尝谓良医与良相功齐,总之能为民生造命耳。予武夫也,不知相亦不知医,惟是人之有
疾,不啻已出,值此沧桑变故之际,民遭兵火,若患热烈之症,予滥任抚绥,尤当视民如伤
恨,不能人人而投以清凉之剂。自入新安以来,每问民间疾苦,见程生衍道者业儒而通医,
博施济众久矣,更构唐时王刺史《外台秘要》四十卷,详订而剞劂之。盖医之有方,犹兵之
有法也。说者曰∶功在一隅者小,而功在四海者大。又曰∶功在一时者小,而功在千古者大,
是程生传流方略意也。若然,则程生志在要功矣,而非也。程生恐匹夫匹妇疾病而无告,又
恐良医良相,世代不全,有不能弭病于无病之先,尚可瘳病于有病之后,继宋而镌寿民,因
以寿国,大有深心。文王画卦使人知吉凶,孔子作《春秋》使人知君臣,即此意也。程生一
士子藉医而行相道,然与予抚民一念默相吻合,又以医而兼将矣,曷可与庸人道也。天下后
世能按此而扩充之,又何病民之与有?
钦命提督徽宁池太等处地方总兵官都督同知榆林张天禄题
天下事,久坏于庸人,而庸医均之。所谓庸者,皆不学无术之人也。其遇事也,初不晰
其受病之源,并不审其对治之方,而或以姑息养痈,或以卤莽尝试。究之卤莽之为害,什居
五;而姑息之为害,什居八。乃始借手以贻后人,曰∶吾姑徐徐无动为大耳,不知邪气日深
,元气日削,而大命已随之。所谓庸臣误国与庸医误人,其情同,其罪均,而其原皆本于不
学,使其学之而穷究古今之病源,细考古今之方略,其病之在标、在本也,其方之宜补、宜
泄也,其病之或传、或变也,其方之不执、不拘也,彼夫三年蓄艾,能治之于未病之先,与
夫一匕回生,能治之于已病之后,皆是先圣先贤当日殚竭之心思,皆是医国医人当日素具之
方略,懦者明理,奈何不亟亟讲求,而以人命为戏耶!此余友敬通氏探析性命之微,雅抱
之痛,而以好学不倦之旨,牖人以博施济众之方,先梓《外台秘要》,续补《圣济总录》
,寿国寿民,具兹编矣,程子之功顾不伟欤。
时
崇祯庚辰清和之吉赐进士及第翰林院编修国史讲官邑人吴孔嘉撰
我曾说过,优秀的医生与优秀的宰相功劳相当,归根结底都是为了给百姓造福、延续生命罢了。我是个武夫,不懂治国理政,也不懂医学,只是看到百姓生病,就像自己亲人患病一样痛苦。正值社会动荡、兵荒马乱之际,民众遭受战火之苦,如果患上高热急症,我虽被委任安抚地方,更应当视民如伤,怀着痛惜之情,无法让每个人都用上清凉解毒的药物。
自从进入新安地区以来,我每次询问民间疾苦,都见到程衍道先生以儒学为业且精通医术,长期施行布施救济大众的行为。他重新刊刻唐代王昌龄刺史所著的《外台秘要》四十卷,详细校订并雕版印刷。大概医学有方剂,就像兵法有策略一样。有人说:功绩局限于一隅的是小的,而功泽四海的是大的。又说:功绩仅在一时的是小的,而功垂千古的是大的,这就是程先生流传医方策略的本意。如果是这样,那么程先生的志向在于追求显赫的功名了,但这并非事实。程先生担心普通百姓有病无处诉说,又担心优秀的医生和宰相代代不全,导致不能在疾病发生前消除它,只能在疾病发生后治疗它。他继承宋代《圣济总录》进行刊印,以此来保全百姓性命,进而稳固国家,这有着深远的用心。周文王推演八卦让人知晓吉凶,孔子编写《春秋》让人知晓君臣大义,就是这个意思。程先生是一位通过行医来践行治国之道的读书人,然而与我安抚百姓的念头暗中契合,他又兼具将领的身份,怎么能与平庸之辈谈论呢?如果天下后世的人能依据此书加以扩充推广,那还会有什么祸害百姓的事情呢?
钦命提督徽宁池太等处地方总兵官都督同知榆林张天禄 题写
天下的事情,长久以来被庸人败坏,庸医也是如此。所谓的庸者,都是不学习、没有技艺的人。他们遇到事情时,起初并不清楚致病的原因,也不审视应对的方法,要么姑息养奸(此处指纵容病情),要么鲁莽尝试。最终发现,鲁莽造成的危害占十分之五;而姑息造成的危害,占十分之八。于是开始借机留给后人说:“我们慢慢不动作为大”,却不知道邪气日益深入,元气日益削弱,而性命也随之终结。所谓庸臣误国与庸医误人,情况相同,罪责相等,而其根源都在于不学习。如果他们学习并能穷究古今疾病的源头,细致考察古今的治疗策略,那么疾病在表象还是在根本,方剂适宜补益还是泻下,疾病是传变还是变化,方剂是不拘泥于成法,这些道理,以及“三年蓄艾”能在未病之前治疗,“一匕回生”能在已病之后救治,都是先圣先贤当时竭尽心思的成果,也都是医治国家、医治人类原本具备的策略。懦弱的人尚且明白道理,为何不急切地讲求研究,却拿人命当儿戏呢!我的朋友敬通氏探究分析性命精微的道理,怀抱着雅正的悲痛,用好学不倦的宗旨,启发人们施行布施救济大众的方术,首先刊印《外台秘要》,续补《圣济总录》,以此保全国家、保全百姓,这部书就具备了,程子的功劳难道不伟大吗?
