稽自三坟启秘,神圣迭兴,《本草》、《内经》,昭垂星日。盖圣人继天立极,位育为功,念
天壤之间,阴阳代谢,运气推迁,至之先后,已无成规,应之早迟,靡有定律,其间六淫胜
复,酿为灾眚。哀此苍黎,能无因是而夭扎者,此岐伯演十世之传,黄帝启九章之问,而有
医氏之学也。伏读黄帝之谓岐伯曰∶至哉,圣人之道,天地大化,非夫子孰能通之?请藏之
灵兰之室,非斋戒不敢示。夫圣如轩皇,而于医事崇尚若此,岂非 一体,胞与为怀,欲
登万世斯人于仁寿者欤!《素问》而下,如伊芳尹《汤液》、皇甫谧《甲乙》、秦越人《问难》、张
仲景《金匮》、王叔和《脉经》、陶弘景《肘后》,此数公者,虽曰祖述《灵》、《素》,其实以
作为述。自兹以往,医事寥寥,虽著作者代不乏人,求其无偏无陂,实难多观。惟明末李时
珍、张景岳、喻嘉言递出,阐明《金匮》、发泄《内经》,扫芜秽而返清纯,有功于医事者不
小。然数人虽产明代,而其书始盛行于康熙初年,大为世用。盖由圣天子临御,德孚中外,仁
协万方。近纂《医宗金鉴》,遍周海宇,将见民无疵疠,物遂生成,故预产明良,以襄位育之
功,非偶然矣。惟幼科一门,不无遗憾。虽嘉言微启其端,而其言未竟。予每读惊风之书,未
尝不三叹而流涕也!予幼禀亏多病,于医家色脉之要顿,尝究心长际仙师,授金鼎火符性命
之秘。嗣是遨游海岳,冀遇同俦,竹杖芒鞋,行方几半。宅内凡绅衿士庶、名公巨卿,以及
至贱至微者,盖尝随录而方便之。其临证救治之多,有非笔楮所能罄。第念惊风之说,在在
讹传,莫获辞而正之,坐使无辜婴稚,枉受贻殃,前后相仍,迄无底止。兹将惊风之说,概
为删订,而附以一得之愚,自禀于胎元,火功烁艾,以及杂证麻痘,汤火疮疡,无不周备,汇
为六卷,计数十万言。书成付梓,颜曰《幼幼集成》。其中延医权衡,一遵经旨,冈或偏枯,
务期有当于理,无害于人而后已,非敢妄议前人,遂其一隅之见,第念保赤诚求,不中不远,
此书不无万一之助,勿忍终默而息,不辞狂瞽,请政大方,岂曰井海瓮天,立言启后,亦聊
体古圣仁民爱物之心,欲自效其负暄之悃云尔!
时维大清乾隆十五年岁次庚午孟春月罗浮陈复正飞霞氏书于 阳之种杏草堂
追溯自《三坟》开启医道奥秘以来,历代圣贤相继兴起,《本草经》与《黄帝内经》如日月般光辉昭著。圣人继承天道确立准则,以安顿天地、化育万物为功绩,考虑到天地之间,阴阳交替更迭,五运六气推移变化,疾病到来的先后没有固定常规,应对的早晚也没有一定定律,其中六淫(风、寒、暑、湿、燥、火六种外感病邪)胜复交替,酿成灾祸。怜悯这些百姓,怎能不因此早夭呢?这就是岐伯演绎十世传承,黄帝开启九章问答,从而产生医学的原因。我恭敬地阅读黄帝对岐伯说:“伟大啊,圣人的道理,天地的大化运行,除了先生谁能通晓?请把它藏在灵兰之室,非斋戒不敢示人。”像轩辕黄帝这样圣明的人,对于医事都如此崇尚,难道不是视天下人为一体,怀有胞与为怀(视万物为一体,关爱众生)之心,想要让万代人类达到仁德长寿的境界吗!从《素问》以下,如伊芳尹的《汤液经》、皇甫谧的《针灸甲乙经》、秦越人(扁鹊)的《难经》、张仲景的《金匮要略》、王叔和的《脉经》、陶弘景的《肘后备急方》,这几位先生,虽然说是祖述《灵枢》、《素问》,其实是以创新来阐述经典。从此以后,医学事业日渐衰落,虽然著书立说的人代代不乏,但要求他们无偏颇、公正客观的,实在很难多见。只有明代末期的李时珍、张景岳、喻嘉言相继出现,阐明《金匮要略》,发挥《内经》精义,扫除芜杂污秽而回归清纯,对医学事业的功劳不小。然而这几个人虽然产于明代,但他们的书籍开始在康熙初年盛行,被广泛使用。大概是因为圣明的天子统治,德行信服中外,仁爱协调万方。最近编纂《医宗金鉴》,遍布全国,将见到民众没有疾病,万物得以生长,所以预先产生贤良人才,以辅助安顿天地、化育万物的功绩,这不是偶然的。只有儿科这一门,不无遗憾。虽然喻嘉言稍微开启了端倪,但他的论述未竟。我每次阅读治疗惊风的书籍,没有不三次叹息而流泪的!我自幼禀赋不足多病,对于医家望色切脉的要诀,曾经潜心研究长际仙师传授的金鼎火符性命之秘。此后遨游海岳,希望遇到同道中人,竹杖芒鞋,行遍半个天下。宅内凡是绅士平民、名公巨卿,以及极其卑贱微小的人,都曾记录并方便地给予救治。其临证救治之多,有不是笔墨所能穷尽的。只是想到惊风的说法,到处讹传,无法用言辞纠正,致使无辜婴儿幼儿,白白遭受灾殃,前后相仍,直到没有尽头。现在将惊风的说法,一概进行删订,并附上自己的一点愚见,自胎元养护、艾灸火功,以及杂证麻疹痘疮、汤火疮疡,无不周备,汇编为六卷,共计十万字。书成付梓,题名为《幼幼集成》。其中延请医生权衡利弊,完全遵循经典旨意,或者避免偏枯(半身不遂等后遗症),务必力求合乎情理,不伤害人而后停止,不敢妄议前人,遂其一隅之见,只是想到保全赤子诚心寻求,不偏离正道不远,这本书不无万一的帮助,不忍心最终沉默不语,不辞狂妄浅陋,请求大方之家指正,难道说是井底之蛙、瓮中观天,立言启发后人,也是姑且体察古代圣人仁爱百姓、爱惜万物的心意,想要表达自己晒太阳般的微薄诚意罢了!
