医道之不明也,久矣。语云∶医道通乎仙道,以之寿世,功莫大焉。奈何?今时之医,直入于鬼道,非道之
有鬼道也,以人之有诡道耳。既诡于道,即不轨于道,不轨于道,则道不行,道不行,计思所以行之,不得不诡
于其道,入于诡则出于轨,是轨之紊于诡也,因而,为诡道轨。夫天有好生之德,天道也。医具仁人之术,人道
也。求其道于天,人加意于《灵》、《素》轩岐之蕴而轨道彰焉,安有所谓鬼道者哉?人惟日与诡习,即日与轨
远与诡习则鬼道益工,与轨远,则诡道愈甚,失其光明正大之轨,趋为逆情干誉之诡,而甘入于鬼道焉。噫!以
通乎仙道之轨,易为诡道之鬼,此道之所以不明也。可慨也夫!
嘉庆八年,岁在癸亥,孟秋月上瀚枢扶氏识于十琴轩。
民国十二年,岁纪亦在癸亥,暮春多雨,索居岑寂,愁闷丛生,爰检阅藏帙,得此道光元年岁次辛巳吴季儒
手钞郑氏喉科秘本,因重录之,更讶其岁纪相值,余生年亦为辛巳也。是宝册宜有异征,立夏夜钞竣叔和记。
此歙西郑氏世传喉牙科方钞本,我家得自莲川周丈邦彦,同治纪元,兵戈纷扰,米斗钱二千文时,拥浓资有
持此册求售者,云举家虽已二日未得食,此宝则非百金不换也。丈慨然以米二石易之,珍逾拱璧,莫肯示人,后
营业失败,境日窘促,乃携以见先君子曰∶身老家落,宝不能藏,然不甘贬价,求沽感君知己,聊以为赠,虽未
言价,而索价之奢,跃然言外。先君子爰以番饼五十元酬之。时我家无习医者,庋置箧中,几饱 蠹。光绪甲午,
五兄石农
偕妇寄居其外舅程金门先生家,一日驰书来里,言其妇患喉症甚重,其外舅亦祖传内外科甚精,治之转剧,遍延
诸名宿暨歙东外科程炳文先生诊视,皆愈治愈甚,刻已,水浆不入,僵卧经朝,已料理衣榇,决无生望矣。先君
子忽然忆及此书,命均检出,一翻视曰,得无所患为白腐乎?立刻饬族兄观水星夜 往,即照书中养阴清燥,原
方重剂,与服勉为灌下,未周时,即大霍然。次早族兄回,已自起治事,并进泡饭两碗矣。嗣云∶传染十数人,
或有轻重,而照此治之辄愈。其前因此殒命者,盖三人焉。越二年,兄返里行道,遂以此症擅名,救活重险之候,
计十余云。柯君泽舟与均称莫逆,言业医半生,未大负疚,只一族妇患,白喉比时未得此书治法,率以普通疏风
清热之品投之,卒以不救,深觉歉然。余因录副本赠之,伊芳因谓余此举为大功德,医者本以利济为天职,曩昔中
国陋习相仍,得有妙技良方,率取秘密主义,神异其说,勒取多资均私,尝窃鄙之。自恨僻处山县,环境荆棘,
口钝词讷,不克出与当世贤智周旋,忧病交迫,未老先衰,真是枉生人世也。年来亲友劝迫悬壶于里,虽切济人
之诚,而乏眩人之术,直道难行,自责亦自哀焉。兹见杭州三三医社广告征求秘籍,仁义存怀, 斯民天下,
有心人俱当倾倒矣。均感佩之余,怅然未由接近,只得心神驰慕而已,适于月前录此副本,成于仓卒,兼愁闷中,
谬错未及纠正, 以寄呈,愿大加删润而推行之,俾患此者无夭扎之虞,贵社前途福祉无量。
癸亥阴历六月一日,草草跋此,以志原委,而留爪泥。叔和谨识
按∶陈修园医书四十八种中有言白喉者寥寥数页,云当养阴与此颇合,着者托言乩仙,语简而不精,且中杂
用疏散,恐遵之难收实效,不及此之精当,详明百利而无一弊也。
医道之所以不明朗,已经很久了。俗话说:医道与仙道相通,用它来造福世间、延长寿命,没有比这更大的功劳了。为什么现在的情况却不同呢?当今的医生,直接陷入了“鬼道”。这并不是说医道本身有鬼道,而是说人使用了诡诈之道。既然在医道上耍弄诡计,就不符合正道;不符合正道,医道就无法推行;医道无法推行,人们便想着如何让它推行,于是不得不违背正道,陷入诡诈之中。一旦陷入诡诈,就脱离了正轨,这是被诡诈扰乱了正轨,进而竟然把诡诈当作规矩。上天有好生之德,这是天道。医生具备仁人的医术,这是人道。向天寻求医道的本源,人在《灵枢》、《素问》以及轩辕黄帝、岐伯的深奥理论上下功夫,那么正确的轨道就会彰显出来,哪里还有什么所谓的“鬼道”呢?人只是每天与诡诈的习惯为伍,就是每天与正道疏远。与诡诈习惯相处,鬼道(歪门邪道)就越发精巧;与正道疏远,诡道就愈发严重。失去了光明正大的轨道,趋向于违背情理、博取名誉的诡诈手段,从而甘心陷入鬼道。唉!以通乎仙道的正道,轻易地变为诡诈之道的鬼域,这就是医道不明朗的原因啊。真是令人感慨万千!
嘉庆八年,岁次癸亥,孟秋月上旬,枢扶氏在十琴轩记述。
民国十二年,岁次也是癸亥,暮春时节多雨,独居寂静,愁闷丛生,于是检阅藏书,得到这本道光元年岁次辛巳年由吴季儒手抄的郑氏喉科秘本,因此重新抄录它,又惊讶地发现年份相同,我的出生年份也是辛巳年。这本宝册似乎应有特殊的征兆。立夏之夜抄写完毕,叔和记录。
