一、此书创刻于吾乡程玉农廉访，垂今三十余年，未见别本，将来流传必且益少。蜀中
同官诸君子，相与醵资重刻，诚为快举。
一、蜀中论外科，推王氏《全生集》为善本。此书于《全生集》采摭尤备，于其所不备
者，又皆大备，故此书较《全生集》，有过之无不及也。
一、此书初刻，体例多未画一，舛错尤甚。兹刻属知医者再三雠校，凡是正二百余条，
仍间有误文，实因无可勘据，不若姑阙疑以传疑。
一、此书引用各家，皆未注明来历，系是随时甄录，意在得瘥而止。兹刻亦不及遍考，
识者详之。
一、附刻全生集医案，因与此书足相印证，参阅良便。
一、此书不及丹药，兹得《疡医雅言》丹药方，简明切要，录附于后，以成完璧，其意详
见识语中。
同治丁卯仲春月京山易崇阶倥侗氏书
一、是书逐证措治，条分部款甚详。其有证治同而部位名异者，因痈疽就简于各部之首
，辨明红白阴阳，按痈疽治法，便于查阅，万无一失。
一、凡有方而仅治某证者，则列于某证之后；有方而通治诸证者，则另立通用方类，逐
方排着，不致杂乱。其用药分量俱备，庶无临证乖方之误。
一、人身脏腑阴阳，各具形义，经络部位各分攸司，犹兵家之地利也。不知地利，不可
以为军师；不知脏腑经络，而克得为医师乎。历来诸书经络歌括，文句参差，联章成诵，辨晰为
难。今阅陈见飞先生小集中，有外至头目以至足，内自心肝脾肺肾以及六腑筋脉景说，次第
成列，良为尽善，爰采以分列各部，为学人便以因证参阅也。
一、五善七恶歌，是书本不欲取。盖痈疽之初，不过营气壅遏，卫气郁滞，致成疮肿，
因其势而利导之，皆属善全，何恶之有？迨其日久溃腐，或阴阳误治，或气血衰羸，则七恶蜂起
。斯时反恶归善回天之力，不可谓非医家之责也。兹录二歌者，一以畏矫古之讥，一以备吉凶
之鉴耳。愿世之医家，勿以现有恶象尽诿不治，苟有一线可挽，当参酌援之，更以内科脉理
详审之，庶不愧为仁术。
一、世人以升降药为外科拔脓之要药，殊不知升降药乃盐、矾、砂、汞，火力锻炼而成
，药之霸道者也。去瘀生新，或有赖焉。若证患日久，气血本已虚亏，岂可任用霸剂，必补气血
为主，禁痛禁烂，《全生集》中已切言之，焉可忽诸。凡外证之初起者消之，痛痒者止之，
溃烂者敛之，临危者救之。去瘀用平安饼，针头散；生新用象皮散、六和散，获效奏功，
百无一误。是知升降药虽有益而亦有损也。故二方不入选用。
一、各部痈疽证治，分别阴阳，言语每多重赘，恐人偶一认错，为害不浅，学人详之。
一、罕见罕闻之奇疾，医书亦不可缺载。其按部位而患者，分列部位；其患无定处，共
集一类。又如血拥、号虫等类者，兹更集奇病、怪虫两门，冀或偶有是病，便于医治。
一、方药所当炮制者，须按本草照法精制，不可忽略。如制番木鳖等与本草稍异，另附
列制法于后。
一、恶虫证中有虫证，皆禀阴阳不和，湿热毒生。凡有虫伤，则于虫伤门寻类推治。
一、中毒类，似与外科无涉，要知医乃仁术，何在非救人之道，即饮食药饵，亦有中其
毒者，待及求方问药，人命休矣。故亦录附卷后，且可为养生者知所慎防云耳。
一、是书采簇书，并经亲见获效。其间折衷萃辑，五易稿而始成。痈疽证治，皆所亲
验。苟根据方修合，认证用药，洵使穷荒僻壤，咸庆生全。识者当不以鄙言为狂僭也。
一、本书初次刊刻是由我同乡程玉农廉访发起，距今已有三十多年，未见其他版本流传，将来流传的版本必定越来越少。四川的同僚各位君子，共同集资重新刊刻，这确实是一件令人高兴的事。
二、在四川地区讨论外科著作，推崇王氏的《全生集》为善本。本书对《全生集》的采集和摘录尤为完备，对于《全生集》所不足之处，本书又都补充得非常齐全，所以本书比《全生集》有过之而无不及。
三、本书初刻时，体例大多不统一，错误尤其严重。此次重刻委托懂医之人反复校对，凡是改正了二百多条，仍然间或有误文，实在是因为无可考证的依据，不如暂时保留疑问以传留疑问。
四、本书引用各家学说，都没有注明出处来源，是随时甄选收录，意在取得疗效即可。此次重刻也来不及遍查考据，有识之士请详细知晓。
五、附刻《全生集》的医案，因为与本书足以相互印证，查阅参考十分方便。
六、本书未涉及丹药（外用矿物药制剂），此次得到《疡医雅言》中的丹药方，简明扼要且切中要害，记录并附在后面，以成就完美之作，其用意详见见识语中。
同治丁卯年仲春月，京山人易崇阶倥侗氏书写
一、本书针对每种病症进行措辞治疗，条理分部款目非常详细。其中有证治相同而部位名称不同的情况，因为在痈疽（化脓性感染）部分从简于各部的开头，辨明红白阴阳，按照痈疽的治疗方法，便于查阅，万无一失。
二、凡是有方剂而仅治疗某一种病症的，则列在该病症之后；有方剂而通用治疗各种病症的，则另立通用方类，逐一方剂排列，不致杂乱。其中用药分量全部具备，从而避免临证时处方错误的失误。
