名与身孰亲,身与货孰多?以隋侯之珠,弹千仞之雀,世必笑之,何取之轻而弃之重耶!
残躯六十有五,耳目半失于视听,百脉沸腾而烦心,身如众派漂流,瞑目则魂如浪去,神气
衰于前日,饮食减于囊时,但应人事,病皆弥甚,以己之所有,岂止隋候之珠哉!安于淡薄
,少思寡欲,省语以养气,不妄作劳以养形,虚心以维神,寿夭得失,安之于数,得丧既轻
,血气自然谐和,邪无所容,病安增剧?苟能持此,亦庶几于道,可谓得其真趣矣。
气乃神之祖,精乃气之子。气者,精神之根蒂也。大矣哉!积气以成精,积精以全神,
必清必静,御之以道,可以为天人矣。有道者能之,予何人哉,切宜省言而已。
黄帝着《内经》,其忧天下后世,可谓浓且至矣,秦越人述《难经》以证之。伤寒为病
最大,仲景广而论之,为万世法。至于内伤脾胃之病,诸书虽有其说,略而未详,我东垣先
生,作《内外伤辨》《脾胃论》以补之。先生尝阅《内经》所论,四时皆以养胃气为本,宗
气之道,纳谷为宝。盖饮食入胃,游溢精气,上输于脾,脾气散精,上归于肺,冲和百脉,
颐养神明,利关节,通九窍,滋志意者也。或因饮食失节,起居不时,妄作劳役,及喜怒悲
愉,伤胃之元气,使营运之气减削,不能输精皮毛经络,故诸邪乘虚而入,则痰动于体、
而成痼疾,致真气弥然而内消也。病之所起,初受热中,心火乘脾,末传寒中,肾水反
来侮土,乃立国中末三治,及君臣佐使之制,经禁病禁时禁之则,使学人知此病,用此药,
因心会通,溯流得源,远溯轩岐,吻合无间。善乎!鲁齐先生之言曰∶东垣先生之学,医之
王道也!观此书则可见矣。
至元丙子三月上巳日门生罗天益谨序
Which is more dear, reputation or life? Which is more valuable, life or wealth? To use the Pearl of Sui Hou to shoot at a sparrow in a thousand-ren height, the world would surely laugh at him. Why is this? Because what is taken is light and what is abandoned is heavy!
My broken body is now sixty-five years old; my hearing and vision have been lost by half. My meridians are boiling, causing vexation in the heart. My body drifts like a boat among many currents; when I close my eyes, my soul seems to go with the waves. My spirit and qi are weaker than before, and my food intake is less than in the past. Merely coping with social obligations makes all illnesses worsen. Considering what I possess (my health), is it not even more precious than the Pearl of Sui Hou! If one rests content with a simple diet, reduces thinking and desires, speaks little to nourish Qi (vital energy), avoids reckless exertion to nourish the form, keeps the mind empty to sustain Shen (spirit), and accepts longevity or premature death, gain or loss as determined by destiny, then with such lightness regarding gain and loss, Blood and Qi will naturally harmonize. Evil pathogens will have no place to reside, and how can illness intensify? If one can maintain this, one is nearly approaching the Dao (the Way), which can be said to grasp its true essence.
Qi is the ancestor of Shen; Jing (essence) is the child of Qi. Qi is the root and foundation of Spirit and Essence. How great it is! Accumulate Qi to form Jing, accumulate Jing to perfect Shen. One must be clear and tranquil, guiding oneself with the Dao, thereby becoming one with Heaven and Humanity. Those who possess the Dao can achieve this; what kind of person am I? I merely advise speaking sparingly.
The Yellow Emperor composed the *Neijing* (Classic of Internal Canon); his concern for the world and future generations was indeed profound and sincere. Qin Yueren (Bian Que) expounded the *Nanjing* (Classic of Difficult Issues) to verify it. Shanghan (Cold Damage) diseases are the most severe; Zhang Zhongjing extensively discussed them, establishing principles for ten thousand generations. Regarding illnesses of internal injury to the Spleen and Stomach, although other texts contain some explanations, they are brief and not detailed. My teacher, Master Dongyuan, wrote *Bian Zheng Nei Wai Shang* (Discrimination between External and Internal Injury) and *Pi Wei Lun* (Treatise on the Spleen and Stomach) to supplement this gap. The Master once reviewed the discussions in the *Neijing*, noting that throughout the four seasons, nourishing Stomach Qi is fundamental. The principle of Zong Qi (Gathering Qi) holds that consuming grain is precious. Generally, when food enters the Stomach, its essence floats and overflows, transmitting upwards to the Spleen. The Spleen scatters the essence, sending it upwards to the Lung. This harmonizes the hundred vessels, nourishes Shen, benefits the joints, opens the nine orifices, and nourishes the will. However, due to irregular diet, untimely rest, reckless labor, or emotional fluctuations of joy, anger, sorrow, and pleasure, the Yuan Qi (Original Qi) of the Stomach is injured. This causes the Ying Yun Qi (Nutritive and Transporting Qi) to diminish, unable to transmit essence to the skin, hair, and meridians. Consequently, various evil pathogens enter through the deficiency, generating phlegm within the body and forming chronic diseases, leading to the dissipation of True Qi. The onset of disease initially presents as Re Zhong (Heat in the Middle), where Heart Fire invades the Spleen; later it transmits to Han Zhong (Cold in the Middle), where Kidney Water insults Earth. Thus, he established treatments for the middle and late stages, along with the system of Jun-Chen-Zuo-Shi (Sovereign-Minister-Assistant-Courier) herb roles, and regulations regarding meridian contraindications, disease contraindications, and seasonal contraindications. This enables students to understand the disease, use the appropriate medicines, comprehend through mental integration, trace back to the source, reaching far back to Xuanyuan (Yellow Emperor) and Qibo, matching seamlessly. As Mr. Luqi said: "Master Dongyuan's learning is the royal way of medicine!" This book demonstrates this clearly.
On the third Shangsi day of the third month in the Bingzi year of the Zhiyuan era, disciple Luo Tianyi respectfully wrote this preface.