余自归里后，杜门不与世事接。先太宜人病痰饮，延叶眉寿治，历四年弗痊，而眉寿谓
为痼疾难效。因遍览方书，颇会其旨，拣方以治，不一年而瘳。后遂旁收博采，穷幽极渺，
而于长沙、河间、东垣、子和、丹溪诸书尤三致意焉。窃尝谓医之有长沙，时中之圣也；而
四家并峙，犹清任和之各成其圣，偏焉而至者也。学不从此参究，犹航断港绝潢以望至于海
也，其能之乎？但四家自河间、东垣而外，子和文多缺略，未为全书；丹溪著作，类出门人
记载。惟闻《脉因证治》一书简而赅，约而尽。学人循是而窥长沙，如得其船与楫，沿而不
止，固自不可量也。而流传绝少，历三十年未获一嗒，心常怏怏。岁乙未，客有持来示余，
欲广诸同好，亟请付梓。不禁欣感交集，以为一线灵光，忽然涌现，真为桑榆之幸。因不辞
而为之序，以弁其首。
乾隆乙未仲夏吴趋缪遵义书于芝田山房
【脉】寸口沉大而滑，沉则为实，滑则为气，实气相搏，厥气入脏则死，入腑则
愈。唇青身冷为入脏，死；身和汗自出为入腑，则愈。紧而急者为遁尸；少阴不至，肾气
衰
【证治】 在外者可治，入里者死。血气并走于上，则为厥，暴死。素有痼疾，
新加卒病，先治卒病。尸厥者，昏不知人，脉动如故，开上焦心肺之阳，自愈。
尸厥，脉动无气，气闭静而死也。以菖蒲屑内鼻两孔中吹之，令人以桂屑放舌下。又方
∶剃取左角发方寸，烧末酒和，灌入喉立起。
救卒死身热者验方 矾石半斤，以水一斗五升煮消，浸脚令没踝。盖取矾性收涩
，而敛其厥逆之气。
还魂汤 治卒死、客忤气。
麻黄（三两，去节） 杏仁（八十个，去皮尖） 炙甘草（一两）
上三味，水八升，煮取三升，去渣，入姜汁少许，令咽之。盖取辛甘通阳气，发越邪气
故也。
救卒死目闭方 捣薤汁灌耳中妙；或吹皂荚末于鼻中，立效。薤汁辟邪安魂，
荚末取嚏开窍。
救卒死张口反折方 灸手足两爪后十四壮，饮以五毒诸膏散。
外有中恶、中气、中食等状，与卒尸相类，须详谛脉证而投之，慎勿泛视，误人仓卒。
变通在神，法难毕述。
我回到家乡后，闭门谢客，不与外界事务接触。先母患有痰饮病，请叶眉寿治疗，历时四年未能痊愈，而叶眉寿认为这是顽固性疾病，难以见效。于是（我）广泛查阅医方书籍，颇能领会其主旨，挑选方剂进行治疗，不到一年便痊愈了。此后便广泛搜集、博采众长，探究幽深微妙的医理，而对于长沙（张仲景）、河间（刘完素）、东垣（李杲）、子和（张从正）、丹溪（朱震亨）等人的著作尤其用心钻研。我曾私下认为，医学界有长沙先生，是当世中的圣人；而其他四家并立，如同清任和各自成为圣人，是偏于一方面而达到极致的人。学习如果不从此处参悟探究，就像在断港绝潢中航行却希望到达大海一样，怎么可能成功呢？只是这四家中，除了河间、东垣之外，子和的文章多有缺略，不成全书；丹溪的著作，大多是门人记载。只听说《脉因证治》这本书简明而完备，简约而详尽。学者遵循此书来窥探长沙（张仲景）的医道，就像得到了船和桨，沿着水路前行不停止，前途自然不可限量。然而流传极少，历经三十年未获一见，心中常感不悦。乙未年，有位客人拿来此书给我看，想广为推荐给同好之人，我急忙请求刻印出版。不禁欣喜感动交织，认为一线灵光忽然涌现，真是晚年之幸。于是冒昧为之作序，放在书首。
乾隆乙未年仲夏，吴趋缪遵义写于芝田山房
【脉】寸口脉沉大而滑，沉脉主实证，滑脉主气滞，实邪与气机相互搏结，厥逆之气进入脏则死，进入腑则愈。嘴唇青紫、身体寒冷是邪气入脏的表现，主死；身体温和、汗自出是邪气入腑的表现，则预后良好。脉象紧而急的是遁尸病；少阴脉摸不到，说明肾气衰败。
【证治】病邪在表浅部位的可治，深入体内的难治。血气同时向上冲逆，就会发生厥证，突然死亡。素有痼疾的人，又新近得了急性病，应先治疗急性病。尸厥证，患者昏迷不知人事，但脉搏跳动如常，应开通上焦心肺的阳气，即可自愈。尸厥，脉搏虽动但气息闭塞，气闭静默而死。用石菖蒲粉末塞入鼻孔吹入，让人将肉桂粉末放在舌下。另一方法：剃取左侧头角头发一方寸大小，烧成末，用酒调和，灌入喉中立即苏醒。救治突然死亡且身体发热者的验方：矾石半斤，用水一斗五升煮化，浸泡双脚直至没过脚踝。大概是因为矾石具有收敛涩滞的特性，能收敛厥逆之气。还魂汤，治疗突然死亡、客忤气。麻黄（三两，去节），杏仁（八十个，去皮尖），炙甘草（一两）。以上三味药，用水八升，煮取三升，去渣，加入少许姜汁，让患者服用。大概是取其辛甘通阳、发散邪气的缘故。救治突然死亡且眼睛紧闭者的方子：捣取薤白汁灌入耳中很妙；或者将皂荚末吹入鼻中，立即见效。薤白汁能辟邪安魂，皂荚末能取嚏开窍。救治突然死亡且张口反折者的方子：灸手足两爪甲后方十四壮，饮用五毒诸膏散。外有中恶、中气、中食等状况，与卒尸相似，必须详细审察脉证而后用药，切勿泛泛视之，以免仓促间误人。变通在于神妙，法度难以完全陈述。
After returning to my hometown, I closed my door and shunned social interactions. My late mother suffered from phlegm-fluid retention (Tan Yin), treated by Ye Meishou for four years without recovery; he considered it a stubborn disease difficult to cure. Therefore, I extensively consulted medical formularies, grasped their essence, selected prescriptions for treatment, and recovered within a year. Thereafter, I collected broadly and explored profound principles, paying particular attention to the works of Changsha (Zhang Zhongjing), Hejian (Liu Wansu), Dongyuan (Li Gao), Zihe (Zhang Congzheng), and Danxi (Zhu Zhenheng). I have often said that in medicine, Changsha is the sage among contemporaries; while the other four schools stand side by side, each becoming a sage in their own right, reaching perfection through specialization. Without studying from these sources, one would be like sailing in a dry ditch hoping to reach the sea—how could success be achieved? However, apart from Hejian and Dongyuan, Zihe’s writings are incomplete; Danxi’s works are mostly recorded by disciples. Only *Maiyin Zhengzhi* (Pulse, Etiology, Syndrome, and Treatment) is known to be concise yet comprehensive. Following this book to explore Changsha’s methods is like having a boat and oars; proceeding without stopping, the potential is immeasurable. Yet copies are rare; after thirty years without seeing one, I felt uneasy. In the Yiwu year, a guest presented me with a copy, wishing to share it with enthusiasts. I eagerly requested its publication. Overcome with joy and emotion, I felt a ray of spiritual light suddenly appear, truly a blessing in my later years. Thus, I wrote this preface without hesitation, placing it at the beginning.
