人身一小天地大都不外阴阳虚实四字故燮理得宜愆伏可以不患调剂有法疾病因之无虞是
司命者有以辨之而已苟临症疏略不暇加辨以致毫厘千里误人于俄顷者曷可胜叹此陈子远公辨
症玉函之所为着也陈子为于越世胄幼抱匡济恒以公辅自命人亦无不以公辅期之 志未售间
留心于经世之学当途者HT 勤征聘争欲延致后因远陟苍梧雅慕独秀栖霞诸胜遍历幽隐遇一庞眉
修髯衣冠岸伟者相与坐语移日因出其囊中一编授之曰熟此可以普济世人盖活人于笔端与活人
于指下均之跻斯民于寿域也陈子携归展读悉岐黄辨论问答语与世之所传内经素问诸书迥异始
悟前
此之成编累帙皆伪托以行世者陈子掩HT 肄习不数年间即以医学擅名于时客岁余仲子忽婴异症
遍召诸医不特不能祛病使去并不能辨病所自来转辗迁延经年弥剧苍崖姜世兄亲见所苦因为推
毂
适陈子以秋试入省亟延胗视一剂奏功再服而十减四五矣余力扣其所蕴知授受有自大异寻常
殊
恨相知之晚也陈子随有巨鹿之游濒行出是编以示余曰是书吾久欲问世憾剞劂无资有怀未遂耳
因忆当年余白下友人有居要津者向有膏丹异方颇自珍秘余偶过告归主人浓赆以壮行色余坚却
不受且请曰归装粗办不敢以行李相累惟得所藏秘方以广利济是吾顾也友人谊余言探囊录授余
归即购求珍药按方虔制出遇有疾患呻吟者辄牵止异之靡不立效后请乞渐广穷乡僻壤山陬海
梯
航跋 款门祈恳者无虚日惟不喜给富人为其力能疗治也余行之数十年未尝有怠色虽岁有所
损
然拯患而起废者当不可以数计矣今乃秘帙当前历有成验忍于宝山空返耶爰为授梓以公当世倘
陈子游屐所不及至胗视所未及施庶几执是编辨症而区处之不无小补知不徒为纸上陈言也陈子
所辑洞垣秘笈尚富未能一一锓行其以是编为嚆矢也可
时
康熙癸酉嘉平之望天都王之策慎庵氏题于古修堂
人身如同一个小天地,其道理大都不外乎“阴”、“阳”、“虚”、“实”这四个字。因此,调理得当,疾病隐患便可避免;调治有法,疾病也就没有忧虑了。这关键在于掌生杀大权的人(医生)能够加以辨别罢了。如果临证时疏忽大意,无暇仔细辨析,以致因毫厘之差而谬以千里,在顷刻间误人性命,这种叹息哪里能说得完呢?这就是陈子远公撰写《辨症玉函》的原因所在。
陈子远是浙江绍兴地区的世家子弟,自幼怀抱匡扶济世之志,常以宰相之才自许,人们也无不以此期望于他。志向未能施展期间,他留心研究经世致用之学。当权者勤勉征聘,争相想要延请他。后来他远行前往苍梧,仰慕独秀山、栖霞山等美景,遍游幽静隐蔽之处。遇到一位眉毛花白、胡须修长、衣冠威严高大的人,与他相对而坐交谈了一整天。那人于是从囊中取出一卷书稿交给他,说:“熟读此书,就可以普救世人。”并指出,用笔救治人与用手指脉诊救治人,同样都是使百姓进入长寿之境。
陈子远带书归来展开阅读,发现全是岐伯、黄帝关于辨证论治的问答语,与世间所传的《内经·素问》等书截然不同。这才醒悟到以前那些成编累牍的书,都是伪托之作流传于世。陈子远掩卷潜心研习,不到几年便以医学闻名于世。去年,我的次子突然患上怪病,遍召众医诊治,不仅不能祛除病痛使其离去,甚至连病症的来源都分辨不清。病情辗转拖延,经过一年更加严重。苍崖姜世兄亲眼目睹我所受的痛苦,因此极力推荐陈子远。恰逢陈子远因参加秋试进入省城,我急忙延请他为儿子诊视。一剂药见效,再服药后病情减轻了十分之四五。我尽力探询他的医术渊源,得知他的师承传授大有不同寻常之处,特别遗憾相知太晚。
陈子远随后有前往巨鹿的游历,临行前取出这部书稿给我看,说:“这本书我早就想问世,遗憾的是缺乏刻印的资金,心愿未遂罢了。”于是我想起当年我在南京的朋友中,有位身居要职的人,向来珍藏一种膏丹异方,颇为珍秘。我偶然路过告归时,主人赠送丰厚的路费以壮行色,我坚决推辞不受,并且请求说:“回乡的行装粗略准备即可,不敢以行李拖累您,只希望能得到您收藏的秘方以广施利济,这是我的愿望。”朋友认为我的话有情义,便从囊中取出抄录授予我。我回家后即刻求购珍贵药材,按照方子虔诚制作。出门遇到有疾患呻吟的人,就强行留住他们,众人感到奇怪,但无不立即见效。后来求治的人逐渐增多,穷乡僻壤、山海角落,登门祈求恳请的人没有空闲的日子。只是不喜欢给富人治病,因为他们的力量足以自我疗治。我施行此法数十年,未曾有过懈怠之色,虽然每年有所损耗,但拯救病患、起死回生的人数已不可胜计。如今面对这部珍贵的书稿,历经已有验证,难道忍心让宝山空返吗?于是为之刻印出版以公之于世。倘若陈子远足迹所不及之处,诊视所未能施行的地方,或许拿着这部书稿辨证施治,不至于毫无小补。我知道这不仅仅是在纸上陈述老话。陈子远所辑录的《洞垣秘笈》内容尚丰富,未能一一刻印发行,将以此书作为开端。
时间是康熙癸酉年农历正月的十五,天都人王之策慎庵氏题写于古修堂。
The human body is a microcosm of the universe, and its principles largely revolve around the four characters: Yin (Yin), Yang (Yang), Deficiency (Xu), and Excess (Shi). Therefore, if regulation is appropriate, hidden dangers can be avoided; if treatment methods are sound, diseases will pose no worry. This lies solely in the ability of those who hold the power over life and death (physicians) to distinguish them. If, when facing symptoms, one is negligent and has no time for careful differentiation, leading to errors of a hair's breadth resulting in a thousand-mile deviation, causing harm to people in an instant, how could such sighs be counted? This is why Master Chen Ziyuan wrote *Bian Zheng Yu Han* (Jade Compendium for Differentiating Symptoms).
