医之有案, 于史传,附载于诸子百家,所以纪治验、彰学术也。降及近世,乃多专刻,若喻氏嘉言、徐氏
洄溪、王氏孟英等,皆扼其要略,作为论断。至以完全方案刊行者,惟叶氏临证指南。夫叶氏天姿明敏,
见解超脱,治案颇多可采,然肤浅通套,实开后世庸流简便之门,耳食之士,奉为掌中珠、枕中秘,晚近
叶派之称,毁誉盖参半焉。先生于是书尝三购而三焚之,其高尚之志趋,即此可见一斑。然则医案之
刻,非先生志也。曰、不然。先生以毕世精神,消耗于延医之事,常思老而退休,本生平之阅历,专心着述。
天不假年,未遂厥志,著作阙如。行道而未暇明道,诚憾事也。然先生之诊病也,必先澄心凝虑,而后下
笔立案,故本经论以抒心得,隐微曲折之处,实足发前人所未及发,言众人之不能言,论证既精,处方
更确,议病议药,一以贯之,行道在是,明道在是,断非抄袭敷衍陈陈相因之方案所可比拟,讵能任其
湮没而不传哉。涵负笈先生门,尚在锡邑,两阅寒暑,亲炙无多,存有方案论说若干卷。后邵正蒙君从
游沪上,抄得巨册携归示涵,读之狂喜雀跃,以为可法传之稿,具在于是。茫茫数载,正蒙君已仙化,稿
交郭级 君珍藏什袭。丙辰秋,涵与郭君谋公诸世,郭君欣然出稿,爰重行检阅,分类排比,两载告成,
付之剞劂,其中缺点,尚祈诸同学有道者匡正焉。民国七年戊午秋受业吴文涵敬识
戊午长夏,张氏医案排印将蒇事,追维钞辑之始及其成功,而不禁有余慨焉。泰幼侍先君读,先君尝
与人谈医,亟称聿青先生审病之精、处方之当不置,以吾乡就诊先生,获睹其方案也。岁甲午,先君弃
养,遗命从子安家叔习医,居常欲搜求张氏案而不得。既而同里邵先生正蒙受业张氏门下,曾致书
同门,征集方案谋汇刊,搜罗特广。讵丙午春邵公谢世,事遂寝,稿本托泰收藏。叶先生立庵儒而好医,
下榻邵氏,尝手录此稿,谓泰宜相机刊印。尘事牵迫,未有宁晷。越十年丙辰,赴常熟晤吴先生玉纯谈
刊案事。乃云与邵公有宿约,时谋付刊,乏同志赞助耳。泰闻言欣然,怂涌即出原稿,由吴先生详加编
次,泰任誊正之责。恐藏稿尚非全豹,邮函四达,借阅增补,冀成完璧,应之者有包君镜澄、张君绍曾。泰
与吴先生邮筒往还越两载,始告厥成。今春复由吴先生付印出版,一切手续,独任其难,热忱毅力,洵
为当今希有。顾溯编钞至今阅十余年,商印成书又三四年,其迟迟也如是,因慨天下事之类此者不
少矣。至是编之手眼高妙,蹊径独开传序已详言之,兹不赘。
后学江阴郭汇泰谨跋
Medical records kept by physicians, as recorded in historical biographies and appended to the works of various schools of thought, serve to document clinical efficacy and highlight academic achievements. In later times, there have been many specialized printed editions, such as those by Yu Jiayan (Yu Chang), Xu Huixi (Xu Dachun), and Wang Mengying (Wang Shizhong), who all summarized key points to form their judgments. Among these, only Ye Tianshi's *Linzheng Zhinan Yian* (Guide to Clinical Practice) presents complete treatment plans for publication. Ye possessed natural intelligence and acute perception, with a transcendent understanding; his clinical cases are largely worth adopting. However, some are superficial and formulaic, inadvertently opening the door for later mediocre practitioners to seek convenience. Those who rely on hearsay treat them as pearls in hand or secrets hidden in pillows. In recent years, evaluations of the Ye school have been mixed, with both praise and criticism. Mr. Zhang purchased this book three times and burned it three times, revealing his noble aspirations and high moral standards. Thus, publishing medical records was not Mr. Zhang's original intention? I say: no. Mr. Zhang devoted his life to treating patients, often wishing to retire in old age to focus on writing based on his lifelong experience. Heaven did not grant him longevity, so his ambition remained unfulfilled, and his writings were lacking. He was busy practicing medicine but had no time to elucidate its principles, which is indeed a regret. However, when diagnosing patients, Mr. Zhang would first clear his mind and concentrate his thoughts before writing down his cases. Thus, he expressed his insights based on classical theories. In subtle and complex aspects, he truly uncovered what predecessors had missed and articulated what others could not say. His arguments were precise, and his prescriptions even more accurate. His discussion of diseases and herbs was consistent throughout. Here lies the practice of the Way, and here lies the elucidation of the Way. Such work cannot be compared to plagiarized, perfunctory, or repetitive records. How can we allow it to remain obscure and untransmitted? I, Wu Wenhan, studied under Mr. Zhang while carrying my books, still in Xiyi (Wuxi). After two winters and summers, although