《古今医统》之于医书也,犹河海之于细流也。医经之类悉以靡不载于兹,便一披卷,则古
今之群书粲然可见。然近世所将来之唐本几希,而志于医者大率索之弗能辄得,不可以无遗憾。
故今二三氏胥共命工欲寿之梓,以广其传。其用心原虽不殊龙断求利,矢人函人岂齐论哉?兹书
遍行于世,则宿病顿愈,沉 可起,斯亦可谓济民之一助,而众庶之幸者也。于是予窃聚数本,
与精于此业二先生俱分帙检阅焉。脱简衍字已不少也,各窥瞰之所及,粗虽加点窜,尚恐有风叶
在矣。然中间或一字,或二三字,有相磨灭难通晓者,阙以俟来者,庶识者考之云。
明历三祀龙集丁酉年十月壬辰立野春节书于蓬生巷
一、是书之编,目曰《古今医统》。撰取历代医源,肇自羲皇,流于斯世,翰衍相承,其来
尚矣。凡圣贤立法制方,足为天下后世准绳者,今悉考其事迹,例于卷首,俾后学得以溯流穷源云。
一、诸名医史书所载及出各家文集,学本《内经》,方法醇正者,录之无阙。若涉于幻诞理
法之外,如《晋书》所载佛图澄、单道开,金之马宗素、程德斋之流,不敢悉录。其有名,如矫氏、
俞氏辈,皆医之宗,虽无传亦录之。
一、纂是书以黄帝《内素》为宗,及史书诸子之集,凡有一节之所长,可以羽冀医学人,悉
探而附之。其畔经背理,如马宗素之《钤法》、高阳生之《脉诀》、赵氏之《精要》、彭氏之《类
编》,则反滋医之惑也,并不载录。然古今医书,天下广博,殆非一人所能遍睹,若会其极而该
其全,则有俟于博雅君子。
一、《内经素问》为医书之祖,诚古先圣人立言立法之准者也。其后诸贤悉宗其义而发明之,
未有舍《内经》而成良医者。自唐太仆启玄子注释,得失相半,嗣以滑氏《钞》而陈之,尚未足以
尽善。今纂其要旨,集为一卷,俾业医者熟诵玩味,自有以契其玄。而凡临病诸说之同异,故不
能乱其真也。
一、先哲立论切于证治之可法者,广博兼该,而非一隅之说。如王安道、朱彦修辈,《本草
衍义》、《病治八要》、《奇效良方》、《药用君臣》等论,则凡可以翼医者,通考附前,便于观览。
一、医道以脉为先,苟不明脉,则无以别证。今世医言脉者,多以《脉诀》七表八里九道为
名,左心小肠为宗。部位错乱,而诊候必不准矣。今辨叔和《脉诀》之谬,取《内经》诊候之
法,合为一卷。
一、病证各分门类,首论病源,一主《内经素问》;次以脉候,较以王氏《脉经》、滑氏《枢
要》;次以治法,
历取名家之所长;次以药方,精选经史之必效。出自某集,纪别各条之下,庶有所据而知其本云。
一、病机祖《内经》,述巢氏,区别表里虚实寒热之源,则类药方,亦按表里虚实寒热继之
于后。庶对证检方,如方圆之就规矩,自有不容少戾者。
一、各病宜于针灸,其经穴附带本证之后。古人针灸,并书卷首,以其有神速功。今人畏而
不用,为医殆亦鲜精。竟不知奇功伟绩,立可起死回生;对证取穴,无不应手获效,岂小补哉?
