得微视于有道在任。则亦尚可以少见竞竞专致操存。一笔之不敢苟云尔。万历二十
一年。岁次癸巳。仲冬闰辛巳朔粤三日癸未 。新安方有执自跋。
闵芝庆曰。方氏作条辨。以太阳一经为三篇。分卫中风为上编。其间总论中风伤寒。如太阳病七日以上自愈
者之类。不能悉举。此等既属总论。则难分而为二。以之列于上编。固无不可。但与卫中风为上编之说少违耳。
又据分营伤寒为中篇。凡有伤寒二字。居各条之首者。悉入焉。不知其中固有专指营伤寒者。亦有兼指卫中风者。
盖中风与伤寒。可分为二名。又可合而俱称伤寒。是以中风与伤寒为病。自古通谓之伤寒。如伤寒一二日。阳明
少阳证不见者。为不传也之类。是皆兼论中风于言外者也。乃因伤寒二字居首。悉列中篇。以亦有据。但既有营
伤寒为中篇之说。则后人倘有执泥。而谓与中风无涉者。从兹殆矣。又将发汗已发汗病不解发汗之类。皆列于中
篇。意以发汗者。必麻黄汤证也。不知麻黄汤固为发汗之剂。桂枝汤虽云解肌。亦称发汗。观于篇中所云。病常
自汗出者。此为营气和云云。结之曰。复发其汗。营卫和则愈。宜桂枝汤。则桂枝汤。亦称发汗可知矣。乌得以
凡云发汗者。皆入营伤寒之篇也。又据营卫俱中风寒者为下编。凡脉浮紧。及伤寒脉浮者。皆入焉。即举其所注
而辨之。其一卷第一证。太阳之为病。脉浮头项强痛而恶寒。注曰。尺寸俱浮者。知为病在太阳。又曰。揭太阳
之总病。为三篇之大纲云云。似知或中风。或伤寒。或风寒两伤。凡属太阳者。皆当浮脉矣。又据其三卷第十三
证。伤寒脉浮滑。此表有热。注曰。伤寒脉不浮。浮者风也。何与三阳大纲之注。自相矛盾。而独指浮为风耶。
遂将凡脉浮紧。及伤寒脉浮者。皆入风寒两伤之篇。非矣。不特此也。其三
卷三十五证。伤寒胸中有热。注云。热以风言。第三十八证。伤寒十三日不解。过经谵语者。以有热也。注曰。
热。风也。岂不知始自太阳者。或中风。或伤寒。皆能成热。故索问热论曰。人之伤于寒也。则为病热。焉得独
以热为风乎。遂将凡伤寒有热、及发热及如疟之发热恶寒。热多寒少者。皆入风寒两伤之篇。谬亦甚矣。方氏之
心。无非欲立异以为高。故其编次。悉更旧本。前者后之。后者前之。诸篇皆有更移。太阳三篇为甚。将欲求胜
于叔和乎。设使人各一见以自高,何时复出仲景而始定。奈何人也。敢妄意有更。
汪琥曰。伤寒条辨。明歙人方有执着。书凡八卷。先图说。次削例。又次辨太阳病。以风伤卫为上编。分第
一卷。寒伤营为中篇。分第二卷。营卫俱伤为下编。分第三卷。阳明少阳二经病。分第四卷。三阴经病。分第五
卷。风温杂病。及霍乱阴阳易差后等病。分第六卷。痉湿 。及辨脉法。分第七卷。汗吐下可不可。分第八卷。
后又附钞本草。其条辨仲景六经篇文。可谓详且尽矣。
四库全书提要曰。伤寒论条辨八卷。附本草钞一卷。或问一卷。痉书一卷。明方有执撰。有执字中行。歙县人。
是书刻于万历壬辰。前有己丑自序一篇。又有辛卯后序一篇。又有癸巳所作引一篇。则刻成时所加也。大旨以后
汉张机伤寒卒病论。初编次于王叔和。已有改移、及金成无己作注、又多所窜乱。医者或以为不全之书。置而不
习。或沿习二家之误。弥失其真。乃竭二十余年之力。寻求端绪。排比成编。一一推作者之意。为之考订。故名
曰条辨。其原本伤寒例一篇。不知为何人所加者。竟削去之。而以本草钞一卷。或问一卷。附缀于末。又以医家
误痉为惊风。多所夭
枉。乃历引素问金匮要略伤寒卒病论诸说。为痉书一卷。并附于后。有执既没。其板散佚。江西喻昌遂采掇有执
之说。参以己意。作伤寒尚论篇。盛行于世。而有执之书遂微。国朝康熙甲寅顺天林起龙得有执原本。恶昌之剽
袭旧说。而讳所自来。乃重为评点刊板。并以尚论篇。附刊于末。以证明其事。即此本也。起龙序文。于昌毒骂
丑诋。颇乖雅道。其所详论。亦皆赞美之词。于病证方药。无所发明。今并削而不载。所附刻之尚论篇。原本具
存。已别着录。其异同得失。可以互勘。不侍此本之复载。今亦削之。而附存原目于此焉。
〔王氏(肯堂)伤寒准绳〕医藏目录八卷 存
自序曰。夫有生必有死。万物之常也。然死不死于老。而死于病者。万物皆然。而人为甚。故圣人悯之。而
医药兴。医药兴而天下之人又不死于病。而死于医药矣。智者愤其然。因曰。病而不药。得中医。岂不信哉。或
曰。此但为伤寒言之也。虽然。微独伤寒。特伤寒为甚尔。盖医莫不宗本黄岐。今其书具在。然有论而无方。方
法之备。自张仲景。如仲景虽独以伤寒着。然二千年以来。其间以医名世。为后世所师承者。未有不从仲景之书
悟入。而能径窥黄岐之壶奥者也。故黄岐犹羲文也。仲景其孔子乎。易水师弟。则濂洛诸贤。金华师弟。则关闽
诸大儒也。拟人者不伦于此矣。王好古曰。伤寒之法。可以治杂病。杂病法不可以治伤寒。岂诚然哉。伤寒法出
于仲景。故可以治杂病。而为杂病法者。多未尝梦见仲景者也。故不可以治伤寒也。然则伤寒论。可弗读乎。而
世之医。有终身目不识者。独执陶氏六书。以为枕中鸿宾尔。夷考陶氏之书。不过剽南阳唾余。尚
未望见易水门墙。而辄诋伤寒论。为非全书。聋瞽来学。盖仲景之罪人也。而世方宗之。夭枉可胜道哉。余少而
读仲景书。今老矣。尚未窥其堂室。平生手一编。丹铅殆遍。纸败墨渝。海虞严道彻见而爱之。欲寿诸梓。而余
不之许。非靳之。盖慎之也。丁酉戊戌间。因嘉善高生请。始辑杂病准绳。而不及伤寒、非后之。盖难之也。今
岁秋。同年姜仲文知余所辑杂病外。尚有伤寒妇婴疡科。为准绳者四。遣使来就钞。而不知余夺于幽忧亢病。未
属草也,因感之而先成伤寒书八帙。始于八月朔。而告完于重九。或曰。以数十万言。成于四旬、不太草草乎。
曰。余之酝酿于册府。而渔猎于书林。盖三十余年矣。不可谓草草也。伤寒一病尔。而数十万言。不太繁乎。曰。
