徐洄溪先生《医学源流论》云∶治病必得立案。详其何脉何因何症,宜何法治。若是则
方能
用心,可杜肤泛。服剂之后,又当验其如何应效,最为医人真实工夫。予少因多病,弱冠便
喜览方书。后缘老母年高,时有疾恙,益专心向学,尽心调治,渐有所得;因之家人上下,
稍有违和,治之多效。邻朋乡党,渐有知者,邀致必往。即而日有就医,至夏杪三秋,踵门
不绝,皆不论有无,尽心为治,知与不知,俱立一案于方,下次复诊,照方案详问随机圆变
,必中肯綮而后已。今年届甲周,阅历及四十载,不可谓之浅矣;然而所得者十不能五焉,
惟不肯稍涉不知为知,妄语诳人耳!此亦可以自信。
世间德行经济文章学术,立于天地间,表表可观,半由学力,半实天成,即一才一艺,
无不尽
然。子曰∶生而知之者,上也;学而知之者,次也;困而学之,又其次也。夫能困学,即是
其天性,惟赋浅耳。若夫天性,必不能困学。予表兄费某,舅氏必欲其用功举业,延名师,
丰修膳,焚膏继晷,磨琢万方。年逾弱冠,作一破承不能,乃弃去日事手艺。如碧山治银,
元吉治锡,虽时工莫及也。更能刺绣结缨,雕刻竹木,无不精美可观。何于文本之缘,切肤
而不知痛痒;于杂艺一见即能为之,天性有别耳。予旧居对宇有药铺,每薄暮放学,就视药
物,一见能名,续翻本草,并能知其性。时年止八九岁,长嫂病,延俞醒斋先生来治,令予
陪侍。其患崩漏,头重难起,予告俞曰∶长嫂之症,莫非下虚乎?先生问何以知之?答曰∶如
竹稍戴物,必不能举,试易以木则举,强弱之分也。先生曰∶是。后晤相知,极口称道。及
长,乃从事于此。岂非天性使然乎?
Mr. Xu Huixi stated in *Yixue Yuanliu Lun* (Source and Evolution of Medical Science): "In treating diseases, one must establish a medical record. Detail the pulse, etiology, and symptoms, and determine the appropriate therapeutic method. If this is done, the physician can devote their heart to the treatment, thereby avoiding superficiality and generalization. After administering the dosage, one must verify the efficacy; this constitutes the true skill of a physician. In my youth, due to frequent illnesses, I began to enjoy reading medical texts around the age of twenty. Later, because my mother was advanced in age and often ill, I devoted myself even more diligently to study, treating her with full dedication, and gradually gained insights; consequently, for any minor discomfort among family members, my treatments were largely effective. Neighbors and fellow villagers gradually became aware of this and invited me to treat them. Soon, patients came daily, and through late summer and autumn, visits to my door were unceasing. Regardless of whether they knew me or not, I treated them wholeheartedly, establishing a case record beside each prescription. For subsequent follow-up visits, I would ask detailed questions based on the previous plan and adapt flexibly, stopping only when the treatment hit the mark accurately. This year, I have reached the age of sixty, with over forty years of experience, which cannot be considered shallow; yet, what I have truly mastered accounts for less than half. I simply refuse to pretend to know what I do not know or to deceive others with false words! This gives me confidence."
Virtue, statesmanship, literary works, and academic achievements, standing firm between heaven and earth, are conspicuously admirable; half stems from acquired learning, and half from innate endowment. This applies equally to every talent and skill. Confucius said: "Those who know from birth are the highest; those who know through learning are next; those who learn after encountering difficulties are still lower." The ability to learn amidst difficulties indicates one's nature, albeit with lighter endowment. As for those with strong innate aptitude, they certainly do not need to wait until troubled to learn. My cousin, Mr. Fei, had his uncle insist he focus on the imperial examination curriculum, hiring famous teachers and providing abundant meals, studying day and night with tireless effort. By the time he passed twenty, he could not even write a proper opening paragraph for an essay, so he abandoned it to pursue crafts. For instance, Bishan worked silver, and Yuangi worked tin; even contemporary artisans could not match them. He could also embroider, tie ribbons, and carve bamboo and wood, producing exquisite results. Why was he indifferent to literature, as if feeling no pain despite its closeness to the skin, yet capable of mastering miscellaneous arts at first sight? It is merely a difference in nature. Opposite my former residence was a pharmacy. Every evening after school, I would go there to observe the herbs, naming them upon seeing them once, then consulting the *Bencao* (Materia Medica) to understand their properties. I was only eight or nine years old then. When my eldest sister-in-law fell ill, Mr. Yu Xingzhai was invited to treat her, and I was asked to attend. Her condition was *benglou* (metrorrhagia and metrostaxis), characterized by a heavy head making it difficult to lift. I told Mr. Yu: "Sister-in-law's illness, might it be deficiency in the lower jiao?" The master asked how I knew. I replied: "It is like a bamboo tip bearing weight; it cannot stand upright. Try replacing it with wood, and it will stand; this distinguishes strength from weakness." The master said: "Correct." Later, when meeting acquaintances, they praised me highly. Upon growing up, I engaged in medicine. Is this not caused by nature?