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基本介紹

《溫(wen)(wen)(wen)病(bing)(bing)(bing)條(tiao)辨》，清代吳瑭（鞠(ju)通(tong)）著（1798年），為(wei)溫(wen)(wen)(wen)病(bing)(bing)(bing)通(tong)論著作(zuo)。該書(shu)在(zai)清代眾多溫(wen)(wen)(wen)病(bing)(bing)(bing)學家成就(jiu)的基(ji)礎上，進一步(bu)建立了完全獨立于(yu)傷(shang)(shang)寒的溫(wen)(wen)(wen)病(bing)(bing)(bing)學說體系(xi)，創(chuang)立了三焦辨證綱領，為(wei)溫(wen)(wen)(wen)病(bing)(bing)(bing)創(chuang)新(xin)理論之一。在(zai)溫(wen)(wen)(wen)邪(xie)易(yi)耗傷(shang)(shang)陰液思想的指(zhi)導下，吳鞠(ju)通(tong)倡(chang)養陰保液之法(fa)，并擬訂了層次(ci)分(fen)明的溫(wen)(wen)(wen)病(bing)(bing)(bing)治法(fa)方(fang)藥(yao)體系(xi)，故《溫(wen)(wen)(wen)病(bing)(bing)(bing)條(tiao)辨》被稱為(wei)清代溫(wen)(wen)(wen)病(bing)(bing)(bing)學說標志性著作(zuo)。

內容介紹

《溫(wen)病(bing)條辨》仿《傷寒論(lun)(lun)(lun)(lun)》體例，分(fen)(fen)條列論(lun)(lun)(lun)(lun)，以求(qiu)簡(jian)要易(yi)誦(song)，又恐簡(jian)而不明，且免后(hou)人(ren)妄(wang)注(zhu)，于(yu)是吳瑭在各條之(zhi)下(xia)詳(xiang)加辨析議論(lun)(lun)(lun)(lun)，故(gu)以“條辨”命名。共6卷(juan)(juan)(juan)，另有(you)卷(juan)(juan)(juan)首1卷(juan)(juan)(juan)。卷(juan)(juan)(juan)首為“原病(bing)篇(pian)”，引《內(nei)經》以求(qiu)溫(wen)病(bing)之(zhi)原始。正文前3卷(juan)(juan)(juan)為全書(shu)的中心，專論(lun)(lun)(lun)(lun)溫(wen)病(bing)。此3卷(juan)(juan)(juan)依(yi)次分(fen)(fen)上、中、下(xia)三焦設立篇(pian)目，分(fen)(fen)別論(lun)(lun)(lun)(lun)述三焦溫(wen)病(bing)，并出治(zhi)法。卷(juan)(juan)(juan)4為“雜說(shuo)”，論(lun)(lun)(lun)(lun)救(jiu)逆及(ji)病(bing)后(hou)調(diao)(diao)治(zhi)法。此后(hou)附“解(jie)產(chan)難”（論(lun)(lun)(lun)(lun)產(chan)后(hou)調(diao)(diao)治(zhi)與產(chan)后(hou)驚風諸癥）、“解(jie)兒難”（論(lun)(lun)(lun)(lun)小兒急慢驚風痘癥等）二篇(pian)（原作一卷(juan)(juan)(juan)，后(hou)析為卷(juan)(juan)(juan)5、卷(juan)(juan)(juan)6）。

《溫病(bing)條辨(bian)(bian)(bian)》最主要的成就在于(yu)吳(wu)氏建立(li)了完全獨立(li)于(yu)傷(shang)寒的溫病(bing)學說體系，創(chuang)立(li)了三(san)焦(jiao)辨(bian)(bian)(bian)證(zheng)(zheng)(zheng)綱(gang)領(ling)，由(you)上及下、由(you)淺入(ru)深，旨在“認證(zheng)(zheng)(zheng)無差(cha)”。吳(wu)氏認為(wei)，傷(shang)寒六(liu)經(jing)辨(bian)(bian)(bian)證(zheng)(zheng)(zheng)都是由(you)淺入(ru)深，但六(liu)經(jing)是由(you)表(biao)入(ru)里，須橫看；三(san)焦(jiao)辨(bian)(bian)(bian)證(zheng)(zheng)(zheng)則由(you)上入(ru)下，須豎看。兩(liang)種辨(bian)(bian)(bian)證(zheng)(zheng)(zheng)體系有對立(li)統(tong)一(yi)、一(yi)縱一(yi)橫之妙(miao)。從歷史(shi)發展的角度來(lai)看，該(gai)辨(bian)(bian)(bian)證(zheng)(zheng)(zheng)體系與(yu)張仲景(jing)傷(shang)寒六(liu)經(jing)辨(bian)(bian)(bian)證(zheng)(zheng)(zheng)、葉天(tian)士溫熱衛氣營(ying)血(xue)辨(bian)(bian)(bian)證(zheng)(zheng)(zheng)理(li)論(lun)互為(wei)羽翼，成為(wei)溫病(bing)創(chuang)新理(li)論(lun)之一(yi)。

在治法上，吳氏(shi)以溫邪易(yi)耗陰液為立(li)法的依據，倡導(dao)養(yang)陰保(bao)液之(zhi)法，并據臨床(chuang)實踐，提煉葉天士(shi)醫案溫病治法，化裁處方(fang)，以切(qie)實用。如(ru)分出清絡、清營(ying)、育陰多種治法；又以銀翹散(san)為辛涼平劑(ji)(ji)，桑(sang)菊飲為辛涼輕劑(ji)(ji)，白(bai)虎(hu)湯為辛涼重劑(ji)(ji)，使(shi)溫病治法用方(fang)層次清晰。