这是歙县西部的郑氏世代相传的喉牙科方剂手抄本。我家从莲川周邦彦先生处获得此书。同治年间,战乱纷扰,米价昂贵,一斗米值两千文钱时,曾有人带着这本书来求售,声称全家虽然已经两天没吃饭,但这本宝书非一百两银子不换。周先生慷慨地用两石米换回了它,视若拱璧般珍贵,不肯示人。后来他经营失败,家境日益窘迫,便带着书来见我的父亲说:“我身老家乡衰落,宝物不能私藏,但不甘心低价出售,想寻找懂它的知己,姑且作为赠礼。”虽然没有明说价格,但索价之高跃然言外。我的父亲便用五十元银元酬谢了他。当时我家没有人学医,将书放在箱箧中,几乎被蠹虫吃光。光绪甲午年,五兄石农带着妻子寄居在外祖父程金门先生家。一天,他骑马送信回村里,说他妻子患严重的喉症,他的外祖父也祖传内外科非常精通,治疗反而加重病情。遍请各位名医宿老以及歙东外科医生程炳文诊治,都是越治越重,此时已水浆不进,僵卧经过一个早晨,已经准备好衣棺寿材,断定没有生望了。我的父亲忽然想起这本书,命令均(作者自称)取出,一看后说:“难道患的是白腐(白喉)吗?”立刻吩咐族兄观水星连夜前往,立即按照书中养阴清燥的原方,使用重剂量给患者服用,勉强灌下去,不到一小时,患者就霍然大愈。第二天早上族兄回来,患者已经自己起床处理事务,并吃了两碗泡饭了。随后听说传染了十几个人,有的轻有的重,但照此法治疗都痊愈了。之前因此丧命的,大概有三个人。过了两年,兄长返回家乡行医,便以此症擅长闻名,救活危重险恶的患者,共计十余人。柯泽舟君与我称莫逆之交,他说行医半生,未曾大有愧疚,只有一位族妇患白喉,当时未得到此书的治法,率先用普通的疏风清热药物投治,最终未能挽救,深感歉疚。我便抄录副本赠送给他,他因此说我的此举是大功德。医者本以利济天下为天职,过去中国陋习相沿,得到妙技良方,往往采取秘密主义,神化其说,勒取钱财据为己有,我曾私下鄙视这种做法。自恨身处偏僻山县,环境恶劣,口笨词讷,不能出山与当代贤智交往,忧病交加,未老先衰,真是枉生人世。近年来亲友劝我在家乡悬壶行医,虽有济人的诚心,却缺乏眩人之术,直道难行,自责亦自哀。这次看到杭州三三医社广告征求秘籍,怀仁义之心,为了天下百姓,有心人应当倾心支持。我感佩之余,怅然无法接近,只能心神驰慕罢了。恰好在月前抄录此副本,成书仓促,加之愁闷之中,谬误未能及时纠正,现寄呈贵社,愿大加删润并推行,使患此病者无夭折之虞,贵社前途福祉无量。
癸亥年农历六月一日,草草写下这篇跋语,以记录原委,留作纪念。叔和谨识。
按语:陈修园的医书四十八种中有提到白喉的寥寥数页,说应当养阴,这与本书颇为吻合。作者托言是乩仙所授,语言简略而不精当,且中间夹杂使用疏散之法,恐怕遵循此法难以收到实效,不如本书的精当、详明,百利而无一弊。
The reason why the Way of Medicine has remained obscure is long-standing. It is said: "The Way of Medicine connects with the Way of Immortals." To use it to benefit the world and prolong life, there is no greater merit. Why then is the situation today different? Physicians of the present time have directly fallen into the "Way of Ghosts." This does not mean that the Way of Medicine itself contains a Way of Ghosts, but rather that people employ deceitful methods. Once one plays tricks on the Way, one deviates from the Righteous Path; if one deviates from the Righteous Path, the Way cannot be practiced; if the Way cannot be practiced, people seek ways to make it work, and thus are forced to violate the Way, falling into deceit. Once in deceit, one steps