I have often said that an excellent physician and an excellent chancellor are equal in merit, for ultimately both serve to benefit the people and preserve life. I am a military man; I do not understand statecraft nor medicine. However, seeing the people suffer from illness is as painful to me as if my own relatives were sick. At this time of social upheaval and war, where the populace suffers from fire and sword, if they contract febrile diseases, although I have been appointed to pacify the region, I must regard the people's suffering as my own injury. I harbor deep regret that I cannot provide everyone with cooling and detoxifying prescriptions.
Since entering the Xin'an region, every time I inquire about the hardships of the common people, I see Mr. Cheng Yandao, who practices Confucianism yet is proficient in medicine, having long practiced benevolence by giving freely to relieve the masses. He has re-edited and woodblock-printed the *Waitai Miyao* (Secret Essentials of the Outer Tribunal), forty volumes authored by Wang Changling, a prefect of the Tang Dynasty, with detailed collation. Medicine possessing formulas is like warfare possessing strategies. Some say: merit confined to a corner is small, while merit spanning the four seas is great. Others say: merit lasting only a moment is small, while merit enduring for millennia is great. This is the intent behind Mr. Cheng's dissemination of medical strategies. If so, one might think Mr. Cheng's ambition lies in seeking conspicuous merit, but this is incorrect. Mr. Cheng fears that ordinary men and women will suffer from illness without recourse, and he also fears that excellent physicians and chancellors may not be complete across generations, resulting in an inability to prevent disease before it arises, leaving only treatment after onset. By continuing the printing of the Song Dynasty's *Shengji Zonglu* (General Records of Sacred Relief) to preserve the lives of the people, thereby stabilizing the state, he harbors profound intentions. Just as King Wen of Zhou deduced the hexagrams to make people aware of fortune and misfortune, and Confucius compiled the *Spring and Autumn Annals* to make people aware of ruler-minister righteousness, this is the same principle. Mr. Cheng is a scholar who practices the way of governance through medicine. His intention to pacify the people secretly aligns with mine, and he additionally assumes the role of a general. How can such a person converse with mediocrity? If people in the world and in future ages can expand upon this text, what harm to the people could there possibly be?
Inscribed by Zhang Tianlu, General Commander of the Military District of Hui, Ning, Chi, and Tai, and Joint Director of the Division of Palace Guards, from Yulin.
Worldly affairs have long been ruined by mediocre people, and mediocre physicians are no exception. The so-called "mediocre" are those who are unlearned and skillless. When encountering situations, they initially do not clarify the source of the pathology, nor do they examine the appropriate treatment methods. Instead, they either indulge the condition allowing it to fester or act rashly and experimentally. Ultimately, it is found that the harm caused by rashness accounts for five-tenths, while the harm caused by indulgence accounts for eight-tenths. They then leave this legacy for posterity, saying, "It is best for us to remain inactive." They fail to realize that pathogenic factors deepen daily, vital qi (Zheng Qi) diminishes daily, and life itself follows in decline. The situation where mediocre ministers ruin the state and mediocre physicians harm people is identical in nature and equal in guilt, with the root cause lying in a lack of learning. If they had studied and thoroughly investigated the sources of diseases in ancient and modern times, carefully examined treatment strategies of the past and present, understood whether the disease was at the branch or root, whether the formula required tonification or purgation, whether the disease would transmit or transform, and how to apply formulas without rigid adherence, they would understand that "accumulating mugwort for three years" allows treatment before disease arises, and "one spoonful restoring life" allows treatment after disease has set in. These were the exhausted thoughts of the ancient sages and worthies, and the inherent strategies for governing the state and healing people. Even timid individuals understand reason; why should they not urgently seek to study these matters and treat human life as a game? My friend, Mr. Jingtong, explores the subtleties of life and nature, harboring elegant sorrow. Through his tireless love for learning, he enlightens others with methods of broad benevolence and relief. Having first printed the *Waitai Miyao* and subsequently supplemented the *Shengji Zonglu*, thereby preserving the state and the people, this compilation is now complete. Is not the merit of Master Cheng truly magnificent?
Composed on an auspicious day of the fourth month in the Gengchen year of the Chongzhen reign, by Wu Kongjia, a native of the county, who passed the imperial examination at the highest level (Jinshi), served as Compiler in the Hanlin Academy, and was Lecturer for the National History.