臣闻医家正道，《内经》为真，《内经》言病最详，而无治病之法，故黄帝又与岐伯撰出《灵枢》，实为
医门所最急者也。嗣后，秦越人根据《内经》旨趣，而演八十一难、九针之说，晋皇甫士安采《灵枢》之旨，撰
《甲乙经》十卷，隋巢元方摘《灵》、《素》绪余，注《内经》，又撰《病原》三十卷；唐王冰抉《灵》、
《素》之旨注《内经》，撰《天元玉历》。以上诸子皆有著作，悉师《灵》、《素》，去古法不远。而汉张仲
景不师《内经》，惟采《本草》、《汤液》，着《金匮玉函》十卷，撰《伤寒论》十卷。晋王叔和又赘其说，
唐孙思邈采本草药性，集成《千金方》三十卷。《玉函经》五十卷，和附仲景，重重着述，皆宗此意。废去
针灸及丹附大药，尽用草木小药，盛行汤剂，以之理小疾则生，治大病则百无一活，至千百世，误死天下苍生。
（《伤寒》、《金匮》之书，辨六气之环转，析神机之出入，阴阳消长之妙，虚实递更之变，首尾贯通，丝丝
入扣。至于在经俞而用针，起陷下而用灸，并观其自叙，可谓神于师《内经》者矣。谓仲景不师《内经》，废
弃针灸，不亦冤乎。至若叔和、思邈，俱一代之明医，亦未宜深贬，后学当细心辨之。）伏念臣河朔真定之寒
士，焉敢善善揭前辈之过。但臣世祖隶传于医学，内舍相传，亦以《千金》、仲景等方，小试果效，用临大证，
心窃有疑。后得上天裨我此书，更参《内经》，百发百中，始信医有回天之功也。
所谓大病者，一伤寒，二阴疽内蚀，三虚劳痰火，四中风，五水肿，六臌胀，七脾泄暴注，八尸厥，九久痢，十脾
疟，十一喉痹，十二男女骨蒸劳热，十三小儿急慢惊风，十四痘疹黑斑缩陷。至于胎前产后百十种必死大证，
世人莫能救疗，束手待毙，良可哀哉。臣于此处消息五十余年，乃见正道，自古扁鹊、俞跗、仓公、华佗，皆
此书也，惜不广传于后世。臣今尽传此法于人，以救苍生夭横，伏乞陛下，大展圣裁，悯诸未世，将此书颁行
天下，试之有验，臣死无憾。若试之不效，即置臣于法，以彰诳君之罪。臣诚惶诚恐，稽手顿首，冒死以闻。
（张师固不可毁，而王、孙亦不可辟，夫先生之书固创出前贤，然先须根底于《素问》、《灵枢》，致
力于仲景、思邈，更充之以先生之法，其于大疾沉 ，自然游刃有余矣。无如叔世衰漓，只知耳食，性喜寒凉，
畏恶针灸，稍一谈及，俱摇头咋舌，甘死不受。是以先生之道难明，而先生之法不能行于斯世斯民也。予欲以
代之之方，思惟数载，终无妙法。先生倘以宿昔济世仁心神感于予，使予应心得手，再为广布，以传不朽，谅
先生在天之灵，亦应许可。古月老人胡珏谨识。）
我听说医家的正道，《黄帝内经》是最为真实的。《黄帝内经》论述疾病最为详尽，但没有提供治疗疾病的具体方法，所以黄帝又与岐伯撰写了《灵枢》，这确实是医学界最急需的典籍。此后，秦越人（扁鹊）依据《黄帝内经》的宗旨意趣，推演出了八十一难经和九针的理论；晋代的皇甫士安（皇甫谧）采纳《灵枢》的宗旨，撰写了十卷本的《甲乙经》；隋代的巢元方摘录《灵枢》、《素问》的剩余精华，注释《黄帝内经》，又撰写了三十卷本的《病源论》；唐代的王冰发掘《灵枢》、《素问》的宗旨来注释《黄帝内经》，撰写了《天元玉历》。以上各位先贤都有著作，都师法《灵枢》、《素问》，距离古法不远。
然而汉代的张仲景不师法《黄帝内经》，只采集《本草》、《汤液》的内容，著有《金匮玉函》十卷，撰写了《伤寒论》十卷。晋代的王叔和又增补了他的学说，唐代的孙思邈采集本草药性，集成《千金方》三十卷。《玉函经》五十卷，是王叔和附在张仲景著作之后的，重重著述，都遵循这个意图。他们废弃了针灸以及丹砂、附子等大药，完全使用草木类的小药，盛行汤剂疗法。用这种方法处理小病或许能生效，但治疗大病则百无一活，以至于千百年来，误死了天下无数百姓。（《伤寒论》、《金匮要略》这两本书，辨析六气循环运转的道理，剖析神机出入的变化，阴阳消长的奥妙，虚实交替的转变，首尾贯通，丝丝入扣。至于在经络腧穴上使用针刺，在阳气陷下时使用艾灸，并观看他们的自序，可以说他们是精通师法《黄帝内经》的人啊。说张仲景不师法《黄帝内经》，废弃针灸，这不也是冤枉吗？至于像王叔和、孙思邈，都是一代名医，也不宜过分贬低，后学者应当细心辨别。）
我考虑到我是河北真定的一位贫寒读书人，怎么敢轻易揭露前辈的过错。只是我家世代传承医学，内部传授，也曾用《千金方》、张仲景等方的药方，小规模尝试并取得效果，但在面对重大证候时，我心里暗自怀疑。后来上天赐给我这本书，再参合《黄帝内经》，做到百发百中，这才相信医学有回天之力。