out of the track; this is the track being confused by deceit, and consequently, deceit becomes the rule. Heaven possesses the virtue of loving life; this is the Heavenly Way. Physicians possess the art of benevolent people; this is the Human Way. Seeking the source of this Way in Heaven, and humans focusing on the profound theories of the *Ling Shu* (Spiritual Pivot), *Su Wen* (Basic Questions), and the wisdom of Yellow Emperor Xuanyuan and Qibo, the correct track will become manifest. Where would there be such a thing as the "Way of Ghosts"? People merely associate daily with habits of deceit, which means they distance themselves daily from the Righteous Path. Associating with deceitful habits makes the "Way of Ghosts" (unorthodox methods) more sophisticated; distancing from the Righteous Path makes deceitful methods more severe. Losing the bright and upright track, they tend toward deceit that goes against human nature to gain fame, thereby willingly falling into the Way of Ghosts. Alas! To easily transform the Righteous Path, which connects with the Way of Immortals, into the ghostly realm of deceit, this is why the Way of Medicine remains obscure. Truly lamentable!
Recorded in the early part of the first month of autumn in the Guihai year (8th year of Jiaqing), by Shufu at the Ten Qin Studio.
In the 12th year of the Republic of China, the year was also Guihai. In late spring, amidst frequent rain, living in solitude and silence, overwhelmed by sorrow and depression, I examined my book collection and found this secret manual of Zheng's Throat and Dental Surgery, hand-copied by Wu Jiru in the Xinsi year (1st year of Daoguang). I therefore re-copied it, surprised again by the matching year cycle, as my own birth year was also Xinsi. This precious volume seems to bear special omens. The copying was completed on the night of Lixia (Start of Summer). Recorded by Shuhe.