Mid-summer of the Yiwu year in Qianlong era, Wu Qu Miao Zunyi wrote at Zhitian Study.
[Pulse] The Cun Kou pulse is deep, large, and slippery. Deep indicates excess (Shi); slippery indicates Qi stagnation. When excess and Qi contend, if Jue Qi (Rebellious Qi) enters the Zang organs, death ensues; if it enters the Fu organs, recovery occurs. Cyan lips and cold body indicate entry into Zang (death); harmonious body and spontaneous sweating indicate entry into Fu (recovery). Tight and rapid pulses indicate Dun Shi (Escaping Corpse); absence of Shaoyin pulse indicates decline of Kidney Qi.
[Treatment] Superficial cases are treatable; internalized cases are fatal. If Blood and Qi rush upward simultaneously, Jue syndrome occurs, leading to sudden death. In patients with chronic diseases who acquire acute illnesses, treat the acute illness first. Shi Jue (Corpse Faintness) involves unconsciousness with normal pulse movement; opening Yang Qi of the Upper Jiao (Heart and Lung) leads to self-recovery. Shi Jue with pulse movement but absent Qi signifies Qi closure and stillness leading to death. Blow Rhizoma Acori Tatarinowii powder into nostrils; place Cinnamon Twig powder under the tongue. Another method: Shave one square cun of hair from the left temple, burn to ash, mix with wine, and pour into throat for immediate revival. Verified prescription for sudden death with body heat: Half jin of Alum, boiled in 15 sheng of water until dissolved; soak feet up to ankles. This utilizes Alum’s astringent nature to gather rebellious Qi. Huanhun Tang (Revive Soul Decoction) treats sudden death and Ke Wu Qi (Guest Hostile Qi). Ephedrae Herba (Mahuang, 3 liang, remove nodes), Armeniacae Semen Amarum (Xingren, 80 seeds, remove skin and tips), Glycyrrhizae Radica et Rhizoma Praeparata (Zhi Gancao, 1 liang). Boil three ingredients in 8 sheng of water to obtain 3 sheng, strain, add ginger juice, and administer. This utilizes pungent-sweet properties to unblock Yang Qi and expel pathogenic factors. Prescription for sudden death with closed eyes: Crush Allii Macrostemonis Bulbus (Xie) juice and instill into ears; or blow Saponariae Fructus (Zaogeng) powder into nose for immediate effect. Xie juice dispels evil and calms the soul; Zaogeng induces sneezing to open orifices. Prescription for sudden death with open mouth and opisthotonos: Moxibustion on fourteen points behind fingernails/toenails; drink Wudu various plaster powders. External conditions such as Zhong E (Evil Strike), Zhong Qi (Qi Strike), and Zhong Shi (Food Strike) resemble Su Shi (Sudden Corpse); carefully examine pulse and syndrome before prescribing. Avoid superficial judgment to prevent hasty errors. Adaptation requires divine insight; methods cannot be fully enumerated.