成一家言焉。第是书之成。锦儿之力居多。其曰松峰说疫者。明乎其不敢擅为己有。以成善则归亲之意云尔。其
中分伤寒与瘟疫。皎若列眉。而理路治法。亦颇审慎。不敢掩古人所长。而袭为己有。亦不肯震前贤名望。而为
其所愚。第疫症千变万化。治之不可胶执。亦不可师心。所顾同志君子。神明而变通之。是则余之浓望也。夫
是为序。时乾隆己酉菊月松峰刘奎书。
〔周氏(扬俊)温热暑疫全书〕四卷 存
自序曰。医之道难矣哉。凡病伤寒最重。温热尤烈。伤寒仅在一时。温热暑疫。每发三季。为时既久。病者
益多。苟不明其源。溯流不得清也。不辨其类。疗治不得当也。则温热暑疫。皆热证也。燎原之下。竟乏清凉一
滴。人无今昔。性有异同。神酣往圣。志切琳琅。俊以一隙微明。静中索照
焉。夫上古圣人。首重色脉。以营之未交已交。定人生死。片言已毕。中古圣人。专论谷气盛衰。定人生死。片
言已毕。仲景叔季圣人也。既立方论。复出不尽之藏。纬以膀胱之伤与绝。定人生死。先后合符。了无剩义矣。
乃仲景于伤寒论中。温热森森。具载黄芩白虎等汤。是其治也。后之学人。苟能引伸此意。便可变化不穷。神明
千载。不能细察其理。反执以为治伤寒之法。盍思本汤既无外解之功。又无内夺之力。圣人立法。果何谓乎。自
晋以来。疑鬼疑域。陋沿无已。如崔文行解温。用白术乌头细辛桔梗四味。更加附子。名老君神明散。更加萤火。
名务成子萤火丸。热药相投。以火济火。谁其辨诸。如仲景书。谓太阳病发热不恶寒而渴者。为温病。朱肱活人
书。谓发热恶寒。头疼身痛者。为温病。已悖圣训矣。又云。春秋发斑咳嗽。为温病。至风温。治在少阴。其所
立五方。如葳蕤汤。知母葛根汤。防己汤。栝蒌根汤。葛根龙胆汤。风火相炽。燔灼无休。复改圣散子。仍用附
子。表里香燥同之。东坡先生在黄州时。颇称其效。岂知朱肱已三易其方。用败毒散。而远热药。然厥功奚减厥
非。吴氏谓伤寒坏病。更遇温热为温病。洁古老人伤寒名家也。其子云岐以伤寒过经不解者为温病。指叔和之言。
为仲景之文。赵嗣真谓仲景云。重感异气。变为温病。汪机谓仲景云。遇温气为温病。遇温热为温毒。竟罔顾圣
经之载于方策者。何曾有此一语。巢氏病源。遵崔文行解散法。一日用摩膏火灸。二日用汗解散。三日复汗之。
四日用藜芦丸瓜蒂散吐之。五六日解未了了者。复针之。热已入胃。鸡子汤下之。遂使庞安常自撰微言。一以和
解为主。奉为灵宝。少移则蹶。巢庞比匪何极。李思训亦宗和解。王海藏称其当
宋全盛。明哲莫逾。拟非其伦矣。丹溪长于温热。善用凉药。温热遇之。自能解散。要非有斟酌于其间也。东垣
不善外感。长于内伤。乃从内经。悟出冬温春温二义。诚暗中一火炬。嘉言极口叹颂。真先得我心者矣。迨刘河
间伤寒直格。于热病。每多入理深谈。然混在正伤寒中。在人眼光。采择不免金屑杂于泥沙者欤。至明季方中行
着伤寒条辨。可谓直登仲景之堂。独开渗。惜其论温热。亦分阴分阳。似可用热。遂为嘉言所宗。嗟乎。病名
温热。自需寒凉。乃千百年来。盈庭聚讼。先后支吾。阳春寡和于汉庭。埙篪迭奏于晋室。良由来派不清。复无
面墙体认。诚习焉而不察耳。不然。岂诸公各自名家。乃甘悖圣矩如是耶。若夫夏月暑证。即金匮中湿 气蒸之
病也。洁古东垣以动静分阴阳。动而得之为阳。用白虎。静而得之为阴。用大顺冷香诸剂。岂知夏月杲杲炎威。
有阳无阴。动静不甚相远。惟多食冰果冷物。及恣意房帏。致伤太阴少阴者。热药可以暂用。岂得视温热之味。
为通行之药乎。漕宪北海林夫子为一代伟人。医学宗匠。俊立雪程门。三五年间。极蒙提命。因授所刻明计部张
凤逵治暑书。□明理蕴。精确不磨。虽有小疵。不掩大德。诚可振聋聩于千古者也。至叔和云。四时不正之气。
感则为疫。不知非时不为厉气。仅为寒疫。而大疫之沿门阖境。传染相同者。允在兵荒之后。尸浊秽气。充斥道
