天地之大德曰生,吾人体天地之心以为心,而知大德在生,则操救生之术,而传救生之方,此先辈《大
生要旨》及《达生编》等书,所由刻以行世也。令春亭王君好生是念,乃复悉心搜采,加意鉴别,收集产科、
儿科历试历验诸良方,捐资付手民镂板,以广集传,而问序于余,余自幼简陋,于歧黄家言未得一二,何足
以序是编。第观是编先之以论辨,总之以方药分为六卷,都为一集。朗若列眉,炳如燃炬。以视先辈所己刻诸
书,尤为易于检阅,而无方不备。然则是书成。凡夫通都大邑,以逮穷乡僻壤,家置一篇,以备览观,非特有
益于平时,即至猝遘危症,不及延医,获是方而治之,吾知奏效如神,其即以是编为救生之宝筏焉。可王
君宏此善愿,是能以天地好生之心为心,而尤余所乐与有成也,故不揣谫陋而为之序。
光绪二十二年乙未岁小春月甬上郭谦益序于孝廉堂之东舍
是编发明节欲,广嗣、保胎、保产之理,广搜博采,均属先哲名言,有可考据,反复辨论,惟愿同登仁寿。
妇科诸症与方脉无异,惟经、带、崩漏、胎产不同,兹采数证精义,折衷群书,萃而集之,其间取要删
繁,惟期简易明显,不事虚文,俾阅者了然心目。
证候传变,难以言尽,而其要不外乎阴阳,分言之,即表、里、寒、热、虚、实。良医之救人不过能
辨乎此,庸医之杀人,亦不过错认乎此。即如发热等证,均有外感内伤之分,苟以虚作实,不特药难奏效,而
且祸同反掌。是集先论病原,次载方药,似无阴阳混治之弊。以备乡僻不及延医者,得可对症施治,以救危急,取
其简便。
婴儿气血未充,形神怯弱,脏腑柔脆,稍不知谨,最易受病。即吐泻、感冒治不得法,皆足变生不测。
前贤称为难医,不诚然哉。兹将保护诸法,逐一备载,以资采择。
急慢惊风,乃儿科最险之候,若虚实不分,混治辄左。今分急惊为痰火闭证、慢惊为水侮土证,畅发
原委,明其用药层次,不致临证游移,漫无把握。
痘 亦婴儿大证,自发热见点,起胀、灌浆、结痂,全藉气血充足,方能引毒外出。奈时医动用清火解
毒,反使毒邪阻遏而不得出,变为陷塌而不可救。王洪绪曰∶解寒而毒自化,清火而毒愈凝。庄在田曰∶补中
即所以托毒,灌根即所以养苗。此寿民济世之确论。今益以天时禀赋人事,尤觉慎益求慎,惟 证亦变
幻莫测,必须善为护持。
药中有用人参者,缘古方如是,仍循其旧。缓证可以党参代,
急证必用高丽参、有力家能用人参更妙。
汤、丸、方药,如首卷已载,其它卷不复再列。惟病之浅深不一,从中加减、活法在人,用者审之。
The greatest virtue of Heaven and Earth is life. Human beings should take the heart of Heaven and Earth as their own heart, thereby understanding that the great virtue lies in "life." Consequently, they master the art of saving lives and transmit prescriptions for rescuing lives. This is why predecessors' works such as *Dasheng Yuzhi* (Essential Principles of Great Life) and *Dasheng Bian* (Manual for Childbirth) were engraved and circulated to the world. Mr. Wang Hao sheng, who cherishes this intention of loving life, has further carefully collected and selected, gathering excellent prescriptions from obstetrics and pediatrics that have been tested and proven effective many times. He donated funds to have them carved on woodblocks by artisans for printing, to widely disseminate these collections, and asked me to write a preface. I have been simple and unrefined since childhood, having grasped not even one or two aspects of Traditional Chinese Medicine (Qi-Huang school). How could I be worthy of writing a preface for this compilation? However, observing this book, it begins with theoretical discussions and concludes with prescriptions and herbs, divided into six volumes, forming one collection. It is clear as listed eyebrows; its principles are bright like a burning torch. Compared to other books already engraved by predecessors, it is particularly easy to consult, with no prescription left incomplete. Thus, once this book is completed, whether in metropolises or remote villages, every household will keep a copy for reference. Not only will it be beneficial in ordinary times, but when suddenly encountering critical conditions where there is no time to summon a doctor, obtaining this prescription for treatment, I know it will produce miraculous effects. In this way, this book serves as a precious raft for saving lives. It is commendable that Mr. Wang harbors this great benevolent wish, taking the life-loving heart of Heaven and Earth as his own, which is precisely what I am happy to see come to fruition. Therefore, disregarding my own shallowness and ignorance, I write this preface.
