盖闻吾儒民物胞与, 乃身。医虽艺乎,根据仁者所必游,以弘圣贤之德业,彻性命之渊微。
然而医之人与医之书,钧重而弗可偏废。世专托命于人,不窥其书,其失非鲜。夫古精医者,谓身
所暨有尽,书所讫无穷。故各以其所得笔诸书,政欲令天下万世,人人得而读焉。以偕脱凶疾之
极,而绥寿康之福,岂徒为业医者训乎哉。第书绪纷还,猝难领会,间有纂本,辄多挂漏。或门类
未备,或置方而不疏病源,不析致病异同,或未经信验,或方论未尽协古,皆于济世不能无憾!先
君桂岩翁尝拟精辑一书行世。非徒欲医者归博于约,兼虑游宦行商及僻居贫窭,仓卒感疾,延医不
给,颠连罔措者,俾得仿书修救,坐收良医之功,厥志殷殷而未竟。不佞宏幼业制举,长乃颛医,
迄今五十余载,恒以所佩庭训及所验心得,视人疾懔懔,勿敢凭臆,勿敢徇俗,壹摹古人成法。遂
兴念缵绪,并酬夙愿,搜网古今群书,反复演互,几换星霜,始成斯集。卷首先弁一十六篇,乃修
德砥行、尊生慎疾之要,及医药得失吃紧之纲。其次门类胪方,必溯致病所繇,与其同异,确有征
信,程古而不私创,博采而不隅执。务宣先人救世之恳衷,弥彰于人心目间。即谙阅之久,而于载
籍外别有证悟,可补往哲未发者,亦必公诸世,毋敢私秘。其书备而不冗,约而不漏,义类浅显,
人人可解,若射必有彀,故命曰《简明医彀》云。人人宜手一册,晨夕览绎,以为未然之防。偶或
遘疾,有医则可据以参同,无医亦可恃以弭患。既免受误于衰见,复能默契于名手。捷取守约之益
,浸为淹博之阶,可以自利,可以利人。宁直天涯游旅之宝函,实亦家居卫生
之灵铨也。可谩曰吾疾自有医之人在,而书可阁弗窥耶,则古所称为人子者不可不知,其谓之何?
夫开卷有益,非医者尚尔,而医者益可知矣。嗟乎,弗自欺乃能孚世,惟自慎乃能益人。幼诵孔子
,已知斯人徒与,迨皈竺教,逾觉同体亲切。我人苦乐痒 ,胡忍二亲。即于此道,未敢自谓入微
,其或不慎以欺世,实未有也。神而明之,存乎其人,踵事增华,俟后之君子。
崇祯己巳阳生日武林孙志宏序
我听说儒家学者视百姓万物为一体,这就像自己的身体一样。医学虽然属于技艺一类,但它是仁者必须修习的途径,用以弘扬圣贤的道德功业,透彻探究生命本源的深奥微妙之处。
然而,医生与医书同样重要,不可偏废。世人如果只把性命寄托在医生身上,却不研读医书,这种失误并不少见。古代精通医术的人认为,个人的生命是有限的,而书籍所载的知识是无穷无尽的。因此,他们各自将所得的经验记录下来写成书,正是希望天下万世的人们都能阅读它,从而共同摆脱凶险疾病的极端痛苦,获得长寿健康的福气,这哪里仅仅是为了教导从事医疗行业的人呢?只是书籍头绪纷繁复杂,仓促间难以领会,偶尔有编纂的本子,往往多有遗漏。有的门类不完备,有的只列出药方却不解释病因,不分析致病原因的异同;有的未经过确实验证,有的方剂论述不完全符合古法,这些都对救世济人留下了遗憾!
我的父亲桂岩先生曾打算精心编辑一本书流传于世。他不仅希望医者能从广博中归于简约,还考虑到外出做官、经商以及居住在偏僻地方、家境贫寒的人,如果在匆忙中染病,延请医生来不及或无法得到,处于困顿无助之中时,能够依照书本进行自救,坐享良医的功效,他的志向殷切却未能完成。
我不才,孙志宏,年轻时学习科举文章,长大后专门研习医学,至今五十多年了。我一直怀着对父亲教诲的敬畏和自身验证的心得,对待病人的疾苦严肃谨慎,不敢凭主观臆断,不敢迎合世俗,一律模仿古人的成法。于是兴起念头继承先父遗志,并实现夙愿,搜罗古今各类书籍,反复推演比较,历经多年,才编成这部集子。卷首先排列十六篇,内容是关于修养品德、尊重生命、谨慎对待疾病的要点,以及医药得失的关键纲领。其次按门类罗列方剂,必定追溯致病的缘由,及其相同与不同之处,确有证据可信,效法古人而不私自创新,广泛采集而不拘泥于一家之言。务必宣扬先人救世的诚恳心意,更加彰显在人们的心目之间。即使是我熟悉阅览已久的内容,如果在典籍之外另有证悟,可以补充前代哲人未曾阐发的,也一定公之于众,不敢私自保密。这本书完备而不冗杂,简约而不遗漏,义理类别浅显易懂,人人都能理解,就像射箭必须有弓的射程范围一样,所以命名为《简明医彀》。每个人都应该手捧一册,早晚阅读研究,作为未病时的预防。偶然遇到疾病,有医生的话就可以依据它来参考印证,没有医生也可以依靠它来消除祸患。既避免了被浅陋见识误导的错误,又能与名医的手法暗中契合。便捷地获取守约的益处,逐渐成为渊博知识的阶梯,既可以利己,也可以利人。这难道不是天涯游子的宝贵手册,也是居家卫生的灵验权衡吗?怎么能说“我的疾病自有医生负责”,就把医书搁置起来不读呢?那么古人所说的为人子女者不可不知的道理,又怎么说呢?
