数页书岂能疗千万病。然有纲举目张之法。盖病总由脏腑。总不外虚实寒热。审知其为何
脏何腑之虚症实症。寒症热症。而联其病类以集之。则药归同路。疗一病可。疗千万病亦无
不可。固不在多立病名。多立方书也。此所谓镜也。
凡人不愿知医者。以卷帙浩繁。见而生畏。不知从何学起也。兹但言其现何病象。系何脏腑。
作何治法。寥寥数语。亦易知矣。其一切经络源委。概不缕叙。避繁赜也。若欲究其全。则自有
诸名家书在。
用药如用兵。须量其材力之大小。盖有一利。即有一弊。如大补大攻。大寒大热之品。误用即
能杀人。各部后分为猛将次将。俾阅者不敢轻用。即用亦必斟酌分量。庶知利害。
人生一小天地。病之轻者。如日月之食。不转瞬自必回和。断不可轻易服药。恐益乎此则损
乎彼也。暾阅历既久。悉知其故。宁受众怨。不轻 情。此事如老将临阵。大贾航海。愈历炼而
愈知畏耳。
是书浅近。说法别无精意。不过愿人人稍知医理。不为庸医所误。以延寿命。且乡僻间不及
延医者。亦可对症自医。取其便耳。至医家读书少而阅历浅者。得此亦有头绪。稍知把握。便
可活人。
医家首在立品。古人云。行欲方而智欲圆。心欲小而胆欲大。人之性命在我掌握中。专心揣
求。尚虞有失。此事岂同儿戏乎。若一涉利心。则贫富歧视。同道相攻。伪药欺售。置人命于脑
后矣。试仰观苍苍者何物耶。而为病家者。亦宜以上宾礼貌相待。须思此人为我父母妻子
救命而来。岂可任我招之来麾之去也。
是编大半采仲景、东垣、景岳、钟龄诸家之说。亦述而不作之意。
凡古人立方。寓有精意。然断不可呆用。余尝见浅医。未经阅历。遇暑倦辄用清暑益气汤。而
不知黄 之闷。遇热喘辄用生脉散。而不知五味子之敛。卒至暑热伏留。缠绵床蓐而毙。甚
可哀也。他如六味地黄汤及麻黄汤桂枝汤等。必须斟酌万稳而进。或用次将之品代之。否
则一误之下。不可挽回。归咎古人。古人岂任受哉。
How could a few pages of books cure tens of millions of diseases? However, there is a method of grasping the general principle while attending to details (Gangju Zhizhang). Diseases generally originate from the Zang-Fu organs (Viscera and Bowels) and essentially do not go beyond deficiency (Xu), excess (Shi), cold (Han), and heat (Re). If one can carefully ascertain which Zang or Fu organ suffers from a deficiency or excess syndrome, or a cold or heat syndrome, and then categorize and collect them by disease type, the medicines will follow the same therapeutic path. In this way, treating one disease is possible, and treating tens of millions of diseases is also feasible. Indeed, it does not lie in establishing too many disease names or creating too many formula books. This is what is meant by "Mirror" (Jing), reflecting the essence of the condition.
Ordinary people are unwilling to learn medicine because medical texts are voluminous and overwhelming, causing fear and uncertainty about where to begin. Here, we only describe what symptoms appear, which Zang-Fu organs are involved, and what therapeutic methods should be used. With just a few words, it is easy to understand. The origins and complexities of all meridians and collaterals are not detailed here to avoid being overly cumbersome. For those who wish to explore everything in full, there are naturally works by various renowned masters available.
Using medicine is like using troops; one must assess the magnitude of the medicinal strength. Wherever there is an advantage, there is inevitably a disadvantage. Potent substances such as strong tonics, strong purgatives, strongly cold, and strongly hot herbs, if misused, can kill. Medicines are categorized into "Vanguard Generals" (Mengjiang, potent/strong agents) and "Secondary Generals" (Cijiang, moderate/mild agents) so that readers dare not use them lightly. Even when used, dosages must be carefully deliberated to understand the benefits and harms.
Human life is a small universe. Mild illnesses are like solar or lunar eclipses; they will naturally return to harmony shortly. One must absolutely not take medication lightly, for fear that benefiting one part may harm another. Having extensive experience, I fully understand these reasons. I would rather bear resentment than prescribe medication rashly. This matter is like a veteran general facing battle or a wealthy merchant navigating the sea: the more experience one has, the more one feels awe and caution.
This book is shallow and straightforward, without profound insights in its explanations. Its sole wish is that everyone understands basic medical principles, avoids being misled by quacks, and thus prolongs their life. Moreover, in remote areas where doctors are inaccessible, people can treat themselves according to symptoms for convenience. For physicians with little reading experience and shallow clinical practice, this book provides a starting point and some grasp of key points, enabling them to save lives.
A physician's primary duty is to establish moral character. As the ancients said: "Conduct should be upright, wisdom should be flexible, mind should be meticulous, and courage should be bold." Human lives are in our hands. Even with dedicated study and contemplation, mistakes may still occur; how can this matter be treated as child's play? If profit motives intervene, discrimination between rich and poor arises, colleagues attack each other, fake drugs are sold deceptively, and human life is disregarded. Look up at the vast sky above. Patients' families should also be treated with the courtesy due to honored guests. One must realize that the physician comes to save one's parents, wife, and children; how can one treat them as servants to be summoned or dismissed at will?
This compilation largely adopts the theories of Zhang Zhongjing, Li Dongyuan, Zhang Jingyue, and Zhong Ling, adhering to the principle of "transmitting but not creating" (Shu Er Bu Zuo).
Ancient formulas contain profound intentions, but they must never be applied rigidly. I have seen inexperienced physicians with shallow knowledge using Qing Shu Yi Qi Tang (Clear Summerheat and Boost Qi Decoction) for summerheat-induced fatigue without realizing that Huang Qin (Scutellariae Radix) may cause chest stuffiness; or using Sheng Mai San (Generate the Pulse Powder) for heat-induced wheezing without knowing that Wu Wei Zi (Schisandrae Fructus) has astringent properties. Ultimately, summerheat pathogens remain trapped inside, leading to lingering illness and death, which is truly lamentable. Similarly, Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill), Ma Huang Tang (Ephedra Decoction), Gui Zhi Tang (Cinnamon Twig Decoction), etc., must be used only after thorough deliberation ensures safety, or substituted with "Secondary General" (milder) herbs. Otherwise, a single error is irrecoverable. Blaming the ancients for such errors is unjust; how could the ancients bear such blame?