徽州以黄山之秀,茂林修竹之盛,新安江水之利,自南宋以来,航运日兴,经济繁荣,手工业发达,人文
蔚起。迄于明季,已成东南重镇。产品之丰,文物之盛,字内名邑,难与其匹。然。其地缺盐,因而取给于吾
邑扬州。时扬地以盐运关系,亦富甲天下,故徽、扬之来往益密,经济文化交流,有唇齿相根据之势。明季徽人
之旅扬者遂多,在扬行医者亦多。
及于明末,北都沦亡,南都告警,将决于扬州一战。时徽籍流寓吾扬者,多登运盐船返里避难。无何,扬
州十日,凶渠多铎屠城,居民濒于绝迹矣。及至乱局敉平,首返扬州者,多数为徽人。入清,设安徽会馆于南
城,栋宇之广,甲于众会馆。由是,徽俗之影响吾扬者益巨。以言文学艺术与科学技术,则关系尤深。干、嘉
之际,考据学盛兴于东南,迄今学术界仍以戴、段、钱、王并称。戴则皖人,王则扬人,而扬州之汪容甫、焦
理堂、阮芸台诸先生,又与皖省人士互有影响。在艺术方面,扬州八怪之汪士慎、罗两峰先生,均新安人;而
怀宁邓石如先生、泾县包世臣先生,寓扬亦久,且对吾扬之书法篆刻,影响尤深。吾乡吴让之先生传其法乳,
后世常邓、包、吴并称,形成书法之一巨派。
扬州十日后,医界首返扬城者,即曾经寓扬之徽籍程云来先生。先生于顺治间即辑《医学分法类编》于
吾扬,其后之著作,若《圣济总录纂要》、《金匮直解》等,又多着笔或刊刻于广陵。故新安程氏之医学,
影响于扬州者至深。云来先生,当与《医述》辑者为同族。
程杏轩先生,歙之饱学士,亦名医也。既胸罗四部,又博极
医书,精于考据,乃刺取医药要言,编为《医述》。其取舍甚精,由博返约。手此一篇,可无余蕴矣。
《医述》虽系辑录,然无一字无来历,无一字无出处。其文本节组略处与原作相较,义达真存,使人心折。
虽多刺取已刻者,亦广收皖南未刻之稿,众多事后佚失的着录,赖此得以流传,厥功甚伟。东瀛丹波元坚虽亦
曾有《杂病广要》之辑,然终不若程氏节取之精。故当日此书出后,扬地医家争相购诵。惜问世不久版即散失,
后虽复刊于汉上,然流传终不甚广。学人求之,每不易得。
吾家数世研医,每仗此书为主要参考。丁丑,中日战起,扬城告警。鉴庭奉严命,避地北湖,仅携医书
三部随行。一为《本草纲目》,一为《证治汇补》,一即《医述》也,备此三书,足资参考。举此一例,可证
此书文献价值之崇高矣。
今安徽省卫生厅与安徽科技出版社,共谋校点重印此书,索跋于予,故诊缕书之,不知有当于命意否。
方今吾道待昌,得书不易。文以载道,书缺道将失传,故翻印医籍乃当务之急。若《医述》乃最切实用
之书也。此书一出,对医家参考,患者保健,均有裨益,实为值得记载之大事,故奋笔书后,以示称颂。
辛酉夏日扬州耿鉴庭谨跋于北京颐和园,时年六十有七
Huizhou, with the beauty of Mount Huangshan, the abundance of dense forests and tall bamboo, and the advantages of Xin'an River navigation, saw daily development in water transport since the Southern Song Dynasty. Its economy flourished, handicraft industries developed, and culture thrived. By the late Ming Dynasty, it had become a major town in Southeast China. Abundant in products and rich in cultural artifacts, no other famous city under heaven could rival it. However, lacking salt, it relied on our city, Yangzhou, for supply. At that time, due to the salt transport monopoly, Yangzhou was also the wealthiest place under heaven. Thus, interactions between Huizhou and Yangzhou became increasingly frequent, with economic and cultural exchanges forming a relationship as interdependent as lips and teeth. Consequently, many Huizhou people traveled to Yangzhou in the late Ming Dynasty, and many Huizhou physicians practiced there.
