历下李沧溟先生尝谓∶医之别内外也,治外较难于治内何者?内之症或不及其外,外之症则必根于其内也
。此而不得其方,肤俞之疾亦膏肓之莫救矣。乃今古治外者岂少良法神术哉!或缘禁忌而秘于传,或又蹈袭久
而传之讹,即无所讹,而其法术未该其全,百千万症,局于数方,以之疗常症,且不免束手,设以异症当之,
则病者其何冀焉。余少日即研精此业,内主以活人心,而外悉诸刀圭之法,历四十余年,心习方,目习症,或
常或异,辄应手而愈。虽徼及岐黄之灵,肉骨而生死,不无小补于人间,自叩之灵台,则其思虑垂竭矣。既念
余不过方技中一人耳,此业终吾之身,施亦有限,人之好善,谁不如我,可不一广其传,而仅韬之肘后乎?于
是贾其余力,合外科诸症,分门逐类,统以论,系以歌,淆以法,则微至疥癣,亦所不遗。而论之下从以注,
见阴阳虚实之元委也;方之下括以四语,见君臣佐使之调停也;图形之后,又缀以疮名十律,见病不可猜、药
石之不可乱投也。他若针灸、若炮炼、若五戒十要、造孽报病之说,不啻详哉其言之也,余心其益 矣。集既
成,付之梓,名曰∶《外科正宗》。既而揽镜自照,须鬓已白,历下所云治外较难于治内,庶几识余之苦心哉。
里中顾比部诸君似亦嘉余之有裨于世,各褒以言,而弁其端。余则惶悚逊谢曰∶韩伯休名根未 耶?第诸君且
褒余,余敢不益广诸君意,谨唯命,而以是公之养生家前。
万历丁巳之秋,七月既望,东海陈实功谨识。
历下的李沧溟先生曾说:医学区分内外科,治疗外症比治疗内症更难,为什么呢?因为内部的病症有时不会反映到体表,而外部的病症则必然根源于体内。如果对此不能掌握正确的方法,即使是皮肤表面的小病,也会像膏肓之疾一样无法救治了。
如今古今以来,治疗外症的难道缺少良法神术吗?有的因为禁忌而秘密传承,有的因为沿袭日久而导致传抄错误;即使没有错误,其治疗方法也不够全面,面对成千上万种病症,却局限于少数几个方剂,用来治疗常规病症,尚且难免束手无策,假如遇到疑难杂症,病人还有什么希望呢?
我年轻时就开始钻研这门学问,内心以救人为宗旨,对外科刀圭(指外科手术及用药)之法无所不精。历经四十多年,心中熟记方剂,眼中熟悉病症,无论是常症还是异症,往往都能手到病除。虽然侥幸得到岐黄之术的灵验,使肉白骨、活死人,对人间或许有一点微小的补益,但自我反省内心,则感到思虑已经枯竭。
既然想到我不过是方技中的一人,这门技艺终究伴随我一生,施治的范围也有限度。人们喜好行善,谁不如我?怎能不广泛传播它,而仅仅将其藏在肘后(指随身携带的小册子或秘而不宣)呢?于是利用剩余精力,将外科各种病症分门别类,统以论述,辅以歌诀,混杂以方法,即便是细微的疥癣之疾,也有所遗漏。在论述之下加以注释,以揭示阴阳虚实的本源和委曲;在方剂之下概括为四句诗,以体现君臣佐使的调配协调;在图形之后,又附上疮名十律,以说明病情不可猜测、药石不可乱投的道理。其他如针灸、炮制炼药、五戒十要、造孽报应之说等,无不详尽地阐述。我的心意更加坚定了。
书集完成后,交付刻印,命名为《外科正宗》。随后照镜子自看,胡须头发已经变白,想起历下先生所说的“治外较难于治内”,这大概能理解我的苦心吧。同乡的顾比部诸位先生似乎也赞许我对世人的裨益,各自赠言褒奖,并写在书的开头。我则惶恐谦逊地推辞说:韩伯休的名声还没确立吗?只是各位先生且褒奖我,我怎敢不进一步发扬各位先生的心意,恭敬地听从命令,并将此书公之于养生家面前。
万历丁巳年秋季,七月十六日,东海陈实功谨识。
Mr. Li Cangming from Lixia once said: "In medicine, the distinction between internal and external specialties exists; treating external conditions is more difficult than treating internal ones. Why? Because internal diseases may not manifest externally, whereas external diseases must have their roots internally." If one cannot grasp the correct methods for this, even minor skin ailments will become as incurable as diseases of the Gaohuang (deep-seated, critical areas).
Are there lacking good methods and divine techniques for treating external conditions in ancient and modern times? No. Some are kept secret due to taboos and transmitted only within families; others suffer from errors due to long-term copying and transmission. Even if free from error, the techniques may not be comprehensive. Facing tens of thousands of symptoms but restricted to a few prescriptions, one might still find themselves helpless when treating common conditions; how much less hope would patients have when facing atypical or complex conditions?
Since my youth, I have devoted myself meticulously to this profession. Internally, I am guided by a compassionate heart; externally, I master all methods of surgery and pharmacology (Dao Gui). For over forty years, I have practiced formulas in my mind and recognized symptoms with my eyes. Whether common or atypical, I have often achieved immediate cures. Although I have been fortunate to benefit from the efficacy of Qi-Huang (traditional Chinese medicine), restoring life from death and flesh from bone, offering perhaps a small contribution to humanity, upon introspection, I feel my mental energies are nearly exhausted.
Realizing that I am merely one individual among many practitioners, and that my practice will last only my lifetime with limited scope, I ask: Who among those who love benevolence is not like me? Should we not widely disseminate this knowledge rather than keeping it hidden in our sleeves (referring to secret or personal notes)? Thus, utilizing my remaining strength, I compiled various external surgical conditions, categorized them by type, provided general discussions, supplemented them with songs/mnemonics, and mixed in methods. Not even minor conditions like scabies and tinea were omitted. Below the discussions, annotations reveal the origins and nuances of Yin-Yang deficiency and excess; below the prescriptions, four-line summaries illustrate the coordination of Sovereign, Minister, Assistant, and Courier herbs (Jun-Chen-Zuo-Shi); after the illustrations, ten rules for naming sores explain that diseases cannot be guessed arbitrarily and medicines should not be administered carelessly. Other topics such as acupuncture, processing and refining of herbs, the Five Precepts and Ten Essentials, and theories of karmic retribution for sinful acts are elaborated in detail. My resolve was further strengthened.
Upon completion of the collection, I had it printed, naming it *Waike Zhengzong* (Orthodox Manual of External Surgery). Looking in the mirror afterwards, I saw my beard and hair had turned white. Reflecting on Mr. Lixia's statement that "treating external conditions is more difficult than internal ones," one might now understand my painstaking efforts. Gentlemen such as Gu Bibu from my hometown seemed to appreciate the benefit to society, each providing commendatory words to preface the book. I responded with humility and fear, saying: "Has Han Boxiu's reputation not yet been established? Since you gentlemen commend me, how dare I not further expand upon your intentions? I respectfully obey and dedicate this work to those interested in health preservation."
In the autumn of the Ding-Si year of the Wanli era, on the 16th day of the seventh month, Chen Shigong of Donghai respectfully recorded this.