背景介紹

吳鞠通謂(wei)前賢之(zhi)中，元代王履（安道）雖能辨證溫(wen)(wen)病(bing)(bing)，但(dan)論(lun)之(zhi)未(wei)詳；明末吳又可(ke)區分傷(shang)寒、溫(wen)(wen)病(bing)(bing)，但(dan)立法欠精(jing)純(chun)；清代葉天士立論(lun)精(jing)細，但(dan)立法甚簡，皆未(wei)能透(tou)達圓滿(man)。于(yu)是吳氏取(qu)諸賢精(jing)妙，考之(zhi)《內經》，參以個人心(xin)得，統論(lun)溫(wen)(wen)病(bing)(bing)，而成此(ci)書。

作者介紹

吳(wu)(wu)瑭(tang)（1758—1836），字鞠通，淮陰（今屬江蘇）人(ren)。19歲時其父因(yin)病(bing)而死，傷痛之(zhi)(zhi)余，遂(sui)廣購方(fang)書。研讀中(zhong)見(jian)張仲景《傷寒論(lun)》序中(zhong)有“外連榮勢，內(nei)忘身命”之(zhi)(zhi)論(lun)，因(yin)慨然棄舉子業，專事醫術(shu)。4年(nian)(nian)后，其侄子病(bing)溫，隨后死于(yu)發(fa)黃(huang)，這一刺(ci)激更堅定了吳(wu)(wu)氏(shi)(shi)(shi)(shi)研究溫病(bing)的決心。又過了3年(nian)(nian)，吳(wu)(wu)瑭(tang)至京師，檢校《四庫全書》，得覽明季吳(wu)(wu)又可《溫疫(yi)論(lun)》，于(yu)是專心于(yu)溫病(bing)診治。經過10年(nian)(nian)的鉆研，吳(wu)(wu)氏(shi)(shi)(shi)(shi)已有很(hen)多心得，但從未(wei)敢輕易治療一人(ren)。乾(qian)隆五十(shi)八(ba)年(nian)(nian)（1793年(nian)(nian)），北(bei)京溫疫(yi)大(da)行，吳(wu)(wu)瑭(tang)才一展身手，救治了數十(shi)人(ren)。長期(qi)的閱讀積累，又經過成(cheng)(cheng)功的臨(lin)床實(shi)踐，吳(wu)(wu)瑭(tang)開始著書立說。嘉(jia)慶(qing)(qing)三年(nian)(nian)（1798年(nian)(nian)），吳(wu)(wu)氏(shi)(shi)(shi)(shi)將書初步完(wan)成(cheng)(cheng)。直到(dao)嘉(jia)慶(qing)(qing)甲子年(nian)(nian)（1804年(nian)(nian)），吳(wu)(wu)氏(shi)(shi)(shi)(shi)將此書展示給(gei)友人(ren)徵保(bao)。再經過10年(nian)(nian)，書終告(gao)完(wan)成(cheng)(cheng)，并刊于(yu)嘉(jia)慶(qing)(qing)十(shi)八(ba)年(nian)(nian)（1813年(nian)(nian)）。

鑒賞評價

該書(shu)內容全面系統，理(li)法(fa)方藥齊(qi)備，切合(he)臨床實用(yong)，為(wei)清代溫病學說標(biao)志性專著，后世將此書(shu)視為(wei)中醫“四大經典”之(zhi)一，作(zuo)為(wei)中醫必讀之(zhi)書(shu)。

其他信息

流傳版本

《溫病條(tiao)辨》由問心堂初刊于嘉慶十(shi)八年（1813年），此后(hou)翻印、增批評注近百次(ci)。

校注、整理

《溫病條(tiao)辨》有多(duo)種(zhong)現代(dai)校點本(ben)，以道光十(shi)六(liu)年(nian)(nian)（1836年(nian)(nian)）刊(kan)本(ben)為(wei)底本(ben)，2007年(nian)(nian)張志斌以嘉慶十(shi)八年(nian)(nian)（1813年(nian)(nian)）問心堂初刊(kan)本(ben)為(wei)底本(ben)校點出版，收入《溫病大成》一書。書評、序言

