此医道之晦而不弘也。若乃发于论注。开惠后学。则安得不资于前人也。素问述针刺。仲景始方论。今诸家所集
浩繁。就能遍览枚试。而果适用者。固在乎明者之择焉也。昔尝闻许文正公语及近代医术。谓洁古之书。医中之
王道。服膺斯言。未暇寻绎。洁古者。张元素也。洁古。其号也。云岐子壁。其子也。东垣李杲明之。海藏王好
古进之。宗其道者也。罗天益谦夫。绍述其术者也。皆有害行于世。往年致政中书。家居泌上。因取而读之。大
抵其言理胜。不尚幸功。圆融变化。不滞一隅。开阖抑扬。所趣中会其要。以扶护元气为主。谓类王道。良有以
也。于是择其尤切用者。节而录之。门分类析。有论有方。详不至冗。简不至略。仍首针法。以放古制。并及余
人之不戾而同者。以示取舍之公。 为五帙。帙具各书。总名之曰济生拔萃。盖不敢徇人言。妄以诸家为非。尤
不敢执己见。谩以此书为是。自度行年八十有一。目力心思。不逮前日。从事简要。庶于己便。复思刻板广传。
喜与群人同兹开惠。虽然。医不专于药。而舍药无以全医。药不必于方。而舍方无以为药。若夫学究天人。洞
识物理。意之所会。治法以之者。将不屑于此。是书也。虽于大方之家。无所发挥。苟同余之志者。亦未必无所
补也。延 二年十月初吉。宝善老人铜 杜思敬序。
〔殷氏(简)简验方〕补元志卷阙 未见
〔吴氏(以宁)去病简要〕补元志二十七卷 未见
〔余氏(幼白)苍生司命〕佚
歙县志曰。余士冕。字子敬。父幼白精岐黄理。辑有苍生司命。冕尤能世其家学。沉 立起。试多奇中。补
订前书未备者。曰诸证析疑。子之俊医验。一如其父。
〔余氏(士冕)诸证析疑〕佚
〔潘氏(涛)医学绳墨〕佚
江西通志曰。潘涛。上高人。累世以业医名。至涛益显。全活者甚众。尝着医学绳墨一书。其目有十。一切
脉。二问证。三断病名。四辨逆顺。五明标本。六立治。七审轻重。八处方。九用药。十调理。行于世。
〔亡名氏烟霞圣效方〕未见
〔澹轩方〕未见
〔医林方〕未见
按上三书。医方类聚各证门所援。味其方论。似成于元人。仍着于此。
〔野夫多效方〕文渊阁书目一部一册阙 佚
〔济急单方〕文渊阁书目一部一册阙 佚
〔拾遗妙方〕文渊阁书目一部一册阙 佚
〔诸方撮要〕文渊阁书目一部一册阙 佚
这是医学之道晦暗而不宏大的原因。如果在于撰写论著注释,开启智慧以惠及后学,那么怎能不借助前人的成果呢?《素问》记述针刺疗法,张仲景开始创立方剂理论。如今各家所汇集的著作浩繁众多,即使能遍览并逐一尝试,但真正适用的,固然在于明智者的选择罢了。
过去曾听说许文正公谈及近代的医术,称张洁古的书籍是“医中的王道”,我深以为然,只是无暇细细研读。所谓洁古,就是张元素;洁古是他的号。云岐子张壁,是他的儿子;李东垣(李杲)阐发其道,王好古推崇其道,他们都是宗奉这一学派的人。罗天益(字谦夫),是继承阐述其医术的人。他们的著作都流传于世。
往年我在中书省致仕退休,居住在泌水之上,于是取来阅读。大体上他的言论道理精胜,不崇尚侥幸的成功,圆融变化,不拘泥于一隅,开合抑扬,所趋向之处都能契合要点,以扶持保护元气为主,称其为类似王道,确实是有道理的。于是我挑选其中特别切合实用的内容,节选记录下来,按门类分类解析,有论述有方剂,详细不至于冗杂,简略不至于疏漏。仍然首先列出针法,以效仿古制,并包括其他人与其观点不违背且相同的内容,以显示取舍的公正。共分为五帙,每帙具备各书的原文,总名为《济生拔萃》。
我不敢顺从他人的言论,妄自认为诸家之书是错误的;尤其不敢固执己见,轻率地认为此书是正确的。我自己估量年龄已八十一岁,目力和心思都不如从前,从事于简要的工作,或许对自己方便。又想到刻板印刷广泛传播,高兴与众人共同分享这份开启智慧的喜悦。虽然如此,医学并不专在于药物,但舍弃药物就无法完备医学;药物不一定局限于方剂,但舍弃方剂就无法体现药物的作用。至于那些探究天人奥秘、透彻认识物理规律的人,意会之处,治疗方法随之而定,他们将不屑于此书。这本书对于大方之家(精通医术的大师)来说,没有什么发挥之处,但如果有人赞同我的心志,也未必没有补益。延祐二年十月初吉,宝善老人铜山杜思敬作序。
《歙县志》记载:余士冕,字子敬,父亲余幼白精通岐黄之理,编辑有《苍生司命》。余士冕更能继承家学,沉稳立起,试验多奇中。他补充订正前书未备的内容,称为《诸证析疑》,儿子余之俊的医术验证,完全像他的父亲一样。
《江西通志》记载:潘涛,上高人,世代以行医闻名。到了潘涛更加显赫,救活的人很多。曾经著有《医学绳墨》一书,其目录有十项:一切脉,二问证,三断病名,四辨逆顺,五明标本,六立治,七审轻重,八处方,九用药,十调理。流传于世。
〔无名氏《烟霞圣效方》〕未见
〔《澹轩方》〕未见
〔《医林方》〕未见
按以上三本书,《医方类聚》在各证门中所引用的,品味其方论,似乎成于元代,仍记录于此。
〔《野夫多效方》〕《文渊阁书目》一部一册缺失 已佚
〔《济急单方》〕《文渊阁书目》一部一册缺失 已佚
〔《拾遗妙方》〕《文渊阁书目》一部一册缺失 已佚
〔《诸方撮要》〕《文渊阁书目》一部一册缺失 已佚
