甚矣,医道之难也!而其最难者尤莫甚于知时论证,辨体立法。盖时有温、热、凉、寒之别,证有表、
里、新、伏之分,体有阴、阳、壮、弱之殊,法有散、补、攻、和之异,设不明辨精确,
妄为投剂,鲜不误人。然从古至今,医书充栋,而专论时病者盖寡。丰因谨承先志,不惮苦口,而特畅其说焉。
丰先君别署逸仙,好读书,喜吟咏,尝与武林许孝廉叶帆、龙邱余孝廉元圃、徐茂才月 酌酒赋诗,迭相
唱和,着有《养鹤山房诗稿》,既而弃儒,从程芝田先生习岐黄术,遂行道龙邱。晚年曾集古人
诸医书,汇为四十卷,名曰《医博》,又自着《医约》四卷,书中多有发前人之未发者,同人借抄者众,无
不称善。咸丰十年春,邻居虞拱辰明经助资劝登梨枣,甫议刊而□□□□□□,仓皇出走,其书遂失。是时
丰父子同返柯城,□□□,仍觅原书于借抄诸友处,使数十年心血所萃,不至湮没无传。乃未及两
载,先君溘然长逝。噫!礼云∶“父没而不能读父之书,手泽存焉耳。”丰求先君手泽而不可复得,清夜自思,
未尝不泫然流涕,今仅留方案数百条,皆随侍时见闻所录,其中亦有论时病者,悉以授之从学程曦、江诚,细
加详注,编成四卷,展诵之余,犹仿佛趋庭问答时也。因忆先君尝谓丰曰∶“一岁中杂病少
而时病多,若不于治时病之法研究于平日,则临证未免茫然无据。”丰谨志之,至今耿耿不忘,嗟乎!自先
君见背,又二十余年矣。丰历览诸家之书,引伸触类,渐有心得,每思出鄙论以问世,俾世之知我者以匡
不逮,又自惭一介布衣,才同袜线,为大雅所讥,辄复中止,奈同志者固请时病之论,刺刺不休,爰不
揣谫陋,将《阴阳应象大论》“冬伤于寒,春必病温;春伤于风,夏生飧泄;夏伤于暑,秋必 疟;秋伤
于湿,冬生咳嗽”八句经文为全部纲领,兼参先圣后贤之训,成一书以塞责。首先论
病,论其常也;其次治案,治其变也。窃谓能知其常,而通其变,则时病不难治矣,所望知时者按春温,
夏热、秋凉、冬寒之候,而别新邪、伏气之 ,更审其体物理虚,而施散补之法,则
医道虽难,能难其所难,亦不见为难,愿读是书者之无畏难也。是为序。
光绪八年岁次壬午中秋前一日三衢雷丰少逸氏题于养鹤山房
医道真是艰难啊!而其中最难的,没有比得上知晓时令、辨证、确立治法了。因为时令有温、热、凉、寒的区别,证候有表、里、新感、伏气的区分,体质有阴、阳、壮实、虚弱的不同,治法有发散、补益、攻下、调和的差异。如果不明确辨别精确,胡乱投药,很少有不误人的。然而从古至今,医书堆积如山,但专门论述时病(季节性流行疾病)的却很少。我因恭敬地继承先父的遗志,不怕苦口婆心,特意详尽阐述这一学说。
我的先父别号逸仙,喜欢读书,喜爱吟诗作赋,曾与武林的许孝廉叶帆、龙邱的余孝廉元圃、徐茂才月等人饮酒赋诗,互相唱和,著有《养鹤山房诗稿》。后来他放弃儒业,跟随程芝田先生学习岐黄之术(中医医术),于是行医于龙邱。晚年他曾汇集古人的各种医书,汇编成四十卷,名叫《医博》,又自己撰写《医约》四卷,书中多有阐发前人未曾涉及的内容,同乡好友借抄的人很多,无不称赞好。咸丰十年春天,邻居虞拱辰明经资助资金劝他刻印出版,刚商议刊刻时,遭遇变故仓皇出走,那本书就失传了。当时我和父亲一同返回柯城,(为了保存文献),仍在向借抄的朋友们寻找原书,使父亲数十年心血所汇聚的成果,不至于湮没失传。然而不到两年,先父突然去世。唉!礼书上说:“父亲去世后,儿子不能读父亲的书,是因为父亲的手泽(遗留物品/笔迹)还在。”我寻求先父的手泽却再也找不到了,深夜自省,未尝不流泪哭泣。现在仅留下方案数百条,都是随侍在侧时见闻所记录的,其中也有论及时病的,全部交给学生程曦、江诚,仔细加以详细注释,编成四卷。翻阅诵读之余,仿佛还能听到父亲在庭院中教导问答的情景。
因此回忆起先父曾对我说:“一年之中杂病少而时病多,如果不平时就研究治疗时病的方法,那么临证时未免茫然无据。”我恭敬地记在心里,至今耿耿不忘。唉!自从先父离世,已经二十多年了。我广泛阅览各家书籍,引申触类,渐渐有了心得,常常想着发表我的浅见以问世,让了解我的人来纠正我的不足;但又自惭只是一介平民,才华如同袜线般短小零碎,怕被高雅之士讥笑,便又中止。无奈志同道合者坚持请求论述时病,唠叨不休,于是我不揣浅陋,将《阴阳应象大论》中“冬伤于寒,春必病温;春伤于风,夏生飧泄;夏伤于暑,秋必疟;秋伤于湿,冬生咳嗽”这八句经文作为全书纲领,兼参先圣后贤的训诫,写成这本书以尽责任。首先论述病症,这是论述其常规情况;其次论述治案,这是论述其变化情况。我认为如果能知晓其常规,并通晓其变化,那么时病就不难治疗了。希望懂得时令的人,按照春温、夏热、秋凉、冬寒的气候特点,来辨别新感邪气和伏气,再审察体质的虚实,从而施以发散或补益的方法,那么医道虽然艰难,也能攻克其难点,也就不觉得难了。愿阅读这本书的人不要畏惧困难。这就是序言。
光绪八年岁次壬午中秋前一日,三衢雷丰少逸氏题于养鹤山房
Medical practice is indeed arduous! Among its difficulties, none is greater than understanding the seasonal patterns, differentiating syndromes (Syndrome Differentiation), and establishing treatment principles. Seasons vary in being warm, hot, cool, or cold; syndromes are distinguished by exterior or interior location, recent onset or latent accumulation; constitutions differ in yin or yang dominance, robustness or weakness; and treatments vary in dispersing, tonifying, purging, or harmonizing. If these distinctions are not made with precision, and prescriptions are administered recklessly, few will avoid causing harm. Yet from ancient times to the present, medical books have piled up like mountains, yet those specifically discussing seasonal diseases (Seasonal Diseases) are scarce. Out of reverence for my late father's aspirations, and disregarding the hardship of explaining things plainly, I have specially elaborated on this theory.
