夫医之为道也。总君父师相之权。而其学也。究天人性命之微。故君子取其精以治身推
其余以济世。斯仁术也。乃后世以方技目之。缙绅名士。多所弗讲。司马公不云乎。达则为良相。不
达则为良医。医其可以贱简为哉。予髫龄弱禀。质钝志劳。穷猎简编。苦心诵着。婴疾梦遗
。百治莫瘳。继因从宦游楚慈阳。邀学博黄州胡慎庵先生。于衙斋治之。三月获痊。先生盖
明医李濒湖公甥孙也。因授轩岐秘典。脉旨病机。药性方法。一一精详。先生又私淑于立斋
者也。嗣入蜀。复参印群贤。颇得肯綮。沉酣于斯。二十余载矣。归里后。有请诊视者。目
击时师治病。昧本从标。枉毙生灵。莫胜悲怛。此无他盖以。习医之人半属匪人。而所习之
法全非正法。经书不识。旁径乐趋。于是专伤寒者忽于杂病。主脾胃者惮于攻伐。明湿热者
暗乎温补。或执成方而昧通灵变。或逞臆说而架言出奇。或凭口给而谀谄售奸。罔惜人命。
颠倒妄行不几。为轩岐之乱臣贼子耶。嗟乎。医病实多安能先救医。得医病愈。而人之病无
不愈也。予因是竭一得之愚。悉灵素之蕴。发挥真假胍旨。阐明药性宜忌。昭揭病机虚实。
朗悬医病两鉴。操要五气。归本一元。数月运腕。始成篇帙。计卷有六。仅字九万低徊久之
。而犹讶诸法未备也。会二三同志。偶见而读之曰。得乎一者可以通乎万矣。未备云乎。令
余亟梓。以救世之医病两家。复捐资鸠锓。将欲以公天下。嘉惠学人。而乃不覆瓿弃之。予
维是书之作也。阐农黄之奥。义抒自苦念 时师之谬。妄激自热肠。万一寸管招尤。致使正
道难明。谤吠日腾。将奈之何。韩退之先生云。其或闲居修史。不有人祸。必有天刑。昔越
人世称神医。不免为同官李醯嫉杀。东垣云。就令着述不已。精力衰耗。书成而死。不愈于
无益而生乎。故从古豪杰作用。逞逞以身殉道倘斯论可售。刮斯世于寿域。而余戆拙无似。
何惜一已之知罪乎。后之君子。抑亦谅余之所以为救。为正也欤。
崇祯甲申春二月上浣之吉闽中通隐子萧京万舆甫撰
医学这门道术,总揽了君主、父亲、老师和宰相的权柄。而它的学问,则探究天道与人性的精微奥妙。所以君子汲取其精髓来修养自身,推演其余力来救济世人,这就是仁爱之术。然而后世却将医家视为方技末流,士大夫名流大多不再研习。司马光不是说过吗?得志时做良相,不得志时做良医。医术怎么可以因为地位低贱就轻视呢?
我年幼体弱,资质愚钝且志向劳苦,穷尽精力研读典籍,苦心诵读著作。后来患上疾病并伴有梦遗,多方治疗都没有痊愈。接着因出仕游历到楚地慈阳,邀请学识渊博的黄州胡慎庵先生,在衙门书斋为我诊治。三个月后痊愈。先生是明代名医李时珍(濒湖)公的甥孙,因此传授给我《轩岐》秘典,关于脉象宗旨、病机原理、药性方法等,一一讲解得精详透彻。先生又私下尊崇朱丹溪(立斋)之学。随后入蜀,又参证印正各位贤者的学说,颇得其要领,沉浸于此道二十多年了。
回到家乡后,有请我去诊视的人。我目睹当时的医生治病,不明根本而从治标,枉害生灵,不胜悲痛哀伤。这没有别的原因,大概是因为学习医术的人多半是不正之人,而他们所学的方法全非正道。不识字读经书,反而乐于走旁门左道。于是专攻伤寒者忽视杂病,主脾胃者畏惧攻伐之法,明白湿热者却在暗中滥用温补。有的拘执成方而不懂灵活变通,有的逞强发表己见而编造言论出奇制胜,有的凭借口才阿谀奉承以售奸计,不顾惜人命。颠倒妄行,这不简直就是轩辕岐伯(中医始祖)的乱臣贼子吗?
