黄帝八十一难经者。斯乃勃海秦越人之所作也。越人受桑君之秘术。遂洞明医道。至能彻视脏腑。刳肠剔心。以其
与轩辕时扁鹊相类。乃号之为扁鹊。（按史记正义引此文。乃作仍）又家于卢国。因命之曰卢医。世或以卢扁为二人者。
斯实谬矣。按黄帝有内经二帙。帙各九卷而其义幽赜。殆难穷览。越人乃采摘英华。抄撮精要。二部经内凡八十一章。
勒成滚动条。伸演其道。（按原本误作首。根据滑氏本义引此文改）探微索隐。传示后昆。名为八十一难。以其理趣深远。非
卒易了故也。既宏畅圣言。故首称黄帝。斯乃医经之心髓。救疾之枢机。所谓脱牙角于象犀。收羽毛于翡翠者矣。逮于
吴太医令吕广为之注解。亦会合元宗。足可垂训。而所释未半。余皆见阙。余性好医方。问道无倦。斯经章句。特承师
授。既而耽研无HT 。十载于兹。虽未达其本源。盖亦举其纲目。此教所兴。多历年代。非唯文句舛错。抑亦事绪参差。
后人传览。良难领会。今辄条贯编次。使类例相从。凡为一十三篇。仍旧八十一首。吕氏未解。今并注释。吕氏注不尽。
因亦伸之。并别为音义。以彰厥旨。昔皇甫元晏总三部为甲乙之科。近世华阳陶贞白广肘后为百一之制。皆所以留情极
虑。济育群生者矣。余今所演。盖亦远慕高仁。迩遵盛德。但恨庸识有量。圣旨无涯。绠促汲深。元致难尽。
前歙州歙县尉杨元操序。
《黄帝八十一难经》这部书，是勃海郡人秦越人所著。秦越人从桑君那里学到了秘传医术，于是透彻通晓了医学大道，甚至能够透视脏腑，剖开肠肚、剔除心脏。（按《史记正义》引用此文时，“乃”字写作“仍”）他又居住在卢国，因此人们称他为“卢医”。世人中有人把“卢”和“扁”当作两个人，这实在是错误的。
据记载，黄帝有《内经》两卷（帙），每卷各九章，其义理幽深精微，几乎难以穷尽阅览。秦越人于是采摘其中的精华，抄录撮取其中的精要，在两部经典中共选出八十一章，编纂成书，以推演阐述其中的医道。（按原本此处误作“首”，根据滑寿氏的本义引用此文改正为“滚动条”即“编次/章节”之意，此处依文意理解为编纂成篇）探求微妙，索隐钩沉，传授给后世子孙，命名为《八十一难》，因为其中道理趣味深远，不是一下子就能明白的缘故。既然宏扬阐发了圣人的言论，所以开头称为黄帝，这确实是医经的核心精髓，救治疾病的枢纽关键。这就好比从象牙犀角中脱去杂质，从翡翠鸟的羽毛中收取精华一样。
到了吴国太医令吕广为之作注解，也契合了根本宗旨，足以流传作为训诫。但他所作的注解尚未完成一半，其余部分都缺失了。我生性喜好医方，求问医道不知疲倦。这部经典的章句，特别承袭自老师的传授。此后我沉迷钻研，没有懈怠，至今已经十年。虽然未能通达其本源，但也大致举出了它的纲目。这种教义的兴起，历经年代已久，不仅文字语句有误错，而且事情头绪参差杂乱，后人阅读领会，确实很难理解。现在我逐一梳理编排，使同类事例相互跟随，总共分为十三篇，保留原有的八十一章。吕广未解释的部分，现在一并加以注释；吕广注解未尽之处，因而也加以伸发阐释。另外单独编写音义，以彰显其主旨。从前皇甫谧将三部经典总括为《甲乙经》的体例，近代华阳陶弘景扩充《肘后备急方》为《百一方》的制度，都是用心极虑，救济养育众生的举措。我现在所演绎阐发的，大概是远慕高尚仁爱，近遵盛大德行。只是遗憾自己庸俗见识有限，而圣人的旨意无边无际，如同短绳汲水深入深渊，原本就难以完全穷尽。这是前歙州歙县尉杨元操作的序。
The *Huangdi Bashiyi Nan Jing* (Yellow Emperor's Classic of Eighty-One Difficulties) is a work authored by Qin Yueren of Bo Hai. Yueren received secret medical arts from Master Sang, thereby thoroughly comprehending the Way of Medicine, to the extent that he could see through organs and viscera, dissect intestines, and remove hearts. Because his abilities were similar to those of Bian Que during the time of Xuanyuan (the Yellow Emperor), he was given the title Bian Que. (Note: In the *Zhengyi* commentary on the *Records of the Grand Historian*, "nai" is written as "ren".) He also resided in the State of Lu, and thus was called "Physician Lu." Some people mistakenly regard "Lu" and "Bian" as two different individuals; this is indeed an error.
According to records, the Yellow Emperor possessed the *Neijing* (Inner Canon) in two fascicles, each containing nine chapters. Its principles are profound and subtle, almost impossible to fully explore. Qin Yueren selected its essence, excerpted its core teachings, and compiled eighty-one chapters from these two classics into a structured text to elaborate and expound upon its doctrines. (Note: The original text erroneously uses "shou"; corrected to "zhang" or "section" based on Hua Shou's interpretation.) By exploring the subtle and uncovering the hidden, he transmitted it to future generations, naming it the *Eighty-One Difficulties*. This name reflects the fact that its reasoning and interest are profound and not easily understood at first glance. Having magnified and clarified the words of the Sages, it begins with the reference to the Yellow Emperor. It is indeed the marrow of medical classics and the pivot for curing diseases, comparable to extracting pure material from ivory and rhinoceros horn, or gathering fine feathers from kingfishers.
Later, Lü Guang, the Imperial Physician of Wu, provided annotations for it, which aligned with the fundamental origins and were sufficient to serve as instructive examples. However, his annotations covered less than half of the text, with the remainder missing. I have a natural fondness for medical prescriptions and tireless pursuit of medical knowledge. The structure and sentences of this classic were specially transmitted to me by my master. For ten years, I have been deeply engaged in research without slackening. Although I have not yet reached its ultimate source, I have grasped its general framework. The rise of this teaching has spanned many ages; consequently, not only are there errors in the textual phrasing, but the narrative threads are also disjointed. It is difficult for later readers to comprehend. Therefore, I have systematically organized and arranged the content, grouping similar categories together, dividing it into thirteen sections while retaining the original eighty-one chapters. I have annotated the parts omitted by Lü Guang and expanded upon his incomplete explanations. Additionally, I have separately compiled phonetic and semantic glosses to clarify its purport. In the past, Huangfu Mi synthesized three major works into the *Jiayi Jing* (Systematic Classic of Acupuncture and Moxibustion), and in recent times, Tao Hongjing of Huayang expanded the *Zhouhou Beiji Fang* (Handbook of Prescriptions for Emergencies) into the *Baiyi Fang*. Both acted with deep care and utmost deliberation to benefit and nurture all living beings. My current elaboration aims to emulate high virtue and benevolence from afar and follow great morality close at hand. I only regret that my mediocre understanding is limited, while the Sage’s intent is boundless; like using a short rope to draw water from a deep well, it is inherently difficult to exhaustively capture everything. This is the preface by Yang Yuancan, Vice Magistrate of She County, Xizhou Prefecture.