先大父北山先生,以通儒邃医学,所论著《伤寒杂病》诸书及《咳论注》、《疟论注》、《广瘟疫论》
凡十数种,皆先世父雪村先生行楷细字,录藏于家。近书坊中有刻本《瘟疫明辨》四卷,祖启购阅之,即先大
父存存书屋《广瘟疫论》也。虽易其名,幸未改窜其文,不知何人误刻为歙人郑某之书。在先大父固不争此,
而子孙见之,不容不正也。因出存存书屋原本,校而刻之,以纠伪传,广先德。因叹《伤寒》一书,注者
百家,至程郊倩实为独辟鸿 ,后有慈溪柯韵伯《论翼》出,而《伤寒》之书,叹观止矣。瘟疫
一证,古无成书,至吴又可,实为独辟鸿 ,更有先大父此书出,而瘟疫之书叹观止矣。事固有更阅数千年
而后得所折衷者,此类是也。代生名贤,民何幸欤!
乾隆四十七年岁在壬寅秋七月望后二日
孙男祖启谨识
六淫之邪,中人为病,病寒尤甚。盖风者,善行数变,其势猛急;寒者,收引拘束,其气坚凝。故其
病患也,不假少贷,而为患至速。各家医书,均首列中风、伤寒二门,以示后学。习是业者,咸致力于风寒,
以求诸病扩而充之,触类引伸,固无所不概。若执而守之,亦不免刻舟求剑,而所遗实伙。虽长沙有论,后
学注释繁多,究使指归不定,以致湿温、时疫,漏而不讲。迨吴又可《瘟疫论》出,稍使人知疫与伤寒同途
异归,不可拘伤寒法而治疫。然其辨悉,犹不若《广瘟疫论》之提纲挈领,晓畅明白,能使不习医者洞然领
略也。予于庚寅,偶得此书,故友王村舟言是书乃金陵前辈麟郊戴公存存书屋之稿本,近为仪征
郑氏所刻,发坊未久,板已散失,坊间竟无觅处,予每惜之!庚子迁居北城,得识国子学正戴敬咸先生,乃知
麟郊公为先生之祖,因叩及是书藏本,与予所得者相校雠,一字无讹,虽郑氏前刻,未将存存书屋之来由道出,
情似掠美,然非其剖劂流传,则予亦不得睹见,而无由与敬翁先生探其本源也,因怂恿梓行,以继前徽。壬寅
冬正在付梓,尚未蒇工,而敬翁先生忽婴疾而逝,今其嗣君踵成是书,嘱予纪其本末,予亦不敢以固陋辞,谨叙
其事,以纪麟郊公之作美于前,而得其贤嗣继美于后,庶
此不刊之书,得以永垂霄 ,救济生灵,实可上媲长沙之功,而庇医林后学于不浅矣!
乾隆四十八年岁次昭阳单阏氏皋月会稽沈懋发撰
我的祖父北山先生,凭借通晓儒学且深谙医学的造诣,所论述撰写的《伤寒杂病》等书以及《咳论注》、《疟论注》、《广瘟疫论》,共有十多种,都是先伯父雪村先生用行楷字体小字抄录并收藏在家中的。最近书坊中刊刻了四卷本的《瘟疫明辨》,祖父购买并阅读后,发现这就是先祖父在存存书屋所著的《广瘟疫论》。虽然更改了书名,幸好没有篡改原文内容,只是不知何人误将其刻印为歙县人郑某的作品。对于先祖父来说,他本来并不在意这种名分之争,但作为子孙见到这种情况,不能不加以纠正。于是拿出存存书屋的原稿,校对后刊刻,以纠正错误的流传,弘扬先人的德行。因此感叹《伤寒论》一书,注释者多达百家,直到程郊倩才真正独树一帜,后来又有慈溪人柯韵伯的《伤寒论翼》问世,关于《伤寒论》的著作可以说到了极致。瘟疫这一病症,古代没有专门的成书著作,直到吴又可出现,才真正独树一帜,再加上先祖父的这本书问世,关于瘟疫的著作也可以说到了极致。事情确实有经过数千年变迁后才得到妥善折衷的情况,这类情况就是如此。世代产生名家贤士,百姓是何等的幸运啊!
