一、《伤寒论》一书，自叔和编次后，仲景原篇不可复见。虽章次混淆，犹得寻仲景面目。方、喻辈各为
更定。《条辨》既中邪魔。《尚论》浸循陋习矣，大背仲景之旨。琴有志重编，因无所据，窃思仲景有太阳
证、桂枝证、柴胡证等辞，乃宗此义，以症名篇，而以论次第之。虽非仲景编次，或不失仲景心法耳。
一、起手先立总纲一篇，令人开卷便知伤寒家脉症得失之大局矣。每经各立总纲一篇，读此便知本经之脉症
大略矣。每篇各标一症为题，看题便知此方之脉证治法矣。
一、是编以症为主，故汇集六经诸论，各以类从。其症是某经所重者，分列某经，如桂枝、麻黄等症列太
阳，栀子、承气等症列阳明之类。其有变证化方，如从桂枝症更变加减者，即附桂枝症后，从麻黄症更变加减
者，附麻黄证后。
一、叔和序例，固与仲景本论不合，所集脉法，其中有关于伤寒者，合于某证，即采附其间，片长可取，
即得攀龙附骥耳。
一、六经中有症治疏略，全条删去者，如少阴病下利白通汤主之、少阴病下利便脓血桃花汤主之等类，为
既有下利脉微者与白通汤、腹痛小便不利与桃花汤主之之详，则彼之疏略者可去矣。又有脉症各别，不相统摄
者。如太阳病发汗太多因致 ，与脉沉而细，病身热足寒等症，三条合一，论理甚明，故合之。
一、本论每多倒句，此古文笔法耳。如太阳病血症麻黄汤主之句，语意在当发其汗下。前辈但据章句次序，
不审前后文理，罔顾衄家禁忌，竟谓衄后仍当用麻黄解表。夫既云衄乃解，又云自衄者愈，何得阵后兴兵？衄
家不可发汗，更有明禁，何得再为妄汗？今人胶柱者多，即明理者，亦多为陶氏所惑，故将麻黄、桂枝、小青
龙等条，悉为称正。
一、条中有冗句者删之，如桂枝症云。“先发汗不解，而复下之，
脉浮者不愈。浮为在外，须解外则愈。”何等直捷！在外下更加“而反下之，故令不愈，今脉浮，故知在外”
等句，要知此等繁音，不是汉人之笔。凡此等口角，如“病常自汗出”条，亦从删例。
一、条中有衍文者删之，有讹字者改之，有阙字者补之。然必详本条与上下条有据，确乎当增删改正者，直
书之。如无所据，不敢妄动，发明注中，以俟高明之定夺。
一、加减方分两、制度、煎法，与本方同者，于本方下书本方加某味、减某味。或一篇数方，而后方煎法
与前方同者，于方末书煎法同前。方中药味修治同前者，如麻黄去节、杏仁去皮之类，但不再注；附子必炮，
若有生用者注之。
一、可汗不可汗等篇，鄙俚固不足取，而六经篇中多有叔和附入，合于仲景者取之。如太阳脉浮动数三、
阳明论脾约脉症等条，与本论不合，无以发明，反以滋惑，剔出附后，候识者辨焉。
一、正文逐句圈断，俱有深意。如本论中一字句最多，如太阳病。“脉、浮、头、项、强、痛”六字，当作
六句读，言脉气来尺寸俱浮，头与项强而痛。若脉浮两字连读，头项强痛而恶寒，作一句读，疏略无味。则字
字读断，大义先明矣。如心下温温欲吐，郁郁微烦之类，温温、郁郁，俱不得连读，连读则失其义矣。
一、《伤寒论》这部书，自从王叔和编次整理之后，张仲景的原始篇章已无法再见到。虽然章节次序混乱，但尚能探寻到张仲景原书的本来面目。方有执、喻嘉言等人各自进行了重新编定。方氏的《伤寒论条辨》既已偏离正道（注：此处“中邪魔”指偏离正途或受到邪说影响），喻氏的《尚论篇》也渐渐沿袭了陋习，大大违背了张仲景的本意。我柯琴有志于重新编纂，因为缺乏依据，私下思考张仲景书中常有“太阳证”、“桂枝证”、“柴胡证”等表述，于是秉承这一义理，以症状命名篇章，并将相关论述依次排列其中。虽然这不是张仲景原本的编次方法，或许也不失张仲景的心法精髓罢了。
二、开篇先设立一篇总纲，让人一打开书就能知晓治疗伤寒病在脉象和症状上的得失大局。每一经各立一篇总纲，阅读此篇便能了解本经脉症的大致情况。每一篇各以一个主要症状为题，看到题目便知此方对应的脉象、症状及治法。
三、本书以症状为主，因此汇集六经（太阳、阳明、少阳、太阴、少阴、厥阴）的各种论述，按照类别归类。如果某症状是某经所重视的，就将其分列在该经下，例如将桂枝汤证、麻黄汤证等列在太阳经，将栀子豉汤证、承气汤证等列在阳明经之类。如果有变证或化裁后的方剂，如从桂枝汤证变化加减而来的，就附在桂枝汤证之后；从麻黄汤证变化加减而来的，附在麻黄汤证之后。
四、王叔和写的序例，固然与张仲景的本论不合，但他所收集的脉法中，有关于伤寒且符合某种证候的，就采纳并附在其中，取其长处，借此依附于经典之中。
五、六经中有某些证治论述疏略的，或者全条删去的，例如“少阴病下利，白通汤主之”、“少阴病下利便脓血，桃花汤主之”这类条文，因为已有对“下利脉微者用白通汤”、“腹痛小便不利者用桃花汤”的详细论述，那么那些疏略的条文就可以去除了。又有脉象和症状各不相同、不相统摄的情况。例如“太阳病发汗太多导致……”与“脉沉而细，病身热足寒”等症状，将三条合并在一起，道理非常明白，所以将它们合并。
六、本论中多有倒装句，这是古文的笔法。例如“太阳病衄家，麻黄汤主之”这句，语意在于应当发汗解表。前辈们只根据章句的次序，不审察前后的文理，不顾忌衄血（鼻出血）患者的禁忌，竟然认为衄血后仍然应当用麻黄汤解表。既然说“衄乃解”（通过衄血可以自愈），又说“自衄者愈”，怎么能在已经衄血之后还动用军队（比喻用药攻伐）？对于衄血患者不可发汗，有更明确的禁令，怎么能再次妄用发汗之法？现在拘泥固执的人很多，即使是明白事理的人，也大多被陶华（陶节庵）所迷惑，所以将麻黄汤、桂枝汤、小青龙汤等条文，都视为正确的（即未加改动或视为正统）。
