医案之作， 于明人。《四库全书》医家类着录薛己、陈桷两家医案，世鲜传本。惟明
·江 《名医类案》、国朝魏之 《续名医类案》，乾隆间长塘鲍氏刊行之，同治间有重刻本。
江氏征引古今方论，附以评语，颇多辨证；魏氏采摭尤繁富，而不能免芜杂之累。若喻嘉言
《寓意草》，自述其所治验，而不以医案名；叶天士《临证指南》，盛行吴越间，市医浅学
，奉若科律，然中多门弟子伪托，不皆出于天士。故纯驳互见，胶柱鼓瑟，贻误后来，识者
病焉。淮阴吴鞠通氏，以医名大江南北，所着《温病条辨》，上为吴又可之诤臣，下导王孟
英之先路，亦既家有其书矣。金君月笙覃向导兰之秘，博观医家书，得鞠通氏医案手稿，分
类编次，厘为五卷。金君谨斋为排印行之，而督余序其端。余于医学无所得，顾少而善病，
颇事涉猎，因受而卒业为。窃叹是书也，可以为医门之阶梯矣。其辨微也，分肌擘理，若屠
牛坦，一朝解十二牛而芒刃不顿；其纠缪也，若老吏谳狱，虽情伪万变，执吾法以绳之，而
无所于挠。至若疗章氏颠狂之疾，而先激其羞恶之良心，几几于穷理尽性之学。治陈某
肿胀之疾，与陈颂帚论药，齐轻重以决其效不效，折座客之气，而卒以服颂帚之心。于戏，
可不谓神矣乎。昔杭先生大宗序《名医类案》，括以三言∶曰审脉，曰辨药，曰慎思，其论
绝伟。余于是书，则但取鞠通氏之自道，曰“认证无差”一言尽之矣。认证无差，非多读古
书，善察时变者不能。今世言医者十九下工耳。不读古书，不察时变，苟焉以医为市，其戕
贼于芒昧中者，不知其凡几矣。夫守一家之言，讵遂足为高手医。然得是书而深究其处方用
意之所在，触类以充其识，隅反以神其悟，由是上通五运六气、三部九候之旨，不愆于汤齐
先后缓急之序，毋以学医人费蒙世询病，驯至于 诊潜消，民无夭札，则金君传布是书之举
，不诚为仁人之用心矣乎！
岁在柔兆执徐涂月吴庆坻序
医案这种体裁，在明代才开始出现。《四库全书》医家类中著录了薛己、陈桷两家的医案，但世间流传的版本很少。只有明代江涵暾的《名医类案》、清代魏之琇的《续名医类案》，在乾隆年间由长塘鲍氏刊行，同治年间又有重刻本。江氏征引古今方论，附上评语，有很多辨证分析；魏氏采集的内容更加丰富，但不能避免芜杂的缺点。至于喻嘉言的《寓意草》，是自己叙述治疗验证的经验，并不以医案命名；叶天士的《临证指南》，在吴越地区盛行，市井医生浅学之人，把它当作金科玉律，然而其中很多是门生弟子伪托之作，并非都出自叶天士本人。所以书中内容纯正与驳杂互见，拘泥固执，贻误后人，有见识的人对此感到担忧。淮阴人吴鞠通，凭借医术闻名于大江南北，他所著的《温病条辨》，对上可视为吴又可的诤臣（直言规劝者），对下为王孟英开辟了先路，也已经家家拥有这本书了。金月笙先生深入探究吴鞠通的医学奥秘，广泛阅览医家书籍，得到了吴鞠通医案的手稿，分类编排，整理为五卷。金谨斋先生负责排印发行，并督促我为此书作序。我对于医学没有什么心得，只是年少时多病，颇涉猎医学书籍，于是接受并完成此序。私下感叹这部书，可以作为进入医学大门的阶梯了。它辨析细微之处，剖析肌理，就像庖丁解牛，一天解剖十二头牛而刀刃依然锋利不钝；它纠正谬误，就像老练的官吏审判案件，虽然案情真伪万变，但坚持我们的法则来衡量它，而没有不能折服的。至于治疗章氏的癫狂疾病，先激发他羞恶的良心，几乎达到了穷尽物理、尽性知命的学问境界。治疗陈某的肿胀疾病，与陈颂帚讨论药物，权衡轻重以决定疗效与否，折服座客的气焰，最终使陈颂帚心服口服。唉，难道不可以说是神奇吗？从前杭大宗先生为《名医类案》作序，用三个字概括：曰审脉，曰辨药，曰慎思，他的论述非常伟大。我对这本书，只取吴鞠通自述的话，用“认证无差”四个字就概括完了。“认证无差”，不是多读古书、善于观察时势变化的人是不能做到的。当今世道说行医的人十有九个都是低水平的医生。不读古书，不察时变，苟且地把医学当作市场交易，在蒙昧无知中残害生命的，不知道有多少了。坚守一家的言论，哪里就足以成为高明的医生。然而得到这本书并深入研究其处方用意所在，触类旁通以扩充见识，举一反三以神化领悟，由此向上贯通五运六气、三部九候的宗旨，不违背汤剂配伍先后缓急的顺序，不以学医人的身份欺骗世人询问病情，逐渐达到诊察潜消（指通过调理使疾病在萌芽状态消除），百姓没有早夭和灾祸，那么金先生传播这本书的举动，不正是仁人的用心吗！
岁次柔兆执徐涂月（即光绪二十五年十月）吴庆坻作序
The genre of medical cases (Yi An) began to appear in the Ming Dynasty. The *Siku Quanshu* (Complete Library in Four Sections), under the category of physicians, lists the medical cases of Xue Ji and Chen Jue, but few copies are circulated in the world. Only Jiang Hantun's *Mingyi Leian* (Collected Cases of Famous Physicians) from the Ming Dynasty and Wei Zhixiu's *Xu Mingyi Leian* (Continued Collected Cases of Famous Physicians) from the Qing Dynasty were published by the Bao family of Changtang during the Qianlong reign, with a reprinted edition appearing during the Tongzhi reign. Jiang cited ancient and modern formulas and theories, adding comments, offering much dialectical analysis; Wei's collection was even more abundant, yet it could not avoid the drawback of being miscellaneous and disorganized. As for Yu Jiayan's *Yuyi Cao*, he narrated his own verified treatments without naming it as medical cases; Ye Tianshi's *Linzheng Zhinan* (Guide to Clinical Practice) was popular in the Wu and Yue regions, where superficial city physicians treated it as canonical law. However, much of it was forged by disciples and is not entirely from Ye Tianshi himself. Thus, pure and impure contents are intermixed; rigid adherence leads to misleading later generations, which concerns those with insight.
