{"resource_id":10237,"title":"续医说","format":"md","encoding":"utf-8","chapters":[{"id":"chapter-1","title":"續醫說","sections":[{"id":"chapter-1-section-1","title":"正文","paragraphs":["書名：續醫說","作者：俞弁朝代：明年份：公元1545年"]},{"id":"chapter-1-section-2","title":"序","paragraphs":["屬性：禦寇有言醫者理也理者意也何稽乎理言治意言識得理與意料理於未見曰醫超然望聞者無幾也降則不理不治不識不明斯二者不言不詳以故聖人尚乎辭說者謂經始於軒岐緩鵲輩識其意者也仲景下代有名士有方有論有原有辯有法耿耿與繁星並麗而不磨者聖人以道仁天下起危而養安斯已矣而又立言以臣扶百代其為慮不廣且勤哉神而明之在人子容氏有意焉久矣苦心探賾學以聚之問以辯之精思以強勉之董生曰勉強學問則聞見博知益精然會博而歸約則君子貴乎詳說也是書述古法今事積有歲月得理與意者纂載不遺子容之用心亦勤矣病其繁也故略節取之以講於家塾有就有道意蓋以人之司命不敢肆然而輕耳考其言有先經以始事有後經以終義則系之以經曰示無專也有以脈而辯症有以症而辯劑的之已見者則系之以餘曰示無私也得之前烈參之時賢者則系之曰某人曰示無掩焉蓋得於意則見於言本始以清其源推委以別其流酌中隨時以明其宜以通其變而參伍設定尚其權也有論而無方神其用也祖乎帝繼其志也徵諸今尚時也文以足志達其意也削屢而成什要諸理而止也博而要辯而精簡而核跡其所到真可究之施行者矣殆與醫案醫原則從起者吾諒其惑焉子容姓俞名弁以翁約齋號故自附曰守約雲"]},{"id":"chapter-1-section-3","title":"\\x嘉靖甲午卿貢進士白海吳恩序","paragraphs":[]},{"id":"chapter-1-section-4","title":"敘","paragraphs":["屬性：太史公作史記傳淳于公備書其所奏治病死生驗者主名病狀診候方藥具悉不遺夫史必關天下之故而書紀傳所略者亦眾矣而何獨詳於一藝焉嗟乎人之所病病疾多醫之所病病道少苟有明效大驗章章若是而可不大而傳之乎蓋將以析同異極變化決嫌疑定可治求合先聖之道以立度量於萬世軒岐尹鵲之空言由是不誣其所開豈小小哉餘友俞子容氏好數喜書其身所取效者無慮數十既皆表而籍之乃益取近世名人文集雜紀有裨於醫者及耳目所睹記得失論而附焉名曰續醫說來求餘為序餘以自漢以遠良工數人代有作者論針砭則祖素難言本草則宗湯液說脈法則推叔和述方論則稱仲景塗轍雖殊要皆有利於物然學人視為術數小道致遠恐泥縉紳先生不道焉而倉公獨賴史遷之文至今交於學士大夫之口是知為術雖精取效雖多診籍雖詳非文無以傳也今子容所纂其大者既有以拾四子之遺探三聖之奧析同異極變化決嫌疑定可治而尤不專專於一方一論之微每於先正鉅偽之言有取焉可以知其志之所尚矣視夫醫案脈旨歌括圖說之流果何如哉其傳蓋可必矣","\\x嘉靖丁酉春三月既望\\x","\\x賜進士出身承德即禮部儀制清臾司主事管理制敕長洌陸師道書\\x"]},{"id":"chapter-1-section-5","title":"敘","paragraphs":["屬性：齊梁之人有言曰不明醫術者不得稱為孝子此過論也宋儒謂治病委之庸醫比之不慈不孝事親者不可不知醫斯言旨哉昔之名醫若甄權許智藏李明之朱彥修鹹以母病習醫研精覃思遂究奧妙蓋君子之存心無所不用其至也弁雖不敏癖於論醫或聞師友講談之餘或披閱諸史百家之文凡有會於心者輒手抄以備遺忘積久成FS 為十卷名曰續醫說雲匪敢與古人頡頑將來好事者共之","\\x壬午七月望日敘\\x"]},{"id":"chapter-1-section-6","title":"卷一\\原醫","paragraphs":[]},{"id":"chapter-1-section-7","title":"至人隱醫","paragraphs":["屬性：醫之為道由來尚矣原百病之起愈本乎黃帝辯百藥之味性本乎神農湯液則本乎伊芳尹此三聖人者拯黎元之疾苦替天地之生育其有功於萬世大矣萬世之下深於此道者是亦聖人之徒也賈誼曰古之至人不居朝廷必隱於醫卜孰謂方伎之士豈無豪傑者哉"]},{"id":"chapter-1-section-8","