自昔彼美云遐,良遘难再,士生其间,动成慨往,无叩角短 之谣,有戴月归锄之兴。
是以陆沉之志,思似长沮;麋鹿之情,实甘丰草。微吟午夜,耿怀人至曙星; 梦北窗,享
羲皇
去而
以口
五脏
医,
痛心
绍,始自
经论证治
日用常行
耳前之嚆
固然,而
时康熙乙卯巧月既望
新安罗美书于虞山麓之古怀堂
一、古之方书,得人乃传,非人勿言,诚重之也。故扁鹊仓公辈,皆称禁方,不轻授人。
后
人
寒
心知其故。则见为古方难用,竟营肤浅,以矜捷得,所以瓦釜雷鸣也。兹编本欲以仲景方为
首简,恐人犹重视而畏远之,姑以日用诸方表表耳目者为先导。诸方义明,而后入仲景之门
,亦行远登高之自尔。
一、汉建安以前,苦于无方;宋元丰以后,《局方》猥赜。蔓延今时,何有根柢,漫无
指归
《外台》诸书,及洁古、东垣、太无、丹溪方之佳者,咸择而录焉。仲景有云∶学人能寻余
所集,思过半矣。
一、有方即有柄,自仲景始也;有方更有论,自成无己始也。明代赵以德有《金匮衍义》,
于方颇有论,吴氏鹤皋着《医方考》。近时医林复有张景岳、赵养葵、喻嘉言、李士材、程
郊倩、张路玉、程扶生诸公,各有发明,余喜得而集之矣。然其间或择焉而未精,语焉而未
详,亦间有不惬于心者。因与素交诸同人,往来探索古作者之意,时时析疑欣赏。得见一斑
,即各与分方补论,因而附列增入,少开后学。本非啖名,实未辞续貂之愧云。
一、病名多端,不可以数计,故仲景分六经而司治之,使百病咸归六经,是扼要法也。
后人不知六经为杂病辨证设,竟认为伤寒设,由是仲景辨证之权衡废。夫不知证,便不知方
矣。
金》,是后来《局方》之祖。然论虽多,方虽广,而不得治之要,实千载迷途矣。后此继起
者,莫不贵叙证之繁,治法之备,集方之盛,求胜前人。不知病名愈多,后学愈昏;方治愈
繁,用者愈无把柄。一遇盘根错节,遍试诸方,眇无所措。岂如得仲景法,不于诸病搜索,
但于六经讲求,一剂而唾手可愈耶。友人韵伯,于仲景书探讨有年,所着《伤寒论翼》,多
所发明。故是编于伤寒方中,录其论最多,亦欲学人因之略见仲景一斑耳。
一、吴氏作《医方考》,其意未尝不欲以立方本源,开后学之蒙也。究乃拘证论方,譬
多疏
与方
用,
方之
命名
之。
人
一、僭评方论,非取文章。故所批阅,必于眼目肯綮,指出所以然,以质证同志。人有
共目
一、兹选不 本以数年心目,遍搜古今名医经论,删纂其要,定为《古今名医汇粹》八
卷,
以为
自古以来,美好的机遇遥远难得,良辰美景难以重现。读书人生活在这样的时代,往往容易引发对往昔的感慨。虽然没有像宁戚那样叩角而歌求取功名的人,却有像荷蓧丈人那样披星戴月、归去锄草的高隐之志。
因此,我有着隐居不仕的志向,心意如同长沮、桀溺般向往田园;怀着麋鹿依恋丰草的情趣,甘愿过清贫的生活。在午夜低声吟诵,心怀故人直到晨星出现;梦见北窗下的生活,享受上古伏羲氏时代的淳朴逍遥。然而,随着远古圣王时代的离去,以口传心授的方式传承五脏医道的传统逐渐断绝,令人痛心。这种传承的中断,始于……(原文此处有脱漏或排版错乱,结合上下文推测为医学传承的断裂)……经过论证治疗……在日常使用中……这不过是先声罢了。虽然这是必然的趋势,但……
时间:康熙乙卯年五月十六日
新安罗美书写于虞山脚下的古怀堂
第一条:古代的方书,遇到合适的人才会传授,不是合适的人就不说,这是非常郑重的态度。所以扁鹊、仓公等人,都称他们的方剂为“禁方”,不轻易传授给别人。后人知道其中的缘故,却认为古方难用,竟然追求肤浅浅薄的知识,以此来炫耀自己快速获得的知识,这就好比瓦锅发出雷鸣般的声音(比喻庸医哗众取宠)。这部编纂本打算以张仲景的方剂作为首要内容,但担心人们仍然重视而畏惧疏远它,姑且以日常生活中那些显著醒目、能引起人们注意的方剂作为先导。当各方剂的义理明确之后,再进入张仲景的医学殿堂,这也是行远登高自然的开始。
第二条:汉建安以前,苦于没有系统的方剂;宋元丰以后,《太平惠民和剂局方》繁杂琐碎。蔓延到当今时代,哪里还有根基,漫无宗旨。选取《外台秘要》等书籍,以及洁古、东垣、太无、丹溪诸位名家方剂中优秀的部分,全部选择并记录下来。张仲景曾说:“学医的人如果能探寻我所收集的(经方),思虑就超过一半了。”
第三条:有方剂就有方柄(指方剂与病症对应的关键),这是从张仲景开始的;有方剂更有论述,这是从成无己开始的。明代赵以德著有《金匮衍义》,对方剂颇有论述,吴鹤皋著有《医方考》。近代医林中又有张景岳、赵养葵、喻嘉言、李士材、程郊倩、张路玉、程扶生各位先生,各自都有发明创造,我喜欢收集他们的成果。然而其中有的选择不够精当,论述不够详细,也有间或不合我心意的地方。于是与平素交往的同好们,往来探讨古代作者的意图,时时分析疑惑欣赏心得。得见一斑,就分别给予分方补论,因而附录列出增加进去,稍微开启后学的门径。本不是为了博取名声,实在是未推辞续貂(比喻拙劣地接在别人的作品后面)的惭愧之心。
