王叔和。高平人也。性度沉静。博好经方。尤精诊处。洞识养生之道。深晓疗病之
源。采摭群论。撰成脉经十卷。叙阴阳表里。辨三部九候。分人迎气口神门。条十二经
二十四气。奇经八脉。五脏六腑。三焦四时之 。纤悉备具。咸可按用。凡九十七篇。
又次张仲景方论为三十六卷。大行于世。
成无己。聊摄人。家世儒医。性识明敏。记问该博。撰述伤寒义。皆前人未经道者。指
在定体分形析证。若同而异者明之。似是而非者辨之。古今言伤寒者祖张仲景。但因其
证而用之。初未有发明其意义。成无己博极研精。深造自得。本难素灵枢诸书。以发
明其奥。因仲景方论。以辨析其理。极表里虚实阴阳死生之说。究药病轻重。去取加减之意。
真得长沙公之旨趣。所着伤寒论十卷。明理论三卷。论方一卷。大行于世。
论曰。余每览越人入虢之诊。望齐侯之色。未尝不慨然叹其才秀也。怪当今居世之
士。曾不留神医药。精究方术。上以疗君亲之疾。下以救贫贱之厄。中以保身长全。以
养其生。但竞逐荣势。企踵权豪。孜孜汲汲。惟名利是务。崇饰其末。忽弃其本。华其
外而悴其内。皮之不存。毛将安附焉。卒然遭邪风之气。婴非常之疾。患及祸至。而方
震栗。降志屈节。钦望巫祝。告穷归天。束手受败。赉百年之寿命。持至贵之重器。委
付凡医。恣其所措。咄嗟呜呼。厥身已毙。神明消灭。变为异物。幽潜重泉。徒为啼泣。
痛夫举世昏迷。莫能觉悟。不惜其命。若是轻生。彼何荣势之云哉。而进不能爱人知人。
退不能爱身知己。遇灾值祸。身居厄地。蒙蒙昧昧。蠢若游魂。哀乎。趋世之士。驰竞
浮华。不固根本。忘躯徇物。危若冰谷。至于是也。余宗族素多。向余二百。建安纪年
以来。犹未十稔。其死亡者。三分有二。伤寒十居其七。感往昔之沦丧。伤横夭之莫救。
乃勤求古训。博采众方。撰用素问九卷。八十一难。阴阳大论。胎胪药录。并平脉证辨。
为伤寒杂病论。合十六卷。虽未能尽愈诸病。庶可以见病知源。
若能寻余所集。思过半矣。夫天布五行以运万类。人禀五常以有五脏。经络腑俞。阴阳
会通。玄冥幽微。变化难极。自非才高识妙。岂能探其理致哉。上古有神农、黄帝、
岐伯、伯高、雷公、少俞、少师、仲文。中世有长桑、扁鹊。汉有公乘、阳庆及仓公。
下此以往。未之闻也。观今之医。不念思求经旨。以演其所知。各承家技。终始顺旧。
省疾问病。务在口给。相对斯须。便处汤药。按寸不及尺。握手不及足。人迎趺阳。三
部不参。动数发息。不满五十。短期未知决诊。九候曾无 。明堂阙庭。尽不见察。
所谓窥管而已。夫欲视死别生。实为难矣。孔子云。生而知之者上。学则亚之。多闻博
识。知之次也。余宿尚方术。请事斯语。
汉长沙守南阳张机着。
Wang Shuhe was from Gaoping. His temperament was calm and quiet, and he had a broad interest in classical prescriptions, particularly excelling in diagnosis and prescription. He thoroughly understood the principles of health preservation and deeply comprehended the origins of disease treatment. He collected various theories and compiled them into ten volumes of *Mai Jing* (Pulse Classic). The work narrates Yin and Yang, exterior and interior; differentiates the three positions and nine inspections; distinguishes the Renying (Stomach Meridian pulse at neck), Qikou (Lung Meridian pulse at wrist), and Shenmen (Kidney Meridian pulse at wrist) pulses; systematically lists the twelve meridians and twenty-four Qi periods; and covers the eight extraordinary vessels, five zang organs, six fu organs, Sanjiao (Triple Burner), and their relationship with the four seasons. The content is detailed and complete, all applicable for clinical use. There are ninety-seven chapters in total. He also reorganized Zhang Zhongjing’s prescriptions and theories into thirty-six volumes, which were widely circulated in the world.
