一痘疹方论最难,其中杂症更属天渊,如吐泻之见于初起,见于灌脓,利害迥别,
故(张)逐一分开,不敢混列。
一痘疹集法,其第一卷系痘门概论,乃论其痘源,释及虚实、顺逆、荣卫部位主要
及异痘诸名。
第二十二卷、第二十三卷,系总论痘要,乃讲论痘中诸要及痘中首尾诸杂症,不可类列于何
一门者,俱编于内,凡发热见点起胀,灌脓浆、收靥结痂,俱可于两卷中参看。
第二十四卷系看法主验,乃历指形色痘势,饮食声音,及周身气色之吉凶。
第二十五卷系发热门,初则备陈古哲本门诸论,次则备列本门所夹杂症,次则备列本门
三朝顺逆险碎锦,末附本门证治吉凶歌括。
第二十六卷系见点门,其集法如发热门同例。
第二十七卷系起胀门,其集法如发热门同例。
第二十八卷系灌浆门,其集法如发热门同例。
第二十九卷系收靥门,其集法如发热门同例。
第三十卷系落痂门,其集法如发热门同例。凡以上各门所夹杂症,不能备载者,悉
具总论痘要门参看。
第三十一卷系余毒门,首列本门诸论,次及证治歌括。
第三十二卷系妇人科痘疡诸论,及证治歌括。
第三十三卷系麻疹门,其集法始则备列本门诸论,次则备列本门夹症传症,次则备列
本门顺逆险碎锦,及本门证治歌括,末附水痘与斑。
第三十四卷系痘疹门,汇集古哲诸方。
第三十五卷系痘疹补遗,乃补述诸书有余不尽之义及证治,气虚血热,危症方按数
条,既随候用药活法。
张苦集是书,勿间寒暑,已三十载矣。计成《内经纂要》、《杂症大小合参女科精
要》、《痘疹全集》、《外科精要》、《痘疹全集》、《外科脉诀药性合参》并附医方考,按
药味炮制,经验诸方,胎产嗣育,修养静功,按门别类,无不毕具。自天及人,自小
及大,自男及女,自内及外,自形及脉,自药及医,诸书精髓,采取殆尽,实从来未有
之作,诚为医学之全书,摄生之备览。(张)以济生念切,愿公于世,尊生君子,可充案
头之宝玩,医林后贤,堪为笥箧之奇珍。窃思人生光阴有限,转眼尽属蜃楼,倘与世浮
沉,毫无实事可以表见,腐物同尽,能不疚心!奈书大力绵,艰于举事,向年误听梓人
创成活版,疚精瘁神,二载始竣,但字少用多,不耐久耳。无如索者日众,今板废书
完,势必数十年之心血,一旦付与流水,壬午岁,复入都门,誓成此集,日竭鞍马之
劳,拮据刻资,夜备悬刺之苦,查对舛错,罔顾性命,方得书成,惟愿后贤,诚求精
进,则岐黄之道益彰,群贤之见备得,神而明之,使后人共沐春风长养之中,诚为寿世无疆矣。
痘疹的方剂与理论最为难解,其中夹杂的各种病症更是天差地别。例如呕吐和腹泻,在痘疹初起时出现与在化脓期出现,其危害程度截然不同,因此(张)将各类情况逐一分开论述,不敢混杂排列。
痘疹集法的编纂中,第一卷属于痘科概论部分,主要论述痘疮的起源,解释虚实、顺逆、营卫部位的主要关系以及异种痘疮的各种名称。
第二十二卷和第二十三卷,属于总论痘疮要点部分,主要讲解痘疮中的各种关键问题及痘疮首尾阶段的各类杂症,这些内容无法归类于其他单一门类,故全部编入其中。凡是发热、见点、起胀、灌脓浆、收靥结痂等过程,均可在这两卷中参考查阅。
第二十四卷属于观察痘势以验证疗效的部分,主要详细指出痘疮的形态色泽、发展趋势、饮食声音,以及周身气色的吉凶征兆。
第二十五卷属于发热门,首先详尽陈述古代哲人在本门的各种论述,其次详细列出本门所夹杂的各种病症,再次详细列出本门三朝(初生、发展、成熟)的顺逆险恶情况及碎锦(珍贵经验),最后附上本门证治吉凶的歌诀。
第二十六卷属于见点门,其编纂方法同发热门体例相同。
第二十七卷属于起胀门,其编纂方法同发热门体例相同。
第二十八卷属于灌浆门,其编纂方法同发热门体例相同。
第二十九卷属于收靥门,其编纂方法同发热门体例相同。
第三十卷属于落痂门,其编纂方法同发热门体例相同。以上各门中夹杂的病症,若不能详尽记载的,均需在总论痘要门中参考查阅。
第三十一卷属于余毒门,首先列出本门的相关论述,其次涉及证治歌诀。
第三十二卷属于妇人科痘疡诸论,以及相关证治歌诀。
第三十三卷属于麻疹门,其编纂方法起初详尽列出本门的各种论述,其次详尽列出本门夹杂症与传变症,再次详尽列出本门顺逆险恶情况及碎锦,以及本门证治歌诀,最后附录水痘与斑疹的内容。
第三十四卷属于痘疹门,汇集古代哲人的各种方剂。
第三十五卷属于痘疹补遗,旨在补充阐述以往书籍中未尽之义及相关证治,针对气虚血热等危重病症,按条目列出方药,并说明随证用药的灵活方法。
