潞州提领姬世英,平昔好冷物凉药,自谓膏粱充肥必多热,因眼疾又并寒剂数日,遂得阴病
。脉紧而无力,自胸至脐腹下大痛剧甚,凡痛则几至于毙。去岁已尝有此证,求治于宋文之
,得愈。今复病,尤甚于去年。又亟命文之,文之与姜附等剂虽稍苏,痛不已,遂以文之
所用方内倍芍药,令服之。予谓病者曰∶良久痛当自胸中下,节次至腹,或大便得利,或后
出余气,则寒毒得以出矣。后果如其言。翌日愈后,令常服神应丸,以断其积寒之根。
《阴证略例》一册,元海藏老人王好古撰,以伤寒阴证较阳证尤难辨,故作专书以发明之。
审证用药具有条理,前有麻革信之序。考《四库》着录海藏医书有《医垒元戎》十二卷,《
此事难知》二卷,《汤液本草》三卷,独无此书,盖当时尚未出也。而明人编《东垣十书》
者,亦未见此书,知为罕觏之秘笈矣。此本前有虞山钱会遵王藏书一印,又有惠定宇手定本
一印,又有孙印从沾庆增氏二印,中有惠栋之印,字曰“定宇”。二印后有孙庆增家藏一印
。近为吾友震泽吴君晓钲所得,真旧钞也。好古字进之,赵州人,以进士官本州教授。自金
入元,少时与李杲东垣同游张元素洁古之门,而年辈较晚,其后复学于东垣,故《医垒元戎
》称先师洁古老人,又称东垣李明之先生,而此书麻序但云海藏先生王君进之,家世赵人,
早以通经举进士,晚独喜言,医始从东垣李明之,尽传其所学。册末自题亦云不知何日复得
吾东垣李先生一问之,并不及洁古何欤?然书中首列岐伯阴阳脉例,即次以洁古老人内伤三
阴例,乃次以海藏老人内伤三阴例,而伊芳尹、扁鹊、仲景诸例俱编于后,虽不称先师而尊师
之意已隐然见于言外矣。或有訾其用药过于温热者,不知专论阴证,何可杂入阳证治法。海
藏着述具存,岂但能治阴证不能治阳证者,安得以后入不辨阴阳,偏执贻误,追咎古人哉!
自序题壬辰岁为金哀宗天兴元年,即蒙古太宗四年。册末自题称丙申秋,乃蒙古太宗八年,
金亡已三年矣。麻序题岁癸卯,则太宗后乃马真氏称制之二年也。《医垒元戎》成于丁酉,
岁在此书后一年,唯《此事难知》自序题至大元年,则上距金亡已七十余年,岂海藏享上寿
至武宗时犹存耶?抑至大当是至元刊本之讹耶?并书以俟考。
同治三年岁在甲子秋七月乌程汪日桢书于上海寓舍
潞州提领姬世英,平时喜欢吃生冷食物和寒凉药物,自认为饮食肥甘厚味必然导致体内多热,因此因眼疾又连续数日服用寒凉药剂,最终得了阴证。脉象紧而无力,从胸部到脐腹下方剧烈疼痛,每次发作时几乎要死过去。去年曾经有过这种病症,向宋文之求治,得以痊愈。如今再次发病,比去年更严重。于是急忙请宋文之诊治,宋文之使用附子、干姜等温热药剂,虽然患者稍微清醒一些,但疼痛并未停止,于是就在宋文之所用的方剂中加倍芍药的用量,让患者服用。我对病人说:“过一会儿疼痛应该会自行从胸部向下传导,分节次到达腹部,或者大便通畅,或者排出残余气体,那么寒毒就能排出了。”后果然像我说的那样。第二天病愈后,让他常服神应丸,以断绝积寒的病根。
《阴证略例》一册,由元代海藏老人王好古撰写,因为伤寒阴证比阳证更难辨别,所以专门著书来阐发其理。审察证候、运用药物条理清晰,前面有麻革(字信之)作的序。考证《四库全书》著录的海藏医书有《医垒元戎》十二卷,《此事难知》二卷,《汤液本草》三卷,唯独没有这本书,大概是当时尚未刊行。而明代人编纂的《东垣十书》中,也未见此书,可知这是罕见的秘本。这个版本前有虞山钱会(字遵王)的藏书印,又有惠定宇手定本的印章,还有孙从沾庆增氏的两枚印章,中间有惠栋的印章,字为“定宇”。两印之后有孙庆增家藏的印章。最近被我的朋友震泽吴晓钲得到,确实是旧抄本。王好古字进之,赵州人,凭进士身份担任本州教授。自金朝入元朝,年轻时与李杲(号东垣)一同师从张元素(号洁古),但辈分较晚,后来又在李杲门下学习,所以在《医垒元戎》中称先师为洁古老人,又称东垣李明之先生,而这本书麻序只称海藏先生王君进之,家世赵人,早年通晓经学考中进士,晚年独喜谈论医学,起初跟随东垣李明之,尽传其所学。书末自题也说不知何日才能再得吾东垣李先生一问,都不提及洁古,为什么呢?然而书中首先列出岐伯阴阳脉例,接着是洁古老人内伤三阴例,然后是海藏老人内伤三阴例,而伊芳尹、扁鹊、仲景等人的例子都编在后面,虽然没有称先师,但尊师之意已隐含在言语之外。有人指责他用药过于温热,不知道这是专门论述阴证的,怎么能混杂进入阳证的治疗方法呢?王好古的著作都保存下来,难道只是能治阴证而不能治阳证的人吗?怎能因为后人不懂辨别阴阳,偏执误人,就追究古人的责任呢!自序题为壬辰岁,即金哀宗天兴元年,也就是蒙古太宗四年。书末自题称丙申秋,是蒙古太宗八年,金朝灭亡已经三年了。麻序题岁癸卯,则是太宗后乃马真氏称制的第二年。《医垒元戎》成书于丁酉年,是在这本书之后一年,只有《此事难知》自序题至大元年,则距离金朝灭亡已七十多年,难道海藏长寿到武宗时期还活着吗?还是至大是至元刊本的讹误呢?一并写下以供考证。
