一是编之作也。以救正称。因痛念乎晚近医流。昧灵素之大义。守一家之偏法。执迷脉诀。
乐趋快捷方式。忘本从标。弃繁就简。致今邪说纵横。竟使正道沦没。枉害生灵。狂澜莫挽。是
何以异于弃周孔而冒杨墨哉。哀此无知。急唤回头。
一着是编。悉探灵素奥义。阴阳水火玄机。措词立论。只从口头。明明白白说去。间虽繁
复。无厌详慎。并不屑巧创幻谈。及构艰深文本。以炫世眼。即有引证名贤成语。亦皆阐明
正论。治本要法。政因习是术者率多庸流。粗识字画。而可复难之以隐晦不彰之微辞乎。即
辱颖慧鉴及。亦省一番思索。
一是编以救言者。非专救人之病。乃先救医之病也。以一医而治千万人。不过千万人计
耳。救一医便救千万人。救千万医便救天下后世。无量恒河沙数人矣。奈何世之医者。不先自救
。只图救人。每见其救人者适所以害人耳。政先哲云人之病病疾多。医之病病道少。此论
不容不着。谓此论为医医可。
一高阳生之脉诀。乃杀人之锋刃。王宗显之快捷方式。乃系人之桎梏。虽然∶马乏骐骥。人岂徒
行。医无缓扁。病当悉死耶。但以世之习此法者。徒知疗实病昧救虚病。知疗正病昧救假病
。以故虚者益虚。假者莫反。是本非可死。而虚实颠倒。致丧其生特医。死之耳。谓此而非
杀人之锋刃。系人之桎梏可乎。夫脉有内经正法。越人仲景叔和。相继阐扬于后。近代崔紫虚
之脉诀。滑伯仁之枢要。李濒湖之脉学。亦皆精详易晓。奈何舍此不问。而徒斤守高阳生之
鄙妄乎。第今风气渐薄。人情浇嚣。而病情亦随变幻叵测。每多有假热混真极虚反实之诊。
政此真假疑似关。头便见生死。反掌之异。予也不敏。 识斯脉。欲使世之医者病者。预娴
审辨。庶临机不至仓遑罔措耳。
一本草纲目。着自濒湖李先生。中多正误发明之妙解。洵神农下一人矣。第编帙繁多。
至六
十余卷。初学之士岂能悉了。唯是常用品味。不外百十余种。予复再为阐发。详别宜忌虚实
之殊。仍参合病机之可否较。李更觉易晓。
一医者固当首明四诊之义。次察运气。次稔药性
。又次详病机方法矣。独不思病之。寒热由乎脉。脉之虚实。由乎气气之盛衰。由乎元气。
元
气则命之生死。所攸系也。予因着有命门水火图说。五气图说。学人试于此处阴阳水火虚实
真假原本上。理会得透。便识乱所由起。病所从生何羡洞垣独美于前乎。
一予经治医案。悉皆治本扶原正法。与时师见病治病者不同。其病之轻者虽王侯不书。
病之
重者即佣介亦录。盖以贫贱富贵。固居处有殊。然而父生母成。官骸脏腑。均禀命于大君。
无贵贱一也独念贫贱。罹病衣食难适药饵。何资生死。莫必更赖德医。存心恻隐不可轻忽也
。
一拙着医案。首纪年月示明天时也。次录病者姓名寓址。以便同患取印。示识所主也。
书齿
老弱。详诊脉证示别虚实也。揭前医错治。示垂车鉴也。隐前医姓名。示存浓道也。有死必
书。示初病盒饭择医也。案末参以余议。或引证前贤正论。使学人阅已往之治。而为将来之
式。比异别类。闻一知十也。此案之所由作也。
一拙着医鉴。乃别医者之贞邪淑慝。又着病鉴。更专为病者之当慎于自治求治也。悬此
两鉴
。摘人隐痛。极知孤撑之鸡肋。难当众逞之尊拳。独是 妄热肠。救正苦心。只知有病患之
性命。不知有同类之包荒也。知我罪我。罔暇顾焉。
一着书立论。垂训千秋。固为不朽事业。第天人理微。当以神解。非悉言传。故许胤宗
有云
医者意也。思虑精则得之。然此特为技擅游刃者言也。若初学之士。非言无以取法。非法无
以会心。费了多少参悟。才得神超像外。得到谭景升化景。即效殷参军妙解。经脉悉焚方书
。尚觉举火费力回视成法不几赘乎是在学人心体而解悟之而已。
一是书不列成方者。不得谓有体无用。而非全法也。学人得悟天人运气。阴阳水火之。
微穷探灵素四诊病机。本草之蕴则千方万方便在方寸。指间何专简篇上徒勤记诵哉。若执方待病
。不免时师拘牵之见耳。
一古今医书。不啻汗牛充栋。予半生探究。四方驱驰。计得一百八十余部。三千七百余
卷。
率多滥套成方。或创言诡幻。皆非精一正传。每从舟车上。非唾以与人。则随掷之丛涛叠浪
中。飘飘奚囊。岂任此点污也。抵今犹翻悔与人者殊误人耳。大要初学之士。盒饭博涉群书
。广参益友。必先后繁就简。庶得脚跟实地。而余此篇之作。总亦繇博归约耳。故善读书者
。得古人一字一句用之无尽。但能时时泳涵。密密印证。则即多为少。岂在炫博乎。
一篇目称愚按称窃意。及不称愚按称窃意者。乃余拙论。其引证内经。及前贤成语。即
写某某姓字。庶无相混。
This is the reason for compiling this work. It is called "Jiu Zheng" (Correcting Errors) because I grieve that recent medical practitioners are ignorant of the great principles of *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions), adhering to biased methods of a single school, obsessively clinging to pulse manuals, and favoring quick fixes. They forget the root to pursue the branch, abandon complexity for simplicity, leading to the rampant spread of heretical theories today, causing the right path to be submerged, wrongfully harming living beings, with no way to turn back the tide. How is this different from abandoning the teachings of Confucius and Zhou Gong while adopting those of Yang Zhu and Mo Di? Pitying these ignorant people, I urgently call for them to turn back.
