幼读鲁论,至隐居以求其志,行义以达其道,即心焉志之,曰∶丈夫不当如是耶?愿窃比焉。力学二
十余年,屡踬名场,翻然自顾樗栎之资,原非国器,奈何犹穷经皓首,终为童子试哉?!于是究心
《灵》、《素》,志在岐黄,医虽小道,亦足以行吾艺耳。遍览一十三科,以及诸子百家,各穷无妙,独
伤寒一门,张氏仲景以为急病,辨症稍差,夭折生命,论载三百九十七法,一百一十三方,以济天下后
世,其用心可谓仁矣。至于疫疹,多于伤寒百倍,安忍置而勿论哉?夷考其时,或未有疫欤?抑或仲景之
书,原有一十六卷,今世只传十卷,而疫疹一门,亦在遗亡之数欤?以致后人纷纷立说,祖述宪章,俱
以伤寒立论,其于热疫一症,往往略而不讲,是以业斯道者,所诵所传,连篇累牍,无非伤寒,及其临症,
只就伤寒一例治之,不知其为疫也。流弊于人,沦肌
浃髓,举世同揆,万人一法。究之,死者不知何病以死,生者不知何药以生,抚今思昔,可胜慨哉!干
隆甲申,予客中州,先君偶染时疫,为群医所误,及奔丧回里,查看诸方,总不外此三法,抱恨终天,曷
其有极?思于此症,必有以活人者,公之于世,亦以稍释予怀。因读本草言石膏性寒,大清胃热,味淡而
薄,能表肌热,体沉而降,能泄实热。恍然大悟,非石膏不足以治热疫,遇有其症,辄投之,无不得心应
手。三十年来,颇堪自信,活人所不治者,笔难罄述。窃思一人之治人有限,因人以及人无穷,因不
揣鄙陋,参合司天、大运、主气、小运,着为《疫疹一得》,欲以刍荛之见,公之于人,使天下有病
斯疫者,起死回生,咸登寿域,予心庶稍安焉,敢以着书立说,自矜能事耶?
乾隆五十九年岁次甲寅季春月桐溪师愚氏余霖自叙
幼时诵读《论语》,读到“隐居以求其志,行义以达其道”(隐居以保全自己的志向,践行道义以实现自己的主张),心中便立志说:大丈夫不应当像这样吗?我愿意私下将自己比作这样的人。
我勤奋学习二十多年,在科举考试中屡次受挫,猛然回首审视自己,自认为资质如樗栎般平庸无用,本就不是国家的栋梁之材,为何还要皓首穷经,最终只为了参加童子试呢?!
于是,我潜心研究《灵枢》和《素问》(中医经典著作),立志追随岐伯与黄帝(指代中医医术)。虽然医道被视为小道,但也足以让我施展我的技艺罢了。
我遍览内科、外科等十三个科室的医书,以及诸子百家的著作,各自探究其精妙之处,唯独伤寒这一门,张仲景先生认为它是急重病,辨证如果稍有差错,就会折损人的寿命。他论述了三百九十七种治法,列出了一百一十三首方剂,用来救济天下后世之人,他的用心可以说是仁爱至极啊。
至于疫疹(瘟疫引起的皮疹),其危害程度比伤寒多出一百倍,怎么忍心搁置而不加以论述呢?
考察当时的情况,或许是当时没有发生瘟疫呢?或者是张仲景的原著原本有十六卷,如今世间只流传了十卷,而疫疹这一门,也包含在遗失亡佚的数量之中呢?
这导致后世的医家纷纷创立学说,遵循并效法前人的章法,都以伤寒的理论为基础立论,对于热疫这一病症,往往忽略而不加探讨。因此,从事这一行业的人,所诵读和传承的内容,连篇累牍,无非都是关于伤寒的。等到他们面对实际病例时,只用治疗伤寒的一种方法来处理,不知道那是疫病。
这种流弊深入骨髓,影响深远,举世皆同,万人使用同一套方法。
究其结果,死去的人不知道自己是死于什么病,活着的人不知道用什么药来救命。回想过去,感慨万千,怎能说得尽呢!
