经曰∶ 悍者，按而收之。又曰∶摩之浴之。是按摩之法，亦古人所最重者。唐有按摩
生专
科，今日推拿，实其遗法。顾习之者，皆妇人女子，未能尽推纳动伸之妙耳。吾郡张筱衫先
生，负济世之志，肆力于医，近得周氏推拿书二册，系张君心樵属为厘正者。遵而用之，应
手辄效。于是，订其紊乱，正其谬 ，芟其繁芜，文其鄙陋。更采先哲名言，外治良法，以
附益之，辨证立法，考穴绘图，井井有条，粲然大备，诚活人之要术，保幼之新书也。越人
云∶人之所患患病多，医之所患患道少。医者得此书而习之，可免道少之讥。推拿家得此正
传，亦不致遗殃幼小。即是穷乡僻壤，有病无医，根据法治疗，均能取效。行见按摩所及，着
手生春。将使轩岐古法，复行于今，岂徒为周氏之功臣已哉。
光绪十有四年戊子冬十二月
江都孙风翔犊山谨识
昔黄农尝百草，立方书，着《灵枢》、《素问》诸经，盖欲布之天下，传之后世，俾人
人晓其
法，疗其病，以救人之命也，曷尝居为奇货而私为不传之秘哉。余素不知医，长男孝德生甫
三龄，得疳疾，愈医愈危，佥以为无生理，因闻黄帝有按摩法，于小儿尤宜，尝欲求其说不
可得。适族HT 中有善其术者，经按摩者三更衣得黑矢，由是告痊。如此者甚伙。以故羡其术
而
惜其秘。不料天夺之魄，命与术俱绝。后因事寓其家，见架上有《小儿推拿要诀》，翻阅一
过，乃告推拿者，即按摩之异名也。余欣然借抄，意在推展流传，以救人命。家中人靳弗与
，
且曰∶此秘方也，慎毋泄。余弗莸已，因仿萧翼赚兰亭，桓元窃发画厨之意，私取录焉。存
余家廿有余年，屡质之诸医家，咸茫然莫得其端绪。宝应张广文筱衫先生，乐善不倦，仁闻
素昭，向服膺《灵枢》、《素问》诸经，又尝博览方书，于此道三折肱矣。故每治一症，必
审慎周详；每出一方，辄回生起死。谆谆以施济为念，以视人死如儿戏为戒。余心折久之。
特出 此书，筱衫亦欣然色喜。为肩剞劂之任，特为之删其繁芜，祛其 驳，分门别类，
井井有条，冠以凡例，绘厥原图，且博采群书而附会之，令人一目了然。无论知医不知医，
皆能按图治疾而无所遗误。今而后，布之天下，传之后世，得以起沉 登仁寿者，皆筱衫、
广文之功。种福无量，种德无涯，而余数十年未遂之愿，至垂老而莸睹其成，未始非三生之
浓幸也。刻既竣，爰叙其颠末，并志感激钦佩之忱，是为序。
\x光绪十有四年岁次戍子仲冬月
经书上说：对于性情急躁、气机亢盛的病证，可以用按摩的方法来收敛它。又说：可以用按摩和洗浴的方法来治疗。这说明按摩的方法，也是古人所非常重视的。唐朝设有按摩专科，有专门的“按摩生”，今天的推拿，实际上就是古代按摩流传下来的方法。只是学习这门技术的人，大多是妇女，未能完全掌握推、拿、按、摩、动、伸等手法的精妙之处。我们郡的张筱衫先生，怀有救济世人的志向，致力于医学研究，最近得到了周氏的推拿书两册，是张心樵君嘱托他进行校正整理的。遵照书中的方法使用，一用就见效。于是，他订正了书中的错乱，纠正了谬误，删除了繁杂多余的内容，修饰了粗鄙浅陋的文字。还采纳了古代贤哲的名言，以及外治的好方法，来补充丰富它，辨别证候、确立治法，考证穴位、绘制图谱，条理分明，内容完备，确实是救人的重要技术，保护幼儿的新书。扁鹊说：人们所担忧的是疾病太多，医生所担忧的是治病的方法太少。医生得到这本书并学习它，就可以避免“方法少”的讥讽。推拿家得到这本正确的传授，也不至于因错误的方法而给幼儿留下祸患。即使是穷乡僻壤，有病而没有医生，按照书中的方法治疗，都能取得效果。可以预见，按摩所到之处，手到病除。将使黄帝、岐伯的古老医术，在今天重新盛行，这哪里仅仅是周氏的功臣呢？
光绪十四年戊子年冬十二月
江都孙风翔犊山谨识
从前黄帝、神农氏尝百草，创立方剂医书，著述《灵枢》、《素问》等经典，目的是想传播到天下，流传给后世，让每个人都明白它的方法，治疗自己的疾病，来拯救人们的生命，何曾把它当作奇货可居而私自作为不传的秘密呢？我向来不懂医术，大儿子孝德刚满三岁时，得了疳积病，越医治病情越危险，大家都认为没有活下去的可能了，因为听说黄帝有按摩的方法，对于小儿尤其适宜，曾经想寻求这种学说却得不到。正好同族中有擅长这种技术的人，经过按摩三次，孩子排便得到黑色粪便，从此就痊愈了。像这样治愈的例子很多。因此我羡慕他的技术，又惋惜他秘而不传。不料上天夺走了他的魂魄，他的生命和技术都断绝了。后来因为有事住在他家，看见书架上有《小儿推拿要诀》，翻阅了一遍，才知道推拿，就是按摩的别名。我高兴地借来抄写，本意是想推广流传，来拯救人的生命。他家里的人吝惜不给，并且说：这是秘方，千万不要泄露。我没有办法，于是仿效萧翼智取《兰亭序》、桓玄偷开画厨的故事，私下取来抄录了。存放在我家二十多年，多次拿给各位医生看，他们都茫然不知头绪。宝应的张筱衫广文先生，乐于行善不知疲倦，仁爱的名声一向显著，向来信奉《灵枢》、《素问》等经典，又曾经广泛阅读医方书籍，对于医学之道已经经验非常丰富了。所以他每治疗一个病症，必定审慎周详；每开出一个方子，常常能起死回生。他诚恳地以施行救济为念，以把人的生死当作儿戏为戒。我内心佩服他很久了。特地拿出这本书，筱衫先生也高兴地露出喜悦的神色。他承担了刊刻的责任，特地为此书删除了繁杂的内容，去除了错误驳杂的部分，分门别类，条理分明，前面加上凡例，绘制了原来的图谱，并且广泛采集各种书籍的内容来附会说明，让人一目了然。无论懂医还是不懂医，都能按照图谱治疗疾病而没有遗漏和错误。从今以后，传播到天下，流传给后世，能够用来救治重病、使人健康长寿的，都是筱衫、广文先生的功劳。造福无量，积德无边，而我几十年来没有实现的愿望，到年老时终于看到它完成，未尝不是三生有幸。刻印完成后，于是叙述它的始末，并记下感激钦佩的心情，作为序言。