title":"國朝醫學","paragraphs":["屬性：今世之業醫者挾伎以診療者則有之矣求其從師以講習者何鮮也我太祖內設大醫院外設府州縣醫學醫而以學為名蓋欲聚其人以教學既成功而試之然後授以一方衛生之任由是進之以為國醫其嘉惠天下生民也至矣某嘗考成周所以謂之醫師國朝所以立為醫學之故精擇使判以上官聚天下習醫者俾其教之養之讀軒岐之書研張孫之技試之通而後授之職因其長而專其業稽其事以制其祿則天下之人皆無夭閼之患而躋仁壽之域矣是亦王者仁政之一端也(大學衍義補)"]},{"id":"chapter-1-section-9","title":"古之良醫","paragraphs":["屬性：物理論曰夫醫者非仁愛不可託也非聰明理達不可任也非廉潔淳良不可信也是以古之用醫必選名姓之後其德能仁恕博愛其智慧宣暢曲解能知天地神祗之次能明性命吉凶之數處虛實之分定逆順之節原疾FS 之輕重而量藥劑之多少貫微達幽不失細小如此乃謂良醫豈區區俗學人能之哉(初學記)"]},{"id":"chapter-1-section-10","title":"醫儒同道","paragraphs":["屬性：金華戴叔能曰醫以活人為務與吾儒道最切近自唐書列之技藝而吾儒不屑為之世之習醫者不過誦一家之成說守一定之方以幸其病之偶中不復深探遠索上求聖賢之意以明夫陰陽造化之會歸又不能博極群書採擇眾議以資論治之權變甚者至於屏棄古方附會臆見展轉以相迷而其為患不少矣是豈聖賢慈惠生民之本意哉(九靈山房集)"]},{"id":"chapter-1-section-11","title":"醫不三世","paragraphs":["屬性：宋景濂雲古之醫師必通於三世之書所謂三世者一曰針灸二曰神農本草三曰素問脈經脈經所以察證本草所以辯藥針灸所以祛疾非是三者不足以言醫故記禮者有云醫不三世不服其藥而傳經者乃以父子相承為三世何其惑歟噫古之豪傑自振者不能悉舉若李東垣朱丹溪滑伯仁輩皆非世傳而精造醫術屢起危殆著書立言為後學楷範初不聞其父子相傳也是知醫在讀書而不在於三世明矣"]},{"id":"chapter-1-section-12","title":"醫貴權變","paragraphs":["屬性：王忠文公( )雲李明之弟子多在中州獨劉守真之學傳之荊山浮圖師師至江南傳之 中人羅知悌而南方之醫皆宗之矣及國朝天下之言醫者非劉氏之學弗道也劉李之法雖攻補不同會而通之隨症而用之不行其存乎近時吾吳中稱良醫師則以能持東垣者謂之王持張劉者謂之伯噫堯舜以揖讓湯武以干戈苟合道濟世何必曰同餘嘗病世之專於攻伐者邪氣未退而真氣先滿然矣專於補養者或致氣道壅塞為禍不少正氣未復而邪氣愈熾矣古人有云藥貴合宜法當應變泥其常者人參反以殺人通其變者烏頭可以活命孫真人所謂隨時增損物無定方真知言哉"]},{"id":"chapter-1-section-13","title":"視時盛衰","paragraphs":["屬性：葛震父云為醫當視時之盛衰劉守真張子和輩值金人強盛民悍氣剛故多用宣洩之法及其衰也兵革之餘饑饉相仍民勞志苦故張潔古李東垣輩多加補益之功至若宋之季年醫者大抵務守護元氣而不識攻伐之機能養病而不能治病其失在於不知通變也王好古云大定間醫者用防風通聖散盛行於世而多效何哉雖市井之徒口腹備衣服全心志樂而形不苦是以多效而少失或遇擾攘之世饑饉之年HT 鹽糟糠猶不能充況加以值天地肅殺之運豈可一例用涼藥如承平之時豐稔之歲哉殊不知張仲景用桂枝於當漢之末韓祗和則戒用桂枝於當宋之隆此亦因時而用藥者也"]},{"id":"chapter-1-section-14","title":"輕自制方","paragraphs":["屬性：東垣丹溪之書大行於世今之醫者見其不用古方率皆效顰輒自制方治"]}]}],"toc":[{"id":"chapter-1-section-1","chapter_title":"續醫說","section_title":"正文","is_available":true},{"id":"chapter-1-section-2","chapter_title":"續醫說","section_title":"序","is_available":true},{"id":"chapter-1-section-3","chapter_title":"續醫說","section_title":"\\x嘉靖甲午卿貢進士白