七、条文中有冗长语句的予以删除，例如关于桂枝汤证的描述：“先发汗不解，而复下之，脉浮者不愈。浮为在外，须解外则愈。”何等直截了当！如果在“在外”之下再加上“而反下之，故令不愈，今脉浮，故知在外”等句子，要知道这些繁复的言辞，不是汉代人的笔法。凡是这种啰嗦的话，如“病常自汗出”条，也依照删除的例子处理。
八、条文中有衍文（多余的文字）的予以删除，有讹字（错别字）的予以改正，有阙字（缺漏的字）的予以补充。但是必须详细考证本条与上下条文有据可依，确凿应当增删改正的，才直接书写出来。如果没有依据，不敢妄动，而在注释中加以说明，以等待高明之士来裁定。
九、加减方的分量、炮制制度、煎煮方法，与本方相同的，在本方下面注明本方加某味药、减某味药。或者一篇中有多个方剂，而后面的方剂煎法与前一个方剂相同的，在方末注明煎法同前。方中药物的修治方法相同的，如麻黄去节、杏仁去皮之类，就不再重复注明；附子必须炮制，如果有生用的情况则特别注明。
十、关于可汗（可用发汗法）、不可汗等篇章，内容鄙俗确实不足取，但六经篇章中多有王叔和附加的内容，符合张仲景原意的就选取。例如太阳经中“脉浮动数三”、阳明经中论“脾约”的脉症等条文，与本论不合，无法阐明医理，反而增加困惑，将其剔除并附在后面，等候见识高超的人辨别。
十一、正文逐句圈断，都有深意。例如本论中一字一句的情况最多，如“太阳病”。应将“脉、浮、头、项、强、痛”这六个字当作六句来读，意思是脉气来到寸关尺三部俱浮，头部与项部僵硬且疼痛。如果把“脉浮”两字连读，“头项强痛而恶寒”作一句读，就显得疏略无味。这样字字读断，大义就先明确了。又如“心下温温欲吐，郁郁微烦”之类，“温温”、“郁郁”都不可以连读，连读就会失去其本义了。
1. Since Wang Shuhe compiled and arranged the *Treatise on Cold Damage* (Shanghan Lun), Zhang Zhongjing's original chapters can no longer be seen. Although the order of chapters is confused, one can still trace the original appearance of Zhang Zhongjing's work. Fang Youzhi and Yu Jiayan each made their own revisions. Fang's *Shanghan Lun Tiaobian* has deviated from the right path, and Yu's *Shanglun Pian* has gradually followed bad habits, greatly departing from Zhang Zhongjing's intent. I, Ke Qin, have the ambition to recompile it. Lacking a basis, I privately considered that Zhang Zhongjing often used terms such as "Taiyang Syndrome" (disease pattern involving the Taiyang channel), "Guizhi Syndrome" (pattern treated by Cinnamon Twig Decoction), and "Chaihu Syndrome" (pattern treated by Bupleurum Decoction). Therefore, following this principle, I named chapters after symptoms and arranged the discussions sequentially within them. Although this is not Zhang Zhongjing's original arrangement, it may well preserve his essential method.
2. At the beginning, a general outline is established so that upon opening the book, one immediately understands the overall situation regarding the gains and losses in pulse and symptoms for treating cold damage diseases. Each of the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin) has its own general outline; reading this allows one to grasp the general pulse and symptom patterns of that specific channel. Each chapter is titled with a primary symptom, allowing one to understand the corresponding pulse, symptoms, and treatment methods simply by looking at the title.
