昔范文正公作诸生时。辄以天下为己任。尝曰。异日不为良相。便为良医。盖以医与相。
迹虽殊而济人利物之心则一也。四明高鼓峰先生。由儒而精于医。其察脉辨症。处方用药。理解超
豁。迥出凡流。一时负盛名几如秦越人之听声写形。随俗为变。呜乎神矣。晚年辑生平所治验案若
干卷。并绘五行五脏天人一理等图。名其书曰己任。其即文正之心欤。李氏濒湖着本草纲目。征
引古今书籍。最称繁富。而极精核。兹编已尝采入。余幼年曾于是书熟读而玩索之。颇得其要。
兵燹以来。藏书灰烬。是编亦荡然无存。遍觅坊板。竟不可得。叹曰。先生毕生心血。胥在是书。
岂终泯灭无传耶。余不复睹此书忽忽三十年。往往临危殆之症。群医望而却走者。辄宗先生法药
之。得生者十居八九。然则余之服膺先生。而先生之有以诏我者。岂偶然哉。一日。两门人偶于
旧书肆中购得此本。归亟告余。翻阅之下。喜逾获宝。惜字迹漫漶。语句间有残缺。爰不辞谫陋
。绎其上下文义。妄为补苴。其眉批旁注。则时极闸人讲论。以畅其奥窍。非敢僭也。同乡李君
象春谓曰。此书诚医林不可少之书。盍付梓人。以公同好。余因思昔贤着述。显晦有时。先生以
息脉血之精。着六门二法之目。不朽自在天壤。独怪余与是书。忽离忽合。积有岁年。隐然假
我复起先生继
文正以天下为己任之心。而使后世业医者。皆同此心。卒之剑不掩于丰城。珠仍还于合浦。岂非有数
存乎其间耶。书凡八卷。原附东庄医案西塘感症。皆法奇而正。旨简而赅。发前人所未发。足堪嘉惠
来兹。校刊既成。志其缘起如此。序云何哉。
光绪十七年秋七月既望旌德镜堂王汝谦
从前，范文正公（范仲淹）在还是普通读书人时，就把治理天下作为自己的责任。他曾经说：“如果将来不能做贤良的宰相，那就做贤良的医生。”这是因为医生和宰相，虽然职业不同，但救济百姓、造福万物的初心是一致的。
四明高鼓峰先生，从儒家学者转而精通医学。他诊察脉象、辨析症状，开方用药，理解超凡脱俗，远远高出一般庸医。当时他享有盛名，几乎像秦越人（扁鹊）那样能“听声写形”（通过听声音、观察形态来诊断病情），并能随着习俗的变化而灵活变通治疗，真是神奇极了。晚年，他辑录了自己生平治疗的验案若干卷，并绘制了五行五脏天人一理等图表，将这本书命名为《己任》。这大概正是继承了范文正公的心志吧？
李氏（李时珍）编写的《本草纲目》，征引古今书籍，内容最为丰富详尽，且极其精审确凿。本书曾采纳其中内容。我年轻时曾熟读并深入探究此书，颇得其要领。然而自从战乱以来，藏书化为灰烬，这本书也荡然无存。我遍访书坊寻找刻本，竟然找不到。叹息道：“先生毕生的心血都在这本书里，难道要最终湮灭失传吗？”
我不再见到这本书已经忽忽三十年了。往往遇到那些危重危险的病症，其他医生都望而却步不敢诊治时，我就遵循先生的方法和药物去治疗，治愈的患者十有八九。既然这样，那么我衷心信奉先生，以及先生以医术教导我，难道是偶然的吗？
有一天，两位门徒偶然在旧书肆中购得此书的版本，回来急忙告诉我。翻阅之下，喜悦超过获得珍宝。可惜字迹模糊，语句间有残缺。于是不辞浅薄粗陋，推敲上下文的文义，妄自修补填补其中的缺漏。对于书中的眉批旁注，则时常加以阐发讲解，以畅达其深奥的道理，并非敢越俎代庖。同乡李象春君对我说：“这本书确实是医学界不可多得的著作，何不交给刻工印刷，与同道中人共享呢？”
我便想，过去的贤人著作，显赫或隐没自有其时机。先生凭借息脉血的精湛技艺，创立了六门二法的理论体系，其不朽的价值自然存在于天地之间。唯独奇怪的是我与这本书，忽离忽合，历经多年，仿佛暗中借我的力量让先生重新兴起，继承范文正公以天下为己任的心志，使后世从事医疗工作的人，都能拥有同样的心志。最终宝剑没有永远掩埋于丰城，珍珠仍然归还于合浦，这难道不是有命运在其中起作用吗？
全书共八卷，原附带的《东庄医案》和《西塘感症》，法度奇特而端正，旨意简明而完备，发挥了前人未曾发挥过的见解，足以嘉惠后世。校订刊印完成后，记下这些缘起如此。序言为何？
光绪十七年秋七月十六日，旌德镜堂王汝谦
In the past, when Fan Wenzheng (Fan Zhongyan) was a common scholar, he always regarded governing the world as his own responsibility. He once said, "If I cannot become an excellent chancellor in the future, I will become an excellent physician." This is because physicians and chancellors, although their practices differ, share the same heart of saving people and benefiting all things.