溫病條辨朱序

天以(yi)五運(yun)六(liu)(liu)氣化生萬物(wu)，不(bu)(bu)(bu)(bu)能無過(guo)不(bu)(bu)(bu)(bu)及(ji)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)差，于是有(you)六(liu)(liu)淫(yin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)邪，非謂病(bing)(bing)寒(han)(han)不(bu)(bu)(bu)(bu)病(bing)(bing)溫(wen)(wen)，病(bing)(bing)溫(wen)(wen)不(bu)(bu)(bu)(bu)病(bing)(bing)寒(han)(han)也(ye)。后漢張(zhang)仲(zhong)景(jing)(jing)著(zhu)《傷寒(han)(han)論(lun)》，發明軒岐之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)奧旨，如日星河岳之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)麗天地，任百世(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)鉆仰，而義蘊仍未盡也(ye)。然其(qi)(qi)(qi)書(shu)專為(wei)傷寒(han)(han)而設，未嘗遍及(ji)于六(liu)(liu)淫(yin)也(ye)。奈(nai)后之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)醫者，以(yi)治(zhi)傷寒(han)(han)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)，應(ying)無窮之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)變，勢必至(zhi)(zhi)如鑿枘之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)不(bu)(bu)(bu)(bu)相入。至(zhi)(zhi)明陶節庵《六(liu)(liu)書(shu)》，大改仲(zhong)景(jing)(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)，后之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)學者，苦張(zhang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)艱(jian)深(shen)，樂陶之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)簡易(yi)，莫(mo)不(bu)(bu)(bu)(bu)奉為(wei)蓍(shi)蔡(cai)，而于六(liu)(liu)淫(yin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)邪，混而為(wei)一(yi)(yi)，其(qi)(qi)(qi)死于病(bing)(bing)者十(shi)(shi)二三(san)，死于醫者十(shi)(shi)八九；而仲(zhong)景(jing)(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)說，視如土苴矣。余來京(jing)師，獲交吳子鞠通，見(jian)其(qi)(qi)(qi)治(zhi)疾，一(yi)(yi)以(yi)仲(zhong)景(jing)(jing)為(wei)依歸(gui)，而變化因心(xin)，不(bu)(bu)(bu)(bu)拘(ju)常格，往往神明于法(fa)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)外，而究(jiu)不(bu)(bu)(bu)(bu)離乎法(fa)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)中，非有(you)得(de)于仲(zhong)景(jing)(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)深(shen)者不(bu)(bu)(bu)(bu)能。久之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，乃(nai)出(chu)所(suo)著(zhu)《溫(wen)(wen)病(bing)(bing)條(tiao)辨》七卷，自(zi)溫(wen)(wen)而熱而暑而濕而燥，一(yi)(yi)一(yi)(yi)條(tiao)分(fen)縷析，莫(mo)不(bu)(bu)(bu)(bu)究(jiu)其(qi)(qi)(qi)病(bing)(bing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)從生，推(tui)而至(zhi)(zhi)于所(suo)終極;其(qi)(qi)(qi)為(wei)方(fang)也(ye)約而精，其(qi)(qi)(qi)為(wei)論(lun)也(ye)閎以(yi)肆，俾(bi)二千(qian)余年之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)塵霧，豁然一(yi)(yi)開。昔人謂仲(zhong)景(jing)(jing)為(wei)軒岐之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功臣，鞠通亦(yi)仲(zhong)景(jing)(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功臣也(ye)。余少(shao)時頗有(you)志于醫，年逾四十(shi)(shi)，始知(zhi)其(qi)(qi)(qi)難，乃(nai)廢然而返。今讀鞠通之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)書(shu)，目識心(xin)融，若(ruo)有(you)牗其(qi)(qi)(qi)明而啟(qi)其(qi)(qi)(qi)秘(mi)者，不(bu)(bu)(bu)(bu)誠學醫者一(yi)(yi)大快事哉!爰(yuan)不(bu)(bu)(bu)(bu)辭而為(wei)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)序(xu)。

嘉(jia)慶辛未四月既望(wang)寶應(ying)朱彬序(xu)

