嘉庆九年，岁在阏逢困敦，先生既成《医案初集》一编，寿诸世矣。原版不戒于火，其《续
录》尚藏巾笥中。今年春，又成《医述》十六卷，集诸家之大成，垂不刊之定论，诚医宗之
成轨也。既乃合医案前后集付剞劂氏，而先生行方所至，与凡所施治，随笔扎记，及榜等录
存者，历时既久，积而盈帙。先生以出于一时论列，详略或殊，始末未备，不欲付梓，榜等
窃以近世叶氏一家，亦临证笔记，然惜其辞多简括，而义少发明，若先生斯编，证必求其本
，治必折其衷，发聋觉 ，引示迷津，实有前贤屐齿所未及者。昔史迁传太仓公，论证论治
，辞繁不杀，几及三十条，岂不以活人指南，端在是乎。乃敦请于先生，排次而梓行之。因
并附记数语于其后云。
\x时道光九年岁在屠维赤夺若阳月上瀚门人儿榜许朴小门人许后洪鼎彝汪有容叶光煦郑立传等
经言肾气通于耳，故人至中年以后，肾气渐衰，每多耳鸣之患。喻氏论之甚晰。然不独
肝肾
之阴气上逆，必兼挟有内风乘虚上升。夫风善入孔窍，试观帘栊稍疏，风即透入。人之清窍
，本属空虚，是以外感风邪，其息即鸣。韩昌黎云∶草木之无声，风挠之鸣。水之无声，风
荡之鸣。凡物之鸣，由于不得其平。人身之阴失其平，阳失其秘，化风盘旋，上乾清窍，
之声，昼夜不息，其义亦然。议与潜阳熄风，静以制动之治。
安波按∶耳为肾之主窍，心胆寄附，是以体虚失聪，心肾同责。案内帘栊稍疏，风即
透入之句，真是精议卓识。
嘉庆九年，岁次阏逢困敦（即甲子年），先生已经完成了《医案初集》这一卷，并刻印流传于世。原版不幸遭遇火灾损毁，其《续录》还保存在书箱之中。今年春天，又完成了《医述》十六卷，汇集了各家学说的精华，确立了不可更改的定论，确实是医学宗派的典范准则。随后将前后两集医案交付刻工印刷，而先生行走各地行医，以及所有施治经过，都是随手记录保存，加上门人弟子整理留存的内容，历时已久，积累得满满几册。先生认为这些内容出自不同时期，详略不一，始末未备，不愿付梓刊行。我们私下认为，近代叶天士一家的著作也是临证笔记，可惜言辞过于简括，义理阐发不够充分。像先生的这部书，辨证必求其本源，治疗必折中公允，唤醒聋聩，指引迷津，确实有前贤未曾达到的境界。昔日司马迁为太仓公作传，论证论治，文字详尽不删减，接近三十条，难道不是把救人的指南重点放在这里吗？于是恳请先生，编排次序并刊行。因此并在后面附上几句话说明。
当时是道光九年，岁次屠维赤夺（即己丑年）若阳月（农历四月）上瀚（上半月），门人儿榜、许朴，小门人许后、洪鼎彝、汪有容、叶光煦、郑立传等谨识。
经典理论说肾气通于耳，所以人到中年以后，肾气逐渐衰退，常常出现耳鸣的毛病。喻嘉言对此论述得非常清晰。然而不仅仅是肝肾阴气上逆，必然兼挟内风乘虚上升。风邪善于侵入孔窍，试看帘栊稍微稀疏，风就能透入。人体的清窍，本来属于空虚状态，所以外感风邪，气息出入就会发出鸣响。韩愈曾说：草木没有声音，风吹动它就鸣响；水没有声音，风激荡它就鸣响。凡是物体的鸣响，都是由于不得平静。人身之阴失去平衡，阳失去固秘，化生风邪盘旋，上扰清窍，导致鸣声昼夜不息，其中的道理也是一样的。议定采用潜阳熄风，以静制动的方法进行治疗。
安波按语：耳是肾的主要窍道，心胆寄附于此，所以身体虚弱导致听力下降，心和肾都有责任。案文中“帘栊稍疏，风即透入”这句话，真是精辟的议论和卓越的见识。
In the ninth year of the Jiaqing reign, corresponding to the year of Jiǎzǐ (Yānféng Kùndūn), Mr. Cheng had already completed the first volume of "Medical Cases Collection" and had it printed for dissemination. The original edition unfortunately suffered from fire damage, while its "Continued Records" remained stored in a book chest. In the spring of this year, he completed sixteen volumes of "Medical Discourse," synthesizing the essence of various schools of thought and establishing definitive conclusions that serve as a standard model for the medical profession. Subsequently, the front and back volumes of his medical cases were handed over to the printers. Meanwhile, records of his travels where he practiced medicine, along with all treatments administered, were noted down随笔 (casually recorded) and preserved by him, supplemented by materials collected and kept by his disciples over a long period, eventually filling several volumes. Mr. Cheng felt that since these writings originated from different times, their details varied, and the beginnings and endings were incomplete, he was reluctant to publish them. We privately opined that modern works like those of Ye Tianshi are also clinical notes, but regretfully, their language is too concise, and their theoretical insights are insufficiently elaborated. In contrast, Mr. Cheng's work seeks the root cause in diagnosis and strikes a balance in treatment, awakening the deaf and guiding the lost, truly reaching heights unattained by previous sages. Historically, Sima Qian's biography of the Grand Master of Taicang included detailed arguments on syndrome differentiation and treatment, spanning nearly thirty items, surely emphasizing that the guide to saving lives lies herein. Thus, we earnestly requested Mr. Cheng to organize and publish these texts. Therefore, we append a few words at the end to explain.
Recorded in the upper half of the fourth lunar month (Ruòyáng Yuè) of the Jíchǒu year (Túwéi Chìduó), the ninth year of the Daoguang reign, by disciples Er Bang, Xu Pu, junior disciples Xu Hou, Hong Dingyi, Wang Yourong, Ye Guangxu, Zheng Lizhuan, et al.
The Classics state that Kidney Qi connects to the ears; therefore, after middle age, as Kidney Qi gradually declines, tinnitus (ear ringing) often occurs. Yu Jiayan discussed this very clearly. However, it is not merely the counterflow of Yin Qi from the Liver and Kidneys; it must also involve internal Wind rising due to deficiency. Wind excels at penetrating orifices; observe that if curtains are slightly sparse, wind penetrates easily. The clear orifices of the human body are inherently empty; thus, when external Wind pathogen invades, the movement of Qi produces sound. Han Yu said: Plants have no sound, but wind disturbs them to make noise; water has no sound, but wind agitates it to make noise. All sounds arise from imbalance. When Yin in the body loses its equilibrium and Yang loses its retention, generating Wind that swirls upward to disturb the clear orifices, causing ceaseless day-and-night ringing, the principle is the same. It is proposed to treat with methods that submerge Yang and extinguish Wind, using stillness to control movement.
An Bo commented: The ear is the primary orifice of the Kidney, with the Heart and Gallbladder residing nearby; thus, when physical weakness leads to hearing loss, both the Heart and Kidney bear responsibility. The phrase in the case record, "if curtains are slightly sparse, wind penetrates easily," is indeed a profound discussion and an outstanding insight.