尝谓良医与良相功齐,总之能为民生造命耳。予武夫也,不知相亦不知医,惟是人之有
疾,不啻已出,值此沧桑变故之际,民遭兵火,若患热烈之症,予滥任抚绥,尤当视民如伤
恨,不能人人而投以清凉之剂。自入新安以来,每问民间疾苦,见程生衍道者业儒而通医,
博施济众久矣,更构唐时王刺史《外台秘要》四十卷,详订而剞劂之。盖医之有方,犹兵之
有法也。说者曰∶功在一隅者小,而功在四海者大。又曰∶功在一时者小,而功在千古者大,
是程生传流方略意也。若然,则程生志在要功矣,而非也。程生恐匹夫匹妇疾病而无告,又
恐良医良相,世代不全,有不能弭病于无病之先,尚可瘳病于有病之后,继宋而镌寿民,因
以寿国,大有深心。文王画卦使人知吉凶,孔子作《春秋》使人知君臣,即此意也。程生一
士子藉医而行相道,然与予抚民一念默相吻合,又以医而兼将矣,曷可与庸人道也。天下后
世能按此而扩充之,又何病民之与有?
钦命提督徽宁池太等处地方总兵官都督同知榆林张天禄题
天下事,久坏于庸人,而庸医均之。所谓庸者,皆不学无术之人也。其遇事也,初不晰
其受病之源,并不审其对治之方,而或以姑息养痈,或以卤莽尝试。究之卤莽之为害,什居
五;而姑息之为害,什居八。乃始借手以贻后人,曰∶吾姑徐徐无动为大耳,不知邪气日深
,元气日削,而大命已随之。所谓庸臣误国与庸医误人,其情同,其罪均,而其原皆本于不
学,使其学之而穷究古今之病源,细考古今之方略,其病之在标、在本也,其方之宜补、宜
泄也,其病之或传、或变也,其方之不执、不拘也,彼夫三年蓄艾,能治之于未病之先,与
夫一匕回生,能治之于已病之后,皆是先圣先贤当日殚竭之心思,皆是医国医人当日素具之
方略,懦者明理,奈何不亟亟讲求,而以人命为戏耶!此余友敬通氏探析性命之微,雅抱
之痛,而以好学不倦之旨,牖人以博施济众之方,先梓《外台秘要》,续补《圣济总录》
,寿国寿民,具兹编矣,程子之功顾不伟欤。
时
崇祯庚辰清和之吉赐进士及第翰林院编修国史讲官邑人吴孔嘉撰
I have often said that an excellent physician and an excellent chancellor are equal in merit, for ultimately both serve to benefit the people and preserve life. I am a military man; I do not understand statecraft nor medicine. However, seeing the people suffer from illness is as painful to me as if my own relatives were sick. At this time of social upheaval and war, where the populace suffers from fire and sword, if they contract febrile diseases, although I have been appointed to pacify the region, I must regard the people's suffering as my own injury. I harbor deep regret that I cannot provide everyone with cooling and detoxifying prescriptions.
Since entering the Xin'an region, every time I inquire about the hardships of the common people, I see Mr. Cheng Yandao, who practices Confucianism yet is proficient in medicine, having long practiced benevolence by giving freely to relieve the masses. He has re-edited and woodblock-printed the *Waitai Miyao* (Secret Essentials of the Outer Tribunal), forty volumes authored by Wang Changling, a prefect of the Tang Dynasty, with detailed collation. Medicine possessing formulas is like warfare possessing strategies. Some say: merit confined to a corner is small, while merit spanning the four seas is great. Others say: merit lasting only a moment is small, while merit enduring for millennia is great. This is the intent behind Mr. Cheng's dissemination of medical strategies. If so, one might think Mr. Cheng's ambition lies in seeking conspicuous merit, but this is incorrect. Mr. Cheng fears that ordinary men and women will suffer from illness without recourse, and he also fears that excellent physicians and chancellors may not be complete across generations, resulting in an inability to prevent disease before it arises, leaving only treatment after onset. By continuing the printing of the Song Dynasty's *Shengji Zonglu* (General Records of Sacred Relief) to preserve the lives of the people, thereby stabilizing the state, he harbors profound intentions. Just as King Wen of Zhou deduced the hexagrams to make people aware of fortune and misfortune, and Confucius compiled the *Spring and Autumn Annals* to make people aware of ruler-minister righteousness, this is the same principle. Mr. Cheng is a scholar who practices the way of governance through medicine. His intention to pacify the people secretly aligns with mine, and he additionally assumes the role of a general. How can such a person converse with mediocrity? If people in the world and in future ages can expand upon this text, what harm to the people could there possibly be?
Inscribed by Zhang Tianlu, General Commander of the Military District of Hui, Ning, Chi, and Tai, and Joint Director of the Division of Palace Guards, from Yulin.
Worldly affairs have long been ruined by mediocre people, and mediocre physicians are no exception. The so-called "mediocre" are those who are unlearned and skillless. When encountering situations, they initially do not clarify the source of the pathology, nor do they examine the appropriate treatment methods. Instead, they either indulge the condition allowing it to fester or act rashly and experimentally. Ultimately, it is found that the harm caused by rashness accounts for five-tenths, while the harm caused by indulgence accounts for eight-tenths. They then leave this legacy for posterity, saying, "It is best for us to remain inactive." They fail to realize that pathogenic factors deepen daily, vital qi (Zheng Qi) diminishes daily, and life itself follows in decline. The situation where mediocre ministers ruin the state and mediocre physicians harm people is identical in nature and equal in guilt, with the root cause lying in a lack of learning. If they had studied and thoroughly investigated the sources of diseases in ancient and modern times, carefully examined treatment strategies of the past and present, understood whether the disease was at the branch or root, whether the formula required tonification or purgation, whether the disease would transmit or transform, and how to apply formulas without rigid adherence, they would understand that "accumulating mugwort for three years" allows treatment before disease arises, and "one spoonful restoring life" allows treatment after disease has set in. These were the exhausted thoughts of the ancient sages and worthies, and the inherent strategies for governing the state and healing people. Even timid individuals understand reason; why should they not urgently seek to study these matters and treat human life as a game? My friend, Mr. Jingtong, explores the subtleties of life and nature, harboring elegant sorrow. Through his tireless love for learning, he enlightens others with methods of broad benevolence and relief. Having first printed the *Waitai Miyao* and subsequently supplemented the *Shengji Zonglu*, thereby preserving the state and the people, this compilation is now complete. Is not the merit of Master Cheng truly magnificent?
Composed on an auspicious day of the fourth month in the Gengchen year of the Chongzhen reign, by Wu Kongjia, a native of the county, who passed the imperial examination at the highest level (Jinshi), served as Compiler in the Hanlin Academy, and was Lecturer for the National History.