门人问曰。仲景伤寒论。固非完书。诸家编次。各一是非。当奉何为定本。答曰。此不能定
。并亦不必定者也。仲景书当汉魏之交。久已散佚。脱不有叔和。今日安能复睹其书。叔和
裒集旧论。自以序例冠于篇首。各篇之中。亦间有增入。仲景本论。逼真汉文笔法。叔和笔
力。去仲景奚啻天渊。此就文义本属可辨内如辨痉湿 篇云。伤寒所致太阳病痉湿 三种。宜应别
论。以为与伤寒相似。故此见之。此一段便是叔和集论发端语气。又如可吐可汗可下编云。大法春
宜吐。春夏宜发汗。秋宜下。此种断非仲景话头自喻嘉言而后。叔和序例。既加驳斥。而各
篇中叔和缀入之条。诸家亦多有当作圣经。详加诠注者。至于篇目序次。则古本已亡。又安能
确指某条必在某条之下。此予所谓不能定者也。然而不能定者篇目也。其可定者。理也。法也
。欲读是书。先要使六经辨证之法。分得开。分得开。则一经有一经之定证。而不为旁议所
挠。可以识病体之常。又要使六经辨证之法合得拢。合得拢。则此经有彼经之兼证。而不为
疑似所惑。可以穷病情之变。此条之脉证有与彼条互见者。则当参酌以观其通。此家之注释
有与彼家不合者。则当折衷以求其是。夫如是不拘何人所注之伤寒论。任彼节目之颠倒错乱。
而以吾定识定力。寤寐神游。则正可因其参伍错综而悟出仲景当日之圆机活法。仲景之圆机
活法既得。而吾心之圆机活法自生矣。特此诣难遽期之中智以下。困勉之功。恶可少哉。
A disciple asked, "Master Zhang Zhongjing's *Treatise on Cold Damage* (Shanghan Lun) is inherently not a complete work. Various scholars have compiled and arranged it, each claiming their own correctness and incorrectness. Which version should we regard as the definitive text?"
I replied, "This cannot be fixed, nor is there any need to fix it. Master Zhang's writings were already lost and scattered by the transition between the Han and Wei dynasties. If it were not for Wang Shuhe, how could we see his works today? Wang Shuhe collected and gathered old treatises, placing his own preface and examples at the beginning of the chapters, and occasionally inserted content within various sections. The original treatise of Zhang Zhongjing authentically retains the writing style of the Han dynasty, whereas Wang Shuhe's literary power differs from Zhang Zhongjing's by more than a heaven and an abyss. This distinction can originally be discerned through textual meaning. For instance, in the chapter 'Differentiating Spasm, Dampness, and Heatstroke' (Bian Jing Shi Yue Pian), it states: 'Cold damage resulting in Taiyang disease involves three types: spasm, dampness, and heatstroke; these should theoretically be discussed separately because they resemble cold damage, hence they appear here.' This passage is clearly the introductory tone of Wang Shuhe when compiling the treatises. Furthermore, in the section regarding 'Methods of Vomiting, Sweating, and Purging,' it says: 'The general principle is that spring is suitable for vomiting, spring and summer are suitable for sweating, and autumn is suitable for purging.' Such assertions are absolutely not words spoken by Zhang Zhongjing. Since Yu Jiayan, although Wang Shuhe's preface and examples have been refuted, many scholars still treat the clauses inserted by Wang Shuhe into various chapters as sacred scriptures, providing detailed interpretations and annotations. As for the order of chapter titles, the ancient versions are already lost; how can one definitively point out that a certain clause must follow another specific clause? This is what I mean by 'cannot be fixed.'
However, what cannot be fixed are merely the chapter titles; what can be fixed are the medical principles and methods. To read this book, one must first be able to distinguish the method of Six Channels Syndrome Differentiation (Liujing Bianzheng). Once distinguished, each channel has its own fixed syndromes, preventing disturbance by side discussions, thereby allowing one to understand the constant nature of the disease entity. One must also be able to integrate the method of Six Channels Syndrome Differentiation. Once integrated, one channel will reveal concurrent syndromes of other channels, preventing confusion by ambiguous cases, thereby allowing one to exhaust the variable changes of the disease condition. If the pulse and syndromes of one clause interappear with those of another, one should consult and consider them to observe their connectivity. If the annotations of one school conflict with those of another, one should strike a balance to seek the truth. In this manner, regardless of who annotated the *Treatise on Cold Damage*, and regardless of how chaotic or disordered the chapter arrangements may be, relying on our firm insight and determination, wandering spiritually day and night within the text, one can utilize the intricate complexities to comprehend the flexible and dynamic methods (Yuanji Huofa) of Zhang Zhongjing at that time. Once Zhang Zhongjing's flexible and dynamic methods are acquired, one's own flexible and dynamic methods will naturally arise. However, such attainment cannot be expected to be achieved immediately by those of below-average intelligence; the effort of persevering through difficulties is indispensable."