源家世山阴。习儒学。自家忠敏公殉前明难后业医。先王父广生公、幼敏悟。通儒书。诸子旁流。靡不详
究其义。更以外科医世鲜精者。尤加考求。冥搜幽索。遂尽其奥 。膺世祖章皇帝召。以御医侍值内庭。
先王父性谨慎自重。圣祖仁皇帝尤嘉信之。赐与优渥。累擢太医院判官。遇休沐。兀坐一室。先大人昭
远公与诸伯叔侍。环列惟医家书。发疑问难。校 折衷。隆寒盛暑。常丙夜。乃命就寝。在直庐。或中夜有
得。必索火记之。会丁曾王母忧家居。更简练揣摩。订为书。颜之曰外科大成。凡四卷。部类三十有二。锓
而藏其板于家。是时先大人亦以御医侍值内庭。性实介慎。历事圣祖仁皇帝世宗宪皇帝。两朝恩眷
特殊。赠太医院判官。忆源方垂髫。先大人即以大成课源兄弟。而冢兄弘涛早世。季弟国兴成戊戌进
士。乃心王事。又不果卒业。先大人尝训源曰、嗣我家学人。其惟汝乎。源不肖。惟恐不克仰承。用是黾勉。
不敢自逸。于今五十余年。己未冬。今上谕太医院判官吴谦等纂医宗金鉴一书。以源世外科医。
钦命纂修。源识谫学陋。何所与能。惟窃取先王父大成之意旨而敷扬之耳。而谬叨优录。感愧交并。嗟
夫、医者意也。意之所之。死生系焉。矧外科之六脉三因。阴阳善恶。端杂绪棼。黍粟不辨。有失之尺丈而
不知者。是编也。义晰辞明。字释句解。部分类别。领挈纲提。疮疡之微者无不载。方法之善者无不备。集
曰大成。洵可谓集外科之大成也与。源年届七旬。两儿邦相邦柱俱驽钝。深惧先业失传。缘命坊人印
行海内。非特业是科者。有所式循。庶几先王父之精神学问。亦不至湮没云尔。
时乾隆岁次癸亥秋七月既望孙男宏源敬识
My family has resided in Shanyin for generations. I studied Confucianism. After my ancestor, Lord Zhongmin, perished in the turmoil of the previous dynasty, our family turned to medicine. My grandfather, Mr. Guangsheng, was naturally astute from childhood and well-versed in Confucian classics. He meticulously investigated the principles of various schools of thought beyond the mainstream. Furthermore, since surgeons at that time were rarely highly skilled, he paid particular attention to their study, searching deeply into obscure mysteries until he exhausted their profound secrets. He was summoned by Emperor Shizu (Zhuang) and served as an Imperial Physician within the inner court.
My grandfather possessed a cautious and dignified character, which was especially appreciated and trusted by Emperor Shengzu (Ren). He was granted generous favors and repeatedly promoted to the position of Vice Director of the Imperial Medical Bureau. During his leave, he would sit alone in a room, attended by my father, Mr. Zhaoyuan, and his uncles, surrounded only by medical texts. They raised questions, debated difficulties, and reconciled discrepancies through verification. Regardless of severe cold or intense heat, they often worked until the third watch (midnight) before being ordered to rest. In the duty quarters, if he had insights in the middle of the night, he would surely summon a lamp to record them. When he returned home to mourn his great-grandmother, he further refined and contemplated these matters, compiling them into a book titled *Waike Dacheng* (Compendium of External Medicine). It consisted of four volumes and thirty-two categories. The woodblocks were carved and kept in our family home. At that time, my father also served as an Imperial Physician in the inner court. His nature was upright and cautious. Having served under both Emperor Shengzu (Ren) and Emperor Shizong (Xian), he received special grace and favor from two reigns and was posthumously awarded the title of Vice Director of the Imperial Medical Bureau.
I recall that when I was still a child with hair tied in horns, my father used *Waike Dacheng* to instruct my brothers and me. My eldest brother, Hongtao, died young, and my youngest brother, Guoxing, became a Jinshi in the Wuxu year, dedicating himself to state affairs, so neither completed their studies. My father once admonished me, saying, "You are the one who will inherit our family's medical learning." Being unworthy, I feared I could not live up to this expectation, so I strove diligently and dared not indulge in ease. It has now been over fifty years. In the winter of the Jiwei year, the current Emperor decreed that Wu Qian, Vice Director of the Imperial Medical Bureau, and others compile the *Yizong Jinjian* (Golden Mirror of the Medical Tradition). Because my family has practiced external medicine for generations, I was imperially ordered to participate in its compilation. With my shallow knowledge and limited learning, what contribution could I make? I merely borrowed the intent of my grandfather's *Dacheng* to elaborate upon it. Yet, undeservedly receiving favorable recognition, I am filled with both gratitude and shame.
Alas! Medicine relies on intuition (Yi). Where intuition reaches, life and death hang in the balance. Moreover, external medicine involves the six pulses and three causes, yin and yang, good and evil omens; the threads are complex and tangled, making minute distinctions difficult. One may err by a foot without realizing it. This compilation clarifies principles and uses clear language, explaining characters and sentences in detail. Its categories are distinct, grasping the main points while listing details. Every subtle aspect of sores and ulcers is recorded, and every excellent method is prepared. To call it "Great Completion" (Dacheng) is indeed to say it gathers the greatness of external medicine. Now nearing seventy years of age, and fearing that my two sons, Bangxiang and Bangzhu, being dull-witted, might let our ancestral profession perish, I have ordered the printing houses to publish it throughout the land. Not only should practitioners of this specialty have something to follow, but hopefully, the spirit and scholarship of my grandfather will not be lost to oblivion.
Recorded respectfully by Grandson Hongyuan in the mid-month of the seventh lunar month, autumn of the Guihai year of the Qianlong era.