稿甫成,客有过而诮曰∶“子何人斯,积何学问,敢抗颜着书以问世,真所谓不知惭者矣!”丰笑而谢
曰∶“吾乃一介布衣,未尝学问,成书数卷,聊以课徒,若云问世,则吾岂敢。”客曰∶“既云课徒,自仲
景以前有羲、农、轩、伯,以后有刘、李、朱、张及诸大家之书,不下数千百种,就中堪为后学法程者,何
可胜道,子必 焉着《时病论》以授受,尽子之道,亦不过一时医也,何许子之不惮烦耶?丰曰∶“由
子之言,固非大谬,而以时医为轻,则又不然,丰请陈其说焉,子姑听之。夫春时病温,夏时病热,秋时病
凉,冬时病寒,何者为正气,何者为不正气,既胜气复气,正化对化,从本从标,必按四时五运六气而分
治之,名为时医。是为时医必识时令,因时令而治时病,治时病而用时方,且防其何时而变,决其何时而解,
随时斟酌,此丰时病一书所由作也。若夫以时运称时医,则是时至而药石收功,时去而方术罔验,病者之命,
寄乎医者之运,将不得乎时者,即不得为医,而欲求医者,必先观行运,有是理乎?然则丰
于斯道,业有二十余年,诚恐不克副时医之名也,子亦何病乎时医?”言未毕,客蹙然改容,恍然大悟,作
而言曰∶“鄙人固陋,幸聆子言,昭然若发蒙矣。”客既退,因述问答之辞弁诸简
端,并质之世之识时者,未知河汉丰言否也?
少逸山人识于养鹤山房
The manuscript was just completed when a guest visited and reproached me, saying, "Who are you, and what learning have you accumulated, to dare to shamelessly write a book for publication? This is truly what is called being unaware of shame!" I smiled and apologized, saying, "I am merely a commoner who has never studied deeply. Having written these few volumes, I use them merely to teach students. As for publishing them for the world, how would I dare?" The guest said, "Since you say they are for teaching students, then before Zhang Zhongjing there were Xi (Fuxi), Nong (Shennong), Xuan (Yellow Emperor), and Bo (Bo Gao); after him, there were Liu (Liu Wansu), Li (Li Dongyuan), Zhu (Zhu Danxi), Zhang (Zhang Congzheng), and other great masters. Their works number in the thousands and hundreds. Among them, those suitable as models for later learners are countless. Why must you definitely write *Shi Bing Lun* (Treatise on Seasonal Diseases) to transmit knowledge? Even if you exhaust your Dao, you would only be a 'Shi Yi' (Seasonal Physician, i.e., a physician treating diseases according to seasons). Why are you so unwilling to avoid trouble?" I said, "Your words are not entirely wrong, but to look down upon 'Shi Yi' is incorrect. Please allow me to explain my view; please listen."
"Diseases occurring in spring are warm diseases; in summer, heat diseases; in autumn, cool diseases; in winter, cold diseases. What constitutes Zheng Qi (Upright Qi/Normal Pathogenic Factors) and what constitutes Bu Zheng Qi (Abnormal Pathogenic Factors)? Both Sheng Qi (Victorious Qi) and Fu Qi (Rebounding Qi) exist; both Zheng Hua (Orthodox Transformation) and Dui Hua (Opposite Transformation) occur. Treatment must follow either the Ben (Root) or the Biao (Branch), and must be differentiated and treated according to the Four Seasons, Five Movements, and Six Qi. This is called Shi Yi. Therefore, a Shi Yi must understand the seasonal timing, treat seasonal diseases based on this timing, use seasonal prescriptions for these diseases, prevent changes at specific times, and determine resolution at specific times, adjusting carefully as circumstances change. This is the reason for my writing this book on seasonal diseases. If one considers Shi Yi inferior because they follow seasonal movements, it implies that medicine works only when the season arrives and fails when the season passes, placing the patient's life in the hands of the doctor's luck. Does this mean that one who does not understand time cannot be a doctor? And does seeking a doctor require first observing the movement of fortune/time? Is there such logic? However, I have practiced this art for over twenty years. I sincerely fear I may not live up to the name of 'Shi Yi.' Why do you disdain the term 'Shi Yi'?"
Before I finished speaking, the guest frowned, changed his expression, and suddenly realized the truth. He stood up and said, "My views were narrow and ignorant. Hearing your words has enlightened me as if removing a blindfold." After the guest left, I recorded this dialogue and placed it at the beginning of the text, submitting it to those in the world who understand the times, wondering whether my words will be considered as absurd as the Milky Way (i.e., nonsense).
Recorded by Shaoyi Shanren at Yanghe Study House.