难经者。灵素之精华也。灵素犹多假托。难经则扁鹊手着之书。继往圣开来贤。允为医林之
准的。奈古籍久湮。世传多误。由是解者臆度。读者狐疑。难经晦而灵素不彰。灵素不彰而医道或
几乎息矣。余向至吴门。访求医学。遇歙友金子。赠古本难经。读之则纲举目张。脉通络贯。视世传
之错谬。不啻拨云雾而睹霄汉矣。乃遍考诸家。逐一校对。无如此卷之经明注晰者。宝之箧中
。携归谋付枣梨。以公同志。幸得好古之士。力赞斯役。不数月而书成。俾数千年隐晦之书。一
旦光昭宇内。是医道之幸。亦即凡有疾苦者之浓幸也。其功顾不伟欤。故略序其梗概。以志不
忘所自云。
嘉庆五年岁次庚申仲春近溪张基序
余少学医。从云间嗣宗何夫子游。近侨寓金阊。常与上洋王修沈子究论医典。农轩之训。犹之
六经。扁鹊仲景犹私淑尼父之孟氏。是以内难伤寒。实医门鼎足之三经也。自汉而下。名贤继
出者。惟本此而已。后代作者。非不各有发明。然日就褊浅。致今之学人。乐浅而畏深。趋末而忘
本。呜呼。经义不明。医术奚恃。安得有好古之士。尚论三经。引宋仁宗朝嘉 故事。上请圣天子
诏儒臣及精通其事者。参古酌今。编纂全书。颁行宇内。为万世苍生计乎。适有客告余曰。向之
所谓难其人者今得之矣。姓丁氏。号适庐。从茸城携古难经加以阐注。来吴就梓。余闻之。始则
异。既则疑。因忆先师曾述宋时丁德用难经补注言。华元化得越人书被执乃烬。今之流传者。
皆吴太医令吕广重编。文多错简。辞意难明。十七家之注。如滑氏等仅存疑义。莫从考证。或有
古本。惜未显于世耳。今子所闻。莫非吴氏之古本欤。客曰否。因偕沈子访之。见其人。飘然鹤发。
非世俗之流。读其书。非素见之书。方知难经本来辞明理贯。并无一字衍文。故东坡楞伽跋云。
如医之难经。句句皆理。字字皆法。必有见而云然。益征师言有自矣。噫。二千余年若晦若灭之
书。一旦复显。使天下人知八十一难。乃越人之注内经也。而先生之文。又疏越人之注义也。一
若中天之日。纤微毕照。将见此本一出。则十七家之本可尽废矣。先生已成不朽之功。岂常人
所能及哉。丁子避席曰。河图洛书。因圣人而出。世秘之书。俟圣朝而显。此亦理数之使然也。我
何人斯。而敢与其功焉。余因乐其遇而纪其事。敬述于简末。
乾隆三年戊午阳月洞庭菊坡居士严茂源书
The *Nan Jing* (Classic of Difficult Issues) is the essence of the *Ling Shu* and *Su Wen* (collectively known as the *Huang Di Nei Jing*, or Yellow Emperor's Inner Canon, foundational texts of Traditional Chinese Medicine). While the *Ling Shu* and *Su Wen* are often considered pseudonymous works, the *Nan Jing* is a book authored by hand by Bian Que. It inherits the wisdom of past sages and opens the way for future worthies, serving undoubtedly as the standard for the medical field. However, ancient texts have long been obscured, and versions circulating in the world contain many errors. Consequently, commentators have relied on subjective speculation, and readers have harbored doubts. Because the *Nan Jing* is obscure, the *Ling Shu* and *Su Wen* are not fully illuminated; and because the *Ling Shu* and *Su Wen* are not illuminated, the Way of Medicine might almost cease to exist.
