夫立德立功立言,圣贤事也,瑭何人斯,敢以自任?缘瑭十九岁时,父病年余,至于不起,瑭愧
恨难名,哀痛欲绝,以为父病不知医,尚复何颜立天地间,遂购方书,伏读于苫块之余,至张长沙
“外逐荣势,内忘身命”之论,因慨然弃举子业专事方术。越四载,犹子巧官病温。初起喉
痹,外科吹以冰硼散,喉遂闭,又遍延诸时医治之,大抵不越双解散、人参败毒散之外,其于温病
治法,茫乎未之闻也,后至发黄而死。瑭以初学,未敢妄赞一词,然于是证,亦未得其要领。盖张长
沙悲宗族之死,作《玉函经》,为后世医学之祖,奈《玉函》中之《卒病论》,亡于兵火,后世学人,无从
仿效,遂至各起异说,得不偿失。又越三载,来游京师,检校《四库全书》,得明季吴又可《温疫论》,
观其议论宏阔,实有发前人所未发,遂专心学步焉。细察其法,亦不免支离驳杂,大抵功过两不相
掩,盖用心良苦,而学术未精也。又遍考晋唐以来诸贤议论,非不珠璧琳琅,求一美备者,盖不可得,其何以传信于来
兹!瑭进与病谋,退与心谋,十阅
春秋,然后有得,然未敢轻治一人。癸丑岁,都下温疫大行,诸友强起瑭治之,大抵已成坏病,幸
存活数十人,其死于世俗之手者,不可胜数。呜呼!生民何辜,不死于病而死于医,是有医不若无医
也,学医不精,不若不学医也。因有志采辑历代名贤着述,去其驳杂,取其精微,间附己意,以及考
验,合成一书,名曰《温病条辨》,然未敢轻易落笔。又历六年,至于戊午,吾乡汪瑟庵先生促瑭曰∶来
岁己未湿土正化,二气中温厉大行,子盍速成是书,或者有益于民生乎!瑭愧不敏,未敢
自信,恐以救人之心,获欺人之罪,转相仿效,至于无穷,罪何自赎哉!然是书不出,其得失终未可
见,因不揣固陋,黾勉成章,就正海内名贤,指其疵谬,历为驳正,将万世赖之无穷期也。
淮阴吴瑭自序。
树立德行、建立功业、著书立说,这是圣贤所做的事,我吴瑭是什么人,敢以此自任?因为我十九岁时,父亲患病一年多,最终没能治好去世。我感到羞愧悔恨难以名状,哀痛欲绝,认为既然对父亲的病不懂医术,还有什么脸面立于天地之间呢?于是购买医书,在守孝期间潜心研读。读到张仲景“在外追逐荣华权势,在内忘记自身性命”的论述,便感慨万千,放弃科举学业,专门从事医学研究。
过了四年,我的侄子巧官患了温病。起初咽喉肿痛(喉痹),外科医生用冰硼散吹入喉咙,导致喉部闭塞。又遍请当时的医生治疗,大体上都不超出双解散、人参败毒散的范畴,对于温病的治疗方法,茫然未曾听说过,最终因发黄(黄疸)而死。我因为初学,不敢妄加评论,但对于这个病例,也未能掌握其要领。
想当年张仲景悲叹宗族成员的死亡,撰写《玉函经》,成为后世医学的祖师。无奈《玉函经》中的《卒病论》,毁于战火兵祸,后世的学者无从效仿,以至于各自兴起不同的学说,得不偿失。
又过了三年,我来到京师游历,在校勘《四库全书》时,得到了明代末年吴又可的《温疫论》。观看他的议论宏大开阔,确实有发挥前人所未曾发挥之处,于是我专心学习模仿。仔细考察他的方法,也不免支离破碎、驳杂不纯,大体上是功劳与过错互不相掩,大概是他用心良苦,但学术尚未精到。
我又广泛考证了晋代、唐代以来各位贤者的议论,并非没有像珠玉璧珉般珍贵的内容,但想要找到一个完美无缺的,却不可得。这怎么能向后来者传递可信的知识呢!
