古语有云∶不为良相,则为良医。余尚以此自愧。仕固短于才,而负素餐之责;医亦失
其爱,而亏述事之功。惟孜孜砥砺,欲求分毫,裨补于时,而无由以致其力。适永乐丁亥钦
承上命,巡历四方。东南经涉于海隅,西北旋转于沙漠。海内郡县,罔不周流。每自公余,
旁求艺术,采辑良方。凡遇遘疾之人,即投医药料理,按方施治,获效良多。日就月将,经
十七载,至永乐癸卯,裒其所积,研精汰冗,纂集成书,名曰∶《卫生易简》。已经上表具进
所存余稿,安敢秘藏?若但
区区之管见,曷足以公诸人。斯皆往圣前贤之所订定,用之经
验传布人间。今余不过掇拾多方之散逸,为之类聚群分,以便于仁者之检用尔。盖施药不如
施方之意也,又岂敢拟议其良医之万一耶。
时永乐甲辰孟夏如来诞日毗陵胡 谨志
医之道,人命生死所系,未可以艺而视之也。昔神农氏之王天下,首尝百草以救生民之
疾苦,身屡毒而不知恤。轩后继立,爰与岐伯又覆论难,以发挥天地五运六气之秘,推明人
身五脏六腑之因,顺阴阳寒暑之宜,制凉温补泻之法。盖无非欲人反一身之中和,以合乎天
地自然之中和,使不至有乖戾淫慝以害伤其生也。圣人仁民爱物,何其至哉!迄后和、扁、
孙、董诸贤,以及近世刘、张、朱、李之辈,则又皆体承往圣之心,掀扩未发之奥,冥观默
究,巧治奇攻,故其术益精,其道益着。天下之疲癃生理残障颠连而无告者,往往得以尽其天年,
而无枉横夭折之患。呜呼!医之道果可以艺而视之哉!古圣贤已远,不可得而见矣。观今春
官
尚书毗陵胡公所辑《卫生易简方》,则知公之用心即古仁人君子济世利民之良心也。且其中
所列诸疾,皆人所常患而治之当急;所用之药,皆世所常有而致之不难。间尝以一二证试之,
无不神验,诚为简易有效。公卿士庶之家所当宝有而不可无者,以之镂梓行世,岂不宜哉!
虽然古人有言,“不为良相,则为良医”。是盖负其志,而不能大有为于时者之言也。惟胡公
则不然,抱明敏特达之才,际壅熙泰和之世,见知天子,擢任春宫,典邦礼以协和神人,赞
皇猷而振宣风化。士林交誉,远迩驰声,是能大有为于时,而其相业之良可见矣。矧于轩岐
之术,尤能 博究。辩证授方,必欲跻斯民于仁寿之域,其为医道之良,又何如耶?此予
所以嘉其能,爱其贤,遂忘其芜陋,特为表着其美,以系于所辑方书之末。后之君子倘因是
感发,以广其仁爱之术,利济之心,则于国家安养元元之道,实亦有所裨益,岂徒云然乎哉
!岂徒云然乎哉!
宣德丁未仲秋荣禄大夫少保兼太子少傅户部尚书监修国
史长沙夏原吉书
古人有句话说:“如果不能做优秀的宰相,那就去做优秀的医生。”我对此常常感到惭愧。我在仕途上确实才能不足,因而负有白拿俸禄的指责;在医学上也未能获得应有的爱护,从而亏欠了记录医事功绩的责任。我只是勤勉自励,想要寻求哪怕分毫的帮助,以弥补时弊,却找不到途径来施展我的力量。恰逢永乐丁亥年,我恭敬地接受皇上的命令,巡视四方。东南经过海边的角落,西北往返于沙漠地带。国内的郡县,没有不周游到的。每次从公务之余,广泛探求医术,采集辑录良方。凡是遇到患病的人,就立即按照医药进行调理,依照药方施治,获得的疗效很多。日复一日,年复一年,经过了十七年,到了永乐癸卯年,我将所积累的方子汇总,精心研究并剔除冗余,编纂成书,命名为《卫生易简》。已经上表呈进所保留的剩余稿本,怎敢私自珍藏?如果只是我浅陋的见解,哪里足以公开给人看呢。这些都是古代圣贤和前贤所制定确定的,通过经验传播于人间。如今我不过是拾取各方散失遗漏的方剂,为它们分类聚集、分别排列,以便于仁人君子查阅使用罢了。大概施予药方比直接施予药物更有意义,我又怎敢妄称自己具备优秀医生的万分之一呢。
时在永乐甲辰年孟夏(农历四月)如来诞辰日,毗陵人胡荧谨记。
医学的道理,关系到人的生死,不可以仅仅把它当作一种技艺来看待。从前神农氏统治天下,首先尝试百草以拯救百姓的疾病痛苦,身体多次中毒而不知顾惜。黄帝继位后,于是与岐伯又反复讨论辩难,以发挥天地五运六气(指自然界气候变化的规律)的秘密,推明人身五脏六腑(心、肝、脾、肺、肾及胆、胃、小肠、大肠、膀胱、三焦)的成因,顺应阴阳寒暑的适宜之道,制定凉、温、补、泻的治疗法则。这无非是希望人们恢复身体的中和状态,以符合天地自然的中和状态,使不至于有乖戾邪气伤害生命。圣人仁爱百姓、爱惜万物,是多么极致啊!此后和(秦越人/扁鹊)、扁(秦越人/扁鹊)、孙(孙思邈)、董(董奉)等贤人,以及近世的刘(刘完素)、张(张从正)、朱(朱震亨)、李(李东垣)等人,都体承古代圣贤的心意,发扬未曾显露的奥妙,暗中观察默默探究,巧妙治疗奇特攻克,所以他们的医术更加精湛,他们的道术更加显著。天下那些疲惫羸弱、生理残障、困苦无助的人,往往能够享尽天然寿命,而没有遭受横死夭折的祸患。唉!医学的道理果真可以只当作技艺来看待吗!古代的圣贤已经远去,无法再见到了。观看今年春天官尚书毗陵胡公所编纂的《卫生易简方》,就知道胡公的用心就是古代仁人君子济世利民的本心。而且其中所列的各种疾病,都是人们常患且治疗应当紧急的;所使用的药物,都是世间常有且获取不难的。我曾经用一两个病症试验它,无不神奇灵验,确实是简易有效。这是公卿士庶各家应当珍视拥有且不可缺少的东西,用它来刻印发行于世,难道不适宜吗!
