臣闻天地以溥生为大德,所以曲成万物而不遗。圣人赞天地之化育,故敛时五福,以敷
锡于庶民。夫民之为物也,智者寡愚者众。起居失常,饮食无节,外为寒暑燥湿风以贼其形
,内为喜怒思忧恐以乱其气,形气乃伤,疾所由作。圣人有忧之,谓祝由不可以尽已也。遂
制药石针艾以攻八风六气之邪,为汤液醪醴以佐四时五行之正,防其未然,救其已病,然后
物各遂其生,民不夭其命矣。亦谓非立宪言不可以福万世也。于是上法天道,下因地宜,究
阴阳之本,明生死之由。考于古而验之今,取诸己而施之人,定为成书,着之玉版,藏之金
匮,宣之于布政之堂,秘之于灵兰之室,以俟来哲,以施无穷。其为仁民爱物之心,斯可谓
极矣!然其言至简,其论至要,其理至深,后世学人虽有上智,非研精核虑,则亦未易窥其
奥也。故旷代之中,能以斯术鸣世者,时固有之。若夫神圣工巧,独得先世不传之秘,如和
缓越人亦不过十余人而已,况去圣已远,支分派别,析而为众科,业而为专门,所以人各拘
其偏,而莫肯究其全,则益不逮千古矣。积习成常,流弊滋甚,惧大道将遂于湮微,故《圣
济总录》由是而作焉。上下凡二百余卷,始终几二百万言。逐病分门,门各有方。据经立论
,论皆有统。盖将使读之者观论以求病,因方以命药,则世无不识之病,病无妄投之药。唯
法有逆从,治有先后,在乎智者择其所当,从其所宜而已。究而言之,实医经之会要,学人
之指南,生民之司命也。惜其始成于政和,重刊于大定,既绵历百年之久,不能无三豕之讹
。今主上神极御天,修饰制度,治具毕张,以为是书所载,虽先圣之绪余,其所以康济斯民
,亦致治之一助也。乃诏江浙行省,刊于有司,布之天下。其或谬戾,虽加厘正,复隆德音
,俾下臣为之序引。臣诚愚陋,窃不自量,仰惟圣德如天,甄陶万类。爰自即位以来,于今
七年,恩浃飞沉,仁及草木,然犹夙夜孜孜,广求民瘼,或一物不得其所,则必为之恻然。
臣谓此书复出,则上可以辅相天地之宜,下可以永底蒸民之生,物无疵疠,咸济于仁寿之域
矣。
大德四年二月一日 集贤学士嘉议大夫典瑞少监臣焦养直谨序
臣听闻天地以广博地化生万物为最大的德行,因此能周全地成就万物而没有遗漏。圣人辅助天地的化育之功,所以收敛这五种福气,来广泛赐予给百姓。百姓作为一类生物,聪明的少,愚笨的多。起居作息不规律,饮食没有节制,外在受到寒、暑、燥、湿、风等邪气侵害形体,内在受到喜、怒、思、忧、恐等情志扰乱气机,形体和气机都受到损伤,疾病由此产生。圣人为此感到忧虑,认为仅靠祝由术(古代一种通过心理暗示和仪式治病的方法)不能彻底解决问题。于是制作药物、针具和艾条来攻治八风六气的邪气,配制汤液和醪醴(酒类药剂)来辅助顺应四时五行之正气,在疾病未发生前进行预防,在疾病发生后进行治疗,然后万物都能顺遂其生长,百姓不会夭折寿命了。这也说明如果不确立经典言论,就无法造福万世。于是向上效法天道,向下依据地理适宜性,探究阴阳的根本,阐明生死的原因。考察古代并验证于当今,取用自身经验而施用于他人,定成书籍,刻写在玉版上,收藏在金匮中,在布政司的厅堂公开宣扬,在灵兰室(古代藏书之所)秘密珍藏,以此等待后来的哲人,以施行无穷无尽的益处。这种仁爱百姓、爱惜万物的用心,可以说是达到极点了!然而书中的言辞极其简练,论述极其精要,道理极其深奥,后世的学者即使拥有极高的智慧,如果不深入研究、仔细思考,也很容易难以窥探其中的奥秘。所以在漫长的历史时期中,能够凭借这门医术闻名于世的人,虽然确实存在。至于那些具备神、圣、工、巧四种境界的高明医生,独自获得先代不传之秘的,像秦越人(扁鹊)、医和那样的人物也不过十余人罢了,何况距离圣人时代已经久远,医学流派分支众多,分析成为许多科室,学业成为专门领域,所以人们各自拘泥于自己的偏见,而不愿意探究医学的全貌,这就更加不如千古之前的水平了。长期形成的习惯成为常态,流弊越来越严重,担心大道将要逐渐湮没微弱,所以《圣济总录》因此编写而成。全书上下共二百多卷,从头到尾近两百万字。按疾病分门别类,每门都有相应的方剂。依据经典建立理论,每种理论都有统绪。大概是希望让阅读的人通过观察理论来寻求病因,根据方剂来开具药物,那么世上就没有不认识病的人,也没有胡乱投药治病的情况。只是治疗方法有逆治和从治的区别,治疗有先后的顺序,在于聪明的人选择应当采用的方法,遵循适宜的原则罢了。推究而言,这实际上是医经的要汇,学人的指南,百姓生命的掌管者啊。可惜它最初完成于政和年间,重新刊印于大定年间,经历了一百多年的时间,不可能没有文字讹误。如今皇上神圣英明统治天下,修饰典章制度,治理工具全部张开,认为这本书所载的内容,虽然是先圣留下的余绪,但它用来康济百姓的方式,也是实现良好治理的一个帮助。于是下诏江浙行省,命令有关部门刊印,向天下颁布。其中如果有谬误错乱之处,虽然加以修正整理,又隆重的发布德音,让臣我为此书作序言。臣实在愚昧浅陋,私下不自量力,仰视皇上的圣德如天一般,培育陶铸万物。自从陛下即位以来,到现在七年,恩泽遍及飞禽走兽,仁德及于草木,然而仍然早晚勤勉不懈,广泛征求民间疾苦,如果有一样东西没有得到妥善安置,就必定为此感到悲伤。臣认为这本书再次出现,对上可以辅助天地之宜,对下可以长久安定百姓的生命,万物没有病害,都能进入仁寿的境界了。
大德四年二月一日 集贤学士嘉议大夫典瑞少监臣焦养直恭敬作序
I have heard that Heaven and Earth possess the greatest virtue in broadly giving birth to all things, thereby completing the formation of all entities without omission. The Sage assists the transformation and nourishment of Heaven and Earth; thus, he gathers the Five Blessings (Wu Fu) to bestow them widely upon the common people. As for the people as a class of beings, the wise are few and the foolish are many. If their daily routines are irregular and their diet unregulated, they will be harmed externally by the pathogenic factors of Cold, Heat, Dryness, Dampness, and Wind (Han, Shu, Zao, Shi, Feng), and internally their Qi will be disrupted by emotional excesses of Joy, Anger, Pensive worry, Sorrow, and Fear. When both Form (Xing) and Qi are injured, disease arises from this. The Sage was concerned about this, believing that Zhuyou therapy (an ancient therapeutic method involving incantations and psychological suggestion) alone could not resolve all ailments. Therefore, he prepared medicinal substances, needles, and moxa to attack the pathogens of the Eight Winds and Six Qi (Ba Feng Liu Qi); he formulated decoctions (Tang Ye) and fermented wines (Lao Li) to assist the righteous Qi corresponding to the Four Seasons and Five Elements, preventing illness before it occurs and treating it after it has arisen, so that all things may thrive according to their nature and people do not die prematurely. This also implies that without establishing canonical doctrines, one cannot benefit future generations. Thus, looking up to emulate the Way of Heaven and looking down to adapt to geographical conditions, investigating the root of Yin and Yang, and clarifying the causes of life and death, he examined ancient texts and verified them in the present, took from his own experience and applied it to others, compiled these into a book, inscribed them on jade tablets, stored them in golden caskets, proclaimed them in