一、凡不可治证,医所当知。病有一脏之气绝者,药必不能以强生。如黑色见于耳及命门悬
壁间如烟煤,是肾气以绝,死;肉脱身不去者,死;脉无胃气者,死。皆其元气绝亡,断不可治。
今人不工望闻问切,而惟以问之一端,多有不识死候而药之。此医之大弊也。扁鹊之于齐桓,医
缓之于晋景,皆莫能生之证。今以死候类编脉法之后,例之无惑。
一、论养生导引,诚古人治未病之方。今人惟待病而求药,殊不知善摄生者,譬犹曲突徙薪,
自无焚燎之患矣。故选修真道藏之可法者,并附焉。
一、药性最为要务,本草故为备悉。兹亦附探节斋《集要》,并周王《救荒本草》,合为二卷。
其庶乎大观捷目云。
一、运气为天地阴阳造化之常变,而凡民病莫不因之。医家不知运气,则亦眇而能视,不足
与有明也。至于马宗素之流,多见其为穿凿也。今若此并删之,而惟以《内经》运气为主,详释
图说,集成全书,以备治疗验证稽考之易耳。
一、凡出奇治法并秘验药方,及平日闻见于四方之说,而可以为规鉴者,窃附卷后,不敢同
例于前贤也。
一、妇人门悉纂《妇人良方》之要者。胎产之病,尤为至要,备选《产宝》程氏等书奇效之方,
而并附焉。
一、凡老人血气既衰,投药亦异。王隐君之论一着,而后《养老奉亲》等书嗣而集焉。兹录
表端,固不敢略。其所以平居食养,疾病方宜,无不具备。然则,孝弟也者,其可不知此云?
一、小儿病机悉尊钱氏、陈氏。至于痘疹惊疳,此又急证,诸名家辨论病源,经验奇方,悉
备采录,以成全书。俾学人无遗憾也。
一、凡服药忌宜,制药法例,并引经新久,人多以为不紧而忽之。殊不知行远升高必由卑且
近者及之耳,故录之无阙。
《古今医统》对于医学书籍来说,就像河海对于细小的水流一样。各类医经全都收录其中,只要翻开书卷,古今的群书便清晰可见。然而近代流传下来的唐代版本已经很少了,有志于学医的人大多难以轻易找到,这不能不说是遗憾。因此,如今几位同仁共同出资请工匠刻印此书,以扩大其传播。虽然他们的心思原本并非像垄断市场那样追求利润,但造箭的人和做铠甲的人(目的不同),难道能一概而论吗?如果这本书能广泛流行于世,那么陈年的疾病就能立刻痊愈,重病之人也能起死回生,这也可以说是帮助百姓的一种方式,是大众的幸事。于是,我私下收集了几个版本,与两位精通此业的先生一起分卷检查阅读。书中脱漏简页、衍文错字已经不少,各自根据所见所闻,粗略地加以点校修改,但仍担心有像“风叶”(指书页中夹杂的非正文内容或错误)存在。然而中间有些字,或者两三个字,因磨损模糊难以通晓,就暂时空缺以待后来者,希望有见识的人考证它。
明朝万历十五年(丁酉年)十月壬辰日,立野人春节在蓬生巷书写。
一、本书编纂,名为《古今医统》。撰写选取历代医学源头,始于伏羲时代,流传至今,笔耕传承,由来已久。凡是圣贤制定的法则和方剂,足以成为天下后世准则的,现在都考察其事迹,列在卷首,使后学者能够追溯源头。
一、记录名医史书所载及各家文集中,学术基于《黄帝内经》,方法纯正的,全部收录无遗漏。如果涉及虚幻荒诞、超出理法范围的内容,如《晋书》所载的佛图澄、单道开,金代的马宗素、程德斋之流,不敢全部收录。那些有名望的,如矫氏、俞氏等人,都是医界的宗师,即使没有著作传世也予以收录。
一、编纂此书以黄帝《内经》为宗主,以及史书诸子文集,凡是有某一方面长处,可以辅助医学入门的,都深入探究并附入书中。那些背离经典违背常理的,如马宗素的《钤法》、高阳生的《脉诀》、赵氏的《精要》、彭氏的《类编》,反而会增加医学的困惑,都不予收录。然而古今医书,天下广博,大概不是一个人所能遍览的,若要汇聚极致而涵盖全面,那就要等待博学雅正的君子了。
一、《黄帝内经·素问》是医书的祖宗,确实是古代圣人立言立法的准则。其后各位贤人都尊崇其义理并加以阐发,没有舍弃《内经》而能成为良医的。自从唐代太仆王启玄(王冰)注释以来,得失参半,随后又有滑寿的《钞》本陈述,还不足以尽善尽美。现在编纂其要点,集为一卷,使从事医学的人熟读玩味,自然能契合其中的玄妙。而对于各种临证说法的同异,自然不会扰乱其真谛。
一、先哲立论切合证治可效法的,广博兼该,而非一隅之说。如王安道、朱彦修等人,《本草衍义》、《病治八要》、《奇效良方》、《药用君臣》等论述,凡是有助于医学的,都通考附在前面,便于观览。
一、医道以脉诊为先,如果不明白脉象,就无法辨别证候。当今世上的医生谈论脉象,多以《脉诀》中的七表、八里、九道为名,以左寸心、小肠为宗。部位错乱,诊候必然不准确。现在辨析叔和《脉诀》的错误,取用《内经》的诊候方法,合为一卷。
一、病证各分门类,首先论述病源,主要依据《黄帝内经·素问》;其次以脉候为主,参照王氏《脉经》、滑氏《枢要》;再次以治法为主,广泛吸取名家所长;再次以药方为主,精选经史中必定有效的方剂。出自哪部集子,在各条之下分别记载,以便有所依据而知其本源。
一、病机祖述《内经》,叙述巢元方的观点,区别表里虚实寒热的来源,然后分类药方,也按照表里虚实寒热继之于后。这样对照证候检查方剂,就像圆规和矩尺一样,自然不会有丝毫偏差。
一、各病适宜针灸的,其经络穴位附带在本证之后。古人针灸,一并写在卷首,因为它有神速的功效。今人畏惧而不使用,作为医生几乎也不精深。竟然不知道奇功伟绩,可以立刻起死回生;对症取穴,没有不随手获效的,这岂是小补呢?
