家弟瑞生,昔游新安,适遘 疟,观泉先生为之蠲 ,归述盛名,越数年,予始得见。
丰颐
蔼度,信为有道者,既乃读所刻古近体稿,多隐居冲澹,及壮游奇丽之作,既又读所着医案
,益肃然于先生之为通儒也。夫医者,意也。必有与天地同流之意,而后能诵古人方药之书
。又必一空胶窒方药之言,而后能伸其用,当通神之意。医果可以意为,案果可以臆说哉。
先生尚有未刻之书,曰《医述》,盖博览《灵》、《素》以后历代诸家之论,采其精当者
,萃为一集,卷帙盈尺,其精勤过于海录,他日刊布,读者参考互证,当益知通儒之所阐扬
,不仅功侔良相也。
道光六年子月上汗白下侯云松拜识
内传称良医者再,医缓视晋侯疾,曰在肓之上,膏之下,攻之不可,达之不及。数语即
案也
。又医和视晋侯疾,曰是谓近女室,疾如蛊,非鬼非食,惑以丧志,后及六气六淫,不节不
时,并括《内经》运气诸篇精义所言,亦案也。医案如谳案,根源洞澈,治法精严,均系乎
此。顾非博物君子,深于医理,未足语此。杏轩先生,于嘉庆九年,刊有《医案初集》,随
证处方,灵心独运,足度后学金针矣。嗣后所闻见益扩,所全活益众,又汇记治验若干条,
定为《二集》。出以示盅,反复读之,弥叹先生之才大心细,师古而不泥于古也。虚实判之
病,寒燠审之时,南北燥湿因乎地,弱壮贫富视乎人。批却导 ,有指与物化,而不以心稽
之妙。因亟请付梓以善世。其《初集》藏版,不戒干火,今乃一并补刊,以着双玉为珏。钟
盖于道光丁亥冬日,访道至岩镇,亲见先生勤求医奥,手不释卷,积数十年博览之功,年弥
高而学弥笃,真所谓博物君子,深于医理者也。吾愿先生自今以往,日记所治,由周甲而晋
期颐,灵丹救世无尽,而新编传世亦无尽。三刻四刻,钟且不揣 昧,自定义续为序言,以期
附名于骥尾也。
虹桥朱钟谨序
我的弟弟瑞生,从前在新安游历,恰好患上疟疾,泉先生为他治愈了疾病,回来后讲述了先生的盛名。过了几年,我才得以见到先生。
先生面容丰满,神态和蔼,确实是有道之人。随后我阅读了他刻印的古体和新体诗稿,多是隐居时冲淡恬静的作品,以及壮年时游历奇丽之地的创作;接着又阅读了他所著的医案,更加对先生作为博学通达的儒者肃然起敬。
大凡医者,靠的是“意”(心领神会的境界)。必须有与天地自然相融合的心意,才能诵读并理解古人方药之书。又必须完全摆脱对方药教条的拘泥,才能发挥其妙用,达到通神般的境界。如果医术真的可以凭主观臆断,医案真的可以凭空捏造吗?
先生还有未刊刻的书,名叫《医述》,大概是博览《灵枢》、《素问》及历代诸家论述后,选取其中精当的内容,汇编成集,卷帙丰厚,其精心勤勉程度超过《海录》。他日刊布之后,读者参考互证,应当更知道通儒所阐扬的道理,不仅仅是功劳等同于优秀的宰相罢了。
道光六年子月(农历十一月)上旬,白下侯云松恭敬地识记。
《内传》记载良医之事两次:医缓为晋侯诊病,说病在肓之上、膏之下,攻法不可达,针石不可及。这几句话就是医案的雏形。又有医和为晋侯诊病,说这是亲近女色所致,病如蛊惑,非鬼非食,因迷惑而丧失志气,进而论述六气六淫,不节制、不时令,概括了《内经》运气诸篇的精义,这也是医案。医案如同审判案件,根源洞察透彻,治法精密严谨,都取决于此。然而如果不是博学君子,深谙医理,不足以谈论此事。
杏轩先生在嘉庆九年,刊印了《医案初集》,随证处方,独具匠心,足以成为后学的榜样。此后他所见闻更加广阔,救治存活的人更多,又汇总记录治疗验证若干条,定为《二集》。拿出来给我看,反复阅读,更加感叹先生才大气细,效法古人而不拘泥于古人。虚实根据病情判断,寒热根据时令审察,南北燥湿因地域而异,强弱贫富因人而异。批导腠理缝隙,有手指与事物变化合一,而不用心机算计的妙处。因此急忙请求付梓以造福世间。他的《初集》原刻版,不慎遭遇火灾,如今一并补刊,以显示双玉合璧为珏的完美。
钟盖在道光丁亥年冬日,访道至岩镇,亲眼见到先生勤奋探求医学奥妙,手不释卷,积累数十年博览之功,年龄越高学问越笃实,真所谓博学君子,深谙医理之人。我希望先生从今往后,每日记录所治病例,由六十岁(周甲)进至百岁(期颐),灵丹救世无尽,新编传世亦无尽。第三刻第四刻,钟盖不敢自谦愚昧,自定义续写序言,以期附名于千里马之后。
虹桥朱钟谨序
My younger brother, Ruisheng, once traveled in Xin'an and happened to contract malaria. Mr. Quan cured him. Upon his return, he recounted Mr. Quan's great reputation. Several years later, I finally had the opportunity to meet him.