所谓的大病，一是伤寒，二是阴疽内蚀，三是虚劳痰火，四是中风，五是水肿，六是鼓胀，七是脾泄暴注，八是尸厥，九是久痢，十是脾疟，十一是喉痹，十二是男女骨蒸劳热，十三是小儿急慢惊风，十四是痘疹黑斑缩陷。至于胎前产后上百种必死的大证，世人不能救治，束手待毙，实在令人悲哀。我在此处揣摩研究五十多年，才见到正道。自古以来的扁鹊、俞跗、仓公、华佗，都是运用此书的，可惜没有广泛流传于后世。我今天将这种方法全部传授给人，以拯救百姓免受夭折横死之苦，恳请陛下，发扬圣明裁决，怜悯末世众生，将此书颁行天下，如果试验有效，我死而无憾。如果试验无效，就依法处置我，以彰显欺骗君主的罪行。我诚惶诚恐，叩手顿首，冒死上闻。
（张仲景固然不可诋毁，而王叔和、孙思邈也不可排斥。先生的书固然创出于前贤之前，然而必须先扎根于《素问》、《灵枢》，致力于张仲景、孙思邈的学问，再充实以先生的方法，对于大病沉疴，自然就能游刃有余了。无奈世道衰微，人们只知听信耳食之言，生性喜好寒凉药物，畏惧厌恶针灸，稍微一谈到这些，都摇头咋舌，宁愿死去也不接受。因此先生的道理难以阐明，先生的方法不能施行于当今世人和百姓身上。我想寻找替代的方法，思考了好几年，始终没有妙法。先生倘若凭借往日济世的仁心感应于我，使我得心应手，再广为传播，以传之久远，想必先生在天之灵，也应会许可。古月老人胡珏谨识。）
I have heard that in the orthodox path of medicine, the *Huangdi Neijing* (Yellow Emperor's Inner Canon) is the truest. The *Huangdi Neijing* discusses diseases most comprehensively but lacks specific methods for treating them; therefore, the Yellow Emperor and Qibo compiled the *Lingshu* (Spiritual Pivot), which is indeed the most urgent necessity for the medical field. Subsequently, Qin Yueren (Bian Que) based himself on the purport of the *Huangdi Neijing* and elaborated on the theories of the Eighty-One Difficulties (Nanjing) and the Nine Needles. In the Jin Dynasty, Huangfu Mi adopted the purport of the *Lingshu* and compiled the *Jiayi Jing* (Systematic Classic of Acupuncture and Moxibustion) in ten volumes. In the Sui Dynasty, Chao Yuanfang excerpted the remnants of the *Lingshu* and *Suwen* (Basic Questions), annotated the *Huangdi Neijing*, and also compiled the *Bingyuan* (Treatise on Pathogenesis) in thirty volumes. In the Tang Dynasty, Wang Bing excavated the purport of the *Lingshu* and *Suwen* to annotate the *Huangdi Neijing* and compiled the *Tianyuan Yuli*. All the aforementioned scholars had their works, all modeling themselves after the *Lingshu* and *Suwen*, staying not far from ancient methods.
