往余少时,获交于立斋薛先生,尝与余通书,所手钞笥袭者亡算,时时窃好之,弗置也
。嘉
所为诸疡书甚具。凡病癃肿、痈疽、挛 、 疠,经先生延医,亡不立已。然卒因疡死,故
人多訾先生,以为执泥补法,不知合变,嗟乎!冤哉其言之也。始余识先生时,妇病肿疡濒
死,先生竟活之,语在医案中。当是时,诸医抱药囊环立,咸愕吐舌,不敢出一语,而先生
率意信手,日剂一二,不动声色,坐而收功,如充国金城之兵,方略豫定,其正翕张,动中
成算,即是以例。先生之医,殆所谓神解者,而世乃以执泥訾之,岂非贵耳贱目者众邪!语
云∶尺有所短,寸有所长。必若所云,是越人至今存,而轩、岐不古也,嘻!亦 矣。昔扬
子云作《太玄法言》,桓谭以为必传,且谓世人亲见子云,故轻其书。当时博闻如刘歆,亦
恐后人用覆酱瓿。然则世之所为訾先生,亡乃类是也乎。乃余则以为医顾业精否耳。业诚精
矣,当必有排众说而独是之者,一时知不知亡论也。先生没诸版刻,渐次流散,余悉为购得
之。而先生从子师颜,复手《外科枢要》一编示余,盖不独补诸刻之所未备而立,凡举要深
,足为疡家指南,因属雠订并刻之。余固亲见先生者,方愧不能为先生之桓谭,而师颜之克
世家学,则刘歆之虑吾知其免矣。夫先生诸他著作,世多有其书,不论所为,序本枢要论所
隆庆辛未夏五既望, 李沈启原道卿撰。
早年我年轻时,有幸结识了立斋薛先生,曾与他书信往来,他亲手抄录并珍藏的著作数量不计其数,我常常私下喜爱这些作品,爱不释手。
薛先生所著的各类外科书籍非常详尽完备。凡是遇到癃肿、痈疽、挛急、疠风等病症,经先生延请医生诊治,没有不能立即痊愈的。然而他最终却因疡病去世,所以许多人指责先生,认为他拘泥于补益之法,不懂得灵活变通。唉!这种说法真是冤枉啊。
起初我认识先生时,一位妇女患有肿疡濒临死亡,先生最终救活了她的性命,此事记载在医案中。当时,其他医生都抱着药囊围站在一旁,全都惊讶得吐着舌头,不敢说一句话,而先生随意信手施治,每天只开一两个方剂,不动声色,坐着便取得了疗效,就像充国金城之兵一样,谋略早已预定,其正邪翕张的变化,行动中都符合既定的成算,以此为例。先生的医术,大概就是所谓的神妙理解吧,然而世人却用拘泥来指责他,这难道不是耳听为虚、眼见为实的人太少的缘故吗?
俗话说:“尺有所短,寸有所长。”如果像那些人所说的那样,那么扁鹊(越人)至今还活着,而黄帝、岐伯的古法就不存在了,唉!这也太荒谬了。
从前扬子云撰写《太玄》和《法言》,桓谭认为必定能流传后世,并且说世人因为亲眼见到扬子云,所以轻视他的书。当时像刘歆那样博闻强识的人,也担心后人会用他的书来盖酱坛子。那么世间那些指责先生的人,恐怕也是类似的情况吧。
而我则认为,医学只看技艺是否精湛。技艺如果真的精湛了,必然会有排除众说而独自坚持正确观点的人,至于当时的人知不知道,就不必讨论了。先生去世后,他的各种刻本逐渐流散,我都把它们购买回来了。而先生的侄子师颜,又亲手拿着《外科枢要》这一编给我看,这不仅补充了之前刻本中所未具备的内容,而且举凡要点深刻,足以成为外科医生的指南,于是委托校对并刊刻它。我固然亲眼见过先生,惭愧自己不能成为先生的桓谭,但看到师颜能够继承家学,我知道他免去了刘歆那样的忧虑。
至于先生其他的著作,世上大多已有流传,不再赘述。这篇序言是为了《外科枢要》而作,隆庆辛未年夏五月十六日,李沈启原道卿撰写。
In my youth, I had the privilege of associating with Mr. Xue Lizhai. We once corresponded by letter; the works he personally copied and kept in his bamboo box were countless. I often secretly cherished them and could not put them down.
Mr. Xue's various surgical texts were very comprehensive and detailed. For conditions such as *longzhong* (obstructive swelling), *yongju* (carbuncles and sores), *luanjie* (muscle spasms/contractures), and *lifeng* (leprosy/malignant skin diseases), after physicians were summoned by Mr. Xue for treatment, there was no case that did not recover immediately. However, he ultimately died from a surgical disease. Therefore, many people criticized him, claiming he was rigidly attached to tonifying methods and failed to adapt flexibly. Alas! What an unjust accusation this is.
When I first met Mr. Xue, a woman suffered from a malignant swelling and was on the verge of death. Mr. Xue ultimately saved her life; this incident is recorded in medical cases. At that time, other physicians stood around holding their medicine bags, all staring in astonishment with tongues out, daring not utter a single word. In contrast, Mr. Xue treated casually and confidently, prescribing only one or two formulas daily. Without any show of agitation, he achieved success simply by sitting there, much like the disciplined troops at Jincheng under Zhao Chongguo, whose strategies were pre-determined. His adjustments between excess and deficiency, and his actions, always aligned with established wisdom. This serves as an example. Mr. Xue's medical skill was precisely what is called "divine understanding," yet the world criticizes him for being rigid. Is this not because those who value hearsay over direct observation are too numerous? As the saying goes: "A chi may have its shortcomings, and a cun may have its strengths." If we were to accept such criticism, it would imply that Bian Que (Yueren) still exists today, while the ancient methods of Huangdi and Qibo do not. Alas! How absurd.
In the past, when Yang Ziyun wrote *Tai Xuan* and *Fa Yan*, Huan Tan believed they would surely be transmitted to posterity. He also remarked that people lightly valued these books because they personally saw Yang Ziyun. Even Liu Xin, who was renowned for his erudition at the time, feared that later generations might use his books to cover sauce jars. Thus, the criticisms leveled against Mr. Xue by the world are likely of a similar nature.
I, however, believe that medicine depends solely on whether the skill is refined. If the skill is truly refined, there must inevitably be someone who rejects popular opinions and adheres to the correct path alone. Whether contemporaries recognize this or not is irrelevant. After Mr. Xue passed away, his various printed editions gradually scattered, and I purchased all of them. Later, his nephew Shiyan showed me a manuscript of *Waike Shuyao* (Essentials of Surgery). This work not only supplements the deficiencies of previous editions but also presents profound essentials, serving as a guide for surgeons. Therefore, I commissioned its collation and publication. Although I personally witnessed Mr. Xue's abilities and feel ashamed that I cannot serve as Huan Tan for him, seeing Shiyan successfully inherit the family learning, I know he has avoided the concerns Liu Xin had.
Regarding Mr. Xue's other works, most are already available in the world, so I will not discuss them further. This preface was written for *Waike Shuyao*. On the 16th day of the fifth month of summer in the Xinwei year of Longqing, Li Shen (courtesy name Qingdao) composed it.