吾犹病其略也。何也。是书之设。为因证检书。而求治法者设也。故分证而不详。则虑其误也。详则多互见而复
出。而又安得不繁。后之注仲景书。续仲景法者。或见其大全。或窥其一斑。皆可以为后学指南。具择而载之。
而又安得不繁。且夫人读一书。解一语。苟迷其理。有碍于胸中。以问知者。则唯恐其不吾告。与告之不详。余
固驽下。然学医之资。差不在人后。以余所白首不能究者。与天下后世共究之。将读之恐其易尽。而顾患繁乎哉。
丹阳贺知忍中秘心乎济物。而勇于为义。愿为余流通。书未成。已鸠工庀具矣。余之遄成以此。因叙于篇首。时
万历三十二年。岁次甲辰重九日。念西居士王肯堂宇泰书。
凡例曰。纂伤寒书者众矣。知尊仲景书。而遗后贤续法者。好古之过也。类证诸书是也。惟俗眼之便。而雅
俗杂陈。淄渑莫辨。使世不知孰为仲景者。俗工之谬也。琐言蕴要诸书是也。惟娄氏纲目。列六经正病于前。而
次合病并
病。汗吐下后诸坏病于后。又次之以四时感异气而变者。与妇婴终焉。而每条之中。备列仲景法。然后以后贤续
法附之。既该括百家。又不相淆杂。义例之善。无出其上。此书篇目。大抵因之。一解释仲景书者。惟成无己最
为详明。虽随文顺释。自相矛盾者。时或有之。亦白璧微瑕。固无损于连城也。后此赵嗣真张兼善之流。皆有发
明。并可为成氏忠臣。张公耳孙。故多采掇。使学人一览洞然。而一得之愚。亦时附焉。其文义浅近。不必训释
者。则一切省之。内一字。赵者。嗣真也。张者。兼善也。黄者。仲理也。活者。朱肱活人书也庞者。安时也。
许者。叔微学士也。本者。许之本事方也。韩者。 和也。孙者。兆也。洁者。洁古张元素也。云者。洁古之子
云岐子也。垣者。李东垣也。丹者。朱丹溪也。海者。王海藏也。王者。履也。罗者。天益也。戴者。元礼也。
娄者。全善也。吴者。绶也。陶者。华也。其不系姓字者。自篇首辨证数语之外。皆仲景论文也,一内经云。风
雨寒暑。不得虚。邪不能独伤人。至于丹溪又云。伤寒属内伤者。十居八九。当以补元气为主。由是言之。后
人治伤寒者。既皆识仲景之法不尽。又不知其病本于内伤虚劳。而思补养。但用汗下致死者。其杀人何异刀剑。
兴言至此。切骨痛心。今虽以后贤补养之法。附载于篇。而书不尽言。言不尽意。尤望临病之工。重人命而惧阴
谴。熟玩此书。无疑于心。而后下手用药。即不能然。宁过于谨护元气。无孟浪汗下。而后庶几乎少失也。明史
稿王樵传曰。子肯堂。字宇泰。举万历十七年进士。选庶吉士。授检讨。博览群籍。声着馆阁。倭寇朝鲜。疏陈
十议。愿假御史衔。练兵海上。疏留中。因引疾归。京察降调。家居久之。吏部侍郎杨时乔荐补
南京行人司副。终福建参政。肯堂好读书。着述甚富。雅工书法。以其尤精医理。故又附见方伎传中。又方伎传
曰。王肯堂。字宇泰。金坛人。万历中举进士。选庶吉士。授检讨。以京察贬官。终福建参政。肯堂博极群书。
兼通医学。所着证治准绳。为医家所宗。
汪琥曰。伤寒证治准绳。明金坛王肯堂宇泰甫辑。书凡八帖。首列序例入门。辨证内外伤。及类伤寒辨。其
第一帙。则以伤寒总例居前。总例者。乃叙四时伤寒传变。及汗吐下法。又愈解死证。阴阳表里。伤寒杂病。类
证杂论。察色要略。第二帙。则以太阳例居前。而以发热恶寒恶风头痛等证附之。第三帙。则以阳明病居前。而
以不大便不得卧自汗潮热谵语等证附之。又少阳病口苦咽干往来寒热等证。亦并附焉。其第四帙。先列三阴总纶。
太阴病。则附以腹满痛等证。少阴病。则附以但欲寐口燥咽干等证。厥阴病。则附以气上冲心等证。第五帙。则
言合并病。又汗吐下后不解。喘而短气等证。第六帙。则继以小便利不利等证。复附以狐惑百合两感证。第七帙。
则言劳食复瘥后等证。又言四时伤寒不同。温暑疟痉等证。后附以妇人小儿伤寒。第八帙。则辨脉法药性。其书
悉因娄氏纲目之义。而以仲景方论为主。后贤续法附之。伤寒之书。至此可为详且尽矣。但惜其纂注大略。及诸
方之义。不能明畅。又其云发热恶寒头痛等证。诸经皆有。何得限定附之一经之中。于余不能无遗憾矣。
〔赵氏(开美)集注伤寒论〕十卷 存
凡例曰。仲景之书。精入无伦。非善读者。未免滞于语下。诸家论述。各有发明。而聊摄成氏引经析义。尤
称详洽。虽 牾附会。间或时有。然诸家莫能胜之。初学不能舍
此索途也。悉依旧本。不敢去取。一诸家善发仲景之义者。无过南阳。外此如叔维潜善洁古安常东垣丹溪安道。
近代如三阳宇泰诸君子。单词短语。虽不尽拘长沙辙迹。实深得长沙精义。急为采入。以补六经未发之旨也。一
是书。仲景自序。原为十六卷。至叔和次为三十六卷。今坊本仅得十卷。而七八卷又合两为一十卷。仅次遗方。
先后详略。非复仲景叔和之旧矣。今根据辨平脉法为一卷。自伤寒大例。及六经次第。不复妄有诠次。止以先后匀
适为六卷。其遗方并入论集。便于简阅。大抵因三阳王氏义例云。
按是书所采。成氏注解之外。凡二十有二家。辑HT 颇为详博。若沈亮宸王文禄唐不岩张卿子说。世从不见别
为采载者。考沈名晋垣。张名遂辰。同钱塘人。王字世廉。号沂阳生。海盐人。着有医先一卷。其事履并见县志。
特唐不岩一人。未详里贯。想亦系明季人。盖开美辑书之时。各为参订者。故附入其说也。
〔史氏(暗然)伤寒论注〕十四卷 未见
汪琥曰。史氏伤寒论注。明越人史暗然百 氏着。书凡十四卷。其第一卷。先平脉法。第二卷。辨脉法。第
三卷。太阳病。第四卷。阳明少阳病。第五卷。太阴少阴病。第六卷。厥阴病。第七卷。痉湿 霍乱。以至于瘥
后等病。而复集阴阳毒百合狐惑等证。名曰补遗。第八卷。乃次伤寒例。第九卷。辨汗吐下可不可。第十卷。辨
外感内伤。及食积痰等。十二证。与伤寒异。第十一卷。则载仲景原论中。桂枝汤等。九十一方。第十二卷。则
