生者天地之大德,疾者有生之大患,方术者治疾之大法。昔者神农氏、黄帝氏独观太初
,旁烛妙有。味百药以辨物,审百疾以全生。其制名,其取类,其正君臣,其立佐使,其见
于太素玉册之书,雷公岐伯之问。盖皆开神明之蕴,穷阴阳之变,原性命之理,而与天地同
其复载。中古已还,镂之玉版,藏之金匮,功利及草木,惠泽及牛马,所以遗天下后世甚浓
。历年既久,流弊滋甚,糟粕具在,而精意不传。《内经》有病名而莫之究,有治法而莫之
习,极其妙至于通仙而莫之悟。人之生也,其位参于天地,其灵贵于万物,形不盈仞,而心
侔造化。昆仑尺宅,修之可以长生;寸田神牖,闲之可以反照;天关神庐,息之可以召和。
去土符,书金格,炼丹却粒,御气凌虚,不假于物而裕然自足。嗟夫!达士可以神解,昧者
且不能养其形,而况于了其心乎?内之五脏六腑,外之九窍四关,着之于色,发之于声,寓
之于三部九候,一失其平,则疾 随至。神圣治于未兆,工巧救其已然。非天下之至精,孰
能探天下之至赜?非天下之至粗,孰能佑天下之至神?朕悯大道之郁滞,流俗之积习,斯民
之沉痼,庸医之妄作,学非精博,识非悟解。五行之数,六气之化,莫索其隐,莫拟其远。
曰寒曰热,曰寒热之相搏。差之毫厘,失之千里。而有余者益之,不足者损之。率意用法,
草石杂进,夭枉者半,可胜叹哉!万机之余,着书四十二章,发明《内经》之妙,曰《圣济
经》。其意精微,其旨迈远,其所言在理,所以探天下之至赜。亦诏天下以方术来上,并御
府所藏,颁之为补遗一卷,治法一卷;卷凡二百,方几二万;以病分门,门各有论,而叙统
附焉。首之以风疾之变动,终之以神仙之服饵,详至于俞穴经络、祝由符禁,无不悉备,名
之曰《政和圣济总录》。其所载在事,所以 天下之至神。盖圣人之 世,本在于上,未在
于下,无见于上则治之道不立,无见于下则治之具不行。经之所言者道也,医得之而穷神;
《总录》之所载者具也,医用之而已病。汉张仲景作《伤寒论》,而杂之以方;唐孙思邈作
《千金方》,而继之以《翼》。以谓不如是则世莫能用其术。然之二人者,游于方术之内者也
。彼超然独见于方术之外,下顾岐伯之流而与之议,始可谓知道。朕作《总录》于以急世用
,而救民疾,亦斯道之筌蹄云耳。天下后世宜致思于忘筌蹄而自得者,俯仰之间, 笑之度
,御五行之数,运六气之化,以相天地,以育万物。至于反营魂而起当生者岂细事哉!盖将
有来者焉。
Life is the greatest virtue of Heaven and Earth, disease is the greatest disaster for living beings, and medical arts are the fundamental method for treating diseases. In ancient times, Shennong and Huangdi independently observed the primordial chaos (Tai Chu) and widely illuminated subtle existence. They tasted hundreds of herbs to distinguish their properties and examined hundreds of diseases to preserve life. They established names, categorized by analogy, regulated the roles of Sovereign (Jun), Minister (Chen), Assistant (Zuo), and Envoy (Shi). These were recorded in texts like the *Tai Su Yu Ce* and in the dialogues between Leigong and Qibo. This likely opened the mysteries of divine wisdom, exhausted the variations of Yin and Yang, traced the principles of nature and destiny, and thus shared the burden of creation with Heaven and Earth.
