神农氏尝百药以治人病。于是为有医之始。厥后素难诸篇继作。而医乃大备。然上古之治疾。
简略不繁。所用不过一二味而已。自张仲景制伤寒诸方。而后世相承竞撰方书。至有充栋之当。然
或奇峻太过。或泛杂不专。求其一验者盖鲜矣。若东垣李明之。生金源之时。得轩岐之髓。用药处
方。如衡准物。攻补之施。未尝有毫发苟。盖二三百年来。南北所共遵用。而不敢有异议者。此岂
非杰然于其学人哉。罗谦甫氏为东垣高第弟子。卫生宝鉴。则李氏十书之羽翼也。有论有方。跬步
不敢越其师家。法而发明遗蕴。时有裨所未备者。盖今学东垣者之所必由。而世决不可少者也。旧
刻在苏。余因弭节之暇取而览之。则残缺特甚。乃属郡守史侯。订正其讹。且求善本而补焉。呜呼。
济人利物。士君子之急务。而有位者尤甚。若是书不完。则是览者必废。而东垣无辅也。何忍其若
是哉。此固予之心也。倘今既全之后。从此流传或穷乡乏医之处。一有所需。而无遗珠之叹。则前
贤及物之仁。举在是矣。孰谓不收于一补之功乎书成宜志。乃书其后。以为有志泽世者之告。匪直
为医家之言也矣。
弘治七年夏五月既望赐进士出身巡按直隶监察御史汝南刘廷瓒宗敬跋于姑苏之冰玉堂
戊申春。先师东垣老人论春月奉生之道。月令云。是月也。不可以称兵称兵。必天殃。毋杀孩
虫胎夭飞鸟。毋伐。山林。又云。祭先脾。孟春行冬令。则首种不入。行秋令则民大疫。故国有春
分停刑之禁。十二经有取决于胆之戒。仲景云大法、春宜吐。故少阳证禁下。宜小柴胡汤和解之。
少阳用事。万物方生。折之则绝生化之源。此皆奉生之道也。有假者反之。且春初服宣药者。乃伐
天和而损脾胃。非徒无益而又害之。予因演先师之论。着为此论。
世传宣药、以牵牛、大黄之类。或丸或散。自立春后。无病之人服之。辄下数行。云凡人于冬三月
。浓衣暖食。又近于火。致积热于内。春初若不宣泄。必生热疾。又云。解三焦积热。去五脏余毒
。殆无此理。方冬严气凝寒。浓衣暖食近火。所以敌天气之寒也。冬裘夏葛。冬饮汤而夏饮水。皆
自然之道。何积热于内而生疾乎。
且阴阳偏胜则疾。果三焦积热。是阳亢阴绝。岂有得生之理哉。故难经云。腑病易治。脏病
难愈。邪气中脏。病之极矣。今言五脏俱有邪毒。则神将何根据。内经亦曰。春三月此谓发陈。天地
俱生。万物以荣。夜卧早起。广步于庭。被发缓形。以使志生。生而勿杀。予而勿夺。赏而勿罚。
此春气之应。养生之道也。逆之则伤肝。夏
为寒变。奉长者少。又曰。必先岁气。无伐天和。故智者之养生也。必顺四时。适寒温。和喜怒而
安居处。节阴阳而调刚柔。如是则邪僻不至。又曰。苍天之气清净。则志意治。顺之则阳气固。虽
有贼邪。弗能害也。失之则内闭九窍。外壅肌肉。卫气散解。此谓自伤。气之削也。当少阳用事。
万物向荣生发之时。惟当先养脾胃之气。助阳退阴。应乎天道以使之平。今反以北方寒水所化、气
味俱浓、苦寒之剂投之。是行肃杀之令于奉生之月。当升反降。伐脾胃而走津液。使营运之气减削
。其不能输精皮毛经络必矣。奉长之气。从何而生。脏腑何所以禀受。脾胃一衰。何病不起。此诛
罚无过。是谓大惑。无病生之。有病甚之。所谓春服宣药者。自轩岐而下。历代明医。俱无是说。
呜呼。此理明白。非难知也。世多雷同。莫革其弊。深可痛哉。凡有志保生者。但以圣贤之言为准
。则可免疑误之悔。夭折之祸矣。
Shennong tasted hundreds of herbs to treat human diseases. Thus began the origin of medicine. Subsequently, chapters such as those in Huangdi Neijing (Yellow Emperor's Inner Canon) were successively composed, and medical science became greatly complete. However, the treatment of diseases in ancient times was simple and not complicated. The medicines used were merely one or two ingredients. Since Zhang Zhongjing formulated various prescriptions for treating Shanghan (Cold Damage), later generations followed suit and competed to compile prescription books, resulting in stacks of volumes. Yet, some were overly bizarre and峻烈 (harsh/potent), while others were miscellaneous and unfocused; finding even one effective case was rare. Li Dongyuan (Mingzhi), living during the Jin-Yuan period, grasped the essence of Xuanyuan (Yellow Emperor) and Qibo. His use of herbs and formulation of prescriptions were as precise as a balance scale and a level. In his application of attacking pathogenic factors and tonifying deficiency, he never acted negligently. For roughly two hundred to three hundred years, both north and south regions have universally adhered to his methods without dissent. Was he not outstanding among scholars? Luo Qianfu was a senior disciple of Li Dongyuan. Weisheng Baojian (Precious Mirror of Health Preservation) serves as a wing to assist Li’s ten major works. It contains both theoretical discussions and prescriptions, strictly following his master’s teachings without deviation, elucidating profound implications, and often supplementing what was previously incomplete. It is undoubtedly a necessary path for those studying Li Dongyuan’s school today and an indispensable work in the world. An old edition existed in Suzhou. Taking advantage of my leisure time when stopping there, I took it to read and found it particularly damaged. I then entrusted Governor Shi to correct errors and seek good copies for supplementation. Alas! Saving people and benefiting all things is an urgent duty for scholar-officials, especially for those in power. If this book remains incomplete, readers will surely discard it, and Li Dongyuan’s teachings will lack support. How could one bear to do so? This is indeed my intention. If, after completion, this book spreads widely, perhaps in remote villages lacking doctors, whenever needed, there will be no sigh over missed pearls. Then the benevolence of past sages in benefiting all beings will be fully realized here. Who would say that this single act of supplementation yields no merit? Upon completion, it should be recorded. Thus, I wrote this postface to inform those aspiring to benefit the world, not merely for the sake of medical practitioners.