三、人身脏腑阴阳，各自具有形态意义，经络部位各有分管职责，就像兵家所说的地利一样。不懂地利，不可以做军师；不懂脏腑经络，怎么能成为医师呢？历来诸书中的经络歌诀，文句参差错落，连章成诵，辨析困难。现在阅读陈见飞先生小集中，有外从头目直到足部，内自心肝脾肺肾以及六腑筋脉景象的说法，次第排列，堪称尽善尽美，于是采纳并分列各部，为方便学习者因证参阅。
四、《五善七恶歌》，本书原本不想收录。大概痈疽初期，不过是营气壅遏，卫气郁滞，导致形成疮肿，顺应其势而引导它，都属于善全，有什么恶的呢？等到日久溃烂腐败，或者阴阳误治，或者气血衰羸，那么七恶现象蜂拥而起。此时反恶归善需要回天之力，不能说不说是医家的责任。此次收录这两首歌诀，一是为了畏惧被讥笑矫揉造作古法，二是以备吉凶的借鉴罢了。希望世上的医家，不要因为有现有的恶象就完全推卸不治的责任，如果还有一线可挽回，应当参考援用，再结合内科脉理详细审察，才不愧称为仁术。
五、世人认为升降药（腐蚀性药物）是外科拔脓的要药，殊不知升降药乃盐、矾、砂、汞，经火力锻炼而成，属于药性猛烈的霸道之药。去除瘀血生成新肉，或许依赖于此。如果病症患病日久，气血本来已经虚亏，岂可任用霸道药剂，必须以补益气血为主，禁止疼痛腐烂，《全生集》中已经深切言之，怎么可以忽视呢。凡外证初起的消散它，痛痒的止住它，溃烂的收敛它，临危的抢救它。去瘀使用平安饼、针头散；生新使用象皮散、六和散，获得疗效奏功，百无一误。由此可知升降药虽然有益但也有损害。所以这两个方剂不列入选用范围。
六、各部痈疽证治，分别阴阳，言语往往多重赘述，恐怕人们偶尔认错，危害不浅，学习者请详细知晓。
七、罕见罕闻的奇疾，医书也不可缺载。其按部位而患病的，分列在部位中；其患无定处，共集为一类。又如血拥、号虫等类别的，此次更收集奇病、怪虫两门，希望或许偶有此病，便于医治。
八、方药所应当炮制的，须按本草照法精制，不可忽略。如制番木鳖等方法与本草稍异，另外附列制法于后面。
九、恶虫证中有虫证，都是禀受阴阳不和，湿热毒生。凡有虫伤，则在虫伤门寻找类推治疗。
十、中毒类，似乎与外科无关，要知道医乃仁术，哪里不是救人的道呢，即使是饮食药饵，也有中其毒的，等到求方问药，人命就完了。所以也记录附在卷后，且可为养生者知道谨慎防备罢了。
十一、本书采簇书籍，并经亲眼见到获得疗效。其间折衷萃辑，五次修改稿才完成。痈疽证治，都是亲自验证。如果根据方剂修合，认证用药，确实能使穷荒僻壤，都庆幸生存保全。有识之士应当不以我的鄙言为狂妄僭越。
1. The first printing of this book was initiated by Cheng Yunong, a Lianfang (provincial inspector) from my hometown. It has been over thirty years since then, and no other editions have appeared. Future copies will likely become increasingly scarce. Gentlemen colleagues in Shu (Sichuan) pooled funds to reprint it, which is indeed a gratifying undertaking.
2. In discussions of surgical texts in Shu, Wang's *Quansheng Ji* (Complete Collection for Preserving Life) is esteemed as an excellent edition. This book collects and excerpts from *Quansheng Ji* even more comprehensively; where *Quansheng Ji* is lacking, this book provides thorough supplementation. Therefore, this book surpasses or equals *Quansheng Ji*.
3. The initial printing had inconsistent formats and numerous errors. For this reprint, knowledgeable physicians were entrusted with repeated proofreading. Over two hundred items were corrected. Some textual errors remain because there are no reliable sources for verification; thus, doubts are preserved as such.
