医固非小技也。上之察连气之变迁。下之原方土之殊异远之。窥两圣之奥 近之通。群哲之源流。庶几
乎切脉有必中之方。而临症无不平之治。虽技乎进于道也。已往者。先大人为余小子言。曾大父春
严公幼失怙。资颖嗜学年舞象已博。极群书每典衣以补不逮。尤笃好医医。日进小试之乡曲间。罔弗验
者。已而游三吴。服膺平湖陆声野先生从之游。既告归犹不远千里而析疑。因着有虚车录一书。方是时
。公之全活人甚众。名藉藉吴越间矣。已而东游齐。悲其人之不善摄生也。着养生类要。诏之比入燕不
戒。而孚日起名。公卿之剧疾而甚。则救大司马王。公于已死。慨然谓运气变迁方域殊异。非身阅寒暑足
遍南北者。未能知此医验录所由作也。由是誉噪京师。声闻于大内。方是时明神宗皇帝尚在。襁会不
豫。一七而痊。越月。某贵主弥留。亦应手愈沐明穆宗皇帝奖谕甚盛。赏赉甚丰。一夕。诸太医官公治具酒
公。公坦衷人弗疑也。酒而归达曙遂不起。时大父居敬。公以侍养。兼肆业侍侧视
之。已不可治矣。甚矣。人心之险。与嗟乎罢。盛则必争名高。则必忌朝市尽尔方技。犹然甚矣。夫人心之险
也。时先大人教小子至此。未尝不涕下。 发上指也。先是类要一书梓于齐。不啻洛阳纸贵矣。若医验
录成于燕。及活人心。监脉症治方成于手便辑古格。论录师说之余。而酌以己见。尚未布诸天下也。余小
子窃窥斯道。着述家多矣。或引前证后。而雅郑之杂陈。或葺案搜奇。而枣芰之偏隘。偏则阙。遗而嗟。其少
杂陈。则芜蔓而叹其多。若脉症治方一书。察其脉随审其症。教之治。又主以方。井井有条。意多辞简。辙表
辙里。至大至精。下学可与。遵途而上达。无能立异。倘所称汇群哲之源流。而探圣人之奥 者。其在斯乎。
先大父善读父书。凡诸父兄弟畴敢不敬其业。代有能者。惟小子HT 焉后之胜冠。时偶膺疾。因辍举子
业覆读曾大父诸书。忻然有得。而疾亦瘳。既而思小道不能致远。遂持筹游。吴越淮海间。所如多合会
。亲友有疣痼不起者。按脉审症。而定方。以治之。无有不效。此非余小子之效。曾大父之书之效也。耄而
归。卧南窗念。欲合梓。曾大父诸书。俾其功在一时者。在后世。而小子亦得以验之。已者公之人庶几不
大拂乎天地之心。与古今圣贤之志尔岁歉不继。谨以脉症治方先之用。俟昆弟子侄力田有秋务成
斯志。云已酉菊月。鲁孙象先百拜谨书。
医学确实不是一种小技艺。向上可以探究连气（运气学说中的六气变化）的变迁，向下可以推究方土（地域环境）的差异；远可窥探两位圣人（指岐伯、黄帝等中医始祖）的深奥道理，近可通晓众多哲人的学术源流。这样才可能在切脉时有必中的方法，而在临证治疗时没有不平复的疾病。这可以说是技术进乎于道的境界了。
过去，我的父亲曾对我这个年幼的孩子说过：我的曾祖父春严公幼年丧父，资质聪颖，酷爱学习。到了十五岁左右（舞象之年），已经博览群书，常常典当衣服来弥补知识的不足。他尤其笃信并喜好医学，每天在乡里间小试身手，没有不灵验的。后来他游历三吴地区，非常信服平湖陆声野先生，便跟随他游学。即使告老还乡后，仍不远千里去剖析疑难问题。因此著有《虚车录》一书。那时，他救活的人非常多，名声在吴越之间赫赫有名。
后来他又向东游历齐地，悲叹人们不善于养生，于是撰写了《养生类要》。不久前往燕地，不慎染病，从此孚日起名（此处原文可能有误，结合语境应为病情加重或名声因医道而显）。当公卿大臣患重病时，他曾从已死的状态中救回大司马王公。他感慨地说，运气的变迁和方域的差异，如果不是亲身经历寒暑、足迹遍布南北的人，是不能真正懂得的。这就是《医验录》这本书创作的原因。由此他在京师声名大噪，声誉传入了皇宫。当时明神宗皇帝还在位，太子（襁会，疑为太子或皇子之误译，指储君）身体不适，服药后很快痊愈。过了一个月，某位尊贵的主子病危，他也应手而愈。明穆宗皇帝给予了他极高的奖谕，赏赐非常丰富。
一天晚上，各位太医官员共同设酒宴招待他。他坦荡真诚，让人不怀疑。喝完酒回家后，直到天亮就去世了。当时我的祖父居敬公因为侍奉赡养父亲，兼修学业在侧侍候，看到这种情况，已经无法救治了。人心之险恶啊！唉！权势盛大时必然争名，地位高则必然遭忌。朝廷和市井都如此，何况是医术呢？人心之险恶真是厉害啊！
当时父亲教导我到这里，我不曾不泪流满面，怒发冲冠。在此之前，《养生类要》一书在齐地刊刻，价值堪比洛阳纸贵。《医验录》成书于燕地，以及《活人心》，还有这本《脉症治方》，都是随手辑录古法，论述记录老师的学说之余，又斟酌加入自己的见解，尚未广泛流传于天下。我这个晚辈私下窥探此道，著述家很多。有的引用前证后案，雅俗混杂；有的搜集案例猎奇，视野偏狭狭隘。偏颇则有所缺失，遗漏则令人叹息；少杂陈则显得芜蔓，多则感叹其繁杂。像《脉症治方》这一本书，考察其脉象，审察其症状，教导治疗方法，又以方剂为主旨。条理井然，意蕴丰富而言辞简练，表里一致，极其宏大且精微。初学者可以遵循路径而上达大道，无需标新立异。如果所谓汇集众哲人源流、探求圣人奥妙的，大概就在这里吧。
