秦有良医,曰和曰缓,彼其望色辨候,洞见膏肓,非所谓神灵诡异者欤!乃其论针灸,述汤药,言言典要,开
启后人,又何其纯粹以精也!岂不以疾病常有,怪病罕逢,惟能知常,方能知变,故于命名之日,早以和缓
自任欤!夫疾病虽多,不越内伤外感,不足者补之以复其正,有余者去之以归于平,是即和法也,缓治也。
毒药治病去其五,良药治病去其七,亦即和法也,缓治也。天下无神奇之法,只有平淡之法,平淡之极,乃
为神奇;否则眩异标新,用违其度,欲求近效,反速危亡,不和不缓故也。雄自束发受书,习举子业,东涂西
抹,迄无所成,遂乃决然舍去,究心于《灵、素》诸书,自张长沙下迄时彦,所有着述,并皆参观。仲景 乎尚
已,其他各有专长,亦各有偏执,求其纯粹以精,不失和缓之意者,千余年来不过数人。因思医学至今芜
杂已极,医家病家目不睹先正典型,群相率而喜新厌故,流毒安有穷哉!救正之法,惟有执简驭繁,明白
指示,庶几后学一归醇正,不惑殊趋。爰将数十年所稍稍有得,而笔之于简者,都为一集以问世,名曰
《医醇》,共二十四卷,分为六门∶曰脉、症、治,首察脉,次辨症,次施治,此三者为大纲。就治字中又分三层∶曰
理、法、意,医有医理,治有治法,化裁通变,则又须得法外意也。不幸刻本尽付祝融,求之二年不可复得。近
因左足偏废,艰于步履,坐卧一室,乃追忆《医醇》中语,随笔录出,不及十之二三。儿辈复请付梓,予以并
非全书,不欲更灾梨枣;而门下士以为虽非全豹,亦见一斑,且指迷处正复不少,若并此湮没,则大负从
前医尚和缓之苦心矣。勉从其请,改题曰《医醇KT 义》,而自序其巅末如此。惟愿阅是编者,谅予之心,匡
其不逮而惠教之,则幸甚!
同治二年岁在癸亥仲春之吉武进费伯雄晋卿氏题于古延陵之寓斋
秦朝有两位名医,名叫医和与医缓。他们通过观察面色、辨别脉候,能洞察疾病深藏于膏肓之处,这难道不是所谓的“神灵诡异”吗?然而他们论述针灸、叙述汤药,每一句话都经典扼要,开启了后人的智慧,又是多么纯粹精妙啊!这难道不是因为疾病常有,而怪病罕见,只有能够知晓常理,才能应对变化,所以在命名之时,早已以医和、医缓自任吗?
虽然疾病繁多,但不外乎内伤和外感两种。对于不足之证,用补法来恢复正气;对于有余之证,用泻法来使其归于平衡,这就是“和法”,也就是“缓治”。使用毒药治病,去除病邪五分即止;使用良药治病,去除病邪七分即止,这也属于“和法”和“缓治”。天下没有神奇的方法,只有平淡的方法,平淡到了极致,就成为神奇;否则如果炫耀奇异、标新立异,用药违背法度,想要追求近效,反而加速危亡,这都是因为不“和”不“缓”的缘故。
我费伯雄从童年束发读书起,研习科举学业,东涂西抹,最终一无所成,于是毅然舍弃,专心钻研《灵枢》、《素问》等经典著作,从东汉张仲景(长沙太守)直到当代名家,所有的著述都加以参考观摩。张仲景已经作古,其他人各有专长,但也各有偏执,千余年来,像那样纯粹精妙、不失医和医缓本意的医生不过寥寥数人。因此想到医学至今已经杂乱无章到了极点,医家和病家看不到先贤的典范,争相喜好新奇而厌恶旧法,这种流毒哪里有穷尽的时候呢!纠正这一弊端的办法,只有执简驭繁,明白地指示出来,希望后来的学者能回归纯正,不被歧途迷惑。于是我将几十年间稍有心得并记录下来的内容,汇编成一集问世,命名为《医醇》,共二十四卷,分为六门:分别是脉、症、治。首先察脉,其次辨症,再次施治,这三者是大纲。在“治”字中又分三层:分别是理、法、意。医学有医理,治疗有治法,灵活变通,则又需要得到法之外的意蕴。
不幸的是,刻印的书版全部毁于火灾,寻找了两年也无法找回。最近因为左腿偏瘫,行走困难,坐卧在一室之中,于是追忆《医醇》中的语句,随手记录下来,不及原书的十分之二三。儿辈又请求刊印,我认为这并非全书,不想再浪费纸张木材(指雕版印刷);但门下弟子认为虽然不是全貌,也能窥见一斑,而且指点迷津的地方确实不少,如果就此湮没,那就大大辜负了从前医学崇尚“和缓”的苦心了。我勉强答应他们的请求,改题为《医醇剩义》,并在开头写下这些序言。只希望阅读此书的读者,体谅我的心意,纠正我的不足之处并给予教导,那就是我的大幸了!
