宣和间有一士人抱病经年百治不瘥有何澄者善医其妻召至引入密室中告之曰外家以良人抱
疾日
久典卖殆尽无以供医药之资愿以身相酬医正色拒之曰小娘子何为出此言但放心当为调治取效
切不可以此相污万一外人知之非独使某医药不效不有人诛必有鬼责未几其夫疾愈何澄一夕梦
人引
入神祠有判官语之汝医药有功不于艰急之际以色欲为贪乱良人妇女上帝令赐汝钱五万贯
官一资未数月东宫得疾国医不能治有诏召草泽医澄乃应诏进剂而愈朝廷赐钱三千贯与初品官
自后医道盛行京师号为何药院家
医者当自念云人身疾苦与我无异凡来请召急去无迟或止求药宜即发付勿问贵贱勿择贫富
专以
救人为心冥冥中自有 之者乘人之急故意求财用心不仁冥冥中自有祸之者吾乡有张彦明善医
僧道贫士军兵及贫者求药皆不受钱或反以钱米与之人来请召虽至贫下亦去富者以钱求药不问
多寡必多与药期于必愈未尝萌再携钱来求药之心病若危笃亦多与好药以慰其心终不肯受钱予
与
处甚久详知其人为医而口终不言钱可谓医人中第一等人矣一日城中火灾周回 尽烟焰中独存
其居一岁牛灾尤甚而其HT 上独全此神明 助之其子读书乃预魁荐孙二三人皆庞浓俊爽亦天道
福善之信然也使其孜孜以钱物为心失此数者所得不足以偿所失矣同门之人可不鉴哉
伏读张君季明医说无非济人挟物之事而将之FS 至诚三世授受相传一脉是可嘉尚也已余来
新安恨识之晚将虚心而访以求卫生之经云嘉定甲申春三月中浣星江彭方书于古歙岁寒堂
医意也果可以纸上索乎虽曰不知书而曰我知医余不信也知书矣而未之广犹不知书也张君
季
明示余医书一编载古今事迹至纤悉盖其生平目览耳听凡涉于医者必录录必以其类今老矣搜访
尚不辍将成一家之书以传于世张世以医名世者季明用心之勤如此其能世其世可知也季明有子
字九万隶业郡庠性敏而能文使以季明勤于医之心而勤于学其能为张氏大门户亦可知也噫季明
之用心如此其必有子以大门户又可知也是则季明末编报应之说嘉定甲申首夏末浣四明李(以
制)书
上张季明医说季明儒生也集是说以传于世人多笑其流于伎不知真儒生之用心也使世医
者皆
以季明之心为心虽庸医足以为良医苟以驵侩之心处之虽良医且庸矣况本庸耶近世士夫所以每
叹所在无良医人之疾病不得尽其理而死者亦众然岂真无良医耶不仁之心坏之也季明之伯祖子
充以医术受知于忠宣范公名满京洛察脉语症妙出意表略无毫发隐情诸公待之如神人盖已能儒
其心矣季明父祖能世其业季明又能力学以求古人之用心则凡有可以广人之闻见使其知所趋避
以自免于疾与夫参稽已验之效有疾而自能处其疾不为庸医所误是季明之仁术也则是说之集安
可以伎而笑之耶况季明之于医自有得其伯祖之秘传以是心而行是伎季明其儒医之良者也使
其得科第而登仕籍其仁民之心又当如何耶此予所以喜之而与题其后云开禧丁卯七夕建安江畴
跋
余曩读千金方间遇一二奇症扣诸医莫能识疑蓄既久因念华佗不世出将终无所质究及分教
新安
始得张君季明所谓医说者而阅之于是前者之疑涣然释豁然悟而且叹曰是说其有济于世也博矣
按其伯祖子克生于皇朝元符间尝从蜀王朴学太素能知人贵贱祸福受其衣领秘藏素书甚详
后以此活人不可胜计季明其传也夫奈近世医道之坏谬悠无耻之徒崇饰疑误援据臆说欺世盗名
至附以隐僻奇怪使人不易通晓季明疾之因博采传记考古援今远追昔人素书之遗近质当世
闻之妄推见至真开悟后学纪次殆千余条或由梦感或与神遇积众口已效之传而病症方论若合
符
契略无一事 牾其视余子之浅近迂诞者不可同年而语矣昔杨子云悯百氏之争鸣独推五经以为
众说郛然则季明之书其亦说郛之谓欤若夫用志之勤推心之浓增衍阴 以昌大厥嗣是又无可疑
者故书此以遗之宝庆丁亥十二月望日东阳徐杲书
越帅待制汪公镇越累年未尝不以济人救物为心兴利除害为事一日以张氏医说巨编示兴俾
校正
其讹谬将锓梓以广其传兴因整襟肃容而观之见其叙医家之本末疾病之精微无虑数十万言吁何
其详且博也夫医之道大矣自神农黄帝岐伯雷公而下无非圣哲开其源贤智导其流故能拯黎元之
疾苦赞天地之生育世道既降士大夫以此为技艺不屑为之而升之凡流故以至精至妙之理而出于
至卑至浅之思其不能起人之疾反以夭其命者多矣此范文正公所以自谓不遇则顾为良医前辈亦
云治病而委之庸医比之不慈不孝也抑兴思之自昔卓然名家者如和缓扁鹊淳于意张仲景孙真人
及脉诀等书其论医也莫不以保养为先药石为辅至于察形诊脉必致办于毫芒疑似之末而深痛夫
世之医者苟简虚骄之习也是书所载大略举矣而以序冠其前者顾乃以医之伐病如将之伐敌当用
背水阵以决胜是徒见夫华佗之说时出其间而或有以奇捷之方拯人之危者尔愚观近世贤士有为
症类本草者其说谓道经略载扁鹊数法其用药犹是本草家意至汉淳于意及华佗等方今时有存者
皆条理药性惟仲景一部最为众方之祖但其善诊脉明气候以意消息之尔至如刳肠剖臆刮骨续筋
之法乃别术所得非神农家事至哉为论足以发明是书之大旨矣兴既为辨其舛误芟其芜类而间以
所闻于记录者稍附益之且以其管见复于公庶几不负委属之意云绍定改元孟夏望日门下士山阴
