王瓜生苦菜秀非今作菜之瓜其实小而有毛者北人呼为赤包儿能治膈噎病者是也一云马剥
儿一名马雹儿(式斋文集)
鱼腥草本草图经不之载古人用以疗痔疾殊验其状三角一边青一边红山中多有之然其叶若
荇菜
多生于佛殿阴处以指捻之其臭与鱼腥相似故名患者取一握煎汤熏洗仍以生草 其痔不日而愈
(琐碎录)
今之郡国绝寡赫然高医者何哉夫亦由守习先术者安无变裁纵任胸臆者肆为施疗苛疾庶且
刻之功授剂需铢锱之财邦靡禁条十全道废况夫医者圣智之长神明之事也古以康物
今以丰家古以名世今以糊口无怪乎仓扁之寥寥也俞弁少穷素难博研群典测古酌今表奇征谬笔
为医说续集非知医之深者不能与此噫若子容者可以光于青囊之学矣
嘉靖庚寅五月五岳山人黄省曾撰
吾吴中故多医自项老成沦谢此道盖KT 妄一男子挟数十品药辄自诡知医实未尝读素难一字
徒漫
谰射利以人生死为戏耳悲夫俞君此编授据该博而立论能发前人之秘在今日曰绝无而仅有非耶
君好读书自稗官小说无所不窥手自笔录至数百千卷君子谓其深于医也盖稽古之力多矣丁酉秋
日小疾新愈漫读一过为书其后石帆山人陆粲谨志
万治元年戊戌仲冬谷旦
王瓜和苦菜开花，并不是现在作为蔬菜食用的那种瓜。它的果实较小且表面有毛，北方人称之为“赤包儿”，能够治疗膈噎病（食管阻塞类疾病）的正是这种植物。另一种说法称其为“马剥儿”或“马雹儿”（出自《式斋文集》）。
鱼腥草在《本草图经》中并未记载。古人用它来治疗痔疮，效果非常显著。它的形状呈三角形，一边青色，一边红色，山中有很多生长。然而它的叶子像荇菜一样，多生长在佛殿的阴凉处。用手指揉搓它，气味与鱼腥味相似，因此得名。患者取一把煎汤熏洗患处，同时用生草敷贴痔疮，不久即可痊愈（出自《琐碎录》）。
如今各地的杰出高明医生为何如此稀少呢？大概是因为那些墨守成规、拘泥于旧法的人，安于现状而不求变革；而那些放纵主观臆断、随意施治的人，虽然对轻微疾病或许能取得片刻之功，但开方用药却斤斤计较于细微的利益。国家没有禁止条令，医学上追求“十全十美”的道统已经废弃。况且，医道本是圣智之人的专长，是关乎神明造化的大事。古代行医是为了使万物安康，如今则是为了富裕家庭；古代行医是为了名扬天下，如今只是为了糊口度日。难怪像仓公（淳于意）、扁鹊这样的名医如此稀少了。我俞弁年少时虽家境贫寒、资质愚钝，但仍广泛研读经典，探究古今，表彰奇特之处，纠正谬误，笔述为《医说续集》。如果不是对医学有深刻理解的人，是不能参与此道的。唉，像子容这样的人，可以使青囊（指医学典籍或医术）之学发扬光大啊！
嘉靖庚寅年五月五日，五岳山人黄省曾撰写。
我们吴地过去医生很多，自从项老成去世之后，这一道术便充斥着荒诞妄为之徒。有些男子携带几十种药材，就自称懂医，实际上从未读过《素问》《难经》一个字，只是胡乱夸耀以谋取利益，拿人的生死当儿戏，真是可悲啊！俞君的这个编著，依据广博的资料而立论，能够揭示前人的秘密，在当今可以说是绝无而仅有的，不是吗？俞君喜好读书，从稗官野史到小说无所不窥，亲手笔录多达数百上千卷。君子认为他精通医术，大概是得益于稽考古学的力量很大。丁酉秋日，小病初愈，随手读了一遍，写下这篇后记。石帆山人陆粲谨志。
万治元年戊戌年仲冬吉日。（注：此处原文可能有误，明代纪年应为隆庆等，日本年号为万治，可能是刻本混淆或作者借日本年号，按原文直译）
The *Trichosanthes cucumerina* (Wagua) and the flowering of *Sonchus brachyotus* (Kucail) do not refer to the melon currently eaten as a vegetable. Its fruit is small and hairy; northerners call it "Chibao'er" (Red Packet Child). It is capable of treating Ge-Ye disease (dysphagia/esophageal obstruction), which is exactly what this plant refers to. Another account calls it "Mabao'er" or "Ma Baor" (from *Shizhai Wenji*).
*Houttuynia cordata* (Yuxingcao, Fish Mint) is not recorded in the *Bencao Tujing*. The ancients used it to treat hemorrhoids with remarkable efficacy. Its shape is triangular, with one side green and the other red; it grows abundantly in the mountains. However, its leaves resemble those of *Nymphoides peltata* (Xingcai) and are often found growing in the shade of Buddhist temples. When rubbed between fingers, it emits an odor similar to fish, hence its name. Patients take a handful, decoct it in water for fumigation and washing, and apply fresh herbs directly to the hemorrhoids; they heal within a few days (from *Suosui Lu*).
Why are outstanding and skilled physicians so rare in prefectures and states today? It is likely because those who adhere strictly to traditional methods are content without seeking innovation, while those who indulge in subjective speculation practice medicine arbitrarily. Although they may achieve temporary results for minor ailments, their prescriptions are driven by petty financial gains. Without national prohibitions, the Dao of medical perfection has been abandoned. Moreover, medicine was originally the domain of the sage and wise, concerning matters of divine creation. In ancient times, it was practiced to benefit all living things; now, it is pursued to enrich families. In ancient times, it brought fame to the world; now, it is merely a means to make a living. No wonder figures like Cang Gong (Chunyu Yi) and Bian Que are so scarce. I, Yu Bian, though poor and of humble aptitude in my youth, extensively studied classics, measured the past against the present, highlighted unique insights, and corrected errors. I compiled these writings into the *Xu Yishuo* (Continued Medical Sayings). Only those with deep knowledge of medicine can engage with this work. Alas, someone like Zirong could bring glory to the study of Qingnang (medical arts)!
Written on the fifth day of the fifth month of the Gengyin year of the Jiajing era, by Huang Shengzeng, Mountain Dweller of Wuyue.
Our Wu region once had many physicians. Since the passing of Xiang Laocheng, this field has been filled with absurd and reckless individuals. Some men carry dozens of medicinal ingredients and claim to know medicine, yet they have never read a single character from the *Suwen* (Basic Questions) or *Nanjing* (Classic of Difficult Issues). They merely boast indiscriminately to seek profit, treating human life and death as a game. How tragic! Master Yu's compilation is based on extensive evidence and original arguments, revealing secrets hidden by predecessors. Today, it is indeed unique and rare, is it not? Master Yu loves reading; he explores everything from unofficial histories to novels, copying hundreds of thousands of volumes by hand. Gentlemen consider him profound in medicine, largely due to his efforts in researching antiquity. On an autumn day in the Dingyou year, having just recovered from a minor illness, I casually read through this volume and wrote this postscript. Respectfully recorded by Lu Can, Mountain Dweller of Shifan.
On a propitious day in the mid-winter of the Wuxu year of the Manji era.