虽然古人有话说,“如果不能做优秀的宰相,那就去做优秀的医生”。这大概是怀有抱负而不能在当时大有作为的人说的话。只有胡公却不是这样,怀抱聪明敏捷通达的才华,处于雍熙泰和的时代,被天子知遇,提拔担任春宫(太子属官)之职,掌管国家礼仪以协和神灵与人,辅佐皇图大业而振兴宣扬风化。读书人都互相赞誉,远近闻名,这是能在当时大有作为,而他的宰相业绩的优秀也就可见了。何况对于轩辕黄帝和岐伯的医术,尤其能广泛深入探究。辨证论治授予方剂,必定要使百姓进入仁爱的长寿领域,他作为医学之道的高超,又是怎样的程度呢?这就是我赞赏他的才能,喜爱他的贤德,于是忘记了自己的粗疏浅陋,特意表彰他的美德,附在所编纂的方书末尾的原因。后来的君子如果因此受到感发,以推广他的仁爱之术、利济之心,那么对于国家安定养育百姓的道理,实在也有益处,难道只是说说而已吗!难道只是说说而已吗!
宣德丁未年仲秋(农历八月),荣禄大夫、少保兼太子少傅、户部尚书、监修国史长沙人夏原吉书写。
The ancient saying goes: "If one cannot be an excellent Prime Minister, then one should become an excellent physician." I often feel ashamed by this statement. My tenure in officialdom was indeed short of talent, thus bearing the blame for receiving salary without merit; my practice of medicine also failed to gain the desired affection, thereby falling short of the merit in recording medical deeds. I merely strove diligently, seeking even a fraction of benefit to remedy the times, yet had no way to exert my efforts. Coincidentally, in the Dinghai year of the Yongle era, I respectfully received the Imperial decree to tour the four quarters of the realm. In the southeast, I traversed the coastal corners; in the northwest, I rotated through the deserts. There was no commandery or county within the seas that I did not visit. Whenever I had spare time from public duties, I would extensively seek medical arts and collect effective prescriptions. Whenever I encountered persons suffering from illness, I would immediately administer medicine and treatment according to the prescriptions, achieving many successes. Day by day and month by month, after seventeen years, arriving at the Guimao year of the Yongle era, I compiled my accumulated prescriptions, refined them meticulously, and eliminated redundancies, compiling them into a book named *Weisheng Yijian* (Hygiene Easy and Simple). I have already submitted a memorial presenting the remaining drafts, how could I dare to keep them secret? If these were merely my trivial personal views, how could they suffice to be made public to others? These are all formulations established by past sages and former worthies, spread among the people through experiential use. Now, I merely gather scattered and lost prescriptions from various sources, categorizing and classifying them for the convenience of benevolent individuals to consult and use. The idea is that providing prescriptions is better than providing medicines directly; how could I dare to claim even a ten-thousandth part of being an excellent physician?
