唐孙真人着千金要方。谓生民之道。莫不以养小为大。若无小卒不成大。故孙氏方先小儿而后丈夫耆老。实崇本之
义。譬夫良苗嘉植。初生之日。不克培其根本。去其蝥贼。鲜有不夭折者。即幸而长成。其华实亦必不茂。则小儿科之
急需讲求。洵医林之先务也。惟小儿气质微弱。有病每不能自为陈说。故医家目为哑科。最不易治。习是科者。必先于
天时之寒暖。地势之高下、以及人身十二经脉之环周。奇经八脉之起止。三百六十五穴之部位。平日了然于心。临证复
察色听声。反复推求。始能洞悉病情。而不致偾事。故尚书谓保民如保赤子。良以保民者。必周知民间之疾苦。所恶
勿施。所好与聚。而民始治。犹保赤者。必诚求赤子之隐曲。时其饥饱。适其寒温。而赤子始安。余以辁材。奉命巡阅
两湖。督理军务。兼长民政。夙夜只惧。不惮博访诹谘。期举闾阎之疾苦。扫除而廓清之。为吾乡父老昆弟谋乐利而策
安全。顾箕毕之好恶不同。一人之耳目有限。往往事与愿违。力不从心者。时或不免。至此始恧然于保民之难。愈憬然
于保赤之不易。适吾宗北承孝廉倦游回鄂。携有手校小儿卫生总微论方二十卷。余素稔小儿科之难。而善本尤不易得。
因捐资付梓。复商之北承孝廉。重加雠校。以免鲁鱼帝虎。贻误将来。庶几保民之愿。虽未尽偿于目前。而保赤之心。
尚幸流传于后世。至此书为医学之宝笈。幼科之金针。前人序论。言之綦详。兹不赘述。
岁次甲子首夏两湖巡阅使督理军务兼湖北省长黄冈萧耀南衡山叙于武昌节署
In the Tang Dynasty, Sun Simiao (Sun Zhenren) authored the *Qianjin Yaofang* (Essential Prescriptions Worth a Thousand Gold). He stated that in the way of nurturing the people, nothing is greater than treating the care of children as paramount. Without young soldiers, a great army cannot be formed. Therefore, Sun’s medical texts prioritize pediatrics before addressing adult men and the elderly, which truly embodies the principle of revering the root. It is like fine seedlings and good plants; on the day they are born, if their roots are not cultivated and pests are not removed, few will survive to maturity. Even if they luckily grow up, their flowers and fruits will surely not be abundant. Thus, the urgent need to study pediatrics is indeed the primary task of the medical field.
However, children have weak constitutions and often cannot describe their own illnesses when sick, so physicians refer to pediatrics as "Ya Ke" (Mute Department), which is the most difficult to treat. Practitioners of this specialty must first have a clear understanding in their minds regarding the warmth and coldness of heavenly conditions, the high and low aspects of geographical terrain, as well as the circulation of the Twelve Meridians (Twelve Primary Channels) of the human body, the starting and ending points of the Eight Extraordinary Vessels, and the locations of the 365 acupoints. Upon clinical examination, they must observe complexion and listen to voice, repeatedly analyzing and deducing, only then can they thoroughly comprehend the condition and avoid mishandling the case.
Therefore, it is said that protecting the people is like protecting an infant. Indeed, one who protects the people must fully understand the hardships of the common folk, refrain from imposing what they dislike, and gather what they desire, so that the people may find peace. Similarly, one who protects an infant must sincerely seek out the infant's hidden needs, regulate their hunger and fullness in time, and adapt to their temperature comfort, so that the infant may remain secure.
With my humble talents, I was ordered to inspect the Lianghu region, supervise military affairs, and concurrently manage civil administration. Day and night, I live in awe and fear, not daring to neglect broad inquiries and consultations, hoping to identify the hardships of the populace, eliminate them, and plan for the welfare and safety of my fellow countrymen. However, preferences vary among individuals, and one person's senses are limited. Often, events do not align with wishes, and strength falls short of intent, which occasionally occurs. At this point, I felt ashamed at the difficulty of protecting the people and became even more aware of the challenge of caring for infants.
Coincidentally, my clansman, Xiao Lianke Beicheng, returned to Hubei after growing weary of official life, bringing with him a hand-collated copy of the *Xiao'er Weisheng Zongwei Lunfang* (Comprehensive Discussion on Infant Hygiene) in twenty volumes. Having long known the difficulties of pediatrics and the scarcity of good editions, I donated funds for its printing. I also consulted with Xiao Lianke Beicheng to re-collate and proofread it, thereby avoiding textual errors that might mislead future generations. Perhaps the wish to protect the people, though not fully realized in the present, allows the heart for protecting infants to fortunately be passed down to posterity. As for this book being a treasure trove of medicine and a golden needle guide for pediatrics, previous prefaces and discussions have explained this in great detail, so I shall not repeat them here.
In the early summer of the Jiazi year, [Xiao] Yaonan Hengshan, Inspector-General of Lianghu, Supervisor of Military Affairs, and Governor of Hubei Province, from Huanggang, wrote this preface at the Jiedushi Office in Wuchang.