三家医案,藏箧有年,校刊医效秘传竣事,同人以两书如丰城宝物,必合延津,怂恿合
刻。缘重为补订,命门人凌又新,侄右 校正,以应同人之命。并略系例言如左。
医案与医书,似同实异。书则示人以规矩,故宜分门别类,使后学有一定之准绳;案则
因症用
方有一方之运用,不致泥古不化,以佐书之不逮。既无定体,奚烦类别,故随选随录之。况
案中病情杂见者颇多,本难条分缕析也。
叶氏方案,散播人间者不少,然所存俱当时门诊为多,余搜罗二十余年,不下八九百案
禊湖毛氏、邱氏本,皆系及门汇存赴诊之案。案中议论超迈,立法精到,尤足启迪后人,故
采取独多于他本。
薛案,余所得郡中朱氏抄存本外,散见者落落晨星。如定武兰亭不少概见,惟余同里
莲溪有手抄本,较朱本多十分之四,亟为注册表。然终恨存方不多,倘同志君子另有藏本,尚
希邮寄补刊,以广其传,幸甚。
缪案,乃业师张友樵先生手录。缪氏专于调补,善用异类有情之品,疗治虚劳杂症,头
头是道,实补前哲所未发。故合纂行世。
是书所录,仅三家之寸鳞片爪耳。而回春妙手,已见一斑,诚即此触类而引伸之,于斯
道未必无小补云。
续刊书五各,西洋利西泰人身说概,盐官裴一中言医,平湖陆秋山瘟疫新编,暨拙着语
冰漫录,阅历知非,俱已汇稿嗣出。
道光辛卯秋八月望日笠泽吴金寿子音氏识
The *Three Physicians' Medical Cases* has been kept in a book chest for many years. After the completion of the collation and printing of *Yi Xiao Mi Chuan* (Secrets of Medical Efficacy), like-minded friends, regarding these two books as precious treasures akin to the swords found at Fengcheng and Yanjin, urged that they be combined and printed together. Consequently, I undertook further supplementation and revision, instructing my disciple Ling Youxin and my nephew Wu You to proofread and correct the texts, in response to their request. The following precepts are briefly listed below.
Medical cases and medical books appear similar but are fundamentally different. Books demonstrate rules and standards to readers; therefore, they should be categorized by subject matter so that beginners have a fixed guideline. Cases, however, involve applying formulas based on specific symptoms, demonstrating the flexible application of a single formula without rigid adherence to ancient methods, thereby supplementing the limitations of books. Since cases lack a fixed format, there is no need for strict categorization; thus, I selected and recorded them as I went. Moreover, since cases often present complex and mixed clinical presentations, it is inherently difficult to analyze them with meticulous detail.
Ye Tianshi's case records are widely circulated among the public, yet most preserved ones are outpatient consultations. Having collected materials for over twenty years, I gathered no fewer than eight hundred to nine hundred cases. The versions by Mao and Qiu from Xihu were compiled and preserved by their disciples from home visits. The discussions in these cases are profound, and their formulation principles are precise, making them particularly enlightening for future generations; hence, I adopted more of these than other versions.
Regarding Xue Bing's cases, besides the copy preserved by the Zhu family in our county, scattered copies are rare, much like the elusive Lanting Preface from Dingwu. Only Mr. Lianxi, a fellow townsman, possessed a handwritten copy containing forty percent more content than the Zhu version, which I promptly registered and noted. However, I regret that the number of prescriptions preserved is small. If any gentleman sharing this interest possesses another copy, I hope he will mail it to me for supplementary printing to facilitate its wider dissemination, which would be greatly appreciated.
Miao Wei's cases were hand-recorded by my principal teacher, Mr. Zhang Youqiao. Miao specialized in regulation and tonification, skillfully utilizing "sentient substances of different categories" (animal-derived medicinal materials) to treat consumptive diseases and miscellaneous disorders. His approach was logical and comprehensive, truly filling gaps left by earlier physicians. Therefore, these have been compiled and published together.
The cases recorded in this book represent only a fragment of the three physicians' works. Yet, glimpses of their miraculous healing skills are evident. It is hoped that readers may extend these insights through analogy and deduction, providing perhaps a minor contribution to the art of medicine.
Subsequent publications planned include five volumes: *Ren Shen Shuo Gai* (General Description of the Human Body) dictated by the Westerner Matteo Ricci, *Yan Yi* (Remarks on Medicine) by Pei Yizhong of Yanguan, *Wen Yi Xin Bian* (New Compilation on Plague Diseases) by Lu Qiushan of Pinghu, along with my own works *Yu Bing Man Lu* (Casual Records of Speaking Ice) and *Yu Li Zhi Fei* (Knowing Errors Through Experience). These manuscripts have been compiled and will be issued subsequently.
Recorded on the 15th day of the 8th month in the Xinmao year of the Daoguang reign [1831], by Wu Jinshou, courtesy name Ziyin, of Lizé.