4. References to various schools of thought in this book do not cite their origins. They were selected opportunistically with the aim of achieving therapeutic efficacy. This reprint also did not allow for exhaustive research; scholars should be aware of this.
5. Medical cases from *Quansheng Ji* are appended because they corroborate this book, making cross-reference convenient.
6. This book does not cover Dan Yao (mineral-based external preparations). We obtained the Dan Yao formulas from *Yangyi Yayin* (Elegant Words on Surgeon Medicine), which are concise and essential. They are recorded and appended here to complete the work; the intent is detailed in the preface.
Written by Yi Chongjie, pseudonym Kongtong Shi, from Jingshan, in the second month of the Dingmao year of the Tongzhi reign.
7. This book details treatments for each syndrome, with clear categorization. Where treatments are identical but anatomical locations differ, simplicity is prioritized at the beginning of each section. By distinguishing red/white and yin/yang in carbuncles and sores (Yong Ju, purulent infections) and following standard treatment methods, reference is facilitated without error.
8. Formulas specific to a single syndrome are listed after that syndrome. Formulas applicable to multiple syndromes are grouped under "General Formulas" and listed sequentially to avoid confusion. Dosages are fully specified to prevent prescription errors during clinical practice.
9. The human body's Zang-Fu organs and Yin-Yang possess distinct forms and meanings; meridians and anatomical regions have specific jurisdictions, akin to strategic terrain in military strategy. One cannot be a strategist without understanding terrain; similarly, one cannot be a physician without understanding Zang-Fu and meridians. Previous meridian rhymes were inconsistent and difficult to memorize and distinguish. Mr. Chen Jianfei’s collected works contain descriptions extending externally from the head and eyes to the feet, and internally from the Heart, Liver, Spleen, Lung, Kidney to the Six Fu organs and sinews/vessels, arranged systematically and perfectly. These are adopted and categorized by region for students' convenience in referencing by syndrome.
10. The "Song of Five Goods and Seven Evils" was originally excluded. Initially, carbuncles and sores result merely from stagnation of Ying Qi (Nutritive Qi) and obstruction of Wei Qi (Defensive Qi), leading to swelling. Guiding the pathogen according to its nature leads to recovery; what evil is there? Only after prolonged ulceration, due to mismanagement of Yin/Yang or depletion of Qi and Blood, do the "Seven Evils" arise. At this stage, reversing evil to good requires miraculous effort, which is the physician's responsibility. These songs are included to avoid criticism of archaic affectation and to serve as a warning for prognosis. Physicians should not abandon patients exhibiting "evil signs"; if there is any hope, they must intervene, consulting internal medicine pulse diagnostics carefully, truly embodying benevolent art.
11. People mistakenly regard Sheng Jiang Yao (corrosive agents like salt, alum, realgar, mercury processed by fire) as essential for draining pus in surgery. These are harsh, potent drugs. While they may help remove stasis and generate new tissue, they are dangerous for chronic conditions where Qi and Blood are already deficient. Treatment must prioritize tonifying Qi and Blood, avoiding pain and rot, as emphasized in *Quansheng Ji*. Initial external lesions should be resolved; itching/pain stopped; ulcers healed; critical states rescued. For removing stasis, use Ping An Bing (Peaceful Cake) and Zhen Tou San (Needle Head Powder); for generating new tissue, use Xiang Pi San (Elephant Skin Powder) and Liu He San (Six Harmonies Powder). These are effective and safe. Thus, Sheng Jiang Yao is recognized as having both benefits and harms, and these two formulas are excluded from general selection.
12. Descriptions of carbuncles and sores distinguish Yin and Yang, often using verbose language to prevent misdiagnosis, which can be harmful. Students should pay close attention.
13. Rare diseases must be recorded. Cases localized by site are categorized by site; those with wandering locations are grouped together. New categories for "Strange Diseases" and "Monstrous Worms" are added for conditions like blood congestion or parasitic worms, facilitating treatment if encountered.
14. Herbs requiring processing must be refined according to Materia Medica standards. Methods differing from standard texts, such as processing Strychnos nux-vomica (Fan Mu Die), are listed separately.
15. Parasitic syndromes within "Evil Worm Syndromes" stem from Yin-Yang disharmony and damp-heat toxicity. Treatments follow the logic found in the "Wound Injury" category.
16. Poisoning cases seem unrelated to surgery, yet medicine is a benevolent art aimed at saving lives. Even food and herbs can cause poisoning. If one waits to seek remedies after poisoning occurs, life may be lost. Thus, these are appended to warn those seeking health preservation.
17. This book synthesizes literature and verified clinical experience. After five drafts, it was completed. Treatments for carbuncles and sores are personally verified. Following these formulas and accurately diagnosing syndromes ensures survival even in remote areas. Scholars should not dismiss these words as arrogant.