医之为道。切于民生日用。理近而事难。故古人有司命之目。自仲景着一百十三方。后
贤缵
而衍之。汤液之方。遂加于针石。迨子和、河间、东垣、丹溪辈根柢圣经。发挥心得。学人
益泛滥沉酣。准方施治。而针石之法乃日微。吴中金君保三。业轩岐家言。能贯穿于灵枢、
素问、秦越人八十一难经。以意为变化。心殷济时。为士大夫所推服。近得喉科枕秘一书。
针石与汤药并施。审症绘图。曲折详尽。特以无副本传世。为此商之孙君云斋。云斋遂引
为己任。鸠资以付剞劂。将缘起弁其首。予谓喉以纳气。通于天和。咽以纳食。通于地道。
会厌管乎其上。以司开阖。实为心肺肝肾呼吸出入之路。声音吐纳之道。关系生死。为任綦
重。先民有言。咽肿属痰。喉风属火。治法宜祛风豁痰。解热开郁。乃无遗误。若猝投辛散
。煽动风火。必至增肿腐灼。阴阳络失所养。遂不可救药。今观是书。参合证因。条列治要
。错综疑似。缕晰丝分。令人一望而得疗治之法。有补于民生日用为何如耶。针石之有裨于
汤液。为何如耶。固宜不胫而走。群奉为枕中鸿宝者矣。虽然。阴阳相贯。如环无端。营
行脉中。卫行脉外。倘脉理之偶淆。即洞垣其谁属权衡乎。病之浅深。治之标本。选用成
方。能奏奇效。刀圭所授。立起沉 。是在善读书者。
\x同治七年龙在戊辰孟春月永康应宝时
医学这门学问，与百姓的日常生活息息相关。其道理看似浅近，但实践起来却十分困难。因此古人称医生为“司命”（掌管人生死的人）。自从张仲景撰写了一百一十三首方剂后，后世的贤能之士继承并发展了它，汤药方剂的使用逐渐超过了针刺和砭石疗法。等到刘完素（河间）、李东垣、朱震亨（丹溪）等人以经典著作为根基，发挥个人心得，学习之人更加广泛深入地沉浸其中，依据方剂进行治疗，而针刺和砭石的方法便日益衰微。
吴地金保三先生，研习黄帝岐伯的医学理论，能够融会贯通《灵枢》、《素问》以及秦越人（扁鹊）的《难经》，并根据病情灵活变通。他心地殷切，渴望救济世人，受到士大夫阶层的推崇和信服。最近他得到了《喉科枕秘》一书，书中主张针刺砭石与汤药并用，详细审查症状并绘制图表，内容曲折详尽。只是因为没有副本流传于世，为此他与孙云斋先生商议。云斋先生于是将此视为己任，筹集资金进行刻印出版，并将这篇序言置于书首。
我认为，咽喉用于纳气，与天地自然之气相通；咽部用于纳食，与大地地道相通。会厌位于上方，主管开合，这确实是心肺肝肾呼吸出入的通道，也是声音发出和气息吐纳的途径，关系到人的生死，责任极其重大。先民有话说：咽部肿胀属于痰湿阻滞，喉风（一种急性咽喉疾病）属于火热之邪。治疗方法应当祛风豁痰，清热解郁，这样才不会留下失误。如果突然投用辛温发散的药物，煽动风火，必然导致肿胀加重、腐烂灼伤，阴阳经络失去滋养，最终变得不可救治。
如今看这本书，综合考察证候与病因，条理清晰地列出治疗要点，将错综复杂、似是而非的症状分析得细致入微，让人一眼就能获得治疗方法。这对百姓的日常生活有何益处呢？针刺砭石对汤药方剂的补充作用又有多大呢？这本著作确实应该不胫而走，被众人奉为珍贵的秘籍。
虽然如此，阴阳相互贯通，像圆环一样没有尽头。营气运行在脉管之中，卫气运行在脉管之外。倘若脉理偶尔混淆不清，又有谁能洞察内脏情况并掌握治疗的权衡标准呢？病情的深浅、治疗的标本缓急、选用成方的效果，能否奏出奇效，关键在于细微之处（刀圭，喻指医术精微或剂量微小）的传授和指导。这全在于善于读书的人去领悟和实践。
同治七年龙在戊辰年孟春月（农历正月），永康应宝时撰
The Way of Medicine is closely related to the daily life of the people. Its principles are near and accessible, yet its practice is difficult. Therefore, in ancient times, physicians were given the title "Siming" (Guardian of Life). Since Zhang Zhongjing compiled one hundred and thirteen prescriptions, later sages inherited and expanded upon them. Consequently, decoction prescriptions surpassed acupuncture and stone therapy. Later, figures such as Liu Wansu (Hejian), Li Dongyuan, and Zhu Zhenheng (Danxi) rooted their learning in the sacred classics and elaborated on their personal insights. Students became increasingly immersed in this study, applying treatments based on prescriptions, while the methods of acupuncture and stone therapy gradually declined.