Wu Jutong of Huaiyin became famous for his medical skills north and south of the Yangtze River. His work *Wenbing Tiaobian* (Systematic Differentiation and Treatment of Warm Diseases) serves as a forthright minister to Wu Keyou above and paves the way for Wang Mengying below; it has indeed become a book found in every household. Mr. Jin Yuesheng delved into the secrets of Wu Jutong's guidance, widely read physicians' books, and obtained the manuscript of Wu Jutong's medical cases. He classified and arranged them into five volumes. Mr. Jin Jinzhai supervised the typesetting and printing, urging me to write a preface. I have no deep attainments in medicine, though I was prone to illness in my youth and dabbled in medical literature. Therefore, I accepted the task and completed this preface. I privately sigh that this book can serve as a ladder into the gate of medicine. Its differentiation of subtle details analyzes muscle and tissue structure like Cook Ding slaughtering an ox, cutting through twelve oxen in a day while the blade remains sharp; its correction of errors is like an experienced judge handling a case: although circumstances and deceptions vary infinitely, adhering to our laws allows us to measure them without yielding. Regarding the treatment of Zhang's mania, he first stimulated Zhang's conscience of shame and disgust, approaching the learning of exhausting principles and fulfilling nature. In treating Chen's edema, he discussed herbs with Chen Songzhou, weighing their potency to determine efficacy, subdued the arrogance of guests, and ultimately won Chen Songzhou's heart. Alas, can this not be called miraculous?
Previously, Mr. Hang Dazong prefaced *Mingyi Leian*, summarizing it in three words: examine the pulse, differentiate herbs, and think cautiously. His discussion was superb. For this book, I merely take Wu Jutong's self-description, summarizing it with the phrase "accurate syndrome differentiation" (Ren Zheng Wu Cha). Accurate syndrome differentiation cannot be achieved without reading many ancient books and being good at observing changing times. Nineteen out of twenty practitioners today are low-level doctors. Not reading ancient books, not observing changes, and casually treating medicine as a marketplace trade results in countless lives harmed in ignorance. Merely adhering to one school's theory is hardly sufficient to make a master physician. However, if one obtains this book, deeply investigates the intention behind prescriptions, expands knowledge through analogy, and enlightens understanding through inference, one can then connect upward with the principles of Five Movements and Six Qi, and the methods of Three Parts and Nine Probes. One will not err in the sequence of decoction preparation, nor use one's status as a learner to deceive the public or inquire about illnesses improperly. Gradually, diseases will be eliminated at a latent stage, and people will suffer no premature death or disaster. Would not Mr. Jin's effort to disseminate this book truly be the intent of a benevolent person?
Preface by Wu Qingdi in the tenth month of the year Rouzhao Zhixu (Guangxu 25th Year, October).