嬴秦燔书,古籍灰烬,惟医书及《周易》,得免斯厄。良以医之精理,参天地,通阴阳
,实
与易相表里,而非区区方技家所能该也,又非末学浅夫所得管窥而莛撞也。轩岐以来,代有
传书,汗牛充栋,非精识之士,不能读也。即读矣,而旁骛歧出,未得宗旨。狃古方以诊百
病之变迁,犹患其顾此失彼,适燕赵而不改南辕也。然则医之难如是,读医书之难如是。苟
得一穷究医理,卓然成家,搜罗群籍,提要钩元,岂非快事耶?吾吴叶香岩先生,尝裒集古
今医书,削繁就简,折衷一是,为《医衡》若干卷,虽篇页无多,而去取有法,圭臬不远,
实淮南枕中鸿宝也,顾其书不少概见。庚申之变,板毁于兵,识者病焉。恒家自高曾以来,
潜心医理,不乏藏书,俱付劫火,恒幼承先大父命,考求医学,勿敢有间。二十年来,征集
旧帙,百不获一,犹复临诊鲜暇,偶一治书,辄感慨系之。常熟缪丈少初,久宦中州,循声
卓着,今以假归,尝出是编示恒曰∶君世习医,将谋重锓以资利济,君不可以无言。窃惟
是
书简而有法,纯而不驳,扩充之,可得医学源流,即墨守是编,已足为南针之指,夫医道不
明久矣。浅陋者,逐利而不足言;博雅之士,胶柱鼓瑟,狃于一偏。病浅而求诸深,病易而
求诸难。班志所谓原人血脉经络骨髓阴阳表里,以起百病之本,死生之分,而调百药。齐和
之所宜者,戛戛难之。今缪丈重锓是编,津梁后学,洵仁人之用心哉,吾知是编之出,有目
共赏,不胫而走,无待赘言,异日更着活人之书,作万家生佛,召父杜母,流声馥兰,恒且
仰睇之而未有艾也,爰不揣固陋,而志其缘起云。
光绪十六年岁在上章摄提格壮月吴县曹元恒叙
秦始皇焚烧书籍,导致古籍化为灰烬,只有医书和《周易》得以幸免于难。这主要是因为医学的精微道理,参悟天地之道,贯通阴阳变化,实际上与《易经》互为表里,不是那些仅仅精通方技的人所能完全涵盖的,也不是学识浅薄之人所能管中窥豹、以管窥天、以草量天的。自黄帝、岐伯以来,历代都有传承的医书,堆积如山(形容藏书极多),如果不是见识精辟的人士,是不能读懂的。即使读了,如果旁骛于其他学说或歧路丛生,也得不到医学的宗旨。拘泥于古方来诊断百病的变迁,还担心顾此失彼,就像想去北方的燕赵之地却把车辕朝南赶一样(比喻行动与目的相反)。既然这样,学医之难如此,读医书之难也如此。如果能得到一位穷究医理、卓然成家的人,搜罗群籍,提炼纲要,钩沉索隐,难道不是一件快事吗?我们吴地的叶香岩先生,曾经收集古今医书,删繁就简,折衷统一标准,编写了《医衡》若干卷。虽然篇幅不多,但取舍有法度,准则不远,实在是像淮南王枕中秘宝一样的珍贵著作,只是这本书很少见到。庚申年(1860年)的战乱中,刻板毁于战火,有识之士对此感到痛心。恒家自从高祖、曾祖以来,潜心研究医理,不乏藏书,但都付之一炬。我幼年时承蒙祖父命令,考求医学,不敢有片刻间断。二十年来,征集旧书,一百本中也难获一本,加上临诊空闲时间极少,偶尔翻阅书籍,总是感慨万千。常熟的缪少初老先生,长期在中原做官,政绩显著,如今请假回乡,曾经拿出这本书给我看说:“您世代习医,打算重新刻印以利于济世救人,您不能没有话说。”我私下认为这本书简明而有法度,纯粹而不驳杂,加以扩充,可以了解医学的源流;即使墨守此编,也足以作为指南针般的指引。医学之道不明已经很久了。浅陋之人,追逐利益而不值一提;博雅之士,固执拘泥,偏执于一端。病轻却探求深奥的道理,病易却追求复杂的治法。正如《汉书·艺文志》所说,探究人的血脉经络骨髓阴阳表里,以确立百病的根本,区分死生,并调和百药的使用适宜之处,这些人却觉得难以理解。现在缪老先生重新刻印这本书,为后学搭建桥梁,确实是仁人的用心啊。我知道这本书一出,有眼共赏,不用宣传就会流传开来,无需多言。他日更会著成救人的书,成为万家敬仰的“活佛”,像召父杜母那样,美名如兰花般芬芳,我将仰望追随而无止境,于是我不自量力地陈述其缘起。
光绪十六年(1890年)岁次庚寅农历八月,吴县曹元恒序
During the Qin Dynasty, books were burned, and ancient texts turned to ashes; only medical books and the *I Ching* (Book of Changes) escaped this disaster. This is primarily because the profound principles of medicine resonate with Heaven and Earth and penetrate Yin and Yang; they are intrinsically linked to the *I Ching*, transcending the scope of mere technical practitioners, and cannot be grasped by those with shallow learning through a tube or measured against a stalk. Since the time of Huangdi (Yellow Emperor) and Qibo, generations have transmitted medical texts, so numerous that they fill ox-carts and block paths. Only scholars with profound insight can truly read them. Even if one reads them, straying into divergent theories without grasping the core tenets is futile. Relying rigidly on ancient prescriptions to diagnose the evolving nature of hundreds of diseases is like trying to go north to Yan and Zhao while driving the chariot south—acting contrary to one's goal. Thus, the difficulty of practicing medicine and reading medical texts is such. Would it not be a joy to find someone who