一、凡诸病总论,皆采摭《内经》要旨,以为提纲。继之以历代名医可法之语,间或附以己意,以成篇段,谨僭列
各病之首。
一、凡脉法,皆采摭王叔和《脉经》要语。本经缺者,则于历代名医诸书,采其可法之语,以附录之。
一、凡方法,备载于脉法之后。其伤寒一宗张仲景,内伤一宗李东垣,小儿科多本于钱仲阳,其余诸病悉以丹溪要
语及所着诸方冠于其首。次以刘、张、李三家之方,选其精粹者继之于后。外有诸家名医有理妙方,又采附于其末,以
备参考。
一、凡祖父口传心授,及自己历年经验方法,不敢私匿,悉皆附于诸条之末,与众共施。本病无者,则缺之。
一、凡自己积年历试四方之病,或用心以变法取巧而治愈者,悉附于各条之末,俾后人或有可采择焉。无者缺之。
一、凡集录诸贤成方,盖为后学设绳墨耳,学人不可固执古方以售今病,故又以丹溪活套,备录于各条之后,欲使
后学执中之有权耳。
一、凡丹溪诸方法,见诸卢氏《纂要》者,悉录之无遗,但有增而无减耳。惟丹溪医按不录,非为厌繁,将欲采历
代名医治验总成一书,名为《古今诸贤医按》,有志未暇,姑俟诸岁月云。
一、凡古方分两,重数太多,难凭修合,今悉改为小剂,且如一料十帖之数,原方用药一两,一帖止该一钱,从其
轻重,以十取一,惟效东垣都作一服之义,庶使后学根据方修合之便云。
一、凡古方云 咀者,今悉改为细切,庶使后学之易晓也。
一、凡修制药石,不别立篇目,就于各条药下细注,虽若繁琐,庶免卤莽者忽略以误人也。
一、凡云用水一盏,即今之白茶盏也,约计半斤之数,余仿此。
一、凡医学或问五十一条,皆愚意设辞以申明先哲言不尽意之义,是用书于卷首,与贤者共议耳,非敢自以为是,
烦贤者斥正之,勿诮愚之狂妄也,幸甚。
一、关于各种疾病的总论,都摘录《黄帝内经》的要旨,作为提纲。接着引用历代名医值得效法的言论,偶尔附上自己的见解,以形成篇章段落,谨慎地列在各类疾病之首。
二、关于脉法,都摘录王叔和《脉经》的关键语句。如果本书中缺失的内容,则从历代名医的著作中,摘录值得效法的言论,作为附录。
三、关于治疗方法,详细记载于脉法之后。其中伤寒病完全遵循张仲景的理论,内伤病完全遵循李东垣的理论,儿科多依据钱乙(钱仲阳)的理论,其余各种疾病都以朱丹溪的关键言论及其所著方剂冠于篇首。其次引用刘完素、张元素、李杲三家方的方剂,选取其中精粹的部分继之于后。此外有各家名医有理趣且精妙的方子,又采集附在最后,以备参考。
四、凡是祖父口传心授的方法,以及自己历年经验的有效方法,不敢私藏,全部附在各条目的末尾,与大家共同施用。如果本病没有这些内容,则予以省略。
五、凡是自己多年历经尝试治疗的四方之病,或者用心通过变法取巧而治愈的案例,全部附在各条目的末尾,以便后人或许有所选择采纳。如果没有则省略。
六、凡是收集记录各位贤人的成方,是为了给后学者设立规范准则罢了,学习者不可固执地使用古方来治疗今天的疾病,所以又将朱丹溪灵活的变通之法,详细记录在各条目之后,希望使后学者能够执守中道而懂得权变。
七、凡是朱丹溪的各种方法,见于卢氏《纂要》一书的,全部收录无遗漏,只有增加而没有删减。唯独不收录朱丹溪的医案,并非为了厌恶繁琐,而是打算采集历代名医的治疗验案汇编成一本书,名为《古今诸贤医按》,因有志向但无暇顾及,暂且等待岁月完成吧。
八、凡是古方中的分量和重量数值太多,难以凭信进行调配,现在全部改为小剂量。例如如一料药十帖的数量,原方用药一两,一帖只该得一钱,遵循其轻重比例,以十倍取其一,只是效仿李东垣将所有药物合为一服的意思,从而使后学者根据方剂调配方便。
九、凡是古方中说“咀”字的,现在全部改为细切,以便让后学者容易理解。
十、凡是修制和炮制药材,不单独设立篇目,就在各条目下的药物旁详细注释,虽然看似繁琐,但可以避免粗鲁者忽略而误人。
十一、凡是说用水一盏的,就是现在的白茶盏,大约计算为半斤的数量,其余仿照此例。
十二、凡是医学问答五十一条,都是我故意设问以申明先哲言不尽意的道理,因此写在卷首,与贤者共同讨论罢了,不敢自以为是,烦请贤者批评指正,不要嘲笑我的狂妄,那就万幸了。
1. Regarding the general discussions of various diseases, the essential principles from the *Huangdi Neijing* (Yellow Emperor's Inner Canon) are excerpted to serve as the outline. This is followed by quotes from past renowned physicians that are worthy of emulation, occasionally supplemented with my own insights, to form complete sections, which are carefully placed at the head of each disease category.
