昔义兴太守许嗣宗精于医,或劝其着书贻后世,答曰∶医者意也,吾意所解,莫能
宣矣。盖深恐学古之上泥于书,拘于法,引经断疾,罔识变通。创为斯说,以教天下,
意深远矣。今者业医之家,动以百计,岐伯圣经、雷公《炮制》、伊芳贽《汤液》、箕子
《洪范》、越人问难、仲景《伤寒》、士安《甲乙》、启玄子传注、钱仲阳诊议、李时珍
《本草纲目》,目不经见,妄以医名,遂至风寒燥火暑湿之六气,喜怒忧思悲恐惊之七
情,表里虚实寒热邪正之八要,浮沉迟数滑涩大缓之八脉,浮芤滑实弦紧洪之七表,
微沉缓涩迟伏虚弱之八里,长短虚促结代牢动细之九道,以及五行之生克,十二经络
之传变,脏腑、阴阳、天和、岁令,茫然莫解。病者当前,所投非症,以速膏肓。呜
呼!殆矣。不知“医者意也”一语,非读尽轩岐以下书不能出是言,非读尽轩岐以下
书,不能行是言也。武原冯子楚瞻,少业医,行游浙东西间,所全活无算。浙东西士
以医名者,咸俯首出其下。乙丑夏,至京师,经历愈多,施剂愈验,名节极甚公卿
间。一日来谒予,出书一帙,曰《锦囊秘录集)。推探标本,缕析条分,使览者按类随
索,了若观火。盖祖轩岐,宗仓越,法刘、张、朱、李及前后各家言,博综其义,断
以己见,而成此集。信医学之津梁,百家之囊橐也。然则得义兴之言,可药天下之
读古而不知变者;读武原冯子之书,可药天下之枵腹而空谈雷、仓之术者。
康熙岁次丙寅中秋书于燕台邸舍潞河张士甄
In the past, Xu Sizong, the Prefect of Yixing, was proficient in medicine. When advised to write a book for posterity, he replied: "Medicine lies in 'Yi' (the physician's intuitive judgment and flexible application); what I comprehend in my mind cannot be fully articulated." This was likely due to his deep concern that those studying ancient texts might become bogged down by books and rigidly bound by fixed methods, citing classics to diagnose diseases without understanding adaptability. He formulated this saying to teach the world, with profound intent.
Today, there are hundreds of people practicing medicine, yet they have not even seen the classics of Qibo, Leigong's *Paizhi* (Processing of Medicinals), Yifangzhi's *Tangye* (Decoctions), Jizi's *Hongfan*, Bian Que (courtesy name Yue Ren)'s *Nanjing* (Classic of Difficult Issues), Zhang Zhongjing's *Shanghan Lun* (Treatise on Cold Damage Disorders), Huangfu Mi (courtesy name Shian)'s *Jia Yi Jing* (The ABCs of Acupuncture and Moxibustion), Wang Bing (style name Qixuanzi)'s commentaries, Qian Yi (courtesy name Zhongyang)'s diagnostic discussions, or Li Shizhen's *Bencao Gangmu* (Compendium of Materia Medica). Yet they recklessly claim to be physicians. Consequently, they remain utterly confused regarding the six qi (pathogenic factors) of wind, cold, dryness, fire, heat, and dampness; the seven emotions of joy, anger, worry, thought, grief, fear, and fright; the eight essentials of exterior/interior, deficiency/excess, cold/heat, pathogenic/righteous; the eight pulse qualities of floating, sinking, slow, rapid, slippery, choppy, large, and moderate; the seven superficial pulses of floating, knotted, slippery, solid, wiry, tight, and full; the eight interior pulses of minute, sinking, moderate, choppy, slow, hidden, deficient, and weak; the nine additional pulse types of long, short, deficient, hurried, knotted, intermittent, firm, moving, and fine; as well as the generation and restriction of the Five Elements, the transmission of the twelve meridians, and concepts such as Zang-Fu organs, Yin-Yang, Heavenly Harmony, and seasonal influences. When facing patients, they prescribe remedies mismatched to symptoms, thereby hastening the disease to an incurable stage (Gaohuang). Alas! How dangerous.
One must realize that the phrase "Medicine lies in Yi" can only be uttered after having read all medical texts from Yellow Emperor and Qibo downwards; and it can only be practiced effectively after mastering these same texts. Feng Chuzhan, a native of Wuyuan, practiced medicine in his youth, traveling through eastern and western Zhejiang, saving countless lives. Physicians renowned in eastern and western Zhejiang bowed their heads in submission, acknowledging his superiority. In the summer of the Yichou year, he arrived at the capital. The more experiences he accumulated, the more effective his prescriptions became, and his reputation soared among high-ranking officials. One day, he visited me and presented a volume titled *Jinnang Milu Ji* (Secret Records Collected in the Brocade Pouch). The book investigates the root and branch of diseases, analyzing details and categorizing them systematically, allowing readers to search by category with clarity. It reveres Qibo, models itself after Bian Que, adopts the teachings of Liu Wansu, Zhang Yuansu, Zhu Danxi, Li Dongyuan, and various other schools, comprehensively synthesizing their principles while integrating personal insights to form this collection. It is indeed a bridge to medical knowledge and a repository of diverse medical theories. Thus, the words of the Prefect of Yixing can cure those in the world who study ancient texts but fail to adapt; and reading Mr. Feng of Wuyuan's book can cure those in the world who are intellectually empty yet talk idly about the arts of Leigong and Cang Gong.
Written by Zhang Shizhen of Luhe at his residence in Yan Tai on the Mid-Autumn Festival of the Bingyin year of the Kangxi reign.