此编辑于会稽徐彦纯吴陵刘宗浓续有增益皆明于医者凡五十卷门分类集于论病因证治条理粲
然既详备矣夫医家神农轩岐伊芳尹及秦越人张仲景之书万世所宗不可易也历晋唐宋代有明者近
代张元素起北方盖得神授深造间奥再传李明之二传王好古南方朱彦修得私淑马遂为医家之正
派彦纯宗浓又私淑彦修者也论者谓元素医家之王道盖王道以养民为本元素之法浓脾土为要此
知本之务也是编主素难金匮及元素一派之旨若诸家治法不倍此者亦旁采而附益之虽中医执此
施治可以成功如病者有能知之亦必不为庸医所误其所济利岂小补哉东里杨士奇
内经曰风之伤人也或为寒热或为寒中或为热中或为偏枯风善行而数变至其变化乃为他病历陈
五脏与胃之伤及风病名皆多汗而恶风(详见本文)
按风论发明风邪系外感之病有内外脏腑虚实寒热之不同别无瘫痪痿弱卒中不省僵仆 邪
挛缩眩运语涩不语之文后世始与痿证混淆矣
要略云风之为病当半身不遂经络空虚贼邪不泻或左或右邪气反缓正气即急正气引邪 僻
不遂邪在于络肌肤不仁在经即重不胜邪入腑则不识人入脏即难言口吐涎
千金云岐伯中风大法有四一曰偏枯半身不遂二曰风痱于身无痛四肢不收三曰风懿奄忽不
知人四曰风痹诸痹类风状
按后世编集中风方治皆祖要略巢氏千金之论但不当以外中风邪立名而与五内痿证衮同出
治此千古之弊也
这一著作由会稽人徐彦纯撰写，吴陵人刘宗浓后续进行了增补，两位都是精通医术的医生。全书共五十卷，按门类分类汇编，对于病因、证候和治疗的条理清晰详尽，既详细又完备。
医家中的《神农本草经》、黄帝与岐伯（指《黄帝内经》）、伊尹（指《汤液经法》）以及秦越人（即扁鹊，指《难经》）、张仲景（指《伤寒杂病论》）的著作，是万世所尊崇的，不可更改。历经晋、唐、宋各代，都有名医出现。近代张元素兴起于北方，据说得到神授，深入探究了医学的深奥道理；再传弟子李明之，三传弟子王好古在南方，朱丹溪（朱彦修）私下师承并推崇李东垣（此处原文“马”疑为衍文或特定指代，结合语境通常指朱震亨私淑李杲/东垣学派，但原文写的是“得私淑马遂为医家之正派”，结合历史事实朱丹溪私淑李东垣，此处依原文翻译为“私淑马氏”或保留原意，考虑到朱丹溪确为金元四大家之一，且原文可能有脱误，但作为翻译需忠实原文，故译为“私淑马氏”或根据上下文推测为李东垣一脉，但严格依文本：朱彦修私下师从马氏，从而成为医家的正统流派）。徐彦纯和刘宗浓又是私下师从朱彦修的学者。评论者认为张元素是医家中的“王道”。所谓王道以养育百姓为根本，张元素的治法以调理脾胃土气为关键，这是抓住了根本的事务。这部书主要遵循《素问》、《难经》、《金匮要略》以及张元素一派的宗旨，如果其他各家治疗方法不违背这些原则的，也广泛采集并附益其中。虽然中医执守此法施治可以成功，但如果病人也能了解这些知识，就必然不会被庸医所误，其所带来的救济利益难道不是小小的补充吗？东里杨士奇
《内经》说：风邪伤人，有的表现为寒热，有的表现为寒中，有的表现为热中，有的表现为偏枯。风邪善于游走且变化多端，到了其变化的极致，就成为其他的疾病。历代论述五脏与胃的损伤，以及风病的名称，大多提到出汗和怕风（详见本文）。
按语：关于风论阐明了风邪属于外感病，有内伤和外感、脏腑虚实、寒热等不同情况，并没有关于瘫痪、痿弱、卒中、不省人事、僵仆、邪气挛缩、眩晕、言语涩滞或不语的记载。后世才开始将风病与痿证混淆。
《金匮要略》说：风邪致病，应当出现半身不遂。经络空虚，贼邪不能排出，邪气或在左或在右。邪气所在的一侧松弛无力，正气所在的一侧紧张急迫，正气牵引邪气导致身体歪斜、运动不利。邪气在络脉，肌肤麻木不仁；邪气在经脉，则肢体沉重不能胜任；邪气入腑，则不识人；邪气入脏，则难以言语，口吐涎沫。
《千金方》说：岐伯治疗中风的大法有四类：一是偏枯，半身不遂；二是风痱，全身无痛但四肢无法收持使用；三是风懿，突然昏迷不知人；四是风痹，各种痹症类似风状。
按语：后世编集中风方剂和治疗方法的书籍，都祖述《金匮要略》、巢元方《诸病源候论》和《千金方》的论述，但不当以外中风邪立名，而将其与五脏内部的痿证混同治疗，这是千古以来的弊病。
This work was authored by Xu Yanchun of Kuaiji, with subsequent additions by Liu Zongnong of Wuling; both were physicians well-versed in medicine. The entire work consists of fifty volumes, organized by categories, presenting the principles of etiology, syndromes, and treatment in a clear, detailed, and comprehensive manner.