诸葛兴谨书
张杲医说十卷四库着录自明以来翻刻改订者有嘉靖癸卯邓正初本嘉靖甲辰顾定芳本嘉靖
丙
午沈藩本万历己酉张尧直本朝鲜活字本日本翻印本周恭续编本其宋刊原本见于着录者只此黄
荛圃
汪阆源丁松生旧藏今在盔山书库之十卷及群碧楼鬻之中央研究院之九卷经籍访古志所载九十
两卷今存日本图书寮者耳邓正暗得于厂肆者无第二卷以明刻配补固不逮丁书之具足十卷丁书
亦有残损尝以它本抄补字迹既劣与目录亦不尽合丁氏尝以沈藩十行本与此宋刊对勘惜其未见
顾定芳本不能推见诸刻递嬗之迹也今年春馆中又购得顾本其行格一准宋本参校三书得失具见
爰就宋本阙字根据顾本补写其全叶均脱者以顾本配之亟付景印以饷学人傥亦黄丁诸先生所欣许
乎杲之家世见第三卷太素之妙条可补宋史方伎传是书取材之富椠印之精提要及访古志言之綦
详固今日治国医研故书者所当胝沫抑吾闻时贤盛倡抽印四库珍本之说妄谓阁书 录校勘率未
精采似宜根据提要访求公私藏庋初刻精印为之流布当愈于四库抄胥之本谨举此以为先河云癸
酉夏五月镇江柳诒征。
During the Xuanhe era, there was a scholar who had been ill for years and did not recover despite various treatments. A physician named He Cheng, who was skilled in medicine, was summoned by the patient's wife. She led him into a private room and told him, "My family has sold off everything due to my husband's long illness and has no funds left for medical expenses. I am willing to offer myself in repayment." He Cheng sternly refused, saying, "Why do you speak thus, young lady? Rest assured, I will treat you and bring about a cure. Please do not attempt to defile me with such offers. If this were known by others, not only would my medical efficacy be compromised, but I would face both human condemnation and divine retribution." Shortly thereafter, her husband recovered. One night, He Cheng dreamed that he was led into a shrine where an official of the underworld said to him, "Your medical merit is great; you did not succumb to lust or disrupt the lives of virtuous women during times of hardship. The Emperor of Heaven commands that I bestow upon you 50,000 guan of cash and one official rank." Within a few months, the Crown Prince fell ill, and the imperial physicians could not cure him. An edict was issued summoning folk physicians. He Cheng responded to the edict, administered a prescription, and cured the illness. The court rewarded him with 3,000 guan of cash and granted him a low-ranking official position. From then on, the practice of medicine flourished in the capital, and his family became known as the "He Medicine Courtyard" family.