This is the reason why the Way of Medicine is obscure and not grand. If it lies in writing treatises and commentaries to open wisdom and benefit future generations, how can one fail to rely on the achievements of predecessors? The *Suwen* (Plain Questions) records acupuncture therapies, and Zhang Zhongjing began to establish the theory of formulas. Currently, the works collected by various schools are numerous and vast. Even if one could read them all and try them one by one, what is truly applicable undoubtedly depends on the choice of the wise.
I once heard Lord Xu Wenzheng discuss the medical arts of recent times, stating that the books of Zhang Jiegu constitute the "Kingly Way among medicine." I deeply agree with this statement but have had no leisure to study them carefully. By "Jiegu" is meant Zhang Yuansu; "Jiegu" is his pseudonym. Yunqizi Zhang Bi was his son; Li Dongyuan (Li Gao) expounded upon his way, and Wang Haogu promoted his way; they were all followers of this school. Luo Tianyi (courtesy name Qianfu) inherited and elaborated on his medical techniques. Their works have been handed down to the world.
In previous years, after retiring from my post at the Secretariat, while residing above the Mi River, I took these books and read them. Generally speaking, his discussions on principles are superior, not advocating for lucky successes, but being flexible and changing without being stuck in one corner. Through opening and closing, suppressing and raising, wherever he directed his efforts, he hit the essential point, focusing primarily on supporting and protecting Yuan Qi (Primordial Qi). To call it similar to the Kingly Way is indeed well-founded. Therefore, I selected those parts most relevant for practical use, excerpted and recorded them, classified them by category, containing both theories and formulas. They are detailed enough not to be redundant, yet concise enough not to be superficial. I still placed acupuncture methods first to emulate ancient systems, and included views from others that did not contradict mine but were consistent, to demonstrate impartiality in selection. It was compiled into five fascicles, each containing the original texts, and collectively titled *Jisheng Bacui* (Rescuing Life Extracts).
