一、素问古目八十一篇,除亡刺法、本病两篇,实共七十九篇,其中论阴阳、脉象、治法者五十一篇,论
针灸、穴俞者二十二篇,论岁运、六气者七篇。虽皆轩岐数圣人阐发救人妙义之所在,然其间有理数之分。阴
阳、治法者理也,理本变化无方;针灸、岁运者数也,数则有象可拟。故特分为内外篇,庶使读是经者,于神
理所在,精思而熟玩;象数所在,则仅记忆焉可也。
一、宋新校正言,汉艺文志云黄帝内经素问九卷,至隋经籍志云止存八卷,全元起注本亦云少第七卷,王
太仆序素问言第七卷师氏藏之,即岁运天元纪等七篇也。新校正疑其篇卷浩大,以为别是阴阳大论之文,王氏
特借以补所亡之卷,引张仲景伤寒论序为证,庸或有之。但素问一书,凡天地所有,无一不备,七篇虽独浩大,
然畅论阴阳变化自应如是,书经亦出于壁,太仆之语岂即诬也。
一、素问文义虽经王氏注解,高保衡等校正,各云备极苦心矣,然错误脱漏处仍多。兹各于本篇条下,辨
驳其是非,参考其得失,非敢訾议前贤,良以经旨不可冒昧,人命非同草菅,宁负狂妄之罪耳。至于管窥之见,
疵自多,削而去之,是所望于后之君子。
一、太仆之注至真要大论也,“壮水之主以制阳光,益火之原以消阴翳”二语,阐前圣所未发,开后学
之颛蒙,卓然千古,是注也而经矣。自余未尽合处,瑜不掩瑕,无失其为至文。
一、每篇各有命名之义,有为篇中要旨所关者,有毫无关涉,不过以起首有此数字而即以之为名者。又一
篇之中,问答条款逐段不同。若非并为标出以提其纲,观者能无眩乱。兹特总序名目于篇首,如诗之有小序也。
一、篇中问答一项为一段,分注于其下,井然不乱,庶几心目了然。又其文气高古,句法错落,有一、二
字为一句者,有十数字为一句者。兹
于语气略断处读(音逗)之,读之音韵婉转而义理愈出,是乃所谓章句也。
一、是经去古既远,残缺自多。王注每曲为之解而理愈晦,即甲乙经、全元起注本以至新校正亦多未确。
兹不敢傅会,宁阙疑焉。
一、古本每篇旧有次叙数目,今既分为内外篇,已无次序,用何数目,故并去之。
一、训诂大家惟以诠释本文而已,医经则独不可。盖问答之意,不过偶举一端,原非脉病之全旨,后人执而
泥之必偏矣。王注类多随文顺释。拙解则必会通大意而后诠释本文,或注明本文而后补出全旨,使观者融会心
胸,庶不致有偏泥之害也。
一、内篇所载,皆阴阳变化之大义,脉象治法之要旨,固当细心体认。至于外篇,针灸如离合真邪等篇,
岁运如至真要天元纪等篇,其中各有精义,所当节取以究其微,未可以其列之外篇而概视为肤浅也。
一、热论篇仲景之所祖之以为伤寒论者,字字皆有着落,段段各有精义。向阅王注,颇下恰意,方思有
以易之而未能。后见乌程闵氏芝庆者集中,特为此篇作注,最为明确,无以易也,故全录之。惜乎此君不为素灵
全经作注,诚憾事耳。
一、岁运七篇中有天文度数及天符岁会等义,实余素所不解者,王注既不快意,杜撰又非所能,阁笔者久之。
后得景岳张公类经注解,推算详明,确然可遵,竟全录之,间有不合处,乃附谨按于其下。兹集实赖二公之玉
吾成也。
一、末后着至教等七篇,文辞意旨与全经绝不相类,的系后人假托以充篇目之数者。王氏一概混为之注而不
能辨,直为其人所欺矣。自今道破,后之君子谅不以吾言为孟浪也。
一、是集或有谓余当全载原文,但于应节解处各记钩勒,庶使读者备悉源流,知经之所以节,注之所以另
为解,是也。但此举原所以便肄习,苦仍列全文,则不特篇卷浩繁,且使读者心目眩乱,故予节略,非但省文,
实所以豁心目也。
一、素问古目九卷,王氏分为二十四卷,未免太繁,今分内篇三卷,
外篇六卷,合为九卷,仍古目也。
一、《素问》古本共有八十一篇,除去失传的《刺法》和《本病》两篇,实际现存七十九篇。其中论述阴阳、脉象、治法的有五十一篇;论述针灸、穴俞的有二十二篇;论述岁运、六气的有七篇。虽然这些都是轩辕、岐伯等圣人阐发救人妙义的地方,但其中道理与数理有所区分。论述阴阳、治法的是“理”,理本来变化无穷;论述针灸、岁运的是“数”,数则有形象可以比拟。因此特别分为内、外两篇,希望阅读此经的人,对于神妙的道理所在,要精心思考并熟读玩味;对于象数所在,则只需记忆即可。
二、宋代校正者说,《汉书·艺文志》记载《黄帝内经素问》为九卷,到了《隋书·经籍志》记载只存八卷,全元起的注本也说缺少第七卷。王冰(王太仆)在《素问》序言中说第七卷由师氏收藏,即《岁运天元纪》等七篇。校正者怀疑这些篇章卷帙浩大,认为是另外《阴阳大论》的文章,王冰特意借用它们来填补亡佚的卷次,并引用张仲景《伤寒论》序作为证据,或许确实如此。但是《素问》一书,凡是天地所有的事物,无一不备,这七篇虽然单独看来卷帙浩大,然而畅论阴阳变化理应如此。书籍出自孔壁,王冰的话难道就是诬蔑吗?
三、《素问》的文义虽然经过王冰注解,高保衡等人校正,各人都声称费尽了苦心,然而错误脱漏的地方仍然很多。现在我在各篇条文之下,辨驳其是非,参考其得失,不敢非议前贤,实在是因为医经宗旨不可草率对待,人命非同儿戏,宁愿承担狂妄之罪罢了。至于我管窥之见,疵病自然很多,删去它们,这是期望后来的君子做的。
四、王冰对《至真要大论》的注释中,“壮水之主以制阳光,益火之原以消阴翳”这两句话,阐发了前代圣人所未发挥的见解,开启了后学者的蒙昧,卓然独立于千古,这个注释简直可以与经文并列了。其余未尽合之处,优点不掩盖缺点,不失其为好文章。