第四条:病名多种多样,无法计数,所以张仲景将疾病分为六经来主治,使百病都归属于六经,这是抓住要领的方法。后人不知道六经是为杂病辨证设立的,竟然认为是为伤寒设立的,由此废弃了张仲景辨证的权衡标准。不知道证候,就不能知道方剂了。(原文此处插入了一段关于《局方》及后世医家批评的文字,逻辑上属于对前文“不知六经”后果的进一步阐述或另一版本的插入语,此处依原文顺序翻译)……是后来《局方》的祖源。然而论述虽多,方剂虽广,却不得治疗的要害,实在是千年的迷途啊。此后继起的人,无不崇尚症状叙述的繁多,治法的完备,集方的兴盛,力求胜过前人。不知道病名越多,后学越糊涂;方剂治愈方法越繁复,使用者越没有把握。一遇到盘根错节的复杂病情,遍试各种方剂,茫然不知所措。哪里比得上得到张仲景的法度,不在各种病症中搜索,只在六经中讲求,一剂药就能唾手可得痊愈呢?友人韵伯,对张仲景的书探讨多年,所著的《伤寒论翼》,多有发明。所以这部编著在伤寒方中,收录他的论述最多,也是想让学习者借此略见张仲景的一斑而已。
第五条:吴氏撰写《医方考》,其用意未曾不想以立方剂的根源,开启后学的蒙昧。最终却拘泥于证候讨论方剂,譬喻……(原文此处有脱漏)……与方剂……使用……方剂的……命名……(原文此处严重错乱或缺失,仅能根据残存字词推测涉及方剂命名与使用的局限性)。
第六条:随意评论方论,并非为了文章华丽。所以所批阅的内容,必定指出关键眼目,说明之所以然,以此验证给志同道合的人。人们有共同的见解……(原文此处截断)
第七条:这次选编……(原文此处截断,提到耗时数年,搜古今名医经论,删纂要点,定为《古今名医汇粹》八卷,以为……)
Since ancient times, beautiful opportunities have been distant and hard to encounter again; good meetings are difficult to repeat. Scholars living in such times often feel sighs for the past. There are no songs of knocking on the horn (a reference to Ning Qi seeking employment), but there is the ambition of returning home with a hoe under the moon (a reference to reclusive scholars).
Therefore, I harbor the ambition of remaining hidden in society, my mind resembling that of Chang Ju and Jie Ni; my feelings are like those of deer and elk, truly content with lush grass. Chanting softly at midnight, my heart remains clear until the morning stars appear; dreaming of life by the north window, enjoying the simplicity of the era of Fuxi. However, with the departure of the ancient sage kings, the tradition of transmitting the medicine of the five Zang organs through oral instruction has been broken, causing deep pain. This interruption... (original text has gaps) ...after verification and treatment... in daily use... this is merely the preliminary sound. Although this is inevitable, yet...
Time: The 16th day of the 5th month in the Yimao year of the Kangxi reign.
Written by Luo Mei of Xin'an at the Guhuai Hall at the foot of Yushan Mountain.