路。人在气交。感之而病。气无所异。人病亦同。所以月令于孟春掩骼埋 。不敢或后者。圣王早虑及此耳。非
徒泽及枯骨也。后世治疫之法。未有定见。如嘉言上焦如雾。升逐解毒。中焦如沤。疏逐解毒。下焦如渎。决逐
解毒。俟其营卫既通。乘势追拔。勿使潜滋暗长于未尽之时。此固不易之
论。然求其反复尽义。变态直穷者。舍吴又可之言。别无根据傍也。俊幸生明备。不安苟且。日引光明之藏。志披
榛莽之途。辑仲景伤寒论三注。金匮补注之余。先将温热暑疫四证。厘订经文。采集方论。无背圣法。有合病情。
各自成帙。蒙藩宪丁夫子因戊午年时疫盛行。悯编户之疾苦。如 之乃身。遂下询疫所自始。与所为治。恻然
叹曰。嗟乎。安得明此理者数十辈。循行救治。俾在□轮大树。梦魔心迷者。一旦提置冰山雪窦之中。奚止饮醍
醐而称快哉。命急付枣以公同志。康熙己未皋月。吴门周扬俊禹载识。
To establish a school of one's own. However, the completion of this book owes much to the efforts of Jin'er. The title *Songfeng Shuo Yi* (Discussions on Epidemics by Songfeng) indicates that he dared not claim it as his own possession, expressing the intention that merit should be attributed to his elders (father). Within the text, Shanghan (Cold Damage) and Yiwu (Epidemic Diseases) are distinguished clearly, as distinct as lines arranged on one's eyebrows. Furthermore, the theoretical pathways and treatment methods are quite prudent; he dares not conceal the strengths of the ancients to claim them as his own, nor does he allow himself to be bewildered by the prestige of former sages. However, epidemic symptoms are myriad and ever-changing; treating them requires neither rigidity nor subjective speculation. I only hope that gentlemen of like mind will apply their wisdom to adapt flexibly. This is my earnest wish. Thus serves as the preface. Written in the ninth month of the Jiyou year of Qianlong, Liu Kui of Songfeng.
[Zhou Yangjun's *Quanzhu Shuyi Quanshu* (Complete Book on Warmth, Heat, Summerheat, and Epidemics)] Four volumes. Extant.
