evidence that ancient prescriptions should not be arbitrarily modified. I possess many Song edition medical books, which sufficiently prove the fallacy of Ming dynasty scholars tampering with ancient texts. Alas, there are no individuals deeply versed in medical theory to verify these matters with me. Prefaced on the Fourth Day of the Tenth Month, Wuchen Year, Thirteenth Year of Jiaqing, at Pingjin Pavilion, Ande Commissioner's Office, by Sun Xingyan.