上古时神农、黄帝君而医,岐伯诸公师而医,而医实首于伏羲。羲惧天下后世离天地人而二之也,首立一画以为天
地人之总,仲尼名之为太极。太极者,天地人之心也,即所谓性命也。由一心而生八卦,复生六十四卦,列为三百八十
四画。而世人之病,病在于三百八十四画中求活计,而不知一画为总,此羲之所以医千万世之病原也。自是神农有本草
经,轩岐有灵素经,两大经出而言医者咸宗之。顾易卦有文王、周公、孔子三大圣人为之羽翼,然后易义昭明于天地;
而灵素之后,无能羽翼之者。自秦越人以下,世称神医,而实非文王、周公、孔子之偶,况如王太仆之俦乎?!今略举
其大者,如三焦胞络本有形也,而二十五难以为无形,两肾皆藏精也,而三十六难以右肾为藏精系胞之命门,头为诸经
之会也,而四十七难以为诸阳之会,此秦越人之与内经左也。君火以明,相火以位,而王注改明为名,是君火第有空名
而都无真明也,此王太仆之与内经左也。夫曰难曰注而失有如是,轩岐再起,其谓之何?此吾友张景岳所以慨然而叹,
毅然而起,直以发明内经为己任也。景岳名介宾,字会卿,为会稽之杰士,幼禀明慧,自六经以及诸子百家无不考镜,
而从其尊人寿峰公之教,得观内经,遂确然深信,以为天地人之理尽备于此,此即所为伏羲之易也。于是出而治世之病,
一以内经为主,小试则小效,大试则大效,无所不试则无所不效,而医林之诸子百家咸听吾所用,而不为诸子百家用。
如关格之脉,本以人迎、气口辨阴阳之否绝,而仲景祖难经之说,云在尺为关,在寸为格,关则不得小便,格则吐逆,
遂致后世误传,此则用仲景而不为仲景用也。上以候上,下以候下,此脏气脉候之正理,而脉经以小肠大肠附配两寸,
藏象岂容颠倒乎?人迎系阳明之腑脉,气口系太阴之脏脉,而脉经以左为人迎,右为气口,以左候表,以右候里,表里
岂容混乱乎?此则用叔和而不为叔和用也。病机十九条,此明五脏六气病化所属之本,非皆言其太过也,而原病式尽以
有余为训,则不足之候,何以能堪?此则用河间而不为河间用也。至阴虚天气绝,至阳盛地气不足,此明阴阳不交之败
乱也,而丹溪引之,以证阳道实、阴道虚,而谓阳常有余,阴常不足,斫伐生机,莫此为甚,此则用丹溪而不为丹溪用
也。脉有更代,是名代脉,自仲景以中止为代,而后世述之,是代脉之不明也,至今日而明矣。伤寒本传十二经,自刘
草窗有传足不传手之说,而诸家宗之,是传经之不明也,至今日而明矣。凡皆景岳之主持内经,运用诸子,轩岐之后,
文不在兹乎!犹恐内经资其自用,而不能与天下共享,遂乃着而为类经,一曰摄生,二曰阴阳,三曰藏象,四曰脉色,
五曰经络,六曰标本,七曰气味,八曰论治,九曰疾病,十曰针刺,十一曰运气,十二曰会通,共三十二卷,犁为三百
九十条,更益以图翼十一卷,附翼四卷。观其运气诸图注,则天道可悉诸掌;观其经络诸布置,则藏象可洞其垣;观其
治法之玄机,则见之诸条详按。凡其辨疑发隐,补缺正讹,别精气,析神明,分真假,知先后,察气数国中之妙,审阴
阳阖辟之机,原始要终,因常知变,靡不殚精极微,秋毫无漏。此书一出,当使灵素与羲易并行,其有功于轩岐大矣。
要之,此书不但有功于轩岐,而并有功于羲易。景岳于内经外,更作医易等篇,余尝观邵子之圆图方图,多所未白,得
景岳之图解而了然无疑也,孰知此类经者,合羲易与内经而两相发明哉?!余初与景岳交,自癸卯岁始。余以苦心诵着,
耗脾家之思虑,兼耗肾家之伎巧,于是病泄泻者二十年,医家咸以为火盛,而景岳独以为火衰,遂用参术桂附之剂,培
命门之火,而吠者竞起,余独坚信不回,服之五年而不辍,竟使前病全瘥而脾肾还元。余之敢于多服者,胆力之决断也;
景岳之敢于多用者,识力之明透也。非景岳不能有此识,非余不能有此胆,余两人之相与亦奇矣。余既受景岳之赐,因
问景岳何以及此,则归功于内经。因是每持内经相与谈论,余才得其皮毛,而景岳已得其精髓。景岳谓余∶将注内经,
为世人式。余喜之甚,从臾成之。及余官汴梁,又迎景岳治余母太安人,延寿者八载,时类经尚未竣也。余自江右参藩
归家十余年,而景岳亦自长安归家,特从会稽过KT 水,见余于峥嵘山下,曰∶类经成矣。余得而读之,一读一踊跃,
再读再踊跃,即请付之梓,而景岳犹虑识者寡也。余曰∶太阳未出,爝火生明;太阳一出,孤灯失照。向日之内经不明,
而诸家横出,灯之光也;今类经一出,太阳中天,而灯失色矣。人情不甚相远,既能见灯,岂不见日?景岳又何虑焉?
