夫人既以五谷养其生,而亦药石伐其病。苟无药石,则寒暑劳苦之太过,喜怒饥饱之无节,
时令不常,卫生无术,身贫而莫求医药,虽富者或无良剂,或客游半道,卧病而无所治疗,如是
而夹者亦多矣。且好仁之士,有济物之心,或蓄一验方,或有一奇药,计力多寡,精加修制,广
加施惠,使沉 宿疾,苦楚万状,危恶之候,
一药能愈,俾呻吟变为和气。虽身贫力危,难以修合济人者,诚能得奇效之方,随所治之疾,印
写千百本,粘之于墙壁道路之间,利亦博矣。
春甫曰∶圣人治未病不治已病,非谓已病而不治,亦非谓已病而不能治也。盖谓治未病,在
谨厥始防厥微以治之,则成功多而受害少也。惟治于始微之际,则不至于已着而后治之,亦自无
已病而后治也。今人治已病不治未病,盖谓病形未着,不加慎防,直待病势已着,而后求医以治
之,则其微之不谨,以至于着,斯可见矣。
圣人起居动履,罔不摄养有方。间有几微隐晦之疾,必加意以防之,用药以治之。圣人之治
未病不治已病有如此。《论语》曰∶子之所慎,齐、战、疾。释云∶齐,所以交神明,诚至而神
格,疾为身之生死所关,战为国家存亡所系。然此三慎诚为最大,而疾与乎其中,得非以身为至
重耶?康子具药,则曰∶未达,不尝。可见圣人慎疾慎医之心至且尽矣。
世之人非惟不知治未病,及至已病,尚不知谨,始初微略,恣意无忌,酿成大患,方急而求
医,曾不加择,惟以其风闻,或凭其吹荐,委之狂愚,卒以自坏。皆其平日慢不究心于医,至于
仓卒,不暇择请。殊不知医药人人所必用,虽圣人有所不免。顾在平昔讲求,稔知其为明医,偶
有微疾,则速求之以药,治如反掌。譬能曲突徙薪,岂有焦头烂额之诮?丹溪论之,固亦详矣。
甫之肤见,尤有未悉之意焉。续貂之讶,诚所不免。有志养生者,扩而充之,亦未必无小补云。
Since humans rely on the five grains to nourish their lives, they also rely on medicinal herbs and stones to eliminate diseases. If there were no medicines, then excessive cold, heat, labor, and hardship, along with unregulated anger, joy, hunger, and fullness, unpredictable seasonal changes, and a lack of health preservation techniques, would lead to situations where the poor cannot seek medical care, and even the wealthy might lack good prescriptions, or fall ill while traveling far from home without treatment. In such cases, many people would perish. Moreover, those who advocate benevolence possess a heart to aid all things; some may hoard a proven prescription or possess a unique herb. Depending on their capacity, they carefully process and prepare these remedies, widely distributing them to benefit others, so that chronic stubborn diseases, agonizing conditions, and critical states can be cured by a single medicine, turning groans into harmony. Even for those who are poor and weak, unable to personally compound and distribute medicines, if they can obtain effective prescriptions, print thousands of copies according to the diseases treated, and paste them on walls and roadsides, the benefit will be extensive.
Chunfu said: The sages treat disease before it arises rather than after it has arisen. This does not mean that existing diseases are left untreated, nor does it mean that existing diseases cannot be treated. It means that treating disease before it arises involves being cautious at the beginning and preventing it when it is minute, thereby achieving success with minimal harm. By treating it at the initial, minute stage, one avoids waiting until the disease is manifest to treat it, thus naturally avoiding the need to treat only after the disease has fully developed. Nowadays, people treat only existing diseases and do not prevent future ones. This is because when the signs of disease have not yet manifested, they fail to exercise caution, waiting until the disease trend is obvious before seeking medical treatment. This shows how negligence at the minute stage leads to manifestation.
The sages' daily activities and movements were always guided by proper health preservation methods. When there were even slightly subtle or hidden ailments, they paid special attention to preventing them and used medicine to treat them. This is how the sages treated disease before it arose rather than after. The *Analects* states: "What Confucius was careful about were fasting, war, and illness." The explanation says: Fasting is used to communicate with spirits; when sincerity reaches its peak, spirits descend. Illness concerns life and death of the body, while war concerns the survival or destruction of the state. These three areas of caution are indeed the greatest, and illness is among them. Does this not indicate that the body is regarded as extremely precious? When Duke Kang prepared medicine, he said, "I do not yet understand it, so I dare not taste it." This shows that the sages' caution regarding illness and physicians was utmost and complete.
People in the world not only fail to know how to treat disease before it arises, but even when already ill, they remain careless. Initially slight negligence, indulging without restraint, brews major disasters. Only then do they hastily seek doctors, without any selection, relying merely on hearsay or recommendations, entrusting their health to reckless and ignorant individuals, ultimately leading to self-destruction. This is because they neglect medicine in their daily lives and fail to study it seriously, leaving them no time to choose wisely in emergencies. They do not realize that medicine is essential for everyone, including sages. The key lies in studying it beforehand and becoming familiar with qualified physicians. If minor illnesses occur, one should quickly seek their medication, making treatment as easy as turning over a hand. If one could act like bending the chimney and moving the firewood (taking preventive measures), how could one suffer the ridicule of having scorched heads and broken limbs (dealing with consequences)? Danxi discussed this in detail.
My superficial views certainly contain omissions. The criticism of adding dog's tails to a fine fur coat (inferior additions) is unavoidable. Those interested in health preservation may expand upon and enrich these ideas, which may provide some small benefit.