一、医道自《灵》、《素》、《难经》而下,首推仲景,以其为制方之祖也。然仲景论伤寒
而温热、温疫之旨有未畅。河间论温热及温疫,而于内伤有未备。东垣详论内伤,发补中
、枳术等论,卓识千古,而于阴虚之内伤,尚有缺焉。朱丹溪从而广之,发阳常有余、阴常
不足之论,以补前贤所未及,而医道亦大全矣。夫复何言?不知四子之书,合之则见其全,
分之即见其偏。兹集兼总四家,而会通其微意,以各适于用,则庶乎其不偏耳。
一、虚火、实火之别,相隔霄壤。虚火可补,实火可泻,若误治之,祸如反掌。兹以内
出者为子火,外至者为贼火,分别虚实,以定补泻,似千古晦义,一旦昭然,而于对症用药
之间,有画沙印泥之趣。
一、凡病,不外寒热、虚实、表里、阴阳。兹特着为辨论,约之则在指掌之中,推之可
应无穷之变,学人宜究心焉。
一、医门论治,本有八法,而方书或言五法,或言六法,时医更执偏见,各用一二法,
自以为是,遂至治不如法,轻病转重,重病转危,而终则至于无法,大可伤也。予故着为
医门八法,反复详论,俾业医者,沉酣于八法之中,将以扶危定倾,庶几其有活法矣。
一、伤寒门,古称三百九十七法,一百一十三方,尚不能尽其变。遂谓仲景《伤寒论》
非全书,而予独以四字论括之,何其简也?不思伤寒只此表、里、寒、热四字,由四字而敷
为八句,伤寒实无余蕴。夫伤寒有表寒,有里寒,有表热,有里热,有表里皆热,有表里皆
寒,有表寒里热,有表热里寒。精乎此,非惟三百九十七法,一百一十三方可坐而得,即千
变万化亦皆范围于其中。予读仲景书十数年,颇有心得,因着伤寒四字论,以为后学津梁云
析清楚,纲举目张,辩论详明,毫无蒙混,治伤寒者,取则乎此,可渐登仲景之堂而入其室
一、中风寒热之别,实因乎人之脏腑为转移,从此勘破,则清凉温热之剂,各当其可,
而古今之疑团以释。
一、风、寒、暑、湿、燥、火,天之六气也。六气相杂,互相为病,最宜细辨。若概指
为伤寒,投以散剂,为害实甚,不可不慎于其初。
一、杂症各有内伤、外感之不同,须从此分别,则治法不至混淆,而取效神速。
一、女人之病,多于男子,因其有行经、胎、产等事也。且性情多郁,尤易生病,故治
法另有变通。兹特详着于后,其与男子同病者不载,特载其不同者而已。非缺也。
1. Since the *Ling Shu* (Spiritual Pivot), *Su Wen* (Basic Questions), and *Nan Jing* (Classic of Difficult Issues), Zhang Zhongjing is primarily recommended in the medical way, as he is the ancestor of prescription formulation. However, Zhang Zhongjing discussed Shanghan (Cold Damage) but did not fully expound on the principles of Wreheat diseases (Warm Heat Diseases) and Wen Yi (Warm Epidemics). Liu Hejian (Liu Wansu) discussed Wreheat diseases and Wen Yi, but was incomplete regarding Neishang (Internal Injury). Li Dongyuan detailed the discussion on Neishang, publishing insightful treatises such as those on Buzhong Yiqi Tang (Tonify the Middle and Boost Qi Decoction) and Zhizhu Wan (Immature Bitter Orange Pill), with profound knowledge spanning millennia, yet there were still omissions regarding Yin-deficiency type Neishang. Zhu Danxi expanded upon this, proposing the theory that "Yang is often in excess, while Yin is often insufficient," to supplement what previous sages had missed, thereby making the medical way comprehensive. What more could be said? It is just that the works of these four masters, when combined, reveal their completeness; when separated, they reveal their partiality. This collection integrates the strengths of all four schools, harmonizing their subtle meanings so that each method may be suitable for clinical application, thus avoiding bias.