唉!医生的病实在多,怎么能先救治医生呢?如果医生的病好了,那么病人的病就没有不好的。我因此竭尽自己的一得之愚,穷尽《灵枢》《素问》的蕴藏,发挥真假脉象的宗旨,阐明药性的适宜与禁忌,昭示病机的虚实,像高悬的镜子一样作为医患两方面的鉴戒。把握五气之要,归本于元气一元。数月运笔写作,才完成篇章。全书共六卷,共计九万字。我徘徊良久,仍惊讶于各种方法尚未完备。恰逢几位志同道合的朋友,偶然见到并阅读后说:“掌握了一理就可以通晓万理了,还说未完备吗?”催促我赶快刻印,用来救治世上的“医病”和“病患”两家。我又捐资聚集工匠雕刻版片,想要将此书公之于天下,嘉惠求学之人。然而担心它不被重视而被弃置不用(覆瓿)。
我思考这本书的作成,阐发《神农本草经》与《黄帝内经》的深奥义理,抒发对当时医生谬误的愤慨,激发出自我的热心肠。万一因为这点笔墨招致罪过,致使正道难以阐明,诽谤如犬吠般日日腾起,又将怎么办呢?韩愈先生说:“或许闲居修史,若不遭人祸,必有天刑。”从前越国人扁鹊被称为神医,不免被同僚李醯嫉妒杀害。李东垣也说:“即使著述不停,精力也会衰耗,书成而死,难道不比无益地活着好吗?”所以从古以来的豪杰行事,常常以身殉道。倘若此论能推行于世,使世间归于长寿安乐之境,而我这样愚拙无能的人,又何惜一人承担罪责呢?后来的君子,或许也能体谅我之所以为“救”、为“正”的用心吧。
崇祯甲申年(1644年)春季二月上旬吉日,福建隐士萧京万舆甫撰写
The Way of Medicine encompasses the authority of a sovereign, a father, a teacher, and a prime minister. Its scholarship explores the subtleties of Heaven's Dao (the natural order) and human nature/life destiny (Xingming). Thus, the gentleman extracts its essence to cultivate himself and extends his surplus efforts to benefit the world; this is the Art of Benevolence (Ren Shu). However, later generations regarded it merely as a technical craft, and many scholars and literati neglected its study. Did not Sima Guang say: "When successful, one becomes a good Prime Minister; when unsuccessful, one becomes a good Physician"? How can medicine be despised for being humble?
In my youth, I had a weak constitution, dull intellect, and arduous aspirations. I exhausted myself studying books and painstakingly reciting writings. Suffering from illness and nocturnal emissions, numerous treatments failed to cure me. Later, while serving in office and traveling to Ciyang in Chu, I invited Mr. Hu Shen'an from Huangzhou, a learned scholar, to treat me in the official residence study. After three months, I recovered. Mr. Hu was the nephew-grandson of the famous Ming physician Li Binhu (Li Shizhen). He therefore taught me the secret classics of Xuanqi (referring to Yellow Emperor and Qibo), explaining the principles of pulse diagnosis, disease mechanisms, and drug properties in meticulous detail. Mr. Hu also privately revered Zhu Danxi (Zhou Zhihe, courtesy name Lijia). Subsequently, entering Shu, I further consulted and verified the works of various sages, grasping their key points, and immersed myself in this field for over twenty years.
Upon returning home, those who requested consultations observed me witnessing contemporary physicians treating diseases by ignoring the root and focusing on symptoms, thereby needlessly causing death, which filled me with profound sorrow. This was due to no other reason than that half of those practicing medicine were unprincipled individuals, and the methods they practiced were entirely incorrect. They did not understand the classics, preferring heterodox paths. Thus, those specializing in Shanghan (Cold Damage) neglected miscellaneous diseases; those emphasizing Spleen and Stomach feared purgative or attacking methods; those aware of Damp-Heat secretly applied warming and tonifying therapies. Some adhered rigidly to established prescriptions without understanding flexible adaptation; some indulged in subjective theories to fabricate novel claims; some relied on eloquence to flatter and deceive, disregarding human life. Such chaotic and erroneous practices are indeed akin to traitors and rebels against Xuanyuan and Qibo (the founders of Traditional Chinese Medicine).
Alas! Physicians suffer from many ailments themselves; how can one first cure the physician so that the patient may be cured? Therefore, I exerted my limited wisdom to elucidate the depths of the *Ling Shu* and *Su Wen*, expounded upon the principles of true and false pulses, clarified the appropriateness and contraindications of drug properties, revealed the emptiness and fullness of disease mechanisms, and hung up clear mirrors as warnings for both physicians and patients. Grasping the essentials of the Five Qi, returning to the Unity of Yuan Qi, I wrote for several months until completing the manuscript. It consists of six volumes, totaling ninety thousand characters. Lingering long, I still felt the methods were incomplete. Happening upon two or like-minded friends who read it, they said, "Mastering one principle allows one to comprehend ten thousand; how can you say it is incomplete?" They urged me to quickly print it to save both the "physician-diseased" and the "patient-diseased" in the world. I donated funds to gather carvers and prepare the blocks, intending to make it public to benefit learners. Yet I worried it might be discarded unused (covered by a pot).
I reflect that this book elucidates the mysteries of the *Shennong Bencao Jing* and *Huangdi Neijing*, expresses indignation at the errors of contemporary physicians, and stems from my own passionate zeal. If these few words attract blame, making the correct path difficult to clarify, and slander rises daily like barking dogs, what then? Han Yu stated, "If one writes history in leisure, one will either face human disaster or heavenly punishment." In the past, Bian Que, the divine physician of Yue, was jealousously murdered by his colleague Li Xi. Li Dongyuan also said, "Even if writing continues endlessly, vitality diminishes; dying after completing a book is better than living uselessly." Thus, heroes throughout history have often sacrificed themselves for the Dao. If this discourse can spread to bring the world into an era of longevity and peace, why should I, foolish and incompetent as I am, hesitate to bear personal guilt? May future gentlemen understand my intention to "save" and "rectify."
Written by Xiao Jing, courtesy name Wanyu, pseudonym Tongyinzi of Fujian, on an auspicious day in the early part of the second month of spring, in the Jiashen year of the Chongzhen reign [1644].