陈修园老友,精于岐黄之术,自负长沙后身,世医环而姗笑之。及遇危证, 断桅横
,万手齐束。修园往,脱冠几上,探手举脉,目霍霍上耸,良久干笑曰∶“候本不奇,治之
者扰之耳。”主人曰∶“某名医。”曰∶“误矣。”曰∶“法本朱、张、王、李。”曰∶
“更误矣。天下岂有朱、张、王、李而能愈疾者乎!”口吃吃然骂,手仡仡然书,方具
则又自批自赞自解,自起调刀圭火齐,促服之。服之如其言。
尝以李时珍《纲目》为谫陋者,有《神农本草经注》六卷,其言简,其旨赅,其义奇而
不于正。其钩深索隐也,元之又元,如李将军之画,不肯使一直笔。其扃辟奥启也,仍复
明白坦易,如白香山诗句,虽灶下老妪,亦可与知, 解不可解而后解,及其解之了,不异
人也。可谓金心在中,银手如断矣。
出山后,敛抑才华。每诊一病,必半日许,才出一方,有难之者,其言讷讷然如不能出
壬戌冬回籍读礼,闭门谢客。复取旧着六卷,中遴其切用者,一百余种,附以《别录》
,分为四卷,俱从所以然处发挥,与旧着颇异,名曰《本草经读》。盖欲读经者,读于无字
处也。修园为余言,所着尚有《伤寒论注》四卷,重订《柯注伤寒论》八卷,重订《活人百
问》八卷,《金匮浅注》十六卷,《医医偶录》二卷,《医学从众录》八卷,《真方歌括》
二卷,《景岳新方砭》四卷,《伤寒论读》四卷,《金匮读》四卷,《医约》二卷,《医诀
》三卷。虽依类立言,义各有取要。其阐抉古经之旨,多与此书相发明。暇日时予将遍读焉
嘉庆八年岁次昭阳大渊献皋月既望,侯官愚弟蒋庆龄小榕氏序。
陈修园是我的老朋友,精通岐黄之术(中医医术),自认为是东汉医圣张仲景(长沙太守)的转世,周围的世袭医生都围着他讥笑他。等到遇到危重病症时,众医束手无策,万般无奈之下,陈修园前往诊治,他在几案上脱下帽子,伸手诊脉,目光炯炯向上耸动,过了很久干笑着说:“脉象本来并不奇特,是治疗的人扰乱了它罢了。”病人家属说:“我是某位名医。”他说:“错了。”家属说:“我的治疗方法本遵循朱丹溪、张从正、王好古、李东垣四位医家的学说。”他说:“更是大错特错。天下哪有遵循朱、张、王、李就能治好病的道理呢!”他嘴里结结巴巴地骂着,手里却不停地开方,药方写好后又自己批注、称赞并解释,然后亲自起来调配药物和火候,催促病人服药。病人按他的话服用后,果然见效。
他曾认为李时珍的《本草纲目》浅薄简陋,因此撰写了《神农本草经注》六卷。书中的言辞简练,旨意完备,义理奇特却不偏离正道。其探究深奥隐微之处,玄妙之又玄妙,像李广将军射箭一样,不肯让箭直直地射中目标(意指含蓄深远)。其开启奥秘之处,仍然明白坦率平易,像白居易的诗句,即使是厨房里的老妇人也能听懂,先解开那些看似不可解的疑惑,等完全解开后,看起来又与常人无异。这可以说是内心如金子般珍贵,手法如银手般利落断决。
出山行医之后,他收敛才华。每诊治一个病,必定花费半天左右的时间,才开出一张方子,有人对此提出质疑,他说话迟钝的样子好像说不出话来。壬戌年冬天,他回乡守制读书,闭门谢客。他又取出旧著六卷,从中挑选切合实用的内容,一百多种药材,附上《神农本草经·吴普别录》的内容,分为四卷,全都从“所以然”(原理)处发挥论述,与旧著颇有不同,命名为《本草经读》。大概是希望读经典的人,能在没有文字的地方读懂经典。陈修园曾对我说过,他所著的还有《伤寒论注》四卷,重订的《柯琴注伤寒论》八卷,重订的《活人百问》八卷,《金匮要略浅注》十六卷,《医医偶录》二卷,《医学从众录》八卷,《真方歌括》二卷,《景岳新方砭》四卷,《伤寒论读》四卷,《金匮读》四卷,《医约》二卷,《医诀》三卷。虽然依类别立言,义理各有取要。其中阐发挖掘古代经典旨意的内容,大多与此书相互发明印证。闲暇时日,我将逐一阅读它们。
嘉庆八年(1803年),岁次癸亥,五月十五日,侯官愚弟蒋庆龄小榕氏作序。
Chen Xiuyuan was an old friend of mine, proficient in Qihuang Shu (Traditional Chinese Medicine). He proudly claimed to be the reincarnation of Zhang Zhongjing (who served as Grand Administrator of Changsha), and hereditary physicians surrounded him, mocking him. However, when critical cases arose, with all hands tied and no one knowing what to do, Chen would go to treat them. He would take off his hat on the table, reach out to feel the pulse, his eyes glaring upward, and after a long while, he would dry-laugh and say, "The pulse itself is not strange; it is the treatment that disturbs it." The host said, "I am a famous doctor." Chen replied, "You are mistaken." The host said, "My methods follow those of Zhu [Danxi], Zhang [Congzheng], Wang [Haogu], and Li [Dongyuan]." Chen said, "Even more mistaken. How can there be anyone in the world who can cure diseases merely by following Zhu, Zhang, Wang, and Li!" While stuttering curses from his mouth, his hand was writing prescriptions rapidly. Once the prescription was ready, he would critique, praise, and explain it himself, then get up to adjust the dosage and decoction method, urging the patient to take it. The patient followed his words.