personal instruction was limited, I retained several volumes of his case records and discussions. Later, Mr. Shao Zhengmeng studied under Mr. Zhang in Shanghai, copied a large volume, and brought it back to show me. Reading it, I was overjoyed, believing that the manuscript suitable for transmission was found here. Over the course of several years, Mr. Shao passed away, and the manuscript was entrusted to Mr. Guo Ji for safekeeping. In the autumn of Bingchen year, Mr. Guo and I discussed making it public. Mr. Guo gladly produced the manuscript. We re-examined it, classified and arranged it, completing the task after two years, and submitted it for printing. Any shortcomings are humbly requested to be corrected by learned colleagues. Respectfully recorded by student Wu Wenhan in the autumn of Wuwu year (1918), the 7th year of the Republic of China.
In the height of summer during the Wuwu year, as the typesetting of *Zhang's Medical Cases* was nearing completion, recalling the beginning of the copying and editing process and its eventual success, I could not help but feel emotional. In my youth, I attended to my father while he read. My father often discussed medicine with others, repeatedly praising Mr. Yuqing's precision in diagnosis and appropriateness in prescription. Since people from our hometown sought treatment from Mr. Zhang, I had the opportunity to see his cases. In the Jiawu year, my father passed away, leaving instructions for my uncle, Anjia, to study medicine. He frequently wished to collect Mr. Zhang's cases but failed to do so. Soon after, Mr. Shao Zhengmeng from our locality enrolled as a student under Mr. Zhang. He wrote to fellow students to collect cases for compilation, gathering an extensive collection. Unexpectedly, in the spring of Bingwu year, Mr. Shao died, and the matter was shelved. The manuscripts were entrusted to me for storage. Mr. Ye Li'an, a scholar who loved medicine, stayed at the Shao residence and personally copied this manuscript, advising me to publish it when appropriate. Due to worldly obligations, I had no free time. Ten years later, in the Bingchen year, I visited Mr. Yu Chun in Changshu to discuss publishing the cases. He mentioned a prior agreement with Mr. Shao to publish them but lacked supporters. Hearing this, I was delighted and urged him to produce the original manuscript. Mr. Wu carefully edited and organized it, while I took responsibility for transcription. Fearing the stored manuscript was incomplete, I sent letters far and wide to borrow and supplement materials, hoping to create a complete edition. Respondents included Mr. Jingcheng Bao and Mr. Shaozeng Zhang. Through correspondence with Mr. Wu over two years, the project finally succeeded. This spring, Mr. Wu handled the printing and publication, bearing all difficulties alone. His enthusiasm and perseverance are truly rare today. Looking back, more than ten years have passed since the editing began, and another three or four years since we planned to print the book. The delay has been long, prompting reflections on how many similar situations exist in the world. As for the exquisite editorial skill and unique approach of this compilation, they have been detailed in the preface, so I will not repeat them here.
Respectfully postscripted by junior scholar Guo Huitai of Jiangyin.