Physicians should reflect: The suffering of the human body is no different from my own. When summoned, one should go promptly without delay. If only medication is requested, it should be provided immediately, regardless of whether the patient is noble or humble, rich or poor. One must focus solely on saving lives. In the unseen realm, those who act with benevolence are blessed; those who exploit crises for profit and act unkindly are cursed. In my hometown, there was Zhang Yanming, a skilled physician. He treated monks, Daoists, poor scholars, soldiers, and the impoverished without charging fees, sometimes even giving them money and grain. When summoned, he would visit even the poorest patients. For wealthy patients requesting medicine, regardless of the amount paid, he would provide ample medication, aiming for a complete cure, never expecting them to return for payment. In critical cases, he would provide high-quality medicines to comfort their minds, steadfastly refusing payment. Having lived with him for a long time, I know well that he never spoke of money while practicing medicine; he can be considered the foremost among physicians. Once, a fire broke out in the city, burning down surrounding houses, yet his home remained intact amidst the smoke and flames. During a severe cattle plague the following year, his roof beams alone survived. This was divine assistance. His son studied and was recommended as the top scholar; his grandsons were robust and handsome. This is indeed proof that Heaven blesses the virtuous. If he had been obsessed with wealth, losing these blessings, the gain would not compensate for the loss. Fellow practitioners should take heed.
I have read Master Zhang Jiming's *Yi Shuo* (Medical Sayings), which is entirely about benefiting people and involves material matters, yet expresses utmost sincerity. Passed down through three generations in a continuous lineage, this is worthy of admiration. I came to Xin'an and regret knowing him too late; I shall visit him humbly to seek the classics of health preservation. Written by Peng Fang of Xingjiang at the Suihan Hall in Gushou during the middle ten days of the third month of the spring of Jiading Jia Shen.
Can the intent of medicine be sought merely on paper? Although some say they do not study books, claiming "I know medicine," I do not believe this. Knowing books but lacking breadth is still like not knowing them. Master Zhang Jiming showed me a compilation of medical texts recording ancient and modern cases, detailed to the finest extent, likely drawn from his lifelong observations and hearings, categorized meticulously. Now old, he continues to collect materials, intending to publish a comprehensive work. The Zhang family has been famous for medicine for generations; given Jiming's diligence, his ability to continue this legacy is evident. Jiming has a son named Jiwan, enrolled in the local academy, intelligent and literate. If he applies Jiming's diligence in medicine to his studies, he will surely expand the Zhang family's prestige. Alas, with Jiming's dedication, it is clear he will have a son to carry forward the family name. This concludes the section on retribution in Jiming's work. Written by Li Yizhi of Siming at the end of early summer in Jiading Jia Shen.
Preface to Zhang Jiming's *Yi Shuo*: Jiming is a Confucian scholar who compiled these sayings for public transmission. People often mock him for focusing on technical skills, failing to understand the true intent of a genuine Confucian. If all physicians adopted Jiming's mindset, even mediocre doctors could become excellent ones. Conversely, if one acts with the heart of a merchant, even an excellent doctor becomes mediocre, let alone one who is already mediocre. Modern scholars often lament the lack of good physicians, leading to many deaths from untreated illnesses. But is it truly that there are no good physicians? No, it is the lack of benevolence that corrupts the profession. Jiming's great-uncle, Zichong, gained fame in Jingluo for his medical skills under the patronage of Fan Zhongxuan. His pulse diagnosis and symptom analysis were miraculous, revealing hidden conditions with precision, and was treated like a deity by officials, demonstrating a Confucian heart applied to medicine. Jiming's father and grandfather continued this tradition, and Jiming himself strives to understand the ancients' intentions. By broadening knowledge to help people avoid disease and self-treating based on verified effects, avoiding errors by mediocre doctors, Jiming practices benevolent medicine. How can this collection be mocked as mere technique? Moreover, Jiming received secret transmissions from his great-uncle and practices with a sincere heart, making him an outstanding Confucian physician. Had he passed the examinations and entered officialdom, his benevolence towards the people would have been even greater. This is why I rejoice and write this postscript. On the Qixi Festival of Kaitai Ding Mao, Jiang Chou of Jian'an wrote the colophon.