光绪十四年岁次戊子仲冬月
The classic texts state: For conditions characterized by impetuosity and hyperactivity, they can be restrained by applying pressure (an, massage). It also says: to rub (mo) and to bathe (yu) them. This indicates that the methods of massage (anmo) were also highly valued by the ancients. The Tang Dynasty established a specialized department for massage (anmo), with dedicated "massage students" (anmo sheng). The tuina practiced today is actually the inherited method from ancient massage. However, those who practice it are mostly women, who may not fully master the subtleties of techniques like pushing (tui), grasping (na), pressing (an), rubbing (mo), moving (dong), and stretching (shen). Mr. Zhang Xiaoshan from our prefecture, harboring the ambition to benefit the world, devoted himself to the study of medicine. He recently obtained two volumes of the Zhou family's tuina book, which Mr. Zhang Xinqiao entrusted him to collate and correct. Following the methods described, he achieved immediate effectiveness upon application. Consequently, he rectified the disorder, corrected the errors, removed the redundant and verbose content, and refined the crude and shallow language. He further incorporated the famous sayings of ancient sages and effective external treatment methods to enrich it. He differentiated patterns (bianzheng), established treatment methods (lifa), researched acupoints (xuewei), and drew diagrams, all in a clear and orderly manner, making the content comprehensive and brilliant. It is truly an essential technique for saving lives and a new book for protecting infants. Bian Que said: What people worry about is having too many diseases; what doctors worry about is having too few methods to treat diseases. Doctors who obtain and study this book can avoid the criticism of "having too few methods." Tuina practitioners who receive this orthodox transmission will also not cause harm to infants due to erroneous methods. Even in remote villages with illness but no doctors, following the methods in this book for treatment can yield results. It is foreseeable that wherever massage reaches, it brings recovery. This will cause the ancient medical methods of Huangdi (Yellow Emperor) and Qibo to flourish again today. How could this merely make him a benefactor of the Zhou family?
