人知人，退不能爱身知己，遇灾值祸，身居厄地，蒙蒙昧昧，蠢若游魂。哀乎！趋世之
士，驰竞浮华，不固根本，忘躯徇物，危若冰谷，至于是也。
余宗族素多，向余二百，建安纪年以来，犹未十年，其死亡者，三分有二，伤寒十
居其七。感往昔之沦丧，伤横夭之莫救，乃勤求古训，博采众方，撰用《素问》、《九卷》、
《八十一难》、《阴阳大论》、《胎胪药录》，并平脉辨证，为《伤寒杂病论》合十六卷，虽
未能尽愈诸病，庶可以见病知源，若能寻余所集，思过半矣。
夫天布五行，以运万类，人禀五常，以有五藏，经络府俞，阴阳会通，玄冥幽微，
变化难极，自非才高识妙，岂能探其理致哉！上古有神农、黄帝、歧伯、伯高、雷公、
少俞、少师、仲文，中世有长桑、扁鹊，汉有公乘阳庆及仓公，下此以往，未之闻也。
观今之医，不念思求经旨，以演其所知，各承家技，终始顺旧，省疾问病，务在口给。
相对斯须，便处汤药，按寸不及尺，握手不及足，人迎趺阳，三部不参，动数发息，不
满五十，短期未知决诊，九候曾无仿佛，明堂阙庭，尽不见察，所谓窥管而已。夫欲视
死别生，实为难矣。
孔子云：生而知之者上，学则亚之，多闻博识，知之次也。余宿尚方术，请事斯语。
汉长沙太守南阳张机序
伤寒杂病论义疏
—9—
例言
一、本论经文，根据张传秘本，共十六卷。是否复建安之旧，无从引证，以俟海内
明哲，共相研讨。
二、按世传《伤寒论》，以宋刊林亿校本为最古。其《千金方》所载，与林本间有出
入。今以张本与林本对勘，凡字句增损不同之处，各附记本条之下，并标林本为通行本，
名张本为古本，以资识别，以各本皆自林本翻刻故也。其余笺释诸家，各有更易删削，
悉出己意，不足引据。
三、凡古本经文，全条为通行本所无者，注
“通行本佚”四字于各条之下，其古本
字句为通行本所缺者，注
“通行本缺”四字于各字句之下。
四、义疏之名，仿古德诠经之例。义者，本昆湘先生述师传之大义，汇以尊闻所得，
述正义以释论旨之谓。疏者，由不肖疏通引证，演绎以释本义者也。因医经专名，每难
据训诂为释，且疏义含意甚多，不得不注中加注，俾便研讨。大旨皆参证《灵》、《素》，
发挥师说，间有比类辞达之难，绝无向壁虚造之见。学者沉潜钻仰，自得平辨一贯之用，
知圣作明述之道，决非妄想思维所能亿中而幸得也。
五、近者环海交通，西学东渐，其生理、病理之谈，多可发明古义，疏中间加引证，
取印经旨，原以明殊途之同归，非求执两端而共治。生理既无中外之分，病理宁有东西
之隔？但西学偏重形质，国学偏重气化。质力即体用之殊，形气非水火之异。上工因气
求形，因形知气，如广域内之观，必求形气之合。为学日新，后来争胜，本疏聊为洋溢
国学之先导云尔（为学日新，后来争胜，挽近国医之新着，或兼采中西之说，或料简二者之间，沟通
未能，故步先失。不佞于丁卯岁，草国医科学化讲稿近五万言，流通不多，大旨述整理国医学之意见。
所谓科学化者，在求诊治之定理定义，非参合声、光、化、电之说，便为科学化也。如不能得定理、定
义，即西医病理、诊断诸书，其中亦多不全科学之处。科学化之意义，幸勿误解）。
六、《义疏》以演绎师传、救世疾苦为旨，中间草创十年，稿凡屡易，仍惭奥义难达，
润色未周。凡昆湘与不佞经验赏析所得，一皆和会其中，不敢稍存近名之意。或有未安
之处，一俟再版时补正。
七、论旨博大深奥，钻仰难穷。且古无病理、生理专书，凡府藏、气血变化之用，
伤寒杂病论义疏
—10—
皆随文散见，读者会通为难。爰约义疏大义，引证中西，别为《达旨》两卷，冠于篇首，
兹以争待汗青，尚多未尽洽心之处，拟于再版时加入，或加紧印单行，就教海内，以期
学与年进，庶得多所贡献也（《达旨》大意，在引证中西，俾西方学者得国医之认识。内容分纳外
合于府藏，约病源以气血，寓神机于形质，归病变于体秉。明阴阳，演五行，统六气，分六经。外感明
六气杂合之分，内伤分府藏干移之辨，终之以平脉辨证、制方、权轻重，示医道研精之次第）。
八、国学十二经脉度之发明，由上古圣神，以定功得之内照，故旧释一名内景。井
荣原合，各有尺寸，按穴行针，历验无爽。既非下学所能亲证，更非世智所能妄参。但
针法宜详经穴，若汤液平脉辨证之用，则惟在求府藏、气血之功用性情，明经络运化之
升降出入。邪有干移，证有传变，不可据俞穴以定治，尤难依部位而分经，抄袭陈言，
无裨诊道。故本疏于经脉起止，一概从略。学者欲广参证，自有经籍可考。
九、前年曾由何芸樵主席手写论文行世，因军事倥偬，校准之处，尚多未及改正，
急于印行，不免亥豕。兹刻重加精校，非经文之有出入也。
伤寒杂病论义疏
—11—
目录
整理说明····················································2
自序一
············································3
自序二
············································5
何序············································6
曹序············································7
原序············································8
例言············································9
目录··········································
11
伤寒杂病论义疏卷一上
························1
