古人朴实,七情干涉者少,而从风寒暑湿,外感凝滞者多,故设仙方活命饮,攻散
所滞之肿。服此得效者,十常八九,乃患者五脏不虚耳。今人穿凿太过,七情烦搅之甚。
而五内无有不伤,每见此症,曾服过此药,其疮必不起发,脾胃再无不损。若疮不起,脾
胃伤败,患者岂有得生,至此自于天命。今之治法,不论首尾标本,必先固脾,次行托
药,谓本立而道生,病无不活。予见如此,幸同道者察焉。
一戒∶凡病家大小贫富人等请视者,便可往之。勿得迟延厌弃,欲往而不往,不为
平易。药金毋论轻重有无,当尽力一例施治,自然生意日增,毋伤方寸。
二戒∶凡视妇女,及孀妇尼僧人等,必候侍者在旁,然后入房诊视。倘旁无伴,不
可自看,设有不便之患。更宜真诚窥视,虽对内人,亦不可谈,此因闺阃故也。
三戒∶不得出脱病家珠珀珍贵等物,送家合药,以虚存假换。如果该用,令彼自制
入之,倘服不效,自无疑谤。亦不得称扬彼家物色之好,凡此等非君子也。
四戒∶凡为医者,不可行药登山,携酒游玩,又不可片时离去。凡有抱病至者,必
当亲视,用意发药,又要根据经写出药帖,不可杜撰药方,受人驳问。
五戒∶凡娼妓及私伙家请看,亦当正己,视如良家子女,不可任意儿戏,以取不正。视
毕便回,贫家者药金可璧,看病回,只可与药,不可再去,以图邪淫之报。
Ancient people were simple and honest, with fewer disturbances from the Seven Emotions (joy, anger, worry, thought, sadness, fear, and fright), but more cases of stagnation caused by external contraction of Wind, Cold, Summer-heat, and Dampness. Therefore, Xianfang Huoming Yin (Immortal Recipe for Activating Life Decoction) was established to attack and disperse stagnant swellings. Those who took this medicine and saw effects accounted for eight or nine out of ten, because their Five Viscera were not deficient. Today's people indulge excessively in sensory pleasures, suffering greatly from emotional turmoil. Their internal organs are invariably injured. Whenever encountering such sores, if they have taken this medicine, the sore will certainly fail to rise (i.e., pus cannot be discharged or the wound fails to heal), and the Spleen and Stomach will inevitably be damaged again. If the sore fails to rise and the Spleen and Stomach are ruined, how can the patient survive? At this point, one must leave it to destiny. Current treatment methods, regardless of the beginning or end, root or branch, first solidify the Spleen, then administer drugs that promote expulsion of toxins. They believe that once the root is established, the way arises, and no disease is incurable. I observe this situation and hope my colleagues will examine it carefully.
First Precept: When patients of all ages and from both rich and poor families invite a doctor for consultation, the doctor should go without hesitation. One must not delay or show disdain; going when intended but failing to do so is not approachable. Regardless of whether the medical fee is heavy, light, present, or absent, one should strive to treat everyone equally. Naturally, the vitality of life will increase daily, and one must not harm one's conscience.
Second Precept: When examining women, widows, nuns, and monks, one must wait for an attendant to be present before entering the room for diagnosis. If there is no companion nearby, one must not examine alone to avoid any impropriety. One should also inspect sincerely; even regarding one's own wife, one must not discuss the condition, due to the privacy of the inner chambers.
Third Precept: One must not deceive the patient's family by taking precious items such as pearls and amber under the pretext of sending them home for herbal preparation, thereby substituting fake for real. If such materials are truly needed, instruct the patient to prepare them themselves. If the medication proves ineffective, one will not face suspicion or slander. Nor should one praise the quality of the family's goods. All such actions are unworthy of a gentleman.
Fourth Precept: A physician must not carry medicines while climbing mountains, nor carry wine for leisurely outings, nor leave the post for even a moment. For anyone arriving with illness, one must personally examine them, carefully prescribe medications, and write out prescriptions based on classical texts. One must not fabricate prescriptions to avoid being questioned or refuted by others.
Fifth Precept: When prostitutes or those involved in illicit relationships seek medical attention, one must maintain personal integrity and treat them as one would daughters of respectable families. One must not act frivolously to gain improper benefits. After the examination, return immediately. For poor families, the medical fee may be returned. After seeing the patient and returning, provide only the medication; do not visit again to avoid retribution for lewd conduct.