张氏苦心收集编纂此书,不分寒暑,已历时三十年。共计完成《内经纂要》、《杂症大小合参女科精要》、《痘疹全集》、《外科精要》、《痘疹全集》、《外科脉诀药性合参》并附医方考,按照药味炮制方法整理经验方剂,涵盖胎产嗣育、修养静功等内容,按门类区分,无所不备。从天地到人事,从小事到大事,从男性到女性,从内部脏腑到外部体表,从形体症状到脉象,从药物到医术,诸书精髓均已采纳殆尽,实为前所未有之作,诚为医学的全书,养生之完备读物。(张)因救世之心迫切,愿将此书公之于世,尊重生命的君子,可将其作为案头珍宝玩赏,医林后辈贤才,可将其视为箱箧中的奇珍。我私下思考,人生光阴有限,转眼之间一切皆如海市蜃楼般虚幻,倘若随波逐流,毫无实事可以展现,最终如腐朽之物一同消尽,怎能不令内心愧疚!无奈书稿力量单薄,难以成事,早年误信刻书匠人创成活字印刷,耗费精神精力,两年才完工,但字数少用墨多,不耐久存。无奈求书者日益增多,如今刻板废弃而书籍完好,势必导致数十年心血一旦付诸东流。壬午年,再次进入京城,发誓完成此集,白天竭尽鞍马奔波之劳,筹措刻印资金,夜晚准备悬梁刺股的刻苦,查对错误,不顾性命,方才得以书成。只希望后辈贤才,诚心精进,那么岐黄之道将更加彰显,众贤之见解得以完备,神妙明达,使后人共同沐浴在春风长养之中,诚为造福世间无穷无尽矣。
The formulas and theories for smallpox and measles (Douzhen) are the most difficult to understand, and the complicated conditions mixed within them differ as much as heaven and earth. For instance, vomiting and diarrhea (Tuxie) appearing at the initial stage versus appearing during the suppuration stage have vastly different severities. Therefore, Zhang separated each case individually, daring not to mix them together.
In the compilation of Douzhen methods, Volume One serves as the General Introduction to Smallpox, discussing the origin of smallpox, explaining deficiency and excess (Xu Shi), favorable and unfavorable courses (Shun Ni), the main aspects of Ying and Wei (Nutritive and Defensive Qi) locations, and various names of atypical smallpox.
Volumes Twenty-Two and Twenty-Three constitute the General Discussion on Key Points of Smallpox, elaborating on various essentials within smallpox and miscellaneous conditions at the beginning and end stages that cannot be classified into a single category; all are compiled herein. Processes such as fever onset, appearance of spots (Jian Dian), swelling (Qi Zhang), pus filling (Guan Nong Jiang), scabbing (Shou Ye Jie Jia) can all be consulted in these two volumes.