The medical classics such as *Shennong Bencao Jing* (Divine Farmer's Materia Medica), the works of Huangdi and Qibo (Yellow Emperor and Qibo, referring to *Huangdi Neijing*), Yi Yin (referring to *Tangye Jingfa*), Qin Yue Ren (Bian Que, referring to *Nanjing*), and Zhang Zhongjing (referring to *Shanghan Zabing Lun*) are revered for all generations and cannot be altered. Throughout the Jin, Tang, and Song dynasties, there have been eminent physicians. In recent times, Zhang Yuansu rose in the North, said to have received divine inspiration, delving deeply into the profound mysteries of medicine. His second-generation disciple was Li Mingzhi, and his third-generation disciple was Wang Haogu in the South. Zhu Yanshou (Zhu Danxi) privately studied under Ma Shi (Note: Text says "Ma", historically Zhu Danxi studied under Li Dongyuan, but translation follows text strictly or implies a lineage), thereby establishing the orthodox school of medicine. Xu Yanchun and Liu Zongnong further privately studied under Zhu Yanshou. Critics state that Zhang Yuansu represents the "Kingly Way" (Wangdao) among physicians. The Kingly Way takes nourishing the people as its foundation; Zhang Yuansu's methods emphasize strengthening the Spleen and Earth element, which is grasping the fundamental task. This compilation primarily follows the principles of *Suwen*, *Nanjing*, *Jingui Yaolue*, and the school of Zhang Yuansu. If other schools' treatment methods do not contradict these, they are also widely collected and appended. Although TCM practitioners can achieve success by adhering to this approach, if patients also understand these knowledge, they will certainly not be misled by mediocre doctors. Would the benefits of such aid not be significant? Yang Shiqi of Dongli
*Neijing* states: When wind pathogen attacks the human body, it may manifest as cold-heat alternation, cold center, heat center, or hemiplegia. Wind is agile and changes frequently; when its changes reach their extreme, they become other diseases. Historical discussions on injuries to the five Zang organs and Stomach, as well as names of wind diseases, mostly mention sweating and aversion to wind (see detailed text).
Commentary: The discussion on wind clarifies that wind pathogen belongs to external contraction diseases, differing in internal/external, Zang-Fu deficiency/excess, and cold/heat. There is no mention of paralysis, flaccidity, apoplexy, unconsciousness, stiff collapse, spasms, dizziness, slurred speech, or muteness. It was only later that wind disease became confused with flaccidity syndrome (Wei Syndrome).
*Jingui Yaolue* states: Wind disease should present with hemiplegia. When meridians and collaterals are empty, evil pathogens cannot be expelled; the pathogen may be on the left or right. Where the pathogen resides, the muscles relax; where the healthy Qi resides, it becomes tense. Healthy Qi pulls towards the pathogen, causing deviation and inability to move. If the pathogen is in the collaterals, the skin and muscles feel numb; if in the meridians, the limbs are heavy and unable to bear weight; if entering the Fu organs, the person loses consciousness; if entering the Zang organs, speech becomes difficult, and saliva dribbles from the mouth.
*Qianjin Fang* states: Qibo's four major methods for treating stroke are: 1. Pianku (Hemiplegia), half-body paralysis; 2. Fengfei, painless body with limbs unable to grasp or move; 3. Fengyi, sudden unconsciousness; 4. Fengbi, various Bi syndromes resembling wind patterns.
Commentary: Later compilations of formulas and treatments for stroke all follow the theories of *Jingui Yaolue*, Chao Yuanfang's *Zhuzheng Youbing Yuanhou Lun*, and *Qianjin Fang*. However, it is inappropriate to name them based on external wind invasion and treat them identically with internal Wei Syndromes of the five Zang organs. This has been a flaw since ancient times.