古人有三不朽,曰立德,其次立功,又次立言。余何人也,岂敢妄发言哉!敢于功德自
夸耶?
从幼年来,体弱多病,思阅方书,因从书贾购得吾郡良医乌镇逸林僧所遗医书甚伙。自轩歧
仲圣逮今诸家注论,靡不收采,略得心领神会。遂弃诸子业,从我郡吴古年夫子游,将历代
名医着述书籍,探本穷源,随时就正,读破万卷,讲论偏见
错谬之处,或自昏黄达旦。先生年届古稀,日逐临症,得有余暇,犹不辞倦,且谆谆训曰∶
医关性命,不可苟且,一病有一经所发,若察脉辨证,尤宜加谨,恐失之毫厘,谬于千里也
。先生袖出一帙曰∶本草分队。取其用药如用兵之意,盖脏腑,即地理也,处方如布阵也,
用药如用兵将也。病本在于何经,即以君药主将标于何经。为臣使之药,即所以添兵弁。识
得地理,布成阵势,一鼓而战,即能殄灭贼氛,即所谓病退也。然后调摄得宜,起居如常,
即兵家善后事宜,民得安居乐业也。苟调度不精,一或失机,一败涂地,即用药不审,草菅
人命也。
奈近时医者,一到病家,不先看脉审证,遂听病家自述病情,随即写药数味,曰∶某汤
主治
。粗知大略,用某药能除某病,如此治病,则仁人必深虑而痛恨之。虽业医临症,有望闻问
切四诊之说,然望是观其气色,如经云∶青欲如苍碧之泽,不欲如蓝也。闻是听其声音清浊
高低,即宫商角征羽五者,属五脏也。问是问其老少男女,平素劳逸喜恶,起患何时,始得
何病,曾服何药,问病源也。切是最要之事,诊得浮沉迟数滑涩大小长短诸脉,见于左右寸
关尺部,辨明虚实表里寒热。何证发于何经,应用寒热温凉之药,定方进药,君臣佐使,配
合得宜,如汤沃雪,诸恙若失,方能起死回生,岂有害哉!
凡药有利必有害,但知其利,不知其害,如冲锋于前,罔顾其后也。余业是道,二十余
年,
遇证则慎思明辨,然后下笔,补偏救弊,贻误者少。审识药品出产形状,亲尝气味,使药肆
中不敢伪充而误人耳。
先生之分队一书,尚未刊行于世。遂集各家本草,补入药之害于病者,逐一加注,更曰
《本
草害利》,欲求时下同道,知药利必有害,断不可粗知大略,辨证不明,信手下笔,枉折人
命。用是不揣固陋,集古今名医之说,删繁就简,撰述成书,以付剞劂,公诸同好,并就正
于海内明眼,亦慎疾之一端云尔。
咸丰壬戌年,吴兴凌奂晓五自序。
The ancients spoke of the "Three Immortalities": establishing virtue, establishing merit, and establishing words (writings). What kind of person am I? How dare I speak lightly! Nor do I dare to boast of my own merits and virtues.
Since childhood, I have been frail and prone to illness. Desiring to read medical texts, I purchased a large collection of medical books left behind by Wu Lin Seng, a skilled physician from Wuzhen in our county, from a bookseller. From Huangdi (Yellow Emperor) and Qibo to Zhang Zhongjing, down to the annotations and discussions of various schools up to the present, I collected them all without exception, gradually grasping their essence. Consequently, I abandoned other studies and followed Master Wu Guniann of our county in learning, exploring the origins of writings by famous physicians of past dynasties, seeking guidance and correction at every turn. Having read through ten thousand volumes, we discussed biased or erroneous points, sometimes talking from dusk until dawn. The Master was nearing seventy years old, seeing patients daily; although he had spare time, he did not decline to be weary, and earnestly instructed me: Medicine concerns life and death; one cannot be casual. Every disease originates from a specific meridian. When examining pulses and differentiating syndromes, one must be especially cautious, for a miss is as good as a mile. If one errs by a hair's breadth, the result will be off by a thousand miles.