我进则与疾病谋划对策,退则与内心谋划道理,经过十个春秋,然后有所心得,然而不敢轻易给一个人治病。癸丑年,京城瘟疫大流行,朋友们勉强起用我来治疗。患者大体上都已经成了坏病(病情复杂难治的重症),幸好救活了数十人,那些死于世俗庸医之手的人,数不胜数。
唉!百姓何辜,不死于疾病而死于医生之手,这是有医生还不如没有医生,学医不精通,还不如不学医。因此有志于采集历代名医的著作,去除其中驳杂的部分,选取精微的内容,偶尔附上自己的见解以及验证结果,合成一本书,命名为《温病条辨》,然而不敢轻易动笔。
又过了六年,到了戊午年,同乡的汪瑟庵先生催促我说:“明年己未年是湿土正化之年,二气之中温热厉邪将大行,你何不尽快完成这本书,或许对民生有益吧!”我惭愧自己不够聪敏,不敢自信,担心以救人的心,获欺人的罪,如果转相仿效,以至于无穷无尽,罪过从哪里赎清呢!但是这本书如果不出来,它的得失终究无法见到,于是我不揣冒昧,努力写成章节,向海内外的名贤请教,指出其中的瑕疵谬误,逐一加以驳正,希望能让后世永远受益,没有穷尽的期限。
淮阴吴瑭自序。
Establishing virtue, achieving merit, and leaving behind words (writings) are the affairs of sages and worthies. What kind of person am I, Wu Tang, to dare take this upon myself? When I was nineteen years old, my father had been ill for over a year and eventually passed away. I felt ashamed and regretful beyond description, and my grief was nearly unbearable. I thought that since I did not know medicine to treat my father's illness, what face would I have to stand between heaven and earth? Therefore, I purchased medical books and studied them diligently during the period of mourning (shankuai). Upon reading Zhang Zhongjing's (Zhang Changsha) argument: "Outwardly pursuing glory and power, inwardly forgetting one's life," I sighed with emotion, abandoned my studies for the imperial examinations, and devoted myself entirely to medical arts.
Four years later, my nephew Qiaoguan contracted a warm disease (wenbing). Initially, he suffered from throat obstruction (houbi). A surgeon applied Bingpeng San (Ice and Borax Powder) into his throat, causing the throat to close up. Subsequently, various contemporary physicians were invited to treat him. Their treatments generally did not go beyond Shuangjie San (Double-Release Decoction) or Renshen Baidu San (Ginseng Detoxification Decoction). They were ignorant of the treatment methods for warm diseases. Eventually, he died after developing jaundice (huang). As a beginner, I dared not offer a single comment, yet even regarding this case, I failed to grasp its essential principles.
In ancient times, Zhang Zhongjing grieved for the deaths of his clansmen and composed the *Yukan Jing* (Jade Ring Classic), becoming the ancestor of medicine for later generations. Alas, the *Zubing Lun* (Treatise on Acute Diseases) within the *Yukan* was lost in war and fire. Scholars of later generations had no model to follow, leading to the emergence of diverse and conflicting theories, resulting in losses outweighing gains.
Three years later, I traveled to the capital. While checking the *Siku Quanshu* (Complete Library in Four Sections), I obtained Wu Keyou's *Wenyi Lun* (Treatise on Pestilential Warmth) from the late Ming Dynasty. His discussions were broad and magnanimous, indeed revealing insights previously unexplored by predecessors. Thus, I dedicated myself to studying and imitating his work. Upon careful examination of his methods, I found them somewhat fragmented and mixed. Generally, his merits and faults balanced each other out; his intentions were sincere and painstaking, but his academic understanding was not yet refined.
I further examined the discussions of various sages from the Jin and Tang dynasties onwards. Although their works contained gems and jade-like brilliance, it was impossible to find one that was perfectly complete. How could such knowledge be transmitted as reliable truth to future generations?
I spent ten years deliberating on diseases and reflecting on my own mind. Only then did I gain some insight, yet I still dared not treat anyone lightly. In the year Guichou, a major epidemic of warm pestilence swept through the capital. Friends urged me to treat patients. Most cases had already become complicated and deteriorated conditions (huaibing). Fortunately, dozens of people survived. However, the number of those who died under the hands of ordinary doctors was countless.
Alas! How guilty are the common people, dying not from disease but from doctors? It is better to have no doctor than a bad one. If one does not master medicine thoroughly, it is better not to study medicine at all. Therefore, I resolved to collect the writings of famous sages from past dynasties, remove the impure and mixed parts, select the essence, occasionally add my own opinions and clinical verifications, and compile them into a book named *Wenbing Tiaobian* (Systematic Differentiation of Warm Diseases). Yet, I dared not write it down lightly.
Six more years passed until the year Wuwu. Mr. Wang Se'an from my hometown urged me, saying: "Next year, Jiwu, corresponds to the dominant transformation of damp-earth. The middle qi will see a widespread outbreak of warm and pestilential pathogens. Why do you not hasten to complete this book? It might benefit the livelihood of the people!" I was ashamed of my lack of intelligence and dared not trust myself, fearing that my heart to save people might incur the crime of deceiving them. If others imitate me blindly, the consequences could be endless, and how could I redeem my sins? However, if this book remains unpublished, its merits and faults will never be seen. Thus, disregarding my own limitations, I diligently completed the chapters, seeking correction from distinguished scholars throughout the land, pointing out flaws and errors, and refuting them one by one, hoping that future generations may benefit indefinitely.
Preface by Wu Tang of Huaiyin.