医家惟小儿科为尤难。盖自其能言而被病者,犹可以问而知之,而其未能言者,不可以
问而知也。《史》言扁鹊入咸阳,为小儿医,然鹊之书多不传其言。有曰∶望而知之谓之神,
闻而知之谓之圣,鹊之术固不在于书欤。信斯言也!惟鹊为可也。夫医不可以无书也,太仓
公乃亦以医者意耳,不肯为书,使仓公者常有于世焉,虽无书可也,如仓公之不常有。何哉?
且吾闻学医者,与学儒无异。儒者求圣贤之心法,以有圣贤之书存焉耳。医无其书,则轩岐
之心法泯焉而不传久矣。又何由而学之?故医书之浩衍,与儒书相埒,殆又过之。然板行于
天下,人得而有之者,往往大方脉之书为多,彼为小儿者,每以专科自名,或私得一方,即
祖父子孙相传,世享其利,他人万金罔顾授也。其肯与天下后世公共之哉?育溪曾君,用儒
攻医,得戴刘二家之传,自少至老,凡活人之幼者,枚数不知几何人。在证处方,皆超然众
医之表,乃以得之师传者,广粹精核,为活幼心书一编。既成不以私其家,将以公之天下后
世,使为其术者,无学医废人之患。凡人之幼,皆有成人之望焉,浓哉育溪之用心也,人孰
无此心哉?皆能以育溪之心为心则善矣。虽然,书本陈言,心须活法,或徒泥其书而不善用,
譬之兵家,不知合变,胶柱而调瑟焉,吾未见其可也。昔临安李立之者,以小儿科擅名一时。
有婴儿忽病喑,求治之,立之令人乘高扑之地下,以一衾盛之,儿不觉大惊,遂发声能言。问
之。曰∶此乳搐心也,非药所能疗。此活法之说也,因附着之。
泰定丁卯闰九月朔中议大夫前同知海北海南道宣慰使司事副都元帅和尼赤序
Among medical practitioners, pediatrics is particularly difficult. This is because for those who can speak and are ill, one can inquire to understand the condition; but for those who cannot yet speak, inquiry alone cannot reveal the illness. The *Records of the Grand Historian* states that Bian Que entered Xiangyang and practiced as a pediatrician; however, his writings and words were largely not transmitted. It is said: "To know through observation is called divine; to know through listening and smelling is called sage." Was Bian Que's art indeed not dependent on books? If this statement is true, only someone like Bian Que could manage it. Yet medicine cannot exist without books. Taicang Gong (Chunyu Yi) also believed that medical practice relies on mental comprehension and was unwilling to write books. Had there always been people like Taicang Gong in the world, books might have been unnecessary; but such individuals are rare. Why? Moreover, I have heard that studying medicine is no different from studying Confucianism. Confucians seek the core principles of sages because the books of sages exist. If medicine had no books, the core principles of Huangdi (Yellow Emperor) and Qibo would have long been lost and untransmitted. How then could one learn? Therefore, the vast number of medical texts rivals or even exceeds that of Confucian classics. However, among the printed works available to the public, those on adult internal medicine (Da Fang Mai) are predominant. Pediatric specialists often keep their expertise secret, passing prescriptions down father to son, enjoying benefits for generations, refusing to teach others even for ten thousand gold pieces. Would they willingly share their knowledge with the world and future generations? Mr. Zeng of Yuxi, applying Confucian scholarship to medicine, inherited the traditions of Dai and Liu. From youth to old age, the number of children he saved is countless. In diagnosing and prescribing, he consistently surpassed other physicians. He thus collected, refined, and verified what he learned from his teachers, compiling it into a volume titled *Huoyou Xinshu* (New Book for Saving Children). Upon completion, he did not keep it private but intended to make it public to the world and posterity, ensuring that practitioners would not suffer the harm of being unable to save lives due to lack of learning. Every young child holds the hope of becoming an adult; how profound is Mr. Zeng's dedication! Who does not possess such a heart? It would be excellent if everyone could adopt Mr. Zeng's mindset. Nevertheless, while books contain established doctrines, the mind must employ flexible methods. If one merely adheres rigidly to the text without skillful application, it is like a military strategist who fails to adapt, akin to gluing the bridges of a zither before tuning it. I do not see how this would work. In the past, Li Lizhi of Lin'an gained fame for his pediatric skills. An infant suddenly lost its voice and sought treatment. Li Lizhi ordered someone to lift the child high and drop them to the ground, wrapping them in a blanket. The infant, greatly startled, suddenly cried out and could speak again. When asked, he replied: "This is Ru Chu Xin (infant convulsion affecting the heart), which cannot be cured by medicine." This illustrates the principle of flexible application, so I have appended this account.
Preface by He Nichi, Zhongyi Dafu (Counselor of Moderate Rank), Former Tongzhi (Joint Director) of the Xuanweishi Office of Haibei-Hainan Circuit, and Vice Marshal, on the first day of the intercalary ninth month of the Dingmao year of Taiding.