Previously, I traveled to Wu Men (Suzhou) to seek medical knowledge, where I met a friend from She named Jin Zi, who presented me with an ancient edition of the *Nan Jing*. Upon reading it, the principles became clear and the details orderly; the pulse theories were connected, and the meridians integrated. Compared to the erroneous versions circulating in the world, it was like clearing away clouds and fog to behold the vast sky. Thus, I extensively examined various commentaries and proofread them item by item. No other volume possessed such clarity of text and precision of annotation as this one. I treasured it in my chest, brought it home, and planned to have it carved onto wooden blocks for printing, to share it with like-minded individuals. Fortunately, scholars who cherish antiquity enthusiastically supported this endeavor. Within a few months, the book was completed. This allowed a text that had been hidden and obscure for thousands of years to suddenly shine brightly throughout the realm. This is a fortune for the Way of Medicine, and indeed a great blessing for all those suffering from illness. Is this merit not magnificent? Therefore, I briefly outline its general history to record that I do not forget its source.
Preface by Zhang Ji of Jinxi, in the second month of the Gengshen year, the fifth year of the Jiaqing reign.
In my youth, I studied medicine and followed He Sizong, a gentleman from Yunjian, in my studies. Recently, having settled temporarily in Jin Chang (Suzhou), I frequently discussed medical classics with Wang Xiushen from Shangyang. The teachings of Nongxuan (referring to Shennong and Xuanyuan, symbolizing the origins of ancient medicine) are akin to the Six Classics (Confucian canonical texts); Bian Que and Zhang Zhongjing regarded Confucius as their spiritual master in the manner of Mengzi (Mencius). Therefore, the *Nan Jing* (Internal Difficulties) and the *Shang Han Lun* (Treatise on Cold Damage) constitute the three pillars of the medical gate. Since the Han dynasty, eminent scholars have emerged successively, relying solely on these three classics. Later authors, while making their own discoveries, gradually narrowed and shallowed their scope. This has led contemporary learners to prefer the superficial and fear the profound, pursuing trivialities while forgetting the root. Alas! If the meaning of the classics is not clarified, upon what can medical art rely? How can we find scholars who love antiquity to jointly discuss these three classics, citing the precedent of the Song Renzong era when medical books were collated, and petitioning the Sage Emperor to order Confucian officials and experts to consult ancient sources and adapt to modern needs, compile a complete work, and distribute it throughout the realm for the benefit of all generations?
Just then, a guest informed me: "The person previously thought to be hard to find has now been found." His surname is Ding, his style name Shilu. He brought an ancient edition of the *Nan Jing* from Rongcheng, added elucidations and annotations, and came to Wu to have it printed. Upon hearing this, I was initially surprised, then skeptical. I recalled my late teacher mentioning that during the Song Dynasty, Ding Deyou had annotated the *Nan Jing*: Hua Tuohua obtained the book of Yue Ren (Bian Que) but was captured, and the book was burned. What circulates today was recompiled by Lü Guang, the Imperial Physician of Wu, containing many disordered bamboo slips, making the language and meaning difficult to understand. Of the seventeen schools of commentary, such as that of Hua Shi (Slao Shou), only doubts remain, making verification impossible. Perhaps there are ancient editions, but they have unfortunately not been revealed to the world. Is what you heard about perhaps the ancient edition of Lü Guang? The guest said no. So I accompanied Mr. Shen to visit him. We saw a man, ethereal and white-haired, unlike worldly folk. Reading his book, which was not something I had seen before, I realized that the original *Nan Jing* has clear language and coherent logic, with not a single superfluous character. Thus, Su Dongpo wrote in his preface to the *Lenga Sutra*: "Like the medical *Nan Jing*, every sentence contains principle, and every word contains method." Only someone with true insight would say so, further confirming that my teacher's words had basis. Alas! A book that had been hidden and nearly lost for over two thousand years has suddenly reappeared, allowing people everywhere to know that the Eighty-One Difficulties are Yue Ren's commentary on the *Nei Jing*, and that Mr. Ding's writing further elucidates Yue Ren's commentary. It is like the sun in mid-heaven, illuminating even the finest details. Once this edition is published, the editions of the seventeen schools can be discarded. Mr. Ding has achieved immortal merit; is this within the reach of ordinary people? Mr. Ding rose from his seat and replied: "Hetu and Luoshu appeared because of the Sage; they are books kept secret by the world, waiting for a sage dynasty to be revealed. This is also due to the laws of reason and number. Who am I to dare claim credit for this?" I therefore rejoiced at this encounter and recorded the event, respectfully stating this at the end of the manuscript.
Written by Yan Maoyuan, Layman Ju Po of Dongting, in the tenth month of the Wuwu year, third year of the Qianlong reign.