余婿沈子彦模初,自吴兴来谒,即盛称其师莫枚士先生之医学。余即以拙着《世补斋》
初稿
,介沈子正于先生,而先生亦邮寄所撰《研经言》属校,并索为序。既卒读,乃叹先生之学
之博,识之邃,深造自得,而左右逢原者,有如此也。夫《本经》、《灵》、《素》,刊之三坟
,既非蓬心人所能领会,而如南阳一脉,以及《脉经》、《病源》、《千金》、《外台》之所言,
则皆随时随地习见之病,而亦视为鸟篆虫书,不可测识,曾不能用其一方一药,尚何医之足
云哉。君举于乡,不乐仕进,潜心国小,出其余绪,以治医家言,为之审声音,详训诂,以
经解经,复以方求病,遂乃病无遁状,方无虚设。如君之学,若漫誉以高出时辈,则是诬君
而已。岂知君者,君所着尚有数种,应请先以此册付手民,俾今而后之病患,得遇识字之医
,而免夭札也。里居戢影,韩陵片石外,无可语者,行将鼓棹游苕 间,登君之堂,以所学
相质证,然亦勿勿耳。沈子何幸,而得立雪君门也,是为序。
光绪五年己卯三月元和陆懋修拜撰
(按∶先生于甲申四月刊《世补斋医书》文十六卷中,于此序多所增改,今谨录其初稿。)
予少与同里莫枚士同治训诂之学,既遭多故,余以军事驰驱南北,与枚士不相闻者数年
。及
余奉讳归,握手道故,则其气益穆,其学益邃,且有不为良相为良医之志。其言医也,本小
学以读《灵》《素》,祧宋元而檷汉唐,与论学之旨同。余初惊诧其言,而卒无以易也,未
几出所着《研经言》,属余为序。夫先秦古书,存于今寡矣。幸而仅存,又多诘屈奥衍,鲁
鱼亥豕,非好学深思不能读,而医书为尤甚。盖近古多闻缀学之士,未必通医家言,医家者
流,往往不识字,不读书,而以医为市,即有一二名家,或究心方剂,而昧于微言,或各执
己见,而疏于考古。无惑乎医家之不明,而世人之多夭札也。枚士忧之,据《说文》以释疝
之殊,据《玉篇》以明癫痫之异,而前人之失正焉。邪哭则证之《巢氏》,症即风痴,酸削
则证之《周礼》,定为酸消。而旧注之疏焉。蛟龙乃龙咬之讹,蛔咬有例。柔 实恶寒之症
,元本足征。而传刻之讹祛焉。洵乎仲景之功臣,而俗医之针砭矣。他日推其所学以治天下
,所造岂可量哉。独念予妄谈经济,无裨于世,及退而着书,亦无成就。读枚士书,不能无
愧于心也。
同治十年七月愚弟陆心源拜撰
我的女婿沈彦模初,从吴兴来拜见,极力称赞他的老师莫枚士先生的医学造诣。我便将拙作《世补斋》的初稿介绍给沈彦,让他转交给先生,而先生也邮寄了他所撰写的《研经言》委托我校对,并索求我为其作序。读完之后,不禁感叹先生的学问之广博,见识之深远,深入钻研而自有所得,运用起来左右逢源,竟达到如此境界。
像《神农本草经》、《灵枢》、《素问》,虽然刊刻在“三坟”(指古代高深的典籍)之中,但并非浅薄之人所能领会;而像张仲景一脉相承的医术,以及《脉经》、《诸病源候论》、《千金方》、《外台秘要》中所论述的,都是随时随地常见的疾病,却被视为如同鸟篆虫书般晦涩难懂,不可测识,甚至无法使用其中的一方一药,这还谈什么医生呢?
