天下之目瞽于病者半,瞽于医者亦半。医者自瞽其心,而欲不瞽天下人之目,势必不能
。余二
十年中,走南北数千里,见医者千百辈,医目者亦百十辈,其能起沉 ,疗痼疾,曾不得数
人焉。而因噎废食者,遂创目不医不瞎之说。呜呼,是说起而天下之目胥受其祸矣。然亦由
不善治目者之有以祸之也。桐乡顾养吾先生,悯天下之且受其祸,而不能遍为之救,乃出生
平所学,参以古大家之论,着为《银海指南》四卷。辨轮廓,所以明经络也。戒钩割,所以
养精血也。至于七情六淫,分致疾之原,五脏六腑,表主病之象。辨脉辨舌,不厌其详,用
药用方,贵充其类。可兼症患病情之变,存医案准治法之宜,可谓大无不包,细无不入已。
前年冬,余以先大夫忧旋里,获读先生书,知先生之学,固不仅以治目名也。忆乾隆庚戌间
,
伯兄遘目疾逾半载,手足复肿痛不能运动,诸医以温凉补泻之药,轻投之,两目几瞽,而余
疾不少衰。迨后先生至,笑谓先大夫曰∶是湿热壅滞所致,疗之至易。如其法而患痊。盖先
生之于医无不通,而治目其绪余耳。先生与先大夫为莫逆交,余少时习闻先生教,略通素问
灵枢之义。今海内莫不宗仰先生,得是书以广其传,庶几言医者不致瞽其心,而天下之人亦
不致瞽其目也。是为序。
嘉庆己巳冬世愚侄海盐朱方增拜撰
Half of those in the world who are blinded by eye diseases are so due to the diseases themselves, and half are so due to the physicians. If a physician is mentally blind (lacks insight) himself, yet desires not to blind the eyes of the people of the world, it is inevitably impossible.
Over the course of twenty years, I traveled thousands of li north and south, witnessing hundreds of physicians, among whom only dozens were skilled in treating eye conditions. Among them, those capable of rescuing critical cases and curing chronic stubborn diseases numbered even fewer than ten. Consequently, some, fearing complications like giving up eating because of choking, invented the theory that "eye diseases cannot be treated, or blindness will result." Alas, once this theory arose, the eyes of all under heaven suffered its calamity. However, this was also caused by those who were incompetent in treating eye diseases. Mr. Gu Yangwu from Tongxiang, pitying that the people of the world were suffering this calamity and unable to save them all, brought forth his lifelong medical knowledge, incorporated the theories of ancient masters, and authored *Yinhai Zhinan* (Guide to the Silver Sea), four volumes. By distinguishing the contours of the eye, he clarifies the meridians; by warning against unnecessary hook-and-cut surgeries, he preserves essence and blood. Regarding the Seven Emotions (Qing: joy, anger, worry, thought, sadness, fear, fright) and Six Evils (Linyin: wind, cold, summer-heat, dampness, dryness, fire), he analyzes their origins in causing disease; regarding the Five Zang and Six Fu organs, he indicates the manifestations of primary diseases. In differentiating pulse and tongue, he leaves no detail unexamined; in using herbs and formulas, he emphasizes comprehensiveness. He covers variations in concurrent symptoms and disease progression, preserving medical records as standards for appropriate treatment methods. It can be said that nothing is too large to encompass, nor too small to penetrate.
Last winter, upon returning home to mourn my late father, I had the opportunity to read Mr. Gu's book and realized that his scholarship was not merely renowned for treating eye diseases. I recall the year Gengxu of the Qianlong reign, when my elder brother suffered from an eye disease for over half a year, accompanied by swelling and pain in his hands and feet that prevented movement. Various physicians administered mild doses of warming, cooling, tonifying, and purgative medicines, resulting in near-blindness in both eyes, while my own condition did not improve slightly. Later, when Mr. Gu arrived, he smiled and said to my late father, "This is caused by stagnation of damp-heat; treating it is very easy." Following his method, the patient recovered. Indeed, Mr. Gu was proficient in all aspects of medicine, and treating eye diseases was but a minor extension of his expertise. Mr. Gu and my late father were bosom friends. In my youth, I frequently heard his teachings and gained a basic understanding of the *Suwen* (Basic Questions) and *Lingshu* (Spiritual Pivot). Today, everyone in the land reveres and looks up to Mr. Gu. With this book to spread his teachings widely, it is hoped that practitioners will not become mentally blind, and the people of the world will not suffer physical blindness. This is the preface.
Written with respect by Zhu Fangzeng, humble nephew from Haiyan, in the winter of the Jisi year of the Jiaqing reign.