I dare not follow others' words and rashly claim that various schools are wrong; nor do I dare to stick to my own views and arrogantly assert that this book is correct. Considering myself to be eighty-one years old, my eyesight and mental faculties are not as sharp as before. Engaging in concise work may be more convenient for me. Furthermore, thinking of having it woodblock printed for wide dissemination, I am pleased to share this opportunity to enlighten others with the public. Nevertheless, medicine is not solely about herbs, but without herbs, medicine cannot be complete; herbs need not be confined to formulas, but without formulas, herbs cannot function effectively. As for scholars who explore the mysteries of Heaven and Humanity and thoroughly understand physical principles, whose treatment methods arise from their intuitive understanding, they will likely disdain this book. Although this book offers little to great masters of medicine, for those who share my aspirations, it may certainly provide some benefit. On the auspicious day of the tenth month of the second year of the Yanyou era, Baoshan Laoren (Old Man of Goodness), Du Sijing of Tongshan, wrote the preface.
[Yin Shi (Yin Jian) *Jian Yan Fang* (Simple Verified Prescriptions)] Supplementing *Yuan Zhi*, volume missing; Not seen.
[Wu Shi (Wu Yining) *Qubing Jianyao* (Brief Essentials for Removing Disease)] Supplementing *Yuan Zhi*, twenty-seven volumes; Not seen.
[Yu Shi (Yu Youbai) *Cangsheng Siming* (Life Guardian for the Common People)] Lost.
The *She County Gazetteer* states: Yu Shimian, courtesy name Zijing, whose father Yu Youbai was proficient in the principles of Qihuang (traditional Chinese medicine), edited *Cangsheng Siming*. Shimian was particularly capable of inheriting his family's learning, demonstrating steady progress and often achieving accurate diagnoses through trial. He supplemented and corrected the deficiencies of the previous book, calling it *Zhuzheng Xiyi* (Analyzing Doubts in Various Syndromes). His son, Yu Zhijun, verified in medicine exactly like his father.
[Yu Shi (Yu Shimian) *Zhuzheng Xiyi*] Lost.
[Pan Shi (Pan Tao) *Yixue Shengmo* (The Plumb Line of Medicine)] Lost.
The *Jiangxi General Gazetteer* states: Pan Tao, a native of Shangren, had a family renowned for practicing medicine for generations. His fame became even more prominent, and he saved many lives. He once authored *Yixue Shengmo*, which contained ten chapters: One, Pulse Diagnosis; Two, Inquiry into Symptoms; Three, Determining Disease Names; Four, Distinguishing Reversible and Irreversible Conditions; Five, Clarifying Root and Branch; Six, Establishing Treatments; Seven, Assessing Severity; Eight, Prescribing Formulas; Nine, Using Herbs; Ten, Conditioning and Regulation. It circulated in the world.
[Anonymous *Yanxia Shengxiao Fang* (Sage Efficacy Prescriptions of Misty Clouds)] Not seen.
[*Danxuan Fang* (Dantian Prescriptions)] Not seen.
[*Yilin Fang* (Medical Forest Prescriptions)] Not seen.
Regarding the above three books, cited in various syndrome sections of *Yifang Leiju* (Gathered Medical Prescriptions), judging by their formula discussions, they seem to have been composed during the Yuan Dynasty. They are recorded here nonetheless.
[*Yefu Duoxiao Fang* (Wild Man's Many-Efficacy Prescriptions)] *Wenyuan Ge Shumu* (Bibliography of the Pavilion of Literary Sources), one part, one volume, missing; Lost.
[*Jiji Danfang* (Emergency Single Prescriptions)] *Wenyuan Ge Shumu*, one part, one volume, missing; Lost.
[*Shiyi Miaofang* (Extraordinary Prescriptions from Omissions)] *Wenyuan Ge Shumu*, one part, one volume, missing; Lost.
[*Zhufang Cuoyao* (Essentials Gathered from Various Formulas)] *Wenyuan Ge Shumu*, one part, one volume, missing; Lost.