同治三年岁在甲子秋七月乌程汪日桢书写于上海寓舍
Ji Shiying, the Commander of Luzhou Prefecture, habitually consumed cold foods and cooling medicines. He believed that his rich diet inevitably caused excessive heat in his body. Consequently, due to an eye ailment, he took cold-natured remedies for several days, which led to a Yin syndrome (a pathological state characterized by deficiency of Yang or excess of Yin). His pulse was tight yet powerless. He suffered from severe pain extending from the chest down to the lower abdomen. Each episode of pain was so intense that it nearly proved fatal. He had experienced this condition the previous year and recovered after seeking treatment from Song Wenzhi. This time, the illness recurred and was more severe than before. He urgently summoned Song Wenzhi again. Although Song prescribed decoctions containing dried ginger (Ganjiang) and prepared aconite (Fuzi), which slightly revived the patient, the pain persisted. Therefore, Song doubled the dosage of Paeoniae Radix Alba (Baishao) in his original prescription and administered it. I told the patient: "After a while, the pain will likely radiate downward from the chest, segment by segment, reaching the abdomen. If your bowels become unblocked or residual gas is passed, the cold pathogenic factor will be expelled." The outcome indeed followed my prediction. The following day, after recovery, he was instructed to regularly consume Shenyin Wan (Miraculous Efficacy Pill) to eradicate the root of accumulated cold.