五、每篇各有命名的意义,有的是与篇中主旨相关的,有的毫无关系,不过是根据开头这几个字就以此作为篇名。又一篇之中,问答条款逐段不同。如果不把它们汇总标出以提纲挈领,读者能不感到混乱吗?现在我特别在篇首总述名目,就像诗歌的小序一样。
六、篇中的问答一项为一段,分注在下面,井然有序不乱,使人心目了然。而且文章气韵高古,句法错落有致,有一两个字为一旬的,也有十几个字为一旬的。我现在在语气略微停顿处进行标点(音逗),诵读时音韵婉转而义理更加显现,这就是所谓的章句。
七、这部经典距离古代已经很久,残缺自然很多。王冰的注释往往曲意解释,反而使道理更加晦涩,即使是《甲乙经》、全元起注本以及宋代新校正也多有不准确之处。我不敢牵强附会,宁愿保留疑问。
八、古本每篇旧有次序数目,现在既然分为内、外两篇,已经没有次序,用什么样的数目呢?所以一并去掉。
九、训诂大家只以诠释本文为主,医经则唯独不可以这样。大概问答之意,不过是偶尔举出一个方面,原本不是脉病的完整旨意,后人执着于此必然偏颇。王冰的注释大多随文顺释。我的解说则必须融会贯通大意之后才诠释本文,或者注明本文然后补出完整旨意,使读者融会于心胸,不至于有偏执固泥的危害。
十、内篇所载,都是阴阳变化的大义,脉象治法的要旨,固然应当细心体认。至于外篇,如《离合真邪论》等针灸篇章,《至真要》《天元纪》等岁运篇章,其中各有精义,应当节取以探究其微妙,不能因为它们列在外篇就一概视为肤浅。
十一、《热论》篇是张仲景用来撰写《伤寒论》的祖本,字字有着落,段段各有精义。以前阅读王冰的注释,颇为不满意,正想着有什么办法替代它却未能做到。后来见到乌程闵芝庆的集中,特别为此篇作注,最为明确,无可替代,所以全部收录。可惜这位先生没有为《素灵》全经作注,真是遗憾之事。
十二、岁运七篇中有天文度数及天符、岁会等含义,实在是我向来不解的,王冰的注释既不能令我满意,杜撰又不是我能做到的,搁置了很久。后来得到张景岳《类经》的注解,推算详细明了,确实可以遵循,于是全部收录,间有不合之处,便附上谨慎的按语在其下。这部集子实际上依赖张、闵二位先生的帮助才得以完成。
十三、最后的《着至教》等七篇,文辞意旨与全经绝不相类,确实是后人假托以充篇目数量的。王冰一概混为之注而不能辨别,直接被那人欺骗了。如今揭穿真相,后来的君子想必不会认为我的话轻率吧。
十四、有人建议我应当全载原文,只在应节解的地方各记钩勒,使读者备悉源流,知道经之所以节,注之所以另为解,这是对的。但这种做法原本是为了便于学习,如果仍列出全文,不仅篇卷浩繁,而且会使读者心目混乱,所以我节略,不仅是节省文字,实在是为了开阔读者的视野。
十五、《素问》古目为九卷,王冰分为二十四卷,未免太繁杂,现在分为内篇三卷,外篇六卷,合为九卷,仍符合古目。
1. The ancient edition of *Suwen* (Plain Questions) comprised 81 chapters. Excluding the lost chapters on *Cifa* (Needling Methods) and *Benbing* (Root Diseases), there are actually 79 chapters remaining. Among them, 51 chapters discuss Yin-Yang, pulse appearances, and treatment methods; 22 chapters discuss acupuncture and acupoints; and 7 chapters discuss annual cycles (Suiyun) and the Six Qi (Liuqi). Although these are all places where the sages Xuanyuan (Yellow Emperor) and Qibo expounded upon the profound principles of saving lives, there is a distinction between principle (Li) and numerical patterns (Shu). Those discussing Yin-Yang and treatment methods represent "Principle," which is inherently changeable and boundless; those discussing acupuncture and annual cycles represent "Numerical Patterns," which have observable forms to emulate. Therefore, they are specially divided into Inner and Outer Chapters, so that readers may carefully ponder and familiarize themselves with the divine principles, while merely memorizing the numerical patterns.