于是意决,将付之梓,而请余为序。夫景岳之妙旨,载在类经,不待余序;余所序者,谓其注内经而并着医易。世之能
注易者,不出于程、朱;能注内经者,不出于秦越人、王太仆。景岳一人,却并程朱秦王之四人合为一人,而直接羲黄
之脉于千古之上,恐非程朱秦王所能驾也。今程氏易传、朱氏本义业遍天下,家传户诵,而张氏之类经,非特医家所当
传习,儒者尤当服膺,自今以后,家传户诵,景岳之造福于天下者不小,而造福于千万世者胡可量哉?!余获此编,大
喜大快,冀速其传,遂为序之而赞其刻之。
时皇明天启四载,岁在甲子,阳月上浣,赐进士第,湖广按察司副使,分守荆西道,前奉敕提督河南学政,江西
布政使司右参政,分巡南瑞道,通家友弟叶秉敬顿首拜撰。
In ancient times, Shennong and the Yellow Emperor practiced medicine as rulers, while Qibo and other nobles practiced it as teachers; however, medicine actually originated with Fuxi. Fuxi feared that future generations would separate Heaven, Earth, and Man into two distinct entities, so he first established a single line (the Taiji) as the general principle of Heaven, Earth, and Man. Confucius named this "Taiji" (Supreme Ultimate). Taiji is the core of Heaven, Earth, and Man, which is what is referred to as "Xingming" (Nature and Life Destiny). From this one mind emerged the Eight Trigrams, which further generated the Sixty-Four Hexagrams, arranged into three hundred and eighty-four lines (Yao). However, the ailments of people in the world lie in seeking solutions within these three hundred and eighty-four lines, without realizing that the single line is the master key. This is why Fuxi could cure the root causes of diseases for thousands of generations. Since then, Shennong authored the *Bencao Jing* (Classic of Materia Medica), and the Yellow Emperor and Qibo authored the *Lingshu* and *Suwen* (collectively known as the *Lingsu Jing*). With the emergence of these two great classics, all medical practitioners revered them. Nevertheless, the *I Ching* (Book of Changes) had the support of three great sages—King Wen, the Duke of Zhou, and Confucius—so that its principles became clear throughout Heaven and Earth. In contrast, after the *Lingsu Jing*, no one provided such support. From Qin Yueren (Bian Que) onwards, people called him a divine physician, but in reality, he was not on par with King Wen, the Duke of Zhou, or Confucius, let alone figures like Wang Bing (Wang Taipu). Now, briefly citing major issues: the Sanjiao (Triple Burner) and Baoluo (Pericardium) are originally有形 (having form), yet the *Nanjing* (Classic of Difficult Issues), Chapter 25, considers them formless; both kidneys store Essence, yet Chapter 36 of the *Nanjing* posits that the right kidney is the Mingmen (Gate of Life) storing essence and connecting to the uterus; the head is the convergence of all meridians, yet Chapter 47 of the *Nanjing* claims it is only the convergence of Yang meridians. This represents a deviation from the *Neijing* (Inner Canon) by Qin Yueren. The Jun Fire (Monarch Fire) illuminates, and the Xiang Fire (Minister Fire) maintains position, but Wang Bing altered "illuminate" to "name," implying that Jun Fire has only an empty name without true illumination. This is another deviation from the *Neijing* by Wang Taipu. If such errors exist in the *Nanjing* and its commentaries, what would the Yellow Emperor and Qibo say if they were reborn? This is why my friend Zhang Jingyue sighed with emotion and rose resolutely, taking it upon himself to elucidate the *Neijing*.