Winter, twelfth month, the fourteenth year of the Guangxu reign, Wuzi year.
Jiangdu Sun Fengxiang, Dushan, respectfully recorded.
In ancient times, Huangdi (Yellow Emperor) and Shennong (Divine Farmer) tasted hundreds of herbs, established formulas and medical texts, and authored classics such as *Lingshu* (Spiritual Pivot) and *Suwen* (Plain Questions). Their intention was to disseminate them throughout the world and pass them on to later generations, enabling everyone to understand their methods, treat their illnesses, and thereby save human lives. How could they have ever hoarded them as rare commodities or kept them as secret, untransmitted knowledge? I have never known medicine. When my eldest son, Xiaode, was just three years old, he contracted infantile malnutrition (ganji). The more he was treated, the more critical his condition became. Everyone believed there was no hope for survival. Having heard that Huangdi had massage methods particularly suitable for children, I had long sought this knowledge but could not obtain it. Coincidentally, a clansman was skilled in this technique. After three sessions of massage (anmo), the child had a bowel movement producing black stool, and from then on recovered completely. There were many such cases of cure. Therefore, I admired his skill but regretted that it was kept secret. Unexpectedly, heaven took his spirit; his life and his technique both ended. Later, due to certain matters, I stayed at his home and saw a book titled *Xiao'er Tuina Yaojue* (Essential Formulas of Pediatric Tuina) on his bookshelf. Upon翻阅ing through it once, I learned that tuina is simply another name for massage (anmo). I happily borrowed it to copy, intending to promote and spread it to save lives. His family members were reluctant to give it, saying, "This is a secret formula (mifang); be careful not to泄露 it." Having no other recourse, I仿效ed the stories of Xiao Yi cleverly obtaining the *Lanting Xu* (Preface to the Orchid Pavilion) and Huan Xuan secretly opening the painting cabinet, and privately took it to copy. It remained in my home for over twenty years. I repeatedly consulted various physicians about it, but they were all perplexed and could not grasp its essentials. Mr. Zhang Xiaoshan, an educational official from Baoying, tirelessly delights in doing good, and his reputation for benevolence has long been evident. He has always esteemed classics like *Lingshu* and *Suwen* and has extensively read medical texts. He is thus highly experienced in this medical path. Therefore, whenever he treats a disease pattern (zheng), he必定审慎周详ly examines it; whenever he prescribes a formula, he often brings the dying back to life. He earnestly keeps the intention of providing relief in mind and cautions against treating human life and death as child's play. I have long admired him in my heart. I specially presented this book to him, and Mr. Xiaoshan also showed joyful delight. He undertook the responsibility of its publication. He specifically删除了 its繁芜 content,祛除了 its错误驳杂 parts, classified it into categories, arranged it in an orderly manner, prefaced it with explanatory notes (fali), drew its original diagrams, and extensively collected and integrated content from various books, making it一目了然. Whether one knows medicine or not, one can treat diseases according to the diagrams without omission or error. From now on, as it is disseminated throughout the world and passed on to later generations, enabling the rescue of severe illnesses (chenke) and the attainment of健康长寿 (renshou), the credit belongs entirely to Mr. Xiaoshan and Mr. Guangwen. The blessings sown are immeasurable, the virtue accumulated is boundless. My decades-long unfulfilled wish has finally seen its completion in my old age. This is undoubtedly a great fortune of three lifetimes. Now that the carving is finished, I hereby narrate its beginning and end and record my feelings of gratitude and admiration as a preface.
The eleventh month, the fourteenth year of the Guangxu reign, Wuzi year.