国家以文武医入官,盖为养民设。未有不自学古而得之者,学古之道,虽别而同。为
儒必读五经三史,诸子百家,方称学人。医者之经,《素问》《灵枢》是也;史书,即诸家
本草是也;诸子,《难经》《甲乙》《太素》《中藏》是也;百家,《鬼遗》《龙树》《金
镞刺要》《铜人》《明堂》《幼幼新书》《产科保庆》等是也。儒者不读五经,何以明道德
性命,仁义礼乐;医不读《灵》《素》,何以知阴阳运变,德化政令。儒不读诸史,何以知
人材贤否,得失兴亡;医不读本草,何以知名德性味,养生延年。儒不读诸子,何以知崇正
卫教,学识醇疵;医不读《难》《素》,何以知神圣工巧,妙理奥义。儒不读百家,何以知
律历制度,休咎吉凶;医不读杂科,何以知脉穴骨空,奇病异证。然虽如是,犹未为博,况
经史之外,又有文海类集,如汉之班马,唐之韩柳,及我大宋,文物最盛,难以概举,医文
汉亦有张仲景华佗,唐则孙思邈王冰等,动辄千百卷,其如本朝《太平圣惠》《乘间集效》
《神功万全》《备见崇文》《名医别录》,岂特汗牛充栋而已哉?使学人一览无遗,博则博
矣,倘未能反约,则何以适从。予今所述,乃收拾诸经筋髓,其亦反约之道也。读医方者,
当推上圣养民设教为意,庶不负于先觉也。
国家将精通文、武及医术的人才纳入官职体系,这原本是为了养育百姓而设立的。没有哪一位医生不是通过学习古代经典才获得这一资格的。学习古代典籍的方法,虽然途径不同,但本质是相同的。
作为儒者,必须研读《五经》和《三史》,以及诸子百家的著作,才能被称为有学问的人。医者的“经”,指的是《素问》和《灵枢》;医者的“史书”,即各家本草著作;医者的“诸子”,包括《难经》《甲乙经》《太素》《中藏经》等;医者的“百家”,包括《鬼遗方》《龙树菩萨药石法》《金镞刺要》《铜人腧穴针灸图经》《明堂》《幼幼新书》《产科保庆集》等。
如果儒者不读《五经》,怎么能明白道德、性命、仁义礼乐的道理呢?如果医者不读《灵枢》和《素问》,怎么能知晓阴阳的变化规律,以及德化政令对人体的影响呢?
如果儒者不读历史书籍,怎么能了解人才的贤愚、得失与国家的兴亡呢?如果医者不读本草著作,怎么能知晓药物的名号、德行、性味,以及如何养生延年呢?
如果儒者不读诸子百家,怎么能懂得崇尚正道、维护教化,并辨别学识的纯正与瑕疵呢?如果医者不读《难经》和《素问》,怎么能掌握神圣工巧四种诊法,理解其中的妙理奥义呢?
如果儒者不读百家杂说,怎么能知晓律历制度、吉凶休咎呢?如果医者不读各科杂学,怎么能知晓脉象、穴位、骨骼空窍,以及奇病异证呢?
然而,即使如此,还算不上广博。况且在经史之外,还有浩如烟海的文集,比如汉代的班固、司马迁,唐代的韩愈、柳宗元,以及我大宋朝,文化最为兴盛,难以一一列举。医学文献方面,汉代也有张仲景、华佗,唐代则有孙思邈、王冰等人,他们的著作动辄千百卷。至于本朝的《太平圣惠方》《乘间集效方》《神功万全方》《备见崇文集》《名医别录》等,岂止是汗牛充栋所能形容的呢?
让学习者一览无余,虽然知识渊博了,但如果不能由博返约(从广泛的学习中提炼出精要),那么该以什么为准则呢?我现在所阐述的内容,正是搜集整理各经书的精髓,这也是由博返约的方法。阅读医方的人,应当推究上古圣人为了养育百姓、设立教化而创制医方的本意,这样才不辜负先觉者的苦心。
The state incorporates individuals skilled in literature, martial arts, and medicine into the official bureaucracy, a system established for the nourishment and care of the people. No physician has ever attained this status without first studying ancient classics. The path of learning from antiquity may vary in method but shares the same essence.
A Confucian scholar must study the *Five Classics* (Wujing) and the *Three Histories* (Sanshi), as well as the works of the Hundred Schools of Thought, to be considered learned. For physicians, their "Classics" are the *Suwen* (Plain Questions) and *Lingshu* (Spiritual Pivot); their "Histories" are the various Materia Medica texts; their "Sub-schools" include the *Nanjing* (Classic of Difficult Issues), *Jia Yi Jing* (Systematic Classic of Acupuncture and Moxibustion), *Tai Su* (Great Simplicity), and *Zhong Zang Jing* (Inner Organs Classic); their "Hundred Schools" include the *Gui Yi Fang*, *Long Shu* (Dragon Tree) treatises, *Jin Zu Ci Yao*, *Tong Ren* (Bronze Man) manuals, *Ming Tang* (Bright Hall) charts, *You You Xin Shu*, and *Chan Ke Bao Qing*, among others.
How can a Confucian understand morality, life nature, benevolence, righteousness, propriety, and music without reading the Five Classics? How can a physician comprehend the transformations of Yin and Yang and the influence of virtuous governance on health without reading the *Lingshu* and *Suwen*?
How can a Confucian discern the worthiness of talents, gains and losses, and the rise and fall of states without reading historical records? How can a physician know the names, virtues, properties, and flavors of herbs, and how to nurture life and prolong longevity, without reading the Materia Medica?
How can a Confucian uphold orthodoxy, safeguard teaching, and distinguish between pure and flawed scholarship without reading the Sub-schools? How can a physician master the four skills of the Divine, Profound, Skillful, and Ingenious diagnostic methods, and understand their profound principles, without reading the *Nanjing* and *Suwen*?
How can a Confucian understand legal calendars, institutions, and omens of good or ill fortune without reading the eclectic writings? How can a physician understand pulse diagnosis, acupoints, bone voids, and rare diseases without studying miscellaneous medical disciplines?
Nevertheless, even with such knowledge, one is not yet truly erudite. Furthermore, beyond the Classics and Histories, there are vast collections of literature, such as those by Ban Gu and Sima Qian of the Han Dynasty, and Han Yu and Liu Zongyuan of the Tang Dynasty. In our Great Song Dynasty, culture flourished more than ever, making it impossible to list them all. In the field of medicine, there were Zhang Zhongjing and Hua Tuo of the Han Dynasty, and Sun Simiao and Wang Bing of the Tang Dynasty, whose works amounted to thousands of volumes. As for our own dynasty's *Taiping Shenghui Fang*, *Chengjian Jixiao Fang*, *Shengong Wanquan Fang*, *Beijian Chongwen Ji*, and *Mingyi Bie Lu*, they are not merely numerous enough to fill barns and overload oxen?
If a learner could read everything at a glance, they would indeed be erudite. However, if they fail to distill the essence from the breadth of knowledge (fan yue), how can they find direction? What I have compiled here is the extraction of the marrow and essence from various classics, which represents the method of distilling the essential from the extensive. Those who study medical prescriptions should reflect on the intent of the ancient sages who established medicine to nourish the people and educate society, thereby not failing the insights of the awakened predecessors.