同治二年,岁次癸亥,农历二月吉日,武进人费伯雄(字晋卿)题写于古延陵的寓斋。
In the Qin Dynasty, there were two renowned physicians named Yi He and Yi Huan. By observing facial complexion and distinguishing pulse conditions, they could perceive diseases hidden deep in the *gaohuang* (the area between the heart and diaphragm, often referring to incurable or deep-seated diseases), which is indeed what is meant by "spiritual and miraculous"! Yet, when discussing acupuncture and moxibustion and describing decoctions, every word was classic and essential, enlightening future generations, how pure and refined it was! Was it not because diseases are common while strange diseases are rare, that only by knowing the constant can one know the variable? Thus, from the time of naming themselves, had they already taken Yi He and Yi Huan as their role models! Although diseases are numerous, they do not exceed internal injury (*Neishang*) and external contraction (*Waigan*). For deficiencies, tonification is used to restore upright Qi (*Zhengqi*); for excesses, elimination is used to return to balance. This is the method of harmonization (*He Fa*), also known as slow treatment (*Huan Zhi*). When using toxic drugs to treat disease, remove five parts of the pathogen; when using good drugs to treat disease, remove seven parts of the pathogen. This is also the method of harmonization and slow treatment. There are no miraculous methods in the world, only plain methods. When plainness reaches its extreme, it becomes miraculous; otherwise, dazzling novelty and newness, using drugs beyond proper measure, seeking immediate effects, will instead accelerate danger and death, all due to a lack of harmony and slowness.
Since I bound my hair and received books, studying for the civil service examinations, dabbling here and there, I ultimately achieved nothing. Thus, I resolutely abandoned them and devoted myself to studying classics such as the *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions). From Zhang Zhongjing (of Changsha) down to contemporary scholars, I examined all their writings. Zhang Zhongjing has long passed away; others each have their specialties but also their biases. Over the past thousand years, those who were pure and refined, not losing the intent of Yi He and Yi Huan, have been but a few. Therefore, I reflect that medicine today has become extremely chaotic. Physicians and patients alike do not see the models of the sages, rushing to prefer the new and discard the old. How endless will this corruption be! The method to correct this lies in mastering the simple to control the complex, providing clear guidance, so that future students may return to orthodoxy and not be confused by divergent paths. Hence, I compiled what I had gradually gained over decades and written down, into one collection to present to the world, titled *Yi Chun* (Medical Purity/Refinement), consisting of twenty-four volumes, divided into six categories: Pulse, Symptoms, and Treatment. First observe the pulse, then distinguish symptoms, then apply treatment; these three constitute the general outline. Within "Treatment," there are three layers again: Principle, Method, and Intent. Medicine has medical principles, treatment has treatment methods, but flexible adaptation requires obtaining the intent beyond the method.
Unfortunately, the printing blocks were entirely destroyed by fire, and after two years of searching, they could not be recovered. Recently, due to paralysis of the left leg and difficulty walking, sitting and lying in one room, I recalled the words from *Yi Chun* and recorded them casually, amounting to less than twenty percent of the original. My children requested publication again. I considered this not to be the complete work and did not wish to waste paper and wood (referring to carving printing blocks); however, my disciples argued that although it is not the full picture, it reveals a part of the leopard's spots, and there are indeed many places pointing out confusion. If this is buried, it would greatly betray the previous painstaking efforts of medicine advocating harmony and slowness. Reluctantly complying with their request, I retitled it *Yi Chun Sheng Yi* (Remaining Meaning of Medical Purity/Refinement) and wrote this preface at the beginning. I only hope that readers of this book will understand my heart, correct my shortcomings, and offer benevolent teachings, which would be my great fortune!
On an auspicious day in the second month of the Guihai year, the second year of the Tongzhi reign, Fei Boxiong (Courtesy Name: Jinqing) of Wujin inscribed this at his residence in ancient Yanling.