采金匮升麻鳖甲汤等。二十二方补之。第十三卷。则采局方治四时感冒。如香苏饮等十一首。附以补方八首。第
十四卷。则采刘河间治夏月感冒方六首。其大旨以仲景叔和原论。如言脉处。则曰惊愧脉。曰相
乘脉。曰残贼灾怪等脉。如辨证处。则曰太阳本证。曰传经。曰春温。曰愈期。曰坏证。曰合病。曰并病。曰衄。
曰冒。曰喘。曰吐等。各就本文。而标出之。其治春温灼热。则采活人书。知母干葛汤。葳蕤汤以主治。此为可
取之处。又其注病患身大热。反欲得近衣节。则引陶节庵云。虚弱素寒之人。感邪发热。热邪浮浅。不胜沉寒。
(方有执)在任期间,或许能向有道之人请教。这样也还可以稍微保持谨慎专注、操持存养的心态,连一笔一划都不敢苟且随意罢了。万历二十一年,岁次癸巳。仲冬闰月辛巳初一,往后推三天是癸未日。新安人方有执自写跋文。
闵芝庆说:方氏撰写《伤寒论条辨》,将太阳一经分为三篇。把“风伤卫”作为上编,其中总论中风和伤寒的内容,比如“太阳病七日以上自愈者”之类的条文,不能一一列举。这些内容既然属于总论,就很难将其强行分为两类,把它们列在上编,本来也没有不可以的。但这与“以风伤卫为上编”的说法略有违背。
另外,依据“寒伤营为中篇”的说法,凡是各条开头带有“伤寒”二字的,都归入中篇。却不知道其中原本就有专指“寒伤营”的,也有兼指“风伤卫”的。大概中风与伤寒,可以分别称为两个名字,又可以合起来统称为伤寒。因此,中风与伤寒作为疾病,自古以来通称为伤寒。例如“伤寒一二日,阳明少阳证不见者,为不传也”之类,这些都是言外之意兼论中风的情况。现在因为“伤寒”二字位于条首,就全部列入中篇,虽然也有依据,但既然有了“以寒伤营为中篇”的说法,那么后人如果固执拘泥,认为这与中风无关,那就危险了。
又将“发汗后病不解,再发汗”之类的内容,都列在中篇,意图是因为发汗的,一定是麻黄汤证。却不知道麻黄汤固然是发汗的药剂,桂枝汤虽然说是解肌,也被称为发汗。看书中所说的:“病常自汗出者,此为营气和……”结尾说:“复发其汗,营卫和则愈,宜桂枝汤。”那么桂枝汤也被称为发汗,这是显而易见的。怎么能说凡是提到发汗的,都归入寒伤营的篇章呢?
又依据“营卫俱中风寒者为下编”,凡是脉象浮紧,以及伤寒脉浮的,都归入其中。就拿他所作的注释来辨析一下:第一卷第一个证候,“太阳之为病,脉浮头项强痛而恶寒”,注释说:“尺寸俱浮者,知为病在太阳。”又说:“揭示太阳病的总体情况,作为三篇的大纲。”这似乎知道或者是中风,或者是伤寒,或者是风寒两伤,凡属太阳病的,都应当出现浮脉。
又依据第三卷第十三个证候,“伤寒脉浮滑,此表有热”,注释说:“伤寒脉不浮,浮者是风邪。”这与第三卷关于三阳大纲的注释自相矛盾,为什么唯独指出浮脉就是风邪呢?于是将凡是脉浮紧,以及伤寒脉浮的,都归入风寒两伤的篇章,这是错误的。
不仅如此,第三卷第三十五证,“伤寒胸中有热”,注释说:“热是指风邪。”第三十八证,“伤寒十三日不解,过经谵语者,以有热也”,注释说:“热,就是风邪。”难道不知道起始于太阳病的,无论是中风还是伤寒,都能化热吗?所以《素问·热论》说:“人之伤于寒也,则为病热。”怎么能唯独把热归结为风邪呢?于是将凡是伤寒有热、发热、以及像疟疾一样的发热恶寒、热多寒少的情况,都归入风寒两伤的篇章,错误也非常严重了。方氏的心思,无非是想标新立异以显示高明,所以他编排次序,完全更改旧本,前面的移到后面,后面的移到前面,各篇都有更移,太阳三篇尤为明显。他是想胜过王叔和吗?假设每个人都为了显示自己高明而随意改动,什么时候才能恢复张仲景的原貌并确定下来呢?真是无奈啊!我斗胆妄意认为这种随意的更改是不可取的。
汪琥说:《伤寒论条辨》,由明代歙县人方有执撰写。全书共八卷。先附图说,其次删削条例,再次辨析太阳病。以风伤卫为上编,分在第一卷;寒伤营为中篇,分在第二卷;营卫俱伤为下编,分在第三卷。阳明、少阳二经的病,分在第四卷。三阴经的病,分在第五卷。风温杂病,以及霍乱、阴阳易、差后等病,分在第六卷。痉湿病,以及辨脉法,分在第七卷。汗吐下法的可用与不可用,分在第八卷。后来又附录抄录的本草内容。他对张仲景六经篇文的条辨,可以说是详尽而且完备了。
《四库全书提要》说:《伤寒论条辨》八卷,附《本草钞》一卷,《或问》一卷,《痉书》一卷,明代方有执撰著。方有执字中行,歙县人。这本书刻印于万历壬辰年,前面有一篇己丑年的自序,还有一篇辛卯年的后序,以及一篇癸巳年所作的引文,那是刻成时加上去的。大致的意思是:后汉张机(张仲景)的《伤寒卒病论》,最初由王叔和编纂,已经有改移之处;后来金代成无己作注,又多所窜乱。医者有的认为这是不全的书,放置而不学习;有的沿袭这两家的错误,更加失去了真相。于是方有执耗费二十多年的精力,寻求头绪,排比整理成编,一一推究作者的本意,进行考订,所以名叫《条辨》。他原本保留的《伤寒例》一篇,不知道是谁添加的,竟然将其删去,而以《本草钞》一卷、《或问》一卷,附加在末尾。又因为医家误将痉病当作惊风,导致许多人夭折枉死,于是广泛引用《素问》、《金匮要略》、《伤寒卒病论》等各种说法,编写了《痉书》一卷,一并附在后面。方有执去世后,他的书版散失遗失。江西人喻昌于是采集方有执的说法,参以自己的意见,写成《伤寒尚论篇》,在世上盛行,而方有执的书便逐渐衰微。清朝康熙甲寅年,顺天人林起龙得到方有执的原版,厌恶喻昌剽窃旧说却隐瞒来源,于是重新评点刊印,并将《尚论篇》附刊在末尾,用来证明这件事,就是现在的这个版本。林起龙的序文中,对喻昌恶毒谩骂、丑化诋毁,很不雅正。他所详细论述的,也都是赞美之词,对于病证方药,没有什么新的发明。现在一并删去不载。所附刻的《尚论篇》,原本完整存在,已经另行著录。其中的异同得失,可以互相参考,不需要这个版本再次记载,现在也删去它,而在附录中保存原书目于此。