Since the middle antiquity, these teachings were carved on jade tablets and stored in golden caskets. Their efficacy benefited plants and trees, and their grace extended to cattle and horses, leaving a profound legacy for the world and future generations. However, as years passed, malpractices became increasingly severe; dregs remained while profound meanings were not transmitted. The *Neijing* (*Huangdi Neijing*, Yellow Emperor's Inner Canon) contains disease names but no one investigates them, and treatment methods but no one studies them. Even reaching the level of understanding immortality, one still fails to comprehend it. Human life holds a position parallel to Heaven and Earth, and its spirit is more precious than all things. Though the body is less than seven chi tall, the mind equals the creative power of nature. The "Kunlun" (head/face), if cultivated, can lead to longevity; the "Inch Field" (heart/mind), if kept quiet, allows for introspection; the "Heavenly Gate" (respiration/dantian), if regulated, can summon harmony. Removing earth talismans, writing golden inscriptions, refining elixirs, abstaining from grain, controlling qi to transcend the void—these require no external objects yet provide abundant self-sufficiency. Alas! The enlightened can achieve spiritual understanding, but the ignorant cannot even nourish their bodies, let alone understand their minds.
Internally, the Zang-Fu organs (Five Zang and Six Fu organs); externally, the nine orifices and four gates. These manifest in complexion, emit in voice, and are located in the three positions and nine pulses (San Bu Jiu Hou pulse diagnosis). Once balance is lost, disease follows immediately. The sage treats before signs appear; the skilled artisan remedies after the condition has formed. Unless one is the most refined in the world, who can probe the most obscure? Unless one is the most coarse in the world, who can assist the most divine? I pity the stagnation of the Great Dao, the entrenched habits of common customs, the chronic ailments of the people, and the reckless actions of mediocre physicians. Their learning is neither precise nor broad, and their insight lacks comprehension. Regarding the numbers of the Five Elements and the transformations of the Six Qi, no one seeks their hidden aspects or simulates their distant effects. They speak of Cold, of Heat, of the struggle between Cold and Heat. A difference of a hair's breadth leads to an error of a thousand li. For excess conditions, they apply tonification; for deficiency, they apply reduction. Acting arbitrarily with prescriptions, mixing grasses and minerals indiscriminately, causing half of the patients to die prematurely—is this not lamentable?
Amidst my duties governing ten thousand affairs, I composed forty-two chapters elucidating the subtleties of the *Neijing*, naming it the *Shengji Jing* (*Classic of Holy Healing*). Its meaning is subtle, its purport far-reaching, and its discourse aligns with reason, aiming to explore the deepest mysteries of the world. I also decreed that medical formulas be submitted from across the realm, combined with those collected in the Imperial Treasury, and promulgated as one volume of *Supplementary Records* and one volume of *Treatment Methods*. The entire work comprises two hundred volumes, containing nearly twenty thousand formulas. Diseases are categorized into sections, each with its own discussion and introductory narrative. It begins with the variations of Wind diseases and ends with the ingestion of elixirs by immortals. Details regarding acupoints and meridians, Zhu You (spiritual healing) and talismanic spells, are all comprehensively included. It is named the *Zhenghe Shengji Zonglu* (*Comprehensive Record of Holy Healing during the Zhenghe Era*). The events recorded therein serve to demonstrate the divine efficacy of medicine. Generally, the foundation of the sage's governance lies above, while its implementation lies below. Without visibility from above, the way of governance is not established; without visibility from below, the tools of governance do not function. What the Classics discuss is the Dao (Way); physicians who grasp it can exhaust divine subtlety. What the *Zonglu* records are the tools (Ju); physicians use them to treat diseases.
In the Han Dynasty, Zhang Zhongjing wrote the *Shanghan Lun* (*Treatise on Cold Damage*), interspersing it with formulas. In the Tang Dynasty, Sun Simiao wrote the *Qianjin Fang* (*Prescriptions Worth a Thousand Gold*), followed by the *Qianjin Yi* (*Supplement to Prescriptions Worth a Thousand Gold*). They believed that without such measures, the world would not be able to utilize their techniques. However, these two individuals merely wandered within the realm of medical arts. Those who transcend and see independently beyond medical arts, looking down upon figures like Qibo to debate with them, can truly be said to know the Dao. I compiled the *Zonglu* to urgently meet worldly needs and save the people from disease; this is merely a means to attain the Dao. Future generations should strive to forget the means and attain self-realization. In the span of looking up and down, mastering the numbers of the Five Elements and operating the transformations of the Six Qi, one assists Heaven and Earth and nurtures all things. To revive the Ying (Nutrient) and Hun (Ethereal) spirits and restore the dying—is this not a significant matter? There will surely be successors to accomplish this.