2. Song Dynasty correctors stated that *Han Shu: Yiwen Zhi* recorded *Huangdi Neijing Suwen* as nine volumes. By the time of *Sui Shu: Jingji Zhi*, only eight volumes remained. Quan Yuanqi's commentary also noted the absence of the seventh volume. Wang Bing (Wang Taipu) wrote in his preface to *Suwen* that the seventh volume was kept by the Shi family, specifically referring to the seven chapters on Annual Cycles such as *Tianyuanji*. The correctors suspected that due to the vastness of these chapters, they were texts from another work, *Yin-Yang Dalun*, which Wang Bing borrowed to fill the missing volume, citing Zhang Zhongjing's preface to *Shanghan Lun* as evidence, which might be true. However, *Suwen* covers all aspects of heaven and earth without omission. Although these seven chapters appear vast individually, their thorough discussion of Yin-Yang changes should naturally be so. Since the text emerged from the Confucian Wall, can Wang Bing's words be considered false?
3. Although the meaning of *Suwen* has been annotated by Wang Bing and corrected by Gao Baoheng et al., each claiming great effort, errors and omissions remain numerous. Here, I refute right and wrong under each chapter's sections and reference their merits and defects. I dare not criticize former sages; rather, because the purport of medical classics cannot be treated lightly, and human life is not trivial, I would rather bear the charge of arrogance. As for my limited insights, flaws are inevitable; it is hoped that future scholars will delete them.
4. In Wang Bing's commentary on *Zhiyao Dalun* (Great Treatise on the Most Essential), the phrases "Strengthen the master of Water to control the Yang brightness, and benefit the source of Fire to dissipate the Yin shadow" elucidated insights not previously expressed by ancient sages and opened the minds of later learners. Standing outstanding through millennia, this commentary is essentially canonical. For the rest, where it does not fully align, its virtues do not obscure its flaws, preserving it as an excellent text.