2. Regarding pulse diagnosis methods, key statements from Wang Shuhe's *Mai Jing* (Pulse Classic) are excerpted. Where this work lacks content, quotes from the works of renowned physicians of past dynasties that are worthy of emulation are collected and appended.
3. Regarding treatment methods, they are detailed after the pulse diagnosis section. For Shanghan (Cold Damage), the theory of Zhang Zhongjing is strictly followed; for Neishang (Internal Injury), the theory of Li Dongyuan is strictly followed; for pediatrics, the theories of Qian Yi (Qian Zhongyang) are largely based upon; and for other diseases, the key aphorisms and prescribed formulas of Zhu Danxi are placed at the beginning. Subsequently, refined prescriptions from Liu Wansu, Zhang Yuansu, and Li Gao are selected and appended. Additionally, rational and ingenious formulas from other renowned physicians are collected and attached at the end for reference.
4. Methods orally transmitted and mentally instructed by my ancestors, as well as effective methods verified through my own years of experience, are not kept private but are all appended at the end of relevant items to be shared with others. If such content does not apply to a specific disease, it is omitted.
5. Cases of diseases treated over many years through trial and error, or cured by applying flexible modifications to standard treatments, are all appended at the end of relevant items, so that future learners may find them useful for selection and adoption. If none exist, they are omitted.
6. The collection and recording of established formulas from sages are intended merely to provide standards for junior learners. Learners should not rigidly adhere to ancient formulas to treat contemporary diseases. Therefore, Zhu Danxi's flexible approaches are recorded in detail after each item, intending to enable future learners to hold the mean while exercising discretion.
7. All methods of Zhu Danxi found in Lu Shi's *Zuanyao* are recorded without omission, adding rather than subtracting. However, Zhu Danxi's medical cases are not included, not out of aversion to complexity, but with the intention of compiling a book titled *Gujin Zhu Xian Yi An* (Medical Cases of Sages Ancient and Modern) by gathering verified cases from renowned physicians of past dynasties. Due to lack of time despite having the ambition, this is deferred to the future.
8. The dosages and weights in ancient formulas are often too large and difficult to rely upon for preparation. They are now all converted to smaller doses. For instance, if one prescription yields ten decoctions, and the original formula uses one liang of herbs, each decoction corresponds to only one qian. This follows the ratio of one-tenth, emulating Li Dongyuan's principle of combining all ingredients into a single dose, thereby facilitating convenient preparation for junior learners.
9. Where ancient formulas use the term "ju" (chewing/biting), it is now changed to "xi qie" (finely cutting), so that junior learners may understand it easily.
10. The processing and preparation of medicinal materials are not given separate chapters but are annotated in detail under the respective drugs in each item. Although this may seem tedious, it prevents careless individuals from overlooking details and causing harm.
11. When it says "one zhan" (cup) of water, it refers to the current white tea cup, approximately equivalent to half a jin (catty). Other measurements follow this analogy.
12. The fifty-one questions and answers on medicine are rhetorical devices I devised to elucidate the meaning that words cannot fully express the wisdom of the sages. They are written at the beginning of the volume for discussion with scholars. I dare not claim correctness, so I trouble you, esteemed scholars, to criticize and correct me, and do not mock my arrogance. This would be most fortunate.