Recorded with respect by Hu Ying of Piling on the birthday of Tathagata in the first month of summer during the Jiachen year of the Yongle era.
The Way of Medicine concerns life and death, and cannot be regarded merely as a craft. In ancient times, when Shennong (Divine Farmer) ruled the world, he first tasted hundreds of herbs to save the people from disease and suffering, enduring poison repeatedly without pity for himself. When Xuanyuan (Yellow Emperor) succeeded him, he engaged in repeated discussions and debates with Qibo to elucidate the secrets of the Heaven-Earth Five Movements and Six Qi (climatic patterns), and to clarify the causes of the Zang-Fu organs (internal organs). By conforming to the appropriateness of Yin-Yang, cold, and heat, methods of cooling, warming, tonifying, and purging were formulated. This was none other than to desire that people restore their internal harmony to align with the natural harmony of Heaven and Earth, preventing deviation and evil from harming life. How ultimate is the benevolence of sages towards the people and love for all things! Subsequently, worthy figures such as He (Bian Que), Bian (Bian Que), Sun (Sun Simiao), and Dong (Dong Feng), as well as modern figures like Liu (Liu Wansu), Zhang (Zhang Congzheng), Zhu (Zhu Zhenheng), and Li (Li Dongyuan), inherited the hearts of past sages, expanded upon unexpressed mysteries, observed silently and investigated deeply, employing clever treatments and unique attacks. Thus, their techniques became more refined, and their Dao more prominent. Those in the world who were weary, disabled, or in distress without recourse were often able to fulfill their natural lifespan, avoiding premature or unjust death. Alas! Can the Way of Medicine really be regarded merely as a craft? Ancient sages are far gone and cannot be seen. Observing the *Weisheng Yijian Fang* (Hygiene Easy and Simple Prescriptions) compiled by Minister Hu of Piling this spring, one knows that his intention is the same benevolent heart of saving the world and benefiting the people found in ancient gentlemen. Moreover, the diseases listed therein are those commonly suffered by people and require urgent treatment; the medicines used are those commonly available in the world and easy to obtain. Having tested it with one or two cases, there was no instance where it was not miraculously effective; it is truly simple, easy, and effective. It is something that households of nobles, officials, scholars, and commoners should treasure and cannot do without. To carve and print it for circulation in the world, is it not appropriate?
Although the ancients said, "If one cannot be an excellent Prime Minister, then one should become an excellent physician," this was likely the words of someone who bore ambition but could not achieve great things in their time. However, Minister Hu is different. Possessing bright, agile, and outstanding talent, living in an era of prosperity and harmony, he was recognized by the Son of Heaven and promoted to the position of Spring Palace (Crown Prince's Office) official. He managed state rituals to harmonize spirits and humans, assisted the imperial grand design, and promoted moral transformation. Scholars praised him mutually, and his fame spread near and far. He is able to achieve great things in his time, and his excellence as a minister is evident. Furthermore, regarding the arts of Xuanyuan and Qibo, he studied extensively. In syndrome differentiation and prescription administration, he sought to elevate the people to the realm of benevolence and longevity. How excellent is his mastery of the Medical Way? This is why I appreciate his ability, love his virtue, forget my own crudeness, and specially highlight his beauty, attaching this to the end of the compiled prescription book. If future gentlemen are inspired by this to expand his art of benevolence and heart of benefitting others, then it will truly contribute to the state's way of pacifying and nurturing its subjects. Is it merely so? Is it merely so?
Written by Xia Yuanji of Changsha, Grand Master of Glory and Virtue, Junior Guardian, Concurrent Junior Tutor to the Crown Prince, Minister of Revenue, and Supervisor of the History of the State, in the middle month of autumn during the Dingwei year of the Xuande era.