Preface states: The Way of medicine is indeed difficult! Among all diseases, Shanghan (Cold Damage) is the most severe, while Warm-Heat diseases are even more fierce. Shanghan occurs only in one season, whereas Warm-Heat, Summerheat, and Epidemic diseases often manifest across three seasons. Since the duration is long, the number of patients increases. If one does not understand their origins, tracing the stream will not yield clarity; if one does not differentiate their categories, treatment will not be appropriate. Thus, Warm-Heat, Summerheat, and Epidemics all belong to Heat syndromes. Under a raging fire, there is a lack of even a drop of cooling relief. People have no distinction between ancient and modern times, but natures differ. Immersed in the wisdom of past sages, with aspirations akin to fine jade, I rely on a tiny spark of illumination to seek reflection in stillness. The Sages of antiquity first valued complexion and pulse, determining life and death based on whether Ying (Nutritive Qi) had or had not intersected, concluding in a few words. The Sages of the middle era specifically discussed the flourishing and decline of Grain Qi to determine life and death, also concluding in a few words. Zhang Zhongjing was a sage of the later age; having established formulas and theories, he left an inexhaustible treasury, using injuries and severances of the Bladder meridian to determine life and death, aligning perfectly with earlier methods without omission. Yet, in his *Treatise on Cold Damage*, the principles of Warm-Heat are vividly presented, detailing formulas such as Huangqin Tang (Scutellaria Decoction) and Baihu Tang (White Tiger Decoction), which constitute his treatment approach. Later scholars, if they could extend this meaning, could achieve infinite variations and divine efficacy over millennia. But failing to carefully examine the underlying principles, they instead rigidly adhere to these as methods for treating Shanghan. Why not consider that these original formulas possess neither exterior-releasing efficacy nor interior-purging power? What, then, did the Sage intend by establishing these laws? Since the Jin dynasty, suspicion and superstition have prevailed, and crude customs have persisted endlessly. For instance, Cui Wenxing interpreted Warm diseases by using Baizhu (Atractylodis Macrocephalae Rhizoma), Wutou (Aconiti Radix), Xixin (Asari Radix et Rhizoma), and Jiegeng (Platycodonis Radix), adding Fuzi (Aconiti Lateralis Radix Praeparata), naming it Laojun Shenming San (Old Lord's Divine Clarity Powder); adding Yinghuo (Lampyridis), it became Wuchengzi Yinghuo Wan (Wuchengzi's Firefly Pill). Using hot herbs to treat heat conditions is like adding fuel to the fire; who can discern the right from wrong? Again, Zhang Zhongjing's text states that Taiyang disease presenting with fever, aversion to cold absent, and thirst is termed Wenbing (Warm Disease). Zhu Gong's *Huoren Shu* (Book of Saving Lives) states that fever, aversion to cold, headache, and body pain constitute Wenbing. This already contradicts the Sage's teachings. It further claims that macules and cough appearing in spring and autumn constitute Wenbing. As for Fengwen (Wind-Warmth), treatment targets the Shaoyin meridian. His five prescribed formulas, such as Weirui Tang (Rehmannia Decoction), Zhimu Gegen Tang (Anemarrhenae and Puerariae Decoction), Fangji Tang (Stephania Decoction), Gualougen Tang (Trichosanthis Radix Decoction), and Gegen Longdan Tang (Puerariae and Gentianae Decoction), involve wind and fire blazing uncontrollably. He revised the Shengsan Zi formula, still utilizing Fuzi (Aconiti Lateralis Radix Praeparata), employing aromatic-dry herbs for both exterior and interior. Mr. Dongpo highly praised its efficacy when he was in Huangzhou. Little did he know that Zhu Gong had altered the formula three times, adopting Baidu San (Hundred Defects Powder) and avoiding hot herbs. Nevertheless, how do his merits compare to his faults? Wu Shi believed that damaged Shanghan complicated by warm-heat qi becomes Wenbing. Jiegu Laoren (Master Jiegu) was a master of Shanghan; his son Yunqi considered Shanghan that failed to resolve after passing through meridians as Wenbing, citing Wang Shuhe's words as Zhang Zhongjing's text. Zhao Sizhen claimed Zhang Zhongjing said that re-exposure to different pathogens transforms into Wenbing. Wang Ji claimed Zhang Zhongjing said exposure to warm qi causes Wenbing, and exposure to warm-heat causes Wendu (Warm-Toxicity). They completely disregarded what was recorded in the Sage's classics. Did such phrases ever exist? Chao Yuanfang's *Zhubing Yuanhou Lun* followed Cui Wenxing's dispersal method: on day one, using massage ointments and moxibustion; on day two, sweating to disperse; on day three, sweating again; on day four, inducing vomiting with Licui Wan (Veratrum Pill) and Gouti San (Momordica Powder); on days five and six, if unresolved, using acupuncture. Once heat entered the stomach, purgatives were administered with egg yolk soup. Consequently, Pang Anchang authored *Weiyan*, advocating reconciliation as the primary method, revering it as a spiritual treasure, fearing any deviation would lead to collapse. Comparing Chao and Pang, their errors were extreme. Li Sixun also advocated reconciliation, and Wang Haizang praised him as appropriate. During the peak of the Song Dynasty, no wise person surpassed him, yet he cannot be compared to others. Zhu Danxi excelled in treating Warm-Heat diseases, skillfully using cooling herbs; Warm-Heat diseases naturally resolved under his care, though this was not due to nuanced judgment. Li Dongguan was unskilled in external contractions but proficient in internal injuries; yet, deriving insights from the *Neijing*, he elucidated the concepts of Winter-Warmth and Spring-Warmth, truly serving as a torch in the darkness. Jiayan greatly admired him, saying he truly understood my heart. When Liu Hejian wrote *Shanghan Zhige*, discussing heat diseases with profound reasoning, he mixed them with proper Shanghan, making selection akin to finding gold dust amidst mud. In the late Ming, Fang Zhongxing wrote *Shanghan Tiaobian*, arguably entering Zhang Zhongjing's hall directly and opening new paths. Alas, his discussion on Warm-Heat also divided Yin and Yang, suggesting heat might be usable, thus becoming the model for Jiayan. Oh! Since the disease name is Warm-Heat, cooling herbs are naturally required. Yet for thousands of years, debates raged, with hesitations and evasions. High songs found few echoes in the Han court, while harmonious music played continuously in the Jin house. This is undoubtedly due to unclear lineages and lack of comprehensive understanding, resulting in habituation without awareness. Otherwise, why would each master willingly violate the Sage's rules so drastically? Regarding summer heat syndromes, they correspond to dampness-steaming diseases in the *Jingui Yaolue*. Jiegu and Dongguan distinguished Yin and Yang by movement and stillness: dynamic acquisition is Yang, treated with Baihu Tang; static acquisition is Yin, treated with Dashun and Lengxiang formulas. Did they not realize that in summer, with scorching sun, there is Yang without Yin, and the difference between movement and stillness is slight? Only when excessive consumption of ice fruits and cold foods, or reckless sexual activity, damages the Taiyin and Shaoyin meridions, can hot herbs be temporarily used. How can warm-natured herbs be regarded as universal remedies? Lin Fuzi, the Canal Transport Commissioner from Beihai, was a great man and medical authority. I stood in snow at his gate for three to five years, receiving much guidance. He therefore provided me with his printed edition of Zhang Fengkui's *Zhi Shu Shu* (Treatment of Summerheat Book) from the Ming Dynasty. It clarifies profound principles with precise, enduring accuracy. Though minor flaws exist, they do not obscure its great virtue, truly awakening the deaf and blind of ages past. As for Wang Shuhe stating that irregular qi of the four seasons, upon contraction, becomes epidemic: he did not know that non-seasonal qi does not become severe pathogenic factors, but merely cold epidemics. Major epidemics spreading door-to-door and region-wide with identical transmission occur after war and famine, where rotting corpses and filth fill the roads. Humans, existing within the interaction of qi, contract illness upon exposure; since the qi is uniform, the illness is uniform. Hence, the *Yueling* mandates burying bones in early spring without delay, as the Sage King foresaw this, not merely to benefit dead bones. Subsequent methods for treating epidemics lacked consensus. For example, Jiayan stated: Upper jiao is like mist, ascending to purge toxins; Middle jiao is like fermentation, draining to purge toxins; Lower jiao is like a drain, releasing to purge toxins. Wait until Ying and Wei circulate freely, then pursue and extract, preventing latent growth. This is indeed an unchangeable principle. However, to repeatedly exhaust meaning and trace transformations to their root, beyond Wu Youke's words, there is no other basis. Fortunately born in an enlightened era, unwilling to settle for mediocrity, I daily draw from the treasury of light, resolving to clear the thorny path. Compiling annotations on Zhang Zhongjing's *Shanghan Lun*, and supplementing the *Jingui Yaolue*, I first clarified the texts for Warmth, Heat, Summerheat, and Epidemics, collected formulas and theories, ensuring they did not contradict Sage methods but aligned with clinical reality, forming separate volumes. Thanks to Prefect Ding, who, witnessing the epidemic prevalence in the Wuwu year, pitied the people's suffering as if it were his own, inquired about the origin and treatment of epidemics, sighed sorrowfully: "Alas! Where can we find dozens who understand this principle to patrol and treat, lifting those lost in delusion onto icy peaks? Would it not be like drinking ambrosia?" He ordered urgent printing for public dissemination among colleagues. Recorded by Zhou Yangjun Yuzaï of Wumen in the fifth month of the Jiwu year of Kangxi.