一是书原本吴鞠通温病条辨。参以叶天士临证指南医效秘传。薛生白温热赘言。及叶薛缪三家医案。王孟英五种章
雅堂医撮诸书。略短取长删繁就简。书中但言见何证宜用何方。以期明白易晓。而于古人因证立方之奥旨。未能一一详
着。如有好学深思之士。取诸原书。参观互证。则知是编一方一论。悉皆酌古准今。丝丝入扣矣。
一黄坤载陈修园两家医书。近世颇有好之者。按两君学问渊雅。于伤寒金匮不无发明。惟泥古太过喜为大言高论。
其于温病治法仍袭伤寒论及防风通圣散诸方。用之每多偾事。切勿轻信其言。致为所误。
一新安吕心斋采取陈三锡二分晰义。杨栗山寒温条辨。成温疫条辨摘要一卷。医者以其简便往往奉为枕秘其书所列
升降散神化散等方。实不能尽美尽善。与是编所本之吴氏温病条辨书名相似而精粗迥别。幸勿误认。
一吴又可以达原饮治温。吴鞠通陈修园皆斥其非。章雅堂则谓温病中确有一种邪踞募原之证。投以又可达原饮立效。
但其余诸方。不如鞠之精细耳。今根据章说补列达原饮证治。聊备一格。然必细审病情舌色。确系邪在募原者。方可用之。
未可一概滥投也。
一吴鞠通书附有秋燥寒湿二门原因温病连类而及。此书意取简明。但载温病。他不赘叙者阅。苟欲博考则自有鞠通
原书在。
一鞠通书所载诸方。皆按古方分两。总煎分服。初学不免眩惑。今照时行分剂。量加改定。间有一二必须总煎者。
仍从其旧
一治温诸法。除于两卷分列外。复择其切要者。总述要略十八则。附诸卷末。以为全书之殿。
一凡书中双行细注。俱系紧要节目。及大有关系之戒律。务宜潜心细玩。慎勿忽视。
本书原本依据吴鞠通的《温病条辨》,并参考了叶天士的《临证指南医效秘传》、薛生白的《温热赘言》,以及叶天士、薛生白、缪希雍三位医家的医案,还有王孟英的著作和章雅堂的《医撮》等书籍。略取短处之长,删去繁杂内容以求简明。书中只说明见到何种证候应当使用何种方剂,以期明白易懂。而对于古人因证立方的深奥旨意,未能一一详细阐述。如果有好学深思的人士,可以查阅这些原著,相互参照验证,就会知道本编的每一方每一论,都是斟酌古今,严密契合的。
黄元御和陈修园两位医家的著作,近代颇有人喜好。考察这两位先生的学问渊博典雅,对于《伤寒论》和《金匮要略》并非没有发明之处。只是他们拘泥于古法太过,喜欢发表宏大言论。他们在温病治法上,仍然沿袭《伤寒论》及防风通圣散等方剂,使用这些方法往往导致失败。千万不要轻信他们的言论,以免被误导。
新安吕心斋采集陈三锡的《二分晰义》、杨栗山的《寒温条辨》、成无己的《温疫条辨摘要》一卷。医者因为其中方法简便,往往将其奉为枕中秘宝。书中所列的升降散、神化散等方剂,实际上并不能尽善尽美。这与本编所依据的吴氏《温病条辨》书名相似,但精粗截然不同。希望不要误认。
吴又可曾用达原饮治疗温病,吴鞠通和陈修园都斥责其错误。章雅堂则认为温病中确实有一种邪气占据募原的证候,投用吴又可的达原饮能立即见效。但是其余诸方,不如吴鞠通的精细罢了。现在根据章雅堂的说法,补充列出达原饮的证治,暂且作为一种格式保留。然而必须仔细审察病情和舌色,确系邪在募原者,方可使用。不可一概滥投。
吴鞠通的书中附有秋燥、寒湿两个门类,是因为温病而连带提及的。本书意在求简明,只记载温病,其他不再赘述。如果想要广泛考证,自然有吴鞠通的原书存在。
吴鞠通书中记载的各种方剂,都按照古方的分量,通常是一起煎煮分次服用。初学者难免感到困惑。现在按照当时的通行剂量,加以调整修改。间或有一两例必须一起煎煮的,仍遵循旧制。
治疗温病的各种方法,除了在两卷中分别列出外,又挑选其中切要的,总述简要要点十八则,附在各卷末尾,作为全书的结尾。
凡是书中双行小字注释的内容,都是紧要环节及大有关系的戒律,务必潜心细细研读,切勿忽视。
This book is originally based on Wu Jutong's *Wenbing Tiaobian* (Regulations on Warm Diseases), and references Ye Tianshi's *Linzheng Zhinan Yi Xiao Michuan* (Secret Transmission of Medical Efficacy from the Clinical Guide), Xue Shengbai's *Wenre Zhuoyan* (Superfluous Remarks on Warm-Heat), as well as the medical cases of Ye Tianshi, Xue Shengbai, and Miao Xiyong. It also incorporates works by Wang Mengying and Zhang Yatang's *Yicuo* (Medical Gleanings). It selects the strengths from shorter texts and deletes redundancy to achieve simplicity. The book only states which formula should be used for specific syndromes, aiming for clarity and ease of understanding. However, it does not elaborate in detail on the profound principles behind ancient physicians' formulation of prescriptions according to syndromes. Those who are eager to learn and think deeply can consult the original sources for cross-reference and verification, thereby realizing that every prescription and discussion in this compilation is carefully calibrated to both ancient wisdom and contemporary practice, fitting together seamlessly.
