医有五科∶曰脉,曰因,曰病,曰症,曰治。丹溪先生以病症为一,故以四字赅之,纂
成一帙,名曰《脉因症治》。实为寿世之书,奈后代诸贤,不业是作,遂至散亡淹没,予所
深惜。然谛思之,仍有难于宗行者,盖执脉寻因、寻症,一时殊费揣摩;不若以症为首,然
后寻因之所起,脉之何象,治之何宜,则病无遁情,而药亦不至于误用也。是以古人先重望
闻问,而独后于切耳。余不谅,敢窃丹溪之余语,汇成一卷,改名《症因脉治》,先辨其症
,次明其因,再切其脉,据症、据因、据脉用治。庶节节可证,而法不谬施,谅必无罪于
后世也。但年迈神衰,恐多疵漏,未敢授梓传世,待后之贤者,详定而行可也。
崇祯辛巳嘉平月淡香堂广野道人秦景明序
秦子皇士,好学多才艺,自幼博通经史,及长名重士林,惜不得志以有为。古之人进则
救民,退则修己。为秦子者,独善其身可矣,然而秦子济人利物之心,不甘自弃,谓无其位
而可行其志者,惟有医。于是取岐黄之要,潜心三十年,而其道甚明,遂行于世,全活者无
算。不论富贵贫贱,终日孜孜,惟以救人为事,而不计利。其术工而专,奇而正,固一时之
彦也。而秦子思以海内之大,后世之久,非一身之所能及,必求其可大可久,能以遍于天下
,传之将来,然后乃可。发其祖景明先生所传之秘,曰《症因脉治》者,复穷搜博览,阐明
而损益之,以行于世。俾行是道者,因症按脉而脉不虚索,因脉用药而药不妄投,其有功于
世,不大且久乎?向以不得有为为秦子惜,今则为秦子庆矣。假使秦子者得一官效一职,不
安全一乡一邑而止,其能起四海九州万亿千载之老少强弱,悉保太和,以安全于熙 之天哉
?癸未冬,予以疾告归,其书适成,曾施君宇瞻及昆季葆文纹石象三诸公者,善发一家,欲跻
斯民于仁寿之域。捐资将授梓,予不禁抚掌而为之序。
时康熙四十三年端阳后十日赐进士现任翰林编修同郡沈宗敬书于醉花处
中医分为五个科目:分别是脉(脉诊)、因(病因)、病(疾病)、症(症状)和治(治疗)。朱丹溪先生将病症合为一类,因此用这四个字概括了它们,编纂成一部书,命名为《脉因症治》。这确实是一部造福世人的著作,可惜后代的贤能之士不再研习这部作品,导致它逐渐散失湮没,对此我深感惋惜。然而仔细思考,发现其中仍有难以完全遵循执行的地方。大概是因为执着于通过脉象来探寻病因、症状,一时之间非常耗费心思去揣摩;不如以症状为开端,然后探寻病因的起源、脉象的表现、治疗的适宜方法,这样病情就不会隐藏,药物也不会被误用。因此古人先重视望、闻、问,而唯独把切脉放在最后。我不自量力,敢于窃取丹溪先生的余绪言论,汇编成一卷,改名为《症因脉治》,先辨析症状,其次阐明病因,再切按脉象,依据症状、病因、脉象来进行治疗。希望这样步步都有证据可查,治疗方法不致谬误施行,想必对后世没有罪过。只是我年事已高,精神衰弱,恐怕多有瑕疵疏漏,不敢刻印传世,等待后世的贤者详细审定后再推行即可。
崇祯辛巳年(1641年)农历十二月淡香堂广野道人秦景明作序
秦子皇士,好学且多才多艺,自幼博览通晓经史,长大后在文人圈中名声显赫,可惜未能得志施展抱负。古代的君子,进则拯救百姓,退则修养自身。对于秦子这样的人,独善其身就可以了,然而秦子救济世人、利益万物的内心,不甘心自我放弃,他认为没有官位却能实现志向的途径,只有医学。于是选取岐伯、黄帝医学的要旨,潜心钻研三十年,其医道非常明晰,于是施行于世,救活的人不计其数。不论富贵贫贱,终日勤勉不懈,只以救人作为事务,而不计较利益。他的医术精巧而专一,奇特而端正,确实是当时的杰出人才。而秦子考虑到天下之大,后世之久,非一个人的力量所能达到,必须寻求可以宏大且长久、能够遍及天下、流传将来的方法,然后才可以。他发掘出祖先景明先生所传授的秘密,即《症因脉治》一书,又进一步广泛搜求博览,阐明并增减修改它,以便在世间流行。使得行医之人,根据症状按察脉象而脉象不虚妄索求,根据脉象用药而药物不妄加投予,这对世间的功劳,不是很大且长久吗?先前因为秦子不能施展抱负而感到惋惜,现在则为秦子庆贺。假如秦子能得到一个官职发挥一职之能,不仅仅能保全一个乡邑的安全,难道不能兴起四海九州万亿千载的老少强弱,使他们全部保持太和之气,从而在太平盛世中得以保全吗?癸未年冬天,我因病告老还乡,这本书恰好完成,曾施君宇瞻及其兄弟葆文、纹石、象三诸位公卿,善于发扬一家之长,想要使百姓进入仁爱和长寿的境界。他们捐资准备刻印此书,我不禁拍手称赞并为此作序。
康熙四十三年(1704年)端午节后十日,赐进士出身、现任翰林院编修、同郡沈宗敬在醉花处书写
Traditional Chinese Medicine is divided into five disciplines: namely, Pulse Diagnosis (Mài Zhěn), Etiology (Yīn Guó), Disease (Bìng), Symptoms (Zhèng), and Treatment (Zhì). Master Zhu Danxi combined "Disease" and "Symptoms" into one category; thus, he used these four characters to encompass them, compiling a volume titled *Mai Yin Zheng Zhi* (Pulse, Etiology, Symptom, and Treatment). This is indeed a book intended to benefit the world. Alas, later sages did not practice or study this work, leading to its gradual dispersal and obscurity, which I deeply regret. However, upon careful reflection, I found that there are aspects difficult to strictly follow. Generally, relying solely on pulse diagnosis to seek etiology and symptoms requires considerable mental effort and speculation at any given time. It is preferable to start with Symptoms (Zhèng), then investigate the origin of the Etiology (Yīn Guó), observe the characteristics of the Pulse (Mài), and determine the appropriate Treatment (Zhì). In this way, the true nature of the disease will not be concealed, and medications will not be misused. Therefore, ancient practitioners prioritized Observation (Wàng), Auscultation and Olfaction (Wén), and Inquiry (Wèn), placing Palpation (Qiē) last. Presuming my own inadequacy, I dared to compile the remaining insights from Master Danxi into a single volume, renaming it *Zheng Yin Mai Zhi* (Symptom, Etiology, Pulse, and Treatment). We first differentiate the Symptoms (Zhèng), then clarify the Etiology (Yīn Guó), followed by palpating the Pulse (Mài), and finally applying treatment based on the symptom, etiology, and pulse. Hopefully, each step will be verifiable, and therapeutic methods will not be applied erroneously, thereby incurring no fault for future generations. However, due to my advanced age and declining vitality, I fear there may be many flaws and omissions. Thus, I dare not have it printed and passed down, but rather wait for future sages to review and refine it before implementation.
