一、是书专为时病而设。时病者,乃感四时六气为病之证也,非时疫之时也。故书中专论四时之病,一
切温疫概不加载。倘遇瘟疫之年,有吴又可先生书在,兹不复赘。
一、诸论皆本《内经》、诸贤之说,毫不杜撰。但内有先宗其论,后弃其方,或先驳其偏,后存其法,
非既信又疑,盖欲择善而从。丰即偶有一得,亦必自载明白,俾阅者了然,并以寓就正之意。
一、诸法皆丰所拟,乃仿古人之方稍为损益。所用诸药,佥细心参究,不敢随意妄用以误人。
每法之后,又详加解释,俾学人知一药有一药之用。
一、诸方悉选于先哲诸书,以补诸法所不及。但其中有过汗者过下者,偏寒偏热者,不得不附敝意于后,
非丰之敢妄议古人,诚恐学人泥古方,医今病,不知化裁,致胶柱鼓瑟之诮。
一、诸案系丰临证时所笔者。每见古人之案,载危病多,载轻病少。不知轻者危之渐,故圣人有不忽
于细、必谨于微之训,所以危病轻病并载,使医者病者,预知防微杜渐耳。
一、是书以《阴阳应象大论》八句经旨为纲,集四时六气之病为目,总言之先圣之源,分论之后
贤之本,余论附于卷末。
经谓“冬伤于寒,春必病温,”是训人有伏气之为病也。夫冬伤于寒,甚者即病,则为伤寒,微者不
即病,其气伏藏于肌肤,或伏藏于少阴,至春阳气开泄,忽因外邪乘之,触动伏气乃发,又不因外邪而
触发者,偶亦有之。其藏肌肤者,都是冬令劳苦动作汗出之人;其藏少阴者,都是冬不藏精肾脏内亏之
辈。此即古人所谓最虚之处,便是容邪之处。何刘松峰、陈平伯诸公,皆谓并无伏气,悖经之罪,其何
逭乎!据丰论春时之伏气有五∶曰春温也,风温也,温病也,温毒也,晚发也。盖春
温者,由于冬受微寒,至春感寒而触发。风温者,亦由冬受微寒,至春感风而触发。温病者,亦由冬受微寒,
寒酿为热,至来春阳气弛张之候,不因风寒触动,伏气自内而发。温毒者,由于冬受乖戾之气,至春夏之交,
更感温热,伏毒自内而发。晚发者,又由冬受微寒,当时未发,发于清明之后,较诸温病晚发
一节也。此五者,皆由冬伤于寒,伏而不发,发于来春而成诸温病者,当辨别而分治之。
程曦曰∶“推松峰与平伯,皆谓并无伏气,有由来也,一执
《云笈七签》冬伤于汗之句,一执钱氏冬伤寒水之脏之文。殊
不知两家只顾一面文章,全罔顾春伤、夏伤、秋伤之训,作何等解。思二先生天资高迈,亦受其蒙,不
正其讹,反助其说,毋怪后之医者,统称暴感,恣用发散,羌、防、麻、桂,逼汗劫津,误人
性命,固所不免,此不得不归咎于作俑之人也。”
1. This book is specifically designed for seasonal diseases (Shi Bing). "Seasonal diseases" refer to conditions caused by the pathogenic influence of the six Qi (Wind, Cold, Summer-heat, Dampness, Dryness, Fire) of the four seasons, not referring to "epidemic diseases" (Shi Yi). Therefore, this book exclusively discusses diseases of the four seasons and does not include any warm epidemics. In years when plagues occur, one may refer to Mr. Wu Keyou's works; there is no need to repeat them here.
2. All discussions in this book are based on the *Huangdi Neijing* (Yellow Emperor's Inner Canon) and the theories of past sages, without any fabrication. However, some sections first adopt a theory and later discard its prescription, or first refute its bias but retain its method. This is not due to skepticism, but rather to select the good and follow it. Even if I, Lei Feng, have occasional insights, I will record them clearly so that readers understand at a glance, thereby expressing my intent to seek correction from experts.