Preface written by Guo Qianyi from Yongshang at the East Chamber of Xiaolian Hall in the early winter month of the Yiwu year of the 22nd year of Guangxu.
This compilation elucidates the principles of restraining desires, seeking offspring broadly, preserving the fetus, and ensuring safe childbirth. It extensively searches and collects, all belonging to the famous sayings of ancient sages, which can be verified through research. Through repeated debate and discussion, the sole hope is for everyone to attain benevolence and longevity. The various gynecological conditions are no different from pulse diagnosis, except for menstruation, leukorrhea, metrorrhagia and metrostaxis, and pregnancy/childbirth. Here, the essence of several syndromes is collected, reconciling various books, and compiled together. Key points are extracted and complexities removed, aiming only for simplicity and clarity, avoiding empty rhetoric, so that readers may clearly understand in mind and eye.
The transmission and transformation of symptoms are difficult to exhaust verbally, but the key lies not outside Yin and Yang. Subdivided, they are Exterior, Interior, Cold, Heat, Deficiency, and Excess. A good doctor saves people merely by being able to distinguish these; a mediocre doctor kills people merely by misidentifying these. For instance, regarding fever and similar symptoms, there is a distinction between External Contraction and Internal Injury. If Deficiency is mistaken for Excess, not only will the medicine fail to produce effects, but disaster will follow as quickly as flipping a hand. This collection first discusses the etiology, then records prescriptions and herbs, seemingly avoiding the drawback of mixing Yin and Yang treatments. It is prepared for those in remote areas unable to summon doctors, allowing them to treat according to symptoms to save emergencies, prioritizing simplicity.
Infants' Qi and Blood are not yet full; their form and spirit are timid and weak; their Zang-Fu organs are soft and fragile. Slight negligence makes them most susceptible to disease. Even vomiting, diarrhea, and common colds, if treated improperly, can lead to unpredictable changes. Predecessors called them difficult to treat; is this not true? Here, all methods of protection are recorded one by one for selection and adoption.
Acute and chronic convulsions are the most dangerous syndromes in pediatrics. If Deficiency and Excess are not distinguished, mixed treatment will inevitably go astray. Now, acute convulsions are classified as Phlegm-Fire Obstruction Syndrome, and chronic convulsions as Water Insulting Earth Syndrome. The origins and details are fully expounded, and the hierarchy of medication is clarified, preventing hesitation and lack of confidence during clinical practice.
Smallpox is also a major syndrome in infants. From fever and appearance of spots, to swelling, pus formation, and scabbing, it relies entirely on sufficient Qi and Blood to draw out the toxin. Regrettably, contemporary physicians often use Fire-Clearing and Toxin-Resolving methods, which instead block the toxin, preventing its expulsion, leading to collapse that is incurable. Wang Hongxu said: Resolving Cold causes the toxin to transform naturally; Clearing Fire causes the toxin to coagulate further. Zhuang Zaitian said: Tonifying the Middle is how one supports the expulsion of toxins; Nourishing the Root is how one nourishes the seedling. These are确论 (definitive theories) for saving the people and benefiting the world. Now adding factors of climate, constitution, and human affairs, one feels even more cautious. However, smallpox syndromes are unpredictable, requiring skilled nursing and support.
Prescriptions using Ginseng Radix et Rhizoma (Renshen) are retained because ancient formulas used them, following tradition. For mild cases, Codonopsis Radix (Dangshen) can substitute; for urgent cases, Korean Ginseng (Gaolishen) must be used; for those with means, using Renshen is even better.
Decoctions, pills, and prescriptions, if recorded in the first volume, are not repeated in other volumes. Since the depth of disease varies, modifications are made accordingly; flexible application depends on the user. Users should exercise prudence.