议曰调理婴孩小儿上古黄帝未有言着鬼史区云谓小儿受疾令是一门故不加载素问始自巫
人颅
囟经篇章三举自后智者继述本末世传诸家之善经进详要旨症准绳之者凡八十一家近世湖南潭
州周宅广收其文专入编集目曰幼幼新书四十册仅数十万字排列名方似涉繁碎犹如元帅要退伏
兵欲以一箭败阵乃定太平彼时求选一夫善射急于百万军众皆张弧矢以待比较优劣临机对垒就
敌之势不可得而用之奇正退其潜伏犹豫再三乃非良将者耶临时检阅审较可否考其效验正由渴
而掘井斗而铸兵不亦晚乎学医之士若不究竟胸次了了肘后简往直截扶危之功若也取次缓慢智
意不逮彷徨之久出不得已肆意而设自不知惭而且愧有如马服子强战无不孙子曰上兵伐谋可以
比喻良医用药何异良将用兵医无智则不可行将无谋则不道者犹犬马之夫难与言其至理曷能
以知其道若夫文武医卜农工商贸行之以礼务之以本议其道者无不贯之矣执医之士不明是道妄
恣苟简必有利害于其间斯乃何未之流温恭无佞直节有规方乃谓医流之士明道而见之违理聪而
门之良由务学则开聪开须知议议知则专诚诚专乃通往往通则明道道明则任用以副自然所谓常
山之蛇击其中则首尾俱应医之亦已处用得中无不应节斯乃谓明道之理如此宜乎究竟而已矣
议论道:调理婴幼儿,上古黄帝时期并没有专门著述。鬼臾区曾说:“小儿患病是一门专门的学问”,因此《素问》中并未收录,而是始于巫医的《颅囟经》篇章。此后,智者相继阐述,秉承末世流传下来的各家之长,进献详略得当的要旨,符合症候准绳的著作,共有八十一家。近代湖南潭州周宅广泛收集这些文献,专门编入集子,书名为《幼幼新书》,共四十册,仅有数十万字。排列罗列名方,似乎显得繁琐细碎,就像元帅想要退却伏兵,企图用一支箭击败敌军一样。于是决定在太平时期,寻求选拔一位善于射箭的人,急于在百万军中脱颖而出,大家都拉开弓矢等待比较优劣,临机对垒,面对敌人的态势,不可能使用出奇制胜的策略。正奇之变,使潜伏之敌犹豫再三,这难道不是良将吗?临时检阅审查,考较是否可行,考察其效验,正如口渴时才去挖井,战斗时才去铸造兵器,不也太晚了吗?学医的人士,如果不彻底弄清胸中的道理,像《肘后备急方》那样直截了当地发挥扶危救急的功效,如果采取仓促缓慢的态度,智慧意趣达不到要求,彷徨许久后出于不得已而随意设立治疗方案,不仅不知惭愧,反而更加羞愧。就像马服君赵奢之子赵括,虽然强战但无谋略。孙子说:“上兵伐谋”,可以比喻良医用药,与良将用兵有何不同?医生没有智慧则无法行医,将领没有谋略则不能称其为道者,这就如同犬马之辈,难以与他们谈论至理,怎么能知道其中的大道呢?至于文武、医卜、农工商贸,以礼行事,以根本为务,探讨其道的人无不贯通。执掌医术的人士如果不明白这个道理,妄自放纵苟且简化,必然在其中产生利害得失。这就是所谓的“未流”(末流),温恭而不谄媚,正直而有规矩,才称得上是医流人士,明道而见之于行,违背常理却聪明地闭门造车。正因为致力于学习才能开启聪慧,开启聪慧需要议论,议论知晓才能专诚,专诚才能通达,往往通达就能明理,明理就能任用,以符合自然规律。所谓常山之蛇,击中其中间,则首尾都能呼应,医生的运用也是如此,处得适中,没有不契合节律的。这就是所说的明道的道理,如此应当彻底探究罢了。
Discussion states: To regulate infants and young children, there were no specific treatises in the ancient times of the Yellow Emperor. Gui Yuqu (Ghost Yuqu) once said, "Pediatrics is a specialized field," therefore it was not included in the *Suwen* (Plain Questions), but rather originated from the chapters of the *Luxin Jing* (Cranial Fontanelle Classic) by shamans. Since then, wise men have successively elaborated on it, inheriting the strengths of various schools passed down from later generations, presenting concise and essential principles that align with diagnostic standards. There are eighty-one such works. In recent times, the Zhou residence in Tanzhou, Hunan, extensively collected these texts and compiled them into a collection titled *Youyou Xinshu* (New Book for Infants and Children), consisting of forty volumes, totaling only hundreds of thousands of characters. Listing famous prescriptions seems overly detailed and fragmented, akin to a general wishing to disperse an ambush force, attempting to defeat an army with a single arrow. Thus, during peacetime, they sought to select one skilled archer, eager to stand out among millions, where everyone drew their bows and arrows waiting to compare superiority and inferiority. Facing the enemy's formation in battle, it is impossible to employ unconventional strategies. The interplay of orthodox and unorthodox tactics causes the hidden enemy to hesitate repeatedly; is this not the mark of a good general? Reviewing and examining at the last moment, assessing feasibility and verifying efficacy, is like digging a well only when thirsty or forging weapons only when fighting; is it not too late? Medical practitioners who do not thoroughly understand the principles within their minds, and fail to act decisively like the *Zhouhou Beiji Fang* (Handbook of Prescriptions for Emergencies) to rescue those in danger, but instead adopt a hasty and slow approach, lacking sufficient wisdom and insight, will hesitate for a long time before finally resorting to arbitrary treatments out of desperation. They would not only be unaware of their shame but even more ashamed. It is like Zhao Kuo, son of Ma Fu Jun, who fought strongly but lacked strategy. Sun Tzu said, "The highest form of generalship is to balk the enemy's plans," which can be compared to how a good doctor uses medicine, just as a good general uses troops. A doctor without wisdom cannot practice; a general without strategy cannot be considered a Daoist practitioner. This is like speaking profound truths to dogs or horses; how can one know the Way? As for civil and military affairs, medicine, divination, agriculture, industry, commerce, and trade, acting according to propriety and focusing on fundamentals, those who explore their ways will achieve mastery. Practitioners of medicine who do not understand this principle, acting recklessly and simplistically, will inevitably bring harm and benefit. This refers to the "fringe" (marginal) school. Being warm and respectful without flattery, upright and principled, constitutes the medical profession. One must clarify the Dao and manifest it in action; being clever yet ignoring reason is like closing one's door. Only through diligent study can one open their intelligence; opening intelligence requires discussion; understanding through discussion leads to sincerity; sincerity leads to proficiency; proficiency leads to clarity; clarity allows for proper application, conforming to nature. It is said that the snake of Changshan, when struck in the middle, responds with both head and tail. Similarly, a doctor's application should be balanced and harmonious with rhythm. This is what is meant by clarifying the Dao; thus, one should thoroughly investigate it.