3. All treatment methods presented are proposed by me, modeled after ancient prescriptions with slight modifications. The herbs used have been carefully studied and researched; I dare not use them arbitrarily to avoid harming patients. After each method, detailed explanations are provided so that students understand the specific utility of each herb.
4. All formulas are selected from the works of past philosophers to supplement the limitations of various methods. Some of these involve excessive sweating, excessive purging, excessive cold, or excessive heat. It is necessary to append my comments afterwards. This is not out of arrogance to criticize ancients, but out of fear that students might rigidly apply ancient formulas to contemporary diseases without flexible adaptation, leading to ridicule for being inflexible ("gluing the tuning pegs").
5. The medical cases recorded are those documented during my clinical practice. Observing ancient case records, they mostly describe critical illnesses and rarely mild ones. One should realize that mild conditions are often the precursors to critical ones. Thus, the Sages taught not to neglect details and to be cautious of subtle signs. Therefore, both critical and mild cases are recorded to enable doctors and patients to prevent problems before they arise and stop them from growing.
6. This book takes eight lines from the *Da Lun Yin Yang Ying Xiang* (Great Treatise on the Correspondence of Yin and Yang) in the *Neijing* as its outline, collecting diseases caused by the six Qi of the four seasons as items. Generally speaking, it traces the source of the ancient sages; specifically, it discusses the foundation of later scholars. Other discussions are attached at the end of the volume.
The classic states: "If one is injured by Cold in winter, one will inevitably suffer from Warmth in spring." This instructs us that diseases can be caused by latent Qi (Fu Qi). If injured by Cold in winter and the illness manifests immediately, it is called Shanghan (Cold Damage). If mild and not immediate, the pathogenic factor lies dormant in the skin and muscles, or in the Shaoyin channel. When Yang Qi opens and disperses in spring, an external pathogen may trigger the latent Qi, causing disease onset. Occasionally, it may also arise spontaneously without external triggering. Those with latent factors in the skin and muscles are usually those who labored and sweated during winter activities. Those with latent factors in the Shaoyin are usually those who failed to conserve Jing (Essence) in winter, resulting in Kidney deficiency. As the ancients said, "The most deficient place is where pathogens reside." Why do figures like Liu Songfeng and Chen Pingbo deny the existence of latent Qi? They commit the sin of contradicting the classics; how can they escape blame? According to my analysis, there are five types of latent Qi in spring: Chunwen (Spring Warmth), Fengwen (Wind Warmth), Wenbing (Warm Disease), Wendu (Warm Toxicity), and Wanfa (Late Onset).
- Chunwen arises from slight Cold acquired in winter, triggered by Cold sensation in spring.
- Fengwen also arises from slight Cold acquired in winter, triggered by Wind sensation in spring.
- Wenbing arises from slight Cold acquired in winter, which ferments into Heat. When Yang Qi expands in spring, the latent Qi erupts internally without needing Cold or Wind triggers.
- Wendu arises from aberrant Qi acquired in winter. At the transition between spring and summer, influenced by Warmth, latent toxicity erupts internally.
- Wanfa arises from slight Cold acquired in winter, which did not manifest initially but appears after the Qingming solar term, occurring one stage later than typical Warm Diseases.
These five types all result from Winter Cold injury, lying dormant until spring, forming various Warm Diseases. They must be differentiated and treated separately.
Cheng Xi stated: "Regarding Liu Songfeng and Chen Pingbo's denial of latent Qi, their reasoning has origins. One clings to the phrase 'Winter injury by sweat' from *Yunji Qiqian*, and the other to Qian Yi's text regarding 'Winter Cold injuring the Water organ.' Neither side considers only half the argument, completely ignoring the teachings on Spring, Summer, and Autumn injuries. How should these be interpreted? Although these two gentlemen possessed high intellectual capacity, they were misled. If we do not correct their errors but instead support their views, it is no wonder later physicians uniformly attribute such cases to sudden external contraction (Bao Gan), recklessly using dispersing agents like Qianghuo, Fangfeng, Mahuang, and Guizhi to force sweating and deplete Jin-Ye (Body Fluids), thereby endangering lives. This is inevitable, and the blame must fall on the originators of these erroneous theories."