自来学医者。多讲求伤寒。而杂病则略之。盖伤寒分经论证。蹊径了然。非若杂病之门类繁赜。博
综为难也。不思仲景氏祖经方而集其大成。伤寒论中一百十三方。皆自杂病方中检入。故无不可
以治杂病。其专治杂病之方。则惟金匮要略一书。神而明之。足以推阐无余。顾伤寒论。自成无己、
韩和、庞安时以来。注释论辨。代不乏人。厥后吾吴周君禹载。汇为三注。学人益有所钻仰尚已。
金匮有国朝徐彬论注。虽云明显。要未若宋赵以德之明且详也。乃周禹载又为之补其未备。畅
其欲言。名曰补注。合衍义而成书。为金匮玉函经二注。嘉惠后学可谓仲圣之功臣。惜其书风行未广。
原版旋毁于火。致使学人不能家置一编。良足慨矣。今春余友春泉。见余案头叶氏医案存真。及
马元仪方案。怂恿付梓。因论及此。为叹息者久之。访购抄本。苦多鲁鱼之讹。复为遍求初印原本。
相与昕夕校雠。醵资重刊。公诸当世。医林不朽之业也。功岂在周氏下哉。既已药观厥成。而积思
顿释。故志其简端如此。
道光十二年壬辰仲冬既望长洲叶万青。
汉、张仲景医理最精。以伤寒一门。为病中最要。既为伤寒论以明治法。复为金匮
玉函经以为治杂症之矩 。岐伯、秦越人后一人而已。后之注者。以宋赵君以德衍义为最精。国朝
周扬后又为之补注于本书。益加融贯仲景之书。如四子六经。而两君之注。则高密之训诂。紫阳
之集义也。康熙二十六年。楚抚丁思孔。梓于楚南。迄今百四十余年。世鲜传本。吴门李君清俊。
名医也。于古人载籍。无所不窥。治症神效。即得此本。思以公诸当世。因为重付诸剞劂。余之识君也。
在嘉庆丙子。适病后左足短二寸。不能着地。君治之两月而痊。至今将二十年。步履如少壮。道光
戊子。余扶病重至汉上。邀君同行。君为人施诊。应手立愈。为余制药施人。亦皆灵验。汉上人
至今称之。盖君之造诣渊微。立心诚笃所致。今刊此书。犹前志也。昔余弟鸿庆。亦深于医。与君
最契。重刊伤寒活人书。未竟而殂。君议为竟之。俾与此书并行于朋友之际。所云笃矣。余素不
习医。近以学道。从事三尼。医世功诀。读金碧龙虎灵宝毕法诸书。稍知养生之理。因兼读素问难经伤寒论及是书以相
印证。
知医家之要。尽此四书之中。君尝谓是书医可通仙。并谓余因学仙而通医理。余谓医与仙皆非
余所及。其理则固能言之矣。赵君不着里籍。金匮要略又云明人。君因欲去序中宋字。余谓旧本
不宜轻改。且其文笔醇浓。语多非近儒明人所及。朴学之士。潜德隐曜。不必以史乘失载为疑也。
若夫道家之书。如心印经云。上药三品。神与气精。胎息经云。若欲长生。神气相注。南华经云。
无视无听。抱神以静。神将守形。乃可以长生。黄庭经云。寸田尺宅可治生。闭子精门可长活。
皆身心性命之圭旨。苟能守而行之。风湿寒暑。皆不能侵。留形住世不难。又何杂病之足虑乎。
以质李君。知余言之不诬也。
道光癸巳八月钱塘陈文述序于吴门妙香天室
自古以来，学习医学的人，大多专门钻研《伤寒论》，而对杂病则有所忽略。这是因为《伤寒论》按经络分证，路径清晰明了，不像杂病那样门类繁多复杂，难以全面掌握。他们不曾思考，张仲景先生以古代经方为基础并集其大成，《伤寒论》中的一百一十三首方剂，都是从治疗杂病的方剂中选取收录的，所以这些方剂没有不能用来治疗杂病的。其中专门用于治疗杂病的方剂，就只见于《金匮要略》这一本书中，若能神妙地领悟并阐明其中的道理，足以将其推演阐述得毫无遗漏。
然而，《伤寒论》自从宋代成无己、韩祗和、庞安时等人以来，注释和辨析该书的学者代代都有，不乏其人。后来我们吴地的周禹载先生，汇辑了三家注解，使学习者更加有了钻研和仰慕的对象。对于《金匮要略》，清代有徐彬的论述注解，虽然说得明白显豁，但终究不如宋代赵以德（赵良）的注解那样明晰且详尽。于是周禹载又为它补充了不足之处，畅达了其想要表达而未尽之意，命名为《补注》，结合衍义而成书，称为《金匮玉函经二注》。这对后世学者的恩惠可谓巨大，是张仲圣人的功臣。可惜这本书流传不够广泛，原版很快毁于火灾，致使学习者无法家家拥有一部，实在令人感慨。
今年春天，我的朋友春泉，看到我在案头摆放的叶氏医案存真以及马元仪的方案，怂恿我将其刻印出版，因此谈论到此事，为此叹息良久。我们访求购买抄本，但苦于错误很多（鲁鱼之讹），于是又遍寻初印的原版，共同早晚校对勘误，集资重新刊印，公之于世。这是医学界不朽的功业，这功劳难道在周氏之下吗？既然已经看到此书刊印成功，积压的心思顿时释放，所以在此简略记下缘由。
道光十二年壬辰年仲冬十六日，长洲叶万青序。