Mr. Gao Gufeng from Siming, transitioning from Confucianism, became proficient in medicine. His examination of pulses and differentiation of symptoms, along with his prescription and medication, demonstrated a transcendent understanding, far surpassing ordinary practitioners. At that time, he enjoyed great fame, akin to Qin Yueren (Bian Que), who could diagnose by listening to sounds and observing forms, adapting flexibly to customs and changes. Alas, how divine! In his later years, he compiled several volumes of clinical cases treated during his lifetime and drew diagrams such as "The Unity of Heaven, Humanity, Five Elements, and Five Zang Organs," naming the book *Jiren* (Assuming Responsibility). Was this not inheriting the heart of Wenzheng?
Li Shizhen's *Bencao Gangmu* (Compendium of Materia Medica) cites ancient and modern books, being the most extensive and rich, yet extremely precise and rigorous. This compilation had previously incorporated content from it. In my youth, I studied this book thoroughly and explored its depths, grasping its essentials. However, since the fires of war, my library turned to ashes, and this book was completely lost. I searched everywhere for printed editions but could not find any. Sighing, I said, "Mr. Gao's lifeblood is contained in this book; can it truly vanish without transmission?"
It has been thirty years since I last saw this book. Often, when facing critical and dangerous conditions where other physicians would retreat in fear, I relied on Mr. Gao's methods and prescriptions, resulting in survival for eight or nine out of ten patients. Thus, my deep reverence for Mr. Gao, and his guidance to me, were surely not coincidental. One day, two of my disciples accidentally purchased a copy of this book at an old bookstore and hurriedly informed me. Upon reading it, my joy exceeded that of finding a treasure. Unfortunately, the characters were blurred, and some sentences were incomplete. Therefore, disregarding my own shallowness, I analyzed the context and meaning to fill in the gaps. Regarding the marginal notes, I occasionally elaborated on discussions to clarify their profound insights, not daring to overstep. My fellow townsman, Li Xiangchun, said to me, "This book is indeed indispensable in the medical field. Why not have it printed and shared with those who appreciate it?"
I then thought that the works of past sages appear or disappear according to their time. Mr. Gao, with his exquisite skills in pulse and blood regulation, established the framework of Six Gates and Two Methods; his immortality naturally exists between heaven and earth. It is only strange that my connection with this book has been intermittent over many years, as if secretly using me to revive Mr. Gao and inherit Fan Wenzheng's spirit of assuming responsibility for the world, so that future medical practitioners may share this same heart. Ultimately, the sword did not remain hidden in Fengcheng forever, and the pearl returned to Hepu. Is there not destiny at work here?
The book consists of eight volumes. The originally attached *Dongzhuang Medical Cases* and *Xitang Infectious Diseases* feature unique yet orthodox methods and concise yet comprehensive principles, revealing what predecessors had not expressed, sufficient to benefit future generations. After the proofreading and printing were completed, I record these origins thus. Why write a preface?
On the 16th day of the 7th lunar month in Autumn, 17th year of Guangxu, Wang Ruqian of Jingtang, Jingde