先祖父善于研读父亲的书籍，凡是各位叔伯兄弟，谁敢不敬重他的事业？代代都有能人。只有我这个晚辈……（此处原文“HT”似为缺字或误植，结合下文应为谦辞或动作）等到成年行冠礼时，偶尔患病，于是停止举子业（科举学业），重新阅读曾祖父的各种书籍，欣然有所心得，而且疾病也痊愈了。后来想到小道不能致远，于是拿着算筹游历吴越、淮海之间，所到之处多有契合。亲友中有患有顽固疾病无法治愈的，我通过按脉审症，确定方剂来治疗他们，没有不有效的。这并不是我这个晚辈的效力，而是曾祖父书籍的效力啊。年老归乡，躺在南窗下思考，想要合刊曾祖父的各种书籍，使那些功在一时的成就在后世得以流传，而我也能借此验证。这样祖父的为人或许不会违背天地之心，与古今圣贤的志向相合罢了。
今年收成不好，粮食接续不上，谨以《脉症治方》先用于世。等待昆弟子侄们努力耕作获得丰收时，务必完成这个志向。云已酉年菊月，鲁孙象先百拜谨书。
Medicine is indeed not a trivial skill. At its highest level, it investigates the changes of *Lianqi* (the continuous transformation of the Six Qi in Five-Phase theory); at its lowest level, it traces the differences between regions and local environments. From afar, it penetrates the profound mysteries of the Two Sages (referring to ancient medical founders like Qibo and Huangdi); from near, it understands the academic lineages of numerous philosophers. Only then can one have a method that hits the mark when palpating the pulse, and no disease will remain unhealed during clinical practice. This can be said to be technique advancing into the Dao (Way).
In the past, my father once spoke to me, his young son: My great-grandfather, Mr. Chunyan, lost his father in childhood. He was intelligent and fond of learning. By the age of fifteen (*Wuxiang*, referring to the age of 15-20), he had extensively read all books, often pawning clothes to make up for deficiencies. He was particularly devoted to medicine, testing it daily among his fellow villagers, with nothing failing to prove effective. Later, he traveled through the Three Wu regions, deeply admiring Mr. Lu Shengye of Pinghu, and studied under him. Even after returning home, he still traveled thousands of miles to analyze doubts. Consequently, he authored the book *Xu Che Lu*. At that time, he saved many lives, and his fame was well-known throughout the Wu and Yue regions.
