翻刻
有但裏而不表者、有裏而再裏者、有表裏分伝者、
有表裏分伝而再分伝者、有表勝於裏者、有先表
而後裏者、有先裏而後表者、其間有与傷寒相反
十一事、又有変証兼証、種々不同、並著論制方、一
々弁别、其顕然易見者、則脈在不伏不沈之間、中
取之乃見、舌必有胎、初則白、甚則黄、太甚則黒、而 芒刺也、其謂数百瘟疫之中、乃偶有一傷寒、数百
傷寒之中、乃偶有一陰証、未免矯枉過直、然古人
以瘟疫為雑証、医書徃々附見、不立専門、又或誤
解素問冬傷於寒春必病温之文、妄施治療、有性
因崇禎辛巳、南北直隷、山東浙江大疫、以傷寒法
治之不效、乃推究病源、参稽医案、著為此書、瘟疫
一証、始有縄墨之可守、亦可謂有功於世矣、其書
不甚詮次、似随筆箚録而成、今姑存其旧、其下卷
労復食復条中、載安神養血湯、小児時疫条中、載
太極丸、並有方而無証、又疫痢兼証一条、亦有録
而無書、故别為補遺於末、又正名一篇、傷寒例正
誤一篇、諸家瘟疫正誤一篇、原目不載、蓋成書以
後所続入、今亦併録為一為【巻＝欄外修正】、成完書焉、
現代語訳
ただ裏に現れて表に現れないもの、裏に現れて再び裏に現れるもの、表裏に分かれて伝わるもの、表裏に分かれて伝わってさらに分かれて伝わるもの、表が裏に勝るもの、先に表に現れて後に裏に入るもの、先に裏に入って後に表に現れるものがある。その間には傷寒と相反する十一の事柄があり、また変証や兼証があって、種々異なっており、すべて論を著して処方を制定し、一つ一つ弁別している。その明らかで見やすいものは、脈が伏でも沈でもない間にあり、中程度の力で取ってはじめて見えるものである。舌には必ず苔があり、初めは白く、甚だしければ黄色く、太甚だしければ黒くなって芒刺となる。その「数百の瘟疫の中に、たまたま一つの傷寒があり、数百の傷寒の中に、たまたま一つの陰証がある」という説は、矯正が行き過ぎた嫌いは免れない。しかし古人は瘟疫を雑証とし、医書では往々にして付録として載せ、専門の門を立てることがなく、また或いは素問の「冬に寒に傷つけば春に必ず温病になる」という文を誤解して、みだりに治療を施していた。有性は崇禎辛巳年（1641年）に、南北直隷・山東・浙江で大疫が起こり、傷寒の治法で治療しても効果がなかったため、病源を推究し、医案を参考して稽え、この書を著した。瘟疫という一証について、はじめて守るべき規準ができ、世に功があったと言える。その書はあまり整然と編次されておらず、随筆や札録のように成ったようであるが、今はとりあえずその旧態を存している。その下巻の労復食復の条中には、安神養血湯を載せ、小児時疫の条中には、太極丸を載せているが、いずれも処方はあるが証の記載がない。また疫痢兼証の一条も、録はあるが書の記載がない。故に別に補遺として末尾に加えた。また正名一篇、傷寒例正誤一篇、諸家瘟疫正誤一篇は、原目録に載せられていない。これは成書の後に続けて入れられたものであろう。今はこれも併せて録して一巻とし、完全な書とした。
英語訳
There are cases that manifest only in the interior without appearing in the exterior, cases that manifest in the interior and then manifest in the interior again, cases where the disease transmits separately to both exterior and interior, cases where it transmits separately to exterior and interior and then transmits separately again, cases where the exterior predominates over the interior, cases that first manifest in the exterior and then enter the interior, and cases that first enter the interior and then manifest in the exterior. Among these, there are eleven matters that are contrary to typhoid fever, and there are also variant patterns and combined patterns that differ in various ways. [Wu Youxing] wrote treatises and formulated prescriptions for all of these, distinguishing them one by one. Those that are clearly and easily observable have pulses that are neither hidden nor sunken, becoming apparent only when taken with moderate pressure. The tongue invariably has coating—initially white, becoming yellow when severe, and turning black with thorny projections when extremely severe. His assertion that "among hundreds of epidemic cases, there happens to be only one typhoid case, and among hundreds of typhoid cases, there happens to be only one yin pattern case" inevitably goes too far in correcting the bias. However, ancient physicians treated epidemic diseases as miscellaneous disorders, and medical texts often included them only as appendices without establishing specialized categories. Moreover, they sometimes misinterpreted the passage in the Suwen that "injury by cold in winter inevitably causes warm disease in spring" and applied treatments recklessly. When major epidemics occurred in Southern and Northern Zhili, Shandong, and Zhejiang in the Chongzhen Xinsi year (1641), Youxing found that treating them with typhoid methods was ineffective. He therefore investigated the disease sources, consulted and examined medical case records, and wrote this book. For the first time, epidemic diseases as a clinical entity had reliable standards to follow, which can truly be said to have benefited the world. The book is not very systematically organized and seems to have been composed like random notes and records, but we preserve its original form for now. In the lower volume, the section on relapse due to overexertion and dietary indiscretion includes the "Spirit-Calming Blood-Nourishing Decoction," and the section on pediatric seasonal epidemics includes the "Supreme Ultimate Pill," but both have prescriptions without clinical patterns described. Also, the section on combined epidemic dysentery has records but no written descriptions. Therefore, these were separately added as a supplement at the end. Additionally, the chapters "Rectification of Names," "Corrections of Errors in Typhoid Examples," and "Corrections of Errors in Various Schools' Epidemic Theories" were not included in the original table of contents. These were presumably added after the book's completion. Now they have also been included together as one volume, making it a complete work.