My late father, whose pseudonym was Yixian, loved reading and reciting poetry. He once drank wine and composed poems with Xu Xiaolian Yefan from Wulin, Yu Xiaolian Yuanpu from Longqiu, and Xu Maocai Yue, engaging in mutual poetic exchanges. He authored *Yanghe Shanfang Shigao* (Poetry Manuscript of the Crane-Nurturing Mountain Studio). Later, he abandoned Confucian studies to learn traditional Chinese medicine (Qi-Huang Arts) under Master Cheng Zhitian, and subsequently practiced medicine in Longqiu. In his later years, he compiled various ancient medical texts into forty volumes titled *Yibo* (Comprehensive Medical Knowledge), and also wrote four volumes of *Yiyue* (Medical Principles). The book contained many insights that had not been previously expressed by others; numerous friends borrowed it for copying, all praising it highly. In the spring of the tenth year of the Xianfeng era, my neighbor Yu Gongchen Mingjing provided funds to encourage him to print the works. Just as printing was being discussed, a sudden upheaval forced us to flee hastily, and the books were lost. At that time, my father and I returned to Ke City. To preserve the documents, we sought the original manuscripts from those who had borrowed them, ensuring that my father's decades of accumulated effort would not be lost to oblivion. However, within less than two years, my father passed away suddenly. Alas! The *Book of Rites* states: "After the father's death, if the son cannot read the father's books, it is because the traces of the father's hand remain." I sought my father's handwritten traces but could no longer find them. Reflecting alone at night, I could not help but shed tears. Now, only hundreds of case records remain, which I recorded while attending him. These include discussions on seasonal diseases. I entrusted them entirely to my students Cheng Xi and Jiang Cheng to annotate in detail and compile into four volumes. While reading them, it feels as though I can still hear the questions and answers from my father's teachings in the courtyard.
I recall my father once telling me: "In a year, miscellaneous diseases are few, while seasonal diseases are many. If one does not study the methods for treating seasonal diseases in daily life, one will inevitably be at a loss when facing clinical cases." I kept this in mind respectfully and have never forgotten it. Alas! It has been over twenty years since my father's passing. I have extensively studied the works of various masters, drawing inferences and making connections, gradually gaining personal insights. I often wished to publish my humble opinions for the world, hoping that those who understand me might correct my deficiencies. Yet, ashamed of being a commoner with talent as short and fragmented as sock threads, fearing ridicule from the refined scholars, I repeatedly halted. However, my like-minded colleagues insisted on hearing my views on seasonal diseases, pressing their requests incessantly. Therefore, without presuming upon my shallow learning, I have taken the eight sentences from the *Da Liao Yin Yang Ying Xiang Lun* (Great Treatise on the Correspondence of Yin and Yang): "Those injured by cold in winter will suffer from warmth diseases in spring; those injured by wind in spring will suffer from undigested food diarrhea in summer; those injured by heat in summer will suffer from malaria in autumn; those injured by dampness in autumn will suffer from cough in winter," as the overarching framework of this book. Combining this with the teachings of sages past and present, I have written this volume to fulfill my duty. First, I discuss the diseases, addressing their normal patterns; second, I discuss treatment cases, addressing their variable manifestations. I believe that if one knows the normal patterns and understands the variations, seasonal diseases will not be difficult to treat. I hope that those who understand the seasons, according to the climatic characteristics of spring warmth, summer heat, autumn coolness, and winter cold, can distinguish between newly acquired pathogens and latent qi, further examine the constitution's deficiency or excess, and apply dispersing or tonifying methods accordingly. Thus, although medical practice is difficult, by tackling its greatest challenges, it ceases to seem difficult. I wish that readers of this book would not fear difficulty. This is the preface.
On the day before the Mid-Autumn Festival of the Renwu Year, the eighth year of the Guangxu Era, Lei Feng, courtesy name Shaoyi, from Sanqu, inscribed at the Crane-Nurturing Mountain Studio.