2. The distinction between Deficient Fire (Xu Huo) and Excess Fire (Shi Huo) is as vast as heaven and earth. Deficient Fire can be treated with tonification, while Excess Fire can be treated with purgation/draining. If mismanaged, disaster can occur as quickly as turning a palm. Here, fire generated internally is termed Zihuo (Offspring Fire), and fire arriving from externally is termed Zeihuo (Thief Fire). By distinguishing deficiency and excess to determine whether to tonify or drain, seemingly obscure principles of millennia become suddenly clear. In the process of prescribing medication according to symptoms, there is a sense of clarity and precision akin to drawing in sand or imprinting in clay.
3. All diseases essentially fall under the categories of Cold, Heat, Deficiency, Excess, Exterior, Interior, Yin, and Yang. Here, specific treatises are written to differentiate and discuss them. Summarized, they are within grasp; extrapolated, they can address infinite variations. Students should devote themselves to studying these.
4. In medical treatment, there are originally Eight Methods (Han, Tu, Xia, He, Wen, Qing, Xiao, Bu - Sweating, Vomiting, Purging, Harmonizing, Warming, Clearing, Reducing, Tonifying). However, some formula books mention five methods, others six. Contemporary physicians often adhere to biased views, using only one or two methods, considering themselves correct. This leads to treatments that do not follow proper protocols, causing mild illnesses to become severe, and severe illnesses to become critical, eventually resulting in having no effective methods left, which is deeply regrettable. Therefore, I have composed "The Eight Methods of the Medical Gate," discussing them repeatedly and in detail, so that practitioners may immerse themselves in these eight methods, enabling them to rescue the perilous and stabilize the collapsing, hopefully possessing life-saving techniques.
5. The category of Shanghan (Cold Damage) was traditionally said to comprise 397 methods and 113 prescriptions, yet still could not exhaust its variations. Thus, some claimed Zhang Zhongjing's *Treatise on Cold Damage* (*Shanghan Lun*) was not a complete work. Yet, I summarize it with merely four characters. Is this not too simple? One must not fail to realize that Shanghan involves only four aspects: Exterior, Interior, Cold, and Heat. From these four characters, eight scenarios are derived (Exterior Cold, Interior Cold, Exterior Heat, Interior Heat, Exterior and Interior both Heat, Exterior and Interior both Cold, Exterior Cold with Interior Heat, Exterior Heat with Interior Cold). Mastering these, not only can the 397 methods and 113 prescriptions be obtained effortlessly, but even thousands of changes are encompassed within them. Having studied Zhang Zhongjing's works for over ten years with some insights, I have composed the "Four-Character Treatise on Shanghan" as a bridge for future learners. Analysis is clear, principles are prominent, debates are detailed, and there is no confusion. Those treating Shanghan who take this as a model can gradually ascend to the hall and enter the inner chamber of Zhang Zhongjing's mastery.
6. The distinction between Cold and Heat in Zhongfeng (Wind Stroke) actually shifts according to the patient's Zang-Fu organs. Once this is penetrated/understood, then cooling or warming agents can be appropriately applied, resolving doubts from ancient and modern times.
7. Wind, Cold, Summer-Heat, Dampness, Dryness, and Fire constitute the Six Qi (Six Climate Factors) of Heaven. When these six qi mix and interact, they cause disease, requiring careful differentiation. If generally labeled as Shanghan and treated with dispersing agents, the harm is significant. Caution is essential at the outset.
8. Miscellaneous diseases differ in terms of Internal Injury (Neishang) and External Contraction (Waigan). Differentiating from this point prevents confusion in treatment methods and leads to rapid efficacy.
9. Women's diseases are more numerous than men's due to menstruation, pregnancy, and childbirth. Furthermore, their temperaments tend toward depression, making them prone to illness; thus, treatment methods require adaptation. These are detailed below. Diseases common to both sexes are not recorded here; only the differences are recorded. This is not an omission.