(方书叙例)凡十三门
《千金》论曰∶夫生民之道,莫不以养小为大,若无于小,卒不成大。故《易》称∶积小以成大。《诗》有∶
厥初生民。《传》云∶声子生隐公。此之一义,即是从微至着,自少及长,人情共见,不待经史。故今斯方,
先妇人小儿,而后丈夫耆老者,则是崇本之义也。然小儿气势微弱,医士欲留心救疗,立功差难。今之学人,
多不存意。良由婴儿在于襁褓之内,乳气腥臊,医者操行英雄,讵肯瞻视。静而言之,可为太息者矣。《短剧方》
云∶《圣惠》云∶(《短剧》曰黄帝言。)凡人年六岁以上为小,十六以上为少,(《巢源》、《外台》作十八以上
为少。)三十以上为壮,(《巢源》、《外台》作二十以上为壮。)五十以上为老,其六岁以下经所不载。所以乳下婴儿有病
难治者,皆为无所承据也。中古有巫
妨《巢源》作巫方者,立小儿《颅囟经》以占夭寿,判疾病死生,世相传授,始有小儿方焉。逮于晋、宋,江左推诸
苏家,传习有验,流于人间。齐有徐王者,亦有《小儿方》三卷。故今之学人,颇得传授。然徐氏位望隆重,
何暇留心于少小,详其方意,不甚深细,少有可采,未为至秘。令博撰诸家及自经用有效者,以为此篇。凡百
居家,皆宜达兹养小之术,则无横夭之祸也。
(方书叙例)共有十三门
《千金方》论述说:养育百姓的道理,没有不把抚养幼儿当作大事的,如果不重视幼儿阶段,最终也无法成就大人。所以《易经》说:积累微小以成就宏大。《诗经》有言:最初诞生的人类。《左传》记载:声子生下了隐公。这一层含义,就是从细微到显著,从年少到长大,这是人们共同看见的事实,不需要经过经史典籍的证明。所以这部医方书,先讲述妇人和小儿,而后讲述成年男子和老年人,这就是尊崇根本的意义。然而小儿的气血气势微弱,医生想要留心救治,建立疗效比较困难。现在的学医之人,大多不在意。确实是因为婴儿在襁褓之中,乳汁气息腥臊,医生操持高尚品行,怎么肯去瞻视照料。静下心来想,这真是令人叹息的事情啊。《短剧方》说:《圣惠方》说:(《短剧方》记载黄帝说。)普通人六岁以上称为小,十六岁以上称为少,(《诸病源候论》、《外台秘要》作十八岁以上为少。)三十岁以上称为壮,(《诸病源候论》、《外台秘要》作二十岁以上为壮。)五十岁以上称为老,其中六岁以下的内容医经未曾记载。所以吃奶以下的婴儿生病难治,都是因为没有什么依据可参考。中古时期有巫妨(《诸病源候论》写作巫方),创立了小儿《颅囟经》来占卜寿命长短,判断疾病的生死,世人相互传授,这才有了专门的小儿医方。到了晋朝、宋朝,江南地区推崇苏家,传承学习有效验,流传于民间。齐朝有徐王,也有《小儿方》三卷。所以现在学医的人,颇能得到其传授。然而徐氏地位声望隆重,哪里有空闲留心于幼童,详细考察他的方剂意旨,并不十分深奥细致,很少有可采纳之处,算不上极其秘密。现在广泛搜集各家以及自己经验有效的内容,编写成这一篇。凡是普通居家过日子的人,都应该通晓这种抚养幼儿的技术,就没有横死夭折的祸患了。
(General Principles of Medical Formulas) Thirteen Categories in Total
The *Qianjin Fang* (Thousand Gold Prescriptions) states: The way to nurture the people is such that no one fails to regard raising children as a major priority; without attending to the young, one cannot ultimately become an adult. Thus, the *I Ching* (Book of Changes) says: "Accumulate the small to achieve the great." The *Shi Jing* (Classic of Poetry) mentions: "At the beginning, the people were born." The *Zuo Zhuan* records: "Shengzi gave birth to Duke Yin." This meaning—that which is subtle becomes manifest, and that which is young grows long—is evident to all human nature and does not require verification through classics or histories. Therefore, this collection of formulas first addresses women and children, and subsequently adult men and the elderly, which embodies the principle of honoring the root. However, infants possess weak vital energy (*Qi*) and blood (*Xue*), making it difficult for physicians to pay close attention to their treatment and achieve curative results. Contemporary medical students often neglect this area. This is largely because infants are within swaddling clothes, emitting the fishy and pungent odor of breast milk; physicians who maintain noble conduct would hardly be willing to examine them. Reflecting quietly on this, one can only sigh with regret. The *Duanju Fang* (Short-Acting Prescriptions) states: The *Shenghui Fang* (Holy Grace Prescriptions) states: (According to the *Duanju Fang*, the Yellow Emperor said:) Ordinary people aged six and above are termed "small" (child), and those aged sixteen and above are termed "young" (adolescent). (The *Zhubing Yuanhou Lun* [Treatise on Pathogenesis and Symptomatology of All Diseases] and the *Waitai Miyao* [Secret Essentials from the Outer Cabinet] state that eighteen years and above is considered "young".) Those aged thirty and above are termed "strong" (prime of life). (The *Zhubing Yuanhou Lun* and *Waitai Miyao* state that twenty years and above is considered "strong".) Those aged fifty and above are termed "old". The period below six years old is not recorded in the canonical texts. Therefore, infants under nursing age suffer from difficult-to-treat illnesses because there is no established basis for diagnosis and treatment. In ancient times, Wu Fang (written as Wu Fang in the *Zhubing Yuanhou Lun*) established the *Luxin Jing* (Sutra of the Cranial Fontanelle) for children to divinate longevity and judge the life-and-death prognosis of diseases. These were passed down through generations, marking the beginning of specialized pediatric prescriptions. By the Jin and Song dynasties, the Jiangzuo region promoted the Su family's lineage; their transmission and practice proved effective and spread among the populace. During the Qi dynasty, Prince Xu also compiled three volumes of *Xiao'er Fang* (Pediatric Prescriptions). Consequently, contemporary practitioners have received some transmission of these methods. However, given Prince Xu's high status and prestige, he had little leisure to focus on pediatrics. A detailed examination of his formula principles reveals they are not particularly profound or meticulous, with few aspects worthy of adoption, and thus they do not constitute highly secret knowledge. Now, I have extensively compiled various schools' works and my own clinically effective experiences to compose this section. Every household should understand these techniques for nurturing children, thereby avoiding the disaster of premature death.