Preface by Guangye Daoren of Danxiang Hall, Qin Jingming, in the twelfth lunar month of the Xin Si year of the Chongzhen era.
Qin Huangshi was fond of learning and possessed diverse talents. From childhood, he had a broad understanding of the Classics and History. As he grew older, his reputation spread among the literati, yet he lamented his lack of opportunity to serve effectively. The ancients believed that when advancing in career, one should save the people; when retreating, one should cultivate oneself. For someone like Qin, maintaining personal integrity would suffice. However, Qin’s heart for benefiting others and aiding all things could not bear to abandon himself. He reasoned that without official rank, the only path to realize his ambitions was through medicine. Thus, he selected the essential teachings of Qi Bo and Huang Di (the Yellow Emperor), dedicating thirty years to profound study. His medical principles became very clear, and he practiced them in the world, saving countless lives. Regardless of whether patients were rich or poor, he worked tirelessly day and night, focusing solely on saving lives without regard for profit. His techniques were skillful and specialized, unique yet orthodox, making him an outstanding figure of his time. Qin considered that given the vastness of the land and the length of history, individual efforts were insufficient. He sought a method that could be grand and enduring, capable of spreading throughout the world and transmitting to posterity. He unearthed the secret teachings passed down from his ancestor, Mr. Jingming, specifically the work *Zheng Yin Mai Zhi*. He further searched extensively, elucidated, and revised it for publication. This allows practitioners to examine the pulse according to symptoms, ensuring the pulse diagnosis is not baseless, and to prescribe medication according to the pulse, ensuring drugs are not administered recklessly. Would this not confer great and lasting merit upon the world? I previously felt pity for Qin’s inability to serve officially, but now I congratulate him. If Qin had obtained an official position, he would not merely have secured safety for a single village or county; could he not have raised the elderly, young, strong, and weak across the nine provinces and thousands of years, preserving their harmonious vitality (Taihe) within an era of peace? In the winter of the Gui Wei year, I returned home due to illness, and this book was just completed. Mr. Shi Yuzhan and his brothers Bao Wen, Wen Shi, and Xiang San, who excel in promoting specific schools of thought, wished to elevate the common people to a realm of benevolence and longevity. They donated funds to print the book. I could not help but clap my hands in approval and wrote this preface.
Written by Shen Zongjing, a Jinshi degree holder by imperial grace, currently serving as Compiler in the Hanlin Academy, from the same province, at the Zuihua Residence, ten days after the Duanwu Festival in the 43rd year of the Kangxi reign.