余先君有小儿卫生总微论方二十卷。家藏甚久。今六十余载矣。不知作者为谁。博加搜访。未尝闻此书之流播也。
自婴孩初育以至成童。所谓保卫其生。总括精微。视古今方书极为详尽。仁哉。着书者之心也。宗族亲旧间。幼稚有疾。
余每口传指授。效如影响。又取其可以通用于大人者。增汤剂而用之。尤为神异。岂此书不言之妙。有待于余而发耶。
乌可掩为一家之实。而不与人共之。于是集二三同志。订正其誊写之舛。锓于行在太医局。以广其传。得此者敬而用之。
当知余言不缪。或未免画蛇添足之讥。不暇顾矣。吁。齐鲁大臣。史失其名。恨不得详其人也。
嘉定丙午立春日和安大夫特差判太医局何大任序
凡为医之道。必先正己。然后正物。正己者。谓能明理以尽术也。正物者。谓能用药以对病也。如此。然后事必济
而功必着矣。若不能正己。则岂能正物,不能正物。则岂能愈疾。今冠于篇首。以劝学人。
凡为医者。性存温雅。志必谦恭。动须礼节。举止和柔。无自妄尊。不可矫饰。广收方论。
博通义理。明运气。晓阴阳。善诊切。精察视。辨真伪。分寒热。审标本。识轻重。疾小不可言大。事易不可云难。贫
富用心皆一。贵贱使药无别。苟能如此。于道几希。反是者。为生灵之巨寇。
凡为医者。遇有请召。不择高下。远近必赴。如到其家。须先问曾请未。会请师即问曾进是何汤药。已未经下。乃
可得知虚实也。如已曾经下。即虚矣。更可消息参详。则无误矣。又治小儿之法。必明南北禀受之殊。必察土地寒温之
异。不可一同施治。古人最为慎耳。
我的先父留有《小儿卫生总微论方》二十卷。家中收藏此书已有很长时间了,至今六十多年。不知作者是谁,广泛搜寻访求,未曾听说此书流传于世。
从婴儿初生养育直到成为儿童,所谓保护其生命,总括精微之处,比古今的方书极为详尽。著书者的心意真是仁爱啊。在宗族亲戚旧友之间,若有幼童患病,我每每口传心授,疗效如同影子随形般迅速显著。又选取其中可以通用于成年人的部分,增加汤剂形式而使用它,效果尤为神奇。难道不是这本书不言自明的妙处,有待于我来发掘吗?怎么可以掩盖它作为一家之实而不与人共享呢?于是召集两三位志同道合的朋友,订正其誊写中的错误,刻印在杭州太医局,以扩大其传播。得到此书的人恭敬地使用它,应当知道我的话不错。或许难免有画蛇添足的讥讽,我也无暇顾及了。唉,齐鲁的大臣,史书遗失了他的名字,恨不得详细知道这个人是谁。
嘉定丙午年立春日和安大夫、特差判太医局何大任序
大凡行医的道理,必须先端正自己,然后才能端正事物。端正自己,是指能明白医理以穷尽医术;端正事物,是指能用药物来对应疾病。这样,然后事情必定成功,功效必定显著。如果不能端正自己,怎么能端正事物?不能端正事物,怎么能治愈疾病?现在把它放在篇首,用来劝勉学习医学的人。
大凡行医的人,性情要温和优雅,志向必须谦逊恭敬,行动必须符合礼节,举止要和顺柔和,不要自我狂妄尊贵,不可矫揉造作。广泛收集方论,博通医理,明晓五运六气,知晓阴阳变化,善于诊脉切按,精细观察神色,辨别真伪,区分寒热,审察标本,识别病情的轻重。病情轻小不可说成大病,事情容易不可说成困难。对待贫穷和富贵用心都要一致,使唤药物对高贵和低贱没有区别。如果能做到这样,距离“道”就不远了。相反的人,是百姓生命的巨大祸害。
大凡行医的人,遇到有人请召,不选择地位高低,无论远近必定前往。到了患者家,必须先询问是否已经请过医生,如果请过医师,就要问曾进用的是什么汤药,是否已经用过泻下法,这样才能得知虚实情况。如果已经用过泻下法,那么正气就虚了,更可以斟酌参考详查,就不会有误。另外治疗小儿的方法,必须明白南北方禀赋的不同,必须考察土地寒温的差异,不可以一概而论施治。古人对此最为谨慎罢了。
My late father left behind the *Xiao'er Weisheng Zongwei Lunfang* (General Treatise on Infant and Child Hygiene in Twenty Volumes). It has been kept in our family for a long time, over sixty years now. The author is unknown. Despite extensive searching and inquiry, I had not heard that this book was circulating.
From infancy to childhood, regarding the protection of life, it summarizes the essence and subtleties with great detail, far surpassing ancient and modern medical formularies. How benevolent is the heart of the author! Among my clansmen, relatives, and old friends, whenever young children fell ill, I would orally transmit and instruct them, and the efficacy was as immediate as an echo or shadow. I also selected parts applicable to adults, added decoction preparations, and used them, achieving particularly miraculous results. Could it be that the unspoken brilliance of this book awaits my discovery? How could I hide its value as a family treasure without sharing it with others? Thus, I gathered two or three like-minded individuals, corrected errors in transcription, and had it carved into blocks at the Imperial Medical Bureau in Hangzhou to spread its transmission. Those who obtain this book should use it with reverence and know that my words are not erroneous. Although I may incur criticism for adding unnecessary details, I have no time to care. Alas, the high officials of Qi and Lu, their names lost in history; I regret not being able to know the person in detail.
Preface by He Daren, Doctor He'an and Special Commissioner of the Imperial Medical Bureau, on the Day of Beginning of Spring in the Bingwu Year of Jiading.
The way of being a physician must first involve rectifying oneself, then rectifying things. Rectifying oneself means understanding principles to fully master techniques; rectifying things means using medicines to address diseases. Only then can affairs succeed and merits be evident. If one cannot rectify oneself, how can one rectify things? If one cannot rectify things, how can one cure illnesses? This is placed at the beginning of the chapter to encourage students of medicine.
A physician should possess a gentle and elegant temperament, humble and respectful aspirations, adhere to etiquette in actions, and behave with softness and harmony. One should not be arrogantly self-important nor artificially pretentious. One should extensively collect formulas and discussions, broadly understand theoretical principles, comprehend the movements of the Five Phases and Six Qi, understand Yin and Yang, be skilled in pulse diagnosis, precise in observation, capable of distinguishing truth from falsehood, differentiating cold and heat, examining root and branch, and recognizing severity. Do not describe minor ailments as major, nor easy cases as difficult. Treat the poor and the rich with equal diligence, and prescribe medications without distinction between noble and lowly. If one can act thus, one is close to the Dao. Conversely, such persons are great bandits against the lives of sentient beings.
When summoned, a physician should not discriminate based on status, but must attend regardless of distance. Upon arriving at the home, one must first ask if another doctor has been consulted. If so, inquire what decoctions were administered and whether purgatives have been used, to ascertain deficiency or excess. If purgatives have already been used, the patient is likely deficient. Further deliberation and detailed analysis will prevent errors. Furthermore, methods for treating children must account for differences in innate constitution between the North and South, and variations in climate due to geography. Treatment cannot be uniform. The ancients were most cautious in this regard.