丁甘仁先生,孟河名医也,孟河故医学渊薮,而先生独超。其再传至济万君,箕裘弗替,衣钵克承,以祖
庭心法之所得,分门别类,列为医案,公诸当世,悬壶申江者有年矣。丁卯夏,仆漫游沪上,一见如故,名下
无虚,察色观豪,应手回春,斯固颖悟华淋,似饮上池之水,薪传橘井,厌窥中古之书者矣。嗣出所辑思补山
房医案见示,属为之序文。夫医之为术,济世活人,而世往往视为神秘,深隐莫测,如佛家之心印,道家之口
诀,致使数千年之医学,竟尔失传。至如扁鹊、华佗之流,史存其文,术亡其旧,于是西医以解剖之精,研几
之审,起而代之,而中华医术,势将为时代之落伍者,良可慨也!济万君有鉴于此,感喟而兴,振乃祖之心得,
付梨枣
而遍观,成一家之言,为万世之方,析疑辨难,矫未俗之肤受,苦心勤求,挽既失之国粹,此盖为耶之慈善,
墨之博爱,而吾儒之所谓仁者,爱人者也。
甘仁先生后起有人,向导万古,于兹益信已。
丁卯嘉平月上浣日陇右马福祥序
古方书之见于着录者,有长桑君之禁方,葛洪肘后救卒方,陶宏景补肘后救卒备急方,孙思邈之千金方,
以及华佗漆叶青粘之散,素女玉机金匮之藏,片羽吉光,珍为秘笈。盖医之有方,犹吏之有课,史之有评,诗
之有品,书之有断,于以考镜得失,钩稽利病,非徒重空文以自见者比也。周礼医师岁终则稽其医事,以制其
食,十全为上,十失一次之,十失二又次之,十失三更次之,十失四为下。所谓稽其医事者,度亦去其方案,
以验其成绩之良否耳。宋代编辑名方,颁行天下郡国,述时疫之状,至为纤悉。庆历中,范文正达言自京师以
逮四方,学医之人,皆聚而讲习,以精其术。黜庸谬,拯生灵,倬然为治道之助,其重视医术,犹不失周礼之
遗意。夫医之为道,至精且专,病者托其生命于医师之
手,呼吸之间,生死以之,故有不为良相之喻。叔季以还,学术衰落,不独于医道然也,而脉不审枢阖,味不
辨咀,昧帷中之十指,忘涪上之六微,形上也而形下示之,陈陈相因,恬不为怪。试过夫一 之市,彼家和
缓而户岐区者,上者浮光掠影,幸而有瘳,自矜首功,不幸而否,亦不任咎,若是者,其用心至巧,而其弋大
名也亦至速。下焉者则直冥途 埴,如大匠之操刀而割耳。苟有能着书立说,本其平日学识经验所得,明诏当
世,以共事切磋者,则且心折而目笑存之,然而卒亦不数数觏,盖医道之难能而可贵也如此。余频季客海上,
习习闻丁甘仁先生之名,客夏旧患便血症大剧,镇海金君雪塍语余,非求治于丁先生不可,因为预言其处方治
病事甚悉,乃驱车往访,至则遇先生于门,盖已日旰罢诊矣。越数日而讣至,匆匆一面,竟成千古,自怅求益
之晚。嗣乞其文孙济万诊断,不一月而所患若失。济万之学,一出先生,过从既数,辄因济万而思及先生,以
未得亲炙为憾。一日,济万出所集先生方案示余,以墨首之文相属。余受而读之,恍若亲承先生之绪论,证以
金君所言,又往往而合,夙昔怀想,为之大慰。夫医非三世不专,非九折不精,先生之矫然自异,济万之恪守
祖德,皆
晚近所罕见,丁氏之以医世其家也有以哉!昔扁鹊之治病也,饮药三十日,视见垣一方,与科学家之所谓爱格
司光者,照人脏腑,洞见症结,将毋同?济万虚中劬学,锲而不舍,行且媲美昔贤,宁止发扬家学,聊于此书,一
发其凡。若夫先生之勤味道腴,术擅活人,则精于医者,类能道之,毋 余之赘言云。
丁卯十有一月元吉西神王蕴章谨序于秋平云室
Mr. Ding Ganren was a famous physician of Menghe. Menghe was originally the cradle (academic center) of medicine, yet Mr. Ding stood out among them. His medical lineage continued to his great-grandson, Mr. Jiwan, without interruption, and the mantle was successfully inherited. Utilizing the essence obtained from the ancestral school's core methods, he categorized and compiled medical cases, making them public. He had been practicing in Shanghai for many years. In the summer of the Dingmao year, I wandered in Shanghai and met him; we felt like old friends upon first meeting. As expected, his reputation was well-deserved. By observing facial complexion and examining pulse, he cured diseases with a touch of his hand, bringing patients back to health. This was indeed due to his brilliant intelligence, akin to drinking the "water of Shangchi" (referring to Bian Que's ability to see through organs), inheriting the tradition of "Jujing Spring Fragrance" (symbolizing high medical skill and virtue), and extensively studying ancient medical texts. Subsequently, he showed me the medical cases compiled in the Sibushanfang Studio and requested that I write a preface for it.
