医者,意也。《灵》、《素》具在,非神而明之,则拘守成方,将为斯世厉。顾医难,而医妇人女子尤难。昔人以小
儿为哑科,窃意女科亦然。盖小儿不能言,而妇女则言不能尽,惟得之指下,洞见乎脉与证之相符,庶不致于差谬矣。
吴航陈修园先生,儒也。幼读岐黄,语即精其理,一切时医之论,能力穷其非,引而归于至正。旋由科举出为邑宰,
以四诊法佐抚字,至今燕南赵北人犹颂之。先生不欲秘活人方,既手刊各种书,又遗属尽刻所着,令嗣遵之,次第行于
世,为世利赖。今令孙心典一兄,又以医学成先志。检先生所选女科要旨,将付梓人,以年与君家世有往来之谊,命作
弁言。余既心好先生书,复嘉其后人之能善承家学,存心济人,功诚伟焉。不揣固陋,因为之序,候官林鸿年拜手。
(心典)少随任北直,获睹先大父公余之暇,命先伯父拟注《伤寒论浅注》为前集,命先君拟注《金匮要略浅注》
为后集,剖晰详明,以示来者。更遗《女科要旨》一书,命先君韵拟之,未及付梓。回忆当年,(典)与弟(心兰)伏
读之余,不胜霜露之感,忽忽几数十春秋矣。是书也,吾祖所殚精瘁虑,以期有裨于世者,不能梓而行之,则吾之责也。
谨校之以付攻木氏。
辛丑荔月长孙(心典)谨识
医者,靠的是心领神会(意)。《黄帝内经·灵枢》和《素问》等经典著作都摆在那里,如果不能通过深思熟悟而使其显明,只是拘泥固守现成的方剂,将会成为世人的祸害。
况且行医很难,而医治妇女和儿童尤其困难。过去人们把儿科称为“哑科”(因为小儿无法表达病情),我私下认为妇科也是如此。大概是因为小儿不能说话,而妇女虽然能说话却往往难以详尽描述病情,只有依靠手指切脉,洞察脉象与症状是否相符,才不至于出现差错谬误。
吴航人陈修园先生,是一位儒者。他自幼研读岐黄之术(中医),言语间就能精通其道理,对于当时一般医生的论断,能够极力穷究其错误之处,并引导回归到正确的正道上来。随后他通过科举考试出任县令,用四诊法(望、闻、问、切)辅助安抚治理百姓,至今燕南赵北一带的人们还在称颂他。
先生不希望将救人的方术秘而不宣,既亲手刊印了各种书籍,又嘱咐后人将他所著的书籍全部刻印出版,他的儿子遵循他的意愿,按次序将这些书发行于世,使世人从中受益。如今他的孙子陈心典等人,又以医学成就来继承先人的遗志。他们检视先生所选编的《女科要旨》,准备交付雕版印刷。因为我的年岁与陈家世代有交往的情谊,便命我为此书作序。
我内心本来就喜爱先生的著作,又赞赏其后人能善于继承家学,存心救济世人,功德确实伟大啊。我不揣冒昧,固守浅陋之见,因此为它写了这篇序言。候官林鸿年叩首敬上。
(陈)心典年少时跟随父亲在北直隶任职,有幸目睹祖父在公余闲暇之时,命令伯父拟注《伤寒论浅注》作为前集,命令父亲拟注《金匮要略浅注》作为后集,剖析清晰详细明白,以展示给后来者。后来又留下《女科要旨》一书,命令父亲进行韵语式的注解,但未及付梓印刷。回忆当年,我与弟弟心兰在伏案读书之余,不禁产生对逝者的哀思之情,恍惚间已过了近几十年了。这本书,是我们祖先殚精竭虑、唯恐对世人没有裨益而编写的,如果不能刻印发行,那就是我们的责任。于是谨慎地校对后交给刻工去印刷。
辛丑年农历五月,长孙心典谨识。
The practice of medicine relies on mental comprehension and intuitive insight. The *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions) of the *Huangdi Neijing* (Yellow Emperor's Inner Canon) are available; if one does not illuminate them through divine understanding and deep contemplation, but merely adheres rigidly to established prescriptions, it will become a scourge to the world.
Furthermore, being a physician is difficult, and treating women and children is even more so. In the past, pediatrics was referred to as the "Mute Department" because infants cannot speak; I privately believe that gynecology is similar. Infants cannot speak, while women, though capable of speech, often fail to describe their conditions in full detail. Only by relying on pulse diagnosis at the fingertips, gaining clear insight into whether the pulse matches the symptoms, can one avoid errors and mistakes.
Mr. Chen Xiuyuan from Wuhang was a Confucian scholar. From childhood, he studied the teachings of Qi Huang (Traditional Chinese Medicine), and his words immediately demonstrated his mastery of its principles. He was able to thoroughly expose the fallacies of contemporary physicians' theories and guide them back to the orthodox path. Subsequently, he entered officialdom through the imperial examinations and served as a county magistrate, using the Four Diagnostic Methods (Inspection, Auscultation/Olfaction, Inquiry, and Palpation) to assist in governing and comforting the people. People in the regions south of Yan and north of Zhao still praise him today.
Mr. Chen did not wish to keep life-saving formulas secret. He personally printed various books and left instructions for all his writings to be engraved and published. His son followed these instructions, publishing them sequentially for the benefit of the world. Now, his grandson, Xin Dian, along with others, continues this medical legacy. They have reviewed Mr. Chen's selected work, *Nüke Yaozhi* (Essentials of Gynecology), and are preparing to publish it. Given our family's long-standing friendship and correspondence over generations, they requested that I write a preface. Having always admired Mr. Chen's works, and further appreciating that his descendants have faithfully inherited the family learning and maintained a compassionate intention to help others, his merit is truly great. Not presuming upon my own limited knowledge, I have written this preface. Lin Hongnian of Houguan bows respectfully.
Xin Dian, when young, accompanied his father on duty in Zhili (North Zhili). He had the privilege of witnessing his grandfather, during his leisure time after official duties, instructing his eldest uncle to annotate the *Shanghan Lun Jianzhu* (Light Annotations on the Treatise on Cold Damage) as the first volume, and instructing his father to annotate the *Jingui Yaolue Jianzhu* (Light Annotations on the Essential Prescriptions of the Golden Cabinet) as the second volume. These annotations were clear, detailed, and explicit, intended to guide future generations. Additionally, he left behind the book *Nüke Yaozhi* (Essentials of Gynecology), instructing his father to provide rhythmic annotations, but it was not yet published. Recalling those days, while reading with my younger brother Xin Lan, we could not help but feel a sense of loss akin to frost and dew (mourning the deceased). Nearly several decades have passed in a flash. This book represents the painstaking effort and concern of our ancestor, aimed at benefiting the world. If we do not have it engraved and circulated, it would be our responsibility. Therefore, we have carefully collated it and entrusted it to the woodblock printers.
Recorded respectfully by the eldest grandson, Xin Dian, in the fifth lunar month of the Xinchou year.