Master Chen was a descendant of a prominent family in the Yuezhou region of Zhejiang. From childhood, he harbored ambitions to save the world and often regarded himself as having the talent of a prime minister; others also expected this of him. During periods when his political aspirations were not realized, he focused his attention on studies beneficial to governance and society. Those in power diligently recruited him, competing to engage his services. Later, he traveled far to Cangwu, admiring the scenic beauty of Duxiu Mountain and Qixia Mountain, visiting secluded and hidden places. He met an elderly man with white eyebrows and long beard, dressed in dignified robes, and sat with him talking for the whole day. The man then took out a manuscript from his bag and handed it to him, saying, "Familiarize yourself with this, and you can universally benefit the people." He pointed out that saving lives through writing and saving lives through pulse diagnosis are equally ways to bring the common people into the realm of longevity.
Upon returning home, Master Chen unrolled and read the manuscript, discovering it consisted entirely of dialogues between Qi Bo and Huang Di regarding syndrome differentiation, which was completely different from the *Neijing Suwen* (Yellow Emperor's Inner Canon: Basic Questions) and other books circulating in the world. He then realized that previous manuscripts filled with volumes were all spurious works circulated in the world. Master Chen closed the book and studied assiduously; within a few years, he became famous for his medical skills. Last year, my second son suddenly fell ill with a strange disease. We summoned various physicians, but they could not only fail to remove the illness but also could not identify its origin. The condition dragged on for a year, becoming more severe. Jiang Shixiong of Cangya, who witnessed my suffering firsthand, strongly recommended Master Chen. Coincidentally, Master Chen had entered the provincial capital for the autumn examinations, so I urgently invited him to examine my son. One dose produced results, and after two doses, the illness decreased by four or five tenths. I probed deeply into his medical lineage and learned that his transmission of knowledge was vastly different from the ordinary. I deeply regretted knowing him too late.
Master Chen subsequently traveled to Julu. Before leaving, he showed me this manuscript, saying, "I have long wanted to publish this book, but I regret the lack of funds for printing; my wish remains unfulfilled." I then recalled a friend of mine in Nanjing who held a key position. He possessed a secret recipe for a special plaster and pill, which he kept very private. When I happened to pass by and return home, the host gave me generous travel expenses to boost my morale. I firmly declined and requested, "My return luggage is roughly prepared; I dare not burden you with baggage requests. I only ask for your secret recipe to widely benefit and aid people; this is my desire." My friend, valuing our friendship, took it from his bag, copied it, and gave it to me. Upon returning, I immediately sought precious herbs and reverently prepared them according to the formula. Whenever I encountered someone suffering from illness and groaning, I would stop them. People were surprised, but all achieved immediate effects. Gradually, those seeking treatment expanded to remote villages, mountain corners, and sea cliffs. Those knocking on doors to beg for help came daily without fail. However, I disliked treating wealthy people because their resources allowed them to treat themselves. I practiced this for decades without ever showing fatigue. Although there were annual losses, the number of people saved from disaster and restored from ruin cannot be counted. Now, facing this precious manuscript, which has proven effective, how could I bear to let this treasure mountain go empty-handed? Therefore, I arranged for its printing to make it public. In places where Master Chen's footsteps did not reach and his diagnoses were not applied, perhaps holding this manuscript to differentiate symptoms and manage treatment will not be without some minor contribution. I know this is not merely stating old words on paper. The *Dong Yuan Mi Ji* (Secret Records of Dong Yuan) compiled by Master Chen is still rich in content and cannot be printed one by one; this book will serve as the beginning.
The time is the 15th day of the first lunar month in the Guiyou year of the Kangxi reign. Written by Wang Zhice, courtesy name Shen'an, from Tiandu, at the Gu Xiu Hall.