Postface written by Liu Tingzan (Courtesy Name: Zongjing), a Jinshi degree holder granted by imperial examination, Censor patrolling Zhili, from Runan, at Bingyu Hall in Gusu, on the 16th day of the fifth month, summer of the 7th year of Hongzhi.
In the spring of Wushen year, my late master, Elder Dongyuan, discussed the way to nurture life in spring. The Yue Ling (Monthly Ordinances) states: In this month, one must not wage war; waging war invites heavenly disaster. Do not kill young insects, fetuses, or fledgling birds; do not cut down forests. It also states: Offer spleen in sacrifices to ancestors. If winter policies are enacted in early spring, the first planting will fail to enter storage; if autumn policies are enacted, the people will suffer great epidemics. Therefore, the state has prohibitions against executing punishments at the Spring Equinox, and the twelve meridians have warnings regarding their dependence on Gallbladder Qi. Zhang Zhongjing stated: The general principle is that spring is suitable for emesis. Therefore, Shaoyang syndromes prohibit purgation; they are suitable for Xiao Chaihu Tang (Minor Bupleurum Decoction) to harmonize. When Shaoyang governs, all things are just beginning to grow; breaking them cuts off the source of transformation and generation. These are all ways to nurture life. Some fake practitioners do the opposite. Moreover, taking Xuan Yao (purging/dispersing medicines) in early spring damages Heavenly Harmony and harms the Spleen and Stomach. It is not only useless but harmful. I therefore elaborated on my master’s arguments and wrote this treatise.
The Xuan Yao circulated in the world mainly consist of ingredients like Qian Niu Zi (Pharbitis Seed) and Da Huang (Rhubarb Root and Rhizome), made into pills or powders. After Lichun (Start of Spring), healthy people take them, often resulting in several bowel movements. They claim that during the three winter months, people wear thick clothes, eat warm food, and stay near fire, causing heat accumulation internally. If not dispersed in early spring, heat diseases will inevitably arise. They also claim it resolves San Jiao (Triple Burner) accumulated heat and removes residual toxins from the Five Zang Organs. This is likely baseless. During severe winter cold, wearing thick clothes, eating warm food, and staying near fire is to resist the cold weather. Wearing fur in winter and hemp in summer, drinking hot soup in winter and cold water in summer, are all natural ways. How can this cause internal heat accumulation and disease?
Furthermore, illness arises from Yin-Yang imbalance. If there truly were San Jiao accumulated heat, it would mean Yang hyperactivity and Yin exhaustion; how could survival be possible? Thus, Nan Jing (Classic of Difficult Issues) states: Fu organ diseases are easy to treat; Zang organ diseases are difficult to cure. Pathogenic factors invading the Zang organs represent the extreme of disease. Now, saying all five Zang organs have toxic pathogens—where would the Shen (Spirit) rely? Nei Jing also says: The three months of spring are called "Fa Chen" (propagating the new). Heaven and Earth generate together; all things flourish. Sleep late and rise early; walk broadly in the courtyard; let hair hang loose and relax the body, allowing the Yi (Will) to generate. Nurture rather than kill; give rather than take; reward rather than punish. This corresponds to Spring Qi and is the way of health preservation. Violating it injures the Liver, leading to cold transformations in summer, with insufficient energy to nourish growth. It also says: One must follow the seasonal Qi and not damage Heavenly Harmony. Thus, wise people preserve health by conforming to the four seasons, adapting to cold and warmth, harmonizing joy and anger, dwelling peacefully, regulating Yin and Yang to adjust rigidity and softness. In this way, deviant pathogens will not arrive. It also says: The Qi of the Blue Heaven is pure and clear; thus the Yi is regulated. Following it consolidates Wei Qi (Defensive Qi); even if hostile pathogens exist, they cannot harm. Deviating from it causes internal closure of the nine orifices, external stagnation of muscles, and dispersion of Wei Qi. This is self-injury and depletion of Qi. When Shaoyang governs and all things flourish and grow, one should first nourish Spleen and Stomach Qi, assist Yang to retreat Yin, and respond to Heavenly Dao to achieve balance. Now, instead, administering bitter-cold agents derived from Northern Cold Water, with strong flavors and properties, is to issue orders of desolation in a month of nurturing life. Ascending becomes descending; Spleen and Stomach are damaged, and Body Fluids are depleted. The circulating and transforming Qi is reduced. It is inevitable that it cannot transport essence to skin, hair, collaterals, and vessels. From where does the Qi of nurturing growth arise? How do the Zang-Fu receive endowment? Once the Spleen and Stomach decline, what disease will not arise? This is punishing the innocent, called great confusion. Making the healthy sick and worsening the ill. The saying of taking Xuan Yao in spring has no precedent from Xuanyuan and Qibo downwards through famous physicians of all dynasties. Alas! This principle is clear and not difficult to know. The world mostly follows blindly, failing to rectify this malpractice, which is deeply painful. All who aspire to preserve life should take the words of sages as the standard, thereby avoiding regrets of doubt and error, and disasters of premature death.