汉代，张仲景的医理最为精深。他认为伤寒一门是疾病中最关键的，于是撰写《伤寒论》来明确治疗方法，又撰写《金匮玉函经》作为治疗杂症的准则。自岐伯、秦越人之后，他是唯一一人罢了。后世的注者，以宋代赵以德先生的《衍义》最为精妙，清代周扬俊先生又在原书基础上进行补注，使得对张仲景著作的理解更加融会贯通，如同将四子六经融为一体。而这两位先生的注解，则分别像高密郑玄的训诂和紫阳朱熹的集义一样精当。康熙二十六年，湖广巡抚丁思孔在楚南刊印此书，至今一百四十多年，世间很少见到传本。苏州李清俊先生是名医，对古人的典籍无所不窥，治疗病症神效。他得到这个版本，想把它公之于世，因此再次委托雕版印刷。我与李君相识，是在嘉庆丙子年，当时我生病后左腿短了两寸，不能着地，李君治疗了我两个月便痊愈了，到现在将近二十年，走路依然像年轻人一样。道光戊子年，我带病再次来到汉水之上，邀请李君同行。李君为人诊治，药到病除；为我制药施予他人，也都灵验。汉水一带的人至今称颂他。大概是因为李君的造诣渊深微妙，立志诚恳笃实所致。现在刊印这本书，还是延续以前的志向。
从前我的弟弟鸿庆，也精通医术，与李君最相契合。他曾重刊《伤寒活人书》，未完成就去世了。李君提议替他完成这件事，以便让这本书与《伤寒活人书》在朋友间并行流传，可以说是非常厚道了。我向来不习医，最近因为修道，从事“三尼”（指天、地、人三才之道的修炼）的医世功德诀法，阅读《金碧龙虎灵宝毕法》等道家书籍，稍微懂得了一些养生的道理，因此兼读《素问》、《难经》、《伤寒论》以及这本书来互相印证。
我知道医家的要领，都包含在这四本书之中。李君曾说这本书可以让医者通晓仙道，并说我因为学习仙道而通晓医理。我说医道和仙道我都未能达到，但其中的道理确实能够讲清楚。赵以德先生不详知他的籍贯，《金匮要略》又被认为是明代人的作品，李君因此想去掉序言中的“宋”字。我认为旧本不宜轻易改动，而且它的文笔醇厚浓郁，语言多不是近代儒生或明人所及。朴实学问之士，潜藏德行隐藏光芒，不必因为史书失载而感到疑惑。
至于道家的书籍，如《心印经》说：“上药三品，神与气精。”《胎息经》说：“若欲长生，神气相注。”《南华经》（即《庄子》）说：“无视无听，抱神以静。神将守形，乃可以长生。”《黄庭经》说：“寸田尺宅可治生，闭子精门可长活。”这些都是关于身心性命的根本宗旨。如果能坚守并践行，风湿寒暑都不能侵犯，留住形体、长久在世并不难，又有什么杂病值得忧虑呢？以此询问李君，他知道我的话并非虚妄。
道光癸巳年八月，钱塘陈文述序于苏州妙香天室。
Since ancient times, those who study medicine have mostly focused on *Shanghan Lun* (Treatise on Cold Pathogenic Diseases), while neglecting miscellaneous diseases. This is because *Shanghan Lun* categorizes syndromes by meridians, making the pathways clear and straightforward, unlike miscellaneous diseases, which involve numerous categories and complexities that are difficult to master comprehensively. They fail to consider that Master Zhang Zhongjing (Zhang Ji) built upon ancient classical prescriptions and achieved their greatest synthesis. The one hundred and thirteen formulas in *Shanghan Lun* were all selected from formulas used for treating miscellaneous diseases; therefore, none of them cannot be used to treat miscellaneous diseases. The formulas specifically designed for treating miscellaneous diseases are found exclusively in the book *Jingui Yaolue* (Essential Prescriptions of the Golden Cabinet). If one can divine and elucidate its principles, it is sufficient to expound upon them without omission.
