张仲景着《金匮玉函经》，为万世医学之准绳；司马迁为淳于意立传，即后世医案之权
舆。
夸
案，此种自负之通弊，甚无功效之足言。惟叶香岩之医案，录自门人之手，细心参玩，精义
环生，洵堪称为临证之指南焉。
但江浙为滨海之邦，居温带之地，温热之症，十中可占八九，伤寒之病，百中只得二三
。良由地势卑下，气候多温，以西金肃杀之气，北风凛冽之威，感之而多伤寒之症者，不同也。
所以叶香岩极少伤寒之案，王孟英善用清凉之剂，而当世服其卓识，良有以也。
吾绍先哲有邵兰荪先生者，系王馥原先生之高足。其临证则四诊必详，而处方则率多桴
应，所以名噪浙东者，垂四十年。且其诊笺，遵喻嘉言之《寓意》，仿叶天士之程序。方上立案
，案中拟方。对于病家，既可征明病象之进退，若逢同道，亦可讨论治法之步骤。今不佞与
曹
楚，堪与叶案媲美。惟治伤寒之案，尚付阙如，诚如《医宗金鉴》所谓大江以南多伤温之意
夫。倘如同志尚有珍藏者，希即续行刊布，俾以嘉惠来兹。今不佞不揣谫陋，略分门类并附
管窥之见，以冀高明之教正焉。是为序。
民国二十二年十月绍兴史久华介生识于右军祠畔之寓次
一、案中病证，有暑邪而兼湿热食积，有带下而兼经阻咳嗽等类，病名难以鉴别，只以
治法注重何证作为标准，稍分眉目。例如暑邪而兼湿热，若治法是清热利湿，即列于湿热门中，
一、案中有初诊之方而无末诊者，或有善后善养胃之方而无初诊者，恕难一一搜集。只得根据病象治法，略分门类。
一、案中虽则注明病者地址，今仍照原方录出；内有数方遗失地址者，则以某字代之。
一、此编时病，尚缺伤寒以及火病两类。伤寒一症。谅以吾绍地居温带，真正伤寒极少
，兼
温，火之甚者曰热之意，故凡火症，既散见于各症之中，又立温热一门，庶几眉目朗然。
一、每案有效与否，虽则难以确定，但其理之所存，即法之所在，明哲之士，自能意会
，编者恕难悬揣，尚希阅者谅之。
张仲景撰写《金匮玉函经》，将其作为后世医学的准则；司马迁为淳于意立传，这即是后世医案的开端。
然而，许多医案作者往往带有自夸自负的通病，很难说有什么值得称道的功效。只有叶天士（叶香岩）的医案，由其门人记录整理，仔细研读后，发现其中精妙义理层出不穷，确实可以称为临床诊疗的指南。
但是，江浙地区是滨海之地，处于温带气候，温热性质的病症，十个人中就有八九个，而伤寒类的疾病，一百个人中只有一两个。这是因为地势低洼，气候多温暖，不像西方金气肃杀、北风凛冽的地方，人们容易感受寒邪而患伤寒症。所以叶天士极少记载伤寒病例，王孟英善于使用清凉药物，当时的人佩服他的卓越见识，这是有原因的。
我们绍兴的先哲邵兰荪先生，是王馥原先生的得意弟子。他临证时四诊（望、闻、问、切）必定详尽，开方则往往药到病除，因此在浙东地区名声大噪，持续了四十年。而且他的诊病记录，遵循喻嘉言《寓意草》的体例，模仿叶天士的程序。在方剂之上记录病案，在病案中拟定方剂。对于病人家属，既可以明确病情象的进退变化；对于同行医生，也可以讨论治疗方法的步骤。如今我不才，与曹楚等人，或许能与叶氏医案相媲美。只是关于治疗伤寒的医案，尚且缺失，正如《医宗金鉴》所说“大江以南多伤于温邪”的意思一样。如果志同道合的朋友还有珍藏的此类资料，希望立即继续刊布，以便造福后人。如今我不揣冒昧，略微分类并附上管窥之见，希望能得到高明之士的指正。这就是序言。
民国二十二年十月，绍兴史久华（字介生）记于右军祠旁边的住所。
一、医案中的病证，有的暑邪兼夹湿热和食积，有的带下兼夹月经阻滞和咳嗽等类别，病名难以鉴别，只以治疗方法注重哪个证候作为标准，稍微分出条理。例如暑邪兼夹湿热，如果治疗方法是清热利湿，就列入湿热门中。
一、医案中有的只有初诊的方子而没有末诊的，或者有善后调理养胃的方子而没有初诊的，恕难一一搜集。只能根据病情象和治疗手段，略作分类。
一、医案中虽然注明了患者的地址，现在仍照原方录出；其中有几方遗失地址的，就用“某”字代替。
一、本编收录的时病，还缺少伤寒以及火病两类。伤寒这一症状，想必因为我们要绍地处于温带，真正的伤寒极少，兼夹温邪的较多。“火”之甚者称为“热”，所以凡是火症，既然散见于各种病症之中，又单独设立温热一门，这样条理就清晰明朗了。
一、每个医案有效与否，虽然难以确定，但其道理所在，就是治法所在，明智的人士自然能领会，编者恕难妄加推测，还请读者谅解。
Zhang Zhongjing authored the *Jingui Yuhan Jing* (Golden Cabinet Jade Ring Classic), establishing it as the standard for medicine for all generations; Sima Qian wrote a biography of Chunyu Yi, which marks the origin of medical case records in later generations.