先生考中举人,却不乐于做官进取,潜心于国家小政,将其余精力用于研究医家言论,为之审察声音,详加训诂解释,用经典来解释经典,又通过方剂来探究病症,于是病症无处遁形,方剂没有虚设。像先生的学问,如果随意赞誉他高出同时代的人,那就是诬蔑先生了。难道了解先生的人不知道吗?先生所著还有几种,应当先把手稿交付刻印,使今后的病患能遇到识字的医生,从而避免早夭和瘟疫。我隐居乡里,除了韩陵片石(比喻珍贵的文字或碑刻)之外,无人可语,即将划船游览苕溪之间,登先生的厅堂,以所学相互质证,然而也是匆匆忙忙罢了。沈子何其有幸,能够立于先生门下受教,这就是序言。
光绪五年己卯三月,元和陆懋修敬撰
(按:先生在甲申四月刊刻《世补斋医书》文十六卷时,对此序多有增改,现谨录其初稿。)
我年轻时与同乡的莫枚士一同研习训诂之学,后来遭遇许多变故,我因军事事务奔走南北,与枚士几年不相往来。等到我守孝回家,握手叙旧,发现他的气度更加庄重,学问更加深远,并且有“不为良相,便为良医”的志向。他谈论医学,基于小学(文字音韵训诂之学)来阅读《灵枢》《素问》,排斥宋元医学而推崇汉唐医学,这与讨论学术的宗旨相同。我起初对他的言论感到惊诧,但最终无法改变我的看法,不久他拿出所著的《研经言》,嘱托我为其作序。
先秦的古书,流传到今天的很少了。幸好仅存的,又多艰深奥衍,错字连篇,不是好学深思的人不能阅读,而医书更是如此。大概近代多闻博学之士,未必通晓医家言论;医家这一流派,往往不识字,不读书,把医学当作买卖市场,即使有一二位名家,有的专心研究方剂却不懂微言大义,有的各执己见却疏于考证古籍。难怪医家不明理,而世人多早夭和瘟疫。
枚士为此担忧,依据《说文解字》来解释疝气的不同,依据《玉篇》来阐明癫痫的差异,从而纠正前人的错误。“邪哭”则参照《巢氏病源》,“症”即风痴,“酸削”则参照《周礼》,定为“酸消”。而旧的注释存在疏漏。“蛟龙”乃是“龙咬”的讹误,“蛔咬”有先例。“柔痉”确实是恶寒的症状,原本有据可查。而传抄刻印的错误得以祛除。这确实是张仲景的功臣,世俗医生的针砭啊。将来推广他的学问治理天下,所取得的成就岂可限量?只是想到我妄谈经世济民之道,无益于世,等到退隐著书,也没有成就。读枚士的书,心中不能无愧。
同治十年七月,愚弟陆心源敬撰
My son-in-law, Shen Yanmo Chu, came from Wuxing to pay his respects, and highly praised the medical expertise of his teacher, Mr. Mo Meishi. I then introduced my draft manuscript "Shibu Zhai" (Hall of Worldly Compensation) to Shen Yan for him to present to Mr. Mo. Meanwhile, Mr. Mo mailed his written work "Yan Jing Yan" (Remarks on Studying Classics) to me, requesting proofreading and asking me to write a preface. After finishing reading it, I could not help but sigh at the breadth of Mr. Mo's learning and the profundity of his insight; he had achieved deep understanding through personal effort and applied it with such versatility and ease.
Although texts like the *Shennong Bencao Jing* (Divine Farmer's Materia Medica), *Ling Shu* (Spiritual Pivot), and *Su Wen* (Basic Questions) were inscribed in the "San Fen" (Three Ancient Treatises), they are beyond the comprehension of those with shallow minds. As for the lineage of Zhang Zhongjing (Jinnyang), as well as the discussions in the *Mai Jing* (Pulse Classic), *Bing Yuan* (Source of Diseases), *Qian Jin* (Thousand Gold Formulas), and *Wai Tai* (External Cabinet), these describe diseases commonly encountered everywhere at all times. Yet, they are often regarded as obscure scripts like bird seals or insect characters, impossible to decipher, so much so that one cannot even utilize a single prescription or herb. How can such people be called physicians?