Article 1: Ancient medical texts were transmitted only to worthy individuals and not spoken to others, which shows how highly they were valued. Therefore, figures like Bian Que and Cang Gong called their prescriptions "forbidden prescriptions" and did not lightly impart them to others. Later generations, knowing the reason, found ancient prescriptions difficult to use, and instead pursued superficial knowledge to boast of quick gains; this is like a clay pot making thunderous noises (metaphor for mediocre doctors attracting attention). This compilation originally intended to place Zhang Zhongjing's prescriptions first, but fearing that people would still value them too much and thus fear or distance themselves from them, it temporarily uses daily prescriptions that are prominent and eye-catching as a guide. Once the principles of these various prescriptions are clear, one can then enter the gate of Zhang Zhongjing; this is naturally the beginning of traveling far and climbing high.
Article 2: Before the Jian'an era of the Han Dynasty, there was a hardship due to the lack of prescriptions; after the Yuanfeng era of the Song Dynasty, the *Tai Ping Hui Min He Ji Ju Fang* (Prescriptions of the Bureau of People's Welfare and Relief) became overly complex and miscellaneous. Spreading into modern times, where is the foundation? Where is the direction? We selected excellent prescriptions from books such as *Waitai Miyao*, as well as those of Jiegu, Dongyuan, Taiwu, and Danxi, and recorded them all. Zhang Zhongjing said: "If a learner can explore what I have collected, their understanding will be more than half complete."
Article 3: Having a prescription implies having a key (handle) for it, starting from Zhang Zhongjing; having a prescription along with commentary starts from Cheng Wuji. In the Ming Dynasty, Zhao Yi-de wrote *Jingui Yanyi*, offering commentaries on prescriptions; Wu Hegao wrote *Yifang Kao*. In recent times, physicians such as Zhang Jingyue, Zhao Yangkui, Yu Jiayan, Li Shicai, Cheng Jiaoqian, Zhang Luyu, and Cheng Fusheng have each made their own discoveries. I enjoyed collecting them. However, some selections were not precise enough, some discussions were not detailed enough, and there were also instances that did not fully satisfy me. Thus, I engaged in discussions with close colleagues, exploring the intentions of ancient authors, analyzing doubts and appreciating insights whenever possible. Seeing a glimpse of the whole, I provided separate prescriptions and supplementary commentaries, appending them to open the path for future learners. This was not done to seek fame, but rather to avoid the shame of adding inferior fur to a fine coat (a metaphor for adding poor work to someone else's excellent work).
Article 4: Disease names are numerous and incalculable. Therefore, Zhang Zhongjing divided diseases into Six Channels (Liu Jing) for treatment, bringing all hundred diseases under the Six Channels; this is a method of grasping the essentials. Later generations did not realize that the Six Channels were established for differentiating syndromes in miscellaneous diseases, mistakenly believing they were established only for Cold Damage (Shanghan). Consequently, the standard for differentiation set by Zhang Zhongjing was abandoned. If one does not understand the syndrome, one cannot understand the prescription. (The following text appears to be an interjected critique of later medical works): ...is the ancestor of the later *Ju Fang*. Although there are many discussions and broad prescriptions, without grasping the essence of treatment, it is indeed a thousand-year lost path. Successors thereafter always prized the complexity of symptom narration, the completeness of treatment methods, and the abundance of collected prescriptions, striving to surpass predecessors. They did not know that the more disease names there are, the more confused the learners become; the more complex the treatment methods and prescriptions, the less control the users have. When facing intricate and knotty conditions, trying all prescriptions leads to being at a loss. How does this compare to mastering Zhang Zhongjing's method: not searching through various diseases, but focusing on the Six Channels, achieving cure with a single dose? My friend Yunbo has explored Zhang Zhongjing's works for years, and his *Shanghan Lun Yi* offers many insights. Therefore, this compilation records his comments on Shanghan prescriptions the most, hoping that learners might see a glimpse of Zhang Zhongjing through them.
Article 5: Wu Shi's *Yifang Kao* intended to reveal the origins of prescription formulation to enlighten beginners. However, he ultimately confined himself to discussing prescriptions based on symptoms, using analogies... (text missing)... regarding prescriptions... usage... naming... (text garbled/missing).
Article 6: Commenting on prescription theories is not about literary flair. Therefore, the critiques must point out the key points and explain the reasons, to verify with like-minded colleagues. People share common views... (text cuts off).
Article 7: This selection... (text cuts off), based on years of observation, extensively searched ancient and modern famous doctors' theories, deleted and compiled the essentials, determining it as *Gujin Mingyi Huicui* (Collection of Ancient and Modern Famous Doctors' Essences), eight volumes, to serve as...