Medicine as an art aims to save the world and revive the dying, yet people often regard it as mysterious and unfathomable, similar to the "mind seal" of Buddhism or the "oral secret" of Daoism, causing thousands of years of medical knowledge to be lost. Figures like Bian Que and Hua Tuo remain only in historical records, while their techniques have perished. Consequently, Western medicine rose to replace traditional Chinese medicine with its precise anatomy and rigorous research, leaving Chinese medicine seemingly lagging behind the times, which is truly lamentable! Witnessing this, Mr. Jiwan was moved and inspired. He revitalized his grandfather's insights, published them widely, established a unique school of thought, and set standards for future generations. He analyzed doubts and difficulties, corrected superficial contemporary practices, studied assiduously with painstaking effort, and sought to recover the national essence that had been lost. This reflects the charity of Christianity, the universal love of Mohism, and the Confucian concept of "Ren" (Benevolence), which means loving others.
There are successors to Mr. Ding Ganren who will guide through the ages, confirming this belief further.
Preface by Ma Fuxiang of Longyou, early days of the twelfth lunar month, Dingmao year.
Ancient formularies recorded include Changshang Jun's Secret Prescriptions, Ge Hong's *Zhouhou Beiji Fang* (Handbook of Prescriptions for Emergencies), Tao Hongjing's supplement to it, Sun Simiao's *Qianjin Fang* (Prescriptions Worth a Thousand Gold), Hua Tuo's Qiyе Qingnian Powder, and collections like *Sunü Yujī Jinguì*. These fragments are as precious as auspicious feathers and single rays of light, treasured as secret manuals. Medicine having prescriptions is like officials having performance reviews, historians having critiques, poets having aesthetic judgments, and calligraphers having standards for evaluation. It serves to examine gains and losses, investigate benefits and harms, rather than merely valuing empty words for self-display. The *Rites of Zhou* stipulated that physicians were reviewed at year-end to determine their salary: perfect success was best, one failure in ten was next, two failures third, three failures fourth, and four failures worst. Such review essentially evaluated outcomes based on treatment plans. During the Song Dynasty, famous prescriptions were edited and distributed nationwide, detailing epidemic symptoms meticulously. In the Qingli era, Fan Zhongyan suggested gathering physicians from the capital to local regions for study to refine their skills, eliminating mediocrity and saving lives, thereby assisting governance. Their emphasis on medicine retained the spirit of the *Rites of Zhou*.
Medicine is a profound and specialized way. Patients entrust their lives to physicians; within a breath, life or death is decided. Hence the saying: "If not a good minister, then be a good doctor." Since the decline of society, academic rigor has faded, not just in medicine. Physicians fail to examine the dynamics of pulses, distinguish drug flavors, rely blindly on finger palpation under curtains, forget the subtle teachings of Fu Weng, focus on form over substance, follow conventions uncritically, and act unashamedly. I once visited markets where those claiming to be like He Huan (a legendary healer) or representing various schools operated. The better ones skimmed the surface; if they succeeded, they boasted; if they failed, they took no responsibility. Such individuals used clever tactics to gain fame quickly. The inferior ones groped in the dark, like a carpenter using a knife to cut ears—absurd. Those who wrote books based on experience to share with peers were rare, proving how difficult and valuable the medical path is.
I frequently heard of Mr. Ding Ganren while residing in Shanghai. Last summer, my chronic hematochezia worsened severely. Mr. Jin Xuecheng from Zhenhai advised me to seek treatment from Mr. Ding, praising his diagnostic precision. I visited him, but found he had finished consultations for the day. Days later, I received news of his passing. Our brief meeting became eternal; I regretted seeking his guidance too late. Later, I consulted his grandson, Mr. Jiwan. Within a month, my illness vanished. Mr. Jiwan’s learning stems from Mr. Ding. Having interacted frequently with Jiwan, I often thought of Mr. Ding, regretting not having studied directly under him. One day, Jiwan showed me the collected cases of Mr. Ding and asked for a preface. Reading it, I felt as if receiving Mr. Ding’s teachings personally. Corroborating with Mr. Jin’s accounts, the details matched perfectly, bringing great comfort to my long-held admiration. Medicine requires three generations of transmission to master and nine setbacks to perfect. Mr. Ding’s distinctiveness and Jiwan’s adherence to ancestral virtues are rare in recent times. The Ding family’s medical heritage is well-founded! When Bian Que treated diseases, after thirty days of medication, he could see through walls, similar to how scientists use X-rays to visualize internal organs and diagnose precisely. Are they not alike? Jiwan studies humbly and diligently, persevering relentlessly. He will soon rival ancient sages, not only promoting family learning but also revealing the essentials of this book. Regarding Mr. Ding’s diligent exploration of medical principles and his skill in saving lives, experts can speak of it sufficiently; no need for my superfluous words.
Preface by Shen Yuzhang of Xi, auspicious day of the eleventh lunar month, Dingmao year, written respectfully at Qiuping Cloud Chamber.