However, many medical case authors suffer from the common fault of boasting and self-conceit, making little claim to effective results. Only the medical cases of Ye Tianshi (Ye Xiangyan), recorded by his disciples, reveal endless profound principles upon careful study, truly deserving the title of a guide for clinical practice.
Nevertheless, the Jiangsu and Zhejiang regions are coastal areas located in a temperate zone. Warm-heat diseases account for eight or nine out of ten cases, while cold damage diseases account for only two or three out of one hundred. This is due to the low-lying terrain and warm climate, which differs from the west where the desiccating energy of Metal and the biting force of north winds cause people to easily contract cold damage syndromes. Therefore, Ye Tianshi rarely recorded cases of cold damage, and Wang Mengying was skilled in using cooling agents, earning the admiration of his contemporaries for his outstanding insight, which is well-founded.
Our Shaoxing predecessor, Mr. Shao Lansun, was a distinguished disciple of Mr. Wang Fuyuan. In clinical practice, he invariably conducted detailed Four Diagnostic Methods (Wang, Wen, Wen, Qie - Inspection, Auscultation/Olfaction, Inquiry, Palpation), and his prescriptions often yielded immediate results, gaining him fame in eastern Zhejiang for nearly forty years. Furthermore, his diagnostic notes followed the format of Yu Jiayan's *Yuyi Cao* (Meaningful Grass) and imitated the procedure of Ye Tianshi. Cases were recorded above the prescriptions, and prescriptions were proposed within the cases. For patients' families, this clarified the progression or regression of symptoms; for fellow practitioners, it facilitated discussion on the steps of treatment. Now, I, though unworthy, along with Cao Chu, may rival the cases of Ye. However, cases regarding the treatment of cold damage are still lacking, just as the *Yizong Jinjian* (Golden Mirror of Medical Tradition) states that "south of the Great River, injuries are mostly from warm pathogens." If like-minded individuals possess cherished collections, I hope they will be published continuously to benefit future generations. I now presume to categorize them slightly and append my humble observations, hoping for correction from experts. This is the preface.
In the tenth month of the 22nd year of the Republic of China, Shi Jiuhua (courtesy name Jiesheng) of Shaoxing recorded this at his residence near the Right Army Shrine.
1. The syndromes in the cases include summer-heat pathogen combined with damp-heat and food stagnation, leukorrhea combined with menstrual obstruction and cough, etc. Since disease names are difficult to distinguish, the classification is based on which syndrome the treatment method focuses on, providing some clarity. For example, if the treatment for summer-heat combined with damp-heat is clearing heat and promoting diuresis to remove dampness, it is listed under the Damp-Heat category.
2. Some cases contain only initial prescriptions without final ones, or post-treatment prescriptions for nourishing the stomach without initial ones. It is regrettable that these cannot be collected one by one. Classification is therefore made roughly based on symptoms and treatment methods.
3. Although patient addresses were noted in the original cases, they are reproduced here as originally written. For those few prescriptions where the address is lost, the character "Mou" (Certain/Some) is used instead.
4. This compilation of seasonal diseases still lacks categories for Cold Damage and Fire Pathogens. Given that our region in Shaoxing is temperate, true cold damage is rare, while complications with warm pathogens are more common. "Fire" extreme manifests as "Heat." Therefore, since fire syndromes are scattered among various diseases, a separate Warm-Heat category has been established to ensure clear organization.
5. Whether each case was effective is difficult to determine. However, where the principle lies, the method lies. Wise individuals can intuitively grasp this. The editor presumes not to speculate and asks for the reader's understanding.