Later, he traveled east to Qi, lamenting people's inability to properly care for their health, and thus wrote *Yangsheng Leyao* (Essentials of Health Preservation). Soon after, he went to Yan, fell ill, and from then on became famous as Fu Ri (Note: Textual ambiguity here, likely referring to rising fame or specific illness context). When high-ranking officials suffered from severe illnesses, he even revived Grand Marshal Wang Gong from apparent death. He sighed and said that the changes of vital energy (Yunqi) and the differences of geography cannot be truly understood unless one has personally experienced cold and heat and traveled north and south. This is why *Yi Yan Lu* (Records of Medical Verification) was written. Thus, his reputation spread wildly in the capital, reaching the imperial palace. At that time, Emperor Shenzong of Ming was still reigning. The Crown Prince (text implies a royal heir) was unwell but recovered quickly after taking medicine. A month later, a certain noble princess was dying, yet she also healed upon his treatment. Emperor Muzong of Ming bestowed upon him lavish praises and abundant rewards.
One night, all the Imperial Physicians hosted a banquet for him. He was open and sincere, inspiring no suspicion. After drinking and returning home, he passed away by dawn. At that time, my grandfather, Ju Jing, was serving his father and studying nearby. Seeing this situation, he realized it was incurable. How dangerous human hearts are! Alas! When power is great, there is inevitably contention for fame; when status is high, there is inevitably jealousy. The court and the marketplace are alike; how much more so with medical skills? The danger of human hearts is indeed severe.
When my father taught me to this point, I could not help but weep and stand with hair bristling in indignation. Before this, *Yangsheng Leyao* was printed in Qi, becoming as valuable as paper in Luoyang. *Yi Yan Lu* was completed in Yan, along with *Huo Xin Ren* (Reviving Hearts), and this *Maizheng Zhifang* (Pulse, Symptom, and Treatment Formulas). These were compiled from ancient methods, recording teachers' theories, supplemented with personal insights, but had not yet been published widely. I, a humble descendant, secretly explore this path. There are many authors. Some mix elegant and vulgar citations; others collect strange cases with narrow perspectives. Bias leads to omission, leaving regrets; too little appears messy, too much is overwhelming. However, *Maizheng Zhifang* examines the pulse, assesses symptoms, teaches treatments, and prioritizes formulas. It is orderly, rich in meaning but concise in language, consistent inside and out, grand yet precise. Beginners can follow the path to reach the highest levels without needing to innovate. If the goal is to gather the lineages of philosophers and probe the mysteries of the sages, it lies here.
My late grandfather was good at reading his father's books. All uncles and brothers respected his profession. Able individuals appeared in every generation. As for me... (Text gap/typo "HT") ...when I came of age, I occasionally fell ill. Therefore, I suspended my studies for the civil service examinations and reread my great-grandfather's works. I gained joyful insights, and my illness also healed. Later, thinking that minor skills cannot lead far, I traveled with abacus/calculations through Wu, Yue, Huai, and Hai regions, finding harmony wherever I went. For relatives and friends suffering from stubborn diseases that could not be cured, I diagnosed by palpating the pulse and assessing symptoms, prescribing formulas to treat them. None failed to be effective. This is not due to my own merit, but the efficacy of my great-grandfather's books. Now old and returned home, lying by the south window, I wish to compile and print my great-grandfather's various works, so that achievements of one era may benefit future generations, allowing me to verify them. In this way, my grandfather's conduct would likely align with the heart of Heaven and Earth, and the aspirations of sages past and present.
This year, the harvest was poor, and supplies were insufficient. I respectfully offer *Maizheng Zhifang* to the world first. I await the day when my nephews and descendants work the fields and achieve an autumn harvest, to finally fulfill this ambition. Written with bowed head in the Chrysanthemum Month of the Yihai Year, by Lu Sun Xiangxian.