夫士君子立言,不有实学,焉能附于古圣贤之末;非有卓识,又安能窥夫古圣贤之心。
余尝
言可
上契
一百
化生
其要
十年
三
者
相
之
暇
选注,又觉珠玉之在前矣,殆仲景之功臣,古昔圣贤之羽翼也。以之砭俗学而示来兹,
流之一壶也。夫余髦矣,一官去守,匆匆北归,不能更与王子把臂朝夕,疑义相晰,不
然。书此为序,兼志别焉。
时雍正辛亥季春年家弟 乡魏荔彤念庭氏题。
尝读《周礼》,疾医掌养万民之疾病,以五味、五谷、五药养其病,以五声、五气、五
色视
准乎
其于
《脉
尚
轩岐着《灵》、《素》,伊芳尹巫咸作《汤液》,扁鹊解《八十一难》,皆医中上圣,莫或俪
至东汉张仲景着书一十六卷,其《伤寒论》申明六经治病,采择祖方,化成百十三方、
九十七法,处方则一成而不易,用法则万变而不滞,上绍轩黄,下开来哲,犹马迁之于
子美之于诗,平原之于书,可谓兼先圣之长,其医学之集大成者乎?厥后唐王冰始有注
宋钱仲阳发议论,迨成无己有方解,吴鹤皋有方考,柯韵伯有《名医方论》,国朝汪
集众说而成注,递相祖述,辅翼前人,厥功伟矣。独于方之有矩,法之有规,犹鲜有旁
通之者。夫用药之道,等于用兵,废孙吴之法,而曰我善为阵、我善为战,乌合之众,
足为节制之师也明矣。然车战之制,房 用之而卒以致败,则神明变化之用,终有未尽
余不敏,窃选古方之合于三方四制十剂者,为之显微阐幽,申明其方之中矩,法之中规
柔有变,约制有道,治三焦则分大小之制,处铢两则分多寡之数,其间辨五行之生化,
时之温严,审人事之阴阳虚实,与夫药性之君臣佐使,无不调而剂焉,所谓运用之妙,
一心,皆古人未发之蕴,而犹不敢参以臆说也。盖医之精义,皆具于书,顾世人习焉而
耳,因厘为三卷。上卷独明仲景一百一十三方、三百九十七法,中下二卷发明内科、女
疡科、幼科、眼科及各科之方,末附杂方药性,名曰《古方选注》。虽不敢谓有当于立
业,然古人之书本可以不朽,而余得疏通推阐于后,则质之古人,或不至以余言为缪戾
于《周礼》疾医之旨,殆亦有合也夫?遂书之以为序,雍正十年九月望后六日古吴王子
三序并书,时年七十有五。
士人君子著书立说,如果没有扎实的学问,怎么能跻身于古代圣贤的行列;如果没有卓越的见识,又怎能洞察古代圣贤的内心。
我曾在闲暇之余选注古方,觉得(王子接的著作)如同珠玉在前,这大概是张仲景的功臣,古代圣贤的羽翼啊。用它来针砭世俗之学并昭示后世,不过是流传的一壶药石罢了。我已经老了,辞去官职,匆匆北归,不能再与王子朝夕把手交谈、辨析疑难疑惑了,并非如此。写下这些作为序言,兼作离别纪念。
当时雍正辛亥年(1731年)春季末尾,同年好友魏荔彤(字念庭)题写。
我曾阅读《周礼》,记载疾医掌管百姓的疾病治疗,用五味、五谷、五药来调养病人,通过五声、五气、五色来观察病情,其准则在于……
轩辕黄帝和岐伯撰写了《灵枢》和《素问》,伊尹和巫咸制作了《汤液经》,扁鹊阐释了《难经》,他们都是医学中的至高圣人,没有人能与之匹敌。
到了东汉,张仲景撰写了一十六卷书籍,他的《伤寒论》阐明了六经治病的方法,采纳选取祖传方剂,化育出一百一十三首方剂、九十七种治法。处方则固定不变,用法则变化万千而不凝滞,上承轩辕、黄帝之学,下开后世哲人之路,就像司马迁之于史学,杜甫之于诗歌,颜真卿之于书法,可以说是兼具先圣之长,是医学集大成者吧?此后唐代王冰开始有注解,宋代钱乙发表议论,等到成无己有方解,吴鹤皋有方考,柯韵伯有《名医方论》,本朝汪昂集众说而成注,相继沿袭阐述,辅佐前人,功德伟大啊。唯独对方剂的规矩、治法的法度,很少有人能旁通理解的。
用药的道理,等于用兵之道,废弃孙武、吴起的兵法,却说“我善于布阵、我善于作战”,乌合之众,足以成为有节制的军队吗?这是很明显的。然而车战的制度,如果运用不当最终导致失败,那么神明变化的作用,终究还有未尽之处。
我不才,私下选取符合“三方四制十剂”的古方,为之揭示隐微、阐明幽深,申明其中符合规矩的法度。刚柔有变,节制有道,治疗三焦则区分大小不同的制度,调配剂量则区分多寡的数量,其中辨别五行的生化,顺应时令的温严,审察人事的阴阳虚实,以及药物的君臣佐使关系,没有不调和适宜的,这就是所谓运用的妙处,一心一意,都是古人未曾发掘的蕴藏,而我不敢掺杂个人的臆测。大概医学的精义,都具备在书中,只是世人习惯于此而忽略它罢了,因此整理为三卷。上卷专门阐明张仲景的一百一十三首方剂、三百九十七种治法,中下二卷发明内科、妇科、外科、儿科、眼科及各科的方剂,末尾附带杂方药性,命名为《古方选注》。虽然不敢说符合立业的宗旨,但古人的书本本来可以不朽,而我能在后辈中疏通推阐,那么向古人请教,或许不至于认为我的话荒谬违背了《周礼》中疾医的宗旨,大概也是相合的吧?于是写下这些作为序言,雍正十年九月十六日之后六天(即九月二十二日),古吴王子接书写,当时年龄七十五岁。
A scholar establishing words and writings, if lacking solid learning, how can he attach himself to the ranks of ancient sages; without outstanding insight, how can he glimpse the hearts of ancient sages.
