一、辨证宜先也。先哲言∶用药不难,辨证为难,在小儿尤难。小儿辨证须觇神气,审
形色
,诊面,察眼、耳、唇、齿、鼻准,验舌苔,诊指纹,察手足,听声,按胸腹,询溲便,候
脉。
一、立法宜详也。首按摩,继以掐、揉、推、运、搓、摇,合为八法。又立汗、吐、下
三法。凡针灸砭淬浴 诸法之尽善者,一并采入。另附集成外治九法,惕厉子自制一法。
一、取穴宜绘图也。按摩、针灸、砭淬等法,均系讲明穴道,丝毫不差。欲求穴道,非
图不
明。先辈以取穴难于诊脉,特别《铜人》十四图于前,其后正身图,覆身图、阳掌图、阴掌
图、足部图,所载穴名,亦有《铜人》图所未备者外,头面、耳目、手脉、指纹、舌苔,以
及按摩手法各图,一一绘列。
一、证治宜备载也。应用各法条例详细,小儿最易惊风,故首列惊风。其余小儿应有之
证,亦附于后。
一、鬻婴有法也。集先贤诸家之说,汇为一卷,以缀于后,俾育婴孩者,防患于未然。
一、是书本之周于蕃,其阐发宣明处,博采群书,广搜古训,所辑各说,倍于周氏。其
或参以己见者,则注惕厉子以示区别。
一、是书专以手法外治见长,不事汤药,询有功于婴儿者。村妪野叟取而习之,得其真
传,庶无误治之虞。
一、是书广惠婴孩,刊者将秘传之术以公诸世,务期家置一编,按图取穴,施治极易。
庶于活人之术,不无小补云尔。
一、是书以家藏秘传之法,宣发阐明,醵赀刊刻,嗣后即有《痧喉正义》一卷,《痘疹
辨证录》四卷续出问世。
一、首卷辨证,有说有图,仿望、闻、问、切以分次序,所采群书,每条旁注姓氏,或
着书名,以明来历,每篇后系以案语。
一、是书以按摩著名,故二卷首列按摩,余法均附于后,俾免喧宾夺主之讥。
一、是书分句处用HT ,紧要处用连○,醒目处用连 ,总期一目了然。
宝应惕厉子张振 原名醴泉筱衫谨志
一、辨证应当放在首位。先哲曾说:用药并不难,难的是辨证,对于小儿来说尤其困难。对小儿进行辨证,需要观察神气,审视面色和形体,诊察面部,观察眼、耳、唇、齿、鼻准(鼻尖),查验舌苔,诊察指纹,观察手足,听声音,按压胸腹,询问大小便情况,候脉象。
二、立法应当详尽。首先采用按摩法,接着采用掐、揉、推、运、搓、摇法,合称为八法。又确立汗、吐、下三法。凡是针灸、砭石、淬刺、药浴等疗法中尽善尽美的方法,一并收录进来。另外附上集成外治九法,以及作者自制的“惕厉子”一法。
三、取穴应当绘制图谱。按摩、针灸、砭石、淬刺等方法,都必须讲明穴位,丝毫不差。想要明确穴位,没有图谱就无法清晰。前辈认为取穴比诊脉更难,因此在书前特别列出了《铜人》十四图,其后又有正身图、覆身图、阳掌图、阴掌图、足部图,所载的穴名,也有《铜人》图所未具备的。此外,头面、耳目、手脉、指纹、舌苔,以及按摩手法等各类图谱,一一绘制列出。
四、证治应当完备记载。应用的各种方法和条例详细列举,因为小儿最容易患惊风病,所以首先列出惊风。其余小儿应有的病症,也附在后面。
五、养育婴儿要有方法。汇集先贤各位学者的学说,汇总为一卷,附在书后,使养育婴儿的人能够防患于未然。
六、本书由周于蕃编写,作者在阐发宣明之处,广泛采集群书,广搜古代训诫,所辑录的各说,是周氏原著的两倍多。其中如果有参入自己见解的地方,则标注“惕厉子”以示区别。
七、本书专门以手法外治见长,不使用汤药,确实对婴儿有益。乡村妇女和老农如果拿来学习,得到真传,就不会有误治的担忧。
八、本书广泛惠及婴孩,刊印者将秘传之术公之于世,务必希望每家都置备一本,按照图谱选取穴位,施治非常容易。这样对于救人的医术,不无小补罢了。
九、本书将家藏秘传之法宣扬阐明,集资刊刻,此后将有《痧喉正义》一卷,《痘疹辨证录》四卷陆续出版问世。
十、首卷关于辨证,有论述有图谱,模仿望、闻、问、切来分列次序,所采集的群书,每条旁边注明姓氏,或者标明书名,以明确来源,每篇后面附有案语。
十一、本书以按摩著名,所以第二卷首先列出按摩,其他方法均附在后面,以避免喧宾夺主的讥讽。
十二、本书在分句处使用符号HT,紧要处使用连字符○,醒目处使用连字符,总期一目了然。
1. Syndrome differentiation should be prioritized. Ancient sages stated: Prescribing medication is not difficult; differentiating syndromes is difficult, and it is especially challenging for infants. Differentiating syndromes in infants requires observing Shen Qi (Spirit and Vitality), examining facial complexion and body shape, inspecting the face, observing the eyes, ears, lips, teeth, and nose tip (Bi Zhun), verifying tongue coating, diagnosing finger veins, observing hands and feet, listening to vocal sounds, palpating the chest and abdomen, inquiring about urination and defecation, and waiting for the pulse.
