《素问》,载道之书也。词简而义深,去古渐远,衍文错简,仍或有之,故非吾儒不能读。学人以易心求之,宜其茫
若望洋,淡如嚼蜡。遂直以为古书不宜于今,厌而弃之,相率以为《局方》之学;间有读者,又以济其方技,漫不之省。
医道隐晦,职此之由。可叹也!震昌三十岁时,因母之患脾疼,众工束手,由是有志于医。遂取《素问》读之,三年似
有所得。又二年母氏之疾,以药而安。因追念先子之内伤,伯考之瞀闷,叔考之鼻衄,幼弟之腿痛,室人之积痰,一皆
殁于药之误也。心胆摧裂,痛不可追。然犹虑学之未明,至四十岁复取而读之。顾以质钝,遂朝夕钻研,缺其所可疑,
通其所可通。又四年而得罗太无讳知悌者为之师,因见河间、戴人、东垣、海藏诸书,始悟湿热相火为病甚多。又知医
之为书,非《素问》无以立论,非《本草》无以主方。有方无论无以识病,有论无方何以模仿?夫假说问答,仲景之书
也,而详于外感;明着性味,东垣之书也,而详于内伤。医之为书,至是始备;医之为道,至是始明。由是不能不致疑
于《局方》也。《局方》流行,自宋迄今,罔间南北,翕然而成俗,岂无其故哉!徐而思之,湿热相火,自王太仆注文已
成湮没,至张、李诸老始有发明。人之一身,阴不足而阳有余,虽谆谆然见于《素问》,而诸老犹未表章,是宜《局方》
之盛行也。震昌不揣芜陋,陈于编册,并述《金匮》之治法,以证《局方》之未备,间以己意附之于后,古人以医为吾
儒格物致知一事,故目其篇曰《格致余论》。未知其果是否耶?后之君子,幸改而正诸。
<Suwen> (The Yellow Emperor's Inner Canon: Suwen), is a book that expounds the great Dao of medicine. Its language is concise yet its meaning profound. As time has passed since antiquity, there are still instances of superfluous text and misplaced bamboo slips; therefore, only those Confucian scholars who are well-versed in classics can read it. If students approach it with a casual mind, they will naturally feel lost as if gazing at the vast ocean, and find it as dull as chewing wax. Consequently, they directly deem ancient books unsuitable for the present age, discard them with disgust, and flock to study the methods of <Jufang> (Formulas of the Bureau of Taiping Huimin). Those who occasionally read it merely use it to supplement their technical skills, without deep reflection. The obscurity of the medical way stems from this reason. It is truly lamentable!
When I, Zhenchang, was thirty years old, my mother suffered from spleen pain. Since all physicians were helpless, I resolved to study medicine. I then took up the <Suwen> for study, and after three years, I seemed to have gained some understanding. Two years later, my mother's illness was alleviated by medication. Reflecting on my late father's internal injury, my eldest uncle's mental confusion and oppression, my second uncle's epistaxis, my younger brother's leg pain, and my wife's phlegm accumulation—all of whom died due to erroneous medication—I felt my heart and gallbladder shattered, with regret beyond retrieval. However, fearing my knowledge was not yet clear, at forty years old I resumed studying the <Suwen>. Given my dull nature, I studied day and night, suspending judgment on what was doubtful and clarifying what was understandable. Four years later, I became a disciple of Luo Taiwu (Luo Zhiti) and thus encountered the works of Hejian (Liu Wansu), Dairen (Zhang Congzheng), Dongyuan (Li Gao), and Haicang (Wang Haoxu). Only then did I realize that diseases caused by damp-heat and ministerial fire are numerous. I also came to know that medical texts cannot establish theory without the <Suwen>, nor can they direct prescriptions without the <Bencao> (Materia Medica). Having formulas without theory makes it impossible to recognize diseases; having theory without formulas makes imitation impossible. The works featuring hypothetical Q&A formats belong to Zhongjing (Zhang Zhongjing) and focus on external contractions; the works clearly detailing properties and flavors belong to Dongyuan and focus on internal injuries. Medical literature became complete at this point; the Way of Medicine became clear at this point. Thus, I could not help but doubt the <Jufang>.
The <Jufang> has circulated from the Song Dynasty to the present, across both north and south, forming a common custom. Could there be no reason? Upon careful thought, the theory of damp-heat and ministerial fire had been submerged since Wang Taipu (Wang Bing)'s commentary on the <Suwen>, until the elders Zhang and Li began to elucidate it. In the human body, Yin is insufficient while Yang is in excess. Although this is earnestly stated in the <Suwen>, previous elders had not yet highlighted it, which explains the prevalence of the <Jufang>.
I, unassuming and humble, have compiled these contents into this volume, stating the treatment methods of the <Jingui Yaolue> (Essential Prescriptions from the Golden Cabinet) to demonstrate the incompleteness of the <Jufang>, occasionally appending my own opinions afterwards. Ancients regarded medicine as an aspect of "Gewu Zhizhi" (investigating things to extend knowledge) for Confucian scholars; hence, I titled this section <Gezhi Yulun> (Supplementary Discussions on Investigating Things to Extend Knowledge). I do not know if this is correct. May future gentlemen kindly correct and rectify it.