原夫古圣以天地之心为心,以黎庶为子。以黎庶为子,则不忍见其死,必欲全其生。欲全其生,则必明其
所以生、所以死之理,于是着《灵枢》、《素问》若干篇。圣人阐明生死之理之书,称为《内经》者,盖以性
命为内为重,事物为外为轻之意也。朱子曰∶天以阴阳五行化生万物,气以成形,而理亦赋焉。以其在天名
理,赋物名性,同出异名,无非一灵而已。一灵乘气化以成形质,凡有血气者,皆有知觉也。惟人为万物之
灵,禀阴阳五行之全气,故配天地为三才,而羲圣画卦有奇耦HT ,表天地人之象也。天为阳,阳中有阴;地
为阴,阴中有阳;人亦如之,故卦象必有六爻也。所以阳中有阴,阴中有阳者,阴阳互根于太极也。太极动而
生阳,静而生阴,则太极为阴阳之根也。是故阴阳贵平,偏胜则偏害,偏甚则偏绝,其根脱而太极毁矣。太极
者,阴阳环抱,浑元一气,人之命蒂也。主宰太极者,知觉神明,为天人合一之理,名曰性,故言天命之谓性
也。一灵孕乎太极则生,阴阳气竭而太极毁则死。由是言之,所以生者,得气化之和也;所以病者,因气化
之乖也;所以死者,由阴阳气绝也。故圣人详究天地阴阳五行生化之理,即以斡旋人身阴阳气血生化之源,以
救其病,而保其生。呜呼!此圣人以天地之心为心,故
能操造化之柄,而补天地之缺失,以垂教后世,使民无夭札之苦,其流泽何可穷尽哉。然理之微妙,通乎造
化;事之重大,关乎性命。非有聪明特达之资不能悟其理,非有沉潜力学之功不能精其术,非有仁慈恻隐之心
不能善其用,非有不忮不求之量不能行其道,然则医岂易言哉!若无实学而幸窃虚名者,是造孽也,非行道也。
道之不行也,由于圣教之不明。圣教之不明,由于气化日薄,人心日浇,奸巧相角,名利是营,而于养生之
道,未尝经意,偶婴疾病,性命付诸医手,听其所为,莫能裁主,及至危殆,则平日营求自待者,毫无所用,
束手待毙,徒深悲泣,诚可怜也。其业医者,不肯究心圣经理法,陋习相沿,不识阴阳虚实,通套一方,混治
诸病,而谓道止如是,名为仁术,不知杀人于冥冥中。以他人身命,作自己生涯,试一扪心,果能安乎?夫医
之杀人,固非有心,而不自量学术,即与有心杀人何异?每见有自医自病而戕其命者,何莫非冥报之速也,
可不畏哉!孟子曰∶择术不可不慎也。世上谋生之术亦多矣,何必据仁术之名,而蹈不仁之实乎。愧余浅陋,
年力已衰,未能阐圣道以挽颓风。前以一得之愚,着《医门棒喝》四卷,聊述此弊;而今残息苟延,复将
《灵》、《素》要妙之文,节取注解,分类编辑,以为学人首当必读之书,略表古圣垂教之意,或于医道,不
无小补。但经旨渊玄,管见之言,恐未尽当,尤望高明君子,不吝赐教,实为斯道之幸也。
道光十四年岁次甲午孟春 会稽章楠谨序
远古的圣人以天地的意志作为自己的意志,以百姓为子女。既然视百姓为子女,就不忍心看到他们死亡,一定要保全他们的生命。想要保全生命,就必须明白导致生存和导致死亡的原理,于是撰写了《灵枢》和《素问》若干篇章。圣人阐明生死原理的书籍,被称为《内经》,大概是因为将性命视为内在的根本而重视,将外物视为次要而轻视的意思。朱熹说:“天通过阴阳五行化生万物,气凝聚形成形体,理也随之赋予其中。”在天称为“理”,赋予事物称为“性”,虽然名称不同但来源相同,无非是一个灵明而已。这个灵明乘着气化作用形成形体,凡是有血气的生物,都有知觉。只有人是万物之灵,禀受了完整的阴阳五行之气,所以与天地并列为三才,伏羲氏画卦有奇数和偶数,象征天地人的形象。天属阳,阳中有阴;地属阴,阴中有阳;人也如此,所以卦象必须有六爻。之所以阳中有阴、阴中有阳,是因为阴阳在太极中互为根本。太极运动产生阳,静止产生阴,所以太极是阴阳的根源。因此,阴阳贵在平衡,偏盛就会造成偏害,偏极就会导致偏绝,如果根基脱落,太极也就毁灭了。太极,是阴阳环抱,浑然元气,是人的生命蒂结。主宰太极的是知觉神明,这是天人合一的原理,称为“性”,所以说“天命之谓性”。一个灵明孕育在太极中就出生,阴阳之气耗尽而太极毁灭就死亡。由此说来,之所以能生存,是得到了气化的和谐;之所以生病,是因为气化的乖违;之所以死亡,是由于阴阳之气断绝。所以圣人详细探究天地阴阳五行生化原理,以此来斡旋人身阴阳气血生化的源头,以救治疾病,保全生命。唉!这就是圣人以天地之心为心,所以能掌握造化的权柄,弥补天地的缺失,以此教导后世,使民众没有早逝的痛苦,其恩泽流布怎能穷尽呢?然而道理微妙,通晓造化;事情重大,关乎性命。没有聪明通达的天资不能领悟其中的道理,没有沉潜努力学习的功夫不能精通医术,没有仁慈恻隐之心不能善用医术,没有不嫉妒不贪求的度量不能践行医道,那么医学难道容易谈论吗!如果没有真才实学却侥幸窃取虚名的人,这是在造孽,不是在行道。医道不能推行,是因为圣人之教不明。圣人之教不明,是因为气化日益衰薄,人心日益浇薄,奸巧之人相互角逐,追求名利,而对于养生的大道,从未在意,偶尔染上疾病,性命托付给医生之手,听凭医生摆布,无法自主裁断,等到病情危急时,平日所经营追求的自我对待方式,毫无用处,束手待毙,徒然深深悲泣,确实可怜。那些行医的人,不肯用心研究圣人的经典理法,陋习沿袭,不认识阴阳虚实,用一套通用的方子,混杂治疗各种疾病,却说医道只是这样,名义上是仁术,实际上却在冥冥中杀人。拿别人的身家性命作为自己的生计,试问扪心自问,真的能心安吗?医生杀人,固然不是出于本意,但不自量力于学术,这与有心杀人有什么区别?常见有人自己治病反而伤害自己生命的,这莫非是报应迅速吗,能不畏惧吗!孟子说:“选择职业不可不谨慎。”世上谋生的方法也很多了,何必占据仁术的名声,却陷入不仁的实际呢?惭愧我学识浅陋,年岁精力已衰退,未能阐发圣道以挽回颓废的风气。此前凭借一点愚见,写了《医门棒喝》四卷,姑且陈述这种弊端;如今苟延残喘,又将《灵枢》、《素问》精妙的文章,节选注解,分类编辑,作为学习者首先必读的书,略微表达古代圣人教导的本意,或许对医道不无小补。但是经旨深远玄奥,我的管见之言,恐怕不够恰当,尤其希望高明的君子,不吝惜赐教,实在是这条大道的幸事啊。道光十四年岁次甲午孟春 会稽章楠谨序
In ancient times, the sages took the mind of Heaven and Earth as their own mind, and regarded the common people as their children. Regarding the common people as children, they could not bear to see them die, but sought to preserve their life. To preserve life, one must understand the principles of life and death; thus, they composed several chapters of *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions). The books by sages that elucidate the principles of life and