《退思集类方歌注》《医方证治汇编歌诀》二书,吾邑王旭高先生所着也。先生名泰林,
字旭高,晚号退思居士。江阴柳宝诒尝选刊先生医案,称先生读书,上自轩岐,下迄清季诸
家,无不精心灌注,于古书则研求古训,于后人书则必分别疑似。所着有《西溪书屋夜话录》
《医方歌诀串解》《环溪草堂医案》诸书,均未梓行云。今医案经方君耕霞、柳君宝诒选刊
,流行于世,其余数书屡求不得。乙卯冬,华君松岩惠余稿本一束,云已藏弃多年。先是东
房桥有先生之门人,年老忽发狂易,以钞录各书沉之水中。华君仅捞得方歌二种,残缺不完
。
一页,即照《伤寒》《金匮》方补之。详阅《退思集类方》,本徐灵胎氏《伤寒类方》化裁编
辑,以《金匮》方、后人方附丽之,分为二十四类。其《医方歌诀》亦本《兰台轨范》通治
方而作,故所注多遵徐书,而博采群书,间有先生新注,及自制数方附见,去取颇属审慎,
注释亦极明白。余尤佩其虽一以仲圣方为宗,而能集仲圣以下医方之长,绝不拘泥一家言,
观其治案可知也。惟此书尚非定本,故上有王先生所批“此方宜入某类”、“宜改从某注”、
某方可删”语。又如麻黄汤类之神术散,注云∶“又有太无神术散、叔微神术散,俱编入
平胃散类。”泻心汤类之进退黄连汤,注云∶“崔氏八味丸编入肾气丸类。”今无此二类。
栀子豉汤下注有“余义见卷四杂说”云云,亦经散佚。又小青龙汤下注,尚着有《古方余论
》,则不止柳氏所谓三种,可知年愈远,而书愈有阙,惜哉!惜哉!乃蓄意访求,知先生故
里去余家仅数十武,先生裔孙某君云∶“高祖昆季五人,旭高最少,享高寿,无嗣,故殁后
无绍其业者;门弟子各走一方,无从追考。其着述六十年来散佚无一存矣。”则是二书虽非
全璧,亦足觇王先生学问之一斑也。道、咸之间固享名于苏、浙者,何其着述竟无存耶!且
此本得之沉水之余,字迹有剥落之处,急谋付梓,以广流传;复以少时录存先生所编着之《西
溪书屋夜话录》《医方歌括》及《增订医方歌诀》《薛氏湿热论歌诀》各一卷,合为一册,
洵属医学家之要书,不可再使抱残守缺,湮没不彰,此付刊之举,不容或缓者已。
庚申冬月无锡周镇小农别署伯华谨识于惜分阴轩
《退思集类方歌注》和《医方证治汇编歌诀》这两本书,是我同乡王旭高先生所著。先生名泰林,字旭高,晚年自号退思居士。江阴人柳宝诒曾经选编刊印先生的医案,称赞先生读书,上自黄帝、岐伯(轩岐),下至清代前期的各家著作,无不精心研读灌注;对于古书则钻研探究古代训诂,对于后人的书籍则必定辨析辨别相似之处。他所著的有《西溪书屋夜话录》《医方歌诀串解》《环溪草堂医案》等书,都未曾刻印出版。如今医案经过方耕霞君、柳宝诒君选编刊印,流行于世,其余几本书多次寻求却不得。乙卯年冬天,华松岩君惠赠我一束手稿,说已经收藏废弃多年。在此之前,东房桥有一位先生的门人弟子,年老时突然发狂变易,将抄录的各书沉入水中。华君仅捞得两种方歌,残缺不全。有一页,就依照《伤寒论》《金匮要略》中的方剂补全。详细查阅《退思集类方》,本是依据徐灵胎氏的《伤寒类方》化裁编辑而成,将《金匮要略》中的方剂和后人的方剂附丽其中,分为二十四类。其《医方歌诀》也是依据《兰台轨范》中的通治方而作,所以所做的注释大多遵循徐氏的书,同时广泛采集群书,间或有先生新的注释,以及自制的一些方剂附见其中,取舍相当审慎,注释也非常明白易懂。我尤其佩服他虽然完全以张仲景(仲圣)的方剂为宗,却能集张仲景以下医方的长处,绝不拘泥于一家之言,从他的治疗医案就可以看出。只是这本书尚非定本,所以上面有王先生批注的“此方宜入某类”、“宜改从某注”、“某方可删”等话语。又如麻黄汤类中的神术散,注释说:“又有太无神术散、叔微神术散,都编入平胃散类。”泻心汤类中的进退黄连汤,注释说:“崔氏八味丸编入肾气丸类。”如今没有这两类。栀子豉汤下的注释有“余义见卷四杂说”之类的话,也已经散佚。另外小青龙汤下的注释,还写着《古方余论》,则不止柳氏所说的三种,可知年代越久远,书籍缺失越多,可惜啊!可惜啊!于是蓄意访求,得知先生故居距离我家仅有几十步远,先生的裔孙某君说:“高祖兄弟五人,旭高最小,享高寿,没有子嗣,所以去世后没有人继承他的事业;门生弟子各奔一方,无从追考。他的著述六十年来散佚无一存留。”那么这两本书虽然不是完整的,也足以窥见王先生学问的一个方面了。在道光、咸丰年间,他在苏、浙两地固然享有盛名,为什么他的著述竟然没有存留呢!而且这个版本是从沉水之后抢救出来的,字迹有剥落之处,急忙谋求刻印,以广泛流传;又因为少年时抄录保存了先生所编写的《西溪书屋夜话录》《医方歌括》及《增订医方歌诀》《薛氏湿热论歌诀》各一卷,合为一册,确实是医学家的要书,不能再让它抱残守缺,湮没不彰,这次付梓刊印的行动,不容许有丝毫迟缓。
庚申年冬月,无锡周镇,小农别署伯华,谨识于惜分阴轩。
The two books, *Tuisi Ji Leifang Gezhu* (Annotations on Song-formulas of Classified Prescriptions from the Tuisi Collection) and *Yifang Zhengzhi Huibian Gejue* (Mnemonic Rhymes for the Compiled Treatments of Medical Prescriptions), were authored by Mr. Wang Xugao, a fellow townsman of mine. His given name was Tailin, courtesy name Xugao, and in his later years he adopted the pseudonym Tuisi Jushi (Retreat-and-Reflect Hermit). Liu Baozhi of Jiangyin once selected and published Mr. Wang's medical cases, praising him for his diligent study: from Huangdi and Qibo (Xuanqi, legendary founders of Chinese medicine) down to various scholars of the early Qing dynasty, he meticulously absorbed all their works. For ancient texts, he researched classical exegesis; for later works, he carefully distinguished between similar or confusing contents. His other writings included *Xixi Shuwu Yehua Lu* (Records of Night Conversations at Xixi Study), *Yifang Gejue Chuanjie* (Interconnected Explanations of Medical Formula Rhymes), and *Huanxi Caotang Yi'an* (Medical Cases from Huanxi Cottage), none of which had been printed. Currently, his medical cases have been selected and published by Fang Gengxia and Liu Baozhi, circulating widely, but the other few books remain unobtainable despite repeated searches. In the winter of the Yimao year, Mr. Hua Songyan kindly gifted me a bundle of manuscript drafts, stating they had been stored away for many years. Prior to this, a disciple of Mr. Wang living at Dongfangqiao went mad with old age and threw copied books into the water. Mr. Hua managed to retrieve only two types of formula songs, which were incomplete. One page was supplemented based on formulas from *Shanghan Lun* (Treatise on Cold Damage) and *Jingui Yaolue* (Essential Prescriptions from the Golden Cabinet). A detailed examination of *Tuisi Ji Leifang* reveals it was edited and adapted from Xu Lingtai's *Shanghan Leifang* (Classified Formulas for Cold Damage), attaching formulas from *Jingui Yaolue* and later authors, classified into twenty-four categories. The *Yifang Gejue* was also composed based on general treatment formulas from *Lantai Guifan* (Standard Practices of the Imperial Clinic); thus, its annotations largely follow Xu's work while extensively drawing from other sources. Occasionally, there are new annotations by Mr. Wang himself, along with several self-made formulas appended. The selection and exclusion were quite prudent, and the annotations are extremely clear. I particularly admire that although he took Zhang Zhongjing's (Zhongsheng's) formulas as the ultimate authority, he could integrate the strengths of post-Zhongjing medical prescriptions without rigidly adhering to any single school, as evident in his treatment cases. However, this book was not yet a final edition; hence, it contains Mr. Wang's marginal notes such as "This formula should be categorized under...", "Should revise according to...", or "This formula can be deleted." For example, under Shen Shu San (Divine Operation Powder) in the Mahuang Tang (Ephedra Decoction) category, the note states: "There are also Taiwu Shen Shu San and Shuwei Shen Shu San, both compiled into the Pingwei San (Calm the Stomach Powder) category." Under Jintui Huanglian Tang (Advance-Retreat Coptis Decoction) in the Xiexin Tang (Drain the Epigastrium Decoction) category, the note says: "Cui Shi Ba Wei Wan (Eight-Ingredient Pill of Master Cui) is compiled into the Shenqi Wan (Kidney Qi Pill) category." These two categories no longer exist. Under Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction), the annotation mentions "Further meanings see Volume 4 Miscellaneous Sayings," which has also been lost. Furthermore, under Xiao Qinglong Tang (Minor Blue Dragon Decoction), there is still a reference to *Gu Fang Yu Lun* (Remnant Discussions on Ancient Formulas), indicating there were more than the three types mentioned by Mr. Liu. This shows that the further back in time, the more missing the books become—truly regrettable! Truly regrettable! I then deliberately sought information and learned that Mr. Wang's former residence was only a few dozen paces from my home. A descendant of Mr. Wang stated: "My great-grandfather had five brothers; Xugao was the youngest, lived to a ripe old age, had no heirs, so after his death, no one continued his profession; his disciples scattered to different places, making it impossible to trace and verify. His writings have been lost over sixty years, with nothing remaining." Thus, although these two books are not complete, they are sufficient to glimpse a fraction of Mr. Wang's scholarship. During the Daoguang and Xianfeng reigns, he certainly enjoyed fame in Suzhou and Zhejiang; why did his writings fail to survive? Moreover, this version was salvaged from the water, with some characters eroded. I hurriedly arranged for its printing to facilitate wide dissemination. Additionally, having preserved volumes of Mr. Wang's compiled works from my youth—including *Xixi Shuwu Yehua Lu*, *Yifang Gekuo*, *Zengding Yifang Gejue*, and *Xue Shi Shire Lun Gejue* (Rhymes on Xue's Damp-Heat Theory)—I combined them into one volume. These are indeed essential books for medical scholars; they must not be allowed to remain fragmentary and obscure. Therefore, this publication cannot be delayed.
In the winter month of the Gengshen year, Zhou Zhen (pseudonym Xiaonong, alias Bohua) of Wuxi, respectfully recorded at Xifen Yin Studio.