门人问曰。仲景伤寒论。固非完书。诸家编次。各一是非。当奉何为定本。答曰。此不能定
。并亦不必定者也。仲景书当汉魏之交。久已散佚。脱不有叔和。今日安能复睹其书。叔和
裒集旧论。自以序例冠于篇首。各篇之中。亦间有增入。仲景本论。逼真汉文笔法。叔和笔
力。去仲景奚啻天渊。此就文义本属可辨内如辨痉湿 篇云。伤寒所致太阳病痉湿 三种。宜应别
论。以为与伤寒相似。故此见之。此一段便是叔和集论发端语气。又如可吐可汗可下编云。大法春
宜吐。春夏宜发汗。秋宜下。此种断非仲景话头自喻嘉言而后。叔和序例。既加驳斥。而各
篇中叔和缀入之条。诸家亦多有当作圣经。详加诠注者。至于篇目序次。则古本已亡。又安能
确指某条必在某条之下。此予所谓不能定者也。然而不能定者篇目也。其可定者。理也。法也
。欲读是书。先要使六经辨证之法。分得开。分得开。则一经有一经之定证。而不为旁议所
挠。可以识病体之常。又要使六经辨证之法合得拢。合得拢。则此经有彼经之兼证。而不为
疑似所惑。可以穷病情之变。此条之脉证有与彼条互见者。则当参酌以观其通。此家之注释
有与彼家不合者。则当折衷以求其是。夫如是不拘何人所注之伤寒论。任彼节目之颠倒错乱。
而以吾定识定力。寤寐神游。则正可因其参伍错综而悟出仲景当日之圆机活法。仲景之圆机
活法既得。而吾心之圆机活法自生矣。特此诣难遽期之中智以下。困勉之功。恶可少哉。
门人问道:“张仲景的《伤寒论》本来就不是完整的书籍,各家编次各有是非,应当以什么作为定本呢?”
我回答说:“这不能确定,也并没有必要确定。张仲景的书在汉魏之交时,早已散失佚亡。如果不是有王叔和,今天哪里还能再看到他的书呢?王叔和搜集汇集旧有的论述,自己将序例放在篇章之首,在各篇之中,也偶尔有增入的内容。张仲景的本论,逼真地保留了汉代的笔法,而王叔和的文笔力量,与张仲景相比,何止是天壤之别。这就从文义上原本可以辨别。例如在辨痉湿暍篇中说:‘伤寒所致太阳病痉、湿、暍三种,宜应别论,以为与伤寒相似,故此见之。’这一段便是王叔和搜集论述时的发端语气。又如‘可吐、可汗、可下’编中说:‘大法春宜吐,春夏宜发汗,秋宜下。’这种断语绝非张仲景的话语。自喻嘉言之后,虽然对王叔和的序例加以驳斥,但各篇中王叔和缀入的条文,各家也多有当作圣经,详细加以诠释注释的。至于篇目的顺序,古本已经亡佚,又怎么能确切指出某条一定在某某条之下呢?这就是我所说的‘不能确定’的地方。
然而,不能确定的只是篇目而已,那些可以确定的,是医理和方法。想要阅读这本书,首先要使六经辨证的方法能够分开来理解。能够分开来理解,那么每一经就有每一经的固定证候,而不被旁支议论所扰乱,就可以认识疾病本体的常态。又要使六经辨证的方法能够合拢起来理解。能够合拢起来理解,那么这一经就有那一经的兼夹证候,而不被似是而非的情况所迷惑,就可以穷尽病情变化的规律。这一条的脉证如果有与另一条互相显现的,就应当参考斟酌以观察其贯通之处。这一家的注释如果有与那一家不合的,就应当折衷以求得其正确。像这样,无论什么人注释的《伤寒论》,任凭它节目(章节条目)如何颠倒错乱,只要凭借我们确定的见识和定力,日夜神游其中,那么正好可以利用其中的参差错综,悟出张仲景当时的圆机活法。张仲景的圆机活法既然得到了,那么我们心中的圆机活法自然也就产生了。只是这种造诣很难期望中等智慧以下的人能立刻达到,必须依靠困勉之功,怎么可以缺少呢?”
A disciple asked, "Master Zhang Zhongjing's *Treatise on Cold Damage* (Shanghan Lun) is inherently not a complete work. Various scholars have compiled and arranged it, each claiming their own correctness and incorrectness. Which version should we regard as the definitive text?"
I replied, "This cannot be fixed, nor is there any need to fix it. Master Zhang's writings were already lost and scattered by the transition between the Han and Wei dynasties. If it were not for Wang Shuhe, how could we see his works today? Wang Shuhe collected and gathered old treatises, placing his own preface and examples at the beginning of the chapters, and occasionally inserted content within various sections. The original treatise of Zhang Zhongjing authentically retains the writing style of the Han dynasty, whereas Wang Shuhe's literary power differs from Zhang Zhongjing's by more than a heaven and an abyss. This distinction can originally be discerned through textual meaning. For instance, in the chapter 'Differentiating Spasm, Dampness, and Heatstroke' (Bian Jing Shi Yue Pian), it states: 'Cold damage resulting in Taiyang disease involves three types: spasm, dampness, and heatstroke; these should theoretically be discussed separately because they resemble cold damage, hence they appear here.' This passage is clearly the introductory tone of Wang Shuhe when compiling the treatises. Furthermore, in the section regarding 'Methods of Vomiting, Sweating, and Purging,' it says: 'The general principle is that spring is suitable for vomiting, spring and summer are suitable for sweating, and autumn is suitable for purging.' Such assertions are absolutely not words spoken by Zhang Zhongjing. Since Yu Jiayan, although Wang Shuhe's preface and examples have been refuted, many scholars still treat the clauses inserted by Wang Shuhe into various chapters as sacred scriptures, providing detailed interpretations and annotations. As for the order of chapter titles, the ancient versions are already lost; how can one definitively point out that a certain clause must follow another specific clause? This is what I mean by 'cannot be fixed.'
However, what cannot be fixed are merely the chapter titles; what can be fixed are the medical principles and methods. To read this book, one must first be able to distinguish the method of Six Channels Syndrome Differentiation (Liujing Bianzheng). Once distinguished, each channel has its own fixed syndromes, preventing disturbance by side discussions, thereby allowing one to understand the constant nature of the disease entity. One must also be able to integrate the method of Six Channels Syndrome Differentiation. Once integrated, one channel will reveal concurrent syndromes of other channels, preventing confusion by ambiguous cases, thereby allowing one to exhaust the variable changes of the disease condition. If the pulse and syndromes of one clause interappear with those of another, one should consult and consider them to observe their connectivity. If the annotations of one school conflict with those of another, one should strike a balance to seek the truth. In this manner, regardless of who annotated the *Treatise on Cold Damage*, and regardless of how chaotic or disordered the chapter arrangements may be, relying on our firm insight and determination, wandering spiritually day and night within the text, one can utilize the intricate complexities to comprehend the flexible and dynamic methods (Yuanji Huofa) of Zhang Zhongjing at that time. Once Zhang Zhongjing's flexible and dynamic methods are acquired, one's own flexible and dynamic methods will naturally arise. However, such attainment cannot be expected to be achieved immediately by those of below-average intelligence; the effort of persevering through difficulties is indispensable."