In writing this work, I thoroughly explore the profound meanings of *Ling Shu* and *Su Wen*, as well as the mysteries of Yin-Yang (Yin and Yang), Water and Fire (Kidney Yin and Kidney Yang). My wording and arguments are straightforward, spoken clearly and plainly. Although occasionally complex, I am not afraid of being detailed and cautious, nor do I disdain creating illusory tales or constructing obscure texts to dazzle the public eye. Even when citing famous sages' sayings, it is solely to elucidate correct theories and essential methods for treating the root cause. This is precisely because most who practice this art are mediocre individuals who barely know how to read; can one impose upon them subtle and obscure language? Even if honored by the discernment of the intelligent, it saves them a round of reflection.
The term "Jiu" (Save/Rescue) in this book does not refer exclusively to saving people from disease, but first to saving doctors from their own faults. One doctor treats thousands, merely counting thousands of people. Saving one doctor saves thousands; saving thousands of doctors saves the world and future generations, an immeasurable number like sands in the Ganges. Why do doctors today not save themselves first, but only seek to save others? Often, those who claim to save others are actually harming them. As the ancient sages said: "People's illness lies in having too many diseases; doctors' illness lies in knowing too little about the Dao." This argument must be stated. It is appropriate to call this treatise "Yi Yi" (Healing the Healer).
Gao Yangsheng's *Mai Jue* (Pulse Mantra) is a blade for killing; Wang Zongxian's *Kuai Jie Fang Shi* (Quick Method Manual, referring to simplified pulse guides) is shackles binding people. Nevertheless: if a horse lacks the speed of a Qiji (thousand-li horse), must a person walk on foot? If a doctor lacks the skill of Bian Que or Hua Tuo, must all patients die? However, those who practice these methods today only know how to treat excess conditions (Shi patterns) and ignore deficiency conditions (Xu patterns); they know how to treat typical diseases but fail to recognize pseudo-diseases. Consequently, the deficient become more deficient, and the pseudo-illnesses cannot return to normal. Conditions that were not fatal become fatal due to the inversion of deficiency and excess, effectively killed by the doctor. Can we deny that this is a killing blade and a shackle? Pulse diagnosis has orthodox methods from *Nei Jing* (Inner Canon), further elaborated by Yue Ren (Bian Que), Zhang Zhongjing, and Wang Shuhe. Later works by Cui Zixu (*Mai Jue*), Hua Bolin (*Shu Yao*), and Li Binhu (*Mai Xue*) are also precise, detailed, and easy to understand. Why abandon these and stubbornly adhere to the vulgar and absurd views of Gao Yangsheng? Moreover, as social morals decline and human nature becomes frivolous and turbulent, disease manifestations become unpredictable. There are often cases where false heat masks true heat, or extreme deficiency mimics excess. In these critical moments of distinguishing truth from falsehood, life and death hang in the balance, differing only by the turning of a palm. Though I am not talented, my understanding of these pulses aims to enable doctors and patients to master differentiation in advance, so as not to act rashly or at a loss when facing emergencies.