*Yin Zheng Lue Li* (Brief Examples of Yin Syndromes), a single volume, was authored by Wang Haogu, known as the Old Man of Haizang, during the Yuan Dynasty. Because Yin syndromes in Cold Damage (Shanghan) are harder to differentiate than Yang syndromes, he wrote this specialized book to elucidate them. The differentiation of symptoms and application of medicines are logical and systematic. It includes a preface by Ma Ge (courtesy name Xinzhi). According to the records in the *Siku Quanshu* (Complete Library of the Four Treasuries), Wang Haogu's medical works include *Yi Lei Yuan Rong* (The Origin of Medical Ramparts), 12 volumes; *Ci Shi Nan Zhi* (Difficulties in This Matter), 2 volumes; and *Tang Ye Ben Cao* (Materia Medica of Decoctions), 3 volumes. This book is absent from those records, suggesting it had not yet been published at that time. Furthermore, it does not appear in the Ming Dynasty compilation *Dongyuan Shishu* (Ten Works of Dongyuan), indicating it is a rare secret manuscript. This copy bears the library seal of Qian Hui (courtesy name Zunwang) of Yushan, a hand-corrected seal of Hui Dingyu, and two seals of Sun Congzhan Qingzengshi. In the middle is the seal of Hui Dong, whose courtesy name was "Dingyu". Behind these two seals is the family collection seal of Sun Qingzeng. Recently, it was acquired by my friend Wu Xiaozheng from Zhenze; it is indeed an old manuscript copy. Wang Haogu, courtesy name Jinzhi, was from Zhaozhou. He served as a professor in his prefecture after passing the imperial examination. Transitioning from the Jin to the Yuan Dynasty, he studied under Zhang Yuansu (courtesy name Jiegu) in his youth, along with Li Gao (styled Dongyuan), though he belonged to a younger generation. Later, he studied under Li Gao. Thus, in *Yi Lei Yuan Rong*, he refers to Master Jiegu as "Old Man Jiegu" and to Li Gao as "Mr. Li Mingzhi of Dongyuan". However, the preface by Ma Ge in this book only refers to "Master Haizang, Mr. Wang Jinzhi", stating he was from a Zhao family, passed the jinshi examination early in life through proficiency in classics, and later devoted himself to medicine, initially studying under Li Mingzhi of Dongyuan and mastering all his teachings. The self-inscription at the end of the volume also says, "I do not know when I will again have the opportunity to ask my Mr. Li of Dongyuan," omitting any mention of Jiegu. Why is this? Yet, the book begins with examples of Yin-Yang pulses from Qibo, followed by examples of internal injury to the Three Yin meridians from Old Man Jiegu, then by examples from Old Man Haizang, while examples from Yi Fangyin, Bian Que, and Zhang Zhongjing are compiled later. Although he does not explicitly call him "Master," the respect for his teacher is implicitly evident in the text. Some criticize his use of overly warm and hot medicines, failing to realize that since this book specifically discusses Yin syndromes, it should not mix in treatment methods for Yang syndromes. Wang Haogu's writings are preserved; does this mean he could only treat Yin syndromes and not Yang syndromes? How can we blame ancient masters for errors caused by later practitioners who fail to distinguish between Yin and Yang and hold biased views? The self-preface is dated Renchen Year, which is the first year of Tianxing era of Emperor Aizong of Jin, corresponding to the fourth year of Emperor Taizong of Mongolia. The self-inscription at the end mentions Bing Shen Autumn, which is the eighth year of Emperor Taizong of Mongolia, three years after the fall of Jin. The preface by Ma Ge is dated Gui Mao Year, which is the second year of Empress Dowager Naimazhen's regency after Emperor Taizong. *Yi Lei Yuan Rong* was completed in Ding You Year, one year after this book. Only the self-preface of *Ci Shi Nan Zhi* is dated Zhida First Year, which is over seventy years after the fall of Jin. Did Wang Haogu live to such an advanced age, surviving until the reign of Emperor Wuzong? Or is "Zhida" a typo for "Zhiyuan"? These points are recorded here for further verification.
Written by Wang Rizhen of Wucheng at his residence in Shanghai in the seventh month of autumn, in the year Ji Zi, third year of Tongzhi.