昔上古人多寿万年,自黄帝无端而制为百草之经,毒天下后世,百病陡发,人几不获遂
其生矣。然遽以不仁目其书,其书终不可废,何也?亦顾用其术者何如耳。予唯刑是职,惴
惴惧远于仁术,然于古先王设刑之意,罔不竞竞。盖以刑之绳人,犹药之攻疾,疾止则已,
人直则宥,无二道也。因退食之暇,见太守王公较政《仁术便览》一书,喜而手之不倦,知
为张君所纂辑也。予悯其缺略而补之,不敢妄为增加。诚以医之为道,必洞见垣一方始得以
刀圭投之。如执成方而杀人,何异于以挺与刃哉,其毒天下甚矣,其毒万世甚矣。然有是编
而不仁滋大,刑书铸而俟人平反,是编存而俟人神明,其用以去病也。等之畏法则人尽反于
古初,何异黄帝亲授一经哉。不然予 以杀人者而谋生人,后之不善读是书者,或至以生人
者而反杀人,是岂余之意也夫!
岐黄家侈口而谭方伎,人持其说以争相秦楚,几令臧三耳矣。其所为标本支节,传经递
络,浮沉缓促,洪细起伏,一切按五部而约之三关,藉令越人见垣加功巧十等,谅毋委去膏
肓而洞中嗣君也。善乎太仓令之言曰∶臣不能起死而能知生,人病各以其意投之,病辄效,
则治之非难,而中之难也。方书医乘何翅充栋,而操指稍稍略似,可付咸阳一炬耳。文学张
君蚤以儒生起家,已而厌弃,好养生言,用是搜古验今,綦累成帙因扁其名曰《仁术便览》。
一开卷间,青囊大备,若入武库,五兵纵横,而言约理要,指掌可睹,真摄身者南车也。啬
生久视,达命者诚非之。然使疾病无夭迂而中其 恙,于人亦可有济,毋亦长者之心哉。郡
侯王公,当世所推毂,仁者也。公之惠此元元也,既已起疲癃而大造之矣。而尤有当于文学
之言,乃飞尺檄,命应选厕一言以序之,远哉乎公之用心也。公之政寿一郡,公之心寿一世,
令大地以内有负惫无号者,公心戚戚焉。彼其旌干所及,靡不旁皇,即令格于树采者,则药
笼具在,振此足致无涯矣。夫亦以其恫 之心而托之以绥乎。州太学生夏惟勤精于其学,称
国手。公尝属之校雠,亦谓一字千金矣,是中经首哉。
万历乙酉秋九月望日
属下吏冀州知州方应选谨撰
从前上古时代的人大多长寿,活到万年之久。自从黄帝无端地制定了《百草经》(记载各种药物性质的书籍),用毒药危害了天下后世的人,导致百病突然爆发,人们几乎无法保全生命了。然而,如果立刻用“不仁”来指责这本书,这本书终究是不可废除的,为什么呢?这全在于使用这些医术的人是如何运用罢了。我专职于刑罚,心中惴惴不安,唯恐偏离了仁爱之术,但对于古代圣王设立刑罚的本意,无不兢兢业业地探究。大概是因为刑罚用来约束人,就像药物用来攻治病邪一样,病好了就停止,人改正了错误就宽恕,道理是一样的。
因此在退朝休息之余,我看到太守王公校订政事时阅读《仁术便览》这本书,喜欢得手不释卷,知道这是张君编纂辑录的。我怜悯书中内容有所缺漏而加以补充,不敢妄自增加。确实因为医学之道,必须透彻了解病情所在的部位和机理,才能准确地用药投剂。如果拘泥于现成的方剂而害死人,这与拿着棍棒和刀刃杀人有什么区别呢?那样危害天下太严重了,危害万世也太严重了。然而有了这部书而不施行仁政,使不仁之心滋长;刑法铸成后等待人们去申诉平反,这部医书存在却等待人们去明察秋毫地运用,其目的都是为了去除疾病。同样敬畏法度,人们就能全部回归到上古淳朴的状态,这与黄帝亲自传授一部医经有什么不同呢?否则,我这个掌管刑罚的人却在谋划救人,后代不善读这本书的人,或许甚至会把救人变成害人,这难道是我的本意吗!
