李中梓(字仕材)先生,系明末江南医学教育家。籍贯松江府南汇县。生于万历十五年
丁亥(1
先生精于医,复精于文,临症经验甚丰。授徒众多,其中颇有杰出者,如马元仪、尤生州等
皆是传其法乳者。
李氏生平,著作甚丰,均着眼于培养后进与临症切用。且文辞绮丽,使深于医者与初学之士
,两皆适用。当其中年,曾草《颐生微论》,自视犹觉不足,乃改写为《删补颐生微论》,
其中谈药之作,多编为韵语。崇祯十年(1637)又重着《医宗必读》十卷。鉴于学医者必先
有文学水准,故卷一为
〈医论、图说〉首列论文十三篇,以骨度、藏象等图附于后。卷二为《四言脉诀》,补原着之缺略,
正传本之差讹,仍旧者十之二三,新改者十之七八,并以〈
脉法心参〉附于后,记临症之得乎心而应乎手者与得乎心而不能喻诸口者,一一详加记载
,而以色诊附焉。卷三、卷四,为《本草征要》(详见后述)。卷五为伤寒。卷六至卷十为杂
病。于论述一病之后,多附有自己之医案,内容均切实用,便于学习。嘉惠后学匪浅,乃传
世之杰作,故在清代,大江南北之习医者,每以之作为模板。
此册乃《征要》之删补单行本,姑就发展源流及变化情况,详加叙述,以弁其端。
药学书之用韵语或赋体,盖冀后学人之便于诵习也。自金、元以来,传本甚多,如《药
性赋
》为四言四句等。然作赋须对比,每拈两药,凑为一联,常有言而未透之感。四言者,限于
十六字,有因内容较多,不尽其意者。有因主治单纯,尚觉字多者,后者,虽关系不大,然
从整体观之,则药之突出主次与使用面之宽窄,又难一目了然。李氏有鉴于此,故略仿赋体
而采用长短偶句,使其繁简适宜,修短合度,初学之士,受惠实多。着者于卷端题云∶
“本草太多,令人有望洋之苦,药性太少,令人有遗珠之忧,兹以纲目为主,删繁去复,
独
存精要,采集名论,窃附管窥,详加注释,比之珍珠囊,极其详备,且字句整严,便于诵读
。”
征要内容,首列药名,药名之下,以小字标出味、性、归经及为使之药。并记畏、忌、
恶、
反。与炮制之要求,间加必要之别名。次入正文,多以对比之句,述其主治,文辞典雅,表
达透切,须长则长,可短则短,视作用之多少而着笔,能恰如其分。且词藻美妙,如阿胶、
石膏等药之叙述,皆铿锵堪诵。正文之后又加必要之注解,并指出忌用之点,使患者蒙其利
而不受其害,用心良苦。书成,遂风行一时。
问世不久,上洋蔡嵋、眉山氏仿其体例,续作《本草征要补遗》计五十八种。清同治年
间,
先六伯祖光奇公(讳廷瑾)又为重新分类,意在便于翻检,且酌删其剧毒之品,以防初学之
士
掌握不善,易出偏差。并依临症需要,增入便用而易得之品若干,颜曰《删补本草征要》供
门徒抄读。光绪年间,先君蕉麓公,又续有增补。晚清,吴兴凌奂(字晓五),着《本草害
利
》内容多采李氏原文。民国初,丁甘仁先生,创上海中医专门学校,采此书作药物之课本,
对李氏原文,有为删节者,有作补充者,易其名曰《本草辑要》。丁氏又于其原书之后,补
撰《本草续编》增入八十余种。此外,尚见许多无名之传抄本,有节略者,有摘抄者,有易
书名者,有改内容者,因无刻本,姑不详述。其足取者,亦予采入。
此次整理,以李氏明刊原本为主,更采入蔡氏、与先伯祖、先君及丁氏所补,切于实用
者,
凡若干种,并略插拙续于其中。仍依光奇公原意,厘为四卷,第一卷为通治部分,亦即多数
为作用于全身者。第二卷为形体部分与专科,即分头、面、七窍、四肢、百骸以及外科、伤
科、女科、儿科等。第三卷依脏腑区分,各从其类,便于临症时之参考。第四卷为外治、食
疗等等。末附拙作《淀粉类食疗品》、《谈中药的变通使用》与《煎药用之水火》,备仓猝
时之选择。
本书罗列前人一脉相承之精粹,言皆有征,虽有一定特点,但由于匆促属笔,直行改横
行,
繁体改简体,难免有讹误之处,幸读者加以指正,继续修订,当 诸异日。书名原依先伯
祖意仍题《删补本草征要》,乃遵李氏《删补颐生微论》之例,今易为“重订”二字,似更
允
癸亥初冬扬州耿鉴庭识
Mr. Li Zhongzi (courtesy name Shicai) was a medical educator in the Jiangnan region during the late Ming Dynasty. His native place was Nanhui County, Songjiang Prefecture. He was born in the Dinghai year of the 15th year of the Wanli era (1587).