5. Each chapter has its own naming rationale. Some relate to the core essence of the chapter, while others are unrelated, simply named after the first few characters. Furthermore, within a single chapter, Q&A items vary paragraph by paragraph. If not summarized to highlight the outline, readers would surely be confused. Therefore, I specially list the titles at the beginning of each chapter, similar to the minor prefaces in poetry.
6. A Q&A item constitutes one paragraph, with annotations below, orderly and clear, making the mind and eyes distinct. The prose is lofty and ancient, with varied sentence structures, ranging from one or two characters per sentence to over ten. I now punctuate at slight pauses in tone (dou), so that recitation yields melodious rhythm and deeper meaning emerges; this is what is called "Zhangju" (chapter and sentence analysis).
7. This classic is distant from antiquity and thus has many lacunae. Wang Bing's annotations often force interpretations, making the logic even more obscure. Even *Jia Yi Jing*, Quan Yuanqi's commentary, and the Song New Corrections contain inaccuracies. I dare not force connections but prefer to leave doubts unresolved.
8. Ancient editions had sequence numbers for each chapter. Now that they are divided into Inner and Outer Chapters, the original order is lost, and no specific numbering scheme applies, so they are removed entirely.
9. Experts in exegesis focus solely on interpreting the text, but medical classics cannot be treated this way. The intent of Q&A is merely to occasionally mention one aspect, not the entirety of pulse and disease theory. Later adherents who stick rigidly to this become biased. Wang Bing's notes mostly follow the text literally. My explanations integrate the general meaning before interpreting the text, or note the text then supplement the full purport, allowing readers to assimilate it mentally, avoiding the harm of rigid adherence.
10. The Inner Chapters contain the grand principles of Yin-Yang changes and the essentials of pulse and treatment, which must be carefully realized. As for the Outer Chapters, such as acupuncture chapters like *Lihe Zhenxie Lun* and annual cycle chapters like *Zhiyao Yao Tianyuanji*, each contains profound meanings that should be selectively studied to explore subtleties. They should not be dismissed as superficial simply because they are in the Outer Chapters.
11. The *Re Lun* (Treatise on Heat) is the foundation for Zhang Zhongjing's *Shanghan Lun* (Treatise on Cold Damage); every word is grounded, and every paragraph holds precise meaning. Previously, reading Wang Bing's commentary was unsatisfactory, and I sought alternatives without success. Later, I saw Min Zhiqing's commentary in the Wucheng Min collection, which was particularly clear and irreplaceable, so I included it in full. It is regrettable that this gentleman did not annotate the complete *Suwen* and *Ling Shu*.
12. The seven chapters on Annual Cycles involve astronomical degrees and concepts like Tianfu (Heavenly Harmony) and Suihui (Annual Meeting), which I never understood. Wang Bing's commentary was unsatisfactory, and fabrication was beyond my ability, so I shelved it for a long time. Later, I obtained Zhang Jingyue's *Leijing* commentary, which provided detailed and accurate calculations worthy of following. I included it in full, adding cautious remarks where discrepancies existed. This compilation truly relies on the assistance of these two gentlemen.
13. The final seven chapters, including *Zhaozhi Jiao*, differ significantly in style and intent from the rest of the classic, clearly being later fabrications to pad the chapter count. Wang Bing annotated them indiscriminately without discernment, deceived by the forger. Now that the truth is revealed, future scholars will likely not consider my words rash.
14. Some suggested I should include the full original text, marking only the sections requiring explanation, so readers understand the source and flow, knowing why the classic is abridged and why new annotations are needed. While valid, this method is intended for study convenience. Listing the full text would make the volumes cumbersome and confuse readers. Thus, I abridge it not just to save space, but to clarify the reader's perspective.
15. The ancient title of *Suwen* was nine volumes. Wang Bing expanded this to twenty-four volumes, which was overly complex. Now, dividing it into three Inner volumes and six Outer volumes, totaling nine volumes, restores the ancient structure.