医,仁术也,亦危机也。精其道可以活人,不精而尝试之,盛盛虚虚,致人夭折者多矣。古
之圣人,竭耳目心思之用,着书立说以诏后世,忧之至深而虑之至远也。然六气皆足以伤
人,而寒之入人为最毒,人之受之者为最酷。仲景以一人之智,阐千载不传之秘,亦既方法
并存常变兼举矣。后之学人,不能致察于精微,形症弗辨,经络不分,冥心胶固,执成法以
施之,无能为功,反以得咎,而仲景之旨亦因以晦。皇士秦先生,云间奇士,早负宿慧,学
儒者之学,贯通百家,有心济世,不以医名而业日以精,迎浮云,窥深渊,怡神消息,了然
心手之间,辨乎阴阳,分乎内外,验气运之推迁,因时度宜,以不失乎人情。故其所至,癃
罢以起,夭伤以愈,求治于门者屡常满;而先生闭户谢客,以数十年经历,神合百世之上,
潜心考证,笔之于书。癸巳秋,余以痰得交先生,因尽读枕中秘,微言寓论追踪往哲。《症
因脉治》而外,尚有《伤寒大白》一书未经行世,亟请先生付梓以传,庶几仲景之学复明,而
先生之道日及于远,是亦生民之大幸也。
时康熙五十三年岁次甲午夏月新安陈懋宽书于珠溪别业
天时有寒暑,地气有燥湿,人生其间,服食起居一不得其中,不能无病,病思医医则欲其必
生。虽然余谓医能生人,亦能伤人。何则?盖医与孺一理也,儒理未明,则拘掌陈迹,无论
未读古人之书,即取诸名家书而尽读之,不能融洽其理,辄昧昧焉虚实未审,攻补乱投,虽
、苓、参、术不善用之亦为鸩毒。夫医之为道,理甚微,旨甚奥,非殚其精思,搜其体
要,不可以尝试也。云间向多明医,余幼时即知有秦景明先生为一代神手,年来余以胸膈之
证久未能痊,每思安得若人与之同时,必有善治之法。今秋得与其从侄皇士之交,接膝而
谈,言言探本,闻其论议,便觉跃跃欲起。因知皇士先于儒理精通,故合之于医,洞若观
火,真非俗下所能窥见一斑者也。夫秦子挟活人之技,而四方交书走币迎谒者踵相接,使遨
游南北之间,晋接王公之第,声价可与良相等。乃闭门谢客,立意着书,焚膏继晷,徒自苦
何为者?秦子曰∶医,济人者也。济人而不能疗一时之病,余心歉然;济人而不能疗天下后
世人之病,余心亦歉然。宁以求名,宁以市利哉!于是汇簇书,阐发症因延医,施子宇瞻
昆季镌刻公世。今又融贯外感之原委,神明其用药之精微,补先辈所未足,辨前注所偶讹,
名曰《伤寒大白》,复得敬敷陈子付之剞劂,此真不朽之盛事矣。余遂历览诸刻,不特景明先
生有其真传,并岐轩以下诸名家无不赖以大白矣。是书行,虽天有寒暑,地有燥湿,人或为
戾气所感,亦可以调和而无恙。医必若是,而始能生人,能生世世之人,岂儒理不明拘牵陈
迹可以尝试乎!然而秦子之心苦矣,秦子之功大矣。乐而为之序。
时康熙五十三年岁次甲午秋九月望赐进士出身年家眷弟程 白山氏序
医,是仁爱的技艺,也是充满危机的领域。精通其道可以救人,若不精通而随意尝试,导致实证更盛、虚证更虚,致使他人早夭的情况很多。古代的圣人,竭尽耳目心思的功用,著书立说以告诫后世,担忧之深、思虑之远达到了极点。然而六气(风、寒、暑、湿、燥、火)都足以伤人,其中寒邪侵入人体最为毒烈,人感受它最为严酷。张仲景凭借一人的智慧,阐发千年来未曾流传的秘密,已经做到了方法与变化并存,常规与变通兼举。后世的学医者,不能在精微之处仔细考察,形体与症状不分辨,经络不清楚,冥思苦想且固执己见,拘泥于成法来施治,不仅不能取得功效,反而招致过失,于是张仲景的宗旨也因此晦暗不明。秦皇士先生,是松江地区的奇才,早年就负有宿慧,学习儒者的学问,贯通百家,有心济世,不以医生之名自居但医术日益精进,他像迎接浮云一样顺应自然,窥探深渊般的病理,怡养精神并调节身体,在心手之间了然于胸,辨别阴阳,区分内外,验证运气(五运六气)的推移变迁,根据时令斟酌适宜之法,从而不违背人情事理。因此他所到之处,小便不通和罢病的人得以起身,夭折受伤的人得以痊愈,上门求治的人常常坐满门槛;而先生闭门谢客,凭借数十年的经历,精神契合百世之上的古人,潜心考证,笔之于书。癸巳年秋天,我因患痰疾结识了先生,于是读完了他枕中的秘密著作,其微言大义寓于论述中,追踪古代哲人。除了《症因脉治》之外,还有一部《伤寒大白》尚未刊行于世,急切请求先生付梓以流传,希望张仲景的学问重新光明,先生的道术日益传播远方,这也是百姓的大幸啊。
时康熙五十三年岁次甲午夏月新安陈懋宽书写于珠溪别业
天时具有寒暑的变化,地气具有燥湿的差异,人生存其间,饮食起居一旦不得其中正之道,就不能没有疾病,生病寻求医生则希望医生必定能让人生存。虽然如此,我认为医生能救人,也能伤人。为什么呢?因为医与儒的道理是一样的,儒理如果不明确,就会拘泥于陈旧的事迹,无论是否读过古人的书,即使取名家之书全部读完,如果不能融会贯通其道理,往往昏昧不明,虚实未加审察,攻伐与补益乱投药物,即使是茯苓、人参、白术等药,如果不善于使用,也会成为鸩毒。医道的道理非常微妙,旨意非常深奥,不耗尽精思,搜求体要,不可以随意尝试。松江向来多有明医,我幼时就听说秦景明先生是一代神医,近年来我因胸膈的病症长久未能痊愈,常常想如果能得此人与我同时,一定有善治的方法。今年秋天得以与他的侄孙秦皇士结交,促膝而谈,言语句句探求根本,听到他的议论,便觉得跃跃欲试。因而知道秦皇士先精通儒理,所以将其合于医学,洞察事物如同看火一样清楚,真不是世俗之下所能窥见一斑的。秦子挟带救人的技艺,四方交往书信、携带钱币迎接拜见的人脚后跟相接,让他遨游南北之间,进见王公贵族的府第,声价可以与良相相比。他却闭门谢客,立志著书,焚膏继晷(点灯接续日光,形容夜以继日地勤奋),白白地自苦是为了什么?秦子说:医,是救济人的。救济人而不能治疗一时的病,我心里歉疚;救济人而不能治疗天下后世人的病,我心里也歉疚。难道是为了求名,难道是为了谋利吗!于是汇集簇集书籍,阐发病症原因及延请医生的方法,施宇瞻兄弟镌刻公之于世。现在又融会贯通外感的原委,神妙地运用用药的精微,补充先辈所未足,辨正前注所偶有的错误,命名为《伤寒大白》,又得到敬敷陈子的帮助交付刻印,这真是不朽的盛事啊。于是我遍览诸刻,不仅景明先生有其真传,并且岐轩以下的各位名家无不依赖此书而大白。这本书发行,虽然天有寒暑,地有燥湿,人或被戾气所感,也可以调和而无恙。医生必须像这样,才能救人,能救世世代代的人,难道儒理不明、拘牵陈迹就可以尝试吗!然而秦子的心很苦,秦子的功很大。乐于为此作序。
时康熙五十三年岁次甲午秋九月望赐进士出身年家眷弟程 白山氏序
