澄生逢尧舜之世,身为太平之民,每念圣天子宵旰勤劳,唯恐四海乃民有纤芥之苦,
御极之始,即下诏征方,汇辑《御纂医宗金鉴》,颁发中外,使穹乡僻壤,凡有疾痛,皆
得检方施治,沉 立起。而各省上宪,又复仰体圣慈,每岁自捐清俸,开设药局以济贫
病,其爱民如子,可谓至周极备矣。
澄本一介布衣,赋性迂拙,圣贤之书读而未竟,业医自赡,碌碌无闻。因思身体发
肤,受之父母,安居乐业,悉出皇仁,而君父之恩无由报称,是以诊视之暇,不惮精神
劳瘁,搜括古今名医确论,首标《内经》义旨,宣明脉法元微,详分经络穴道,汇集内
景证形,上自巅顶,下至涌泉。凡涉外证者,绘图立说,按证立方,诸如汤火刀伤,刑
杖跌仆,兽伤虫咬,误吞药石毒物,五绝解救之法,自今古成方之外,又益以先祖宁华
公、先父青岩公家藏经验诸方,别类分门,计四十卷,名之曰《疡医大全》。俾患者咸知
疡必有名,医必有法,按图施治,经络分明。初起期其必消,已成必其易溃,已溃速其
易敛,使人间无破漏之危,更可免酿痈之患。况所备诸方悉俱,养正验邪,调卫和荣,虽
云小道,利济非轻。
斯书纂辑阅三十寒暑,因囊 空悬,未获授梓。今缘两淮同人慨为捐资,始付枣梨,
以成此志。爰述缀辑原委,弁之简端,以见成之尤非偶然云。
乾隆二十五年岁次庚辰孟夏静斋顾澄练江书
我顾澄生逢尧舜般的盛世,身为太平年代的百姓。常常想到圣明的天子日夜操劳,唯恐天下百姓有一丝一毫的痛苦。皇帝登基之初,就下诏征集医方,汇编成《御纂医宗金鉴》,颁发到全国各地,使得偏远乡村,凡是有疾病痛苦的,都能查阅医方进行治疗,使久病之人立刻起身康复。而各省的高级官员,又再次体察圣上的慈爱之心,每年自己捐献清廉的俸禄,开设药局来救济贫困的病人,他们爱民如子,可以说是周到至极、完备至极了。
我本是一个平民百姓,性格迂腐笨拙,圣贤的书读得不够透彻,靠行医维持生计,碌碌无为,默默无闻。于是我想,身体头发皮肤都受之于父母,安居乐业全都出自皇恩浩荡,而君父的恩情没有途径报答,所以在诊视病人的闲暇时间,不害怕精神和身体的劳累憔悴,搜罗古今名医的确切论述,首先标明《黄帝内经》的宗旨,阐明脉法的精微之处,详细区分经络穴位,汇集内部脏腑的证候和形体表现,上自头顶,下至足底的涌泉穴。凡是涉及外科疾病的,绘制图表并加以解说,按照证候制定方剂,诸如汤火烫伤、刀斧创伤、刑杖殴打、跌倒摔伤、野兽伤害、虫蛇咬伤,误吞药物金石毒物,以及五种假死状态的解救方法,除了古今已有的成方之外,又增加了先祖宁华公、先父青岩公家藏的经验方剂,分类编目,共计四十卷,命名为《疡医大全》。希望患者都知道疮疡必有名称,医生必有治法,按照图表施治,经络分明。初起时期望它必然消散,已经形成时必然容易溃破,已经溃破后迅速容易愈合,使人世间没有破损漏陷的危险,更可以免除酿成痈疽的祸患。况且所准备的各方剂都具备扶正祛邪、调和营卫的作用,虽然说是医术小道,但利益救济并非轻微。
这本书编纂辑录经历了三十个寒暑,因为囊中空空如洗,未能刻印出版。如今因为两淮地区的同人慷慨捐资,才得以付梓刊印,从而完成我的心愿。于是陈述编纂的始末原委,写在书的前面,以表明此书的成功绝非偶然。
乾隆二十五年岁次庚辰孟夏静斋顾澄练江书
I, Gu Cheng, was born in an era of Yao and Shun [ideal sage-kings], and am a commoner in times of peace. I often reflect on the Holy Emperor's day-and-night diligence, fearing that there might be even the slightest suffering among the people of the four seas. At the beginning of his reign, he issued an edict to collect medical prescriptions, compiling them into the *Yuzuan Yizong Jinjian* (Imperially Compiled Golden Mirror of the Medical Tradition), which was distributed throughout the empire. This enabled remote villages, wherever there was pain or illness, to consult prescriptions for treatment, allowing those with chronic conditions to recover immediately. Furthermore, high-ranking officials in each province, further embodying the Emperor's benevolence, annually donated their clean salaries to establish medicine bureaus to aid the poor and sick. Their love for the people as if they were their own children can be described as extremely thorough and complete.
I am originally a commoner, with a rigid and clumsy nature, having not fully studied the books of the sages. I practiced medicine to support myself, remaining mediocre and unknown. Reflecting that our bodies, hair, skin, and flesh are received from our parents, and that living in peace and pursuing one's occupation is entirely due to imperial grace, yet having no way to repay the kindness of the Sovereign-Father, I took it upon myself during my spare time from clinical practice. Not sparing my spirit and physical energy, I collected the definitive theories of famous doctors from ancient and modern times. I first highlighted the principles of the *Neijing* (Inner Canon), elucidated the subtleties of pulse diagnosis, detailed the meridians and acupoints, and compiled syndromes and physical manifestations of the internal organs, covering from the vertex of the head down to Yongquan (KI1, Springing Well). For all conditions involving external diseases, I drew illustrations and provided explanations, formulated prescriptions according to syndromes, including burns from fire or boiling water, knife or axe wounds, injuries from judicial beatings, falls and fractures, animal bites, insect stings, accidental ingestion of medicinal stones or toxic substances, and methods for rescuing cases of five types of apparent death. Beyond existing ancient and modern formulas, I added empirical formulas from the family collections of my ancestor, Mr. Ninghua, and my late father, Mr. Qingyan. Categorized and classified, these comprise forty volumes, named *Yangyi Daquan* (Comprehensive Collection for Surgeons). This aims to ensure that patients know that sores have specific names and doctors have specific methods; by following the diagrams for treatment, the meridians become clear. In the initial stage, hope is placed on their resolution; when formed, ease of suppuration is expected; once ulcerated, rapid healing is sought. Thus, the danger of perforation and leakage is avoided in the world, and the hazard of developing carbuncles is further prevented. Moreover, the prepared formulas all possess the functions of nourishing righteousness and verifying expelling pathogenic factors, regulating the defensive qi and harmonizing the nutritive qi. Although this may be considered a minor art, its benefit and relief are not insignificant.
The compilation and editing of this book spanned thirty years. Due to empty pockets, it could not be printed. Now, thanks to the generous donations from colleagues in Lianghuai, it has finally been engraved on woodblocks and published, fulfilling this aspiration. Therefore, I state the original reasons for the compilation and place this preface at the beginning of the book, to show that its completion was by no means accidental.
Written by Gu Cheng of Jingzhai, Lianjiang, in the early summer of the Gengchen year, the 25th year of Qianlong.