*Ben Cao Gang Mu* (Compendium of Materia Medica), authored by Mr. Li Binhu, contains many brilliant explanations correcting errors and revealing new insights, making him truly the successor to Shennong. However, the compilation is voluminous, exceeding sixty volumes, which is impossible for beginners to fully comprehend. Only the commonly used herbs, numbering over a hundred, are relevant. I have further elaborated on them, detailing indications, contraindications, and distinctions between deficiency and excess, cross-referencing pathogenesis for clarity, making Li's work even more accessible.
A doctor should first understand the meaning of the Four Diagnostic Methods (Four Examinations), then study Yun Qi (Five Movements and Six Qi), then familiarize oneself with herb properties, and finally detail pathogenesis and treatment methods. But one must not forget: the cold and heat of a disease depend on the pulse; the deficiency and excess of the pulse depend on Qi; the flourishing and decline of Qi depend on Yuan Qi (Original Qi). Yuan Qi is what determines life and death. Therefore, I have written *Ming Men Shui Huo Tu Shuo* (Diagrammatic Explanation of the Gate of Life, Water and Fire) and *Wu Qi Tu Shuo* (Diagrammatic Explanation of the Five Qi). Learners should try to thoroughly understand the origins of Yin-Yang, Water-Fire, deficiency-excess, and truth-falsity here. Once understood, they will recognize the source of chaos and the origin of disease. Why envy the singular insight of predecessors?
My clinical records strictly follow the orthodox method of treating the root and supporting the original Qi, differing from contemporary doctors who treat symptoms as they appear. Mild cases, even among nobility, are not recorded; severe cases, even among commoners, are included. This is because although poverty and wealth differ in lifestyle, both noble and humble bodies and organs are endowed by Heaven, sharing equal humanity. I pity the poor and lowly who, when ill, lack proper food, clothing, and medicine, leaving their lives uncertain. They rely heavily on the virtue of the doctor; compassion must not be neglected.
My clinical records begin with the year and month to indicate Heavenly timing, followed by the patient's name and address for identification. Age and frailty are noted, along with detailed pulse and symptom analysis to distinguish deficiency and excess. Previous erroneous treatments are exposed as warnings, while previous doctors' names are concealed to preserve dignity. Deaths are always recorded to emphasize the importance of choosing a doctor early. At the end of each case, I add my comments, citing correct theories from past sages, allowing learners to use past treatments as models for the future, categorizing differences, and learning much from one example. This is the purpose of these records.
My work *Yi Jian* (Mirror for Doctors) distinguishes between virtuous and evil doctors, while *Bing Jian* (Mirror for Patients) advises patients on caution regarding self-treatment and seeking care. Hanging these two mirrors exposes hidden pains. I know my solitary effort is like chicken ribs—hard to hold onto and difficult to face public criticism. Yet, driven by a warm heart and a sincere desire to correct errors, I care only for the lives of patients, ignoring the tolerance of my peers. Let them understand me or blame me; I have no time to care.
Writing books and establishing theories to instruct for millennia is indeed an immortal undertaking. However, the subtle principles of Heaven and Humanity require spiritual comprehension, not just verbal transmission. Thus, Xu Yizong said: "Medicine is a matter of intent; precision in thought leads to mastery." But this applies only to those skilled enough to wield the knife effortlessly. For beginners, words are necessary for standards, and rules are necessary for understanding. After much contemplation, one achieves transcendence beyond form, reaching the level of Tan Jingsheng or imitating Yin Canjun's profound insights, burning medical texts, yet still finding it laborious. Looking back at established methods, aren't they redundant? It ultimately depends on the learner's internal realization.
The fact that this book does not list fixed formulas does not mean it lacks utility or completeness. If learners grasp the subtle principles of Heavenly-Human interaction, Yun Qi, Yin-Yang, and Water-Fire, and deeply explore *Ling Su*, *Su Wen*, the Four Diagnoses, pathogenesis, and Materia Medica, then thousands of formulas reside within the mind and fingertips. Why waste effort memorizing texts? Clinging to fixed formulas to match diseases reflects the rigid views of contemporary doctors.
Ancient and modern medical books are numerous, filling warehouses and oxen. Over half a lifetime of exploration and travel, I collected over 180 volumes and 3,700 scrolls. Most were repetitive formulas or fanciful inventions, lacking the essence of orthodox transmission. On journeys, I either discarded them or threw them into rivers. My small bag could not bear such pollution. I regret giving them away, as they mislead people. Generally, beginners should read widely, consult good friends, start with complexity and move to simplicity, to establish a solid foundation. My work here is essentially returning from breadth to brevity. Good readers find endless use in every word of the ancients. By constantly absorbing and verifying, quantity becomes quality. Is there any need to boast erudition?
Headings labeled "Yu An" (Fool's Comment) or "Qie Yi" (My Humble Opinion), and those without such labels, represent my own discussions. Citations from *Nei Jing* or past sages include the author's name to avoid confusion.