乾隆四十七年岁次壬寅秋七月望后二日
孙男祖启谨识
六淫(风、寒、暑、湿、燥、火六种外感病邪)之邪气,侵袭人体导致疾病,其中寒邪致病尤为严重。因为风邪,善于游走变化,其势头猛烈急促;寒邪,具有收敛牵引、拘急束缚的特性,其性质坚实凝滞。所以它导致的病患,不会给予丝毫宽贷,而造成的危害发生得非常迅速。各家医书,都首先列出中风、伤寒两个门类,以此示教后辈学者。学习这个行业的人,都致力于研究风寒,以求将各种疾病扩大并充实起来,触类旁通,引申发挥,固然是无所不包。但如果固执地坚守这些旧法,也不免会犯刻舟求剑的错误,而被遗漏的东西实在很多。虽然长沙太守张仲景有相关论述,但后辈学者的注释繁多,最终使得主旨归向不确定,以至于湿温、时疫等疾病,被遗漏而未加讲解。等到吴又可的《瘟疫论》问世,才稍微让人知道疫病与伤寒虽然途径相同但结局不同,不可拘泥于治疗伤寒的方法来治疗疫病。然而吴氏的辨析详尽程度,仍不如《广瘟疫论》那样提纲挈领,清晰明白,能使不熟悉医学的人也能透彻领会。我在庚寅年,偶然得到这本书,故友王村舟说这本书是金陵前辈麟郊戴公存存书屋的手稿本,最近被仪征郑氏刊刻,发行不久,刻板已经散失,市面上竟然无处寻找,我常常为此感到惋惜!庚子年我迁居到北城,结识了国子监学正戴敬咸先生,才知道麟郊公是这位先生的祖先,于是向他请教这本书的藏本情况,与我所得到的版本进行校对,一字没有错误。虽然郑氏之前的刻本,没有说明存存书屋版本的来历,情面上似乎有掠美之嫌,但若不是他们剖刻流传,我也无法得见此书,也就没有机会与敬翁先生探寻其本源了,于是怂恿他们再次刊印,以继承前人的美德。壬寅年冬天正在付梓印刷,尚未完成工程,而敬翁先生忽然患病去世,现在他的继任者完成这本书,嘱托我记录其始末,我也不敢因自己见识浅陋而推辞,谨叙述此事,以记录麟郊公著作之美在前,并得知其贤良的后继者在后延续美德,希望这部不可磨灭的书籍,能够永远流传,救济生灵,实在可以上比肩长沙太守张仲景的功绩,对医学界的后辈学者庇护甚大啊!
乾隆四十八年岁次昭阳单阏氏皋月会稽沈懋发撰
My grandfather, Mr. Beishan, possessed profound knowledge in both Confucianism and medicine. His writings, including *Shanghan Zabing* (Treatise on Cold Damage and Miscellaneous Diseases), *Ke Lun Zhu* (Commentary on the Treatise on Cough), *Nie Lun Zhu* (Commentary on the Treatise on Malaria), and *Guang Wenyi Lun* (Expanded Treatise on Pestilential Diseases), totaling over ten volumes, were meticulously copied in running-regular script by my late uncle, Mr. Xuecun, and kept in our family archives. Recently, a four-volume edition titled *Wenyi Mingbian* (Clear Distinction of Pestilence) was published by bookshops. After purchasing and reading it, I realized this was actually my grandfather's *Guang Wenyi Lun* from his "Cuncun Study Room." Although the title had been changed, fortunately, the text itself had not been tampered with. However, it was mistakenly attributed to a person named Zheng from She County. While my grandfather would not have cared about such matters, as his descendants, we could not allow this error to stand. Therefore, I produced the original manuscript from the Cuncun Study Room, proofread it, and arranged for its printing to correct false transmissions and promote my ancestor's virtue. This leads me to sigh: regarding the *Shanghan Lun* (Treatise on Cold Damage), there are hundreds of commentators; it was Cheng Jiaoqian who truly broke new ground. Later, Ke Yunbo from Cixi published *Lunyi*, making the commentaries on *Shanghan* seem exhaustive. As for pestilential diseases, there were no dedicated ancient texts until Wu Keyou emerged, who also broke new ground. With the subsequent appearance of my grandfather's book, the literature on pestilential diseases can now be considered complete. Some matters indeed require thousands of years of evolution before reaching a balanced consensus; this is one such case. How fortunate are the people when sages and worthies are born in every generation!