3. This compilation focuses on symptoms; therefore, various discussions from the Six Channels are collected and categorized accordingly. If a certain symptom is emphasized in a specific channel, it is listed under that channel. For example, Guizhi Tang (Cinnamon Twig Decoction) syndrome and Mahuang Tang (Ephedra Decoction) syndrome are listed under the Taiyang channel, while Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) syndrome and Chengqi Tang (Order the Qi Decoction) syndrome are listed under the Yangming channel. If there are modified syndromes or altered formulas, such as those derived from modifications of Guizhi Tang syndrome, they are attached after the Guizhi Tang syndrome section; similarly, those derived from Mahuang Tang syndrome are attached after the Mahuang Tang syndrome section.
4. Wang Shuhe's preface and examples do not align with Zhang Zhongjing's original text. However, among the pulse methods he collected, those relevant to cold damage and consistent with specific syndromes are adopted and inserted therein, taking advantage of their merits to attach them to the classic.
5. In the Six Channels, some sections on syndrome and treatment are sparse or entirely deleted. For instance, "Shaoyin disease with diarrhea, Bai Tong Tang (White Connector Decoction) governs it" and "Shaoyin disease with diarrhea and pus/blood in stool, Tao Hua Tang (Peach Blossom Decoction) governs it." Since there are already detailed descriptions for "diarrhea with faint pulse treated with Bai Tong Tang" and "abdominal pain with difficult urination treated with Tao Hua Tang," the sparser versions can be removed. There are also cases where pulses and symptoms differ and are not unified. For example, combining three clauses: "Taiyang disease caused by excessive sweating leading to..." with "pulse deep and fine, disease with body heat and cold feet," makes the reasoning very clear, so they are combined.
