人生天地间,而阴阳命之气,其受病亦不外乎此。医家言视证察脉,则必本诸阴与阳,
岐以来,诸书可考也。至汉长沙张仲景着《伤寒》一书,其言备矣。其法皆出伊芳尹《汤液》
,如《易》之于数,《春秋》之于法,盖万世不可易者。其论气脉形声,以测人之脏腑经络
之微,亦不过曰∶如是为阳,如是为阴,如是为寒,如是为热,如是为有余,如是为不足,
以决人之死生之变于朕兆之前,使夫学人可以按而知之,苟能详辨而勿失,则思过半矣!然
混茫乎疑似之中, 葛乎毫厘之间,自非精思入神冥合造化,则不能也。是以古者之言医
也,皆聪明有道之士,如孙思邈、陶隐居、葛稚川之徒,何如人也。迨夫叔世末流,多出于
粗工庸人间,裒衣峨冠,挟方寸之囊,自命为医工,然试读其书,音读(音豆)且不知,况能
索理于精微之地哉!如赵括之用兵,徒能诵其父之书,旋取覆败之祸。如又不能诵其书,则
其为败,宜如何哉!夫阴阳二证也,寒与温之味,从而用之,亦二也。其主治嗜好,又有大
不同者,甚者各主一偏,互相诋訾。殊不知桂枝、承气之一倒置,则毙之患立见。异时承平
贵
为人之为病皆然,热黜阴候不论,岂理也哉!且四方风土既殊,而人之禀受亦异,而一律按
之,其可乎?盖亦求其至当而已矣。呜呼!中古以降,老寿少而天阏多,岂真不幸与!盖医者
心术之偏,其蔽必至于杀人,儒者心术之偏,其蔽必至于误天下,如宋之王安石是也。偏之为
害之烈如此。夫窃尝谓受天地中和之性,得圣人公恕之学,不以利欲一毫入于其心,而后可
以为儒为医矣,天地万物一理也,圣人之道一中而已《中庸》曰致中和,天地位焉,万物
育焉,而况医乎!海藏先生王君进之,家世赵人,早以通经举进士,晚独喜言医,始从东垣
李明之,尽传其所学,后乃精研极思轩岐以来诸家书,驰骋上下数千载间,如指诸掌。予在
大梁时,闻其名诸公间籍甚,独以未识为恨,今年秋来晋州,始得候先生于馆舍,观其气和
而凝,志一而定,有道者也。与之游,甚间暇,日出一编书授予,且谓予曰∶伤寒人之大疾
也,其候最急,而阴证毒为尤惨,阳则易辨而易治,阴则难辨而难治。若夫阳证,热深而厥
,不为难辨。阴候寒盛,外热反多,非若四逆,脉沉细欲绝易辨也。至于脉鼓击有力,加阳脉
数倍,内伏太阴,发烦躁欲坐井中,此世之所未喻也。予恐其误,积思十余年,盖考自岐伯
,迄今洁古老人摄其精要,附以己说,厘为三十余条,有证有药,有论有辨,名之曰《阴证
略例》,将锓以传,以诏后学,且与天下卫生之君子共之,子盍为我题其端?予退而伏读之
,善之曰∶异乎哉!未有是书也。其于救物利生之念深矣!至其论阳证见阴脉者死,谓有外伤
内阴,若与阳药犹可生。若及阴阳易分寒热,阴阳易随仲景三经用药,皆出古人言意之表,
学人又不深思而熟味之。噫!世之着书立言者多矣,其甚高难行,泛言无实者亦有之。然则
是书之出,其知者必以为精思妙用所,传证以古今,不可诬也;其不知者则茫然无考,诋以
为悠悠谈甚高难行也。予以为获一人贤者之知,不犹愈千百愚人之不知者,则是书可以传信
行世无疑矣!故内翰王君从之,尝题曰“世所未闻”,真知言哉!比先生过上党,主吾故人文之
,疗数阴疾尤奇中,皆书中所可概见者。文之始亦骇,不敢用,反己试,欢曰∶误人多矣!
