闻之 老,自顺治至康熙之初,四十年间,外郡人称武林为医薮。盖其时卢君晋公,以禅理参证医
理,治奇疾辄效,名动一时。张君隐庵继之而起,名与相埒,构侣山堂,招同学友生及诸门弟子,讲论
其中,参考经论之同异,而辨其是非,于是谈轩岐之学人,咸向往于两君之门,称极盛焉。两君所着书皆
堪传世,张氏所辑者,俱已授梓行世,甫及百年,流传日少。其《针灸秘传》及《侣山堂类辩》二种,已
难得购,余寻之有年,始得《类辩》一种。观其准古衡今,析疑纠谬,足为后学规矩准绳,亟为重梓,以
广其传。后之学人,苟以此为指南,庶能得正道,而由之宁有岐路之迷、邪径之误哉?隐庵初为粮道书
吏,粮道患癃闭,诸医用药皆罔效,或荐隐庵。隐庵以补中益气汤投之,一剂而愈。或问之曰∶人治以降
利之药而不效,子易以升提之药而效,其理安在?隐庵曰∶公不见夫水注子乎!闭其上而倒悬之,点滴不
能下也;去其上之闭,而水自通流。非其法耶?令阅编中所释,将欲下之,必先举之,而引辘轳之绳以
喻,正是此理。人能以此法触类而通之,医法固无尽藏哉!兹事,余盖闻之黄君观石者如是,近又闻张君
东扶,言卢晋公事粮道,患内闭溺不得下,势甚亟,诸医皆束手,晋公先生以人参、麻黄各一两定剂,诸
医嗫嚅不敢谓是,粮道不疑,而饮其药,不超时溺下,粮道喜以千金赠晋公。与予前所闻者异辞,予意
卢、张二君所治各一,当事而传者,均属之粮道,致有异同之疑耳!黄、张二友,皆非妄言者,故并纪之
以为治癃闭之法,并以证此帙中,名言精理,所蕴不少,人当殚思细参,以收其益,慎毋视为浅近而忽之也。
乾隆己丑三月五日戊子胥山老人王琦
忆甲子岁暮,以事往来横山大岭间,道中憩一农家,农家方解豕,析其前蹄,有清水流出,约二升
许。异而询之,农家子曰∶此豕自么时即患足弱不能行立,恒卧而食。此其病之所由来也。予因是悟人
之病手足不良,而不任持行者,盖因水湿之气留滞其中者,亦如此矣。兹阅隐庵所记,因猪肠之蛔,而知
无病之人未尝有蛔。其事固可类观也。谷雨后三日庚子,校勘已毕,重阅此条,因 笔附记于后。
It is said that from the Shunzhi era to the early Kangxi era, a period of forty years, people from outside the prefecture referred to Hangzhou (Wulin) as the "pool of medicine" (a gathering place for medical experts). This was likely because at that time, Mr. Lu Jingong (Lu Jin), using Zen Buddhist principles to corroborate medical theories, frequently achieved efficacy in treating rare and difficult diseases, thereby shaking the world with his fame. Mr. Zhang Yinan (Zhang Yin'an) rose subsequently, his fame being comparable to Lu's. He constructed the Lushan Tang (Hall of Companioning Mountains), inviting fellow students, friends, and disciples to lecture within, referencing the similarities and differences in classical texts to distinguish right from wrong. Consequently, scholars discussing the learning of Huangdi (Yellow Emperor) and Qibo (Qibo) all yearned to study under these two masters, reaching an unprecedented peak of prosperity. The books authored by both masters were worthy of passing down through generations; the works edited by the Zhang family had already been woodblock printed and circulated. Yet, barely a century later, the number of circulating copies had dwindled. Among them, *Zhenjiu Michuan* (Secret Transmission of Acupuncture and Moxibustion) and *Lushan Tang Leibian* (Classified Debates of Lushan Hall) had become difficult to acquire. I searched for many years before finally obtaining *Lushan Tang Leibian*. Observing its adherence to ancient standards while evaluating contemporary practices, analyzing doubts, and correcting errors, it serves as a sufficient compass and square (standards and norms) for future learners. It is urgent to reprint it to broaden its dissemination. If future scholars take this as their guide, they may hopefully attain the correct path, and by following it, how could there be confusion on divergent paths or errors on crooked trails?
Zhang Yinan initially served as a clerk for the Grain Transport Commissioner (Liangdao). The Commissioner suffered from Longbi (urinary retention/obstruction), and various physicians' medications proved ineffective. Someone recommended Zhang Yinan. Zhang prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction), and the patient recovered after one dose. When asked, "Others used diuretic drugs without effect, yet you used ascending and lifting drugs with success; what is the rationale?" Zhang replied, "Have you not seen a water-drawing device? If you block the top and invert it, not a single drop can flow out; remove the blockage at the top, and the water flows naturally. Is this not the method?" Reading the explanations in this book, the principle that to drain downwards, one must first lift upwards, illustrated by the rope of a windlass, is precisely this logic. If people can apply this method to understand related matters through analogy, the methods of medicine are indeed inexhaustible! Regarding this matter, I heard Mr. Huang Guanshi explain it thus. Recently, I also heard Mr. Zhang Dongfu state that when Lu Jingong handled affairs for the Grain Transport Commissioner, the Commissioner suffered from internal obstruction with inability to urinate, a critical situation where all physicians were at a loss. Lu Jingong prescribed Ren Shen (Ginseng Radix et Rhizoma) and Ma Huang (Ephedrae Herba), each one liang (approx. 37g), as a fixed dose. The other physicians hesitated and dared not endorse this prescription, but the Commissioner did not doubt it and drank the medicine. Before long, urine flowed, and the delighted Commissioner gifted Lu Jingong a thousand taels of gold. This differs from what I previously heard. My opinion is that Masters Lu and Zhang treated different cases, but the stories told by those involved were conflated onto the Grain Transport Commissioner, leading to discrepancies and doubts. Friends Huang and Zhang are not given to falsehoods, so I record both accounts here as methods for treating Longbi, and also to testify that this volume contains abundant profound theories and exquisite words. People should exert their thoughts and carefully contemplate to reap benefits, and certainly should not regard it as superficial and trivial, neglecting it.
Recorded on the Wuzi day of the third month, Ji Chou year of the Qianlong reign, by Old Man of Xushan, Wang Qi.
Recalling the end of the Jiazi year, I traveled back and forth between Hengshan and Daling due to business. Resting on the road at a farmhouse, the farmers were slaughtering a pig and dissecting its foreleg, from which clear fluid flowed, approximately two sheng (approx. 2 liters). Surprised, I inquired. The farmer's son said, "This pig has suffered from weak legs, unable to walk or stand since infancy, always lying down to eat. This is the origin of its illness." From this, I realized that human ailments involving limbs that are unfit for holding objects or walking are likely caused by the stagnation of dampness-water qi within the body, similar to this case. Now, reading Zhang Yinan's records, he inferred from the presence of roundworms (Ascaris lumbricoides) in a pig's intestine that healthy humans do not harbor such worms. This matter can indeed be observed by analogy. On the Gengzi day, three days after Guyu (Grain Rain solar term), having finished collating and proofreading, I reread this section and appended this note with my pen.