6. The original text often uses inverted sentences, which is an ancient literary style. For example, in the sentence "Taiyang disease, a person prone to epistaxis (nosebleed), Mahuang Tang governs it," the meaning lies in the necessity to induce sweating to release the exterior. Predecessors, relying only on the sequence of clauses without examining the context, ignored the contraindications for patients with epistaxis, claiming that Mahuang Tang should still be used to release the exterior after bleeding. Since it is stated that "epistaxis leads to resolution" and "spontaneous epistaxis results in healing," how can one deploy troops (metaphor for using medicine) after the bleeding has occurred? There is a clear prohibition against inducing sweating in patients prone to epistaxis; why would one recklessly induce sweating again? Many people today are rigid and inflexible; even those who understand the principles are often confused by Tao Hua (Tao Jian'an). Thus, clauses regarding Mahuang Tang, Guizhi Tang, and Xiao Qing Long Tang (Minor Green Dragon Decoction) are all regarded as correct/standard.
7. Redundant sentences in clauses are deleted. For example, regarding Guizhi Tang syndrome: "If initial sweating does not resolve the condition, and purgation is repeated, and the pulse remains floating, it will not heal. Floating indicates the pathogen is outside; resolving the exterior will lead to healing." How direct! Adding phrases like "but contrary purgation was used, thus causing non-healing; now the pulse is floating, thus knowing it is outside" below "outside" introduces verbosity. Such verbose language is not characteristic of Han dynasty writing. All such wordiness, such as in the clause "the disease constantly causes spontaneous sweating," is handled according to the deletion example.
8. Derivative texts (extra characters) are deleted, erroneous characters are corrected, and missing characters are supplemented. However, this must be done only after carefully verifying evidence from the current clause and adjacent clauses, ensuring that the addition, deletion, or correction is definitive. It is written directly if justified. If there is no basis, I dare not act rashly but instead explain it in the annotations, awaiting the judgment of superior scholars.
9. For modified formulas, if the dosage, processing methods, and decoction techniques are the same as the base formula, it is noted below the base formula which herbs are added or removed. If multiple formulas appear in one chapter and the decoction method of subsequent formulas is the same as the preceding one, it is noted at the end of the formula that the decoction method is the same as before. If the processing of herbs in the formula is the same, such as removing the joints of Ephedrae Herba (Mahuang) or peeling Apricot Kernels (Xingren), it is not repeated. Aconite Root (Fuzi) must be processed (pao); if raw usage occurs, it is specifically noted.
10. Chapters discussing whether sweating is indicated or contraindicated contain vulgar content that is indeed unworthy of adoption. However, many sections in the Six Channels were appended by Wang Shuhe; those consistent with Zhang Zhongjing's intent are selected. For example, clauses like "Taiyang pulse floating, moving, rapid, three [types]" and the discussion on "Spleen Constraint" (Pi Yue) pulse and symptoms in the Yangming chapter do not align with the main text, fail to elucidate medical principles, and instead cause confusion. They are extracted and attached to the end for discerning experts to evaluate.
11. The punctuation breaks in the main text carry profound meaning. For instance, in the original text, single-character clauses are most common. Take "Taiyang disease." The characters "Pulse, Floating, Head, Neck, Stiffness, Pain" should be read as six separate clauses, meaning the pulse qi arrives floating at the Cun, Guan, and Chi positions, and the head and neck are stiff and painful. If "Pulse Floating" is read together and "Head, Neck, Stiffness, Pain, and Aversion to Cold" is read as one clause, it becomes sparse and lacks flavor. By breaking down character by character, the major principles become clear first. Similarly, in phrases like "warmth in the chest prompting vomiting, slight irritability," "Wenwen" (warmth/discomfort) and "Yuyu" (oppression/irritability) should not be read as connected compounds; doing so would lose their specific meaning.