溫病條辨汪敘

昔(xi)淳于(yu)公有(you)(you)言(yan):人(ren)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)病(bing)(bing)，病(bing)(bing)病(bing)(bing)多；醫之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)病(bing)(bing)，病(bing)(bing)方(fang)(fang)(fang)少(shao)。夫病(bing)(bing)多而(er)(er)(er)(er)(er)(er)(er)(er)方(fang)(fang)(fang)少(shao)，未有(you)(you)甚于(yu)溫(wen)(wen)病(bing)(bing)者(zhe)(zhe)矣!何也(ye)(ye)?六(liu)氣之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)中(zhong)(zhong)，君相二(er)火無(wu)(wu)論(lun)已(yi)，風(feng)(feng)濕與燥，無(wu)(wu)不(bu)(bu)(bu)兼溫(wen)(wen)，惟(wei)寒(han)(han)水(shui)與溫(wen)(wen)相反(fan)，然(ran)(ran)傷(shang)寒(han)(han)者(zhe)(zhe)必(bi)(bi)病(bing)(bing)熱(re)，天(tian)下之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)，孰有(you)(you)多于(yu)溫(wen)(wen)病(bing)(bing)者(zhe)(zhe)乎?方(fang)(fang)(fang)書(shu)(shu)(shu)始(shi)于(yu)仲景(jing)，仲景(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)書(shu)(shu)(shu)專論(lun)傷(shang)寒(han)(han)，此(ci)六(liu)氣中(zhong)(zhong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)一(yi)(yi)氣耳(er)。其(qi)(qi)(qi)中(zhong)(zhong)有(you)(you)兼言(yan)風(feng)(feng)者(zhe)(zhe)，亦(yi)有(you)(you)兼言(yan)溫(wen)(wen)者(zhe)(zhe)，然(ran)(ran)所(suo)謂(wei)(wei)(wei)風(feng)(feng)者(zhe)(zhe)，寒(han)(han)中(zhong)(zhong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)風(feng)(feng)，所(suo)謂(wei)(wei)(wei)溫(wen)(wen)者(zhe)(zhe)，寒(han)(han)中(zhong)(zhong)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)溫(wen)(wen)，以(yi)其(qi)(qi)(qi)書(shu)(shu)(shu)本(ben)論(lun)傷(shang)寒(han)(han)也(ye)(ye)。其(qi)(qi)(qi)余五氣，概未之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)及，是以(yi)后世(shi)無(wu)(wu)傳(chuan)焉。雖然(ran)(ran)，作者(zhe)(zhe)謂(wei)(wei)(wei)圣，述(shu)者(zhe)(zhe)謂(wei)(wei)(wei)明(ming)(ming)，學(xue)者(zhe)(zhe)誠(cheng)能究其(qi)(qi)(qi)文，通(tong)其(qi)(qi)(qi)義，化(hua)而(er)(er)(er)(er)(er)(er)(er)(er)裁之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，推而(er)(er)(er)(er)(er)(er)(er)(er)行之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，以(yi)治(zhi)(zhi)(zhi)六(liu)氣可(ke)也(ye)(ye)，以(yi)治(zhi)(zhi)(zhi)內傷(shang)可(ke)也(ye)(ye)。亡如(ru)(ru)，世(shi)鮮知十之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)才士，以(yi)闕如(ru)(ru)為恥(chi)，不(bu)(bu)(bu)能舉一(yi)(yi)反(fan)三(san)，惟(wei)務按圖索驥。蓋(gai)自(zi)(zi)(zi)叔(shu)和而(er)(er)(er)(er)(er)(er)(er)(er)下，大約皆(jie)以(yi)傷(shang)寒(han)(han)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)法(fa)，療六(liu)氣之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)疴(ke)，御風(feng)(feng)以(yi)絺(chi)，指鹿為馬，迨試而(er)(er)(er)(er)(er)(er)(er)(er)輒困，亦(yi)知其(qi)(qi)(qi)術之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)疏(shu)(shu)也(ye)(ye)。因而(er)(er)(er)(er)(er)(er)(er)(er)沿習(xi)故(gu)方(fang)(fang)(fang)，略(lve)(lve)變藥(yao)味，沖(chong)和、解肌諸湯，紛然(ran)(ran)著(zhu)錄(lu)。至陶氏(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)書(shu)(shu)(shu)出(chu)，遂居然(ran)(ran)以(yi)杜撰之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)傷(shang)寒(han)(han)，治(zhi)(zhi)(zhi)天(tian)下之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)六(liu)氣，不(bu)(bu)(bu)獨仲景(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)書(shu)(shu)(shu)所(suo)未言(yan)者(zhe)(zhe)，不(bu)(bu)(bu)能發明(ming)(ming)，并(bing)仲景(jing)已(yi)定之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)書(shu)(shu)(shu)，盡遭竄易。世(shi)俗樂其(qi)(qi)(qi)淺近，相與宗之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，而(er)(er)(er)(er)(er)(er)(er)(er)生民之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)禍(huo)亟矣!又(you)有(you)(you)吳(wu)又(you)可(ke)者(zhe)(zhe)，著(zhu)《溫(wen)(wen)疫論(lun)》，其(qi)(qi)(qi)方(fang)(fang)(fang)本(ben)治(zhi)(zhi)(zhi)一(yi)(yi)時(shi)(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)時(shi)(shi)疫，而(er)(er)(er)(er)(er)(er)(er)(er)世(shi)誤以(yi)治(zhi)(zhi)(zhi)常候之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)溫(wen)(wen)熱(re)。最后若(ruo)方(fang)(fang)(fang)中(zhong)(zhong)行、喻嘉言(yan)諸子，雖列溫(wen)(wen)病(bing)(bing)于(yu)傷(shang)寒(han)(han)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)外，而(er)(er)(er)(er)(er)(er)(er)(er)治(zhi)(zhi)(zhi)法(fa)則終未離(li)乎傷(shang)寒(han)(han)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)中(zhong)(zhong)。惟(wei)金源(yuan)劉河間守真(zhen)氏(shi)者(zhe)(zhe)，獨知熱(re)病(bing)(bing)，超(chao)出(chu)諸家，所(suo)著(zhu)《六(liu)書(shu)(shu)(shu)》，分(fen)三(san)焦論(lun)治(zhi)(zhi)(zhi)，而(er)(er)(er)(er)(er)(er)(er)(er)不(bu)(bu)(bu)墨守六(liu)經，庶幾幽室一(yi)(yi)燈，中(zhong)(zhong)流(liu)一(yi)(yi)柱。