岁癸卯,鼎汾年届五十,从事医学人近二十年,每临症喜穷究其所以然之故,求之不得,质
之古人,以寻其极致之理,俾惬于心而后安。于是次儿斗机年长,欲与切磋斯道,用策学条对例,
随问随答,以得教学相长之益,名之曰《医学课儿策》。将逐渐添补,逐渐修改,未敢以为定论而
问世也。先录数篇,质之同人,倘得直谅多闻之友教所不逮,则鼎汾虽不敏,窃慕先贤蘧夫子之
知非。谨录初稿之目如左,时道光癸卯中秋朔日,高鼎汾上池书。
温热一 温热二 温热三 痢疾 中风 虚劳 痉病 暑病 湿病 燥病 疟疾 喉痧 妇人 胎前 肺病
有清以来二百数十年医术递变,由伤寒而开治温之道,以周、叶、陈、陈、薛诸氏为先,锡邑当宁、苏之冲,
医学一门名贤辈出。嘉、道间,高锦亭先生造诣深邃,着有《疡科心得》,集《景岳新方歌》,邑志有传。孙文清公
序而刊行。王氏旭高乃其门下士也,哲嗣上池,学博承其家传,研究治术内外并精,邑人称之。后学昔年与文孙研
五遇,出示其令祖所着《医学课儿策》一卷,并谓策中间附旁注,为旭高先生诊余过从共相商榷所注。手录一过,
想见当时教学相长,揣摩极精,非晚近浅尝者可及。方今欧风东渐,国学有沦胥之势,浙中诸名彦惧中学之失传也,
续行医报,订行孤本,越州裘君吉生识高学广,实综其成,函来征书,亟录邮呈,当蒙称许,付梓问世,功非浅鲜。
惟当此保存国粹之日,尤愿同志诸君相与搜罗征集,毋使名家着述或致湮没也可。
中华民国四年冬月,无锡伯华周镇小农谨识
癸卯年,鼎汾我年龄满五十岁,从事医学工作将近二十年。每当面对病症时,我喜欢深入探究其背后的根本原因;若求索不得,便向古人请教,以探寻其中极致的道理,只有内心感到满足安宁才作罢。于是,随着儿子周斗机年岁渐长,我想与他切磋探讨医学之道,采用“策问”(问答式)的教学体例,随问随答,以获得教学相长的益处,将此书命名为《医学课儿策》。我将逐渐增添补充内容,逐渐修改完善,不敢将其视为定论而轻易问世。先收录数篇,请同道中人指正,倘若能得到正直、诚信且见闻广博的朋友教导我所不及之处,那么鼎汾我虽然不聪慧,也私下仰慕先贤蘧伯玉(春秋时期卫国大夫,以知非著称)那样不断改正错误的精神。谨记录初稿的目录如下:温热一、温热二、温热三、痢疾、中风、虚劳、痉病、暑病、湿病、燥病、疟疾、喉痧、妇人、胎前、肺病。
自清朝建立以来二百数十年间,医术不断演变,从伤寒学发展出治疗温病的方法,以周禹载、叶天士、陈修园、陈士铎、薛生白诸位医家为先驱。无锡县地处太湖之滨(锡邑当宁),苏州地区处于交通要冲,医学这一领域名贤辈出。嘉庆、道光年间,高锦亭先生造诣深邃,著有《疡科心得集》,并汇编了《景岳新方歌诀》,在地方志中有传记记载。孙文清公为其作序并刊行。王旭高先生是其门下的学生。王旭高的儿子周上池(即作者之子周斗机,字上池),学识渊博,继承并发扬了家传医术,研究内科和外科治疗技术都极为精湛,被当地人所称赞。后学我在早年与王文孙(王旭高的孙子)研究交流时相遇,他出示了其祖父所著的《医学课儿策》一卷,并告诉我书中附带的旁注,是王旭高先生在诊余闲暇时共同商讨所加的注释。我亲手抄录了一遍,想见当时教学相长,揣摩钻研极其精深,不是近代浅尝辄止的人所能企及的。当今西方文化向东传播,国学有沦丧的趋势,浙江地区的各位名流担心中医传统失传,于是续办《医报》,整理发行孤本。越州(今绍兴)的裘吉生先生见识高超、学问广博,实际主持完成了这项工作,来信征求序言,我急忙抄录寄呈,希望能得到赞许,付印问世,这功劳不小。正值保存国粹之际,尤其希望志同道合的各位同仁一起搜罗征集,不要让名家著作因此湮没无闻。
中华民国四年冬月,无锡人伯华周镇(字小农)谨识。
In the year of Guimao (1903), Dingfen reached the age of fifty, having engaged in medical practice for nearly twenty years. Whenever encountering a clinical case, I preferred to investigate thoroughly the underlying reasons; if these could not be found through personal inquiry, I would consult ancient texts to seek the ultimate principles, finding peace only when my mind was satisfied. Thus, as my son, Douji, grew older, I wished to discuss and refine this art with him. Adopting the format of "Ce" (a Q&A style of examination or dialogue), I answered questions as they arose, aiming to benefit from the mutual enhancement of teaching and learning. I named this work *Yixue Ke'er Ce* (Medical Instruction for Sons via Dialogue). I intend to gradually add content and revise it, daring not to present it as a definitive conclusion for publication. Herein, I record a few initial chapters for the correction of my peers. If I can receive guidance from upright, honest, and well-informed friends on matters beyond my reach, then although Dingfen is not clever, I secretly admire the virtue of the sage Qu Boyu (Spring and Autumn period statesman known for recognizing his errors). The table of contents of the draft is recorded below: Warm Heat 1, Warm Heat 2, Warm Heat 3, Dysentery, Wind Stroke, Deficiency Consumption, Spasm Disease, Summerheat Disease, Dampness Disease, Dryness Disease, Malaria, Throat Plague, Women's Diseases, Prenatal Conditions, Lung Diseases.
