仲景《伤寒论》,编次者不下数十家,因致聚讼纷纭。此皆不知仲景作书之旨故也。观
《伤
寒》叙所述,乃为庸医误治而设。所以正治之法,一经不过三四条,余皆救误之法,故其文
亦变动不居。读《伤寒论》者,知此书皆设想悬拟之书,则无往不得其义矣。今人必改叔和
之次序,或以此条在前,或以此条在后;或以此症因彼症而生;或以此经因彼经而变,互相
诟厉。孰知病变万端,传经无定,古人因病以施方,无编方以待病。其原本次序,既已散亡
,庶几叔和所定为可信,何则?叔和《序例》云∶今搜采仲景旧论,录其症候、诊脉、声色
,对病真方有神验者,拟防世急。则此书乃叔和所搜集,而世人辄加辨驳,以为原本不如此
,抑思苟无叔和,安有此书?且诸人所编,果能合仲景原文否耶?夫六经现症,有异有同,后
人见阳经一症,杂于阴经之中,以为宜改入阳经之内,不知阴经亦有此症也。人各是其私,
反致古人圆机活法,泯没不可闻矣。凡读书能得书中之精义要诀,历历分明,则任其颠倒错
乱,而我心自能剌会贯通,否则徒以古羽纷更互异,愈改愈晦矣!
《金匮要略》乃仲景治杂病之书也。其中缺略处颇多,而上古圣人,以汤液治病之法,
惟赖
此书之存,乃方书之祖也。其论病皆本于《内经》,而神明变化之。其用药悉本于《神农本
草》,而融会贯通之。其方则皆上古圣人历代相传之经方,仲景间有随症加减之法。其脉法
亦皆《内经》及历代相传之真诀。其治病无不精切周到,无一毫游移参错之处,实能洞见本
源,审察毫末。故所投必效,如桴鼓之相应,真乃医方之经也!惜其所载诸病,未能全备,
未知有残缺与否?然诸大症之纲领,亦已粗备,后之学人,以其为经而参考推展之,已思过
半矣。自此以后之书,皆非古圣相传之真诀,仅自成一家,不可与《金匮》并列也。
Zhang Zhongjing's *Shanghan Lun* (Treatise on Cold Pathogenic Diseases) has been compiled and arranged by no fewer than dozens of editors, leading to endless controversies. This is all due to a failure to understand the purpose behind Zhang Zhongjing's writing. Observing the preface and examples in the *Shanghan Lun*, it is evident that the text was established to address cases of misdiagnosis and mistreatment by mediocre physicians. Therefore, the correct treatment methods comprise only three or four entries per meridian, while the remainder consists of methods to rectify errors; consequently, the text itself is variable and not fixed. Readers who understand that this book is a work of hypothetical scenarios and simulations will be able to grasp its meaning in any situation. Modern scholars insist on altering the sequence established by Wang Shuhe, placing certain entries before others, or claiming that one symptom arises from another, or that disease transmission between meridians follows specific patterns, thereby criticizing each other. Few realize that pathological changes are myriad and transmission along meridians is indefinite. The ancients prescribed formulas based on the illness at hand, rather than compiling formulas in anticipation of diseases. Since the original sequence has long been lost, perhaps the arrangement by Wang Shuhe is trustworthy. Why? In his "Preface and Examples," Wang Shuhe stated: "I have now collected and selected Zhang Zhongjing's old theories, recording their symptoms, pulse diagnosis, and visual/auditory signs, selecting those true formulas that proved effective against specific diseases to guard against emergencies." Thus, this book was compiled by Wang Shuhe, yet people casually refute it, claiming the original was different. Consider: without Wang Shuhe, how would this book exist? Moreover, can the versions compiled by various individuals truly match Zhang Zhongjing's original text? The manifestations of the Six Meridians vary in similarity and difference. Later scholars seeing Yang meridian symptoms mixed within Yin meridian chapters assumed they should be moved to the Yang sections, unaware that Yin meridians also present such symptoms. Each person adheres to their private view, causing the flexible and adaptive methods of the ancients to be obscured and unheard. One who grasps the essential principles of a text clearly can comprehend it regardless of disordered arrangements; otherwise, merely changing and conflicting with ancient texts will only make them more obscure!
The *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet) is Zhang Zhongjing's treatise on miscellaneous diseases. It contains many omissions, yet the method of treating diseases with decoctions by ancient sages relies solely on the preservation of this book, making it the ancestor of formula literature. Its discussions on diseases are based on the *Huangdi Neijing* (Yellow Emperor's Inner Canon) but apply divine transformation and variation. Its use of herbs is entirely based on the *Shennong Bencao Jing* (Divine Farmer's Materia Medica), integrating and mastering it. The formulas presented are classical prescriptions passed down through generations of ancient sages, with Zhang Zhongjing occasionally employing methods of adding or subtracting ingredients according to symptoms. Its pulse diagnosis methods are also true secrets passed down from the *Huangdi Neijing* and subsequent generations. Its treatments are precise and thorough, lacking any hesitation or error, truly penetrating the root cause and examining minute details. Thus, every prescription applied yields efficacy, like a drumstick striking a drum with immediate response; it is indeed the classic of medical formulas! Regrettably, the diseases recorded therein are not fully comprehensive, and it is unknown if there are missing parts. However, the general outlines of major diseases are roughly prepared. Later learners, treating it as a classic for reference and expansion, have already achieved half their understanding. Books written after this period are not the true secrets transmitted by ancient sages but represent individual schools of thought, and cannot be ranked alongside the *Jingui Yaolue*.