Mr. Jin Baosan from Wu (Jiangsu region), who practiced the medical arts of Huangdi and Qibo, was able to integrate and comprehend the *Ling Shu* (Spiritual Pivot), *Su Wen* (Basic Questions), and Qin Yue Ren's (Bian Que's) *Nan Jing* (Classic of Difficult Issues), varying his approach according to circumstances. With a sincere desire to aid the world, he was highly regarded and accepted by the scholar-official class. Recently, he obtained a book titled *Houke Zhenmi* (Secrets of Throat Surgery for the Pillow). In this book, acupuncture/stone therapy and herbal decoctions are applied simultaneously. Symptoms are carefully examined and illustrated, with details presented thoroughly. However, since no copies existed for transmission, he discussed this with Mr. Sun Yunzhai. Yunzhai took this responsibility upon himself, raised funds for printing (*Jiju*, woodblock carving), and placed this preface at the beginning.
I hold that the throat receives Qi and connects with the harmony of Heaven; the pharynx receives food and connects with the way of Earth. The epiglottis governs the upper part, controlling opening and closing. It is truly the pathway for the respiration and entry/exit of the Heart, Lungs, Liver, and Kidneys, and the channel for voice production and breathing. This relationship to life and death is extremely weighty. Ancestors have said: Swelling of the pharynx belongs to Phlegm; Houfeng (Wind-Throat, an acute throat condition) belongs to Fire. The treatment method should be to dispel Wind and resolve Phlegm, clear Heat, and relieve stagnation, thereby avoiding errors. If pungent and dispersing herbs are suddenly administered, they will fan the flames of Wind and Fire, inevitably leading to increased swelling, ulceration, and burning. The Yin and Yang collaterals will lose their nourishment, becoming incurable.
Now, observing this book, it integrates symptoms and etiology, listing key treatments in an orderly manner. It disentangles complex and ambiguous cases with meticulous precision, allowing one to grasp the therapeutic method at a glance. What benefit does this bring to the daily lives of the people? And what is the value of acupuncture/stone therapy supplementing herbal decoctions? Indeed, it is fitting that this book spreads rapidly without legs and is revered by all as a precious treasure kept close to the pillow.
Nevertheless, Yin and Yang interconnect like a ring without end. Ying Qi (Nutritive Qi) circulates within the vessels, while Wei Qi (Defensive Qi) circulates outside the vessels. If the understanding of pulse patterns is occasionally confused, who can penetrate the walls (see inside the body) and serve as the standard for judgment? The depth of disease, the root and branch of treatment, and the selection of established prescriptions—can they achieve miraculous effects? The subtle guidance provided by the physician lies in the hands of those who are good at reading and studying.
Written by Ying Baoshi of Yongkang in the first month of the spring season of the year Wuchen, the 7th year of the Tongzhi reign.