Mr. Quan had a full face and an amiable demeanor; indeed, he was a person of the Way (Dao). Subsequently, I read his printed collection of ancient and contemporary poetry, which consisted mostly of works reflecting a secluded, tranquil, and indifferent state, as well as compositions from his travels in his youth describing magnificent scenery. Later, I read his medical cases (Yi An), and I became even more respectful of him as a learned Confucian scholar who possessed broad knowledge and understanding.
A physician relies on "Yi" (intuitive insight/mind). Only with a mind that flows in harmony with Heaven and Earth can one comprehend the books of ancient prescriptions and herbs. Furthermore, only by completely freeing oneself from rigid adherence to formulas and drugs can one effectively apply them, reaching a level of spiritual proficiency. If medicine were truly based on subjective speculation, could medical cases be fabricated at will?
Mr. Quan also has an unpublished book titled *Yi Shu* (Medical Discourses). It appears to be a compilation where, after extensively studying the *Ling Shu*, *Su Wen*, and discussions by various schools through the ages, he selected the most accurate and appropriate contents into a single collection. The volumes are substantial, and his diligence surpasses that of the *Hai Lu*. When published in the future, readers who cross-reference it will realize that the contributions of a learned Confucian extend far beyond merely equating the merit of a capable minister.
Recorded respectfully by Hou Yunsong of Baixia, in the first ten days of the Zi month (November) of the 6th year of Daoguang.
The *Nei Zhuan* records two instances of excellent physicians: Yi Huan examined the illness of the Marquis of Jin and stated that the disease was located above the diaphragm and below the heart fat, where attack methods were ineffective and needle therapy could not reach. These few words constitute an early form of a medical case record. Additionally, Yi He examined the Marquis of Jin and said this resulted from excessive intimacy with women, resembling a parasitic disease caused by confusion and loss of will, neither ghost nor food. He further discussed the six Qi and six pathogenic factors, irregular habits, and improper timing, summarizing the essential meanings of the fortune and qi chapters in the *Nei Jing*. This too is a medical case. Medical cases are like judicial verdicts; they require thorough insight into the root cause and rigorous treatment methods. However, unless one is a gentleman of broad learning and deep understanding of medical principles, one cannot discuss this.
Mr. Xingxuan published the *First Collection of Medical Cases* in the 9th year of Jiaqing. His prescriptions adapted flexibly to symptoms, demonstrating unique ingenuity, sufficient to serve as a model for later learners. Since then, his observations expanded, and the number of people he saved increased. He compiled several verified treatments into what became the *Second Collection*. Showing it to me, I read it repeatedly and sighed at his great talent and meticulous mind, noting how he followed the ancients without being bound by them. He distinguished deficiency and excess based on the disease, assessed cold and heat according to the season, considered dryness and humidity due to geography, and evaluated strength or weakness based on the individual. His techniques allowed him to guide the flow of Qi through the interstices, achieving a state where his hand moved with the object without relying on deliberate calculation. Therefore, I urgently requested its publication to benefit the world. The original woodblocks of his *First Collection* were unfortunately destroyed by fire. Now, both are being reprinted together, symbolizing two jade pieces forming a perfect pair (Jue).
Zhong Gai, in the winter of the Dinghai year of Daoguang, visited Yan Zhen seeking the Dao. I personally witnessed Mr. Xingxuan diligently seeking the mysteries of medicine, never putting down his books. Accumulating decades of extensive reading, his scholarship grew more profound with age. He is truly a gentleman of broad learning and deep medical expertise. I wish that from now on, Mr. Xingxuan would record his treatments daily, living from sixty (Zhoujia) to one hundred (Qiyi). May his miraculous elixirs endlessly save the world, and may his new compilations endlessly pass down to posterity. For the third and fourth editions, Zhong Gai, not daring to claim ignorance, voluntarily wrote this continuation of the preface, hoping to attach my name to the tail of a swift horse.
Respectfully prefaced by Zhu Zhong of Hongqiao.