昔太仓公所上治验,太史氏列之传末,近代钱仲阳尝所治病,阎孝忠记于论证后。今从先生
得所书主治次第,谨编如下方,亦足以证愚者之不知者。文之姓宋氏,讳廷圭,长平人,世
亦号善医云。
岁癸卯冬十一月中浣日王官麻革信之谨题
Human beings exist between heaven and earth, and the Qi of Yin and Yang that endows their life is such that illness also does not go beyond this principle. Medical practitioners examine symptoms and palpate pulses, which must be based on Yin and Yang; since Qibo (岐伯), various texts can attest to this. When Zhang Zhongjing (张仲景) of Changsha in the Han Dynasty wrote the *Shanghan Lun* (Treatise on Cold Damage), his discussions were comprehensive. His methods all originated from Yi Yin's *Tangye Jing* (Decoction Classic), just as the *I Ching* (Book of Changes) relates to numbers and the *Spring and Autumn Annals* relates to laws; these are principles unchangeable for ten thousand generations. In discussing Qi, pulse, form, and sound to infer the subtleties of human Zang-Fu organs and meridians, he merely stated: "Thus is Yang, thus is Yin; thus is Cold, thus is Heat; thus is Excess, thus is Deficiency," thereby determining changes in life and death before signs appear, so that students may know by following these guidelines. If one can distinguish them in detail without error, then more than half of medical understanding is achieved! However, amidst chaos and ambiguity, within the minute differences of a hair's breadth, unless one thinks deeply to reach a divine state and merges with creation, it cannot be done. Therefore, those who spoke of medicine in ancient times were all intelligent and virtuous scholars, such as Sun Simiao (孙思邈), Tao Hongjing (陶隐居), and Ge Hong (葛洪)—what kind of people they were. By the late eras and declining trends, many doctors emerged from vulgar and mediocre ranks, wearing loose robes and tall hats, carrying small medicine pouches, and calling themselves medical artisans. Yet if one tries to read their books, they do not even know pronunciation (phonetic reading), let alone explore principles in subtle realms! This is like Zhao Kuo using troops; he could only recite his father's book and immediately suffered destruction. If one cannot even recite the book, how much worse would their failure be!
Regarding the two types of syndromes, Yin and Yang, the use of Cold and Warm flavored herbs is also twofold. Their main indications and preferences differ greatly; severely, each side dominates a bias and mutually disparages the other. Little do they know that if Guizhi Tang (Cinnamon Twig Decoction) and Chengqi Tang (Descending the Qi Decoction) are reversed, the danger of death will appear immediately. In later peaceful times, illnesses in people were all like this. Regarding heat syndromes rejecting Yin presentations without inquiry, is this reasonable? Moreover, since the wind and soil of the four directions differ, and human constitutions vary, can one apply a uniform standard? It seems one should only seek the most appropriate method. Alas! Since the middle antiquity, few live long lives while many die prematurely; is this truly bad luck? Probably because the bias in a doctor's mindset leads inevitably to killing; similarly, the bias in a Confucian scholar's mindset leads inevitably to misleading the world, as was the case with Wang Anshi (王安石) of the Song Dynasty. The harm caused by bias is so fierce. I have often said that one must receive the nature of Heaven and Earth's Harmony and Neutrality, acquire the learning of Sages' fairness and tolerance, and allow no trace of profit or desire into one's heart, before one can become a Confucian or a doctor. Heaven and Earth and all things share one principle; the Way of the Sages is simply "The Mean" (Zhong). The *Zhongyong* (Doctrine of the Mean) says: "Achieving Harmony and Neutrality, Heaven and Earth take their proper places, and all things are nurtured." How much more so in medicine!