thoroughly investigates medical principles, establishes their own school, collects various works, extracts key points, and reveals hidden truths? Mr. Ye Tianshi (Ye Xiangyan) of our Wu region once compiled ancient and modern medical books, simplifying the complex and synthesizing them into a unified standard, producing *Yi Heng* (Medical Balance) in several volumes. Although brief, its selection follows strict methods and adheres to sound principles, making it as precious as the "Red Treasure" from the pillow of the King of Huainan. However, copies of this book were rare. During the Gengshen turmoil (1860), the printing blocks were destroyed by war, causing regret among scholars. My family has been devoted to medical studies since my great-grandfather and grandfather, possessing many books, all of which were lost to fire. In my youth, following my grandfather's orders, I studied medicine without interruption. For twenty years, collecting old texts has yielded less than one percent of what was sought. With little free time for clinical practice, every moment spent studying evokes deep emotion. Elder Miao Shaochu of Changshu, who served long in the Central Plains with distinguished reputation, now returned home on leave, showed me this manuscript and said: "You come from a medical lineage and intend to reprint this to benefit society; you must provide a preface." I privately believe this book is concise yet methodical, pure yet unadulterated. Expanded, it reveals the origins and evolution of medicine; even strictly followed, it serves as a reliable compass. The Way of Medicine has remained obscure for a long time. Vulgar individuals chase profit and are unworthy of mention; learned scholars are rigid and biased, focusing on extremes. They seek depth for superficial illnesses and complexity for simple conditions. As stated in the *Treatise on Literature* of the *Book of Han*, understanding blood vessels, meridians, bones, marrow, Yin, Yang, exterior, and interior is essential to determine the root of diseases and distinguish life from death, thereby harmonizing the use of herbs. Yet such insights are often met with difficulty. Now, Elder Miao reprints this work to guide future students, demonstrating true benevolence. I know that upon its release, it will be appreciated by all and spread rapidly without need for advertisement. He will undoubtedly produce more life-saving works, becoming a "living Buddha" for thousands of families, leaving a fragrance like orchids like the virtuous officials Zhao and Du. I shall look up to him endlessly. Therefore, I presume to state the reasons for this publication.
Preface by Cao Yuanheng of Wu County, in the eighth month of the year Gengyin (1890).