2. Therapeutic principles should be detailed. The primary method is massage (An Mo), followed by pinching (Qia), kneading (Rou), pushing (Tui), rotating (Yun), rubbing (Cuo), and shaking (Yao), collectively known as the Eight Methods. Additionally, sweating (Han), vomiting (Tu), and purging (Xia) methods are established. All excellent techniques from acupuncture, Bian stone therapy, cauterization, and herbal baths are incorporated. Furthermore, nine external treatment methods from Ji Cheng and one self-developed method by the author "Ti Li Zi" are appended.
3. Acupoint selection should be illustrated. Massage, acupuncture, Bian stone therapy, and cauterization all require precise explanation of acupoints. To clarify acupoints, diagrams are essential. Predecessors considered acupoint selection more difficult than pulse diagnosis. Therefore, the "Bronze Man" (Tong Ren) fourteen diagrams are placed at the beginning. Subsequent diagrams include the anterior body diagram, posterior body diagram, dorsal hand diagram, palmar hand diagram, and foot diagram. Some acupoint names recorded here are not found in the "Bronze Man" diagrams. Additionally, diagrams of the head and face, eyes and ears, hand pulses, finger veins, tongue coating, and various massage techniques are meticulously illustrated.
4. Syndrome treatments should be comprehensively recorded. Detailed regulations for applying various methods are provided. Since infants are most prone to Wind Convulsion (Jing Feng), this condition is listed first. Other common pediatric conditions are appended thereafter.
5. There are methods for infant care. Collecting the theories of ancient sages and experts into one volume and appending it to the book aims to help caregivers prevent diseases before they occur.
6. This book was originally compiled by Zhou Yufan. Where the author elaborates and clarifies, he extensively cites various books and ancient teachings. The collected content is more than double that of Zhou's original work. Passages containing the author's own insights are annotated with "Ti Li Zi" to distinguish them.
7. This book excels in manual external therapies and does not rely on herbal decoctions, truly benefiting infants. If rural women and elderly farmers study it and acquire the authentic transmission, they will avoid the risk of misdiagnosis and mistreatment.
8. This book widely benefits infants. The publisher has made secret techniques public, hoping that every household will possess a copy. By following the diagrams to select acupoints, treatment becomes very easy. Thus, it offers some contribution to the art of saving lives.
9. This book disseminates family-secret manual therapies through publication funded by contributions. Subsequently, "Sha Hou Zheng Yi" (Correct Principles for Sha and Sore Throat) in one volume and "Dou Zhen Bian Zheng Lu" (Record of Syndrome Differentiation for Smallpox and Measles) in four volumes will be published successively.
10. The first volume on syndrome differentiation includes both text and diagrams, arranged in the order of Inspection (Wang), Auscultation and Olfaction (Wen), Inquiry (Wen), and Palpation (Qie). Sources cited from various books have the author's surname or book title noted beside each item to clarify origins. Each chapter concludes with commentary remarks.
11. As this book is famous for massage, the second volume begins with massage, with other methods appended afterward, to avoid criticism of giving undue prominence to secondary aspects over the main theme.
12. In this book, the symbol HT is used for sentence breaks, ○ is used for important points, and another symbol is used for eye-catching points, aiming for immediate clarity.
Zhang Zhen, courtesy name Xiao Shan, formerly named Li Quan, styled Ti Li Zi, from Baoying, respectfully records this.