death are called *Nei Jing* (Inner Canon), implying that life and nature (*Xing Ming*) are internal and paramount, while external matters are secondary and light. Zhu Xi said: "Heaven transforms and generates all things through Yin and Yang and the Five Elements; Qi condenses to form shape, and Li (Principle/Rationality) is endowed therein." What is in Heaven is called Li, what is endowed in things is called Xing (Nature); though different in name, they originate from the same source, which is nothing other than a single Spirit (Ling). This Spirit rides upon the transformation of Qi to form physical substance; all beings with blood and Qi possess perception. Only humans are the spirit of all things, endowing them with the complete Qi of Yin and Yang and the Five Elements, thereby standing alongside Heaven and Earth as the Three Powers. Fuxi drew trigrams with odd and even lines to represent the images of Heaven, Earth, and Humanity. Heaven is Yang, within which resides Yin; Earth is Yin, within which resides Yang; so too does humanity. Therefore, hexagrams must have six lines (Yao). The reason why Yang contains Yin and Yin contains Yang is that Yin and Yang are mutually rooted in Taiji (Supreme Ultimate). Taiji moves to generate Yang and rests to generate Yin; thus, Taiji is the root of Yin and Yang. Hence, Yin and Yang value equilibrium; partial excess leads to partial harm, and extreme deviation leads to extinction. If the root is severed, Taiji is destroyed. Taiji, with Yin and Yang embracing each other and forming a unified primordial Qi, is the vital root of human life. That which governs Taiji is perceptual consciousness and spiritual brightness, representing the principle of the unity of Heaven and Humanity, named Xing (Nature); hence it is said, "What Heaven mandates is called Nature." When a single Spirit is conceived within Taiji, life begins; when the Qi of Yin and Yang is exhausted and Taiji is destroyed, death occurs. From this perspective, survival is achieved through the harmony of Qi transformation; illness arises from the discord of Qi transformation; and death results from the severance of Yin and Yang Qi. Thus, the sages meticulously investigated the generative and transformative principles of Heaven, Earth, Yin, Yang, and the Five Elements, in order to regulate the source of generative and transformative processes of Yin, Yang, Qi, and Blood in the human body, to cure diseases and preserve life. Alas! This is how sages take the mind of Heaven and Earth as their own mind, enabling them to hold the reins of creation, compensate for the deficiencies of Heaven and Earth, and instruct future generations, so that people may be spared the suffering of premature death. How boundless is the enduring grace of such teachings! However, principles are subtle and connect with creation; affairs are significant and concern life and nature. Without exceptional intelligence, one cannot comprehend the principles; without