The Master took out a manuscript and said: *Bencao Fen Dui* (Classification of Materia Medica into Formations). This takes the meaning that using medicine is like using troops. The Zang-Fu organs are like geographical terrain; prescribing formulas is like deploying formations; using herbs is like dispatching generals and soldiers. If the root of the disease lies in which meridian, the Jun herb (Sovereign herb) acts as the main general and is marked on that meridian. Chen herbs (Minister herbs), Zuo herbs (Assistant herbs), and Shi herbs (Envoy herbs) act as additional troops. One must understand the geography (terrain/organs), deploy the formation (formula), and upon striking once, eliminate the enemy's momentum, which is what is meant by the disease retreating. Then, with proper regulation and care, and normal daily routine, it is like the aftermath management of a military campaign, allowing the people to live in peace and work happily. If the command is not precise, and one misses the opportunity even slightly, it leads to total defeat; this is like using medicine imprudently, treating human lives as if they were grass.
Regrettably, physicians nowadays, upon arriving at a patient's home, do not first examine the pulse or assess the syndrome. Instead, they listen to the patient's self-description of symptoms, then immediately prescribe a few herbs, saying, "This decoction treats [condition]." With only a superficial knowledge, believing that a certain herb can cure a certain disease, treating illness in this manner would cause benevolent people to ponder deeply and feel intense indignation. Although those practicing medicine follow the theory of the Four Diagnostic Methods (Wang Wen Wen Qie - Observation, Auscultation/Olfaction, Inquiry, Palpation), "Observation" involves viewing the complexion. As the classics state: "Green should resemble the luster of dark jade, not the dullness of indigo." "Auscultation and Olfaction" involve listening to the clarity, turbidity, pitch, and volume of the voice, corresponding to the five tones (Gong, Shang, Jue, Zhi, Yu) and the five Zang organs. "Inquiry" involves asking about age, gender, habitual labor and rest, preferences, onset time, initial disease, and previous medications, aiming to identify the source of the disease. "Palpation" is the most critical task. Diagnosing pulses such as floating, deep, slow, rapid, slippery, choppy, large, small, long, and short, appearing at the Cun, Guan, and Chi positions on both wrists, allows one to distinguish deficiency, excess, exterior, interior, cold, and heat. Determining which meridian the syndrome originates from, applying herbs of cold, hot, warm, or cool properties, determining the formula and administering it, with proper coordination of Sovereign, Minister, Assistant, and Envoy herbs, is like pouring boiling water on snow—rapidly effective, causing all ailments to vanish, thereby bringing the dying back to life. How could there be harm?
All medicines have benefits and harms. Knowing only the benefits but ignoring the harms is like charging forward while disregarding the rear. I have practiced this profession for over twenty years. Upon encountering a syndrome, I think carefully and discriminate clearly before writing the prescription, correcting biases and saving from errors, resulting in fewer misdiagnoses. I carefully identify the origin and physical characteristics of medicinal materials and personally taste their flavors and odors, ensuring that pharmacies dare not substitute fake products and mislead people.
The Master's book *Fen Dui* has not yet been published. Therefore, I compiled various Materia Medica works, added notes on the harms of medicines to diseases, annotated them item by item, and renamed it *Bencao Hai Li* (Harms and Benefits of Materia Medica). I hope contemporary colleagues will know that where there is benefit, there is necessarily harm, and absolutely avoid superficial understanding, unclear differentiation of syndromes, and reckless prescribing, which wastes human lives. Thus, not presuming my own ignorance, I collected statements from famous physicians of ancient and modern times, deleted redundancy, simplified content, wrote this book, submitted it for printing, made it public, and sought corrections from enlightened scholars within and beyond the seas. This is also one aspect of being cautious regarding illness.
Preface by Ling Huan, courtesy name Xiaowu, of Wuxing, in the Renxu year of Xianfeng.