This is a handwritten manuscript of generational throat and dental prescriptions from the Zheng family in western Shexian. Our family acquired it from Mr. Zhou Bangyan of Lianchuan. During the Tongzhi era, amidst chaotic warfare, when rice cost two thousand cash per dou, someone came seeking to sell this book, claiming their whole family had gone without food for two days, yet this treasure would not be exchanged for less than one hundred taels of silver. Mr. Zhou generously exchanged two shi of rice for it, treasuring it like an arch-shaped jade disc and refusing to show it to others. Later, his business failed, and his circumstances grew increasingly desperate. He brought it to see my father, saying, "I am old and my family has declined; I cannot keep this treasure private, nor do I wish to sell it cheaply. I seek a confidant who understands its value, offering it as a gift." Although no price was explicitly stated, the high asking price was evident between the lines. My father compensated him with fifty silver dollars. At that time, no one in our family studied medicine, so the book was stored in a chest, nearly consumed by bookworms. In the Jiawu year of Guangxu, my fifth brother, Shinong, along with his wife, stayed at the home of his maternal grandfather, Mr. Cheng Jinmen. One day, he sent a letter back to the village stating that his wife suffered from a severe throat disease. His maternal grandfather, proficient in hereditary internal and external surgery, treated her, but the condition worsened. Many famous physicians and experts, including Mr. Cheng Bingwen from eastern Shexian specializing in external surgery, were consulted, but every treatment made it worse. By then, she could not take even water or gruel, lay stiffly through the morning, and coffins and burial clothes had been prepared; there was no hope of survival. Suddenly, my father remembered this book and ordered Jun (the author referring to himself) to retrieve it. Upon flipping through it, he said, "Could it be Bai Fu (White Diphtheria/Thrush)?" He immediately instructed his clan brother, Guan Shuixing, to go overnight. They administered the original prescription from the book for nourishing Yin and clearing dryness, using a heavy dose, and managed to force-feed it. Within less than an hour, she recovered miraculously. The next morning, when the clan brother returned, she had already gotten up to handle affairs and had eaten two bowls of soaked rice. Subsequently, it was reported that over ten people were infected, with varying severity, but all recovered with this treatment. Previously, three people had died from this illness. Two years later, when my brother returned home to practice medicine, he became famous for treating this condition, saving over ten patients from critical danger. Mr. Ke Zezhou, my bosom friend, told me that after half a lifetime of practicing medicine, he felt no great guilt, except for one clan woman who suffered from white diphtheria. At that time, lacking the treatment method from this book, he rashly used ordinary wind-dispersing and heat-clearing herbs, and ultimately failed to save her, leaving him deeply remorseful. I therefore copied a duplicate and gifted it to him. He said my action was a great merit. The duty of a physician is inherently to benefit and aid the world. In the past, Chinese bad habits persisted: those possessing miraculous skills and good prescriptions often adopted secrecy, mystifying their claims to extort excessive wealth for personal gain, which I privately despised. I regret being stuck in a remote mountain county with thorny surroundings, clumsy in speech, unable to interact with contemporary sages and wise men. Plagued by worry and illness, aging prematurely, I truly feel my life here is wasted. In recent years, relatives and friends have urged me to open a clinic in my hometown. Though I have sincere intentions to help others, I lack flashy techniques. The straight path is hard to follow; I blame myself and pity myself. Now, seeing the advertisement from the San San Medical Society in Hangzhou seeking secret manuscripts, harboring benevolence and righteousness for the sake of the people under heaven, any person with a caring heart should倾尽全力 (pour out their support). After feeling admiration, I felt frustrated at being unable to get close, only able to admire them with my mind and spirit. Just a month ago, I copied this duplicate. It was done hastily, and amidst sorrow, errors were not corrected in time. I send it to you now, hoping for major revisions and promotion, so that sufferers need not fear premature death, and the future blessings of your society are boundless.
Written hastily on the 1st day of the 6th lunar month in the Guihai year, to record the origin and leave a trace. Shuhe respectfully records.
Note: Among Chen Xiuyuan's forty-eight medical books, there are only a few pages mentioning white diphtheria, stating that nourishing Yin is appropriate, which aligns well with this text. However, the author attributes it to fortune-telling spirits (ji xian), the language is brief and imprecise, and it mixes in dispersing methods, making it difficult to achieve effective results if followed. It is not as precise and detailed as this book, which offers hundreds of benefits without drawbacks.