Mr. was proficient in medicine and also skilled in literature, possessing abundant clinical experience. He taught numerous students, among whom many were outstanding figures, such as Ma Yuanyi and You Shengzhou, who all inherited and propagated his academic thoughts.
Mr. Li produced a wealth of works throughout his life, all focusing on cultivating successors and practical clinical application. His writing was elegant, making it suitable for both those deeply versed in medicine and beginners. In his middle age, he drafted *Yisheng Weilun* (Micro-discourses on Nourishing Life), but felt it was still insufficient, so he revised it into *Shanbu Yisheng Weilun* (Revised and Supplemental Micro-discourses on Nourishing Life). The sections discussing herbs were mostly composed in rhythmic verse. In the 10th year of Chongzhen (1637), he re-wrote *Yizong Bidu* (Essential Readings for Medical Students) in ten volumes. Given that medical students must first possess a literary standard, Volume I consists of "Medical Discourses and Diagrams," listing thirteen essays at the beginning, with diagrams such as Bone Measurements (Gudu) and Zang-Fu Manifestations (Zangxiang) attached afterwards. Volume II is *Siyan Maijue* (Four-Character Pulse Rhymes), which supplements omissions in the original work and corrects errors in transmitted versions; two or three parts remain unchanged, while seven or eight are newly revised. It is followed by *Maifa Xin Can* (Heart Reflections on Pulse Methods), recording clinical insights that are grasped by heart but difficult to express verbally, detailed one by one, with Color Diagnosis (Sezhen) appended. Volumes III and IV constitute *Bencao Zhengyao* (Essentials of Materia Medica) (see details below). Volume V covers Cold Damage (Shanghan). Volumes VI to X cover Miscellaneous Diseases (Zabing). After discussing each disease, personal medical cases are often attached; the content is practical and convenient for study. It greatly benefited later learners and became a masterpiece passed down through generations. Thus, in the Qing Dynasty, medical students across the Yangtze River region frequently used it as a model.
This volume is a revised and supplemented standalone edition of *Zhengyao*. Here, the development lineage and changes are narrated in detail to serve as a preface.
The use of rhythmic verse or fu (rhapsody) style in materia medica books aims to facilitate memorization and study for later learners. Since the Jin and Yuan dynasties, many transmitted versions have existed, such as *Yaoxing Fu* (Fu on Drug Properties), which uses four-character lines. However, composing fu requires contrast, pairing two drugs to form a couplet, often leaving a feeling of incomplete expression. Four-character poems are limited to sixteen characters; some cannot fully express complex contents, while others feel too verbose for simple indications. Although the latter issue is minor, from a holistic perspective, it makes it difficult to clearly see the primary-secondary hierarchy of drugs and the breadth of their applications. Mr. Li, aware of this, slightly imitated the fu style but adopted alternating long and short sentences, ensuring appropriate complexity and proper length, benefiting beginners significantly. The author inscribed at the beginning: "Materia Medica is too vast, causing the difficulty of facing an ocean; drug properties are too few, causing the worry of missing pearls. Now, based on the Compendium,繁杂 (complexities) are deleted and repetitions removed, preserving only the essence. Famous theories are collected, humbly adding my limited insight, with detailed annotations. Compared to *Zhenzhu Nang* (Pearl Purse), it is extremely comprehensive, with neat and strict phrasing, facilitating recitation."
