尝谓吴陵刘氏纯所辑玉机微义以发明之。复采集名论为初教之资也。并刻之。名曰医经
国小
。以传其书。首本草。次脉诀。次经络。次病机。次治法。次运气。凡六卷。一本于素问灵
枢难经。及张仲景王叔和至近代刘守真张洁古李明之朱仲修诸家之书。撮其切要。缀为韵语
。类粹。以便初学。本末条理。明切简备。医学之指南。而端本之书也。凡善学人。皆务本
。况医人之司命其可昧本而苟乎哉。学医者诚能熟究是编。融会于心。将所行皆正途。所用
皆正法。触类长之。于几岁十全何有哉。此书非刘氏莫之为。非陈公亦莫之传。学医之幸
。生民之幸也。纯字宗浓。吴陵人。其父叔渊。仲修之高弟。授受有自云。
正统三年己未岁九月甲子光禄大夫柱国少师兵部尚书兼华盖殿大学士国史总裁同知经筵
事庐陵杨士奇序
医意也。临病立意以施治也。其书内经载运气病源靡不悉备。候天地之变。究疾病之机
。尽
调治之理。此神圣爱人之仁。拯羸救枉济物之至道也。医道斯立。秦越人演其精义述难经。
汉张仲景论伤寒。用药定方。晋王叔和集次及撰脉经以示后学。意亦至哉。经去圣远。遗文
错简。后学专方而惑意。幸唐太仆令王冰重整其义。启大法之幽玄。释神运之奥妙。析理于
至真之中。俾学人遇诸审脉。用药去病。根本无贬损医之道明矣。而其为法。制胜伐其势。
资化助其生。扶危定乱之功。本诸经论。知气识病。治理得焉。嗟乎学必本于经。病必明于
论。治必究于方。而能变通而无滞斯能尽夫立医之意矣。昔丹溪朱先生。以医鸣江东。家君
亲从之游。领其心授。纯度。窃以先生之旨。辑其医之可法。本诸经论之精微。节目更为定
次。歌语引例具图以便记习。至于脉诀之未备者。亦为增正。名曰医经国小。盖欲初学人。
得以因流寻源而不蹈夫他歧之惑。有志于古神圣爱人济物之道者。其无诮愚以管窥而蠡测
。或有未至。矜其志而加正焉。则不惟医道之幸。亦斯民之幸也。
洪武二十一年冬十一月朔日吴陵刘纯序。
I once held the view that Liu Chun of Wuling, in his compilation *Yuji Wei Yi* (Subtle Meanings of the Jade Machine), elucidated these principles. I further collected famous treatises to serve as resources for beginners, had them printed, and named the work *Yijing Guoxiao* (A Small Primer on Medical Classics) to disseminate it. The book begins with Bencao (Pharmacology/ Materia Medica), followed by Maijue (Pulse Diagnosis Rhymes), then Jingluo (Meridians and Collaterals), then Bingji (Pathogenesis), then Zhifa (Treatment Methods), and finally Yunqi (Five Movements and Six Qi). It comprises six volumes in total. Its content is fundamentally based on *Suwen* (Basic Questions), *Lingshu* (Spiritual Pivot), *Nanjing* (Classic of Difficult Issues), as well as the works of Zhang Zhongjing, Wang Shuhe, and later masters such as Liu Shouzhen, Zhang Jiegui, Li Mingzhi, and Zhu Zhongxiu. I extracted their essential points and compiled them into rhythmic verses, categorized and refined for the convenience of beginners. The fundamentals and details are clearly organized, precise, concise, and comprehensive; it serves as a compass for medicine and a text to establish the root. Anyone who is good at learning must focus on the root. How much more so for physicians who hold the fate of life and death? If medical students can thoroughly study this compilation and integrate it into their minds, everything they practice will be on the right path, and all methods used will be correct. By extending knowledge through analogy, achieving perfect medical skills within a few years would be no difficulty. This book could not have been written without Mr. Liu Chun, nor could it have been transmitted without Mr. Chen. It is a blessing for those studying medicine and for the people. Liu Chun, courtesy name Zongnong, was from Wuling. His father, Liu Shuyuan, was a senior disciple of Zhu Zhongxiu, and the lineage of transmission has its clear origins.
Preface by Yang Shiqi of Luling, Guanglu Daifu (Grand Master of Ceremonies), Zhuguo (State Pillar), Shaoshi (Junior Preceptor to the Emperor), Minister of War, Grand Secretary of Huagai Hall, Director-General of National History, and Associate Scholar of the Imperial Study, on the day Jiazi of the ninth month of the Jiwei year of the Zhengtong era (1439).
The "medical intent" refers to formulating a treatment strategy upon encountering a disease. The *Neijing* (Inner Canon) comprehensively covers Yunqi (Five Movements and Six Qi) and Bingyuan (Etiology), observing changes in heaven and earth, investigating the mechanisms of disease, and exhausting the principles of regulation and treatment. This is the benevolence of the sages in loving humanity, the highest Dao of saving the weak, correcting deviations, and benefiting all things. Thus, the Way of Medicine was established. Qin Yueren (Bian Que) expounded its profound meanings and wrote the *Nanjing*. In the Han Dynasty, Zhang Zhongjing discussed Shanghan (Cold Damage), prescribing medicines and establishing formulas. In the Jin Dynasty, Wang Shuhe collected and arranged materials and wrote the *Maiejing* (Pulse Classic) to instruct future generations. Their intentions were indeed profound! Since the classics are far removed from the sages, with scattered texts and damaged bamboo slips, later learners became confused by focusing solely on formulas while neglecting the underlying intent. Fortunately, Wang Bing, Taibu Ling (Director of the Court of Imperial Entertainments) of the Tang Dynasty, reorganized and clarified these meanings, revealing the mysteries of the great laws, explaining the profundities of divine movement, and analyzing principles within ultimate truth. This enabled learners to carefully examine pulses, use medicines to cure diseases, and preserve the fundamental integrity of medicine without diminishment. His methods involved overcoming pathological excess and assisting physiological transformation to support life. The merit of rescuing the critical and stabilizing chaos is rooted in the classic theories: knowing Qi and recognizing disease leads to proper governance. Alas! Learning must be based on the classics, understanding disease requires clarity in theory, and treatment must be investigated through formulas. Only by being flexible and unobstructed can one fully realize the intent behind establishing medicine. In the past, Master Zhu Danxi became renowned for medicine in Jiangdong. My father personally studied under him and received his heart-to-heart transmission. I, Liu Chun, privately considered the master's principles, compiling what was worthy of emulation in medicine, based on the subtleties of the classics. I reorganized the sequence of topics, included rhyming verses and examples, and added diagrams to facilitate memorization and study. Where the Pulse Rhymes were incomplete, I also supplemented and corrected them, naming the work *Yijing Guoxiao*. The aim is to allow beginners to trace the source from the branches and avoid confusion with divergent paths. Those who aspire to the ancient Dao of sages loving humanity and benefiting all things should not mock my limited perspective (like looking at the sky through a tube or measuring the sea with a ladle). If there are shortcomings, I respectfully ask for your endorsement and correction. Then it will be a blessing not only for the Way of Medicine but also for the common people.
Preface by Liu Chun of Wuling, on the first day of the eleventh lunar month in the winter of the 21st year of the Hongwu era (1388).