惜其(qi)(qi)(qi)人(ren)樸而(er)(er)(er)(er)(er)(er)(er)(er)少(shao)文，其(qi)(qi)(qi)論(lun)簡而(er)(er)(er)(er)(er)(er)(er)(er)未暢(chang)，其(qi)(qi)(qi)方(fang)(fang)(fang)時(shi)(shi)亦(yi)雜(za)而(er)(er)(er)(er)(er)(er)(er)(er)不(bu)(bu)(bu)精(jing)，承其(qi)(qi)(qi)后者(zhe)(zhe)，又(you)不(bu)(bu)(bu)能闡(chan)(chan)明(ming)(ming)其(qi)(qi)(qi)意，裨(bi)補其(qi)(qi)(qi)疏(shu)(shu)，而(er)(er)(er)(er)(er)(er)(er)(er)下士聞(wen)道，若(ruo)張景(jing)岳(yue)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)徒，方(fang)(fang)(fang)且怪而(er)(er)(er)(er)(er)(er)(er)(er)訾之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，于(yu)是其(qi)(qi)(qi)學(xue)不(bu)(bu)(bu)明(ming)(ming)，其(qi)(qi)(qi)說(shuo)不(bu)(bu)(bu)行。而(er)(er)(er)(er)(er)(er)(er)(er)世(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)俗醫，遇(yu)溫(wen)(wen)熱(re)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)，無(wu)(wu)不(bu)(bu)(bu)首先(xian)發表，雜(za)以(yi)消導，繼(ji)則峻投攻(gong)下，或(huo)妄用(yong)溫(wen)(wen)補，輕(qing)者(zhe)(zhe)以(yi)重，重者(zhe)(zhe)以(yi)死(si)(si)，幸(xing)免(mian)則自(zi)(zi)(zi)謂(wei)(wei)(wei)己功，致死(si)(si)則不(bu)(bu)(bu)言(yan)己過。即病(bing)(bing)者(zhe)(zhe)亦(yi)但知膏肓難挽(wan)，而(er)(er)(er)(er)(er)(er)(er)(er)不(bu)(bu)(bu)悟(wu)(wu)藥(yao)石(shi)殺人(ren)，父以(yi)授子，師以(yi)傳(chuan)弟，舉世(shi)同風(feng)(feng)，牢(lao)不(bu)(bu)(bu)可(ke)破，肺腑(fu)無(wu)(wu)語，冤鬼夜嗥，二(er)千余年，略(lve)(lve)同一(yi)(yi)轍(che)，可(ke)勝(sheng)慨哉!我(wo)朝治(zhi)(zhi)(zhi)洽學(xue)明(ming)(ming)，名(ming)賢(xian)輩出(chu)，咸(xian)(xian)知溯(su)原(yuan)《靈》、《素(su)》，問道長沙。自(zi)(zi)(zi)吳(wu)人(ren)葉天(tian)士氏(shi)《溫(wen)(wen)病(bing)(bing)論(lun)》、《溫(wen)(wen)病(bing)(bing)續論(lun)》出(chu)，然(ran)(ran)后當名(ming)辨物，好學(xue)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)士，咸(xian)(xian)知向(xiang)方(fang)(fang)(fang)，而(er)(er)(er)(er)(er)(er)(er)(er)貪(tan)常習(xi)故(gu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)流(liu)，猶且各(ge)是師說(shuo)，惡聞(wen)至論(lun)，其(qi)(qi)(qi)粗工(gong)則又(you)略(lve)(lve)知疏(shu)(shu)節，未達精(jing)旨(zhi)，施之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)于(yu)用(yong)，罕(han)得(de)十全。吾友鞠通(tong)吳(wu)子，懷救(jiu)世(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)心(xin)，秉(bing)超(chao)悟(wu)(wu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)哲，嗜(shi)學(xue)不(bu)(bu)(bu)厭，研理務精(jing)，抗志以(yi)希古(gu)人(ren)，虛心(xin)而(er)(er)(er)(er)(er)(er)(er)(er)師百氏(shi)，病(bing)(bing)斯世(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)貿(mao)貿(mao)也(ye)(ye)，述(shu)先(xian)賢(xian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)格言(yan)，攄生平之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)心(xin)得(de)，窮源(yuan)竟委(wei)，作為是書(shu)(shu)(shu)，然(ran)(ran)猶未敢自(zi)(zi)(zi)信(xin)(xin)，且懼世(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)未信(xin)(xin)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)也(ye)(ye)，藏諸笥者(zhe)(zhe)久之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。予(yu)謂(wei)(wei)(wei)學(xue)者(zhe)(zhe)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)心(xin)，固(gu)無(wu)(wu)自(zi)(zi)(zi)信(xin)(xin)時(shi)(shi)也(ye)(ye)，然(ran)(ran)以(yi)天(tian)下至多之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)病(bing)(bing)，而(er)(er)(er)(er)(er)(er)(er)(er)竟無(wu)(wu)應病(bing)(bing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)方(fang)(fang)(fang)，幸(xing)而(er)(er)(er)(er)(er)(er)(er)(er)得(de)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，亟宜出(chu)而(er)(er)(er)(er)(er)(er)(er)(er)公之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，譬如(ru)(ru)拯溺(ni)救(jiu)焚，豈待整冠束發，況乎心(xin)理無(wu)(wu)異，大道不(bu)(bu)(bu)孤，是書(shu)(shu)(shu)一(yi)(yi)出(chu)，子云其(qi)(qi)(qi)人(ren)，必(bi)(bi)當旦暮(mu)遇(yu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，且將有(you)(you)闡(chan)(chan)明(ming)(ming)其(qi)(qi)(qi)意，裨(bi)補其(qi)(qi)(qi)疏(shu)(shu)，使夭札(zha)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)民，咸(xian)(xian)登仁壽者(zhe)(zhe)，此(ci)天(tian)下后世(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)幸(xing)，亦(yi)吳(wu)子之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)幸(xing)也(ye)(ye)。若(ruo)夫折楊皇荂，聽(ting)然(ran)(ran)而(er)(er)(er)(er)(er)(er)(er)(er)笑，陽春(chun)白雪，和僅數人(ren)，自(zi)(zi)(zi)古(gu)如(ru)(ru)斯，知我(wo)罪我(wo)，一(yi)(yi)任(ren)當世(shi)，豈不(bu)(bu)(bu)善乎！吳(wu)子以(yi)為然(ran)(ran)，遂相與評騭而(er)(er)(er)(er)(er)(er)(er)(er)授之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)梓(zi)。