一、凡是不可治疗的证候,医生应当知道。疾病有一脏之气绝的,药物一定不能强行求生。如黑色出现在耳朵及命门悬壁间像烟煤一样,这是肾气已绝,主死;肌肉脱陷身体不动的,主死;脉象没有胃气的,主死。这些都是元气绝亡,断然不可治疗。现在的人不擅长望闻问切,而只凭问诊一端,多有不认识死候而用药的。这是医生的大弊病。扁鹊对齐桓公,医缓对晋景公,都是不能救活的证候。现在将死候分类编排在脉法之后,以此为例,就不会有疑惑。
一、论述养生导引,确实是古人治未病的方策。今人只是等到生病才求药,殊不知善于摄生的人,就像曲突徙薪(把烟囱改弯,移开柴草),自然没有火灾的祸患。所以选择修真道藏中可效法的,一并附上。
一、药性最为重要,本草故为详尽。这里也附录探节斋的《集要》,以及周王的《救荒本草》,合为二卷。这大概算是大观捷目吧。
一、运气是天地阴阳造化的一般变化,而百姓的疾病没有不因它引起的。医家不懂运气,就如同盲人能看,不足以称为高明。至于马宗素之流,多见其穿凿附会。现在若如此一并删去,而只以《内经》运气为主,详细解释图说,集成全书,以备治疗验证稽考之易罢了。
一、凡是奇特的治法并秘密验方,以及平日听闻见于四方的说法,而可以作为规范借鉴的,私下附在卷后,不敢与前贤同例。
一、妇人门完全编纂《妇人良方》的要旨。胎产之病,尤为紧要,备选《产宝》程氏等书的奇效方剂,并附上。
一、凡是老人血气既衰,投药也不同。王隐君的论述独特,而后《养老奉亲》等书相继集结于此。这里录在表端,固然不敢忽略。其平居饮食调养,疾病方宜,无不具备。既然如此,孝悌之道,难道可以不了解这个吗?
一、小儿病机完全尊从钱氏、陈氏。至于痘疹惊疳,这又是急证,诸名家辨论病源,经验奇方,都完备采集收录,以成全书。使学习者没有遗憾。
一、凡是服药禁忌适宜,制药法例,并引用经典新旧,人多认为不重要而忽视。殊不知行远升高必须从低处近处开始,所以收录无遗漏。
*The Gujin Yitong (Comprehensive Collection of Ancient and Modern Medical Standards)* regarding medical books is like rivers and seas to small streams. All categories of medical classics are fully recorded herein; with a single glance at the scroll, the brilliant array of ancient and modern texts becomes clearly visible. However, Tang dynasty editions circulated in recent times are scarce, and those aspiring to medicine generally find them difficult to obtain, which cannot but be a regret. Therefore, several colleagues have now jointly commissioned craftsmen to carve woodblocks for its preservation, to broaden its dissemination. Although their original intention was not dissimilar to seeking profit through monopoly, can the efforts of an arrow-maker and an armor-maker be discussed as equal? If this book circulates widely in the world, then chronic illnesses will be instantly cured, and severe cases will rise from death; this can indeed be considered one aid in benefiting the people, and a fortune for the masses. Thus, I privately gathered several copies and, together with two gentlemen proficient in this profession, examined them volume by volume. There were already many missing slips and superfluous characters; according to each person's observation, rough corrections were made, yet there is still fear that "wind leaves" (erroneous or extraneous content) remain. However, in the middle, some characters, or two or three characters, were worn away and difficult to understand, so they are left blank awaiting future scholars, hoping that experts will examine them.