The medical books of Huang Kunzai (Huang Yuanyu) and Chen Xiuyuan are quite popular among modern readers. An examination reveals that both gentlemen possessed profound and elegant scholarship, contributing significantly to the understanding of *Shanghan Lun* (Treatise on Cold Damage) and *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet). However, they were overly rigid in adhering to ancient methods and prone to making grandiose claims. Regarding the treatment of warm diseases, they still followed *Shanghan Lun* and formulas such as *Fangfeng Tongsheng San* (Saposhnikovia Decoction to Unblock the Hero). Using these approaches often leads to failure. One must not lightly believe their words to avoid being misled.
Lü Xinzhai of Xin'an collected Chen Suxi's *Er Fen Xi Yi*, Yang Lishan's *Hanwen Tiaobian* (Regulations on Cold and Warm), and Cheng Youke's *Wenyi Tiaobian Zhaoyao* (Summary of Regulations on Plague-like Diseases), one volume. Physicians, finding the methods simple, often regard them as secret treasures kept at the pillow. The formulas listed in these books, such as *Shengjiang San* (Ascending and Descending Powder) and *Shenhua San* (Divine Transformation Powder), are actually not perfect. Although the title resembles Wu Shi's *Wenbing Tiaobian*, the quality differs vastly between refined and crude. Let us hope there is no misidentification.
Wu Keyou used *Dahuang Yin* (Origin-Reaching Drink) to treat warm diseases; both Wu Jutong and Chen Xiuyuan criticized this approach. Zhang Yatang, however, argued that there is indeed a syndrome in warm diseases where pathogenic factors occupy the *Mu Yuan* (Sea of Origin/Pericardium area near the diaphragm), and administering Wu Keyou's *Dahuang Yin* yields immediate results. Nevertheless, his other formulas are less precise than those of Jutong. Based on Zhang's theory, we now supplement the indications and treatments for *Dahuang Yin*, merely preserving it as one format. However, one must carefully examine the patient's condition and tongue color; only if it is confirmed that the pathogen resides in the *Mu Yuan* should it be used. It must not be administered indiscriminately.
Wu Jutong's book includes sections on Autumn Dryness (*Qiuzao*) and Cold-Dampness (*Han Shi*), mentioned in connection with warm diseases. This book aims for conciseness and records only warm diseases, omitting others to avoid redundancy. For those wishing to conduct extensive research, Wu Jutong's original work remains available.
The formulas recorded in Jutong's book follow ancient dosages, typically decocted together and taken in divided doses, which may confuse beginners. Here, we adjust them according to contemporary standard dosages. In rare cases where total decoction is necessary, we retain the original method.
Various methods for treating warm diseases are listed separately across two volumes. Additionally, the most essential points are summarized into eighteen brief guidelines attached to the end of the volumes as a conclusion to the entire work.
All double-line small annotations in the book represent critical details and important prohibitions. They must be studied with deep concentration and never ignored.