嘉慶十七年(nian)壯月既望(wang)同里(li)弟汪廷珍謹(jin)序

溫病條辨徵序

立(li)(li)天(tian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)道，曰(yue)陰(yin)(yin)與(yu)陽，立(li)(li)地之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)道，曰(yue)柔與(yu)剛(gang)，立(li)(li)人(ren)(ren)(ren)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)道，曰(yue)仁與(yu)義(yi)。醫，仁道也(ye)(ye)(ye)，而(er)(er)(er)(er)(er)(er)(er)必(bi)智(zhi)以(yi)(yi)(yi)先之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，勇以(yi)(yi)(yi)副之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，仁以(yi)(yi)(yi)成之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。智(zhi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)所(suo)(suo)(suo)到，湯液針灸任施，無(wu)(wu)處不(bu)(bu)(bu)當(dang);否則(ze)鹵莽不(bu)(bu)(bu)經(jing)，草菅民命矣(yi)。獨(du)是聰明(ming)者(zhe)(zhe)(zhe)予智(zhi)自(zi)(zi)雄(xiong)，涉獵(lie)者(zhe)(zhe)(zhe)穿鑿為智(zhi)，皆非(fei)(fei)也(ye)(ye)(ye)。必(bi)也(ye)(ye)(ye)博覽載籍，上(shang)下(xia)古(gu)(gu)今(jin)，目如電，心(xin)如發(fa)，智(zhi)足以(yi)(yi)(yi)周乎(hu)萬物，而(er)(er)(er)(er)(er)(er)(er)后(hou)(hou)(hou)可以(yi)(yi)(yi)道濟天(tian)下(xia)也(ye)(ye)(ye)。在昔有(you)(you)熊御極，生(sheng)而(er)(er)(er)(er)(er)(er)(er)神靈，猶師資于(yu)(yu)僦貸(dai)季(ji)、岐(qi)伯(bo)，而(er)(er)(er)(er)(er)(er)(er)《內經(jing)》作。周秦而(er)(er)(er)(er)(er)(er)(er)降(jiang)，代有(you)(you)智(zhi)人(ren)(ren)(ren)。東(dong)漢長沙(sha)而(er)(er)(er)(er)(er)(er)(er)外，能(neng)徑窺軒岐(qi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)壺奧者(zhe)(zhe)(zhe)，指不(bu)(bu)(bu)多(duo)屈。外是纚一(yi)(yi)家(jia)言，爭著為書，曾(ceng)未見長沙(sha)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)項背者(zhe)(zhe)(zhe)比比。所(suo)(suo)(suo)以(yi)(yi)(yi)醫方(fang)(fang)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)祖(zu)，必(bi)推仲(zhong)(zhong)景(jing)，而(er)(er)(er)(er)(er)(er)(er)仲(zhong)(zhong)景(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)方(fang)(fang)，首(shou)重傷寒(han)(han)(han)，人(ren)(ren)(ren)皆宗之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。自(zi)(zi)晉王叔和編(bian)次《傷寒(han)(han)(han)論》，則(ze)割(ge)裂附(fu)會矣(yi)。王好古(gu)(gu)輩(bei)著《傷寒(han)(han)(han)續編(bian)》、《傷寒(han)(han)(han)類(lei)證(zheng)》等書，俗(su)眼易(yi)明(ming)，人(ren)(ren)(ren)多(duo)便之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)。金元以(yi)(yi)(yi)后(hou)(hou)(hou)，所(suo)(suo)(suo)謂(wei)仲(zhong)(zhong)景(jing)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)道，日晦一(yi)(yi)日。嗟夫(fu)!晚近(jin)庸質(zhi)，不(bu)(bu)(bu)知仲(zhong)(zhong)景(jing)，寧(ning)識(shi)(shi)傷寒(han)(han)(han)?不(bu)(bu)(bu)知傷寒(han)(han)(han)，寧(ning)識(shi)(shi)溫(wen)(wen)病?遂至以(yi)(yi)(yi)治寒(han)(han)(han)者(zhe)(zhe)(zhe)治溫(wen)(wen)。自(zi)(zi)唐宋迄今(jin)，千古(gu)(gu)一(yi)(yi)轍，何勝浩嘆!然則(ze)其(qi)法當(dang)何如?日:天(tian)地陰(yin)(yin)陽，日月水火，罔非(fei)(fei)對待之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)理，人(ren)(ren)(ren)自(zi)(zi)習焉(yan)(yan)不(bu)(bu)(bu)察;《內經(jing)》平列六氣，人(ren)(ren)(ren)自(zi)(zi)不(bu)(bu)(bu)解耳(er)。傷寒(han)(han)(han)為法，法在救(jiu)陽;溫(wen)(wen)熱為法，法在救(jiu)陰(yin)(yin)。明(ming)明(ming)兩(liang)大(da)法門，豈可張冠(guan)李戴耶!假令(ling)長沙(sha)復(fu)起，必(bi)不(bu)(bu)(bu)以(yi)(yi)(yi)傷寒(han)(han)(han)法治溫(wen)(wen)也(ye)(ye)(ye)。仆(pu)不(bu)(bu)(bu)敏，年少力學，搜求經(jing)史(shi)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)余(yu)，偶及方(fang)(fang)書，心(xin)竊(qie)為之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)怦怦，自(zi)(zi)謂(wei)為人(ren)(ren)(ren)子者(zhe)(zhe)(zhe)當(dang)知之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，然有(you)(you)志焉(yan)(yan)而(er)(er)(er)(er)(er)(er)(er)未逮(dai)也(ye)(ye)(ye)。