夫前圣有作,后必有继而述之者,则其教乃得着于世矣。医之道源自炎黄,以至神之妙,始兴经方;继
而伊芳尹以元圣之才,撰成汤液,俾黎庶之疾疚,咸遂蠲除,使万代之生灵,普蒙拯济;后汉张仲景,又广汤液
为伤寒卒病论十数卷,然后医方大备,兹先圣后圣,若合符节。至晋太医令王叔和,以仲景之书,撰次成叙,
得为完秩。(医统本作“帙”)昔人以仲景方一部为众方之祖,盖能继述先圣之所作,迄今千有余年,不坠于
地者,又得王氏阐明之力也。伤寒论十卷,其言精而奥,其法简而详,非寡闻浅见所能赜究。后虽有学人,
又各自名家,未见发明。仆忝医业,自幼徂老,耽味仲景之书五十余年矣,虽粗得其门而近升乎堂,然未入于
室,常为之慊然。昨者,解后(医统本作“邂逅”)聊摄成公,议论该博,术业精通,而有家学,注成伤寒
十卷,出以示仆,其三百九十七法之内,分析异同,彰明隐奥,调陈脉理,区别阴阳,使表里以昭然,俾汗下
而灼见;百一十二方之后,通明名号之由,彰显药性之主,十剂轻重之攸分,七精制用之斯见,别气味
之所宜,明补泻之所适,又皆引内经,旁牵众说,方法之辨,莫不允当,实前贤所未言,后学所未识,是得仲
景之深意者也。昔所谓慊然者,今悉达其奥矣!亲觌其书,诚难默默,不揆荒
芜,聊序其略。
时甲子中秋日洛阳严器之序。
When the sages of old established doctrines, it was inevitable that later generations would succeed and elaborate upon them, so that their teachings could be manifested in the world. The Way of Medicine originates from Fuxi, Shennong (Divine Farmer), and Huangdi (Yellow Emperor); with divine subtlety, they initiated the use of Jingfang (Classic Prescriptions). Subsequently, Yi Yin, endowed with the talent of a Yuan Sheng (Supreme Sage), compiled the Tangye (Medicinal Decoctions), thereby enabling the diseases of the common people to be completely eliminated, allowing the living beings of ten thousand generations to universally receive salvation and relief. Later, during the Eastern Han Dynasty, Zhang Zhongjing further expanded the Tangye into the *Shanghan Zabing Lun* (Treatise on Cold Damage and Miscellaneous Diseases) in more than ten volumes, after which medical prescriptions were greatly perfected. Thus, the succession from the former sages to the latter sages was as precise as matching tally sticks. In the Jin Dynasty, Wang Shuhe, the Imperial Physician, edited and arranged Zhang Zhongjing’s writings, compiling them into a complete set. (The *Yitong Zhengmai Ben* edition uses the character "Zhi" 帙 for bundle/case.) Ancients regarded Zhang Zhongjing’s collection of formulas as the ancestor of all prescriptions, precisely because he succeeded in inheriting and elaborating on the works of the former sages. That his works have not fallen into obscurity for over a thousand years is also due to the elucidating efforts of Mr. Wang. The ten volumes of *Shanghan Lun* contain words that are refined and profound, and methods that are concise yet detailed; they cannot be thoroughly investigated by those with limited knowledge and shallow insight. Although later scholars claimed their own schools of thought, none were seen to have made significant innovations. I, though shamefully engaged in the medical profession, have indulged in studying Zhang Zhongjing’s books from youth to old age for over fifty years. Although I have roughly grasped the entrance and approached the inner hall, I have not yet entered the innermost chamber, and often feel dissatisfied with this state. Yesterday, I happened to meet Master Cheng of Liaoshe, whose discussions were comprehensive and profound, whose medical skills were masterful, and who possessed a family tradition of learning. He completed his commentary on the ten volumes of *Shanghan Lun* and showed it to me. Within the three hundred and ninety-seven methods, he analyzed similarities and differences, clarified obscure and profound points, harmonized and stated pulse principles, distinguished Yin and Yang, making exterior and interior conditions clear, and rendering sweating and purging methods distinctly visible. Following the one hundred and twelve formulas, he explained the origins of their names, highlighted the primary properties of the herbs, distinguished the degrees of heaviness and lightness among the Ten Categories of Formulas, revealed the applications of the Seven Preparations, identified suitable combinations of flavors and aromas, and clarified appropriate tonification and draining methods. Furthermore, he cited the *Neijing* (Inner Canon) and drew upon various other theories; his differentiation of methods and principles was always appropriate. This is truly what former sages had not said and later learners had not recognized; it demonstrates a deep understanding of Zhang Zhongjing’s profound intent. The dissatisfaction I previously felt has now been fully resolved regarding its mysteries! Having personally seen his book, I truly find it difficult to remain silent. Not presuming upon my own barren and shallow scholarship, I briefly outline the generalities.
Prefaced by Yan Qizhi of Luoyang on the Mid-Autumn Festival of the Jiazi Year.