议曰小儿方书世传有三王氏东汉作方论二十篇今家宝是其或大同小异往往好事作德君子
刊施
济众就平增损者有之大抵其言有序自征至着其旨有皈自隐至显话括周遍事无繁述参以数十
名
家比较优劣始知先生药用淳和方排继续考之而取其切究之而效其疾斟酌升降以和为用其意在
调理尽善之最也虽然后学之士治家之子检阅投饵或有不当毋至差或致害其书故得家宝之称夫
良
士用心妙理活人HT 之与药犹若权衡权衡者法之一端也参究均平考较实论循方以应脉有条而不
紊王氏之书乃幼幼方脉之规模习小丸散岂可遁此如大人疾患有叔和脉诀考五行有珞绿子命
书
学六文有火珠卦文知贵贱有人伦风鉴相法如斯木术皆名家所集详辩以为上首冠诸妙义得毋枉
究虽然各有广要篇章终不远越而在总归非曰训童发蒙之谓垂老足钦至妙之道也已
议曰宋朝徽宗太子寿王聪慧幼时常发痫疾诸大名医莫之安愈时有草 医士张涣挟 货药
于都下召
之入内用药即效官至翰林医正张氏北人也留方五百有余逐病叙说深参其要近传于世目曰张氏
妙选四方士夫乐而用之殊不知南人得病以北人处方自是道地相反意议不同所谓北人水气多南
人瘟疫盛地气天时使之然也北人水气盛盛则就湿湿即与燥之南人瘟疫盛盛即作热热宜发散更
加燥热之药病热传作它症药既不宜疾何能愈夫幼童阴阳稍偏表里固同脏腑怯弱岂可以热制冷
以凉止燥其说症候可以循简述论颇有优长然其方药初使人疑之次复惑之或有不当必与悔之
曰南人用北人方药曷不知之学人参究尽善不必 方如前有云意与医同药与疾谐方可投之若也
据乎云云而用之者斯谓愚医不无妄投其饵在乎得失须当审之宜其察之
Translation:
It is said that among the pediatric prescription books circulating in the world, there are three main lineages. The Wang family's works were composed during the Eastern Han Dynasty, consisting of twenty treatises on prescriptions. What is treasured today as "Jiabao" (Family Treasure) is one of them; they are largely similar with minor differences. Often, benevolent gentlemen who enjoy doing good deeds print and distribute them to benefit the public, making additions and subtractions to the original texts. Generally, their discussions are orderly, covering manifestations from subtle signs to obvious symptoms, with principles moving from hidden to explicit, language comprehensive and thorough, without redundant descriptions. By comparing and evaluating the works of dozens of famous physicians, one realizes that this gentleman used medicines that were pure and mild, arranged prescriptions systematically. Upon examination and selection of the most pertinent parts, and upon investigating their efficacy, adjusting the ascending and descending properties of herbs to achieve harmony, his intention lies in regulating the body to perfection. Although later learners or household managers might make inappropriate choices when consulting and administering medications, avoiding errors that could cause harm, the book earned the name "Jiabao." A good physician applies profound principles to save lives, much like using a steelyard (balance); the steelyard is but one aspect of measurement. Deep investigation, balance, verification of practical theories, following prescriptions to match pulses, ensures orderliness without chaos. The Wang family's book serves as a paradigm for pediatric prescriptions and pulse diagnosis. How can learning pediatric pills and powders ignore this foundation? Just as adult diseases refer to Hehu's "Mai Jue" (Pulse Classic), five elements studies refer to Luoluzi's destiny books, six lines divination refers to Huozhua text, and knowing nobility/commonness refers to human relations and physiognomy, these arts are collected by masters, detailed and distinguished as primary content, crowned with profound meanings, surely not wasting inquiry. Although each has broad essentials, chapters ultimately do not stray far from the root, returning to the whole. It is not merely about instructing children in enlightenment, but a wonderful way worthy of admiration even by the elderly.
It is said that Emperor Huizong's son, Prince Shouwang of Song Dynasty, was intelligent but suffered from epilepsy in childhood. Many renowned physicians failed to cure him. At that time, a folk physician named Zhang Huan carried medicinal goods and sold them in the capital. He was summoned into the palace, administered medicine, and achieved immediate effect, eventually attaining the rank of Hanlin Medical Director. Zhang was from the North, leaving behind over five hundred prescriptions, describing each disease with deep insight into its essentials, which recently circulated under the title "Zhangshi Miaoxuan" (Wonderful Selections of the Zhang Family). Scholars and officials everywhere delighted in using it, unaware that northerners' prescriptions for southerners' diseases involved opposite geographical origins and differing interpretations. It is said that people in the North have more water-dampness, while those in the South suffer more from epidemic fevers, caused by local geography and climate. In the North, abundant water-dampness leads to damp conditions treated with drying agents; in the South, prevalent epidemic heat requires dispersing methods, often compounded with hot/drying drugs. If heat transforms into other symptoms due to unsuitable medication, how can the disease be cured? Children have slightly imbalanced yin and yang, with similar exterior-interior states but weak zang-fu organs. How can one use hot drugs to treat cold syndromes or cool drugs to treat dryness? His description of symptoms is concise and logical, showing merit. However, his prescriptions initially raise doubts and then confusion; if inappropriate, they lead to regret. One should ask: "Why do southerners use northern prescriptions without realizing this?" Learning requires thorough investigation for perfection, not blind adherence to formulas. As previously stated, intent must align with medical theory, and medicine must harmonize with the disease before administration. Those who follow such rigid rules blindly are considered foolish physicians, risking improper medication. Gains and losses must be carefully examined.