(楫着)
医家存心,当自重,不当自轻。当自谦,不当自傲。当计功,不当计利。当怜
贫,不当谄富。自重必多道气,自轻必无恒心。自谦者,久必学进;自傲者,久必
术疏。计功则用心于治病而伎巧生,计利则用心于肥家而诡诈出。怜贫则不择人而
医,阴德无穷。谄富则不待请而至,卑污莫状。
(明州蒋式金着)
立己宜养重,不宜自轻
吾党既以斯道为己任,则此一人之身,实千万人之所系命者也。必当立志清华,
持躬敦朴,以示吾道之不苟。倘复徇人丧己,径窦甘趋,且非怀珍待聘之心,难免枉寻直尺之诮。
临证宜计功,不宜图利
业以治生。若谓忧道不忧贫,斯不近情之语也。第贪得之念胜,则随在而急欲
奏功。未能殚厥心以从事,有以人图侥幸者矣。是宜 乃身,以祈必济。庶功
成而利亦随之。洵不必撄情得失,而已禄在其中。
持心宜善下,不宜恃能
学问之道,虚己者多助,自恃者罔功。况岐伯之传,义精理奥,岂一人之私智
所能洞测者乎?若彼管窥,狃于一得,遂有蔑视侪类之思。是以安于寡陋,而所业
日荒,古人所以有持满之戒也。良贾深藏,允宜被服。
行道宜怜贫,不宜谄富
炎凉丑态,涉世恒情。吾党虽无是行,而或存是心。每见遇贵介之子,持术惟
患其不精。值窭寒之徒,用意辄邻于忽略。抑思此术,原为救人而设。 独无告者,
更宜加以矜怜。匪第完济世之初心,是亦阴行善之一节。
看书宜辨理,不宜执方
陈言往论,虽古人己试之明验,然神而明之,存乎其人。况五方之风气强弱不
齐,古今人之禀性浓薄亦异。若必执成法而不善变,是何异强方枘以就圆凿也。渊
博之士,宜出自心之玄解,毋泥括帖之旧闻。
治病宜究因,不宜务末
标本之说,昔人论之甚祥。今之图治者,不审其致之之由,而漫施补救。如救
焚者,第扑其燎原之焰,而不灭其火。焰虽熄而火性尚存,终必复燃也。是在培其
根、塞其源,歼厥渠魁,而群丑自向风而遁矣。
处友宜从浓,不宜怀谗
慨自人不古处,交道 衰。在同途共事者,更深操戈下石之惨。不知谮人者,
人亦谮之。曷若息厥雌黄,互相规劝。宏其党类,各借声援。一以收同人之益,一以维声气之穷。
制药宜求精,不宜就简
质本五行,各宜其用,制法咸宗雷公矣。然考诸出处,或一本而根梢异治,或
一味而 咀不同。所产有地土之殊,所藏有新旧之别。慎毋指鹿为马,徒取充宠。
认鲁为鱼,漫夸具眼。致令奇方圣剂,竟介于效与不效之间。不惟无以起沉 ,而适足以损令望。
(Pan Ji wrote)
A physician's mindset should be one of self-respect, not self-deprecation. It should be humble, not arrogant. It should focus on efficacy (Gong, 功), not profit. It should pity the poor, not flatter the rich. Self-respect leads to abundant moral aura; self-deprecation leads to a lack of perseverance. The humble will see their learning advance over time; the arrogant will see their skills become negligent over time. Focusing on efficacy means dedicating oneself to curing diseases, thereby generating skillful techniques; focusing on profit means dedicating oneself to enriching one's family, thereby giving rise to deceit and fraud. Pitying the poor means treating patients without discrimination, accumulating boundless hidden virtue (Yin De, 阴德). Flattering the rich means attending to them without waiting for an invitation, behaving in a manner too base and filthy to describe.
(Jiang Shijin from Mingzhou wrote)
Establishing oneself requires maintaining dignity, not self-deprecation.