For over two hundred years since the establishment of the Qing Dynasty, medical arts have undergone successive changes. The path from treating Cold Damage (Shanghan) to opening the way for treating Warm Diseases (Wenbing) was pioneered by masters such as Zhou Yuzai, Ye Tianshi, Chen Xiuyuan, Chen Shiduo, and Xue Shengbai. In Xiyi (Wuxi), located near Taihu Lake, and Suzhou, a hub of transportation, numerous eminent scholars emerged in the field of medicine. During the Jiaqing and Daoguang reigns, Mr. Gao Jinting possessed profound attainments. He authored *Yangke Xinde Ji* (New Insights into Surgeon Sciences) and compiled *Jingyue Xinfang Gejue* (Songs of Jingyue's New Prescriptions); a biography of him exists in the local gazetteers. Sun Wenqing wrote a preface and oversaw its publication. Wang Xugao was a student under Gao Jinting. Wang Xugao’s son, Shangchi (Zhou Shangchi, courtesy name of the author's son Zhou Douji), was erudite and inherited his family's medical tradition. His research in both internal and surgical treatments was exquisite, earning him praise in the locality. In past years, I met Wang Wensun (Wang Xugao's grandson) while studying together. He showed me a volume of his grandfather's *Yixue Ke'er Ce*, stating that the marginal notes within were added by Mr. Xugao during his leisure time after consultations, through mutual discussion. I transcribed it by hand, imagining the depth of their pedagogical exchange and meticulous deliberation, which far exceeds the superficial understanding of recent times. Today, as Western influences spread eastward and Chinese national studies face decline, distinguished scholars in Zhejiang fear the loss of traditional Chinese medicine. They continued the *Yibao* (Medical Journal) and arranged for the printing of rare editions. Mr. Qi Jisheng from Yuezhou (Shaoxing), possessing high insight and broad learning, effectively coordinated this effort. He sent a letter requesting a preface. I hastily transcribed and mailed the manuscript, hoping for approval to print and publish it, an endeavor of considerable merit. At this time dedicated to preserving national essence, I especially hope that like-minded colleagues will collect and gather materials, ensuring that the works of famous experts do not fall into obscurity.
Winter Month of the Fourth Year of the Republic of China, Bo Hua Zhou Zhen (courtesy name Xiaonong) from Wuxi respectfully records.