Zhang Jingyue, whose given name was Jiebin and courtesy name Huiqing, was a distinguished scholar from Kuaiji. Endowed with intelligence from childhood, he studied extensively from the Six Classics to the Hundred Schools of Thought, and under the guidance of his father, Shoufeng Gong, he read the *Neijing*. He firmly believed that the principles of Heaven, Earth, and Man were fully contained therein, equating it with Fuxi's *I Ching*. Thus, he entered the field to treat worldly diseases, relying primarily on the *Neijing*. Small trials yielded small effects, large trials yielded large effects; there was nothing he did not try, and nothing he did not effectuate. He utilized the Hundred Schools of Medicine without being constrained by them. For instance, regarding Guan-Ge pulse patterns, one should originally distinguish Yin and Yang obstruction using the Renying and Qikou pulses. However, Zhang Zhongjing, following the *Nanjing*, stated that Guan occurs at the Chi position and Ge at the Cun position, where Guan leads to urinary retention and Ge leads to vomiting. This led to later misunderstandings, representing the use of Zhang Zhongjing without being used by him. Upper parts diagnose upper conditions, and lower parts diagnose lower conditions; this is the correct logic of Zang-Fu pulse diagnosis. Yet, Wang Shuhe's *Maijing* (Pulse Classic) attached the Small Intestine and Large Intestine to the Cun positions, causing a reversal of Zang-Xiang (Visceral Manifestations). How can Zang-Xiang be inverted? The Renying pulse belongs to the Yangming Fu organs, and the Qikou pulse belongs to the Taiyin Zang organs, yet the *Maijing* assigned Renying to the left hand and Qikou to the right, using the left to observe exterior and the right to observe interior. How can exterior and interior be confused? This represents the use of Wang Shuhe without being used by him. The Nineteen Pathogenesis Patterns clarify the origins of pathological transformations of the Five Zang and Six Fu organs and their associated Qi, not merely stating excess. However, Liu Wansu's *Yuanbing Shi* interpreted everything as excess, leaving no room for deficiency patterns. This represents the use of Liu Hejian without being used by him. Extreme Yin deficiency leads to the cessation of Heavenly Qi, and extreme Yang excess leads to the insufficiency of Earthly Qi, illustrating the chaos of Yin-Yang non-interaction. However, Zhu Danxi cited this to prove that the Yang path is solid and the Yin path is hollow, claiming "Yang is often in excess, Yin is often deficient." This severely damages vital energy. This represents the use of Zhu Danxi without being used by him. Pulse changes and replacements are named Daimai (Intermittent Pulse). Since Zhang Zhongjing defined it as a pause in the pulse, subsequent generations followed this, leading to confusion about Daimai until today when it was clarified. Shanghan (Cold Damage) originally spread through the Twelve Meridians. Since Liu Caochuang proposed the theory of transmission only through Foot meridians and not Hand meridians, and various schools adopted it, the understanding of meridian transmission remained unclear until today. These all demonstrate Zhang Jingyue upholding the status of the *Neijing* and utilizing the Hundred Schools. After the Yellow Emperor and Qibo, did anyone else inherit this lineage?
