夫伤寒论。盖祖述大圣人之意。诸家莫其伦拟。故晋皇甫谧序甲乙针经云。伊芳尹
以元圣之才。撰用神农本草。以为汤液。汉张仲景论广汤液为十数卷。用之多验。近世
太医令王叔和撰次仲景遗论甚精。皆可施用。是仲景本伊芳尹之法。伊芳尹本神农之经。
得不谓祖述大圣人之意乎。张仲景汉书无传。见名医录云。南阳人。名机。仲景乃其字
也。举孝廉。官至长沙太守。始受术于同郡张伯祖。时人言识用精微过其师。所着论。
其言精而奥。其法简而详。非浅闻寡见者所能及。自仲景于今八百余年。惟王叔和能学
之。其间如葛洪、陶景、胡洽、徐之才、孙思邈辈、非不才也。但各自名家。而不能修明
之。开宝中节度使高继冲曾编录进上。其文理舛错。未尝考正。历代虽藏之书府。亦
缺于雠校。是使治病之流。举天下无或知者。国家诏儒臣校正医书。臣奇续被其选。以为
百病之急。无急于伤寒。今先校定张仲景伤寒论十卷。总二十二篇。证外合三百九十七
法。除复重定有一百一十二方。今请颁行。
太子右赞善大夫臣高保衡尚书屯田员外郎臣孙奇尚书司封郎中秘阁校理臣林亿等谨上。
张机。字仲景。南阳人也。受业于同郡张伯祖。善于治疗。尤精经方。举孝廉。官
至长沙太守。后在京师为名医。于当时为上手。以宗族二百余口。建安纪年以来。未及
十稔。死者三之二。而伤寒居其七。乃着论二十二篇证。外合三百九十七法。一百一十
二方。其文辞简古奥雅。古今治伤寒者。未有能出其外者也。其书为诸方之祖。时人以
为扁鹊仓公。无以加之。故后世称为医圣。
《伤寒论》这部著作,大概是阐述和继承大圣人(指伊尹、神农等古代圣贤)的意旨。各家医书都无法与之相比拟。所以晋代的皇甫谧在《甲乙经》序言中说:“伊尹凭借他作为元圣的才华,撰写使用了《神农本草》,以此创制了汤液。汉代的张仲景论述并扩充了汤液的理论,写成十数卷,使用它疗效显著。近代太医令王叔和整理编排张仲景遗留的论述非常精当,都可以临床应用。这说明张仲景本是遵循伊尹的方法,而伊尹本是依据神农的经典,这难道不是阐述和继承大圣人的意旨吗?”
张仲景在《汉书》中没有传记,但在《名医录》中有记载:他是南阳人,名机,字仲景。他被推举为孝廉,官职做到长沙太守。起初向同郡的张伯祖学习医术,当时的人说他的识见和运用比他的老师还要精深微妙。他所著的论著,言辞精辟深奥,方法简明详尽,不是见识浅薄的人所能达到的。自从张仲景那个时代到现在已有八百多年,只有王叔和能学习他的学说。其中的葛洪、陶弘景、胡洽、徐之才、孙思邈等人,并非没有才华,只是各自成为名家,而不能修习阐明这门学问。开宝年间,节度使高继冲曾经编录进献,但其中文理错乱,未曾考证校正。历代虽然收藏在皇家书库中,也缺乏校对。这使得治病的人,普天下没有谁知晓。国家诏令儒臣校正医书,臣孙奇接着被选中参与此事,认为百病之中,没有比伤寒更急迫的了。现在先校定张仲景《伤寒论》十卷,总共二十二篇,证候外合三百九十七法,除去重复后确定有一百一十二方,现在请求颁布施行。
太子右赞善大夫臣高保衡、尚书屯田员外郎臣孙奇、尚书司封郎中秘阁校理臣林亿等恭敬地呈上。
张机,字仲景,是南阳人。师从同郡的张伯祖学习,善于治疗,尤其精通经方。被推举为孝廉,官职做到长沙太守。后来在京师成为名医,在当时处于顶尖水平。因为宗族两百多口人,自建安纪年以来,不到十年,死了三分之二,其中死于伤寒的占七成。于是撰写论著二十二篇证候,外合三百九十七法,一百一十二方。其文辞简练古朴、深奥典雅,古今治疗伤寒的人,没有能超出这个范围的。这本书是各方剂的始祖,当时的人认为即使是扁鹊、仓公在世,也无法超越它。所以后世称他为“医圣”。
The *Treatise on Cold Damage* (Shanghan Lun) is believed to expound and inherit the intent of the Great Sages. No other medical works can compare with it. Therefore, Huangfu Mi of the Jin Dynasty wrote in the preface to the *Jia Yi Zhen Jing* (Classical Classic of Acupuncture): "Yi Yin, endowed with the talent of a primordial sage, utilized the *Shennong Bencao Jing* (Divine Farmer's Materia Medica) to create decoctions. Zhang Zhongjing of the Han Dynasty discussed and expanded upon these decoctions into several volumes; their clinical application has proven highly effective. Wang Shuhe, the Imperial Medical Director of recent times, meticulously compiled Zhang Zhongjing's remaining treatises with great precision, making them applicable for use. Thus, Zhang Zhongjing followed the methods of Yi Yin, and Yi Yin followed the classics of Shennong. Is this not an inheritance of the Great Sages' intent?"
