天益上东垣先生启曰。窃以射不师于后羿。岂能成弹日之功。匠非习于公输。未易耸连云之构
。惟此医药之大。关乎性命之深。若非择善以从之。乌得过人之远矣。兹者伏遇先生聪明夙赋。颖
悟生资。言天者必有验于人。论病者则以及于国。驱驰药物。如孙吴之用兵。条派病源。若神禹之
行水。是以问病而证莫不识。投药而疾靡不瘳。有元化涤胃之神功。得卢扁起人之手段。犹且谦以
接物。莫不忠于教人。如天益者口口晚生东垣口族幼承父训。俾志学于诗书。长值危时。遂苟生于
方技。然以才非卓荦。性实颛蒙。恐贻口人之讥。常切求师之志。幸接大人之余论。始惭童子以何
知。即欲敬服弟子之劳。亲炙先生之教。朝思夕诵。日就月将。其奈千里孑身。一家数口。内以生
涯之逼。外为官长之拘不得免焉。是以难也。今乃谨修薄礼。仰渎严颜伏望。怜鄙夫之间。为之竭
焉。见互乡之童。与其进也。使得常常之见。得闻昧昧之思。若味亲糟粕之余。是赐获丘山之重。
过此以往。未知所裁。谨启。
夷幼承先子严训。言东垣李先生医术之精。古今罕及。门人罗谦甫深得其秘奥。二公所着脾胃
论。卫生实鉴诸书。皆补前人之未备。分门辨误。不执于一偏。以至针法、本草。无不详尽。诚医
家切要而不可缺者。或乃论其用药不施攻法而多补。迂缓难用。此不能深究其旨而妄为之说也。观
各方中所用麻黄、葛根、汗剂也。瓜蒂、赤豆、吐剂也。大黄、芒硝、牵牛、巴豆、下剂也。三
攻之法。未尝不用。特其攻补随宜。施之先后。各有攸当。传诸书皆已版行于世。惜乎毁于元兵、
今抄本传讹者多。吾尝正其缺误。欲寿诸梓。因循未果。汝他日当成吾志焉。未几。先子下世。夷
拳拳服膺弗敢忘。迩年以来。东垣脾胃论、内外伤辨、用药珍珠囊三书。刊板已就。今复捐俸资。
令医士钱垣缮写罗氏卫生宝鉴二十四卷。补遗一卷。计四百八十一板。共一十五万五千余字。募工
刊完。将以广布四方。庶几不负我先子平昔之志。非惟从事于活人之术者。究心于此。大有所益。
而遐壤僻邑无医之处。仓卒遇病。检方用药。亦必得其效也。
永乐十五年十二月初一日承德郎太医院院判吴郡韩夷公达谨识
Luo Tianyi presented a letter to Master Dongyuan, stating: I humbly believe that if archery is not learned from Hou Yi, how can one achieve the feat of shooting down suns? If a carpenter does not study with Gongshu Ban (Lu Ban), it is difficult to construct buildings reaching the clouds. Medicine and pharmacy are of such great importance, deeply concerning life and death; without choosing a good teacher to follow, how can one surpass others? Now, having the fortune to encounter your Lordship, endowed with innate wisdom and quick understanding, discussing the Heavenly Way yields verification in the human body, and analyzing diseases benefits the nation. The administration of medicines is as skillful as Sun Wu and Wu Qi using troops; tracing the sources of diseases is as orderly as Yu the Great controlling the waters. Thus, when asking about illness, no syndrome is unrecognized; when administering medicine, no disease remains uncured. Possessing the divine efficacy of Hua Tuo in cleansing the stomach, and the skills of Lu Yanque and Bian Que in reviving people, yet you remain humble in dealing with things and loyal in teaching others. As for me, Luo Tianyi, a late-born junior, received my father's training in childhood, aspiring to study poetry and books. Growing up during turbulent times, I barely survived through medical arts. However, lacking outstanding talent and possessing a dull nature, fearing ridicule, I often harbored the desire to seek a teacher. Fortunately, by accessing your remaining discourses, I began to feel ashamed of my childish ignorance and wished to respectfully serve as a disciple, personally receiving your teachings. Day and night I pondered and recited, accumulating knowledge month by month, but hindered by being alone thousands of miles away, supporting a family, constrained by livelihood internally and official duties externally, I could not escape this difficulty. Therefore, I now carefully prepare modest gifts, presumptuously disturbing your dignified presence, hoping you would pity this humble man and exert yourself on my behalf. Treat me like the child of Huxiang, granting me progress, so that I may frequently see you and hear your profound thoughts. To taste the dregs of your wisdom is a gift heavier than Mount Qiu. Beyond this, I do not know how to proceed. Respectfully submitted.
In my youth, I received strict instructions from my late father, who spoke highly of Mr. Li Dongyuan's exquisite medical skills, unsurpassed in ancient and modern times. His disciple, Luo Qianfu, deeply grasped their secrets. The works authored by these two masters, such as *Pi Wei Lun* (Treatise on the Spleen and Stomach) and *Wei Sheng Shi Jian* (Comprehensive Mirror for Health Preservation), supplemented what predecessors lacked, categorizing and correcting errors without bias, detailing acupuncture methods and materia medica. These are indeed essential and indispensable for physicians. Some argue that their medication relies heavily on tonification rather than purgation, deeming it slow and impractical; this is a rash comment arising from a failure to deeply investigate their principles. Observing the formulas, Ephedrae Herba (Mahuang) and Puerariae Radix (Gegen) are diaphoretics; Citrulli Fructus (Gua Di) and Vigna Angularis Seed (Chi Dou) are emetics; Rheum Palmatum Root (Dahuang), Natrii Sulfas (Mangxiao), Phelodendri Cortex (Huangbo - note: text says Qianniu/Pharbitidis Semen, usually paired with Da Huang/Mang Xiao for purgation), Pharbitidis Semen (Qianniu), and Crotonis Fructus (Badou) are cathartics. The three methods of attack were never unused; rather, attack and tonification were applied appropriately according to circumstances, with specific sequences. These texts have been published, but alas, destroyed during the Yuan wars. Current copies contain many errors. I once corrected them and intended to print them, but delayed. You should fulfill this wish in the future. Soon after, my father passed away, and I held his words close to my heart, never forgetting. In recent years, the woodblocks for *Pi Wei Lun*, *Wai Shang Han Nei Shang Bian Huo Lun* (Differentiation of External Injury and Internal Damage), and *Yong Zhen Zhen Zhu Nang* (Pearl Bag of Medicinal Use) have been prepared. Now, I donate my salary to have physician Qian Yuan copy Luo's *Wei Sheng Bao Jian* (Treasure Mirror for Health Preservation), 24 volumes, plus 1 volume of supplements, totaling 481 blocks and over 155,000 characters. I recruited workers to complete the printing, intending to disseminate it widely. This fulfills my late father's lifelong ambition. Not only will those dedicated to saving lives benefit greatly from studying this, but even in remote areas without doctors, sudden illnesses can be treated effectively by consulting these formulas.
Recorded respectfully by Han Yi, styled Gongda, of Wu Commandery, Chengde Lang (Knight of Diligent Virtue) and Vice Director of the Imperial Medical Bureau, on the first day of the twelfth month, the 15th year of Yongle.