翻开书卷就有好处,不是医者尚且如此,那么医者的益处就更可知道了。唉,不自我欺骗才能取信于世,只有自我谨慎才能有益于他人。小时候诵读孔子,就知道视人如己的道理,等到皈依佛教后,越发觉得众生同体亲切。人们的苦乐痛痒,怎么忍心让双亲独自承受?即便在这门学问上,我不敢自谓已经深入精微,但如果因为不谨慎而欺骗世人,那确实是从来没有过的。神妙而明达的道理,存在于个人心中,继承前人事业并加以发扬光大,要等待后来的君子了。
崇祯己巳年阳月生日,武林孙志宏序
I have heard that Confucian scholars regard the people and all things as one body, just like their own physical selves. Although medicine is considered a craft or art, it is a path that benevolent persons must traverse to promote the moral achievements of sages and worthies, and to thoroughly penetrate the profound mysteries of life and nature.
However, both physicians and medical texts are equally important and neither should be neglected. Those in the world who entrust their lives solely to physicians without studying medical books commit errors not infrequently. Ancient masters of medicine believed that while an individual's lifespan is finite, the knowledge contained in books is infinite. Therefore, they recorded their insights in writing, precisely so that people throughout the ages might read them, thereby jointly escaping the extreme perils of severe diseases and attaining the blessings of longevity and health. This purpose was certainly not limited to instructing those engaged in the medical profession. The problem is that books often have complex and numerous threads, making them difficult to grasp hastily. Occasional compilations frequently suffer from omissions. Some lack comprehensive categorization; some list prescriptions without explaining the etiology of diseases or analyzing the similarities and differences in causes; some lack clinical verification; and some discussions on prescriptions do not fully align with ancient standards. All these shortcomings leave regrets in the endeavor to save the world.
My father, Mr. Guiyan, once intended to compile and publish a refined medical text. His aim was not only to help physicians distill broad knowledge into concise principles but also to consider those traveling for official duties or commerce, or living in remote areas and poverty. In cases where sudden illness strikes and immediate medical assistance is unavailable, leaving them helpless and distressed, he hoped they could refer to the book for self-rescue, effectively benefiting from the skills of a good physician. His intentions were earnest, yet he did not live to complete this task.
I, Sun Zhihong, studied for the imperial examinations in my youth and devoted myself to medicine in adulthood. For over fifty years now, I have treated patients' ailments with solemn caution, guided by my father's teachings and my own verified experiences. I dare not rely on subjective speculation nor conform to vulgar practices, but strictly emulate the established methods of the ancients. Thus, I resolved to continue this work, fulfill his long-cherished wish, and search through ancient and modern texts. After repeated comparison and deduction, spanning many years, I finally completed this collection.
The volume begins with sixteen chapters covering essential topics on cultivating virtue, respecting life, and exercising caution regarding illness, as well as the critical guidelines on the merits and defects of medicine and treatment. Subsequently, prescriptions are categorized systematically. Each entry traces the etiology of the disease, analyzes its similarities and differences, and provides reliable evidence. It follows ancient precedents without arbitrary innovation and draws broadly without adhering rigidly to single sources. The goal is to propagate the sincere intention of my ancestors to save lives, making it evident in the minds of readers. Even for content I am familiar with from extensive reading, if I have gained insights beyond existing records that can supplement what previous sages had not expounded, I will make them public, daring not keep them secret. The book is comprehensive yet not redundant, concise yet not lacking, with clear categories and accessible meanings understandable to everyone. Just as archery requires a specific range (gou), I named this work *Jianming Yigou* (Concise Medical Bow Range). Everyone should keep a copy, reading it morning and evening as a preventive measure against future illness. If illness occurs, one can use it to consult with a physician; if no physician is available, one can rely on it to mitigate the crisis. This prevents errors caused by shallow views and allows for tacit understanding with expert techniques. It offers the benefit of simplicity leading to breadth, serving as a stepping stone to erudition, benefiting both oneself and others. Is it not a precious manual for travelers far from home and a spiritual scale for domestic hygiene? How can one say, "My illness is the responsibility of the doctor," and neglect reading such books? What then of the ancient teaching that children must know these things?
Opening a book yields benefits; if this applies even to non-medical practitioners, how much more so for physicians! Alas, only by not deceiving oneself can one gain trust in the world; only by being cautious can one benefit others. In my childhood, reciting Confucius, I understood the principle of treating others as oneself. Later, upon embracing Buddhism, I felt even more profoundly the intimacy of shared existence. The joys, sorrows, and pains of all beings—how could I bear to let my parents endure them alone? Regarding this medical path, I dare not claim to have reached the deepest subtleties, but I assure you that I have never been careless enough to deceive the world. The divine and illuminating power resides within the individual. To inherit past endeavors and add splendor awaits the gentlemen of future generations.
Preface by Sun Zhihong of Wulin, on the birthday of the first month of the Yang Month, in the Jisi Year of the Chongzhen Era.