时值大清乾隆十五年岁次庚午孟春月,罗浮陈复正飞霞氏书写于阳之种杏草堂。
Tracing back to the origins, since the "Sanfen" (Three Ancient Medical Texts) revealed medical mysteries, divine and sacred healers have emerged successively. The *Bencao* (Materia Medica) and *Neijing* (Inner Canon) shine like stars and the sun in the sky. Sages inherit the Way of Heaven to establish standards, achieving merit by settling heaven and earth and nurturing all things. Considering that within heaven and earth, yin and yang alternate and transform, and the pushing forward of Qi and blood (vital energy dynamics) changes over time, there are no fixed rules regarding the timing of their arrival, nor established laws regarding the promptness or delay of responses. Among these, the excess and recovery of the Six Excesses (Wind, Cold, Summer-heat, Dampness, Dryness, Fire - pathogenic factors), brewing disasters and calamities, evoke pity for the common people. How could they not suffer premature death or injury because of this? This is why Qibo (Disciple of Huangdi) transmitted teachings through ten generations, and the Yellow Emperor initiated questions in nine chapters, giving rise to the science of medicine.
I respectfully read where the Yellow Emperor said to Qibo: "How profound! The Way of the sages. The great transformation of heaven and earth—who but you, Master, can comprehend it? Please store it in the Linglan Chamber (a place for storing important texts). I dare not show it unless I have purified myself through fasting and ablutions." Even a sage as illustrious as Xuanyuan (the Yellow Emperor) esteemed medical affairs so highly. Is it not because he viewed all beings as one body, harboring compassion for all living things, desiring to elevate all people across ten thousand generations to benevolence and longevity?
