予尝谓造化者,万物之司命;君人者,三才之司命;典校者,文章之司命;将帅者,三军之司
命;而医也者,又自天子以至庶人者之司命也。其所关系岂浅鲜哉?故先儒有云∶不明五运六气,
检遍方书何济;不明十二经络,开口动手便错。而孙思邈亦曰∶不明阴阳者,不足谓之太医旨哉
斯言,诚业是业者所当深切究心者也。予独怪今时之医,始无见理之明,终无应变之巧。务奇诡
者,或远慕而近遗∶局方书者,或举一而废百。此虚实损益之间,不免毫厘千里之谬,而医之祸
人不为少矣。 其然者,则考索未精,体玩未熟,与闻见之未广耳。新安徐东皋氏,潜心斯道者,
殆三十年,其活人不可以千万计。尝谓予曰∶医之精髓奥窍,《内经》一书备之。嗣是人殊代异,
门径虽多,要不能出乎此。譬诸峙者皆山,而泰岳则其宗也;流者皆水,而沧溟则其元也。然自
非综博千古,参伍诸家,旁搜曲证,又乌知《内经》有兼总条贯之妙耶?此《医统》之编所以不
容已也。予取而读之,见其条分缕析,随论折衷,如纲之在网,如领之在裘,俾学子一举而免颠
倒紊乱之弊,题之曰《古今医统》。是真能会百家之异同,接轩岐之正脉,虽谓此书之外无医可
也。昔仲尼簇圣之大成,朱子集诸儒之大成,若徐君亦可谓集医家之大成矣所以登斯世斯民于
春台寿域之中,厥功固不伟欤!虽然,下学可以言传,上达必由心悟徐君以明医重京师,齐驱襄
扁,奴仆刘张,无险夷难易,随试而辄效者,则运用之妙,存乎一心,而《医统》又其绪余也。
是在学人之自得焉耳。知言者以为何如?
钦差提督漕运镇守淮安地方总兵官太子太保灵璧侯古濠汤世隆撰
I have often said that the creative forces of nature are the masters of all things; the ruler is the master of the Three Powers (Heaven, Earth, and Humanity); the official in charge of textual verification is the master of literature; the general is the master of the three armies; and medicine, furthermore, is the master of everyone from the Son of Heaven down to the common people. Is not the relationship involved here profound? Therefore, former Confucian scholars stated: "If one does not understand the Five Movements and Six Qi (Wuyun Liuqi), what use is it to search through all medical books? If one does not understand the Twelve Meridians, every opening of the mouth and movement of the hand will be erroneous." Sun Simiao also said: "One who does not understand Yin and Yang cannot be called a Grand Physician." These words are truly insightful; they are indeed matters that those engaged in this profession should study with deep concentration.
I alone find it strange that contemporary physicians lack clarity in perceiving principles at the outset and possess no skill in adapting to changes by the end. Those pursuing bizarre and unconventional methods may admire ancient theories while neglecting practical applications; those confined to the *Ju Fang* (Formulary) texts may cite one aspect while discarding hundreds of others. In the balance between deficiency and excess, and in the application of tonification and purgation, errors of a hair's breadth can lead to deviations of a thousand li, causing significant harm to patients. The reasons for this are that their investigation is not precise, their embodiment and practice are not mature, and their knowledge and experience are not extensive enough.
Mr. Xu Donggao of Xin'an has devoted himself to this path for nearly thirty years, saving countless lives. He once told me: "The essence and profound secrets of medicine are fully contained in the *Neijing* (Inner Canon). Since then, individuals have differed and eras have changed; although there are many schools and paths, none can ultimately transcend this foundation. It is like how all towering forms are mountains, yet Mount Tai is their patriarch; all flowing forms are water, yet the vast ocean is their source. However, unless one comprehensively surveys antiquity, cross-references various schools, and searches widely for corroborating evidence, how could one know the excellence of the *Neijing* in integrating and organizing all threads? This is why the compilation of the *Yitong* (Medical Unity) was indispensable."
Upon reading it, I found its structure clear and analysis detailed, with arguments balanced according to context. It acts like the cord in a net or the collar on a fur coat, allowing students to avoid confusion and disorder in a single step. Thus titled *Gujin Yitong* (Comprehensive Medical Unity through the Ages), it truly synthesizes the similarities and differences of a hundred schools and continues the orthodox lineage of Huangdi and Qibo. One might even say that outside of this book, there is no other medicine. Just as Confucius synthesized the greatness of the sages, and Zhu Xi synthesized the greatness of the Confucian scholars, Mr. Xu can be said to have synthesized the greatness of physicians. Thus, his merit in elevating the world and its people to an era of spring-like peace and longevity is indeed magnificent!
Nevertheless, lower learning can be transmitted through words, but higher understanding must be realized through the mind. Mr. Xu gained fame in the capital for his mastery of medicine, rivaling Bian Que and Qin Yueren, surpassing Liu Juanzi and Zhang Zhongjing, achieving efficacy regardless of difficulty or ease, because the subtlety of application lies within the heart. The *Yitong* is merely a byproduct of this mastery. This depends on the self-realization of the learner. What do those who understand speech think of this?
Written by Tang Shilong, Marquis of Lingbi, Grand Tutor to the Crown Prince, General Officer Guarding Huai'an, and Commissioner-in-Chief of Grain Transport under Imperial Commission.