Mr. Wang Jinzhi, the Master Haicang (Sea Storehouse), was of Zhao ancestry. Early on, he passed the Jinshi examination due to his mastery of classics. Later, he exclusively enjoyed discussing medicine. Initially, he followed Li Dongyuan (Li Mingzhi) of Dongyuan, inheriting all his learning. Afterwards, he meticulously studied and pondered the works of various schools since Xuanyuan and Qibo, traversing thousands of years as easily as pointing at his palm. While I was in Daliang, I heard his fame was great among the nobles, regretting only that I had not met him. This autumn, upon arriving in Jinzhou, I finally had the opportunity to visit the Master at his residence. Observing him, his Qi was harmonious yet condensed, his will single and settled; he was a man of the Way. Associating with him was very leisurely. One day, he presented a manuscript to me and said: "Cold damage is a major disease of humans; its presentation is most urgent, and the toxicity of Yin syndromes is particularly cruel. Yang syndromes are easy to identify and treat, but Yin syndromes are difficult to identify and treat. As for Yang syndromes, deep heat with cold extremities is not hard to identify. Yin presentations involve severe internal cold but external heat, which is not as easy to identify as the Sini Tang (Frigid Extremities Decoction) pattern where the pulse is deep, fine, and nearly absent. However, when the pulse beats forcefully, several times stronger than Yang pulses, with internal concealment in the Taiyin meridian, manifesting as irritability and a desire to sit in a well, this is something the world has not understood. Fearing misdiagnosis, I accumulated thoughts for over ten years, examining from Qibo up to the Elder Jiegu (Jiegu Laoren), extracting their essentials, adding my own comments, organizing them into thirty-plus articles, containing symptoms, herbs, discussions, and distinctions. I named it *Yin Zheng Lue Li* (Brief Examples of Yin Syndromes). I intend to print it to transmit it, instructing future learners, and sharing it with gentlemen of the world who care for health. Would you write an introduction for me?"
Retreating, I read it carefully and praised it, saying: "How extraordinary! Such a book did not exist before." His intention to save beings and benefit life is profound! Regarding his discussion that Yang syndromes presenting with Yin pulses indicate death, stating that there is external injury with internal Yin, and if given Yang-promoting herbs, survival is possible. If involving Yin-Yang exchange distinguishing Cold and Heat, or treating according to the Three Meridians of Zhongjing, these all transcend the literal words and meanings of the ancients, yet learners do not think deeply and savor them. Alas! There are many authors writing books today; some are too high-minded and impractical, or vague and empty. However, the emergence of this book: those who understand will surely see it as the result of profound thought and wonderful application, transmitting symptoms through ancient and modern times, undeniable; those who do not understand will be茫然 (at a loss) without basis, dismissing it as remote, high-minded, and impractical talk. I believe gaining the understanding of one wise person is better than the ignorance of a thousand fools. Thus, this book can undoubtedly be transmitted and circulated in the world! Therefore, Hanlin Academician Wang Congzhi once titled it "Unheard of in the World," which is truly insightful speech!
Later, the Master passed through Shangdang and stayed at the home of my old friend Wenzhi. He treated several Yin diseases with remarkable accuracy, all of which could be inferred from the book. Wenzhi was initially startled and dared not use it. After trying it himself, he rejoiced, saying: "So many people have been misled!" In the past, Taicanggong's (Chunyu Yi) verified treatments were listed at the end of the biography by the Grand Historian; in recent times, Qian Boyang's (Qian Yi) treated cases were recorded by Yan Xiaozhong after the discussions. Now, obtaining the sequence of main treatments written by the Master, I have carefully compiled the following cases, which suffice to prove the ignorance of the foolish. Wenzhi's surname is Song, given name Tinggui, from Changping. His family has also been known for medical skill.
On the middle ten-day period of the eleventh month in the winter of the Gui-Mao year, Ma Ge Xinzhi of Wangguan respectfully inscribed.