儒以学术致平成,医以方术拯危困,其因应化裁、变动不居之妙,非楮墨之所得而传、竹素之所得而尽也,
惟自古无独抱一经之名儒,亦无株守一家之名医,则博学尚矣。然而载籍所流传,各矜心得,或引而不发,或
冗而鲜要,或偏僻以自是,或纯驳之不齐,百家腾跃,旨趣攸殊,苟非精识,曷由鉴别?余友王君孟英,绩学
士也。邃于医,其学弗泥于古,弗徇于今。余尝梓其治案以行世。今夏余过武林,孟英出其曾王父秉衡公
《重庆堂随笔》以相示。余敬读之,其着论也浏然以清,其烛理也洞然以明,上溯轩岐,下迄当代,咸抉摘搜
剔厘然,去其非而存其是。不禁拜手而叹曰∶有是哉!读书之不可无识也。公以醇儒之学发明医理,渊源如是,
宜孟英之囊括百氏,蔚然为一时宗匠也。余尝叹古今学术之升降与医术之盛衰,有至相似者。三代以前无论矣,
汉唐诸大儒抱残守缺,恪遵先圣之遗训,大之则修齐治平之术,小之则礼乐射御书数之文,靡不讲求焉。而心
知其故,虽穿凿附会间出其中,然其修之家而献之廷者,皆实学也。宋儒出而斥为粗迹,高谈性天,崇尚妙悟,
自谓得古圣不传之秘于遗编,而学术为之一变。然其博学笃行,固一时之彦也。降及后世,科目之学兴,其贤
者涉宋儒之藩篱以枵然而自大,其陋者剽袭词章以应世而已。学非所用,用非所学,一旦身撄事变,懵然无所
措手,任天下之鱼烂河决
而莫能救止,此志士所为太息也。惟医亦然。汉唐祖述轩岐,具有矩 ,至《和剂局方》出,纯任刚燥,而古
法一变。然因证施治之规,尚未敢紊也。丹溪、河间诸贤,犹起而力矫其弊也,至薛立斋、张景岳之说出,提
倡温补,天下翕然宗之,举古人审证察因之法概置勿论,而直以一补毕其事,遂令举世之人,甘心赴死而不知
其故。嗟夫!事变日益滋,学术日益陋,病机日益幻,医术日益卑。岂真劫运使然哉?何汶汶若此!余
谓苟能勤学,不患无术,研穷久则聪明出,阅历多则机智生。读公此编,真苦海之慈航、迷途之宝炬也。昔缪
仲醇作《广笔记》,尤在泾作《医学读书记》,徐洄溪作《医学源流论》,皆以高才绝学精研医理,故其权衡
精当,非复专门之书之所能及。以公方之,洵堪媲美。余于公之学,无能为役,然苦世医之不读书以祸世,与
不善读书以误世也,欲以公此编救之。谨僭述己意,弁诸简端,且以志钦慕无已之意云。
咸丰乙卯四月定州后学杨照藜顿首书
Confucians achieve peace and order through scholarship, while physicians save lives from peril through medical arts. The subtlety of adapting to circumstances, making adjustments, and undergoing constant change cannot be fully conveyed by ink and paper, nor exhaustively recorded in bamboo slips or historical texts. Since ancient times, there has been no renowned Confucian who clung exclusively to a single classic, nor any distinguished physician who rigidly adhered to a single school; thus, broad learning is highly esteemed. However, the transmitted literature often boasts individual insights, sometimes leaving matters unresolved, being verbose yet lacking essential points, biased and self-righteous, or mixed with both pure and impure elements. With a hundred schools contending, their core intentions differ significantly. Without profound discernment, how can one distinguish truth from falsehood? My friend, Mr. Wang Mengying, is a scholar of outstanding merit. He is deeply versed in medicine, his learning neither dogmatic about the past nor blindly conforming to the present. I previously had his clinical cases printed for public circulation. This summer, while passing through Wulin (Hangzhou), Mengying showed me his great-grandfather Bingheng’s *Chongqing Tang Suibi* (Notes from Chongqing Hall). I read it with reverence: his arguments are clear and lucid, his insight into principles is penetrating and bright. Tracing back to Xuanyuan (Yellow Emperor) and Qibo, and reaching down to the contemporary era, he meticulously sifts through and clarifies matters, discarding errors and preserving truths. I could not help but bow my hands and sigh, saying, "Indeed! One must possess discernment when studying books." Gong elucidated medical principles through profound Confucian scholarship, with such deep roots that it is no wonder Mengying encompasses various schools and stands as a leading master of his time. I have often remarked that the rise and fall of scholarship and the prosperity and decline of medical arts in ancient and modern times are remarkably similar. Let us not speak of the Three Dynasties; the great Confucians of Han and Tang held onto fragmented knowledge, strictly following the legacy of former sages. In grand matters, they studied methods for self-cultivation, family regulation, state governance, and world peace; in minor matters, they investigated rites, music, archery, charioteering, calligraphy, and mathematics. Although occasional forced interpretations appeared, what they cultivated at home and presented at court were all substantial learning. When Song Confucians emerged, they dismissed these as crude traces, engaging in high-minded talk of human nature and heaven, advocating mystical enlightenment, claiming to have discovered the secret teachings of ancient sages hidden in old texts, thereby transforming scholarly trends. Yet their broad learning and earnest practice made them outstanding figures of their age. Later, with the rise of imperial examinations, the virtuous entered the confines of Song Confucianism only to become arrogantly empty, while the vulgar plagiarized rhetoric to cope with worldly affairs. What they learned was not what they used, and what they used was not what they learned. Once faced with sudden events, they were bewildered and helpless, allowing the world to rot like fish and rivers to burst their banks without being able to stop it—this is what causes men of ambition to sigh deeply. Medicine is no different. Han and Tang dynasties followed the models of Xuanyuan and Qibo, possessing established rules. Until the publication of *Heji Jufang* (Formulas of the Imperial Medical Bureau), which relied purely on acrid and dry substances, ancient methods changed. Nevertheless, the principle of treating according to symptoms remained intact. Virtuosos such as Danxi and Hejian rose to vigorously correct these abuses. However, when the theories of Xue Lizhai and Zhang Jingyue emerged, promoting warm tonification, the world unanimously revered them. They disregarded the ancient methods of examining symptoms and investigating causes, relying solely on tonic treatments, causing people to willingly face death without understanding why. Alas! Events multiply daily, scholarship becomes shallower, disease mechanisms grow more deceptive, and medical arts degrade. Is this truly due to inevitable calamities? Why are we so muddled? I believe that if one studies diligently, one need not worry about lacking skills; prolonged research brings forth intelligence, and extensive experience generates wisdom. Reading Gong’s work is indeed like a compassionate boat in the sea of suffering or a precious torch in a lost path. Previously, Miu Zhongchun wrote *Guang Biji* (Extended Notes), You Zaijing wrote *Yixue Dujilu* (Records of Reading Medical Books), and Xu Huixi wrote *Yixue Yuanliulun* (Discussions on the Origins of Medicine). All utilized superior talent and extraordinary learning to meticulously study medical principles, achieving precise judgment beyond the reach of specialized texts. Compared with Gong’s work, theirs are truly comparable. Though I am incapable of serving Gong’s scholarship, I lament that worldly physicians harm society by not reading, and mislead society by reading poorly. I wish to use this book to remedy these issues. I respectfully state my views here, placing them at the beginning, to express my endless admiration. Written with bowed head by Yang Zhaoli, junior scholar from Dingzhou, in the fourth month of the Yimao year of Xianfeng.