However, Zhang Zhongjing of the Han Dynasty did not model himself after the *Huangdi Neijing*; he only collected content from the *Bencao* (Materia Medica) and *Tangye* (Decoctions), authored the *Jinkui Yuhan* (Golden Cabinet Jade Box) in ten volumes, and wrote the *Shanghan Lun* (Treatise on Cold Damage Disorders) in ten volumes. Wang Shuhe of the Jin Dynasty further supplemented his theories, and Sun Simiao of the Tang Dynasty collected herbal properties and integrated them into the *Qianjin Fang* (Prescriptions Worth a Thousand Gold) in thirty volumes. The *Yujing* (Jade Box Classic) in fifty volumes was attached by Wang Shuhe to Zhang Zhongjing's works; these layered compilations all followed this intent. They discarded acupuncture and moxibustion as well as major medicines such as Cinnabar (Zhusha) and Aconite Root (Fuzi), relying entirely on minor herbal medicines, and vigorously promoted decoction therapies. Using this approach to treat minor ailments might yield results, but when treating major diseases, not one in a hundred would survive. Consequently, over thousands of years, countless common people were mistakenly killed. (The books *Shanghan Lun* and *Jinkui Yaolue* analyze the cyclical rotation of the Six Qi (Six Exogenous Pathogens), dissect the entry and exit of the Shen Ji (Divine Mechanism), the subtleties of Yin-Yang waxing and waning, and the changes of alternating deficiency and excess. The beginning and end are connected, fitting together seamlessly. Regarding the use of needles at meridians and acupoints, and the use of moxa to raise sunken Yang, and observing their prefaces, one could say they were masters who skillfully modeled themselves after the *Huangdi Neijing*. To claim that Zhang Zhongjing did not model himself after the *Huangdi Neijing* and discarded acupuncture and moxibustion is unjust. As for Wang Shuhe and Sun Simiao, both were renowned physicians of their generation, and it is inappropriate to severely criticize them; later students should discriminate carefully.)
I reflect that I am a poor scholar from Zhending in Hebei, how dare I easily expose the faults of my predecessors. However, my family has inherited medicine for generations, passing it down internally. We have also used formulas from the *Qianjin Fang* and Zhang Zhongjing with small-scale trials that yielded effects, but when facing major syndromes, I harbored private doubts. Later, Heaven bestowed this book upon me. By combining it with the *Huangdi Neijing*, I achieved success in every attempt, and only then did I believe that medicine possesses the power to turn back heaven (save critical cases).
The so-called major diseases are: first, Shanghan (Cold Damage); second, Yin Ju Nei Shi (Yin Abscesses with Internal Erosion); third, Xu Lao Tan Huo (Deficiency Consumption with Phlegm-Fire); fourth, Zhong Feng (Wind Stroke); fifth, Shui Zhong (Edema); sixth, Gu Zhang (Abdominal Distension/Tympanites); seventh, Pi Xie Bao Zhu (Spleen Diarrhea with Violent Purging); eighth, Shi Jue (Corpse Rigor/Coma); ninth, Jiu Li (Chronic Dysentery); tenth, Pi Nüe (Spleen Malaria); eleventh, Hou Bi (Throat Obstruction); twelfth, Gu Zheng Lao Re (Bone Steaming Consumptive Fever) in men and women; thirteenth, Ji Man Jing Feng (Acute and Chronic Convulsions) in children; fourteenth, Dou Zhen Hei Ban Suo Xian (Smallpox/Rash with Black Spots Retraction). As for the dozens of fatal syndromes before and after childbirth, which the world cannot cure, leaving patients to wait for death with hands tied, it is truly lamentable. I pondered and studied here for over fifty years before seeing the orthodox path. Since ancient times, Bian Que, Yu Fu, Cang Gong, and Hua Tuo all utilized this book, but unfortunately, it was not widely transmitted to later generations. Today, I fully transmit this method to others to save the common people from premature and violent deaths. I humbly request Your Majesty to exercise your sagacious judgment, pity the people of this declining age, and promulgate this book throughout the world. If tested and proven effective, I will die without regret. If tested and found ineffective, punish me according to the law to manifest the crime of deceiving the sovereign. I am filled with awe and fear, bowing my head and hands, daring to report this despite the risk of death.
(Although Zhang Zhongjing should not be slandered, neither should Wang Shuhe and Sun Simiao be rejected. Mr.'s book certainly innovates beyond former sages, yet one must first take root in the *Suwen* and *Lingshu*, devote effort to the studies of Zhang Zhongjing and Sun Simiao, and further enrich oneself with Mr.'s methods. Then, regarding major and chronic illnesses, one will naturally handle them with ease and proficiency. Unfortunately, in this declining era, people only know what they hear through gossip, favor cold and cool natured herbs, and fear and loathe acupuncture and moxibustion. Whenever these topics are mentioned, they shake their heads and click their tongues, preferring death rather than accepting treatment. Thus, Mr.'s principles are difficult to clarify, and Mr.'s methods cannot be practiced among the people of this time. I sought substitute methods, pondering for several years, but ultimately found no miraculous solution. If Mr., moved by the benevolent spirit of saving the world from past lives, inspires me to achieve mastery and dexterity, allowing me to spread this widely and ensure its immortality, I trust that Mr.'s spiritual presence in heaven would also permit it. Hu Jue, Old Man of Ancient Moon, respectfully records.)