(古无痧字,本作沙,俗或作痧,又作痧。)
痧无专书,虽古有绞肠痧、干霍乱、青筋、白虎、中恶等症治,而禁忌未明,剖析未尽
,千古如在暗室,医家托为怪症。稍知推拿 刮者,又禁人服药,迷误就毙,可胜悼哉!康
熙初,林药樵始以痧书授王养吾,丙寅刻、晰微补化,全书未广流传。乾隆丙午,江宁有重
梓施送者,《沈氏尊生书》亦已收入,而见者卒鲜。爰为删纂开雕,较原书词理简净,视沈
刻眉目清疏,中有叠出数见者,便于仓猝检阅,对症施治,毋嫌烦复也。方名原取六十四卦
,今改八音分纪,省字数易记查耳。家置一册,庶几识所忌宜,无误身命,倘有同志益广其
传可也。嘉庆三年岁次戊午泰兴何汾丹流氏志。
附原书正误一条∶医家不信有痧,头痛则用紫苏、麻黄发汗。腹痛则用木香、枳实温中
。不语直视则认为阴症,而用桂、附、干姜。卒倒脉伏,认为中风而用牛黄、苏合,小儿则
误作惊风、痘症,妇人则误为经阻血凝,立刻杀人,可胜惜哉!人只知绞肠痛是痧,不知有
下肚疼而种种杂症之兼现,疑似之间,必当详究也。
吾师林姓,其先闽人,讳森,号药樵,自号深山野人,性韬晦,有山水癖,佳句妙楷,
时与邱壑争奇。一日遇于荆溪之南岳,拂石对语,片晌投洽,徐而叩之。凡天文、术数、地
理、方药,无不精贯,予追随不忍释。野人曰∶伟男子立身行己,岂得虚生于天地,必将世
上人维持调护,所贵一点真心耳。出《痧书》一册付予曰∶子知医,是书不道人所已言,不
经人所已试,持此以往,可与古人颉颃霄汉间矣。既又授我手法。予复综核古今,即所闻见
,编成是书,幸得张子一庵,详加订绎,紫崖詹子,概为梓传,二十年来,始得相与有成、
以广野人之惠泽,岂偶然哉。康熙丙寅养吾山人王凯伟仙志。
(古代没有“痧”这个字,原本写作“沙”,民间有时写作“痧”,又写作“痧”。)
关于“痧”症并没有专门的书籍,虽然古代有关于绞肠痧、干霍乱、青筋、白虎、中恶等病症的治疗记载,但是禁忌不明确,分析也不透彻,使得千古以来人们如同在暗室中摸索,医家将其托辞为怪症。稍微懂得推拿和刮痧的人,又禁止病人服药,导致迷误致死,这难道不值得哀悼吗!康熙初年,林药樵才开始将《痧书》传授给王养吾,在丙寅年刻印时进行了辨析微理、补充化裁的工作,但全书并未广泛流传。乾隆丙午年,江宁有人重新刻印并施舍赠送,《沈氏尊生书》也已将其收入,但见到的人终究很少。因此我对此进行删减编纂并开雕印刷,比原书的词句义理更简洁纯净,比沈氏刻本的眉目更清晰疏朗,其中有重复出现多次的内容,便于仓促间查阅,对症施治,不嫌烦琐重复。方剂名称原本取自六十四卦,现在改为用八音分类记录,以节省字数,易于记忆和查找。家中放置一册,或许能让人识别所忌宜之事,不致误伤性命,如果有志同道合者能进一步推广其流传就好了。嘉庆三年岁次戊午,泰兴何汾丹流氏记述。
附原书纠正错误一条:医家不相信有“痧”症,头痛就用紫苏、麻黄发汗。腹痛就用木香、枳实温中。不语直视就认为是阴症,而用桂枝、附子、干姜。突然昏倒脉象伏匿,认为是中风而用牛黄、苏合香丸,小儿则误作惊风、痘症,妇人则误为经阻血凝,立刻致人死亡,这难道不值得痛惜吗!人们只知道绞肠痛是痧,不知道还有下肚疼以及种种杂症同时出现的情况,在疑似之间,必须详细探究。
我的老师姓林,祖先是福建人,名讳森,号药樵,自号深山野人,性格韬光养晦,有山水癖好,佳句妙楷,时常与山川沟壑争奇斗艳。有一天在南岳遇到他,拂去石头上的灰尘相对交谈,片刻间投缘融洽,我便慢慢向他请教。凡是天文、术数、地理、方药,无不精通贯通,我不忍心离开追随他。野人说:“伟大的男子汉立身处世,怎么能虚生于天地之间,必将世间的人维持调护,可贵的一点真心罢了。”拿出《痧书》一册交给我说:“你懂医术,这本书不说道人已说过的话,不经过人已试过的方,拿着它前行,就可以与古人在霄汉之间抗衡了。”随后又传授我手法。我又综合考核古今,根据所听闻见到的,编成这本书,幸好得到张子一庵,详细加以订正演绎,紫崖詹子,概为刻印传播,二十年来,才得以相互成就,来扩大野人的恩泽,这难道是偶然的吗。康熙丙寅年,养吾山人王凯伟仙记述。
(There was no character for "Sha" in ancient times; it was originally written as "Sha" (sand), and colloquially sometimes as "Sha" (miasma/toxin), or again as "Sha".)