〔王氏(肯堂)《伤寒准绳》〕《医藏目录》八卷 存
自序说:人有生就一定有死,这是万物的常态。然而,人不死于衰老,而死于疾病,万物都是如此,而人类尤其严重。所以圣人怜悯他们,医药因此兴起。医药兴起后,天下的人又不死于疾病,而死于医药了。聪明的人对此感到愤慨,于是说:“生病而不用药,符合中等医者的标准。”难道不是真的吗?有人说:这只是针对伤寒说的。虽然如此,不仅仅限于伤寒,只是伤寒特别严重罢了。大概医生没有不尊崇黄帝、岐伯的,现在他们的书都在。但是只有理论论述而没有方剂,方法的完备,是从张仲景开始的。像仲景虽然独自以伤寒著称,然而两千年来,其间以医术闻名于世、被后世师承的,没有不从研读仲景的书悟入,就能直接窥探黄帝、岐伯医学奥妙的。所以黄帝、岐伯就像伏羲、文王,仲景就像孔子。易水派的师徒,就像濂洛(周敦颐、程颢、程颐)各位贤人;金华派的师徒,就像关闽(杨时、朱熹)各位大儒。比拟人物,没有比这更恰当的了。王好古说:伤寒的方法,可以治疗杂病;杂病的方法,不可以治疗伤寒。这真的是这样吗?伤寒法出于仲景,所以可以治疗杂病;而为杂病立法的人,大多未曾梦见仲景的境界,所以不可以治疗伤寒。既然如此,那么《伤寒论》可以不读吗?世上的医生,有终身目不识丁的,只执着于陶华(节庵)的《六书》,把它当作枕中的珍宝。考察陶华的书,不过是剽窃张仲景的余唾,还没有望见易水派(李东垣等)的门墙,就贬低《伤寒论》为非全本,蒙蔽欺骗后来的学者,大概是仲景的罪人。而世人还尊崇他,夭折枉死的人哪里说得完呢?我年少时读仲景的书,现在老了,还没有窥探到它的堂室。平生手捧一本书,用丹砂和铅粉批注几乎遍满,纸张败坏,墨迹褪色。海虞严道彻看到并喜爱它,想要刻印流传,但我没有答应他。不是吝啬它,而是慎重对待它。丁酉、戊戌年间,因为嘉善高生的请求,才开始编辑《杂病准绳》,而没有涉及伤寒,不是轻视它,而是因为觉得困难。今年秋天,同年姜仲文知道我除了编辑杂病之外,还有伤寒、妇科、儿科、疡科,作为准绳的有四部,派遣使者来抄录,却不知道我被忧郁和高热之病困扰,尚未起草,因此感慨之下先完成了伤寒书八册,从八月朔日开始,到重九日完成。有人说:用几十万言,在四十天内完成,不太草率吗?我说:我在书库中酝酿,在书林中猎取知识,大概三十多年了,不能说草率。伤寒只是一种病,却有几十万言,不太繁琐吗?我说:我还担心它太简略呢。为什么呢?这本书的设置,是为了因证检书、寻求治疗方法而设立的。所以如果分证不详,就担心会有误诊;详备就会多有互见和重复,又怎么能不繁琐呢?后来注解仲景书、续补仲景法的人,有的见到全貌,有的窥见一斑,都可以作为后学的指南,具备选择地记载下来,又怎么能不繁琐呢?况且一个人读一本书,理解一句话,如果迷失了道理,心里有障碍,去问 knowledgeable 的人,就唯恐他不告诉我,或者告诉得不详细。我固然愚钝低下,但学医的天资,并不比别人差。把我白头都不能穷究的知识,与天下后世共同探究,只怕读起来容易耗尽,反而担心它太繁琐吗?丹阳贺知忍心中想着救济万物,勇于行义,愿意为我流通此书。书还没完成,他已经召集工匠准备材料了。我之所以迅速完成,是因为这个原因,所以在篇首叙述。时间是万历三十二年,岁次甲辰重九日,念西居士王肯堂宇泰书写。
凡例说:编纂伤寒书的很多了。只知道尊重仲景书,而遗漏后贤续补的方法,是好古的过失,比如类证诸书。只图俗人的方便,而雅俗混杂,淄水和渑水分辨不清,使世人不知道哪一个是仲景的,这是俗工的错误,比如琐言蕴要诸书。只有娄全善的《纲目》,在前面列出六经正病,然后依次列出合病、并病,汗吐下后各种坏病,再依次列出因四季感受不同之气而变化的病,以及妇女婴儿的病结束。而在每条之中,备列仲景的方法,然后把后贤续补的方法附在后面。既包罗百家,又不相混淆杂乱,体例的好处,没有超过它的。这本书的篇目,大致沿用它。
解释仲景书的,只有成无己最为详细明了。虽然是随文顺释,有时也会有自相矛盾的地方,也是白璧微瑕,确实无损于连城之价。此后赵嗣真、张兼善等人,都有发明,都可以成为成氏的忠臣。张公(张兼善)是张元素的耳孙,所以多采纳他的观点,使学习者一览洞然,而我的一得之愚,也时常附上。那些文义浅近,不必训释的,则一概省去。内一字,赵是指嗣真,张是指兼善,黄是指仲理,活是指朱肱的《活人书》,庞是指安时,许是指叔微学士,本是指许叔微的《本事方》,韩是指和,孙是指兆,洁是指洁古张元素,云是指洁古之子云岐子,垣是指李东垣,丹是指朱丹溪,海是指王海藏,王是指履,罗是指天益,戴是指元礼,娄是指全善,吴是指绶,陶是指华。不系姓字的,除了篇首辨证数语之外,都是仲景的论文。
《内经》说:风雨寒暑,不得虚邪不能独伤人。至于丹溪又说:伤寒属于内伤的,十居八九,应当以补元气为主。由此而言,后人治伤寒者,既然都没有完全认识仲景的方法,又不知道病本于内伤虚劳,而思考补养,只用汗下法致死的,他们杀人与刀剑有何区别?想到这里,切骨痛心。现在虽然以后贤补养的方法,附载在篇中,但书不尽言,言不尽意,尤其希望临证的医生,重视人命而畏惧阴谴,熟玩此书,心中无疑,然后下手用药。即使不能做到这样,宁可过于谨慎保护元气,不要孟浪使用汗下法,然后才差不多能少犯错误。