Medicine is a benevolent art, yet also a field fraught with peril. Mastery of its principles can save lives; however, attempting it without mastery often leads to the exacerbation of excess conditions and the depletion of deficiency conditions, resulting in many premature deaths. The sages of antiquity exhausted their sensory and mental faculties to write books and establish theories to instruct future generations, demonstrating profound concern and far-reaching foresight. Among the Six Qi (Wind, Cold, Summer-heat, Dampness, Dryness, Fire), all can harm humans, but Cold pathogen invasion is the most toxic, and the suffering inflicted upon humans is the most severe. Zhang Zhongjing, relying on individual wisdom, elucidated secrets untransmitted for millennia, achieving a coexistence of standard methods and variable applications, as well as routine practices and adaptive changes. Later practitioners failed to investigate the subtle details, failing to distinguish between physical signs and symptoms or meridians. They remained stuck in rigid thinking, adhering strictly to established formulas, which proved ineffective and even harmful, thereby obscuring the true intent of Zhang Zhongjing. Mr. Qin Huangshi was a remarkable scholar from Yunjian (Songjiang). Possessing innate wisdom from an early age, he studied Confucian learning, integrating various schools of thought. He had a heart dedicated to saving the world, not seeking fame as a physician but refining his skills daily. He adapted to natural changes like welcoming floating clouds, probed deep into pathological depths, nurtured his spirit, and regulated his body, achieving clarity in both mind and hand. He distinguished Yin and Yang, separated interior and exterior, verified the shifts of Five Movements and Six Qi, adjusted treatments according to seasons and circumstances, and never violated human nature. Consequently, wherever he went, patients with strangury and debility recovered, and those injured or near death were healed. His door was frequently crowded with seekers. Yet, Mr. Qin closed his doors to visitors, drawing upon decades of experience to spiritually align with ancients, engaging in diligent textual research, and compiling his findings into a book. In the autumn of the Gui Si year, I met Mr. Qin due to my phlegm disorder. I then read his private manuscripts thoroughly; his subtle words and arguments traced back to ancient sages. Besides *Zheng Yin Mai Zhi* (Diagnosis, Etiology, and Pulse Management), there was another work, *Shanghan Da Bai* (Clarification of Cold Damage), unpublished. I urgently requested Mr. Qin to have it printed so that Zhang Zhongjing’s scholarship might be revived and his teachings spread far, which would indeed be a great fortune for the people.