the halls of the Bureau of Civil Administration, kept them secret in the Linglan Chamber (ancient library), awaiting later philosophers to utilize them for endless benefit. His heart of benevolence towards people and love for all things can indeed be said to have reached its utmost limit! However, the words are extremely concise, the arguments extremely essential, and the principles extremely profound. Scholars of later generations, even if possessing superior intelligence, would find it difficult to penetrate its mysteries unless they study with intense concentration and careful deliberation. Therefore, among the vast expanse of time, those who could make a name in the world through this art certainly existed. Yet, regarding those possessing the qualities of Divine, Sage, Skillful, and Ingenious (Shen, Sheng, Gong, Qiao) who independently acquired the untransmitted secrets of previous generations, figures like He Huan (Yi He) and Yue Ren (Bian Que) numbered no more than ten or so. Moreover, since the distance from the Sages is far, branches and schools have multiplied, splitting into numerous specialties, and professions have become specialized. Consequently, each person adheres to their partial view and is unwilling to investigate the whole, making them even less capable than those of millennia past. Accumulated habits become norms, and detrimental practices grow worse, leading to fear that the Great Way will gradually fade away. Thus, *Shengji Zonglu* (General Records of the Holy Relief) was compiled. Spanning over two hundred volumes, containing nearly two million characters from beginning to end, it categorizes diseases into sections, each with corresponding formulas. It establishes theories based on classics, where each theory has a systematic unity. Its purpose is likely to enable readers to observe theories to identify diseases and prescribe medicines based on formulas, so that there would be no disease unrecognized in the world and no medicine wrongly administered. Only whether the treatment method follows the principle of contrary or parallel treatment (Ni Cong), and the sequence of treatment, depends on the wise to choose what is appropriate and follow what is suitable. In essence, it is the summary of medical classics, a guide for learners, and the master of people's lives. Regrettably, it was first completed during the Zhenghe era and reprinted during the Dading era. Having passed through a century, errors such as "three pigs" (San Shi zhi E - textual corruption) inevitably occurred. Now, Our Sovereign governs heaven with divine sagacity, refines institutions, and fully implements governance tools. He considers that although the contents of this book are but the remnants of former Sages, its means to relieve and aid the people is also an assistance to good governance. Therefore, he issued an edict to the Jiangzhe Provincial Secretariat to have the relevant authorities print it and distribute it throughout the realm. Although any inaccuracies have been corrected, and further imperial grace has been bestowed, ordering me to write a preface. I, being truly ignorant and shallow, dare not measure myself appropriately, yet I look up to Your Majesty's virtue which is like Heaven, nurturing and shaping all categories of existence. Since your ascension to the throne, now seven years have passed. Your grace permeates flying and swimming creatures, and your benevolence extends to grass and trees. Yet you still toil day and night, extensively seeking the hardships of the people; if even one thing is not in its proper place, you must feel sorrowful. I believe that the reappearance of this book can, above, assist in harmonizing the benefits of Heaven and Earth, and below, permanently secure the lives of the multitude. With all things free from pestilence, everyone will enter the realm of benevolence and longevity.
On the first day of the second month of the fourth year of Dade, Jiao Yangzhi, Minister of State, Academician of the Academy of Erudition, Grand Councilor of Class Yi, and Vice Director of the Bureau of Ceremonial, respectfully wrote this preface.