《明史稿·王樵传》说:儿子王肯堂,字宇泰,万历十七年中进士,选庶吉士,授检讨。博览群籍,名声显赫于馆阁。倭寇侵犯朝鲜,上疏陈述十议,愿借御史衔,在海上进兵练兵。奏疏留在宫中未发,于是称病回家。京察时被降职调任。在家居住很久,吏部侍郎杨时乔推荐补任南京行人司副,最终官至福建参政。肯堂喜欢读书,著述非常丰富,擅长书法。因为他尤其精通医理,所以又附见于《方伎传》中。又《方伎传》说:王肯堂,字宇泰,金坛人。万历年间中进士,选庶吉士,授检讨。因京察被贬官,最终官至福建参政。肯堂博览群书,兼通医学。所著的《证治准绳》,被医家所尊崇。
汪琥说:《伤寒证治准绳》,由明代金坛人王肯堂宇泰甫编辑。全书共八帙。首先列出序例入门,辨证内外伤,以及类伤寒辨。第一帙,则以伤寒总例居前。总例,就是叙述四时伤寒传变,以及汗吐下法,还有愈解死证、阴阳表里、伤寒杂病、类证杂论、察色要略。第二帙,则以太阳例居前,而以发热、恶寒、恶风、头痛等证附在后面。第三帙,则以阳明病居前,而以不大便、不得卧、自汗、潮热、谵语等证附在后面。又少阳病口苦、咽干、往来寒热等证,也一并附在后面。第四帙,先列三阴总纶。太阴病,则附以腹满痛等证;少阴病,则附以但欲寐、口燥咽干等证;厥阴病,则附以气上冲心等证。第五帙,则言合并病,又汗吐下后不解,喘而短气等证。第六帙,则继以小便利不利等证,复附以狐惑、百合、两感证。第七帙,则言劳复、食复、差后等证。又言四时伤寒不同,温暑、疟、痉等证。后附以妇人小儿伤寒。第八帙,则辨脉法、药性。这本书完全沿袭娄氏《纲目》的义理,而以仲景方论为主,后贤续法附在后面。伤寒的书,到了这里可以说是详尽而且完备了。只是可惜它的纂注大意,以及各方剂的义理,不能明畅。又说发热、恶寒、头痛等证,各经都有,怎么能限定附在一经之中呢?这让我有些遗憾。
〔赵氏(开美)《集注伤寒论》〕十卷 存
凡例说:仲景的书,精妙无与伦比,如果不是善于阅读的人,未免会滞碍于文字之下。诸家的论述,各有发明,而聊城成无己引经析义,尤其被称为详细洽当。虽然有违逆和附会的地方,偶尔也有,然而诸家没有人能超过他。初学者不能舍弃这条道路去寻找路径。完全依照旧本,不敢有所去取。
诸家善于发挥仲景义理的,没有超过南阳(张仲景)。除此之外,如潜善(赵嗣真)、洁古(张元素)、安常(庞安时)、东垣(李杲)、丹溪(朱震亨)、安道(王好古),近代如三阳(王肯堂)诸位君子,单词短语,虽然不完全拘泥于长沙(张仲景)的足迹,实则深得长沙的精义。急忙采入,以补充六经未阐发的旨意。
这本书,仲景自序,原本是十六卷,到了王叔和编纂成为三十六卷。现在坊间版本仅得十卷,而且第七、第八卷又把两卷合为一卷。十卷仅仅次于遗方,先后详略,不再是仲景、王叔和的旧貌了。现在根据《辨平脉法》为一卷,从《伤寒大例》及六经次第,不再胡乱编排,只以先后匀适为原则分为六卷。其遗方并入论集中,便于简要阅读。大致沿袭王氏(王好古)的义例。
按:这本书所采用的,除了成氏注解之外,共有二十二家。辑录颇为详细广博。像沈亮宸、王文禄、唐不岩、张卿子的说法,世间从未单独被采载过。考证沈名晋垣,张名遂辰,都是钱塘人。王字世廉,号沂阳生,海盐人,著有《医先》一卷。他的事迹都见于县志。唯独唐不岩一人,不详籍贯,想必也是明末人。大概是开美编辑书的时候,各自参与修订,所以附上他们的说法。
〔史氏(暗然)《伤寒论注》〕十四卷 未见
汪琥说:史氏《伤寒论注》,明代越人史暗然百氏撰写。全书共十四卷。第一卷,先讲平脉法。第二卷,辨脉法。第三卷,太阳病。第四卷,阳明少阳病。第五卷,太阴少阴病。第六卷,厥阴病。第七卷,痉湿霍乱,以至于差后等病,又集合阴阳毒、百合、狐惑等证,名叫《补遗》。第八卷,乃次《伤寒例》。第九卷,辨汗吐下可不可。第十卷,辨外感内伤,及食积痰等十二证,与伤寒不同。第十一卷,则记载仲景原论中,桂枝汤等九十一方。第十二卷,则采《金匮》升麻鳖甲汤等二十二方补之。第十三卷,则采局方治四时感冒,如香苏饮等十一首,附以补方八首。第十四卷,则采刘河间治夏月感冒方六首。其大旨以仲景、王叔和原论,如言脉处,则曰惊愧脉、曰相乘脉、曰残贼灾怪等脉;如辨证处,则曰太阳本证、曰传经、曰春温、曰愈期、曰坏证、曰合病、曰并病、曰衄、曰冒、曰喘、曰吐等,各就本文,而标出之。其治疗春温灼热,则采用《活人书》的知母干葛汤、葳蕤汤来主治,这是可取之处。又他在注解“病患身大热,反欲得近衣”一节时,引用陶节庵的话说:虚弱素寒之人,感邪发热,热邪浮浅,不胜沉寒。
(Fang Youzhi) While serving in office, perhaps he could seek guidance from those who possess the Dao. In this way, he might still be able to maintain a state of cautious diligence and focused preservation, not daring to be careless even in a single stroke or character. The twenty-first year of Wanli, corresponding to the year Guisi (Water Snake). Mid-winter, the intercalary month began on Xinsi (Metal Rat). Three days later was Guiwei (Water Goat). Fang Youzhi of Xin'an wrote his postscript.