Volume Twenty-Four focuses on Observation Methods for Verification, detailing the shape, color, and trend of the rash, diet and voice, as well as auspicious or ominous signs in the complexion of the whole body.
Volume Twenty-Five covers the Fever Onset Section (Fare Men). It first exhaustively presents ancient philosophers' discussions on this section, then lists complicated conditions mixed with this section, followed by the favorable, unfavorable, and dangerous situations across the three days (San Zhao Shun Ni Xian Sui Jin), and finally appends songs summarizing prognosis and treatment for this section.
Volume Twenty-Six covers the Spot Appearance Section (Jian Dian Men), following the same compilation method as the Fever Onset Section.
Volume Twenty-Seven covers the Swelling Section (Qi Zhang Men), following the same compilation method as the Fever Onset Section.
Volume Twenty-Eight covers the Pus Filling Section (Guan Nang Men), following the same compilation method as the Fever Onset Section.
Volume Twenty-Nine covers the Scabbing Section (Shou Ye Men), following the same compilation method as the Fever Onset Section.
Volume Thirty covers the Scab Falling Section (Luo Jia Men), following the same compilation method as the Fever Onset Section. For complicated conditions in the above sections that could not be fully recorded, one should refer to the General Discussion on Key Points of Smallpox.
Volume Thirty-One covers the Residual Toxin Section (Yu Du Men), listing relevant discussions first, followed by songs on syndrome differentiation and treatment.
Volume Thirty-two covers Discussions on Smallpox and Ulcers in Gynecology, along with songs on syndrome differentiation and treatment.
Volume Thirty-Three covers the Measles Section (Ma Zhen Men). Initially, it lists various discussions on this section, then lists complicated and transmitted conditions, followed by favorable, unfavorable, and dangerous situations (Sui Jin), and songs on syndrome differentiation and treatment, appending waterpox and macules at the end.
Volume Thirty-Four covers the Smallpox and Measles Section (Dou Zhen Men), compiling various formulas from ancient philosophers.
Volume Thirty-Five is the Supplement to Smallpox and Measles, supplementing meanings and treatments left incomplete in previous books. It addresses critical conditions like Qi deficiency and Blood heat (Qi Xu Xue Re), listing formulas item by item and explaining flexible medication based on symptoms.
Zhang painstakingly collected and compiled this book, regardless of cold or heat, for thirty years. He completed works including *Synopsis of Neijing*, *Comprehensive Reference for Miscellaneous Diseases and Essential Gynecology*, *Complete Collection of Douzhen*, *Essentials of Surgery*, *Complete Collection of Douzhen*, *Combined Reference of Surgical Pulse Diagnosis and Herb Properties* with appended Medical Formula Examination, organizing empirical formulas according to herb processing methods. Topics covered include pregnancy, childbirth, fertility, and cultivation of stillness, categorized meticulously without omission. From heaven and earth to humanity, from small matters to large, from men to women, from internal organs to external body, from form to pulse, from herbs to medicine, the essence of all books has been thoroughly adopted. This is truly an unprecedented work, a complete encyclopedia of medicine, and a comprehensive guide for health preservation. Driven by an urgent desire to save lives, Zhang wished to make this book public. Gentlemen who respect life may keep it as a treasure on their desks; later virtuous scholars in the medical field may regard it as a rare gem in their chests. I privately reflect that human life is limited, and moments pass like mirages. If one drifts with the world without leaving any tangible achievements, ending up rotting alongside common objects, how can one not feel guilty? The manuscript was weak, making progress difficult. Mistakenly trusting a printer's claim of movable type invention, he exhausted his spirit and energy, completing it in two years, but the text was sparse while ink usage was high, lacking durability. As seekers increased daily, fearing decades of blood and sweat would flow away once the plates were discarded and the book finished, in the Renwu year, he entered the capital again, vowing to complete this collection. He endured the hardships of travel day and night, struggled to secure printing funds, stayed up late studying hard, checked for errors disregarding his life, until the book was finally completed. He only hopes that future scholars will sincerely strive for advancement, so that the Way of Qi Bo and Huang Di will be further illuminated, the views of many sages will be preserved, and through divine clarity, descendants will bathe in the nurturing spring breeze, truly benefiting the world indefinitely.