The content of *Zhengyao* first lists drug names. Below each name, smaller text indicates flavor, nature, meridian tropism, and guiding drugs (Shi Zhi Yao). It also records contraindications (Wei, Ji, E, Fan) and processing requirements, occasionally adding necessary aliases. Then comes the main text, mostly using contrasting sentences to describe indications. The language is elegant and expressive; it is long when needed and short when possible, written according to the extent of action, fitting precisely. The diction is beautiful; descriptions of drugs like Ejiao (Donkey-hide Gelatin) and Shigao (Gypsum Fibrosum) are sonorous and readable. Necessary annotations follow the main text, pointing out points of caution, so patients benefit without harm, showing great care. Upon completion, it became popular instantly.
Not long after publication, Cai Mei from Shanghai and scholars from Meishan imitated its format and continued with *Bencao Zhengyao Buyi* (Supplement to Essentials of Materia Medica), covering 58 items. During the Tongzhi reign of the Qing Dynasty, my sixth-granduncle Guangqi Gong (named Tingjin) reclassified them for easier reference,酌情 deleting highly toxic substances to prevent beginners from mishandling them and causing deviations. Based on clinical needs, several convenient and accessible items were added, titled *Shanbu Bencao Zhengyao* (Revised and Supplemental Essentials of Materia Medica) for disciples to copy and read. During the Guangxu reign, my father Jiaolu Gong made further additions. In the late Qing, Ling Huan (courtesy name Xiaowu) from Wuxing wrote *Bencao Haili* (Harm and Benefit of Materia Medica), largely adopting Mr. Li's original text. In the early Republic of China, Mr. Ding Ganren founded the Shanghai College of Traditional Chinese Medicine and adopted this book as a textbook for pharmacology. Some of Mr. Li's original text was abridged, some supplemented, and the title changed to *Bencao Jiyao* (Collected Essentials of Materia Medica). Mr. Ding also wrote *Bencao Xubian* (Continued Compilation of Materia Medica) after the original book, adding over 80 items. Additionally, many anonymous manuscript copies exist, some abridged, some excerpted, some retitled, some altered in content. Without printed editions, they are not detailed here. Those worth adopting have been included.
This compilation primarily relies on Mr. Li's original Ming dynasty printed edition, incorporating useful additions from Cai, my grand-uncle, my father, and Mr. Ding, totaling several items, along with slight insertions of my own continuations. Following the original intent of Guangqi Gong, it is organized into four volumes. Volume I covers general treatments, i.e., actions affecting the whole body. Volume II covers physical forms and specialties, divided into head, face, seven orifices, limbs, bones, and departments such as surgery, trauma, gynecology, and pediatrics. Volume III is distinguished by Zang-Fu organs, classified accordingly for clinical reference. Volume IV covers external treatments, dietary therapy, etc. At the end, my works *Starch-based Dietary Therapeutics*, *On Flexible Use of Chinese Herbs*, and *Fire and Water in Decoction Preparation* are attached for emergency selection.
This book collects the essence inherited from predecessors, with every statement supported by evidence. Although it has certain characteristics, due to hasty writing, changing vertical to horizontal layout, and traditional to simplified characters, errors are inevitable. I hope readers will point them out for continued revision in the future. The title remains *Shanbu Bencao Zhengyao* per my grand-uncle's wish, following the example of Mr. Li's *Shanbu Yisheng Weilun*. Now changed to "Chongding" (Revised), it seems more appropriate.
Recorded by Geng Jianting of Yangzhou in early winter of the Guihai year.