乾隆丁未春，萱堂(tang)弗(fu)豫，即以(yi)(yi)(yi)時溫(wen)(wen)見背。悲憤余(yu)生(sheng)，無(wu)(wu)以(yi)(yi)(yi)自(zi)(zi)贖，誓(shi)必(bi)欲(yu)精于(yu)(yu)此(ci)(ci)道。廬墓之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)中，環列近(jin)代醫書，朝研(yan)而(er)(er)(er)(er)(er)(er)(er)夕(xi)究，茫(mang)茫(mang)無(wu)(wu)所(suo)(suo)(suo)發(fa)明(ming)。求諸(zhu)師友，瀏覽名家(jia)，冀(ji)有(you)(you)以(yi)(yi)(yi)啟迪之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，則(ze)所(suo)(suo)(suo)知惟糟粕。上(shang)溯而(er)(er)(er)(er)(er)(er)(er)及于(yu)(yu)漢唐，洊至《靈樞》、《素(su)問》諸(zhu)經(jing)，捧(peng)讀(du)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)余(yu)，往往聲與(yu)淚俱。久之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)別有(you)(you)會心(xin)，十(shi)年而(er)(er)(er)(er)(er)(er)(er)后(hou)(hou)(hou)，汨(mi)汨(mi)焉(yan)(yan)若心(xin)花之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)漫開，覺古(gu)(gu)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)人(ren)(ren)(ren)原非(fei)(fei)愚我(wo)，我(wo)自(zi)(zi)愚耳(er)。離經(jing)泥古(gu)(gu)，厥罪惟均，讀(du)書所(suo)(suo)(suo)貴(gui)，得間后(hou)(hou)(hou)可。友人(ren)(ren)(ren)吳(wu)子鞠(ju)通(tong)，通(tong)儒也(ye)(ye)(ye)，以(yi)(yi)(yi)穎悟之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)才，而(er)(er)(er)(er)(er)(er)(er)好古(gu)(gu)敏求，其(qi)學醫之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)志，略(lve)同于(yu)(yu)仆(pu)，近(jin)師承于(yu)(yu)葉氏，而(er)(er)(er)(er)(er)(er)(er)遠追蹤乎(hu)仲(zhong)(zhong)景(jing)。其(qi)臨證(zheng)也(ye)(ye)(ye)，雖(sui)(sui)遇(yu)危疾，不(bu)(bu)(bu)避(bi)嫌(xian)怨。其(qi)處方(fang)(fang)也(ye)(ye)(ye)，一(yi)(yi)遵《內經(jing)》，效法仲(zhong)(zhong)祖(zu)。其(qi)用藥(yao)也(ye)(ye)(ye)，隨其(qi)證(zheng)而(er)(er)(er)(er)(er)(er)(er)輕重之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)，而(er)(er)(er)(er)(er)(er)(er)功若桴鼓。其(qi)殆智(zhi)而(er)(er)(er)(er)(er)(er)(er)勇，勇而(er)(er)(er)(er)(er)(er)(er)仁者(zhe)(zhe)(zhe)哉(zai)!嘉慶(qing)甲(jia)子，出所(suo)(suo)(suo)著治溫(wen)(wen)法示余(yu)，余(yu)向之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)急欲(yu)訂正者(zhe)(zhe)(zhe)，今(jin)乃發(fa)復(fu)析疑，力矯前(qian)(qian)非(fei)(fei)，如撥云(yun)見日，寧(ning)不(bu)(bu)(bu)快(kuai)哉(zai)!閱(yue)十(shi)稔而(er)(er)(er)(er)(er)(er)(er)后(hou)(hou)(hou)告成，名曰(yue)《溫(wen)(wen)病條辨》。末附(fu)三卷(juan)，其(qi)一(yi)(yi)為條辨之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)翼，余(yu)二卷(juan)約幼科(ke)、產(chan)后(hou)(hou)(hou)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)大(da)綱，皆前(qian)(qian)人(ren)(ren)(ren)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)不(bu)(bu)(bu)明(ming)六氣而(er)(er)(er)(er)(er)(er)(er)致誤者(zhe)(zhe)(zhe)，莫不(bu)(bu)(bu)獨(du)出心(xin)裁，發(fa)前(qian)(qian)人(ren)(ren)(ren)所(suo)(suo)(suo)未發(fa)。嗚(wu)呼!昌(chang)黎有(you)(you)云(yun):“莫為之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)前(qian)(qian)，雖(sui)(sui)美弗(fu)彰;莫為之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)后(hou)(hou)(hou)，雖(sui)(sui)圣弗(fu)傳(chuan)。”此(ci)(ci)編(bian)既(ji)出，將欲(yu)懸諸(zhu)國門，以(yi)(yi)(yi)博彈射。積(ji)習之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)難革(ge)者(zhe)(zhe)(zhe)，雖(sui)(sui)未必(bi)一(yi)(yi)時盡革(ge)，但能(neng)拾其(qi)緒余(yu)，即可為蒼生(sheng)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)福。數百年后(hou)(hou)(hou)，當(dang)必(bi)有(you)(you)深識(shi)(shi)其(qi)用心(xin)者(zhe)(zhe)(zhe)夫(fu)!然后(hou)(hou)(hou)知此(ci)(ci)編(bian)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)羽翼長沙(sha)，而(er)(er)(er)(er)(er)(er)(er)為長沙(sha)之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功臣(chen)，實亦(yi)有(you)(you)熊氏之(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)(zhi)功臣(chen)也(ye)(ye)(ye)。是為序。

