御寇有言医者理也理者意也何稽乎理言治意言识得理与意料理于未见曰医超然望闻者无
几也
降则不理不治不识不明斯二者不言不详以故圣人尚乎辞说者谓经始于轩岐缓鹊辈识其意者也
仲景下代有名士有方有论有原有辩有法耿耿与繁星并丽而不磨者圣人以道仁天下起危而养安
斯已矣而又立言以臣扶百代其为虑不广且勤哉神而明之在人子容氏有意焉久矣苦心探赜学以
聚之问以辩之精思以强勉之董生曰勉强学问则闻见博知益精然会博而归约则君子贵乎详说也
是书述古法今事积有岁月得理与意者纂载不遗子容之用心亦勤矣病其繁也故略节取之以讲于
家塾有就有道意盖以人之司命不敢肆然而轻耳考其言有先经以始事有后经以终义则系之以经
曰示无专也有以脉而辩症有以症而辩剂的之已见者则系之以余曰示无私也得之前烈参之时贤
者则系之曰某人曰示无掩焉盖得于意则见于言本始以清其源推委以别其流酌中随时以明其宜
以通其变而参伍设置尚其权也有论而无方神其用也祖乎帝继其志也征诸今尚时也文以足志达
其意也削屡而成什要诸理而止也博而要辩而精简而核迹其所到真可究之施行者矣殆与医案医
原
则从起者吾谅其惑焉子容姓俞名弁以翁约斋号故自附曰守约云
\x嘉靖甲午卿贡进士白海吴恩序
列御寇曾说:“医,就是理;理,就是意。”如何考察“理”?通过言语来探究治理之道;如何体现“意”?通过见识来领悟。能够在疾病尚未显现时就调理好“理”与“意”,这才称为医生。超然地运用望、闻、问、切四诊方法的人已经很少了。
后世之人如果不通晓“理”,就无法治疗;如果不认识“意”,就无法明晰。这两者若不加以详述,就会显得不详备。因此,圣人重视言辞解说,认为《黄帝内经》始于轩辕、岐伯等人对“意”的识别。
张仲景是后世的杰出人物,他有方剂、有论述、有源流考辨、有法则,其光辉如同繁星般并列闪耀,永不磨灭。圣人以大道仁爱天下,挽救危难,养护安康,这已经足够了,却又立言以辅佐百代,他们的思虑是多么广泛且勤勉啊!神妙而明达的道理在于人,子容氏对此有意已久,苦心探索深奥的道理,通过学习来积累知识,通过提问来辩明疑惑,通过精思来自我勉励。董仲舒说:“勉强自己求学,见闻就会广博,智慧就会日益精深。”然而,汇聚广博的知识并归于简约,君子贵在详细阐述。
这本书叙述古代的方法,记录当代的事迹,经过岁月的积累,凡是掌握了“理”与“意”的内容都收录无遗,子容的用心也是够勤苦的了。因为担心内容过于繁杂,所以略作节选,以便在家塾中讲授。有所成就并向有道之人请教,大概是把人的性命看得很重,不敢随意轻慢罢了。考察书中的言论,有的先引经典以开始事务,有的引用经典以终结义理,于是将其归类为“经”,以示没有偏执;有的通过脉象来辨析症状,有的通过症状来确定药方,对于已有定见的则归类为“余”,以示没有私心;有的得自前贤,有的参酌当今贤者,于是将其归类为“某人”,以示没有掩盖。
大抵从“意”出发则见于言语,从根本上澄清源头,推究委曲以辨别支流,斟酌适中、顺应时势以明确适宜之处,以此通达变化,并综合设置以权衡利弊。有论述而无方剂,是为了神化其作用;效法黄帝以继承其志向;征验于当今以崇尚时效;用文辞来充实志向,表达其意;删削多次而成篇章,归结于理而停止。广博而简约,辩析而精简,严谨而核实,追溯其所达到的境界,真正是可以付诸实施的。这与《医案》、《医原》等书相比,那些从起头就让人困惑的书,我推测它们会让人迷惑吧。
子容姓俞名弁,字翁,号约斋,所以自称“守约”。
嘉靖甲午年(1534年),卿贡进士白海吴恩作序。
Lie Yukou said: "Medicine is Li (Principle); Li is Yi (Intent/Meaning)." How to examine Li? By words, one explores the governance of disease; by insight, one comprehends the intent. To manage Li and Yi before the disease manifests is called a physician. Those who transcendently rely on the four diagnostic methods—inspection (Wang), auscultation and olfaction (Wen), inquiry (Wen), and palpation (Qie)—are few indeed.
In later generations, if one does not understand Li, one cannot treat; if one does not recognize Yi, one cannot clarify. Without detailed exposition of these two aspects, knowledge remains incomplete. Therefore, sages value discourse, asserting that the *Huangdi Neijing* (Yellow Emperor's Inner Canon) began with Xuanyuan and Qibo identifying the Yi.
Zhang Zhongjing was a distinguished scholar of subsequent generations. He possessed formulas (Fang), treatises (Lun), discussions on origins (Yuan), debates (Bian), and methods (Fa). His brilliance shines alongside the stars, enduring and unerasable. The sage uses the Dao to benevolently benefit the world, rescuing from crisis and nurturing peace. This alone suffices, yet he established writings to assist for a hundred generations; their deliberation was extensive and diligent. The divine and clear understanding lies within individuals. Zi Rong had long harbored this intent, painstakingly exploring profound mysteries, accumulating knowledge through study, distinguishing doubts through questioning, and strengthening himself through diligent reflection. Dong Zhongshu said: "By striving in learning, one's observations become broad and wisdom increasingly refined." However, gathering the broad and returning to the concise, the gentleman values detailed explanation.
This book narrates ancient methods and records contemporary events, accumulated over years. It includes all content where Li and Yi are mastered, without omission. Zi Rong's dedication was indeed diligent. Fearing it might be too voluminous, excerpts were taken for instruction in the family school. Seeking attainment and consulting those with the Dao reflects the reverence for human life, daring not to act lightly. Examining the text: some passages begin with classics to initiate affairs, others conclude with classics to finalize meaning; these are categorized under "Jing" (Canon/Classic), indicating no bias. Some differentiate symptoms via pulse diagnosis (Mai Bian Zheng), others determine targets via symptoms; those with established views are categorized under "Yu" (Remainder/Supplement), indicating no selfishness. Those derived from predecessors or referenced by contemporary worthies are categorized as "Certain Person," indicating no concealment.
Generally, deriving from Yi leads to expression; clarifying the source at its beginning, tracing the branches to distinguish the flow, adjusting to the mean and timing to clarify appropriateness, thereby facilitating change and integrating various settings to weigh authority. Having theory but no formula spiritualizes its application; following the Yellow Emperor continues his will; verifying with the present honors timeliness; using literature fulfills ambition and conveys intent; editing repeatedly into chapters concludes with principle. Broad yet concise, debated yet refined, rigorous yet accurate, tracing its achievements reveals it is truly applicable in practice. Compared to works like *Yi An* (Medical Cases) and *Yi Yuan* (Origins of Medicine), those confusing from the start would likely bewilder me.
Zi Rong's surname is Yu, given name Bian, courtesy name Weng, pseudonym Yuezhai; hence he calls himself "Shouyue" (Adhering to Simplicity).
Preface by Wu En, Jinshi of Qinggong, Baihai, in the Jiawu year of the Jiajing reign (1534).