海吳恩序","is_available":true},{"id":"chapter-1-section-4","chapter_title":"續醫說","section_title":"敘","is_available":true},{"id":"chapter-1-section-5","chapter_title":"續醫說","section_title":"敘","is_available":true},{"id":"chapter-1-section-6","chapter_title":"續醫說","section_title":"卷一\\原醫","is_available":true},{"id":"chapter-1-section-7","chapter_title":"續醫說","section_title":"至人隱醫","is_available":true},{"id":"chapter-1-section-8","chapter_title":"續醫說","section_title":"國朝醫學","is_available":true},{"id":"chapter-1-section-9","chapter_title":"續醫說","section_title":"古之良醫","is_available":true},{"id":"chapter-1-section-10","chapter_title":"續醫說","section_title":"醫儒同道","is_available":true},{"id":"chapter-1-section-11","chapter_title":"續醫說","section_title":"醫不三世","is_available":true},{"id":"chapter-1-section-12","chapter_title":"續醫說","section_title":"醫貴權變","is_available":true},{"id":"chapter-1-section-13","chapter_title":"續醫說","section_title":"視時盛衰","is_available":true},{"id":"chapter-1-section-14","chapter_title":"續醫說","section_title":"輕自制方","is_available":true}],"plain_text":"# 續醫說\n書名：續醫說\n作者：俞弁朝代：明年份：公元1545年\n## 序\n屬性：禦寇有言醫者理也理者意也何稽乎理言治意言識得理與意料理於未見曰醫超然望聞者無幾也降則不理不治不識不明斯二者不言不詳以故聖人尚乎辭說者謂經始於軒岐緩鵲輩識其意者也仲景下代有名士有方有論有原有辯有法耿耿與繁星並麗而不磨者聖人以道仁天下起危而養安斯已矣而又立言以臣扶百代其為慮不廣且勤哉神而明之在人子容氏有意焉久矣苦心探賾學以聚之問以辯之精思以強勉之董生曰勉強學問則聞見博知益精然會博而歸約則君子貴乎詳說也是書述古法今事積有歲月得理與意者纂載不遺子容之用心亦勤矣病其繁也故略節取之以講於家塾有就有道意蓋以人之司命不敢肆然而輕耳考其言有先經以始事有後經以終義則系之以經曰示無專也有以脈而辯症有以症而辯劑的之已見者則系之以餘曰示無私也得之前烈參之時賢者則系之曰某人曰示無掩焉蓋得於意則見於言本始以清其源推委以別其流酌中隨時以明其宜以通其變而參伍設定尚其權也有論而無方神其用也祖乎帝繼其志也徵諸今尚時也文以足志達其意也削屢而成什要諸理而止也博而要辯而精簡而核跡其所到真可究之施行者矣殆與醫案醫原則從起者吾諒其惑焉子容姓俞名弁以翁約齋號故自附曰守約雲\n## \\x嘉靖甲午卿貢進士白海吳恩序\n## 