一医家门路,须要指下明,而后病源悉,药性熟而后证治投。
是书脉诀、病机、药性、运气、掇拾其词简义当者,置之前列,正以启后学之进趋云。
一脉诀,诸儒论载详明,兹采其切要者录之,凡诊得某脉当得
某病,脉之生克,病之轻重,一指掌即见。学人须得手应心,神而明之,斯为善学。
一病发根于脏腑,至为难识,必先知某经亏损,而后知病在某经,必调理某经而后某经病愈。
是书凡内外伤外感之类,条分缕析,论究详明,使后学知所自来,则攻治投剂,方能箭中鸿鹄。
一治病必先识虚实寒热,苟补泻温凉不得其宜,则将如柄凿不入。兹以经年历试治法,详附于
各病之下,或补或泻,或温或凉之间,自有斟酌,执此以治,自然病根悉拔。
一方有古方,有今方。皆历代医师所制,予试其百发百中者始纂之,其未试者,虽工不录。此盖人
所共知,故不以姓氏再赘。今方皆太医院传自秘阁,及诸缙绅家藏。当代名医与愚父子所制得效者,于各方
下每系以姓号官衔,示不忘本也。又有所谓秘方者,乃上方异人所授,不能悉纪其名,惟着以秘方二字。
潜心经二十载,就正阅千万人,罄南北之奇良,括古今之秘验,方药之制,有自来矣。
一制方有全虚全实者,有半虚半实者,有中正和平者,有攻击
杀伐者,有全表全里者,有半表半里者,各明注方下,使后者知合宜之用。
一、行医入门,必须指下脉象辨识清晰,才能详尽了解病源;熟悉药性之后,才能针对证候施治。
本书将脉诀、病机、药性、五运六气中词简义当的内容,置于前列,正是为了启发后学者的进取之心。
一、关于脉诀,历代儒者论述记载详明,此处仅摘录其切要部分记录在案。凡是诊得某脉应当对应某病,脉象的生克关系,病情的轻重,通过手指触按即可一目了然。学习者必须做到手到心知,神妙通达,这才是善于学习。
一、疾病发源于脏腑,极难识别,必须先知道哪条经脉亏损,然后才知道病在哪条经脉,必须调理哪条经脉,该经脉的疾病才能痊愈。
本书对于内伤、外感等各类病症,条理分明地分析,探讨详尽明确,使后学者知道病因由来,那么在攻邪治疗用药时,才能像箭射中鸿鹄一样准确有效。
一、治病必须先识别虚实寒热,如果补泻温凉不得当,那就如同柄凿不合,无法进入。此处将以经年历试的治疗方法,详细附在各病之下,或在补或泻,或温或凉之间,自有斟酌,拿着这些方法来治疗,自然能连根拔除病根。
一、方剂有古方,有今方。都是历代医师所制定,我尝试过那些百发百中的才开始编纂收录,那些未经尝试的,即使技艺高超也不收录。这大概是众人所共知的,所以不再赘述姓氏。今方大多来自太医院传自秘阁,以及各位缙绅家族的家藏。当代名医与我父子所制取得效验的,在每个方子下面都标注姓氏、称号、官衔,以示不忘本。又有所谓的秘方,乃是上述异人传授,不能全部记录其名,只以“秘方”二字标示。潜心钻研二十年,就诊阅千万人,穷尽南北之奇良药材,概括古今之秘验方药,方药的制定,是有来历的。
一、制方有全虚全实的,有半虚半实的,有中平平和的,有攻击杀伐的,有全表全里的,有半表半里的,各自在方子下明确注明,使后来者知道适宜的使用场合。
1. To enter the path of medicine, one must clearly discern pulse qualities under the fingers to thoroughly understand the source of disease; only after becoming familiar with the properties of herbs can one prescribe treatments appropriate to the syndrome patterns.
This book places at the forefront those excerpts on Pulse Formulas (Maijue), Pathogenesis (Bingji), Herb Properties (Yaoxing), and Five Movements and Six Qi (Yunqi) that are concise in wording and accurate in meaning, precisely to inspire the advancement of students.
2. Regarding Pulse Formulas, scholars have provided detailed discussions and records. Here, only the essential points are selected for recording. Upon diagnosing a specific pulse, one should know the corresponding disease; the generating and overcoming relationships among pulses, and the severity of diseases, can be seen at a glance through finger palpation. Students must achieve a state where hand movements align with mental understanding, attaining spiritual clarity, which constitutes good learning.
3. Diseases originate from the Zang-Fu organs (viscera and bowels) and are difficult to identify. One must first know which meridian is deficient to determine the affected meridian, and only by regulating that meridian can the disease in it be cured.
This book analyzes internal injuries (Neishang) and external contractions (Waigan) in detail, discussing them thoroughly so that students understand their origins. Consequently, when prescribing remedies to attack pathogens, one can hit the target accurately like an arrow striking a swan.
4. In treating diseases, one must first distinguish between deficiency/excess (Xu/Shi) and cold/heat (Han/Re). If tonification and purgation, warming and cooling are not applied appropriately, it will be like trying to fit a square peg into a round hole. The treatment methods tested over years are detailed below each disease category. Whether to tonify or purge, warm or cool, there is careful consideration. Applying these methods naturally eradicates the root of the disease.
5. Prescriptions include ancient formulas (Gufang) and modern formulas (Jinfang), all formulated by physicians of past dynasties. I compiled only those I had tested with hundred-percent efficacy; untested ones, even if created by skilled practitioners, were not recorded. This is common knowledge, so surnames are not repeated. Modern formulas mostly come from secret archives transmitted by the Imperial Medical Academy (Taiyiyuan) and collections of gentry families. Formulas effective when created by contemporary famous physicians and my father and son are listed with surnames, titles, and official ranks beneath each prescription to show gratitude to the originators. There are also so-called "Secret Formulas" (Mifang), taught by extraordinary individuals whose names cannot be fully recorded; they are simply marked as "Secret Formula." Having devoted twenty years to study and consulted millions of patients, gathering rare and excellent remedies from north and south, and summarizing secret and verified prescriptions from ancient and modern times, the formulation of medicines has its historical basis.
6. Prescriptions vary: some address total deficiency or total excess, others mixed deficiency and excess, some are neutral and harmonious, others are aggressive and destructive, some treat exterior syndromes exclusively, others interior syndromes exclusively, and some treat half-exterior half-interior syndromes. Each type is clearly noted below the prescription to guide later practitioners in appropriate application.