一、凡医家治男子易,治妇人难。所以丹溪云∶宁治十男子,不治一妇人。甚言女科之难也
。惟兹《济阴纲目》一书,集百家之精华,汇诸书之奥旨,真千古之秘义,功参大化,一时
之鸿宝,福庇坤元也。
二、是书理解微妙,无不条分节判,标榜详明,即一圈一点,俱出匠心,令人一见了然。至
于上层批评笺释,各从本末源流,分疏辨核。学人开卷,既易于寻方,病者得医,无难于对
症矣。
三、是编虽属妇人专刻,其论脉理经络处,俱采《内经》、《素问》之精微。如某症加减某药等,
不仅女科要书,即大小诸家,细为观览,咸可触类旁通。所谓造化在手,物类听其炉锤,囊
钥在心,乾坤亦任其旋转耳。
四、妇人得病,种种与男子不同,其所由起,世人略而不知。此书独先明其病源因何而启,
然后论脉论症;中引古方之的确,而增减其药味;上批议论之可否,而商量其去从,此因病
用药,按脉切理,不拘于方之内也,神而明之,存乎其人。
五、集内凡药味之炮制,煎熬之合法,加减之精当,各以类推,种种不同。初入门者,宜细
心玩习,即四 医宗,穷究厥中奥理,则其学自居圣功之上,而卢扁再出矣。
六、是书实医家之秘宝,因原版无存,世人每欲购求遗本,真如丹经仙录,可思而不可得。
今本坊重登梨枣,照原本不易一字。至于纸用精良,镌皆名手,以方可寿人,书可寿世,述
者不厌精工,识者自为鉴赏。
七、此刻之后,随有《慈幼纲目》,即《证治准绳》之幼科也,复增圈点,详加评释,亦如
是编之精详,梓以问世。盖济阴所以扶阳,地天于焉常泰,而慈幼即以康老,运会用是咸亨
,不佞壮志既颓,敢藉仁术,以传婆心,热肠未冷,愿持垣方,下问国手,倘不弃于梁公之
药笼,或有补夫黄帝之赭鞭也。
康熙四年一阳月西陵 漪子汪淇右子父题于蜩寄
一、一般说来,医生治疗男子比较容易,治疗妇人则比较困难。所以朱丹溪说:“宁愿治疗十个男子,也不愿治疗一个妇人。”这是极力强调妇科(专门诊治妇女疾病的学科)治疗的难度。唯有这部《济阴纲目》,汇集了各家学说的精华,汇总了各种书籍的深奥旨意,真是千古流传的秘密义理,其功效堪比天地化育万物,是当时的珍贵宝典,能福泽庇护女性(坤元指女性)。
二、本书对医理的理解精妙微妙,无不条理分明、章节清晰,标题和注释详尽明确,即使是一个圈点符号,也都出自匠心独运,让人一看就明白。至于上层的批注和解释,都追溯事物的本源和流变,进行细致的分辨和考证。学习者翻开书卷,既容易查找方剂,病患者得到医治,也就没有难以对症治疗的顾虑了。
三、本编虽然属于妇人专科刻印,但其中论述脉理和经络的内容,都采录自《黄帝内经》和《素问》的精微之处。比如某症状加减某些药物等,这不仅是妇科的重要书籍,即使是其他各科医生,仔细阅览,也都可以触类旁通。所谓造化掌握在手中,万物类别听从冶炼锻造;钥匙藏在心里,天地乾坤也能任其旋转。
四、妇人患病,种种情况与男子不同,其发病原因,世人往往忽略而不知晓。此书首先阐明疾病源起的原因,然后才论述脉象和症状;中间引用古代方剂的准确内容,并增减药物味道;上层批注议论其是否可行,并商量取舍,这是因病用药,依据脉象切按医理,不拘泥于固定方剂之内,神妙而明达,关键在于运用的人。
五、集中凡是关于药味的炮制方法,煎煮熬制的合法度,加减药物的精当之处,各自类推,种种不同。初入门的学习者,应当细心玩味练习,即使是精通“四医宗”(指医学经典或流派),穷究其中的深奥道理,那么他的学问自然居于圣人之功之上,扁鹊和华佗再世也不过如此。
六、这本书确实是医家的秘密宝藏,因为原版已经不存在,世人常常想要购买寻求遗落的版本,真像炼丹修仙的经录一样,只可向往而不可得到。现在的版本由书坊重新雕版印刷,照原本一字不改。至于纸张使用精良,雕刻都是名家高手,因为方剂可以使人长寿,书籍可以传世,著述者不厌求工精细,有见识的人自然会鉴赏。
七、这个刻本之后,随即有《慈幼纲目》,也就是《证治准绳》中的儿科部分,又增加了圈点,详细加以评释,也像本编一样精详,刻印问世。救济女性是为了扶持阳气,地天泰卦因此常保安泰;爱护幼儿是为了使老人安康,时运因此全都亨通。我虽壮志已衰,却敢借助仁爱的医术,来传达婆母般的慈心,热心肠未冷,愿持守垣下之方,向下请教国手(名医),倘若不被梁公的药笼所嫌弃,或许能对黄帝赭鞭(代指医药知识)有所补益。
康熙四年一阳月(农历十月)西陵 漪子汪淇右子父题于蜩寄
1. Generally speaking, it is easier for physicians to treat men than women. Therefore, Zhu Danxi said, "I would rather treat ten men than one woman." This greatly emphasizes the difficulty of treating gynecological diseases (a specialized field dealing with women's illnesses). Only this book, *Jiyin Gangmu* (Outline and Principles of Aiding Women), gathers the essence of various schools of thought and compiles the profound meanings of numerous texts. It truly represents secret principles passed down through millennia, whose merit rivals the great transformation of nature, serving as a precious treasure of its time and blessing women (Kun Yuan refers to the female principle).
2. The book's understanding of medical principles is subtle and profound, with every point clearly categorized and sectioned. Headings and annotations are detailed and explicit; even simple circles and dots demonstrate unique craftsmanship, making the content immediately clear upon first glance. The critiques and explanations provided above trace the origin and evolution of each matter, offering detailed differentiation and verification. For students, opening the book makes finding prescriptions easy; for patients, receiving treatment ensures that matching symptoms to remedies is no longer difficult.