diligent and profound study, one cannot master the techniques; without a benevolent and compassionate heart, one cannot apply the skills effectively; without a magnanimous spirit free from jealousy and greed, one cannot practice the Way. Is medicine then an easy subject to discuss? Those who lack substantial learning yet侥幸 (luckily) steal a false reputation are creating karma (sin), not practicing the Way. The failure of the medical Way stems from the obscurity of Sage Teachings. The obscurity of Sage Teachings arises because Qi transformation grows increasingly thin, human hearts become increasingly superficial, cunning individuals compete with one another, chasing fame and profit, while paying no attention to the Dao of health preservation. When suddenly afflicted by disease, they entrust their lives to physicians, leaving matters entirely to the doctors' discretion, unable to make independent judgments. By the time the condition becomes critical, the strategies they employed to sustain themselves during healthy times prove useless; they sit helpless awaiting death, weeping bitterly, which is truly pitiable. Physicians who refuse to devote themselves to studying the classics and methods of the Sages, perpetuating vulgar habits, fail to recognize patterns of Yin/Yang and Deficiency/Excess, applying a generic prescription indiscriminately to various diseases, claiming that this is all there is to the medical Way. Though nominally a benevolent art, they unknowingly kill people in the dark. Using others' lives as one's livelihood, ask yourself: can you rest easy? While physicians do not intend to kill, failing to assess their own academic competence is no different from intentional homicide. I often see those who treat themselves and inadvertently cause their own demise; is this not swift retribution? Should one not fear this? Mencius said: "One must be cautious in choosing one's profession." There are many ways to earn a living in the world; why assume the title of a benevolent art only to fall into the reality of non-benevolence? Ashamed of my shallow learning and declining years, I have been unable to expound the Sage's Way to reverse the decadent trends. Previously, relying on my limited insight, I wrote four volumes of *Yi Men Bang He* (The Gavel in the Gate of Medicine) to briefly expose these abuses. Now, lingering on borrowed breath, I have selected and annotated the essential passages of *Ling Shu* and *Su Wen*, categorized and edited them as required reading for students, slightly expressing the intent of the ancient sages' instruction. Perhaps this will offer minor assistance to the medical arts. However, the meaning of the Classics is profound and mysterious; my humble opinions may not be entirely appropriate. I earnestly hope that learned gentlemen will not hesitate to offer guidance, which would indeed be a blessing for this path. In the first month of the year Jiawu (1834), Zhang Nan of Kuaiji respectfully prefaces.