余于咸丰之季,避寇海上,时疫盛行,流民踵丧,尽无以救,始知医之急于人也。而学
之既
有年,乃辑众说,考文析义,校注《伤寒论》、《金匮方论》二书,继以《金匮》论略,因
集众症,释名状,立义例,作证原及脉法,继又以治病在处方,因阐经方作释例,继又以处
方在辨药,因《校注神农本草经》。此外解经之作,随成随弃,录其存者,得百余首,厘为
四卷,名曰《研经言》。质之通人,以为他日自镜之资。余不敏,凡所论述,不敢故为高深
,独标新异。惟务切近平实,求当乎古人之书之义理而已。记不云乎,致知在格物,书亦物
也,读而格之,以致其知,将为延医地也。如曰有裨斯艺,以俟能者。
苕川迂叟自序
百病之因有八∶一邪气,二水湿,三鬼神,四虫兽,五器物,六饮食,七药石,八人事
。前
五者在身外,后三者在身内。而八纲之中,各有数目。邪气之属,有风日雾瘴,有寒暑。水
湿之属,有露雨,有水。鬼神之属,有冲击,有丧尸,有精魅,有祸祟。虫兽之属,有咬螫
,有影射,有遗毒,有触气。器物之属,有金镞,有打压,有触伤,有汤火。饮食之属,有
禁忌,有过多,有五味所伤,有中毒。药石之属,有服药过剂,有药误石毒鸦片。人事之属
,有喜忧欲恚恐,有行立坐卧,举重闪挫,堕坠跌仆。总计其目,二十有余。拟引古论,衍
成一卷,而未遑也,略序于此。
In the final years of the Xianfeng reign, I sought refuge at sea to escape bandits and rebels. During that time, epidemics prevailed, and refugees died in succession; having no means to save them, I came to realize the urgent necessity of medicine for humanity. Having studied medicine for many years, I compiled various theories, examined texts, and analyzed their meanings, producing a collated and annotated edition of *Shanghan Lun* (Treatise on Cold Pathogenic Diseases) and *Jingui Fanglun* (Essential Prescriptions from the Golden Cabinet). Subsequently, I wrote an outline of the *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet), collecting various symptoms, explaining their names and manifestations, establishing principles, and writing chapters on the origin of diseases (*Zhengyuan*) and pulse diagnosis methods. Further, recognizing that treating disease lies in prescribing formulas, I elucidated classical prescriptions by writing *Shili* (Explanation of Examples). Again, recognizing that prescribing lies in distinguishing herbs, I produced a collated and annotated edition of *Shennong Bencao Jing* (Divine Farmer's Materia Medica). Other works interpreting classics were discarded as they were completed; retaining only those preserved, I obtained over one hundred essays, arranged into four volumes, titled *Yanjingyan* (Reflections on Classical Studies). I submitted these to learned scholars, hoping they would serve as a mirror for my future self-reflection. Being unwise, I dare not deliberately pursue profundity or claim novelty. I only strive for practicality and plainness, seeking to align with the principles found in ancient texts. As the classic says, "Acquiring knowledge lies in investigating things." Books are also things; by reading and investigating them, we acquire knowledge, which will thereby expand the field of medicine. If this contributes to this art, let it await those who are capable.
Autobiographical Preface by You Su of Tiaochuan
The causes of a hundred diseases are eight: first, pathogenic factors (Xieqi); second, water and dampness (Shuishi); third, ghosts and spirits (Guishen); fourth, insects and beasts (Chongshou); fifth, utensils and objects (Qiwu); sixth, diet and food (Yinshi); seventh, drugs and minerals (Yaoshi); eighth, human affairs (Renshi). The first five are external to the body, while the last three are internal. Within the Eight Principles (Bagang), each category has specific sub-numbers. Those belonging to pathogenic factors include wind, sun, fog, miasma, cold, and heat. Those belonging to water and dampness include dew, rain, and standing water. Those belonging to ghosts and spirits include shock/impact, zombie possession, spirit enchantment, and disaster curses. Those belonging to insects and beasts include bites and stings, shadow influence, residual poison, and toxic air contact. Those belonging to utensils and objects include metal arrowheads, crushing pressure, blunt trauma, and scalds/fire burns. Those belonging to diet include dietary taboos, excessive intake, injury from the Five Flavors (Wuwei), and poisoning. Those belonging to drugs and minerals include overdose of medication, medicinal errors, mineral toxicity, and opium toxicity. Those belonging to human affairs include emotional states such as joy, worry, desire, resentment, and fear; postures and movements such as walking, standing, sitting, and lying down; strain from lifting heavy objects leading to sprains; and falls, drops, and tumbles. In total, there are more than twenty categories. I intended to cite ancient discourses and expand this into a volume, but did not have the leisure to do so; thus, I briefly record this preface here.