经曰∶宁医十丈夫,难医一小儿。夫小儿也,脏腑脆嫩,气血未定,经络脉息软弱如丝毫,易虚易实,乍冷乍热,
口不能言证情,手不能指病处,苟不考其方,而先为之所,则当局者迷,终不免束手待尽。其为病, 施姑舍,是自家
之荐遭儿 ,心常痛之。昨年秋,浮屠正训,袖示一册子,曰∶此古皇明成斯文,逸其名号,无忌先生所撰《保幼新编》
也。论症制方最为详备,而世医之等视文具流传烂纸。训恐久而漫灭,荡瓶钵,付剞劂,幸先生之惠一言,弁诸首也。
余于医学实昧昧焉,不能有以测其说之浅深,重以衰病倥偬,经岁不遑。近于旧簏中间阅其所传本,盖其说原于古
经,附以新方,删繁撮要,无浩 难寻之患。参运气,化五行,察阴阳,看日时,对证辄效,如持左契。今得广其流
布,家藏而人诵之。虽非学为方者,开卷了然,及时投剂,俾赤子既殊而回苏之,共登慈航,同跻寿域。夫儒之斥佛,
以其用功于虚无寂灭而止耳。今乃于瓶水枯淡中,有此竭心力念及寿民之方,孰谓吾儒之所未能者,以浮屠氏而能之
乎?余于是益痛其见之之晚,而仆仆愧而叙。
龙集乙巳七夕勿斋病夫卢光履撰
一小儿急病,临时考方,有若当局者迷,常有不及治之患。迨其病未发,宜熟览此一通,使心目了然于诸证,而预
备紧入之材,然后庶可趁其证情之未危而治之也。
一小儿急病皆入重材,乡鄙贫家,卒难觅用,终未免束手待尽,非所以济夭之意也。今者诸方汤散丸中,择其妙紧
之剂,减其难得之材,而另加乡产之性相近者,更为制方。虽涉僭越,而庶可为活命之一助焉。
一古人治病,用意不同,立方甚烦,猝当危急之证,未及精择其当剂,杂施诸方,使标本失次,经纬错乱,或救或
不救,宁不惧哉!小儿之病,不过曰惊、热、风、痰而已,制方虽殊,而所入之材,大同小异。故敢以管见,删其峻毒
之材,取其和平之味,合为通治之剂。而如有别订可以兼治者,则别书加减法;若不可兼治,则别立一、二方,以为便
考之地尔。
一汤剂分钱太过,一、二岁儿,则一帖分五、六次饮之;五、六岁儿,则分二、三次饮之,酌量用之可也。
The *Yellow Emperor's Inner Canon* states: "It is easier to treat ten adult men than one child." This is because children have delicate and tender Zang-Fu organs, their Qi and Blood are not yet stabilized, and their meridians and pulses are weak and fine like a single hair. Their conditions easily shift from deficiency to excess or vice versa, with alternating cold and heat. They cannot verbally describe their symptoms nor point to the painful areas with their hands. If one does not first consult medical formulas before treating them blindly, one will be like an observer lost in the game, ultimately unable to do anything but wait for death. I often feel a pain akin to the loss of my own child when dealing with pediatric illnesses. Last autumn, the monk Zheng Xun showed me a booklet from his sleeve, saying, "This is *Bao You Xin Bian* (New Compilation for Preserving Childhood), written by Mr. Wu Ji, whose name was Si Wen during the Ming Dynasty, though his personal name remains unknown." The book discusses symptoms and formulates prescriptions in great detail, but physicians of the time treated it as a mere document, leading to its deterioration. Fearing that it would be lost over time, Zheng Xun funded its printing and requested a preface from you.
I am truly ignorant in medicine and cannot judge the depth of its theories. Furthermore, due to old age, illness, and busyness, I had no time for this throughout the year. Recently, while browsing through old books, I found a copy of his transmission. Its theories originate from ancient classics, supplemented by new formulas, deleting redundancy and extracting essentials, avoiding the difficulty of searching through vast texts. It integrates the theory of Six Qi transformations, applies the Five Elements, observes Yin and Yang, and considers timing. When applied to specific syndromes, it is effective as accurately as matching halves of a tally stick. Now that it can be widely disseminated, every household may keep a copy and recite it. Even those not specialized in medicine can understand it at a glance, administer timely remedies, and rescue infants from critical conditions, guiding them together on the boat of compassion to the realm of longevity. Confucians criticize Buddhism because they believe Buddhists focus only on emptiness and nirvana. Yet here, amidst the austere life of a monk, we find such a heartfelt effort to save lives. Who would say that what Confucians cannot achieve is achieved by Buddhists? I deeply regret seeing this book so late and write this preface with humility and shame.
Written by Lu Guanglv, the sick man of Wuzhai, on the Qixi Festival of the Yisi Year.
First: In cases of sudden pediatric emergencies, consulting formulas on the spot is like being lost in the situation, often resulting in missed treatment opportunities. It is advisable to study this text thoroughly before any illness occurs, so that one clearly understands various syndromes and prepares necessary materials in advance, thereby enabling treatment before the condition becomes critical.
Second: Sudden pediatric diseases often require potent medicinal materials, which are difficult for poor rural families to obtain suddenly, leaving them helpless. This contradicts the intent of saving young lives. Therefore, from existing decoctions, powders, and pills, we have selected the most effective and urgent formulas, reduced the use of rare materials, and substituted them with locally available alternatives of similar properties. Although this may seem presumptuous, it may serve as a help in saving lives.
Third: Ancient healers had different intentions and created complex formulas. In sudden crises, without time to carefully select the appropriate formula, mixing various prescriptions can lead to confusion between root and branch, causing disorder. Some patients are saved, others are not; how can one not fear this? Pediatric diseases generally involve fright, heat, wind, and phlegm. Although formulas differ, the ingredients used are largely similar. Thus, with humble insight, I have deleted harsh and toxic materials, selected mild flavors, and combined them into general-purpose formulas. For other specific combinations, addition and subtraction methods are provided separately; if not combinable, separate formulas are established for easy reference.
Fourth: Decoctions should be divided into smaller doses to avoid excessive intake. For one- to two-year-old children, one dose should be divided into five or six servings; for five- to six-year-old children, into two or three servings. Adjust according to circumstances.