Written on the day Renchen of the tenth month of the year Dingyou (1597), by Liye Spring Festival at Pengsheng Alley.
1. The compilation of this book is titled *Gujin Yitong*. It selects the sources of medicine from all dynasties, starting from Fuxi, flowing down to this era, with continuous transmission of writing and inheritance, having a long history. Whatever laws and prescriptions established by sages and worthies serve as standards for the world and future generations are now investigated for their deeds and listed at the beginning of the volumes, enabling later learners to trace the source.
2. Those recorded in historical biographies of famous doctors and appearing in various family collections, whose learning is based on the *Huangdi Neijing (Yellow Emperor's Inner Canon)* and whose methods are pure and correct, are recorded without omission. If they involve illusory and absurd content beyond reason and method, such as Fotu Cheng and Shandaokai recorded in the *Book of Jin*, or Ma Zongsu and Cheng Dezhai of the Jin Dynasty, they dare not be fully recorded. Those who are famous, such as Jiao Shi and Yu Shi, are all ancestors of medicine; even if no works are transmitted, they are recorded.
3. This book is compiled taking Huangdi's *Neijing* as the master, along with histories and collections of philosophers. Anything with strengths in certain aspects that can assist in entering the field of medicine is thoroughly explored and attached. Those that deviate from classics and contradict reason, such as Ma Zongsu's *Qianfa*, Gao Yangsheng's *Maijue (Pulse Mantra)*, Zhao's *Jingyao*, and Peng's *Leibian*, instead increase confusion in medicine and are not recorded. However, medical books throughout history are vast and broad across the world, likely impossible for one person to view completely. To gather the ultimate essence and cover the whole, one must wait for learned and elegant gentlemen.
4. The *Huangdi Neijing: Suwen (Basic Questions)* is the ancestor of medical books and truly the standard for the words and laws established by ancient sages. Subsequent virtuous ones all respected its principles and elaborated upon them; none became good physicians without abandoning the *Neijing*. Since Wang Bing (Wang Qixuan), Grand Tutor of the Tang Dynasty, annotated it, gains and losses were half-and-half. Later, Hua Shi's *Chao* presented it, yet it was still not perfect. Now, its key points are compiled into one volume, allowing practitioners to recite and ponder deeply, naturally connecting with its profundity. And regarding the similarities and differences in various clinical theories, they will not disturb its truth.
5. Arguments established by former sages that are pertinent to diagnosis and treatment and worthy of emulation are broadly inclusive, not limited to one corner. Such as Wang Andao, Zhu Yanxiu, etc., and treatises like *Bencao Yanyi (Elucidation of Materia Medica)*, *Bingzhi Bayao (Eight Essentials of Disease Treatment)*, *Qixiao Liangfang (Excellent Prescriptions)*, *Yaoyong Junchen (Ministerial and Assistant Roles in Medicine)*, etc., whatever can support medicine is comprehensively examined and attached beforehand for easy reference.
6. The Way of Medicine prioritizes pulse diagnosis; if one does not understand pulses, one cannot distinguish syndromes. Physicians of today discussing pulses mostly use the names Seven Surfaces, Eight Interiors, and Nine Channels from the *Maijue*, taking the Left Cun Heart and Small Intestine as the main reference. With disordered locations, diagnostic outcomes will inevitably be inaccurate. Now, refuting the errors of Hehu's *Maijue*, and adopting the diagnostic methods of the *Neijing*, they are combined into one volume.