Recorded respectfully by grandson Zu Qi
On the second day after the full moon in the seventh month of autumn, in the year Renyin of the 47th year of Qianlong
The pathogenic factors of the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire) invading humans cause disease, among which Cold is particularly severe. Wind is characterized by rapid movement and change, with a fierce and urgent momentum; Cold has the nature of contraction and restriction, being solid and coagulating. Consequently, illnesses caused by these pathogens do not grant any leniency and manifest their harm very quickly. Various medical texts all list Stroke (Zhongfeng) and Cold Damage (Shanghan) as the first categories to instruct later learners. Practitioners devote themselves to Wind and Cold, expanding upon them to cover various diseases through analogy and extension, theoretically encompassing everything. However, if one adheres rigidly to these methods, one risks the folly of carving a mark on a moving boat to find the sword, leaving many conditions unaddressed. Although Zhang Zhongjing of Changsha provided foundational theories, the numerous commentaries by later scholars led to ambiguity in direction, causing conditions like Damp-Warmth (Shiwen) and Seasonal Epidemics (Shiyi) to be neglected. It was not until the publication of Wu Keyou's *Wenyi Lun* that people began to understand that epidemics share a similar origin with Cold Damage but follow a different course, and thus cannot be treated solely using Cold Damage methods. Nevertheless, Wu's differentiation, while detailed, does not match the clarity and comprehensiveness of *Guang Wenyi Lun*, which allows even non-medical readers to grasp the essentials clearly. In the year Gengyin, I偶然ly obtained this book. My late friend Wang Cunzhou told me that this manuscript originated from the Cuncun Study Room of Mr. Linjiao Dai, a senior figure in Jinling. It had recently been printed by the Zheng family of Yizheng, but the blocks were lost shortly after publication, making it impossible to find in the market. I often regretted this! In the year Gengzi, upon moving to the North City, I met Mr. Dai Jingxian, Assistant Director of the Imperial Academy (Guozijian), and learned that Mr. Linjiao was his ancestor. I inquired about the manuscript and compared it with my copy; they matched perfectly without a single error. Although the previous Zheng edition did not mention the provenance of the Cuncun Study Room version, appearing somewhat as if claiming undue credit, without their printing and dissemination, I would never have seen this book nor had the opportunity to explore its origins with Mr. Jingxian. Thus, I encouraged them to reprint it to continue the legacy. In the winter of Renyin, while the printing was underway but not yet finished, Mr. Jingxian suddenly fell ill and passed away. Now, his heir has completed the task and requested that I record the history. I dare not decline due to my own limited knowledge. I hereby narrate these events to honor the excellence of Mr. Linjiao's work in the past and acknowledge the virtuous continuation by his descendants in the future. May this indestructible book be preserved forever to save lives, rivaling the merit of Zhang Zhongjing of Changsha, and providing immense benefit to future generations of physicians!
Written by Shen Maofa of Kuaiji in the fifth month of the year Zhaoyang Dan'e Shi, in the 48th year of Qianlong