In the past, when reading *Qianjin Fang*, I encountered rare cases that physicians could not identify. Frustrated by the lack of guidance, I thought of Hua Tuo, whose generation was rare, leaving me with no one to consult. Upon teaching in Xin'an, I finally obtained Zhang Jiming's *Yi Shuo*. Reading it, my previous doubts vanished, and I realized its vast benefit to the world. Examining his great-uncle Zike, who lived during the Yuanfu era of our dynasty, he studied *Taisu* under Wang Pu from Shu, predicting fate and receiving secret teachings. He saved countless lives, and Jiming is his successor. Unfortunately, modern medical practice has degenerated. Shameless charlatans use obscure theories to deceive the public. Jiming detests this, so he collected biographies, compared ancient and modern sources, traced back to ancient texts like *Sushu*, and consulted contemporary experts. He clarified truths to enlighten later learners, compiling nearly a thousand entries, some derived from dreams or spiritual encounters, verifying claims against observed effects. His case records align perfectly, unlike the shallow and absurd works of others. As Yang Xiong lamented the chaos of competing schools and revered the Five Classics as the standard, so too is Jiming's book a reliable compendium. His diligence, empathy, and accumulation of merit ensure prosperity for his descendants. I write this to present it. On the full moon of December, Baoshang Ding Hai, Xu Guo of Dongyang wrote.
Governor Wang, a Daishi of Yue, governed Yuezhou for years with a heart dedicated to saving people and eliminating harm. One day, he showed me the massive compilation of Zhang's *Yi Shuo*, asking me to correct errors for publication. I adjusted my clothes and read it solemnly. It described the origins of medicine and the subtleties of disease in hundreds of thousands of words—how detailed and extensive! The Way of Medicine is vast. Since Shennong, Huangdi, Qibo, and Leigong, sages opened its source, and wise men guided its flow, saving the people and assisting Heaven's creation. As times declined, scholars looked down on medicine as a lowly craft, passing it to commoners. Thus, profound principles emerged from shallow thoughts, often failing to cure and causing premature death. This is why Fan Zhonggong said if one fails in officialdom, one should be a good doctor. Predecessors also said entrusting treatment to mediocre doctors is worse than being unfilial. Thinking back, renowned masters like Huan Bianque, Chunyu Yi, Zhang Zhongjing, and Sun Simiao, along with texts like *Maijue*, always prioritized preservation over drugs, emphasizing precise pulse diagnosis and despising negligence and arrogance. This book covers these points broadly. However, the preface compares treating disease to battle, advocating desperate measures like the "Back-to-the-River Formation," reflecting only Hua Tuo's occasional use of radical methods. I observe that modern scholars classifying symptoms by materia medica follow herbal logic. Even surviving formulas from Chunyu Yi and Hua Tuo organize drug properties. Only Zhang Zhongjing's work is the ancestor of all prescriptions, excelling in pulse diagnosis and adapting to climate and condition. Techniques like intestinal surgery or bone setting belong to other arts, not Shennong's domain. This critique clarifies the book's main theme. I corrected errors, removed redundancies, added notes from records, and submitted my views to the Governor, hoping to fulfill the commission. On the full moon of early summer, the first year of Shaoding, Zhuge Xing of Shanyin, a disciple, respectfully wrote.
Zhang Gao's *Yi Shuo*, ten volumes, is recorded in the *Siku Quanshu*. Since the Ming Dynasty, it has been reprinted and revised in editions by Deng Zhengchu (Jiamao), Gu Dingfang (jiachen), Shen Fan (bingwu), Zhang Yaozhi (wuyou), Korean movable type, Japanese reprint, and Zhou Gong's continuation. The original Song edition is held by Huang Waipu, Wang Langyuan, and Ding Songsheng, now in the Kuishan Library (10 volumes) and sold to the Academia Sinica (9 volumes). The *Jingji Fanggu Zhi* mentions 90 volumes, now in the Toshokan, Japan. Deng Zhengchu's edition lacked Volume 2, supplemented by Ming prints, inferior to Ding's complete set. Ding's set had damage, copied from other versions with poor handwriting and mismatched contents. Ding compared it with Shen Fan's 10-line edition but missed Gu Dingfang's version, unable to trace the evolution. This spring, our library acquired Gu's edition, matching Song layout. Comparing the three, we filled gaps in the Song edition using Gu's text and replaced missing leaves. We urgently photocopied it for scholars, hoping Huang and Ding would approve. Zhang Gao's family history is in Vol 3, "Mystery of Taisu," supplementing the *Song Shi*. The book's rich content and fine printing are detailed in the *Tiyao* and *Fanggu Zhi*, deserving careful study by modern researchers. Some scholars advocate reprinting precious *Siku* volumes, criticizing the Imperial Library's collation. It is better to find original editions based on the *Tiyao* for accurate dissemination, superior to *Siku* copies. I mention this as a starting point. In the summer of May, Guiyou, Liu Yizheng of Zhenjiang.