Min Ziqing stated: Fang's *Shanghan Lun Tiaobian* (Treatise on Cold Damage Analysis) divides the Taiyang channel into three sections. It designates "Wind damaging Wei" as the Upper Section. Among these, general discussions on Windstroke and Cold Damage, such as cases where "Taiyang disease heals itself after seven days or more," cannot be exhaustively listed. Since these contents belong to general discussions, it is difficult to strictly divide them into two categories; placing them in the Upper Section is acceptable. However, this slightly contradicts the statement that "Wind damaging Wei constitutes the Upper Section."
Furthermore, based on the principle that "Cold damaging Ying constitutes the Middle Section," all clauses beginning with the characters "Shanghan" (Cold Damage) are included in the Middle Section. Yet, within these, some specifically refer to "Cold damaging Ying," while others implicitly refer to "Wind damaging Wei." Generally, Windstroke and Cold Damage can be distinguished as two separate names, but they can also be collectively referred to as Shanghan. Therefore, both Windstroke and Cold Damage have been commonly known as Shanghan since ancient times. For instance, "If in one or two days of Shanghan, Yangming and Shaoyang symptoms do not appear, it indicates no transmission." Such statements imply a discussion of Windstroke alongside Shanghan. By categorizing everything starting with "Shanghan" into the Middle Section, although there is some basis, given the designation of "Cold damaging Ying as the Middle Section," future readers might rigidly interpret this as having no relation to Windstroke, which would be perilous.
He further placed cases like "failure to resolve after sweating" or "re-sweating" into the Middle Section, assuming that sweating therapies necessarily correspond to Mahuang Tang (Ephedra Decoction) patterns. However, Mahuang Tang is indeed a diaphoretic agent, but Guizhi Tang (Cinnamon Twig Decoction), although described as releasing the muscle layer, is also termed a diaphoretic. As stated in the text: "When a patient constantly sweats, this indicates harmonized Ying Qi... Re-sweat the patient; when Ying and Wei are harmonized, the disease resolves; Guizhi Tang is appropriate." Thus, it is evident that Guizhi Tang is also considered a diaphoretic. How can one claim that all mentions of sweating belong exclusively to the Cold-damaging-Ying section?
Additionally, based on "Ying and Wei both damaged by Wind and Cold constituting the Lower Section," all instances of floating-tight pulse and floating pulse in Shanghan are included therein. Examining his annotations reveals contradictions. In the first clause of Volume 1, "Taiyang disease presents with floating pulse, stiffness and pain in the head and neck, and aversion to cold," the annotation states: "Floating pulses at both cun and chi indicate the disease is in Taiyang." It further says this reveals the general pathology of Taiyang, serving as the outline for the three sections. This implies that whether it is Windstroke, Cold Damage, or simultaneous Wind-Cold injury, any Taiyang condition should present with a floating pulse.
However, in Clause 13 of Volume 3, "Shanghan with floating-slippery pulse indicates heat on the exterior," the annotation claims: "Shanghan pulses do not float; if floating, it is Wind." This contradicts the earlier annotation regarding the Taiyang outline, arbitrarily associating only the floating pulse with Wind. Consequently, classifying all floating-tight and floating pulses under the Wind-Cold dual-injury section is erroneous.
Moreover, in Clause 35 of Volume 3, "Shanghan with heat in the chest," the annotation states: "Heat refers to Wind." In Clause 38, "Shanghan unresolved for thirteen days, passing through stages with delirium due to heat," the annotation states: "Heat is Wind." Does he not know that conditions originating in Taiyang, whether Windstroke or Cold Damage, can generate heat? Thus, *Suwen: Re Lun* states: "When humans are injured by Cold, they develop febrile diseases." How can heat be exclusively attributed to Wind? Therefore, classifying all cases of heat in Shanghan, fever, malarial-like alternating chills and fever, and cases with more heat than cold into the Wind-Cold dual-injury section is highly谬 (erroneous). Fang's intention was merely to establish novelty to appear superior. He rearranged the order of old editions, moving previous sections to the end and vice versa, with significant changes in the Taiyang sections. Did he intend to surpass Wang Shuhe? If everyone alters texts to elevate themselves, when will Zhang Zhongjing's original work be restored and established? It is truly lamentable. I dare to assert that such arbitrary alterations are inadvisable.
Wang Hu stated: *Shanghan Lun Tiaobian* was authored by Fang Youzhi of She County, Ming Dynasty. The book comprises eight volumes. It begins with diagrams and explanations, followed by revised examples, then analyzes Taiyang disease. Wind damaging Wei is the Upper Section (Volume 1); Cold damaging Ying is the Middle Section (Volume 2); Ying and Wei both damaged is the Lower Section (Volume 3). Yangming and Shaoyang diseases are in Volume 4. Three Yin channel diseases are in Volume 5. Wind-Warmth miscellaneous diseases, along with Huoluan (Cholera), Yinyang Yi (Post-coital syndrome), and post-recovery diseases, are in Volume 6. Jing (Stiffness/Convulsion) and Shi (Dampness), along with Pulse Differentiation, are in Volume 7. The applicability of Sweating, Vomiting, and Purging methods are in Volume 8. An appendix on Materia Medica excerpts follows. His analysis of Zhang Zhongjing's Six Channel chapters is indeed detailed and comprehensive.
