余自束发受书以来,即喜岐黄家言,暇辄涉猎之,虽稍稍有所进益,然无师承,终以未
得门
迳为憾。及冠,从家叔兆麟,专习医理,自《黄帝内经》、《神农本草》而下,熟读者,数
十种,披览者,百余卷。潜心十余年,颇得此中奥妙,以应病者之求,十愈七八,顾未能万
全也,心窃愧之。旋逢同志创立医学研究所,复蒙上海道宪颁给钤记,以郑重卫生,研究医
学为宗旨。然上古医学,莫要于针灸,至今几湮没不闻,良可惜也!乃在所内复设针灸传习
所,聘请教员以教诸生。余均与其事,二年毕业,后始觉斯道大明。盖针灸与汤药,法虽不
同,而理实一贯。诚以治病之要,首先辨证,辨证不明,针药奚从。考古方书,汗牛充栋,
聚讼盈庭,各鸣一得,或以阳气为重,或以阴血为主,或讲脾胃,或论温热,浅学读之而摇
惑,高明观之而用歧。因思叶天士先生,有《医衡》一书,皆搜罗先贤精杰之作,或抽扬脉
理,或阐发病机,其论旁通曲达,义明辞显,可为医家模范。奈世少传本,坊刻多谬,余乃
将藏本细加校正。误者改之,缺者补之,付之石印,以便同学由此书先行研究。然后博览群
籍,即不为异说所惑,始可升仲景之堂,而入轩岐之室,岂仅抗衡前人而衷于一是者乎!然
则是编也,不惟为汤药之津梁,抑且为针灸之指南焉耳!
宣统二年葭月孟河顾梦熊渭川撰于上海医学研究总所
我自从十五岁开始读书以来,就喜爱岐黄家的医学言论,闲暇时就广泛涉猎。虽然稍微有所进步和收获,但因为缺乏师承,始终遗憾没有得入门径。等到二十岁成年后,跟随家叔顾兆麟,专门研习医理。从《黄帝内经》、《神农本草经》以下,熟读的有几十种,翻阅浏览的有一百多卷。潜心钻研十余年,颇得其中的奥妙,用来应对患者的求治,十次能治愈七八次,但未能做到万无一失,心里暗自惭愧。不久遇到志同道合的人创立医学研究所,又蒙上海道宪颁发印章,以郑重对待卫生事业,以研究医学为宗旨。然而上古医学中,没有比针灸更重要的了,到现在几乎湮没不闻,实在可惜!于是在所内又设立针灸传习所,聘请教员来教导学生。我也参与其中,两年毕业,后来才觉得这门学问大大发扬光大。大概针灸与汤药,方法虽然不同,而道理其实是一贯的。诚然,治病的关键,首先在于辨证,如果辨证不明确,针法和药法该从何下手呢?考察古代的方书,汗牛充栋(形容书籍极多),争论不休,各抒己见,有的以阳气为重,有的以阴血为主,有的讲脾胃,有的论温热,学识浅薄的人读了会动摇困惑,高明的人看了用法也产生分歧。因此想到叶天士先生,有《医衡》一书,都是搜集先贤中的杰出之作,有的阐扬脉理,有的揭示发病机理,其论述旁通曲达,意义明确辞藻显豁,可以作为医家的模范。无奈世间流传的版本少,坊间刻本多有谬误,于是我将收藏的本子仔细加以校正。错误的改正,缺失的补上,交付石印,以便同学们通过这本书先行研究。然后博览群籍,就不会被异说所迷惑,才可以登堂入室进入张仲景的殿堂,进入轩辕岐伯的室内,难道仅仅是与前人抗衡而归于正确吗!既然如此,这部书编撰,不仅是汤药的津梁(渡河工具,喻指入门途径),而且也是针灸的指南啊!
宣统二年(1910年)农历十一月,孟河顾梦熊渭川撰写于上海医学研究总所
Since I began my studies at the age of fifteen, I have cherished the medical doctrines of Qi Huang (the legendary founders of Chinese medicine). In my leisure time, I would browse through these texts. Although I made some progress and gained some insights, lacking a formal teacher-student lineage, I remained regretful for not having found the proper entry into this field. Upon reaching adulthood at twenty, I followed my uncle, Zhao Lin, to specialize in medical theory. From the *Huangdi Neijing* (Yellow Emperor's Inner Canon) and *Shennong Bencao Jing* (Divine Farmer's Materia Medica) downwards, I memorized dozens of works and read over a hundred volumes. After immersing myself in study for more than ten years, I grasped the profound mysteries within, applying them to treat patients with a success rate of seven or eight out of ten. Yet, unable to achieve perfection, I felt secretly ashamed. Soon after, like-minded individuals established a Medical Research Institute, and I was granted an official seal by the Shanghai Dao (Prefecture) authorities to emphasize public health and medical research. However, among ancient medical practices, none is more important than acupuncture and moxibustion (Zhenjiu), yet it has nearly fallen into oblivion today, which is truly lamentable! Therefore, we established an Acupuncture and Moxibustion Training Institute within our organization, hiring instructors to teach students. I participated in this endeavor. After two years of graduation, I finally realized that this path had been greatly illuminated. Although acupuncture and herbal decoctions differ in method, their underlying principles are consistent. Indeed, the key to treating disease lies first in syndrome differentiation (Bianzheng); if differentiation is unclear, how can one choose between acupuncture and herbs? Ancient medical texts are numerous (literally "enough to fill a warehouse and pile up against oxen"), sparking endless debates where each claims unique insights. Some prioritize Yang Qi, others Yin Blood; some focus on the Spleen and Stomach, others on Warm Pathogens. The less learned become confused and swayed by these varying views, while even the wise find discrepancies in application. Thus, I recalled Mr. Ye Tianshi’s work, *Yi Heng* (Medical Balance), which collects the finest works of past sages. It elucidates pulse diagnosis and expounds on disease mechanisms, with arguments that are comprehensive and clear, serving as a model for physicians. Unfortunately, authentic copies were rare, and commercial editions contained many errors. I therefore carefully corrected my own collection: correcting mistakes and filling in omissions, then having it lithographed so that fellow students could use it as a preliminary study tool. Only after broadening one’s reading from such a foundation could one avoid being misled by heterodox theories, thereby ascending to the hall of Zhang Zhongjing and entering the chamber of Xuanyuan and Qibo, rather than merely contending with predecessors to arrive at a single truth. Thus, this compilation serves not only as a bridge to herbal decoction therapy but also as a guide for acupuncture and moxibustion.
Written by Gu Mengxiong Weichuan of Menghe at the Shanghai General Medical Research Institute, in the first month of the eleventh lunar month, in the second year of Xuantong (1910).