By the end of the Ming Dynasty, after the fall of the Northern Capital (Beijing) and the alarm at the Southern Capital (Nanjing), the fate of the nation depended on the battle of Yangzhou. At that time, many Huizhou residents living in Yangzhou boarded salt transport ships to return home to seek refuge. Shortly thereafter, the "Ten Days of Yangzhou" massacre occurred; the rebel leader Dodo slaughtered the city's inhabitants, leaving them nearly extinct. When order was restored, the first to return to Yangzhou were mostly Huizhou people. After the establishment of the Qing Dynasty, an Anhui Guild Hall was built in the South City, with buildings so extensive that they ranked first among all guild halls. Thereby, the influence of Huizhou customs on Yangzhou became even greater. In terms of literature, art, science, and technology, the connection was particularly deep. During the Qianlong and Jiaqing reigns, evidential scholarship (Kaoju Xue) flourished in the Southeast, and scholars today still speak of Dai Zhen, Duan Yucai, Qian Daxin, and Wang Nianshen together. Dai Zhen was from Anhui, Wang Nianshen from Yangzhou, while Mr. Wang Rongfu, Mr. Jiao Litang, and Mr. Ruan Yuntai of Yangzhou also influenced each other with scholars from Anhui Province. In the arts, Mr. Wang Shishen and Mr. Luo Lifeng of the "Eight Eccentrics of Yangzhou" were both from Xin'an; meanwhile, Mr. Deng Shiru from Huaining and Mr. Bao Shichen from Jingxian resided in Yangzhou for long periods, exerting profound influence on Yangzhou's calligraphy and seal carving. My fellow townsman, Mr. Wu Rangzhi, inherited their techniques, and later generations often grouped Deng, Bao, and Wu together, forming a major school of calligraphy.
Among the medical professionals who returned to Yangzhou city first after the Ten Days of Yangzhou was Mr. Cheng Yunlai, a Huizhou native who had previously resided in Yangzhou. During the Shunzhi reign, he compiled *Yixue Fenfa Leibian* (Classified Compilation of Medical Methods) in Yangzhou. His subsequent works, such as *Shengji Zonglu Zuanyao* (Essentials of the General Record of Holy Relief) and *Jinkui Zhijie* (Direct Explanation of the Golden Cabinet), were mostly written or printed in Guangling (Yangzhou). Thus, the medical lineage of the Cheng family from Xin'an had a profound impact on Yangzhou. Mr. Yunlai should be of the same clan as the compiler of *Yi Shu*.
Mr. Cheng Xingxuan was a learned scholar from Shexian and also a renowned physician. Having mastered the Four Books and extensively studied medical texts, and being skilled in textual research, he extracted essential statements on medicine and pharmacy to compile *Yi Shu* (Medical Discourse). His selection was extremely precise, moving from the broad to the concise. Reading this preface reveals that the work is comprehensive. Although *Yi Shu* is a compilation, every word has its source and origin. Compared to the original works, the text retains the true meaning through selective editing, convincing readers. While it largely excerpted published works, it also widely collected unpublished manuscripts from southern Anhui. Many writings that were later lost survived thanks to this book, meriting great credit. Although Danbo Yuanjian of Japan also compiled *Zabing Guangyao* (Broad Essentials of Miscellaneous Diseases), it ultimately did not match the precision of Cheng's selections. Therefore, when this book was published, physicians in Yangzhou competed to buy and read it. Unfortunately, the printing blocks were lost shortly after publication. Although reprinted later in Hanshang, its circulation remained limited. Scholars seeking it found it difficult to obtain.
My family has studied medicine for several generations, relying heavily on this book as a primary reference. In the year Dingchou (1937), when the Sino-Japanese War broke out and Yangzhou faced danger, Jian Ting, following strict orders, fled to Beihu, carrying only three medical books: one copy of *Bencao Gangmu* (Compendium of Materia Medica), one of *Zhengzui Huibu* (Compilation of Diagnosis and Treatment), and one of *Yi Shu*. With these three books, sufficient reference material was available. This example alone proves the lofty documentary value of this book.
Now, the Anhui Provincial Health Department and the Anhui Science and Technology Press have jointly planned to proofread and reprint this book, asking me for a postscript. Therefore, I have detailed my thoughts below, hoping it meets your intentions. Today, our Way (Dao) awaits promotion, and good books are hard to come by. Writing carries the Dao; if books are lost, the Dao will perish. Thus, reprinting medical texts is an urgent task. *Yi Shu*, being the most practical and useful book, once published, will benefit physicians' references and patients' health care. It is truly a significant event worthy of record. Hence, I write this postscript with enthusiasm to express my praise.
Summer of the Xinyou Year (1981), Geng Jianting of Yangzhou respectfully wrote this postscript at the Summer Palace in Beijing, aged sixty-seven.