世之补《伤寒》者百余家,究其所作,不出二义∶一则因论本文为之注疏,犹公、谷说《春秋》也;一则引
仲景之文而为立论,犹韩婴说《诗》而为《外传》也。然引征者,固不得断章取义之理;而注疏者,反多以辞害
义之文。初不知仲景先师着《伤寒杂病论》合十六卷,良法大备。此《灵》、《素》已具诸病之体,而明针法之
巧妙;至仲景复备诸病之用,而详方药之准绳。其常中之变,变中之常,靡不曲尽。使全书具在,寻其所集,尽
可以见病知源。自王叔和编次,伤寒、杂病分为两书,于本论削去杂病。然论中杂病,留而未去者尚多,是叔和
有《伤寒论》之专名,终不失伤寒杂病合论之根蒂也。名不副实,是非混淆,古人精义弗彰,是以读之者鲜。而
旁门歧路,莫知适从,岂非叔和编次之谬以祸之欤?世谓治伤寒,即能治杂病,岂知仲景《杂病论》,即在《伤
寒论》中。且伤寒中又最多杂病夹杂其间,故伤寒与杂病合论,则伤寒、杂病之症治井然。今伤寒与杂病分门,
而头绪不清,必将以杂病混伤寒而妄治之矣。乃后人专为伤寒着书,自朱奉议出而伤寒之书日多,而伤寒之病日
混。非其欲伤寒之混也,由不识何病是伤寒也。陶节庵出而伤寒之书更多,非真伤寒多也,即《金匮》中杂病,
亦尽指为伤寒也。世锢于邪说,反以仲景书难读,而不知仲景书皆叔和改头换面,非本来面目也。冠脉法序例于
前集,可汗不可汗等于后,引痉、湿、 于太阳之首,霍乱、劳复等于厥阴之外,杂鄙见于六经之中,是一部王
叔和之书矣。林亿诸公校正,不得仲景原集,惑于《伤寒论》之名,又妄编三百九十七法、一百一十三方之数,
以附会叔和所定之伤寒。于是欲知仲景之道,更不可得。成无己信古笃好,矫然特出,惜其生林亿之后,欲为仲
景功臣,无由得其真传。故注仲景之书,而仲景之旨多不合;作《明理论》,而伤寒之理反不明。因不得仲景伤
寒、杂病合论之旨,故不能辨许叔微三方鼎立之谬。反集之于注,开疑端于后人,岂非为三百九十七法等说所误
乎?
由是方中行有《条辨》之作,而仲景之规矩准绳,更加败坏,名为翻叔和之编,实以灭仲景之活法也。卢子由
《疏抄》,不编林亿之数目,不宗方氏之三纲,意甚有见,而又以六经谬配六义,增标本形层本气化气等说。仲
景之法,又何堪如此挠乱哉?近日作者蜂起,尚论愈奇,去理愈远,条分愈新,古法愈乱。仲景六经反茅塞而莫
辨,不深可悯耶?原夫仲景之六经,为百病立法,不专为伤寒一科。伤寒、杂病。治无二理,咸归六经之节制。
六经各有伤寒,非伤寒中独有六经也。治伤寒者,但拘伤寒,不究其中有杂病之理。治杂病者,以《伤寒论》为
无关于杂病,而置之不问。将参赞化育之书,悉归狐疑之域。愚甚为斯道忧之,于仲景书究心有年,愧未深悉。
然稍见此中微理,敢略陈固陋,名曰《伤寒论翼》。不兼杂病者,恐人未知原文合论之旨,以杂病为不足观耳。
其当与否,自有能辨之者。
甲寅春慈溪柯琴序。
There are over a hundred families of works supplementing and annotating the *Shanghan Lun* (Treatise on Cold Damage). Examining their intentions, they fall into two categories: one follows the original text to provide annotations and exegesis, similar to Gongyang Gao and Guliang Chi explaining the *Spring and Autumn Annals*; the other cites Zhang Zhongjing’s texts to establish new theories, akin to Han Ying explaining the *Classic of Poetry* by composing the *Han Shi Waizhuan*. However, those who cite and reference cannot justify taking passages out of context; yet those who annotate often damage the true meaning through pedantic adherence to words. They initially fail to realize that Master Zhang Zhongjing’s *Shanghan Zabing Lun* (Treatise on Cold Damage and Miscellaneous Diseases) consisted of sixteen volumes, containing comprehensive excellent methods. The *Lingshu* (Spiritual Pivot) and *Suwen* (Basic Questions) of the *Huangdi Neijing* (Yellow Emperor’s Inner Canon) had already outlined the manifestations of various diseases and elucidated the subtleties of acupuncture; Zhang Zhongjing further completed the therapeutic applications for these diseases and detailed the criteria for prescribing herbs and formulas. The variations within constancy and constancy within variations were all thoroughly addressed. If the complete book existed, tracing its compilation would allow one to understand the origin of diseases upon observing symptoms. Since Wang Shuhe’s editorial arrangement, the *Shanghan Lun* and *Zabing Lun* were separated into two books, with miscellaneous diseases removed from the main treatise. Nevertheless, many miscellaneous disease contents remained in the treatise, indicating that although Wang Shuhe established the exclusive title of *Shanghan Lun*, he did not sever the root of the combined Shanghan and Zabing treatise. The name did not match the reality, causing confusion between right and wrong, and obscuring the profound insights of the ancients, resulting in few readers. Consequently, divergent paths emerged, leaving people unsure whom to follow. Is this not the disaster caused by Wang Shuhe’s erroneous editing? People claim that treating cold damage enables one to treat miscellaneous diseases, unaware that Zhang Zhongjing’s *Zabing Lun* is actually contained within the *Shanghan Lun*. Moreover, miscellaneous diseases frequently intermingle with cold damage. Therefore, when Shanghan and Zabing are treated together, the symptoms and treatments of both are orderly. Now, with Shanghan and Zabing categorized separately, the threads are unclear, inevitably leading to the mistaken treatment of miscellaneous diseases as cold damage. Later authors wrote exclusively on cold damage. Since Zhu Fengyi (Zhu Gong) appeared, books on cold damage increased daily, while the understanding of cold damage pathology became increasingly confused. It was not that he intended to confuse cold damage, but rather that he failed to recognize what