There is no dedicated book on "Sha". Although there were ancient treatments for conditions such as Jiao Chang Sha (intestinal colic miasma), Gan Huo Luan (dry cholera), Qing Jin (green veins), Bai Hu (white tiger), and Zhong E (sudden evil invasion), the contraindications were unclear, and the analysis was incomplete. For millennia, people have been like those groping in a dark room, with physicians dismissing these as strange diseases. Those who knew slightly of Tuina (massage) and Gua Sha (scraping) prohibited patients from taking medicine, leading to death due to confusion and error. Is this not worthy of deep lament! In the early Kangxi reign, Lin Yaoqiao began to transmit the *Book on Sha* to Wang Yangwu. During the Bingyin year, it was engraved with clarifications of subtle principles and supplementary transformations, but the complete work did not circulate widely. In the Bingwu year of the Qianlong reign, someone in Jiangning re-engraved it and distributed it freely. It was also included in the *Shen Shi Zun Sheng Shu*, yet few had seen it. Therefore, I edited and compiled it for engraving. Compared to the original book, the wording and reasoning are simpler and purer; compared to the Shen edition, the layout is clearer and more distinct. There are repetitions found multiple times, which facilitates quick consultation in emergencies for symptomatic treatment. Do not dislike the redundancy. The names of the prescriptions were originally taken from the Sixty-Four Hexagrams of the I Ching; now they are revised into eight categories based on musical tones to save characters and make them easier to memorize and check. Keeping a copy at home may help one recognize what to avoid and what is appropriate, preventing errors that endanger life. If there are like-minded individuals, they may further spread its transmission. Recorded by He Fen, courtesy name Danliu, from Taixing, in the Wuwu year of the third year of the Jiaqing reign.
Appendix: One correction of errors from the original book: Physicians do not believe in the existence of "Sha". For headache, they use Zisu (Perilla Leaf) and Mahuang (Ephedra Herb) to induce sweating. For abdominal pain, they use Muxiang (Aucklandiae Radix) and Zhishi (Immature Bitter Orange) to warm the middle. For muteness and fixed gaze, they diagnose Yin Syndrome (Yin Zheng) and use Guizhi (Cinnamon Twig), Fuzi (Prepared Aconite Root), and Ganjiang (Dried Ginger). For sudden collapse and hidden pulse, they diagnose Fengzhong (Wind Stroke) and use Niuhuang (Calculus Bovis) and Suhe Xiang Wan (Styrax Pill). For children, they mistakenly diagnose Jingfeng (Convulsive Disorder) or Douzheng (Smallpox/Chickenpox); for women, they mistakenly diagnose Jingzu (menstrual obstruction) and Xuening (blood stasis). This immediately kills people. Is this not worthy of deep regret! People only know that intestinal cramping pain is Sha, but do not know about lower abdominal pain accompanied by various miscellaneous symptoms. Between doubt and similarity, one must investigate in detail.
My teacher's surname was Lin. His ancestors were from Fujian. His given name was Sen, his style name was Yaoqiao, and he called himself Shenshan Yeren (Wild Man of the Deep Mountain). His nature was reserved and obscure; he had an addiction to landscapes. His excellent verses and fine calligraphy often competed in wonder with mountains and valleys. One day, I met him at Mount Nan Yue south of Jingxi. We brushed off the stone and talked face-to-face. After a short while, we felt a strong rapport. I then slowly asked him questions. Regarding astronomy, numerology, geography, and herbal prescriptions, he was proficient in all. I followed him and could not bear to leave. The Wild Man said, "How can a great man stand and act in the world without purpose? He must maintain and care for the people of the world. What is precious is a single point of true heart." He took out a volume of the *Book on Sha* and gave it to me, saying, "You understand medicine. This book does not speak what others have already said, nor does it use what others have already tried. With this, you can go forth and rival the ancients in the highest heavens." Afterwards, he taught me manual techniques. I then comprehensively examined ancient and modern sources, compiling this book based on what I had heard and seen. Fortunately, Zhang Yi'an carefully corrected and interpreted it, and Zha Ya Zhan printed and disseminated it. Over twenty years, we were able to achieve success together, thereby expanding the beneficence of the Wild Man. Was this merely coincidence? Recorded by Wang Kaiwei, courtesy name Xian, the Hermit of Yangwu, in the Bingyin year of the Kangxi reign.