I once selected and annotated ancient prescriptions during my leisure time, feeling that (Wang Zijie's work) was like pearls and jade before me; it is undoubtedly a meritorious servant of Zhang Zhongjing, and a wing/helper to the ancient sages. Using it to critique vulgar learning and show it to future generations, it is merely a pot of medicine passed down. I am old now, having resigned my post, hurriedly returning north, unable to continue holding arms with Wang Zijie day and night to clarify doubts, not otherwise. Writing this as a preface, also to record our parting.
At that time, in the late spring of the Xinhai year of Yongzheng (1731), fellow clansman Wei Litong (style name Nianting) inscribed.
I once read the *Rites of Zhou* (*Zhou Li*), which states that physicians in charge of diseases manage the illnesses of the myriad people, nourishing their ailments with five flavors, five grains, and five medicines, and observing them through five sounds, five qi, and five colors, with standards lying in...
Xuanyuan Huangdi (Yellow Emperor) and Qibo authored the *Ling Shu* (Spiritual Pivot) and *Su Wen* (Basic Questions); Yi Yin and Wu Xian created the *Tang Ye Jing* (Decoction Classic); Bian Que interpreted the *Nan Jing* (Classic of Difficult Issues). All are supreme saints among physicians, unmatched by any.
Arriving at the Eastern Han Dynasty, Zhang Zhongjing wrote sixteen volumes. His *Shanghan Lun* (Treatise on Cold Damage Diseases) elucidates treating diseases according to the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin), selecting ancestral prescriptions, transforming them into 113 formulas and 97 methods. The prescription formulation remains constant and unchanging, while its application varies infinitely without stagnation. It inherits from Xuanyuan and Huangdi, and opens the way for later philosophers, just as Sima Qian is to history, Du Fu to poetry, and Yan Zhenqing to calligraphy. He can be said to combine the strengths of former sages, being the great synthesizer of medical science? Later, Wang Bing of the Tang Dynasty began providing annotations; Qian Yi of the Song Dynasty offered discussions; Cheng Wuji provided formula explanations; Wu Hegao conducted formula examinations; Ke Yunbo wrote *Mingyi Fanglun* (Discussion of Famous Physicians' Formulas); and Wang Ang of our dynasty collected various theories to create his annotation. They successively followed and expounded, assisting predecessors, achieving great merit. Yet, regarding the rules of formulas and the standards of methods, few have understood them comprehensively.
The way of using medicine is equal to the way of using troops. Abandoning the methods of Sun Wu and Wu Qi, yet claiming "I am good at forming arrays, I am good at fighting," a mob cannot become a disciplined army. This is obvious. However, even with the system of chariot warfare, if applied improperly leading to defeat, then the divine and changing applications still have未尽 (unfinished/unexplored) aspects.
Being untalented, I privately selected ancient prescriptions that conform to the "Three Forms, Four Systems, Ten Agents" (San Fang Si Zhi Shi Ji), revealing the subtle and elucidating the profound, clarifying their conformity to rules and standards. There are changes in rigidity and flexibility, methods of restraint, distinguishing systems of large and small when treating the Triple Burner (San Jiao), dividing quantities when measuring dosages. Within this, differentiating the generation and transformation of the Five Elements (Wu Xing), adapting to the warmth or severity of seasons, examining the yin-yang deficiency-excess of human affairs, and the sovereign-minister-assistant-courier roles of herbs, all are harmonized and adjusted. This is what is meant by the subtlety of application, focusing on one mind. These are all hidden treasures not previously revealed by ancients, and I dare not add personal speculation. Presumably, the essence of medicine is contained in books, but people are accustomed to them and ignore them. Therefore, I organized them into three volumes. The upper volume exclusively clarifies Zhang Zhongjing's 113 formulas and 97 methods; the middle and lower volumes elucidate formulas for internal medicine, gynecology, surgery, pediatrics, ophthalmology, and other departments; appended at the end are miscellaneous formulas and herb properties. Named *Gu Fang Xuan Zhu* (Selected Annotations of Ancient Formulas). Although I dare not claim it meets the standards of establishing a career, the books of ancients can be immortal, and if I can elucidate them later, consulting with ancients, perhaps they will not consider my words erroneous or contrary to the intent of physicians in the *Zhou Li*. Is this not somewhat aligned? Thus I write this as a preface. On the twenty-second day of the ninth month of the tenth year of Yongzheng, Wang Zijie of Guwu wrote, aged seventy-five.