观夫古方药品分两,灸穴分寸不类者,盖古今人体大小或异,脏腑血脉亦有差焉。请以
意酌量药品分两,古序已明,取所服多少配之,或一分为两,或二铢为两,以盏当升可也。
如中卷末紫丸方,代赭、赤石脂各一两,巴豆四十,杏仁五十枚,小儿服一麻子,百日者一
小豆且多矣,若两用二铢四累,巴豆四,杏仁五枚,可疗十数小儿,此其类也。灸之分寸,
取其人左右中指中节可也。其使有毒野狼虎性药,乃急救性命者也。或遇发毒急,掘地作小
坑,以水令满,熟搅稍澄,饮水自解,石为地浆,特加是说于品题之后尔。
昔伊芳尹着汤液之论,周公设医师之属,皆所以拯救民疾,俾得以全生而尽年也。然则古
之贤臣爱其君,以及其民者,盖非特生者遂之而已。人有疾病,坐视其危苦,而无以救疗
之
,亦其心有所不忍也。仰惟国家受天成命,统一四海,主上以仁覆天下,轻税损役,约法省
刑,蠲积负,柔远服,专务以德养民,故人臣奉承于下,亦莫不以体国爱民为心,惟政府内
外宗公,协同辅翼,以共固天保无疆之业,其心则又甚焉于斯时也。盖民罹兵火,获见太平
,边境宁而盗贼息矣,则人无死于锋镝之虑;刑罚清而狴犴空矣,则人无死于桎梏之忧;年
谷丰而蓄积富矣,则人无死于沟壑之患。其所可虞者,独民之有疾病夭伤而已,思亦有以救
之,其不在于方书矣乎?然方之行于世者多矣,大编广集,奇药群品,自名医贵胄,或不能
以兼通而卒具,况可以施于民庶哉!于是行省乃得干统间所刊《肘后方》善本,即葛洪所谓
皆单行径易,约而已验。篱陌之间,顾眄皆药,家有此方,可不用医者也。其书经陶隐居增
修而益完矣,既又得唐慎微《证类本草》,其所附方,皆洽见精取,切于救治,而卷帙尤为
繁重,且方随药着,检用卒难,乃复摘录其方,分以类例,而附于肘后随证之下,目之曰《
附广肘后方》,下监俾更加雠次,且为之序,而刊行之。方虽简要,而该病则众,药多易求
,而论效则远,将使家自能医,人无夭横,以溥济斯民于仁寿之域,以上广国家博施爱物之
德,其为利岂小补哉!
皇统四年十月戊子儒林郎汴京国子监博士杨用道谨序
Observing the dosage of medicinal materials and the measurement for moxibustion points in ancient prescriptions, they do not correspond to modern standards. This is because the body sizes of people in ancient and modern times may differ, and the conditions of zang-fu organs and blood vessels also vary. Therefore, one should use judgment to estimate the dosage of medicines. The preface of ancient texts has already clarified this: based on the amount taken, adjustments can be made—for example, treating one fen as two fen, or two zhu as one liang, or using one zhan (cup) instead of one sheng (unit of volume). For instance, in the Zi Wan (Purple Pill) prescription at the end of the middle volume, Daizhe Shi (Hematite, 代赭石) and Chishizhi (Red Halloysite, 赤石脂) are each used in an amount of one liang, Badou (Croton Seed, 巴豆) forty grains, and Xingren (Apricot Kernel, 杏仁) fifty pieces. A child would take an amount the size of a sesame seed; for an infant of one hundred days, an amount the size of a small bean is already considerable. If we apply the conversion where two fen equals one liang and four lei (a very small weight unit) equals one liang, then Badou (Croton Seed, 巴豆) would be four lei and Xingren (Apricot Kernel, 杏仁) five pieces, which could treat more than ten children. This is an example of such adjustment. For moxibustion measurements, one can use the middle joint of the patient's left or right middle finger as the standard. Medicines that are toxic and possess fierce properties like wild wolves or tigers are used only for emergency life-saving purposes. If one encounters an acute poisoning, one can dig a small pit, fill it with water, stir thoroughly, let it settle slightly, and drink the clarified water to detoxify oneself. This water is called "Di Jiang" (Earth Slurry, 地浆); this method is specifically added after the description of medicinal items.
In the past, Yi Yin (Yi Yin, 伊尹) wrote treatises on Tang Ye (Decoctions, 汤液), and the Duke of Zhou established the office of physicians, all for the purpose of saving people from diseases, enabling them to preserve their lives and fulfill their natural lifespan. Thus, wise ministers of old loved their rulers and extended that love to the people, not merely to ensure the survival of the living. When people suffer from illness, sitting idly by while watching them in danger and distress, yet being unable to provide treatment, is something the heart cannot bear. We look up to the state, which has received the Mandate of Heaven to unify the four seas. The Sovereign covers the world with benevolence, lightens taxes and corvée labor, simplifies laws and reduces punishments, cancels accumulated debts, pacifies distant regions, and focuses on nurturing the people through virtue. Consequently, subjects below also act with the heart of understanding the state and loving the people. Only the high officials within and outside the government collaborate to assist, jointly consolidating the boundless enterprise blessed by Heaven; their intent is even deeper at this time. At present, the people have suffered from war but now see peace; borders are tranquil and bandits have ceased, so people have no fear of dying by swords and arrows; punishments are clear and prisons are empty, so people have no worry of dying in shackles; harvests are abundant and stores are full, so people have no fear of dying in ditches. The only thing worthy of concern is that the people suffer from disease, premature death, or injury. Thinking about how to save them, does it not lie in medical texts? However, there are many prescriptions circulating in the world. Large compilations gather numerous rare drugs and varieties. Even famous doctors and nobles may not master all knowledge or possess all medicines, let alone apply them to the common people! Therefore, the Branch Secretariat obtained a good edition of *Zhouhou Fang* (Prescriptions for Emergency Use, 《肘后备急方》) printed during the Qiantong era, which Ge Hong described as single herbs or simple combinations, easy to obtain, concise, and effective. "Between hedges and paths, looking around reveals medicines; if a household has this prescription, it need not employ a doctor." This book was further perfected by Tao Hongjing (Tao Hongjing, 陶弘景) through additions and revisions. Later, we obtained Tang Shenwei’s *Zhenglei Bencao* (Compendium of Materia Medica Classified by Category, 《证类本草》). Its attached prescriptions were carefully selected and relevant to treatment, but the volumes were particularly heavy, and since prescriptions were listed under herbs, finding and using them was difficult. Thus, we extracted these prescriptions, classified them, and appended them to the symptom-based treatments in *Zhouhou Fang*, naming it *Fu Guang Zhouhou Fang* (Supplemented and Expanded Prescriptions for Emergency Use, 《附广肘后方》). We instructed subordinates to supervise its collation and ordering, wrote this preface, and arranged for its publication. Although the prescriptions are concise, they cover many diseases; most medicines are easy to find; and the discussion of efficacy is far-reaching. It aims to enable every family to practice medicine themselves, prevent unnatural deaths, widely benefit the people into a realm of benevolence and longevity, and thereby expand the state’s virtue of universal compassion. Is its benefit not significant?
On the day Wuzi of the tenth month in the fourth year of Huangtong, Yang Yongdao (Yang Yongdao, 杨用道), Confucian Scholar, Doctor of the Imperial Academy in Bianjing, respectfully wrote the preface.