《发背对口治诀》,先大父邃乔公所着也。先大父性颖悟,好读书,常以济世为念,敦学不怠,
屡困棘闱。及先伯父香伯公举于乡,始无意进取,惟读书以自娱,暇则讲求岐黄。曰∶士不能得
志,是亦济世之一道也。通内、外科,多所阐发。每视病必矜重,四方延请,虽远必至,却馈遗贫
困者,以药助之。尝为人治发背、对口诸证,以古人之法投之多不效,沉思其故曰∶是非古人之欺
我也?特未通其变耳。夫一证之成,其受病必有偏重之处,审其所偏重而切治,则效可立见也。
自是,凡治此证必辨其位之左右、上下,色之赤白、深浅,脉之浮沉、迟速,以审其经络腑脏窍穴
之所系,与夫阴阳虚实、淫郁燥湿之所归,而复参之天时,相其地宜,以制五行生克之用。取古人
之法,损益变化以通之,于是所治罔不效。既而先伯父迎养琴江署舍,多暇,乃取历年医案,裁定
发背对口治诀几卷,附录经验几卷,及归而授之。先君曰∶此书未经人道勿轻视之!艺虽小,亦
足以济世矣。先君东环公暨先叔父东揆公亦皆以儒术通素理,先君久战北闱未遑,展施先叔父
以是道行。世善用先大父遗法,故所治多奇而中。今先君、先叔父相继逝世矣!为与诸弟皆材
劣,不能通一艺,先人之书具在,徒使置而勿用,是先人济世之志至为等而中绝也。杨君子逸夙
闻是书,勉余欹梓,余欣然从之。庶几先人遗术传播四方,高明之士鉴而采择焉,未必不有补于
世,虽未能述先世之事,犹不失先世之志也夫!
道光二十年仲春七日孙翼为谨序
《发背对口治诀》,是我的祖父邃乔公所撰写的。我的祖父天性聪慧,喜爱读书,常常把救济世人作为挂念之事,勤奋学习从不懈怠,但多次在科举考试中受挫。等到我的伯父香伯公在乡试中举荐后,祖父便不再有心追求仕途进取,只是通过读书来自我娱乐,闲暇时则钻研岐黄之术(中医)。他说:“士人如果不能在政治上得志,这也是一条救济世人的途径。”他精通内科和外科,对许多医理多有阐发。每次诊治病人必定谨慎庄重,四方有人聘请,即使路途遥远也一定前往,拒绝接受馈赠,而是将药物资助给贫困的人。曾经为人治疗发背、对口等病症,使用古人的方法投药大多没有效果,他深思其中的原因说:“这不是古人欺骗我吗?只是我没有通晓其变化罢了。”一个病症的形成,其致病之处必有偏重所在,审察其偏重之处而针对性地治疗,那么疗效就可以立刻显现。从此以后,凡是治疗这类病症,必定辨别其位置的左右、上下,颜色的赤白、深浅,脉象的浮沉、迟速,以此来审察其经络、脏腑、窍穴所关联的情况,以及阴阳虚实、淫郁燥湿的归属,然后再参考天时气候,观察地理适宜性,以运用五行生克的原理。取用古人的方法,加以增减变化来贯通它,于是所治疗的病例无不奏效。后来,伯父迎养祖父到琴江官署住所,时间充裕,于是取出历年来的医案,裁定编成《发背对口治诀》几卷,附录经验方几卷,待回家时传授给我。先父说:“这本书不要随便给人看,不要轻视它!技艺虽然微小,也足以救济世人了。”先父东环公和叔父东揆公也都凭借儒家学问通晓医理,先父长期在北闱应试未能及时施展抱负,叔父则以此道行医于世。家族世代善用祖父遗留的方法,所以治疗的病例多奇特且切中要害。如今先父、叔父相继去世,我与各位弟弟都才能低劣,不能精通一门技艺,祖先的书册都在,却白白放置而不使用,这是祖先救济世人的志向被轻视并中途断绝啊。杨君子逸早就听闻这本书,勉励我刻印出版,我欣然听从。希望祖先遗留的技术能传播到四方,高明的人士鉴别并采纳选择,未必不会对世道有所补益,虽然未能记述先辈的事迹,但仍不失先辈的志向啊!
道光二十年仲春七日 孙翼为 谨序
*Fa Bei Dui Kou Zhi Jue* (Treatment Principles for Back Carbuncles and Opposite Neck Abscesses) was authored by my grandfather, Sui Qiao Gong. My grandfather possessed a keen and intuitive nature, loved reading, and often held the relief of the world in his heart. He studied diligently without slackening, yet repeatedly encountered frustration in the imperial examinations. Only after my elder uncle, Xiang Bo Gong, passed the provincial examination did he lose interest in pursuing official advancement. He devoted himself to reading for self-amusement and, in his leisure time, delved into *Qi Huang* (Traditional Chinese Medicine). He said, "If a scholar cannot achieve success in politics, this [medicine] is also one way to benefit the world." He was proficient in both internal and external medicine and elucidated many medical principles. Whenever treating patients, he was always cautious and solemn. When invited from all directions, he would travel even long distances; he declined monetary gifts but instead provided medicinal herbs to the poor. Once, when treating conditions such as back carbuncles (*Fa Bei*) and opposite neck abscesses (*Dui Kou*), he found that applying methods from ancient texts yielded little effect. He pondered deeply and reasoned, "Is it that the ancients deceived us? It is merely that I have not mastered their flexibility." The formation of any disease must have a specific site where the pathogenic factor is predominant. By examining this predominance and treating it specifically, efficacy can be seen immediately. From then on, whenever treating these conditions, he would distinguish the location (left/right, upper/lower), the color (red/white, deep/shallow), and the pulse (floating/sinking, slow/fast) to ascertain the involvement of meridians, zang-fu organs, and acupoints, as well as the attribution of yin-yang deficiency-excess, excessive stagnation, dryness, and dampness. He would further reference climatic conditions and geographical suitability to apply the principles of the generation and restriction of the Five Elements. By adopting ancient methods and modifying them through addition and subtraction to adapt to the situation, every case he treated achieved success. Later, my uncle brought my grandfather to reside in the official quarters at Qinjiang. With ample free time, he took out medical cases from previous years, compiled and edited several volumes of *Fa Bei Dui Kou Zhi Jue*, appended several volumes of experienced prescriptions, and handed them down upon returning home. My father stated, "Do not show this book to others casually; do not underestimate it! Although the art is minor, it is sufficient to benefit the world." My father, Dong Huan Gong, and my younger uncle, Dong Kui Gong, were both versed in medical theory through their Confucian studies. My father had long taken the metropolitan examinations without having the opportunity to fully practice, whereas my younger uncle practiced medicine using this knowledge. Our family has generations of adept users of my grandfather's legacy methods, so the treatments were often remarkable and accurate. Now that my father and younger uncle have passed away in succession, my younger brothers and I are of inferior talent and unable to master even one art form. The books of our ancestors remain, yet they are left unused. This means the ancestors' ambition to benefit the world is being belittled and cut off prematurely. Mr. Yang Zijiyi had long heard of this book and encouraged me to have it printed. I gladly complied. It is hoped that the legacy techniques of our ancestors will spread throughout the land, and that learned individuals may examine and adopt them, which might not fail to benefit the world. Although I have not recorded the deeds of my predecessors, I still preserve their aspirations.
Respectfully preface by Grandson Yi Wei, on the seventh day of the second month of the 20th year of Daoguang.