Since we have taken this Way (Dao, 道) as our responsibility, this body of ours is indeed connected to the lives of thousands and millions. We must aspire to noble and pure ideals, conduct ourselves with sincerity and simplicity, to demonstrate that our Way is not compromised. If we were to conform to others at the expense of ourselves, or willingly take crooked paths, it would not reflect the heart of someone hiding their treasure awaiting recognition, and we would inevitably suffer ridicule for "sacrificing a foot to gain an inch" (Wang Xun Zhi Chi, 枉寻直尺).
Clinical practice should focus on efficacy, not seeking profit.
Practicing medicine is for sustaining livelihood. To say "worry about the Way, not about poverty" is unrealistic language. However, if greed prevails, one will eagerly seek results everywhere. If one does not devote one's whole heart to the task, there will be those who seek lucky breaks through others. One should restrain oneself, striving for certain cures. Thus, when efficacy is achieved, profit will follow. Indeed, there is no need to be troubled by gains and losses, as remuneration will be included within.
Maintaining one's mind requires humility, not relying on ability.
In the pursuit of knowledge, those who empty themselves receive much help; those who rely on their own abilities achieve nothing. Moreover, the transmission of Qibo (Qibo, 岐伯) contains profound meanings and subtle principles; how could they be fully fathomed by individual private wisdom? If one looks through a tube, clinging to a single insight, one may develop thoughts of despising peers. Therefore, remaining content with limited knowledge causes one's profession to decline daily; this is why the ancients warned against "holding a full cup" (Chi Man, 持满 - arrogance). A good merchant hides his goods deeply; one ought to adorn oneself with virtue.
Walking the path of healing requires pitying the poor, not flattering the rich.
The ugly attitudes of fickleness are common in worldly affairs. Although we do not engage in such behavior, we might harbor such thoughts. Often, when encountering sons of nobility, practitioners worry only that their skills are not refined enough. When facing destitute individuals, their attention tends toward neglect. Reflecting on this, this art was originally established to save people. Those with nowhere to complain deserve even more compassion. This not only fulfills the original intention of saving the world but is also a segment of performing good deeds secretly.
Reading books requires discerning principles, not sticking to fixed formulas.
Old words and past theories, although clear proofs tested by the ancients, depend on the individual for divine understanding. Furthermore, the climates of the five regions vary in strength, and the constitutions of people in ancient and modern times differ in density and thinness. If one strictly adheres to established methods without being good at adapting, what is the difference from forcing a square tenon into a round mortise? Profound scholars should derive insights from their own profound understanding, not be stuck in old hearsay from examination essays.
Treating diseases requires investigating causes, not pursuing trivialities.
The theory of Root (Ben, 本) and Branch (Biao, 标) has been discussed in detail by predecessors. Current practitioners seeking treatment often fail to examine the cause of the disease and apply remedies indiscriminately. It is like saving a fire by only beating out the spreading flames without extinguishing the fire source. Although the flames are extinguished, the nature of fire remains, and it will eventually reignite. This lies in cultivating the root and blocking the source, eliminating the ringleaders, so that the minions will naturally flee upon seeing the wind.
Associating with friends requires deep affection, not harboring slander.
Sighing that since people do not live according to ancient ways, the way of friendship has declined. Among those on the same path and working together, the tragedy of attacking each other and stabbing them in the back is even deeper. Not knowing that those who slander others will also be slandered, why not stop the yellow-billed birds' chatter (Ci Huang, 雌黄 - unfounded criticism) and mutually advise each other? Expand one's group, each borrowing support. On one hand, reap the benefits of like-minded people; on the other hand, maintain the connection of reputation and spirit in difficult times.
Preparing medicines requires precision, not settling for simplicity.
Substances originate from the Five Elements (Wu Xing, 五行), each having its appropriate use; preparation methods all follow Lei Gong (Lei Xiao, 雷公). However, examining their origins, some plants have different treatments for roots and tips; some single herbs have different processing specifications. Production varies by region and soil; storage differs between new and old. Do not mistake deer for horses, merely taking things to please favorites. Mistake Lu for fish, casually boasting of your keen eye. This causes miraculous formulas and holy preparations to fall between effective and ineffective. Not only can they not rescue critical illnesses, but they are sufficient to damage one's good reputation.