议曰小儿方书世传有三王氏东汉作方论二十篇今家宝是其或大同小异往往好事作德君子
刊施
济众就平增损者有之大抵其言有序自征至着其旨有皈自隐至显话括周遍事无繁述参以数十
名
家比较优劣始知先生药用淳和方排继续考之而取其切究之而效其疾斟酌升降以和为用其意在
调理尽善之最也虽然后学之士治家之子检阅投饵或有不当毋至差或致害其书故得家宝之称夫
良
士用心妙理活人HT 之与药犹若权衡权衡者法之一端也参究均平考较实论循方以应脉有条而不
紊王氏之书乃幼幼方脉之规模习小丸散岂可遁此如大人疾患有叔和脉诀考五行有珞绿子命
书
学六文有火珠卦文知贵贱有人伦风鉴相法如斯木术皆名家所集详辩以为上首冠诸妙义得毋枉
究虽然各有广要篇章终不远越而在总归非曰训童发蒙之谓垂老足钦至妙之道也已
议曰宋朝徽宗太子寿王聪慧幼时常发痫疾诸大名医莫之安愈时有草 医士张涣挟 货药
于都下召
之入内用药即效官至翰林医正张氏北人也留方五百有余逐病叙说深参其要近传于世目曰张氏
妙选四方士夫乐而用之殊不知南人得病以北人处方自是道地相反意议不同所谓北人水气多南
人瘟疫盛地气天时使之然也北人水气盛盛则就湿湿即与燥之南人瘟疫盛盛即作热热宜发散更
加燥热之药病热传作它症药既不宜疾何能愈夫幼童阴阳稍偏表里固同脏腑怯弱岂可以热制冷
以凉止燥其说症候可以循简述论颇有优长然其方药初使人疑之次复惑之或有不当必与悔之
曰南人用北人方药曷不知之学人参究尽善不必 方如前有云意与医同药与疾谐方可投之若也
据乎云云而用之者斯谓愚医不无妄投其饵在乎得失须当审之宜其察之
议曰：小儿方书在世间流传的有三家，其中王氏是东汉时期所作，共有方论二十篇。如今世人所珍视的《家宝》就是其中之一，它们之间大同小异。往往是那些喜好行善积德的君子，刊印施舍以救济大众，并在原有基础上增减调整。大体上，这些论述条理清晰，从征象到显著表现都有涵盖，主旨从隐微到显露，话语周全完备，事情叙述不繁复。参考数十位名家的著作比较优劣，才知道这位先生用药纯正平和，方剂排列有序。考察其内容并选取其中精切的部分，探究其疗效，斟酌药物的升降浮沉，以调和为作用宗旨，其意图在于调理身体达到尽善尽美的境界。虽然是后学之士或治家的子女，在阅读检查并投药时可能会有不当之处，不至于出差错导致危害，所以这本书才得名为《家宝》。良医用心探究妙理，救人如同使用权衡（秤）一样，权衡只是法度的一端。深入探究、均衡平正、考核实际理论，遵循方剂以对应脉象，有条理而不混乱。王氏的书乃是儿科方脉的规模范式，学习小儿丸散难道可以脱离这个基础吗？就像大人疾病有叔和的《脉诀》，考五行有珞禄子的命书，学六爻有火珠卦文，知贵贱有人伦风鉴相法，像这样的术数都是名家汇集，详细辨别作为首要内容，冠以妙义，难道会枉费探究吗？虽然各有广博要点，篇章最终不离根本，总归而言，并非仅仅训导儿童启蒙的意思，值得老年人钦佩那至妙的道理啊。
议曰：宋朝徽宗太子寿王聪慧，幼年时常发癫痫之疾，众多名医都无法治愈他。当时有一位草医张涣，携带货物药品在京城出售，被召入宫内用药，立即见效，官至翰林医正。张氏是北方人，留下方剂五百多首，逐病叙述解说，深深参悟其要领，近期流传于世，名为《张氏妙选》。四方士大夫乐于使用它，却殊不知南方人得的病用北方人的处方，从此道地药材相反，意议不同。所谓北方人水气多，南方人瘟疫盛，这是地气和天时使之然也。北方人水气盛，盛则趋向于湿，湿即需要用燥性药物来治疗；南方人瘟疫盛，盛即产生热，热宜用发散方法，再加上燥热的药物，病热传变作其他症状，药物既然不宜，疾病怎么能痊愈呢？幼儿阴阳稍微偏颇，表里固然相同，脏腑怯弱，岂可以用热药制冷症，用凉药止燥症？他的病症候描述可以循着简述讨论，颇有优长之处，然而他的方药起初使人怀疑，接着又使人困惑，或许有不当之处，必定会让人后悔说：“南方人使用北方人的方药，怎么不知道这一点？”学习人参究尽善尽美，不必拘泥于方剂。如前面所说，意与医同，药与疾谐，方可投药。如果依据那些言论而使用，这称为愚医，不免妄投药物，在乎得失，必须审慎考察。
Translation:
It is said that among the pediatric prescription books circulating in the world, there are three main lineages. The Wang family's works were composed during the Eastern Han Dynasty, consisting of twenty treatises on prescriptions. What is treasured today as "Jiabao" (Family Treasure) is one of them; they are largely similar with minor differences. Often, benevolent gentlemen who enjoy doing good deeds print and distribute them to benefit the public, making additions and subtractions to the original texts. Generally, their discussions are orderly, covering manifestations from subtle signs to obvious symptoms, with principles moving from hidden to explicit, language comprehensive and thorough, without redundant descriptions. By comparing and evaluating the works of dozens of famous physicians, one realizes that this gentleman used medicines that were pure and mild, arranged prescriptions systematically. Upon examination and selection of the most pertinent parts, and upon investigating their efficacy, adjusting the ascending and descending properties of herbs to achieve harmony, his intention lies in regulating the body to perfection. Although later learners or household managers might make inappropriate choices when consulting and administering medications, avoiding errors that could cause harm, the book earned the name "Jiabao." A good physician applies profound principles to save lives, much like using a steelyard (balance); the steelyard is but one aspect of measurement. Deep investigation, balance, verification of practical theories, following prescriptions to match pulses, ensures orderliness without chaos. The Wang family's book serves as a paradigm for pediatric prescriptions and pulse diagnosis. How can learning pediatric pills and powders ignore this foundation? Just as adult diseases refer to Hehu's "Mai Jue" (Pulse Classic), five elements studies refer to Luoluzi's destiny books, six lines divination refers to Huozhua text, and knowing nobility/commonness refers to human relations and physiognomy, these arts are collected by masters, detailed and distinguished as primary content, crowned with profound meanings, surely not wasting inquiry. Although each has broad essentials, chapters ultimately do not stray far from the root, returning to the whole. It is not merely about instructing children in enlightenment, but a wonderful way worthy of admiration even by the elderly.
It is said that Emperor Huizong's son, Prince Shouwang of Song Dynasty, was intelligent but suffered from epilepsy in childhood. Many renowned physicians failed to cure him. At that time, a folk physician named Zhang Huan carried medicinal goods and sold them in the capital. He was summoned into the palace, administered medicine, and achieved immediate effect, eventually attaining the rank of Hanlin Medical Director. Zhang was from the North, leaving behind over five hundred prescriptions, describing each disease with deep insight into its essentials, which recently circulated under the title "Zhangshi Miaoxuan" (Wonderful Selections of the Zhang Family). Scholars and officials everywhere delighted in using it, unaware that northerners' prescriptions for southerners' diseases involved opposite geographical origins and differing interpretations. It is said that people in the North have more water-dampness, while those in the South suffer more from epidemic fevers, caused by local geography and climate. In the North, abundant water-dampness leads to damp conditions treated with drying agents; in the South, prevalent epidemic heat requires dispersing methods, often compounded with hot/drying drugs. If heat transforms into other symptoms due to unsuitable medication, how can the disease be cured? Children have slightly imbalanced yin and yang, with similar exterior-interior states but weak zang-fu organs. How can one use hot drugs to treat cold syndromes or cool drugs to treat dryness? His description of symptoms is concise and logical, showing merit. However, his prescriptions initially raise doubts and then confusion; if inappropriate, they lead to regret. One should ask: "Why do southerners use northern prescriptions without realizing this?" Learning requires thorough investigation for perfection, not blind adherence to formulas. As previously stated, intent must align with medical theory, and medicine must harmonize with the disease before administration. Those who follow such rigid rules blindly are considered foolish physicians, risking improper medication. Gains and losses must be carefully examined.