7. Disease syndromes are categorized by type, first discussing disease origins, primarily based on the *Huangdi Neijing: Suwen*; secondly using pulse indications, comparing with Wang's *Maijing (Pulse Classic)* and Hua's *Shuyao*; thirdly employing treatment methods, extensively drawing on the strengths of famous masters; fourthly selecting medicinal formulas, carefully choosing those proven effective in classics and histories. Originating from specific collections, each item is recorded separately below, so that there is basis for knowing the source.
8. Disease mechanisms follow the *Neijing*, describing Chao Yuanfang's views, distinguishing the sources of exterior/interior, deficiency/excess, cold/heat, and then classifying medicinal formulas, following afterwards according to exterior/interior, deficiency/excess, cold/heat. Thus, checking formulas against symptoms is like round compasses and square rulers, naturally allowing no deviation.
9. For diseases suitable for acupuncture and moxibustion, their meridian acupoints are attached after the main syndrome. Ancients wrote about acupuncture and moxibustion at the beginning of volumes because of its swift efficacy. Modern people fear it and do not use it, making physicians rarely refined in this area. They fail to realize that miraculous feats can instantly revive the dead; selecting acupoints according to symptoms yields immediate results, which is certainly more than a minor supplement.
10. Physicians must know all untreatable conditions. If the Qi of one organ perishes due to disease, medicines cannot forcibly sustain life. For example, black color appearing in the ears and between the Mingmen suspension wall like soot indicates kidney Qi has perished, leading to death; flesh wasting away while the body remains immobile indicates death; pulses lacking Stomach Qi indicate death. These are all instances where primal Qi has perished and absolutely cannot be treated. People nowadays are unskilled in inspection, auscultation/olfaction, inquiry, and palpation, relying solely on inquiry, often failing to recognize signs of death before administering drugs. This is a major flaw in medicine. Bian Que could not save Duke Huan of Qi, and Yi Huan could not save Duke Jing of Jin; these were proofs that could not be revived. Now, signs of death are classified and compiled after pulse methods, serving as an example to avoid confusion.
11. Discussions on health preservation and Daoyin (guiding and pulling) are indeed the methods of ancients for preventing disease before it arises. Modern people only seek medicine when ill, unaware that those skilled in self-care are like those who bend the chimney and move the firewood, thereby avoiding the disaster of burning. Therefore, what is worthy of emulation from Daoist collections is selected and attached.
12. Drug properties are the most crucial task, so Bencao (Materia Medica) is prepared in detail. Here, Tan Jiezhai's *Jiyao* and King Zhou's *Jiu Huang Bencao* are also appended, forming two volumes. This may well be considered a grand overview.
13. Yunqi (Six Qi movements) represents the normal changes of Heaven and Earth's Yin and Yang creation, and common people's diseases are largely caused by it. If physicians do not understand Yunqi, it is like a blind man seeing; it is insufficient to be called enlightened. As for figures like Ma Zongsu, they are often seen as forcing interpretations. Now, these are deleted, retaining only the Yunqi from the *Neijing* as the main focus, with detailed explanations and diagrams integrated into the complete book, to facilitate verification and examination during treatment.
14. Any extraordinary treatment methods and secret effective prescriptions, as well as sayings heard from various regions that can serve as guidelines, are privately attached to the end of the volume, daring not to be treated in the same manner as the former sages.
15. The Women's section entirely compiles the essentials of *Furen Liangfang (Good Prescriptions for Women)*. Diseases related to pregnancy and childbirth are particularly important; effective prescriptions from *Chanbao* and Cheng Shi's books are selected and attached.
16. For the elderly, whose blood and Qi have declined, medication differs. Wang Yinjun's unique arguments led to the subsequent compilation of books like *Yanglao Fengqin*. These are recorded at the forefront here, undoubtedly not to be overlooked. Their daily dietary nourishment and appropriate prescriptions for illness are fully included. Thus, filial piety and fraternal duty—can one not know this?
17. Pediatric disease mechanisms fully respect Qian Yi and Chen Wuzheng. Regarding smallpox, rashes, convulsions, and malnutrition, these are again urgent conditions; discussions on disease origins by various masters and experienced miraculous prescriptions are fully collected to complete the book, ensuring learners have no regrets.
18. Regarding contraindications and appropriateness of taking medicine, methods of preparing drugs, and citations from new and old classics, many people consider them unimportant and ignore them. Little do they know that traveling far or climbing high must begin from low and near places. Therefore, they are recorded without omission.