Written by Chen Maokuan of Xin'an at his Zhu Xi Retreat in the summer of the Jia Wu year, the 53rd year of the Kangxi reign.
Heavenly time brings cold and heat; earthly qi brings dryness and dampness. Humans living amidst these must maintain balance in diet and daily life; otherwise, illness is inevitable. When sick, one seeks medical help hoping for survival. Nevertheless, I believe medicine can both save and harm. Why? Because the principle of medicine parallels that of Confucianism. If Confucian principles are unclear, one becomes bound by outdated traces. Regardless of whether one has read ancient texts, merely reading all works of famous masters without comprehending their underlying logic leads to confusion. One fails to examine deficiency and excess, indiscriminately using attacking and tonifying methods. Even herbs such as Poria Cocos (Fuling, 茯苓), Codonopsis Pilosula (Dangshen, 党参) [Note: Text says Shen, likely Ginseng/Renshen or Codonopsis contextually, but literal is Shen], Atractylodes Macrocephala (Baizhu, 白术), if misused, become poisonous. The Dao of medicine is subtle in principle and profound in meaning; it cannot be attempted without exhaustive contemplation and grasping of essentials. Yunjian has long been home to skilled physicians. In my youth, I knew of Mr. Qin Jingming as a divine healer of the generation. Recently, plagued by persistent chest and diaphragm disorders, I often wished for such a person to treat me simultaneously. This autumn, I befriended his grand-nephew, Qin Huangshi. Sitting knee-to-knee, our conversations probed the roots of matters. Hearing his discussions made me eager to act. I realized that since Qin Huangshi first mastered Confucian principles, applying them to medicine allowed him to see clearly as if watching fire. Truly, this insight is beyond the grasp of the mundane world. Qin Zi possessed the skill to save lives; scholars and officials from all directions sent letters and gifts, their footsteps following one another. He could have traveled north and south, visited noble mansions, and achieved prestige comparable to high ministers. Instead, he closed his doors, resolved to write, burning oil to extend daylight, asking why he subjected himself to such hardship. Qin Zi said: Medicine is for aiding others. If I aid others but cannot cure immediate illnesses, my heart feels guilty; if I cannot cure the illnesses of the world and future generations, my heart is equally guilty. Would I seek fame or profit? Thus, he compiled books, expounded on disease etiology and the selection of physicians, and the Shi brothers (Yu-zhan) engraved them for public dissemination. Now, he has integrated the origins and consequences of external contraction, applied divine subtlety to medication precision, supplemented what predecessors lacked, and corrected occasional errors in previous annotations. Naming it *Shanghan Da Bai*, and with the assistance of Mr. Chen Jingshu for printing, this truly becomes an immortal achievement. Having reviewed these editions, I see not only that Mr. Jingming possesses authentic transmission, but also that all masters from Qixuan onwards rely on this book for clarification. Once published, despite heavenly cold/heat and earthly dryness/dampness, or infection by pestilential qi, harmony can be restored without ailment. Only thus can a physician save lives, saving people across generations. How can one attempt medicine with unclear Confucian principles and bound by old traces! However, Qin Zi’s heart is bitter, and his merit is great. Joyfully, I write this preface.
Preface by Cheng Baishan, Jinshi graduate and junior family brother-in-law, on the 15th day of the 9th lunar month in the autumn of the Jia Wu year, the 53rd year of the Kangxi reign.