嘉慶癸酉仲秋谷旦蘇(su)完愚弟徵保拜書(shu)

問心(xin)堂溫病條辨(bian)自序

夫立德(de)立功(gong)立言(yan)，圣賢事也(ye)(ye)，塘(tang)(tang)(tang)何(he)人(ren)(ren)斯，敢(gan)以(yi)(yi)(yi)(yi)自(zi)任?緣塘(tang)(tang)(tang)十(shi)九歲時(shi)，父病(bing)(bing)(bing)年(nian)(nian)余(yu)，至(zhi)于(yu)不(bu)(bu)(bu)(bu)(bu)(bu)起(qi)(qi)，塘(tang)(tang)(tang)愧恨(hen)難名，哀痛欲絕，以(yi)(yi)(yi)(yi)為父病(bing)(bing)(bing)不(bu)(bu)(bu)(bu)(bu)(bu)知(zhi)醫(yi)，尚復何(he)顏立天地間，遂購方書(shu)(shu)，伏讀于(yu)苫塊之(zhi)(zhi)(zhi)(zhi)(zhi)余(yu)。至(zhi)張(zhang)長沙“外(wai)逐榮勢，內忘身命”之(zhi)(zhi)(zhi)(zhi)(zhi)論(lun)(lun)，因慨然(ran)棄(qi)舉子(zi)業(ye)，專(zhuan)事方術(shu)。越(yue)四載(zai)，猶子(zi)巧官病(bing)(bing)(bing)溫。初(chu)起(qi)(qi)喉(hou)痹，外(wai)科吹以(yi)(yi)(yi)(yi)冰硼散(san)，喉(hou)遂閉，又(you)(you)遍延諸時(shi)醫(yi)治(zhi)之(zhi)(zhi)(zhi)(zhi)(zhi)，大(da)抵(di)不(bu)(bu)(bu)(bu)(bu)(bu)越(yue)雙解散(san)、人(ren)(ren)參敗毒散(san)之(zhi)(zhi)(zhi)(zhi)(zhi)外(wai)，其(qi)于(yu)溫病(bing)(bing)(bing)治(zhi)法，茫乎(hu)未(wei)(wei)之(zhi)(zhi)(zhi)(zhi)(zhi)聞也(ye)(ye)，后至(zhi)發黃(huang)而(er)死(si)(si)。塘(tang)(tang)(tang)以(yi)(yi)(yi)(yi)初(chu)學(xue)(xue)，未(wei)(wei)敢(gan)妄贊一詞(ci)，然(ran)于(yu)是證，亦(yi)未(wei)(wei)得(de)(de)其(qi)要領。蓋張(zhang)長沙悲宗族之(zhi)(zhi)(zhi)(zhi)(zhi)死(si)(si)，作《玉(yu)函經》，為后世(shi)醫(yi)學(xue)(xue)之(zhi)(zhi)(zhi)(zhi)(zhi)祖(zu)，奈《玉(yu)函》中之(zhi)(zhi)(zhi)(zhi)(zhi)《卒(zu)病(bing)(bing)(bing)論(lun)(lun)》，亡于(yu)兵火，后世(shi)學(xue)(xue)者，無(wu)從(cong)仿效，遂至(zhi)各起(qi)(qi)異說，得(de)(de)不(bu)(bu)(bu)(bu)(bu)(bu)償失(shi)(shi)。又(you)(you)越(yue)三(san)載(zai)，來(lai)游京(jing)師，檢(jian)校(xiao)《四庫全書(shu)(shu)》，得(de)(de)明季吳(wu)又(you)(you)可(ke)(ke)(ke)《溫疫(yi)論(lun)(lun)》，觀其(qi)議(yi)(yi)論(lun)(lun)宏闊，實有發前人(ren)(ren)所未(wei)(wei)發，遂專(zhuan)心(xin)(xin)學(xue)(xue)步(bu)焉。細察其(qi)法，亦(yi)不(bu)(bu)(bu)(bu)(bu)(bu)免支離(li)駁(bo)雜(za)，大(da)抵(di)功(gong)過兩不(bu)(bu)(bu)(bu)(bu)(bu)相(xiang)掩，蓋用心(xin)(xin)良(liang)苦，而(er)學(xue)(xue)術(shu)未(wei)(wei)精也(ye)(ye)。又(you)(you)遍考(kao)晉唐(tang)以(yi)(yi)(yi)(yi)來(lai)諸賢議(yi)(yi)論(lun)(lun)，非不(bu)(bu)(bu)(bu)(bu)(bu)珠璧琳瑯，求一美備者，蓋不(bu)(bu)(bu)(bu)(bu)(bu)可(ke)(ke)(ke)得(de)(de)，其(qi)何(he)以(yi)(yi)(yi)(yi)傳(chuan)信于(yu)來(lai)茲!塘(tang)(tang)(tang)進與病(bing)(bing)(bing)謀(mou)，退與心(xin)(xin)謀(mou)，十(shi)閱春秋，然(ran)后有得(de)(de)，然(ran)未(wei)(wei)敢(gan)輕(qing)(qing)治(zhi)一人(ren)(ren)。癸丑歲，都下溫疫(yi)大(da)行，諸友強(qiang)起(qi)(qi)塘(tang)(tang)(tang)治(zhi)之(zhi)(zhi)(zhi)(zhi)(zhi)，大(da)抵(di)已成(cheng)壞病(bing)(bing)(bing)，幸存(cun)活數十(shi)人(ren)(ren)，其(qi)死(si)(si)于(yu)世(shi)俗之(zhi)(zhi)(zhi)(zhi)(zhi)手者，不(bu)(bu)(bu)(bu)(bu)(bu)可(ke)(ke)(ke)勝數。嗚呼!生(sheng)民(min)何(he)辜，不(bu)(bu)(bu)(bu)(bu)(bu)死(si)(si)于(yu)病(bing)(bing)(bing)而(er)死(si)(si)于(yu)醫(yi)，是有醫(yi)不(bu)(bu)(bu)(bu)(bu)(bu)若(ruo)無(wu)醫(yi)也(ye)(ye)，學(xue)(xue)醫(yi)不(bu)(bu)(bu)(bu)(bu)(bu)精，不(bu)(bu)(bu)(bu)(bu)(bu)若(ruo)不(bu)(bu)(bu)(bu)(bu)(bu)學(xue)(xue)醫(yi)也(ye)(ye)。因有志采輯歷(li)(li)代名賢著述(shu)，去其(qi)駁(bo)雜(za)，取(qu)其(qi)精微，間附己意，以(yi)(yi)(yi)(yi)及(ji)考(kao)驗(yan)，合成(cheng)一書(shu)(shu)，名曰《溫病(bing)(bing)(bing)條辨》，然(ran)未(wei)(wei)敢(gan)輕(qing)(qing)易落筆。又(you)(you)歷(li)(li)六年(nian)(nian)，至(zhi)于(yu)戊午，吾鄉汪(wang)瑟庵先生(sheng)促塘(tang)(tang)(tang)曰:來(lai)歲己未(wei)(wei)濕土正化，二(er)氣中溫厲大(da)行，子(zi)盍速(su)成(cheng)是書(shu)(shu)，或者有益于(yu)民(min)生(sheng)乎(hu)!塘(tang)(tang)(tang)愧不(bu)(bu)(bu)(bu)(bu)(bu)敏，未(wei)(wei)敢(gan)自(zi)信，恐以(yi)(yi)(yi)(yi)救人(ren)(ren)之(zhi)(zhi)(zhi)(zhi)(zhi)心(xin)(xin)，獲(huo)欺人(ren)(ren)之(zhi)(zhi)(zhi)(zhi)(zhi)罪(zui)，轉相(xiang)仿效，至(zhi)于(yu)無(wu)窮，罪(zui)何(he)自(zi)贖哉(zai)!然(ran)是書(shu)(shu)不(bu)(bu)(bu)(bu)(bu)(bu)出，其(qi)得(de)(de)失(shi)(shi)終未(wei)(wei)可(ke)(ke)(ke)見，因不(bu)(bu)(bu)(bu)(bu)(bu)揣(chuai)固陋，黽勉成(cheng)章(zhang)，就(jiu)正海內名賢，指其(qi)疵謬，歷(li)(li)為駁(bo)正，將萬(wan)世(shi)賴(lai)之(zhi)(zhi)(zhi)(zhi)(zhi)無(wu)窮期也(ye)(ye)。