敘\n屬性：太史公作史記傳淳于公備書其所奏治病死生驗者主名病狀診候方藥具悉不遺夫史必關天下之故而書紀傳所略者亦眾矣而何獨詳於一藝焉嗟乎人之所病病疾多醫之所病病道少苟有明效大驗章章若是而可不大而傳之乎蓋將以析同異極變化決嫌疑定可治求合先聖之道以立度量於萬世軒岐尹鵲之空言由是不誣其所開豈小小哉餘友俞子容氏好數喜書其身所取效者無慮數十既皆表而籍之乃益取近世名人文集雜紀有裨於醫者及耳目所睹記得失論而附焉名曰續醫說來求餘為序餘以自漢以遠良工數人代有作者論針砭則祖素難言本草則宗湯液說脈法則推叔和述方論則稱仲景塗轍雖殊要皆有利於物然學人視為術數小道致遠恐泥縉紳先生不道焉而倉公獨賴史遷之文至今交於學士大夫之口是知為術雖精取效雖多診籍雖詳非文無以傳也今子容所纂其大者既有以拾四子之遺探三聖之奧析同異極變化決嫌疑定可治而尤不專專於一方一論之微每於先正鉅偽之言有取焉可以知其志之所尚矣視夫醫案脈旨歌括圖說之流果何如哉其傳蓋可必矣\n\\x嘉靖丁酉春三月既望\\x\n\\x賜進士出身承德即禮部儀制清臾司主事管理制敕長洌陸師道書\\x\n## 敘\n屬性：齊梁之人有言曰不明醫術者不得稱為孝子此過論也宋儒謂治病委之庸醫比之不慈不孝事親者不可不知醫斯言旨哉昔之名醫若甄權許智藏李明之朱彥修鹹以母病習醫研精覃思遂究奧妙蓋君子之存心無所不用其至也弁雖不敏癖於論醫或聞師友講談之餘或披閱諸史百家之文凡有會於心者輒手抄以備遺忘積久成FS 為十卷名曰續醫說雲匪敢與古人頡頑將來好事者共之\n\\x壬午七月望日敘\\x\n## 卷一\\原醫\n## 至人隱醫\n屬性：醫之為道由來尚矣原百病之起愈本乎黃帝辯百藥之味性本乎神農湯液則本乎伊芳尹此三聖人者拯黎元之疾苦替天地之生育其有功於萬世大矣萬世之下深於此道者是亦聖人之徒也賈誼曰古之至人不居朝廷必隱於醫卜孰謂方伎之士豈無豪傑者哉\n## 國朝醫學\n屬性：今世之業醫者挾伎以診療者則有之矣求其從師以講習者何鮮也我太祖內設大醫院外設府州縣醫學醫而以學為名蓋欲聚其人以教學既成功而試之然後授以一方衛生之任由是進之以為國醫其嘉惠天下生民也至矣某嘗考成周所以謂之醫師國朝所以立為醫學之故精擇使判以上官聚天下習醫者俾其教之養之讀軒岐之書研張孫之技試之通而後授之職因其長而專其業稽其事以制其祿則天下之人皆無夭閼之患而躋仁壽之域矣是亦王者仁政之一端也(大學衍義補)\n## 古之良醫\n屬性：物理論曰夫醫者非仁愛不可託也非聰明理達不可任也非廉潔淳良不可信也是以古之用醫必選名姓之後其德能仁恕博愛其智慧宣暢曲解能知天地神祗之次能明性命吉凶之數處虛實之分定逆順之節原疾FS 之輕重而量藥劑之多少貫微達幽不失細小如此乃謂良醫豈區區俗學人能之哉(初學記)\n## 醫儒同道\n屬性：金華戴叔能曰醫以活人為務與吾儒道最切近自唐書列之技藝而吾儒不屑為之世之習醫者不過誦一家之成說守一定之方以幸其病之偶中不復深探遠索上求聖賢之意以明夫陰陽造化之會歸又不能博極群書採擇眾議以資論治之權變甚者至於屏棄古方附會臆見展轉以相迷而其為患不少矣是豈聖賢慈惠生民之本意哉(九靈山房集)\n## 醫不三世\n屬性：宋景濂雲古之醫師必通於三世之書所謂三世者一曰針灸二曰神農本草三曰素問脈經脈經所以察證本草所以辯藥針灸所以祛疾非是三者不足以言醫故記禮者有云醫不三世不服其藥而傳經者乃以父子相承為三世何其惑歟噫古之豪傑自振者不能悉舉若李東垣朱丹溪滑伯仁輩皆非世傳而精造醫術屢起危殆著書立言為後學楷範初不聞其父子相傳也是知醫在讀書而不在於三世明矣\n## 醫貴權變\n屬性：王忠文公( )雲李明之弟子多在中州獨劉守真之學傳之荊山浮圖師師至江南傳之 中人羅知悌而南方之醫皆宗之矣及國朝天下之言醫者非劉氏之學弗道也劉李之法雖攻補不同會而通之隨症而用之不行其存乎近時吾吳中稱良醫師則以能持東垣者謂之王持張劉者謂之伯噫堯舜以揖讓湯武以干戈苟合道濟世何必曰同餘嘗病世之專於攻伐者邪氣未退而真氣先滿然矣專於補養者或致氣道壅塞為禍不少正氣未復而邪氣愈熾矣古人有云藥貴合宜法當應變泥其常者人參反以殺人通其變者烏頭可以活命孫真人所謂隨時增損物無定方真知言哉\n## 視時盛衰\n屬性：葛震父云為醫當視時之盛衰劉守真張子和輩值金人強盛民悍氣剛故多用宣洩之法及其衰也兵革之餘饑饉相仍民勞志苦故張潔古李東垣輩多加補益之功至若宋之季年醫者大抵務守護元氣而不識攻伐之機能養病而不能治病其失在於不知通變也王好古云大定間醫者用防風通聖散盛行於世而多效何哉雖市井之徒口腹備衣服全心志樂而形不苦是以多效而少失或遇擾攘之世饑饉之年HT 鹽糟糠猶不能充況加以值天地肅殺之運豈可一例用涼藥如承平之時豐稔之歲哉殊不知張仲景用桂枝於當漢之末韓祗和則戒用桂枝於當宋之隆此亦因時而用藥者也\n## 輕自制方\n屬性：東垣丹溪之書大行於世今之醫者見其不用古方率皆效顰輒自制方治","is_preview":true,"preview_page_limit":10}