However, since the Song Dynasty scholars Cheng Wuji, Han Zhihe, and Pang Anshi, there have been countless commentators annotating and analyzing *Shanghan Lun*. Later, Mr. Zhou Yuzai from our region of Wu compiled three annotations, providing learners with even more subjects for study and admiration. Regarding *Jingui Yaolue*, during the Qing Dynasty, Xu Bin provided commentary notes. Although his explanations were clear and explicit, they were not as lucid and detailed as those of Zhao Yi-de (Zhao Liang) from the Song Dynasty. Thus, Zhou Yuzai supplemented what was lacking and elaborated on what remained unexpressed, naming it *Supplementary Annotations* (Buzhu). Combined with the *Yanyi* (Expanded Meaning), it formed a book titled *Jingui Yuhan Jing Erzhu* (Two Annotations on the Jade Box Classic). This benefit to future generations is considerable, making him a meritorious servant of Saint Zhang. Unfortunately, this book did not circulate widely, and the original blocks were soon destroyed by fire, preventing learners from owning a copy in every household, which is truly lamentable.
This spring, my friend Chunquan saw Ye Shi's *Medical Cases Preserved in Truth* and Ma Yuanyi's case records on my desk and urged me to publish them. We discussed this matter and sighed for a long time. We sought out manuscript copies but encountered many errors (such as miswritten characters like 'Lu' and 'Yu'). We then searched extensively for the original early prints and proofread them day and night, pooling funds to republish them for the world. This is an immortal achievement in the medical field; would not this merit be no less than that of Mr. Zhou? Now that I see the completion of this work, my accumulated worries are instantly relieved, so I record these brief remarks here.
Preface by Ye Wanqing of Changzhou, on the 16th day of the second month of winter in the Renchen year of the 12th year of Daoguang.