乾隆甲申年(1764年),我客居中州(河南),先父偶然感染了时疫,被众位医生误治。等我奔丧回到家乡,查看各位医生开的处方,总离不开这三种治法。我怀着终身的遗憾,悲痛无尽。
我思考对于这种病症,一定有能够救活人的方法,于是将其公之于世,也是为了稍微排解我心中的郁结。
因为阅读本草书籍得知,石膏性寒,能大清胃热;味淡而薄,能透发肌表之热;质地沉重而性降,能泄除实热。
我恍然大悟,如果不是石膏,就不足以治疗热疫。遇到这样的病症,我就投用石膏,无不得心应手。
三十年来,我对此颇感自信,救治那些被认为无法治愈的人,笔难以详尽叙述。
我私下思忖,一个人救治他人的力量是有限的,但通过传授医术让更多人去救人则是无穷的。因此,我不揣冒昧,结合司天、大运、主气、小运(五运六气理论)的理论,撰写了《疫疹一得》一书。
我想以我这浅陋的见解,公开给世人,使天下患有这种疫病的人,能够起死回生,全都进入长寿的境界,我的心或许才能稍微安宁。难道我是敢以著书立说、自夸才能为目的吗?
In my youth, I studied the *Analects of Confucius* (Lunyu). When I reached the passage "Retire into obscurity to preserve one's principles, and practice righteousness to realize one's Way," I resolved in my heart, saying: "Should not a gentleman act thus? I wish to compare myself with such men."
I studied diligently for over twenty years but suffered repeated failures in the imperial examinations. Suddenly reflecting on myself, I realized that my talents were as useless as wild trees (Chuli), originally unfit to be pillars of the state. Why should I still exhaust my hair studying the classics, only to end up taking the童zi examinations?! Thus, I devoted myself to researching the *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions)—the foundational texts of Traditional Chinese Medicine (TCM)—and set my mind on following Qi Bo and Huang Di (mythical founders of TCM). Although medicine is considered a minor art, it is sufficient to allow me to exercise my skills.
I perused the thirteen medical specialties as well as the works of the Hundred Schools of Thought, exploring the subtleties of each. However, regarding the category of *Shanghan* (Cold Damage Diseases), Zhang Zhongjing (Zhang Ji) regarded it as an acute and critical condition. He noted that a slight error in syndrome differentiation could lead to premature death. He documented 397 treatment methods and 113 formulas to benefit the world and future generations; his intention can be described as profoundly benevolent.
As for *Yizhen* (Plague Rash), its prevalence and severity are a hundred times greater than that of *Shanghan*. How could I bear to neglect it without discussion? Examining the historical context, perhaps there were no plagues at that time? Or perhaps Zhang Zhongjing’s original work consisted of sixteen volumes, but only ten volumes have been transmitted to the present day, meaning the section on plague rash was among those lost? Consequently, later physicians纷纷 established their own theories, following and modeling after previous authorities, all basing their arguments on *Shanghan*. Regarding the syndrome of *Reyi* (Heat Plague), they often neglected to discuss it. Therefore, practitioners recited and transmitted endless pages of text, all concerning *Shanghan*. Yet when facing clinical cases, they treated them solely using the methods for *Shanghan*, unaware that it was actually a plague. This malpractice penetrated deeply into society, becoming universal practice where ten thousand people used the same method. Ultimately, the dead did not know what disease killed them, and the living did not know what medicine could save them. Reflecting on the past, how can one express the depth of this sigh!
In the Jia Shen year of the Qianlong reign (1764 AD), while residing in Zhongzhou (Henan), my father contracted a seasonal plague. He was misdiagnosed and mistreated by a group of physicians. Upon returning home for the funeral, I examined their prescriptions and found they all adhered to only three methods. Filled with lifelong regret and boundless sorrow, I pondered: there must be a way to save lives from this syndrome. I decided to publish my findings to the world, also to alleviate my own inner distress.
Having read the Materia Medica (*Bencao*), I learned that Shi Gao (Gypsum Fibrosum) has a cold nature, capable of clearing stomach heat intensely; its flavor is light and thin, enabling it to release heat from the muscle layer; its texture is heavy and descending, allowing it to purge excess heat. I suddenly had a great enlightenment: without Shi Gao, it would be insufficient to treat Heat Plague. Whenever I encountered such syndromes, I administered it, achieving desired results effortlessly. For thirty years, I have been confident in this approach. The number of people I have saved whom others deemed incurable cannot be fully recorded in writing.
I privately reflect that one person’s capacity to heal is limited, but teaching others to heal is infinite. Therefore, presumptuously combining the theories of Si Tian (Heavenly Stems influencing climate), Da Yun (Great Movement), Zhu Qi (Principal Qi), and Xiao Yun (Minor Movement)—concepts from the Five Movements and Six Qi theory—I composed the book *Yi Zhen Yi De* (One Gain from Plague Rash). I offer these humble insights to the public, hoping that those in the world suffering from this plague may rise from death to life and all attain longevity, so that my heart might find some peace. Did I dare to write this book and establish theories merely to boast of my abilities?
Preface written by Yu Lin, styled Shiyu, of Tongxi, in the third month of spring, in the Jia Yin year of the 59th year of the Qianlong reign (1794 AD).