平脉法第一········································1
伤寒杂病论义疏卷一下
······················36
平脉法第一······································36
伤寒杂病论义疏卷二上
······················51
平脉法第二······································51
伤寒杂病论义疏卷二下
······················72
平脉法第二······································72
伤寒杂病论义疏卷三
························105
伤寒例第三····································105
麻黄汤方
································
114
白虎汤方
································
115
小柴胡汤方
····························
115
大柴胡汤方
····························
115
茯苓白朮厚朴石膏黄芩甘草汤
方
············································
116
附子细辛黄连黄芩汤方
········
117
桂枝当归半夏芍药黄柏汤方
117
乌梅丸方
································
117
大青龙汤加附子方
················
118
大黄石膏茯苓白朮枳实甘草汤
方
············································
119
当归附子人参黄连黄柏汤方
119
伤寒杂病论义疏卷四
························126
辨温病脉证并治第四
····················126
小柴胡加黄连丹皮汤方
········128
干地黄知母黄连阿胶汤方
····129
白虎汤方·································129
石膏黄连黄芩汤方·················130
大黄黄芩丹皮干地黄汤方·····130
防风黄芩栀子丹皮芍药汤方·131
猪苓汤加黄连丹皮方·············132
黄连黄芩阿胶汤方·················133
黄芩石膏杏子汤方·················134
干地黄黄柏秦皮茯苓泽泻汤方
·················································134
大黄黄连地黄丹皮香蒲汤·····135
茯苓白朮甘草汤方·················135
桂枝汤加黄芩苓丹皮方·········136
白虎汤方·································136
大承气汤方·····························136
小承气汤方·····························136
调胃承气汤方·························136
黄连阿胶汤方·························137
栀子汤方·································139
白虎加干地黄汤方·················139
百合地黄汤加丹皮半夏茯苓汤
方·············································139
疫论·········································141
温疫·········································141
白虎宣秽汤·····························142
大逐疫汤·································142
寒疫·········································143
温里解郁汤·····························143
通瘀荡秽汤·····························143
温寒杂合之疫·························143
小逐疫汤·································144
柴胡分消汤·····························144
伤寒杂病论义疏卷五·························146
辨伤暑脉证并治第五
·····················146
竹叶石膏汤方·························146
人参白虎加黄连阿胶汤·········147
伤寒杂病论义疏
—12—
百合地黄加牡蛎方
················147
瓜蒌茯苓贝母枳实汤
············148
竹茹栝蒌根茯苓半夏汤
········148
白虎加人参汤方
····················149
猪苓加人参汤方
····················149
一物瓜蒂汤方
························150
黄连半夏石膏汤方
················150
当归四逆汤方
···