Fearing that the *Neijing* would only serve his own use and not benefit the world, he compiled the *Lei Jing* (Classified Inner Canon). It consists of twelve sections: 1. Preservation of Health, 2. Yin and Yang, 3. Zang-Xiang, 4. Pulse and Color, 5. Meridians, 6. Root and Branch, 7. Flavor and Nature, 8. Treatment Principles, 9. Diseases, 10. Acupuncture, 11. Luck (Yunqi), 12. Integration. Totaling thirty-two volumes, divided into three hundred and ninety articles, supplemented by *Tu Yi* (Illustrated Wings) eleven volumes and *Fu Yi* (Attached Wings) four volumes. By studying his diagrams on Yunqi, one can comprehend Heavenly Dao; by observing his meridian arrangements, one can penetrate Zang-Xiang; by examining his treatment methods, one can see the details in each article. His clarification of doubts, excavation of hidden truths, correction of errors, distinction of Jing-Qi, analysis of Shen-Ming, differentiation of truth and falsehood, understanding of priority, observation of Qi-Shu, and examination of Yin-Yang opening and closing mechanisms are all meticulously detailed, leaving no stone unturned. Upon the publication of this book, the *Lingshu* and *Suwen* will run parallel with Fuxi's *I Ching*. His contribution to the Yellow Emperor and Qibo is immense. In summary, this book benefits not only the Yellow Emperor and Qibo but also Fuxi's *I Ching*. Besides the *Neijing*, Zhang Jingyue wrote works like *Yi Yi* (Medical I Ching). I once viewed Shao Yong's Round and Square Diagrams with much confusion, but Zhang Jingyue's explanations made them clear. Who would have thought that the *Lei Jing* integrates and elucidates both Fuxi's *I Ching* and the *Neijing*?
My friendship with Zhang Jingyue began in the Gui-Mao year. Due to intense study, I exhausted my Spleen's mental energy and Kidney's technical skills, suffering from diarrhea for twenty years. Physicians attributed it to excessive Fire, but Zhang Jingyue diagnosed it as deficient Fire. He prescribed formulas containing Ginseng, Atractylodes, Cinnamon Twig, and Processed Aconite Root to tonify the Fire of the Gate of Life. Although many opposed this, I remained firm, taking the medication for five years continuously. Eventually, my illness completely healed, and my Spleen and Kidneys recovered their original state. My courage to take large doses stemmed from decisive胆力 (courage/audacity); Zhang Jingyue's willingness to prescribe heavily stemmed from his clear 识力 (insight/wisdom). Neither could have achieved this without the other; our interaction was indeed unique. Having benefited from Zhang Jingyue, I asked how he reached this level of expertise. He credited the *Neijing*. We frequently discussed the *Neijing*; I grasped only its superficial aspects, while he understood its essence. Zhang Jingyue told me, "I will annotate the *Neijing* to serve as a model for the world." I was delighted and encouraged him to complete it. Later, when I took office in Bianliang, I invited Zhang Jingyue to treat my mother, the Tai Anren, extending her life by eight years. At that time, the *Lei Jing* was unfinished. Returning home from Jiangxi over ten years ago, Zhang Jingyue also returned from Chang'an. He visited me at the foot of Zhengrong Mountain via Jing River, saying, "The *Lei Jing* is complete." Reading it, I was thrilled repeatedly and requested its publication. Zhang Jingyue worried that few would understand it. I said, "Before the sun rises, a torch provides light; once the sun rises, the lamp loses its shine. Previously, the *Neijing* was obscure, and various schools produced conflicting theories, like a lamp's light. Now that the *Lei Jing* is published, it is like the sun at noon, rendering the lamp insignificant. Human perception is similar; if one can see a lamp, surely one can see the sun. Why worry?" Thus, he decided to publish it and asked me to write the preface. Zhang Jingyue's profound insights are recorded in the *Lei Jing*, needing no preface from me. My preface highlights that he annotated the *Neijing* and wrote on Medical I Ching. Those who annotate the *I Ching* usually follow Cheng Hao, Cheng Yi, or Zhu Xi; those who annotate the *Neijing* usually follow Qin Yueren or Wang Bing. Zhang Jingyue combined the achievements of these four into one person, directly inheriting the lineage of Fuxi and the Yellow Emperor, surpassing the former masters. While Cheng's *Yi Zhuan* and Zhu's *Benyi* are widely circulated, Zhang's *Lei Jing* should not only be studied by physicians but also deeply cherished by Confucian scholars. From now on, it will be passed down from family to family. Zhang Jingyue's benefit to the world is significant, and his benefit to future generations is immeasurable! I am overjoyed to possess this compilation and hope for its rapid dissemination, thus writing this preface and sponsoring its printing.
In the fourth year of Huangming Tianqi, in the year Ji-Zi, during the early days of the Yang Month (Tenth Lunar Month), Ye Bingjing, a Jinshi degree holder, Vice Commissioner of Surveillance for Huguang, Sub-Prefect of Jingxi Circuit, Former Imperial Commissioner for Education in Henan, Right Counselor of the Provincial Administration Commission of Jiangxi, Inspector of Nanrui Circuit, and family friend, bows and writes.