3. Although this compilation is dedicated to women's medicine, its discussions on pulse diagnosis (Mai Li) and meridians (Jing Luo) extract the subtleties from the *Huangdi Neijing* (Yellow Emperor's Inner Canon) and *Suwen* (Basic Questions). For instance, adding or subtracting specific herbs for certain symptoms shows that this is not only an essential text for gynecology but also beneficial for practitioners of all specialties who read it carefully, allowing them to apply knowledge across different domains. It is as if creation is in one's hands, with all things subject to the smith's hammer; with the key in one's heart, heaven and earth can be rotated at will.
4. Women's diseases differ in many ways from those of men, yet their causes are often overlooked by the general public. This book first clarifies the origins of diseases before discussing pulses and symptoms. It cites accurate ancient prescriptions, adjusting herb quantities accordingly. The upper-level critiques evaluate the validity of arguments and discuss取舍 (adoption or rejection). This approach involves prescribing based on illness and analyzing principles via pulse palpation, without being confined to fixed formulas. Divine clarity depends on the practitioner's skill.
5. Regarding the processing of herbs, the legality of decoction methods, and the precision of formula modifications, each case is inferred from others, showing various differences. Beginners should study these carefully. Even those mastering the "Four Medical Classics" (referring to foundational medical texts) and exploring their profound theories will elevate their learning above ordinary achievements, rivaling the skills of Bian Que and Hua Tuo.
6. This book is indeed a secret treasure for physicians. Since the original edition is lost, people often seek out surviving copies like they would seek alchemical scriptures—desirable but elusive. The current edition has been re-engraved by the publishing house, preserving the original text word for word. The paper is of fine quality, and the engraving is done by renowned masters. Since prescriptions can prolong life and books can endure through ages, the author strives for perfection, which discerning readers will naturally appreciate.
7. Following this edition, *Ciyu Gangmu* (Outline and Principles of Nurturing Children), corresponding to the pediatric section of *Zhengzhi Zhunsheng*, was published with added circles and points, along with detailed commentary, just as detailed as this work. Assisting women supports yang energy, ensuring the harmony of Earth and Heaven; nurturing children promotes health in the elderly, ensuring prosperity in times. Though my ambition has waned, I dare to use benevolent medical arts to convey maternal compassion. My enthusiasm remains warm; holding the prescription of the wall (a metaphor for humble medical knowledge), I ask the national experts (Guoshou). If not rejected like Lu Gong's medicine basket, perhaps it may contribute to the legacy of the Yellow Emperor's red whip (symbolizing medical wisdom).
Written by Wang Qi, styled Yizi, from Xiling, in the First Yang Month (Lunar October) of the 4th Year of Kangxi, at Tiaoji.