医之为道。肇始于本草经。阐明于素难。至伤寒论而大备焉。本草经者神农氏之书也。素难
者轩岐越人之书也。伤寒论仲景氏之遗书也。然本草之作于神农氏。世传其说而不经见。嘉 本草
序谓。神农尝百草而医方兴。上世未有文本。师学相传。谓之本草。两汉名医仲景华佗诸贤。始
因古学附以新说。通为编述。本草由是始见于经。诚如是。仲景既已首事其间。而乃有是论之作。
则其先后素难而股肱之。其功岂不远贤于神皇轩岐与越人而独盛哉。于是医门尊之以为圣。犹儒
门之圣孔子而宗师焉。然则斯道之大。其所以继往圣而开来学人。顾不大有赖于斯文邪。夫道不
出自圣人不足以言大。何谓大道。道莫大于尧舜。孔子之赞尧。则曰巍巍乎惟天为大。惟尧则之。
孔子簇圣之大成。子贡之赞孔子。则曰夫子之不可及也。犹天之不可阶而升也。然则圣人之所
以大。无有不出自天者。噫本草之作于神农氏。继天而立极者也。素难之作于轩岐越人。启天人
之秘也。是论也本之风暑湿寒。发之于三阳三阴。风暑湿寒者天之四气也。三阳三阴者。人之所得
乎天。周于身之六经也。四气有时或不齐。六经因之而为病。是故病统乎经。中伤合并。脉证传变。
标本虚实。表里寒热。汗吐下温。正反逆从条。之以法。而法三百九十七系之以方。而方一百一十
三者。天人事物错综之自然而然者也。其以风为首论者。即素曰风为首百病之长之意也。其推而至
于坏病。不以病名名病。而以坏名者。坏则不能尽其变。而举以名之。故概之以坏。曰坏者。即素
问曰万病皆生于风寒暑湿燥火之意也。自其析而言之。诚万殊也。然既坏矣。而曰知犯何逆。随
证治之。知犯何逆。以法治之。其所以妙于一本者。岂小道者所可得同日而语哉。读之者皆知其
为伤寒论也。而不知其乃有所为于伤寒而立论。所论不啻伤寒而已也。本草素难之显仁藏用者。
表表然无余蕴矣。所以法而世为天下则。方而世为万病祖。乃至预有集斯道之大成。而擅百世宗
师之同归者。道不同而同出于天。天者理也。理在人心。无古今方隅之异也。何则乃有不同是心。
不宗师斯。而铃捶活人类证焉。铃捶活人类证者出。而斯道日茅塞矣。继素难之往辙。难乎其有
人焉。非天下之病。是病者有所不幸而然邪。何斯道之至于斯也。嗟乎七篇不作。杨墨之横流不
息也。濂洛关闽之传注不出。尧舜孔子之道家殊而户异也。是故义利之辩。图象性命之问难。其
所以为不得已者。易地则皆然也。余何人斯而条辨哉。盖将以为后之有志仲景之堂室者。级阶梯
之助云尔也。
时万历己丑春三月戍申朔新安方有执书
The Way of Medicine originated with the *Shennong Bencao Jing* (Divine Farmer's Materia Medica), was elucidated in the *Suwen* (Basic Questions) and *Nanjing* (Classic of Difficult Issues), and reached its completeness in the *Shanghan Lun* (Treatise on Cold Pathogenic Disorders). The *Shennong Bencao Jing* is the work of Shennong; the *Suwen* and *Nanjing* are the works of Huangdi (Yellow Emperor), Qibo, and Yue Ren (Bian Que); the *Shanghan Lun* is the surviving work of Zhang Zhongjing. However, the *Bencao Jing* was produced in the era of Shennong; although its theories are passed down in the world, they are not seen in the classics. The *Preface to Jia Bencao* states: "Shennong tasted hundreds of herbs, and medical formulas arose." In ancient times, there were no written texts; knowledge was transmitted orally from teacher to student, hence it was called "Bencao" (Herbal Classics). It was only during the Two Han Dynasties that famous physicians such as Zhang Zhongjing and Hua Tuo began to compile and narrate based on ancient learning, attaching new interpretations. Thus, the *Bencao Jing* first appeared in the classics. If this is true, since Zhang Zhongjing had already taken the lead in this matter, and then composed this *Shanghan Lun*, its precedence over the *Suwen* and *Nanjing* and its role as their support—was its merit not far surpassing that of Shennong, Xuanyuan (Huangdi), Qibo, and Yue Ren, standing alone in its prosperity? Therefore, the medical community reveres it as a Sage, just as the Confucian community reveres Confucius as the Sage and takes him as a model. Given this, how great is this Way! Does it not greatly rely on this text to succeed the sages of the past and open up learning for future generations?
