天兴末。予北渡。寓东原之长清。一日过前太医王庆先家。于几案间得一书。曰素问病机气宜保命集。试
阅之。乃刘高尚守真先生之遗书稿也。其文则出自内经中。摭其要而述之者。朱涂墨注。凡三卷。分三十二门。
门有资次。合理契经。如原道则本性命之源。论脉则尽死生之说。摄生则语存神存气之理。阴阳则讲抱元守一
之妙。病机则始终有条有例。治病之法尽于此矣。本草则驱用有佐有使。处方之法尽于此矣。至于解伤寒论气
宜说。曲尽前圣意。读之使人廓然有醒悟。恍然有所发明。使六脉十二经五脏六腑三焦四肢。目前可得而推见
之也。后二十三论。随论出证。随证出方。先后加减。用药次第。悉皆蕴奥。精妙入神。尝试用之。十十皆中。
真良医也。虽古人不是过也。虽轩岐复生。不废此书也。然先生有序。序己行藏。言幼年已有直格宣明原病式
三书。虽义精悫。犹有不尽圣理处。今是书也复出。与前三书相为表里。非曰后之医者龟镜欤。至如平昔不治
医书者得之。随例验证。度已处药。则思亦过半矣。予谓是书。虽在农夫工贩缁衣黄冠儒宗。人人家置一本可
也。若己有病。寻阅病源。不至乱投汤剂。况医家者流者哉。惜哉先生卒。书不世传。使先生之道。窃入小人
口。以为己书者有之。予悯先生道屏翳于茆茨荆棘中。故存心精较。今数年矣。命工镂版。拟广世传。使先生
之道。出于茆茨荆棘中。亦起世膏肓之一端也。
岁辛亥正月望日太卤杨威序
天兴末年,我向北渡过黄河,寄居在东原的长清县。有一天,我拜访前任太医王庆先的家,在书桌上得到了一本书,名叫《素问病机气宜保命集》。试着翻阅它,原来是刘高尚守真先生留下的手稿。这篇文章的内容源自《黄帝内经》,摘录其中的要点并加以阐述,上面有朱笔涂改和墨笔批注,共三卷,分为三十二个门类。每个门类都有次序安排,符合经典经义的道理。比如探讨“道”的部分,追溯性命产生的本源;论述脉象的部分,详尽阐述决定生死的理论;养生部分,讲述保养精神、保存元气的道理;阴阳部分,讲解怀抱元气、坚守一真的奥妙;病机部分,从头到尾条理清晰、有章可循,治疗疾病的方法都包含在这里了;本草部分,药物使用有佐药和使药的配合,处方用药的方法也都包含在这里了。至于解释《伤寒论》中关于气机的学说,曲折详尽地阐明了前代圣人的意旨,读起来让人豁然开朗、有所醒悟,仿佛有了新的发现,使得六脉、十二经脉、五脏六腑、三焦和四肢的情况,在眼前就能推演显现出来。后面的二十三篇论述,随着论述提出证候,随着证候开出方剂,先后加减变化,用药的次第,全都深奥精妙,神乎其技。尝试使用这些方法,十次都能准确命中病症,真是高明的医生啊!即使是古人也不过如此。即使黄帝、岐伯再生,也不会废弃这本书。然而先生写了序言,叙述自己一生的行止,提到他年轻时已经撰写了《直格》、《宣明》、《原病式》三本书,虽然义理精深笃实,但仍有未能完全体现圣人道理的地方。现在这本书又问世,与前三种书互为表里,难道不是后世医生的借鉴榜样吗?至于那些平时不研究医书的人得到这本书,按照例子验证病情,衡量自身情况用药,那么思考也就完成了一半了。我认为这本书,即使是农夫、工匠、商贩、僧人、道士、儒生,每家每户都应该置备一本。如果自己生病,查阅病源,就不会乱投汤药,更何况是医生这一类人呢?可惜先生去世了,这本书没有世代流传,致使先生的学说被小人窃取,当作自己的著作,这种情况是有的。我怜悯先生的学说被遮蔽在茅草荆棘之中,所以用心精心校勘,到现在已经有几年了,命令工匠雕刻印版,打算广泛流传于世,让先生的学说从茅草荆棘中显露出来,这也是救治世人沉疴的一个方面啊。
辛亥年正月十五日,太卤杨威作序。
At the end of the Tianxing era, I crossed northward over the Yellow River and resided in Changqing, Dongyuan. One day, I visited the home of Wang Qingxian, a former Imperial Physician, and found a book on his desk titled *Suwen Bingji Qi Yi Baoming Ji* (Treatise on Pathogenesis, Qi Appropriateness, and Preserving Life based on the *Suwen*). Upon trying to read it, I realized it was a manuscript left behind by Mr. Liu Wansu (courtesy name Shouzhen). The text is derived from the *Huangdi Neijing* (Yellow Emperor's Inner Canon), extracting its essentials and elaborating upon them. It features vermilion corrections and black ink annotations, consists of three volumes, and is divided into thirty-two categories. Each category follows a logical order, aligning with the principles of the canonical scriptures. For instance, the section on the Dao traces the source of life and nature; the section on pulse diagnosis exhaustively discusses theories regarding life and death; the section on health preservation expounds on the principles of nurturing spirit and preserving vital energy; the section on Yin and Yang explains the subtleties of embracing primordial essence and maintaining unity; the section on pathogenesis presents clear guidelines and examples from beginning to end, encompassing all methods for treating diseases; the section on Materia Medica details the use of assisting and guiding herbs in prescriptions, covering all methods for formulating remedies. Regarding the explanation of the *Shanghan Lun* (Treatise on Cold Damage) concerning the appropriateness of Qi, it thoroughly elucidates the intentions of past sages. Reading it brings about a sudden enlightenment and clarity, allowing one to deduce the conditions of the six pulses, twelve meridians, five zang organs, six fu organs, sanjiao (Triple Burner), and four limbs as if they were visible before one's eyes. The subsequent twenty-three treatises present syndromes following each discussion, prescribe formulas according to syndromes, and detail the sequential additions and modifications of medications. These are all profound, exquisite, and divinely skillful. Having tried using these methods, they proved accurate in every case, truly demonstrating the skills of an excellent physician. Even the ancients would not surpass this. Even if Huangdi (Yellow Emperor) and Qibo were to return to life, they would not discard this book. However, the author included a preface describing his own life and conduct, mentioning that in his youth he had already written three books: *Zhige*, *Xuanming*, and *Yuanbingshi*. Although their meanings were profound and sincere, there were still aspects that did not fully embody the principles of the sages. This new book now emerges, serving as the interior-exterior counterpart to those earlier three works, surely acting as a mirror or model for future physicians. Even for those who do not typically study medical texts, obtaining this book and verifying cases according to its examples, then assessing oneself to administer medication, would mean halfway achieving understanding. I believe that whether for farmers, artisans, merchants, monks, Taoist priests, or Confucian scholars, every household should possess a copy. If one falls ill, consulting the sources of disease prevents the reckless administration of decoctions, let alone for practitioners of medicine. Alas, the Master has passed away, and his book has not been transmitted through generations. There are instances where his teachings have been stolen by petty individuals and claimed as their own work. Pitying that his teachings were obscured amidst thatch huts and thorny bushes, I devoted myself to careful collation. Several years have now passed since I commissioned craftsmen to carve printing blocks, intending to widely disseminate it to the world, bringing the Master's teachings out from obscurity, which serves as one means to cure the critical ailments of society.
On the fifteenth day of the first month in the Xinhai year, Yang Wei of Tailu wrote the preface.