医,一也,然有内外科之异者,盖人之疾有内外故也。科既有内外,故古之专门者,各
有方书,以传后世。第今之专于内者,则精其内,而疮科或有所遗者;专于外者,则精其外
,而方脉或有未谙。二者俱,不能以无偏。夫惟仁者,爱人之心深长而周密,必欲兼之而后
已。弘治丙辰岁,王殿下不以臣为蒙昧,命臣于凡大方脉书内,精选其方之经验者,区分类
别,且论辨其下,名曰医方选要,总一十卷以进。内疮科亦一帙焉。今年春,睿意又以为选
要之集,固足以为内疾之疗,然人于日用间,莫不有饮食也,亦莫不有喜怒也。饮食不节,
喜怒不常,则未免致伤荣卫,而疮毒生焉。其生也,种类颇多,兹疮科一帙,乌足以尽疗乎
。以故命臣重集外科方论,务在较量之也审,简拔之也精,究其疾之源,详其药之用,以与
《选要》配,庶不致有所偏废。臣于是尤有以仰知殿下仁爱及人之盛心,所谓深长而周密矣
。顾臣草茅,学不足以明理,医不足以名世,凡庸肤浅,务乎此而遗乎彼者也,曷克以称上
意邪。虽然睿命不敢不遵,驽钝不可不效,是以忘其固陋,集古名医外科诸书,谨择其药与
证对,而随患用巧者,根据选要条例,裒成二卷,名曰外科集验方,上呈睿览。夫疾之愈不愈
,医之良不良,系乎方之验不验也。臣之所集,虽妄以集验名,然亦管窥蠡测,勉强以应命
耳。若夫较量审而简拔精,究其源而详其用,则臣岂敢。
弘治戊午岁秋九月吉日。良医副臣周文采稽首顿首谨序。
Medicine is fundamentally one, yet it is divided into internal and external specialties because human diseases manifest internally or externally. Since the disciplines are categorized as internal and external, ancient specialists each possessed their own medical texts to transmit to future generations. However, those who specialize in internal medicine excel in internal treatments but may neglect dermatological and surgical conditions; conversely, those who specialize in external medicine excel in external treatments but may be unfamiliar with pulse diagnosis (Pulse Diagnosis). If one possesses both skills, bias cannot be entirely avoided. Only a benevolent person, whose compassion for others is profound, thorough, and meticulous, will strive to master both before ceasing. In the Bingchen year of the Hongzhi era, His Highness the Prince, not considering me ignorant, ordered me to carefully select effective prescriptions from all comprehensive texts on internal medicine, categorize them, and provide commentary below, naming this collection *Yifang Xuanya* (Essential Selections of Medical Prescriptions), comprising ten volumes in total. Among these, there was also one fascicle dedicated to dermatology and surgery. This spring, His Imperial Mind further reasoned that while the compilation of *Xuanya* was sufficient for treating internal ailments, humans inevitably engage in dietary intake and experience emotions such as joy and anger in daily life. Indulgence in diet and emotional instability inevitably damage Ying and Wei (Nutritive and Defensive Qi), thereby generating sores and toxins. Given the numerous varieties of such conditions, how could a single fascicle on dermatology suffice for complete treatment? Consequently, I was ordered to recompile treatises and prescriptions on external medicine, ensuring that comparisons were made with prudence, selections were refined with precision, the origins of diseases were investigated, and the applications of medicines were detailed, so as to complement *Xuanya* and avoid partiality. Through this, I came to appreciate even more deeply the Prince’s benevolent intention to extend kindness to all people, which was indeed profound and meticulous. However, being a commoner, my learning was insufficient to elucidate principles, and my medical skill unworthy of fame; I was mediocre and superficial, focusing on one aspect while neglecting another. How could I possibly meet the imperial expectation? Nevertheless, I dared not disobey the imperial decree, nor could I fail to exert my limited abilities. Thus, setting aside my own limitations, I compiled works on external medicine by renowned ancient physicians, carefully matching herbs to syndromes and selecting methods applied cleverly according to patients' conditions. Following the guidelines of *Xuanya*, I assembled two volumes, titled *Waike Jiyan Fang* (Collected Verified Prescriptions for External Medicine), and presented them for His Majesty's review. The recovery of disease and the excellence of a physician depend on the efficacy of the prescription. Although I presumptuously named my compilation "Collected Verified," it is merely like looking at the sky through a tube or measuring the ocean with a gourd—a reluctant effort to fulfill the mandate. As for making prudent comparisons, precise selections, investigating origins, and detailing applications, how dare I claim such merit?
On an auspicious day in the ninth month of autumn, in the Wuwu year of the Hongzhi era. Zhou Wencai, Vice Physician, bows his head and touches the ground, respectfully writing the preface.