曩余在都门,知鲍觉生侍读,少遘奇疾,赖程君杏轩获全。越二十年,觉生视学中州,
复病
如前,杏轩又起之。心奇其人,以不得一见为恨。嘉庆丁卯春,余撄疾南归,遇杏轩于大梁
使院,乞刀圭焉,十数年来,殆不知其疾之在体也。丁丑夏,余再至新安,杏轩亦倦游归,
相见甚喜,晤语浃旬,尽出其所着书数种示余,上溯轩岐,旁及越人仲景,下逮河间东垣丹
溪诸家,靡不究其精微,扩其旨趣。就中《医案续录》一编,说理精当,视前刻《初集》尤
佳,余劝其付梓,杏轩让未遑。余曰∶子无然也。余见世所为医者多矣,读汤头歌括一册,
诵药性赋一篇,遂榜于门曰医室,号于人曰医师。病者不察,从而求诊乞方焉。幸而得资财
,愈益肆其欺谩,乘坚车,策怒马,驰骋以耀于衢人。尊信之者日益众,杀人日益多。其不
忍为此态者,又或达心而懦,讷于言语,拙于文词,为世所轻,而医理卒以不明于天下。今
先生立卢扁之帜,入孙葛之垒,使是书不胫而走,风行海内,天下望而争趋,登苍生于仁寿
,甚盛事也。纵山川修阻,针砭莫及,世医即可奉为准绳,以奏效于旦夕。其善养生者,得
领绪余,亦足以却病驻年,所全不已多乎。夫士君子之托业,国家之设官,皆为养人计也。
先生少业儒术,长习方书,常自恨不得用于世,以竟其学。余观斯编所载,审是非于毫厘,
察虚实于微渺,其良有司之矜慎以折狱乎?补养以培元气,和解使无郁湮,其良有司之和煦
以爱民乎。法当攻伐,如厉鹰 以逐鸟雀,法当清凉,如沃渊泉以救燎原,其良有司之锄暴
安良,不事姑息乎。吾愿与先生同业者,皆以先生之学为学,其不与先生同业者,皆以先生
之心为心,则郡邑之呻吟皆起矣。先生斯编,顾可秘而不宣乎哉?杏轩曰∶唯唯。然犹藏之
箧笥,自是又增入数十条。今年春,邮寄是书,问序于余,披阅之下,犹记曩在新安与吾杏
轩晤言一室时也,爰追述之以为序。
道光四年岁次甲申季春月桐城吴庚枚
In my earlier years, while in the capital, I learned that Bao Juesheng, a Shidu (Attendant Scholar), had suffered from a strange disease and was saved by Dr. Cheng Xuanxuan. Twenty years later, when Bao Juesheng presided over education in Zhongzhou, he fell ill with the same condition, and Dr. Cheng Xuanxuan cured him again. I marveled at his person but regretted not having met him personally. In the spring of Dingmao during the Jiaqing reign, I returned south while afflicted with illness and encountered Dr. Cheng Xuanxuan at the Daliang Envoy's Office. I sought his medical skills, and for over ten years, I hardly knew that illness existed within my body.
In the summer of Dingchou, I visited Xin'an again, and Dr. Cheng Xuanxuan had also returned from his travels. We were delighted to meet, conversing for ten days. He showed me several books he had authored, tracing back to Huangdi and Qibo (Xuanqi), extending to Bian Que (Yueren) and Zhang Zhongjing, and reaching down to Liu Wansu, Li Dongyuan, Zhu Danxi, and other schools. He thoroughly investigated their subtleties and expanded upon their core principles. Among them, the "Continued Records of Medical Cases" offered precise and appropriate reasoning, surpassing the previously printed "First Collection." I advised him to have it printed, but Dr. Cheng declined, saying he lacked the time. I said, "Do not say so. I have seen many practitioners in this world who, after reading one volume of *Tangtou Geku* (Song Formulas for Decoctions) and reciting one chapter of *Yaoxing Fu* (Ode to Drug Properties), hang a sign saying 'Medical Room' and call themselves 'Physicians.' Patients, unaware of the truth, follow them for diagnosis and prescriptions. If they luckily gain wealth, they become even more deceitful, riding sturdy carriages and fierce horses, galloping through streets to show off. Those who revere them grow daily, as do those killed by their incompetence. Those who cannot bear such behavior are either intellectually enlightened yet timid, or inarticulate and poor in writing, despised by the world, causing medical principles to remain obscure globally. Now, you raise the banner of Lu Yi (Bian Que) and Qin Bian, entering the ranks of Sun Simiao and Ge Hong. If this book spreads without legs, becoming popular throughout the land, and people worldwide look up to it and strive to follow it, bringing the populace to benevolence and longevity, it would be a magnificent endeavor. Even if mountains and rivers are distant and acupuncture and herbs cannot reach, physicians can take this book as a standard to achieve efficacy quickly. Those skilled in health preservation, by grasping its residual wisdom, can also dispel disease and prolong life, preserving much more than just physical health. The occupation of scholars and the establishment of government offices are all planned for the nourishment of people. You studied Confucianism in your youth and medical texts in your maturity, often regretting not being able to apply your learning to the world. From what is recorded in this compilation, you discern right from wrong in the minutest details and observe deficiency and excess in the subtlest aspects. Is this not like a virtuous official cautiously adjudicating cases? By tonifying and nourishing to cultivate Yuan Qi (Primary Qi), and using harmonizing methods to prevent stagnation, is this not like a virtuous official treating the people with warmth and kindness? When the method requires attack, it is like a fierce eagle chasing birds; when the method requires cooling, it is like pouring spring water to extinguish a prairie fire. Is this not like a virtuous official removing tyranny and comforting the good, showing no leniency? I wish that those in your profession learn from your scholarship, and those outside your profession adopt your mindset, so that all suffering in the commanderies may cease. How can your manuscript be kept secret?" Dr. Cheng replied, "Yes, yes." However, he still kept it in his chest, adding dozens of new cases since then. This spring, he mailed the book to request a preface. Upon reading it, I recalled our conversation in a single room in Xin'an years ago, and thus wrote this account as the preface.
Spring of the third month in the year Jiashen, Guangxu 4th Year, Wu Gengmei of Tongcheng