Cheng Wuji was from Liaoshe. His family had been scholars and physicians for generations. He was intelligent and quick-witted, with an extensive memory and broad knowledge. His commentaries on the *Shanghan Lun* (Treatise on Cold Damage) contained insights not previously mentioned by others. His approach focused on determining the physical constitution and analyzing syndromes, clarifying cases that appeared similar but were distinct, and distinguishing those that seemed correct but were actually erroneous. Throughout history, those discussing cold damage have taken Zhang Zhongjing as their ancestor, yet they merely applied treatments based on symptoms without elucidating the underlying meanings. Cheng Wuji studied extensively and refined his expertise, achieving deep understanding through personal insight. He relied on classics such as *Nan Jing* (Classic of Difficult Issues), *Su Wen* (Basic Questions), and *Ling Shu* (Spiritual Pivot) to reveal their profound mysteries. Using Zhang Zhongjing’s prescriptions and theories, he analyzed their rationale, exploring concepts of exterior-interior, deficiency-excess, Yin-Yang, death, and life, and investigating the severity of drugs versus diseases, as well as the logic behind adding or subtracting ingredients. He truly grasped the essence of Zhang Zhongjing (the Earl of Changsha). His works, including ten volumes of commentary on the *Shanghan Lun*, three volumes of *Ming Li Lun* (Theory Clarification), and one volume of *Lun Fang* (Discussion on Prescriptions), were widely circulated.
The text states: Whenever I read about Bian Que (Yueren) diagnosing the Crown Prince of Guo and observing the complexion of the Duke of Qi, I cannot help but sigh and admire their outstanding talent. I am puzzled that scholars of today do not pay attention to medicine or carefully study medical arts. They fail to treat the illnesses of rulers and parents above, rescue the poor and lowly below, preserve their own long-term health, and nurture their lives. Instead, they compete for glory and power, aspiring to associate with the wealthy and powerful, diligently pursuing only fame and profit. They adorn the superficial while neglecting the fundamental, appearing splendid on the outside but deteriorating within. If the skin does not exist, where can the hair attach? Suddenly struck by pathogenic winds, suffering from unusual illnesses, when disaster strikes, they tremble in fear. They lower their dignity, submit to rituals, and hope in witchcraft and prayers. When all remedies fail, they resign themselves to fate, surrendering to defeat. They entrust their century-long lifespan and precious bodies to mediocre physicians, allowing them to act arbitrarily. Alas! The body perishes, the spirit vanishes, becoming a strange object, sinking into the depths, leaving only tears behind. How pitiful! The whole world is confused, unable to awaken. They do not cherish their lives; if they treat life so lightly, what glory or power matters? They cannot love or understand others when advancing, nor love or know themselves when retreating. Encountering disasters, they find themselves in dire straits, ignorant and dull, like wandering souls. How sorrowful! Scholars chasing worldly trends rush after vanity, failing to consolidate their foundation, sacrificing their bodies for external things, facing dangers as precarious as walking on ice or standing in a valley, reaching such a state. My clan was originally large, numbering over a hundred people. Since the Jian'an era, less than ten years have passed, yet two-thirds have died, seven out of ten due to cold damage. Grieving the past losses and mourning the untimely deaths that could not be saved, I diligently sought ancient teachings and widely collected prescriptions. Utilizing the nine volumes of *Su Wen*, *Ba Shi Yi Nan* (Eighty-One Difficult Issues), *Yin Yang Da Lun* (Great Treatise on Yin and Yang), *Tai Lu Yao Lu* (Record of Fetal Care and Drugs), along with *Ping Mai Zheng Bian* (Differentiation of Pulse and Syndromes), I compiled the *Shanghan Zabing Lun* (Treatise on Cold Damage and Miscellaneous Diseases) into sixteen volumes. Although it may not cure all diseases, it allows one to see the source of the disease upon observing its manifestations. If one explores the collection I have assembled, one will understand more than half. Heaven distributes the Five Elements to operate all categories of life; humans inherit the Five Constants to possess five Zang organs. Meridians, Fu organs, and acupoints connect through Yin and Yang; the profound and subtle changes are difficult to exhaust. Unless one possesses high talent and profound insight, how can one explore its principles? In ancient times, there were Shennong, Huangdi, Qibo, Bogao, Leigong, Shaoyu, Laoshi, and Zhongwen. In the middle ages, there were Changsang Jun and Bian Que. In the Han Dynasty, there were Gongcheng, Yang Qing, and Cang Gong. Since then, none have been heard of. Observing modern physicians, they do not reflect on seeking the meaning of classics to expand their knowledge; instead, they each inherit family skills and follow old traditions. When examining patients, they focus on eloquence. After a brief conversation, they immediately prescribe decoctions. They palpate the Cun position but not the Chi position; they hold the hand but not the foot; they do not compare the Renying, Futai, and Cun Kou pulses. The pulse rate during respiration does not reach fifty beats. They do not know how to determine prognosis for short-term conditions; they lack subtle observation of the Nine Inspections. They do not observe the color of the Mingtang and Yueting areas of the face. This is merely looking at the sky through a tube. To distinguish between death and life is truly difficult. Confucius said: Those who know from birth are superior; those who learn are next; those who hear much and know broadly are inferior. I have long valued medical arts and will strive to follow these words. Written by Zhang Ji, Administrator of Changsha, Nanyang, Han Dynasty.