Zhang Zhongjing has no biography in the *Book of Han*, but appears in the *Record of Famous Physicians*. He was from Nanyang, his given name was Ji, and his courtesy name was Zhongjing. He was recommended as a Filial and Incorrupt Candidate (Xiaolian) and rose to the office of Prefect of Changsha. Initially, he studied medicine under Zhang Bozu of the same commandery. People of the time remarked that his diagnostic acumen and therapeutic application surpassed that of his master. His written treatises are characterized by profound and subtle language, and concise yet detailed methods, which are beyond the reach of those with shallow knowledge. Since Zhang Zhongjing's era, eight hundred years have passed, and only Wang Shuhe has been able to study his work. Figures such as Ge Hong, Tao Hongjing, Hu Qian, Xu Zhicai, and Sun Simiao were not lacking in talent; however, they each established their own schools of thought and failed to properly cultivate and clarify this specific discipline. During the Kaibao era, Gao Jichong, the Military Governor, had previously compiled and submitted a version, but its textual coherence was flawed and it had never been critically corrected. Although kept in imperial libraries through successive dynasties, it lacked rigorous collation. Consequently, few practitioners of medicine knew of it. The state issued an edict for Confucian scholars to collate medical texts, and I, Chen Qi, was subsequently selected. I believe that among all diseases, none is more urgent than cold damage. We now present the collated ten volumes of Zhang Zhongjing's *Treatise on Cold Damage*, comprising twenty-two chapters, covering three hundred and ninety-seven syndromes/methods, and excluding duplicates to establish one hundred and twelve formulas. We respectfully request its promulgation.
Submitted respectfully by Gao Baoheng, Right Praise and Goodness Official of the Crown Prince; Sun Qi, Assistant Director of the Department of State Affairs; and Lin Yi, Secretary of the Bureau of Enfeoffment and Collator of the Secret Pavilion.
Zhang Ji, courtesy name Zhongjing, was from Nanyang. He studied under Zhang Bozu of the same commandery. He was skilled in treatment, particularly excelling in classical prescriptions (Jingfang). Recommended as a Filial and Incorrupt Candidate, he served as Prefect of Changsha. Later, he became a renowned physician in the capital, ranking among the best of his time. Observing that out of over two hundred members of his clan, more than two-thirds had died within ten years since the beginning of the Jian'an era, with seven-tenths of these deaths attributed to cold damage, he composed his treatise. It consists of twenty-two chapters on syndromes, encompassing three hundred and ninety-seven methods and one hundred and twelve formulas. The prose is concise, ancient, profound, and elegant. No practitioner of cold damage, past or present, has transcended its scope. This book serves as the ancestor of all prescriptions. Contemporaries believed that even Bian Que and Cang Gong could not surpass it. Hence, later generations have honored him as the "Medical Sage" (Yi Sheng).