Following the *Suwen* (Basic Questions), figures such as Yifangyin with his *Tangye Jing* (Classic of Decoctions), Huangfu Mi with his *Jiayi Jing* (Systematic Classic of Acupuncture and Moxibustion), Qin Yerren (Bian Que) with his *Nanjing* (Classic of Difficult Issues), Zhang Zhongjing with his *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet), Wang Shuhe with his *Maijing* (Pulse Classic), and Tao Hongjing with his *Zhouhou Beiji Fang* (Handbook of Prescriptions Kept Up His Sleeve), these few gentlemen, although they claimed to follow and expound upon the *Lingshu* and *Suwen*, actually engaged in creation through inheritance. Since then, medical practice has become sparse. Although authors have never been lacking in subsequent generations, it is difficult to find many works that are unbiased and perfectly balanced. Only at the end of the Ming Dynasty did Li Shizhen, Zhang Jingyue, and Yu Jiayan emerge successively. They elucidated the *Jingui Yaolue* and expounded upon the *Neijing*, sweeping away clutter and filth to return to purity and clarity. Their contribution to medical affairs was significant. However, although these individuals were born in the Ming Dynasty, their books only became widely popular and extensively used by the world in the early years of the Kangxi reign. This was likely due to the Sage Emperor's rule, whose virtue convinced both China and foreign lands, and whose benevolence harmonized all directions. Recently, the compilation of the *Yizong Jinjian* (Golden Mirror of the Medical Tradition) has spread throughout the empire. It is anticipated that people will be free from disease, and all things will grow and thrive. Thus, wise rulers and capable ministers are produced in advance to assist in the work of settling heaven and earth and nurturing all things; this is no coincidence.
However, the field of pediatrics remains somewhat regrettable. Although Yu Jiayan slightly opened its beginning, his discourse was incomplete. Every time I read books on "Jingfeng" (Pediatric Convulsions/Wind-stroke), I cannot help but sigh three times and shed tears! I was constitutionally weak and prone to illness since childhood. Regarding the essentials of observing complexion and pulse in medicine, I once devoted my mind to studying the secrets of life and nature taught by Master Changji Xianshi regarding the golden tripod and fire talismans. Thereafter, I wandered among seas and mountains, hoping to meet like-minded companions. With a bamboo staff and straw sandals, my travels covered nearly half the world. Within my residence, whether gentry, scholars, commoners, famous officials, or those of the lowest status, I recorded cases and provided convenient treatment. The number of clinical救治 (rescues and treatments) was beyond what pen and paper could exhaust. Yet, considering that the theory of Jingfeng is widely misinterpreted everywhere, and no one corrects it, causing innocent infants to suffer unjustly, continuing endlessly without end, I now take the theories of Jingfeng and comprehensively revise them, adding my own humble insights. Covering prenatal care, moxibustion and fire techniques, miscellaneous diseases, measles, smallpox, and burns/scalds, everything is thoroughly prepared. Compiled into six volumes, totaling 100,000 words. Upon completion and printing, I titled it *Youyou Jicheng* (Complete Collection for Children). In selecting physicians and weighing decisions, I strictly adhere to the principles of the classics, avoiding paralysis or bias, striving always for rationality and non-harm before stopping. I do not dare to recklessly criticize predecessors to satisfy my limited view. Rather, driven by the sincere desire to protect infants and seeking the mean, believing this book may offer some assistance, I cannot bear to remain silent. Disregarding my own arrogance and ignorance, I request correction from experts. Is this merely viewing the sea from a well or the sky from an urn? Establishing words to inspire future generations is merely to embody the ancient sages' heart of benevolence towards people and love for all things, expressing my humble sincerity like basking in the winter sun.
In the first month of the spring season of Gengwu year, the 15th year of Qianlong of the Great Qing, Chen Fuzheng Feixia wrote this at the Zhongxing Caotang in Yang.