The *Siku Quanshu* (Complete Library of the Four Treasuries) Abstract states: *Shanghan Lun Tiaobian*, 8 volumes, with appendices *Bencao Chao* (Excerpts from Materia Medica), 1 volume, *Huo Wen* (Questions and Answers), 1 volume, and *Jing Shu* (Book on Stiffness), 1 volume, written by Fang Youzhi of the Ming Dynasty. Fang, courtesy name Zhongxing, was from She County. The book was printed in the Renchen year of Wanli. It contains a preface from the Jichou year, a postface from the Xinmao year, and an introduction from the Guisi year, added upon completion. The main premise is that Zhang Ji's (Zhang Zhongjing) *Shanghan Zoubing Lun* (Treatise on Cold Damage and Miscellaneous Diseases) was initially compiled by Wang Shuhe, who had already altered the order; later, Cheng Wuji's annotations introduced further distortions. Physicians either regarded it as incomplete and neglected it, or followed the errors of these two schools, losing the truth. Thus, Fang devoted over twenty years to seeking the origins, organizing the material, deducing the author's intent, and conducting textual criticism, hence the title *Tiaobian* (Analysis and Arrangement). He removed the original *Shanghan Li* (Example of Cold Damage) chapter, whose authorship was unknown, and appended *Bencao Chao* and *Huo Wen* at the end. Noticing that physicians mistakenly treated Jing disease (stiffness/convulsions) as infantile convulsions, leading to many deaths, he cited *Suwen*, *Jingui Yaolue*, and *Shanghan Zoubing Lun* to write *Jing Shu*, appending it as well. After Fang's death, his printing blocks were lost. Yu Chang of Jiangxi collected Fang's theories, added his own insights, and wrote *Shanghan Shanglun Pian* (Discussion on Cold Damage), which became popular, causing Fang's work to fade. In the Jiayin year of Kangxi, Lin Qilong of Shuntian obtained Fang's original edition. Disliking Yu Chang's plagiarism and concealment of sources, Lin re-edited and published it, appending *Shanglun Pian* to prove the facts. This is the current version. Lin's preface viciously attacks Yu Chang, lacking elegance. His detailed comments are merely praise, offering no new insights into symptoms or formulas. These are now omitted. The appended *Shanglun Pian* exists separately and has been recorded elsewhere. Their similarities and differences can be cross-referenced without reprinting here. The original catalog entry is preserved below.
[Wang Ken tang's] *Shanghan Zhunsheng* (Standard Scale for Cold Damage Diagnosis and Treatment), *Yicang Mulu* (Catalog of Medical Treasures), 8 volumes. Extant.
Preface states: Life inevitably leads to death; this is the constant law of all things. However, people do not die of old age but of disease; this applies to all things, but especially to humans. Thus, sages pitied them, and medicine arose. With medicine, people stopped dying of disease and started dying of medical errors. Wise men were indignant, saying, "To treat illness without medication aligns with the standard of a mediocre physician." Is this not true? Some say this applies only to Shanghan. Although so, it applies beyond Shanghan, though Shanghan is particularly severe. Physicians generally revere Huangdi (Yellow Emperor) and Qibo. Their texts exist, containing theory but lacking formulas. Comprehensive methods began with Zhang Zhongjing. Although Zhongjing is famous primarily for Shanghan, over two millennia, those renowned for medicine and inherited by posterity have invariably entered the profound secrets of Huangdi and Qibo through studying Zhongjing. Thus, Huangdi and Qibo are like Fuxi and King Wen; Zhongjing is like Confucius. The disciples of Yishui (Li Donggan et al.) are like the Lueluo sages; the disciples of Jinhua (Wu Mei et al.) are like the Guanmin Confucians. No comparison is more apt. Wang Haogu said: Shanghan methods can treat miscellaneous diseases, but miscellaneous disease methods cannot treat Shanghan. Is this really so? Shanghan methods originate from Zhongjing, so they can treat miscellaneous diseases; those formulating miscellaneous disease methods rarely dream of Zhongjing's realm, so they cannot treat Shanghan. Then, must *Shanghan Lun* be ignored? Many physicians today are illiterate, clinging to Tao Hua's *Six Books* as their treasure. Tao's works merely plagiarize Zhongjing's remnants, failing to reach the gates of the Yishui school, yet he disparages *Shanghan Lun* as incomplete, deceiving students. He is a sinner against Zhongjing, yet revered by the world, causing countless unnecessary deaths. I read Zhongjing's books in my youth; now old, I have not even reached its inner chambers. My annotated copies are worn out. Yan Daoche of Haiyu admired them and wished to print them, but I refused, not out of stinginess, but caution. Between Dingyou and Wuxu years, prompted by Gao Sheng of Jiashan, I began editing *Zabing Zhunsheng* (Standard Scale for Miscellaneous Disease Diagnosis and Treatment), excluding Shanghan not out of disdain, but difficulty. This autumn, Jiang Zhongwen, my fellow graduate, learned I had edited Shanghan, Gynecology, Pediatrics, and Surgery as four parts of *Zhunsheng*. He sent envoys to copy them, unaware I was hindered by melancholy and high fever, having not even drafted them. Moved, I completed the Shanghan book in eight fascicles between the first day of the eighth month and the Double Ninth Festival. Some ask: Completing hundreds of thousands of words in forty days seems hasty. I reply: I have pondered in libraries and hunted through books for thirty years; it is not hasty. Shanghan is one disease, yet hundreds of thousands of words seem verbose. I reply: I fear brevity. This book is designed for symptom-based lookup and treatment selection. If classifications are vague, errors may occur; if detailed, repetitions arise, necessitating verbosity. Later annotators and successors provide guides for students; including their selections adds to the volume. Furthermore, when learning, if one misunderstands a concept, one seeks clarification eagerly. Though I am dull, my aptitude for medicine is not inferior. Sharing what I could not fully comprehend in my lifetime with the world, one fears running out of content rather than finding it too much. He Zhiren of Danyang, benevolent and courageous, funded the printing before completion. Hence my rapid production. Prefaced on the Double Ninth Day, Jiachen Year, 32nd Year of Wanli, Nianxi Jushi Wang Kentang, Courtesy Name Yutai.
General Rules state: Many have compiled Shanghan books. Those respecting only Zhongjing while ignoring later successors err in valuing antiquity, e.g., *Leizheng* books. Those prioritizing vulgar convenience mix elegant and vulgar styles indistinguishably, obscuring Zhongjing's identity, e.g., *Suoyan Yunyao* books. Only Lou Quanshan's *Gangmu* places Six Channel primary diseases first, followed by combined diseases, post-therapy complications, seasonal variations, and gynecological/pediatric cases. Each clause lists Zhongjing's methods, followed by successor methods. This encompasses diverse schools without confusion, setting a superior example. This book largely follows this structure.
Regarding annotations, Cheng Wuji is the most detailed. Though occasionally contradictory, these are minor flaws in a masterpiece. Later scholars like Zhao Sizhen and Zhang Jianshan made innovations, serving Cheng faithfully. Zhang, being a descendant of Zhang Yuansu, is frequently cited for clarity. My humble insights are occasionally added. Texts requiring no explanation are omitted. Abbreviations: Zhao = Sizhen; Zhang = Jianshan; Huang = Zhongli; Huo = Zhu Gong's *Huoren Shu*; Pang = Anshi; Xu = Shuwei; Ben = Xu's *Benshi Fang*; Han = He; Sun = Zhao; Jie = Jiegu Zhang Yuansu; Yun = Yunqizi (Jiegu's son); Yuan = Li Donggan; Dan = Zhu Danxi; Hai = Wang Haicang; Wang = Lv; Luo = Tianyi; Dai = Yuanli; Lou = Quanshan; Wu = Shou; Tao = Hua. Names without surnames refer to Zhongjing's text, except for initial differentiation paragraphs.