He once considered Li Shizhen's *Bencao Gangmu* (Compendium of Materia Medica) to be shallow and crude, so he wrote *Shennong Bencao Jing Zhu* (Annotations on the Divine Farmer's Materia Medica) in six volumes. His words were concise, his purport comprehensive, and his meaning profound yet upright. In exploring the deep and hidden, it was profound beyond measure, like General Li Guang drawing his bow, refusing to let the arrow fly straight (implying subtlety and depth). In unlocking mysteries, it remained clear and simple, like the verses of Bai Juyi, understandable even to an old woman in the kitchen. He would resolve the seemingly unresolvable, and once resolved, it appeared no different from ordinary understanding. This could be described as having a heart of gold within and silver-like decisiveness in action.
After coming out of seclusion to practice medicine, he restrained his talents. For each illness diagnosed, he would spend about half a day before issuing a single prescription. When questioned, he would speak haltingly, as if unable to articulate. In the winter of the Renxu year, he returned to his hometown to observe mourning rituals, closing his door to guests. He took his previous six-volume work, selected over a hundred items that were practically useful, appended content from the *Bielu* (Wu Pu's Additional Records), and divided it into four volumes. All explanations were developed from the underlying principles ("so why"), differing significantly from his earlier works. He named it *Bencao Jing Du* (Reading the Divine Farmer's Materia Medica). The intent was for readers of the classics to read between the lines. Chen Xiuyuan told me that he had also authored *Shanghan Lun Zhu* (Annotations on the Treatise on Cold Damage) in four volumes, revised Ke Qin's *Shanghan Lun* commentary in eight volumes, revised *Huo Ren Bai Wen* (A Hundred Questions for Saving Lives) in eight volumes, *Jinkui Qianzhu* (Light Annotations on the Golden Cabinet) in sixteen volumes, *Yiyi Oulu* (Occasional Records of a Doctor) in two volumes, *Yixue Congzhong Lu* (Records of Medical Learning Following the Majority) in eight volumes, *Zhenfang Gekuo* (Songbook of True Prescriptions) in two volumes, *Jingyue Xin Fang Bian* (Critique of New Prescriptions by Jingyue) in four volumes, *Shanghan Lun Du* (Reading the Treatise on Cold Damage) in four volumes, *Jinkui Du* (Reading the Golden Cabinet) in four volumes, *Yiyue* (Medical Abridgments) in two volumes, and *Yijue* (Medical Instructions) in three volumes. Although categorized by type, each has its essential meaning. Their elucidation of ancient classics often complements this book. In my spare time, I will read them all.
Preface by Jiang Qingling, courtesy name Xiaorong, humble younger brother from Houguan, on the 15th day of the 5th month in the Guihai year of the Jiaqing era (1803).