人生疾病,种类繁伙,然归纳言之,除不内外因外,一言以蔽之,外感与内伤而已。外感与内伤,恒
有互相之关系,成人然,妇人然,即小儿亦莫不然也。故医者治病,最古不事分科,盖病理医理,其道一贯
,适于此者合于彼,初不必为厘然之此疆彼界也,自后以病变之多时有增,治法之出代有加,一人之心思
才力,未足以尽其奥也,故特分科以治之。妇科也,以其有经带胎产之异;儿科也,以其无问诊脉诊之难。
专科既分,探讨益进,于是妇幼之书,亦复汗牛充栋矣,特是众说纷纭,瑕瑜互见,整
理之道,千头万绪。六七年前,余以上海中医专门学校之聘,勉任儿科讲席,当时满拟搜集儿科医书若干种,
采其精纯,汰其芜僻,编成较为完备之专书。无如诊务辑务,两少暇晷,往往漏夜属稿,翌日应讲,匆匆
半年,草成痧痘讲义,虽能塞责于学子,而私衷辄自惭疏漏也。其后历应上海国医学院及上海中国医学院
之聘,任儿科教授于两校,凡五易寒暑,修改增益,至数十次,始稍稍自惬于怀,今年春,余书既大部告
成,于是同道先进,以及医校学子门下诸弟,感怂恿付刊,远之广粤之友人,亦驰书促
其早日出版。盖儿科专书,群推此为编制较新而网罗较备,一可供家庭社会之检查,二可作专门医校
之教本也。余以兹事体大而不能不勉应众命也,乃再以三月之力,改革编纂,分为九章,凡
十万言,其中每述一病,必详其来由及病理,于证状及治法,尤三致意焉。惟冀他日剞劂既成,稍补于世
而不弃于知者,于私愿为己足。至于整理学术,抉微阐奥,级深梗短,愧余未能,固祈
后来者之有以教之也。
中华民国念三年长夏吴克潜序于海上寄庐
人生所患疾病,种类繁多,但若归纳而言,除去不内外因(既非外感六淫也非内伤七情及外伤等特定病因),一言以蔽之,不外乎外感与内伤两类。外感与内伤之间,往往存在相互关联,成人如此,妇女如此,小儿更是如此。因此,古代医生治病,最初并不严格分科,因为病理和医理是贯通一致的,适用于此处的道理同样适用于彼处,起初不必划定截然的界限。后来由于病变种类随时间增加,治疗方法代代更新,一个人的心思才力不足以穷尽其中的奥妙,所以特别设立专科来治疗。妇科之所以独立,是因为女性有经、带、胎、产的特殊生理病理差异;儿科之所以独立,是因为小儿无法准确描述病情且脉诊难以把握。专科既已分开,探讨日益深入,于是关于妇幼的书籍也堆积如山了。只是众说纷纭,优缺点并存,整理这些知识头绪万千。
六七年前,我受聘于上海中医专门学校,勉强担任儿科讲席。当时满心想搜集若干种儿科医书,选取其中精纯部分,剔除芜杂偏僻内容,编纂成较为完备的专著。无奈诊疗事务和编辑事务繁忙,很少有空闲时间,常常连夜起草稿件,第二天就要讲课,匆匆半年,草成了《痧痘讲义》(关于天花、麻疹等急性传染病的讲义)。虽然能应付学生学业,但内心总觉得疏漏惭愧。此后,我又先后受聘于上海国医学院和上海中国医学院,在两校担任儿科教授,历经五个寒暑,修改增益达数十次,才稍稍感到满意。今年春天,我的书稿大部分完成,于是同行前辈以及医校学生门下诸弟,感动并怂恿我付梓刊印,远在广州的朋友,也写信催促早日出版。大概儿科专著,大家公认此书编制较新且内容网罗较全,一可供家庭和社会查阅,二可作为专门医校的教材。我认为此事重大,不能不勉强顺应众人的意愿,于是再用三个月精力,改革编纂,分为九章,共十万字。其中每叙述一种疾病,必定详细阐述其来源及病理,对于证状及治法,尤其着重关注。只希望他日刻版印刷完成后,能对世有所补益而不被懂行的人抛弃,对我个人的愿望也就满足了。至于整理学术,发掘微奥,深浅长短,惭愧我未能做到完美,固祈望后来的学者给予指教。
中华民国二十三年夏季,吴克潜序于上海寄庐
Diseases afflicting human life are numerous in variety; however, if summarized, excluding the "neither internal nor external" causes (etiological factors that are neither exogenous pathogenic factors nor endogenous emotional injuries or trauma), they can be described in one word as either Exogenous (外感) or Endogenous (内伤). There is often a mutual relationship between Exogenous and Endogenous conditions. This holds true for adults, for women, and even more so for children. Therefore, in ancient times, physicians did not strictly divide specialties when treating diseases, because pathology and medical principles are consistent and universal; what applies here applies there, and it was not initially necessary to draw distinct boundaries. Later, as the variety of pathological changes increased over time and treatment methods were added generation by generation, one person's mental capacity and talent were insufficient to exhaust their profundity. Thus, specific specialties were established for treatment. Gynecology was separated due to the unique physiological and pathological differences regarding menstruation, leukorrhea, pregnancy, and childbirth in women; Pediatrics was separated because pediatric patients cannot accurately describe their symptoms and pulse diagnosis is difficult to perform. Once specialties were divided, exploration advanced further, resulting in books on women and children accumulating in great numbers. However, with various theories conflicting and merits and flaws coexisting, the task of organizing them presents myriad complexities.
Six or seven years ago, I accepted an appointment at the Shanghai College of Traditional Chinese Medicine and reluctantly took up the chair of Pediatrics. At that time, I fully intended to collect several TCM pediatric texts, select their purest essence, discard the superfluous and eccentric content, and compile a relatively comprehensive monograph. Unfortunately, my clinical duties and editorial work left me little leisure time. I often drafted manuscripts late into the night to lecture the following day. In just half a year, I hastily completed lecture notes on "Sha and Dou" (referring to acute infectious diseases such as smallpox and measles). Although this allowed me to fulfill my obligations to students, I felt inwardly ashamed of its omissions and superficiality. Subsequently, I accepted appointments from both the Shanghai National College of TCM and the Shanghai China College of TCM, serving as a professor of Pediatrics at both institutions. Over five academic years, I revised and augmented the material dozens of times, until I was somewhat satisfied with the result. This spring, having largely completed my manuscript, colleagues, seniors, and students from medical schools encouraged me to publish it. Friends far away in Guangdong also wrote letters urging early publication. It is generally recognized among peers that this pediatric monograph features a newer compilation structure and more comprehensive coverage. It can serve two purposes: first, for reference by families and society; second, as a textbook for specialized medical schools. Recognizing the significance of this matter, I could not refuse the collective request. Thus, I devoted another three months to reforming and editing the work, dividing it into nine chapters, totaling 100,000 words. For each disease discussed, I detailed its etiology and pathology, paying particular attention to clinical manifestations and treatment methods. I only hope that once printed, this work will offer some benefit to the world and not be rejected by those knowledgeable in the field, thereby fulfilling my personal aspirations. As for organizing academic knowledge, uncovering subtle mysteries, and judging depth and brevity, I am ashamed that I have not achieved perfection, and I sincerely pray that future scholars will provide guidance.
Preface by Wu Keqian during the Long Summer of the 23rd Year of the Republic of China, at Jilu, Shanghai