*Neijing* states: Wind, rain, cold, and heat cannot injure unless deficiency exists. Danxi stated: Eight or nine out of ten Shanghan cases stem from internal deficiency, requiring Qi tonification. Subsequent physicians, failing to fully grasp Zhongjing's methods and ignoring internal deficiency roots, used sweating and purging excessively, killing patients as effectively as swords. This causes heartbreak. Although successor tonification methods are appended here, words cannot fully convey meaning. I urge practitioners to value life, fear karmic retribution, study thoroughly, and act cautiously. Even if unable to achieve perfection, better to over-protect Qi than rashly sweat or purge.
*Ming Shi Gao* biography of Wang Qiao states: Son Wang Kentang, courtesy name Yutai, passed jinshi exams in 17th Year of Wanli, selected as Hanlin Academician, appointed Reviewer. Erudite, famous in court. When Japanese pirates attacked Korea, he submitted ten proposals, requesting Censor rank to train troops at sea. Proposal withheld. He resigned due to illness. Demoted during evaluation. Lived in seclusion. Recommended by Yang Shiqiao to serve as Vice Director of Palace Attendants in Nanjing, eventually reaching Provincial Governor of Fujian. Kentang loved reading, produced extensive writings, skilled in calligraphy. Due to his medical expertise, he is also included in the Biography of Artisans. The *Biography of Artisans* states: Wang Kentang, Yutai, from Jintan. Passed jinshi in Wanli era, Hanlin Academician, Reviewer. Demoted, died as Fujian Provincial Governor. Read widely, mastered medicine. *Zhengzhi Zhunsheng* is revered by physicians.
Wang Hu stated: *Shanghan Zhengzhi Zhunsheng* edited by Wang Kentang of Jintan, Ming Dynasty. Eight fascicles. Begins with prefaces, differentiating internal/external injuries and similar conditions. Fascicle 1: General Shanghan principles, transmission, therapy applicability, recovery/death signs, Yin/Yang, interior/exterior, miscellaneous diseases, color observation. Fascicle 2: Taiyang principles, attached symptoms (fever, aversion to cold/wind, headache). Fascicle 3: Yangming disease, attached symptoms (constipation, insomnia, spontaneous sweating, tidal fever, delirium). Shaoyang symptoms (bitter taste, dry throat, alternating chills/fever) also included. Fascicle 4: Three Yin overview. Taoyin attached with abdominal fullness/pain; Shaoyin with lethargy, dry mouth/throat; Jueyin with Qi rushing upward. Fascicle 5: Combined diseases, post-therapy complications (asthma, shortness of breath). Fascicle 6: Urinary issues, plus Huhu, Baihe, and dual-infection syndromes. Fascicle 7: Relapse due to labor/diet, post-recovery. Seasonal variations, Warmth, Summerheat, Malaria, Jing syndromes. Appendices on women/children. Fascicle 8: Pulse differentiation, drug properties. The book follows Lou's *Gangmu* structure, focusing on Zhongjing's formulas with successor methods appended. Shanghan literature reaches completeness here. Regrettably, annotations and formula interpretations lack clarity. Grouping symptoms like fever/headache into specific channels is limiting.
[Zhao Kaimei's] *Jizhu Shanghan Lun* (Collected Annotations on Treatise on Cold Damage), 10 volumes. Extant.
General Rules state: Zhongjing's work is peerless; poor readers get stuck on words. Various commentaries offer insights, but Cheng Wuji's citation of classics is most thorough. Despite occasional forced interpretations, none surpass him. Beginners rely on this path. I follow the old edition without deletion. Scholars excelling in interpreting Zhongjing include Nanyang (Zhongjing), Zhao Sizhen, Zhang Jianshan, Zhang Yuansu, Li Donggan, Zhu Danxi, Wang Haogu, and Wang Kentang. Though not strictly adhering to Zhongjing's format, they capture his essence. I urgently incorporated their brief comments to supplement the Six Channels.
Zhongjing's original preface described 16 volumes; Wang Shuhe expanded to 36. Current editions have only 10, merging Vol 7 and 8. Only residual formulas remain, altering the original sequence. I organized *Ping Mai Fa* into one volume. From *Shanghan Da Li* through the Six Channels, I avoided arbitrary rearrangement, arranging for balance across six volumes. Residual formulas are merged for ease of use. Largely following Wang Hao gu's structure.
Note: Besides Cheng's annotations, 22 other sources are used. Shen Liangchen, Wang Wenlu, Tang Buyan, and Zhang Qingzi are rarely cited elsewhere. Shen Jin yuan and Zhang Sui chen were from Qiantang. Wang Wenlu (Shilian, Yiyang Sheng) was from Haiyan, author of *Yi Xian*. Tang Buyan's origin is unknown, likely late Ming. They participated in revisions, hence included.
[Shi Anran's] *Shanghan Lun Zhu* (Annotations on Treatise on Cold Damage), 14 volumes. Not seen.
Wang Hu stated: Authored by Shi Anran of Yue, Ming Dynasty. 14 volumes. Vol 1: Ping Mai Fa. Vol 2: Bian Mai Fa. Vol 3: Taiyang. Vol 4: Yangming/Shaoyang. Vol 5: Taiyin/Shaoyin. Vol 6: Jueyin. Vol 7: Jing/Shi/Huoluan, post-recovery, plus supplementary Yin Yang Du, Baihe, Huhu. Vol 8: Shanghan Li. Vol 9: Applicability of Sweating/Vomiting/Purging. Vol 10: External/Internal injuries, food stagnation, phlegm (12 types distinct from Shanghan). Vol 11: 91 formulas from Zhongjing (e.g., Guizhi Tang). Vol 12: 22 supplementary formulas from *Jingui* (e.g., Shengma Biejia Tang). Vol 13: Bureau Formulas for seasonal colds (e.g., Xiangsu Yin) plus 8 supplements. Vol 14: Liu Hejian's summer cold formulas. Main approach: Extracts terms from Zhongjing/Wang Shuhe (e.g., Jingkui pulse, Xiangcheng pulse, Taiyang primary symptoms, transmission, Spring Warmth, healing periods, complicated diseases, combined diseases, epistaxis, dizziness, asthma, vomiting). Tags them in text. For Spring Warmth/fever, uses *Huoren Shu* formulas (Zhimu Gan Ge Tang, Weirui Tang), which is commendable. Regarding "patient with high fever desires clothing," he cites Tao Jian'an: "Weak, cold-prone individuals contracting pathogenic heat find superficial heat unbearable against deep cold."