constitutes true cold damage. When Tao Jie’an (Tao Hua) appeared, even more books on cold damage emerged. This was not because true cold damage cases increased, but because even the miscellaneous diseases in the *Jinkui Yaolue* (Essential Prescriptions of the Golden Cabinet) were all identified as cold damage. The world is entrenched in false doctrines, mistakenly finding Zhang Zhongjing’s work difficult to read, unaware that his texts have been disguised by Wang Shuhe and no longer reflect their original form. Pulse diagnosis and prefaces were placed at the beginning; discussions on sweating versus non-sweating methods were placed later; conditions like Jing (Spasm), Shi (Dampness), and Ye (Heatstroke) were moved to the head of the Taiyang chapter; Huoluan (Cholera-like disorder) and Laofu (Relapse after recovery) were placed outside the Jueyin chapter; vulgar views were mixed into the Six Channels. This has essentially become a book by Wang Shuhe. When Lin Yi and others corrected the text, lacking Zhang Zhongjing’s original collection, they were misled by the title *Shanghan Lun* and arbitrarily compiled figures of 397 methods and 113 formulas to conform to Wang Shuhe’s defined framework of cold damage. Thus, knowing Zhang Zhongjing’s true way became impossible. Cheng Wuji deeply revered antiquity and stood out uniquely, but unfortunately living after Lin Yi, he wished to be a merit-maker for Zhang Zhongjing yet could not obtain the authentic transmission. Therefore, his annotations of Zhang Zhongjing’s work often contradicted Zhang Zhongjing’s intent; his *Mingli Lun* (Theory Clarification) instead obscured the principles of cold damage. Because he did not grasp Zhang Zhongjing’s principle of combining Shanghan and Zabing, he could not identify the error of Xu Shwei’s theory of three equal schools. Instead, he collected these errors in his notes, opening doors to doubt for future generations. Was he not misled by the theories of 397 methods, etc.?
Thus, Fang Zhongxing (Fang Youzhi) produced the *Tiaobian* (Analysis and Differentiation), further damaging Zhang Zhongjing’s standards and rules. While nominally overturning Wang Shuhe’s arrangement, it effectively destroyed Zhang Zhongjing’s flexible methods. Lu Ziyi’s *Shuchao* (Annotated Excerpts) avoided Lin Yi’s numbers and did not follow Fang’s Three Major Principles, showing insightful intent, yet it erroneously paired the Six Channels with six abstract concepts and added theories such as Ben-Biao (Root-Branch), Xing-Ceng (Form-Layer), Ben-Qi (Original Qi), and Hua-Qi (Transformed Qi). How can Zhang Zhongjing’s methods withstand such disruption? Recently, authors have sprung up like bees, with debates becoming more bizarre, drifting further from truth, dividing details newly, and confusing ancient methods. Zhang Zhongjing’s Six Channels are blocked and indistinguishable, which is truly pitiable. Originally, Zhang Zhongjing’s Six Channels established laws for all diseases, not solely for cold damage. The treatment of cold damage and miscellaneous diseases shares no dualistic logic; both fall under the regulation of the Six Channels. Each of the Six Channels involves cold damage; it is not that only cold damage possesses the Six Channels. Those treating cold damage拘泥 (cling rigidly) to cold damage without investigating the principles of intermingled miscellaneous diseases. Those treating miscellaneous diseases consider the *Shanghan Lun* irrelevant to their field and ignore it. This reduces the classic of assisting heaven and earth in nurturing life to a realm of doubt. I am deeply concerned about this path. Having studied Zhang Zhongjing’s works for years, I regret my lack of deep comprehension. However, having glimpsed some subtle principles herein, I dare to briefly state my humble views, naming this work *Shanghan Lun Yi* (Wings to the Treatise on Cold Damage). I do not include miscellaneous diseases here to avoid confusing readers regarding the original intent of the combined treatise, lest they deem miscellaneous diseases unworthy of attention. Whether appropriate or not, let others judge.
Preface by Ke Qin of Cixi, Spring of Jiayin Year.