In the Han Dynasty, Zhang Zhongjing's medical theory was the most profound. He considered the category of cold damage (*Shanghan*) to be the most critical among diseases. Having written *Shanghan Lun* to clarify treatment methods, he also wrote *Jingui Yuhan Jing* as the standard for treating miscellaneous symptoms. He is the only figure since Qibo and Qin Yueren (Bian Que). Among later commentators, the Song Dynasty scholar Zhao Yi-de's *Yanyi* (Expanded Meaning) is the most exquisite. In the Qing Dynasty, Zhou Yangjun further supplemented the original text, integrating the understanding of Zhang Zhongjing's works as thoroughly as combining the Four Books and Six Classics. The annotations of these two gentlemen are akin to the exegesis of Zheng Xuan from Gaomi and the collected interpretations of Zhu Xi from Ziyang. In the 26th year of Kangxi, Ding Sikong, the Governor-General of Huguang, had the book printed in southern Chu. It has been over 140 years since then, and few copies exist in the world. Mr. Li Qingjun of Suzhou is a famous physician who has studied ancient texts exhaustively and treats diseases with miraculous efficacy. Upon obtaining this edition, he wished to make it public and thus commissioned its re-engraving. I first met Mr. Li in the Bingzi year of the Jiaqing era. At that time, I suffered from an illness where my left leg appeared two inches shorter, making it impossible to touch the ground. Mr. Li treated me for two months until I recovered. Nearly twenty years later, I still walk as briskly as a youth. In the Wuzi year of Daoguang, I traveled again to the banks of the Han River while ill and invited Mr. Li to accompany me. Mr. Li treated patients, curing them immediately upon administration of medicine; he also prepared medicines for me to distribute to others, all of which proved effective. People in the Han River region still praise him today. This is undoubtedly due to his profound medical attainment and sincere dedication. Publishing this book now continues his previous aspiration.
My younger brother, Hongqing, was also deeply versed in medicine and was closest to Mr. Li. He had begun reprinting *Shanghan Huoren Shu* (Living People Book on Cold Damage) but passed away before completing it. Mr. Li proposed to finish it so that it could circulate among friends alongside this book, demonstrating great loyalty and friendship. I have never practiced medicine, but recently, having engaged in Daoist cultivation involving the "Three Nis" (referring to the cultivation of Heaven, Earth, and Humanity), and studying texts such as *Jinbi Longhu Lingbao Bifa*, I have gained some knowledge of health preservation principles. Therefore, I read *Suwen* (Basic Questions), *Nanjing* (Classic of Difficult Issues), *Shanghan Lun*, and this book to cross-verify them.
I know that the essentials of medicine are contained within these four books. Mr. Li once said that this book allows physicians to attain immortality, and he suggested that I understood medical principles through my study of immortality arts. I replied that neither medicine nor immortality arts are within my reach, though I can certainly explain their principles. Mr. Zhao Yi-de's birthplace is unknown, and *Jingui Yaolue* is sometimes attributed to Ming Dynasty authors. Consequently, Mr. Li wished to remove the character "Song" from the preface. I argued that old editions should not be lightly altered, and moreover, the writing style is rich and profound, surpassing what typical Neo-Confucian scholars or Ming authors could achieve. Scholars of pure learning often hide their virtue and brilliance; one need not doubt their existence simply because historical records omit them.
Regarding Daoist texts, *Xinyin Jing* (Heart Seal Sutra) states: "The supreme drugs are three in number: Spirit, Qi, and Essence." *Taixi Jing* (Sutra of Fetal Breathing) states: "If you wish to live long, let Spirit and Qi merge." *Nanhua Jing* (Zhuangzi) states: "Do not look, do not listen; embrace Spirit in tranquility. When Spirit guards the Form, one may attain longevity." *Huangting Jing* (Yellow Court Sutra) states: "The inch-field and foot-house can nurture life; closing the gates of essence allows for long life." These are the fundamental guidelines for body, mind, and nature. If one adheres to and practices them, wind, dampness, cold, and heat cannot invade. Retaining one's form and prolonging life is not difficult; why worry about miscellaneous diseases? I asked Mr. Li about this, and he confirmed that my words were not false.
Preface by Chen Wenshu of Qiantang, in the eighth month of the Guisi year of Daoguang, at Miaoxiang Tian Studio in Suzhou.