黄帝言∶不能起死人而不杀生人。扁鹊述其言,是病已成,虽黄、扁不能使之生明矣。其有本无病、或小
有病而误针之,以至于不可救,则粗工之罪也。然而病者之妻子父母,转诿之命与数,而粗工哓哓自解,且以
为吾尝尽心于是,而不谓其人之不克承也。天下如此其大,岁月如此其悠且久,粗工遍满宇宙如此其众。计其
一日之中,方心毒手所斩刈戕贼者,各列其姓氏,各存其医案,盖较之谳狱决囚之册,或相什佰,或相千万,
而不可底止。幸矣,其各相抵讳,闵默而不以告人,故其案如飘风阴火,随时灭没,而世莫知也。一二上工,
诊脉审、运针当、处方慎,又遇其人之福浓而算长者,会逢其适,而痿者立起。于是乎喜谈而乐道之,或以为
得效,或以为经验,笔之为书,而立之为案。自宋讫今,凡几百家。传其术者宝其方,神其术者鳃鳃焉转相告
语,随随然贴耳而听受。杭子曰∶嘻,甚矣,其沾沾自喜也。以阴阳而论,人有二十五,生是人即有是病,有
是病即有是医。医者,知其人、知其时、知其脉,因势而利导之。黄帝、扁鹊去人不远也,不读黄帝、扁鹊之
书,而欲试黄帝、扁鹊之术,死者不能使之生,而生者即可致之死。语云∶学医则大费。人之类多至二十有
五,而医之杀人,则一日不学而已。学之道何从?则曰∶读黄帝、扁鹊之书而已。黄帝存乎?曰∶死矣。扁鹊
存乎?曰∶死矣。类案俱在,是发明其书之旨也。类案传,虽谓黄帝,扁鹊至今不死可也。篁南江氏,汇集前
哲之案而刊之,吾友魏玉横氏又从而广之。粗工观之则以为己陈之刍狗,而杭子观之则以为医学之蒙求,何也?
玉横氏能读黄帝、扁鹊之书者也。合土者必有其范,伐柯者必有其则。以是为学医者之范与则而思过半矣,医
案云乎哉。
仁和杭世骏撰
Huangdi stated, "One cannot revive the dead without killing the living." Bianque cited this saying to imply that if a disease has already manifested, even if Huangdi and Bianque were alive, they could not restore the patients to life; this is self-evident. For those who originally had no illness or only minor ailments but were subjected to erroneous acupuncture treatment, leading to irretrievable consequences, the fault lies with incompetent physicians. However, the wives, children, and parents of the patients shift the blame to fate and destiny, while these incompetent physicians chatter defensively, claiming they have done their utmost, failing to realize that the patient could not withstand such harm. The world is so vast, time so long and enduring, and incompetent physicians are so numerous as to fill the universe. If one were to calculate the number of people killed or maimed daily by their ruthless hands and hearts, listing their surnames and names, and preserving their medical records, compared to registers of adjudicating prisoners, the numbers would be ten or a hundred times greater, or even tens of millions of times greater, with no limit in sight. Fortunately, they conceal and deny each other's mistakes, remaining silent and not informing others; thus, their medical records vanish like fire in the wind or yin-fire, extinguishing at any moment, leaving the world unaware. Only one or two master physicians, who examine pulses carefully, apply acupuncture appropriately, and prescribe medicines cautiously, combined with encountering patients who are blessed with thick fortune and long life, happen upon the right occasion, causing those with flaccidity to rise immediately. Consequently, these masters love to discuss and propagate these cases, regarding some as effective and others as empirical experience, recording them into books and establishing them as medical cases. From the Song Dynasty to the present, there have been several hundred families. Those who transmit medical skills treasure their prescriptions, and those who mystify their techniques anxiously pass them on, listening intently. Hang Zi said, "Alas, how excessive is their self-satisfaction!" From the perspective of Yin and Yang, there are twenty-five types of human constitutions; for every type of person, there is a corresponding disease, and for every disease, there is a physician capable of treating it. A physician must know the person, know the timing, know the pulse, and guide according to the trend. Huangdi and Bianque are not far from us; if one does not read the books of Huangdi and Bianque but attempts to practice their techniques, the dead cannot be revived, and the living may be brought to death. It is said, "Learning medicine incurs great expense." Human types number up to twenty-five, yet a physician kills if they do not study for even one day. Where should the path of learning come from? It is said: Read the books of Huangdi and Bianque. Is Huangdi still alive? Answer: He is dead. Is Bianque still alive? Answer: He is dead. The collected cases remain, which serves to elucidate the purport of their works. As the collected cases are transmitted, it can be said that Huangdi and Bianque are still alive today. Jiang Huannan compiled and published the cases of former sages, and my friend Wei Yuheng further expanded upon them. Incompetent physicians viewing these regard them as discarded straw dogs, whereas Hang Zi views them as introductory materials for medicine. Why? Because Mr. Yuheng is one who can read the books of Huangdi and Bianque. Those who mold clay must have a form; those who chop wood to make an axe handle must have a model. Using these as the form and model for learning medicine means one has grasped more than half of the subject. What are these merely medical cases?
Written by Hang Shijun of Renhe