A Great Way cannot be spoken of unless it originates from a Sage. What is the Great Way? No Way is greater than that of Yao and Shun. When Confucius praised Yao, he said: "How lofty! Only Heaven is great; only Yao modeled himself upon it." Confucius gathered the great achievements of all sages; when Zigong praised Confucius, he said: "The Master is unattainable, just as Heaven cannot be climbed by means of a ladder." Thus, the greatness of the Sages all stems from Heaven. Alas! The *Bencao Jing*, authored by Shennong, established standards by following Heaven. The *Suwen* and *Nanjing*, authored by Xuanyuan, Qibo, and Yue Ren, revealed the secrets of Heaven and Humanity. This treatise (*Shanghan Lun*) is rooted in Wind, Summer-heat, Dampness, and Cold; it manifests through the Three Yang and Three Yin meridians. Wind, Summer-heat, Dampness, and Cold are the Four Qi of Heaven; the Three Yang and Three Yin are what humans receive from Heaven, circulating through the Six Meridians of the body. When the Four Qi are out of harmony, the Six Meridians become diseased. Therefore, diseases are unified under the meridians; injuries combine, pulses and symptoms transmit, root and branch, deficiency and excess, interior and exterior, cold and heat are analyzed. Methods such as sweating, vomiting, purging, and warming, along with correct/reverse and following/opposing principles, are detailed in laws. There are 397 laws, linked to 113 formulas. This is the natural result of the intricate interplay of Heaven, Humanity, affairs, and things. The reason it begins with Wind is consistent with the statement in the *Suwen*: "Wind is the chief of a hundred diseases." It extends to "ruined diseases" (Huai Bing). Instead of naming diseases by their specific names, it uses the term "ruined" because "ruined" cannot exhaust all variations, so it uses this general term. "Ruined" corresponds to the meaning in the *Suwen*: "All diseases arise from Wind, Cold, Summer-heat, Dampness, Dryness, and Fire." Analytically speaking, they are indeed myriad and distinct. Yet, once ruined, one says, "Know what deviation has occurred, and treat according to the syndrome"; "Know what deviation has occurred, and apply the appropriate method." The subtlety of being unified in one fundamental principle—how can this be compared to the shallow understanding of minor paths? Readers know this is the *Shanghan Lun*, but do not realize that it was established specifically for "Cold Damage," and what it discusses is not limited to Cold Damage alone. The revealing of benevolence and hiding of utility found in the *Bencao*, *Suwen*, and *Nanjing* are here fully expressed without reserve. Thus, it serves as the law for the world and the ancestor of formulas for all diseases. It anticipates gathering the great achievements of this Way, sharing the common destination of being the grand master for a hundred generations. Although the Ways differ, they all originate from Heaven. Heaven is Principle (Li). Principle resides in the human heart, with no difference between ancient and modern times or directions. Why then are there differences? Because hearts differ; if one does not take this as a model, but instead uses bells and hammers to save humanity and classify syndromes, once such methods emerge, this Way will be increasingly blocked. To follow the tracks of the *Suwen* and *Nanjing*, it is difficult to find anyone. Is this not a sorrow for the world, and an unfortunate fate for those who are ill? Why has this Way fallen to this state? Alas! If the Seven Chapters (referring to key canonical texts) do not appear, and the rampant spread of Yang Zhu and Mo Di's teachings continues unchecked, and the commentaries of the Lian, Luo, Guan, and Min schools do not emerge, then the Way of Yao, Shun, and Confucius will diverge house by house. Therefore, the debate between righteousness and profit, and the inquiries into images and life-nature, are unavoidable reasons; if positions were exchanged, the situation would be the same. Who am I to conduct these line-by-line analyses? I merely intend to provide a stepping stone for those who come later and aspire to enter the halls of Zhang Zhongjing.
Written by Fang Youzhi of Xin'an on the first day (Wu Shen) of the third month of spring, in the Ji-Chou year of the Wanli reign.