岐黄学派(中医流派)的人夸夸其谈关于方剂和医术,人们拿着他们的学说互相争论是非,简直像臧三耳(指荒谬诡辩)一样。他们所说的标本、支节、传经、递络,以及脉象的浮沉、缓促、洪细、起伏,一切都按照五脏分部而概括为寸关尺三部。即使让扁鹊(字越人)看到垣墙之内再加十倍功夫,恐怕也不会放弃膏肓之疾而去精准诊断嗣君的病症吧。太仓令(即淳于意)说得好:“我不能起死回生,但能预知生死。病人各自根据自己的意愿求医,病往往能治愈,那么治疗并不难,难的是准确击中病机。”医书方典何止堆积如山,但只要手指诊脉稍微有点相似,就可以付之一炬烧掉算了。
文学博士张君早年以儒生身份起家,后来厌恶弃绝官场,喜好养生之言,因此搜集古验今,积累很多最终编成书册,于是题名为《仁术便览》。一打开书卷,医道大全具备,就像进入武库,兵器纵横交错,但言辞简约、理义精要,如同看手掌一样清晰可见,真是修身养性者的指南车啊。爱惜生命、长久视息,通达天命的人确实不能轻视它。然而如果疾病没有夭折迂曲而中其要害,对人也可以有救助,这也不失为长者的心肠吧。郡侯王公,是当世所推崇的仁者。他恩惠百姓,已经使疲弱残疾之人得到极大救治。而这尤其符合张文学的话,于是飞传书信,命我应选在一旁写一言作为序跋,王公的用心真是深远啊。王公的政绩使一郡长寿,他的心志使一世长寿,使得大地之内那些疲惫无助呻吟的人,王公心里都感到忧伤关切。他所管辖的地方,没有不彷徨安定的,即使遇到疑难重症,药笼器具都在,振作精神足以达到无穷的效果了。这也是寄托了他恫痛百姓之心来安抚他们吧。州太学生夏惟勤精通医术,被称为国手。王公曾委托他校对书籍,他也认为一字千金,这确实是经典中的精华啊。
万历乙酉年秋九月十五日
下属官吏冀州知州方应选谨撰
In ancient times, people generally lived long lives, reaching ten thousand years. Since the Yellow Emperor (Huangdi) arbitrarily compiled the *Classic of Hundred Herbs* (Bai Cao Jing, a text recording the properties of various medicinal substances), he used toxic substances to harm future generations, causing hundreds of diseases to erupt suddenly, and people could hardly preserve their lives. However, if we were to immediately label this book as "inhumane," it would still be indispensable. Why? It depends entirely on how those who employ these medical arts use them. I am in charge of penal law, feeling anxious and fearful of deviating from the benevolent art of healing. Yet, regarding the original intent of the ancient sage kings in establishing penal laws, I strive diligently. This is because penal law restrains people much like medicine attacks diseases: when the disease ceases, treatment stops; when a person rectifies their conduct, they are pardoned. The principle is the same.
Therefore, during my leisure time after official duties, I saw Governor Wang reviewing administrative affairs while reading the book *Ren Shu Bian Lan* (Convenient Guide to Benevolent Arts). I was delighted and read it tirelessly, knowing it was compiled by Master Zhang. Pitying its omissions, I supplemented them but dared not add anything arbitrarily. Indeed, the way of medicine requires penetrating insight into the location and nature of the pathology before one can accurately administer remedies with precise measurements (Dao Gui). If one adheres rigidly to established prescriptions and causes death, what difference is there from killing someone with a club or a blade? Such actions would harm the world severely and harm future generations even more severely. However, having this book without practicing benevolence allows inhumanity to grow; casting penal codes waits for people to seek redress, while preserving this medical text waits for people to apply it with clarity and wisdom, both aiming to remove disease. By equally respecting legal norms, people can return to the simplicity of antiquity. What difference is there from the Yellow Emperor personally transmitting a medical classic? Otherwise, I, a killer (in the sense of executing criminals), would be plotting to save lives. Future readers who fail to understand this book properly might even turn life-saving practices into lethal ones. Is this my intention?
Practitioners of the Qi-Huang school (Traditional Chinese Medicine lineage) boast about formulas and techniques. People hold their theories and argue over right and wrong, leading to absurdities akin to the paradox of "Zang having three ears." Their discussions on root and branch, collateral transmission, and pulse characteristics such as floating, sinking, slow, rapid, full, fine, rising, and falling, all categorize pulses according to the five zang organs and condense them into the three positions (Cun, Guan, Chi) of the wrist. Even if Bian Que (courtesy name Yue Ren) were to look inside walls and enhance his skills tenfold, he would likely not abandon treating incurable conditions (Gao Huang) nor accurately diagnose the heir apparent's illness. As the Grand Doctor of Taicang (Chunyu Yi) said: "I cannot raise the dead, but I can predict life and death. Patients seek treatment according to their own wills, and cures often follow. Thus, treatment itself is not difficult; the difficulty lies in hitting the target accurately." Medical texts and formularies are numerous enough to fill buildings, yet if practitioners' finger placements are only slightly similar, they should be burned in a single fire at Xianyang.
Master Zhang, a literary scholar, began his career as a Confucian scholar but later abandoned it, favoring regimens for longevity. Consequently, he collected ancient validations and modern experiences, accumulating them into volumes, and titled the work *Ren Shu Bian Lan*. Upon opening the scroll, the entirety of medical knowledge is available, like entering an armory with weapons arranged in all directions. Its language is concise, and its principles essential, clear as looking at one's palm. It is truly the south-pointing chariot (guide) for those who cultivate their bodies. Those who cherish life and seek longevity, understanding destiny, certainly do not despise it. However, if diseases do not strike prematurely or obliquely but hit their mark, it can also benefit humanity, reflecting the heart of a benevolent elder. Governor Wang, praised by the contemporary world as a benevolent man, has already alleviated the suffering of the weak and disabled through his grace. This aligns particularly well with Master Zhang's words. He sent a swift letter ordering Fang Yingxuan to write a preface. Governor Wang's foresight is profound. His governance brings longevity to the commandery; his heart brings longevity to the generation. Within the earth, he feels sorrow for the exhausted and crying poor. Wherever his banner reaches, people find peace. Even in cases of severe illness, where the medicine cabinet is ready, revitalization can achieve boundless results. This entrusts his compassion to soothe the people. Xia Weiqin, a student of the prefectural academy, excels in his learning and is called a national master. The governor once entrusted him with proofreading, and he too considered every word worth a thousand gold pieces. This is indeed the essence of classics.
On the fifteenth day of the ninth month of autumn, in the Yiyi year of the Wanli era,
Fang Yingxuan, Prefect of Jizhou and subordinate official, respectfully composed this.