古云∶为人子者,不可以不知医。此言似乎专指孝友中之一端而言之者也。何也?夫人之禀体毋论,其它六淫
戕其外,七情贼其中,苟不知节,鲜不病且殆也。为人子者,可以父母、伯叔、兄弟、妻子及诸眷属付之庸医之
手乎?故不可不自知。然知之为知之则可,若强不知以为知,不如无知。从来偾事皆属一知半解之流,而不知奴隶
之夫、乳臭之子,一朝而苟得权势,侥幸而世拥多资,便肆其骄慢之气。役医如吏,藐医如工。家有病患,遂促其
调治,并以生死之权责成之。初不闻扁鹊有云“臣能使之起,不能使之复生”乎?在医
者亦不思往古分医为十四科,使其各治一科为专科,志在济人。今则率皆相习成风,趋炎奔竞,其志不过啖名谋食
而已,岂不卑哉!要知此道之源出自轩皇君臣,以羲皇一画之旨,终日详论世人疾病之所以然,垂教天下后世以治
法之所当然。而药物则又出乎炎帝,躬行阅历,察四时山川水土之宜,考五金八石之性,尝水陆草木之味,以定其
有毒无毒、寒热温平、攻补缓急之用,相传各有遗书,轩皇者曰《素问》、曰《灵枢》,炎帝者曰《本草》。《素问》
自王冰注后,嗣出者不下数十余家。《本草》自陶氏《别录》外,历代以来何止汗牛充栋。无奈时师心喜置身于时
路,茫茫然朝值衙门,退候缙绅,第应乡党。惟恐一人不悦,则谤端百出,飞祸无穷,所以无日不卑躬屈节,寝食
俱废,岂有余力孳孳于诵读者哉!以故卷帙繁多,如李时珍、张介宾之所集,罔弗望涯而退,奚能念及此言似乎专
指孝友中之一端而发者。扪心惝恍,务必旁通一贯,由亲亲而兼及于仁民耶,余久遭老懒,自丙子岁后,竟作退院
老僧,绝口不谈此道矣。一日偶然忆及云间李念莪先生所辑诸书,惟《内经知要》比余向日所辑《医经原旨》,尤
觉近人。以其仅得上下两卷,至简至要,方便时师之不及。用功于鸡声灯影者,亦可以稍有准则于其胸中也。叩之
书贾,佥云其板已没久矣,遂嗾余为之重刊。惜乎书可补读,理可渐明,其如笼中药物,悉非古之道地所产及时采
取者矣。医岂易知而易为者哉,然亦不可不知者也。
乾隆甲申夏日,牧牛老朽薛雪书,时年八十又四。
The ancients said: "One who is a son must not be ignorant of medicine." This statement seems to refer specifically to one aspect of filial piety and fraternal duty. Why? Regardless of an individual's innate constitution, if the six excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire) invade the exterior, and the seven emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) damage the interior, without knowing how to regulate them, few will avoid illness and peril. As a son, can one entrust parents, uncles, brothers, wives, children, and other relatives into the hands of mediocre physicians? Therefore, one cannot but know medicine oneself. However, it is acceptable to acknowledge what one knows; but if one forces ignorance to appear as knowledge, it is better to remain ignorant. Historically, failures are often caused by those with half-baked understanding. Servile individuals or immature youths, once they侥幸ly obtain power or amass wealth, indulge in arrogance and haughtiness. They treat physicians like clerks and despise them as mere craftsmen. When a family member falls ill, they urge immediate treatment and place the responsibility for life and death entirely upon the physician. Have they not heard Bian Que say, "I can restore consciousness, but I cannot resurrect the dead"? Physicians themselves should reflect that in ancient times, medicine was divided into fourteen specialties, allowing practitioners to focus on one area with the aim of benefiting humanity. Today, however, everyone follows this trend, seeking favor and competing for fame, their ambition merely being to gain reputation and sustenance. Is this not despicable! One must understand that the origin of this art lies with the Yellow Emperor and his ministers, who, utilizing the profound principles of Fuxi's hexagrams, discussed daily the causes of diseases among the people, leaving teachings for future generations on the proper methods of treatment. Medicinal substances originated from the Yan Emperor, who personally experienced and observed the suitability of seasons, mountains, rivers, and soil, studied the properties of metals and minerals, tasted the flavors of aquatic, terrestrial, plant, and animal substances, to determine their toxicity, thermal natures (Cold, Heat, Warm, Neutral), and their uses in attacking, tonifying, moderating, or urgent treatments. It is said that each left behind written works: the Yellow Emperor's works are titled *Suwen* (Plain Questions) and *Lingshu* (Spiritual Pivot); the Yan Emperor's work is titled *Bencao* (Materia Medica). Since Wang Bing's commentary on *Suwen*, dozens of subsequent commentators have emerged. Beyond Tao Hongjing's *Bie Lu* (Additional Records) on *Bencao*, the volumes produced through the dynasties are too numerous to count. Unfortunately, contemporary physicians prefer to stay within worldly paths, attending to official duties in the morning and waiting on gentry in the evening, merely responding to local demands. Fearing displeasure from even one person, which could lead to endless slander and disaster, they bow and scrape day and night, neglecting sleep and food. How could they have spare energy to diligently study classics? Consequently, with such vast volumes, even compilations by Li Shizhen and Zhang Jiebin cause one to retreat in awe. How could one think that this statement refers only to filial piety? Touching one's heart in confusion, one must seek comprehensive understanding, extending love from kin to all people. I have long suffered from old age and laziness; since the Bingzi year, I have become a retired monk, never speaking of this profession again. One day, I accidentally recalled the books edited by Mr. Li Nian'e from Yunjian. Among them, *Jing Nei Zhi Yao* (Essentials of the Inner Canon) seemed closer to the needs of common people than my own earlier compilation, *Yi Jing Yuan Zhi*. Because it consists of only two volumes, it is extremely simple and essential, convenient for contemporary physicians to supplement their knowledge. Those who study diligently under lamplight can find some guidelines in their minds. Inquiring with booksellers, they all claimed its printing blocks had been lost for a long time, thus urging me to republish it. Regrettably, while books can be re-read and principles gradually clarified, the medicinal materials available now are like those in a cage, none of which are from the authentic ancient production areas or harvested at the proper time. Is medicine easy to know and easy to practice? Yet, it is indispensable to know.
Written in the summer of Jiashen year of the Qianlong reign by Niuniu Laoxiu Xue Xue, aged eighty-four.