Mr. Mo passed the provincial examination as a Xiucai (licentiate) but was unwilling to pursue an official career. Instead, he devoted himself to minor state affairs and used his spare energy to study medical literature. He examined phonetics and provided detailed exegesis, using classics to interpret classics, and further investigated diseases through prescriptions. Consequently, disease manifestations revealed themselves clearly, and prescriptions were never superfluous. To casually praise Mr. Mo's learning as surpassing his contemporaries would be to slander him. Those who truly know him are aware that he has authored several other works. It is best to first publish this volume, so that future patients may encounter literate physicians and avoid premature death or plague. Living in seclusion, with no one else to converse with except perhaps precious inscriptions like those on Hanning Stone, I am about to row a boat along the Tiao River, ascend to Mr. Mo's hall, and verify my studies with his, though our meeting will be brief. How fortunate is Shen Yan to stand in snow at Mr. Mo's gate (to receive instruction)! This serves as the preface.
Written in bowing respect by Lu Moxiu of Yuanhe, in the third month of the Jiyou year of Guangxu (1879).
(Note: When Mr. Mo published the sixteen volumes of *Shibu Zhai Yishu* in the fourth month of the Jiashen year, he made many additions and revisions to this preface. Here, we record the original draft.)
In my youth, I studied philology (Xiaoxue) together with my fellow townsman, Mo Meishi. Later, due to various upheavals, I was busy with military campaigns traveling north and south, and we did not communicate for several years. When I returned home after observing the mourning period for my parents, we shook hands and reminisced. I found his demeanor more solemn and his scholarship more profound, and he expressed his aspiration to "be a good minister if possible, or a good physician if not." In discussing medicine, he based his reading of the *Ling Shu* and *Su Wen* on philology, rejected Song and Yuan medical theories, and advocated for Han and Tang traditions, aligning with the principles of academic discourse. Initially, I was surprised by his views, but ultimately found them irrefutable. Soon after, he presented his work *Yan Jing Yan* and asked me to write a preface.
Ancient books from the Pre-Qin period are few today. Of those that survive, most are difficult and abstruse, riddled with textual errors. They cannot be read without diligent study and deep thought, and medical texts are particularly prone to such issues. Generally, scholars of broad learning in recent times may not understand medical terminology, while practitioners often lack literacy and reading habits, treating medicine as a mere trade. Even among a few renowned masters, some focus solely on formulas while ignoring subtle meanings, or hold their own opinions while neglecting historical research. No wonder medical theory remains unclear, leading to widespread premature death and plague among the people.
Mr. Mo was concerned by this. He relied on the *Shuowen Jiezi* (Explanations of Simple Characters and Analysis of Compound Characters) to distinguish different types of hernia, and used the *Yupian* (Supplement to Characters) to clarify the differences between epilepsy and other conditions, thereby correcting previous errors. He referenced the *Chao Shi Bing Yuan* (Master Chao's Source of Diseases) regarding "evil crying," identified "zheng" as wind dementia, and consulted the *Zhou Li* (Rites of Zhou) to correct "suan xue" (sour wasting) to "suan xiao." Thus, the negligence of old annotations was addressed. The term "jiao long" (flood dragon) was identified as a corruption of "long yao" (dragon bite), with precedents for "hui yao" (roundworm bite). The symptom of "rou jing" (soft spasm) involving aversion to cold was shown to have original textual support, eliminating errors from transmission and printing. Truly, he is a meritorious servant of Zhang Zhongjing and a corrective needle for vulgar physicians. If he were to apply his learning to govern the world in the future, what limits could there be to his achievements? I merely reflect on my own vain talk of statecraft, which benefited no one, and my lack of accomplishment in writing after retiring. Reading Mr. Mo's book, I cannot help but feel ashamed.
Written in humble respect by my younger brother Lu Xinyuan, in the seventh month of the Gengwu year of Tongzhi (1870).